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MC-15-1828 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-239555 Permit Number: MC-7-15-1828 Scheduled Inspection Date: December 16,2015 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: RABINOVICH, IVAN Work Classification: Addition/Alteration Job Address:10326 NW 1 Avenue Miami Shores, FL 33150-1270 Phone Number (786)436-0329 Parcel Number 1121360131430 Project: <NONE> Contractor: PARADISE AIR CONDITIONING CORP Phone: (786)487-8283 Building Department Comments REPLACE A/C DUCTS AND UNIT Infractio Passed Comments INSPECTOR COMMENTS False II Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 15,2015 For Inspections please call: (305)762-4949 Page 11 of 51 Permit No. MC-7-15-1$28 ®5H°ttEs yo! Miami Shores Village Permit EYP& Mechanical-Residential �� 10050 N.E.2nd Avenue NW WOrk GlaSsi�cafian:Addition/Alteration Miami Shores,FL 33138-0000 er ,.ii� � Phone: (305)795-2204 Permit'Status:APPROVED �i°"mA p. Ex iration: 0 /15/2016 issue its: t'i'p/ ti'i 5 Project Address Parcel Number Applicant 10326 NW 1 Avenue �....._...-.. 1121360131430 .�.M,.__..�..._._.,.._..__� _..:_. ......__ JG 10326 LAND TRUST I Miami Shores, FL 33150-1270 Block. Lot: Owner Information Address Phone Cell G326 LAND TRUST 560 NE 103 Street (786)436-0329 MIAMI SHORES FL 33150- 560 NE 103 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 6,000.00 PARADISE AIR CONDITIONING CORP (786)487-8283 Total Sq Feet: 0 Tons:2.5 Available Inspections: Additional Info:REPLACE A/C DUCTS AND UNIT Inspection Type: Classification:Residential Final Approved:In Review Rough Duct Comments: Date Approved::In Review Review Mechanical Date Denied: Type of Work: Underground Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.60 Invoice# MC-7-15-56419 DBPR Fee $3.15 DCA Fee $3.15 09/17/2015 Check*6151 $ 178.90 $50.00 Education Surcharge $1.20 07/21/2015 Credit Card $50.00 $0.00 Permit Fee $210.00 Scanning Fee $3.00 Technology Fee $4.80 Total: $228.90 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all th oin information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I a e th bove named contractor to do the work stated. September 17, 2015 Authorized Signature: ner / 8opy� Contractor / Agent ate Building Depa ent September 17,2015 1 ° Miami Shores Village a- Building Department JUL �01� 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201 _ 6� BUILDING Master Permit No. :22 1 '3 PERMIT APPLICATION Sub Permit No. mo—0 L_;f (B BUILDING ❑ ELECTRIC ROOFING 0 REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP p CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): _T__\/q'^ �'qAnin®v`0 -3(��,L(I (0 32b LTPhone#: Address: City: k0,. ' X31 31?State• Zip: Tenant/Lessee Name: Phone#: Email: l'Vcx^r 93 O C.,L,o" CONTRACTOR:Company Name:'' s&Aint7e. /.& [�/��/S % Phone#: Address:-77-7-7 ,t� / City: / � State: Zip:,?j3i�% Qualifier Name:� eL-1e5 Phone#: �— �G3 State Certification or Registration#: 11q/7_3 Certificate of Competency#: DESIGNER:Architect/Enginee • Phone#: Address: v City: State: Zip: Value of Work for this Permit:$ O' ®`� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: A I C- Ga. Specify color of color tthhru tile: I Submittal Fee$ • � Permit Fee$ "2,v®°'® CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 1 ° (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with on estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signatur OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument w s acknowledged before me this a Qq day of 'tJ 20 by day of u 20 1.5 by who is personally known to �ow Rk QS ,who i ersonally know to me or who has produced" l/ n Li�n� as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: Grp , Seal: Seal: ••gip` A��- YANELIS MARTIN ;oder°�ec� Notary Public State of Florida . Notary Public-State of Florida Sindia Alvarez �. Commission k FF 241719 My Commission FF 156750 '•., Q;r` My Comm.Expires Jun 18,2019 C OF Ex�ires 09/03/2*0 "'� *** # ** b APPROVED BY lans Examiner Zoning Structural Review Clerk (Revised02/24/2014) e;: a, '0� _�° }''� •�. SHORES c Miami Shores Village Building Department E.,. ,.,iv" 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Nresyb Tel: (305)795.2204 �CORIDp Fax:(305)756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change-out must be on its own data sheet. Multiple units on single sheets are not acceptable. W � Job Address(where the work is being done): d03 �I W City: Miami Shores Village County: Miami Dade Zip Code: ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means:YES[—] NORHI heet Attached:YES` NO ❑ ontract ttached:YES L6 UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL# ®� COND.UNIT MODEL# O KW HEAT NOM TONS /7 AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3)VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER YES NO REPLACING DUCTS YE NO YES NO REPLACING THERMOSTAT E NO YES NO NEW 4"CONCRETE SLAB YES NO NEW ROOF STAND YES N YES NO NEW RETURN PLENUM BOX M$11 NO 1. Minimum Circuit Ampacity(Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit(208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: ?Ck r`k'k%3--' int(C C,0, Fl. Phone: -+86 6'SS �s State Certificate or Ristration No. G A c 1,$� IF33'(P Certificate of Competency No. Signature Date: 8 hs (Qualifler's signature) (Revised02/24/2014) 77"77 7 h5P20", TERRACE HIALEAH FL 33015-5988 Gongratuiationsl With this kanse you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our proftsslonals and businesses range STATE OF FLORIDA from arddtects to yacht brokers,from boxers to barbeque restImuents, DEPARTMENT OF BUSINESS AND and they keep Fior€tla's economy strong- PROFESSIONAL REGULATION } Every day are work to irnprove the way we do btu ess in order CAC1817338 ISSUER. 06/12/2014 Sam you better. For Information about our senkms,please log onto www myfloddattcerameom. There you can grni more Inibrmadon CERTIFIED AIR:0ON0 CONTR` about our divisions and the regulations that Impart you.subscribe PAREDES,JOHN to department newsletters and learn more about the DepartmenCs PARADISE AIR i:ONDITIONIN6>CORP Initiatives. Our mission at the Department IsLicense Effiaently,Regulate Fairly. Westm+e to serve you better so that you can serve your customers. you I&doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and aongrahllatlons on your new license! O@Man dae:AVG U 2me u4=20WOW DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD "CAC1817336 The CLASS B AIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2018 PAREDES,JOHN PARADISE AIR CONDITIONING CORP 7777 NW 201 TES HIALEAH FL 13015-5988 ISSUED- WM2=14 DISPLAY AS REQUIRED BY LAW SEQ 0 L14MI200DOW d txrtaao Local Business Tax Recei t Miami-[fade County, State of FloridaLBT THIS IS NOTA BW. — DO NOT PAY 7111 OUSOMW TIM RME"NM EXPIRES PARWISE AIR COND111ON MG CORP ►. SEPTEMBER 30, 201 S TM NW 2WUR 737M It must be ON"d at flaW of baelnesa tt.331115 PurwattYto County Code Chapter 8A-AM 9&1O OvMI t Sec.TVM CW BUSME" PAVMMT RecettW PAPAM AIR COAIDiY1O M CORP 136 SPEC WHANICAL CONTRACTOR t;r TAX thet.i.H=n wodmKs) 1 CAC1817338 $75.00 07/15/2014 CHEC.K.21-14--019301 ThlaLftd 8 TaxRewd tq*etd,twLaW Basisea Tax.The Rwop Is nota Ocaum Penn%or cettf 4868of 69 ha 't# to de bu bNM Hafdtaaart any m [ t rlilt av*tOdw6 Form=bdumalm Aco o® CERTIFICATE OF LIABILITY INSURANCE DATE(YMIDDIYYYY) 07/10/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ALL CITY INSURANCE INC-ACI IiIAME�CT CARMEN RODRIGUEZ 275 FONTAINEBLEAU BLVD. PHONE 305 463-9431 FAX 305 436-6797 SUITE 190 ADDRESS- GMAIL LLCITYINS.COM MIAMI FL 33172 INSURERS AFFORDING COVERAGE NAIC# INSURER :ASCENDANT COMMERCIAL INSURANCE INSURED INSURER PARADISE AIR CONDITIONING CORP N U ERC• 7777 NW 201 TERRACE INSURgRD: HIALEAH FL 33015 INSURER 9: - INSURER F, COVERAGES CERTIFICATE NUMBER:07 REVISION NUMBER:00 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR IN= wyn POLICY BER POLICY EFF POLICY EXPLTR LIMITS A GENERAL LIABILITY GL-40733-2 09/05/201409/05/2015 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS-MADE [K OCCUR MED EXP A ny oneperson) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 1,000,000 X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Es accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS ano $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS LIABILITY M. PR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? u N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under RIPTION 1 E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,K more space Is required) CONTRACTOR LICENSE#CAC1817336 CERTIFICATE HOLDER CANCELLATION Al COMMWJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF MIAMI SHORES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING &ZONING DEPT. ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVE 7 AU1{OR�Cn NATIVE MIAMI SHORES FL 33138- ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Report Viewer Page 1 of 2 M P4 Ln o, LO � JEFF ATWATER STATE OF FLORIDA Ln Ln CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES ON DIVISION OF WORKERS`COMPENSATION *'' CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATI cs CONSTRUCTION INDUSTRY EXEMPTION 9 This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation V EFFECTIVE DATE1/2912015 EXPIRATION DATEt/28/2017 v PERSONPAREDES JOHN FEIN: 452758586 BUSINESS NAME AND ADDRESS: a� PARADISE AIR CONDITIONING CORP rd 7777 INW 201 TER H rd, HIALEAH FL 33415 SCOPES OF BUSINESS OR TRADE: P4 HEATING,VENTILATION, C) AIR-COND IN Pursuant to Chapter 440.05 LO (14). F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election may not recover benefits of compensation under this chapter. Pursuant to Chapter 440.05 0 (12), F.S., Certificates of election to be exempt... apply only within thR crnnp of thA hi jcinpcc nr trcrlp. linfoad nn the nntirp of Rtp.elinn to hp PYQmnt Pi ircu iant to f:hmntpr, 0 h https:l/apps8.fldfs.cowlcrreportviewer/reportViewer.aspx?data-kkdvpginc9D7Q3gH5TTERbeP l KMZ%2f'Sz5bXK... 7/20/2015 Jul.20.2015 12:19 PM Paradise Air Conditioning 786 955 6595 PAGE. 1 Report Viewer Page i of 2. / 1 125% a W" ,JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVIC DIVISION OF WORKERS'COMPENSA7 * *CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WOI CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida We EFFECTIVE DATE: 1/2912015 EXPIRATION DATE: 1/28/2017 PERSON: PAREDES JOHN FEIN: 452758586 BUSINESS NAME AND ADDRESS: PARADISE AIR CONDITIONING CORP 7777 NW 201 TER HIALEAH FL 33015 SCOPES OF BUSINESS OR TRADE: HEATING, VENTILATION, AIR-GOND Pursuant to Chapter 440.05 (14), F.S., an officer of a corporation who elects exemption from this chapter by filing may not recover benefits or compensation under this chapter. Pursuant to Chapter 44, (12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. (13), F.S., Notices of election to be e person nam on a notdce or ce ica a no longer metedfl a requirements oft is https://apps8.fldfs.con/crreportviewer/ruportV icwer.abVx?data.=kdvpginc9D7Q3gH6TER6... 7/20/2015 Paradise air Conditioning corp Usence Air Cond Contractor Date:July 10,2015 State of County of Before me this day personally appeared �®��'� 1 �t who, being duly sworn deposes and says: That he will be the only person working on the project located at 1012 b N W Sworn to(or affirmed)ands bscribed before me this day of by ����� C . . . Per onally know or produced identification type of 1 n n TO ` Print Name 0/)d ,;: �. �aNt ,> ,n.;h,IN Notary Public State of Florida Stamp name of Notary -.-� Commission M FF 241719 ' My Comm.Expires Jun 18.2019 _ 7777 nw 201 ter Miami FI 33015 786-487-8283 cell n 786-320-6398 main �I�1 786-320-6425 fax www.paradiseairconditioning7.com 5t1ORES l,,, Miami shores Village Ln �� Building Department �i0R'�gA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this (09 day of �U�� ,20 1 S. ByIN)AN "R4:5��\BVI who is personally known to me or has produced CEJ St< as identification. Notary: SEAL: �'7" �. Notary Public State of Florida Sindia Alvarez a pF� Expires 09/0312018 Cel 777 a U Fax': 786-955-6515 7 'Miami 201FL 33015 Air Conditionig Corp. License Certified Air Cond. Contractor CAC1817336 Name �- / is , i s 590 `�v�..n ��o i Mj3�I C-01-1Date - - Address tO 3 2& N Vol M ka sr.3 Phone -$6 L4-3 b 03 QUANTITY DESCRIPTION UNIT PRICE UNIT AMOUNT W cI o jo- Us TOTAL �, gg' M W-1311 u cu, caz gs A, of us/a,.ducrt Finl, AHRI Certified Reference Number 7518149 Date: 3/16/2015 Product,Split System:Air-Cooled Condensing Unit,Coll with Blower Outdoor Unit Model Number VSX140301A* lir Indoor Unit Model Number:AWUF31XX16A* Manufacturer. GOODMAN MANUFACTURING CO.,LP. Trade/Brand name:GOODMAN;JANITROL;AMANA DISTINCTIONS; EVERREST;ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR Series name:VSX14 Z 0" Manufacturer responsible for the rating of this system combination Is GOODMAN MANUFACTURING CO.,LP. R Rated as follows In accordance with AHRI Standard 2101240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, Independent,third party testing: Cooling Capacity(Btuh): 28000 EER Rating(Cooling): 11.50 SEER Rating(Cooling): 14.00 IEER Rating(Cooling): Ratings followed by an asterisk indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which Indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsiblillityfor, the product(s)fisted on this Certificate.AHRI expressly disidalms all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed In the directory at laltvsv.ah r,idb e rtoF,,.o MIN TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI.This Certificate shall only be used for Individual,personal and 5 confidential reference purposes.The contents of this Ceirtiftcate,may not,In whole or In part,be reproduced;copied;disseminated; entered Into a computer database;or otherwise utilized,In any form or manner or by any means,except for the user's Individual, personal and confidential jeference.. A;'R-C101N1Q4W1f1ANGJEATMIII" CERTIFICATE VERIFICATION The Information for the model cited on this cermcate can be verified y.o;g,dick on-Vtn link t«make life bottet— and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, whiCh is Iled above,and the Certificate No.,which Is listed at bottom right 130709847854437540 02014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: AC40REP CERTIFICATE OF LIABILITY INSURANCEDA'E"MIDw" 09/08/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms.and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER ALL CITY INSURANCE INC-ACI CONTACT CARMEN RODRIGUEZ 275 FONTAINEBLEAU BLVD. PHONE 305 463-9431 Fax 305 436-6797 SUITE 190 'M^" GMAIL LLCITYINS.COM MIAMI FL 33172 INSURERS AFFORDING COVERAGE NAIC# iNsunRA:ASCENDANT COMMERCIAL INSURANCE INSURED INSURER PARADISE AIR CONDITIONING CORP INSURER C: 7777 NW 201 TERRACE INSURER D: HIALEAH FL 33015 INSURER E: - COVERAGES CERTIFICATE NUMBER:07 REVISION NUMBER:00 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS -LMLA GENERAL LIABILITY GL-40733-3 09/05/201509/05/2016 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000 CLAIMS-MADE �OCCUR MED EXP An one arson 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT i ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Par acddaM $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DED NT $ WORKERS COMPENSATION WC STATU- 0_TH- AND EMPLOYERS'LIABILITY I ANY PROPRIETORIPARTNERIEXECUTIVE NIA E. EACH ACCIDENT OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ Ifdescribe under M RIPTION F OPERATIONS hdow E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Attach ACORD 101,Additional Remarks Schedule,K more space Is required) CONTRACTOR LICENSE#CAC1817336 CERTIFICATE HOLDER CANCELLATION Al COMMWJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF MIAMI SHORES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING &ZONING DEPT. ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVE AUTHORIZED REPRESIIiTATIVE 7 MIAMI SHORES FL 33138- ti.d/A 01988-2010 ACCORD. CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are reglstered marks of ACORD Gct.09.2015 02:41 PM Paradise Air Conditioning 786 955 6595 PAGE. 1 uoAowin3l;f1o(4.jq . 'ett-ae:+! +�R��:!! pd��w-aelamanlo�areio- ' �p41011aoope(�1�$Jp'p4�en?tle'ON ''�p4�irpyu4107'. M . 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