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MC-15-2110 Ric 1 CN�>r Ll Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756.8972 Inspection Number: INSP-241744 Permit Number: MC-8-15-2110 Scheduled Inspection Date: February 17,2016 Permit Type: Mechanical - Residential Inspector. Perez,JanPierre Inspection Type: Final Owner. NEWBAUER,JEFFREY Work Classification: Addition/Alteration Job Address:70 NE 92 Street Miami Shores, FL Phone Number (305)799-0885 Parcel Number 1132060130020 Project <NONE> Contractor. ABSOLUTE A/C&DUCT REPAIR INC Phone: (754)214.4938 Building Department Comment INSTALLATION OF TWO BATH EXHAUST FANS, ONE Infractio Passed Comments KITCHEN EXHAUST FAN AND ONE DRYER EXHAUST INSPECTOR COMMENTS False DUCT. Inspector Comments Passed IN Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid February 16,2016 For Inspections please call: (305)762-4949 Page 4 of 40 max. � A," Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 a` z Phone: (305)795-2204 ' MOM: Expiration: 1712016 Project Address Parcel Number Applicant 70 NE 92 Street 1132060130020 JEFFREY NEWBAUER Miami Shores, FL Block: Lot: Owner Information Address Phone Cell JEFFREY NEWBAUER 70 NE 92 Street (305)799-0885 MIAMI SHORES FL 33138- 70 NE 92 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,600.00 ABSOLUTE A/C&DUCT REPAIR INC (754)214-4938 Total Sq Feet: 0 Tons: Available Inspections: Additional Info:INSTALLATION OF TWO BATH EXHAUST FA Inspection Type: Classification:Residential Final Approved:In Review Review Mechanical Comments: Date Approved::In Review Date Denied: Type of Work: Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# MC-8-15-56775 DBPR Fee $2.00 08/19/2015 Credit Card $50.00 $86.20 DCA Fee $2.00 Education Surcharge $0.40 08/21/2015 Check#:2999 $86.20 $0.00 Permit Fee $120.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $136.20 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT. I rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin uthermore,I authorize the above-named contractor to do the work stated. August 21,2016 Authorized Signatu :Owner / Applicant / Contractor / Agent Date Building Department Copy August 21,2015 1 C Miami Shores Village � = Building Department AU 19 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY'_ Tel:(305)795-2204 Fax:(305)756-8972 - INSPECTION LINE PHONE NUMBER:(305)762-4949 � C t FBC 20 ` 14 BUILDING Master Permit No. 12 C--7- 1 S-1901 PERMIT APPLICATION Sub Permit No. KU 5- 2-1 ( 0 BUILDING ❑ ELECTRIC ❑ ROOFING r-1 REVISION ❑ EXTENSION []RENEWAL ❑PLUMBING MECHANICAL ❑PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP A 11 CONTRACTOR DRAWINGS JOB ADDRESS: 70 N r �eG NO STEE T City: Miami Shores County: Miami Dade Zio: 3313$ Folio/Parcel#: 1139-Q&0 13 00 20 Is the Building Historically Designated:Yes NO Occupancy Type: R- Load: Construction Type: 14)" 1 Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): J E Ffr 9-Cl !V E W BAUC-4L Phone#: 30 6--'?q!-OBgc- Address: -70 N E. 7d-Nm SM"T City: MIAMI SHa 2 C S State: FL- Zip: 33/3(9 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name:_Assxu Te f lc Apo Nc.-r Repmez 41�hone#: 5-q Address: 11s,10 NW / 54—k GT City: t 6(-LY V ODD State: FL Zip: Qualifier Name: A o c.EEJu M OW-i E M INW im E 2 Phone#: State Certification or Registration#: L 1 Q 7 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ /f Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: TN STAILLr4T tQW b F ILVO SATI4. .eXCfi4-tl sr FMUS . z)AIC R I T C 1-f-AJ AAAI v S= FA&1 4i D dN f+- blCY64C. ekdAU s-L D i c T Specify color of color thru tile: Submittal Fee$ oz) ..Permit Fee.. Pd'c9d CCF$ CQ/CC$. Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$m..=.. n vv�� TOTAL FEE NOW DUE$ 9 reG - 0 (Revised02/24/2014) f x 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 an 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 a roved and a reinspection fee will be charged. Signatur Signature 1 OWNER or AGENT_ CONTRACTOR �'t L��p The foregoing instrument was acknowledged before me this The foregoing ins rfur�lent was acknowledged before me this %-3day of `S�.L- [ .20 (s ,by /g day ofAL[,'S( 20 l by zm*feu Ill EuJwho is personally known to MLE&ilt AA1WA .,Z.who is personally known to me me or-who-has produced a-9 ideRtiftntion ho did take an oath. idePOReatlaff In-ff`wh-5-d-1d1M1ff-;m-ovth- NOTARY PUBLIC: NOTARY PUBLIC: Sign: ��//�� � t� Sign: Print: f� Wr I e-C� � Print: 1�.(.G�C �'S[fit. -l�J��19f.26 Seal: KURT A BIRCHENOUGH Seal: ; ` ; ` ;s KURT A BIRCHENOUGH �.o MY COMMISSION#FFA " MY } 0519Q0 ,�. COMMISSION#FF051� EXPIRES September 8.2017 `•.'so;;,OP.•` EXPIRES September 8,2o17 x APPROVED B eF � Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) I I—IV L•t♦YOVVIt/r VLVI\L If'\I\I From:;Christopher Block 'Fax:(306)443.4900 :'To:: •Fax:'•+1,.(306)766$972 -Page 4•-of 4.0811912016 12:36 PM•=':• :^••••_••::•••••:--^•••• STATE EPARENT•OF 1BtS1AfESS-iEND.PRQt�1SSt+43NAL [ EG.IJi.ATION :::• :..:.... ........:..:::.......:::.:.,::...`: . ......:':.....CONS RU.CTOI .(NU a1' tti LJ4EN$#Nt3'BQARD: "•' '.. `.` .................. ..,.,. .. v. .... 77 G¢N©ITlQMIN CONTRAC•..r.. :•; .N�fried;bet�Vir�IS:.G.�R�'iF{�D'� .._ i... ,�•�` ` ;LlnCl�r:th. ov[siiii3s<O:`CMa t r�489.FS... ,.. ��` :.::;":yam::°r;:`:'",-:::; w:�'.• >.:'' . X"it i itzi�:d te:..,A^O•.31.. '0.1 ..... .. .. ....� ,.,,. ... ::.....- `e th ....... : e ". xo 'L � "•'tY:t 5 •i ii����ii �Yir)t TIN :a•:••.,. ,�:`.<y�, •.A N ••`4. / .i :5/��:U.TE'/�j.G^•'p'•`.t2U +q+ _ ��(/� , 1.+• .v,jil\I......::' roi.. egw.os.+• '^�y,.q': 015:C .:yaY,;��: ..�"`,�v' e$z i,:�'' .` ``O` \ [yey,�^r^"�^:.Jx:e:.:` .•a. Wim,. ty.t+:rrv'l',.• �a:erc... �,'a3 "d�.. r'�y,`yA•y�.•J�.w'• -nY•'1:"' eR^tiw^'•„b`�~•'~i�•:,••.v.., J.�.,ty ^'i'III4�'".� "•� y �:`�5t. `� Zp`''�� narYt ••• @.N 5.l .v.. n..Urv...t:n:n..vL.,.',.+..:' ..::.••`t:..:Y:tvmRq........ ..::;�••..t.:......:.:up +'Ravi.. •..WS`' '•• / .YT: _ ..:TM/`'S•iw•:: ;'F:4,-,'.y��.�''.•�~^A Q;t�:•` '';'2aT :t^'f •^'A<:. naH.:;:,r.: ry,A:i:"-::s. ;,�r.:" z�...:..,�, �.?.::•l it... fig_ " v4 \ titt`i Z 5 00'0. .iv.•. :y i. _ Z �T t� ., v^yvtte. fir. �: ,t•t" ...._�.- ISSUED: OW4/2014 DISPLAYAS REQUIRED BY SEQ# L1408240002671 BRO ARD COUNTY LOCAL BUS114ESS TAX RECE1P l 110 S.Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—964-8.31-4000 VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015 DBA: Receipt#:183-1568 ? ABSOLUTE A/C & DUCT REPAIR INC REATI"NG/AIRCONDITION CONTRA' Business Name: Type:(AIR CONDITIONING CONTRA r Owner Nance:AILEEN M MARTINEZ/QUAL Business Opened:03/01/2.006 Business Location:13.510 NW 15 CT State/County/CerUReg:CAC1814897 PEMBROKE PINES F.xeltlptl4n.Cod$: Business Phone: Rooms iSe1L8' Employees,: Machines -+ Professionals } For Vonding Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee :: :'-Ni$ "F :':'• :::,:Renaity:;::;'':: Prior ars CollectionCost Total Paid • 27.00 _ 0.00 '0.00 O.bO 27.00 -...--- _ .. ..._....__ ..._.__..__ ._.. x r 14 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS ➢.`s THIS BECOMES A TAX RECEIPT This tax Is levied for the prlv1"e of doing business within Broward County and is non-regulatory in nature.You must meet all County and/or Municipality ptannlrlg WHEN VALIDATED and-zoning requirements. This Business Tax Receipt must be transferred when rnt the business is sold, business name has changed or you have moved the z , business location.This receipt does not Indicate that the business is legal or that It is in compliance with State or local laws and p' regulations. t Mailing Address: AILEEN M MARTINEZ/QUAL Receipt #ICP.-13-00020136 11510 NW 15 CT Paid 09/7.x/2014 27.00 }, PEMBROKE PINES, FL 33026 L a 2014 ,. 2015. _=h <. •. . ... ..a3ttaYtld4t4��i^�v>;vi5�'u. c .i"�.#•�3.�nh$#�tl5Y[£sl¢Y'�'m�`n':�'ia> ".i�?7,e5'�a�� br'," y.'st�i:�) � �' ...i:i�e' �5'&t'�>�i �'� CERTIFICATE OF LIABILITY IMSURAMCE 8/17/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INP(MMTION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT APPIRMATMELY OR NEGATIVELY AMEND, EXTEND OR ALTBR THE CWA 469 AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE MUM BISURER(SA AUTHORIZED REPREBEPITATTVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT* I the cube holder Is an ADDITIONAL INSURED,*a Policy(ies)nhd be endoreed. If SUBROGATION 18 WAIVED,subject to the IN.. and coudifloue of the Poft,cmmin PoUdee may require an muforeemeft A stetemot on aft cerdfloote dose ad center r4o to to the aerwkcate holder,in no of such PRODUCER A QUICK & EASY ASSURANCE GROUP aft (305) 662-7030 (796) 313-3739 Eguino & Associates fira3mmellOgw4l.com 7229 Coral Wap Miami, FL 33155 SIMMURN a Nina MISURER a:United Specially Insurance company MISURED Absolute AC & Duct Repair Inc. a 9:Normandy Insurance couipany 11510 NW 15 Court Breunst C: Pembroke Pines, FL 33026 o: 1-954-438-9955 E: 1-954-931-3593 F• COVERAGES CERTIFICATE MAWER: REVISION NUMBER:- THIS tJMBER:THIS 4S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN NOW TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT HM OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAII.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB.fECT TO ALL THE TERMS EXCLUSICNS AND CONOMONS OF SUCH POUCiES.LWTS SHOWN MAY HAVE BEEN DICED BY PAID CLAIMS. um OR TYPE OF Ed1UntAXCE ML POLICY NUMBER Lam X 081VIR .tweam EACH OCCURRENCE $ 1,000.000 cLAats mAOE Q occla a II ' as 00maaae S 100 000 IOL-000009708 /30/1 4/30/1 MED°VA" moarson) S 5 000 APER�tAL&ADVOI URY $ 1,000,000 MATE U IT APPLIES PER: GEIdEM ANTE $ 1,000,000 r0Fmxv[I ❑LDC PAtm TS-COMPIOPAS 1 000 000 THpR: $ AUrOMOB E UABaanr $ ANYAUTO BODILY Raw(Par Pff mr) S SCHEDUM — 2900 AUTOS BODILYKILOW(ParodMMO B HIRED AUTOS AMOS S S UMBRELLA LIARHC24Mx EACH O 6 EXCESS UAB A00REHdATE $ OED $ RSI MAWM CATION R &VEMPLOYERS'LIABILITY YIN B AW DECUTPA Y MIA E.L.EACHACCDENT ; 500,000 rIn mo OPFCOWAEMM e>w.u�ov NNW035682015 4/7/15 /7/16 LLDIgAw.gAEMIno S 500,000 u ae OF OPERATIC bar EA.DISEASE-POLrYLIMIT I$ 500,000 DESCRIPriON�oPERAT �LOCAT(�HS t vats(aCORo Hot.Anne►Ram Sd�maa,rosy ea amdme S mme speoa a ragrarea) Airconditioning (including duct repair and service) CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i Building Department THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 Ave Miami Shores, FL 33138 AUTIMMUMITaTNE I I ®1188-2014 ACORD IM4.AD rgtd9 ACORD25(2014101) The ACORD.w. and logo are regletered mato;of ACORD F KICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF,-FILORI" DEPARTMENT OF BUSINESS Al D PROFESS1� ,L'REGULATION CONS,TRUCTIOt INDUSTRY LIC9NSMIG,"ARD. • . . „ CAC]814897 "',�I�CLASS�AIR.-COIVDITI('�NING Ct�i'�ACT � ' Nary Belo*IS CI RTIFIED N Ur,the Im look of Cha r 489 FS � a < kpirattort�lafe,�AUG::�1;.2 K M Rol �Aj. , " zi , - LEi;N IARII= 'tG « ■ �0SOI<.UT'E VC' buc IN4; ',. I x.1,5am .!ko.11M <t 4 IN ic e .ems a °> I � a 3� S . �p�ef'S' 0&24 14 DISPLAYAS REQUIRED BY LAW rr:.. SEf2# 1940824E�'2571 1 i ,�^ '' ti,. .v�'Y '� 4•.. €rte: I,. ' -<?na«, �` zya ,n._'«c 'y :xKr'wz"� YY bs' kc _ M«+. ..,��r'x• i"'�,r« w,,,. 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"':,, ''�' �t ':'s � '<�*` ,; r c�� �'s',;.'� �; �sz T `�.` 4�d� �,�>�, ��`,�, v � rn������w<,.��N, •�'��" It; „x s„4 .< � ,,� > F� x � �� "� "•�•' "�fi �4�>,4���- ``��` Al js ft F iQ SE E y" r •*'<` e��froM.>a 'ts<t wF"' c� ..k« :s�' P� .r.s Av+csi;x' �`r 2°� wzi �i 4" " n ��t '•'g`3'z� r k'� .,x '£` , 4�, �> v-��� .i � ,r-+��s:�3' ° 'h � "i �.. �w Y<� £ �, ,;�, r �• �fr.��h,� r�..�� fiw«.�^ _ ;:k, 3 :. q� �` �I � n r-:�L}` £ x.,F a`£ 7�> �� a d r ✓na (� a'z��t�`3u:.t^t£nM �,✓" a�`�.•zh,:,..<s yg,�a'}':. yxy��-.: �. ,s~�vo-.. "Gi` �'�,.�,`. ,: ;�4d$".. wd'��«'. •a��,�a^.,xtsiu ' ! 1 4"� '4 * <" a^q �.# *,,;..`.<<r,�, '.^ §, 5... s: `. � ,w�"., ?<#,sF.`a..�«i._# �£.r '° &�mcr,< .'s•.:�., ^"g; �» .z "�k, `'""'k <`a~.a 5 , BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S.Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2015 THROUGH SEPTEMBER 30,2016 i f { IBA:ABSOLUTE A/C & DUCT REPAIR INC R®Ceipt#'HEAiING6/AIRCONDITION CONT Business Narrre: Business Type:(AIR CONDITIONING CONTRA I Owner Name:AILRcN m MAR.TiNEz/QUAIL Bustinem Opened:03/01/2006 Business Location:11510 NW 15 CT Swelcou ty/Cert/R@9:CAC1814897 PEMBROKE PINES Exemption Code: Business Phone: Rooms Saab Ertiptvyaes Machines Professionals 2 venuling Business Only Number of Machines: Vending Type. Tax Amount Traruger Fee Fee Penalty Prior Years Collecdon Cost Total Paid 27.00 0.00 0.000.60 0.00 0.00 27.00 i THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS 13ECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature.You must meet all County and/or Municipality planning WHEN VAUDATEp and zoning requirements.This Business Tax Receipt must be transferred when the business is sold, business name has changed or,you have moved the business location.This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: AILEEN M MARTINEZ/QUAL Receipt #ICP-14-00027633 11510 NW 15 CT Paid 09/22/2015 27.00 PEMBROKE PINES, FL 33026 2815 - 2016 .........._. ...,............_..u..__..........:._._.......... _ w ._ .... ........... .......... .. ........_......, ...... �..,...�...... _.._ ...... i 1 S 1 l •