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MC-15-2479 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,Fl- Phone: LPhone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-244450 Permit Number: MC-9-15-2479 Scheduled Inspection Date: March 09,2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPlerre Inspection Type: Final Owner: WONG,BRIAN&MARILYN Work Classification: Addition/Alteration Job Address:1236 NE 93 Street Miami Shores,FL 33138- Phone Number (305)142-8884 Parcel Number2 7 113 0502 0180 Project <NONE> Contractor: NEW SERVICE COMPANY Phone: (305)324754 Building Department Comments RELOCATE ONE AHU. tnfractio Passed comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid March 08,2016 For Inspections please call: (305)762-4949 Page 9 of 43 To: MIAMI SHORES VILLAGE Page 2 of 3 2016-03-08 19:01:37(GMT) 1305503-9646 From:CRISTIAN FERNANDEZ c t 5—A,-t'1ct fZ-- — c3(ob d' CERTIFICATE OF LIABILITY INSU CEo3/os/DATE(08/2,2o16 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 PRODUGER,AND THE CERTIFICATE HOLDER. IMPORTANT: If tate certificate holder Is an ADDITIONAL INSURED,the poilcy(tes)must be endorsed. 0 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 cortins ale hoktsr in nou or such analwa«rrwnl(sj. PRODUCER CONTACT peel Arainn InRtimni-a Rmkaru.Inn P � .,. Rt)f. RFsA.7Ann � ,,,e„ (RR A Atn r14RR 3400 Coral Way Sul#e 500 ludysCbestoptioninsurance,nat %ut— INSVRCK R: uYNtiLY'911Ctwt Ot MCI•••«•••••«••••••••••" •••••••� INSURED INSURER INFINITY New Service Company INSURER C: 501 SIN 1st ST#302 INSURER D: NORMANDY HARBOR INSURANCE COMPANY MIAMI,FL 33130 INSu E• - — P COVERAGES CERTIFICATE NUMBER: REIASION NUMBER: —_.._......._....__-...__...__.......___.._._._......_.._.._.._..._.....-....._.._____...__.___.._._._..._..........._-._....._._........_.____..._.__._._..._..---..._._...._...__........_.._._____._.._..---_.........._._.._........__.._. 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, P°X('J i IMONS ANIS n~WTIONA Miro 9i U-I-t P(SI W.W.A.I IMITS ANOW N MAY HAVF PIPFN riFntWF17 BY PAM M AIMri. ._._ ...._. .._.__—.�._..___ .. __. .......... —....__..—___.�. ......—.... ADDL SUI R TYPE OF INSURANCE POLICY NUMBER , LIC EFFyy" I LIMITS .7w LkAZILI IT CLAIMS41ADE Q LT;(:UR H t PREMISES(Fa occurrence) S 100,000.00 MED EXP(Anyone person S 5,000.00 A ❑ N N 0185FL00073289 10810M2015 08/04/2016AL&ADV INJURY s 1,000,000.00 GEN'L AGGREGATE LIMIT APPLES PER: I GENERAL AGGREGATE 5 1,000 000,00 ❑ PcLicY ❑ TcT ❑ LOC PRODUCTS-COMPIOP AGG S 1,000,00.00 -----_-...........—............__...... __._..... ... OTHER s AUTOMOBILE LIABILITY Y i COM ni INGLE LIMIT ANY AUTO B [I ALL �J (Par 3 25.000.00 ALL OWNED SCHEDULED AUTOS © AUTOS N N 509800014081001 12103/2015 12/03/2016 BODILY INJURY(Per aootden() S 50 000.00 ❑ HIRED AUTOS ❑ NON-OWNED O _R AM GE S 25.000.00 PIP MRR DED-$1.000 5 10000.00 UMBRELLA tJA6 OCCUREl EACH OCCURRENCE S CESS UAB CLAIMS-MADE AGGREGATE S El DED El RETENrIoN s S WORKERS COMPENSATION i PER OTH AND 9NPLOY 9RS'WABLLn Yi ANY PROPRIETORIPARTNEWEXECUTI Y!N E.L.EACH ACCIDENT S 1,x,000,00 D �EXCLUDED? NIA N NHFL0032152015 :01108/2016 01/08/2017 F1 nLSFARF-FA FMPI OYF S 1.0W.0w,00 DESCR ObNeOFOPERATIONS bskwr ire L.DISEASE POLICY LIMIT S 1.000,0w.00 i i DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101,AddlSonal Remarks Sc hmk&,If more spate is tegrdnKq AIR CONDITIONING SERVICES LIC#CAC1814442 CERTIFICATE HOLDER CANCELLATION ...... ................._.................................. I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Snares Village THE W04RATION DATE THEREOF,NOTICE WILL BE DELIVERED IN DuU(dng Department ACCORDANCE WITH THE POLICY PRO%nSIONe. 10DW N.E.2nd Avenue _._.._...� —�..___................._. __ --.....—— .._... AUTHORIZED REPRESENTATIVE hUrrd Snores,norido 33138 ACORD 75{2014!01}OF 01088-2014 ACORD CORPORATION. All rights rmwrvod, The ACORD name and logo are registered marks of ACORD Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 F ' J a ' Phone: (305)795 2204 - Expiration: 05/14/2016 Project Address Parcel Number Applicant 1236 NE 93 Street 1132050270180 BRIAN 8 MARILYN WONG Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell BRIAN&MARILYN WONG 1236 NE 93 Street (305)442-8884 MIAMI SHORES FL 33138- 1236 NE 93 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone $ 600.00 Valuation: NEW SERVICE COMPANY (305)324-754 (305)798-7383 Total Sq Feet: 0 Tons: Available Inspections: Additional Info:RELOCATE ONE AHU. 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 $0.60 Invoice# MC-9-15-57247 DBPR Fee $2.25 11/16/2015 Credit Card $109.10 $50.00 DCA Fee $2.25 Education Surcharge $0.20 09/29/2015 Check#:1874 $50.00 $0.00 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 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 respo i 'lity for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUM BI HANICAL, OWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I cert' hat th go' o ion is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fut rm or med contractor to do the work stated. November 16,2015 Authorized Signature:Owner / Ap lican / Contractor / Agent Date Building Department Copy November 16,2015 1 11110/2015 2016 details-Business TaxAccount NEW SERVICE COMPANY-TaxSys-Miami-Dade Cou dyTaxCollector • mumo •GOV Tax Collector Horne Search Reports Shopping Cart Please do not exclude any special characters in the name,address,and a-mail field such as#,&,hyphens,cornrre, dashes. We have moved.Our new address Is: 200 NW 2nd Ave,M lam 1,FL 33128 The information contained herein does not constitute a title search or property ownership. 2DI5 Tax Bills are Payable on Sunday,November 1,2015. 2010 Details — Business Tax Account NEVA/ SERVICE COMPANY Business Tax Account#5518981 a Account details i Account history 2016 2015 2014 2013 ... 2010 PAID PAID PAID PAID PAID Account number: 5518981 Ow ner(s): NEW SE2VtCE COMPANY Business start date: 03/01/2005 501 SW 1 ST 302 Business address: NEW SERVICE COMPANY MIAMI FL 33130 501 SW 1 ST 302 Mailing address: NEW SERVICE COMPANY MIAMI,FL 33130 PEDRO J PEREZ PRES Physical business location: MIAMI 501 SW 1 ST 302 _ MIAMI,FL 33130 0 Rags: 'JO'Home Business C Print account application (13139 Receipts And Occupations Receipt 5759130 PAID 2015-08-25$45.00 Contracting 10/01/2015— NAICS code: Receipt#FPPU06-15-016344 f Print this GENERAL MECHANICAL 09/30/2016 238990 bill CONTRACTOR Units:2 Additional documentation required:CAC1814442 State/County License or Certificate hktpsJA w rdaTidede c owty-tww.co rdptlicbminess tail 5518981 1/1 Miami Shores Village SEP 205 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2010 BUILDING Master Permit NO�E�l9 136 PERMIT APPLICATION Sub Permit No. Is- ;N �I ❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL PLUMBING 0 MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑CANCELLATION SHOP r �f Q �O' CONTRACTOR DRAWINGS JOB ADDRESS: �2 3(e "— -i. J' City Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): ,�t A4% rr1 ki Phone#:�d � c' c I� Address: cu L N <r- City: State Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: NEW SERVICE CO Phone#: 305-324-7504 Address: 501 SW 1 ST#302 Cita: MIAMI State: FL Zip: 33130 Qualifier Name: PEDRO J PEREZ Phone#: State Certification or Registration#: CAC1814442 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State Zip: Value of Work for this Permit:$ iig(DO Square/Linear Footage of Work: Type of Work: ElE Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ �v Permit Fee$ Wu 6 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Tralning/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) k 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 approved and a reinspection fee will be charged. Signature to <i Signatur OWNER2nowledged ENT CON CTOR The foregoing instrument was before me this The foregoing instrument was acknowledged before me this ��(tday of t" ,20 is by day of ,20 by >lI ,A, ,who is personKy�kn`ow to ,who is personally known to me or who has produced 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: �y Print: •�a If1oHM ,�tgY Glje Et17A8EIN DFL11Seal: app I Fp 187019 Seal: ao Notary PuSiic 5ktf Comm.FJ(Pr:f Flip 8,!018OF APPROVED BY T'5ns Examiner Zoning Structural Review Clerk (Revised02/24/2014)