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MC-16-910 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-256264 PermitNumber: MC-4-16-910 Scheduled Inspection Date:April 13,2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: MOWERS, KATHERINE Work Classification: A/C Replacement Job Address:1175 NE 101 Street Miami Shores,FL 33138- Phone Number Parcel Number 1132050190230 Project: <NONE> Contractor. AVENTURA AIR CONDITIONING INC Phone: (305)938-1418 Building Department Comments REMOVE&REPLACE 3 TON AMERICAN STANDARD Infractio Passed Comments WITH 7.5 KWHEATER, NEW METAL DRAINPAN,WET INSPECTOR COMMENTS False SWITCH,4"SOLID CONCRETE SLAB 03 Passed Inspector Comments �� I CJS -I fA �c Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid April 12,2016 For Inspections please call: (305)762-4949 Page 34 of 49 Miami Shores Village y ! 10050 N.E.2nd Avenue NE K "" Miami Shores,FL 33138-0000 4 Phone: (305)795-2204 y . Expiration: 10104/2016 71 Project Address Parcel Number Applicant 1175 NE 101 Street 1132050190230 Miami Shores, FL 33138- Block: Lot: KATHERINE MOWERS Owner Information Address Phone Cell KATHERINE MOWERS 1175 NE 101 Street MIAMI SHORES FL 33138-2606 Contractor(s) Phone Cell Phone Valuation: $ 5,447.00 AVENTURA AIR CONDITIONING INC (305)938-1418 Total Sq Feet: p Tons:3 Available Inspections: Additional Info:REMOVE&REPLACE 3 TON AMERICAN STA 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 Data Pay Type Amt Paid Amt Due CCF $3.60 Invoice# MC-4-16-59285 DBPR Fee $2.86 DCA Fee $286 04/05/2016 Credit Card $50.00 $169.97 Education Surcharge $1.20 04/07/2016 Check*1548 $169.97 $0.00 Notary Fee $5.00 Permit Fee $190.65 Scannirlgfee $9.00 Technc y Fee $4.80 Tota? $219.97 r'='t 7 r—• 'a In consggration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertainiiti thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accept![-this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are require&f6r ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNEk9 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. Futhermore,I authorize the above-named contractor to do the work stated. April 07,2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Buit€�ing Department April 07,2016 1 Miami Shores Village JRFc Tv D • Building Department APR 052616 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 5 FBC 20A BUILDING Master Permit No. gC " �iIO" qto PERMIT APPLICATION Sub Permit No. ❑BUILDING ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Tio: ��® Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): OM�kA 74%wlridl if dj&jd4!ftPhone#_3g6.8®g Address:,� � Ale City: Lo'_AA44 h®B��S State: �® Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: APhone#:,go Address: City: State: Zip:.3 31 z Qualifier Name: #e j,/e.7— Phone#: 30j-- P3� State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ :5 Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ,Repair/Replace ❑ Demolition Description of Work: )&W'r' !jj' �� t ( ' ;z !i lla ZV Al;li-c/ _,4e-74 ® L1116ih f013`1_ 14-le 9!f � ® 421"' Specify color of color thru tile: Submittal Fee$ E56 d(OQ-') Permit Fee$ CCF$ �6 CO/CC$ Scanning Fee$ Radon Fee$ ;2vo DBPR$ "� Notary$ GFA Technology Fee$ - Training/Education Fee$ - Double Fee$ Structural Reviews$ Bond$ - TOTAL FEE NOW DUE$ (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. 1 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. 1 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 X � i� ,Awl� Sign ure OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of &aj C.. 20 16 .by r 1QS day of 20 �� ,by f-'t"`3 ' W NIC -s¢�y.whoq`is p�erso�nally known tou� wh personally known to me or who has produced '-L L 56" s me or who has produced C�� 1- has identification and who did take an oath. identification and who did take an oath. NOTARY PU NOTARY PU LIC: Sign: Sign: Print: ptp f W Print: Seal: �"® RV State of FloridaLJYP) Notary Public State of Florida i' ez mal' Sindia Alvarezn FF 156750 S Commission FF 166750 a mor /2018 Expires 09/03/2018 #######ffi #### ffiAPPROVED BYans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Igo JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION °•CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW" CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 5/8/2015 EXPIRATION DATE: 5/7/2017 PERSON: EGHTESSADI HEDAYAT FEIN: 270041186 BUSINESS NAME AND ADDRESS: AVENTURA AIR CONDITIONING INC 2131 NE 205ST , MIAMI FL 33179 SCOPES OF BUSINESS OR TRADE: HEATING,VENTILATION, AIR-COND Pursuant to Chapter 440.0.5(14),F.S.,an officer of a corporation who elects a;empiton from this chapter by flung a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(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.Pursuant to Chapter 440.05(13).F.S..Notices of election to be exempt and certificates of election to be exempt stall be subject to revocation if.at any time after the filing of the notice or the Issuance of the cerli iesfe. the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a DFS=1`2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-13 QUESTIONS?(850)413-1809 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CAC067877 The CLASS HAIR CONDITIONING CONTRACTOR Named below IS CERTIFIED < Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 EGHTESSADI, HEDAYAT sot AVENTURAAIR CONDITIONING, INC 2131 NE 205 STREET NORTH MIAMI FL 33179 ISSUED: 0826/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1408260001428 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 7$77 k. The CLASS AAIR:CONDITIONING CONTRACTOR Named,belOW.IS CERTIFIED Lhid6r`�; »islons of Chapter 489 FS. F�iratlon mate: AUG 31,2016 EGHTESSADI, HEDAYAT AVENTURAAIR CONDITI ;_INC -. 21.31 NI;205-STREET NORTH MIAMC F -° I� 179 `.. N7 " b WA ISSUED: 0826/2014 DISPLAY AS REQUIRED BY LAW SECT# L1408260001428 01111,114 T — (I N Miamis �ad ' ,Cou�11y; S1aEe of Flotitl� TIi1S.IS>IIOTA,1tILL =DO:NOTPAY 4]40405 �' euslNE$3 NAM /k tib R13C81RY 1110: Ax j AVEMUtIA Alli Ct1NI�11N I#UG > NEWAi, EPTEMS. ' A�X204Si 21,31 NEWS 43$37 6 Must be a t a#14tYsin� hfll�flt a 331 3 P�respt C-Cau*Coda Chalic!:#iAr Att$& SBC TYft.OF BUSINEBS� AYMENT tiEC81 kV, `�AVl N'I'URA AIR CONDITIONING INC 198 SPlrC MHCHANlCAI Ct�NT]tlkCTOI ,, �r TAx'Cbu.ecT4 j ti atrker(s) t CAC0578n.r $75.00 07/17/2014 y HECK21-14-022503 This Local Bus�aessTex Receipt a ooefiraIs Paiprisyreeat of Lire l Deal Basraeas Tax The R.r bt I.got a Poetise, pe►1�6 oc'a cerdfigatiae�f the 6oldei s�alHioet ,to do bn�ness.Rold�pt�ty'gvitll airy 1 01`Wt►9eYarmrtent$lregt�011aNsaadiregafrYMhfchsPAlYto�F `i YGet ECE1Ff NtF strove am lre dfsplaped ba cor er lal trehigl IwIl�l=ui a 49 sec ea-zle r .EFF ATWAM CHIEF FINANCIAL aFRCEFt STATE OF FL DEPARTMENT OF FI SERVICES DIVISION OF WORKERS' TKMI "•CERTIFICATE OF ELECTM TO E70BRPT ORIDA WORKERS'COMPENSATION LAW•• CONSTRUCTION INDUSTRY EXEMPTION This caMw that the kidiviijual Died bebw has ebcted to from Fbrkfa Workers'Compensation law. EFFECTIVE DATE: 5!812013 TI DATE 5/8/2015 PERSON: EGHTESSADI EDAYAT FEN: 270041188 BUSINESS NAME AND ADDRESS: AVENTURA AIR CONDITIONING INC 2131 NE 205TH ST MIAMI FL 33179 £ SCOPES OF BUS94ESS OR TRADE: 04/0512016 09:33 (305)688-7722 Yaritza Morris Page 111 CERTIFICATE OF LIABILITY INSURANCE °ATE`MDD"'r'r'° 04105/2016 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 Ileu of such endomeme s. PRODUCER coNTACr NAare: Yaritza Morris The Insurance Guy,Ina PHONE (305)668-7100 FAr°Xc Nc: (888)236-8036 4928 S.Le Jeune Road ppRE . Yaritza@lnsGuy.com INSUR AFFORDING COVERAGE NAIC# Coral Gables FL 33146 INSURERA: FEDERATED NATIONAL INSURANCE COMPANY 10790 INSURED INSURER B Aventura Air Conditioning,Inc. INSURER C: 2131 NE 205th Street INSURERD: INSURER E: North Miami FL 33179 INsuRERF: COVERAGES CERTIFICATE NUMBER-. REVISION 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rA TYPE OF INSURANCE POLICY NUMBER POLICY EFF P OUCY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIM&MADE �OCCUR PREMISES(ea nccunanca $ 100,000 MED EXP one on $ 5,000 Y N GL-0000024031-01 09/06/2015 09/06/2016 PERSONAL&ADV INJURY $ 1,000,000 GEN L AGGREGATE UWT APPLIES PER: GENERAL AGGREGATE $ 2.000.000 X PODGY1:1 ECT LOO PRODUCTS-GOMPiOP AGG $ 2,000,000 OTHER: $ AUTowalLe LIAMUTY COMBINED ieS LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HREDAUTOS AUTOS $ UMBRELLAUAB OCCUR EACH OCCURRENCE $ EKCe88 UAa CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION STATUTE ER AND EMPLOYERS'LIABILITY ANY PROPRIETOWPARTNERIEXECUTWE YIN NIA E.L.EACH ACCIDENT $ OFF]CEWMEMBER EXCLUDED? (Maridetory In NH) E.L.DISEASE-EA EMPLOY $ ggdescribe under RIPTION OF OPERATIONS bekw E.L.DISEASE-POLICY I MMT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Add and Remarks Schedule,may be attached H nwre space Is required) LIC CAC057877 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Building Apartment AurHONazeO RePResearATlve 10050 NE 2nd Ave Miami Shores FL 33138 ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Miami shores Village "" ""'?" Building Department 10050 N.E.2nd Avenue �lpRimP► 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�L IC�L �i% �•�L f_r�' Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this CL5 day of _,20 i 6 By `N - �� Ww o is personally known to me or has produced (—kOF-1l� as identification. Notary: -6&1 SEAL. F417" Pui»ic State of Florida a Alvarez mmission FF 156750 `7#J,,.cF Expires 09103/2018 Aventura Air Conditioning, INC. 2131 NE 205TH St Miami, Florida, 33179 PH: (305) 936-1418 Fax: (305) 937-2315 Date: State of Florida County of Dade Before me this day personally appeared HedUat Eghhtessadi who being duly sworn, deposes and says: That he or she will be the only person worldng on the project located at 1175 NE 101 St Miami Shores,FL 33138. Sworn to (or affirmed) and subscribed before me this 06t day of �� 20 (6,by tkWEYAT Z-C-A-11ESSPP Personally know OR Produced Identification Type of Identification Produced T7U b92—lam- k-k("W E 7,0%% Notary Public State '4 of Florida Sindia Aivarez My Commission FF 156750 Expires 09/03/2016 Print,Type or Stamp Name of Notary ops Miami Shores Village t C -I V E Building Department APR 0 5 2 „, �•,"' 016 10050 N.E.2nd Avenue ITYMiami Shores, Florida 33138 Allft Tel:(305)795.2204 BY: in Fax:(305)756.8972 AIR CONDITIONING, NT TA 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. Job Address(where the work is being done): 1/75',i�� to! S7' City: Miami Shores Village County: Miami Dade zip Code: 3 /. 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❑ NO C? ARHI Sheet Attached:YES NO❑ Contract Attached:YES NIT BEING REPLACED DATA NEW UNIT MANUFACTURER , BRA d- AHU or PKG.UNIT MODEL# "'- AVAM r' 7 COND.UNIT MODEL# KW HEAT NOM TONS AHU0 CU99PKG 1 M.C.A AHU Coo AH C PKG 2 M.O.P AHU C G ZO AH o CU &PKG 3)VOLTS AHU C 3I•P 9 PKG UNIT / / PKG U YIT W EER/SEER o YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT YES } v d YES NEW 4"CONCRETE SLAB YES YES NO NEW ROOF STAND YES C YES NO NEW RETURN PLENUM BOX YES v w o 1. Minimum Circuit Ampacity(Wire Size): � _tt w a 2. Maximum Overcurrent Protection(Fuse/Breaker Size:.. I z n • • • • Q • • •• • • • • • 6 Q O m U) C/)3. Voltage of Circuit(208/240/480): •.• • •• • • • • • j: i � . 4. Size Disconnecting Means: Contractor's Company Name. Phof*: State Certificate or Re istration No.c GgV gCompel*nty'No. Signat a Date: ®� . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . (Revised02/24/2014) saw left Certificate AHRI Certified Reference Number: 7502891 Date:4/5/2016 Product:Split System:Air-Cooled Condensing Unit,Coll with Blower Outdoor Unit Model Number:4A7A40361_1 Indoor Unit Model Number:TEM4AOC36S41+TDR Manufacturer:AMERICAN STANDARD Trade/Brand name:AMERICAN STANDARD Region: Southeast and North(AL,AR, DC, DE, FL,GA, HI,KY,LA, MD, MS, NC,OK,SC,TN,T),VA AK,CO,CT, Iq,IL, IA,IN, KS, MA, ME, MI, MN, MO, MT, ND,NE, NH, NJ, NY,OH,OR, PA, RI,SD, UT,VT,WA,WV,WI,WY, U.S.Territories) Region Note: Central air conditioners manufactured prior to January 1,2015,are eligible to be Installed in all regions until June 30,2016. Beginning July 1,2016,central air conditioners can only be installed In regions)for which they most the regional efficiency requirement. Series name.SILVER 14 Manufacturer`responsibie'for the rating of this system combinatic6n(s AMERICAN STANDARD Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored,Independent,third party tasting: Cooling Capacity(Btuh): 35000 EER Rating(Cooling): 12.00, SEER Rating(Cooling): 14.50 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 reprewtVioA,•+Ctrrinth 4rliar�tt A,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability,for damages of anyakindeIng ogt th use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid onlf for mdtf is Indt;o fgfat"Alstef In the directory at www.ahridirectory.org. •• 000 •• • • • •• TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and confidential reference purposes.The contents of this Certificate may not,in wholepr in M be reprgduced;copied;disseminated; entered into a computer database;or otherwise utilized,in any form or manner ar Nany weans,egdbgt fW W userl indivigt% AM personal and confidential reference. • • • • • • ••• • • AIR-CONDITIONING,HEATING, •• • • •• • • • • •.• • &REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION • •• • • • • • • The Information for the model cited on this certificate can be verified at www.a*Mirectdty.org,clleMbn°tferify Certitkeate-Id nk we make life better, and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which is listed above,and the Certificate No.,which is listed at bottom right. 02014 Air-Conditioning,Heating,and Refrigeration Institute •:• � � CERTIFICATE NO.: 131043359567247764 AVENTURA AIR CONDITIONING, INC. 2131 N.E. 205th ST. MIAMI, FLORIDA 33179 (305) 936-1418 PROPOSAL St18MnTED TO C 5_^(/ �� , / 0 rq-15- be STREETJOB NAME ` -Ska scs �L. 33 1 i? �� V o 4 G CITY,STATE and CODE JOB LOCATION 7 7' ARCHITECT DATE OF PLANS JOB PHglNE ZZ7-9We hereby submit specifications and estimates for: 00-07- �°J J.�.I� .........._....._ ......rr. .............. ?......�M.......... `i?e�� ......._ter-��i�,C �/.. ................,/.x,13..........5. ...... ............ .t...'e-.._�'/.P_..... � e,�r..�__.......lv'zi,/ ............. y kw..........�a�i°� . ....................... ..........dia".ja....pa'r�......"..��......._N��.._...�,h��..�C_.�...Y.......�Ji..l... ................0-5-0-y-- ...�-�__..f.�r�1.�.'_..__............................._..._.................................__..__......................_.._....................................................................._...................................._...................................._............................. ....... / .. ..........T. ...V �.. ... .. .................. ... , .....dam. ...�. .. 7).....................................__.................. . . ..PYA, ...Y.......... ...........` , ..: Ole...ya....3 �...l...oo .......................(... t ..T........C�r ✓.........ct �... ............................................._............ _...................................................................._.. .........................................................................................................._................................_..........................................................................._.........................................................................._......_........................................ __.._................................._................................. ................_.............................................................................___........................................................................-.............................._...................................._..........................................._.................................... ...................._......................................................._..........._................................................................_......_..........................._.._............................................................................_........................................................................................................................................... ...---.... ................._....__.................------._.......................__..........................__..........................................._...._............................._........................................_.........................._...._..................................................................................................................................................__. ..........._____........................___........................................................................._......................................................................._......................................................................._.......................................-..............................................................................................I.......... L= ...............................................................I-.-.-..............................-.............I ....................I..........I I I.............I.................I....................... .............I--...................- I .............I...............I.....................I - I I.- .......... P propUt hereby to furnish material and labor—complete in accordance with above specifications,for the sum of: Payment to be made as follows: dollars($*00 • • • • • •• • •• • • • • ••• • All material Is guaranteed to be as specified.All work to be completed in a workmanlike•• 000 manner according to standard practices.Any alteration or deviation from above specifications ed Involving extra costs will be executed only upon written orders,and will become an extra Signature charge over and above the estimate. AN agreements contingent upon strikes, accidents ••• n • • or delays beyond our control.Owner to carry fire,tomado and other necessary insurar�e• • •1V0 a proposal Ria be Our workers are fully covered by Workman's Compensation Insurance. • 4dhd{pvA bj ul if jot jac�1bbd lin days. LtDate ptonrt of Proposal —The above prices,specifications / nditions are satisfactory and are hereby accepted. You are authorizedt-GlItature.-. s!1 he work as specified. Payment will be made as outlined above. • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• Acceptance: •0 6ignaturel ••—• •