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MC-16-874 2�L 6- 6-7-1 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Lo L.,.-- Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-259440 Permit Number: MC-3-16-874 Scheduled Inspection Date: May 23,2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner. GABRIELA SABATE,GUILLERMO Work Classification: A/C Replacement Al sewnw Job Address:89 NW 106 Street Miami Shores,FL 33150- Phone Number Parcel Number 1121360060170 Project: <NONE> Contractor. ARKEST LLC Phone: (904)355-9001 Building Department Comments REPLACMENT OF EXISTIN UNITS FOR 3.5 TONS Infractio Passed Comments INSPECTOR COMMENTS False 1 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-256067. Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid May 20,2016 For Inspections please call: (305)762-4949 Page 35 of 36 r Miami Shores Village 10050 N.E.2nd Avenue NW t Miami Shores,FL 33138-0000 x E *� Phone: (305)795-2204 f Expiration: 10/12J2016 Project Address Parcel Number Applicant 89 NW 106 Street 1121360060170 Miami Shores, FL 33150- Block: Lot: GUILLERMO ALMADA GABRIEL Owner Information Address Phone Cell GUILLERMO ALMADA GABRIELA 3966 PARK Avenue - — -- MIAMI FL 33133- 3966 PARK Avenue MIAMI FL 33133- Contractor(s) Phone Cell Phone Valuation: $ 2,200.00 ARKEST LLC (904)355-9001 Total Sq Feet: p Tons:3.5 Available Inspections: Additional Info:REPLACMENT OF EXISTIN UNITS FOR 3.5 Inspection Type: Classification:Residential Final Approved:In Review Review Mechanical Comments: Date Approved::In Review Date Denied: Type of Work: Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.60 Invoice# MC-3-16-59244 DBPR Fee $2.00 04/152016 Check#:1297006( $61.80 $50.00 DCA Fee $2.00 Education Surcharge $0.60 03!312016 Check#:1888 $50.00 $0.00 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $111.80 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, RS,R FING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information s a that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-nam n o the work stated. April 15,2016 Authorized Signature:Owner / Applicant / Contractor ! gent Date Building Department Copy April 15,2016 1 ' Miami Shores Village 7=7s Building Department10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 =�L_ INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201'-1 BUILDING Master Permit No. RC— 1(,,0 (�>' I PERMIT APPLICATION Sub Permit No.Ae"t(�o ^?7� (]BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL []PLUMBING 0 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:] CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 89 NW 106 Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1121360060170 Is the Building Historically Designated:Yes NO X Occupancy Type: R Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Guillermo Almada Phone#:786-586-4489 Address:89 NW 106 Street City. Miami Shores State: Florida Zip: 33150 Tenant/Lessee Name: Phone#: Email: bilantarconstructions@gmail.com CONTRACTOR:Company Name: Arkest LLC Phone#: 904-355-9001 Address: 533 E Chruch Street City: Jacksonville State: FL Zip: 32202 Qualifier Name: Rafael E Caldera Phone#: 904-355-9001 State Certification or Registration#: CMC1249696 Certificate of Competency#: DESIGNER:Architect/Engineer: N/A Phone#: Address: City: State: Zip: Value of Work for this Permit:$2,200 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Q Repair/Replace ❑ Demolition Description of Work: Replacement of Existing Units ,5 Specify color of color thru tile: 1 Submittal Fee$ _Permit Fee$ . CCF$ 1 CO/CC$ Scanning Fee$ cff Radon Fee$ DBPR$ �2_ - OZ� Notary$ Technology Fee$ 4 0 Training/Education Fee$0'00 Double Fee$ ¢� Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) e 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. lba54Ud' Signature r1LSignatur )W-411 or AGENT CONTRACTOR The foregoing Tinsrumont was acknowledged before me this The foregoing instrum nt waas�jacknowledged before me this day of .20 �by �✓ day of rte` Cersonally 2Q. %know who is personally_known to ,who is me or who has produced as me or who has produced as identification and who did take an oath. identificati nand who did take an oath. NOTARY PU C: NOTARY LI t 4dSign: Sign• Print• ✓ Print• ( Sealr� per. Seal: s COMMISSIQN FF190254 EXPIRES:January 15,2019 R 'msm ��'''•, r�°� www.AARoNNOTARY.COM y V.2MO �nunn� •A TARYAM PPIans APPROVED BY Examiner Zoning Structural Review Clerk (Revised02/24/2014) c�t10RS Miami Shores Village o "" ""''" Building Department I�R�A 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR/ ARCHITECT Permit NA&4-147,T Owner's Name(Fee Simple Titl Holder i Phone (0� �� Owner's Address: City: State: _ Zip Code: Job Address (Of where work is being done): City: Miami Shores c,,./ State:—Florida Zip Code: Contractor's jC�o p ny N e:A & i' Phone#: Address: °I -1 City: State: Zip Code: Qualifier's Name: Lic. Number. Architect/Engineer of Record Name: Phone#. Address: City: State: Zip Code: Describe Work: N IW efthA 1 hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the iami Shores harmless of all legal involvement. Signature Signature ®�Gb 4in wner or t Contractor or Architect The foregoinmenti waslaknowl ged ;fore ie., The foregoing instrume t was a owledged fore me th day of �i.(/{,240by �,Q,� this),day of a,--(M,2( bY r 6 n6la h C, Who is personally known to me or who has produced who is personally known to me or who has produced as indentification. as indentification. Nota iAir* : Notary Pu li : Sign: Sign: Seal: Seal: a 'Isu , No he Caldera :��y COMMSSI # FF190254ac ffF913781 EXPIRES:January 15,2D19 , E»A V.za�e wWw.AAROMNOTARY.COM '��ill �� WWWANOMARY= 3/31/2016 Image-1.jpg 4 CERTIFICATE OF LIABILITY INSURANCE DATE(Ai YYYY) _ 03/23/2016 THtS CERTIFICATE 151SSUED AS A RdA ITER OF iNFQRAHATttyN{?PlLY AND C�IFER3 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 certiflcate holder Win ADOrf1pNA1 INSURED file 8 _ po cy(ies)must bs endorsed, If 8UBROCiAT10N t3'WAIVED,subjectto - 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 endorsemantis). All Alliance insurancePH0Ns I xq (9N.725-0235 ... .. 1076 W.Sample Rd. — to tipt. (954)726-0237 Pompano Beach,FL 33064 dvdgtil14801-com _ ... Phone (954)72b-0235 _...._._ _.Fax (954)725-0237 II18lIRER@j AFFORDIA,lO_COYERAQE. _ , attic a INSURED r........ ......_. __.....;,IIasLStErta_w,..Covington Special Ins.Co .,I- .- _ INSURER a: Torus National Insurance Co,. ARKEST,LLC .... _ .__ _......_..__., � c Business First Insurance Compan�r _... 533 E CHURCH STREET INSURER 0: 3CksorsvUieRRE .. _...._ .....__... FL 322022723 t CCIVERAG£S CERTIFICATE NUI'BBER E "' REVISION NUMBERBELOW HABEEN ISSUED Tb „ INDICATED.E MAY BE NOTWITHSTANDING ANY REOWREMENT,TERMOR CONDITION OF ANY ONTRACT OR OTHER DOCENT WITH RESPECT TO WHICHTHIS CERTIFICATE MAY B£ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 16 SUBJECT TO ALL THE TERMS, SEXCLUSIONSAND CONDITIONS OF SUCH POLICIES UMrfS SH _MI Y HAVE BEEN REDUCED BY PAID CLAIMS INR BIL _w . - 1Ykt TYPECE iEtt?3#3t1{a9(D ..-_ ,.. ..PCEICYAi11!@®WxR _t�POl1YYX.1 LIMITS.._..._. ........ 1� COMMERCIAL GENERAL LIABILITY �T?YY}_ CLAIMS4MDE / OCCUR EACH t?CCURRENCE $ 1 0,000.00 –. DAMAf3E i0 RENTED I'I?hMtBE$.{Eaa � .g 100,000.00 A N N VBA365581-01MEO EXP{A.n !�Person). S S,000.t� 03103/2015 03/03/2016 .......... . GE-at AGGREGATE LIMIT APPLIES PER PERSONAL g,ApyINJURY S 1,000,000.00 _. ppR� POLICY TC0j LOC GENERALAOGREGATE _. $ 2OtX),000.00 OTHER PRODUCTS.PGMPJOP AGG $ 1,000.000.00 AUTOMOBILE LIABILITY $ G"d4biNED SINGLE WIT (E . stsa tl $ ANY AUTO ALL OWNED SCHEDULED }DILY INJURY Per p9r,%n) $ AUTOS AUTONONS HIREDAUTOS AUTOS D BODILY. ...1.tY{PeraccWdenil $ _m P R"OPERTY pAbtAOE w .................... ._ UMBRELLA 6IAa � OCCUR _ $ B EXCESSLWa ckAMS•Arb— N N 7156IN150ALi sr+cr+OCCURR E $ 2000,000.00 05!1512015 05/15/2016 AGGREGATE s 2 000.000.00 DEtd ._... RETENTfaN$___._. - ... ._._._ ..... WORXERSCOMPENSATION - ...._...,..... .__....... AND EMPLOYERS-LIABILITY Y J NPER ANY PR4PRIET 01ttPARTR#EXECi1 faLtE.- S.TATSITE C a.SFFICERMMSER EXCLUDEDI :NIA ' {1i 521 08825 E L EACH OCCIDENT tMandato yto NMI - 106/45/2015'06/2512016 _...._ .. $ 5�,000.OQ ... s CN E.L oiSEASE-EA EMPLOYEE$ 500,000.00 U`�SCRIPT�N DF OPERATIONS bs�t ._....._ ,...,...„,•...._.�.-., E.L DISEASE-POLICY LIMIT' $ W0,0Q0 00 DESCRIPTION OF OPERATIONS t LOCATIONS t VEHICLES(Anech ACS 101,Addidonai Remarks Schedele,If Trans specs IS required) CFC4d2t3714 CMC1249896 CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE EXPIRATION ATE THEREOF, OTICE WILL BE DELIVERED N CANCELLEDABOVE DESCRIBED POLICIES 13E BEFORE Building Department ACCORDANCE WITH THE POLICY PROVISIONS, 10050 N£2nd Avenue .....–..-_..__._. .... .__. AUTHOR ZED REPRESENTal7VE Miami Shares,FL 33138 .. ......._..._..........._...._ OF 0 1988-2014 ACORD CORPORATION. All rights reserved. A ( #4) The ACORD name and logo are registered marks Of ACORD httpsl/mail.google.c om/mail/U/OMnbwd153cd3574e357d6f?projector=1 1/1 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION 'INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 CALDERA, RAFAEL EDGARDO ARKEST LLC 533 EAST CHURCH STREET JACKSONVILLE FL 32202 Congratulationsl With this license you become one of the nearly one-millron Floridians licensed byte Department of Business and Professional Regulation. Our professionals and businesses range STATE.OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. ,:1" PROFEWQOAI,; EGULATION Every day we work to improve the way we do business in order to CMC1249696 �5 � 08/27!2014 serve you better. For information about our services,please log onto www.myfloridalicense.com. There you can find more Information CERTtFIEQ MECI4AiAL CC�ITRATOR about our divisions and the regulations that impact you,subscribe CALDERA, RAFAL1gA to department newsletters and learn more about the Department's ARKEST LLC initiatives. Our mission at the Department is:License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS,CERTIPIED under tn`d-provtsions of Ch.4e9 Fs. and congratulations on your new license! FxplreWn do*:AUG 311.20-16 L14OW0003897 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION'INDUSTRY LICENSING BOARD CMC1249696 The MECHANICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 :. .. yx CALDERA, RAFAEL EDGARAO 4„> . ARKEST LLC 533 EAST CHURCH ST JACKSONVILLE ^ ISSUED: 08)27/2014 DISPLAYAS REQUIRED BY LAW SEQ# L1408270003897 r r 201:5.2016 BUSINESS TAX RECEIPT .0 MICHAEL CORRIGAN,DUVAL COUNTY TAX COLLECTOR 231 E.FORSYTH STREET,SUITE130,JACKSONVILLE,FL 32202-3370 Phone:(904)630-1916,option 3; Fax:(904)630-1432 Website:www.coj.netlt%Email:toxcoHector@coi.net Note-A penalty is imposed for failure to keep this receipt exhibited conspicuously at your place of business. ThiS business talc receipt is furnished pursuant to Municipal Ordinance Code, Chapters 770-772,for the period October 1, 2015 through September 30 2016. ARKEST LLC CALDERA, RAFAEL EDGARDO 533 E CHURCH STREET JACKSONVILLE, FL 32202 ACCOUNT NUMBER: 156645 LOCATION ADDRESS: 533 E CHURCH:STREET JACKSONVILLE, FL 32202 DESCRIPTION: CONTRACTOR-ALL TYPES COUNTY RECEIPT DESC: CONTRACTOR-ALL TYPES COUNTY TAX: 12.38 MUNICIPAL RECEIPT DESC: MC 772.309 MUNICIPAL TAX: 34.38 TOTAL TAX PAID: 46.76 VALID UNTIL September 30,2016 ***ATTENTION*** : THIS RECEIPT IS FOR BUSINESS TAX"RECEIPT ONLY. CERTAIN BUSINESSES MAY REQUIRE ADDITIONAL STATE LICENSING. This is a business fax receipt only. It does not permit the receipt holder to violate any existing regulatory or zoning laws of the County or City. It does not exempt the receipt holder from any other license or permit required by law. This is not a certification of the receipt holder's qualifications. TAX COLLECTOR THIS BECOMES:A RECEIPT AFTER VALIDATION. PAID-729801 .0001-0001 A20 10/30/2015 46.76