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MC-15-1929 A Qom— " Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-240344 Permit Number: MC-7-15-1929 Scheduled Inspection Date: March 23,2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: , Work Classification: Addition/Alteration Job Address:149 NE 105 Street Miami Shores, FL Phone Number (786)231-5339 Parcel Number 1121360050130 Project: <NONE> Contractor: UNDER CONTROL AIR CONDITIONING INC Phone: (954)482-7271 Building Department Comments ADD 2 TON UNIT AND AC DUCTWORK AND 3 EXHAUST Infractio Passed Comments FANS 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 22,2016 For Inspections please call: (305)762-4949 Page 4 of 34 F 3; ''nit Miami Shores Village 'lit , 10050 N.E.2nd Avenue NE I " y k" �� y Miami Shores,FL 33138 0000 3, ' Phone: (305)795-2204 �` � LORIDA w 1dI n Expirat o : 01/26/2016 lry 4 3 Project Address Parcel Number Applicant 149 NE 105 Street 1121360050130 ZURDDO CORPORATION Miami Shores, FL Block: Lot: Owner Information Address Phone Cell fRDDO CORPORATION 12921 S CALUSA Drive (786)231-5339 MIAMI FL 33186- 12921 S CALUSA Drive MIAMI FL 33186- Contractor(s) Phone Cell Phone Valuation: $ 8,200.00 UNDER CONTROL AIR CONDITIONIN( (954)482-7271 .....:_ . _..:... Total Sq Feet: 0 Tons:2 Available Inspections: Additional Info:ADD 2 TON UNIT AND AC DUCTWORK AND Inspection Type: Classification:Residential Final Approved:In Review Rough Duct Comments: Date Approved::In Review Review Mechanical Date Denied: Type of Work: Review Mechanical Scanning:2 Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $5.40 DBPR Fee Invoice# MC-7-15-56540 $4.31 08/05/2015 Credit Card $266.04 $50.00 DCA Fee $4.31 Education Surcharge $1.80 07/30/2015 Credit Card $50.00 $0.00 Permit Fee $287.02 Scanning Fee $6.00 Technology Fee $7.20 Total: $316.04 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 the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. EFpthermore,I authorize the above-named contractor to do the work stated. August 05, 2015 Au nze Signature:Owner / Applicant / Contractor / Agent ate Buil ing Department Copy August 05,2015 1 Miami Shores Village JUL 19 115 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 20 10 BUILDING Master Permit No. AC--15 PERMIT APPLICATION Sub Permit No.nAcn -\q'Z� ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING XMECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP 1 j L CONTRACTOR DRAWINGS JOB ADDRESS: l l� ��1. lcz S-� 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): �. R `���'0VV Phone#: qR(0-2S� Address: tZlbe— � S �!1 l� 6 City: �Lc State: V-7 L Zip: 3 S l (j) Tenant/Lessee Name: - Phone#: Email: / J � � /� I`/,r e� p CONTRACTOR:Company Name: L� �� a774 " O!� J /4Phone#: Address: !ar / a A Q- � ?? City: tate: Qualifier Name: `��� Phone#: J State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: V—` \,(VlPW Phone#: -30S-622-2� h Address: `fie City: State: f L Zip: Value of Work for this Permit:$ U 12OSS Square/Linear Footage of Work: Type of Work: ❑ Addition ElAAlteration New ,- 1 El Repair/Replace � ❑ Demolition Description of Work.. ,l'�` ' `l vY/ Specify color/off color thru tile: Submittal Fee$�- V Permit Fee$ / a® CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ y (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 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 erperson whose property is subject to attachment. Iso,a ce ' 'eii copy of the recorded notice of commencement must be pos at the job site for the first inspection whi curs se en ays after the building permit is issued. In the absence of s posted notice, the inspection will not be app ove r ' pection fee will be c ar Signature ` Signature -/ WN r AGENT gONTRACTOR The foregoing instrument was acknowledged before me this The foregoing' strument was acknowledged before me this �� day ofy U ,20 I ,by �� day of 'Su LL 20 i by 1 Fy1G-tv�g who is per-s a no t�o by--�06T- C�f'T2� ,who is personally known to me or who has produced as me or who has produced Vie— � �`°�`� as identification and who did take an oath. identification and who did take an oath,,,kiiiiiii�„�����/ NOTARY PUBLIC: NOTARY PUBLIC: �� �• �` ,yam Sign: Sign: __:Gv> v' w Print: \\�a��mnii�ii, Print: Seal: Seal: ,\,e\��4 '11/1(11lo1\1\��� *WX APPROVED BY Examiner Zoning //Niii iV\\\\ Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 Certificate must specify the description of operations or contractor license number. ■■■■■■■■■■■■■■r■■■�■■■■ ■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■Y�077'50wmmnr■■■■■■■■■■■■■■ BUSINESS NAME: !� BUSINESS ADDRESS: 43'06 6 a141 LUqW .CITY WSTATE ZIP - BUSINESS PHONE: FAX NUMBER CELL PHONE($05 l 'IF 5Y QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: C -G + ` l �� STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGU CAC 1817984 CATION ISSUED: CERTIFIED AIR COND CONTR 10/15/2014 CASTRO, WALTER A UNDER CONTROL AIR CONDITIONING INC IS CERTIFIED under the Provisions of Ch-489 Expiration date:AUG 31,2016 FS. L1410150000333 J ACRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) llft.� 07/29/15 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 endomement(s). PRODUCER CAOME:NTACT Tricia Cotera N Nations Best Insurance Agency PHONE (954)289-810AX No): (954)28941107 6508 SW 39 Street EADDRESS:-MAIL bicia@nationsbestcom Davie,FL 33314 INSURER(S) AFFORDING COVERAGE NAIC ti Phone (954)289-8104 Fax (954)616-8514 INSURERA: Ascendant Commercial Insurance,Inc 03769 INSURED INSURER B: Under Control Air Conditioning Inc INSURER C: 1638 East Lake Way INSURER D: Fort Lauderdale,FL 33326 (305)484-0058 INSURER E: INSURER F: 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. INSR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 DGE TO RENTED 7V COMMERCIAL GENERAL LIABILITY PREM SES Ea occurrence) $ 100,000.00 ❑ ❑ CLAIMS-MADE ❑ OCCUR GL-46050-0 MED EXP(Any one person $ 5,000.00 A N 10/31/2014 10/31/2015 ❑ PERSONAL&ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,OW,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000.00 ElPOLICY ❑ PRO- ❑ LOC $ AUTOMOBILE LIABILITY OMBINED SINGLE LIMIT Ea accident ❑ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ ❑ AUTOS ❑ AUTOS ❑ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ ❑ AUTOS Per accident ❑ ❑ $ ❑ UMBRELLA LIAR ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION ❑WC STATU- ❑OTH- AND EMPLOYERS'LIABILITY Y/NLIMRYER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) ElE.L.DISEASE-FA EMPLOYE $ If yesdescribe under DESG�RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Contractor License#CAC1817984 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 Ave AUTHORIZED REPRESENTATIVE Miami Shores,FL 33138 Tricia Cotera ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010/05)QF The ACORD name and logo are registered marks of ACORD Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL-DO NOT PAY 7187842 LBT!_j BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES UNDER CONTROL AJC INC NEW BUSINESS SEPTEMBER 30, 2015 DOING BUSINESS IN DADE 7468880 Must be displayed at place of business Pursuant to County Code Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED UNDER CONTROL A/C INC 196 SPEC MECHANICAL BY TAX COLLECTOR C/O WALTER CASTRO CONTRACTOR 75.00 07/08/2015 Worker(s) 1 CAC1817984 0225-15-000861 This local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, permit,or a certification of the holders qualifications,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. JtAjThe RECEIPT N0.above most be displayed on all commercial vehicles-Miami-Dade Code Sec 6a-276. D For more irdormadon,vises wywv.miamidade aov/toxcollector Report Viewer Page 1 of 1 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: 11/7/2014 EXPIRATION DATE: 11/6/2016 PERSON: CASTRO WALTER FEIN: 471771286 BUSINESS NAME AND ADDRESS: UNDER CONTROL AIR CONDITIONING INC 1638 EAST LAKE WAY WESTON FL 33326 SCOPES OF BUSINESS OR TRADE: HEATING,VENTILATION, AIR-COND Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover beneftts 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 shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meete the requirements of this section for issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 https://apps8.fldfs.com/crreportviewer/reportV iewer.aspx?data.=kdvpginc9D7Q3 gH6TER6... 7/30/2015 193 ,.IN ?" Miami shores Village Building Department LpRIpA 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-rime 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 thJC) day of �U L� ,20 i�����luluiirri�i loll ) L.4 Z�_;' By �� H al�n' ao is person own to a or has produced �. %, 0 er y / �ficaon. Notary: SEAL: UNDER CONTROL A/C INC Date: Jul. 30th, 2015 State of Florida County of Miami-Dade Before me this day personally appeared Walter Castro who, being duly sworn, deposed and says: That he will be the only person working on the project located at: 149 NE 105 Street. Miami Shores, FI 33138. Sworn to (or affirmed) and subscribed before me this 30 day of July, 2015, by:(,&-A'e-J 6/a 64572 Personally know OR Produced Identificati Type of Id ication Print,Type or Stamp Name of Notary ' illw � � CERTIFICATE OF LIABILITY INSURANCE DATE 1/13/1/YYYY) 11/13/15 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 CONTACT NAME: Tricia Cotera AX Nations Best Insurance Agency PHONE (954)289-8104, F,v/C No): (954)289-8107 6508 SW 39 StreetE-MAIL tricia@naUonsbest.com Davie,FL 33314 INSURER(S)AFFORDING COVERAGE NAIC# Phone (954)289-8104 Fax (954)616-8514 INSURER A: Ascendant Commercial Insurance,Inc 03769 INSURED INSURERS: Under Control Air Conditioning Inc INSURER C: 1638 East Lake Way INSURER D: Fort Lauderdale,FL 33326 (305)484-0058 INSURER E: INSURER F: 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. ILSSR TYPE OF INSURANCE ADD UBR POLICY EFF POLICY EXP LIMITS N R D POLICY NUMBER MM/DD MWDD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 A AGE TO RENTED COMMERCIAL GENERAL LIABILITY PREM SES E.occurrence) $ 100,000.00 ❑ ❑ A CLAIMS-MADE [:] N 10/31/2015 10/31/2016 OCCUR GL-46050-1 MED EXP(Any one person $ 5,000.00 ❑ PERSONAL BADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000.00 ElPOLICY ❑ JECT PRO- ❑ LOC $ AUTOMOBILE LIABILITY OM BINED SINGLE LIMIT Ea accident) $ ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ AAILLL OWNED ❑ SSC�HE ULED BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ ❑ ❑ AUTOS Per acc dent ❑ ❑ $ ❑ UMBRELLA LIAR ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION ❑ WC ST IM T ❑OTH- AND EMPLOYERS'UABIUTY Y/NER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) El E.L.DISEASE-EA EMPLOYE $ MeSt describe under RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) License#CAC 1817984 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami-Dade County THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 11805 SW 26th Street(Coral Way) ACCORDANCE WITH THE POLICY PROVISIONS. Room 207 AUTHORIZED REPRESENTATIVE Miami,FL 33175 Fax(786)315-2450 Tricia Cotera ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD 2016 details - Business Tax Account UNDER CONTROL AIR CONDITIONING INC - ... Page 1 of 1 miamidade,G0 �' " Tax Collector Home Search Reports Shopping Cart Please do not include any special characters in the name,address,and e-mail field such as#,&,hyphens,comma, dashes. We have moved.Our new address is: 200 NW 2nd Ave,Miami,FL 33128 The information contained herein does not constitute a title search or property ownership. 2015 Tax Bills are Payable on Sunday,November 1,2015. 2011D Nfth-ftSkOW TOX AGOMW UNDER CONTROL AIR CONDITIONING INC Business Tax Account#7187842 Account details Account history 2016 _2015 j PAID PAID Account number: 7187842 Owner(s): UNDER CONTROL AIR Business start date: 07/08/2015 CONDITIONING INC Business address: UNDER CONTROL AIR C/O WALTER CASTRO PRES CONDITIONING INC 1638 EAST LANE WAY DOING BUSINESS IN DADE WESTON, FL 33326 COUNTY Mailing address: UNDER CONTROL AIR Physical business location: UNIN DADE COUNTY CONDITIONING INC C/O WALTER CASTRO PRES 1638 EAST LANE WAY WESTON,FL 33326 Print account application (PDF) ReceiptsAnd Occupations Receipt 7462M PAID 2015-07-08$75.00 Contracting 10/01/2015 NAICS code: Receipt#0225-15-000861 Print this SPEC MECHANICAL —09/30/2016 238990 bill CONTRACTOR Units:1 Additional documentation required:CACI 817984 State/County License or Certificate https://www.miamidade.county-taxes.com/publicibusiness tax/accounts/7187842 11/13/2015