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MC-15-2411 (2) IF V-C Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-244001 Permit Number: MC-9-15-2411 Scheduled Inspection Date: March 28,2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: NUNZIATA, MICHAEL JOSPEH Work Classification: A/C Replacement Job Address:1201 NEI 01 Street Miami Shores, FL 33138-2608 Phone Number (352)682-8303 Parcel Number 1132060171470 Project: <NONE> Contractor: ENGINEERED AIR LLC Phone: (954)974-7277 Building Department Comments NEW A/C UNITS Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed L Failed L/ Correction ❑ Needed V Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. March 25,2016 For Inspections please call: (305)762-4949 Page 6 of 31 Miami Shores Village Building Department SEP 2 2015 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 �`T'E'� FBC20i�{ `� BUILDING Master Permit No. Kr---, — 1.C-- /f!�3 PERMIT APPLICATION Sub Permit No. u -'54 LI F-1131.111-DING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP �. �. CONTRACTOR DRAWINGS JOB ADDRESS: I V-zl AIF 414 Com: Miami Shores County: Miami Dade Zip: Folio/Parcel#: is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: ��Fllllo��o��d Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): A4 �Q 4n'Z,104 �'� Phone#: Address: City:,A( ) 4M. WP== State: Zip: Tenant/Lessee Name: Phone#: Email: /� / �) CONTRACTOR:Company Name: 6�dga6,b /2 1�� Phone#: r —�J -160 Address: S� J, ` AV,09-4EEW S &�• City: POMPAQ0 /.3KA cki C State: �L Zip: Qualifier Name: 6-NAO S b u FF Phone#: State Certification or Registration#: eA e.- a 4-a6 0 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work forAddition ermit:$ 5�0• CV Square/Linear Footage of Work: Type of Work: ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: �7 Submittal Fee$ Permit Fee$ I I �CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ y 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. 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 inspectionC'instrument proved and a reinspection fee will be charged. Signatu Signature WNER or AGENT CON'TRACW) The forwas acknowledged before me this The f�orrJegoing instrument was acknowledged before me this d 5 44 day of `rJ 20 ,by ! day of 20 „1 by who is Dersonally�n 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: Print: . " JANET L.TRUMP 4 ',_�' `�rS No ary PubliC-State of Florida Seal: NOTARY PUBLIC Seal: y �= My Comm.Expires Jun 27,2016 STATE OF FLORIDA "9,',FOFv P Commission#EE 211813 Comm#EESM15 �k�k�k�k*&*�k�k**�k*+kik �k�k*� ��M��ak�k***ak�k�kak�kak�k�k&�k�k8�h�k*ffi**#7k 7k�k�kak7k�k�k�k�k�k�k�k�k7k�kM��k�k7k�k�k�k�k�k�k�k�k7k�k�k�k�klk�%�k�k�k�k�k#�k�k�t�k�k APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 09121/2015 09:44 Engineered Air �FAX)954 9731883 P.0061006 t • RICK SCOrr.GOVERNOR . ..._...............:..............,.........,... _.. .... . ... N ... .._........_. .,._.....__. LAWSOt SECRETARY STATS OF FLORIDA DEPARTMENT OF lSUSIAESS AND PROFESSIONAL REGULATION CoNSTRUCTIQN INOUSTRY LICENSING BOARD CAC,04080 The CLASS AAIR'CONDITIONING CONTRACTa �" Named below IS CERTIFIED ` Under the provEslona of Chapter48 1=S: EXplratlon date: AUG•31,216 RUFF DENN SAL N'GINEEREI)AIA..LI,G. M y.. i . = T; .4,: • y f .Pt) ;AI�70 064 ,••. � •L y S i 4 p ,'t • .i 4•' � a ISSUI?D. 07/18/'2014 DISPLAY AS REQUIRED BY LAW SE4 65407160000993 0912112015 09:41 Engineered Air Q:AX)954 973 1883 P.0051006 41-1 4.. ....­­.. _­ ._­.�., - ".A"y.­. .I " 111141 - - ,61*ii�2�,�,�IL.-,-*.Vl�l.,.ell'.�i)4*il*,., A .I I ,�­�, k W".,..., ­-�;k1X4,W'1",-.:".*!1- " I . .­.� %1, , *, ­R_ "'*""IIP�l.'*P"fal�zill'i-�l".C�,,�ll"*"''.5 �. g""'I. *t-*q1"- -Agh�,`t�" " ­0 _�.. _4�.:- '** '",` 'r,,`)h)_sAN'!,_,*-,.' --""I" -- &O.,UWAIMIN 2%.4,*401 1:11 *0! -.-.. I, _0 _- * *j , ,,,, , R ? A� I .. ­1 . - Mil ..") k.*"',m- U 4 W. *",e. --� , " - - a .4 a N .i. §1,, . . .� ,f), �I ;_._o..,.,.x " M.fix ,ull, .,. I, w q 9 \. ,�, E.-, - .. '%j.a..i, .. V,-N:'p% (. ,..::r,.'._.�_",_ I ..." .- 04, 'uh -0 r � . ­ . SW Klimm's.,g'! ,N%1.2� .u.-.! -,,.,,% u i.A _N .1 -, .. - is. -,-n,.-,mvx,,4 31 `Nffl�,.,,',a;`K3 - ii III:,;:; ­".. - - I%,,&Li ,V."M_112WN-111M.,go.�,ma, ` ,'I I'm -1.11; N , M . ; . 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"' "*g, `M�.; .1 M. * I'M N§111VI..";N�1�1�1�1*�,..... �! ..... 110_P�,A._," I * 0912112015 09:40 Engineered Air TA)0954 97318M P.0031006 AOR CERTIFICATE OF LIABILITY INSURANCE DA9 (MM=FfM) 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 A"ORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE ROBS 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. It SUBROGATION IS WAIVED,s Q90 to the tends and condlHons of the policy,certain policies may require an endoreement. A statement on this certificate does not confer rights to the certificate holder in lieu of such andarsamant(s). PRODUCER DOsssh & NaLeoaan Agency LLC Co - Florida 2000 CorgoraOe Drive, Suite 400 YN4NE (939) 938-8780 (954) 938-85$6 Fort Lauderdale FL 33334 INSAFFORDING COVERAGE NAILS INSURERA:Scottsdale Insuraads C 41297 INSURED Engineered Air LLC 954 974-7277 EngiaINEuRsta-Phstladel a indemnit insurance 18058 8a INSURER C 2520 N Andrews Avenue Extension INSURER D- Pompano Beach n 33064 INSUMME: INSURER F.- COVERAGES .COVERAGES CERTIFICATE NUMBER:cert ID 40944 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, NOTWITHSTANDINo 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. ILTR NSR 'TYPE OP INSURANCEPOLICY LIM" Am VM POLICY NUMBER 129% A X COMMERCIAL GENERAL LIABILITY EACH OWURRIME S 1,090,000 CLAIMS-MADE Q OCCUR A080000153 3/1/2015 3/1/2016 $ 100,000 MED EXP(Any one gweaM S ESC LUDED PERSONAL A ADV INJURY S 200000000 GE AOGRERAMUMMAPPLIESPER- QSNeRALAGGREGATE $ 2,000,000 POtiCY Eil am 0 LOO PRODUCTS.COMPIOPAGO 8 20000,000 X OTHER:CAPP= AT 10 =LLTODT IM=l Bensf,I" I,iah S 11000,000 AUTOMINIU IMUM INULE OffS 13 1S,D00,000 8 8 ANY AUTO PHP81297271 3/1/2015 3/1/2036 �LYINiLRY(Perpmo) S ALLOWNED SCftEDULED AUTOS AUTOS BODILY INJURY(Per ecd&4 5 MREDAUT09 H per ® APgraccIdw GE S $ 9XM8 A UA IS Qa,G1R ARR0000374 3/1/2015 3/1/2016 BACH OCCURRENCE $ 11000400 000 8 EXCESS LdAD GLAItdB tAADE AQCIRE(iATE $ 1,000,000 WORKM$COMPENSATION S AND EMPLOYEW LIAPL"y YIN A7 ANY PRQPR{ETOR?FARTLNaR1E)=UTryE OFFtogRfMFMBER13GCLLDW7 N/A F-LEACHACaDENr S (NMorad I N K E.L.01OL46E-EA EMPLOYE S �3f2t1 NOF ERATIONS below E.L.DISEASE•POLICY UFAT S DUCR"ON OF OPERAMNS l LOCATIONS I VMWLES(ACORD 901.Adria I-M RewmM$Ctladele,may by attwh%;U moa spaaa la-Rub" CAC 045860 Proof of Iadurasde only. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN XL=i Shores village Bldg pept ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NS tad Ave AIJIMORM REPRESENTATIVE Miami Shores FL 33138 ®1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 0912112015 09:40 Engineered Air O'A)r)954 97318M P.0021006 ENGIN 4 OP ID:NG CERTIFICATE OF LIABILITY INSURANCE DA0912112fr15 THIS CERTIFICATE 18 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($), AU'pF{ORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT, 1f the o9rkiticate holder Is an ADDITIONAL INSURED,the policy(las)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement an this certificate does not confer rights to the caMcate holder In lieu of such endorsement(s). PRODCOIUT Worrke s Compensation Group NMR:CAWorkers'Com ensation Chou P 0 Box 410 PRox>< 561.882.3300 Ne;561389-1132 Docs Raton.hl.33428-0410 Joe Garcia ABBMSS.,certa0workerscompgroup.com INSU s AFFtRDINO CDVERAGE NAIC O INBURURA.Brid efleld Employers Ins 10701 INBURM Engineered Air,LLC IMBURER 13. 2620 N Andrews Avenue Ext Pompano Beach,FL 33064 INS RRItC: IINSUMM Z): INSURER!t DiBURtat F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER., THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 711E 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. TYPE of DlsuRaNcsBEL wvoPOLICY NUMBER flZro Wyn LIMITS COMMERCIAL GENERAL UABILrIY EACH OOMMI ENCE $ MAIMS-MADE 7 OCCUR $ PERSONAL&ADVINAMY $ GEN'LA00R3"TEpLpIMITAPKIA3PER: OENERALAGGREGATE S POLray❑JE LDC PRODUCTS-CAMP/OPA00 $ 8 AUTOMON"L A91LITY a ent $ ANYAUTO BODILY INJURY(Pet Person) $ A� rUTIEDULIED 0a BODILY INJURY{Per eooldtaD $ HIREDAUTOS Bt�tlsM $ VAUIRIWALUM OCCUR EACHOCCUR EXCEN LIAR OE EACH OMCLAIMB.MA - RENCE $ S DEO ON$ WORIMS GOAMNSAT10N $ ANDEMPLOYER$'UUL" X x A OFF1C rhlElaet uo IN ANY PAMIMRIPAR171110 WJUMunvE Y❑NIA 30.38860 03!01/2016 03/01/2016 EL I ACHACCIDENr $ 1,000.00 IM4"d4tay In NH) W Id ,eR e p ILL UUME-EA EMPLOYEEt 1.0001000 ORSME L DISEASE.POLICY UMIT $ 1,000,00 CEWRIPTION OP OPERATtM/LOCATION$i voi=M tA0WM 111.Atl®EOMI ROMIL to Soliatlttle,rmy ee aCaaNetl E mere space ISM LIc#CACo46860 CERTIFICATE HOLDER CANCELLATION MIASHOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village Blgd Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2ND Ave. ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores,FL 33138 AUTHOPAM RWRURNTATiva M 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and Ingo are registered marks of ACORD