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MC-13-172Permit Number: MC -1 -13 -172 I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 inspection Number: INSP - 186142 Inspection Date: February 13, 2013 Inspector: Perez, JanPierre Owner: PENDLETON, CAMILA & RYAN Job Address: 166 NE 93 Street Miami Shores, FL 33138- Project: <NONE> Contractor: CAC058159 ALL YEAR COOLING & HEATING INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060133090 Phone: (954)566 -4644 Building Department Comments CHANGE OUT AC SYSTEM WITH NEW 4 TON SYSTEM WITH 7.5 KW HEAT lnfractio Passed Comments INSPECTOR COMMENTS True c2—e) 2 1 I i I) Passed Inspector Comments cii Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 February 20, 2013 Page 1 of 1 II31I13 a1V\g,W Miami Shores Village Building Department JAN 0 ao13 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 ID Permit Type: MECHANICAL Permit No. C-13 - nea,_ Master Permit No. OWNER: Name (Fee Simple Titleholder): Ryan Pendleton Phone #: 954- 296 -5039 Address: 16 6 NE 9 3rd St City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: N/A Phone#: N/A Email: rlpendletonl@hotmail.com JOB ADDRESS: 16 6 NE 93rd St City: Miami Shores County: Miami Dade Zip: 3 313 8 Folio/Parcel #: 11- 3206 - 013 -3090 Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: All Year Cooling and Heating Phone#: 954 - 566 -4644 Address: 1345 NE 4th Ave City: Ft. Lauderdale State: FL Zip: 33304 Qualifier Name: Tom Smith Phone#: 954 - 3 4 7 - 4 2 7 0 State Certification or Registration #: CAC 0 5 815 9 Certificate of Competency #: Contact Phone#: 954 - 566 -4644 Email Address: kbalestrieri@aycair.com Phone#: DESIGNER: Architect/Engineer. Value of Work for this Permit: $ 0 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ONew ❑Repair///Rfeplace ❑Demolition Description o f Work: fi e. a. c k . c . S y S I & v L.);-11N N� Li 511 Skrfr∎ L - • 41-- t7 c 16,0 heat ********* * * * * * * * * * * * * * * *** ** ***********F **+*********** * * ** * * ***** ** * ****** * *** ******* Submittal Fee $ Permit Fee $ 1 13V CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ l 2 Signa Contractor The foregoing instrument was acknowledged before me this' day of4 4 W4 % , 20 11, by 73kwt i+- who is personally known to me _or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: /1/ Print: MO PO t c.i /19' My Commission Expires: / Z/Z s /z.o/ ( 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 FI.FCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFJ 1DAVIT: 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 Owner or Agent The foregoing instrument was acknowledged before me this_ __ day of SAV44.1 y 20 /3_, by g /AA/ f ?dU �iW/� , who isle orally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign:/y v Print: low) P14 It-Li e J My Commission Expires: l t/L 041 ry 1 IAN C. PHILLIPS MY COMMISSION #E18880212 SPIRES: DEC 25, 2018 BondedI 1M State I IAN C. PHILLIPS MY COMMISSION #Ef880212 ECPIRES: DEC 25, 2018 Sanded through 1M Mate Gee * * *** r*w ****** * ** * * *********+x ** ************************************ * * ** * ** ** **** * * ** *** *** **** * * ** APPROVED BY Plans Examiner Structural Review (Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk I O Ewing Bectrilall to Code Today's Comfort... Yesterday's Prices. 1345 NE 4th Ave., Fort Lauderdale, FL 33304 Phone: (954) 566 4644 Fez (954) 667 -1280 YYNRN.aycair.cop Est.1973 with over 150,000 Insteltations PURCHASER'S NAME MRA AyrcilPkD( ADDRESS l (rile tilt=, ct a 1• • CITY /STATE/ZIP tAi0.0 ► ShNes L 33138 E-MAIL r ?>ndle-kun9 Vhcrlw.a,l.conv. HOME PHONE ' 4194- 2416 - 51) 341 CELL PHONE REFERRED BY 0 mom um°REc6YE mats, IFINES,OFFB anlD mi sTecr mum O Light sardezmge IND00R AIR IMPROVEMENT ❑ CONTRACT DESTIMATE I DATE /— 2E I'3 CONTRACT We hereby submit specifications for. ,E1 Equipment Installation ❑ Indoor Air Duality O Other All Year Coning will runtish an parts, labor and equipment necessary to facilitate the service . checked above In accordance and spend fisted in this contract. Does not include electrical upgrade waste slated. of Duct Syslenw O High Quality &r Her 0 lip Quay aeaner NEW EQUIPMENT 0 Package Unit 0 Heat Romp Unit D Neat Pump ,@S of Sys l p•Stralght Coal O Owen Application rtIcatAppicaion ly Grin, Size Leaks in Ducts II of O Supply Return OReturn&Plenum WIRING Ja'Jir handler Breaker Wire Sze 0 New Braider 2frrand Realise CAF TtftuC ,a candenserBrakerWire Size . r ['Use Exfating Breaker ,OAeplace Breaker ONawBreaker ,O'e rend 4G Tith(it aectrical Disconnect Box by MifarCaing OTHER ' n-nne Flat Swims O Aulriery Fly Salety Switcb nog � t�J. ,ErType of Thermostat - Specify lye 7 ,elNeaiar Resistant vlbatlon, Isolation Pads 1-4,�.c r, m.�b14 2'1 Year 1 VlnitMaintenance ❑ 5YarExtended Wanenty D10Yeear Wended Wa rdy CONDENSATION & COPPER PiPING Cnntienate Drain Nark-Up fcrimary D Secatrdary ❑ Haw tea Pump Dadiary Drain Pan ❑ RefrigenardCopper Liquid Line, size �g j;ititebiiies and Werlunen's Comp ter Our WolkPerformed with Basting Codas $Mmming Hardware of Shand for Air Handler 21$wrl ane Code strapping ❑ Refrigerant Copper SucaOn Wet with insulation, Size -_ 0 Length .D New of :n OTHER %Ref ige ant Lin Cover D Smoke Detector - Exing/New D straps D CraneiGenle Lift D Extend Stab Mira Stab 0 Labor Needed 11 WARRANTIES 1 Year Warranty try An Year Gaffing an wont pawned. end !balda hi s's Warranties manufacturer's warranty on equipment unless atlnnw9a std be low. •'Cmnpressa� 1 ° Years Late masted bedaub die W Wed Le QmwyLSunday. _Map. �Years INVESTMENT BREAKDOWN swami sit 323o $ s Pemd s + GO s $ MIN Rebate 8-1130 /Fits $ tip. Rebate $ $ $ Wm Credit; $ $ $ Total Investments $ $ Edended ttrummy $ $ $ Mace Die $ 32v° $ s nem env ammo mustaetnanoaa msWiertDWarne aeywok age rum Due to Teafu>kpe Dpeo Com faVin of deb. F -0 1 02. Ij =ill All Year DalasRep eSpeen Dam Deem • 011110D3, 0 011 8 010 1. D18711.oaemDete, aOM= bcr L! Yea ,JQ'Parte t o Yale DETAILS OF WORK PERFORMED • ad u - Yqw disc. be -�P cVstia.A; - louild�ttew ct;t V.4tcs ba. - iirat0.,t1/4_ k t Came d.ca„tA toiXe4. tt;-ei Fcvm of tilt O Ow 0 Custom Swan Date RE MERU raRMISANDCOMM Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 JAN 3 0 113 AIR CONDITIONIIF' RE CEMENT DATA PERMIT NUMBER: MC I ---nz. 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)• 166 NE 93rd St City: Miami Shores Village County: Miami Dade Zip Code: 33138 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 ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES XQ NO 0 ARHI Sheet Attached: YES © NO 0 Contract Attached: YES UNIT BEING REPLACED DATA NEW UNIT RUUD MANUFACTURER RUUD UBHC21J11 AHU or PKG. UNIT MODEL # RHLLHM4 821 N/A LABEL WORN OFF COND. UNIT MODEL # 14AJM49 NA KW HEAT 7.5 NA NOM TONS 4 AHU CU PKG 1) M.C.A AHU CU 27 PKG AHU CU PKG 2) M.O.P AHU 45 CU 45 PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER 13/16 YES NO REPLACING DUCTS YES NO X YES NO REPLACING THERMOSTAT YES X NO YES NO NEW 4 "CONCRETE SLAB YES NO X YES NO NEW ROOF STAND YES NO x YES NO NEW RETURN PLENUM BOX YES X NO 1. Minimum Circuit Ampacity (Wire Size): 7(8) 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 4 5 3. Voltage of Circuit (208/240/480): 2 08 / 2 3 0 4. Size Disconnecting Means: 45 amp Contractor's Company Name: ALL YEAR COOLING AND HEATING Phone: 954 - 566 -4644 State Certificate or Regis Signature CAC 0 5 815 9 Certificate of Competency N. (Qualifier's signature only) Date: //24V/ - wrightsoft® Project Summary Entire House ALL YEAR COOLING AND HEATING Job: Date: By: 1345 NE 4TH AVE, FORT LAUDERDALE, FL33304 Phone: 954 5664644 Fax 954 640 0200 Web: ALLYEARCOOLINGANDHEATING.COM Pro -ect Information For: PENDLETON 166 NE 93 ST, MIAMI SHORES, FL Notes: Desi• n Information Weather: Miami, FL, US Winter Design Conditions Outside db Inside db Design TD 51 °F 70 °F 20 °F Summer Design Conditions Outside db Inside db Design TD Daily range Relative humidity Moisture difference 90 °F 75 °F 15 °F L 50 % 57 gr /Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 58992 Btuh Structure 30329 Btuh Ducts 5539 Btuh Ducts 9933 Btuh Central vent (35 cfm) 745 Btuh Central vent (35 cfm) 589 Btuh Humidification 0 Btuh Blower 0 Btuh Equipment Toad 65276 Btuh Use manufacturer's data n Rate/swing multiplier 0.95 Infiltration Equipment sensible load 38972 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 2590 Btuh Ducts 2531 Btuh Heating Cooling Central vent (35 cfm) 1343 Btuh Area (ft2) 1738 1738 Equipment latent load 6464 Btuh Volume ()ft') 13904 13904 Air changes /hour 0.38 0.20 Equipment total load 45436 Btuh Equiv. AVF (cfm) 88 46 Req. total capacity at 0.70 SHR 4.6 ton Heating Equipment Summary Cooling Equipment Summary Make Make Ruud 14AJM SERIES Model Cond 14AJM49 AHRI ref non/a Coil RHLL- HM4821 + +RCSL -H *4821 AHRI ref no3800719 Efficiency 100 EFF Efficiency 13.0 EER, 16 SEER Heating input 0 Btuh Sensible cooling 32200 Btuh Heating output 65179 Btuh Latent cooling 13800 Btuh Temperature rise 39 °F Total cooling 46000 Btuh Actual air flow 1533 cfm Actual air flow 1533 cfm Air flow factor 0.024 cfm/Btuh Air flow factor 0.038 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.86 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. +121- wrighisofr RightSuite® Universal 201212.0.07 RSU12433 C:\ Users \iphilllps.AYCH \Desktop\tom smith.rup Cale = MJ8 Front Door faces: N 2013- Jan-29 17:44:20 Page 1 directory.org This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. Certificate of Product Ratings AHRI Certified Reference Number: 3800719 Date: 1/29/2013 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM49 Indoor Unit Model Number: RHLL- HM4821 +RCSL -H *4821 Manufacturer: RUUD AIR CONDITIONING DIVISION Trade /Brand name: RUUD 14AJM SERIES Manufacturer responsible for the rating of this system combination is RUUD AIR CONDITIONING DIVISION 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 testing: Cooling Capacity (Btuh): 46000* EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00* • Ratings followed by an asterisk (h 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 representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) fisted on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or perfomcance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. 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 whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at w wwahridirectory.org, click on "Verify Certificate" Zink 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 below. UMW Air - Conditioning, Heating, �� Min a►/ and Refrigeration Institute ©2012 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130039717291760957 Client#: 89031 ALLYE ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 12/28/2012 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(ies) 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 Advanced Insurance Underwriters 3250 N. 29th Ave Hollywood, FL 33020 CQI�TACY (nHOONE 954 963 -6666 (_MC, FAx No): 9549641438 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A: The Burlington Insurance Compan 23620 INSURED All Year Cooling & Heating Inc 6781 W Sunrise Blvd Fort Lauderdale, FL 33312 INsuNER 8: Technology Insurance Company 42376 INSURER C : 12/31/2013 INSURER D : $1,000,000 INSURER E : s50,000 INSURER F : $ 1,000 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 LTR TYPE OF INSURANCE INSR INSR SUER lAiVO POUCY NUMBER ( MIDD%Y YYL f 1g YY Y1) LIMITS A GENERAL X X LIABILITY COMMERCIAL GENERAL LIABILITY ICLAIMS -MADE X OCCUR BI/PD Ded:5,000 X X 591454 12/31/2012 12/31/2013 EACH $1,000,000 pp��OCCURRENCE PREMISES (EsEoo amens) s50,000 MED EXP (My one person) $ 1,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG s2,000,000 GENT. AGGREGATE I ATE LIMIT APPLIES PER: —I POLICY ( JECT LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS — SCHEDULED AUTOS AUTOS (Es COMBINED SINGLE LIMIT J $ BODILY INJURY (Pet person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LU■B EXCESS UAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED 1 1 RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? 111 (Mandatory In NH) If yea, describe under DESCRIPTION OF OPERATIONS below N / A TWC3342209 01/01/2013 01/01/2014 (p X ITORYLIMITS I IER - E.L. EACH ACCIDENT $1,000,000 $1,000,000 $1,000,000 E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space s required) GENERAL LIABILITY: If required by written construction contract, Certificate holder is additionally insured, Blanket waiver of subrogation applies. This insurance is primary and non - contributory. Aggregate applies per project/location subject to a $5,000,000 annual aggregate. Products and completed operations are included. V GIN 1 Ir,Vn 1 G 0-1.01.4011-4, Miami Shores Village 9 10050 N. E. 2nd Avenue Miami Shores, FL 33138 I ._ _ •••�•' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �.itlfRI/�� vim " -_ % ./ ACORD 25 (2010105) 1 of 1 #5940687/M940461 The ACORD name and logo are registered marks of ACORD - • . CFA BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 1.15 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013 DBA:ALL YEAR COOLING /HEATING INC Receipt #:HEATING /AIRCONDITION CONT Business Name: Business Type: (CLASS B AIR CONDITIONING CONTRACTOR) Owner Name: THOMAS A SMITH Business Opened:10/o3/1996 Business Location: 6781 W SUNRISE BLVD State /County /Cert/Reg:CAC058159 PLANTATION Exemption Code: Business Phone: 954 -566 -4644 Rooms Seats Employees 10 Machines Professionals For Vending Business Only Number of Machines: Vending Tvae: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and /or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: THOMAS A SMITH 6781 W SUNRISE BLVD PLANTATION, FL 33313 2012 - 2013 Receipt #01A -11- 00010675 Paid 09/04/2012 27.00 ••.•.. w.... •■■ ••■ - - ......... - . _. -- - . STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 SMITH, THOMAS ARVID ALL YEAR COOLING & HEATING INC 12494 STONEWAY CT DAVIE FL 33330 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the Departments 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, and congratulations on your new license! DETACH HERE `.S rATE 00.Ft 0RIDl .11.9 • Ir `a s bu>h4 ' .op:. sINEss PR ES �({ Arfl; GjJL..A,TION CAC 0581.59r.NN�LL,rr.,� 0. =� r 120012595 • b. 4NZNG INC $ '93RTIFP40 ua¢er; -the provrSiofte tt; CL 0V 9 FS• aEim datdi:AUG 3F1, "•• •g. 4. 1ib6.od•(1o5.89 THIS DOCUMENT HAS A COLORED BACKGROUND • MICROPRINTING • LINEMARK'" PATENTED PAPER :� . ;: . F. P . . ACS 2 4912;� �,..: ,� • ;. ��r Y � �LOr�� �. �• „... • ' 'r 1DE`PAR 1T••O'F�`•8 5; NE3 } PRO 14310 T14I+ itE i LATION ,,,•L",ON: W!�.7,QF? RY L�ENb'.p.Tp pp SECS L12080600789 BATCH NUMBER der tip ' rovi,siYias o y"Chapt: • EVE FLL, Client#: 89031 ALLYE AUUKDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 12/28/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. THIS POLICIES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 Advanced Insurance Underwriters 3250 N. 29th Ave Hollywood, FL 33020 C NTACT -PHONE Fart ERIC, No, Est): 954 963"6666 1 AMC, No): 9549641438 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC • INSURER A: The Burlington Insurance Compan 23620 INSURED All Year Cooling & Heating Inc 6781 W Sunrise Blvd Fort Lauderdale, FL 33312 INSURER B : Technology Insurance Company 42376 INSURER c EACH OCCURRENCE INSURER D iiigo n0el INSURER E : MED EXP (Any one person) INSURER F : PERSONAL & ADV INJURY • • 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. LTR TYPE OF INSURANCE ADDL INSR SUER WVD POUCY NUMBER POUCyy EP�F JMM/DD/YYYY) POUCY EXP (MMNO UNITS A GENERAL X X, LIABILITY COMMERCIAL GENERAL LIABILITY ICLAIMS-MADE El OCCUR BI/PD Ded:5,000 X X 591454 12/31/2012 12/31/2013 EACH OCCURRENCE $1,000,000 iiigo n0el s50,000 MED EXP (Any one person) $1,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 $2 000,000 GEM. AGGREGATE LIMIT APPLIES PER: —1 POLICY n Ira I ILOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE _ _ LUABIUTY ANY AUTO ALL OWNED AUTOS HIRED AUTOS ^, — SCHEDULED AUTOS NON-OWNED AUTOS ( eD SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per ecddent) $ $ UMBRELLA UAB EXCESS Lin _OCCUR CLAIMS-MADE EACH OCCURRENCE $ $ J $ AGGREGATE DED 1 1 RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? N (Maendatory in NH) If DESCRIPTION OOF OPERATIONS below N I A TWC3342209 01/01/2013 01/01/2014 X ITORV'MITE I W- El. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) GENERAL LIABILITY: If required by written construction contract, Certificate holder is additionally insured, Blanket waiver of subrogation applies. This insurance is primary and non - contributory. Aggregate applies per project/location subject to a $5,000,000 annual aggregate. Products and completed operations are included. CERTIFICATE HOLDER CANCELLATION ©19882010 AC RD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S940687/M940461 CFA Miami Shores Village THE SHOULD EXPIRATION H DATE THEREOF, DESCRIBED NO CEIEWILLL BE DELIVERED IN 10050 N. E. 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE •41/I / �/,b n931 -1�% 44444 / ©19882010 AC RD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S940687/M940461 CFA