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MC-17-41Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. MC -1-17-41 Permit Type: Mechanical - Commercial Work Classification: A/C Replacement Permit Status: APPROVED Issue Date: 1/11/2017 Expiration: 07/10/2017 Parcel Number Applicant 11300 NE 2 Avenue Number: Sage Hall Miami Shores, FL 33138-0000 1121360000050-17 Block: Lot: BARRY UNIVERSITY INC Owner Information Address Phone Cell BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 Contractor(s) THERMAL CONCEPTS INC Phone 954-472-4465 Cell Phone Valuation: Total Sq Feet: $ 7,401.18 0 Tons: 1.5 Additional Info: REPLACE ONE 1.5 TON 14:00 SEER RUDD Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 3 Date Approved: : In Review Type of Work: REPLACE ONE 1.5 TON 14:00 SEER Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $4.80 $3.88 $3.88 $1.60 $259.03 $9.00 $6.40 $288.59 Pay Date Pay Type Invoice # MC -1-17-62547 01/06/2017 Credit Card 01/11/2017 Credit Card Amt Paid Amt Due $ 50.00 $ 238.59 $ 238.59 $ 0.00 Available Inspections: Inspection Type: Final Review Mechanical Review Mechanical 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, P UMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFID IT I ce ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and Futhore, I authorize the above-named contractor to do the work stated. January 11, 2017 Authorized Signatu Owner / Applicant / Contractor / Agent Building Department Copy January 11, 2017 Date 1 BUILDING PERMIT APPLICATION Miami Shores Village 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 RECEIVED JAN 0/ . 2017 BY: , MC_. 2011.1 /1 Master Permit No. 1� 1.C. 1� _ `�1 I Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION El RENEWAL ❑PLUMBING 0 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS .JOB ADDRESS: 11300 NE 2nd AVENUE - APT. NO.2 SAGE BUILDING City: Miami Shores County: Miami Dade Zip: 33161 Folio/Parcel#: 11-2136-000-0050 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): BARRY COLLEGE Address: 11300 NE 2nd AVE. Phone#: City: MIAMI SHORESState: FL Zip: 33161-6628 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: THERMAL CONCEPTS, INC. Phone#: 954-472-4465 Address: 2201 COLLEGE AVENUE City: DAVIE State: FLORIDA Zip: 33317 Qualifier Name: LAWRENCE D. MAURER Phone#: 954-472-4465 Stat' Certification or Registration #: CAC039621 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 7,401.18 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ■❑ Repair/Replace ❑ Demolition Description of Work: REPLACE ONE 1.5 TON 14:00 SEER RUDD AC SYSTEM 4? pt 1\)6 Specify color of color thru tile: Submittal Fee $ 50 PIS e Permit Fee $ a b t (1 Q CCF $ (1 - V 0 co/as Scanning Fee $ : Radon Fee $ S``, 8 DBPR $ .3- fs fs Notary $ Technology Fee $ CO - (-1 0 Training/Education Fee $ 1 " t,/ Double Fee $ Structural Reviews $ Bond $ "'-------- -42e TOTAL FEE NOW DUE $ Zig r 5 (Revised02/24/2014) Bonding Company's Name (if applicable) N/A Bonding Company's Address N/A 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 th• • - e • suc :.sted notice, the inspection will not be approved and a reinspection fee will be charged. OWNER or AGENT The foregoing instrument was acknowledged before me this i day o Q�I�I_ — 0 me or who has produced o is personally Signature CONTRACTOR The foregoing instrument was acknowl:,.ged before me this by rr_di day of ( t tl - , 20 11 , by own to L.CAvJ !^e in (e. atelWho i_, erso ally kn ow o as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: ts, identification and who did take an oath. NOTA PUBLIC: �t; " Sign: t✓ Ke ((�� ;o'i f e. Print: �� 1 6\,) Seal: * APPROVED BY (Revised02/24/2014) G1NETTE MELCHIORRE Notary Public . State of Florida Commission 0 FF 995285 icon ntFx9taas *1 1999 Bonded rough. al Notary Assn 4110,1111111 111 ***** Sign: Print:CZ Seal: Plans Examiner Structural Review "' ""., CAROL JOY DALEY BUROHARDT �'= Notary Public - Stab of Florida • Commission • GG 000,15! AF My comm. Eapins 44 Zoning Clerk 1 "milk CERJJIIED® www.ahridirectory.org .'•, Cer1ficate_of Product Ratings AHRI Certified Reference Number: 7490727 Date: 1/5/2017 Product: Split System: Air -Cooled Condensing Unit, Coll with B Outdoor Unit Model Number: RA1418AJ1 Indoor Unit Model Number: RH1P1817STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY„M ,�C, O1K4C, TN, TX, VA AK, CO, CT, ID, 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 region(s) for which they meet the regional efficiency requirement. Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. 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): 17900 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 mikes no represer•tatiors, Warranties tir uarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability foPt n1 g ot�an kirraaisinsoohit of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratipgs areyjl�l only{ (pr mei-els.ndocoiefigurations listed in the directory at www.ahrldlrectory rg. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shailonly in used fo‘iydividual, personal and confidential reference purposes. The contents of this Certificate may aot Irbwhole Orin par? begeprodured; cepietl; disseminated; entered into a computer database; or otherwise utilized, in any for mor manner or b? art gal:, eecept:or tt}e tiler's individual, personal and confidential reference. CERTIFICATE VERIFICATION•• �• ••• ••• •••• ••• The information for the model cited on this certificate can be verified at www.a;-r'dIrectory.org, click on "Ver,fy CeWI` cate" link 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 bottonZrrglot. • • • • • •!I-4-- • — -- - ©2014 Air -Conditioning, Heating, and Refrigeration Institute ::•: CERTIFICATE NO.: • • • • • • •• • • - AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE we make life better's' 131281149423799240 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 AIR CONDITIONING REPLACEMENT DATA 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): 11300 NE 2ND AVE �\ *, � (( City: Miami Shores Village County: Miami Dade Zip Code: \ (u l 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 ❑ NON ARHI Sheet Attached: YES 1 NO ❑ Contract Attached: YES IX 1. UNIT BEING REPLACED DATA NEW UNIT giI *. MANUFACTURER .R x, €j\ --v.tos-s,m5DikAHu or PKG. UNIT MODEL # t)a `c \ _iS\ 1V I ;axv(vvJG C\3rd\76iIN� COND. UNIT MODEL# �tj 'a TAlAlti S A Y3 N 5' KW HEAT s kW NOM TONS t ISO° AHU CCU) PKG 1) M.C.A '2„0 AHU U PKG AHU CU PKG 2) M.O.P i a CU PKG AHU CU PKG 3) VOLTS -t 23t> �AHU c l (f`) PKG PKG UNIT / / PKG UNIT / / EER/SEER (y LSO YES 0 REPLACING DUCTS YES N• YES ( 0 REPLACING THERMOSTAT YES 0 YES 0 NEW 4"CONCRETE SLAB YES 0 YES co NEW ROOF STAND YES • YES ,--0.) NEW RETURN PLENUM BOX YES NO Minimum Circuit Ampacity (Wire Size): t 0 2. Maximum Overcurrent Protection (Fusere e ¢ize): 20 3. Voltage of Circuit (208/240/480): • • • • •: : :Z•e: �'•�iG • . •• • • • • • 4. Size Disconnecting Means: Contractor's Company Name:--- State amevState Certificate or Registration Signature (Revised02/24/2014) Phone: 9 s4 -ti Z rt -t (1 •Ct•rtificae o�CQmpetency No. • . . . • (Qualifier's signature) ••• • • • • • • • • • • • • 4 • • • ••• • • • • • • 1. • • • • • • • • • • • • • • • • • •Date: • • • V • • • • •• •• • • �' l 4(rc.)\-- Stuart Office 2497 SE Dixie Highway Stuart, Florida 34997 0: 772.220.2365 F: 772.220.2273 THER�IAL CONCEPTS HVAC • Refrigeration • Ductwork CAC039621 CSC046951 CGCA07936 Main Office 2201 College Avenue Davie, Florida 33317 0: 954.472.4465 F: 954.370.6410 Miami Office 444 Brickell Avenue Miami, Florida 33131 0: 305.940.0381 F: 786.391.3689 DATE: November 15, 2016 CLIENT: PROPOSAL: 0002074 _ Barry University Barry UniAsity 11300 Ne 2nd Ave ATTN: FACILITIES MANAGER 11300 e 2nd Ave Miami Shores, Fl 33161 M,4 Sh es, FI 33161 Phone: 305-986-4751 Fax: CONTACT: AL Halliday We propose hereby to furnish material and labor, complete in accordance with specifications below for the sum of Seven Thousand Four Hundred One And 18/100 Dollars. • BID#20374 • Replace (1) 1.5 Ton 14:00 SEER RUDD complete air conditioning system in APT#2 in the SAGE building. • Install new refrigeration piping from the AHU in closet and run above front door along the underside of the overhang to the existing condenser unit location. • Install custom galvanize metal line cover for the new refrigeration line that are exposed outside. • Connect to existing electrical. • Connect to existing drain line. • Connect to existing ductwork. • Permit included. • Labor 48 Hrs. @ $88.00=$4224.00 • Equipment $1741.43 • Lines & Insulation $561.75 • Misc. material $214.00 • Permit $384.00 Any Code Upgrades or Wind Load Calculations Are Excluded TOTAL BID: (Seven Thousand Four Hundred One And 18/100 Dollars) $7,401.18 Payment to be made as follows: Net 30 days Acceptance of Proposal , This proposal may be withdrawn if not accepted by December 30, 2016. THERMAL STANDARD TERMS, CONDITIONS AND EXCLUSIONS ARE PART OF THIS PROPOSAL. Customer Initial THERM -6 OP ID: R3 ACOROF `,,.,, CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/01/2016 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 r DRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ORTANT: 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 Brown & Brown of Florida, Inc.PHONE 1201 W Cypress Creek Rd # 130 P.O. Box 5727 Ft. Lauderdale, FL 33310-5727 James F. Murphy CONTACT NAME: FAX (A/C, No, Ext): 954-776-2222 (A/c, No): 954-776-4446 • DRCftlaESS: erts@bbaud.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Amerisure Mutual Ins. Co. 23396 INSURED Thermal Concepts Inc. 2201 College Avenue Davie, FL 33317 INSURERB:Amerisure Insurance Co. 19488 INSURER c : North River Insurance Co. 21105 INSURER D: EACH OCCURRENCE INSURER E : PREMISES SEa A -VA -G TO occurrence) INSURER F : MED EXP (Any one person) 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 CERT FICATE 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DO/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL CLAIMS -MADE X LIABILITY OCCUR - GL20572050802 09/04!2016 09/04/2017 EACH OCCURRENCE $ 1,000,000 PREMISES SEa A -VA -G TO occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 X Contract Liab PERSONAL & ADV INJURY $ 1,000,000 X XCU Included GENERAL AGGREGATE $ 2,000,000 GEN'L I2,00POLICY AGGREGATE LIMIT APPLIES 1 X., JER OTHER: PER: LOC PRODUCTS-COMP/OPAGG $ 0,000 $ E 'AUTOMOBILE _ • X LIABILITY ANY AUTO ALL OWNED AUTOS_ HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS CA20566620805 09/04/2016 09/04/2017 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accidentL $ $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 5811073353 09/04/2016 09/04/2017 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 $ DED X RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below / N N / A WC206853907 04/01/2016 04/01/2017 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 A Equipment Floater Leased/Rented IM20942240202 09/04/2016 09/04/2017 Equipment 125,000 Ded 2,500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CAC039621 Mechanical Contractor FAX:305-756-8972 CERTIFICATE HOLDER CANCELLATION MIAMISH Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 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 ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD P. fit co STATE OF FLORIDA ; DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MAURER, LAWRENCE DAVID THERMAL CONCEPTS INC 2201 COLLEGE AVE DAVIE FL 33317 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 learn more about the Department's 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! RICK SCOTT, GOVERNOR (850) 487-1395 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CAC039621 ISSUED: 06/21/2016 CERTIFIED AIR COND CONTR MAURER, LAWRENCE DAVID THERMAL CONCEPTS INC IS CERTIFIED under the provisions of Ch.489 FS. Expiration date : AUG 31, 2018 L16C6210000598 DETACH HERE KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER The CLASS AAIR CONDITIONING CONTRACTOR Named below 1S CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 MAURER, LAWRENCE DAVID THERMAL CONCEPTS INC 2201 COLLEGE AVE DAVIE FL 33317 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 - 954-831-4000 VALID OCTOBER 1,2016 THROUGH SEPTEMBER 30,2017 D: Business Name: -THERMAL CONCEPTS INC Owner Name: LAWRENCE DAV ID MAtURI F. BusirleSs Locatiofi: 2201 COLLEGE AVE DAVil Business Phone: 4 1 2 -4 4 65 Rooms Seats Employees 10 Receipt #:). rINC/AiRCONUITION COkTR Business Type: (CERT IFIER AIR CON() CQNTRI Business- Opened:04 /0 i /1985 StatelCounry!Cert!RegicA-co3962 t Exemption Code: Machines Professionals THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VAUDATEO Mailing Address: THERMAL CONCEPTS INC 2201 COLLEGE AVE 4AVIE, FL 333i7 This tart is levied for the privilege of doing btfsiness Withih'8roward County and is non -regulatory in nature You must meet all County andror Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business Is sold, busing name nes 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 lobe' laws and regulations 2016 - 2017 Receipt lPO33.-15-06001322 pa.4 07/27/2016 27.00 .111111. '1 bf11A/A con r.rnI 1141TV I f i A 1 01 1@11►ICCQ -rn v cir=r' errr ror Vending Business Oral NumberoIMachines: Vending Typo: Tax Amount Transfer Fee NSF Fee Facially, Prior rears I Collection Coil Total Paid 27.40 0.00 0.04 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VAUDATEO Mailing Address: THERMAL CONCEPTS INC 2201 COLLEGE AVE 4AVIE, FL 333i7 This tart is levied for the privilege of doing btfsiness Withih'8roward County and is non -regulatory in nature You must meet all County andror Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business Is sold, busing name nes 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 lobe' laws and regulations 2016 - 2017 Receipt lPO33.-15-06001322 pa.4 07/27/2016 27.00 .111111. '1 bf11A/A con r.rnI 1141TV I f i A 1 01 1@11►ICCQ -rn v cir=r' errr