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MC-15-1599CLC t5- 15% Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 C I� Inspection Number: INSP-256572 Permit Number: MC -6-15-1599 Scheduled Inspection Date: April 13, 2016 Permit Type: Mechanical - Residential Inspection Type: Final Owner: UKAZIM, UCHENNA Work Classification: Addition/Alteration Job Address: 960 NE 97 Street Inspector: Perez, JanPierre Miami Shores, FL 33138 - Project: <NONE> Contractor: ALL AIR SOLUTIONS INC Phone Number (561)901-3471 Parcel Number 1132060143160 Building Department Comments RELOCATE HVAC UNIT Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP-237812. fix a/c drain, seal a/c closet, install stove 18" from cabinets April 12, 2016 For Inspections please call: (305)762-4949 Page 35 of 49 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. MC -6-15-1599 Permit Type: Mechanical - Residential Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 10/1612015 Expiration: 04/13/2016 Parcel Number Applicant 960 NE 97 Street Miami Shores, FL 33138- 1132060143160 Block: Lot: UCHENNA UKAZIM Owner Information Address Phone Cell UCHENNA UKAZIM 960 NE 97 Street MIAMI SHORES FL 33138- 960 NE 97 Street MIAMI SHORES FL 33138- Contractor(s) ALL AIR SOLUTIONS INC Phone Cell Phone Valuation: Total Sq Feet: $ 7,500.00 2700 Tons: Additional Info: Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $4.80 $3.94 $3.94 $1.60 $262.50 53.00 56.40 $286.18 Pay Date Pay Type Amt Paid Amt Due Invoice # MC -6-15-56134 10/16/2015 Check #: 9505611d $ 286.18 $ 0.00 Available Inspections: Inspection Type: Final Rough Duct Review Mechanical Underground 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, WIND S DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing inform- 'n accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the abovontractor tgslo the work stated. October 16, 2015 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date October 16, 2015 1 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑PLUMBING 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 ❑ ROOFING MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: 0'0 46- 9? cr/ - City: Master Permit No. RECEIVED JUN 2 6 2015 BY• FBC 2010 'RCJ S I S - Sub Permit No. r\r\C f S (5< ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Miami Shores County: Miami Dade Zip: Folio/Parcel#: it - 3 ZO( - 0 1 - 3 (6O Is the Building Historically Designated: Yes NO V Occupancy Type: Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): \)C tNN 1\ Address: i G Z 1 At-rz s x2. 42C UVLt\ ►M BFE: FFE: Phone#: 56 t 'al O I• 3 4-9 City: NIS S ( -1 vel State: Zip: 3; (2 / Tenant/Lessee Name: {� Phone#: Email: U-Va \ IPA qMflc \ \ CA S CONTRACTOR: Company Name: 1/" ' lam SD,t t r Address: //O/ / /c /9/ ,r7.4".7 ?Br/ y'18 Phone#:64116/ City: /klafr# r),(4,0.7 State: Zip: 3..?/7,- Qualifier ..?/7% qualifier Name: 7 0 1,'j cyiecc-Z -..o , Phone* /6,2-13.49--(5--?-,-,, State Certification or Registration #: G.,,9- /,i7-.5 /'2 Certificate of Competency #: 2 �•, �► �, ` DESIGNER: Architect/Engineer: `� j )'0l;.W (it'kj'f,' er �',S-V t --"C 7 ( Phone#:4f J.C�5 J S' W030 '`'� Address:_ -,` 1 ,i "'cLt.,5 ANN' ' & I� 1. � City:O ,. C/ NI J JS• ' Sta e: - . Zip. : %3 t -_--V-A) Value of Work for this Permit: $ 1-151)° Square/Linear Footage of Work: Z )'o Type of Work: ❑ Addition TrAlteration ❑ New ❑ Repair/Replace ❑ Demolition ' & ,,r -: � . _...,a. .......-.a•-- .:r+...su+�..4»-u.,..r+ 'J Description of Work: 1Z \ OC,P<TE V k31'7 . Specify color of color thru tile: j� U Submittal Fee $ Permit Fee $ % / t ✓ OCCF $ /. ,?�• Scanning Fee $ 3- OO` Radon Fee $ 3j. 94/ DBPR $ 3 6,4! / �! Technology Fee $ 6. 4/L9 Training/Education Fee $ /. 6 Double Fee $ Structural Reviews $ i C?, s: ! f~ r CO/CC $ Notary $ (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE $ 2ge. /' 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 no apprr ved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this 02 day of fpQ.,1 , 20 1 S , by O(`,lnti i )•O_tgi 1i^ , who is personally known to `i me or who has produced 1�..rc! LACQ(s..e as identif' . n and • - ke an oath. NOT Sign: ��•.,r Print: MTV �It}, % .1*, , Seal: APPROVED BY (Revised02/24/2014) CONTRACTOR The foregoing instrument was acknowledged before me this Q day of Pt , 20 iS , by Q*--C'O c) -*--c:kpe.111e7 , w -is personally known o me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: as Plans Examiner Structural Review "'"`"r REBECA M. PASTRANA MY' COMMISSION k EE872624 EXPIRES: Fd rty 07, 2017 Zoning Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 SANCHEZ, SERGIO ENRIQUE ALL AIR SOLUTIONS INC 1101 NE 191 STREET, # 408 MIAMI FL 33179-2523 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 LICENSE NUMBER DETACH HERE STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CAC 1815118 ISSUED: 08/03/2014 CERTIFIED AIR CONE) CONTR SANCHEZ, SERGIO ENRIQUE ALLAIR SOLUTIONS INC IS CERTIFIED under the provisions of Ch.489 FS. Expiration date AUG 31. 2016 L1408030002807 KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD The CLASS AAIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 SANCHEZ, SERGIO ENRIQUI ALLAIR SOLUTIONS INC, 1101 NE 191 STREET, #408 MIAMI FL 33176 - ISSUED: 08/03/2014 DISPLAY AS REQUIRED BY LAW SEQ # L1408030002807 10/13/2015 2016 details - Business Tax Account ALL AIR SOLUTIONS INC - TaxSys - Miami -Dade County Tax Collector mornidad, GOV Tax Collector Homo 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 2nd Quarter Tax Bilis are Payable on September 1, 2015. 2016 details — Business Tax Account ALL AIR SOLUTIONS INC Business Tax Account #59-79547 LI Account details Account history 1 2016 2015 2014 2013 ... 2010 PAID PAID Account number: 5979647 Business start date: 02/01/2007 Business address: ALL AIR SOLUTIONS INC 1101 NE 191 ST 408 MIAMI, FL 33179 Physical business location: UNIN DADE COUNTY Receipts And Occupations PAID PAID PAID Owner(s): ALL AIR SOLUTIONS INC 1101NE191ST MIAMI, FL 33179 Mailing address: ALL AIR SOLUTIONS INC SERGIO SANCHEZ PRES 1101NE191ST MIAMI, FL 33179 Print account application (PDF) Receipt 6238224 PAID 2015-09-30 $75.00 Contracting 10/01/2015— NAICS code: Receipt #CREDITCARD-15-052927SI Print this SPEC MECHANICAL 09/30/2016 238990 bill CONTRACTOR Units: 1 Additional documentation required: CAC1815118 State/County License or Certificate haps://www.miamidade.county-taxes.com/public/business_tax/accounts/5979647 1/1 A�� oa CERTIFICATE OF LIABILITY INSURANCE DATE lo�7�20 ) 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 Dopazo & Associates Inc 8725 NW 18th Terr Ste 300 Miami FL 33172 CONTACT Alexander Dopazo NAME: P U(PqVH/C No. Ext): (305) 470-8500 AX No): (666) 647-9673 tIMAILsADDRE:alex@dopazo.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER AMasco Insurance Company 25011 INSURED All Air Solutions Inc 1101 NE 191 Street #408 Miami FL 33179 INSURERB:PrOgresSiVe Express Ins Co 10193 INSURER c Mount Vernon Fire Insurance Co 26522 INSURER D:Business First Insurance Co. 11697 INSURER E : INSURER F : X COVERAGES CERTIFICATE NUMBER:CL1510711402 REVISION NUMBE 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 LTRINSD TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP IMM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY WPP1144762-01 3/27/2015 3/27/2016 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GE X 'L AGGREGATE POLCY OTHER: LIMIT APPLIES JECT PER: LOCPRO GENERAL AGGREGATE $ 2,000,000 2,000,000 $ B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS 02132056-1 3/27/2014 3/27/2015 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ PIP -Basic $ 10,000 C x UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE XL1565466 3/27/2015 3/27/2016 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED RETENTION$ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N Y N / A 0521-04444 9/23/2015 9/23/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Air conditioning sales, intallation and repair. CERTIFICATE HOLDER CANCELLATION ( ) - City of Miami Shores 10052 NE 2 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 M Dopazo CPIA/MAD ACORD 25 (2014/01) INS025 r?m4nn © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD