MC-17-2579Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Parcel Number
Permit NO. MC-10-17-2579 •
Permit Type:. Mechanical - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Expiration: 05/02/2018
Applicant
9300 BISCAYNE Boulevard
Miami Shores, FL 33138-
1132060141640
Block: Lot:
GABRIEL COSENTINO
Owner Information
Address
Phone
Cell
GABRIEL COSENTINO
9300 BISCAYNE Boulevard
MAIMI SHORES FL 33138-
(305)962-1893
9300 BISCAYNE Boulevard
MAIMI SHORES FL 33138-
Contractor(s)
DEACO CENTRAL A/C
Phone
(305)443-9615
Cell Phone
Valuation:
Total Sq Feet:
$ 4,900.00
720
Tons:
Additional Info: DUCT WORK ON NEW ADDITION
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
$3.00
$2.57
$2.00
$1.00
$171.50
$3.00
$4.00
$187.07
Pay Date Pay Type
Invoice # MC-10-17-65497
11/03/2017 Check* 3624
10/31/2017 Check #: 3619
Amt Paid Amt Due
$ 137.07 $ 50.00
$ 50.00 $ 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, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accur. f and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -name • •ntra..r to do the work stated.
November 03, 2017
Authorized Signature: Owner / Applicant / ac'T / Agent
Building Department Copy
Date
November 03, 2017 1
6vv\\- Miami Shores Village
Building Department
-P?:7ry 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
BUILDING,
PERMIT APPLICATION
INSPECTION LINE PHONE NUMBER: (305) 762-4949
Master Permit No.
FBC20(u
S"�
RC/6 - 2 50s
Sub Permit No. N' -t�254
-
❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING Q MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9300 Biscayne Blvd
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-014-1640 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE:
OWNER: Name (Fee Simple Titleholder): Gabriel Cosentino
Address:9300 Biscayne Blvd
Phone#:
FFE:
City: Miami Shores State: FL Zip: 33136
Tenant/Lessee Name:
Email:
Phone#:,
CONTRACTOR: Company Name: to %4CO CA(:)/ ene-- Phone#: 3OJ�7�5� -G 053
Address: /) . / / d I U
City: t i,Aye 411 state: FL Zip: 330 /,3
Qualifier Name: D/cO 1--/e/exit) Dg Z Phone#: 30s-6 S8 e 58
State Certification or Registration #: CRC /8 /53 /6, Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ ? r l ((:)• aiSquare/Linear Footage of Work: I itO s i7'
Type of Work: ❑t Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: .DJ-c->er- t- ' C,J , /- J' / t» n4,-.1
Specify color of color thru tile: "� i %�
Submittal Fee $ Permit Fee $ i V Y I 5V CCF $ CO/CC $
Scanning Fee $ Radon Fee $ 9- • DBPR $ a . - Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ ff
I TOTAL FEE NOW DUE $ t3. ' O:
(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
inspection will not be approve/�einspection fee will be charged.
Signature //-
NER or AGENT
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
3(0 day of 064V , 20 I 7 , by 9 day of % S , 20 (6 , by
$.P 2f -& (2_ /11') , who is personally known to D; e0 / //E A)O#P - , who is(personally known to�
me or who has produced ,A2(� . C-(CE'-Q
identification and who did take an oath.
Sign:
Print:
Seal:
*****************
APPROVED BY
as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
NNN,
Sign: (cFP
Print: %ham' 7'
Seal:
***************.******************************************************************
Plans Examiner Zoning
(Revised02/24/2014)
Structural Review
Clerk
ACOREP CERTIFICATE OF LIABILITY INSURANCE
Ills......---.11/19/2018
DATE(MWDD/YYYY)
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
ROYAL CARIBBEAN INSURANCE AGENCY II
1772 WEST FLAGLER STREET
MIAMI, FL 33135
FACT JUAN G TUNON
y40.Extk 642 4541 uuc,Nor305-642-1087
A 'I 5,JTUNONROYALIIOGMAIL.COM
INSURER(S) AFFORDING COVERAGE
NAIC8
INSURER A : CAPACITY INS CO
INSURED
DEACO CENTRAL AIR CONDITIONING CORP
4730E 10 LANE
HIALEAH, FL 33013
INSURERS; TECHNOLOGY INSURANCE CO
INSURER C:
INSURERD:
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
LTR
TYPE OF INSURANCE
ADDLSUBR
R
WVo
POLICY NUMBER
POLICY EFF
(MMIDWYYYY)
POLICY EXP
(MDD/YYYY)
W
LIMITS
A
t
GENERAL
LIABIUTY
COMMERCIAL GENERAL UABILITY
OCCUR
HMH 11182015A
11/18/2017
11/18/2018
EACH OCCURRENCE
$ 1,000,000.00
X
DAMAGE TO
PREMISES (EaENTED oo urrsnoe)
$ 100,000.00
CLAIMS -MADE n
MED EXP (Any ono person)
$ 5,000.00
PERSONAL S AOV INJURY
$ 1 ,000,000.00
GENERAL AGGREGATE.
$ 2,000,000.00
GEN'L AGGREGATE LIMIT
APPLES�PER:
I I LOC
PRODUCTS • COMP/OP AGG
$ 1 ,000,000.00
n7 POLICY .. ERCOT•
$
AUTOMOBILE
LIABILITY
ANY AUTO
AU. OWNED
AUTOS
HIRED AUTOS
SCHEDULED
AUTOS
NON -OWNED
AUTOS
COMBINED SINGLE LIMIT
$
T
BODILY INJURY (Phr4son)
$
—
^
BODILY INJURY (Per accident)
S
PROPERTY DAMAGE
(Per tuxWenn
S
_
S
UMBRELLA UAB
EXCESS UAB
i
OCCUR
CLAIMS -MADE
EACH OCCURRENCE .
S
AGGREGATE
$
DEC RETENTIONS
$
B
WORKERS COMPENSATION
AND EMPLOYERS' UABILRY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER MEMBER EXCLUDED?
(Mandatory In NH)
If Yes, dascnbe undor
DESCRIPTION OF OPERATIONS
N / A
TWC3426595
09/23/2017
09/23/2018
Toav LI RB EA
E.L. EACH ACCIDENT
$ 100,000.00
ri
I '
E.L. DISEASE - EA EMPLOYEE
S 100,000.00
below
E.L. DISEASE - POLICY LIMIT
S 500,000.00
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule It more apace Is required)
LIC. HOLDER- DIEGO HERNANDEZ
LIC. # CAC1815316
AIR CONDITIONING CONTRACTOR
EMAIL: DIEGO HERNANDEZ [DIEGO@DEACOAIR.COMJ
CERTIFICATE HOLDER
Miami Shores Village
Building Department
10050 NE 2nd Ave
Miami Shores, Fl 33138
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
_-ACCtlbAWITH TIjEPOLICY PROVISIONS.
0i988f 2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/051 The ACORD name and loan are realstered marks of ACORD