MC-10-629Inspection Number: INSP - 140616
Scheduled Inspection Date: May 04, 2010
Inspector: Perez, JanPierre
Owner: BLOCK, H&R
Job Address: 9015 BISCAYNE Boulevard
Miami Shores, FL 33138 -0000
Project: <NONE>
Contractor: RESULTS AIR CONDITIONING CO
Building Department Comments
May 03, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Number: MC -4 -10 -629
Permit Type: Mechanical - Commercial
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number (305)364 -9945
Parcel Number 1132060110070 -15
Phone: 305 -886 -2534
CHANGE OUT 2 UNITS 5 TONS EACH
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 9 of 11
Project Address
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
Contractor(s)
RESULTS AIR CONDITIONING CO
Phone
305 - 886 -2534
CeII Phone
Fees Due
CCF
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Submittal Fee
Submittal Reversal Fee
Technology Fee
Total:
Amount
$4.80
$1.60
$235.20
$3.00
$50.00
($50.00)
$6.40
$251.00
Address
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Expiration: 10 /18/2010
Parcel Number
Applicant
9015 BISCAYNE Boulevard
Miami Shores, FL 33138 -0000
1132060110070 -15
Block: Lot:
H&R BLOCK
Phone
Tons: 10
Additional Info: MECHANICAL
Classification: Commercial
Approved: In Review
Comments:
Date Denied:
Date Approved: : In Review
Type of Work:
Pay Date Pay Type
Invoice # MC -4-10 -37585
04/14/2010 Check #: 20284
04/21/2010 Check #: 1994
Amt Paid Amt Due
$ 50.00 $ 201.00
$ 201.00 $ 0.00
April 21, 2010
Date
CeII
(305)364 -9945
Valuation:
Total Sq Feet:
Available Inspections:
Inspection Type:
Final
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 accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated.
April 21, 2010 1
Hi to f
t s(t..L.
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: MECHANICAL
Owner's Name (Fee Simple Titleholder) Ul..11 % y UU 94 %4 M Phone #
Owner's Address 'NeL$TO W 40
City V.A.‘
Tenant/Lessee Name
Email
Job Address (where the work is being done) 41 ( 0 % 1 6" cA.G 1/45@. % \04.
City Miami Shores Village County Miami -Dade
FOLIO / PARCEL # – — O A — 061 O
Is Building Historically Designated YES NO =
Contact Phone
Architect/Engineer's Name (if
Value of Work For th
Type of Work: ❑Addition
Gti99s
Describe Work:
Notary $
Scanning $ OV
Double Fee $
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949 A
Permit No.MC) \ Q — (Qaq
Master Permit No.
s R
Radon $
State 'W L Zip \ 4 6 .
Miami Shores Village
Building Department
Training/Education Fee $
E -mail
.(i2,0
DPBR $
Phone # 305 `110 *C64
64
Zip 33 %3$.
Flood Zone
EIIIIE
APP 4 M
B p v'
PrJ�� 4/C.---- r.r..e
Contractor's Company Name Re..s WS A 1 a_ ®i..,) b Phone # 305 F5 7 ?8'
Contractor's Address 7V57 is/kJ ?ta)– AV t.
City I i t l to 1 // ` State °F / Zip 33/6 4
Qualifier Name J Z J C /4 0)r ao ' 4 t -- ck.. Phone #" i 7 775
State Certificate or Registration No. A'60 576 53 Certificate of Competency No.
pca V
�
LI
t$ Square / Linear Footage Of Work:
R'Alteration New ❑ Repair/Replace ❑ Demolition
C oc-' ra s 74, i4`6- an. `P'j l 0
2) ib kw e kGk 'La lbw To fa`
Phone #
* * * * * * * * * * * * * * * * * * * * * * * * * * * *
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ** e /f
Submittal Fee $•V Permit Fee $ 5 l v� CCF $ 4)
* * * * * * * * * * * * *
CO /CC $
Technology Fee $ ( 0
Bond $
Violation date:
Structural Review. $ Total Fee Now Due $ v .01•0
See Reverse side --> --------
k w .
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 fait
whose property is s
for the first inspe
inspection will not
Signature
NOT
se c
ion
ap
Print:
My Commission
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
t a copy of the notice of commencement and construction lien law brochure will be delivered to the person
to at %chment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
ich curs seven (7) days after the building permit is issued. In the absence of such posted notice, the
nd a reinspection ee will be charged. _
Signature
er or Agent Contractor
The foregoing instrum t was acknowledged before me this �t The foregoing instrument was acknowledged j before me this ( s
day of �°`, 20 f ®, by 1 o sire /t , day of ( , 20 �, by �/ ' Ce �5ed�
who is personally known to me or who has produced who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
As i i cafi. d who did take an oath.
IJ ,
� lPaY PCB +ice .
Nola'
Pt •=IN CommissioL - wires Jul 22, 2010
•'�
941 � 5 Commission # DD 534911
'''•° „ Jt ” Bonded By National Notary Assn.
_JEW Florida
Sign:
Y PUBLIC
Engineer
Sign:
Print:
My Co
1 (1
s
0
Ex
TARY PUBLIC - STATE OFFLORIDA
-49 1
" Astrid Delgado
'
•'„ 6 •1
,, ,,, Expires: MAR. 22, 2014
ED THRG ATLANTIC BONDING Ca, INC.
ires:
* * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** * * * * ** *********************************** * * * * * * * * ** ** ** ** * * * ** * * * * * * * * **
Plans Examiner
Zoning
Clerk checked
/777,V: 7--ra / , (63 /Mitt 11,11414C IICWQ. ►/( ad(/) 010 2
RESULTS AIR CONDITIONING
7451 N.W. 72 AVENUE
MIAMI, FL. 33166
Phone: 305 -885 -2634
wC
Fax: 305 -885 -4303
PROPOSAL SUBMITTED TO
F H Group
STREET
3850 Bird Road 8th floor
CITY, STATE AND ZIP CODE
Miami, Florida 33146
ARCHITECT
We hereby submit specification and estimates for:
Payment to be made as follows:
PHONE
786- 375 -6898
FATE OF PLANS
All material Is guaranteed to be as spec(tied. All work to be
completed in a workmantime manner according to standard
practices. Any alteration or deviation from above specifications
i nvolving extra costs will be executed only upon written orders and
will become an extra charge over and above the estimate. All
agreements contingent upon strikes acckien or decays beyond our
control. Owner to carry fire, tornado and other necessary
I nsurance. Our workers are fully covered by' ■sorkmen's
compensation Insurance.
Acceptance of Proposal - The above
prices, specifications and conditions are
satisfactory and are hereby accepted. You are
authorized to do the work as specified. Payment
will be made as outlined above.
Date of acceptance
1
308 NAME
9013 Biscayne Blvd
30S LOCATION
3O8 PHONE
Supply and install (2) Trane Commercial 3 phase high efficiency 5 -ton split A/C
systems. Installation to include the following:
• Removal of existing to scrap
• Horizontal drain kit with auto shut down
• Digital Trane t -stat
• Seal supply return with mastic # 6 (high velocity duct sealant)
• Vibration Isolators
• Electric heat strips
• Hurricane straps
• Start up and testing
• Crane Service
Note: Drop ceiling removal and reinstallation upon completion by of , ers
Warranty: 3 years on parts and labor
10 years on compressor
]yob Quote: $ 7,840 00 (Plus tax and permit fee)
We Propose hereby to furnish material and labor - comple a in accordance with above
specifications, for the sum of $
Authorized Signature
Note: this proposal may be withdrawn by us if
not accepted within days
Signature
X
Signature
X
FAX
305 - 779 -8357
DATE
3/19/2010
•AV,K.S)
Y2 A441 •
II 1 III
PROPOSAL SUBMITTED TO PHONE
C F H Group . 786- 375 -6898
FAX DATE
305- 779 -8357 :3/19/2010
STREET
:3850 Bird Road 8th floor
10B NAME
9013 Biscayne Blvd
CITY, STATE AND ZIP CODE
:Miami, Florida 33146
JOB LOCATION
ARCHITECT DATE OF PLANS
JOB PHONE
•
[We hereby submit speecification and estimates for:
Supply and install (2) Trane Commercial 3 phase high
systems. Installation to include the following:
• Removal of existing to scrap
• Horizontal drain kit with auto shut down
• Digital Trane t -stat
• Seal supply return with mastic # 6 (high velocity duct
. • Vibration Isolators
• Electric heat strips
• Hurricane straps
• Crane Service
• Start up and testing
Note, Drop ceiling removal and reinstallation upon completion
Warranty: 3 years an parts ard labor
10 years on compressor
..Vob Quote: $ 7,840.00
Ate Propose hereby to furnish material and labor - comple
specifications, for the sum of $
'ayment
efficiency 5 -ton split A/C
sealant)
fl/50 � ✓ Q
by of ers 3-1A) ° '
(Plus tax and permit fee)
e in accordance with above
to be made as follows:
Ii material is
guaranteed to be as specified. All work to be
ompleted In a workmantlme manner according to standard
ractices. Any alteration or deviation from above specifications
wolving extra costs will be executed only upon written orders and
1111 become an extra charge over and above tl4e estimate. All
greements contingent upon strikes accidents or delays beyond our
)ntrol. Owner to carry fire, tornado and other necessary
!surance. Our workers are fully covered by V•'orkmen's
)mpensatlon Insurance.
... .• '•. ... ... . _
Authorized Signature
Note: this proposal may be withdrawn by us if
not accepted within .days
■cceptance of Proposal - The above
rites, specifications and conditions are
tisfactory and are hereby accepted. You are
uthorized to do the work as specified. Payment
ill be made as outlined above.
ate of acceptance
Signature
X
Signature
X
RESULT'S AIR CONDITIONING
"
7451 N.W. 72 AVENUE
MIAMI, FL. 33166 "1/4
Phone: 305 - 885 -2634 / ,
Fax: 305 - 885 -4303
April 1, 2010
Miami Shores Village Building Dept.
10050 N.W. 2 Ave.
Miami Shores, Fl 33138
Re: Shore Square Investments
To Whom It May Concern:
By means of this letter, Shore Square Investments, authorizes "Results Air Conditioning" to
replace 2 A/C units at the property located at 9013 Biscayne Blvd., Miami Shores.
Thank you for your cooperation in this matter. If you have any questions you can contact me at
(305) 779 -8050.
worn to and subscri
My Commission expires:
t day of April, 2010
( 8 1 3 5 5 7 7 9- 0 4 '.6 ('i) 3 0 5 8 , 0
oy% ,,, MADELIN ALFONSO �.
, o SP � Notar{ Public - State of Florida
* ` ;Y
M Commission Expires Jul 22, 2010
_
0.0 " `o;4 Commission # DD 534911
4' 1 ' O reo ' Bonded By National Notary Assn.
3950 Bird Road F' Flour L 33146
Maud SdoltasViets9e Vadat V4 antrne ea
10050 NE 2nd Ave Miami Shores, Fl 3313
Phone 305 - 795 -2204; Fax 305 -762 -5253
www.miamishoresvillage.com
CONTRACTOR LICENSING/ REGISTRATION REQUIREMENTS
FOR ALL CONTRACTORS TO REGISTER IN THE VILLAGE OF MIAMI SHORES THE FOLLOWING
REQUIREMENTS ARE NEEDED:
DADE COUNTY CONTRACTORS:
A. Certificate of Competency
B. Dade Municipal Occupancy
C. Dade Occupational Occupancy
D. State Registration
E. Liability Insurance Certificate
F. Workers Compensation Insurance or Exemption
STATE CONTRACTORS:
A. State License
B. Occupational License
C. Liability Insurance Certificate
D. Workers Compensation Insurance or Exemption
***"**** *,ALL INSURANCE CERTIFICATES MUST BE MADE OUT TO THE FOLLOWING'***"*"'"
Miami Shores Village
10050 NE 2 AVE
Miami Shores, Fl 33138
ALL PERMIT APPLICATION REQUIRE THE QUALIFIERS NOTARIZED SIGNATURE
Business Name: Res v Ifs 4tr-
Business Address: 71 S 1 / W -2 2 V
Business Telephone: (30 s) S o - 26 3k Fax Number: (3O5) 8155' 2-4 U
Qualifier Name:
TSasc a teu Coe 6.2 ra.,
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
1940.NORTH MONROE STREET.
TALLAHASSEE FL 32399 -0783
CORBERA, JOSE ALEX
RESULTS 'AIR CONDITIONING COMPANY
7451 NW 72ND AVENUE
MIAMI FL 33166
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
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!
DETACH HERE
(850) 487 -1395
d al
1$ CERTIFIED unto' s tTu -prey& o na of : cu.4E
e s i�.a#e¢ Ai3'C .
A .01
20 . 8o8 . 9.04
1�fd�
THIS IS NOT A BILL - DO NOT PAY RENE
RECEIPT NO. 0:
TI¢NING co STATE #.CACO57653
032392 -3
BUSINESS NAME/ LOCATION
RESULTS AIR CONDI
7461 NW 72 'AVE
.33166 MEDLEY
RESULTS:;AIR CONDITIONING CO
Sec. T ype of Business WORKER /S
196 SPEC MECHANICAL CONTRACTOR 10
THIS IS ONLY A LOCAL _ BUSINESS TAX RECEIPT. IT
DOES NOT PERMIT THE ANY
HOLDER TO EXISTING REGULATORY OR
ZONING' LAWS OF THE
COUNTY OR CmES. NOR
DOES IT EXEMPT THE
HOLDER FROM ANY OTHER
PERMIT OR LICENSE
REQUIRED EY LAW. THIS IS
NOT 1 L I OU A UF OF
T HOE INIALIFiCA•
WOKS.
trio
R:
08/12/2009
=- 60000000:098
000045.00
SEE OTHER SIDE
DO NOT FORWARD
RESULTS AIR CONDITIONING CO
JOSE A CORBERA PRES
7461 NW 72 AVE
MIAMI FL 33166
•
1 ffl })ffihmilfthull.n f fhflffltndflf! /ifffftflaf}
t ins O
BILITY INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
USUR NATIONAL INSURANCE COMPANY
DusuRERa: BRIDGEFIELD EMPLOYERS INS. CO.
INSURER C:
INSURER D:
INSURER E
DA
1 TE
04/07/2010
NAIL #
Pathaucen
ALLSAFE INSURANCE GROUP
7171 CORAL WAY #208
MIAMI, FL 33155
INSURED
COVERAGES
THE POLICIES OF ItMURANCE USTED 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 CERTWICATE MAY BE ISSUED OR
MAY PERTAIN, THE R4SURANCE AFFORDED BY THE POLICIES DESCRIBED HEREON IS SUBJECT TO ALL THE TERMS. EXCLUSONS AND COMMONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
MA ADD'!
J.TILNSRD
TYPE OP NAURANCE
GENERALLUINUTY
X COMMERCIAL GENERAL LIABILITY
1 CLAIMS MADE 13 OCCUR
GEML AGGREGATE LIMIT APPUESPEIb
— 1 POLICY E J n1c
AUTOIIOBILELIABBITY
ANY AUTO
•■•.• ALL OWNED AUTOS
_ SCHEmH. DAUTOS
HIRED AUTOS
NON OWIBW AUTOS
GARAGEUABRIIY
ANY AUTO
EXCESS l UMBRELLA L IABEJTY
OCCUR D CLAIMS MADE
DEDUCTML E
RETENTION S
W ORIIEIB COMPENSATION
AND EMPLOYERS' LIABDJIY
ANY PROPRIETORIPAR TWE
pFaFICE EXCLUDED/
b,Y k, NH)
If PROVISIONS hebor
OTHER
POUCYNUNH1t
011 0000488 03
0130-35072
DATE! ZMO 1
012010
01/26/2010
,
01/08/2011
01/26/2011
LIMITS
EACH OCCURRENCE
BAMAGE TO HENYEO
PREMISES tea omureanen,
MED SNP (Anyana parson)
PERSONAL 8ADVII&IURY
GENERAL AGGREGATE
PROTABGB -COMNOP AGO
COMBINED CHICLE LIMIT
(Ea ax>deq)
B ODILY INJURY
(Par passw0
BODILY INJURY
(Par
PROPERTY DAMAGE
(Ref U
AUTO ONLY -EA ACCIDENT
OTHER THAN
AUTO ONLY
EA ACC
AGG
EACH OCCURRENCE
AGGREGATE
17aRY1Ai s I
EL EACH ACCIDENT
EL DISEASE -EA EMPLOYEE
Si. DISEASE - POLICY UNIT
$ 1,000,000
▪ 100,000
5.000
$ 1,000,000
$
8
2,000,000
1.000.000
3
S
a
S
S
S
S
s
s
s
$
• 100,000
$ 100,000
500,000
A
B
:ERTIFICATE HOLDER
%CORD 25 (2009/01)
MIAMI SHORES VILLAGE
10050 N.E. 2ND AVENUE
MIAMI SHORES, FL 33138
FAX: 305- 762 -5253
CERTIFICATE OF LIA
RESULTS AIR CONDITIONING COMPANY
7451 NW 72 AVENUE
MIAMI, FL 33168
30-262 -5244
3ESUHI+fIONOP OPERATIONS / LOCATIONS IVIBUCLESIEXCLUSIONS ADDEO BY WITIORSEMENTISPECIAL Pa01Rt3ENffi
AIR CONDITIONING SERVICES
CANCELLATION
MIDuLDAWHIPMEABOVEMIEBMGMIBUtaBBECANCELLEDBEFORE THEIMPLRATIDN
DATETHEREOF.THE ISSUING DISURER WILL ENDEAVOR TOMAIL 30 DAYS WRITTEN
NOTMA To THE CERTIFICATE KOLUER NAB TO THE LEP%. BUT FAILURE TO OD BO SHALL
DOSE NO OBLIGATION OR EDIBILITY OP ANY HIND UPON THE SOURER, ITS AGENTS OR
REINIESENTATIVES.
AUTHORIZED A TL�IE+'�'�
JACQUELINE
1988- 200979:RD CORPORATION. All rights reserved.
The ACORD name and loco are reolstered marks of ACORD