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MC-09-1943i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 158545 Permit Number: MC -11 -09 -1943 Scheduled Inspection Date: April 20, 2011 Permit Type: Mechanical - Residential Inspection Type: Final Owner: MAJOROS, PAUL & MILDRED Work Classification: A/C Replacement Job Address: 601 GRAND CONCOURSE Inspector: Perez, JanPierre Miami Shores, FL Project: <NONE> Contractor: SOPHISTICATED AIR COND & REFRIG INC Phone Number Parcel Number 1132060172140 Phone: (954)914 -6041 Building Department Comments INSTALLTION OF A NEW KENNOX CONDENSING UNIT AND AIR HANDLER TO REPLACE EXISTING NON - FUNCIONING UNITS, AND REPLACE DUCTWORK 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- 130033. need to install hood jpp April 19, 2011 For Inspections please call: (305)762 -4949 Page 18 of 20 \1IZSIocf pcti)J \tk\\O Miami Shores Village Building Department 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 Permit Type: MECHANICAL `s`l� it NOV 2' 201.L. BY: �--� Permit No. I‘C Gel H - ! 43 Master Permit No. Owner's Name (Fee Simple Titleholder) Ifit It ME. JO MA-50A p,s Phone # Owner's Address 60 1 6-404-P4) C ON coc)reS (, City (jihelea S/ f Oit,s State F L Zip 3 313 S 36 - 5-17- Tenant/Lessee Name Email Phone # �- Job Address (where the work is being done) 6 0 &IRS N C 0 (.O v� Miami Shores Village County Miami -Dade Zip 3 3138 City FOLIO / PARCEL # // 30)a(,- c7r7 - a 1 L1 o Is Building Historically Designated YES NO ✓ Flood Zone Contractor's Company Name S0 i r.• 'e d Air Cv nd (a+ v.v.iyPhone # ct r N - 1 14 - 6 0 q ( / Contractor's Address (3 0(1_1_ S w '(1 S-3- J b pv�4 t t F(,. 3033 53 O 3 °$- C.6 f - City State Zip Qualifier Name pow, C . C I ctpS a4 ( Phone # 3 v 7'-- C ( S- - 7-�- State Certificate or Registration No. (.M C (7,.y q 325 Certificate of Competency No. Contact Phone Pc,w I C. C IaprcrCC ( E -mail 3uS- G6 s- Architect /Engineer's Name (if applicable) ►^ / CA-- Phone # Value of Work For this Permit Square / Linear Footage f Work: if W Type of Work: ❑Addition ❑Alteration ❑New Repair/Replace ❑ Demolition Describe Work: (, .J -p1,(I pN'jd , a -f 0.- h c w CA-414. x (A:In Levi i►� i Lor. -1'" Q..h ci /°D r rft iAa It_ r 40 r t p (t Gil I S -h. vj.y Al 0 n - .� . ", �"I 1'O ,9 ■ h L} J J 4. I3 r * * * * ***aF:F**** * * *k * ** **** *k *** ** *k *** ** ** * �F�t: F�Fk* ** * * ** *** **** ** * * ** * *:F:F * ***** Permit Fee $ � � CCF $ ,5. 3.(0.0 CO /CC $ Submittal Fee $ Notary $ Scanning $ 5.00 Double Fee $ Training /Education Fee $ j . Radon $ Structural Review. $ DPBR $ Violation date: Technology Fee $ 4.1c0 Bond $ Total Fee Now Due $ 31 See Reverse side --* 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 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 appro and a reinspection fee will be charged. Signature Owner or Agent �j The fore 'ng instrument was ackno 1 ged b : ore me this Da J The foreg ing i strument wa ckno edge � befo : e this �� day of �y�V v , 20 Jby 11V '' �./V f jj day of , 200 , by , (t &Of err pally known to me or who has produced " � Signature Gam? C° eC� yaaa.dQ Contractor who is pe (onally known to m or who has produced �c lenification and who did take an oath. NOTARY ' , : LIC: Sign: Print: My Commission Expires: APPROVED $y (:\111-6) 1 'Placation and who did take an oath. NO ARY PUBLIC: 1��c. Sign: i ����c�c °'' Print: 'V.N_e X112 My Commission Expires: vQP,..440� y`al,31s ****************************************o******************* lans Examiner Zoning (Revised 07 /10 /07)(ReviiLd 06/10/2009) Engineer Clerk checked Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name Date �I/�`�'� tzt43 MECHANICAL CRITIQUE SHEET )IAft 0.1&(J. 9-1)c)1L'ocii- U&L) 0,0 t/A C l I 'c S' --c) �t --h o S -711 YOv h� �� G<7 111'{' 11/23/2009 3:25 PM FROM: Fax TO: 3057568972 PAGE: 001 OF 001 Policy Number: 185FL00004268 CERTIFICATE OF LIABILITY INSURANCE Date Entered: 10/30/2008 PRODUCER The World Of Insurance, Inc. 13155 S.W. 134 ST SUITE #209 MIAMI, FL 33186 Phone: (786) 573 -2221 Fax: (786) 573 -2224 THIS CERTIFICATE IS ISSUED AS A ONLY AND CONFERS NO RIGHTS HOLDER. THIS CERTIFICATE DOES ALTER THE COVERAGE AFFORDED DATE (MMIDDIYYYY) 11/23/2009 MATTER OF INFORMATION UPON THE CERTIFICATE NOT AMEND, EXTEND OR BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED SOPHISTICATED AIR COND & REFRIG,INC MR PAUL C.CLAPSADL 13922 S.W. 41 STREET DAVIE, FL 3333 -5728 INSURERA:GRANADA INSURANCE COMPANY INSURER B INSURER C: INSURER D: INSURER E COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYYYY) - POLICY EXPIRATION DAT (MM/DDIYYYYI LIMITS N. GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 185FL00004268 11/1/2009 11/1/2010 EACH OCCURRENCE $ 1, 000 , 000 DAMAGE TO RENTED PREMISES (Ea $ 50,000 CLAIMS MADE OCCUR occurrence) MED EXP (Any one person) $ 5, 000 PERSONAL &ADV INJURY $ 1, 000, 000 GENERAL AGGREGATE $1,000,000 GEN'L —1 AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 500,000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS N/A COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per acddent) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO N/A AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY OCCUR I CLAIMS MADE DEDUCTIBLE RETENTION $ N/A EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS AND EMPLOYERS' ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER /MEMBER (Mandatory If yes, describe SPECIAL PROVISIONS COMPENSATION LIABILITY Y /N N /A WC STATU- OTH- TORY LIMITS ER EXCLUDED? E.L. EACH ACCIDENT $ In NH) under below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER N/A DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS AIR CONDITIONING CONTRACTOR. r•CCTICIl•A•C Li nr-n MIAMI SHORES VILLAGE 10050 NE 2ND AVE MIAMI SHORES, FL 33138 FAX: 305 - 756 -8972 ACORD 25 (2009/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE OJEDA © 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD roduced using Forms Boss Plus software. www.FormsBoss.com; Impressive Publishing 800 - 208 -1977 03 -03 -2009 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL_ OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt 'from Florida Workers' Compensation law. EFFECTIVE DATE: 02/19/2009 EXPIRATION DATE: 02/19/2011 PERSON: CLAPSADL PAUL C FEIN: 352240827 BUSINESS NAME AND ADDRESS: SOPHISTICATED AIR COND. & REFRIG. INC 13922 SW 41ST STREET DAVIE FL 33330 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED MECHANICAL CONTRACTO IMPORTANT: Pursuant to Chapter 440. 05114), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section tor issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2009 THROUGH SEPTEMBER 30, 2010 DBA: Business Name: Owner Name: Business Location: Business Phone: Rooms SOPHISTICATED AIR COND PAUL C CLAPSADL 13922 SW 41 ST DAVIE 954 - 914 -6041 Seats Receipt #: 183 -1664 & REFRIG IN Business Type: HEATING / AIRCONDITION CO RA (HEATING /AIRCONDITION `19778756 1 Business Opened: 06 State /County /Cert/Reg: CMC 1249325 Exemption Code: NONEXEMPT Employees 2 Machines Professionals For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty - Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0 0.00 0 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: 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 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. SOPHISTICATED AIR COND & REFRIG IN 13922 SW 41 STREET DAVIE, FL 33330 Receipt #052 -08- 00000074 Paid 08/26/2009 27.00 AC# F FLORIDA �'AND PROFESSI-ONAL REGULATION USTRY LICENSING BOARD SEQ# L0807240106 ►/24/2008 087003413 CMC12 LICENS The MECHANICAL CONTRACTOR' Named below IS CERTIFIED Under the provisions of Cha Expiration date: AUG 31, 2011 NB'] CLAPSADL, PAUL CHARLES SOPHISTICATED ,AIR COND 13922 S.W. 41ST STREET DAVIE FL 444 4. i F 4 4 4 r 4 t 4 444444444 4 4 4 4 4 4 t•441.444.444f4... 44 .. 4 _.w 1• 4 4 4 4 4 4 4 4 4 4 4 4 f t 4 t 4 t 4 t 4 4 4• P. 44444 4 f t 4 4 4 4 • 4 44444 4444 1 4 4 4 4 4 4 4 4 4 1 4 . 1 1 . 1 1 . 1 , 1 4 t 4. 7• 4 f t 4 4 4 t 4 i ♦• ♦• 4 4 4 4 4 1 4 44444 t444t444.4•►44f♦ 44 1 4 4 . 4 4 4 4 4 4 4 4 • ♦ • w • • • • ♦ • t 4 f 44444+494 +444 +7444$+41 4 :44t 4444 4 4 4 4 4 4 4 4 4 • • 4 4 4 • • ♦ 4 44 • t f 4 4 • 4 ¢,�.'4�1 44.:.'.4444;4 44%1.41474•♦ +L 4 1 444 r•t44r4 44.47t4444144t• 4 4♦ 4 ♦ 4 4 4 44 •♦ 4 4" 4 4 4 4 4 4 4• 4 4 4 4 4• I. 4 4 4 • 4• 4 f 4 Rist 4 4. ♦•• 4 4 4 4 ♦ 4 4 4 •• 4 4 4 4 4 4 4 4 4 4 4 1lt 4 4444 r *,4 _ r 4 Pt 4 t 4 r ;4 41y 4. 4f 4444 k7C%L..: . 4 +4 44 ♦ 4 4 • r 4. 4..4..4 4 4 4 4 4_ 44,444444444444444•_4 4,4.. y 4 4 4. 4 4 4 4 4. • 4 4 4 4 4 4 4 4. 4 444444444444444 44 4 41144 4444444:4444444 .44476?•': 4. 444 444 ♦444pI° . 444;4 4 r 444 4 4 f tA 444444.444447.4144 , b4 4+44 44: 4444^X44_44. 4!.. 4. 9 4 4 4 4 4 4 4 4 4 4 4 4 8 4. 4. 8 + 4 4. 4 + 9 4 444 4 1! 444444 FT4t474 *4 *4 4 4 4 w 4 4.• •♦ • 74t444t4441474f 44414 7 4 t T 4 T 4 4 t 74 ! 4 4 4 4. • I • • 4 w 4 4. 4 ♦ 4 4 4 4 4 4 4 44 ►444444t•444,4'4444.4 ♦ 4• 4 4 4 F 4 i 4 4 4 4 4 F 4♦ 4 4 4 4 4 4 F i 4 4 4 t 4• i t t 4 r 4 7• 4 T 4 4 r 4 4 4i! 4 444'44.444P44414444444.4. 4 1 4 i i 4 F 4 4 { i F 4 i 4 414. 4 4'14 0 4 44 t 4 4,44 4. 4 t 7 4 f } 4 { 4 ♦ • • ♦ 4 i • 4 i 4 4 4 4 F ♦ 4 4 4 4 4 4 4 f 7 f 4 4 T f T 4 7 t y! 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T 4.4 ♦ + t t 4 4 4 * 4 t 4 f 4 4+ 4+ 4 +4 44 L• :.: h f 4 4 t 4 r 4 f r 4 f y t 7} 4! 4 t 7 f t T f f t y} y t y f r f i i 4 • 4 ♦ 4 4 4 4. 4 4 .+ 4♦ 4 i i 4 4 i i4 • 4 44♦ : 4 4:♦ ♦ i :4 • • : 4 4 4 1 4. 4 4 4 L ♦ i 44 ♦ i 4 • 44 4444444444444444. 4 4 : 4 4. 4 I• 4 ▪ f T 444444+4444. 44444 .4 4 y f r t t 4 4 4444444. 444 4 44444. 44444 T t 4 t ▪ :. %44444444444.744. 74447444 '4444444444441447f .,.. 4 • • 4 4 4 t T ! 444444 .444 4,. •'•• . ,4. :t. 4 4 4 4 Y. ,4�� .I ,:1 j• 4.4 4 • 4 4 • ••4 4.4 • 4 4 4 4 4 4 4 4 4 f 44t 4444444444 44444: 4 44 44. 44 44 4 1 44 • ►'• .. *_ 4444444 SITE PLAN [showing location of A/C Unit] Paul & Mildred MCo$ • • • ••• ••. • • • 601 Grand Concourse Miami Shores, FL • • • •• • • • •• ••• •• • ••• • • ••• • • • Proposed A/C Di cgwOrk 1 [4dirrscatickn • • •• • • • • •• • • • • • • • • • • • • • • • •• •• ••• • • • • ••• • • • • • ••• • • • • • • • • • •• •• ••• • • • • • • • ••• M MECHANICAL NOTES ExteriorA/C Condensor to be Replaced with Lennox 3 -Ton HVAC Condensing Unit Model XC21- 036 -230, on concrete pad [to service ground floor] -AHRI Certified Ref # 542420 - Cooling Capacity (Btuh) 36800 - EER Rating 13.35 - SEER Rating 19.25 Existing A/C Condensor on concrete pad to remain [services second floor] Interior Air Handler to be Re- placed with Lennox Air Handler Unit Model CBX32MV 036 -230 Finished Size of A/C Handler Closet 4' -6 1/2" x 2' -10 1/2" GRAPHIC LEGEND New A/C Supply New A/C Return ® Existing A/C Supply to be removed Existing A/C Return to be removed r Existing NC Supply to remain WO WIMP lUil1I111111I1— 111111111111111 oti 1(11111111111111 111111 1111111 ,111111111i- KITCHEN 16' -81/2" x 11' -0 1/2" 225 cfm 8" grill FAMILY -RDA 15'-10° Plenum 14" x 14" MONSI.MIMMIWOMI WNW 250 cfm 8" grill 7'-4" [distance to exterior wall] 2 "x90" 10 "x6 III II l.IuuaIlllill111Iilllt.11111' a I: 11, 1111 ILII=1111110.11111"PL 75 cfm ®�! 4" grill Return Grill in Door 16" x 36" 200 cfm 8" grill 200 cfm 8" grill 125 cfm 6" grill 125 cfm 6" grill DINING 112 " -X 15-x° -- 11111111111111111111111111111 11111111111111111111111174 Paul & Mildred Majoros ...... • 601 Grand CaaiciiarCe: :'... .' • • Miami Shores,'FL' ' " "' " Proposed %4 I ictv�o>tl• A : .. . ... . • . .. Modificatida' ': '.' '.' • • ... • • .. • • • ... ... • .. .. .. • • • • • 000 • • ... • • • • • . • • .. • • 000 • • • • • ••• .• • ••• ••• • • • •••• • • •• • • • • • • ••• • • • • •• •• • •• •• • • ••• • •,•••• •• • r • 64x; artV • MGMIIiYM1 ha JAN 11 2010 BY: APPROVED SY ZONING DEPT BLDG DEPT SUBJECT TO COMPLIANCE WITH ALL FED:9AL STA I L AND COUNTY RULES AND REGULATIONS s