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MC-14-228Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-216271 Scheduled Inspection Date: July 23, 2014 Inspector: Perez, JanPierre Owner: DENTICO, JAMES Job Address: 9280 BISCAYNE Boulevard H Miami Shores, FL 33138 - Project: <NONE> Contractor: JAMES DENTICO CONTRACTING INC euildtng Department comments A/C UNIT RE -INSTALL EXISTING 2 /1/2 UNIT Passed IE Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. C� Permit Number: MC -2-14-228 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number Inspector Comments CREATED AS REINSPECTION FOR INSP-206762. 1132060141448 Phone: 305-756-6553 July 22, 2014 For Inspections please call: (305)762-4949 Page 16 of 24 ♦! Miami Shores Village FEB o 7 2014 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (303) 762.4949 BUILDING PERMIT APPLICATION Fsc xo _— - m-- - - IL ArV 4lr-F A, xrrrr A T Permit No. Master Permit No. LC w Tenant/Lessee Name: Phone#: Email: c i % JOB ADDRESS: _ _ LL c "- %__1' City: {Miami Shores r County: Miami Dade Zip:22 Folio/Parcel#: 1 f ?? Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Address: _00 City: Qualifier Name State Certification or egistration #: Contact Phone#. DESIGNER: Architec gineer: Value of Work for this Permit: Type of Work: OAddress Description of Work: k -K LU ( S N - I Ok Certi ate of Competency #: Email Address >)J Phone#: Square/Linear Footage of Work: DAlteration pair/Repla ODemolition o'"J, Y,0 f fit C47Nerf ®cr t 't"' .- �1 Z Tl i[ 6 Vr — Submittal Fee $ •® Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ T raininglEducation Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 not be approved and a reinspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this day of,., 20 l�" , by e�f/ e`cd' , who is personally known tom or who has producedQ 4,j -A? L/,�60 As identification and who did take an oath. NOTARY PUBLIC: The foregoing instrument was acknowledged before me this day of .20 _, by , who is personally known to me or who has produced_," as identification and who did take an oath. APPROVED BY V® � , 1 '"1 Plans Examiner Structural Review (Revised 07/10/07)(Revised 0 i/10/2009)(Revised 3/]5/09) NOTARY PUBLIC: Sign: Print: My Commission Expires: Zoning Clerk Miami Shores village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 /Tel.- (305) 795 2204 Fax. (305) 756.8972 AIR CONDITIONING REPLA EMENT DATA kG-FALl- 4 S ( �k-<�-- 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): of 8 6 M %ice 131e (/,,�GO �i'� ff j r S p S City: Miami Shores Village County: Miami Dade Zip Code: 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 ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES B/NO ❑ ARHI Sheet Attached: YES ❑ NO Rellf Contract Attached: YES ❑ 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: _ Contractor's Company Name: C Phone: 309— State State Certificat7;:2 eM' C> I gT7A Certificate of Competency N. Signature Date: a re only) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS AHU CU PKG 1 M.C.A AHU CU PKG AHU CU PKG 2 M.O.P AHU CU PKG AHU CU PKG 3 VOLTS AHU CU PKG PKG UNIT J / PKG UNIT / J EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4°CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: _ Contractor's Company Name: C Phone: 309— State State Certificat7;:2 eM' C> I gT7A Certificate of Competency N. Signature Date: a re only) STATE OF FLORIDA _-_ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH TALLAHASSEEMONROE 3TRFLT32399-0783 DENTICO, JAMES L JAMES DENTICO CONTRACTING INC 10055 BISCAYNE BLVD MIAMI SHORES FL 33138-2645 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 bettei 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! I G#6287451 DETACH HERE STATE OF FLORIDA AC# 62871,51 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CMC015972 08/21/12 128048687 CERTIFIED MECHANICAL CONTRACTOR DENTTCO, JAMES L JAMES DENTICO CONTRACTING INC IS CERTIFIED under the provisions of Ch.489 FS Lspiraticn date. AUG- 31, 2014 L12082102277 STATE OF FLORIDA DEPAR OF BUSINESS AND PROFESSIONAL REGULATION �STRUCTION INDUSTRY LICENSING BOARD SEW x,12082102277 Under the provisions of Chapter 489 Expiration date: AUG 31, 2014 DENTICO, JAMES L JAMES. DENTICO CONTRACTING INC 10055 BISCAYNE BLVD MIAMI SHORES... FL 33138-2645 RICK SCOTT` GOVERNOR FS,- REN LAWSON SECRETARY Policy Number, Date Entered: ''#*- " CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYY) .` �`� 2/6/2014 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 cardficate holder Is an ADDITIONAL INSURED, the policy(las) 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). PRacucER � INs11RAN� 730 SCT 4TH ST. 3 CAPE CORAL, SL 33991 3 cALLISON PHaNr= , (866) 587-7.47 �� . (888) 592-3507 aoo LaEss: > LLI$ON@SAi 1QINSt7R15.Cox AFFORDING COVERAGE NAIO 8 YYPI3 OF INSURAWK INSURERAIPSB� CONTRACTORS INS. CO. (RRG) 12497 INSURED JAMS L. DRN7'YCO CONTRAGTING INC INSURERRs JAMS DENTICO 10055 BISCAYNE BLVD. VT AMi SHORES, FL 33139 INSURER C. INSURERDI INSURER 9, INSURER F f-e-AMDAPSc THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED �v,.v§vn nuawwran: NAMED ABOVE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER FOR THE POLICY PERIOD DOCUMENT WITH RESPECT TO WHICH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT THIS TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, IMOR LTR YYPI3 OF INSURAWK APUL aws POUCYNUNMRPowoy EFF W LIMITS OENERALLU1WLiTY A EACH OCCURRENCE $1,000,000 $50,000 COMMERCIAL GENERAL LIABILITY CLAM4544AM OCCUR PCICS026-PM70585 —04 /25/2012 /25/2014sHMM MED EXP(Arworwpwwn) $5,000 LeN PERSONAL& ADV INJURY 51,000,000 CaENERALAG6REG4T8 $1,000,000 CEMLACR3RBC�4TeuMrfAPPLIESPER: Pte' PRODUCTS -COMP/OPAGG $1,000,000 POLICY LOC S AUTOMOBILE LU161LnY ANYAUTO � OS� SSC LED BODILY INJURY (Per person) S FO ED BODILY INJURY (Pei dMldMQ S HIRED AUTOS AU TO $ PereiXAtlwtt UNIBRM A UAB LJOCCUR $ FADERS LIAR I OU\941S-ML4DE EACH OCCURRENCE $ DED RETENTION $ AGGREGATE $ WCRKERS COMPENSATrON $ AND EMFLOYERV LIABILITY YIN WC TATU• O H ANY PROPRIETOWPARTNSRl2%ECUTIy e 0MCEIMEMBEREXCLUDED? NIA E.LEACH ACCIDENT $ In mor U yC�,RIM DESCRIPTION OF OPERATIONS bekw E.LDISEASE.EAEMPLOYEE S B.LDISEASE . POLICY LIMIT $ DESCRIPTION OP OPEItATIONS / LOCATIONS / VEHICLES (Aaanh ACORD 101, Addiflonal Rmnadm SobWute, M nmwa apace is rngUIMM en; c:al Work TaIAM SSORES VILLAGE SHOULD ANY OF THIS ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NII 2ND AVPs THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SRORES, FL 33138 ACCORDANCE WITH THE POLICY PROVISIONS. 305 756 8972 AUT"ORIZED kWwx.8jwTATNE ASP ACORD 25 2010/05 ® 7988-2010 ACORD CORPORATION. All rights ( ! The ACORD name and logo are registered marks of ACORD PradUC2d USing Fors Boss Plus soRWare. www.F0rmsRM.Cor4; Impressive publishing 800-208.1977 r a Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOTA BILL -DO NOT PAY 1712968 BUSINESS NA ME&OCATION RECEIPT NO. EXPIRES DENTICO JAMES L RENEWAL SEPTEMBER 302014 CONTRACTING INC 1712968 ' 10055 B ISCAYNE BLVD C Must be displayed of business M WM I SHORES, FL 33138 Pursuant to Countyunty Code Chapter 8A - An. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED JAMES L DENTICO CONTRACTING 196 GENERAL MECHANICAL BY TAX COLLECTOR INC CONTRACTOR 56.25 01/312014 Worker(s) 10 CMC015972 0225-14-002429 This local Business Tax Receipt only confirms payment of the local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder anal comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a 276. FIIAMFD __ For more information, visit }v_vn_v mlarp dade.aov/taxcol actor