HomeMy WebLinkAboutFolio 2024-2026 Permit - CR 3680 CR 3680 - 9/24/2024 4
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CONTRACTOR REGISTRATION :''''l ' 41" ''''''' '-",,
100 West Dania Beach Boulevard*Dania Beach,FL 33004 '" C":, Q2
(954)924-6805*3651,3633 or 3652 Fax(954)922-2687 . --1
DANIA BEACH
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PLEASE PRINT LEGIBLY
Type of Contractor Mechanical Contractor
Company: Name Cool Wind Corp.
Office Address 16612 Sw 114 Cl
City/State/Zip Miami,FL 33157
Office Phone# (305)879-6580
Qualifier:Name Yoel Arencibia
Office Address 16612 Sw 114 Ct
City/State/Zip Miami,FL 33157
Home Phone# (786)210-4402
Owner:Name Yoel Arencibia
Office Address 16612 Sw 114 Ct
City/State/Zip Miami,FL 33157
Home Phone# (786)210-4402
PROVIDE PHOTOCOPIES OF THE FOLLOWING DOCUMENTS
Qualifier's Driver's License A652-960-67-269-0 State: Florida
City Business Tax Ucense 6395677 City: Miami
County Business Tax Ucense County: Miami-Dade
State Ucense CAC1817188
Certificate of Competency
Certificates of insurance must show the City of Dania Beach as the Certificate Hoiden
General Liability Expiration Date: 03/15/2025
Workers Compensation Expiration Date: 03/15/2025
I hereby certify that the information contained herein is true and accurate to the best of my
knowledge. 9
Yoel Arencibia
"4"
Qualifier's Signature'
Date
The foregoing insttrrumen was acknowledged before me this 13 -day of
August 202
By Yoel Arencibia who is personally known to me or has produced
Personally Known as identification and did(or did not)take an oath
' 7174,,e_Azt My Commission Expire ,';.......i . MARIACARLSON
.i MY COMMISSION#HH 474384
`- /° EXPIRES:Apri 17,2028
Contractor Registration Rev. 09/26/2017
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