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MC-17-1390 PehnitN6.�l —6,rl 7 ftp o,! Miami Shores Village P@unit Type, Mectlalnical Residential - �� 10050 N.E.2nd Avenue NW S W rk 0assfficaffo11 A/C Rep Cement Miami Shores,FL 33138-0000 hyo Phone: (305)795-2204 P�1 $e� AI� Vl fitORtDp' i4' Expiration: 12103/2017 Project Address Parcel Number Applicant 126 NW 109 Street 1121360100190 RICHARD KRUDER Miami Shores, FL 33168- Block: Lot: Owner Information Address Phone Cell LAUREEN CLARKE 126 NW 109 ST MIAMI SHORES FL 33168-4317 Contractor(s) Phone Cell Phone Valuation: $ 6,600.00 ARS/RESCUE ROOTER (305)235-7223 Total Sq Feet: 0 Tons:3.5 Available Inspections: Additional Info:A/C REPLACEMENT 3.5 TON Inspection Type: Classification:Residential Final Approved:In Review Review Mechanical Comments: Date Approved::In Review Date Denied: Type of Work: Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $4.20 Invoice# MC-5-17-64090 DBPR Fee $3.47 DCA Fee $3.47 05/23/2017 Check#:8253012.' $50.00 $208.14 Education Surcharge $1.40 06/06/2017 Credit Card $208.14 $0.00 Permit Fee $231.00 Scanning Fee $9.00 Technology Fee $5.60 Total: $258.14 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 confro ' with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume re ons, il,ty for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUM NG,M CHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I rify t at all he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. e r authorize the above-named contractor to do the work stated. #-41Z(2k-*-) Q,-:,'t� 300, Z3S,7Z23 June 06, 2017 Authorized S' ure:O ner / Applicant / Contractor / Agent Date Buildi art ent Copy June 06,2017 1 Miami Shores Village RWCI " Building Department 13 241V 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 By: Tel:(305)795-2204 Fax:(305)756-8972 - } INSPECTION LINE PHONE NUMBER:(305)762-4949 l' FBC 20 Iq BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL F-1 PLUMBING ® MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION [:] SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I GCO YLLI� 1 t w e2g—, City: Miami Shores County: Miami Dade Zip: 3� 1coe Folio/Parcel#: �-2 � 3Cp' — 0 Q Is the Building Historically Designated:Yes NO X Occupancy Type: G-7 Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):(GP Ae7,D K<L050 Phone#: x05-11525— ?>4'bO Address: 1 2�A h W I Oq art' City: Q Q l,U.l YInm% State: Zip: '316 ISD Tenant/Lessee Name: Phone#: Email: x� CONTRACTOR:Company Name: Aiz S% se--� Tzoo-rt2 Phone#: X605 "235 "722 8 Address: t 87 ZU aw 109' cwp— • City: W kj_(.1, State: l.. Zip: 32�157 Qualifier Name: V"—_>L,'LL .i 3 T Phone#: 305 -235.7622 S. State Certification or Registration#: , 2 124Q:lqp' Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 64605(X Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace F-1Demolition Description of Work: �1� S,Q_ '6-5 =K) )'5 2b t 1�w Specify color of color thru tile: j (� Submittal Fee$ E56 - W Permit Fee$ i 1k t') CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ �� s (ReAsed02/24/2014) s 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 approved and a reinspection fee will be charged. Signature PJ a��2.,u d�'�'t Signature 1 OWNER or AGENTCON6ac T The foregoing instrument was acknowledged before me this The foregoing instrument wa owledged before me this R day of lcoku 120 1 7 by day of 20 7 ,by CAI&= M P8'9 ,who is personally known to `1&L4LA,t S Iwh�o is personally known to ylC me or who has produced 'tc. �. (�. as me or who has produced q, • as identification and who did take.an-oath. identification and who EMIRO SANCHEZ �.�OpYO NOTARY PUBLIC: % NOTARY PUBLIC: ,o B%�., EMIRO SANCHEZ V'.` _ Notary Public-Slate of Florida ;:: :°: Notary Public-State of Florida M Comm.Expires Jun 22,2018 a, Y P My Comm.Expires Jun 22.2018 Commission 8 FF 134896 Commission# FF 134896 Sign: „���o„ Sign: Print: Print: Seal: Seal: v APPROVED BY P ns Examiner Zoning Structural Review Clerk (Revised02/24/2014) �AsOFFICE OF THE PROPERTY APPRAISER Summary Report Generated On:4/13/2017 k1kA Cl Property Information Folio: 11-2136-010-0190 126 NW 109 ST Property Address: Miami Shores,FL 33168-4317 t LAUREEN CLARKE& +r Owner RICHARD KRUDER Mailing Address 126 NW 109 ST MIAMI SHORES,FL 33168-4317 PA Primary Zone 0800 SGL FAMILY-1701-1900 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE nw;: FAMILY: 1 UNIT Beds/Baths/Half 2/1/0 Floors 1 Living Units 1 s - Actual Area 1,878 Sq.Ft Living Area 1,528 Sq.Ft Taxable Value Information Adjusted Area 1,698 Sq.Ft 2016 2014 Lot Size 9,150 Sq.Ft 2015 _ Year Built 1951 County Exemption Value $50,000 $50,000 $50,000 Assessment Information Taxable V lue $78,099 $77,209 $76,200 Year 2016 2015 2014 School Board Land Value $164,440 $164,440 $98,074 Exemption Value $25,000 $25,000 $25,000 Building Value $118,713 $118,891 $115,989 Taxable Value $103,099 $102,209 $101,200 XF Value $6,001 $5,152 $5,217 City Market Value $289,154 $288,483 $219,280 Exemption Value $50,000 $50,000 $50,000 Assessed Value $128,099 $127,209 $126,200 Taxable Value $78,099 $77,209 $76,200 Regional Benefits Information Exemption Value 1 $50,000 $50,000 $50,000 Benefit Type 2016 2015 2014 Taxable Value $78,0991 $77,209 $76,200 Save Our Homes Assessment $161,055 $161,274 $93,080 Cap Reduction Sales Information Homestead Exemption $25,000 $25,000 $25,000 Previous Sale Price OR Book-Page Qualification Description Second Exemption $25,000 $25,000 $25,000 03/01/1999 $132,300 18518-0646 Sales which are qualified Homestead 03/01/1997 $97,000 17572-0112 Sales which are qualified Note:Not all benefits are applicable to all Taxable Values(i.e.County, 08/01/1975 $51,000 00000-00000 Sales which are qualified School Board,City,Regional). Short Legal Description DUNNINGS MIAMI SHORES EXT 6 PB 51-31 LOT 3 BLK 213 LOT SIZE 75.000 X 122 OR 18518-0646 03 1999 1 The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp http://www.miamidade.gov/propertysearch/ 4/13/2017 a ,o Certificate ®f Product Ratings AHRI Certified Reference Number: 7493657 Date: 4/18/2017 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1442AJ1 Indoor Unit Model Number: RBHP-24 Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: Southeast and North (AL,AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC,TN, TX,VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT,VT,WA,WV,Wl,WY, U.S.Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015,are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners can only be installed in region(s)for which they meet the regional efficiency requirement. Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent,third party testing: Cooling Capacity (Btuh): 42000 EER Rating (Cooling): _ 12.50 SEER Rating (Cooling): 15.00_ IEER Rating (Cooling): Ratings followed by an asterisk(')indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certifled ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certlflcate and Its contents are proprietary products of AHRI.This Certificate shall only be used for Individual,personal and confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied;disseminated; ARM entered Into a computer database;or otherwise utilized,In any form or manner or by any means,except for the user's Individual, personal and confidential reference. AIR-CONDITIONING,HEATING, &REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The Information for the model cited on this certificate can be verified at www.ahrldirectory.org,click on"Verify Certificate"link we make life better- and enter the AHRI Certified Reference Number and the date on which the certiflcate was issued. _ which Is listed above,and the Certificate No.,which Is listed at bottom right. 02014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 131369941924335234 G%%�\ ��,i/ : ��i/ ��i/ •' �:�/ tea/ : ��,i/ .- ��i/ ��i/ %1��:.. Conditional 10 Year Warranty 1 Consumer Warranty Confirmation The new degree of comfort' /. Product Information -= Model Serial Registration Date Install Date RB H P-24J 11 SH4 N211601134 4/18/2017 4/13/2017 RA1442BJ l NA W321618117 4/18/2017 4/13/2017 4 Customer Information Contractor Information First Name RICHARD Name ARS Last Name KRUDER DENNIS ZACEK Email Email Phone 3052357223 Phone 3052357223 Address 126 NW 109TH STREET Address 18720 SW 108TH AVE City MIAMI SHORES City MIAMI State FL State FL Postal Code 33168 Postal Code 333157 =: i �. Your Conditional 10 Year Warranty is now registered,and will be honored event oi,a warranty claim,ONLY if all additional - conditions -. - ,are satisfied, View OUr Privacy Policy at Rheern.com. I'�/�••• iii • iii ♦ �•i� • i i� • i i� • i i� ♦ i i� ♦ iii • i i� • �•�1 �\Q ® (305)235-7213 Corporate Customer I 5• Ll � J DISPATCH 18720 S.W.108TH AVENUE Relations FGZuno ` TIME WINDOW MIAMI,FL 33157 (866) 803-0879 ARRIVAL INVOICE: 057975- �� American Residential Services of Florida, Inc.CFC1427670,CAC039629 www.ARS.com 8253- 0 5 7 9 7 5 r,, c NAME c PH# BILL TO 1 .1 ❑RP ❑MT DATE C ADD ) PH# BILLADD LJ CEI LJ AW CALL# ❑TO �l S� C/ST2P EMAIL C/ST2P o ❑OT TECH/# rf �1 J�D��fL �� -1 L 1�°r� 1 , �; '4_ 0 {rs �I �'1 � A• fl q 61,�"t` C. SUCTION PSI SUPER HEAT LIQUID PRESS SUB-C COMPAMPS ODB OWB Rlai�ty N IWB IDB FAN AMPS GAS PRESSURE ELECTRICHEATAMPS TEMP RISE RECOVERED REFRIGERANT ��' 3 LBS/ LBS DAMAGE? ❑ NO ❑YES-See separate"Report".Tech initials ORIGINAL SERVICE REQUESTMat" T1 t I 'SRI/ Zt RA 1442 BJ 1 NA 1111111111111111111 1111111111111111111111111111111 W3216IS13-7 1111111111111111111111111111111111111111111111111111111111111111I CCUDE 11111111111111111111111111 IIIII IIIII IIIII 11911�����I�III 11111 IN IN 9123 j ! 662021416057 RBHP-2011SH4 SUBTOTAL 11111111111111111111111111111111111111111111111111111111111111111111111111111111 11111111111111111(1111111111111111111� WARRANTY ITEM(S) FEE DIAGNOSTIC N211 0 14 PARTS: LABOR: 111�11111111111111111111 +oRIG.EST 662021260414 SALES T PARTS: LABOR: SUBTOTAL 11111111111111111111(1111111111111111111111111111111111111111111111111 Est.date of comp. ° 3 " 13 RENEW HSP ❑ CASH ❑ CHECK#f PO# ❑ PURCHASE not want the goods or services,you may cancel this agreement by providing TRUCK OPERATING written notice to the seller in person,by telegram,or by mail.This notice must ❑VISA ❑ M/C ❑ DISC ❑AMEX ❑ OTHER SUPPLIES $9.95 indicate that you do not want the goods or services and must be delivered CC LAST 4#____EXP AUTH# COMM TAX or postmarked before midnight of the third business day after you sign this My signature below admowledgesthat the work has been completed agreement. If you cancel this agreement, the seller may not keep all or part and I agree to the sum total of charges and payment method. TOTAL (� of any cash down payment.- - - T I acknowledge that m right to cancel has been explained tome oral) and ' Print Name - Q 9 Y 9 p Y - Please contact me about writing, and without waiving my right to cancel, I authorize the performance Signator _ - - - f future offers. of the work, su 'ect to all terms and conditions set forth on the reverse side - - -- = -- - - _ hereof,,plus a Ion_, o y��l'etip� _ ©2015 American Residential Services LLC.All rights reserved.(L 07/2014)Rev 033015 ARS1001 Srgr►atuteX •� ate. ( ` ,5NORR& Miami Shores Village MAY 7, 312 �� Building Department �� • � 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 AIR CONDITIONING REPLACEMENT DATA 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 si((nggl/li�e sheets are not acceptable. Job Address(where the work is being done): =3G� Y art'• City: Miami Shores Village County: Miami Dade Zip Code: a 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 AHRI DATA SHEET REQUIRED Change disconnecting means:YES❑ NO10 ARHI Sheet Attached:YESS< NO ❑ Contract Attached:YES UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER ei✓ AHU or PKG. UNIT MODEL# — , COND. UNIT MODEL# KW HEAT l)'J NOM TONS .G AHU CU PKG 1) M.C.A AHU CU 14PKG AHU CU PKG 2) M.O.P AHU CU 40PKG AHU CU PKG 3)VOLTS AHU CU 99aKG PKG UNIT / / PKG UNIT EER/SEER 12.� .00 YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT YES 0 YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES O 1. Minimum Circuit Ampacity(Wire Size): 8 2. Maximum Overcurrent Protection (Fuse/Breaker Size): (':2-0 Q u L1n . 3. Voltage of Circuit(208/240/480): It/Z V. ��� L"00 4. Size Disconnecting Means: LL�b� Contractor's Company Name:'�AE1Phone: �OS.'Z35.722?j. State Certificate or Registration No.C1j.'C 1'Z4'�' a• Certificate of Competency No. Signature Date: .L7E 1 L ZD1,7 (Qualifier's signature) (Rev1sed02/24/2014) e' .�: OFFICE OF THE PROPERTY APPRAISER Summary Report ` Generated On :4/13/2017 S�Ye Property Information Folio: 11-2136-010-0190 . '* Property Address: 126 NW 109 ST Miami Shores,FL 33168-4317 ' k LAUREEN CLARKE& Owner RICHARD KRUDER Mailing Address 126 NW 109 ST MIAMI SHORES, FL 33168-4317 PA Primary Zone 0800 SGL FAMILY-1701-1900 SQ t I 0101 RESIDENTIAL-SINGLE Primary Land Use FAMILY: 1 UNIT Beds/Baths/Half 2/11/0 Floors 1 t #° Living Units 1 ;. .p Actual Area 1,878 Sq.Ft Living Area 1,528 Sq.Ft Adjusted Area 1,698 Sq.Ft Taxable Value Information Lot Size 9,150 Sq.Ft 2016 2015 2014 Year Built 1951 County Exemption Value $50,000 $50,000 $50,000 Assessment Information Taxable V lue $78,099 $77,209 $76,200 Year 2016 2015 2014 School Board Land Value $164,440 $164,440 $98,074 Exemption Value 1 $25,000 $25,000 $25,000 Building Value $118,713 $118,891 $115,989 Taxable Value $103,099 $102,209 $101,200 XF Value $6,001 $5,152 $5,217 City Market Value $289,154 $288,483 $219,280 Exemption Value $50,000 $50,000 $50,000 Assessed Value $128,099 $127,209 $126,200 Taxable Value $78,099 $77,209 $76,200 Regional Benefits Information Exemption Value 1 $50,000 $50,000 $50,000 Benefit Type 2016 2015 2014 Taxable Value $78,099 $77,209 $76,200 Save Our Homes Assessment Cap Reduction $161,055 $161,274 $93,080 Sales Information Homestead Exemption $25,000 $25,000 $25,000 Previous Sale Price OR Book-Page Qualification Description Second 03/01/1999 $132,300 18518-0646 Sales which are qualified Homestead Exemption $25,000 $25,000 $25,000 03/01/1997 $97,000 17572-0112 Sales which are qualified Note:Not all benefits are applicable to all Taxable Values(i.e.County, 08/01/1975 $51,000 00000-00000 Sales which are qualified School Board,City, Regional). Short Legal Description DUNNINGS MIAMI SHORES EXT 6 PB 51-31 LOT 3 BLK 213 LOT SIZE 75.000 X 122 OR 18518-0646 03 1999 1 The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http:/Avww.miamidade.gov/info/disclaimer.asp http://www.miamidade.gov/propertysearch/ 4/13/2017