Loading...
MC-17-1657 Permit IVCD MC-6-17-165 �s y, Miami Shores Village Peff 7"yj3B:, @ISfiel RQS$ )el 10050 N.E.2nd Avenue NE Work Miami Shores,FL 33138 0000 Phone: (305)795-22045 ,.r .,, , n 612812017, Expiration: l 2562017 .. Project Address Parcel Number Applicant 10639 NE 11 Court 1122320280250 Miami Shores, FL 33138-2122 Block: Lot: PETION RIVERA Owner Information Address Phone Cell PETION RIVERA 10639 NE 11 Court MIAMI SHORES FL 33138-2122 10639 NE 11 Court MIAMI SHORES FL 33138-2122 Contractor(s) Phone Cell Phone Valuation: $ 3,200.00 FREEZE AMERICA INC (305)264-8089 _.. ,..._ _... __..... .... ,..._ Total Sq Feet: 0 Tons: Available Inspections: Additional Info:REPLACEMENT EXISTING A/C 4 TON 16SE Inspection Type: Classification:Residential Final Approved:In Review Review Mechanical Comments: Date Approved::In Review :j: Date Denied: Type of Work:REPLACEMENT EXISTING A/C 4 TOS Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# MC-6-17-64399 DBPR Fee $2.00 DCA Fee $2.00 06/28/2017 Credit Card $81.40 $50.00 Education Surcharge $0.80 06/26/2017 Credit Card $50.00 $0.00 Permit Fee $112.00 Scanning Fee $9.00 Technology Fee $3.20 Total: $131.40 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 age , s rants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOOR FIN and SWIMMING work. OWNERS AFFIDAVIT: I certify that all the foregoing information ' accu to an hat all a done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-na d contr oro e w rk s e June 28, 2017 Authorized Signature:Owner / Applicant / Contra n Date Building Department Copy June 28,2017 1 i Miami Shores Village I� BuildingDepartment JuN s z017 / 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 - �� Tel:(305)795-2204 Fax:(305)756-8972 �f INSPECTION LINE PHONE NUMBER:(305)762-4949 5-�-� FBC 201 " BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING 0,MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I U G� Jy �=. I I +i' C:t. City: Miami Shores County: Miami Dade zip: I 3 3 5s Folio/Parcel#: nl - Z 2.3 Z —O28 — 0'z—r5® Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: --/,OWNER: Name(Fee Simple Titleholder): 29Ji0 A � 1��V e ra. Phone#: -�,65 Address: I 0 1 I t I' City: VA't CL �ores State: I' Zip: 3 3 Tenant/Lessee Name: PIA Phone#: Email: ePo. � x0y-h CONTRACTOR:Company Name: -r �� 'q° / Phone#: 24.4 Address: City: State: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: a Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ �ditlon ❑ Alteration ❑ New- KRepair/Replace ❑ Demolition Descrip 'on of Work: P Specify color of color thru tile: Yv Submittal Fee$ lbl 9010 Permit Fee$ J CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ u TOTAL FEE NOW DUE$ y `� (Revised02/24/2014) 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. x � a Signature Signature �~ OWNER or AGENT CON RACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before -mmee this day of f l U 120 171 by Z3 day of 20 'T ,by � 1 s �-I�S1 •(Re /L who is personally known to who is personally known to me or who has produced D2as me or who has produced T�I'`l V�� "e- as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign• ^� Print: Print: �A •.TRp► Iy�;�1AlLc'LAO 1111AMY COMMISSION#00030912 Seal: /1,' Notary Pubb Seal: EXPIRES September 15,2020 State of Flodda My Commission Expires 08h0/2018 APPROVED BY ans lExminer Zoning Structural Review Clerk (Revised02/24/2014) ,yNoR- t, Miami Shores Village Building Department soon HIM" 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-gle sheets are not acceptable. j 2 Job Address(where the work is being done): ' <t City: Miami Shores Village County: Miami Dade Zip Code: 33 1 1� 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[:] NO ARHI Sheet Attached:YES NO❑ Contract Attached:YES ❑ UNIT BEING REPLACED DATA NEW UNIT / -) a 71 47— HU PKG. UNIT MODEL# C D: NIT MODEL# AT tU 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 / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES O YES NO REPLACING THERMOSTAT YES YES NO NEW 4"CONCRETE SLABtVY—E–S NO YESNO NEW ROOF STAND E�5 YES NO NEW RETURN PLENUM BOX 1. Minimum Circuit Ampacity(Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker ize): 3. Voltage of Circuit(208/240/480): �� ® L 4. Size Disconnecting Means: b � D Contractor's Company Name: Phone: State Certificate or Registra ion No.� (11%,?V Certificate of Competency o. Signature Date: (Qualffie I signature) (Revised02/24/2014) Property Search Application- Miami-Dade County Page 1 of 1 s APPRANER Summary Report Generated On:6/26/2017 Property Information Folio: 11-2232-028-0250 f { 10639 NE 11 CT Pa„2 ��€€ Property Address: r ,ii y Miami Shores,FL 33138-2122 F Owner PETION RIVERA a 10639 NE 11 CT m � Mailing Address "E MIAMI SHORES,FL 33138 USA PA Primary Zone 0800 SGL FAMILY-1701-1900 SQ s Prima Land Use 0101 RESIDENTIAL-SINGLE J'a* rY FAMILY: 1 UNITS Beds I Baths I Half 3/2/0 Floors Living Units 1 Actual Area 2,640 Sq.Ft Living Area 2,102 Sq.Ft � , Adjusted Area 2,143 Sq.Ft Taxable Value Information Lot Size 11,550 Sq.Ft 2017 2016 2015 Year Built 1962 County Assessment Information Exemption Value 1 $50,000 $50,000 $50,000 Year 2017 2016 2015 Taxable Value 1 $178,348 $173,652 $172,098 Land Value $240,516 $179,368 $142,679 School Board Building Value $118,011 $118,220 $118,429 Exemption Value $25,000 $25,000 $25,000 XF Value $1,323 $1,344 $1,092 Taxable Value $203,348 $198,652 $197,098 City Market Value _,--$359,850 $298,932 WV $262,200 Assessed Value $228,348 $223,652 $222,098 Exemption Value $50,000I I $50,000 $50,000 Taxable Value $178,348 $173,652 $172,098 Benefits Information Regional Benefit Type 2017 2016 2015 Exemption Value $50,000 $50,000 $50,000 Save Our Homes Assessment Taxable Value $178,348 $173,652 $172,098 Cap Reduction $131,502 $75,280 $40,102 Homestead Exemption $25,000 $25,000 $25,000 Sales Information Second Homestead Exemption 1 $25,000 $25,000 $25,000 Previous OR Book- Sale PricePaQualification Description Note:Not all benefits are applicable to all Taxable Values(i.e.County, Page School Board,City,Regional). 01/18/2011 $240,000 27561- Qual by exam of deed 3689 Short Legal Description 08/01/2007 $0 25870- Sales which are disqualified as a result MIAMI SHORES ESTATES PB 47-58 0176 of examination of the deed LOT 9 BLK 2 LOT SIZE 75.000 X 154 COC 25870-0176 08 2007 5 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 hftp://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 6/26/2017 This combination qualities for a Federal Energy ° Efficiency Tax Credit when placed in service between Feb 17,2009 and Dec 31,2016. Certificate of Product Ratings AHRI Certified Reference Number: 8242082 Date: 6/22/2017 Product:Split System:Air-Cooled Condensing Unit,Coil with Blower JUN 6 2017 Outdoor Unit Model Number:GSX160481F* Indoor Unit Model Number:ASPT49D14A* Manufacturer:GOODMAN MANUFACTURING CO., LP. Trade/Brand name:GOODMAN;JANITROL;AMANA DISTINCTIONS; EVERREST;ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR; FRANKLIN Region:All(AK,AL,AR,AZ,CA,CO,CT,DC, DE,FL,GA, HI,ID,IL,IA, IN, KS,KY, LA,MA,MD,ME, MI,MN,MO,MS,MT,NC,ND, NE, NH, NJ,NM, NV,NY,OH,OK,OR, PA,RI,SC,SD,TN,TX, UT,VA,VT,WA,WV,VW,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:GSX16 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. 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): 45000 EER Rating(Cooling): 13.00 SEER Rating(Cooling): 16.00 IEER Rating(Cooling): PIT ,dslbk mlk Y ff's ask In miff WW Ratings followed by an asterisk(7 indicate a voluntary rerate of previously published data,unless accompanied with a WAS, I ntary r 'ti' e w 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-Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL This Certificate shaft 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; -� 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, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org,dick on'Verify Certificate"link we make life bettei- and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which is listed above,and the Certificate No,which is listed at bottom right ©2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 131426359441917161 Y VW e 7240 SW 12 Street FREEZE AMERICA INC. DATE: Miami, FL 33144 AIR CONDITION RG • REFRIGERATION Service and Installation TEL (786) 443-2428 CAC-1816978 ok war CONTRACTOR NOTE: _ Address: kaduL71U0110 Ale ?)-19 03 A(MCo- Phone: 1Z 1�Q � s Gera �p pL-- a4l eL Signatu JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA 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: 11/27/2015 EXPIRATION DATE: 11126/2017 PERSON. FAJARDO JOSE C FEIN: 333852518 BUSINESS NAME AND ADDRESS: FREEZE AMERICA INC 7240 SW 12TH ST MIAMI FL 33144 SCOPES OF BUSINESS OR TRADE: HEATING,VENTILATION. AIR-COND Pursuant to Chapter 440 05(14),F.S. an officer of a corporation who erects exempt;on from th,s 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),FS.Certificates of election to be exempt apply only Whin the scope of the business or trade�isted on the notice of election to be exempt Pursuart to Chapter 440.01(13),F.S.Notices of election to be exempt and certil'icales of elecl�on to be exempt shall be subject to revocation if,at any time atter the Ming of the notice or the issuance of the certificp!e the person named on the notice or certilitale no longer meals the requirements of this section for Issuance of a certificate The deoartrrent shall revoke a DFS-F2-DVVC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CAC1816978 .* The CLASS B AIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 ■ FAJARDO, JOSE CARLOS FREEZE AMERICA, INC. 7240 SW 12TH ST L''+� MIAMI FL 33144 0 ISSUED: 06/15/2016 DISPLAY AS REQUIRED BY LAW SEQ# L1606150000703 010654 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOTA BILL-DO NOT PAY LBT 6905831 !_j BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES FREEZE AMERICA INC RENEWAL SEPTEMBER 30, 2017 7240 SW 12 ST 7181688 Must be displayed at place of business MIAMI FL 33144 Pursuant to County Code Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS FREEZE AMERICA INC 196 SPEC MECHANICAL CONTRACTOR PAYMENT RECEIVED CAC1816978 BY TAX COLLECTOR Worker(s) i S75.00 07/19/2016 CHECK21-16-095436 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 holders qualifications,to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT No.above must be displayed on all commercial vehicles-Miami-Dade Code Sec 8a-276. For more information,visit www.miamid@dg. ov a c Ilegor P401191ereM T►UtItlon 8nd Bet oy Cetti cst #�r , • 1.4 'r.�S. . i"`f" ce"IfIcate tp>p ogr.Irm - 127 0 I �1- fCC32 /r�./vh + _639 �7ft tRRRLSSTATEhas been certified as UNIVERSITY technician as required by 40 CFR Part 82, Subpart F . ,, - . .. GerdAcatbnNur�Wr paw