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MC-17-2758Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. MC -11-17-2758 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: APPROVED Issue Date: 12/15/2017 Expiration: 06/13/2018 Parcel Number Applicant 415 NE 102 Street Miami Shores, FL 33138- 1132060170780 Block: Lot: SUSAN GAIL BAKER Owner Information Address Phone Cell SUSAN GAIL BAKER 415 NE 102 Street MIAMI SHORES FL 33138- 415 NE 102 Street MIAMI SHORES FL 33138- Contractor(s) ARS/RESCUE ROOTER Phone Cell Phone (305)235-7223 Valuation: Total Sq Feet: $ 5,000.00 0 Tons: 3 Additional Info: EXACT NC REPLACEMENT 3 TON 16 SEER Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 3 Date Approved: : In Review Type of Work: EXACT NC REPLACEMENT 3 TON 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $3.00 $2.63 $2.00 $1.00 $175.00 $9.00 $4.00 $196.63 Pay Date Pay Type Amt Paid Amt Due Invoice # MC -11-17-65707 12/15/2017 Check #: 8253012E $ 146.63 $ 50.00 11/20/2017 Credit Card $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Review Mechanical 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 agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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 end zoning. Futheore, I authorize ve-named contractor to do the work stated. 14v e' fUa_ 'ra uthorized Signature: Owner 7; cant / Contractor Building Department Copy / Agent December 15, 2017 Date December 15, 2017 1 3c75— - 7 /z-3 r- R BUILDING PERMIT APPLICATION 0BUILDING ❑ ELECTRIC Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 Master Permit No. Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL RECEIVED NOV 2 0 7017 5-h FBC zrn(4 Ntc, n -ZR-sg ❑PLUMBING ITZ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP JOB ADDRESS: City: Folio/Parcel#: 1-41S la\ 102 - Miami OZ - CONTRACTOR DRAWINGS Miami Shores County: Miami Dade 1<19 d 11 0-10 Zip: 361 3g Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): SQ -CCA fl Phone#: Address: UNIM I le MOM. \02_ -->:-- City: YVIkrWYYI\ S1(\(.)K-S State: FL Tenant/Lessee Name: Phone#: Email: Zip: 331 CONTRACTOR: Company Name: -S' 2QSLVe_., Phone#: %,' 26x124 Address: I 11 2-3 nw I (' 1' e City: m b , State: "�O Zip: 69 -- Qualifier Name: SC. \ S "2.ot C9k,'Phone#: State Certification or Registration #: ( CA 2 q-1 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ S) ikon Type of Work: ❑ Addition Description of Work: ❑ Alteration Square/Linear Footage of Work: ❑ New Repair/Replace I ❑ Demolition I- .a. 1 •1. „ Specify color of color thru tile: ti ` 0o i Submittal Fee $ '`Perinit Fee $ 1 L CCF $ _: - CO/CC $ - Scanning Fee $ Radon Fee $"'" O`7DBPR $ 2 -ci3 Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE$ 1y6 ( 3 (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. Signature 0 OWNER or AGENT The foregoing instrument was acknowledged�-before me this ` `\ day of 40\0 �1U , 20 , by , who is p�errsonally known to me or who has produced aF� l '\/.4/e�e K) as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: "Y CASSANDRA MARIE DOMING EZ MY COMMISSION //FF088698 EXPIRES March 14, 2018 (407 398-0153 Floridallota Service.com APPROVED BY (Revised02/24/2014) The foregoing instrument was acknowledged before me this day of �/ � VSC- --', who i ersonally know by 0 me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: AM _ Print:'MM116110)►a Seal: CASSANDRA MARIE DOMINGUEZ •;,,i • = MY COMMISSION #FF088698 -i, 'O• EXPIRES March 14, 2018 Plans Examiner Zoning (407) 398-0153 Florida NOtaryService.cir1 Structural Review Clerk .44 r Miami Shores Village 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 single sheets are not acceptable. Job Address (where the work is being done): LC City: Miami Shores Village County: Miami Dade Zip Code: t2)Ctc 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❑ 1;. ARHI Sheet Attached: YES 14 NO ❑ Contract Attached: YES 14 UNIT BEING REPLACED DATA NEW UNIT F--- - ' MANUFACTURER V, 21• , AHU or PKG. UNIT MODEL # vAZ t lJ s.. `9jV3rlQ COND. UNIT MODEL #t ii) KW HEAT -P ` �""„ NOM TONS AHU -- CU Zr5 PKG 1) M.C.A AHU I CU Z' PKG AHU HSU 3 PKG 2) M.O.P AHU CU, j PKG AHU CU PKG 3) VOLTS AH CU PKG PKG UNIT / / PKG UNIT / / lkla'e r EER/SEER l0) .� - YES NO REPLACING DUCTS Y S VW YES NO REPLACING THERMOSTAT (E NO YES NO NEW 4"CONCRETE SLAB YES ;=.i. YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 10 t+'Fk " ) 2. Maximum Overcurrent Protection (Fuse/Breaker Size): S0 C&_ -ej 3. Voltage of Circuit (208/240/480): 2-1 4. Size Disconnecting Means:�-NJO Contractor's Company Name: A' fk(Sw State Certificate or Re Signature (Revised02/24/2014) s rat' N (Qualifier's sign Phone: CX—n 1 i> 1223 Certificate of Competency No. Date: \ \ 'k \ Z _ Property Search Application.- Miami -Dade County '?mit OFFICE OF THETYPR PER APPRAISER Page 1 of 1 Summary Report Property Information Folio: 11-3206-017-0780 Property Address: 415 NE 102 ST Miami Shores, FL 33138-2452 Owner CESAR M BORJA ANGULO &W KENDRA L CAMPBELL BORJA Mailing Address 415 NE 102 ST MIAMI SHORES, FL 33138-2452 PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 2/2/0 Floors 1 Living Units 1 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 1,538 Sq.Ft Lot Size 8,850 Sq.Ft Year Built 1950 Assessment Information Year 2017 2016 2015 Land Value $265,791 $221,132 $212,488 Building Value $119,533 $120,425 $121,317 XF Value $4,548 $4,588 $4,161 Market Value $389,872 $346,145 $337,966 Assessed Value $277,019 $271,322 $269,436 Benefits Information Benefit Save Our Homes Cap Type Assessment Reduction 2017 2016 2015 $112,853 $74,823 $68,530 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description AMD PL OF MIAMI SHORES SEC 4 PB 15-14 E1/2 OF LOT 14 & LOT 15 BLK 92 LOT SIZE 75.000 X 118 OR 20778-0630 10 2002 1 Generated On : 11/3/2017 Taxable Value Information 2017 2016 2015 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $227,019 $221,322 $219,436 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $252,019 $246,322 $244,436 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $227,019 $221,322 $219,436 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $227,019 $221,322 $219,436 Sales Information Previous Sale Price OR Book -Page Qualification Description 04/01/2008 $360,000 26384-1925 Sales which are qualified 03/01/2005 $399,000 23227-3220 Sales which are qualified 10/01/2002 $259,000 20778-0630 Sales which are qualified 06/01/2002 $240,000 20519-1108 Sales which are qualified 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/ 11/3/2017 11/15/2017 Prepared by: Stephanie Balint Esq. Homeowner Legal Solutions, LP 200 SE First Street Suite 708 Miami, FL 33131 305-777-1050 Return to: Stewart Title Guaranty Company 255 Alhambra Circle, Suite no Coral Gables FL 33134 Phone: (305) 266-3011 Miami -Dade Official Records - Print Document CFN: 20170561805 BOOK 30708 PAGE 721 DATE:10/05/2017 12:29:49 PM DEED DOC 3,090.00 HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY [Space Above This Line For Recording Data] Warranty Deed This Warranty Deed made this _ day of October 2017 between Cesar M. Borja Angulo a/k/a Cesar Borja Angulo and Kendra L. Campbell-Borja a/k/a Kendra C. Borja, husband and wife, whose post office address is 10361 NE 4th Avenue, Miami Shores FL 33138, grantor, and Susan Gail Baker, a single woman whose post office address is 415 NE 102nd Street, Miami Shores FL 33138 grantee: (Whenever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals, and the successors and assigns of corporations, trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida to -wit: The East Y2 of Lot 14 all of Lot 15 Block 92, AMENDED PLAT OF MIAMI SHORES SECTION 4, according to the Plat thereof, recorded in Plat Book 15, Page 14, of the Public Records of Miami -Dade County, Florida. Parcel ID Number: 11-3206-017-0780 Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the sante in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2016. In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. haps://www2.miami-dadeclerk.com/officialrecords/PrintDocument.aspx?QS=YaoUfOzxry2isUkBdxVBAroAn6150SawMNKDzZcmyPQ45uFA9s9wSYRe6E69m3TL 1/2 11/15/2017 Miami -Dade Official Records - Print Document CFN: 20170561805 BOOK 30708 PAGE 722 ' Signed, sealed and delivered in our presence: Witness Name:.-jNLu019__.._. State of Florida County of Miami Dade eaI) Cesar M. Borja Aa Cesar Borja Angulo Kendra Kendra C. Borja -'(Seal) i •1 :.rja !/k/a The foregoing instrument was acknowledged before me this 3 day of October 2017 by Cesar M. Borja .Angulo a/k/a Cesar Borja Angulo and Kendra L Campbell-Borja a/k/a Kra C. Borja, who is personally known or [ ] has produced a driver's license as identification. `` [Notary Seal] s NoP lic Printed Name: My Commission E https://www2.miami-dadeclerk.com/officialrecords/PrintDocument.aspx?QS=YaoUfOzxry2isUkBdxVBAroAn6150SawMNKDzZcmyPQ45uE49s9wSYRe6E69m3TL 2/2 i..1 CERTIFIED® www.ahridirectory.org This combination qualifies 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: 7941789 Date: 11/13/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1636AJ1 Indoor Unit Model Number: RBHP-21 Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, K MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, S UT, VA, VT, WA, WV, WI, 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 respo�n s ible for the rating of�this system combination is RHEEM SALES COMPANY, INC. Rated as follows in accordance with-AHRI1Standard 21012401-2008 for,Unitar Aird Conditioning and Air -Source Haeat'Pum n Equipment.and object -to verifi tion of rating.accuracy by AHRI-sponsored; independent' third p ,g. n, I ci i �t 9 I E LN. 1J li Lr I� L LI ° Cooling Capacity (Btuh): 36000wy4-t.)yt t 7l' 11 : A@Ar1 EER Rating (Cooling): 13.00 `SEER -Rating (Cooling): 16.00• • • • • IEER Rating (Cooling): RECEIVED NOV 2 01017 411 •• • • •••••• • • • • • • • • •••• •• • • • •• • •••• • • •• • • •••• • • •• •• •••• •• • • • • • • • • • • •• • • • • Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicate an in Iuntary rarit•.• • • • 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 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; 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. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link 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.: AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE we make life better"' 131550839546186358 E IVt. f 1 ! I';rf !Y'f ! If 144 fr sfY I tld 4i Product Information Model RBHP-21J07SH2 RA1636AJ1NA Customer Information First Name Last Name Email Phone Address City State Postal Code • SUSAN BAKER 305-331-6426 415 NE 102 ST MIAMI SHORES FL 33138 Conditional 10 Year Warranty Consumer Warranty Confirmation Serial N341600556 W411714912 •'• ••s • • • . • •• Registration Date 11/13/2017 11/13/2017 Contractor Information Name Email Phone Address City State Postal Code ARS / Miami The new degree of comfort:' Install Date 11/4/2017 11/4/2017 cmcinnis@ars.com (305) 235-7223 18720 SW 108th Ave Miami FL 33157 Your Conditional 10 Year Warranty is now registered, and will be honored in the event of a warranty claim. ONLY if all additional terms and conoit ons detailed in the Manufacturer's Warranty Certificate, are satisfied. View our Privacy Policy at Rheem.com. .44 k ).+4 4. . �. * ),4•444.k .. A A A .„!,)Ak. • • . • • • •• •• • • • •• •• 000 • • • ••• • • „App.- kJV01 LJO'II IJ w1�JV�alc\►uDwnICI E RESCUE 18720 S.W.08TH AVENUE " Relations (`i 5 VOL -0 RooTER ' --- MIAMI, FL 33157 (866) 803-0879 p if iy1w Making i1 work. Making t right. Residential Services of Florida, Inc. License # CMC1249753 www.ARS.com NAME 6 rs� ADD 1---\\S”' AJ `�- �-�- C/ST/ZP 3131? PH AIR - HEATING - AIR QUALITY # 3G5-33 \-- e4 aO PH # EMAIL DIAGNOSIS / RECOMMENDATIONS envy\ r p„,..7, 5 T.TZMAIri B. C. SUCTION PSI SUPER HEAT LIQUID PRESS SUB -C COMP AMPS ODB OWB IWB IDB FAN AMPS GAS PRESSURE ELECTRIC HEATAMPS TEMP RISE RECOVERED REFRIGERANT I LBS/ LBS DAMAGE? 0 NO 0 YES -See separate "Report'. Tech initials ORIGINAL SERVICE REQUEST See Recommendations Addendum Option # • Written customer authorization will be obtained before beginning any unforeseen additional or extended work. • BUYER'S RIGHT TO CANCEL - "This is a home solicitation sale, and if you do not want the goods °seeraraces,.you • QR1G. 44T. may cancel this agreement by providing 4ritten ratiteto; :(+:6/ E6 TAX) the seller in person, by telegram, or by mail. This rrotlte: Esi art aete must indicate that you do not want the goods.orseneees • Es• date of comp and must be delivered or postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement, the seller maynot keepall or part of anycash►dowN a rnent,�'sSee the covers, side hereof for an explantion of tis right. • • p y • . • ;• • • 1 acknowledge that my right to cancelhas bar exppai et tgnfe ori9Uy aQtl in writing, and without waiving my right to cancel, I aeatI oriae the performance of the work, subject to all terms and conditions set forth on the reverse side hereof, plus any taxes upon completion. • NOTICE TO OWNER - Do not sign this home improvement contract in blank. You are entitled to a copy of the contracts thetimeyoai Igrtreep it to protect your legal rights. This home improvement contract miy contairtia Mortgage or otherwise create a lien on your property that could be foreclosed On itydy,Qoto: pad. BCsOrdrou understand all ovtsions of the contract before you sigrt.• • • • • • • • • • '1x'Date0~,1$A..P'.*'`t 111 1 SUBTOTAL BILL TO BILL ADD C/ST/ZP Irr1121,10 DISPATCH TIME WINDOW ARRIVAL INVOICE: 8253- 0 8 5 515 \-\\ ka cN pct 8 Ofl �•' 6 CD 0 S INVOICE s ❑ RP ❑ MT 0 C 0 A ❑ TO ❑ OT .t''it • D WO DATE t` CALL #1 TECH/# riff EQ V3 3fio4 I'Cos-epr s\r\a; A RAPhig'9'' A-\'‘ N�%l���g��2 �$„ 51u� kr .110\,A* rigL\\--9 • "" ° CASSANDRA MARIE DOMINL • • MY COMMISSIONFcu';1;;, EXPIRES March 14.211' FloridallotaryServicc.r.' 1407)-0153 WARRANTY ITEM(S) • - PARTS: 1C� LABOR:1` Ir PARTS: LABOR: DIAGNOSTIC FEE SUBTOTAL sl ❑ CASH 9 CHECK # PO # ❑ VISA a ky.,,,0401 C 0 AMEX 0 OTHER CC LAST 4# QY D EXP AUTH # t +0 LL My signature below ackn edges that the work has been completed I agreeeto the sum total of the charges and payment mem . O RENEW HSP O PURCHASE 15 'Inc) TRUCK OPERATING SUPPLIES $9.95 COMM TAX Total Sale Price SsOa Please contact me about " " 'Datb r- —7 71.44), future offers. �.-..cmc, .. _ . �. n..a ... .... © 2017 American Residential Services LLC. All rights reserved. (L 02/2017) Rev 100417 ARS1001