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MC-17-2893Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. MC -12-17-2893 Permit Type: Mechanical - Commercial Work Classification: A/C Replacement Permit Status: APPROVED Issue Date: 12/12/2017 Expiration: 06/10/2018 Parcel Number Applicant 1700 NE 105 Street Number: 419 Miami Shores, FL 1122300500760 Block: Lot: MICHAEL & MARY WEBER Owner Information Address Phone Cell MICHAEL & MARY WEBER 1700 NE 105 ST #419 MIAMI SHORES FL 33138-2142 Contractor(s) MIKES AC SERVICE INC Phone CeII Phone (305)751-5814 (305)986-0702 Valuation: Total Sq Feet: $ 3,950.00 0 Tons: 2.5 Additional Info: REPLACE 2.5 TON WATER COOL HEAT PUM Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $2.40 $2.00 $2.00 $0.80 $118.50 $3.00 $3.20 $131.90 Pay Date Invoice # 12/12/2017 12/08/2017 Pay Type MC -12-17-65852 Credit Card Credit Card Amt Paid Amt Due $ 81.90 $ 50.00 $ 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 a foregoing information construction and zoning. Futhermore, I uthorize the above -nam Aut o�gnature: caner' / p(pplicanY / Contract ac -and that all work will be done in ontractor to do the work stated. Building Department Copy Agent compliance with all applicable laws regulating December 12, 2017 Date December 12, 2017 1 BUILDING PERMIT APPLICATION ❑ BUILDING ❑ ELECTRIC PLUMBING n MECHANICAL 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 ❑ ROOFING ❑ PUBLIC WORKS JOB ADDRESS: 1700 NE 105 Street Apt. 419 Master Permit No. Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL RECEIVED DEC 082017 CSS FBC 20N YYICI'1-2�'I ❑ CHANGE OF ❑ CANCELLATION, ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores Folio/Parcel#: 11-2230-050-0760 Occupancy Type: Load: County: Miami Dade zip:33138 NO no Is the Building Historically Designated: Yes Construction Type: Flood Zone: BEE: FEE: OWNER: Name (Fee Simple Titleholder): Michael Weber Phone#: 305 757-1587 Address: 1700 NE 105th Street #419 City: Miami Shores Tenant/Lessee Name: Phone#: Email: State:Florida zip: 33138-2145 CONTRACTOR: Company Name: Mikes AC Service Address: 775 NE 79th Street Suite H Phone#: 305 751-5814 city: Miami State: FL zip: 33138 Qualifier Name: Miguel Mayta Phone#: 305 751-5814 State Certification or Registration #: CAC 039619 DESIGNER: Architect/Engineer: N/A Certificate of Competency #: N/A Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 3,950.00 Type of Work: ❑ Addition n Alteration Square/Linear Footage of Work: 111 New ❑■ Repair/Replace ❑ Demolition Description of Work: Replace 2.5 ton water cool heat pump air conditioning system. Exact change out Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon -Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ CO/CC $ 'DB'PR $ 'Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ - C-1 (2-Tht° Bonding Company's Name (if applicable) NFA Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N/A 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: l certify that all the foregoing information is accurate and that all work will be done in compliance with. ali 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 f 41, Signature OWNER or AGENT � The foregoing instrument was acknowledged before me this 7 '-" day of V& c�PiMi Pill , 20 /7 , by 111114 6 L. ti/e 4G(7,who is personally known to me or who has produced as identification and who did.ta.ke an oath. NOTARY PUBLIC: Sign: Print: Seal: &a- b.-e.2ti 4&.6V1 a Lt S r► r+r :Y;' • EILEEN SAMMONS •,s Commission # GG 052876 `.J Expires February 21, 2021 "•.,p,., t ' Bonded Thnr Troy Fain Insurance 800.385.7019 APPROVED BY (Revised02/24/2014) CONTRACTOR The foregoing instrument was acknowledged before me this Ir ***************************************************************** hV dray of ,20 1-1 , by m6 1 , who is personally known to me or who has produced Dr2cvr' v� as identification and who did,take an oath. NOTARY PUBLIC: Sign: Print: Seat: VIA" Plans Examiner Zoning Strudtrbraf.Review Clerk 000639 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 1 6AVX77 BUSINESS NAME/LOCATION MIKES A C SERVICE INC 775 NE -79 ST•1 MIAMI FL 33138 szwt/N R MIKES A C SERVICE INC Warker(s) 10 RECEIPT 140. RENEWAL 1663377 AEC. TYPP np BUSINEws EXPIRES SEPTEMBER su, 2018 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 t,Ie PT1YP`iiCPU AAUP AI CONTRACT/1D pr.; JT.Lt: .;•:_L.:Y.ltll4�L L.�lK 11L,T, CAC039619" PAYM iuY 1 f C EIV11 .e EY TAX COLLECTOR - - $45.00= 08/C13/20 -11--"..r -, FPPU14-17-015860 This Local Business Tax Receipt only confirms payment M the Local Business Tax. The Receipt Is not a license, permit, or a certification of the holder's 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 San Ba 276. For more information, visit w w jpJamidads.govhaxccllector RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD .11I441a4: CAC039819 I - The CLASS AAIR CONDITIONING CONTRACTOR,''k '- Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 MAYTA, MIGUEL MIKE'S AC SERVICE ,P 0 BOX 414384 - r MIAMI BEACH 141. 1�_ n0!J2016 D1CDLPV AS REOIi1R1_5] tiY 1_iMv ._tri;;, :,.�,::=:t.:!_ v!_-: -- Y • ti - ---a -.— IMIlriEw-R a6+.N1•i SE -C1 ts i_ iscac9uuu i639 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shoes, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 RECEIVED AIR CONDITIONtNG,REPLACEMENT.DATA • • PERMIT NUMBEQ!'MC • • • DEC 082 II& II This form must a * ALL air,conditioning replacement permit applications. EatEs ural change -v .et•must • be on its own data sheet. Multiple units on single sheets are not acceptable. •• • . . .. .. • • ••• . • :. • Job Address (where the work is being done):1700 NE 105th Street Apt. 419 City: Miami Shores VillageCounty: Miami Dade zip Coefez•3'4`138 ' • • . . . . .. . .•. • • • • ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SL14B ALL:UNITS MUST.CO.M.PL"YWITH .F.E.M.A MIN1MUM'.FLOOD:ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting T neans:'YES E -NoC ARH) Sheet Attached: YES . NO [] Contract Attached: YES Ki UNIT BEING REPLACED DATA NEW UNIT FHP MANUFACTURER HYDROTECH EM031-1VTC AHU or PKG. UNIT MODEL # WSVX030NBRH COND. UNIT MODEL # KW HEAT ZS NOM,TONS 2:5 AHU CU PKG 20dsfc 1) M.C.A AHU CU PKG 18 AHU CU PKG35 2) M.O.P AHU CU PKG25 AHU CU PKG 208/230 Volts 3) VOLTS AH.IJ CU PKG 208/230 volts PKG UNIT / / PKG UNIT / / Don't know EER/SEER 14.00 EER YES NO REPLACING DUCTS YES NOnor— YES NO REPLACING THERMOSTAT YES NOno y� YES NO NEW 4"CONCRETE SLAB YES NOm YES NO NEW ROOF STAND YES NO no YES NO NEW RETURN PLENUM BOX YES NO no 1/". 1. Minimum Circuit Ampacity (Wire Size): #10 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 30 Amps 3. Voltage of Circuit (208/240/480): 208/240. Volts 4. Size Disconnecting Means: 30 AMP Contractor's company Name:., Mike's AC Service State Certificate or Registration No. CAC 039619 Signature (Revised02/24/2014) .:Phone: 305 751-5814CAC Certificate of Competency No. IQu3IW ?s sign e) Date:/.�/e/�C /% r ' riVICE AIR CONDITIONING & REFRIGERATION PROPOSAL AND SALES AGREEMENT CUSTOMER: Michael "Weber ADDRESS 1: 17001E 1054" Street *119 ADDRESS 2: Miami Shores, FL November 29, 2017 • • • • • ..• • • • • . •• • • • • • .. • • • .... •.... . • RE: REPLACE 2.5 TON AIR CONDITIONING & HEATING SYSTEM (with new environmentally friendly refrigerant 440A)' •....• .. • 1)We will retrieve the old ait condifii nin �.. . g sysbem.from the -apartment, and we will :dispose =Medd .';ySt'c:m accdrtiirtg. to EPk• • • • regulations.• ••. 2) We will install the new 2.5 ton hi efficiency 14.00 EER HYDROTECH air conditioning & heatinD syst&m, heti fittings, we will install new hi pressure hoses, we will install new equipment stand, we will install new etwiiliary'drain pan ort the ilbor, we will install new service disconnect switch, the condenser coil or heat exchanger is cupronickel toast longerVwRwe w flt comiect the electrical in to existing, we will connect the ductwork in to existing, we will connect the drain line in to existing, and we will install the new float switch in the system. 3) We will start up the new air conditioning system and we will balance the system in the apartment. THE SYSTEMS AND MATERIALS INCLUDED IN THIS PROPOSAL 1 WSVX030N6RH HYDROTECH AIR CONDITIONING & HEATING SYSTEM 14.00 EER 1 EQUIPMENT STAND, AUXIUARY DRAIN PAN, AND SERVICE DISCONNECT SWITCH. ALL THE DUCTWORK MATERIALS, VALVES, FITTINGS, HI PRESSURE HOSES TO INSTALL THE NEW SYSTEM SERVICE WARRANTY: Service will be provided free of charge by us for a period of one year from date of installation, during the regular working days and regular working hours. Air conditioning filters, & regular preventive maintenance is not included in this proposal. MANUFACTURER'S WARRANTY: Fiveyeers manufacturer`swamanty on all parts in the systemand 5 years warranty on compressor from the date of installation. TOTAL SYSTEM COST: We shall furnish equipments, labor & materials only detailed on pages 1 & 2 for $3,950.00 DOLLARS the sales tax is included in this proposal. (THE PERMIT FEE IS NOT INCLUDED IN THIS PROPOSAL) TERMS: Customer hereby accepts the proposal and agrees to payments as follows, 50% down payment upon acceptance of this proposal, and 50% final payment when the job is completed. CONTRACTOR: Miguel Ma r /, , �. `,( DATE November 28, 2017 CUSTOMER: DATE: ! /7 775 N. E. 7 STREET SUITE I4 MIAtMJ, FL 33138 * PHONE (385) 751-5814 * FAX (305.861-4190 MAILING ADDRESS * P. 0. BOX 414384 * MIAMI BEACH, FL 33141 CAC 039619 SALES * INSTALLATION * SERVICE SINCE 1974 i ..l CERTIFIED www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 4084957 Product: Water/Brine to Air Heat Pump Packaged Unit Model Number: WSVX030*-6 Manufacturer: FIRST CO. Trade/Brand name: HYDROTECH Series Name: Date: 12/7/2017 Rated as follows in accordance with ANSI/AHRI/ASHRAE/ISO Brine -To -Air Heat Pumps and subject to verification of rating party testing: Air Flow Rate - Cooling: 930 / 930 Air Flow Rate - Heating: 930 / 930 WLHP (Water -Loop Heat Pumps) Cooling Capacity(Btuh) Cooling EER Rating(Btuh/watt) Cooling Fluid Flow Rate(gpm) Heating Capacity(Btuh) Heating COP(watt/watt) Heating Fluid Flow Rate(gpm) GWHP(Ground-Water Heat Pumps) Cooling Capacity(Btuh) 30500 / 30500 Cooling EER Rating(Btuh/watt) 19.70 / 19.70 Cooling Fluid Flow Rate(gpm) 9.00 / 9.00 Heating Capacity(Btuh) 26700 / 26700 Heating COP(watt/watt) 3.70 / 3.70 Heating Fluid Flow Rate(gpm) 9.00 / 9.00 Full Load 28000 / 28000 14.00 / 14.00 9.00 / 9.00 32800 / 32800 4.30 / 4.30 9.00 / 9.00 .. t6tat•u ActiL�• • • • • .. . .. . • • •• • •... • • ••.• • •... • . • .. .• .. . . • . .. • Standard 13256-1 forWater to-Ait • • • . . 0 • .• accuracy by AHRI-spQns4Pgd, independent, t4iird •• • •.• • • • •, Indoor Blower Motor Fan Type: ECM Sold In: USA; FootNote 2 - Without domestic heat recovery unit operating, " Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a AS, 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. Certified ratings are valid only for models and configurations listed in the directory at www,ahridlrectory.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.: MR -CONDITIONING. HEATING. & REFRIGERATION INSTITUTE we make life better'" 131571703782667057