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MC-18-162Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-295859 Permit Number: MC -1-18-162 Scheduled Inspection Date: February 06, 2018 Inspector: Perez, JanPierre Owner: HANNAU, ROBERT Job Address: 813 NE 97 Street Miami Shores, FL Project: <NONE> Contractor: AMERICAN FREEZING POINT LLC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)759-4744 Parcel Number 1132060142590 Phone: (305)300-8934 Building Department Comments AC CHANGE OUT 4 TON Infractio Passed Comments INSPECTOR COMMENTS False Q-9 zl6('s Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments February 05, 2018 For Inspections please call: (305)762-4949 Page 25 of 43 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Issue Date:112 Permit NO. MC -1-18-162 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: APPROVED 2018 Expiration: 07/25/2018 Parcel Number Applicant 813 NE 97 Street Miami Shores, FL 1132060142590 Block: Lot: ROBERT HANNAU Owner Information Address Phone Cell ROBERT HANNAU 813 NE 97 ST MIAMI SHORES FL 33138-2527 (305)759-4744 Contractor(s) Phone Cell Phone AMERICAN FREEZING POINT LLC (305)300-8934 (786)444-6745 Valuation: Total Sq Feet: $ 2,450.00 0 Tons: 4 Additional Info: AC CHANGE OUT 4 TON Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 3 Date Approved:: In Review Type of Work: AC CHANGE OUT 4 TON Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.80 $2.00 $2.00 $0.60 $100.00 $9.00 $2.40 $117.80 Pay Date Pay Type Invoice # MC -1-18-66190 01/26/2018 Credit Card 01/22/2018 Credit Card Amt Paid Amt Due $ 67.80 $ 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 the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction zon'`g. Futhermore, I authorize the above-named contractor to do the work stated. January 26, 2018 Authoriz - • nature: Owner / Applicant / Contractor / Agent Building Department Copy Date January 26, 2018 1 .LI Van Rotut r�o�� 300-4434{ 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 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ®MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: RECEIVEt JAN 22 'LA eLf-H FBC 201 1 Master Permit No. C.. 1 e_1(.0 2 Sub Permit No. ❑ REVISION ❑ EXTENSION ERENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Si 3 iii gi City: Miami Shores 1 / County: Folio/Parcel#: 11— 3106 - 0 `Cl Occupancy Type: Miami Dade zip: 3 3/3� Is the Building Historically Designated: Yes Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): 1N6 to t7 -1 --An A Address: '8 l' S '671 NO BFE: FFE: Phone#: C-3 3 - I �i '7 City: /✓1 r 6i '1.t.i„ Sq --taco State: CIL Tenant/Lessee Name: Phone#: Email: 04 3. 1-k AnnAk..54rr,A•kL • C—mr►s Zip: -D5/ 3 3D5-4o1-`66/1iL CONTRACTOR: Company Name: A ` h r (<' k h Free 2 / IV (� Address: Li 3Coo N CJ /(e.T T et-ra co J City: fut (4"I& O r 46614 State: PI Qualifier Name: � I V A!v 6.0 l'•/ Z / State Certification or Registration #: eke C)(1 / dA6 7 7elf) Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ of 44 So 100$'01 /lc Phone#: / ff (4((Lf 6)46 Zip: 3 3055 349s-- 300 -513 Phone#: Type of Work: ❑ Addition e Description of Work: / 1 / (/ a 47 ou 1 eiToAi Square/Linear Footage of Work: Alteration ❑ New NC Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ '0 lk) V� Scanning Fee $ Radon Fee $ • -- Gc--) Technology Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ G Notary $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 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: 1 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 of 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 OWNER or AGENT The foregoing instrument was acknowledged before me this 1 day of J VCA , 20 i U , by OrAY\►'Nfn.l A , who is personally known to me or who has produced as identification and who did take an oath. Sign: Prin Sea Signature CONTRACTOR The foregoing instrument was acknowledged before me this Ci day of ]PY\JCAl-1 , 20 1 v , by Q h 0 d w/S L , who is personally known to or who has produced identification an• who did take an NOTARY B � Sign: •at' ,,rJ,,,1 %• Print: ¶Y\ W-CSt Cct f i/1 "}%SG4Ire ( t �' Seal: ***************************************** ********************* APPROVED BY (Revised02/24/2014) as NN#*** *z MARSICA AIA88AREW '+: '! :r_ MY COMMISSION # FF 136124 EXPIRES: July 28, 2018 Bonded Tin Notary Public Underwriters ************* ans Examiner Zoning Structural Review Clerk 1/22/2018 Property Search Application - Miami -Dade County THE PROPERTY APP' Summary Report Property Information Folio: _m. 11-3206-014-2590' Property Address: 813 NE 97 ST Miami Shores, FL 33138-2527 Owner ROBERT W HANNAU Mailing Address 813 NE 97 ST MIAMI SHORES, FL 33138-2527 PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area 2,185 Sq.Ft Living Area 1,690 Sq.Ft Adjusted Area 1,938 Sq.Ft Lot Size 8,400 Sq.Ft Year Built 1951 Assessment Information Year 2017 _.__. 2016 2015 Land Value $251,831 $218,531 $201,881 Building Value $140,505 $141,629 $142,753 XF Value $32,700 $33,070 $22,692 Market Value $425,036 $393,230 $367,326 Assessed Value $165,181 $161,784 $160,660 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $259,855 $231,446 $206,666 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 ('.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 3 PB 10-37 LOT 14 & W1/2 OF LOT 15 BLK 73 LOT SIZE 75.000 X 112 OR 16326-0391 0494 1 Generated On : 1/22/2018 Taxable Value Information Previous Sale 2017 2016 2015 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $115,181 $111,784 $110,660 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $140,181 $136,784 $135,660 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $115,181 $111,784 $110,660 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $115,181 $111,784 $110,660 Sales Information 1 Previous Sale Price OR Book -Page Qualification Description 04/01/1994 $135,000 16326-0391 Sales which are qualified 12/01/1988 $129,500 13918-1835 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 Version: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: w Owner State of Florida County of Miami -Dade �1 The foregoing was acknowledge before me this i day of 1 (V11)&%. ✓ , 20 (U . Byb e -i u who is personally known to me or has produced / as identification. Notary'/ /L�i� ✓%i ,.-1"--1''#' SEAL: """ ", MPRBICAWSSAREW ,.. '.".11 MY COMMISSION t FF 136124 • EXPIRES: July 2018 �� . = 28, American Freezing Point LLC Date: '4)'')1 State of f(0+-1ch County of r4A4Lehx, � Before me this day personally appeared 1UQ Rockl 5 Uf Z who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 13 N E S teeT A -flak; S'/orfs Contractor Signature Sworn to (or affirmed) and subscribed before me this day of '''' . 20 /P , by L1 ✓Fr•• f2 -6d Kir ev Personally know Or Produced Identification Type of Identification Produced _MARIA HANNAU Print, ype or Stamp Name of Notary .001.`%. Notary Public Sta:e Florida 4 Maria Hannau +1 My Commission FF 238208 of w, Expires 06/08/2019 www.ahriiiireatoiy.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 : 9177650 Old AHRI Reference Number AHRI Type : RCU-A-CB Series : Outdoor Unit Brand Name : CARRIER Outdoor Unit Model Number (Condenser or Single Package) Indoor Unit Brand Name : Date : 01-22-2018 RECEIVED JAN 2 2 1018 : 24ACB748A*031* Model Status : Production Stopped • • . . •• . •..••• 0000• OO • •••• •••• • • •••• • • •••..• • • Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CN(B,F)005L 1 • . •• • •••• • • • Furnace Model Number : • •' •••••. • • • • • • • •.•••• ••• • ••••• 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, M N oy,O,6MS, MT,TJC, NU, NE, Nilo • • • NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, Y, U.S. Territories`) • : • • • W • • ••••• Region Note : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all rggiorls•until Juno'WA/6. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for which they meet thefegionaleffi iiency ; •••• : _••_• •••• • i • ••••• • - requirement. - The manufacturer of this CARRIER product is responsible for the rating of this system combination. '1 ___I {—I Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump. Equipment and subject to rating accuracyrby AHRI=sponsored indep ndent third party eating •k`))1 11 )' p` I Cooling Capacity (A2) -Single or High Stage (95F), btuh 48000 SEER. 16.50' -' — _ _- EER (A2) - Single or High Stage (95F) : 13.00 IEER : I'l • t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS) rating. 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.ahridlrectory.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. ©2018Air-Conditioning, Heating, and Refrigeration Institute AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE we make life better" CERTIFICATE NO.: 131610993743032601 4 4 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 it it change-out?hid%t • .•.• be on its own data sheet. Multiple units on single sheets are not acceptable.• . ' Job Address (where the work is being done): Ai 7 31 r • 22_ City: Miami Shores Village County: Miami Dade Zip Codes '�l 1 .8 • •••• - • • .. ••..•. ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRtTE VAS •••••• 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 E, ARHI Sheet Attached: YES ® NO ❑ •• • • • • •• • Contract Attached: YES 0 UNIT BEING REPLACED DATA NEW UNIT Rite AA MANUFACTURER C f RR i er RB 3 --au 1IDNU8A7 AHU or PKG. UNIT MODEL# FV{e F�(}S�,O(� R A p - O' A SA Z COND. UNIT MODEL # ay4 C. 74424003 ID W KW HEAT jQ W /�� NOM TONS 441'15 0 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 /0-C n YES NO REPLACING DUCTS YES NO X YES NO REPLACING THERMOSTAT YES 'e NO YES NO NEW 4"CONCRETE SLAB YES X NO YES NO NEW ROOF STAND YES NO K YES NO NEW RETURN PLENUM BOX YES NO K 1. Minimum Circuit Ampacity (Wire Size): //__ 2. Maximum Overcurrent Protection (Fuse/Breaker Size): lL 0 A nt P 3. Voltage of Circuit (208/240/480)):: C2 '7 0 (/D / T 4. Size Disconnecting Means: (?O Am P Contractor's Company Name: An't'e Pr PQ (/! Fria PZ 11)3 1 J7ff' hone: 36,r- 390-e? ? /-1 State Certificate or Registration No. CA e.` 1 ' n -24 ? Certificate of Competency No. Date: //.1.01./i 7 Signature (Revised02/24/2014) (Qualifier's signature) •••••. • •• ••.•.. • • •.•••• • • ••.•• • • •.•.• •••••• • • •••.•• • • ••••.• • •