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MC-17-1779 r Permit NO. MC-7-17-1779 RE Miami Miami Shores Village Permit Type:Mechanical-Residential �. 10050 N.E.2nd Avenue NE Work Classification:A/C Replacement Miami Shores, FL 33138-0000 Per Permit Status:APPROVED Phone: (305)795-2204 Fl.ORLDP' Expiration:EX i issue Date:8112017 Project Address Parcel Number Applicant 490 NE 96 Street 1132060140550 Miami Shores, FL 33138- Block: Lot: MICHAEL&GIOVANNA HOEFLII Owner Information Address Phone Cell MICHAEL&GIOVANNA HOEFLINGER 490 NE 96 Street (305)495-7694 MIAMI SHORES FL 33138- 490 NE 96 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 3,617.00 BIMINI BREEZE HVAC INC (305)968-4205 �...m ._._. _..._.,. _ _ ._.... .... ....._.. Total Sq Feet: 0 Tons:2 Available Inspections: Additional Info:AC CHANGE OUT EXACT 2 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 $2.40 Invoice# MC-7-17-64552 DBPR Fee $2.00 08/01/2017 Credit Card $96.00 $50.00 DCA Fee $2.00 Education Surcharge $0.80 07/11/2017 Credit Card $50.00 $0.00 Permit Fee $126.60 Scanning Fee $9.00 Technology Fee $3.20 Total: $146.00 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 ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zon' thermore, I authoriz bove-named contractor to do the work stated. I August 01', 2017 Authori i ure:Owner / Applicant / Contractor / Agent Date w Buildint Department Copy August 01, 2017 1 Miami Shores Village R Building Department r a ° 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 oD Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20H ' BUILDING Master Permit No.M C PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING KIVIECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 7 �O ^IE q 6 // City: Miami Shoresnn County: Miami Dade Zip: 33 E3 Folio/Parcel#: ' 3 d�� 01q ©SSD Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): �1 0 k141 /A1, ,cF oneM 305_ 1195_;16q11 _1 / Address: `� 90 6 � 9 6 / 57— City: 5TCity: /Y!� — State: 17L Zip: 3 3 13 Tenant/Lessee Name: Phone#: Email: ✓y of- &Ze CONTRACTOR:Company Name: /1/, C_«= Phone#: J— q( Address:_z(9/o Al, ! (Q S7 �^ City: Z_z: 4e C—A Sta Zip:: 3 3 Qualifier Name: i CkS / -��` / Phone#: State Certification or Registration#: G 18-16 3a-� Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ -7 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration /❑ New/ fO ��/4 Repair/Replace ❑ Demolition Zj` Description of Work: AAL MCz�M CSo fl� . c — lb 3 Specify color of color thru tile: l- Submittal Fee$ Permit Fee$ ICJ i CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 00 (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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature—(� " Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was aaccknowledged before me this day of i �L Y ---120 7 by / l day of tk- 20 / by 12 4 � - ho is ersonally know o J as% t p. � ��UU • w� CAC #1816329 CHECK'l.iST . •. ' - - PRICE BIMINI B EEZE v c>t�assERHVAC INC DAIf Commercial•Residential q auoLrs AMPS Lt uanvrn<,.u..Nn•a^1T Air Conditioning Services Inc. Q Eta:GTf?IGAL CONNECTIONS 7010 NW 169 St L1 Co-w�=Go Amea ? CilwphTf+CTs7101T,CiEAN d�CONb416 V: Hialeah FL 33015 p .rv, s (a.g,eem.nl C1 Cid 1 V� SLE Ph 305.M-4205 paccara ":QCLkIW.�',Ifkt,4(�lECKFd+1 CONAUST NAME / ✓ 1 NAME / O:EN1•';;..,,...'FavO. " '. 07 r ((r C3 1.'. Uo � i'fuOAr�T STNEET I O / pH,,.Oa••uat Cf LEAK D CHARGE 13 CITY /� .. STATE�i p C3 VOI T8 AMPS fzd& l�(�' ❑P FIL().'Z' R—'-" MAKE AtUUF1 SF:R:AL>:VAiSER pA,l Cona'::a•r; •,Q EL EG fRiG11t GONNECT{ONS QCONIACTSTIGHT S CLEAN 100 p Re1•:pe.aacr .1�1:AI�PIJt.E.E3fS{fcOJtJS'f KEIT) h c pc;'Lus er AR<uce 1,ll r PR V p d>r1/AE>POR/ITOR CQ11. PHONES. :::': �— ::::tDDCNL Art C �` 7 QIL$CHECKf)N D ENDB' T 4 ;00 'F ET.. . A CONDENsa "G�J G O AR ; ` I Is 5 Q INSPOCT IL LAN ORM*PAN; . J s D INSPECT CE ftNOMN tl d.I:nNHto : .;Ct REPLJK,E[l 1 r-. �- Q .'0 gLtRlV6/7 �R a PII Or.ASEfF r. t Y / C��-�'S'J�rG7t/�' aFLAIitE`ify[iJUSTMEN7 TOTAL PARTS a PR,r4AtiY Fera ( m � "QfAN �IMlTSWifCHOPER WRITE ORCO!E AMCUN- ,�5$LOYIEHASSIf+iBLY PARTS WARRANTY , 0 �' p� r- 001 ii c.vv -i A:pull•eCefdod ue-'Au nnlPd i!pef.':A Pd(eC e1:a. p L ' �.L7$TlI:IPtlE:4T c0acdcutpns VO4�Af� tCYCt1: LABOR GUARANTY I'IS CKCL41A8� 84MC1TOR-: Tre dD,,u"a.go as(000.400 are•gl't,e to Lnq © . we 110:.0.•s g.alnntceC lar a M f�REitT 3 a 3iyt�NlACtCRS`, Genva of___•_.Gayf REPO A ACN USAGE LABOR .� We op nol .e'coune.guaramY Anel pans than moat CHARGES HuS @ :HR. I•t P'L `b`N14rCh1 wa Inalau tl noa.•>:ale•DacOme necessary duo to 1, TOTAL . n TECHNICIAN CERT.t TOTAL o - ocher aelecu+a pantheys. ey willDe cnerpe0 sa0araaw y OTHER CHARGES f SIGNATURE �/(,� CNAFR ES SDK ENVIRONMENT CHECK LIST Q£i Gi3CATE ';; mar ITEM # cm[ TYPE SYSTEM E CHARGED (Q Q I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO REPAIR ESTIMATE R A REFRIG CITY�_ U REPLACED)? YES NO ORDER AS OUTLINED ABOVE IT IS AGREED THAT THE SELLER WILL E Q Q I _ RETAIN TITLE TO ANY EOUIPMENT OR MATERIAL FURNISHED UNTIL F 1� RECOVERED1 YES NO OTT M DIS. © (3 FINAL t COMPLETE PAYMENT IS MADE,AND IF SETTLEMENT IS NOT TRIP E MANTLED? YES NO MADE AS AGREED,THE SELLER SHALL HAVE THE RIGHT TO REMOVE CHARGE R2O RECYCLED? ® CITY_•_ T O SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES YES NO 1 RESULTING FROM THE REMOVAL THEREOF. TAX Q RELCAIMEO? YES NO® OTY OUR PERSONNEL G RECOMMEND: RETURNED TO E LU SYSTEM? YE N OTY t`"TIME ARRIVED TIME DEPARTED R ODISPOSAL A A PRIZED SIGNATURE N NDN USABLE ■ ® PTY_ OWNER'S (NITIALS ASOVE CIRDERED*OAK HAS SEEM COMPLETED"DI ACKNDMLEDOE AICEPTOa MV COW C.S.0 T DISPOSAL x YES NO ACCEPTED DECLINED DATE 5� r•. � �. SHORES. Miami Shores Village P ,t y: Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 'gyp' '—eon WA i 10 Tel:(305)795.2204 :; FNrEB IN . ZORtDp �_ Fax:(305)756.8972 AIR CONDITIONII0d 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): / / �/� SZ City: Miami Shores Village County: Miami Dade Zip Code: 3 ,F 3 6 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 W_ARHI Sheet Attached:YES, NO❑ Contract Attached:YES UNIT BEING REPLACED DATA 4NEW UNIT MANUFACTURER AHU or PKG.UNIT MODEL# COND.UNIT MODEL# KW HEAT NOM TONS ... AHU CU PKG 1)M.C.A AHU c3jPCU OPPKG•....� ...... AHU CU PKG 2)M.O.P AHU K.V • PKG••• • •• AHU CU PKG 3)VOLTS O AHU *tU** PKG •' """ PKG UNIT / / PKG UNI 7 / :••••: EER/SEER ••••• • • YES NO REPLACING DUCTS YES 9 9*!102 . . ..:.. YES NO REPLACING THERMOSTAT S •• *Nb •••••• YES NO NEW4"CONCRETE SLAB E ;'•;IRIS •• YES NO NEW ROOF STAND YES • :...:. YES NO NEW RETURN PLENUM BOX YES • •••• 1. Minimum Circuit Ampacity(Wire Size):,�15 2. Maximum Overcurrent Protection(Fuse/Breaker Size): 3 3. Voltage of Circuit(208/240/480): 2V fl 4. Size Disconnecting Means: '0 Contractor's Company Name: Phone: jos-��8 yaoS� State Certificate or Registration No. ifwc/g—'/6 3 9-� Certificate of Competency No. Signature Date: 7ZI,�Z 7. (Qual�er's a e (Revised02/24/2014) chi t� ,r-. si�"z ,�t-:.`.. � .�,�-^:�fit�s ,r".u.�.:,M.,v,.•' Certificate ®f Product Datings AHRI Certified Reference Number: 7940572 Date: 7/11/2017 Product: Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number: RA1624AJ1 Indoor Unit Model Number: RBHP-17 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, 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,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 responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows in\a lcordanceiwith AHRI Standard,210/240-2008 for,Unitary,Air6-Conditioning'and Air-Source Heat�Pump Equipment and Isubject,to verification of rating accuracy by A{Hj Rl-spon{sored independent;third party testing, Cooling Capacity(Btuh): 24000iji!AyTA!�f,�)1 I(I 0 41 r(• ;I l IT .I`L•K'= is ••••E� •••• EER Rating (Cooling): 12.50 so ' "' ...... r.. .... SEER Rating-(Cooling): X15:00._ •••'•• • .... . IEER Rating (Cooling): •••• o .... ...... :-so:- ::.::o ....... . .... ...... .so . ... . . . `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.Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS 0 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. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTnWE The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we make life better- 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. ©201.4 Air-Conditioning, Heating,and Refrigeration Institute [CERTIFICATE NO.: 131442460977951119 Date: State of County of t Before me this day personally appeared �LCS who, being duly sworn deposes and says: That he or she will be the only person working on the project located at: -3 315 d 7 Contr for Signature Sworn to (or affirmed)and wbscribed before me this day of 20 t! by Personally Knnw • OR Produced Identification•• • f-I(u•. • Type of Identification Proddedd•t'L-•K�Z- • •+ ...... •+••r• • \`,����•• ..• �/ice Myr,•.y9 S C7 T d„ •2�_ q•c O CO Print,Type,or StaofPtk � f, •� sed•.�'���. ♦SNORES Li s� �► Miami shores Village Building Department artment 10050 N.E.2nd Avenue �OR1DA 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: State of Florida County of Miami-Dade The foregoing was acknowledge before me this day of DUA�( ,20_A. By 0 Y q�'PyI" 110,EF4yyG,� who is ersonally known me or has produced as identification. Notary: Glu✓ SEAL: ,;���%u;�: REGINA BUTLER •': MY COMMISSION N GG06822: Property Search Application - Miami-Dade County Page 1 of 1 ONFICE OF THE trIftiROPERTY APPRAISER A' ,^ }t" Summary Report Generated On:7/14/2017 Property Information a Folio: 1.1-3206-0.14=05501 490 NE 96 ST Property Address: Miami Shores,FL 33138-2734 Owner MICHAEL HOEFLI�NGER �'•, � "� T1s`, .., ,. !" GIOVANNA HOEFLINGER r u," 490 NE 96 ST Mailing Address MIAMI SHORES,FL 33138 USA PA Primary Zone 1400 SGL FAMILY-3001-3250 SQ i Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT Beds/Baths/Half 3/4/0 irr9r Floors2 t.° v xp Living Units 1 Actual Area 4,720 Sq.Ft 2U o ogr ` Living Area 4,007 Sq.Ft Adjusted Area 3,887 Sq.Ft Taxable Value Information Lot Size 14,843.4 Sq.Ft 2017 2016 2015 Year Built 1941 County Exemption Value $50,000 $50,000 $50,000 Assessment Information Taxable Value $521,405 $509,653 $505,763 Year 2017 2016 2015 School Board Land Value $445,446 $370,845 $355,708 Exemption Value $25,000 $25,000 $25,000 Building Value $270,535 $270,535 $270,535 Taxable Value $546,405 $534,653 $530,763 l XF Value $21,420 $21,593 $16,271 City Market Value $737,401 $662,973 $642,514 Exemption Value $50,000 $50,000 $50,000 Assessed Value $571,405 $559,653 $555,763 Taxable Value $521,405 $509,653 $505,763 Regional Benefits Information Exemption Value $50,000 $50,000 $50,000 I Benefit Type 2017 2016 2015 Taxable Value $521,405 $509,653 $505,763 Save Our Homes Assessment Cap Reduction $165,996 $103,320 $86,751 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 11/18/2011 $740,000 27903-3487 Qual by exam of deed Homestead 02/01/2008 $860,000 26252-1135 Sales which are qualified Note:Not all benefits are applicable to all Taxable Values(i.e.County, 09/01/2005 $1,508,000 23859-4863 Other disqualified School Board,City,Regional). 04/01/2005 $1,300,000 23307-0754 Sales which are qualified Short Legal Description MIAMI SHORES SEC 2 PB 10-37 f LOTS 1 &2 BLK 53 LOT SIZE 103.800 X 143 OR 19713-1348 06 2001 1 COC 26252-1135 02 2008 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/ 7/14/2017