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MC-18-502 t t t 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-299075 Permit Number: MC-2-18-502 Scheduled Inspection Date: March 13, 2018 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: TER HORST, BARBARA Work Classification:A/C Replacement Job Address: 1130 NE 91 Terrace Miami Shores, FL Phone Number (305)432-1775 1 Parcel Number 1132050010410 Project: <NONE> Contractor: THE HUNTER AIR CONDITIONING CONTRACTOR INC Phone: (305)218-8878 Building Department Comments REPLACEMENT OF OLD AIR CONDITIONER Infractio Passed Comments INSPECTOR COMMENTS False t Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-298200. missing lock caps; need tapcons, need door grille 24x24 t Failed F Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. E , i March 12,2018 For Inspections please call: (305)762-4949 Page 26 of 44 Permit N©. MC-2-18-502 swO.M, LMiami Shores Village Permit Type:Mechanical-Residential 10050N. .2nd Avenue NE r � EWark"Classification:A/C Replacement Miami Shores,FL 33138-0000 Permi_ Petrnittats:APPROVED Phone: (305)795-2204 ��ORiDp' Issue Date:3/51201'8 Expiration: 09/01/2018 Project Address Parcel Number Applicant 1130 NE 91 Terrace 1132050010410 Miami Shores, FL Block: Lot: BARBARA TER HORST Owner Information Address Phone Cell E BARBARA TER HORST 1130 NE 91 Terrace (305)432-1775 MIAMI SHORES FL 33138- 1130 NE 91 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,500.00 THE HUNTER AIR CONDITIONING CO (305)218-8878 Total Sq Feet: 0 Tons:2.5 Available Inspections: Additional Info:REPLACEMENT OF OLD AIR CONDITIONER Inspection Type: Classification:Residential Final Approved:In Review Review Mechanical Comments: Date Approved::In Review Date Denied: Type of Work: REPLACEMENT OF OLD AIR CONDII Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# MC-2-18-66594 DBPR Fee $2.00 DCA Fee $2.00 02/27/2018 Credit Card $50.00 $67.80 Education Surcharge $0.60 03/05/2018 Credit Card $67.80. $0.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $117.80 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. i OWNERS AFFIDAVIT: I certify that II the reg information is accurate and that all work will be done in compliance with all applicable laws regulating construc onin Futh rm0re I auth rize the above-named contractor to do the work stated. March 05, 2018 , Aut orized Signature:O er / Applicant / Contractor / Agent Date Building Department Copy March 05,2018 1 Building-Department- ����;, .:� . ��� �, •..,�„r�I. , 10050 N.E.2nd Aven'Ue,Miami Shores,Florida 33138 Tel:•(305)795-2204 Fax:(305)756-8972• •- - — FEB 211", v '` '✓ INSPECTION LINE PHONE NUMBER:1,303)762-4949 -iu FBCo BUILDINGLL ,� , •_„__ _ �_ ,_ �� ____„Master:Permit No.MC, 6 5 PERMIT APPLICATION Sub-Permit No. + 4l , ' (t. ; r r .r, g 'Ni 41.: -t... :F ` t ” ,., ,; r. , 1. 1, 1t- , I u , .11 .+.. -❑BUILDING "_. ❑ ELECTRIC t:' ;,QiR00F,INGi i'❑-REVISION , ,•... .,Q:EXTENSION:r ORENEWAb. nm . ��+• �. . Mli� t .ar.�•.� t.1� fit r.•.. ' i. .r • ) ].l�T .. ®..-?�"i.' f” `r.ria wW. , ;G�I'1•'} .i+.`. t •�'; ' ,F f. , .+:,}'3-� O PLUMBING [XMECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ' ❑ CANCELLATION SHOPu CONTRACTOR DRAWINGS, JOB ADDRESS: 1130 NE 91 st Terrace, 33138 .r, City: : • -C, P Miami Shorest-a County:.^ +- a i% Miami Dade-s �s!tr•a•. M Zip:,f^ +"' •" .^��s�as f�'E Folio/Parcel#a. 113205001041 0r�, d¢ _ _.. . _�.tt. _ , .. . . _ _ t.> iF y y _A Is,the Building Historically,Designated:Yes, li,,e NO, Occupancy:Type: ,gym :. `k Load:, ° 'i! ; Construction•Type:I 5(13 I.Flbod;Zon3e:),140 a BFE:-11A,) ,.-FFE:,ill"f" OWNER: Name(Fee Simple Titleholder):Barbara ter Horst, Trust Phone#:305-432=1775 Address:1130 NE 91 st Terrace r , , ,,, .• > i 'it .)' •t]' ��'D S. �t .r•, :, r�.n.Y. tt, { it i, > it Miami Shores ` state: FL Zip 33138° Tenant/Lessee Name:. 3 c •i 1,a "; _ Phone#:. k:.. ' ii 1 Email. terhorstb@gmail.com 4;� , },' �, , �,• ' . CONTRACTOR:Company Name: e �`� i�aL te,_ A/c Phone# 305`7 Z,• t ,97d Address: 9- L 4 City: State: Zip: t"'r i, :t ' '�i �' if•c' t .i� / /' :cr -r - .� ., .. t-; '•tr., -•e f' -�. a, Qualifier Name: �Vl i4 ^/ V/`I'� Phone#: State Certification or Registration#:-- <fWC 12 S_C '7 Certificate of Competency#: - DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$2,500. Square/Linear Footage of Work: ,1x=. Type of Work: El Addition ElAlte rat on [:1 New ❑■ Repair/Replace El Demolition Description of Work: Repiacernent-of -air-conditioner. t' .L br.t,at ?:4,;nlc.rl*r1r1C7"P�t ;v� _ Specify color of color;thru tile: /f1_.l�t .sf t.. •ri4"'(. ,...1:t £a. l .r , •! i .. r_ . .- Submittal Fee$ —:7-71-7 Permit Fee$ _ ` �' CCF,$, !': ' $ �- '-•�•CO/CG Scanning Fee$ Radon Fee$ `2 e_K-> DBPR$ '2 r Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) , 1 Bonding Company's Name(if applicable) y Bonding.Company's Address j ..- f ai Ji i ,2�j?v4r+,',.` t"kC. Py )!�"' .;�''•,' ,'f :#1. City State Zip Mortgage Lender's Name(if applicable) '~ #t!{ %: ) _*la 'm-t',.` fi;1�1z 3 x '' � w ..;v•i Mortgage Lender's Address ` City cvv. **,i!%-State?i-r#1 Zip ►J 011 I 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'pritir''to the issuance of+a permit and that'all!wbrk will be•perfor"mFd rto meet the)'sfandards,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..... - . i ,I:,,;t l__..? -•,. „•., 4_I. .. I' 47\,L..1 i .I a. OWNER'S`AFFIDAVIT: 1 certify that all the foregoing info'r'mation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. i ?, O• . t ° , +., _2 TL f ,, UA fi01. "WARNING TO OWNER: YOUR•FAILUWfO-RECORD 'A NOTICE-OF-COMMENCEMENT MAY RESULT IN-YOUR,PAYING,TWICE}FOR1 IMPROVEMENTS TO YOUR PROPERTY. IF-YOWINTEND TO OBTAIN FINANCING,,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE.OF COMMENCEMENT." Notice to Applicant: As a condition.to the issuonce-o -a building ' , t pp _ f g permrx with an estimated value`exceeding$2500, the applicant must promise in good faith;that a copy of the notice of commencement and construction lien low 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 dt 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 foregoinginstiument was acknowledged before meIfhis The foregoing instrument was acknowledged before me this 1' 1 'I1 ,,r• a 40 day of Reob 20 /d by ��► day of �d � M ,20 �c� by o is personally known to Ngwyat, DL \fi U_& ` who is personally known to me or who has produced as me or-who has produced as identification and who did take an oath. identification and who did take an oath. iii NOTARY PUBLIC: _ NOTARY PUBtiC: KY f Sign: - -__ - - Sign. CA2�aAp -r. to"o"q A/' Print-. X _ A`-�"w .. CARIDAD I PAGAN _ Seal. .� .. CARIDAD I PAGAN "_ Seal: `• MY COMMISSION#FF118026 MY COMMISSION#FF718026 Y. � � EXPIRES�Apri1 30 2018`. 'I;£3I' EXPIRES'AprII'30,-2018- ' (407)398-0139 FlorldaNOta Service.com (4071398,0100 , ;Floridallote service.com sssssr*s*ss #s **sss**e*rtk*ss*s** #** sssisssss**s**es ►a#ssa*ssiss***s**i* Y . �J �I �APitmirver APPROVED BY L� ~T -Zoning, ,., _. ''v r.t {J �_ � •,.._...�... 'r, 3t;lai,..-k t', ? - t , ,.; •,e a r, Structural Review Clerk (Revised02/24/2014) � Y eoRFs y -y} { .� Miami Sh\ores Village ' Building Department, Evil .m,..ffl , 10050 N.E.2nd Avenue Miami Shbfes,�Florida 33138 lrams 0p t Tel:(305)795:2204 Fax:(305)756.89,72 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC Ar This form mustaccompany ALL air cbnditioning replacement permit applications. Each unit change-out must be on its oWA"'data sheet. Multiple units on single sheets are not acceptable. Job Address(where the work is being done): /Z 3 D City: Miami Shores Village County: Miami Dade Zip Code: 3,3 / 3 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-CORY-OF THE CONTRACT-IS-REQUIRED-WIT-H-ALL SUBMITALS- AHRI DATA SHEET REQUIRED Change disconnecting means:YES❑ NO X ARHI Sheet Attached:YES NO❑ Contract Attached:YES [� UNIT BEING REPLACED DATA NEW UNIT ,p a MANUFACTURER S✓ AHU-or-PKG:UNIT-MODEL# AJ (3 Oj? Ri¢ O Z COND. UNIT MODEL# h AJ,4 03D S kkA/ KW HEAT til `Z• S NOM TONS Z • S` AHU-3O CU a. PKG /V 1)M.C.A AHU j0 CU 30 -PKG A) AHU 3c' CU 3 D PKG t0/64 2)M.O.P AHU' rp CU30 PKG AIJA AHU20 CU_20f3 PKG f7o, 3)VOLTS AHUjVf3 CU2,c6 PKG N A PKG.UNIT. / /- PKG_UNIT. If 0 .¢ew` EER/SEER o YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE.SLAB YES N-0 K, YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1, Minimum-Circuit-Arnpacity-(Wire-Size: 6 2. Maximum Overcurrent Protection (Fuse/Breaker Size): // 3 0 3. Voltage of Circuit(208/240/480): Zee / 4. Size Disconnecting Means: Yo Contractor's Company Name: At Phone: >05—Z (098 49 State Certificate or Registration No. Cts C ( ZS o 3 3 Certificate of Competency No. Signature (�r` -� Date: Z7- , g (Qualifier's signature) (Revised02/24/2014) 2/27/2018 Property Search Application-Miami-Dade County OFFICE OF THE PROPER"TY APPRAISER ^.: ;.. Summary Report Generated On:2/27/2018 Property Informationw ? Folio: 11-3205-001-0410 1130 NE 91 TER Property Address: Miami Shores,FL 33138-3404 t rtx BARBARA TER HORST TRS Owner BARBARA TER HORST TRUST BARBARA TER HORST Mailing Address 1130 NE 91 TERRA ' e MIAMI SHORES,FL 33138 USA € PA Primary Zone 1100 SGL FAMILY-2301-2500 SQ 0101 RESIDENTIAL-SINGLE L Primary Land Use FAMILY: 1 UNIT r- Beds/Baths/Half 3/2/0 Floors 1 Living Units 1 Actual Area 2,950 Sq.Ft Living Area 2,378 Sq.Ft Taxable Value Information Adjusted Area 2,569 Sq.Ft i 2017 2016 2015 Lot Size 9,375 Sq.Ft Year Built 1955 County Exemption Value $50,000 $50,000 $50,000 Assessment Information Taxable Value $302,366 $295,119 $292,720 Year 2017 2016 2015 School Board Land Value $337,500 $314,250 $285,750 Exemption Value $25,000 $25,000 $25,000 Building Value $86,505 $86,565 $86,624 Taxable Value 1 $327,366 $320,119 $317,720 XF Value $17,446 $17,452 $12,753 City Market Value $441,451 $418,267 .... $385,127 Exemption Value 1 $50,000 $50,000 $50,000 Assessed Value $352,366 $345,119 $342,720 Taxable Value $302,366 $295,119 $292,720 Regional Benefits Information Exemption Value 1 $50,000 $50,000 $50,000 Benefit Type 2017 2016 2015 Taxable Value 1 $302,366 $295,119 $292,720 Save Our Homes Cap Assessment Reduction $89,085 $73,148 $42,407 Sales Information Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,00.0 Previous OR Sale Price Book- Qualification Description Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Page Board,City,Regional). 10/18/2013 $385,000 28890_ Qual by exam of deed 4242 Short Legal Description 09/06/2003 $0 21959- Sales which are disqualified as a result of 5 53 42 2607 examination of the deed WATERSEDGE PB 9-141 21959- Sales which are disqualified as a result of LOT 16&W1/2 LOT 17 BLK 2 09/01/2003 $0 2609 examination of the deed LOT SIZE 75.000 X 125 COC 21959-2609 09 2003 4 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.miamid6de.gov/info/disciaimer.asp Version: ) 9L sk1ti` mbination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. x� ue--rU fi tW of Rm.,.duct R AHRI Certified Reference Number :9198746 Date:02-23-2018 Model Status :Active Old AHRI Reference Number AHRI Type :RCU-A-CB Series :16 SEER AC Outdoor Unit Brand Name :CARRIER Outdoor Unit Model Number (Condenser or Single Package) :CA16NA030*0**A* Indoor Unit Brand Name Indoor Unit Model Number(Evaporator and/or Air Handler) :FX4DN(B,F)037L i Furnace Model Number Region :Southeast and North(AL,AR,DC,DE,FL,GA,HI,KY,LA,MD,MS,NC,OK,SC,TN,TX,VA,AK,CO,CT,ID, IL,IA,IN,KS,MA,ME, r MI,MN,MO,MT, ND,NE,NH,NJ,NY,OH,OR,PA,RI,SD,UT,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 regpns WIft j June 3002016. ••• Beginning July 1,2016 central air conditioners can only be installed in region(s)for which they meettie regional eiriCigndy '-..w•••• Y. •• ••• --- requirementY...,;..�..__�.._.�.._,.-._......r._W. ,Y ._._._,.� -..�_._ .W.__-._-- --.- » •- The manufacturer,of this CARRIER product is responsible for the rating of this system combination.w _ •••••• �� •• •�� ••• Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2,Performance•"ipy pf UnitaWAr-Cgnditionigq • &Air-Source Heat,Pump Equipment and subject to,`rating accuracy by-AHRI-sponsored,,ind hdent,third party j seryg;•`'ti w1 • • t , 116.06- `°--�-- ---•--,-..- ( � . •••••• � • Cooling Capacity(A2)- Single or High S at ge(95F•),titiih;:29400 • • • • SEERI.• _ •••••: EER A2 -Single or High Stage 95F : 13.00 sEt� +�T E ; I-t � " • • • •••• IEER r�' •• • RECEIVED ` , y FEB 27 7018` 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. I Ratin s that are accom anied by WAS indicate an involuntary re-rate. The new published rating is shown along with the previous i.e.WAS ratin . "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 (� n 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 INSTITUTE 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, we make lift better"' which is listed above,and the Certificate No.,which is listed at bottom right. 131638906281247407 ©2018Air-Conditioning, Heating,and Refrigeration Institute I CERTIFICATE NO.: