MC-18-1129 Permit,NO. MC 4-18-1129
�sNO1s L,� Miami Shores Village Permit Type:Mechanical-Commercial
4• 10050 N.E.2nd Avenue
2 �� ' Work Classification:A/C Replacement ;
Miami Shores,FL 33138-0000 Permit Status:APPROVED
Phone: (305)795-2204
FY R1Dp'
Issue Date:512112018 Expiration: 11/17/2018
Project Address Parcel Number Applicant
370 GRAND Concourse. 1132060136040
MIAMI SHORES BAPTIST CHURI
Miami Shores, FL 33138-2747 Block: Lot: f
Owner Information Address Phone Cell
MIAMI SHORES BAPTIST CHURCH 401 NE 95 ST (305)758-0559
Miami Shores FL 33138
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Contractor(s) Phone Cell Phone Valuation: $ 7,950.00
CYCLONE MECHANICAL INC (305)607-6682 .
Total Sq Feet: 0
Tons: Available Inspections:
Additional Info:CHANGE OUT OF A 7 TON UNIT Inspection Type:
Classification:Commercial
Final
Approved: In Review
Review Mechanical
Comments: Date Approved: :In Review
Date Denied: Type of Work:CHANGE OUT OF A 7 TON UNIT
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $4.80 Invoice# MC-4-18-67339
DBPR Fee $3.58
DCA Fee $2.39 05/21/2018 Credit Card $221.27 $50.00
Education Surcharge '$1.60 04/27/2018 Credit Card $50.00 $0.00
Notary Fee $5.00
Permit Fee $238.50 a
Scanning Fee $9.00
Technology Fee $6.40
Total: $271.27
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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 t t all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-na cto d e work stated.
May 21, 2018
Authorized Signature:Owner / Applicant / ntractor / Agent Date
Building Department Copy..
May 21, 2018 1
t �
f
Inspection Worksheet `
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-302826 Permit Number: MC-4-18-1129 Ii
Scheduled Inspection Date: June 14, 2018 Permit Type: Mechanical - Commercial 1
Inspector: Perez,JanPierre Inspection Type: Final
Owner: CHURCH, MIAMI SHORES BAPTIST
Work Classification: A/C Replacement
Job Address:370 GRAND Concourse
Miami Shores, FL 33138-2747 Phone Number (305)758-0559
Project: <NONE> Parcel Number 1132060136040
Contractor: CYCLONE MECHANICAL INC Phone: (305)607-6682
Building Department Comments
CHANGE OUT OF A 7 TON UNIT Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
I
Failed
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
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June,13,2018 For Inspections please call: (305)762-4949 Page 17 of 45
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RECEIVED
Miami Shoreas Village APR 2 7 2018
Building Department
artment
10050 N.E.2nd.Avenue,Miami.Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION UNE PHONE NUMBER:(305)762-4949 ♦�j i
FBC 20
BUILDING Master Permit No. OL 12�I
PERMIT APPLICATION sub Permit No.
BUILDING r_-j ELECTRIC r-1 ROOFING r-1 REVISION E]EXTENSION MRENEWAL
r-JI'LLIMBING Z MECHANICAL []PUBLIC WORKS F] CHANGE OF 0 CANCELLATION n SHOP
—7 CONTRACTOR DRAWINGS
JOB ADDRESS: 3-70 C-)rQ.Y1d GnC.-y,- r-,e
i
City: Miami Shores County: Miami Dade Zip: 33138
foTw/Parcel#: the Building#Ibtork Ay mailed:Yes no
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): M i Qn U Shores &ph S-F(LYch. InrPhone#:�3b5)759'--55q
Address: In (rand C0n C V e1Sz
City M a ar)t hD,-6S State: n- Zip: -3313 ?
Tenant/Lessee Name: Phone#:
i
Email: .
CONTRACTOR:Company Name: CC��Lr1�/ 'L5.1 Phone#: 3GS a;p
� (
Address: 2103 L-/, SO" lei
City A State: L zip: 330
Qualifier Name a 6 / Phone#• gaf--40-_ (4'$2
State Certification or Registration#: CPT C (2-SO(O/ Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work forthis Permit:$ ����' r6 Square/Linear Footage of Work:
TVwaf?l adc .l� a mimion - � '-yQe(��v ePanJ�Dlace 0 Demolition
Description of Work:_ �i�iA7 C K/ V- a 4v7 tih.'y�
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i
Specify color of color thru We:
Tom$ f s - iCC
Scanning Fee$ Radon Fee$ a, DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TATai CFC NAW niiC c`� Z
i
a
Bonding Company's Name(if applicable) '
Bonding Company's Address
City State Zip i
Mortgage Lender's Name(if applicable) I
Mortgage Lender's Address
City State Tp
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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,.BOIIERS,.HEATERS,TANKS,AIR CONDf lJONERS,ETC..... 1
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. I
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"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 goad,faith that a spy of the Aot+ce of commencement and wnstrndion.lien haw brochure"Ibe 4lelhwed,to:the,person
whose property-is subject to attachment. Aysia,a certrfred,copy of the recorded.notice of commencement must he pasted at the job site i
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.
E
Signature l �47Signature
OOVMER w AGENT CONTRACTOR
The foregoing instrument t was before a this The foregoing instrument was acknowledged before me this
day of r t \ (( )) .((2��0��i ++ by /�day of AIN' R rJ l t .20�by
who i3'pYerso Ilji kdown to ���Q�� 1 �► �1 t .�mho is personally�known to
or who has prodeced as -t ne w ,who has produced �� 1,cy as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLK: NOTARY PUBLIC:
Pia MAHARAI K.GONZALEZ
MY COMMISSION#GG 044602 E"..
MAHARAI K.GONZALEZ
EXPIRES:November 2.2020 ;Si : :*: Y COMMISSION#GG 044602
o : ovember2,2020
forint: Prin ded Thru Notary Public Underwriters
Seal: Seal:
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tT*5S*Examiner
APPROVED BY V Zoning
Structural Review Clerk
E i
4/27/2018tt Property Search Application-Miami-Dade County t
OFFICE OF THE PROP"'ERTY APPRAISER
nays!
n ... $ .
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Summary Report
Generated On:4/27/2018
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Property Information
Folio:- 11-3206-013-6040
Property Address: 370 GRAND CONC
Miami Shores,FL 33138-2747
Owner MIAMI SHORES BAPTIST CHURCH
" 370 GRAND CONCOURSE
Mailing Address
MIAMI SHORES, FL 33138-2747
PA Primary Zone 1300 SGL FAMILY-2801-3000 SQ f
Primary Land Use
7144 RELIGIOUS-EXEMPT:
RELIGIOUS
€ I
Beds/Baths/Half 0/0/0
f ��
Floors
i
Living Units 0
Actual Area Sq.Ft
Living Area Sq.Ft P a
Adjusted Area 29,145 Sq.Ft
Lot Size 23,695 Sq.Ft Taxable Value Information
Year Built 1949 2017 2016 2015
County
Assessment Information
Exemption Value 1 $2,126,897 $1,933,543 $1,757,767
Year 2017 2016 2015 Taxable Value $0 $0 $0
Land Value $834,064 $758,240 $521,290
School Board
Building Value $1,252,244 $1,192,613 $1,073,352 Exemption Value $2,245,683 $2,112,103 $1,757,767 1
XF Value $159,375 $161,250 $163,125 I
-____..n..__..__.._.._......
......_.._.®®���m Taxable Value $0 $0 $0 JJJ
Market Value $2,245,683 $2,112,103 $1,757,767 City
Assessed Value $2,126,897 $1,933,543 $1,757,767 Exemption Value $2,126,897 $1,933,543 $1,757,767
Taxable Value $0 $0 $0
Benefits Information
Regional
Benefit Type 2017 2016 2015 Exemption Value 1 $2,126,897 $1,933,543 $1,757,767
Non-Homestead Assessment
$118,786 $178,560 Taxable Value $0 $0 $0
Cap Reduction
1
Religious Exemption $2,126,897 $1,933,543 $1,757,767 Sales Information i
Note:Not all benefits are applicable to all Taxable Values(i.e.County,School
Previous Sale Price OR Book-Page Qualification Description
Board,City,Regional).
Short Legal Description j
MIAMI SHORES SEC 1 AMD PB 10-70
ALL BILK B
LOT SIZE IRREGULAR
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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
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Version:
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2017 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT FILED
DOCUMENT#717306 Jan*26, 2017
Entity Name: MIAMI SHORES BAPTIST CHURCH, INC. Secretary of State 1
CC3920548156
Current Principal Place of Business:
370 GRAND CONCOURSE
MIAMI SHORES, FL 33138
I
Current Mailing Address:
370 GRAND CONCOURSE
MIAMI SHORES, FL 33138
FEI Number: 59-0700565 Certificate of Status Desired: Yes
Name and Address of Current Registered Agent:
JONES,STEVE H MR. 1
1060 N.E.92ND ST.
MIAMI SHORES, FL 33138 US
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The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,in the State of Florida.,
SIGNATURE: STEVE H. JONES 01/26/2017
Electronic Signature of Registered Agent Date
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Officer/Director Detail
Title PRESIDENT Title OFFICER
Name MITCHELL,ANTHONY D Name LUC,MARCEL i
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Address 125 N.E.86TH STREET Address 141 NW 100 ST
City-State-Zip: MIAMI FL 33138 City-State-Zip: MIAMI FL 33150
Title OFFICER Title SECRETARY
Name CHARLES,GAUDIN Name TURPIN,RICHARD III
Address 831 N.E. 142ND STREET Address 25 N.E. 139TH ST
City-State-Zip: MIAMI FL 33161 City-State-Zip: N.MIAMI FL 33161
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Title TREASURER
Name GODFREY,KAREN I
Address 1481 NE 102ND ST J
City-State-Zip: MIAMI SHORES FL 33138 1
{
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I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under
oath;that 1 am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617,Florida Statutes;and that my name appears _
above,or on an attachment with all other like empowered.
SIGNATURE:ANTHONY MITCHELL PRESIDENT 01/26/2017
Electronic Signature of Signing Officer/Director Detail Date
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• J 4
Mlaiml.SShones I✓illatge
$uilding Department
.... ■�. 10050 N.E.2nd Avenue
Miami Shores,Florida 33138
Teh(305)795.2204
Fax:(305)756.8972
ARCGM11014MIUMACENAMMATA
PERMIT NUMBER: MC
This form must accompany ALL air conditioning replacement permit applications.Each unit change-out must
be on its rnm-data sheet.-Multiple 4nits•on single sheets are not acceptable.
Job Address(where the work is being done): ? 7 0 (-4ti Cah Cy l e
City: Miami Shores Village County: Miami Dade Zip Code: '331,39
ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB
ALL UNITS MUST COMPLY WITH FS-MA MINIMUM FLOOD ELEVATION
'AtDPYi#TF1E CGtaMCTUSEQUIM iilifM`MlStUMMMS I
AHRI DATA SHEET REQUIRED
Change disconnecting means:YES❑ NO 4N ARHI Sheet Attached:YES NO❑ Contract Attached:YES
UNIT BEING REPLACED DATA NEW UNIT '
rt a MANUFACTURER p
AHUvrPJM2011T1TM0M# 2 0 YgC1 1
A11,4 9:PaW� COND.UNIT MODEL# (2) irsx fqo It 2
KW HEAT A11,4
NOM TONS
AHU CU PKG 1)M.C.A AHU CUZ 1,8 PKG
AHU CU PKG 2)M.O.P AHUIS CU 35 PKG
aAH1J ' .:K33 '. 6 *Vm-IS gl 33J208'
PKG UNIT / / PKG UNIT
EER/SEER
YES NO REPLACING DUCTS YES NO
a
YES NO REPLACING THERMOSTAT NO
"
YES NO NEW rCONCRETE SLAB YES N
YES no V1F£3h1JtOYTF D NO
YES NO NEW RETURN PLENUM BOX YES O "
s
1. Minimum Circuit Ampacity(Wire Size):
2:. Maximum Overcurr )82
Protection(Fuse/Breaker Size :3. Voltage of Circui 2040/480): i
4. Size Disconnecting Means: /
Contractor's Company Name: Cklc(ORt dre4anrca ( Phone: gGS i607 -6682
ti
State Certificate or Registration o_ HC l 2 J'u 10 1 Certificate of Competency No. C' GC2-S U l 0 .
1
Signature. Date: '-'9z
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t
`Cyclone Mechanical CYCl�NE
2314 W.80th Street-Bay#5
Hialeah, FL 33016 US
info a cyclonemechanical net
ESTIMATE
ADDRESS ESTIMATE* 1362
Miami Shore Baptist Church DATE 04/19/2018 t
370 Grand Concourse 1 RA nON DATE"05/19/2018 �
'Miami Shores, FL 33138 a
ACTIVITY QTY RATE AMOUNT ,
Replacement of split system for a 3.5 ton 14seer Goodman 2 � 2,900.00 5,800.00 I
Condensing unit model# GSX14042
Air:handler Model# ASPT49C14A*
Heater model#HKSC08XC 1
Price includes Permits
New-Aluminum condenserbrackets 2 450'00 900.00
New outside air duct thru attic,with a motorized damper 1,250.00 1
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NOTE:
1)Electrical work must be done in order to enchange the 3 1
phase power into 2 individual single phase 2081230 voltage
for the new units.
2)Any combusbWe material in mechanical room must be
removed in order for inspection to pass. 1
. .. _ ...__-----..... ..........------------
I
TOTAL $7,950.00
Accepted By Accepted Date
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RECEIVEC.;
• • • • • •• • • APR 2 7 2018
Certificate of rrodbdt•R- Atings
AHRI Certified Reference Number:201498512 •• • [Ipte:•04-2~4-•201 •• •• Model Status:Active
Old AM Reference Number:10206873 • • • • • •• • •
AHRI Type:RCU-A-CB i
Series GSX14 +i
Outdoor Unit Brand Name:GOODMAN C t 121q
j
Outdoor_Unit_Mo 1 A4mtber.(Condenser or Sade Pte):1 X440MW
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Indoor Unit Model Number(Evaporator and/or Air Handier):ASPT49C14A'
Region: Soutleastand'North(AL;AR,DC,DF—f7-,GkH KY,1-A,!VD;M,,'NC,OIC,SC.TK TX VA AK,`M C3,ID.,IL,
IA,IN,KS,MA,ME,NII,MN.fAO.MT,fill):NE,NH.NJ,MY.OH,,OR.PA.RI,SD:UT,VT,WA,VW,IM:WY:U.S. �
Territories)
ram v
Region Note: Centrad aircondifioraers marwhicha+ed priorto January 1,2015 are eligible to 1�fl 'regi
until June 30,2016.Beginning July 1,2016 central air conditioners can only
bei j'. f
�' which hey'tned thieregional efru engy* tarerreeM '- ;' I
1
The manufacturer of this GOODMAN product is responsible for the rating of this system combination.
LL
Rated as follows:m accordance with the latest edition of ANSUAHRi 2101240 with Addenda 1 and'2 f f I
t r kt. f I -E--n r^ "` i i tt trr' ' �
Air-Conditioning&Air-Souroe Heat Pump Equipment and subject to rating a'cc mcy by AHRI-sponsored,ince testing:
`CooTmgCaM*(Q)-Skgieor'K9fiage(959,ttuh_"36200 _ rMiami S'nores_ViIiag
e t
SEER 14.00 L) (M U Li J0,16 90.
, D�TE
!� APPROVED BY J
EER(A2)%°Sirg/e ortHigh'Stagie tW):`12=
ZONING-DEPT
BLDG DEPT
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COtJN Y RULES AND REGULATIONS
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-1"AcOWModel Stabs are—ilnosetlratanAHMCmtkafonProgmmParticipotiscuwer rpnxhmigA1DseYnrgardliiergforsake;fitnewntoddslfmtaef�eitg �
marketed but are not yet being prodiroed-'production Sk*pecr Model Status are those anal an AM Cedffrcation Program Partite is no longer producing BUT is still
selling a offering for sale. ' i
Ratings that are a000moarried by WAS indicate an involuntary re-rate. The new oubfished radna is shown alona with the orevious fi.e.WAS)retina.
DISCLAIMER
AHRI does not endorse the prodrrct(s)~sled on this Certificate and mataes norepresentations,umirantiesorguarambusas 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 1
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 AN&CONDITIONS
This Certificate and Its cornten are proprietary products of AHRI.This Certificate shall only te 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 confiderntial reference. AIR-CONDITIONING,HEATING, I
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The information for the model cited on this certificate can be verified at www.ahridirectory.org,dick 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 iistrd at bottom r%%t
�i2018Air-Conditioning,Heating,and Refrigeration institute CERTIFICATE NO.: 's 175
WALL-MOUNTED A/C EQUIPMENT STAND .
I I YVALID� WELDED ALUMINUM CONSTRUCTION
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