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MC-18-894 f 9 Permit No. MC-4-18-894 � `yµortes y�! Miami Shores Village Permit Type:Mechanical-Commercial 10050 N.E.2nd Avenue NE Per �� I Werk Classification.,A/C Replacement Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 �ORiDA .. Expiration:Issue Date:41612018 Ex r Project Address Parcel Number Applicant 1.700 NE 105 Street Number: 508 1122300500840 IVANA FREDOTOVIC&WILLIAM Miami Shores, FL Block: Lot: i Owner Information Address Phone Cell IVANA FREDOTOVIC&WILLIAM MARIE 1700 105 Street ---- ------- - - -- MIAMI SHORES FL 33138- 1700 105 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 5,150.00 EDD HELMS AIR CONDITIONING AND (305)653-2530 w. m _. �_.... . Total Sq Feet: 0 Tons:2.5 Available Inspections: i Additional Info:A/C UNIT REPLACEMENT EXACT CHANGE O Inspection Type: ' Classification:Commercial i 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 $3.60 DBPR Fee Invoice# MC-4-18-67058 $2.32 04/06/2018 Check*6576 $ 153.17 $50.00 DCA Fee $2.00 Education Surcharge $1.20 04/05/2018 Check#:8241 $50.00 $0.00 Permit Fee $180.25 Scanning Fee $9.00 Technology Fee $4.80 Total: $203.17 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 c ify h all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. F er u ze ttre above-named contractor to do the work stated. April 06, 2018 Authorize re:Owner / Applicant / Contractor / Agent Date I Building Department Copy April 06, 2018 1 I r Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-300961 Permit Number: MC-4-18-894 Scheduled Inspection Date: May 08,2018 Permit Type: Mechanical - Commercial Inspector: Perez,JanPierre Inspection Type: Final Owner: IVANA FREDOTOVIC&WILLIAM MARIE Work Classification: A/C Replacement +t SACC IVAAIA 00=nf%'rn%11n P. \AHI 1 IAAA 1 Job Address:1700 NE 105 Street 508 ,1111 Miami Shores, FL Phone Number ' Parcel Number 1122300500840 Project: <NONE> l 4 Contractor: EDD HELMS AIR CONDITIONING AND ELECTRIC Phone: (305)653-2530 Building Department Comments A/C UNIT REPLACEMENT EXACT CHANGE OUT2.5 infractio Passed Comments TONS INSPECTOR COMMENTS False i t Inspector Comments Passed Failed Correction Needed Re-inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. 1 May 07 2018 For Inspections please call: (305)762-4949 Y 1 Page 13 of 48 r kw Jami Shores Village RR 0 2018 Building Department BY. 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 r Tel:(305)795-2204 Fax:(305)756-8972 l�"f`'u INSPECTION LINE PHONE NUMBER:(305)762-4949 14 INSPECTION F0C 20 BUILDING Master Permit No.- NA o-((9 `d PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION F-] EXTENSION ❑RENEWAL 1 ❑PLUMBING ® MECHANICAL F-]PUBLIC WORKS F_� CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1700 NE 105th St. Unit 508 City Miami Shores County: Miami Dade Zip: 33138__ Folio/Parcel#: 11-2230-050-0840 Is the Building Historically Designated:Yes NO XX Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): William Marie-Rose Phone#: _ Address: 1700 NE 105th Street City: Miami Shores State: FI Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Edd Helms air Conditioning Phone#: 305-970-4711 Address: 740 International Parkway city: Sunrise State: Florida Zip: 33325 Qualifier Name: Norman Larrabee Phone#: 305-653-2530 State Certification or Registration#: CACO21309 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone##: Address: //��//�� City: State: Zip: Value of Work for this Permit:$_ _'��0 ,;.,, .00 Square/Linear Footage of Work: Type of Work:' ❑ Addition ❑� NAlteration e n ❑�NNew /�' � Repair/Replace. ❑ Demolition ` Description of Work: AC, Wwy RPLCI '"'"' PK OLCK Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ 11 2 TOTAL FEE NOW DUE$ t SJ •• 1� (Revised02/24/2014) w I 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. ff "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 I 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 whi h occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be app ed and a reinspection fee will be charged. USignature Signature NER or AGENT CONTRACTOR Theforegog instrume t was acknowledged before me this The fore oing instrument , acknowledged before,,sne this 7 day of �(G. , ,2011 by day of L 120 by 4 W1I)Ipt(�A NIpnQ-(Z��Q s rsonally krio to Norman Larrabee I known t 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. NOTARY PUBLIC: NOTARY PUBLIC:. Sign: Sign: i na d m s ?I Print: Print:4J�y(3I �6aPcS I Seal: 1A•�= hvNALD E.THOMPSON Seal: �a"v''n"'4, MY COMMISSION tf GG 099523 .�" °s�.,, NEYBI X.ROJAS Notary Public-State of Florida EXPIRES:May 1,2021 ;�(�� r `.5: Bonded Thru Notary Public Underwdters My Comm.Expires Apr 29,2018 *# APPROVED BY Inns Warniner Zoning t Structural Review Clerk (Revised02/24/2014) i i Property Search Application - Miami-Dade County Page 1 of 2 U �0 OF THE PROPERTY APPRAISER Summary Report Generated On :4/5/2018 Property Information .�,��..,.: ��, •. �.err Folio: 11-2230-050-0840 i a+ 05 ST-UNIT:.508 " Property Address: -1700 NE1705 a' Miami Shores,FL 33138-2145 J, WILLIAM PIERRE MARIE ROSE` Owner IVANA FREDOTOVIC 1700 NE 105 ST#508 Mailing Address MIAMI SHORES, FL 33138 USA PA Primary Zone 4900 MULTI-FAMILY- CONDOMINUM 0407 RESIDENTIAL-TOTAL , f Primary Land Use VALUE:CONDOMINIUM- .# RESIDENTIAL Beds/Baths/Half 2/2/1 s. Floors 0 •'� ., M.- Living Units 0 Actual Area Sq.Ft Taxable Value Information Living Area 1,065 Sq.Ft 2017 2016 2015 Adjusted Area 1,065 Sq.Ft County Lot Size_ 0 Sq.Ft Exemption Value $50,000 $50,000 $50,000 Year Built 1965 Taxable Value $86,384 $83,579 $82,651 Assessment Information School Board Exemption Value $25,000 $25,000 $25,000 Yead Value $0 $0 $0 r 2017 2016 2015 Lari Taxable Value $111,384 $108,579 $107,651 City Building Value $0 $0 $0 Exemption Value $50,000 $50,000 $50,000 XF Value $0 $0 $0 Taxable Value 1 $86,384 $83,579 $82,651 Market Value $187,967 $144,590 $132,651 Regional Assessed Value $136,384 $133,579 $132,651 Exemption Value $50,000 $50,000 $50,000 Benefits Information Taxable Value $86,384 $83,579 $82,651 Benefit Type 2017 2016 2015 Sales Information Save Our Homes Assessment Cap Reduction $51,583 $11,011 Previous Sale Price OR Book-Page Qualification Description Homestead Exemption $25,000 $25,000 $25,000 08/28/2013 $180,000 28801-0768 Qual by exam of deed Second Homestead Exemption 1 $25,000 $25,000 $25,000 1 01/01/2000 $108,000 18959-2008 Sales which are qualified Note:Not all benefits are applicable to all Taxable Values(i.e.County, School Board,City, Regional). Short Legal Description THE SHORES CONDOMINIUM APT 508 FIFTH FLOOR UNDIV.0121%INT IN COMMON ELEMENTS CLERKS FILES 64R-124472 Tha nffira of thq Pmnarty Annrnisar is rnntinually erlitinn nnri unrintinn tha tax mil Thi-,wah-,ita may not raflart tha mn-,t ri irm.nt infnrmatinn nn mnnlrri Tha Prnn,-rtv Annrni-,ar https://www.miamidade.gov/propertysearch/ 4/5/2018 1 1 r T 5 A i i.ONOONUNIUM APARTMENTS WORK REQUEST APPLICATION Owner's Name A416%,sA /fidWC-1_ase— Unit So 7v416, Pete ot 6f f4r- I hereby request approval from the Board of Directors for the following modification or alteration to my unit that will be_ performed by a licensed contractor. Electrical work Plumbing work Carpet installation **Windows Tile installation / er wort Description of the work (A i a ly►t 2� Z S i Before you decide to upgrade your apartment(other than paint or carpet)you must obtain'permission from the Board of Directors and/or Miami Shores Village. A copy\of the plans, specifications and permits, and a description of the licensed work to`'.be performed must be submitted for consideration and approval by the { Miami Shores Village Building Department(305-795-2204). It is the owner's responsibility to ensure that the contractor removes all excess construction material or building debris. It cannot be placed in the dumpsters. **Window frames must be gray in color to Iook like aluminum. Windows must be Two (2) panels over Two (2) panels. Glass must be clear color. I, as the unit owner acknowledge responsibility for any damage to the building or personal,injuries that may occur during the project. The Shores Condominium Inc. its officers and employees are in no way responsible for damage or theft to my ap rtment or y belongings. (A $200.00 deposit is required and will be refunded if amage t he property is reported.) lly derstand agree to he statements made above. 3 3 o Zo ner's signature Date Aplp�oved by: Date• � /$ ,SHORES y Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 °6 Tel: (305) 795.2204 �ZORIDA Fax:(305)756.8972 AIR CONDITIONING REPLACEMENT DATA I 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. i Job Address(where the work is being done): 1700 NE 105th Street City: Miami Shores Village County: Miami Dade Zip Code: 33138 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 XX ARHI Sheet Attached:YES ❑X NO❑ Contract Attached:'YES i UNIT BEING REPLACED DATA NEW UNIT Florida Heat Pump MANUFACTURER ClimateMaster LVO30 AHU or PKG. UNIT MODEL# TCV030 COND.UNIT MODEL# Heat Pump 9kw KW HEAT Heat Pump 9kw 2.5 NOM TONS 2.5 AHU CU PKG 25 1)M.C.A AHU CU PKG 25 AHU CU PKG 30 2)M.O.P AHU CU PKG 3o AHU CU PKG 3)VOLTS AHU CU PKG PKG UNIT208/ 230 / 1 Phase PKG UNIT 208/ 230 / 1 phase 10.5 EER/SEER YES NO X REPLACING DUCTS YES NO x YES x NO REPLACING THERMOSTAT YES X NO YES NO X NEW 4"CONCRETE SLAB YES NO X YES NO x NEW ROOF STAND YES NO x YES NO x I NEW RETURN PLENUM BOX YES NO x 1. Minimum Circuit Ampacity(Wire Size): #10 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 30 3. Voltage of Circuit (208/240/480): 280 4. Size Disconnecting Means: 30 amp Contractor's Company Name: Edd Helms Air Conditioning Phone: 305-653-2530 State Certificate or Re istration No, CACO21309 Certificate of Competency No. Signature / !" - —Date: (Qualifier's signature) (Revised02/24/2014) i i c i r r ulertificate of Product AHRI Certified Reference Number:7368712 Date:04-05-2018 Model Status:Active Old AHRI Reference Number : Product :Water-to-Air and Brine-to-Air Model Number :TCHIV030A Manufacturer Name :CLIMATE MASTER,INC. Brand Name :TRANQUILITY 16 Rated as follows in accordance with ANSI/AHRI/ASHARE/ISO Standard 13256-1 Water-toAir and Brine-To-Air Heat Pumps and subject to verification of rating accuracy by AHRI-sponsored,independent third party testing: Full Load Part Loadl Part Load2 Part Load3 Air Flow Rate-Cooling: 1000 Air Flow Rate-Heating: 1000 WLHP(Water-Loop Heat Pumps) Cooling Capacity(Btuh) 28100 Cooling EER Rating(Stuh/watt) 13.40 Cooling Fluid Flow Rate(gpm) 8.00 Heating Capacity(Btuh) 35100 Heating Cop(watt/waft) 4.60 Heating Fluid Flow Rate(gpm) 8.00 GWHP(Ground Water-Heat Pumps) Cooling Capacity(Btuh) 31700 Cooling EER Rating(BtuhNVatt) 20.10 Cooling Fluid Flow Rate(gpm) 8.00 Heating Capacity(Btuh) 29600 Heating COP(watt/watt) 4.10 Heating Fluid Flow Rate(gpm) 8.00 111 GLHP(Ground-Loop Heat Pumps) Cooling Capacity(Btuh) 28900 Cooling EER Rating(Btuh/Watt) 15.10 Cooling Fluid Flow Rate(gpm) 8.00 Heating Capacity(Btuh) 23400 Heating COP(watt/watt) 3.40 >' Heating Fluid Flow Rate(gpm) 8.00 Indoor Blower Motor Fan Type :PSC Sold In? :USA,Canada t 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.aliridirectory.org. TERMS AND CONDITIONS AM 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 8 REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrid!rectory.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. 131673997375323905 ©2018Air-Conditioning,Heating,and Refrigeration Institute j CERTIFICATE NO.: