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MC-18-1880Permit NO. MC-7-18-1880 Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Issue Dat Permit Type: Mechanical - Residential Work Classification: NC Replacement Permit Status: APPROVED 7/23/2018 Expiration: 01/19/2019 Parcel Number Applicant 1291 NE 96 Street Miami Shores, FL 33138-2574 1132060143760 Block: Lot: MICHEAL A PALUCH &W & KAR Owner Information Address Phone Cell MICHEAL A PALUCH &W & KAREN 1291 NE 96 Street MIAMI SHORES FL 33138-2574 Contractor(s) Phone KARIBE MECHANICAL SERVICE LLC (305)235-4000 Cell Phone Valuation: Total Sq Feet: $ 2,500.00 0 Tons: 2 Additional Info: EXACT AC CHANGE OUT Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 3 Date Approved: : In Review Type of Work: EXACT AC CHANGE OUT 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-7-18-68205 07/23/2018 Credit Card 07/12/2018 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 ELECTRIC , LUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFID (IT: I certify that all t foregoin information is accurate and that all work will be done in compliance with all applicable laws regulating construction and oni t Futhermore, I usji ri e e -named contractor to do the work stated. July 23, 2018 AuthorSignature: Owner / Applicant / Contractor / Agent Date Building Department Copy July 23, 2018 1 VC BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING PLUMBING El MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: 1291 NE 96th ST 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 con RECEIVED JUL 12 2018 OA" FBC2014' Master Permit No. «C, (CJlJ° Sub Permit No. ❑ REVISION EXTENSION. ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Folio/Parcel#:11-3206-014-3760 Occupancy Type: Residential Load: Construction Type: Miami Dade Zip: Is the Building Historically Designated: Yes NO XXXX OWNER: Name (Fee Simple Titleholder): MICHEAL PALUCH Address:1291 NE 96th ST Flood Zone: BFE: FFE: Phone#:305-282-6336 City: MIAMI SHORES State: FL Tenant/Lessee Name: Phone#: Email: Zip: 33138 CONTRACTOR: Company Name: KARIBE MECHANICAL Address: 16300 SW 137th AVE BAY 122 City: MIAMI Phone#: 305-235-4000 State: FL Zip: 33177 Qualifier Name: CARLOS FERNANDEZ Phone#: 305-235-4000 State Certification or Registration #: CMC-1249885 DESIGNER: Architect/Engineer: Address: City: Certificate of Competency #: Phone#: State: Zip: Value of Work for this Permit: $ 2500 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Description of Work: EXACT AC CHANGE OUT. ❑ New 0 Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) 6 CCF $ CO/CC $ DBPR $ Notary $ 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: 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. OWNER or AGENT The foregoing instrument was acknowledged before me this 12 day of i Chat) me or who has produced 1vI ,.�,20, A9a 1't tl(OW—as identification and who did take an oath. NOTARY PUBLIC Print: Seal: ▪ �▪ ' 10" EXPIRES: November 2, 2020 :eii F.DPP Bonded Thru Notary Public Underwriters rs by nally known to ****************** APPROVED BY ****** *v \� Plans Examiner Structural Review Signature CONTRACTOR The foregoing instrument was acknowledged before me this 12 day of 0 ` r U , 2' , by COi I OS - ,hnr o is a sona known to (C)vnSCas me or who has produced identification and who did take an oath. NOTARY PUBLIC: Seal: ,', MAHARAI MY COMMISSION # GG 044602 EXP20 Bonded Thru Notary Public Underwriters ***************************************************** Zoning Clerk (Revised02/24/2014) 7/11/2018 Property Search Application - Miami -Dade County • ICE OF THE Summary Report Property Information Folio: 11-3206-014-3760 Property Address: 1291 NE 96 ST Miami Shores, FL 33138-2574 Owner MICHEAL A PALUCH &W KAREN LANGHAUSER Mailing Address 1291 NE 96 ST MIAMI, FL 33138-2574 PA Primary Zone 1400 SGL FAMILY - 3001-3250 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 6/4/0 Floors 2 Living Units 1 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 3,924 Sq.Ft Lot Size 15,416 Sq.Ft Year Built 1929 Assessment Information Year 2018 2017 2016 Land Value $616,416 $554,775 $569,962 Building Value $343,507 $343,637 $343,767 XF Value $24,510 $24,719 $24,928 Market Value $984,433 $923,131 $938,657 Assessed Value $799,018 $782,584 $766,488 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $185,415 $140,547 $172,169 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 (i.e. Coun y, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 3 PB 10-37 LOT 2 BLK 83 LOT SIZE 77.080 X 200 OR 18308-0492 1098 1 P "R .ISER Generated On : 7/11/2018 Uri if._ CkE' C-Cv0 r-ji ti Taxable Value Information 20181 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $749,018 $732,584 $716,488 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $774,018 $757,584 $741,488 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $749,018 $732,584 $716,488 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $749,018 $732,584 $716,488 Sales Information Previous Sale Price OR Book- Page Qualification Description 10/01/1998 $570,000 18308 0492 Sales which are qualified 06/01/1995 $410,000 16821 3234 Sales which are qualified 12/01/1983 $320,000 12012 6452 Other disqualified 03/01/1977 $1 00000- 00000 Sales which are disqualified as a result of examination of the deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: https://www.miamidade.gov/propertysearch/#/report/summary 1/1 www.ahridirectory.org Mc ''eeo Certificate of Product Ratings AHRI Certified Reference Number : 201417943 Date : 07-11-2018 Model Status : Active Old AHRI Reference Number : 8655532 AHRI Type : RCU-A-CB Series : GSX14 Outdoor Unit Brand Name : GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX140241 L* Indoor Unit Model Number (Evaporator and/or Air Handler) : ARUF29B14A* Region : RECEIVED JUL 12k:$ atafil 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, 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 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. — — — — — — - - a The manufacturer of this GOODMAN product is -responsible for the rating, of this system combination. ./A3 D Rated as follows inn` accordance with the latest`edition oof ANSI/AHRI 210/240 with ddenda 1 and 2, Performance Rating of Unitary 1 I 1 1 'r�— I 1i I II tl Irt, lls,—' ! If Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: t. Li Cooling Capacity (A2) - Single or High Stage (95F), btuh : 23600 r n SEER'14.00 t EER (A2)`-.. Single or High Stage (95F) : 11.50 rActive" 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.ahrldlrectory.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.ahrldlrectory.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 "CERTIFICATE NO.: AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE we make life better- 131757980865578668 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 15 j� 18 V O 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): / 2 91 ti ( 9 6� City: Miami Shores Village County: Miami Dade Zip Code: 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 El NO VI ARHI Sheet Attached: YES gi NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER oO 1W AHU or PKG. UNIT MODEL # �fl V f rj q e I i I COND. UNIT MODEL # 25 Kit./ KW HEAT %0 NOM TONS 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 //////f y�(� j f +'J� YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT (AV NO YES NO NEW 4"CONCRETE SLAB ES NO YES NO NEW ROOF STAND YES dai'.w YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: Phone: State Certificate or Registration o Certificate of Competency No. Signature (Qualifier's signature) Date: ©�./17 (Revised02/24/2014)