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MC-18-1986OWNERS AFFIDAVIT: I certify that all the foregoing infor construction and zoning. Futhermore, I authorize th Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number ■ Permit NO. MC-7-18-1986 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status APPROVED ue Date: 7/301201 Expiration: 01/26/2019 Applicant 90 NE 91 Street Miami Shores, FL 1131010200010 Block: Lot: SERGIO RODRIGUEZ Owner Information Address Phone Cell SERGIO RODRIGUEZ 90 NE 91 Street MIAMI SHORES FL 33138- (917)214-1200 90 NE 91 Street MIAMI SHORES FL 33138- Contractor(s) AIR & HEAT DOCTORS INC Phone (305)446-0940 Cell Phone Valuation: Total Sq Feet: $ 4,300.00 0 Tons: Additional Info: EXACT CHANGE OUT OF 3.0 TONS CENTR Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: EXACT CHANGE OUT OF 3.0 TONS Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $3.00 $2.26 $2.00 $1.00 $150.50 $3.00 $4.00 $165.76 Pay Date Pay Type Invoice # MC-7-18-68328 07/25/2018 Check #: 1491 07/30/2018 Check #: 1493 Amt Paid Amt Due $ 50.00 $ 115.76 $ 115.76 $ 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 ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOO::, ROOFING and SWIMMING POOL work. i �i ac Authorized Signature: Owner / A. 'ant / Contractor / Agent d that all work will be done in compliance with all applicable laws regulating do the work stated. July 30, 2018 Date Building Department opy July 30, 2018 1 Address: City: Qualifier Name: AGUSTIN ALVAREZ \Ci) ti� 6 Miami Shores Village VL)Department p artment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Building Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ED ELECTRIC PLUMBING Q MECHANICAL JOB ADDRESS: 90 NE 91 ST ❑ ROOFING PUBLIC WORKS 018 /- FBC 20(7 &fig Master Permit No. KC IS - ! 18 t Sub Permit No. El REVISION CHANGE OF CONTRACTOR El EXTENSION ❑RENEWAL CANCELLATION D SHOP DRAWINGS City: Miami Shores Folio/Parcel#: 11-3101-020-0010 County: Occupancy Type: Load: Miami Dade Zip: Is the Building Historically Designated: Yes NO Construction Type: Flood Zone: BFE: FFE: X OWNER: Name (Fee Simple Titleholder): SERGIO S RODRIGUEZ Phone#: 9172141200 Address: 90 NE 91 ST ;ty, MIAMI SHORES State: FLORIDA Zip: 33136 Tenant/Lessee Name: Phone#: Email: sergiosacristanrodriguez@gmail.com CONTRACTOR: Company Name: AIR & HEAT DOCTORS INC. Phone#: 7864864436 1276 SW 143 PLACE MIAMI State: FLORIDA Zip: 33184 3052181798 Phone#: State Certification or Registration #: CACI 819172 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ . $ 4300.00 Square/Linear Footage of Work: Type of Work: El Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition Description of Work: EXACT CHANGE OUT OF 3.0 TONS CENTRAL AIR CONDITIONING SYSTEM Specify color of color thru tile: ^ Submittal Fee $ �•F)A ► Cl Permit Fee $ Scanning Fee $ Radon Fee $ '6D6 0.03 CCF $ CO/CC $ DBPR $ oQ 2G Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (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. Arso, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection wh occurs seven (7) days after the building permit is issued. In' the absence of such posted notice, the inspection will not be approved a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this 273 day of Cy , 20 /9 , by wS 4Yo is personally known to me or who has produced,.0Z" 7Ba is o9-O identification and who did take an • ath. NOTARY PUBLIC: Sign: Print: Seal: tit*#tit• ''#4r1 _,C1i141122 _ APPe.;,,, ABRAHAM E AMADOR ? 1 �. Notary Public - State of Florida E.• E Commission # FF 922362 ,;„.,A My Comm. Expires Sep 29. 2019 ,,II Pi APPROVED BY 41._Q ti Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of , 20 lJ , by to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: iele ABRAHAM E AMADOR Notary Public - State of Florida Commission • FF 922362 My Comm. Expires Sep 29, 2019 t•tttttttttitiiit; **WilW tit4104111 f' i Plans Examiner iitttitititiiti Zoning (Revised02/24/2014) Structural Review Clerk 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 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): 90 NE 91 ST 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 0 ARHI Sheet Attached: YES 0■ NO ❑ Contract Attached: YES Q UNIT BEING REPLACED DATA NEW UNIT GOODMAN MANUFACTURER BRYANT AEPT03600C1A AHU or PKG. UNIT MODEL # FX4DN(B,F)037L UNKNOWN COND. UNIT MODEL # 116BNA036 0 A 10KW KW HEAT 10KW 3.0 NOM TONS 3.0 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 / / UNKNOWN EER/SEER 16.00 YES NO X REPLACING DUCTS YES NO X YES NO X REPLACING THERMOSTAT YES NO X YES NO X NEW 4"CONCRETE SLAB YES NO X YES NO X NEW ROOF STAND YES NO X YES NO X NEW RETURN PLENUM BOX YES NO X 1. Minimum Circuit Ampacity (Wire Size): 40 AMPS 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 60AMPS 3. Voltage of Circuit (208/240/480): 208/230 VOLTS 4. Size Disconnecting Means: 60 AMPS Contractor's Company Name: AIR & HEAT DOCTORS INC. Phone: 7864864436 State Certificate or Registrat CACI 819172 Certificate of Competency No. Signature ' / Date: 07/24/2018 (Qualifier's signature) (Revised02/24/2014) Page 1 of 1 Property Search Application - Miami -Dade County FF Summary Report Property Information Folio: 11-3101-020-0010 Property Address: 90 NE 91 ST Miami Shores, FL 33138-2808 Owner STEPHEN PELLICCIA SERGIO SACRISTAN RODRIGUEZ Mailing Address 90 NE 91 ST MIAMI SHORES, FL 33136 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area 1,823 Sq.Ft Living Area 1,823 Sq.Ft Adjusted Area 1,673 Sq.Ft Lot Size 11,043 Sq.Ft Year Built 1938 Assessment Information Year 2018 2017 2016 Land Value $331,378 $331,378 $276,149 Building Value $169,391 $84,220 $84,270 XF Value $4,962 $5,016 $5,070 Market Value $505,731 $420,614 $365,489 Assessed Value $505,731 $402,037 $365,489 Benefits Information Benefit Type 2018 2017 2016 Non -Homestead Cap Assessment Reduction $18,577 Homestead Exemption $25,000 Second Homestead Exemption $25,000 Note: Not all benefits are applicable to all Taxable Values (i e. County, School Board, City, Regional). Short Legal Description 1 53 41 EL PORTAL SEC 3 PB 9-148 LOT 1 & E1/2 OF LOT 2 BLK 9 LOT SIZE 81.800 X 135 OR 20234-4074 02 2002 1 Generated On : 7/25/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $0 $0 Taxable Value $455,731 $402,037 $365,489 School Board Exemption Value $25,000 $0 $0 Taxable Value $480,731 $420,614 $365,489 City Exemption Value $50,000 $0 $0 Taxable Value $455,731 $402,037 $365,489 Regional Exemption Value $50,000 $0 $0 Taxable Value $455,731 $402,037 $365,489 Sales Information Previous Sale Price OR Book -Page Qualification Description 05/10/2017 $600,000 30543-1186 Qual by exam of deed 11/19/2015 $410,000 29860-3262 Qual by exam of deed 03/17/2009 $315,000 26802-2436 Qual by exam of deed 02/01/2002 $247,000 20234-4074 Sales which are qualified The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: https://www.miamidade.gov/propertysearch/ 7/25/2018 This combination qualifies for a Federal Energy Effici placed in service between Feb 17,2009 and Dec 31 www.ahridirectory.ory Certificate of Product Ratin • s AHRI Certified Reference Number : 9261352 Date : 07-19-2018 AHRI Type : RCU-A-CB Series : LEGACY LINE AC Outdoor Unit Brand Name : BRYANT HEATING AND COOLING SYSTEMS Outdoor Unit Model Number (Condenser or Single Package) : 116BNA036"0""A" Indoor Unit Model Number (Evaporator and/or Air Handler) : FX4DN(B,F)037L Region : Region Note Model Status : ActiveP.2kit r •••• • • •..• ••. • • • •• • •• • • • • • •• •••• Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA!AIE,CO, CT,14,JI IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, W$•W l /I, WY, U.S. • Territories) • ' • • • • • • •. • 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. • S. • • • • •• . The manufacturer of this BRYANT HEATING AND COOUNG SYSTEMS product is responsible for the rating of this system combination. Rated as follows inaccordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary a1 � t. t .el .�1.1 f.._Ifl 4.. �htl Air -Conditioning & Air- puree. F1aatPump,Equipment.an subject td gating accuracy i AHRI-sponsore7; in eperident, tHirct,party testing: Cooling Capacity (A2) -4oTll9h' Sta (95Fj, bt uh!342 0 SEER 16.00 EER (A2) - Single or High Stage (95F) : 13.00 •'KCT rt \ ! ar " Wa.ini Shores Village ZONING DEP1 ,` 71 DO DEPT 3LUR IECT TO COMPLIANCE WI fH ALL F t"Active" Model Status are those that an AHRI Certification Program1Participant is currently, producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced.."Production Siopfed" Model Status are ttiosethat an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. 'Retinas that are accompanied by WAS indicate an involuntary re -rate. The new published ratina is shown alone 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.ahrldirectory.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.ahrldirectory.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 •••• • •••• • •••. • ••••, • ••••Il ••••11 • • EDERAL AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE we make life better" 1T ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATENO.:,i 1317648518806607 riI' ' • • CONDITIONING Air & Heat Doctors Inc. SERGIO S RODRIGUEZ 90 NE 91 ST MIAMI FLORIDA 33136 Project Description 1276 SW 143rd Place Miami, FL 33184 305-446-0940 abraham@airdoctor.us CAC1819172 Date Estimate # 7/23/2018 1015 • •• E•5 aIQ.• ••• • ••• •••• • • •• .• • P.9'Ne! • • • 'Terms • • • • Heating & Cooling system. Replacement of Central air conditioning system. Bryant super high efficiency 16.00 SEER 10 years warranty on parts by manufacture ( Registration is require by owner ) 1 Full year warranty on labor by us. Scope of work. Removal and proper disposal of old equipment, flush Refrigeration lines with Nitrogen, Reconnect new system to existing ductwork, electrical, refrigeration lines and drain line system. City permits of Miami Shores Village, Air conditioning system, materials and labor included in this proposal. If you have any questions please call me at 305 446 0940. Thank you. Abraham Amador Accepted By Accepted Date •EMtte•Qn receipt• • •- • • • • • • Total • • • • • • • • •�.—.�.-- - • • • 1 • • 15 HVAC • • 4,300.00 •• Total •• • •• • • • • ••• • • $4,300.00 • CONDITIONING Air & Heat Doctors Inc. SERGIO S RODRIGUEZ 90 NE 91 ST MIAMI FLORIDA 33136 Project Description 1276 SW 143rd Place Miami, FL 33184 305-446-0940 abraham@airdoctor.us CAC1819172 Date Estimate # •••• :7/3372018 "•• 1015 • • • • • • • S.. • • .••• •.•. • •• •.... • •••• • . •• •• •• •• • • • Estimate.' •• •• •• • P.d. Nd. : • • • S. • Item • • • erms • lApe. on receipt.. •. r . s. . Total 4 • f Heating & Cooling system. Replacement of Central air conditioning system. Bryant super high efficiency 16.00 SEER 10 years warranty on parts by manufacture ( Registration is require by owner ) 1 Full year warranty on labor by us. Scope of work. Removal and proper disposal of old equipment, flush Refrigeration lines with Nitrogen, Reconnect new system to existing ductwork, electrical, refrigeration lines and drain line system. City permits of Miami Shores Village, Air conditioning system, materials and labor included in this proposal. If you have any questions please call me at 305 446 0940. Thank you. Abraham Amador Accepted By Accepted Date 15 HVAC Total 4,300.00 $4,300.00 • • • •