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MC-18-1962Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Pe mit Issue Da Permit NO. MC-7-18-1962 Permit Type: Mechanical- Residential Work Classification: A/C Replacement Permit Status: APPROVED : 7/27/2018 Expiration: 01/23/2019 Parcel Number Applicant 195 NW 91 Street Miami Shores, FL 33138- 1131010000190 Block: Lot: DANELLE BANCROFT Owner Information Address Phone CeII ERIC BANCROFT 195 NW 91 Street MIAMI SHORES FL 33150- (305)713-3344 Contractor(s) Phone AVIV AIR CONDITIONING, INC (305)440-3292 CeII Phone Valuation: Total Sq Feet: $ 4,797.00 0 • Tons: Additional Info: REPLACEMENT 5 TON 16 SEER Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: REPLACEMENT 5 TON 16 SEER Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $3.00 $2.52 $2.00 $1.00 $167.90 $3.00 $4.00 $183.42 Pay Date Pay Type Invoice # MC-7-18-68300 07/27/2018 Credit Card 07/20/2018 Credit Card Amt Paid Amt Due $ 133.42 $ 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 ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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 o.' :. F h ,rmore, I authorize the above -named contractor to do the work stated. CWatOrr Authorized : nature: Owner / Applicant / Contractor / Agent July 27, 2018 Date Building Department Copy July 27, 2018 1 • 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 r• TVED 2018 FBC 20 BUILDING Master Permit No. RC- 6 -0-00 PERMIT APPLICATION Sub Permit No. Vic, jg-lcibz. El BUILDING Ej ELECTRIC ROOFING E] REVISION EIJ EXTENSION ERENEWAL PLUM!3ING RI MECHANICAL Ei PUBLIC WORKS ri CHANGE OF [:::] CANCELLATION J SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I qs Nov City: Miami Shores County: Miami Dade Zip: 3 :3 5 Folio/Parcel#: ?/0/— 000— 0/90 Is the Building Historically Designated: Yes NO )‹; Occupancy Type: "- Load: /VMS Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Ti leholder): E'r 130 1—)C Phone#: Address: q $ A V q j City: AI 10 h1 ho r seitr State: Zip: -rt.,,. zip: 33 IS 0 Tenant/Lessee Name: Phone#: 59C - 1 I 3- 3 34'4 /- Email: CONTRACTOR: Company Name: AVIV A16.1. Phone#: 3).- LA qo - 3 1!"/ 2- Address:99 g if tt i l'? /*SCA/1J St City:. /A )- Okni i State: C-1-- Zip: '5 3151 eo 2e-/I- .1- so r-clu i r., Qualifier Name: Phone#: 3 0 - L'ILIP.0 - 32,9 2-:-' State Certification or Registration it: C.../,A- 6.- I g i Rig V 43- Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Li iq i • 00 Square/Linear Footage of Work: Type of Work: El Addition E Alteration Ei New, k4 Description of Work: r---e-e fl4 k•r\-e-er\-4- • `-:" c n th tjobirg Rep"air/Replace E] Demolition Specify color of 'color thru tile: Submittal Fee $ -so pa id Permit Fee $ \ ti CCF $ CO/CC 5 p_. 0.. DBPR $ P-- " (S.2 Notary $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/2j4%2014) Double Fee $ Bond $ TOTAL F ENOW DUE $ } 8onding,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 r inspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this t q day of .. Fitt c ca,o f ,�1.wh/o isnpersonally known to � 1��' St -Al d U1 personallyknownt me or who has produced i ` t 1 (Q, t as Signature J(JL/ , 20 18 , by identification and who did take an oath. NOTARY PUBLIC: Sign Print: Seal: identification and who did take an oath. NOTARY PUBLIC:+ i MY COMMISSION # GG 044602 EXPIR : `ov .- Bonded Tfeu.Notary Public Underwriters CONTRACTOR The foregoing instrument was acknowledged before me this V day of ;4t , 20 , by f ' who is o me or who has produced as Sign: Print: Seal: Structural Review c ,. MER CEDES B. nou~s Noire • mats et ref Conrmfen a [f nt9e7 Wl Corms lofts O RI.7019 toMideicurliMailftwOmst *Ts7*. Ar *limy* arYAtvs Zoning 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. 1 Job Address (where the. work is being done): 1 ii �) 5 �' W 4' 1 S.t City: MiamiShores Village County: Miam➢ Dade Zip Code: `?) 71 1 5'0 ALL.CONDENSING UNITS'MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITSMUSTCOMPLY WITH F.E.M:A;MINIMUM FLOOD. ELEVATION A COPY OF. THE CONTRACT -IISREQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconne g earls: YES 0 NO 1.`1 ARHI Sheet Attached: YES NO ❑ Contract Attached: Oft Y UNIT BEING REPLACED DATA NEW UNIT h MANUFACTURER 420, jst I / L- 6 O21' AHU or PKG. UNIT MODEL II R t-I I T iry o a. y 1"3 A'J Y i Lay15 COND;,UNITTMODEL # RA- HP (D KW HEAT NOM TONS 1$ AHUt5 CA PKG 0 1):M.C,A AHU1$ CU 5 PKG p? AHU "a CU PKG i ' 2) M.0.P AHU, t CU, . PKG 0 AHUup g CU 2b$ PKG de., 3) VOLTS AH1J O CU ;.043PKG 0 PKG UNIT / / PKG UNIT / / 1 3, EEa/sER 1 <a YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT YES t~ YES NO NEW 4"CONCRETE SLAB YES`"� YES NO NEW ROOF STAND YES ' s YES NO NEW RETURN PLENUM BOX YES 1., Minimum Circuit Ampacity (Wire Size): g C.jta e, y,� °'i(i , t. 2. Maximum Dvercurrent Protection (Fuse/8reatker Size): S YYl !D 3. Voltage of Circuit (208/240/480): '1 0 b 4. Size Disconnecting Means: i" vt. 11 enA, r Contractor's Company Name:- Ai•V Ai r C l (v)l ` 1 O r,)J r1 J Phone: 31, ` i j ` 0— '3 G `'1 r State Certificate or Registration No. CAC 16' 1 g t? fr Certificate of Competency No. - Signature V J Date: 1 I ird1 (Qualifier's signature) evi,ed02124J2014) l ERTAFIE� www.ahrldirector .t t This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. AHRI Certified Reference Number: 7943714 Date: 11/28/2016 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower `\\ Outdoor Unit Model Number: RA1660AJ1 Indoor Unit Model Number: RH1T6024STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, 1•41, 111A, MD, ME,. MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, T ,T„X, • • • UT, VA, VT, WA, WV, WI, WY, U.S. Territories) • • • Region Note: Central air conditioners manufactured prior to January 1, 2015, are eltcribt? to be . •• installed in all regions until June 30, 2016. Beginning. July 1, 2016, central air condtttorters •••• can only be installed, in region(s) for which they meet the regional efficiency requirtrrruirt: • Manufacturer responsible;for'the rating -of this system combination is RHEEM SALES COMPANe,, IN1;. Rated as follsws in!accordarnce withAHRI Standard,210/240=2008for. forUnitary-Air- onditioningand Air -Source n,, HeatPump Equipment, and subject•to verification` of rating accuracy by AHRI-sponsored, independent, third party testing: x� i t .;r Cooling Capacity (Elkin): 58000,; EER Rating (,Cooling): vSEERRaCooling): Cooling): 4;1'3.00011 T 1amt ShCIE3 APFROvED SUBJECT 10 CCMPUFNCE wrnl ALL FEDERAL STATE ANu CCIJN iY,UL=S Arlo REGULATIONS indicate a voluntary rerate of previously published data, unless accompanied with a WAS,.vrhicia indicates an involuntary rerVe, DISCLAIMER AHRI does notendorse the product(s) listed on thls Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility tor. the product(s) Itsted.en 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. �D TERMS AND CONDITIONS This Certificate and its contents are propeproducts of AHRI. This seertal ritary Certificate shalt onty be ud for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or In part, be reproduced; copied; disseminated; ;ir'"+� 1 �, entered into a computer database; or otherwise utilized, In any.form or manner or by any means; except for the user's individual, A.RdoNDt7loNING, ft> ATinG, personal and confidential reference• a REORNGERATIGN INSTITUTE CERTIFICATE VERIFICATION The information for the model cited"orf"tttls'certificate can be verified at www.ahrldlrectory.org. ell ck an -Verify Certificate' link i.e make lire better" and'enter the AHRI Certified Reference Number and the date on which thecertificate was Issued, _— 131248278443463645 which is listed above, and the Certificate No., which Is listed at bottom right. CERTIFICATE NO.: ©2014 Air -Conditioning, Heating, and Refrigeration Institute • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 414 RHEEM SALES COMPANY, INC. .„ LOAD CERTIFICATION OF MECHANICh !I:4T psetNteftY \14/ ST•er•LIALUMINOM TIE -DOWN CLIPS: AT GRADE MOUNTED APPLICATIONS • • • .44% • 4144 S'T.1 •• • - • • • • • E1Orklitral„,, 214144441.411112RI STROOTIOLO. t44 ()Than. T444. MECHANICAL UNIT piiii, iscThi•rkit. 1,,tsr;Tht*titikics ARr 21412:NOXIT Ma. OLACAKKAATIT.444 POTIKIISK ONLTI ALTE4V4Art latitrat LOOM LZKII AVM 244A4 VAR?: TM AKTORAKTT . - .. 442,410 INTE21144NL MST VAS KR AITIACENT to WOOS', (TIV4IROI. ftOx 14.P. • • • sm). • „ • 4.2441-2 n. 4 441 C C ; PEON. BO, TIE -DOWN BRACKETS ,4i4„ iitt•WTION ANCHOR SCHEDULE **$113.444 t nenetst4c414 co‘milt, t 41,4.1**e**947791f4 erva2.4 Ntc...4493 too's, t,4 4.971-41171; 09 v,,,a*,..„.„ 1.0441t, r 494,. *NU ¢4s141401,..*3•449.4.4939, 4.9* 4224:00 *40,1, • *1.4.1111*4 3094 Itt4V.'1449.1 I** 442.49W*49471•49..94, it79714. etWoji7.-cmetm. 1 z..._ _ 4 • .*,,ft474. fa-3*M rte.% $93fte4,141 4* 4244tror 4***, N 4,,Iir,,**37.9,:,*trt'-"riArymatie-iffr**1-1*-4-3e4.03t.A i.i.;49 - - e 27424111t katract Mr, Ms **WI 304 * USW** WV *44.17139 ECHANJCAL UNIT t4441414034.*RIC 4- ,Ckrr Orree eliAterlsrv_stkAu. • Ikke,g'r4 eilltstg cA\,' -.Low TIE -DOWN BRACKET MATO TE4:11 0,7K er.rnr,sm.kan ru.sr As.1 slerk ((vim eA rkkgs- SOSZ-1132 As.VMM KMASta, mm,m1 rter• krr vkarew Arccueurkr 437a0'*** ,`• '1•••tiot), TIE -DOWN BRACKET.LAYOUT 'KAN T1E-DOWNsBRACKET OFFSETS: .......... .., , -.. str KA\ IrSET F1a27.422WN.11 tEACE . t4112.04:0041S4a. .4 tEPIrt44. RI214K1 AMAIN& .424AsAlroa. •,%.: Off3ft fe0341,1414.1* Pet ! 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AL.4.1.4.414 .r1T14444441.1244,114 TO RASTrat4RAOSVIs TO 14K14ANICAL LooT1SITKAIL at te t 4 a1411242LEA1V .141L Kt-411449M ft92 40 S-3/4144.4199 rt ikA 020141m/24T OK*, r%kouor rs) MOWS tONI14494 344e114* le*41) f94419T ft* **V Oft* f AS:K*4S &KRAL KAK karaopatanoragiat)11141 KtOrarTkolTt3astOrST KaCIAOLott14. Al2,4:ONCRT.,K,STIKTIK41) tirkery Not easel' 9.0 1909 C19010VATION $:NU4*st.A1.4 (%*(7,911t34441. et smKnekkk cmko:ret4 01 'MICA NNO *VA. *S*1411411.1210105t14t. ti*VM31 9* )114V Pg. trent Nmeotkmerwlsr, it4e nkAmmll tete41).*4114AMA44. meltraS tarTa 121SSINe4341**tkNALS 10 tet4VNI 0..tht1409,4SIS. taCTRIT4.12. taa1.14.0, 2444141KKIIIIIKOAIT ar 72Cs=rO 14152,341/112 0124ESS.. rat ADEANACV OF We OMINS SIKKILISE TO airT2447TANO u44442t44/44..K.124,opos SKAL4 Ltaa444) Thr Corallr ot-stV4 44402tSSIWL 44.14V IS Mit,131%14492t0 le10:19 det0V4T1034 Mtn tsrRMIXotTo4.20En OEM 31. KalT7ILKAI.I:ESTITICATIONS AKISKAITONS ARA INKINIKO. .244i 441Ka OVA= tIrKla IS r•OtttIC AND r4OES OR04102 Ka042IA144114a4444R SfeWit tONT STK CEAX142114V5 D7Mt%3 MOM I1,07014VITIOftS MAILEOKT4144241. A LICE.MO 4:40 tsttx OA arGISKKO 041I01TIVT 42441 rft444414 SKrIrIC tsCsarNTS USE (X*14414VICI 49ft* 41411S 049V\ *UM i. viAlmmmiertss or tersnrel $04rp.irsTrAie smut. re ThEits.k A,,,s..U•Attrrt ktiS14,4wo avilsi+k-m• mve‘kelvA eseuqr NVN..1111) '\1.1tkM ilkMtIlf 4sinNe401"-st AKILTArtt KIVA Kata444412.Taa NNA: rkker•uAtxri 0 SatoCTOK' - ANA r.,:wm42.Stocoixt;etattraryottrtItetaitssm,rat St. tks \cAt•tctitiOT4rtlxv.,r."42;2151aLt. $3* KK ttR wAlla.TIGNIar SS 4o44.4.4 Or tar KAI ArTaTATKrtatatT4 Or TT2 2.a.STALIIN4 Ma74,41:111A. 2. ma NN t‘.41.04-41"NN OP EXPPSURE °MCCAW POIPCMt04,4). Vult.NNINOVC= USCO_IN 011$ too,ON:SENT..W 5MITtIN 24,7 or •••ste r•te. 0E00/2.015 • 4 eq.; V• I 15,4543 At' e\k,..kkelak.:kroer 0-4.41.04M 'Not #NN..t PrN/ Aviv Air Conditioning • PO BOX 372206 Key Largo, FL 33037 AIR CONDITIONING 305-440-3292 I Robert@ductlessmiami.com I AvivAirConditioning.com RECIPIENT: Eric Bancroft 195 NW 91 St miami Shores, Florida 33150 Phone: 305-713-3344 Estimate #139 Sent on 06/13/2018 Total $4,797.00. SERVICE / PRODUCT DESCRIPTION QTY. UNIT COST TOTAL Removal of old A/C Return Vent on wall Plans and permit to be approved by owner Customer to pay all permit fees 1 1 1 $0.00 . • $0.00'.... $0.00 .. •$0.00 $Q,A::. • • • Bathroom Exhaust vents, Must be sealed by roofer 3 •...$190.0Q • •„• $524.0.0. • with roof top goose neck .... Warranty 1 Year Labor 1 $0.00 I0 0,0 . . Rheem 5 Ton 16 SEER New indoor aft handler New outdoor condenser Central A/C Install and Freon lines flush rotate in existing closet 90* Freon line filter to face hall way Drain line flush Air Handler stand Plenum seal Acid flush Freon line to convert for R-410A Hurricane tie down set Start up Using existing electrical, Freon lines, duct work Warranty 10 Years Compressor Warranty 10 Years Parts 07/05/2018 A deposit of $1,439.10 will be required to begin. • Date Client Signature We have until July 1 to sign a contract to secure this price, the prices will increase 9% from the factory *Warranty Disclaimer All equipment and parts will be registered for warranty to the address and property owner stated above. Aviv Air Conditioning Inc; does not provide any warranties (express or implied) other than the express limited warranty stated above. Said 1 • $4,,227.0Q 1 1 1 • . • .. • Total • • •• .. • $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,797.00 1 of 2 pages Aviv Air Conditioning PO BOX 372206 I Key Largo, FL 33037 AIR CONDITIONING 305-440-3292 I Robert@ductlessmiami.com I AvivAirConditioning.com Notes Continued... warranty does NOT cover damages caused by natural disasters, flooding, uncontrollable city power surge or outages, Acts of God, and/or other unforeseeable events/variables/conditions. If any other company or individual - other than Aviv Air Conditioning Inc; service technicians/employees/agents - perform any service, diagnostics, repair, maintenance, and/or troubleshooting tests of any kind on the subject air conditioning system and/or any parts installed by Aviv Air Conditioning Inc - the limited warranty provided shall be null and void without exceptions. Aviv Air Conditioning Inc reserves the right to recover or reclaim any parts or materials installed on the property for any unpaid balance due for the completed work including, but not limited to, attorney's fees and costs. Any work order quotation is only valid for 30 days, or time duration of any manufacture specials or promotion offers. Prices are subject to change without notice after thirty (30) days. Payments: Deposit is required to commence the work. Engineering plans will be performed by third party. Engineering plans must be paid in full at time of acceptance. Balance due upon completion. We accept checks payable to Aviv Air Conditioning Inc. We only accept the following credit cards, Visa, and Master card, (A 3% (Three percent) processing fee will be added for credit card payments). If work is financed by third party all pertinent documents must be signed and approved within the same time frame as stated aboy2 •It agreed upon prior to commencement, all payments are due in full within thirty (30) days of work completion, as definec:by 4mmci within ttiesole discrelien: • of Aviv Air Conditioning Inc. The Client hereby understands, acknowledges, and/or understands that Clierrtcannot withplvald pigment for • • any reason upon completion of the subject work. A one-time 2.5% (of the sum total) processing fee will bea �ded for any and al late payments, which will be assessed at the time of said late payment. • .... •. . • Cancelations: Deposits are non-refundable. We require 48 hours written notice from a scheduled installatipgate. A $:56404•fee assessed for rescheduling or canceling within 24 hours of any scheduled work day (i.e. commencing at 7;10•4. r ). • • •• • • In order to meet your deadlines and the above delivery schedule, this proposal must be accepted on or before 0 days. flie above quote is. only valid for 30 days from the date above. A signed faxed copy will be sufficient authority to begin the work vw`titia signed hard copy to •. follow. Upon agreement the client is accepting all work terms stated above with no other work or warrant/ implieti. • Aviv Air Conditioning Inc is hereby being granted indemnity by Client. Client shall indemnify, defend, and 1101d 4viv Air•C3or,cM oning I,ic, its • affiliates, associates, partners, officers, employees, agents, representatives, assigns, and the like, harmless from and again9t any and all damages, claims, complaints, grievances causes of actions, suits, liens, liabilities, costs, and expenses, arising out of or in connection with the work set forth in this Work Order and/or hereby contemplated, other than matters directly attributable to, within the scope of work, and/or over which Aviv Air Conditioning Inc had direct control, possession, and/or custody. This Agreement shall be governed by and construed and enforced in accordance with the laws of the State of Florida. The proper forum for any and all claims, suits, or actions that might arise from or relate to said Agreement must be brought in the Eleventh Judicial Circuit in and for Miami -Dade County, Florida. Client represents and agrees that Client has relied on independent judgment concerning the effect And consequences of this binding Agreement, and that Client has completely read the foregoing terms and/or conditions of the Agreement, and fully understands and voluntarily accepts all terms and/or conditions of this Agreement. 2 of 2 pages