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MC-18-2357Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Permit NO.1'C-9-18-2%57 Permit Type: Mechanical -.Residential Wdrk Classification: A/C Replacement Pennit Status: APPROVED Issue Date: 9/10/2018 Expiration: 03/09/2019 Applicant 470 NE 103 Street Miami Shores, FL 33138-2457 1132060170720 Block: Lot: MARIE BERTRAND Owner Information Address Phone Cell MARIE BERTRAND 470 NE 103 Street MIAMI SHORES FL 33138- (954)274-5749 470 NE 103 Street MIAMI SHORES FL 33138- Contractor(s) RESIDENTIAL AIR INC Valuation: Total Sq Feet: $ 5,815.00 0 Tons: Additional Info: REPLACE EXISTING 3 1/2 TON A/C SYST Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 3 Date Approved:: In Review Type of Work: REPLACE EXISTING 3 1/2 TON A/C S Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $3.60 $3.05 $2.04 $1.20 $203.53 $9.00 $4.80 $227.22 Pay Date Pay Type Invoice # MC-9-18-68771 09/10/2018 Check #: 1471 $ 177.22 $ 50.00 09/04/2018 Check #: 1465 $ 50.00 $ 0.00 Amt Paid Amt Due 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, M HANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I cert at • 1 t foregoiPg information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fu - p . r I i thorize t - above -named contractor to do the work stated. Authorized S Owner / Applicant / Contractor / Agent September 10, 2018 Date Building ' epartment Copy September 10, 2018 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-311655 Permit Number: MC-9-18-2357 Scheduled Inspection Date: September 20, 2018 Inspector: Perez, JanPierre Owner: BERTRAND, MARIE Job Address: 470 NE 103 Street Miami Shores, FL 33138-2457 Project: <NONE> Contractor: RESIDENTIAL AIR INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (954)274-5749 Parcel Number 1132060170720 Building Department Comments REPLACE EXISTING 3 1V2 TON NC SYSTEM WITH 7.5 KW HT Infractio Passed Comments INSPECTOR COMMENTS False Passed uW Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments 954-274-5749 owner September 19, 2018 For Inspections please call: (305)762-4949 Page 20 of 38 t a .00 BUILDING PERMIT APPLICATION ❑ BUILDING PLUMBING JOB JOB ADDRESS: City: ❑ ELECTRIC ECHANICAL 549a 7/1 coal-=t Miami Shores County: 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 Master Permit No. Sub Permit No. ❑ ROOFING ❑ REVISION PUBLIC WORKS CHANGE OF CONTRACTOR Miami Dade RECEIVED SEP 0 4 2018 Ovi F C 20�� 18- 2351" EXTENSION RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS 33/3e Zip: Folio/Parcel#: it--- 3 6 e / _ ! 0 / P,O Is the Building Historically Designated: Yes NO Occupancy Type: S Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder)/%1tlAL , t 7 -PA J Phone#: 49_ t 7 1-6 2 ;7 Address: 470 N 6� l o 3 '4` Sr�L�'— �S City: )A b / State: 37 Zip: 33/3 P Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: ��f /f�/- Phone#: Add : L/4 l0 d�---��T 90 - .S City: ( State: �1/ Qualifier Name: >t (� ~ VJ 7✓id/ Phone#:r. T-- ! ce1 *a State Certification or Registration #: DESIGNER: Architect/Engineer: Address: Value of Work for this Permit: $ -45:8470D Type of Work: Certificate of Competency #: Phone#: City: State: Zip: Square/Linear Footage of Work: ❑ Addition ❑ Alteration ❑ New I -i Repair/Replace ❑ Demolition Description of Work: REXV- -e.!. IS-jGIC 7,y l L) �/'ver&nd(1 , Gu t7'&' 7. s 2) fir �J Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Permit Fee $ 2-0 Radon Fee $ 12 CCF $ CO/CC $ DBPR $ 3 • 6S Notary $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE$ 1T4 • 22— (Revised02/24/2014) a . L Bonding Company's Name (if applicable) ► Borrding 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. 001 Signature Y^' /��Vl ,, , , . c��2n1 SignatureN/ The foregoing itisi*ljnent was ac - @dgL�d before me this -? i " rday*Ev y :A. 20 le_____, by Mit k _ J• 114,o Onally known to me or who has pro �bgr SrgTEOF�� as /1/1/1►1 111110 identification and who did take an oath. Sign: Print: Seal: **************************** ***_ * APPROVED BY Plans SOtik The foregoinggstrut o`( tit z• _s ("�'.� �tersonally known to • . /asuN�: i��• € 164ed before me this 20 ( e , by me or who haste edt! e .• identification and 811'IffK�i //I1111110 NOTAR PUB Sign: Print: Seal: as ***************************************************** Zoning Structural Review Clerk (Revised02/24/2014) 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 sheet are not acceptable. Job Address (where the work is being done): Z�a )1 /0 3 City: Miami Shores Village County: Miami Dade d7/ L" -- Zip Code: ✓/ 3 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 ['' ARHI Sheet Attached: YES [4O ❑ Contract Attached: YES L' UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER C /CO A�jU or PKG. UNIT MODEL # i 6/yI to fQ2� ! 1F�� COND UNIT MODEL# I/i(/fi'COO lr),--. /LS- KW HEAT 7, 6.-- 3YL. NOM TONS ,j YL/-N4 AHU q(CU (4) PKG 1) M.C.A AHU 4.�CU( PKG AHU (CU 4.1 PKG 2) M.O.P AHU yiCU yoPKG AHU CU PKG 3) VOLTS AHU CU PKG Rgrs-lfN r- / / . 3 0 V'0 u) PKG-UNIT" / / EER/ PIO /69.Dip YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES �f NO YES NO NEW 4"CONCRETE SLAB YES ✓ NO YES NO NEW ROOF STAND YES NO ✓ YES NO NEW RETURN PLENUM BOX YES NO 7 1. Minimum Circuit Ampacity (Wire Size): //4) /]644 i 2. Maximum Overcurrent Protection (Fuse/Breaker Size): /S�1 3. Voltage of Circuit (208/240/480): 3'O ki)7 (mot%' _�r> .Q . I� _L- 4. Size Disconnecting Means: to D Y1v 4P Contractor's Company Name: / 15:04) Aft ,-VATC-- Phone: 3ir-63-g-67 D £2 State Certificate or Registr ion o. ' DS -" 0cCertificate of Competency No. Signature I/ ) Date: g af i b �y ualifier's signature) (Revised02/24/2014) ti�alCERTIFIED° www.ahridirectory.org This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number : 8627888 Date : 08-23-2018 AHRI Type : RCU-A-CB Series : SILVER 16 Outdoor Unit Brand Name : AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : 4A7A6042J1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM6AOC42H41+TDR Region : Region Note : Model Status : Active All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, 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. / The manufacturer of this AMERICAN STANDARD product is responsible for the rating of this system combination. ''''''Fl \ Rated as follows in accordan! with the latest edition of A� NSI AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary I ,_.i 1 - 1 ,-..-., } t i 1 # Il',it Air -Conditioning Source Heat Pump Equipment and•subject torrating accuracy by AHRI-sponsored`independent,tthird,party testing: Cooling Capacity (A2) - Sing a or High Stage (95F), btuh : 40000 .---1 , i ~•,p , I SEER : 16.00 i EER (A2) - Single or High Stage (95F) : 13.50 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.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. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE we make life better 131795296880519304 Residential Air Inc. 1662 NE 205 Terrace Miami, Florida 33179 State Licensed and Insured CAC035484 305-652-6040 * 954-764-0489 Air Conditioning Contract August 23, 2018 Marie Thomas — Bertrand 470 NE 103 Street Miami Shores, Florida 33138 954-274-5749 Residential Air will furnish and install the following: American Standard 3 %2 Ton Super High Efficiency Split Cooling —16 SEER System. Condenser model 4A7A6042 will be installed and secured on a new Dade County Approved Slab hurricane rated at 175 MPH. Variable speed air handler model TEM6AOC42 will be installed on a new % inch lined plywood platform stand. Installation Includes: Remove and dispose of existing unit. Float switch. Heat — 7.5KW. Digital thermostat. 24 X 24 Return air grill. Condensate pump. Connect to existing electric, ductwork, refrigeration lines and drains. Provide all labor and materials for a complete and professional installation. Start up system and check for proper operations. One year warranty labor. Ten year warranty parts. Price does not include permit fee. Payment terms: 50% Deposit -balance due on installation. Total price $5815.00 Respectfully, Richard Vanni Approved by: 9/4/2018 Property Search Application - Miami -Dade County Summary Report Property Information Folio: 11-3206-017-0720 Property Address: 470 NE 103 ST Miami Shores, FL 33138-2457 Owner MARIE J BERTRAND Mailing Address 470 NE 103 ST MIAMI SHORES, FL 33138 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 1,981 Sq.Ft Living Area 1,642 Sq.Ft Adjusted Area 1,799 Sq.Ft Lot Size 6,000 Sq.Ft Year Built 1953 Assessment Information Year 2018 2017 2016 Land Value $161,838 $161,838 $135,157 Building Value $106,429 $106,429 $106,429 XF Value $3,337 $3,371 $3,406 Market Value $271,604 $271,638 $244,992 Assessed Value $125,803 $123,216 $120,682 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $145,801 $148,422 $124,310 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 ('.e. County, School Board, City, Regional). Short Legal Description AMD PL OF MIAMI SHORES SEC 4 PB 15-14 LOT 4 BLK 92 LOT SIZE 50.000 X 120 OR 13724-359 0688 6 Generated On : 9/4/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $75,803 $73,216 $70,682 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $100,803 $98,216 $95,682 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $75,803 $73,216 $70,682 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $75,803 $73,216 $70,682 Sales Information Previous Sale Price OR Book - Pa a 9 Qualification Description 04/06/2018 $100 30932-1398 Corrective, tax or QCD; min consideration 03/12/2009 $100 26793-0038 Affiliated parties 06/01/1988 $72,000 13724-0359 Other disqualified 10/01/1986 $127,500 13059-0748 Deeds that include more than one parcel 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: