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MC-18-1950Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit NO. C-7-18-1950 tPermit Type: Mechanical - Residential enn' Work Classification: A/C Replacement Permit Status: APPROVED Parcel Number Issue Date: 7/31/2018 1 Expiration: 01127/2019 Applicant 9495 BISCAYNE Boulevard 1132050070010 Miami Shores, FL 33181 Block: Lot: 4 ERICK MARIN Owner Information Address Phone Cell ERICK MARIN 9495 BISCAYNE Boulevard (786)566-7718 MIAMI SHORES FL 33138- 9495 BISCAYNE Boulevard MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone COOLEST AIR CONDITIONING & REM (786)357-4250 ins: 4 dditional Info: REPLACE ON AC UNIT/ AC CHANGE OUT lassification: Residential Doroved: In Review omments: ate Denied: canning: 3 Fees Due Amount CCF $6.00 DBPR Fee $5.25 DCA Fee $3.50 Education Surcharge $2.00 Permit Fee $349.72 Scanning Fee $9.00 Technology Fee $8.00 Total: $383.47 Valuation: $ 9,9922.02 Total Sq Feet: 0 Date Approved:: In Review Type of Work: REPLACE ON AC UNIT/ AC CHANGE Pay Date Pay Type Amt Paid Amt Due Invoice # MC-7-18-68286 07/31/2018 Credit Card $ 333.47 $ 50.00 07/19/2018 Credit Card $ 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 zoning. Futhermore, I authorize the above -named contractor to do tk@ vyork stated. July 31, 2018 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy July 31, 2018 44 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-310086 Scheduled Inspection Date: August 21, 2018 Inspector: Perez, JanPierre Owner: MARIN, ERICK Job Address: 9495 BISCAYNE Boulevard Miami Shores, FL 33181 Project: <NONE> Permit Number: MC-7-18-1950 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (786)566-7718 Parcel Number 1132050070010 Contractor: COOLEST AIR CONDITIONING & REFRIGERATION INC Phone: (786)357-4250 tiunding Department comments REPLACE ON AC UNIT/ AC CHANGE OUT INSPECTOR COMMENTS False n, -�V � yo Inspector Comments Passed `\ CREATED AS REINSPECTION FOR INSP-308823. no access, missing ref. lY\l�Nl I lock caps, secure unit with approved angles, need to see ahu. Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 20, 2018 For Inspections please call: (305)762-4949 Page 21 of 36 BUILDING PERMIT APPLICATION Miami Shores Village Building Department RECEIVED 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JUL 19 1018 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20,F4 Master Permit No.t6 c 1 —8 — lqs 0 Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING Eg�VIECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: q /�� /� I� q 5 8.1 � p n 1 C a. ne 9 I � A City Miami Shores County: Miami Dade Zip: 2 kk 3 U, Folio/Parcel#: 11 ' ?, ` ors - 003 - Oo to Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): "(i C ►%� M d o n Phone#: 7 9 �7 566- 7 718 Address: _-ci y 95 A I Scd4 if 61(id /}- City: I � iIrlml �j)02re5 State: 1'L Zip: _3313R Tenant/Lessee Name: Phone#: Email: ec CONTRACTOR: Company Name: I�JC' � A 1( C00j•I ji->�.�a Pe F/ice honeM 6 35 Address: 4.l yy ci SIN � PI City: ihjjy11ii pp State: I- Zip: Qualifier Name: / � liw-) / beirnd Phone#: 06 e l GGV State Certification or Registration #: � (� I D Q T Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ O 1 CA 2 - Qa Square/Linear Footage of Work: �� G Type of Work: ❑ Addition ❑ Alteration ❑ New dRepair/Replace ❑ Demolition Description of Work: Specify color of color thru Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee Radon Fee $ & Training/Education Fee $ CCF $ CO/Cc $ DBPR Notary $ Double Fee $ Structural Reviews $ (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE $ 3 '1 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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. Signature y Signature O or GENT CONTRACTOR The foregoing instrument was acknowledged before me this Is day of 20 . by C Yi Ek IAAr,!K who is personally known to me or who has produced lyot h(Q,w as identification and who did take an oath. NOTARY PUBLIC: Sign: Print:vlrao. Seal: APPROVED BY M .w ss#ssssssf�Nttl� s# The foregoing instrument was acknowledged beforemethis _ ! _L— day of ' 1,11 L 20 �8 by Ul / `h"a- I l� i adzllt , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Print: fft�(�.�'• we �� Seal:°#��981tt, • 7y' '111ZIC, STATfw04 1/1 "v / Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk 7/19/2018 Property Search Application - Miami -Dade County OFFICE OF THE PROPERTY APPRA' ISER Summary Report Property Information Folio: 11-3205-007-0010 Property Address: 9495 BISCAYNE BLVD Miami Shores, FL 33138-2970 Owner ERICK MARIN Mailing Address 1450 BRICKELL AVE 31ST FLOOR MIAMI, FL 33131 USA PA Primary Zone 0900 SGL FAMILY - 1901-2100 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 4/4/0 Floors 2 Living Units 1 Actual Area 4,647 Sq.Ft Living Area 3,469 Sq.Ft Adjusted Area 3,848 Sq.Ft Lot Size 14,140 Sq.Ft Year Built 2006 Assessment Information Year 2018 2017 2016 Land Value $254,714 $254,714 $236,692 Building Value $428,090 $865,800 $875,420 XF Value $47,848 $48,384 $48,920 Market Value $730,652 $1,168,898 $1,161,032 Assessed Value $730,652 $1,168,898 $1,161,032 Benefits Information Benefit Type 20181 2017 2016 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 5-6 53 42.35 AC PL OF GOVT LOT 4 PB 5-90 BEG SE COR 95 ST & BLVD E ALG S SIDE 95 ST 62FT S AT R/A 140FT NWLY BLVD NLY 140FT M/L TO POB Generated On: 71l9/2018 Taxable Value Information 20181 20172016 County Exemption Value $0 $0 $0 Taxable Value $730,652 $1,168,898 $1,161,032 School Board Exemption Value $0 $0 $0 Taxable Value 1, 168,8981 $1,161,032 City Exemption Value $0 $0 $0 Taxable Value $730,652 $1,168,898 $1,161,032 Regional Exemption Value $0 $0 $0 Taxable Value $730,652 $1,168,898 $1,161,032 Sales Information Previous Price OR Book - Qualification Description Sale Page 10/30/2017 $870,000 30806-3562 Financial inst or "In Lieu of Forclosure" stated 09/09/2016 $100 30229-3258 Financial inst or "In Lieu of Forclosure" stated Corrective, tax or QCD; min 05/07/2010 $100 27337-3784 consideration 08/01/2006 $1,250,000 25024-2680 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 12011 SW 1291h CT, Unit 4 Miami, FL 33186 (305) 232-1496 �I M 19 Coolestincl2@gmail.com Date: State of I � "41 County of Mca.al -044-, Before me this day personally appeared M( ae f atro- who, being duly sworn, deposes and says: That he or she will be the only person working on th project located at: RL�� I c R17 /ncac4ir Ff 3513d' 4K Con ractor Signature Sworn to (or affirmed) and subscribed before me this /% day of �yl 20 L by Personally know OR Produced Identification Type of Identification Produced �AR � •,''��i Print, Tye or a M QfAotary �y �Z' i O. n, A�e�.' //llllllt1i11• '` Notice to Owner — Workers' Com Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 nsation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. �2 Signature: er State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of JJ IV 20AS�. By E t d Mir r , o who is personally known to me or has produced -C as identification. Notary: aAfyZA1 64W __ SEAL: •f'1'z -—#FFF998111 zi i y •'I1s � � 'y�� BLIC i i SIN U tA--:r--,-.1 R..-foplaso .. . .. .. .. .. . . ... .. ... . RECEIVED AIR CONDINCI ZING ItEPL,ACEMENT DATA j(l/ 181018 • • PERMIT NUMBER: MC .. . . . . . ... .. QKh+i%rust accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on singllej sheets are not acceptable. a Job Address (where the work is being done): 1 � � T 1 � C�U r)e N U ( � City: Miami Shores Village County: Miami Dade Zip Code 33) 3 5 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 [NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # COND. U NIT MODEL# 4TMIp IJcO KW HEAT l0 NOM TONS HU CU PKG 1) M.C.A HU U PKG AH U PKG 2) M.O.P AH PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 9� � T 14(c 10 A W G 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 5V h Mp 3. Voltage of Circuit (208/240/480):O 4. Size Disconnecting Means: Contractor's Company Name: Conjea� g or %oil&�y()ji i one: t 96 %o ly�G State Certificate or Registration No. Certificate of Competency No. Signature Date: l� (Qualifier's signature) (Revised02/24/2014) TIL`11`�' , k �':Thi$ c* biddtiola qualifies for a Federal Energy Efficiency tax Credit when 3)laDe0h:s*vicabe§Neen Feb 17,2009 and Dec 31, 2016. AD%11Z`11`164W)1.--- • •.• • •• • ••• Certificate o Ptii&:Ratinas AHRI Certified Reference Number: 8631424 Model Status : Active AHRI Type: RCU-A-CB : : : : : : • • • Series: XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6048J1 Indoor Unit Model Number (Evaporator and/or Air Handier): TEM6AOD48H41+TDR Region : 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) 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. The manufacturer of this TRANE product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F7, btuh : 45500 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.50 ('Active' Model Status are those that an AHRI Certirwation 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 Certifk ation Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are acoompanied by WAS indicate an involuntary re -rate _ The new published ratirulis 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.ahfidirectofy.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI_ This Certificate shall only be used for individual, personal and v 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 A REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridlrectory.org, click on 'Verify Certificate" link we n%Amlife 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. 02018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: t3"s3ss°2's2�a'o