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MC-18-2176Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit NO. MC-8-18-21 %6 PenPermit Type: Mechanical - Residential ' Work Classification: A/C Replacement Permit Status: APPROVED Parcel Number Issue Date: 8/27/2018 1 Expiration: 02/23/2019 Applicant 134 NE 102 Street 1132060131880 CHRISTOPHER BELLOWS Miami Shores, FL Block: Lot: Owner Information Address Phone Cell CHRISTOPHER BELLOWS 134 NE 102 ST MIAMI SHORES FL 33138-2325 Contractor(s) Phone Cell Phone PERFECT AC SOLUTIONS (786)512-9165 Tons: 3.5 Additional Info: 3.5 TON AC CHANGE OUT Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 3 Fees Due Amount CCF $2.40 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee $133.00 Scanning Fee $9.00 Technology Fee $3.20 Total: $152.40 Date Approved:: In Review Type of Work: 3.5 TON AC CHANGE OUT Valuation: $ 3,800.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # MC-8-18-68565 08/27/2018 Credit Card $ 102.40 $ 50.00 08/16/2018 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 at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction andzeTTFnq. Futhermorel, I authorize the above -named contractor to do the work stated. August 27, 2018 'Authorrz'goignature:Owner / Applicant / Contractor / Agent Building Department Copy August 27, 2018 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-310402 Permit Number: MC-8-18-2176 Scheduled Inspection Date: August 28, 2018 Inspector: Perez, JanPierre Permit Type: Mechanical - Residential Owner: BELLOWS, CHRISTOPHER Job Address:134 NE 102 Street Miami Shores, FL Inspection Type: Final Work Classification: A/C Replacement Phone Number Project: <NONE> Parcel Number 1132060131880 Contractor: PERFECT AC SOLUTIONS Phone: (786)512-9165 Building Department Comments 3.5 TON AC CHANGE OUT Passed Failed ❑ Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. INSPECTOR COMMENTS False Inspector Comments August 27, 2018 For Inspections please call: (305)762-4949 Pa p 1Q of d4 IVlldl I ll Jl1Ul CJ V IIId6C Buildin Department RECEIVED g p 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 AUG 16 2018 Tel: (305) 795 2204 Fax: (305) 756-8972 © INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No.mc PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I ,A W, Sa City: Miami Shores County: Miami Dade Zip: 3 3 (39 Folio/Parcel#: � �— 3),0(o - 18 20 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): C �� \ S���F 2. ��i �O W S Phone#: 3 0 S - 3 7 � "S� 1 3 5 Address: City: �A\ State: ��— Zip: 33 (39 Tenant/Lessee Name: Phone#: Email: C r C,Qk COV-\ CONTRACTOR: Company Name:�ZQF�C� �'r� JO\i���Oy\S Phone#:�—�(a'�(�� Address: Zlc"G 2 C_"") -4a � Vv__ City: 1Al,,A State:`- Zip: Qualifier Name: S - $ � S - ZZ01- State Certification or Registration #: eO - \' k IC 0 1—+ Certificate of Competency #: DESIGNER: Architect/Engineer: Address: City: Phone#: State: Zip: Value of Work for this Permit: $ 1�Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New [�T Repair/Replace ❑ Demolition Description of Work: _o Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $_ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE S RM Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zi 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 inspectio which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will aakbq"aAproved and a reinspection fee will be charged. Signature — Signature OWNER or AGENT The foregoing instrument was acknowledged before this day of A 20 by wwho is personally known to me or who has produced -F?s as identification and who did take an oath. NOTARY Print Seal: _• • Commission * GG 38900 �9 My Comm. Expires Oct 16. 2020 ''+++°�+� �••'� Bonded through National Notary Assn. CONTRACTOR The foregoing instrument was acknowledged before me this —day of [S 44 1p 1 .\ 20 by 1VA ik\ is personally known to me or who has produced PL '3-b as identification and who did take an oath. NOTARY PUBLIC: Sign: Printe: Sal: '+,' *************************************************************** APPROVED BY In Tans Examiner Zoning Structural Review Clerk When buying real estate property, you should not assume that property taxes will remain the same. Whenever there is a change in ownership, the assessed value of the property may IMPORTANT reset to full market value, which could result in higher property taxes. Please use our Tax Estimator to approximate your new property taxes. MESSAGE The Property Appraiser does not send tax bills and does not set or collect taxes. Please visit the Tax Collectors website directly for additional information. 0 0 0 Or Address Owner Name Subdivision Name Folio SEARCH: 113206-013-1880 PROPERTY INFORMATION 8 Folio: 11-3206-013-1880 Sub -Division: MIAMI SHORES SEC 1 AMD Property Address 134 NE 102 ST Miami Shores, FL 33138-2325 Owner CHRISTOPHER N BELLOWS Mailing Address 134 NE 102 ST MIAMI SHORES, FL 33138-2325 PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY : 1 UNIT Beds / Baths / Halt 2/2/0 Floors 1 Living Units 1 Actual Area Living Area Adjusted Area 2,296 Sq. Ft Lot Size 11,500 Sq.Ft Year Built 1932 Featured Online Tools Comparable Sales Glossary Non -Ad Valorem Assessments PAAdditional Online Tools Property Record Cards Property Search Help Property Taxes Report Discrepancies Report Homestead Fraud Tax Comparison Tax Estimator TRIM Notice Value Adjustment Board ASSESSMENT INFORMATION ® BENEFITS INFORMATION Year 2018 2017 20116 Benefit Type 2018 2017 Land Value $287,615 $287,615 $287,615 Save Our Homes Cap Assessment Reduction $271,352 $274,677 $27-, Building Value $133,305 $133,305 $133,305 Homestead Exemption $25,000 $25,000 $2`. Extra Feature Value $7 176 $7,278 $7,378 _.._.. _... ,..___._ .... Second Homestead Exemption $25,000 $25,000 $2`. Market Value $428.096 $428,198 $428298 Note: Not all benefits ere applicable to all Taxable Values i.e. County, School Board, City,Regional). PW ( 1S', Assessed Value $156.744 $153,521 $150,364 FULL LEGAL DESCRIPTION 8 TAXABLE VALUE INFORMATION 8 1 534165342 2018 2017 2016 MIAMI SHORES SEC 1 AMD PB 10-70 COUNTY LOTS 10 & 11 BLK 14 Exemption Value $50,000 $50,000 $50,000 LOT SIZE 100.000 X 115 Taxable Value $106,744 $103,521 $100,364 OR 12869-1812 0486 1 SCHOOLBOARD Exemption Value $25,000 $25,000 $25,000 Taxable Value $131,744 $128,521 $125,364 CITY Exemption Value $50,000 $50,000 $50,000 Taxable Value $106,744 $103,521 $100,364 REGIONAL Exemption Value $50,000 $50,000 $50,000 Taxable Value $106,744 $103.521 $100,364 SALES INFORMATION 9 Previous Sale Price OR Book -Page Qualification Description 04/01/1986 $74,000 12869-1812 Sales which are qualified 07/01/1979 $65,000 10471-0342 Sales which are qualified 12/01/1977 $1 09892-1305 Sales which are disqualified as a result of examination of the deed For more information about the Department of Revenue's Sales Qualification Codes. 2018 2017 2016 LAND INFORMATION Land Use Muni Zone PAZone Unit Type GENERAL RAT5, R-18.5 1000 - SGL FAMILY - 2101-2300 SO Front Ft. BUILDING INFORMATION Building Number Sub Area Year Built Actual Sq.Ft. Living Sq.Ft. 1 1 1932 2 1 1932 EXTRA FEATURES 9 Description Year Built Patio - Brick, Tile, Flagstone 1991 Chain4ink Fence 4-5 It high 1973 Wood Fence 1973 ADDITIONAL INFORMATION " The information listed below is not derived from the Property Appraiser's Office records. It is provided for convenience and is derived from other government agencies. LAND USE AND RESTRICTIONS Community Development District: NONE Community Redevelopment Area: NONE Empowerment Zone: NONE Enterprise Zone: NONE Urban Development: INSIDE URBAN DEVELOPMENT BOUNDARY Zoning Code: R18.5- Existing Land Use: 10-SINGLE-FAMILY,MED-DENSITY (25 DU/GROSS ACRE). Government Agencies and Community Services OTHER GOVERNMENTAL JURISDICTIONS Business Incentives Childrens Trust Oty of Miami Shores Florida Department Of Revenue Florida Inland Navigation District PA Bulletin Board School Board South Florida Water Mgmt District Tax Collector Units Calc Valu 100.00 $287.61 Adj Sq. Ft. Calc Valu 1,821 $114,06 475 $19.23 Units Calc Valu 750 $6.10 110 $63 46.67 $43 Environmental Considerations Non -Ad Valorem Assessments Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable.. � t `, Job Address (where the work is being done): k3 A IA L 10 2 S-1 P� IAyAJ\ 0 QAS � hl b City: Miami Shores Village County: Miami Dade Zip Code: ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO ® ARHI Sheet Attached: YES ® NO ❑ Contract Attached: YES R1 UNIT BEING REPLACED DATA NEW UNIT A SrtA DAQ-S� MANUFACTURER �' �(L p -V--lC) AHU or PKG. UNIT MODEL# KQ V-040, LOCI 2,0 2- A WO AL COND. UNIT MODEL# ov KW HEAT 3 NOM TONS . S AHU -, CU q0 PKG 1) M.C.A AHU ,$& CU 30 PKG AHU O CU 40 PKG 2) M.O.P AHU 'o CU QU PKG AHUI CU_bj PKG 3) VOLTS AHU?06 CU C0 PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES NO ✓ YES NO REPLACING THERMOSTAT YES i/ NO YES NO NEW 4"CONCRETE SLAB YES NO ✓ YES NO NEW ROOF STAND YES NO t/ YES NO NEW RETURN PLENUM BOX YES NO r/ 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 6o 3. Voltage of Circuit (208/240/480): o'C9 / 2 3 U / % %//1 4. Size Disconnecting Means: Contractor's Company Name: Phone: 16 �( Z4(0 State Certificate or istration No. CW- Certificate of Competency No. Signature IDate: R— ( 6 — f ii (Qu ifiees signature) q( ( -4ri-4- � I . 8/ 15/2018�'',� t Yrl 1'%iL IXitotrwu utQns 4662 SW 74th Ave ' Miami, FL 33155 786-512-9165 / 305-783-7696 PerfectACSolutions@gmaii,com I i JOB DETAILS Description CUSTOMER Christopher Bellows 134 NE 102 ST Miami Shores, FL 33138 (305) 778-5135 Work Order #5806 DATE 08/16/2018 TIME 08:30 am DURATION 1 h TECH(S) JOB# 5806 PO# PAYMENT SERVICE LOCATION Christopher Bellows 134NE102ST Miami Shores, FL 33138 Qty I Installation of a 3.5 ton Split System by Carrier, high efficiency 16 SEER, with new Freon i R410A. Complete Installation Includes: New digital thermostat. Retrofit duct plenum. New overflow switch. Rewire low and high voltage. Hurricane straps for the Condensing Unit. 1.00 Warranty: 10 years on Compressor, 10 years on Parts, 10 years on Coils as per ' manufacturer. (Unit must be registered with manufacturer within 60 days from installation otherwise base warranty is 5 years on compressor.) Labor warranty by us the installers 1 Year. L s of Permits are NOT included. Should they be required, costs to be reimbursed to us. 1.00 _...,..._................................................. .........._............ SUB -TOTAL: TIME & LABOR: EXPENSES: PMTS/DEPS: $3,800.00 $0.00 $0.00 $0.00 Rate Total $3,800.00 $3,800.00 $0.00 $0.00 TOTAL DUE: $3,800.00 CUSTOMER MESSAGE �P RK SIGNATURE POST -WORK SIGNATURE j f INSTALLATION TERMS AND CONDITIONS I I i Terms and Conditions for Unit Installation Credit Card Payments Payments for Installations with a Credit Card shall incur a 4% additional charge to the amount being processed. Payment Schedule All Installations shall proceed under the following Payment Schedule: 50% Due upon acceptance of Estimate or Proposal for work. 60% Due upon completion of Work. All Materials are the sole property of Perfect AC Solutions until final payment has been rendered. Should payment not be received after work has been completed, Perfect AC Solutions retains the rights of ownership over all equipment. Perfect AC Solutions reserves the right to remove any installed equipment or parts at the jobsite. Warranty Warranty of Unit and Parts shall be as per manufacturer. Should the unit require registration, Perfect AC Solutions will register the unit for Owner as a courtesy. We will attempt to obtain all relevant information required for registration. https://admin.servicefusion.com/printJobWithRates?jobld=i jEd8HS_rW5Ds_I HQL8apZ8pdCiaMA1RBAddkHggAzU 1/2 AHRI Certified Reference Number: 3632305 This combination qualifies for a Federal Energy Efficiency tax Credit when placeilein aer M b&tw&9 Xel3 27,2009 and Dec 31, 2016. . . ... . . . . .. . Date : 08-16-2018 Model Status AHRI Type: RCU-A-CB ' • ; ; � • • • Series: COMFORT SERIES PURON AC • • • i i • • • i i i • • • • Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24ABC642A"30 Indoor Unit Model Number (Evaporator and/or Air Handler) : FX4DN(B,F)049 Region : 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. The manufacturer of this CARRIER product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210t240 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, th,rd party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 42000 SEER: 16.00 EER (A2) - Single or High Stage (95F) 13.00 C RECEIVED AUG 16 1018 cpoof +01 1$-Zl1*:o tModels with "Discontinued" Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer selling or offering for sale. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS) rati 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.ahridirectory.org. TERMS AND CONDITIONS n �� �,n, This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and 71 • " 1l `�' U " confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; _ �..f r id 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 & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahfidirectory.org, click on "Verify Certificate" link we make life been 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.: 13t78897079aa25946