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MCC-18-3260Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: MCC-1 0- 18-3260 Permit Type: Mechanical - Commercial Work Classification: A/C Replacement Permit Status: Approved Issue Date:10/30/2018 Expiration: 04/22/2019 Location Address Parcel Number 9999 NE 2ND AVE, Miami Shores, FL 33138 1132060134490 Contacts CITY NATL BNK OF FLA TRU Owner MORAN AIR CONDITIONING INC Contractor 99992 PEDRO GONZALEZ Home: 3057567747 Business: 7862512436 wrn� Description: CHANGE OUT 2 C/U TRANE 15 TON CACH. 3RD Valuation: $ 23,790.00 Inspection Requests: FLOOR UNIT SOUTH. Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $14.40 DBPR Fee $12.49 DCA Fee $8.33 Education Surcharge $4.80 Permit Fee $782.65 Scanning Fee $9.00 Technology Fee $20.82 Total: $902.49 Payments Date Paid Amt Paid Total Fees $902.49 Credit Card 10/30/2018 $852.49 Check # 1658 10/24/2018 $50.00 Amount Due: $0.00 Building Department Copy 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 cyy that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construg4,ry ncj/ o ng. Futhermore, I authorize the above named contractor to do the work stated. Authorized SignaturY. NO* / Applicant / Contractor / Agent Date October 30, 2018 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Inspection Number: INSP-001398-2018 Scheduled Inspection Date: November 08, 2018 Inspector: Perez, Jan Pierre Owner: Address Project: CITY NATL BNK OF FLA TRU 9999 NE 2ND AVE Miami Shores, FL 33138 Contractor: MORAN AIR CONDITIONING INC PEDRO GONZALEZ Building Department Comments CHANGE OUT 2 C/U TRANE 15 TON CACH. 3RD FLOOR UNIT SOUTH. Checklist Item Passed Comments General Comments False Inspector Comments Passed iv�p 786-251-2436 - PEDRO Failed F-1 Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Permit Number: MCC-10-18-3260 Permit Type: Mechanical - Commercial Inspection Type: Mechanical Final Work Classification: A/C Replacement Phone Number: 3057567747 Parcel Number: 1132060134490 Phone Number: 7862512436 November 07, 2018 For Inspections please call: 305-762-4949 Page 35 of 38 Miami Shores Village T24241s Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: ---- Tel: (305) 795-2204 Fax: (305) 756-8972 , �1 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ,�FBC 20 BUILDING Master Permit No. �v 0 (8 - 32,60 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING 'MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP r J� CONTRACTOR DRAWINGS JOB ADDRESS: �� C Z �ve 3 F�' %Go V- 3Wit^. City: Miami Shores County: V S Miami Dade zip: 3 3 13 g Folio/Parcel#: \ 1 37- 0 GO 13 4 i V Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: n\ ` GTE t- NAT- 1.3NI� FL -A A TRO OWNER: Name (Fee Simple Titleholder): Mel eli �_� tl°c'rn C'#v Phone#: Address: \at'K VI eW C9-kcc 70. BvX gA i G L(XW r• �hC-,e y I 15 S`f City: State: Zip: Tenant/Lessee Name: Phone#: Email: +MorCtY\ 4lr Q r4\aGod CONTRACTOR: Company Name: A2KOLYN A% Phone#: Address: S355 eJ -4 l St City: : Ae& l State: L Zip: 33G 1 S Qualifier Name: aq:!-*tf-05 Got-);ke"Z Phone#: -jg6 ?-51zLA State Certification or Registration #: c %AC 1 2 5 0(3 56 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: Value of Work for this Permit: $ 2�J Q 0 Square/Linear Footage of Work: 12-00 O Zip: Type of Work: ❑ Addition ❑ Alterations ElNew Repair/Replace ❑ Demolition Description of Work: C` ` NMo-0 9- 0a Z c/LX--'cky\ e t 5 i o sJ C .(3. r Specify color of. color thru tilo-: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ G2-GC; Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF DBPR $ ,N CO/CC $ A Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 'g S 2 ' (Revised02/24/2014) 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 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 o ondition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith th t a co py of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subjec to atta ment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection hich o s seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be a ro and re�ection fee will be charged. Signature Signature or AGENT CONTRACTOR The foregoing ins 4®rumeas knowledged before a this The foregoing instrument was acknowledged beforQ„Ir�e this 20 by �� day of 0, 2(�/ by who is personally known to // � iss Peerssonaallly knnjo,,wnn to If .4me or who has pras me or who has produced (r1_� �PtOt/ �V��a� identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: _ Sign:!- V ` � Sign: I *V Print: Print: �/le T /ZQS.Se) Seal: +': KELL `; ••• ;�`� MARIAT. GROSSO �= Coawn lon GG 131334 Seal: * * MY COMMISSION # FF 231886 y Ass ExpW November 21, 2021 > EXPIRES: May 17, 2019 W4sdr=TroF>tlnM�r yNa �101i +� wd�° Bondtd Thry 84et Notary Servka APPROVED BY I Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 1 OF.FICE OF THE PROPFRTY APPRAISER Summary Report Property Information Folio: 11-3206-013-4490 Property Address: 9999 NE 2 AVE Miami Shores, FL 33138-2352 Owner CITY NATL BNK OF FLA TRU Mailing Address 25 WEST FLAGLER ST #711 MIAMI, FL 33130-1718 PA Primary Zone 6400 COMMERCIAL - CENTRAL Primary Land Use 1713 OFFICE BUILDING - ONE STORY: OFFICE BUILDING Beds / Baths / Half 0/0/0 Floors 3 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 47,771 Sq.Ft Lot Size 31,850 Sq.Ft Year Built 1965 Assessment Information Year 2018 2017 2016 Land Value $828,100 $828,100 $828,100 Building Value $2,131,900 $1,971,900 $659,900 XF Value $0 $0 $0 Market Value $2,960,000 $2,800,000 $1,488,000 Assessed Value $1,531,391 $1,392,174 $1,265,613 Benefits Information Benefit Type 2018'' 2017 2016 Non -Homestead Assessment $1,428,609 $1,407,826 $222,387 Cap Reduction Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 1 5341 &65342 MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 10 THRU 14 INC BLK 33 LOT SIZE 245.000 X 130 OR 15864-4092 0393 2 (2) Generated On : 10/24/ Taxable Value Information 2018' 2017 2 .................... ................ County Exemption Value $0 i $0 Taxable Value $1,531,391 $1,392,174 $1,265 School Board Exemption Value $0 $0 Taxable Value $2,960,000 $2,800,000 $1,488 City Exemption Value $0 $0 Taxable Value $1,531,391 $1,392,174 $1,265. Regional Exemption Value $0 $0 Taxable Value $1,531,391 $1,392,174 $1,265. Sales Information Previous OR Book - Price Qualification Description Sale Page 23360- Sales which are disqualified as a rest 05/01/2005 $0 4133 of examination of the deed 00000- Sales which are disqualified as a rest 03/01/1993 $0 00000 of examination of the deed 15864- 03/01/1993 $600,000 Deeds that include more than one pa 4092 14249- Sales which are disqualified as a rest 08/01/1989 $0 2507 of examination of the deed 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 Appra and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer. asp https://www.miamidade.gov/propertysearch/ 10/24/2018 rJ�,�'•aj' t f � Yi+3TRP(. v.7:w'�3 November 2, 2016 Village of Miami Shores 10050 N. E. Second Avenue Miami Shores, Florida 33138-2382 Re: Land Trust No. 2401-2045-00 - Miami Shores Land Trust Gentlemen: City National Bank of Florida is the Trustee under Land Trust No.2401-2045-00. This letter confirms that AHE Realty Associates, LLC is the sole Beneficiary of the Land Trust and that Alex Edelman has the power of direction under the Trust. Our records reflect that Mr. Edelman is the sole member of ABE Realty Associates, LLC. im truly yours, Carballo Trust Officer Direct Line: 305-577-7294 Fax: 305-577-5353 E-Mail: ennta@cftyr;al#�{tpt.cct»t CITY NATIONAL BANK OF FLORIDA EXECUTES THIS INSTRUMENT SOLELY AS TRUSTEE UNDER LAND TRUST NO'2'4Qltg 'ND NOT PFRSON'ALLY ANT) NOT INDIVIDUALLY AND NO PERSOtiALJUI)GEMENT OR DECREE SHALL EVER BE SOUGHT OR OBTAINED AGAINIST THE SAID BANK BY REASON OF THIS INSTRUMENT. F:SECURE:LEGAL:LEGALCLERK:2416:TRUSTS:LETTERS:MIAMI SHORES:EDELMAN PO Box 025820 Mieml, FL 33102-5620 citynational.aom Member FDIC I Equal Housing Lenclor Shoreview Cefiter 9999 NE 2ND AVENUE, SUITE 305 MIAMI SHORES FL 33138 To Whom It May Concern: I, Alex Edelman, am the owner of AHE Realty Associates, LLC. D/B/A Shoreview Center; building located at 9999 N.E. 2" d Ave. Miami Shores, FL. 33138. This letter is meant to inform you that as Property Manager of Shoreview Center, Julio Martinez is authorized to make any decisions on my behalf (excluding sale or transfer of ownership of said building). Edelman er of AHE Realty Associates, LLC. DBA Shoreview Center STATE: FLORIDA COUNTY: MIAMI — DADE This instrument was acknowledged before me on this_aL day of _ 65' , 2016 by all parties listed above. All parties listed have either provided the necessary proof of identification or are personally known to me. (Notary Printed Name) (Notary Signature) (SEAL) ; :{:;'?h MAFPAT.GWW WCC±i ISSf0aV t F 2306 17(PS T Mey 17, 2010 �'�►�,� h�OlkroR�prtlk9r/SeMcat 44+i() AV 't„d rtvWcsIar Ott% , 0. ILfi;M)i FT ',Zi 2X _F,-,i rill;, "'-�h--",,AA -- 3;.ry i iW i `!Kf-'`",A`g SHOREVIEW CENT*E9 9999 NE 2ND AVENUE Miami Shores, FL 33138 Tel. (305) 756-7747 Fax (305) 756-7745 February 11, 2014 Miami Shores Building & Zoning Department 10050 NE 2nd Ave. Miami Shores Village, FL. 33138 Re: 9999 NE 2nd Ave. Miami Shores, FL. 33138 Shoreview Center To Whom It May Concern: Please be advised that regarding my property located at 9999 NE 2nd Ave. Miami Shores, Florida 33138 (Shoreview Center); I, Alex Edelman, am the owner and City National Bank of Florida appears as only a trust. I hereby certify that Julio Martinez is authorized to represent me in a full capacity regarding any and all future dealings with Miami Shores Village. This includes but is not limited to permitting and licensure. This letter should be kept on file permanently or until further notice. Thank you for your attention to this matter. Alex Edelman, Ow er Shoreview Center Building Sworn and Subscribed before me on this 11 day of February, 2014 by Alex Edelman Who is personally known to me. Notary Public S to of F1 rida �� : A,)y 2) g ) tii�:;;> KELLY E. GALE Commission # FF 038178 _* Expires November 21, 2017 Banded Tt,. Troy Fin Insure M M385.7019 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. 4%cw4l tJob Address (where the work is being done): at q Q R " Z i Y� G Via re'J f 5_EM �5 g City: Miami Shores Village County: Miami Dade Zip Code: 2>313C3 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 K Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL# 401RUA A30 — 5 COND. UNIT MODEL # Z " i5To TSC 010 3E CIAO KW HEAT 30 Kvy NOM TONS 15TO 30To ►.3 c':�cG AHU CU PKG 1) M.C.A V AHU U PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS 2 OC3L30 AHU CU PKG PKG UNIT / / QL A — ZG Arn P PKG UNIT EER/SEER to YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT YES N YES NO NEW 4"CONCRETE SLAB YES 0 YES NO NEW ROOF STAND ES NO YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity (Wire Size): LA 3 Arne CM e :* 2. Maximum Overcurrent Protection (Fuse/Breaker Size): t 1100 Qrh p 3. Voltage of Circuit (208/240/480): Ze/ 23 d0 Vc, \ \ s 4. Size Disconnecting Means: ZOC3 F\ m Contractor's Company Name: ❑i Mo rc3v% tk Ic Phone: 4'BG Z 51 24 36 State Certificate or Registratio No. CMC \Z5005 Certificate of Competency No. G50� �g G �� Signature Date: t0'2H 1 08 (Q ali is signature) 1- (Revised02/24/2014) �b RICK SCOTT, GOVERNOR, ,yy � •Y i �,t: Cpn W8 JONATHAN ZACHEM, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESSAND-P.ROFE! CONSTRU THE MECHAN PROVIS NAL REGULATION -11. 07A UNDER THE EXPIRATION -DATE; p UST 31, 2020 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license: It is unlawful for anyone other than the licensee to use this document. F dda opr _FF ATWATER HIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW ONSTRUCTION INDUSTRY EXEMPTION his certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. FFECTIVE DATE: 4/25/2017 ERSON: GONZALEZ IN: 650928024 JSINESS NAME AND ADDRESS: DRAN AIR CONDITIONING, INC. •55 NW 171 ST- ALEAH FL 'OPE OF BUSINESS OR TRADE: 33015 lTIFIED MECHANICAL Heating, Ventilation, Air- JTRACTO Conditioning and Refrigeration Systems Installation, Service and Repair, Shop, Yard & Drivers EXPIRATION DATE: 4/25/2019 ANT: Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election un on may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt,.. ar in the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13). F.S., Notices of election to be ►nd certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, amed on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a s at any time for failure of the person named on the certificate to meet the requirements of this section. -DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-' 24 HR EMERGENCY AC REPAIR' 8355 NW 17111 Street Hialeah, FL 33015 Wednesday, October 24, 2018 State of FLORIDA, County of: MIAMI-DADE. Before me this day personally appeared PEDRO GONZALEZ who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 9999 NE 2ND AVENUE MIAMI SHORES, FL 33138. Co-'n-"t-r a ctdVSiA ature Sworn toi � (or affirmed subscrd before me this 24TH days of OCTOBER 2018 ByL� N Personally Know —� OR Produced Identification Type of Identification Produced d ype or Stamps Name of Notary MARIAT. GROSSO MY COMMISSION # FF 231886 * * EXPIRES: May 17, 2019 +, OF FI�Pr Bonded Thru Budget Notary Services Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation 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 allo ed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensationiinsurance verage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU A NOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. } ti Signature: State of Florida County of Miami -Dade The foregoing was acknowledge 1 efore me this 0 day of , 20�. By V l/ who is personally known to me or has produced was identification. Notary: SEAL: �v"'. , KELLY E. GALE _: A : _L- Commission # GG 137334 " Tiro Tray FAM Inmum 80W*70%