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MCC-18-3700Permit NO.: MCC-1 2-18-3700 Miami Shores Village 10050 .� Permit Type: Mechanical - Commercial y Miami Shores 2 Ave s FL 33138 � � - Work Classification: A/C Replacement 305-795-2204 Permit Status: Approved Issue Date:12/18/2018 Expiration: 06/17/2019 Location Address Parcel Number 1700 NE 105TH ST 212, Miami Shores, FL 33138 1122300500310 Contacts KATIE MITCHELL Owner COOL AIR USA Contractor 1700 N. E. 105 ST. #212 KEVIN FOSTER 3901 NW 16 ST, LAUDERHILL, FL 33311 Business: 9546352842 permits@coolairusa.com Mobile: 9544714108 Description: 2.5 TON A/C SYSTEM A/C CHANGE OUT Valuation: $ 5,076.00 Inspection Requests: Total Scl Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $3.60 DBPR Fee $2.66 DCA Fee $2.00 Education Surcharge $1.20 Permit Fee $127.66 Scanning Fee $9.00 Technology Fee $4.44 Work Without Permit 1st Offense $177.66 Work Without Permit 1st Offense $100.00 Total: $478.22 Building Department Copy Payments Date Paid Amt Paid Total Fees $478.22 Credit Card 12/17/2018 $50.00 Credit Card 12/18/2018 $428.22 Amount Due: $0.00 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 AFFI I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating cons uctior and 4on.WD. Futhermore, I authorize the above named contractor to do the work stated. Authorized / Applicant / Contractor / Agent Date December 18, 2018 Page 2 of 2 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: (30S) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING FBC 201,� Master Permit No. W 0 1 a v �� Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING •jjj MECHANICAL ❑PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS: �0tl0 q_ `®s '�-� ` cIVA\ dt� I ( al�, ")o 050 b SV) Occupancy Type: Load: Construction Type the Building Historically Designated: Yes NO l- Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): �l J �� �C Phone#: 0� Address: I groy Y " - v -' SA- �M'k City: U'kOlAA 5Waa)�, State: R(pM\A- Zip: 331 S ' Tenant/Lessee Name: Email: CONTRACTOR: Company Name: &W i►1 Phone#: "t k(� 1IL a x 13� Address: Ol W W. City: T� State: Zip: Qualifier Name: f/ ty * V'� �� '^^ Phone#: tR�S� a S\�- X((- State Certification or Registration C) Certificate of Competency #: DESIGNER: Architect/Engineer: Y,�� Phone#: Address: City: State Value of Work for this Permit: $ 0 Square/Linear Footage of Work: _ Type of Work: ❑ Addition ❑1,,Allte�ration ❑ Meow,, ❑n RReepair/Re/place ' Description of Work: �`�� 4`- r" Pde S �1 S`�"� /�- C Ci'�'j Specify color of color thru tile: Zip: ❑ Demolitions Y Submittal Fee $ LjO, CO Permit Fee $ �, l t VKCCF $ CO/CC $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ �9 ' 6K� DBPR $ 2— ' ` 6 tary $ Training/Education Fee $ Dou�Fee$'2• roBon6 ��)) TOTAL FEE NOW DUE $ ``t2 (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 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 9A4K -8 A �I'C `bWNER or AGENT The foregoing instrument was acknowledged before me this day of l 20 by who is personally known to me r who has produced as / a Signature__,,, Siig_nature rr ,, lui^') F.`t' - CONTRACTOR The foregoing instrument( was acknowledged before me this day of ( 20 t by who is personally known to me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: �pgVP(�� ANGELA C MARTINEZ NOTA YPU LIC: ANGELA C MARTINEZ Commission # GG 129527 ot,gvP�� = ®, ° Commission # GG 129527 N9rFOFF��eo Expires July 30, 2021 �e Expires July 30, 2021 Sign gondedThruBudget NolaryServices Sign. J �IFOFF�o<P BondedThtuBudgetNotaryServices Print: WPrint: Seal: Seal: as A7�4�\I*t*S *APPROVED BY Examiner Zoning 'A � . Structural Review (Revised02/24/2014) if Clerk Summary Report Property Information Folio: 11-2230-050-0310 Property Address: 1700 NE 105 ST UNIT: 212 Miami Shores, FL 33138-2145 Owner KATIE B MITCHELL Mailing Address 1700 NE 105 ST #212 MIAMI, FL 33138-2140 PA Primary Zone 4900 MULTI -FAMILY - CONDOMINUM Primary Land Use 0407 RESIDENTIAL - TOTAL VALUE : CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 2/2/0 Floors 0 Living Units 0 Actual Area Sq.Ft Living Area 1,154 Sq.Ft Adjusted Area 1,154 Sq.Ft Lot Size 0 Sq.Ft Year Built 1965 Assessment Information Year 2018 2017 2016 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value $132,631 $170,040 $130,800 Assessed Value $80,503 $78,848 $77,227 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $52,128 $91,192 $53,573 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Senior Homestead Exemption $30,003 $28,348 $26,727 Widow Exemption $50 $$500 $500 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description THE SHORES CONDOMINIUM APT 212 SECOND FLOOR UNDIV .0102% INT IN COMMON ELEMENTS CLERKS FILES 64R-124472 Generated On : 12/14/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $80,503 $78,848 $77,227 Taxable Value $0 $0 $0 School Board Exemption Value $25,500 $25,500 $25,500 Taxable Value 1 $55,003 $53,348 $51,727 City Exemption Value 1 $50,500 1 $50,500 $50,500 Taxable Value 1 $30,003 $28,348 $26,727 Regional Exemption Value $50,500 $50,500 $50,500 Taxable Value 1 $30,003 $28,348 $26,727 Sales Information Previous Sale Price OR Book -Page Qualification Description 06/01/2000 $77,000 19149-2471 Sales which are qualified 11/01/1993 $72,500 16137-4216 Sales which are qualified 08/01/1986 $79,500 13003-0754 Sales which are qualified 04/01/1981 1 $85,750 11063-2125 1 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 0 WOR Q APPLICATION 4 Owners Nam e C Unit �/Z llowing I hereby request proval fro the Board of Dirctors for the of licensed modification or alte ation to my unit that will be performed by contractor. Electrical work Plumbing work Carpet installation **Windows Tile installation Other work C Description of the work r--� Before you decide to upgrade your apartment (other than paint or carpet) you must ard of Directors and/or Miami Shores Village. obtain permission from the Bo A copy \of the plans, specifications and permits, and a description of the licensed work to lbe performed must be submitted for consideration and approval by the Miami Shores Village Building Department (305-795-2204). It is the owner's responsibility to ensure that the contractor removes all excess construction material or building debris. It cannot be placed in the dumpsters. **Window frames must be gray in color to look like aluminum. Windows must be Two (2) panels over Two (2) panels. Glass must be clear color. 1, as the unit owner acknowledge responsibility for any damage to the building or personal injuries that may occur during the project. The Shores Condominium Inc. its officers and employees are in no way responsible for damage or theft to my apartment or my belongings. (A $200.00 deposit is required and will be refunded if no damage to the property is reported.) I ful understand and ag a to the statements made above. _ 7_ <&, Unit own is Sig re ate Approvedlb Date:-441 r DocuSign Envelope ID: 2521572F-3092-4AAF-8170-OA7D47455C90 • e 1.100 CAC 0.53230 COOL AIR U.S.A. A/C Service & Air Duct Cleaning 3901 NW 16th Street • Lauderhill 17L 33311 loll Free 1-877-89.5-1155 WWW.COOLAIRUSA.COM Date 12/10/18 TeCh Adam Name Katie B Mitchell ❑ PROPOSAL O CONTRACT Address 1700 NE 105 Street Apt. # 212 RefrigType City Mi am St FL zip 33138 U R-22 Tel (305) 495-9018 —Cell X1 R410A Email/Fax: JOB # 265600 This Proposal is to give you an estimate for furnishing, installing and guarantee all products services as set forth below. Installation of Climatemaster 2.5 ton unit to existing drain, ducts and electrical. includes: city permit, vibration pads and digital thermostat. CUSTOMER MUST REGISTER UNIT ONLINE FOR MANUFACTURE WARRANTY UV-Ahu-Closet-Garage-Other ❑ Fused Disc-Ahu-C/U )41Reconnect Existing DuctworkInc I uded JFilter U H-Ahu Attic -Garage -Other U Whip and Wire U Additional Ductwork J Extended Warranty L1Size efAtticOpen X X1ReconnecttoExisting Elec included U Filter Back Grill X►MechPermit Included J C/U-Ground-Roof-Other U Smoke Detector UTransfer Grills J Crane UPkg:Ground-Roof-Other U Other Elec Items IDReconnecttoExisting Drain Included UVibration Pads U Float Switch U UV Light U Cond. Pump. 115 240 J Misc. items 151T-Stat Included UFilter Rack USecondary Pan U Pressure Hi Low LI All Installation is to the existing Copper, Electric Drain Line OPTION #1 Brand Seer OPTION #2 Brand Seer EXISTING EQUIPMENT BRAND AHU # TCV030AGC30C(L/R)TS AHU # CONDENSER BRAND Model Serial C/U # C/U # Heat Kw 5 8 10 7.5 HP Furn Heatpump Heat Kw 5 8 10 7.5 HP Furn AIR HANDLER BRAND $5 076 Total Price , Total Price Model Serial Service Contract J 1 Year U 2 Years J 3 Years J 4 Years U 5 Years FPL Rebate - FPL Rebate Net Price $ 5 , 076 Net Price MFR Rebates - MFR Rebates Net Price Net Price MFR. Warranty MFR. Warranty 1 Year Parts 5 Year Compressor Parts _Year Parts _Year Compressor Parts Service Call 1 Year Labors 1 Outdoor Coil —Year Labors —Outdoor Coil $ 5 , 076 1 hereby authorize COOL AiR USA Air Conditioning Service to charge the listed credit card for the amount of $ Paid by LI Finance J Cash U Check # U Visa J MC iJ AMEX J Discovery CW # Ex. Date: CC # Authorization # DL # Permit Costs and Financing Application Fees are not refundable: initials r r U Signing this section Indicates the receipt of the estimate, but does not obligate me to its performance. Signature Date J By signing below. customer authorizes performance of the above service and agrees to the terms & conditions set forth on the reverse side of this agreement with regard to these services or any additional services authorized by customer at the time these services are performed. Customer also agrees to pay in full the charges referenced above, including all applicable taxes, together with any charge for additionut services authorized by Customer at the time the services are completed, we are not responsible for any paint chipping when registers are removed. DoeuSigood by: �2018 Signature ate I HAVE VERIFIED THATTHE AC UNIT IS IN WORKING CON DITION AND THE WORK HAS BEEN COMPLETED TO MYSATISFACTION. 3D2E92 e6eFX491... Customer Date rr 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. Job Address (where the work is being done): too 6 Wc!_ I �S �1 ( / 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 ki ARHI Sheet Attached: YES ONO[:] Contract Attached: YES X UNIT BEING REPLACED DATA NEW UNI C • MANUFACTURER cl(Tn tz6-'ayw 512-5 Q 6 5 57 L +D AHU or PKG. UNIT MODEL # 'r COND. UNIT MODEL# NO ea, t_ KW HEAT p Z . NOM TONS rZ . AHU CU PKG b A 0 1) M.C.A AHU CU PKG:'. '. AHU Cu PKG O—h 0 2) M.O.P AHU PKG AHU Cu PKG Z a 3) VOLTS AHU PKG. PKG UNIT / / PKG UNrL..,e • EER/SEER ...... ..• • • YES N REPLACING DUCTS YES " 0 YES REPLACING THERMOSTAT YES YES 0 NEW 4"CONCRETE SLAB YES YES NEW ROOF STAND YES �. •• • YES NO NEW RETURN PLENUM BOX YES NO ' Minimum Circuit Ampacity (Wire Size): n Al-� 1la— 2. Maximum Overcurrent Protection (Fuse/Breaker Size): ')-4 () 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: r �� Phone: State Certificate or Registration No. Certificate of Competency No. 64--e— oof-�z3D Signature Date: -71 le, v L2vf� (Qualifle;s sig ture) (Rev1sed02/24/2014) AHRI Certified Reference Number: 7368712 Date: 11/1212015 tStatus: Active Product: Water/Brine to Air Heat Pump Packaged Unit Model Number: TCHIV030A Manufacturer: CLIMATE MASTER, INC. Trade/Brand name: TRANQUILITY 16 Rated as follows in accordance with ANSI/AHRI/ASHRAE/ISO Standard 13256-1 for Water -to -Air and Brine -To -Air Heat Pumps and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Air Flow Rate - Cooling: 1000.0 / 1000.0 Air Flow Rate - Heating: 1000.0 / 1000.0 WLHP (Water -Loop Heat Pumps) Full Load Cooling Capacity(Btuh) 28100 / 28100 Cooling EER Rating(Btuh/watt) 13.40 / 13.40 Cooling Fluid Flow Rate(gpm) 8.00 / 8:00 Heating Capacity(Btuh) 35100 /.35100 Heating ,COP(watt/watt) 4.60 / 4 60 Heating Fluid Flow Rate(gpm) 8.00/8.00 GWHP(Ground-Water Heat Pumps) . Cooling,'Capacity(Btuh) 31700 / 31700 Cooling EER Rating(BtuhMatt) .20:10./20.10 Cooling. Fluid Flow Rate(gpm) 8.00 / 8.00- . Heating Capacity(Btuh) 29600 / 29600 Heating COP(watbWatt) 4.10 / 4' 10. Heating -Fluid FlowwRate(gpm) ` 8.00,/ 8.00 ; •.•,; • • GLHP (Ground -Loop Heat Pumps) • ... • • • • •, Cooling Capacity(Btuh) 289007:28900 • • Cooling-EER Rating(Btuh/watt) 15.10 /.15.10 - "'•• •' Cooling Fluid Flow Rate(gpm) 8.00 / 8:00 000000 • Heating Capacity(Btuh).8.00/8 23400 /23400 0000 ' • • • • • Heating COP(watt/watt) 3.40 / 3.40 000000• Heating Fluid Flow Rate(gpm) 8.00/8.00 ...... ... . . Indoor Blower Motor Fan Type: PSC Sold In: USA;Canada . . .. e. .. :*a:*: • Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which Indicates an Involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certlflcate 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 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. AIR-CONDMONIN0, HEATING, CERTIFICATE VERIFICATION &REFRIGERATIONINSTITWE The Information for the model cited on this certificate can be verified at www.abridirectory.org, click on `Verify Certificate" link we make life 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. " ......-- ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.:. 130918268389735911 -