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MC-18-1081�sµO1�S �Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 'cl R'lDA Permit NO. MC-4-18-1081 Permit Type: Mechanical - Commercial Per ' Work Classification: A/C Replacement Permit Status: APPROVED Issue Date: 4130/2018 1 Expiration: 10/27/2018 Project Address Parcel Number Applicant 1424 NE 105 Street Number: D-10 1122300530460 Miami Shores, FL Block: Lot: EDWARD DUBOIS Owner Information Address Phone Cell EDWARD DUBOIS 1424 NE 105 ST #D10 MIAMI SHORES FL 33138-2114 Contractor(s) Phone Cell Phone C&R AIR CONDITIONING CO 305-685-6394 (954)680-4494 nal Info: EXACT REPLACEMENT OF 3TON SPLIT SY ication: Commercial ed: In Review Denied: nning: 3 Fees Due Amount CCF $3.00 DBPR Fee $2.41 DCA Fee $2.00 Education Surcharge $1.00 Permit Fee $160.82 Scanning Fee $9.00 Technology Fee $4.00 Total: $182.23 Valuation: $ 4,595.00 Total Scl Feet: 0 Date Approved:: In Review Type of Work: EXACT REPLACEMENT OF 3TON SF Pay Date Pay Type Amt Paid Amt Due Invoice # MC-4-18-67283 04/30/2018 Credit Card $ 132.23 $ 50.00 04/25/2018 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, MECHAR11CAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the forego ..nf rmati is ccu t an at all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize th c ntra o t tated. April 30, 2018 Authorized Signature: Owner / Applicant / C t actor / gen Date Building Department Copy April 30, 2018 1 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-000679-2018 Scheduled Inspection Date: October 16, 2018 Inspector: Perez, Jan Pierre Owner: EDWARD DUBOIS Address: 1424 NE 105 ST D-10 Miami Shores, FL Project: <NONE> Contractor: C&R AIR CONDITIONING CO ROBERT CHRYST Building Department Comments EXACT REPLACEMENT OF 3TON SPLIT SYSTEM APT D-10 Checklist Item Passed Comments General Comments False C L____ Permit Number: MC-4-18-1081 Permit Type: Mechanical - Commercial Inspection Type: Mechanical Final Work Classification: A/C Replacement Phone Number: Parcel Number: 1122300630460 Phone Number: 3056856394 Inspector Comments PassediM L \ Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. October 15, 2018 For Inspections please call: 305-762-4949 Page 12 of 24 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPFCTION LINF PHONE NLIMBFR-- 13051 762-dgaq PR 5 18 ) BY FBC 201, eTh Master Permit No. M C 18 I c} Sub Permit No. F-IBUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ZMECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I LI I y I"j IC 1 O �- S T 312 13 8' Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):___ 0 AA" , UW Phone#: Q 0V - J 1 a ! /�3 1 Address: 19 s. %4 tj E, I ©K-s T City State: Tenant/Lessee Name: Phone#: Email CONTRACTOR: Company Name: t C 4 R A t r ConJ. Co. v Phone#: J© 6 O j_6 � 7 y Address: l? O -!7� N `�J l /b ? -ST C " �j _ 1 City: I 1LZdej224 ff State:_ Qualifier Name: o 0 C t t J C t Pe4 J State Certification or Registration #: C Zip: V �f0IT�^ hone#: � o f 6 UV 6J!q 4( Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: ))__�� Oe Value of Work for this Permit: $ 'l S 5 ' Square/Linea7Repair/Replace age of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New f _ Description of Work: • 1 Specify color of color thru tile: � r Submittal Fee $ (1� Permit'Fee Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ Zip: ❑ Demolition s DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (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 i 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. r Signature OWNER or AGENT The foregoing instrument was acknowledged before me this 2 S day of P ► 20 by who i personally know o orb ho has produced as Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of t 20 U by golpe r j' T CI„ r1.3T� who is ersonally know to me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: D 4 Sign: Sign: (� Print: q V1 er t 1 rQ ki 2 Print: yl CT Ry Q P1 2 "" JANET KRANZ •'•' Seal: •rtti� Seal: �:�� •vk•• JpNET KFZANZ T. :., Commission # FF 197298 Commission # FF 197298 "a Expires May 9, 2019 Expires May 9, 2019 � • ` krwbd Thu Troy Fdn Nw—HOp3B6.7019 �o'f,, or 0.°•` 5cxr:kO Thru Troy Fan lnsurenca B003A5-7019 APPROVED BY A�*[Pila/n(Y(sExaminer 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 sheets are not acceptable. Job Address (where the work is being done): I q a,W N r I6'�- s � n p- City: Miami Shores Village County: Miami Dade Zip Code: J J l O 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 ❑ !MIT BEING REPLACED DATA NEW UNIT lWoe MANUFACTURER V J W S AHU or PKG. UNIT MODEL # K H IT COND. UNIT MODEL # 4 '7 - S KW HEAT V1 NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU a PKG AHU CU PKG 3) VOLTS 17ft AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT NO YES NO NEW 4"CONCRETE SLAB YES 0 YES NO NEW ROOF STAND YES 0 YES NO NEW RETURN PLENUM BOX YES AV 1. Minimum Circuit Ampacity (Wire Size) 2. Maximum Overcurrent Protection (Fuse/Break''erSize): '30 I LtO 3. Voltage of Circuit (208/240/480): 9' rr`q 0 t 'ip H 4. Size Disconnecting Means: 0 1 aL4 C �^ Contractor's Company Name: C `i' `\ ! � ( < C0 Phone: State Certific t egi at' o. C G 210 Lt I Iq Certificate of Competency N Signature Date: y a i ie si nature) 20S6eS6J9If aLi - /9 (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 2 OFFICE OF THE PROPERTY APPRAISER =A Summary Report Property Information Folio: __......... _ 11-2230-053-0460 Property Address: 1424 NE 105 ST UNIT: D10 Miami Shores, FL 33138-2114 Owner EDWARD DUBOIS III Mailing Address 1424 NE 105 ST #D10 MIAMI SHORES, FL 33138-2114 PA Primary Zone 4900 MULTI -FAMILY - CONDOMINUM Primary Land Use 0407 RESIDENTIAL - TOTAL VALUE: CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 2/2/1 Floors 0 Living Units 0 Actual Area Sq.Ft Living Area 1,728 Sq.Ft Adjusted Area ............. ..... 1,728 Sq.Ft Lot Size 0 Sq.Ft Year Built 1974 Assessment Information Year 2017 Land Value $0 2016 $0 2015 $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value $367,546 $328,166 $211,720 Assessed Value $190,795 $186,871 $185,572 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Assessment $176,751 $141,295 $26,148 Cap Reduction Homestead Exemption $25,000 $25,000 $25,000 Second Exemption $25,000 $25,000 $25,000 Homestead Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description HARBOUR CLUB VILLAS CONDO TOWNHOUSE D-10 UNDIV 1/79TH INT IN COMMON ELEMENTS CLERKS FILES 69R143006 & 70R100201 Generated On : 4/25/2018 Taxable Value Information 2017' 2016' 2015 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $140,795 $136,871 $135,572 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $165,795 $161,871 $160,572 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $140,795 $136,871 $135,572 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $140,795 $136,871 $135,572 Sales Information Previous Sale Price OR Book -Page Qualification Description 02/01/2000 $162,000 18982-3029 Sales which are qualified 04/01/1998 $142,000 18084-0178 Sales which are qualified 07/01/1989 $135,000 14177-2345 Sales which are qualified 04/01/1985 7T $120,000 12495-1606 Sales which are qualified The flffira of the Prnnartv Annraicer is rnntinimliv eriitinn Anri imrintinn the tar roll Thic wahcite may not raflert the mnct nirrent infnrmMinn nn rarrnrri The Prnnartv Annraiaar https://www.miamidade.gov/propertysearch/ 4/25/2018 AHRI Certified Reference Number: 201170992 Date: 04-24-2018 Model Status: Active Old AHRI Reference Number: 7491807 APR . I 1 + AHRI Type: RCU-A-CB r 2418 Outdoor Unit Brand Name: RUUD / Outdoor Unit Model Number (Condenser or Single Package) : RA1436AJ1 / Indoor Unit Model Number (Evaporator and/or Air Handier): RH1T3617STAN 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 0000 until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in re*n(s�f �r 660660 • • •, which they meet the regional efficiency requirement. • • • 0000 • The manufacturer of this RUUD product is responsible for the rating of this system combination. • ; • • , Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240, with Addenda 1 and 2, Performance 14h:n-'4f Unitary' ;'; 0004 Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating_ accuracy by AHRI-sponsored, independe t!tAiM party testing a "" Cooling Capacity (A2) - Single or High Stage (95F), btuh 35600 • • • • • • •. • • • SEER: 15.00 •••• • � � � � � • EER (A2) - Single or High Stage •• • 54 r• v _im �hr_res VillIre or ROVFO BY DATE DEFT ECT 10 .(,VPUANCE WI FH ALL FEDEDAL `-A -E • ,, (_r 1 N i / rsbL_S AND RLGIJLATIONS t"Active" Model are those thai an AHRI CertificationP.rograrmPar ieipantis-cut ntly 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 Oublished_ratina is shown alono with the Drevious fi.e. WAS) ratina. 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 This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and HM 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 & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.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. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131690635170230655 MIAMI-QADE MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.mlamidaae.¢ov/economy Rheem Sales Company, Inc. 5600 Old Greenwood Rd. Fort Smith, AR 72917 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdigtjgq, RER reserves the right to revoke this acceptance, if it is determined by Miami -Dade -County Pro&r.L.Control ..... Section that this product or material fails to meet the requirements of the applicable bAildirrg code. • •. This product is approved as described herein, and has been designed to comply with IhUmbrida 1501ding • • • • : • Code, including the High Velocity Hurricane Zone. : : • • • • 0. .. • DESCRIPTION: Mechanical Unit Steel and Aluminum Tie -Down Clips for Gradoaiid Robffo.R •, • Application`] •' • • • • • • • • • • : • •' APPROVAL DOCUMENT: Drawing No. 15-2543GA, titled "Wind Load CertifiZjtjQj•of Mechanical Unit • Cabinetry and Steel/Aluminum Tie -Down Clips: At Grade and Roof Mounted Applkattolts", sheets 1• 000000 0 through 7 of 7, dated 05/14/2015, revised on 11/20/2015, prepared by Engineering 4xpross, sigrled'9rtd sealed by Frank L. Bennardo, P.E., bearing the Miami -Dade County Product Control approldl stamp wj*Jh� Notice of Acceptance number and approval date by the Miami -Dade County Product Control Section. • • ' MISSILE IMPACT RATING: None LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state, model/series, and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of this page 1 and evidence page E-1, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. NOA No. 15-0903.08 Mi a o Expiration Date: February 25, 2021 ANPIPROVEDWO Approval Date: February 25, 2016 �Ij41?.�lG Page 1 .. .. . . . .. .. . . . . . . . . . . . . . ... . . . . .. . RHEEM SALE$CQMPAgYlJNC. WIND LOAD CERTIFICATION OF MECHANICAL UNIT CABINEIRY 4WJ) $TEEL,lg-kdWN CLIPS: ROOF MOUNTED APPLICA uMRar�/truer a•as ILIGIH im UNTHBOWHOLE e1 �WoETALw >rLIAX.aEEOETALw MOUNT EXPLODED VIEW T 1 / M.TS. flgNf 190NEnw MUM) of ONLSM HEfIMTE NEE11 U W 1147EO MENEAPA#" [TM AM4ARNN'.E n„ W. T 1 2 MOUNT ISOMETRIC VIEW 1 N.T.S. FRORr eso i aACX Iso c ar,fE I WK �1 SUPPORT ANGLE 1 M.TS. HfYA710N 4 TIE -DOWN CLIP ATTACHMENTS 1 'LowMMIs IM& V.MT - TIE -DOWN CUP OFFSETS: DW. 1 l.50' IM%OFf9ET fMD11 DATUM • MCI OIN. 2 2�A0" MITI OFFSET ROM OATUM FACE DU1.7 14A0" MIN OFFSET FMN OATUl1 FACE FNAIIE L•F 01M.! MW MAX OFFSET FMN *ARM FACE .. .na151 OTHERS), m. v r== wA DIM. 1 $ WOvSH Tww Nur &Nff i1M idtTJlEfiAmat to .,=?.ser F il��RY_Asnmam SWORMG FRAW- TIE -DOWN CLIP LAYOUT MOTEUl0* LL6E "• .1 M.TS. AMff TM W RAL TO WAPLAN /UFVORIMO MAN PY WHOM u 0n ... A0 I n MoIEOR O sulr 0 0 oaar 00 00 TIE -DOWN CLIP waNamcup-Taw fumn swm arw.wsm sTm RAM•1QYINO Thal10T.RR Mom APPWABLEuooEl.s: RA134C RA1436, RA1442.9, RA7824. RAiGM RA16428, RN336. RPI346. M436, RPN442. RM446, M WO. M430 M5N. R01436, M542, M442, RAAU1724, RAMA20I6. RMUA2024 FOWN EM. RPAR'I TM, RAR A17M RPAXI=4 4 W uj in,