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MC-19-298Miami Shores Village 10050 NE 2 Ave Miami Shores Fl- 33138 305-795-2204 PG= Issue Date: 02/13/2019 Location Address Parcel Number 62 NE 109TH ST, Miami Shores, FL 33161 1121360110350 Contacts Permit NO.: MC-02-19-298 Permit Type: Mechankal - Residerttial Work Classification: A/C Replacement Permit Status: Approved 17Expiraltion: 08/ 12/2019 HOME OWNER Owner DAVID HARRISON Other: 3059849481 MASTER MECHANICAL SERVICES, INC. Contractor WILLIAM SHAWN FLOWERS 15181 NW 33 PL, MIAMI, FL 33054 Business: 3058253004 Description: REPLACE 4 TON SPLIT SYSTEM Valuation: $ 7,485.00 Inspection Requests: Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50:00 CCF $4.80 DBPR Fee $3.93 DCA Fee $2.62 Education Surcharge $1.60 Permit Fee $211.98 Scanning Fee $9.00 Technology Fee $6.55 Tota I : $290.48 Payments Date Paid Amt Paid Total Fees $290.48 Credit Card 02/13/2019 $240.48 Credit Card 02/08/2019 $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 pertai4ce n strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Villags permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permiELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNthat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulaning. Futhermore, I authorize the above named contractor to do the work stated. Author d ner / Applicant / Contractor / Agent Date Febr ary 13, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores VillagecEIVED Building Department PA_ 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY Tel: (305) 795-2204 Fax: (305) 7S6-8972 T 1 INSPECTION LINE PHONE NUMBER: (305) 762-4949 4 FBC 20 I~l GG Master Permit No. �C _ 2-9 U Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING '-&] MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP �j -}-� CONTRACTOR DRAWINGS JOB ADDRESS: (o2- ' �t V E I O 1 S' `-Lt 2 City: Miami Shores County: Miami Dade Zip: 33 1p Folio/Parcel#: 1 211 13 W — Q 1 0350 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):— qC1 y � I&pn Phone#: Address: (D 2 N E l 0gth 2 11__ City: Mibr I Shor-,S State: EL Zip: �) lD I Tenant/Lessee Name: Phone#: Email CONTRACTOR: Companyt Name: M Q,c-,� cc HtCha�ni ca I Str� �ceS Phone#6�55 b2— 60 1 Address: 5 1 paD I N W 53rU [ ?� j�r� City: M 10,M I State: 1 L /Ziipj:�_'2z0 L4 7��1' Qualifier Name: W 1 1 I Am �F I Oplh ,rs Phone#:lV`�5) 0 ' 3VV� State Certification or Registration #: C H C05 -1 QX) Certificate of Competency #: DESIGNER: Architect/Engineer: hone#: Address: City: State Value of Work for this Permit: $ 7 , 4 K5 Square/Linear Footage of Work: Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New _H Repair/Replace ❑ Demolition Description of Work: i?zt fll a Ce, 4 Ton So 11i' S NI 1 I l m Specify color of color thru tile: Submittal Fee $ a Permit Fee $ —A Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ `L TOTAL FEE NOW DUE $ 2�f (Revised02/24/2014) Y 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 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. /4 Signature 6 OWNER or AGENT The foregoing instrument was acknowledged before me this 5 f- day of ���� —)., , 20 �¢ by L-r-TV ID 4Skeo 5n!Awho is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: f/ Sign: Print: v PAUL HARRISON Seal: .� = Notary Public - State of Florida :^.,r ,Z Commission # GG 001951 °"%; My Comm. Expires Oct 14, 2020 *******VWV APPROVED BY Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of Ig 20 J C1 by ��llllCtlrY1 lam, w o iswn to as me or who has produced identification and who did take an oath. as NOTARY PUBLIC: 201*!`Ypole,Q, STEPHANIECABEZAS 0* MY COMMISSION # GG 061145 ,c`EXPIRES: February 5,2021 Sign:P.,4c��EOF 0- Baled Thru Budget Notary Services Print Seal: I A Examiner Zoning (Revised02/24/2014) Structural Review Clerk Summary Report Property Information Folio: 11-2136-011-0350 Property Address: 62 NE 109 ST Miami Shores, FL 33161-7040 Owner DAVID HARRISON SYLVIA CHAPA Mailing Address 62 NE 109 ST MIAMI SHORES, FL 33161 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3 / 2 / 0 Floors 1 Living Units 1 Actual Area 2,437 Sq.Ft Living Area 1,887 Sq.Ft Adjusted Area 2,120 Sq.Ft Lot Size 9,225 Sq.Ft Year Built 1954 Assessment Information Year 2018 2017 2016 Land Value $230,638 $230,638 $198,007 Building Value $255,142 $258,216 $261,290 XF Value $35,714 $36,120 $36,492 Market Value $521,494 $524,974 $495,789 Assessed Value $420,812 $412,157 $403,680 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $100,682 $112,817 $92,109 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $2.9 000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 36 52 41 PB 52-33 DUNNINGS MIAMI SHORES EXT NO 7 LOT 3 BLK 215 LOT SIZE 75.000 X 123 OR 18992-1440 02 2000 1 Generated On : 2/4/2019 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value 1 $370,812 $362,157 $353,680 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value 1 $395,812 $387,157 $378,680 City Exemption Value 1 $50,000 $50,000 $50,000 Taxable Value 1 $370,812 $362,157 $353,680 Regional Exemption Value 1 $50,000 $50,000 $50,000 Taxable Value 1 $370,812 $362,157 ,$353,680 Sales Information Previous Price OR k Ra Book- Qualification Description Sale 9 08/27/2014 $587,000 29298-4750 Qual by exam of deed Financial inst or "In Lieu of Forclosure" 12/18/2013 $359,900 28986-4170 stated Financial inst or "In Lieu of Forclosure" 07/22/2013 $340,100 28767-1701 stated 02/01/2000 $144,000 18992-1440 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: JANUARY 31, 2019 PROPOSAL SUBMITTED TO: DAVID HARRISON 62 NE 109TH STREET MIAMI SHORES, FL Master Mechanical Services, Inc• CMC 057200 15181 NW 33 Place Miami, FL 33054 Office 305/825-3004 Fax 305/825-1607 info@mastermechanicalservices.com JOB NAME/LOCATION: TRANE 4 TON 20.0 SEER SYSTEM CONTRACT PRICE: JOB COST $7,485 AFTER AN ONSITE REVIEW OF EXISTING HVAC SYSTEM MASTER MECHANICAL PROVIDES THE FOLLOWING OPTIONS FOR REPLACEMENT: • REMOVAL OF EXISTING SPLIT SYSTEM • FURNISH AND INSTALL 4 TON 20 SEER SYSTEM TRANE "TRUCOMFORT" VARIABLE SPEED SYSTEM 20.25 SEER o 4TTV0048A1000B-VARIABLE SPEED CONDENSER o TEM8AoC48V41 DB - 23.5" WIDE • TRANE WIFI COMMUNICATING CONTROLLER - TCONT850AC52UA • RECONNECT ELECTRIC • START UP AND OPERATIONAL CHECK • 12 YR COMPRESSOR/10 YEAR PARTS WITH REGISTRATION JOB COST TRANE "CLEAN EFFECTS" ELECTRONIC AIR CLEANER PERMIT $7,485 $ 740 @ COST PROPOSAL AGREEMENT WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR - COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS, FOR THE SUM OF: WITH PAYMENT TO BE PAID AS FOLLOWS: 100% UPON COMPLETION THIS PROPOSAL IS SUBJECT TO ACCEPTANCE WITHIN 30 DAYS AND IS VOID THEREAFTER AT THE OPTION OF THE UNDERSIGNED. AUTHORIZED SIGNATURE ACCEPTANCE OF PROPOSAL -THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENT TO BE MADE AS OUTLINED ABOV_E.- OR C RA+CTOR; MASTER �MEC}i LAICAL SERVICES, INIC: r 0 �'3 DAVID HARRISON DATE SEA►a PINNA DATE M 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 2--" e 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): W_ 1 ny E 10 9 th (.ffi��K+ City: Miami Shores Village County: Miami Dade Zip Code: 13 lu 1 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 K ARHI Sheet Attached: YES'] NO ❑ Contract Attached: YES"IE UNIT BEING REPLACED DATA NEW UNIT 'rj_p� MANUFACTURER 'T12AijC TW E 6 Lj a AHU or PKG. UNIT MODEL # —1 M 15A 0(- H S Z/7-T21/0X$ COND. UNIT MODEL# y77V00 N lO K-to KW HEAT /0 4a1j 7-0wS NOM TONS Ly -romS AHUS7 CU p PKG 1) M.C.A AHUS 7CU ` 3 PKG AHU 6O CU PKG 2) M.O.P AHU JOCU 35 PKG AHU Z-06CU PKG 3) VOLTS AHU ZACU U*PKG PKG UNIT / / PKG UNIT 0 EER/SEER ZO , ZS YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT Y NO YES NO NEW 4"CONCRETE SLAB YES N YES NO NEW ROOF STAND YES N YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity (Wire Size): of, 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 601 -�S- 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: MGS-E-cl� M-f, QnirCAJ 26W Phone:1305J Y2-5-300q State Certificate or Re istration No 2,0 0 Certificate of Competency No. Signature Date: (Qual' ' 'signature (Revised02/24/2014) This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 10149783 Date : 02-04-2019 Model Status : Active AHRI Type: RCU-A-CB Series: XV201 Outdoor Unit Brand Name : TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTV0048A1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM8AOC48V41+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 210/240 with Addenda 1 and 2, Performance Rating of Unitary I � A L t s y r N I .� i - i f_ i _ J " ."'I . Air -Conditioning_& Air-Source_Heat Pump Equipment an subject to'ra`ting accuracy by AHRI-sponsorred,,-independent,lthi�d party testing:; Cooling Capacity (A2)-tSingle or HighStage(95F), btuh47500 SEER: 20.25 EER (A2) - Single or High Stage (95F) : 13.00 t J t"Active" Model Status are those that an AHRI Certification 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 Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published ratina is shown alono with the previous fi.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.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 MM 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. ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131937767143646544