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MC-18-1055` gµORy3 L�! F�ORIOp' Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit NO. C-4-18-1055 er, itPermit Type: Mechanical - Residential Worts Classification: A/C Replacement Pennit Status: APPROVED Parcel Number issue Date: 6/26/2018 I Expiration: 12/23/2018 Annlicant 349 NE 99 Street 1132060135510 Miami Shores, FL 33138- Block: Lot: MIAMI SHORES 349 NE 99 STRE Owner Information Address Phone Cell MIAMI SHORES 349 NE 99 STREET 349 99 (786)333-9096 - --- MIAMI SHORES FL 33140- Contractor(s) Phone Cell Phone C R MECHANICAL CONTRACTORS IN (954)540-7585 Additional Info: REPLACE EXISTING AC SYSTEM A/H & C/ Classification: Residential Approved: In Review Comments: Date Denied: Scanninq: 1 Fees Due Amount CCF $2.40 DBPR Fee $2.10 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee $140.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $153.50 Valuation: $ 4,000.00 Total Sq Feet: 0 Date Approved:: In Review Type of Work: REPLACE EXISTING AC SYSTEM A/F Pay Date Pay Type Amt Paid Amt Due Invoice # MC-4-18-67244 04/23/2018 Credit Card $ 50.00 $ 103.50 06/26/2018 Credit Card $ 103.50 $ 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 AFFIDAVI�Icuerltif�y at a fo going information is accurate and that all work will be done in compliance with all applicable laws regulating construction and} Ie, I author' a the above -named contractor to do the work stated. June 26, 2018 Author' re: Owner / Applicant / Contractor / Agent Date Building Department Copy June 26. 2018 Y t 112� Miami Shores Village RECEIVED \� Building Department VX le 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 . INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No. K C -'a- �"l.C l 1" 9 CJ PERMIT APPLICATION Sub Permit No. �8 ❑ BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑ RENEWAL PLUMBING 2(MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: tj y 9 lur 9/4 City: Miami Shores County: Miami Dade zip: Folio/Parcel#: Occupancy Type: Load: Construction Type OWNER: Name (Fee Simple Titleholder): OTC F I Address: 's v(? /v f / y �R the Building Historically Designated: Yes NO Flood Zone: BFE: FFE: A-) Phone#: j � - 33-k -910 y�- City: /`1 / 104- "i � P Fs► State: Zip: -L 3 / 1 00 Tenant/Lessee Name: Phone#:2:?& & Email: cay��y�j uM/ I 1 1 y� �(a(/� /J �4� 1 `�Clh 1��, 1 �„1 C 4 r✓� CONTRACTOR: Company Name: Phone#: Address: 3 YJU2 00 GT City: State: - V Zip: Qualifier Name: / (n V�D _ _ Phone#: State Certification or Registration #: G Q rtificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 0 00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Et rRepair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Sd i� Permit Fee $ CCF $ CO/CC $ _ Scanning Fee $ Radon Fee $ 2 • CAZ� DBPR $ Notary $. Technology Fee Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 1 C) (Revised02/24/2014) i 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: a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith hat a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subj t 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 n (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be pro nd a reinspection fee will be charged. Signa re Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this 020 day of 20tg by J6rSi S�e;� , who is personally known to me or who has produced rr�.��•S G►'��" as identification and who did take an oath. NOTARY PUBLI Sign: Print: /a%�� ,WPNu, Sea h?° '' Commission # GG 133220 �EpFM1ot 6acWedlAtuBaadletNebl� The foregoing instru ent was Pc t nowledged before me this day of > 20 �J by who is personally known to me or who has produced as C� identification and who did take an oath. �31+2 / 00 - 4 � ! l� " NOTARY PUBLIC: Sign: Print: so Seal : Z ' MY COMMSS10N # FF 206514 #� ry= EXPIRES: March 5, 2019 JiL f c• Bonded Thor Nutwy Pubk Undeiwlbre U APPROVED BY q'":qPlans Examiner 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 _ K C' S' /? -I ! SS 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): C9 N t 9 9 6t_(tfKr City: Miami Shores Village County: Miami Dade Zip Code: "& 2S 9- 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 [2"'ARHI Sheet Attached: YES ❑ NO � Contract Attached: YES D UNIT BEING REPLACED DATA NEW UNIT %'t A &Q MANUFACTURER / A AHU or PKG. UNIT MODEL # A V A- COND. UNIT MODEL # A q P L VO µ-) KW HEAT NOM TONS v -�O►1T AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES Raj REPLACING DUCTS YES (40 YES REPLACING THERMOSTAT ED NO YES 0 NEW 4"CONCRETE SLAB S NO YES O NEW ROOF STAND YES YES 0 NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity (Wire Size): a0 4.1-1 10 2. Maximum Overcurrent Protection (Fuse/Breaker Size): (5 O jq rw e 3. Voltage of Circuit (208/240/480): _g2,2 4e 0 IJ v L f 4. Size Disconnecting Means: )00 A - 0.0 Contractor's Company Name: C . k . NEC H A vA' I C A L Phone: -1,7& 666 - �6 -6s State Certificate ft"It n NoZ A C / � 1 V& 13 Certificate of Competency No. SignatureDate: t20. �$ ature) (Revised02/24/2014)