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MC-18-1688 (2)Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit NO. MC-6-18-1688 Permit Type: Mechanical - Residential erlI I t Work Classification: A/C Replacement Permit Status: APPROVED Parcel Number Issue Date: 7/6/2018 1 Expiration: 01102/2019 Applicant 9019 NE 4 Avenue Road 1132060460100 Miami Shores, FL Block: Lot: INDRA LAKOWITZ Owner Information Address Phone Cell INDRA LAKOWITZ 9019 NE 4 Avenue (305)790-8015 MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone MARVIN'S AIR CONDITIONING CORP (305)541-8408 ons: 3 dditional Info: REPLACING 3 TON CONDENSING UNIT lassification: Residential poroved: In Review Denied: nning: 3 Fees Due Amount CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $116.20 Valuation: $ 1,800.00 Total Sq Feet: p Date Approved:: In Review Type of Work: REPLACING 3 TON CONDENSING U Pay Date Pay Type Amt Paid Amt Due Invoice # MC-6-18-67988 06/20/2018 Check #: 10634 $ 50.00 $ 66.20 07/06/2018 Check #: 10689 $ 66.20 $ 0.00 AvanaDie Inspection Type: Final Review Mechanical Review Mechanical 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 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. Futhermore, I authorize the above-namedontractor2Qdo the work stated. Authorized Signature: Owner / Appli Building Department Co Contractor July 06, 2018 July 06, 2018 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL v Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number:INSP-306812 Permit Number: MC-6-18-1688 Scheduled Inspection Date: August 16, 2018 Inspector: Perez, JanPierre Owner: LAKOWITZ, INDRA Job Address: 9019 NE 4 Avenue Read Miami Shores. FL Project: <NONE> Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)790-8015 Parcel Number 1132060460100 Contractor: MARVIN'S AIR CONDITIONING CORP Phone: (305)541-8408 tsuuamg uepartment Comments REPLACING 3 TON CONDENSING UNIT INSPECTOR COMMENTS False Passed Inspector Comments Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 15, 2018 For Inspections please call: (305)762-4949 Page 14 of 42 r � 03\ 01 BUILD NG PERMIT APPLICATION Miami Shores Village RECEIVED Building Department JUN20 2018 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 � ' Tel: (305) 795-2204 Fax: (305) 756-8972 rt�• am, /� INSPECTION LINE PHONE NUMBER: (305) 762-4949 YB�C) 2 0 L I Master Permit No.L6 — t U'W Sub Permit No ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: q (O ( Cj �JR 11 p,L,e '(�(A- City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3z 0&-0L(G—o1(X5 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):[ (c.. " c_a I-) t kZ Phone#: 30 S —7q 0 — 60t s Address:_q() f C1 () E 4 0k� Q c� City: M (Avh ( SLR (r S State: E L Zip: nl 39 Tenant/Lessee Name: Email: CONTRACTOR: Company Name: �AG YUo'1 1 ik(Y COYICt k �A b IS�o S� (otWhone#: _ 3GS j4 j —'P&0.8 � Address: 1�2 �Li � \ I �` `C_f-f�0.OQ �" ` City: _�-Alck"i \ State: R— Zip: Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: Address 345-5-15 -(69Z Certificate of Competency #: ne#: State: Zip: 00 Value of Work for this Permit: $ I.t,?)00 Square/Linear Footage of Work: Type of Work: El,_ Addition � Alteration ❑ New ❑ Repair/Replace Description of Work: Specify color of color thru tile: l Submittal Fee $ 5d A i Permit Fee $ 1 Q VUV Vv Scanning Fee $ -1 Radon Fee $ Z Technology Fee $ (• �0 Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) ❑ Demolition CCF $_ I • ZD CO/CC $ DBPRR $ z Notary $ _c . T10 Double Fee $ Bond $ TOTAL FEE NOW DUE $ v ' v 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 Zi 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 Y�z i4-11—� OWNER or AGE The foregoing instrument was acknowledged before me this J 9 day of -(J,n� 20 / Y by -Z/ dia Lakouliz who i personally know to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ,.-rr-i cka njcrt-s to tptrm r°�:�•" Seal: *AM! * Commission t GG 19600si 9�� Eom May 31, 2022 Signature CONTRACTOR The foregoing instrument was acknowledged before me this �/ 9A day of S�a e— 20 / T by /O/I�7� cri1 J)9!,o q,VO , who i personally known o me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:_��a dfh& r- Print: EjJ cku FleteS i __ Seal: ,4s`,••••• Cwvnb on 6 GG 196W Esalras Msy 31, 2022 APPROVED BY Ilaans'Ekaminer Zoning Structural Review Clerk (Revised02/24/2014) . . _V 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): �� ME a An.� V, cA City: Miami Shores Village County: Miami Dade Zip Code: 33 2S 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 QARHI Sheet Attached: YES ❑ NO ED"" Contract Attached: YES 0 UNIT BEING REPLACED DATA NEW UNIT 6& MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS 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 1 Li YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT YES YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES N 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 33 3. Voltage of Circuit (208/240/480): zoz 4. Size Disconnecting Means: Contractor's Company Name: co) /N%y &" t�o►�►n� iC '4hone: State Certificate or Registration No. CA��181r 3/ Certificate of Competency No. Signature Date: '6l/ro A3 (Qualifier's signature) (Revised02/24/2014) • • ••• • •.. Certificate of ProdUct Ratings AHRI Certified Reference Number: 20117630; ; ; Date :127-201$ Model Status Old AHRI Reference Number: 7493646 AHRI Type: RCU-A-CB OFF C1 Outdoor Unit Brand Name: RUUD Outdoor Unit Model Number (Condenser or Single Package) : RA1436AJ1f Fill . Indoor Unit Model Number (Evaporator and/or Air Handler) : RBHP-21 Cuu 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 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 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 Rating of Unitary Air-Condifioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: I.: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 36000 SEER: 15.50 EER (A2) - Single or High Stage (95F) : 13.00 RECEIVED JUN 2 8 7818 MGI�4WI1o88 GAI, " 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. Ratites that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (i.e. WAS) rating. DISCLAIMER AHRI does not endorse the products) 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 ail 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-CONDITIONING. HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.otg. click on 'Verify Certificate' link „.,, r,.v kt• ,rlt ix-nai' 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.: 131745991130244073 a IN U 101 U 4 ; i rMl U � 3 M-11 93"El Summary Report Property Information Folio: 11-3206-046-0100 Property Address: 9019 NE 4 AVENUE RD UNIT: 9019 Miami Shores, FL 33138-3135 Owner INDRA LAKOWITZ Mailing Address 9019 NW 4 AVE #9019 MIAMI, FL 33138 USA PA Primary Zone 3000 MULTI -FAMILY - GENERAL Primary Land Use 0407 RESIDENTIAL - TOTAL VALUE : CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 3/3/0 Floors 0 Living Units 1 Actual Area Sq.Ft Living Area 952 Sq.Ft Adjusted Area 952 Sq.Ft Lot Size 0 Sq.Ft Year Built 1974 Assessment Information Year 2018 2017 2016 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value $148,812 $125,052 $104,210 Assessed Value $114,711 $104,283 $94,803 Benefits Information Benefit Type 2018 2017 2016 Non -Homestead Cap Assessment Reduction 1 $34,101 $20,769 $9,407 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description SHORES VILLAS CONDO BLDG A UNIT 9019 UNDIV 1/88% INT IN COMMON ELEMENTS CLERKS FILES 7413-185949 i£ Generated On : 6/19/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $0 $0 $0 Taxable Value 1 $114,711 $104,283 $94,803 School Board Exemption Value $0 $0 $0 Taxable Value 1 $148,812 $125,0521 $104,210 City Exemption Value $0 $0 $0 Taxable Value $114,711 $104,283 $94,803 Regional Exemption Value $0 $0 $0 Taxable Value $114,711 $104,283 $94,803 Sales Information Previous Price OR Book- Qualification Description Sale Page 12/17/2014 $0 29437-4657 Corrective, tax or QCD; min consideration 12/11/2013 $84,600 28976-4240 Financial inst or "In Lieu of Forclosure" stated 02/05/2009 1 $100 26798-2396 Affiliated parties 12/01/2006 $265,000 25229-4433 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 hftp://www.miamidade.gov/info/disclaimer.asp Version: