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MC-18-2231 (2)Miami Shores Village 10050 N.E. 2nd Avenue NW T Miami Shores, FL 33138-0000 aFv—> Phone: (305)795-2204 CORtDp' (Permit Permit NO. MC-8-18-2231 Permit Type: Mechanical - Residential Work Classittcation: A/C Replacement Permit Stators: APPROVED Issue Date: 8/24/2018 I Expiration: 02120/2019 Project Address Parcel Number Applicant 137 NW 93 Street 1131010330860 Miami Shores, FL Block: Lot: PATRICK & MICHELLE COLLINS Owner Information Address Phone Cell PATRICK & MICHELLE COLLINS 137 NW 93 Street (786)256-3743 MIAMI SHORES FL 33150- 137 NW 93 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone RESIDENTIAL AIR INC Tons: 5 Additional Info: REPLACING EXISTING 5.0 TON SYSTEM W Classification: Residential Approved: In Review Comments: Date Approved:: In Review Date Denied: Type of Work: Scanning: 3 Fees Due Amount CCF $4.20 DBPR Fee $3.36 DCA Fee $2.24 Education Surcharge $1.40 Permit Fee $224.00 Scanning Fee $9.00 Technology Fee $5.60 Total: $249.80 Valuation: $ 6,400.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # MC-8-18-68625 08/24/2018 Check #: 1462 $ 199.80 $ 50.00 08/21/2018 Check #: 1461 $ 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, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFF AVIT: I certify that all th oregoing information is accurate and that I work will be done in compliance with all applicable laws regulating construction zoning. Futhermor , . tthhooriiz'e the above- ed contractor to do th rk stated. , / d August 24, 2018 /Authorized Signature Owne / Applicant / Contractor / Agent Date Building Depa ment Copy August 24, 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-000726-2018 Scheduled Inspection Date: October 18, 2018 Inspector: Perez, Jan Pierre Owner: PATRICK & MI.CHELLE COLLINS Address: 137 NW 93 ST Miami Shores, FL Project: <NONE> Contractor: RESIDENTIAL AIR INC RICHARD VANNI Building Department Comments REPLACING EXISTING 5.0 TON SYSTEM WITH 7.5 KW HEAT Checklist Item Passed Comments General Comments False Inspector Comments Passed Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Permit Number: MC-8-18-2231 Permit Type: Mechanical - Residential Inspection Type: Mechanical Final Work Classification: A/C Replacement Phone Number: 7862563743 Parcel Number: 1131010330860 Phone Number: October 17, 2018 For Inspections please call: 305-762-4949 Page 24 of 38 I'a 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: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING SEC AU z 1 nee BY: zlA FBC 20 i--� +4 Master Permit No. 0L I & — 223 1 Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING v�MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1�� U � � Q� ' ✓( /l.�r� City: Miami Shores County: Miami Dade Zip: 3,3 /•S0 Folio/Parcel#: 11 % Q ? �o �/ Is the Building Historically Designated: Yes NO Occupancy Type:Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee 5;mple Titleholder): Add ne#: / 0 6 " J t7 _-3 /) 03 �,�.� City: W1, �l i'IVYIA_�r State: '�7/14- Zip: 13/ry Tenant/Lessee Name: Phone#: Email CONTRACTOR: Company Name: Phone#: /a,,�� —* 12a T2 Address:� City: , State: r L!T Zip: 331 ? 1 Qualifier Name: 91dkiliQ /1A 04divi" Phone#:.�05 -6 f 6 o5oa State Certification or Registration #: (' ,'jam ' K�Certificate of Competency #: 4 DESIGNER: Architect/Engineer: 41 ►4 Phone#: T' Address: City: State: Zip: Value of Work for this Permit: $ & Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repai eplac ❑ Demolition Description of Work: r,—eU+ 1y6 e X ISPAJP , o h2112ys Specify color of color thru tile: Submittal Fee $ C:D- 0�:) Permit Fee $ ACF $ CO/CC $ Scanning Fee $ Technology Fee Structural Reviews $, Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $I ! / , E) 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 commenc ent must be posted at the job site 1 lel�l spectionfor the st inspection will not be approved anc�p rch occurs ensn(7) days after the ection feel be charged permit is issue;`\4�1(ti1�1�Caq such posted notice, the Signature �� •�� Signature— NER � AGENY = y�hj,�.•�f �� if}��` • 9 • < — ;i �••,•, �F,.�ain In�su<,,:• �"Z The foregoing iristq�ipent v�g9�1�Cn�v41� before me this The foregoing instr7i4p�%" IC; STA � ed before me this da o sue`: �� 20) g by day of /// / ��\\ / f y • 20 b �� r✓ / •• �ti� personal) known to is personally known to /�ullula me or who has produced —as me or who has produced as identification a ho did a an oath. identificati an ho ke an oath. NOTARY PU IC: NOTARY UBLI . Sigp, Print: ►% L. Print: 62-0 .4 Seal: Seal: APPROVED BY Plans 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 This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on 6 / single sheets are not acceptable /� Job Address (where the work is being done): r1410, , 3 Af_f - City: Miami Shores Village County: Miami Dade Zip Code: 3 314-0 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 LiQ UNIT BEING REPLACED DATA NEW UNIT t4_- MANUFACTURER e/H (/ #*') WN o 1+42(:70 AWILor PKG. UNIT MODEL # %CY►� Dt✓ rD0 �%W1Q COND. UNIT MODEL# A ►')}} �` KW HEAT rJ;. .S— NOM TONS S AHU3v CUat PKG 1) M.C.A AHU CU PKG AHU 440 CU sp PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS 3o AHU CU PKG PKG UNIT / / PKG UNIT EER/ E I& - YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO ✓ 1. Minimum Circuit Ampacity (Wire Size): 0 F 11 Z5& 2. Maximum Overcurrent Protection (Fuse/Breaker Size): s�' 00AID (40 3. Voltage of Circuit (208/240/480): 2,3C , V arLT S/ �✓ ' P f�tS'-� 4. Size Disconnecting Means: 60 / 1�" e Contractor's Company Name: State Certificate or Signature /, ` "rL' �/L-� Phone: 30,-" 6,S-A.60V C) >/ Certificate of Competency No. Date: signature) (Revised02/24/2014) Residential Air Inc. 1662 NE 205 Terrace Miami, Florida 33179 State Licensed and Insured CAC035484 305-652-6040 * 954-764-0489 Air Conditioning Contract August 2, 2018 Mr. and Mrs. Collins 137 NW 93 Street Miami Shores, Florida 786-256-3743 Residential Air will furnish and install the following: American Standard 5 Ton Super High Efficiency Spilt Cooling System. Condenser model 4A7A6061 will be installed and secured on the existing slab. Variable speed air handler model TEM6AOC60 will be installed on a new metal stand. This system produces 58,000 BTU - 16 SEER Installation includes: Remove and dispose of existing equipment. Heater. Float switch. RX- 11 Flush. Drain pan under air handler with secondary float switch. Programmable touch screen thermostat. Connect to existing refrigeration lines, drains and ductwork. Provide all labor and materials for a complete and professional installation. Start up system and check for proper operations. One-year warranty labor. Ten- year warranty parts. Price does not include permit fee. Payment terms are 50%deposit and balance upon installation. Total price $6400.00 Respectfully, Richard Vanni Approved by C/o' lltAf j 000225 Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7136690 BUBINESS NAME/LOCATION' RECttiPT ..� ;. > RESIDENTIAL AIR INC EXPIRES. RENEWAL SEPTEMBER 30, 2018 1662 NE 205 TERR 839600 MIAMI FL 33179 Must be displayed at place of business - Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUEINCBs RESIDENTIAL AIR INC 196 SPEC MECHANICAL CONTRACTOR PAYMENT RECEIVED �5484 BY TAX COLLECTOR Worker(s) TO ..$75.00 08/15/2017 — FPPLI02-17-020636— This Local Business Tex Reesipf 6* r:oaHrms Pant of the Local Business Tex The Rsoei is not a license, peatiL or a certlfloadon of tlieholder's to do Iludaa» Holder most a pt OF n■nQorsmomml rapul" Iavrs so re"r � boy comply w(th any oowrnmental apply b the 1ntNnaa Via RECEIPT N0. above raw be dlsplayad an all come rchd eebiclw - Mbod-Dado Code Sac 8a-TJE For eron iabrmtlen, ttsif DEPARTMENT OF THE CLASS A AIR 1�NAiWW LlC1�gy SECRETARY der STATE OF FLORIDA 31, 2020 Mwaye vplfy ftaroae onleAe at MyFlortdet.ianse,00m AL REGULATION BOARD RTIFIM UNDER THE Do.not after Oft dacummf in my form Q�r TI& is Your fic"M it 12 urrawhd for myone other tfm the licensee to use M1, document. Ac R CERTIFICATE OF LIABILITY INSURANCE FDATE 03/21/201 YY) 03/21 /2018 THIS CiERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Greg Kaplan Suburban Associates, Inc PHe N EXc 786-454-8195 a/c N,, 954-944-1899 17071 W Dixie Highway A� AIL greg@suburbanassociates.net North Miami Beach, FL 33160 INSURERS AFFORDING COVERAGE NAICr INSURED Residential Air Inc 1662 NE 205 Terrace INSURER A: Starr Indemnity &Liability Company INSURERB: Associated Industries Insurance COmpanV INSURER D : Miami FL 33179 IINSURERF: COVFROGFS CFRTIFICeTF NIIFARFR• RFVICIAIU KIIIIIARFQ• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL INM SUER Ina POLICY NUMBER MWOD EFF IPIOWDI D EXP LIMITS A X COMMERCIAL GENERAL LIABILITY Y 1000201370152 03/23/18 03/23/19 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 51OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N❑ (Mandatory in NH) N/A AWC1021397 03/23/18 03/23/19 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 100,000 — $ 100,000 E.L. DISEASE - EA EMPLOYEd If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 A Business Personal Y 1000201370152 3/23/18 3/23/19 50,000 Limit of Insurance Property $500 AOP Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) CAC035484 Village of Miami Shores .Building Department 10050 NE 2 Ave Miami Shores, FI 33138 LeANL:tLLA 1 IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD .lut_-i23-2e16 03:46 From: 1'o:3056514992 Pa9e'2/2 r ■ i C)f P rb'd qA1 .�rrrtt tir a O !4 ems, '11"Pl t —!f fire 1 Reference n14in+hr,M. 8875425` 7i��t�naa vuaa., ,e.0 Product! Split System: Air -Cooled Condensing Unit, Cail with Blower Outdoor Unit Model Number: 4A7A6061J1 Indoor Unit Model Number., TEM6AOC60H51+TDR+DF t,a lU...4...... �.tAPr,111 A „� STANDARD f�rq�.U.aaa:. sir: .•awr tta.<rr.,, Trade/Brand name: AMERICAN STANDARD Region: All (AK, AL, AR, AZ, GA, CO CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, Ml- MN; MA. M.S. MT tit, NII, HE, N N�, HIM HV, NY, OH, CKy op, on!?l, SC, �C, ?(t!, ; y, e W, VA, VT, �WA, WM; W— I,, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015, are olirgible w insiaiiea in aii regions until June 30, 20io. beginning July i, goie, central air conditioners can only be Installed in regions) for which they meet the regional efficiency requirement. Series name: SILVER.:16.. Manufacturer responsible Rated as follows in`accori Heart Pump Egtiipnierllt tans for the-rating•of�fhis�syt3tem combination it; AMERICAN STANDARD Gooling Capacity (Btuh); `SEER Ratiri'g (Cooling): IMR Racing (Cooling). 0 -•r a r=.revrra,,,t.ttu, trtueper 12.eo d Air-ollurav Ident,:third RailingsCLA fouoDy an a...... (') Indicate a votunlary rerala orproviaysly publahed delta, ,mists accompanied Vr11h a WAS, WhIch IndiOateY yn involtmtaly rernte, DISCLAIMER AHRI does not endorse the Product(s) listed on this Cortllleate and makes no repmsentaliona, warrantioc or guorantaoe na to, and oesumea nu raapun3lolnty for, the Dteduct(v) It trad an of ata listed o Marti Oarti c 1l dkek'A'A all lability fill d9Nrados of any kind arising out of u.e ucc or poriormance o} the product(s), or the unecthgrimd alteration re data listed on this Qertlflcate. Certified rathlgs OIe valid only for models and conilgitrallons listed In the directory nt Www,ehrlUlrecto►y.orb, TERMS AND CONDfTIONs This Certlfleats and Its contents are prontletary products of AHRI. This CerdBdtii shell only be used for Individual, personal and conildentlei reference purposes The contents of thls'eirnncale tr,:,y not, to whole or in pert, be reproduu-d co lad 'd c entered into a computer databatat or otherMeo ud �' " .'' - 3 ni §a, In Any f4Nn ef'mtmnaf or by any means, except for the usoi'stlndl Idual,e =m personal and confidential reference, CERTIFICATE VERIFICATION AIR-CONDITIONING, HATING, The Information for the model cited on tots certificate can be Vedfled at www abridirecto or click on 'Verify CerttNcatt." li& RURIGBRATION INsrrrtmF. and enter the AHRI Ccrdfled Reference Number and the date on which the certificate nk avassuetf, which Is listed above, end the Certlficata N%, whiah is lhlyda at bottom fight. ��-oral r-Ufa het,°,- 02014 Air -Conditioning, Heating, and Refrigeration Institute r ERTiFi, q , NO.: 1311389025vt3488873