MC-17-1037Project Address
1460 NE 103 Street
Miami Shores, FL
Owner Information
CHRISTOPHER SAVITS
Permit
Permit NC). C-4-17-1037
Permit Type: Mechanical - Residential
Work Classification: Addition/Alteration
Pennit'Status: APPROVED
Issue Date: 4/24/2017 I Expiration: 10/2112017
Parcel Number
1132050310060
Block: Lot:
1460 NE 103 ST
MIAMI SHORES FL 33138-2626
Contractor(s) Phone Cell Phone
ALL STAR A/C & REFRIGERATION IN( (786)357-6898
Tons:
Additional Info: INSTALL NEW MINI SPLIT WITH DUCT WO
Classification: Residential
Approved: In Review
Comments: Date Approved:: In Review
Date Denied: Type of Work:
Scanning: 1
Fees Due
Miami Shores Village
CCF
10050 N.E. 2nd Avenue NE
DBPR Fee
Miami Shores, FL 33138-0000
DCA Fee
Phone: (305)795-2204
FLORIDA
$1.00
Project Address
1460 NE 103 Street
Miami Shores, FL
Owner Information
CHRISTOPHER SAVITS
Permit
Permit NC). C-4-17-1037
Permit Type: Mechanical - Residential
Work Classification: Addition/Alteration
Pennit'Status: APPROVED
Issue Date: 4/24/2017 I Expiration: 10/2112017
Parcel Number
1132050310060
Block: Lot:
1460 NE 103 ST
MIAMI SHORES FL 33138-2626
Contractor(s) Phone Cell Phone
ALL STAR A/C & REFRIGERATION IN( (786)357-6898
Tons:
Additional Info: INSTALL NEW MINI SPLIT WITH DUCT WO
Classification: Residential
Approved: In Review
Comments: Date Approved:: In Review
Date Denied: Type of Work:
Scanning: 1
Fees Due
Amount
CCF
$3.00
DBPR Fee
$2.52
DCA Fee
$2.52
Education Surcharge
$1.00
Penalty Fee
$100.00
Permit Fee
$168.00
Scanning Fee
$3.00
Technology Fee
$4.00
Work without Permit Fee
$168.00
Total:
$452.04
Applicant
CHRISTOPHER SAVITS
Valuation:$ 4,800.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC -4-17-63695
04/24/2017 Credit Card $ 402.04 $ 50.00
04/13/2017 Credit Card $ 50.00 $ 0.00
Hvauame inspections:
Inspection Type:
Final
Rough Duct
Review Mechanical
Underground
In considerat n of the issua a to a of this permit, )I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining t reto and in stric confo i, 'X with the plansidrawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting is permit I assu a res onsibility for all w rk done by either myself, my agent, servants, or employes. I understand that separate permits are
requiredIr ELECTRICAL, LUMBI G, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNE S AFFIDAVIT: ce t the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constru ion and zon' . F th I thorize the above-named contractor to do the work stated.
April 24, 2017
r / )Applicant / Contractor / Agent
Building Departrhmnt Copy
April 24, 2017
1
Miami Shores Village
-0
Building Department R 1 3 2017
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972BY.
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 1 `t
BUILDING Master Permit No.d 6— D -S -o O
PERMIT APPLICATION Sub Permit No. MAo-I 4-1 O 3 -4
❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING MECHANICAL ❑PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
i
JOB ADDRESS: I L}("O yJ �F— -:kn
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Phone#: 3D S -4i O -' L -eol �
Address: 14 6'0 Qe' w't-1
City: Y V1 I �IA- S � State: Zip:
Tenant/Lessee Name: IJ ' L " Phone#:
Email: C
CONTRACTOR: Company Name: H- Phone#:
Address: 4 �4 40 <Qt�-::+—
City: eVK byDl/PA 1 Ayl_e _( State: rr L-- Zip:
Qualifier Name: "fS r Y10 f-tk (-0-C / Phone#:
State Certification or Registration #: C C 1.S 14 9 0 Certificate of Competency #:
DESIGNER: Architect/Engineer: ` P' Phone#: X44 88� ' SFV 1' --
Address: JS"f r p c � 1 , City. I,, -State: Zip: 3 4 01 o
a -
Value of Work for this Permit: $ � � C-Dcp � Square/Linear Footage of Work:
Type of Work: l�.�J Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work:
Specify color of.color tliru tile:
Submittal Fee $ _., Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $_
Structural Reviews $,
(Revised02/24/2014)
❑ Demolition
1 J N i, S..,
.0
Training/Education Fee $
CCF $_
DBPR $
CO/CC $
Notary $
Double Fee $ 6 (� 4- �aO �
Bond $
TOTAL FEE NOW DUE $44 La
Bonding Company's Name (if applicable) .1
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 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 approvedSiod a reinspection fee will be charged.
N
Signatu
NER or AGENT
The f going instrume as ack owledged before me this
(� day of r` 20 /7 by
NIc t who giiZonall to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
GOLDMAN
Sign:
.•����
rint: * +•= Co IF 649
F. yComm. Expires may 10, 20 19
Seal: Bonded through National Notary Assn.
********************* ************* ****** JaIns
APPROVED BY Exa
(Revised02/24/2014)
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
�(L day of -P� p r 1 .20 , by
�U S MrCAV1 who is personally known to � -(
me or who has produced r0U 21-53 -:2-1 AU aS ' ^�
identification and who did take an oath. '1'ortac�
NOTARY PUBLIC:
Sign:
"t -
Print:
MAHARAI K. ��'GONZALEZ
Seal: ;,,.; MY COMMISSION # GG 04460211
ro EXPIRES: November 2. 2020
******************************************************
miner
Structural Review
Zoning
Clerk
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):
City: Miami Shores Village County: Miami Dade Zip Code:
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 ❑
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit (208/240/480)-
4. Size Disconnecting Means:
Contractor's Company Name: Phone: _
State Certificate or Registration No. Certificate of Competency No.
Signature Date:
(Qualifier's signature)
(Revised02/24/2014)
UNIT BEING REPLACED
DATA
NEW UNIT
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
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):
2. Maximum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit (208/240/480)-
4. Size Disconnecting Means:
Contractor's Company Name: Phone: _
State Certificate or Registration No. Certificate of Competency No.
Signature Date:
(Qualifier's signature)
(Revised02/24/2014)
All Star AC And Refrigeration inc
9440 nw 10 st
Pembroke Pines, A 33024
786-357-6898
Allstar.acll@yahoo.com
Savits Residence
1460 NE 103rd st
Miami Shores, A
Bid base on prints dated: 1-04-17
Wilbert Rodriguez Engineering
A/C S REFRIGERATION INC
Sales - Service - Installation
Licensed and Insured cNc isiow
Estimate
Invoice # 02467
Invoice Date 04/02/2017
Due Date 04/02/2017
Item
Description
Unit Price
Quantity
Amount
Product
Mitsubishi Mini- split system
0.00
1.00
0.00
Product
supply air ducts as per print ( first and second floor)
0.00
1.00
0.00
Product
return air ducts as per prints ( first and second floor)
0.00
1.00
0.00
Product
mini -split insulated copper line set
0.00
1.00
0.00
Product
supply air grilles as per prints
0.00
1.00
0.00
Product
return air grilles as per prints
0.00
1.00
0.00
Product
hurricane tie downs
0.00
1.00
0.00
Product
Vibration pads
0.00
1.00
0.00
Product
Sheet metal exhaust duct
0.00
1.00
0.00
Product
Sheet metal exhaust wall cap
0.00
1.00
0.00
Product
Bathroom exhaust fans ( nu -tone 50 & 70 cfm)
0•.00
1.00
0.00
Hours
Labor
0.00
70.00
0.00
Total cost
4800.00
1.00
4,800.00
NOTES: Will install a new mini split along with duct work upstairs as per print. The electrical and drain line
must be provided to the new mini split. Will install 1 new supply air duct downstairs as per prints. Will
install new exhaust fans and the exhaust duct for the kitchen hood. All work and material will be as per
print. Any work/material not in the print will be considered a change order. Equipment has a 7 year
compressor 5 year parts and 1 year labor warranty.
Subtotal 4,800.00
Total 4,800.00
Amount Paid 0.00
Balance Due $4,800.00