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MC-19-2118Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 99/19/2019 Location Address Parcel Number 1428 NE 105TH ST D8, Miami Shores, FL 33138 1122300530440 Contacts Permit NO.: MC -09-19-2118 Permit Type: Mechanical - Residers Work Classification: A/C Replacement Permit Status: Approved Expiration: 03/17/2020 Description: REPLACE EXISTING AHU & CU SAME SIZE, SAME Valuation: $ 3,600.00 nests: Inr�,62-4§49 Ins spection n Requests: LOCATION 4 -TON Total Sq Feet: 0.00 Fees ANTHONY POO Owner 1428 NE 105 ST #D8, MIAMI SHORES, FL 331382114 DIAZ & RUSSELL CORP Contractor NELSON RICARDO DIAZ 12550 BISCAYNE BLVD 211, NORTH MIAMI, FL 33181 $50.00 CCF $2.40 Description: REPLACE EXISTING AHU & CU SAME SIZE, SAME Valuation: $ 3,600.00 nests: Inr�,62-4§49 Ins spection n Requests: LOCATION 4 -TON Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $2.40 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee $76.00 Scanning Fee $9.00 Technology Fee $3.15 Total: $145.35 Payments Date Paid Amt Paid Total Fees $145.35 Cash 09/19/2019 $95.35 Cash 09/12/2019 $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 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 AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regIVIatingAciffstruction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Signature: Owner ! Applicant / Contractor / Agent September 19, 2019 y, Date Page 2 of 2 Miami Shores Village REC7-1Vw-G c Building Department SEP 12 2619 6101 Z T d3S \ ' \� 10050 N.E.2nd Avenue, Miami Shores, Florida 331383 3 M '► v Tel: (305) 795-2204 Fax: (305) 756-8972 4A,., a INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 (1 BUILDING Master Permit No. HC -D9- lq - 18 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑PLUMBING MECHANICAL 7" r J JOB ADDRESS: ``� 2 S' 105 s} ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS UNIT - 19 City: -1 i Miami Shores County: Miami Dade Zip• -3'3 i 3? Folio/Parcel#:_ 11 -L230' o53 -o,4,io Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): PO4AIc inq 11 c) 'i i-)►-2nds11t ( cu Phone#: ` jvS' ! 73s3 Addre. i2y 1 �"l12.1 {- ,,�� 6'. cl City Tenant/Lessee Name: Email C;%,iAIi--N a ('�' C:l -k.fea ,Co.r State: F L Zip: .3.3i s' on CONTRACTOR: Company Name: '1Di AZ cy S Phone#: Address: (' ck-'l t 4,\— S ' Citi State: Y� zip: Qualifier Name: L-$oo.J (-Lcb�q1 �. Phone#: State Certification or Registration #:--�5 6 5 1 Certificate of Competency #: DESIGNER: Architect/Engineer: Address Value of Work for this Perm(t: $ '?. L O one#: City: State: Zip: Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: P l,b L� E `E tS7 i tj s.y GU S i��-1 -- i- ' St�t r -t �- L� - zo Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee Structural Reviews (Revised02/24/2014) Radon Fee $ Training/Education Fee $ CCF DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 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 e�ted value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lie law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of ommencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issue . In they�sence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. l I Signature L� S OWNER or AGENT The foregoing instrument was acknowledged before me this day of -t. 9 2 ,-,A 20 t by who is personally known to me or who has produceACCI C-000 - Ito -941 _ C, as identification and who did take an oath. NOTARYP Mve"% ROSA M. GUERRA My COMMISSION # GG135892 P_XPU ES: August 20, 2021 Sign: V) The foregoing instrument was acknowledged before me this 1 ( day of t • e 20 \9 by Q_ cs Win, is a sonally known to me or who has produced '3G tE / as identification and who did take an oath. NOTARY PUBLIC: Sign: Print:Print: Seal: Seal: ROSA M. GUERRA MY COMIIvi1SS10N # GG 135892 F- sRF.s: August 20, 2021 , ********r********s***ss****s*r**********s****s*******s******* APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) harbour. club -vi'61.1as condomInIL 1530 N.E. 1051h Street, Miami Shores, Fiorlde 33138 a Phone 893.8178 Miami Shores Village Building & Zoning Department This will acknowledge and approve Diaz & Russell Construction Company to pull a permit for replacement of air conditioning equipment at 1428 NE 105th Street, Miami Shores, FL y n M E2 m M .'i AIR CONDITIONING REPLACEMENT DATA Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 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): 1496 N� �n ►C7�M1 -C)V-Y� Pty Allia ,treS. illage County: Miami Dade Zip Code: 3�� ego* � a •- ..•• Z 7 l lei • • • • • • o L (CON ii M G W 3 C/) dis n St ' ro SING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SU4b•• UNITS MUST COMPLY WITH F.E M A MINIMUM FLOOD ELEVATIOM • •• A CO�Y�OF THE�CONTRACT IS'REQUIRED�WITH ALL SUBIVI17ALS' �� • :"'" AHRI DATA SHEET REQUIRED ig eans: YES ❑ NO VARHI Sheet Attached: YES ❑ NO [V ""' • • • ConlracrAitached: YES REPLACED • • •••••• • • N'E4M UNIT • .• ...... ...•.. 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): CO 3. Voltage of Circuit (208/240/480): 4)0 1 �30 4. Size Disconnecting Means: Contractor's Company Name: PZ 00'�A'_\1 k� -- one: State State Certificate or R istration Nol A� JN505�)i Certificate of Competency o. Signatur - Date: � 1 (Qualifier's signature) (Revised02/24/2014) UNI V IN REPLACED DATA N'E4M UNIT • .• /1 MANUFACTURER ••••• AHU or PKG. UNIT MODEL # 5 COND. UNIT MODEL # D KW HEAT NOM TONS HU Cli P G 1) M.C.A AHU CU PKG A G 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER 14 YES NO _ REPLACING DUCTS YES YES NO REPLACING THERMOSTAT YES X15 - YES NO NEW 4"CONCRETE SLAB YES YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES >0' 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): CO 3. Voltage of Circuit (208/240/480): 4)0 1 �30 4. Size Disconnecting Means: Contractor's Company Name: PZ 00'�A'_\1 k� -- one: State State Certificate or R istration Nol A� JN505�)i Certificate of Competency o. Signatur - Date: � 1 (Qualifier's signature) (Revised02/24/2014)