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MC-19-2374Miami Shores Village 10050 NE 2 Ave t Miami Shores FL 33138 w.J 305-795-2204 issue Date: 11/05/2019 Location Address Parcel Number 502 NE 94TH ST, Miami Shores, FL 33138 1132060140970 Contacts Permit NO.: MC -10-19-2374 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: Approved Expiration: 05/04/2020 SANTIAGO & OFELIA MAGGI Owner COMFORT AIR CONDITIONING, INC Contractor 1290 NE 100 ST, MIAMI SHORES, FL 33138 NELSON RODRIGUEZ Business: 7862824396 Inspection Requests: Description: TO REPLACE EXISTING 4 TONS AIR CONDITION Valuation: $ 4,000.00 ff--762-4949 - SPLIT UNITS. Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $2.40 DBPR Fee $2.10 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee $90.00 Scanning Fee $9.00 Technology Fee $3.50 Total: $159.80 Payments Date Paid Amt Paid Total Fees $159.80 Credit Card 10/08/2019 $50.00 Credit Card 11/05/2019 $109.80 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 AFF AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating qVstru9#yn and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Sign4 re�er / Applicant / Contractor / Agent November 05, 2019 Date Page 2 of 2 1 Rr,,Cnj IVSD 0\ Miami Shores Village er a 01 �b Building Department BY- 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 201 BUILDING Master Permit No. MC IO- PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL F-JPLUIVIBING PaMECHANICAL PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP /� 9 CONTRACTOR DRAWINGS 2, JOB ADDRESS:, � � 0`� / � `57 l City: r Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1 J `3 ��� �� ' r I? %1 o Is the Building Historically Designated: Yes NO Occupancy Type: Load: C Construction Type: Flood Zone: BFE: FFE: c� OWNER: Name (Fee Simple Titleholder): 6 l`-/' 4S19 D t' FL r MRap�'Phone#:-� 992 <99WIq Address:- nn90 2 N E � 7/- City: fTl si-Pm�-��State: rL Zip: �� J Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: A\ Phone#: Address: , 3 S r City: �% _ State:�nG ,/� ` Zip:X21 Qualifier Name: �� � P A �'ID 0 � o V7/r7 Phone#: 3 ?7LZ 3 f� State Certification or Registration #: <!- DESIGNER: Architect/Engineer: Address: Value of Work for this Perm : $ [ Z O O r 0 0 Sq, Type of Work: ❑ Additi ❑ Alteration ❑ w Description of Work: a N5211 MWORAROM Specify color of color thru tile: Submittal Fee $ IS -0 • 0z) Permit Fee $ Scanning Fee $ Technology Fee $, Structural Reviews $ (Revised02/24/2014) Radon Fee $ Training/Education Fee $ Certificate of Competency #: City: ne#: State: Zip: Linear Footage of Work: �-Repair/Repla1c�e- ❑ Demolition CCF $ DBPR $ CO/CC $ Notary $, Double Fee $ Bond $ TOTAL FEE NOW DUE $ �' Bonding Company's Name (if applicable) Bonding Company's Address City Sti Mortgage Lender's Name (if applicable) _ Mortgage Lender's Address City State 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_ Signature TS OWNER or NT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this tMday of 0 C --V G�e( 20 1 q by )0 day of �Q_ 120 �� by ��-11li�LQ 1M , who is personally known to NOQ( )(j who is personally known to /6 me or who has produced 1--,M200 &5 '5f� as �e or who has produceds identification and wh d' take -a n ath. identification and who did take an oath. NOTARY PUBLIC: �a` . VILMA NU MA DATORRE NOTARY PUBLIC: s NMIP*lle - Slim of Rodd M CO MM 0 FF 500070 w;W .E*jj,0e117,`Z01! Sign: 1' •'' Sign: Print: VII ma Print: Seal: Seal: acv SINDIA ALVAREZ o EXPIRES: September 3, 2022 APPROVED BY �© Plans Examiner BondedThruNotaryPublicUnderwrite Ing Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-014-0970 Property Address: 502 NE 94 ST Miami Shores, FL 33138-2848 Owner SANTIAGO MAGGI OFELIA VANESSA MAGGI Mailing Address 502 NE 94 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 4/3/0 Floors 1 Living Units 1 Actual Area 2,727 Sq.Ft Living Area 2,687 Sq.Ft Adjusted Area 2,700 Sq.Ft Lot Size 12,800 Sq. Ft Year Built Multiple (See Building Info.) Assessment Information Year 2019 2018 2017 Land Value $383,743 $383,743 $383,743 Building Value $277,749 $280,122 $286,152 XF Value $51,076 $51,641 $52,206 Market Value $712,568 $715,506 $722,101 Assessed Value 1 $712,568 $715,506 $722,101 Benefits Information Benefit Type 2019 2018 2017 Homestead Exemption $25,000 $25,000 $662,568 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). f Short Legal Description MIAMI SHORES SEC 2 PB 10-37 LOTS 11 & 12 BLK 56 LOT SIZE 100.000 X 128 OR 18385-1115 1298 1 COC 21487-0323 07 2003 1 Generated On : 10/8/2019 Taxable Value Information �- 2019 2018 2017 County Exemption Value $50,000 $50,000 $0 Taxable Value $662,568 $665,506 $722,101 School Board Exemption Value $25,000 $25,000 $0 Taxable Value 1 $687,568 $690,506 $722,101 City Exemption Value $50,000 $50,000 $0 Taxable Value $662,568 $665,506 $722,101 Regional Exemption Value $50,000 $50,000 $0 Taxable Value $662,568 $665,506 $722,101 Sales Information Previous OR Book - Price Description Sale PageQualification 07/25/2017 $865,000 30630-0092 Qual by exam of deed Corrective, tax or QCD; min 07/25/2017 $100 30630-0089 consideration Corrective, tax or QCD; min 08/05/2016 $100 30305-4643 consideration 07/15/2011 $730,000 27766-1326 Qual by exam of deed 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 http:/twww.miamidade.gov/info/disclaimer.asp Version: https://www8.miamidade.gov/Apps/PA/propertysearch/ 10/8/2019 RICK SCOTT, UUVtKNUrc u STATE OF :FLORIDA 4 DEPARTM ENTOF BUSIN'N-D:RROFESSIONAL REGULATION CONSTRUCTC) 'iE[ING BOARD DERTHE B AIR C0NG;�4'1bT i. ' x, ?<R� `1N_I ERTIFIED U NI THE CLASS Y �NRo PRUVISNOEiH489RFLOI1tA_kST BUTES le 3k) pwg� a i C3-A!' �'Z T INCA MT 3 L�CIIBL C0`748 EXPIRATIC �4 U 31, 2020 Always verify licenses online at MyFloridaLicense.com 4 Do not alter this document in any form. e to use this document. F This is your license. It is unlawful for anyone other than the license �'►�� CERTIFICATE OF LIABILITY INSURANCE DATE (M 10/3/201r9D/YvvY> THIS CERTIFICATE 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. P LI YN MBER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 DIXIE INSURORS INC 711 NW 23rd Avenue Miami, FL 33125 NOMTACTMARIA JULIA PEREZ PHONE(305) 642-4404 q/X No (305) 642-1657 E-MAIL A DRE 1xleins a Bout .net INSURERS AFFORDING COVERAGE NAIC# INSURERA.. ARCH SPECIALTY INS CO CLAIMS -MADE ■ X OCCUR INSURED REINALDO HORDAY AC, INC. INSURER B: N RER 1632 SW 13TH STREET REACHOCCURRENCE $ 100 000 INSURER D: MIAMI, FL 33145 305-858-5578 AGL0054726 O1 INSURER F PERSONAL &ADV INJURY $ 300,000 Cl1VFRA(,FS r.FRTIFIr.ATF NtJMRFR• REVISION NUMRFR 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 CONDITIONSOF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS. INSR LTR TYPE OF INSURANCE I sD VuvD P LI YN MBER POLICY EFF MM/ D/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY $ 300 000 CLAIMS -MADE ■ X OCCUR REACHOCCURRENCE $ 100 000 (Anyoneperson) $ 10,000 A AGL0054726 O1 07/14/1907/14/20XP PERSONAL &ADV INJURY $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ .600,000 X POLICY E] PRO 1 ' LOC JECT IBJ PRODUCTS - COMP/OPAGG $ 600,000 $ OTHER AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT $ a cider BODILY INJURY (Per person) $ ANYAUTO BODILY INJURY (Per accident) $ ALLOWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE $ (peraccident) NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIABOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTI N WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N PTATLITE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) E.L. DISEASE -POLICY IMIT If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attachedif more space is required) AIR CONDITIONING AND APPLIANCES INSTALLATION, SERVICE AND REPAIR. LICENSE NO. CAC017489 r'r:DTICl(`ATG t-Ir)l nr:p (.ANI('FI I ATIr)N BUILDING DEPARTMENT , MIAMI SHORES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE VILLAGE THE EXPIRATION DATE THEREOF, NOTICE VNLL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NW 2 AVE MIAMI SHORES, FL 33138 AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATI(6N. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 3 � JIMMY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 11/19/2018 PERSON: REINALDO HORDAY FEIN: 200591051 BUSINESS NAME AND ADDRESS: REINALDO HORDAY A/C INC 1632SW 13 ST ,MIA, FLA 33145 MIAMI, FL 33145 SCOPE OF BUSINESS OR TRADE: Heating, Ventilation, Air - Conditioning and Refrigeration Systems Installation, Service and Repair, Shop, Yard & Drivers EXPIRATION DATE: 11/18/2020 EMAIL: SUNFLOWERMILLIE@AOL.COM IMPORTANT: Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 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):1�©p�ix�s)� City: Miami Shores Village County: Miami Dade Zip Code: 33 J 3 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 1] ARHI Sheet Attached: YES [,0 NO ❑ Contract Attached: YES 1. Minimum Circuit Ampacity (Wire Size): -410 2. Maximum Overcurrent Protection (Fuse/Breaker Size): L10 -& 5 U e 3. Voltage of Circuit (208/240/480):�2y 4. Size Disconnecting Means: 4e 1.-50 Contractor's Company Name: SSC��i�%C 11V L Phone:.3— State Certificate or Reeistration No. L � �% g ( Certificate of Competency No. Signature2-11'6� Date: —� (Qualifier's sl ature) (Revised02/24/2014) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER 6.6 AHU or PKG. UNIT MODEL # $ COND. UNIT MODEL # 16,5 p KW HEAT NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PK 2) M.O.P AHU CV PKG AHU CU KG 3) VOLTS AHU eU PKG PKG UNIT- / / PKG UNIT EER/SEER YES REPLACING DUCTS YES YES REPLACING THERMOSTAT YES NEW 4"CONCRETE SLAB E NO NEW ROOF STAND NO YES NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity (Wire Size): -410 2. Maximum Overcurrent Protection (Fuse/Breaker Size): L10 -& 5 U e 3. Voltage of Circuit (208/240/480):�2y 4. Size Disconnecting Means: 4e 1.-50 Contractor's Company Name: SSC��i�%C 11V L Phone:.3— State Certificate or Reeistration No. L � �% g ( Certificate of Competency No. Signature2-11'6� Date: —� (Qualifier's sl ature) (Revised02/24/2014) /-[7'o0s ,4- ff R 1 SPY This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratinas AHRI Certified Reference Number: 201384390 Date : 10108-2019 Model Status : Active Old AHRI Reference Number: 8242082 AHRI Type: RCU-A-CB Series: GSX16 Outdoor Unit Brand Name: GOODMAN Outdoor Unit Model Number (Condenser or Single Package) : GSX160481 F" Indoor Unit Model Number (Evaporator and/or Air Handler) : ASPT49D14A" Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, 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 The manufacturer+ of this. GOODMAN: product is responsible for the rating of this system combination. t� LJ Rated as followsan accordance with the latest edition,df ANSI%AHRI 210/240 with, Addenda 1 and12, Performance Rating of Unitary I I _._It— Air- 8 Air Source Heat Pump equipment and subject to rating accuracy by AHRI-sponsored, independent; third party test Cooling Capacity (A2) - Single or High Stage (95F), btuh : 45000 _ f ififal.��f ?�T SEER: +jl_i� y .� ~fen, `-16.00 � - - ty EER (A2)' -.Single or High Stage (95F) :13.00 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. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published ratino is shown along with the Drevious (i.e. WAS) ratina. DISCLAIMER AHRI does not endorse the product(s) 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 all 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 Certiflcate may not, in whole or in part, be reproduced; copied; disseminated; x 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.org, click on "Verify Certificate" link we make life better" 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.—'--'–'— ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132150228234828984 Reinaldo Horday AC, INC. Date: ( 01 S I '2-0 t"I State of -Ft_ O County of H1•a.Mt-�-D4-m Before me this day personally appeared v`� who, being duly sworn, deposes and says: That he or she will be the only person working on the rpojec located at: 502 NE 94 ST Miami Shores, FL 33138 Sworn to (or affirmed) and subscribed before me this b s day of 20 lam, by Personally know OR Produced Identification Type of Identification Produced -TL -j;>424 VE�Z- LA t�P�ey' SINDIA ALVAREZ 't c„ MY COMMISSION # GG 238273 EXPIRES: September 3,200 , 2022 Bonded Thru Notary Public Underwriters Print, Type or Stamp Name of Notary BUILDING PERMIT APPLICATION Miami Shores Village ENTERED Building Department OCT 28 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY. Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 7624949 201 -::1 -CX FBC 20� Master Permit No. Me- 10" 19- a3-3-4 Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑ PLUMBING dMECHANICAL ❑ PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 5O2 Wv, q City: Miami Shores ((,�� �y� County: Miami Dade Zip: �47 �� Folio/Parcel#: if - b �(x - 014 • V'"� O Il nns the Building Historically Designated: Yes NO _ Occupancy Type: U I0 I Load: Construction Type:l�Flood Zone: BFE: FFE: OWNER: Name (Fee Simple TTitleholder): 04 1-k )(05f*- NV<(� I Phone#: 305 - 5f1r- 1 1 L 4 Address: 6D2 "e- (Q!+� City: W11 A -W 1l 90n91 State: 'tLI Zip: 139') Tenant/Lessee Name: �_� Phone#: Email: O n CONTRACTOR: Company Name: 00 CE Q E LDKO rn 0 N4 1 Phone#: QaO. !� Address: City: f'-'1 ( State: �� Zip: Qualifier Name: Phone#: r%�� •`' `�y� State Certification or Registration #: DESIGNER: Arch itect/Enginee 11r: Address: N • Value of Work for this Permit: $ Type of Work: ❑ Addition Description of Work: •n ❑ Alteration Specify color of color thru t►1e'*, �• Submittal Fee $ *Permit Fee Scanning Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Radon Fee $ of Competency #: _ Phone#: State: Zip: Square/Linear Footage of Work: ❑ New Repair/Replace ❑ Demolition r 3 Training/Education Fee $ �w x CCF DBPR $ Notary $ Double Fee $ Bond TOTAL FEE NOW DUE $ G I GD Bonding Company's Name (if applicable) ' 7� Bonding Company's Address \, l City jh�il" State imdrtgage Lender's Name (if applicable) Ig I Mortgage Lender's Address City' l� State N I Zip Zip KI 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 th'e 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. OWNW or /tGENT The foregoing instrument wM acknowledged before me this 5 day of LCd`- 20 I g by 1� V• I , who is personally known to me or who has produced 1420o —6r7- Kf— 6n J-0 as identification and who did take an oath. NOTARY PUBLIC: Signature V1 6 ONTRACT The foregoing instrume was acknowledged before me this day of61�151V(20 by 1.c�X?�-�(•�, wh e so Ily known to me or who has produced as identification and who did take an ath. NOTARY PUBLIC: Sign:G` Sign:" Print: Print: Yo1A�!'b'a. Seal: r������T�T�� N taryp� 9dMaf:bFidS � Cl0 100642 APPROVED BY (�ih// IP 0A, (Revised02/24/2014) Seal: Notmy �W SWO W florid. ►v PW" MY COMM Won GG 100542 a EXMM 05/02/2021 * *************** **************** L Plans Examiner Zoning Structural Review Clerk Address Owner Name Folio SEARCH: 502 NE 94 ST Suite Fo.] PROPERTY INFORMATION Folio: 11-3206-014-0970 Sub -Division: MIAMI SHORES SEC 2 Property Address 502 NE 94 ST Owner SANTIAGO MAGGI OFELIA VANESSA MAGGI Mailing Address 502 NE 94 ST MIAMI SHORES, FL 33138 PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 4/3/0 Floors 1 Living Units 1 Actual Area 2,727 Sq. Ft Living Area 2,687 Sq.Ft Adjusted Area 2,700 Sq.Ft Lot Size 12,800 Sq.Ft Year Built Multiple (See Building Info.) Featured Online Tools Comparable Sales PA Additional Online Tools Property Search Help Report Discrepancies Special Taxing Districts and Other Non -Ad valorem Assessments Tax Estimator Value Adjustment Board ASSESSMENT INFORMATION Year Land Value Building Value Extra Feature Value Market Value Assessed Value Glossary Property Record Cards Property Taxes Report Homestead Fraud Tax Comparison TRIM Notice 2019 $383,743 $277,749 $51,076 $712,568 $712,568 Layers - ri 60ft 2018 2017 $383,743 $383,743 $280,122 $286,152 $51,641 $52,206 $715,506 $722,101 $715,506 $722,101 TAXABLE VALUE INFORMATION Benefit Type 2019 2018 2017 i Homestead Exemption $25,000 $25,000 2019 2018 2017; COUNTY 30630-0092 ►i 07/25/2017 Exemption Value $50,000 $50,000 $0 Taxable Value $662,568 $665,506 $722,101 i SCHOOL BOARD 27766-1326 Qual by exam of deed 03/19/2009 Exemption Value $25,000 $25,000 $0 ' Taxable Value $687,568 $690,506 $722,101 CITY 18385-1115 Sales which are qualified 02/01/1984 Exemption Value $50,000 $50,000 $0 Taxable Value $662,568 $665,506 $722,101 REGIONAL Exemption Value $50,000 $50,000 $0 Taxable Value $662,568 _ — - - $665,506 $722,101 BENEFITS INFORMATION Benefit Type 2019 2018 2017 i Homestead Exemption $25,000 $25,000 OR Book -Page Second Homestead Exemption $25,000 $25,000 07/25/2017 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). 30630-0092 ►i FULL LEGAL DESCRIPTION MIAMI SHORES SEC 2 PB 10-37 Previous Sale LOTS 11 & 12 BLK 56 OR Book -Page LOT SIZE 100.000 X 128 07/25/2017 OR 18385-1115 1298 1 30630-0092 COC 21487-0323 07 2003 1 07/25/2017 $100 SALES INFORMATION Previous Sale Price OR Book -Page Qualification Description 07/25/2017 $865,000 30630-0092 Qual by exam of deed 07/25/2017 $100 30630-0089 Corrective, tax or QCD; min consideration 08/05/2016 $100 30305-4643 Corrective, tax or QCD; min consideration 07/15/2011 $730,000 27766-1326 Qual by exam of deed 03/19/2009 $661,000 26802-3551 Qual by exam of deed 07/01/2003 $455,000 21487-0323 Sales which are qualified 12/01/1998 $280,000 18385-1115 Sales which are qualified 02/01/1984 $131,500 12102-3629 Sales which are qualified Previous Owner 1 Previous Owner 2 FREDERICK CLINESMITH FREDERICK CLINESMITH FREDERICK CLINESMITH KELLY PACHECO HOWARD GREENSTONE MORTEN K AAGAARD • Item: HA13041 • Model: M4AC4048D1000A • Brand: Ameristar • Cooling Capacity: 4 Ton • Avg Coverage: 2,000 - 2,400 Sq Ft • SEER: 14 SEER • Type: Central Air Conditioner Condenser • Compressor: Single Stage • Product Length: 28 inches • Product Width: 28 inches • Product Height: 34 inches • Product Weight: 190 lbs • Liquid Line: 3/8 inch • Suction Line: 7/8 inch • Voltage: 240/1 -Phase • MOP: 40 amps • Warranty: 10 Year Parts AHU Description Specifications Name Ameristar M4AH4P48B1COOAA - Multi -position Air Handler, 4 Ton, 14 SEER, R410A, PSC Gemaire Item Number M4AH4P48B1COOA Manufacturer Product Number M4AH4P48B1COOA SKU - PIM Number 232684439695901 ERP Number 383832 Unit of Measure EA Weight 159.0 Pounds (Lb) Length 24.0 Inches (In) Width 22.0 Inches (In) Height 54.5 Inches (In) Country of Origin CHN Brand Ameristar" Equipment Type Straight Cool Tonnage 4 Stage Single Refrigerant R -410a CFM 1336-1918 Air Flow Multi -Position Voltage 208-230 VAC Phase Single Cycle/Hertz 60 Hz Minimum Circuit Amps 2.11 Maximum Fuse Size 15 Blower Motor HP 1/2 HP Blower Motor RPM 1075 Filter Size 20" x 22" Drain Connection Size 3/4" Certifications AHRI Ceritified Color Gray Warranty Offered Yes Energy Star Rated No UL Listed No Fins per Inch 17 Product Family M4AH4 Drain Connections 1 Liquid Line Fitting Brazed Suction Line Fitting Brazed Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt i£ I . The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owne State of Florida y y County of Miami -Dade The foregoing was acknowledge before me this I' U day of 0 & , 20 tj . By Off1 Y mit I who is personally known to me or has produced as identification. \````\\\���1 Y R�Fr�i��� \� •�gOISS10,V O Notary:LGGH2S�Eii• i SEAL: o #GG Ge h• 1C STATE OF 41111111110%, 19-2-3-41 Comfort Air Conditioning 4771 NW 177th St, Miami Gardens, FL, 33055 (786) 282-4390 opalockaair@vahoo.com Before me this day appeared Nelson Rodriguez, who is being duly sworn, deposes and says: That Comfort Air Conditioning, Nelson Rodriguez, will be the only person working on the project located at: 502 Northeast 94th St, Miami Shores, FL, 33138 �K�_J Contractor Signature STATE OF FLORIDA COUNTY OF _\06 6C, „�? Sworn to (or affirmed) and subscribed before me the � day of1\bN?Z1� �V20 My (name of person making statement CHRISTINA WILLIAMS FQ4�'Z_. 2021 MY COMMISSION #GG13471 EXPIRES: AUG 15,NOTARY SEAL ":: through 1st State Ins Name of Notary -'r Personally Known c or Prod Ident Type of Identification Produced Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 AIR CONDITIONING REPLA MENT 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 q4071. City: Miami Shores Village County: Miami Dade Zip Code: '/'/0q 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 [R'ARHI Sheet Attached: YES [(NO ❑ Contract Attached: YES 19/ UNIT BEING REPLACED DATA NEW UNIT P44E_-F_1✓4 MANUFACTURER W A_K-.. 16A AHU or PKG. UNIT MODEL # A _4 4q, ko ( COND. UNIT MODEL# >D1 �j KW HEAT lLW NOM TONS 4 AHU CU PKG 1) M.C.A AHUQ.IICU PKG AHU CU PKG 2) M.O.P AH2j0 CU PKG AHU Cu PKG 3) VOLTS AHU 24aUraWG PKG UNIT / / PKG UNIT 13 EER/SEER I4__ YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT YES YES NO NEW 4"CONCRETE SLAB YES YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 4,5 3. Voltage of Circuit (208/240/480): oZ Lt0 4. Size Disconnecting Means: Contractor's Company Name: c%C / 2 -kiIL hone: - 2yL - +3. State Certificate or Regi tion . UAC I O �� �J 1 Certificate of Competency No. Signature Et Date: D2 5 /0 j(Qualifie s signs ure) (Revised02/24/2014) Certificate of Product Ratinas AHRI Certified Reference Number: 201753479 Date: 10-22-2019 Model Status : Active AHRI Type: RCU-A-CB Outdoor Unit Brand Name: AMERISTAR Outdoor Unit Model Number (Condenser or Single Package) : M4AC4048D1 Indoor Unit Model Number (Evaporator and/or Air Handier): M4AH4P48B1C00AA Region: All Region Note : 1803 The manufacturer of this AMERISTAR 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 -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 47500 SEEF EER - Single or.High Stage,(9 F ,:,11.70 Q Df LO 1 � CEO F EE 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. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new Dublished rating is shown along with the Drevious (i.e. WAS) rating. DISCLAIMER AHRI does not endorse the product(s) 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 all 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, AM, 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.org, click on "Verify Certificate" link we make life better'" 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. ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132162207724315372 (2)#10x3/4' SHEET METAL SCREW m zz m O 0 BOTTOM SCREW DETAIL B _0 0 OPTIONAL FOR 27'TALL UNITS f: • D Z fCC v v PANEL O ' (1) 1/4' TAPCON SCREW 1-3/4"LONG 00 ; ONCRETE Katt 0 rNG) Q�po 2mQ Zma -1 - .t.; 'io6'%..-,.it z I' — W I t'm G 0m n zm o MN { mZO-m-<mn z C q$ 09 mo$ D -n Z OO mg p LA Ln V1 Z -1 nn O Lna$ LAr) o o LnM Z m zo Fn rM. 8 � D o � g�� Fnm 00 CA C m cn�_ Z o e z O N O Ln to NJO I nIJ UKAWING USED AS A GF:APHICAL REPRESENTATION ONLYAND ITMAY NOTAPPEAR EXACTLY LIKE YOUR SPECIFIC UNIT. NOTE: UNITiMAY BE TURNED 901 ON PAD FROM WHAT IS SHOWN. UNIT ��� UNIT WIDTH 33.75' LENGTH 33.75' I 3"MIN. CONCRETE PAD ADD (2)#10x3/4' -y 01 SHEET METAL9CREWS F GROUNQ MOUNTED ASZE 7-05 140 MPH WIND VELOCITY ASCE 7-10 180 MPH WIND VELOCITY ADD (2) M10x 3/4' SHEET METAL SCREWS .1 � UNITHEIGHT X I 3S'MA i i i MIN. PAD LENGTH 42' O 92-10551 -02-00 UNIT - BASE PAN - ADD (2) #10 x 3/4' CONCR SHEET METAL SCREWS PAD DETAIL B SEE DETAIL C APPLICABLE MODELS: "A1348 'A1436 "A1624 "A1724 A173d"A2024-A2036 'P1336'P1342'P1348 'P1436 "P1442 *P1448 *P1530 'P1536 "P1542'P1724'P1736"P2024 - ADD (2)t10x 3/4' SHEET METAL SCREWS MIN �...r,........::...�..,..:., .POSTBY (2)#10x3/4' SHEET METAL SCREW D ETAI L A CONTROL BDx PER BRACKET O 0 BOTTOM SCREW DETAIL B _0 0 OPTIONAL FOR 27'TALL UNITS TYPICAL 00 0 LOWER UNIT BASEPAN 0 00 PANEL 00 0 ' (1) 1/4' TAPCON SCREW 1-3/4"LONG 00 PER BRACKET ONCRETE Katt 0 PAD �...r,........::...�..,..:., .POSTBY D ETAI L A CONTROL BDx DETAIL B TYPICAL (2) PLACES (2)#10x3/4' SHEET METAL SCREW O Q 00 00 0 (1)1/4'TAPCON SCREW 1-3/4' LONG UNIT !±:*gi;::.,.yi..-. BASEPAN f-•'�+33��%'�+ - .t.; 'io6'%..-,.it PER BRACKET 500' 75 - F 0.313' HOLE 0.313' TYP. CLEARANCE HOLE OR SLOT DETAIL C PAD 8.000' REFERENCE MIN. PAD " WIDTH 38' SEE DETAIL B 1'� MIAMI TECH BRACKET MODEL CUTDA8 OR CUTD8 OR EQUIVALENT SEE DETAIL A MIAMI TECH KIT M: RREU,TDSMK OR RRCUTDASMK