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MCC-19-1928Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204, - PL-nni,t,,ivo.:,VICC-08-1;9-19,28 Permit Type: Mechanical - Commerdai Work Classifica#on: A/C Replatement Permit status: Approved Issue Date: 08/29/2019 1 Expiration: 02/25/2020 Location Address Parcel Number 1700 NE 105TH ST 408, Miami Shores, FL 33138 1122300500650 Contacts ALEXANDRA CRUCES Owner AIR RIGHTAWAY INC Contractor 1700 NE 105 ST 408, MIAMI SHORES, FL 33138 RAFAEL EDUARDO MENDEZ Mobile: 754-246-2005 2909 STOCKHOLM AVE, COOPER, FL 33026 Business: 7544232319 Description: AC CHANGE OUT (HEAT PUMP) Valuation: $ 3,600.00 Inspection Requests: 305-762-4949 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 Credit Card 08/29/2019 $145.35 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 th p ans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume respo ibil y for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBIN , M CHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the fotgoino information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I auth rize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant—/— 14ntractor / Agent Date August 29, 2019 Page 2 of 2 P, \ -ONQ'� BUILDING PERMIT APPLICATION ❑BUILDING F-IPLUMBING ❑ ELECTRIC MECHANICAL Miami Shores Village iRx,- Building Department A U G 2 �J;y 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY: INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 Master Permit No. 1-iCG - D8 - 19 -- I g a 8 Sub Permit No ❑ ROOFING F-] REVISION ❑ EXTENSION ORENEWAL JOB ADDRESS: 1700 NE 105 St #408 PUBLIC WORKS F_� CHANGE OF CONTRACTOR CANCELLATION 0 SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 112-2. 3OO Soo 1050 Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Namer(-Fee Simple Titleholder): ALEXANDRA P CRUCES Phone#: 754-246-2005 Address: l®0 Ni 1405 42 Of City: Ate' 54Q41r_�State: Zip: Tenant/Lessee Name: Email: CONTRACTOR: Company Name: AW?_ Phone#: -75/1 -423 - 2Sj 9 Address: 2109 S' 1-0 C !(4zow Aj City: eCOPIr-2 G —1y State: Zip: � Qualifier Name: «/-��CZ Maw%C_' Phone# State Certification or Registration #:CAC i1 9 3 Certificate of Competency #: _ DESIGNER: Architect/Engineer: Add hone#: -? - 423 - 231 4� State: Zip: Value of Work for this Permit: $ 4C*(00 Square/Linear Foot a of Work: J CL-Do of Work: ❑ Addition Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: /-.1 /� C ��'x ( Specify color of color thru tile: Submittal Fee $ 0 Permit Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ 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: Asa 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 brochurei be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencerst st be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the abs nc of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature / Signature _ AkA OWNER or AGENT Thefore ing instrument was acknowledged before me this day of'<' 20 11 'by o is personally known to me oltraddse�� a eano . NOTARY PUBLIC: Sign: Print: '�' f ; Seal: •- MY COMMISSION N 00075388 • EXPIRES March 18, 2021 CONTRACTOR The foregoing instrumet was acknowledged beforemethis '('2,1 � day of 20 I by t—,--KqAAzwho is personally known to me or who has produ d r, Vq r (I f``Qn,�,l as identifi atio and ho di take an oath. ��N��IN1�11//� NOTA Y PUB IC: ���``y`.• Y P��TO //���i :� G ?� :��;: Sig 0 �. .• �Ir � 2 :•y X287288 h � � Print: GhA r r ! • �, p nded de • p�� Seal: /,��% `\`` ,,'v APPROVED BY PI s Ex miner 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 single sheets are not acceptable. Job Address (where the work is being done): �� IUC �O� S� f# City: Miami Shores Village County: Miami Dade Zip Code: 3338 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 [T ARHI Sheet Attached: YES [!NO ❑ Contract Attached: YES E 1. Minimum Circuit Ampacity (Wire Size): 13 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 20 3. Voltage of Circuit (208/240/480): Z'Jo/ 21% > 4. Size Disconnectingle _ q Contractor's Company >�2 ���')-^ �', I`^�� Phone: -7S4 - 423 - 23)State Certificate or Regio. CAc I S►7 S93 Certificate of Competency No. Signature Date: (Revised02/24/2014) UNIT BEING REPLACED DATA NEW UNIT j MANUFACTURER � -iCLTS y 2 E A AHU or PKG. UNIT MODEL # w c/C-G02 N2 1. COND. UNIT MODEL # KW HEAT 14C�'S - p,"P 2 NOM TONS 2- AHU 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 Y N YES NO REPLACING THERMOSTAT E NO YES NO NEW 4"CONCRETE SLAB YES YES NO NEW ROOF STAND YES 22 YES NO NEW RETURN PLENUM BOX YES 0 1. Minimum Circuit Ampacity (Wire Size): 13 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 20 3. Voltage of Circuit (208/240/480): Z'Jo/ 21% > 4. Size Disconnectingle _ q Contractor's Company >�2 ���')-^ �', I`^�� Phone: -7S4 - 423 - 23)State Certificate or Regio. CAc I S►7 S93 Certificate of Competency No. Signature Date: (Revised02/24/2014) Air Rightaway Inc. 2909 Stockholm Av Cooper City FI 33026 754 423 2319 786 586 0054 Airrightawayincl7@att.net www.air-rightawayinc.com LIC.# CAC 1817893 For: Alexandra Cruces patriciosly@gmail.com 1700 ne 105th st #408 Miami 33138 Description 1 new ac Heat pump 2 ton First Company 1 new stand 2 new houses City permits Notes 1 year warranty on parts, 90 days labor No guarantee on freon charge without leak repair We assume no liability for food lost or water damage No refunds .. 1 1/1 Estimate No: Date: Estimate 298 08/19/2019 Quantity Rate Amount 1 $3,600.00 $3,600.00 Subtotal $3,600.00 Total $3,600.00 Total $3,600.00 1700 NORTHEAST 105TH STREET • MIAMI SHORES, FLORIDA 33138 • PRONE (305) 893-6741 FAX (305) 897.0550 • E-MAIL: th"horaacondo4att.net WORK REQUEST APPLICATION Owner's Name gle2cood "q ' ` Ce-yice5 Unit 4oy I hereby request approval from the Board of Directors for the following modification or alteration to my unit that will be performed by a licensed contractor. Electrical work Plumbing work Carpet Installation ** Windows Tile installation Other work X Description of work—Ac Ze p htcem a A-� Before you decide to upgrade your apartment(other than paint or carpet) you must obtain permission from the Board of Directors and/or Miami Shores Village. A copy of plans, specifications and permits, and a description of the licensed work to be performed must be submitted for consideration and approval by the Miami Shores Village Building Department(305-795-2204) It is the owner's responsibility to ensure that the contractor removes all excess construction material or building debris. It cannot be placed in the dumpsters. ** Window frames must be gray in color to look like aluminum. Windows must be Two(2) panels over Two(2) panels. Glass must be clear color. I, as the unit owner acknowledge responsibility for any damage to the building or personal injuries that may occur during this project. The Shores Condominium Inc. its officers and employees are in no way responsible for damage or theft to my apartment or my belongings. (A $200.00 deposit is required and will be refunded if no damage to the property is reported) I fully understand and agree to the statements made above. �u5 Z© Unit owner's sig a re Date Approved by `;6Date :Z� I Certificate of AUG 21 'Ool BY -----Ie is AHRI Certified Reference Number: 3550705 Date: 08-20-2019 Model Status: Active Old AHRI Reference Number : Product : Water -to -Air and Brine -to -Air Model Number: WSVCO24'-2 Brand Name : HYDROTECH Rated as follows in accordance with ANSVAHRVASHARFJISO Standard 13256-1 Water-toAir and Brine -To -Air Heat Pumps and subject to verification of rating accuracy by AHRI-sponsored, independent third•party testing: GWHP (Ground Water -Heat Pumps) Cooling Capacity(Btuh) Full Load PartLoad1 Part Load2 Part Load3 Air Flow Rate - Cooling: 680 6:00- " .' "' • Air Flow Rate - Heating: 680 3.50/3.50 Heating Fluid Flow Rate (gpm) 6.00 WLHP (Water -Loop Heat Pumps) Cooling Capacity (Btuh) 22500/22500 • Cooling EER Rating (Btuh/watt) 13.00/13.00 Cooling Fluid Flow Rate (gpm) 6.00 •' "' • : • • Heating Capacity (Btuh) 28000/28000 Heating Co wattlwatt 4.3014.30 T _ T . • s 0 ` Heating Fluid Flow Rate (gpm) 6.00 • • • • • GWHP (Ground Water -Heat Pumps) Cooling Capacity(Btuh) 24900/24900 1 Cooling EER Rating (BtuhMAtt) - 18.00/18.k,, Cooling Fluid Flow Rate (gpm) 6:00- " Heating Capacity (Btuh) 21300/21300 Heating COP (wattt'watt) 3.50/3.50 Heating Fluid Flow Rate (gpm) 6.00 Indoor Blower Motor Fan Type : PSC Sold In? : USA Where rating shows value/value, the first value is at minimum voltage, the second value is at 230v—mor adual du -system. --J 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. Ratings that are accomoanied by WAS indicate an involuntary re -rate. The new Dublished ratina is shown alona with the previous (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 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.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 I CERTIFICATE NO.: 132108251024057150