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MC-19-1502Location Address Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: MCC -07-19-1502 Permit Type: Mechanical - Commercial Work Classification: A/C Replacement Permitstatus: Approved Issue Date: 07/05/2019 Expiration: 01/01/2020 Parcel Number 1700 NE 105TH ST 213, Miami Shores, FL 33138 1122300500320 Contacts Description: REPLACE 2.0 TON HEAT PUMP AIR CONDITIONIG Valuation: $ 4,100.00 Inspection Requests: SYSTEM ( EXACT CHANGE OUT) 05-762-4949 Total Sq Feet: 0.00 Fees GENE AND MARY ROY Owner 1700 NE 105 ST #213, MIAMI SHORES, FL 331382140 Other: 3058951573 MIKE'S AC SERVICE INC Contractor MIGUEL MAYTA P.O.BOX 4384, MIAMI BEACH, FL 33141 Business: 3057515814 Other: 3059860702 $50.00 CCF $3.00 Description: REPLACE 2.0 TON HEAT PUMP AIR CONDITIONIG Valuation: $ 4,100.00 Inspection Requests: SYSTEM ( EXACT CHANGE OUT) 05-762-4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $3.00 DBPR Fee $2.15 DCA Fee $2.00 Education Surcharge $1.00 Permit Fee $93.50 Scanning Fee $9.00 Technology Fee $3.59 Total: $164.24 Building Department Copy Payments Date Paid Amt Paid Total Fees $164.24 Credit Card 07/05/2019 $114.24 Credit Card 07/01/2019 $50.00 Amount Due: $0.00 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 AFFIDAV : I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constrqcl& and zoning. Futhermore, I authorize the above named contractor to do the work stated. Signature: Owner / Applicant / Contractor / Agent Date July 05, 2019 Page 2 of 2 Miami ShoresVillage rEc n g Building Department JUL 1 20 9 \� 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY. Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FB�C 201- �'h . �"ll BUILDING Master Permit No.Ci .bT I"t J IS07— PERMIT APPLICATION Sub Permit No. ❑ BUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION ❑ RENEWAL 7PLUMBING ❑- MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1700 NE 105th Street Apt. #213 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-2230-050-0320 Is the Building Historically Designated: Yes NO NO Occupancy Type: 0407 Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Mary Kay Roy Phone#: 305 895-1573 Address: 1700 NE 105th Street Apt. 117 City: Miami Shores State: FL Zip: 33138-21450 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Mikes AC Service, Inc. Address: 775 NE 79th Street Suite H City:Miami State: FL Qualifier Name: Miguel Mayta State Certification or Registrat' CAC 03961 DESIGNER: Architect/Engineer: Phone#: 305 751-5814 Zip: 33138 one#: 305 751-5814 Certificate of Competency #: _ Phone#: Address: City: Value of Work for this Per it. $4'100-00 Square/Linear Footage of Work: Type of Work: ❑ Additi]L� eration ❑New ■❑ Repair/Replace Description of Work: Replace 2.0 ton heat pump air conditioning system. Exact change out Specify color of color thru tile: Submittal Fee $ ��� i?Cl Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $_ DBPR $ Zip: ❑ Demolition CO/CC $ Notary $ Double Fee $ Bond $ C'' L TOTAL FEE NOW DUE $ T 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 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 r' pection fee will be charged. f Signature Signatur T OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this � day of 20 by M49 VK who is personally known to me i th. NOTARY PUBLIC: The foregoing instrument was acknowledged before me this � day of --1 20 r� by M/ Ue-� ax -err -who has produced DPPr 60 L 1 C,0V5L as identification and who did take an oath. M 3 Di) —54-o NOTARY PUBLIC: I Sign: a Sign: Jt Print: Print: c l u b-6 Seal: Seal: _ PATRICIA A. STUBB8 PATRICIA A. STUBBS •: MY COMMISSION N GG075388 4 MY COMMISSION #I GG075388 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 2 .'* :us"FFICE OF THE PROPERTY APPRAISER _ Summary Report Property Information Folio: 11-2230-050-0320 Property Address: 1700 NE 105 ST UNIT: 213 Miami Shores, FL 33138-2145 Owner MARY KAY ROY Mailing Address PA Primary Zone Primary Land Use 1700 NE 105 ST #213 MIAMI SHORES, FL 33138-2140 4900 MULTI -FAMILY - CONDOMINUM 0407 RESIDENTIAL - TOTAL VALUE: CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 2/210 Floors 0 Living Units 0 Sq.Ft 1,185 Sq.Ft 1,185 Sq.Ft Actual Area Living Area Adjusted Area Lot Size 0 Sq.Ft Year Built 1965 Assessment Information Year 2019 2018 $0 2017 $0 Land Value $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value 1 $175,991 $153,036 $191,295 Assessed Value $103,242 $101,317 $99,234 Benefits Information Previous Sale Benefit ;Type 2019 2018 2017 Save Our Homes Cap Assessment Reduction $72,749 $51,719 $92,061 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead I Exemption $25,000 $25,000 $25,000 Widow I Exemption 1 $500 $500 $500 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description THE SHORES CONDOMINIUM APT 213 SECOND FLOOR UNDIV .0121% INT IN COMMON ELEMENTS CLERKS FILES 64R-124472 Generated On : 6/26/2019 Taxable Value Information Previous Sale Price 2019 2018 2017 County 19704-686 Sales which are qualified 12/01/1994 Exemption Value $50,5001 $50,500 $50,500 Taxable Value $52,742 $5,817 $48,734 School Board 11121-0234 Sales which are qualified Exemption Value $25,500 $25,500 $25,500 Taxable Value $77,742 $75,817 $73,734 City Exemption Value $50,500 $50,500 $50,500 Taxable Value $52,742 $50,817 $48,734 Regional Exemption Value $50,500 $50,500 $50,500 Taxable Value $52,7421 $50,817 $48,734 Sales Information Previous Sale Price OR Book -Page Qualification Description 05/01/2001 $120,000 19704-686 Sales which are qualified 12/01/1994 $133,000 16625-2645 Sales which are qualified 11/01/1987 $128,500 13483-2948 Other disqualified 05/01/1981 $105,0001 11121-0234 Sales which are qualified Tha Offirn of thw Prnnw. fv AnnrnicPr is mntininliv Mitinn and iirviatinn flw tax mil This wPh%ita may not raflwN tha mnrt riirrant infnrmatinn nn rp..rjwd Tha Pmnarty Annraisar https://www8.rniamidade.gov/Apps/PA/propertysearch/ 6/26/2019 ... 4W CONDOMINIUM 1700 NORTHEAST 10STt4 STREET • MIAMI SHORES, FLORIDA 33138 • PHONE (305) S03-8741 FAX (30S) 591-0590 • E-MAIL: Imhoresswnd00aft nt WORK REQUEST APPLICATION Owner's Name Unit A 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 Description of work'' 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 anLagree e statements made above. Unitowner's sig tDatApproved by(�C ' Date 9 Certificate of Product Ratings00400 ..... AHRI Certified Reference Number: 4084956 Date : 06-26-2019 Model 8tf3hn 4? Active • • • : • • • .: Old AHRI Reference Number Product :Water -to -Air and Brine -to -Air • • • • . •.. � � • • � • • • • Model Number: WSVX024*-6 • • • • • • • • • • • • • Manufacturer Name : FIRST CO. • • • • • • • • Brand Name : HYDROTECH ; ' ; • • • • • • Rated as follows in accordance with ANSI/AHRI/ASHARE/ISO Standard 13256-1 Water-toAir and Brine-Tp-Ai;Mtat Purttps and subjecttV900: verification of rating accuracy by AHRI-sponsored, independent third party testing: • • • • • • Full Load Part Load1 PartLoad2 PartLoad3 Air Flow Rate - Cooling: 745 Air Flow Rate - Heating: 745 WLHP (Water -Loop Heat Pumps) Cooling Capacity (Btuh) 23400/23400 Cooling EER Rating (Btuh/watt) 14.20/14.20 Cooling Fluid Flow Rate (gpm) 6.10 P Heating Capacity (Btuh) 28000/28000 Heating Cop (watt/watt) 4.3014.30 Heating Fluid Flow Rate (gpm) 6.10 t 01 019 GWHP (Ground Water -Heat Pumps) t _ Cooling Capacity (Btuh) 25500/21300 - Cooling EER Rating (Btuh/Watt) 19.80/19.80 Cooling Fluid Flow Rate (gpm) 6.10 y +: Heating Capacity (Btuh) 21300/21300 Heating COP (watt/watt) 3.70/3.70 Heating FluidFlow Rate (gpm) 6.10 SO I•- -� -- Warr! .SttrraS Vida ' BY — — _ DATA ^v,NG DEPT Indoor Blower Motor Fan Type : ECMR DC =PT Sold In? :USA _ _. i Footnote1 : Without domestic heat recovery unit operating. EJECT 1 O CGMIPI )f NCE WI FH ALL FEDERAL I [�_ T�_EA'QL) C r i1N.`f �sCL_S Arlb EE',i,iA C ',S Where rating shows value/value, the first value is at minimum voltage, the second value is at 230v for a dual volt system: – — -- 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 accompanied by WAS indicate an involuntary re -rate. The new Published rating is shown along with the Previous (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;r 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.abrid[rectory.org, click on "Verify Certificate" link we make life bettei- 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. CERTIFICATE NO.: 132062176843743395 --- ©2019Air-Conditioning, Heating, and Refrigeration Institute AIR CONDITIONING REPLACEMENT DATA Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (3d5)'p-2.2204 . . 9999 9999.. • • • jax:(3.W 7%6.8972 • • 996..9 .. 6606.9 0000.0 0 0 0 9999.. PERMIT NUMB'Ei�.*5AC 9999 0000 00000 000000 . . 9999. This form must accompany ALL air conditioning replacement permit applications. Each.13Q40changieet must ::: • • be on its own data sheet. Multiple units on single sheets are not acceptable. 9999.. 1700 NE 105th Street 999.. Apt. 213 ' ' 9' ' •*00 Job Address (where the work is being done). City: Miami Shores Village County: Miami Dade Zip Code.�33'138 ' ---- 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 ❑ NOR ARHI Sheet Attached: YES Al NO ❑ Contract Attached: YES 0 1. Minimum Circuit Ampacity (Wire Size). 12 AMPS WIRE ZISE #10 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 20 AMPS 3. Voltage of Circuit (208/240/480): 208/230 4. Size Disconnecting Means: 20 AMPS Contractor's Company Name: Mike's A C Service Phone: 305 751-5814 State Certificate or Registration No. CAC 039619 Certificate of Competency No. Signature �. U. c r,.`?. �..�... % �' `�L t� Date: (Quali lees signature) (Revised02/24/2014) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER HYDROTECH EWPH 22-1H AHU or PKG. UNIT MODEL # j, COND. UNIT MODEL# — KW HEAT NOM TONS AHU CU PKG 12.9 1) M.C.A AHU CU PKG 15 AHU CU PKG 20 2) M.O.P AHU CU PKG 20 AHU CU PKG 208/230 3) VOLTS AHU CU PKG 208/240 PKG UNIT / / PKG UNIT ?????? EER/SEER 14.0 EER YES NO REPLACING DUCTS YES '.NO' YES NO REPLACING THERMOSTAT ES O YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES O YES NO NEW RETURN PLENUM BOX YES 4 1. Minimum Circuit Ampacity (Wire Size). 12 AMPS WIRE ZISE #10 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 20 AMPS 3. Voltage of Circuit (208/240/480): 208/230 4. Size Disconnecting Means: 20 AMPS Contractor's Company Name: Mike's A C Service Phone: 305 751-5814 State Certificate or Registration No. CAC 039619 Certificate of Competency No. Signature �. U. c r,.`?. �..�... % �' `�L t� Date: (Quali lees signature) (Revised02/24/2014)