MC-18-3411 (2)Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
890 NE 92 ST, Miami Shores, FL
Contacts
Issue Date:12/04/2018
Parcel Number
1132060050130
Permit NO:: MC-11-18-3411
Permit Type: Mechanical - Residential
work classification: Alteration
Permit status Approved
Expiration: 05/07/2019
MIGUEL AND CARLINA ARRONTE Owner MIGUEL AND CARLINA ARRONTE Applicant
890 NE 92 ST, MIAMI SHORES, FL 33138 890 NE 92 ST, MIAMI SHORES, FL 33138
FLORIDA ATLANTIC AIRCONDITIONING Contractor
AND REPAIR CORP
ALBERTO PAEZ
11740 SW 110 LN, MIAMI, FL 33186
Business: 7864455852 floridaatlanticair@gmail.com
Inspection Requests:
Description: MECHANICAL LAYOUT 2 TON A/C WITH LValuation: $ 6,000.00 305-762 4949
DUCTWORK AND UNIT.
eet: 841.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$3.60
DBPR Fee
$3.15
DCA Fee
$2.10
Education Surcharge
$1.20
Notary Fee
$5.00
Permit Fee
$160.00
Scanning Fee
$3.00
Technology Fee
$5.25
Total:
$233.30
Payments
Date Paid Amt Paid
Total Fees
$233.30
Credit Card
12/04/2018 $233.30
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 AFFIDAVIT: I certify th all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regul .ng construction and onin F thermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
December 04, 2018 Page 2 of 2
1
CAC1817595
11740 SW 110 LANE
MIAMI, FL 33186
floridaatlanticair@gmail.com
BID PROPOSAL: MECHANICAL
11/19/18
Office: 305 809-8450 Fax: (305) 275-0013
Carlina Arronte
890 NE 92 St
Miami Shores, FI
786-395-1440
Mechanical
• PROVIDE NEW AC SYSTEM (1) Carrier Icp Tempstar Series 2 ton As per Specs 16 SEER
• PROVIE ALL REFIGERATION PIPPING DETAIL as per plans up 80 ft to condener unit
• PROVIDE EXHAUST FAN for addition WITH EXHAUST DUCT TO ROOF CAP
• FRESH AIR DISTRIBUTION ON EACH AIRHANDLER
• PROVIDE NEW THERMOSTATS AS PER MECHANICAL PLAN (WIRING TO BE DONE BY ELECTRICIAN)
• THERMOSTAT AS INDICATED IN PLANS
• DRAIN LINE 2" FROM CRAWL SPACE AS PER PLANS- to ac closet- Retap into airhadnler with'/a pipe
DUCTWORK —
• PROVIDE ALL NEW R-6 ductwork for NEW ADDITION
• PROVIDE return ducts louvered vents Where indicated on top of door is the only they fit
• FLEXIBLE CONNECTIONS FOR SUPPLY AND RETURN
• PROVIDE EXHAUST DUCTING TO, KITCHEN TO RELEASE ON EXISITING ROOFCAP ON PANTRY- up to 25 ft of
disttribution
PARTS AND LABOR .............................................. $ 6,000.00
This bid covers all materials associated with mechanical lay out
It will cover: Permit fees or any other engineering detailes associated with the work.
All city and county costs will be rendered by the builder owner.
a
U 3
2.
WARRANTY: 10 }R ALL PARTS including compressor
WARRANTY LABOR: LABOR IS ALWAYS GRANTED A FULL, YEAR AFTER INSTALLATION
The above mentioned project is subject to an overall balance of
$6,000.00 w/tax included
(Six Thousand Dollars)
PAYMENT SCHEDULE AS FOLLOWS
COMPLETION METHOD PERCENTAGE
Deposit and Mobilization ......................................... $ 3,000.00
Rouph Inspecdtion................................................... $2,000.00
Start up anf Final Inspection ........................................ $1,000.00
Florida Atlantic Airconditioning and Repair Corp
Approval: �Z- to
Signature
Print Fisrt and Last Name : C-a0 (I V `Q , l t A -cc yr 4-t—,
All materials are guarantee to be as specified. All work to be completed in a professional manner to standard practices. Any
alteration or deviation from the above specifications involving extra cost will be executed only upon written orders, and will
become an extra charge over and above the estimate. All agreements are contingent on strikes, accidents or delays beyond our
control. Homeowner must carry fire, flood and any other necessary insurance. Florida Atlantic Airconditioning and Repair Corp. is
not responsible for regular maintenance issues such as water leaks, plugged drains, dirty filters, blown fuses, electrical surges or
acts of nature.
Bid good for 31 days after submitted
Alberto David Paez
floridaatlanticair@gmail.com
Project Manager
786=4455852
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
FBC 20 1 �
G�� H
Master Permit No.2--C ( 9 & 9 G
Sub Permit Nom C.-19 I
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑-MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
/ CONTRACTOR DRAWINGS
JOB ADDRESS: NO lY ��
City: Miami Shores County: Miami Dade Zip: .
Folio/Parcel#: 1 I- 03�'42' CCU CI -'�Q Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): of I -'1'6�:)Pco,-:4 i 1/' L1 T12 Phone#:
Address: 2:J.. /JCL _ `'1�� • �/
City: I-�1--mil l C�� State: ��- Zip: (�1oc&
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: 7Fk7' IC.k A PlCa Y Wgi bi h&#: `%� 440OW2.
Address: j ,,4 C:1(
City: LA `I-1 W 1 State: r- (C�`IC �U Zip:
Qualifier Name: Q1LAa:L Ir1 Phone#:
State Certification or Registration #: Cam? 1 A-% 75-�1-5 Certificate of Competency M _
DESIGNER: Architect/Engineer:
Value of Work for this Permit:
Phone#:
City: State: Zip:
Square/Linear Footage of Work:
Type of Work: L ddition ❑ Alteration f, ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: LAC_ on I
J
Specify color of color thru tile:,
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee
Structural Reviews S,
Radon Fee $
Training/Education Fee $
CCF $,
CO/CC $
DBPR $ Notary
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $
Iz 3:
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. 1 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 on estimated value a ee ing $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien low br hure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of comme ceme t must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In he ab ence of such posted notice, the
inspection will not berapproved and a reins*ction fie:e�vill be charged.
OWNER or AGENT
U CONTRACTOR
The foregoing instrument was acknowledged before me this
The foregoing instrument was acknowledged before me this
_ day of
20� by
��day of (�%(�'i�✓ . 20 143, by
who issppersonally known to
f �1�� � Z who is personally known to
1
me or who has produceWL -MI )E (X( � as
me or who has produced as
identification n
who did take an oath.
identification and who did take an oath.
NOTARY PUB C:
NOTARY PUBLIC: ;ay►s M;,
Sign:
Sign. a
Print:(
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Seal:
SINDIA ALVAREZ
JL MY COMMISSION
s m N Q
eal: a.
9 GG 238273
EXPIRES: September 3, 2022
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APPROVED BY
Y� Plans Examiner
Structural Review
(Revised02/24/2014)
Clerk
I
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 singsheets are not acceptable.
Job Address (where the work is being done): O'`ry h/ (:-32
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 ❑
UNIT BEING REPLACED
DATA
NEW UNIT
MANUFACTURER
r
AHU or PKG. UNIT MODEL #
COND. UNIT MODEL #
KW HEAT
NOM TONS
AHU
CU
PKG
1) M.C.A
AHU3
CU
PKG
AHU
CU
PKG
2) M.O.P
AHU
C
PKG
AHU
CU
PKG
3) VOLTS
PKG
PKG UNIT /
/
UNIT
EER/SEER
Yp
YES
NO
REPLACING DUCTS
JfES
NO
YES
NO
REPLACING THERMOSTAT
NO
YES
NO
NEW 4"CONCRETE SLAB
NO
YES
NO
NEW ROOF STAND
YES
YES
NO
NEW RETURN PLENUM BOX
YES
O
1. Minimum Circuit Ampacity (Wire Size):
10
2. Maximum Overcurrent Protection (Fuse/Breaker Size): Cl
3. Voltage of Circuit (208/240/480): !�-kGiC7
4. Size Disconnecting Means:
Contractor's Company
State Certificate or
Signature
signature)
Phone:`/�JLf52,
Certificate of Competency No.
Date: lI 7licv
-�
(Revised02/24/2014)
FLORIDA ATLANTIC AIRCONDITIONING
Date: ! 1 2 t 11
State of -`- Oetr—
County of MIA Ai ��--
Before me this day personally appeared who, being duly sworn, deposes and
says:
That he or she will be t�e onlperson working on the project located at: NZ-- "I 2 s�
Sworn to (or affirmed) and subscribed before me this Zj_ day of �1�1U'�'2 . 20_[S� by
� c���
Personally know
OR Produced Identification
Type of Identification ProducedFLTel (ilrxN S
SINMA ALVAREZ
MY COMMISSION # GG 238273
":•'o� EXPIRES: September 3, 2022
Bonded ihruNatoyPublic Undermiters
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
notice to Vwner — 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 if:
1. 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 AC OWLE E THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this 21 day of N , 201.
By 0 Lam' Lif J A 4 JZO N_1_11� who is personally known to me or has produced
(- UC(J Sras identification.
Notary:
z
SEAL: ::f" .. SINDIA ALVAREZ
MY COMMISSION # GG 238273
EXPIRES: September 3, 2022