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MCC-19-2904Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.: MCC-12-19-2904 ftmIq Permir Type: Mechanical -Commercial Work Classification: A/C Replacement Permit Status: Approved Issue Date:12/12/2019 Expiration: 06/08/2020 Parcel Number 1700 NE 105TH ST 505, Miami Shores, FL 33138 1122300500810 Contacts LOUIS CARDENAS Owner 1700 NE 105 ST 505, MIAMI SHORES, FL 33138 Home: 301-318-5309 MIKE'S AC SERVICE INC Contractor MIGUEL MAYTA P.O.BOX 4384, MIAMI BEACH, FL 33141 Business: 3057515814 Other:3059860702 Inspection Requests: Description: REPLACE 2 TONS HEAT PUMP A/C SYSTEM. Valuation: $ 4,350.00 Inspec ion Re 49 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $3.00 DBPR Fee $2.28 DCA Fee $2.00 Education Surcharge $1.00 Notary Fee $5.00 Permit Fee $102.25 Scanning Fee $9.00 Technology Fee $3.81 Total: $178.34 Payments Date Paid Amt Paid Total Fees $178.34 Credit Card 12/11/2019 $128.34 Credit Card 12/09/2019 $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 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. Futhermore, authorize the above named contractor to do the work stated. ✓a �� �� Authorized Signature: Owner / Applicant / Contractor / Agent ate December 11, 2019 Page 2 of 2 Miami Shores Village R1EcE11VE1D Building Department DE 0 9 2019 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 FBC 200 � BUILDING Master Permit No. MCC- [2 'j q - r4 i PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING M MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ,�/ r CONTRACTOR DRAWINGS JOB ADDRESS: / V 6 / y` Q s� /° T a s- City: Miami Shores County: Miami Dade zip: Folio/Parcel#: l/— -2,� 30, 6,�—D c'� l 0 Is the Building Historically Designated: Yes NO Occupancy Type: �/X ad: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): /dU ! S C� /L 1 ry! s Phone#: J6/- 3 / j —ds '?d q Ad r City: —mz Q/1y.A—Sh/1D 2 e S _State: � D tit L� 41 zip: a3 13 9 Tenant/Lessee Name: / ` /A Phone#: AM Email: A114 CONTRACTOR: Company Name: /" i k �s A e- S E /y V r e_ Phone#: �30S '75-1- S"g &4r Address: *"-/ `t5' Al E 7 9 sL7 City: 1 �1 �- f'Yt ! State: /C^^G' Zip: -3 3 Qualifier Name: le-, y E L rYI / Phone#: 30S State Certification or Registration #: LA CO/ 3 �C% Certificate of Competency M DESIGNER: Architect/Engineer: /v Phone#: Address: City: State: Value of Work for this Permit: $ a/ 3 1570 , U 0 Square/Linear Footage of Work: Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New 91,Repair/Replace ❑ Demolition Description of Work: CZ C Q 2 `T Q /u r Speciff'coloir of color,thru,tile:;~ Submittal Fee $ �_ w �+ 1 ��� Permit Fee $ CCF $ ! i '�O/CC $ ► Scanning Fee $ fN Radon Fee $ DBPR $ Notary_$ �+ Technology Fee $ Training/Education Fee $ Structural Reviews $ Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ P 1 , , 1 4 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 reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this day of�.L�'i 20/ -7 , by L OL%/ 5 • t� }/ZCIFit//�5, who is personally known to me i who did take an oath. Signature v CONTRACTOR The foregoing instrument was acknowledged before me this V� day of20 0�1 by M(GCJEC.. who is personally known to me or who has produced ,I qLJ s identification and who did take an oath. NOTARY PUBLIC: NOT Y PUBLIC: Sign:_ � _ _' ,c Print: �CiiA .��(�Dl� Print: Seal: Seal: - - - — .5 . , SINDIA ALVAREZ •e��+ PATRICIA A. BTU as t MY COMMISSION p GG 238273 �' September 3, 2022 ;'c MY COMMISSION M 00075388 EXPIRES s**s****** ►'* s*'�eh1!PhRMEfCfIM�*il0�1R***************************#**ii:iillfir°ei lhiderwdt°ra ***ss** APPROVED BY /\ I ,l-J I I I I1/ 1 I` 1 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 11FFI-0E01FEJF'lllf" '�If"f°kiEh Summary Report Property Information Folio: 11-2230-050-0810 Property Address: 1700 NE 105 ST UNIT: 505 Miami Shores, FL 33138-2145 Owner LOUIS R CARDENAS Mailing Address 1700 NE 105 ST # 505 MIAMI SHORES, FL 33138 USA PA Primary Zone 4900 MULTI -FAMILY - CONDOMINUM Primary Land Use 0407 RESIDENTIAL - TOTAL VALUE CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 1 / 1 / 1 Floors 0 Living Units 0 Actual Area Sq.Ft Living Area 891 Sq.Ft Adjusted Area 891 Sq.Ft Lot Size 0 Sq.Ft Year Built 1965 Assessment Information Year 2019 2018 2017 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value $115,471 $128,301 $160,376 Assessed Value $115,471 $128,301 $81,831 Benefits Information Benefit Type 2019 2018 2017 Save Our Homes Cap Assessment Reduction $78,545 Homestead Exemption $25,000 Second Homestead Exemption $25,000 Senior Homestead Exemption $30,831 Widow Exemption $500 Civilian Disability Exemption $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 505 FIFTH FLOOR UNDIV .0087% INT IN COMMON ELEMENTS CLERKS FILES 64R-124472 Generated On: 12/6/2019 Taxable Value Information 2019 2018 2017 County Exemption Value $0 $0 $81,831 Taxable Value 1 $115,4711 $128,301 $0 School Board Exemption Value $0 $0 $26,000 Taxable Value 1 $115.471 $128,301 $55,831 City Exemption Value $0 $0 $51,000 Taxable Value 1 $115,471 $128,301 $30,831 Regional Exemption Value $0 $0 $51,000 Taxable Value 1 $115,4711 $128,301 $30,831 Sales Information Previous OR Book- Price Qualification Description Sale Page 06/28/2019 $137,000 31508-2706 Qual by exam of deed Corrective, tax or QCD; min 04/10/2017 $100 30510-4373 consideration 11/18/2013 $103,000 28925-3824 Qual by exam of deed Corrective, tax or QCD; min 11/14/2013 $100 28925-3821 consideration 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 i APARTN1EW'- WORK REQUEST APPLICATION Unit Owner's Name �ll�rt-zG__ from the Board of Dire — ollowing I hereby request approval performed by of licensed modification or alteration to my unit that will be p contractor. Electrical work Plumbing work Carpet installation **Windows n+u wr .v n rk Tile installation �C iopt 12-t Description of the work upgrade our apartment (other than paint or carpet) you must Before you decide to Y obtain permission from the Board of Directors and/or Miami Shores Village. A copy Hof the plans, specifications and permits, and a rand approvalption of the rby the work to'be performed must be submitted fo Miami Shores Village Building Department (305-795-2204). It is the owner's responsibility to ensure that te c ontractor removes all debris. it placed in the dumpstersexcess construction material or buildingebris. It canno **Window frames must be gray in color to look like earluminum windows must be Two (2) panels over Two (2) panels. Glass must be to the I, as the unit owner acknowledge responsibility the rleCondominriurn Incr. personal injuries that may occur during Project The Shores its officers and employees are in200.00 deo way responsible equired andawill bee or theft efunded if apartment or my belongings. (A $ P no damage to the property is reported.) I fully understand and agree to the statements made above. Date Unit oer's signature _. Approved by: Date: �9 a is Miami Shores Village Buirding 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 isbeing done): 1700 NE 105 STREET APT. #505 City: Miami Shores Village County: Miami Dade zip code: 33138 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 CLAMATEMASTER MANUFACTURER BOSCH V22-12 AHU or PKG. UNIT MODEL # SV0241VTCFRTP COND. UNIT MODEL # KW HEAT 2 TON NOM TONS 2 TON AHU CU PKG 14 1) M.C.A AHU CU PKG AHU CU PKG 20 2) M.O.P AHU CU PKG 20 AHU CU PKG 208/240 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER 13, z-f YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT ES NO YES NO NEW 4"CONCRETE SLAB YES 0 YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES N 1. Minimum Circuit Ampacity (Wire Size).. 2 3 10 Maximum Overcurrent Protection (FuseJBreaker Size): 20 Voltage of Circuit (208/240/480): 208/240 4. Size Disconnecting Means: 20 Contractor's Company Name: MIKE'S AC SERVICE Phone: 305 751-5814 State Certificate or Registration No... 3 19 Ce`i cate of Competency NoXNA Signature YDate: (Qualifier's signature) 0 (Rev1sed02/24/2014) Certificate of product Ratings AHRI Certified Reference Number: 7931924 Date: 12-06-2019 Model Status: Discontinued Old AHRI Reference Number : Product : Water -to -Air and Brine -to -Air Model Number: SV024-1VT/CFIHZ'-*—P"B Brand Name : BOSCH Rated as follows in accordance with ANSI/AHRI/ASHAREIISO 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: Air Flow Rate - Cooling: Air Flow Rate - Beating: WLHP (Water -Loop Heat Pumps) Cooling Capacity (Btuh) Cooling EER Rating (Btuh/watt) Cooling Fluid Flow Rate (gpm) Heating Capacity (Btuh) Heating Cop (watbWatt) Heating Fluid Flow Rate (gpm) GLHP (Ground -Loop Heat Pumps) Cooling Capacity (Btuh) Cooling EER Rating (StuhWatt) Cooling Fluid Flow Rate (gpm) Heating Capacity.(Btuh) Heating COP (watt/watt) Heating Fluid Flow Rate (gpm) Indoor Blower Motor Fan Type : PSC Sold In? : USA, Canada Full Load Part Load1 850 .23400/23400 13.40/13.40 6.00 26600126600 4.40/4.40 6.00 25000/25000 15.50/15.50 6.00 17000/17000 3.40/3.40 6.00 Part Load2 Part Load3 Where rating stows valuelvalue, the first value is at minimum voltage, the second value is at 230v for a dual volt system. tModels with "Discontinued" Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer selling or offering for sale. Ratings that r•e as omoanied by WAS indicate an involuntary re-rPre. The new Dublished rating is shown slona with the previous (i.e. WAS) raF.no. 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.ahrldirectory.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.ahridlrectory.org, dick 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.: 132201428072290583