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MCC-20-124Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 full Permit NO.: MCC-01-20-124 Permit Type: Mechanical - Commercial Work Classification. A/C Replacement Permit Status: Approved issue Date: 01/27/2020 L Expiration: 07/27/2020 Location Address Parcel Number 723 NE 91ST ST 1C, Miami Shores, FL 33138 1132060440090 Contacts Eduardo Caram Owner COOL HOUSE CORP Contractor 850 NE 70 ST 1C JUAN C CASTILLO Business: 3057203981 coolhousecorp@gmaiI.com Other:3057203981 Description: CHANGE OUT EXACT (2TONS) Valuation: $ 2,200.00 Inspection Requests: 305-762-4949 TotalSq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $117.90 Building Department Copy Payments Date Paid Amt Paid Total Fees $117.90 Credit Card 01/17/2020 $50.00 Credit Card 01/27/2020 $67.90 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 AFFIDAVIT: I certify that all the foregoing info ation Krris accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futmore?-.Wthorize tre above named contractor to do the work stated. Authorized Signature: Owner ! Applicant / Co4actor / Agent Date January 27, 2020 Page 2 of 2 02° BUILDING PERMIT APPLICATION 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 ❑ ELECTRIC ❑ ROOFING y JAB 1 ZO't0 BY. � FBC 20 ` ( t� Master Permit No. 1ACC 0 Zb �I Z 1 Sub Permit No ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBINGMECHANICAL ❑PUBLIC WORKS [] CHANGE OF ❑ CANCELLATION [:]SHOP T CONTRACTOR DRAWINGS ,� 7� A "'1y �t s� I+G Na JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 331 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): t Address: ne#• ass) I�0 —T7 City: _ cCA %&), VQ� State: 'Ir-1- Zip: -2': D Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: _ l�S�Q� Phone#: Addr City Quall State Certification or Registration #: DESIGNER: Architect/Engineer: Address: Value of Work for this Per it. $ Type of Work: ❑ Additi n ❑ Description of Work: ` Certificate of Competency #: Phone#: City: State: Zip: "1lJO Square/Linear Footage of Work: ►Iterati ❑ New Repair/Replace ❑ Demolition J'n. ,r =- ni ,ems �' Z �d N S Specify color of color thru tile: Submittal Fee $Sd 1 Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatur Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of 20 . by ylxm� u _ , w o is personally known to me or who has produced �-�OSG ?,do-64 WrVas identification and who did take an oath. NOTARY PU Sign: Print: Seal: JUAN C. CA al'o ?r Nt MY COhIMISSION FF 9491M g.: EXPIRES: May S, 2020 .�,�f_h,,.'• Bonded Thru Navy Public Underwdim The foregoing instrument was acknowledged before me this day of r 20 by a�� /a w personally known o me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: � Nohry PubNc$fir�i of Florida Raise Garda -Denis �i MY Cd7Mr1";Cn GG 287W4 ExPir"01"M028 A �rrrrV APPROVED BY "Plans Examiner --A y V 1 7 Structural Review as Zoning Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 1 tv OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-044-0090 Property Address: 723 NE 91 ST UNIT: 1C Miami Shores, FL 33138-3243 Owner EDUARDO CARAM Mailing Address 850 NE 70 ST MIAMI, FL 33138 USA PA Primary Zone 5000 HOTELS & MOTELS - GENERAL Primary Land Use 0407 RESIDENTIAL - TOTAL VALUE: CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 2/2/0 Floors 0 Living Units 1 Actual Area Sq.Ft Living Area 846 Sq.Ft Adjusted Area 846 Sq.Ft Lot Size 0 Sq.Ft Year Built 1949 Assessment Information Year 2019 2018 2017 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value $112,926 $109,199 $129,688 Assessed Value $112,926 $109,199 $103,335 Benefits Information Benefit Type 2019 2018 2017 Non -Homestead Cap Assessment Reduction $26,353 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description SHORES PLAZA EAST CONDO UNIT 1C - 1ST FLOOR UNDIV .01907% INT IN COMMON ELEMENTS CLERKS FILE 73R213197 Generated On : 1/13/2020 Taxable Value Information 2019 2018 2017 __...... _... .____ County Exemption Value $0 $0 $0 Taxable Value $112,926 $109,199 $103,335 School Board Exemption Value $0 $0 $0 Taxable Value $112,926 $109,199 $129,688 City Exemption Value $0 $0 $0 Taxable Value $112,926 $109,199 $1 33,335 Regional Exemption Value $0 $0 $0 Taxable Value $112,926 $109,199 $103,335 Sales Information Previous OR Book - Price Qualification Description Sale Page 31075- 07/19/2018 $140,000 Qual by exam of deed 0402 28274 09/12/2012 $79,000 Qual by exam of deed 2963 20300- "03/01/2002$50,000 Sales which are qualified 2050 00000- Sales which are disqualified as a result 03/01/1993 $0 00000 of examination of the 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://www.miamidade.gov/info/disclaimer.asp Version: https://www8.miamidade.gov/Apps/PA/propertysearch/ 1 /13/2020 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 singlesheetsare not acceptable. Job Address (where the work is being done): / 23 N C !� SV ` �- `� \--(— 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 Sheet Attached: YES` NO ❑ Contract Attached: YES K UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # (. COND. UNIT MODEL# d S KW HEAT Z NOM TONS NS. AHU CU PKG 1) M.C.A AHU ly CU t PKG AHU Cu PKG 2) M.O.P AHU a0CU PKG AHU CU WPKG 3) VOLTS AHU ZaCU,7MPKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YESX NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 4 2. Maximum Overcurrent Protection (Fuse/Breaker Size): �y 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: Phone: State Certificate or j, Certificate of Competency No. Signature Date: '�\ (Qualiflers sign r (Rev1sed02/24/2014) 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 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 ACKNOWLEDGE 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 2—\ day of , 20. By l 1�� who is personally known to me or has produced q"s identification. Notary: 11 EXPIRES: May S, 202W SEAL: ^�,�..,� 'FRand—sTritiftm PublicUndenrriten COOL HOUSE CORP AIR CONDITIONING AND REFRIGERATION SERVICES &MAITENANCE 305-720-3981 & 786-619-6604 Date:January 20 2020 State of Florida Miami Shores Village Berfore me this day personally appered Oa -ice (2 /� A who being duly sworn,deposes and says: Tha he or she will be the only person working on the project located at: Sworn to (or affirmed) and subcr; e�ipefore me this day ofL20 ZO by �t�2Lc— �l_/f�j Personally Know v Or Produced Identification x Type of Identification Produced Print,Type o amp Name of Notary �r Notary Pubk State of FlorWe +� Raisa GWd6.00ft • ,� My Cooxn"m 00 207944 a ExpWa 01/02/2023 SHORTS PLAZA ]EAST CONDO, NIiJM ASSOcI;.TiON January 14, 2020 Miami Shores Village Building Dept. 10050 NE 21 Avenue Miami Shores, FL 33138 Dear Sir / Madam: This letter will serve as your confirmation that contractor "Cool House Corp" has been hired by the owner of Apt. 1C, at 723 NE 91 Street, Miami Shores, FL, and is authorized by the Board of Directors of the Shores Plaza East Condominium Association to replace (swap out) the units central A/C system. Should you have any questions regarding the enclosed, please feel free to contact the condominium office. Sincerely yours, Carlos Talavera Vice -President Shores Plaza East Condominium Association G-Drive/Forms/Repair Remodel 745 NE 8 Avenue Miami Shores FI 305.759.9069 info@shoresplazaeastcondo.com