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MC-20-528Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 03/12/2020 Location Address Parcel Number 1183 NE 99TH ST, Miami Shores, FL 33138 1132050180090 Contacts Permit NO.: MC-03-20-528 Permit Type: Mechanical - Residential Work Classification. A/C Replacement Permit Status: Approved Expiration: 09/08/2020 WILLIAM & NORA TENNEY Owner MIKE'S AC SERVICE INC Contractor 1183 NE 99 ST, MIAMI SHORES, FL 33138 MIGUEL MAYTA P.O.BOX 4384, MIAMI BEACH, FL 33141 Business: 3057515814 Other: 3059860702 Description: REPLACE 3 TON AIR CONDITIONING & HEATING Valuation: $ 5,250.00 Inspection Re uests: 305-4949 SYSTEM. EXACT CHANGE OUT IN THE SAME PLACE Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $3.60 DBPR Fee $2.76 DCA Fee $2.00 Education Surcharge $1.20 Permit Fee $133.75 Scanning Fee $9.00 Technology Fee $4.59 Total: $206.90 Payments Date Paid Amt Paid Total Fees $206.90 Check # 1766 03/10/2020 $50.00 Credit Card 03/12/2020 $156.90 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, I authorize the above named contractor to do the work stated. � I�f 1 1c� S l Z- 1 Authorized Signature: Owner - / Applicant / T C ntractor / Agent Date March 13, 2020 Page 2 of 2 Ij BUILDING t,AtI PERMIT APPLICATION Miami Shores Village ENTERED Building Department MAR 10 2020 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795-2204 Fax: (305) 756-8972 WS-SPEC I Itih-fi ? 40fe t WUIME ER: (305) 76Z4949 FBC 201 --N Master Permit No. M C-o 3- 2o - 626 Sub Permit No. BUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION RENEWAL PLUMBING Q MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1183 NE 99th Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3205-018-0090 Is the Building Historically Designated: Yes NO NO Occupancy Type: SF Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): William D Tenney Le Phone#:305 308-4639 Address-.! 183 NE 99th Street City: Miami Shores state: Florida Zip: 33138 Tenant/Lessee Name: Email: %/�% / 1z d CONTRACTOR: Company Name: Mike's AC Service Phone#: 305 /51-5814 Address: 775 NE 79th Street Suite H City: Miami State: FL Zip: 33138 Qualifier Name: Miguel Mayta Phone#: 305 751-5814 State Certification or Registration #: DAD 039619 DESIGNER: Architect/Engineer: N/A Certificate of Competency #: City: Value of Work for this Permi : $ 5,250.00 Square/Linear Footage of Work: Type of Work: ❑ Addition 'ratio ❑ New Repair/Replace Descriotion of Work: Replace 3 ton air conditioning & heating system. Exact change out in the same place S,tz�rr i color of color +hru bile: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Permit Fee $ Radon Fee $ Training/Education Fee $ State: Zip: ❑ Demolition CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ _ p� 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 N/A N/A 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 curisiruciiuri ill this jurisd►ctioll. I understated that a separate perrrlA must be secured `rut 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. IfIfWIFIVSi'ai1> ING Ty iifi,���: i�OvD _CA iLv�� Tv' 'D�r..v®v _r�i i,�v 7 i � vi �.vi�l�dd.`A=`i `�T �Y 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." R{:.-.. w.r.. A...-...I...-.-....t, aF .+ ........-r:a:.�.,... a a!- 'M-•;•,....,,..s.. i I..,:1.J;..,... »,....-:k ...;ah E ....w •a+..�.. ..e.�..1.. �{ r... tfcnA aL.. I ..♦ .-a ..:-...0.�4.. w ..p}Fi.+....... c, ..� w....�. w.<i.ii. s.r ............u...... 1 ..r .......:...rs �a......a rr.a....,r ..,......-C t.x...... .rf y ..,..., <.... uY�.,.::....t r....... 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. _ r OWNER or AGENT CONTRACTOR ; The foregoing instrument was acknowledged before me this day of 20 r'v� by 01OL1 who is nercnnallv.kcuawn to me or who has produced identification and who did take an oath. NOTARY PU UC: Sign. Print: Seal: SINDIA ALVAREZ MY COMMISSION # GG 238273 EXPIRES: September 3, 2922 PF F ,•' Bonded Thru Notary Public Underwriters APPROVED BY The foregoing instrumd4P�­C�-� as acknowledged before me this l day of 20 by 1 C,—,1rELt � � . who k nprtnnally known to me or who has producedas identification and who did take an oath. NOTARY UBUC: Pont: Seal: •S.PYP SINDIA A MARE MY COMMISSION # GG 238273 EXLIEtFIsa:+`iePtdR!b�f 3,�2022 S.FOF F�°."•' Bonded Thru Notary Public Underwriters !Tans Examiner Zoning (Revised02/24/2014) Structural Review Clerk Summary Report Information (Folio: 11-3205-018-0090 1183 NE 99 ST Property Address: Miami Shores, FL 33138-2640 NORA M TENNEY LE WILLIAM D TENNEY LE Owner REM DAWN TENNEY HUCKESTEIN REM BRIAN ROBERT TENNEY 1183 NE 99 ST Mailing Address MIAMI SHORES, FL 33138 USA PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ 0101 RESIDENTIAL -SINGLE Primary Land Use FAMILY: 1 UNIT Beds / Baths ! Half 2/2/1 Floors 1 Living Units 1 Actual Area 2,590 Sq.Ft Living Area 1,904 Sq.Ft Adjusted Area 2,224 Sq.Ft Lot Size 11,364.5 Sq.Ft Year Built 1953 Information (Year 2019 2018 2017 (Land Value $429,988 $408,765 $408,765 Building Value $166,800 $166,800 $154,790 XF Value $960 $960 $960 Market Value $597,748 $576,525 $564,515 Assessed Value $183,474 $180,053 $176,350 Benefits Information Benefit Type 2019 2018 2017 Save Our Homes Assessment $414,274 $396,472' $388,165 Cap Reduction Homestead Exemption $25,000 $25,000 $25,000 Second Exemption $25,000 $25,000 $25,000 Homestead Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description REV PL MIAMI SHORES SEC 8 PB 43-69 LOT 20 BLK 178 LOT SIZE IRREGULAR OR 15352-524-25 0192 4 Generated On: 3/9/2020 Taxable Value Information 2019 2018 2017 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $133,474 $130,053 $126,350 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $158,474 $155,053 $151,350 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $133,474 $130,053 $126,350 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $133,474 $130,053 $126,350 Sales Information Previous OR Book - Price Qualification Description Sale Page 11/15/2019 '$10031724 Corrective, tax or QCD; min consideration 3937 01/01/1992 $0 00000- Sales which are disqualified as a result of 00000 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 ERTIFIED ww ahrld rect ry.org �� I•' r 1 I 1 I� ,•� I I'' ,�I 1 This Combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. F�'OC9�9C'� �m�0n�lIS AHRI Certified Reference Number: 8627033 Date: 03-09-2020 Model Stat R v AHRI Type: RCU-A-CB + Series: SILVER 16 Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : 4A7A6036J 1 Indoor Unit Model Number (Evaporator and/or Air Handier) : TEM6AOC42H41+TDR �• !,�,�,' -Region: _ Adt 1,. AL, AR,. AZ, -CA, rn, yT..�, �, F=, G& l-it, ID, ti . MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) 000000 • • • • • Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed inn-Py jeq- • • • until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in iggjgtlW for • which they meet*JAL-rcional-fftcicncy t quIrerrcn - • • • • •••• •••••• The manufacturer of this AMERICAN STANDARD product is responsible for the rating of this system combination. •: • •: • Rated as follows in accordance with the latest edition of AHRI 210/240 with Addendum 1, Performance Rating ot•UnitaryAir-Concytionj1tg & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third pa4 teFi ft: • • • •• • •••• Cooling Capacity (A2) - Single or High Stage (95F), btuh : 35000 • 0000 • SEER: 17.00 EER (A2) - Single or High Stage (95F) : 14.50 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 selling or offanng for sale_ Ratinos that are accompanied by WAS indicate an involuntary re -rate. The new published ratina is shown alono 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), orthe unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at tvww.ahrldirectory.org. TERMS AND CONDITIONS n r This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and L confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copied; disseminated; ���-ry+�.�' �❑ 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, HEATI CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verity Certificate" link Nw make life bean"' 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. — — - — — ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1322825385157919a t- Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 i-ax: j365 j i 56.&9 i 2 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. Muitipie units on singie sheets are rrcl acceplabie. Job Address (where the work is being done): 1183 N E 99th Street City: Miami Shores Village County: Miami Dade Zip Code: 33138 -At tali rWA[C1Wr IIIJITC RAI tCT RV [1AL A. & 1AIru.cni_iin.rniuf RET; c) AR ...._ .ate w.+.+.w..a^ re.+.-_mow_-v �.�:w aw._..e..., a..re _-.a.,. � � a ..an s- ..av a.� .-:. _. __ J.>e aa. c_ aw.a.a...aa,� - . mt.=s.c....Q.:,�.i• f'T ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVAtIOa'�.... ...... • A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS . . . AHRI DATA SHEET REQUIRED ' • • • % .... ...... Change disconnecting means: YES ❑ NOW ARHI Sheet Attached: YES K NO ❑ ConlNct AttacAea? YES K • . . . • UNTr BEING -REPLACED DATA • • UNIT • • • AMERICAN STANDARD MANUFACTURER AMERICA1 STANPARD 2TEE3F40A1000AA AHU or PKG. UNIT MODEL # jEM ROC42H4'jSB.. • 2A7A4036B1000AA COND. UNIT MODEL # ?A*IA6836J1000A►. • 10 KW KW HEAT 10 KW • • • • 3 AHUikqCU20 PKG NOM TONS 1) M.C.A 3 AHU 1i4aU / J4 PKG AHU 41ZUPKG 2) M.O.P AHU,( CU30 PKG AHU CU PKG 3) VOLTS 2 t"i AHU r'CU v PKG PKG UNIT / / PKG UNIT EER/SEER 1 YES NO .!.REPLACING YES NO -DUCTS YES N REPLACING THERMOSTAT NO YES NO NEW 4"CONCRETE SLAB YES -f YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES 1 Minimt-im. irrt)it. A, mn.arit_%-, (i .irp si7a). 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 208/240 4. Size Disconnecting Means: •N MIKE'S AC SERVICE 30.5 751-5814 State Certificate or Registration No. CAC 039619 Certificate of Competency No. Signature Date: (Qualiflees signature) ' � / )P_ (Revised02/24/2014)