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MC-19-2721Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 9800 NE 13TH AVE, Miami Shores, FL 33138 Contacts Permit NO.: MC-1 1 -19-2721 [) LD i1� Permit Type: Mechanical -Residential Work Classification: A/C Replacement Permit Status: Approved Issue Date:12/05/2019 ) Expiration: 06/02/2020 Parcel Number 1132050090280 STUART LILLY Owner 9800 NE 13 AVE, MIAMI SHORES, FL 331382504 CHANIN MECHANICAL Contractor DREW CHANIN 1965 71 ST, MIAMI BEACH, FL 33141 Business: 3058651729 Description: EXACT REPLACEMENT OF 15 TON SPLIT SYSTEM Valuation: $ 7,440.00 Inspection Requests: 305-ti 4949 WITH 1 SKW HEATER TotalSq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $4.80 DBPR Fee $3.91 DCA Fee $2.60 Education Surcharge $1.60 Permit Fee $210.40 Scanning Fee $3.00 Technology Fee $6.51 Total: $282.82 Building Department Copy Payments Date Paid Amt Paid Total Fees $282.82 Check # 9418 11/14/2019 $50.00 Check # 9492 12/05/2019 $232.82 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 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. Authorized Signature: Owner / Applicant / Contractor / Agent Date December 05, 2019 Page 2 of 2 I A"' f Miami Shores Village IAv Building Department spot r noN Nov � � �10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ��� �� Tel: (305) 795-2204 Fax: (305) 756-8972 Al INSPECTION LINE PHONE NUMBER: (305) 762-4949 F B C 20N141 t4c i i_rq. BUILDING ��\ Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS pp / JOB ADDRESS: �O�.0 ♦.i 2 /0 0Ve- City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: // ",3205 — (9DO!j • C2-94s the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Names (Fee Simple ,le Titleholder): z-d..-77z eholder): sp` �/ %/— Phone#: ! � Address: e6e � / 2— 49 ooqV z-- City: /(r_&2 2'z Tenant/Lessee Name: Email State: CONTRACTOR: Company Name: C�/3y'Iy(rfy fTL7C� Address: City: / (2 f /State• ' Qualifier Name: _ �w/ 7117 M' C_/� 174?007/C State Certification or Registration #: DESIGNER: Architect/Engineer: Address Value of Work for this Permit: Type of Work: ❑ Addition Description of Work: -7, q q 0 i- aeration Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ Permit Fee $ Radon Fee $ ip: x3s/3p hone#: Phone �_ S'(o � l Zip: �3 / Phone#: u?- QS 06 -s-f 71 Certificate of Competency #: hone#: City: State: Square/Linear Footage of Work: ❑ New epair/Replace Training/Education Fee $ i CCF $_ DBPR $ Zip: ❑ Demolition S Tii A_ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 23z2 ' 8 2— (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. Signature ~ OWNER or AGENT (The fDegoing instrument was acknowledged before me this day of J1QVt*bP# 20 J by 1� w , who is personally known to me or who has produced jQ"AN- U(JIMSQ., as identification and who did take an oath. NOTARY PUBLIC: Sign Print: Signature!( �- - ) CONTRACTOR T`he'fdr-egoing instrument was acknowledged before me this day of N0-ye '6tr 20 J by U a� �j�laYltY1 who is personally known to me or who has produced produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: C262, ROOM Seal: CHAD CHETRAM Seal: - ' ;`'�r�l; CHAD CHETRAM MY COMMISSION # GG070596 •: MY COMMISSION # 1313070596 �?�af ,c EXPIRES February 07, 2021 EXPIRES February 07, 2021 i r APPROVED BY \1\ Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk V1 jr� `/y bin ` J ;r t:. AIR CONDITIONING REPLACEMENT DATA Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out be on its own data sheet. Multiple units on single sheets are not acceptable. must Job Address (where the work is being done): !Fd d 11_ City: Miami Shores Village County: Miami Dade Zip Code: ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID C • •%h ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD 4T44W f. B A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMI ALj 0,� • AHRI DATA SHEET REQUIRED goes Change disconnecting means: YES ❑ NO [" �ARHI Sheet Attached: YES 2 NO 2. 3. Minimum Circuit Ampacity (Wire Size) Maximum Overcurrent Protection (Fuse/Breaker Size): 0 q„. Voltage of Circuit 208 40/480): Jo I V % 4. Size Disconnecting Means: `U AIM? k5(AA1Lec, Coatract Attached: YES COntractoes Company Name: C h*u /A/ JVXff" Lc Phone: State Certificate or Registration No. /�/ %mCertiflcate of Competency No. Signatures + Date: / (Quali r' signature) c IIA lnn, M Certificate of Product Ratings AHRI Certified Reference Number: 10360207 Date : 11-14-2019 Model Status: Active AHRI Type: RCU-A-CB Series: PERFORMANCE 17 AC 2-STAGE Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24ACB748A"031" Indoor Unit Model Number (Evaporator and/or Air Handier): FV4CNB006L Region : All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, 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) • • * • •'' • • Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed Ph" "I"ons i • • • • • until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed ill MWIrs) for0200 • which they meet the regional efficiency requirement. • • • • • • The manufacturer of this CARRIER product is responsible for the rating of this system combination. • • • It • • • • Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unif4jb •; • Air -Conditioning,& Air -Source Heat'Pump Equipment and subject to rating accuracy by` AHRI- spohs, ored; indep8i�jltt; lhiib party testing: Cooling Capacity (A2) -.Single or High Stage (95F), btuh.: 48000 (! " I , • • • • • • SEER! 17.00 " a EER (A2) - Single or High Stage (95F) : 13.00 ` • • 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. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new published ratina is shown alona with the Drevious (i.e. WAS) ratina. 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.ahridlrectory.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.ahridirectory.org, click on "Verify Certificate" link tie r ake 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 CERTIFICATE NO.; f32182209046434580 11AAR �dlv me Eno A &C, YnIfum- fcF d 8 N N �M WOR Inhums; Ad i� %vKh hHuming enndlHens and spwAradouR - F''Pon - wry 1 GuSpashy'v tIrsi( - , �' ( 0 3, Ail - Air Amadjer in W ingsued on new alumlll?Ur %tWld Willh SO.'OfldiWy drIAIL. PMi, fn: a-A";iJug lou"I'dation MING: TAN A 16 exit. il,* F rer�,,l 1"dws, J mill so„w� Candcasm Qv—,fl-mr Safc-,y Sv--ftch jQ-ly ZI, Digi-;A �Hca Coil 4 duc, -'suck -v.,Ak " IUPC. �Z. '0ft r I I - ..V'. i 1"'y -A1 Rputiis OutleTs s do-scvibcd'. UV sv;qcnl: al-d Licensk-ti; lleae soNote Las! Page. I. 'vm porn IN "l-"uw'f •IryV � llttrol,�m? ra�wings • A3ernm tiv, —i­ C, ker -i'l-'r.7n;vL�nt Raiser 13' NO SORMANVAP: Q)Ur %work ivot he twrOrmexi & tK M.'-'Ist and 'AtN') SLRVICE� -it , -'v1It H nod le%t tine k10 t4 "'n'an f... and ols UASHaseh Cal quafifl 2. AU., eq'u;.pY1ievr' materia: and tiabor hfrnishe4t b Chaii-.',P, N'llechankah UQ OR henr a Dnkl" -warrant? flum the dale of jWj,U,n, aping kA*t.­, in ana niove.rhx.t. T,a,, tk; 117Ut-.-.Waing' rzp'lacttment 110a,ts, -ey :.� Celpies of the juninif etax 'o You v-,i.ni vvq1 bp} "�vjlplied Urollethp cyl;Pment, 1, Qa WEI PnP4aVSMSkC Lmder oar norimalworkit!g Nvarraply lwrviee doex MCI belude inkintenance such as Suem, pm or bw NVP40MON. insiWation wc wo take aP reasonable J)recauainias to 1�rofocL -,df Pvrsans AnA <o .Ivoio c IN(, iiK'Mc "iareAgr�(; iin"!W evew of delivery ;x insta-111:1.tion dela:-_v , A iv ve- u rem.Ans -with',Chaai�l NImhankh NO unil OR mums dae 0 Clan" been Paid. that this propmal son uarenUm agre�"I=Al and L.C. as an indqmadent Pa alld '!Ot I". RA fgk­'l. of uu'- 5. BY P1TPn.z MID beaguc a e­)nbraet I*Oveed Chu Rill NUCh.'Inical, LA", IT Accepted b' yov), in xwua eV our itjityquthorize6 rv:pvzse"N.1h'-k. Ae cmul MCIUKOV;gvy V'.rn-j oy toj AA of vq" "7 In ke im itited iaz:� po Fse%sinn o T 030; eq uij)mc-a L I urni,' di'YIAI p'ty.yu:it! in xUadc' i" 19oi wkadt to" llgS vedy file hia3 huvthe riqgy'hti Q1. ? SWOO and Se SELLER = Oe hcW '&-larm less fOr 321�-- daknagc re%ulfiag rroirt mmoviti tbere,)L .. #Y'ra'i'tC 11H amums OFUM pumbne slvklll, b�cotrke dae and payAoe Wkwhk Am Nty nnd 01.in"uunt Prid F.A'tall be natAped by zhe Sf!UA-,R as liquidated dZillagts aflil zto! -cis Ps"Hy- �.n flhe oe 4:!A'_L!T bl'purchasen pees loser agrees to SeHer's rvasunabb A 1NrnqOA Ass and COM OddOW themtO, "�e Z� A% M OW Qq SwAr AM uw he rnp"Bhk of nny debys in ddiver�' ofir:M..Rafiva as aresult of Gym, canon UAX Gf fj.c tmmr vaks or mc& venature brins the convi or tv WWI V hvi�nily iii appro%;VIA':Civ —da-s from. age ihile of our avymvml of C'ovtm��t AM(Wilt. *� i�AdP.'Ioriaj for 'i;v Lk'L , :onzinge.�a ;an 0") addi0o;cu!t 'ola wa4-., "FlOtick.- tx�rwiit )f.fte pric". does "t'ja V Ws kpx--Vte j? -j C-1 1-4 4:0 M:W-Mos- it 3 eei-s9fen"d by I'm; proposal is aCCfN',tCG OV Av- '` CC)I `E® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/4/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the c ficate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 1 AIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate do not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT International Insurance Center NAME: 7990 SW 117 Ave JAIc, Ng PHONE . 305-279-5446 Ste 209 ' E-MAIL FAX No): 305-279-4045 Miami FL 33183 ADDRESS: maria iic.CC A: INSURED Chanin Mechanical LC 1965 71 st Street Miami Beach FL 33141 Berkshire Hathawav GUARD 10948 �UVCrwt,1tb CERTIFICATE NUMBER:596046986 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL S BR LTR TYPE OF INSURANCE POLICY NUMBER MMIDO EPF NYYYI MWDD EXP LIMITS A X COMMERCIAL GENERAL LIABILITY Y ACP3009283763 6/20/2019 6/20/2020 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE FX7OCCUR PREMISES Ea occurrence $ 100,000 —" — MED EXP (Any one person) $ 5,000 — - PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JEIT 7 LOC PRODUCTS - COMP/OP AGG 1 $ 2.000.000 B _ ..._... AUTOMOBILE LIABILITY ANY AUTO I CHAU032377 , 6/2012019 6/20/2020 COMBINED SINGLE LIMIT Ea accident $ $ 500,000 BODILY INJURY (Per person) $ OWNED SCHEDULED X AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE DED RETENTION $ C IONILIT AND KERS EMPLOYERS, ANDEMPLOYERS' LUU31LnY LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBEREXCLUDED? (Mandatory in NH) N/A AWC1128241 4/28/2019 4/28/2020 PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,00 E.L. DISEASE - EA EMPLOYEE $1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1.000.00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Mechanical Contractor License numbers: CAC056292 & CAC1819087 Certificate holder listed as additional insured in regards to the general liability CERTIFICATE Miami Shores Village 10050 NE 2 Ave Miami Shores Village FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 009071 Local Business Taxfleceipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7288750 BUSINESS:NAMB(LOMON. - - CHANIN MECHANICAL LC 1965 71 ST ST ? MIAMI BEACH FL 33141 i LBT RECEIPT NO. EXPIRES >NEWAL SEPTEMBER 30, 2020 77546 Must be displayed at place of business Pursuant to County Code 0., 0 Chapter 8A - Art. 9 & 10 JR, OWNER SEC. TVI E OF BUSINESS ' CHANIN MECHANICAL LC 196 SPEC MECHANICAL CONTRACTOR TAX COLIECTO TRECEIVED BY TAx C/O RYAN CHANIN QUALIFIER CAC1819087 R $45.00 09/16/2019 Worker(s) 1 FPPU08-19-014875 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec as-276. For more information, visit www.miamidade.govRaxcollector i STATE OF FLORIDA DEPARTMENT OF BUSIN THE.CLAS5 Halsey Beshears, Secretary d b-',apr NAL REGULATION Always verify licenses online at MyFloridaLicense.com Do not after this document in any form. A D UNDER THE This is your license. It is unlawful for anyone other than the licensee to use this document. 11/4/2019 Property Search Application - Miami -Dade County Address Owner Name Folio SEARCH: 9800 NE 13 AVE Suite ............... - ------ ------------ PROPERTY INFORMATION Folio: 11-3205-009-0280 Sub -Division: EARLETON SHORES Property Address 9800 NE 13 AVE Owner STUART LILLY &W JANET Mailing Address 9800 NE 13 AVE MIAMI SHORES, FL 33138-2504 PA Primary Zone 1400 SGL FAMILY - 3001-3250 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 4/4/0 Floors 1 Living Units I Actual Area 3,935 Sq.Ft Living Area 3,616 Sq.Ft Adjusted Area 3,660 Sq.Ft Lot Size 12,371.5 Sq.Ft https://www.miamidade.gov/Apps/PA/propertysearch/#/ V7 11/4/2019 Property Search Application - Miami -Dade County Year,Built 1963 Featured Online Toots Comparable Sales Glossary PA Additional Online Tools Property Record Cards Property Search Help Property Taxes Report Discrepancies Report Homestead Fraud Special Taxing Districts and Other Non -Ad valorem Assessments Tax Comparison Tax Estimator TRIM Notice Value Adjustment Board ASSESSMENT INFORMATION Year 2019 2018 Land Value $467,369 $445,749 https://www.miamidade.gov/Apps/PA/propertysearch/#/ 2017 $445,749 2/7