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MC-19-1970Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1331 NE 103RD ST, Miami Shores, FL 33138 Contacts Permit NO.. MC-08-19-1970 D -�� ^—, Permit Tyre: Mechanical - Residential � �I h work Classification: A/C Replacement Permit Status: Approved Issue Date:09/25,/2019 1 Expiration: 03/23/2020 Parcel Number 1132050300130 James Benedek Owner 1331 103 CHANIN MECHANICAL LC Contractor RYAN CHANIN 1010 SHORE LN, MIAMI BEACH, FL 33141 Business: 3058651729 RYANMCHANIN@GMAIL.COM Description: EXACT REPLACEMENT 3.5 TON Valuation: $ 5,700.00 nests: inspection Requests: -4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $3.60 DBPR Fee $2.99 DCA Fee $2.00 Education Surcharge $1.20 Permit Fee $149.50 Scanning Fee $9.00 Technology Fee $4.99 Total: $223.28 Payments Date Paid Amt Paid Total Fees $223.28 Check # 9243 08/27/2019 $50.00 Check # 9311 09/25/2019 $173.28 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 nstruction an oning. Futhermore, I authorize the above named contractor to do the work stated. Au orized Signature: Owner 44 Applicant / Contractor / Agent Date September 25, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION ❑BUILDING PLUMBING JOB ADDRESS: ❑ ELECTRIC V4ECHANICAL C 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 RECE I VED .ALS 2 7.213 FBC 201'7 Master Permit No. ��r' Sub Permit No. m c" u -io - e ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: 1,�� Folio/Parcel#:_ - B a) " 0 �0 - Q I Is the Building Historically Designated: Yes NO,� Occupancy Type: Load: Construction Type: 'SI ` Mood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ��A kig E- D �K� Phone# — rpz Address: 122!?71 i>ti 1016 .9*"f- City: 11fTf Tenant/Lessee Name: Email: 3 hRN A Min MeclVniea1 -!—CQ m CONTRACTOR: Company Name: Af111� iMi`�� �� G [DPhone#: 2,15•�S� Address: ,�1%5 7r sAf7t OSA 0 !7i� -17-SF7z /`f City: /A-mi 66AeV State: m Zip: :;� /4 / Qualifier Name: State Certification or 116gistration #: DESIGNER: Architect/Engineer: Address: Value of Work for this Type of Work: ❑ Additi� b Alterati Description of Work: rJ(N Phone Certificate of Competency#: Phone#: City: State: Zip: Square/Linear Footage of Work: ❑ New [►� Repair/Replace ❑ Demolition e-&ae-Mr=,v r at InI sair ?ysn�d Specify color of color it ru tile: Submittal Fee $ Permit Fee $ )49. 15 ® CCF $ 5.00 CO/CC $ Scanning Fee $ Radon Fee $ 9 . 0V DBPPR $ 9 • °I Ci Notary $ Technology Fee $. - 1 - I Training/Education Fee $ i�� Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ 1 �'�J• �O (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 t —x OWNER or AGENT The foregoing instrument was acqowleclgecl before me this S- day of S 20 J!Qby l4 (ArA- t91 Y1 who is personally known to me or who has produced 1)Y- VeAI _; (e IS•_ as identification and who did take an oath. NOTARY PUBLIC: Print: Seal: CHAD CHETRAM �•'. MY COMMISSION # GG070596 EXPIRES February 07, 2021 *************** APPROVED BY Signature CONTRACTOR The foregoing instrument was acknowledged before me this 2 day of 20, by Al'l 1 r who is personally knownn to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: MAM CHAD CHETRAM Seal: MY COMMISSION # GG070596 'M EXPIRES February 07, 2021 I i Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk 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 single sheets are not acceptable. Job Address (where the work is being done): _/ ?!3 J JV C i0 3 City: Miami Shores Village County: Miami Dade Zip Code: 3 13 % 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 ❑ Minimum Circuit Ampacity (Wire Size): _�$ 4 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 40 3. Voltage of Circuit (208/240/480): Z4 O 4. Size Disconnecting Means: �fy.kf! •� �:gcaG/V Contractor's Company Name: Phone: 4 ° 5' $ 6 S - ( 7; g State Certificate or Registr tion No. Certificate of Competency No. Signature Date: (Qualifier's signature) (Revised02/24/2014) This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 202024784 Date : 08-26-2019 Model Status: Active AHRI Type: RCU-A-CB Series: 16 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA16NA042*0**B* Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CN(B,F)005L Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, wV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. The manufacturer of this CARRIER product is responsible for the rating of this system combination. r— Rated as follows in accordance with the latest edkign of ANSI/AHRI 2,10/240 with Addenda 1 and 2, Performance Rating of Unitary Air-Conditionin & Air I` t I I ce Heat'Pum E w merit and su6'ect t ratin acetar b 'AHRI-sponsored; rode ndent : third �`a " testin 9, J--'�`�4r1 ... p q �P 1 9 9 �Y Y. f Pe P rtY g: Cooling Capacity (A2) =,Single or High Stage (95F), btuhi% 41WO SEERi 16.00 EER (A2) - Single or High Stage (95F) : 13.00 1 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. Ratings that are accomDanied by WAS indicate an involuntary re -rate. The new oublished ratina is shown alona with the Drevious (i.e. WAS) ralina. 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.ahridirectory.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, mm 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 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 [CERTIFICATE NO.: 132112984292622719 STATE LICENSED ANDINSURED CAC056292 J♦ Dim& Mechanical LC Air Conditioning Contractor "SALES, SERVICE & INSTALLATION" Marc , State of r..pajd* County of ADK PH: 305-865-1729 FAX: 305-864-1354 1965 71S`. STREET MIAMI BEACH, FL 33141 Before me this day personally appeared I w C41") who, being duly sworn, Deposes and says: That he or she will be the only person working on the projected located at: k ntractor Signature orn to (or affirmed) and subscribed before me this By 'Lh 06 VA it 0,orei day of 1, 20� J Personally known Z- OR Produced Identification Type of Identification Produced Print, lfype or Stamp Name of Notary 4� CHAD CHETRAM MY COMMISSION # GG070596 ?a. EXPIRES February 07, 2021 STATE LICENSED AND INSURED CAC056292 i s__i__.__r LC Air Condlt/oning Contmeftr "SALES, SERVICE E INSTA UnOM DATE: August 16, 2019 PH: 305-865-1729 1965 715' STREET MIAMI BEACH, FL 33141 We, the firm of Chanin Mechanical L. C., propose to furnish, install and service the air conditioning and heating system for: Benedek Residence Job located at: 1331 NE 103st - Miami Shores - Florida In accordance with following conditions and specifications: EQUIPMENT TYPE: Option #1: Carrier -3.5 Ton-R-410A- Seer 14.0 Qty [11 Condensing Unit - Model #CA14NA04200G Qty [11 Air Handler Unit - Model #FB4CNF042L00 with 8KW Heater, Soft Start Soft Stop Motor Option #2: Carrier -3.5 Ton-R410A- Seer 16.0 Qty [11 Condensing Unit - Model # CA16NA0420OG Qty [11 Air Handler Unit - Model # FV4CNF005L00 with 8KW Heater, Variable Speed Motor LOCATION OF EQUIPMENT: Air Handler to be installed in existing closet on a new stand Condensing Unit to be installed on Dade county approved hurricane stand PIPING: Will tie to existing Freon lines and existing drain lines WIRING: Will tie to existing high and low voltage wiring MISCELLANEOUS: Qty [11 Condensate over flow safety switch Qty [1] Honeywell T-6 Pro DUCTWORK: Will tie to existing duct work with fiberglass board RESPONSIBILITY: Each party as indicated will assume the following responsibilities; PURCHASER/SELLER Delivery, uncrating, assembly and erecting X Equipment Foundation (as described) X Duct/Work (as described) X Duct Insulation N/A Supply Outlets Existing Electrical Service Existing Wiring to Building Panel: Existing Wiring Existing Disconnect X Wiring of Existing Air Conditioning Control System X Cutting Holes N/A Redecorating Patching and Painting: X Piping (as described): X Local Permits and Licenses X Miscellaneous: Final Roof Seal N/A Miscellaneous: Test & Balance Report N/A Miscellaneous: Fire Rating N/A Miscellaneous: Thermostat X Miscellaneous: Structural Steel Supports for Curbs N/A Miscellaneous: Drain Line Existing Miscellaneous: Clearing out closets for excess X Miscellaneous: Installing full lover door for ac closet X WORKMANSHIP: Our work will be performed in the most professional manner and in compliance with existing governing codes and regulations. WARRANTY AND SERVICE: 1. After installation, our qualified representative will start and test the equipment and also provide instructions on the use of the equipment. 2. All equipment, material and labor furnished by Chanin Mechanical, L. C., will bear a one-year warranty from the date of installation, against defects in workmanship and material. The Manufacturer's warranties are limited solely to furnishing replacement equipment or parts, freight prepaid, upon the manufacturers inspection. Copies of the manufacturer's warranties are available to you and will be supplied upon installation of the equipment. 3. We will provide service under this warranty promptly during our normal working hours. Warranty service does not include maintenance such as filters, parts or fuse replacement. 1. During installation we will take all reasonable precautions to protect all persons and to avoid damage to property. 2. We will not be liable for damages in the event of delivery or installation delays, which are due to causes beyond our control. 3. Title to the equipment remains with Chanin Mechanical L.C. until all sums due to Chanin Mechanical L. C. has been paid. 4. It is understood that this proposal sets our entire agreement and is entered into by Chanin Mechanical L. C. as an independent party and not as an agent of the manufacturers. 5. This proposal will become a contract between Chanin Mechanical L.C. if accepted by you, and thereafter approved in writing by our duly authorized representative. 6. The proposal will be considered valid until: 30 days 7. In the event of defaults of any term or conditions of this contract, SELLER shall have the right to take immediate possession of the equipment. It is agreed that the SELLER will retain title to the equipment or materials furnished until final payment is made, and if settlement is not made as agreed, the SELLER shall have the right to remove same and the SELLER will be held harmless for any damage resulting from removal thereof. In such an event, the full amount of the purchase price shall become due and payable forthwith. Any and all amount paid shall be retained by the SELLER as liquidated damages and not as penalty: In the event of default by purchaser, Purchaser agrees to Seller's reasonable Attorney's fees and cost incident thereto. A finance charge of 1-1/2% per month will be applied if account is not paid in full within 30 days. Seller shall not be responsible of any delays in delivery of installation as a result of Strikes, fires, floods, acts of God, or any other causes or acts of nature beyond the control of the Seller. INSTALLATION SCHEDULE: 1. The equipment will be ready in approximately _days from the date of our approval of this contract. TERMS: Option #1: $5100.00 O ' n #2: 55,700.0 ote: • The cost for local permits and processing fees will be billed separate from the contract amount • Warranty 10 years on parts,10 years on compressor with Cartier, when registered on line by Purchaser BY Ryan Chanin ACCEPTANCE: �( % q The proposal is ace by: . Date: DEALER APPROVAL: This contract is approved by . Date: (Title: ) 009071 Local Business Taaeceipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7288750 BUSINES&NANIBMUTIOW, - CHANIN MECHANICAL LC 1965 71 ST ST MIAMI BEACH FL 33141 LBT RECEIPT NO. EXPIRES NEWAL SEPTEMBER 30, 2020 7577546 Must be displayed at place of business Pursuant to County Code 0., Chapter 8A - Art. 9 & 10 im, OWNER SEC. TYPE OF BUSINESS PAYME" CHANIN MECHANICAL LC 196 SPEC MECHANICAL CONTRACTOR BY TLLECTORECEIVED C/O RYAN CHANIN QUALIFIER CAC1819087 BY TAX COLLECTOR $45.00 09/16/2019 Worker(s) i 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 holders 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 8a-276. For more information, visit www.miamidade.govRaxcollector Halsey Seshears, Secretary dUp STATE OF FLORIDA DEPARTMENT OF BUSINESSAN04ROFESSIO' THE.CLASS A AIR aII=-:-.= VAL REGULATION s BOARD CERTIFIED UNDER THE , EXPIRATIONdE%TA7,figT 31, 2020 Always verify licenses online at MyFlorldaUcense com Do not alter this document in any form.. This is' your license. It is unlawful for anyone. other than the licensee to use this document. Related License Information Page 1 of 1 Licensee Name: CHANIN, RYAN M License Number: 1819087 Rank: Certified Air Conditioning License Expiration 08/31/2020 Contractor Date: Primary Status: Current Original License Date: 06/16/2017 Secondary Active Status: Related License Information License Relationship Relation Expiration Number Status Related Party Type Effective Rank Date Date Current CHANIN MECHANICAL LC Second 06/08/2017 Construction Qualifying Business Agent for Information Business https://www.myfloridalicense.comlrelationList.asp?record_cnt=1 &LicId=6382035&Lnam... 8/27/2019 A� V CERTIFICATE OF LIABILITY INSURANCE DATE1YYYY) 8/26/206/2019 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 certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER International Insurance Center 7990 SW 117 Ave Ste 209 Miami FL 33183 NAME: CONTACT PHONE 305-279-5446 FA/ac No:305-279-4045 E-MAIL ADDRESS: maria iic.cc INSURE S AFFORDING COVERAGE NAIL# INSURER A: Associated Industries Insurance 23140 INSURED CKANMEC-01 Chanin Mechanical LC 1965 71 st Street Miami Beach FL 33141 INSURER B : Nationwide Insurance Company 10948 INSURERC: Berkshire Hathaway GUARD insurance Companies INSURER D : INSURER E : INSURER F : r..—m—. i%corlcid% rG wluppoe ianaa7a174 REVISION NUMBER: VVYCMM%0E—1 va.,�... •vr�•`. ..v,..r�... .vv..... .. 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 I LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER MMIDD POLICYEFF MPOAXD EXP LIMITS B C X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR Y ACP3009283763 CHAU032377 6/20/2019 6/20/2019 6/20/2020 6/20/2020 EACH OCCURRENCE $1,000,000 PREMISES Eaoccurrence) $100,000 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ jECOT- LOC OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED X SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PRODUCTS - COMP/OP AGG $ 2,000,000 COMBINED SINGLE LIMIT a accident $ 500,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A UMBRELLALIAB EXCESS LIAR OCCUR CLAIMS -MADE NIA AWC1128241 4/28/2019 4/28/2020 EACH OCCURRENCE $ AGGREGATE $ STATUTE ER DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE- EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 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 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 wwe�n�swTlAM A11 Awhite --arl ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3205-030-0130 Property Address: 1331 NE 103 ST Miami Shores, FL 33138-2623 Owner JAMES M BENEDEK &W LAURA Mailing Address 1331 NE 103 ST MIAMI SHORES, FL 33138-2623 PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 4/4/0 Floors 1 Living Units 1 Actual Area 3,806 Sq.Ft Living Area 2,441 Sq.Ft Adjusted Area 3,239 Sq.Ft Lot Size 9,720 Sq.Ft Year Built 1958 Assessment Information Year 2019 2018 2017 Land Value $367,338 $350,309 $350,309 Building Value $242,925 $242,925 $225,434 XF Value $2,482 $2,499 $2,523 Market Value $612,745 $595,733 $578,266 Assessed Value $432,863 $424,792 $416,055 Benefits Information Benefit Type 2019 2018 2017 Save Our Homes Assessment $179,882 $170,941 $162,211 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 REPLAT OF TR B MIAMI SHORES BAY PARK ESTS PB 63-17 LOT 4 BLK 6 LOT SIZE 90.000 X 108 OR 20394-0807 05 2002 1 Generated On : 8/27/2019 Taxable Value Information 2019 2018 2017 County Exemption Value $50,000 $50,000 $50,000 Taxable Value 1 $382,8631 $374,7921 $366,055 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $407,863 $399,792 $391,055 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $382,863 $374,7921 $366,055 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $382,863 $374,792 $366,055 Sales Information Previous Sale Price OR Book -Page Qualification Description 05/01/2002 $430,000 20394-0807 Sales which are qualified 12/01/2001 $300,000 20136-1058 Sales which are qualified 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 hftp:/Avww.miamidade.gov/info/disclaimer.asp Version: https://www8.miamidade.gov/Apps/PA/propertysearch/ 8/27/2019 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 must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): l 33 1 /Vi= iD 3 City: Miami Shores Village County: Miami Dade Zip Code: g 3 13 a ALL CONDENSING UNITS MUST BE 'ON A 4 INCH SOLID CONCRETE SJ.AB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM •••••• FLOOD ELQ/ATION •••••• A COPY OF THE CONTRACT • • IS REQUIRED WITH ALL SUBMITAL9 • • • AHRI DATA SHEET REQUIRED •••••• •• • •••••• •••••• Change disconnecting means: YES NO ❑] ARHI Sheet Attached: YES ❑ NO ❑ 1. Minimum Circuit Ampacity (Wire Size): _ - $* 4 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 40 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: p( two comtcj 4 (-lV Contractor's Company Name: _ (-Iti.a,A ..t�Ia�t, `I I L (- Phone: State Certificate or Registration No._ 2i�h tb -7 Certificate of Competency No. Signature Date: $1 L� / / 5 (Qualifiers signature) ...... • • UlaUbCt Attadd: YES• • • (Revised02/24/2014) This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate of Product Ratinas AHRI Certified Reference Number: 202024784 Date : 08-26-2019 Model Status: Active AHRI Type: RCU-A-CB Series: 16 SEER AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : CA16NA042*0**B* Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CN(B,F)005L M. Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, C, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories) • • •••• Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed 4 abrasions .. • ••f•• until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed irweVerKs) for • • o o a .' • • • •: which they meet the regional efficiency requirement. 000060 f • The manufacturer of this CARRIER is responsible for the rating of this system combination. 11 product • — — -- •• •• goof ••••• Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, PerformanVPjft of Unitary' • Air -Conditioning $ Air -Source Heat'Pump Equipment.and subject to rating acduracyr by'AHRI-sponsored, independent�i)tiid rj�i'ttas3fjng: p Cooling Capadty (A2) Sin to qr High Stage (95F), btuh:41000 .... — *Soo SEER'- 16.00 1, EER (A2 �Slr�jgltillrlg05F s — '�"-""APPROVED Wl�n3� TIVHj1A13:Wu'BY DATEZONING DEPT BBLDG'DEPT 90]A0HjdV ZSUBJECT(0CCMPUANCEMTN 31'a Ae ALL FEDERAL STATE ANu eCUN i y AULZ-S AMO REGULATIONS _- l5c'I � �n Sc ,:j,A S u � W `_ t"Active" M CL rrently producing AND selling or offering for sale; QR new mod, stha re being marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program PartiCiodnt is no lon6 _ roducing' BUT is still selling or offering for sale. ----r Ratinas that are accompanied by WAS indicate an invduntary re -rate. The new oublished rating is shown along with the previous (i.e. WAS) ralina. 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.ahridirectory.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, mm 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 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 02019Air-Conditioning, Heating, and Refrigeration Institute 1 CERTIFICATE NO.: 132112984292622719