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MC-10-21-2565
� v 4: ���.,�����„� � O � : ;:. � ����� �"'���"h�� ��? 1� � ,�� ,� °�� ��, iar����c��e�Villa�e � ����� ` ��' � ���r���r�� ������ ���� ���� �� �,, `��� � so�so rv�z av� � � ` '' �, �e��;��� �,� ���'�� � �� �r��� ��� �a������ � (VEiami Shores FE 33238 ���� � ��� � . ����s; 3d5-795-22Q4 `� � ���d���f������'��� �, � ,. �� � c,:<<� ,. � �� . . : ��� . �... ... . _vu� ��C��1&�.�",�'` � < ��L��. "���� �:� � � ��� . ��� Expir�t�c�n; 04/19/2022 L�c�ti�r�,0.ddr�ss Pare�)N�arnb�r : �Oi tVE 9�fi'F�ST��1}iami Sh�r��,Ft�3323� 213206Q240�680 i. �. ��a�. Cc�r�taets i. � � JACQUECINE�ECERR� Owner POWER AIR C�OI.iNG�HEATINt�LLC Cc�ntract�r = 401 NE 94 5T,MIA�11 SHC}RES,F�331382845 ELIIOT S�Q�DS(V9ITN ; Nlobile:78620143�1 1ACQUEEIN��ECERRA@M�C.CO[v1 901 N� 172 ST,MIAMI, FL 33162 i � Mobile.3C357620023 POU1fERAIRHVAC a�?GMAll.COlYI w�������a���t__� �,� ��� �_�.�mr��.�_m,_.��.�...��� �� ...__�__ .v��m� � ��������.� . � ins �ctic�n Re uests. � Ctescripti�n:4 TON AC CHANGE OUT, � �aluation; $ 5,8�5,QQ ��^^^�'°' j � ���*'�����<; � ; T�tal Sq F�et: O.C10 ° ' : �; �... , �� � Fees Amaunt payments Date Paid �mt Paid Application Fee-Other SSQ.00 Tot�l F�es $230.44 CCF $3.60 Ch�ek#1216 10j0&/2021 $50.OQ DBPR Fee 53.a4 Credit Card 10f 19/2021 �,igQ.e�4 DC�l Fee $2.Q6 Edueation Surcharge $1,2Q '��������e: $0.44 Permit Fee $156.33 Scanning Fe2 $4.0(} Technology Fee $5.16 T�tal: �230e�� lll� ICl � In considera4ion o€fhe issuance 4o me ofi thi� p�rmit, E agre�to perFarm tt�e wQrk cQvered h�reunder ln complianee with ail ordinances and regulaEions pertaining therefo and ir� strict conf�rmity with the plans, drawings, stat�ments or specificatians submitted ta the praper autharities �f Miami Shores Vi(lage. In aecepting this permit I assume re�ponsibiiifiy for ali work done by eith@r mys�if, my agent, servants, ar empioyes. 1 und�rstand that separate permCts ar�r�quired for��ECTRICR�,Pl.UN1�ING,MEGHAN4GA�,WINC�OWS, DOQRS, �Zt3C}�ING and SWIN1MiNG P�OL woek, QWNERS �iFFI�RVfT: i certify thaC alI the foregoing information is accu�ate and that �II work will be don� in compliance with all applicabEe laws regul�ting constructi�n ar�d�oning. Futhermare, I authorize the abave named contraefor to do the work stated. �"� �� �;�_ ���_ � � Authorized Signatuee: (�wn�r / Applic�nt l Gontractor J Agent [�aE� (Jetober 19,2021 Page 2 of 2 i i r i� � , i I i r ��. . , ,� � � c���� �. � � ���'`�°�� �.E�Q50 t�.E.2r�d A�er���� ��a►r�i Sl�or�s, FCc�eit9a 33�.38 � `_� � � � �r��:(�o����s-������.{���}�ss-���� �- � ��s��cr������E��c���n�un����.��s)a��-�s�� ��� �.�n�..���.��.���.� ,.:��::���v3�� � ��� 2Q �.� �.�"�,,� ��3 � �� �� £� � 1 � ������ ������ ��. �' ���� �� PE�I�I[T APPLI�A�1'IC�N s�������� ��. ❑�u����rv� � ��Ec3-��c � �c�c����� � Rfv�s�c�� � E�crE�vs�c�� ��E�v�w�� �F�unn�c�� ��c���� � ❑P����cwc���s �] c�aa��� oF ��a�c���a-��c�� s�a� coN�r��c�ro� r���vv�rv�s �o������ss: ��1 �� q��� ,�",�'r`�� �` City: Miami ShQres Countv. El�iami Dade Zit�: ����� Foliof Parcel#: ��— ���� � � ��� ���� ts the�u�ldin�Histar�call�o D�si��ated:Yes NC� Qcc�p�n�y Typ�. Lc�ad: Cc�nstruction Type. Flo�d Zon�: BFE: FFE; CRWNER: N�rne(Fee Sirnple Titleholder}: ����G���«��� ������ Phone#: l�ddress. ��� �� �� ��"°���"` Cs�y: ��{ ������ Stafe: �.��1�� Zt�?: ,�,'��,� TenantJLess�eNam�: Phcane�: 7��� �f,�� "����d a, Em��l: � .�i C,., t�c� ,�r ` �`. t�c: . ����r��c�c��.cam��ny ��r�e:����� ��� �� I��� a� �°f���`�� �� �none#: ���' `��� �� �.� Addr€ss: ��� �� ��`� �°����"` �ity; C'����1 State: �� Zip: �.� �� Qualifier EVame: ���4c��` ��S"���"�a Phon�#: ��� "��j ���.-� State Cerfiificati�n ar Re�istration##: ���- � � � � �� � CerCificate c�f Competency#: C�fSIC�tUER:Archit�ctjEngineer: Phor�e#�: Address: City� Stat�. Zip: V�Icse€�f VVfork for this P�rm�t:$ S�uare/�in��r Foot���caf W�rk: Typ�c�f Wor�C. ❑ Additic�n �,.t �Iteration ❑ Rleuv ❑ RepairJReplaee [� Demolitian Description�fi Work; � �� ��� ��"t a���� �C�"�a �peci ct�1Qr�f��ic�r thr�r �if�: Subrrtitt�i Fee$ Perm�t F $ CCF$ Ct)/CC$ S nnirs�F��$ Rador�Fe�$ DBPR� Ncst�ry$ T hr�oE��y Fe�$ TrainingJEducatian F��$ ubl�Fee$ 8 �truc�ae�l R�views$ E�ond$ �� �� �� ���� � TC)TAL�EE N�C)W�E.tE� � , ��� `� � �a ���,,. , � 'o� {�ev�sedoz/z�faaa�> �� �'; �onding Cc�mp�ny's Narr�e(if appficabl�} �car�r�ing Ccampany`s Address _ City State Zip Niortgage L.ender's(Uame{if applicable� Mor��g�g�Cender°'s Address �Ity State Zf�? Applicati�n is hereby rn�de to�abtair� a p�emit tca de�the w�rk�r�d installatians as indicated. I certify that no work or in�t�lfati�n has commenc�d prior t� the iss�t�nce of a permit �nd that a11 w�oek wiEl be perfcarmed ta rs�e�t the st�r�dards eaf aii laws r�guEating eonstruction in this ��arisdictian. 1 understand th�t � separate p�rrnit must be secured for ELECTRIC, PLUM�I(U�, SIGNS, FOO[S, FUR�t,�CES, B�ILERS, F#EATERS,�ANKS,AIR CC)�![}ITlt�NERS, ETC..... Q1�IIVER'S �FFI�AVIT: I certify that a1P the fore�oin� i�f�rmation is aecurate and that ali work wiil be dc�n� in carrrpliance v�ith all �ppli�abl�[�wrs regul�tin�cc�nstructic�n anc!zc�nin�. arW������ �� Q����: YQ�� F���,�R� T� ���Q�� !Q, �QTt�� �� �{�� ���� ��� !�!� REsu�.� �� v�uR ��►vt�� �c� �o� ����+�v�t����� °ro �ou� �Rc���� . �� v u ����� T'Q �BT�41N �INAfU�11Vta� �t��ISU�.T WITH YAt1R [.E�10►ER QR AN ATT�RNEY BE�flRE �tECQ�DIN� YQUR N�TtCE t�F C�MMEIV�EMlENT.`� Ncatice to�4p�alic�rnt: A�a ecanditian to the issuance c�f a f�uitding r�mit w�ith an �stirrrated v�lue exc�Qe�ing$25 , th�applicant r��st pr�mis�irt gc�c�d�aith i�h�t� eapy of the raotic�of commer�cerrrerrt and cranstruc�tion ti�n l��u brochure wifl be deliuer�d tv the person �h��e prc�perty is subj�et tca a�t�c�ehment. Rlso, c�c�rtf�e�eapy c��*the reccrrd�d r�atic�vf carrPmerrcement rrrust be pvsted c�t ti�e jo�site fcar th�frrst irrspec�tion hich ecurs seven (7} da�s a�er the buif�ing rrrrit is iss�ed. tn t�he abserrc� c��such �rc�st�d rreat�ice, the irt�peetion vui11 not crpp u crnd a reinspectie�n fee will fae ctrargect. p�r� < '`�3 �.�"'��..;� � �`� �� `� Signatuee Sigr��ture � .s �° �� W�IER car�GEiUT CC�€�TR�CTt�R The foregaing ins2ru ent was aekn�wled�ed b�fore me this The fc�r��c�ing instrument was aeknot�vl�c#ged befc�r�rne this ��, � day of ,2£� b� � d�y�f����'� ��,2Q � bY � �,who is p�rsc�n�lly kn�wn to �,���� ���"���� ,wl�o i .'eeso�a ly known ��,� m�csr vvhcr has produc�d as rr��c�r who has praduced as id�ntifi�ation�nd�vhca did ta�e ar�c�ath. id�ntif€c�tian and wh�did t ��n oath. r �I(?TARY PU�LI�: !V{J�TA�Y PU��ICa �,. Si�n� Si�n: � �/` � � � Print: Print: ,�p�e�.�.n, Seaf: � ,� # t 5eal: `��'�,�e�„���` �° �,�v���',,. R�C�tE�FRtED td �_`,,y�: Notary Aubltc a S�ate of Flas�da �a��a��**����a�xua����a��a����������*���a��*��s�a��x��aa�������a������� �. � ��� ����`������d�� �*� ��z�����������s��a �, � 3 'q ; �X � �. xp re3 A1��4�,2QZ4 ��'" � � � z� � � � �or�Q�d�EhraapP�?�t°�nai No¢�ry�ssn� APPRE�VED BY �� �� � �`� �lans Examiner � Zonin� . � �., � t� ��,�r ,�' �.<,� Steuctural Reuiew Cl�rk (��vi$�doa,�za/z�x�) ���'c������ Prc�perty Search A�aplzcation - Mianli�Dad� C�uz�ty Pabe 1 c�� 1 ``�`��. ��� :..������ ��������,��� � ����� � � � . � � ����� � i �� . �_,��;�� �UC11��C"�/ ���}{�C� Generated Qn: 1Q/612021 �'r��eefy Infor�na�ticsn ` F�lio: f 11-3246-414-44�Q _ � _ _____�__,� �_ F'roper�fy Adde�s5: �4Q1 NE 94 ST �Niami Shares,FL 33138-2�45 �wn�r �_ ��_ jJAGQUELINE BECEF2RA �� �Il�ailing Address ����1 NE 94 ST �MIAMI SHORES,�L 3313$-2�45 '" '� '�' ' �1> ti � a„z _._._���_�.._..w____�_.�_�_W__�_._�,.. .� ��� _�w_.__ # e��[��'� �~ _... _____._(0101__RE5IDEN�1'(A�-SINCa�E_...__..___..�_ :�`�s, > ;� �A Primary�on� �.__ __ �_ 1100 SG�FAMILY-2301-260Q SC� �,� §,� �,';� F�rimary Land Us� � ;FAMI�Y: 1 UNIT __mm._._� ___� � �_ �� ��_ �__.��_n _--m_�-----__ �ed�t�aths t Haif ;2!21 Q FlooPs _ €� _.�� __ _____ �._�. __�_m___�._� ���_ �.�.e_�_ E.�vRng Units i 1 ,_,^�� ��:��� _. .._ �. _____m_____ ______�.�. � �?� �._._._._.M..._....m.�. _...� \ k'c �h�� Actu�l Ar'ea �2,413 Sq.Ft _._.���_ �� �_�_�_�__�_ I�iving Are�a _ (1,7�9 Sq.Ft _.�,_.._, Adjus#ed Area ,2,032 Sq.Ft TaxabEe V�lu�Infc�rmaticrn e�_____��� �.__e.� ��_�__���_� _.��.,. �ot�i�e �9,875 Sq.Ft � � _.�_... �______� � �m ---m-. _ � 2021� 2020 2019 Y�ar�uilt ;1958 �.�_�e._�� _�_� � � ���._��._�e..����__�� � Ccrunty _�__.____�.___�__�.._.._..__.__,_.._..__�_..._._�._��_.__._..__..___.__._.____.... �4�s��srner�t Ir�forrn�tioe� Exempt��n Valus i $SQ,OOQ' �SU,OQO �50,4Q0 _..�. _��_� � � �� �____��_. � Taxable Value ' $312,511' $307,506� $299„469 Year � 2Q21 2Q20 2019 _.__a___._______._....__�� _._�_________._�___._�.�_�__�..__���._.�_.____d��.._ _ __�;� ��_�_� School Boar�i Land�taiu� ! �310,452 �31Q,452}� $29t�,QQ� ��. ..� � mw__�� _ _�__�._.w�..�__��.�_�._ �_ �, �,- � _�.� �. �� �.__� . _.� _.__�_v.�. __._.�. _r_�_ Euitding V�1ue $141,427� �141,427 �1�1,427 Exemption Valu� � �25,Q00� �25,004= $25,004 __� �� � m�______�m �___. _ ..__ __�_m�. __._ ___ _�___._� — ------ -_ � Taxable Value $337,511; �332�6Q6 $324,468 X�V�ku� € �3Q 295 �3Q 6$6�� $31 079 _.� � �_ m _�._ ___ ir���r_e em�_.e.�_.�� �� _.� �e�___ �_ Mark�kValue �-��__�482,174° $�82,565� $462,5/4 ��� _��____e�__. __ ��_�_�___�__�__�_.� � �..-x�. � , �..�� ^�___ Ex�mpt�c�n Value c �50,OQQi �54,QOQ �5(I,QOQ ��sessed VaEu� $362,511' �357,506� �349,469 _ ��___.m mm _ ��_._.. _ , _�_�����. Taxable V�lu� � �312,511; $307;5Q6 �299.469 �.__m __ �[�_ _�.� . �_�� �en�fits[nfcsrmafii�n �egi�nal ��._._.�____ _.�.�.___m_ ._�__._.�.�___.._.�,...___�__.�.__�__m-�--_ � �en�fit Type 2021 2020 2619 �xemptian Value � $5C7,000; $5�,0�0� $SQ,OQQ .�_ _ �.._.__.._w. �_. �.�� �.�__ � � S�ve CFue Hom€��Rsses�m�r�t ��.�_.�.�� �ry�- Ta�ab[e Valua ���������������������� �312,511� �307,506� �299,4fi9 C�p Reductton � $119,663 $125,059� $113,QA5 ����,�_ �ales Inf�rmati�n � ____�_..__ �__��..._.�_�_ �� �.___m_ �._ _ hlomestead Exemptior� ' $25,000 $25,440; �25,OQQ Second ��� __ ___�w � �.____e.��__._ Previo�s SaEe Pricei OR Boak-Page Qu�iifieafion C�escription � �Ex�mpfion �� �25,000 $25,OQ0� �25,OQQ m� -��--���-~�-�a Nam�stead t � � Q�101i2006 �600,�QOi 24�9�-1229 Sales which aee qualified ��.__ � .�a._m_m_�.�, ��._v ______�_�_���m� .d_.M.n,_..���____�.� � �_� _���,. _. Note: Not ali beneflts are applfeable to�(I Taxabl�Vaiu�s(i.�.County, 05101/1987 $�S,Q{�0� 13271-2746 5ales wi�ich ar�qualified Scho�l Board,City,Regional). - .� -�-.-----w--�---�---_____._..__�__ .�.e.�.__....___�.__�.._____.r_ 08101(1978 �;��72,000= O(lQQO-0�4f}Q �Sales which are qua(ifiied� �.__,�.�_____r_..�___._� __�. �__ ._____������._m. Short l.egal De�eription 071Q111975 j $68,9Q0; 04�00-Q0000 �Sales which ar�qualified MiAMI�HC?RES SEC 2 PE3 1Q-37 L.t3T 13�W112 LOT 14 BLK 52 LC7T SIZ�75.Q00 X 129 C?Ft 13271-2746 0587 1 COC 24895a1229 0�2{�06 1 The O�ee c�f the Property Apprais�r is continually editing and upd�ting the tax rolL This website may not refl�:ct the most e�er�nt information on reeard.The Prop�r4y Apprais�r and Miami-D�de Couaty assum�s no Eiebility,s�e fuil disciaim�r and UserAgreement af http:llwww.miarnidade.gov(info/disciaimecasp Version: 1�ttp�:/I�rw�warniam�dade.�c�vf�ppsll'A,%p�op�r-tysearchl I O/G12Q21 Rcsr� peSantis,�overnar Halsey��shears, Secretary � � ; ��.����:��� � �:-_ � �„. ��� , ` . '�,�ry >� 4�J� /� /�� /� b . �'M ��, �� ����� V F ���/���f—i ';,�..." ; „� „'� . ? ; .� � . : . � �� � � �. � .. � �c���T�u��r�c��f������� ���J�srr�c� �c��,�o .��� f � TNE CI..A�SS A AIR CC��1C}�T���������`� ��'���������S �E�TIFIEa llNC3ER TF�E f ��� , , f , �r� �, �%%� PF������VI�� �� � 1 � �,�� �� �� �� ����TU � ES ;'� �%��- �%,r - �f.f.�%�' � i'r r/? �'����,/� �% j� 'r. i�,'/ �"�r!�/'�f% f// i� �� !r'�wr'���� r //�.. % � . rr i % , �� � rr�"�i %�� .. � r. i r . { ✓ /fY� 7 / / r . .. ��f f� l. �q f , � % /ti. � ✓ ''/fj i- lf`�l � /f� �� l N /✓ E l � � fJ � /'� �%/ /U'�/��.f � r ."'^5" ✓//� i l �%% , //� �' l/ / '/ . � / � I : �� � �. Y � / � �. �� / /l'.r .,�� � ""' , ,' � �, r ��/,� . . ; . � / i r y, r� r/ � �i �yo .��'�����"r���,����� �.�� l fl,f����X'�� � �' � � 7 ��/ r,'! /,�✓ G^f / / / v�'�Y/ `l/; . ,f ��r � ; �, ,= / ,r� // i i�/��// ,' �r �� �j rf �e„i r f ;r r''r, f �� r f�� �y � � � � � � � r !ri� ' "' , � �y /�.��� � / �� ��r� � ���, i � � �� . '� ._ � � � �:., �-, r� .F t .% fE�r � !.; �-;� a��a�".�ez������.r' „ � ��` r �- ..�,.-��a;,n�r..,r,r,.,�r,.�,�..�. � ��������:���������������.���.�w��/'l���"��.7��.�t � �����,,�-��������� ,,,r ����r�� <,��- .,�--��--a,��,��-,.�� ' ��/ry �^y/� ` p�}� ��. � r�+ �T- +�+t r�/�.�^�ry AI��RI•i��A�l�! iJJ�'lT�;�,��d\.71��/ .7«I.i LVLG � � Fl�r�d�License.c�rr� � A3 ays v�r�fy l���r��es c�r�l�ne at y � � � �' � � � �� I�c� nca� ���t�r this doc�r��r�t i� ar�y fcarm, ���� � �� � Thi� is yQ�ar I������, 1� is �r�l��v��l fe�r ar�yc�n� c�tl�er�th�n �he �icer�se+e tQ �se ���s dc��u�n�nt, �� ����"�� � c� .��. �,_ ...� �_�An__ � _��. ._�.��.___..__�do-� _.�. __. ._ _�ti�... ��_w..._ __..._.� . � ._�_�_� � � i� i� � � ����ty� ��t +�f I+�ri � —���������,�����������r���r ������� �� � e ��� �� � � AI� � �.IN�� � � � .��"1 i�� � ' 9'�i �� 1�"�1�[� �1� �1u��t���3i��1�� �t p1 ��f bu�ir� � �;�1 1, F1 1 � k ����t t�����t�� � �F���pt�r �-A��t.9�1� � ����; $�!�.°i"YIP"� � �t,I�!!11'�$� �*lRtf1�1�#'l�I�t'�1�C� ����������� ������� �� ���� ��������� ���� ��'�� ��� � � ���� �'"` �� 1 It'�'°t��(` Cl!�� '��i. ��I�����1 +�c{�} 1 �,����i�t�s �F��+�K1C21��1 gi�� T � ��t�f T ' e� �0' w � �� s ' � " � r ! �����1 t� !�e���raa�r�a����y 1�il�e��, �iQ.� yn�� � � ' Q� a+t +�� ' ���r���d �ri�h ��r�S��r�r��r ��,�tr� vrv> ��° ���� � � TIFIGATE F LIA IE�ITY �NSUFtA�tV� �oro�r�o�� TF11�C�FtTIFlCAT�1�I�,SU�C}AS A NIA'E�T'�Fi�F IPEF�RNI�1Tit}!�!C�N�Y Ah{D GQI+I��Ft�NC�FtIC'aHTS UPC?t+t TFI�C��TIFICAT10 HQLL?�F�.TMI� ������eca�°������a�r a������Tru��v�����ar�v�Lv����c�,�x���������°��r��ce�v�r����A��o���ea��r T���c��rc������.��v. �w������€�E��a�������u����� ���e�r���s�r�T����c���Rsc�r�� ����r��i u�n����su���E�},�ur���ez�� �����s���ariv�o���ca�uc�R,a�r�°r�����r�F�c,a���tc�����. 9MPt)RTANT:!P the c�rtifie�t�hold�r is an A9�iTIt3NAL iN�llR�D,the p�licy(6e�}must have RQQtTI@NAL IN�UREE}pravisioer��ar be�ndo .If SUBROGATIQN tS WAtVE�,�ubj�ct ta the terms and cur�dition�of th��Ilcy,certain paiici�s m�y r�quire an endors�m�nt.A�tst�ment on this c�rt��ic�l�doe�not confer right$t�th� �rfltic�t�holder in li�u�f saeh er�dc�rsem�nt(s), PRCtDUCER GC?NTRCT NAME: PHONE A1C,No,Ext: &� 277-1G20 X 4804 FAX A1G,Pdo: 727 797-0Tfkt �r�nkGrum Ins�e�nc�Ag�ncy, Inc. �-�A�c aoaa�ss: 1 QO�oufih tt�Essauri�venue Et�su��r�s ���o�orr��cov�r�a�� e��c� Cle�rwater,F�33756 ie�suta�R�,: Fr�r�k 1Nieastan Crum 9n�ur�ance Com �n t tra4U (R1�k1R�� lN3URER B: INSURER C: Fr�nk�rum UCfF Pcawer Air Cooling&Heating L�C irasu�aeR� 1 Q(}�outh(�issouri Avenue ��suRER�_ �k�arwaker FE�33756 ���ur�E�F CtJVE#�,4GES C�RTi�#GATE NUft�E�ER: 787373 R�VlSION P1UA+I�ER: ����s�cE��rE�rr r�nr�rr���o��eEE�o��rmst�Rar�c�us�o sELow wAv����r�a��u�o ro�aE�usuR���a����aov€Fc�ma�� ��cv���amo�i�cafca�o. NC>TWETNuTAN�I�G Atdl°FiEfdUkR�PAENT,TERPA OR CCDNC4[TlCIN CtF ANY CQPdTR&CT C?R C�TNER tt�ENT Y+�tTH RESPEGT T4 WHICk�THt�GEFiTIFt�ATE 6AAY 9E!�SlIED QR Y 1��RT�PN,THE tNSURANG�AFFQRDED BY THE Rt�i»MCf�B Q�SCRE�EU NEFt�itd IS SU&&ECT TQ ALL THE TERFAS,EX�LtlSlC?N§RtdD CCtNDIT1CFNS C}F StkGN ROL�IES.�i�lSS SNOWN hSAY WAVE BEEN REDUGE[9 BY PAE[�CtmAlMS. i�� TYPE OF INSURAtdCE �p@L SU�R pq{�ICY FEUMB�R POLtCY EF� POI.tGY EXP t���.S LYR ENSRD WVQ (tAp%D@FYYYY} (A9R4/D€)tYYVK) CpAAAAERCEAI GEN�ftAI CEABiLITY BACH OCCURR�NGE S OAMA�E T"O REN1'E[} � C4.AIM5-hNA[?E �fJCCUR PREMISES Eaocourcsnce rt9Ep EXP(kny ane peraon) .-$ PERSQNAt,&.4RV EN.IURY $ GEN'L AGGREGATE LIhAlT ARPLIES PER: . GENERA4 AGGf2EGATE $ PQUCY �PftQ3ECT �LOG � 6�RC}DUCTS-GPArtRtt?PRGG 5 OTHER: $ AUTOR9QBlLE 11A�ItITY GPM@INELI SINGLE lIRBiT � Ea acc�ni �� ANY AUTQ 04V4UEDAVTOS SGHEQULED BQDI�YlNJURY{Perpa�san} $.._._.____..� 4Nt�Y RUT�S BODI�Y IN3U€tV{Rer flcckient} 5 ..__............_.�____ HiRED AU'!L� NON-OWNHD PR�OP��OAMAGE � 4NLY AUTQS QPILY S UtdBRELL.A 11A8 QCCUR @ACH C?CURRENC� $ EXCESS LkAB GtRIM&$AADE hOGREGRTE $ RED RETEM1iTi4N$ � PEF2STATUTE OTH- WORKERSCOMPENSATIQ[dAND �f(;�Q�jQQ(}Q(} (}�j(Q�(�{)�j {}�jQ1(c�OZZ X Fl EMRLQYERS`UABILITY Yl� ER � AN`r`PRQFRIETOF"2JpAt2TNE€RtEXEGUTNE OPFICERShhEMBER�XCCUDED? � N�� EL_E4GM AGCI[]ENT �_$7�_000 006 {A9�nd�tarp in tdtf) if yes,descnbe unefer E.l..QISEASE-EA EMPLOYEE $t QQQ QOt1 PESCRiPTtON OF QPERATIQNS 4eio+r E.F..QtSEASE-FO�tCY LIMtT t QQOOt3D t?�SCF?iRTiQN OF 4PERATK7NS 1�OCATiONS t VEHFGL�S{ACQRR 1 Qt,Rdditia�aE Remark�Scherclule,m�y be att�ch�cf it r�r�spae�is r�quUed} EfFeGtiv�42112l2016,coverage is for 100°fo ot the errtployees of FrankGeum lea�ed to Power Air Caoling&Heating�.��(Glient)for wham fhe client is reparting h�urs to FrankGrum.Gaverage is not ext�nded to statutory emplayees. GE�iTIFECATE NQLE�ER CAN�EL��TION $NOULD�NY�F THE ABt}VE QESCRiBED P(}UCIES BE GANCELLEO 6EFORE THE �XRMRATIQN�ATE THEftEOF,NQTICE 1M��BE DEGIVERED iN ACCORDANCE WITH THE PC1E(CY PROVISIpPIS. (1�1$PYII a�''f1QF@S�/t�P����UI(�IfiQ�3���t'tERI(,-`Pi� aUTNORIZEt7 REPRESEPlTATIVE 1{)O5Q PI�2t1t�AVC' Miami St�ares,�l.33138 C�19 2016 ACOfiD�C}RPCt T90N.A!I right�re , A�OR[�25(2Q4 3) The ACO�Q n�me and Ec�go�re i�ter�d marks of AGQR� � � .� �_����st�i�;,"ic� �€�{��,��ie ti#� �,�+�'�� � �;���¢������'�,},�� ���� �Miami Shores ViElage ,� ���.���� ��� ����� ��._� �� ...�M��_ �c��fr�� � � ���� � ►���.e� ��t����������,����t��� ����� ��; ������� ����� Building D�partr�ent ��. � 1005Q N.E.2nd Avenue �r�� ������ r��i���r�� �°���������;. ��.��;� .r��w��,�_.. , 9. � � �.���t�����N��m�-� Mia i Shores, Florid�331�8 t ., ; ����� � �, Tel: (3t�5} r95.2�(}4 � �� ���c�� � �� �a�:��o�} �s�.��7� � ��.�,r..�w����.w�.u�Kz�����.��m�.�.,r.._,_���...��, ,41F� �{�NDtTIC}NING REPLA��MEN�' DATA � F�ERt1lEIT Nt1M�E1�: Itid1� `This fc�rrrt enust�ceoimp�r�y�LC air c�nditioning repl�c�ment pernnit�ppt�cat�ons. Each unit chan�e-out must kae on its awn ctafia sheet. Multiple unfts c�r�single sF���ts are not�cc�pt�ble. 1�b Address( h�r�th��r�rk is b�in�d�ne}: ��� �� ���� ��°C°���"` �ifiy: Miarr�i Sh�r��Vill��e eoun�y: (VPi�rr�i��de �ip C�de; �.��� � . . ...... . . . ...... p1��. � ���� ���i ��T �E � !� 4 ���� � �.� �� . •. . . • ACt�UNIT'S MUS'T CQMFtY WITH F.�.m.a�iN�t�um F�.00� ���J�1`�tSN ..". ...... •esom• • • s 1d COPY t�F THE CE3NTRA�"T!S REQt11RED W1TH ALL SUBltt�ITAtr.S... ..., �••••� AH�tt �P�Tt�SNEET REQl1fRE� • • a � s�s• sese •0�ss !�!��• •f�i •�• �i • • i ! ! �h�r���disc�r�nectin�m�ans:YE�❑ N(3� ARFft She�t Attaehed:YES Nt�❑ ��n�"ra�t Att��ti�d•'YES ':' ...... . . . . . • • • •e • •••/•• UNiT�EfNG RERLACE� �ATA • N�EW UM1E �..� . . ...... �A�IUFAC�'URER Ga • • • • � Ffi 3 �Nu�����. t����n�ca�E�.� .�������'t����� �� � � � eo��. u�rr n�a���# � ���` ��� � �vv����r f� �1 � �c�r��rc��s � �� ��►u cu�����e� �" x} r�.c.� a�u Gc��u� p���`� ��u�� c� � P�e��°� z��.c�.� �r�u�� cu � ��� �r�u� cu �� ��� �)uo��rs ��u��cu ��� ���u��� r�! �����ir / .� � E��/sE�� � e� �'� ��� YES NO REPIACINC�UCTS YES YES t�� RfPLl��EI�GT"NER�QSTAT YES t� YES [�� IVEVtf 4"CQNCRETE Sl.,�� IUC7 YE� Nt� IVEI�f RUC�F ST�AfU� YES YES NQ [UEW RE'Ft1RN RLEf�UM �C�X YES IVQ 1. Min�rr►urr� Circuit Ampacity�Wire Size}: "��a 2. �/laxim�m C��rercurre�t Prot�etec�n (Fus�f�reaker Size}: �t� ��E'� 3. Vol�a�e c�f Circuit (208f24(?f4$�}: ��� � �. Size [�isconreectin� Means: _ Ccsntr�ctor'�Comp�nyRlame.�������r° �� ��� � �t���µ�� ��, Phc���:��� °`��� �'a� State Certificat��r ftegistration I�o ��� � �� ��� ____�Certificate�f Camp�tency Na. � f. �I�C1�ItUt"G �� , ;� ��'��: � ������ (Ctuat�fier's si�n�tur�) {��visedo�/���zo1�} � , , �� . , �ligible far F�deral Tax Cr�dit � � �.�a ��f � � � � e e , e � � � tkhiRl Certified R�fer�nc�Nur�b�;r:2Q129Q088 Date:07-18-2021 M�tieE Status:Active Qld A,Nf�I Ref�rence Nt�mber:7943535 AHR!Type:RGU-A-CB(Split Systerr�:Air-�o�l�t3 Condensing Unit,Goil u�iih Blower) Outdoor Unit Brand M1Jam€: :RUUD t�uYdoar Unct Model Numb�r {Condens�r or Sing{e 6'ackage} :RA1648AJ1 Ir�door Unif Nlodel Numb�r(Evaporatc�r�ndlor Air H�ndler) :RH1T4821STAN Regior� : All{Atf,A�,AFd,AZ,GA,GO,CT, C}C,DE, F�,G,4, NI, ID, lk�, IA, IN, KS, KY, L.A, MA, tvi�. ME, tV1t,�1N.�O>�QS, •.. �tIT, NG, NC?, NE, NM, NJ, NtN, R1V, NY,flH,QK,QR, �A, Ri,SC,S0,T(V,TX, UT,VA,l�T,Wt�t,WV,W�,t1VY, l�,S. s��e a• e • s q •s • ees• a T�rritories) . . • i9ipll• Oq160 •i4•O• • •�!R 4! ! � � Region Note: Gentrai air eeanditioners manufacEured prior to January t,2015 are eligible ta be installed i���I�eegions ••*� :•••+: unti!Jun�34,2016.Beginning July 1,2Q16 centra!air canditian�rs can anfy b�installedlrL jp?�(s}for'....� .•..e which they meet the regionaE efficiency r�quirement. ! � ....•s ..•. ...•. • • • • s e• •• •• • •�se�• • The manuf��tur�r of this RUtJCJ prociuct is responsibE�for th�rating tsf thE�system�cambi��t#c�n. :•�:•: • '. . � �►� . ` ...... . . �' � � ���.R �� • i♦�� i f . # lF M •i6061s Rat�d�s fq6lt�ws in accordance wittr the latest etiitic�n of ANR12tt}124�wiith Add�rrdurn 1,Rerft��m�nce�i�tir�g t�Pt9rtita�`y Air-f�p�ji�}r�,{rr� • • �,4ir-Sc�urC��6��E Pump �quipment and�ubject to ratirtg accuraey by AHRI-spe�nsor�d,i€�d�pend��t,third party testing: • �ookinc��apaeity(R�}-Single or Ni�h Stac��(95�),btuh:445CIt? SEEF1 ;16.C?t} EER (R2}-�ingl�ar l�igh�t�ge�95F) ;13.t3t} �"Active°�4odel Status are thos�that ar�ANRi GarCification Pragram Partieipant is currentiy praducing.4NQ selii€�g ar o(fering fo�sale;OR n�w madeis that are being marketed but ar�na[yet k��ing praduced"Production Stappad°PRodei Status are those that an AHR 1 Certific�tian Program Partieipar�t is na longer producing BUT is stiii sellir�g or ofFering for sa(�. R tin� th t r m i WAS`tndicate an invpiunta re-rate. The new u iishad ratin is shown a[ n wftt�th� r�vi �a i. ,WA5 r tin . �@���.AE��� �i1i�I d �not endor ih�product(�}iisi�d an this Ce�ifi t�and mak��no repr rrtations,wfarrantie�or gt�arat7te�s�s to,�nd� urv���nca respotr�ibiEity fc�r, the prqduct{s}kist�d pn t�5is CerYEfi��t�.AHE�I ex�r iy di�ctaims aIl iiabiti4y far daena�es a�any�ind arising c«u2 af the u or pertorrs°caorce o€Yhe prc�duct(s},ar the unau4hoeizet3 aE4er�tion o#d�ata li�ted crry ihis��rtlfiic�fe.Certified rafiir�g5 are v�lid gir�iy for models��d eonfl�uratior��Ii�Yed in ehe directory a4�s�4�.�9�ric4�r��4c�ry.€�r�. T��P�����C���t'fl��� TRsis C�rtf#�caY�snd 1Cs cont�€�ts�ar�praprfet�ry products af AH13I.This Certifi�at��t��if only be�ased it�r individt��(,p�r5anat and �.,�.,� con�d�n4ia4 rs9er�rrc�s�aue�osss.[he eante�nts of thos Certiflc�t�may nat,in�ha(�car in psr�,b��epradu�ed;�opEed;c{(�serr�sinated; L'�ClE6°C�!C�IF3f0�GOFit�?UfE:P C�F24k1�Jr"l�E;4Y t?ik1�G'YWI56'UYISl�L'�:Itt 8f`i}'f�YCY!(kF'tt'It33lit�P(3Y$➢y c°3Fi}'CYR�+�C4�'a,G'RC��?2�t3Y��tC3 US�Y�S tYFI'�IVI{�i38�r per'sonal�nd Cc�nf€der�tiak referenc�. �E�a ��CE9d��€��,�# €���, ���TiF6��7`����EFSCAT��� �����������1��a P€d�Tt €h�a}nf�em€�tfe�n#car tEte mad�i ci4�d�t�th�Gerti�fcafe Can be v�ri4��d�f t�e�a�.�t�r�silrec�crt�.o��,CiiC4t e�n"l��r����ritf€���e°ilnk ��n��ke(i�e trrt��.'� �nd enter the fANRi Certified Re�er�nee f�umb�r�snd the dat�ean�hich 4he certi4�cate wa�is�ued, v�htch�s ii�ted�taove,and th��erCif�cate Ne�.,w�hich is tls�ed af batfoan eighF. "�` � � Q`�(}`�j,�lC^��3CEf.�I��(?i1E0l�p ��c'��it1�,�Yt� ���t"I�TE.'C�$ICFfB �Ci��i��t�� �'���� � 6e 1327112Q1474129460 � , , 1 � �� �r1����€a�:���:c c�t��vT�� � � �� r�o���c r t o��r�o�,��e.�r�c�� �t�os sw���r���,r�����z�s I?[:P.�K"T'49F'i`I'C)F�I2F(;t'1,.1`I�{)RY':#?VI)�C(??Vt}�YIIC'RE:�QI�RCF.S{R�[2} Miami�F�'Ic�ric��33175-?�R7�! �3t},1i21�:=���DC:t}I)1?:�I)'411';tiIS'I`R.�"1'I();VI>ItilSi(�N `I'{.7�fi)i1�-25�t} F�(7£3(i}3tS-2549 � T���' � �1.��� �F�t.��� �� L�� ��e���.���i�a����t��s��=Aaao,ca���aca��r��,, �th �a �aT�s Ct�r�p�ar�y� In�4 56{}0 C31d G�een�vc�od 12d. l�ort Smith,�R 72�1'7 Sc,c�r�:: This NOA is b�ing issuec� �nder the applieaEale rizles and r��ulations go�fernin� fhe use c�f constrt�etic�n rnateriAls. `T(�� docun�entx�tion submitted has b�en reviewed and acc�pted by Mianli-I�ade Caunty REKePrc�cluct Control ��c�ic�n tc� be used in Miar��i-I�ade Co�anty and otJ��r areas wnc�re a1(owed by the fluthority Havin�lurisdie�ic�r�(.�HJ). This N(�A shall not h�:valid aftec the e�piration date stated below,The Mian�i-Dad�Cc�t�nty Product Cc�r��q,t.�;tian(Irl Miatni�Dade Coi�nty}ancL'ar the t1HJ (i❑ ar�as c��h�r than Miami�Dade C'au��ty)reserve th�ri<T 74�o I�av�'thi�prodta�t�4f'•;• tnateriat tested far quality assir�•ance pi�rpc�ses. If this product ar material f�ils ta perform M't.he'acc��p�t(�tt�ayner, the �. masnzfactur�r�vill inc�u•the�xp�;ns�of such testan�and the f�HJ ntay i�nmediately revoke,�r3'o'�Qf'�'.'.ar sus�'�t'iti'th�use df m`•• s�tch �roduct Qr rnaterial within their jurisdiction. RER eeserv�s tiae right to revol.e tJxis acc'���'a'6'�� €f it is de4�rmi�aecl l�,�:�: Mi�mi-Dade C�Qunt� Product Cor�trol Sectior� that this praduct or rnat�rial fails to mae�'�� r�u��erz'1��� �f tl�e ' sr�t +sr• •���s applicabl�buildin�cc�c�e. s . `This prc�duct i�app��c����d a�des�ribed h�rein and has beer�d�signed to�c�mply with th�Flor���si�`"t�ildie�g�;a��,�ialcladiri�•"• w• •w s• • s�Est• the High Veloc;it}r Hurricai��Zc�ne. . •se��• • s ����'1ZIFTICI�t� 1VFechanicaI Utiit �t��t �nd Aluminum Tie-[Jtc�wn Clip� �"c�r"C�'ade ,�nd.I2ooftc�..;. t���?�IC"s3�14?Il� • • i •r�* a • � e • •sasss AFPRQVAL I?Q�LMENT: I�rawi��� No. 20-28�00, titt�c� "Winc� L�ad �erti�c���n'of I1�33a ''c�1 Un�t ' Ca�ir�etru and ���eEf Aluminl�m Ti�-Down C1ips: At Graele ar�d Rc�Qf Mc�ur�t�cl 1�pplicatlons"; sheets I thro��gh 7 c�f'7,ciateclOS/14f2015>�e��ised on 10f l9/2020,preparect by Etx�ineerir��Expr�s�, signeci�nd seal�;d by Fra�k L. B�nna.rdt�, P.E., �a�arin�thc Mia�ni�Dacle Co�nty Prc�duc:t�cantr�l revi�iQn stam�� ��=°itf� tlz�Notic;e of Ac.ceptance num�er anc� e:�piration d�te Esy the M� �-Dade Ct�untv Prc�c��ac�t Con�rol Seetic�n. IS�IL� Ill��'ACT A'I'It�+�: �orte IdABEI�INC: Eas�}� unzt shali b�ar a pertrran���t �a�e1 ��ith tl�e manG�f�ct��r�r's zlarr�� c�r lo�c�, city, stat�, mc�d�il s�ries, and follaw�in� �ta�ernen[: "M�amzeDade Cotlr�tv Prodact �ontrol Approv�d", un��ss c�th�d-wise r�c�ted h�rein. ENE�Y�L crf tl�is 1�C�� shal(be consid�red �f�er a r�n��ual applicatic�z� t�as been fil�d anc� ehere h�s 2���rz P�o change in t1�e ap�]iGabl�fauildin�code r����tivel}=affectin�Lhe per'or�nance c�f tE�is prc�daet. �EI2.IVIIN�TIC�1�t of this Nt)A w•iI1 accur aft�r tE�e �xpiration d�te or• if tl��re has b�en a revisian ar chaz��e in �he n�at��-ials, i�sce and,`or�naslu�act��re o�the prc�duet ar process.�Vlisuse afthis NQf1 as a�i endors��ne�lt of any�roduct,fQr sales, advertising or any otl�er�ur�oses sha(i alztc�rtnatica(1y tet�minat� this N(�A. Failure tc� com�aly �ith any seetion af this lv'C�A shall be cause fc�r t�rmir�at�an ax�d z•ez��tc�val of'_�QA. f�QVERTISEMEN'T: 1'he NOA 12uml�er�receded by the words Miami-Dade Cc�unty, Florida, and foilowed by the ex�iratic�n date may 6e displayed ix� advertising literatu.re. If any portion of t��e�f��l i�displayeda then it shall be done in its erttirety. ZN�PECTIQN; � copy Qf this entire NC�A sha11 be provided to the user by the n�arr�zfacturer or its distribc��ars a�d s11a11 b�available for inspection at the,jc�b site at tlte eequ�st ofthe Buildin�Official. This NCIA ��nev�s �nd re�is�s Nt7A# 18�0719<07 and eonsists c�f't�zis pa�� 1 �rt�d e4i�ler�ce �a�es �-I, ��2, F-3 at�d F���a� �����:11 �s a��rov�l cic�culr��nt m�ntic�n�d abave. T���suE�mitted doc�u�nent�tic�l� �n�as r�vieweci by C�€rlos 1t�I:Utrera, P,E. � ;;����.-�- NC�A No.20ID1102<04 �t�e�t- ����t�� ��) .",�w ,�� ��� �_ �.xpiration��te: ��E�rc�ary 2S,2026 A,pprc>v�t ��te: �I�rch 4a 2Q21 �*��e 1 r , R�Z�can ��l�s Cozn����n�< I�(�`TIG�(.1F A�G�P`�`A��E: ��II,i�N�� �t����I:IT'T'�I� 1a �vid�z�ce sub�itted unc�+er pr�eF�ious Ii�Car�s �, � II�GS `d�'cr6�t��tte� �c�ac���°l�f�� # IS�(190�.08�, �, I�rawin� No. 15-2S�3+GA and 15e25�4�s titled "Wind Loac1 e��ti�ficatit��1 a� �I��h�nica] Lll�i� Cabinetxy and �t�ellAl�t�7inum Ti�;mL�c�4vn �Iips: t�t �racie �nc� I�oc�f 1�Io�znted Applicatio��s", sheets 1 throu�ll 7 c�f 7, t�a.tec� f�511412Q 1 S, r���s�d on 11I2(7/?015, pr�p��ed by� ����in��rin� Expr�ss, �i��zec� �nd s��led by Frar�k L. �3�rt���rdc�e P.E. . . ..��.. .���.. � . « e� 1�.�••�•'�'ES p � •b itted utrtXe�Nt?A # 1 SQ�I9fI3,(I8'� •'"�°e "•,«I, ' � `s'�"r�par� on IJnifc�rm S�a��e Air �'r�ssure �I'est per F£3E`., TAS 2C�2d�4 �lc�n� ��ith e����� .,,o. �,���kecl-���a drawin�s a�d �nstallatior� diagratn ofR���m RA ��ri�s Ivfechanic�l L��zits. .�... '.«Q�' "�rr��ared b� �rr�erican Test L�� c�f �outh F�c�rida, `�est I�epo�tlt Nc�. �323.t�1-1�, dated '��:•• �••• , ��/`�C}15, si�r�ed a��d seat�d by� Stephen �V. Wartez•, P.C�. � . . . ��...� � .� .. .a � � � ..���. . . « . ...«�� . .� . . . R �`�." �I.,��TI..�TTE�1�� �`.S'�6 itPed u�zc����l,�A #1��f1903,f�8" ��"�°� .:...�. ��r��hc�ra�� c�lculation� preparec� tay Er����e�rin� Ex�aress, dat�cf I1f2Q12015, sigr�ed ' and :,�a1ed by Frat�k L.. ��nn�rdo, P.�. L}a (����LI'�'� AS�LI�r�1�I��E l. Mi�mi-�ade L����rtr�er�t of R��u���ary a��td Ecc�nc�r��ic ��s��rc�s (RET�� �. N�AT��d.I�L C�I2TIFICA'I'�t�NS l. Nan�. �'. S'�'A'TEMFNT �`.Su6�aitt�r��r�z,��r�C�A #IS@11903a��''g 1. Statetn�nt 1�tter of code conforrri�nce t� th� S`� �di�i«�2 {2014) �BC iss�z�d by� Engineering Express, dat�d 08124120�5, si��a�t��nd se�l�d b} Frar�k L. ��nnardo,P.E. 2> �tat��ne��t l�tt�r of ng tinat�cial irtt�r�st issued b� En�i��e�ring Express, dated 11/20/201 S, si�r��d and s�aled by Frank �.. B�nn�rcic�a P.�. � �, I�istrr�utc�r a�r��m�nt da�ed 1 11�2l2(}�5. ; _�r +� t�mm ti.�-�'�„ �'�arl���a���r��°�,�.Eo �'roduet C:c�r�tre�i ��arnin��- 'V C��i�c�.20-1102.09 �xpir�tia�� D�tt�: F`�bru�a`v 2�,2026 App►-c�v�l��teo �'I�e�ch�,202A E4t � Rk�eem ��1�s �om�aany=Inc. NC}TICE OF A�'+�EPTA����: EVI�1rEN�E SU�3�ITT�I� 2. ��v�d�nc�su��nitt�d c�nd�r� N(�A # 1�-0321.11 �e l�I2A�'I1�G� �s Dra��tin� I�Ia. 25-�543��. �t�d l�-2�64RF, ti�l�d "G�ind Laad Get�ifie�tic�z� caf Mecl�anical L��i� C�a�ir��tr}� and Stee]1Alurrlir�unl Ti�mL�o�rn ��ips:.At Gr�d����'d Rc�4�.... Mounted Applic�atiansg', sl���ts 1 thrau�h 7 of' 7, dated O�t`I4t�2Q15,��*i,�ed c�t� •. �1/12/2Q l 8, prepar•ed by �,ng�neer�n� Expre��, srgnecl at�'d'S��led b�'Fhar�k L••••• •asee• • • e ��Il21ilTC�O, �.�. •��•�• •��s •a�• • s • • • • •ese •ome sse•e •i f�f• •��• •{f��• • f • • f 71e "PI�CT� •• •t Ma • •����s iar [EF�7 i s •eesme • a �. ��TI�. • • • , • • •• • •��e�• • • • • • • •• • • • • f f R t�R• � •• ♦ • • • . /'� (''+q( ('"'��'7TA�'y�7�(��7�`'` •6!•{• i.�e l..!'S..Ltl.f lJ R.rt-�1 iV L7.7 i �. NC�TI�. 1�!. (�IT�I�I�Y �SSLTRA��E 1w �Iiarni�I�ac�e I��partzt�e:r�t c�f Ft��ulatory and �cc�nc�tniu F2es�urces {�ER} E. IYII�'TE AL C�RTIFICATIC}N� 1. None. F. ST�'I'E�I�N'I'� l. Statemer�t 1ett�r o��' cc�d� e�oz�forrr�at�ce tc� t}Ze 6`}' �,dition {2(l17) F��; issz��d ��F Engineerir?g Ex�r�ss, dat�d 03l l 9/201�, si�ned ar�d seal�d by Frap�k L. Bet���ardcso P.�. ���,,� 1 ���� Garios 'd�I. Lit�•erx,k'.Ea I'roduct Cc�r�tro6 Ex�mi��t� NC3A�a,20�16Q2,Q9 Expi�-�tion Date: Februar��S,2026 Appraval Date. �'I�a�•�h 4,2Q�1 E-2 t , Rhe�m S�les Co an �z��, I�C�TI�LE tJF ACG�P'T'Al��E= �VITI►��CE SUI3I�IT�'�� 3e E�fid��ce�a�brrtit��d i�nder 1�Clr-4 # ��-Q719,Q°7 �'�4 �}�22_�1�'I�(�S �o D�ra��tn� Nc�. I�r�w=i��� Nc�. 15�2543�r� thrc�u�;h 15-2�43GI� at�d 15�2564��q titl�d •:•••: "�ir�d I,oacl C��-tificatic�n c�f l�echanical �1nit ��bin�try and SteeU t�.lumin�am Tie- ...... . . '. .... :Do C1ips: At �rad� and Rc�c�f It�c��n�ec� �pplicatic�t�s", sF�e�ts l thrc�u�h ? c�f 7, � � � �l���d ��1341'�Q15, r�vised on C?1112/�C�l�, pr���r�d b� Er�gir���ring �,�p������ �i����d e..a.. .... . :....: ' '�4�2�'�"�al�d b�� Frank L.. Bennardoq P.E. on Q7,�17/2(}l�, . . ...* .... . . . . ..... .... .... . . ..... .... ...... ...... I3.: •�•'�'EST�.'.. . �• • l. ;�cSt��. •����e • •• • • • a a • • •• • • • ���t�• • • • � � • • • •• +�.:....�£�I.�I)I,�€�'I`�4�1�'� l. T�Ic�t��. . �ITA�.I'�'�' A�S�TF�AS�CE l. Nli�rz�i�Dacle [��partme�t e��R��ulatory �r�d Economic �2e�ources {RE�} �;a IVIATERIA� ���'T`I�ICA�'I(�NS 1, Non�. Fe STAT� E�TS 2. Nlodels rer��t�val r�ques�, dated Q7/171201$, si��ed �nd se�led l�� Frank L. F3er�r�a�doa P.�. �� � ������ �z�rlas�tw L,`t�•�ra,P.E. Praduct ConC1�a1 Exalniner ?�C3A Nc�.2(}-11�2.Q9 �api�•atian[}�tc; �'cbrut�x-y 25,2Q26 Apprc�t�l��t�� �4larch 4.2fl21 E-3 & Rh�e S�Ies Cc►�taanv9 Inc. N(Jt'I'I�� C)1�ACC�P'T'A,11��`�. �VIDEI�IC� �CT�I�I'�'i"CI� 4e New� evid�nt��subrt�itted �, I}�2A�'ING� 1, Dr�wi��� I�c�. 2t�-2��OC}, tit]��3 "Wind Lc��d Gertificati�r� of Mechar�i�al U��it Cal�in��ry and Stee11 Aluinin�t� Ti��Down Claps: At Grade and Rc��f` Mo���ted �1,�apli�ations", s]�ee�s 1 thrc�t��gl� 1 c�f' 7, dated 05/14120]S, revised c�p� 1G}1191.�(�20, :�5�'e`�`a'��d 1�,�,.... Engineerin� Expz�ess, si;��ed and seal�d by Frank L,. Benn���do��.�.: �••••e •* •ai�e• esp• •seee• • a+ewee • s e •����• •��• •�R• • • DB �7'��`��'[�� • • a • ��� 1 � eais ese• e•ss• • • �. �CICI�. •se•oa •es• •aso• • • • • a :♦ sa •s s aeseo• • �s��r�• • ♦ • • • � * • �• s e•sae• �. CA�CLTLATICINS • • • ! f ♦ �� � � • • • •i f•e f � �����' •• • ! i • • •!f i•! • �e �t.1�i:�,[� 1'l�s�iJ 1♦7,..=l:t �. Mia���i�I�ade D��art���et�t ofRegul�tvey and Ec;onoz�ic R�sc�urces(��R} E. MATERI�L CF.R"I'IFICATIt�N� lo Nc�n�. �`. STATEMEN'T� 1, 5tat��nent I�tte�• of c:c�d� cc�nfc��•m�nc� to the 7t'' editi�n (2�20� ��3�` �ssu�c� �y Engin�eri��� Cx�re�s, d�t�d 10119I�02Q, sig���d anc� sealeci by I�rank I,. �3�nx�ardc�. P.�. 2. Statem�rlt letter c�f no �r�ancial int�rest issued �y En�in�eri���; Express, dated IOI19f2Q20, �i�ned anc� sealed �y �rank L.BennardQ, F�,E. ,r�.�� . �� �'RY��S ;�'�, CJ�i'CPAQ P.�:e Prodact Cs�uEro� Ex�inin�ee� NC}A'�c�,2Q�11�2.f}� Expiratioz�i)�t�; �'ebP��►z�ry 25e 202�5 App�°ov��l�s�t�e IV1�r�k��#,2i121 E-4 •o• • • • oo• • • s •• •• • s • •• o• • • • • s • • • • s • • • •�• • • • w • • • • • • • •�s • • • • •�• • • F� � • • ,a � ,`���-..���: � �� � � � . . . , r �r��c� �c�a�c����-r���e�a�rzc�� c��r��cm��r��c��vra�-r c��z�������r� ��r���/��.u�zrv�4�*�r�-t��� c�.�As:������ r�c�u��-�c�����zc���c���� ��� � � ,. � _.,�, •,, ,.. , • , ..• ���,� „� ��;���. ; ; > -8..oaou �-*rit � �. � __ l s` _ ... , _ . � �� < ._r�.7so^ ��.���.�}�i: �T'��vue vs rrtan �� . .. .,. - I y �c`t"i'ti�a t...�..+ ���J�i77 d asC� ,. oy� „�. � i�s r�rny,�xcc,su�"�t� � , ^' "" (J �� 1 2�,K�*...,. •• • • • •• C794I+�y� G �3� ��` . ueat���t�a» `,�_ " ...C��Yt 54��r �y�a;'��t�P .... �Z�T�firy ? •• •�r i •��• � ••t� _-��^�'p� 9��/W^�_-�p�C�* �ro� `.�-�a�rts' .z,:�:.,��' RAb€ i�-riAt.t�;fa _ _� _ xfl-�,r �.,_�. . �� ,r.� ��� ..�..,..� .., j7A �. • �r� • • • • 1.����iJ3'� 3�1J i 4,.7 ��.+� ' "' �. � ��% �r' � '� X � �i�l • • • • s-s - �asa e�sg?mra�; �r.., � ,...� �.... ,.?' :,... �f -., r, ,..... -' •• •�1#� • f i �IS 5Yi7�lkYA HAS SE�P2 L3E iGPlcG SN ACCURbA1dLf WITk ASC�"I AN17 THE �..�. � � /,.... , , ,'_� . , �,�:'�, ' � �tORI[3f Si7tL17TWG L6D€SCVEh37H Fi}It2l3N 20}.b)Ff2R USf Y1ITti7N RMb �svrd.s � w� t _.i i- �:��L .Jvi� t7UTSYDE 7HE HZ�'dE4.�"JCI3Y Nt7HRiGkfdE Z{3NE.TNE P.YESIC±N CR77ERSA J,,�, .r, Y � � � CC-P2SEt'iEf25 fiSfi,E 7 SE{:T3C➢ttl Z9 FGR"bTf#E&STRi3C'311RE�a-54'�IIZ) .... u,_ �}' �� �� �f FRCESTd4PiPtMG Vd�LSS�INv�"TAU,A7TC1NS�T G`#tADE.A4L i3ESSGM bA#ISABi.E.a � �e ��` x,� �I � � RfiE I{d RCC6t2LtRP3CE Y'-07'i'H ASCE 7�hAP7'ER.E Z4&24. p*�# , �. � .;; , ,, � «� � �m .�' , - {� o �m . _ � ,�.; ,;.. � � G e� n � i .�.-( ,,: � , g� /^��p- m . �i� � i � � "�} /-+ R� p� �� : I� �� {� 05 'l��lU� � l��.d i��. ��r�y�o r gy� � "�'� � ' � CC{tft(JAt CI-}Nd37H�TNE(tE�IP,FM N'74�"3f YMf(LC7R7`?A&47Si�CtNf GfJis ��� W� y �t=/. ti i �"".-....��ry� .i� �� � ',•_ ..q qTY4.v ��� SEVLPS(H EDii10�1�(7t720}�AS'£i�TMt. 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