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MCC-19-1841Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit No.: MCC-08-19-18 1 Permit r'ype: Mechanical - Commercial ftblyw'ljl� Work Classification, A/C Replacement Permit Status: Approved Issue Date: 09/14/20 9 Expiration: 02/10/2020 Location Address Parcel Number 1700 NE 105TH ST 417, Miami Shores, FL 33138 1122300500740 Contacts ELLEN SEPE Owner MIKE AC SERVICE INC Contractor 1066 NE 94 ST, MIAMI SHORES, FL 33138 MIGUEL MAYTA P.O.BOX 4384, MIAMI BEACH, FL 33141 Business: 3057515814 Other:3059860702 Inspection Requests: Description: REPLACE 2.5 TON HEAT PUMP AIR CONDITIONING Valuation: $ 4,225.00 175-762-4949 SYSTEM EXACT CHANGE OUT Total Scl Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $3.00 DBPR Fee $2.22 DCA Fee $2.00 Education Surcharge $1.00 Permit Fee $97.88 Scanning Fee $9.00 Technology Fee $3.70 Total: $168.80 Payments Date Paid Amt Paid Total Fees $168.80 Credit Card 08/14/2019 $118.80 Credit Card 08/09/2019 $50.00 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 th ed. 7 Authorized Signature: Owner / / Contractor / Agent August 14, 2019 Page 2 of 2 \ � �, Miami Shores Village cF, �MvooBuilding Department 4tio o9�419 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �� Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 6 FBC 20 t1 BUILDING Master Permit No. MCC--() Y'111 ' I N PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION RENEWAL PLUMBING 0 MECHANICAL PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1700 NE 105 Street Apt. #417 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-2230-050-0740 Is the Building Historically Designated: Yes NO NO Occupancy Type: Load: N/A Construction Type: CBS Flood Zone: YES 8FE: FFE: OWNER: Name (Fee Simple Titleholder): Ellen Sepe Phone#:786 385-7510 Address: 1700 NE 105 Street Apt. #417 City: Miami Shores State: FL Zip: 33138-2145 Tenant/Lessee Name: Email: CONTRACTOR: Company Name: Mike's AC Service, Inc. Address: 775 NE 79th Street City: Miami State: FL Qualifier Name: Miguel Mayta State Certification or Registration #: DESIGNER: Architect/Engineer: Add 0 Value of Work for this P e( mit: $ ) Q_ `Squa Type of Work: ❑ Addi 'on ❑ Alteration ❑ New Description of Work: Repla 2.5 ton heat pump air condi Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ Phone#: Phone#: 305 751-5814 Zip: 33138 Phone#: 305 751-5814 Certificate of Competency #: Phone#: City: State: Zip: e/Line r Footage of Work: ❑■ Repair/Replace ❑ Demolition ing system exact change out CCF $ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 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!y OWNER or AGENT The foregoing instrument was acknowledged before me this 2'� day of NUCf. ` . , 20 1 C�-i by l '-- who is personally known to me or who has produced lb Y, i � eY ci, b Ce-il'1T- as identification and who did take an oath. Signature CONTRACTOR The faoregoing instrument was acknowledged before me this day of f5 - 20 (� by 7�who is personally known to p Y me or who has produced % ram'/V/G� as identification and who did take an oath. NOTARY PUBLIC: Print: A- Q Seal: .: Seal: �:?�9sp�� �'aa :�* �s -. KELSEE BRASN 6y` rh Notary Public • State of Florida i �' ' , Commission r GG 35$954 ?a n My Comm. Expires Jul 24, 2023 ���r� TFOF � the Woh yaa����n�n tap � APPROVED BY Plansixlaff�ier Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 AIR CONDITIONING REPLACEMENT DATA M(:�C_Xilc1—ly 1�tl PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work Is being City: Miami Shores Village County: Miami Dade Zip Code: 3 ALL CONDENSING UNITS MUST BE ON A 41NCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED f� Change disconnecting means: YES❑ NOED ARHI Sheet Attached: YES Z0 ❑ Contract Attaiggq: YES [� . . .... ...... UNIT BEING REPLACED DATA • • N& UNIT• • • Al E MANUFACTURER y�.�'T'• AHU or PKG. UNIT MODEL # L COND. UNIT MODEL # • KW HEAT ....•. •• Z — NOM TONS .... AHU CU PKG 1) M.C.A AHU :. %0: PKG •/ AHU CU PKG 2) M.O.P AHU CU* PIZC..ZL AHU CU PKG 20'$ .Z p 3) VOLTS AHU • L&U• P G PKG UNIT / / PKG UNIT / ' (:..' EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT E NO YES NO NEW 4"CONCRETE SLAB YES 600 YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity (Wire Size):0�0 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: _�Y2l9jCP-� 14c—, 54!�FiEV/651Phone: State Certificate or Registration No. e'46_4?1?��ertificate of Competency No.-------� Signature Date: (Qualifier's signature) (Revised02/24/2014) � p 0" NESS Certificate of Product Ratings AHRI Certified Reference Number: 4084957 Date : 08-07-2019 Model Status: Active Old AHRI Reference Number : Product : Water -to -Air and Brine -to -Air Model Number: WSVX030*-6 Manufacturer Name : FIRST CO. Brand Name : HYDROTECH Rated as follows in accordance with ANSI/AHRI/ASHARE/ISO Standard 13256-1 Water-toAir and Brine -To -Air Heat Pumps and subject to verification of rating accuracy by AHRI-sponsored, independent third party testing: Full Load PartLoad1 PartLoad2 PartLoad3 Air Flow Rate - Cooling: 930 Air Flow Rate - Heating: 930 WLHP (Water -Loop Heat Pumps) Cooling Capacity (Btuh) 28000/28000 Cooling EER Rating (Btuh/watt) 14.00/14.00 Cooling Fluid Flow Rate (gpm) 9.00 Heating Capacity (Btuh) 32800/32800 Heating Cop (watt/watt) 4.3014.30 Heating Fluid Flow Rate (gpm) 9.00 •""• GWHP (Ground Water -Heat Pumps) ' ' • • Cooling Capacity (Btuh) 30500/26700 • • • • Cooling EER Rating (Btuh/Watt) 19.70/19.70 • • • CoolingFluid Flow Rate (gpm) 9.00 .•••• Heating Capacity (Btuh) 26700/26700 •"". •""• ' Heating COP (watt/waft) 3.70/3.70 "' • • • • • • • • • • Heating Fluid Flow Rate (gpm) 9,00 • • • • •' • • • • • • • • • • • Indoor Blower Motor Fan Type : ECM Sold In? : USA Footnotel : Without domestic heat recovery unit operating. Where rating shows value/value, the first value is at minimum voltage, the second value is at 230v for a dual volt system. 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 accompanied by WAS indicate an involuntary re -rate. The new published ratina is shown along with the Drevious (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), 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, 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 bettei- 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.: 132096857735037723 Property Search Application - Miami -Dade County Page 1 of 2 "FFICE OF THE FKU WERTY APPRAISUR Summary Report Property Information Folio: 11-2230-050-0740 Property Address: 1700 NE 105 ST UNIT: 417 Miami Shores, FL 33138-2145 Owner ELLEN SEPE Mailing Address 1700 NE 105 ST #417 MIAMI SHORES, FL 33138 USA PA Primary Zone Primary Land Use 4900 MULTI -FAMILY - CONDOMINUM 0407 RESIDENTIAL - TOTAL VALUE: CONDOMINIUM - RESIDENTIAL 2/2/0 Beds / Baths / Half Floors 0 Living Units 0 Actual Area Sq.Ft Living Area 1,200 Sq.Ft Adjusted Area 1,200 Sq.Ft Lot Size 0 Sq.Ft Year Built 1965 Assessment Information Year 2019 2018 $0 2017 $0 Land Value $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value $192,004 $196,927 $281,324 Assessed Value $158,611 $155,654 $152,453 Benefits Information Benefit Type 2019 2018! 2017 Save Our Homes Cap Assessment Reduction $33,393 $41,273 $128,871 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead I Exemption $25,000 $25,0001 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description THE SHORES CONDOMINIUM APT 417 FOURTH FLOOR UNDIV .0132% INT IN COMMON ELEMENTS CLERKS FILES 64R-124472 Generated On: 8/5/2019 Taxable Value Information 2019 2018 2017 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $108,6111 $105,654 $102,453 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value 1 $133,611 $130,654 $127,453 City Exemption Value $50,000 $50'000 $50,000 Taxable Value $108,611 $105,654 $102,453 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $108,611 $105,654 $102,453 Sales Information Previous OR Book - Price' Qualification Description Sale Page Corrective, tax or QCD; min 07/17/2015 $100 29727-3003 consideration 02202015 $260,000 29510-1409 Qual by exam of deed 04/192011 $100 27667-4925 Life Estate interest 01/012003 $150,000 21003-0003 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 hfp:/twww.miamidade.govriinfo/disclaimer. asp https://www8.miamidade.gov/Apps/PA/propertysearch/ 8/5/2019 Nceaootitixle�rr 17f+) N�E[!!tiEA6i i051't 9TFt EI MIAW 5HOREB: rsC7i 3&A 3319tS PHQN£ Cam) 893.6T41 FAX (3Q5) 995.6863 �•MAIi� y �yhorey�,nC an.rff.. WORK REQUEST APPLICATION Owner's Name 5 ,� Z5 i _ Unit-_(,� I hereby request approval from the Board of Directors for the 'following modification or alteration to my unit that will be performed by a licensed contractor. Electrical work Plumbing work Carpet Installation __ "Windows Tile installation Other work ?� Description of work Before you decide to upgrade your apartment(other than paint or carpet) you must obtain permission from the Board of Directors and/or Miami Shores Village. A copy of plans, specifications and permits, and a description of the licensed work to be performed must be submitted for consideration and approval by the Miami Shores Village Building Department(305-795-2204) It is the owner's responsibility to ensure that the contractor removes all excess construction material or building debris. It cannot be placed in the dumpsters. ** Window frames must be gray in color to look like aluminum. Windows must be Two(2) panels over Two(2) panels. Glass must be clear color. i, as the unit owner acknowledge responsibility for any damage to the building or personal injuries that may occur during this project. The Shores Condominium Inc. its officers and employees are in no way responsible foo damage or theft to my apartment or my belongings. (A $200,00 deposit is required and will be refunded if no damage to the property is reported) I fully understand and agree to the statements made -above. Unit owner's signature -�� J mate Approved by Date J