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MCC-19-962Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1700 NE 105TH ST 117, Miami Shores, FL 33138 Contacts YJ Ili � 1 r M Issue Parcel Number 1122300500170 Permit No.: MCC-O -19-962 Permit Type: Mechanical - Commercial work Classif c avow A/C Replacement Permit status: Approved Expiration: 10/28/2019 JANE GRABLE Owner MIKE'S AC SERVICE INC Contractor 1259 NE 97 ST, MIAMI SHORES, FL 331382559 MIGUEL MAYTA P.O.BOX 4384, MIAMI BEACH, FL 33141 Business: 3057515814 Other:3059860702 Description: REPLACEMENT 2 TON A/C SYSTEM. EXACT CHANGE Valuation: $ 4,100.00 e uests: Inspection tion R9 OUT Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $3.00 DBPR Fee $2.15 DCA Fee $2.00 Education Surcharge $1.00 Notary Fee $5.00 Permit Fee $93.50 Scanning Fee $9.00 Technology Fee $3.59 Total: $169.24 Building Department Copy Payments Date Paid Amt Paid Total Fees $169.24 Credit Card 05/01/2019 $50.00 Credit Card 05/03/2019 $119.24 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 abo�veed c%�tracto/r to do the work sta d. �% % Authorized Signature: Owner / Agent Date May 03, 2019 Page 2 of 2 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 BUILDING PERMIT APPLICATION BUILDING ELECTRIC ROOFING PLUMBING 0 MECHANICAL PUBLIC WORKS JOB ADDRESS: 1700 NE 105th Street apt. #117 RECEIVED M BY: 0 FBC 20 �i Master Permit No. MC -Ut3-I "l - 1 roZ Sub Permit No. REVISION EXTENSION RENEWAL CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-2230-050-0170 Is the Building Historically Designated: Yes NO NO Occupancy Type: 0407 Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Jane H Grable Phone#: 305 754-6403 Address: 1700 NE 105th Street Apt. 117 City: Miami Shores State: FL Zip: 33138-2145 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Mike's AC Service, Inc. Phone#: 305 751-5814 Address: 775 NE 79th Street Suite H City: Miami State: FL Zip: 33138 Qualifier Name: Miguel Mayta Phone#: 305 751-5814 State Certification or Registration #: CAC 039619 Certificate of Competency #: DESIGNER: Architect/Engineer: N/A Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 1 Square/Linear Footage of Work: Type of Work: ❑ Addition, /❑ /Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: Exact change out Specify color of color thru tile: Submittal Fee $ 5b, a�s) Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond $ ) [ TOTAL FEE NOW DUE $ 1 , 1 ` Z4 Bonding*Co^mpany's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zi 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. no .1 ZaZi It-,l — — - Signature —Signature i. V 17r) OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this A 9 day of /`+'/]]pIC/L. , 20 / !2' by lf_ H1 • C79A tile, , who is personally known to me or who has - identification and who did take an oath. NOTARY PUBLIC: Sign: f. 4D_�w Print: /'tll-461 Seal: ;�,.•. PATRICIA A. STUBBS •: MY COMMISSION # GG075388 APPROVED BY The foregoing instrument was acknowledged before me this i day of i''lic-_ 4 20 (� by Mt Gua — M 1po who is personally known to me or who has produced LA,t N S S identification and who did take an oath. NOT4PB: Sign:Print� tJV 2Jfu Seal: k SINDIA ALVAREZ ' t; MY COMMISSION # GG 238273 EXPIRES: September 3, 2022 +rf.,,R.oer bli Underwriters own= Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk Property Search Application - Miami -Dade County Page 1 of 2 i OFFI^E OF THE PROPERTY APPRAIS'ER 4'0- U Summary Report Property Information Folio: 11-2230-050-0170 Property Address: 1700 NE 105 ST UNIT: 117 Miami Shores, FL 33138-2145 Owner JANE H GRABLE Mailing Address 1700 NE 105 ST STE 117 MIAMI SHORES, FL 33138 USA PA Primary Zone 4900 MULTI -FAMILY - CONDOMINUM Primary Land Use 0407 RESIDENTIAL - TOTAL VALUE: CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 2/2/0 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 2018 2017 2016 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value $185,494 $264,992 $203,840 Assessed Value $49,200 $48,189 $47,198 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Assessment $136,294 $216,803 $156,642 Cap Reduction Homestead Exemption $25,000 $25,000 $25,000 Second Exemption $0 $0 $0 Homestead Widow Exemption $500 $500 $500 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description THE SHORES CONDOMINIUM APT 117 FIRST FLOOR UNDIV .0121 % INT IN COMMON ELEMENTS CLERKS FILES 64R-124472 Generated On : 4/24/2019 Taxable Value Information 2018 2017 2016 County Exemption Value $25,500 $25,500 $25,500 Taxable Value $23,700 $22,689 $21,698 School Board Exemption Value 1 $25,500 $25,500 $25,500 Taxable Value 1 $23,700 $22,689 $21,698 City Exemption Value $25,500 $25,500 $25,500 Taxable Value $23,700 $22,689 $21,698 Regional Exemption Value $25,500 $25,500 $25,500 Taxable Value $23,700 $22,689 $21,698 Sales Information Previous OR Book - Price Qualification Description Sale Page 06/30/2014 $170,000 29218-4257 Qual by exam of deed Corrective, tax or QCD; min 05/08/2014 $100 29169-2413 consideration 03/01/1989 $92,000 14036-1910 Sales which are qualified 07/01/1986 $95,000 12960-0579 Sales which are qualified https://www8.miamidade.gov/Apps/PA/propertysearch/ 4/24/2019 THE `;ONDOMINIUM 1700 NORTHEAST 105To ST13EET • MWAI SHORES, FLORiDA 33138 • PHONE (305) 893-6741 FAX (305) 891-05in: - EMAIL: thesharltl—ld-C°�Jatt.rwt WORK REQUEST APPLICATION ow ner's Name `�/ 'ki )t �"(� �-� 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 / N s--!-A, L. i N ` W 6 (1, Before you decide to upgrade your apartment(other than paint or carpet) you must obtain permission from the Board of Directors and/or,'Mlami Shores Village. A copy of plans, specifications and permit fi&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) , f,,,, 1. 1. 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 colorto look lil a 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 for 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 full understand and agree to the statements made above. it owner's signature Date Approved by DateZ� AIR CONDITIONING & REFRIGERATION PROPOSAL AND SALES AGREEMENT CUSTOMER: Jane Grable April 8, 2019 ADDRESS 1: 1700 NE 105 Street #117 ADDRESS 2: Miami Shores, FL RE: REPLACE 2.0 TON AIR CONDITIONING & HEATING SYSTEM (with new environmentally friendly refrigerant 410A) 1) We will remove the old air conditioning system from the apartment, and we will dispose the old system according to EPA regulations. 2) We will install new auxiliary drain pan on the floor, we install new air conditioning stand, we will new heating & cooling thermostat and configure the thermostat. 3) We will install the new 2.0 ton super hi efficiency 14.00 EER HYDROTECH air conditioning & heating system, we will install the new brass fittings in the unit, we will connect new hi pressure hoses in to existing, we will connect the electrical in to existing, we will make new plenum in the air conditioning closet, we will connect the drain line in to existing, and we will install the new float switch in the system. 4) We will start up the new air conditioning system, and we will balance the system in the apartment. THE SYSTEMS AND MATERIALS INCLUDED IN THIS PROPOSAL 1 . WSVX024N-6LH AIR CONDITIONING & HEATING SYSTEM 14.00 EER (the heat exchanger is cupronickel) 1 ALUMINUM STAND & AUXILIARY DRAIN PAN ALL THE DUCTWORK MATERIALS, VALVES, FITTINGS, HOSES TO INSTALL THE NEW SYSTEM LABOR WARRANTY: Service will be provided free of charge by Mike's AC Service, for a period of one year from date of installation, during the regular working days and regular working hours. MANUFACTURER'S WARRANTY: Five years manufacturer's warranty on all parts in the system, and 5 years warranty on compressor from the date of installation. No warranties on air conditioning filters, and regular preventive maintenance. TOTAL SYSTEM COST: We shall furnish equipments, labor & materials only detailed on pages 1 & 2 for $4,100.00 dollars, the sales tax is included in this proposal. (PLUS THE PERMIT FEE & PROCESSING FEES) TERMS: Customer hereby accepts the proposal and agrees to payments as follows, 50% down payment upon acceptance of contract, and 50% final payment when the job is completed. CONTRACTOR: )duel Mayta SATE: 04/08/2019 For Mike's AC Sery CUSTOMER: DATE: DATE: �- l r_. 5t!oREsGi I uu xmM C".1 U ORIDp' 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): 1700 NE 105th Street Apt. 315 City: Miami Shores Village County: Miami Dade Zip Code: 33138 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 �Z-ARHI Sheet Attached: YES J' NO ❑ Contract Attached: YES ,- UNIT BEING REPLACED DATA NEW UNIT FHP MANUFACTURER HYDROTECH EM024-1VTC AHU or PKG. UNIT MODEL # COND. UNIT MODEL # L1 1-17 KW HEAT 4 NOM TONS 2 AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG Qg Zr c7, 3) VOLTS AHU CU PKG R PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT ES NO • • YES NO NEW 4"CONCRETE SLAB YES '++' 0 • ••• YES NO NEW ROOF STAND YES •••• •+ • YES NO NEW RETURN PLENUM BOX I YES ••.. ' 1. Minimum Circuit Ampacity (Wire Size): 12 AMPS WIRE ZISE #10 •••• •••• 20 AMPS "•••' .... . ...... 2. Maximum Overcurrent Protection (Fuse/Breaker Size). • 208/230 • ••• • • • 3. Voltage of Circuit (208/240/480): 20 AMPS • 4. Size Disconnecting Means: Contractor's Company Name: Mike's A C Service Phone: 305 751-5914 State Certificate or Registration No. CAC 039619 / Certificate of Competency No. Signature �`Y( l Date:��/z % (Qualifier's signature) (Revised02/24/2014) Certificate of Product Ratings AHRI Certified Reference Number: 4084956 Date : 05-01-2019 Model Status: Active Old AHRI Reference Number : Product : Water -to -Air and Brine -to -Air Model Number : WSVX024*-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 Part Loadl PartLoad2 Part Load3 Air Flow Rate - Cooling: 745 Air Flow Rate - Heating: 745 WLHP (Water -Loop Heat Pumps) Cooling Capacity (Btuh) Cooling EER Rating (Btuh/watt) Cooling Fluid Flow Rate (gpm) Heating Capacity (Btuh) Heating Cop_(watf/watt)' Heating Fluid Flow Rate (gpm) GWHP (Ground Water -Heat Pumps) - Cooling Capacity (Btuh) , Cooling EER Rating (Stuh/Watt) Cooling Fluid Fiow Rate (gpm), Heating_Capacity (Stuh) Heating COP (watt/watt) Heating Fluid Flow Rate (gpm) GLHP (Ground -Loop Heat Pumps) Cooling Capacity (Btuh) Cooling EER Rating (Btuh/Watt) Cooling Fluid FlowRate(gpm) Heating Capacity (Btuh) Heating COP (watUwatt) Heating Fluid Flow Rate (gpm) Indoor Blower Motor Fan Type : ECM Sold In? : USA 23400 14.20 6.10 28000 4.30 6.10 25500 19.80 6.10. 21300 3.70 6.10 Footnotel : Without domestic heat recovery unit operating. • • •••• ••••• • t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sgIwq new mo8gJ%ty$t are being, . •. f marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is no longer groducing BUT is still* selling or offering for sale. 6 0 0.0 r • ; • f • • • Retinas that are accompanied by WAS indicate an involuntary re -rate. The new Dublished g. rating is shown along with the previous G.a.Vd9S) ratin... • • DISCLAIMER •••••• • •• AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and Asu)ies no rpsponsjbility for, • the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of an kind arising out of the use or performance of thu • e p p y y g y g Nr duai(Is), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In =he • • • • directory at www.ahridirecto►y.org. • • • • • TERMS AND CONDITIONS r 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.ahridlrecto►y.org, click on "Verity 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.: 132011973119623260