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MC-19-1338Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 o a n R^� ups Issue Date: 06/17/2019 Location Address Parcel Number 1150 NE 102ND ST, Miami Shores, FL 33138 1132050190170 Contacts Permit NO.: MC-06-19-1338 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: Approved. Expiration: 12/16/2019 SARA SEIDLER Owner MIKE'S AC SERVICE INC Contractor 1150 NE 102 ST, MIAMI SHORES, FL 331382616 MIGUEL MAYTA P.O.BOX 4384, MIAMI BEACH, FL 33141 Business: 3057515814 Other:3059860702 Description: REPLACE 2.5 TON AIR CONDITIONING & HEATING Valuation: $ 4,325.00 Inspection Requests: SYSTEM ( EXACT CHANGE) 1305-762-4949 Total 5q Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $3.00 DBPR Fee $2.27 DCA Fee $2.00 Education Surcharge $1.00 Permit Fee $101.38 Scanning Fee $9.00 Technology Fee $3.78 Total: $172.43 Building Department Copy Payments Date Paid Amt Paid Total Fees $172.43 Credit Card 06/17/2019 $122.43 Credit Card 06/11/2019 $50.00 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. Futhe7ore, I authorize the abov named contractor to do the work stated. 7 Authorized Signature: Owner v / / , Contractor / Agent June 17, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION 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 M. 3UH11 1 rED 019 li FBC 2r0 Master Permit No. M& 0 C - 11 -) 338 Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING 0 MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1150 NE 102 Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3205-019-0170 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Sara Seidler Phone#: 305 308-4803 Address: 1150 NE 102 Street City: Miami Shore Village State: FL Zip: 33138 Tenant/Lessee Name: N/A Phone#: N/A Email: CONTRACTOR: Company Name: Mike's AC Service 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 #: _ N/A DESIGNER: Architect/Engineer: N/A Phone#: N/A Address: N/A City: N/A State: Zip: Value of Work for this Permit: $A 3 2�! C Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New FEW Repair/Replace ❑ Demolition Description of Work: REPLACE 2.5 TON AIR CONDITIONING & HEATING SYSTEM (EXACT CHANT Specify color of color tPru tile: n Submittal Fee $ So Pq I Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ CCF $ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 12 Z ' C-1 3 (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. Signat a i� �°e �2LSignature //, OWNER or AGENT CONTRACTOR The foregoing instrume t was acknowledged before me this The foregoing instrumen was acknowledged before me this f) �� day of j I V 11v 20 �J by '� day of n 20 I by �I U 1" • 32 I' r16 f who is per onally known to 1" , I ' I`�1� who is personally known to me or w has duced Yi V� v ! L �S�i as me or wh as produced i'� I C S as identif' atio nd wh did take an oath. identific tion n w did take an oath. ������� Plufto ///'// OTA Y PUB I ��x\0 "i PpiFTp ///i OTAR PUBLI . ?` �• ••• µ23, �RF•••,/��� SiPM gn: : �c ? Sign: v �,2026% Print: ti if*: ,26720 �,: <� Print: 0`I'W4 ��`i- san0Ll Seat:;Y"�Seal: /////p S1 1,`\`\``` sit **r**s*r************* ***•********�*`*** r*Is**s**s****r*r*r*******************************�r******s**a***s*** APPROVED BY ! l Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 2 THF PROPFRTV APPRAISF.R Property Information Folio: Property Address: Mailing Address PA Primary Zone Primary Land Use Beds / Baths / Half Floors Living Units Actual Area Living Area Adjusted Area Lot Size Year Built Summary Report 11-3205-019-0170 1150 NE 102 ST Miami Shores, FL 33138-2616 SARA SEIDLER 1150 NE 102 ST MIAMI SHORES, FL 33138-2616 �1100 SGL FAMILY - 2301-2500 SQ i0101 RESIDENTIAL -SINGLE i 'FAMILY: 1 UNIT !3/2/1 1 1 3,508 Sq.Ft 2,236 Sq.Ft 2,959 Sq.Ft 15,070 Sq.Ft 1955 Assessment Information Year Land Value Building Value 2019 $475,958 $221,925 2018 2017 $453,294 $453,294 $221,925 $205,946 XF Value $3,715 $701,598 $3,760 $3,805 Market Value $678,979 $663,045 1 $330,671 Assessed Value $344,0291 $337,615 Benefits Information Benefit Type 2019 20181 $341,364� 2017 Save Our Homes Assessment $357,569 $332,374 Cap Reduction Exemption Homestead $25,000 $25,000 $25,000 Second $25,000 $25,000 $25,000 Homestead !Exemption 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 MIAMI SHORES SEC 8 REV PB 43-07 LOT 7 LESS PORT LYG IN R/W & PORT OF LOT 8 DESC BEG SWLY COR OF LOT 7 TH SWLY27.41 FT Generated On : 6/10/2019 Taxable Value Information 1 20191 2018 2017 inty m hon Value p ' $50,500 $50,500 $50,500 able Value $293,529 $287,115 $280,171 tool Board mption Value _-_ $25,500 _.-. $25,500 $25,500 able Value $318,5291 $312,115 $305,171 m Value 1 $50,500 $50,500 $50,500 Value �i $293,529 $287,115 $280,171 d )n Value $50,500 $50,500 $50,500 Value $293,529 $287.115 $280,171 Sales Information Previous Sale Price, OR Book -Page $230,0001 17079-0268 Qualification Description 01/01/1996 Sales which are qualified 06/01/1992 $146,500 15595-0703 Sales which are qualified 03/01/1991 $129,000 14959-2750 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 Aareement at hftD://www.miamidade.gov/info/disclaimer.aSD http.sJ/www8.miamidade.gov/Apps/PA/propertysearch/ 6/10/2019 Certificate of Product Ratinas AHRI Certified Reference Number: 8784479 Date : 06-10-2019 Model: l y AHRI Type: RCU-A-CB 'i*T Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : 4A7A603OJ1 Indoor Unit Brand Name: AMERICAN STANDARD Indoor Unit Model Number (Evaporator and/or Air Handler) : TMM5AOB3OM21 SAA COPY Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed 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 AMERICAN STANDARD product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 29000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 --�—• ���' Ji'irinS Vlli'�'P E�---� u_ BY y �p19 DATE 11 ' rr �T 10 CCA,IPIJANCE WI FH ALL FEDERAL t"Active" Model Status are those that an AHRI Certification Program Par�lcipa�it {s"dur(enty bro4uping-ANUs�I'pg 9r, ffering for le; OR new models that are being marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certifical on Program-Partici6ant is no longer producing BUT is still selling or offering for sale. — ---J Retinas that are accompanied by WAS indicate an involuntary re -rate. The new Dublished ratino is shown along with the Drevious (i.e. WAS) ratina. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.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.ah►idIrectory.org, click on "Verify Certificate" link we make Lfe 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.: 132046768020443149 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): 1150 NE 102 STREET 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 Q ARHI Sheet Attached: YES K NO ❑ Contract Attached: YES 0 UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AMERICAN STANDARD AHU or PKG. UNIT MODEL # TMM5A0B30M21SA j ( _05� O COND. UNIT MODEL# 4A7A6030J1000A - S' KW HEAT 7.5 KW NOM TONS 2.5 TON AHU _ CU Iq PKG 1) M.C.A AHU CU PKG AHU ? CU jo PKG 2) M.O.P AHU 5-CU25-PKG PKG 3) VOLTS AHU CU PKG PKG UNIT PKG UNIT EER/SEER O 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 ZM YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): Z00 T 2 c-e c---) 4. Size Disconnecting Means: Contractor's Company Name: Mike's AC Service Phone: 305 751-5814 State Certificate or Registration No. CAC 039619 Certificate of Competency No. N/A Signature . - ' Z �- Date:_4�� (Qualifier's signature) (Revised02/24/2014) ME'SQ10 schuicc, Inc AIR CONDITIONING & REFRIGERATION PROPOSAL AND SALES AGREEMENT CUSTOMER: Sara Seidler March 25, 2019 ADDRESS 1: 1150 NE 102 Street ADDRESS 2: Miami Shores, FL 33138 RE: REPLACE 2.5 TON AIR CONDITIONING & HEATING SYSTEM (with new environmentally friendly refrigerant 410A) 1) We will remove the old 2.5-ton air conditioning system, and we will dispose the old air conditioning & heating system according to EPA regulations. 2) We will install the new 2.5 ton hi efficiency 16.00 SEER AMERICAN STANDARD air conditioning & heating system, we will install new air handler unit in the same place, we will install the new condensing unit in the same place over new over new hurricane stand, we will clean out the same existing refrigerant lines with RX11 flush out & nitrogen, we will connect the refrigerant lines in to existing, we will connect the electrical in to existing, we will connect the ductwork in to existing, we will install the new float switch in the new air handler unit, we will connect the drain line in to existing, we will evacuate the system, and we will charge the system with new Refrigerant 41 OA. WE WILL LEVEL THE EXISTING CONCRETE SLAB. 3) 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 4A7A6030J1000A CONDENSING UNIT (16.00 SEER SYSTEM) 1 TMM5AOB3OM21 SA AIR HANDLER UNIT 1 BAYHTRM508BRKA HEATER 1 DIGITAL NOON PROGRAMBLE HEATING & COOLING THERMOSTAT ALL THE DUCTWORK MATERIALS, PIPINGS, INSULATION, STAND, FLOAT SWITCH, TO INSTALL THE NEW SYSTEM SERVICE WARRANTY: Service will be provided free of charge by us for a period of one year from date of installation, during the regular working days and regular working hours. No warranties on annual preventive service and air conditioning filters. MANUFACTURER'S WARRANTY: With registration ten years manufacturer's warranty on all parts in the system, and 10 years warranty on compressor from the date of installation. Annual preventive maintenance & air conditioning filters not included. TOTAL SYSTEM COST: We shall furnish equipments, labor & materials only detailed on pages 1 & 2 for $4,326.00 dollars 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 this proposal, and 50% final payment when the job is completed. CONTRACTOR: DATE: CUSTOMER:DATE: 775 N. E. 79fh STREET SUITE H MIAMI, FL 33138 * PHONE (305) 751-5814 * FAX (305) 861-6334 MAILING ADDRESS * P. 0, BOX 414384 * MIAMI BEACH, FL 33141 CAC 039619 SALES-' INSTALLATiON * SERWCE SINCE 1974