Loading...
MCC-19-1248Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.: MCC-05-19-1248 Permit Type: Mechanical - Commercial Work Classification: A/C Replacement Permit Status: Approved Issue Date: 06/27/2019 L.Expiration: 12/24/2019 Parcel Number 9999 NE 2ND AVE, Miami Shores, FL 33138 1132060134490 Contacts CITY NATL BNK OF FLA TRU Owner MORAN AIR CONDITIONING INC Contractor 99992 PEDRO GONZALEZ Home: 3057567747 Business: 7862512436 Description: REPLACEMENT TWO TRANC C/U , 15 TON EACH . Valuation: $ 30,000.00 Inspection Requests: 305-ti 4949 TotalSq Feet: 220V, 3PH 0.00 Fees Amount Application Fee - Other $50.00 CCF $18.00 DBPR Fee $15.75 DCA Fee $10.50 Education Surcharge $6.00 Permit Fee $1,000.00 Scanning Fee $9.00 Technology Fee $26.25 Total: $1,135.50 Payments Date Paid Amt Paid Total Fees $1,135.50 Credit Card 06/27/2019 $1,085.50 Credit Card 05/30/2019 $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 constrgcand zppK. Futhermore, I authorize the above named contractor to do the work stated. Authorize `i.'natu& Owner / Applicant / Contractor / Agent Date June 27, 2019 Page 2 of 2 _-- � ,MORAN AIR COMDITION, INC. 8355 NW 1711T STREET HIALEAH, FL 33015 Monday, June 3, 2019 State of FLORIDA, County of: MIAMI-DADE. Before me this day personally appeared MORAN AIR CONDITION C/O PEDRO GONZALEZ who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 9999 NE 2ND AVENUE MIAMI SHORES, FL 33138. With work compensation except. Contractor Signature Sworn to (or affirmed) and subscribed before me this ZG days of J.E ti , 20 L 9 By P-�, t, r- Personally Know OR Produced Identification Type of Identification Produced . Print, Type or StJKPs Name Notary «""r►4, ESTHERGONZALEZ MY COMMISSION # FF 982133 EXPIRES: May 11.2020 Baled Tluu Notary Public Unde-Atera NN. Notice to Owner— Workers' Com Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 nsation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: l . The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-tim employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person lowed to -work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensat on insuralnc coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BE OW YOU kACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. I Signature: er State of Florida County of Miami -Dade l The foregoing was acknowledge before me this Z 7- day of Ju ou , 20IF. By who is personally known to me or has produced as identification. Not rl/ SEAL: ESTHERGONZALEZ MY COMMISSION A FF 962133 K: EXPIRES: May 17, 2020 '•%..o;:,o?�' Bonded Thru Notary Public undermiters Shoreview Center 9999 NE 2ND AVENUE, SUITE 305 MIAMI SHORES FL 33138 To Whom It May Concern: I, Alex Edelman, am the owner of AHE Realty Associates, LLC. D/B/A Shoreview Center; building located at 9999 N.E. 2nd Ave. Miami Shores, FL. 33138. This letter is meant to inform you that as Property Manager of Shoreview Center, Julio Martinez is authorized to make any decisions on my behalf (excluding sale or transfer of ownership of said building). Sincerely, Edelman er of AHE Realty Associates, LLC. DBA Shoreview Center STATE: FLORIDA COUNTY: MIAMI — DADE This instrument was acknowledged before me on this day of 1W , 2016 by all parties listed above. All patties listed have either provided the necessary proof of identification or are personally known to me. ,2iA � i~jlp� (Notary Printed Name) (Notary Signature) (SEAL) yp+?�r.YAtf MARUT.GROSSO # MY COMMISSION It FF 2318N EXPIRES: May 17.2019 80e4ed TAru Budget Notary Semite! 0004 M '"'S %"Fill{, t M; r0L:imi c luIrf., 171 i11 lk 7r l /llKi tiSii_` 1. 1 I t 111Z,i 'Sep 'Jr City National Bank November 2, 2016 Village of Miami Shores 10050 N. E. Second Avenue Miami Shores, Florida 33138-2382 Re: Land Trust No. 2401-2045-00 - Miami Shores Land Trust Gentlemen: City National Bank of Florida is the Trustee under Land Trust No.2401-2045-00. This letter confirms that ABE Realty Associates, LLC is the sole Beneficiary of the Land Trust and that Alex Edelman has the power of direction under the Trust. Our records reflect that Mr. Edelman is the sole member of ABE Realty Associates, LLC. Very truly yours, �p CITY NATIONAI, BANK OF IT.ORIDA EXECUTES THIS INSTRUMENT SOLELY AS TRUSTEE U\DER LAND TRUST Mario . Carballo NO•�i61ng AND NUT PFRSON.a11.Y AND NOT Trust icer INDIVIDUALLY AND NO PERSONALJUDGEMENT OR DECREE SHALL EVER BE SOUGHT OR OBTAI\ED AGAI\7ST Direct Line: 305-577-7294 THE SAID BANK BY REASON OF THIS INSTRUMENT. Fax: 305-577-5353 E-Mail: esaiirnla®citvnational.com F:SECURE:LEGAL:LEGALCLERK:2016:TRUSTS:LETTERS:MIAMI SHORES:EDELMAN PO Box 025620 Miami, FL 33102-5620 citynational.com Member FDIC I Equal Housing Lender 44 Shoreview Center 9999 NE 2ND AVENUE, SUITE 305 MIAMI SHORES FL 33138 To Whom It May Concern: I, Alex Edelman, am the owner of AHE Realty Associates, LLC. D/B/A Shoreview Center; building located at 9999 N.E. 2id Ave. Miami Shores, FL. 33138. This letter is meant to inform you that as Property Manager of Shoreview Center, Julio Martinez is authorized to make any decisions on my behalf (excluding sale or transfer of ownership of said building). Sincerely, Edelman er of AHE Realty Associates, LLC. DBA Shoreview Center STATE: FLORIDA COUNTY: MIAMI — DADE This instrument was acknowledged before me on this day of 1W , 2016 by all parties listed above. All parties listed have either provided the necessary proof of identification or are personally known to me. �4elw T (71zo, (Notary Printed Name) (Notary Signature) (SEAL) ��'"Y• °r4 MARIA T. GFOW MY COMMISSION 1 FF 2318M ' # EXPIRES: May 17.2019 1404 eOF J d7 8*ed "/u ' Notary Setvkes 1)40Q M. 1"d ANF-mu ap 40,; NltT imi ,Iwwv, FI I; Ilk Tr -I iI11517Gr._' 11 1 :.k i111Gi '1,(, 'r"7a1� 1�/ � Miami Shores Village 30 0�9 Building Department 7MAY �'` 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 ZLIVIECHANICAL [:]PUBLICWORKS F 2 (0� j l Q Master Permit NA — I� —1 Z48 Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 4 a C� ct t-! E Z �. .,e , �A , ek%,n , s5 , e L 3 31 -s og City: Miami Shores County: Miami Dade Zip: 03 % 3 S Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Constr ctio pe: Flood e: BFE: FFE: OWNER: Name (Fee Simple Titleholder). Phone#. /5 Address: % H -V e City: L'nk ud rc>'Ace State: 1`1 Zip: 115 rs . Tenant/Lessee Name: . Phone#: ,786 7-96 05G'S Email: l e W" A .� �'k "c CONTRACTOR: Company Name: ` a'�N A %r' CC;,V% .t % r, w+� y Phone#: '-4 8 G ZEJ I ZA43 C- Address: s 3sF3 N W 1-4 t S� City Qualifier Name: V-7c, (\"o (Sc, V\ zckt z Phone#: State Certification or Registration #: C. M L 1 Z6 00J> Certificate of Competency #: _ DESIGNER: Architect/Engineer: Address: i Value of Work for this Permits —Y -3C^iC C Square/Linear Footage of Work: p: 33o 1 S State: Zip: Type of Work: ❑ Addition l New Repair/Replace ❑ Demolition Description of Work: \ rct Specify color of color thru tile: Submittal Fee $ y M ^ a Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) mm � 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 copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject t attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection w ich o rs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be app ved a reinspection fee will be charged. Signature Signature or AGENT CONTRAC OR The foregoing instrurr?eTtt' lacknowledged before me this 1 day of 20 by JJ 10 M�r, who is personally known to me or who has produced identification and who did take an oath. as The foregoing instrume�nlLJ tas acknowledged before me this 3C? day of / 20�l by 1'-ocf ro C do"LA ��RZ who is personally known to me or who has produced L 5ZJ{ -&Cd-," --CcfS —A40-fs identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: C Print: Print: Seal:KELLSeal: MYCOAIMISSION0FF962133 Corrvrimsion # GG 137334 +° EXPIRES Map 17, 2020 2021 '•' a;A,.+` Bonded lhru Notary Pubk Undaxiiters %. is Expires November 21, o� Fain mom" 800 385 7019 ********* * ****�Thro7ro1L"lans APPROVED BY Examiner 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 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): q<k q5t Q &_ Z rC fist qC 1 s` �la I City: Miami Shores Village County: Miami Dade Zip Code: 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 X ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT t'r % MANUFACTURER —T—v-ct0L . AHU or PKG. UNIT MODEL # COND. UNIT MODEL # TTA tgo LAMC4& KW HEAT NOM TONS 1) T—o of AHU CU PKG 1) M.C.A t2.15,1 40 N"q AHU CU PKG AHU Cu PKG 2) M.O.P QQ t so AHU Cu PKG AHU Cu PKG 3) VOLTS 2_Gi3 43C AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER ♦ 2 r' YES YES NO REPLACING DUCTS YES REPLACING THERMOSTAT YES N YES N NEW 4"CONCRETE SLAB YES 0 YES N NEW ROOF STAND YES IV0 YES 602> NEW RETURN PLENUM BOX YES 0 Eta i 1. Minimum Circuit Ampacity (Wire Size): a10 N"F - 0 "ke- 2. Maximum Overcurrent Protection (Fuse/Breaker Size): %SO Amp. 3. Voltage of Circuit(208/240/480): 4. Size Disconnecting Means: R rn (� _ Contractor's Company Name: vCOt OLYy Phone:1 Z rJl 243 State Certificate or Registration No. Q-eo 17_S0055 Certificate of Competency No. 6 C5 0q Zsc Z4 Signature Date: 05/30/rq (Qualif is sig ture) (Revised02/24/2014) Certificate of Product Ratings AHRI Certified Reference Number: 201951499 Brand Name: TRANE Model Number: TTA1804(3,4,W)CA'OOA' Indoor Unit Model Number Series Name: ODYSSEY AHRI Type: RCU-A-CB Refrigerant Type : R-410A Hertz: 60 Sold In?: USA, Canada TWE1804(3,W)B'A"'00" Date: 05-30-2019 Model Status: Active Pill Rated as follows in accordance with the latest edition of AHRI 340/360 Performance Rating of Commercial and Industrial Unitary Air-conditioning and Heat Pump Equipment and AHRI 365 and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity 95F/Cooling Capacity 95F at 230v : 184000/184000 EER 95F/EER 95F,at 230v : 12.80112.80 IEER/IEER at 230v : 12.8/12.8 The following data is for reference only and'Is not"'certified by AHRI- Full Load Indoor Coil Ait Quantity (scfm) : 6000 F 'Y .• ... ECT'OC(;NIPIJANCEWIrHALL FEUEI��••• s••••i sees, • ' •••••• •••• sees: r del r I�Ivi (�l L_5 n.^1D P GUL4rin!�.' • I•••� ••.•• The AHRI 340/360 certified EER ratings in Btu/hIW are calculated unr the sa• me methodology -as the EltR r!dngs at T7 • conditions of ISO 5151:2017 and ISO 13253:2017 • • • • • • • • *sees f"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for liiaie; OV new mo4tlhsaf are being s marketed but are not yet being produced."Production Stopped" Model Status are those that an AHRI Certification Program Participant is nolonger producing BUT is stll>• • • s selling or offering for sale. s e 0 s • Ratings that are accompanied by WAS indicate an involuntary re -rate. The new Dublished rating is shown alone with the previous Ii.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.ahridlrectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certlflcate 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; AM 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 certiflcate can be verified at www.ahridlrectory.org, click on "Verify Certificate" link %ye ,nake 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. -"7 ©2019Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1320319873E824980