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MC-10-18-3092Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 833 NE 96 ST, Miami Shores, FL 33238 Contacts Permit NO.: MC-10-18-3092 Permit /VR Number: 100335 Permit Type: Mechanical - Residential Work Classification: Addition/Alteration Permit Status: Approved. Issue Date: 10/11/2018 Parcel Number Expiration: 04/03/2019 Project 1132060142800 <NONE> GLOBAL CAPITAL GROUP OF SOUTH Owner GLOBAL CAPITAL GROUP OF SOUTH Applicant FLORIDA LLC FLORIDA LLC 10585 SW 26 ST, MIAMI, FL 33165 10585 SW 26 ST, MIAMI, FL 33165 Other: 7863337309 Other: 7863337309 MIAMI MECHANICAL CONTRACTORS INC Contractor JOSE F BATISTA 5005 COLLINS AVE#1018, MIAMI BEACH, FL 33140 Business: 7864024457 Description: EXACT CHANGE OUT OF 4 TON SYSTEM Valuation: Ins ecfion Requests: p � $ 3,500.00 305-762-4949 Total Sq Feet: 64.00 Fees Amount Application Fee - Other $50.00 CCF $2.40 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee $72.50 Scanning Fee $9.00 Technology Fee $3.06 Total: $141.76 Building Department Copy Payments Amt Paid Total Fees $141.76 Credit Card $50.00 Credit Card $91.76 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 accepti9g this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are regyiida forgLECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws I zoning. Futhermore, I authorize the above named contractor to do the work stated. / Applicant / Contractor / Agent 2018 Date Page 2 of 4 Certificate of Product Ratings AHRI Certified Reference Number: 9511931 Date: 10-03-2018 Model Status Active AHRI Type: RCU-A-CB } Series: 14 SEER AC , Ir Outdoor Unit Brand Name: PAYNE HEATING AND COOLING Outdoor Unit Model Number (Condenser or Single Package) : PA14NCO48'0"A' Indoor Unit Model Number (Evaporator and/or Air Handler) : FB4CNF048L . Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, AK, C , CT, ID , IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, UT, 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 alFregions „• until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in ragien(S}for which they meet the regional efficiency requirement. ..• • • • •' The manufacturer of this PAYNE HEATING AND COOLING product is responsible for the rating of this system cgl ;ip2tion. • • V: " Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performani Rating of Unitay. % Air -Conditioning & Air-Souroe Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, indepeadent.third parjy.teating: .. Cooling Capacity (A2) - Single or High Stage (95F), btuh : 43500 ' SEER: 14.00 EER (A2) - Single or High Stage (95F) : 11-50 M emi Shr:es BY I DA ZONING DEP— . BLDG rEPT SUCJECT i0 CCNIPLIA `ICE WI fH ALL FEDERAL HUL--S AND 1REGULATI0HS t"Active" Model Status are those that an AHRI Certification Program Padicip�ilt�is'`1.utfefitl��i�bd�uun��N�sellingor-oHerirrg7of9a e; R new models that are being marketed but are not yet being produced'Production Stopped" ModelStatus are thosel a anhT 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 rating is shown along with the previous (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 disclalms 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, PJM personal and confidential reference. Am -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 berme° 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. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131830619677232364 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 sheetsarenot acceptaabLl�/�. �/� ( C Job Address (where the work is being done): 11 3 /� � �' 1,� :5 ` �L 1j1' 11.J�I oF/.A/ 0 p 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 AHHRRII DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO �� ARHI Sheet Attached: YES ' NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA N UNIT 011 '�/9,vE Q�JIN - MANUFACTURER -A pA) 1 FICv5f JA Ill AHU or PKG. UNIT MODEL # 1-"13 64)048 COND. UNIT MODEL p AIgJ0_6$0'A KW HEAT t - NOM TONS AHU CU PKG 1) M.C.A $ HNti AHU CU PKG AHU CU PKG 2)M.O.P Vt u./I S AHU CU PKG AHU CU PKG 3)VOLTS AHU Cu PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT S! NO YES NO NEW 4"CONCRETE SLAB ! NO YES NO NEW ROOF STAND YES (:NO, YES NO NEW RETURN PLENUM BOX YES 0 7 1. Minimum Circuit Ampacity (Wire Size): # TT41)o 2. Maximum Overcurrent Protection (Fuse/Bre-a7kerOSize): 3 S iA l 3. Voltage of Circuit (208/240/480): G 0 p 4. Size Disconnecting Mean Contractor's Company Name: State Certificate or Registration No. Certificate of Competency No. Signature __ /// :4 ��= Date: laIrl"ll Quali er's signature) I— (Revised02/24/2014) BUILDING PERMIT APPLICATION BUILDING ❑PLUMBING ❑ ELE C MECHANICAL 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 CT 5 �018 BY: FBC� 20/� Q Master Permit No. \1181 " �V u Sub Permit No.y /�C/`C I a--30qQ Z ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9 J J N • 6 - / V -s/'Z,ce / Folio/Parcel#: // 3 ,?O &ol Y Z RDO Is the Building Historically Designated: Yes MO / Occupancy Type: Load: Construction Type: Flood Zone: BFE�: 'I FIFE: OWNER: Name (Fee Simple Titleholder): �LO/3t�t `rRl, �/f� `�i?Oli�dZ Ph ne#: ga 90Y-*I Address: 9 3 3 /J •> - f 6 5/seff y City: W-ZANY" State: LO/ri% � Zip: 3 3/ 3 pp Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Address: SooS CollrnJ City: M Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: _ t -ilko 194 F L Zip: 33fyo Certificate of Competency #: / ZN -� Em Value of Work for this Permit: $ 3,i ti O Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Description of Work: z5-,,'�9 L z �111"I e GG 7J e7r Y Ze,,d ,may Specify color of color thru tile: d Submittal Fee $ �Q Q� Permit Fee $ -7 _ CCF $ Z • I 0 CO/CC $ Scanning Fee $ Radon Fee $ Z DBPRq$ 2 Notary $ Technology Fee $ • O L Training/Education Fee $ 0 d Double Fee $ Structural Reviews $ TOTAL FEBond $ E NOW DUE $ � � •�b �\�+\ I (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 M 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. Signatureo OWNER or AG NT The foregoing instrument w acknowledged before me this day of eh17 a'✓ 20 / . by 3 g�z/3R�ZA G,04rzeM, who is personally known to me or who has produced 1 L as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 7Oif. 1 � Celtz: Seal: *+4ikii��1•kk APPROVED BY (Revised02/24/2014) Notary Public State of Florida JOSHUACOLON My Commission GG 178785 Expires 01/242022 Signature -70 0-� CO TRACTOR The foregoing instrument was acknowledged before me this day of 0 cf0 be r 20 I f . by as¢ /3o0;T;Y44 who is personally known to me or who has produced pC— as identification and who did take an oath. NOTARY PUBLIC: r— Print: Seal: „rr Notary Public State of Florida JOSHUA COLON My Commission GG 178795 nod Expires 01124/2022 Examiner Structural Review Zoning Clerk