Loading...
MCC-09-22-2443Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1700 NE 105TH ST 210, Miami Shores, FL 33138 Contacts Permit NO. MCC-09-22-2443 Permit Type: Mechanical - Commercial Work Classification: A/C Replacement Permit Status: Approved Issue Date: 10/03/20221 Expiration: 04/03/2023 Parcel Number 1122300500290 STEPHEN AND DEBORAH CLIFFORD Owner Mike's AC Service Contractor 1700 NE 105 ST 210, MIAMI SHORES, FL 33138 MIGUEL MAYTA P.O.BOX 4384, MIAMI BEACH, FL 33141 Business: 3059860702 mikesacs@msn.com Description: UNIT #210 - REPLACE 2.5 TON HEAT PUMP AIRCONDITIONING SYSTEM (EXACT CHANGE OUT) Fees Amount Application Fee - Other $50.00 CCF $3.60 DBPR Fee $2.87 DCA Fee $2.00 Education Surcharge $1.80 Notary Fee $5.00 Permit Fee $141.63 Scanning Fee $9.00 Technology Fee $19.16 Total: $235.06 Valuation: Total Sq Feet $ 5,475.00 Ins ection Requests., 305-762-4949 0.00 Payments Date Paid Amt Paid Total Fees $235.06 Credit Card 09/27/2022 $50.00 Credit Card 10/03/2022 $185.06 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: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constru,0on and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signal": Owner / Applicant / Contractor / Agent Date &/,? /�� October 03, 2022 Page 2 of 2 RA;-, i Cher^e- %/;II-,rT., ENTEI -. D l�llidliil eJl 1�/1 �..3 NlllfiSl- PE_,iidina Deoart lien SEP 27 tw,.t .nncn ni_E•2nd Avenue; Miami Shores, Florida 33138 BY:_QLx Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECrION LINE PHONE NUMBER: (305) 762-4949 F15L 2020 - -7 BUILDING Master Permit No. MCC-09 - ZZ- Zyy3 PERMIT .i.P.O:LI Tr_cSuPe-r¢rit 1-: F-JBUILDING ELECTRIC ROOFING REVISION EXTENSION RENEWAL ❑PL'UMBING ® MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1700 NE 105 Street Apt. #210 City: Miami Shores County: Miami Dade Zip: Folio/Parcelth 11-2230-050-0290 Isthe Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder) Stephen J Clifford and Deborah A Clifford Phone#:305 308-6453 Address:1700 NE 105 Street Unit 210 City: Miami Shores State: Florida zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Mike's AC Service Phone#: 305 751-5814 Address: 775 NE 79th Street Suite H I ity: 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: NAA Phone#: Address: City: State: Zip: Value of Work for this Per it: $ 5,475.00 Square/Linear Footage of Work: Type of Work: ElAdditi ❑ A to ❑ New ❑■ Repair/Replace ❑ Demolition Description of work: Replace 2.5 ton heat pump air conditioning system (exact change out) Specify color of color thru til_. Submittal Fee $ -t D.00 Permit Fee $ ( (e 3 CCF $ Co 6 Co/CC $ Scanning Fee $ 01 -66 Radon Fee $ 2 -60 DBPR $ Z -0- j Notary (-4�> n Technology Fee $ tq - tO Training/Education Fee $ (. g0 Double Fee $ �V Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ 18S • 0(0 (Re isedO2/24/2014) Bonding Company S Name (if applicable) Bonding Company's Address City Stale Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State N/A N/A 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..... DINNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applirah!- !- +'c 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee 'll a char ed. 0y \ Signature Signature OW NER or AG CONTRAS i OR The foregoing instrument was acknowledged before me this ?—(,p dayof gep}eM1ne/• ,20 ZZ .by who is personalty known to me or who has produced ?'b l7 • t-, - as The foregoing instrument was acknowledged before me this �/1�dayat1 k:: be-r .202a_ by I' � ` "1U C-1 Mau '% who is personally known to me or who has produced Cie- as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC Sign: Print: IL A4 Q N G 7 `l Print: V N �yNr _ y0Lz Seal: i �'�@""- OUNEO'NEILL °'k: Notary Nota Public - State of Florida - a`",lroli'��i Seal: P... ue' =:: ' % YvienneYao omm.:HH 22410 C 2 'y Commission a 4H 12904 q My Comm. Expires Sep o_ s�$+' ' •� Expires: Jan.31, 2028 6, 2025 Bonded through National otary Assn Kiyra.. rNO Notary Public -Stale of Florida APPROVED BY Plans Examiner Zoning Structural Review _ Clerk (Rwisedo2/24/2014) i3� OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2230-050-0290 1700 NE 105 ST UNIT: 210 Property Address: Miami Shores, FL 33138-2145 STEPHEN CLIFFORD Owner DEBORAH CLIFFORD 1490 NE 103 ST Mailing Address MIAMI SHORES, FL 33138 USA 4900 MULTI -FAMILY - PA Primary Zone CONDOMINUM 0407 RESIDENTIAL - TOTAL VALUE Primary Land Use : CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 2 / 2 / 0 Floors 0 Living Units 0 Actual Area Sq.Ft Living Area 1,154 Sq.Ft Adjusted Area 1,154 Sq.Ft Lot Size 0 Sq.Ft Year Built 1965 Assessment Information Year 2022 20211 2020 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value $177,003 $160,821 $150,300 Assessed Value 1 $176,903 $160,821 $150,271 Benefits Information Benefit Type 2022 2021 2020 Non -Homestead Cap IAssessment Reduction 1 $100 $29 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description THE SHORES CONDOMINIUM APT 210 SECOND FLOOR UNDIV .0102% INT IN COMMON ELEMENTS CLERKS FILES 64R-124472 Generated On : 9/2312022 Taxable Value Information 2022 2021 2020 County Exemption Value 1 $0 $0 $0 Taxable Value 1 $176,9031 $160.8211 $150.271 School Board Exemption Value $0 $0 $0 Taxable Value $177,0031 $160,8211 $150,300 City Exemption Value $0 $0 $0 Taxable Value 1 $176,9031 $160,8211 $150,271 Regional Exemption Value $0 $0 $0 Taxable Value $176,903 $160,821 $150,271 Sales Information Previous Price OR Book- Qualification Description Sale Page Corrective, tax or QCD; min 03111/2011 $100 27620-1861 consideration 02/01/1994 $65,000 16272-4636 Other disqualified 03/01/1973 $53,000 00000.00000 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 httpJ/w .miamidade.gov/info/disclaimerasp Version: ENTERED THE SHOES CONDOMINIUM SEP 2 7 2022 BY:--- 1700 NORTHEAST 105TH wmI'. 3"wM*k"bIt9Ai'flt17N-HONE (305) 893-6741 (�` FAX (305) 891-0590 • E-MAIL: theshorescondo@att.net ?5 Owner's Name 1- d '� QhA- Unit Cllo2r� I hereby request approval from the Board of Directors for the following m0au-1catioll or alteration to my unit that will be performed by a licensed contractor: I:1c cerium Work Plumbing work Carpet installation___. Tile installation Window shutters Descripcoa of the ww rw .ems I w l � ' % w 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 the plans, specifications, and permits. and a description of the licensed work to be performed must be submitted for consideration and approval by lire Miami shores illage Building Department (305-795-2204). It is the owners responsibility to ensure that the contractor removes all excess construction material or building debris. It cannot be placed in our dumpsters. I, as the unit owner, acknowledge responsibility for any damage to the building or personal in; riea that may occur during the prom The Shares Condominium, Inc., its officers and employees are in no way responsible for damage or theft to my apartment or my Miongiags. (A $200 deposit is required and will be refunded if no damage to the property is reported-) I derstand and to the statements made above. Unit owners signature Date Note: Work ho are from 9:0 a . to 5:00 p.m. Monday throtrgh Saturday. Approved b Lk —jc C I TYmiami Shores Village Building Department Zoning Dept. Date Building Dept. Date Miami Shores vinage COPT,ermjt# ate a to o unty r les with all Fe tion10ilding Department fate and County rules and regulation�0050 N.E.2nd Avenue N)('G-d9-L2- 2.LN1 Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 AIR COND3TiONiit G REF:ACEIVIENT DATA PERMIT NUMBER: Ma-6q- ZZ 2-443 This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own dala sheet. MUliiple units on single sheets are not. acceptable. Job Address (where the work is being City: Miami Shores Village 1700 NE 105 STREET UNIT 210 County: Miami Dade Zip Code: JJ 138 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 15 REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO 0 ARHI Sheet Attached: YES ❑■ NO ❑ Contract Attached: YES UNIT BEING REPLACED DATA NEW UNIT FHP MANUFACTURER HYD90TECH AHU or PKG. UNIT MODEL # COND. UNIT MODEL# W3VC6030N-2RH-Fr KW HEAT idi/ivi TONS 2.5 AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG ZS AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT /" a EER/SEER 13.00 YES NO REPLACING DUCTS YES O NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4" CONCRETE SLAB YES O NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES O NO 1. Minimum Circuit Ampacity (Wire Size): ? /U 2. Maximum Overcurrent Protection (Fuse/Breaker Size): �20 3. Voltage of Circuit (208/240/480): _208/240 4. Size Disconnecting Means: 3 FJ Contractors Company Name: MIKE'S AC SERVICE Phone: 305 751-5814 State Certificate or Registration No. CAC 039619Ce—rtifi-cafe of Competency No. Signature / YY� - ` _-�'. �� �'�i/�_,�Date: ���7='zCED � (Cimilf1wes signahue) SEP 2 7 iu�' (Rmsed02/24/2014) BY: L-3�4 Certificate of Product Rati AHRI Certified Reference Number: 3650706 Date: 09-26-2022 Old AHRI Reference Number : Product : Water-to-Ahr and Brine-to,Alr Model Number : WSVC030'-2 Brand Name : HYDROTECH Model Status: Discontinued Model Discontinued Data: 04-03-2022 Rated as follows In accordance with the latest edition of ANSVAHRI/ASHRAERSO 13256-1 Water -source heat pumps —Testing and rating for performance — Part 1: Water -to -air and Brine-toalr heat pumps and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Full Load PartLoadl Part Load2 Part Load3 Air Flow Rate - Coding: 930 Air Flow Rate - Heating: WLHP (Water -Loop Heat Pumps) Cooling Capacity (Btuh) 27800127800 Cooling EER Rating (Btuh/watt) 13.00113.00 Cooling Fluid Flow Rate (gpm) 7.50 Heating Capacity (Btuh) 33900/33900 Heating Cop (wat(watt) 4.30/4.30 Heating Fluid Flow Rate (gpm) 7.60 GWHP (Ground Water -Heat Pumps) Cooling Capacity (Btuh) 30000130000 Cooling EER Rating (BtuhtWatt) 18.00/18.00 Cooling Fluid Flow Rate (gpm) 7.50 Heating Capacity (Btuh) 26900126900 Heating COP (watVwatt) 3.6013.60 Heating Fluid Flow Rate (gpm) 7.50 Indoor Blower Motor Fan Type : PSC Sold In? : USA, Canada TtDate when model status changed to Discontinued TModels with -Discontinued" Model Status are those that an AHRI Certification Program Participant no longer produces AND is no longer selling or offering for sale. Ratinas that are accompani ad by WAS indicate an involuntary ne-rate. The new published rating is shown along with the previous (i.e. WAS) re6n 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 products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind artsing nut 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. AN D ND CONDITIONS This MSCertificate 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; Arm" 1111111-W entered Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the usees 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 -Verity Certificate' link cox 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 ©9�Ir-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: Tozsasszaaaos Ron DeSantis, Governor Melanie S. Griffin, Secretary STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER: CAC039619 EXPIRATION DATE: AUGUST 31, 2024 THE CLASS A AIR CONDITIONING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489. FLORIDA STATUTES MAYTA, MIGUEL MIKE'S A C SERVICE INC P O BOX 414384 MIAMI BEACH FL 33141 ISSUED: 08/12/2022 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document OD01 ss Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL -DO NOT PAY 1663377 BUSINESS NAMEUCATION RECEIPTW EXPIRES 'IKES A C SERVICE INC RENEWAL SEPTEMBER 30, 2023 /75 NE 79TH ST # 1 1663377 Must be displayed at place of business MIAMI FL 33138-4743 Pursuant to County Code Chapter SA - An 9 & 10 OwNFA SEC. TYPE OF BNSI ESS PAYMENT RECENEII MIKES A C SERVICE INC 196 SPEC MECHANICAL CONTRACTOR B TAXMIUCTOR CAC039619 S45.00 08/18/2022 I Worker(s) 10 INT-22-391250 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receiptisnotalicanse, permit, or a certification of the holders qualificznaos, to do business. Holder must comply with any gavemmentsl ) or nongovernmental regulatory laws and requirements which apply to the business. i i The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-278_ i� ACORE® CERTIFICATE OF LIABILITY INSURANCE °� 2n7/2021 12/27/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Brown 8t Brown Miami -Dade 8825 NW 21stTerrace Doral FL 33172 NAME M�elys Morales PHONE (305) 7144400 FAX (305) 714-4401 ADDRESS: mmorales@bbmia.00m INSURERS)AFFORDING COVERAGE NAIC 8 INSURERA: FCCI Commercial Insurance Company 33472 INSURED Mike's A/C Service, Inc. P.O. Box 414384 Miami Beach FL 33141 INSURER B : Technology Insurance Company, Inc. 42376 INSURER C : INSURER D : INSURER E INSURER F : ^^%fMnAf±CQ CQTiRI( ATF NIIIYRFR• !.c GJ IYEiibRft L.VI KCVISICiN NUMMMK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE plgpVMPOLICY NUMBER Lam A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR GL10003421303 01J01J2022 01/01/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTeD PREMISES Ea $ 100,000 Mt® EXP (Any one $ 5'000 PERSONAL & AIN INJURY $ 1'000'000 GENLAGGREGATE LIMITAPPLIES PER: POLICY1:1 PRO- LOC JECT OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 2,000,000 $ AUT�OBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINEDntSIPIGLE L[AEIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per aocidert) $ PROPERTY DAMAGE Per acdderd $ $ UMBRELLA LAB EXCESS LIAR OCCUR CLAIA04AADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNEWFXECUTIVE OFFICERIMEMBEREXCLUDED? �Y In NH) HDEESSCRIPTION OF OPERATIONS below NIA TWC4045820 01/01/2022 01J01/2023 %A PER ATUTE EL EACH ACCIDENT $ 1'�'� DISEASE • EA EMPLOYEE E.L.(Mandatory $ 1.000,000 E.L.DISEASE - POLICY LIMIT $ 1'�'� DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 10I. AddWonal Remarks Schedule, =y be atEaelted Ir moes space Is nupdred) Heating, Air Conditioning Contractor - No liquid gas Atr Conditioning Contractor -License #CAC039619 we--r.w..e+\a.. ■%Cs r*AU#%Cl I AnnU V f:.f� t Vr4. ■VF.MI�.� — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 10050 No 2Nd Avenue AUTHOROM REPRESBfTATNE Miami Shores FL 33138 W 1955 2015 AGOKD GUKPUKATIUM. All ngnIS M39rV00. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD