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MC-12-20-2861, 390 NE 104th StMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 390 NE 104TH ST, Miami Shores, FL 33138 1121360130160 Contacts Christian Dunham Owner Mike's AC Service Contractor 390104 MIGUEL MAYTA P.O.BOX 4384, MIAMI BEACH, FL 33141 Business: 3059860702 mikesacs@msn.com �..—_..... - ._ _ _ �.._. i Inspection Requests: Description: REPLACE 4 TON A/C & HEATING EXCAT Valuation: $ 6,300.00 30062-4949 CHANGEOUT AND IN SAME PLACE Total Scl Feet 0.00 Fees Amount Application Fee - Other $50.00 CCF $4.20 DBPR Fee $3.31 DCA Fee $2.21 Education Surcharge $1.40 Permit Fee $170.50 Scanning Fee $9.00 Technology Fee $5.51 Total: $246.13 Payments Date Paid Amt Paid Total Fees $246.13 Credit Card 12/17/2020 $196.13 Credit Card 12/10/2020 $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 ill be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above na contractor to do a or k stated. 12-/,1 Authorized Signature: Owner / Applicant / r Contractor / Agent Date December 17, 2020 Page 2 of 2 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 390 NE 104TH ST, Miami Shores, FL 33138 1121360130160 Contacts Christian Dunham Owner Mike's AC Service Contractor 1 390104 MIGUEL MAYTA P.O.BOX 4384, MIAMI BEACH, FL 33141 Business: 3059860702 ikesacs@msn.com i Inspection Requests: Description: REPLACE 4 TON A/C &HEATING EXCAT (ValuLon $ 6,300.00 CHANGEOUT AND IN SAME PLACE Tota0.00 Fees Amount Application Fee - Other $50.00 CCF $4.20 DBPR Fee $3.31 DCA Fee $2.21 Education Surcharge $1.40 Permit Fee $170.50 Scanning Fee $9.00 Technology Fee $5.51 Total: $246.13 Applicant Copy Payments Date Paid Amt Paid Total Fees $246.13 Credit Card 12/17/2020 $196.13 Credit Card 12/10/2020 $50.00 Amount Due: $0.00 For Inspections, Call (305) 762-4949 or Log on at https://bldg.miamishoresvillage.com/cap/. Requests must be received by 3pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES. December 17, 2020 Page 1 of 2 r Ap 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 ❑ BUILDING ❑ ELECTRIC ❑ ROOFING PLUMBING Q MECHANICAL PUBLIC WORKS JOB ADDRESS: 390 N E 104 Street FBC 201 -7 Master Permit No. N (--I Z--% - zyc I Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2136-013-0160 Is the Building Historically Designated: Yes NO NO Occupancy Type: SF Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Christian S Dunham /Deirde B Dunham Phone#:305 213-0647 Address:390 NE 104 City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Email e#: CONTRACTOR: Company Name: Mike's AC Service, Inc. Phone#: 305 751-5814 Address: 775 NE 79th Street 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 Add Value of Work for this Permit: $6,300.00 hone#: City: State Square/Linear Footage of Work: Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: REPLACE 4 TON AIR CONDITIONING & HEATING SYSTEM EXACT CHANGE OUT AND IN SAME PLACE Specify color of color thru tile: Submittal Fee!' •�� Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE IV Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State N/A 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. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this _ C1 day of 1% (11, M l 20 '2 ` by who is personally known to me or who has produced E 6Q1iCk--Q% 7DlQx1k f as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: &,tra //�- t1 l,[Ln.LC2 Seal: SANDRA GARCIA Nitart' Public, State of Florida Commission GG 945040 Bonde through . ti nal Notary Assn. APPROVED BY Signature CONTRACTOR <� The foregoing instrument was acknowledged before me this y day of _ 1 _? lZ 20 2 by Cl'l l loU C r l (7 who is personally known to me or who has produced �� as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2136-013-0160 Property Address: 390 NE 104 ST Miami Shores, FL 33138-2018 Owner CHRISTIAN S DUNHAM DEIRDRE B DUNHAM Mailing Address 390 NE 104 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 4/2/0 Floors 1 Living Units 1 Actual Area 2,764 Sq.Ft Living Area 1,932 Sq.Ft Adjusted Area 2,268 Sq.Ft Lot Size 9,475.92 Sq.Ft Year Built Multiple (See Building Info.) Assessment Information Year 2020 2019 2018 Land Value $236,911 $236,911 $236,911 Building Value $208,202 $209,733 $211,264 XF Value $0 $0 $0 Market Value 1 $445,113 $446,644 $448,175 Assessed Value 1 $445,113 $446,644 $448,175 Benefits Information Benefit Type 1 2020 2019 2018 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 5 PB 10-47 LOT 1 & E1/2 OF LOT 2 BLK 118 LOT SIZE 77.040 X 123 OR 19127-4409 05 2000 1 Generated On: 12/9/2020 Taxable Value Information 2020 2019 2018 County Exemption Value 1$0 $0 $0 Taxable Value 1 $445,1131 $446,6441 $448,175 School Board Exemption Value 1$0 $0 $0 Taxable Value 1 $445,1131 $446,6441 $448,175 City Exemption Value $0 $01 $0 Taxable Value 1 $445,1131 $446,6441 $448,175 Regional Exemption Value 1$0 $0 $0 Taxable Value $445,113 $446,644 $448,175 Sales Information Previous Sale Price OR Book -Page Qualification Description 07/03/2013 $545,000 28754-1920 Qual by exam of deed 05/01/2000 $188,000 19127-4409 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 http://www.miamidade.gov/info/disclaimer.asp Version: Ron UeSantis, Governor Halsey Beshears, Secretary STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER: CAC039619 EXPIRATION DATE: AUGUST 31, 2022 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: 07/16/2020 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- EU36» Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 1663377 BUSINESS NAMEILOCATION RECEIPT NO. EXPIRES MIKES A C SERVICE INC RENEWAL SEPTEMBER 30, 2021 775 NE 79TH ST 1 1663377 Must be displayed at place of business MIAMI FL 33138 Pursuant to County Code Chapter 8A - Art. 9 & 10 30" 0WHEti SEC. TYPE OF BUSINESS PAYMENT RECEIVED k4lKESA C SERVICE INC 196 SPEC MECHANICAL CONTRACTOR BY TAX COLLECTOR CAC039619 $45,00 07/17/2020 Worker(s) 10 CHECK21-20-051511 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certnrcation of the holder s qualifications, to do business. Holder nwst comply with any governmental or nongovernmental regulatory laws -and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 88-27& for more information, visit www miamidade govJtaxcoflffSjor 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):390 NE 104 Street City: Miami Shores Village County: Miami Dade zip Code: 33138-2018 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 ❑ ARHI Sheet Attached: YES NO ❑ Contract Attached: YES 0 UNIT BEING REPLACED DATA NEW UNIT CARRIER MANUFACTURER AMERICAN STANDARD FE4ANB006000AAAA AHU or PKG. UNIT MODEL # TEM6AOC48H41SB 24ANA148A300 COND. UNIT MODEL # 4A7A6049J1000A KW HEAT 10 NOM TONS 4 TON AHU r_ CU, C' PKG 1) M.C.A AHU /i CU " & PKG AHU'; t CU `K, PKG 2) M.O.P AHU 60 CU 4-C PKG AHU CU PKG :2G ' 7, q 3) VOLTS , 0 C AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES NO NO — YES NO REPLACING THERMOSTAT YES i NO YES YES NO NEW 4"CONCRETE SLAB YES , ;, ' NO YF-S G YES NO NEW ROOF STAND YES NO NO YES NO NEW RETURN PLENUM BOX YES NO NO 1. Minimum Circuit Ampacity (Wire Size): C' 2. Maximum Overcurrent Protection (Fuse/Breaker Size): ,�' / C 3. Voltage of Circuit (208/240/480): �- l`G /21 4. Size Disconnecting Means: C L�j Contractor's Company Name: Mikes AC Service, Inc. Phone: 305 751-5814 State Certificate or Registration No. Certificate of Competency No. Signature — Date: a�...�?�/��ZGa�7�i (Qualifier's signature CAC 039619 (Revised02/24/2014) • This combination qualifies for a Federal Energy Efficiency Tax Credit when o placed in service between 1 /1 /2015 and 12/31 /2020. r ire cto ry. o rg Certificate of Product Ratinas AHRI Certified Reference Number: 8936362 Date : 12-10-2020 Model Status: Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: GOLD 16 Outdoor Unit Brand Name: AMERICAN STANDARD Outdoor Unit Model Number (Condenser or Single Package) : 4A7A6049J1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM6AOC48H41+TDR+UF/HRZ 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 AHRI 210/240 with Addendum 1, 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 : 48000 SEER: 17.00 EER (A2) - Single or High Stage (95F) : 14.00 t"Active" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are not yet being produced."Production Stopped" Model Status are those that an 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 alonq 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 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 11 MI 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.ahridirectory.org, click on "Verify 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. ©2020Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: �32520813(136904013