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MC-05-22-1145Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: MC-05-22-1145 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: Approved Issue Date:05/06/2022 Expiration:11/07/2022 Location Address Parcel Number ----------------- 1015 NE 93RD ST, Miami Shores, FL 33138 1132050150050 Contacts GEORGE & CHRISTINA PAUL Owner AC MECHANICAL SOLUTION, INC Contractor 1015 NE 93 ST, MIAMI SHORES, FL 33138 MAHENDRA HAYES Other: 3053238178 1115 NE 110 TER, MIAMI, FL 33161 Mobile: 7862906253 acservice4g@gmail.com Ins Description: REPLACE A 3 TON SPLIT AIR CONDITIONER SYSTEM Valuation: $ 4,389.00 ettion Requests: Total Sq Feet: 0.00 Fees Amount Application Fee -Other $50.00 CCF $3.00 DBPR Fee $2.30 DCA Fee $2.00 Education Surcharge $1.00 Permit Fee $103.62 Scanning Fee $9.00 Technology Fee $3.84 Total: $174.76 Payments Date Paid Amt Paid Total Fees $174.76 Credit Card 05/06/2022 $124.76 Credit Card 05/05/2022 $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. certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws zoning. Futhermore, 1 authorize the above named contractor to do the work stated. /11a �'# �la 0rlo6/7,o2L Signature: Owner / Applicant / Contractor / Agent Date May 06, 2022 Page 2 of 2 Miami Shores VillageEc DIVED Building Department -- 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 j;Yt j Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No. 6S-22 I t IS PERMIT APPLICATION sub Permit No. BUILDING ELECTRIC ROOFING REVISION EXTENSION RENEWAL PLUMBING 4MECHANICAL CHANGE OF CANCELLATION ❑SHOP DRAWINGS CONTRACTOR JOB ADDRESS: City: Miami Shores County Miami Dade Zip, 3 8X - Folio/Parcel#: 3yo J S-- o o So Is the Building Historically Designated: Yes NO V � (' ( Occupancy Type: Load: Construction Type:: Flood Zone: BFE: FFE: � i_�'jC /�i�UL Phone#: 3os- �-q6—2Z'75) OWNER: Name (Fee Simple Titleholder : Address: /U C 'c FC r City: �SA� �a✓ZFS State: Zip: Phone#: Tenant/Lessee Name: Email: 4-1 re,H�� �,gc So Cul�v� Phone#: CONTRACTOR: Company Name: Address: /�/ S OVF f`o TCOZ 7316 Email. QC Sei ✓iCQ rL7a j /. Co ✓L Qualifier Name: ry)/�9 t� Phone#: Ytf —2 50 _ 62>l State Certification or Registration #: C44- ��/ `/ y Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: _Zip: Value of Work for this Permit: $ Square/linear Footage of Work: Type of Work: ❑ Addition n Alteration ❑ New/Repair/Replace Demolition / Description of Work: /`��!/4�r 4 �0�7 �'��T Q ri CO-r r.�i 'Q i" �y 1T4-11 Specify color of color thru Submittal Fee; Scanning Fee $ Technology Fee $ Structural Reviews $ Permit Fee $ DCA Fee $ Training/Education Fee $ CCF $_ DBPR $ _ CO/CC $ Notary $ Double Fee $ P&Z Review $ Bond $ TOTAL FEE NOW DUE $ DocVerOy ID; 6CDF41 EGAFF24M.A99FF43"75055F9 a---I-'r� miim tzw-miiii 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 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 goad 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 6-1— OWNER or AGENT by means of online notarization CONIRALIwn - The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged beforemethis 4th day of May 20 22 by � day o`f` \ %\� 20 ct d , by George Paul whoimpamatri¢Imro M&e i xgf( Globes t� , who is personally known to mmumm who has produced FL DL P400-301-73-265-0 as me or who has produced \ 12 , Ve 2 (a c as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: David Peter Baghdassarian Commission # HH 53180 Seal: Notary Public - State of Florida My Commission Expires Oct 17, 2024 identification and who did take an oath. NOTARY PUBLIC: Sign Print Seal: .:�y.: oil- MONICA DANIELS o +/,•E,� „ Notary Public - State of Florida ;y Commission i HH 2O5893 xF. My Comm, Expires Dec 28, 2022 8oncec through National Notary Assn. #iiiitit #iitRi###fitttt Notarial act performed by audio-visual communication APPROVED BY <� Plans Examiner Zoning Structural Review Clerk D.Vority 10; SCOF41 E549FF2.4HD-A89F-F43M5056F8 �„e �,,,� or.+rrcMFm �gl ii -�llll Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3205-015-0050 Property Address: 1015 NE 93 ST Miami Shores, FL 33138-2938 Owner GEORGE AMAR PAUL CHRISTINA M PAUL Mailing Address 1015 NE 93 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1400 SGL FAMILY - 3001-3250 SO Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY:1 UNIT Beds I Baths / Half 4/3/0 Floors 1 Living Units 1 Actual Area 3,985 Sq.Ft Living Area 3,221 Sq.Ft Adjusted Area 3,603 Sq.Ft Lot Size 11,300 Sq.Ft Year Built 1971 Assessment I. - Information Year 2021 2020 2019 Land Value S427,329 $427,329 $427,329 Building Value 3360,300 $364,804 $369,308 XF Value $44,661 S45,105 $45,525 Market Value $832,290 $837,238 $842,162 Assessed Value $573,643 $565,723 $553,004 Benefits Information^ Benefit Type 2021'1 2020 2019 Save Our Homes Assessment $258,647 $271,515 $289,158 Cap Reduction Homestead Exemption $25,000 $25,000 $25,000 Second Exemption $25,000 $25,000 $25,000 Homestead Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). [Short Legal Description BELVIDERE PARK PB 16-71 LOTS 9 & 10 BLK 2 LOT SIZE 100.000 X 113 OR 19395-3096 11 20001 OR 21777-1297 22005-00494 0204 1 Generated On : 5/5/2022 Taxable Value Information i 2021 2020 2019 County Exemption Value $50,000 $50,000 $50.000 Taxable Value 1 $623,643 $515,7231 $503.004 School Board Exemption Value $25,000 $25,000 $25.000 Taxable Value $548,643 $540,723 $528,004 City Exemption Value $50,000 $50,000 $50,000 Taxable Value 1 $523,643 $515,723 $503,004 Regional Exemption Value 1 $50,0001 $50,000 $50,000 Taxable Value 1 $523,643 $515,723 $503204 Sales Information Previous Sale Price OR Book -Page Qualification Description 12/04/2012 $575,000 28394-1960 Qual by exam of deed 10/01/2003 $465,000 21777-1297 Sales which are qualified 11/01/2000 $335,000 19395-3096 Sales which are qualified 1210111992 $180,000 15768-0481 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, we full disclaimer and User Agreement at hhp:llwww.miamidade.gov/info/disclaimer.asp https://www.nuamidade.gov/Apps/PA/propertysearch/ 5/5/2022 Notice to Owner - Workers' C 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. Star. § 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: I. 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-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, pan -time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: •CI►TEW; State of Florida County of Miami -Dade The foregoing was acknowledge before me this 4th day of May 20 22 George Paul FL DL P400-301-73-265-0 as SEAL: who ' has produced David Peter Baghdaseartan Commission i HH 53180 Notary Public - State of Florida kiy Commission Expires Oct 17, 2024 u Notarial act performed by audio-visual communication DocVc,a,ID: GCDF41E6-9FFE-4E6D.A69F.F43F77505GF9 III B' - 1 �1111 c...e o..,v 1uacncnurn ov%rify ° George Paul.pdf DocVerify ID: 6CDF41 E6-9FF2-4E6D-A89F-F43F775056F9 Created: May 04, 2022 15:06:06 -5:00 Pages; 3 Remote Notary: Yes / State: FL This document is a DocVerify VeriVaulted protected version of the document named above. It was created by a notary or on the behalf of a notary, and it is also a DocVerify E-Sign document. which means this document was created for the purposes of Electronic Signatures and/or Electronic Notary. Tampered or altered documents can be easily verified and validated with the DocVerify veriCheck system. This remote online notarization involved the use of communication technology. Go to www.docverifv.conl at any liar,, to verify or validate the authenticity and integrity of this or any other DocVerify VeriVauiled document. E-Signature Summary E-Signature 1: George Paul (Gap) May 04, 2022 153428 -5:00 [AF63349DC6591 [71.196.14.236] georgepault 1 @yahoo.com (Principal) E-Signature Notary: David Peter Baghdassarian (DPB) May 04, 2022 1534:28 -5:00 [7A518E1 ECEB3][69.65.862511 david.b@klgates.com I, David Peter Baghdassarian, did wiliness the participants named above electronically sign this document. DocVerify documents cannot be altered or tampered with, id any way once they are protected by Iho DocVerify VenVaull System. Best viewed with Adobe Reader or Adobe Acrobat All v.�sible electron¢ signatures contained in mis document are symbolic representations of the persons signature. and not Intended to bean accurate dep.ek, of the persons actual signature as defined by various Acts and/or Laws DocVerify ID: 6CDF41 E69FF24M-A99F-F43R750561`9 -- - ---- - ----- Mill o- lIII AC Mechanical Solution Inc. 1115 NE 110 Terrace Miami, FL 33161 Phone:786-290-6253 Email: acservice4g@amail.com Date: 5/5/2022 State Of Florida County of Miami Dade Before me this day personally appeared Mahendra Hayes who, being duly sworn, deposes and says: That he or she will be the only person working on the project located. at: 1015 NE 93rd Street Miami Shores, FL 33138 o tractor Signature Sworn to (or affirmed) and subscribed before me this 5 h day of May, 2022. Personally Know OR Produced Identification D� 1 v g-R�--' C-9 g S e- Type of Identification Produced °otp Q lx F93crcec WNiCA "ANIELS t?ry a�biic •State of Florida Cararmssion :3 HH 2O5893 _nrn:�. Expires Dec 28, 2022:nrough National Notary Assn. Print, Type or Stam Name of Notary \fit M o CC \ C IN Name Eligible for Federal Tax Credit _s _. t_"sl S, Certificate of Product Ratings BY: AHRI Certified Reference Number: 201285999 Date: 04-26-2022 Model Status : Active Old AHRI Reference Number: 7942208 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Nome: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1636AJ1 Indoor Unit Model Number (Evaporator and/or Air Handier): RH1T3621MTAN 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=egicIprQ for • •. which they meet the regional efficiency requirement. The manufacturer of this RHEEM product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 - 2017 with Addendum 1, Performance Rating of U-litary ? 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 :34200 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 Ares Village Bulldi Department Opt Date n_c DP_pt. Date to c rulesance col all Federal, State �� ounty rules and regulations. T►A,n_ -22- IIL �� 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. Retinas that are accompanied by WAS indicate an involuntery re -rate. The new published mtina is shown alone with the orevious (i.e. WAS) mfina. DISCLAIMER AHRI does not endorse the products) 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 torn or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION A REFRIGERATION INSTITUTE The Information for the model cited an this certificate can be verified at www.ahrldhectory.org, click on -Verily Certificate" link „ make li& i c'e"- and enter the AHRI Certified Reference Number and the data on which the certificate was Issued, ` which Is listed above, and the Certificate No., which is listed at bottom right. "-" -_-- 02022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132954465065128515 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): %(91 ry C �� �� ST'e re r 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 0 0 ° ° ° ° O O 0000 000000 AHRI DATA SHEET REQUIRED ° ° ° ° ° 000000 00 O O o 0 0 0 0 Change disconnecting means: YES ❑ NO'[21 ARHI Sheet Attached: YES ®.NO ❑ Contmh Attached: YES 0 0 O o 0: 0000 0000 O 0 0 0 0 0 UNIT BEING REPLACED DATA MW UNIT MANUFACTURER ° ° 4t%- AHU or PKG. UNIT MODEL # ° 062/ Si*..vd4 03 6 Z' COND. UNIT MODEL # 441A f' &4-T Vdfs o Cv� KW HEAT 4V o ° ° NOM TONS x ° ° ° 0 0 0 AHU O CU PKG 1) M.C.A AHW40 CU 7,1 PKG ° AHU CU 3a PKG 2) MAP AHU 11r CU ,-PKG AHU Z j0 CU o PKG 3) VOLTS AHU CU Ziyo PKG PKG UNIT / / PKG UNIT 2- EER/SEERZ3 YES NO REPLACING DUCTS YES fixvt YES NO REPLACING THERMOSTAT YES YES NO NEW 4"CONCRETE SLAB YES YES NO NEW ROOF STAND YES YES NO I 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): 2 V 4,P— 4. Size Disconnecting Means: Contractor's Company Name: l�-G 1�P� K `�` 1 0 �� h Phone: v -67,f3 State Certificate or Regisgation No. C Signature Y 1 signature) Certificate of Competency No. Date: 9 a Z Z 00000 ° ° 00000 000000 0 0 ° 0 0 0 0 0 0 0 0 000000 0 0 (Revised02/24/2014) AC Mechanical Solution, Inc. P.O. Box 530633 Miami, FL 33153 PH: 786-290-6253 CAC 1817994 Email: acservice4g@gmail.com George Paul 1015 NE 93rd Street Miami Shores, FL, 33138 INVOICE I SERVICE Invoice No. M2529 Date 4/30/2022 ir1�£� i { F €' !lt'tFt is F,>"{tif �i. r.: - Same ...,S:.},!(1. 1ti..`!:t >.}eis,ka>s;.€F`�.sN.t<i f#�({Y1k��!w.Ef,,•i.,,'��j:�3].,�``:��..,.'��. } 3 z#. f ..�tF,i. -"e.zi. .7££�}f /4.tti . !F:iT,ey.� ..sic,tk } .t # tiff .t £ .!., t {f...T 'l:rt i{tF!;if:i�4fi)}}, �.)$F ,,.,-,'y�.. �'�'a.Fct.Cte,.. F 1}} F3':a.-.#k.P'P•e£Fi', t a F# F , }:{ �+ t i..«, io it :,sa.i1ls1 #,.3#i:".477, ##:!jI, {}4jtII}fy i{ti#'..i :#{{}}}3,i�Fit'[ittiji}#d}sj{t�# j 4i 3ztF'V.7..{Q:F, •f"!1 �}� F '. 1Y2# iF(p3{ i£#I t#;F 00 Master Bedroom Check Neal Rheem RA1636AJ1 NA #..i£ j 7:, F, PIY1,1��y■W.ID 4i' J sl if„ 'skiff , .#:J�{ Fsi� F. s' u�Filt#+#;# k#ti } � .£>�.ytt( i�}� }; ;��F:�• y�,�y µ=� Tj! d' :}!F t 1L �* } tt { y ii � .. P.".' .. a..'?.,. .,J.1.+i ak,R€}axe d., : i.'. € iii {„ i ` } i e6F : F: i 1 sgysy t#} j� ,t _,.:Z F '9J t . ,:.fi , -.ik #t # v...:,... .. s.i1: }:.,aY},':..A _.. .,.._. A��F.}ii'Fts bi I Iii,�,F'r=rFa`:✓.y.� }{ 'S.ixttixi 'FY{{{ ii•#, . y.... . J':i. �f dF ..7# MVr i . }Tt jtF :.a . }^•fit+ } i}t ; #S 'i k71 fj N46�{F� t��+.siN.{:f��..:Ysa�<.��'It}3.M1�{.f,l,+i#.�}Y .^I yZ t ;t �y J.y� # !•.1'?.. £ �d'3t,}t}�'�., Rheem RH1T3621STANJA - 3 Ton, R- 0000 RH1T3621MTANJA 410A, Single Stage, Aluminum Air 1.00 $4,171.00 ° $4°1'%4 00 ° e ° ° a e Handler, Constant Torque Motor, O o e 208/240V,1 Ph, 60 Hz °° O e 0 e RA1636AJl NA Rheem condenser unit 3 ton Classic 1.00 $��� o o a ° ° ° 60.00 000000 230VAC R41016 Seer 0000 0000 o O AH-SS1 Float Switch for Auxiliary pan 1.00 $BQQ e e ° ° e e $®.00 e 0 e e . ° ° AH-SS2F Float Switch 90 1.00 $dod e ° 0 0 ° M$1l0 O e e e ° OO -00 oo a 000000 0 Rheem Tie Down Kit 1.00 0 0 e o o e $0.00 ° 0 AH-DP2424 Auxiliary pan 24X24 e o 1.00 $( Oo a -O O0 d o ° $Q 80 000oeo e ° PERMIT City Permit Fees O 1.00 $21;dlf o %a1b0 O e0 000000 e e Replace one 3 Ton split air condition system Remove of unit f! E}t,i,zri? i�,t#,t#}JY�j 4F#tLiL}tt###{ £, it(Sy $0.00 permit and inspection f£Fit �.Di _ l i : t:Stib rt� $4,389.00 f t i Arllotxi,Pla $0.00 °i Artts{tt�Dtte' $4,389.00 nJ t £F 4 $4,389.00 have authority to order the work outlined above which has been satisfactorily completed. I agree that Seller retains title to equipments and/or materials furnished until final payment is made.lf payment is not made as agreed, Seller can remove said equipment/materials at Sellers expense. Any damage resulting from said removal shall not be the responsibility of Seller's. We will not be responsible for loss or damage caused by fire, theft, testing or any other causes beyond our control. 25% restocking fee applies on all parts. All parts, materials, and equipments have manufacture warranty. Electrical parts have limited warranty. If account is referred to an attorney for collection, buyer shall be responsible for payment of reasonable attorneys fees. Authorized By: Thank you for your business Date: Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1015 NE 93RD ST, Miami Shores, FL 33138 Contacts GEORGE & CH RISTINA PAUL Owner 1015 NE 93 ST, MIAMI SHORES, FL 33138 Other: 3053238178 Description: REPLACE A 3 TON SPLIT AIR CONDITIONER SYSTEM Issue Date:10103/2022 Parcel Number 1132050150050 Permit NO.: REV-09-22-2376 Permit Type: Revision Work Classification: Mechanical Permit Status: Approved Expiration: 04/03/2023 AC MECHANICAL SOLUTION, INC Contractor MAHENDRA HAYES 1115 NE 110 TER, MIAMI, FL 33161 Mobile: 7862906253 acservice4g@gmail.com Valuation: $ 300.00 Ins ection Requests. 305-762-4949 Total Sq Feet: 0.00 Fees Amount Payments Date Paid Amt Paid Revision: Minor Change of Plans $60.00 Sunning Fee (Manual) $9.00 Total: $69.00 Total Fees $69.00 Credit Card 10/03/2022 $69.00 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 AFFFIDA IT: I ce that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws egulatinglco%1, 1(( and z ing. Futhermore, I authorize the above named contractor to do the work stated. 461bllP d:2i 1nIf�F-Iin4 /*7<? Author' ed Signature: CA& Applicant / Contractor / Agent Date October 03, 2022 Page 2 of 2 iEMMMED Building Department 10050 N.E.2nd Avenue. Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (WA) 762.8989 BY: S E P 19 2022 ®i Itf r%I ni T' ou.�yt lv%, Master Permit No. i-riG—'�.S'?,Z'JI Pi RMI i AIPI'lCA T -900sl i Sub Permit IVD. REV'o9-22 f-IBUILDING ❑ ELECTRIC ❑ ROOFING 10 REVISION ❑ EXTENSION CRENEWAL ❑PLUMBING Q1 MECHANICAL ❑ CHANGE OF { ( CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS 138 ADDRESS: /0/5 A) Cite: Miami Shores County: Miami Dade Zip: 7 % /3'J' Folio/Parcel#: / / 3 2 D S'`> / S 00 SJ is the Building Historically Designated: Yes NO Occupancy Type: Load: C "SUUCN Type: _Flood Zone: 6FE: FFE: J OWNER: Name (Fee Simple Titleholder): 7 `` Fat 5'e e- 4,-' S 4 it o f Q/ ` phone#: ; ° 1 - ; 23el�d S City: —In /4,I/M% S*Wes state: d` Zip: Tenant/Lessee Name: Phone#: Email: eo---f`� e �t��4 e✓ • L p �2° // �1 -CONTRACTOR: Company Name: !-/� rf!r�£�Gss�•v, r��. ham,.. •-?-mac phone#: 7�Lf 2�Ir a�2 S� Address: Email: 4'L C)c�/vJl fC y^ty 6 QrNq:� %-c4� Qualifier State Certification or Registration #: Certificate of Competency#: DESIGNER: Architect/Engineer: Phone#: Address: / o J ' 0 J City: State: _"Zip: Value of Work for this PermiC $� Type of Work: ❑ Addition ❑ Alteration Description of Work: % c/% 4 ` X /+ Specify color of color tnru tile: Submittal Fee $ Scanning Fee 5 Technology Fee $ Structural Reviews $ Square/linear Footage of Work: ❑ New apepair/Replace ❑ gemolition Permit Fee $ CCF $ co jcc $ _ nra cm t DBPR$ Not-- , c Trairin&'Eduatlor. Fee $ ➢&Z Review S Bond $ TQTAI PFF MnW ni IF t (ii"isedW/05/1011) 8ondins Company's Name Of applicable) Bonding Company's Address City State 11 migage Lender's Name (iff-applicablee) Mortgage lender's Address e Ztp Zip Application is hereby made to obtain a permit to do the work and installations as indicated, l certify that no wofk 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. 1 understand that a separate petMit must' be secured for ELEURIGa PLVMQiN% 5115NS, POOISF fURNACES,.WUn HEATM, TANKS, AIR CONDITIONERS, ETC:.::. OWNER'S AFFIi3AtiiT: 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. ARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPEM '~� , 1F YOU MA,� T E3 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER 08 AN ATTORNEY KFORE RECORDING YOUR NOTICE OF tcM MIENCE�ENT ': Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in goQO faith thot a copy o, f the notice of cVmmenCemenn and cQnftruction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certif ed copy of the retarded notice of commencement must be posted of 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{larged- Signatur OWNER or AGENT The foregoing Instrument was acknowledged before me this day of 20� by SL who is personally known to me or who has produced �R�. i1C� �� �e K'�`�- as identification and who -did -take an oath. NOTARY PUBLIC: Print: Seal: °t*o`Y'' s°; MONICA 3ANEE :S Notary Public • State of Florida "�= Commission 4 HH 2O5893 �oa n;: Y M Comm. Expires Dec 28, 2022 '� 3ondec through National Notar! Assn. -APPROVED-BY CONTRACTOR The foregoing instrument was acknowledged before me -this day of 20 4. by gwho is personally known to me or who has produced CC as identification and who did take an oath_ NOTARY PUBLIC: Print: Seel: :�.� � MONICA Notary Public- State of Florida Commission # HH 2O5893 My Comm. Expires Dec 28, 2022 Boncee through Natlana. VAtani ecen Plans -Examiner ,._. Structural Review -Zoning Cierit titevissd04i05i2022i Eligible for Federal Tax Credit ENTERED SEP 19 2122 Certificate of Product Ratin AHRI Certified Reference Number: 201285991 Date: 09-06-2022 Model Status : Active Old AHRI Reference Number: 7942207 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1636AJ1 Indoor Unit Model Number (Evaporator and/or Air Handier): RHIT3617STAN 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, NO, 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 unfit June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in regions) for which they meet the regional efficiency requirement The manufacturer of this RHEEM product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 - 2017 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 : 34200 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 _i'Ii i n', !i tii�*'t v`-'`�, ,1 r. t ` ` •'.:!t�i, i . >` < ` r COPY Miami Shores Vi ag B Idi g Department Zoning Dept. ate Building Dept. ate Subject to comp i h all Federal, State and County rules d regulations. Permit# p _I/-/94- - Z3 l(, 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 ere 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 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 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 users Individual, personal and Confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION 9 REFRIGERATION INSTITUTE The Information forthe model cited on this certificate can be verified at www.abridirectoty.org, click an `Verify Certificate" link »r lire bcuer'• 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 - —_-- ©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 133069514203102202 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 ' 0S-1 Z2- / 1 q 37 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): City: Miami Shores Village County: Miami Dade Zip Code: 3 %j 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 Cif. NO ❑ Contract Attached: YES [� UNIT BEING REPLACED DATA IYEW UNIT 'e &V" MANUFACTURER 6��r U AHU or PKG. UNIT MODEL# J / AZ G- O Z COND. UNIT MODEL # 63 A KW HEAT 4 NOM TONS *3 AHU 4o CU 21- PKG 1) M.C.A AHU 40CU Z / PKG AHU KrCU 3 C PKG 2) M.O.P AHU grCU 4 r PKG AHU :00CU 2to PKG 3) VOLTS AHU CU 1tioPKG PKG UNIT / / PKG UNIT 1 EER/SEER / 3 f -r.✓ YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 4 o 2. Maximum Overcurrent Protection (Fuse/Breaker Size): '` e 3. Voltage of Circuit (208/240/480): 2- 4(e) v 4. Size Disconnecting Means: qv Al''!" Contractor's Company Name: /"1 '< < `t y eG Jd `�' % Phone: 7, - 2 f&* f6Z51 State Certificate or Regis ration No. <ff P � `l Certificate of Competency No. Signature alp -L-��� - / Date: 9 G �o �2- (Qualifier's signature) (Revised02/24/2014) AC Mechanical Solution, Inc. P.O. Box 530633 Miami, FL 33153 PH: 786-290-6253 CAC 1817994 Email: acservice4g@gmail.com II'{ George Paula 1015 NE 93rd Street Miami Shores, FL, 33138 INVOICE / SERVICE 1yJ i ! :- t 1 1,}' E r 1�;[.` ���[�_.{. 1711t1�@('i t}Tl4 �+ 7: �a �iiifti{f7`4•T!f_.1fi�fli i7t� # •t r;}tilt It �f, - :...r _....r .t.Ittr.,.•. ... '1.;1fa,UE?. $.......,....:::..l,is}i??.44!?.iIii.9...... R .>....: ; .:a:;Ylff:11T!'r),?r ;; ., Master Bedroom Check Neal Rheem RA1636AJlNA ,is s , s E , :-tt °. #"' ,i '##'f; s ¢f #"s ts':'::^: Mii' ' fa' `ri } -,•f t' t h , f> , t . :.t., ,}¢:rs�»tt -:et s u..} ' : x �zs^.f #i#}' ; t t.# . [..! tY j i {{ . 3 i x }. } ::A::...-5% SA s,.3i# t F f• �i»`£"f..}>y.. {.f it {.. !� i"E� i 3; }P (i } j��: 3 fiR t � ! t'#k'�}i# f F #7i.E...� • 3s+s:#li�i,i� } ( 1 �i» � } { ',�,}}' i� si F!1711 144'e,. t ff f,,. i ., ..ii {}> s.a, r• �i ,,.4}fe f• ,; ,rAi}#I}� .Y.#}iHi ,.{: tf E! t• , t.,+ # .�, }. FYi;` } i E i #. a •.:.{;%3, .« {: F.f ..:5 e..i� } t t. t!+c.. �: , .4 ifE.E;f ,..s, #j s }} • tt}: ,r.;,, , i r.T: sii.. #tt {j}j ... is # Ici£i (E j{(bf �, r< ifs 22. fti.fl . a,..,.>.,..r..,t#.3E}L}..Ef........,.nx:t.-,3PY:iFjE,}...a,�u` .....r,>_..:T ?..- RH1T3617STANJA Rheem 3 Ton Air Handler R410 X13 1.00 $4,175.00 $4,175.00 Blower motor RA1636AJl NA Rheem condenser unit 3 ton Classic 1.00 $0.00 $0.00 230VAC R41016 Seer AH-SS1 Float Switch for Auxiliary pan 1.00 $0.00 $0.00 AH-SS2F Float Switch 90 1.00 $0.00 $0.00 Rheem Tie Down Kit AH-DP2424 Auxillary pan 24X24 PERMIT City Permit Fees Replace one 3 Ton split air condition system Remove of unit permit and inspection Amount 0�syj1.Z $0.00 # ArrniiintfQue $4,389.00 1.00 $0.00 1.00 $0.00 $0.00 1.00 $214.00 $214.00 jj}isifiJ3ftt�}f#It�t{l.s� i}is€}£it? s}*ljiif!' t t ! .. }s,ff it•*p Yi?n 1 ° ' $4,389.00 } 1f i } $0.00 3 i,-,,,:iPi lic iit}ii All F jesj $4,389.00 I have authority to order the work outlined above which has been satisfactorily completed. I agree that Seller retains title to equipments and/or materials furnished until final payment is made.If payment is not made as agreed, Seller can remove said equipment/materials at Sellers expense. Any damage resulting from said removal shall not be the responsibility of Seller's. We will not be responsible for loss or damage caused by fire, theft, testing or any other causes beyond our control. 25% restocking fee applies on all parts. All parts, materials, and equipments have manufacture warranty. Electrical parts have limited warranty. if account is referred to an attorney for collection, buyer shall be responsible for payment of reasonable attorneys fees. Authorized By: Thank you for your business Date: