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MCC-01-22-118Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: MCC-01-22-118 Permit Type: Mechanical - Commercial Work Classification: A/C Replacement Permit -Status: Approved Issue Date: 01/28/2022 1 Expiration:07/28/2022 Location Address Parcel Number 425 NE 105TH ST, Miami Shores, FL 33138 1122310430010 Contacts EDW A MCCARTHY-ARCHBISHOP Owner PERFECT AC SOLUTIONS 9401 BISCAYNE BLVD, MIAMI SHORES, 33138 RIMAJ BARRIENTOS 4662 SW 74 AVE, MIAM I, FL 33155 Business: 7865129165 Inspection Hon Requests Description: 5 TON AC CHANGE OUT Valuation: $ 5,950.00 - IN Total Sq Feet: 0.00 Fees Amount r Application Fee - Other CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Work Without Permit Fee Work Without Permit Fee - Plus $100 Total: $3.60 $3.12 $2.08 $1.20 $158.25 $3.00 $5.21 $208.25 $100.00 $534.71 Payments Date Paid Amt Paid Total Fees $534.71 Credit Card 01/18/2022 $90.00 Credit Card 01/28/2022 $484.71 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 foregoing information is accurate and that all work will be done in compliance with all applicable laws e, I authorize the above named contractor to do the work stated. / Applicant / Contractor / Agent Date January 28, 2022 Page 2 of 2 Miami Shores Village 0 T 9 T o T T � `20 ( 7,o2'L -T-7-rng t BUILDING PERMIT APPLICATION Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 ❑BUILDING ❑ ELECTRIC ❑ ROOFING 18 FBC 20 2� l((�� Master Permit No. 1 A Ce` N - 221L 1 C> Sub Permit No. ❑ REVISION ❑ EXTENSION []RENEWAL ❑PLUMBING M MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ST City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: (I —.2� ._()43-- 00 \0 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(FeeSimple Titleholder): ST _ o� u M 14 L'aLl i Phone#: Address: 4'ts yU ST W. City: iA a� jNa \Z`�rC State: '� (_ Zip: �-2, (31i Tenant/Lessee Name: Email: C CONTRACTOR: Company Name: (t(Z�ECt )C(_\U U 1 \ Phone#: -4/I�n - S Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: DESIGNER: Architect/Engineer: _ of Competency #: r fV-' 6 1 so 1' - Address: City: Value of Work for this Permit: $ �� Square/Linear Footage of Work: Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: S 'f Oti\ �'[ r-�\P t w C) Uj Specify color of color thru tile: Submittal Fee $ C;h , Permit Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ CCF CO/CC $ Radon Fee $ DBPR $ 1101ary $ Training/Education Fee $ Double Fee '--Bond S TOTAL FEE NOW DUE $ (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 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 Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 14 day of J 20 by day of 20 by ITS t who is p�n to Q Wf Q i,4t�0"l who is personally known to me or who has produced as me or who has produced+!, as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: , :M.. ° ' CARLOSSANABRIA ' MY COMMISSION 0 HH 15N50 EXPIRES: July 18, 2025 Bonded Thu Notary Pubk Uidarmilen sssssssss srt ss APPROVED BY identification and who did take an oath. NOTARY PUBLIC: Print: Seal: rssssssssssss�sssss tans Examiner Notary Public - State of Florida Commission # HH 059695 My Comm. Expires Nov 3, 2024 d through National Notary Assn ssssssssssssssssssssssssssssssss+sssssssssssssss Zoning (Revised02/24/2014) Structural Review Clerk '=i ,i t: r_ '. 1• �. .1 .. �.. .t fi• ..-� - ... - L -.�i J .. i ��.. .1-f- ..:1,� c. r [ili% .. '.__ ..� .. ) .. .�. r.r .,.. -.. ., - .. � _. .� � 't �f-. .. :: -. �. t� :ram•' '1 t' i .Il .l �- . •r- ._, .'i!:!: :it. l .• ... � �.. .� ..tl .i� •1:_,!_ _ .i 1 .. .. � _ _ ., 1. �i �7_. .. :.' ; .. _. �. .. � � ,. . ..., ri. -1. ;ii� •1. ' .: i, � 11 -� �.l .�". I.. .. r, ....-. .. 'f^ ... .'� .., .. .. 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S i /'!ra•11ii�M:-2'•-1G•�.•l4 ^•'lF•K-i-F �'Y� fit.^ �•f •ice• ,••,•f_�.��Y Property Search Application - Miami -Dade County Page I of 1 OFFICE OF TIDE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2231-043-0010 Property Address: 10690 NE 5 AVE Miami Shores, FL 33138-2000 Owner EDW A MCCARTHY-ARCHBISHOP Mailing Address 9401 BISC BLVD MIAMI, FL 33138-2970 PA Primary Zone 8000 COMMUNITY FACILITIES Primary Land Use 7144 RELIGIOUS - EXEMPT: RELIGIOUS Beds I Baths I Half 0/ 0/ 0 Floors 2 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 86,472 Sq.Ft Lot Size 358,934 Sq.Ft Year Built Multiple (See Building Info.) Assessment Information ._,., _........_ Year 202 . 021 2020 2019 Land Value $1,076,802 $1,076,802 $1,076,802 Building Value $9,639,323 $9,668,149 $9,256,204 XF Value $1,407,569 $1,423,135 $1,438,902 Market Value $12,123,694 $12,168,086 $11,771,908 Assessed Value $12,123,694 $12,168,086 $11,771,908 Benefits Information Benefit Type 2021 2020 2019 Religious Exemption $12,t23,694 $12,168,086 $11,771,908 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Generated On : 1/18/2022 Taxable Value Information .1_ 2021 2020 2019 County Exemption Value $12,123,694 $12, 168,0 66 $11,771,908 Taxable Value $0 $0 $0 School Board Exemption Value $12,123,694 $12,168,086 $11,771,908 Taxable Value SO $0 $0 City Exemption Value $12,123,694 $12,168,086 $11,771,908 Taxable Value $0 SO $0 Regional Exemption Value $12,123,694 $12,168,0861 $11,771,908 Taxable Value ISO $0 $0 Sales Information Previous Sale Price OR Book -Page 7 Qualification Description Short Legal Description 31 52 42 8.24 AC MIAMI SHORES SEC 5 PB 43-48 TR A LOT SIZE 358934 SQUARE FEET The Office of the Property Appraiser is continually editing and updafing 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.govfinfo/disclaimer.asp Version: https://www.miamidade.gov/Apps/PA/propertysearch/ 1/18/2022 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the most Reverend Thomas Wenski, as Archbishop of the Archdiocese of Miami, his successors in office, a corporation sole, has made, constituted and appointed, and by these presents does hereby make, constitute and appoint Sister Elizabeth A. Worley, C.O.O., his true and lawful attorney for him and in his name, place, and stead. Giving and granting unto Sister Elizabeth A. Worley, C.O.O., his said attorney full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done in and about the premises as fully, to all intents and purposes, as he might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that Sister Elizabeth A. Worley, C.O.O., his said attorney or his substitute shall lawfully do or cause to be done by virtue hereof. In Witness Whereof, I have hereunto set my hand and seal this 13 day of May, A.D., 2019. Signed, sealed and delivered in the presence of: Witn s: Z fitness Signatu leGi pt O Printed Nams ' Witness Signature MA I TT �� N 0Z_ Printed Name STATE OF FLORIDA SS: COUNTY OF DADE The Most Reverend Thomas Wenski As Archbishop of the Archdiocese of Miami his successors in office, a corporation sole I hereby certify that on this day, before me, an officer duly authorized to administer oaths and take acknowledgements, personally appeared The Most Reverend Thomas Wenski, as Archbishop of the Archdiocese of Miami, his successors in office, a corporation sole, known to me to be the person described in and who executed the forgoing instrument, who acknowledged before me that he executed the forgoing instrument, who acknowledged before me that he executed the same, and an oath was not taken. _ I/ Said person is personally known to me — Said person provided the following type of identification: Witness my hand and official seal in the County and State last aforesaid this 13 day of May, A.D., 2019. My Commission Expires: February 10, 2023. aN"h. NOMPnbliostMO Planoa Mayne Neulim ROSWI A A +y My Commission GO 259211 yj E.pm02/10r022 Invoice 4662 SW 74th Ave Miami, FL 33155 (786) 512-9165 / (305) 783-7696 PerfectACSolutions@gmail.com BILL TO St. Rose Of Lima Catholic School 425 NE 105th St Miami. FL 33138 JOB# DATE PO/REF# 19033 01/07/2022 Job Charges DATE 01/07/2022 INVOICE# 9558 TERMS Due Upon Receipt DUE DATE 01/07/2022 Qty Installation of a 5 ton Package Unit System by Ruud, high efficiency 14 SEER, 3 Phase with new Freon R410A. Complete Installation Includes: New digital thermostat. Retrofit duct plenum. Rewire low and high voltage. Hurricane TieDowns. Warranty: 5 years on compressor. Labor warranty by us the 1.00 installers 1 Year. Cost of Crane Included. Note: Unit not in store stock, lead time approximately 4 weeks. Please let us know as soon as possible so we can order the unit. Costs of Permits are NOT included. Should they be required, costs to 1.00 be reimbursed to us. Job Subtotal Job Total CUSTOMER MESSAGE Invoice Total: Deposits (-): Payments (-): Total Due: SERVICE LOCATION Michele Finder Classroom 30-40 425 Northeast 105th Street Miami Shores, FL 33138 Rate Total $5,950.00 $5,950.00 $0.00 $0.00 $5,950.00 $5,950.00 $5,950.00 $0.00 $0.00 $5,950.00 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. ' 1 Job Address (where the work is being done): ST 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❑ NOI a ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES a UNIT BEING REPLACED DATA NEW UNIT �M MANUFACTURER V7�77 - \7 7 '; N - C=0 O LK AHU or PKG. UNIT MODEL# CAA - LIU b C> cs=T COND. UNIT MODEL # (Q r_Uj KW HEAT l0 tUj NOM TONS j-CU, 4 AHU CU PKG Q 5 } 1) M.C.A AHU CU PKG Q.y �,- AHU CU PKG c. (GO 2)M.O.P AHU CU PKGsO p AHU CU PKG :10"h - 2 ),0 3) VOLTS AHU CU PKG 130 PKG UNIT / / PKG UNIT EER/SEER YES INO) REPLACING DUCTS YES NO (YES( NO REPLACING THERMOSTAT YES NO YES ENO' NEW 4"CONCRETE SLAB YES (NQ YES NO? NEW ROOF STAND YES (NO) YES 'N0; NEW RETURN PLENUM BOX YES NO) 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): I V NM 0 �> 3. Voltage of Circuit (208/240/480): zU3 - 5 �0 4. Size Disconnecting Means: Contractor's Company Name: Phone: X( -S U Gl 1�5 State Certificate or Registration No. C#rC— 18 I 50 j :�_ Certificate of Competency No. Signature i = — Date: u Befs-sigfi5mre (Revised02/24/2014) ti CERTIFIED® www.ahridirectory.org AHRI Certified Reference Number: 205724702 Date: 01-10-2022 Model Status : Active AHRI Type: SPY -A (Year -Round Single -Package Air -Conditioner, Air -Cooled) Outdoor Unit Brand Name : RUUD Outdoor Unit Model Number (Condenser or Single Package) : RACA1406OCCT"'AA 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 RUUD 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 : 56000 SEER: 14.00 EER (A2) - Single or High Stage (95F) :11.00 t"Active" Model Status are those that an AHRI CeniFlcatlon Program Participant is currently producing AND selling or offering for sale; OR new models that are being marketed but are net yet being produced "Production Stopped Model Status are those that an AHRI Certification Program Participant is re, longer producing BUT is still senirg w ofierirg For sale. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown alone with the previous (i.e. WAS) rating. DISCLAIMER AHRI does not endorse the produchs) 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 arising out of the use or performance of the produchs), 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 0% "low 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; copled; disseminated; NM. No ai 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.ah,idlrectory.org, click on "Verify Certificate" link we make life betw,- antl 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 fisted at bottom right. ©2022Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132863008273966369