Loading...
MCC-09-23-2339 (2)Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1700 NE 105TH ST 416, Miami Shores, FL 33138 Contacts Permit No.: MCC-09-23-2339 Permit Type: Mechanical - Commercial Work ClassiJi2atfon: A/C Replacement Permit Status: Approved Issue Date:09/26/2023 Expiration:03/26/2024 Parcel Number 1122300500730 LARAIN HART Owner 1700 Mike's AC Service Contractor MIGUEL MAYTA 775 79th Street H, Miami, FL 33138 Business: 3059860702 mikesacs@msn.com Description: REPLACE 2.0 TON HEAT PUMP AIR CONDITIONING Valuation: $ 5,975.00 Ins ection Requests: SYSTEM (EXACT CHANGE OUT) 305 762-4949 Total Sq Feet: 0.0� munn�amm�mnun- Fees Amount Application Fee - Other $50.00 CCF $3.60 DBPR Fee $3.14 DCA Fee $2.09 Education Surcharge $1.80 Notary Fee $5.00 Permit Fee $159.13 Scanning Fee $9.00 Technology Fee $20.91 Total: $254.67 Payments Date Paid Amt Paid Total Fees $254.67 Credit Card 09/22/2023 $55.00 Credit Card 09/26/2023 $199.67 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 constructions and zoning. Futhennore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner ' / pplicant / Contractor / Agent D to September 26, 2023 Page 2 of 2 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 PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING FBC 20 1 Master Permit No. IyiCl . "N-13 �,933 I Sub Permit ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING 0 MECHANICAL [—]PUBLICWORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1700 NE 105 Street Apt. #416 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-2230-050-0730 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Laraine Hart Phone#:305 807-1341 Address:1700 NE 105 Street Unit 416 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 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 Phone#: Address: City: State: Zip: Value of Work for this Permit: $$5,975.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition Description of work: Replace 2.0 ton heat pump air conditioning system (exact change out) 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 $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Bonding Company's Name lit applicable) _ Bonding Company's Address ___ ____ City State Mortgage Lender's Name lit applicable) Mortgage Lender's Address city State N/A NIA 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 ,_o:Lcabie Ia\ss 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 low 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 (Z) days after the building permit is issued. In the absence of such posted notice, the inspection writ not be opproved and a remspection fee will be charged. Sigrlature� - OWNER or AGENT The foregoing instrument was acknowledged before me this 7-S dayof`i& I rnnrr ,20 2i ,by r Ha LO r n nft 1. who is personally known to me or who has produced r n IKirlts �L.r t JC( Ccrysr as identification and who did take an oath. NOTARY PUBUC Sign: P. Print: Allyn LUOIJA Seal: �`{p;��..:;qqq's� ALLEN WAl1GH . 4 Co ,z-A ilhHiT9157 Erpres March 27.2027 ...................... .. ..... � is Signature' CONTRACTOR The foregoing instrument was acknowledged before me this LZ day of � )0 -1- .2023 by M I wa I AQlh_%who is personally known to me or who has produced � fir'\ v-e+3 Lt .` as identification and who did take an oath. NOTARY PUBLIC: �� y Sign: �'�' I'v Print: V l \/ i -�r� I-� \t eLt� Seal. `o\A,"p�/p� .1r..IP eo, ao.;_ Vivienne Yao Comm..HH222410 9.: - Ex ires:Jan.31,2026 P fb7 SY�.4`'Notary Public -State QW06da.......... APPROVED BY / `! \ \�luY. [.aminer _ Zoning l V \ Structural Review Clerk ��„feo2n4/20141 APPRAISER Summary Report „ . , Folio 11-2230-050-0730 Property 1700 NE 105 ST UNIT. 416 Address MIAMI SHORES, FL 33138-2145 Owner LARAINE HART Mailing 1700 NE 105 ST 416 Address MIAMI SHORES, FL 33138 Primary 4900 MULTI -FAMILY - Zone CONDOMINUM 0407 RESIDENTIAL -TOTAL Primary VALUE: CONDOMINIUM - Land Use RESIDENTIAL Beds I Baths 1 /Half Floors 0 Living Units 1 Actual Area Living Area 891 Sq.Ft Adjusted 891 Sq.Ft Area Lot Size 0 Sq.Ft Year Built 1965 Year 2023 2022 2021 Land Value $0 $0 $0 Building Value $0 $0 $0 Extra Feature $0 $0 $0 Value Market Value $177,418 $136,475 $134,402 Assessed Value $150,122 $136,475 $125,290 1i I'...ILI Benefit Type 20232022 2021 Non Assessment Homestead Reduction $27,296 $9,112 Cap Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). THE SHORES CONDOMINIUM APT 416 FOURTH FLOOR UNDIV .0087% INT IN COMMON ELEMENTS CLERKS FILES 64R-124472 Generated On: 09/18/2023 Year 2023 2022 2021 COUNTY Exemption $0 $0 $0 Value Taxable Value $150,122 $136,475 $125,290 SCHOOLBOARD Exemption $0 $0 $0 Value Taxable Value $177.418 $136,475 $134,402 CITY Exemption $0 $0 $0 Value Taxable Value $150,122 $136,475 $125,290 REGIONAL Exemption $0 $0 $0 Value Taxable Value $150,122 $136.475 $125,290 Previous OR Qualification Price Book- Sale Description Page 12/21/2021 $172,500 32943- Qual by exam of 1608 deed 27667- Corrective, tax or 04/1912011 $100 4926 QCD; min consideration WORK REQUEST APPLICATION Owmer'sName Lce�aI ne __ ( Unit I hereby request approval from the Board of Directors for the following modification or alteration to my unit that will be performed by a licensed contractor: Electrical Carpet installation Tile installation Plumbing work Window shutters Other work L, Description of the work n , f) t eig-� -Ni Before you decide to upgrade your apartment Cher 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 the Miami Shores Village Building Department (305-795-2204). It is the owner's responsibility to ensure that the contractor remove au excess construction material or building debris. It cannot be placed in our dumpsters. 1, as the unit owner, acknowledge responsibility for any damage to the building or personal injuries that may occur during the project The Shores Condominium, Inc., its officers and employees are in no way responsible for damage or theft to my apartment or my belongings. (A $200 deposit is required and will be refunded if no damage to the property is reported.) I full and a to the statements made above. a3 Unit owner's signature Date Note: work hours are from f :0 a.m .m. Monday through Saturday. Dated °�-3 Approv C Certificate of Product Ratinqs AHRI Certified Reference Number: 205767478 Date : 09.21-2023 Model Status: Active Product : Water -to -Air and Brine-to-Alr Model Number: TCHN024A Brand Name : CllmateMaster Rated as follows in accordance with ANSIIAHRVASHRAEASO Standard 13256-1: 1998 (RA 2012), Water -source heat pumps - Testing and rating for performance - Part 1: Water-toair and brine -to -air heat pumps and subject to verification of rating accuracy by AHRI-sponsored, independent, third -party testing: Full Load Part Load1 Part Load2 Part Load3 Air Flow Rate - Cooling: 850 Air Flow Rate - Heating: WLHP (Water -Loop Heat Pumps) Coding Capacity (Stuh) 23600/23600 Cooling EER Rating (Btuh/watt) 13.00/13.00 Cooling Fluid Flow Rate (gpm) 6.50 Heating Capacity (Btuh) 27500127500 Heating Cop (watt/watt) 4.6014.60 Heating Fluid Flow Rate (gpm) 6.50 GWHP (Ground Water -Heat Pumps) Coding Capacity Rating un)(fit 20.5012 .500 CITY Cooling EER Rating (Btuh(Watt) 20.SOI20.50 Cooling Fluid Flow Rate (gpm) 6.50 Heating Capacity (Btuh) 2350023500 Heating COP Flow(watVwaft).1014.10 COPY Heating Fluid Flow Ratete 6(gpm) 6.50 GLHP (Ground loop Heat Pumps) Cooling Capacity (Btuh) 245DO124500 Cooling EER Rating (Btuh/Watt) 15.00/15.00 Cooling Fluid Flow Rate (gpm) 6.50 Heating Capacity (Btuh) 18600/18600 Heating COP (watUwatt) 3.3013.30 Heating Fluid Flow Rate (gpm) 6.50 Indoor Blower Motor Fan Type : PSC Sold In? : USA, Canada T'Aclive' Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering far sale; OR new models [hat 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. Ralinas that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with theprevious(i.e. WAS),rating. 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 produchs) 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.nhridlrectory.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, Now 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.ahrld Irectory.org, click on 'Verify Certlflcste' link and enter the AHRI Certified Reference Number and the date on which the Certlficate was Issued. which Is listed above, and the Certificate No., which is listed at bottom right.------------- -- ©2023Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 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. .lob Address (where the work is being done): 1700 N E 105 STREET UN IT 416 City: Miami Shores Village County: Miami Dade Zip Code: 33138 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 IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means: YES[:] NO ❑■ ARHI Sheet Attached: YES ❑■ NO ❑ Contract Attached: YES X UNIT BEING REPLACED DATA NEW UNIT FHP MANUFACTURER CLIMATEMASTER EM024.1VTC AHU or PKG. UNIT MODEL # TCV024AGC30CPTS COND. UNIT MODEL# N/A KW HEAT N/A 2 TON NOM TONS 2 TON AHU CU PKG 14 AMPS 1) M.C.A AHU CU PKG 17.50 AHU CU PKG 20AMPS 2) M.O.P AHU CU PKG 30 AHU CU PKG 208/240 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER 13.00 YES NO REPLACING DUCTS YES NO NO YES NO REPLACING THERMOSTAT YES NO YES YES NO NEW4"CONCRETE SLAB YES NO NO YES NO NEW ROOF STAND YES NO NO YES NO NEW RETURN PLENUM BOX YES NO NO 1. Minimum Circuit Ampacity (Wire Size): #10 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of circuit (208/240/480): 208/240 4. Size Disconnecting Means 20 AMPS Contractor's Company Name: MIKE'S AC SERVICE Phone: 305 751-5814 State Certificate or Registration No. CAC 039619 �Ceerttiificate of Competency No. Signature - ��" ��/ �����G Date: SEPTEMBER 22, 2023 (Qualifiers signature) (Revised02/24/2014) Ran DeSantis, Govemor Melanie S. Griffin, Secretary STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER: CAC039619 EKPIRATION 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 jr ISSUED: 08/12/2022 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any fbrm. This is your license it is unlawful for anyone other than the licensee to use this document 000120 Local Business Tax Receipt Miami -Dade County, State of Florida THIS IS NOT A BILL - DO NOT PAY 1663517 LE31" MIKES A C SERVICE INC RENEWAL SEPTEMBER 30, 2024 775 NE 79TH-ST # 1 1663M Must be displayed at place of business MMMI FL 33138-4743 Pursuant to County Code inChapter SA - Art. 9 & 10 MIKES A C SERVICE NC 196 SPECBHVTAI MECHANICAL CONTRACTOR rt CO rTAXCCt1BTOR CAC039619 $45.00 08/08/2023 Worker(s) 10 FPPU21-23-000497 This Local -Business Tax Receipt only PWW of the Loaal BushtenTm The Recent is no a license, permit, or a certiflaatiaa of the holder's�� cations. to do bns{tte:s. Holder aunt comply with any Sorermneml or aoaspa R ref rylawa aodrequfresmnts which @;* to the bodoess. The REC©PT 110. above mug be displayed on ail commercial reWdes - Miami-Qade Cade Sec 8&,V . For more information, visit www miatWAnde aor/mMliecrer ACORO® CERTIFICATE OF LIABILITY INSURANCE °A'01/051023 ouo5i2o23 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(Sh AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, 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 Co NAME: TACT Heather Chase -Cass Brown & Brown of Florida, Inc. PHONE (954) 820-7894 FAX (Am.No,.(305) 714-4401 ADDRESS: heatherchase-cass@bbrown.com 8825 NW 21stTerrace INSURERS) AFFORDING COVERAGE NAIC rr INSURERA: FCCI Commercial Insurance Company 33472 Doral Fl- 33172 INSURED INSURER B : Technology Insurance Company, Inc. 42376 Mike's AC Service, Inc. INSURER C : P.O. Box 414384 INSURER D : INSURER E : Miami FL 33141-03M INSURER F : COVERAGES CERTIFICATE NUMBER: 23-24 REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE µSD W POLICY NUMBER POLICY EFF WD POLICY EXP LIM TS COKMERCWL GENERAL LIABILITY EACH OCCURRENCE : 1.000.0m CLAIMS -MADE ® OCCUR DAMAGE TO RENTED PREMISES xu orrence $ 100.000 MED EXP (Any one n $ 5.000 PERSONAL & ADV INJURY $ 1.000,000 A GL10003421305 01/01/2023 01/01/2024 GENL AGGREGATE UMiTAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ,�T LOC PRODUCTS - COMPIOP AGG $ 2,000,1)00 $ OTHER: AUTOMOBILE L IRBUTY COMBINED SINGE LIMIT (Ea acckleM-) $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIM OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS Lt46 QED I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTiVE OFFICER/MEMBER EXCLUDED? a (Mandatory In NH) N /A TWC4188100 01/01/2023 01/01/2024 PER STATUTE ER E.EACH ACCIDENT L. $ 1.000,000 E.L. DISEASE - EA EMPLOYEE $ ���� EL. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space Is required) " Workers Comp Information "Proprietors/Partners/Executive OfBcerstMembers Excluded as per form #WC 00 03 08: Gerarda Mayta Miguel Mayta Heating, Air Conditioning Contractor - No liquid gas Air Conditioning Contractor -License OCAC039619 CFRTIFICATF HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED M Miami Shores Village Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 10050 No 2Nd Avenue AUTHOMMI) REPRESENTATIVE Miami Shores FL 33138 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD