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MC-08-23-1878Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.: MC-08-23-1878 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: Approved Issue Date:08/09/2023 Expiration: 02/09/2024 Parcel Number 55 NW 94TH ST, Miami Shores, FL 33150 1131010340120 Contacts SAGE HOFFMAN Owner AIR & HEAT UNLIMITED CORP Contractor 55 NW 94 ST, MIAMI SHORES, FL 33138 ARIEL LANDRAU sage@sagehoffman.com Business: 3055579333 hcarrillo@airandheatunlimited.com Description: EXACT REPLACEMENT OF AN AIR CONDITIONER Valuation: $ 7,550.00 Ins ection Re nests: SYSTEM Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $4.80 DBPR Fee $3.96 DCA Fee $2.64 Education Surcharge $2.40 Permit Fee $214.25 Sunning Fee $9.00 Technology Fee $26.43 Total: $313.48 Payments Date Paid Amt Paid Total Fees $313.49 Credit Card 08/09/2023 $263.48 Credit Card 08/01/2023 $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 will be done in compliance with all applicable laws regulating constm . and zoning. Futhennore, I authorize the above named contractor to do the work stated. C'-XnerU Z 1980J 2�j- Authorized Signatur : Owner ! Applicant / Contractor / Agent Date August 09, 2023 V Page 2 of 2 Miami Shores Village Building Department BY: ICY 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20eld r/ BUILDING Master Permit NoA C-DE-23 I ? 5 PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ROOFING REVISION EXTENSION 'RENEWAL PLUMBING R MECHANICAL CHANGE OF ❑ CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 55 NW 94 St City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3101-034-0120 Is the Building Historically Designated: Yes NO X Occupancy Type: Residential Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Sage Hoffman Phone#:305-205-9977 Address: 55 NW 94 St City: Miami Shores State: FL zip: 33150 Tenant/Lessee Name: Phone#: Email: sage@sagehoffman.com CONTRACTOR: Company Name: Air & Heat Unlimited Corp Phone#: 305-557-9333 Address: 1990 W 4th Avenue, Hialeah, FL 33010 Email: hcarrillo@airandheatunlimited.com Qualifier Name: Ariel Landrau Phone#: 305-557-9333 State Certification or Registration #: CAC 1815244 Certificate of Competency M DESIGNER: Architect/Engineer: Phone#: Address: City: State: _Zip: Value of Work for this Permit: $ 7,550.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition Description of Work: Exact replacement of an air conditioner system Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ DCA Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ P&Z Review $ Bond $ TOTAL FEE NOW DUE $ (Revised04/05/2022) Bonding Company's Name (if applicable) Bonding Company's Address City -------- Sta 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 of the job site for the first inspection which occurs seven (71 days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspectlon fee will be charged. Signature_ i OWNE GENT The foregoing instrument was acknowledged before me this day of 20 2Zj by 2 1� C\ who is personally known to me or who has produced n—wlo C as Identification and who did take an oath. NOTARY PUBLIC: Signature wit CONTRACTOR The foregoing instrument was acknowledged before me this t�n day of 1L1� , 20 7—b by �1c12� 1 5�kz�Ml who is p rsonall known to me or who has produced Identification and who did take an oath. NOTARY PUBUC: tae�ls d04l05(2022) _-_-------- Structural Review Clerk Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.Qov AIR-CONDITIONING EMERGENCY REPLACEMENT FORM The State of Florida's Building code Sec. 105.2.1 allows contractors to replace equipment in an emergency situation and submit the permit application the following business day without penalty. PROCEDURE: A contractor replacing an air-conditioning system in an emergency must first call the Building Department or complete the attached form and submit to a Permit Technician or email to: inspections@msvfLgov. Once the form has been completed and submitted to the Building Department, the contractor can then proceed with the replacement process. The permit application must be submitted the next business day after the completion of the replacement has been made with the following supporting documentation: - Air-conditioning replacement data sheet [ two (2) copies] - Engineered anchoring detail. - NOA FBCM-301.15 or wind load calculation with anchoring detail unitto curb, slab, or stand and unit paneling. A contractor who fails to contact the Building or Mechanical Department prior to replacing an air conditioning system and performs the work without a permit will be subject to a permit fee of two (2) times the current fee. CONTRACTOR INFORMATION Company Name Air & Heat Unlimited Corp Person Eduardo Carrillo Number 786-251-3878 ADDRESS WHERE AIR CONDITIONING IS BEING REPLACED Address 55 NW 94 St, Miami Shores Suite/apt# Zip Code 33150 Contact Phone Rev10202022 AC Emergency Replacement Form Page 1 of 1 ® ■ems A ■ ■= AM a'scw-sma@f° mac ��� AIR CONDITIONING A SERVICE CONTRACTORS ...People you know Proposal CAC1815244 Date: July 25, 2023 Customer: Sage Hoffman Address: 55 NW. 94" ST. Miami Shores, FL, 33150 E-mail: sage@sagehoffman.com Replacement of Air Conditioning System Replacement of one (1) AC System unit 2.0 tons 15.2 5EER2 by Carrier • Hook up to existing drain line • Hook up to existing ductwork • New horizontal installation kit • Labor A Materials to complete job mentioned above • Permit not Included 4 Warranty: Ten (10) years on compressor and parts by mfg 4 One (1) labor by Air A Heat Unlimited Corp. PROPOSED PRICE: $7,550.00 Replacement of one split system Payment schedule: 50% with order and 50% at the time of installation Delivery time pending equipment availability Any alteration or deviation from the above specifications involving extra cost of labor will only be executed upon written orders for some, and will become an extra charge over the sum mentioned in this contract, All agreements must be in writing. This written proposal is only good for 30 DaXss from the date of this proposal. Air A Heat is not responsible for cutting and /or patching ceiling or walls ACCEPTANCE The above price, specifications and conditions are sa�ti�sffaa/ct1too/�YJgnd are hereby cc Date of Acceptance A,trjzld Signature Acceptance by Am A Heat___ Authorized signature A title Air A Heat Unlimited Corp • 1725 W 39 Place - Hialeah, FL 33012 305.557.9333 Phone • 305.556.1454 Fax cirr PY h�< re, o AIR CONDITIONING REPLACEMENT DATA Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305)756.8972 PERMIT NUMBER: MC-68-;)3- ff 7a 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): 55 NVV 94 St City: Miami Shores Village County: Miami Dade Zip Code: 33150 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 15 REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑■ NO ❑ Contract Attached: YES A UNIT BEING REPLACED DATA NEW UNIT CARRIER MANUFACTURER CARRIER FK4DNF002 AHU or PKG. UNIT MODEL # FV4CNF002LOO 24ABR324A320 COND. UNIT MODEL# 24SCA524WO03 5 KW HEAT 5 NOM TONS 2 AHU CU PKG 1) M.C.A AHU CU H. " PKG AHU CU PKG 2)M.O.P AHU CU PKG AHU CU PKG 3)VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / Z EER/ EER 0. S" 11'T YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT YES 0 YES NO NEW4"CONCRETE SLAB YES 0 YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES C NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): I 3. Voltage of Circuit (208/240/480): ✓�'% 2L 4. Size Disconnecting Means: Contractor's Company Name: Air & Heat Unlimited Corp Phone: 305-557-9333 State Certificate or Registration No. CAC 1815244 Certificate of Competency No 1 1 Signature 17P� A.&dA_ Date: (Qualifier s signature) ' Z. (Revised02/24/2014) Eligible for 2022 Federal Tax Credit' LEI_ Certificate of Product Rating$: AHRI Certified Reference Number: 207958965 Date: 07-28-2023 Model Status : Active AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Series: COMFORT 15 SEER2 AC Outdoor Unit Brand Name: CARRIER Outdoor Unit Model Number (Condenser or Single Package) : 24SCA524W"'30" Indoor Unit Model Number (Evaporator and/or Air Handler) : FV4CNF002L 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: On January 1, 2023, efficiency standards increased for central air conditioners. Beginning January 1, 2023, central air conditioners can only be installed in region(s) for which they meet the new regional efficiency requirements. The manufacturer of this CARRIER 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 : 23200 SEER: 16.50 EER (A2) - Single or High Stage (95F) : 13.50 Rated as follows in accordance with the latest edition of AHRI 210/240 — 2023, 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 (AFun) — Single or High Stage (95F), btuh : 23000 SEER2 : 15.20 EER2 (AFull) — Single or High Stage (95F) : 13.00 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 along with the previous (i.e. WAS) rating. The Department of Energy has published updated energy efficiency metrics for central air conditioners and heat pumps. This publication reflects both the 1987 metric (SEER) and the 2023 metric (SEER2). Efficiency requirements are published at 10 C.F.R. 430.32(c). Please refer to www.AHRlnet.org for more information about updated energy efficiency metrics. Eligibility for the 2022 Non -Business Energy Property Tax Credit provided on this AHRI Certificate is not Intended to constitute tax or legal advice; instead. It is for general informational purposes only. Eligibility for tax credit may not constitute the most up to date information. AHRI makes no representation or warranty, express or Implied or assumes any legal liability or responsibility for the accuracy, completeness, any third party's use of, or the results of the use of eligibility for the 2022 Non -Business Energy Property Tax Credit disclosed on the AHRI Directory for Certified Product Performance and/or the AHRI Certificate. Individuals considering eligibility for the tax credit are advised to confirm eligibility with their equipment installers and tax attorneys or Preparers. 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 MSCertificate and Its contents are proprietary products of AHRI. This Certificate shell only be used for Intllvitlual, personal and confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copied; disseminated; NOW 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 INSTROTE 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. !„9: 02023Air-Conditioning, Heating, and Refrigeration Institute ICATE NO.: 133350284710125368 Ron DeSantis, Governor Melanie S. Griffin, Secretary dbpr a STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY1ICENSING BOARD THE CLASS A AIR CONDITIONING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLQRIDA STATUTES Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. '�}ia This is your license. It is unlawful for anyone other than the licensee to use this document. local Business Tax Receipt Miami -Dade County, State of Florida THIS IS NOT A BILL -DO NOT PAY 5955043 BUSINESS NAME/LOCATION AIR & HEAT UNLIMITED CORP 1990 W 4TH AVE HIALEAH, FL 33010-2403 OVMER AIR & HEAT UNLIMITED CORP CIO ARIEL LANDRAU QUALIFIER Workers) 25 RECEIPT NO. RENEWAL 6212328 LBT EXPIRES SEPTEMBER 30, 2023 Must be displayed at place of business Pursuant to County Code Chapter BA - Art. 9 & 10 SEC. TYPE OF BUSINESS PAYMENT RECEIVED 196 SPEC MECHANICAL BY TAX COLLECTOR CONTRACTOR 99.00 12/07/2022 CAC 1815244 INT-23-202176 ibis local Basiness Tax Receipt only r a 5 f 1s payraant of the Local Basken Tax, The Receipt is not a license, pem tr, or a certillcatiaa of ttte botdees geatttleatlarm to do bashwes. Haman most empty with any porn mental or rtonpavemmstal regslatory taws and requireatantr which apply to tke basinass. The RECEIPT NO. ebb most be displayed on all commercial vehicles - bflaotr-0ada Cade Sea ds-V& rt®� Far move tt►farrastian, visit ACOR" CERTIFICATE OF LIABILITY INSURANCE �' 2128/2022 12/28/2022 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 pollcy(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 Stahl & Associates Insurance Inc. 91 Lake Morton Drive PO BOX 3608 Lakeland FL 33802 NAME Brian Ludwig PHONE (883) 688-5495 FAX,(AICNo ; (863) 688-4344 aDDRass, certiRcateslakeland@stahlinsurance.com INSURER(S) AFFORDING COVERAGE NAIL S INSURERA: FCCI Insurance Company 10178 INSURED Air & Heat Unlimited Corp 1990 W. 4th Avenue Hialeah FL 33010 INSURER B : Brielfleld Insurance Company 10993 INSURER C : National Trust Insurance Company 20141 INSURER D : FFVA Mutual Insurance Company 10385 INSURER E : INSURER F : r•nV9:Re1r.Fs CERTIFICATE NUMBER: 22/23 Master 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. INS LTR TYPE OF INSURANCE IN POLICY NUMBER MM/D M LIMITS q COMMERCIAL GENERAL LIABILITY CLAIMS-MADE ® OCCUR $2,000 Per Occurrence Deductible GL10008168100 12/31/2022 12/31/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE To RMqTMY- pIS $ 100,000 MED EXP one rsan) $ 5,000 PERSONAL BADVINJURY s 1,000,000 GEN1.AGGREGATE LIMITAPPLIES PER: X POLICY1:1 JEPR Loc OTHER: GENERALAGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,000 Pollution Liability $ 100,000 B LIABILITY X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY Ix AUTOS ONLY CA10000891807 12131/2022 12/31/2023 COMAUTOMOBILE aggeent LE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per sccidmQ $ PROPERTY 0-AWAGE Per adeM s PIP s 10,000 C UMBRELLA LIAB EXCESSLiae OCCUR UMB10008168200 12/31/2022 12/31/2023 EACH OCCURRENCE $ 2,000.000 HCLAIMS-MADE AGGREGATE 3 2,000,000 DEC) I I RETENTION s $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) "yea, describe under DESCRIPTION OF OPERATIONS below NIA VVC84000209342023A 01/01/2023 01/01/2024 STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT s 1,000,000 q Installation Floater CM0003823305 12/31/2022 12/31/2023 Limit - Per.Iobsite $10,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attactrsd H more space Is er Wmd) Contractors License CAC1815244 Village of Miami Shores 10050 NE 2ndAve Miami Shores FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 1VUU-2U15 AGLIKU L;VK1-WKArIUM. All 1`1$1`113 reserVeG. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD