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MC-10-1018Inspection Number: INSP- 145006 Permit Number: MC -6 -10 -1018 Scheduled Inspection Date: August 10, 2010 Permit Type: Mechanical - Residential Inspection Type: Final Owner: PATZ, DARREN AND VANESSA Work Classification: A/C Replacement Job Address: 46 NE 100 Street Miami Shores, FL Inspector: Perez, JanPierre Project: <NONE> Contractor: BLUE BREEZE AIR CONDITIONING Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 C� L Phone Number (305)759 -2519 Parcel Number 1132060131220 Phone: 305 -865 -1220 REPLACE EXISTING A/C 3 TONS AND NEW DUCT WORK 101/0 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 09, 2010 For Inspections please call: (305)762 - 4949 Page 4 of 21 Email Tenant/Lessee Name BUILDING PERMIT APPLICATION FBC 20 Permit T pe: ME HANICAL Owner's Name (Fee Simple Titleholder) 'DA- lQ-0 N PA T2, Phone # 3) 7 59 2,c1 Owner's Address (4, Nt / 0 7` I 51 City (Th Qr,rYli S fio State Is Building Historically Designated YES Contractor's Address G'9 ►�(/V i C ' Miami Shores Village 23 ME IId Building Department j�'N 0 z 2 n1 o 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 F'7 Y✓ Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Master Permit No. Zip 33 j 38 Phone # 40 l\fr- 1O Job Address (where the work is being done) City Miami Shores Villa a County Miami -Dade Zip FOLIO / PARCEL # NO Flood Zone Contractor's Company Name Bi.JIJ B (2_-C O1y-c Phone # City f\i■ ( knrVl State Zip ( a' Qualifier Name MA-- F TO R.lizo l cD Phone # State Certificate or Registration No. C- ' L' ` 3 29 Certificate of Competency No. Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # Permit No. IVC9 I NO/ S 3o F 6 f 22,o Square / Linear Footage Of Work: • Value of Work For this Permit $ Type of Work: ❑Addition ® Alteration [New J Repair/Replace r ❑ Demolition Describe Work: „O ��¢,Q -t __ic '1 IJ a At $ NA) 3 Mtk/ totz.vvvt_.- Submittal Fee $ ." 0 / Permit Fee $ - i € t ©C CCF $ 5 - CO /CC $ Notary $ Training/Education Fee $1 0 Technology Fee $ 1.20 Scanning $3 Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ aces .44 4 See Reverse side --> On Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 COM IENCEMENT." 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 m t be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absenr of s h posted notice, the inspection will n pproved an reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this e8 day of 20 �j, by who is personally known to me or who has produced '.. As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commissio * * * * * * * * * * * ** f ar P ® Notary Public State of Florida 4 o GO E Van Dan Bergh My Commission DD778217 oc Expires 04d1312012 APPROVED BY Engineer (Revised 07 /10 /07XRevised 06/10/2009) Signature The foregoing instrument was acknowledged before me this 03 day of N1 , 20 Lo , by who is personally known to me or who has produced * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner NOTARY PUBLIC: ontr as identification and who did take an oath. Sign: Print: e_ ! to ' P vo i My Co sio irQ6tary Public State of Florida • E Van Den Bergh Q My Commission DD778217 a Expires 04)1312012 * * * * * * * * * * * * * * * * ** Clerk checked Fee Code Description 123.01 -69 10/07 Pagel MIAMI-DADE COUNTY BUILDING DEPARTMENT MECHANICAL FEE SHEET *Attention applicant: you are responsible for filling out this application correctly. If you have any questions concerning what category your work falls under, please see an inspector or processor for your trade. Refunds will not be given in case of error on your part and you will be charged a double fee phis a $100.00 for doing work without a permit. Minimum fee for mechanical permits if $51.50 unless otherwise noted. Under penalties of perjury, I declare that to the best of knowledge , the facts state I: understand that perjury is a felony of the third degree. Fee Calculations Category 09 Above & Below Ground Tanks/Pumps & Pollutant Storage System (Must be processed if no building permit) Units gn ture ment are true. (L.S) # of Units Fee Single Family Residence duplexes new construction South Florida Building Code (SFBC) Group I or Florida Building Code (FBC) Group R -3 Includes Categories 03, 10, 41 (Must have building permit number) Additionally, please note the fee will be calculated based on the square footage on the master permit) M053 New Mechanical Construction 0.080 per Sq. Ft. # of Sq. Ft. M054 Addition to Single Family Residence 0.080 per Sq. Ft. # of Sq. Ft. and Duplex (Minimum Fee $68.70) Category 03 Air Conditioning For new construction other than Group I (SFBC) or Group R -3 (FBC) and compatible change out of existing equipment. (New system with no building permit requires processing) M001 Air Conditioner $ 17.18 per ton # of Tons (Minimum Fee $68.70) MO10 Storage Tank Flam. Liquid $ 171.74 per Tank # of Tanks Category 10 Heating For new construction other than Group I (SFBC) or Group R -3 (FBC) and exact change out of existing equipment. (New system with no building permit requires processing) M002 Furnaces & Heating Equipment $ 3.44 per KW # of KW (Minimum Fee $51.53) Category 11 Insulation (Commercial with no building permit requires processing) M076 Insulation $ 12.03 per $1,000 Value Est. Value (Minimum Fee $68.70) Category 15 Pneumatic Tube Conveyor System (Commercial with no building permit requires processing) M077 Pneumatic Tube Conveyor System $ 12.03 per $1,000 Value Est. Value (Minimum Fee $68.70) Category 16 Pressure Process Piping (Commercial with no building permit requires processing) (Does not include Medical Gas) M078 Pressure Process Piping $ 12.03 per $1,000 Value Est. Value (Minimum Fee $68.70) Fee Code Category 19 M001 Category 23 M079 Category 24 M012 MO27 MO28 M035 M049 M050 M051 Category 25 M042 Category 38 M036 Category 39 M080 Category 40 M011 Category 41 M081 Category 42 MO29 Category 43 M048 Category 45 M082 Category 46 M048 Category 48 M048 Category 50 M083 Category 52 M084 123.01 - 6910/07 Page 2 Description Fee Calculations Units # of Units Fee Refrigeration (Commercial with no building permit requires processing) Refrigeration $ 17.18 per Ton # of Tons (Minimum Fee $68.70) Air Conditioning Duct Work (with no building permit requires processing) Air Conditioning Duct Work $ 12.03 per $1,000 Value Est. Value (Minimum Fee $68.70) -gc! Boiler (1 Boiler HP= 33,479 BTU /per hour) (Commercial with no building permit requires processing) Estimated Value (Boiler Repair) $ 12.03 per $1,000 Value Est. Value Steam Driver Prime Mover $ 68.70 per Mover # of Mover Steam Activated Machinery $ 68.70 per Machine # of Machines Shop Inspection of Boiler $ 85.87 per Boiler # of Boilers Boiler less than 837 MBTU input $ 85.87 per Boiler # of Boilers Boiler 837 MBTU to 6695 MBTU input $ 103.05 per Boiler # of Boilers Boiler over 6695 MBTU $ 143.12 per Boiler # of Boilers Conveyors (Requires Processing) Conveyors $114.49 per Drive # of Drives Commercial Hoods (Commercial with no building permit requires processing) Commercial Hoods $143.12 per Hood # of Hoods Cooling Towers (Commercial with no building permit requires processing) Cooling Towers $12.03 per $1,000 Value Est. Value (Minimum Fee $68.70) Internal Combustion (Commercial with no building permit requires processing) Internal Combustion Engines $85.87 per Engine # of Engines Mechanical Ventilation (Commercial with no building permit requires processing) Mechanical Ventilation $12.03 per $1,000 Value Est. Value (Minimum Fee $68.70) U.F. Pressure Vessel (Commercial with no building permit requires processing) Unfired Vessels $85.87 per Vessel # of Vessels Fire Chemical (Must be processed) Fire Chemical $120.22 per System # of Systems Ductless Ventilation (Commercial with no building permit requires processing) Ductless Ventilation $12.03 per $1,000 Value Est. Value (Minimum Fee $68.70) Spray Booths (Must be processed if no building permit) Spray Booth $120.22 per Booth # of Booths Smoke Control (Must be processed if no building permit) Smoke Control $120.22 per System # of Systems Raise Existing Roof Mounted Equipment Raise Existing Roof Mounted $12.03 per $1,000 Value Est. Value Equipment (Minimum Fee $68.70) Residential Elevator (Private/Individual) Residential Elevator $51.50 per elevator # of Elevators m:Blue Breeze One Hour Air Conditioning & Heating To:City of Miami Shores Village 10:46 06/02/10GMT-04 Pg 02-03 :45.14212P- k, tIATE ' f31 CH NUMBER l 3-01'01 0 C:t A - Vie CLASS- at . • sr Named "be.koraL I , Under the OV5 . Expiration • dafigket e 65'5??1714 13111.Ni " • • • Al '44Witgaak, m:Blue Breeze One Hour Air Conditioning & Heating To:City of Miami Shores Village 10:46 06/02/10GMT -04 Pg 03 -03 00 NOT FORWARD BLUE BREEZE AIR CONDITIONING MATIAS TORROIJA PRES 655 NW 118 ST MIAMI FL 33168 I„11,„11„..11.11„G,1,,,1.1, L1,,,I,111„.,Li„I,IAZI m:Blue Breeze One Hour Air Conditioning & Heating To:City of Miami Shores Village 10:46 06/02/10GIN/IT-04 Pg 01-03 APR-2.1-2010 11:39 AMER I CAN TRUST I N$URANCE 305 270 2496 ... ......,, , fto • ii• 4 !C . _.C:PIWIC, CERTIFICATE OF LIABILITY' INSURANCE 1 2 ,_-:::=---,----- ---- - - PRODUCER American Trust Insurance THIS CERTIFICATE Is ISSUED AS A MATTER OF INFO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFI 9360 Sunset DrWe Sults 240 HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXT Miami, FL 331n Almtni_k_commog AFFORPED mpg Psluct MINED E.C.A. Air CondftIoning,Ino. dtiVa Mile Breeze Air Conditioning 655 NW 118 Street Miami, FL 33168 1. COVERAGES INSURER F: ME POLICIES OF INSURANCE LISTED NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAI ANY REQUIRED/ENT, TERM OR CONDITION OF ANYCONTRACT OR OTHER DOCUMENT VIETH RESPECT TO WHIG THIS CERTIFICATE MAY BE ISSI MAY PERTAIN. NE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CORK/MOP POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 7 POLICY NUMBER PDIJ AZ F L C IDAT . VA: 1 1E7 EMPIRAIM INISR TYPE OF INSURANCE Phone (305)270 Fax (305)270 INSURERS AFFORDING COVERAGE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GL34681-1 DO CLAIMS MADE to OCCUR O - ID OEM AGGREGATE MT PER POLICY 0 PROJECT 0 LOC AUTOMOBILE LIABILITY O ANY AUTO O ALL OWNED AUTOS 5 0 0 SCHEDULED AUTOS O HIRED AUTOS O NON OWNED AUTOS 6 CF-RIIFICATE HOLDER L GARAGE LABILITY O ANY AUTO 0 EXCESS/UMBRELLA UABIUTY 0 OCCUR 0 CLAIMS MADE O DEDUCTIBLE O RETENTION WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR I PARTNER 1 EXECUTIVE OFFICER / MEMBER EXCLUDED? If yes. describe tmder SPECIAL PROVISIONS below City of Miami Shores Village 10060 NE 2nd Avenue Miami Shores, FL 33138 IF= 305-756-8972 ACORD 25 (2001/08) OF GL346131 INSURER k Ascendant Commercial insurance Co • INSuRER Et Ascendant Commercial Insurance Co T INSURER C: INSURER D: INSURER E: 09/23/09 03/25/10 03/25/11 09/23/10 AUTHORIZED REPRESENTATIVE DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Jr Conditioning 4' LIMITS EACH OCCURRENCE DAMAGE70 - PREMISES (Ea =trance) MED EXP (Any one perecm) PERSONAL & ADV INJURY GENERAL:AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE UNIT accident) BODILY INJURY r :er person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per socIdent) AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG EACH OCCURRENCE AGGREGATE 0 EL EACH ACCIDENT E.L. DISEASE- EA EMPLOYEE EL Diiiikii:kkiCiiiiii -----.----- CANCELLATION T S — HOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELI EXPIRATION DATE THEREOF, THE issue* INSURER WILL ENDE 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDEF TNE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATI OF ANY KIND UPON THE INSURER, ITN AGENTS OR REPRESENT/ @ACM° COO, Mr Darren Patz 46 NE 100th Street Miami Shores FL 33138 Service At: Mr Darren Patz 46 NE 100th Street Miami Shores FL 33138 Service Date Account# 105713 Description Of Service 3 Ton Deluxe Heat Pump Comfort Club 1 year pre -paid ( #400712) Terms: Due Upon Receipt PO # Invoice Blue Breeze One Hour Air Conditioning & Heating 655 NW 118 ST. Miami FL 33168 305- 865 -1220 FAX: 305-865-7779 CAC 1813298 Job # 207381 Quantity 1 1 Please Detach and Return with Remittance Check Enclosed [ ] Method of Payment Master Card [ ] Visa [ ] AmExp [ ] Discover [ ] Acct # Exp Date Name on Card Signature Remit To: Blue Breeze One Hour Air Conditioning & Heating 655 NW 118th Street Miami FL 33168 Unit Price $8,516.00 $0.00 Total $8,516.00 5/14/2010 Payment $4,000.00 $8,516.00 $0.00 Amount Due Amount Paid Balance Due $4,516.00 Please pay from this Invoice. Thank You Invoice # 306976 Date : Invoice # Date: Page # 306976 05/10/10 1 of 1 Extended Price Tx 05/10/10 Account # 105713 Patz, Mr Darren $4,516.00 Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/2 Floors: 1 Living Units: 1 Adl Sq Footage: 2,211 Lot Size: 8,625 SQ FT Year Built: 1941 $25,000/ $242,611 1 53 41 6 53 42 MIAMI SHORES SEC 1 AND Legal PB 10-70 LOT 7 & E1/2 Description: OF LOT 8 BLK 9 LOT SIZE 75.000 X 115 OR 16097 - 508210931 COC 22749 - 259410 20041 Year 2009 2008 Taxing Authority Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $50,000/ $217,611 $50,000/ $310,536 County: $50,000/ $217,611 $50,000/ $310,536 City $50,000/ $217,611 $50,000/ $310,536 School Board: $25,000/ $242,611 $25,000/ $335,536 Folio No.: 11- 3206- 013 -1220 fTi.T'TMS Land Value: Mailing DARREN E PATZ ddress: ANESSA A LADET PATZ $220,205 NE 100 ST MIAMI $267,611 HORES FL Assessed Value: 138-2315 Year: 2009 2008 Land Value: $86,284 $278,798 Building Value: $181,327 $220,205 Market Value: $267,611 $499,003 Assessed Value: $267,611 $360,536 Miami -Dade My Home Show Me: Property Information Search By: Select Item ................ ................... Text only My Home iamidade.gov Property Appraiser Tax Estimator EM Property Appraiser Tax Comparison la Portability S.O.H. Calculatbr Summary Details: Property information: Assessment Information: Exemption Information: Taxable Value Information: Sale Information: knln f1nln• Iinrorvli ACTIVE 100L SELECT Aerial Photography - 2009 My Home 1 Property Information [Property Taxes My Neighborhood 1 Property Appraiser Home 1 Usino Our Site 1 Phone Directory 1 Privacy 1 Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. 0 112 ft Page 1 of 2 Legend Property Boundary Selected Property Street Highway M iami -Dade County Water http: / /gisims2.miamidade .gov/MyHome /propmap.asp 6/1/2010 2009 2008 IrMrEr $25,000 $25,000 Miami -Dade My Home Show Me: Property Information Search By: Select Item ................ ................... Text only My Home iamidade.gov Property Appraiser Tax Estimator EM Property Appraiser Tax Comparison la Portability S.O.H. Calculatbr Summary Details: Property information: Assessment Information: Exemption Information: Taxable Value Information: Sale Information: knln f1nln• Iinrorvli ACTIVE 100L SELECT Aerial Photography - 2009 My Home 1 Property Information [Property Taxes My Neighborhood 1 Property Appraiser Home 1 Usino Our Site 1 Phone Directory 1 Privacy 1 Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. 0 112 ft Page 1 of 2 Legend Property Boundary Selected Property Street Highway M iami -Dade County Water http: / /gisims2.miamidade .gov/MyHome /propmap.asp 6/1/2010 CA-e- 9.AL`Y21 arage , `18x20 Kitchen 24 xF24 1181 cfm 10x8 212 cfm O 6" F° M M ami Shores 1 APPROVED B' DATE ZONING DEPT BLDG DEPT SUBJECT 10 CCMPIJANCE WITH ALL FEDERAL STATE AND CC UN.Y RULES AND REOULAT!ONS 10x8 132 cfm — 7 Sheet 1 24 x 24 ving R om 8" Dining \,10x8 158 cfm TV Room Wall Unit 10 x 8 177 cfm Cte 10x14 Cite Room1 10x8 M. Bedroom /10x8 187 cfm Job #: 207381 Performed by Matias Torroija for: Vanessa & Darren Patz 46 NE 100 St. Miami Shores, FL 33138 Blue Breeze One Hour Air Conditions... 655 NW 118th Street Miami, FL 33168 Phone: 305- 865 -1220 Fax: 305 -865 -7779 www.onehourair.com matias @bluebreezemiami.com Scale: 1 : 102 Page 1 Right -Suite Residential 6.0.110 RSR39400 2010 - Jun -15 19:06:31 Z: \BLUE BREEZEWrightsoft HVAC... NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 3. Owner(s) name and address: 4. Contractor's name and address: Name and address: Amount of bond $ 6. Lender's name and address: 1 111111 11111 11111 11111 11111 11111 11111 1111 1111 CFN 2010R0447197 OR 8k 27340 Ps 3535; Ups; RECORDED 07/02/2010 10:37:11 HARVEY RUVIN, CLERK OF COURT IIIAIII -DADE COUNTY, FLORIDA LAST PAGE 1. Legal description of property and street/address: I4 j( /0t5 . m; e.w►.; . 1'ote5 — FL 33135 - 331�5y" 2. Description of improvement: "° T #ce.1U —Ton °Dx.A+4LE. -t: ?unkla �1 `r an ti Van ss ) Z.. I all+' 10® sf PY1 ;O.r+u **bores L .33)84 -as Interest in property: 0 to net 5 Name and address of fee simple titleholder. I De — af e_ezP l - I i J C o n ; orl i.n 11 4 s 11E ■: filnds AIM IMUMI 5. Surety: (Payment bond required by owner from contractor, if any )! HEREBY CERTIFY th copy of filo Jr. 4 � d t t uments may be served as 7. Persons within the state of Florida designated by Owner upon whom notices provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a r different dat Signature of Owner Print Owner's Name_ ( i /4 PA Sworn to and subscribed before , e thi pulrts Notary P Print No My commission expires: 123.01 -52 PAGE 4 8/02 ed) 4440V * ?p • s /s ®s ��� 8i111911'+��� ® ® � �� , 20 _IS) Prepare y / ;Pcso‘ TetilekCJ 0 Address: 4i3 3 A(Cc.J ((g f P( 55 tag