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MC-10-839Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Permit Issue Date: 5/13/2010 Permit NO. MC -5 -10 -839 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: APPROVED Expiration: 1 1/09/2010 Parcel Number 189 NW 102 Street Miami Shores, FL 33150- 1131010230080 Block: Lot: CONSUMER SOLUTIONS REO L' Applicant 919 CORPORATE LAKE Drive TAMPA FL 33634- Contractor(s) Phone Cell Phone ALL YEAR COOLING AND HEATING (954)566 - 4644 Tons: 4 Additional Info: NC REPLACEMENT Classification: Residential Approved: In Review Comments: Date Denied: Date Approved: : In Review Type of Work: MECHANICAL Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Work without Permit Fee Total: Amount $3.60 $1.20 $177.80 $3.00 $4.80 $177.80 $368.20 Pay Date Pay Type Invoice # MC -5-10 -37876 05/12/2010 Check #: 9313 $ 50.00 $ 318.20 05/14/2010 Check #: 2216 $ 318.20 $ 0.00 Amt Paid Amt Due Valuation: Total Sq Feet: $ 5,080.00 0 Available Inspections: Inspection Type: Final 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 construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy May 14, 2010 Date May 14, 2010 1 Inspection Number: INSP- 143159 Permit Number: MC -5 -10 -839 Scheduled Inspection Date: June 01, 2010 Inspector: Perez, JanPierre Owner: SOLUTIONS REO LLC, CONSUMER Job Address: 189 NW 102 Street Miami Shores, FL 33150- Project: <NONE> Contractor: ALL YEAR COOLING AND HEATING Building Department Comments replace central a/c w carrier 4 ton 16.5 seer 10 kw. cu #248acb748a ahu#fv4 cnf005 q it/ IP Passed leo Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments May 28, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 c:L Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1131010230080 Phone: (954)566 -4644 Page 14 of 22 THE POLICIES OF INSURANCE LISTED BELOW REQUIREMENT. TERM OR CONDITION OF ANY THE INSURANCE AFFORDED BY THE POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BE HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. N REDUCED BY PAID CLAIMS. INSR D INSRD TYPE OF INSURANCE SRD POLICY NUMBER DATE IMM/DDmE M POLICY LIMITS A GENERAL LIABILITY X - COMMERCIAL GENERAL LIABILITY 04GL000781765 12/31/2009 12/31/2010 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence' $ 10C,000 I CLAIMS MADE X OCCUR MEDEXPtAnyonepersoru S EXCLUDED PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APr LIES PER: ' CLICY , PRO- LO:: PRODUCTS - COMP/OP AGG 1$ 2,000,000 AUTOMOBILE U ABILITY X I ANY AUTO j ALL OWNEDAUTOS 1 SCHEDULED AUTOS X I HIRED AUTOS X 1 NON - OWNED AUTOS ASJ —Z91- 453563 -019 12/31/2009 12/31/2010 COMBINED SINGLE LIMB $ 1,000,000 (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident} $ 1 GARAGE LIABILITY ( I I ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA UABILITY i I I OCCUR 1 CLAIMS MADE DEDUCTIBLE RETENTION S EACH OCCURRENCE $ AGGREGATE $ $ $ S C I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes. describe under SPECIAL PROVISIONS oelaw WCC —Z91- 453563 -020 1/1/2010 1/1/2011 Y WC ST MIT ITN- TORY LIMITS ER E.L. EACH ACCIDENT $ 500 , 000 E.L. DISEASE- EA EMPLOYEE'S 500,000 E.L. DISEASE - POLICY LIMIT S 500,000 OTHER DESCRIPTION OF OPERATIONSI LOCATIONSNEHICLES IEXCLUSIONSADDED BY ENDORSEMENT /SPECIAL PROVISIONS ACORD, CERTIFICATE OF 4 ODUCER (954) 724 -7000 FAX: (954) 724 -7 _eyes Coverage, Inc. 5900 Hiatus Road Tamarac FL 33321 INSURED Fax # 954 640 0200 All Year Cooling and Heating, Inc & All Year Electric Inc 6781 W Sunrise Blvd Plantation FL 33313 CERTIFICATE HOLDER ACORD 25 (2001 /08) ��� N` ! LIABILITY 6 INSU '��i NCE DATE(MM/DD/YYYY) 2/11/2010 024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURERB:Wausau Insurance INSURERC:Emoloyers Ins Co of INSURER D: INSURER E: CANCELLATION I NAIC # INsuRERA:Mid- Continent Casualty Coi 23418 121458 Miami Shores Village 10050 North East 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO 50 SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE G ACORD CORPORATION 1988 f 0 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) RAFAEL MEDINA Phone # 347 -724 -6054 Owner's Address 189 NW 102 STREET City MIAMI SHORES Tenant/Lessee Name Contractor's Address 6781 W. SUNRISE BLVD City PLANTATION Qualifier Name GRETA B. SMITH State Certificate or Registration No. CACO58160 Value of Work For this Permit $ 5080.00 Submittal Fee $ LA./' Permit Fee $ Notary $ Training/Education Fee $ Scanning $ 300 Radon $ Bond $ Code Enforcement $ Miami Shores Village MAY 14,2016 Building D epartment • f0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit NolNAC f Master Permit No. State FL Zi 33150 Phone # E - MAIL: Job Address (where the work is being done) 189 NW 102 STREET City Miami Shores Village County Miami -Dade Zip 33150 FOLIO / PARCEL # 11- 3101 -023 -0080 Is Building Historically Designated YES NO Contractor's Company Name ALL YEAR COOLING & HEATING State FL DPBR $ Structural Review. $ Phone # 954 - 5664644 Zip 33313 Phone # 954-566 -4644 Certificate of Competency No. CMC511 E - MAIL: Architect/Engineer's Name (if applicable) NIA Phone # Square / Linear Footage Of Work: Type of Work: DAddition ❑Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: REPLACE CENTRAL NC W /CARRIER 4 TON 16.5 SEER 10KW CU #248ACB748A AHU#FV4CNFOO5 C 114-14W ********** **** *************************Pp *** * * * ****************** *sleek ************** *** ti V D CCF $ ' V2 0 4.K9 CO/CC Technology Fee $ ii Zoning $ ouble Fee $ 1 /1 1 e0 Tota Fee Now Due $ y 90 4 See Reverse side -+ Bonding Company's Name (if applicable) N/A Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N/A 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 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 Own or Agent The foregoing instrument was acknowledged before me this day of MAY , 20 -, b RAFAEL MEDINA Signature Aa it, g w AL& Contractor 12TH The foregoing instrument was acknowledged before me this 12TH day of MAY , 20 b GRETA B. SMITH who is ersonally known me or who has produced who is onally know me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PU Sign: print: ORION o■wwia■NNm■■a ts■■w■ tas t o sa e a r t■nu■s® ORION KAS1WcKNIGHT +� Florida Notary Assn., Inc My Commission xpires: ■■o■a■t.■■■. sommuws.w.■..o ttttt■tt * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** NOTARY P ..'' t■ inpeusswansu ■■a■uaass ■sss ■assasaayss� t� ON KAS McKNIGHT t My Commissil * * ** * * * * * * * * * * * * ** S r Exxpfres 2/27/2011 2 %, Fkaicia Notary Assi ,Inc Expire�ffi ■a■,„tta ■:. ■ ■ ■a gs■me■■ad ■■■ eaarnseai�i ** * * * * *** *** ** ** *xis+ *aim **** * * * * * ** 4b Plans Examiner Engineer Zoning Primary Zone: 0800 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL- SINGLE FAMILY Beds/Baths: 2/1 Floors: 1 Living Units: 1 Adj Sq Footage: 1,855 Lot Size: 8,025 SQ FT Year Built: 1940 Legal Description: BONMAR PK ADD A RE -SUB PB 24-71 W75FT OF LOT 17 18 19 20 BLK 1 LOT SIZE 75.000 X 107 OR 19855 -2250 08 2001 1 COC 25705 -2712 12 2006 1 Year 2009 2008 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $0/$296,252 $0/$385,224 County: $0/$296,252 $0/$385,224 City: $0/$296,252 $0/$385,224 School Board: $0/$296,252 $0/$385,224 Folio No.: 11- 3101 - 023 -0080 Property: 189 NW 102 ST Mailing Address: RAFAEL MEDINA 189 NW 102 ST MIAMI SHORES FL 33150- Year: 2009 2008 Land Value: $132,908 $220,841 Building Value: $163,344 $164,383 Market Value: $296,252 $385,224 Assessed Value: $296,252 $385,224 Sale Date: 1/2010 Sale Amount: $130,000 Sale O/R: 27168 -2306 Sales Qualification Description: Deeds to or from financial institutions View Additional Sales ',Property Information Report • Alt My Home MIAMIDADE Property Information Report FClose windowl Summary Details: Property Information: Assessment Information: Taxable Value Information: Sale Information: fClick here to Printl This report was created on 5/11/2010 7:54:54 AM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. Page 1 of 1 http:// gisims2. miamidade .gov /myhome /proptext_print.asp ?folio= 1131010230080 &cmd = 5/11/2010 PROPOSAL a 1i O 0 U 2 3 AB Year Aaasrazm :arramatnlea to Equipment Installation O Induce Air Quality O Other All Year Coding will tarnish annals, labor and equipment necessary to tadfIate the .service ehedced atroee hi mince with the conditions and apectlitatiuns listed In this proposal. Does nal Include electrical upgrade artless stated PURL • RIV ER6 VII tu i k iaPc NAME ADDRESS CiTY/STATE/ZIP E-MAILIat e HOME PHONE CELL PHONE ofrolw- 1 Y, A RETURN & SUPPLY DISTRIBUTION ht ❑ New Up pp Grill, Sizes In n • Seal Up L n Ducts # x Qty \ • Modifications ❑ Supply num Air P CO} s) NEW EQ'JIPMENT WIRING um Cleaning & Sa O Mo /N ew Re turn ❑ M rev Return D ❑ New m AirGriil, Siz Split System ❑ Package Unit ❑ Heat Pump D Straight Cool ❑ Horizontal Application ❑ Other rig e Vente of D s ❑ High l9ual ty Air C r L�cstIon Electric Heat ❑ Heat Recovery Unit O Of Systems O Attic ❑ Vertical Application ntr PROPOSAL 6781 W. Sunrise Boulevard, Plantation, Florida 33313 Phone: (954) 566 -4644 • Fax: (954) 667 -1290 www.allyearcoolingandheating.com Est. 1973 with over 150,000 installations CONDENSATION & COPPER PIPING Condensate Drain Hook -Up emery ❑ Secondary O New Condensate Pump 0 Auxiliary Drain Pan ❑ Refrigerant Copper Liquid Una, Size: OTHER ■ Liability and Workmen's Comp for Our Work Performed with Existing Codes 0 Mourning Hardware of Stand for Air Handler ❑ - urricane Code Strapping WARRANTICS 1 Year Warranty by All Year Cooling on work.perforned, and manufacturer's warranty on equipment unless otherwise stated below Labor provided by seller in this period is Monday through. Sunday. INVESTMENT BREAKDOWN DETAILS OF WORK PERFORMED l#1 lk ,• Unit ll war Subtotal $_Sc o ff $ Permit $ rt 6. I k-C.( - i ..,: Utility Rebate Man. Rebate $ , Misc Credits $ Total investment $_ $ )(La UNIT $ $ Balance Due $_ 7 00 $ uP i TIN Balanm Due Weinman p �• -� , � ! #77 License # CACO58159, 94CME1506X, U16711, 08E000413, ER0012903 ❑ Replace Circuit Breakers ❑ Use Existing Circuit Breakers Size Brand Size Brand Conductor Electrical Disconnect Box O Air Handier Air Condenser g e Tir�rflostat Wiring T } An/1 Amp Electrical Upgrade Required Electrical Supply Wire ❑ Sealtteto0 • 0 Panel B �❑ liery Float Safety Switch LU'Type of Thermostat - Specify Type 4 Weather Resistant Vibration, Isolation Pads ❑ 1 Year 2 Visit Maintenance Agreement ❑ 6 Year Extended Warranty ❑ 10 Year Extended Warranty ❑ Refrigerant Copper Suction Line with Insulation, Size: 0 Length of Run ❑ New or Existing Copper ❑ Refrigerant Line Cover Smoke Detector- Existing/New 0 Slab B O G Crane Lift O Labor Needed ufacturer's ompressor . Years ondenser Years Evap. Coil ltd Years Provided By Ail Year Cooling 0 7S Existing Electrical to Code Years Years I 1 NT tOfvc )J Dale SEE REVERSE FOR TERMS AND CONDmotds