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MC-11-1601Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 163946 Permit Number: MC -8 -11 -1601 Scheduled Inspection Date: November 09, 2011 Inspector: Perez, JanPierre Owner: PEARSON, LEONARD Job Address: 246 NE 103 Street Miami Shores, FL 33138 -2431 Project: <NONE> Contractor: WEATHERSHIELD AC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060134880 Phone: (954)985 -9900 Building Department Comments ATF 5 ON SPLIT SYSTEM q-e? tr Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 08, 2011 For Inspections please call: (305)762 -4949 Page 5 of 32 1) UllUlllg 11GCJt1,111.11G111. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. PERMIT APPLICATION Master Permit No FBC20 ukt Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): LQ[ dC\ �n, C r Phone#: 9 " 939g Address: LICD 1 ) E 3 ` — o City: M t O,ry t IYXOrtn State: —F1 Zip: 33 `3 C6 Tenant/Lessee Name: Phone#: Email: RECEIVED AUG 90211 BY. DALL JOB ADDRESS: ail CO NE 103 ST . City: Miami Shores County: Folio/Parcel #: t't • 3oi()Cn - M ct$0 Is the Building Historically Designated: Yes Miami Dade Zip: 3313$ NO Flood Zone: CONTRACTOR: Company Name: rrbJQO 1�C,�(S1 -ii etc' f� k' Address: 3 i a 1 '3 W Off \ q- Ctrs -ana7 12iY rc - _'Par state: City: ,— A Qualifier Name: J r x )fl \\ Ware 7 ` State Certification or Registration #: C 1� 1 wbRS" Contact Phone#: -370 - q "1� TS Email Address: Zip: -33n CRC() Phone#: C/514 -CraS q C() Certificate of Competency #: cJ ( xo G. Di i c Q (p,0 I ,Coo--, DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 4500 • s Square/Linear Footage of Work: l�Rep Type of Work: ❑Address ❑Alteration ❑New /� ,4, - Description of Work: / 4,er -� �'1Q - X J3- 4l ❑Demolition * * * * ** ** * **** ** ear* * *** **0ffie0e**eeae000* j ces**" e` �x�ea��ae�sa� ee+�e * *�s.�s *�ara�* *seas *ear *see *,�s *+xc�$e�x Permit Fee $ I� t 5 l/ CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Technology Fee $ Scanning Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ te),(40 • ll City State Tap Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 tify that all the foregoing information is accurate and that all work will be done in compliance with ail 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection not be ». , ed „ a reinspection fee will be charged or Agent The foregoing instrument was acknowledged bet ors rim this LO day of 20 i by 1.90910 •l who is personally known to me.,ar who has produced As identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: r . MY COMMISSION t EEOiiiti EXPIRES: Dumber 19.4014 Bonded ThuButget NOV SIAN Contractor The foregoing instrument was acknowledged before trace this L day of :... .ter 20_1_1, by c) %')r-, A1Vcza who ' •. y kno to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: sign: [ '�_.'_4__ L i1t/ AA. Print l' bie, ir1e . 1 -'Y)C)►irl My Commission Expires: 441:1..4.4,0 1NAALUMl * Ih' COMPASSION #EEOM* EXPIRES: Duran 13, 4014 Structural Review (Revised Ol/10/07)(Revised OW10/2009)(Revised 3/15/09) Zoning Clerk Aug 3011 01:33p Weather shield WEATHERSHIELD AIR CONDITIONING, INC. 3121 SW 21 St., #673 • Pembroke Park, FL 33009 Broward: (954) 985 -9900 • Dade: (305) 989 -5447 Fax: (954) 985 -9901 • Email: jaacserviice @aol.com wvww.weathersh ieldairconditioning.com www.i- Iovemyac.com l Proposal Submitted To 9549859901 p.1 PROPOSAL No. 193'7 Description of Work Price �'`xC J;C�r JG �l ',----$ (_.:c c_r^r 4c \..i; i 1 dill 4 A 1111 TEIMIIIK As. Permit Fees Included: ❑ Yes ❑ No TOTAL 1-11 00, CSI I have authority to order the work outlined above vdnich has been satisfactorily completed. t agree that Seller retains title to equipment/materials h:m'shed until final payment Is made. If payment is not made as agreed, Seller can remove said equipment/materials at Seder's expense andlor impose a 2% liquidation fee on the entire amount contained in Ire Seller /Buyer transaction. My damage resulting from saki removal shalt not be tie responsibility of Seller. LIMITED 30 dayWARRANTY? or aasot iissel materials, In n9 equipment are warranted by the manufacturers' or suppliers' limited warranty only. All labor perforfned by the above named company is warranted Print Name: Signature: Note: This Proposal may be withdrawn by us if not accepted with in days. Date: ■11lIdI I I1 VIM/Mb V IIIdtw. C 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: MCI 1-1 o 1 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 Ding done): y Co i E C Clty:QIami Shores Village County: Miami Dade Zip Code: 3313$ 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 ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NOV ARHI Sheet Attached: YES to NO 0 Contract Attached: YES ❑ UNIT BEING REPLACED DATA ,. NEW UNIT MANUFACTURER "ems/\ AHU or PKG. UNIT MODEL #� Vl. -1�! w■ 6 Q 2 COND. UNIT MODEL # 1 rt-.v�,'S t •A-O, +. KW HEAT to t4 w NOM TONS S Ta AHU CU PKG 1) M.C.A AHU SO CU 4S PKG AHU CU PKG 2) M.O.P AHU 60 CU 60 PKG AHU CU PKG 3) VOLTS AHU 2..3oCU 2PKG PKG UNIT / / PKG UNIT / / EER/SEER YES NO REPLACING DUCTS YES YES NO ' :REPLACING THERMOSTAT at) YES NO NEW 4°CONCRETE SLAB YES OD YES NO NEW ROOF STAND OW NO YES NO NEW RETURN PLENUM BOX YES en 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse reek SIze): G 0 `C 3. Voltage of Circuit (208 i• - r '- :0): 4. Size Disconnecting Means: Contractor's Company Name: WeGA -VYf Q dl P1 /c_.. Phone: 91-1" q -qg On State Certificate or Regi + i • n N. CJVI R L L1 &C J Certificate of Competency N. �-I 5 A • Signature Qualifier's s Date: c (QaI gcIj This combination qualifies for a Federal Energy Efficiency Tax Credit when placed In service between Feb 17, 2009 and Dec 31, 2011. Certificate of Product Ratings AHRI Certified Reference Number: 3800861 Date: 8/22/2011 Product: Split System: Air - Cooled Condensing Unit, Coll with Blower Outdoor Unit Model Number: 14AJM56 Indoor Unit Model Number: RHLL- HM6024+RCSL- H•6024 Manufacturer: WEATHERKING AIR CONDITIONING DIVISION Trade/Brand name: WEATHERKiNG 14AJM SERIES Manufacturer responsible for the rating of this system combination is WEATHERKiNG AIR CONDITIONING DIVISION Rated as follows in accordance with AHRI Standard 210/240-2006 for Unitary Air- Conditioning and Air- Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored, independent, third party testing: Cooling Capacity (Btuh): 54000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 • Ratings followed by an astertsk (h indicate a votuntary mate of previously published data, unless accompanied with a VMS, which IntOcates an Involuntary rite. DISCLAIMER AHRI does not endorse the products) listed on the Certificate and makes no representations, Warranties or guarantees as to, and assignee no responifilifilly for, the product(s) listed at this Ce,vucats.AFR oxidesely disclaims all Iiabtlty for damages deny kkhd adektg out of the use or performanceotthe puoduc*(e), or the tatauthorized ash of data listed an ids Certificate. Certified ratkhgs are vaiid only for models and configurations lisbid In the directory at www.ahrigirectory.org. TERMS AND CONDITIONS This Certfficate and Its contents are proprletam products of AHRI. This Certificate stall only be used for Individual, personal and confidential reteratoe purposes. The contends of this Certificate may not, in %Moieor in part, be reproduced; copied; disseminated; entred Indo a computer database; or otherwise utilized, In any form ormanner or by any /nears, except for the user's Individual, personal and confidential reference. CERTIFICATE VERIFICATION The Information for the model Iced on this certficate can be verified at www.ahridirectory.org, Alr- Conditioning, Heating, click on "Verify Certificate" Rik and enter Cettlfled Reference Number and the date on inn BIN IL and Refrigeration Institute which the certificate was , which Is listed above, and the Certifisate No., which is fisted below. ©2011 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129585160 Miami -Dade My Home My Home Show Me: Property Information R j Search By: Select Item . , Text only IJ PIJ roperty Appraiser Tax Estimator I Property Appraiser Tax Comparison LI Portability S.O.H. Calculator Summary Details: ACTIVE TOOL: SELECT 8/22/11 3:39 PM MIAMI•DADE 4C CI CI dial! 1111111 Rollo No.: 11-3206-013-4 80 Property: 246 NE 103 ST Mailing Address: FABIO PRUDENTE CORREA 246 NE 103 ST MIAMI FL 33138-2431 Property Information: Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 4/4 Floors: 1 Living Units: 1 Adi Sq Footage: 2,162 Lot Size: 9,898.80 SQ FT Year Built: 1938 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 & W37.6FT LOT 6 BLK 36 LOT SIZE 87.600 X 113 OR 20771 -1473 10 2002 4 COC 26295 -1609 21898- 0677 1103 4 Assessment Information: Year: 2011 2010 Land Value: $122,333 $153,325 Building Value: $118,660 $119,011 Market Value: $240,993 $272,336 Assessed Value: $212,940 $209,794 Exemption Information: Year: 2011 2010 Homestead: $25,000 $25,000 2nd Homestead: YES YES Taxable Value Information: < tYear: I 2011 I 2010 Applied Applied axing Aerial Photography - 2009 0 111 ft My Home 1 Property Information 1 Property Taxes 1 My Neighborhood Property Appraiser Home 1 Using 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. At rights reserved. Legend N Boundary Selected Property el Street f/ Highway Miami -Dade County Water W +E http: / /gisims2. miamidade .gov /myhome /propmap.asp Page 1 of 2 Aug 30 11 12:57p Weather shield 9549859901 p.2 STATE OF FLORIDA DEPARTMIT OF BUSINESS MD PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICEhTSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE PL 32399-0783 ALVAREZ , JHON SIDEATHERSHIELD AIR CONDITIONING INC 406 N .W. 68TH AVE APT 520 FORT LAUDERDALE FL 33317 • 1.- -• • -- - • _ - • Congratulations! With this license you become one atm nearly one million Rorldians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers. from boxers to barbeque restaurants, and they keep Florida's economy slrong. Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myfroridalicense.corn. There you can find more information about our divisions and the regulations that impact you, subscribe in department newsletters and leant more about the Department's initiatives. Our mission at the Department is: License EllicieMiy, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratoiations on your new license! DETACH HERE • Slam • • AG# • CZ,3c*,81 OF PEkARTREENt.."3:ita.*:'tarsiings8:,' •:•'7pR01115pIONAL,..REGOL:A :CACI fa4,69.5- 07/16110 1Q0031950 CERTIFIED AIR . COND 'IMF= wEATIERRSRIELD 41 conni7;tarzir0.:. • • • " ' xs-,azarpripo rotor thit..pravizieas et C42,4139. as Ezpirgitios■-rdait4. Am?' 33,, 2012 • :L3410746 oo03:, • . •Js.. • • • :•-• • „ `.• • DATE BATCH NUME3ER • . . • • • . • • ' •.• *.** • ' • WEATHER.4HIELD7PAIli---itOMDITIDN±4.Tat,z,tzd . . 406 - N.W. 68T3 AVE APT -• • • ...77•;',771 FORT LAUDERDALE FL 33317' • . . • CHARLIE CRIbT -. • • • ;r:'•••!-- . €••••• 1-.40 vse-, • • •-••• 7%1•1..,, • z4r1,;;‘,... • , • .1.• • . _ .• • . ,.-erai • Aug 3011 12:57p Weather shield 9549859901 p.3 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954- 831 -4000 VALID OCTOBER 1, 2010 THROUGH SEPTEMBER 30, 2011 DBA: Receipt # :183 -1557 Business Name: WEATHERSHIEI,D AIR CONDITIONING INC Business Type.HEATIN0 /AIRCONDITION CO • '(AIRCONDITION CONTRACTOR Business Openeda1 /22/2005 State /CountylCert/Reg:CAC 1814695 Exemption Code:N°NExEmPT Owner Name: JOHN E ALVAREZ Business Location: 3130 W PEMBROKE RD BAY # 312 PEMBROKE PARK Business Phone: 954 -587 -4580 Rooms Seats Employees 1 Machines . Professionals For Vending Business Only Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid . 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: JOHN E ALVAREZ 406 NW 68 AVE STE #520 PLANTATION, FL 33317 This tax is levied for the privilege of doing business within Broward County and is non- reguiatoty in nature. You must meet all County andlor Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business Is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. 2010 - 2011 Receipt #05A- 09- 00027305 Paid 08/09/2010 27.00 Aug 3011 12:57p Weathershield 08/30/2B11 12:85 9545812999 '_y C" CERTIFICATE OF LIABILITY INSURANCE 9549859901 ACE UND GRP PLTN PRODUCER Ace Underwriting Group 5305 W. Broward Blvd. Plantation, FL 33317 994 -581- -020.2 INSURED 131 PAGE 01/01 DATE(MIMIDDA'Yrn 0/30 2 11 THIS CERTIFTCAIE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON 1HE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED EY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIL# Weathershield Air Conditioninglnc 406 NW 68th Ave 8520 Plantation, P1 33317 I COVERAGE; INSURER & American VVhlele SuBBRImioe C0WOny INSURER a: Acc idea t XfauranCe wsumR 0: Bridge£iel4 Casualty Insurance INSURER 0: INSURER E: T THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. hOTWTTHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCU14ENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORJ3ED WIRE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CL10018.6711M A141S. ffell ATLI/NIRO A TYPE op N URANGE POLICY NUMBER 02/25/11 I JATEt MN 02/25/12 LIMITS EACH OC�CURRENCE? $ 1,00 0, 00 0 GENERAL • LIABILITY COMMERCIAL GENERAL LIABILITY , t3L- 0000006546 -00 x P S p E oawwrance) 1 10 0.00 0 OLAIM9MAOE OCCUR ME.DFJCP Any one person) 1 S,0004 $ 1,000,000 PERSONALS ADV INJURY 4 GENERAL AGGREGATE s 2_, OQQ,000 $ 2 , 00 0 , 0 0.0,. GEN% AGGREGATE LIMIT APPLIES PER r-i F E1 LOC PRODUCTS - COMP/OP ACM n,.... ..- 8 AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AVMs SCHEDULED AUTOS HIRED NON -OWNED AUTOS MCAP000043-10 11/30/10 11/30/11 COMBINED SINGLE LIMIT (Ea eeddeny i 30,0170" _ :9ODE.YWARY AP awsoJ') Ti .--.. ,.,, _ L. aoen.yNVJimy (Per accident) • .... �. PROPERTY DAMAGE (Per ar.mdeAB GARAGE LV%GILTTY ANYAlJTO AUTO ONLY •EA=CENT 1 EAADD AUTOONL, �O ADD $ i EONS 1 UMBRELLA UABILIT Y OCCUR E CLAIMSMADE DEDUCTI$I E RETF.PENSA 1 EACH OCCURRENCE 1 AGGREGATE 1 $ 1 s C WORKERS AMD EMPLOYERS Am PROPWBTOFIPJEMERVIRCVTEVE' IMyM�O,vmy litetA COMPENSATION Manny VIN 93513 00. 11/04110 11/04/11 if yyam�,, yy pp�T��� !TORYLIMITS I F- ::CL E.L EACH ACCIDENT 0 500,00Q , $ 500,0.09. . $ 50 0 , I AO "I aLD1SEASE .EA1MPLDVEE 0NAr�e+ PROV tiNs beim E.L. D186A8E - POLICY LIMIT OTHER . . DESCRIPTION OF OPERATIONS i LOCATIONS i VEHICLEG 1 EXCLUSIONS ADDED ere ENDossob NrI SPECIAL PROVISIONS AC servicing CERTIFICATE HOLDER City OT Miami Shores 246 NE 103rd Street Miami Shores, FL 33138 ACORDZS(2009ro1) CANCELLATION &WUL,o Atm OP Tie news ossen NrD Paten BB oANC:str..0 BEFORE THIS EFINRATRIN SATE TIEREDP. THE DRUM 1NOUR9 WILL ENOEAVaR TO MEI. 10 OATS WRITTU d • N Ern= TO TILE EERTWIeATE Nowell 000D 1'0 TT! LOT, OUT VALE= TO 00 00 DIVA PJPOZE No Nu 0lEI161Y op LIABILITY OF AWV NLNO UPON TNe maim ITS ESIAT$ DE rerpRIDDRATIVDt AIRFiO RE NEB ATNE a. 01988 2009 ACORD CORPORATION. All Tights rosereed, j The ACORD name and loge are registered marks of ACORD