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MC-11-145iami Shores Villag, Building Department >0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit No ....o...... \t1 E Master Permit No. Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) ,17, -Cadx l4-7 rca 2w .n 4-� Phone # 7S— 7 =S'4? Owner's Address 74- City/AA", u o s Tenant/Lessee Name State Zip 33 air Phone # E -MAIL: Job Address (where the work is being done) 13 J d 41.1 , lam/ e City Miami Shores Village County Miami -Dade Zip 3 31 3s- FOLIO / PARCEL # / / 61),3 / Q Is Building Historically Designated YES NO Contractor's Company Name ALL YEAR COOLING & HEATING Contractor's Address 6781 W. SUNRISE BLVD City PLANTATION Qualifier Name GRETA B. SMITH State Certificate or Registration No. CAC058160 E-MAIL: permits @aycair.com Architect/Engineer's Name (if applicable) NIA Phone # 954- 566 -4644 State FL Zip 33313 Phone # 954- 566 -4644 Certificate of Competency No. CMC511 Value of Work For this Permit $ Type of Work: ❑Addition ['Alteration Describe Work: REPLACE CENTRAL NC '1a Phone # Square / Linear Footage Of Work: e Repair/Replace ❑ Demolition **** ******* *** ************** *********** Fees** * **** *, ********* *: r**a :****x:**** ********** ** Submittal Fee $ 5C ` C . Permit Fee $ Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ CCF $ Technology Fee $ Zoning $ CO /CC See Reverse side a ' Bonding Company's Name (if applicable) /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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is i ed. In the absence o :. ch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this/ 1l day of Jt °� , 20 1 , by Kit al AC D CTh i►v!i•e who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commiss " 20 Notary Public - State of Florida ._'y omm.a' Commission # DD 924860 i d ' Th ous Natio a Notar. Assn. ** APPLICATION APPROVED BY: (Revised 02/08/06) Signatur Contra The foregoing instrument was acknowledged before me this . day of Jj.tr L ,20LU , by .6 re 44.__ B. slivtick, who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 4Lt My Co ** ** *=K>K>x* ** * ** * * * * * * ** ( ( �^�yyy FARIAS •, A.dllotary Public - State of Florida 1ilc 1 1l/dP. •` 4 i ` (Illy Comm. gi r ki$; i**a iltihNtfIsion # DD 924860 Bonded Through National Notary Assn. Plans Exa Engineer Zoning SI ner • • 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. Job Address (where the work is being done): ,J 31 C7 A9.6--- /to/ 5—e - City: Miami Shores Village County: Miami Dade Zip Code: 33 i 3 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 ❑ NO 12I ARHI Sheet Attached: YES B NO ❑ Contract Attached: YES L'!.J UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER X ' -- d' L 9. L AHU or PKG. UNIT MODEL # ' A./Air �- ,e 4 COND. UNIT, MODEL # I 4-.T cl KW HEAT . NOM TONS 3, S 1 M.C.A AHU 5-CU .'KG AHUy CU 'o PKG 2 M.O.P AHU vs-CU o PKG AHU, ?$' CU,3 PKG 3 VOLTS AHIL oCU,730 PKG PKG UNIT / / IMMIE.MIMile PKG UNIT / 1 EER/SEER YES REPLACING DUCTS YES ,i.4. NO REPLACING THERMOSTAT 4,i_41„ NO YES ® NEW 4 °CONCRETE SLAB YES ∎ C+)' YES 4 0; NEW ROOF STAND YES YES ,;*.ro NEW RETURN PLENUM BOX YES he . Minimum Circuit Ampacity (Wire Size): Maximum Overcurrent Protection (Fuse/Breaker Size): 94 • Voltage of Circuit (208/240/480): (9 ? 0 . Size Disconnecting Means: %LS- ontractor's Company Name: iJ � >- --- ow /sue Phone: /-S� �°� tate Certificate or - ; i tration N. �� :, Certificate ✓of Competency N. :-./1/e-,5-7 / signature kc -'V Ot (Qualifier's Big Date: q11.11 This combination qualifies for a Federal Energy° Efficiency Tax Credit when placed in service' between Feb 17, 2009 and Dec 31, 2011. ficate AHRI Certified Reference Number: 3806012 Date: 6/14/2011 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM42 Indoor Unit Model Number: RHLL- HM3821 +RCSL -H *3821 Manufacturer: RHEEM MANUFACTURING COMPANY Trade /Brand name: RHEEM 14AJM SERIES Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING COMPANY Rated as follows in accordance with AHRI Standard 210/240 -2008 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): 40000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 *Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. 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 products) 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 wvrw.ahridirectory.or9. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRL 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, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahriairecto,y.org, click on "Verity Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is fisted above, and the Certificate No., which Is listed below. ©2011 Air - Conditioning, Heating, and Refrigeration Institute Air- Condifianing, Hearing, and Refrigeration institute CERTIFICATE NO.: 129525575651418640 • Miami Shores Village Building Department 10050 W. 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. Job Address (where the work is being done): / ,ii )LJ /c2/ Bale -- .74 City: Miami Shores Village County: Miami Dade Zip Code: 33 l 3 er 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 ❑ NO [Er ARM Sheet Attached: YES 27N0 ❑ Contract Attached: YES [K UNIT BEING REPLACED DATA NEW UNIT 7 " Xee MANUFACTURER' - - , t_ a2 AHU or PKG. UNIT MODEL # -' o sir / 4_, ; COND. UNIT MODEL # A 7. IIIIIIIIIIIIIIIBIWIIIIIIIIIIIIIIIII AHU 35-CU 3s-PKG KW HEAT NOM TONS 3. . 1 M.C.A AHU 5—CU •'KG AHU 0 CU o PKG 2 M.O.P AHU of CU . PKG AHU,?70CUa 4, PKG 3 VOLTS AHU,). 0CU , , PKG PKG UNIT / / EERISEER /a. ee'r YES 'Jim REPLACING DUCTS YES X60. NO REPLACING THERMOSTAT NO YES EINIMICIMINNINIMM INEM NEW 4mCONCRETE SLAB YES NEW ROOF STAND la i;1'� NEW RETURN PLENUM BOX YES ag, . Minimum Circuit Ampacity (Wire Size): Maximum Overcurrent Protection (Fuse/Breaker Size): . Voltage of Circuit (208/240/480): . Size Disconnecting Means: :ontractor's Company Name: Phone: -S "'Vi °`e° tate Certificate or ' istration N. � �. F. , + Certificate of Competency N. /;At C,..51 / IMF ■ignature Date: (.,� /J '(I C fic This combination qualifies for a Federal Energy, Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. of Produc t AHRI Certified Reference Number: 3806012 Date: 6/14/2011 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM42 Indoor Unit Model Number: RHLL- HM3821 +RCSL -H *3821 Manufacturer: RHEEM MANUFACTURING COMPANY Trade /Brand name: RHEEM 14AJM SERIES Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING COMPANY Rated as follows in accordance with AHRI Standard 210/240 -2008 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): 40000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 *Ratings followed by an asterisk ( *) Indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. 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 wa/ .anricnrevwcsy.or ,. 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, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at b .ahridirectory.org, click on `Verify Certificate" link 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 below. Irm s Si ',tor r cD rvg, crt,f -aff9 °ZdtlLi,, °iaieb ?' 02011 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO 129525575651418640 Property Information Report My Home Page 1 of 1 Property Information Report Summary Details: Folio No.: 11 -3205- 023 -0010 Property: 1310 NE 101 ST Mailing Address: RICARDO J ROMAN &W ISABELLE A 1310 NE 101 ST MIAMI SHORES FL 33138 -2611 Pro rty Information: Primary Zone: 1600 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/2 Floors: 2 Living Units: 1 Adj Sq Footage: 2,904 Lot Size: 14,305.06 SQ FT Year Built: 1953 Legal Description: M SHORES BAY PK ESTS PB 55-83 LOT 1 BLK 1 LOT SIZE 92.890 X 154 OR 15117 - 2849 0691 1 OR 15117 -2849 0691 00 Assessment Information: Year: 2010 2009 Land Value: $863,299 $1,144,465 Building Value: $402,934 $425,666 Market Value: $1,266,233 $1,570,131 Assessed Value: $566,224 $551,338 Exemption Information: Year 2010 2009 Homestead: $25,000 $25,000 2nd Homestead: YES YES Taxable Value Information: Year: 2010 2009 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $50,000/$516,224 $50,000/$501,338 County: 650,000/$516,224 $50,000/$501,338 City: $50,000/$516,224 $50,000/$501,338 School Board: $25,000/$541,224 $25,000/$526,338 Sale Information: Sale Date: 6/1991 Sale Amount: $300,000 Sale O/R: 15117 -2849 Sales Qualification Description: Sales which are qualified View Additional Sales !Close windowl 'Click here to Printl This report was created on 6/14/2011 4:38:31 PM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. http: / /gisims2. miamidade .gov /myhome /proptext _print.asp ?folio= 1132050230010 &cmd = 6/14/2011