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MC-11-2057Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 166334 Scheduled Inspection Date: January 30, 2012 Inspector: Perez, JanPierre Owner: SHAW, LYNNE Permit Number: MC -11 -11 -2057 Job Address: 1226 NE 97 Street Miami Shores, FL Project: <NONE> Contractor: ALL AIR OF SOUTH DADE INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132050090600 Phone: (305)247 -3443 Building Department Comments REPLACE 5 TON AIR CONDITIONER Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 27, 2012 For Inspections please call: (305)762 -4949 Page 10 of 34 THIS T6 T8 60786 AI* CERTIFICATE LIABILITY 12101/11 A OF PPW M*TION ONLY AND CoNFENS NO RIGHTS UPON THE CE . TE HOUCK TIES NEGATIVELY AMEND, EXTEND , R =, ALTER we °MENAGE AFFORDED BY THE POUCPEE NOT CONSTITUTE A coNTRACT BETWEEN THE EE' IN o <. _ , ® AUTHORIZED rrydJ uI A „ Gordon & I 9413t1270 . MO Beach, ANAL -` Da SEIREEt NUMB : ERA it 1 d tR�+,�i�F' �?,u$�sT 4 PICAtEt< NotY11TH EXCLUSIONS-AND WPC �It m POJCLES. 5 4 IRtER It'i i it 1T MTC *chi RAP?> C BY P I U 101110 , PPRIm Nov PAC:+titt 3R P Et A.T Miami Shores gill 10050 NE 2nd Ave Miami Shores, Fl 3 CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self - performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) ZI ' FRTY.O l�9ER. y+ fe �{ e (`�' ' c)/Mild `d PERMIT # ile\C U 11 — " ADDRESS: A CC-) °� FOLIO NUMBER: FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: CO OF EAST IMPROVEMENTS (12 MONTHS): /// )21(Cepi 4&i � COSTOP PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): VALUE OF PRINCIPAL STRUCTURE (attach appraisal): 99, OWNERS SIGNATURE: /I /V "V DATE: I l° r 5" 111 PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 SUBSTANTIAL IMPROVEMENT I DAMAGE LIST (NOTE: THIS LIST IS INTENDED FOR GUIDANCE ONLY, AND IS NOT ALL INCLUSIVE) ITEMS TO BE INCLUDED ALL STRUCTUAL ELEMENTS, INCLUDING Foundations including; Spread footing, Continuous footing, isolated footing, piles and pile caps Slabs including; Monolithic, floating, elevated Walls including; Exterior walls, Bearing walls, Shear walls Beams, Tie Beams, Columns and Posts Wood decking, Floor and Roof Sheathing Trusses, Joist Windows /Doors ALL BUILDING ELEMENTS, INCLUDING Interior Partitions, Walls, Columns Drywall, Ceilings, Built in Furniture, Cabinets, Vanities All Fixtures Flooring, Tile, Carpet, Stone, Linoleum, ect. All Finishes including Drywall, Paint, Stucco Plaster, Paneling, Tile, Marble, and Moldings Roofing Material ALL HARDWARE ALL UTILITY and SERVICE EQUIPMENT HVAC Electrical System and Equipment Plumbing System and Equipment Security System and Equipment Central Vacuum System Plumbing Fixtures Lighting Fixtures and Ceiling Fans Water Systems including Softeners /Filtration Created on June 2009 ALSO: All Labor and other Costs associated with Demolition, Removing, Replacing, Installing Building or Altering Building Components Construction Management / Supervision Overhead and Profit Equivalent cost for: Donated Materials Volunteer Labor (including owners and friends) Any Improvements Beyond Pre - damaged Condition, including; Utility Upgrades Code Upgrades ITEMS TO BE EXCLUDED Plans and Specifications Survey Costs Elevation Certificate Costs Permit fees Debris Removal Items not considered to be REAL Property Rugs, Furniture, Refrigerator, Appliances not Built -in Outside Improvements, Including; Landscaping Sidewalks Patios Fences Yard lights Sheds Gazebos Irrigation Pool • Miami -Dade My Home My Home tiiialiii ade. qov' Show Me: Property Information Search By: .......... Select Item M Text only Property Appraiser Tax Estimator i Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Folio No.: 1- • -0 -0 .. 1226 NE 97 ST Mailing PETER G SHAW &W LYNNE ddress: L Floors: 1226 NE 97 ST MIAMI Living Units: SHORES FL Adi Sq Footage: 3138-2560 Property Information: Primary Zone: 1400 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/3 Floors: 1 Living Units: 1 Adi Sq Footage: 2,657 Lot Size: 12,262.50 SO FT Year Built 1950 $50,000/ $217,359 EARLETON SHORES City. PB 43-80 LOT 18 & E1 /2 Legal 19 BLK 4 LOT SIZE Description: IRREGULAR OR 14695- 2924 0890 4 OR 14695- 2924 0890 01 Assessment Information: Year: 2011 2010 Land Value: $177,546 $147,954 Building Value: $221,$53 , $221,763 Market Value: $399,199 $369,717 Assessed Value: $267,359 $263,408 Exemption Information: < Taxable Value Information: Year: 2011 2010 • u 7 = - • $25,000 $25,000 Taxing Authority: Exemption/ Taxable Exemption/ Taxable < Taxable Value Information: Year: 2011 2010 Applied Applied Taxing Authority: Exemption/ Taxable Exemption/ Taxable Value: Value: Regional: $50,000/ $217,359 $50,000/ $213,408 County: $50,000/ $217,359 $$0,000/ $213,408 City. $50,000/ $217,359 $50,000! $213,408 School Board: $25,000/ $242,359 $25,000/ $238,408 Sale information: t� r, ham (Inn Page 1 of 2 ACTIVE TOOL: SELECT Aerial Photography - 2009 0 111 ft My Home I Property Information I Property Taxes I My Neighborhood I Property Appraiser Home I Using Our Site I Phone Directory I Prlva y I Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. http: / /gisims2. miamidade .gov /MyHome /propmap.asp Legend Property Boundary Selected Property Street etf Highway Miami -Dade County Water W4OE 11/4/2011 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 a,C El NOV 04'all BY: Permit No. 111CA ( 7o1- Master Permit No. Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): t ✓ n Y e J ►, o t l Phone #: Address: ,2,2 W N E (-)4÷1 City: 'Warn'. shores State: Zip: ,-5� (.3 Tenant/Lessee Name: Phone #: Fmail: JOB ADDRESS: 122-U N E C V1$ City: Miami Shores County: Miami Dade Zip: 3 913 9 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: (K I I� " /'I 1 r 0 S So ITT / 11)Llol e Address: 7 q' n 1 q0 k) f) i1Je H!JQ City: B v' / e � State: Qualifier Name: R►'UC & Jai Renedeliv CMG lQ 15233 Ce Phone #: State Certification or Registration #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: -2u'1 -31/43 zip: 33030 Phone#: 30.5 .2S-11-.34)4-3 rti icate of Competency #: Value of Work for this Permit: $ 5(jQ Square/Linear Footage of Work: Type of Work: DAddress ❑AAlltteration UNew .(,Repair/Replace ODemolition Description of Work: p I ac 5 n �"� r (ondr l one r' * *******$ ***m ***s* **** ** * * ** * * * ** * Submittal Fee $�) . IC) Permit Fee $ Scanning Fee $ Radon Fee $ Fees * * * *** ** *** * * * ** ** ** * ** * ** * * * * * * * * * **** CCF $ CO /CC $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1(p 4. 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 Ab'r'1DAVIT: 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not li approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of O' t , 20 It , by . rtyl L S r W.vJ who is personally known to me or who has produced Driver j t_,SQ__. As identification and who did take an oath. NOTARY PUBLIC: Sign. Print Ii � f CL`. i1i! My Commission Expires: *w*** ** *** * * * * * *0*** APPROVED BY �n MY COMMISSION #EE02367$ EXPIRES: SEP 06, 2014 Bonded through 1st State Insurance a \ \ al Signature Contractor The foregoing instrument was acknowledged before /me�t�his day of , 20 11 , by Il t & UI! l/ Gtatfr, who is personally known)o me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Si Print: My Commission Expire *****s< *+x**x ****=xm**,**x=m (Revised 07 /10 /07)(Revised 06/10t2009)(Revised 3/15/09) 1 Examiner Structural Review JOANA POULOS lint COMMISSION EXPIRES: SEP 0S, 2014 Bonded through 1st State Insutne Zoning Clerk CERTIFI,I www ahridir.ector 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: 3930740 Date: 7/20/2011 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4A7A5061E1 Indoor Unit Model Number: 4TEE3F66A1 Manufacturer: AMERICAN STANDARD, INC. Trade/Brand name: ALLEGIANCE 15 Manufacturer responsible for the rating of this system combination is AMERICAN STANDARD, INC. 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): 57000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 *Ratings followed by an asterisk (7 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 Viability 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 Certificate and its contents are proprietary products ofAHRL 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.ahridirectory.org, click on "Verify Certificate" fink 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. ©2011 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129556494391067741 ow 0'' Air- Condltloning, Heating, and Refrigeration Institute 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 2 ,s� NE "I S+ City: Miami Shores Village County: Miami Dade Zip Code: 33132 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 J ARHI Sheet Attached: YEW NO ❑ Contract Attached: YES UNIT BEING REPLACED DATA NEW UNIT ,--,- UFACTURER le ti �'r ov ao A .' or PKG. UNIT MODEL # e/ 76:e 3 V.bi® nit> COND. UNIT MODEL # VA.45 -014 KW HEAT raked! NOM TONS 1'v AHU AO CU ,,,% PKG 1) M.C.A AHU 5 CU 3 b PKG AHU N,, CU,,7. PKG 2) M.O.P AHU 4pjCU(.41 PKG AHU CU PKG 3) VOLTS AHU W6 CU 20 PKG PKG UNIT / / PKG UNIT / / EER/SEER d4 . / YES '0 DUCTS YES 60) YES ' •' _REPLACING REPLACING THERMOSTAT a NO YES ' NEW 4"CONCRETE SLAB N YES .at NEW ROOF STAND YES NO YES '0 NEW RETURN PLENUM BOX as) NO 1. Minimum Circuit Ampacity (Wire Size): b 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit /240/480): 2 Pt 4. Size Disconnecting Means: Contractor's Company Name: li"l 1 Air of South 6a.d( State Certificate or R ' 'on N. Signature Phone: S 3 x'(1(13 Certificate of Competency N. (Qualifier's signature only) Date: /d 29790 OLD DIXIE HWY Homestead, F133030 Phone: 305-247-3443 ALL AIR Licensed & Insured CAC1815233 Fax: 305 -248 -7422 knistrns Attar s ateaan 1$ PERMIT FEE AND PROCESSING INCLUDED !vlos�•2� OF SOUTH DADE PROPOSAL & ACCEPTANCE IOate: I 9 /6/2011 Shaw rmo ., 11226 NE 97TH Street r:ravme 'Lynne ( 11 cc...s...is, pVliami Shores, Florida 33138 I OutdOorEquipment Seals , Indoor Equipment _�., ;;xisting System . ,,. r . Mold• En Dv of .... Mach kte∎WWI Eat Soo. RP - aeP=eaaaa ret..w SW cqlasr a: Yw.tl.i ear Eo- a Star Ma d AWE; 0..4 oc -. •, swats S AWE.. cocas tso AMP v , rt %:s. wwstee 4aa AMP Notes: Make lif d'iatiCs1'Fliri +;.l a{V tI0114„1 waste 1/1'14 1CdulEiil • .tiOn - Make tt� , ,,, . / SEER 18.00 ON / SEER 5 16.50 ON / SEER S 16.00 ' ∎IS'rt,' Handler ' _''' -1 {._ ' :. {Tr�*"+�+� ., Her XCY1.060 4A705061E1000A S l i l z r. r, • 11, . ,.I c a ■ f,... Handler Ili l l _ Heater HTR 'r*!"}4111111111111 ' Cleaner HER =MEIN Cleaner =11M1111111111 =NON H Site (HaWIO) NM Cleaner NO NO NO 311054S - . ' +� 3946653 3930740 ACME [i,,."'�""" >• (COMFORT t a•t •may 1; :acida UmflbiWdl) Mattlan Site 116M/4D) +irr, .s... jilt Oxman !&ieSet NO Use Set YES Une Set NO R410A ' Kit YES 10A Fly Kit NO R410A Plush Kit YES . . Pump NO .. .. .. i ..r NO NO New Slab NO Slab NO Slab NO 1 er Filters NO 1 Yr,titers NO 1 ye Filters NO YES a . , Whip TES EtectrIc Whip YES float Switch YES YES YES line Cover NO � NO Une Cover NO FT Stand NO H Stand NO Steed NO 7.'7 777.7 ^� NO NO New Disconnect NO New Drabs tine UR te 3011 f7"777"11".. ,Will Upto30R New Drain Line Upto3OR NO Crane NO NO =NM 14GARAGE l.P�+�„�*rwi♦�r., ; � Fb<iRBAtR'^ IbtRRAC>f - n 1 • r . •,1111 TS flirtill its YES airs cane VON II= ma ;.,U,, Wn.ca. 10 . 1111111 10 .3. ...w w,+rmy 10 r� 10 ireIIIIM a an WMIT4, 10 '1 1 Lis..IIIIIIIII =MIN ==I=111 -• wrw.ro. *'" a MM. ,air W.,.e„ ws.a 0 OMNI 0 YRS Pans r.m 0 U. r._..._ _ Equip Investment -- . r . s,i r:» Equip Investment , 9,890.75 Option 02 Equip Investment $ 9,769.27 earl c.. .11: Accessories $ Accessories $ - Accessories $ Extended Wauan $ - Extended Warranty $ - Extended Warranty $ - FPL Rebate $ 1A95.00 FPL Rebate $ 1,005.00 FPL Rebate S Manufacture Rebate $ 1,000.00 Manufacture Rebate $ - Manufacture Rebate $ VI /1tLT .1 1[11111111 All Air Rebates $ - A Air Re • . tes knistrns Attar s ateaan 1$ PERMIT FEE AND PROCESSING INCLUDED !vlos�•2� 29790 OLD DIXIE HWY Homestead, Fl 33030 Phone: 305 -247 -3443 ALL AIR OF SOUTH DADE Licensed & Insured CAC1815233 Fax: 305-248-7422 Job ALa.,2n ens !.+ •c_a�� _rrnT 504_..,...,. • ,, tin as Initial Here Inl1 Here Comments: .nrlad Wei fPi. Rebate All Air Rebates ktmeacrtae M.e esubin $ 1,005.00 R3:s:_#.= .'t��3Z.u-` saucy ^a- --•`:-S.e+Y:RC.- .aae.w.sc iX_. _sfc3ti�a*" -� S- zJ5aaa G(v6�•u FPLRebatc S A ,1 Air Rebates tnrw S Iii fa ameba wwwie Me MsaY.nown $ 1.005.00 $ $ We Propose hereby to furnish material and tabor. complete in auwdaace with the ate setdications. for the sum Of on the terms indicated below Oar AM AQ Oi SHIM DAM; 7:-;;ACCEPTANCE :7*-f I,(we) the u 'greed Pscrctiasehs) acknowledged that I Iwe) have read the conditrOns on the reverse side and agree to be bound by them on this bask. I (we) atxept the foregoing proposal and agree to make payment as follows: W?a/?ta delmlt & E.kl 7'ij upon completion Dated' laisa ( � Ordar v�r- - " - "T � 1.4- 1 7/r MAN (PURO ASEA)