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MC-10-529
ofr Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 !0- 402 Inspection Number: INSP - 139327 Scheduled Inspection Date: May 23, 2011 Inspector: Perez, JanPierre Owner: SMART, DARIK & MARLENIS Job Address: 540 GRAND CONCOURSE Miami Shores, FL 33138- Project: <NONE> Contractor: AG MECHANICAL INC Permit Number: MC -3 -10 -529 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New A/C System Phone Number (305)751 -8127 Parcel Number 1132060171411 Phone: (305)446 -1931 Building Department Comments NEW A/C INSTALLATION INCLUDING DUCTWORK AND VENTILATION z3 l �7 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 20, 2011 For Inspections please call: (305)762 -4949 Page 1 of 18 :curDate > <ourTime >Work Comp Associates Inc.Brian A Padgett PRODUCER Work Comp Associates, Inc. p P.O. Box 33297 Palm Beach Gardens, FL 33420 -3297 USA 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. COMPANIES AFFORDING COVERAGE COMPANY A Florida Citrus, Business & Ind. INSURED A.G. Mechanical, Inc. 1132 N.W. 16 Terrace Cape Coral, FL 33993 -6613 COMPANY B COMPANY C COMPANY D THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT MAY HAVE BEEN REDUCED BY PAID CLAIMS. ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) UMITS GENERAL UABIUTY COMMERCIAL GENERAL LIABILITY GENERAL. AGGREGATE $ PRODUCTS - COMP /OP AGC $ 1 CLAIMS MADE [] OCCUR PERSONAL &ADV INJURY $ _ OWNERS & CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Any one five) $ MED EXP (Any one person) $ AUTOMOBILE LIABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT $ BODILY INJURY (Per Person) $ BODILY INJURY (Per Acddent) $ PROPERTY DAMAGE $ GARAGE UABIUTY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ EXCESS LIABIUTY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ $ A WORKERS COMPENSATION EMPLOYERS' UABIUTY THE PROPRIETOR/ PARTNERS /EXE EXECUTIVE OFFICERS ARE: AND -- XX 10633444 INCL EXCL) 4/1/2010 4/1/2011 XX IWO S IA RS I I EL EACH ACCIDENT T 100 000 EL DISEASE - POLICY LIMIT 500 000 EL DISEASE -EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS ✓LOCATIONSNEHICLEWJSPECIAL ITEMS A 30-day notice of cancellation applies for all reasons other than non - payment of premium. Miami Shores Village Building Dept. 10050 N E 2nd Avenue Miami Shores Village, FL 33138 -2382 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE (BAP) ..duce a CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 02/24/11 ( THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE ROLJCIIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions Of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the cerNncete holder in Lieu of such endorsement s . PRODUCER NAME: Aurelio Garcia CONTACT Montovi Insurance PHONE L MAR• ADDRESS: PRODUCER _CUSTOMER ID #: 9266 S.W. 40th Street Miami, FL 33165 Phone (305)485 -0315 INSURED A.G. Mechanical 2831 SW 38 Court MIAMI, FL 33134- (305) 446 -1931 Fax (305)207 -8655 (NC. Nol: INSURERS) AFFORDING COVERAGE INSURER A: ACCIDENT INSURANCE COMPANY INSURER El : INSURER C : NATO # INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY �E�pp JNSR_WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY I�77 COMMERCIAL GENERAL LIABILITY CLAIMS-MADE ❑ OCCUR ® DEDUCTIBLE $1,000 0 GEN'L AGGREGATE UMIT APPUES PER ❑ POLICY ❑ Tiler CI Loc AUTOMOBILE LIABILITY ANY AUTO AU. OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AGL85793 ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAR 0 j CLAIMS -MADE ❑ DEDUCTIBLE O RETENTION $ 10/16/2010 10/16/2011 EACH OCCURRENCE DAMAGE PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL $ ADV INJURY GENERAL AGGREGATE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY! N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below N/A $ 1,000,000 $ 100,000 $ 5,000 $ 1,000,00 $ 1,000,000 1,000,000 PRODUCTS - COMP/OP AGG : $ COMBINED SINGLE UMIT i $ (Ea accident) i BODILY INJURY (Per person) $ BODILY INJURY (Per accident $ PROPERTY DAMAGE (Per accident) EACH OCCURRENCE AGGREGATE ❑ ELIE7tH- E.L. E.L. EACH ACCIDENT $ E L DISEASE • EA EMPLOYEE $ E L DISEASE - POLICY UMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space is required) A/C SERVICE AND REPAIR CERTIFICATE HOLDER CITY OF MIAMI SHORES BUILDING DEPT 10050 NE 2ND AVENUE MIAMI SHORES, FL 33138 ACORD 25 (2009/09) OF TAT :abed 2L689SLSOE :o1 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE SS98L02S02 L01988 -2 QW CORD CORPORAT The ACORD name and logo are register All rights reserved. arks of ACORD a0UP.ansuj TnoluoL4 :woJd T2 :2T TT02- 172 -83.d 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 Permit Type: MECHANICAL - OWNER: Name (Fee Sim?/I4A' Titleholder)• A /4/4.9'70' fA/ k4,A(1one#: s Address: 54, L /P /7G City 4M'/ .dO'setcg State: 9' '/ ® ,e/4 Zip: /...941 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: P i 67/61/44/(3 C SOZZ JAN z 1 71)11 Permit No. MC/1 Master Permit No. id 6/17ot 3 OS —26 -8 o 077 7- 3 City: Miami Shores County: Miami Dade Folio/Parcel #: %/� 2 26 —a/7-4w/ Is the Building Historically Designated: Yes NO Flood Zone: mzektii,i///4/6 Phone#: 3 $ Zip: /Jf CONTRACTOR: Company Name: Address: OV I $ U) City: ".41,044., Qualifier Name: VOA, 5 State Certification or Registration #: Contact Phone #:5,0v m (/ /j 731 State: /CG- mci q Zip: 3<S f • Phone #:`,rs --72 c./43's Certificate of Competency #: Email Address: � RcM,4 f/nCeitl5e e - DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 5; 17/ ©Q Square/Linear Footage of Work: Type of Work: DAddress O Iteration Description of Work: ONe DRepair/Replace ODemolition i * * * * * * * * * ** IR F ********* * **** * *** * * ** * **** ** * ** *** *** ** Permit Fee $ CCF CO/CC Submittal Fee $ P $ $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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, BOB FRS, HEATERS, TANKS and AIR CONDmONERS, 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. Owner or Agent The foregoing instrument was acknowledged before me this /.- . The foregoing instrument was acknowledged before me this day of . , 20 f' , by , day of , 20 l l , by h •: s personally know • or who has produced Signature ntractor o is personally knolwn to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires: 0011111111ittq/ \oS SIUV° NOTARY PUBIiC Commission # . :'. ct' ' .• DD165901. •\0 ********* *********** * ***** .**** ** * *4M w ** - +s+x***** * * ** ***** ** ******+xx * ** Sign: Print: My Commissi APPROVED BY Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Wary PabNa -tal i My Conk Wires Oct 13, 2013 taavalssiso • 00 932853 OWN .3L . Zoning Clerk 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): 5 7 City: iami Shores Village County: Miami Da 'e Zip Code: / 3 g 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 ❑ ARHI Sheet Attached: YESA1 NO ❑ Contract Attached: YES 2.c„o.cv°ARA.Q- UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER 6/7 AHU or PKG. UNIT MODEL #/ /elf 1 COND. UNIT MODEL Ilse of ,V fi KW HEAT /` NOM TONS ' 5 AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4 "CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): , 4. () A M 3. Voltage of Circuit (208/240/480): A00.0/1://it) 1 4. Size Disconnecting Means: Contractor's Company Name: • Mi State Certificate or Registr 'on N. C /t D 57y`'1.5 ifi &AA W7D Signature (Qualifier's s Certificate of Competency N. Date: 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. MC -3 -10 -529 Issue Date: 2/7/2011 Expires:2 /7/201 1 Folio Number:1132060171411 Owner's Name: DARIK & MARLENIS SMART Job Address: 540 GRAND CONCOURSE Miami Shores, FL 33138- Owner's Phone: Total Square Feet: Total Job Valuation: (305)751 -8127 1389 $ 3,000.00 Contractor(s) AG MECHANICAL INC Phone (305)446 -1931 Primary Contractor Yes Planning and Zoning Criteria and Comments Tons: Classification: Residential Additional Info: MECHANICAL Approved: No AI(.1/ 41c illusT 3 L ocy4T6i� I- FC)vv( SbE PICT 7/4/14L OR, Wi-1--(5e)5 )c(s 17/NC Al( (-5 :a o.4 0 z 1 0 '130.00' ( R & M ) Z a • LOCATION SKETCH SCALE: NTS 1.60' C oo O 0 130.07'(R &M) NOT VALID UNLESS EMBOSSED WITH SURVEYOR'S SEAL ABBREVIATIONS: SWK =SIDEWALK CBS= CONCRETE BLOCK STRUCTURE, CLF=CHAIN LINK FENCE, PL =PROPERTY LINE, DUE = DRAINAGE UTILITY EASEM ENT, IP =IRON PPE, F= FOUND, A!C=AIR CONOmONER PAD, P /C= PROPERTY CORNER. D/H= DRILLED HOLE, WF= WOODEN FENCE, RES= RESIDENCE, CL- CLEAR, RB=REB. R, UE =UTILITY EASEMENT, CONC = CONCRETE SLAB. RMkRIGHT OF WAY, DE= DRAINAGE EASEMENT, C/L= CENTER LINE, O= DIAMTER, TYP=TYPIC AL, M= MEASURED. R= RECORDED, ENCR = ENCROACHMENT; COMP = COMPUTER, ASH = ASPHALT, NID =NAIL & DISC, S =SET, FEE = FINISH FLOOR ELEVATION, 0/S= OFFSET, PIP =POWER POLE, OHP= OVERHEAD POWERLINE, W4V1=WIA TER METER WOOD FENCE= 1 1 1 1 1 I I I 1 ELEVATION BASED ON LOC. # 3250 SW MASONRY WALL= I CONCRETE = I , :• :.l CBM #N- 603 —R' . ELV. 8.11 TYPE OF SURVEY: BOUNDAF:YSURVEY MAINTENANCE & DRAINAGE EASEMENT= M & D.E. SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATUFE AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED•HERE IS NOT COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5) UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODET C VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITION/1 RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 3) CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDE D INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB PAGE SURVEY FOR: DARER SMART, 540 GRAND CONCOURSE, MIAMI SHORES, FLORIDA 33138. LEGAL DESCRIPTION: Lot 4 and the Easterly 15 feet of Lot 5 and the following described portion of Lot 3, all. in Slack 97, AMENDED PLAT OF MIAMI SHORES SECTION EOM, according to the plat thereof, as recorded in Plat Book 15, at Page 14, of the Pablic Records of MIAMI -DADE COUNTY, Florida: Begin at the most Westerly corner of Lot 3, Block 97, of the Amended Plat of Miami Shores Section Four, Plat Book 15, Page 14, of the ;Public Records of Miami -Dade County, Florida, thence Northeasterly :along the Northwesterly boundary of said Lot 3 and along a circular curve having a radius of 1849.79 feet through a central angle of 0 °11'34° for an arc distance of 6.22 feet to. a point, thence Southeasterly for a distance of 130.07 feet to a point 'on'the Southeasterly boundary of said Lot 3, said point being located on 10 feet Northeasterly from, as measured along the Southwesterly boundary line of the most Southerly corner of'said Lot 3, thence Southwesterly " along the Southeasterly boundary of said Lot 3-and along a circular curve having a radius of 1919.79 feet through a central angle of 0 °19'39" for an arc distance of 10 feet to the most Southerly corner, of said Let 3, thence Northwesterly along the Southwesterly boundary of said Lot 3, for a distance of 130 feet to the Point of Beginning (the "Property ".). i HEREBY CERTIFY That the survey represented thereon meets the minimum technical requirements adopted by the STATE OF FLORIDA Board of Land Surveyors pursuant to Section 472.027 Florida Statutes. There are no encroachments, overlaps, easements appearing on the plat or visible easements other than as shown hereon. SINCE 1987 BLANCO SURVEYORS INC. Engineers • Land Surveyors • Planners • LB # 0007059 555 NORTH SHORE DRIVE MIAMI BEACH, FL 33141 (305) 865 -1200 Email: blancosurveyorsinc@yahoo.com Fax: (305) 865 -7810 SUFFIX: L DATE 9/11/09 BASE:N /A' COMMUNITY # 120652 ADIS N. NUNEZ REGISTERED LAND SURVEYOR STATE OF FLORIDA #5924 SCALE: 1 ° =20' DWN. BY: JOB Nr' F. Blanco 10 -646 LOCATION SKETCH SCALE: NTS z- 0 O :u o4 /r 0 y 130.00'(R &M) Zr e 70 0 : :• 1.60' C Zr o? o4 r ci "wo2 co 17,10 N 130.07'(R &M) T z o:u o NOT VALID UNLESS EMBOSSED WITH SURVEYOR'S SEAL REVISED: ABBREVIATIONS: SWK =SIDEVALK CBS= CONCRET.E BLOCK STRUCTURE, CLF=CHAIN LINK FENCE, PL =PROPERTY LINE, DUE = DRAINAGE UTILITY EASEM ENT, IP =IRON PPE, F= FOUND, A/C =AIR COND ONER PAD, P/C =PROPERTY CORNER, D/H =DRILLED HOLE, W/F =WOODEN FENCE, RES= RESIDENCE, CL- CLEAR, RB=REBAR, UE= UTILITY EASEMENT, CONC=CONCRETE SLAB, RNWRIGHT OF WAY, DE =DRAINAGE EASEMENT, C/L =CENTER LINE, O= DIAMTER, TYP =TYPIC L, = MEASURED. R= RECORDED, ENCR =ENCROACHMENT, COMP-COMPUTER, ASH = ASPHALT, N/D =NAIL & DISC, S =SET, FEE = FINISH FLOOR ELEVATION, 0 /S= OFFSET, P/P =POWER POLE, 0HP =OVERHEAD POWERLINE, VVM= VVWTER METER MASONRY WALL= I 1 1 1 1- 1 I 1 1 1 ELEVATION BASED ON LOC. # 3250 SW CONCRETE = l.'• :t•• :8••i: ••::• '•1 :• ='•_: •'•::• .•s:•. •i CBM #N- 603 -R • ELV. 8.11 • TYPE OF SURVEY: BOUNDAF.Y SURVEY MAINTENANCE & DRAINAGE EASEMENT= M & D.E. SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATUI E AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED-HERE IS NCT COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5) UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITION/ L RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 3) CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BEMADE TO DE I ERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB PAGE SURVEY FOR: DARIK SMART, 540 GRAND CONCOURSE, MIAMI SHORES, FLORIDA 33138. LEGAL DESCRIPTION: Lot 4 and the Easterly 15 feet of Lot 5 and the following described portion of Lot 3, all in Block 97, AMENDED PLAT OF MIAMI SHORES SECTION SOUR, according to the plat thereof, as recorded in Plat Book 15, at Page 14, of the Public Records of MIAMI -DADE COUNTY, Florida: Begin at the most Westerly corner of Lot 3, Block 97, of the Amended Plat of Miami Shores Section Four, Plat Book 15, Page 14, of the ;Public Records of Miami -Dade County, Florida, thence Northeasterly along the Northwesterly boundary of said Lot 3 and along a circular curve having a radius of 1849.79 feet through a central angle of 0 °11'34" for an arc distance of 6.22 feet to a point, thence Southeasterly for a distance of 130.07 feet to a point •on'the Southeasterly boundary of said Lot 3, said point being located on 10 Beet Northeasterly from, as measured along the Southwesterly boundary line, of the most Southerly corner of: said Lot 3, thence Southwesterly - along the Southeasterly boundary of said Lot 3-and along a circular! curve having a radius of 1719.79 feet through a central angle of 0 °19'89" for an arc distance of 10 feet to the most Southerly corner of said Let 3, thence Northwesterly along the Southwesterly boundary of said Lot 3, for a distance of 130 feet to the Point of Beginning (the'#Property "). i HEREBY CERTIFY That the survey represented thereon meets the minimum technical requirements adopted by the STATE OF FLORIDA Board of Land Surveyors pursuant to Section 472.027 Florida Statutes. There are no encroachments, overlaps, easements appearing on the plat or visible easements other than as shown hereon. SINCE 1987 BLANGO SURVEYORS ING. Engineers • Land Surveyors • Planners • LB # 0007059 555 NORTH SHORE DRIVE MIAMI BEACH, FL 33141 (305) 865 -1200 Email: blancosurveyorsinc @yahoo.com Fax: (305) 865 -7810 ADIS N. NUNEZ REGISTERED LAND SURVEYOR STATE OF FLORIDA #5924 SCALE: 1 " =20' SUFFIX: L DATE 9/11/09 BASE:N /A ` COMMUNITY# 120652 DWN. BY: F. Blanco JOB Nrs 10 -646 !inT. C... 1 IF1L[ ahrrdrrr r tort' ot- This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. Certificate of Product Ratinys AHRI Certified Reference Number: 3806012 Date: 10/5/2010 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 210/240-2006 for Unitary Air- Conditioning and Air$ource Heat Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored, independent, third party testing: Cooling Capacity (Btuh): 40000 • Ratings followed by an asterisk (•) indicate a voluntary rerate of previousy published data, unless accompanied with a WAS, with indicates an involuntary rarate. DISCLAIMER • AHRI does not endorse the product(e) listed on this Certificate and makes no representations, warranties or guarantees as to and asshnnes no responsibility for, the products) listed on this CeWfleate. AHRI expressly disclaims all fablpty for damages deny kind arising out of the use or perfomrance of the product(s), orthe unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory atwww.ahridirectory.org. TERMS AND CONDITIONS ride Certificate and its contents are proprietary products.ofARR4 This Certificate shag 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; dlaseminated; entered into a computer database; or otherwise utilized, In any form or manner or try any means, except fbrthe user's individual, personal and confidential reference. CERTIFICATE VERIFICATION • The Information for the model cited on this certificate can be verified etwww shrtdirectory org, • Air - Conditioning, Heating, click on °Ved y Certificate link and enter the AHRI Certified Reference NUmber and the date on /Mt ms vol which the certtleate was Issued, which is listed above, and the Certificate No., which Is hated billow. and Refrigeration institute • 02010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129307577670172973 • fIG�' LIC. #CA -CO 57945 mechanical, Inc. 2831 SW 38 Ct. RIRCOIIDmonins s MR88tERnon MIAMI, FLORIDA 33134 (305) 446 -1931 Fax (305) 446 -1932 BILL TO HVAC SERVICE ORDER INVOICE N2 0911 A THIS WORK IS TO BE 5 yo ../zb A �! gj�l arzi.Q - /�l-+� ❑ C.O.D.� El CHARGE ❑ NO CHARGE MAKE 1 ♦♦ MAKE �i /1 (r... 14,1-4414-510,w r/ 33/ fie, /� /� -y, 0 ,� I :::&c/ /( wVKF /J-J' DE� /Jy/ •r,/( /q / SERIAL NUMSER NAME / / STREET DATE ENVIRONMENTAL CHECK UST WORK PERFORMED CITY PROMISED WORK PERFORMED QTY TYPE/DISPOSmON CONDENSING UNIT COND'SATE DRAINS ❑ RECOVERED LEVELED CLEANED MAIN GRAIN PHONE CALL BEFORE - ❑ A.M. ❑ P.M. ❑ RECYCLED CLEANED COIL REPAIRED MAIN DRAIN TE N AUTHORIZED BY ❑ RECLAIMED CHECKED CHARGE CLEANED PAN DRAIN ❑ RETURNED REPAIRED LEAK IN COIL REPAIRED PAN DRAIN W O S E P E R F O R M E D ❑ DISPOSAL REPAIRED LEAK COPPER FURN. OR FAN COIL ❑ DISMANTLED ❑ CHANGED OUT/REPLACED TOTAL $ # REF. REPLACED BELT CHECKED MOTOR ADJUSTED BELT QTY. - MATERIALS & SERVICES - UNIT PRICE AMOUNT DESCRIPTION OF WORK PERFORMED CHANGED MOTOR REPLACED PULLEY .. .. 1. . ......... ...�.. ._. �.....:. Qr . _ / ... .... �._ .. .__ ._ > ._ . .... ... REFRIGERANT T R- LBS. ... . / 5 15 ° .i_ ... ... .... ' .. ..... _..... _/ ._.. . /tat/ gt9e _.. .. ... . .. .............. .... /ljj��, 7 e• .. �� ... _ .... .. w,Q Ate/ FILTERS x x ........... ... FILTERS x x ..... .... ... _....... .. __. ......_....._..__...... BELTS 1 I I L............ I I 1... L_. ...... . I 1 1 1 °' -" °'" 1 .I .................... I I. 1 t I 1 I 1 I 1 1 I 1 I 1 1 1 1 1 1 5 b I fw•Y _ / - r/ 4. I • � � �I 1.... / /., REPLACED REP ADJUSTED PULLEY ADJUSTED BELT CLEWER REPLACED CONTACTOR REPLACE D BEARINGS START. RELAY OILED MOTOR R PL. START. .. CITOR OILED BEARINGS CAPACT L RUN CLEANED HEAT EXCH. i . ..__ ....... .... .......... �' ......... ........ ............. //, it ....... ...................... ...... ............... ............................... ...... ............ .........__. CLEANED OR ADJ. CONTACTOR REPLACED HEAT CED REPAIRED WIRING CLEANED OR CLEANED PILOT REPLACED FUSE REPLACED COMPRESSOR REPLACED THERMOCOUPLE REPAIRED VALVE EVAPORATOR COIL REPLACED REPLACED EXP. VALVE BUL NERS ADJUSTED EXP. VALVE DUCT REPLACED CAP. TUBE - REPAIRED CLEARED CAP. TUBE REPAIRED COIL LEAK ADJUSTED THERMOSTAT REPAIRED COPPER CONN. REPLACED � RECOMMENDATIONS CLEANED COIL ADJUSTED TOTAL MATERIALS 1 LEVELED COIL ■ ELECT. HTR. CLG TOWER HRS. LABOR RATE . AMOUNT REPLACED LINK CLEANED .... _. ... .._. .. .... ... ..... ...... ..... ..__._ I . I I ( 1 .._...................... ...... ... ....... ..... ............................... ............. ..........................., REPLACED KLIX. REPAIRED WIRE PUMP(S) REPLACED CONT. GREASED REPAIRED FILTERS 1 ❑ CLEANED ❑ REPLACED MATERIALS a LABOR MAY BE TOTAL LABOR CONTINUED ON OTHER SIDE LIMITED WARRANTY: All materials, parts and equipment are warranted by the manufacturers' or suppliers' written warranty only. All labor performed by the above named company is warranted for 30 days or as otherwise indicated in writing. The above named company makes no other warranties, express or implied, and Its agents or technicians are not authorized to make any such warranties on behalf of above named company. TOTAL SUMMARY TERMS TOTAL MATERIALS ° �% I f// 100 TOTAL LABOR I I I I I have authority to order the work outlined above which has been satlstactorily completed. I agree that Seller retains title to equipment/materials furnished until final payment is made. If payment is not made as agreed. seller can remove said equipment/materials at Seller's expense. Any damage resulting from -- ., -••... hall not be the respo - - -• ller. TRAVEL CHARGE ❑ REGULAR ❑ WARRANTY TAX /�� ❑ SERVICE CONTRACT D° Taw 7J TOTAL 1 t4 / i 0 IV . • ER SI•�Tll �.� ' 01.41to --////to iWi 4-rc Miami Shores Village a S CI4I Mk) Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S1'PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC220 Permit Type: MECHANICAL Permit No. Master Permit No. Owner's Name (Fee Simple Titleholder) Oc-t Phone # �3 6S S Owner's Address C. k-c"" Sk' re-3 State i Zip J 1 -1'6 Tenant/Lee:Name G Phone # Email r iti - c C L- C C --r -- c e-i • Job Address (where the work is being done) SL Grct. C City Miami Shores Village County Miami -Dade Zip 3 i 3 FOLIO / PARCEL # Is Building Historically Designated YES ( NO ) Contractor's Company Name /(/ et9 r Contractor's Address / 4 7 4/to / 42 f4 set?s'Z- CityCof2 rjt/6S — State -7Z'\ ',41,41-4/4/0 State Certificate or Registration No ; C Se$10, s' Certificate of Competency No Phone # Flood Zone f 3©Jr 4-0q— 7 / q Qualifier Name Zip 33e7( Phon #65 it-1C3 — l ( Contact Phone z.40-5 ® °=`7? -'3 'f 9% E -mail 1.5-‘(-- 3 /(4 : ^ a 6 Ss Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 3 ma Type of Work: EAddition ['Alteration Describe Work: ove .5-7 84. Square / Linear Footage Of Work: ❑ Repair/Replace Demolitioty ,C\ 9 ******* * * * * * * * * * * * * * * * * * *** * * * * * * * * * ** *Fees * * * ** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ See Reverse side --> ❑ 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 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 commencemen1must 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 Owner or Agent The fore ; i g i trument was ac . . wledg - . befo me this dayo ` ,20t0,by who is personally known to me or who has produced • lid 40 cta identification and who did take an oath. NO ARY ' UBLIC: . ! i i.�b Sign: .c &'o•.r, ,�;��` Sign: Print: 4/" a` : Print: My Commission Expires: ® lz:.,, ' My Commission ExpifeSi °°�a , .'A v 0.•134°` 6'9'h 4 ' a . i:Y � c b� 1 / ,,,,, ee;,ty 1 Contractor The for o' g instrument was cknowl dge befor aday o , 20 1U, VI! . AMP, 1 � 11 who is pe, sonally known to me or who has produce tification and who did take an oath. N I.TARY PUBLIC: APPROVED BY Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06710/2009) Miami Shores Village Building Department 10050 N.E.2nd.Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name Date 170-10Z. MECHANICAL CRITIQUE SHEET I ma 62\eY