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MC-10-2247Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 100 NE 105 Street Miami Shores, FL 33138 -2033 1121360130690 Block: Lot: JAY BOOKBINDER Owner Information Address Phone Cell JAY BOOKBINDER 100 NE 105 Street MIAMI SHORES FL 33138 -2033 Contractor(s) Phone Cell Phone ALL YEAR COOLING AND HEATING (954)566 -4644 Valuation: $ 5,300.00 Total Sq Feet: 0 Tons: 5 Additional Info: AH AND COND Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: CHANGE OUT Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $3.60 $2.79 $2.79 $1.20 $185.50 $3.00 $4.80 $203.68 Pay Date Pay Type Amt Paid Amt Due Invoice # MC -12 -10 -39727 12/27/2010 Check #: 2062 $ 50.00 $ 153.68 01/04/2011 Check #: 2126 $ 153.68 $ 0.00 Available Inspections: Inspection Type: Final 1 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. January 04, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date January 04, 2011 1 Miami Shores Village Building Department /0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. .vAO 72) / PERMIT APPLICATION FBC 2004 Master Permit No. Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) JAY BOOKBINDER Phone # 305 - 7594411 Owner's Address 100 NE 105 STREET City MIAMI SHORES Tenant/Lessee Name E -MAIL: State FL Zip 33138 Phone # Job Address (where the work is being done) 100 NE 105 STREET City Miami Shores Village County Miami -Dade Zip 33138 FOLIO / PARCEL # 11- 2136- 013 -0690 Is Building Historically Designated YES NO Contractor's Company Name ALL YEAR COOLING & HEATING Phone # 954 -566 -4644 Contractor's Address 6781 W. SUNRISE BLVD City PLANTATION She FL Zip 33313 Qualifier Name GRETA B. SMITH State Certificate or Registration No. CAC058160 Certificate of Competency No. CMC511 E -MAIL: CMORGAN@AYCAIR.COM Architect/Engineer's Name (if applicable) N/A Phone # Phone # 954 -566 -4644 Value of Work For this Permit Square / Linear Footage Of Work: Type of Work: ❑Addition ['Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: REPLACE CENTRAL NC W/TRANE 5 TON, 16 SEER, 7.5 KW CU#4TTR5061 AHU#4TEE3F66 ***** ** **** * * ** ****** ** * * ********* ** * *F *** , ****** *a*** * **** ** * * *** * * * * ** * *** * * ** Submittal Fee $ r� Permit Fee $ 7A'19 Notary $ Training/Education Fee $ Technology Fee $ CCF $ CO /CC Scanning $ Bond $ Radon $ DPBR $ Zoning $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side —4 i • 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 Owner or Agent ('— The foregoing instrument was acknowledged before me this .22. day of D2antbAr , 20 )0 , by Jo /' who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: NOTARY PUBLIC -STATE OF FLORIDA ChPry1 Morgan Commission #DD897935 Ex ii e5. JL , E 28, 2013 BONDED THRU ATLANTIC BONDING CO., INC. Signature . thn,t'tM Contractor The foregoing instrument was acknowledged before me this day of ac,- , 20 to , by Grp. +3. &a who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: qm 7yegylOTA,RY PUBLIC -STATE OF FLORIDA Cheryl Morgan G'leru fYl®raat 1 fNti = '." + =Commission #DD897935 Print: My Commission Expires: Expires: JUNE 28, 2013 y P BONDED THRU ATLANTIC BONDING CO., INC. **************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning • • 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): 100 J E 105 5-ire a* City: Miami Shores Village County: Miami Dade Zip Code: 33t 3Fa 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 lEf ARHI Sheet Attached: YES 12/NO 0 Contract Attached: YES Er 1. 2. 3. 4. Size Disconnecting Means: () UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS 7,5 u1 AHU ? CU, PKG AHUCU (qc) PKG A CIPKG PKG UNIT / / YES 1) M.C.A 2) M.O.P 3) VOLTS EEcR/SEER REP DUCTS NO CS'Er N • YES 1► A' YES REPLACING THERMOSTAT NEW 4 "CONCRETE SLAB NEW ROOF STAND 7--old U CU • V PKG AHU ,SCU(Qe, PKG AHki2I3 JCG PKG UNIT / / CO Se'ir✓ YES fiE NO NEW RETURN PLENUM BOX YES Minimum Circuit Ampacity (Wire Size): Maximum Overcurrent Protection (Fuse/Breaker Size): Voltage of Circuit (208/240/480): 3 CD 6.0 rs,- f i nl Phone: % S 5�( - (o G5G Contractor's Company Name: State Certificate or Registration N. Cg /60 Certificate of Competency N. Cn' C S ( / Signature g_ ar\kal..1 (Qualifier's signature only) Date: CERTIFIEDT 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 Ratings AHRI Certified Reference Number: 3930724 Date: 12/17/2010 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR5061E1 Indoor Unit Model Number: 4TEE3F66A1 Manufacturer: TRANE Trade /Brand name: XR15 Manufacturer responsible for the rating of this system combination is TRANE 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): EER, Rating (Cooling): SEER Rating (Cooling): " 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 www.ahrklirectory org. 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. The infonnation for the model cited on this certificate can be verified at wwwahridirechary.org, p CERTIFICATE VERIFICATION click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on and ratio Heating, which the certificate was issued, which Is listed above, and the Certificate No., which Is listed below. and Refrtgefation institute ©2010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129370972094588113 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): 100 n) E 105 S-irwt 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 Er ARHI Sheet Attached: YES C3 NO ❑ Contract Attached: YES Er UNIT BEING REPLACED DATA NEW UNIT � l MANUFACTURER - e4Afe 14-(- 02 C AHU or PKG. UNIT MODEL # `1T�E /=-6, 1z A -,( o COND. UNIT MODEL # ib -1"-K 506, 7. S ,�:W KW HEAT 7, ,f5- K IA) -7� NOM TONS U AHU CU Do PKG 1) M.C.A AHU CU .60 PKG AHU CU 6O PKG 2) M.O.P AHU ;$"CU(p ' PKG AH CI3 @PKG 3) VOLTS AHI3cCU,;,' , G PKG UNIT / / PKG UNIT / / E. SEER , SC e=re-' YES REP ° `G DUCTS YES ie NO REPLACING THERMOSTAT I " NO ' N� NEW 4 "CONCRETE SLAB YES NO YES NEW ROOF STAND YES NO NEW RETURN PLENUM BOX YES ( NO 1. Minimum Circuit Ampacity (Wire Size): Cam'' 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 3. Voltage of Circuit (208/240/480): C.) 4. Size Disconnecting Means: Contractor's Company Name: State Certificate or Registration N. Signature 0 i�J / i nJ is Phone: YC'9:51 -(-0 g /60 Certificate of Competency N. C ('YI 5- (Qualifier's signature only) Date: i A2 .21/v CERTIFIED ahrid1rectary arg 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 Ratings AHRI Certified Reference Number: 3930724 Date: 12/17/2010 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR5061E1 Indoor Unit Model Number: 4TEE3F66A1 Manufacturer: TRANE Trade /Brand name: XR15 Manufacturer responsible for the rating of this system combination is TRANE 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): 57000 ,EERRating.. (Cooling):... SEER Rating (Cooling); * Ratlngs 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 atwww.ahridlrectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL 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; 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.ahrtdirectory.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. ©2010 Air - Conditioning, Heating, and Refrigeration Institute si umA Air- Conditioning, Heating, MI W' and Refrigeration Institute CERTIFICATE NO.: 129370972094588113 Property Information Report ianlidade.clay My Home Property Information Report Summary Details: • M Page 1 of 1 Folio No.: 11- 2136 - 013 -0690 Property: 100 NE 105 ST Mailing Address: JAY D BOOKBINDER 100 NE 105 ST MIAMI SHORES FL 33138 -2033 Property Information: Primary Zone: 0700 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL- SINGLE FAMILY Beds/Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 2,078 Lot Size: 12,937.14 SQ FT Year Built: 1940 Legal Description: MIAMI SHORES SEC 5 PB 10-47 LOT 13 & 14 BLK 121 LOT SIZE 105.180 X 123 OR 16467 -1744 0894 1 OR 16467 -1744 0894 00 Assessment Information: Year 2010 2009 Land Value: $117,522 $199,684 Building Value: $160,198 $172,230 Market Value: $277,720 $371,914 Assessed Value: $122,426 $119,208 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/$72,426 $50,000/$69,208 County: $50,000 /$72,426 $50,000/$69,208 City: $50,000/$72,426 $50,000/$69,208 School Board: $25,000/$97,426 $25,000/$94,208 Sale Information: Sale Date: 8/1994 Sale Amount: $115,000 Sale O/R: 16467 -1744 Sales Qualification Description: Sales which are qualified View Additional Sales (Close windowl !Click here to Printl This report was created on 12/17/2010 2:38:19 PM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. http:// gisims2. miamidade .gov /myhome /proptext_print .asp ?folio= 1121360130690 &cmd = 12/17/2010 Flatida3313 541 66Z429C CONTRACT • • --'040€100.C:157.1....,.41,:it. : �LPtONE .1:NDOOR, AIR IMPROVEMENT E L.)9 Prvi ENT LJ ii OTHE CONDI:N. SATI ON & COPPER PIPING OTHER 1.1ft W S ANTIARRE ... • ... . • ..... . - • - ••••,,kr'10t,-,. '• VESIME NT ..:3REAK:-.)0',NN DETAEL.S Or WORK PERFORMED t 114. C. A*, 011, fr1 f10.-ets.kr OffPngsaffgraffi*SAND.POWIONA 14„ ACORD., CERTIFICATE OF LIABILITY NSU NCE DATE (MWDOMYYY) THIS CERTIFICATE IS ISSUED AS A .MArreR OF INFORMATION. ONLY AN0 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELQW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT! lithe certificate holder 'Is an ADDITIONAL INSURED, the policy fi s) most be Sndoreed. If SUBROGATION IS WAIVED, subject to; the terms and conditions of the policy, certain policies may require en endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorse nen ). PROLNJtCEER Advanced Insure= e Underwriters 3250 North 29th Avenue Hollywood, ywood, FL 3 00.1313 954 963-6666 .T NAMi PHONE 9.54 963 -6666 9549+641438 : t . Nol �.v -rnAIL DDRESS, PRODUCER CUSTOMER IO #: 1NSUR1 4Y {S1AFPORDING1 OV> RAGE NAIC # INSURED All Year Cooling 9 Inc. etaI 6781 W. Sunrise BlVd. Fort Lauderdale, FL 33312' INSURERA:$Cottsdale Insurance Company. °ENEl IVSLIR =RRB :Associated industries OCCUR INSURER C... INSs i ; 12131/20/0 INSURER E'': EACH OCCURRENCE INSURER F COVERAGES CE ATE NUMBER.. REVISION UI THIS IS TO CERTIFY THAT THE FPOLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS EXCLUSIONS AND CONDITIONS OF SUCH POLICE$. LIMITS SHOWN MAY HAVE BEEN REDUCED BY I'AtD CLAIMS, ABOVE FOR THE POLICY WITH RESPECT TO WHICH PERIOD THIS SUBJECT TO ALL THE TERMS, V 4= LTR TYPE OF tNSURA6ICE :ie'r fNS 1M R Y1/D - .. , POLICY NUMBER POUC E. F ' (MM O b!XYYY) POLICYEXP tN1M!DD/Yr'Y) LIMITS A °ENEl AI LIABILITY a MERAGENERAL UABBUTY OCCUR B 522658 12131/20/0 1213112011 EACH OCCURRENCE 1,000,000 DA tv1AG TO RENTED Ps 8 (Ea i lr/en $00,000: 1X CLAIMS -MADE MED EXP (Any tine person) $EXE:Iuded PERSONAL. &AOVINIURY 1,0O0 $G,00 dENERAL RG€7REGATE $2,000,000 G 1'L.AGOIRMATh LIMtTAPPLiES PER .PRODUCTS - COMP /OP AGO $2,000,000 POI ICY PRO- JFOT LOC AUTOMOBILE LEABiUV( ANY AUTO ALL OWNED AUTOS Si IiEDULEI7. AUTOS. O5. HIRED AUTOS NON -OWNED AUTOS SIN 1:;? EINGLE.LIMIT (E9 at Ident) BQDILY INJURY (Per pe;isan) $ _ BODILY INJURY (Peraccident) $ PROPERTY DAMAGE ccident) MS t A LIAB' , OCCUR CLAIMSvMAOE EACH OCCURRENCE EXCESS LIA8 AGGREGATE $ DEDUCTIBLE 1tETENTtOII $ B woR14 RSCC MP 1SATioiv AND EMPLOYERS' LIABILITY ANY PROP.RIETOR/PARTNER/EX UTI Y� OFFICER1MMM13ER tCtALf ? [ . (Mandatory in NH) it yas, desr ender DESO$LPTIONSIP 9PERATIONS tsekrw . N/A AWC1.006313 0101/21111 01/0/12012 X WCSTATU- QTkfi TQRY Lltu. ER . EL. EACH ACCIDENT $J00,000 E L, DISEASE - EA EMALOYZE 55500,000 EiL DISEASE - POLICY LIMIT $500,000 DESCRti++'170N O OPERATIONS / LOCATIONS / VEHICLES (AtRaetr ACORD 191, Additksr,aI Remarks Schedule, l more space is repaired) CE *MICA E. HO R ER LANCE TION Miami Shores Village 10050 Northeast 2nd Avenue Miami Shores, Florida 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCFI I PD BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUT910RIZED REPRE$ENTAT ACORD 25 ; (2DO9/09) #57029191M702 t 1999- 22Ott.9 AC RD COR`LPOF ATION.AU rights reserved. 1 of 1 The ACORD name and logo are registered marks of ACORD CHT