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MC-10-1424 (2)
4 L4,rive-, r- Miami Shores Village Building Department /0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 n /� Permit No. ' A V . 1 Q-1 `' n 4' Master Permit No. BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) NEIL CADDELL Owner's Address 899 NE 99 STREET r0°"V121 UG091010 Phone # 305 - 532 -9767 City MIAMI SHORES State FLORIDA zip 33138 Tenant/Lessee Name E -MAIL: Phone # Job Address (where the work is being done) 899 NE 99 STREET City Miami Shores Village County FOLIO / PARCEL # 11- 3206 -034 -0170 Is Building Historically Designated YES NO Miami -Dade Zip 33138 Contractor's Company Name ALL YEAR COOLING & HEATING Contractor's Address 6781 W. SUNRISE BLVD City PLANTATION Qualifier Name GRETA B. SMITH State FL Phone # 954- 566 -4644 zip 33313 Phone # 954566 -4644 State Certificate or Registration No. CAC058160 E -MAIL: Architect/Engineer's Name (if applic Value of Work For this Permit 3750.00 Certificate of Competency No. CMC511 Phone # Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration DNew ❑ Repair/Replace ❑ Demolition Describe Work: REPLACE CENTRAL NC W/4 TON RHEEM, 16 SEER, 10KW UNIT CU #14AJM49 AHU #RHLLHM4821 Submittal Fee $ Notary $ Scanning $ Bond $ if Permit Fee $ 13 V CCF $ CO /CC Training/Education Fee $ Technology Fee $ Radon $ DPBR $ Zoning $ Code Enforcement $ Double Fee $ Total Fee Now Due $ .(05 Structural Review. $ See Reverse side - ip 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 prop - is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the firs ection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection '' t be approved, ";' a reinspection fee will be charged. Signature er or Agent The foregoing instrum t was acknowledged before me this t(® day of 20 1p , by f Opt 1 Cadd 44( who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ako My Commission Expires: NOTARY PUBLIC-STATE' OFFLORIDA Chei Y1 Morgan ' = Commission #DD897935 , ires: JUNE 2K 2013 BONDED THRU ATLANTIC BONDING CO..INC. *********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) Signature Contractor The foregoing instrument was acknowledged before me this Uo day of j , 20 !0, by CiroLeL, soza. , , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print NOTARY PUBLIC-STATE OF rLorIIDA My Commi Sion Expires: • LY , Ni2 Commission # DD897935 - Expires: JUNE 2.8, 2013 BONDED TRRU ATLANTIC BONDING CO., INC. * * * * * * * * * * * ** ,t****,t,Ydr,r******* rue *,4,Y,t,r,r,r,Y,r****,t**** *re* Plans Examiner Engineer Zoning Property Information Report "s My Home Property Information Report Summary Details: Page 1 of 1 Folio No.: 11- 3206 -034 -0170 Property: 899 NE 99 ST Mailing Address: KATHLEEN M SALES &H NEIL J CADDELL 899 NE 99 ST MIAMI SHORES FL 33138- Property Information: Primary Zone: 1100 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL- SINGLE FAMILY Beds/Baths: 4/2 Floors: 1 Living Units: 1 Adj Sq Footage: 2,094 Lot Size: 8,850 SQ FT Year Built: 1955 Legal Description: 5-6 53 42 MIAMI SHORES SEC 8 PB 14 -33 LOT 23 & E1/2 OF LOT 22 BLK 169 LOT SIZE 75.000 X 118 OR 18096- 1809 0498 1 COC 22244- 4025 04 20041 Assessment Information: Year: 2009 2008 Land Value: $139,738 $285,657 Building Value: $183,976 $210,375 Market Value: $323,714 $496,032 Assessed Value: $323,714 $496,032 Taxable Value Information: Year: 2009 2008 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $0/$323,714 $0/$496,032 County: $0/$323,714 $0/$496,032 City: $0/$323,714 $0/$496,032 School Board: $0/$323,714 $0/$496,032 Sale Information: Sale Date: 5/2009 Sale Amount: $390,000 Sale O /R: 26868 -2611 Sales Qualification Description: Sales qualified as a result of examination of the deed View Additional Sales [Close windowl [Click here to Print( This report was created on 7/14/2010 8:42:15 AM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. http: / /gisims2. miamidade .gov /myhome /proptext_print .asp ?folio = 1132060340170 &cmd = 7/14/2010 CONTRACT YYe hereby subndt specifications Equipment Installation Indoor Aft Quality D Other All Yom.odIrrg Edwin furnish all parts, labor and equl necessary to facilitate the serviced above in accordance with the =Mans and spat:Rations listed in this contract. Does not include electrical upgrade Wass slated. wq'd -5'07) CONTRACT 6781 W. Sunrise Boulevard, Plantation, Florida 33313 Phone: (954) 566-4644 • Fax: (954) 667 -1290 www aycair.com Est. 1973 with over 150,000 installations PURCHASER NAME A/0... (:toct ( ADDRESS e 9 G1 CITY/STATE/ZIP Al Q M+ • f.. o ✓ e. S '3 !! 3. / 3 E -MAIL G �./le At v.COwi litdu. spare f/ HOME PHONE 30'5- 632. 1 7 6 7 CELL PHONE INDOOR AIR IMPROVEMENT 0 Modify/New Supply Duct(s) 0 Modify/New Return Duct(s) 0 New Retum Air Grill, Size: / x Qty. 911r Filter Location Air Cleaner Location RETURN & SUPPLY DISTRIBUTION f�'Spiit System tJ Package Unit ❑ Heat Pump j3Straight Coo(' Horizontal Application D Other EMOKIEHMWD 0 New Supply Grill, Size: — x Qty. D Seal Up Leaks In Ducts 0 Modifications of 0 Supply Plenum d Return Air Plenum MAKE MODEL SESE u � 1 J,4 M �iy Ae�) �� LirDk ��LLI M�$21� MIXON 0 Air Handler Breaker Wire Size Use Existing 0 Replace New Breaker Brand 0 Condenser Breaker Wire Size g 0 Use Existing XReplace ,2i New Breaker 6'O Brand C Electrical Disconnect Box Provided By II Year Cooling D CONDENSATION .Condensate train Hook -Up D Primary 0 Secondary D New Condensate Pump 0 Auxiliary Drain Pan 0 Refrigerant Copper Liquid Une, Size: 3 in -line Float Switch Auxiliary Float Safety Switch Type of Thermostat - Specify Type ('Weather Resistant Vibration, Isolation Pads 1 Year 1 Visit Maintenance Agreement 0 5 Year Extended Warranty D 10 Year Extended Warranty /1j & COPPER PIPING 0 Refrigerant Copper Suction Line wlth Insulation, Size: 0 Length of Run D New ol(P,Copper 0 Refrigerant Une Cover Liability and Workmen's Comp for Our Work Performed with Existing Codes 0 Mounting Hardware of Stand for Air Handler )Hurricane Code WI 1 Year Wa manufactu below Labor p 0 Sttrap e DExt e Lift ceded on work performed, and unless otherwise stated HIFJAMIXIME through Sunday. BREAKDOWN Subtotal $`-' t . a " $ $ Permit 0 0 $ , flit' Rebate $ Man. Rebate $ Misc Credits $ k_-�-� ' $ Total Investment $_1 Y j S ' ne'-$ Balance Due $ 0'7, TERMS: Any financingg prior to starting any work. Balance Due — to Tec Upon Completion of AI Year Rea 0.41/0 Signature License # CAC058159, 94CME1506X, U16711, 08E000413, ER0012903 cM ufacturer's Warranties ompressor /1/ Years prLabor l Years Condenser / 0 Years )6 Parts I (3 Years Evap. Coil 1 /? Years DETAILS OF WORK PERFORMED /[1 d ,crrt%�j } A. e."10 o g- d u.A., It 11 r /ia cL.s% L:.,Je.se� Ap/Pe, law, PO.' tt i'6 O... ! �,$C•cr.,..l..1 /Job! CustomerSignatute Date SEE REVERSE FOR TERMS AND CONDITIONS A.11.51'1 CERTIFIED,. 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: 3799429 Date: 9/28/2010 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM49 Indoor Unit Model Number: RHLL- HM4821 +RCSL -H *4821 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 - Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored, independent, third party testing: Cooling Capacity (Btuh): 46000 EER Rating .,(Cooling) ..w__ 13,00. 6.00 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 an (lability 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 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 atwww.ahridirectory.org, Rini Air - Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on and Refrigeration institute which the certificate was Issued, which is listed above, and the Certificate No., which is listed below. 02010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129301707131050818 Miami Shores Village Building Department 10050 N. E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7962204 Fax: (305) 7568972 AIR CONDITIONING REPLACEMENT DATA ii PERMIT NUMBER: MC 1 b - 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): 17 City: Miami Shores Village County: Miami Dade Zip Code: -3 �1, 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'ARHI Sheet Attached: YES El NO ❑ Contract Attached: YES V UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER (1-,�f E AHU or PKG. UNIT MODEL # y4 Pr Vt4 i41-0 l COND.UNITMODEL# FL (7k LL L4 144,k Z-1 • KW HEAT yp tti„ t,,, NOM TONS 4 i 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 If% YES NO REPLACING THERMOSTAT 319 NO YES NO NEW 4 "CONCRETE SLAB YES . • YES NO NEW ROOF STAND YES alb YES NO NEW RETURN PLENUM BOX YES SO 1. Minimum Circuit Ampacity (Wire Size): 12 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: AAA. Yea-v. Phone: State Certificate or Registration N. Certificate oof C&inpetency N. Signature Date: v C‘ 4 10 (Qualifier's signature only) CT G) 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2010 THROUGH SEPTEMBER 30, 2011 DBA: Business Name: ALL YEAR COOLING /HEATING INC Owner Name: GRETA B SMITH Business Location: 6781 W SUNRISE BLVD PLANTATION Business Phone: 954-566-4644 Rooms Seats Employees 10 Receipt #:183-65 0 Business Type:HEATING /AIRCONDITION CO (AIR CONDITIONING & HEA Business Opened:10/03/1996 State /County /Cert/Reg: CACO 5 8160 Exemption Code:NONEXEMPT Machines Professionals For Vending Business Only Number of Machines: 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 This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and /or 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. WHEN VALIDATED Mailing Address: GRETA B SMITH 6781 W SUNRISE BLVD PLANTATION, FL 33313 2010 - 2011 Receipt #03A- 09- 00024619 Paid 09/29/2010 27.00 ilbilMMEMPRAMMitalliMIMISSEMS 1 Protect Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 899 NE 99 Street Miami Shores, FL 33138- 1132060340170 Block: Lot: JOSHUA WALLACK 899 NE 99 Street MIAMI SHORES FL 33138- Contractor(s) Phone CeII Phone ALL YEAR COOLING AND HEATING (954)566 -4644 Valuation: Total Sq Feet: $ 3,750.00 0 1 Tons: 4 Additional Info: A/C SYSTEM REPLACEMENT Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: MECHANICAL Fees Due CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $2.40 $0.80 $131.25 $3.00 $3.20 $140.65 Pay Date Pay Type Amt Paid Amt Due Invoice # MC -8 -10 -38641 08/09/2010 Check #: 1203 $ 50.00 $ 90.65 09/30/2010 Check #: 10217 $ 90.65 $ 0.00 Available Inspections: Inspection Type: Final 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. September 30, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date September 30, 2010 1