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MC-13-2042 Inspection Worksheet 1 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-201601 Permit Number: MC-9-13-2042 Scheduled Inspection Date: October 21, 2013 Permit Type: Mechanical - Residential Inspector: Perez,JanPllerre Inspection Type: Final Owner: , B&L REALTY HOLDINGS LLC Work Classification: A/C Replacement Job Address: 125 NW 95 Street Miami Shores, FL Phone Number Parcel Number 1131010240320 Project: <NONE> Contractor: BLUE BREEZE AIR CONDITIONING Phone: 305-865-1220 Building Department Comments EXACT REPLACEMENT OF 4 TONS A/C SYSTEM Infractio Passed Comments INSPECTOR COMMENTS False Z3 Inspector Comments Passed Iff Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 21,2013 For Inspections please call: (305)762-4949 Page 29 of 29 P s Miami Shores Villages�P io1� Buildin g Department artment BY: _ --- 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 4 INSPECTION'S PHONE NUMBER:(305)762.4949 BUILDING Permit No. �V PERMIT APPLICATION Master Permit No FBC 20 Permit Type:MECHANICAL t� OWNER:Name(Fee Simple Titleholder): a '. -E I Phone#: Address: 3ck 0 CJ Ml�/ - City: Yr► G.-Ynk L State - Zip: 9 3 i�."� Tenant7Lessee Name. hone#: Email: JOB ADDRESS: 12.S 'ISM/ City: Miami Shores /y County. Miami Dade Zip;3 3 f�9, Folio/Parcel#; \,-2>,0 1 -0 2AL 03 LO Is the Building Historically Designated:Yes NO_� Flood Zone: CONTRACTOR:Company Name: n Phone#: Address: `91-5 W l p City: K State• Lip.. t 50 Qualifier Name: `TQ-(;Z COI Pl. Phone#: State Certification or Registration#: CAC 142S I 'I2 9 e Certificate of competency#: Contact Phone#:- 5 Z23 9. Email Address: DESIGNER:Architect/Engineer: )?hone#: Value of Work for this Permit:$ o le)o SquareALAnear Footage of Work: Type of.Worlu 13Addr,-A PAlteration ONew �Repair/Replace ClDemolition Description of Work: T Submittal Fee$ 50- Permit Fee$ CCF$ ? . CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ 2,61 Bond$ Notary$ Training/Education Fee$ _r6 Technology Fee$ . Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ "V 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 instajlation 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 AFFIIII : I certify that all the oregding information is acc rq;and that.all work will be Ooge iq compliance with all applicable laws regulating construction and zoning. "WA TO OWNER: YOUR FAILURE.. TO "CORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. - IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND.,�R. PR Ai, ATTQRNEY BEFORE RECORD- G YOUR NOTICE OF COMMENC1i'ihi 'T." `"�' 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 oftommencement 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 f such sted notice, the inspection will not be approved and a reinspection fee will be charged Signature Signature er or gent Con ac r The foregoing instrument was acknowledged before me this The foregoing instrument was ac owledged before me this- day of - ,20 by _ @ i` day of MTMLff4 20 ,by-K ftAn�YWZ rW Who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: A' 4 ,� N„tary Fatie S4,Jr,> F Florida NOTARY PUBLIC: E an D gh My nissiof .,262 Sign: Sign. Public Stale�Florida Print: a My Commission Expires: mmission Exp>res: APPROVED BY v Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised06/1W(109)(Revised 3/15/09) Miami Shores village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel.(305) 795 2204 AIR CONDITIONING REPLACEMENT DATA Fax:(305) 756.8972 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): \� 1 City: Miami Shores Village County: Miami Dade ZIP Code: a 1 50 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 ❑ N0 jZ ARHI Sheet Attached:YES ff NO❑ Contract Attached:YES UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER O AHU or PKG.UNIT MODEL# "D LA i LA A OWS13 C- COND.UNIT MODEL# ®'Apo tT- KW HEAT NOM TONS AHU CU PKG 1 M.C.A AHU 31-CU U PKG AHU CU PKG 2 M.O.P AHU Co CU 6o PKG AHU CU PKG 3 VOLTS AHU CU PKG PKG UNIT 1 / PKG UNIT to EER/SEER YES REPLACING DUCTS YES Mj YES REPLACING THERMOSTAT YE NO YES NEW 4-CONCRETE SLAB rYE 0 YES NEW ROOF STAND YES N - NEW RETURN.PLENUM BOX 0 1. Minimum Circuit Ampacity(Wire Size): ! _ 2. Maximum Overcurrent Protection(Fuse/Breaker Size): 3. Voltage of Circuit(208/2401480): 1'io b 4. Size Disconnecting Means: Contractor's Company Name: ` c—Phone: _ - k l-Q-o State Certificate or Registration N. 1 Ok 2-I t' Certificate of Competency N. Signature _ Date: 0q- o3— q013 ua M9e re only) --:7 8C,2 'CED '10�- TAX .. ( i.- Prepared by and return to: HAFT RVIVIK.... U'ERK 01r- '0TJUIU* Eric P.Stein,P.A. !jjArT--DADE COUNTIYY FLO1:;101. 1820 Northeast 163rd Street Suite 100 North Miami Beach,FL 33162 786-248-1000 File Number: 13-RE-1114 Folio Number: 11-3101-02,4-0320 [Space Above This Line Far Recording Data] Warranty Deed This Warranty Deed made this day of August 2013 between Gerald Lapinsky, a married man, 11212 SW 10 Terrrace,Micanopy,FL 32667, Stephanie Lapinsky, a single woman, 14650 SW 16 Street,Davie, FL 33325, and Charna.Lapinsky, a single woman, 14650 SW 16 Street, Davie; FL 33325, whose post office addresses are respectively, and B&L Realty Holdings,*LLC, a Florida limited liability company, whose post office address is 3900 NW 2"d Avenue,Miami,FL 33121,grantee. (Whenever used herein the terms"grantor"and"grantee"include all the parties to this instrument and the heirs,legal representatives,and assigns of individuals,and the successors and assigns of corporations,trusts and trustees) Witnesseth,that said grantor,for and in consideration of the sum of TEN AND NO/100 DOLLARS{$10.00)and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,situate,lying and being in Miami-Dade County, Florida to-wit: Lot 15 and East '/ of Lot 14, Block 5,Bonmar Park, according to the Plat thereof, as recorded in Plat Book 17,Page 11,Public Records of Miami-Dade County,Florida. This is not now nor has it ever been: the Homestead of the grantors; As said term is defined in the Constitution of the.State of Florida, nor is.it contiguous to homestead property grantors currently reside at: Gerald Lapinsky: 11212 SW 10 Terrace, Micanopy,FL 32667 Stephanie Lapinsky: 14650 SW 16 Street, Davie,FL 33325 Charna Lapinsky: 14650 SW 16 Street,Davie,FL 33325 Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold,the same in fee simple forever, And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever;and that said land is free of all encumbrances,except taxes accruing subsequent to December 31,2013. This section has been intentionally left blank,signature/notary page to follow. Warranty Deed Page I of 3 DdLf*- File Number: 13-RE-1114 In Witness Whereof,grantor has heraunto set grantor's hand and seal the day and year first above written. Signs sgzled,01 delivered in our presence: Witness Name: erald Lid Witness Name: State of Florida County of Miami-Dade The foregoing instrument was acknowledged before me this 26th day of August,2013 by Gerald Lapinsky, who (�is each personally known or has each produced 5t- s ft"'-I LAMA. as identification. [Notary Seal] Notary Ppibli'c Printed Flame: My Commission Expires: BONKMADOW DIY COA4M11SSKJNEE 173451 Ells;,tn BDIXWW T u 18.20 Warranty Deed-Page 2 of File Number: 13-RE-1114 7. Witness N4me: VII vv Stephanie apinsky Witness Name: State of Florida County of Miami-Dade The foregoing instrument was acknowledged before me this day of August,2013 by Stephanie Lapinsky ' t' - who Lj is each personally known or has each produced as identification.� V BO�WWODW COMMISSION#EE 1773461 MY [Notary Seal] EXpIRr:S-Vxaroh 19,2016 Notary Wjb 1 4' P: I BmW Thru NoUry Public Under i Printed lame: commission Expires: -my-C N Witness Name: R"d t� V\_J Cthrna-Utipinsky 1 4 tness Name: broah State of Florida County of Miami-Dade The foregoing instrument was acknowledged before me t is day of August,20IF3 by Charna Lapinsky, who LL is each personally known or has each produced c as identification, [Notary Seal) Notary lic Printed Name: BOWE MY OOMWWN I 17m1 O"RES:March 9,20ja My Commission Expires: U ndarq Warranty Deed-Page 3 of 3 13oa1leTime File Number: 13-RE-11 14 tF tiiityd' This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. Certificate of Product Ratings o AHRI Certified Reference Number: 5756177 Date: 9/5/2013 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX160481F* Indoor Unit Model Number: ASPT48D14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN,JANITROL,AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING ND Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard 2101240-2008 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): 45000 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 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 at www.ahridirectory.org, "ROD, 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. ©2013 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 130229044911979305 One Hour Air Conditioning& Heating#156 655 NW 118`x'Street Miami, FL 33168 ON Ph. 305-865-1220, Fax. 305-865-7779 Licensed and Insured CAC 1813298 www.onehouraimliami.coni Always On rime...Or You Don't Pay A Dime!® c r,. Proposal submitted to: B&L Realty Holding, LLC BBB { .. I1 9` Job type at: 125 NW 95 ST. _ -! Miami Shores, FL 33138 Job type: Replace A/C system Date: September 4, 2013 WE PROPOSE TO FURNISH AND INSTALL THE FOLLOWING: • Furnish and install new Air Conditioning Unit • Adjust Air supply plenum to new AC layout • New Digital Thermostat ® Star up and system operating check up. • All labor, materials & supervision Comfort Svstem Package for Basic Variable Capacity Control Single Speed Comp Variable Speed Air Handler No SEER (Super Hi-Efficiency) 16 Warranty'Rears Lkbor 2 Warranty Coipresser 10 Warranty Years Parts 10 Safety One Package: Replace 4 ton AC Unit, Re-do main return plenum on duct verses flex to reduce space in garage, Hang all duct work to avoid condensation, install (2) safety flow switches to help prevent water leak, relocate existing return grill to the hallway. Existing slab, auxiliary drain pan, Yes low voltage, sound package, hurricane tie downs, mechanical attachments. New Environmental refrigerant R-410. New Digital Thermostat Start-up and check operation. Dehumidification Better Inside Unit Air Handler Insulated Florida Power Light rebate -$780 Thermostat Digital Factory Rebate S150 Final Investment with Taxes after all rebates 54,980.- Comfort Club Membership/Schedule Maintenance 12mo. 020 10 One Hour Air Conditioning Exclusions ✓ Any/All dry wall, painting, plastering. ✓ Any/All electrical work ✓ Any/All demolition non related to AC system ✓ City Permit fees (by owner All equipment and material will be new, and installed according to accepted engineering practice. Any alteration or deviation from the above proposal and bid documents will be executed only upon change orders, and will become an extra charge. The warranties provided herein are in lieu of all other warranties or obligations expressed or implied, and it neither assumes nor authorizes any other person to assume for it any liability concerning the sale of this equipment. All warranty service calls will be made during normal working hours Monday through Friday. Emergency service calls made outside of normal working hours will be charged at the standard over-time rate. It is agreed that the seller shall not be responsible for any loss, damage, or delay caused by malfunctioning equipment, acts of government, fire, explosion, theft, rain, floods, water damage, strikes, war, civil commotion, malicious mischief, acts of God, any cause beyond its control, or in any event for consequential damages. Ownership of the above equipment and materials shall remain in the seller's name and title is retained until payment is made in full. In the event purchaser does not pay within the time and manner as set forth below, the seller, at its option, may remove said equipment. The purchaser will sustain costs incurred from non-payment of billing including court costs and attorney's fees. Purchaser agrees to a late payment fee of$25.00 per occurrence and 1.5% per month to be added to unpaid balances 30 days past due. One Hour Air Conditioning may aw this proposal if not accepted within 30 days. Marie Duron September 4, 2013 Accepted for pure aser(Principle/Owner Signature) Print Name/Title Date Matias Torroi'a Se tember 4, 2013 Accepted for One Hour Ail onditioning Print Name/Title Date 2