Loading...
MC-13-2133Miami 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 Simple e,4 SEP 2 0 2013 Permit No. / Master Permit No 6 — 2 City: t:11 -am l State: Zip: J3 (o Tenant/Lessee Name:Phone#: Email: JOB ADDRESS: Z' �� ' OA a4rez4 — City: Miami Shores County: Miami Dade Zip: L 0 Folio/Parcelt (I — 2-13(0 — ® n o I ! ® ® 4o Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Address: 15ik City: c .I_J 0 Qualifier Name: SeVOc2.'L, State State Certification or Registration #: 'CAC, & ( q (2,q Certificate of Competency #: Contact Phone#: _ 506, 323 -pe" Email Address: DESIGNER: Architect/Engineer: Value of Work for this Permli` Submittal Fee Z&5, D 6 of Work: I%RPf\�ISMP a. I .306-44-202D zip: 55 l i 9 - Permit Fee $ t Z CCF $ CO/CC $ ODemolition Scanning Fee $_ l�) ' 1 �� Radon Fee $_ ) _ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ S7 Double Fee $ Structural Review $ TOTAL FEE NOW DUE $_ M3 � 06 vV Z� Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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. Signature SignatureOf Owner or Agent Contractor The forSgpiag instrument was acknowledgedbs ee me this The foreg ' ins ment was acknowl ed before in this day of , 20 L3, by day of , by —, who is eprsonally kn w f o me or w as produce who i erson y known to me r who has produced �0 i J - 1 1 b -" ] 3 As �denlification and who did take an oath. as identification and who did take an oath. NOTARY Sign: 0 Print: My Commission Expires: APPROVED BY A MY t�tllt� * SXp�,S:t+l�yj3,20 (Revised 07/10/07)(Revised 06/10=09)(Revised 3/15/09) Plans Examiner Structural Review My Expires: 10A %#FF I �nmrq- Ma 13.2017 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. 1 Job Address (where the work is being done): �2 I ���-I City: Miami Shores Village County: Miami Dade Zip Code: -33 / L? 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 LJ ARHI Sheet Attached: YES NO ❑ Contract Attached: YES [� 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): (9D �p 3. Voltage of Circuit (208/240/480): `2'o �124-0 4. Size Disconnecting Means: N/A- Contractor's Company Name: V (� Phone: 3 0 ' z 2 02® State Certificate or Registration N. 0,N-c—A 5 0 ( 2-9 Certificate of Competency N. Signature Date: ! (4 ees signature only) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # S 22- COND. UNIT MODEL # 41A0 ( KW HEAT NOM TONS AHU CU PKG 1 WCA AHU CU PKG AHU CU PKG 2 M.O.P AHU CU PKG AHU CU PKG 3 VOLTS AHU CU PKG PKG UNIT I l PKG UNIT / I EER/SEER YES NO REPLACING DUCTS Y N YES NO REPLACING THERMOSTAT YE NO YES NO NEW 4°CONCRETE SLAB YES Qu YES NO NEW ROOF STAND YES NO YES. NO NEW RETURN PLENUM BOX S NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): (9D �p 3. Voltage of Circuit (208/240/480): `2'o �124-0 4. Size Disconnecting Means: N/A- Contractor's Company Name: V (� Phone: 3 0 ' z 2 02® State Certificate or Registration N. 0,N-c—A 5 0 ( 2-9 Certificate of Competency N. Signature Date: ! (4 ees signature only) '°` CERTIFICATE 4F LIABILITY INSURANCE 3..14 1 3! 2013 I THIS CERTOWATE IS ISSUED AS A MIATTER OF gflqMMM ONLY AND CONFERS NO RMITS UPON THE ATE FlOLDElL THIS CERT TE DOES NOT AFFMMTWMY OR NEONFIVELY AMID, MEND OR ALTER THE CWVERAGE AFFORDED BY THE POUCIES BELOW. THIS ATE OF INSURANCE DOES NOT CODE nVM A CONTRACT BETWEEN THE LSSUN6 AWE OR PRODtICER, AND THE STT? HOLDEM UMMWANT., H the eek holder Is an AGONAL INSURED, the po§cy(ksl must he endorse. B SUBROGATION IS WA1YEq subject to the terms and condWoms of'the PulftM may mquie an andonmnm& A s Ran Oft codiftab does not cmft dghft to the, oertfficals holder 1a goo of stab embwsonmnft vtzofarcEaN SUIi� .Ld smice Ems, LLC cbaSe�e F(�fg and Air Cued Lake Paik BW Ridr> minim TX 75M The MORD name and toga are registered marks of ACORD Ir • 7� �� t• �r • •� � r •; p:.atl � •w «•� Irs •• •� •'•-. •�• f• IT �`• haT '1 '+• • - i ti v�- a �r,�.a• •.. .,�. I �� �.« - r•r�r � -• � r -icy f�•.n • M L �• -.;t !• Jls • � :� •` ..' M ''• r ,-`k � • .!.� =ih •f •_':+c �y��--a? T'Ti��LJ�M��l Y11` oris -a-' -. -v :•,�«= 1 iJ'1 ri°f as- e,a-i �:,t ;a �'a• .,,f-�. • -:c hl f 1°I'1 El t • 1•: 1 1 ,� 1 1 �, _ _ 1.1'1 1'1.1 © � a>- _�.. �<« s-.• ,. i ��� !, ya 1 � •1 1 .+ II ®®. "v_ .1 � •,-,3 « f f 1 f 11 1 �. r iz .: c f 1�1�f 1:1.1 Q - ,.y unno .! .i 1 M�!��� EV -0M10-0 • -_ f<f'1 f-1 f If`f 111 f �- I • 1. 7' � • c=,t1 f�iti:f .� is Q 'k I .- Mf l «1 -j` -i,' T •- * t: The MORD name and toga are registered marks of ACORD MAWASE PAW FILUK it pow m2m 'CHIS M MM A BU -- DO H" PAY RENEWAL eusooss KAMILOCATM R TNR 025400-3 SERVICE EXPERTS LLC STATE* CAC181.7129 1521 Nei 89 CT 33172 DORAL SERVICE EXPERTS LLC WORKERIS X194 SPEC MECHANICAL. CONTRACTOR 20 (f4LOtit TO KOLA E LAWS OF IM DOU"FUMAND aMoW= INTina SERVICE EXPERTS LLC ff BLATZ, MICHAEL J PRES 1521 um 89 CT r,Y DORAL FL 33172 :; eaa,t�n� • 08/23/2012 0709090, 075 0001 �t��nr��sF�z1r}r�rr�r�rt�rr��r:��rr►etrirr�a:r��t f SEE OTT R SIDE �: STATE OF. FLORIDA DEPARTMW OF AM PitormalamL RBRUZA=ON ow nmusTRY. LICEMUG BOAM (GSO) 497-;1395 0 XOMM STRM 194►WCeTZ TALLAMMEE32399*0703- zi txiiiiii j" -0 f -*N Ax o(cl ttu..f3s,*- ,Ac, 1?159'to+ Property Search - Report qty., Property Information: Current Previous Previous 2 Folio 11-2136-007-0040 2011 Property Address 42 NW 107 ST Exemption/ Taxable Owner Name(s) RHETT TRABAND &W STEPHANIE R Mailing Address 42 NW 107 ST MIAMI FL 33168-4307 $25,000/$221,565 $25,000/$245,089 Primary Zone 0800 SGL FAMILY - 1701-1900 SQ Use Code 0001 RESIDENTIAL -SINGLE FAMILY Beds/Baths/Half 5/3/0 $50,000/$220,099 Floors 2 Amount OR Book -Page Qualification Code Living Units 1 11/2004 Adj. Sq. Footage 2,943 $160,000 20978-0240 Sales which are qualified Lot Size 9,225 SQ FT 8/1983 1 Year Built 1940 Full Legal Description DUNNINGS MIAMI SHORES EXT NO 3 PB 42-33 LOT 4 BLK 206 LOT SIZE 75.000 X 123 OR 20978-0240 01 2003 1 COC 24127-3218 01 2006 1 Assessment Information: Current Previous Previous 2 Year 2013 2012 2011 Land Value $45,979 $45,979 $45,979 Building Value $200,586 $224,110 $224,120 Market Value $246,565 $270,089 $270,099 Assessed Value $246,565 $270,089 $270,099 Benefits Information: Current Previous Previous 2 Benefit Type 2013 2012 2011 Homestead Exemption $25,000 $25,000 $25,000 Second Exemption Homestead $25,000 $25,000 $25,000 Note: not all benefits are applicable to all Taxable Values (ie County, School Board, City, Regional). Disclaimer: Page 1 of 2 MIAMI -RADE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Carlos Lopez-Cantera Property Appraiser AAerial Photography 2012 Taxable Value Information: Current Previous Previous 2 Year 2013 2012 2011 Exemption/ Exemption/ Taxable Taxable Exemption/ Taxable County $50,000/$196,565 $50,000/$220,089 $50,000/$220,099 School Board $25,000/$221,565 $25,000/$245,089 $25,000/$245,099 City $50,000/$196,565 $50,000/$220,089 $50,000/$220,099 Regional $50,000/$196,565 $50,000/$220,089 $50,000/$220,099 Sale Information: Date Amount OR Book -Page Qualification Code 1/2006 $755,000 24127-3218 Sales which are qualified 11/2004 $410,000 22895-2952 Sales which are qualified 1/2003 $160,000 20978-0240 Sales which are qualified 12/1989 $85,000 14393-1610 Sales which are qualified 8/1983 1 $71,000 11868-1427 Other disqualified The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS positional accuracy. No warranties, expressed or implied, are provided for data and the positional or thematic accuracy of the data herein, its use, or its interpretation. Although this website is periodically updated, this information may not reflect the data currently on file at Miami -Dade County's systems of record. The Property Appraiser and Miami -Dade County assumes no liability either for any errors, omissions, or inaccuracies in the information provided regardless of the cause of such or for any decision made, action taken, or action not taken by the user in reliance upon any information provided herein. See Miami -Dade County full disclaimer and User Agreement at http://www.m!amidade.gov/info/disclaimer.asp. Property information inquiries, comments, and suggestions email: pawebmail@miamidade.gov GIS inquiries, comments, and suggestions email: gis@miamidade.gov Generated on: Fri Sep 20 2013 http://gisweb.miamidade.gov/PropertySearch/printMap.htm 9/20/2013 MC 13- �)33 777 service LxpertS 36.9.588.1530 HEATING & AIR CONDITIONING Customer Dame: 1`ht J 1 J K.A15ffi1J_V Street Address: , Int 10 City: �, M IAA41 StO��S State: --Zip: 3 3 Email: Home Phone: 79'•6 6-20? Work Phone: Service Address: b-3 bear 100% Satisfaction Guarantee O Official ENERGY STAR@ Retail Partner O Local andFe eral Permits and Code Compliant 0 Monthly Payment Financing Q �1 -certi ied Professional Technicians O Fully Bon n a 0 PLUST" Maintenance Agreement: OMonthiy OQtly OSemi-Annual (J1 Yr 02 Yr 03Yr O C EXPERT SERVICE, GUARANTEED Equipment 3, S' ZpO System Option 1 $diAon Total Home Comfort Investment O OutdoorM O Outdoor H ZA I RHS ulM q7-2 I JA boa TIFA 11 IR 8 maw O Indoor ;;0./ O indoor (� z �s, 00 OIAQ 2(5. °' FPL EM -1- O IAQ O Controls O Controls O Was possible asbestos observed? O Yes O No Has the customer been informed of their responsibility to remove it? O Yes O No NOTES Were possible microbes observed? O Yes O No Has the customer been informed of O Yes 0 No the possible presence of microbes? See "Special Cor=ms Terms" on the reverse side of this page. ENERGYST„R` PgRSN[RY'., Date of Sale 1 1 l g i 17-10 1/ I y I N11-n-10 Model #Serial # I I I I I I I I I I I Dealer Number 15 1314 18 11 12 O CASH O VISA O M/C O AMEX O DISC O SEI eck 1 I w Print Customer Name Acct # I I I Auth Code I I I I I I I Credit Plan I I I i =erSi • 1 1 I Exp. Date I I I I l /D to Gust er Si nature D e - e ons ItantI ureQuote expires Date IA 1012 _qo,S)� 1521 NW 89 Ct. Miami, FI_ 33172 License #: CAC1817129 Jab t: �— y Date: v Install Date: U_ c RSC: EXPERT INSTALLATION J Reconnect existing duct work 0 Add Supply _ 0 Add Return J Insulate duct work Seal duct work D Balance air flow 3 Reconnect existing wiring ) Weatherproof elec. disconnect D Circuit breaker :) Power circuit :D Control wiring Ceiling saver kit w/auto cutoff Gas Piping O Flue Piping Flue Liner Opti -sized refrigerant piping Architectural piping cover 0 Condensate piping/pump Condenser foundation pad Vibration/shock isolators Combustion air 3 Gallon Water Heater J Replaced components disposal Other O Drop cloth/floor saver protection ') Complete cleanup & vacuuming 0 Certified refrigerant handling D Inspect ducts for size and leakage 0 Load calculation completed Verify proper refrigerant charge WARRANTIES (provided if checked) '-) A/C Compressor A/C Parts 10 ea Furnace Parts years D Heat Exchanger , years D Labor zJ Mars Delivery Date I__I—J i I I I / System Investment Indoor Air Quality Al Total Home Comfort Investment Sales Tax >� YOL Less Initial Investment ;;0./ Balance Due Upon Completion Satisfaction Guaranteed A for three years! Terms and Conditions apply, see reverse of agreement for details. As a PLUS'" Service Plan customer, you'll enjoy low payments at the interval of your choice: monthly, quarterly, semi-annually or annually beginning 13 months from the Delivery Date of your new system. BUYER'S RIGHT TO CANCEL: You, the buyer, may cancel this transaction at any time prior midnight of the third business day after the date of this transaction. See the notice of cancellation and Terms & Conditions on the reverse side. ©Copyright 2013, Service Experts 70 75 20 15 liCoolinq Loads Area Btuh ori of load - n Ceiling 77.99 13.8 Windowsf'275 Sensible Infiltration 4064 98 Latent infiltration 9715 23.4 System Efficiency Gain 3230 7.8 Internal 5003 12 1 Sensible People Load 460 Latent People Load 460 1,2 Total: 41451 Sensible load 31276 Latent load 10175 SHR 0.75 Capacity at .75 SHR 3.48 Tons Cooling Loads 41,4 51 BTU' Latent People Load Sensible People Load Latent Infiltration System Efficiency Gain Wall Sensible infiltratk Ceiling Internal i - Windows Adequate' Exposure Diversity `�°`` AED Graph lu 5000 2500 0 _- Sam gam loam Ilam 12pm Ipm 2pm 3pm 4pm Spm 6pm 7pm 8pm — Hourly Eoads — Average Alt calculations are based upon°appmved huac industry standar4s and procedures, and comply with all local, star and federal code requirements; All computed results are Estimates. Product provided by Energy Design Systems and Idea Tree System equipment selection will be made using the following derived values. Glass (E) 213 sq. ft.- Gl ass (5) C, 3 S --ft. Glass (N) 30 sq. fit. Gl ass (U11}149 sq. ft. Summer Outdoor 90OF Summer Wet Bulb 77°F Summer Indoor 75°F mmer`Design Grams 50% Winter Outdoor 50°F Minter indoor 706F Sensible Coaling. 31,276 Btuh Latent Cooli;n 10,175 Btuh Required Cooling Airflow 1,422 CFM Sensible Heating 27,211 Btuh Required Heating Airflow 353 CFM. Alt calculations are based upon°appmved huac industry standar4s and procedures, and comply with all local, star and federal code requirements; All computed results are Estimates. Product provided by Energy Design Systems and Idea Tree