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MC-13-1925 (3)Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: IISIS P-218181 Permit Number: MC -8-13-1925 Scheduled Inspection Date: August 25, 2014 Permit Type: Mechanical - Residential Inspector: Perez. JanPierre Owner: HALL, LORAN Job Address: 106 NE 97 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: UNIVERSAL AIR & HEAT Building Department Comments Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number '1132060132561 Phone: 9541581-7110 AC CHANGE OUT Infractio Passed Comments INSPECTOR COMMENTS False r a �- ��l Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-218170. CREATED AS REINSPECTION FOR INSP-197884. fix return duct INSPECTION CANCELLED BY INSPECTOR Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 22, 2014 For Inspections please call: (305)762-4949 Page 21 of 31 Miami Shores Village Building Department RECEIPT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT #: MC,3 149 DATE: ❑ Contractor ❑ Owner o Architect Picked up 2 sets of plans and (other) Address: (NAME) C1rz-� From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: (Signature) PERMIT CLERK INITIAL: ()),C RESUBMITTED DATE: PERMIT CLERK INITIAL: PERMIT # --� CONTRACTOR: Of SUBMITTAL DATE: ADDRESS: NAME: RESUBMITAL DATES: PROJEC ,TYPE: Alr, lyt'S24116i'hQQ FIRE STRUCTURAL IMPACT FEES ELECTRICAL JO HRS/DERM PLUMB NOC A .. LOG Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fac: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL OWNER: Name AUU L.� 2913 Permit NoWn-E Master Permit N� e 0 �5 L Phone#• `J "1 . ls�p ` l -I Cq City: rWjamcvv-e-s State: j l ®1�( IJIU Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: City: Folio/Parcel#: I Is the Building Historically Designated: Yes CONTRACTOR: gCompany Name: Address: S(4 (0 City: o 1 :Y l e Qualifier Name: t "11(_ Y E1 C 1 I State Certification or Registration #: G County: Miami Dade Zip: �� I'M NO ✓/ Flood Zone: of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#. Value of Work for this Permit: $ Squa �re/Linear Footage of Work: _ Type of Work: DAddress DAlteration aWew _... pair/Replace Description of Work: Affl �3 U Submittal Fee Permit Fee Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ gsW,sal,iI) b Zip: ✓ 1514 CCF $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ ODemolition r Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fac: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL OWNER: Name AUU L.� 2913 Permit NoWn-E Master Permit N� e 0 �5 L Phone#• `J "1 . ls�p ` l -I Cq City: rWjamcvv-e-s State: j l ®1�( IJIU Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: City: Folio/Parcel#: I Is the Building Historically Designated: Yes CONTRACTOR: gCompany Name: Address: S(4 (0 City: o 1 :Y l e Qualifier Name: t "11(_ Y E1 C 1 I State Certification or Registration #: G County: Miami Dade Zip: �� I'M NO ✓/ Flood Zone: of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#. Value of Work for this Permit: $ Squa �re/Linear Footage of Work: _ Type of Work: DAddress DAlteration aWew _... pair/Replace Description of Work: Affl �3 U Submittal Fee Permit Fee Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ gsW,sal,iI) b Zip: ✓ 1514 CCF $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ ODemolition 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 IldPROVEMENTS 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 pennit is issued. In the absence of such posted notice, the inspection w(ll not bfiyapproved and a reinspection fee will be charged. Signature 4 Zk—' — Signatures'-= Owner 49ent Contractor 1712 The foregoing instrument was acknowledged before me this ag The foregoing instrument was acknowled ed before me this. day of �f �/ , 20%,, bY,C�K 1i6� day of , 20p, by who is personally known to me or who has producedwho is rsona y o me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: • -•. ��� A MU R7M Prin �/f i��/ XP 4, 2016 My Commission Expires: ate, Se> APPROVED BY (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Plans Examiner NOTARY PUBLIC: Sign: My Comno. "YT*V-xpire%&&g4d3% * * MYcOMMISS10iiff 171681 EXPIRES: March 31, 2016 '� Z 113 Zoning Structural Review Clerk Customer Order 85111 IV I State License # CAC058142 and Insured ,Name 'Loran Hall Street 106 No 97th St City Miami Shores State FL Zip 33138 Date 7/17/2013 Apt # Cell Phone 954-756-1484 Work Phone 305-341-6507 Date Scheduled 8/24/2013 'versal lr & Heat 5460 State Rd. 84, #12 Davie, FL 33314 www.uahac.com 1-866-999-2665 Description: We Propose To Furnish And Install A New 3 Ton 16 Seer RHEEM Split System FROM SCRATCH 1 New Digital Thermostat 2 New Locking Caps For Freon Lines 4 Hurricane Tie Downs For Condenser 1 Safety Float Switch 1 New Liquid Line Dryer 1 Mechanical Permit With The City 1 Heat Load Calculation 1 Free Duct Sanitizing Valued At (250.00) No Charge 7 COMPLETE SUPPLY DROPS 1 NEW COPPER UNDER 50 FT 1 NEW GRAVITY DRAIN LINE 1 NEW METAL STAND 1 NEW CONCRETE PAD 1 FREE LIFETIME BO -AIR FILTER Warranty Info: 2 Year Labor 10 Years All Parts Total Cost $7160.00-$585.00 FPL OUT OF POCKET $6575.00 A/H # RHLLHM3821JA Condenser # 14AJM36A01 Heater # 7 "Any Electrical Work Needed Will Be The Homeowners Responsibility" (Q v x,,,- n tom-^ Customer Technician SUB -TOTAL - FPL REBATE AND OR MANUFACTURE REBATE DEPOSIT TRIP CHARGE TOTAL AMOUNT DUE $7160.00 $585.00 $6575.00 7/17/2013 POW: 8/23/2013 Customeir Order: 85111 State Licensed & Insured # CAC058142 • Servk�s perfortn� under the warranty policy wiles provided by Univen�al Atr & Heat during normal Businew Hours, Monday to Saturday. Business hours being 8:00 to 5:00 p.m., Monday through Friday 8:00 am to 5:00 p.m. Satu y • Warranty does not cover or include routine malhtenance such as dhanging/deaning filters, drain line cleaning, breaker tripping or replacing fuses • it shall be at Ore discretion of Universal Air &Heat and its Technldan to repair or replace detective parts, units or materials whenever Is necessary. Any Nuisance calls beyond the scxrpe of this agreameM will ba charged at our rmrtnal service rate and/or emergency rates. • Any alteration or deviation from the proposed speclfications or conditions involving extra cost of materials or labor will only be executed upon the written order for the same and will became an extra charge over the sum mentioned in this contrail The teens and conditions set forth in this agreement are the only agreement between the parties, any Inconsistent term or condition is not part of this agreement unless it is in writing and sighed by the customer and Universal Air & Heat • Tltie to the equipment and other materials will remain with Unr &Heat until all sums due us have been paid in full. • All belanos1 not paid within 30 days of the bill date will be subject to a monthly service charge in the amount of 1.50% of the outstanding balance. Customer is responsible for all cost of Coll edion, including reasonable attorney's fees In the event of non -payment in the event that any person/customer files suit against Universal Air & Heat If such case is found in favor of Universal Air & Heat customer will pay all cost Including reasonable attorney's fees. • Customers acknowledges and understands that the cleaning of A/C duds and registers may Present a danger to any persons or animals in the job site due to the release of potentfatly dangerous airbome particles {Including mold and dust). Customer is solely responsible to provide for the safety of If persons, and things at Ore job site. Customer Is solely responsible for any harm suffered by any person therein. Customer agrees to hold Universal Air & Heat harmless and indemn Universal Air & Heat for any damages related to the cleaning, removal or replacement of duds, registers or other equipment Universal warrants existing drain fine hookups for 30 ays with new equipment Installed or serviced. Universal Air & Heat will use nitrogen to blow out drain lines and assumes no responsibility for water damage of any kind • Universal Air & Heat is not responsible for any water damage, wall paining, framing, and wall covering, equipment delay or any other Inconvenience other than that of mechanical failure. Universal Air & Heat agrees to use reasonable efforts to run dud work within existing walls, coil rigs and soffits. Customer aclumWedges that the work performed may require the construction of soffits or other enclosures to conceal ductwork or other equipment and customer shall pay for all cost associated with the construction of same. • Universal Air & Heat has the right stop all work If payments as set forth herein are not made upon the due date. Once any equipmenUmaterials have been delivered at the job site. O is the residential/Commerdal property owner's or the General Contractor's responsibility to care for them. • Universal Air & Heat can and has the option to pick up any parts, equipment, units, etc., if payments as set forth herein are not made upon the due date from any and all properties, where such equipment, air conditioning units, and parts exist • Any &All parts, equipment, supplies, etc., that have nil been paid for shall remain the property of Universal Air & Heat until the balance Is paid in full WUn acceptance this proposal sets forth the entre agreement of job between both parties. • Univereal Air &Heat warrants that for 30 days from the date of installation, all products will be free from defects In materials workmanship — except the air conditioner system ecaqumppressor which is also warranted for 5 to 10 years subject to brands and models of the manufacturer. Copies of warranties are provided upon Installation of new air conditioning • We wanant near air crornlitioning equiprneM for a period of one year from the date of installation that material and labor furnished by us will be free from defects. • Under this warrant, Universal Air &Heat has the first option to repair the equipment or provide replacement parts. • THE LIABILITIES SET FORTH ABOVE ARE IN LIEU OF ALL OTHER WARRANTIES AND LIABILITIES. EXPRESSED OR IMPLIED, IN LAW OR IN FACT, INCLUDING IMPLIED WARRANTIES OF MECHANTABILITY FOR PARTICULAR USE. Customer Technician Date Printed: 8/23/2013 Property Search - Report COVNTV Property Information: Folio 11-3206-013-2561 Year Property Address 106 NE 97 ST 2011 Owner Name(s) LORAN W HALL Exemption/ Taxable Mailing Address 106 NE 97 ST MIAMI SHORES FL 33138-2333 $50,000/$55,939 Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Use Code 0001 RESIDENTIAL -SINGLE FAMILY Beds/Baths/Half 2/1/0 City Floors 1 $50,000/$51,135 Living Units 1 1 $50,000454,169 Adj. Sq. Footage 1,313 Lot Sba 6,451.50 SQ FT OR Book -Page Year Bulk 1940 $0 Full Legal Description 1534165342 MIAMI SHORES SEC 1 AMD PB 10- 70 LOT 14 BLK 19 LOT SIZE 56.100 X 115 OR 18367-2656 1298 4 Assessment Information: 4/1993 $0 00000-0000 Current Previous Previous 2 Year 2013 2012 2011 Land Value $84,115 $72,212 $55,547 Building Value $89,021 $98,854 $98,854 Market Value $173,136 $171,066 $154,401 Assessed Value $105,939 $104,169 $101,135 Benefits Information: Current Previous Previous 2 Benefit Type 2013 2012 2011 Save Our Homes Assessment Reduction $87,197 $66,897 $53,288 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: not all benefits are applicable to all Taxable Values (le County, School Board, City, Regional). Disclaimer. Page 1 of 1 MIAMI-DADE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT CarlOS LOP4-Caafero Proper&Appra&- 1A Aerial Photography 2012 N Taxable Value Information: Current Previous Previous 2 Year 2013 2012 2011 Exemption/ Taxable Exemption/ Taxable Exemption/ Taxable County $50,000/$55,939 $50,000/$54,169 $50,000/$51,135 School Board $25,000/$80,939 $25,0001$79,169 $25,000/$76,135 City $50,000/$55,939 $50,000/$54,169 $50,000/$51,135 Regional $50,000/$55,939 1 $50,000454,169 $50,000/$51,135 Sale Information: Date Amount OR Book -Page Quallfication Code 12/1998 $0 18367-2656 Sales which are disqualified as a result of examination of the deed 4/1993 $0 00000-0000 Sales which are disqualified as a result of examination of the deed 4/1989 $62,500 14083-0813 Sales which are qualified 4/1989 $0 0000040000 Sales which are disqualified as a result of examination of the deed 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:/lwww.miamidade.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 Aug 23 2013 http://gisweb.miamidade.gov/PropertySearch/printMap.htm 8/23/2013 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: MC 13-1925 Job Name: August 26, 2013 P&Z Critique Sheet Page 1 of 1 1) A/C and pad must be located not less than 10 feet from side plot line. Please provide site plan with dimensions. STOPPED REVIEW David Dacquisto 305-762-4864 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re -submittal drawings. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SEPTEMBER 5, 2013 Permit No: MC 13-1925 ELECTRICAL REVIEWER COMMENTS 1. Need panel schedule, load calculation and riser diagram. 2. What size conductors to the A. H. U. and A. C. C. U.? 3. Put a 120 volt G. F. I. T.P./W.P. receptacle within 25 feet of A.C.C.U.. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re -submittal drawings. 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954831-4000 VALID OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2014 DBA: Business Name: UNIVERSAL AIR & HEAT Owner Name: MICHAEL A FORGIONE Business Location: 5460 STATE RD 84 12 DAVIE Receipt #:�TING/AIRCONDITION COB Business Type: (CLASS B A/C CONTRACTOR) Business Opened:12/23/2004 State/County/Cert/Reg=co 5 B 142 Exemption Code: Business Phone: 954-581-7110 Rooms Er1lptQyees °> Y 'Machines Professionals For Vending Business Only ~ Number of Machines: Vor�dinw Tvws. 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 WHEN VALIDATED 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. Mailing Address: UNIVERSAL AIR & HEAT Receipt #10A-12-00002179 5460 STATE RD 84 12 Paid 07/23/2013 27.00 FORT LAUDERDALE, FL 33314 Tax Amount Transfer Fee arF s.,x;rpenagy r y . PdOr;YQafs _°_ . Collection Cost Total Paid 27.00 0.00r� .� a... �uwr;e ".'n°�a9Dw. 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 WHEN VALIDATED 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. Mailing Address: UNIVERSAL AIR & HEAT Receipt #10A-12-00002179 5460 STATE RD 84 12 Paid 07/23/2013 27.00 FORT LAUDERDALE, FL 33314 Nov. 13. 2013 10:26AM No. 4364 P. 5 R© CERTIFICATE OF LIABILITY INSURANCE I "�'`'�'DD""""'' 11113%13 TNS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATWMY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lithe cor68cate holder Is an ADDITIONAL INSURED, the pollrAhm) must be endorsed. U SUBROGATION 10 WAIVED, o0jeet W the berme and condt0ons or the pollcy, certain poories may require an endorsement. A slaloment on Wa corafteb doss not Confer rights to the OWEcate holderin lieu of such andemement(s). PROMICa Madlns Insurance 850 S.W. 40 Ave. Plantation. FL 33317 Phone 964 867-7850 Fax 964 587-7778 LaToya M Daniels P B (064)687-7$60 F 954) 687-7776 nuft tow.com G COVERAGE marc i : Cepadly insurance company Universal Air & Heat 5460 West State Road 64 Suite 12 Davis. FL 33314 (954) -40641018 A c D E., W F: COVERAQEt3 CERTIFICATE NUMBER: REVISION NUMBER THIS IS TO CERTIFY THAT TME POLICIES OF INSURANCE LISTED BELOW HAVE BEEN t3SUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE APPORDEO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR rtPEOPItMRANCE ADD UcY "RR POLICYImpmamWife A GENERAL LIARMITY Q COMUENCIALGENP.RALUAsiuTY ❑ ❑ CLAW -WAS AOS Q OCCUR ❑ [�ALAGGREGATE GEN'LAGOREOAYELOUT APPLE$PER: © POUCY ❑ ARO- ❑ LOC N N CLMOI0016660 11AM013 111=014 H 0 REN 6 1.000.000.00 s 100,000.00 MEOEXP are S $,000.00 PERSONAL &ADV INAW S 1,000 000.00 s 2 000,000.00 PRODUCTS -C IAProP 1,000,000.00 a AUTOMOBILE LIABILITY ❑ ANYAUTO ❑ arm ❑ ❑ HM90AUYOS ❑ NA�s ED Lo�NGLE LIId1r 800tLYMWURY(PaPcrson? 8 BDDtLY1NluRY(PereoclQat S tae S ❑ UMBRELLALJAS ❑ Oom EXCESS UAB EACHOCCURRENCE $ AGGREOA S ❑ oEo ❑ REWNTIONS COMPENSATION AND BMPLOMVLtl181UTY YIN ANY P(iO�WBTORIPARTN9A0EWYNE OPPIQ wy IE � EXCI tIDE07 Q ittlLmtda ORM0 SUM MIA VYG ST.ZVI 1:1WORKERS bras _ E.LEACHACCIDPM S Al. DI - EA 9 EL DISEASE - POLICY UMR 8 D88CRIPTION OF OPRRAT101481 LOCATIONS IVSHl M (AlLub ACORD t01, A MoPW Rrwas Sahedula, K amts apace i$ m4wte4 AVC Repair A Services CERTIFICATE HOLDER CANCELLATION MIAMI SHORES BUILDING DEPT 10050 NE 2ND AVE. MIAMI SHORES, Ft. 3313$ F# 306.768-72 ACORD 26 (2010106) QF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES EL CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUYHORMdb Barbara Gorda 61988-2010 ACORIA CORPORATION. All rlghte roserved. The ACORD name and [ago ere registered marks Of ACORD STATE OF ,FLORIDA, DEPARTMENT OF BUSINESS:AND PROFESSIONAL-FtEGUILATION� 0 �` _ CQNS?RUC?LON NL" DIISTRy�_191481N(iBQARL�°1 We-B9tU- CNDI FIONINGiONTR� TOR, °'�� 1 �' ``s ;•�. a e b9j : � � _-- - _ __ a �` ..� �'.. a� . • 1 girth-proaFision > h Ater PS ..- t.i � ' _ �' •fir" _ _ _- _ -- ^-.may-�---- ... _- ,��'..\'� -: `', ` --��. �"� �\ '!`\ o .r'�''rJ,,,•" _--�.. ----. -----a.;'"` v ``4. ti \ VIVA f 8118A500. RICK SCOTT ISSUED: 0611212013 SEQ # L1306120000538 KEN LAWSON GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY This combination qualifies for a Federal E Efficiency Tax Credit when placed in 9 between Feb 17, 2009 and Dec 31, r Certificate of Product Ratings AHRI Certified Reference Number: 3805983 Date: 10/23/2012 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number:14AJM36 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 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to Verification of rating accuracy by AHRI-sponsored, independent; third party testing: * Ratings followed by an asterisk (7 Indicate a voluntary rerste of previously published deft, unless accompanied with a WAS, which indicates an involuntary relate. DISCLAIMER AHRI does not andome the product(s) listed on this Certificate and makes no ropmsentadorts, 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 performanee of the product(s), or the unauthorized alteradon of data Ihsted on this Certificate. Certified ratings aro valid only for models and configurations listed in the directory at www.ahridimetory.org. TERMS AND CONDITIONS This Certificate and Re contents aro proprietary products ofAHRL 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; dissembuded; entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Indhridual, personal and confidential reference. CERTIFICATE VERIFICATION The htfomration for the model cited on this certificate can be verified at www.ahridirectory.org, p "®® Air -Conditioning, Heating, click on "Verify certificate" link and enter the AHRI Certified Reference Number and the date on A.00 t® and Refrigeration Institute which the certificate was issued, which is fisted above, and the Certificate No, which Is listed below. 1 02012 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129955019235744978 p I Bi mv".. r ". » 1 I nternat*ional 2D10 Florida Building Code State Approved,, FL 14239-R1 EQUIPMENT TIE DOWNS TD04 TD06 1" x 4" Tie Down Clip, Galy/Powder Coat, 4/Bag 1" x 6" Tie Down Clip, Galy/Powder Coat, 4/Bag TDO8 1" x 8" Tie Dawn Clip, Galy/Powder Coat, 4/Bag TD04SS 1" x 4" Tie Dawn Clip, Stainless Steel, 4/Bag TD06SS 1" x 6" Tie Down Clip, Stainless Steel, 4/Bag T0042L 2" x 4" Tie Down Clip, Galy/Powder Coat, 4/Bag TD062L 2" x 6" Tie Down Clip, Galy/Powder Coat, 4/Bag TD062 2" x 6" Fat Cat Clip, Galvanized, 4/Bag BMP international, Inc., 4710 28th St N, St. Petersburg, FL 33714 - 727-458-0544 Note: This file contains approval information from www.floridabuilding.org for BMP tie down clips. Information required by building departments will vary, from listing the approval number, F1.14239-111, on your permit application to submitting copies of the drawings. Consult with the individual building departments for their requirements. This file can be downloaded in PDF format for use. Drawings 1-4 contain the Installation instructions. TIOWN aapme"I ,w AdftWR-AnMW � osReIPr4A Qvft Aa W&= Rappapag,N MOW f Oman a A,yff=y Roo/ or Uwe) a f i%1aL1w/y And" Carmlaeq 01010/ beakno A@M OW A flenee AIt1 Dan AaprOwad lOW"4! Y 113Ca11wd Naltai Mft*EVOUMM CM+en fleM dIdW awwep rlawaaa ewoaanAa fop rha 717nen. Taw raauirae Ie-0-ftw) Inca to uktdowe ly IMP" • MrecOPP Aft** e Ram VbOMw Artlrbwn NaeM who dwWO d Na MO L h4wo lRwpaQ Ia.IHOe. P.4 Hates we" QVRW%MW M-00 Pl' QOwq baa Orolraoon Ge. Ndwd a MfMWn m U amft O,Mddo 1 1AOtradneme ft= 1. eeke6 P.L Y vd-ft -Stift N*vy tae C&Wkft at taae,aww" Rdww'M ft -w use VON tat $aurin 1 GuMeAd ASTM DJ751.ft IM 2006 AWN 01761•$$ 3WO eau"W" e/ RO&M slAneama Cartral 07 PIWAN ucered►•ahea*w PesiaNbarArvl"O leows Bwwr wra Calor yradM AWWW Natlae � osReIPr4A Uttgd slotted sura TM•oewa Otos, f • ud--- 2• Moa.ta MOW f Oman a (wo !<erlerM" Roo/ or Uwe) a f Oafs VINv w a9/29/20JJ NO Prnding MC Amor" t2/1N201J Dan AaprOwad 12/10/201 L CM+en fleM dIdW awwep rlawaaa ewoaanAa fop rha 717nen. Taw raauirae Ie-0-ftw) Inca to uktdowe ly O1171120L2 FL O Nadwl. NamAw or awlrrw � osReIPr4A Uttgd slotted sura TM•oewa Otos, f • ud--- 2• Moa.ta e -- s Th 0arnr 00 brAw+l (ror Use wu +bolo tuun Ll" Of Yw �"' Roo/ or Uwe) a f APiew*W rMIIM N IIVNJ;r Yea - InsW�tlwrlr AwrwwO IOr waw ar/aww aAnm Ttl IM"d RUMARM A i ! Vm0w aW rwnk L tewAAelda. PL 00161Of I DOWIR Pre"U i WA DUM { ly Raos ereent nrue ►+rtyr 1'n CM+en fleM dIdW awwep rlawaaa ewoaanAa fop rha 717nen. Taw raauirae Ie-0-ftw) Inca to uktdowe ly I iglwwtlaw awl ti1911a wl l� M. r.." ?Mal °y U0ow deft T" 00Vn rar wdaW nor gnt party: rq 1 �rrrww.nar+auWNy.uNr/P.Ioomureatou,en-weevJplreogpOWtnaterlw)pQ t0oyo tro2OJrroQoYe MYIyyAs7aA0a ft" toff 11 V..1/11 1 . J 6 .NMVENGII ING Product Evaluation Report November 4, 2011 Application Number. FL #14239 FLB Project Number. 11 -OMP-0001-01 Product Manufacturer: BMP intemadanal Manufacturer Address; 4710 28th Street North St. Petersburg, FL 33714 Product Name: Slotted Steel Tie -Down Clips,1 ° and 2° Models Product Description, Steel Tie -Down Clip System (For Use with Mechanical Units at Roof or Grade) Scope of Evoluadon: This Product Evaluation Report is being issued in accordance with the requirements of the Florida Department of Community Affairs (Florida Building Commission) Rule Chapter 9N-3.005, F.A.C., for statewide acceptance per Method 1(d). The product noted above has been tested and/or evaluated as summerttsd herein to show compliance with the 2010 Florida Building Code and is, for the purpose intended, at least equivalent to that required by the Code. Reevaluation of this product shoo be required following pertinent Florida Building Code modificationa or revisions. Substantiating Data: • j?j;(QDUCT EVALUATION DOC�UN ENT FLB drawing #11.OMP-MI-01 tided 'Mechanical Unit Steel Tie -Down Clip Capacities: At -Grade and Roof -Top Mounted Applications% sheets 1.4, prepared by Engineering Express, signed S sealed by Frank L. Sennardo, P.E. is an integral part of this Evaluation Report. • 7-9TER PORTS Ultimate test loading structural performance has been tested In accordance with ASTM 01781.N test standards per test reports) #TEL 01970387—A and JML 0197038 Inc. • STRUCTURAL ENGINEERING CALCULATIONS Structural engineering calculations have been prepared which evaluate the product based on comparative and/or rational analysis to qualify the following design criteria: 1. Maximum Allowable Unit Wind Pressures 2. Minimum Allowable Unit Width 3. Maximum Allowable Unit Height 4. Minimum Unit Weight S. Maximum Allowable Unit Surface Area 6. Clip Configuration and Anchor Spacing 7. Anchor Capacity for Various Substrates 160 SW 12r" AVENUE #106 DeERFIELD BEACH, FL 33442 PHoNE: 954-354.0660 FAX: 954.354-0443 WWW, ENGEXP.COM -_ - ' '-1 s. v %-o a MECHANICAL UNIT STEEL TIE -DOWN CLIP CAPACMES: AT GRADE & ROOF TOP MOUNTED APPLICATIONS GENNOTES: PO SWWAM tCBffftQFGAMTV l f CffArffA=K 110F. eo rnnn� timrm UF "Mir­ whumun wimm AM#= slaft rt*locvm Carrs.ouvw $A 4k V4 ps "mcup SOON r mm 3* TOO 2 TTY. TM MR sMuclum billwA wr am "am TEL a rMtIBE1tS+Mra0eai15lo AGUMM OPPLICAUMS PJA NC IM DOUBLE CUP OPTION: (7T TWAa CAPS -my al aiwzr "Aw Carmm (aft each Or GwaSpIG rm"s mcm r ram ccwj4m Apm Tam OF 14 cuos no umw rm Tum WFr DWO UP SfAM MW Wft bras 9000T WALE CNIOMMAfto"m CLOSM MECHANICAL UNIT TIE -DOWN ISOMETRIC namiuc WK NO" rMW r QV NKWAM=5.M] .-DOWN CLIP DIRECTIVE EXAMPLE Deersro�crunrtru :rci3M=_= CCOW"M rUWA%LW SP OWSENWAYSSft ouvicarwamtomm" wj" calAwaorAfto as i a ANCHOR SCHEDULE: 7°STEEL CLIP TIE DOWN SGHEOULE: AT GRADE INSTALLATIONS: MOWKMSCMUUQUHMFMUM taus. suaaw► W -- -F.--+ cawoss.Ycasha ssraw�ioiioi.`+a gym. (nl7s_NN.TNOI( Mla QKr714I-fNs+ew1.�AO RMErWtssfitrMETALitf"TOMONVeigw lmplA 9TLrl:��aLL MY L eueoMgrllmfaGlaus+wAE+rcuniflgfit4►IIWIIQOIs. fIlfO�fM1q gm-AaOIlM. i fMtlYf ilfWfMft@a{Wrta�slbrao lwpriOt3tY7w8. [ij•fl�SYg4tOt75MRrMf4lfOilYtTO — wua•MIM.n,tiM,�a ,pfaTTfy *wesoeutiewf�aeearerascre�c srw.rllaa�[al rrr�mrar Nut4lr ssuaownoo: t►r.a�srawas«mooarfcwTnlwoo7aTsft�urnt<w�s�musi+na�caretrr<rnasaNe saurMlantauow±a�e.f.ucf fuarunos.raw.soaou a9YfI00fMa`+WLTNfao TwcCraur.boa larn. �" •owoos�rcwsfo►�waoirm�oawe 2" STEEL CLIP T1E-DOWN SCHEDULE; AT GRAQE WSTALLATI)NS.- F—:----T---- -._._- _ .�_ suffTMnlo� "' (aur IUIc A RUMawIu --- fire. a.ra ga(.fOU-if �/yygMMl 1WlAD RMI iT1Hi [�trl.S.t6 (O.lir a>a»M. rMKK 37IW 7iW Siffll t�eran •Vam a MUM MOT *fpw p fm IST ♦at RHEEM MANUFACTURING CO. RESEARCH & DEVELOPMENT -DEPARTMENT a 7S3 nwa� _' x&$Q [OLroAhCE -fWTl�. r{/32 zh7 .4FES 3e3CEFIEO UrAcmes5C - -U£CEMAL ?.030 m Y!?, maa•:acs.3.EctSPSYTfD masa. 900 b"l s ra. K.i'•r14-M +Ehb;, :�� ip 1 wfm ton.+9 31-gig2o � KOEL4 7a Amid 2_ t0 -a3-11 yea mue-s Y� 5 : UN[T APPLKAINUTY TABLE AWL APL APU ANL. APC, ARA ARL / ASL PFJ_ PNL PPS PPL PPL, P L POL t AINJUJA Lw s jsEo HEw FOR CrA4p Plan EIEPaMNTAnON 41su oii Oran AkO MAY Q(PFER FROM UWTS LISTED. n n � ?1 f•1 rA B ` s FIX[ 44ETAL MbUNTEE G .SURFACE 9b /� SUPPL.(ED '(jY 'CONTRAC'TOR T 3> ma A m3 mr 0 cn m Z cn 3 CD_ 2 1 =+ UIt4(WLAA 18 GA. X 2' WIDE SEE TIE DQwt; WTHOO -DETA•kS CALV:STEEL STRAP IG901CR -r rn E CUIVALENT ITYP_rE£ACH'CURNER). FASTE*1 rif?H (10)SHEET METAL CREWS M'NWLW 18 GA. X I• WIDE a is J =_ EKIN. 1:100 OGAT7aG1 EACH 'STRAP. GALY. STEEL aT(iAP {Gl9Q) 4R EOE1N'AiENT (TYP. 1 £A,q4 CW(411 ?). CD C-1 1 FASTEN WITH iit jiA S1Eu METAL,. a Z SCREWS IMM. 1006 HR ttOiLT(NG) AC/HP UNIT rri AC/HP UNIT O i O 1 O O O % O O O cn —I �z O O O O ._.. S^._�T�� NEiAL �110LL',T6,1C, SURFACE #AETAi MOW4TiNG S;3RF4�"—ISOLATCP. PAD m rm 4 PER U4.T (STAND DETAILS DETE.PjAINED iSTA� DETAILS OETERMINEG 4 PEP. LIMIT -0 53 BY ACCOAML.,.AL CONFRACToe?i BY MECHANICAL CtDNT(?AC•TORI Q � 9 AC/HP UNIT TIE DOWN DETAIL AC/HP UNIT TIE DAWN UTAIL ST-�iEE9-�L-S%i"tl-SB ,.0 c .s ✓'� . .... .. ..... .... .......... .......... FN&D Found Nail and Disks Bump and coowmates refer to . ................... 122 22' Parkway 2 Liegal Dacdpfwn puvided by odmm . .. ... ... ... 31.04' (M) FleldMMUM(l .. .............. FT 112 51 were not located. FIP 1/2" Found 'FM Pipe 5 Elevations are based on National .... . .. . ....... .... ...... CoWeticVertited Datum 1929. j&"k % 6 Fewe owumship not dd=imed, ro. Utffity Pole 7 WaR des are to the ftee of the wall. 8 Not valid unless scaled with an x% embossed mveyoes seal. . ... ... .. . 9 No identification found on pqedy comers udm noted, El Water Meter 10 Only visible anoadmunts Wood Fence 1000A . ............. ®•) ©e ....... . . l0.W y9 cod ofthe survey. 12 This Survey is Wmiled for the use ....... FIP Vr g, 25.T ...... ...... 7.8' 30 .............. one Stoxy # 106 offt USA. hIfiftigemmit occurs if this same survey is reused in a later .. . . ....... ....... omm if a govamned body sell or % 9 disuixftitinany form. Community M=bW. 120652 I I t I a W111kfM It LEGEND SURVEY NOTES FN&D Found Nail and Disks Bump and coowmates refer to M 122 9.55' 2 Liegal Dacdpfwn puvided by odmm 0 Property Corner 3 The lands shom bmxm, were not (R) Recorded 0 FleldMMUM(l 14.01 Centahne foundations or other improvemeo were not located. FIP 1/2" Found 'FM Pipe 5 Elevations are based on National E-4 CoWeticVertited Datum 1929. % - 6 Fewe owumship not dd=imed, ro. Utffity Pole 7 WaR des are to the ftee of the wall. 8 Not valid unless scaled with an 1; Fire Hydrant embossed mveyoes seal. [EM Catch Bain 9 No identification found on pqedy comers udm noted, El Water Meter 10 Only visible anoadmunts Wood Fence 1000A I I The smvq dqdcted hmr, is not Chain Link Fence cveed by pk..d habiq Overhang Electric inffamwe, Habftli0dtW to the ....... .... cod ofthe survey. 12 This Survey is Wmiled for the use Elevation NGVD29 by *= W whom it is certified and far one budding permit or real esmcbfto*. 4h. odghIal woxk pmdud offt mvvqw and am subject to the copyright laws offt USA. hIfiftigemmit occurs if this same survey is reused in a later .. . . ....... ....... omm if a govamned body sell or % 9 disuixftitinany form. Community M=bW. 120652 VEUAGE OF MIAMI SHORES Panel' 12086 C 0302 . ....... . .... FIP 30.W 11/22. IL ------------------ Date Revised- 09-11-2009 Date of field work: 07-26-2012 56.13'(M) Flood zone: X . ............ .......... ............ ... . . 15' Alley 10' Pavexnwt:�:: FIP W Finished floor elevation: 11.60' .... .. ...... LOCAMON SKETCH NOT TO SCALE I I t I a W111kfM It LEGEND SURVEY NOTES FN&D Found Nail and Disks Bump and coowmates refer to Concrete Plat or NAD83. Asphalt 2 Liegal Dacdpfwn puvided by odmm 0 Property Corner 3 The lands shom bmxm, were not (R) Recorded abWacted fit essemmit or other FleldMMUM(l encumbrances io skvwnon plat 4UWeWvndporft=of1bdm Centahne foundations or other improvemeo were not located. FIP 1/2" Found 'FM Pipe 5 Elevations are based on National " diameter CoWeticVertited Datum 1929. C5K1 Covered Area 6 Fewe owumship not dd=imed, ro. Utffity Pole 7 WaR des are to the ftee of the wall. 8 Not valid unless scaled with an 1; Fire Hydrant embossed mveyoes seal. [EM Catch Bain 9 No identification found on pqedy comers udm noted, El Water Meter 10 Only visible anoadmunts Wood Fence 1000A I I The smvq dqdcted hmr, is not Chain Link Fence cveed by pk..d habiq Overhang Electric inffamwe, Habftli0dtW to the Metal Fence cod ofthe survey. 12 This Survey is Wmiled for the use Elevation NGVD29 by *= W whom it is certified and far one budding permit or real esmcbfto*. 13The attached swey matmials are the odghIal woxk pmdud offt mvvqw and am subject to the copyright laws offt USA. hIfiftigemmit occurs if this same survey is reused in a later cloMorbaftpermit hifimpm omm if a govamned body sell or disuixftitinany form. Community M=bW. 120652 VEUAGE OF MIAMI SHORES Panel' 12086 C 0302 SuffuL L F.LR.M. Date: 09-11-2009 Date Revised- 09-11-2009 Date of field work: 07-26-2012 Completion date: 07-27-2012 Flood zone: X Base flood elevation: N/A Diagram: IA Finished floor elevation: 11.60' Lowest adjacent grade. -9.25' Highest adjacent grade:9.59' Clown of road.- 10.11' Garage. -10.01' Latitude- 25051'51"N 80*11143" W FIP 1)2" — Ist"." \ Prey Address 106 NE 97th Std'A PIt 4, - - - Q, V Miami FL 33138 Folio No.: 11-3206-013-2561 Survey number: NEC1214wg/106dwg - - -. I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY,IMMIK MINIM%IM TWOWA STANDARDS AS SET FORTH BY *W RARIM &M OF PaSMON& LAW SURVEYORS AND MAPPERS IN OWIER 5J-47 RDM AMWASIRATIVE CODE, PURSUANT TO SECTION 472.027. FLORIDA STATUTES. Sam GMSERTO T. GAVARREIT REGISIM SURVEYOR AND SPATE OF FLORIDA. DAIE- 1011144t E FIP W" Leo Description: Lot 14, Block 19, MIAM1 SHORES SECTION I AMD, according to the Plat thereot as recorded in Plat Book 10, Page 70 of the Public Records of Miami -Dade County, Florida. GRAPHIC SCALE 20 0 10 20 40 IN FEET 1 inch = 20 ft. %,U1'M0VJUJLU'%%3 =%%3UXUEK0, LAND SURVEYORS, SOILS AND MATERIAL TESTING 10465 SW 461h STREET MLAW FL 33165 PHONE: 786-252-1440