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MC-15-426_V Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-229068 Permit Number: MC -2-15-426 Scheduled Inspection Date: March 04, 2015 Inspector: Perez, JanPierre Owner: RODRIGUEZ, LUIS Job Address: 736 NE 92 Street 1-K Miami Shores, FL Project: <NONE> Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: AIC Replacement Phone Number Parcel Number 1132060440290 Contractor: REEVE AIR CONDITIONING CONTRACTOR Phone: (954)7644481 Building Department Comments EXACT CHANGE OUT OF A WALL UNIT A/C FOR Infractio Passed Comments BEDROOM. INSPECTOR COMMENTS False _5 lJ C March 03, 2015 For Inspections please call: (305)762-4949 Page 23 of 38 Inspector Comments Passed 12 Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid March 03, 2015 For Inspections please call: (305)762-4949 Page 23 of 38 1 Q. Miami Shores Village �� - �`� BuildingDe 1XCE , , Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 FEB ;6 2015 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BY' FBC 20 (� BUILDING Master Permit No. ( PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: � /(✓� ®;' Yf — City: Miami Shores Countv Miami Dade ZiD• J. X Folio/Parcel#: Is the Building Historically Designated: Yes NO V11— Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):,/�/U �� /i®�/�/t�'L/E� Phone#:®✓� �/� y'�� d Address:Z& All 9d? lflAcwr City: State: _1 1 - Zip:. Tenant/Lessee Name: Phone#: Email:- CONTRAi Address: City: ,�1i�LL�(i��-�7f L� State:Zip: Qualifier Name: J % ��i� G, �G�� ``�� Phone#: State Certification or Registration #: C'�L, ®�7�� Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Value of Work for this Permit: $_t®�;L . ®V Square/Linear Footage of Work: Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New IZ] Repai ce ❑ Demolition Description of Work: /ri% ''T /�%��,f1 0&7- Q� A 1 /AZ/ iIWYV- 4/11 Specify Submittal Fee Permit Fee Scanning Fee $ 1 Radon Fee $ — DBPR $ Notary $ CCF $ CO/CC $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 on 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. -I - v1 nvI-w i CUNTRACTOR The foregoing instrument was acknowledged before me this �y�j6 day of 20 by AO-- % ��OGJ. who is personally known to me or who has producedT7L 'MI VV, ,( The foregoing instrument was acknowledged before me this day of 20 by *ErJ kFEVE who is personally known to ir me or who has produced identification and who did take an oath. identification and who did take an oath. as NOTARY PUBLIC: NOTARY PUBLIC• Sign: Sign: Print: Print: Notary Public State Of Flora , t nr`,�� 1111CK $ Seal: ; 8indieAlvarez Seal: ,$ " PA MY COMMIamm FF 188750 r NOtary Public -=10, FRlooft orgo Expiroe 09/0302018 s ' M goetanhala>I w y comm. Etf �� in � *eee*e*e**e*ee+x*x*ew*e*xwe**e+k*xeexe**e+�e*a*ew+�exex**eex.xwx*.s *e*a+�*wr*yew APPROVED BY JPns Examiner Zoning Structural Review Clerk (Revised02/24/2014) 2014-02-24 13:20 REEVE AIR CONDITIONI 9547198213» 18006857530 P 212 RICK SCOTT GOVERNOR KFN i AwcnN CFrRFTAPV STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CACD25439 ..—._ - ...... ._r .— — Fhe CLASS B AIR CONDITIONING CONTRACTOR Named glow IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31. 2016 REEVE, STEPHEN EDWARD REEVE AIR CONDITIONING -INC 2501 S PARK RD HALLANDALE FL 33009.3813 Nemo of Business REEVE. AIR CONDITIONING Is Hereby Engaged In The Business . Probsalon or Occupation Of AIC COMT)RACTOP MIC -M) AV AP nCf%f uoCM QV 1 A%AI Business Tax Receipt Oct. 1, 2014 To Sept, 30, 2015 TOWN OF PEMBROKE PARK 3150 S.W. 52nd Avenue Pembroke Park, Florida 33023 /S& (Zan10 erAO-Al annAMRAa Receipt No. 15.113308 Account No. 113308 Fee $ 78 75 Local Location: PemCfoke�Qlli tel. Penalty = 2501 S PARK RD " 112 year Name Of Business/Malling Address: Data Pald �• 4 + i l' - � y NOTICE: M the went the business for which this receipt was blued REEVE AIR CONDITIONING thong" hands, sold n mxdpt may by transferr+Od witfdn 30 daps of such GLYDi: REEVE thong@ or will becom@ null and void. All personal tea due on gid 2501 S PARK RD business must be paid before such transl@r will be grsr�ed. PF. MOROKE PARK FL, 33009 c �.. _ c �`.. •_ Thin Receipt Must Be Posted In A Conspicuous Place Town IikiTown r 2014-02-24 1319 REEVE AIR CONDITIONI 9547198213» 18006857530 e c r"N • P 112 CERTIFICATE OF LIABILITY INSURANCE TERM OR CONDITI.)R OF ANY Gt7NTRACT OR OTI4FR DOCUMENT WITit RraPCC f Ica WH(`:H rNin CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORD90 t 8V THF. POLICIF , DeSGRIeEO HEREIN IS SUBJECT TC ALL Trrf TFF km% EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY 12/15/2014 THIS CERTIFICATE IS BSUIED AS A MATTER OF WFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DORS NOT AFfIRMATWILY OR NEGATrVELY AMEND, EXTEND OR ALTER TWE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERMICAT9 OF INSURANCE DOES NOT CONSTITUTE A CONTRACT aMWEEN THE ISSUING INSURER(S), Al.ltfiCRQED REPREanTATIVE OR PRODUCER, AND THE CEKrWICATE HOLDER, OtpORTAM"�fha eergftcgto r+oldsrh An ADDITIONAL WSitRFD, Iiia ➢oAeYiFsol royal bei sadorsed. U RCGATtGN IE WAIV90, Suhloat re rhe gT+tta ant "R41116aa of Ota dahcr, certain pollcm may rpuat on ondomenwat. A outamont an this eonifleere does not confer ngbttl to ilia tiatURCW holder In tial► of such widorssmongol• PRObMR Leighton Campbell 1st AIIegFant insurance ILC c4sa> 3rs•.t235 ►iC No i6h4) 37.•57? 2450 Hollywood Blvd. Suite# 3019 , Isrgf+ton�letaleell�nl m cam Hollywood, FL 33020 _ z---� ' — -- PhonL+; (9541378.3235 Feu! ISS43323-5477 of 6 ER AFFOR04NO CQVERAfl$ lWe A Ur UIMRA: Starr Indemnity 8 LiabilitV Co 37362 — D ntsueeera: NOTmandY Harbor Insurance Co 03012 ' Reeve Air Conditioning Ina {NItuRER4 •ry: 2501 S Park Ind 1W3046a D . Tp ^� Hallandale Beach, FL 33009 {N3thWe9: .......,...�, 110URER F • ___ ._ __ THIS IB TO CERTIFY THAT THt. POLI les OF INSURANCE LMTRU BELOW HAVE BEEN ISSUED TO TN9 INSIIRFD NAMFn AP.t)VF Ftlk I HI= N{1+ Ii v !.,eR!GD INDICATFO NOTWITHSTANDINft ANY REOWREWNT TERM OR CONDITI.)R OF ANY Gt7NTRACT OR OTI4FR DOCUMENT WITit RraPCC f Ica WH(`:H rNin CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORD90 t 8V THF. POLICIF , DeSGRIeEO HEREIN IS SUBJECT TC ALL Trrf TFF km% EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDVCE,O by PAID CLxMB k TRR TVPR Or MISMANCO POLMY MIMBEW BI D1YVrP L7an15 .—.. ...• i cwrtlRaLLu►barrr _ .� COWLTtiIC>ALaENERAl7VSiLITY 1000083971131 EACr7OCCURReN0.p s 1,000.000 •• r f:LAtM5.1IA0E tiGCYtt 12/10/14 12110115 LdrM1W•qA- 450,000 VED exp akri at* W63, S 5.000 A :...' VERSANAL a ?nv ai u:. L 1.000,000 \ _ SiL'�i!•VAL piJ;stik �'e L 2,000,00L) ORMACA3116iAT LAW APrLrESKA ' POLICY t. J WRD• ?R:1Skn,TS :2,000,001} L —• 1 ..: .: LOC AOTOh L&LIAOLMY C�7MBINEt)91kL�12 LtAyT MIY AUTO L•WL7+Lv IlLAiRY :I�m admoo) $ 1 �O NBA r• •: SC SOULS0 MREOAV7� �' AMON-04{+NEb •--N . . GOINLY WJURY{Pd.&.-rant S N V ► S ._^-�.. 'Por ea M `, AUTOH T La Ntz"t. I i OCCUR .. OXC01116 L" ICLAN 817C�r Ur•"UnREtiGi: 1 _—....... ,-, [ b — r 0�—RBTBMAW 5 00%•• ! _ B A EF OrERO'LI It 1K ANY vy>aR7A7v x Vtrr 71' Rv i tM T5 f f4 h. ao.:rrAc:clnFV{ , 1,000.00WO PROPRI£TOWARTNEM-EXEC71TNt. 6F EMBACAMeft MiA NHFL140361 01/01/15 01/01/16 idBEEREXCLUDED" N h,}�\ tl uyA».riQyr OFSCRNnON I)F fi1rfl17ATlON$QMo•\ + L1+1; A*t • &A P MLO" 1 1,000,000 FL Sil'ak�u>: T+rXN.;Y L1M17 b i.OQV.�1O0 OE50RfPTI�1 CK O►BRATIOMI f Lflttlydka. \.wun� .....�....�� .-. ....-. . _ _ _ •... HVAC Contractor- LIC #CAC 025435 Miami Shores Village Building Dept. 10050 NE 2nd Ave Miami Shores, FL 33138 ACORD 26 (201"x) OF SHOULD ANY OF THE ABOVE DESCRa3ED POLt=S BE CANCELLED 66FORB THE WMATION DATE THEREOF, NOMIS WILL BE DEuVErtED IN ACCOR"Wee WITH THd POLICY PkOVISIONs• AUTNotttsBDlrat\ResBNTATIvt; �„� �• .� - •--- ®1988--2090 ACORD CORPORATION. Alf rights r"6' rVed., The ACORD name and logo are regtstaretd MarkS at ACORO Property Search Application - Miami -Dade County http://www.miarnidade.gov/propertysearch/#/report/summary F 1123 in - 1 MW Summary Report Property Information Folio: 11-3206-044-0290 Property Address: 736 NE 92 ST 1 K Owner JOHN & LUIS RODRIGUEZ &W ISABEL Mailing Address 736 NE 92 ST #1 K MIAMI SHORES, FL 33138-2957 Primary Zone 5000 HOTELS & MOTELS - GENERAL Primary Land Use 0407 RESIDENTIAL - TOTAL VALUE: CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 0/0/0 Floors 0 Living Units 0 Actual Area Sq.Ft Living Area 832 Sq. Ft Adjusted Area 832 Sq. Ft Lot Size 0 Sq. Ft Year Bulk 1949 Assessment Information Benefit Type 2014 Year 2014 2013 2012 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 $0 .... _.............. I ....... ......... $0 _. _. Market Value $98,810 $70,5801 $54,290 Assessed Value $56,0401 $55,2121 $54,290 Benefits Information Benefit Type 2014 2013 2012 Save Our Assessment Description 12/01/2002 $0 Homes Cap Reduction $42,770 $15,368 Taxable Value Homestead Exemption $25,000 $25,000 $25,000 Second Exemption Value 1 $25,0001 $25,000 Homestead Exemption $6,040 $5,212 $4,290 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description SHORES PLAZA EAST CONDO UNIT 1 K - 1 ST FLOOR UNDIV.01907% INT IN COMMON ELEMENTS Generated On: 2/19/2015 Taxable Value Information Previous OR 2014 2013 2012 County Description 12/01/2002 $0 Exemption Value$31,040 Qual by exam of deed $30,212 $29;290 Taxable Value 1 $25,0001 $25,0001 $25,000 School Board sales; Qual by exam of Exemption Value 1 $25,0001 $25,000 $25000 Taxable Value 1 $31,0401 $30,2121 $29,290 City sales; Qual by exam of Exemption Value 1 $31,0401 $30,2121 $29,290 Taxable Value 1 $25,0001 $25,0001 $25,000 Regional sales; Qua[ by exam of Exemption Value 1 $31,040 $30,212 $29,290 Taxable Value 1 $25,0001 $25,000 $25j000 Sales Information Previous OR Qualification Sale Price Book -Page Description 12/01/2002 $0 20990-4884 Qual by exam of deed 2008 and prior year 04/01/2001 $50,000 19587-1637 sales; Qual by exam of deed 2008 and prior year 06/01/1985 $47,000 12579-2617 sales; Qual by exam of deed 2008 and prior year 08/01/1983 $45,000 11904-1420 sales; Qua[ by exam of deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at hkp:/lwww.n ian idade.govfinfo/disclaimer.asp Version: 1 of 1 2/19/2015 1:26 PM 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): /Ytel /t� Y.ty ✓ T VPI/ City: Miami Shores Village County: Miami Dade Zip Code: 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 AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size):'1� 3. Voltage of Circuit (208 80): 1 1 � , 4. Size Disconnect' g Means: /�, /� Contractor's Company Name: � �� d``j,? Cg .,j Phone: _9r� 9-7-74V'15T1 State Certificate or Registr tion No. c 4C 0 ZS 1/3 2_Certificate of Competency No. Signature Date: (Qualifiers signs (Rev1sed02/24/2014) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER UNIT MODEL # gr! KW HEAT NOM t4 ®� 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 EERY SAI (o YES 0 REPLACING DUCTS YES AO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES I NO NEW ROOF STAND I YES NO YES SNO, NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size):'1� 3. Voltage of Circuit (208 80): 1 1 � , 4. Size Disconnect' g Means: /�, /� Contractor's Company Name: � �� d``j,? Cg .,j Phone: _9r� 9-7-74V'15T1 State Certificate or Registr tion No. c 4C 0 ZS 1/3 2_Certificate of Competency No. Signature Date: (Qualifiers signs (Rev1sed02/24/2014) AMO G 0 get t er�u'er�181p=hes end dlsrges, et I habeen teff in goat! a Tarhnioian Customer's Signature, S'�ee tlosnted CAC t2sr3a REEVE AIR CONDITIONING INC. 49821 Swvft am* ant! Brod" c"arist Space 1957 Mew Rwrul DAN NORTH DADE AND SOUTH BROWARD BROWARD av (315} 758.4731 (954) 962-MU (954) 76444BI 2501 South Park Road llasra §a, Ft 3WW ORDER MO ' 725 ADDRESS: 3 &—e— �c �► DATR/OF SCRtlICE CITY STATE: L, ZIP: PICK UP DATE MdMR� ��,�^ OTHBR o CO T/6 AURCHASK DATE CUSTOMER REMARKS: DEALER DIAGNOSIS ESTIMATE KE Irnnata_ Mn. SERIAL NO. AMO G 0 get t er�u'er�181p=hes end dlsrges, et I habeen teff in goat! a Tarhnioian Customer's Signature,