MC-15-2064 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-241454 Permit Number: MC-8-15-2064
Scheduled Inspection Date: August 26, 2015 Permit Type: Mechanical - Residential
Inspector: Perez,JanPierre
Inspection Type: Final
Owner: LINDHEIMER, SUZANNE Work Classification: A/C Replacement
Job Address: 1379 NE 104 Street
Miami Shores, FL 33138-2661 Phone Number
Parcel Number 1122320320030
Project: <NONE>
Contractor: REEVE AIR CONDITIONING CONTRACTOR Phone: (954)764-4481
Building Department Comments
EXACT CHANGE OUT OF ROOM UNIT 115 V 12000 BTU infraction Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 25, 2015 For Inspections please call: (305)762-4949 Page 32 of 48
Y 4 2 £ S,
Villa
Miami Shores e ` ltt#)� crtr�i+�� t@htatl
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e� 10050 N.E.2nd Avenue NE F
Miami Shores,FL 33138-0000
ti 'oma Phone: (305)795-2204 '
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�18t2tJi Expiration: 0211412016
Project Address Parcel Number Applicant
1379 NE 104 Street 1122320320030
SUZANNE LINDHEIMER
Miami Shores, FL 33138-2661 Block: Lot:
Owner Information Address Phone Cell
SUZANNE LINDHEIMER 1379 NE 104 Street
MIAMI SHORES FL 33138-2661
1379 NE 104 Street
MIAMI SHORES FL 33138-2661
Contractor(s) Phone Cell Phone i Valuation:
$ 828,13
Valuation:
REEVE AIR CONDITIONING CONTRA( (954)764-4481
Total Scl Feet: 0
Tons:0 Available Inspections:
Additional Info:EXACT CHANGE OUT OF ROOM UNIT 115 V Inspection Type:
Classification:Residential Final
Approved: In Review
Review Mechanical
Comments: Date Approved: : In Review
Date Denied: Type of Work:
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# MC-8-15-56725
DBPR Fee $2.00 08/14/2015 Credit Card $50.00 $64.60
DCA Fee $2.00
Education Surcharge $0.20 08/18/2015 Credit Card $64.60 $0.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $114.60
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
constructio and zoning. uthermore, I authorize the above-named contractor to do the work stated.
August 18, 2015
Auth zed Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
August 18, 2015 1
i
Miami Shores e Villa
g AUG 1 � ZQ
Building Department
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 T
INSPECTION LINE PHONE NUMBER:(305)762-4949 —
pF``BAACn2rr0N U
BUILDING Master Permit No. lvl� l
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING AECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: J /L/L�
City: 1Miami Shores County: Miami Dade Zip:
Folio/Parcel#:�/',�,vg,;)"D✓:V-to02 O Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder) G/��i(//✓�� ,C/il/�f��//YJ�� Phone#:�O✓�/��' � w n�
Address:f
City: /�/�y7lA01 .J!'�.�G�� State: O G= __Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name:/ Phone#: 9���� 2-
Address: �� _),j &we
City: �/9LLf�� ��LG State:__`L - Zip: 33o D
Qualifier Name-F/e
State Certification or Registration#:�//4�1// �L��lJ Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: "Q City: State: Zip:
Value of Work for this Permit:$ 0 '0&O . �3 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New 5Y(/Repair/Replace ❑ Demolition
Description of Work: ,� �% ( ���,�/�� QC//J � ��/� u�(/� //S-V,
e40 Fle t 6W hr W Maw 1- CP 12-610
Specify color of color thru tile:
Submittal Fee$ !–7V ,� Permit Fee$ ' o� CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$_ \
TOTAL FEE NOW DUE$ q.GO
(Revised 02/24/2014)
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 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 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.
Signaturei '— Signature— K
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
�y day of 19 V 20 /,� , by l 3 day of_40 c>S i 20 , by
who is personally known to S722H�'/J ReS416 ,who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: / G Print:
Seal: PATRICK STACKPOOLE Seal:
%'L�
Notary Public-State o1 Florida �Pd:��e.,,, PATRICK STACKPOOLE
•:
Commission#FF 183726 =_° �• Notary Public•Stata of Florida
•.My Comm.Eapna APr 10.2015 coanmissi a#FF Ui7Z0
• 1011r/ tirltir MM.
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 02/24/2014)
BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S. Andrews Ave., Rm. A-140, Ft. Lauderdale, FL 33301-1895—954-831-4000
VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015
DBA Receipt#
Business Name. . .._.. . Business Type
ner Name
` Business Opened: -; ;,:,
Business Location State/County/Cert/Reg:
Business Phone: Exemption Code:
Rooms Seats Employees Machines Professionals
r— For Vending Business Only ---�
Number of Machines: Vending Type:
Tax Amount Transfer Fee NSF Feel penalty Prior Years j Collection Cost Total Paid
- - - .
RICK SCOTT,GOVERNOR KEN LAWSON, SECRETARY
STATE OP FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ,
CONSTRUCTION INDUSTRY LICENSING BOARD
cACo2s
The CLASS B AIR CONDITIONING CONTRACTOR'
Named below IS CERTIFIED ,
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31. 2016
■ tit
REEVE. STEPHEN EDWARD % Q
REEVE AIR CONDITIONING INC
2501 S PARK RD
HALLANDALE FL 33009-3813
-.------ ............. . MICMi AV A C DCni I40Cr1 OV i AIA! Ccn r 1 4AAAI M"no
Name of Business Business Tax Receipt Receipt No.
REEVE AIR CONDITIONING Oct. 1, 2014 TO Sept. 30, 2015 15-113308
TOWN OF PEMBROKE PARK Account No.
Is Hereby Engaged In The Business 3150 S.W. 52nd Avenue
Profession or Occupation Of Pembroke Park, Florida 33023 113308
AIC CONTRACTOR Fee$ 7875
i
i
Local Location: Pem! Dol.Penalty S
11'2 year
2501 5 PARK
Date Paid C ri' _r Z _"y
Name Of BustnessfMaiting Address:
NOTICE: In the event the business for which this receipt was issued
REEVE AIR COlVD/TI(NV1Iv changes hands,said receipt may be transferred within 30 days of such
CLYDE REEVE change or win become null and void. All personal tax due on said
business must be paid before Such transfer will be gra,"d,
2501 S PARK RD
PEMBROKE PARK FL- 33009 I f .
This Recolpt Must Be Posted in A Conspicuous Place Town M,an ger j
CERTIFICATE OF LIABILITY INSURANCE1121I512014
[LATE iMMR3D+YYYY}
_
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
[ IMPORTANT: If the COrlincate holder is an ADDITIONAL INSURED,the P011CWt0s)Must be andomed. If SUBROGATION IS WAIVED,salLlecl to
the,terms and conditions of the policy,Certain Policies roay require an endorsement, A statement on this cartificate does not confer rights to the i
certificate holder In lieu of Nutt endomementisi.
PRODUCER t?NTACT
NAME• Leighton C.arripbell
Ist A,llegiant Insurance LLC E 1, (964)37&,3235 PA
�4a0
Hollywood Blvd,zulteil303B a c No): (954)323-5477
P� t x tstall A&�.e
I`ioll}'Yr'i7Qd,FL 33020INSURE S AFFORDING COVERAGE
Phn e:(954)378-3235 I`ax�(954)323-5477 INsuRFIIA: Starr Indemnitv& Liability Co 37362
INSURED INSURER a, Normandv Harbor Insurance Co 1361
Reeve Air Conditioning Inc INSURER
2501 S Parc Rd INSURER0
Hallandale Beach, FL 33009 1 URERE:
INSURER F: l l
I—OVERAGES CERTIFICATE NUMSER-. REVISION NUMBER,
TH e IS TO CERTIFY THAT THE.POLICIES OF EiSURANC:E LISTED BF.tQVV HAVE BEEN ISSUED TO THE INSURF0NAMED ABOVE"F09 THE POi I i F EitIO
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONIRAGT OR OTHER DOCUMENTVJITH RESPECT 4C7 WHICH THIS
CERTIFICATE MAYBE ISSUED ORMAY AY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED mEREiN IS SUBSECT TO ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID!CLAIMS.
€ RR TYPE OF INSURANCE Ado U POLICY EFF PCILICY£XP _
L€TY !NSR Wv—D POLICY huM8eA UOt yy tmmeafYYY4 LIMIT'S
GENERA!.iJAUi
I EAn OCCURRENCE 1,0t}0,000
2TcO„WKCAL CE PAl� 100I053971131 12f10114 12j90€15 PRE3SEa L.N ._ 50.000
_
I :,J!Aid-E�yCF (:OUR
_ MED EXP€A 3o-tirr s 5,000
s AaA.LADV a ,, s 1,0Q0 066
2,000,000
x N'L AGGREGATE,tt r APt 5.S P € 2,000,000 �
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AUTAMOOkE LIAOrLn`y WMSINED SINUL."r;L Wr?.
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Al. iI�NESCFfEGULED
AU'rt!S AUTOS SODILi INJURY{Pe acx...aem! S
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EXCESS LIAO C AIVS-MASE. ....... _..._.._. _. ..,,.._.I
ASO GR.EGATr.
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w OPKERS COMPENSATION _ TC3RY�}
AND EMPLOYERS LIASII,ITY YIN,
ANr RUPR*I OF PA TNERExECUrVF, NHF`L1 036" 01/01/15 01/01116 �r E� ENT 2 1,000,000
t'i rIGE R+FFryIBFR '.'r4Lt,3{}.i)? I N:A
�s derscr.se u�a,�.
3, z 'Llbl 3
wca; 1(Or OF OPERATt04S W , u;EASL POLICY UNI I .S, 1,000,000
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DES;:€;€PT7{}N 4F OPERATIONS€LTOG•.AT€DNN rvEttFGLES(Arkaclr ACOId••d YQt,htidllosast Rearaatkx$elwdlxle,it m4rq s(4gGe€a rt+°gr:artd)
HVAC Contractor-LIC#CAC 025438
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CERTIFICATE HOLDER – CANCELLATION
Miami Shores Village Building Dept. S14OULDANY OFTHE ABOVE DESCRIBED POLICIES BECANCELLEDBEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
10050 N E 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS,
Miami Shores, FL 33138 w --
I _ AUTHORIZED REPRESENTATIVE
i w
s
01988-2010 ACORD CORPORATION,, All rights reserved,
ACORD 25(2010105)OF The ACORD name and#raga are registered Marhs of ACORD
Property Search Application- Miami-Dade County http://www.miamidade.gov/propertysearch/#/report/suminary
OFFICE OF THE PROPERTY APPRAISER
...
Summary Report
Generated On : 8/13/2015
Property Information ,-� ,�; Ith
Folio: 11-2232-032-0030
.................._._..._.... ....
Property Address: 1379 NE 104 ST _
_
Owner SUZANNE LINDHEIMER
1379 NE 104 ST
Mailing Address MIAMI SHORES , FL
33138-2661
1300 SGL FAMILY-
Primary Zone 2801-3000 SQ
Primary Land Use 0101 RESIDENTIAL-
SINGLE FAMILY .- 1 UNIT
Beds/Baths/ Half 3/2 /0
Floors 1
Living Units 1 Taxable Value Information
Actual Area 2,952 Sq.Ft 2015 20142 2013
Living Area 2,594 Sq.Ft County _
Adjusted Area 2,713 Sq.Ft Exemption Value $50,000 $50,000' $50,000
Lot Size 8,925 Sq.Ft Taxable Value $221,415 $219,261 $215,282
_... __�_....._ ......................
Year Built 1949 School Board
Exemption Value $25,000 $25,0001 $25,000
Assessment Information
Year 2015 2014 2013
Taxable Value $246,415 $244,261; $240,282
_.._..__..._................. . _......f.__._.__._._________..._..._________ __._____.__.......___. city
Land Value $312,324 $294,208 $267,396 _�__..-___._ __._-.__._.____.__. ____ _ .�.__.__..........._......__.._.
Exemption Value $50,000 $50,000 $50,000
Building Value $200,006 $195,413 $195,413 -
Taxable Value $221,415 $219,261 $215,282
XF Value $11,415 $11,431 $11,447
-- Regional
Market Value $523,745 $501,052 $474,256 --.__.___._ ......................___.__...._.__._. __.__._.._..__...__.__....__.._.._._._........_...�____.
Exemption Value $50,000 $50,0001 $50,000
Assessed Value $271,415 $269,261 $265,282 -_.._......_...._......_...._................__....__.._........___..__............_. _......,.._._.._.....__......____............._....
Taxable Value $221,415 $219,261 $215,282
Benefits Information
Sales Information
Benefit Type 2015 2014 2013
Previous price OR � Qualification
Save Our Assessment Sale Book-Pae Description
Homes Cap Reduction $252,330 $231,791 $208,974 T_�.__,__-__. g p
_....o-------......- ...................................._._._.__........_.... ....._.............
---- - - - ----..-.---.-. 01/01/1994 $0 16222-1730 Qual by exam of deed
Homestead Exemption $25,000 $25,000 $25,000
Second
Homestead Exemption $25,000 '$f5,000 $25,000
Note: Not all benefits are applicable to all Taxable Values
(i.e. County, School Board, City, Regional).
Short Legal Description
1 of 8/13/2015 12:09 PM
Property Search Application-Miami-Dade County http://www.miamidade.gov/propertysearch/#/report/summary
FIVER BAY PARK ADDN PB 40-72
LOT 3 BLK 3
LOT SIZE 75.000 X 119
OR 16222-1730 0194 5
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 http://www.miamidade.gov/info/disciaimer.asp
Version:
2 of2 8/13/2015 12:09 PM