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MC-15-2798 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-247105 Permit Number: MC-11-15-2798 Scheduled Inspection Date: November 25, 2015 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: PIANELLI, FELIPE Work Classification: A/C Replacement Job Address:250 NE 91 Street Miami Shores, FL 33150- Phone Number (305)490-3592 Parcel Number 1132060190420 Project: <NONE> Contractor: EDD HELMS AIR CONDITIONING AND ELECTRIC Phone: (305)653-2530 Building Department Comments REPLACE 4 TON SPLIT SYSTEM. Infractio 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. November 24, 2015 For Inspections please call: (305)762-4949 Page 18 of 42 S qg �3 Miami Shores Village M mit�-ya �tnic � I 10050 N.E.2nd Avenue NE i rid Miami Shores,FL 33138-0000 Phone: (305)795-2204 \ ;IF , '`colarv' Expiration: 05/02/2016 �, sIN 11/41 �, Project Address Parcel Number Applicant 250 NE 91 Street 1132060190420 Miami Shores, FL 33150- Block: Lot: FELIPE PIANELLI Owner Information Address Phone Cell FELIPE PIANELLI 250 NE 91 Street (305)490-3592 MIAMI SHORES FL 33138-3128 Contractor(s) Phone Cell Phone Valuation: $ 7,700.00 EDD HELMS AIR CONDITIONING AND (305)653-2530 Total Sq Feet: 0 Tons:4 Available Inspections: Additional Info:REPLACE 4 TON SPLIT SYSTEM. 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 $4.80 Invoice# MC-11-15-57645 DBPR Fee $4.04 11/02/2015 Check#:6258 $ 50.00 $249.38 DCA Fee $4.04 Education Surcharge $1.60 11/04/2015 Check#:6259 $249.38 $0.00 Permit Fee $269.50 Scanning Fee $9.00 Technology Fee $6.40 Total: $299.38 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING, MECHANICAL,WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. F I auth rize the above-named contractor to do the work stated, November 04, 2015 Author' Ignat re: r / Applicant / Contractor / Agent Date Building Department Copy November 04, 2015 1 C_j Miami Shores Village � �C Building Department N0 2 2015 ��l g p 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 FB jC�J20 BUILDING Permit Nd." `(� U PERMIT APPLICATION Master Permit No. Permit Type: MECHANICAL(� c JOB ADDRESS: 2W me I I J � City: Miami Shores County: Miami Dade Zip: ? Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): Phone#: Address: -�21 2 � City: Shjoy & State: [Z Zip: &56—, Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: G(/1A •t•IejrnS Ac, Phone#:1365—6&11S33 Address:1 /4o2_City: State: Zip Qualifier Name: xYcain Phone#: WG—Z5 State Certification or Registration#: 6 21 3Cq Certificate of,Cpom etency#J Contact Phone#: Email Address: `C 6(tkl&1S•com DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ �' '—vSquare/Linear Footage of Work: Type of Work: ❑Address ❑Alteration�1, ❑New tepair/Replace ❑Demolition Description of Work: "[koy) T S**Submittal Fee$ �� •CX) Permit Fee$ 2V� t CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ ° 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 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 L Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 3 The foregoing instrument was acknowledged before me this day of P ,2015,by��,cl kfrae, day of / C-*) 20 /.5,by J)LX`✓nQ; 16R>k who is personally known to me or who has produced F`L. wh personally known to me who has produced �), As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires o ,� Notary Public I�St teFof F o,�rla My CommissiotEg �� NADINE AUSTERFfELG �x y r v "� Notary Public-State of Florida 'r My Commf cion Expires Nov 7 2017 k j 11�!� My Commission Expires Prov 7,2017 3 4 Commission>'.'FF 55651 �'' FVF F�;° Conirilvssion il FF 55651 w, APPROVED BY 2 1 lans Examiner Zoning Structural Review Clerk Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) ' CFN: 20150672199 BOOK 29821 PAGE 3494 DATE:10/20/2015 03:04:46 PM DEED DOC 3,660.00 HARVEY RUVIN,CLERK OF COURT,MIA-DADE CTY Pre an red by and return to: Marcs Lowman,Esq. Partner Kim&Lowman,LLP 8620 NE 2 Avenue Miami,FL 33138 305-981-4477 File Number: 15-Perrott-3780 Will Call No.: (Space Above This Line For Recording Data] Warranty Deed This Warranty Deed made this 15th day of September,2015 between Felipe Pianeill,a single man whose post office address is 1470 NW 107 Avenue, Suite 22U,Doral, FL 33172, grantor, and Ronald Perrotte, a single man whose post office address is 1245 Euclid Avenue,Unit 2,Miami Beach,FL 33139,grantee: (Whenever used herein the terms "grantor" and "grantee" include all (lie parties to this instrument and the heirs, legal representatives, and assigns or 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 N0/100 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: Lots 6 and 7,Block 3,EL PORTAL,according to the Plat thereof,recorded in Plat Book 9,Page 101, of the Public Records of Miami-Dade County,Florida, Parcel Identification Number: 11-3206-019-0420 Also known as 250 NE 91 Street,Miami Shores,FL 33138 Subject to taxes for 2015 and subsequent years; covenants, conditions,restrictions, easements,reservations and limitations of record,if any. 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 matters of record and taxes accruing subsequent to December 31,2014. In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written. DoubleTimeo CFN:20150672199 BOOK 29821 PAGE 3495 Signed,sealed,a elivered in our presence: Witnes"s� u . m't L­x>Yrnal Felipe Pianelli Witness Name: LA (,L(_SC{i State of Florida County of Miami-Dade The foregoing instrument was acknowledged before me this 15th day of Septe 2015 by Felipe Pianelli, who [� is personally known or[X]has produced a driver's license as identification. [Notary Seal] Notary Public c01I>,115610N i FF 031816 Printed Name: GUI yb EXPIRES:July 9,2017 An OfFro V� Upnded Thru BuE�el Nalary 6anlcea My Commission Expires: Warranty Deed-Page 2 DoubleTlmeo Z --Z2 3 �ywORES�! Miami Shores Village Building Department soon NOV 0 2 2015 10050 N.E.2nd Avenue Miami Shores, Florida 33138 ENres n+9 Tel: (305) 795.2204 fitORiDp' 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): 2—S-0 a F ( 41,evj City: Miami Shores Village County: Miami Dade Zip Code: ��7b 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❑ NOL� ARHI Sheet Attached:YES NO ❑ Contract Attached:YES UNIT BEING REPLACED DATA NEW UNIT .eAZ,e_M MANUFACTURER -Z%4_-rt 0 AHU or PKG. UNIT MODEL# ,&K A O,+! COND. UNIT MODEL# (� KW HEAT ) NOM TONS AHU' ' CU PKG 1) M.C.AAIA%/ (p D A4S, C'v AHUfOCUla PKG CU PKG 2) M.0.PFWA V SIC AHUW CU to PKG AHU CU PKG 3)VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER 1-1 YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES YES NO NEW ROOF STAND Y YES NO NEW RETURN PLENUM BOX C YES NO 1. Minimum Circuit Ampacity(Wire Size): (Q 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: �^�6lla t�2 1t'►r ( Phone 4;m2 State Certificate or Registration N 2�,0 9. Certificate of Competency No. Signature Date: (Qualifier's signature) (Revised02/24/2014) This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. B A A 1 uert■ ficate of Product Ratinn as AHRI Certified Reference Number: 5996229 Date: 10/26/2015 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR7048A1 Indoor Unit Model Number: *AM7AOC42H31 Manufacturer: TRANE Trade/Brand name: TRANE Region: All (AK,AL,AR,AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL,,IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD,TN,TX, UT,VA,VT,WA, WV,WI,WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1,2015, are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners can only be installed in region(s)for which they meet the regional efficiency requirement. Series name. XR17', Manufacturer responsiblefor the rating'of this system combination is TRANE Rated as follows in accordance'with AHRI Standard 210/24012008 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). 48500 EER Rating (Cooiing)y 13.00 SEER Rating (Cooling): 17.00 IEER Rating (Cooling)':` 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 COrtificate 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. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link Nve make life better'" and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which Is listed above,and the Certificate No.,which is listed at bottom right. 1309033572$7$5485$ ©2014 Air-Conditioning,Heating,and Refrigeration Institute I CERTIFICATE NO.: