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MC-15-2807 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-247230 Permit Number: MC-11-15-2807 Scheduled Inspection Date:January 13, 2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: BOUCUGNAI,ANDRES&MARGARITA Work Classification: A/C Replacement Job Address:726 NE 92 Street 10-L Miami Shores, FL Phone Number Parcel Number 1132060440480 Project: <NONE> Contractor: REEVE AIR CONDITIONING CONTRACTOR Phone: (954)764-4481 Building Department Comments INSTALL A 10000 BTU REV CYCLE ROOM A/C UNIT AS Infractio Passed Comments AN EXACT REPLACEMENT OF EXISTING LG ROOM INSPECTOR COMMENTS False UNIT Inspector Comments Passed 19 Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. January 12,2016 For Inspections please call: (305)762-4949 Page 6 of 31 4 6- Miami Shores Village PBI7t y!@:M#s�l"iaR Ce(=* t3SIde 10050 N.E.2nd Avenue NE rm INohk ��kC ROP1sCe1'(iel"tt Miami Shores,FL 33138-0000 Permlt'Status:APPRO(ED h�A, Phone: (305)795-2204 �ioRm�* Expiration: 0511 X2016 l�.t� :111131201 p� Project Address Parcel Number Applicant 726 NE 92 Street Number: 10-L 1132060440480 Miami Shores, FL Block: Lot: ANDRES&MARGARITA BOUCU Owner Information Address Phone Cell ANDRES&MARGARITA BOUCUGNAI 136-05 SANFORD Avenue FLUSHINO NY 11355- 136-05 SANFORD Avenue FLUSHING NY 11355- Contractor(s) Phone Cell Phone Valuation: $ 1,485.57 REEVE AIR CONDITIONING CONTRA( (954)764-4481 r. _.., Total Sq Feet: 00 Tons: Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Approved:In Review Review Mechanical Comments: Date Approved::In Review Date Denied: Type of Work: INSTALL A 10000 BTU REV CYCLE R Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee Invoice# MC-11-15-57658 $2.00 11/04/2015 Credit Card $50.00 $66.20 DCA Fee $2.00 Education Surcharge $0.40 11/13/2015 Check#:5298 $66.20 $0.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $116.20 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERVand T: I certify all the foregoing information is accurate an that all work will be done in compliance with all applicable laws regulating constructsng. Futh ore orize the above-named_contractor t o the00 ork stated. r/ /3 /s November 13, 2015 A thodzid Signature:Owner / App li Contract / gent Date Building Department Copy November 13,2015 1 _ RE CRUD IVl ld l i l l JI 1U1 C, V 111dKC NOV 0 4 NIS 1 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(30S)795-2204 Fax:(305)756-8972 INSPECTION UNE PHONE NUMBER:(303)762-4949 FBC 20 ! � BUILDING master Permit No. = 2� PERMIT APPLICATION sub Permit No. ❑BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION a EXTENSION ❑RENEWAL []PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CONTRACTOR ❑CANCELLATION [] SHOP SHOWINGS !oa ADDRESS: 7 Z � �� ' �T � 0 i Mia ho n mi D 331 Folio/parcel#:_I I � 1.0 6 - YY y- U Y 1?0 Is the Building Historically Designated:Yes NO Occupancy type: Load: Construction Type:_ Ftood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholro r): S 0 U G U n Phoned: 2,e' i 6 3 6- f)$ 510 nh � I,/� Address: f 3 f 1 Ip' City: �` V State:. �� Y oneN: Tenant/Lessee Name: i Env�- s �D PhC�Jam-• ? -��S Email: CONTRACTOR:Company Name: 1E EV TRAAID P7 '�� Phonep: Address: �2_ P84K L.� � ate:St ,C City: �E Va l �� Phone#f: Qualifier Name: State Certification or Registration#: C 0 .1 Certificate of Competency ll: Phoned: DESIGNER;Archltect/Englneer: Gry; State: Zip: Address: Value of Work for this Permit:$ 1 IS tSquare/Llrtw Footage of Work; Type of Work: ❑ Addition ❑ Alteration El New I-Repalr/Replace ❑ Demolition DeacriptlonofW k:� N. � L .4 /®o ®�E' 05Tn) -- imf T „ * 7- OF 04? Specify color of color thru tile: Submittal Fee$ Permit Fee$ �®� CCF$ CO/CC$ Scanning Fee$ Radon fee S DBPR$ Notary$ Technology Fee$ Tralning/Education Fee$ Double Fee$ Structural Reviews$ _ Bond$ ^� TOTAL FEE NOW DUE S U0 /fl TOOp 92lpug CTCCT96STL IVA 6Z:TZ STOZ/LO/LO _••• •• • • • •_ •1 .1 1 •- I I 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 CYOUNNTEND RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO OUR PROPERTY. F 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 item low brochure will be delivered to the person whose property is subject to attachment. Also,o certiJled copy of the recorded notice of commencement must be posted of the Job site for the first inspection which occurs seven (y) 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 Signature OWNER or AGENT CONTRACTOR The foregoing Instrument was acknowledged before me this The foregoing instrument was acknowledged before me this a day of �'� .20 iS' by /6 day of �� 20/by p/2&T 0, (amu ivAA&'ho Is personally known to `—� E V who is pqsonaIILkaQWnX0 r me orwho has produced me or who has produced as Identification and who did take an oath. Identification and who did take an oath. NOTARY PUB ! NOTARY PUBLIC. , Sign: n: f09 Print: Print: ""V-pu 1Io,Stifle at Seal: Seal: No.O1�MGIM ��.4;,�.a�e,,�� PATRICK STACKPOOLE Quamm aQ s Alotary Public-State of Florida Cwlflf"o Rid irft aawr=Cou" 83728 1 FF#Commieelsn Common Expires June 30,2016 Mb►r�fiMpqFF �6ttstfl ssirr■...r�,: sfiMM*4��**f+��iK��iti�YMAirY4�i�W��wi+i*Rt+li �41�t •*ft�ii!*• � �ea� (��A{sA. APPROVED Examiner Zoning BY ' Structural Review Clerk £00 saapus CT££T969TL %Yd 0£:TZ STOZ/LO/LO -•-. •• • i sajo • •. •1 .1 1 •- R Miami Shores Village Building Department u.. an 10050 N.E.2nd Avenue Miami Shores,Florida 33138 %-AZGP, 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): 1Z& LAZE Z E, '92 .9-Z, __*/0 City: Miami Shores Village County: Miami Dade Zip Code: 33/32 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 ❑ UNIT BEING REPLAC.FD_ _ DATA NEW UNIT MANUFACTURER E / AHU or PKG.UNIT MODEL# COND.UNIT MODEL# /i I—E KW HEAT NOM TONS 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 EER/SEER YES NO REPLACING DUCTS YES NO YES 0 REPLACING THERMOSTAT YES NO YES NEW 4"CONCRETE SLAB YES NO YES NEW ROOF STAND YES NO YES 0 NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity(Wire Size): 2. Maximum Overcurrent Protection(Fuse/Breaker Size): 3. Voltage of Circuit(208/240/480): 1 1 4. Size Disconnecting Means: Contractor's Company Name: &e ilx t4l2 67VV41T/9I/M,�� Phone: 1 State Certificate or Registration No.CA-6 0 Certificate of Competency No. Signature 6ZL� Date: (Qualifier's sign re) (Revised02/24/2014) 745 North East 91st Street Miami Shores, FL 33138 305-759-9069/FAX 305-759-2101 E-MAIL speI23@att.net September 30, 2015 Miami Shores Village Building Dept. 10050 NE 2nd Avenue Miami Shores, FL 33138 Dear Sir/Madam: This letter will serve as your confirmation that "Reeve Air Conditioning" has been contracted by the owner of Unit l OL, at 726 NE 92 Street, Miami Shores, FL, and is authorized by the Board of Directors of the Shores Plaza East Condominium Association to install a new A/C Wall Unit at said Unit. Should you have any questions regarding the enclosed, please feel free to contact the condominium office. Sincerely yours, 7bert Gonzalez President cc: file ' �.tA' F C01 A` Property Search Application-Miami-Dade County http://www.miamidade.gov/propertysearch/#/report/summary OFFICE OF THE PROPERTY APPRASER Summary Report Generated On : 9/29/2015 Property Information `s Folio: 11-3206-044-0480 Property Address: 726 NE 92 ST 10L , r ANDRES BOUCUGNANI Owner MARGARITA M BOUCUGNANI s r 136-05 SANFORD AVE APT �fr< s . t ' Mailing Address 46 FLUSHIN9, NY 11355 5000 HOTELS&MOTELS- ' Q Primary Zone GENERAL 0r fi 3�v erN' 0407 RESIDENTIAL-TOTAL s:. Primary Land Use VALUE : CONDOMINIUM- RESIDENTIAL Beds/Baths/Half 0/0/0 Taxable Value Information Floors 0 2015 2014 2013 Living Units 0 County Actual Area Sq.Ft Exemption Value $0 $0 $0 Living Area 582 Sq.Ft Taxable Value $48,328 $43,935 $39,941 Adjusted Area 582 Sq.Ft School Board Lot Size 0 Sq.Ft Exemption Value $0 $0 $0 Year Built 1949 Taxable Value $66,270 $56,640 $47,200 City Assessment Information Exemption Value $0 $0 $0 Year 2015 2014 2013 Taxable Value $48,328 $43,935 $39,941 Land Value $0 $0 $0 Regional Building Value $0 $0 $0 Exemption Value $0 $0 $0 XF Value $0 $0 $0 Taxable Value $48,328 $43,935 $39,941 Market Value $66,270 $56,640 $47,200 Sales Information Assessed Value $48,328 $43,9351 $39,941 Previous Book-Page OR Qualification Benefits Information Sale Description Benefit Type 2015 2014 2013 2008 and prior year Non-Homestead Assessment 03/01/2002 $40,000 20252-2930 sales; Qual by exam of Cap Reduction $17,942 $12,705 $7,259 deed Note: Not all benefits are applicable to all Taxable Values 2008 and prior year (i.e. County, School Board, City, Regional). 08/01/2000 $33,000 19219-3953 sales; Qual by exam of deed Short Legal Description 05/01/1999 $0 18629-3392 Qual by exam of deed 2008 and prior year 12/01/1991 $18,500 15311-1547 sales; Qual by exam of I of 2 deed • 7 AM PC - CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE 18 ISS LW-D AS A MATT ER OF INFO RMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE.... I CERTIFICATE DOES Nor AFFIRMATAMLy ORHOLDER.THIS SEL NEG"NELY AMEND, EXTEND OR ALTER THE COV ERAGE AFFORDED BY THE POLICIES "3 C"RT*"TF-0" INSURANCE DOES NOT COM MUTE A CON TRACT BETWEEN THE REPRE8ENTATIVE OR PRODWIER,AND THE CERTIFIDATE jjDLOM ISSUING INSURER(S), AUTHORIZED - If UM fWMCSW holder Is an ADDITIOW -9�5� IA9 forms and cmWitions of tim policy.Ceftm poWje U mUW�b. .d�*med. If�SUBROGATJOW—1r.-WC1-VED..bjt�t. 20"ificatO b0ld8r In flat'of ft§-&h—dorso nant(e). 5 my MquirO an 0"d0M9Mnt, A statemont on this conificaft does not conf�er tight'q to the lot Alleglant insurance, rzc 2419 Hollywood alvd, {SS�ak37a 325 ax I Ste. z99 <_TraatatcarL1s13�aT �nt cpm H011ywood FL 33020 Fmava A*ix Conditicning Ifte r ............ 2501 9 Park rd Hallanale .......... THIS CERTIFIC' �4RCATE ' L _ THII 8ENTATI ORT - end COVERAGESCERTIFICATE NUMSEP-2ea S IS TC 0ERT,.FY TH�: Sic cart.%ficate REVISION NUMBER: ELOW HAVE BEEN IssuEn�C,' NENTiON OF ANY CONTRA�T OR OTHER DOCUM=NT W-TH %DICAIEDI Hr1T1A1iHST'ANa)NG Aw REQ�IR:EM,! 'D 8 E:NT.TERM OR CC' THE INSUREeJ'NAMED 1-10'Vj 11�� QERTINCATE %4,AY sE tSSUeo OR MAy peRTAX 1'qE'N8LIRANCEAFF0A0E'D8y THE POLICASS OESCRIPEO H�E --XCLUVONS AND QONDI-17ONS OF SUCH POLICE-&LIMIT$SH MAY HAVE BEEN REDUCED rsv PAID C, REIIN M 5'-ajecl To 7-.E 72WAIIi OWN X COAtNIMIAL GIe�LL4gpjW LT"41TS CLQVS VA�;E EAC�f 0CCVRRErV! I coo,00") ........................ X ' ...... ............... 12/-mr,20251 MEf AWAE"rr UW APPU4 PEP I T"POUCY; i P 2,COO,Ooo ? L=_t L--f jECT -J LOC OTH2n, yp Ac, S 2,000,DOC AUTOMOMLE UAS"i7y LIN ANY AOT�� J6= 800LY�%J"Jp'y fAw AUTOS .......... A-, ............ UVORWA VAO EXCESS LAS s AW.;REGATr !"ve"Jovew LV.WAJ'TY ............ E� tA Wpko'ss GESCRIPto Z �'�OO be aftadmd a Mon sPa00 16 mcwtmd) CAC#025439 HVAC Contractor CANCELLATION Village of Miami Shores SNMXD ANY OF THE ASOVE DESCPJaEo POLICIES BE CANCELLED BEFORE THE EMRATION DATE THEREOF, NaMS WILL 13E DELIVERED IN 10050 N E 2 Ave ACCORDANCE wrm THE POLICY mtqsiom Miami Shores,FL 33139 0 1=2014 ACOLROCORPORATION. All rights raServed, ACORD 26(20woi) The ACORD name and logo are registered marks of ACORD ................. —------ ............................---- --—--------