MC-15-3094 (2) _ E
a }'
�'ly \ � .� � w� P. •ti .3 � X91 _ v v;i�=
.,� Miami Shores Village
10050 N.E.2nd Avenue NE " a
Miami Shores,FL 33138-0000 ��
Phone: (305)795-2204 yy�
zExpiration: 0611612016
n:..
Project Address Parcel Number Applicant
300 NE 101 Street 1132060135330
CLIFFS ON THIRD AVENUE LLC
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
CLIFFS ON THIRD AVENUE LLC 1490 NE 103 Street (305)335-6685
MIAMI SHORES FL 33138-
1490 NE 103 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 4,800.00
I'
MARVIN'S AIR CONDITIONING CORP (305)541-8408 Total Sq Feet: 0
Tons:4 Available Inspections:
Additional Info: Inspection Type:
Classification:Residential
Final
Approved:In Review
pp Review Mechanical
Comments: Date Approved::In Review
Date Denied: Type of Work:
Scanning:2
Fees Due Amount Pay y Type Date Pa T Amt Paid Amt Due
CCF $3.00
DBPR $2 52 Invoice# MC-12-15-58047
DCA $2 52 12/15/2015 Check*8687 $50.00 $137.04
Educatibh Surcharge $1.00 12/18/2015 Check*8689 $137.04 $0.00
Perrn� Fee $168.00
Scan&*Fee $6.00
Cn
TechMogy Fee $4.00
Tot o: $187.04
ci
In cWsideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
Pe � 9 pe P e9
perfQiing thereto and in strict conformity with the plans,drawings,statements or specifications cations 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.
0#',gERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
r ►'�J 9
coMtruction and zoni . uth o I autho' e above-named contractor to do the work stated.
December 18,2015
Au
Ow(e / Applicant / Contractor / Agent Date
BuildingDepartment
p Copy
December 18,2015 1
4� Miami Shores Village
�v Building Department DEC I 20is
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)755-8972
INSPECTION LINE PHONE NUMBER:(305)762.4949
FBC 20014
BUILDING Master Permit No.MGlS — 301-1
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING MECHANICAL ❑PUBLIC WORKS n CHANGE OF [:]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
!OB ADDRESS: _C)O N)T—: l01 Sk
City: Miami Shores County: Miami Dade Zip: 3313 IN
Folio/Parcel#: II -?;,2 Ci Co-W3 - 1330 is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 0 i s 6., * �scK 6yt LLL Phone#:. . .3N�S 3?S L,,GZ
Address: ll '',,14%0 ME 103 sk
A
City: wmM1 '-�O 'k State: '�—(— Zip: 513 a
Tenant/Lessee Name: Phone#:
Email: 1
CONTRACTOR:Company Name: I-���!J�h S f�.� C'� IC � l p Phone#:
Address: && ,, 1`�K ( S�•� t 1 T Ct
City: FIL Zip: 3?i3U
Qualifier Name: �C?rl�l �l `Jn� a0 Phone#:
State Certification or Registration#: Certificate of Competency M
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ %i�W•B° Square/Linear Footage of Work.
Type of Work: ElAddition ❑ Alteration F-1New Ea-'Repair/Replace ❑ Demolition
Description of Work: ((_ P C''� CVIA+�I G.C Cx-�'C Lt Von
Specify color of color thru We:
Submittal Fee$Sb`tj3 Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
1 (ReWsedQ2/24/2014) J
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 AFROAVtT: 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 e ll�-� Signature 1
OWNER or AG&P CONTRACT R
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
H114 day of �c�c�mbe�' .20 �" .by /"/)0 day of fe r' 20 15 •by
0i,rF0d t .who is personally known to rte .�/�erClo ,who is ersonaily know o
me or who has producedY�,� "1(e� 7 r gots 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: AAW Sign: ,��a
Print: Print: r i c ka Fl e-1"e-S
Seal: " .";�i�, ERIMAFIVES Seal: • v—w
+� ' # t)N456
* #FF EXP81E8:A1ay31,2018
ems.may 31,2018 ��eor B eO tlra ll�rSi e
**************************************** ******** ******* ************************************************
APPROVED BY PI 1miner Zoning
Structural Review Clerk
(Revised02/24/2014)
yts Miami Shores Village
Building Department
... o , 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): :SM ,k)E to \ s�
City: Miami Shores Village County: Miami Dade Zip Code:3 �3
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 d NO❑ Contract Attached:YES [�
UNIT BEING REPLACED DATA NEW UNIT
MANUFACTURER
AHU or PKG.UNIT MODEL# S r,
COND.UNIT MODEL#
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
YES NO REPLACING THERMOSTAT NO
YES NO NEW 4"CONCRETE SLAB NO
YES NO NEW ROOF STAND YES
YES NO NEW RETURN PLENUM BOX YES N00
1. Minimum Circuit Ampacity(Wire Size): 37/4 2
2. Maximum Overcurrent Protection(Fuse/Breaker Size):--Wq57
3. Voltage of Circuit08/ 40/480):
4. Size Disconnecting Means:
Contractor's Company Name: '-1k,wt 0 S LL (Oap• Phone:
State Certificate or Regist tion No. Certificate of Competency No.
Signature Date: 42//914
(Qualsnerg )
(Revised02/24/2014)
Marvin's Air Conditioning Corp
License CAC1816314
1761 SW 11 Terrace-Miami,Fl.33135
Off Ph: (305)54141408-Fax: (305)541-1856-Cell: (786)487-0801
PROPOSAL
December 9,2015
To: Deborah A Clifford
Ph: (305)335-6685
Worksite Address:
300 NE 101 St
Miami Shores,FL
Scope of Work:
1. Remove the existing A/C split system
2. Installation of A/C split system units(Brand:Ruud 4 tons 16 seer R-410-A)
a. Condensing unit: RA1648AJINA
b. Air Handler: RH 1 V4821 STANJA
c. Heater: 10 KW
3. Supply and Install a PVC switch
4. Supply and Install a digital thermostat
5. Supply and Install the bases according to the new units
6. Supply and Install new concrete pad for condensing unit
7. Process City permit and fees
Warranty: 10 years on compressor and parts; 12 months of labor(this job only)
Value of this job: $4,950.00
FPL Discount: ($150.00)
New Value of this job: $4,800.00
Payments:
AdvancedPayment ................................................$3,000.00
At end of Installation.............................................. $ 1,800.00
Notes:
• We are not responsible for the following:
o Carpentry
o Plumbing
o Electricity Z 15 I h
o Construction
Marvin Delgado
Marvin's A/C Coro
This combination qualifies for a Federal Energy
® Efficiency Tax Credit when placed in service
between Feb 17,2009 and Dec 31,20%
Certificate of Product Ratings
AHR! Certified Reference Number. 7943537 Date: 12/1412015
Product:Split System:Air-Cooled Condensing Unit,Coil with Slower
Outdoor Unit Model Number: RA1648AJ1
Indoor Unit Model Number. RHIV4821STAN
Manufacturer. RHEEM SALES COMPANY,INC.
TradelBrand name: RHEEM; RUUD
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,TY,
UT,VA,VT,WA,WV,WI,WY,U.S.Temltories)
Region Note:Central air conditioners manufactured prior to January 1,2015,are eliggible to be
installed in all regions unfit June 30,2016. Beginning July 1,2016,centras air tmnd%oners
can only be Installed in region(s)for which they meet the reglonal efficiency requirement
Series name. .:
ManrIx
--j
me rathlg tftls �i1 SAf.183 'AN14', C,
Rafted Io rdance wiSr AHRI S 21�Q ;ttQ9 A Corrdl nlrtig atnd A#Soume
Heatnterrt to Yeea of.raiingcy byN ru<ad,�ndl third
Pavy .
SEER Rating(Cool~ing): 15:04
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)Med on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for,
the products)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(sN 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 Certificate 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, AM
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,dick on"Verify Certificate'link we make life better-
and enter the AHRI Certified Reference Number and tie date on which the certificate was lssued,
which is Iisted above,and the Certificate No.,which is listed at bottom ri t
02014 Air-Conditioning,Heating,and Refrigeration Institute ["CEMFICATE NO.: t
MIAMI• MIAMI-DADE COUNTY
o PRODUCT CONTROL SECTION
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) 11805 S%V 26 Street,Room 208
BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474
T(786)315-2590 F(786)315-2599
NOTICE OF ACCEPTANCE (NOA) .+ .miamEdade.�v/economy
Miami Tech:,Inc.
3611 NW 74 Street
Miami,n 33147
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed and accepted by Miami-Dade County RER-Product Control
Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction
(A]HU).
This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control
Section(In MiamI Dade County)and/or the AHJ (in areas other than Miami Dade County) reserve the right to
have this product or material tested for quality assurance purposes.X this product or material fails to perform In
the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately
revoke,modify,or suspend the use of such product or material within their jurisdiction.RER reserves the right to
revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein,and has been designed to comply with the High Velocity Hurricane
Zone of the Florida Building Code,including.
DESCRIPTION: Aluminum A/C Stand
APPROVAL DOCUMENT: Drawing No.12-MTI-01-04,titled"Aluminum A/C Stand HVHZ Compliant",
sheets 1 through 10 of 10,dated 01/10!2007,with last revision#4,dated 08/1612012,prepared by Engineering
Express,signed and sealed by Frank L.Bernardo,P.E.,bearing the Miami-Dade County Product Control renewal
stamp with the Notice of Acceptance number&expiration date by Miami-Dade County Product Control Section.
MISSILE IMPACT RATING: None
LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and
foiloswing statement:"Miami-Dade County Product Control Approved",unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewai application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials,use,and/or manufacturc of the product or process.Misuse of this NOA as an endorsement of any
product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT:The NOA number preceded by the words Miami-Dade County,Florida,and followed by
the expiration date may be displayed in advertising literature. ff any portion of the NOA Is displayed, then it
shall be done In its entirety.
INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the west of the Building Official.
This NOA renews NOA#12-0612.29 and consists of this page 1 and evidence pages E-I &E-2 as well as
approval document mentioned above.
The submitted documentation was reviewed by Hphny A.Maker,P.E.,M.S.
i NOA No.13-1017.09
j�
Egt>ira tlf}r Date:01/1S/Z019
�....f
l 2 12. 2.o Approval Date:12/12/2013
Page 1
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Detail by Entity Name Page 1 of 2
Detail by Entity
Florida Limited Liability Company
CLIFFS ON THIRD AVENUE, LLC
Filing Information
Document Number L15000084313
FEI/EIN Number NONE
Date Filed 05/12/2015
State FL
Status ACTIVE
Principal Address
1490 NE 103RD STREET
MIAMI SHORES, FL 33138
Mailing Address
1490 NE 103RD STREET
MIAMI SHORES, FL 33138
Registered Agent Name&Address
CLIFFORD, DEBORAH A
1490 NE 103RD STREET
MIAMI SHORES, FL 33138
Authorized Person(s) Detail
Name&Address
Title AMBR
CLIFFORD, DEBORAH A
1490 NE 103RD STREET
MIAMI SHORES, FL 33138
Title AM BR
CLIFFORD, STEPHEN J
1490 NE 103RD STREET
MIAMI SHORES, FL 33138
Annual Reports
No Annual Reports Filed
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Detail by Entity Name Page 2 of 2
Document Imanes
05/12/2015-- Florida Limited Liability View image in PDF
forma-
vr;aht rJ and Privacy Policies
State of Florida,Department of State
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