MC-15-1646 � g
Miami Shores Village _
10050 N.E.2nd Avenue NW
Miami Shores,FL 33138-0000 `
i
Phone: (305)795-2204 y "y
Expiration: 03/0212016
Project Address Parcel Number Applicant
70 NW 105 Street 1121360131210
TRUSTED HOME BUYERS LLC
MIAMI SHORES, FL 33150-1242 Block: Lot:
Owner information Address Phone Cell
TRUSTED HOME BUYERS LLC 12864 BISCAYNE Boulevard (305)793-0002
NORTH MIAMI FL 33181-
Contractor(s) Phone Cell Phone Valuation: $ 5,244.00
METROPOLITAN AIR CONDITIONING 305-2644646 Total Sq Feet: 0
Tons: Available Inspections:
Additional Info:EQUAL REPLACEMENT OF A 2.5 TON AC U InspectioLType:
Classification:Residential Final
pproved:In Review Rough DuComments: Date Approved::In Review Review MDate Denied: Type of Work: Undergrou
Scanning:1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.60 Invoice# MC-7-15-56188
DBPR Fee $2.75 09/04/2015 Check#:1227 $201.64 $0.00
DCA Fee $2.75
Education Surcharge $1.20
Permit Fee $183.54
Scanning Fee $3.00
Technology Fee $4.80
Total: $201.64
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 taws regulating
construction and zoning. Futherrnore,l authorize the above-named contractor to do the work stated.
September 04,2015
Authorized Signature:Owner / Applicant / Contractor / Agent ate
Building Department Copy
September 04,2015 1
L2-c 1K®-7-
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)785-2204 Fax: (305)756-8872
Inspection Number: INSP-252987 Permit Number: MC-7-15-1646
Scheduled Inspection Date: February 17,2016 Permit Type: Mechanical -Residential
Inspector. Perez,JanPlerre Inspection Type: Final
Owner , Work Classification: Addition/Alteration
Job Address:70 NW 105 Street
MIAMI SHORES,FL 33150-1242
Phone Number (305)783-0002
Parcel Number 1121360131210
Project <NONE>
Contractor METROPOLITAN AIR CONDITIONING INC Phone: 305-2644646
Building Department Comments
EQUAL REPLACEMENT OF A 2.5 TON AC UNIT, Infractio Passed Comments
DUCTWORK AND VENTILATION
INSPECTOR COMMENTS False
2 / 7
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-238194.WRONG HOOD DUCT
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
reinspection fee is paid
February 16,2016 For Inspections please call: (305)762-4848 Page 37 of 40
{
Miami Shores Village1:
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Y;
Tel:(30S)795-2204 Fax:(30S)756-8972
INSPECTION UNE PHONE NUMBER:(305)752-4949
FBC 20 l
BUILDING Master Permit No. PC-A 5 -'
PERMIT APPLICATION Sub Permit No.r-C-1 S--t
❑BUILDING ❑ELECTRIC ❑ ROOFING REVISION ❑EXTENSION ❑RENEWAL
❑PLUMBING ECHANICAL MPUBLICWORKS 0 CHANGE OF [-]CANCELLATION (7 SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: —70 nW I Q S �5�.
City: Miami Shores County: Miami Dade Zio:
Folio/Parcel#: JLQ-K3 r ® �2)-\ Is the Building HistorkeRy Dsignated:Yes NO
Occupancy Type: Load:
Construction Type:: Flood Zone: e#SLF�Ei:7 F.�FE':
SLYe� L rPhoOWNER:Name(Fee simple Tltleholden
dress: eb -
d�
: ✓`��` state: Zip: �/Q
Tenant/Lessee Name: Phone#:
Email• ftu {
CONTRACTOR:Company Name: �-tr`�` �] � -�f�• Phone#:
Address: Coq n Q„(-L ) ; -'t
City: () 1�VotY-�► State: Zip:2x 1 dQ
Qualifier Name: Phone#:
State Certiflcation or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#.
Address: City: State: Zip:
Value of Work for this Permit:$j�, d'D Square/Unear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description:of work: Aat n l *PV i n moccl- rx=c:i a'6�T�n. _. -'5- i�AL2
Specify color of color thm We:
Submittal Fee$ Permit Fee$ CCF$ Co/Cc$
WScanning Fee$ Radon Fee$ DBPR$ _Notary$
Technology Fee$ y . Training/Educadw Fee$ ` ° � _Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
laeoalaa/zoiai
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. 1 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. 1 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$250,the applicant must
promise in good faith that a copy of the notice of commencement and construction lien low brochure will be delivered to the person
whose property Is subject to attachment. Also,a cert!,jted 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 Signature
OWNER or AGENT CONTRACTOR
Theoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
{ n day of `-- .20 S ,by
day of 20 l 5 ,by
who Is personally known to (Z�c =ao CQoc'" ,who is personally known to
<` me or who has produced as me or who has produced :�&M-ntl V iL%*-) as
tification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: gilvera NARY PUBLIC:
Sign. i �, \
Print: = 4�� s\o�, ` < ^ MCCt
Co�
Seal: •'
pp M 1 owt EE 882474
ii iiiiiiii#ii# • iii#iiia iiiiiiii##i
APPROVED BY P ns Examiner Zoning
Structural Review Clerk
(Rmbedo2/24/2014)
e
s 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 farm 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): r---?C ) nC.A—) ( 0S
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 [V]/
UNIT BEING REPLACED DATA NEW UNIT
1 MANUFACTURER
AHU or PKG.UNIT MODEL# �'T eakon 2&44a
COND.UNIT MODEL# z
5'KLA.3 KW HEAT
NOM TONS c� '
AHU o CU 1'6 PKG 1)M.CA AHU3o CU It PKG
AHU CICU PKG 2 M.O.P AHU gO'CU 30 PKG
AHU CU PKG a a 3)VOLTS} PKG
PKG UNIT / / PKG UNIT
EE SEER /
YES NO REPLACING DUCTS NO
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 N
1. Minimum Circuit Ampacity(Wire Size): o
2. Maximum Overcurrent Protection(Fuse/Breaker Size):
3. Voltage of Circuit(208/240/480): �X
4. Size Disconnecting Means: 7u
A
Contractor's Company Name: I e:SIL=i Vyx n 1'i'1 Phan: ;) 2 &-14 4 4
State Certificate or Registrati Certificate of Competency No.
Signature f Date:
(Rwbed02/24/2014)
•�• Miami shores Village
Building Department
xOR> 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305)795.2204
Fax: (305)756.8972
CONTRACTORS' REGISTRATION
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A._77,nrY OF QUALIFIER'S STATE LICENCES
B. PY OF LOCAL BUSINESS TAX RECEIPT
C. PY OF LIABILITY INSURANCE*
D. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL
CONTRACTOR'S TAX RECEIPT.
D. COPY OF LIABILITY INSURACE*
E. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
*YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW:
Cwgk a Holder:
MIAMI SHORES VILLAGE SLOG DEPT
10050 NE 2ND AVE
MIM SHORES,FL 33138
Certiflede must specify the description of operedons or contractor lige number.
■■rrrrrrrrrrrarrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr•
BUSINESS NAME:
BUSINESS ADDRESS: (09 I-7 n t,-p 5-C S+. CITY MIGT 0 j STATE 6 .
BUSINESS PHONE:(3C5- 0��g4A( Q(o FAX NUMBER(��
CELL PHONE(._ QUALIFIER'S NAME: 1; 1QQb r-b LZ.
QUALIFIER'S LIC NUMBER: l" fW10 g319119
.. DRIVER LICENSE CLASS E
G524-720-43-340-0
RIGOBERTO
FEZ
13870 SW 108TH S
MUM,FL 331863183
DOB:09-20-1843 SEX-M+.
., '1MtlEE3'OB W2014 H(N:6-
` Exg 04=20-2022 -
AeF T.l A
Ota•avu;:,. „ SAFE DR+'.rER
mxor rM,cM caestkutes rorstm in am'sobxK trt>puaa 1�1';err,
F
RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION.
CONSTRU 1N0 TRY LICENSING BO
CTIOI U8 ARD
i
CACoa3919
The CLASS B AIR'CONDITIONING CONTRACTOR .
Named-below IS CERTIFIED.
Under the prov�Ions.of Chapter 489 FS:- 5 F
Expira�n date AUG•.31,2016 : {
l
N2'AL RI B -` .. . NMIW- Mia QO EZ . GO ERTO �ME`FRQPOLITA,N.jV_ RCtrl 7'NWWTH-STRi.EE"- • S.
y'�'_ ....�.X"r Ay 41.E � t(6 �i� 'r.� \ 34 `'y, 1i�'e��,i t. •
} { j .. w�wr�4P..� c�YePbfia, �� ��^q4 qg\ .'Y��w +s 1.�. \ 1�11 '4 � • L•,1
°0..1 ,.._r zr..�....__.- ..... .. . _ ,, .sa�aati.... :.�:_� �� �5��.......tii�� ...a��..A�i 2..:_:.`30,..,._r_.':•-»._�ti �I
ISSUED: 06MM94 DISPLAY AS REQUIRED BY LAW SEQ# L1406230000414
ON=
Local.3 s nks pax ec.
MI8C11I .Bade .C4unt�; statel. ` Dfi .FI uIdB f
;:THIS NOTA8I4L DO:NQTAP y
X Es
NR
METROPOLtiAN AIR CONDITIONING INC -IHI NL�II1k>�,.:.
6917 NtiV SO ST .: 'I f368S-19 �`;; -; 191ust be di�iayed;�nt'piacs of lwsi .'
.P
MIAMI F.L 3.3#GG ur•uerit.toMy:
t: apt 8d4-Art,a&1t?
OWNER PAYUMT
$�Q TYPB QIa
MEiRaPOUTM AIR CONDMONFNG INC 1I SSC AAECHAAIICAL CONT6ACTOA 6Y r
i:AC04M9— ._
Workers) 10 $75.w`07/18/2014
CHEM21'14-025161
ibis LoostB T� om�rres �tffie Local Ta T� is a iic•nse,
l ada, ms s osa to do iwhom 1lol aim . aay
�® CERTIFICATE OF LIABILITY INSURANCE 1/16/2015
DATG
THIS CEMVICATE IS 188t16D AS A MATTER OF INFORMATION ONLY AND COWEN NO RK31iT8 UPON THE CERTIFICATE HOI.DEIL THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NE"TW®.Y AMEND, EXTEND OR ALTER THE COVERAGE AFS BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CON`IRACT BETWEEN THE ISSUING 1NSURER(S), AUTHOR®
RORESENRATWE OR PRODUCER,AND THE CERTHWATE HOLOM
BNIPCRTANT: N the cartificate holder Is an ADDITIONAL Iii,the pis)mutt be efniased. I SUBROGATION 16 WANED,Subject to
to terns and conditions of the po ft.certain pandes may require an endcreenwit. A staternint on thM certlfliate does not offer rWft to the
cartillicate teller'in flea of such ancicreentenft
XICER Maria nelson
G. David Rarri,s Insurance (305)985-205S tsos)�s-2�s
688 South Drive nariaQ .ao1a
INSURNWAFFIXOMOMWERAft
wuce
MIAMI SBRXIMS FL 33166 A:GMANADA INSONUM COMhlANY
a CONMTIM
Metropolitan Air Conditioning, Inc.
6917 NINE SO Street
e:
Miami FL 33166
COVERAGES CERTMATE N MIBER=1311600778 REVISION NtIMSM,
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AVE FOR THE POLICY PERF
INDICATED. NOTVATHSTANIXNG ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CER71FICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LMMTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OFnalmJIM% LUNTS
GENSINALLIAIMAY P.Ai $ 1,000,000
X commetux C RAL uAmury $ 100,00
A 0 OCCUR IBSSW00643730 /4/2014. 1/4/2015 1W ENS c � 3,000
PIAN.&ADV SWRY $ 1,000,000
0ENERALAGGREIGATE $ 2,000,000
GMAQGFA ATELINITAPPLIESPER PRODUCTS-COMPIOP AM $ 1,000,
T PAYPA LOC $
AUTONOMU3 UA98M
ANY AUTO BODLYOLO1WOWPeaam) $
j6OWNED, 0 SCHERM SOMYINJURY(Perea $
AUTOS
H9iIWAUTOS AUTOS $
H $
t .LAUA9 OCCUR EACH OCCURRENCE f
McCaw LIAS I AGGREGATE $
Bwumunm
CONFIRBAZION
O LIABFLUff YIN
ANY II Na E.L.EACH ACCIDW $ 100OFPXZMMBON 000
EXCIAM Eo7(nommomylamo109048 /3/2014 /3/2015 E.L. -rA o $ 10,000
7I0N8 bQkW EJ-MEAN-POLICY LUT 300100
DISCRIPTIONOFOPERATIONSILOCATIONSIVOIRCM(A1hOUAtOM)101.Additional R ,0am a space is
C==ACT= 8CAC043919
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ARM DESCRIBED POLICIES BE CANCELLED BES
THE NATION DATE THEREOIF, NOTICE WILL NIR DELIVERED IN
MIAMI SHORES VILLAGE A WRIT THE POLICY
BUILDING DEPAR2MM
10050 NE 21AD AVE Auntonsw 1111PRESS1111AWA
MIAMI BROUS, IPL 33138 ted'
INS CA im
Nie]son/J6ARIA �
ACORD 28(2010M 0190-2010 ACORD COMIORATION. A111doftreserved.
INS f9M MGM Thu Af'Mn now as ssai Inwm mu rantefaraA nww"of aN.nan
JIM=Awe
6917 NW Se St,Miami,Florida 33166 Residential-Commercial-Industrial
Phone:305-2644646 Fax:305-267-2525 CAC043919
1-N0-749-KOOL
PROPOSAL
Proposal Submitted To: Job Info: Date 5-13-15
Nava Name
Don Baumann Same
70 NW. 1056.St. 510 NE. 133'd.St.
0I,stile,zip may.srftyap
L
Shores,Fl. Miami Shores,Fl.
Phora No.
3-0002
We hereby submit specifications and estimates for:
The Supply and Installation of one 2 V2 Ton Air Conditioning and Heating System.
Make: Rheem
Model: RA1630AJ1NA/RH1T3617STANJA
S.E.E.R. 16
Indadest-
Removal of the old unit and dispose of it,
Installation of the new unit,Refrigeration Line,2 Exhaust Fans,Dryer Vent, 10 Air Supplies,3
Returns
Warranty:
10-Years on Compressor Amount of Job---$5,415.00
10-Year Parts FPL Rebate------ -171.
1 Year Labor Amount—$5,244.00
**Air Handler base slab by others**
We Propose hereby to furnish material and labor—complete in accordance with above specifications,for
the sum of- FIVE THOUSAND TWO HUNDRED FORTY FOUR 00/100($5,244.00)
Atter FPL Rebate
Payment to be made as follows: S0%at align contract,and S0%upon equipment installation.
Ali material is guavoteed to be as specified.All work to be complied in a wort manlike mammy accmdmg to standard practices.Any aiterdicn or
deviation ffom above specifications involving extra ods will be executed only upon written orders,and will become an extra charge ova end above the
esti,i te. AN agrees oentmgant rkes; dem or dekys beyond our o�rol.ownerto carry fire,t«mdo anddhw y ice.
Oraworkers ere fi*covered by s C cation l canoe.
Authorized SignatutM �' Nile This proposal maybe withdrawn by ra ifnot accepted wubin 30 days.
Acceptawar of Proposal—The above prices,specifications wd conditions are sausbatory and are hey atxeped. Youan:
authorized to do the work as specified. Payment will be made as outlined above.
Date of Acceptance:
Sime Signature