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MC-16-270 Miami Shores Village , 10050 N.E.2nd Avenue NE •m Miami Shores,FL 33138-0000 Phone: (305)795-2204 ..:,7,„ +°telt y Expiration:07/31/2016 Project Address Parcel Number Applicant 131 NE 93 Street 1132060133020 MSM REALTY ASSETS LLC Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell MSM REALTY ASSETS LLC 131 NE 93 Street (305)335-3515 MIAMI SHORES FL 33138- 10155 COLLINS AVE BAL HARBOUR FL 33154- Contractor(s) Phone Cell Phone Valuation: $ 3,800.00 MG EXCELLENCE SERVICE CORPOR(786)247-7067 Total Sq Feet: 0 Tons:5 Available Inspections: Additional Info:REPLACE 5 TON SYSTEM Inspection Type: Classification:Residential Final Approved:In Review Review Mechanical Comments: Date Approved::In Review Date Denied: Type of Work: Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# MC-2-16-58518 DBPR Fee $2.00 02/02/2016 Check*1018 $ 146.40 $0.00 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee $133.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $146.40 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 t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning ut ore,I a e-named contractor to do the work stated. r February 02,2016 Authorizede A licant / Contractor / Agent e Building Department Co February 02,2016 1 x Miami Shores Village 10050 N.E.2nd Avenue NE , •• Miami Shores,FL 33138-0000 y �S Phone: (305)795-2204 ' � Expiration: 07/31/2016 s. Project Address Parcel Number Applicant 131 NE 93 Street 1132060133020 MSM REALTY ASSETS LLC Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell MSM REALTY ASSETS LLC 131 NE 93 Street (305)335-3515 MIAMI SHORES FL 33138- 10155 COLLINS AVE BAL HARBOUR FL 33154- Contractor(s) Phone Cell Phone Valuation: $3,800.00 MG EXCELLENCE SERVICE CORPOR (786)247-7067 Total Sq Feet: 0 Tons:5 Available Inspections: Additional Info:REPLACE 5 TON SYSTEM Inspection Type: Classification:Residential Final Approved:In Review Review Mechanical Comments: Date Approved::In Review Date Denied: Type of Work: Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# MC-2-16-58518 DBPR Fee $2.00 02/02/2016 Check#:1018 $146.40 $0.00 DCA Fee $2.00 Education Surcharge $0.80 Permit FM $133.00 Scanni ee $3.00 Technoi Fee $3.20 Total: $146.40 Ap cant Copy Foe Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/. Requests must be received by 3 pm for following day inspections. NOTICE;,jn addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER addMor - restrictions applicable to this property that may be found In GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT the pubilb records of this county. DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES. February 02,2016 2 1 s Miami Shores Village JAN *520 i6 Building Department: �-- 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 nn BUILDING Master Permit No. I' IS-02- PERMIT S63ZPERMIT APPLICATION Sub Permit No.Mc ( c - '-�--�C) ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING 0 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 131 NE 93 ST Com: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3206-013-3020 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): MSM REALTY ASSETS LLC Phone#: Address: 10155 COLLINS AVE APT 1004 City. BAL HARBOR State: FLZip: 33154 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: MG EXELLENT SERVICE CORP. Phone#: Address: 360 W 64 st city. HIALEAH State: FLZip: 33012 Qualifier Name: MICHEL GARCIA Phone#: State Certification or Re ' ration 81 67 Certificate of Competency#: DESIGNER:Archite /Engineer: Phone#: Address: s City: State: Zip: Value of Work or this Permit.$ 0 S uare/Linear Footage of Work: Type of Work: ❑ Addition 0 Alteration ❑ w ❑ Repair/Replace ❑ Demolition Description of Wo , V 7r Specify color of color thru tile: Submittal Fee$ Permit Fee$ a�d CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) a 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. + Signature Signature -f OWNER or AGENT RACTOR The foregoing instrument was acknowledged before me this The foregoing trum as acknowledged before me this 25 day of January20 16 by 25 day of January zo 16 by Raymond Slate who is personally known to Michel Garcia who Is personally k�1a�n,n rn ,e 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 PU NOTARYW UBLIC: Sign: Sign. sc Print: Helsel r Natary pub Stag w fwnua el Alva Z Nary Pu Print- Helsel Alvarez I H01661 v� � y er + Seal: Mi +�swnlE 1914041 Seal: o, Exp+te�05,PI7.018 �r �x#nE®�06rte:2e to APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) r 1 ,emss 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 form must accompany ALL air conditioning replacement permit applications. Each unit change-out must be on its own data sheet.Multiple units on single seea heets are not acceptable. Job Address(where the work is being done): 13/ /V ( `3 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 ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER 006 1-( 57 AHU or PKG.UNIT MODEL# T COND.UNIT MODEL# y ,S 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 j YES 2�2 REPLACING DUCTS YES O NO REPLACING THERMOSTAT NO Y N NEW 4"CONCRETE SLAB ES YES NEW ROOF STAND YES YES NEW RETURN PLENUM BOX �YES �JN 1. Minimum Circuit Ampacity(Wire Size): 2. Maximum Overcurrent Protection(Fuse/Breaker Size): 3. Voltage of Circuit(208/240/480): 4. Size Disconnecting Means: rr Contractor's Company Name: �0 elTSy�irUl�fres efl�� Phone: State Certificate or Registratiop No. ( Certificate of Competency No. Signature Date: of div `�Yr (Q er's gnature) (Revised02/24/2014) l' 4 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGUI.ATiQN CONSTRUCTION INDUSTRY LICENSING BOARD (854)487-1395 1944 NORTH MONROE STREET TALLAHASSEE FL 32399-4783 GARCIA, MICHEL M.G. EXCELLENT SERVICES CORPORATION 360 W 64 ST HIALEAH FL 33012 i l I 'ngr iationst With this lic ansaou became one of the nearly on rail Floridians licensed by the Department of Business and P nal Regulation, Our prohmionsis and businesses range STATE OF FLORIDA a teas to yacht brokers,from boxers to bsrbeque restaurants, C EPAFtTM OF BUSINESS AND a th keep Florida's economy strong. PROFULATION E ry we irk to improve the way we da business in order€o CAC"I.tI 1067 � � _ =i?61'1912t31� g e '° better,:Fof infarrnation about our servic es,pisses log arrtc CEi�"tlFiF.�I Al �� a com. There you can find more Information s ut dMslo�rs and tura regulations that impact you,subscribe GARCIA,MICI to #e efl€newsletters and team more about the t?epartment's I .G.�CEL��E �RP�RATiO lnia O r m,, ion at the Department is:License Efficiently,Regulate Fairly. . �►�Co y strive to serve you better so that you can serve your � IS CERTIFIED under the provisions of ch.489 r s. ct�to ; rs. Frank you for doing business�n Florida, grid gratuiadons on your new lic ensel �"data:nus 3A'�"$ , i g DETACH HERE y RIK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF:FLOFdD i DEPART OF BUSINESS ANL1.P't�Qf-'I�SSIONAL REGULATION 1 CONSTRUCTION INDUS R 'LIG NSINO BOARD T e S#FAIR t✓ 4DtTlt)NIfG'CON`FRAC`C0,1K :w a. `be]60 fS CE RTIFiED e provisions of Chapp o 489 FS. cin date: AUG 31, ffii z GARCIAMI , CHEL M;Ga EX ELLE #.360 W 64 ST -HIALEAH ri i CERTIFICATE O F ta LIDATE �+oDmrYri LIABILITY INSURANCE _ 01/2012016 T $ ACATE i3 ISSUED AS A MATTER OF INFORMATION 64LY AND CONFERja RIGHTS UPON THE CER IFICATE HOLDER THIS RT i ATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTHE COVERAGE AFFORDED By THE POLICIES THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT EN THE ISSUING INSURI?RW$)7 AUTHORIZED I R P `ENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. r. ...1.. OR$ T: ff tbo rsruficate bottler IS an At7DiTiDNAL hN�URpO,tt polky{#tis)must I endoro�9, SUBt204ATlON Its 1AIAIi+ED,eu6teed to [ th t0 and"n"o"of the POkY,Certain P011Cles may te401M an endOnM rent.A efeternerit on to Cerditate does riot Confer rghts to the tT holder In OOU of such endorsements} ; N. ORICEL GONZALEZ i G&£insbwee Consultants,inc. tAtG. ?Iz {3t}8}228-8869 r a.jw)z (*)228-8888 S W lath F; StreakSS; 9dc5824�comcast.net j Ufa I,FL 331$5 suREr(s)a�COVERA g .. monk PI1D 8 006)22"M Fax #3t S}2 8- 9 UNt SPECIALTY INSURANCE C-OMPANY ....._.._ .. ... It�itfitER A 0. hlAS' ED �INSURER B; .. ... p .. MG IEX0 LLENT SERVICES CORP __._._ ..... _..... . IN31;'p. c 360�Mll t64 5T I D,. .. . .. .. _. .._ . i FL 33012 . RA 8 CERTIFICATE Ni1MBER REVISION-NUMBER.. tS T.t CLRTif1t CHAT THE p'OLICtES OF rNSUhL�ICE LISTEt1 F3Elt?}Al HAVE 13ESnt ISSUED TO THE INSURED NAMED ASOVE FOR THE POLICY PERIOD .,.. NOTWRHSTANDWO ANY REQUIREMENT.TERM OR CtSNi'IIITION OFANY CONTRACT ORiDTHER DOCUAENT WrTH RESPECT TO WHICH THIS T TE MAY 81&18SUED OR MAY PERTAhN THt»IIJSI IRANCFS AFFORDED BY THE POLICIES DE 91)HEREIN IS SUBJECT TO ALL THE TERMS, 1 LU AND CONIarr N3 OF BUCK p0-L-IMES P111.0813HOWN MAY HAVE BEEN REDUCED BY D CLAIMS rpoommmu............_........ R.�.Yr•YSi+. ._.......... LIABILITY . +R^El."... ... .....,STR ... _ 4 i , ,.. , '4 H & 1 t s FACIAL OC r AAL LMILITY /� /�' q ; CLANSAtIADE ' OCCUR ` $ - tf8J4.r?tr} S 1,000,0007-100 A 3 N N a 5311003A21896 01113/2016,;0111312017 ASD ErtP(qnY aro per} Is 6.00000 x' PERSONAL&ADN t9r.AUR E 1 tiENERALkt RBGATE s 2,0011,000.00 ¢ENt.Atlrrr GATE LIMIT AMISS PER �} i PRODUCTS,gC"Plq� A( f s 2,000,M.00 "..:'.. Cil 1.._�_!(l„.5" ,.. ,j. ..1.. ,.7. ..........._........ ..... .. .._... . .�... LIABILITY CS? I�fEO SWGU wit J G ° ; # BODILYWURY(Perpet" S is 3 SCHEDULED I - �� ! ; � SODrLYIt�1URYtPer $ ' I HttD AUTO8 AUTOS ` $ ..... AM J OCCUR LAAGGRECATS a i t ICowwmTION YFS' YrN a J,.STATUTt t f j i L.CiISEABE EA L49P1 t S I IaDR OF OPERATIONS Iobw E ._.....,v...._........,......._ ..,... LOISEASE �trt r�.r�YL , 4 ! _ oP ar r ccrciirw�ts l vcrncLas(as sn ae Rra gat,Aden SON*",n mare_._ OPSO to regierred} GEN CTt?R LEC#CGC1614496,PLUMBING LIC#CFC1428421 AND MECHANICAL LIC#CAC 1818067 t t C ICA HOLDER - _. . CANCELLATION SHOULD ANY OF HE AAOVE DE8GRIeEJ3 pOLICIEB h3E CANCELLp.D 9ht7RE j d111AM)SHORES VILLAGE THE EYCPIRATJt 1I PATE TWBREOR,NOTICE WILL B8 BE D IN 3 14050 NE 2 AVE ACCORDANCE WITH THE pOUCY PROVISIONS. MIAMI SHORES FL 33138 _.._ ... . . ° AUTNORIZED REPRESENTATIVE 3tE � AC04 26(N' 14/01)OF 0 988401 ACORD CORPORATION, Ali rights ed. The CORD fame and logo are mglaiared rTroft Of AGORD i i i i r _ __...._. ...._... ..,.. ..r. .r. �... a w....,........._... ........ ......._..e L +cue Tax Receipt Miami—Dade CO..gnty,State of Florida 06 NOT PAY E a 6W3953 3 DUSWE8StS NAM8t=AT1pt11 RSCEiPT NO. a EXPIRES W!G EXCELLENT"SERVICES RENEWAL SEPTEMBER 30.12016 CORP 6824487 Must be displayed at 01909 Of business f 36D W 64 ST Pursuant to County Cods HfALEAH,FL 33012 Chapter SA—Art.9&10 i 1 SEC.TYPB OF BUSINESS PAYMENT REOSVED G 9NTSPEC ME ICAl aY^►dX CCCOR. M CRP TCONYRAC 46.00 090=15 CAC181W67 4247-15 t>C6C?46 Worker(s) w Business Tax.Tpeft*tls ethteam i $ Ttds tot si TBt 041Y C 4 ? �` Wit,are at ��erbei °e i ty� Hots tit o�ap�+ ttraott i8 va and mqujwmftwbh&v#ll tQ the no"PT Koh a =at be di ovW on all i val�ct�-int-Dade Code 590 89-72T66 pep film trd ra . a z r jf i # } Y Y � } I -a a t£. t i '�18t2f!'�5 Report Viewer n I 3 E{ a { { ArWYATER raAaorrnr OFFICER STATE OF FLORIDA DEPARTMENT OF FINA FAI i. DIVISION OF WORKERS'COMPENSATION "*CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW" C : STRUCT'ION INDUSTRY EXEMPTION )s c oMes that the individual listed below has elected to be exempt from Fiodda Wo}lcers'Compensation law. O CTiVE DATE: If1212016 EXPIRATION DATE. 1/11/208 RSON: t,ARCIA MICHEL { 205418976 { Ii'USINESS NAME AND ADDRESS: G EXCELLENT SERVICES CORPORATION W64 ST t EAH FL 33012 OPE$CSF BUSINESS OR TRADE: i NSED GENERAL LICENSED PLUMBING LICENSED ROCOMI HEATING,VENTILATION, TRACTOR CONTRACTOR CONTRACTOR AIR-COND � amt'lel.�.s., Oeraacorpa�mtaroam��nvda+mamwad a#�ge ta # �itaa, �ctr � t++�rO�scJ�er.Purar.�a�cnr4�uOStaa}.F.a. dstata� «8y a�acatha a�re� ccn� �emo� +,p.au��ra�cerr3{:a�.s: '�' �a� l �»» am�oasesaa�.a, a,�.� n�aea�rnw�itgeFOs�rse� mm�ndMat�isc�sa ro � ortltase�cnCar era 7� � ) x 0°SF2-t9WC-262 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 # QttEBT{ON57186f#j4t3-1609 s i i { s: t a t y a h9 fi cxM7{lc re iewertr tUiGwetlss ldga--kdvWr 7Q3gHeTER8ePIKMZ° Z$tS"YfBxkrekeESd%lv4NPOPN42XetrDRGXVW... 112 M.G. EXCELLENT SERVICES CORP. Michel Garcia 360 W 64 ST HIALEAH, FL, 33012 (786)247-7067 JANUARY 21, 2016 STATE OF FLORIDA COUNTY OF MIAMI DADE BEFORE ME THIS DAY PERSONALLY APPEARED MICHEL GARCIA WHO, BEING DULY SWORN, DEPOSES AND SAYS: I MICHEL GARCIA WILL BE THE ONLY PERSON WORKING ON THIS PROJECT LOCATED AT 131 NE 93 ST, MIAMI SHORES, FL 33138. SWORN TO (OR AFFIRMED) AND SUBSCRIBED BEFORE ME THIS 21 DAY OF JANUARY, 2016, BY MICHEL GARCIA. PERSONA LL Y KNOWN W� wigEk ida I /� 1 [ . If you need any additional information, please don't hesitate on calling me. Thank You Michel Garcia, GC 040816067 f s� Miami shores Village Building Department artment 10050 N.E.2nd Avenue �ZORiDA Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers'compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this r�0_day of Lr ,20_1(0 . By � S Q ` who is personally known to me or has produced as identification. Notary: *of FWde SEAL: 006120iAND SSS z g� s 6 ings Certificate MINE AHRI Certified Reference Number: 7984221 Date; 1/19J2016 Product: Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number:VSX140601A* Indoor Unit Model Number:ASPT61D14A* Manufacturer. GOODMAN MANUFACTURING CO., LP. Trade/Brand name:GOODMAN;JANITROL;AMANA DISTINCTIONS;EVERREST;ONE HOURAIR ry y CONDITIONING AND HEATING; ENERGI,AIR Region:Ail{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,centraI air conditioners can only be installed in region(s)for which they meet the regional efficiency requirement. # fi Series name,VSX14 E Manufacturer responsible for the rating of this system combination:Is GOODMAN MANUFACTURING CO., LP. Rated:as follows In accordance with AHRI Standard 210/244-2008 for Unitary Air.-Conditioning and Air-Source i r sored, Independent,third Heat Pump Equipment and subject to verification of rating accuracy by AHRI-spon party testing: Cooling Capacity(Btuh): 57000 EER Rating(Cooling): 11.70 SEER Rating (Cooling): 14.00 IEER Rating(Cooling): E}k ' Ratings followed by an asterisk{")indicate a voluntary cerate of previously published data.unless accompanied wifli a WAS.whim Indicates an rnvoiurtary cerate. DISCLAIMER AHRI does not endorse the product(s)listed an this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, e 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 atsw�e.rihridlrrtory.aar . TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI.This Certificate shall only be used for Individual persona!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. &R'REFRIGERATION ` M CERTIFICATE VERIFICATION p �AIf�ERatTit?riti�F#tTiFit The Information for the model cited on this certificate can be verified at wmvw=eitrsdiae ttsry. rp,click on Verify Certificate Zink ro and enter the AHRI Certified Reference Number and the data on which the certificate was issued. which is listed above,and the Certificate No.,which is listed at bottom right 134976864401400891 l ©2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NCS.: r 4 2 r Certifil"cate ,rd f Product Ratings AHRI Certified Reference Number: 7984221 Date: 1119/2016 y Product: Split System:Air-Cooled Condensing Unit,Coli with Blower Outdoor Unit Model Number:VSX1406.01A* Indoor Unit Model Number:ASPT61.D44A* r ' Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name:GOODMAN;JANIT'ROL;AMANA DISTINCTIONS; EVERREST;ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR 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, PIE,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 5 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:VSX14 i Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO.,LP. I Rated as follows in accordance with ARRI Standard 210/240-2008 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): 57000 EER Rating(Cooling): 11-70 ; SEER Rating(Coolingy 14.00 IEER Rating(Cooling): ? Ratirgs followed ay an asterisk i`)indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary cerate. DISCLAIMER AHRI does not endorse the productis)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 a sww,ahridirectory,oig. 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; AM entered into a computer database:or otherwise utilized,in any form ormanner or by any means,except for the user s individual, personal and confidential reference. iREFRJGERA IO14 3t UTIK $€�FF�if3EitATt0P1 iNaTiTt7f� CERTIFICATE VERIFICATION The Information for the model died on this certificate can be verified at www.ahri€ilrePtvey,€rg,click on'V1,0ty Certificate"link and enterthe 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. _... __ _....... 02014 Air-Condi#inning,Heating,and f�efrigt?ration Institute CERI'IF�CAI'E NO,: 130976 �4aos�t Miami Shores Village `5 93 L Buil i Department p 10050 N.E.2n Avenue Miami Shores, orida 33138 ,y '� Tel: (305) 795.2 4 ZORIDA Fax: (305) 756.89 January 21, 2016 Permit No: REV-1-16- 63 Me anical Criti ue—Jan Pierre Perez Need to revise plans also to how new unit Pian review Is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, replace tern with new revised sheets and place behind the most current page. \10 Miami Shores Village = CF11VED Building Department JAN Z1,2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. 94t!�Y 16 /d 3< PERMIT APPLICATION Sub Permit No.98 JS`-ly ❑BUILDING ❑ ELECTRIC ❑ ROOFING 06 EVISION ❑ EXTENSION ❑RENEWAL �4 a� F-1 PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP 1`a CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores Cou Miami Dade zip: Folio/Parcel#: is the Building Historically Designated:Yes N Occupancy Type: Load: gqcConstruction Type: �c �Floo1d+Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):MS 4- Q�_ � T�;J-eJ' S 1�--- Phone#: Address: � C)U Uri S A�_. S City:—w 2 c��C 4 411 r ' State' s Zip: 7 t j Tenant/Lessee Name: Phone#: Email: l.ln r® � :21 ?9 CONTRACTOR:Company NameV4 Jr1-g<QIW4 * �c-f-s Phone#: Address' 33o i Z 300 W- City: � ry Zio: - p. Qualifier Name: Ibarrio,' I C.!o • ++ Phone#: State Certification or Registration#:006,P , ,> Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: --- City: State: Zip: Value of Work for this Permit: aM• Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Demolition Description of Work• P31epalr/Replace AIC Ool. Specify color of color thrii, 6,P,-- Submittal Fee$ 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$ (Revised02/24/2014) 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 on 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. Signatur - —_ Signature OWNER or AGENT O CTOR The foregoing instrument was acknowledged before me this The foregoing instru t s acknowledged before me this day of 20 by day of 20by o is personally known to who is personally known (5br who has produced as me or who has Kroduced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: of FWM JOUVIry Seal: Seal: EE1980l1 Fj Commission EE 198011 °� �fi Yee��18 V Exphes OSI28120l8 3 ************************************************************************************************************ APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)