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MC-16-1868 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-262522 Permit Number: MC-7-16-1868 Scheduled Inspection Date: July 27,2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: PITCHMAN, ERIC&JONINA Work Classification: A/C Replacement Job Address:104 NE 100 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060132170 Project: <NONE> Contractor: CAPITAL AIR INC Phone: (954)797-0029 Building Department Comments A/C REPLACEMENT> PERMIT TO REPLACE EXISTIN Infractio Passed Comments (EXPIRED) PERMIT INSPECTOR COMMENTS False MC-3-06-694 q Inspector Comments Passed Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid July 26,2016 For Inspections please call: (305)762-4949 Page 15 of 43 1sx ae,,r L,� Miami Shores Village Pemff t fie:Iltiecllr li e5ldfaiithill, `. 10050 N.E.2nd Avenue NE fit Miami Shores,FL 33138-0000errmt I Phone: (305)795-2204 : .. . CORtD�' Ise tat If8/201 Expiration: 01! 4I 17 Project Address Parcel Number Applicant 104 NE 100 Street 1132060132170 Miami Shores, FL 33138- Block: Lot: ERIC&JONINA PITCHMAN Owner Information Address Phone Cell ERIC&JONINA PITCHMAN 104 NE 100 Street MIAMI SHORES FL 33138-2317 Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 CAPITAL AIR INC (954)797-0029 (954)962-6315 Total Sq Feet: 0 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: Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee Invoice# MC-7-16-60453 $2.25 07/08/2016 Check#:67133 $ 116.70 $50.00 DCA Fee $2.25 Education Surcharge $0.40 07/05/2016 Check#:67112 $50.00 $0.00 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $166.70 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 d t at I ork will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contractor o tfie o ted. 1 July 08, 2016 Authorized Signature:Owner / Applicant / Contractor / Age Date Building Department Copy July 08,2016 1 Miami Shores Village c _ j� -OE 4 4 Building Department U ® 1016 1 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY; 11 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 5 FBC2011 BUILDING Master Permit Iv . PERMIT APPLICATION Sub Permit Ivo. me--1 16- 1 pb1B BUILDING F-1 ELECTRIC ROOFING REVISION EXTENSION RENEWAL PLUMBING Q MECHANICAL PUBLIC WORKS r--] CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 104 NE 100 STREET City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3206-013-2170 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):PITCHMAN, ERIC Phone#: Address..104 NE 100 ST City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: Phone#:786-295-7970 Email: CONTRACTOR:Company Name: CAPITAL AIR INC Phone#: 954-792-4942 Address: 2951 SIMMS STREET City: HOLLYWOOD State: FL Zip: 33020 Qualifier Name: PETER CALLAHAN Phone#: 954-792-4942 State Certification or Registration#: CAC058746 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: s City: State: Zip: Value of Work for this Permit:$ oC ,�R Jo '�d) Square/Linear Footage of Work: Type of Work: ❑ Addition —❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of work: A/C REPLACEMENT- PERMIT# PC &—6CI V RENEWAL Specify color of�-c7olor thru tile: �1 Submittal Fee$ �`D . ox-1) Permit Fee$ 4 ll CCF$ CO/CC$ Scanning Fee$ 03 Radon Fee$ DBBP"R$ ad `®�� Notary$ Technology Fee$ e �O Training/Education Fee$ 0' Tl� Double Fee$ Structural Reviews$ 0 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 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 Signatur OWNER or AGE CONTRACTOR The f regoing instrume t was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20ll .by day of C- 20 I .by 1 i I who i -personally known t PETER CALLAHAN ,who' personal kno to m�r who has produced as me or who has produced as identification and who did take an oath. �����11111011111/®0, identification an who did take an oath. NOTARY PUBLIC: \\\� G��GAL�HgN'*ii NOTARY PU •..... ® • �` e[26, V 0 Sig `� •g °' fin: —* • ®o. 11 �:ems' Print: 0.�I Ca C� EE 72 (nt. Seal OJ'•,�LoIP 1a BondrA �a0o ° - i�q .•/YPublic •. Q \` eal: P? MY COMMISSION#FF070613 /,/09��1�11111110���\\\\ (40)398 Oi53 EXPIRES X FIRE a q acem�rve�8.m017 �k:n:;sAPPROVED BY Examiner Zoning Structural Review Clerk (Revised02/24/2014) 5/9/2016 Property Search Application-Miami-Dade County OFFICE OF THE PROPERTY APPRAISER Summary Report Generated On:5/9/2016 Property Information Folio: 11-3206-013-2170 Property Address: 104 NE 100 ST Miami Shores,FL 33138-2317 Owner ERIC PITCHMAN&W JONINA 104 NE 100 ST e 0 Mailing Address MIAMI SHORES,FL 33138-2317 Primary Zone 1000 SGL FAMILY-2101-2300 SQ I Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT Beds/Baths/Half 4/4/0 Floors 1 Living Units 1 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 3,638 Sq.Ft Lot Size 12,161.25 Sq.Ft Taxable Value Information Year Built 1949 2015 2014 2013 County Assessment Information Exemption Value $50,000 $50,000 $50,000 Year 2015 2014 2013 Taxable Value 1 $225,735 $223,547 $219,505 Land Value $231,356 $231,356 $158,558 School Board Building Value $272,230 $266,072 $266,955 Exemption Value $25,000 $25,000 $25,000 XF Value $21,372 $21,626 $21,879 Taxable Value $250,735 $248,547 $244,505 Market Value $524,958 $519,054 $447,392 City Assessed Value $275,735 $273,547 $269,505 Exemption Value 1 $50,000 $50,000 $50,000 Taxable Value 1 $225,735 $223,547 $219,505 Benefits Information Regional Benefit Type 2015 2014 2013 Exemption Value $50,000 $50,000 $50,000 Save Our Homes Assessment $249,223 $245,507 $177,887 Taxable Value $225,735 $223,547 $219,505 Cap Reduction Homestead Exemption $25,000 $25,000 $25,000 Sales Information Second Homestead Exemption $25,000 $25,000 $25,000 previous Sale Price OR Book-Page Qualification Description Note:Not all benefits are applicable to all Taxable Values(i.e.County,School 04/01/1982 $105,000 11411-1739 Sales which are qualified Board,City,Regional). Short Legal Description 1 5341 6 53 42 MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 13&14 BLK 16 LOT SIZE IRREGULAR OR 11750-1579 0183 4 The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: N SNs _ Miami Shores Village ?,C)6) E:XP Building Department ■■,■ �■en 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC GC) 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): 104 NE 100 STREET City: Miami Shores Village County: Miami Dade Zip Code: 33138 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: ES)< UNIT BEING REPLACED DATA NEW UNIT 7" 1AiAVg MANUFACTURER 'rgA*6 w E o 3(o AHU or PKG.UNIT MODEL# T!�,j E 0 3.74- r 7 " D T A COND.UNIT MODEL# 121 C/o Z KW HEAT 5` NOM TONS AHU7,7,, CU I`z PKG 1)M.C.A AHU Z'ZCU/Z PKG AHU 3D CU 1 D PKG 2)M.O.P AHU 30 CU Za PKG AHUZTo CU7,5o PKG 3)VOLTS AHU'X3 CUZ30PKG PKG UNIT / / PKG UNIT i L EER/SEER /S YES NO REPLACING DUCTS YES tee YES NO REPLACING THERMOSTAT S NO YES NO NEW 4"CONCRETE SLAB YES O YES NO NEW ROOF STAND YES YES NO 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): 2-k4 4. Size Disconnecting Means: _/�0 `t � 0 Contractor's Company Name: ��G `( A j Phone:75 State Certificate or Regist ion No. C4 C 0 S9 7 44.6 Certificate of Competency No. Signature Date: S' (fiu is ' a (Revised02/24/2014) LOCATION OF WORK - THIS CUSTOMER IS NAME � MAINTENANCE INVOICE A PROSPECTFORA ��ff p �+C ��T�`' /± O Heating Unit C AIR COIN' Ift N I,'4G � e�►� DATE 3 D Air conditioning +.-- U��'`i 3951 S W 47 eve 1 a5•Ft Lauderdale,K 33314 7Q l . . !1 W COMPRESSOR . Elec.Air Cleaner 9 79`2942 • Fm 954 797-09 0 ` .d°n psis t ` ) t ) O Humidifier ,,Dp 1 01 Connecticros ' t1 BI To &Contacts Tght&Clean SOURCE COST QTY ' ITEM PRICE. NAM PHONE ®'CONDENSER COIL 11 Olson C911 -FILTER X X STREET -, ), ❑-E t_°F Lv. r- -F - - - - 7� -- - -- - - - �, I ZI REFRIGERANT. Ct STATE 3,3a .l Leaks ❑ Charge f 'naAKE neooel saRlAINiJMBER 9 fAN&MOTOR f IW a•v ' . rAal� mom :awl ❑ l=lecMciGConnedgp t &Conta�s�Tight&Giean Eta1F Cil C22.NG COIL ❑WARRANTY [I-SERVICE C0NtRACT O INCONIPLFETE Q Ciean Caii, _ :Leaving Alr_Torn ^F DATE DESCRIPTION OF YYOF(K_PERFOF2MED j ❑ PAN&M OlkW �. _TA .4a a / - ❑ an PWleys(A��ust Belt) `- ',. ❑1c16�icate Bearings&Motu #� L7 E ft --Cal Connections - ght.& &Contacts Ti Clean 46��� N21iu 0elC!d'C(�NDENSATEs' S, D liispect$,Ciean Dlti Aatis � i�:InspeotBsC�nDtrairl Cieanssl,' � ' ❑ ,ala nr ' � ✓ l �. r HEA N��► str �:Y.: d Jm4r17 ti 1Flterc:tiaiagbr r 1TI-c "L ❑Tuer_uRPiv and`',Itssur / fl.:Pllot Assembly�W Glean) O-44ame illy 'nest J 0"StackSwtTtch,A�Flue t ❑ Fan&l 1tnit$with operation ` p � ®'7HEgMOSTAT , UP'oN INSPECTION OUR TRAINEES PERSONNEL'RECOMdAE NQ :SERVICEAaAN Nq: + COST iN�/CrCE " _ , f- BREAKDOIRYN `NUMBER.: ' MATERIAL Q AMOUNT / TOTAL MF TERK LABOR TOTAL SERVICE CHARGE . _ TRAVEL CUSTOMER'S,AVI7HOklM, , ON;-',_' CUSTQMER'SACCI�PfA1VCE I ' HOURS MILES SALES TAX_X✓ R _U, TOMER O NI�MBER' SIGNA RE $1 NA 'IRE TOTAL k TERMSc NET DATE-OP'IIdvO1GE_ s ` '- Wh®n naki�a PavmeBL'p/ease reier'to�ntrolce dumber s , g�► s Miami Shores Village Building Department Mtn 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC A (,` _ CSI 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): 104 N E 100 STREET City: Miami Shores Village County. Miami Dade Zip Code: 33138 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 7�62AI9 MANUFACTURER 7-9�/ C- -TW E a 36 AHU or PKG.UNIT MODEL# T'W a 3 D COND.UNIT MODEL# I©Z KW HEAT 5` NOM TONS AHU7,?, CU)Z PKG 1)M.C.A AHU Z2,CU/2 PKG AHU 30 CU ?r D PKG 2)M.O.P AHU 30 CU Z® PKG AHU070 CU175o PKG 3)VOLTS AHU-XA CU ZAO PKG PKG UNIT / / PKG UNIT 12- EER/SEER /S YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT S NO YES NO NEW 4"CONCRETE SLAB YES O YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity(Wire Size): ) 0 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit(208/240/480): 2-V� 0 4. Size Disconnecting Means: e?-0 -' -:�> 0 Contractor's Company Name: C-RG ( 9�11 j Phone:? State Certificate or Regist ion No. CAC 0 5-97146 Certificate of Competency No. Signature Date: S' /k, rs (Revised02/24/2014) THIS CUSTOMER IS NAME LOCATION OF WORK CAPITAL MAINTENANCE INVOICE • A PROSPECT FOR � �� ��7 w, - a �. �0 El Heating Unit AIR COND1'T1ON�NG ' DA1E ❑Air Condi3951 SW 47.Ave #105•Ft L�Iuderdale,FL 33314 Conditioning .�., BE DONE ®'COMPRESSOR . Q ❑ Elec.Air Cleaner (954) 792.4942 Fax: (954) 797-0029 ❑"Suction PSIG ❑ Humidifier _ ❑ Head PSIG ❑ V A • ❑ Eld'Mcal.Connecttons ,E] Rep BI TO: &Contacts Tight&JClean SOURCE COST QTY. ITEM PRICE- NAME PHONE 9 CONDENSER COIL FILTER_ _X X - STREET ---- ❑_Entan Coif el= _Lv °F — - -- ---- CITE ,' STATE � � l 0d REFRIGERANT eaks GI~RA 0 J// ye ! ❑ Leaks ❑ Charge I� AMWEL BEM&Kumsm ®'FAN&`MOTOR W ❑ VMAKE '4 ❑ BlecMcal Connectlons h —SERMIFAMER &Contacts Tight&Clean fd COOLING COIL ❑WARRANTY ❑SERVICE CONTRACT O INCOIV OLETE ❑ Clean Coil .❑,LeavingAir Temp. °F 4 DATE DESCRIPTION OF WORK PERFORMED _ ❑ FAN&MOTOR - f ❑ Fan Pulleys(Adjust,Belt) ❑ Lubricate Bearings.&Motor ❑ l=lee6ieal Connections 40 &Contacts Tight Clean' CONbENSATEAREAS Inspect"&Clean 17rein Fans z r El Inspect Cloan Dirt, tj ft "S Gd'A1R FJL7 la cl eaned: i1 iR -,bad Ayi' LL '`i .L7 la'WEACG ASS 3LY U BumerA,fhtel� tiger' Fl � ,`f ; t`9i�f:. /2 l� ❑ Fuel Swoply,a04`Prffsss�e_ 0''P ilot Assbmbly also Glean) ❑❑ Flanie gdjust►nent Stack Sw,1'tcl1,a Flue / O Fan$Llmit BWitah operation Er THERMOSTAT COST UPON INSPECTION OUR TRAINED PERSONNEL REC,OMdIEND' INVOICE SERVICEMAN NO. _ - BREAKDOWN NUMBER MATERIAL . =Etw AlwouNT LABOR — - 0 ;3 p' 6 CD'7S TOTAL MA . ; IAL TOTAL SERVICE CHARGE TRAVEL CUSTOMER'S AUTHORI7�1TIOtd CUSTOMER'S ACCEPTANCE HOURS MILES SALES TAX I CUSTOMER NUCvIBER SIGNATURE SIGNATURE _ TOTAL $ ^ TERMS: NET DATE OF INVOICE _ .; :_ `_ „: When malting Payment please refer to Invoice"Muol