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MC-16-1905 (2) Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-264677 Permit Number: MC-7-16-1905 Scheduled Inspection Date: August 03,2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: OSTROWSKI,JOHN& DALE Work Classification: A/C Replacement Job Address:126 NW 104 Street Miami Shores, FL Phone Number Parcel Number 1121360131450 Project: <NONE> Contractor: ALL STAR HOME SERVICES Phone: (786)270-1860 Building Department Comments REPLACE 4 TON A/C UNIT Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-262803. seal holes in floor and plemun Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 02,2016 For Inspections please call: (305)762-4949 Page 24 of 29 Miami Shores Village Psy � ht�ca �IQlrl�at 10050 N.E.2nd Avenue NW 3 ifVGi � ��� ? llE : plaCA1�1 rit.,. Miami Shores,FL 33138-0000 Phone: (305)795-2204 meatus'-ApPIR 0 oto ,A tiii�e Imo;Not; Expiration: 01/04/2017 Project Address Parcel Number Applicant 126 NW 104 Street 1121360131450 JOHN&DALE OSTROWSKI Miami Shores, FL Block: Lot: Owner Information Address Phone Cell JOHN&DALE OSTROWSKI 1130 NE 100 ST MIAMI SHORES FL 33138-2602 Contractor(s) Phone Cell Phone Valuation: $ 5,700.00 ALL STAR HOME SERVICES (786)270-1860 Total Sq Feet: 0 Tons:4 Available Inspections: Additional Info:REPLACE 4 TON A/C UNIT 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 $3.60 Invoice# MC-7-16-60526 DBPR Fee $2.99 DCA Fee $2.99 07/18/2016 Check*13480 $ 174.08 $50.00 Education Surcharge $1.20 07/08/2016 Check#:13462 $50.00 $0.00 Permit Fee $199.50 Scanning Fee $9.00 Technology Fee $4.80 Total: $224.08 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compsante with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the pro er 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 AFF ID VIT: 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 in Futhermore,I authorize the above-named contractor to do the work stated. July 18,2016 Author zed ature:Owner / Applicant / Contractor / Agent Date Building Department Copy July 18,2016 1 r � Miami Shores Village � JUL 0 8 Zoe Wo 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 200; BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING 0 MECHANICAL [_]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 126 NW 104 St City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2136-013-1450 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):John C Ostrowski/Dale C Ostrowski Phone#: Address:126 NW 104 Street City. Miami Shores State: FI Zip; 33150 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: All Star Home Services, Inc. Phone#: 7862701860 Address: 29790 Old Dixie Highway city. Homestead State: FI 33033 Qualifier Name: David Irwin Phone#: 7862701860 State Certification or Registration#. CAC1816332 Certificate of Competency#: DESIGNER:Architect/Engineer: Pho State: Address: City: (State: Zip: Value of Work for this Permit:$$5700.00 Square/Linear Foota a of Work Type of Work: El Addition El Alteration El New Repair/Replac ❑ Demolition Description of Work: "VLcD I lA Cc `t' Ric Lino- - Specify elno- -Specify color of color thru tile: Submittal Fee$ Permit Fee$ 6 CCF$ 3, (0q0 Scanning Fee$ r'1 'W Radon Fee$ PM$ . / I! Notary$_ 30 Technology Fee$ Training/Education Fee$ A Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ • 09 (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 VJ-1— Signature_ OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 04 day of (AI 20 r, by 1 �—day of M 1 20 by h � A O�"WiSk-1 who is personally known to �(�V �� _YY\,I N1 who is personally known to me 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 PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: 1 (� ""v'i"�•., ERICA JOCELYN FELICIANO Seal: �4 Notary Public-State of Florida Seal: ;so�""y`°eJc,, ERICA JO ELYN FELICIANO Commission#E FF 973736 ', ,? Notary Publ�c-State of Florida c 'r My Comm.Expires Mar 25,2020 ` Commissi n M FF 973736 My Comm.E Was Mar 25,2020 q ,•h1i0 ,, �k�k�e#ak�t*Ae yt & �kek �k �k�k�k�k�k�k McAc,kek �kyt�k�k�k�e***�k& ,Ic�kMe�t&Be At Me&�%�c*,kik APPROVED BY Plans Examiner Zoning Structural Review .Clerk (Revised02/24/2014) ,SNoREs h Miami Shores Village <<y� Building Department logo nollm 10050 N.E.2nd Avenue LnrQ. Miami Shores, Florida 33138 j�LaR�p; 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):126 NW 104 Street City: Miami Shores Village County: Miami Dade Zip Code: 33150 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 -P_kee ori MANUFACTURER e I-Wrl AHU or PKG. UNIT MODEL# L4 COND. UNIT MODEL# RL44 '+ 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 II . 5.. YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity(Wire Size): QQ 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit(208/240/480): /'.-1ZAo 4. Size Disconnecting Means: Contractor's Company Name: All Star Home Services, Inc. Phone: 7862701860 State Certificate or Registration No.CAC 1816332 Certificate of Competency No. Signature Date: 0.5i C t IF I it (Qualifier's signature) (Revised02/24/2014) F N 0 IRN OF THE PROPERTY APPRAISE ' 1 Summary Report Generated On:5/16/2016 Property Information Folio: 11-2136-013-1450 Property Address: 126 NW 104 ST Miami Shores,FL 33150-1240 Owner JOHN J OSTROWSKI DALE C OSTROWSKI Mailing Address 126 NW 104 ST MIAMI,FL 33150 USA f Primary Zone 0800 SGL FAMILY- 1701-1900 SQ = �" Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT Beds/Baths/Half 3/2/0 Floors 1 Living Units 1 e Actual Area 1,893 Sq.Ft Living Area 1,640 Sq.Ft Adjusted Area 1,766 Sq.Ft Taxable Value Information Lot Size 9,150 Sq.Ft 2015 2014 2013 Year Built 1947 County Assessment Information Exemption Value $50,000 $50,000 $50,000 Taxable Value $169,551 $167,809 $114,716 Year 2015 2014 2013 Land Value School Board $164,440 $98,074 $44,981 Building Value $122,913 $119,735 $119,735 Exemption Value $25,000 $25,000 $25,000 XF Value $0 $0 $0 Taxable Value $194,551 $192,809 $139,716 City Market Value $287,353 $217,809 $164,716 Exemption Value $50,000 $50,000 $50,000 Assessed Value $219,551 $217,809 $164,716 Taxable Value $169,551 $167,809 $114,716 Benefits Information Regional Benefit Type 2015 2014 2013 Exemption Value $50,000 $50,000 $50,000 Save Our Homes Cap Assessment Reduction $67,802 Taxable Value $169,551 $167,809 $114,716 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 05/31/2013 $280,000 28669-2473 Qual by exam of deed Board,City,Regional). 03/01/2005 $400,000 23428-3709 Sales which are qualified Short Legal Description 05/01/2003 $258,000 21291-2530 Sales which are qualified MIAMI SHORES SEC 5 PB 10-47 10/01/2000 $114,000 19338-1083 Sales which are qualified LOT 4&E1/2 OF LOT 5 BLK 127 LOT SIZE 75.000 X 122 OR 21291-2530 05 2003 1 COC 23428-3709 03 2005 1 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.gWinfo/disclaimer.asp Version: ` iw�. . omm This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. %.purtificate of Product Ratings AHRI Certified Reference Number: 7943535 Date: 5/27/2016 kC NOS Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1648AJ1 JUL O S 8�6 Indoor Unit Model Number: RH1T4821STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand 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, 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, central air conditioners can only be installed in region(s)for which they meet the regional efficiency requirement. Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows in accordance with AHRI 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): 45000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 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)listed on this Certificate annd&"akes,no rep2es:nt:ticZ?,:varr%ies or guarantees as to,and assumes no responsibility for, the products)listed on this Certificate.AHRI expressly disclaims Lill Iiabllify fortlemages ofarvy kimd 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 www.aliridirectory.org. TERMS AND CONDITIONS • ••• • • • • This Certificate and its contents are proprietary products of;HJI.Th�Certifi:'atJsh':II Qnly be ustd fEr iAdividual,personal and confidential reference purposes.The contents of this CertificaommaNenot,an whole o&irwarlt,beiepr4ur�d;copied;disseminated; rso 11 entered into a computer database;or otherwise utilized,in 4r4y1orm:3l manrkj Cr b�gRy meals,exctptrtor the user's individual, personal and confidential reference. ••• • AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be v rifi d at www.ahridireotory.org,click on"Verify Certificate"link g• • • • we make fife Better" and enter the AHRI Certified Reference Number and the date on•v icb the 41rti:care ZZ 1sstled, • which is listed above,and the Certificate No.,which is listed at bQttontright.• ••• • • • 131088551685364711 ©2014 Air-Conditioning, Heating,and Refrigeraiipn�hsfi(ut2•• •;• ;•• ERTIFICATE NO.: 8 4 FRANK BENNAADO,P.E. PE RHEEM SALES COMPANY, INC. """"". 4549 WIND LOAD CERTIFICATION OF MECHANICAL UNIT CABINETRY AND STEEL/ALUMINUM TIE-DOWN CLIPS: AT GRADE MOUNTED APPLICA[�O!t5 ) y� a"\ l.00a° c*.: ,46 U35 S' \�3 �N� 1 U35151oM 3S S<F,y 0.313°0.750° E D ®' o i 1.250 CS'. I001 xO 4 "XX O >Vu W � 18-GA ASTM ''nn A653 PAINTED O U t m Lu STEEL F. 0 o Z N 9 3 � CABINETRY � W •+m�3 _ _ 0 V) 0 TUy M z� � 0 NIU6 SIM.TO'V BUS 51 m.70``'•no O o ON OPP.FAC[ ON OPP.FACE V O A C Z H • • � 0.167° � • 0 z $ •Oa•R£�• • CONCRETE SUPPORTING SUPPORTING 0 r4 STRUCTURE BY ^ 0.306° O STRUCTURE BY • OTHERS,NP. D •TyP 1� E DTg�1•�'• •• •• •• CONTROL BOX N ..... xM'ECH�(��AJ� UNIT 2 MECHANICAL UNIT �t1.000° ••• •• L •i,T.S. •••• FRONT ISOMETRIC 1 N.T.S. BACK ISOMETRIC TIE-DOWN CLIP i • • •••••• ISOMETRICS ARE INTENDED FOR '—y 90Ns •••••• DLAGRSiP'IhTATlCAL PURPOSES ONLY;ALTERNATE RHEEM W O 6 u� • • • kews VTsT(jjD HEREIN MAY VARY IN APPEARANCE MIAMI TECH CLIP:L(CU(0.07°)ASTM A653 S t� Fu=90 KSI STEEL(CllTD10)OR 0.080° ,y •••••• • • (4)-610 INTERNAL POST 5052-H32 ALUMINUM(CUTDAIO),MIAMI N E • SMS PER ADJACENT TO TECH KIT 6 RRCUTDLK OR RRCUTDALK • •• CLIP,TYP. CONTROL BOX OUVE -T=OM1 • *PANE R • .� 2 C •••••• L� • l0 •l1P. �9 CLIP *37.25°. U� .® a 0 UNIT BASE �a NIT BASE as NIT BASE ANCHOR PER PAN pqN PAN 1 � SCHEDULE n IPO N R 3000 PSI MIN '• e CONCRETE BY __ _ DIM,1 '' OTHERS,TYP. p� ® Q C) ��CONTROL x G&©ARE SIM CLIP OFFSET DIMENSION SHALL hhh��� _.``gOX_.^ Hr AND OCCUR ON BE TAKEN FROM THIS SIDE ONLY DATUM FACE r a a OPP.FACES e 3 TIE-DOWN CLIPS 4 TIE-DOWN CLIP LAYOUT �pTppgglLgypppp N.T,S. ELEVATION 1 N.T.S. PLAN 15-2543GA ANCHOR SCHEDULE: TIE-DOWN CLIP OFFSETS: � � PADS DHSCRIPTIONI APPLICABLE MODELS: 61-TALLUNITS SUBSTRATE DESCRIPTION RA1642A RAI648,RA1660,RP1360, 38.78•x3S.76-FOOT PRINT DIM.1 4.50°MAX OFFSET FROM DATUM FACE RP1460.RP1548,RD1448,RP1660, WTrN ca CONCRETE: (1)•1/a'0 CARBON STEEL SIMPSON STRONG BOLT2,1%• MIN EMBED TO DIM.2 30.00°MIN OFFSET FROM DATUM FACE RD1460,RAIUA1748,RANA1760, 7 (4-THICK MIN, CONCRETE,3'MIN.EDGE DISTANCE,3-MIN.SPACING TO ANY ADIACENT ANCHOR. (1)-1/4°0 CARBON STEEL POWERS WEDGE BOLT.,2y EMBED TO CONCRETE,3• DIM.3 31.00°MIN OFFSET FROM DATUM FACE RA/UA2048,RAIUA2060,RPIUP1746, dl' 3000 PSI MIND O MIN.EDGE DISTANCE,3-MIN.SPACING TO ANY ADJACENT ANCHOR. RPA)P1760,RP/UP2048,RPIUP2680, Al SUPPORTING CONCRETE SUBSTRATE DEPTH SHALL BE A MINIMUM 1.SXANCHOR EMBED. DIM.4 13,00°MAX OFFSET FROM DATUM FACE EITHER ANCHOR FROM THIS SCHEDULE MAY BE USED FOR INSTALLATION.