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MC-15-3108 Miami Shores Village D C 16 2015_ 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 201 L BUILDING Master Permit No. 11 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP Au, r g CONTRACTOR DRAWINGS JOB ADDRESS: Z®D 170 A o �/l a m / fiv��G City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: ®/',5/®/ �� — 6 /6 ® Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholde a Phone#: Address: 009�-- City: '6Z!r a41 I _�5h U rs State: �� Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: IgLL fa/z 1"a Sere/ Phone#:/ W� �_��✓ Address: 9 L X;47- City: State: Zip: t� / Qualifier Name: Phone#: � State Certification or Registration#:CA / ? I c03 5 0_\ Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: L / / City: State: Zip: Value of Work for this Permit:$ 7 / `/ ®� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteratioonn ❑/New ❑ Repair/Replace_ ElDemolitioon Description of Work: u�C r� (!1ha 6\C OU--t- cV15 �kl) 15—k L0 Specify color of color thru tile: Submittal Fee$ Permit Fee$ _ w�a CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ c (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. Signat Signature A OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged beis, The foregoing instrument was acknowledged before me this a day of Dl�-C ,20 I�' _ ,by I day of "DC CC- 4 N br 20 ' ,by I�X'xq& ���F ,who is personally known to ICV If) —Tr W 10 who is personally known to me or who has produced o,S Pr-n L I s me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: titinluuln��i Sign: Sign: Print: :�So�sS +���� - Print: Seal: °. N°`e Seal: "y 0 a Notary Public State of Florida Erica Jocelyn Espada �Ca��E6 182841 *****a�x�x�x***�******* **e** kNIWIt)�** x**I APPROVED BY ***�* ` v e�ld�Vd � G PIaR�,s�Caminer Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application-Miami-Dade County http://www.miamidade.gov/propertysearch/#/report/summary 1 OFFICE RF THE PROPERTY APPRAISER Summary Report GeneratedOn: 12/10/2015 J Property Information - ` Folio: 11-3101-021-0100 „ = Property Address: 10070 N MIAMI AVE y QQ + .. Miami Shores,FL 33150-1216 Owner IRENE PAGER F 10070 N MIAMI AVE ` Mailing Address MIAMI SHORES,FL 33150 USA ;.. Primary Zone 1000 SGL FAMILY-2101-2300 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE 1 FAMILY: 1 UNIT Beds/Baths/Half 2/1/0 Floors 1 Living Units 1 Actual Area 1,304 Sq.Ftq h ography Living Area 1,030 Sq.Ft 0 2 Adjusted Area 1,089 Sq.Ft Taxable Value Information Lot Size 7,200 Sq.Ft 2015 2014 2013 Year Built 1939 - ------------ - - ---------- County Assessment Information Exemption Value $50,000 $50,000! $50,000 Year 2015 2014 2013 Taxable Value $94,671 $93,523 $91,402 Land Value $111,059 $92,219 $61,479 School Board Building Value $78,599 $77,511 $78,104 Exemption Value $25,000 $25,000 $25,000 XF Value $1,796 $1,808 $1,819 Taxable Value $119,671 $118,523 $116,402 Market Value $191,454 $171,538 $141,402 City ---- --�- - Exemption Value $50,000 $50,000 $50,000 Assessed Value $144,671 $143,523 $141,402 Taxable Value $94,671 $93,523 $91,402 Benefits Information Regional Benefit Type 2015 2014 2013 Exemption Value $50,000 $50,000 $50,000 Save Our Homes Assessment Taxable Value $94,671 $93,523 $91,402 Cap Reduction $46,783 $28,015 Homestead Exemption $25,000 $25,000 $25,000 Sales Information Second Homestead Exemption $25,000 $25,000 $25,000 Previous OR Price Qualification Description --_--.� ---.__._.._._.... Sale Book-Page Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Board,City,Regional). 04/26/2012 $165,000 28097-3968 Qual by exam of deed 07/05/2011 $50,000 27838-0931 Qual by exam of deed Short Legal Description 03/10/2009 $100 26822-3151 Trustees in bankruptcy,executors or HAMILTON TER A SUBDIV PB 15-75 1 guardians LOT 3 BILK 2 06/01/1985 1 $55,000 12535-0143 Sales which are qualified LOT SIZE 50.000 X 144 OR 12535-143 0685 1 The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: 1 of 1 12/10/2015 1:42 PM 0041 Local Business TO, Recof ePa Miami-DadeiSCo NOTuntA,BILLState�NOTPAY 7168524 RlCOWT No. EXPIRE30, 2p16 Wwa. SEPTEMBER t PIRCO of busineas BUSINESS NAME/LOCATION Taq�185 Must bedisplayedn Code ALL SCAR HOME SEMCE51NC pursuant to Cou tY 29790 OLD OWE"W Chapter BA-Aft 9 at 10 90MESTEAO FL 33033 PAYMENT ItECEIVeo SEC.TYPE OF SUS/NE85 MOR SV TAX COI t BCTOA ME SEi�i►CES INC 1�$��2 CµANICAL CONTRA $75.00 09/23/2015 OWNER MPUIO-15-007919 ALL STAR Workers) 10 Tax.Tae p°C6W is note Iips°• i aeaflas°paY a of Ulu Rolf ind ca"Il W101 sat Tkh{ecel Baaixasa Tsx°B; Mdo h°►di*UW aqo ° ppf wick 4"00 t0 lawn i6 or•oerti8cetioa � fp1 � cia{tl0f'Miao �a0°d°s068s- • of were "0Rt°i�be 00"ad 0e Ypg{!4 fWapT NO.ekow farmers hdma vidt 1tt Scanned by CamScanner ALLST01 OP ID:MA ,4�cro�Rv► CERTIFICATE OF LIABILITY INSURANCE DATE/ / 12/1010/22015015 Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy((es) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME. Michelle Wilson FILER INSURANCE,INC. 9440 S.W.77 Avenue AJCNr o Ell:305-270-2100 ac No): 305-270-2195 Miami„FL 33156 E-MAIL Michelle Wilson ADDRESS: INSURERS AFFORDING COVERAGE NAIC q INSURER A:Western World Insurance Co. 13196 INSURED All Star Home Services Inc INSURER B: 29790 Old Dixie Highway INSURER C: Homestead,FL 33033 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADL UBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE OCCUR NPP8287679 07/01/2015 07/01/2016 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICYFX] PRO- JECT E LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea acc dent ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDL SCHEDULED BODILY INJURY Per accident) $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR Ed CLAIMS-MADE AGGREGATE $ DED I I 1 1 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILI Y Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Elec within buildings AC CERTIFICATE HOLDER CANCELLATION MIAM109 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Building& THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g ACCORDANCE WITH THE POLICY PROVISIONS. Zoning 10050 N.E.2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores,FL 33138 n n Marielle Beraza P184346 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD A� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD 12/10/2015015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ' CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONT NAME:CT Ashley Stefanell Brown & Brown of Florida, Inc. PHONE (305)247-5121 FAX .(305)248-8543 dba T.R. Jones & Co. E-MAIL .astefanell@bbinsfl.com 1780 N Krome Ave INSURERS AFFORDING COVERAGE NAICk Homestead FL 33030 INSURERA:Associated Industries Insurance 23140 INSURED INSURER B: All Star Home Services, Inc. INSURER C: 29790 Old Dixie Highway INSURER D: INSURER E: Homestead FL 33033 1 INSURER F: COVERAGES CERTIFICATE NUMBER:2015 Master Liability REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'NSR I KD—DL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCEimt;R wvnPOLICY NUMBER LIMITS GENERAL LIABILITY - EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Eaoccurrence) $ CLAIMS-MADE D OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICY PRO- LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acci ent ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOSAUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OAUTOWNED PROPERTY DAMAGE $ (Per accident) $ UMBRELLA LIAB - OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ A WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITYER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1 000 OQO OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) WC1042449 1/1/2015 1/1/2016 E.L.DISEASE-EA EMPLOYE $ 1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) A/C Replacement CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave Miami, FL 33138 AUTHORIZED REPRESENTATIVE Fausto Alvarez/JESBRO ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD All Star Home Services,Inc. Invoice 14440801 29790 Old Dixie Highway Invoice Date Homestead,FL 33033 Terms Service 786-270-1933 Completed Date www.allstarhomeservice.com Com P Customer PO CAC1816332/CFC1428470/EC13001286 Billing Address Job Address Irene Prager Prager 10070 north miami avenue Irene IreneNorth Miami Avenue Miami Shores,FL 33150 USA 10070 Miami Shores,FL 33150 USA _ Description of Work Evaluated system found unit with a bad cap.and a leak. Provided options to customer and customer financed new equipment. Task# Description Your Your Quantity Price Total MISCI Attic Install 1.00 $0.00 $0.00 HVAC Permit for the installation of a new Air Conditioning System. 1.00 $0.00 $0.00 Permit- Split System RA1630 Replacement of existing Air Conditioning System: 1.00 $0.00 $0.00 Ruud 2.5 Ton 16 SEER—Non-Variable Speed-High Efficiency Air Conditioner Ruud-14AJM Condensing Unit -Environmentally friendly R-41 OA refrigerant -Dependable energy efficient scroll compressor -76 dB operating sound -27.5"x 31.75"x 31.75" Ruud-RH1 T-Constant Flow Air Handler -ECM NON-Variable Speed Motor -42.5"x 17.5"21.75" Ruud 5 KW Heater -Must have At Least 10 Gauge Wire -Must have 40 Amp Breaker at panel White Rodgers—Digital Programmable Thermostat New System Complete Care Agreement -45 Point checkup and evaluation twice a year -Priority Service -Electrical component lubrication -Duct evaluation -Condensate clean and flush -Drain tablets Miscellaneous Items: Drain Line Emergency Shut Off Switch 18"aluminum stand Hurricane Tie Down Straps -Drain Line Flush Clean&Flush -Refrigerant tubing flush;for removal of old incompatible oils&contaminates(Unless Refrigerant Lines Are Replaced) Check and record static pressure of duct system Seal any minor holes or penetrations in Air Handler Closet -Liquid Line Filter Drier -Removal and Disposal of Existing Equipment -Removal and Proper Disposal of Refrigerant(By EPA Regulations) -All necessary miscellaneous materials for installation to meet or exceed current Florida Building Code standards. -All necessary labor associated with the installation of the air conditioning system to meet or exceed the current Florida Building Code standards. -(INSTALLATION OF OPTIONAL INDOOR AIR QUALITY IMPROVEMENT PRODUCTS) Warranty: Air Conditioner-10 year Compressor,coils&Parts Thermostat-2 year parts Labor-1 year labor on installed system components Exclusions: All Star Home Services is only responsible for the work performed as a result of the replacement of the air conditioning system,there is no warranty for existing components-including but not limited to;duct system,wiring,breakers&refrigerant piping. System Cost Breakdown: $4614-Total Cost -$171 -FPL Rebate -$461 —10%-Cash/Check Payment Rebate $3982-Amount you pay with all rebates applied 0%for 36 Month Payment Option:$123.42/Month 5.99%for 103 Month Payment Option:$55.54/Month *Permit:Florida Building Code requires a permit for the replacement of an Air Conditioning system- Should you choose to proceed without a permit you agree All Star Home Services will be held harmless against any possible fees/fines associated with violations should they arise. **FPL Rebate-The FPL Rebate in an instant cash rebate offered in exchange for your FPL account number so that a rebate for the installation of the air conditioner can be submitted and received by All Star Home Services.If a correct FPL account number associated with the installation location is not provided by the day of install then the full rebate amount is due by you at time of installation.In the event that the proper information is provided within 15 days of installation All Star Home Services will provide a full refund in the amount of the rebate. Sub-Total $0.00 Tax $0.00 Total Due $0.00 Payment $0.00 Balance Due$0.00 Thank you for allowing our team the opportunity to provide you Air Conditioning,Plumbing&Electrical service. Credit Card Payment Authorization Print Name below as it appears on credit card Payment Type Credit Card# CVC Date EXP e WORK AUTHORIZATION:I,the undersigned,am owner/authorized representative/tenant of the premises at which the proposed work is being done.I hereby authorize you All Star Home Services,Inc.to perform the proposed recommendations for a cost of$0.00.Services are performed on a C.O.D.basis consisting of a"/deposit for proposed work and the balance due upon completion of proposed work unless payment terms have been approved by our credit department,scheduled installations will incur a 10%cancellation fee.Billed work will include a$10 administrative fee and for invoices not paid in a timely manner will incur a finance charge of 1.75%per month(21% per annum)will be added once a balance is 10 days past due.I agree to pay reasonable attorney's fee,court costs and collection fees in the event of legal action.I have read this contract,including the terms and conditions on the reverse side hereof and agree to be bound by all the terms contained herein.All old parts will be removed from the premises and discarded,unless otherwise specified herein. I hereby agree that I have reviewed Terms and Conditions and authorize All Staff Home Service staff to proceed with the proposed work. ACCEPTANCE OF WORK PERFORMED:I acknowledge satisfactory completion of the above described work and the premises has been left in satisfactory condition.I understand that if mpayment does not clear,I am liable for the payment and any applicable bank or collection fees.I agree to pay 1.75%per month for past dyue contracts(minimum charge$35).In the event that collection efforts are initiated against me,I shall pay for all associated fees at the posted rates as well as all of collection fees and reasonable attorney fees.I agree that the amount set forth in the space marked"TOTAL COST"is the flat price I have agreed to. q4, ` VIS Miami Shores Village C� Building Department D APR 132015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. PERMIT APPLICATION sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING 0 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10070 N. MIAMI AVE City: Miami Shores County: Miami Dade zip: Folio/Parcel#:11-3101-021-0100 Is the Building Historically Designated:Yes NO XX Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):_ Eca� Phone#: Address:10070 N. MIAMI AVE city: MIAMI SHORES State: FL Zip: 33150 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: ALL STAR HOME SERVICE Phone#: Address: 29790 OLD DIXIE HWY City: HOMESTEAD State: FL Zip: 33033 Qualifier Name: DAVID IRWIN Phone#: 305-345-6046 State Certification or Registration#: CAC1816332 petency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: 00 Square/Linear Footage of Work: Type of Work: ❑ Addition J //❑ Alteration /i /� ��❑ New ❑ Repair/Replace ❑ Demolition ( Description of Work: EX 6 1- /i I C moi' On Q S �7�h(J Specify color of color thru tile: Submittal Fee$ 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$ (Revfsed02/24/2014) 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 rein ection fee will be charged. i � C Signat f� Signatur OWNER or AGENTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this dday of / n�,�s 20 by day of ` 20 by ff �(.l r[�'L(./i�i1 personally know1,6,611-1 o is personallyknown to me or who has prc.tuced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTA UBLIUNOT Y PUBLIC: _��►+"r J� P� LO ONZALEZ •,, 4 FF 156861 *= ON#FF 156861 Sign: g• AXP r 8 Sign: •, g,.•• I Se 201 Print: �C- C ® Z Print o Seal: Seal: V APPROVED BY Plans Ex miner Zoning Structural Review Clerk (Revised02/24/2014) ,SNoREs y Miami Shores Village Building Department Bull 10050 N.E.2nd Avenue Miami Shores' Florida 33138 tido �t RiDp' Tel: (305)795.2204 Fax:(305)756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form mush accompany ALL air conditioning replacement permit applications. Each unit change-out must be on its own data sheet. Multiple units on single/s�h/e�e/tss arenot acceptable. �`�/ Job Address(where the work is being done): 100- I fd/ I V 0 Y ► MI I 1�"C�9 City: Miami Shores Village County: Miami Dade Zip Coder 1�� 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 AHU or PKG. UNIT MODEL# f97o�3 COND.UNIT MODEL# 1�zdagi KW HEAT NOM TONS y AHU t CU ,> PKG 1)M.C.A AHU ®CU PKG AHU n ACU PKG 2)M.O.P AHU <_CU irPKG AHU c9 CU PKG 3)VOLTS AHL,I,?q XU EKG PKG UNIT / / PKG UNIT EER/SEER YES REPLACING DUCTS YES 5 NO REPLACING THERMOSTAT NO YES 0 NEW 4"CONCRETE SLAB YES YES NEW ROOF STAND YES Q YES NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity(Wire Size): a$(r 2. Maximum Overcurrent Protection (Fuse/Breaker Size): go 3. Voltage of Circuit(208/240/480): 1y_q 4. Size Disconnecting Means: V/A- Contractor's Company Name: nn SEPOICE6 Phone: 1, 270 I&C State Certificate or Registration Certificate of Competency No. Signature Date: ee gnature) (Revised02/24/2014) This combination qualifies for a Federal Energy Efficiency Tax Credit when placed In service between Feb 17,2009 and Dec 31,2014. Ceft'ificate of Product Ratings AHRI Certified Reference Number: 7426795 Date: 4/12/2015 Product: Split System:Air-Cooled Condensing Unit, Coll with Blower Outdoor Unit Model Number: 14AJM30 Indoor Unit Model Number: RHIT3617STAN Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD;WEATHERKING 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(13tuh): 29000 EER Rating,(Cooling): 13.00 SEER Rating(Cooling): 16.00 ICER 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 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 www.ahrtdIractory.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-CONDMONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTnUM The Information far the model cited on this certificate can be verified at www.abridirectory.org,click on"Verity CartgIcate"link we make life better- and enter the 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-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 130733480267854662 2221-2 A— 1 -Date: `-' 1� System N: INVOICE �'• �.��� C,4�IZ AIR CONDITIONING•PLUMBING•ELECTRIC Name: rz_ Phone(s): IJ ` ` r� A Job Address: I nLna i ©r-41 r\ 1�-�(o ,-\ j A u-ii City: 1"ll l r1G x-AL i FL;5 1,5 Q or call OOC�O° °Odfnom your mobile device Billing Address: ���� UC-�l1 �lC�I All City: .tel i C M, 29790 Old Dixie Highway-Homestead.FL 33033 Lead Installer: !i p Assistant(s): Model: Model: jU 17l( U9= Enter Temp: -F Exit Temp: °F Evaporator TD: °F Brand: Tons 2SEER: fill Model: 5 Model: High Side Temp: 9�j °F Pressure:3 psi Low Side Temp: °F Pressure: /y�psi DRAIN AIR HANDLER REFRIGERATION CIRCUIT Superheat: �� °F Subcooling: / °F m Installed service TEE on drain line for maintenance Z Penetrations have been sealed Lines were flushed or replaced Compressor Amp Draw: _ _. - --- - - - - - -w ---------------- Primary - - AJC Primary drain is P-Trapped and plumbed to drain ZI Filter is accessible and easy to replace New we is installed and there is only 1 Heater Amp Draw. Float switch wired to shutdown entire system ❑ Closet door closes P Line Set is padded and strapped Condenser Fan Amp Draw - Drain is pitched for proper drainage ❑ All holes in closet are sealed System was vacuumed to 500 microns or less Evaporator Fan Amp Draw: r Drain is terminated outside with an elbow ❑ A/H stand is secure and level Suction Lines are insulated Total A/H Amp Draw Cool Heat Z Drain was cleared with nitrogen Z Mechanical attachment is installed(plenum) ELECTRICAL Total Condenser Amp Draw: vertical sections of drain line are insulated ❑ Dip switches are set to match condenser tonnage Wire size and breaker amperage match A/H Breaker size(Panel): Drain pan has been water tested(3 gallon minimum) Low voltage penetrations are protected by grommet Circuit breakers are turned back on A/H Breaker size(Unit): .Z Coil is pitched primary drain GARAGE/ATTIC INSTALLATION MISCELLANEOUS Cond Breaker Size(Panel): �S Fan is set to high speed Z Customer was shown how to replace filter Cond Breaker Size(Disc): iG_ G71'r� --_ __._. .---- - - - ---__-..--- _ .. ---- - - CONDENSER ❑ All materials below 6'are metal or wood Customer was shown how to operate thermostat Static Pressure: in w.g. X] Unit and pad are level All air chambers are insulated with 1%z°duct Install and warranty paperwork left with invoice Float Switch Operable: _ 21 Rheem/Ruud has isopads installed Z Breaker has been removed or protected Trash removed and area cleaned to our specs ❑ Fan Only ❑ Heat ❑ Stage 1 ❑ Stage 2 �] Disconnect is sealed to wall and watertight Z If horizontal:supply and return are double strapped Warranty and filter stickers have been affixed Filters: S X_"X_" ^X_"X—• / Thermostat wire is in separate conduit THERMOSTAT A Pictures have been taken(before/after/during) "X_"X_" "X "X_. Hurricane brackets are installed Secured to wall with anchors and plate if needed ❑ Customer has been notified of any and all issues IAO PRODUCTS 12"to 18"clearance around condenser Ca Thermostat is level ❑ Manager has been notified of any and all issues FDuctLight: M: / "Bulb ❑ 36"clearance between units C�Thermostat is programmed,fan set to elect,HP or St cool You are proud of the outcome of this install M: / "Bulb All elect&plumb secure at 1'and in 3'increments Thermostat is wired correctly Customer is happy with the outcome of the install ic Filter: "X "X " INE 'm x COMPRESSOR: years PARTS: - le years _ TOTAL COST $ l - LABOR: years Deposit $ �N �� WARRANTY DECLARATIONS The warranty on your air conditioner consists of 2 components parts and labor.The parts are backed by the manufacturer for the period listed above and FPL Rebate $ , ,C the labor is warranted by All-Star Home Services.Maintenance related issues are not covered under warranty unless specifically listed.All-Star Home Services and the manufacturer of your MFR Rebate $ air conditioner strongly suggest that you have an ual check up on your new air conditioning system to keep it per ing optimally.Should an item fail from neglect or an act of God neither -- All-Star nor the manuf turer are required t hon r t stated warranty. Additions $ Custome ❑ Cash ❑CC: Acct $ Signa Date Date ❑ Check Exp Code _ BALANCE DUE $ Air Conditi ning CAC1816332 1 Electrical EC1Al286 Plumbing 428470 Install Invoice rev 4/14 TOTAL PAID $ OFFICE OF THE PROPERTY APPRAISER Summary Report Generated On:3/20/2015 Property Information _ Folio: 11-3101-021-0100 Property Address: 10070 N MIAMI AVEIN Owner IRENE PAGER 10070 N MIAMI AVE Mailing Address MIAMI SHORES,FL 33150 Primary Zone 1000 SGL FAMILY-2101-2300 SQ ' Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY:1 UNIT e �N4 Y Beds I Baths I Half 2/1/0 Floors 1 LivingUnits 1 Actual Area Sq.Ft � Living Area Sq.Ft5 Adjusted Area 1,094 Sq.Ft Lot Size 7,200 Sq.Ft Year Built 1939 Taxable Value Information 2014 2013 2012 Assessment Information County Year 2014 2013 2012 Exemption Value $50,000 $50,000 $0 Land Value $92,219 $61,479 $44,316 Taxable Value 1 $93,5231 $91,402 $116,926 Building Value $77,511 $78,104 $70,440 School Board XF Value $1,808 $1,819 $2,170 Exemption Value $25,000 $25,000 $0 Market Value $171,538 $141,402 $116,926 Taxable Value 1 $118,523 $116,402 $116,926 Assessed Value 1 $143,523 $141,402 $116,926 City Exemption Value 1 $50,000 $50,000 $0 Benefits Information Taxable Value 1 $93.5231 $91,402 $116,926 Benefit Type 2014 2013 2012 Regional Save Our Homes Cap Assessment Reduction $28,015 Exemption Value $50,000 $50,000 $0 Homestead Exemption $25,000 $25,000 Taxable Value $93,523 $91,4021 $116,926 Second Homestead Exemption $25,000 $25,000 Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Sales Information Board,City,Regional). Previous Price OR Book- Qualification Description Sale Page Short Legal Description 04/26/2012 $165,000 28097-3968 Qual by exam of deed HAMILTON TER A SUBDIV PB 15-75 07/05/2011 $50,000 27838-0931 Qual by exam of deed LOT 3 BLK 2 LOT SIZE 50.000 X 144 03/10/2009 $100 26822-3151 Trustees in bankruptcy,executors or OR 12535-143 0685 1 guardians 06/01/1985 $55,000 12535-0143 2008 and prior year sales;Qua[by exam of deed 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: Miami Shores Village Building Department 10050 N.E. 2nd Avenue Miami Shores, FI 33138 Tel: 305-795-2204 Fax: 305-756-8972 11/24/2015 10070 N. Miami Avenue Miami Shores FL 33150 RE: Process No.MC-4-15-848 Address: 10070 N. Miami Avenue Dear Owner, Our records indicate that the above referenced permit has expired without obtaining the proper permit approval. In order to serve you better, we need to keep our files up to date. As per section 105.3.2 of the Florida Building Code, "An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filling, unless such application has been pursued in good faith or a permit has been issued." Please be advised that open permits will hinder your ability to refinance or sell this property. Please contact the Building Department,within 15 days of receipt of this letter in order to take care of this matter. Sincerely, Ismael Naranjo, CBO Building Department Official 305-795-2204