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MC-16-3316 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-272654 Permit Number: MC-12-16-3316 Scheduled Inspection Date: December 21,2016 Permit Type: Mechanical- Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: MOREIRA NETTO,ANTONIO LUIZ Work Classification: A/C Replacement Job Address:9250 NE 10 Court Miami Shores,FL Phone Number (269)252-9376 Parcel Number 1132050150250 Project: <NONE> Contractor. UNITED BREEZE CORP Phone: (305)262-2530 Building Department Comments EXACT A1C CHANGE OUT 5 TONS. n c o a omme INSPECTOR COMMENTS f=alse Inspector Comments Passed Failed D Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee Is paid December 20,2016 For Inspections please call:(305)762.4949 Page 22 of 46 tf 01 rh �e °R yi Miami Shores Villagea° e� M 10050 N.E.2nd Avenue NE � Miami Shores,FL 3313&0000 f J i gy h ° Phone: (305)79-2204 o�Ei3 ar t 19� Expiration: 06/17/2017 Project Address Parcel Number Applicant 9250 NE 10 Court 1132050150250 Miami Shores, FL Block: Lot: ANTONIO LUIZ MOREIRA NETT( Owner Information Address Phone Cell ANTONIO LUIZ MOREIRA NETTO 9250 NE 10 Court (269)252-9376 MIAMI SHORES FL 33138- 9250 NE 10 Court MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 3,600.00 UNITED BREEZE CORP (305)262-2530 Total Sq Feet: 2100 Tons:5 Available Inspections: Additional Info:EXACT A/C CHANGE OUT 5 TONS. 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 $2.40 DBPR Fee Invoice# MC-12-16-62289 $2.00 12/19/2016 Credit Card $95.40 $50.00 DCA Fee $2.00 Education Surcharge $0.80 12/07/2016 Credit Card $50.00 $0.00 Permit Fee $126.00 Scanning Fee $9.00 Technology Fee $3.20 Total: $145.40 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 certify that all the egoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and i . Futhermore,I a orize the above-named contractor to do the work stated. 6i� 41;4y�0 , December 19,2016 Auth ed Signature: er / Applicant / Co ractor / Agent Date Building Department Copy December 19,2016 1 Miami Shores Villagect Y�� ;; Building Department D 0 70 16 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 BY. — I Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201 � BUILDING Master Permit No. wA— 33(G PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑E MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9250 N.E 10 Ct City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3205-015-0250 Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Antonio Netto Phone#:269-252-9376 Address:9250 N.E 10 Ct City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: antonio_netto@whirlpool.com CONTRACTOR:Company Name: United Breeze Corp Phone#: 305-262-2530 Address: 6979 NW 82 Ave City: Miami _ State: FL Zip: 33166 Qualifier Name: ✓ %/ 7.-0 Phone#: State Certification or Registration#: CAC1817220 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$3600.00 Square/Linear Footage of Work: 2100 SF Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Exact A/C Change Out +70r,\S Specify color orrf11colloorr thru tile: 7� Submittal Fee$ �V . `w Permit Fee$ 6 CCF$ • �v�\ CO/CC$ _ Scanning Fee$ Q Radon Fee$ • C— DBPR$ •W Notary$ Technology Fee$ >' 2 0 Training/Education Fee$ 40 Double Fee$ Structural Reviews$ Bond$ ,q C TOTAL FEE NOW DUE$ 1 cJ 40` (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 50 a reinspection fee will be charged. Signature Signature NER or AGENT CONTRACT The foregoing in ru ent was acknowledged before me this The foregoing instrument was acknowledged before me this o2/7, day of ,20 Al . by ��1 day of ���G/�t�i� '20 A0 , by who isersE onally known to 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: ��/ Z71-- YPV" �q [�pq�p gyp' �qg�1�' ;'O� ''aG` G D ll EIWI&"AR A INLZ YP ".. Seal =' ,A Seal: 2°`�`et� Gl��fl®'d E�fl6�E�T1i�E� MY C MMISSION#FF153840 MY COMMISSION#FF153840 '9jkoFF,o?: EXPIRES August 24,2018 • (40 '.',rFOFF,•°�:• EXPIRES August 24,2018 7)395-0753 FloridaM9tct sarvlce,com h 4 7,.�..Ae-Q1 b7 Fl�flli€tPd�t�l daFVIA�GtlFf'1 kk#kkk44*Fkk**i*kk** **i+k*F* k*k*+k**+k �k�k>K* TT* ******z APPROVED BY Plans Examiner Zoning P Structural Review Clerk (Revised02/24/2014) United Air Conditioning Contractor Residential&Commercial permits@unitedbreeze.com Contact us: (305) 262-2530 Fax: (305) 262-2532 DATE: /� �� ��• HVAC AUTHORIZATION PERMIT LETTER This serves as authorization for Thomas Tamayo from United Breeze Corp,a Floridayiicense HVAC Contractor to sign,open and close permit on my behalf, /I/' Neeyyr (home owner),for the property located at1.50 W-25� O" 11,11.4 If you need any further information,please contact me at X4-1— le 74t Thank You, Signature Driver's License: The foregoing instrument was acknowledged before me on this_6 day of 4e"A/>fV .2016 by A7�171*0 /yowner of the property in question,and has produced Driver's License as identification. SEAL -IDY MARTINEZ P�IMISSION#FF153840 NOTARY P LIC -S August 24,2018 .I taryService.com ION#FF153840 M20 ust 24,2018aryService.com A 12/1/2016 Property Search Application-Miami-Dade County Y el PROPERTY APPRAISER ut F Summary Report Generated On : 12/1/2016 Property Information Folio: .�, �11-3205-015-0250 � I; Property Address: 9250 NE 10 CT Miami Shores,FL 33138-2926 ANTONIO LUIZ MOREIRA NETTO Owner ANA AMELIA DO N NALDE ' 9250 NE 10 CT Mailing Address MIAMI SHORES,FL 33138 USA Primary Zone 1400 SGL FAMILY-3001-3250 SQ a Primary Land Use 0101 RESIDENTIAL-SINGLE t va FAMILY: 1 UNIT Beds/Baths/Half 3/2/0 p - " Floors 1 "� Living Units 1 " " Actual Area 12,753 Sq.Ft 2 " ' of Living Area 2,627 Sq.Ft Adjusted Area 2,565 Sq.Ft Taxable Value Information Lot Size 8,784 Sq.Ft _n 2016 2015 2014 Year Built 1962 County Assessment Information Exemption Value $50,000 $50,000 $50,000 Taxable Value $471,877 $468,250 $216,218 Year2016 2015 2014 - School Board Land Value $294,488 $267,588 $237,148 - - $25,000 Building Value $228,542 $230,273 $194,196 Exemption Value $25,000 $25,000 Taxable Value $496,877 $493,250 $241,218 XF Value $30,876 $20,389 $20,630 _ City Market Value $553,906 $518,250 $451,974 Exemption Value $50,000 $50,000 $50,000 Assessed Value $521,877 $518,250 $266,218 Taxable Value $471,877 $468,250 $216,218 Benefits Information Regional Exemption Value $50,000 $50,000 $50,000 Benefit Type 2016y, 2015 2014 Taxable Value 1 $471,877 $468,250 $216,218 Save Our Homes Cap Assessment Reduction $32,0291 $185,756 Homestead Exemption $25,000'$25,000 $25,000 Sales Information Second Homestead Exemption $25,0001$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 11/07/2014 $790,000 29394-4598 Qual by exam of deed Board,City,Regional). 05/01/1998 $212,000 18139-4092 Sales which are qualified Short Legal Description 11/01/1995 $190,000 16990-2564 Sales which are qualified 5 53 42 03/01/1994 1 $163,000 16299-4309 1 Sales which are qualified BELVIDERE PARK PB 16-71 LOT 27 LESS N15.5FT&N30FT OF LOTS 23-24-25&26 BLK 3 LOT SIZE 72.000 X 122 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:/twww.miamidade.gov/info/disdaimer.asp Version: INVOICE# 16023071 Services AIR CONDITIONING.PLUMBING.ELECTRICAL DATE Dec 2, 2016 APPLIANCE DISTRIBUTORS DUE Upon receipt Invoice AMOUNT DUE $3,600.00 CUSTOMER MAKE PAYMENT TO Antonio Netto United Breeze Corp. 9250 Northeast 10th Court 6979 NW 82 Avenue Miami Shores, FL 33138 Miami , FL 33166 (269)252-9376 (888) 305-8948 http://www.unitedbreeze.com housecall@unitedbreeze.com SERVICES qty unit price subtotal Air Conditioner- Free In House Comfort Evaluation MATERIALS qty unit price subtotal Unit Price List-7943714 1.0 $3,500.00 $3,500.00 RHEEM 5TON 16 SEER SYSTEM MODELS RAI 660AJ1NA, RH1T6024STANJA, RXBH- 1724C10J INCLUDED ITEMS -***INCLUDED ITEMS*** DIGITAL NON PROG THERMOSTAT, TIE DOWN, VIBRATION PADS, SAFETY SWITCH, LOCK CAP, REFRIGERATION LINES INSULATION, SYSTEM START UP AND TEST, BALANCE AIR FLOW, LABOR REQUIRED TO DO THE JOB WARRANTY 1 YEAR LABOR WARRANTY FROM UNITED BREEZE 10 YEARS AC PARTS AND COMPRESSOR FROM MANUFACTURE - REPLACEMENT HVAC PERMIT 1.0 $100.00 $100.00 NOTE: Customer will be responsible for Paying any fees charged by the City. TOTAL $3,600.00 The true test of a company's value is its long-term relationships with its customers. It is our goal to build lasting partnerships with each of our clients by providing service that far exceeds expectations. We are committed to being your one-stop source for all your Services needs. 1 of 2 RECFTtTFL) . . . . `�J;ORjg3 �,� i i •i• : : i i •:• Miami Shores Village Ile C 0 7 2016 Building Department B.� �_ n...t" • • • •.. . 910050 N.E.2nd Avenue By o a.Mi4iN Shores, Florida 33138 � Es Oye - •:• '.' .:. '.' Tel: (305)795.2204 Fax:(305)756.8972 AIR CONDITIONING REPWFrf EKT:9,►TPr ••• • • • • •• • ' ' ' 13EN lJ1IT"LIAORER: 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):9250 N.E 10 Ct 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 N ARHI Sheet Attached:YES Q NO❑ Contract Attached:YES �JNIT BEING;SEPLACED DATA NEW UNIT GOO 'W MANUFACTURER RHEEM F X41 14 AHU or PKG.UNIT MODEL# RH1T6024STANJA COND.UNIT MODEL# RA1660AJlNA '<4`"-• ` KW HEAT 10 KW 5 S NOM TONS 5 TONS G 1)M.C.A AHU: CUN PKG U CU PKG 2)M.O.P AHU/SCU,0,6 PKG /f/ AHU CU PKG 3)VOLTS AHU0*U G /j/ PKG UNIT / / PKG UNIT EER/SEER 13.00 EER/16.00 SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity(Wire Size): -/I--�0 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit(20240/480): 4. Size Disconnecting Means:,/ / Contractor's Company Name: j11p'j �� Phone: (.3*'06'Z-2530 State Certificate or Registration No. Certificate of Competenc)0*T1'40 Signature Date: d (Qua re (Revised02/24/2014) it' lyc ." ` `_ "+.fir L. $ i ».`' .• •• • • .• •• • AAs L4n6l� aston,qualifies for a Federal Energy 4.Ellidieticy J'agQredit when placed in service between Feb 17,2009 and Dec 31,2016. Certif icate of Prod u �r� • � AHRI Certified Reference Number: 7943714 Date:912/1/2016 ••. •• . ... . . . . .. . Product: Split System:Air-Cooled Condensing Unit,Coil vKUA iIcj : :*; ;,,, •• Outdoor Unit Model Number: RA1660AJ1 Indoor Unit Model Number: RH1T6024STAN 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,T), 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): 58000 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 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.ahridirectory.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, personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATiON INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org,click on`Verify Certificate"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. -------" -----"16 ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 131250972169783701