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MC-14-1127
BUILDING PERMIT APPLICATION Miami Shores Village 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 L1/4_3 Master Permit No. G (''" 2 -7 -1 -- Sub Permit No. ❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING MECHANIC L PUBLICWORKS ❑ CHANGE CONTRACTOR CANCELLATION ❑ SHOP DRAWINGS JOB ADDRESS: Goo 14/____ City: _- City: Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type: Load: Miami Shores County: Miami Dade zip: '33 ( 3,Q Construction Type: Flood Zone: BFE: NO FFE: OWNER: Name (Fee Simple Titleholder): ( ( (V1I71 Phone#: Address: GOO qr._ clT City: Ivt L Aiv\A Tenant/Lessee Name: Phone#: s rP .- 43-Ct— 1"1 2� Email: State: zip:"Y) ( 3s CONTRACTOR: Company Name: Address: (S$ t City: 1-t/l State: Qualifier Name: 11 W\ A -1-0QD....6 Phone#: 7 '2;452,' b 3 .Ci, A Zip: 55 ( 6 Phone#: 5- 5--12Qp State Certification or Registration #: C A -l_ t 1 1) 9e Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: s Address: City: State: Zip: Value of Work for this Permit: $ 5,900 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ nAlteration Description of Work: ❑ New ❑ Repair/Replace ❑ Demolition 0 Specify color of color thru tile: Submittal Fee $ D L-DPermit Fee $ �� 1 O� CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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: ondition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good fait that copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject •. attac ment. � Is. • certified copy of the recorded notice of commencement must be posted at the job site for the first inspect' seve ays he building permit is issued. In the absence of such posted notice, the inspection will not be approve. and a in. p tion f , harged Agent The foregoing in .trumeas acknowledged before me this 3v The foregoing instrument was acknowledged before me this �J day of 20 by < 1 MK/ ./6 day of , 20 by Keorvi.4 —t heti, t who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. Signature ont ctor NOTARY PUBLIC: My Commission Ex ***************** APPROVED BY NOTARY PUBLIC: Sign: My Commi Expires 05/02/2016 ~ Plans Examiner Zoning Structural Review Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) Clerk 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 sheets are not acceptable. Job Address (where the work is being done): ("00 1"4 City: Miami Shores Village County: Miami Dade Zip Code: '331 S 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 ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ N0.15 ARHI Sheet Attached: YES4NO ❑ Contract Attached: YES UNIT BEING REPLACED DATA NEW UNIT ••• J MANUFACTURER OCf -11,A .1,) 4. _ AHU or PKG. UNIT MODEL # GM 16l.4 Cite_ 'A. _ 1n COND. UNIT MODEL # A \9 KW HEAT \O y -70ru S NOM TONS t1 -T S AHU CU PKG 1) M.C.A liSk5 AHU CU PKG AHU CU PKG 2) M.O.P 604,9 AHU CU PKG AHU CU PKG 3) VOLTS Qp9l✓2 , AHU CU PKG PKG UNIT / / PKG UNIT / / 1 ♦ EER/SEER 1 YES 11) REPLACING DUCTS S N9 NO REPLACING THERMOSTAT �'E NO YES faNEW 4"CONCRETE SLAB YES N YES • NEW ROOF STAND YES YES NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): cO 4 2. Maximum Overcurrent Protection (Fuse/Breaker Size): GO AA4p 3. Voltage of Circuit (208/240/480): 20 9,1 2 L1.0 4. Size Disconnecting M- i 7 r ! O' I Contractor's Co = : N : O1, A� t Z4(_ -O j— Phone: —1_2-? State Certificate r Regist - • ,1��1�; -�'in& Certificate of Competency N. Signature ,� ,,�1�� �� _ Date: —3d r V vo��f*. nature only) 1� Quote Blue Breeze One Hour Air Conditioning & Heating 655 NW 118 ST. Miami FL 33168 305-865-1220 FAX: 305-865-7779 CAC 1813298 Quote # Date: Page # 316907 05/30/14 1 of 1 Jimmy and George Gamonet 600 NE 97 St Miami Shores FL 33138 Service At: Jimmy and George Gamonet 600 NE 97 St Miami Shores FL 33138 Appt Date 05/30/14 Job # 218934 Contract # Claim # We are glad to submit our quote for the HVAC system for the mentioned project and propose to furnish all equipment, labor and material as described in our scope of work Proposed Work Quantity Unit Price Extended Price Tax 4 Ton Basic A/C Permits 1 $5,000.00 $5,000.00 1 $0.00 $0.00 Total Quote $5,000.00 All materials are guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from the above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements are contingent on strikes, accidents or delays beyond our control. Homeowner must carry fire, flood and any other necessary insurance. In the event that it shall became necessary to enforce any of our rights under this invoice to collect any sums due or to remedy a breach of any covenant of this agreement and the non -prevailing party shall pay for interest accrued, attorney's fees and all relevant cost incurred. Warranty's service covered by this agreement will be scheduled during the company's regular hours, 8:00 am to 5:00 pm., Monday through Friday, except holidays. After hours or weekend scheduling is available for an additional charge. The Company is not responsible for regular maintenance issues such as water leaks, plugged drains, dirty filters, blown fuses, electrical surges or acts of nature. ACCEPTANCE OF PROPOSAL �f The above prices, specifications, and conditions are satisfactory and are hereby accepted. You •,l�- au T orize. s do the work as specified above. Payment will be made as outlined and I understand that should I cancel this contract, a � % c I� - ation fee will be imposed. / 0 1 Acceptance (Customer) Date Appro e p • , 00 Method of Payment Check [ ] Cash [ 1 —Credit [ ] Date Master Card [ ] Visa [ ] AmExp [ ] Discover [ ] Acct # Name on Card Exp Date Signature A i■. /CERTIFIED® www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 7040831 Date: 6/2/2014 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX160481 F* Indoor Unit Model Number: ASPT48C14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Series name: GSX16 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. 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• I Cooling Capacity.(Btuh): 43000 EER RatingY(Cooling): 12.00 SEER Rating(Cooling):- — 14:00 IEER Rating (Cooling): rtY) T_;1 lI �r �.. 17) * 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.ahridlrectory.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. CERTIFICATE VERIFICATION The information for the model cited on this certiflcate can be verified at www.ahridlrectory.org, click on "Verify Certificate" Zink 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. ©2014 Air -Conditioning, Heating, and Refrigeration Institute AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE we make life better' CERTIFICATE NO.: 130461939814744409 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 10/21/2016 To: Current Owner 600 NE 97 Street Miami Shores , FL 33138-2471 Permit: MC -6-14-1127 Address: 600 NE 97 Street Miami Shores FL33138-2471 Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to obtain new permits, 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 Director