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MCC-19-1053Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: MCC -05-19-103 Permit Type: Mechanical - Commercial Work Classification: A/C Replacement Pernw,,StotuS: Approved Issue Date: 05/17/2019 Expiration: 11/13/2019 Location Address Parcel Number 10200 BISCAYNE BLVD, Miami Shores, FL 33138 1132050200010 :ontacts MIAMI SHORES VILLAGE Owner C&R AIR CONDITIONING CO Contractor MIAMI SHORES VILLAGE ROBERT CHRYST 10050 NE 2 AVE, MIAMI SHORES, FL 331382304 2121 NE 139 ST, OPA LOCKA, FL 33054 Other: 3057511271 Business: 3056856394 candraccompany@aol.com Other: 9546804494 Description: EXACT REPLACEMENT OF 6 TON SPLIT SYSTEM Valuation: $ 9,695.00 Inspection Rec nests: 5=762-4'94 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $6.00 DBPR Fee $5.09 DCA Fee $3.39 Education Surcharge $2.00 Permit Fee $289.33 Scanning Fee $9.00 Technology Fee $8.48 Total: $373.29 Payments Date Paid Amt Paid Total Fees $373.29 Credit Card 05/10/2019 $50.00 Credit Card 05/17/2019 $323.29 Amount Due: $0.00 Building Department Copy 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. ahIrPID 1 : I)ceifyhat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws ucos —Ft►Ehermore. I authorize the above named contractor to do the work stated. Authorized Signature: OwnV ` / Applicant / Contractor / Agent Date May 17, 2019 Page 2 of 2 � IM Miami Shores Village Y o 019Building Department Olt, 10050 N.E.2nd Avenue, Miami Shores, Florida 33138. Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 t-14 ��F�BCr20r " BUILDING Master Permit No. l` Cc VS—I IQ PERMIT APPLICATION Sub Permit No. F-IBUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑ PLUMBING MECHANICAL [-]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP —4 A I CONTRACTOR DRAWINGS JOB ADDRESS: 109,00- 0 Folio/Parcel#: Is the Building Historically Designated: Yes NO ve Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: �7 OWNER: Name (Fee Simple Titlehoolder): (AYK V1 ES' \VjCCVV(7CPhone#: �1��2Z0/ Address: b V 5U NC- N r-\ Jt- City: J • ` I Am ` l��t� State: Pio n i LOAr Zip Tenant/Lessee Name: Phone#:_ Email: 33 ( CONTRACTOR: Company Name: " �Y�p • �(� • Phone#: OSS 8S6 .J Address:: 60-73 w 16-74T C L4 City: / r ' I a " t '730/r _ State: E) . Zip:�p/ Qualifier Name: 6-e t't T C � JT Phone#: 3 0\•- 6 O 1rb V State Certification or Registration #: rtificate of Competency #: DESIGNER: Architect/Engineer: 4 Z Phone#: Address: T Cit : State: Zip: Value of Work for this LnD V Squa Linear Fo tage of Work: Type of Work: ❑ Alteration ' ' Repair/Replace ❑ Demolition Description of Work: + 4, Specify color of color t Olfle4..` s'' I Submittal Fee, I Permit Fee $ CCF $_ Scanning Fee $ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ (Revised02/24/2014) F: et+w ..w.yw..... a V✓•a wu•.w.p.v..t-yI' > ••`S••.^.�� CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ -��•� r Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 rove and inspection fee will be charged. om Signature Signature VA -1 OWNER or AGENT The foregoing instrument was acknowledged beforemethis i 0 ddafa�� of A 20 I by who i personally known o me or who has produced as CONTRACTOR s, The foregoing instrument was acknowledged before me this 10 day of a 20 /_ by R ohQ rfi T. C 10rgAT , who is ersonally known o me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: as Sign: Sign: �Avlc-t rr h2 Print: Print: Seal: k`:.i Commission # GG 323898 Seal: JANET L. KRAN2 Expires May 9, 2023 T Bnrsdod lsru Troy F n In Commission 0 GG 323898 d smra 800.3857010 Expires May 9, 2023 Bondod Thro Troy Fain Wurrm 800-U 7010 APPROVED BY ` Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 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. n n A Job Address (where the work is being done): 10 a ® O City: Miami Shores Village County: Miami Dade U Zip Code: �2 3 1 -2 O 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 RI DATA SHEET REQUIRED Change disconnecting means: YES❑ NO 1ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protectio ( use Breaker Size): 3. Voltage of Circuit (208/240/480): C) V6 I t �1 4. Size Disconnecting Means: 1 C) / t� u Contractor's Company Name: C+ R A 1 r C p v ci. C O. Phone: �OJ 6 8S 6�9 L1 State Certificat istr do C A C 0 a(6414 Certificate of Competency No. c� Signature Date: S' 9 (Q fier's ' ature) 9i W (Revised02/24/2014) UNIT BEING REPLACED DATA NEW UNIT C,a,ri`1=,r Ok M - 60-1 MANUFACTURER AHU or PKG. UNIT MODEL # t- q v) .1 3 &A t -N • 60 '1 COND. UNIT MODEL # 0-7 j� KW HEAT 10 NOM TONS AHU CU PKG 1) M.C.A AHU3)CU28 PKG AHU CU PKG 2) M.O.P AHU90CU4S PKG AHU CU PKG 3) VOLTS U 30 'Z 0 AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES O YES NO REPLACING THERMOSTAT ES NO YES NO NEW 4"CONCRETE SLAB YES 0 YES NO NEW ROOF STAND YES 0 YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protectio ( use Breaker Size): 3. Voltage of Circuit (208/240/480): C) V6 I t �1 4. Size Disconnecting Means: 1 C) / t� u Contractor's Company Name: C+ R A 1 r C p v ci. C O. Phone: �OJ 6 8S 6�9 L1 State Certificat istr do C A C 0 a(6414 Certificate of Competency No. c� Signature Date: S' 9 (Q fier's ' ature) 9i W (Revised02/24/2014) May 1019 08:39a C 8c R Air Conditioning Co 305 685 6395 p.1 i MAY 9 019 BY:_ �/� Certificate of Product Ratings AHRI Certified Reference Number: 201930663 Date: 05-10.2019 Model Status: Active Brand Name: TRANE Model Number. TTA0724(3,4,W)DA*00A" Indoor Unit Model Number: TWE0724(3,W)B'A'""00 Series Name: ODYSSEY AHRI Type: RCU-A-CB Refrigerant Type: R-41 OA Hertz: 60 Sold in?: USA, Canada Rated as follows in accordance with the latest edition of AHRI 340/360 Performance Rating of Commercial and fndnstriai'. ,• • • • • Unitary Air-conditioning and Heat Pump Equipment and AHRI 365 and subject to rating accuracy by AHRI-spori9or4. A+ndenl;,, " • third party testing: • 00:19 •• • Cooling Capacity 9517rooling Capacity 95F at 230v: 75000175000 • • "' • • • EER 95F/EER 95F at 230w: 11.40111.40 • • • • • • I EERA EER at 230v :12.9M 2.9 • • • • The following date is for reference only and Is not c Full Load Indoor Cal Air Quantity (scfm) : 2400 rt lied b}, SAN i— .___ Vami Shcros Vi'lage unauthorized alteration ordain listed on this Certificate. CettMed ratings are valid only for models and configurations listed in the directory at www.ahridlrectory.org. APPROVED BY DATE 70NING DEPT IN t entered intro a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual, entered �I DG DEPT pemnal and confidential reference. SUBJECT 10 CCNIPUANCE WI FH ALL. FEDERAL STATE ANL) C(-UN,Y riUL=S AND REGULATIONS The AHRI 34WM certified EER ratings in BbA Mi aro calculated under the some methodology as the EER ratings at Tt conditions of ISO 5151:2017 and ISO 13253:2017 1'Ac ive" Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for safe; OR new models tient aro being marketed but are not yet being produced."Production Stopped" Moet Status are those that an AHRI Certilieation Program Participant is no longer producing BUT is stili sSINng or offering br eels. Retinas that are axomparried_tat WA5 tna an invduntam re -rate The new oubfisbed ratino is shmn alwa wilt ft previous fl.e. WAS) rating. ••i • • • DtSCLA1MER AHRI does not endorse the products) listed on this Certificate and makes no representatlons, warrarnfes of lWerentees as t0. and assumes no responsibility for, Ike product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of arW kind artsinE out of the use or performance of the pmduogs), or the unauthorized alteration ordain listed on this Certificate. CettMed ratings are valid only for models and configurations listed in the directory at www.ahridlrectory.org. TERMS AND CONDITIONS This Certificate and its contents antiM re proprietary products of AHRI. This Certificate shat only be used for individual, personal and The contents of this Certificate may not, in whole or to part, be reproduced; copied; disseminated: _ insa confidereference purposes. IN t entered intro a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual, entered pemnal and confidential reference. OUR -CONDITIONING, CERTIFICATE VERIFICATION STRU E & R�Ri16ERATtIX7 INSTITUTE The Information for the model cited on this certificate can be verifled at www abrldirectory.erg, click on 'Verity Certfflcate" link wemxke life bei, - and eller the AHR1 Certified Reference Number and the dale on which the certificate was Issued, which is listed above, and the Ceniticate ll which is listed at bottom right i CERTIFICATE NO.: '018 's°t�'sas V2019AIr-Conditioning, Heating, and Refrigeration Institute i ,n LexisNexiso User Name: Elena Tinari-Lago Date and Time: Friday, November 30, 2018 5:01:00 PM EST Job Number: 78542513 Document (1) 1. Travelers Indem. Ins. Co. v. Meadows MRI. LLP. 900 So. 2d 676 Client/Matter: -None- Search Terms: Travelers Indem. Ins. Co. of III v. Meadows MRI Search Type: Natural Language Narrowed by: Content Type Narrowed by Cases -None- r LexisNexis` I About LexisNexis I Privacy Policy I Terms & Conditions I Copyright © 2018 LexisNexis Elena Tinari-Lago