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MC-17-971 Peirmi t,Na: tIC ' '17-971 Miami Shores Village M P l#t Ty 'M Itanlcal 7$0 I Nential 10050 N.E.2nd Avenue NE yr #aSftCa#�vr� Al"r-Ie_IiCam1 Miami Shores,FL 33138-0000 Petmit Stetk-APPROVEQ Phone: (305)795-2204 F OR`D� 1-6 Ex (ration: 10/17/2 17 1201 0117 Project Address Parcel Number Applicant 1020 NE 104 Street 1122320290250 MICHAEL&SABRINA PUGLISI MIAMI SHORES, FL 33138- Block: Lot: Owner Information Address Phone Cell MICHAEL S SABRINA PUGLISI 1020 NE 104 Street MIAMI SHORES FL 33138- 1020 NE 104 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: _ $ 4,239.00 QUALITY AIR OF AMERICA INC (800)753-7470 Total Sq Feet: 0 @. Tons:6 Available Inspections: Additional Info:A/C CHANGE OUT 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 $3.00 Invoice# MC-4-17-63616 DBPR Fee $2.23 04/06/2017 Credit Card $50.00 $119.83 DCA Fee $2.23 Education Surcharge $1.00 04/20/2017 Credit Card $ 119.83 $0.00 Permit Fee $148.37 Scanning Fee $9.00 Technology Fee $4.00 Total: $169.83 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, S,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregillrrmatfon ' accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I aut ;:a -n ed o do the work stated. April 20, 2017 Authorized Signature:Owner pplicant / Contractor / ge Date Building Department Copy April 20,2017 1 � r Miami Shores Village Building Department i a Nk 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 QIC Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 1 14 BUILDING Master Permit No. 6/10 G - �� I PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING E51MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: WaO NE 1014 5+ City Miami Shores County: Miami Dade Zip: X13 9 Folio/Parcel#: 11-.-r�2`�..3 1_—09A- L9�150 Is the Building Historically Designated:Yes NO Occupancy Type: %5 Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): M iCh CLP—' P(DC7)I-Sf l Phone#: '7 X L4 1? g069 Address: I 0 2® 1®) City M-ickynt 15holt-5 State: i— Zip: 35138 Tenant/Lessee Name: Phone#: Email: t(R_ •vg u114o�( C a.YVy2A v r (9P!rt CONTRACTOR:Company Name: Phone#: W —Z5 �z 4176 Address: 6c-3 S City: 11/1 t/`1 M'% State: r Zip: 33 Qualifier Name: 5�lne/,52'® 70fa -7- Phone#: I� State Certification or Registration#: CAC /8l8-7e7m1 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State Zip: Value of Work for this Permit:$ 3 f Square/Linear Footage of Work: Type of Work: ElAddition Alteration ElNew ElRepair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ CK) Permit Fee$ CCF$ 3'W CO/CC$ Scanning Fee$ n Radon Fee$ �' �3 DBPR$ 0 Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ 0 2 TOTAL FEE NOW DUE$ 1 (9* (Revised02/24/2014) r 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. i Signature Signature OWNER or AelrNT W95TRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this l day of W^CC ----.120 /7 ,by 51 day of Ni 177F-e k .20 17 ,by , , who is personally known to a .who is personally known to me or who has produced as me or who has producedas identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign:_ Sign Print: h Print:® Seal: �r° r ,,, OSHER KHTEES Seal: ����.���nOSHER KHTEEB 8 Notary PuOtle-State of Florida ;r°�` m`o'ss Notary PublIC-State of Florida g• Commission#GG 18433 _. My Comm.Expires Aug 3,2020 's, Commiss(on#GG 18433 •,,�°F fir•. , .ate M Co m ******* **�tA M4 MD.MMIC 0' ********* ••���� '�rn�e�tTiroagh t onal Notary Assn. APPROVED BY `PI ns Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA b - DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 DIAZ, FRANCISCO FERNANDO QUALITY AIR OF AMERICA INC 11718 SW 113TH TERRACE MIAMI FL 33186 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque DEPARTMENT OF BUSINESS AND restaurants,and they keep Florida's economy strong. PROFESSIQNALREGULATION Every day we work to improve the way we do business in order CAC1818792 68IJE513I,. 11/01/2016 to serve you better. For information about our services,please log onto www.myfloridalicense.com. There you can find more CERTIFIED AIR CONR;OONTR, information about our divisions and the regulations that impact DIAZ, FRANCISCO-FERNANDO., you, subscribe to department newsletters and learn more about QUALITY AIR OF AMERICA the Departmenfs initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and Congratulations on your new license! Expiration date:AUG 31.2018 L161101OW1437 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CAC 1818792 The CLASS AAIR CONDITIONING CONTRACTOR k Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 DIAZ, FRANCISCO FERNANDO,, QUALITY AIR OFAMERICA.lNC � 6538 COLLINS AVENUE SUITE-49-- MIAMI UITE.48MIAMI BEACH FL 33141 ■ BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT i, 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895— 954-831-4000 I 1 VALID OCTOBER 1,2016 THROUGH SEPTEMBER 30,20173 I . c' DBA: Receipt#:189-280422 l Business Name:QUALITY AIR OF AMERICA INC BUSIneSS Type:ALL OTHER TYPES CONTRACTOR+, (MECHANICAL CONTRACTOR I v� Owner Name:FRANCISCO DIAZ-QUALIFIER BUSIneSS Opened:l0/05/2016 Business Location: 6244 MIRAMAR PKWY State/County/Cert/Reg:cAC1818792 a MIRAMAR Exemption Code: Business Phone: 800-753-7470 1j Rooms Seats Employees Machines Professionals For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 3.00 0.00 0.00 0.00 0.00 30.00 F 3 'rs`i J �J a THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS Y THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature. You must meet all Count and/or Municipality ty planning r rm �." WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when „a the business is sold, business name has changed or you have moved the �1 i business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: QUALITY AIR OF AMERICA INC Receipt #02C-16-00003966 6244 MIRAMAR PKWY ' Paid 03/10/2017 3.00y MIRAMAR, FL 33023 €ry=% a 2016 - 2017 c" 1 � �yl0. Mc l —'� Miami Shores Village Building Department ■.,■ on■tn 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 G REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany A' r cog Jitioning 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): OW W "IL 10,L-1 5{- City: Miami Shores Village County: Miami Dade Zip Code: -S-s %'Z 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 AHRI DATA SHEET REQUIRED Change disconnecting means:YES E] NO E] ARHI Sheet Attached:YES L'_I NO❑ Contract Attached:YES UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER 14 AHU or PKG.UNIT MODEL# COND.UNIT MODEL# KW HEAT NOM TONS 1A 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 I YES NO. REPLACING DUCTS YES N YES NO REPLACING THERMOSTAT YES 12 YES NO NEW 4"CONCRETE SLAB YES (46 YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity(Wire Size): CL 2. Maximum Overcurrent Protection(Fuse/Breaker Size): 3. Voltage of Circuit(208/480): 4. Size Disconnecting Means: Contractor's Company Name: x- V� Phone: —7'�;a 7 2170 State Certificate or Re istration No.OAC, /644.. Certificate of Competency No. Signature Date: (Qualifters gnature) (Revised02/24/2014) P P�PE76l3l�Op,P.E RHEEM SALES COMPANY, INC. - WIND LbAD CERTIFICATION OF MECHANICAL UNIT CABINETRY AND STEELIALUMINUM TIE-DOWN CLIPS:AT GRADE MOUNTED APPLICATIONS 0611012015 ILOt_PBMOTOKYUN ,M 4 ♦^11.000' ng 5 � �3s' � X35 s 3:;sa� 0.7WAPPROVED DESIGN ASCE 740 WR=173 MPH pa 19 (V43O-136 MPH),EXPOSURE W' TT'® O 1.250 CRITERIA' AT GRADE INSTALLATION ONLY YJ u R s OLuUi 'LLx" DESIGN NOTES: (� '<� ' :m a O THIS SYSTEM HAS BEEN DESIGNED IN ACCORDANT WITH ASCE 7-10 AND W WILDING w THE FLORIDA DING CODE FIFIH EDITION(2014)FOR USE W1THA1 AND OUTSIDE THE HIGH VELOCITY HURRICANE tl' ZONE.THE DESIGN CRITERIA O O CONSIDERS ASCE 7.10 SECTION 29.4.1 FOR'OTHER STRUCTURES-SOLID V;I Z m w 0 O FREESTANDING WALLS'INSTALLATIONS AT GRADE.ALL DESIGN VARIABLES O W ARE IN ACCORDANCE WITH ASCE 7-10 CHAPTERS 26&29. p,{ GENERAL NOTES: CI A C 0 O 3. THISRDTEM HAS BEEN REQUIRED AND SHALL BE FABRICATED I Z ACCORDANCE WITH THE REQUIREMENTS OF THE FLORIDA WILDING CODE FIFTH EDITION(20 4)&ASCE 7-10.THIS SYSTEM MAY BE USED WITHIN AND OUTSIDE THE NIGH VELOCITY HURRICANE ZONE.THIS DESIGN 1S NOT CONCRETE O Q INTENDED TO CERTIFY IMPACT RESISTANCE OF THE MECHANICAL UNIT Q SUPPORTI SUPPORTING CONCRETE STRUCTURE gy 2. NO 33-1/3%INCREASE IN ALLOWABLE STRESS HAS BEEN USED IN THE STRUCTURE BY 0.306' DESIGN OF THIS SYSTEM. OTHERS.TYP. B OTHERS,TYP. CONTROL BOX D TYP. 0 3. DESIGN& THIS OF THE UNIT CABINETRY IS APPROVED THROUGH 0 TEST REP0RTII0323.01-IS BY AMEIIICAN TEST LAB OF SOUTH FLORIDA. MECHANICAL UNIT 2 MECHANICAL UNIT 4. ALLDIMENSIONSANDTHEMINIMUMWEIGHT(255LBMINIMUM)0F ♦-TI.000' MECHANICAL UNIT SHALL CONFORM TO LIMITATIONS STATED HEREIN.ALL 1 N.T.S. FRONT ISOMETRIC 1 N.T.S. BACK ISOMETRIC TIE-DOWN MECHANICAL SPECIFICATIONS(CLEAR SPACE.TONNAGE,ETC.)SHALL BE Q AS PER MANUFACNREA RECOMMENDATIONS AND ARE THE EXPRESS (n THESE ISOMETRICS ARE INTEND ED FOR BRACKET RESPONSIBILTTY OF THE CONTRACTOR.DIAGRAMMATICAL PURPOSES ONLY,ALTERNATE RHEEM S. STRONG BOLT 2 REFERRED TO HEREIN SHALL BE SIMPSON STRONGTIE g UNITS LISTED HEREIN MAY VARY IN APPEARANCE MIAMI TECH CLIP:I4GA(0.07')ASTM A653 BRAND&WEDGE BOLT.SHALL BE POWERS BRAND,SAE GR.3 CARBON W 'I$¢$• FU-90 KSI STEEL(CUTDIO)OR 0.080' STEEL OR EQUIVALENT ONLY,INSTALLED TO 3000 PSI MIN CONCRETE.SEE (4)-IIIO NTERNAL POST 5052-H32 ALUMINUM(CUTDAIO),MIAMI ANCHOR SCHEDULE FOR ANCHOR REQUIREMENTS.ALL SHEET METAL = SMS PER ADJACENT TO TECH XIT II RRCUTDLK OR RRCUTDALK SCREWS USED TO FASTEN BRACKETS TO MECHANICAL UNITS SHALL BE#10 BRACKET, CONTROL BOX (14 MIN THREADS PER INCH)ASTM P593 410 STAINLESS STEEL OR TYR EQUIVALENT ONLY.PROVIDE(5)PITCHES MINIMUM PAST THE THREAD >' PANEL, `' PLANE FOR SHEET METAL SCREWS.ALL FASTENERS SHALL HAVE TYP. APPROPRIATE CORROSION PROTECTION TO PREVENT ELECTROLYSIS. B t37.2S LI� 6. ALL CONCRETE SPECIFIED HEREIN IS NOT PART OF THIS CERTIFICATION. Cu AS A MINIMUM,ALL CONCRETE SHALL BE STRUCTURAL CONCRETE 4'MIN. THICK AND SHALL HAVE MINIMUM COMPRESSIVE STRENGTH OF 3000 PSI, g POT BASE 'u NTT BASE �Q NIT BASE UNLESS NOTED OTHERWISE R S ANCHOR PER PAN pAN PAN n 7. THE CONTRACTOR IS RESPONSIBLE TO INSULATE ALL MEMBERS FROM eB SCHEDULE DISSIMILAR MATERIALS TO PREVENT ELECTROLYSIS. ypp ae LIP@ S. ELECTRICAL GROUND,WHEN REQUIRED,TO BE DESIGNED&INSTALLED BY 0® 6 OTHERS. 0 F � A .• ra -� 9. THE ADEQUACY OF ANY EXISTING STRUCTURE TO WITHSTAND Ma y 3000 PSI MIN 7 C O SUPERIMPOSED LOADS WALL BE VERIFIED BY THE ONSITE DESIGN CONCRETE BY DIM.1 PROFESSIONAL AND 1S NOT INCLUDED IN THIS CERTIFICATTON.EXCEPT AS /® OTHERS,TYP. © O&© •O CLI A O ,(/ EXPRESSLY PROVIDED HEREIN,NO ADDITIONAL CERTIFICATIONS OR I• / CONTROL AFFIRMATIONS ARE INTENDED. p�p ®&©ARE SIM CLIP OFFSET DIMENSION SHALL 8OX 30.THE SYSTEM DETAILED MERSIN IS GENERIC AND DOES NOT PROVIDE AND OCCUR ON B� OF 7}(]uSSt3€OAI.P- DATUM FACE --_--- INFORMATION FOR SPECIFIC SITE.FOR SITE CONDITIONS DIFFERENT X3 OPP.FACES FROM THE CONDITIONS DETAILED HEREIN,A LICENSED ENGINEER OR e9 REGISTERED ARCHITECT SMALL PREPARE SITE SPECIFIC DOCUMENTS FOR !f 3 TIE-DOWN BRACKETS K-41 TIE-DOWN BRACKET LAYOUT uselNwwuNcnoNwrrHTHlsoocuMerrr. • .. . �P 1f3.WATER-TIGHTNESS OF EXISTING HOST SUBSTRATE SHALL BE THE FULL ORMOxINPul RMu1NOPE N.T.S. ELEVATION 1 N.T.S. PIAN RES PONSIBILTTYOFTHE INSTALLING CONTRACTOR.CONTRA rORSHALL 15-2543 ENSURE THAT ANY REMOVED OR ALTERED WATERPROOFING MEMBRANE IS I RESTORED AFTER FABRICATION AND INSTALLATION OF STRUCTURE ANCHOR SCHEDULE: TIE-DOWN BRACKET OFFSETS:APPLICABLE YODEL&• ea3w MT& PROPOSED HEREIN.THIS ENGINEER SHALL NOT BE RESPONSIBLE FOR ANY PAOB O[ffiRIP"t SUBSTRATE OESCRIPROM RA164M RA1S IR,RA16B0.RP1380. WATERPROOFING OR LEAKAGE ISSUES WHICH MAY OCCUR AS M-UMTS DIM.1 4.50'MAX OFFSET FROM DATUM FACE FOOT MmYr (t}1/4.0 CARBON STEEL SO m.STRONG BOLT 3,114'MIN BrmED TO FIN 460,..I.,RP164B,RD1448.RP1860. WATER-TIGHTNESS SHALL BE THE FULL RESPONSIBILITY OF THE CONCReTe: p r-0OG0 OIBTRMCO,rnDL GPACOIG TO Am'ROLA -ANaMm. DIM.2 30.00'MIN OFFSET FR0M DATUM FACE RD1480,RNUA774S,RNUA7760, INSTALLING CONTRACTOR. (4'TRACK MIN, 12.FOR W E%PLANATION OF E%POSURE CATEGORIES THAT ACCOMPANY THE p� 3000 PSI MIN.) (II-t/4'B CARBON STEEL OOMi0.5 WEDGE eb T�,xN•MIN EMBED TO CONLAETF, DIM.3 31.00'MIN OFFSET FROM DATUM FACE RNUA2008'flM1A2080.flPoUP174B• yuR WIND SPEEDS USED 1N THIS OONIMNT,SEE SECTION 26.7.3 OF ASCE [� r MW.EOG@ o6TAN®,r MW.59ApNG TD ANYADIR�NT ANG10R. DIM.4 13.00'MAX OFFSET FROM DATUM FACE RPNP17fi0'NP/UP2048'RP/UP2060' 7-10. U b suwo&rlgc coxcRETE su&,TRAre oEPm sxaLL ae A MITIIMIIM 1.3w/aoR EPffiE0. fiTTNBA RMCHOR FROM MI66ClGDIAB IUY 86 VSFD FOR INSTALLATIQV. This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17,2009 and Dec 31,2016. r Certificate of Product Ra AHRI Certified Reference Number: 7943535 Date:4/3/2017 Product:Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number: RA1648AJ1 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, Ml,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 regions)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 2101240-2008 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 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. 131357137030238316 02014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: ,5t 0 Miami Shores Village Building Department .... op.M 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): iU O I�J 1= 1®"A 5-r City: Miami Shores Village County: Miami Dade Zip Code: -S-S i 7S23 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[30"ARHI Sheet Attached:YES /NO❑ Contract Attached:YES UNIT BEING REPLACED DATA NEW UNIT WIA MANUFACTURER del AHU or PKG.UNIT MODEL# M Ll 8)- L) COND.UNIT MODEL# M 1-I � ®a 100 A KW HEAT Ij K W NOM TONS @L 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 ILA YES NO REPLACING DUCTS YES N YES NO REPLACING THERMOSTAT YES NO, YES NO NEW 4"CONCRETE SLAB E VO YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity(Wire Size): 10 2. Maximum Overcurrent Protection (Fuse/Breaker Size): C'0 AMT" 3. Voltage of Circuit(20q/240 0): 4. Size Disconnecting Means: Contractor's Company Name: ( i LA4 Ja I!'nf�_ 2rP 'W.,nC,GA_ Phone: 6;003 75 7i/70 State Certificate or Re ' o. Certificate of Competency No. SignatureDate: (QuallBees legi re (Revised02/24/2014) / 1 Sol Certificate ® Product Ratin s AHRI Certified Reference Number: 8068135 Date:4/3/2017 Product:Split System:Air-Cooled Condensing Unit,Coll with Blower Outdoor Unit Model Number: M4AC4024C1 Indoor Unit Model Number: M4AH4025A1000AA Manufacturer: INGERSOLL RAND COMPANY Trade/Brand name:AMERISTAR 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 regions)for which they meet the regional efficiency requirement. Series name: Manufacturer responsible for the rating of this system combination is INGERSOLL RAND COMPANY 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): 24000 EER Rating(Cooling): 12.20 SEER Rating(Cooling): 14.00 IEER Rating(Cooling): 'Ratings followed by an asterisk(')indicate a voluntary rerete 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.abridirectory.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 matte 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. 131357141513637272 W I L ©20114 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: INGERSOLL RAND -AMERISTAR 13/14 SEER SPLITS OUTDOOR CONDENSING UNITS CODE:FMC and FBC 5th Ed.(2014),ASCE 7-30 PAD MOUNT CONFIGURATION AND ANCHOR SELECTION-WIND LOAD EXAMINATION MIAMI-DADE WIND SPEED=186 MPH ENGINEERING CONFORMANCE ANALYSIS: THE TABLE SHOWS PAD SIZE AND ANCHOR TYPES FOR VARIOUS MODELS OF AMERISTAR 13 and 14 SEER Pad and anchor Requirements Design Check: Bri-Ko Engineering,Inc,Structural Analysis Spreadsheet designed by:B.Schwartz,PE OUTDOOR EQUIPMENT FROM 1.5 TO 5 TONS THAT SATISFY THE REQUIREMENTS OF THIS ANALYSIS. gNomnal/Regd k 1.00=OK Date date Input: 1-Ott-15 AMERISTAR Models: TABLE A-2 Pad size, `o I- minimum(in.) P Calc Sht:EC-1 Mechanical Equipment on Concrete Pad Calc Model families M4AC30,M4AC40,M4HP30, Weight Length Width B Haight Mount Recess rr,, Description: Structural Analysis of concrete pad mounted mechanical equipment to resist wind and M4HP40 In the cabinet sizes: Range(Ibs) C(in.) (in.) A(in.) E(In.) f(in.) < W, D, t forces. Cabinet Site 1 119 to 132 21.9 21.9 24.9 2.8 2.0 A-1 S-1 38, 38, 4 4 M4.5 1.14 2.64 9.97 1.75 Dwg Reference: ENG-1 Cabinet Site 2 128 to 136 23.6 23.6 24.9 2.8 2.0 A-1 S-1 42, 42, 4 4 M4.5 1.27 253 9.14 1.66 Code: Florida Building Code 5th Ed.(2014)and ASCE 7-10. Cabinet Site 3 156 to 165 28.0 28.0 24.9 2.8 2.0 A-1 S-1 44, 44, 4 4 M4.51 1.11 2.18 7.71 1.45 Design Methodology and Load Combinations: Cabinet Site 4 143 to 172 29.1 29.1 24.9 2.8 2.0WA-1S-1 45, 45, 4 4 M4. 1.10 2.10 7.41 1.40 -Design Method: ASD D= 1.65 Cabinet Size 5 145 to 200 28.0 28.0 29.9 2.8 2.0 48, 48, 4 4 M4. 1.14 1.71 6.44 1.14 Load Combos: FBC Eqn.16-15 D.60+0.6 W Eqn,16-18 0.670+0.78W Cabinet Size 6 200 t0 213 28.0 28.0 33.2 2.8 2.0 48, 48, 4 4 M4. 1.10 1.56 5.79 1.04 Cabinet Size 7 185 to 240 29.1 29.1 33.2 2.8 2.0 48, 48, 4 4 M4.51 1.02 1.49 5.57 NOT OK Wind Forces: based on FBC 2024,1610.6,B=b,B=L Input Criteria: Wind Design Requirements _ 14"aa EQUIPMENT AND PAD Pad edge toAlxM,min: 14,Sfn,l unit to wwlw minA-1 0.75 in. 2.0 In. Ultimate Design Wind Speed Vult(3-sec gust): 186_ h Miami Dade c - ! u 0 iy=33W Concrete Pad welghtr Iso Pad edge to AC unit n).mtn; 2.0 EQUIPMENT Nominal Design Wind Speed Vasd: 144 m h W° �yy � ., � �eaa. 8 GENERAL NOTES: Risk Category: IV Wind Directtonelity Factor,Kd: 0.90 a 3/16.0 /moi I.THS ENGINEERING REPORT DOCUMENTS THE ANALYSIS OF THE PERFORMANCE OF HVAC Height,h: 15ft Topographic Factor,Kzt: 1.00 .�D r f �U sloaeo C i r � ` > MECHANICALEQUIPMENTTO MEET WIND LOAD OVERTURN AND ANCHOR STRENGTH. 1 2.THE ANALYSIS CONFORMISM THE REQUIREMENTS OF THE 2014 FLORIDA BUILDING CODE Exp,Category: C Vel.Pres.Exposure Coef.,Kr 0.849 R t --.t.76"to 2.5- \\ � �� /,� (HIGH VELOCITY HURRICANE ZONE)AND ASCE 7-10 DESIGN WIND LOADS-OTHER STRUCTURES C.,,7�.;:; SECTION 295.NOTE:THE CONCRETE PAD AND AC UNIT ARE NOT SET ON A ROOFTOP BUT ACT Enclosure Cat Not Applicable Gust Effect Factor,G: 0.85 -� ij ,,, , r; % > ASASTAND•ALONESTRUCTURE. (?n l Velocity Pressure qh=0.00256 K,KpKdV'(Ib/ft� qh= 67.7 - pw - 1\-�,,., -{.6•mb o o S.THE LOAD PATH VERIFIED IS FROM THE EQUIPMENT AS A SINGLE UNIT,ENCLOSURE F=gyGQIFy (GC,)v,l= 1.0 Vert.l.ilat. Fver,Flat: 67.7 , 74Apsf Structural Analytical Model FASTENERS,TIE-DOWN CUP ANCHORSTO CONCRETE SLAB. TIE-GOWN CLIP 4.PADS ARE EITHER POURED IN PLACE OR PRE-FABRICATED NORMAL WEIGHT CONCRETE WITH Limit Statea: Setectmodel Mforlllu5tretlanpurp05es: InstSlze ANCHOR CLEARANCES o e /' AMINIMUMSTRENGTHOFSOWPSIANDARELOCATEDATGROUNDLEVEL t o o S.ANCHORS USED TO FASTEN THE CONDENSER FEET TO THE CONCRETE PAD ARE DERNED IN Verify Pad Brad anchor clearances: Mcbor crkicaledge distance is lid=4.5"fat 0.375°dla. coNOENSER o o / TABLE A-1,SPECIFIED IN TABLE A-2.THE EMBED IS SPECIFIED IN TABLE A•1.THESE ANCHORS Distance from pad edge to AC unit= 8 in. CHECKS OK Y ARE TYPICALLY MANUFACTURED FROM HEAT-TREATED STEELAND CORROSION RESISTANCE Dist from pad edge to anchor center= 5In. CHECKS OK _CDPANo 1 �� SPECIFIEDBYTHEMANUFACTURER. Resistance to Pad overturn: Use Load Combo: 0.67 D+0.78 W FBC 1605.3.1 Eqn.16-18 - I a T 5 t -� S.UNIT MUST BE CENTERED ON PAD WITH OPPOSITE SIDES HAVING EQUAL CLEARANCE. Concrete Pad wt: 703lbs Moverturn=0.78*Pwh"Area'(A/2+t+Pwv*are8* r a1,A-3 ANCHORS 7.TiE-DOWN CLIPS SHALL HAVE MINIMUM THICKNESS AND WIDTH AS SHOWN IN MS. ( ) (Pw/2))= 11.8 k-In _ �-7--W a CALCUTATIONs HAVE BEEN PERFORM USING MINIMUM WEIGHTS OF THE MODELS(WORST Mdeadwt=0.67•(pad+unit wN(D/2))= 12.8k-In CHECKS OK �" NSEEFIG CONCRETE PAD SEE FIG A-1-1 CASE)' Resistance to sliding: Use Load Combo: 0.60 D+0.60 W FBC2605.3.1 Eqn.16-14 PAD x -I CALCULATIONS: CONCRETE PAD NOTES: --- --- - ---__-- -_-------�._...__ Reqd Shear=0.60•(Pwh•Area)- A=5.0 sf 225 lbs X:PAD EDGE TOANCHOR CENTER t Crete Is min 3000 pal and normal weight of 160 paf. OVERTURN Y:PAD EDGE TO EQUIPMENT,BET L Nominal Shear from Table A-1.4 anchors= 1670 lbs CHECKS OK TO 2 a'MIN 2. Thickness.I.is 4"min unless Otherwise noted. 1.THE CRITICAL WIND LOAD S ON THE LONG FACE OF THE CONDENSER. Anchor hold down: Use Load Combo: 0.67 D+0.78 W FBC 2605.3.2 Eqn.16-18 FIG"A-1" __ _ _-- 2.THE MOMENTCREATED BY THE WIND LOAD MUST BE RESISTED BYTHE MOMENT CREATED FROM THE WEIGHT OF THE PAD AND THE CONDENSER. RegdOvertrnM=0.78•(Pwh•Area•A/2+Pwvarea•E/2-Wt'E/2)- 6.5k-in TABLE A-1 ANCHOR TYPE AND STRENGTH CLEARANCES; Nominal Anchor pull-down from Table A-1.2anchors- 13.3Wn CHECKS OK SYM ANCHOR MANUFACTURE LENGTH wNloaE STRENGTH AT MIN EDGE DISTANCE S.DISTANCE FROM THE EDGE OF THE PAD TO THE UNIT Must BE GREATER THAN 2DIN. SMS In Clip to Frame hold down: DESCRIPTION R EMBED om PULLOUT(Las) SHEAR(LBS) 4.DISTANCE FROM THE EDGE OF THE PAD TO THE CENTER OF THE ANCHOR MUST BE GREATER THAN NomineIAnchor pull-down from Table A-3'2anchors= 8.8k-In CHECKS OK ANCHORSTENGTHDINTHETABLEA-1. A-1 1/4"TAP[ONHWH nW 1-3/4" 4S" 505 417.5 S.THE SUDING RESISTANCE IS TRANSFERRED TO THE PAD BY THE SHEAR STRENGTH IN THE Equipment Integrity:Sheet metal_rover fastener resMmce-__-_ _---- - ANCHORS.LOAD COMBINATION FBC Eqn 1615. -----'------ -- -- - A-2 1/4'Wedge Bdt FASTENER 6.OVERTURN RESISTANCE IS TRANSFERRED TO THE PAD BY THE ANCHORS.CONFIG AND Analysis based an AISI 5100.2007'Cold Formed Steel Structural Members",Section E4;Screw Connections FASTENER 1-1/2' 4" 360 550 Load Combo: 0.60 D+DADW Notes: LStrengtlt of concreteramin 3000 psi wxh minimumea�e�y facrorof4forthe andlors. ANCHOR STRENGTH BASED ON MIN EDGE DISTANCE YIELD MOMENT RESISTANCE 2.Pullout and sheer wedge anchor are at aidcal edge distance l2xd shear and W terreion. ENCLOSURE FASTENERS, FW= 2251bs See above 7.THE METALL SHELL FASTENERS MUST RESIST THE NEGATIVE WIND PRESSURES CAUSING Min number of screws 3.Engineering mks of anchor strength use type however,Type"A-2"b permbseble. per long Side: 2 TENSILE STRESS IN SCREWS AND PULL-OVER EFFECTS G SHEET METAL Number of screws provided: 12 CHECKS OK (� Screw size,washer dia.(d,dw): (M4.5,0.2831n.) `b-i Table A-3 SMS from alp to Frame(Ibs) �a�.:.s�N'•. Thkness of mtl shell,frame(ti,t2): 0.024 In. 0.079 In. SYM Description PuU Shear Issue Date: 10/1/15 Sheet: eal-Ho ENcweEr�NN4laayC t c••:9 9 p th/sc screw: 249 lbs 0-3.0 Nate: actor 3a ped. Dw9 By. - 11X ENG-1 AME swza=aT =� Ir +E UI e Y� strength: � ngtlt/ _ � �._I_.;- Tappingp DwB Size. 11x 17� � DAv�.FL avis Screw Id stre h: 55 ksi �{--ir"t' n S-1 H8 ASTM 11513 Sell Ta I 145 335 ?' Allowable pull-over rs screw: 249 lbs Since ASD: S-2 N10 ASTM 11513 Self 180 535 ��.054.aas-a�1a Allowable allover sire Sofetyf of pp DOC Arner SEER13j14_Pa eHwNlac;nwARrz aE 6S<OR 1... p dMwmt °,.•October 1,2015 'PAOA'AL.. Note:Minimum required screws on the largest size Is set to 4. Do not exceed3/8°long Page 1 Of 1 ' ,...