PL-17-361 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone:(305)795-2204 Fax:(305)7564972
Inspection Number: INSP-276527 Permit Number. PL-2-17-361
Scheduled Inspection Date: May 03,2017 Permit Type: Plumbing -Residential
Inspector. Hernandez,Rafael Inspection Type: Final
Owner: BRANDT,LORI Work Classification: Gas
Job Address:241 NW 91 Street
Miami Shores,FL 33150- Phone Number
Parcel Number 1131010331340
Project: <NONE>
Contractor: AROUND THE CLOCK GAS SERVICE Phone:305-231-3632
Building Department Comments
NATURAL GAS LINES AND CONNECTIONS TO TAN Iniractlo Passed Comments
KLECS WATER HEATER DRYER AND RANGE INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-inspection ❑
Fee
No Additional Inspections can be scheduled until
reinspection fee is paid.
May 02,2017 For Inspections please calk(305)762-4949 Page 4 of 36
AROUNDTHE
Around The Clock Gas Service, Corp.
ON 04 Lor 13117 NW 107 Ave unit 17
MKILMM��� Hialeah Gardens, FL. 33o18
rN GAS SERVICE Phone: 305-231-3632 ext 301
Fax: 305-231-418o
STATE LIC# LPG17356
CLASS# 803
DROP TEST CERTIFICATION Apri125, 2017
To: Whom It May Concern in the City of Miami Shores Village Plumbing Department,
This is to certify that Around the Clock Gas Service Corp. performed a drop test at the
following site and tested all the appliance connections. The gas line has been checked to the
standards of the 2014 Florida building code, SECTION 406 (IFGS) INSPECTION,
TESTING AND PURGING 406.1 GENERAL and properly tested to meet the standards of
NFPA 54.
The work was performed for:
Lori Brandt
241 NW 91 Street
Miami Shores,FL 33150
Test Pressure: 8.0
Lock up pressure:2.2 PSI
Operating pressure:2.0 PSI
Test time:30 Minutes
Test Results:Negative/No Drop
PERMIT#PL-2-17-361
If you should have any questions regarding this matter le a .o to h--s&ate ga us.
EDWIN L SILVER
o' Notary Public-State of Florida
- Commission M GG 054232
Sincerely, ;N. Comm.Expires Jan 22,2021
° y N�UaIaIN��yAssn.
Amaury onzale2z STATE OF FLORIDA COUNTY OF MIAMI DADS,SWORN TO&
CEO SUBSCRIBED BEFORE ME THIS 0511C DAY OF r7e 201
Around The Clock Gas Service Corp. AMAURYGONZALEZ,PERSONALLYKNOWNTOME
SIGNATURE OF NOTARY PUBLIC
I
icm � Miami Shores Village - POMt`TYCmiesiot
�,. 10050 N.E.2nd Avenue NW
� '� G `.� �C?! ' x� 3��ICF•1�t01? �aaS .
Miami Shores,FL 33138-0000 n
y� Phone: (305)795-2204
Pertr�r '':St� i�t3v 1
Expiration: 1512017
�e Date*.- P�
Project Address Parcel Number Applicant
241 NW 91 Street 1131010331340
Miami Shores, FL 33150- Block: Lot: LORI BRANDY
Owner Information Address Phone Cell
LORI BRANDT 241 NW 91 Street (786)553-1962
MIAMI FL 33150-
241 NW 91 Street
MIAMI FL 33150-
Contractor(s) Phone Cell Phone Valuation: $ 2,400.00
AROUND THE CLOCK GAS SERVICE 305-231-3632
_,.. ._ Total Sq Feet: 0
Type of Work:NATURAL GAS LINES AND CONNECTIONS T Available Inspections:
Type of Piping: Inspection Type:
Additional Info:NATURAL GAS LINES AND CONNECTIONS T Final
Bond Return: Press Test
Classification:Residential Scanning:3 Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80
DBPR Fee Invoice# PL-2-17-62917
$2.25 02/13/2017 Credit Card $50.00 $118.30
DCA Fee $2.25
Education Surcharge $0.60 02/16/2017 Credit Card $ 118.30 $0.00
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $168.30
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 foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the abovee c tractor to do the work stated.
February 16, 2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
February 16,2017 1
Miami Shores Village
''X Building Department 1 ,, --- --
\�� 10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 I(
BUILDING Master Permit No. P1
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
� II CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: 331 S-0
Folio/Parcel#: OI —0 3 3 U q O Is the Building Historically Designated:Yes NO f�
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
/G
OWNER:Name(Free Simple Titleholder): L,®�N' z � � Phone#:
Address: \ J�) p
"..j k ` %-V ty e t
0
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: �`����� r� ��°� 1�� `' � Phone#:
Address: \-;\ \� b
, %(_ *k<7
City: i P \e*�-`& 3 State: Zip: 3 301 e
Qualifier Name: `` Phone#: ��
State Certification or Registration#: L PG �3 5( Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 1 Vol;)• Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition
Description of Work: PkAV y-,#r A,A C Cb v.,/\.e rk i ® r-1 S A tJ
Specify col r of color thru tiler
Submittal Fee PeKmi F 1,57 CCF a ted ''� "'` •y --
Scanning Fee$ Radon Fee$ • Z 5 DBPR$ Notary$
Technology Fee$ 7 -LA 0 Training/Education Fee$ � Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(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.
Signature r Signature
OWNER or AGENT CONTRAC OR
The foregoing instrument as acknowledged before me this The foregoing instrument as acknowledged before me this
day of VJ 20 1 ' by 1-3 day of 1 v� y ,20 /-7 , by
who is personally known to AV-1 �`' ` �n L z who is personally known to
me or who has produced �f-tlll ��` ��' `'"� as me or who has produced as
identification and who did take an oath. Q3 G!9'3-X31-(oa-66kiddentification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign: °�-
� � I
Print: �� "�- Print: S<
""r" '• EDWIN L SILVER EDWIN L SILVER
• Notar P Seal: w'y Notary Public •State of Florida
Seal: • a y ublic-State of FloridaCommission a GG 054232
•2 Commission N GG 054232 •:
MY Comm.Exres Jan 22,2021 My Comm Expires Jan 22,2021
' u Bonded In-,:,;,
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Loncfest Run: 64 Feet r— — wr),
New 3/4"Galvanized Pie 1'
Total Load: 280.000 BTU's
New 3/4"Galvanized Pipe,
Tvpe of Gas: Natural Gas istrapped to the wall. 2'
Materials: Galvanized Pine: New 3/4"-CSST Tubing(25-EHD).
CSST Tubina Chart: Strapped to a beam thru the
New Outlet(S) 3 crawls ace.
New Range(30")
New Connection (S) 3 75,000 BTU's
New 1/2"Outlet.
Florida Buildina Code - FUEL GAS 2014 New 1/2"Shut Off Valve.
Chart#402.4(5)(2 PSI)(Galvanized Pipe) 2-PSI Pietro Re ulator. ILS rani Shores Vq New Meter For Equipment.
Chart#402.4(18)(2 PSI)(CSST Tubing) New Outlet 3/4"
Rinnai RL75E-N Outdoor Unit) New 1/2"Galvanized Pipe, APPROVED2-PSI Gas System.
2-PSI Gas System Istrapped to the wall. �� DATE *000
-)MING DEPT
• • •
New 3/4"-CSST Tubing(25-EHD). ' of* •. ••
Strapped to a beam thru the
'i!'EPT .... • .. 0000.•
crawls ace. g �'(�� (� ••••
... . ......
VJTH AI I Fr M 13A1 •00 • 00.00
• 0000 • • • •
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51
10' New 1/2"Galvanized Pipe, •••• : •'•;
Ir.
strapped to the wall. •••
1
CrIl
New Dryer
` G 25,000 BTU's
New 1/2"Outlet.
New 1/2"Shut Off Valve.
- 2-PSI Pietro Re ulator.
T 7'
New Tankless Water Heater
Rinnai RL75E-N Outdoor Unit) I
180,000 BTU's I
New 1/2"Outlet. 3'
New 1/2"Shut Off Valve. 2'
Sediment trap. New 1/2"Galvanized Pipe,
2-PSI Pietro Regulator. Istrapped to the wall.
New 1/2"Galvanized Pipe,
strapped to the wall.
EDWW L SILVER
Around The Clock Gas Services Installation done in accordance ith F • ary -State of Florida
LPG017356 NFPA 54&58 regulations as w I as Io c i' commissio_P f/ptlq�1232
13117 N.W. 107th Ave Unit# 17 2/10/201716:00
-,��II�t��r��' M, Co es Jan 22,2021
Hialeah Gardens, Florida 33018 Amaury Gonzalez Ohl�fosalNotaryassn
Phone: 305 231-3632/ Fax: 305 231-4180 Job Address: 241 NW t Stree Floor Plan
Florida Buildina Code - FUEL GAS 2014
Chart#402.4(5)(2 PSI)(Galvanized Pipe)
Chart#402.4(18)(2 PSI)(CSST Tubing)
Rinnai RL75E-N Outdoor Unit)
2-PSI Gas System N
O
R
T
H
New Range(30")
75,000 BTU's
New 1/2"Outlet.
New 1/2"Shut Off Valve.
2-PSI Pietro Regulator. New Meter For Equipment.
New Outlet 3/4"
12-PSI Gas stem.
• • .... .. ...
...... . .. .....
New Tankless Water Heater ...:.. ,
Rinnai RL75E-N Outdoor Unit) •�„ •••.
180,000 BTU's •.....
New 1/2"Outlet. ••;••,
New 1/2"Shut Off Valve. New 112"Galvanized Pipe. • •••••
Sediment trap. Istrapped to the wall.
.. .. . ......
2-PSI Pietro Re ulator. ••••••
• . . . ......
New 112"Galvanized Pipe,
strapped to the wall. New 314"-CSST Tubing(25-EHD).
Strapped to a beam thru the
crawls ace.
New 112"Galvanized Pipe,
strapped to the wall.
New Dryer
25,000 BTU's
New 1/2"Outlet.
New 1/2"Shut Off Valve. Garage Front of House
2-PSI Pietro Regulator.
NW 91st Street
Around The Clock Gas Services Installation done in accordan With F Notary Public-State of Florida
LPG017356 NFPA 54 &58 regulations as II as II O c eSCommisslon#f GG�
13117 N.W. 107th Ave Unit# 17 2/10/201716:00 ������;=fay co an 22,2021
Hialeah Gardens, Florida 33018 Amaury Gonzalez dMroupNaionalNotary Assn.
Phone: 305 231-3632/ Fax: 305 231-4180 Job Address: 241 NWIOfst Stree loor Ian
Rin RL75e (VC2528WD-US)
Water Temperature Control Simulation feed forward and feedback
Controller MC-91-2US(included)
Deluxe controller.MC—' l OOV-1 US(optional)
Bathroom controller: BC-100V-1 US (optional)
MCC-91-2US(optional;for hydronic and commercial applications)
Controller Cable Non-polarized two-core cable,minimum 22 AWG
Devices - Flame failure-Flame Rod • Remaining flame(OHS)
• Boiling protection • Thermal fuse
• Combustion fan rpm check • Automatic frost protection
• Over current-glass fuse
Clearances from Combustibles • Top of heater-12 inches • Back of heater-0 inches
• Front(Panel)-24 inches • Ground/bottom-12 inches
• Front(Exhaust)-24 inches • Sides of heater-6 inches
Clearances from Non-combustibles a Top of heater-2 inches • Back of heater-0 inches
*24 inches required for serviceability • Front(Panel)-0 inches* o Ground/bottom-2 inches
• Front(Exhaust)-24 inches s Sides of heater-1/8 inch
Min./Max. Gas Supply Pressure Natural Gas: min 5° W.C. max 10.5° W.C.
Propane Gas: min 8" W.C. max 13.5" W.C.
ManhWd Gas Pressure (Inches W.C.) Natural Gas: high fire 2.2° W.C. low fire 0.61" W.C.
(sea levan Propane Gas: high fire 3.4• W.C. low fire 0.93° W.C.
NOx Complies with South Coast Air Quality Management District 14 ng/J
or 20 ppm NOx emission levels
Uffd d Heat exchanger. 12 years*for residential, 10 years for residential and space heating,and 5 years*for
Warranty commercial;All other parts;5 years*;Labor i year;
(*3 years if used as a Circulating water heater within a circulation loop,when the water heater is in
series with a circulation system and all circulating water flows through the water heater,and where an
on-demand recirculation system is not incorporated.)
Refer to the manual far complete warranty information.
WEIGHT:43.6 Ib(19.8 kg)
0.28(7.2)
927(M.5) 0.59(15) i _ ec WME-n
14.04(356.6) qM . ..
i
N I
e i
O O N
8.90(226)
� B i
C E FG
t D
WATER I
c�
•• • : : DIMEW Inches(mm)
C9 • : Siam SION
CV • •
N •• •: : :A Q3IS); ;.31.03.2) D 4.33(110)
All 1.93(49) E 2.91 (73.8)
. ..• A Vj" •1.15(34.4) F 1.61 (40.8)
• • •
V or
o a oo • : • • • •3!g6(�00�7) G 2.87(73)
C= 00 C=C= •
O A • • C 1.17(29.8)
Rhuial Corporation•103 Inter,ational Drive•Peachtree city,GA 3026 e`roj-Free:1-jOtl;624i90941t-Fay 678-364-8643•wwwAnnai.us
• • • • • • • • • •
••• • • • ••• • •
Riinnaii.; ' i
Type of Appliance • Temperature controlled,continuous flow,gas hot water system
• Certified for installation in manufactured (mobile) homes
• Forced combustion
• Energy Star qualified
Rinnai Model Number REU-VC2528WD-US
MIMMum/MaAmurn Gas Rate(Input) 10,300-180,000 BTU/h
Electrical Appliance: AC 120 Volts-60 Hz
Controller. DC 12 Volts
Electrical Consumption Normal: 57 w Standby: 2 w Anti-frost protection: 104 w
Ignitlon System Direct electronic ignition
Not Water Capacity Minimum flow rate:0.26 GPM
Minimum activation flow rate:0.4 GPM
Maximum flow rate:7.5 GPM
Temperature 980-120° F (factory default) Maximum temperature is selectable at
120°F or at 140°F; 980-160°F available with the MCC-91-2
controller for commercial and hydronic applications
Temperature(without remote) 120°F(factory default)or 140°F
Installation Outdoor only
Energy factor Natural Gas:0.82 Propane:0.82
Service Connections Gas supply:3/4 inch MNPT Cold water inlet:3/4 inch MNPT
Hot water outlet:3/4 inch MNPT
Isolation&Pressure Relief Valves Included Heavy duty forged brass Webstone Isolator valves EXP E2,certified
to NSF/ANSI 61-8 for potable water
Water Flow Control Water flow sensor,electronic water control device and fixed by-pass
Minimum/Mmdmum Water Supply Pressure 20-150 PSI (recommended 30-80 PSI for maximum performance)
8.0 -L -1-
7.0 -1 1-1-� - -S - 4)- '
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0 25 50 : 75 : ' 190 .'125 ; 150
delta T-L Tefti rdue Onse •.•
O 2012 Rinnai Corporation RL75e VC SP �3/2012
. •• •. . . . •• ..
... . . . •.• • .
Vent Termination Clearances
For indoor models,you must install a vent termination to bring in combustion air and expel exhaust.
TERMINATION
Clearance in
Ref.A also Hr
applies to
anticipated A
snow line
SNOW
8
M
e K
�rFOW
e CLOSED A ® AIR SUPPLY INLET
a VENTTERMINAL
F AREA WHERE TERMINAL
l ® IS NOT PERmrn7ED
�1 g
Ref Description Canaan Installations us Installations
A Clearance above grade,veranda,porch,deck,or balcony 12 inches(30 cm) 12 inches(30 cm)
8 Clearance to window or door that may be opened 36 inches(91 an) 12 inches(30 an)
C Clearance to permanently dosed window
D Vertical clearance to ventilated sofirt,located above the terminal within a
horizontal distance of 2 feet(61 an)from the center line of the terminal
E Clearance to unventilated soffit
F Clearance to outside comer
G Clearance to inside corner '
Clearance to each side of center line extended above meter/regulator 3 feet(91 cm)within a height 15
H feet(4S m)above the meter/
assembly regulator assembly
I Clearance to service regulator vent outlet 36 inches(91 cm) •
Clearance to nonmechanical air supply inlet to building or the combustion 36 inches(91 an) 12 inches(30 am)
air Wet to any other appliance
3 feet(91 an)above if within 10
K Clearance to a mechanical air supply inlet 6 feet(1.83 m)
feet(3 m)horizontally
L Clearance above paved sidewalk or paved driveway located on public,• •; •• t(is"i •�•• •
property • • • • • • •
M Clearance under veranda,porch,deck,or balcony 32 indres(30 cm)40• '
[3] A vent shall not terminate directly above a sidewalk or paved driveway •*•5C6 dearantes ngtciediied in ANSI Z223.1/NFPA 54,clearances are in
that is located between two single family dwellings and serves both tcordenje with local instaWn 6AV and the requirements of the gas
dwellings. • VOW. • i • .'
121 Permitted only ti veranda,porch,deck,or balcony is fully open on a •• dearandt6bppoVe wall WON inches(60 cm).
minimum of two sides beneath the floor.
Value serlVs MenuA i i •i• i i
• • • • • • • • • •
• •• •• • • • •• ••
•
••• • • • ••• •
Additional clearances
V75e, V65e
Local codes supersede these clearances.
0 Avoid termination locations near a dryer vent.
0 Avoid termination locations near commercial
cooking exhaust.
T
—7(S 0 mm)between
terminals at same
level
(0.91 m)to ventilated or unventilated
36
—12" soffit or eve vent;or to a deck or porch
(0.30 m)to an
Inside comer
(1.52 m)vertically
between terminals
IMF
C
%:
see
ValueSer!"Wnual
see 0 0 0 000 0 a