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MC-17-2047Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-287820 Permit Number: MC -8-17-2047 Scheduled Inspection Date: February 06, 2018 Inspector: Perez, JanPierre Owner: ZUBRIK, OLGA NADJA Job Address: 701 GRAND Concourse Miami Shores, FL 33138-2475 Project: <NONE> Contractor: CHANIN MECHANICAL Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)604-1518 Parcel Number 1132060172230 Phone: (305)865-1729 Building Department Comments REPLACEMENT OF EXISTING 2 TON UNIT AND REPLACEMENT OF EXISTING 3 TON UNIT Infractio Passed Comments INSPECTOR COMMENTS False z4 Inspector Comments Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. February 05, 2018 For Inspections please call: (305)762-4949 Page 2 of 43 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. MC -8-17-2047 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: APPROVED Issue Date: 8/15/2017 Expiration: 02/11/2018 Parcel Number Applicant 701 GRAND Concourse Miami Shores, FL 33138-2475 1132060172230 Block: Lot: OLGA NADJA ZUBRIK Owner Information OLGA NADJA ZUBRIK Contractor(s) CHANIN MECHANICAL Address 701 GRAND Concourse MIAMI SHORES FL 33138- Phone (305)604-1518 Cell Valuation: Total Sq Feet: $ 8,770.00 0 Tons: 2&3 Additional Info: REPLACEMENT OF EXISTING 2 TON UNIT Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 3 Date Approved: : In Review Type of Work: REPLACEMENT OF EXISTING 2 TON Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $5.40 $4.60 $4.60 $1.80 $306.95 $9.00 $7.20 $339.55 Pay Date Pay Type Invoice # MC -8-17-64857 08/11/2017 Check #: 7814 $ 50.00 $ 289.55 08/15/2017 Check #: 7859 $ 289.55 $ 0.00 Amt Paid Amt Due Available Inspections: Inspection Type: Final Review Mechanical 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 construction anzonin hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating , I authorize the above-named c. tract r to do the work stated. August 15, 2017 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date August 15, 2017 1 ACORN® �,� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) B/2/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER International Insurance Center, Inc. 7990 SW 117 Avenue Suite 209 Miami FL 33183 CONTACT Paola Rossini NAME: (A/C. No. Ext): (305) 279-5446 FA No): (305)279-4045 E-MAIL Paola@iic.cc ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:WeSCO Insurance CO 25011 INSURED Chapin Mechanical LC 1965 71st Street Miami Beach FL 33141 INSURER B :National General WPP1382481-01 INSURER c:Associated Industries Insurance 23140 INSURER D: $ 1,000,000 INSURER E : INSURERF: X COVERAGES CERTIFICATE NUMBER:CL1762303223 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR_MD TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POUCY EFF (MM/DD/YYYY) POLICY EXP IMM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY WPP1382481-01 6/20/2017 6/20/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE RENTED PREMISES occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GE X 'L AGGREGATE POLICY OTHER: LIMIT APPLIES JERT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X _ AUTOS SCHEDULED NON -OWNED AUTOS 2005200088 6/20/2017 6/20/2018 COMBINED SINGLE LIMIT (Ea accident) $ 500,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ Medical Payments $ 5,000 UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENT ON $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N 1 A AWC1081783 4/28/2017 4/28/2018 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Mechanical Contractor. License number : CAC056292 CERTIFICATE HOLDER CANCELLATION ( ) — Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 Northeast 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miaxni Shores, FL 33138 AUTHORIZED REPRESENTATIVE Edward Cabassa/CF /.�` ..---.• ACORD 25 (2014/01) I NS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Miami Shores Village Building Department artment RECEIVED10050 N.E.2nd Avenue, Miami Shores, Florida 33138 AUG 111017 Tel: (305) 795-2204 Fax: (305) 756-8972 j INSPECTION LINE PHONE NUMBER: (305) 762-4949 � 44---- nFBC 20 I. Y -I BUILDING Master Permit No. — M( FV ZOL PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ['PLUMBING FECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 701 Grand Concourse City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 11-3206-017-2230 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Olga Nadja Zubrik Phone#: 305-604-1518 Address: 375 NE 99TH ST Miami Shores Florida City: State: zip: 33138 Tenant/Lessee Name: Phone#: Email: nadjazubrik@yahoo.com CONTRACTOR: Company Name: t 4.1 1 "` tt-kRut Cts ( 1,L` Address.:: I 6 S % 15 4- City: YA ns41 &cCL - Qualifier Name: Dian /'�(a i" State Certification or Registration #: L A C-0 S- to 2- 9 Z Phone#: IQ's -76s- 17 2-9 State: DESIGNER: Architect/Engineer: Address: Zip: 33 / Li/ Phone#: 391- FCS-- (72-1 Certificate of Competency #: N-- Phone#: City: State: Zip: Value of Work for this Permit: $ l'7 , G� Square/Linear Footage of Work: Type of Work: ❑ Addition EI .^.Iteratiion ❑ New Repair/Replace n Demolition Description of Work: FerJkCP v -ei - O T ejct' 5 ')'� as Z "ra J c� A (� ova tP1.4C O ¢4 $ 0-1- € f �'.4 3 To 4 tm÷ / Specify color of color thru tile: �Submittal Fee $ Permit Fee $ � �t CCF $ CO/CC $ Scanning Fee $ Radon Fee $ vvv DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ Q,0 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 low 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. 1( Signature OWNER or AGENT The foregoing instrument was acknowledged before me this 03 day of , 20 19 by CA Z501/4 . , who is personally known to me or who has producedb L< ZI6d 614c/302 identification and who did take an oath. NOTARY PU' p Sign: Print: Seal: 1L. Al Or oSP' Expires 0/16/2017 063558 CONTRACTOR The foregoing instrument was acknowledged before me this 1 .\-1'N.\-1'N day /golf A (4 Ci 1t S T , 20 1 7 , by Trak) l ill a Vl I r �J , who i ersonally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: /1�I Print: 1 iILAI� /71-f411/1 Seal: as ;e:44,;: CHAD CHETRAM ' MY COMMISSION # GG070596 EXPIRES February 07, 2021 ********************* ***** ****** ** **** * ********************************************************** VVV tans xaminer APPROVED BY (Revised02/24/2014) Zoning Structural Review Clerk 111111111111111111111111111111111111111111111 THIS INSTRUMENT PREPARED BY: Isabelle E. Azria, Esq. AZRIA LAW FIRM, PA File No. ALF -622 PLEASE RETURN TO: Shelia Ali First Priority Title Company 1325 S. Congress Ave., Suite 104 Boynton Beach, FL 33426 Telephone: 561-738-1370 Folio Number: 11-3206-017-2230 SPACE ABOVE THIS LINE FOR RECORDING DATA CF hl 2017R103722'44 OR BK 30594 Pas 3259-3260 (2f9s) RECORDED 06/30/2017.09:18:59 DEED DOC TAX $6,600.171 6-, HARVEY RUVIN, CLERK 6r,COURT• MIAMI—DADE COUNTY? FLORIDA WARRANTY DEED THIS WARRANTY DEED, made the � day of June, 2017 by JAMES S. CRAVEN, a single man, whose post office address is 555 NE 15th Street, Unit 24C, Miami, FL 33132, the Grantor, to OLGA NADJA ZUBRIK, a married woman, whose post office address is 701 Grand Concourse, Miami Shores, FL 33138, the Grantee: (Wherever used herein the terms "Grantor" and "Grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) WITNESSETH: That the Grantor, for and in consideration of the sum kif TEN AND 00/100'S ($10.00) Dollars and other valuable considerations, receipt whereof is hereby. acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and ci'bnfirms unto the Grantee all that certain land situate in MIAMI-DADE County, State of Florida, viz.: Lots 9 and 10, Block 104, MIAMI SHORES SECTION 4 AMENDED, according to the Plat thereof, as recorded in Plat Book 15, Page 14, of the Public Records of Miami -Dade County, Florida. Property Address: 701 Grand Concourse, Miami Shores, FL 33138 Subject to easements, restrictions and reservations of record and taxes for the year 2017 and thereafter. TOGETHER, with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD, the same in fee simple forever. AND, the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in fee simple; that the Grantor has good right and lawful authority to sell and convey said\land, and hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2016. OR BK. 30594 PG 3260 LAST PAGE IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day and year first above written. Signed, sealed and delivered in the presence of: Witness'#1 Signature vi/; ee ,J&y Witness VI Printed Name Witness #2 Signature Witness #2 Printed Name STATE OF FLORIDA COUNTY OF MIAMI-DADE JAMES :.CRAVEN THE FOREGOING INSTRUMENT was acknowledged before me thi1. day of June, 2p17, by JAMES S. CRAVEN, a single man, who is personally known to me or has produced d-ri d`Qs Lte_ PX)SQ.as identification. My Commission Expires: — • ,r• MOUE A1111A -taraFlorida t.w oewm. • M tNpi twot r.o.M moor Maar Aa.. iSaL {TZ Printed Notary Name WARRANTY DEMI — Pave 2 of 2 STATE LICENSED PH: 305-865-1729 AND INSURED FAX: 305-864-1354 , AC056292 1965 71St Street Miami Beach — Florida 33141 DL4NiNm rffiech,anical Le Air Conditioning Contractor "SALES, SERVICE & INSTALLATIOif DATE: August 1, 2017 We, the firm of Chanin Mechanical, L.C., propose to furnish, install and service the air conditioning and heating system for: Mrs. Nadia Zubrik Job located at:701 Grand Concourse —Miami Shores— Florida 33138 In accordance with following conditions and specifications: EQUIPMENT TYPE: Option #1: Carrier — 2 Ton -R-410-16 Seer Qty (1) Condensing Unit - Model# CA16NA02400G Qty (1) Air Handler Unit - Model# FV4CNF002L00 —Variable Speed Motor, 5 KW Heater (Unit located next to laundry room) Carrier — 3 Ton -R-410-16 Seer Qty (1) Condensing Unit - Model# CA16NA03600G Qty (1) Air Handler Unit - Model#FV4CNF003LOO—Variable Speed Motor, 8 KW Heater (Unit is located in shared closet) ption #2 Trane - 2 Ton -R-410-163 Seer Qty (1) Condensing Unit - Model# 4TTR6024J100 Qty (1) Air Handler Unit - Model# TEM6A0B24H21 —Variable Speed Motor, 5 KW Heater (Unit located next to laundry room) Trane— 3 -Ton -R -410 -16.5 -.Seer Qty (1) Condensing Unit - Model# 4TTR6036J100 Qty (1) Air Handler Unit - Model# TEM6A0B36H21 —Variable Speed Motor, 8 KW Heater (Unit is located in shared closet) LOCATION OF EQUIPMENT: Air Handler to be installed on new aluminum stand with secondary drain pan Condensing Unit to be installed on existing foundation PIPING: Will tie to existing Freon lines and drain lines WIRING Will tie to existing high and low voltage wiring Initials: MISCELLANEOUS Qty [4] Condensate Overflow Safety Switches Qty [2] Digital Heat & Cool Thermostats DUCTWORK: Will tie in to existing duct work with fiberglass board. Will duct in return air for (1) air handler RESPONSIBILITY Each party as indicated will assume the following responsibilities; PURCHASER / SELLER Delivery, uncrating, assembly and erecting: X Equipment Foundation: As Described X Duct/Work (as described): X Duct Insulation: N/A Supply & Return Outlets (as described): Existing Electrical Service: Existing Wiring to Building Panel: Existing Wiring Existing Disconnect (as described): X Wiring of Air Conditioning Control System: X Cutting Holes: N/A Redecorating, Painting and Minor Patching: X Piping (as described): X Local Permits and Licenses: Please See Note Last Page. X Miscellaneous: Final Roof Seal N/A Miscellaneous: Test & Balance Report N/A Miscellaneous: Fire Rating N/A Miscellaneous: Temporary Roof Seal: N/A Miscellaneous: Mechanical Drawings for Permitting N/A Miscellaneous: Drain Line Raiser Existing Miscellaneous: Structural Roof Supports to Receive Curbs, if Required N/A Initials: WORKMANSHIP: Our work will be performed in the most professional manner and in compliance with existing governing codes and regulations. WARRANTY AND SERVICE: 1. After installation, our qualified representative will start and test the equipment and also provide instructions on the use of the equipment. 2. All equipment, material and labor furnished by Chanin Mechanical, L.C., will bear a one-year warranty from the date of installation, against defects in workmanship and material. The Manufacturer's warranties are limited solely to furnishing replacement equipment or parts, freight prepaid, upon the manufacturers inspection. Copies of the manufacturer's warranties are available to you and will be supplied upon installation of the equipment. 3. We will provide service under this warranty promptly during our normal working hours. Warranty service does not include maintenance such as filters, parts or fuse replacement. GENERAL: 1. During installation we will take all reasonable precautions to protect all persons and to avoid damage to property. 2. We will not be liable for damages in the event of delivery or installation delays, which are due to causes beyond our control. 3. Title to the equipment remains with Chanin Mechanical, L.C., until all sums due to Chanin Mechanical, L.C., have been paid. 4. It is understood that this proposal sets our entire agreement and is entered into by Chanin Mechanical, L.C., as an independent party and not as an agent of the manufacturers. 5. This proposal will become a contract between Chanin Mechanical, L.C., if accepted by you, and thereafter approved in writing by our duly authorized representative. 6. The proposal will be considered valid until: 30 days. 7. In the event of defaults of any term or conditions of this contract, SELLER shall have the right to take immediate possession of the equipment. It is agreed that the SELLER will retain title to the equipment or materials furnished until final payment is made, and if settlement is not made as agreed, the SELLER shall have the right to remove same and the SELLER will be held harmless for any damage resulting from removal thereof. In such an event, the full amount of the purchase price shall become due and payable forthwith. Any and all amount paid shall be retained by the SELLER as liquidated damages and not as penalty: In the event of default by purchaser, purchaser agrees to Seller's reasonable Attorney's fees and cost incident thereto. A finance charge of 1-1/2% per month will be applied if account is not paid in full within 30 days. Seller shall not be responsible of any delays in delivery of installation as a result of strikes, fires, floods, acts of God, or any other causes or acts of nature beyond the control of the Seller. Initials: INSTALLATION SCHEDULE: 1. The equipment will be ready in approximately _days from the date of our approval of this contract. TERMS: Contract Amount: Option #1: Carrier — 2 Ton -R-410-16 Seer $4,050.00 [Four Thousand Fifty Dollars] Carrier — 3 Ton -R-410-16 Seer $4,300.00 [Four Thousand Three Hundred Dollars] Option #2: Trane — 2 Ton -R-410-16.5 Seer $4,230.00 [Four Thousand Two Hundred and Thirty Dollars] Trane — 3 Ton -R-410-16.5 Seer /$4,540.00 [Four Thousand Five Hundred and Forty Dollars] Note: • Contract price does not include permit and processing fees • Warranty 10 years parts 10 years compressor if registered Int tic- CL ACCEPTANCE: by purchaser online ,14Y'S; CHAD CHETRAM MY COMMISSION # GG070596 EXPIRES February 07, 2021 The proposal is accepted by: Date: DEALER APPROVAL: This contract is approved by . Date: . (Title: ) j' This combination qualifies for a Federal Energy /111.41 11111 CE RTI FI E D® Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 8626099 Date: 8/11/2017.1111 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR6024J1 Indoor Unit Model Number: TEM6A0B24H21+TDR Manufacturer: TRANE Trade/Brand name: TRANE 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) .be • • • • • •••4 Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligil;le�to• an installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners' • ••••• e can only be installed in region(s) for which they meet the regional efficiency requirenight.•. •• • •.•.. •••••• Series name: XR16 • •• •••••• • •• - •• ••••. •.•. ,` •.•.•. • � • Manufacturer responsible for the rating of this system combination is TRANE • • ••.. •••••• •••• • .••• I Rated as follows in`acco �dance;with AHRI Standard 210/240-2008 foreUnitary4Air=Copd boning and Air -Source..' HeatPump Equipmentandsubject to verification of rating accuracy by AHRI-sponsored tndep@gglgji, third...:. . __ - _ ----' party testing: • • I • ) I- _•• •- •.. • •.•••. >—, I •. Cooling Capacity (Btuh): 24400: 'f,I r, +; y,t -I.- EER Rating (Cooling): 14.00 SEER -Rating (Cooling): 16.50 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.ahrldlrectory.org, click 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. on "Verify Certificate" link we make life better' ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131469374125196844 .zAM 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): '70( 61-9.4 6 N t rSe City: Miami Shores Village County: Miami Dade Zip Code: -33/5g 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 �ARHI Sheet Attached: YES dN0 ❑ Contrast Attached: YES ••••• • • ..•••s • •• •••• • UNIT BEING REPLACED DATA -FIN/ UNIT (Lata{ � / iLwu&L MANUFACTURER l •••.:. F- 614 1.1 AHU or PKG. UNIT MODEL# "TG144•bi.DCA bN-31 T5,4 g0-036 kg COND. UNIT MODEL # lir?' 1-63 A� T1 . . �bk'9 KW HEAT :pi :••••• 3 -r-o4 NOM TONS it -4N •••_ • AHU CU PKG 1) M.C.A AHU ito CU A. PKG •. AHU CU PKG 2) M.O.P AHU `J`CU SPKG AHU CU PKG 3) VOLTS AHUZ)c.CU? KG PKG UNIT / / PKG UNIT / / n f A- EER/SEER (b• 5 -- YES NO YES REPLACING DUCTS YES NO/- OVYES YESNO 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 NOS 1. Minimum Circuit Ampacity (Wire Size): Lib 2. Maximum Overcurrent Protection (Fuse/Breaker Size): lit) 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: State Certiffi\icateo egistr io oC.bC..t5 )% Certificate of Competency No. Signature Cjk4KiN V112Cif4d iC4 ( Z-- - Phone: 3os- 8 6 s- (72.5 ..... . • •••.. •••.•. .• • •..•.. • ••••• • (Revised02/24/2014) (Qualifier's signature) Date: &&(. r ' e , combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Product Ratings �This su' �, � -M. .1 CERTIFIED® www.ahridirectory.org Certificate of AHRI Certified Reference Number: Product: Split System: Air-Cooled Condensing Outdoor Unit Model Number: 4TTR6036J1 Indoor Unit Model Number: TEM6A0C36H31+TDR Manufacturer: TRANE Trade/Brand name: TRANE Region: All (AK, AL, AR, AZ, CA, CO, MI, MN, MO, MS, MT, NC, ND, NE, NH, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners installed in all regions until June 30, 2016. can only be installed in region(s) for Series name: XR16 Manufacturer responsible for the-rating Rated as follows in accordance with Heat;Pump Equipment and subject to•verification party testing: s I 8627727 Date: 8/11/2017 Unit, Coil with Blower CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, manufactured prior to January 1, 2015, are eligib�lgto:be Beginning July 1, 2016, central air conditioners which they meet the regional efficiency requiremAtit.• MA, MD, ME, TN, TX, •••. • • •••••••4 • • • • •. • • • • . .. • •..••. •... ••••.._ • �.,• • ••••• • ••.• • ••••1 •••••• • • •••••• • • •: . •••• .•• •. • and Air-Source •' indep pggp , third - •.: •, ...• ;•• ._ ••• •.•.•• •• - .. of this-system combination is TRANE AHRI Standard 210/240-2008 for Unita y Air-Copditioning of rating accuracy by AHRI-sponsored; ( (I ` .•. 35000- , - } I i - I `' L' 14.00 16:50 of previously published data, unless accompanied with a WAS, which indicates _: Il Cooling Capacity (Btuh): EER Rating (Cooling): •., ), :I} i an involuntary rerate. SEER-Rating-(Cooling): IEER Rating (Cooling): • Ratings followed by an asterisk (") indicate a voluntary rerate DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models directory at www.ahrldtrectory.org. TERMS AND CONDITIONS Thls Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahrldirectory.org, click 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 or guarantees as to, and assumes no responsibility for, arising out of the use or performance of the product(s), or the and configurations listed in the for Individual, personal and ALIA copied; disseminated; rilara for the user's individual, AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE on "Verify Certificate" link me make life better' 131469386614409072 CERTIFICATE NO.: 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): -70 ( 6 ftirit-c-Cn10 (Ito u /5 City: Miami Shores Village County: Miami Dade Zip Code: 3 '/ 3 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 •.S. • • • • AHRI DATA SHEET REQUIRED • • •• •••• .. . •. • •••••• • • • CoMsa ztAttached;,YES Change disconnecting means: YES ❑ NO IfrARHI Sheet Attached: YES 12<1O ❑ •••. • • • UNIT BEING REPLACED DATA •AEGN UNIT • Ao( /►� 600(10.ac" MANUFACTURERTr t.• •...:. Ari Zy _ 1 AHU or PKG. UNIT MODEL # TEM .IAL ZMz\ 1st' RD— 02-4 k# COND.UNITMODEL# 9Tr4- a ty-S` S kW KW HEAT : 5,104 •••••. ZToNI NOM TONS 2.•ToU ••• • AHU CU PKG 1) M.C.A AHU. 3 CU Pi_ PKG ••• AHU CU PKG 2) M.O.P AHU 5o CU 2,, PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / 0 /fk- EER/SEER VV ' S' YES NO REPLACING DUCTS YES NO.," YES. NO REPLACING THERMOSTAT YES ' NO YES NO ,/ NEW 4"CONCRETE SLAB YES NO/ YES NO i✓ NEW ROOF STAND YES NO✓ YES NO %, NEW RETURN PLENUM BOX YES NO r/ 1. Minimum Circuit Ampacity (Wire Size): CI b 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3 4 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: State Certificate or Re Signature (Revised02/24/2014) trati CQozi,V- U(aof ##diutef r'ut ( G L ‘)- Phone: To $GS- I, Zl Certificate of Competency No. (Qualifier's signature) Date: Bk,\l� C\ •...•• • OOO • • • • . ••... • • • ••..•• • . ••.•.• • • 009111 Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 58943 1 7 swims raAmtn.ocaTioN HAN94•ML-Ci" iANICAL LC 1965 71 ST. MIAMI BEACH FL 33141 OWNER CHAIM MECHANICAL LC Worker(s) 9 • RecluP7"°- EXPIRES aRENiAZIALli SEPTEMBER 30, 2017 - Mute die at pace of business Pursuant to Colinty Code Chants! 8A Art 9 & 10 TYPE OP BUSINESS 196 SPEC MECHANICAL CONTRACTOR CAC066292 PAYMENT RECEIVED BY TAX COLLECTOR $45.00 07/1 3/201 6 CHEM 1 —1 6-084673 This Loud Business Tint Receipt only cendirms payment of the Load Business Tax. The Receipt Is nota license, partaker, cettlicatioa el the holder's anelifications, to do 91111191. 11010191118d00aigri With MY 901,9110910011 •or nangovernmental meminten/ I.w.aad requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles -Miand-Dade Cods Sec la -235. For mere inhumation, visit wtenuniamidademovitammilector 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 from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log ontowww.myfloridalicense.com. There you can find more information.about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the Departments. 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, and congratulations on your new license! DETACH HERE RICK SCOTT, GOVERNOR owe - Ute. KEN LAWSON, SECRETARY r1.1"-;av ,.bra ice/'*" 0 IIf mo: ISSUED: 06419/2016 DISPLAY AS REQUIRED BY LAW