Loading...
MC-17-2537Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-291180 Permit Number: MC -10-17-2537 Scheduled Inspection Date: January 30, 2018 Inspector: Perez, JanPierre Owner: REYNOLDS, MARGARET Job Address: 315 NW 111 Street Miami Shores, FL 33168-3303 Project: <NONE> Contractor: ARS/RESCUE ROOTER Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)759-1235 Parcel Number 1121360010740 Phone: (305)235-7223 Building Department Comments AC REPLACEMENT 3 TON 14 SEER Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. January 29, 2018 For Inspections please call: (305)762-4949 Page 18 of 59 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. MC -10-17-2537 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: APPROVED Issue Date: 11/21/2017 Expiration: 05/20/2018 Parcel Number Applicant 315 NW 111 Street Miami Shores, FL 33168-3303 1121360010740 Block: Lot: MARGARET REYNOLDS Owner Information Address Phone Cell MARGARET REYNOLDS 315 NW 111 Street MIAMI SHORES FL 33168-3303 (305)759-1235 Contractor(s) ARS/RESCUE ROOTER Phone (305)235-7223 Cell Phone Valuation: Total Sq Feet: $ 4,320.00 0 Tons: 3 Additional Info: AC REPLACEMENT 3 TON 14 SEER Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 3 Date Approved: : In Review Type of Work: AC REPLACEMENT 3 TON 14 SEER Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $3.00 $2.27 $2.00 $1.00 $151.20 $9.00 $4.00 $172.47 Pay Date Pay Type Amt Paid Amt Due Invoice # MC -10-17-65452 10/25/2017 Check #: 8253012E $ 50.00 $ 122.47 11/21/2017 Check #: 8253012E $ 122.47 $ 0.00 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 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructiopV fl )3/411. -.4 -and zoning. Futhermore, I aut • • the above-named contractor to do the work stated. A // rU Authorized Signature: 0 „- " / Applicant / Contractor / Agent Building Department Copy November 21, 2017 Date November 21, 2017 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING 0 MECHANICAL ❑PUBLIC WORKS J09 ADDRESS: IS- (tW 1 1 l 5� City: Master Permit No. Sub Permit No. ❑ REVISION ❑ EXTENSION El RENEWAL RECEIVED T 2 51011 FBC 20LU MC t-; -25 39' ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Miami Shores County: Miami Dade Zip: I A Folio/Parcel#: 1 2-1 ak.p 0 () 1 CY1 Q Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: BFE: NO FFE: OWNER: Name (Fee SimpleS1�bTitleholder):InCa i jof �e7f- `R2� hOtGLS Phone#:S"%1 Address: c5i G- IW 1((1.Si'�J vV Si— City: City: V\ i U VV\ \ ���1eCState: L Zip: 1D 1 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: ARS/RESCUE ROOTER Address: 18720 SW 108TH AVE Phone#: (305)235-7223 City: MIAMI Qualifier Name: DENNIS J ZACEK State: FL Zip: 33157 Phone#: (305)235-7223 State Certification or Registration #: CMC1249753 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 43)-0 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Description of Work: ❑ New ❑■ Repair/Replace I� c Rei:›tGce r {— +o(\ 1' -t. see f n Demolition •n Specify color of color thru tile:• Submittal Fee $ Permit Fee $ `51 111D CCF $ CO/CG$ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW (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. OWNER or AGENT The foregoing instrument was acknowledged before me this Signature CONTRA The foregoing instrument was ackn':. :ged before me this day of° ) , 20 1'7 , by Lel day o10�-r , w fnmroot 1-44Cho is personally known to me or who has produced L(. -C as identification and who did take an oath. NOTARY PUBLIC: Seal: BL' CASSANDRA MARIE I OMINGUEZ C ` MY COMMISSION #FF088698 + oro°,1 EXPIRES March 14, 2018 (407) 398-0153 FloridallotaryService.com ***** .*._._ APPROVED BY (Revised02/24/2014) , 20 by me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: l ®J */1 Examiner 0411111! 1-14 Structural Review ��e.. CASSANDRA MARIE DOMINGUEZ • MY COMMISSION #FF088698 oF,,,oP: EXPIRES March 14, 2018 Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets 1are lnot acceptable. Job Address (where the work is being done): LcS 14W 1 l t City: Miami Shores Village County: Miami Dade Zip Code: 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 AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑■ NO ❑ Contract Attached: YES ❑■ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER qq_ -}— AHU or PKG. UNIT MODEL # J/—ri 4VC.N1 COND. UNIT MODEL# –r4 s. �, KW HEAT "1 NOM TONS 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 YES NO REPLACING DUCTS Y S 0 YES NO REPLACING THERMOSTAT YE no YES NO NEW 4"CONCRETE SLAB YES �• YES NO NEW ROOF STAND YES "LL'l YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: ARS/RESCUE ROOTER State Certificate or R : stratio o Certificate of Competency No. Q Signature Date: IO) IF)19— CMC J T CMC - •' 3 Phone: (305)235-7223 (Revised02/24/2014) (Q ier's sig 0 r OFFICE OF THE PROPERTY APPRAISER 9 20 Property Search Application - Miami -Dade County Summary Report Property Information Folio: 11-2136-001-0740 Property Address: 315 NW 111 ST Miami Shores, FL 33168-3303 Owner MARGARET REYNOLDS Mailing Address 315 NW 111 ST MIAMI SHORES, FL 33168-3303 PA Primary Zone 0700 SGL FAMILY - 1551-1700 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 2 /2 /0 Floors 1 Living Units 1 Actual Area 1,797 Sq.Ft Living Area 1,153 Sq.Ft Adjusted Area 1,516 Sq.Ft Lot Size 7,500 Sq.Ft Year Built 1952 Assessment Information Year 2017 2016 2015 Land Value $161,028 $134,829 $134,829 Building Value $105,514 $105,514 $105,514 XF Value $27,105 $27,216 $19,743 Market Value $293,647 $267,559 $260,086 Assessed Value $126,330 $123,732 $122,872 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $167,317 $143,827 $137,214 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description NEW MIAMI SHORES ESTS PB 51-80 LOT 26 BLK 3 LOT SIZE 75.000 X 100 OR 18259-2581 0898 1 Generated On : 9/20/2017 'KENDALL- TAM IAM I EXECUTIVE .y AIRPORT Taxable Value Information Previous 2017 2016 2015 County Book- Exemption Value $50,000 $50,000 $50,000 Taxable Value $76,330 $73,732 $72,872 School Board Exemption Value $25,000 $25,0001 $25,000 Taxable Value $101,330 $98,732 $97,872 City 4615 Exemption Value $50,0001 $50,000 $50,000 Taxable Value $76,3301 $73,732 $72,872 Regional 06/01/1995 Exemption Value $50,000 $50,000 $50,000 Taxable Value $76,3301 $73,7321 $72,872 Sales Information Previous OR Sale Price Book- Qualification Description Page 08/01/1998 $109,000 18259 -Sales which are qualified 2581 06/01/1998 $71,900 18155- Sales which are qualified 4615 04/01/1998 $0 18058- Sales which are disqualified as a result of 4502 examination of the deed 06/01/1995 $89,900 16818 -Sales which are qualified 4164 The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: Property Search Application - Miami -Dade County OFFICE OF THE PROPERTY APPRAISER Page 1 of 1 Summary Report Property Information Folio: 11-2136-001-0740 Property Address: 315 NW 111 ST Miami Shores, FL 33168-3303 Owner MARGARET REYNOLDS Mailing Address 315 NW 111 ST MIAMI SHORES, FL 33168-3303 PA Primary Zone 0700 SGL FAMILY - 1551-1700 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 2/2/0 Floors 1 Living Units 1 Actual Area 1,797 Sq.Ft Living Area 1,153 Sq.Ft Adjusted Area 1,516 Sq.Ft Lot Size 7,500 Sq.Ft Year Built 1952 Assessment Information Year 2017 2016 2015 Land Value $161,028 $134,829 $134,829 Building Value $105,514 $105,514 $105,514 XF Value $27,105 $27,216 $19,743 Market Value $293,647 $267,559 $260,086 Assessed Value $126,330 $123,732 $122,872 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $167,317 $143,827 $137,214 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description NEW MIAMI SHORES ESTS PB 51-80 LOT 26 BLK 3 LOT SIZE 75.000 X 100 OR 18259-2581 0898 1 Generated On : 10/4/2017 Taxable Value Information Previous Sale 2017 2016 2015 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $76,330 $73,732 $72,872 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $101,330 $98,732 $97,872 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $76,330 $73,732 $72,872 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $76,330 $73,732 $72,872 Sales Information Previous Sale Price OR Book - PageQualification Description 08/01/1998 $109,000 18259 -Sales which are qualified 2581 06/01/1998 $71,900 18155 -Sales which are qualified 4615 04/01/1998 $0 18058- Sales which are disqualified as a result 4502 of examination of the deed 06/01/1995 $89,900 16818 -Sales which are qualified 4164 The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 10/4/2017 (305) 235-7213 18720 S.W. 108TH AVENUE MIAMI, FL 33157 American Residential Services of Florida, Inc. License # CMC1249753 NAME i\14\ ADD ?)1,-.) j� ij \ \\ C/ST/ZPN\-3 3\ DIAGNOSIS / RECOMMENDATIONS Corporate Customer Relations (866) 803-0879 www.ARS.com DISPATCH TIME WINDOW ARRIVAL AIR CONDITIONING - HEATING - INDOOR AIR QUALITY - DUCT CLEANING MO PH # U-_, L\ t '•\-1C PH#�,��- 1i�uZ`�Y1� EMAIL BILL TO \ \ 3,3`1 BILL ADD \r.)-2) C/ST/ZP Sj\ ❑ RP 0 MT 0 C 0 A ❑ TO ❑ OT INVOICE: 8253-074814 DATE O CALL # TECH/# SUCTION PSI SUPER HEAT / / IWB IDB FAN AMPS LIQUID PRESS SUB -C / / GAS PRESSURE ELECTRIC HEATA IPS / / DAMAGE? 0 NO 0 YES -See separate "Report. Tech initials ORIGINAL SERVICE REQUEST INVOICE v AA- ?)-'7,-n,,) A\-\ Ti\)_ \\ \\ \e � V lL� 3-5 yl v 9'yi See Recommendations Addendum Option # • Written customer authorization will be obtained before beginning any unforeseen additional or extended work. • BUYER'S RIGHT TO CANCEL - "This is a home solicitation sale, and if you do not want the goods or services, you may cancel this agreement by providing written notice to the seller in person, by telegram, or by mail. This notice Est. Start date must indicate that you do not want the goods or services Est. date of comp and must be delivered or postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement, the seller may not keep all or part of any cash down payment.' See the reverse side hereof for an explanation of this right. • I acknowledge that my right to cancel has been explained to me orally and in writing, and without waiving my right to cancel, I authorize the performance of the work, subject to all terms and conditions set forth on the reverse side hereof, plus any taxes upon completion. • NOTICE TO OWNER - Do not sign this home improvement contract in blank. You are entitled to a copy of the contract at the time you sign. Keep it to protect your legal rights. This home improvement contract may contain a mortgage or otherwi;e create a lien on your property that could be foreclosed on if you do not pay. Be sure you understand all provisions of the contract before you sign. Signature: X Date: SUBTOTAL ORIG. EST. (+ SALES TAX) WARRANTY ITEM(S) ,PARTS: l ^LABOR: \ PARTS: LABOR: DIAGNOSTIC FEE SUBTOTAL ❑ CASH ❑ CHECK # PO # 0 VISA 0 MIC 0 DISC 0 AMEX 0 OTHER WOC,Ci CC LAST 4#, 421EXP AUTH # My signature below acknowledges that the work has been completed and I agree to the sum total of the charges and payment method. Print Name Signature Date ❑ RENEW HSP ❑ PURCHASE TRUCK OPERATING SUPPLIES COMM TAX Total Sale Price Please contact me about future offers. © 2017 American Residential Services LLC. All rights reserved. (L 02/2017) Rev 020217 ARS1001 ACORD® CERTIFICATE OF LIABILITY INSURANCE �-----. 10/1/2018 DATE(MMIDD/YYYY) 11/13/2017 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 have ADDITIONAL INSURED provisions or 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 Lockton Companies 1185 Avenue of the Americas, Suite 2010 New York NY 10036 646-572-7300 CON NAMEACT PHONE FAX 1A/C. Extl: INC. No): IL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Liberty Mutual Fire Insurance Company 23035 INSUREDAMERICAN RESIDENTIAL SERVICES LLC 1073055 DBA RESCUE ROOTER 860 RIDGE LAKE BLVD. MEMPHIS TN 38120 INSURER B : Liberty Insurance Corporation 42404 INSURER C : Navigators Insurance Company 42307 INSURER D : $ 2,000,000 INSURER E : INSURER F : X COVERAGES AMERE02 CERTIFICATE NUMBER: 14467960 REVISION NUMBER: XXXXXXX 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 TYPE OF INSURANCE ADDLTR INSD INSD SUER WVD POLICY NUMBER POLICY EFF (MM/DDIYYYY) POLICY EXP (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITYN N TB2-631-508631-027 10/1/2017 10/1/2018 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 $ 4,000,000 $ 4,000,000 $ GE 'L AGGREGATE POLICY OTHER: LIMIT APPLIES PRO- JECT PER: LOC GENERAL AGGREGATE PRODUCTS - COMP/OP AGG A AUTOMOBILE X LIABILITY ANY AUTO OWNED SONLY AUTOSX HIRED AUTOS ONLY X SCHEDULED NON -OWNED AUTOS ONLY N N AS2-631-508631 - 037 10/1/2017 10/1/2018 COMBINED NGLE LIMIT {Ea accident)SI $ 2,000,000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident) $ XXXXXXX PROPERTY DAMAGE (Per accident) $ XXXXXXX $ XXXXXXX C x UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N B017UMR7150881V 10/1/2017 10/1/2018 EACH OCCURRENCE $ 5,000,000 $ 5,000,000 $ XXXXXXX AGGREGATE DED X RETENTION$ 10,000 B 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 N /A N WA7-63D-508631-017 10/1/2017 10/1/2018 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 IT more space Is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS L STED AND THE POLICY TERM(S) REFERENCED. THE GENERAL LIABILITY POLICY'S GENERAL AGGREGATE LIMIT APPLIES PER LOCATION AND IS SUBJECT TO A $20,000,000 GENERAL AGGREGATE POLICY LIMIT. RE: CMC 1249753 (DENNI J. ZACEK) CERTIFICATE HOLDER CANCELLATION 14467960 MIAMI SHORES VILLAGE ATTN: BUILDING DEPARTMENT 10050 NE 2ND AVENUE MIAMI SHORES FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRE6tee, 14126,-401 r1/7 ACORD 25 (2016/03) ©1888-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD x Allii1P1 CERTIFIED ' MC, 114.) Z53-4 www.ahridirectory.org Certificate of Product Ratings , ' ' • • ' AHRI Certified Reference Number: 9562713 Date: 10/4/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 114CNA036*0**A* Indoor Unit Model Number: FB4CNF036L Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Trade/Brand name: BRYANT HEATING AND COOLING SYSTEMS Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, • • NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories) • • ••••I • • . , Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligigle.tp be •••„••• I installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditiog§ can only be installed in region(s) for which they meet the regional efficiency requiremen . t. ••.• . Series name:.LEGAC.YLINE AC ”" • • • _ I Manufacturer responsible for the rating of thissystem SYSTEMS Rated as follows in accordance with•AHRI Standard Heat`Pum E ui merit and subject to verif1cat Pa q P J party, testing:) \ 1 1 I_ 1 \ combination is BRYANT for, Unitary b Y Y V\ I i ri1,( ,,"„„ HEMII1G�AND • ••. •.'••' '..'`. • COOLING •' • �. 1ing,a�rlc4 Ai -Source• • • rode ende third r P �•r , r I 210/240-2008 on of ratin accurac 9' I `--I I , ri t r +l 1 Il.l., i9 ;;illlt0 Aird AHRI-s LI i r • ' C- WAS, which Cotyrjtic P o'nsoretl, Ij i ;+� JU,i-y,: r ,+ a, indicates _1 _ _ . Cooling Capacity (Btuh): 33000 EER Rating (Cooling): 12.00 ti _, r'(pit l YJi PY an involuntary rerate. SEER'Rating-(Cooling): 14:00 IEER Rating (Cooling):,`, ` Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a 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.ahridirectory.org. TERMS AND CONDITIONS and its contentsurpsare proprietary productsisof AHRI. This Certificate shallr only ,be used This cConfidential 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.ahridirectory.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 copied; disseminated; for the user's individual, AIR-CONDITIONING, HEATING, &REFRIGERATION INSTITUTE on "Verify Certificate" link we make life better" 131515944976465430 CERTIFICATE NO.: oduct Registration - carrier PRODUCT REUIS'I RA'I IUN Page 1 01 turn to the experts• " Today's date: October 04, 2017 CONFIRMATION MARGARET REYNOLDS, Thank you for registering your new air conditioning and/or heating equipment from the CARRIER family of brands. Your registration confirmation number is Z003042570386C Please print this screen, as it'll be your only record of this registration. Equipment Owner Equipment Location MARGARET REYNOLDS, 315 NW 111TH ST, MIAMI, FL, 33168 USA (305) 490-9459 Email not provided Dealer Information ARS RESCUE ROOTER, 18720 SW 108TH AVE, MIAMI, FL,33157 USA (305) 235-7223 KHIDALGO@ARS.COM Installed Products Serial Number 3317E09557 0417A72498 315 NW 111TH ST, MIAMI, FL, 33168 USA (305) 490-9459 Type of purchase • • • • • •• • Replacement of existing equlprntrt Application Type Residential Single Family Model Number 114CNA036000 FB4CNF036L00 • • •••• •••• •••• •• • • • • ••••• • •• •• • ••• • • • • • ••• •• •• • • • • • • • •• . • • • •• • ••• • • • •• Installation Date 09/20/2017 09/20/2017 �• • • • • • • • • • • • Each piece of equipment has unique warranty coverage. Please print a copy of this product registration confirmation and retain it with a warranty certificate for each product and your proof of purchase records. If you do not have a copy of the warranty certificate (s), please contact your installing dealer or visit the product manual page to print a copy. If your new system ever needs a repair, ask your servicing dealer to only use Factory Authorized Parts TM Designed for Easy Install & Service, Engineered for Quality Factory Authorized PartsTM have been designed and built specifically for CARRIER® equipment. These parts are the perfect fit, restoring equipment to its original performance. • U.L. & C.S.A. qualified • Preserves the original manufacturer's warranty • Preserves the original efficiency of the system • Meets rigorous factory run life design specifications :ps://productregistration. carrier. corn/Public/RegistrationConfirm/Lc-ZZkkknhLT_LHsSrriRLj ehwYrbcHmXs0... 10/4/20