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MC-18-701 { Inspection Worksheet Miami Shores Village '10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-299660 Permit Number: MC-3-18-701 Scheduled Inspection Date: April 05,2018 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type:.Final Owner: LILLY,JANET Work Classification: A/C Replacement Job Address:9800 NE 13 Avenue Miami Shores, FL - -- --- -- _ --- --Phone Number. Parcel Number 1132050090280 Project: <NONE> " r Contractor: CHANIN MECHANICAL Phone: (305)865-1729 Building Department Comments REPLACE 1 3TON CARRIER SYSTEM WITH 1 8 KW IINNSPECSPEC Passed Comments TOR COMMENTS False HEATER I Inspector Comments Passed Failed Correction Needed . ❑ F Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid n.,rii ne. gnia For Inspections please call: (305)762-4949 Page 12 of 31 Permit N©. MC-3-1$-701 Miami Shores Village Permit Type: Mechanical-Residential 10050 N.E.2nd Avenue NEPer ill ' Work Classification:A/C Replacement Miami Shores,FL 33138-0000 Perm'it`Status:APPROVE© Phone: (305)795-2204 A�RiDA issue oate:312612018 Fixpi ration: 09/22/2018 F Project Address Parcel Number Applicant 9800 NE 13 Avenue 1132050090280 Miami Shores, FL Block: Lot: STUART LILLY Owner Information Address Phone Cell JANET LILLY 9800 NE 13 AVE MIAMI SHORES FL 33138-2504 Contractor(s) Phone Cell Phone Valuation: $ 5,835. 0 CHANIN MECHANICAL (305)865-1729 Total Sq Feet: 0 Tons:3 Available Inspections: Additional Info:REPLACE 1 3TON CARRIER SYSTEM WITH 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 I CCF $3.60 Invoice# MC-3-18-66831 DBPR Fee $3.06 .03/26/2018 Check#:7490 $ 177.93 $50.00 DCA Fee $2.04 Education Surcharge $1.20 03/19/2018 Check#:7460 $50.00 $0.00 Permit Fee $204.23 Scanning Fee $9.00 Technology Fee $4.80 Total: $227.93 E In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. ' OWNERS AFFIDAVIT: I certify that all the foregoing information is acc and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named c ractor t do the work stated. March 26, 2018 Authorized Signature:Owner / Applicant / Co r Agent Date Building Department Copy March 26, 2018 1 Miami Shores Village Buildin DepartmentTT g p 10050 N.E.2nd Avenue, Miami Shores, Florida 33138/ Tel: (305)795-2204 Fax:(305)756-8972 BINSPECTION LINE PHONE NUMBER:(305)762-4949� FBC 20 ) BUILDING Master Permit No. , 4 ) PERMIT APPLICATION Sub Permit No. QBUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING VECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR ' DRAWINGS JOB ADDRESS: ./ �/ C %7 dv,:5;- / City' Miami Shores County' =`Mia i Dade Zip: 3 3/.--;k Folio/Parcel#: /Z^,3 05 - 009 — nZ&ols the Building Historically Designated:Yes NO✓ p Occupancy Type: �C E 1 Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): •$Tal CT GL's`� Phone#: "� �-���� Address: '780,1 AItl/C City: z:6&2Vz �' �{ F. State: d� Zip: Tenant/Lessee Name: AZ A- Phone#: Email: 'ML00 • - CONTRACTOR:Company Name: CV;A?A0n1 Lc., Phone<AG.S Address: ,�/ 196-S 7Z S7�N City: � l'#.wl Gf/ State: Zip: 33J Qualifier Name: � lay raw/a Phone#:36S SGS; U.2!2 State Certification or Registration#: CX Ck9 5 G Z'�2. Certificate of Competency#: DESIGNER:Architect/Engineer: 4 Phone#: Address: City: State: Zip: IX Value of Work for this Permit:$ s E_'; ' dy Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Q Repair/Replace ❑ Demolition Description of Work:Specify color of color thru tile: Submittal Fee$ O ` Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ i TOTAL FEE NOW DUE$ `Revised02/24/2014) • r Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) /4-- 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" Signa OWNER or AGENT SCC OONTRAC��+- The foregoing instrument was acknowledged beforeme ` me this The fegoing instrument was acknowledged before me this 15 �` day of NtiarL� 20 t p , by 15V day of Mw(,k ,20—1 L-, by 5k�kk + WW who is personally known to Tytw NA.VL11/\ who is ersonally known t me or wh �Produce� _DriVICA-S LiG2110- as Oor who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Q/ Print: r Seal: CHAD CHETRAM Seal: ..� '' MY COMMISSION#00070596 :;4CHAD CHETRAM -1114,06" EXPIRES February 07,2021 MY COMMISSION ti GG070596 ' ! EXPIRES February 07,2021 ************* *********************** ****************************** ******* APPROVED BY "� v Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 3/12/2018 Property Search Application-Miami-Dade County tee* 1 � ! 1 i When buying real estate property,you should not assume that property taxes will remain the same.Whenever there is a change IMPORTANT in ownership,the assessed value of the property may reset to full market value,which could result in higher property taxes. MESSAGE Please use our Tax Estimator to approximate your new property taxes. The Property Appraiser does not send tax bills and does not set or collect taxes. Please visit the Tax Collector's website directly for additional information. Address Owner Name Folio SEARCH: F 9800 ne 13 ave Suite w..,.www_----------w�. _ PROPERTY INFORMATION Folio: 11-3205-009-0280 Sub-Division: EARLETON SHORES Property Address 9800 NE 13 AVE Miami Shores, FL 33138-2504 i Owner STUART LILLY&W JANET Mailing Address 9800 NE 13 AVE MIAMI SHORES, FL 33138-2504 PA Primary Zone 1400 SGL FAMILY-3001-3250 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT http://www.miamidade.gov/propertysearch/#/ 1/8 3/12/2013 Property Search Application-Miami-Dade County Beds/Baths!Half 4/4/0 Floors 1 Living Units 1 E Actual Area 3,935 Sq.Ft Living Area 3,616 Sq.Ft { Adjusted Area 3,660 Sq.Ft i Lot Size 12,371.5 Sq.Ft Year Built 1963 ISM \ p View i i Layers•i hkEj t, x< a v� 2 a r . •.,. graphy 60ft http://www.miamidade.gov/propertysearch/#/ 2/3 y, STATE LICENSED PH:305-865-1729 AND INSURED FAX:305-864-1354 AC056292 1965 71"Street Miami Beach—Florida 33141 Lr— Air Air Conditioning Contractor `S,aLEs,SERVICE&1NSTAUATIOW DATE: Revised March 12,2018 We, the firm of Chanin Mechanical,L.C., propose to furnish, install and service the air conditioning and heating system for: Mr. Stuart Lilly Job located at: 9800 Ne 13th Ave—Miami Shores—Florida In accordance with following conditions and specifications: EQUIPMENT TYPE: 3 Ton - Carrier Performance Series - Two Stage Freon R-410 -16 Seer Rating Qty(1) Condensing Unit-Model#24ACB736A003 Qty(1)Air Handler Unit-Model#FV4CNF002L00-Variable Speed Motor Qty(1) 8KW Heater *Unit has humidity control capability LOCATION OF EQUIPMENT: Condensing Unit to be installed on existing foundation Air Handler to be installed on new aluminum Stand WIRING: Will tie to existing high and low voltage wiring PIPING: Will tie to existing Freon lines and drain lines MISCELLANEOUS: Qty (1) Performance Edge Humidistat Qty (1) Condensate Overflow Switch DUCT WORK: Will tie to existing duct work with fiberglass board and flex Initials- 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:g'; 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 toChanin 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`yi " INSTALLATION SCHEDULE: 1. The equipment will be ready in approximately_days from the date of our approval of this contract. TERMS: Carrier Performance Series-3 Ton-Two Stage -R-410-16 Seer Contract Amount: $5,835.00 Note: • Price contingent on (1) additional job walk through • Contract price does not include permit and processing fees,if required • Warranty 0 years parts 10 years compressor if registered by purchaser online Ryan thanin ;gi �' k;;: CHAD CHETRAM MY COMMISSION#GG070596 '•,,a„,• EXPIRES February 07,2021 ACCEP ANCE: The proposal is accepted by r Date: DEALER APPROVAL: S7U AR7" me`/ This contract is approved by .Date: (Title: ) CHAD CHETRAM MY COMMISSION#GG070596 4,. EXPIRES February 07,2021 Y STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 wo1940 NORTH MONROE STREET - TALLAHASSEE FL 32399-0783 CHANIN, DREW NED CHANIN MECHANICAL LC 6095 NORTH BAY ROAD MIAMI BEACH FL 331,40 r- 2a"."v�. o � av d :,�....:.M":.A:f'�--�'e.,.R..aif ,rer ,_-T._. r Congratulations! With this license you become one of the nearly . t one million Floridians licensed by the Department of Business and S TATE,;OF FLORIDA Professional Regulation. Our professionals and businesses range DEPART;, $USINESS AND from architects to yacht brokers,from boxers to barbeque pROFE _.. ULATION restaurants,and they keep Florida's economy strong. CAC66t3292 X06/19/2016 _ Every day we work to improve the way we do business in order f y� to serve you better. For information about our services, please w log onto www.myfloridalicense.com. There you can find more CERTIFIED Al information about our divisions and the regulations that impact # CHANIN,DRI you,subscribe to department newsletters and learn more about CHANIN-MECFI the Departments initiatives. r Our mission at the Department is: License Efficiently, Regulate Fairly.We constantly stave to serve you better so that you can �' iS CER 11 JED.vender the provisions of'Ch.489 FS. serve your customers. Thank you for doing business in Florida, .*vatroo date AUG 31 2018 L16MIkOO661 and congratulations on your new license! DETACH HERE ------.__—,,,. - .... . .. ... . RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY i STATE OF FLORIDA - DEPARTMENT OF BUSINESS AND_PROFESSIONAL REGULATION, CONSTRiICTtOAI:INDUSTRY LICENSING BOARD Pfe- SS A-AtR-CONDITIONING CONTRACTC � . '16W-18EERTIEIEdl -... -1)rrde"L a prris�rasol Cha)�Ster 489 FS re orrdate: ALJG 31,.201-8 ,a }bREW neo- r 1oel]CM. n�eH0/1AIR niqPI AY AS RFOUIRED BY LAW SEQ# 1_1606190000661 Local Business Tax Receipt Miami—Dade County, State of Florida. -THIS IS NOT A BILL-DO NOT PAY 5894317 .. . — L BT_ BUSINESS NAME/LOCATION' RECEIPT NO. EXPIRES VP'[a E C CHANIN MECHANICAL LC RENEWAL SEPTEMBER 30, 2018 1965 71 ST 6148373 Must be displayed at place of business MIAMI BEACH FL 33141 Pursuant to County Code Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS CHANIN MECHANICAL LC 196 SPEC MECHANICAL CONTRACTOR PAYMENT RECEIVED CAC056292 BY TAX COLLECTOR Worker(s) 9 $45.00 07/17/2017 FPPU06-17-014942 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit,or a certification of the holders qualifications,to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Code Sec 8a-276. For more information,visit www mianii `' , Pr[fuccollector TE .rico CERTIFICATE OF LIABILITY INSURANCE DA8/2/DDI 11% - 9/2/201177 '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 CONTACT Paola Rossini NAME: International Insurance Center, Inc. PHONE (305)279-5446 A/CNo:(305)279-4045 7990 SW 117 Avenue E-MAIL ADORESS;P aola@iic.cc Suite 209 INSURER(S)AFFORDING COVERAGE NAIC# Miami FL 33183 INSURERA:Wesco Insurance Co 25011 INSURED INSURER B:National General Chanin Mechanical LC INSURER CAssociated Industries Insurance 23140 1965 71St Street INSURER D: INSURER E: Miami Beach FL 33141 INSURER F: 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 TYPE OF INSURANCE DDLSUBR POLICY NUMBER MMIDDYEFF IYYYY MM/DD/YYYY LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE ❑X OCCUR PREMISES Ea occur DAMAGE TO ence $ 100,000 WPP1382481-01 6/20/2017 6/20/2018 MED EXP(Any one person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO- JECT ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 —_ —_ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500,000 Ea accident B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS 2005200088 6/20/2017 6/20/2018 BODILY INJURY(Per accident) $ AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident Medical Payments $ 5,000 UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER 0 H- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE Ya N/A E.L.EACH ACCIDENT $ 1,000,000 C (Mandatory In H)EXCLUDED? AWC1081783 4/28/2017 4/28/2018 E.L.DISEASE-EA EMPLOYE $ 1,000,000 (Mandatory In NH) If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Mechanical Contractor. License number CAC056292 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 Northeast 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Edward Cabassa/CF ' L ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025lgmdnn y' This combination qualifies for a Federal Energy Efficiency tax Credit when Ia placed in service between Feb 17,2009 and Dec 31, 2016. .... . . .... ..... .. Certificate of Product Rating.9:::- AHRI Certified Reference Number :10359716 Date:03-13-2018 Model Status•:•4diue • •• •.:•• • • 0.:..* Old AHRI Reference Number : ....., • AHRI Type :RCU-A-CB +••••• Series :PERFORMANCE 17 AC 2-STAGE ••• : •• • :• •• Outdoor Unit Brand Name :CARRIER •• ' Outdoor Unit Model Number (Condenser or Single Package) :24ACB736A`031" Indoor Unit Brand Name : Indoor Unit Model Number(Evaporator and/or Air Handler) :FV4CNF002L Furnace Model Number: 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 conditionerscan only be installed in region(s)for which they meet the regional efficiency requirement. The manufacturer of this CARRIER product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of�ANSI/AHRI,2101240 with Addends 1 and 2;Performance Rating of Un�it�ary Air-Conditioning &Air-source Heat Pump Equipment and subject rating accuracy by:A =sponsored,independent,thiid party nesting: iu Cooling Capacity(A2),-Single or 2High Stage'(95F);btuh`:36000 a r-) �� SEER 15.00 i EER(A2)-Single or High Stage(95F) :12.50 i 1.t � �1 ,�1t1+►'�1� *�ilmi° or�±s�Vfllae { IEER APPROVES aaa000 F3Y , ,, DATE TV ZONING DEPT AR 1 BLDG DEPT 2018 SI IR,II�CT TO COMPLIANCE WITH AI-L FEDERAL_ 8 STATI-AND COUNTY RULES AND REGULATIONS P W t"Active"Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale;OR new models that are being marketed but are not yet being produced."Production Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. t Ratings that are ac oomoanied by WAS indicate an involuntary re-rate. The new Dublished rating is shown along with the Drevious(i.e.WAS)rating. 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.ahrldirectory.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 certiflcate can be verified at www.ahridlrectory.org,click on"Verify Certificate"link we make lire 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 t w l131654451372787493 ©2018Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: r ff SNORES` Miami Shores Village r Building Department = 9� 19050 Nel*hn.Avenue MNW Spores, F•lori4 33138 •• ',,� ...r.*Tel: (�0 �45.22W..% F�0RiDA ••"'••Fax:(3051 756.89 j 1.•.; AIR CONDITIONING REPLACEMENT DATA •...�,• ..... i • •J Y... . .. ..... PERMIT NUIW;64:MC sees ...... so This form must accompany ALL air conditioning replacement permit applications. Each unit chan.�&ott muse'""• be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address(where the work is being done): ftloi �� O City: Miami Shores Village County: Miami Dade Zip Code: 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 I C,vA t_ MANUFACTURER ri-1 r`l TwEU37c� 13 t3 n AHU or PKG. UNIT MODEL# -r-Gcz. LlcjQ ZTT1Z2r,3%, A1000,4A COND. UNIT MODEL# 6A`0c3 �W KW HEAT ak 3 i cPJ NOM TONS '>'T V AHU qP CU 3,u PKG 1) M.C.A AHU4,) CU3c' PKG AHU W CU 357 PKG 2) M.O.P AHU be CU4S PKG AHU Ly„ CU-tq- PKG 3)VOLTS AHUz-9fCUZqvPKG PKG UNIT / / _. PKG UNIT EER/SEER YES REPLACING DUCTS YES O NO REPLACING THERMOSTAT ES YES 0 NEW 4"CONCRETE SLAB YES N YES NEW ROOF STAND YES NO YES NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity(Wire Size): (,Q coo 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit(208/240/480): C�L qD 4. Size Disconnecting Means: Q f�� Contractor's Company Name: r✓"�`°A"d� 4a�`tr Phone: State Certificate or Regist 'on No. Certificate of Competency No. Signature Date: 3 / Qualifiers signature) I , (Revised02/24/2014) t