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MC-18-1739 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 1 Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-307100 Permit Number: MC-6-18-1739 Scheduled Inspection Date: July 17, 2018 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: LEAL,ALEJANDRO&CLARISA Work Classification: A/C Replacement Job Address:32 NE 91 Street Miami Shores, FL Phone Number (917)287-7855 Parcel Number 1131010200050 Project: <NONE> Contractor: DIRECT AIR CONDITIONING INC Phone: 305-596-2666 Building Department Comments AC CHANGE OUT 4 TON UNIT Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed ' 1 Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. r July,16,2018 For Inspections please call: (305)762-4949 Page 16 of 29 Permit NO. MC-6-18-1739' I Miami Shores Village Permit Type:Mechanical-Residential 10050 N.E.2nd Avenue NE "� I Work Classification:A/C Replacement Miami Shores, FL 33138-0000 Phone: (305)795-220a Pen7aitStatus:l�li�PRC>VED FtoRtoA Issue Date:7/6/2018 Expiration: 01/02/2019 Project Address Parcel Number Applicant 32 NE 91 Street 1131010200050 Miami Shores, FL Block: Lot: ALEJANDRO&CLARISA LEAL Owner Information Address Phone Cell ALEJANDRO&CLARISA LEAL 32 NE 91 Street (917)287-7855 MIAMI SHORES FL 33138- 32 NE 91 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $13,990.00 DIRECT AIR CONDITIONING INC 305-596-2666 ..._ _.... __ .. _ .� ... Total Sq Feet: 0 Tons:4 Available Inspections: Additional Info:AC CHANGE OUT 4 TON UNIT Inspection Type: Classification:Residential Final Approved: In Review Review Mechanical Comments: Date Approved: :In Review Date Denied: Type of Work: Scanning:3 i Fees Due AmountPay Date Pay Type Amt Paid Amt Due CCF $8.40 DBPR Fee Invoice# MC-6-18-68041 $ .34 DCA Fee $44.90 07/06/2018 Check#:2846 $483.29 $50.00 Education Surcharge $2.80 06/25/2018 Check#:2815 $50.00 $0.00 Permit Fee $489.65 Scanning Fee $9.00 Technology Fee $11.20 Total: $533.29 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 rti hat a fore, mg ' ormatio is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin F ermor thot< h ove-na contract to do the wor tated. / r�XLo LES� July 06, 2018 Autho zed Signature:Owner / Appli t / Contractor / Agent Date Building Department Copy July 06,2018 1 1 Miami Shores Village g S\,.rCE1VED Building Department JUN 2 5 2016 Y 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2011� BUILDING Master Permit No. 1 ► I C I 39 PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING 4—M ECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF []CANCELLATIONF-1SHOP / CONTRACTOR DRAWINGS JOB ADDRESS: � °� 9 ( S c�elk - City: Miami Shores County: Miami Dade Zip: -33 J Folio/Parcel#:-1 �-3 Q 0 J (' Is the Building Historically Designated:Yes NO Occupancy Type: Load:, Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): � z. J� ��Q Phone#: Address: 3 � /\ (C- `'�de1 (, , City: Ol CN Q State: fZ Zip: Tenant/Lessee Name: Phone#: ,• Email: CONTRACTOR:Company Name: Tly'-�� � �✓��.\ow1Its _Phone#"-3�r Address: /)4 00 Su/ ) Cq Ck- / City: N\-zk-k^� State: `nT�-- Zip: 1 D Qualifier Name: TU�✓1 �0-\ �d( `Cj (� Phone#: 4-3 State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: �y City: State: Zip: Value of Work for this Permit:$T/� ' ©a Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Ac, G1�a U T-D/`/ wvl i Specify color of color thru tile: Submittal Fee$ Permit Fee$ 666�y CCF$ CO/CC$ Scanning Fee$ Radon Fee$4. :::T0 DBPR$ �- 3�Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ c / TOTAL FEE NOW DUE$ `1 3 /Q (Revised02/24/2014) <V60, 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 estimatedexceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lie law broc re will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice a commence! t must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issu . In the abse ce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 9 Signature Signature OVINER or AGENT CONTRAC OR The foregoing instrument was acknowledged before me this The foregoi(ao umen was ac nowledged before(m�e this day of �7 u h 20 y �� ✓ 20 (D - , by dof Sa L(4 who isr Wally n to U 2ht who is pe o me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PLIC: NOTARY P B I Sign: Sign: Print: Print: Seal: "'G�'P"' JOSE GONZALEZ�' ° `:, Seal:a: Notary Public-State of Ronda ;.•SFr p�' JOSE GONZALEZ • S ::°� ;�'; Notary Public-State of Florida •. _ Commission:GC 53539 Y M Comm.Expires Oct 22.2021 •• Commission=GG 153539 Y - BOGthcuch�ztioralNCraryAss. ' •,�`cr-y—',.' My Comm.Expires Oct 22.2021 fro a'CniINCt�t Assr. APPROVED BY ! PExaminer Zoning Structural Review Clerk (Revised02/24/2014) ,St#OR�Es L, Miami Shores Village Building Department R.,, ,,,,, 10050 N.E.2nd Avenue tie Miami Shores, Florida 331x8 �LoR�[Dp 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): 3 e gi 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 AHRI DATA SHEET REQUIRED Change disconnecting means:YES❑ NO❑ ARHI Sheet Attached:YESNX NO❑ Contract Attached:YES ❑ UNIT BEING REPLACED DATA NEW UNIT M66o" , MANUFACTURER a-eNA U I' Of AHU or PKG.UNIT MODEL# C'LjLq0LA\\jCjyT- 6,5c i 3o' C COND.UNIT MODEL# XC....) -a30 91 KW HEAT NOM TONS AHU Sf CU` PKG 1)M.C.A AHU U PKG AHU60 CU fD PKG 2)M.O.P AHU 0CU PKG AHU CU PKG 3)VOLTS AHU CU PKG PKG UNIT / / PKG UNIT YEEER/SEER S NO REPLACING DUCTS Y O YES NO REPLACING THERMOSTATY NO YES NO NEW 4"CONCRETE SLAB ES YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES N 1. Minimum Circuit Ampacity(Wire Size): 60 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 1a 3. Voltage of Circuit(208/240/480): ),40 4. Size Disconnecti Means. Contractor's Compa y Name: Phone: State Certificate or Reg atio N Certificate of Competency No. Signature Date: ( Ilfle atu ) (Revised02/24/2014) This combination qualifies fora Federal Energy Efficiency Tax Credit when placed in service t between Feb 17,2009 and Dec 31, 2016. ry $ . Certificate of Product Ratings AHRI Certified Reference Number: 5947377 Date: 8/8/2016 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: XC25-048-230=* Indoor Unit Model Number: CBX40UHV-048*+TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: DAVE LENNOX SIGNATURE Region:All (AK,AL,AR,AZ, CA, CO, CT, DC, DE, FL,GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY,OH, OK,OR, PA, RI,SC,SD,TN,TX, UT,VA,VT,WA,WV,WI,WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1,2015,are eligible to be installed in all regions until June 30,2016. Beginning July 1,2016, central air conditioners can only be installed in region(s)for which they meet the regional efficiency requirement. Series name:.XC25.SERIES Manufacturer responsible for the-rating of this system combination is LENNOX INDUSTRIES, INC. Rated as follows Ina ccor�da�ncewith AHRISta n1dard 210/240c2008'for,Unitary;Air-Conditionin 'a"nd Air-Source Heat Pump Equipment-arid s'ub�ect to verifcation of rating.acgcuracy bIy AHRI-sponsoredi independent, third party testing: , 1 1 I � I Cooling Capacity(Btuh): 48500 ko r: C` 00 T EER Rating(Cooling): 13.50 SEER'Rating(Coolirig)--�-21"00 IEER Rating (Cooling): FootNote 11-The AHRI 210/240 certified EER ratings are calculated under the same methodology as the EER ratings at T1 conditions of ISO 5151:2010 and ISO 13253:2011. Ratings followed by an asterisk(`)indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate. DISCLAIMER t 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, AM personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we make life better- and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above,and the Certificate No.,which is listed at bottom right. 1 131151318559723604 ©2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: .i �yeoR Miami Shores Village Building Department none .....M 10050 N.E.2nd Avenue Miami Shores, Florida 33188 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): 3d- 1vE- gi 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 AHRI DATA SHEET REQUIRED Change disconnecting means:YES[:] NO❑ ARHI Sheet Attached:YES ❑ NO❑ Contract Attached:YES ❑ UNIT BEING REPLACED DATA NEW UNIT 1A416M . MANUFACTURER A U r 4 60( AHU or PKG.UNIT MODEL# L Q C) O C—f. CON D.UNIT MODEL# KW HEAT NOM TONS AHU 5-f CU PKG 1)M.C.A AHU5tq34qPKG AHU .0 CU fO PKG 2)M.O.P AHU60CU50 PKG AHU CU PKG 3)VOLTS AHU Cu PKG PKG UNIT / / PKG UNIT EER/SEER 'A. YES NO REPLACING DUCTS Y O' YES NO REPLACING THERMOSTATY NO YES NO NEW 4"CONCRETE SLAB ES YES NO NEW ROOF STAND YES YES NO NEW RETURNPLENUM BOX YES N // 1. Minimum Circuit Ampacity(Wire Size): l0 2. Maximum Overcurrent Protection(Fuse/Breaker Size): 10 0 3. Voltage of Circuit(208/240/480): ),40 4. Size Disconnecti Means. Contractor's Compa y Name: Phone: State Certificate or Reg atio. N Certificate of Competency No. Signature Date- ( lifie a (Revised02/24/2014) ,.y e This combination qualifies for a Federal Energy ■ © Efficiency Tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Certificate ®f Product 'R'ati n9s AHRI Certified Reference Number: 5947377 Date: 8/8/2016 r Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: XC25-048-230=* Indoor Unit Model Number: CBX40UHV-048*+TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: DAVE LENNOX SIGNATURE 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, Oft, PA, RI, SC,SD,TN,TX, UT,VA, VT,WA,WV,WI,WY, U.S.Territories) Region Note:Central air conditioners manufactured prior to January 1,2015, are eligible to be installed in all regions until June 30,2016. Beginning July 1,2016,central air conditioners can only be installed in region(s)for which they meet the regional efficiency requirement. Series name:.XC25.SERIES Manufacturef responsible for the rating of this system combination is LENNOX INDUSTRIES, INC. a Rated as follows.,inaccordance',with AHRCStandard 210/240-2008 for.Unitary,Air-Conditioning.and Air-Source Heat0ump Equipment and subject-to•verification of rating.accuracy by AHRI-sponsored; independent!,third party testing: ! l A ; Cooling Capacity(Btuh):. 485001tf EER Rating (Cooling): 13.50 `SEER Rating (Cooling):'- 21:00 IEER Rating (Cooling): FootNote 11-The AHRI 2101240 certified EER ratings are calculated under the same methodology as the EER ratings at T1 conditions of ISO 5151:2010 and ISO 13253:2011. I i 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 17� 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 6 REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.shridirectory.org,click on"Verify Certificate"link we make life better- and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which Is listed above,and the Certificate No.,which Is listed at bottom right. • ©2014 Air-Conditioning,Heating,and Refrigeration Institute LC ERTIFICATE NO.: 131151318559723604 12200 Sw 0' Urt3160 South CaarB aaAva.p tai ISP :305-596-2666: ® Boynton Batch,PL 53426 Paj C 1: -404-MOD AX.30 1 4646 �;� ae? � ' info ractuct23. n Bro rd:954-281=400 x Fax:561.336-2667 r InfoAdfOlrectt:cc: s $1ATG fiTlFl"M CO MIdR; LICMM E F'INSUnM L: r3 fits mhcs ! i CAG0i 3"8 RESIDENTIAL CC3Y AIF—RCIA L DINE : _ ' S o OCG T ADD E s iTv .fz€ . 5 . 313 �� ar�vll;;o�: m EFEE3IiELi BY: _ f s In uoret i St rtd.el s•02a•c� s� - 3{T t IGi: t`3 PAcKAGE UNIT f.HEAT,PUffir 717-Split i�#UL"-SSS CI Base nTd;l&ty MAM-w 'f. 1` �{ 1C# S i L3Gencre Slap t C3Hvuioan"01= . p€ 'mCCEl: �: r 1N"d'Md'ELtkrj fIOA/F 3 I ft SSift� Clnd6F'Top OSIAGLESTAGE f32-STAGAfiMLESFEEG �FIarl�axrtul Au�illa�y Drain Pan E Mmergwmy FluorDrain Pa Cly.ns Set-.rites L , . RiC1C dt LESPrE3) NGioZEA CGE l L3i3rainlins iS` T 4 QLJO E S Lta—mHaar Padwou ARTS REBATE PG E5StIAdS .F GI9; [P I�zalCOIL, E;enrl h~ater kw � S f!Digital Th "stat Rvkw a bb P'r OR,P t3 Cllinnildistat G iC ...... C3E rgd d4L`y{S :tI43tSY31c h• AMOUNT �"� c ��. � ,. 'G V • C1 E aO iW,EJfit8'ISIlDn C1VI9atar Pump a i.w a=v C3Sa:Ger ratecla ° e 'CISTC61II 47 COOL. 0PAC GEUTUT 0HEAT RU P (WINI-SPLIT 13maTI=SYSTEM MAKE C3�In€sraact Sts Q Pre-iters(sakes %:_ TONS, SEES# full • 4'4,5'XM­--------.,, fPS' 0wg:s°Voltage Electri sl f3UT R MODEL: C . iN€3t3tIR Iif3DEL 0 Cf� VNI Cl Low Voltargs3 Vaoical_ f3If3i3{if3tif 1l m'-s-sm, B Rd& O' 0 SINME STAGE -STAGEOVARIABLESPEED t is DOfFRUNITfP i3rO ' EFMCAL 113HORIZflPsi'CAL GLOSI i t�GMGE f ATTiC t31fAf:FiRLESPEED, 8� JOB PRI $ A3 IA#3i1El:: ! 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L"Y Leri sa�tat's . ! { .. %Aid � PATS i tw Light ®Asr Ps:rsScatstirs CtAs ts-P,lald ir2atmesrt RMITfEE � o _ LAIJOR 0Air Fifars APA!!!BNI All 7i i'! _'"" :✓ i r wt`t ."