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MC-18-3439Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date 11/1S/2018 Parcel Number Permit NO.: MC-11-18-3439 Permit Type: Mechanical.- Residential Work Ctossif cation: A/C Replacement Permit Status: Approved Expiration: 05/13/2019 284 NE 102ND ST, Miami Shores, FL 33138 1132060134710 Contacts EDITH TYLER EMERSON 284 NE 102 ST, MIAMI, FL 331382427 Other: 3053109607 Owner Description: EXACT AC CHANGE OUT 3 TONS 16 SEER Fees Amount Application Fee - Other CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee $50.00 $3.60 $2.86 $2.00 $1.20 $140.75 $9.00 $4.77 Total: $214.18 D-AIR CONDITIONING COMPANY CARLOS CASTANO 990 NW 126 PATH, MIAMI, FL 33182 Business: 7863901532 Contractor Valuation: $ 5,450.00 Total Sq Feet: 0.00 Inspection Requests: 305:762-4049 Payments Total Fees Credit Card Credit Card Amount Due: Date Paid 11/13/2018 11/15/2018 Amt Paid $214.18 $50.00 $164.18 $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Fut rmore, I authorize the above named contractor to do the work stated. Cep _sten vt_0 /I,r� t Authorized Signature: Owner / Applicant / Contractor / Agent Date November 15, 2018 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Inspection Number: INSP-001746-2018 Permit Number: MC-11-18-3439. Scheduled Inspection Date: November 20, 2018 Inspector: Perez, Jan Pierre Owner: EDITH TYLER EMERSON Address: Project: 284 NE 102ND ST Miami Shores, FL 33138 Contractor: D-AIR CONDITIONING COMPANY ' CARLOS CASTANO Permit Type: Mechanical - Residential Inspection Type: Mechanical Final Work Classification: A/C Replacement Phone Number: 3053109607 Parcel Number: 1132060134710 Phone Number: 7863901532 Building Department Comments EXACT AC CHANGE OUT 3 TONS 16 SEER Checklist Item General Comments Passed False Comments Inspector Comments Passed U,\g Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. November 19, 2018 For Inspections please call: 305-762-4949 Page 27 of 33 BUILDING 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 RECEIVED NIV132018 BY: FBC 20 !9 --- Master Permit No. 0 339 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ['PLUMBING li&MECHANICAL ['PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 284 NE 102nd St City: Miami Shores County: Miami Dade Zip33138 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Edith T Emerson Phone#: 305-310-9607 Address: Miami Shores FL 33138 City: State: Zip: 284 NE 102nd St Tenant/Lessee Name: Phone#: Email: tyler@emersondorsch.com CONTRACTOR: Company Name: 1I) — Mt. C_DrJ n il-Peo, NC, Address: Gi�a2 N� Bo Raves Ci Phone#: '184, .I°10 iJ S L City: 1- - C4R Wt �.N5 State: �L Zip: S30 �, Qualifier Name: C CA rrl t Y3 Phone#: -7(S6 31 0 (S 2. State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ S1+_ 'D Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New L4Repair/Replace ❑ Demolition Description of Work: rC C os fc�l.�S; t� S- Specify color of color thru tile: Submittal Fee $; ) Permit Fee $ `\D i 'j r CCF $ CO/CC $ Scanning Fee $ Radon Fee $ 2 co DBPR $ 2- . C76 Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ IG(1-. 19 c28 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City i 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 tday of N O € tTL , 20 1 56 , by ITA •I le-‘&01••• , o is s personally known t me or who has produced identification and who did take an oath. NOTARY PUBLIC: as Sign: Print: Seal: ARC ii-aeA ******** APPROVED BY Notary Public State of Florida Alejandro Garcia My Commission GG 167807 Expires 12/13/2021 * * ********** ******* Signature c ce)__J CONTRACTOR The foregoing instrument was acknowledged before me this i3 day of °`3 M4 Q , 20 CPr121 0 3 GkkstA , who' personally known to me or who has produced It) identification and who did take an oath. NOTARY PUBLIC: by as Sign: �V Print: Seal: ans Examiner Nt Notary Pudic State of Florida Alejandro Garcia My Commmssuon GG 167807 pdr Expires 12/13/2021 ****************** Zoning D-AIR CONDITIONING COMPANY astorriess D Air Conditioning Company Mechanical and Plumbing Contractor CMC 1250391 CFC 1429885 1002 NW 99th Ct, Miami FL 33172 Phone 786.390.1532 I Fax 305.675.8386 info@daircon.com I www.daircon.com PROPOSAL PROPOSAL ID # 20181 1 1312 DATE November 13, 2018 TO FOR Exact AC change out „k_id JOB ID Brook 284 NE 102 St Miami Shores, FL 33127 Phone 786.280.1278 brook@emersondorsch.com SCOPE OF WORK: Exact AC replacement for existing system at above referenced address as per below work details: Cost for $5,450.00 AC Work Details • Carrier 3.0 tons 16 SEER Carrier two stage with variable speed AHU 24ACB736A / FV4CNF003L • Including for new system: heater, Float switch; Disposable filter; flushing of condensate line and refrigerant lines, new insulation; New liquid line dryer; Hurricane resistant tie downs, digital thermostat • Connection to existing condensate drain, electrical, ductwork and refrigerant lines • Disposal of old system • Warranty of 10 year on all parts by manufacturer and 1 year installation by contractor. Exclusions Any electrical work, permit fees, anything else not included on above work details. Terms of Payment: The contract price shall be paid in progress payments, which does not include finance charges of any kind, according to the following schedule: 60 o down payment upon contract signing and prior to starting the work; 40% upon completion of the job. Comments: r) /( 3/ ZS ct,L Owner or agent name/signature & date Contractor name/signature & date Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 A R CONDITIONING `, EMENT 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): g E 1 02, S City: Miami Shores Village 11 ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID coicRE-E•a.•AB '• ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEkhAeION • A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITAIS•••. • AHRI DATA SHEET REQUIRED •••• Change disconnecting means: YES ❑ NO Lgt ARHI Sheet Attached: YES 14 NO • . . •• •• M• •• Gotttrect Attached: YES K•: UNIT BEING REPLACED DATA •N£W UNTIL _ 1 C(O edVVl. V1 MANUFACTURER e-Pig-el e••••• Icy p r �j a7 b AHU or PKG. UNIT MODEL # F\; Li :N j-0 .. kJ `�C, COND.UNITMODEL# Z4/aCi3`�1"�p g $ KW HEAT 3 NOM TONS 3 AHUZ S CU I LI PKG 1) M.C.A AHU4i-CUI'.II PKG ---- AHl IA S CU 30PKG ._._-"- AHU 44 CU 3 O PKG 2) M.O.P AHU CU PKG "10 l 3'J 3) VOLTS AHU241M '"4 -z 312 PKG UNIT / / PKG UNIT / / N EER/SEER 1 YES NO REPLACING DUCTS YES N0} YES NO REPLACING THERMOSTAT `YE NO YES NO NEW 4"CONCRETE SLAB YES 0 YES NO NEW ROOF STAND YES NO 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): Zb Ec( 23 4. Size Disconnecting Means: EU(1._ i 12;-‘1 Co nc: .•,, j State Certificate or Registration No. C (h2S O -Sq ( Certificate of Competency No. Contractor's Company Name: County: Miami Dade Zip Code: 3 3 12-1 . • • • Signature (Qualifier's signature) • 3L 0 Phone: 1 �6 35cs L 2. Date: (I (Revised02/24/2014) a ■ CERTIFIED www ahridirectorY org Certificate of Product atings AHRI Certified Reference Number : 10359714 Date : 11-13-2018 Model Status : Active 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 Model Number (Evaporator and/or Air Handler) : FV4CN(B,F)003L 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, W. IVIg • MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VTR WAn / V, WI, WY, U.S. •• • • • Territories) • • •• • • Region Note : Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all ions • • • until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in rLgi80(s) for • which they meet the regional efficiency requirement. • • • • • The manufacturer of this CARRIER product is responsible for the rating of this system combination. • • • • • • _ _ _.___.�.. • • • • • I- — •` .• • ••• •• • • • Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of UNla/ • Air -Conditioning-& Air Source.Heat Pump Equipment and subject to rating accuracy by`AHRI-sponsored, independent, third partya' testing: Cooling Capacity (A2) -.,Single or High Stage (95F), btuh : 36000 SEER : 16.00 EER (A2) - Single or High Stage (95F) . 13.00 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. Ratings that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (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.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. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link 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. ©2018Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE the make life beiter" 131865951355683403