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MCC-18-2990Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.: MCC-10-18-290 Permit IVR Number: 100233 Permit Type: Mechanical - Commercial t I Work Classification: A/C Replacement Permit Status: Approved Issue Date:10/12/2018 ( Expiration: 04/01/2019 Parcel Number 9020 NE 8TH AVE 3A, Miami Shores, FL 33138 1132060420410 Contacts HIRAM FALCON Owner JOSEPH AIR CONDITIONING AND Contractor 9020 NE 8 AVE APPLIANCES, INC JOSEPH RONEL 12681 NW 75 ST, PARKLANE, 33076 Business:9544740066 josephairconditioning@gmail.com ns ecti Description: INSTALL 2/2 TONS RHEEM 16 SEER Valuation: $ 3,750.00 Ion Requests: TotalSq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $2.40 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.80 Notary Fee $5.00 Permit Fee $81.25 Scanning Fee $6.00 Technology Fee $3.28 Total: $152.73 Payments Amt Paid Total Fees $152.73 Check # 3948 $50.00 Check # 3909 $102.73 Amount Due: $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 construct zo utherpnore, I aut ize t e above named c ntractor to do the work stated. f � Authorized SloRodfure: Own9K,,-'- / Applicant / Contractor / /Agent Date October 12, 2018 Page 2 of 4 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 0) Inspection Number: INSP-000932-2018 Permit Number: MCC-10-18-2990 Scheduled Inspection Date: October 23, 2018 Inspector: Perez, Jan Pierre Owner: HIRAM FALCON Address: 9020 NE 8TH AVE 3A Miami Shores, FL 33138 Project: Contractor: JOSEPH AIR CONDITIONING AND APPLIANCES, INC JOSEPH RONEL Building Department Comments INSTALL 2/2 TONS RHEEM 16 SEER Checklist Item Passed Comments General Comments False NO ACCESS Inspector Comments Passed Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Permit Type: Mechanical - Commercial Inspection Type: Mechanical Final Work Classification: A/C Replacement Phone Number: Parcel Number: 1132060420410 Phone Number: 9544740066 October 22, 2018 For Inspections please call: 305-762-4949 Page 37 of 39 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 79S-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ID OCT 0 201 FBC 201) Win Master Permit No. Nk C I D - 2,01 10 Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF % %J% LAC JOB ADDRESS: �/ /'� /J' v C Folio/Parcel#:_ Occupancy Type own Addr City: Tenant/Lessee Name: Email: Load: ❑ CANCELLATION ❑ SHOP DRAWINGS Is the Building Historically Designated: Yes Construction Type: Flood Zone: BFE: _ one#: NO- FFE: Y -1 CONTRACTOR: Com any Name: 4 � 721 `!u — Phone#: t(%`f/ Address: City: State: e22 Zip: Qualifier Name: C� Phone#: State Certification or Registration #: J�o Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: rt City: State: Zip: Value of Work for this Permit: $ 7� JV Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New XRep it/Replace ❑ Demolition Description of Work: 114- „ 'l J 1 U t ,��, Specify color of color thru tile: Submittal Fee $ S 1y Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ - 6k-:)DBPR $ A Notary $ GD Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $� 3 (Revised02/24/2014) 10 2 . ---� 3 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 poste notice, the inspection will not be approved and a reinspection fee will be charged. Signature 1�'� .��ry, co�'`Signature OWNER or AGENT CONTRACTPR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of p-�nv�"' 120 �g by �st day of 060-b-rr 20 by /1/rczr� �P�rX�oec7 fV,04, who is personally known to 0 , 0►1-e- , who is personally known to me or who has produced -k ;)k xV 25 -336'60 :205—A7s me or who has produced r;V"Qv l I CUMS ,( as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: identification Oncl who,did take an oath. NOTARY PU Print: W.0 .= Notary Public - State of Florida Seal: '�Commission#GG162285 Seal: , My Comm. Expires Feb 5.2022 APPROVED BY 1� WExaminer Structural Review N °i v YANADYPRIET0 .= MY commISSIOPJ 1t FF 214031 EXPIRES: March 2520i9 Bond2d T,„u t o'_-ryPubl c U,nderwriters , ******* Zoning Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 2601 BLAIR STONE ROAD TALLAHASSEE FL_ 32399-0783 (850) 487-i395 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional RegUL.Ition. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeclu , 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 onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's 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 cloinf; business in Florida, and congratulations on your new license! STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CAC1813542 ISSUED 09/1912018 CLASS R AIR CONDITIONING CONTRACTOR JOSEPH, RONEL JOSEPH CONDITION] G D APPI.IA St Vt H(l.NSED UNDER CHAPTER 489, FLORIDA STATU TES EXPIRATION DA] I( AUGUST 31 2020 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2018 THROUGH SEPTEMBER 30, 2019 DBA: Receipt#:HEATING/AIRCONDITION CONTRACTR APPLIANCES INC Business Name: JOSEPH,'AIR CONDITIONING AND Business Type: (CERTIFIED AIR COND CONTR) S Owner Name: JOSEPH RONEL Business Location: 12681 NW 75 ST PARKLAND Business Phone: 954 - 4 74 - 0066 Business Opened:o4/01/2003 State/County/Cert/Reg:CAC1813 54 2 Exemption Code: Rooms Seats Employees Machines Professionals 3 For Vending Business Only Number of Machines: Vendina Tvne: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost 27.00 0.00 0.00 0.00 0.00 0.0,0 Pit THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: JOSEPH RONEL Receipt #01A-17-00008973 12681 NW 75 ST Paid 08/21/2018 27.00 PARKLAND, FL 33076 2018 - 2019 M r1 r% A I w r% r% 0% r% r r ILI -r%i r n r► w r r% r r e% u I r e% e% 'q- w %i r+ r- r► r- I r%T ACOR" CERTIFICATE OF LIABILITY INSURANCE 1DATE(MMIDDIYYW) 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 endorsements . PRODUCER CONTACT Terri Joseph PHONENo, 954-507-6525 p/c No : 754-227-6227 JOE'S LOW COST INSURANCE GROUP ADDRESS: JLCINSURANCEGROUP@GMAIL.COM 1100 S STATE ROAD 7 SUITE 203 INSURERS AFFORDING COVERAGE NAIC N MARGATE FL 33068 INSURERA: COLONY INSURANCE COMPANY INSURED • INSURER B JOSEPH AIR CONDITIONING AND APPLIANCES, INC INSURER C : 12681 NW 75TH STREET INSURER D : INSURER E : PARKLAND FL 33076 INSURER F : COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDDrNW POLICY EXP W MM/DD/YY LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR 101 GL 0108744-00 09/28/2018 09/28/2019 EACH OCCURRENCE $ 1,000,000 PREMISES Ea oA AGE TO lccu RENTED $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PeOPERTYtDAMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A I I I I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AIR CONDITIONING Ln- CSCLALRL7t1-6i LEI -109L1 MIAMI SHORES VILLAGE HALL BUILDING & ZONING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2ND AVENUE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MIAMI SHORES, FL 33138 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ® ACOR© COO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 10/1/2018 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 W.F. Roemer Insurance Agency, Inc. 3775 NW 124 Avenue Coral Springs FL 33065 CONTACT Certificate Department PHONE FAX • 954-731-5566 c No): 954-731-8438 ADDRESS: certificates@roemer-ins.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: American Builders Insurance CO 11240 ' INSURED JOSEP-2 Joseph Air Conditioning & Appliances, Inc. 12681 NW 75 Street INSURER B INSURER C : INSURER D : Parkland FL 33076 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 2032834G2 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM DD POLICY EXP MM DD LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ D DAMA T RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑PRO a JECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WCV006994609 7/30/2018 7/30/2019 X PER OTH- STATUTE 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) Air Conditioning CERTIFICATE HOLDER CANCELLATION Miami Shores Building Dept. 10050 NE 2nd Ave 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 REPRESENTATIVE d'aix -4 -44 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Licensed and Insured — License #cac1813541 JosephAir Conditioning & Appliances, Inc. 4929 N. University Drive { I T 24, Lauderhill FL 33351 r_ Phone: (954) 474-0066 NAME CIO ACT- / TEL: 7 fJ 9 V�6 T/iq/� ADDRESS V CITY STATE ' ZIP ` MAKE MODEL SERIAL # JOB DESCRIPTION DESCRIPTION OF WORK QUANTITY ITEM OR PART DESCRIPTION PRICE • LABOR CHARGES HR /HR.= PARTS WARRANTY: 1. Are based upon manufactures warranty 2. You are guaranteed 45 days on the parts we installed, and if repair will become necessary on other parts we will charge you separately 1 RAVEL TIME TIME ARRIVED TIME DEPARTED TRAVEL TIME TECHNICIAN CERT.# SIGNATURE TERMS DUE UPON COWLETIONTOTAL MATERIALS TAX By signing this form, you agree to pay for the service call, plus parts and labor if you decide to have the job repair done. If no money collected after TOTAL job is complete, you will be responsible for the whole amount plus the legal LABOR fee in an attempt for collection TRAVEL CHARGE ABOVE ORDERED WORK HAS BEEN COMPLETED • AND . • ACKNOWLEDGE RECEIPT OF MY COPY AUTHORIZED SIGNATURE DATE IMI T 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 sheetts/-a`rI ]e not acceptable.. Job Address (where the work is being done): (�LJ � iS _ Alc 463 City: Miami Shores Village County: Miami Dade Zip Code: :...;. ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID C0t4CRETE7SbA13 ••••:• ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION 0000 ;••••: IN�/` A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS •... 00000 n � I �_Z1 q U AHRI DATA SHEET REQUIRED •••••• ..:..' ...... .. .. . ...... Change disconnecting means: YES ❑ NON ARHI Sheet Attached: YES K NO ❑ Cont;aot Attar hea: YES � •. ...... Q 0 *04 UNIT BEING REPLACED DATA .. EOV UNIT.. . -e-e vpn MANUFACTURER fp 061AM" .� — AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT e>• NOM TONS A U PKG 1) M.C.A AHU CU PKG A U PKG 2) M.O.P AHU CU L PKG A U PKG 3)VOLTS AHU U2 KG P G UNIT5 I / / PKG UNIT EER/SEER Y S 0 INg REPLACING DUCTS YES NO S NO REPLACING THERMOSTAT YES ✓' NO Sw '� N V NEW 4"CONCRETE SLAB YES NO N ci NEW ROOF STAND YES NO ESz N NEW RETURN PLENUM BOX YES NO J U 1 I j � w o 12 MtgimV . C�rcuit Ampacity (Wire Size): - J' Ai r ��. , 2W M xirr�u dvercurrent Protection (Fuse/Breaker Size):" w ! I cj 3 V§Jtag bf Circuit (208/240/480): V ' _ o'I--�---� n J 4. Size Di onnecting Means: _ Contractor's Company Name: State Certificat�or Reai ration No. tT%* • Signature (Qualifier's ....... . . i hone: certificate of Competency No. Date: (Revised02/24/2014) tow anal CERTIFIED." www.ahridirect rry.org a a • f This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Product Ratings AHRI Certified Reference Number: 7493633 Date: 5/19/2017 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RA1430AJ1 Indoor Unit Model Number: RBHP-21 Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM; RUUD 0 0 : • • • • • 0*4 Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, S6tA,:rX, VA.... AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, •••••• '....' 004 NY, OH, OR, PA, RI, SD, UT, VT, WA, WV, WI, WY, U.S. Territories) ...:.. 0 • Region Note: Central air conditioners manufactured prior to January 1, 2015, are eligible}o.be 0 • installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioWd can only be installed in region(s) for which they meet the regional efficiency requirerAdQt'.•; :000% ..: ' Series name: • • Manufacturer responsible for the rating of this system combination is RHEEM SALES.g@f*PANY,INC. ;•• Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning anciol4ource Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Btuh): 29800 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 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.aliridirectory.org. TERMS AND CONDITIONS HRI. This Certificate shall only be used for individual, personal and This Certificate and its contents are proprietary products of A�_ ■■ 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, AIR-CONDITIONING, HEATING, personal and confidential reference. & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org. click on "Verify Certificate" link wv make lice lwtLk.111 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. 131396913836606727 ©2014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: MIAMI•DADE MIAMI-DADE COUNTY rym PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) Miami, Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T (786) 315-2590 F (786) 315-2599 NOTICE OF ACCEPTANCE (NOA) www.m►an►idaae.¢ov/economy Rheem Sales Company, Inc. 5600 Old Greenwood Rd. Fort Smith, AR 72917 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County RER-Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). :...:. This NOA shall not be valid after the expiration date stated below. The Miami-Dade:Coallli Product Control • • • • Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade �p8;'� reserve fh'�rigto •• to have this product or material tested for quality assurance purposes. If this pro�Cj' material•r`ails to perform in the accepted manner, the manufacturer will incur the expense of such tcstiiag and thy, ,�IjJ may : • • •. immediately revoke, modify, or suspend the use of such product or material within il;tais jurisdre41,q ..RER • reserves the right to revoke this acceptance, if it is determined by Miami -Dade e&Qeety Product Control..;.. • Section that this product or material fails to meet the requirements of the applicable bdildfig codes ...... This product is approved as described herein, and has been designed to comply with:AWF rida Building .' Code, including the High Velocity Hurricane Zone. 0 '.... • DESCRIPTION: Mechanical Unit Steel and Aluminum Tie -Down Clips for Gr*aW;dd Root±tpp,, : • • •. Applications • APPROVAL DOCUMENT: Drawing No. 15-2543GA, titled "Wind Load Certification of Mechanical Unit Cabinetry and Steel/Aluminum Tie -Down Clips: At Grade and Roof Mounted Applications", sheets 1 through 7 of 7, dated 05/14/2015, revised on 11/20/2015, prepared by Engineering Express, signed and sealed by Frank L. Bennardo, P.E., bearing the Miami -Dade County Product Control approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Section. MISSILE IMPACT RATING: None LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state, model/series, and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA wilt occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of this page I and evidence page E-1, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. NOA No. 15-0903.08 MIAMI•DADE COUNTY Expiration Date: February 25, 2021 C" Approval Date: February 25, 2016 04111014 Page 1 Rheem Sales Company, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Drawing No. 15-2543GA, titled "Wind Load Certification of Mechanical Unit Cabinetry and Steel/Aluminum Tie -Down Clips: At Grade and Roof Mounted Applications", sheets 1 through 7 of 7, dated 05/14/2015, revised on 11/20/2015, prepared by Engineering Express, signed and sealed by Frank L. Bennardo, P.E. r • ••••• : B. TESTS ' • • • •' 1. Test report on Uniform Static Air Pressure "Test per FBC, Tm.?12-94-616Aoe,�.with�• oose marked -up drawings and installation diagram of Rheem RA SoriolUechanieal Units,. • prepared by American Test Lab of South Florida, Test ReportsKir.4323.01.i53 dated:•••"; 05/18/2015, signed and scaled by Stephen W. Warter, P.E. • • • • • • • • .. .. . ...... C. CALCULATIONS ...,.. 1. Anchorage calculations prepared by Engineering Express, dated 1 M/201 , signed • • •• • and sealed by Frank L. Bennardo, • • P.E. 4-0. • • D. QUALITY ASSURANCE 1. Miami -Dade Department of Regulatory and Economic Resources (RER) E. MATERIAL CERTIFICATIONS 1. None. F. STATEMENT 1. Statement letter of code conformance to the 51h edition (2014) FBC issued by Engineering Express, dated 08/24/2015, signed and sealed by Frank L. Bernardo, P.E. 2. Statement letter of no financial interest issued by Engineering Express, dated 11/20/2015, signed and sealed by Frank L. Bernardo, P.E. 3. Distributor agreement dated 11/12/2015. Lq1V16 Carlos M. Utrera, P.E. Product Control Examiner NOA No. 15-0903.08 Expiration Date: February 25, 2021 Approval Date: February 25, 2016 E -1 RHEEM SALES COMPANY, INC. ,,.A"'L� P WIND LOAD CERTIFICATION OF MECHANICAL UNIT CABINETRY AND STEEL TIE -DOWN CLIPS: ROOF MOUNTED APPLICATION - N. EXPLODED VIEW 41 - SEE DETAILX l ­47,,­L(BY OnIER SE TYP. SUPPORT FRAME JET J �ER TO CEN qurrunl I-. 1 11. 1 MOUNT EXPLODED VIEW OTHERSLTYP. FRONT ISOMETRIC TNSEISOMETR106AREINTENDED FOR 3 SUPPORT ANGLE 'CALPURPOSES ONLY; ALTERNATE RHEEM UNITS LISTED HEREIN MAY VARY IN APPEARANCE S N.T.S. ELEVATION POST BY CONTROL 5) N10 SMB PER BOX - CLIP, TYP. 1. Y.'O THRUSOLT Ic CORNER WITH WASHER4 i' \DORMER I[ POST NUTFASTENING I pOSI TI CLIPS TO ALUM WUM SUPPORT' THAI&(BY \-7NI Y'X 3T(MIN)-40(MAX)LONG ANGLE, TYR OTHERS) NOTSXOWN (LLHI ALUMINUM ANGLE CENTERED FORCLARfTY FYP. ABOUT SUPPORT FRAME, EYE. a TIE -DOWN CLIP ATTACHMENTS ELEVATIONS 2'xl'YI/8' x 30'(MIN) - 40'(MAX) LONG (LLF) ALUMINIM ANGLE CENTERED- ABOUTSUPPORTPRAME,TYP. j- dPCIUNT. TIE-DOWN CLIP OFFSETS: T ___-__ ( DIM. 1 4.50- MAX OFFSET FROM DATUM FACE � DIM. 2 24.50' MIN OFFSET FROM DATUM FACE CLIP@) DIM. 3 25.25' MIN OFFSET ROM DATUM FACE SUPPORT DIM. A 13' MAX OFFSET FROM DATUM FACE FRAME(BY OTHERS), TYP. CLI DIM. 1 p318-0 THIFLU \VITH WASHERS &NUT CUP OFFSET DIMENSION SHALL _ _ _ /FASTENING ANGLE TO BE TAKEN FROMTHIS SIDE ONLYDATUMFACEBOSUPPORTING FRAME. 5 TIE -DOWN CLIP LAYOUT 1 N.T.S. NOTE: UNIT SHALL BE CENTERED PLAN ABOUT THE 20' RAIL TO RAIL SUPPORTING FRAME (BY OTHERS) APPROVED DESIGN CRITERIA:*; APPROVED DESIGN 200 PSF ,.4so CRITERIA: WIND 0.3,3 100 PSF HOLE �- 00,313- TVP.- CLEAAANCE HOLE OR SLOT 00 00 00 00 FER o*0 REFERENCE ou Lni V 0 0.006T I ->7 1 DO. F- TIE-DIOWN_ CLIP A9AMITECHCLW 14G,\ N) Or) ASTM A6W Fu-90 KSI STEEL ICUT010L M"I TECH KD P RRCUTD301( APPLICABLE MODELS: RA1318, RA1324, RA1330, RA1338, RA1342, RA1418, RA1424, RA"O, F~ • • • RP1418, 1OP1424, RP1440, • • • • RP1518, RD1418, RP1504, • f • • RD1424 •• •• • • • •• •• ••• •• •• AvpAov d0c-m0Y aMb • • • Fie" t • • m4•al—l" • 000 •• 6r • • • • WIND LOAD CONCURREN' DESIGN NOTES: SITF-SPECIFIC PRESSURE REQUIREMENTS AS DETERMINED IN ACCORDANCE WITH ASCE 7-10 AND CHAPTER 16 OF THE FLORIDA BUILDING CODE SMALL BE LESS THAN OR EQUAL TO THE DESIGN PRESSURE CAPACITY VALUES LISTED HEREIN FOR ANY ASSEMBLY AS SHOWN, DESIGN PRESSURE REQUIREMENTS SMALL BE DETERMINED BY A REGISTERED DESIGN PROFESSIONAL ON A I08-SPECIFIC BASIS IN ACCORDANCE WITH THE GOVERNING CODE. GENERAL NOTES: 1. THIS SYSTEM HAS BEEN DESIGNED AND SHALL BE FABRICATED IN ACCORDANCE WITH THE REQUIREMENTS OF THE FLORIDA BUILDING CODE FIFTH EDITION (2014). THIS SYSTEM MAY BE USED WITHIN AND OUTSIDE THE HIGH VELOCITY HURRICANE ZONE. THIS DESIGN IS NOT INTENDED TO CERTIFY IMPACT RESISTANCE OF THE MECHANICAL UNIT CABINETRY. 2. NO 33-1/3% INCREASE IN AUC WABI.F STRESS HAS BEEN USED IN THE DESIGN OF TH15 SYSTEM. 3. DESIGN & CERTIFICATION OF THE UNIT CABINETRY IS APPROVED THROUGH TEST REPORTA0323.01-15 BY AMERICAN TEST LAB OF SOUTH FLORIDA. 4. ALL DIMENSIONS AND THE MINIMUM WEIGHT (120 LB MINIMUM) OF MECHANICAL UNIT SHALL CONFORM TO LIMITATIONS STATED HEREIN. ALL MECHANICAL SPECIFICATIONS (CLEAR SPACE, TONNAGE, ETC.) SHALL BE AS PER MANUFACTURER RECOMMENDATIONS AND ARE THE EXPRESS RESPONSIBILITY OF THE CONTRACTOR. 5. ALL SHEET METAL SCREWS USED TO FASTEN CLIPS TO MECHANICAL UNITS SHALL BE P10 (14 MIN THREADS PER INCH) GRADE 5 STEEL OR EQUIVALENT ONLY. BOLTS USED TO FASTEN ALUMINUM ANGLES TO SUPPORTING FRAME (BY OTHERS) SHALL BE ASTM F593 41G STAINLESS STEEL OR EQUIVALENT AND SHALL UTILIZE SAE GRADE WASHERS & NUTS. PROVIDE (5) PITCHES MINIMUM PAST THE THREAD PLANE FOR SHEET METAL SCREWS. ALL FASTENERS SMALL HAVE APPROPRIATE CORROSION PRO'ECTION TO PREVENT ELECTROLYSIS. ALL FASTENER CONNECTIONS TO ALUMINUM SHALL PROVIDE 2XDIAMETER EDGE DISTANCE. 6. ALUMINUM ANGLES SPECIFIED HEREIN SHALL BE 6061-T6 ALUMINUM ONLY. 7. CONNECTIONS TO THE SUPPORTING FRAME (BY OTHERS) CONSIDER A FRAME MEMBER THAT IS 6061-T6 MIN ALUMINUM WITH A MINIMUM 0.094' THICK FLANGE AT ATTACHMENT POINT. PERFORMANCE OF THE RAIL AS A STRUCTURAL MEMBER TO SUPPORT THE UNIT ASSEMBLY SHAI1. RE PER SEPARATE CERTIFICATION. 8. THE CONTRACTOR IS RESPONSIBLE TO INSULATE ALL MEMBERS FROM DISSIMILAR MATERIALS TO PREVENT ELECTROLYSIS. 9. ELECTRICAL GROUND, WHEN REQUIRED, 10 BE DESIGNED & INSTALLED BY QQQQ��TTTTTTHERS. V. E jA LlY OF ANY E.JSTI NG STRUCTURE TO WITHSTATA SUPERIMPOSED AD�SHALL BE VERIFIED BY THE ONSITE DESIGN PROFESSIONAL AND IS NOT • CLIbED IN THIS CERTIFICATION.EXCEPT AS EXPRESSLY PROVIDED HEREIN, • • RO ADD•IONAL CERTIFICATIONS OR AFFIRMATIONS ARE INTENDED. 411. OHE SYSTEM DETAILED HEREIN IS GENERIC AND DOES NOT PROVIDE • •TFOMM$TION FOR A SPECIFIC SITE. FOR SITE CONDITIONS DIFFERENT FROM THE CONDITIONS DETAILED HEREIN, A LICENSED ENGINEER OR REGISTERED ARCHITECT SHALL PREPARE SITE SPECIFIC DOCUMENTS FOR USE IN CONJUNCTION WITH THIS DOCUMENT. 12. WATER -TIGHTNESS OF EXISTING HOST SUBSTRATE SHALL BE THE FULL RFFS�PPONS77��i TY OF THE INSTALLING CONTRACTOR. CONTRACTOR SHALL N7SE T}iAIRIY REMOVED OR ALTERED WATENI'ROOFING MEMBRANE IS ES RED AFTER FABRICATION AND INSTALLATION OF STGlLLl PROPOSE. ER N. THIO ENGINEER SHALL NOT BE RESPONSIBLE FOR ANY WATERPROOFING R RAKAGEMSSUES WHICH MAY OCCUR AS WATER -TIGHTNESS SHALL BE THE *,ULSRESPOWSILITY OF THE INSTALLING CONTRACTOR. • • ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • } Z a 0 U w J V) 15-2564RE 31' TALL A