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MC-18-2289Location Address Permit No.: MC-8-18-2289 Miami Shores Village H Permit Type: Mechanical - Residential 10050 2 Ave '+.. J Miami Shores FL 33138 E� ttttJJJI �1Work Classification: A/C Replacement 305-795-2204 Permit Status: Approved Issue Date:12/28/2018 I Expiration: 02/25/2019 Parcel Number 1269 NE 99 ST, Miami Shores, FL 33138 1132050090110 Contacts ANN MARIE INDORF Owner ANN MARIE INDORF Applicant 1269 NE 99 ST, MIAMI SHORES, FL 331382642 1269 NE 99 ST, MIAMI SHORES, FL 331382642 C&R AIR CONDITIONING CO Contractor ROBERT CHRYST 2121 NE 139 ST, OPA LOCKA, FL 33054 Business: 3056856394 candraccompany@aol.com Other:9546804494 Description: EXACT REPLACEMENT OF 5 TON SPLIT SYSTEM Valuation: $ 5,995.00 Ins ection Requests: 305-762-4949 TotalSq Feet: 0.00 Fees Amount CCF $3.60 DBPR Fee $3.15 DCA Fee $2.10 Education Surcharge $1.20 Permit Fee $209.83 Scanning Fee $3.00 Technology Fee $4.80 Total: $227.68 Building Department Copy Payments Date Paid Amt Paid Total Fees $227.68 Credit Card 08/27/2018 $50.00 Credit Card 02/12/2019 $177.68 Amount Due: $0.00 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. E)WNNRS AFFIDAVIT: I certify regula 'ng construction and z9wf� foregoing information is accurate and that all work will be done in compliance with all applicable laws s, I authorize the above named contractor to do the wo�C stated. ' Authorized Signature: Owner / /Applicant / Contractor / ' Agent Date February 12, 2019 Page 2 of 2 I Miami Shores Village RECEIVED Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 AUG 217 Tel: (305) 795-2204 Fax: (305) 756-8972 ? INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 lil BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING [MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF [:]CANCELLATION ❑ SHOP O� CONTRACTOR DRAWINGS JOB ADDRESS: 12 6 1 �� g 9 S T n G Citv: Miami Shores Countv Miami Dade 7in n _S n O Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: ���Consst�t{ructio/n}„T,yp�e�: Flood Zone: BFE: p FFE: OWNER: Name (Fee Simple Titleholder): >k4YO( + &IV � � � Phone#: 7 0�:� � �® y J y y z69 NE q q�7 Addressp. City: !M 1 1 tf U ell i Stjo r e J State: F) d Zip: �3 31 o Tenant/Lessee Name: Phone#: Email CONTRACTOR: Company Name: C 1 1 � , r COMA • Co Phone#: Address: (� ® -I � ! V � City: M i a ah t Qualifier Name: 616,e r fi 1 F) > Zip: J"3 01 vx C,a 4 t Phone#: ' State Certification or Registration #: C AC 0 �ij 4 l C-I Certificate of Competency #: HB3oa-3 DESIGNER: Architect/Engineer: Phone#: Address: Q City: State Value of Work for this Permit: $_ 1 Square/Linear Foo ge of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace Description of Work: Specify color of. color thru tile: Submittal Fee $� L� Permit Fee $ _ Scanning Fee $ Radon Fee $ _ Technology Fee $ Structural Reviews $ Training/Education Fee $ Zip: ❑ Demolition CCF $ Y CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ I i - 6 F� #0- 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 posted notice, the inspection will not be approved and a reinspection fee will be charged. Signat a Signature- 4NERorAGENT U CONTRACT YR The foregoing instrument was acknowledged before me this d y of T 20 by who is ersonally know to C . . me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Print: Seal The (foregoing instrut was acknowledged before me this oC 11 da}yT4q,(,.iT of 20 by f�who is(ersonally know )to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: JANET KRANZ Commission # FF 197298 Seal: Expires May 9, 2019 8wd44 Tlwu Troy Ftln Wore— 8W,1W701! Commission # FF 197298 Expires May 9, 2019 Bandtd Thu Troy Fain kw"ft BOO SMI as APPROVED BY I PCabExaminer Zoning Structural Review Clerk (Revised02/24/2014) 4L 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 are not acceptable. Job Address (where the work is being done): City: Miami Shores Village County: Miami Dade Zip Code: i 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 AM Iff MANUFACTURER LY ti qQ V'l ', W L 0 6 S AHU or PKG. UNIT MODEL # X(4 D AJ F Ofo I A4 06,0 A COND. UNIT MODEL# ( ON A 0 Co 0 O KW HEAT 0 NOM TONS AHU CU PKG 1) M.C.A AHU CUZ PKG AHU CU PKG 2) M.O.P AHUfjCXU L.0 PKG AHU CU PKG 3)VOLTS 729 U I AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER cs YES NO REPLACING DUCTS YE O YES NO REPLACING THERMOSTAT E 0 YES NO NEW 4"CONCRETE SLAB YES 0 YES NO NEW ROOF STAND 6-n NO YES NO NEW RETURN PLENUM BO Y S NO 1. Minimum Circuit Ampacity (Wire Size): 2. a Maximum Overcurrent Protection (Fuse/Breaker Size): Voltage of Circuit (208 24 /480): 40 4. Size Disconnecting Means: 6 O _ Contractor's Company Name: C- t C , /� C) vt • Co Phone: State Certific Re tra ' o. C AC OIC `T (L{ Certificate of Competency No. C L1 Signature Date: 9 -1-) - I Qualifier's signature) (Revised02/24/2014) Aug 2718 12:21 p C & R Air Conditioning Co 305 685 6395 p.1 Certificate of Product Ratings AHRI Certified Reference Number: 9283330 Date: 08-27-2018 Model Status: Active AHRI Type: RCU-A-CB Series : LEGACY LINE AC Outdoor Unit Brand Name: BRYANT HEATING AND COOLING SYSTEMS Outdoor Unit Model Number (Condenser or Single Package) :116BNA060" 0"A" Indoor Unit Model Number (Evaporator and/or Air Handier) : FX4DN(B,F)061 L 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, Ml, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SO, UT, 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 regions) for which they meet the regional efficiency requirement. The manufacturer of this BRYANT HEATING AND COOLING SYSTEMS product is responsible for the rating of this system combination. Rated as follows in accordance with the tatest edition of ANSI/AHRI 2101'240 with Addenda 1 and 2, Performance Rating of Unitary Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 52000 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 t'Activa" Model Status are time that an AHRI Cef ifleation Program Participant is currently producing AN selling or offering for sate; OR new models that are being marketed but are not yet being produced."Production Stopped' Model Status are those that an AHRI Corlifitatbri Program Partiegnant is no longer producing BUT is still selling or offering far sale. Ratinas that are accomoaniad by WAS indicate an involuntary re -rate. The new oublished retina Is shown along with the Drevious fi.e. WAS) ratna. 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 products) listed on this Certificate. AHRI expressly dIselalms all Ilabllity for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of date 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, to any form or manner or by any means, except forthe user's Individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITOTE The information for the model cited on this certtl1cate can be verified at www,ahrldirectory.org, click on 'Verity Certificate' link we mai;e We bet rer^ 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 42018A1r-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 131Isss93128219M LNGINEERbING EXPRESS EX.P.E.R.T. (Englnearing Express Product Evaluation Report) 160 SW 12THAVE SURE 106, DEERFIELo BEACH, FL 33442 (954) 354-06601 ENGiNEER1NGEXPRESS.com Technical Evaluation Report DIVISION: 23 08 00—COMMISSIONING OF HVAC THIS DOCUMENT CONTAINS (5) PAGES: IHt antes i rr1vG -- — •— ORIGINAL SIGNATURE & SEAL OF THE CERTIFYING PE TO BE VALID FOR USE (Issued July 81, 2016 Subject to Renew July 71, 2017) REPORT HOLDER: BRYANT HEATING AND COOLING 2000 PARKS OAKS AVE ORLANDO, FL 33428 USA Heating d Coating Systems (954) 247-20031 FL, WWW.BRYANT.COM SCOPE OF EVALUATION (compliance with the following codes): THIS IS A STRUCTURAL (WIND) PERFORMANCE EVALUATION ONLY. NO ELECTRICAL OR TEMPERATURE PERFORMANCE RATINGS OR CERTIFICATIONS ARE OFFERED OR IMPLIED HEREIN. This Product Evaluation Report is being issued in accordance with the requirements of the Florida Building Code Fifth Edition (2014) per FBC Section 104.11, FMC 301.15, FBC Building Ch. 16, ASCE-7.10, FBC Existing Building sections 701.1, 706.6.1. FBC Building 1522.2. and FBC Residential M1202.1, M1301.1, FS 471.025, Including Broward County Administrative Provisions 107.3.4. The product noted on this report has been tested and/or evaluated as summarized herein. IN ACCORDANCE WITH THESE CODES EACH OF THESE REPORTS MUST BEAR THE ORIGINAL SIGNATURE & RAISED SEAL OF THE EVALUATING ENGINEER. SUBSTANTIATING DATA: - Product Evaluation Documents support this TER and Substantiating documentation has been submitted to is summarized in the sections that follow. • Structural Engineering Calculations Structural engineering calculations have been prepared which evaluate the product based on comparative and/or rational analysis to qualify the following design criteria: • Maximum allowable unit panel wind pressure connection integrity e Maximum allowable uplift, sliding, & overturning moment for ground and roof applications Calculation summary for this TER is provided in the forces summary table. No 33% Increase in allowable stress has been used in the design of this product. Microsoft Excel was used to carry out the calculations present in this report. INSTALLATION: The products) listed in this report shall be installed in strict compliance with this TER & manufacturer -provided model specifications. The product components shall be of the material specified in the manufacturer -provided product specifications. All screws must be installed in accordance with the applicable provisions & anchor manufacturer's published installation instructions. LIMITATIONS & CONDITIONS OF USE: Use of this product shall be in strict accordance with this TER as noted herein. See final page for complete limitations and conditions of use. OPTIONS: This evaluation is valid for all BRYANT models present in the table located on the final page. FINISH: TER-16-3190.4 NOTE: GRAPHICAL DEPICTIONS IN THIS REPORT ARE FOR ILLUSTRATIVE PURPOSES ONLY. ACTUAL UNITS MAY DIFFER SLIGHTLY IN APPEARANCE. UNIT CASING MATERIAL: 0.86mm galvanized sheet steel ASTM A653 EDDS cold rolled steel for removable top panel. 1.14mm galvanized sheet steel ASTM A653 EDDS cold rolled steel for base pan. Side protector steel grille ASTM A510 02.03mm vertical wire and 02.68mm horizontal wire, secured with #10-16 sheet metal screws Into top and base pan. INSTALLATION: Shall follow manufacturer specifications as well as the information provided herein. STRUCTURAL PERFORMANCE: limitations'. Models referenced herein are C subject II the following design ASCE7.10 Exposure Category Up to and including 175mph (Vult) for up to 200' MRH". HVHZ"' Up to and including 170mph (Vult) for up to 250' MRH" HVHZ— Up to and including 200mph (Vult) for up to 200' MRH" Non•HVHZ"' Ground or Roof Application per installation instructions "Mean Roof Height —High Velocity Hurricane Zone Maximum Rated Wind Pressure: 193psf Lateral, 93psf UPlift(1,.DedL.d) Site specific wind analysis may produce alternate limitations provided maximum rated wind pressure is not exceeded. ORIGINAL SIGNATURE AND RAISED SEAL EQUIRED TO BE VAM PER CODE: , ' 01 O '/ ' tt k • Frahk Bx` Lf,Banrierd��fr:�^ . r r1nLa-�� .. ENGINEERtNtdXPRE5S' ` PE #0046549 `(!A`#9�85, Baked enamel. n rvm or corporation. approved by ina p,ilding otnual, vtto Is coMetent and expWW' ed In Uta aPQ41:4`ru, d e,gneav,g Tha FeC to ddlnea APPROVED SOURCE (Section 22) as 'An tndependell perso . prinopks w materials methods a tyue a^alyvasu slings o singlex eeme,t end ill iscala Cu 01 t sncomppetency repulrcments es darned N Me FBC end an seal Mar wont Engineering Er presse Is rags y eNaged in conWcttng and Providing eng en"9 g Engineering Express® ( TER-16-3190.4 r V (2) I'x2293 GALV, ASTM A36 STEEL STRAP. STRAPS SHALL BE SECURELY TIGHTENED SNUG AGAINST UNIT, TYP. STAND ML (BY OTHERS), TYR SEE DETAIL e4�C HANICALUNIT FRONT ISOMETRIC STAND RAIL / (BY OTHERS),.! TYP. (2) :14 SMS AT EACH STRAP END TO WEB OF THE SUPPORT ANGLE - CLlP Al SEE CLIP' SUPPORT ANGLE SEE NOTE BELOW 3 MECHANICAL UNIT N.T.S. FRONT i50METRIC CONTROL GRILLE, COVER �� TYP. IIII[IIImUIiI n1 C I Q o 48 bQ �Q UNIT BASE n PAN ANCHOR PER LSUPPORT ANGLE, I SCHEDULE J SEE NOTE STAND RAIL (I -BEAM) BY OTHERS 'L BOX SUPPORT ANGLE J SEE NOTE BELOW 2 MECHANICAL UNIT N.T.S. BACX ISOMETRIC DATUM -ma STAND RAIL C A CU (BY OTHERS), i -- ---- — - TYP, DIM.I DIM.2 i 1 DIM, 4 DIM. 3 CLIPQD P© SUPPORT ANGLE SEE NOTE BELOW 4 TIE —DOWN CLIP LAYOUT N,T.S, PUN (1) I•X2298 GALV.ASTM •A36 STEEL STRAP, SHALL PASS OVER THE UNIT TO I -BEAM ON OPPOSITE SIDE. (2) 014 SMS AT EACH STRAP END TO'UNDERSIDE OF NE I -BEAM TIE -DOWN CLIP OFFSETS: D1M. 1 15.00. MAX OFFSET FROM DATUM FACE DIM. 2 ! 5.00' MAX OFFSET FROM OPPOSITE FA DIM. 3 ' 5.00' MAX OFFSET FROM OPPOSITE F ACE DIM. 4 30' MAX OF►SEf FROM DATUM FACE — 5 TIE —DOWN CLIPS 8c STRAPS N.T.S. ELEVATION Note: 6%wW Tech SuWn apple Part number CBCAB30K CBCA842K, under NOA 01 g OB01.01 or equivalent Is pertnHled , ENGINEERING EXPRESS 160 SW 12T . " AVE. SUITE 106 DEERFIELD BEACH, FL 33442 (954) 354-0660 ENGINEE RINGEXPRESS.COM Page 4 of 5