MC-18-2484 (2)Permit NO.: MC-9-18-2484
Miami Shores Village., -- r Permit Type: Mechanical - Residential
10050 NE 2 Ave
Miami Shores FL 33138 I- I_,Work Classification: Addition/Alteration
305-795-2204 Permit Status! Approved
issue Date: 09/26/2018 Expiration: 03/18/2019
Location Address Parcel Number Project
42 NW 107 ST, Miami Shores, FL 33150-1 1121360070040 <NONE>
Contacts
RHETT & STEPHANIE TRABAND Owner RHETT & STEPHANIE TRABAND Applicant
42 NW 107 ST, MIAMI SHORES, FL 33168 42 NW 107 ST, MIAMI SHORES, FL 33168
SERVICE EXPERTS HEATING & AIR Contractor
CONDITIONING
1209 POTOMAC, MERRITT ISLAND, FL 32952
(305)264-2020
Description: EXACT CHANGE OUT 4 TON A/C SYSTEM WITH 9KW Valuation: $ 7,800.00 Inspection Requests:
HEATER r-762-4949
Total Sq Feet: 0.00
�l
Fees
Amount
CCF
$4.80
DBPR Fee
$4.10
DCA Fee
$2.73
Education Surcharge
$1.60
Permit Fee
$273.00
Scanning Fee
$3.00
Technology Fee
$6.40
Total:
$295.63
Payments
Amt Paid
Total Fees
$295.63
Credit Card
$245.63
Credit Card
$50.00
Amount Due:
$0.00
Inspections:
Inspection Type
Mechanical Underground
Mechanical Rough -In
Ventilation Inspection
Duct Detector Test
Mechanical Final
Review Mechanical
Permit Received By Date
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.
OWNERSAFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating nstruction and z ing. Futhermore, I authorize the above named contractor to do the work stated.
— ss�CA
Owner / Applicant / Contractor / Agent
September
Date
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
Inspection Number: INSP-000608-2018
Permit Number: MC-9-18-2484
Scheduled Inspection Date: October 16, 2018 Permit Type: Mechanical -Residential
Inspector: Perez, Jan Pierre Inspection Type: Mechanical Final
Owner: RHETT & STEPHANIE TRABAND Work Classification: Addition/Alteration
Address: 42 NW 107 ST , Phone Number:
Miami Shores, FL 331501 Parcel Number: 1121360070040
Project: <NONE>
Contractor: SERVICE EXPERTS HEATING & AIR CONDITIONIN( Phone Number: 3052642020
CAREY ZARM
Building Department Comments
EXACT CHANGE OUT 4 TON A/C SYSTEM WITH 9KW HEATER
Checklist Item Passed Comments
General Comments False
Inspector Comments
Passed
Failed V
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 15, 2018 For Inspections please call: 305-762-4949 Page 11 of 24
•-Tr-&ha'n d
Certificate of Product Ratings
AHRI CerdW Reference Number: 10259383 Date: W18-2018 Model Status: Active
AHRI Type: RCU-A-CB r Series: MERIT 14ACX SERIES E P 2 18
Outdoor Unit Brand Name: LENNOX
Outdoor Unit Model Number (Condenser or Single Package); 14ACX-048-230-20 I I
Indoor Unit Model Number (Evaporator and/or Air Handler) : CBA27UHE-048-230'+TDR
Region: AM (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, NO, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SO, TN, TX, UT, VA, Vr, WA, WV, WI, WY, U.S.
Territories)
Region Note: Central air conditioners manufactured prior to January 1, 2015 are elloble to be installed in all regions
until June 30, 2016. Beginning July 1, 2016 central air condtioners can only be Installed in regions) for
which they most the regional efficiency requirement
The manufacturer of this L.ENNOX product Is responelble far to rating of this system combIr ation.
Rated as follows in accordance with the latest edition of ANSIIAHRI 210/Z40 with'Addends 1 and 2, Performance Rating of Unitary
Air-Cohdfttoning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, Independent, third party%stlng:
Cooling Capacity (A2) - Single or High Stage (95F), btdrh
SN011tflt7 )3L{ OtJV S. l lfJ 1.' Nrl 1 �Nt/ alb LS
SEER: 14.50
lV83033'Tldf;JIll33N%4['1dINJ00' 103f8f1S
EER (A?) - Single or High Stage (gbF) :1?.?0
i6i ]U OMO
J.ddO J,UINOZ
31d0 A8 -
off' � fr
t•AcW Model Status are those that an AHRI Cee6ca* n Program b kns why- producing AND sang or olferi g for sale: OR new models that are being
marketed but are not yet being poduoed.•Prodarction Stopped" Model Status are those that an AHRI CerNkxrion Program Pertidpa d is no longer producing BUT is sill
seEinp oralferirg fur sera
Raunaa_uutraattare ekscomoaaw by WAS Irhdcaia an knuurrlaro rs rate. The new oubtahed m*m Is shown eiorw writ the orevbus (t e. 6JAS1 retina --_-_
DISCLAIMER
AHRI does not endorse the pnoduat(s) kited on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility toy
On product(s) leafed an this W1111cate. NMI expressly disclaims all Nobility for damages of any kind arNkrti out of the lee or pertonrrenae of the p►odut(sl or the
unauthodsed alteration of data listed on this QxWkxte. Certified ratino are valid only for models end conrli gm0ons listed In the
directory al wwsralrri110e0101yarg.
TERMS AND CONDITIONS
This CaMiwts and its contents are propriabry products of AHRL This CorWm is shall only be used for Individual, personal and
conldaHiol reference purposse. The concerts of this Certificate may not. N whole or w part, be reproduced; copk4 disseminated;
entered Into a computer database; or otherwise utilized, Yt ay farm or manner or by any moms, except for the usWs individual,
personal and confidential refararae. AM-00NI)MON01%NEKnw^
CERTIFICATE VERIFICATION A REFRIGEROM WSTRUN
The kdonnation for the model cited an this cartiflcate can be verified at wwwAhrldMaetsq"& dick on'Verify Cwtifrcats' link
end enter the AHRI Certified Reference Number and and the date an which the cerdlcate was hexed, we besaer"
which is listed above, and the Certificate No.. welch is feted at better. riglht
02018ft-Conditioning, Hating, and Refrigeration Institute C �t71�iCATE NO.: tslEt7b82890672692
800.nl e0749
Service Experts 940 Jupiter Park Drive WMI Palm aeatfr. %I tial.�341
■ Suite 110 B-.ra Rar 561 255.494
■ INEATING 6 AIR CONDI ZONING Jupiter, FL33458 SI-11'7722%.1999
{� .hailer: 561 JU27C0
Sex Expeds.com
t'uslo;,ler Name. �__._ f
Steel t� I H n Job r
cn_ Yl Data _
state: Lzip:3 A695 Email: W hslza��
Pimay Phone: /& — 5 s cond Phone: If: v�Q
ServcOAddrPss: Ty :)M/ 7PT
ffp
L4 Cdon_ptw%,Wfl4s
LOBRy$aNshcOort Guarantee
uvula, Moak and maintenance coverage
o bars in average rraair saw
.%All bcal antl federal permAs and code compliance
/J�ruryy bonded. licensed and insured
7 No
iopg Vm@
Nationally Accredited A+BBB Rating
rl I
Yearf51
Mode Let
Description
Parts Warranty
Outdoor
L+T
L
rem)
PIndoor
yearlsl
1
1 1
Chnorlle-freel
J IAO
O Insulation
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NOTES
of $ Ie I0 7� / LL3 /,A0j, Delivery Date M ! 1 w d1LQi
G = z,� CC� L 22 (n�
DealerrN ber� I i 1 1� I�I I�i i) 11 1 7Ivl615, 1 I V1 1 1 7 1E
O CASH O VISA /M`G AMEX O DISC O Check # O Loan $
Amount Financed I I I I i• 1_ 1 Loan Type
BY SIGNING BELOW, I AGREE TO THE TERMS OF THIS SERVICE ORDER, THE ATTACHED GENERAL
TERMS AND CONDITIONS, AND WHERE APPLICABLE, THE THIRD PARTY SERVICE NET WARRANTY,
LLC TERMS AND CONDITIONS. I ALSO AGREE THAT I HAVE BEEN NOTIFIED VERBALLY OF MY RIGHT
TO WHERE APPL THAT I HAVE EC
EIVED TWO CABLE, A ENDUM DES RIBI SOF THE G MY RIGHTS ICE OF UND RRIGHT TO CANCEL AND
STATE LAW.
Print Customer Nam T�
Customer Signa a Da e
Customer Signature Date
_ t i� IS
zi)Expires - Date
Sales nt consulta,/
WIIITEICU90MER YE"WlOFACE PNWJOFFICE WHITEICUSTOMER
� Reconrect eris'irg d+:=t xt:'.,
:J Add Supply
Add Rehm
3 Insulate duct vmrk
0 Sea! duct,
0 Balance air f,?N
0 Reconnect eviShtg waing
7 WeaWkrpmcf etec. di;c�ne:t
6rzui1 lreaker
Pourer weal
7 Control vmirg
0 Ceiling saver kit .viaum ahcff
0 Gas Piping
0 Flue Piping D Rue Lino
O Oph-sized refrigerant piping
0 Archdectwal piping ewer
0 bmdensate pipi4pi ap
0 Condenser foundation pad
0 Wbrationtshock isolators
0 Combustion air
O Gallon Water Heater
0 Replaced components disposal
0 Other
0 Orop rJoWltgor saver protection
O Complete cleanup & vacuuming
0 certified retrigerart handling
O Inspect ducts for size and leakage
0 Load calculation completed
O Verily proper retngerant charge
Heati and AC Investment 0
1 Home Renovation Investment
Total Investment
Sales Tax +
Less instant Savings -
Lesslnitiallnvestment -
Bala ice Due Upon Completion 7: j
Qualifying Rebates'
Qualifying Credits') )
'Rules and Credits are suDlecl In aPr`rrcabk manuf,trer terms and condk,
You, the buyer, may cancel this transaction at any time prior
to midnight of the third business day after the date of this
transaction. See the notice of cancellation form for an
e10anation of this right.��1�l,�
Ask us about expert Commercial Service for your business or employer
0 2016 Service Experts LLC, Service Experts and the Service Experts Heallnl
It Air Conditioning logo and design are registered or common law trademark,
of Service Expels LLC. 't"1°'ce1'Ir' IA 05116
U1\vP\1J
BUILDING
PERMIT APPLICATION
Miami Shores Village i U f-, ,
Building Department SEP 19 018
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 20 P "
Master Permit No. I y I C 16 - 2A S f
Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING VMECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION [:]SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 4 2— 1 Lk)
1�13
I L 2i ( 51 " (Drl — 0040 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):���JC� �1' m Lpo q� Phone#: -7 d 1 '
Address: �2 1 � Lk) l Dq
City: 4c a*A( c'-')l0ure,9 State: --FL— Zip:
Tenant/Lessee Name: � Phone#:_
Email
CONTRACTOR: Company Name:
' �� A 1�(C21
Address: 1, � 2w 1 I A 1 Cih
City:
Qualifier Name:
hone#: C2 1 ' (23 o
State:- Zip: :3 I t 2- }
4//k Phone#: 32 (' �{ � /1 0 • �-� r22-
State Certification or Registration
#:� C2 1 h 1Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of WA for iliis P.er it:,$ D Square/Linear Footage
m .. oota a of Work:
Type of Wolk: tSEY,Addition ``j� ] "''Allteration ❑� N�ew� Repair/Replaces ;w- ; ❑ Demolition
f�! v,'`G 4N Y�lCa.rj S pS.''1
Description of Work: �.
W 1- i `1 K(Aj {-45�1)
L.
Specify color of color thru tile:
Subm-/ 3
ittal Fee $ S Permit Fee $ 4 CCF $ CO/CC $
Scanning Fee $ Radon Fee $ 2 -) 3 DBPR $ �, �� Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
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.
Signature
OWNER or AGENT
The fore oing instrum t was acknowledged before me this
day of 4e44 t-2�20 by
'F, 11t-M- I I 'I t',UP164who is personally known to
me or who ha oduceas
identification and who did take an oath.
NOT UBLC�'� JESSICA ACOSTA
Commisslon # GG 098744
plrea May 13, 2021
Sign: ''for+ Barba
Seal:
Signature `mll ►
CONTRACTOR
The fore oing instru nt was cknowledged before me this
day of "0 If by
L, is a ly known o
me or who ha produced as
identification and who did take an oath.
NO R PUBLIC: ��0!°�, JESSICAACMA
Commission # GO 09d744
Explres May 13, 2021
wed TIw Bu�K No1ult �w
Seal:
/ 1� Zonin
APPROVED BY lan s Examiner g
I01)
Structural Review Clerk
(Revised02/24/2014)
t1
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: 5"3 1 69 d
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 [ole'NO ❑ ARHI Sheet Attached: YES E!�NO ❑ Contract Attached: YES
UNIT BEING REPLACED
DATA
NEW UNIT
MANUFACTURER
/tip p
AHU or PKG. UNIT MODEL #
LB
A 2`1 U
(, M
COND. UNIT MODEL#
AC& — b
KW HEAT
NOM TONS
(A H Uj
CU
PKG
1) M.C.A
AHU
CU PKG
AHU
CU
PKG
2) M.O.P
AHU
CU PKG
AHU
CU
PKG
3) VOLTS
AHU
CU PKG
PKG UNIT /
/
PKG UNIT
EER/SEER
YES
NO
REPLACING DUCTS
YES
N
YES
NO
REPLACING THERMOSTAT
YES
NO
YES
NO
NEW 4"CONCRETE SLAB
YES
NO
YES
NO
NEW ROOF STAND
YES
YES
NO
NEW RETURN PLENUM BOX
YES
NO
1. Minimum Circuit Ampacity (Wire Size): 10
2. Maximum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit (208/240/480): 2_0 e
4. Size Disconnecting Means: p60
Contractor's Company Name: nn !��y ( Chi E�i.i� eC Phone:
State Certificate or Registration No. CAC Lnn(Zgertificate of Competency No.
Signature Date:
(Q lifier's signature)
(Revised02/24/2014)
000274
Local Business Tax Receipt
Miami -Dade County, State of Florida
-THIS IS NOT A BILL -- DO NOT PAY
4426227
BUSINESS NAME'/LOCATION.s"-o."�' ";0", RECEiPrNO."
SERVICE EXPERTS HEATING & AIR CONDITIONING RENEWAL
1521 NW 89 CT 254003
DORAL FL '33172
EXPIRES- ,..
SEPTEMBER 30, 2018
Must be displayed at piece of business
Pursuant to County Code
Chapter SA — Art. 9 & 10
OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED
SERVICE EXPERTS LLC 196 SPEC MECHANICAL CONTRACTOR By TAx COLLECTOR
CAC1817129 .t)Q 09,21(2017
Worker(s) 20 - $75_ .
ECHECK-17z-193972
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt Is not a licenses
permits or a certification of the holder's qualifications, to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
,. ,,.,Tha RECEIPT NO. above must be displayed on all commercial vehicles - Miami -dada C441�SO , Bar-276.
For more Information, visit
OIOP�
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