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MC-19-2031Location Address Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 • Issue Date: 09/04/2019 Parcel Number 9140 NE 8TH AVE 2H, Miami Shores, FL 33138 1132060440260 Contacts Permit € O.: MC -08-19-2031 Permit Type: Mechankal - Residential Work Classification: A/C Replacement Permit Status: Approved Expiration: 03/02/2020 Richard Lehman Owner JRH GENERAL SERVICES Contractor 9140 NE 8 AVE 2H FABIAN PEREZ Mobile: 3057257345 Business: 3054182334 jrh.airco@gmail.com Mobile: 7862900451 Inspection Requests: Description: CHANGE OUT AC UNIT 2 TON Valuation: $ 2,453.00 3t?5=7t2 4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $117.90 Payments Date Paid Amt Paid Total Fees $117.90 Check # 6722 08/30/2019 $50.00 Check # 6741 09/04/2019 $67.90 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 construction and zoning. Futhermore, I authorize the move named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date September 04, 2019 Page 2 of 2 Miami Shores Village REGENEp Building Department AUG 0 2Cai 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 I JAI 1FBC 20 i )A BUILDING Master Permit No. I I IC - oy I01— 703 31 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ZMECHANICAL F—] PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP J J CO NTRACTOR DRAWINGS JOB ADDRESS: !(� l D Iy � ry�grg City' Miami Shores County: Miami Dade Zip: �/� Folio/Parcel#: :5�-0 &0 Is the Building Historically Designated: Yes NO — Occupancy Type: , Load: Construction Type: Flood Zone: FFE: OWNER: Name (Fee Simple TitleholdQr): E / 4 � Address: (� City: C6 State: Zip: Tenant/Lessee Name: Phone#�� Email: I e,lni-not h of G Lcwn o CONTRACTOR: Company Name: ,j'1714-1 6606�Dl I 94,'7y)?f;y6 -P Phone#: Address: ,) (D = -G Z /U ' /—s0 ;4-u .� City: L./F S 7-.9 4-1) State: r C Zip: 33032 Qualifier Name: 2 ti E/l. Phone#: �y-LP Z9l) -0 Y State Certification or Registration #: �' Certificate of mpetency #: DESIGNER: Architect/Engineer: Phone#: Address: / City: z _-_State: Zip: Value of Work for this Pe(tion $ 7 �� . Square/Li r Footage of Work: Type of Work: ❑ Ad❑ Alteration ❑ New ❑ Repair eplac ❑ Demolition Description of Work:'71 U Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ (Revised02/24/2014) Permit Fee $ Radon Fee $ _ Training/Education Fee $ CCF $_ DBPR $ CO/CC $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ _ 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 on 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 a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this kt day of 20 by 4Ce " LA� who is personally known to me or who has produced r—lgrf SA- L.�C e r`s & as identification and who did take an oath. NOTARY PUBLIC: 111 The foregoing instrum nt was a knowledged before me this 2�'1 cl of 20 ' by - `` "'� GVr ti WIN is personally known to me or who has produced T19%44 D VN9 UtA'" as identification and who did take an oath. NOTARY PUBLIC: � � Sign: Print: §gIlk �Cl��m� p = Seal: 'r:`�` ,'_ NotaryPublic-StateofFlorida in Ato A123 �oirg�; Commission # GG 0%451 i FF91r�i9 J a '''FocF•: My Comm. Expires Apr 4,2021 7 .,o sig ,, APPROVED BY Plans Examiner Zoning Structural Review (Revised02/24/2014) Clerk 1J-1 COST __.4 C0AN 16240 SW s,30tia Ave. Mimi, 9L 33032 LfCXNSED & L`aSURE CAC1817574 COWERCUL & RESWE TIAL 1a Amla1 . Sabi% a SWV1" 766) J.90-0451 .§0fij 418-2333 (5 54 ) 696-8329 Cq #STOaiCR - t tiCE r A00'*SS / U C Iry CALL: for JAH Air Corrxnior%N+ S" 1 have authority to ord- ::� tvrk wa bean ts-ioa'lowy r,er;olmod as Dul- iined above. Ifin s. %Z 'ecn fr c E T',' -VI I""Ilo to C.'q QQA-. asnt or m&tor- al tltet may "unLtl!► 1 tATr x J �, R i; r, K sled 4 #01ftTn91aa not made _ a am and nae itokr mil be held haaml�s arrr/f "I Ar . •�,! tm �.~gra ro*%���^tial. ' I/ \ CUSTOMER SIGNATURE Timjis of the essence hafsof and It customer %hall fall la pay within days from comptstlon of fob an Interest charge of I par cent annually will be charged and If we (Ito suit lot collection of the amount due, reasonable collection agency fsss and/or attorney's lass. not to be loss than an amount equal to thirty five (3S•.) per cant of the balanca duo at the time It Is placed with an attorney. It allowed by law, will be paid by the customer le 7"T- UPON INSPECTION, OUR TRAINED SERVICE RECOMMENDS THE FOLLOWING 9 ee.-f /o TCT At. WARRANTY- it)'Yi.-,r /''t" aft Lb `� p;� MATERIAL DESCtRIPTN IMPORTANT NOTICE.: "I., nl t,r mrV '* yr"u Our ,^Entice! r � ,. l.� T S, "/ S 7 (TJLj 1 Engines-& MM ru Y rra 1c I lfio :" 'v#:. r-r'^h-r..:.. '.:m . T`:3 ; r__n5 to pmaca you ;,,,�• ;-,ahr, m-yartal asci tabor staters r 1 W NO as n I'rf3.C::.'yi.:f.1;¢C»�I' J r rm ", k RnyiNeV ie un€tel- �. rJl ill..La► ".`ifil�+. �•�-�� � � �' .l L(7 JAN Air L` -%z.:: + • s in the sbovn § s &a. but '•� � [) !�-.i *ha r , Ura.,- :raaAile n.,x a'Ia I: • hT,Ro-ct " .• . 'pit: sq + .•sir; ar r ..,.r h"r"""r,r,>r,i es "ti'. Y;^sirovAl OrNDront"d of the TOTAL ''s^t. J >a-: c . ....I (. -' • r";8 2anloul Ear 8;"3fiW of 30 c!** % and an Iab,W t, 15 dx9 F . Win--^ C- ^ r—,%r st.y r,"r malU in your urtil(S). Any jr W Ate- Ci ti i f� nbw raprrirs in Coo fu:L r L .LIQ.-'., , grt oct LrTr Cur W&ff only uie"r be cherved at cur r6QLltsr ralos. -!RIi i'' r'• -w "•Term vr> AINJ VA ds Sara :.e . L mall, ;'m «icer warranlies o-iVnkas or i t,CO '—,; Gtr 1;'Z,a zany ,,aril srancrlrl a for JAH Air Corrxnior%N+ S" 1 have authority to ord- ::� tvrk wa bean ts-ioa'lowy r,er;olmod as Dul- iined above. Ifin s. %Z 'ecn fr c E T',' -VI I""Ilo to C.'q QQA-. asnt or m&tor- al tltet may "unLtl!► 1 tATr x J �, R i; r, K sled 4 #01ftTn91aa not made _ a am and nae itokr mil be held haaml�s arrr/f "I Ar . •�,! tm �.~gra ro*%���^tial. ' I/ \ CUSTOMER SIGNATURE Timjis of the essence hafsof and It customer %hall fall la pay within days from comptstlon of fob an Interest charge of I par cent annually will be charged and If we (Ito suit lot collection of the amount due, reasonable collection agency fsss and/or attorney's lass. not to be loss than an amount equal to thirty five (3S•.) per cant of the balanca duo at the time It Is placed with an attorney. It allowed by law, will be paid by the customer le 7"T- UPON INSPECTION, OUR TRAINED SERVICE RECOMMENDS THE FOLLOWING 9 ee.-f /o INEL SERVICE CHARGE MATERIAL �U SUB -TOTAL �)i� Cu TAX TOTAL 1'*"'YA9 / D// S 1 COMPRESSOR SUC TION PRE SS V RE HEAD PRESSURE — VOLTS __ AMPS ._. CONDENSER COIL ENTERING AIR TEMP. LEAVING /AIR TEMP REFRIGERANT ADEOUATE CHARGE CHECK FOR POSSIBLE LEAKS CONDENSER MOTOR VOLTS ,AMPS _„• EVAPORATOR COIL ENTERerO AIR TEMP. LEAVING AIR TEMP EVAPORATOR SECTION VOLTS — A44PS� PULL E TS IAOJUST BELT) LUBRICATE CONDENSATE AREA CLEAN ORAIN PANS CLEAN DRAIN AIR FILTERS CLEANED O REPLACED O THERMOSTAT HEATING S tPiP HEAT HEAT PUMP OTHER COOLING TOWER CLEAN TOWER WATERING_ OUT 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): / $/6 A) e 9 /1CjCi ''r I%t`1' I Shla4C 5 City: Miami Shores Village County: Miami Dade Zip Code: -315/30 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 SU131VIITALS - AHRI DATA SHEET REQUIRED Change disconnecting means: YES[:] NO [2 ARHI Sheet Attached: YES k] NO ❑ Contract Attached: YES UNIT BEING REPLACED DATA NEW UNIT %Z /7/v- FivJ MANUFACTURER -ozl /-%S At e_111!? TA AHU or PKG. UNIT MODEL# r2 y/ S 0 COND. UNIT MODEL# /2 /� �(� z -Y Ai 7' ti KW HEAT S Z NOM TONS Z. AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS e__ o AHU CU PKG PKG UNIT / / PKG UNIT / EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT `YESJ NO YES NO NEW 4"CONCRETE SLAB YES NO 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): `"L yD 4. Size Disconnecting Means: Contractor's Company Name: cl %t l_� (.42j ;SiF/1 tJ /CFj Phone: State Certificate or Registration No. eA C /0 1 Certificate of Competency No. Signature e, _Date: S A, O / 9 (Qualifier's signature) (Revised02/24/2014) Certificate of Product Ratings AHRI Certified Reference Number: 201278739 Date: 08-29-2019 Model Status: Active Old AHRI Reference Number: 7940891 AHRI Type: RCU-A-CB Outdoor Unit Brand Name: RHEEM Outdoor Unit Model Number (Condenser or Single Package) : RA1624AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RH1T2417STAN 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. The manufacturer of this RHEEM product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performance Rating of Unitary , Air -Conditioning & Air -Source Heat Pump Equipment and su6ect to rating accuracy bg'AHRI-sponsored; independent, third party testing: , i Cooling Capacity (A2) Single or High Stage (95F), btuh : 24000 E 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 alona with the previous (i.e. WAS) ratina. 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.ahridlrectory.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. ©2019Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 132115692813834325