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MC-19-1487Permit NO.: MC -06-19-1457 Miami Shores Village Permit Type: Mechanical - Residential 10050 NE 2 Ave Miami Shores FL 33138 I Work Classification: A/C Replacement 305-795-2204 1 Permit status: Approved issueoatei,07/16/2019I Expiration: 01/13/2020 Location Address Parcel Number 10550 NE 3RD CT, Miami Shores, FL 33138 1122310130320 Contacts NICOLAS PISANO Owner AIR SYSTEMS A/C LLC Contractor 10550 NE 3 CT, MIAMI SHORES, FL 331382010 ROY VASQUEZ 2345 W 80 ST 1, HIALEAH, FL 33016 Business: 7862083484 Ins ection Description: A/C CHANGE OUT Valuation: $ 4,151.00 Requests: 4949 Total Scl Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $3.00 DBPR Fee $2.18 DCA Fee $2.00 Education Surcharge $1.00 Permit Fee $95.29 Scanning Fee $3.00 Technology Fee $3.63 Total: $160.10 Building Department Copy Payments Date Paid Amt Paid Total Fees $160.10 Check # 10490 07/16/2019 $110.10 Check # 10482 06/27/2019 $50.00 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. OWNER AF IDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulatio cons uction and zoning. Futhermore, I authorize the above named contractor to do the work stated. / Applicant / Contractor / Agent July 16, 2019 Date Page 2 of 2 Miami Shores Village Cod Building Department artment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION F7, BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ® MECHANICAL F—] PUBLIC WORKS BY�JUNI2 7)019 FBC 201 Master Permit NJA& ` l& n Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: /6550 A16 ,3 d City: Miami Shores County: Miami Dade Zip: 83138 Folio/Parcel#:d/�1�3 - 0320 Is the Building Historically Designated: Yes NO Occupancy Type4&S; dA: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): /V / alm A. 7;6&" Phone#: 3os - 4� —SpSp Address:_jZ$2 5 AaMi A/,L A 402- 2 City: _�wtz State: TL Zip: 33 -30 Tenant/Lessee Name: Phone#: 305-5,q6-38360 Email: �j CONTRACTOR: Company Name: _Ak Svsfe 8 /`�ic� wl� Phone#: 3�J'4o$(- ID .a_ Address: _�W8 I�iW l33 S7- City: a State: �� Zip: 330,5`7 Qualifier Name: �_j/ f Phone#: State Certification or Registration #: DESIGNER: Architect/Engineer: Address: Value of Work for this Permit: Type of Work: ❑ Additior Description of Work: ❑ Alteration Specify color of color thru We: Submittal Fee $_ �1APermit Fee $ Scanning Fee $ Technology Fee Structural Reviews $ (Revised02/24/2014) Radon Fee $ Certificate of Competency #: one#: City: State 4 Square/Linear Footage of Work:. New ,Repair/Replace Training/Education Fee $ CCF $ DBPR $ Zip: ❑ Demolition CO/CC $ _ Notary $. Double Fee $ _ Bond $ TOTAL FEE NOW DUE $.L0y ,90 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 \ 0�,� OW ER or AGENT The foregoing instrument was acknowledged before me this day of , 20 �� by who is personally known to llor who has produced as identification and who did take an oath. NOTARY Signature 7p, 4 7CONTRACTOR The foregoing instrument was acknowledged before me this _ day of 20 11 by who is personally known to _ m�,or who has produced as identification and who did take an oath. NOTARY P Sign: Sign: Print: Print: Seal: Seal: DANAY MOISES sNOtery Public -State of Florida Commission ft GG 003831 My Com'rutm' ig0� APPROVED BY Rla Examiner Structural Review (Revised02/24/2014) DANAY MOISES :Notary Public -State of Florida Commissionp GG 003831 My Commission Ex area **** Zoning Clerk 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): o!r 0 AIC 3 GT City: Miami Shores Village County: Miami Dade Zip Code: 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 5j] ARHI Sheet Attached: YES ® NO ❑ Contract Attached: YES 1. Minimum Circuit Ampacity (Wire Size): — 19. � 9 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 30 kM hS 3. Voltage of Circuit (208/240/480):7/ 7, 4. Size Disconnecting Means: 30 _ Contractor's Company Name: A& &Vt Phone: 3V5'--�a$f -1Diia State Certificate or Re ' tration No.'s"55W Certificate of Competency No. Signature Date: b�zy�q (Qualifi is signature) (Revised02/24/2014) UNIT BEING REPLACED DATA NEW UNIT Z44 4 P X MANUFACTURER . ;A (!830"- �ZE AHU or PKG. UNIT MODEL # / 1/,5 14 D 3 (o SZ(o -036 —ZP COND. UNIT MODEL# V493 pre / og 4t/ KW HEAT Q 3 o- ^ NOM TONS 3 7 -on 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 AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT NO YES NO NEW 4"CONCRETE SLAB YES elroD YES NO NEW ROOF STAND YES N YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): — 19. � 9 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 30 kM hS 3. Voltage of Circuit (208/240/480):7/ 7, 4. Size Disconnecting Means: 30 _ Contractor's Company Name: A& &Vt Phone: 3V5'--�a$f -1Diia State Certificate or Re ' tration No.'s"55W Certificate of Competency No. Signature Date: b�zy�q (Qualifi is signature) (Revised02/24/2014) i ACORL® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) `...�" 06127/2019 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(les) must have ADDITIONAL INSURED provisions or 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 Safe Insurance Group CONTACT Soraya Hernandez PHONE FAX N e ; (305)264-8964 (acro): (305)267-1576 7901 NW 2nd St. E-MAIL ADDRESS:__ soraya@safeinsgroup.com -- Miami, FL 33126 _--- License #: A161532 INSURERS AFFORDING COVERAGE NAIC # INSURER A: United Specialty CLAIMS -MADE a OCCUR INSURED AIR SYSTEMS A/C, LLC INSURER B: DBA AIR SYSTEMS A/C INSURER C: DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 4698 NW 133 ST INSURER D: Opa Locka, FL 33054 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 00000000-0 REVISION NUMBER: 114 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 OF INSURANCE ADDLTYPE IVSD SUER POLICY NUMBER EFF MMIDDPOLICY/YYYY LICY EXP MIDD1YYYY M LIMITS A X COMMERCIAL GENERAL LIABILITY DCG07257-01 06/27/2019 06/27/2020 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE a OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JE0 F7LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident lANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS I HIRED NON -OWNED _ AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident $ (_ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Subject to policy form, conditions, endorsements, limitations and exclusions air conditioner sub contractor JOB REFERENCE: MECHANICAL CONTRACTOR QUALIFIER ROY VAZQUEZ CAC033544 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE VILLAGE OF MIAMI SHORES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVE Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE SDH 988-2015 A RD C ORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are re Bred marks of ACORD 'Printed by SDH on June 27, 2019 at 11:02AM 6/24/201,9 Insurance Services ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM,DD1rOY) 0684/2019 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 have ADDITIONAL INSURED provisions or 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 CUNIALI NAME: Automatic Data Processing Insurance Agency, Inc. PHONE IExt: (AIC, Noy ADDRESS: INSURER(S) AFFORDING COVERAGE NAK n 1 Adp Boulevard Roseland NJ 07068 INSURER A: NorGUARD insurarxe Company 31470 INSURED INSURER B AIR SYSTEMS AC LLC INSURER C: 4698 NW 133RD ST INSURER D: INSURER E: AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NONOWNED-- AUTOS ONLY AUTOS ONLY Opa Locka FL 33054 INSURER F: COVERAGES CERTIFICATE NUMBER: 1196320 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJ ECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN RE DUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD;YYYY) (MM)DDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS+IADE 1-1 OCCUR �!.�� I I� •••. EACH OCCURRENCE S KLN PREMISES tEa occurrence) S MED EXP (Anyone persona S PERSONAL &ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER. POLICYr-1 I P€GI' RQ LOG OTHER. GE NERAL AGGREGATE S PRODUCTS-COMPCP AGG S S AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NONOWNED-- AUTOS ONLY AUTOS ONLY LUaccident) I S BODILY IN) URY (Per person) S BODILY INJURY (Per accident) S S (Per accidenU 5 UMBRELLA LIAR EXCESS LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE s AGGREGATE S DED I I RETENTIONS S A WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY ANY OFFICER lEMBEEREXCLUDEpiECUTIVE YIN (Mandatory in NH) II yes. descritte under DESCRIPTION OF OPERATIONS below N AIWC070340 05/16/2019 05/16/2020 - STATUTE ER E.L.EACHACCIOENT S 1.000,000 E.L. DISEASE -EA EMPLOYEE S 1,000,000 E.L. DISEASE -POLICY LIMIT S 1 I)� DESCRIPTION OF OPERATIONS 1LOCATIONS (VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached it more space Is required) JobReference. Building Department Contractor License: QUALIFIER ROY VAZQUEZ CAC033544 CERTIFICATE HOLDER CANCELLATION 031988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016,03) The ACORD name and logo are registered marks of ACORD https://adpia.adp.com/ISExternal/app/index.html?clientid=2965733&requestFrom=run#/pc 1/1 SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village Of Mianti Shores ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd AVE AUTHORIZED REPRESENTATIVE Mianr S hores FL 33138 �!.�� I I� •••. 031988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016,03) The ACORD name and logo are registered marks of ACORD https://adpia.adp.com/ISExternal/app/index.html?clientid=2965733&requestFrom=run#/pc 1/1 MI! 14411 11 7 AHRI Certified Reference Number : 10221129 Date : 06-21-2019 AHRI Type: RCU-A-CB Series: DX14SA Outdoor Unit Brand Name : DAIKIN Outdoor Unit Model Number (Condenser or Single Package) : DX14SA0361A* Indoor Unit Model Number (Evaporator and/or Air Handler) : DV39PTCC14A* Region : Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, INC, OK, SC, TN, TX, VA, AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SD, 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 region(s) for00 .. which they meet the regional efficiency requirement. 0.0 0000 The manufacturer of this DAIKIN product is responsible for the rating of this system combination. 00 : 0 0 •••• •• • • • • • • Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1;and 2, Performance Va$ng of UMtary000006' Air -Conditioning & Air -Source Heat Pump.Equipment and subject to rating accuracy by AHRI-sponsored, indegeo2 nt!ttiird party te�ting: Cooling Capacity(A2)- Single or High Stage (95F), btuh 34200 ;'';'; • .. •: • • • SEER: 14.50 EER (A2) - Single or High )3tatge (95F) : 11.50 uN � 7 zQI4 $Y: t r --- - r'�� �_ (fib � 1 � � J • 9`711 1t" rCS Vi 1,-9 BY DATE 91 JG C)FPT 5Ut3,tCT IO CGNIPLIANCE WI A ALL FEUERAL STA: ­E ANj U(,I.)N 'f riUL._S AND REGULATIONS 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. Ratinas that are accompanied by WAS indicate an involuntary re -rate. The new Dublished ratina is shown alona with the Drevious (i.e. WAS) ratino. 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, ma -11 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 mal,o IH 1,ejwr­ 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. 132056058947624115 ©2019Air-Conditioning, Heating, and Refrigeration Institute ! CERTIFICATE NO.: E�*�,iGfNEER1t`�.IC- EXPREE'� c' E.x.P.E.R.T.. (Engineering Express Product Evaluation Report) 160 SW 12TH AvE SUITE 106, DEERFIELD BEACH, FL 33442 (954) 354-0660 1 ENGINEERINGEXPRESS.COM Technical Evaluation Report DIVISION: 23 08 00—COMMISSIONING OF HVAC THIS DOCUMENT CONTAINS (5) PAGES: THE FIRST PAGE MUST BEAR AN ORIGINAL SIGNATURE & SEAL OF THE CERTIFYING PE TO BE VALID FOR USE (Issued March 1616, 2016 Subject to Renew March 15tH, 2017) REPORT HOLDER: DAIKIN MANUFACTURING COMPANY, L.P. 5151 SAN FELIPE STREET re-DAIKIN HOUSTON, TX 77056, USA 877-254-4729 1 DAIKINCOMFORT.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 5th Edition Florida Building Code (2014) per FBC Section 104.11, FMC 301.15, FBC Building Ch. 16, ASCE-7-10, FBG 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 Substantiating documentation has been submitted to provide this TER and is summarized in the sections below. • 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 pressire connection integrity • Maximum allowable uplift, sliding, & overturning moment for ground and roof applications Calculation summary is included in this TER and appears below. NOTE: 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 product(s) listed above 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 DAIKIN models present in the table located on the final page. FINISH: Baked enamel. NOTE: GRAPHICAL DEPICTIONS IN THIS REPORT ARE FOR ILLUSTRATIVE PURPOSES ONLY AND MAY DIFFER IN APPEARANCE UNIT CASING MATERIAL: 26ga galvanized sheet steel ASTM A653 CS coldrolled'sieels for side covers. 22ga galvanized sheet st4l A$TW A653 Cb'd killed steLl•"• • bottom base pan. 209a galvanized sh2bfste2l ASTM A663 @old rolled steal " for top panel. Removable top & sidesw*ew secured 11 :10-12 • metal screws. 0940,90 • • Knockouts provided for utility & contra jor1pections.. • 0 • • • • • . INSTALLATION: "" ' • • • • • • Shall follow manufacturer specificatiMft."V II as the „nfonn•tion prc»rk :v.' • • herein. •• •• •• 0000.. 0000•• . STRUCTURAL PERFORMANCE:* • '. Models referenced herein are subject to the followh,;.V:iQn IimitMfblM11• • ASCE-710 Exposure Categories C ; • • • • • • •..... Up to and including 175mph (Vult) foI•Kp to000' MRH`".h1VHZ`"` Up to and including 170mph (Vult) for up to 260' M1IJ*g,4\?HZ`" 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 (le. Dead Load) Site specific wind analysis may produce alternate limitations provided maximum rated wind pressure is not exceeded. ORIGINAL SIGNATURE AND RAISED SEAL REQUIRED TO BE VALID PER CODE: Frank L. Bennardo, P.F.; ENGINEERING EXPRE556 PE #0046549 CA #9885 The FBC 14 defines APPROVED SOURCE (Section 2:2) as: `Anindependent person. 5rm or corporation, approved by the boiidmg official, who is competent and experienced in the appiica6en o' eng:neBcng principles to matena{s. methods or systems analyses," Engineering Express"` professionals meet the competency requirements as defined in the FEC and can sea? their w,,,rk. Eogineedag Express+', regulany enga,led in conducting and providing engineering evaluations of single element and full-scale building systems tests. DAIKIN SPLIT SYSTEMS Engineering Express° I TER -16-3146.2 SECTION 2 PRODUCT INSTALLATION Condens Roof or ground structure / subs (concrete, steel schedule below) TIE -DOWN STRAP & CLIP SCHEDULE in clips. See >elow for ations Cabinet * Roof Height lie -down Strap WLL Straps {lbs) Tie -down Clips per Side Al Ground 0 NA 1 Up to 60' (80') 2 300 1 Up to 220' (150') 2 300 1 Up to 200'(250') 2 400 1 81, 62 Ground 0 NA 1 _ Up to 60'(80') 2 400 1 Up to 120'(150') 2 400 2 Up to 200'(250') 2 400 2 Cl, C2, C3, C4, CS Ground 0 NA 1 Up to 60'(80') 2 400 2 Up to 120' (150') 2 500 2 Up to 200'(250') 2 600 2 Dl, D2, D3, D4, DS, D6 Ground 0 NA 1 Up to 60'(80') 2 800 2 Up to 120'(150') 2 1000-�— 2 Up to 200'(250') 2 1000 B ANCHOR TO HOST STRUCTURE SCHEDULE Cabinet Ground or Roof Height* Concrete 3,000 Psi Anchor Type 1/fr{ Min 1/8" Min 6061-T6 A36 Steel Atuminu m Al Ground A N/A N A U to 60' 80' B B U to 120' 150' NIA B B U to 200' 250' N/A 8 8 81, 62 Ground A NIA N A U to 60' 80' N/A B 8 to 120 150' N/A 8 B UP to 20V50' N/A C1, C2, C3, C4, C5 Ground N/A N A U to 60' 80' N A B 8 U to 120' 150' N A B Uo to 200'(2`01) N B B Dl, D2, D3, D4, D5, D6 U to 60' 80' N A B U0 to 120'(15011 B 1 Uv to 200'[250') B TIE -DOWN CLIP (GROUND APPLICATION) ASTM A653 G60 galvanized cold rolled steel 0.072" thick for all cabinets tied down at ground (Goodman Bracket); fasten cabinet using (2) anchors per clip from Anchor to Host Structure Schedule Table. Clip integrates into base pan slot. TIE- DOWN CLIP (GROUND AND ROOF APPLICATION) Miami Tech CUTD 1" wide and any length ASTM A653 galvanized steel 0.07" thick for all cabinets tied down to a roof structure; fasten clip to structure using anchor from Anchor Schedule to Host Structure Table and (2) #10 x 318" SS 410 self -drilling screw to fasten clip to unit base pan. See Tie -down Strap & Clip Schedule Table for clip amount. For ground appiicationess Iiie-down clip schedule, correspbp4iagtb 60' he,4$. • • . Tie -down Strap& Clip Type: (for roof appIlc%tic(h:)• • • • • • • • • • • Working Load Limit (WILL) is strap's manufactuigfg Specified qej strap. A mini T err • • strap width of 1" and minimum length of 15 ftPiss req uiftd for all ca*inets. %as Clips heights shall be adequate to fit SMS withine pan heitht. Verify heigh"*iRr' • Clips shall be placed at center on each side Anti�Qny spac". •• 0 Goo** Cross member shall be added and fixed to robist*wl see detail A. .. • • • •.. • • • • • • • • • The value shown in•parenthese9 iaicaies the* allowable roof height in 170mph conditions NO. 60'(80') indicates an allowable roof height of 60' for 175mph or 80' for 170mph Vult. Note: Tie -down straps shall be wrapped around unit and roof stand rail, and shall be tightened using the buckle. Provide two straps per unit. Strap material shall be high strength webbing and shall be compliant for exterior grade use if they contain plastic components, per FBC chapter 26. Select strap from table based on WLL requirements. For Non-HVHZ, use (2) straps with minimum WILL of 500lbs each, up to 200' MRH. Anchor Types to Host Structure: A. – 1/4" ELCO ULTRACON SS4 Anchor embedded 3" in 3,000 psi concrete. 2 112" from edge minimum. NOA No. 15-0226.11 B. – 1/4' -20 UNC SAE Grade 5 screw min. 1/2" from edges with nut and washer OD 0.75" NA. - No anchors apply. IN ALL CONDITIONS IT IS THE RESPONSIBILITY OF THE PERMIT HOLDER TO ENSURE THE HOST STRUCTURE 1$ CAPABLE OF WITHSTANDING THE RATED GRAVITY, LATERAL, AND UPLIFT FORCES BY SITE-SPECIFIC DESIGN. NO WARRANTY OF ANY KIND, EXPRESSED OR IMPLIED, IS OFFERED BY ENGINEERING EXPRESS AS TO THE INTEGRITY OF THE HOST STRUCTURE TO CARRY DESIGN FORCE LOADS INCURRED BY THIS UNIT. ENGINEERING EXPRE>So 160 SW 12`11 AVE, SUITE 106 DEERFIELD BEACH, FL 33442 Page 2 (5354 354-0660 ENGINEERING EXPRESS.COM DAIKIN SPLIT SYSTEMS Engineering Express' I TER -16-3146.2 STRAP AND CLIP LAYOUT YPICAL ?CLIP ONFIGURATION �/ ' SIE ANCHOR TO HOST STRUCTURE SCHEDULE \ OR SEE DETAIL A / STRAPS SEE TIE -DOWN --- - STRAP & CLIP SCHEDULE MIAMI TECH CUTD SEE TIE -DOWN STRAP & CLIP SCHEDULE CROSS MEMBER 6061-T6 ALUMINUM 2" X 2' Y4" ROOF STAND RAIL _ IPER B SEPARATE ENGINEERING �A /';' STRAP AND CLIP LAYOUT SCALE: N.1.5. FLM VIEW UNIT ROOF STAND RAIL PER SEPARATE ENGINEERING UNIT ROOF STAND RAIL PER SEPARATE ENGINEERING 'A*N 1 AND 2 CLIP CONFIGURATIONS SCALE: N.T.S. DETAIL VIEW 3" c CROSS MEMBER FRONT VIEW SCALE: N.T.S. A:C 7 VIEW MIAMI TECH CUTD SEE TIE -DOWN STRAP & CLIP SCHEDULE BASE PAN (2) #10 x %' SS 410 SMS (2) #14.18 SS 410 SMS e" SS 410 WITH WASHER & NUT CROSS MEMBER 6061-T6 ALUMINUM 2'X2"XY" 2 STRAP AND CLIP LAYOUT SCALE: N.T.S. ELEVATION KIEV.' STRAPS SEE TIE -DOWN STRAP & CLIP SCHEDULE HORIZONTAL STRAP SEE PANEL INTEGRITY FOR STRAP SPECIFICATION MIAMI TECH CUTD SEE TIE -DOWN STRAP & CLIP SCHEDULE ROOF STAND RAIL PER SEPARATE ENGINEERING C&RQVMEMBER..... • • • 6061-T6 ALUMINUM • • 0000•• UN•• • 0000•• -. "�-- — IT 0000•• • • • 0000•• I 0000 i*%#1'%18STAIKLESS • ` ir, a 4 ��•� • STW3i410SHEF=••• �_ 0000•• •jolk7ALOSCREW• 00:0 • • • Ts • — ROOF STAND F&1L• • • • 0 0 0 0 0• PER SEPARATE •• 0 '• 0 • ENGkVEERING • • • • • •0000• B SCREWS AT CROW MEMBER . • • • • • SCALE: N.T.S. DETAIL VIEW • • D CROSS MEMBER SIDE VIEW SCALE: N.T.S. SECTION NEW BASE PAN (2) #10 x N8" SS 410 SMS (2) #14-18 SS 410 SMS '!4" SS 410 WITH WASHER & NUT CROSS MEMBER 6061-T6 ALUMINUM 2"X 21XY" ROOF STAND RAIL PER SEPARATE ENGINEERING Note: Installers must ensure that screws used to fasten the tie -.down clips with the unit base pan do not touch the coil preventing any damage. ENGINEERING EXPRESSe 160 SW 12111 AVE. SUITE 106 DEERFIELD BEACH, FL 33442 Page 3 (954) 354-0660 ENGINEE RING EXPRESS.COM DAIKIN SPLIT SYSTEMS Engineering Express° I TER -16-3146.2 see SECTION 4 SUPPORTING CALCULATIONS & SUMMARY FORCES SUMMARY Cabinet Outside Dimensions Weight Range (lbs) Ground or Roof Height* Lateral Pressure (Psf) Uplift Pressure (Psf) Max Force (Ibs) Max Overturn (lbs -in) Max Tension (lbs) Uplift Force (Ibs) D (in) (in) (in) W H Al 23.0 210 25.7 102 Ground 42.7 0 175.6 2261.5 83 0 23.0 23.0 25.7 60' (80') 151.0 73 621.2 7998.0 503.2 268.5 23.0 23.0 25.7 120 (150') 173.7 84.0 714.4 9197.8 585.6 308.8 23.0 23.0 25.7 200' (250') 192.9 93.4 793.5 10216.4 655.5 343.0 B1, B2 26.0 26.0 32.5 103-131 Ground 42.7 0 250.6 4072.4 137 0 26.0 26.0 32.5 60' (80') 151.0 73 886.3 14402.6 752.3 343.1 26.0 26.0 32.5 120' (150') 173.7 84.0 1019.3 16563.2 1 874.0 394.6 26.0 26.0 32.5 200' (250') 192.9 93.4 1132.2 18397.5 977.3 438.3 Cl, C2, C3, C4, C5 29.0 29.0 40.0 142-184 Ground 42.7 0 344.0 6880.7 209.7 0.0 29'0 29.0 40.0 60'(80-) 151.0 73 1216.7 24334.3 1076.4 426.8 29.0 29.0 40.0 120' (150') 173.7 84.0 1399.2 27984.8 1250.3 490.9 29.0 29.0 40.0 200' (250') 192.9 93.4 1554.2 31083.9 1398.0 545.2 D1, D2, D3, D4, D5, D6 35.5 35.5 41.8 206-306 Ground 42.7 0 439.6 9176.0 218.3 0.0 35.5 35.5 41.8 60'(80') 151.0 73 1554.6 32452.0 1273.3 639.6 35.5 35.5 41.8 120' (150') 173.7 84.0 1787.8 37320.3 1482.3 735.6 35.5 1 35.5 1 41.8 1 120W (250') 192.9 93.4 1985.8 41453.3 16:03.9 617.0 Note: Calculations performed according to the information provided by the client. Cabinets were assumed solid (0% Ors iitX) for shear a 0d tension calculation purposes. • 0000•• • PANEL INTEGRITY SUMMARY 0000 0000 0000•• Cabinet Roof Height* Horizontal Strapping Required Strap WLL (Ibs) Chassis Roof Height Horizontal Strapping Required • • • -VWVyLL (fbsj Al 60'(80') No 81 60' (80') No • • 120'(150') No 120'(150') No 200'(250') No 200' (250') No B2 60'(80') No Cl 60'(80') No 120'(150') No 120' (150') No 200' (250') No 200'(250') No C2 60' (80') No C3 60'(80') No 120' (150') No 120'(150') No 200' (250') No - 200'(250') No C4 60' (80') Yes 700 C5 60'(80') No 120'(150') Yes 700 120' (150') No _ 200' (250') Yes 700 200' (250') No- - Dl 60' (80') Yes 700 D2 60' (80') Yes 700 120' (150') Yes 700 120'(150') Yes 700 200' (250') Yes 700 200' (250') Yes 700 D3 60' (80') Yes 700 D4 60-(80-) Yes 700 120' (150') Yes 700 120'(150-) Yes 700 200'(250') Yes 700 200'(250') Yes 700 DS 60'(80') Yes 700 D6 60'(80') Yes 700 120'(150') Yes 700 120'(150') Yes 700 200' (2501) Yes 800 200' (250') Yes 800 • • • 6666.. 0000 0000•• • 0000•• • •0000• ••••• •0000 00.000 • • 6000•• 0 0000•• • • ENGINEERING EXPRESS('160 SW 12'" AVE. SUITE 106 DEERFIELD BEACH, FL 33442 Page 4 (554) 354-0660 ENGINEERINGEXPRESS.COM DAIKIN SPLIT SYSTEMS Engineering Express° TER -16-3146.2 sas CABINETS & DIMENSIONS Daikin Model No. W / D (in) H (in) Weight Cabinet DX13S(A,N)0181 23 25.75 102 Al DX13S(A,N)0241 26 27.5 103 B1 DX13S(A,N)0301 26 1 27.5 115 B1 DX13S(A,N)0361 26 27.5 118 B1 DX13S(A,N)0421 29 36.25 171 C2 DX13S(A,N)0481 29 36.25 175 C2 6X13S(A,N)0601 29 40 184 C3 DX13S(A,N)0611 35.5 38.25 211 D2 DX14S(A, N)0181 26 27.5 126 Ell DX14S(A,N)0191 26 27.5 1:31 B1 DX14S(A,N)0241 26 27.5 126 61 DX14S(A,N)0251 26 32.5 131 B1 6X14S(A,N)0301 29 32.5 162 C1 DX14S(A,N)0311 29 32.5 162 C1 6X14S(A,N)0361 29 32.5 162 C1 DX14S(A,N)0371 29 32.5 162 C1 DX14S(A,N)0421 29 36.25 189 C2 DX14S(A,N)0431 29 36.25 189 C2 DX14S(A,N)0481 35.5 36.25 220 D1 DX14S(A,N)0601 35.5 38.25 260 D2 DX16TCO241 29 32.25 181 C1 DX16TC0361 29 38.25 184 C3 6X16TC0481 35.5 36.25 219 D1 DX16TC0601 35.5 38.25 279 D2 DX16SA0181 29 32.25 145 C1 DX16SA0241 29 32.25 142 C1 DX16SA0301 29 36.25 149 C2 DX16SA0361 29 38.25 162 C3 DX16SA0421 35.5 36.25 206 D1 DX16SA0481 35.5 36.25 219 D1 DX16SA0601 35.5 38.25 279 D2 DX16SA0611 35.5 38.25 291 D2 DX18TC0361 35.5 38.25 206 D2 DX18TC0481 35.5 38.25 268 D2 DX18TC0601 35.5 1 38.25 274 D2 Note: Illustration selected for dimensional purposes Daikin Model No. W / D (in) H (in) Weight Cabinet: DX20VCO241 35.5 38.25 208 D2 DX20VC0361 35.5 38.25 216 D2 DX20VC0481 35.5 41.75 1 268 D3 DX20VC0601 35.5 41.75 310 D3 DZ14S(A,N)0181 29 34.5 143 C4 DZ14S(A,N)0241 29 34.5 143 C4 DZ14S(A,N)0301 29 36.25 171 C3 DZ14S(A,N)0361 29 36.25 173 C3 DZ14S(A,N)0421 35.5 39.75 191 D5 DZ14S(A,N)0481 29 36.25 226 C3 DZ14S(A,N)0491 35.5 34.5 273 D4 DZ14S(A,N)0601 35.5 34.5 277 D4 DZ16SA0181 29 36.38 174 C3 DZ16SA0241 35.5 34.63 180 D4 DZ16SA0301 35,5 34.63 186 D4 DZ16SA0361 35.5 40 20 D6 DZ16SA0421 29 36.38 226 C3 DZ16SA0481 35.5 34.63 D4 DZ16SA0601 35.5 . 49 -,"e 6 6 Q 4 DZ16TCO241 29 61 .2 1A06. C5 ' DZ16TC0361 35.5 •88.426 33.3 DZ16TC0481 35.5 - 66.-K 305• DQ DZ16TC0601 35.5 6 SS. •309 •Di DZ18TC0361 35.5 ' Ii 25 •246' • D6• • • 4 DZ18TC0481 35.5 29.11 •31% ; D3.6 •' DZ18TC0601 35.5 3 K25 ww 314 Elite 6 • 6Z20VCO241 35.5 38.25 220 D2 DZ20VC0361 35.5 41,25 •239 • • D3 DZ20VC0481 35.5 6 41.1 .45 628y. Cr" • DZ20VC0601 35.5 41.25 04!� 6 • D3 DZ14S(A,N)14019 29 34.5 143 C4 DZ14S(A,N)14025 29 34.5 143 C4 DZ14S(A,N)14031 35.5 34.63 186 D4 DZ14S(A,N)14037 35.5 40 20 D6 LIMITATIONS & CONDITIONS OF USE: Use of this product shall be in strict accordance with this TER as noted herein. The supporting host structure shall be designed to resist all superimposed loads as determined by others on a site specific basis as may be required by the Authority Having Jurisdiction. Host structure conditions which are not accounted for in this product's respective anchor schedule shall be designed for on a site-specific basis by a registered professional engineer. No evaluation is offered for the host supporting structure by use of this document. Adjustment factors noted herein and the applicable codes must be considered, where applicable. All supporting components which are permanently installed shall be protected against corrosion. contamination, and other such damage at all times. Fasteners must penetrate the supporting members such that the full length of the threaded portion is embedded within the main member, This evaluation does not offer any evaluation to meet large missile impact debris requirements which typically are not required for this type. of product. ENGINEERING EXPRE.SS'�' 160 SW 12'" AVE. SUITE 106 DEERFIELD BEACH, FL 33442 Page 5 (954) 354-0660 ENGINEERINGEXPRESS.COM