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MC-20-411Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 02/26/2020 Location Address Parcel Number 297 NE 105TH ST, Miami Shores, FL 33138 1122310130400 Contacts Permit NO.: MC-02=20-411 ' Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: Approved Expiration: 08/24/2020 DAVID COLE Owner FLOW -TECH AIR CONDITIONING CORP Contractor 297 105 MARIO PEREZ 7023 SW 13 TER, MIAMI, FL 33144 Description: EXACT AC CHANGE OUT 5 TON Valuation: $ 5,702.00 Requests: L j Inspection f�5-762-4949 Total 5q Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $3.60 DBPR Fee $2.99 DCA Fee $2.00 Education Surcharge $1.20 Permit Fee $149.57 Scanning Fee $9.00 Technology Fee $4.99 Total: $223.35 Payments Date Paid Amt Paid Total Fees $223.35 Credit Card 02/26/2020 $173.35 Credit Card 02/25/2020 $50.00 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 Wo will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above name � ¢bntra�tor tl�do the 4ork stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date February 26, 2020 Page 2 of 2 RECEIVET�' Miami Shores Village F e 2 5 20LJ Building Department BY:� 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 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING MECHANICAL [:]PUBLICWORKS FBC 201=1 Master Permit NoMC - 02" 16 I Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 2q_i NE \OCJ St City: Miami Shores County: Miami Dade Zip: 3\ Folio/Parcel#: �\—223\\'J -- O�pV Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ba'\j \6 LQAe. Phone#:�3i"l?)Iu SS U —1 Address: 2C11 N �_ \OS S� City: M\G\M\ cz' 1�)`fit' S State: FL Zip: 3 \3 Tenant/Lessee Name: Pho Email CONTRACTOR: Company Name: p \()w -Tf'.oA i C. COr Phone#: \7z)12uA — Address: ' 11 -t-6 .S W \ _�-> City: 1V4 \ C\ \NA \ State: Zip: 16\44 Qualifier Name: Mac \c) Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Perm' : $ �� �z QO Square/Linear Footage of Work: Type of Work: ❑ Addit on ❑ Alteration ❑ w' Repair/Replace ❑ Demolition Description of Work: T /S.G C-a� Z�� Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEENOWDUE $ + 3s; (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 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. 1 e absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT The foregoing instrument was acknowledged before me this '21�:-> day of �� 20 -2-0 , by -D,&Qty who is personally known to me or who has prod ucecI-1 . �d�� �� 1a�41-µls a CONTRACTOR The foregoing instrument was acknowledged before me this 24+day of 20 ,.G , by RA/DP Z who is personallyknown _pe or who has produced as identificatio who did take an oath. identification and who did take an oath. NOTARY PLEB I : f NOTARY PUBLIC: rELISSA RVERA MG/% MY COMMISSION # G77035 Sigh: /y v u V 1?, . Sign: Print Seal: ° MY COMMISSION # GG96501 T,EXPIRES: April 20, 2021 ****************************** ***** ***** APPROVED BY Print: Seal: ****************************************************** Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) I REMOVE EXISTING AC EQUIPMENT ! NEW DRAIN OVERFLOW SHUT-OFF SWITCH EXISTING RETURN AIR PLATFORM TO REMAIN I EXISTING RETURN AIR GRILLE TO REMAIN I REUSE EXISTING AIR HANDLER PLATFORM NEW WATER SENSOR ON THE FLOOR NEW 4" POURED CONCRETE PAD REUSE EXISTING REFRIGERANT LINES REUSE EXISTING CONDENSATE DRAIN LINE REUSE EXISTING DUCTS REUSE EXISTING ELECTRICAL WIRING REUSE EXISTING LOW VOLTAGE AND CONTROL WIRING MECHANICAL PERMIT EXCLUDED: NEW ALUMINUM CONDENSER STAND NEW AIR HANDLER PLATFORM NEW RETURN AIR GRILLE NEW REFRIGERANT LINES NEW CONDENSATE DRAIN LINE NEW DUCTS NEW LOW VOLTAGE AND CONTROL WIRING NEW ELECTRICAL DISCONNECT BOXES MODIFY EXISTING ELECTRICAL HOUSE PANEL OR BREAKERS NEW ELECTRICAL POWER TO AC EQUIPMENT ELECTRICAL PERMIT PATCHING AND PAINTING SCREEN WALL FOR CONDENSING UNIT NOTE: HOMEOWNER MUST PROVIDE ACCESS TO REMOVE AND INSTALL AIR CONDITIONING EQUIPMENT. EXCLUDED: MODIFY EXISTING AIR HANDLER CLOSET, DUCTS, REFRIGERANT LINES, DRAIN LINE OR ELECTRICAL WIRING. WE WILL NOT BE RESPONSIBLE FOR ANY SWEATING DUCTWORK OR ANY UNDER- PERFORMING DUCTWORK. ANY UPGRADES OR MODIFICATIONS WILL RESULT IN ADDITIONAL CHARGES. EXCLUDED: OPTIONAL 10 YEARS PARTS AND LABOR EXTENDED WARRANTY FOR AC EQUIPMENT. ADDITIONAL COST: $1,298.00. EXCLUDED: OPTIONAL GPSiCLEAN AIR PURIFICATION SYSTEM. ADDITIONAL COST: $1190.00. PRICE IS GOOD THROUGH 02-29-2020 I i COMPLETION i NOTES " Description Qty Rate Total Change out as per Proposal 1.00 $5,732.00 $5,732.00 ....................... .... .........I ... ..... .. ...... .............. . ..... ................. ... .. ......... ........ ............ ................. _............ ........ ....... ........... .............. ......... -................. ................. Credit for keeping the existing thermostat $30.00-$30.00 SUB -TOTAL: TIME & LABOR: EXPENSES: PMTS/DEPS: TOTAL DUE: $5,702.00 $0.00 $0.00 $0.00 $5,702.00 CUSTOMER MESSAGE { PRE -WORK SIGNATURE POST -WORK SIGNATURE . ti Miami SbateS)/illage . . ... ...... •••Bujlding department .' ...IQ950 N.1.24dAvenue.••; Mk"pShores, Florida 33138 • • • .Tel: (105) 7g5.2204 • ....:' . �' Fax:(305r156.8977: .• •.• ••••• AIR CONDITIONING REPLACEMENT DATA ••'••' '..' : ...... PERMIT NUMBER: 11AC • • • • • ••: • This form must accompany ALL air conditioning replacement permit applications. Each unit'chanSO- lil must ' ' •••• be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): 'za iS i 0 5 5 T < City: Miami Shores Village County: Miami Dade Zip Code:3 (3A ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO - ARHI202Sheet12.q A4ttaached: YES EdNo ❑ Contract Attached: YES UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER (Z EC t',CA2 Si0►.SUAi` AHU rPKG.UNITMODEL# E-lQ2�5ti5Ni3 RAHE)0(,0 COND. UNIT MODEL# i?iAl(clo0A-Ttr,3 4 1 C;, -Y,W KW HEAT 10 Kv,3 CS NOM TONS CS AHU ioo CU 38 PKG 1) M.C.A AHU coo CU 394 PKG AHU bo CU 50 PKG 2) M.O.P AHU (,,0 CU 50 PKG AHU230CU 23D PKG 3) VOLTS AHUZbC0CUZ-5OPKG PKG UNIT / / PKG UNIT 1'L•O EE SEER 1S•a YES NO REPLACING DUCTS YES NO YES NO ✓ REPLACING THERMOSTAT YES NO ✓ YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO ✓ NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (F 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Contractor's Company I State Certificat Signature /Breake . A .: i aA-\ & CC C-* CA,CO24"31 ( (Qualifier's signature) . Alriu- (,BOA cJ--sc4, Phone: 30ra 2c�4 -'SOS t Certificate of Competency No. (Revised02/24/2014) p CERTIFIED r og Certificate of Product •• • 000 •••••• • Rating$** ::: •••••• •• • • •• :••::• • •••.•• ::::. • • AHRI Certified Reference Number: 201294137 Date: 02-25-2020 Model State!?: Rdtive • • • • • • • • Old AHRI Reference Number: 7943546 • • • • 00 • • • • • • • • AHRI Type:RCU-A-CB •.•• ; ;••••� •..• Outdoor Unit Brand Name: RHEEM 0000 Outdoor Unit Model Number (Condenser or Single Package) : RA1660AJ1 Indoor Unit Model Number (Evaporator and/or Air Handler) : RBHP-25 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 AHRI 210/240 with Addendum 1, 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 : 56000 SEER: 15.00 EER (A2) - Single or High Stage (95F) 12.50 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 Dublished ratina is shown along with the Drevious (i.e. WAS) rating. 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.ahridIrectory.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, ARM, 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.shridirectory.org, click on "Verify Certificate" link we make life bettei— 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. ©2020Air-Conditioning, Heating, and Refrigeration Institute ' CERTIFICATE NO.: 132271128052734970 • • • • • . • • .. • . • • • • ts ,...,...- ._... FLORIGA GODS NO?10E ca* pM'kCY4ttYtK M i.ftM~ M +„1' tU.Re.r Ain• 1. Vse3at lk+Rspt•. S eCLr pp 3f?� f D - G7P0� Ib'+p 7— Thi. —6110 Y..rd. has a mlti.�+s 700" P o.iCreft. a 2 Pa! rat aflA wrxi :1x.L �sa0 I nr keen grca/aleO Pw l+ gr.,t CcCa Ca+ana t0 50L1D CONCRETE Enginoemd for Miami -Dade v.Flo.cp»< rwsa.C+odetast4cMdupgo#09FOO" ?t.e«s ra 11, 1 "1 s Ton �• t aov 9asms �CXMO 1MSTALLATiON INSTRUCTIONS t Ctxto 2 acceptaL►e egu+pment pad -ze and fastening method that rneetS wrd bad requ ernent_% in your area. Go to www,dovorsitech aim for U egwV--A Dad w9ne enng tables. L% 2 lwvd Ina pad an the ground and ptace equi nrtnt [.M Iw pad. U IRSITEe 3 Secure e T equKrnant to the pad usin41 ,,he tasxw%ing rt>s,~% wet forth in the WA . a t WAIN( ... .. 7 -- ` "may .„� s'rj}� •' -, 7"��r �'4.. ,+�`,�._