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MCC-19-2518Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit No.: MCC-10-19-2518 Permit Type: Mechanical - Commercial Work Classification: Alteration Permit Status: Approved Issue Date:11/07/2019 Expiration: 04/20/2020 Location Address Parcel Number 602 NE 96TH ST, Miami Shores, FL 33138 1132060141410 Contacts MIAMI SHORES PRESBYTERIAN CHURCH Owner MIAMI SHORES PRESBYTERIAN CHURCH 601 NE 96 ST, MIAMI 38, FL 331382741 Other: 3057515917 INNOVATIVE COOLING TECHNOLOGIES Contractor LLC ERNESTO JUAREZ 2825 SW 13 CT, FORT LAUDERDALE, FL 33312 Business: 9549904692 ERNESTO@ICTAIR.COM Mobile: 9548172069 Description: AT&T MAINTANCE REPLACEMENT OF 2 EXISTING Valuation: Inspection Requests: p / $ 12,000.00 3T SPLIT SYSTEM HVAC UNITS WITH LIKE UNITS IN THE SAME 305-762-4949 LOCATIONS AS EXISITNG. Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $7.20 DBPR Fee $5.40 DCA Fee $3.60 Education Surcharge $2.40 Permit Fee $310.00 Scanning Fee $9.00 Technology Fee $9.00 Total: $396.60 Building Department Copy Payments Date Paid Amt Paid Total Fees $396.60 Check # 202 10/23/2019 $50.00 Check # 668 11/07/2019 $346.60 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. 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 above named contractor to do the work stated. / Applicant / Contractor / Agent Date November 07, 2019 Page 2 of 2 l Municipal Contractor's Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT ABILL - 00 NOT PAY CC NO: 1 1 t-1-000328 BUSINESS NAMEMOCATION RECEIPT NO.. INNOVATWEE C0011,NC TECHNOLOGIES LIC 7581121 0J,b4'G E.t5 I-N DADE CO OWNER TYPE OF BUSINESS 1NNOV)1fiUE C.C,011 1C, TE,C, ij ,OI OC.tES SPECIALTY i' EG-tj?NIt—AL C0i'2 1 RAC i O R MIAMtlk1[7i .. /'" 15 9 ✓ 4IAV" EXPIRES EPTEM BER 30, 202 tirah►ant to County Coda Sec 10-24 PAYMENT RECEIVED RY TAX COLLECTOR 200 00 1 1 A)1 /2019 0??9 20 00051 8 This receipt is not valid in the following Municipalities; Avontota, Dotal, Hialeah. Kay Biscayne, Miami Gardens. Miami takes. Palmetto Bay, Pinecrost, Sonny Islas Bench, Town of Cutlor Bay. For more inforumlion. visit wyxwjji ,jrttidatic.uevAoAcoilccter (pOZ S-T /7, �51r �1�3.c,1 ,- �� ao�• � ��� � M• BUILDING RECEIVED Miami Shores Village 0 T 2 3 2019 Building Department BY: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 '( INSPECTION UNE PHONE NUMBER: (305) 762-4%9 FBC 20 I� Master Permit No. Mc0l � 6 - PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING [-]REVISION EXTENSION ❑RENEWAL ❑PLUMBING ® MECHANICAL ❑PUBLIC WORKS []CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR JOB ADDRESS: 602 NE 96 Street DRAWINGS City: Miami Shores County: Miami Dade Zip: ( 3 n Folio/Parcel#: 11-3206-014-1410 Is the Building Historically Designated: Yes NO X Occupancy Type: r Load: Construction Type: ARA Flood Zone: BF,E: FFE: OWNER: Name (Fee Simple Titleholder): Northeast Presyterian Church Inc Phone#: 305-754-9541 Address: 602 NE 96 Street , city; Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: AT&T Mobility Corp Phone#: 407-421-7451 , Email: sean@spiredevelopmentinc.com CONTRACTOR: Company Name: Innovative Cooling Technologies LLC Phone#: 954-817-2609 Address: 2825 SW 13th Ct • "` 1,2 city. Ft Lauderdale State: FL Zip: 33312 Qualifier Name: Ernesto Juarez 1 Phone#: 954-817-2609 State Certification or Registration #: RA13066476 1 ltrtC kC f 'L* Certificate of Competency M _ DESIGNER: Architect/Engineer: NA Phow: Address: City: State: Zip: Value of Work for this Permit: $12,000 Square/Unear Footage of Work: Type of Work: ElAddition ElAlteration ❑ New ❑® Repair/Replace ❑ Demolition Description of Work: AT&T maintenance / replacement of (2) existing 3T split system HVAC units w like for like units in -the same locations as existing Specify color of color fhru tile:_ �- 4A Submittal Fee $:' (� //�yf� Permit Fee $ t CCF $ CO/CC $ Scanning Fee $ ' ! �lJ Radon Fee $ J• O DBPR $ Notary $ Technology Fee $ 9.00 Training/Education Fee $ l Double Fee $ Structural Reviews $ iReviisedo2/24/2014l Bond $ 2 I - TOTAL FEE NOW DUE $ 3 l!J . D Bonding Company's Name (if applicable) Bonding Company's Address city State , r (� Zip Mortgage Lender's Name (if applicable) IV iT 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." Notke 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 commen nt must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In t e sence of such posted notice, the inspection will not be approved and a reinspecdon fee will be charged. SIjnature C/ g)NNER/r AGENT The foregoing instrument was acknowledged before me this dayof5/�/ tE7MgE2 .20 /9 ,by 7 0n14S ! /fM fc 0 , who is personally known to /r me or who has produced PA I VeK S I' (e�NSF as identification and who did take an oath. NOTARY PUBLIC: The for ing iF—)QAr1E'?%vho nt wa ack ledged before me this 1.� 20 by is personally known to me or who has produced C as identification and who did take an oath. NOTARY PUBLIC: Sign:La22, l � Sign: Print: I- , t"5 lLyoo (RO Print• �Oy °ue,� STEVEN L. SILVESTRO Seal. Seal: t MY COMMISSION M FF 982378 + TWA R. KULE Nl \o� EXPIRES: August 13, 2020 {+�'--'�'; ,, q.; ;.: MY COMMISSION A GG 3149% 41 Fie Bonded Thru Budget Notary Services �t ssssssssssssssssssss ssss sssss:s sssssss �ans :�,IsssAPPROVED BYminer Zoning Structural Review Clerk IRevLsed02/24/2024i .1iJ5- l�<��2 e4 .,� OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-014-1410 602 NE 96 ST Property Address: Miami Shores, FL 33138-2742 Owner NORTHEAST PRESBYTERIAN CHURCH Mailing Address 602 NE 96 ST MIAMI, FL 33138 USA PA Primary Zone 6800 COMMERCIAL - PROFESS OFFI Primary Land Use 7144 RELIGIOUS - EXEMPT: RELIGIOUS Beds / Baths / Half 0/0/0 Floors 1 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 47,457 Sq.Ft Lot Size 85,167 Sq.Ft Year Built Multiple (See Building Info.) Assessment Information Year 2019 2018 2017 Land Value $1,192,338 $1,192,338 $1,192,338 Building Value $2,638,443 $2,638,587 $2,638,731 XF Value $122,832 $124,765 $126,697 Market Value $3,953,613 $3,955,690 $3,957,766 Assessed Value $3,953,613 $3,955,690 $3,957,766 Benefits Information Benefit Type 2019 2018 2017 Religious Exemption 1 $3,953,613 $3,955,690 $3,957,766 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 2 PB 10-37 LOTS 1 TO 10 INC BLK 61 LOT SIZE IRREGULAR Generated On: 7/13/2019 Taxable Value Information 2019 2018 2017 County Exemption Value $3,953,613 $3,955,690 $3,957,766 Taxable Value $0 $0 $0 School Board .Exemption Value $3,953,613 $3,955,690 $3,957,766 Taxable Value $0 $0 $0 City Exemption Value $3,953,613 $3,955,690 $3,957,766 Taxable Value $0 $0 $0 Regional Exemption Value $3,953,613 $3,955,690 $3,957,766 Taxable Value $0 $0 $0 Sales Information Previous Sale PriceOR Book -Page Qualification Description The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:/hvww.miamidade.gov/info/disclaimer.asp Version: UIVISION OF UORPORATIUN.] Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Not For Profit Corporation MIAMI SHORES PRESBYTERIAN CHURCH Filing Information Document Number 713938 FEI/EIN Number 59-0689708 Date Filed 01/15/1968 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 06/28/2019 Event Effective Date NONE Principal Address 602 N E 96 ST MIAMI, FL 33138 Changed: 05/04/2001 Mailing Address 602 N E 96 ST MIAMI, FL 33138 Changed: 05/04/2001 Registered Agent Name & Address MIDDLETON, J. LANE, III 2121 PONCE DE LEON BLVD - STE 600 CORAL GABLES, FL 33134 Name Changed: 04/28/2003 Address Changed: 01 /10/2014 Officer/Director Detail Name & Address Title PT TIMKO, THOMAS -7AA AIC AC+L. C�..,..� Title VT McARDLE, PETER 3536 NE 168th ST APT # 501 NORTH MIAMI BEACH, FL 33160 Title ST WALLACE, LESLIE 518 NE 106TH STREE T MIAMI SHORES, FL 33138 Annual Rem Report Year Filed Date 2017 04/25/2017 2018 02/26/2018 2019 04/22/2019 Document Images 06/28/2019 — Amendment 04/22/2019 — ANNUAL REPORT 02/26/2018 — ANNUAL REPORT 04/25/2017 — ANNUAL REPORT 04/11/2016 — Amendment 04/04/2016 — ANNUAL REPORT 04/20/2015 — ANNUAL REPORT 04/14/2014 — ANNUAL REPORT 01 /10/2014 -- Reg. Agent Chvigg 04/15/2013 — ANNUAL REPORT 02/21 /2012 -- ANNUAL REPORT 03/14/2011 —ANNUAL REPORT 04/20/2010 -- ANNUAL REPORT 03/10/2009 -- ANNUAL REPORT 03/27/2008 -- ANNUAL REPORT 03/19/2007 -- ANNUAL REPORT 04/13/2006 -- ANNUAL REPORT 02/10/2005 — ANNUAL REPORT 04/29/2004 — ANNUAL REPORT 04/28/2003 — ANNUAL REPORT 05/16/2002 -- ANNUAL REPORT 05/04/2001 --ANNUAL REPORT 03/31/2000 -- ANNUAL REPORT 03/09/1999 — ANNUAL REPORT 08/26/1998 -- ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF fonnat J View image in PDF format J View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format l View image in PDF format View image in PDF format View image in PDF format ti f35 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) I CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. BUSINESS NAME: BUSINESS ADDRESS: v CITY J &4&4&rA4—, STATE ZIP 0--712 BUSINESS PHONE: QQO' q6'n � FAX NUMBER (Y '( ) f 30 - 46-57- CELL PHONE (aft'W 61' QUALIFIER'S NAME: f�w 104� QUALIFIER'S LIC NUMBER: ll A 000 Notice to Owner — Workers' Com Miami Shores Vi'llage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 nsation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full -rime employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part -rime employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of 0 Notary: SEAL: , 20. who is personally known to me or has produced as identification. Miami -Dade County - Building and neighborhood Compliance Office Page 1 of 1 Home I Product Control I Contractors I Building Officials I Contact us Contractor License Information Contractor Number: 11 M000328 Contractor name: INNOVATIVE COOLING TECHNOLOGIES LLC Address: 2825 SW 13 CT City, St, Zip: FORT LAUDERDALE Phone: (954) 990-4692 Other Phone: Fax: (954)530-9652 Email: ERNESTO@ICTAIR.COM D/B/A: Contractor Status: ACTIVE FL 33312 Class Category Category Description Expiration Date MECH 2 A/C - LTD 09/30/2021 MECH 18 REFRIGERATION LTD 09/30/2021 CONTRACTOR INQUIRY COMPLETE BCCO Contractor Inquiry and Complaint Search I BCCO Home Page I State License Search Menu Home I About I Phone Directory I Privacy I Disclaimer © 2001 Miami -Dade County. All rights reserved. http://egvsys.miamidade.gov:1608/W W WSERV/ggvt/BNZAW941.DIA?CNTR=11 M00... 10/23/2019 010019 Local Business Tax Receipt Miami —Dade County, State of Florida THIS IS NOT A BILL — 00 NOT PAY 6923008 atltTltItI UNIUM11011 IIsm"010. INNOVATIVE COOLING TECHNOLOGIES LLC RENEWAL DOING BUS INDADE{O 7199086 MIAMI FL 33000 SMEMBER 30, 2020 Must be displayed at place of business Pursuant to County Coda Chapter BA - An. 9 & 10 OWNIR OFINUMUS INNOVATIVE COOLING TECHNOLOCdFS 196 SPEC MECHANICAL CONTRACTOR IAIMM wtevle IIM000328 h11Ati00UIMA $75.00 07/)6/2019 Worker(s) 1 CHECK21-19-060686 This late! Buslass Tax ReMiN ah ew0 ms Poap�mlat of do lain Busiaeee Tax. TW I staig Is not a lieems. 1�iC or a artieoaden al Ihobelder's �aa111102dom to do kohmm Rofdk eearpQr whh any Bararmantal K noaperento weal foostary Iowa am requiraoronq wldeh a1* 1011p .Tbe RKU" No-.Na" am bo disPIM6 ea eB dal V26MIes-MmI-0ade Code Set Na-m For more irdonsatiaa, Visit 1 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100. Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2019 THROUGH SEPTEMBER 30, 2020 DBA: INNOVATIVE COOLING TECHNOLOGIES Receipt #:H6ATIN4G1/AIRCONDITION CONTRACTR Business Name: LLC Business Type: (CLASS B AIR CONDITONING Owner Name: ERNESTO J JUAREz Business Location: 2825 SW 13 CT FT LAUDERDALE Business Phone:954-990-4692 Rooms seats Number of Machines: Tax Amount Transfer Fee I NSF Fee 27.00 0.001 0.00 CONTRACTOR) Business Opened:o5/o1/2011 State1County1Cert/Reg:CC#11-CML-17127 -x Exemption Code: Employees Machines Professionals 2 Penalty Prior Years Collection Cost I Total Paid 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is In compliance with State or local laws and regulations. Melling Address: INNOVATIVE COOLING TECHNOLOGIES Me 2825 SW 13 CT FORT LAUDERDALE, FL 33312 2019 - 2020 Receipt #iCP-16-00010125 Paid 07/16/2019 27.00 07/IS/2019 Effective Date INNOV03 ACOR,O` CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)08/26/2019 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 endorsements . PRODUCER 954-340-9551 INNOVATIVE INSURANCE CONSULTANTS, INC. 5461 UNIVERSITY DRIVE, #103 CORAL SPRINGS, FL 33067 MATTHEW B. FALUSKI C TACT MATTHEW B. FALUSKI PHONE 954-340-9551 IF 954-340-9456 (A/C, No, Ext): (A/c, Nu): E-MAIL INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: NATIONAL BUILDERS INS. CO. 16632 Ijy$},l�[�,(Q�TIVE JDOLING yt tZCSrrgrnyCjL�3 IpC L LC FORT LAUD WEE, FL 33312 INSURER B:AMERICAN BUILDERS INS. CO. 11240 INSURER C : INSURER D : INSURER E : INSURER F : COVFRAGFS CFRTIFICATF NUMRFR- RFVISION NIIMRFR- 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 TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR BLANKET ADDL INSD GLP0240208-02 PRIMARYMON-CONTRIBUTORY 05/27I2019 05/27/2020 EACH OCCURRENCE 1,000,000 pR MGE T ERENTED 300,000 X MED EXP (Any one 10,000 X BLANKET WAIVER PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [XI JECOT- LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS EEDp AUTOS ONLY AUTO ONNLY COMBINED SINGLE LIMIT E n BODILY INJURY Perperson) BODILY INJURY Per accident PRarr acEdRdent AMAGE UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED I I RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY (AQ�N�FY PROPRIIETgO�R�/PARTNER/EXECUTIVE Y/N (MandEE in NH) EXCLUDED? If es, desaibe under DESCRIPTION OF OPERATIONS below N / A WCV0240210-02 BLANKET WAIVER INCLUDED 05/27/2019 05/27/2020 X P7R T X OTH- E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE 1,000,000 $ E.L. DISEASE - POLICY LIMIT 11000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached M more space is required) LIC #11 M000328 MIAMISI MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD This combination qualifies for a Federal Energy Efficiency tax Credit when placed in service between Feb 17,2009 and Dec 31, 2016. Cer6ficate of Product Ro"atinas AHRI Certified Reference Number: 10399150 Date: 07-23-2019 Model Status: Active AHRI Type: HRCU-A-CB "' w Outdoor Unit Brand Name: LG Outdoor Unit Model Number: LUU368HV Indoor Type: Mini -Splits .. •... Indoor Model Number(s) : LVN360HV4 • • • • • • • • •••••• •••• •••••• Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Perform : u R* ting of Unitary 0 • Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, indeWp; ,nt, third q�ty tq�sting: • • • • •••• • •• Cooling Capacity (9517) : 36000 ••••• •••••• • • ••••• • • EER (95F) : 12.50 •• •• •• •• •••••• SEER: 18.00 • • • . • • . •••... High Heat 40000 ; �. ' (47F) : . 000000 Low Heat (1717) : 25600 • .: • • HSPF : 10.00 Sold in?. USA, Canada }--s " rl ��rr>rsVill:rgP _ DL Tr -+, 1, ,o ��� 1ptiCE wi rrru. .T� f"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 accomDanied by WAS indicate an involuntary re -rate. The new Dublished ratino is shown alono 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 j�� This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and ? /�`,_ {.1LJ IJ confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; �frJl entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be veiified at www.ahrldlrectory.ore, click on "Verify Certificate" link uv make life betteP- 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.: 132083737707837029 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 NE 96 Streetg done): • City: Miami Shores Village County: Miami Dade Zip Codl? 3.�'L38 • • • • • • • • • • ...... ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CO NGRETE:SLAB • • • • • ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVAMON . o . : ""' .. .. .. .. ...... A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALi • . • • • 00 • AHRI DATA SHEET REQUIRED • .... . . . .. Change disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attaogd:rY.ES EF • 0' • ••. UNIT BEING REPLACED DATA NEW UNIT Carrier MANUFACTURER FK4CNF003 AHU or PKG. UNIT MODEL # 38H C036321 COND. UNIT MODEL# NA KW HEAT NA 3 NOM TONS AHU 16 CU 4UpKG 1) M.CA AHU 4(tU 40 PKG AHU CU 32 PKG 2) M.O.P AHU TT CU 32 PKG AHU CU PKG 3)VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / NA EER EER 12.5 YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES I NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 8awg 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/: 4. Size Disconnecting Mea Contractor's Company Na State Certificate or Reid:2, 40 208 60 Inovative Cooling Technologies Phone: 954 817 2069 RA130VA of Competency No. 110 7/18/19 (RWASeWV24/2014) Replace existing condensers on ground proposed like for like condensers Replace existing air handler with ,N'-, D proposed air r 2• handler 3'-0• r-2 4.4• 3•-0 r-W r-W 4 � 0009 s" - SW i Propos3d '^ HVAC Smart controller � ,'-to• ,aAt•/9a,o,r 1900 00 l c MNIOKIAUNITS I I I / �3• CRACK� PA I ��— I L�� yyY NOKIA NOKIA 24V BATTERY 2 0 850 8•5�0 �, ST POWER g Replace I, existing cIr handler with proposed air handler 2 !/2' SHELTER PLAN FL-SFL-M 1 39_ � • � � •• ••• •• • � � � � • • • •• CABLE TRAY SG/F 3/4•-t'-(3! •MIN: IY • tY A SCALE 3/8•-1'-0W (It- 177 TRA7 GEA3Kt -0- TI.9M FLOOR i'-- • • • •• ^°9�1p/i CINGULAR WIRELESS betacom SITE NUMBER: FA10070209 SIM NAME: Min W2 H.E. 96IH Sf. • • • • • • c Xcingular •° • • °" •' >a a o a °� °� °� t,,, I Incerp°I9t4N /MAN R. U12SI RNBWf3THE�� : • A . , AAW . •' _..r m•m •n w •.�. •„ 4• 0.�L�11JN¢i102 6 5 4 3 ••• • • • • ••• 2 • • MAC 9ff • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Job Name/Location: Mars Air Tag #: Date: 6/10/2019 For: El File ❑ Resubmit - - PO No.: ❑ Approval ElOther ©CO Architect: GC: Engr: NA Mech: Rep: Thermal Resource Sales - Norcross GA Shannon Buice LV180HV49 ,.Single Zone Vertical Air Handler`Unit :x. 'Outdoor Mi,t Uj - LULj j ,indoor Unit (IDU)LVN180H�%4'"'� a e. Performance: Cooling: Cooling (Min -Rated -Max, Btu/h) 8,000-18,000 - 24,000 SEER/EER 19.0/13.33 SEER - Seasonal Energy Efficiency Rating EER - Energy Efficiency Rating Heating: Heating (Min -Rated -Max, Btu/h) 9,000 - 20,000 - 23,000 HSPF 9.5 HSPF- Heating Seasonal Performance Factor Cooling Nominal Test Conditions: Heating Nominal Test Conditions: Indoor: 80'F DB/67'F WB Indoor: 70°F DB/60°F WB Outdoor: 957 DB/75`F WB Outdoor: 47°F DB/43°F WB Electrical: Power Supply (VI/Hz/0) 208-230 / 60 / 1 Outdoor Unit: MOP (A) 30 MCA (A) 20 Cooling Rated Amps (A) 15.1 Compressor (A) 13.5 Fan Motor (A) 1.6 MOP- Maximum Overcurrent Protection MCA - Minknum Circuit Ampadty Total Power Input: Cooling Power Input (Min -Rated -Max, kW) 0.65 -1.35 - 2.70 Heating Power Input (Min-Rated-Max,kW) 0.65 - 1.60 - 2.10 Piping: Liquid Line (in, OD) 3/8 Vapor Line (in, OD) 5/8 Additional Refrigerant (oz/ft) 0.43 Min/Max Pipe Length (ft)2 6.6/164 Pipe Length (no add'i Refrigerant, ft) 24.6 Max Elevation (ft) 98.4 Features: *ESP control *Auto restart *Hot start •Group control *Optional Wi-Fi *Timer (on/off) Optional Accessories: Operating Range: Outdoor Unit: Cooling (°F DB) • . 5 - 118 Heating F WB Indoor Unit: •• • ••.. Cooling (°F W B) ' • •' • • • "" •' �'} `/� Heating (°F DB) Unit Data: • Refrigerant Type/Conwh • • • • • R4t@;/k V Refrigerant Charge (IIJsl " " " • eeal5 ODU Sound Pressure &;ax;&;ol/Heat) tAB(A)3 4812 IDU Sound Pressure (. /M/Lj ±3 dB(R)z • • • • 42/42/4} ODU Net Weight (lbsr..' ; • . • : • • 01% ODU Shipping Weight (Ibs) so:..* 141 IDU Net Weight (Ibs) 129 IDU Shipping Weight (Ibs) 140 Fan: ODU/IDU Fan Type Propeller/Sirocco Fan Speeds (Fan/Cooling/Heating) 3/3/3 Fan Quantity (ODU +IDU) 1 + 1 Motor/Drive Brushless Digitally Controlled / Direct ODU Air Circulation (CFM) 2048 IDU Air Circulation H/M/L (CFM) 640 / 580 / 480 External Static Pressure (ESP) Factory Default (in-wg) 0.3 Minimum ESP/Fan Setting Value 0.1/63 Maximum ESP/Fan Setting Value 0.5/88 Dehumidification Rate (pts/hr) Notes: 1. Acceptable operating voltage: 187V - 253V. 2. Piping lengths are equivalent. 3. Sound Pressure levels are tested in an anechoic chamber under ISO Standard 3745. 4. Fan setting value correlates to High speed air Row. S. All power/communication cable to be minimum 18 American wire gage (AWG), 4- conductor, stranded, shielded or unshielded wire and must comply with applicable local and national code. If shielded, the wire must be grounded to the chassis at the outdoor unit only. 6. Power wiring cable size must comply with the applicable local and national code. 7. The Indoor unit comes with a dry helium charge. a. This data is rated 0 It above sea level, with 25 ft of refrigerant line and a 0 It level difference between outdoor and Indoor units. 9. Must fellow installation instructions in the applicable LG installation manual. ❑ Simple Controller - PREMTC000 10. If the optional low ambient wind baffle (ZLABGP04A) is used, one wind baffle is required for each ODD fan. ❑ Wi-Fi Module - PW FM DD200 11. Electric heater accessory available in 3kW, SkW, 8kW, and 10kW capacities. Refer to the eng❑ LGMultiSITET'CRC1Controller -PREMTBVCO 12.Conringmnotincluanual for detaik. 12. Controller not included. ❑ AC Smart 5 - PACS5A000 *Sleep mode *Built in dry contact •Inverter (variable speed fan) ❑ ACP 5 - PACP5A000 ' - 1 ❑ Inverter Base Pan Heater for ODU - PQSH1200 VCtr.� r ❑ Low Ambient Wind Baffle (cooling operation to -4°) - ZLABGP04AtO ❑ Electric Heater 3kW - ANEH03381tt ❑ Downflow Conversion Kit - PNDF10 C� L r For continual product development, LG reserves the right to change specifications without notice. C• us 0 LG Electronics U.S.A., Inc., Englewood Cliffs, NJ. All rights reserved. "LG Life's Good" is a registered trademark of LG Corp. /www.lghvac.com SB SZ VAHU LV180HV4 2019 04 30 135214 Page 1 of 4 Job Name/Location: Mars Air W Liquid Pipe Vapor Pipe Drain Connections for Upflow Application Factory Configurations Vertical Upflow Air Flow LGDate: Tag #: 6/lo/2oi9 Life's Good an nlrt - ❑ Field Configurations • Vertical-downflow • • • • . ........ •••• •••••• Air Filter Cover • ' • •••••• ...... Liquid Pipe ••••. •• ••••• \ • • Vapor Pipe ..... . . ..... .. .. •• •• •••••• ...... . . •••••• Drain • • • •••••• Connections • • • . • • . • • for Downflow 0000 Application A Air Flow Air Filter Cover Requires vertical downBow kit ❑ ❑ Horizontal Left Air Flow Liquid Pipe Drain Connection Air Vapor Pipe for Horiz Left Filter Application Cover Horizontal Right U Air Flow Air Drain Connection Liquid Pipe Filter for Horiz Right Vapor Pipe Cover Application For continual product development LG reserves the right to change speciricatlons without notice. Q LG Electronics U.S.A., Inc., Englewood oiffs, NJ. All rights reserved. "LG Life's Good" is a registered trademark of LG Corp. /www.lghvac.com SB SZ VAHU LV180HV4 2019 04 30 135214 Page 2 of 4 Job Name/Location: Mars Air ;i 0 M L Tag M Date: 6/10/2019 Lifes Good p0 No.: MITI II+It111�1�1 ` A I• • x tt -cpE•••S0 o E .) O O � 1 p •� 2 I p p p' d � � •V • h p • • d � •� • �a a 7.S .��c7 o K p 1 • .a v For continual product development, LG reserves the right to change specifications without notice. 0 LG Electronics U.S.A., Inc., Englewood Cliffs, NJ. All rights reserved. "LG Life's Good" is a registered trademark of LG Corp. /www.ighvac.com SB SZ VAHU LV180HV4 2019 04 30 135214 Page 3 of 4 r Job Name/Location: Mars Air w Supply Air opening 11/16 1-9116 1-15/16 I i 0 0�� TOP VIEW Return Air opening Tag #: Date: 6/10/2019 Life's Good PO No.: 1-5/8 1-9116 17/8" Wiring knockouts 7/8" Wiring knockouts -11/16" Wiring nockouts BOTTOM VIEW Unit: inches Note: All measurements have a tolerance of ±1/4 in. 11 rn ? Drain connection for horizontal left application • % SIDE VIEiJ * • . • • • • • • • • • • • • . • • • • • •••••• •••••• • • • •• • • •• • • •••• 9-15,116 13 FRONT VIEW Liquid pipe Vapor pipe Drain connection for horizontal right application Drain connection for upflow application 71 co For continual product development, LG reserves the right to change specifications without notice. LG Electronics U.S.A., Inc., Englewood Cliffs, NJ. Ali rights reserved. 'LG Life's Good" is a registered trademark of LG Corp. /www.lghvac.com SB SZ VAHU LV190HV4 2019 04 30 135214 Page 4of4 Job Name/Location: Mars Air Date: 6/10/2019 PO No.: Architect: For: ❑ File ❑ Resubmit ❑ Approval ❑ Other GC: Engr: NA Mech: Rep: Thermal Resource Sales - Norcross GA Shannon Buice Performance: Cooling: ISCooling (Min -Rated -Max, Btu/h) 9,000 — 24,000— 28,000 EER/EER 18.0/12.50 SEER - Seasonal Energy Efficiency Rating EER - Energy Efficiency Rating Heating: Heating (Min -Rated -Max, Btu/h) 10,000 — 27,000 ^ 30,000 HSPF 10 HSPF- Heating Seasonal Performance Factor Cooling Nominal Test Conditions: Heating Nominal Test conditions: Indoor: 8D F D13/677 WS Indoor: 70°F D13/607 WS Outdoor: 95'F DS/75`F WB Outdoor: 47°F DB/43°FW8 Electrical: Power Supply (Vt/Hz/0) 208-230 / 60 / 1 Outdoor Unit: MOP (A) 30 MCA (A) 20 Cooling Rated Amps (A) 15.1 Compressor (A) 13.5 Fan Motor (A) 1.6 MOP - Maximum Overcurrent Protection MCA - Minimum Circuit Ampadty Total Power Input: Cooling Power Input (Min -Rated -Max, kW) 0.70 - 1.92 - 3.20 Heating Power Input (Min-Rated-Max,kW) 0.75 - 2.26 - 2.80 Piping: Liquid Line (in, OD) 3/8 Vapor Line (in, OD) 5/8 Additional Refrigerant (oz/ft) 0.43 Min/Max Pipe Length (ft)2 6.6/164 Pipe Length (no add'I Refrigerant, ft) 24.6 Max Elevation (ft) 98.4 Features: *ESP control •Auto restart *Hot start *Group control -Optional Wi-Fi *Timer (on/off) Optional Accessories: M-i Life's Good Operating Range: Outdoor Unit: O LG Cooling ('F DB) 5 - 118 Heating ("F WB) :••••• ].4.- Indoor Unit: • • • •00*0 Cooling ("FWB) •••�•• •••• •SYR; Heating (°F DB) •••••• • • 59-81 Unit Data: •""• :00 '. • Refrigerant Type/Contwj•••+ • • 1341194W Refrigerant Charge (lb9l••••• •••••: 044M4 ODU Sound Pressure NPjC6(:/Heat) t3 t!B(A)3 484 IDU Sound Pressure (H7M/L) A dB(A2... % 4f/a21414 ODU Net Weight (Ibs) • ••• • +61": ODU Shipping Weight (Ibs) '.;.. • 141 IDU Net Weight (Ibs) 129 IDU Shipping Weight (Ibs) 140 Fan: ODU/IDU Fan Type Propeller/Sirocco Fan Speeds(Fan/Cooling/Heating) 3/3/3 Fan Quantity (ODU + IDU) 1 + 1 Motor/Drive Brushless Digitally Controlled / Direct ODU Air Circulation (CFM) 2048 IDU Air Circulation H/M/L (CFM) 710 / 640 / 480 External Static Pressure (ESP) Factory Default (in-wg) 0.3 Minimum ESP/Fan Setting Value 0.1/67 Maximum ESP/Fan Setting Value4 0.5/92 Dehumidification Rate (pts/hr) 2.5 Notes: 1. Acceptable operating voltage: 18N - 253V. 2. Piping lengths are equivalent 3. Sound Pressure levels are tested in an anechoic chamber under ISO Standard 3745. 4. Fan setting value correlates to High speed air Row. S. All power/communication cable to be minimum 18 American wire gage (AWG), 4- conductor, stranded, shielded or unshielded wire and must comply with applicable local and national code. If shielded, the wire must be grounded to the chassis at the outdoor unit only. 6. Power wiring cable size must comply with the applicable local and national code. 7. The indoor unit comes with a dry helium charge. 8. This data is rated Oft above sea level, with 25 ft of refrigerant line and a Oft level difference between outdoor and indoor units. 9. Must follow installation instructions In the applicable LG installation manual. ❑ Simple Controller -PREMTC00U 10. If the optional low ambient wind ba(fle(ZLABGP04A) is used, one wind baffle is required For each ODU fan. ❑ Wi-Fi Module -PWFMDD200 11. Electric heater accessory available in 3kW,SkW, SkW, and 1OkW capacities. Refer to the ❑ LGMUItiSITE-CRC1Controller -PREMTBVCO 1.2.Coeringmnotincluanual for det. 12. Controller not included. ❑ AC Smart 5 - PACS5A000 ❑ ACP 5 - PACP5A000 Base Pan Heater for ODU - PQSH1200 In er -Imp �' ❑ Low Ambient Wind Baffle (cooling operation to -4") - ZLABGP04A7O ❑ Electric Heater 3kW - ANEH033B1ttGO ElDownflow Conversion Kit - PNDFJO C US For continual product development, LG reserves the right to change specifications without notice. *Sleep mode *Built in dry contact *inverter (variable speed fan) 0 LG Electronics U.S.A., Inc., Englewood Cliffs, NJ. All rights reserved. "LG Life's Good" is a registered trademark of LG Corp. /www.Ighvac.com SB SZ VAHU LV240HV4 2019 04 30 135214 Page 1 of 4 Job Name/Location: Mars Air ro, Factory Configurations LG Tag M Date: 6/10/2019 Lifes Good pry Nn Field Configurations Vertical Upflow Vertical Dopflow • ... • - Air Filter Cover • • • • • • • 0000*0 TAirLiquid Pipe ow Vapor Pipe • .... • • • •' • • • • • •••••• • • ••••• •• •• •• •• •••••• • Drain • • •••••• ..• Connection % s • • • • for Downflow • ' ' Liquid Pipe Application -� •_ -- -' • � 0 • . • • Vapor Pipe `• Air Drain Flow Connections for Upflow Application —+ Air Filter Cover Requires vertical downf7ow kit ---------------------------------------------------------------------------------------- Horizontal Left Air Flow r I Liquid Pipe / Drain Connection Air Vapor Pipe for Horiz Left Filter Application Cover Horizontal Right Air Flow .a.• (rig L f Air Drain Connection Liquid Pipe Filter for Horiz Right 'Vapor Pipe Cover Application For continual product development, LG reserves the right to change specifications without notice. 0 LG Electronics U.SA., Inc., Englewood Cliffs, NJ. All rights reserved. "LG Lifes Good" is a registered trademark of LG Corp. /www.lghvac.com SB SZ VAHU LV240HV4 2019 04 30 135214 Page 2 of 4 Job Name/Location: Mars Air (a LG Tag #: Date: 6/lo/2oi9 Life s Good an hi,, m, j;,?far olOP• _ qi p,l T I -r-TT I�ItI itl+till i 11!�Fill .111 1 G a u m m O C � a � �C d C A O O A A e T _ c •••••• F I Y. _i •i }�__ i m l- i•i• • • i •••••.• t • o x m ••i• • •••••• • • • • J. N • • m m mi••yf u • •m - E I • i• • • • ••••• L G c � � • • . p A _ m • O O O• Q •r3 • v p I f N �tlf A U � Z • • • • • • • • G � a. 7 a 6i A b' A n. • x 3 c� O �'•�••• u •[ i u. � • • 000 For continual product development LG reserves the right to change specifications without notice. 0 LG Electronics U.S.A., Inc., Englewood Cliffs, NJ. All rights reserved. "LG Life's Good" Is a registered trademark of LG Corp. /www.lghvac.com 58 SZ VAHU LV240HV4 2019 04 30 135214 Page 3 of 4 Job Name/Location: nears Air Supply Air opening W liti:7i[�t3Gif[� IN I - - - --il TOP VIEW Return Air opening 7/8" Wiring knockouts -11/16" Wiring nockouts Tag #: (a LG Date: 6/10/2019 Life's Good PO No.: 9 BOTTOM VIEW Drain connection 9-15116 for horizontal left application t3 Unit: inches Note: All measurements FRONT VIEW have a tolerance of ±114 in. Liquid pipe Vapor pipe Drain connection for horizontal right application Drain connection for upflow application co iT For continual product development, LG reserves the right to change specifications without notice. LG Electronics U.S.A., Inc., Englewood Cliffs, NJ. AN rights reserved. 'LG Life's Good" Is a registered trademark of LG Corp. /www.lghvac.com SB SZ VAHU LV240HV4 2019 04 30 135214 Page 4 of 4 Job Name/Location: Mars Air Date: 6/10/2019 PO No.. Architect: For: ❑ File ❑ Resubmit ❑ Approval ❑ Other GC: Engr: NA Mech: Performance: Cooling: Cooling (Min -Rated -Max, Btu/h) 14,000 - 36,000- 44,000 I SEER/EER 18.0/12.50 SEER - Seasonal Energy Efficiency Rating EER - Energy Efficiency Rating Heating: Heating (Min -Rated -Max, Btu/h) 15,000 - 40,000 -47,000 HSPF 10 HSPF - Heating Seasonal Performance Factor Cooling Nominal Test Conditions: Heating Nominal Test Conditions: Indoor: 801 DB/67'F WS Indoor: 707 DB/60'F WB Outdoor: 95'F D8/75'F WS Outdoor: 47'F DB/43'F WB Electrical: Power Supply (V'/Hz/0) 208-230 / 60 / 1 Outdoor Unit: MOP (A) 40 MCA (A) 32 Cooling Rated Amps (A) 24.2 Compressor (A) 21.0 Fan Motor (A) 1.6 x 2 MOP - Maximum Overcurrent Protection MCA - Minimum Circuit Ampacity Total Power Input: Cooling Power Input (Min -Rated -Max, kW) 1,25 - 2.88 - 4.80 Heating Power Input (Min-Rated-Max,kW) 1.35 - 3.39 - 5.05 Piping: Liquid Line (in, OD) 3/8 Vapor Line (in, OD) 5/8 Additional Refrigerant (oz/ft) 0.43 Min/Max Pipe Length (ft)2 6.6/246 Pipe Length (no add'I Refrigerant, ft) 24.6 Max Elevation (ft) 98_4 Features: *ESP control •Auto restart *Hot start *Group control *Optional Wi-Fi *Timer (on/off) Optional Accessories: •Sleep mode *Built in dry contact *Inverter (variable speed fan) III, 53 )od Operating Range: Outdoor Unit: ©LG M Cooling ("F DB) 5 -118 Heating ('F WB) -4 - 64 Indoor Unit: ••••.• Cooling ('F WB) • • • • : 0000 5Z-117 Heating (°F DB) �•0609• ..501 Unit Data: 000000 . Refrigerant Type/COntrOT * • • : •. % R410A/EEG Refrigerant Charge (IIA .... • • •Z.S ODU Sound Pressure &4ez4G8`ol/Hea1)rd,3 4A)3 • • g1/b�l IDU Sound Pressure (hjM&:3 dB(A)3 • 45/4*743 ODU Net Weight (lbsj ' ' • • • • 4S ODU Shipping Weigh b(ybsf • • :. •.24 IDU Net Weight (Ibs) • • • •••. 165 IDU Shipping Weight (Ibs) 188 Fan: ODU/IDU Fan Type Propeller/Sirocco Fan Speeds (Fan/Cooling/Heating) 3/3/3 Fan Quantity (ODU + IDU) 2 + 1 Motor/Drive Brushless Digitally Controlled / Direct ODU Air Circulation (CFM) 1,942 x 2 IDU Air Circulation H/M/L (CFM) 1,100 / 1,000 / 900 External Static Pressure (ESP) Factory Default (in-wg) 0.3 Minimum ESP/Fan Setting Value 0.1/65 Maximum ESP/Fan Setting Value4 0.5/92 Dehumidification Rate (pts/hr) 3.4 Notes: 1. Acceptable operating voltage: 18N - 253V. 2. Piping lengths are equivalent 3. Sound Pressure levels are tested in an anechoic chamber under ISO Standard 3745. 4. Fan setting value correlates to High speed air Row. 5. All power/communication cable to be minimum 18 American wire gage (AWG), 4- conductor, stranded, shielded or unshielded wire and must comply with applicable local and national code. If shielded, the wire must be grounded to the chassis at the outdoor unit only. 6. Power wiring cable size must comply with the applicable local and national code. 7. The indoor unit comes with a dry helium charge. 8. This data is rated Oft above sea level, with 25 It of refrigerant line and a Oft level difference between outdoor and indoor units. 9. Must follow installation instructions in the applicable LG installation manual. ❑ Simple Controller -PREMTC000 10. If the optional low ambient wind baffle(ZLABGP04A) is used, one wind baffle is required ❑ Wi-Fi Module -PWFMDD200 for each ODU fan. 11. Electric heater accessory available in 3kW,5kW,8kW, SOkW, 15kW, and 20kW capacities. ❑ LG MUItiSITE-CRC1 Controller Refer the engineering manual for details. Coto 12.C 2. Controller not included. ❑ AC Smart 5 - PAC55A000 ❑ ACP 5 - PACP5A000 ❑ Base Pan Heater for ODU - PQSH1200 Inverter g ❑ Low Ambient Wind Baffle (cooling operation to -4°) - ZLABGP04A7O �- ❑ Electric Heater 3kW - ANEH033131" �,� El Conversion Kit - PNDFKO C US For continual product development, LG reserves the rightto change specifications without notice. 0 LG Electronics U.S.A., Inc., Englewood Cliffs, NJ. All rights reserved. "LG Life's Good" is a registered trademark of LG Corp. /www.lghvac.com SB SZ VAHU LV360HV4 2019 04 30 135214 Page 1 of 4 Job Name/Location: Mars Air r_ Factory Configurations Vertical Upflow r Tag M L Date: 6/10/2019 Lifes Good on nln - Air Filter Co Liquid Pipe Vapor Pipe r Drain Connection; for Downflov Liquid Pipe �t Application Vapor Pipe Grain Connections for Upflow Application.— --`----- •. Field Configurations ver ;ca► uowntiow 04 rer • • • • Air Flow • • Air Filter Cover Requires vertical downflow kit ---------------------------------------------------------------------------------------- ❑ ❑ Horizontal Left Air Flow All T Liquid Pipe Drain Connection Air Vapor Pipe for Horiz Left Filter Application Cover Horizontal Right Air Drain Connection ``Liquid Pipe Filter for Horiz Right Vapor Pipe Cover Application Air Flow For continual product development LG reserves the right to change specifications without notice. 0 LG Electronics U.S.A., Inc., Englewood Cliffs, NJ. All rights reserved. "LG Life's Good" is a registered trademark of LG Corp. /www.lghvac.com SB SZ VAHU LV360HV4 2019 04 30 13S214 Page 2 of 4 Job Name/Location: MarSAir (a LG Tag #: Date: 6/10/2019 Lifes Good PO No.: 1 u •; ,P✓1��1W'``��' w�, I Afi'Q�•' w=w: T CL c 6f c 0 C U O m 0 S 0 A U u C O m 0 o 0 m 0 t �b•Fd m •E C C U • a1•c p o U v m W_ •+ o Et � w •� •E O v C: �i�. � YI o •T o' _ � b •a i 4 a a c� li• m� n •r0 �c1 R i"/ q O •••• • • •••••• •• •• • • ••••• •• •• •••••• c • • • • • C • • • • so 0 ^Q • •••• .E P. For continual product development, LG reserves the right to change specifications without notice. ® LG Electronics U.S.A., Inc., Englewood Cliffs, NJ. All rights reserved. "LG Life's Good" Is a registered trademark of LG Corp. /www.Ighvac.com SB SZ VAHU LV360HV4 2019 04 30 135214 Page 3of4 Job Name/Location: Mars Air N Supply Air opening 3/16 11 1-9/16 1.15116 i - i i i Return Air opening Unit: inches Note: All measurements have a tolerance of t1/4 in. 1-5/8 6" Wiring lockouts 16" Wiring kouts Drain c for hor applice Tag #: QLG Date: 6/10/2019 Life's Gand PO No.: 1.9/16\ 7/8" Wiring knockouts •• • e•sese •s•s•• sees sees � • sees• SIDE VIEW •• sees• •• �••••� sees • s• e•ee• ••e••• . • e•se• of •• •• .. •s•••• • • • • • ••e••• •• e • •• • • •e•• Liquid pipe Vapor pipe Drain connection for horizontal right application Drain connection for upflow application FRONT VIEW For continual product development, LG reserves the right to change specifications without notice. LG Electronics U.S.A., Inc., Englewood Cliffs, NJ. All rights reserved. %G Ufe's Good" is a registered trademark of LG Corp. /www.lghvac.com SB SZ VAHU LV360HV4 2019 04 30 135214 Page of Job Name/Location: Tag #: Date: For: ❑ File ❑ Resubmit Dnca•tan PO No.: ElApproval ❑ Other Architect: GC: Engr: Mech: Rep: (Company) (Project Manager) Electrical: LPower Supply 12 VDC (from indoor unit) Surrounding Conditions: Operating Temperature 14 - 158 °F Storage Temperature -4 - 176 "F Humidity 0-98% (non -condensing) Unit Data: Dimensions 4-1/8" W x 3-1/16" H x 1-3/8" D Contact Rating 3A @ 125 VAC Standard Features *Control indoor unit operation with 3rd party thermostat or controller • Inputs for control of Unit On/Off, Thermo On/Off, Mode (Cool/Heat/Fan) and Fan Speed (Low, Med, High) -Outputs for Operation and Error Status *Compatible with all Multi V and select DFS units' *Heat Pump Control *Security and Occupancy Sensor Control Notes: i.Gontact Engineering for a list of compatible IDU's. 2.Must follow installation instructions in the applicable LG installation manual. Wiring: For control by dry contact input ..................... lGdoer r.n vcoytrWsxrnwr MW WPM r 1Re L,K r, yt ' T F f J .......... f'S4?PPP!Y....................t AC w DC .---. _- (Depends on Erra display power type) Operatbn Disp:, f ACor DC (Depends on Operation display power type) Connectivity: LG Communications 30" Wiring Harness (included) Description: • • �- --------- -------- - • �u t�'4 r *sL 2 --- .---_• �••••• i ••� ••••• 11 •••� � C, • ••••• • ... •- 1 CN_INDOOR: Connector for 7 CN_Ther/oper: Thermo indoor unit On/Off. Unit On/Off Inputs 2 CHANGE _OVER -SW: 8 CN_MODE: Mode Input Voltage/Non-voltage input 3 CN_OUT(01,02): Operating 9 CN_WIND: Fan Speed Input Status 4 CN_OUT(E3,E4): Error Status 10 DISPLAY —LED: PCB Status Output 11 RESET SW Reset Switch 5 TEMP_SW: Setpoint Select 6 SETTING SW: Function Selec For input contact voltage: DC 5-12 V, 24 V— Thermostat LO ocies not wp* "Is sedan F•�+• rprpn (acid supp's•) ---------- t7++r owEA sw CC, m •-__ .7ww Jr_-+ 0 f----- +tii -1�.we.oitin evr F .. reo r r �� LJ.._ a •9r. For continual product development, LG reserves the right to change specifications without notice. LG Electronics U.S.A., Inc., Englewood Cliffs, NJ. All rights reserved. "LG Life's Good" is a registered trademark of LG Corp. /www.ighvac.com SS-DryContactTherm-PDRYCH30G.02-15 Page 1 of 1