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MC-19-835Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Parcel Number 18 NW 110TH ST, Miami Shores, FL 33168 1121360030020 Contacts Permit No.: iIC44-19-838 Permit Type: Mechanical - Residential Work classi icatlon: A/C Replacement Permit status: Approved Expiration: 10/14/2019 JOSEPH & ELSIE ALCIDA Owner MILESTONE AIR LLC Contractor 18 NW 110 ST, MIAMI SHORES, FL 331684319 JOHN KUEFLER 4715 SW 51 ST, DAVIE, FL 33314 Business: 8669022111 Description: AC CHANGE OUT 2.5 TON Valuation: $ 3,650.00 Inspection Requests: 305-762-4449 TotalSq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $2.40 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.80 Permit Fee $77.75 Scanning Fee $9.00 Technology Fee $3.19 Total: $147.14 Payments Date Paid Amt Paid Total Fees $147.14 Check # 1154 05/06/2019 $97.14 Check # 1073 04/17/2019 $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 AFFI AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating con ruction and zoning. Futhermore, I authorize the bove named contractor to do the work stated. Q the c -; AuthMifiecl Signature: Owner Applicant / Contractor / Agent 6ate May 06, 2019 Page 2 of 2 c *1' (ED Miami Shores Village N� Building Department 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 ❑PLUMBING MECHANICAL �NWHA FBC 20 7 Master Permit No. -04 -1q JS Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: z� N? W9 � l D City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: `1 " Z 134 — 063 - 44 ZD Is the Building Historically Designated: Yes NO '— Occupancy Type: Load: Construction Type: / Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): � -� !`�! e ( in Phone0a' —.3.•� Z -" Fo Address: / r 'oq/ C / a City: State: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: / l 2 5 L,4J c� � - Phone#: Address: &7 %-�- q a -dam` . _ City: ILJIT- I t Qualifier Name: �- State Certification or Registration # DESIGNER: Architect/Engineer: Address: Value of Work for this Permit: $ r / Type of Work: ❑ Addition [ Description of Work: gK9 -- ra 2 -Zl i/ State: / Zip: 4 3 � /L/ tJ e— e Phone#: X t o Zz% I �C el 7 O Ce ificate of Competency #: �/)� 3 2� -------- Phone#: ity: State: Zip: 7 ' quare/Linear Footage of Work: teration New ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ CCF $_ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signat 1r OWNER or AGENT CONTRACTOR The foregoing instrumUtas,a[knowledged before me this The foregoing instrument was acknowledged before me this day ofC' 20 by I``�' day of �� 'Y i'"''' , 20 1 by who is personally known to CAN-N f��.�( i f r1__, who is/personally known to me or who has produced as me or who has produced 9J0rt9 as identification and who did take an oath. NOTARY PUBLIC: identification and who did take an oath. NOTARY PUBLIC: SignSign: Print: Print: Seal: ( Seal ''� JOY CETTON JOY CETTON �`'s Notary Public -State of Florida Commission # GG 255975 i Notary Public -State of Florida' My Commission Expires ®` Commission # GG 25p 975 *' �`� September 06, 2022 My Commission Ex fires APPROVED BY ns Examiner Zoning (Revised02/24/2014) Structural Review Clerk a 4/16/2019 Propertv Search Application - Miami -Dade County ?t+YUA`FF1CmL` 0 THE PROPERTY APPRAI'SER .71H F Summary Report Property Information Folio: 11-2136-003-0020 Property Address: 18 NW 110 ST Miami Shores, FL 33168-4319 Owner JOSEPH S ALCIDA &W ELSIE Mailing Address 18 NW 110 ST MIAMI SHORES, FL 33168-4319 PA Primary Zone 0800 SGL FAMILY - 1701-1900 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area 1,989 Sq.Ft Living Area 1,144 Sq.Ft Adjusted Area 1,628 Sq.Ft Lot Size 9,150 Sq.Ft Year Built 1942 Assessment Information Year 2018 2017 2016 Land Value $196,886 $196,886 $164,440 Building Value $113,309 $113,309 $113,309 XF Value $777 $788 $799 Market Value $310,972 $310,983 $278,548 Assessed Value $102,256 $100,153 $98,094 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $208,716 $210,830 $180,454 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 [Note:ot all benefits are applicable to all Taxable Values (i.e. County, SchoolCity, Regional). Short Legal Description MIAMI SHORES EXT PB 43-40 LOT 2 BLK 219 LOT SIZE 75.000 X 122 OR 12988-149 0886 1 MEYER L STREEP &W GOLDA H Generated On : 4/16/2019 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $52,256 $50,153 $48,094 School Board Exemption Value 1 $25,000 $25,000 $25,000 Taxable Value $77,256 $75,153 $73,094 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $52,256 $50,153 $48,094 Regional Exemption Value 1 $50,000 $50,000 $50,000 Taxable Value 1 $52,256 $50,153 $48,094 Sales Information Previous Sale Price OR Book -Page Qualification Description 08/01/1986 1 $65,000 12988-0149 Sales which are qualified 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://www.miamidade.gov/info/disclaimer.asp Version: C 1866-902-2111 ' ESTIMATE /71 INSTALL Fax: 954-947-3631 � www.MilestoneAirFL.com Date: ; f info@milestoneairfl.com Job # : License #: CAC1819840 AGREEMENT r "Don't Sweat It" Name E-mail: Street 1� ; ( t ,i Home phone Cep �) ,1�� Work City 1. i i 1, _ " r \ _`� /1 i Zlp-7� 2 1 Fax hereby submit specificatidns and Vertical A/H Closet Garage A/H Attic A/H Ceiling Mount Fan Coil / Pancake Unit New Aluminum A/H Stand New A/H Platform (Wood Box) Insulate Return Air Base New '/. Plywood Base Top Smoke Detector To Code Flew Emergency Drain Pan /Reconnect Heat Recovery New Thermostat H_,V_ New Humidistat New De- Humidistat Condensate Pump 115v.240v stimates for : X boxes = yes Eater Cooled Unit Package Unit Mobile Home Condenser on Ground Package Unit On Ground Condenser on Roof Package Unit on Roof Condenser Wall Bracket Package Unit on Wall Bracket Thru Wall Condenser New Refrigerant Lines UV -Light w Concrete Slab Reconnect To Existing Lines urricane Strap To Code Liquid Line Size_ ft_ Vibration Pads Suction Line Size _ft_ New Roof Stand Insulate Suction Line (Armaflex) New Steel Wall Bracket New Drain Line New Unit On Existing Mount Insulate Drain Line (Armflex) New Float Switch Reconnect To Existing Drain Line System Start Up and Test Reconnect to Existing Electrical New _AMP Disconnect at A/H U Filter Rack New AMP Disconnect or Breaker at Condenser T�10 o # r� BRAND TONNAGE I` S.E.E.R CONDENSER UNIT AIR HANDLER UNIT PACKAGE UNIT HEATER YEARS OF WARRANTY Labor I Parts I Compressor REMOVAL: r%ATC MICTAI 1 crt• Date: Date: New Duct System ( See Plans ) Add New Supply Duct (See plans) Add New Return Duct ( See Plans) Reconnect to Existing Ductwork UV -Light Indoor Air Purification System Balance Air Flow New Return Grill Replace All Supply Air Grills Replace Supply Air Riser (Plenum) New Electrical WhiV$350 ane Service 9Permit Residential 05500 Remove Old Equipment from Premises New Line Chase Cover OPTIONS # 2 EXISTING UNIT MEASUREMENTS Time: ❑ A.M Time: ❑ A.M Condenser Air Handler t 1 (HxWxD) "I4 RECOMMENDATIONS / NOTES: Total Before Rebate FPL Rebate Discount / Rebate 7% Hazzard Disposal Sub -Total Deposit Balance Due v / AGREEMENT PAYMENT OPTIONS I hereby Authorize Quality Air of America to charge the listed credit card for the amount of S Paid by - Cash ❑ Check # []Visa [I Master Card ❑ Financing []AMEX ❑ Discover CVV Name on Card: Exp. Date CC# DL # By signing below customer authorizes performance of the above services and agrees to the term & conditions set forth of the reverse side of this agreement with regard to these services or any additional services authorized by customer at the time these services are performed. Customer also agrees to pay in, full the charges- referenced above including all applicable taxes together with any charge for additional services authorized by customer at the time the services are completed. We are not responsible for any paint chipping when registers are removed Customer will be charged /a.•15 % restock!ng fee if customer cancels this agreement on the scheduled 'nstall !ion. f :rrctnmar• .� Date: CRY OF PLANS SUBMISSION CARD BUILDING DIVISION PERMITS (954 72 354 :00-4:00) / INSPECTIONS (954) 572-2380 (8:00-2:00) q ' APPLICATION # ! ( ✓ 1.G� DATE OF PLAN SUBMISSIOII� AS OF THE PLANS SUBMITTED TO THE COMMUNITY DEVELOPMENT DEPARTMENT/ B I ING DIVISION HAVE BEEN COMPLETED AND ARE: „, - c1iJ,� ISSt`iA CE f3F PERM IN NEED OF CORRECTIONS AND/OR An ,e7 k 2> L:MFORMATION IN THE FOLLOWING DISCIPLINES: O STRUCTURAL O MECHANICAL ❑ ELECTRICAL ❑ PLUMBING ❑ FIRE O ZONING ❑ ENGINEERING ❑ LANDSCAPING • FOR GENERAL QUESTIONS PERTAINING TO PLAN REVIEW COMMENTS, PLEASE CONTACT THE APPROPRIATE DISCIPLINE STRUCTURAL MECHANICAL ELECTRICAL PLUMBING (954)572-2359/572-2358 (954)572-2373 (954)572-2376 (954)572-2371 TIME/DATE STAMP d 3 0.7 UI 1q-5�15 y FIRE ZONING ENGINEERING LANDSCAPING (954)572-2360 (954)746-3286 (954)746-3270 (954)746-3272 USING THE PERMIT APPLICATION NUMBER, PERMIT STATUS AND CORRECTION INFORMATION CAN BE OBTAINED ON THE �q�VVEBSCfE,AiU1�JVW.SU{tJRtSEFLGOV•—'�-- )D IF R SIXTY -ISSUED, (60) DAYrA PERM WAS NNd BEEN PERMITAPPUCATION AND PLANS WILL BE DESTROYED. ""'°" 1NUST BE SIGNE6,IN BEFORj 3:00 $011 PERMIT PICK40. City ABC ' State Zipi 5� ` Phone #91nCtC, % Zl 1 Fax # Email (For Permit Status Notification) fv\ I S-f Cf Q_(k1 r' n L�S fYy-Ai 1, r yt'A ©_11i1SURAMEE INS©RMATIOIr6 State Certified License# C i`1- L I " 1 Broward County Certificate of Competency #� - r-��-- Expiration Date Name of Worker's Compensation Insuranceinsurance # `mot Name of Insurance Company�� General Liability Insurance # il'�`� <%Sc�. �' �`� Zvi Expiration Date "/ Z I Phone # / hereby certify that the information above ame of Qualifying Agent true and accurate. Qualifying Agent STATE OF FLORIDA/COUNTY OF BROWAR ( / Sworn to and ubscribed be f j'e me this day of gy /l i'l jGt�, �/� who is personally known to me or produced as identification. 20 / t' JOY CETTON Nota P lic ,.�• FHB%, Notary Public-StIe of Florida Commission # GG 255975 My Commission Expires Print Wrrelof No Public Certificate of Product Ratinas AHRI Certified Reference Number: 201290998 Date : 04-16-2019 Model Status : Active , TV Old AHRI Reference Number: 7885893 C I EL' AHRI Type: RCU-A-CB PR 17 019 ,e Outdoor Unit Brand Name: RHEEM 1��vv 14 i Outdoor Unit Model Number (Condenser or Single Package) : RARY, Indoor Unit Model Number (Evaporator and/or Air Handier): RF1 P3024SPAN , U, P Region: Southeast and North (AL, AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, 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 inell regions • • • • • •'; •• • •••• • until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in wjpv{slfor • • which they meet the regional efficiency requirement. • • •: • • • • The manufacturer of this RHEEM product is responsible for the rating of this system combination. • • • • • • • • • • • Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2, Performanc* Regng of Unitary • 0 • Air -Conditioning,& Air Source Heat'Pump Equipment and subject to rating accuracy by AHRI-sponsored," indelf2ndeht,•third par YI �s4 �g: . • • • • • •1 Cooling Capacity (A2) --Single or High Stage (95F), btuh ; 29400 ' •' ; i • : • • • • i • • • SEER 14.00 �' • EER (A2) - Single or High Stage (95F) : 11.50 F *fr krram, Stirrer Village -3r-L CiED T BY I DATE "1G DEP iI may; 1)EPT I 5 t3J`CT I O CChIPUfNCE Wf FH ALL. FEDERAL STATE AN,) C(—UNW rlt,L�ES 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 rating is shown along with the orevious (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, 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 wo make life beirer- 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 ;`CERTIFICATE NO.: 131998993363840746 4/16/2019 FW: Updated Rheem Tie -Down Engineering - milestoneairllc@gmail.com - Gmail 4Vt�v.flY1L E a..+' 4Vitl_ri l�V_ lL: . �' �/' , Ef'• SUPPORTING ' ' �"'�- 5T)PPOWTSN6:r • �"�^ TRUCTURE BY .. STRUCruv lSY • • • • • • OTHERS, TYP. -" . 8 OTHERS,-TYP. i ' • • • • ..IV ./ • • • Sri • Ot .BOX • 000 MECHANICAL UNIT z MECHANICAL UNIT N.T.S. FRONT ISOMETRIC . -. . l " • • • '.N,T:SP i THESE ISOMETRICS ARE 1NAEN15M FOR i • DIAGRA MATICAL PURPOSES ONO, ALTERNATEORHEEN UNITS LISTED HEREIN MAY VARY IN APPEARANCE • • • • • • • • • • • • SMS PER AMACENT TO • • • • BRACKET, CtiNYitOL�QX• • • • • • • �iOUVER � TYP, PANEL,- TYP, Q UNIT BASE PAN «UNIT BASE PAN Q rUNIT BASE PAN INCHOR PER i 00 SCHEDULE 11 _ s K T. )00 PSI MIN. ONCRETE BY rrHERS, TYP. Bit & c A) & CARE ARE SIM AND OCCUR ON OPP, FACES TIE -DOWN BRACKETS N.T.S. ELEVATION ANCHOR SCHEDULE: SUBSTRATE DESCRIPTION CONCRETE: (0-1/4"$ STAINLESS STEEL ITW BUILDEX TAPCON, (4" THICK MIN, 13/4" FULL EMBED TO CONCRETE, 2�'z" MIN. EDGE 3000 PSI MIN.) DISTANCE, 3" MIN. SPACING TO ANY ADJACENT ANCHOR. CLIP OFFSET OIMENSIOP BE TAKEN FROM THIS Site . ;vu1 BACK ISOMETRIC T --7 1.000 TIE -DOWN BRACKET MIAMI TECH CLIP: 14GA (0.07") ASTM A653 Fu-90 KSI STEEL (CUTD8) OR 0.080" 5052-H32 ALUMINUM (CUTDA8), MIAMI TECH KIT # RRCUTDSMK OR RRCUTDASMK DATUM FACE a TIE -DOWN BRACKET LAYOUT N.T.S. PLAN f IE-DOWN BRACKET OFFS[ DIM. 1 4.50" MAX OFFSET FROM DATUM FACIE DIM. 2 30.00" MIN OFFSET FROM DATUM FACE DIM. 3 31.00" MIN OFFSET FROM DATUM FACE DIM. 4 13.00" MAX OFFSET FROM DATUM FACE =TS. APPLICABLE: MODELS: RA1360, RA1442A, RA1448,RA1460, RA1630, RA1636A, RPIUP2036, SIXTH EDITII AND OUTSID INTENDED TT CABINETRY. 2. NO 33-1/3^ DESIGN OFT 3. DESIGN & CE TEST REPOR' 4. ALL DIMENSI MECHANICAL MECHANICAL AS PER MANI RESPONSIBII S. TAPCONS RE 410 STAINLE CONCRETE. ; SHEET META SHALL BE # I STEEL OR_EC THREAD PLA APPROPRIAT' 6. ALL CONCRE AS A MINIMI THICK AND UNLESS NOT 7, THE CONTRA DISSIMILAR S. ELECTRICAL OTHERS. 9. THE ADEQUA SUPERIMPOS PROFESSION EXPRESSLY AFFIRMATIOI 10. THE SYSTEM INFOR MATIO FROM THE Cs REGISTERED USE IN CON) 11, WATER-TIGH RESPONSIBII ENSURE THA RESTORED A PROPOSED H WATERPROO WATER-TIGH INSTALLING 12. FOR AN EXPL Vult WIND Si �tfT-/f� I1Af1 /rf�f1TT�T/"►AT"I'/1-■ I"1r-•f—f'�t SAi9Tf-CAI tf-!TT /►A MV&If T!'!\F A&1f 4"`Y § IAA AI&A -t/1•S TVf I r%il f&t TRP�_ A -I- J'" https://mail.google.com/mail/u/0/#search/tie+down/FMfcgxwBWSwcLkDNzXfwLbjDjRJVXhQb?projector=1 &messagePartld=0.1 1/1 Co SNoR�s oil nu. - RprM �►o�` oamp' AIR CONDITIONING REPLACEMENT DATA Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 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): l Si /% 0 C D City: Miami Shores Village County: Miami Dade Zip Code: _:Z 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.' . : •... • • A RI DATA SHEET REQUIRED Change disconnecting means: YES❑ NO ARHI Sheet Attached: YES NO ❑ ...... .... ...... 040606 Coritr act Athehed: YES ...... ... . .... UNIT BEING REPLACED DATA •• •NEW UNIT •: e P,-VV\- 00 MANUFACTURER —O( AHU or PKG. UNIT MODEL # U 3e COND. UNIT MODEL # 2 KW HEAT .:..' NOM TONS o 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 O REPLACING DUCTS YES YES REPLACING THERMOSTAT YES N YES N NEW 4"CONCRETE SLAB YES O YES NEW ROOF STAND YES YES. NEW RETURN PLENUM BOX YES fid 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 2013 4. Size Disconnecting Means: /VllT— 22 1, Contractor's Company Namei r I I ( a.� i �fl Phone: A6 n(2 State Certificate R tration No �� �Certificate of Competency No. a7 Signature Date: (Qualifiers signature) (Revised02/24/2014)