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MC-19-907Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit ivo.:'MC-04-19-907 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status., Approved Issue Date:05/02/7019 1 Expiration: 10/22/2019 Location Address Parcel Number 67 NE 94TH ST, Miami Shores, FL 33138 1132060130570 I Contacts MARIA COYNE Owner HI TECH AIR SERVICES Contractor 67 NE 94 ST, MIAMI SHORES, FL 331382819 10HN MOORE 13339 SW 88 AVE, MIAMI, FL 33176 Business:3059692600 office@hi-tec aairservice.com Description: EXACT CHANGE OUT CENTRAL AIR & HEAT Valuation: $ 6,900.00 Inspection Requests: (5TON-10KW HEAT) r-762-4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $4.20 DBPR Fee $3.62 DCA Fee $2.42 Education Surcharge $1.40 Permit Fee $191.50 Scanning Fee $9.00 Technology Fee $6.04 Total: $268.18 Payments Date Paid Amt Paid Total Fees $268.18 Credit Card 04/25/2019 $50.00 Credit Card 05/02/2019 $218.18 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. OWNE S (DAVIT: certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws rgu zoning. Futhermore, I authorize the above named contracto to do the work stated. thori ed Signa re: Owner / Applicant / Contractor / Agent Date May 02, 2019 Page 2 of 2 VE Miami Shores Village c 1 APR 2 5 V9 Building Department, 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201`7 BUILDING Master Permit No. lC - 1 9 PERMIT APPLICATION Sub Permit No. F-IBUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ( MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): A 4Z. < Z� VN ;—t4:; Phone#: Address: ma�yy,, LO �V� �' /, �%1fC67' ; City: A&&M - `/ State: / G- Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: :&6ADg! � Izff' Phone#: 395- z9'z'9 Address: City: ��2�/�ll� State: zip: �31 ! (o Qualifier Name: Phone#:PJS�l�©� State Certification or Registration:11 �© C ificate of C mpetency #: DESIGNER: Architect/Engineer _ Phone#: Address: `" City: 00 Value of Work for this Perm t: $ Square/ ' ear Footage of Work: Type of Work: ElAdditi n ❑ Alteration ❑ New Repair/Replace Description of Work: / fill/ aG GC Zip: ❑ Demolition Specify color of color thru tile: Submittal Fee $ Sd 1 Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 2 I (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. �n the absence of such posted notice, the inspection wi�not be approved and a reinspection fee will be charged. OV)MER or AGENT / The fore ing instrument was acknowledged before me this day ofrll 20 ! 9 by ► I tit ►"ll 0. Cgg11 .- who is personally known to me or who has produced A� vve rs Il alti 1Q as identification and who did take an oath. NOTARY PUBLIC: Signature CONTRACTOR The foregfi(ing instrument was acknowledged before me this day of Ayo �� 20 , by -JQhJ1 MWrW. , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:_Q f�E2T Sign: V CLTit� ',x_a Print: urn Kosa n t 2 Print: 1? / �I -K�/ Seal: t �.'�f"u•., LAURAKOSANKE Seal: LAURAKO ANKE Commission # GG 160651 ° Commission # GG 160651 a ; +P',,i Expires November 15, 2021 Expires November 15, 2021� Baled TMu T Fsie IrM%*a 1 hP+d�fkfiaa bgAalyg APPROVED BY Examiner as Zoning (Revised02/24/2014) Structural Review Clerk r AfR,CO D`ITI' NINGkREPLACEMENT DATA PERMIT NUMBER: MC Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 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): D A/ /-' City: Miami Shores Village County: Miami Dade Zip Code: :31 -3! 3 & ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE UAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATIQft • •' • • • • • • • 0 A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS • � • : • • • • AHRI DATA SHEET REQUIRED .... .. . • Change disconnecting means: YES NO ARHI Sheet Attached: YES NO ❑ Contract Attaehed:•YES •;••. ...•.. • •.• ..... UNIT BEING REPLACED DATA AW UNIT 0 MANUFACTURER AHU or PKG. UNIT MODEL # 6 0" Qe:2 Is COND. UNIT MODEL# © • •• Q KW HEAT 167 k—W ••e• NOM TONS 7va1S AHU CU PKG 1) M.C.A AHU U` PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU U KG 3) VOLTS A H UZ40CU PKG PKG UNIT / / PKG UNIT EER/SEER / YES REPLACING DUCTS YES O NO REPLACING THERMOSTAT E NO etVP NO NEW 4"CONCRETE SLAB YES NO YES @P NEW ROOF STAND YES NO YES NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): ( fG 2. Maximum Overcurrent Protection (Fuse/Breaker Size) 3. Voltage of Circuit (208/240/480): 4. Size Disconnectin M an Contractor's o any am State Certifica or Regi tra io Signature s: rF] 40Oro r. 0 'f`b (Revised02/24/2014) % HI -TECH Al R SERVICE 13339 S.W. 88th AVENUE MIAMI, FLORIDA 33176 Phone (305) 969-2600 Fax (305) 969-2660 CACO 49302 Heating Air Conditioning Service Sales Purchaser H AEL �� C Phone Address �� � / Job Address Work Fax Date City, State, Zip We will furnish, install and service the equipment listed below at the price, terms and conditions outlinedon��both sides of this proposa ❑New Construction ❑ Existing Structure &1 eplacement ( ) UNDER CONSTRUCTION (Permit No.) N , 6 EQUIPMENT Package Unit _ Condenser Tons Model # Tons Model # SEER Btuh SEER Btuh Btuh� T ter. Condenser Tons Model SEER SEER Btuh Condenser Air Handler Tons Model # Tons Model # vert. () horz. ( ) vert. ( ) horz. ( ) Air Handler ___ Tons Model # Air Handier --Tons Model # vert• (p jForz. () • Blower sec. Model ,�— Gas Furnace— KWs Electric Heater KWs Electric Heater Tons, Coil Model # () Electronic Air Cleaner Model # Heat Recovery Unit Model # ' . ...... ...... ••.• .. Items Checked Apply ❑ Fiberglass Duct ❑ Metal Wrapped ❑ New Supply Vents ❑ Returns ❑ ❑ Linear Diffusers Return Air Filter Back Grill ❑ Custom Made Air Filter ❑ Bath Exhaust Ducts ❑ Bath Fans ❑ Kitchen Exhaust Duct ❑ Kitchen Fans 0 Seal & Repair Exisiting Duct System ❑ Balance Duct System Comments etting & Patching For Pipes, Ducts, etc. move Existing Equipment From Premises w Standard Thermostat C7 0 L� ❑ Install Energy Saving Setbat Thermostat ❑ New Condensate Drain System ❑ New Condensate Pump ❑ Install Aux. Condensate Drain Pan 0 Clean Work Area ❑ Carpentry Included ❑ Masonry included ❑ Painting Included ❑ New Clean, Dry, Copper Tubing .... . .. ..... tr"soLvice C4ya • rr��rit�c��t•To Existing isconnect 'Air candler Siand' _c8888nser Slatl ' Labor (0 on the terms indicated below. We agree to furnish and install they above described labor and materials for $ `�✓ 'IF ��for HI -TECH AIR SERVICE Acceptance: C I, (we) the undersigned Purchaser(s) ack �wtedge that I(we) have read the condtions on the reverse side and agree to be bound by them on this basis. I (we) accept the foregoing proposal and agree to make payment as follows: � ,,,,,,.,, ,,,,,,,tip ;n 14 __ delivery of units, order ,when Date: ­.....uc .,., nAry PAM: This proposal may be withdrawn H not accepted within Days This combination qualifies for a Federal Energy Efficiency tax Credit when ,o placed in service between Feb 17,2009 and Dec 31, 2016. www.aliridirectory.org Certificate ®f Product ratings AHRI Certified Reference Number: 8858422 Date : 04-25-2019 Model Status: Active AHRI Type: RCU-A-CB Series: XR16 Outdoor Unit Brand Name: TRANE Outdoor Unit Model Number (Condenser or Single Package) : 4TTR6061 C1 Indoor Unit Model Number (Evaporator and/or Air Handler) : TEM6AOC6OH51+TDR+UF/HRZ 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, Rl, 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 r4"&g3j:or • • •: which they meet the regional efficiency requirement. The manufacturer of this TRANE 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, Performanci Ra1ing:of Unitary • Air -Conditioning & Air -Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored, indepegtdent4hird parlpWllg: Cooling Capacity (A2) - Single or High Stage (95F), btuh : 58000 " ' ; •' • SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 r�..�- 2' 'r R �\'-' �1-� DATE Jr r �T 0 oc'NIPIL If C` CE WI f 1 Al_l FEUE 10 1S I 1FGULA rc A�,,, l-,�I JN1 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. Retinas that are accompanied by WAS indicate an involuntary re -rate. The new published rating is shown along with the previous (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 we make life hatter"' 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.: 132006692139386157