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MC-05-22-1253Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: MC-05-22-1253 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: Approved Issue Date:06/01/2022 Expiration:12/01/2022 Location Address Parcel Number 9906 NE 4THAVENUE RD, Miami Shores, FL 33138 1132060170420 Contacts KATHRYN ANNE MOORE PAULK Owner I C&R AIR CONDITIONING CO Contractor ROBERT CHRYST 6073 NW 167th Street NW 167 ST C-4, Miami Gardens, FL 33015 Business: 3056856394 candraccompany@aol.com Other: 9546804494 Description: EXCAT REPLACEMENT OF 5 TON SPLIT SYSTEM Valuation: $ 7,450.00 inspection Requests: 305-762-4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $4.80 DBPR Fee $3.91 DCA Fee $2.61 Education Surcharge $1.60 Permit Fee $210.75 Technology Fee $6.52 Total: $280.19 Payments Date Paid Amt Paid Total Fees $290.19 Credit Card 06/01/2022 $280.19 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. that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws Jjuthermore, I authorize the above named contractor to do the work stated. Authorized SignattrA: Owner Applicant / Contractor / Agent Date June 01, 2022 Page 2 of 2 Miami Shores Village ENTERED 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 ❑ ROOFING MAY 17 20 2 BY: FBC 201Z Master Permit No. MC--OSI?�1,—i^e53 Sub Permit No ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑■ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11 0 6 NC Ll A j C I\ C1 Folio/Parcel#: 11 31-w ke 0 (104' Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder):_ ( Address: 9 1 06 N 1 L{ aArt City: ft( . J4h. the Building Historically Designated: Yes / NO Construction Type: Flood Zone: BFE: FFE: Tenant/Lessee Name: Phone#: Email: 331*3e I12 CONTRACTOR: Company Name: G f `\ A D Co K V • Co. . Phone#: C6 MS- / y Address: 6 B'J 3 NW 1,67 S T G' 4 City: r ` Qualifier Name: VC rL4iT "33© IS State Certification or Registration #: C A Co a 6 LI I Ll Certificate of Competency #: LI q g 0 `et J DESIGNER: Architect/Engineer: Value of Work for this Permit: $ 1 L( -�� • W Square/Linear--F-,o/oo age of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New I% Repair/Replace Description of Work: Specify color of color thru tile; Submittal Fee $ Permit Fee•$ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews S Zip: ❑ Demolition CCF $ 'CO/CC $ ` DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ ( 1 (Revised02/24/2014) Bonding Company's Name (if applicable) +T 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 $1500, 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 4 r "� OLC 1' " Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this I-1 d[a�yof/r 144 .20 �a by 1� day of 20 a`a by A Y, PQ u 1 k who is4jjrsonally know o O %•e e'r T. C k J*who i personally known o me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: �} Sign: Print: h e t V-4cj Yl Print: V a Y1 et l C CI Seal: :maJANET L. KRANZ Seal: 'l.JANET L. KRANZ j,r + Commission d GG 323098 Commission d GG 323898 Expires May9,2023 `"�r]1��[.�re E><plresMey9,2023 •'!^yBaMeO Thu Toy Fein Neurence 800395-7019 ."`'` eoMeO TMU Treyfelnlnsurencea00JBS7019 APPROVED BY / \ /. �'' 7,tl ns Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): 9906 NE yc1W(RC1 City: Miami Shores Village County: Miami Dade Zip Code: !Z? 0 t 10 er 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 ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NSW UNIT MANUFACTURER V v C. AHU or PKG. UNIT MODEL # i (, C n /1A COND. UNIT MODEL# H IT AD KW HEAT 10 NOM TONS AHU Cu PKG 1) M.C.A AHU CU PKG AHU Cu PKG 2) M.O.P AHU CU O PKG AHU Cu PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER O YES NO REPLACING DUCTS YES 0 YES NO REPLACING THERMOSTAT E NO YES NO NEW 4"CONCRETE SLAB S NO YES NO NEW ROOF STAND YES 0 YES NO NEW RETURN PLENUM BOX YES 0 . 1. Minimum Circuit Ampacity (Wire Size): R7 2. Maximum Overcurrent Protectio ( use reaker Size): [0 3. Voltage of Circuit (208/&80): 4. Size Disconnecting Means: �� Contractor's Company Name: C ' ` A Co V% CC Phone: State Certifica ei(grXegist&atiq.QAo. c A CD a -CO $tl I LCeertificate of Competency No. Lq g �01 Signature Date: Jr'. I � ' ae-l-, (Revised02/24/2014) Certificate of Product Ratings AHRI Certified Reference Number: 201324616 Date : 05-16-2022 Model Status : Active Old AHRI Reference Number: 8081112 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name: RUUD CITYOutdoor Unit Model Number (Condenser or Single Package) : RA1660AJ1 Indoor Unit Model Number (Evaporator and/or Air Handier): RH1T6021STAN Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IGIL,D, ME, MI. MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PX, UT, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016 central air conditioners can only be installed in region(s) for which they meet the regional efficiency requirement. The manufacturer of this RUUD product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of AHRI 210/240 - 2017 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 (9517), btuh : 56000 SEER: 15.00 EER (A2) - Single or High Stage (95F) : 12.50 1'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.'Producaon Stopped" Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selltng or offering for sale. Retinas that are accamcanied by WAS indicate an involuntary_re-[ale. The new published ratina is shown alone with the Previous (i.e. WAS) ralma. 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 poduct(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 Into reference purposes. The contents of this Certificate In any may not. in whole or in part, be reproduced; copied; disseminated - entered Indivi1, Into a computer database; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, ArmW OWN personal and confidential reference. AIR-CONDITONING, HEATING, CERTIFICATE VERIFICATION a REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on 'Verify Certificate" link w,e make Iffe hcttcr' antl 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 ©2022Air-Condit)oning, Heating, and Refrigeration Institute CERTIFICATE NO.: 132972004575807431 MIAMFDADE . DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Rheem Sales Company, Inc. 5600 Old Greenwood Rd. Fort Smith, AR 72917 SCOPE: This NOA is being issued under the applicable rules and regulations goveminl documentation submitted has been reviewed and accepted by Miami -Dade Coc used in Miami -Dade County and other areas where allowed by the Authority Ha - Ibis NOA shall not be valid after the expiration date stated below. The Miami-E Miaml-Dade County) and/ or the AHJ (in areas other than Miami -Dade County) material tested for quality assurance purposes. If this product or material fails manufacturer will incur the expense of such testing and the AHJ may immediate such product or material within their jurisdiction. RER reserves the right to revs Miami -Dade County Product Control Section that this product or material applicable building code. This product is approved as described herein and has been designed to comply u the High Velocity Hurricane Zone. DESCRIPTION: Mechanical Unit Steel and Aluminum Tie -Dom MIAMI-DARE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786)315-2590 F (786)315-2599 www.miamidade.my/economy Applications APPROVAL DOCUMENT: Drawing No. 20-28800, titled "Wind Load Certification of Mechanical Unit Cabinetry and Steel/ Aluminum Tie -Down Clips: At Grade and Roof Mounted Applications", sheets 1 through 7 of 7, dated 05/14/2015, revised on 10/19/2020, prepared by Engineering Express, signed and sealed by Frank L. Bernardo, P.E., bearing the Miami -Dade County Product Control revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Section. MISSILE IMPACT RATING: None LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state, model/ series, and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/ or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause'for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA # 18-0719.07 and consists of this page 1 and evidence pages E-1, E-2, E-3 and E-4, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. NOA No. 20-1102.09 Expiration Date: February 25, 2026 Approval Date: March 4, 2021 Page 1 WIND LOAD CERTIFICATION OF MECHANICAL UNIT CABINETRY AND STEEL/ALUMINUM TIE -DOWN CLIPS: AT GRADE MOUNTED APPLICATIONS E C M BY nifRB, Tw. COMnOL eD%- D 1 MECHANICAL UNIT �1 MECHANICAL UNIT ( Y N.TS. FF LSIM MJC N.TS. �'/ 1 a EiOMEmw TMSf 130METNCS ARE ONFMO® FOR��� DVLRAgRATICAL I_MYVMV I WLY: AITERNA3E RILL�91 ___ UNRS MAY VARY IN pM'CMR.WCE REVISED M" t0a FjFodJ E@IFOMon OMB suBBnAn B� m BRACKET MVM{ TEOI QD: 14" (0.0r) ASTN p633 w-90 R51 SIEH (CUTO10) OR 04W. 30 -M2 ALUNIMUM (CUTDAIO). MGMI T$N IQF / RRDfP01A OR RRORDAU( `COMM BE TANEN OM 1N19 $IDE Ohl4 _ _ �_ PADM_FAS& ® TIE -DOWN BRACKET LAYOUT 1 N.T.S. vIAN TIE -DOWN BRACKET OFFSETS: :0{Po.if4M"M�0"SROMDATUM FA@'DIN.200` MIN OFFSEATUM FACEDIM.300• MINDFPBl MMMgUM FACEDDI.100• F OFFBET FROM DATUM FACE) 4