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MC-03-22-673Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: MC-03-22-673 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: Approved Issue Date: 03/16/2022 Expiration: 09/12/2022 Location Address Parcel Number 1201 NE 103RD ST, Miami Shores, FL 33138 1132050200060 Contacts Lorine McGee Owner C&R AIR CONDITIONING CO Contractor 1201 103 ROBERT CHRYST 6073 NW 167th Street NW 167 ST C-4, Miami Gardens, FL 33015 Business: 3056856394 candraccompany@aol.com Other: 9546804494 Valuation: $ 7,400.00 Ins ection Requests: 305-762-4949 Description: excat replacemetn of 2.5 ton aplit unit Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $4.80 DBPR Fee $3.89 DCA fee $2.59 Education Surcharge $1.60 Permit Fee $209.00 Sunning Fee $9.00 Technology Fee 56.48 Total: $287.36 Payments Date Paid Amt Paid Total Fees $287.36 Credit Card 03/16/2022 $287.36 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 . Futhermore, I authorize the above named contractor to do the work stated. Authorized Signail'ire: Owner / Applicant / Contractor / Agent Date March 16, 2022 Page 2 of 2 Pob (30�� (cos -&.?4y Miami Shores Village E_ a'''7'ItED 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 MAR 16 1022 BY: FBC 20 Master Permit No. A16 �d i.- Z Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ■❑ MECHANICAL [-]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ryry pppp _ CONTRACTOR DRAWINGS JOB ADDRESS: _ i a C) ` I V E 1 b� s` Occupancy Type: Load: Construction Type: OWNER: Name (Fee Simple Titleholder): l tM�l Address: ► t -o N C 10, T City: dr / It �/ State: the Building Historically Designated: Yes NO Zone: BFE: FFE: © -717.9281 331�3e Tenant/Lessee Name: Phoned: Email: Au r-%? /i1 ct r n4 AO`�.�1L . C c /v% / p q CONTRACTOR: Company Name: C-r , ` A t < Co r cl. Lo. Phone#: -3 0�E7 041 J / N Address: 6 0 7 3 AI W 16 O J T , A City: / IL Qualifier Name: State Certification or Registration #: C DESIGNER: Architect/Engineer: _State: &X • Zip: '-7 2 © r C k r 4J T Phone#: ¢ 6 2 4 14 / L( Certificate of Competency #: �i g � 0 Address: City: State: O Value of Work for this Permit: $ y Square/LinearrFFoo tag e of Work: TypeofWork: ❑ Addition ❑ Alteration ❑ New Repair/Replace of Work: ..1 Specify color of color thru tile: Submittal Fee $ Permit Fee q $ Scanning Fee $ l• 60 Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ CCF DBPR $ no ❑ Demolition CO/CC $ Notary $ Double Fee $ n Bond $ 7-, �7( 1 TOTAL FEE NOW DUE $ Z (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatureo � ' Mud ITi tA T Mc C-ce OWNER or AGENT The foregoing instrument was acknowledged before me this 3 day of %r� CYO. , 20 0-a- by NAYA kC C-ce , who i personally know to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: 1—" Print 7Q✓1'=--L- K(-CA Seal: "rcJANET L. KRANZ 474!.. Coinmbsiun A GG 323898 �• ;;';, •• ExpirosMey9,2023 ' DnW O Th. Troy Fein Insuana APPROVED BY Signature XCBof CONTRACTOR The foregoing instrument was acknowledged before rm�e this ((�I day l i I of a 'c-" ads 20 by R0 q-er I+T C h fu�Twho i personally known o as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Print: `7 r: 1 - IV ,-raiw 5,��{'ng••. JANETL. KRANZ Seal: 4 '� C0101111sslonAGG323898 Ex0(t%May9,2023 ,.P...S"o BOMM tivu Troy Fain inNWO Examiner as Zoning (Revised02/24/2014) Structural Review Clerk 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): I off© ` Iv E. f d ,3 ST City: Miami Shores Village County: Miami Dade Zip Code: 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 ❑ NIT BEING REPLACED DATA NEYY UNIT ()ro MANUFACTURER U U 0 6 AHU or PKG. UNIT MODEL # ( -36 0j 0 COND. UNIT MODEL # KW HEAT NOM TONS AHU eb CU () PKG 1) M.C.A AHU, U,30PKG 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 NO REPLACING DUCTS YES O YES NO REPLACING THERMOSTAT YES N YES NO NEW 4"CONCRETE SLAB ES NO YES NO NEW ROOF STAND I YES O YES NO NEW RETURN PLENUM BOX I YES 0 1. Minimum Circuit Ampacity (Wire Size): # 1 0 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 30 A P 3. Voltage of Circuit (208 40 80): i 4. Size Disconnecting Means: Contractor's Company Name: tt k GO Co. Phone: &Y '7 9 1 State Certifica o egis ti o. CAC O a 6 i4/ Lf Certificate of Competency No. L[ $ 9 6 2 D Signature Date: "? - 3, ;2- (Revised02/24/2014) Eligible for Federal Tax Credit Certificate of Product Ratin AHRI Certified Reference Number: 201281662 Date: 03-02-2022 Model Status: Active Old AHRI Reference Number: 7941343 AHRI Type: RCU-A-CB (Split System: Air -Cooled Condensing Unit, Coil with Blower) Outdoor Unit Brand Name: RUUD Outdoor Unit Model Number (Condenser or Single Package) : RA1630AJ1 Indoor Unit Model Number (Evaporator and/or Air Handier): RH1T3617STAN Region: All (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WV, WI, WY, U.S. Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015 are eligible to be installed in all regions until June 30, 2016. Beginning July 1, 2016 central air Conditioners Can only be installed in region(s) for which they meet the regional efficiency requirement The manufacturer of this RUUD product is responsible for the rating of this system Combination. Rated as follows in accordance with the latest edifion 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 (95F), btuh : 28600 SEER: 16.00 EER (A2) - Single or High Stage (95F) : 13.00 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 produoed."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 Dublished retina is shown along with the orevious (i.e. WASI ratina. 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.a hridirectory.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; _ onal 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 wemakelife heuev- 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 ©2022Air-Conditioning, Heating, and Refrigeration Institute I CERTIFICATE NO.: 1329070198755685,15 MI®DADE DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES (RER) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOAI Rheem Sales Company, Inc. 5600 Old Greenwood Rd. Fort Smith, AR 72917 SCOPE: This NOA is being issued under the applicable rules and regulations goverainl documentation submitted has been reviewed and accepted by Miami -Dade Cou used in Miami -Dade County and other areas where allowed by the Authority HW This NOA shall not be valid after the expiration date stated below. The Miami-E Miami -Dade County) and/ or the AHD (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 AHD may immediate such product or material within their jurisdiction. RLR reserves the right to revs Miami -Dade County Product Control Section that Otis product or material applicable building code. This product is approved as described herein and has been designed to comply w the High Velocity Hurricane Zone. DESCRIPTION: Mechanical Unit Steel and Aluminum Tie -Dom MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175-2474 T (786) 315-2590 F (786) 315-2599 www.miamidade.pov/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. APPROVED NOA No. 20-1102.09 Expiration Date: February 25, 2026 Approval Date: March 4, 2021 Page 1 flfICGIVI JP'ILLJ �IV21 .....� WIND LOAD CERTIFICATION OF MECHANICAL UNIT CABINETRY AND STEEL/ALUMINUM TIE -DOWN CLIPS: AT GRADE MOUNTED CONCRETE SUPPORTING sltU RE BY OTTERS. TYP. Soon ml MIN. OONOIEIE BY OTHERS, TVP. i MECHANICAL UN: z MECHANTCAL UNIT 1 NT.S RWNTIWMEIRIC ] N.T.S. BAIX ISOMETWC THERE LSOMEINICi A0.E UEiExoEO FOR DIAGRMNATKAL MRPOSB ONLY' ALTEIUTATE RNFEW "_ LNITS MAY VMY IN APFFgMNCE _._ (0.130' SIEElJ� TVP. UNRBASE j PAN CA E c5mE sw ANDOCCIW ON OR. FACES s TIE -DOWN BRACKETS EIEVAnOR L2 O0 �D RR 0o w 0.30V 0O T9 0 O TIE -DOWN BRACKET MIAMS TECH O.IP: IMGA (O.OT) YSIMA653 N-90 so -m (CIFIDB) OR 0.n80' S), Ml III ALUMINUM ICTDAe), MWII TECH KIT• TOASOSMII DA rylOflpMMK !1 t-331.25' I N,@ LD0 EASE C1,7 ,_- iyQ P(R) O e a Dlw.l e CAI \COMAOL 80% beATtTF'�-ROiO-T TMEiS IficE' a Y - . DnN FPCE a TIE -DOWN BRACKET LAYOUT x.Ts. PTAN ANCHOR SCHEDULE: TIE -DOWN BRACKET OFFSETS: I SYESTRRI! OBQ1P110M ;Dlw.l <30'NA%OFFSEf FPOM DAIUN FpFE CONCRETE: !(1)-1H'05'fAMt6951HLITM BUIIDIXTAPCDN� !DIM.2 N.50'NIN OFFSET FROM WNMFACE (A-TYIX MIX 1?S FW.f918ED TD COMCAE)E. 2%. MIN. EDGE �DIM.9 25.25' MIN OFFSET FROM OANN FACE DISTANCE, Y NIN. sMCLIG TOANY A0IACENf II Sono PSI MIN.) I Ally. ' D 4 W M13 M OFFSETFROII MNM FACE APPROVED DESIGN CRITERIA: DESIGN NOTES: M.0 DA WILDING IDIN BEENDESIGNED IN ACCORDANCE USE WITHIN FIOWDAWEMIP000DE SEVENTHICANE Z NE.T EDRUSE CNITINMO OUTSIDENENIGHV Oft HURRICANE ZONE. THEDESIGN OPTERUT FNIEWNOASCE)SECTON29t OTTERRADE. RES-SO110 ME E IN ANUIXGWALLS INSTALLATIONSPT S26& ALL DESIGN VNUABLES MEIN ACCORDANCE WIYN ASCE) CHI.FLFRS 3fi ®29. VISIT ECALC.I012880D fMMX VPI6RLW.IVM .rmuwmaw1CwbWrtwSCCGIfEM� RxAvmSw CCo[ z8 I