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MC-10-1773Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 C L7- Inspection Number: INSP- 153493 Permit Number: MC-1 0-10-1773 Scheduled Inspection Date: December 30, 2010 Inspector: Perez, JanPierre Owner: HADDOCKS, MADELIENE Job Address: 9234 NW 2 Avenue Miami Shores, FL Project: <NONE> Contractor: ALL YEAR COOLING AND HEATING Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1131010331060 Phone: (954)566 -4644 Building Department Comments REPALCE AC UNIT 3 TON 35Pb Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 152033. need to seal opening around slab with concrete jpp December 29, 2010 For Inspections please call: (305)762 -4949 Page 8 of 23 t ion Miami Shores Village Building Department >0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) Owner's Address Ci 3 (4 City M State Permit No. rn CIO nal Master Permit No. IL-poivvoe Azs � et" 6 Phone # "5-- 1% 3 <I `f 0k(JCA_ c (., Zip 33 6-0 U Tenant/Lessee Name Phone # E -MAIL: /� Job Address (where the work is being done) 9 DL( /. j V -UCA.ict tJ City Miami Shores Village County Miami -Dade Zip 331'5-63 FOLIO / PARCEL # (( - -',j n ( - 6-7,3 — II h (o c.) Is Building Historically Designated YES NO Contractor's Company Name ALL YEAR COOLING & HEATING Contractor's Address 6781 W. SUNRISE BLVD City PLANTATION Qualifier Name GRETA B. SMITH State Certificate or Registratio E -MAIL: C,WItt y Architect/Engineer's Name (if applicable) 1v / o 16 Phone # 954 -566 -4644 State FL Zip 33313 Phone # 954 -566 -4644 No. CAC058160 a yore t'J_U Value of Work For this Permit $ Certificate of Competency No. CMC511 Phone # Square / Linear Footage Of Work: Type of Work: DAddition ['Alteration ['New [ Repair/Replace El Demolition Describe Work: REPLACE CENTRAL NC / ( , 3 -fgn , )4 y , 10 pat.Ls, c, 6,7t, SovL- 636 x * ****x* * * ***,r* ************* **** ** ees'� V'** �t** a�a* * *,�,�,� *,� * *,�,�*,ta,�,�,�a,r* Submittal Fee $56 • Permit Fee $ t CCF $ CO /CC Notary $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ Training/Education Fee $ Technology Fee $ See Reverse side --+ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Alb4- Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip iv//4- 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 Owner or Agent - Contractor The foregoing instrument was acknowledged before me this `f The foregoing instrument was acknowledged before me this 4 day of Oerb , 20 J, by d1e . i C clay of 601 J2 , 20 LL), by (rot, 3 Sinak , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Li. -- L#,..: r� Print: C y fl i (110 My Commission Expires: NOTARY PUBLIC-STATE OF FLORIDA " '•• Cheryl Morgan ommission Expires. JUNE 28. 2013 BONDED THRU ATLANTIC BONDING CO., INC. ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: (!Ilnxyi morgm My Commission Expires: NOTARY PUBLIC•STATE OF FLORIDA / Cheryl Morgan ) Commission # DD897935 „,,;,,�• Expires: Jt'NE 28, 2013 $ ®tt5ffi6 TRIM ATLANTIC BONDLNG Co„ INC. ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: / 1 ” Plans Examiner Engineer Zoning (Revised 02/08 /06) uOJ !!1 CERTIFIED wwltw.a` lridirectory,arg T This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. Certificate of Product Ratings AHRI Certified Reference Number: 3389378 Date: 10/6/2010 Product: Single- Package Air - Conditioner, Air - Cooled Model Number: 50VL- A36 --50 Manufacturer: CARRIER AIR CONDITIONING Trade /Brand name: CARRIER Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240 -2006 for Unitary Air - Conditioning and Air - Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI - sponsored, independent, third party testing: Cooling Capacity (Btuh): EER Rating (Cooling): SEER Rating (Cooling): 34200 1200._ 14.50 * Ratings followed by an asterisk (`) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. 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 atwwvw.ahrkiirectory org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL 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. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridIrectory.org, AIM1CAnditioning, Heating, click on `Verify Certificate" Hnk and enter the AHRI Certified Reference Number and the date on an aim and Refrigeration Institute which the certificate was Issued, which is listed above, and the Certificate No., which Is listed below. ©2010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129308470085772434 .-lui ■. *1 CERTIFIED i e �4�tivahridtrearYAr9, This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. Certificate of Product Ratings AHRI Certified Reference Number: 3389378 Date: 10/6/2010 Product: Single- Package Air - Conditioner, Air - Cooled Model Number: 50VL- A36 --50 Manufacturer: CARRIER AIR CONDITIONING Trade /Brand name: CARRIER Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING Rated as follows in accordance with AHRI Standard 210/240 -2006 for Unitary Air - Conditioning and Air - Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI - sponsored, independent, third party testing: Cooling Capacity (Btuh): EER Rating (Cooling) :__._ SEER Rating (Cooling): *Ratings followed by an asterisk (•) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. 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 aA 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.ahrklirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products ofAHRL 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. CERTIFICATE VERIFICATION The information forthe model cited on this certificate can be verified atwww.ahridirectory.org, click on "Verify Certificate" Unk 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 below * Air -Co ndUtoning, Heating, IS ILI and Refrigeration Institute 02010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129308470085772434 • r 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): '1234- kJ AMika, City: Miami Shores Village County: Miami Dade Zip Code: 3315b 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 ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO El" ARHI Sheet Attached: YES [r NO ❑ Contract Attached: YES [r UNIT BEING REPLACED DATA NEW UNIT TM/Kt- MANUFACTURER (',o,hA.k.A, . ,TLL -430 AHU or PKG. UNIT MODEL # SoVL_031 COND. UNIT MODEL # 1.5 Y KW HEAT 7.5 I(& 3 -Ion NOM TONS 3 -ion AHU 33 CU35 PKG 1) M.C.A AHU35CU3S PKG AHU 140 CU 40 PKG 2) M.O.P AHU 40 CU go PKG AHU a CU a30 PKG 3 VOLTS AHU 44 CU O3O PKG PKG UNIT / / PKG UNIT / / 14 Seer EE'ti 1► I+ YES I0 REPLACING DUCTS REPLACING THERMOSTAT YES W ( S NO 'ES NO YES • NEW 4 "CONCRETE SLAB YES Qt YES NEW ROOF STAND YES I YES 00> NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): S42 2. Maximum Overcurrent Protection (Fuse /Breaker Size): LID any 3. Voltage of Circuit (208/240/480): a30 4. Size Disconnecting Means: 4o 5 Contractor's Company Name: All Phone: (4s i- Sly -4q4 State Certificate or Registration N. CA CDS'? 1400 Certificate of Competency N. C MCSI I Signature (Qualifier's signature only) Date: io -0( -10 PURCHASER ,1 NAME %Ira e /%Ise P\ �i a ri Ct O c. YS ADDRESS qr � ( Nw 2 Al r,-t CfIY/STATE/ZiP /1 h r'e'S 3) ) E -MAIL /1 o e .n G 1 n P w s pt.t ,eY- / 1, / HOME PHONE 7, 0 5-- 7 Sb S / LJ CELL PHONE 7 eb - z-7 fa - 4// r' NI recCadart.0 Molests: Mee CONTRACT We hereby submit specifications for: �l Equipment installation O bldg Air Quality O atlas' All Year Cooling utlg furnish all parts, labor or and equipment necessary to tactfate the onacs checked above In accordance with the conditions and ap tlons listed in this contract. Does not Include electrical upgrade Wass stated. CONTRACT 6781 W. Sunrise Boulevard, Plantation, Florida 33313 Phone: (954) 566 -4644 • Fax: (954) 667 -1290 www aycaircom Est. 1973 with over 150,000 Installations INDOOR AtR IMPROVEMENT ❑ Duct Cleaning & Sanitizing # Vents* of Duct Systems O High Quality Air Filter Location ❑ IN Light ID High Quality Air Cleaner Location RETURN & SUPPLY DISTRIBUTION O Modify/New Supply Duct(s) ❑ Modify/New Return Duct(s) O New Retum Air GrHI, Size: Split System Unit ❑ Heat Pump O Straight Cool Horizontal APPN,_,yi n 2 3 0 New Supply Gr$mI, Size: x _ Qty. _ g �JSeal Up Leaks in # Modifications of Supply Plenum 4 Return Air Plenum Electric Heat /Q /�' O Heat Recovery Unit O Of Systems O Attic D Vertical Application Other ©iT 2 r MAKE !. I "' MODEL n - - Sit 4,4"p:5 11341 - ew7;.,. 311)" O Air Handler Breaker Wire Size Use Existing O Replace CI New Breaker Brand 6E' / L , t,. K ❑ Condenser Breaker Wire Size ❑ Use Existing ❑ Replace O New Breaker Brand Electrical Disconnect Box ❑ In-line Float Switch O Auxiliary Float Safety Switch Type of Thermostat - Specify lips %'20' O Weather Resistant Vibration, imitation Pads 1 Year 1 Visit Maintenance Agreement O 5 Year Extended Warranty O 10 Year Extended Warranty CONDENSATION & COPPER PIPING ❑ Condensate Drain Hook -Up O Primary 0 Secondary ❑ New Condensate Pump ❑ Auxiliary Drain Pan D Refrigerant Copper Liquid Line, Size: Liability and Workmen's Comp for Our Work Performed with Existing Codes Mounting Hardware of Stand for Air Handler Hurricane Code Strapping 1 Year Warranty by All Year Cooling on work performed, and manufacturer's warranty on equipment unless otherwise stated below Labor provided by seller In this period Is Monday through Sunday. O Refrigerant Copper Suction Line with Insulation, Size: ❑ Length of Run O New or Existing Copper O Refrigerant Line Cover OTHER the IA1tr2 WU3 Subtotal g^ $ $ 1104.0 + P $ $ $ )CO U $ $ —$z)v Man. Rebate $ $ $ ` . Mix Credits $ .�- $ $ Total investment $ _..--- $ $ -1 Balance Due $ TERMS:Any , ,: prior to starting any Balance Due toTechnician Upton Completion of .lob 0 0 SSt a Smoke ector ExistinglNew Crane /Genie Lift D Extend Slab New Slab O Labor Needed ft No, d,3he /f/1'► t -/O gbir L Jo A. 01Lrrskr727 S° --e4' /ojk Le.d,Q,,.- 4,4"p:5 11341 - ew7;.,. Customer ftnsnue 1 l..nne... A. f'Af`AFRi Gil CA ma Cl GARY 1118711 ARCAf1f1A1'2 CD/4/14 nitro,