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MC-10-1552Inspection Number: I NSP- 150598 Scheduled Inspection Date: March 02, 2011 Inspector: Perez, JanPierre Owner: MURATTI, NILSA MARIA Job Address: 8939 NE 4 Avenue Road Miami Shores, FL Project: <NONE> Building Department Comments March 01, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: NORCA AIR CONDITIONING & REFRIGERATION cORP For Inspections please call: (305)762 -4949 Permit Number: MC -8 -10 -1552 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060460350 Phone: (305)558 -1422 REPLACE EXISTING 2 1/2 TON HVAC SYSTEM \ 3 1 1 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 7 of 44 x,131 to Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 AUG 3 1 2010 Nt) 101552, BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): \J rev P► � f�� � Phone#: �O S - � � % Address: %V �J \ L �,V� K� 49 City: ■ A (0 -1. S State: Tenant/Lessee Name: ( rP'r o \ Ja1 o o rekT Phone#: Email: JOB ADDRESS: 5 6 C k3 0■.) City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: \\ ?*) let ° c 4 c s () Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: l des CLN.. Us ®��� \:\ C, V\s\ Phone #: 2)--‘ 4 Z Z Address: 4 \cam City: �s \P (et, <Ar v€ State: Qualifier Name: CP °NV P\? , 1 t P `7_ State Certification or egistration #: C % Contact Phone #:' ®S - SS % " \ A -aa. Email Address: DESIGNER: Architect/Engineer: Description of Work: A Zip: Phone#:30i; Y \LZ Certificate of Competency #: ® 0•10 0 (oIS Phone #: Value of Work for this Permit: $ a oS 00 ®0 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑NewRepair/Replace ❑Demolition ******** * * * * * * * * * * * * * * * * ** * **** * * * * * * ** F ** ** ** * **** * ** * * * ***** * ****** ** Submittal Fee $ Permit Fee $ \ }4 , V/VV"'"'" CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ r 1 C AO \-1\ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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 ET ,RCTRICAL 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subjr t to attachment. Also, a ce 'd copy of the recorded notice of commencement must be posted at the job site for the first inspecti�v which occurs seven (7) l.,ys afte the building permit is issued. In the absence of such posted notice, the inspection will not ipproved and a reins ''n fee will e charged. 7 Signature Contractor The foregoing instrument was acknowledged b fore me this - 1 The foregoing instrument was acknowledged before me this " -7 day o, 20 VO, by� `S` \\CL'f t i \3 y of J+ , 200 , by nMitAeit aadAE 2. who is personally known to me or who has roduced who is onall known to me or who has produced r y r As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: ` -43--0Ta do SO IRn My Commission Ex'ue sOTARY PUBLIC - STATE OF FLORIDA COMMISSION # D0685010 MY COMMISSION EXPIRES JUNE 13, 2011 * * * * * * * * * * * ***** * * * * * * * ** APPROVED BY Owner or Agent Structural Review (Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Signature Sig Print: NOTARY PUBLIC STATE OF FLORIDA CoMMISSLOpL# D0685010 I rianZif SSION EXPIRES 2011 - 1 My Commissio 0ISSINN00 Expires:040999QQ # NOISSINN00 V0I2:101d AO 3l`d1S - 011Bld atflON 0210s VN33HS ............................................................. rt) Plans Examiner Zoning Clerk UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER Vt■r&V e.® xp(C 't. a� , ; g \1\ I2Ap/4_036.. 7•6 IrC►1' � EZ AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER 1.$.'T \ 0 YES NO REPLACING DUCTS YES 0 YES NO REPLACING THERMOSTAT �YE NO YES NO NEW 4 °CONCRETE SLAB YES 0D YES NO NEW ROOF STAND YES IV YES NO NEW RETURN PLENUM BOX YES NO 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, 3 g 4 Py\ 2939, City: Miami Shores Village County: Miami Dade Zip Code: 33B ts Change Disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES Signature AIR CONDITIONING REPLACEMENT DATA 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 4t8 Miami Shores Village Building Department 10050 N. E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NO ❑ PERMIT NUMBER: MC Contract Attached: YES 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 40 Arm p. 3. Voltage of Circuit (208/240/480): a 4o P. 4. Size Disconnecting Means: . Eg Contractor's Company Name: N1 �.. State Certificate or Registration NQ.0 $ -4 Certificate of Competency N. •'0 00 t Phone: FKIS - t \'{ Z Z Date: Rl3/ //0 AUG -30 -2010 04:54 PM ALBERTO SALGUEIRO Photo.; ; O5) .558-1422 Pax; f3051 S56-0587 CAD nn to CAC 012821 NODMC 043880 PROPOSAL =, TO - O0-Aute -10 OE NAME AM.W. Nth Street, Hialeah Gardens, FL 33016 PROPOSAL Mr'. Ricardo van Qom WE PROPOSE ACCEPTANCE 0 DATE OF At p AMC AIR CONDITIONING at REFRIGERATION 89% Pm Drive LLCATION Wlarnl $hor ®s, Florida S3138 same oars OP PIANO Removal entl dieposer of existing AIr Cond+Itioning System. Installation of a new 2 112 Ton 15.00 Seer RhwQm 410 Freon heating and coaling air conditioning system with all related connections rend materials to complete the wear!, Installation of a new digital thermostat. Coral. Mod& :RAPM030J1 Air !Handler: RHKLIH1148817JA Variable Speed Motor Warranty 01 10 years.on Cent pressor and 10 In Paris. One Year Frees Libor with Noma. Maiteriale, Equipment, taxes and Labor: Minus FPL rebate In the amount of .:600.00 1�R1ount trom;iCuttor rer.wii .._ -- -•_ Note; Customer will receive a Rebate from Rheent in the amount of $600.00 allow 30 days inia system also qualifty for up to $1500.00 Stfrnuiue Tax Credit, at spemin a documaarttatlon wi8 be rovidod. PAYMENT TO FAA to *131 : TIN elan OF: a l aATERIu. ,A, I AMM camrL An i Ingi r S i-'- "" a a^r woo grA 71! wntkI be eempletee to a WO Ukt Wet.. ,1 ahndra RiIseMB, SEY aderatians or deviator: Wm ab Xrz zacnfioeeenc:nvolving Wm scat kilt In weaned arty upgn wni{an min* Rnn W4II Wang ran adta Owns dker and Aa tity M asnrgmartg ennrrwan¢a . r " 6dlKa0, en** of deleps h Oaf canted. PA Crn7 ti% pa01002 9CiEr nonavgny;roY an 305 956 2847 THE ABOVE PRICES. SPEcfmtm iioNE IVO OoNOrrcAs ARE SA nerAoToi`r Apo ARC rt ptebyAcct ED, vriu ARE AUTMORIZED TO DO 'NE WORN E+E?e , PAYMENT WILL EIE W VE A.S our uNE*D A146%d . AUTNO#t4ZEO tl11bMATU i EIGNATuI e $ 3,600.40 P. 01 saaaxrrrr:rrr..maf2•r �rroxrrra7rrm:.<rr :•ax<•rx..coxr...• e<.•a:.•:! ✓xa tn:•x.•r.x ✓r x. r r } ••<v <rnT.•aaaaaaaaaae •: :: ✓ rrrrr:: �raaarx�rramro >aaaa:.•»aaaa ».xr.: x aa•••:� ra;•a;•,•,•a aaa> aaaa. ». �a+a:a:x<• :•: r: a:• <• a %2<O:rff. <Lry:IL 4::. LC�l. 2 2rfJ. 2GG:< L<: fv:< re' vJ4<. Y. WC< h2xL: ff e<✓ v:< Qe:,.:;:;; a: 2:.: r. 2.• r.:. < +.:f✓.1LL��r'ff`r`f°.,2�.s5.:: n, L«. a:«.:; L' L£., x e% x:>: rf.. aaawa•. r✓• f. Lr,• xx.«<:.:.:.::. 2::::sfnr »•ar�"Ffi+f ,; f:.,,: 2.,:.• r•;»„• r:. r. �srfua2 <''�.uyf. <.f.::::aax:a:L2.; <t;; ::. <F'a•'✓ dri.. 2• ...........................^. 2>:: X?: tt................. a.. rre ,. ^..•.lrrrr..c+a.........•.... nq"";;;;r,•;•..rx.,,•,,.,,.,., i'•i rmJ7 ,.' {L .Lr <r.LLLaG. ^..agar a ^.: ?.•.•.a "vcfar.•: >f1. {C <n<re AHRI Certified Reference Number: 3410599 Date: 8/30/2010 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RAPM- 030JEZ Indoor Unit Model Number: RHKL- HM3617 +RCSL -H *3617 Manufacturer: RHEEM MANUFACTURING COMPANY Trade/Brand name: RHEEM RAPM SERIES Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING COMPANY 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): 29600 13.75 16.00 This combination qualifies for a Federal Energy; Efficiency Tax Credit when placed in service;..; between Feb 17, 2009 and Dec 31, 20104 * Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which Indicates an Involuntary rerate. .. rr. x. ...:..rxxi.^.57.Tirrr�rrrxr.aer i` frrr' rxaxxxxx... x. x.. x:: rx""` ":viYrixxx.xxx...x:L:•Fe'• e:e.aarr.raaeerx.x.. ?i'e "e.^ Few.^ rinra ....rxxrw.va58b�ae'ee ^e "F.• <r."+i'•:•'ri: ee. ^.•i5r`:•X`•i7SF7.ar7,5i k:•.C4a. DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no represer tattons, warranties or guarantees as to, and assumes no responsibility far, the products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the products), or Ow unauthorized anew/on of data listed on this Certificate, Ced t1ed ratings are valid only for motels and coraflrguratlons listed in the directory at t•; : +::.:essisdtrec:,. rW,.r• TERMS AND CONDITIONS This Cert.Wirate and itr contents are proprietary praduc'i✓ of AHRI. This Centffisate shall only be used for indetidtal, 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 othe /Ise 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 thk certificate can be verified at ;. , ietttitecto: era, P s •w . - # . ra a ..•f ° .f r ', :• click on `Y,'r: ' : >a : ?ti:;rts:" link and enter the AHRI Certified Reference Number and the date on r; " get ,, " :p '+'r <r ':; 2 f. ` r e ' -3r5r r� .. r , ;6•r; L ✓ a' f rf which the rertYrrate was issued. which is listed above, and the Certificate No„ . which is lts hcrt aw. ` ; ,.< C.' ©2010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129276497734470590 't ..... r•Zitne tt** * * *ViC .•xx:: t tZet: eVattx:: txtbit x >nxxxfiii • « «• } :: « «•: firy vx ?.: x.•.v:.•x�•::::.•::::.w•f!.•• •ffiFxxo<•:ra }:2 <:2S•: fvv.• :..,•,✓,•.•.•:?:... xx{ 2..;.;. . } }..;.;.•�.•xrr�ix�x „x,•a.; x,::r: ✓r,•a:•a:: {.;: {.;:, < ✓,•;fi: ........................ �:•a.a }:• }S:••.• {v:v' {vq•: .............•..... .. ........ d... . xr........rxrrx...o..o...o..e fir. rrrv.:.....:.$.. r: xr.....:... e......... vr. rrre:.........«. n.:....... n.. rr...✓...... sv. sysnn. rrn ................:.. wrxfrrr.•? ��erx. x. �x.. aaoa. rrvexrrrr« xxxxr........ a✓. �.... r.::.•::.• eeae.•.•.•.• e.•.• e.•.•.• r.•.• xxr .•ea.•r.•.•.•.•.•.•.•.•.•.•.•.• THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRC TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE DATE (p0M/DO/YY) 07/01/2009 POLICY EXPIRATION DATE (MM /DD/YYI 10/01/2010 LIMITS EACHOCCURRENCE $ 1,000,000 19488 INSURER B: St. Paul Fire & Marine Ins. Co GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GL201168605 X DAMAGE TO RENTED PRFMISFR (Fe nrnirenrw) $ 300,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I� jE� n LOC PRODUCTS - COMP /OP AGG $ 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA132602408 07/01/2009 10/01/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) X BODILY INJURY (Per accident) X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESS/UMBRELLA LIABILITY 20090107 07/01/2009 10/01/2010 EACHOCCURRENCE $ 5,000,000 OCCUR 1 1 CLAIMS MADE AGGREGATE $ 5,000,000 DEDUCTIBLE RETENTION $ 10 $ $ X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC131478710 10/01/2009 10/01/2010 X I TORY IMITS I O FR E.L EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L DISEASE - POLICY. LIMIT $ 1,000,000 A Auto Physical Damge CA132602408 07/01/2009 10/01/2010 Actual Cash Value less deductible stated below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Ops: AC Contractor - 30 days notice of cancellation, except 10 days for non - payment of premium. 4GI7I II IVr1 I- I I\/L.IJF.n Miami Shores, City of 10050 NE 2nd Avenue Miami Shores, FL 33138 v.- .....— .....�r,..�.. SHOULD ANY OF THE ABOVE DESCRIBED EXPIRATION DATE THEREOF, THE ISSUING 30 DAYS WRITTEN NOTICE TO THE POLICIES BE CANCELLED BEFORE THE INSURER WILL ENDEAVOR TO MAIL CERTIFICATE HOLDER NAMED TO THE LEFT, • IMPOSE NO OBLIGATION OR LIABILITY OR REPRESENTATIVES. BUT FAILURE TO MAIL SUCH NOTICE SHALL OF ANY KIND UPON THE INSURER, ITS AGENTS AUTHORIZED REPRESENTATIVE David Al ter GP °ter ) 3 fri Lo Ian Lf. t•crt 1 IrRt,.H 1 t Ur LIRDILI 1 T IIVUt 14141trt 1 06/29/2009 PRODUCER (305)822 -7800 FAX (305)822 -1621 Coll insworth, Alter, Fowler, Dowling & French P . 0. Box 9315 Miami Lakes, FL 33014 -9315 Raysa Gomez THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT FICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Norca Mr Conditioning & Refrigeration Corpor 8195 NW 98th Street Hialeah Gardens, FL 33016 INSURER A: Amerisure Insurance Co 19488 INSURER B: St. Paul Fire & Marine Ins. Co INSURER C: INSURER D: INSURER E: ACORD 25 (2001/08) FAX: (305)795 -2207 © ACORD CORPORATION 1988