The URL can be used to link to this page

MC-10-1635sJoh.5 r i � BUILDING PERMIT APPLICATION FBC 2004 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SEP 3 2010 11. Permit No. Master Permit No. Re - (o -/O - / Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) &1AAf 57 v'✓ -S Phone # 724- a 3(- //?' ff Owner's Address ?®3 / /U/ A- ve /ref' Cit (4'04% .546,--es State / — Zip 33 J 3 1 Tenant/Lessee Name Phone # E -MAIL: 13/3617)6s 40 slobs. con-, Job Address (where the work is being done) 90 3/ Air /944e..- City Miami Shores Village County Miami -Dade Zip 33/ 3? FOLIO / PARCEL # // 3206 e96 0/(00 Is Building Historically Designated YES NO Contractor's Company Name Ed/1,4A.S /41,- a / hca,, Contractor's Address / 715 /1/g- 5 6ei- ri+.QK Lt city / a_ ,,//��2J State Qualifier Name /e62y1 ifs State Certifcatf or Registration Noe/�e /2 (.' 7 E- MAIL:/yM y Qa eddhej O i ,L V. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 9 5 O 0 Type of Work: ❑Addition ['Alteration ON:w Repair /Replace O Demolition —7l / / G C Gtree Q l ' 3 1 ' s Describe Work: {x9c akxx &xaYxxnY is x4rxxxxscxaYxxntxxx Fe • Submittal Fee $ Permit Fee $ 1 Notary $ Training /Education Fee $ Scanning $ Radon $ DPBR $ Pee d 4 Zip Certificate of Competency No. Square / Linear Footage Of Work: Phone # 3oS -6s Phone # 3O,s S 3 ' C, *2 5 7 / 5 Neel.7z- k ienYxxxxxx xx4cnY *a:it**wwxxx$:9 *ww**** CCF $ CO /CC Technology Fee $ Zoning $ Bond $ Code Enforcement $ Double Fee $ 4 �l Structural Review. $ Total .Fee Now Due $ See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City Of ,, v State Zip Y ;%gad !Lender Narne(if:ap licable) A w i;Lenderr sAdilres City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. l 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 mu be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issue. In the absence uc posted notice, the inspection will not be approved and a reinspection fee will be charged Owner or Agent The foregoing instrument was acknowledged before me this 5 day of '(— , 20 tp_, by n i,. S,o 10-5 who is personally known to me or who has produced - Dt_ identification and who did take an oath. Sign. Print: My Commission Expires: wwwx xxxxxxx wxxwxxxwwxxxx*xsexxxxxw - *vexxww APPLICATION APPROVED BY: (Revised-02 /08/06) Signature NOTARY PUBLIC: Print: My Commission 7 ou _ x�� o;; EXPIRES: October 1,2012 • Bonded Thru Notary Public Underwriters • xxwxxwx y,Xww wxxxxxxxxxx x xxwxw ti*** Contractor The foregoing instrument was acknowledged before me this day of s/ /J , 20 /0 , by I,PJe47L/ 41/"-- w o is persona nown to me or who has produced as identification and who did take an oath. oco Now I t ti"vMS.L� � . _. .1 la r• , �:� .= MISSION # DD 817400 � ` ' " st ; EXPIRES: October 1, 2012 MOM •PxMxxenx \c) , I r engineer e, Zoning x REPLACEMENT OF SPLIT NC SYSTEM 2.5 TONS/7.5 KW HEAT 0 OA 4/1 1 Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 151165. Ei Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: September 30, 2010 Inspector: Perez, JanPierre Owner: STOBS, BETH ANN Job Address: 9031 NE 4 Avenue Road Miami Shores, FL Project: <NONE> Contractor: EDD HELMS ELECTRIC & NC INC Building Department Comments September 30, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 n I nspection Number: INSP - 151776 Permit Number: MC-9-10-1635 1 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (786)236 -1198 Parcel Number 1132060460160 Phone: 305 -653 -2520 Page 1 of 1 Sep 13 2010 11:3GAM HP LASERJET FAX p. 1 4. i±■ -r.*O CERTIFIED, • - w ow.ailtlt1 f crocy opt Certificate of Product Ratings AHRI Certified Reference Number: 3412929 Date: 9/7/2010 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number. 14AJM30 Indoor Unit Model Number..RHLL- HM3617 +RCSL•H "3617 Manufacturer: RUUD AIR CONDITIONING DIVISION Trade/Brand name: RUUD 14AJM.SERIES Manufacturer responsible for the rating of this system combination Is RUUD AIR CONDITIONING DIVISION Rated as follows in accordance with AHR1 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 (6tuh): 29200 EER Rating (Cooling): : 13.00 SEER Rating (Cooling): 16.00 t w/ o 7/�i w 57 es :mss 33 136 6bo S 19102.. e• /751 Ai(e, t 33( _ This combination qualifies far a Federal Energy Efficiency Tax Credit when placod•in aerates between Feb 17, 2009 and Dec 31, 2010. • Ratings brewed by an ovariakly intrcea coUrtnty tuna, al prrvlausyputlghtd data. r ales%acsompantad %Oh a WAS. machMdicslea nn involuNary DISCLAIiriER • O URI does nil endorse the Froducl {s) listed on this Cedillas* onat makes no rapusantatlent, warranitos or aaarsnie•a as te, and assumes no rasparptbipty far, unfit rotluetis) listed onidds C.At5cate AHRI earn* disclakUS MU liability far damages deny Mad artstng out of the use er porfamanca of the producga), or the unautbarlzed alterallonel data Wad on this Cedillaste. Certified ralMns are valid only for m odets and con lgu elleasI $ed lathe dbacioy atwvrwwalufdkeeterysarru. • TERMS AND CONDITIONS This Cortgloale and its contents are proprietary prothrtt % of At 1St This Certificate shall only be ince torimltvtdua), parsons" Sad conlIdeatlat ioresaaco parposee. The canto:Re oaf this CeAliicato may rect, ire whole or in pad, be repmrhrced; copier; ressemt nated; ordered late a oomprdor database: or otherwise MEW, , In any Simi or manor or by May means except ter the ea orb tnlMi d al, personal and confidential rafeanee. - CERTIFICATE VERIFICATION tau lnfaialaJ* mo tat the =deleted an this militayto bo verified al w..abeldirecloryw,g, Aif'COndiIipntng, floating. c rak on `lfad Certificate pidr and sofa the ANSI Ctallfed Redereace Number end tin dela on � and Refrigeration ]Institute vihicb the o�nitlaty was Issued :M itch Is listed above, anti Iho Certificate No.. whtsh MaeMae before • ©2010 Alr- Conditioning, Heating., and.R eirigeratian institute CERTIFICATE NO.: 12428343 8652sseo2 Edd Helms Air Conditioning & Electric AIR CONDITIONING REPLACEMENT DATA CONTRACTOR: tan ' 4f SATE: l / f D SITE ADDRESS: 9 S7 C tom' APT:_ LOT: BLOCK: SUBDIVISION: UNIT BEING REPLACED COND. UNIT MODEL AHU /COIL MODEL _doe old c-4,4 0.4 vecla ,4g1Jco 30-0o4 ry !e 5 � ABLU old CU o PKG AHU ti $ CU o PKG AHU CU PKG PKG UNIT /e9 YES NO YES NO YES NO. YES NO YES NO DATA MANUFA R PKG. UNIT MODEL KW HEAT NOM TONS STAND NEW UNIT g /y/1 -1 Toc1a/ /1 3 6 /77 '7e 2, S AHU /O CU2 s PKG ABU 'IS CU Z5 PKG___ AHU CU PKG PKG UNIT 1) M.C.A 2) M.O.P 3) VOLTS EE ER YES NO YES NO DUCTS THERMOSTAT YES • YES NO NO SMOKE DETECT R BEAT RECOVERY UNIT YES NO rcis LADDER RE 'i DIRE FOR 1NSPE cal ON ire 4) CAGE SIGNATURE: FLORIDA STATE CERTIFICATION/REGISTRATION NO. ROWARD CTY /CERTIFICATE OF COMPETENCY NO. NC)E.,,D Pw4Doct- A Name You Can Trust Since 1975 YES NO YES APPROVED BY: DATE: 1) MINIMUM C RC .. T AMI"ACITY �' SIZE 177 2) MAXIMUM OVERCURRENT PROTECTION (FUSE/BRE R STS') -C 3) VOLTAGE OF CIRCUIT (208/240/480) 20 g� 4) SIZE DISCONNECTING MEANS 1 1 S TT TT NO Robed CMC124 Roberts 4 fgflIfdd Helms Air Conditioning & Electric Sept 2, 2010 - Updated To: Bcthann Stobs 9031 NIA: 4 Ave Road Miami Shores, FI, 33138 786 - 236 -1198 Email: bastobs(t)stobs.com We hereby propose to furnish labor. materials and equipment as outlines below: 1) Ruud 14AJM Series 2.5 ton 16 SEER, 13 EER system •A 8410 -a refrigerant ❖ Condenser Model : 14AJM30A0I ❖ Air 1 handler Model: REII.I.I IM3617JA •'' tJnit qualifies for Federal Tax Credit 2) 7.5 kw Electric 1 Icat 3) Hurricane clips and straps for condenser 4) Install new metal air handler stand Me 5 1 5) Install metal auxiliary drain pan under air handler with safety float cut off switch 6) Install air handler safety cut off switch for condensate line 7) Install new l loneywell digital vertical programmable thermostat 8) Reuse: •'• Existing duct work •S Reuse existing drain line, will need to lower down drain line, need to open up dry wall 4' Reuse existing wiring and breakers, unless noted different above ❖ Condenser stand, if new stand is needed additional $130.00, customer will seal roof with roof( ❖ lxisting electrical disconnect, if new one is needed additional $75.00 4• Existing refrigerant lines 9) Remove existing equipment from premises 10) Includes crane lift for condenser 11) Complete startup and check out Se/011)1V etreevit e 12) City permit costs with inspections included fj /`r �� // r� l (S �oi cy wi / /G� i/UGtf 'f/fc� U,$ (0.4-Inet 1 0X 17850 NE 5th Avenue • Miami, FL 33162 • Tel: (305) 653.2530 • Toll Free: (800) 329.2530 • Fox: (305) 653.7933 • www eddhelms.c filitEdd Helms Air Conditioning & Electric 13) Includes Ultra Violet light system for air handler Reduces mold and mildew growth in drain pan and coil for cleaner air and longer air handler efficiency 14) Includes Manual J Load Heat Calculation • Required for Florida Rebate 15) No other items included other then work scope listed above 16) Warranty Equipment- 10 years compressor, 10 years condenser coil, 10 years parts, 1 years labor Optional extended 10 year parts and labor warranty — additi . a 550.00 Ed Duran Comfort Specialist Cell: 954 -261 -8132 eduranged Date 'l'otal for goods and services above:away 41.5 '/, v a F I'L Rebates : 4500.00 System Eligible for Federal Tax Credit ( See accountant for detaij Due to Edd Helms: 3 5 - 1 - 4 0 U l� Check or Credit Card terms : 50% down payment, balance due on startup of equipment This proposal dated 9 /2/2010 if valid for 15 days. Edd Helms Air Conditioning is authorized to perform the above work (utd services nt the prices acid terms specified herein. MI payments shall be due in accordance with the terms described above. Customer agrees to pay all court costs and attorneys Ices should legal means be necessary for collection. The 1 IVAC system included in this proposal is designed according to industry standards to provide comfort cooling in occupied areas. This proposal does not include the responsibility by lil)I) I Ita.NIS for any procedures to identity, control, eliminate or remove mold in occupied unoccupied spaces. lfyou suspect mold to he a problem, or ifyou have construction conditions that support the growth of mold, we recommend t CUSTOMER take remedial actions outside of this proposal to eliminate the problem, remove the mold, and insure a mold rrce environment. Edd l letms Air Conditioning shall not be responsible for drywall repairs, painting, concrete repairs, or code violations outside of the scope of work. A cancellations must be submitted in writing direct to Edd helms (soup, Inc. three business fore } rbal schedule installation date. CUStonle • Si natu q.77, e, „.77',c•o /2, 414 ec 17ARt1 NIP R11.1 Altani lA • Miami PI 111 R9 • TaI• Mkt RKZ.9F4t1 • T II F rOW (Rt1t1\ 404.4F1f1 • 1 z v (111c1 Rg13.741!3 • www aririhalmd rev 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 CONTRACT OR 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 INSRG TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POUCY EXPIRATION DATE (MM/OD/WI S LRAM A X GENERAL LIABILnY COMMERCIAL GENERAL LIABILITY GL2011926080010 $0 Deductible 07/01/10 07/01/11 EACH OCCURRENCE $1,000,000 $50,000 X PR E (e cTED PREMISES E R oaurrencel CLAIMS MADE X OCCUR MED EXP (My one person) $5,000 X XCU /Contractual PERSONAL & ADV INJURY $1,000,000 $2,000,000 X Broad Form PD GENERAL AGGREGATE GEM. AGGREGATE LIMIT APPUES PER POUCY I� 1 28 - - n 1_00 PRODUCTS - COMP /OP AGG $2,000,000 n B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA20011460902 07/01/10 07/01/11 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ — _ X BODILY INJURY (Per acddent) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESSNMBRELLA UABIUTY CU200114909 07/01/10 07/01/11 EACH OCCURRENCE $5, 000,000 OCCUR CLAIMS MADE AGGREGATE $5,000,000 DEDUCTIBLE RETENTION $ O $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE OFFICER/MEMBER EXCLUDED? It descrlhe under SPECIAL PROVISIONS below WC200250110 07/01/10 07/01/11 X I WC STATU I IO R TORY I IMITC EL. EACH ACCIDENT $500,000 EL DISEASE - EA EMPLOYEE $500,000 EL DISEASE - POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ACORD. CERTIFICATE OF LIABILITY INSURANCE PRODUCER Paul H. DeSIIva Bateman, Gordon & Sands, Inc. P.O. Box 1270 Pompano Beach, FL 33061 INSURED Edd Helms Group, Inc.;Edd Helms Electric LLC;Edd Helms Air Conditioning Inc 17850 NE 5th Avenue Miami, FL 33162 -1008 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: Amerisure Insurance Co. INSURER B: 'Amerisure Mutual Insurance Co. INSURER C: INSURER 0: INSURER E DATE (MM/DDIYYYY) 7/21/2010 NAIC # 19488 23396 COVERAGES CERTIFICATE HOLDER Miami Shores Village 10050 NE 2 Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. A_UTTHO REPRESENTA ACORD 25 (2001/08) 1 of 2 Client#: 53360 #S315070/M310898 CANCELLATION EDDHEI JMR o ACORD CORPORATION 1988