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MC-10-1511Project: <NONE> Building Department Comments October 25, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: AFFORDABLE AIR & HEAT & ELECTRIC CONTRACTOR For Inspections please call: (305)762 -4949 Phone Number Inspection Number: INSP- 150341 Permit Number: MC -8 -10 -1511 Scheduled Inspection Date: October 26, 2010 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: WILLINGHAM, HOWARD 3 - '71 g6.6z) Work Classification: A/C Replacement Job Address: 1158 NE 92 Street Miami Shores, FL 33138- Parcel Number 1132050270440 Phone: 305 - 770 -4167 EXACT REPLACEMETN OF 3 TON AC b 1 I to Passed J Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 2 of 24 ADDRESS: FOLIO NUMBER: 1 l 32056 CUMULATIVE SUBSTANTIAL IMPROVEMENT In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self- performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract • must be attached) PROPERTY OWNER: to tI I A) t, � in oh a �� PERMIT # VERIFICATION WORK SHEET Z 5 Rmazgyzii 1l1� AUG z 4 2e10 ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): t /A COST OF PROPOSED IMPROVEMENTS: 4 t? 1. op (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): g ®I. DD VALUE OF PRINC R RE (attach app ra/ 4 OWNERS SIGNATURE:/ Iu_,a ( l / elf; DATE: 8 PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 08/23/2010 16:42 3056548152 AFFORDABLE 08/23/2010 14:24 FAX 1 800 685 7530 DATA SCALY F1EW 8is ou o • FA-Y • Cpl - �1 5� PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit appitcatIons. 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): County: Miami Dada Zip Code: ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ' ALL UNITS MUST COMPLY WITH F.E.MA MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITAL.S ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES 0 NOeARHI Sheet Attached: YE NO 0 Contract Attached: YE3 Signature am! Shores PKG UNIT 1 MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT YES NO YES NO YES REPLACING TH ERMOSTAT NEW 4°CONCREiE SLAB NEW ROOF STAND NEW RETURN PLENUM BOX YES YES EER/SEER PKG UNIT / UNIT BEING REPLACED 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurront Protoction.(Fuse/Breaker Size): 3. Voltage of Circuit (208/240/430): 4. Size Disconnecting Means: Contractor's Company Name: State Certificate or Registratjon N. AIR CONDITIONING REPLACEMENT DATA /0 PAGE 04 vva v..a Miami shores village Building Department 10050 IV.E2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 qj3 DATA NEW UNIT Phone: i b e gg . ° 611 Certificate of Competency N. Date:, k//,62 ti ■I CERTIFIED 1 , www ahndire org 7 Certificate of Product Ratings AHRI Certified Reference Number: 3984775 Date: 8/20/2010 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTB4036E1 Indoor Unit Model Number: 4TEE3CO3A1 +4AYTXVH3D3642A Manufacturer: TRANE Trade /Brand name: XB14 Manufacturer responsible for the rating of this system combination is TRANE 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): 34800 13.00 16.00 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. • 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 at wwwahridirectoryorg. 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; 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, - ' Air - Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on 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.: 129267999414349051 e 0 ealp BUILDIN PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) Owner's Address / s g- C i ty ,11 Tenant/Lessee Name E -MAIL: Miami Shores Village o 3 C 3 E Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 /41311)11-1 14 W /, 1 one # Job Address (where the work is being done) lrseN6 City Miami Shores Village County FOLIO / PARCEL # LZt7 07 ‘ Miami -Dade Is Building Historically Designated YES NO �- Contractor's Company Name Ai a * Contractor's Address Si 6 16 [R� City l i ket. State Zip Qualifier Name J® Fr:ea-nark-7 Phone # State Certificate or E -MAIL: Architect/Engineer's Value of Work For t Square / Linear Footage Of Work: Type of Descri ''e Work: gistration No. _ rT� Certificate of Competency No. Additio Structural Review. x ***lbw xxx4e xxxxxxxxxxxxxxxxxxxx Submittal Fe $ Permit Fee $ Notary $ ning /Education Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ DNew DPBR $ Double Fee $ BY: Permit No. rC t®'' 61 Master Permit No. Zip Phone # Phone # Phone # Total Fee Now Due $ q 7 Zip ' // CS " o epair /Replace ❑ Demolition la & r er r ' - A- G 51eto e xxxx xxxxxxx xxxxx x xxxxxxxxxxxxxxxxx x xxxxx xxxx \ t IA CCF $ CO /CC Technology Fee $ Zoning $ See Reverse side —> 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 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 roust 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 Sign: Print: Owner gent The foregoing instrument was acknowledged before me this day of ge, , 20 , by tioriercifril d"2 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: (Revised 02 /08/06) e rd M CROP :Won ExMlinESA MONTALVO a:� M Commission i # DD AS 13 ,e ;G Bonded Through National Notary Assn. A P ICA I vvxxxxxx xx Signature Contractor The foregoing instrument was acknowledged before me this VD fo day of , 20 /0, by jar, /'l'°t,2yYlQ who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: lales// TH 1 ALV0 „IllisitiffIPUMOireSiate of Florida . _ , yt'x C omxmxx E lixsJu 1 �3 , �,_ Commission # i' 8 §4 ° �' Bonded Through National Notary Assn. xxxxxxxxxxxxxxx Plans Examiner Engineer Zoning ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING sk DISPOSAL RECEPTACLES NC (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) / GREASE TRAP SERVICE SIZE IN AMPS _50,r, DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP UNDERGROUND TANKS CLOTHES WASHER OVEN ABOVE GROUND TANKS SHOWER WATER HEATER U.F. PRESSURE VESSELS SINK. POT /3 COMP. MOTORS 0 -1 HP STEAM BOILERS SINK, RESIDENCE. MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3 -5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5 -8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8 -10 HP ELEVATORS /ESCALATORS WATER CLOSET MOTORS OVER 10 -25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25 -100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION NC UNIT NC WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. STRIP HEATER HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE SPECIAL PURPOSE SEWER CONNECTIONS OUTLETS COMMERCIAL UTILITY -SEWER SIGN TUBES UTILITY -WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES FAINFIELD, 4" TILE/RES. ANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU. FT. VIOLATION CATCH BASIN REINSPECTION DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING . f AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL PERMIT # Air Conditioning & Electrical Contractors Aff or d able Air & ;yea CAC048111 STR E • 111 !MIMI MANUFACTURER CONDENSER / PACKAGE MODEL EQUIPMENT SCHEDULE WORK # JOB NAME: STREET: CITY: P: AIR HANDLER MODEL S.E.E,R. 1 6 OTHER #: EST. ANNUAL OPERATING COST HEATER TONS JOB DESCRIPTION: i • DESCRIPTION OF SERVICES PERFORMED AIR DISTRIBUTION: Ductwork will be designed, fabricated and installed in accordance with accepted engineering practices and in compliance with.alfbuilding codes in force on above date. DUCTWORK: System of fleidfiber andlor outlets and PJ / returns. Sub' ct to modification according structural ral or other requ ements. LABOR WARRANTY: Service will be provided free by us fora period of A / B C year(s) from date of installation during regular working days & hours. MANUFACTURER WARRANTY: 4 :. Parts Warranty (Yrs.) A f B Compressor Warranty (Yrs.) A + t /t B EXTENDED WARRANTY: Provided through �/� ! T- - for --- -- year(s} AFFORDABLE AIR & HEAT, INC. WILL PROVIDE: INSTALLATION OF EQUIPMENT REFRIGERATION LINES ( ) OR FLUSH ( `;° GRILLES( ) RETURNS rX) PERMIT FEE(S) & PLANS, IF REQUIRED- DRAIN PIPING ( ) OR FLUSH ( ) AIR HANDLER SUPPORTS CONDENSATION PUMP EMERGENCY FLOAT SWITCH HURRICANE TIE -DOWNS CONCRETE SLAB B COST 006 ,4 ductwork with' 4 FINANCING AVAILABLE Payment to be made as follows: /4135 deposit, balance upon start % � �< Authorized Company Signature This proposal subject to acceptance w THE ABOVE PRICES. SPECIFICATIONS AND COMMONS ARE HERE Option Chosen Signature WHERE QUALITY IS AFFORDABLE 515 N.E. 190th Street • Miami, FL 33179 Dade (305) 940 -0777 Broward (954) 987 -9943 Title to the above merchandise remains with Affordable Air and Heat, Inc. (seller) until paid for in full. In case of default in any terms of this contract, the seller shalt -have the right to take immediate possession of said merchandise and full amount Of the purchase price then unpaid shall become immediately due and payable attheseiler's option without notice or demand. All monies paid shall remain with the seller as liquidated damages. In the event the services of an attorney are required to enforce the interest of the seller, the purchaser shall be required to pay all reasonable attorney's fees together with interest and all costs thereto. No warranty service shall be performed on accounts with an outstanding balance. Labor warranty excludes, existing ductwork, existing electrical systems, and maintenance'related repairs. - 1n 1w refuses to allow seller to commence work after the contract has been executed, purchaser Shall be responsible to the seller for 25% of the total price as liquidated and,agreed damages. Seller shall not be responsible forany existing building or electrical code violatio All material is guaranteed-to-be-as-specified. All work to = mpleted in a workmanlike' manner according to standard practices. ° ny alteration or deviation from the contract specifications involving extra .. is 'II be executed upon written orders and will be subject to charges over an. ab e this estimate. Initial Here NO EXISTING ❑ ❑ THERMOSTAT . 7 - e ®/U0 ❑ �; CARPENTRY;- BALAN C10E AIR FLOW REMOVIL OF "JOB SITE DEBRIS ❑ ® ELECTRICAL WIRING (POWER CONTROL) ❑ Ta - " E 1 ONNECT EXISTING SERVICEIPANELS is INCREASE ELECTRICAL SERVICE AMPS ❑ ❑ ❑ ,OTHE ❑ ❑ ❑ OTHER ❑ ❑ ❑ OTHER.- ❑ REBATES/CREDITS �O days and is void > there after at the option of the seller. UTHOJp ED TO DO THE WORK AS SPECIFIED. PAYMENT MILL BE MADE AS OUTLINED ABOVE. a-ogre .._ .. Date g' . YES TOTAL COST EC0001140 NO EXISTIN( ❑ ❑ X ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑