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MC-11-178Inspection Number: INSP - 155534 Scheduled Inspection Date: February 23, 2011 Inspector: Perez, JanPierre Owner: GUZMAN, CARLOS Job Address: 30 NE 93 Street Miami Shores, FL 33138- Project: <NONE> Building Department Comments Passed uk Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: JOSE C YANE AIR CONDITIONING & APPLIANCES SERV IN( AC CHANGE OUT 5 TON February 22, 2011 For Inspections please call: (305)762 -4949 Permit Number: MC -2 -11 -178 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060130200 Page 15 of 29 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): �� /. t i z „.y� A /- Phone #: Address: I � r- City: �l 5/ 6 / e. ; / ��y `* &'c State: �+�¢- Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: .20 N E o9,r3 r City: Miami Shores Is the Building Historically Designated: Yes 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 §30MMEfil At FEB p 2 1011 BY: Permit No L ` 1 1 , 8 Master Permit No. County: p ty Miami Dade Zip: Folio/Parcel #: NO a ' Flood Zone: � l afJ ®1ld � no 7J' t3 93 ¥ CONTRACTOR: Company Name arse 7,6 Address: f ®. / ' N /32 4 City: N l �9'!t!) State: !— 4 Qualifier Name: 472 /A¢J'" Zip:, /6 / Phone #: ' 7f 1 JJ v C State Certification or Registration #: e ` s - C— / t /S"7' Certificate of Competency #: Contact Phone#: 7f F.2 .3 ff S Email Address: d,..1 "Y E.,r e DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ • z e ®42 Square/Linear Footage of Work: Type of Work: Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: ** * ******* ***** * * *** * * * * ****e* ** . m.x _ , _ *********** ** ** ***s**** **** *** ** * * ** * ***** Submittal Fee $5 j � �!Q Scanning Fee $ T Radon Fee $ DBPR $ CO /CC $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 6 ! J ,d'I 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 whose property is sub' for the first inspec inspection will not NOTARY PUBLIC: Sign: Print: My Commission E *************** ********* **** +k�k�*** APPROVED BY f ll (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) v of the notice of commencement and construction lien law brochure will be delivered to the person chment. Also, a certified copy of the recorded notice of commencement must be posted at the job site curs seven (7) days after the building permit is issued. In the absence of such posted notice, the nd a reinspection fee will be charged. ;'c MY COMMISSION # EEO EXPIRES September 01, 2014 f , (807)3 98 8 -D153 FloridallotarySerAce.com Structural Review Sign. Print: Signature Signature -i AL. Owner or - t / ontractor The foregoing instrument was ackn wledgged before / I me this / The foregoing instrument was acknowledged before me this _` day of , 20 , by L4 J' b 6 ) '1 vt. day of (✓ � IL #x • , 20 , by 6 ti t- � 71 es who is rs Y onall kno� produced wn o me or who has who is erson k nown me or w has produced Y As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: My Commis Y gOMMIAVIAN EXPIRED Septinixtr 07, 2014 407) 340103 PlefidaNV1aFY wlaa.aam ********************************* ***** ********************** **** //Plans Examiner Zoning Clerk UNIT BEING REPLACED DATA NEW UNIT 70 A le - MANUFACTURER (4 a "€/#11/ AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT / i'it' 6 to//- 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 /3. it YES NO REPLACING DUCTS YES NO V YES NO REPLACING THERMOSTAT YES 1/ NO YES NO NEW 4 "CONCRETE SLAB YES fr NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES fr NO AIR CONDITIONING REPLACEMENT DATA Miami Shores Village Building Department 10050 N. E. 2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 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): 3 (2 1') E q 3 S T 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 ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO E ARHI Sheet Attached: YES le NO ❑ Contract Attached: YES Er 1. Minimum Circuit Ampacity (Wire Size): i 2. Maximum Overcurrent Protection (Fuse /Breaker Size): gel 3. Voltage of Circuit (208/240/480): 94 V 4. Size Disconnecting Means: Contractor's Company Name: (J 04& a C State Certificate or Registration N. (AG- ` /S 7 Certificate of Competency N. e-0 Phone: 7I €J 3 V 23 Date: ,,/ / 1/ Certificate of Product Ratings AHRI Certified Reference Number: 3835262 Date: 2/1/2011 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: SSX160591A* Indoor Unit Model Number: CA *F4961 *6A * +MBVC2000**- 1A * +TXV Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade /Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. 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): 57000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 • 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 www.ahridirectory.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; 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, click on "Verify Certificate" link 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. ©2010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129410694739162324 ®' Alr- Conditioning, Heating, ■a OM and Refrigeration Institute WORK TO BE PERFORMED AT: GATE / ` �! NAME 1 ° 0'.2..01 Al ADDRESS ® Arm 9 LS r ADDRESS p CITY STATE , /ego S i 0":(44,40-4 frs,-4 CITY.STATE DATE OF PLANS PHONE NO. ARCHITECT We hereby propose to furnish the materials and perform the labor necessary for P/ Lc /5 61 �fli4-/7" 5' the completion of « ®fit 7 - e pi,AVP1Y - /4l .uJ __/L 6®N yv L I rc.N /e i_ J3 ®`z X/-0 %, —�Sci iti //N�— f ,- Efi.. .04 ' _-,j` ° l j .;• , r ' - /1-1-1' < — All material is guaranteed to be as specified, and the above work to be performed in accordance specifications submitted for above work and completed in a substantial workmanlike manner V 7 r , r ra A L i - Doltars with the drawings and for the sum of: " " ° p (s r . with payments to be as follows Any altered= or deviation beta above speolteetions insolvent extra costa Respectfully submitted wt be executed only upon ordeal older. and .$ became an extra clone over and above me eel. All agreemtelds oddment upon abates. sodden% or delays berard our contra Note Per - This proposal may be withdrawn by us if not accepted within days. C] ACCEPTANCE OF CONTRACT a...- . - • - are : %'zed << do the work as specified. Payments will f Cl ACCEPTANCE OF PROPOSAL The above prices, spedficalfors and conditions are satisfactory and are hereby be made as fined above. DATF SIGNA i SIGN JOSE C. YANES AIR CONDITIONING & APPLIANCES SERVICES, INC. 1021 NE 132nd STREET, NORTH MIAMI; FL 33161 LICENSED & INSURED CELL: 786.683.9345 FAX: 305.895.3565 CONTRACT igk PROPOSAL