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MC-10-1417Scheduled Inspection Date: September 02, 2010 Inspector: Perez, JanPierre Owner: MADSEN, PAUL Job Address: 335 NE 93 Street Miami Shores, FL 33138- Project: <NONE> Contractor: CSR AIR CONDITIONING CO Building Department Comments September 01, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 149792 Permit Number: MC -8 -10 -1417 For Inspections please call: (305)762 -4949 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060136260 Phone: 305 -685 -6394 EXACT REPLACEMENT OF 5 TON A/H AND AIR CONDITIONER q-1 2 / Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 10 of 20 Aug 11 10 01:26p C&R Air Conditioning • • . . • .• . • • . . . • • . • • • • • o'FIN °' • , • . sl.,,•• • .awe • e. ••••••••• 305-665-6395 p2 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. • a. • •.'al ••• AHRI Certified Reference Number 3416555 Date: 7/6/2010 Produi*. Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CZH06011 Manufacturer: YORK, UNITARY PRODUCTS GROUP Indoor Unit Model Number: C(A,C,D)60G44+MV20D+TDR Manufacturer: ASPEN MANUFACTURING Trade/grand name: ASPEN Manufacturer responsible for the rating of this system combination is ASPEN MANUFACTURING Rated as follows in accordance with AHRI Standard 2101240-2006 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI independent, third party testing: Cooling Capacity (Stull): 60000 ER Rating (Cooling): 13.00 SEER Rating (Cooling): 17.00 A ' toknwing a rating indicates a voluntary torale af praviousry published data. unless accompanied with a WAS which Indicates an Involuntary ierate. .• DISCLAIMER lha nom not entiorlo too pooduct(o) orilrd on hit; aftrObr.sfrtn nod ofafro5 ofpreScritatiorlif w1/1.'t em cir cliafertecIti isa; VA, .;n1).11 1141 rearcovoitrih:y for, • the profit:11(s) listoff Oi% this r.A.srliticate klipietiagy ifnolairns cIl Lefflity for ctanag,es. of arm; kind rafariff xi: ..•1/ tnr utre lIf foroarrurivo f trc thr tg:sur ateratiOn of fbtu tinted on OM CIatti Cort.frod rfit.ngt, aro vaircl only kw oftafift. and A;C:t 11v:snot:aro ;liftoff in the fill ontort at www ortnatfuotoly rim TERMS AND CONDITIONS Ng Crli tifr rid t. contallr are rafxrfe.lary of0Cfnot:5 of AHRI. Das Cod Itzate shrill only by v.-air! in( riuiv:tiutii prtoronilt nrfl l'nftmono PaPo'•:•es Ttm afr•kata... or urn tna [Ulan. rmay •vAt, in vohOl. mt.. N. wrench iced uoDett rtmorritut-o. entered into u computer tfuLtt)rifor: or olr:Onkifo iiIiIL in any semis moviiier Or kri ty,,y MCZnr..I'denrt IC1T 1.11.• mot x per•onat ne.1 1 CERTIFICATE VERIFICATION TI le I - •tortmaon for tt.c =Off n'tod on Ilk: unrIftioutt mai to verificul at wvori.:truiritoolory 47rf5, rick or i VarIfy Cortifirato" Ink anti nntnr tho A11ft,1 Ccrtlfien Ffeferviron Nur bor urd he date fylsytich thy nortaloaW w,t tr. isourgi, which AI bled oslovo, and Cortrheato 11111 . whtilf •kt lit.fon below • • 20B9 Alf-C.onditiOning, I-k and Hoccigordtion trmtituto CERTIFICATE NO.: 129229207142792E184 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL Tenant/Lessee Name Email Job Address (where the work is being done) 3 J S N E 93 s T State Certificate or Registration No. Contact Phone E -mail Value of Work For this Permit $ Type of Work: ❑ Describe Work: f /)(4 -4 Submittal Fee $ 50 Structural Review. $ Notary $ Scanning $ Radon $ Double Fee $ Miami Shores Village paERVISI Building Department uu% o b zoo 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. I 0 —141 `° t Master Permit No. Owner's Name (Fee Simple Titleholder) Pcu.&.O 92146Zrrl Phone # Owner's Address S Pe 9a S T l Cit ` IA Vrt I ,SkOres r State I'" I City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name C+ R 4r c ©h c l . Contractor's Address 607-3 /0 W/ £ 1 C. • q City (" km o State F) Qualifier Name CAD ell Z C k r .Jr CAC Co. cQv,cIR C wt �� /� P , oL.Com Certificate of Com etency No. 0 4,180a Architect/Engineer's Name (if applicabJ) 7 Phone # Permit Fee $ Square / Linear Foot a Of Work: LINew Repair/Rep ce ❑ Demolition z A /8 *** F ees ** * * * *** * * * * ** * *** * * * * * * * * * * * * * ** * * * ** * ** Training/Education Fee $ DPBR $ Violation date: Zip (3138' Phone # Phone # Total Fee Now Due $ Flood Zone 3 o if 91 Zip 30 ® !S Phone# 20 s 6 9 L � c .15 See Reverse side --> v BY . .......orr .3os -7 .7L{9S Zip CCF $ CO /CC $ Technology Fee $ Bond $ 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 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. Signature A 20b-IDJ(Cil Signature Owner or Agent The foregoing instrument was acknowledged before me this 4 Sign: Print: As identification and who did take an oath. NOTARY PUBLIC: a Knhert c L, y s� - My Commission Ex * * * * * * * * * * * * * ** APPROVED BY tractor The foreg instrument was acknowledged before me this U , 20 10 by , day of rt , 20 I O, by o me or who has produced who ersonally known me or who has produced as identification and who did take an oath. Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) NOTARY PUBLIC: Sign: Print: J a n efi' K z_ SA Y Pr; .,, JANET KRANZ My Commission F *: Commission DD 621880 ` QS Expires December 26, 2010 ` th° Bonded Thru Troy Fain Nsuranoes0001f r7019 ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Zoning coME 97111; AD;S� p 1 L _ 1 S T �/YVUI . 4 ,, 3313 4 CELL 2 0S . das". 6 96a- We hereby propose to: Furnish, inst land service the equipment and materials listed below with the conditions and specifications detailed below. NEW EQUIPMENT System #1 $ 1l-wo. ®@ System #2 $ System #3 $ Rebate/s I' PL _ 12 &S 0 8 6S' Your Investment - ;� Manufacturer L - r�reL 1c ®t 0 0 0 6'k Condensing Unit Model # / 16 T • ®n G z 1-I 060 a S P e ecI Air Handler Model# •�-�-- �' My D.0 0 Ucieiljle sp Package Unit Model # `" 1. 'L!77 R 4 I 0 60, ©0 I7.° / 1,2.° EER Heating KW Binh S.E.E.R. Warranties ❑ Condensing Unit Stand ❑ Concrete Slab ❑ Other ❑ Package Unit Changeout [ connect to Exist' g Systepi iftvaw PURCHASER PERMIT FEE NOT INCLUDED C &R Air Conditioning Co. 6073 NW 167 Street Suite C-4 Miami Gardens, FL 33015 -4330 DADE: 305 685 - 6394 BROWARD: 954- 680 -4494 Labor Yr. Parts Yr. Labor t Yr. Parts 10 Yr. Labor Yr. Parts Yr. Compressor 1. L Yrs. Compressor Yrs. Compressor Yrs. MISCELLANEOUS u it Handler Stand Thermostat S D DUCT SYSTEM lit. Cal4 E-L-0,,,gtrAtA- of}m A qualified air conditioning expert will start and test the system and explain its operation. This proposal is good for a two week period from date of proposal and at that time is subject to review. Title to the system shall remain in us until all sums due us have been fully paid. In the event the purchaser fails to comply with any of the requirements of this contract and such default results in litigation, the Purchaser agrees to pay reasonable attomey's fees and all court costs and expenses incident to such litigation. Delinquent payments shall bear 1.5% per month interest from due date until paid. All work is to be performed during our regular work hours unless otherwise specified. This contract contains all agreements. Neither party shall be bound by any representation, warranties nor agreements, oral nor written not herein contained. This proposal shall become a contract when accepted by you and approved in writing by our duly authorized corporate officer. We agree to furnish and install the above described 1 ® ® TOTAL INVESTMENT $ 1 LUlo • FPL/DEALER REBATE $ - 1 ".S". ° YOUR INVESTMENT $ 1 6sC .0 fA DATE PHONE HOME 3 Q za 0 744 9 , c - WORK oat Switch Auxiliary Drain Pan ❑ Ref. lines reCormec It. ❑ Fire Dampers Existing Reconnection ❑ New Eciric, Pcj u ; sc jJ L ��•1 . REPRESENTATIVE VALID OR 2 WEEKS DATE ib ❑ UNDER CONSTRUCTION EXISTING STRUCTURE ❑ Ref. Line cover ❑ Condensate Line 50% DEPOSIT n the terms indicated below for System # $ 40 n 50% DUE WHEN ,per Ob READY TO OPERATE $ - 1 O � 0