Loading...
MC-10-1636Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 151168 Permit Number: MC -9 -10 -1636 Scheduled Inspection Date: October 05, 2010 Inspector: Perez, JanPierre Owner: STOWE, HOWARD T Job Address: 79 NE 93 Street Miami Shores, FL 33138 - esi"..... Project: <NONE> Contractor: AFFORDABLE AIR & HEAT & ELECTRIC CONTRACTOR Building Department Comments October 04, 2010 For Inspections please call: (305)762 -4949 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number G v Parcel Number, 1132060130420 Phone: 305 - 770 -4167 REMOVE 3 TON A/C 8 KW HEAT \,0 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 7 of 16 A iLkt) -- BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Ttlehold Owner's Address City Tenant /Lessee Name E -MAIL: Job Address (where the work is being done) 7t City Miami Shores Village County iami -Dade FOLIO / PARCEL # // s 6 /9//9 Is Building Historically Designated YES NO Contractor's Company N ddress City Qualifier e State Certificate or Registration No. Value of Work For this Permit $ Architect /Engineer's Name (if applicable" 1 1 Type of Work: ❑Addition ❑Alteration ❑New Describe Work: r loot f Submittal Fee $ Notary $ Scanning $ Bond $ Structural Review. $ xx** x x x xX x Y. x xxxx x x x** x Y. xx x x W W W W* Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Zip Permit Fee $ State Training /Education Fee $ Radon $ Code Enforcement $ ri. ho ne # F DPBR $ Double Fee $ Master Permit No. Phone # Phone # Zip Phone # Zip Certificate of Competency No. Phone # Square / Linear Footage Of Work: Total Fee Now Due $ See Reverse side -* RRVI3g Al SEP 1 3 2010 BY:.. A .. iro.r.r Permit No. 10"I (031.0 ekx� 41 V ,g10 0777 104epair /Replace ❑ Demolition xxxxr. xxx x xx*x**x x x x x x x* x xx xrx x** ***& x x xx CCF $ CO /CC Technology Fee $ Zoning $ ley 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: l 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: Asa 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. for the ,first inspection ''i)2h occurs inspection will not be. ci Signatur who is personally kno NOTARY PUBLIC. Sign: Print: My Commission Expires: x x44 x Y. Y.xxxx X * * * * ** (Revised 02/08/06) (so, a certified copy of the recorded notice of commencement must be posted at the job site en (7) days after the building permit is issued. In the absence of such posted notice, the oved and a r,'inspection fee will be charged. S Owner oq'Agent The foregoing instrument was acknowledged before me this day of, 20 « by . ussV JeloN leuoll N n 0 r1 s it t�i�ti#SrPd��l � dice £ toz ' l unl' sai!dx3 . wwOO AN "c epliOl3 10 e1e1S - 011gnd AMelON OAlV1NOW VS383H1. �t'new- Mc? ? r. w x x *xw *x4444,,,,,,,,* Signature The foreg day of Sign: Print: ,,44x44 *xxxxxxxxxxxx 4444 Contractor instrument was acknowledged before me ®. — L cie,c,y leuo1leN yfnojgl mime $$$$ who is per � na 12y8 l oldl3�i ®[uwilo 10 �:,r y e< £tOZ unf &a idx :f;� ; � �, rr � eDl�nl3 In ei e i. Qn i ee � c n l� NO. 4 1 1 4 t A t 13H1 er)->7- V r7 My Commission Expires: x *xxxxxxxxxr.xt x,, 4444449:* ** *xxxxxxx **xxx * * *r. x** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning ITEM UNIT FEE ITEM UNIT FEE E ITEM BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS p CENTRAL HEATING 'g {x�' p DISPOSAL RECEPTACLES A/C (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) '64 9 GREASE TRAP SERVICE SIZE IN AMPS 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 PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION 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: ELECTRICAL MECHANICAL UNIT : EINN REPLACED DATA NEW UNIT ' MANUFACTURER A f ,;: ' n, AHU or PKG. UNIT MODEL # __:= t,� COND.UNITMODEL# U , . ' 6/ r �� < ' KW HEAT 0 la.(7 NOM TONS - AHU `'‘ CUB' P 1) M.C.A AHU /(PKG AHU ? CU PKG 2 M.O.P AHU U ', : ' KG a1CU AH �';7, PKG 3 VOLTS AH f 0 .a U PKG UNIT / / PKG UNIT / / EER/SEER /LO YES NO REPLACING DUCTS YES C YES NO REPLACING THERMOSTAT YES `) ` YES NO NEW 4 "CONCRETE SLAB YES GII0 YES NO NEW ROOF STAND YES C YES NO NEW RETURN PLENUM BOX YES es, AIR CONDITIONING REPLACEMENT DATA 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. AA� Job Address (where the work is being done): ' 7 City: Miami Shores Village County: Miami Dade Zip Code: 0i3S 7P-'1i. 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 ❑ NO4 ARHI Sheet Attached: YES J� NO ❑ Contract Attached: YES,' 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (S'ze): (Fuse/Breaker 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: State Certificate or Registration N. Signature (Qualifier's signature only) I �l1 J Phone: "0 ?I 127V Certificate of Competency N. 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 Date: 9� / i Www,ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 3805983 Date: 9/13/2010 Product: RCU -A-CB Outdoor Unit Model Number: 14AJM36 Indoor Unit Model Number: RHLL- HM3821 +RCSL -H *3821 Manufacturer: RHEEM MANUFACTURING COMPANY Trade /Brand name: RHEEM 14AJM SERIES Cooling Capacity (Btuh): EER Rating (Cooling): SEER Rating (Cooling): 37600 13.00 16.00 ©2010 Air - Conditioning, Heating, and Refrigeration Institute This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. 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: * 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 ail 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.ahridlrectoryorg. 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" llnk 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 ran n A Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129288647506700275 UNIT EINj REPLACED DATA NEW UNIT MANUFACTURER 0, Z.1 Jul/ AHU or PKG. UNIT MODEL # -' ' r COND. UNIT MODEL # / if.IPa'13epo C> f3 et° srt10 KW HEAT NOM TONS AHU ' CU" PK 1) M.C.A AHU -Z CU ® PKG AHU 4 , CU AH - _41, r PKG UNIT / PKG PKG / 2 M.O.P 3 VOLTS AHU ' U' ; ; G .k PKG UNIT / / EER/SEER /CO YES NO REPLACING DUCTS YES C�Ity YES NO REPLACING THERMOSTAT YES tit *> YES NO NEW 4 "CONCRETE SLAB YES GR+ YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES M. AIR CONDITIONING REPLACEMENT DATA 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): 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 ❑ N0 ARHI Sheet Attached: YES/I NO ❑ Contract Attached: YES, Signature 1. Minimum Circuit Ampacity (Wire Size): t°7 2. Maximum Overcurrent Protection (Fuse /Breaker S'ze): 3. Voltage of Circuit (208/240/480): � 4. Size Disconnecting Means: i� Phone: 1) 1 Contractor's Company Name: State Certificate or Registration N. (Qualifier's signature only) Miami Shores village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Certificate of Competency N. Date: q/W/0 u o V m. wwvv.ahiidiredtdT'if.otg Certificate of Product Ratincis AHRI Certified Reference Number: 3805983 Date: 9/13/2010 Product: RCU -A-CB Outdoor Unit Model Number: 14AJM36 Indoor Unit Model Number: RHLL- HM3821 +RCSL -H *3821 Manufacturer: RHEEM MANUFACTURING COMPANY Trade /Brand name: RHEEM 14AJM 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): 37600 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. This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. 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 nziori The information for the model cited on this certificate can be verified at www.ahrldirectory.org, am 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.: 129288647506700275 Home Improvement Agreement: HVAC Instaflation The Installation Professional named below will furnish, install and service the equipment listed below at the price, terms and conditions as outlined on this form. City, state, zip 04 t a TND Instaeer Installation Professional A � Home Depot Information: Customer Information: .' %. Phcn B'x: 0 Equipment Information: (attach additional list of equipment If necessary) Manufacturer, 14 t 1 5i t er der:r/Heat Pump #1 Model # Serial e, 0 Condenser/Heat Pump #2 Modal e Serial re al . its ace/Air Handler #1 Model # Serial it ❑ Fumace /Air Handier #2 Model ! Serial # 0 Mended Service Agreement Permit/Impaction Informatl° Permit Required? 09/14/2010 13:07 33876 Previdar ❑ Home Depot ❑ Manufacturer 3056548152 D N o 44- 2.tc) Length ❑ 5 Year ❑ 1 ©Year ❑ 12Year OOther Prices quoted will be VALID for a period. of 10 days from the proposal date of this contract. NOTICE TO OWNER: DO NOT SIGN THIS CONTRACT IF BLANK. YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT THETIMEYOU SIGN. For further Information In the event of problems can: The Home Depot Comfort Center, 888 - 523 -4822 or AFFORDABLE rer Type ❑ Complete System Pkg Unit ❑Condoning Unit 0 Furnace/Atr Handler Permit Nor Ina a118ti0n Prukerstonars Llien5e map, Date Proposal tat Ohm* an that apply; ❑ New Amp electric service/disconnect 0 Clean work area to customer's satisfaction ❑ Complete startup � 0 Remove existing equipment from storm 033 point installation audit CJ Ether `G � Down Payment $ (Parial pay states only) Balance Due (upon finish date of installation) $ l52 City /Cosily Issu ing hermit r � , _ _ Sch'doled Inspection Date/The e 1648p. .&-7-11. PAGE 01 Re- ,943 rx• s-nuArsr ?31 Mode Total Investment $ 1 'Total Amount $ • • i 1 2 ❑ Coll Model # 0 Thermostat Model # ❑ Air Cleaner Model ❑ Humidifier Model # ❑ Other Model # Ra:emery .l 9- � 2 r Payment Schedule: YOU agree that payments will be due as indicated below. If You are paying by credit, debit, or The Home Depot.card, the account may be charged or debited (as applicable) on the same day that tt is accepted by the THD Representative or Installation Professional..