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MC-10-796Inspection Number: INSP - 145793 Scheduled Inspection Date: November 09, 2010 Inspector: Devaney, Michael Owner: PSUTY, THEODORE Job Address: 629 NE 92 Street 5 -B Miami Shores, FL Project: <NONE> Contractor: C&C ELECTRICAL CO INC Building Department Comments November 08, 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 Phone Number Permit Number: EL -6 -10 -1054 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Parcel Number 1132060430030 Phone: (305)655 -0972 ELECTRICAL HOOK UP FOR THE NC INSTALLATION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 2/ L o/ Page 10 of 33 BUILDING PERMIT APPLICATION FBC 20 Permit Type: ELECTRICAL ii Owner's Name (Fee Simple Titleholder) 1 'E..) t oic �- PS c .7 _t Phone # 5 '75 '7 I q 33 Owner's Address d' IQ E. j.. Sr r City " sho 1 t 3 State rL Zip 31 33/ Tenant/Lessee Name Email Job Address (where the work is being done) Is Building Historically Designated YES Qualifier Name Architect /Engineer's Name (if applicable) Value of Work For this Permit $ 5 50 ` ) Type of Work: ❑Addition DAlteration Describe Work: C. to )Olt_ - up 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 & ; 6 "1 t r cl 2. S •5 Permit No. E1 1 0 -I O Master Permit No. Wri 1 � � ► i( Q Contractor's Company Name - - C' P. Contractor's Address 10 3 0 ('v y.1 City PI l \ C\ yy Training/Education Fee $ - AO Phone # City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # 1 1 _ ,� � " lid -- 0 0 3o NO e c r 1 Cc t Inc _'hone # c9.-0Z State FL Zip S3 Phone # &2 c, s 5 C EV7 State Certificate oor Registration No. Ep...,- t ,), C1 d- 4 '7 Certificate of Competency No. 7 E �: 0 o j 3, Contact Phone / (' t - f L1 (� E -mail CA k l / 0( ( C,i' �1 - - - Phone # Square / Linear Footage Of Work: ❑New ❑ Repair/Replace %" „m0 9 zoo Flood Zone * * * * * * * ** * * ** * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * ** * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ �' �l�rvli lip' CCF $ 0 l O CO /CC $ Technology Fee $ 0 V Notary $ Scanning $(s - ( Radon $ DPBR $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 1 04 4 4 00 Bond $ See Reverse side ❑ Demolition 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 re- inspection fee will be charged. Signature -i j - tb \6 Cam L7 Owner or Agent The foregoing instrument was acknowledged before me this g day of i/I& _ , 201.0 ,by who is . ersonally known a me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * ** APPROVED BY (Revised 07 /10, /07)(Revised 06/10/2009) nu.tC -STATE OF FLORIDA I •• Noel VendrYes mission #DD870443 Expires: APR. 27, 2013 g0Nfn u ra w n ruvrne swam co., itte. ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ians Examiner Engineer Signature_� Contractor The foregoing instrument was acknowledged before me this ZC day of M A'( , 20 • 0 , by OIIN /i2 .' who personally known to met who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign Print: PA U I N\ N A I L /kr D My Commission ExpireNO'y PU1;LIC -STATE OF FLORIDA " "''• Paula A. Myland nY` Co 7 . 4 DD586925 * * * * * * * * * * ** m s * d i ** ;** Fw* 919 BONDED THRU ATLANTIC ,.. :C CO., INC. Zoning Clerk checked ftwawfNti 5113 Miami Shores Vllage 1<o Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305) 756.8972 INSPECTION'S PHONL NUMBER: (305) 762A949 BUILDING PERMIT APPLICATION FBC20 Permit Type: MECHANICAL Owner's Name (Fee Simple Titleholder) 1 1r (�,�p( CSC- L Phone # 36S — 7S - Owner's Address ca9 t E C City L ✓ , YK�P State FL. . Tenant/Lessee Name Email Job Address (where the work is being done) City Miami Shores Village County __ Miami Dade FOLIO I PARCEL # ) /- r11di astale0l i ted Contractor's Company Name A f CA. aA C; Y. . Y �sit C {dvi- Phone# � '" qt---1 S s Coutrnc x's Address qq ( t i c 6 4 ,.... Cit vnk3 -e i F � /II_ 'x!1 State ` � c3 � Zip 30 Qualifier Name N.)6e ( -v-t si L Phone # : -q `t— 6 mi 7/? State Certificate or Registration No. C �} --7 (� k 93 S 8 Certificate of Competency a mpetency N ��! Contact Phone qcs `�f - �j — / / 7 E -mail " G. /) ,r l. Architect , 'Engineer's Name (if applicable) Phone # iiiiiiwiiiativiatiligfigmot$Troo 00 �`�neaoo a �'f�ork Type of Work: ❑Addition ❑Alteration QNew ❑ Re air /Re lace p p Demolition WaSfAiiikai • -ZAt ALL Z 7 o N1P( 7 � � THt / 3 S'E 4 1 i H �9 w >TAr f''cr it/ode ¢ '.4o7, StructuralRevieyv $ YES NO * ** * * * * * ** * ** * ** *** *i**** irk **** *** * * ** ees* * ** *** ***** ** * **** *:F * * * ** ** * ** * * ** *** * *.; Subniitta? fee Permit Fee $ a,j ,5 CCF $ H .t1 MAY 07 2010 111 Permit No. r =1 .- g Master Permit No. Zip 3I b' Phone # ��. *5 Zip Flood Zone Notary — Training /Education Fee $ Technology Fee S Scanning $ Radon $ DPBR $ Bond $ - Double Fee $ Violation date: Total Fee Now Due $ See Reverse side. _ -' - -'-"""�"' KEV151ON NUMBER: THIS IS TO CERTIFY THAT 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. INSR'' LTR TYPE OF INSURANCE ADDL'.SUBR! INSR' WVD' POLICY NUMBER IMMIDONYYY) 1 [ IMMIDOKYYY) LIMITS . GENERAL LIABILITY A =C -sMC C R CI,S1 498249 8/25/2009 EACH OCCURRENCE $1,000,000 D T __ bSh av�E RENTED 8/25/2010 ; P EP a S ;Ea o ce a - e ^ ceI $ 50,000 MED EXP ;Any r,na;;rrsoni ',.,$ 5,000 GEP. P_RSUr.A? a AcV [NUURY i $1,000,000 GENERA. AGGREGATE I $1, 000, 000 A PR �A - . D.CTS- CO ! $1,000,000 AUTOMOBILE LIABILITY . ._ _ .t ^.CE A'.,:'..�:; . . MIRE ovvr'=p c:_ -s N/A COMBINED SJNG E .i!TIT I $ (Ea acc a , 3 N JUR Y;Per person; $ 18031iY INjUR Y (Per acg ■dent; $ PR �PER T4'EIAM AGE ,. 3 U MBRELLALIAB - -- ~. EXCESS UAB :... .__ N/A EACH URRENCE $ A N - U -ATE CEC T`.ELE RETENT;ON $ $ $ WORKERS COMPENSATION i AND EMPLOYERS' LIABILITY _ B J r Y' ; ?R R h EM..ER E h (Mandatory NH) yes . des na � der DESCRIP .,. o ORE r. -; _, -, _ Y/N N / A . 10639632 4/1/2010 ". ' yVc STAT u- I !OTN -; TOR "�ih S � R' E L EACH AC OEP,T I $100, 000 4/1/2011 C'SEASE -EA EMPLOYEE 100 I ° $ 000 r E,. DISEASE Re..CY IT $500, N/A DESCRIPTION OF OPERATIONS] LOCATIONS ELECTRICAL CONTRACTORS. CERTIFICATE HA! nFR VEHICLES (Attach ACORD 101 Additional Remarks Schedule, if more space is required) _...__. . __ -_ -- MIAMI SHORES VILLAGE 10050 NE 2ND AVE MIAMI SHORE, FL 33138 SHOULD ANY OF TH ABOVE DESCR B POL IES BE CANCE BE ORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS - AUTHORIZED REPRESENTATIVE OJJEEEDDAA c < <+cx- G ' ® Policy Number: CLS 1415444 Date Entered: 8/31/2006 A CORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 6/18/2010 THIS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the pertificate holder in lieu of such endorsement(s). PRODUCER The World Of Insurance, Inc. 13155 SW 134 ST suite 209 MIAMI, FL 33186 INSURED COVERAGES ACORD 25(2009/09) C S C ELECTRICAL COMPANY, INC. PAULA 1030 N.W. 200 TERRACE MIAMI, FL 33169 • Produced using Forms Boss Plus software. www.FormsBoss.com: impressive Publishing 800- 208 -1977 CONTACT NAME: PPHOONE Extl (786)573 -2221 EMAIL ADDRESS: Jill@ theworldofinsurance_com PRODUCER CUSTOMER 10 fl" INSURER(S) AFFORDING COVERAGE INSURER A INSURANCE COMPANY INSURERS Florida Citrus Business & Industries Fun INSURER C INSURER D INSURER E INSURER F FAX (AIC, No) (786)573 -2224 NAIC y ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Inspection Number: INSP- 142674 Scheduled Inspection Date: November 09, 2010 Inspector: Perez, JanPierre Owner: PSUTY, THEODORE Job Address: 629 NE 92 Street 5 -B Project: <NONE> Miami Shores, FL Contractor: VENDRYES CONSTRUCTION INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: MC -5 -10 -796 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New A/C System Phone Number Parcel Number 1132060430030 Phone: (954)441 -9559 NEW NC SYSTEM WITH DUCT WORK AND PIPING Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments November 08, 2010 For Inspections please call: (305)762 - 4949 Page 7 of 33 5131 tvU�C� 51 11 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL Owner's Name (Fee Simple Titleholder) 1 edi' a04 e. Owner's Address (cccp 9 N C State FL. Tenant/Lessee Name Email Is Building Historically Designated YES State Qualifier Name 1\-6e( vt�y L State Certificate or Registration No. ei1c (. 1..( Q 3 8 Contact Phone qj o ro tpfivet q .su - Lq- 77 X Submittal Fee Permit Fee $ Notary $ Scanning $q'l -") cravi:› Radon $ Miami Shores Village Building D epartment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 'L E -mail Training /Education Fee $ 1 v (Q)Q Master Permit No. CA.-t_ Phone # 36S — 7 s 7 .. / 4z.3 Zip - S' . 3 I bS? Phone # Job Address (where the work is being done) CO E IJ g q sli-, 56 `- � City Miami Shores Village County Miami -Dade Zip '3 SR FOLIO / PARCEL # /1- :3. — 0 6 — 0 4-S -- c030 MAY 0 7 2010 Permit No. r\C\ NO Flood Zone Contractor's Company Name \ E A.) b 1 G( toil Y s4icieltako ne # q q cif Contrac is Address gc1( r " tC . 3o * City evrLi l) Zip e 3 Oc Y Phone # � y 6 qq' 77 ?9 Certificate of Competency No. C tl d.[CS 4'; (,c 7 Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Tr • oo Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration New ❑ Repair /Replace ❑ Demolition Describe Work; IIJ 1 ,cis, ALL 2 / 0J.( Laili/ i �3 Xs% /E /''� /3 &'EE/- fd - w/ 7 ,C X w>ifr .7e/C7 1Jor, /C ¢ Pak ***:****: * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** F * * * ** ********* ** * ** * * *** *( * ** * * * * * * * * * * * * * * ** l0 \.5l CCF$ 1 J ** C /C $ Technology Fee $ p .40 DPBR $ Bond $ Double Fee $ Violation date: � Structural Review. $ Total Fee Now Due $ ----cq Reverse side -› 5 (,(4 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. so, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occ rs seven (7 . sys after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a einspection e will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this `4 The foregoing instrument was acknowledged before me this `l day of �. , 20 J , by --- F5 e4O"b u- - c. , day of ,�l(�� Cam/ 20 1f✓� , or by ��� I �E' l ,�c� s w n to me or who has produced ho is personally known ao me who has produced As identification and who did take an oath. as identification and who did take an oath. o is personally NOTARY PUBLIC: � Sign: . C)l 5 A\ —awillr ■•••- Print: My Commission Expires: APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) Engineer Sign: Print: NOTARY PUBLIC: My Commission Expires: NOTARY PUBLIC - STATE OF FLORIDA NOTARY PUBLIC - STATE OF FLORIDA Kendor I wling ", Kendor Hewling 1. - ° . :..Co.._:ssion #DD654 - ,;, ° Commiss i on # D 15 >;xplres: 11 G CO., INC. BONDED THRU ATLANTIC BONDING CO., INC. tJ Plans Examiner Zoning Clerk checked a n TYPE OF INSURANCE POLY MINIM DATE (MMIODIYY) DATE (MM/DDMY) MUM A GIMBAL LIABIIJTY COMMERCIAL GENERAL LIABILITY 01 SBM AK5 2 9 6 07/09/09 s 0 7/ 0 9/ 10 EACH OCCUR RENCE $500,000 FIRE DAMAGE (Am, am Fire) $300 I CLAIMS MADE I X I OCCUR MED EXP (Arty are perewN 81 0 1000 X General Liab PERSONAL & ADv INJURY $500,000 GENERAL AGGREGATE s1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG 81 1000,000 IPOUCYIXIM I ILOc AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT "! s _ BODILY INJURY Wer $ ,_. BODILY INJURY (Par accident! $ PROPERTY DAMAGE (Per acddenU $ i GARAGE mammy ANY AUTO AUTO ONLY - EA ACCIDENT 8 OTHER THAN EA ACC 8 AUTO ONLY: AGG 8 EXCESS LIABILITY EACH OCCURRENCE 8 OCCUR I I CLAIMS MADE AGGREGATE 8 DEDUCTIBLE RETENTION 8 8 $ 8 WORK S COMPENSATION AND EMPLOYERS* LIABILITY yy 1 TO Um ST 1 I ER E.L. EACH ACCIDENT 8 E.L. DISEASE - EA EMPLOYEE 8 I E.L. DISEASE - POLICY LIMIT $ OTUER 1 ACORD„, CERTIFICATE OF LIABILITY INSURANCE NORTHEAST AGENCIES INC /PHS /FLO 210204 P:(866)467 -8730 F:(800)308 -5459 301 WOODS PARK DRIVE CLINTON NY 13323 INSURED VENDRYES CONSTRUCTION INC. 9916 N.W. 20TH ST. PEMBROKE PINES FL 33024 CERTIFICATE HOLDER 1 ADDITIONAL INSURED; INSURER LETTER: Miami Shores Building Department 10050 N.E. 2" Avenue Miami Shores, F1.33138 ACORD 25-S (7/971 mNSURERA:Hartford Casualty Ins Co INSURER B: INSURER C: INSURER D: INSURER E: DESCWPTION OF OPEIATIONSI LOCATIONSIVERCLWEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. CANCELLATION INSURERS AFFORDING COVERAGE AUTHO ENTAT VE 1-1/4E DATE 05 -12 -2009 P R OD U C ER 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 POUCIES BELOW. COVERAGES 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON - PAYMENT) 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. ACORD CORPORATION 1988 Shores Plaza West Condominium, Inc. 621 N. E. 92 Street, Apartment 4A Miami Shores, Florida 33138 Telephone (305) 692 — 9054 May 17, 2010 To Miami Shores Village From: Shores Plaza West Condominium Subject : Central Air Conditioning Gentlemen, We have approved the installation of central air in Unit # 5B at 629 N.E. 92 Street, Miami Shores, Fla. subject to receipt of your permit prior to undertaking the work. \ 0 S. ck, ' ident or the Boar. of Directors Shores Plaza West Condominium Fora Name ilia Address ,. .01911111E1g1KFRIMMITIMIL A 0 , City and State or Province U .114 a • C 31 3 By: Contractor V e MD C( es Cong 0.e.„ l ®Y1 Oc- Address r i a , S4-4 l Vern City i ern b o /w1 e. s FL. 3 a-y Design Conditions CC p Winter o Summer Outside clb F ( °F Insidedb e0 °F Outsidedb ° F Insidedb °F Winter Design Temperature Difference • F Summer Design Te rature Difference t ° F Room RH 2 Daily Range t rlile k Heating Summary Total Heat Loss for Entire House (Line 15) = Btuh Ventilation CFM = Winter Design Temperature Difference = °F Heat Required for Ventilation Air = 1.1 X CFM X °F = Btuh Design Heating Load Requirement = (house) (Vent) = Btuh Cooling Summary Total Sensible Gain 20 f Dlf 5 Btuh (Calculation Procedure D) Design Temperature Swings Total Latent Gain + 3 2 c► Btuh (Calculation Procedure D) Normal 3° ( ) 4.5° ( ) Total = Sens. + Lat. :� �1 l 3 4 ' Btuh Ventilation CFM = _ / Equipment Summary e 1 Make Pi 1 C ICG Model 3-s 4 �1) O O. t4 1� Type � k'C . 0 ✓) • Heating Input (Btuh) Heating Output (Btuh) Efficiency / 3 S &�%!C Sensible Cooling (Btuh) 1 GI . WO Latent Cooling (Btuh) 4S7 Total (Btuh) '`, 000 COPIEER/ HSPF Cooling CFM k:%% Heating CFM (gc li p Space Thermostat Heat ( ) Cool ( ) Heat/Cool ( Night Setback( • • • • Construdtion Data • . 'Windows a 617;' • • • • • .Wi n ws 't Floor G c J>ic•h . • • • • • • .. • • • • • :.:., • Partitions • ••. pbbrs : r- r.5..•. ° •• • Walls C.?.... • • Basement Walls • • •• _ • . • • .. • • • • • • ... • • .. • :. Rif • • • Ground Slab .... • • • •••• Ceiling ' FORM J -1 Including Calculation Procedures A, B, C, D Copyright by the Air Conditioning Contractors of America 1513 16th Street, N.W. Washington, D.C. 20036 Printgd In 11 S.A. MANUAL- J 2010 Plan No �..PI"" Date 5 o I o Calculated by - ..--- WORKSHEET FOR MANUAL J LOAD CALCULATIONS FOR RESIDENTIAL AIR CONDITIONING ..•. • • • • • • • • •• • • • • • • •• • • • •• •• • • • • •• Procedure B • Summer Infiltration HTM Calculation • • • * Rafe* to table 6 • • •• • • • • • ••• • • • • • •• • • •••• • • • •••. Calculation Procedures A,B,C,D Procedure A - Winter Infiltration HTM Calculation 1. Winter Infiltration CFM AC /HR x Cu. FT. Volume 2. Winter Infiltration Btuh = I (69 3 CFM x Winter TD 3. Winter f Itration HTM ® Btuh 174 CFM Total Window = HTM & Door Area Btuh 1. Summer Infiltration CFM 7 - AC /HR x 4 Cu. FT. Volume 2. „mmer Infiltration Btuh Vat CFM x 1.( Summer TD = Btuh 3. Summ r Infiltration HTM Btuh = Total Window = ° HTM & Door Area CFM Procedure C - Latent Infiltration Gain 0.68 x Summ gr. diff x `�" CFM = 516 Btuh Procedure D - Equipment Sizing Loads 1. Sensible Sizing Load • .• Sensible Ventilation Load o 1.1 x 0 Vent. CFM x t` Summer TD Sensible Load for Structure (Line 19) Sum of Ventilation and Structure Loads Rating & Temperature Swing Multiplier* Equipment Sizing Load - Sensible 2... tatE,t Sizing Load 4..atErit Ventilation Load 6 '1513/314 50 Vent. CFM x 53 gr. diff. = I' • • 1Q et ?nal Loads =.230 x 3 No. People •• nfiltration Load From Procedure C • • Equ*pment Sizing Load — Latent Btuh Btuh Btuh RSM Btuh Btuh Btuh Btuh Btuh Name of Room Running Ft teos$d Vaall • • • • • • Ceiling Ht, Ft Directions Room Faces ••• Fpns‘ •. E &W or NE & NW South or SE & SW Entire House Area or Length Area or Length Area or Length Area or Length Area or Length Gross Exposed Walls and Partitions Windows and Glass Doors (Heating) Windows and Glass Doors (Cooling) Other Other Doors ....... ............. Net Exposed Walls and Partitions Ceilings Floors Infiltration HTM Sub Tot. Btuh Lass = 6+8+9+10+11+12 Duct Btuh Loss Total Btuh Loss = 13 +14 People @ 300 and Appliances 1200 Sensible Btuh Gain= 7 +8+9 +10 +11+12 +16 Duct Btuh Gain 2 3 5 6 7 3 3 0 1 2 3 4 5 9 Total Sensible Gain = 17+18 10 .1 126t v rvga I vi91111C it Btu !!!!!! Miami Shores Village APPROVED BY DATE ZONING DEPT WG (/ FEDERAL BLDG DEPT SUBJECT i0 CCMPUANCE WITH ALL r STATE AND UCLA 1'Y UL HUES AND REGULATIONS •••• • • • • •••• • •• • • • • • • • • • • • • • • It • • • • • o •• • • • ••• • • •••• •• • • • • • • • • • • •••• •••• • • • • • •• • • • • • • •• • • •• • • • t •••• • • t - X G. r2,E�e S T MAY 0 7 2010 Vf . t r 1€L c-c .o+..,, E n het. = i e 6 M 6 bet-4 _ � . - b0c).- 15 �- --- (,- - z. . - LIKE -5'I t i 3 /2 - -3 /4 . emu: ;2 /'L wkp Dim U n al-- = pAi Ito SEhschIca c '1c ' it. , 00 • • • • • • • • • • • . • CaL/HEAT SECTION 4 Age01 V 1.4 rr -- ---- -� FAt4 SECT1G 4 - FILTER ACCES REFA8 FRAME t . 1 FF. A/C CLOSE , INSTALLATION KUL 1 - 7 1 is ` cATIWit . `Nc< 0000 • • 0000 • •• • • • • • • • • .• • • • 0410 0000 • 0000 • • •• • • • ••• • • ••0• • • • • • •• •• • • • •••• • •••• • •• • • • • • REF LINES tt Af' VW IT COND. LINE -b/4!** EN/Q "tuea •tG k1 / t�scR- A/C UNIT MOUNTING DETAIL (TYPICAL OF FOUR CORNERS) 1/16" X 1" X 12 ", 16 GAUGE MEM STRAP. ONE ON EVERY CORNER, OF CONDENSER. N.T.S. CONDENSING UNIT 8" MIN. CONCRETE BASE W/ 8" X 6 "- 10/10 W.W.F. 2" X 2" X 3/4" INSULATED PAD 6" MIN. CONDENSING SUCTION LINE WITH 4/ " ARMAFLER INSULATIO ND VAPOR BARRIER MOUNTING UNIT DETAIL POWER AND CONTROL CONNECTIONS 6" MIN. 4" MIN. LIQUID INE WITH OUT INSULATION N.T.S.