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MC-11-296Inspection Number: INSP - 156250 Scheduled Inspection Date: March 21, 2011 Inspector: Perez, JanPierre Owner: YAGLE, EUGENE Job Address: 541 NE 94 Street Project: <NONE> March 18, 2011 Miami Shores, FL Contractor: EDD HELMS ELECTRIC & NC 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 REPLACE EXISTING 3 TONS A/C SYSTEM qe Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments For Inspections please call: (305)762 -4949 L Permit Number: MC -2 -11 -296 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)757 -0840 Parcel Number 1132060140870 Phone: 305 -653 -2520 Page 25 of 37 Y ay/e R / /HH/ �v Tenant/Lessee Name Email Is Building Historically Designated YES Miami Shores .Village Building Department City Miami Shores Village County Miami - Dade FOLIO / PARCEL # // 32o6- O/4 DP7o 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)2 1(j, BUILDING PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: MECHANICAL Owner's Name (Fee Simple Titleholder) &4gerle 1 Kaq / Phone # 345 7s7 edP Owner's Address 5",e/ / F ye/ A 91 ✓ S�reie Cityf /am? .S`io State /C/or/a/4 Zip 33/ 38 NO c� Phone # Job Address (where the work is being done) 64 N. E. 9' $tree/ Structural Review. $ Total Fee Now Due $ Zip 33/36' IFE WV 31 gEg232011 Flood Zone Contractor's Company Name Ell /4/'G / $1S ,1,- C. i,e0 .7$o r!/n PP hone # 00 S.- 65;3- c2530 Contractor's Address / 7850 N.t A -eM ke- City Riot tn/ //�� State F/OrI0/4 Zip 3316 2 /C Qualifier Name O d er f A bY1S Phone # 3 4 S3 ZS 2-0 State Certificate or Registration No. d,t4d /2 y90 7,L Certificate of Competency No. / Contact Phon&3 5 (oS32520 $. 7 9 6iiay -mail ghat 7 g e & ,o� " /His. cop.-, e Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 4 0 0 Square / Linear Footage Of Work: Type of Work: ❑Addition ['Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: Replace ex/ S'// H Cj 3 7Th Ale Sys /en-) ** * **w* * ** *** * * * *** * * * * ** * * ** * * ** * ** ees * * * * * * * * *** * * * * * *x * * * * * ** * *$4 * * * * * *** Submittal Fee $ P.ermit Fee $ CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: See Revere 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 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 apps ved and a reinspe ion fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this.2 / day of kfjMl /, 20 N , by /ida who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: 0 ,44 MARY E HACKNEY * ; `; * MY COMMISSION # DO 817400 ' •� EXPIRES: October 1, 2012 • i Bonded Sign Print: Alas t'4 My Commission Expires: * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) Plans Examiner Engineer Signature Contractor The foregoing instrument was acknowledged before me this a day of glinla'sy , 2(Y/ , by A`1Cr1'/Zo4rf,S' who is personally known to me or who has produced as identification and who did take an oath. NOTAR PUBLIC: Si Print: a e 1 £ /-/-it 44' y My Commission * * * * * * * * * * * * * * * * * * * * ** MARY E HACINEY :* , *s MY COMMISSION # DD 817400 EXPIRES: October 1, 2012 Atigo �r *BwdedaAp �g **a Zoning * Clerk checked UNIT BEING REPLACED DATA NEW UNIT ,efiril MANUFACTURER ,evad I ID AHU or PKG. UNIT MODEL # phgail4114 Z / f I. 110744 34,- P1.36, COND. UNIT MODEL # /® KW HEAT 1d NOM TONS AHU C PKG 1) M.C.A AHU > CU PKG . U PKG V _h,/, 2) M.O.P 4,i) 3) VOLTS ' zeta- 23p AHU CU PKG ' AHU CU PKG AHU CU PKG PKG UNIT / / PKG UNIT / / /e, EER/SEER /4 YES NO REPLACING DUCTS YES ALl,_i,,i� YES NO REPLACING THERMOSTAT YES j[ YES NO NEW 4 °CONCRETE SLAB YES ea YES NO NEW ROOF STAND YES W YES NO NEW RETURN PLENUM BOX YES P0` 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): citff kJ d 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 ©' ARHI Sheet Attached: YES ErNO ❑ Contract Attached: YES 1. Minimum Circuit Ampacity (Wire Size): �� 1 2. Maximum Overcurrent Protection (Fuse /Breaker Size): & 6)J l.) 3. Voltage of Circuit (208/240/480): E2e 4. Size Disconnecting Means: C Contractor's Company Name: J e n. I r aW9 Phone: 3 5 State Certificate or Reg Vat! R06 efts Signature 1 � � C M C 1249674ate: 2-21- t (Qualifier's signature only) ID CO 3.04vip 6.0 CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET 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: Ei Mend ,Q k < PERMIT # X ADDRESS: J 4'/ A# 9'4L S/7 -.4e7 FOLIO NUMBER: /1 201 / / 7p FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: X COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS: . 0 O (ATTACH COPY OF CONTRACT) st TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): 045, 0 v VALUE OF PRINCIPAL STRUCTURE (attach appraispl): Created on June 2009 OWNERS SIGNATURE. PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Project Summary Entire House Edd Helms Air Conditioning 17850 NE 5th Avenue. Wand, FI 33162 Phone: 305 -970 -4711 Fax 305-653 -7933 Email: eth mpson c %a eddheIms.com Web: eddhelms.com o ectl n ..ormatro. Outside db Inside db Design TD Structure - Ducts Central vent (0 cfm) Humidification Piping Equipment load For: Eugene Yagle 541 NE 94th Street, Miami Shores, FI 33138 Notes: ►si n Inforrnatu Winter Design Conditions Heating Summary infiltration Weather: Fort Lauderdale/Hollywood, FL, US 50 °F 70 °F 20 °F 12325 Btuh 0 Btuh 0 Btuh 0 Btuh 0 Btuh 12325 Btuh Method Simplified Construction quality Average Fireplaces 0 Heating Cooling Volume (ft 10206 10206 Air changes /hour 0.45 0.23 Equiv. AVF (cfm) 77 39 Heating Equipment Summary Make Trade Model GAMA ID n/a Efficiency 100 EFF Heating input 0 Btuh Heating output 12325 Btuh Temperature rise 9 °F Actual air flow 1253 cfm Air flow factor 0.102 cfm/Btuh Static pressure 0 in H2O Space thermostat Summer Design Conditions Outside db Inside db Design TD Daily range Relative humidity Moisture difference Sensible Cooling Equipment Load Sizing Structure Ducts Central vent (0 cfm) Blower Use manufacturer's data Rate/swing multiplier Equipment sensible load Structure Ducts Central vent (0 cfm) Equipment latent load Equipment total Toad Req. total capacity at 0.70 SHR Job: 641 Date: 2119111 By: Ron Thompson 97 °F 75 °F 22 °F L 50 % 80 grill) 28030 Btuh Q Btuh 0 Btuh 0 Btuh n 28590 Btuh Latent Cooling Equipment Load Sizing 4515 Btuh 0 Btuh 0 Btuh 4515 Btuh 33105 Btuh 3.4 ton Cooling Equipment Summary Make Ruud Trade RUUD 14AJM SERIES Cond 14AJM36 Coil RHKLHM3821 + +RCSL -H *3821 ARI ref no. 3805982 Efficiency 13.0 EER, 16 SEER Sensible cooling Latent cooling Total cooling Actual air flow Air flow factor Static pressure Load sensible heat ratio ' Printout certified by ACCA to meet ail requirements of Manual J 8th Ed. 26460 Btuh 11340 Btuh 37800 Btuh 1253 cfm 0.045 cfm/Btuh 0 In H2O 0.86 - - wrightstaft• Right- SulteeUniversal 7.1.25RSU07042 2011-Feb-18 12:02:60 S:1AC Group1Ron Thompsont£ugene Yagie 3 ton Ruud.RHKl.aup Catc. MJ8 Orlentation = S Page 1 �• �; ;fir,::;' Certificate of Product Ratings . AHRI Certified Reference Number: 3805982 Date: 2/18/2011 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM38 indoor Unit Model Number: RHKL- 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 -2008 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): 37800 EER_ Rating (Cooling):._ _,. _ 13.00 SEER Rating (Cooling) 16,00 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. * Ratinge followed by an asterisk (*) Indicate a voluntary rerate of previously published data, artless accompanied with a WkS, which Indicates an involuntary relate. 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) Sated an this Certificate. ARM expressly disclaims all debility for damages ofany kind arising out of the use or performance ofthe 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 et wwwahrhtrectory org. TERMS AND CONDITIONS This Certificate and its contents are pmpdetary products ofAHRI. This Certificate shall only be used for Individual, personal and confidential reference purposes. The contends of this Certificate may not, In whole or In par; be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, In any form or trimmer 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 atwvnuanddirectoryorg, Air - Conditioning, Healing, click on "%Iffy Certificate" llnk and enter the AHRI Certitol Reference Number and the date on and Refrigeration institute w h i c h t h e c e r t i f i c a t e w a s Issued, which Is listed above, andthe Certificate No. which Is listed below. • 02010 Air- Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 129425217888480214 Edd Helms Air Conditlonlna & Elechtc February 14, 2011 Eugene Yagle 541 NE 94 Street Miami Shores, FI. 33138 305- 757 -0840 E -mail: eugeneyagle @beifsouth.net Edd Helms Air Conditioning is pleased to provide this proposal to replace the existing 3 ton system In your home. The installation will include the following materials and equipment. 1. Removal and disposal of the existing equipment 2. New 3 ton 16 Seer 13 eer split system 3. Condenser Model 14AJM36A01, Air Handler RHLLHM3821J 4. Inline Safety Overflow Switch 5. 24" x 24: Filter Back Return 6. Clear Refrigerant Lines and Vacuum 7. Reconnect to the duct system, drainage system and electrical 8. All Materials and Labor 9. Permit In Included Warranty: One Year Labor and Five Years all Parts. Customer must register system with in 60 days of installation at www.reglstermyunit.com and Ruud will extend the parts warranty to Ten Years. Warranty hours are Monday through Friday 8 am to 5 pm excluding holidays. Total for the Goods and Services above: $ 4,045.00 - $ 585.00 FPL Rebate = $ 3,460.00 Terms: $ 1,730.00 down and Balance upon start up of new equipment Add for Variable Speed air Handler $ 300.00 +�`. IJ9711e 7936 .� Add for case of 12 Pleated Filters: $ 158.00 Add for UV Light: $ 595.00 see rore. 16 71, "' -2 - Ron Thompson Cell 305 - 970 -4711 ' ,�uth • iz • /Signature All additional work to be performed shall be paid for at the rate of $94 per regular working h • ur wlth advanced written notice from customer. Additional materials used In extra work shalt be paid for at our normal rates. Price is contingent upon work being performed during normal working hours. Payment terms: 50% on authorization, 50% on start -up of new equipment. All payments shall be due in accordance with the terms described above. Customer agrees to pay all court costs and attorneys fees should legal means be necessary for collection 17850 N.E. 6th Avenue . Mlemf, Florida 33162. Tel: 305-653-2530 . Toll Free: (600) 320 -2530 . Fax (345) 653.7933 . vwnueddhelms.com POWER OF ATTORNEY [Property owner Address] 6 AK?: PV c f appoint _ Edd Helms Group, Inc as my Agent (attomey -in -fact) to act for me in any lawful way with respect to the following subjects: EXECUTE ALL PERMIT APPLICATIONS PERTAINING TO PERMIT PROCESSING FOR IMPROVEMENTS TO MY PROPERTY AT THE ADDRESS SHOWN HEREIN. SPECIAL INSTRUCTIONS: ON THE FOLLOWING LINES YOU MAY GIVE SPECIAL INSTRUCTIONS LIMITING OR EXTEND 1, THE POWERS GRANTE TO YOUR AGENT. ., it tvAini-f" J '/ - r /4eA 1 0 if 3 / THIS POWER OF ATTORNEY IS EFFECTIVE IMMEDIATELY AND WILL CONTINUE UNTIL IT IS REVOKED. THIS POWER OF ATTORNEY SHALL BE CONSTRUCTED AS A GENERAL DURABLE POWER OF ATTORNEY AND SHALL CONTINUE TO BE EFFECTIVE EVEN IF I BECOME DISABLED, INCAPACITATED, OR INCOMPETENT. Choice of Law. THIS POWER OF ATTORNEY WILL BE GOVERNED BY THE LAWS OF THE STATE OF FLORIDA WITHOUT REGARD FOR CONFLICTS OF LAWS PRINCIPLES. IT WAS EXECUTED IN THE STATE OF FLORIDA. I am fully informed as to all the contents of this form and understand the full import of this grant of powers to my Agent. Si this /7 day ofe , 20 /l frir,f4t A [Your Si tore] r94.7 c24n —; )$ .. 3‘ /5 0 JQ [Your Drivers License Number] [State] STATE OF FLORIDA COUNTY OF [Notary Seal, if any]: This document was acknowledged before me on Eu geht ?• t& U__ t MARY E. HACKNEY � •. MY COMMISSION # DD 817400 a EXPIRES' October 1, 2012 $faro ,+ Bonded Thru Notary Public Underwrfteis 2 -1 "1 -11 [Date] by [name of • :. - ' • .� (Siui 12,- of Notarial 6 is No . 147 blic for the Stat; My commission expires: cer) of Florida /U / - /Z 1