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MC-11-264Inspection Number: INSP - 156558 Permit Number: MC -2 -11 -264 Scheduled Inspection Date: March 02, 2011 Inspector: Perez, JanPierre Owner: DOWNS, MICHAEL Job Address: 1298 NE 97 Street Project: <NONE> Miami Shores, FL 33138 -2560 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: AFFORDABLE AIR & HEAT & ELECTRIC CONTRACTOR Building Department Comments March 01, 2011 For Inspections please call: (305)762 -4949 Permit Type: Mechanical - Residential Inspection Type: Work Classification: A/C Replacement frick,r1 Phone Number Parcel Number 1132050090550 Phone: 305 - 770 -4167 REPLACE 4 TON ONTO C/U STAND r 3 221 ) Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 43 of 44 BUILDING PERMIT APPLICATION FBC 2004 Tenant/Lessee Name E -MAIL: Is Building Historically Designated YES Contractor's Company Nam Contractor's Address City /LA. LA Qualifier Name State Certificate or Regis E -MAIL: Architect /Engineer's Name (if appli Value of Work For this Permit $ Miami Shores Village 13, :T 6' 701 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel (305) 795.2204 Fax: (305) 756.8972 P) tA° Permit No. 1)1C 11 Master Permit No. Permit Type: M4ChantCal // /�� �V! } Owner's Name (Fee Simple Titleholder // O t e1 aVAr*hone Owner's Addre�sss 1 City iii'. / , State Zip l3+ Phone # Job Address (where the work is being done) /2q A g, q7 City Miami Shores Villa e County Miami -Dade Zip ftW FOLIO / PARCEL # I/ cog � NO Iry ,o-� 1 Phone # ration No. CAc 1 Certificate of Competency No. Phone Square /Linear Footage Of Work: Type of Work: ❑Addition qq ❑Alteration ❑New 9 _ �, pair /Replace 0 Demolition Describe Work: !'i r )) ) " 't — :17,r') A`C- c/u ( A J /�d I net Ji W ** * ** * **** * * ** * * ** * *** *** *** ** * ** * ** ees ** • * * * * * * * * * ** * ** ** **** ** * * ***** ** Submittal Fe e $5— • �� Permit Fee $ Notary $ ' Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ CCF$ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ BY: CO /CC See Reverse 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: 1 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 reinspeegion fee will be charged. Signature day of who NOTARY PUBL Sign: Print: Owner or Agent The foregoing instrument was acknowledged before me this 6 b fYli 6401 ,)(AD - r/6 �e'�. THE Hi Qv7 4 ta�1@iaratbi° S �iu�a an o ate of Florida P My Comm. Expires Jun 1, 2013 ;;„ Commission # DD 894823 Bonded Through Natic: .1al Notary Assn. i��iGrr. r 7"rr,t vo APPLICATION APPROVED BY: (Revised 02 /08/06) Signature The foreg day of w ersonally known to NOTARY PUBL Sign: _ — L Print: i�7n0- 7i No My Commission Expires: Contractor mg instrument was acknowledged before me this / . 20 11 by /9 / / as ide f it ho has produced d w . i 7 an oath. gtyD Nti°Lr,. , Notary �'iNT MY Comm li Expires - State of Florida 0 23 ` nCommission# Jun 1, 2013 948 ,!iii Natio' 23 y Assn, My Commission Expires: ************************* ** * *** *** **** ** * ** * * * * ** ** * **** * ** ** ***** *** **** *1 ** ***** **** ** * ** * ** ** * *** ** ** Plans Examiner Engineer Zoning ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING / ®j DISPOSAL RECEPTACLES NC (WIND) FLOOR DRAIN SERVICE TEMPORARY NC (CENTRAL) 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 ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNERS NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ELECTRICAL PERMIT # UNIT BEING REPLACED DATA NEW UNIT 1.111111 << %% 1 j] �� &, rr�f 11110e. MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT szfli . WA . ryri m m " /® L° NOM TONS 4 AHU CU PKG 1) M.C.A AHUtD CUP, PKG AHU CU P. G AH ' /' w , c 4 - ; KG PKG UNIT / / 2 M.O.P 3 VOLTS AHU .-''ICU ''KG AH i 01 PKG UNIT. EER/SEER YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT ES, NO YES NO NEW 4 "CONCRETE SLAB YES OM-. YES NO NEW BOW - STAND NO YES NO NEW RETURN PLENUM BOX YES (NO 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): 12 )UI cr 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 KARHI Sheet Attached: YES �O ❑ Contract Attached: YES 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: (e0 � � Contractor's Company Name: a - Y ` State Certificate or Registration N. �.o � Certificate of Competency N. Signature AIR CONDITIONING REPLACEMENT DATA y (Qualifier's signature only) v 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 Phone: Date: 04l<//l ti■.I CERTIFIED www.ahridire Certificate of Product Ratings AHRI Certified Reference Number: 3799429 Date: 2/16/2011 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM49 Indoor Unit Model Number: RHLL- HM4821+RCSL -H *4821 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): 46000 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. * 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.ahrldlrectoryorg. 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 AIL The Information for the model cited on this certificate can be verified at www.ahrldlrectory.org, Air - Conditioning, Heating, click on "Verify Certificate" Zink and enter the AHRI Certified Reference Number and the date on A. �E all 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.: 129423496723374018 HOME # CELL # WORK # OTHER #: INIVHCMIVIA 4/1. JOB NAME: STREET: /oar : w r STREET: /7E - I Ali' A CITY: STATE: ZIP: B EQUIPMENT MANUFACTURER ` CONDENSER / PACKAGE MODEL SCHEDULE AIR HANDLER MODEL S.E.E.R. EST. ANNUAL OPERATING COST HEATER KW ..z TONS Payment to be made y FINANCING AVAI A LE as f ' I s 11 ✓ s �, ' :/ /" 6# iv deposit, balance upon start-up. 1 � 1 4 /D ' ■ )ti if it "i This THE Option Authorized Company proposal subject to ABOVE PRICES, SPECIFICATIONS AND Chosen Signature B acceptance within d • ys and is void there after at the option of the seller. WQL BE MADE AS 0 ABOVE. Date CONBmONS ARE HEREBY A EPTED YOU A BRU Q TOTTHE WORK AS SPECIFIED. PAYMENT $ JOB DESCRIPTION: CAC048111 Air Conditioning & Electrical Contractors • ara a Air . H ea DESCRIPTION OF SERVICES PERFORMED AIR DISTRIBUTION: Ductwork will be designed, fabricated and installed in accordance with accepted engineering practices and in compliance with all building codes in force on above date. DUCTWORK: /� 1 System of flex/fiber and/or / P ductwork with outlets and returns. Subjectto modification according to structural or other requirements. LABOR WARRANTY: Service will be provided free by us for a period of A / B C year(s) from date of installation during regular working days & hours. MANUFACTURER WARRANTY: Parts Warranty (Yrs.) A Id B Compressor Warranty (Yrs.) A B EXTENDED WARRANTY: Provided through ►" for year(s). AFFORDABLE AIR & HEAT, INC. WILL PROVIDE; INSTALLATION OF EQUIPMENT REFRIGERATION LINES ( ) OR FLUSH:( GRILLES ( ) RETURNS ( ) PERMIT FEE(S) & PLANS, IF REQUIRED DRAIN PIPING ( ) OR FLUSH ( ) AIR HANDLER SUPPORTS CONDENSATION PUMP EMERGENCY FLOAT SWITCH HURRICANE TIE -DOWNS CONCRETE SLAB WHERE QUALITY IS AFFORDABLE 515 N.E. 190th Street • Miami, FL 33179 Dade (305) 940 -0777 Broward.(954) 987 -9943 C itial Here EC0001140 Title to the above merchandise remains with Affordable Air and Heat, Inc. (seller) until paid for in full. In case of default in any terms of this contract, the seller shall have the right to take immediate possession of said merchandise and full amount of the purchase price then unpaid shall become immediately due and payable at theseller's option without notice or demand. All monies paid shall remain with the seller as liquidated damages. In the event the services of an attorney are required to enforce the interest of the seller, the purchaser shall be required to pay all reasonable attomey's fees together with interest and all costs thereto. No warranty service shall be performed on accounts with an outstanding balance. Labor warranty excludes, existing ductwork, existing electrical systems, and maintenanCerelated repairs. In the: event the purchaser refuses to allow seller to commence work after the contract has been executed, purchaser shall be responsible to the seller for 25% of the total price as liquidated and agreed damages. Seller shall not be responsible for any existing building or electrical code violations. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner, according to standard practices. Any alteration or deviation from the contract specifications involving extra costs will be executed upon written orders and will be subject to charges over estimate. YES NO EXISTIN( ❑ ❑ ❑ ❑ ❑ ❑ YES NO EXISTING ❑ ❑ THERMOSTAT ❑ CARPENTRY ❑ - BALANCE AIR FLOW ❑ • REMOVAL . OF' JOB SITE DEBRIS -L ❑ ❑ -K. ' ELECTRICAL WIRING (POWER CONTROL) ❑ ❑ ❑ CONNECT TO EXISTING SERVICE /PANELS — ? ❑ ❑ ❑ - - IOD INCREASE ELECTRICAL SERVICE AMPS [ 1 --{ - ❑ ❑ OTHER ' �] 4 ❑ 7 OTHER ❑ - ❑ �1 -- OTHER ❑ ❑ COST - EBATES /CR DITS TOTAL COS B c . Payment to be made y FINANCING AVAI A LE as f ' I s 11 ✓ s �, ' :/ /" 6# iv deposit, balance upon start-up. 1 � 1 4 /D ' ■ )ti if it "i This THE Option Authorized Company proposal subject to ABOVE PRICES, SPECIFICATIONS AND Chosen Signature Signature / f`' J d f f iff i Date acceptance within d • ys and is void there after at the option of the seller. WQL BE MADE AS 0 ABOVE. Date CONBmONS ARE HEREBY A EPTED YOU A BRU Q TOTTHE WORK AS SPECIFIED. PAYMENT $ CAC048111 Air Conditioning & Electrical Contractors • ara a Air . H ea DESCRIPTION OF SERVICES PERFORMED AIR DISTRIBUTION: Ductwork will be designed, fabricated and installed in accordance with accepted engineering practices and in compliance with all building codes in force on above date. DUCTWORK: /� 1 System of flex/fiber and/or / P ductwork with outlets and returns. Subjectto modification according to structural or other requirements. LABOR WARRANTY: Service will be provided free by us for a period of A / B C year(s) from date of installation during regular working days & hours. MANUFACTURER WARRANTY: Parts Warranty (Yrs.) A Id B Compressor Warranty (Yrs.) A B EXTENDED WARRANTY: Provided through ►" for year(s). AFFORDABLE AIR & HEAT, INC. WILL PROVIDE; INSTALLATION OF EQUIPMENT REFRIGERATION LINES ( ) OR FLUSH:( GRILLES ( ) RETURNS ( ) PERMIT FEE(S) & PLANS, IF REQUIRED DRAIN PIPING ( ) OR FLUSH ( ) AIR HANDLER SUPPORTS CONDENSATION PUMP EMERGENCY FLOAT SWITCH HURRICANE TIE -DOWNS CONCRETE SLAB WHERE QUALITY IS AFFORDABLE 515 N.E. 190th Street • Miami, FL 33179 Dade (305) 940 -0777 Broward.(954) 987 -9943 C itial Here EC0001140 Title to the above merchandise remains with Affordable Air and Heat, Inc. (seller) until paid for in full. In case of default in any terms of this contract, the seller shall have the right to take immediate possession of said merchandise and full amount of the purchase price then unpaid shall become immediately due and payable at theseller's option without notice or demand. All monies paid shall remain with the seller as liquidated damages. In the event the services of an attorney are required to enforce the interest of the seller, the purchaser shall be required to pay all reasonable attomey's fees together with interest and all costs thereto. No warranty service shall be performed on accounts with an outstanding balance. Labor warranty excludes, existing ductwork, existing electrical systems, and maintenanCerelated repairs. In the: event the purchaser refuses to allow seller to commence work after the contract has been executed, purchaser shall be responsible to the seller for 25% of the total price as liquidated and agreed damages. Seller shall not be responsible for any existing building or electrical code violations. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner, according to standard practices. Any alteration or deviation from the contract specifications involving extra costs will be executed upon written orders and will be subject to charges over estimate. YES NO EXISTIN( ❑ ❑ ❑ ❑ ❑ ❑ YES NO EXISTING ❑ ❑ THERMOSTAT ❑ CARPENTRY ❑ - BALANCE AIR FLOW ❑ • REMOVAL . OF' JOB SITE DEBRIS -L ❑ ❑ -K. ' ELECTRICAL WIRING (POWER CONTROL) ❑ ❑ ❑ CONNECT TO EXISTING SERVICE /PANELS — ? ❑ ❑ ❑ - - IOD INCREASE ELECTRICAL SERVICE AMPS [ 1 --{ - ❑ ❑ OTHER ' �] 4 ❑ 7 OTHER ❑ - ❑ �1 -- OTHER ❑ ❑