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MC-10-1437Scheduled Inspection Date: August 24, 2010 Inspector: Perez, JanPierre Owner: ACCE, DIEUBON Job Address: 195 NW 96 Street Project: <NONE> Miami Shores, FL 33150- Contractor: AIR 4 LESS INC Building Department Comments August 23, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Phone Number Inspection Number: INSP- 149924 Permit Number: MC -8 -10 -1437 For Inspections please call: (305)762 -4949 Lt Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Parcel Number 1131010250160 Phone: (305)637 -2000 REPLACEMENT OF A/C SPLIT SYSTEM. HANDLER AND CONDENSING UNIT 3.5 TON qgi B(24,116 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 20 of 35 BI 13 I I o -- Ar u- " 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 BUILDING Permit No. ,, ', 0 H PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING OWNER: Name ee Simple itleholder : ' +- C: A C d ( 46q_ 210 -33(a � P C ) // �,� Phone #: Address: •3 c p 0 t? J . (7l V City: S C V+ nfl State: ` - X Zip: `� 5O(p3 Tenant/Lessee Name: I Phone #: Email: Address: 77- `s l✓e r?3 " Tper Value of Work for this Permit: $ 2 U Type of Work: °Address °Alteration re Description of Work: JOB ADDRESS: 195 NW 96 STREET City: Miami Shores County: Miami Dade Zip: 33150 Folio/Parcel #: 11-3101-025-0160 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: A f V 'f 6 S 3 Phone #: r - 4 3 City: A) o f at� J` :/ w � ORA t_ State: f -- Zip: 3 / Z_ �T Qualifier Name: , ;L. he a (vet" Phone #: 3c r- 77 5 Y Y 57 State Certification or Registration #: ( 4 C l A 2 t Certificate of Competency #: Contact Phone#: 1 —4 3 7, Email Address: 4 / f � L �y5 @ (#'1,4,'L. DESIGNER: Architect/Engineer: Phone #: Square/Linear Footage of Work: °New [epair/Replace 1: .j IIWZ Ahb11Z010 °Demolition COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: *** * **** ****a * ****** * ** ****** ***** ,ter.+.*u.. ,t4lal ki** ** ** *** ** r *,r******** **** **** * ** * dr*** Submittal Fee $ Permit Fee $ la U l" V CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ s &T . 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 firs •nspec which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection of b pro . nd a reinspection fee will be charged Signature Signature l er or Agent The foregoing instrument was ac ' owledgged before me this 4 / ,- /11111111 day of Irti 7 / i bY �'� � "= A,✓ - r l who is p ally known to zo s 062: •g_ , Alf 111111 Print: NOTARY PUBLIC: qt. k •b \C` 0 �. pf • oP' 4o ** * * * * * * * * * * * * * * * * * * * * * ** _ **.- ***> *** *s deakde* ********************************* ,r******* *&**W*** **** ****** **** Sign: My Commission Expires: APPROVED BY (Revised 07 /10 /07)(Revised 06 /10/2009XRevised 3/15/09Xrev6/4/10) Contractor The foregoing in trument was acknowlu ges befo :` e this!' day of �(.� 2010 , by who i • perso ally known to me or who has produ 2 . , • _ • Q identification and who did take an oath. Y PUBLIC; I t ill AiLJ Sign: Print: My Commission Expires: Plans Examiner Zoning Structural Review Clerk Aug 13 10 10:11a Air 4 Less 305 -637 -2060 p.1 CERTIFIED., Cooling Capactty (Btuh): 40000 EER Rating ( Cooling): 11.10 SEER Rating (Cooling);: 13.00 fAUG- N37 C ertificate of Product Ratings AHRI Certified Reference Number: 3752264 Date: 8/13/2010 Product: Split System: Air- Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX1304218* Indoor Unit Model Number: AR*F364216C* Manufacturer. GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. 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 wch a WAS, which indicates an involuntary rerate. aliiriSOMEESES DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representaBOns, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHi6 expressly disclaims an 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 formodeis and configurations listed In the directory at www.ahndirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary produce 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; dissrardnated; entered into a canputerdatabase; 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 onthls certificate can be verified at vnwv.ahridirectoryarg, fit Air - Conditioning, Heating, dick on "Verify Certificate" link and entertheAHRI Certified Reference Number and the date on plINN which the certificate was Ensued, which is fisted above, and the Certificate No., which Is acted below and Refrigeration Institute © 2010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO..: 129261869830792630