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MC-11-290Inspection Number: INSP - 159548 Scheduled Inspection Date: May 11, 2011 Inspector: Perez, JanPierre Owner: MCINTYRE, W EDWARD Job Address: 1076 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: AFFORDABLE AIR & HEAT & ELECTRIC CONTRACTOR Building Department Comments REPLACE 4 TON NC AND HEAT Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 156217. no one home @12:10 jpp Mav 10. 2011 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 Permit Number: MC -2 -11 -290 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132050180340 Phone: 305 - 770 -4167 Dona 111 of 94 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical y� Owner's Name (Fee Simple Titleholder) V /�j/ lt2" &I,49 / Phone # ill Owner's Address /0/0 I' e q City KM State Zip ;� 1 �g Tenant /Lessee Name E -MAIL: Al Job Address (where the work is being done) /t 4Y City Miami Shores Village County Miami -Dade FOLIO /PARCEL /� � ®` r O?'fl Is Building Historically Designated YES NO Contractor's Company Name Contractor's /r " ' A � dddrres ss s � City 6Z! Qualifier Name State Certificate E -MAIL: 44A Ar • M Shores Village g Architect /Engineer's Name (if applicable) Value of Work For this Permit $ FEB 2 2 2011 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Master Permit No. Phone # Phone # Permit No. MC i -2-9 O Phone # Zip Square / Linear Footage Of Work: ) qi,4 0717 Registration State Phone Zip ' 1 - 7e°/ / /1 Certificate of Competency No. Type of Work: ❑A ❑Altt�e � ❑NNew ""' epair /Replace ❑ Demolition Describe Work: / &� 1t .Tf! / w / ' W WXXX X x xx Y. Y. xxx *xxx xx * ** * * *x x x Y. W 7 t y} ee ��;�;y, x x W x x x W W W* W x x Y, x x x * **X*Y.xx * xxx xxx Y Submittal Fee $ Permit Fee $ � \Y CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 24L> X2-- 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 Application is hereby made to obtain a permit to do the work and installations as indicated. l 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. t 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: f 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 th at yo the of th t 'ommencernenl and construction lien law brochure will be delivered to the person whose properly is sub. copy of the recorded notice of comment _ be posted at the job site for the first inspe ion w r the building permit is issued. 1 've absence cf suc posted notice, the inspection will of be c e charged. J pR �,,,,Yii,,,, P As id ikt3AtA�l3lAt evlo r� � Notary Public - State of Flori C:m Comm. Expires Jun 1, .:' Commis ion # DD 8 ()tided Thro:gh �',i 13 823 Assn, $ • Owner or Agent The fo egoiinng�insstrument was acknowledged before t/ai° ,20�,by pe 0 all ct p e . to atta , tent. Also, a e ' ied h occurs seven (7) days a roved and a reinspectionn fee wit n known to me or who has produced this Signatur day o who i NOT Sign: Print: My Commission Expires: State inovrlsl vz� 4 take an oath. r . r .** r .***********.****** **** * * * ** *** *,,,x *xxr,xxrx * xrxxx APPLICATION APPROVED BY: (Revised 02 /08/06) Signature The foreg day of who is per Contractor trument was acknowledged before me th onally known to me or who has produced tary Public - State of Flori 'Comm. Expires Jun 1, ommissi. # Di 89 gded T rou : • ti I NOT Sign: Print: My Commission Expires: www.xxw, wXXx Xx *X x XX x 'ex x * ** Zip an oath. xrxxxx *x *x%X x 7C Plans Examiner Engineer Zoning ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING f , j _ DISPOSAL RECEPTACLES NC (WIND) FLOOR DRAIN SERVICE TEMPORARY A/C (CENTRAL) LJ4f) 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 A/C 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 AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE 01 OWNERS NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL PERMIT # UNIT BEING REPLACED DATA NEW UNIT - Irv_ fle MANUFACTURER AHU or PKG. UNIT MODEL # `,% i�"Q`{ AtF 7 711) q RIO T''1 L. COND. UNIT MODEL # — -,. C2 /0 KW HEAT /0 ,e./ 1 4 NOM TONS AHU CU PKG 1) M.C.A AHU.2CU. PKG "- AHU CU PKG 2) M.O.P AHU ionOCU � J PKG " AHU i ► •• c PKG u g 3) VOLTS AHU //i PKG — PKG UNIT / / PKG UNIT EER/SEER /'7, S YES NO REPLACING DUCTS YES 610.1 YES NO REPLACING THERMOSTAT erE, YES NO NEW 4 "CONCRETE SLAB al _ YES YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES 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): V J e ge -6 City: Miami Shores Village County: Miami Dade 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 SUB MITALS ARI (A DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO g ARHI Sheet Attached: YES 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 69 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: (ei 0 Contractor's Company Name: it md `V A `- - Phone: State Certificate or Registration N. l 4 CO W C 11 Certificate of Competency N. Signature (Q alifier'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 Zip Code: NO ❑ Contract Attached: YES 1?( Date: o-/a/� // IMMt www.ahridirectory.org j Certificate of Product Ratings AHRI Certified Reference Number: 3220721 Date: 2/17/2011 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTZ0048A1 Indoor Unit Model Number: 4TEE3C07A1 Manufacturer: TRANE Trade /Brand name: XL20I Manufacturer responsible for the rating of this system combination Is TRANE 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): EER Rating (Cooling): SEER Rating (Cooling): 45500 12.25 17.75 * 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 hated 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 shag 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.ahrldirectory.org, click on "Verify Certificate" link 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. ©2010 Air - Conditioning, Heating, and Refrigeration Institute $ UUCP Air- Conditioning, Heating, AM •� � and Refrigeration Institute CERTIFICATE NO.: 129424230754512838 Air Conditioning & El - ctrical Contractors Aff Air WHERE QUALITY IS AFFORDABLE 1 515 N.E. 190th Street • Miami, FL 33179 Dade (305) 940 -0777 Broward (954) 987 -9943 CAC048111 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: ,/ System of flex/fiber and/or d ��� outlets and returns. Subject to modification according to structural or other requirements. LABOR WARRANTY: Service will be provided free by us for a period of A B year(s) from date of installation during regular working days '& hours. MANUFACTURER WARRANTY: Parts Warranty (Yrs.) A IV B Compressor Warranty (Yrs.) A / B EXTENDED WARRANTY: Provided through COST AFFORDABLE AIR & HEAT, INC. WILL PROVIDE: INSTALLATION OF EQUIPMENT REFRIGERATION LINES ( ) OR FLUSH ( ) GRILLES ( ) RETURNS ( ) PERMIT FEE(S) & PLANS, IF REQUIR DRAIN PIPING ( ) OR FLUSH (V AIR HANDLER SUPPORTS CONDENSATION PUMP EMERGENCY FLOAT SWITCH HURRICANE TIE -DOWNS CONCRETE SLAB YES .NO EXISTING ❑ - te a 0 El LJ 0/ /' �❑" ❑ 0 THE ABOVE PRICES, SPECIFICATIONS AND CONDRWNS ARE HEREBY ACCEPTED. YOU ARE Option Chosen 6 Signature REBATES /CREDITS MANUFACTURER CONDENSER / PACKAGE MODEL 1 h8° Gat. EQUIPMENT SCHEDULE WORK # AIR HANDLER MODEL JOB MylE: 5� STREET: CITY: STATE: ZIP: OTHER #: O E ST HEATER KW TONS Iran JOB DESCRIPTION: 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 the sellers 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 maintenance related 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. AII'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 and above this estimate. Initial Here YES THERMOSTAT CARPENTRY ❑ / BALANCE AIR FLOW REMOVAL OF JOB SITE DEBRIS ELECTRICAL WIRING (POWER CONTROL) ir CONNECT TO EXISTING SERVICE/PANELS INCREASE ELECTRICAL SERVICE AMPS ❑ OTHER ❑ _OTHER ❑ OTHER ❑ nc. TOTAL COST EC0001140 NO EXISTING 0 L�' ❑ ❑ ❑ Vi/ ❑ , 0 ❑ 7�1 Payment to be made as follows: INANING AVAILABLE 0 > deposit, balance upon start -up. i - Authorized Company Signature Date This proposal subject to acceptance within `0 days and is void there after at the option of the seller. BRE0 TO DO THE WORK AS SPECIFIED. PAYMENT WILL BE MADE AS OUTLINED ABOVE. Date //,2-01/