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MC-10-2161Inspection Number: I NS P- 155863 Scheduled Inspection Date: February 14, 2011 Inspector: Perez, JanPierre Owner: VIRTUE, JASON Job Address: 800 NE 98 Street Project: <NONE> Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Miami Shores, FL Contractor: FLORIDA SOLAR & AIR INC Building Department Comments REPLACE 2 A/C SPLIT SYSTEMS Tn/ or \ February 11, 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 -12 -10 -2161 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (786)202 -9698 Parcel Number 1132060142570 Phone: (305)428 -2555 Page 11 of 18 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): J A OA) CA 71)C' Address: L TV ?" " City: MO"' i Sg State: / Z Tenant/Lessee Name: Email JOB ADDRESS: SOO / tr" ` r- City: Miami Shores Folio/Parcel #: r) 3 Z64, CAL/ ZS 4 '7 r C e rtifi of Competency #: QG Contact Phone#: Address: 0 f A 1 DESIGNER: Architect/Engin Description of Work: 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 County: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: C l er Satoaf---X. Address: /0Ztb 9 C * X41 ,i( City: Carta. 1T State: Qualifier Name: 11"4' pi' 'vs 7 L L State Certification or Registration #: CAL_ 6 �6 Phone#: p ie t 3 $ J Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: DAddress DNew epair/Replace l DAlteration � etc ***************************************F **** +��o+►+�a� **** ** ***tie * *e * * ****** *s * *s * * * **** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Miami Dade cue Permit No. 10e I Rot Master Permit No. Phone#: Zip: 33 Zip: Phone#: Phone#: 3as We- 2-r4Fr Zip: 3 Phone#: 3 DDemolition CCF $ CO /CC $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ v7A- 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 CONDmONERS, 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 w 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 a reinspection fee will be charged. Owner or Agent The fore ring instrument was acknowledged before me this - 2 day of G , 20 10, by '✓ C4, eke/ who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: ���, NOT Print: ./ My Commission Expires: , ' * DD991334 Q1WEDTWaUaT1 sric Eonwa oco�,rnu * * * * * * * * * * * * * * * * * * * ** ** ** 0 * 0000 APPROVED BY /\ Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) RIDA Examiner Signature Contractor 7 The foregoing instrument was acknowledged before me this day of QG , 20 /d, by AIM StaZt - , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: % i"f My Commission Ex Commission #DD991334 '•. Expires: MAY 12, 2014 BONDED TaRU ATLANTIC BONDING CO., INC. ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Clerk UNIT BEING REPLACED DATA NEW UNIT 'r' t MANUFACTURER 6 '1AA' ! eil Y AHU or PKG. UNIT MODEL # fL`L{Amfr - INt ILt, id COND. UNIT MODEL # 1$1 /Sfu / l a lei Icy✓' KW HEAT l alew I f NOM TONS Li AHU 94 CU. 1 PKG 1) M.C.A AHU CU VI PKG AHU . Cu se PKG 2 M.O.P AHU f) CU , a PKG AHUZ I& CU Z'� PKG 3) VOLTS AHUZ4c) CU 2'0 PKG PKG UNIT / / PKG UNIT / / EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4°CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO AIR CONDITIONING REPLACEMENT DATA n pp� PERMIT NUMBER: MC 10 -- a(01 This form must accompany ALL air conditioning replacement permit applications. Each unit change must be on its own data sheet. Multiple units on single sheets are not acceptable. / Job Address (where the work is being done): g00 //C' City: Miami Shores Village County: Miami Dade Zip Code: 3 3) 3 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 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 6 3. Voltage of Circuit (208/240/480): Z40 4. Size Disconnecting Means: CO r Contractor's Company Name: ! / Coll -/ Sordrat t Ay di Phone: 30 (Q 2 P 2 rsr State Certificate or Registration N. £'C f S/ 641 Certificate of Competency N. Signature (Qualifier's signature only) ARHI Sheet Attached: YE Miami Shores Village Building Department 10050 N. E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NO ❑ Contract Attached: YES Date: /1- • 7 ��1 tr .% CERTIFIED TM w ww.ahnduectory.o!'g Certificate of Product Ratings AHRI Certified Reference Number: 3747803 Date: 1217/2010 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 187BNA048****A Indoor Unit Model Number: FE4AN(B,F)005+UI Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Trade/Brand name: EVOLUTION 17 PURON AC This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. Manufacturer responsible for the rating of this system combination is BRYANT HEATING AND COOLING SYSTEMS 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): 48500 EER Rating (Cooling): 13.10 SEER Rating (Cooling): 16.50 * 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, wrarratrties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI 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 vend only for models and configurations listed In the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products ofAHRL 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, hi any form or manner or by any means, except for the user's Individual, personal and confidential reference. CERTIFICATE VERIFICATION The information fertile model cited on this certificate can be verified at www.ahridirectory 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 Air - Conditioning, Heating, sis and Refrigeration Institute CERTIFICATE NO.: 129362179216858191 UNIT BEING REPLACED DATA NEW UNIT (f MANUFACTURER l3Qy•4// l'wL/ ®3c- AHU or PKG. UNIT MODEL # j /if n.# -/ I 1 A C .. ego COND. UNIT MODEL # 117 A d a (o g 5,4, KW HEAT fr16es" 3 % NOM TONS 3 AHU 33 CU t / PKG 1) M.C.A AHU 3( CU ZZPKG AHU Y® CUr PKG 2) M.O.P AHU ye CU 3S PKG AHU24o CU'itiD PKG 3) VOLTS AHUZWCU 2Yo PKG PKG UNIT / / PKG UNIT / / EER/SEER YES N REPLACING DUCTS YES NO REPLACING THERMOSTAT NO YES NO NEW 4 °CONCRETE SLAB YES 1 •' YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES (N • Miami Shores Village Building Department 10050 N. E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AIR CONDITIONING REPLACEMENT DATA p� cc�� PERMIT NUMBER: MC I 0 &)G This form must accompany ALL air conditioning replacement permit applications. Each unit change must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): 8CV itzt City: Miami Shores Village County: Miami Dade Zip Code: 33/ 3 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 I5 REQUIRED WITH ALL SUBMITALS ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO a ARHI Sheet Attached: YESV1 NO 111 Contract Attached: YES 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 4o 3. Voltage of Circuit (208/240/480): 7C/0 4. Size Disconnecting Means: A f i gWti 4SeL Contractor's Company Name: / d'ii� Sow £ it Phone: State Certificate or Registration N. eke I9/ 6Y 7 ( Certificate of Competency N. Signature ae (Qualffier's signature only) 30 q ', ysl`f Date: /2 7' I C'ERTIFIE • WWI ahndirectory o r. 1 Certificate of Product Ratings Cooling Capacity (Btuh): 36400 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 17.00 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. AHRI Certified Reference Number: 3747355 Date: 12/7/2010 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 187BNA036***`'A Indoor Unit Model Number: FE4AN(B,F)003 +UI Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Trade/Brand name: EVOLUTION 17 PURON AC Manufacturer responsible for the rating of this system combination is BRYANT HEATING AND COOLING SYSTEMS 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 with a WAS, which indicates an hhvoluntary rerate. DISCLAIMER AHRI does not endorse the products) fisted 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 disdains all Iiabl ity for damages of any kind arising out of the use or performance of the product(s), or the unauthorised alteration of data listed 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 ofAHRL This Certificate shag only be used for Individual, personal and confidential reference purer The contents of this Certtflcate may not, in while or In part, be reproduce; 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, Lino A Air-Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on !® and Refri eration Institute which the certificate was issued, which Is listed above, and the Certificate No., which is listed below. 9 ©2010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129362176983377809 STATE OF COUNTY OF fe( & NOTICE OF COMMENCEMENT 1. Description of property: (legal description of property, and street address if available) This Space for Clerk's Use Only OF FLORID, CQU ?TRYCFf;w7r thni !r �5; 11I1i r i:; gin OF DADE r9py r,r the iJ 20 T t! Y E?UVIIq, dL I: ur` rCi and County Cour'is rf� (signature of owner) Sworn to and subscribed befo me this day of chirga b'L �i rrNI Caul. ,' 1t:Z 10 T' ► r a t W Zt �A' 1 i- 534.1 NOTARY 111111111111111111111111111111111111111111111 CFN 2010R0825185 DR Bk 27515 Pa 2580; (ips) RECORDED 12/09/2010 12:04 :34 HARVEY RUVINF CLERK OF COURT MIAMI -DADE COUNTY' FLORIDA LAST PAGE THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 8049 Ni ggSr fn S HOW re. 33 2. General description of improvement: t ' ?ii ) SyS ' 3. Own inf o rma tion: T ) i , % G 00 , r Name and address: (/ JL d �► i,* Vide r r 3 3 if 3 b. Interest in property: awe c. Name and address of fee simple titleholder (if other than owner): 4. Contractor. (name and address) / v i il'-- 1 6.e/ ,OZiP Ti tit At er t ur -'C 531,1 a. Phone number. 3(>5 tlZ Z 1 5. Surety: a. Name and address: b. Phone number. 6. Lender: (name and address): a. Phone number: 7. . Persons with the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7, Florida Statutes: (name and address): 8. In addition to himself; Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: (name and address) c. Amount of bond $ 9. Expiration date of notice of commencement (the expiration date is one (1) year from the date of recording unless a different date is specified) • t 11 Timothy Gallivan Commission #DD991334 , ,, � Expires: MAY 12, 2014 Baab TSRU ATLANTIC MEWING CD ]W. From: Florida Solar & Air, In Fax: (877) 310 -0310 THIS CERTI 1C r CeRY1EiCAt BELOW; '9ii 3 t REPRR$ENTA• • t Arftf: If ttt .c 89 Grit. data F oieleri3rF tsofout it F iflG. itet,137 3 339 Caconut.Grove, L t1 P #tine (305)444. 8000 Fait (305)464-8020 Florida Solar & Akr,. Inc. .1.0210 JaMaicat Drive CUTLER BAY, FL 33159- rF': € 3VER'AGES CERTIFICATE FI NUMBER: RE' .[ON NUMBER: THIS 1610 CEIT1FY:` HAT.r t t OijoiES PO:tl Sl if Kg i.4 o sELoW. FlAyg '$:EEN ISSUED TO THE INSUR NAMEi D t O 'FOR THE PERM INDICA`1 5. NOTWITH4TAN ING ANY: OL/I F;' .CiR CONDITION OF Ct)ls TRAC l OR OTHER COMMENT MOTH . RESPECT TO WHIPS THIS �roa1L THE C l l El#,kC°riSt: . `. RErsialciti tKeRS,:GQ 1'*ON. • • ' AND t Eget . t8!..40 TY•. CERTIFICATE may' I kSS IECx.Q#k IMFAYi RTAIN. TtiE II+ISui ANCE APPOR �E0 BY THE POLICIES tig$ '3� BE0 kiggON Is SUBJECT THE ERNS, PIP AN : C0tl al# IC I S, $tiC3l P:0L IE4:1.: Ho rata nAA:k°EA' (EN'kiEi� for gyp. -. ` tg/3ii12{ 01 • The ACQRD Mtn: EV PERSONAL & iiovitiasty GE,NERALAOGREGATE :6 20fl0,000 PRt U0'1'$ - COMP/OP AOG ` is 1,000 000 C O1 INE0 8 N ttwr $ (£ate) SOCIILY.ANAlEIY Mat moon) & • '• 100,000 0IIX INJURY (r Lids PROP glintilAtaME (Par ldenn Cf.impteJ onst+ $500 Coilfaion: EACH OCCUR E CC►RPORAT tag4, are register 'OPE . oateRAL wo.iort . • 0 CLAS16:41A0E J ' OCCUR eon AGGREGATE - 14,ETAPPL PER: 0 POLI Y : : P D LOC' AUTOMESLE IMMalf '. ® ANY AUTO • Au. 0 AVM": • actipi t.E[t #JTOS HIRED Aum C Kw-0mm Avrogi AC & eLECtRtCAI_ SERVlGES • ACCORD 25 (20091.09) IQF. Miatni.Shanaa VWa 6111 4 0 9PePOrrier4 10056 NE '2Iid Avenue Miami, Ft 33138 N /A. To: +13067668972 i' ,0110,1010 ,•9\t1 Bti.kO 1 8d.:a„ ireein am1P*Mi 'a�as' as ..:... on tare i • • I' A72O 7()2008 • Fax: +13067568972 'Page 2 of 2 12/7/2010 1:38 tiougm AFTqat uri �lu>1pa A: UNDERWRITERS AT ii.OYC'$ 64sfotaR e : T t 7 R I AA S C r IN SUR NCE "U.V.AtER a L • 2/23/2009 1.2/31/2009 rr SFRlPPON 090iSERA iONS.1.1 - . E ATISNi611f@H1Gt.Es plOPPOS iCORS 1O1, AddiSoAid egmdnta Schedule, Et rare space is rectidria4. CA 8HOLII- OANYOF THE THE'&$RPRAfQN !'SATE' ACCORDANCE WITH THE T1103 EAU. HACCIDENr El. 'DISEASE - EA E E.L DISEASE - POLICY . LIMIT TEIN NDInIYYYY) 2K17f #0 GIIRREtilt` ........,_._. 1, 0(X), 1.0004100 5,000 POLICIES BE CAME/J. BEFORE WILL RE DELIVERED IN uisi4t9� &served. of ACORD