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MC-10-2150Inspection Number: INSP - 153971 Scheduled Inspection Date: February 14, 2011 Inspector: Perez, JanPierre Owner: HOWELL, SUSAN & WILLIAM Job Address: 70 NE 101 Street Miami Shores, FL 33138- Project: <NONE> Contractor: C &R AIR CONDITIONING CO Building Department Comments 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 -2150 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060131340 Phone: 305 -685 -6394 EXACT REPLACEMENT OF 3 1/2 TON SPLIT SYSTEM 4) \ L\ Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Pape 5 of 18 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL Owner's Name (Fee Simple Titleholder) ) ttJ1Q/N M ,.�'�J Phone # 3 cg 9k 7. ass' Owner's Address City Tenant/Lessee Name Phone # 3Q S 7 al _ a$ y 6 Email Job Address (where the work is being done) 7 0 N t 10 1 S T City Miami Shores Village County Miami -Dade Zip 2'3 1'0e FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name C -i R fit( Co (Ac. CO . Contracto 's Address e .2 /V W I b7 , C - 1 - C • • 44 City State �..,p, Zip 3201S C Qualifier Name Q �° / ` C fn d 1 fT Phone # 0 0S 6 O S ( 9 4 State Certificate or Registration No. C .4' C 02 6 t4 j L Certificate of Competency No. Architect/Engineer's Name (if Contact Phone © E-mail s RS 6,D L( C Q hd P AC co, r a y @ (�OZ e w applicable) Value of Work For this Permit Type of Work: ❑Addition Describe Work: Submittal Fee $ Notary $ Scanning $ Double Fee $ Structural Review. $ ldtS•T p. State Q ^^�� Zip '`� 104 ******** ** * * * *** * * * *** * * * * * * * * * * * * * * * ** s * * * * * * * * ** ** * * * * * * * * * * * * * * ** * * * * * * * * * * * * * ** Radon $ Miami Shores Village o C� Building D epartments o zoo 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BY' INSPECTION'S PHONE NUMBER: (305) 762.4949 ❑Alteration Permit Fee $ Training /Education Fee $ Violation date: DPBR $ Permit No. W'V'0 JO Master Permit No. Total Fee Now Due $ Flood Zone Phone # o , 6 8S co 9 c-t Square / Linear Foota a Of Work: ❑New 2' Repair/Replace ❑ Demolition R i 1 1 Y CCF $ CO /CC $ Technology Fee $ Bond $ 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: 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 approved and a reinspection fee will be charged. Signature I- teCt. e_j_ C Signature Owner or Agen Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 4 day of D GC , 20 16 , by who ersonally known me or who has produced who s personally known o me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: day of 20 10, by Sign: Print: A C # D 955419 Expires May 24, 2014 qe • 4 Bonded Tray Fein ..: .: 800 My Commission Expires. APPROVED BY Engineer (Revised 07 /10 /07)(Revised 06/10/2009) NOTARY PUBLIC: Sign: Print: My Commission„E fires a�� JANET KRANZ Commission OD ra;i •� *= 621880 Expires December 26 2010 Plans Examiner Zoning Clerk checked UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER v u c' 't W V 04a, AHU or PKG. UNIT MODEL # ({H LLB H M 2 TTN 0 L.'s_ _ COND. UNIT MODEL # 1 y A 1 M r{ Z — 7 5 KW HEAT 7- . C NOM TONS 3)2. AHU CU PKG 1) M.C.A AHUy® CU 10 PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS a�(") AHU CU PKG PKG UNIT / / PKG UNIT / EER/SEER `/ (t, ( J e� YES NO REPLACING DUCTS .c. NO YES NO REPLACING THERMOSTAT Y S 0 YES NO NEW 4 "CONCRETE SLAB YES NO YES NO NEW ROOF STAND , YES ►! YES NO NEW RETURN PLENUM BOX YES 4 ti 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): 70 t S T' City: Miami Shores Village County: Miami Dade Zip Code: 3313 8- 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 ❑ NO ❑ Contract Attached: YES ❑ 1. Minimum Circuit Ampacity (Wire Size): . Tr 6 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 40A/ H 30 civi 3. Voltage of Circuit (208/240/480): L i 0 AIR CONDITIONING REPLACEMENT DATA r'sslg 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 4. Size Disconnecting Means: q // S / Contractor's Company Name: C i- r` AC Co vh f c ✓► I Phone: 3 O 5 �o o G I U - o 63 I State Certificate or R istration N. C A C 1 Certificate of Competency N. 0 4 & gO Signature .g p (Q - only) Date: i a I-1 • r&