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MC-10-1539
Inspection Number: INSP - 150508 Scheduled Inspection Date: October 05, 2010 Inspector: Perez, JanPierre Owner: ROUSE, KEITH Job Address: 25 NW 104 Street Miami Shores, FL 33150 -1237 Project: <NONE> Contractor: ALL YEAR COOLING AND HEATING Building Department Comments October 04, 2010 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 Ulm. Phone Number Permit Number: MC -8 -10 -1539 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Parcel Number 1121360131270 Phone: (954)566 -4644 REPLACE CENTRAL AC to0/10 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 3 of 16 fb Miami ' „„ res Village Building ' 1 epartment 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 "?a. 1C 10 -1 539 PERMIT APPLICATION Master Perrp.a' FBC 20 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): D.tt.Ct , (l,/44 .1fL. Phone #: 305 - q 5'1- VO27 Address: c25 ROW it/ City: f t i ao t 1 o v e l State: FL Zip: 3315 o Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: P5 IJtn) 1o4 Shoat City: Miami Shores Folio/Parcel #: 11- 0131, - 013 -1 .) Is the Building Historically Designated: Yes DESIGNER: Architect/Engineer: CONTRACTOR: Company Name: A 1( *12h, 0.0.01 £ N e-. Phone #: QSti - %(4, - 4(0 i Address: (n7$ t ..O. Sc.0 xL i . ?A Y& . City: IQ n4.e,:t . State: Zip: 33313 County: Qualifier Name: 2ir(tila, 3 . ,Sfu.o'at ; Phone #: State Certification or Registration #: C'RCO513 ice° Certificate of Competency #: COYICS L1 Contact Phone #: Email Address: Cft o r�Qsmt.. @ C4.t t G o r. C fli 01/A � Phone#: Value of Work for this Permit: $ - t31'Y Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New E1Repair/Replace ❑Demolition Description of Work: GAt rci Al c. yew- , 10 ILu) 3.5 itYvt.d ** *: k****** ******************* k**** k* * + PP �k�k�k% I��k�k�k+ k�kak�k�k�k+ k�k�k�k�k�k�k�k�k�k�k�k�k�k�k�h�k�M�k�k�k�N�k�k ***�k*** Submittal Fee $ � ) Permit Fee $ \ , LU d CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ Miami Dade Zip: 3 3150 AUG 2 7 2010 NO Flood Zone: TOTAL FEE NOW DUE $ °VA LAO .,,..,_4 Bonding Company's Name (if applicable) iJ Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) , la Mortgage Lender's Address City - State Zip Application is hereby made to obtain a permit to do the work and installations as. i::dicaved. 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. Owner or Agent — Contractor The foregoing instrument was acknowledged before me this .?3 The foregoing instrument was acknowledged before me this -3 day of , 20 t, by k.Q l (&A de , day of awed* , 20 I , by lira •.. B. Std , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC -STATE OF FLORIDA it 11 I •. 4 Commission # DD897935 Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * ** APPROVED BY * * * ** * * * * ** (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) BONDED THRU ATLANTIC BONDING CO., INC. Tans Examiner Structural Review Signati(re NOTARY PUBLIC: Sign: Print: Chprij 1 iPtx My Commission Expires: NOTARY PL'BLIC -STATE OF FLORIDA " "' Cheryl Morgan . : Commission # DD897935 ••• Expires: JUNE 28, 2013 BONDED THRU ATLANTIC BONDING CO., INC. \ ************************* * * * * * * * * * **** * *** ** * *** ******m* Zoning Clerk UNIT BEING REPLACED DATA NEW UNIT kiiw atv MANUFACTURER C ' I?RNL - PI AHU or PKG. UNIT MODEL # „ 2 0 - E6 3e_okl , 4?'Tg5010.E t 1 1 - ' - Ia - COND. UNIT MODEL # 10 (U) KW HEAT 10 14/.4) 3.5 - l - anu , NOM TONS 3.5 TD AHU50 CU 35 PKG 1) M.C.A AHU To CU 3s PKG AHU 60 CU tto PKG 2) M.O.P AHU CU 4o PKG AHUa3o CU O30 PKG 3) VOLTS AHUa3®CUa3O PKG PKG UNIT / / PKG UNIT / / I(® Sow, EER/SEER ((® YES CS REPLACING DUCTS YES ' YES) NO REPLACING THERMOSTAT '�E,S� NO YES NEW 4 "CONCRETE SLAB YES (NO) YES ('N NEW ROOF STAND YES CiSEP YES NEW RETURN PLENUM BOX YES (NOD 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): cZ" J loo .tra, .SttilADA , F City: Miami Shores Village County: Miami Dade Zip Code: 33150 Signature AIR CONDITIONING REPLACEMENT DATA 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 ["J 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): (O ornps 3. Voltage of Circuit (208/240/480): 0230 4. Size Disconnecting Means: (o® an&p.S cao. ¢ 14vlad e Phone: 954 -S7ola - (Rock+ State Certificate or Registration N. r & se I ln® Certificate of Competency N. tmCst 1 Contractor's Company Name: Ft 11 8 signature only) 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 Date: $- a10 -(0 UNIT BEING REPLACED DATA NEW UNIT IZhoorn." MANUFACTURER Cl o_ IZRNL I AHU or PKG. UNIT MODEL # 4TEL 5C©g- 4) COND. UNIT MODEL # 477'2.sbw4Elft 10 II.W KW HEAT 10 IGtrW _ 3.5-1 NOM TONS 3.5 Tars AHU50 CU 35 PKG 1) M.C.A AHUS, CU 3s PKG AHU 60 CU %to PKG 2) M.O.P AHU(oo CU to PKG AHUa3o CU 030 PKG 3) VOLTS AHUa30CUa3o PKG PKG UNIT / / PKG UNIT / / Ito Soot EER/SEER + YES X10 j REPLACING DUCTS YES CND NO REPLACING THERMOSTAT CE,S7 NO YES .S NEW 4 °CONCRETE SLAB YES (NO) YES 40 NEW ROOF STAND YES CND YES NEW RETURN PLENUM BOX. YES CEO) AIR CONDITIONING REPLACEMENT DATA 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): aS uw l04 5tr t , Al; .Q/n.i.- D , FL . City: Miami Shores Village County: Miami Dade Zip Code: 33150 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 [r ARHI Sheet Attached: YES Er NO ❑ Contract Attached: YES Er 1. Minimum Circuit Ampacity (Wire Size): (o /a- 2. Maximum Overcurrent Protection (Fuse /Breaker Size): (0 llrnp 3. Voltage of Circuit (208/240/480): 23o 4. Size Disconnecting Means: Contractor's Company Name: � (?io n l ea t7 Phone: 95 '4 ;',7.,( - 444 - State Certificate or Registration N • ,- Certificate of Competency N. CMGs/. I too tuxes Signature rt" 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 PERMIT NUMBER: MC Date: $- a(o - lca CERTIFIED www.ahiitlirectoryorg' Certificate of Product Ratings AHRI Certified Reference Number: 3435462 Date: 8/26/2010 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR5042E1 IndoorUnit Model Number: 4TEE3C04A1 Manufacturer: TRANE Trade /Brand name: XR15 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): 40000 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, 2010. • Ratings followed by an asterisk (7 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) rusted 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. Certlfied 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 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 A Lino The Information for the model cited on this certificate can be verified atwww.ahridirectory.org, A Air-Conditioning, Heating, click on "Verify Certificate" Zink and enter the AHRI Certified Reference Number and the date on AM ® A. 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.: 129273085642197656 www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 3435462 Date: 8/26/2010 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTR5042E1 Indoor Unit Model Number: 4TEE3C04A1 Manufacturer: TRANE Trade /Brand name: XR15 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): 40000 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, 2010. 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.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for indMdual, 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 wwwahridirectory.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 CERTIFICATE NO.: KAP' Air- Conditioning, Heating, MN W/ and Refrigeration Institute 129273085642197656 Primary Zone: 0800 SINGLE FAMILY RESIDENCE CLUC: p001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 2/1 Floors: 1 Living Units: 1 Adj Sq Footage: 1,498 Lot Size: p,225 SQ FT Year Built: 1948 $50,000/ $47,009 IAMI SHORES SEC 5 City: PB 10 -47 LOT 21 W1/2 Legal LOT 22 BLK 125 LOT Description: IZE 75.000 X 123 OR 17793 -2918 0997 1 OR 17793 -2918 0997 00 Year: 2010 2009 25 NW 104 ST Applied Applied Taxing Authority: Exemption/ Taxable Exemption/ Taxable 5 NW 104 ST MIAMI Value: Value: Regional: $50,000/ $47,009 $50,000/ $44,459 County: $50,000/ $47,009 $50,000/ $44,459 City: $50,000/ $47,009 $50,000/ $44,459 School Board: $25,000/ $72,009 $25,000/ $69,459 Folio No.: 11-2136-013-1270 Property: 25 NW 104 ST Mailing KEITH ROUSE (Address: $115,943 $124,034 5 NW 104 ST MIAMI $167,113 SHORES FL Assessed Value: 3150 -1237 (Year: 2010 2009 Land Value: $51,170 $106,049 Building Value: $115,943 $124,034 Market Value: $167,113 ($230,083 Assessed Value: $97,009 $94,459 (Year: 2010 2009 Homestead: $25,000 $25,000 2nd Homestead: YES YES Miami -Dade My Home My Home Show Me: Property Information Search By: Select Item Text only Property Appraiser Fax Estimator Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Property Information: Assessment Information: Exemption Information: Taxable Value Information: Sale Information: Sale Date: 19/1997 Aerial Photography - 2009 Web Site © 2002 Miami -Dade County. All rights reserved. My. Home 1 property Information 1 Property Ta xes 1 My Neighborhood 1 Property Appraiser Home 1 Using Our Site 1 Phone Directoj 1 Privacy 1 Disclaimer 0 112 ft If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Page 1 of 2 MIAMI DARE Legend Property Boundary Selected Property Street Highway Miami -Dade County Water http: / /gisims2. miamidade .gov /myhome /propmap.asp 8/25/2010 Miami -Dade My Home ale ,amount: 110 000 Additional Information: C lick here to see more information for this property: Community Development District Community Redevelopment Area Empowerment Zone Enterprise Zone Zoning Land Use Urban Development Boundary Zoning Non -Ad Valorem Assessments Page 2 of 2 http: / /gisims2. miamidade .gov /myhome /propmap.asp 8/25/2010 E iii moms / ' S N2 RrCondenser Years O Parts _LP__ Years SEER I - 3sT /f/ et r /a Gtc 9; 5 : r, fL€. r�g ©K as. . J box ire. ,,,, 544 - // D a wp f 4,F �'4 6nGa+ -- 410 , Agi, foe T1e VG, 6 paol See nor," r ! NTIES I M nufacturer' es Compress Years Labo r_ Years RrCondenser Years O Parts _LP__ Years Evap. Coil Years / 21 DETAILS OF WORK PERFORMED 1 Era►ny — ///g /Y -N/ / 4 /f/ et r /a Gtc 9; 5 : r, fL€. r�g ©K as. . J box ire. ,,,, 544 - // D a wp f 4,F �'4 6nGa+ -- 410 , Agi, foe T1e VG, 6 paol See nor," fir►; Lo,e1 (ra,,a refit /c Alt Yeco COOLING AO raw *Wart - b The laws! Pd ea CONTRACT We hereby submit specifications aIpment Installation Indoor Air Quality Other Alt Year Cooling wN furnish all parts, labor and equipment necessary to taclgtate the service checked above in accordance with the nonagons and epecffitattons listed In this contract Doss not include electrical upgrade unless slag, INDOOR AIR IMPROVEMENT RETURN & SUPPLY DISTRIBUTION 0 Duct Cleaning & Sanitizing # - Vents # Duct Systems 0 High Quality Air Fitter Location 0 UV Light 0 High Quality Air Cleaner Location 0 Modify/New Supply Duct(s) 0 Modify /New Retum Duct(s) 0 New Return Air Grill,.Size: - x 10Split System 0 Package Unit 0 Heat Pump /g Strai g ht Cool Horizontal Application 0 Other 1 2 3 Electric Heat /0 k w Heat Recovery Unit 0 Of Systems 0 Attic (rYVertical Application Condensate Drain Hook -Up 0 Primary 0 Secondary 0 New Condensate Pump 0 Auxiliary Drain Pan 0 Refrigerant Copper Liquid Line, Size: OTHER • Liability and Workmen's Comp for Our Work Performed with Existing Codes Mounting Hardware of Stand for Air Handler Hurricane Code Strapping 1 Year Warranty by All Year Cooling on work performed, and manufacturer's warranty on equipment unless otherwise stated below Labor provided by seller in this period is Monday through Sunday. INVESTMENT BREAKDOWN Unit 1 Subtotal $375 Permit + $ i 0 l tilitiy $ Man. Rebate $ f� rue Misc redits i 2 ¶ er al Inve CONTRACT 6781 W. Sunrise Boulevard, Plantation, Florida 33313 Phone: (954) 566 -4644 • Fax: (954) 667 -1290 www.aycair com Est. 1973 with over 150,000 Installations PURCHASER NAME I� yr ;11 nit co u s !° ADDRESS 2. S N ✓ I , oz-/ ST 33 /SO CITY/STATE/Zs. • S 1 . O 1 t_ E-MAIL !1 'e- TL fn e.nT.,_ro'..w.. T . . . B HOME PHONE 3 ^ CELL PHONE � 9 S7— TJ 0E0 UNIT 3 UNIT 2 $1! 0 $ t0 $ 6S $ $ i /200) of Job 0 $ ng any work. Aq Yem Cooling Rep. ; _ De Customer Signanite License # CACO58159, 94CME1506X, U16711, 08E000413, ER0012903 0 New Supply Grill, Size: - x Qty. 0 Seal Up Leaks In Ducts # O Modifications of: 0 Supply Plenum 0 Return Air Plenum 0 Air Handler Breaker Wire Size 6 0'Use Existing O Replace r� 0 New Breaker Brand O Condenser Breaker Wire Size 0 Use Existing O Replace O New Breaker Brand Sete w o Te s Electrical Disconnect Box In -line Float Switch 0 Auxiliary Float Safety Switch // .y- Type of Thermostat - Specify Type G. Gam. I r� r It QI Weather Resistant Vibration, Isolation Pads 1 Year 1 Visit Maintenance Agreement 0 5 Year Extended Warranty 0 10 Year Extended Warranty O Refrigerant Copper Suction Line wlh Insulation, Size: 0 Length of Run 0 New or Existing Copper O Refrigerant Line Cover Smoke Detector - Existing/New O Straps 0 Crane / Genie Lift 0 Extend Slab r> Needed ft Date SEE REVERSE FOR TERMS AND COMMONS 8/4/2010 68544 68032 68569 Work Order: 68113 Installed Equipment: Description Unit ID Model Number Serial Number 3 TON 16 SEER 14AJM36A01 7996W291017559 Service History (Last 3 Work Orders) Date WO ID Problem ID PMAF Install date Warr Exp Date Condition Ext Exp Date 8/2/2010 8/2/20 08/02/2020 Invc Total Tech ID Last Service Date Last Service By Site Location $0.00 GREGORY $0.00 MARK G $0.00 ""319.00 PD ADD ON FINANCIN