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MC-11-25Inspection Number: INSP - 154669 Scheduled Inspection Date: March 07, 2011 Inspector: Perez, JanPierre Owner: WILLIAMS, SHERYL Job Address: 61 NW 104 Street Miami Shores, FL Project <NONE> Contractor: DIRECT A/C & REFRIGERATION Building Department Comments March 04, 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 Phone Number Permit Number: MC- 1 -11 -25 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Parcel Number 1121360131250 Phone: 305 -596 -2666 REPLACE PACKAGE UNIT 3 TON 17 Passed VAk Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 9 of 30 !HA BUILDING Permit No. (Y\Cl (r PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): - 51-1612.Y I_ 1,�, R. e Y I L1-119 AtS Phone #: 305 - 75 Address: � City: 9 4 / /4 I - H(2 S S State: Ft Zip: 3 3 / Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 3 3 1 C 6 Folio/Parcel #: Is the Building Historically Designated: Yes NO .f Flood Zone: CONTRACTOR: Company Name: 1 f � C 1 Phone #: 5 ci ' 2 (4' Address: 2 S W $ ai. J k '"l City: `T' 1 (*-4 I State: Zip: 3 S 3 d Phone#: + — 3d 3 WI Certificate of Competency #: h u i 3 , `1")` ► J� a- Email Address: to c t A-C-F L o ./ t of c 2 c�( L a —1 Qualifier Name: j tJ I 3 Sb l 10^10 State Certification or Registration #: L �c (' 5 ^7 3 i Contact Phone #: ) DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 4 (ALT' `V Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration UNew eegRepair/Replace ❑Demolition Description of Work: ?. fluke J) G' ? -h: � ,47„(A (,), ********* * * * * * ** * * * ** * * * * * * * * * * * * * * * * * *F e s ************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ % Permit Fee $ 1 if 1\ CCF $ CO /CC $ Ott•1( Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Miami Shores Village s aminE � j Building Department JAN 0 6 2011 P 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Structural Review $ 4"i TOTAL FEE NOW DUE $ •,� 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 n th ' bsence of such posted notice, the inspection will n be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this day of "C ,2011 ,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY P f LIC: NOTARY PUBLIC: Si Print: My Commission Expires: APPROVED BY d alfzetza2-- MANUELAMADOR : MY COMMISSION # DD 919814 • fivai on�a y Public Underwriters (Revised 07 /10 /07XRevised 06/10/2009)(Revised 3/15/09) Plans Examiner Structural Review Sign: Print: Contractor The foregoing instrument was acknowledged before me this day of 5 , 20) l , by who is personally known to me or who has produced as identification and who did take an oath. My Commission Expires: MANUEL *II MY COMIMISSION 81:x:14 Bonded Thru Notary public Underwriters Zoning Clerk UNIT BEING REPLACED DATA NEW UNIT Liitte1£Q MANUFACTURER - m , 0 4 AHU or PKG. UNIT MODEL # Vi COND. UNIT MODEL # I 6 K-iA.) KW HEAT ef 3 )' NOM TONS 3 . r AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER H. cl YES NO REPLACING DUCTS YES b YES NO REPLACING THERMOSTAT V NQ YES NO NEW 4 "CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES CLCP YES NO NEW RETURN PLENUM BOX YES (NO Signature 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): to ( i k) I Co)" City: Miami Shores Village County: Miami Dade Zip Code: 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 ❑ N0 ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ 1. Minimum Circuit Ampacity (Wire Size): 3. Voltage of Circuit (208/240/480): D er's signature only) 2. Maximum Overcurrent Protection (Fuse /Breaker Size): (00 k Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 4. Size Disconnecting Means: Contractor's Company Name: ' D( ((C� 41- State Certificate or Registra C4 C4 Certificate of Competency N. PERMIT NUMBER: MC Phone: ?or sei te ° L4c Date: o o j I I STATE CERTIFIED CONTRACTOR LICENSE & INSURED CACO57328 • Sales • Service • Installation We hereby propose to fumish material and labor necessary for the completion of Date of Acceptance: AIR CONDITIONING RESIDENTIAL & COMMERCIAL SINCE 1995 Proposal 12920 SW 128 Street. #7 Miami, FL 33186 PHONE: 305 - 596 -2666 FAX: 305 - 551 -1546 1 Contract Page No. of Email: directacflorida@aol.com Web: www .directairconditioningmiami.com BBB — r - Pages PH ' 166r rt - as JOB NAME DAT a/ os BLOC TIO /PROPOSAL BMITTED T STREET UNIT # 6/ N / 1 CITY. ST AND c o Qi / .5).l " J Note: All prices shown are after FPL rebates have been applied, 90 day warranty on water leaks. ACCEPTANCE OF PROPOSAL The above prices and conditions are satisfactory and are hereby accepted. You are authorized to do the work as Signature specified. Payments will be made as outline above. Signature WE PROPOSE hereby to fumish material and labor - complete in accordance with above specifications, for the sum of: ��b h 4;1 Lo X006 4 • 4t'if Payment to be made as follows' Pricing: TOTAL AMOUNT All material is guaranteed to be as specified. All work to be completed in a sub- stantial workmanlike manner according to specifications submitted, per standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary in- surance. Our workers are fully covered by Workmen's Compesation Insurance. DEPOSIT BALANCE DUE Authorized Signatu Note: This proposal may be withdrawn by us if not ac r •ted within dollars ($ days FROM Accurate �� PRODUCER Accurate 8300 West Flagler Suite 114 Nkmi, FL 33144 Phone (305)228.8T27 INSURED Direct Air Conditioning 8, Refrigeration Inc 12921 SW 27 Street Miami, FL 33175 CERTIFICATE HOLDER Miami Shores Village 10050 NE 2ND AVE Miami Shoran, FL 33138 305 551 1548 ACORD 2S (200601) QF (NED)JAN 5 2011 11: 49/ST.11:48/No. 7500000854 P 1 4►tK 11mi:A 1 t ur LIAthLI I Y INIUKANUL 1 oirosi11 THIS CERTIFICATE IS ISSUED AS A MATTER OF IT4FORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND. EXTEND OR AL - - i E VE ' RDED OY THE POLICIES BELOW. INSURERS AFFORDS COVERAGE NAIC A) Fen (305)228.5787 INSUKR A: Max Speciafty Insurance Co. INSURER 5: Spada Insruance Co. INSURER* NSURER U; INSURER E COVERAGES THE POLES OF DURANCE LISTED HAVE BEEN ISSUED TO THE CURED NAMED ABOVE FOR THE POLICY PERM INDICATED. NOTWITHSTANDING INSR ADD% LYR moo A 5 0 0 TYPE OR INSURANCE GENERAL UABIUTY h]I COMMERCIAL GENERAL LIABILITY 00 CLAIMS MADE F]I OCCUR ❑ 0 GEM AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ AU. OWNED AUTOS ❑ ❑ SCNEDULED AUTOS ❑ MIRED AUTOS ❑ NON OWNED AUTOS GARAGE LUUBIUTY ❑ ❑ ANY AUTO EXCESS S UMBRELLA VIABILITY ❑ OCCUR ❑ CLANG MADE ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS comPresamoN AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE >7N OFFICER / MEMBER EXCLUDED? r NH) SPEcIAL PROVISIONS below OTNISR POLICY NUMBER MAX018301001735 003WK05192 POLICY EFFECTIVE OATH (11111MYVVY DATE in 08/01/2010 03/20/2010 08101/2011 03/2012011 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS EACH OCCURRENCE • IIMAGE TO RENTED PREMISESS (Ea occurrence) MED EXP (Any one person) PERSONAL AAACV INJURY GENERAL AGGREGATE PRODUCTS . c0t&'iO AGO COMBINED SINGLE LENT (Ea accident) BODILY INJURY (Par person) BODILY INJURY (Per ms) PROPERTY DAMAGE (Per accident) AUTO ONLY -EA ACCIDENT OTHER THAN AUTO ONLY: AGG EACH OCCURRENCE AGGREGATE Tm ❑ ER E 1. EACH ACCIDENT E L OISEASE-EA EMPLOYEE 0.1.. DISEASE- POLICY UNIT 1,000,000 50,000 5,000 1,000,000 2,000,000 1,000,000 100,000 100,000 500,000 ANY REQUIREMENT, TERM 08 COMMON OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHIM THIS CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. OCCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS CANCELLATION SNOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL E'NDEAYOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE L BUT FAILURE TO 00 SO SHALL MIME NOOBLWA1RON OR LIABILJTY OF ANY KIND UPON 111E INSURER, ITS AGENTS aR REPRESENTATIVES. AUTNORI= itiritaismiTierwe Luria Estrella 6100! -2009 AGGRO CORPORATION. All rights reserved. The ACORD nano and logo as registered marks of ACORD Jan 06 11 12:04p Direct Air Conditioning Cooling Capacity (Btuh): 42000 EER Rating (Cooling): 12.00 SEER Rating (Cooling): 14.25 305- 551- 1546 p.1 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011: AMU Certified Reference Number: 3398377 Date: 1 /6/2011 Product: Single - Package Air - Conditioner, Air - Cooled Model Number. 4TCY4042B1 Manufacturer: TRANE Trade/Brand name: XL14C 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: • Ratings Poll by an asterisk C) indicate a voluntary rusts of previously published data, unless accompanied with a WAS, which indicates sn Invotuntary rerate. DISCLAIM AHRI does at endorsable produef(s) listed on this Certificate and makes no representations, guarantees ons, warranties or guantees as to, and assumes no responsibility for, the ) listed on this Certificate. AHRI expressly disclaims all liability for darnages of any Idnd arising outofthe use or performance of the praduct(s), or the o alteration of data fisted on this Certificate. Certified ratings am valid only for models and configurations listed in the directory at TERMS A D CONDITIONS This and its conteras are proprietmy products of AHRL This Certificate wag only be used for individual, personal and confidential reference purposes. The corm or of this Certificate may not, In whole or in part, be reproduced] copied; disseminated; entered into a computer database; or otherwise utilized, in any or by any means, except for the user's Individual, personal and confidential rte. CERTJFIC TE VERIFICATION The on for the model cited on this certificate can be verMed at click on " " n-,_ and enter the Certified Reference which the . _ ; - was issued, which Is listed Number which below. the date n above, and the Cues No., v 18 paled ©2010 ir- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO..: 128388068032978090