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MC-10-2178
7 Inspection Number: INSP - 154155 Scheduled Inspection Date: March 09, 2011 Inspector: Perez, JanPierre Owner: SANABRIA, OVIDIO Job Address: 1050 NE 107 Street Project: <NONE> Miami Shores, FL 33161 -7374 Contractor: CENTRAL AIR CONTROL INC Building Department Comments March 08, 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 -12 -10 -2178 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Parcel Number 1122320280520 Phone: 305 -822 -1551 REPLACE 3 TONS A/C SPLIT SYSTEM T-18 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 8 of 27 1. BUILDING PERMIT APPLICATION FBC 20 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 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): b i 61 rOS Phone #: Address: 1050 L 0 k S'T City: f i *rL 1 ft `S State: Zip: 5.), l b 1 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: ( 050 oz 1 ssr City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: 11- /1.31,- 028 O67, Is the Building Historically Designated: Yes NO J Flood Zone: CONTRACTOR: Company Name: C &'rFr'A •4-(r Palo, - - W1 (°'mac 1f cwt / Permit No." ( C Master Permit No. Phone #: b3S Ss( Phone #: oa i o zoo Address: Z bS ( IA/ 5$7 City: OA C e1 State: Zip: 33 016 Qualifier Name: t " A 1\01 1 t Phone#: State C e r t i f i c a t i o n or Registration #: ' 0011,011 Certificate of Competency #: Contact Phone#: 305 g°Lti 1 Email Address: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Address DAlteration UNew URepair/Repl. ce Description of Work: ODemolition ********* *000************************** ees *********** ******************************* ` Submittal Fee $ Permit Fee $ {' / 1' OCCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 0 Virl 1 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 Owner or Agent Contractor The foregoing instrument was acknowledged before me this / The foregoing instrument was acknowledged before me this day of (0 , 20 , by , day of , 20 _, by 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: • Sign: f li / AN P FFSSE My Commission Expires: :° MY COMMISSION # DD999642 % , EXPIRES June 23, 2014 (407) 388 -0153 FloridallotaryservIce.com NOTARY PUBLIC: Sign: Print: AM. vim My Commission . r : . A MY COMMISSION # D13999642 �. .�_ • ,,, EXPIRES June 23, 2014 ( 407) 398-0153 FlorldeNotaryservfos.00m Y APPROVED BY Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Plans Examiner Zoning Clerk UNIT BEING REPLACED DATA NEW UNIT NOr 'p,r! ,'I 3 MANUFACTURER Or kel 4°Z u w AHU or PKG. UNIT MODEL# E, 04,L/Hi -j 3824 ik Y. COND. UNIT MODEL # KW HEAT l 0 NOM TONS 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 / / 094, EER/SEER t V YES NO REPLACING DUCTS YES t I YES NO REPLACING THERMOSTAT NO YES NO NEW 4 "CONCRETE SLAB Y S Fl YES NO NEW ROOF STAND YES 04 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): ) `'SO I l 3 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 SUBMITALS ARI RI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO ARHI Sheet Attached: YES FOI ❑ Contract Attached: YES Signature 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: ^" Contractor's Company Name: C'k-1-r?i r ) State Certificate or Registration N. 7 ' . ' 611 - 13 1;1,0 - r, / 1> // r's s n only) 2 reo /(P/6cY-t am . Miami Shores Village Building Department 10050 N. E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Zip Code: ' 29? 1 6 ( , Phone: 3 ` $ is Certificate of Competency N. Date: Certificate of Product Ratings AHRI Certified Reference Number: 3806012 Date: 12/8/2010 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM42 Indoor Unit Model Number: RHLL- HM3821 +RCSL -H *3821 Manufacturer: RHEEM MANUFACTURING COMPANY Trade/Brand name: RHEEM 14AJM SERIES Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING COMPANY 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 (1 indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. Air - Conditioning, Heating, $ IKINI and Refrigeration Institute CERTIFICATE NO.: 129362968832181879 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) Itsted on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or perfonnance of the product(s), orthe 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 AHRL 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 Indivkual, personal and confidential reference. CERTIFICATE VERIFICATION The hnfonnatlon for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify C fink 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 OPTION#1 SEER (EFFICIENCY) BRAND INDOOR UNIT MODEL Phone: Compressor & Parts Warranty Labor Warranty Refrigerant Upgrade Option Total Cost Date: FPL Rebate Company Courtesy Discount Balance Due (Tax and Permit fee Included) (not extra charge. our technician: Manuel Acosta Company Signature: Manu -I A Data Customer Signature: // 4-Ceve et rat TA! R! ONTCRO.Lr A0r Conditioning & Heating Serving South Florida for over 30 Years toll free 1- 888 -648 -0688 www.CentralAirControl.com PROPOSAL Date: Best 16 RHEEM RHLLHM3821 14AJM42 10/10 1 410A Honeywell Thermostat $4160 -$685 4325 $3160 SCOPE OF WORK: Replace old 3.5 tons by a system specify above. Date: 12/08/2010 cr�ifinancial° Financing available a) Full payment shall be received by Central Air Control Inc. at completion of work. b) This proposal is subject to approval by Central Air Control Inc. Service Manager. In the event that it is rejected the deposit will be returned to the customer and the proposal shall become null and void. c) If purchaser does not accept this proposal in writing within 30 days it then becomes Null & Void. Proposal Submitted to: DIGNA & HUMBERTO SANTOS Phone: 786 362 5726 Job Address: 1050 NE 107 ST MIAMI, FL email address: Date: DEC 108/2010 (not extra charge. our technician: Manuel Acosta Company Signature: Manu -I A Data Customer Signature: // 4-Ceve et rat TA! R! ONTCRO.Lr A0r Conditioning & Heating Serving South Florida for over 30 Years toll free 1- 888 -648 -0688 www.CentralAirControl.com PROPOSAL Date: Best 16 RHEEM RHLLHM3821 14AJM42 10/10 1 410A Honeywell Thermostat $4160 -$685 4325 $3160 SCOPE OF WORK: Replace old 3.5 tons by a system specify above. Date: 12/08/2010 cr�ifinancial° Financing available a) Full payment shall be received by Central Air Control Inc. at completion of work. b) This proposal is subject to approval by Central Air Control Inc. Service Manager. In the event that it is rejected the deposit will be returned to the customer and the proposal shall become null and void. c) If purchaser does not accept this proposal in writing within 30 days it then becomes Null & Void. E 222222 *II2 2*2*22 22 Thank you and have a nice day. 12/9/2010 1300/222/001MDM 0012 -0001 Last Seq.O: 11 WI LBTO:30 054065 -9 Local Business Tax $175.00 MIAMI -DADE COUNTY TAX COLLECTOR 140 W. Flapler Street Miami, Florida 33130 Please keep your receipt for future reference. , T. Cad $175.00 1 CHANGE $0.00 MIAMI -DADE COUNTY TAX COLLECTOR P LOCAL BUSINESS TAX SECTION 140 W. Flagler St. - 1st Floor Miami, Florida 33130 F T' .1' 'Y RECEIPT 2010 -2011 MUNICIPAL CONTRACTOR TAX Local Business Tax#:30054055 -9 State /CC9:000009831 Ind to: CENTRAL AIR CONTROL INC Type of Business: SPEC MECHANICAL CONTRACTOR SEE BACK OF OFFICIAL RECEIPT FOR ARTICIPATING MUNICIPALITIES THIS RECEIPT IS ISSUED AS EVIDENCE OF PAYMENT FOR YOUR LOCAL BUSINESS TAX OR y. OFFICIAL RECEIPT WILL BE MAILED TO YOU WITHIN 10 DAYS FROM THE VALIDATION DATE ON THIS RECEIPT. Payment Received as Certified Above Miami -Dade County Tax Collector a s a a a a a o a a m a a a s a a a ©U MW, FLOM/A :SS TAX iL RECEIPT IC APT/SUITE IAN I CAL CONTRACTOR MUNICIPALITY (IF R) CC NC n 000009831 PF9-UP'DT PF1? =PRINT APPL TAX COLLECT:1*N DENBS O 1 (o W. F .. GLER STREET FL*RDA .,130 EO S8AR1LY CONTAIN ALL PERTINENT FACTS WITH REGARDS TO CC: .MG5 7) 41e