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MC-10-1540Inspection Number: INSP - 151984 Scheduled Inspection Date: October 07, 2010 Inspector: Perez, JanPierre Owner: POPKIN, MARLA Job Address: 186 NE 109 Street Miami Shores, FL 33161- Project: <NONE> REPLACE CENTRAL AC \JO L7 p Phone Number Parcel Number 1121360090090 Contractor: ALL YEAR COOLING AND HEATING Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Passed pAikl Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 151385. CREATED AS REINSPECTION FOR INSP- 150509. pads loose, caps missing jpp 305 - 803 -7644 October 06, 2010 For Inspections please call: (305)762 -4949 Permit Number: MC -8 -10 -1540 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone: (954)566 -4644 Page 26 of 31 q I 31 D ° ri gyp`( BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): Address: 1 et. 0i, log S-Ifo Cit 014,;a4vu,, sk.omz Tenant/Lessee Name: Email: Type of Work: OAddress Phone #: JOB ADDRESS: 113(® 4.)E- loci iTeazt City: Miami Shores County: Miami Dade Zip: 331101 Folio/Parcel #: i 1- of 13(®- 0o4 - ocAo Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: A l( l'n� C t. e Phone #: 4S - Sl®(�- 4+ Address: (ire 1 U.). aSA.44 �,A.,24 -∎ . ` City: State: VL a r (o_., Zip: 353 Qualifier Name: c 1 q., Phone#: State Certification or Registration #: CACO58 ((o® Certificate of Competency #: �YV1C,5t1 Contact Phone #: '5 - Slp(® - `14044 Email Address: t"!Y(or a e ' ezeri DESIGNER: Architect/Enginee, • J Phone #: Value of Work for this Permit: Square/Linear Footage of Work: Description of Work: I)0.)kat.c ,2, C Q A-(e... 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 OAlteration (f,Q Pbetu. Phone #: 3oS-15 I - 7541 State: F ft Zip: 331 (e) I ONew Zepair/Replace rO Permit No! ' v ° 59° Master Permit No. ODemolition AUG 2 7 2010 ** *******+x*+x***** ****+x***** *** * ** * *** F *+ x*+ x************** * ************** ********** Submittal Fee " Permit Fee $ \ 1 �r Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ TOTAL FEE NOW DUE $ L i •':5 bl\ 0-0 Bonding Company's Name (if applicable) 131A Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) talA 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, BO1T.F,RS, 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 A ent The foregoing instrument was acknowledged before me this /3 day of ���, 20 /0 , by m P 7J who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: (. Print: hQvt APPROVED BY My Comnii' sion Exp es: NOTARY PUBLIC -J Iarr,' uy FLORIDA f "' '.. Cheryl Morgan Commission #DD897935 %• Expires: JUNE 28, 2013 BONDED THRU ATLANTIC BONDING CO.. INC. xaminer Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Signature Contractor The foregoing instrument was acknowledged before me this I3 day of fait ,20 L, by V1 > 8 S nJt.- who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: _ My Commission Expires: A Cheryl Morgan ���.. ommission • ; : : Expires: JUNE 28, 2013 BONDED THRU ATLANTIC BONDING CO.. INC. * *k��k*** *+ kph* N�N� , Nffi*+k***+N*+h***+k* *** *** *;_* , k*** ** * N�+ K*, k**+ k+ MN ******* k**+ k+ k**** * k*+ k*******+ k**+ k +k********* 1 Zoning Clerk UNIT BEING REPLACED DATA NEW UNIT f A 9 i - MANUFACTURER 1 1 nII IStrillEllIMIM G HL. - 1 1-o l AHU or PKG. UNIT MODEL # t2A egl- o37 COND. UNIT MODEL # 14 19Srn31p 5 40 KW HEAT 5 ., NOM TONS AHU CU , PKG 1113WIEMIDEIIIIIMIIII AHU a30 CU,Q :►, PKG 1 M.C.A AHU35 CU ,;6• PKG En=rjrgZjllillIll AHUO3DCU 23o PKG 2 M.O.P 3 VOLTS I r . EERISEER YES Ce, REPLACING DUCTS YES 0 NO REPLACING THERMOSTAT E `; NO YES l 0 NEW 4 "CONCRETE SLAB YES NO YES OM. NEW ROOF STAND YES CO) YES (NV NEW RETURN PLENUM BOX YES CM) 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): I fx, IJ€ 10C Shred" City: Miami Shores Village County: Miami Dade Zip Code: 3 3 14, 1 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 Er ARHI Sheet Attached: YES Er NO ❑ Contract Attached: YES 2 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 40s 3. Voltage of Circuit (208/240/480): o23O 4. Size Disconnecting Means: 40 amp s Contractor's Company Name: All Tod cacti' State Certificate or Registration N. C�1Co ra S941(o J /; (Qualifier's s g re only) Certificate of Competency N. ('inc. 5 if 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 Phone: q54- 5(0G-44044' Date: /al to UNIT BEING REPLACED DATA NEW UNIT OW0.11 ,. MANUFACTURER 2hoom. , 12.614L- 17-01 AHU or PKG. UNIT MODEL # PALL Hrn38al 2444- 037 COND. UNIT MODEL # 14 ASM3b 5 VA) KW HEAT 5 KW 3 4014. NOM TONS 3 -ion AHU 35 CU ,5 PKG 1) M.C.A AHU35 CU 0 15 PKG AHU 4o CU 30 PKG 2) M.O.P AHU4o CU 3o PKG AHU a3o CU,°)30 PKG 3) VOLTS AHUO30 CU a3o PKG PKG UNIT / / PKG UNIT / / i(o Saar EERISEER (( Slat- YES REPLACING DUCTS YES __0) NO REPLACING THERMOSTAT ,,,E NO YES ' • NEW 4 4 CONCRETE SLAB YES (NO) YES #151 NEW ROOF STAND _ YES O YES NEW RETURN PLENUM BOX YES CM) 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): I6(* IJE I oR Sired' City: Miami Shores Village County: Miami Dade Zip Code: 3 3 I 1 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 ET / NO ❑ Contract Attached: YES [✓r 1. Minimum Circuit Ampacity (Wire Size): 842- 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 40 3. Voltage of Circuit (208/240/480): c2& 4. Size Disconnecting Means: 40 amps Contractor's Company Name: All pa.✓ ennJ1 ,p State Certificate or Registration N. CACo 45 I(o J (Qualifier's si re on y) Certificate of Competency N. ('JfC.5 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 Phone: Q5- 5(9(0-44o44 Date: /a ? I,o CERTIFIE e o D Certificate of Product Ratin • s AHRI Certified Reference Number: 3805983 Date: 8/25/2010 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM36 Indoor Unit Model Number: RHLL- HM3821 +RCSL -H *3821 Manufacturer: RHEEM MANUFACTURING COMPANY Trade /Brand name: RHEEM 14AJM SERIES Cooling Capacity (Btuh): EER Rating (Cooling): SEER Rating (Cooling): 37600 13.00 16.00 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 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: *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 AHRL This Certificate shall only be used for indvidual, 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.: 129272149369756388 LIOR Air - Conditioning, Heating, IKE and Refrigeration Institute D TI ` 1 C,RTIIE www.ahridirectory.org .` Certificate of Product Ratin s AHRI Certified Reference Number: 3805983 Date: 8/25/2010 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM36 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): 37600 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 ©2010 Air - Conditioning, Heating, and Refrigeration Institute This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. LOO' Air- Conditioning, Heating, •• s / and Refrigeration Institute CERTIFICATE NO.: 129272149369756388 * 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 products) 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 disclaim 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 thN 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 shag 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 The information for the model cited on this certificate can be verified at www.ahridirectory org, click on "Verffy 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. Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL- SINGLE FAMILY Beds/Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 1,573 Lot Size: 9,300 SQ FT Year Built: 1951 Legal Description: DUNNINGS MIAMI SHORES EXT NO 5 PB 48-21 LOT 1 BLK 216 LOT SIZE 75.000 X 124 OR 18361- 46951098 1 COC 22119- 0909 02 2004 1 Sale Date: 2/2004 Sale Amount: $245,000 Sale O/R: 22119 -0909 Sales Qualification Description: Sales which are qualified View Additional Sales Folio No.: 11- 2136 -009 -0090 Property. 186 NE 109 ST Mailing Address: MARLA POPKIN 186 NE 109 ST MIAMI SHORES FL 33181 -7042 Year. 2009 2008 Land Value: $143,194 $217,401 Building Value: $132,097 $141,440 Market Value: $275,291 $358,841 Assessed Value: $275,291 $280,560 pti Year. 2009 2008 Homestead; $25,000 $25,000 2nd Homestead; YES YES Year. 2009 2008 Taxing Authority: Applied Exemption/ Applied Exemption/ Taxable Value: Taxable Value: Regional: $ 50,000/$225,291 $50,000 /$230,560 County: $ 50,000/$225,291 $50,000 /$230,560 City: $ 50,000/$225,291 $50,000 /$230,560 School Board: $25,000/$250,291 $25,000/$255,560 -' Miami -Dade My Home -Text My Home m amidadagov Show Me: Property Information - Text Search By: Select Item Address Search 'Enter the address and click "LOCATE ". Use the Tab key to switch between fields or click using the mouse. House 186 ____._. Number. Direction: NE Street Name: 1 109 Street Type: ST Unit (opt): Zip Code (opt): Locate` Go to property map Ca Property Appraiser Tax Estimator Erg Property Appraiser Tax Comparison Portability S.O.H. Calculator Community Development District Community Redevelopment Area Empowerment Zone Enterprise Zone Zoning Land Use Urban Development Boundary Zoning Non -Ad Valorem Assessments http: / /gisims2. miamidade .gov /myhome /proptext.asp Summary Details: Property Information: Assessment Information: Exemon Information: e Information: efr Print friendly version le Information: Additional Information: Click here to see more information for this property; Page 1 of 2 Questions and Comments webmaster Omiamidade.aov Property Appraiser Home Paae Property information Online Help Property Information Home Page 8/13/2010 Year. 2009 2008 Taxing Authority: Applied Exemption/ Applied Exemption/ Taxable Value: Taxable Value: Regional: $ 50,000/$225,291 $50,000 /$230,560 County: $ 50,000/$225,291 $50,000 /$230,560 City: $ 50,000/$225,291 $50,000 /$230,560 School Board: $25,000/$250,291 $25,000/$255,560 -' Miami -Dade My Home -Text My Home m amidadagov Show Me: Property Information - Text Search By: Select Item Address Search 'Enter the address and click "LOCATE ". Use the Tab key to switch between fields or click using the mouse. House 186 ____._. Number. Direction: NE Street Name: 1 109 Street Type: ST Unit (opt): Zip Code (opt): Locate` Go to property map Ca Property Appraiser Tax Estimator Erg Property Appraiser Tax Comparison Portability S.O.H. Calculator Community Development District Community Redevelopment Area Empowerment Zone Enterprise Zone Zoning Land Use Urban Development Boundary Zoning Non -Ad Valorem Assessments http: / /gisims2. miamidade .gov /myhome /proptext.asp Summary Details: Property Information: Assessment Information: Exemon Information: e Information: efr Print friendly version le Information: Additional Information: Click here to see more information for this property; Page 1 of 2 Questions and Comments webmaster Omiamidade.aov Property Appraiser Home Paae Property information Online Help Property Information Home Page 8/13/2010 -' Miami -Dade My Home -Text My Home m amidadagov Show Me: Property Information - Text Search By: Select Item Address Search 'Enter the address and click "LOCATE ". Use the Tab key to switch between fields or click using the mouse. House 186 ____._. Number. Direction: NE Street Name: 1 109 Street Type: ST Unit (opt): Zip Code (opt): Locate` Go to property map Ca Property Appraiser Tax Estimator Erg Property Appraiser Tax Comparison Portability S.O.H. Calculator Community Development District Community Redevelopment Area Empowerment Zone Enterprise Zone Zoning Land Use Urban Development Boundary Zoning Non -Ad Valorem Assessments http: / /gisims2. miamidade .gov /myhome /proptext.asp Summary Details: Property Information: Assessment Information: Exemon Information: e Information: efr Print friendly version le Information: Additional Information: Click here to see more information for this property; Page 1 of 2 Questions and Comments webmaster Omiamidade.aov Property Appraiser Home Paae Property information Online Help Property Information Home Page 8/13/2010 TR i We hereby submit specifications for. q uipment installation ❑ Indoor Air Quality ❑ Other M Year Cooling will furnish all parts, labor and equipment necessary to facilitate the service checked above In accordance with the conditions and specifications listed In this contract. Does not include electrical upgrade unless stated. INDOOR AIR ; IMPROVEMENT r` ;r" `; ❑ Duct Cleaning & Sanitizing it ❑ UV Light 13 ETU 1 31 1 & SUPpLY ❑ Modify/New Supply Duct(s) ❑ Modify/New Return Duct(s) ❑ New Retum Air Grill, Size: x NEINtQUIP'ENT Split System ❑ Package Unit ❑ Heat Pump ❑ Straight Cool ❑ Horizontal Application ❑ Other MAKE MODEL lectric Heat ❑ Hea*-Recovery Q it O'Of Systems ❑ Verb ertical Application 3 Subtotal Permit • CONTRACT 6781 W. Sunrise Boulevard, Plantation, Florida 33313 Phone: (954) 566 -4644 ® Fax: (954) 667 -1290 wwwaycair.com Est. 1973 with over 150,000 Installations Vents # of Duct Systems ❑ High Quality Air Filter Location ❑ High Quality Air Cleaner Location UNIT UM .:4,*490PPDENSATI Primary 1 Secondary ❑ New Condensate Pump ❑ Auxiliary Drain Pan ❑ Refrigerant Copper Liquid Line, Size: Liability and Workmen's Comp for Our Work Performed with M sting Codes ounting Hardware of Stand for Air Handler g'rlurncane Code Strapping Rena:: $ $ n :restment $. r r: ( " 8� :.�� sue $ $ TERMS: any financing us be arranged prior to starting any work. R.iicrre Due to Technician Upon Completion of Job License # :159. 94CME1506X, U16711, 08E000413, ER0012903 ❑ New Supply Grill, Size: x Qty. ❑ Seal Up Leaks In Ducts # ❑ Modifications of: ❑ Supply Plenum ` 1 Return Air Plenum ❑ Air Handier Breaker Wire Size ® se Existing ❑ Replace ew Breaker 7� Brand C /7 ifi..) ❑ Condenser Breaker Wire Size ❑ Use Existing ❑ Replace . e New Breaker _ Brand 6-& Electrical Disconnect Box Provided By All Year Cooling Existing Electrical to Code n'OTHEFi�,� r1 Cl•Tl Float Switch ❑ Auxiliary Float Safety Switch aloe of Thermostat - Specify Type r Weather Resistant Vibration, Isolation Pads Er Year 1 Visit Maintenance Agreement ❑ 5 Year Extended Warranty ❑ 10 Year Extended Warranty Condensate Drain Hook -U ON. &.COPPER Refrigerant Copper Suction Line with Insulation, Size: ❑ Length ❑ New o Existing Cop.: ❑ Refrigerant Line Cover ❑ Smoke Detector - Existing/New ❑ Straps ❑ Crane / Genie Lift ❑ Extend Slab ❑ New Slab ❑ Labor Needed RANTm! ei • x: 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. NVEa,T !IENuaEAKDOWN. _ ;D EJAJLSi0F WOfiK PERFOR i 1 Manufacturer's Wa ❑ Compressor ❑ Condenser ❑ Evap. Coil nties Years Years Years ❑ Labor eL Years ❑ Parts /6 Years ; /!z"' f> Date SEE REVERSE FOR TERMS AND CONDITIONS