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MC-10-1751Inspection Number: INSP - 151939 Scheduled Inspection Date: November 02, 2010 Inspector: Perez, JanPierre Owner: TRUE, JUNE Job Address: 10 NE 110 Street Project: <NONE> November 01, 2010 Miami Shores, FL 33161- Contractor: C &R AIR CONDITIONING CO Building Department Comments 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 -10 -10 -1751 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1121360040330 Phone: 305 - 685 -6394 EXACT REPLACEMENT OF 3 1/2 TON SPLIT SYSTEM c)-6) [4 I 2_ Passed lN. Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 4 of 18 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL Owner's Name (Fee Simple Titleholder) 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 Owner's Address 10 /U (I 0 City �,�is►�+�. , State C� Y . Tenant/Lessee Name Email T, Job Address (where the work is being done) L0 1J r 1 City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES County Miami -Dade NO Contractor's Company Name C t `` r r k r C O (e+ c1. C0 Contractor's Address ( , 0 7 3 /v 16'7 JT a • J�GI✓Yvy,C State 'CI ..0 City `Q Contact Phone Jos 6 -C 6 3 g q Architect/Engineer's Name (if appFcable) Value of Work For this Permit $ Type of Work: ❑Addition ['Alteration Describe Work: Submittal Fee $ Permit Fee $ Notary $ Scanning $ Double Fee $ Radon $ Structural Review. $ Training/Education Fee $ DPBR $ Violation date: Zip Permit No. Master Permit No. Phone # ■101/4S • a 2 .23 ©/J Phone # Phone # Zip Phone # ENew Rep eplace CCF $ Total Fee Now Due $ RWEn735 OCT 0 4 2010 BY: .. Zip .1141 Flood Zone Phone # 3 0s 394 Qualifier Name ()beet e) C. Ie d , T State Certificate or Registration No. C A e- 02-6 4 i Li Certificate of Competency No. 0 N & 8 C) 2 E -mail Cq w1 JT C CDM Square / Linear FootOge Of Work: ❑ Demolition ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CO /CC $ Technology Fee $ Bond $ See Reverse side -> ig15 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature NOTARY PUBLIC: Sign: 04 Print: Robert Z ROBERT J. CHRYST Commission # DD 955419 Expires May 24, 2014 Banded Thu TroyFFnFromm 8003354019 My Commis$on Expires: * * * * * * * * * * * * * * * * * * * * ** e APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) Owner or Agent '' JJ The foregoing instrument was acknowledged before me this L i The fore day of per , 20 10 , by , day of who s personally known . me or who has produced who As identification and who did take an oath. Contractor oing instrument was acknowledged before me this .30 ,20l , by personally known NOTARY PUBLIC: Sign: Print: My Commission Exp o me or who has produced as identification and who did take an oath. Pit . , Commission DD 621880 Expires December 26 2010 andEnterefigsfissinf "wow ************************ ************************* ****** s Examiner Zoning Engineer Clerk checked v UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER Qu o rJ 1= t Li '' Iki FO o _ AHU or PKG. UNIT MODEL # R H L L H ivi 3 & 2 a TR A o c2 COND.. IT MODEL # 14 A7 An 4 a 10 KW 0 -- NOM TONS 3 %— AHU CU PKG 1) M.C.A AHU CU PKG AHU,gv CU 40 PKG 2) M.O.P AHUSOCU a}QPKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER i( YES NO a' REPLACING DUCTS rvic (ILf1� YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4 °CONCRETE SLAB Ciab NO YES NO NEW ROOF STAND YES �1�j YES NO NEW RETURN PLENUM BOX YES NO 1 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): 1 0 N E 1 to v' City: Miami Shores Village County: Miami Dade Zip Code: ,3 3 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 ❑ Ctn 1. Minimum Circuit Ampacity (Wire Size): 1* 6 14/ H 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 5 4/ 1 ( 0 3. Voltage of Circuit (208/240/480): X10 V ( e,H 4. Size Disconnecting Means: H 0 Contractor's Company Name: C- A l r Co .i C Cc , State Certificate • Registration N. C- AC o a I-4 / '( Certificate of Competency N. Signature 1, il re 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 c_43,4 Phone: 0 5 - 6 g G 3 Q (.( © 8 Date: 9 ° J © • / b CU`TOMER NEW EQUIPMENT FPL Rebate (instant) Total Before Rebate/Tax credit Dealer Rebate Tax Credit Your Investment Manufacturer CandRacCor @aol.com DADE: 305- 685 -6394 BROWARD: 954- 680 -4494 1 i0 id 110 ,tackoYV. We hereby propose to: Furnish, install and service the equipment and materials listed below with the conditions and specifications detailed below. 6 0 Condensing Unit Model # Air Handler Model # Package Unit Model # Refrigerant Heating KW Btuh S.E.E.R. Warranty -` 4 Parts 10 Yr. Compressor I OYr. Parts _ Yr. Compressor Yr. Parts _ Yr. Compressor _ Yr. 1 Year Labor 1 Year Labor YOUR INVESTMENT JOB NOTES C &R Air Conditioning Co. 6073 NW 167 Street Suite C-4 Miami Gardens, FL 33015 -4330 www.CandRac.com Email: System #1 $- Air Handler Stand PHONE NUMBERS HOME WORK 3as_. 7S1 ° �9 $ L1A I �t.�® Ruoci RA1'M40. RNLI.HM3$ R410 go 6 ® / EER 1 Year Labor Thermostat S PD ❑ Package Unit Change -out U Existing Reconnection Reconnect to Existing System ❑ New Electric ❑ ❑ System #2 $- 0 Float Switch Auxiliary Drain Pan $ ❑ Ref. Line cover ❑ UV Light PERMIT FEE NOT INCLUDED PURCHASER 9.4_4(_.e_ DATE f0 /41 /f0 REPRESENTATIVE VALID FOR 2 WEEKS CELL DATE c �JO j 0 System #3 $- UNDER CONSTRUCTION EXISTING STRUCTURE ❑ Condensate Line ❑ Fire Dampers ❑ Existing Reconnection ❑ Ref. lines ft. ❑ Condensing Unit Stand ErC Slab ❑ Other DUCT SYSTEM ELECTRIC SYSTEM FREON LINES A qualified air conditioning expert will start and test the system and explain its operation. This proposal is good for a two week period from date of proposal and at that time is subject to review. Title to the system shall remain in us until all sums due us have been fully paid. In the event the purchaser fails to comply with any of the requirements of this contract and such default results in litigation, the Purchaser agrees to pay reasonable attorney's fees and all court costs and expenses incident to such litigation. Delinquent payments shall bear 1.5% per month interest from due date until paid. All work is to be performed during our regular work hours unless otherwise specified. This contract contains all agreements. Neither party shall be bound by any representation, warranties nor agreements, oral nor written not herein contained. This proposal shall become a contract when accepted by you and approved in writing by our duly authorized corporate officer. We agree to furnish and install the above described labor and materials on the terms indicated below for System # TOTAL INVESTMENT $ 1°19. ®O 50% DEPOSIT $ .9..307. 00 ® 10.4.10 FPL/DEALER REBATE $ - gS . D o `� ® 0 $ 4614 4 a 30 - 7 . m Q READY DUE WHEN RATE $ 1 3 0-1 , This combination qualifies for a Federal Energy f. .1 -'1'-----..'-'' ' . ' Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. - Q- j ,e .., 7 -'-' AHRI Certified Reference Number 3849917 Date: 101112010 ' Product Split System: Air-Cooled Condensing Unit, Coil with Btower Outdoor Unit Model Number: 14AJM42 , Indoor Unit Model Number FtHLL-HM3821+FtCSL-H*3821 Manufacturer: RUUD MR CONDITIONING DIVISION Trade/Brand name: RUUD 14AJM SERIES Manufacturer responsible for the rating of this system combination is RUUD AIR CONDONING DMSION Rated as follows in accordance with AHRI Standard 2101240-2006 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment to by AHRI-sponsored, independent, third and subject verification of rating accuracy party testing: Cooling Capacity (Btuh): 40000 EER Rating (Cooling): 1100 , SEER Rating (Cooling): 16.00 , , * 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 this Certificate to, responsibifity for, on and makes no representattorts, warranties or guarantees as and assumes no AMU expressly thscialins all liabffity for damages of any kind arising out of the use or performance of the product(s), or the the product(s) listed on this Certificate. unauthorized alteralkm of data listed on this Certificate. Certified ratings are vend only for models and configurations listed In the threctory at v.r,priv ahnthrs.ctory.o7g. • TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Cortthcate shall othy be used for Intinridual, personal and confidential reference purposes. , The contents of this Certificate may not, in whole or In part, be reproduced; copied; dissengnated; entered into a computer database; or otherwise utifized, M any i i form OT manner or by any means, except for the user's IncliVidual, CER1IFICATE VERIFICATION The information for the model dted on this certificate can personal and confident:kg reftwenue. be •.,a, ' vertfied at ,, a+ ,aci ,:, ,,, orv, ,...,, "'.--- , AiT Hatirig, click on "Very CeritIcate" link and enter the AHRI Certified Reference Number and the elate on _ •:?;:'4Q"--' r2EiTi R1 and Refnverotion kniqute which the certificate was issued, which Is tithed above, and the Certthcage No., which is listed below. • 02010 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129304176521745444 • '''' ' ' .,,,_,_ . ..r1" ''''' , Prig,-.'