MC-10-1750Scheduled Inspection Date: April 06, 2011
Inspector: Perez, JanPierre
Owner: BREMEN, THOMAS
Job Address: 517 NE 102 Street
Miami Shores, FL
Project: <NONE>
Contractor: A -1 AIR & HEAT INC.
Building Department Comments
April 05, 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
Inspection Number: INSP- 151937 Permit Number: MC -10 -10 -1750
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
Parcel Number 1132060170950
2 TON PACKAGE A/C REPLACEMENT
7 /
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 2 of 16
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: MECHANICAL
Owner's Name (Fee Simple Titleholder) TOmos B men Phone # 130)15 15(
Owner's Address 5 f NE 10/ S+
City Mt nY Y1l S{' or ,s State FL
Tenant/Lessee Name
Email
ne)
City Miami Shores Village
FOLIO /PARCEL# 011.0950
t j
Contractor's Company Name A-1 Air k fa 1 , Inc..
Contact Phone (14 (p) 412- 303%
Notary $
Scanning $ Radon $
Double Fee $
Structural Review. $
Miami Shores Village � F�C�E�IIME�
Building Department OCT 0 4 2010
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 No.ly 0 1O
Master Permit No.
Submittal Fee $ Permit Fee $
11 /i16' /e0
jr
County Miami -Dade
F .a
Training /Education Fee $
Violation date:
DPBR $
Zip 33m
Phone #
Is Building Historically Designated YES NO M"` Flood Zone
Phone #
Contractor's Address 324 SW '4 6+,
Cit VlOrldQ GPI State FL Zip 33034
State Certificate or Registration No. Certificate of Competency No.
Value of Work For this Permit $ �j «� (a) Square / Linear Footage 0
Describe Type of Work: O d. tion ❑ tan ❑New
• au .
CCF $
Total Fee Now Due $
BY:
Zip
(dos 7eaf+- oso
Qualifier Name Phone #
E -mail A1AIR REf i NCB CA mcl s+..
Architect/Engineer's Name (if applicable) Phone #
**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
C /CC $
Technology Fee $
Bond $
See Reverse side -->
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 builc(ing permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Sign:
Print:
My Co
Owner or Agent
The foregoing instrument was acknowledged before me this
day ofD( fr2 `4, 20 t r) gte44t 4-1
(ham personally down to me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
(Revised 07 /10 /07)(Revised 06/10/2009)
* * *: * * * * ***** * * ** ** * * * * ** * *** * ** * ** *fir * **
<v....(
The foregoin instrument was ac owledged before me this
, day of gd ,20( ®, �7° t/r(!L .
v i perso atir t to me or who has produce
as identification and who did take an oath.
NOTARY PUBLIC:
*1 ** ************************** * * * * * * * * * * ** * * * * * * * * * * * * * * * * * **
Plans Examiner
Engineer
Signature
Sign:
Print:
My Co
Contr ctor
Zoning
Clerk checked
mot towatoorro
07/211/10
CERTIFICATE IS I$SU )AS A MATTER Of I WORMATION ONLY AND COWERS NO OMITS UPON THE CERTIFICATE HOLDER VW
CERTIFICATE DOES Nair A ATWHLYOR NEATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED SYTHE POLICES
BELOW. THIS CERTIFICATE OF DURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING AUTHORIZED
REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER
IMPORTANT: Bthe o MEW la aADDIT NALINSURER mobs EIHMIEGIL It8U :RQGAT IS EASED. al
the tame and coadiliaas at Ea pellq n paliclas may m IIdfo an oodosontont, A alit a tido cottiftvato doss not cantor N F to the
cotteleato tam In Wu of tomb
COVERAGES CERTIFICATE NUMBER:
OWL ADESSALTE URN APPLIES PER
S POLO! f LOC
ADIVASSEEIBIERIlr
AM Id =
ALL OWNED AUTOS
SOSOULED AUTOS
MED AUTOS
ratOWNED AWLS
07/30/10
08/17/09
= /17/10
PERSONAL/CALMONAL/LADS INIURY
TE
PRDD 8 -CQt AG
COADINIDENSE L r
(la aaahlidR
DECAY ARUM (Per parson)
EMILY IN 4Porarddertl
PROPERTY DNA=
tFAF =tom
CERTIFICATE HOLDER
rffillgq* A1REERZ
11000000
a 1000000
10,000
1
110,0410
1 0000
a 100 000
ELL DISEASE-St 7.; a100,000
at_ CISME - POUCY taw a 500,000
thiOl LOANY OP THEABOVE DESCRIBS3 POLICIES SE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTE WILL SE DELIVERED IN
ACCORDANCE BETH THE POLICY PROVISOES
ItistiRED
'aft& CERTIFICATE OF LIABILITY INSURANCE OM AS I
International Insurance Center
7990 SW 117 Ave Suite 209
Miami FL 33193 -3849
8hone:305- 279 -5446 Fat :305 -279 -4045
+7 • !. kV( - 71 T. = T2■3it' Sr^.:fa"T 1„ :: "T•: i: 1 T., a"T - :.;R'i"' qvl. - TiTIT
INDICATED. NOTWITHSTANDING ANY RECIUSSAIM, TERM OR OP ANY CONTRACT OR OT NERCO INO:MEWONI RESPECrIOWNICHTNIS
CERTIFICATE MAY BE ISSUED CR MAY PERTAIN. THE INSURANCE AFFORDED BY THE PODS OESCREEED HEREIN IS SUBJECT WALL THE room
MECUM'S AND CONDITIONS OF SUCH MISES. UNITS SHOWN MAY HAVE 13EEN REIRIM BY PAID CAUL
eigAnAS
Lo lio o S lL 324 CATIONS ds Math *CORD S'L nmaae .r.
ACORD 25 (2009/09)
AA-1 Air i VII t In .
Mini FP3 0 -0792
The ACORD name and logo are reentered marks of ACORD
CORPOIttrearAH rights reserved.
UNIT BEING REPLACED
DATA
NEW UNIT
4
MANUFACTURER
a
MAID ILIVI IR%!f AST
AHU or PKG. UNIT MODEL #
Mitill% ' a ' I yj1
- .1.11111111111.
COND. UNIT MODEL #
_r
IaTFl .!M ,,i,
KW HEAT
- .74 - MLV. f `J
,gymia■
NOM TONS
W •v/
AHU CU PKG
1) M.C.A
AHU CU P G
AHU CU PKG
2 M.O.P
AHU CU PKG
AHU CU PKG 30
3) VOLTS
AHU CU PK G
PKG UNIT / /
PKG UNIT / /
EERISEER
Y NGP
REPLACING DUCTS
YES
ilT4r NO
REPLACING THERMOSTAT
Lop 0
ES N
NEW 4 "CONCRETE SLAB
NO
YES ITO
NEW ROOF STAND
YES 60
YES 0)
NEW RETURN PLENUM BOX
YES
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): �!' / / U d
Zip Code: 3i 3r
City: Miami Shores Village County: Miami Dade
Change Disconnecting means: YES ❑ NO
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 CONTRAC REQUIRED WITH ALL SUBMITALS
ARI (A DATA SHEET REQUIRED
ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES [�
1. Minimum Circuit Ampacity (Wire Size): �J cjG`-
2. Maximum Overcurrent Protection (Fuse /Break rr Size): CO
3. Voltage of Circuit (208/240/480): ct r v � s I n� Q k
4. Size Disconnecting Means: "10 ,Cis 6 Lo)(
Contractor's Company Name: JiMII /J70
AIR CONDITIONING REPLACEMENT DATA
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: S
State Certificate or Registration N. Certificate of Competency N.
Signature
Date: ` a V CO
Tom Bremen
517 NE 102 St.
Miami Shores, FL 33138
Air & heat, Inc.
PD Box 700792
Miami, Fl 33170 -0792
email: al aittteatinc@comcast.net
phone: 305 -234 -0805
- fax: 786-3394664
State License # CAC 043924
08 /10 10
Proposal For Package Unit:
.2, 6
Removal & disposal of old package unit, installation ofZton Rheem heat
pump 14 Seer 12 EER 410A package unit with (2) precast concrete slab,
digital programmable thermostat, permanent washable lifetime warranted
Boair filter,& City of Miami Shores permit & inspection included.
$3,950.00
- 140.00 FPL Rebate
$3,810.00 Total
Warranties are: 10 years compressor parts, 5 years all parts, & 2 years
labor.
* This unit qualifies for the tax credit plan consumer stimulus.