MC-10-1433Inspection Number: INSP - 151965
Scheduled Inspection Date: October 12, 2010
Inspector: Perez, JanPierre
Owner: MARIN - CASTANO, MARIA
Job Address: 63 NW 103 Street
Miami Shores, FL 33150 -1233
Project: <NONE>
Contractor: PICON DESIGN CORP
Building Department Comments
Passed
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- 149915. CANCELLED BY
VIRGIL - PICON DESIGN
REPLACEMENT DESIGN CORP
l
October 08, 2010
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 -8 -10 -1433
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
ei rmomme Phone Number
Parcel Number 1121360131100
Phone: (305)599 -8282
Page 16 of 30
Inspection Number: INSP - 149967
Scheduled Inspection Date: August 26, 2010
Inspector: Perez, JanPierre
Owner: BAIOFF, ELSIE
Job Address: 336 NE 98 Street
Project <NONE>
Miami Shores, FL 33138-
Contractor: B&B AIR CONDITIONING
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
REPLACE EXISTING WALL AC WITH NEW MITSUBITSHI
LIT 12000 BTU
'go
�o
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
August 25, 2010
For Inspections please call: (305)762 -4949
Permit Number: MC -8 -10 -1443
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number
Parcel Number 1132060135700
Phone: (954)581 -9036
Page 7 of 22
BL T,
qfral AbilA
BUILDING
PERMIT APPLICATION
FBC20
Permit Type: MECHANICAL
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 No. t O 4b
3
Master Permit No.
Owner's Name (Fee Simple Titleholder) Mar . ( ,'ii Phone # 7 6'" 74'2 -04
Owner's Address 6 3 ,V (/I/ /0 3 j
Cit /Worn/ "5,'It z el State` p or a c,
Tenant/Lessee Name
Email
Job Address (where the work is being done) 6 .3 N 1/✓ /40)
City Miami Shores Village County
FOLIO / PARCEL # / /A /3 6 D /3 / /O CR
Is Building Historically Designated YES
NO
Miami -Dade
Contractor's Company Name r- Pl e0 y1 /S v ) C p
,� f
Contractor's Address 3 2 2 S As3 r
Cit Awn, State PG 0 r ,t & <
Qualifier Name fi.) 4 ' / Or Y?
Contact Phone I ' s75- r Z 7 Z
Architect/Engineer's Name (if applicabl
Value of Work For this Permit $
Type of Work: ❑Addition
Describe Work:
State Certificate or Registration No. Certificate of Competency No.
E -mail
❑Alteration
Zip 3 3 go
Phone #
Phone #
Zip 99 JSt'
AUG 1 0 201(1
BY: .V::7 7 : 77 : 77 : 777--
Flood Zone
phone #3O.$ - 69 Q, eZ P2
i)1.7s • 4
Zip 3 3 ! 8.r
Phone # 3 OS' 519^ Pa r2
Square / Linear Footage Of Work:
b New e Repair/Replace ❑ Demolition
46‹
*************************************** * ** ** ***** * * * * * * * * * ** * * * * * ** * * * * * * * * * * * **
1
Submittal Fee $ Permit Fee $ 1
Notary $ Training/Education Fee $
Scanning $ Radon $ DPBR $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $ 1 M.25
CCF $ CO /CC $
Technology Fee $
Bond $
•
See Reverse side -->
lei
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
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 . proved and a reinspection fee will be charged.
iiiiib■
Signature iiiIf&
w_v ,VW
Own- • Agent
The foregoing in? was acknowledged before me this
NOTARY PUBLIC:
Sign:
Print:
My Commission Expir
(Revised 07 /10 /07)(Revised 06/10/2009)
LiA6
EREZ
Engineer
JIL '' *_ MY COMMISSION # DD693427
* * * * * * * * * * * * * * * * * ** k * * * * * *P** * * * * *y *09 2011 * * * *s * * * * * * * * * * * * * * * ** * * * * ****
(407) 398-0153 FloddallotaryService.com
ntractor Qr
The foregoing ins ent was acknowledged before me this C
day of , 20 ju , by , day of iI , : l , , 20 / b , by
who is personally known to me or who has produced 1/1.4 o is perso l ally known to me or who has produced V.€4)
As identification and who did take an oath. (1).1/--4.t. as identification and who did take an oath.
NOTARY PUBLIC:
My Commission E
Y C MISSION # DD693427
EXPIRES July 09, 2011
APPROVED BY Plans Examiner Zoning
Clerk checked
UNIT BEING REPLACED
DATA
NEW UNIT
q - r t J
? e
,- ?
MANUFACTURER 7L14 e
AHU or PKG. UNIT MODEL # 12I.1LLHM 4821
COND. UNIT MODEL # lel ATM 4 9 AO (
KW HEAT I Q le- .n!
NOM
1'
TONS I-( -gyp N
M.C.A
AHU CU
PKG
AHU CU
PKG
AHU CU
PKG
2'
M.O.P
AHU CU
PKG
AHU CU
PKG
3) VOLTS
AHU CU
PKG
PKG UNIT
/ 1
PKG UNIT
1 1
EER/SEER i'� /6
YES
NO
REPLACING DUCTS
YES
NO
YES
NO
REPLACING THERMOSTAT
YES
NO
YES
NO
NEW 4"CONCRETE SLAB
YES,)
NO
YES
NO
NEW ROOF STAND
YES
NO
YES
NO
NEW RETURN PLENUM BOX
YES,
N
08/20/2010 09:48 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES
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
Signature '--�
(Quaff is signature onyx)
Date: 8 0
Q001/001
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
AIR CONDITIONING REPLACEMENT DATA
PERMIT NUMBER: MC )7'10 ' x{33
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): 63 4/14( /O3 � � / ,ittioff74 S'lo.of r k 3 9/V
City: Miami Shores Village County: Miami Dade Zip Code: 33
Change Disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES' NO ❑ Contract Attached: YES
1. Minimum CircuitAmpacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit (208/240/480): ,2 0
4. Size Disconnecting Means c)0 A v4'
Contractor's Company Name: V GD/1 De- en' d Phone: 3O.f ' 5" P ' -V /2
State Certificate or Registration N.C4C /Di f qTh Certificate of Competency N.
A19R CERTIFIED TM
www.ahridirectoiy . org s ,
Certificate of Product Ratings
AHRI Certified Reference Number: 3799429 Date: 5/22/2010
Product: Split System: Air - Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 14AJM49
Indoor Unit Model Number RHLL- HM4821 +RCSL- H*4821
Manufacturer: RHEEM MANUFACTURING COMPANY
Trade/Brand name: RHEEM 14AJM SERIES
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:
Cooling Capacity (Btuh): 46000
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 16.00
A* following a rating indicates 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) fisted on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsib�Tity for,
the product(s) listed on this Certificate. AHRI expressly disclaims aFl liability for damages of any kind arising out of the use or perforrrmnce of the product(s), or the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations fisted in the directory at vwvw.ahridirectoryorg.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI. 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 individual, personal and confidential reference.
CERTIFICATE VERIFICATION
The information for the model dted on this certificate can be verified at www ahridiredory.org, click on
'Verify Certificate° fink and ender the AHRI Certified Reference Number and the date on which the certificate
was issued, which is fish above, and the Certificate No., which is fisted below.
AL Lipp Air - Conditioning,
H an
A® ail ®' Refrigeration Institute
2009 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129190026212783148