MC-09-1926Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: I NSP- 129834
Scheduled Inspection Date: December 10, 2009
Inspector: Perez, JanPierre
Owner: VAIL, GEORGE & ASHLEY
Permit Number: MC -11 -09 -1926
Job Address: 325 NE 95 Street
Miami Shores, FL
Project: <NONE>
Contractor:
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
AFFORDABLE AIR & HEAT & ELECTRIC CONTRACTOR
Phone Number
Parcel Number 1132060136020
Phone: 305 - 770 -4167
Building Department Comments
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
December 09, 2009
For Inspections please call: (305)762 -4949
Page 19 of 34
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Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING MC EM "vi IE
PERMIT APPLICATION NOV 1 8 2009
FBC 2004
BY:..
Permit Type: Mechanical
Owner's Name (Fee Simple Titleholder) chi, vad.d. Phone # V14/0 772
Owner's Address �j��tt1 ' N6 q y
City fl44 . 6 tit ed State Zip
ID CD
GC IC Co
Permit No. fil —1/ "0q-072
ster Permit No.
Tenant/Lessee Name
Phone #
� / '�E -MAIL: �% /}
%Job Address (where the work is being done) 6 `Z 6-5
City Miami Shores Village County Miami -Dade
FOLIO /PARCEL# /1 X1.10 210
is Is Building Historically Designated YES NO
Zip
tJContractor's Company Name 6h /' 4 ~th i2 r— Phone #
Contractor's Address /CIO
City M4,,/
Qualifier Name JO /1 / L€ /f) Phone #
State Certificate or Registration No. CAC-04g7 // Certificate of Competency No.
E -MAIL:
v ie-012.
)0;10 P717
State Zip
Architect/Engineer's Name (if applicable)
'\%Value of Work For this Permit $ /Boa'
Square / Linear Footage Of Work:
Type of Work: ['Addition ['Alteration ❑New
Describe Work:
Repair /Replace ❑ Demolition
(,ir/14n1 I-eY' a4, raleee)mt-etcbck_
aex *xx' x' akxiexx*xx• *xd:* xxxx****x&x xg.�.� .p�,}p'��/p. aYxxxxxx.xaex a'-ac aex eYxxxd: aex.•x ..xde x•x4cxx xxx,,, *
Submittal Fee $ Permit Fee $
t CCU' $ 140
Notary $ Training /Education Fee $
Scanning $ Radon $ DPBR $
Bond $ Code Enforcement $
0-40
Technology Fee $
Double Fee $
CO /CC
la
Zoning $
Structural Review. $ Total Fee Now Due $ { N
See Reverse side -->
Aok
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
4
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. 1 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: 1 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 roust 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
Signat
The fs. e_oing instrument was acknowledged before me this/
day of
who is personally known to
A
NOTARY PUBLIC:
Sign:
Print:
Signature
foregoi
day of
who is perso
Contractor
was acknowledged before me this ge-
My Commission Expires:
NOTARY
Sign:
Print:
ttrgta t p , , roduced
P ,"
't` en0 j ktids 444
eo, d es IFt
k�dn orjdd D 3
oil $9ge
t3
an oath.
My Commission Expires:
x**************** xxxxx******** dc**** ** *x * *** ** * ** **x** ** ** * **$c} ***
APPLICATION APPROVED BY:
(Revised 02 /08/06)
xxx ** * ** * * * * *xx
Plans Examiner
Engineer
Zoning
Air Conditioning & Electrical Contractors
Afford�ble
Air & Heat, Inc.
WHERE QUALITY IS AFFORDABLE
d(-0m Od {8CAC 111 Dade 040.0 r r ) 7- 9943
Et 1'11
7..
EGUIPMF:NT SCHEDULE
dANAaFAAWfEtt KAMILERSIO9el ' f'y,'r" ;� ;„ R
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u
JOD easloaIPT ON:
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Tide ra is am merv+unake rename wet Atferaaote AY trail #iaat, Into
1S IRte m vnta pars rm trs I In ease of aataun many term of One wino. the
puet*art wfY Da aloud 1 d and maw in scoardarme tea Neer OW Iww+he right m take derma* powftIIn of sate wAratwnda
and full meat of the purchase ;doe then utptd shall hewer hnerradllatery
attaepiadottabuortro maws andtncompttangewithallWide)) gado e»dpaatb�atil�amder'e . /unout nodes or dement AU anodes pdd
Ill forgo on drone d$9, eneli rsatalnwithiha sskif ea oamapsa. In tee inventtns *nylon 0t
NOM enatlomey Ewe fecoefee Gahm netfri ohheWien,thepurchaamShall
+<<. ander be raqueed to pry au reaaar em attonrey'e roan tapi'ther w1th leteraat wad el
Syapeaof /¢ dtldtdrvtkt 0(rata userato. tf o wrstaaty se*0 I rya an sfloauda with ea
eatdab and 1 d • return. to modification eccorIIng atruootlral outstanding Mamie. Libor Warranty �sp ductwork, Wising
or other ..meets. et estralsystema.andtaatntsaance rebind worm
iMISAMMEARC In un Mtn I„i putenseer!dJen to Are enter lo *common Mt after
th *want No been oesa ted,ourohtaarahauOa resPaatithle to It* asdirrw
SWAM Wt8 bo protr4dad fray by ea fora period of A... B:__ _C_.__ 25% of the WW1 Ow at and maed SeBar OS not be
you(*) erora date of tnetallatlon aarufp oeprr+ar werldag r1;1 t st le u eed to be a specified. ell in e
iintailaigininta WOr1ioollke mbraia? to elenclird preenaaa. My alteration or
Polo Waaardy WO A /0 B ,.,,.0 , demontmtp the c ronet�tnwlr lnpexlracoarswaloeexaaut«t
Comprc5sorWarrardytYre.) A //, S_c uponWOanac9ateat►dwdiba Jaot er estimeto,
,MEMO WARIVATr:
Provided through ---- tie ff
for year(s).
AFPORDA$LL AIR A HEAT, INC. Will PROVI01 i", rra
INSTALLATION OF EQUIPMENT
REFRIGERATOR )ORNM ( ) 0
r n I
PERMIT FE(S) RETURNS & W REWIRED 0 0
DRAIN FROG ( )ORPLUSH( ) n 0
AIR HANDLER SLPI:QRTS 0 0
CONttNNBATION PUMP t_ lill
EAIERCB4CT FLOAT SWITCH 0 CI
KURRS�e T*00WN& f C 0
Cate SLAB
Bete
YES NO ono
THERMOSTAT ...;
CARPENTRY
BALANCEAAI FLOW U
REMOVAL OFJOS RITE Deem A '71
TI'S ALwi1 CONTROL) �w .
CONNECT to emus sea tiCElBANEL9 t 0
WREAK fiLECT VCAL SERVICE ..,,__AMPS 0 1i
ono' . , . U
gl tY "ER C
MANCINo AVAILABLE
Payment to be mad* ea follows: ', 9 r— deposit, batence upon etatt-up.
AuthOrlad Company Swan
That propoasel emblem to aotaaptanc0 within /i! ._ days and In void there after at the option of She seller.
Option Chosen
whom #a . Willis gatNINOAS (
�+r ��k
r- . ■ u l CERTIFIED,
www:ahridirectory.org
Certificate of Product Ratings
AHRI Certified Reference Number: 1117932 Date: 11/18/2009
Product: Year -Round Air - Conditioner, Remote Air - Cooled Condensing Unit
Outdoor Unit Model Number: GSC130241A*
Indoor Unit Model umber ARUF182416A* 5 l jf j
Manufacturer: GOODMAN MANUFACTURING CO., LP.
Trade /Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR
CONDITIONING AND HEATING, ENERGI AIR
Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP.
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):
23000
EER Rating(_Cooling): 11.50
SEER Rating (Cooling)
13.00
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) 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 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 cited on this certificate can be verified at www.ahridirectory.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.
2009 Air - Conditioning, Heating, and Refrigeration Institute
taro Air - Conditioning,
®® 41 Heating, and
Refrigeration Institute
CERTIFICATE NO.: 129030481232231113
CERTIFIED
www:ahr+directoiy Org
ertificate of Product = :stings
AHRI Certified Reference Number: 1117932 Date: 11/18/2009
Product: Year -Round Air - Conditioner, Remote Air - Cooled Condensing Unit
Outdoor Unit Model Number: GSC130241A*
Indoor Unit Model Number: ARUF182416A*
Manufacturer: GOODMAN MANUFACTURING CO., LP.
Trade /Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR
CONDITIONING AND HEATING, ENERGI AIR
Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP.
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): 23000
EER Rating (Cooling): .. . 11.50 ._
SEER Rating (Cooling): 13.00
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) 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 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 cited on this certificate can be verified at www.ahridirectory.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.
2009 Air - Conditioning, Heating, and Refrigeration Institute
Air- Conditioning,
Heating, and
triVin ®® latn Refrigeration Institute
CERTIFICATE NO.: 129030481232231113
DISPLAY THIS CARD ON FRONT OF JOB
MIAMI SHORES VILLAGE
BUILDING PERMIT
PERMIT #5p05 .119 DATE6/0h5
OWNER s iieCyo
ADDRESSUS IJe T
CONTRACTOR„ 1/ai Xt(
PERMIT TYPE iv groaivit 1*'O� rat
"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 ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
OR INSPECTIONS CALL 305 - 795 -2204
INSPECTION REQUESTS ARE ACCEPTED DURING THE
HOURS OF 8:30 AM TO 3:30 PM FOR INSPECTIONS
THE FOLLOWING BUSINESS DAY.
s
Vos
Ye.
CERTIFICATE OF OCCUPANCY MUST BE SECURED BEFORE THIS
BUILDING CAN BE USED FOR ANY PURPOSE
DO NOT REMOVE THIS CARD BEFORE COMPLETION
OFFICE PHONE NUMBER: 305 -795 -2204
PAS
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