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MC-09-609Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: June 02, 2009 Inspector: Perez, JanPierre Owner: CLAUSSEN, VIRGINIA um 4 Job Address: 370 NE 97 Street Miami Shores, FL Project: <NONE> Contractor: EDD HELMS ELECTRIC & A/C INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060135820 Phone: 305 -653 -2520 Building Department Comments Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit No. }'1L0 Cf 404 1 ' 009 ter Permit No. Permit Type: Mechanical dielti&Wh �_^� Phone # �f� 75 / Off3 Owner's Name (Fee Simple Titleholder) h/r Owner's Address J ® k)e.. c� p City 161.1q4411 � * State F L Zip 31 0 Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) 8 70 NE, Q7 S City Miami Shores Village County Miami -Dade FOLIO /PARCEL# /73 Z`J{v®/ 3 5k zc Zip 3 '313 Is Building Historically Designated YES NO X Contractor's Company Name a 1i°eIYV.- 4(2. (.'9v1_) + oir►1''Lj Contractor's Address 1 72' 53 Phone # e 4s-? "2S City Y>219_,.] State FC- Qualifier Name zip 3316? Phone # 3111- -43- �3 State Certificate or Registration No. 4412./2 ? Certificate of Competency No. E -MAIL: in hGr-kme yr es :664 n'iS, Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: Describe Work: 4, lea 4-0 ❑Addition ❑Alteratio f/ Phone # Square / Linear Footage Of Work: ❑New Repair /Replace ❑ Demolition K31)******** * * * * * * * * * * * *xxxxx ** * * * * * * * ** * ** a S************* * * * *x ** * * * * * * * * * * * * * * * * * * * * * * ** 4 4I� - t l Submit l Fee $ Permit Fee $ t 1 i IIIP CCF $ to CO /CC Notary $ Training /Education Fee $ 1. o) Technology Fee $ ef4 Scanning $ kW Radon $ DPBR $ Zoning $ Boti1$ Code Enforcement $ - Double Fee $ Structural Review. $ Total Fee_Now Due $ a Z_ .. . ZZ . ©2- See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage L nder's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do `the work and instaliatk n&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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Owner or Agent The foreg ing instrument was acknowledged before me this / day of Y/ / , 2011, by / 5fn ! ®+ Cke.tSse", who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Signature Contractor The foregoing instrument was acknowledged before me this 1 day of AP,/ / , 20 el , by-i-/ZE who is personally known to me or who has produced tification and who did take an oath. My Commission Expires: xx rxxxx, Yxxx, Y,:x, Y&r..** u, t, Yxx,4x,txxxicxxxxxxxxxxxxx,Yxv: is ae is xxxxx**** r., 4x, e** .*,t,49c..***xxxicdexxx**..xxx de,4de,tiw`****,ti **,4*** „, „ MRYE HACKNEY 1' � ► �Y Pry ' �.. MY COMMISSION # DD 817 o�. EXPIRES: October 1 2012 pub5c tMdervwkera � My Commission Ex APPLICATION APPROVED BY: (Rev ised•02 /08/06) 7.‘ Plans Examiner Engineer Zoning Edd Helms 01-coq A Name You Can Trust Since 1975 Air Conditioning & Electric AIR CONDITIONING REPLACEMENT DATA, CONTRACTOR: gbb A/)t1 i DATE: P ECEIVED APR 1 4 2009 SITE ADDRESS:, /7/67) A4)6, .5-441-e--- APT: LOT: 3 BLOCK: i3 SUBDIVISION: ' c32W of UNIT BEING REPLACED DATA MANUFACTURER PKG. UNIT MODEL COND. UNIT MODEL AHU /COIL MODEL KW HEAT NEW UNIT %/ v•Ixe �lowGloap y7l3,.3,/91 vDn NOM TONS AHU 4' CU PKG 1) M.C.A AHU '/$ CU3 PKG 2) M.O.P AHU CU PKG 3) VOLTS PKG UNIT / / AHU4P. CU off,; PKG AHU I5-CU 3e7 PKG AHU CU PKG PKG UNIT / / EER/SEER YES YES YES NO ✓ NO NO YES NO YES NO DUCTS THERMOSTAT SMOKE DETECTOR HEAT RECOVERY UNIT STAND YES NO YES NO ......_.._...... YES NO LADDER REQUIRED FOR INSPECTION 4) CHANGE DISC § .6i b i G S YSIGNATURE: AN _._ `. —► FLORIDA STATE CERTIFICATION/REGISTRATION NO. BROWARD CTY /CERTIFICATE OF COMPETENCY NO. YES YES APPROVED BY: YES YES NO / NO NO NO DATE: 1) MINIMUM CIRCUIT AMPACITY (WIRE SIZE) 4qj j 611 °sib 2) MAXIMUM OVERCURRENT PROTECTION (FUSE/BREAKER SIZE) 4 3) VOLTAGE OF CIRCUIT (208/240/480) 4) SIZE DISCONNECTING MEANS tp0,444,0 • €IflIll Edd Helms Edd Helms Group, Inc. )4C0c(-6OR A Publicly Traded Company - EDDH Electric • Air Conditioning - Data Comm April 2, 2009 . Ken &.Joy Claussen 370 NE 97th Street Miami Shores, FI. 33138 305 - 757 -0883 kclausse@bellsouth.net ECEOVED APR1 009 Edd Helms Air Conditioning is please to provide this proposal to replace your existing air conditioning system. Removal and disposal of the existing 2.5 ton equipment Install Trane 2.5 ton 16 Seer Air Handler Model 4TEE3F39B1000A, Condenser 4TTR4030C1000A 8kw heater, concrete slab, inline float switch Reconnect to the copper, drain, ductwork and electrical service All materials and Labor Permit included Warranty: One Year Labor, Five Years all Parts and Ten Year Limited Warranty on the Compressor. Total for the Goods and Services above: $ 4,600.00 - $ 500.00 FPL Rebate = $ 4,100.00 Terms: $ 2,050.00 down and $ 2,050.00 upon completion of install This proposal dated 4/2/09 is valid for 15 days. Tax credit of 30% of $ 4,600.00 = $ 1,330.00 This would bring the final cost to $ 2,720.00 after the tax credit. Ke•, eeeed to ake sure that we have enough room in the closet to fit the 23.5" wide air handler. PLY I -11""":97 Mechani • _ l : stirnator »uth6Jii6d Signature & Date All payments shall • ue in accordance with the terms described above. Customer agrees to pay all court costs and attomeys fees should legal means be necessary for collection. Mold, Mildew, and issues Related to Indoor Air Quality. The HVAC system included in this proposal is designed according to industry standards to provide comfort cooling in occupied areas. This proposal does not include the responsibility by EDD HELMS for any procedures to identify, control, eliminate or remove mold in occupied or unoccupied spaces. If you suspect mold to be a problem, or if you have construction conditions that support the growth of mold, we recommend the CUSTOMER take remedial actions outside of this proposal to eliminate the problem, remove the mold, and insure a mold free environment. 17850 NE 5th Avenue • Miami, FL 33162 - 1008.305/653 - 2520.800/329 -2520 • Far 305/651 -5527 • www.eddhslms.cam