The URL can be used to link to this page

MC-09-1153Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 V Inspection Number: INSP - 119104 Permit Number: MC -7 -09 -1153 Scheduled Inspection Date: July 28, 2009 Inspector: Perez, JanPierre Owner: VUKOVIC, VLADIMIR AND JANET Job Address: 284 NE 102 Street Miami Shores, FL 33138- Project: <NONE> Contractor: BLUE BREEZE AIR CONDITIONING Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060134710 Phone: 305 - 865 -1220 Building Department Comments REPLACE 1 NC 3 TON 1 NC 2.5 TONS Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 1.11..17 111110 For Inspections please call: (305)762 -4949 0....e. 4Z"f 19 z /tteEo°t aka Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33 138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit No. Mr 1D Master Permit No. MOMITIMI JUL 1 0 2009 AY Ye �'s oemmmmooao000 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) Phone # 2_ 5' -0 g 9 Owner's Address _2 014 c29._ City k. i potsk. State Tenant/Lessee Name E -MAIL: Zip Phone # Job Address (where the work is being done) R,.01-1 tO City Miami Shores Village County Miami -Dade FOLIO / PARCEL # a ' ; y i �-� Is Building Historically Designated YES NO X Zip 31.3 Contractor's Company Name( � OLIA Q Phone # o, Contractor's Address 45.5 hk) Lk-(3 _grr- City k.l.1,1VA.t State L Zip /i Qualifier Name ice\ o `---rCAz' Z o l A Phone # '1 S 6 _ g„,(2)2_ _ 6 _54 State Certificate or Registration No. CA Q 12701._s299 a Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ ..2 7 P Type of Work: Describe Work: ❑Addition ❑Alteration Phone # Square / Linear Footage Of Work: Repair /Replace ❑ Demolition xxxxxxxxxxrxxxxxxxrxxxxxxxxxxxxxxxxrx *rF.eeSxxxxxxx, Submittal Fee $ '"' Permit Fee $ b &C) Notary $ Scanning $ J' N;_ -) Training /Education Fee $ Radon $ Bond $ Code Enforcement $ Structural Review. $ DPBR $ XxX xxx xx xxxxxx Y. *w xxxx x x x xx xx x x x x xx r. CCF $ ~ �! CO /CC Technology Fee $ Double Fee $ Zoning $ Total Fee Now Due $ See Reverse side - n 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. l 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. ) 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 foregoing instrument was acknowledged before me this .7 day of `A/ , 20 Q, by (62 VL ' e who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLI Sign: Print: ptfaY PG® Notary Public State of Florida ? ' -,, E Van Den Bergh ! c My Commission DD778217 i7" Expires 04/13/2012 or r r•D My Commission Expires: xxx•xx xxx xxxx xxxxxx 'eve 'ex** xxxxxxxxxxxxxx*** APPLICATION APPROVED BY: (Revised-02 /08/06) Signature The foregoing instrument was acknowledged before me this "�0 (t2 day of v , 20 , by H.,47 ` A✓�� -�o who is personally known to me or who has produced as identification and who did take an oath. osY Pit Notary Public State of Florida E Van Den Bergh X10 /My C• missiy DD778217 t e pi 4 •/2012 My Commission Expires: xxxxxxxxxxx x Xxxx xxxx xx xxx *Inv x vex xxx xx x ****** xx xxx It X' '4 Plans Examiner Engineer Zoning Miami Shores Village AIR CONDTTIONING EQUIPMENT EXACT CHANGE OUT AFFIDAVIT FORM ALL INFORMATION MUST BE FILLED IN ACCURATELY. THE FOLLOWING INFORMATION REPRESENTS THE EXISTING CONDITIONS: ADDRESS: AMU Cireuit Brr ## Ails O size CU Circuit Breaker # a c 4 rife Sze Circuit Breaker Panel Branch CYauit Wire size 6 AMP Side Air Handler Oiscared Branch Circuit g8 size AMP Size 0 Condenser Unit Disconnect Disconnect Mounting Location information: Mounted on AHU unit? Yes ✓ No _ Above Base Flood Level? Yes No Clear workspace 30" wide & 36" front? Yes IC No Mounted on GU unit? Yes No Above Base Flood Level? Yes V No Clear workspace 30" wide & 36" front? Yes VNo Low voltage thermostat wiring is installed in a separate raceway from the power wiring? Yes No THE FOLLOWING REPRESENTS THE NEW EQUIPMENT: NAM PLATE INFORMATION: - ANEW AM HANDLER UNIT = ----- , NEW CONDENSER UNIT MINIMUM CIRCUIT AMPACITY? 2 5 . MINIMUM CIRCUIT AMPACITY? 9-5 . ? MAXIMUM OVA C CREW SIZE? SO . MAXIMUM OVER CURRENT SIDE? _SO ELECTRIC HEATER KW SIZE? e i as qualifying agent for the air conditioning equipment installation at the above address location hereby attest: The above information provided for the existing electrical conditions and the nameplate information provided for the new equipment is accurate and truthful. Company Name Qualifier Nape Qualifier S' 4 natu ��s_ 0‘�60& f 74 1-0',70/g_ /s Notary Required 4 it_ - q4L.J. , Nt so 2_ -1",[4.A _ . July 9, 2009 Brook Dorsch 284 NE 102nd Street Miami Shores, FL 33138 Re: HVAC SYSTEM sOn Ti"'®"' Or You Don't Pay A D ® We are glad to submit our quote for the HVAC system for the mentioned project and propose to furnish all equipment, labor and material as described in our scope of work. SCOPE OF WORK 1) PREMIER ENVIRONMENTAL SYSTEM r Hi a cien w Variable a i Comfort - 45 °/ C 0 a • FURNISH AND INSTALL (1) 3 TONS AC SPLIT SYSTEM COOLING & HEATING • LIFETIME UNIT REPLACEMENT LIMITED WARRANTY (CONDESER UNIT) • 10 YEARS PARTS WARRANTY • 10 YEARS LABOR WARRANTY • RUBBER PADS ON CONDENSER (Sound Package) • CONCRETE SLAB 4" • METAL STAND W /FJLTER RACK FOR THE AIR HANDLER • ALUMINUM STAND 18" UL APPROVED FOR THE CONDENSER UNIT(As need it) • HURRICANE TIED DOWN (Design to hold up to 175MP /H) • SIGHT GLASS (Refrigerant level /moisture control) • OVER FLOW SHUT-OFF SWITCH • EXCLUSIVE TALKING THERMOSTAT • ALL SECURING OF EQUIPMENT TO SUPPORT • START UP AND SYSTEM OPERATION CHECK -UP • ALL LABOR, MATERIALS AND SUPERVISION • ALL TAXES & CITY PERMITS • . j 4 : 1 . • 1 • 1 •1 L: 4_ ! _ s _ ' _ ld INDOOR AIR DUALITY PACKAGE (1) MicroPower Guard Air Cleaner (97.5% Filtration to .3 microns) (1) OxyQuantum LED (Mold and Germicidal Protection) (1) Drain Pan Treatment (Mold and Bacterial protection for drain pan) Customer Initials: 655 NW 118th Street / Miami, FL 33168 Phone: (305) 865 -1220 / Fax: (305) 865 -7779 — 2 — July 9, 2009 2) DELL7X ENVIRONMENTAL AL S YSTEM Hi efficiency w/ Variable Capacity Comfort - 35% Cooling Savings • FURNISH AND INSTALL (1)2.5 TON AC SPLIT SYSTEM COOLING & HEATING • 10 YEARS PARTS WARRANTY • 10 YEARS LABOR WARRANTY • RUBBER PADS ON CONDENSER (Sound Package) • CONCRETE SLAB 4" • METAL STAND W /FILTER RACK FOR THE AIR HANDLER • ALUMINUM STAND 18" UL APPROVED FOR THE CONDENSER UNIT(As need it) • HURRICANE TIED DOWN (Design to hold up to 175MP /H) • SIGHT GLASS (Refrigerant level /moisture control) • OVER FLOW SHUT -OFF SWITCH • EXCLUSIVE TALKING THERMOSTAT • ALL SECURING OF EQUIPMENT TO SUPPORT • START UP AND SYSTEM OPERATION CHECK-UP • ALL LABOR, MATERIALS S AND SUPERVISION • ALL TAXES & CITY PERMITS • ONE YEAR COMFORT CLUB /MAINTENANCE AGREEMENT INDOOR AIR QUALITY PACKAGE (Corplea e-ntar of OHm. C) • MicroPower Guard Air Cleaner (97.5% Filtration to .3 microns) Total AC System Investment B1 e Breeze 0 our o n d i t i o . ' i . 1 i , ' o CR $12,709 * - S • f tit $254. -per Month on Guar inclu •e• Comfort Guarantee, Total Replacement `No Lemon" Guarantee, $500 No-F rtration Guarantee, Property Protection & Client Respect Guarantee, Two Year Satisfaction Guarantee, Peace Of Mind Total Service Guarantee *Note: Total Investment include all FPL, Factory rebates and the $1,500 Tax credit TERMS 50% DEPOSIT (TO SCHEDULE INSTALLATION) 50% UPON COMPLETION Customer Initials: