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MC-10-1538Permit Number: MC -8 -10 -1538 J Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 155385 Inspection Date: July 11, 2011 Inspector: Perez, JanPierre Owner: , CAV HOLDINGS, LLC Job Address: 58 NW 104 Street Miami Shores, FL 33150- Project: <NONE> Contractor: ALL YEAR COOLING AND HEATING Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1121360131060 Phone: (954)566 -4644 Building Department Comments REPLACEMENT CENTRAL AC q L il q Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 155148. CREATED AS REINSPECTION FOR INSP- 155023. NO ONE HOME JP.no one home @5:10 pm jpp final approved jpp Failed Correction Needed Re- Inspection 'Fee No Additional Inspections can be scheduled re- inspection fee is paid. until July 11, 2011 For Inspections please call: (305)762 -4949 Page 1 of 1 113! 10 --- log-No-( AUI32 72010 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. MCI, o at) Master Permit No. BUILDING PERMIT APPLICATION FBC 2004 iiE Permit Type: Mechanical j r Owner's Name (Fee Simple Titleholder) (4 6�//J� a ti Phone # 796-- 3 9 l -7 J � i / Owner's Address 5 _ -djkja I e %a 4 S City iKl: -4l lC State FU Zip 13C/ Tenant/Lessee Name Phone # E -MAIL: �, J Job Address (where the work is being done) b---F / v a) 1/) q ,37-4 EC T City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # /1'02136-'0/ 3 /0 &O Is Building Historically Designated YES NO Contractor's Company Name ALL YEAR COOLING & HEATING Contractor's Address 6781 W. SUNRISE BLVD City PLANTATION Phone # 954'566 -4644 Qualifier Name GRETA B. SMITH State FL Zip 33313 Phone # 954-566 -4644 State Certificate or Registration No. CAC058160 E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 1 d . ® i) Certificate of Competency No. CMC511 Phone # Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration ['New Repair/Replace 0 Demolition Describe Work: REPLACE CENTRAL NC ****** ** *** **** * * * ** * * *** **** *** * Fees************* * ** ** * *a** * *a* ***** *** ** * * * ** ** Submittal Fee Permit Fee $ \ \v) CCF $ CO /CC Notary $ Scanning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ it .40 Traming/Education Fee $ Radon $ DPBR $ Technology Fee $ Zoning $ 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 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 rein ection f will be charged Owner or Agent The foregoing instrument was acknowledged before me this go day of f" , 2010_, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: NOTARY PUBLIC•STATE OF FLORIDA Cheryl Morgan Commission # DD897935 %,, ,,�•• FRpire s JUNE 28, 2013 BONDED MAUATLANTIC BONDING CO.,INC. My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Signature Contractor The foregoing instrument was acknowledged before me this, day of . , 201Q, by re &,. 'B. , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: efitp (YLaa rte. My Commission E Tres: NOTARY PUBLIC-STATE OF FLORIDA .**".'"4, Cheryl Morgan Commission # DD897935 's.,,,,,;,t Expires: JUNE 28, 2013 BONDED THRU ATLANTIC BONDING CO., INC. Plans Examiner Engineer Zoning 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 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): 56 ow tog, Sired', (fl.ieapiL SE/0466 , FL City: Miami Shores Village County: Miami Dade Zip Code: 33160 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 Change Disconnecting means: YES ❑ NO [✓j ARHI Sheet Attached: YES []r NO ❑ Contract Attached: YES []r UNIT BEING REPLACED DATA NEW UNIT JwoAel, MANUFACTURER aitga,m, RRHL-17 -olo AHU or PKG. UNIT MODEL # iel-[ NM13GIT- LA I - 030 COND. UNIT MODEL # 14�P11 3o I6 KW HEAT 6 (25 NOM TONS Q.5 AHUob CU , PKG 1) M.C.A AHU,25 CU5 PKG AHU go CU 80 PKG 2) M.O.P AHU. CU 30 PKG AHUa30 CUQ30 PKG 3) VOLTS AHUa3oCUa3O PKG PKG UNIT / / PKG UNIT / / 1 Sear EER/SEER A., Soo,— YES 0 REPLACING DUCTS YES NO REPLACING THERMOSTAT ES NO YES CO-) NEW 4 "CONCRETE SLAB „ YES YES NO NEW ROOF STAND YES YES NEW RETURN PLENUM BOX YES 07'3 1. Minimum Circuit Ampacity (Wire Size): 106. 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 30 CneS 3. Voltage of Circuit (208/240/480): cQ3O 4. Size Disconnecting Means: 30 anyS Contractor's Company Name: lq (1 (.e - ( to,n� - I�e� Phone: -S0(0- 41 State Certificate or Registra �Y Signature Cam °� alifiers signature only) Certificate of Competency N. CA Date: ?-a-(4,- ( 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 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): 58 NW loA Strati f1aolL Sh Ate , FL. City: Miami Shores Village County: Miami Dade Zip Code: 33160 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 Change Disconnecting means: YES ❑ NO [r ARHI Sheet Attached: YES [t/ NO ❑ Contract Attached: YES C� UNIT BEING REPLACED DATA NEW UNIT rn. MANUFACTURER R f tga, RAH L -17-o(. AHU or PKG. UNIT MODEL # 12..H4L.1-1M3G13- iMTM 3o 249144 - 030 COND. UNIT MODEL # 5 KW HEAT :S a 5 NOM TONS Q.5 AHUZ CU 45 PKG 1) M.C.A AHUa5 CU ,25 PKG i AHU &p CU 80 PKG 2) M.O.P AHU30 CU 30 PKG AHUo?30 CUa30 PKG 3) VOLTS AHUa3oCUo13o PKG PKG UNIT / / PKG UNIT / / 1(.9 Sear EER/SEER !4o Soo - egti) REPLACING DUCTS YES CM) etEV NO REPLACING THERMOSTAT :YES) NO YES 4 I NEW 4 "CONCRETE SLAB YES Qe> YES NEW ROOF STAND YES YES 0 NEW RETURN PLENUM BOX YES LI l 1. Minimum Circuit Ampacity (Wire Size): lo%. 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 30 OfYipS 3. Voltage of Circuit (208/240/480): Q30 4. Size Disconnecting Means: 30 GS 0006os G uA Phone: (454- S70 - 4404`- Contractor's Company Name: P (i State Certificate or Registra Signature -(Q Offers signature only) SIG() Certificate of Competency N. CA S (i Date: 8- afa -10 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. Certificate of Product Ratings AHRI Certified Reference Number: 3412355 Date: 7/30/2010 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM30 Indoor Unit Model Number: RHLL- HM3617 +RCSL -H *3617 Manufacturer: RHEEM MANUFACTURING COMPANY Trade /Brand name: RHEEM 14AJM SERIES 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): EER Rating (Cooling):. SEER Rating (Cooling): 29200 13.00 16.00 * Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the products) 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.ahrldirectory.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 wwwahrldirectory org, Air- Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on MN UN and Refrigeration Institute which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129249954996414576 AilluiPal CERTIFIED,. www.ahridirectory.org This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2010. Certificate of Product Ratings AHRI Certified Reference Number: 3412355 Date: 7/30/2010 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM30 Indoor Unit Model Number: RHLL- HM3617 +RCSL -H *3617 Manufacturer: RHEEM MANUFACTURING COMPANY Trade /Brand name: RHEEM 14AJM SERIES 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): 29200 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 • Ratings followed by an asterisk (1 indicate 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, w Vmid Air - Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on 11111 !N and Refrigeration Institute which the certificate was Issued, which is listed above, and the Certificate No., which is listed below. ©2010 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129249954996414576 bmit spiclfications Equipment Installation Indoor Air Quality 71 Other All Year CcoGfg will funs ab all parts, labor and equipment necessary to taclitta% the seev co checked above In accordance with the conditions and specifications fisted in this contract Doe$ not include electticai upgrade unless stated, CONTRACT 6781 W. Sunrise Boulevard, Plantation, Florida 33313 Phone: (954) 566 - « ;.:s • Fax: (954) 667 - www.aycair com Est. 1973 with over 150,<<a +:+ installations PURCHA NAME ADDRESS CITY /STATE/ZIP E-MAIL HOME PHONE rst r CELL PHONE VOA 1 Duct Clsaning 8 Sanitizing # UV Light Vents # _ of Duct Systems 7 High Quality Air Filter._.._... 1 High Quality Air Cleaner Location Location 81 1 Modify /New Supply Duct(s) 1 Modify/New Return Duct(s) 7 New Retiam Air Grill, Size: plit System 0 Package Unit 1 Heat Pump Straight Cool 0 Horizontal Application Other Qty. _ C7 New Supply Grill, Size: ._ x _.__ Qty ............._ 1 Seal Up Leaks In Ducts # 1 Modifications of: 0 Supply Plenum © Return Air Plenum Electric H i t Recovery Unit Ot Systems O Attic Vertical Application MAKE Nket 0 Air Handler Breaker Wire Size 6 1 Use Existing O Replace New Breaker Brand 0 Condenser Breaker Wire Size Q Use Existing 0 New Breaker El Replace Brand cal Disconnect Bax 3 n -line Float Switch Apxiliary Float Safety Switch Type of Thermostat - Specify Type ! k� 19 L' Weather Resistant Vibration, Isolation Pads L'1 1 Year 1 Visit Maintenance Agreement 15 Year Extended Warranty I._./ 10 Year Extended Werranfjr N. Existing Electrical to Coda ondensate Drain Hook -Up 0 Primary 7 Secondary ew Condensate Pump D Auxiliary Drain Pan eirigerant Copper Liquid Line, Size: itty and Existing Codes 1 Mounting Hardware of Stand for Air Handler Hurricane Code Strapping n's Comp for Our Work Pertd 1 Year Warranty by All Year Cooling on work performed, and ufacturer's warranty on equipment unless otherwise stated below Labor provided by seller in this period is Monday tnrough Sunday. Refrigerant Copper Suction Line with Insu 0 Length • ;;. r New e` Existing Copp 1 Refhge 1 Smoke Detect O Straps !� i....i Extend Slab Ion, Size: ne Cove e 0 Crane / Genie Lift 1 New Slab 0 Labor Needed Manufacturer's Werra O Compressor Iii Years 0 Labor Years 1 Condenser Years 1 Parts t + Years 1 Evap. Coil Years Unit 1 UM 2 UNIT 3 Subtotal : ? $ $ Permit S 00 $__ .............. $T_.______ _. iCI Utility Rebate $ �' O $ $ Man. Rebate $ $ _..-_ $_ ....._ Misc Credits, $ Total Investment $ t t• $— $. Balance Due $ TERMS: Any financing must be arranged prior to starting aing work. Balance Due to Technician Upon Completion of Job Ad Year Cocuax Rep. Sq{ sahrre Lrife C ooio i r' S1 rolure Dare License ft CAC058159, 94CME1506X, U16711, 08E000413, ER0012903 SEE. REVERSE 00R TERMS AND CONDITIONS