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MC-11-82Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 155000 Permit Number: MC- 1 -11 -82 Inspection Date: June 13, 2011 Inspector: Perez, JanPierre Owner: BRUCE, JON & KIMBERLY Job Address: 1113 NE 98 Street Miami Shores, FL 33138 -2507 Project: <NONE> Contractor: C&R AIR CONDITIONING CO Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132050180260 Phone: 305 -685 -6394 Building Department Comments EXACT REPLACEMENT OF 5 TON SPLIT SYSTEM c /3 I/ Passed~ Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until June 10, 2011 For Inspections please call: (305)762 -4949 Page 1 of 1 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 BUILDING Permit No. MC, 117 -N PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: MECHANICAL Owner's Name (Fee Simple Titleholder) S/ , Phone # .3 - la- 9.16 2 Owner's Address 1 1 (3 NE q Ct City d'l 41,4 K o Tenant/Lessee Name Email State (',Q Zip 331.3 e Phone # Job Address (where the work is being done) City Miami Shores Villa • e FOLIO / PARCEL # 11t3 NEgdrr County Miami -Dade zip 3313 t Is Building Historically Designated YES NO / Flood Zone Contractor's Company Name C.. -t'R /4't r C ©hg . CO. Contractor's Address, 40'73 N 14-7 sT C• City it • Qualifier Name State tceD Phone # 303-6 SS 6.3 944 Zip 3 ©IT. Phone # State Certificate or Registration No. C A C- C)€ H (I( Certificate of Competency No. Contact Phone .203-68-s- 6 3 94 E -mail C_ 4i V►C ( 4 C- (o vn P qn Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addition Describe Work: Phone # °70S'0.eO Square / Linear Foot a Of Work: New �Re Repair/Re ❑Alteration p lace ❑ Demolition r ************ ** * * ** * * ** * * * * ** * * * * * * *} * * * * *F es************* * * * * * * * * * * * * * * * ** * * ** * ** * * * * * ** Submittal Fee $ Permit Fee $ °'` ` ' 5 CCF $ CO /CC $ Notary $ Scanning $ Radon $ Double Fee $ Training/Education Fee $ Structural Review. $ $ Technology Fee $ Bond $ Violation date: [ f ` Cdr' Total Fee Now Due $ l 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 reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this 14 day of l' wutq* , 20 ►l , by who i • ersonally known me or who has produced As identification and who did take an oath. NOTARY PUBLIC: C kr 47- My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY Signature Contractor The foregoing instrument was acknowledged before me this 13 day of ' Q hc•t a r , 20 11 , by who istfersonally kiO-w-iPb me or who has produced as identification and who did take an oath. NOTARY PUBLIC: My Commission Expp +� �, JANET KRANZ 14 Commission DD 621880 Expires December 26, 2010 r9r„ • !lorded Thm Troy Fain U auras 708 lans Examiner Zoning Engineer (Revised 07 /10 /07)(Revised 06/10/2009) Clerk checked 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): 1 1 13 N C 7 S , 1 City: Miami Shores Village County: Miami Dade Zip Code: 3 3 1 -2 a 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 ARII AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER D r\ AHU or PKG. UNIT MODEL # % NWep.,b COND. UNIT MODEL # C 2.H 0 g (o KW HEAT 1,6 NOM TONS S. AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU 6OCU 60 PKG AHU CU PKG 3) VOLTS 4 ® AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER ( ® / o YES NO REPLACING DUCTS YES (Q. YES NO REPLACING THERMOSTAT ME NO YES NO NEW 4 "CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES AV 1. Minimum Circuit Ampacity (Wire Size): .4 6. 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 60 3. Voltage of Circuit (208 480): 4. Size Disconnecting Means: Contractor's Company Name: C i-R A r Conti. . Phone: 3 ©s 15 �y 63 (i ti State Certificate or Registration N. C. 4 C ®.2 6 414-( Certificate of Competency N. O 4 & R O a • 3 $ Signature V, km. ualiti �s ature only) Date: I ° 13 -11 This combination 9 for a Federal Energy E111ciinncy Tes Credit soften placed M service between Feb 17, 2009 and Dec 31, 3010. Certificate of Product Ratings AHRI Certified Reference Number: 3411555 Oats: 8/12/2009 Product Spilt System: Air.Cooled Condensing Unit, Coll with Blotter Outdoor Unit Model Number: CZH00011 Mrer: YORK, UNITARY PRODUCTS GROUP indoor Unit Model Number: TDR Manufacturer. ASPEN MANUFAC IMING TrudefBrand name: ASPEN Manufacturer responsible for i1 a rang of this system won le ASPE11 MANUFACTURING Rated in accordance with AHRI Standard 210/240 -2006 for Unitp Ai Conddon and AN- SoMrce Meat Pump Equipment and Is °edified by the Air.CondISonirg, Heating, g.ralbon h tits to meet the following pig Pnrfo+nrna ratings: Cooling Capacity (i 60000 EER Rating (Coo (ng): 13.00 SEER Rating (Cooling): 17.00 A' following a ring i n iciadoa a roliattay, wane of peototwy published data, eadaea aovvirceIIbdtear o WAS Muir i 4ru1aa an h naaaary reraie DISCLAIMER A IRI dues ant Worse me render:K j aged on ede c a + W c a cad awe no ammemeadone, , a or quaewaees as to, and a ao finennalblial fur. the product(e) Haled on this cerl%oate•ANRI =red* dktdairns it Set ility for d napes of M' kind prising our of the via or performance of the plodud(e), or ttte unauthorized eferelion of dab Noted an this Certificate. Certified ie(ingsare veil mkt for models and a n1 uatbtta Ifeied In the dksalory art www.ehridkaCgpry orp. TERMS ARO CONDITIONS This Cendlonle wed its cements am rneprbbwy poduda O'Neal this Ceram", slurp onli be used ror Individual, personal and conmareMireferenon purposes. The Donlan!* A tide CwUFoviie awht not* whet* er in peel. be erprodaysdh moist tfaaewiradsd: weld info a computer degabewa; mothers*. utilized, in sny bttn or manner or by eery meena,.enos 4 for the use's hdividlwl. personal and conlldentiai rafennce. CERTIFICATE VERECARON The informesen ter the model eared eat this metiewte o.. be ,omed st w.waalAdtaaary o.p. cock Dt+ 'Way comas Ie' Ink arld,entw the Alin Coddled Reference Plumber and -the date on Yrltk* the anaemic ewes issued. which is noted above, and the Cendlcale He. *tech is Weed below. 2009 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 12$845853351577482 A i.Conebtiadng. ill) IMO r i °"g' ones garesritxe ke*Nleda 1 i