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MC-11-186Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NS P- 155604 Scheduled Inspection Date: May 18, 2011 Inspector: Perez, JanPierre Owner: PEREZ, HECTOR Job Address: 133 NE 103 Street Miami Shores, FL 33138 -2328 Project: <NONE> Contractor: PERFECT AC SOLUTIONS Permit Number: MC -2 -11 -186 Permit Type: Mechanical - Residential Inspection Type: Rene la- Work Classification: New A/C Systgm Phone Number Parcel Number 1121360130820 Phone: (786)512 -9165 Building Department Comments INSTALLATION OF AN A/C SYSTEM WITH DUCTWORK ) t Inspector Comments Passed Re( Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 17, 2011 For Inspections please call: (305)762 -4949 Page 5 of 27 q . b Miami Shores Village Building Department MMEgW35 FEB 03201i Ni 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 °:;' Y: Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. ` (' I � I' 18g9 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): Address: ,/. /' s2 City: 1fp-�- 5 State: Tenant/Lessee Name: 4 Email: "Vt 6- , ✓� JOB ADDRESS: 4? J / 'Y--) Master Permit No. Phone #: `/ 9 " G' Zip: Phone #: City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: ('3 -a 2 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: -'9 4I7 C c _SpLG17/ D it) S' Phone #: -7�6 S/ Z c//61 Address: 7/c / Sex.) ? S r City: 14 % ,44,44e State: 4 Qualifier Name: Zip: 313/43 Phone #: 7(4 512 %/ <f State Certification or Registration #: CAC / p / �2 7 Certificate of Competency #: I �� /Z 7 Contact Phone #: -7S65/2 ? /� I" Email Address: pa7d- C e SQL 7i DAL, / ° �° DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 3 a Type of Work: ❑Address Description of Work: A i x.) tai 9 r_ ❑Alteration Square/Linear Footage of Work: 1New ❑Repair/Replace UDemolition ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** ** * es * ** ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ k CCF $ CO /CC $ tert 9 Scanning Fee $ Radon Fee $ DBPR.$ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) • p Bonding Company's Address t ' r' 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 $2500, the applicant must promise in good faith t at a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is sub ':. to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first its o, hic occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection wl� - .ro.'ed and a reinspection fee will be charged. Signature Signatur er or Agent ontrac br' The foregoing instrument was acknowledged before me this > The foregoing instrument was acknowledged before me this k O day of ?zdr-Cl , 20 ! , by 12 1 ho GJ BOYr lent1 day o , 20 by er ; �pij who is personally known to me or who has produced-/ who is personally known to me or who has prod s � V. L-6 r As identification and who did take an oath. NOTARY PUBLIC:& 4 07.0 '(7.)C?7 7Z X37--0 NOTARY PUBLI Sign: Print: My Commission Expires: APPROVED BY NOTARY PL`$L!C -STATE ( T✓i0' !/ �,11y E. Gala C'',7 ,sion #DD931s1d A01/. 21,2613 BONDED T1 RU. ATLANTIC BONDING 11 litlans Examiner Structural Review (Revised 07 /10 /07XRevised 06 /10 /2009XRevised 3/15/09) 'r4,� /OPP irdiluo: - sfir/1111,s - . liCi. .TSP!YY∎<1111al/1LAWINIii " My Commission Expire §: V 1 .�a �� �y �� �. X404 II 111 ,,` Zoning Clerk 1 , , ,.,. . , , ' , „.. ° : This combination qualifies for a Federal Energy Efficiency Tax Credit when placed hi service between Feb 17, 2009 and Dec 31, 2011. 111-1, ',''' = . , ,- Ain 0, ! 1 .. 04 I , , ! r 4 fl, . r, _ . - A .,. _, m fie 1...,,,. :7._,0 , - 4 . ._4. .;1° 1%,a.-' 8 of _ ro .._c AHRI Certified Reference Number: 3806012 Date: 2/212011 Product Split System Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJP1142 Indoor Unit Model Number: RHLL-H913821+RCSL-H'3821 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 2101240-2006 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): 40000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 - Ratings foamed by an asterisk 0 indicate a seismal Rosie of pievicusly published data, imless aCCOInpaniedvalh a WAS, mhich indicates an invc■bnrialy mate. -......,......,....... ...-,......, ., DISCLAIMER ARM does not anima aur landings) listed on ads Certificate mut makes no representations, wananties are product(s) listed on lids Certificate. ARM expressly disclaims eif liabillty for dames of any wiaultrodaed aftmatker of data Bated on thls Certificab:L Certified ratings am valid only fru modehr TERMS AND CONDMONS Mb C.estificate and its contents are proprietary products of ARM. Tids Certificate slue only be The contents ends Ceitiffcate may not, In slide or in part, be remoducect copied; rassenthadect toms or memo' or by any means, except foram user's Individual, persona and confidenthd reference. CERTIFICATE VERIFICATION The Infonnatkin for the model died on this antificate can be valibsd at mavakahridirectory.org, click on "Oa* Certificate" ffnk and enter the AMU Certified Reference Number and ate &bon which the ceitilicabratis issued, which Is listed above and the C.matioate Na, which ha listed brim ©2010 Air-Conditioning, Heating, and Refrigeration Institute -- — - --- . --- — - or guarantees as to, and assumes no responsibility ter, land arising out oftbe use or performance oldie product(s), or the and configmatians listed in the directory at mitmahrieffrectoly.org. used for individual, personal and confirlertlal reference pinposes. . entered into a compeer databasm or othenekte utilized, In any , ' Air-Conditioning, Heating, NVaill em,o dad Refrigeration institute CERTIFICATE NO.: 129411535052113750 • 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: Mk 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): l %3 pc/( /03 57 Ci Miami Shores Village County: Miami Dade Zip Code: .3/3f 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 liNO ❑ ARHI Sheet Attached: YES [g/NO ❑ Contract Attached: YES UNIT BEING REPLACED DATA NEW UNIT 50 MANUFACTURER t j ill- 0 A9 1T' , AHU or PKG. UNIT MODEL # , H-/LL #M 3821 .T.,4 COND. UNIT MODEL # )4 AIM 4,2_0410) KW HEAT 7.2 KW NOM TONS 3. 5" AHU CU PKG 1) M.C.A AHU2 ,tU•30 PKG AHU CU PKG 2) M.O.P AHU4O'CU 4y PKG AHU CU PKG 3) VOLTS AHU243 CU 2IOPKG PKG UNIT / 1 PKG UNIT / l EERISEER 3 fe /4 s,rfde YES NO REPLACING DUCTS YES e/ NO YES NO REPLACING THERMOSTAT YES v NO YES NO NEW 4 "CONCRETE SLAB YES / NO YES NO NEW ROOF STAND YES NO el YES NO NEW RETURN PLENUM BOX YES P' NO 1. Minimum Circuit Ampacity (Wire Size): c/0 # /0 ,4 Ic) #,6 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 45' 3. Voltage of Circuit (208/240/480): 24o 4. Size Disconnecting Means:5 7)/c6®,ef Contractor's Company Name: P €/Z4Fei 4C 50t,U7 /OQ-S Phone: 77 S/Z 7/61 State Certificate or Registration N. c .4C %x/50.27 Certificate of Competency N. Date: 2/0/ Signature ualifier's sign Perfect AC solutions License and Insured CAC 1815027 9617SW74ST Miami, FL 33173 Bryant Grosso 133 NE 103 ST Miami Shores, Florida 33138 P.O. # Terms Date 2/2/2011 Invoice # 763 Due Date 2/2/2011 Other Installation of a 3.5 ton Rheem model number du 14AJM42A01 AND C/U MODEL NUMBER RHLLHM3821JA . 16 SEER 13 EER. Warranty 10 years on compressor 5 years parts 2 years installer parts and labor. (must register within 60 days at Rheem.com) complete installation as per South Florida code. FPL rebate program Perfect AC solutions perfectacsolutions @gmail.com Total $3,265.00 786 512 9165 Payments /Credits $0.00 Balance Due $3,265.00 .04. °® CERTIFICATE OF LIABILITY INSURANCE DATE 01//07�/11 PRODUCER Gil & Associates Insurance 9787 S.W. 72nd St. Miami, FL 33173 Phone (305)279 -7665 Fax (305)279 -9705 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ALTER THE COVERAGE AFFORDED BY THE POUC OR ES BELOW. INSURERS AFFORDING COVERAGE NAIC 5 INSURED QORI INC, dba PERFECT AC SOLUTIONS 7101 SW 62 ST. MIAMI, FL 33143 INSURER A Accident Insurance Company INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OF MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD L INSRD TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE DATE (MWDD/YY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS A I• GENERAL LIABILITY V COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS MADE 5 OCCUR ❑ AGL85071 09/23/10 09/23/11 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea «xurero) $100,000 MED EXP (Any one person) $5,000 PERSONAL &ADVINJURY $1,000,000 GENERAL AGGREGATE $1,000,000 ❑ PRODUCTS- COMP /OPAGG $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PROJECT ❑ LOC • AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTOS ❑ COMBINED SINGLE LIMIT ma accident) BODILY INJURY (Per person) BODILY INJURY (Peracddent) PROPERTY DAMAGE (Per accident) ❑ ❑ GARAGE LIABILITY ❑ ANY AUTO ❑ AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG ❑ EXCESS/UMBRELLA LIABILITY ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below • WC STATU- ❑ OTH- ORY LIMITS ER E.L EACH ACCIDENT EL. DISEASE - EA EMPLOYEE E.L DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE 10050 NE 2nd AVE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE - _.ue ACORD 25 (2001108) OF ACORD R • ALEk siNK: w , atit: DFFICINt. STATE OF' FLORIDA ,I.DA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS :COMPENSATION * . * CERTIFICATE OF ELECTION TO BE EXEMPT FROM CONSTRUCTION 1NDUSTRV EXEMPTION 04 -03 -2009 IDA W COMPENSATION LAW This certifies. that the individual listed below has elected to be MOO pt from Florida Workers' Compensation lot. EXPIRATION 14TE: 04/03/2011 RIMAJ S EFFECTIVE DATE 04103/2009 • PERSON: BARRIENTOS FEIN: 205640248 _BUSINESS PiAME AID ADDRESS` QORI INC DOA PERFECT AC SOLUTIONS 7101 SW 82 ST MIAMI FL ,33143 SCOPES OF BUSINESS OR TRADE 1- CERTIFIED AC CONTRACTOR IMPOHTdirf: Portoollt to Chapter 49tt - 05ft4 }.F.S., en officer at a corporation who elects 6f Mptian fres this chapter by filing a certificate of election ender this .section may eel recover benefits or compensation aader this chapter. Persaaot to Chapter 440 4 i12} F.S., Certificates of election to be exempt... apply only within the 'cope of the business or trade listed en the notice of election to be exempt Pursuant to Chtnii,Vr 440.o5113} F.S., thulium of election to be exempt and certificates of electing ie be exempt' ram be subject to revocation it at ally time after tba filing of the •Cirt0 er the issuance of the certificate, the person earned no the entice et ceetificate. aa..longer- meets the requirements of this section for issuance of a certttfoate. Thi4eparlment shell revoke a certificate at any time for falter° of the person eared on. the certificate to meet the -requirements of this sadism. _ 4IIEsTw�r OHO 413-1609 DWC -452 CERTIFICATE OF ELECTION -TO BE EXEMPT REVISED 09-05 • 414U MOUN71D or) M '2Z�N► tag ovgi(c Jq coNPENSA-TE D(CAi J ,P,40 LAJ 174 /NJ ov£R1Wu3 SuJrrct4 0.fr.16E MiffLluts /8" f' 743" L-rmg coves. • •••• • • • • • • ••.• • .•• • • •• •. ••. • • • • ••• • • • ••• • • • • • • •s • • • • • • • • • • ••• • • • • • • • • • ••• • • • •.a • • tale • • •• N BY:_ •• • • -'••• •tip �\� -11-- \ tv 41 tCowCE 5143 I i 1C ih tJ L v(N6 r°P!: D/2AUht) fay r2/ T oei lzKi ,v Toy t e- D?aoi�► N.17.5 Mid ;Mores Village APPROVED` ` BY'7) DATE ZONING DEPT 9 BLDG DEPT _ ic2i 1"/ k\ ,, �y SUBJECT TO COMPLIANCE WTTf- LE/FEDERAL STATE AND COUNTY RULES AND REGULATIONS Equipment DATA;f-° ',64, Rheem 3.5.Ton -14 SEER 13 EER. R-410A Condensing unit-model number 14A1M42A01 208/230 V 1PH 60 HZ refrigerant lines 3/8" and 7/8" Cooling Capacity 40,000 BTU's Sensible 30,100 BTU's Minimun circuit ampacity 26/26 Maximun Fuse Breaker 40/40 Air handler unit RHLLHM38211A 208/230 V 1PH 60 HZ Circuit ampacity 30 Minimum circuit ampacity 43 Maximum circuit breaker 45 Heater RXBH1724AOCJ 7.2 KW CFM 1200 max Perfect AC solutions 7101SW62ST Miami Florida 33143 CAC 1815027 Project name Bryant Grosso 133 NE 103 ST Miami Shores Florida 33138 HA7 L c.) D - wrightsoft Project Summary Entire House Perfect AC Solutions 7101 SW 62 ST, Miami, FL 33143 Phone: 786 512 9165 Fax: 305 275 6282 Email: perrectacsolutions©gmail.com Job: Date: February 3, 2011 By: ro.ect.Information °' For: Bryant Grosso 133 NE 103 ST, Miami Shores, FL 33138 Notes: esi • n Information Weather: Miami, FL, US Winter Design Conditions Outside db 51 °F Inside db 70 °F Design TD 19 °F Summer Design Conditions Outside db Inside db Design TD Daily range Relative humidity Moisture difference 90 °F 75 °F 15 °F L 50 % 57 gr /lb Heating Summary Sensible Cooling Equipment LoadSizing Structure 19290 Btuh Structure 26841 Btuh Ducts 2342 Btuh Ducts 4490 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment Toad 21632 Btuh Use manufacturer's data n Rate/swing multiplier 0.95 Infiltration Equipment sensible load 29890 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Loose Fireplaces 0 Structure Ducts Heating Cooling Central vent (0 cfm) Area (ft2) 817 817 Equipment latent Toad Volume (ft3) 6670 6670 Air changes/hour 1.29 0.67 Equipment total load Equiv. AVF (cfm) 143 74 Req. total capacity at 0.70 SHR 3477 Btuh 1096 Btuh 0 Btuh 4573 Btuh Heating Equipment Summary Cooling Equipment Summary Make Make Rheem Trade Trade RHEEM 14AJM SERIES Model Cond 14AJM42 GAMA ID n/a Coil RHLL- HM3821 + +RCSL- H*3821 ARI ref no. 3806012 Efficiency 100 EFF Efficiency 13.0 EER, 16 SEER Heating input 0 Btuh Sensible cooling 28000 Btuh Heating output 21632 Btuh Latent cooling 12000 Btuh Temperature rise 15 °F Total cooling 40000 Btuh Actual air flow 1333 cfm Actual air flow 1333 cfm Air flow factor 0.062 cfm/Btuh Air flow factor 0.043 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.87 Printout certified by ACCA to meet all requirements of Manual J 8th Ed. -p+- wv iguit ft° Right - Suite® Universal 7.1.25 RSU02220 ACCP. C:\Users \Rimaj Sungo \Documents \Wrightsoft HVAC\Grian Grosso rup Calc = MJ8 Orientation = N 2011 -Feb-03 11:10:57 Page 1 s � UIS D L f7/v) lu 2 Ai-1U MoUN71D oa MJ^Z,At-1l oOq g A co0 .PJ1.3Sk7E q('64; f rt0 tA.,1744 ,f.J ov>^g_ctou) swact4 174FJ Rats G PAP T Clow vi#6,-.A G •• ••• • • • • • •• • • • • •• ••• • • •• • • • •i • • /., •�.- -• • • • • • • ..• • • o- =..:, • • • • • • • •• • •• • • • • ••• • • • • • 7 ) 0y • •• s. • 44 • • • �. <. • •. •. .. • got,' FSFIzi‘Elikwr UN Sue ?6► 0.51-i 4,) fL 41coNc TE 5LA13 2,► X Su Wic I E� /ifiiAT �3,4 1212 6? UAL/'' `E1 (3ED?boM a Miami Shores Village APPROVED B}, D ZONING DEPT £s� �/TE fr/ /`l BLDG DEPT l SI J11.1F CT TO COMPLIANCE WITH ALL FEDERAL S I ATF AND COIJN FY RULES AND REGULATIONS FEB 1 1 2011 BYoaoamme..oe Equipment DATA: Rheem 3.5 Tons 16 SEER 13 EER. R-410A Condensing unit model number 14AJM42A01 208/230 V 1PH 60 HZ refrigerant lines 3/8" and 7/8" Cooling Capacity 40,000 BTU's Sensible 30,100 BTU's Minimun circuit ampacity 26/26 Maximun Fuse Breaker 40/40 Air handler unit RHLLHM3821JA 208/230 V 1PH 60 HZ Circuit ampacity 30 Minimum circuit ampacity 43 Maximum circuit breaker 45 Heater RXBH1724AOCJ 7.2 KW CFM 1200 max Perfect AC solutions 7101 SW 62 ST Miami Florida 33143 CAC 1815027 Project name Bryant Grosso 133 NE 103 ST Miami Shores Florida 33138