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MC-11-891
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 159863 Scheduled Inspection Date: May 25, 2011 Inspector: Perez, JanPierre Permit Number: MC -5 -11 -891 Owner: ESSINGTON, MICHAEL & DOROTHY Job Address: 55 NE 100 Street Miami Shores, FL 33138- Project: <NONE> Contractor: C&R AIR CONDITIONING CO Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060131420 Phone: 305- 685 -6394 Building Department Comments EXACT REPLACEMENT OF 5 TON SPLIT SYSTEM '4 5 i 7-51 i 1 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CL May 24, 2011 For Inspections please call: (305)762 -4949 Page 16 of 22 5I XL,'" `SLR 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 APPLICATION FBC 20 Permit Type: MECHANICAL e Owner's Name (Fee Simple Titleholder) . Phone # 3 0,S° JP-1. 6 7 , 9 Owner's Address .5 6 100 ' r sS I City .LPL %..4.. ..'r' •�. State F1 d Zip .33 Y €f Tenant/Lessee Name Phone # iOS ° 7 --CLI. 6 7, 9 Email Permit No. i✓C�II'�I Master Permit No. Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # � J E 10041 County Miami -Dade Zip 3 3 f 2 Is Building Historically Designated YES NO ` Flood Zone Contractor's Company Name `-F e Air C®v. C1 - Co. Phone # 3 ®S 6 C S 6 3 9 Li Contractor's Address 607 3 M( ) b `% - `T C • 4 City / ' , Q Yh State ) . Zip 23 0 r Qualifier Name K o►J er t J C h e 1 d1 Phone # 3 0 5- 6 SC 39 LI State Certificate or Registration No. C., A C 026 L(l i( Certificate of Competency No. 0 Li & a ©a • 3 Contact Phone 30 £ 8"5- 6.1( E -mail Architect/Engineer's Name (if applicably CqJ R,q-C ���p�.� ,40L . C6z-n Phone # Value of Work For this Permit $ "°s •` Square / Linear Foota Of Work: Type of Work: Addition EAlteration ❑New Rf Repair/Replace ❑ Demolition Describe Work: ` I Ord Ilqf ' ' �o *** **** ****:F********** ***kkk***** *** * ** * ** * * * ** * * * * ** * ** * * ** * * * * ****** * * ** Submittal. Fee $ Permit Fee $ w v CCF $ Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Double Fee $ Violation date: 1 ��. Structural Review. $ Total Fee Now Due $ 1 6 CO /CC $ Technology Fee $ Bond $ See Reverse side --+ Sl Y2 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) d er the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee wig .e charged. Signature Owner or Agent The foregoing instrument was acknow edged before me this ) 4 day of who Contractor 1® The fore • oing instrument was acknowledged before me this 1 t 9 , 20 O f , by , day of ,V c i , 20 1 / , by ersonally known me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My C * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** APPROVED BY who i , .ersonally known me or who has produced as identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: * ** *4k ** * ** * * * * * * * * ** *********** * * * * * *** * *** * ** * * * ** * * * ** * * * * ** i lams Exarf►iner Zoning (Revised 07 /10 /07)(Revised 06/10/2009) Engineer Clerk checked Miami Snores 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): S. M too S T City: Miami Shores Village County: Miami Dade Zip Code: 2 I 0 /1-- 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 ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ AI UNIT B ING REPLACED DATA UNIT f t o fr l� RbC e v, Ce)hj MANUFACTURER NEW Q u u c ��iA P 60 AHU or PKG. UNIT MODEL # N l„I �In 6® QA "A °C0ZA2 COND. UNIT MODEL # 14 AVA 6o I O KW HEAT 1? r NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU 40 CU 40 PKG 2) M.O.P AHUeOCU 60 PKG AHU CU PKG 3) VOLTS 1-1 0 I PH AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER o YES NO REPLACING DUCTS I;;tiS �' NO YES NO REPLACING THERMOSTAT ES , NO YES NO NEW 4 "CONCRETE SLAB S NO YES NO NEW ROOF STAND YES NT) YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 6 0 3. Voltage of Circuit (20 80): i 6 Ft - 4. Size Disconnecting Means: 60 Contractor's Company Name: C fi. AC- C ©. Phone: J(:))-- as-609 U State Certificate Registration N. C. A Z 62 6 X11'I Certificate of Competency N. AL ^ C� 9 2 t(b2 •� Signature, e:ig .tureonly) Date: E " 16 ° l C &R Air Conditioning Co. 6073 NW 167th Street Suite C-4 Miami Gardens, FL 33015 -4330 www.CandRac.com CandRacComp @aol.com DADE: 305-685-6394 BROWARD: 954-680-4494 CUSTOMER &�tn ADSN E 10 �dlrrvt I .O+ a a 13 8' We hereby propose to: Furnish, install and service the equipment and materials listed below with the conditions and specifications detailed below. 4+O PHONE NUMBERS HOME WORK 3O.11 , 67/ Email: CELL DATE— - I6 • UNDER CONSTRUCTION EXISTING STRUCTURE NEW EQUIPMENT S 12 System #1 $- ® System #2 $- FPL Rebate (instant) - 7 S. Total Before Rebate /Tax credit $ f'{ 3 9T Dealer Rebate Tax Credit Your Investment Manufacturer Condensing Unit Model # Air Handler Model # Package Unit Model # Refrigerant Heating KW Btuh S.E.E.R. Warranty *2F pooc$ 4395. o I4ASM6oAoi HLLHM( -,0 I0 6I-S'on I S. System #3 $- Parts 10 Yr. Compressor 10 Yr. Parts _ Yr. Compressor Yr. Parts _ Yr. Compressor Yr. 1 Year Labor 1 Year Labor 1 Year Labor MISCELLANEOUS ❑ Condensing Unit Stand Air Handler Stand G Float Switch ❑ Ref. Line cover ❑ Condensate Line Concrete Slab [Thermostat S D PD ❑ Auxiliary Drain Pan ❑ UV Light ❑ Fire Dampers ❑ Other DUCT SYSTEM ELECTRIC SYSTEM ❑ P ckage Unit Change -out ii Existing Reconnection Reconnect to Existing System ❑ New Electric ❑ ❑ FREON LINES Existing Reconnection ❑ Ref. lines ft. A qualified air conditioning expert will start and test the system and explain its operation. This proposal is good for a two week period from date of proposal and at that time is subject to review. Title to the system shall remain in us until all sums due us have been fully paid. In the event the purchaser fails to comply with any of the requirements of this contract and such default results in litigation the Purchaser agrees to pay reasonable attomey's fees and all court costs and expenses incident to such litigation. Delinquent payments shall bear otherwise specified. This contract contai contained. This proposal shall becom We agree to furnish and ins TOTAL INVESTMENT FPLDEALER REBATE YOUR INVESTMENT $ onth interest from due date until paid. All work is to be performed during our regular work hours unless 'ther party shall be bound by any representation, warranties nor agreements, oral nor wri° you and approved in writing by our duly authorized corporate officer. labor and materials on the terms indicated below for System # .l n 3-°' • 50% DEPOSIT fri Oa a I agreements. contra accept the above describe a® $ sap. PERMIT FEE / T INCLUDED PURCHASER JOB, NOTES 1Q9 ,-0D CQ Hoi1 (c- 50% DUE WHEN READY TO OPERATE DATE 5 I - I / REPRESENTATIVE VALID FOR 2 WEEKS Monday, May 16, 2011 11:34 AM C & R Air Conditioning Co 305 - 685 -6395 p.01 Certificate of Product Ratings AHRI Certified Reference Number: 3413399 Date: 5/16/2011 Product: Spilt System: Air - Cooled Condensing Unit, CoII with Blower Outdoor Unit Model Number:14AJM60 Indoor Unit Model Number: RHLL- HM6024 +RCSL- H06024 Manufacturer: RUUD AIR CONDITIONING DIVISION Trade/Brand name: RUUD 14AJM SERIES Manufacturer responsible for the rating of this system combination Is RUUD AIR CONDITIONING DMCION Rated as follows In accordance with AHRI Standard 210/240-2008 for Unitary AIr•Condltloning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored Independent, third party testing: Cooling Capacity (Stun): 61500 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 15.00 • Ratings followed by an asterisk (') indicate a voluntary male or previously published dale, unless accumpanled with a WAS, which Indulge an Imroluniary wale. DISCLAIMER AMRI duos not endorse Ow pvudact(s) I ,I d on des Owensete and makes no r cpresonta lions, w4nanues or guarantors as to, and assumes no RgronsIblInytor, ohs product(6) listed on Ms Cen!Icat . AHRI expressly dl$dtWns all aebmityfor amages or any kind Min OW Of the tats Or polonium' ' of tl» product(s), W lha tneuatorizad MAMA Of dote load on TM COMMA comes new an valid any for models and emrlguranone soled to nw dreamy aswww.ant nrsctoryorg. TERMS AND CONDITIONS mIa G11111101111 ana as Cern U are propnaaky prow= orafnU. tnn aeamcte ems omyoe WOO TOrmamlas %, persmmtastil ceeaoeneal rontrage purpose,. The contents sulfite Gflnlesa nmy nat, In whole or In pert, be rapromcad; copied; didnntneatl; anforet Ito a gamuts? smossg err atllertwlsa utilised, In any ram of manner or by any mcane, except for the user's Individual, personal and ealndentlal reference. CERTIFICATE VERIFICATION ma Information for nr moan tad an nos cemteeta can ba vane! >t wentallneractory atlB, dick on r'lfart1y Certificate" link and enter the ANRI cetlf ed Refamna Number and the tale on AIr•Cofldl110ning, Heating, w$cM the c a was mead, alech te above, era ads Cast) a No., Witch a Bead below + and Rafdgeraflon Institute ©2011 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 120600336416382800 i