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MC-11-1336Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 162450 Permit Number: MC -7 -11 -1336. Scheduled Inspection Date: August 08, 2011 Inspector: Perez, JanPierre Owner: DUFFY, EDWARD Job Address: 137 NW 108 Street Miami Shores, FL Project <NONE> Contractor: ALL YEAR COOLING AND HEATING Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1121360100290 Phone: (954)566 -4644 Building Department Comments REPLACE CENTRAL NC 4 TON SPLIT SYSTEM WITH 10 KW HEAT. lo/t/ Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 05, 2011 For Inspections please call: (305)762 -4949 Page 17 of 37 1 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 137 NW 108 Street Miami Shores, FL Owner information Parcel Number Expiration: 01/22/2012 Applicant Address 1121360100290 Block: Lot: EDWARD DUFFY Phone CeII EDWARD DUFFY 137 NW 108 ST MIAMI SHORES FL 33168 -4312 Contractor(s) Phone CeII Phone ALL YEAR COOLING AND HEATING (954)566 -4644 Valuation: Total Sq Feet: $ 3,880.00 1790 1 Tons: Additional Info: NH & COND UNIT REEPLACEMENT Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: MECHANICAL Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Work without Permit Fee Amount 02.40 $2.04 $2.04 $0.80 $135.80 $3.00 $3.20 $135.80 Total: $285.08 Pay Date Pay Type Invoice # MC -7 -11 -41545 07/26/2011 Check #: 3117 07/25/2011 Check #: 3111 Amt Paid Amt Due $ 235.08 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor 1 Agent Building Department Copy July 26, 2011 Date July 26, 2011 1 Miami Shores Village Building Department /0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 79 . 204 Fax: (305) 756.8972 BUILDING Val). f.,,,,.- CCOE PERMIT APPLICATION C ION AS Master Permit No. FBC 2004 JUL 252011 Permit No! ' ( I -I3Np Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) EDWARD & LORRAINE DUFFY Owner's Address 137 NW 108 STREET Phone # 305 -751 -1549 City MIAMI SHORES Tenant/Lessee Name E -MAIL: EDUFFY @RICKETMAIL.COM Job Address (where the work is being done) 137 NW 108 STREET State FL zip 33168 Phone # City Miami Shores Villa e FOLIO / PARCEL # 11- 2136- 010 -0290 County Miami -Dade Zip 33186 Is Building Historically Designated YES NO ce 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: Permits @aycair.com Certificate of Competency No. CMC511 Architect/Engineer's Name (if applicable) NIA Phone # (191 991) Value of Work For this Permit $r4-146"-- Square / Linear Footage Of Work: 1790 ^y; Type of Work: Addition EAlteration ❑New Repair/Replace ❑ Demolition Describe Work: REPLACE CENTRAL A/C - 4 TON 16 SEER RHEEM SPLIT SYSTEM UNIT WITH 10 KW HEAT 14AJM49 & RHLLHM4821 ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ i CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Review. $ See Reverse side -4 Bonding Company's Name (if applicable) N/A Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N/A 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 rei;;l,.ecti,sn fee will be charged. erorAge The foregoing instrument was acknowledg= d b = ` ore me this Z� The foregoin l instrument was acknowledged before me this day of , 20 11 , by -td1 wotr. t �1t , day of ,t�. , 20 1 � , by Atk �nnt who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Signature Contractor 1 A Sign. ; ,, •.,• e, te w I : Si ..:_ .. ,� • . gn: 1,,• vn I�GRY3FARlA3 G Print: c�2°. •� w .. Notary Public - State of Florida I Print: I My Comm. Expires Sep 15, 2013 My Commission r� —'�•oe Commission # DD 924860 0 My . 4.OF FIPV. ********** ***** �x *aafAWW***4114WW444418 Id A ** * **>a***** *mix * ** NOTARY PUBLIC: egIVI P�s�, INGRYS FARMS 6� ,►~hV 4e ry Public - State of Florida � o : M Lom � APPLICATION APPROVED BY: m. Expires Sep 15, 2013 ' "4 '''',l,o's Bonded Through National Notary Assn. (Revised 02/08/06) 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): i 3 % JVLL) % (f) Z (S - City: Miami Shores Village County: Miami Dade Zip Code: 3 3 / 6 i 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 I1ARH1 Sheet Attached: YES 21/40 ❑ Contract Attached: YES LK" UNIT BEING REPLACED EINIMMEMPIMMEM DATA NEW UNIT MANUFACTURER , NEW i a AHU or PKG. UNIT MODEL # i !_ i!f/ , W e- „ , 111 COND. UNIT MODEL # i ? ElillWallIIII KW HEAT IIIMIIIIIIIIMIIMEME AHU, CU PKG NOM TONS 1 M.C.A AHLL5Z) CU 36PKG LEMIEMEll 2 M.O.P AHU/ o CU y� PKG AHU; p CU, APKG 3 VOLTS AHU ,CU 0PKG PKG UNIT / / rnill YES PKG UNIT / / 111111111�i us=e EER/SEER REPLACING DUCTS es, NO REPLACING THERMOSTAT YES .,lei NEW 4 °CONCRETE SLAB ►J ��.t*y» UMW PAIIMIIII Ern (',; NEW ROOF STAND NEW RETURN PLENUM BOX . Minimum Circuit Ampacity (Wire Size): Maximum Overcurrent Protection (Fuse/Breaker Size): . Voltage of Circuit (208/240/480): . Size Disconnecting Means: :ontractor's Company Name: Phone: tate Certificate or Regist on Certificate of Competency N. �//1 " C7 / 030 signature 6. ,›Jftl tL (Qualifier's signature only) Date: 7/c L57 // uD ti II. all CERIIrIuTM www.ahr1(111ectory.org° This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. Certificate of Product Ratings AHRI Certified Reference Number: 3799429 Date: 7/25/2011 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM49 Indoor Unit Model Number: RHLL- HM4821 +RCSL -H *4821 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 -2008 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): 46000 EER Rating ...(Cooling): 13.00 SEER Rating (Cooling): *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 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 confldental reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or othehwise 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 atwww.ahridirectory.org, click on "Verity Certificate" Zink and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which Is fisted above, and the Cert fcate No., which is listed below. ©2011 Air - Conditioning, Heating, and Refrigeration Institute LI�A Air- Conditioning, Heating, AI � S/ and Refrigeration Institute CERTIFICATE NO.: 129560757062088200 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 his form mu accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data feet. Multiple nits on single sheets are not acceptable. ob Addres (where the work is being done): Ity: Miami � : hares Village County: Miami Dade Zip Code: 3 3 / 6 S- AL 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 tan a Disc means: YES ❑ NO DVARHI Sheet Attached: YES g41O ❑ Contract Attached: YES Minimum Maximum Voltage of Size Disco ttractor's C to Certificate ;nature uit Ampacity (Wire Size): ercurrent Protection (Fuse/Breaker Size): rcuit (208/240/480): 0 3 0 ecting Means: pany Name: Phone: Regist , lion N. 7,4{ /2, c Certificate of Competency N. ./21C, c7 / (Qualifier's signature only) Date: 7/ L5— IT BEING REPLACED DATA NEW UNIT IIIMMIMMIIMIll IllteWee d _ A IIIl IIG IW _ MANUFACTURER A. _ �',; , „ AHU or PKG. UNIT MODEL # COND. UNIT, MODEL # f! 7 III /O KW HEAT / (9 I I 9 NOM TONS 9' . AHU 'rs CU 55— PKG 1 M.C.A AHD CU 3SPKG AHU , 1 CU 9/_S" PKG 2) M.O.P AHU6,0 CU y - PKG AHU. ;i!;, CU, , PKG 3 VOLTS AHU .CU . PKG PKG U T / / PKG UNIT / / +I: /0 EERISEER /6 YES III',. REPLACING DUCTS YES 411Mil l NO REPLACING THERMOSTAT t' A► YES III I NEW 4"CONCRETE SLAB iii YES Ill . NEW ROOF STAND plimlffIrii. MEW P—M1111111111 YES 1.:i'J NEW RETURN PLENUM BOX Minimum Maximum Voltage of Size Disco ttractor's C to Certificate ;nature uit Ampacity (Wire Size): ercurrent Protection (Fuse/Breaker Size): rcuit (208/240/480): 0 3 0 ecting Means: pany Name: Phone: Regist , lion N. 7,4{ /2, c Certificate of Competency N. ./21C, c7 / (Qualifier's signature only) Date: 7/ L5— 'IA uo� .1.■w�l►/ CERTIFIED TM -Y. www,ahridireetory.org This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. Certificate of Product Ratings AHRI Certified Reference Number: 3799429 Date: 7/25/2011 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM49 Indoor Unit Model Number: RHLL- HM4821 +RCSL -H *4821 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 -2008 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): 46000 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 disclaim 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 swwv 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.ahrldirectory org, click on "Verily Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which Is listed below. ©2011 Air - Conditioning, Heating, and Refrigeration Institute S' A Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129560757062088200 i Today1S Comfort... Yesterday's Prices. 6781 W.Sunrise Boulevard, Plantation, FL 33313 Phone: X954) 566 -4644 Fax: (954) 667 -1290 www .aliyearcoolingandheating.com Est 1979 with over 150,000 Installations Ffcorirnacr ❑ ESTIMATE PURCHASER'S NAME D FFe t ADDRESS )3> / % ' k „ I O ST CITY /STATEIZIP /Y1. «. 5k,), e s 311.6'57 E -MAIL C 14 r Lv Qur,)lir.,.g; 1 o HOME PHONE 7s 1 — i 6H.1FI CELL PHONE 781, — g ti 7 - /rea.s All Year Cooling will furnish all parts, labor and equipment necessary to facilitate the service REFERRED BY %Jain 5,71-e_ checked above in accordance with the conditions and specifications listed in this contract. Does ❑ MOULD IJKE TO RECENE NEWS, UPDAT11g, OFFERS AND PROMOTIONS VIA SMS 1Exi MESSAGING not include electrical upgrade unless stated. N °21 ti We hereby submit specifications for: Equipment Installation Indoor Air Quality ❑ Other ❑ Duct Cleaning & Sanitizing# ❑ uv Light `Vents# of Duct Systems ❑ High Quality Air Alter ❑ High Quality Air Cleaner Location Location ❑ Modify/New Supply Dogs) d ❑ Modify/New Retum Duct(s) ❑ New Return Air Grill Size Qty Split System 5 Electric Heat ❑ Package Unit 't' Heat Recovery Unit Heat Pump Straight Cool ❑ Horizontal Application ❑ Other I # of Systems_ Attic 9 Vertical Application 41 ❑ New Supply Grill, Size ❑ Seal Up Leaks In Ducts # ❑ Modifications of ❑ Supply Return ❑ Retum Air Plenum ❑ Air Handler reaker Wire Size Inc rem ! Use ❑ New Brt*aker ng B, Brand Reply - 7 �(r � r �C ❑ Condenser Breaker Wire Size /D ❑ Use Breaker Repplac Br ❑ New Breaker �Ya ❑ G sid< Electrical Disconnect Box Provided by ❑ All Year Cooling In -line Float Switch ❑ Vary Float Safety Switch Type of Themtostat - Specify Type Weather Resistant Vibration, Isolation Pads 1 Year 1 Visit Maintenance Agreement ❑ 5 Year Extended Warranty ❑ 10 Year Extended Warranty Existing Electrical to Code CONDENSATION & COOPER PIPING Condensate Drain Hook -Up ❑ New Condensate Pump ❑ Refrigerant Copper Liquid Une, Siziil OUabirdies and Workmen's Camp fol Hour Work Performed with Existing Codes ❑ Mounting Hardware of Stand for &Handler 241urricane Code Strapping ❑ Refrigerant Copper Suction Line with Insulation, Size ❑ Length of Run ❑ New Copper ❑ Refrigerant Line Cover ❑ Smoke Detector - Existing/New ❑ Straps ❑ rane/Genie Lin ❑ Extend Slab New Slab ���❑QQ Labor Needed ft 1 Year Warranty by All Year Cooling ipn work perforated, and manufacturer's warranty on equipnilent unless otherwise stated below. Labor welded by eetler In this petted Is Monday dIntuab Sunday. .^cN Subtotal a) • ex LJ a $ Permit - , S Utility Rebate --$.--217 O $ $ 1 $ ( / ) aI a Mice s $ ('300) $ $ $ Total Investments $ $ Extended Warranty $ - - $ Balance Due s .3) O O $ a S TERMS: Any financing must be arranged 24 hMWe prim to Meddle any work. Balance Due to Technician U • n e Jab. NlYear = •� Bleature earn Manse a CAC058159, 940E1 508/t, U16711, 08E10043, 810012803 utacturer's W 13 Compressor—%&--' Years i L aoor -t tears / Years Parts )D Years gCondenser Evap Coil /e) Years DETAILS OF WORK PERFORMED V f' )h. - .^a . IL for .%, /'i....n ✓I_ n/ kw• /j 1.' / b f J e f 4- /...ea;7- = "se) P ..l7:h n c / r ) !� .. , . J U. V. L 1.r — '4 99 o urr,- -'S Form of Paymm+t • Ch • co • Finance Date SEE REVERSE FOR 1131618 AND DNS