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MC-11-1927Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 C;1 Inspection Number: INSP- 165657 Permit Number: MC -10 -11 -1927 Scheduled Inspection Date: November 09, 2011 Inspector: Perez, JanPierre Owner: MCNALLY, ROBERT Job Address: 9120 NE 8 Avenue 1G Miami Shores, FL Project: <NONE> Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Contractor: AFFORDABLE AIR & HEAT & ELECTRIC CONTRACTOR Phone Number Parcel Number 1132060440230 Phone: 305 - 770 -4167 Building Department Comments REPLACE 2 TON W/13 SEER AC \A, Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 08, 2011 For Inspections please call: (305)762 -4949 Page 15 of 32 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 REC JED OCT 192011 BY: Permit No. CflL t 1 - A,617, ' Master Permit No. Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): Bolo - ctA \ Phone#: 3�r� 11 r t Address: N IAi' A% Ak- City: Yv\ \aW'\ ■ 1 sV)Dres State: F\ Qr\ G Q` Zip: Tenant/Lessee Name: TRNoeJrk i Mode' Mc Q0,\t Phone#: �C )` C \��� Email: JOB ADDRESS: 9120 NE eft AV& , APT *1 City: Miami Shores County: Miami Dade Folio/Parcel #: 1 1- 32 to -CAN -02;30 Is the Building Historically Designated: Yes NO Zip: 'SS 13R Flood Zone: N /A CONTRACTOR: Company Name: 'F 1rdaio lot l r Phone #: —014 Address: 5� N igQW ? *. A , City: \•+ A `I 00M \ll State: .) Qualifier Name: O t._t '/e�,`(Y\Q.\ State Certification or Registration #: l , C D4 1' Certificate of Competency #: Contact Phone#: 305-c140-01---A-4- Email Address: DESIGNER: Architect/Engineer: Phone#: Zip: '3?,` Phone#: - alg0 - 33253 Value of Work for this Permit: $ ( b 5 I Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New Xjtepair/Replace Description of Work: Q. 2 11 A eLx A c ❑Demolition ****** *****• xa **** ****** ** *********+px�x*** Fees* ea��x�x******** �x*+ x***** * **�x�x�x�x�x�x�x** ** *** * *x�*** Submittal Fee $ Permit Fee $ L 00 I CCF $ CO /CC $ Scanning Fee $ ' Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ O. Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address l 1 City State 1�' Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip SIP 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 campy of the notice of commencement and construction lien law brochure wil be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement lust be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued the abs e of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature /' // G 7eiiZ Owner or Agent The foregoing instrument was acknowledged before me this VI day of a,'20 t I , by , who is@ersonally known�to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: l + t 3LQ Print: b/w- sAln UO_1 \ \co dr- Signature Contractor The foregoing instrument was acknowledged before me this ICI day of , 20 .L, by who i ersonally knoo me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: C f6 ! .(2 Print: a,Inr l441c\ In eX k \ \ c 000AG My Commission Ex CHRISTINA{MLLIAM.S My Commission MY COMMISSION #D0918106 EXPIRES: AUG 12, 2013 Bonded through 1st State Insurance +knk******+R**+k+k+ **MnIn $ mm, 4eR***11.4.4.11*****+N+h******** N= *+k+is+P+N+k******* **+RAN+A R + k +k***ds4+kiN+k *tk**: nog +ts" **** CHRISTINA WILLIAMS MY COMMISSION #DD916106 EXPIRES: AUG 12, 2013 Bonded through 1st State Murano APPROVED BY Plans Examiner Structural Review (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk 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. c� L Job Address (where the work is being done): vl t 20 N E b'N/1 PQ) PT '* A-. City: Miami Shores Village County: Miami Dade Zip Code: t'3* 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 13-6 ARHI Sheet Attached: YES © NO ❑ Contract Attached: YES UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER Go aAri' *r� _ AHU or PKG. UNIT MODEL #cA 'aft S 4t CoG # Et? COND. UNIT MODEL #i r Iz0Z4 1 KW HEAT S acv NOM TONS 2-'(Z Tao, AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER 13 SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES ND YES NO NEW 4"CONCRETE SLAB YES YES NO NEW ROOF STAND YES r YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): AM/9g 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 3. Voltage of Circuit (208/240/480): 01/ 4. Size Disconnecting Means: ,,3O 00 r)') p, Contractor's Compa - ' me: _� 1 f f t ✓ t o J _ f Phone: — GI State Certificate or ' egis -lion N. t , i4 t k 1 Certificate of Competency N. Signature (Qualifl;'s signature only) Date: Whq/111 Certificate of Product Ratings AHRI Certified Reference Number: 4674966 Date: 10/19/2011 Product: Split System: Air - Cooled Condensing Unit, Coil Alone Outdoor Unit Model Number: GSC130241(D,E)* Indoor Unit Model Number: CA *F1824 *6C * +EEP Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade /Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. 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): EER Rating (Cooling): SEER Rating (Cooling): 22800 11.00* 13.00 Federal law prohibits the sale and installation in United States of new R -22 systems. R -22 condensing units may, however, be sold uncharged and may be installed as replacement products. • 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) fisted 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 ofAHRL 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, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which is fisted above, and the Certificate No., which Is listed below. ©2011 Air - Conditioning, Heating, and Refrigeration Institute i� w�Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129635040083260663 Air Conditioning, Electrical & Plumbing Contractors Affordable ir • CAC 048111 WHERE QUALITY IS AFFORDABLE 515 N.E. 190th Street • Miami, FL 33179 Dade (305) 940 -0777 • Broward (954) 987 -9943 CFC 057324 EC0001140 SUBMITTED NAME: TO: PHONE (")=1. )'"4.(V Co s.-- PHONE ( ) PHONE ( ) PHONE ( ) V .. 4 S JOB NAME: IMILIL CITY ( ari • 20 c- Sa. it 4 C--- STREET ) \t) Q.,,...,..:, . 62 BRAND eg ST eG ZIP COND. UNIT/PKG. UNIT ) 3 . SCHEDULE AIR HANDLER CITY MODEL "*"�.: S.E.E.R. ST ZIP ESTIMATED ANNUAL OPERATING COST STRIP HEAT sin TONNAGE A podgy a► J FINANCING AVAILABLE a? 00 I. , cep balance urn start-up. ( I Authorized THEABOVE Option -_ 2 B —■ after at the option of the seller. SPECIFIED. PAYMENT WILL BE MADE ASOIJTLINEDABOVE r Signature° e ti 1:) ACCEPTANCE OF PROPOSAL ARE ,HEREBYACCEP ED. YOU ARE AUTHORIZED TODO THE WORKAS �I �Io ei Signatures► r, JOB DESCRIPTION: .0 a JCS.- r\ C% �9A") c>!. R_ c 0 C •--c'k ■ .J 1 4.3 tB:•+J d■cA u . J G t-4 3 DESCRIPTION OF SERVICES PERFORMED AIR DISTRIBUTION: Ductwork will be designed, fabricated and installed in accordance with accepted engineering practices and in compliance with all building codes In force on above date. DUCTWORK: p '� 1 System of flex/fiber and/or u•/ V ductwork whit t aD outlets and U returns. Subject to modification according to structural or other requirements. LABOR WARRANTY: Service will be provided free by us for a perm of A l cc C year(s) from date of installation during regular working days& hours. MANUFACTURER'S WARRANTY: Parts Warranty (yrs) A 10A.6• - Compressor Warranty (yrs) A f 0 %E'6**713 EXTENDED WARRANTY: provided through year(s). AFFORDABLE AIR & HEAT, INC. WILL PROVIDE: INSTALLATION OF EQUIPMENT REFRIGERATION PIPING GRILLES ( ) RETURN ( ) PERMIT FEE(S) & PLANS IF REQUIRED DRAIN PIPING AIR HANDLER SUPPORTS CONDENSATION PUMP BATHROOM EXHAUST ( ) KITCHEN EXHAUST ( ) CONCRETE SLAB YES 0 Ca' 0 ❑ ❑. ❑ NO 0 0 11 EXISTING 0 0 ❑ ❑ Title to the above merchandise remains with Affordable Air and Heat, Inc. (seller) until paid for in full. In case of default in any terms of this contract, the seller shall have the right to take immediate possession of said merchandise and full amount of the purchase price then unpaid shall become immediately due and payable at the seller's option without notice or demand. All monies paid shall remain with the seller as liquidated damages. In the event the services of an attomey are required to enforce the interest of the seller, the purchaser shall be required to pay all reasonable attomey's fees together with interest and all costs thereto. No warranty service shall be performed on accounts with an outstanding balance. Labor warranty excludes, existing ductwork, existing electrical systems, and maintenance related repairs. In the event the purchaser refuses to allow seller to commence work after the contract has been executed, purchaser shall be responsible to the seller for 25% of the total contract price as liquidated and agreed damages. Seller shall not be responsible for any existing building or electrical code violations. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from the contract specifications involving extra costs will be executed upon written orders and will become subject to charges over and above this estimate. r Initial here THERMOSTAT CARPENTRY ELECTRICAL WIRING (POWER CONTROL) HOOKUP TO EXISTING SERVICE/PANELS INCREASE ELECTRICAL SERVICE AMPS OTHER: OTHER: OTHER: OTHER: OTHER: YES 0 0 0 0 ❑ ❑ 0 0 0 EXISTING COST REBATES/CREDITS TOTAL COST A t sczg( . s).. ( ari • „?..t C PAYMENT TO BE MADE AS FOLLOWS: tib,,,k Q---e-z.... 6 t. FINANCING AVAILABLE a? 00 I. , cep balance urn start-up. ( *WO) ( ca=c)*cfr c....) r .3 -134-, Iv •• Date 04 72i 0 Authorized THEABOVE Option Signature q� 9c This proposal subject to acceptance PRICES, SPECIFICATIONS AND CONDITIONS Chosen dtt a Date within days and Is void there after at the option of the seller. SPECIFIED. PAYMENT WILL BE MADE ASOIJTLINEDABOVE r Signature° e ti 1:) ACCEPTANCE OF PROPOSAL ARE ,HEREBYACCEP ED. YOU ARE AUTHORIZED TODO THE WORKAS �I �Io ei Signatures► r,