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MC-11-1435Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 162967 Scheduled Inspection Date: November 14, 2011 Inspector: Perez, JanPierre Owner: FAZIO, JOHN Permit Number: MC -8 -11 -1435 Job Address: 54 NW 96 Street Miami Shores, FL Project: <NONE> Contractor: C&R AIR CONDITIONING CO Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)238 -9830 Parcel Number 1131010330500 Phone: 305 - 685 -6394 Building Department Comments EXACT REPLACEMENT OF 3 TON PACKAGE UNIT ce 0/ 11 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 10, 2011 For Inspections please call: (305)762 -4949 Page 10 of 34 Issmc-A 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 Owner's Name (Fee Simple Titleholder) Owner's Address 1 0 3 . 1.s c J 11--%7t" City e Q w► t State FL Zip 3 31S. % Tenant/Lessee Name Phone # Email 06 0 `101 Permit No.�� ' I r I LZ-/ Master Permit No. Phone # 3.E49830 Job Address (where the work is being done) Sl"l S" 9 S T City Miami Shores Village County Miami -Dade Zip 3 3 160 FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name C -i- R A, r Co h cl . Co. Phone # 30 f C g c6 J q —I Contractor's Address 6,o 7,3 N iJ j 6'7 S T C. Z.I City m 1ei W1 in t State F i_ Zip 336 l s Qualifier Name N 0 be t t 2- C t r G J T Phone # State Certificate or Registration No. C. A L_ ®.. 6 t{ I U Certificate of Competency No. 0 y 8 8 0 2• 3 Contact Phone (� t�s 6 3 C{ E -mail C a .ncl A �' c-CO ✓h e Ct y & /1' 0 L . C o Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addition ❑Alteration ❑New e p air/R ep lace Describe Work: Phone # Square / Linear Foota Of Work: ❑ Demolition * * *** * * ** * * **** * *** *x **x*** *** * * ees **2"--- ********* * *** * *x * * *** * *** *x** ** * *x **** ** Submittal Fee $ Permit Fee $ *\ t CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: � � � ,� Structural Review. $ Total Fee Now Due $ See Reverse sid --> 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. Signature L O e orAg%.t The fore oing instrument was acknowledged before me this g The foregoing instrument was acknowledged before me this o day of 1.1.0 20 ti t , by , day of ti , 20 I I , by who personally known '. me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: whopersonally known to e or who has produced NOTARY PUBLIC: Sign: Print: My Commission Expires: =� t * * * * * * * * * * * * * * * * * * ** APPROVED BY Sign: Print: My Commission E * ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** xaminer 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): -S-L1 N w 96 'ST City: Miami Shores Village County: Miami Dade Zip Code: 3 .31,.�O 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 LJ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ UNIT EING REPLACED �aiin, DATA NEW UNIT rutfru, AA.i. s„ MANUF T Ruud `^,e -) 036 AHUo KG. UNIT MODEL# K.S NO .]6 COND. UNIT MODEL # 7.S. KW HEAT 7 • g' 3 NOM TONS Z AHU CU PKG 1) M.C.A AHU CU PKG a‘ AHU CU PKG E.4 o 2) M.O.P AHU CU PKG I-}. 0 AHU CU PKG 3) VOLTS a q ® AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER 10 YES NO REPLACING DUCTS YES NO /,.L) YES NO REPLACING THERMOSTAT ES NO YES NO NEW 4 "CONCRETE SLAB YES b1,0 YES NO NEW ROOF STAND YES %01 YES NO NEW RETURN PLENUM BOX YES _ NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 4 3. Voltage of Circuit (208/240/480): g -4c) 4. Size Disconnecting Means: LI Contractor's Company Name: C. 1"' g G - Phone: OS gS 10Z)9 4 State Certificate • -e • istration N. C A CO 26 4 14 Q L g.02' LI Certrficate of Competency N. Signature (Q er's slgnatu = only) Date: $ I I CU 0 R C &R Air Conditioning Co. 6073 NW 167th Street Suite C-4 Miami Gardens, FL 33015 -4330 ndRacCompany @aol.com DADE: 305-685-6394 BROWARD: 954-680-4494 www.CandRac.com DATE 6.0 AD i1/4 -1" 6 S T ° "Att.. SP .3 21 We hereby propose to: Furnish, install and service the equipment and aterials listed below with the conditions and specifications detailed below. NEW EQUIPMENT System #1 $- �1 1 • System #2 $- System #3 $- FPL Rebate (instant) Total Before Rebate/Tax credit $ PHONE NUMBERS HOME WORK Email: 3 t. 911 ao CELL 3 o . 14 3 1 •a2q / ❑ UNDER CONSTRUCTION 2/EXISTING STRUCTURE 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 (UUCi L1991°° � Rs N/1(1036 Ry10 3.1 &.Q 13.° Parts 10 Yr. Compressor 1 D Yr. Parts _ Yr. Compressor Yr. Parts Yr. Compressor _ Yr. 1 Year Labor 1 Year Labor 1 Year Labor MISCELLANEOUS ❑ Condensing Unit Stand ZConcrete Slab ❑ Other ❑ Air Handler Stand [Thermostat S PD ❑ Float Switch ❑ Auxiliary Drain Pan ❑ Ref, Line cover ❑ UV Light. ❑ Condensate Line ❑ Fire Dampers DUCT SYSTEM ELECTRIC SYSTEM ❑ Package Unit Change -out (4 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 attorneys fees and all court costs and expenses incident to such litigation. Delinquent payments shall bear 1.5% per month interest from due date until paid. All work is to be performed during our regular work hours unless otherwise specified. This contract contains all agreements. Neither party shall be bound by any representation, warranties nor agreements, oral nor written not herein contained. This proposal shall become a contract when accepted by you and approved in writing by our duly authorized corporate officer. We agree to furnish and install the above described labor and materials on the terms indicated below for System # dirt 3066 OO. Oe TOTAL INVESTMENT FPL/DEALER REBATE YOUR INVESTMENT PERMIT FEE N: INCLV; D /OFAMMM $- 50% DEPOSIT 50% DUE WHEN READY TO OPERATE $ OD PURCHASER JOB NOTES DATE D REPRESENTATIVE EKS Aug 0811 03:02p C & R Air Conditioning Co 305 -685 -6395 p.2 Au% CERTIFIED TM www.ahri lire ctory. or Certificate of Product Ratings AHRI Certified Reference Number: 1076041 Date: 818/2011 Product: Year -Round Single - Package Air - Conditioner, Air- Cooled Model Number: RSNM- A036JK Manufacturer: RHEEM MANUFACTURING COMPANY Trade/Brand name: RHEEM RSNM SERIES Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING COMPANY Rated as follows in accordance with AHRI Standard 210/2402008 for Unitary Air- Conditioning and Air- Source Heat Pump Equipment and subject to verification of rating accuracy by AHR1- sponsored, independent, third party testing: Cooling Capacity (Btuh): 35800 EER Rating (Cooling): 11.30 SEER Rating (Cooling): 13.00 • Ratings followed by en asterisk (') indicate a voluntary relate of previously published data unless accompanied wuh a 1NAS, which indicates an involuntary ramie. DISCLAIMER AHRI P does not listed endorse this Cm dflpses) won this Certificate and makes no representations, warranties or guarantees as tp, and assumes no responsibility for, unauthorized alteration of data fisted on this Certificate. Certified ratings liability valid only for models and configurations o g of the listed s a In pertomT for of the product(s), cis direr or .or TERMS AND CONDITIONS in d �Y t' +ahrldirectoryorg, This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. form of o this Certificate may not. In by any earns, except for the euor in part, be re u�; copied; disseminated; entered into a computer or otherwise WHifzed, br an y personal and confidential reference CERTIFICATE VERIFICATION click on Ceerrtficate" fink on enter the Certified Reference Number and the date on g, Heating, Mil �, and Refrigeration g, which the eeriFiiraiewao Issued, which Is listed above, and the Certificate No., which is listed beio4tt. gelation InatilUlg ©2011 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 122895063370366