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MC-11-1087Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 160974 Permit Number: MC -6 -11 -1087 Scheduled Inspection Date: June 29, 2011 Inspector: Perez, JanPierre Owner: BATISTA, ARNALDO AND ELEIDE Job Address: 10611 NE 10 Place Miami Shores, FL 33138 -2103 Project: <NONE> Contractor: NEW SERVICE COMPANY Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)498 -4511 Parcel Number 1122320280590 Phone: (305)324-754_ Building Department Comments REPLACE 4 TON AC Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 28, 2011 For Inspections please call: (305)762 -4949 Page 24 of 38 Y BUI PE FBC 2 Miami Shores ViliagE Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DING IT APPLICATION Per JUN 1 5 2 it No. rn-C- -t Master Permit No. Permit ype: MECHANICAL ^ I I Owner's ame (Fee Simple Titleholder) _CYN� 4 /S)kPhone # Owner's Address • Ci City Tenant/L,ssee Name Email Zip Phone #f 0 Job Address (where the work is being done) I ,6 / i\J e /t 0 i)t- City Miami Shores Village County Miami -Dade Zi FOLIO / PARCEL # Is Buildi g Historically Designated YES NO )1/4" Lk) SSi tf i CE 4,4411 Phone # SUV 1ST ©2 a State r= brZo 9'-Q f2_ Contractr's Company Name Contractoir's Address City VN Qualifier State Certi ame ficate or Registration No. G4.. 1 1 Litt Li Z. Contact Pone Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ $ OM. oil-- Square / Linear Footage f Work: 9 g 3o3' -7g 8 -72 8' 3 Flood Zone 30.C= 79'r- 7383 Zip 3l30 Phone # 0 S� 6 Certificate of Competen E -mail NS C'' .. 3 312 No. y.¢!l-6■0 - y•, Type of Describe ork: ❑Addition ork: ['Alteration ['New ® Re air/Replace ❑ Demolition ******** ** * *** * * **** **** ** * *** *** ** * * ** *** * * * * * * * **** * * * **** ** **** ** ** * *** * ****** Permit Fee $ V Submittal Fee $ Notary $ TrainingtEducation Fee $ Scanning $ Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Structura l Review. $ Total Fee Now CCF $ Technolo CO /CC Fee $ Zoning $ See Reverse side —>, Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Y,ender's Address City • .a 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 RI.ECTRICAL 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 wi not be approv a reinspection fee will be charged. liCIL i lir - Signature Owner or Agent The foregoing instrument was acknowledged before me this CZ day of &v47, , 20 , by t) who is personally known to me or who has produced jick entification and who did take an oath. NO Sign: Print: My Commission ▪ E- xpires: Signet Contrac The foregoing instrument was acknowledged before me this 1 74 day of 1.1 1 ,20 11, by PCA2.010 who is personally known to me or who has produced ft. DI_ as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: bka,•.►D0 6.934-i-e-of f**** ARLOS F lPAARRA FAL ►! 4, ir.r►. , ti� My la■dS, CommNOToARE B e ! Expires 6/10121311:,'1 O 1144, Comte DD079868 , L:.,);':,,,-.--..-: Orlando Ce ObF a ItoOsRIDrA . , m, ` tda Notary , e 1,.. . Commission #DD708411 Rq gq,,, �ga su s q qe ■ c e qq gmia� ggsaacom geanp , Expires: OCT. 07, 2011 *** F: * * ** ** * *** * * * *** ** *,k * * * * * ** R* * ********* * * ** : ** * *oX****** ****** ** k***** RJR** ******************a *** ***M**** 4 I 1 BONDED MU ATLANTIC BONDING CO., INC. APPLICATION APPROVED BY (Revised 07/10/07) Engineer Zoning Clerk checked 4 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): 106 1 Ki.. 10 City: Miami Shores Village County: Miami Dade Zip Code: 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 UNIT BEING REPLACED DATA NEW UNIT C.,O D L1 rA Pp N MANUFACTURER AHU or PKG. UNIT MODEL # 9 g-u AJ sob0 COND. UNIT MODEL # FE q A 1V (SOD 6T# a i D k v..3 KW HEAT 1 D IGt.° LI Toms NOM TONS AHU CU PKG 1) M.C.A AHU I CU 1 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 17 YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT NO YES NO NEW 4 "CONCRETE SLAB E NO YES NO NEW ROOF STAND YES r YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): $ 0 Ay "P 3. Voltage of Circuit (208/240/480): 2 ok — 2.4 0 1.roCrS 4. Size Disconnecting Means: 4. 0 ry fl — (3I¢A kEL Contractor's Company Name: jv W S V r C &7wt fkil Phone: 3 c 1 79P773 83 State Certificate or Registration N. CACt?I4H'4 Z Certificate of Competency N. Signatu Date: CCERTIFIED w;ah"Iilirecto"y.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: 3747804 Date: 6/15/2011 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 187BNA048''A Indoor Unit Model Number: FE4ANB006 +UI Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Trade /Brand name: EVOLUTION 17 PURON AC Manufacturer responsible for the rating of this system combination is BRYANT HEATING AND COOLING SYSTEMS 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): 49500 EE.I ..Rating.(Cooling) 13A0 SEER Rating (Cooling): 17.00 *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 products) 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 Debility for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on thls Certificate. Certified ratings are valid only for models and configurations listed in the directory at wwuw.ahridirectoryorg. 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 Certtflcate may not, in whole or In part, be reproduced; copied; disseminated; entered lnto 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 forte model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" Zink and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which is Dated above, and the Certificate No., which Is listed below. 02011 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129526199277749520 A Air - Conditioning, Heating, NM 't' and Refrigeration Institute