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MC-11-708Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 158621 Permit Number: MC -4 -11 -708 Scheduled Inspection Date: February 01, 2012 Inspector: Perez, JanPierre Owner: RUDIN, DIETER Job Address: 477 NE 92 Street Miami Shores, FL Project: <NONE> Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Contractor: JOSE C YANE AIR CONDITIONING & APPLIANCES SERV INC Phone Number Parcel Number 1132060140270 Building Department Comments A/C SPLIT SYSTEM CHANGED OUT 1Z Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 31, 2012 For Inspections please call: (305)762 -4949 Page 1 of 39 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDINd Permit No. PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: MECHANICAL Owner's Name (Fee "Simple Titleholder) _tic_ -FC sJ L P A Phone # 75 71( 5 Owner's Address �4 �? �,,;L '9',2 SF(Z City P— t State "} L. Zip 331 38' N1A, Tenant/Lessee Name Email /� Phone # Job Address (where the work is being done) % 77 NO 9'2- S r City FOLIO / PARCEL # Miami Shores Village County Miami -Dade Zip 333 731' Is Building Historically Designated YES NO Contractor's Company Name Flood Zone e 4 PfiVe-r /r} /x■ Phone #Stir^ c.r— 3 & V_ Contractor's Address , /0z/ /VE /3 2 S r City /V A' , i /V/ / r State '474.1 Zip 3a /1 / /' Qualifier Name Ob.re C ./i/{/� f Phone # 7 ‘ - b d3 - 7G a 9d- State Certificate or Re4iistration No.a 44 "C— /8/ S9 7ei Certificate of Competency No. Contact Phone%—fPb — e3^ 93 44r E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Type of Work: ['Addition Describe Work: % e. �• 6 ®d `G o Square / Linear Footage Of Work: ['Alteration ['New ❑ Repair/Replace ❑ Demolition ********* * *** ** **** * ***** * **:n**** *** * F ******************************************** Permit Fee $ l CCF $ Training/Education Fee $ Technology Fee $ Radon $ DPBR $ Zoning $ Code Enforcement $ Double Fee $ Etta r Submittal Fee $ Notary $ Scanning $ Bond $ Structural Review. $ CO /CC Total Fee Now Due $ See Reverse side -+ b\:\145 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this /e day of 1' °G , 20 ZL, by who is .ersonally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expi AWN, SARA MONTERO '= MY COMMISSION # EE022532 '?fry ,;: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): '5477 At a 9 2 .S 7 City: Miami Shores Village County: Miami Dade Zip Code: 33 /3 r ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO Et ARHI Sheet Attached: YES NO ❑ Contract Attached: YES UNIT BEING REPLACED DATA NEW UNIT RAS raN •- MANUFACTURER %.a$ 4" AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT 6et>Kla NOM TONS ,g` Trill 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 ,_flip -A AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER /07:C. /,S"• YES NO REPLACING DUCTS YE NO YES NO REPLACING THERMOSTAT 0 YES NO NEW 4 "CONCRETE SLAB NO YES NO NEW ROOF STAND YES NO /t/J¢r " YES NO NEW RETURN PLENUM BOX etT, NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 3. Voltage of Circuit (208/240/480): a.- 6 a ^ 4. Size Disconnecting Means: n Contractor's Company Name:.dJSE c.. ,Jm l# L:' Phone: 7P ' ,+ 8,3-%1 V State Certificate or Registration N 4/d∎ al 75, Certificate of Competency N. Signature Date: S// jefl fr AHRI Certified Reference Number: 3620618 Date: 4/19/2011 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM60 Indoor Unit Model Number: RBHP -25 +RCHL -60A1 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): 54500 EER Rating (Cooling): 11.50 SEER Rating (Cooling): 14.00 *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 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 waver 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 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 wvwv ahridtrectory.org, click on "Verify 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 Air- Conditioning, Heating, VW and Refrigeration Institute CERTIFICATE NO.: 129476902899366780 JOSE C. YANES AIR CONDITIONING & APPLIANCES SERVICES, INC. 1021 NE 132nd STREET, NORTH MIAMI, FL 33161 LICENSED & INSURED CELL: 786.683.9345 FAX: 305.895.3565 CONTRACT N� PROPOSAL 0 WORK TO BE PERFORMED AT DATE NAME �� PU&.i ,..� ADMIESS CITY. STATE ADDRESS CITY,STATE DATE OF PLANS PHONE NO. ARCHITECT We hereby propose to furnish the materials and perform the labor necessary for the completion �� t 4 6 7 t S �1? 41 6 �4 it. iftt 4- +.9 ,tt, Ls A'up � 7>/./T- g ys -t--.w ar 0(.„ 4.60 .. All material is guaranteed to be as specified, and the above work to be performed in accordance specifications submitted for above work and completed in a substantial workmanlike manner • ro _ L _ Dollars with the drawings and for the sum of: 4 • C62 0 ($ with payments env alteration or a be executed over and above accidents. « delays to be as follows deviation from above spealioadons involving coma costs Respectfully submitted «Qy.pon va3ten order. and wa become an ema charge Me estimate Al ageemenm coati open seams. Wound ear contra Note Per - This proposal may be withdrawn by us if not accepted within days. C AC TANCE OF CONTRACT a....• :.r ou ar authorized wit as specified. Payments will ,. 0 ACCEPTANCE OF PROPOSAL pops and conditions are satisfactory and are hereby The above prices, � . , be made as outlined above. SIGNATUR „� _._„ 5 SIGNATURE DATE