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MC-11-1640Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 165794 Permit Number: MC -9 -11 -1640 Scheduled Inspection Date: December 28, 2011 Inspector: Perez, JanPierre Owner: VOLINSKI, JOEL Job Address: 1036 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Contractor: AFFORDABLE AIR & HEAT & ELECTRIC CONTRACTOR Phone Number Parcel Number 1132050120060 Phone: 305 - 770 -4167 Building Department Comments REPLACE HVAC 3 TON Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 164175. need to pour concrete slab jpp December 28, 2011 For Inspections please call: (305)762 -4949 Page 3 of 28 114i C&tv, 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 I -I � l Permit No/ w `L 40 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL \� OWNER: Name (Fee Simple Titleholder): i \ \ V (3 \ Address: UO 3( 1 J Cl 5 City: V(Y1 i A- (Y1; 5\'C e state: 1 L pamnws SEP 0 6 2011 BY: Master Permit No. Phone #: Zip: , 3,-S 13 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: T City: Miami Shores County: Miami Dade Zip: 158) Folio/Parcel #: k 00 Luc) Is the Building Historically Designated: Yes NO __ Flood Zone: CONTRACTOR: Company Name: 4t#:2s NI Address: 1 1 E k9 C) 5t -Fi Zip: 331'4-`l City: �1 r �" M \ r State: . Qualifier Name: 30 \ 0r�l� - 'rnQ f) Phone #: 5 ^ ! `iV State Certification or Registration #: CAC 8 1. I Certificate of Competency #: Contact Phone #: MC:: "ICU — C.:)4� mail Address: DESIGNER: Architect/Engineer: PJ /Pr- Phone #: Value of Work for this Permit: $ 81 50 0 Square/Linear Footage of Work: Type of Work: ❑Add ress nn -- I. ❑Alteration ' New ❑Repair/Replace ❑Demolition IC Description of Work: 2 00 c e - i V NC g o al ******** * * ** * * * * * *** * * ** * * * * * **** ** ** ** * ** ****** * *** *** * * * * *** * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ V`..• V i CF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ • ?4- Bonding Company's Name (if applicable) Bonding Company's Address City State ( Zip Mortgage Lender's Name (if applicable) tV //k 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 A}l'll)AVIT: 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 (4) Contractor The foregoing ins nt was acknowledged before me this LP day of 0.011k __ 20 \1 , by s personall or who has produced who me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY Sign. Print. My Commi • LIC: iI :ra j MY COMMISSION #DD916106 es:pXPIRES: AUG 12, 2013 Bonded through 1st State Insurance APPROVED BY ** ***117 o * * * * *s's,s, ****** ** < *** * * * *** +*a<>i< *a<*** *** ass, * * * *s=** * ***** *t * * * * *** * *a *** Plans Examiner Zoning Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) 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. Job Address (where the work is being done): l C,S LO Q 5 75\ City: Miami Shores Village County: Miami Dade Zip Code: ,9313?) 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 MANUFACTURER —NM 1 1-1-T72. c3bf'f1/\ `TArTY1 `3 AI- oC 4'I A _ SW/1/ f. AHU or PKG. UNIT MODEL # , -e COND. UNIT MODEL # KW HEAT u_) NOM TONS .7 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 / / EERISEER 19 /1"- YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4 "CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: OcdC10 \ e Phone: — l U -3 % 3 State Certificate or Regisfraa n N. �-�. Certificate of Competency N. Signature uallfler's signature only) Date: 09 /OCo /11 s+►�r c:onaitioning Zfr, trectrical Contractors Affordable Air 8t Heat Inc WHERE QUALITY IS AFFORDABLE CAC048111 Dade ( N.E. 190t1-1 40 -00777 Street 33179 943 WME: o ;TJ EET MANUFACTURER JOB NAM : STREET: ciTY: EQUIPMENT SCHEDULE 1..,- CONDENSER PACKAGE MODEL El AIR HANDLER MODEL ER #: STATE; ZIP: Or .EST COST TE i .dam ragmegr. Amr, magigarrxecwirjrnsivipmelieJ■,,.// /46d//1 /'i/e A or • SCR PTION OF AIR DISTRIBUTION: Ductwork will be designed, fabricated and installed In accordance accepted engineering practices and in compliance with.all building ,cao0. in force on above date. / pucnNORK• C 7' System of flexlfi er an or -; ��.ti !' 'dllctwprk wi outlets and returns. Sutyect't mci it ation coo or other requirements. Aniir/ri9 !ree . LABOR WARRANTY: Service will be provided free by -us for a perlad VICES PERFORMED 'ding to stru L>Y year(s) from date of installation during regular woridng,d�ays & hours. MANUFACTURER WARRANTY; Parts Warranty (Yrs.) Compressor Warranty (Yrs.) A ExTENDED WARRANTY: Provided through " for ` year{s) AFFORDABLE AIR & HEAT, INC WILL PROVI.DW. :AO INSTALLATION OF EQUIP C• aural REFRIGERATION LINES ( OR FLUSh.L (' ) ,' .� ❑ 0 • GRILLES (.3) RETURNS ( ) :.x '' ,:. ❑ 0 PERMIT FEE(S) & PLANS, IF REQUIRED. • :; •;;: , . 0 ^ : DRAIN PIPING ( ) OR FLUSH ( i ❑ AIR HANDLER SUPPORTS CONDENSATION PUMP EMERGENCY FLOAT SWITCH HURRICANE TIE -DOWNS CONCRETE SLAB O edeake COST /c Title to the above merchandise remains with Affordable Air and (nailer) until paid for in full. In case of default in any terms of this cor alias' Shelf -have the right to take immediate possession of said mei Rd.lifiii••alklpunt:gf the purchase price then unpaid shall become imi due rld-} ayableatthe,seller's option without notice or demand. Ali me shall"' dtlaptt7r Witl2.the,st =like' as liquidated damages. In the event the s. an attorney ere requlr94tt i orce the interest of the seller. the purch, be required •topajr a(G g cfnebte attomey's fees together with inters costs thereto. Ngpt n rt Service shall be performed on account outstanding belancitr y:_atior Warranty .excludes. existing ductwork ectrioal systems, and•mginteriafrcerelated repairs. In the Ayer* the purchaser refuses to allow seller to commence the contiad•;$»teen executed;. p'' uressershali be responsible to the 25% of- ;the'fotal price as liquidated and agreed damages. Seller sh r esponicl(ile tardily existing building or electrical code violations. ••`' .Ail i eterial is guaranteed tp be as specified. Alt work to be comp wpriemanlike ',Wanner'. : according to standard practices. Any site Qpviatjon front the contact spealflcatione involving extra costs will upon Written orders and wllI•be subject to charges ov r •.nd above th Mal Here YES 7 A g i t M O S T A T �Y P � + � ✓ - - ARPO ITRY, BALANCE AIR'F1:;QW. • • -e1- REMOVAL 0E4034 DE$R(.$ e'r E1: TRICAl IttfNGt (POiyif, R CONTROL) ,. ,.�,.''�• • m Th ,SERV10E/PANEL3 C (. SERV10E AMPS 0 r - ' .lam' :• ❑ • ❑ • ❑ ❑ • Lf AL' COS1 RNANCI AVAILABLE �- Payment to, be merle as follows; r . deposit, balance a4Soh- start-up Authorized Company Signature This proposal subject to acceptan THE ARC PRICES. SPECWICATmtiS AND CONDITIONS ARE HE Option Chosen Signature' TO 39Vd iI7 1 • n • Date days and is void there after at the o ER. YOUARE � 0__■ • 3- 1g17QZlodAV TO OD ut: WORK on of the sc SPECIFIED. PAYMENT WILL DE MAIZE AS Date ZST8b9950E 55 :5T TIOZ/90/60 Air Conditioning & Electrical Contractors Affordable Air He :AC048111 WHERE QUALITY IS AFFORDABLE 515 N.E. 190th Street • Miami, FL 33179 Dade (305) 940 -0777 Broward (954) 987 -9943 Ic7L /.v .c/ j7./J of © S'ki STREET: 3 (� / (/ / ivi q5 C� STREET: o C STATE ZIPJ CITY: Awl yolk, / : . ER CONDENSER / PACKAGE MODEL CO 1Q v EC0001140 JOB DESCRIPTION: ION /7 /-?,0 - ri n r /e- roe. to PIA .? 4i //t s %J �/�A 5r Aid 'Ncj r tgP ge/oR �/ 0-art , 1/4//'/1; �',o�✓� ,�yJ re fl- r /}, r 'DESCRIPTION OF SERVICES PERFORMED -. IR DISTRIBUTION: Ductwork will be designed, fabricated and installed in accordance with :cepted engineering practices and in compliance with all building codes force on above date. UCTWORK: System of flex/fiber and /or ductwork wi Jtlets and returns. Subject t modification acco ding to structural ' other requirements. ,mIO)I)✓7 /YCL' VA44.,e5blectrical systems, and maintenance related repairs. 4BOR WARRANTY' In the event the purchaser refuses to allow seller to commence work after 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 ,.nd 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 attorney are required to enforce the interest of the seller, the purchaser shall /L Q� 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 Service will be provided free byes for a period of A r01 C )ar(s) from date of installation during regular working days & hours. ANUFACTURER WARRANTY: Parts Warranty (Yrs.) A Compressor Warranty (Yrs.) KTENDED WARRANTY: Provided through for year(s). FFORDABLE AIR & HEAT, INC. WILL PROVIDE: ISTALLATION OF EQUIP E T EFRIGERATION LINES (OR FLUSH ( RILLES (3 ) RETURNS ( ) ERMIT FEE(S) & PLANS, IF REQUIRED RAIN PIPING ( ) OR FLUSH () IR HANDLER SUPPORTS DNDENSATION PUMP VIERGENCY FLOAT SWITCH URRICANE TIE -DOWNS ) °'e �� DNCRETE SLAB ied044 CAST the contract has been executed, purchaser shall be responsible to the seller for 25% of the total price as liquidated and- agreed damages. Seller shall not be responsible for anyexisting building or electrical code violations. All material is guaranteed to bens- 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 l;e executed upon written orders and will be subject to charges overnd above th estimate. itial Here YES NO EXISTING YES ❑ ❑ THERMOSTAT I ? d Creee) ..e. _ ❑ ❑, CARPENTRY - •e` ,er. ❑ ❑ BALANCE' AIR FLOW er ❑ REMOVAL OF JOB SITE DEBRIS ELECTRICAL WIRING (POWER CONTROL) .K ❑ 0 CONNECTTO-EXISTING SERVICE /PANELS e- 0 .° ❑ INCREAS LE TRICAL SERVICE AMPS E] ❑ ❑ OTHER UK fi4 ❑ ❑ OTHER VV1.41 4 s � .�i ❑ -e" OTHER, 4_ 7,7 REBATES /CREDITS NO EXISTING ❑ ❑ ❑ ❑ ❑ 0 ❑ ❑ ❑ ❑ e ❑ ❑ ❑ ❑ ❑ ❑ ❑ TOTAL COST