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MC-11-1997Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 165960 Permit Number: MC -10 -11 -1997 Scheduled Inspection Date: December 19, 2011 Inspector: Perez, JanPierre Owner: KIPPLE, MARILYN Job Address: 8737 NE 4 Avenue Road Miami Shores, FL Project: <NONE> Contractor: UNIVERSAL AIR & HEAT Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060460840 Phone: 954/581 -7110 Building Department Comments A/C CHANGE OUT. SPLIT SYSTEM 3TON Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 16, 2011 For Inspections please call: (305)762 -4949 Page 12 of 34 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 OCT 2 7 2011 Imo.' BUILDING Permit No.C) I I 1991 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: MECHANICAL����f 4o,a4 OWNER: Npame ((FFee Simple Titleholder): itei! 1v Phone#: JOb • X47 /goo Address: p %/�/ /re ITII , i �� City: i qd ?/%,..74 S State: ,0/1R =•609 Zip: 0.3/3' Tenant/Lessee Name: /✓441 Phone#: Email: /I//4 JOB ADDRESS: oval /re 447/ Ager ieo City: Miami Shores County: Miami Dade Folio/Parcel #: / /•.5 •®i4• Is the Building Historically Designated: Yes NO Zip: 33/3 er Flood Zone: CONTRACTOR: Company Name: 4N /Prar*OrL /' �f EoQT Phone#: FFW 561 Y //� Address: 4 4 4/.ST AO /.z City: ,�%Y /olr State: A:44'14.01 Zip: .533/1/ Qualifier Name: 4 / Ihl. ''4 77-iuf/ 5 7A/ Phone#: 1 se/. mee State Certification or Registration #: erioe ®, 234i;Z Certificate of Competency #: aiffeEtSer/ e/ Contact Phone#: fca �'. - 7//' Email Address: /4141: 44V. et70 DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ ®2od® Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration New «'' epair/Replace ❑Demolition Description of Work: � afem ° 604e7-- 3 Tom`. ,x**** **** *,x***** * * ** * ***a, *,xa * *** *may • ** * * ** ** *000000 *******0**** **a *00000* *** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 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 s e approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me thi day of ,20 .7( by who is personally known to me or who has produced z Signature Contractor The foregoing instrument was acknowledged before me this I day of , 20(_4_, by d�,5 who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOT ' Y : c LIC: My Co I * * * * * * * * * * * * * * *** * * * * * * * ** APPROVED BY NOTARY PUBLIC: * * * * * *:1. * * * * „ °;'* ** *** *** * * * * ***** *********** ** * **** * * * * *** * ***** * *** *** ** ** kt.)Plans Examiner Zoning Structural Review Clerk (Revised 07110/07)(Revised 06/10/2009)(Revised 3/15/09) 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): 173V ivo »FL 6• 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 (AH 'DATA SHEET REQUIRED ARHI Sheet Attached: YES NO ❑ Contract Attached: YES. Change Disconnecting means: YES ❑ NO UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER Vyf'Edl GGVa„,OhABCf AHU or PKG. UNIT MODEL # 44.4.mo is COND. UNIT MODEL # /S4 X•.» �e1.4 o/ KW HEAT ../' NOM TONS de. a' 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 / 1 PKG UNIT / / EER/SEER Ol v / YES NO REPLACING DUCTS YES __ YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4°CONCRETE SLAB YES NO V YES NO NEW ROOF STAND YES I 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: 74< Contractor's Company Name: /4Y /dE .e.sle ■4 F #t`i9- Phone: .9 6-87- Certificate of Competency N. ,e1,00S77ii2- State Certificate or Registration N. e® ®f42 Signature (Qualifier's signature only) Date: /O 12-112111/2212Et 3314000,134A., .14094. AttPAIRSIOMPOi6. .1 • '''' '"; W.7 ThEISASEERNOMMEMMONiti* 1 7.7 . , •'. • '7 21221-222222. .1121.12MITAM2226101214212 vairanoNsms • '''' ' • • - . _ r*.v-K2.- ..,., . ,...i. _4 1 ..,_._ - ..r.„.„--.--..-----::,- zz-,- -. , ....• .- . '-- - .,--:;-' '-'-: :4-:---- , -- , gr:FA.-:1--T..-,i---, ---r-;r--:-: -,- --- „.4_,+.-A-z...ww....-.,,-i-,*---.-:!, ... - -- - _...-- 1,',5:.-f-:::-"--,---' tau - .,.. ....tanetieneR.atO - ... ... .__ . _ _ • HEIGHtligulg-.:- 41110*j K3..._ : - - —, ITP.,FifyierwA/4.002t .... ....... ., 'Waal 110112121E r op. is*iimm.1 ts--mferfoix :74. eit-..it ,,r, ,., Zt" 2 .. . „. .. . • ,...-..;,- .-_-;-: 1 '''''''r.if.'-'-t-' . f-;;;:;;Ti-:".1,' .=;..--:="f•-%-i=ir.:-..-.:"--- .;--",-:-.`t, -':•.'-f.:-:,::i--'F. ' -' '-c.-- ''..f;,.:, . . .. 4* * 3 - .. ...., :.:::-" - - • . .... 12-112111/2212Et 3314000,134A., .14094. AttPAIRSIOMPOi6. .1 • '''' '"; W.7 ThEISASEERNOMMEMMONiti* 1 7.7 . , •'. • '7 21221-222222. .1121.12MITAM2226101214212 vairanoNsms • '''' ' • • r_ r ma 5 --.O. AfC Hoyio s =eic tr staaai'szivkas— map 4,-e _; . -:; se', f.� ✓'i4�, t7Fi•' tii':.i� >a5ii;: �' 1:1'' SIG A.ri.:::w�j.:_ Bern c �.;a a�'xj -';< t to ram• QCs _ .. x. .. _ -. ^_ .rv.. -. . - ae' ii:.:: -'' yg�y B7 ' INEEriintiiMMEINNOMMEN NERVZINIMENIENIEZIM •y" a i Quo csLo 4. wt. x , r at - 2 _::; t 3 ma 5 --.O. AfC Hoyio s =eic tr staaai'szivkas— map 4,-e _; . -:; se', f.� ✓'i4�, t7Fi•' tii':.i� >a5ii;: �' 1:1'' SIG A.ri.:::w�j.:_ Bern c �.;a a�'xj -';< t to ram• cerUficatE This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. roduct ''satin 5 AHRI Certified Reference Number: 3412355 Date: 10/22/2011 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number 14AJM30 Indoor Unit Model Number RHLL- HM3617 +RCSL- H*3617 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): 29200 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 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) wed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility tor, the product(s) fisted on this CertMcate. AHRI expressly (Madeline all barmy for damages of any hind arising out of the use or performance of the product(s), or the unauthorized albwation of data listed on this Certificate. Certified ratings are valid only for models and conflguratfons listed in the directory at vAmalwidlreclary.org. TERMS AND CONDITIONS This Cardficata and its coribmts are proprietary products of ARM. 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; dlssendnated; entered Mtn a computer or otherwise utilized, in any form or manner or by any means, except for the ti's individual, personal and confidential reference. CERTIFICATE VERIFICATION The Information for the model cited on this certificate can be verified at w wd.ahriddirectory.org, click on "Verify Certificate" fink and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which is Bated above, and the Certificate No., which Is fisted below. ©2011 Air- Conditioning, Heating, and Refrigeration Institute AFPAR Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129637758110753774 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. fc;t' o ro kct atir s AHRI Certified Reference Number: 3412355 Date: 10/22/2011 Product Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM30 Indoor Unit Model Number RHLL- HM3617 +RCSL- H*3617 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): 29200 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 * Ratings followed by an asterisk (1 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) Usted on tide Certificate and makes no represedatIons, warranties or guar as to, and asswanes no responsibility for, the product(s) Usted on thls Certlficate.AHRI expressly disclaims all liability for damages of any kind arisbg out of the use or performance Otte product(s), or unauthorized alteratlwr of data listed on this Certificate. Certified ratings are valid only for models and carliguratfon s listed in the directory at wnw.ahrtdirectory.arg. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL This Cep shaU only be used for individual, persorml and confidential reference purposes. The contents of this Certificate may not, in whole win part, be reproduced; copied; disseminated; entered onto a computer database; or otherwise utilized, in any form or manner or by any mom, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The Normal:ion for the model cited on this certificate can be verified at www.ahridirectory.org, dick on "Verify Certificate" ihnk and entertte AHRI Certlfied Reference Number and tie date on which the certificate was Issued, which Is listed above, and the ceitlficate No, which Is listed below. ©2011 Air- Conditioning, Heating, and Refrigeration Institute hAir-Conditioning , Heating, and Refrigeration Institute CERTIFICATE NO.: 129637758110753774 CERTIFICATE OF LIABILITY INSURANCE DA 221/10 PRODUCER Marlins Insurance MATTER OF INFORMATION 850 S.W. 40 Ave. Plantation, FL 33317 Phone (954)587 -7850 THIS CERTIFICATE IS ISSUED AS A MA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIO ES BELOW. Fax (954)587-7778 INSURERS AFFORDING COVERAGE NAIC # INSURED Universal Air & Heat 5480 West State Road 84 SUITE 12 Davie, FL 33314 - (954)- INSURER A: National Group INSURER B: INSURER C: INSURER D: INSURER E 44.111Crwaar THE ANY MAY POLICIES. O POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE DATE (NNIDDIYYYY POUCY EXPIRATION DATE (NWDDIYYVY) LIMITS LTR A WARD ❑ GENERAL LIABILITY ® COMMERCIAL GENERAL LIABILITY GAAG- 0000003505 12/1412010 EACH OCCURRENCE 1,000,000 12/1411011 DAMAGE TO RENTED occurrence) (Ea xenc�) 550,000 MED OW (Any one person) 1,000 IN 1 CLAIMS MADE J OCCUR PERSONAL II ADV INJURY 1,000,000 ii GENERAL AGGREGATE 2,000,000 . PRODUCTS - COMP /OP AGG 1,000,000 GEN'L AGGREGATE WAIT APPLIES PER • POLICY • PROJECT ❑ LOC AUTOMOBILE LABILITY COMBINED SINGLE LWUI (Ea accident) • ANY AUTO BODILY INJURY (Per person) • ALL OWNED AUTOS IN • SCHEDULED AUTOS BODILY INJURY (Per acddent) • HIRED AUTOS ❑ NON OWNED AUTOS PROPERTY DAMAGE (Per accident) • • GARAGE LIABILITY AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC • • ANY AUTO AUTO ONLY: AGG • EXCESS i UMBRELLA LIABILITY EACH OCCURRENCE AGGREGATE ❑ OCCUR ■ CLAMS MADE • • DEDUCTIBLE ❑ RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR 1 PARTNER / EXECUTNEY/14 OFFICER / MEMBER EXCLUDED? (Mandatory In NH) Irk, describe under SPECIAL PROVISIONS below 1 WC STATU- In OTH- TORY LIMITS ER EL EACH ACCIDENT EL DISEASE - EA EMPLOYEE EL DISEASE - POUCY LET OTHER DESCRIPTION AIR CONDITIONING OF OPERATIONS 1 LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS SYSTEMS OR EQUIPMENT- DEALERS OR DISTRIBUTORS AND INSTALLATION, SERVICING OR REPAIR CERTIFICATE HOLDER MIAMI SHORES BUILDING DEPT. VILLAGE HALL 10050 NE 2ND AVE. MIAMI SHORES, FL 331382382 CANCELLATION SHOULD ANY OF EXPIRATION DATE 10 ' S THE LEFT, = , F i OF ANY s ACORD 28 (2009101) QF VE DESCRIBED POLICIES BE CANCELLED BEFORE THE , THE ISSUING INSURER WILL ENDEAVOR TO MAIL NOTICE TO THE CERTIFICATE HOLDER NAMED TO TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY INSURER, ITS AGENTS OR REPRESENTATIVES. ®1 + 19 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ...►`oRV° CERTIFICATE OF LIABILITY INSURANCE 1 OP ID: TG DATE (®I10DIYYYT) 05/25/11 THIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFRRIMAT1VELY OR NEGATIVELY AMEND, EXTE♦iD OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF ROURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORS REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder la an ADDITIONAL INSURED, the polcy(iea) must be endorsed. if SUBROGATION 15 WAIVED, subject to the terms and conditions of the policy, certain poles may require an endorsement, A statement on this certificate does not confer rights to the certificate holder In Hsu of such endorsement(s). PRODUCER INNOVATIVE INSURANCE CONSULTANTS, BIC. 5461 UNIVERSITY DRIVE, 6103 CORAL SPRINGS, FL 33007 BRIAN J. MAMO 854-340.9851 954340 -9456 r SIICHAEL. THOSPSON int"E No. X954 -581 7110 UNIVERSALAIRHEAT @OMCAST.NET 1 ac. Nob 954- 5819232 s,JUNIVE y INSUREARBAFFORDINGCOVRIAGE FMCS Iii UNIVERSAL RESTORATION, INC. DIM UNIVERSAL AIR & HEAT 5480 STATE RD 84.012 DAVIE, FL 33314 MUMS INSURANCE CO. INSURE IS: INSURER C: DLSURERU: HOME E: INSURER F: COVERAGES CERTIFICATE NiRABER: REVISION NUMBER: THIS 1S TO CERTIFY THAT 17.1E POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWFI1ISTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAiN. VIE INSURANCE AFFORDED BY THE POLiCiES DESCRIBED HEREIN IS SUBJECT TO ALL TM TERMS, EX(WSIONS AND CONDmONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEBI REDUCED f3Y PAID CLAIMS. MISR LTR TYPE OF INSURANCE GENERAL UABB.UY POLICY NUMBER (Alir�OYri'F11t LIMITS COAL GENERAL UABI I Y ICLASISNIADE ❑ OCCUR GEM A ATE MI-APPLIES PE1t PRY 111[1 1fl LOC AUTOMOBILE LIABILITY ANY AUTO ALL ONE AU O8 SCHEDULED AUTOS HIRED AUTOS NONNOMM EDAUlOS EACH OCCURRENCE PREMISES (Ea treountxmol S MED EXP (Pm we person) $ PERSONAL &ADVINJURY G»RALATE PRODUCTS -COMP/DP AGG $ S a a 5 COMPOSED SRIGLE LAST (Ea exidual) BODILY BMW (Perpetaal) BODILY MAY (Per accident) a PROPERTY DAMAGE (FIN $ s UIMBRE.LA LUIS . OCCUR EXCESS LIAR CIAMS.MADE A DEDUCTIBLE REiINRON 5 WORKERS COMPENSATION AND MAPLOYERS LIABILITY YtN ANY FROPRIETORPARTNERMEECIDIVE yea8 h DCe I1DED? OFSt rION OF OPERATWNS below EACH OCCURRENCE AGGREGATE a $ s $ S N/A GWG0334001917111 05120(11 05120112 ^I E I01ER EL EACHIUMIDENT s 1,000,000 E.L. DISEASE -EA EMPLOYEE s 1,000,000 EL DISEASE- POUCYLi IT $ 1,000,000 DESCRIPMON OPOPBtATiON$ I LOCATE /MIDLER (AttachAcORDMSf, Additional Remarks Sahadule f:nova space Itsrsgalrealj CERTIFICATE HOLDER CANCELLATION SAAMi-6 V)LLAGE OF MIAMI SHORES 10050 NE 2 AVENUE MIAMI SHORES. FL 33138 &HOER DANY OF THE ABOVE D D POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THE, NOME WILL BE DELIVERED IN ACCORDANCE BOTH THE POLICY PROVISIONS. JTHO / iTATWE ACORD 25 (2009109) 01088-2009 ACORD CORPORATION. AU rights reserved. The ACORD name and logo are registered marirs of ACORD DESCRIPTION I11III1IIIiIIIIIIIa (, le1 �Illulllll 1 111111 ICI IIII I� IIIIINI IIII111� 111 �11111I1 �111�i�� 14A 3M3OA°1 q 11t,{1I1Milliilk® IIiI1 ENNI S 799••43611070.60 Ia1I�NIQ��1111�1i�1�111�11111111III��lII11HIINlliq�llllUllll� imunnumausmin 73 ?3g20tB6777 versal ir&heat compliments complaints questions Toll Free 1- 866- 999 -2665 State Licensed & Insured o # CAC058142 5460 State Rd. 84 # 12 Davie, FL 33314 DATE DATE SCHEDULED NAME STREET 171 PHONE CITY existing e/h model # STATE ZIP WORK PHONE existing aih serial # existing condenser model # new eel model # new condenser model # existing condenser serial # new el serial new condenser serial cc e?5Y,44. ,57 2P' ' —i $ C4'4Jv J jL, 4 27x i� I ) 1. Men perforated 'tinder the warranty policy will be provided by Universal Air & Heat during WWI MN* . I hind, Monday to Saturday. Business hours being 6:00 to 6:00 pm, Monday through Friday &:00 am to 6:00 pm Saturday 2. Warranty does not Cover or Include routine ma!ntenanos such as chenghrgldeaning 16t01s, Kin1 linty, tihl,tilnd, inagttnt Iriyplhg or replacing fuses 3, It shall be at the Secretion of Universal Air & Heat and lb Technician to nmalr replace defottive pota4,titilIS 4 ttinteltiln whenever is necessary. Any Nulsama cab beyond the scope of this egreemerd will be charged stout normal sahoto thin flpolIAerirurgencyrates, 4. Any alteration ordeviation6 anOeproposedspecicationsorconditaeInvolvinge xtra tontnilnlhletlhlhfirl. r WO tellybeexecuteduponthewrittenorderf orthesameandvri1beremeanextraBargeoertheCummentionedInthisebnitu 111. lo,. 1011 condltlnnssel forth in this agreement are the oNy agreement between the parties, any inconsistent term or onndidai le nip y(nl It 11iis octeement unless n Is in writing and sighed by the customer and Universal Air & Heat 5. Tide to the equipment and other materials will remain with Universal/Mr & Heat and all sumo dint- i4,t1*, , Irefnl ichf Tit full 0. All balance) not paid within 30 days of the bid dale will be eubjed to a mord* seMce damn in 11 Niolwit nf1 NM 11 the outstanding balance. Customer Is responsible for all coat of collection, including reasonable attorney's fees In the }Wan! rd trim pnytmptl. In the event that My poen/customer files suit against Universal& & Heat such cese Is fourtd Worst liMittrnOtAll 44114' d1¢ ni, hmrunpoll(toyell amtincludingreasonableattorneysfees. 7, Customers edmowledges and understands that the dealing afNC duds and registers milt' pis eij,1 tJoiiifril ins any onnuutrt or animals in the job site due to the release of potentially dangerous airborne particles °Westing mold and duel), Uuahem et itt uhly responsible to provide for the safety atoll persons, pets and things at the lob site. Customer is relay rOspsiind11nfin any blind rtli 1 5byti nytwmot ttherein. CustomeragreestoholdUniversalAir& HeatharmlessandIndemnifyUniversalAlt& Heatformy theencenfoliedtothecleaning, removal or replacement of ducts, registers or ether equipment Universal warrens eating tine him +Mall e t.., 1,' foy<l weir rim equipment Installed or serviced. Universal NT & Heat will use nitrogen to blow out drain h es and assumes nernapialaltallly ha wrier damage of any Idnd 6. UniversalAlr& HeatIsnotresponsib leforartywaterdemege,wagpainting, framing, and wall yovniteO ,Ofrlltletenhlviolnyto idly (Ater inconvenience other than that of mechanical failure. Universal Air & Heat agrees to use reasonable ellen M Rut titel molt within existing wads, conga and gels. Customer acreteeredges est the wore performed may reecee toecnhinlnlh?n td iftintot 4 i, #met [rmdfr at.", to conceal ductwork or other equipment and customer shad pay for all cast esaoataled with the construclklry,fiwiur 1t, 9. Universal Alr & Heat has the right stop ali work if payments as set forth herein are not Merle teem litri dim tittle, I, nu env oetrinnenUmatedals have been delivered et the fob site, It Is the restdentlaUContrnental property owner's or ths flerasol Conlon q totponsibility to CMG for Dam. 10. Universal Kr& Heat can and has the option to pick up any parts, e qui pment ,511110,et0.,ippmyuutnla tut iiof f..r {l g; re ururnmotmuteuponIhaduedatefromanyandall properties, where sucheqrdpment ,ahcondnbnb8units,andpadbexlal 11. Any &AA parts, equipment, supplies, eta, tat hove rat teen paid fo shall remoln0apml»Y of 1lnWnvf.1 Art ' trtiitl molt Itru hehutrxt Is paid In full 12. Upon acceptance Oda proposal sets forth the entire egreementoflob behvaen both plebe, Warranty: 13. Universal Alt & Heat warrants that for 30 days from thedataof tnstafation, aflpmduoln h11'.' 11,0 1,11 '"2. IntAtoltb wonnenntitilp - except the air conditioner system compressor which Is also warranted for 6 to 10 years rlohhihndtula ;fya +1ttenIduel the manufaa tuner. Copies of warranties are provided upon installation of new ascaldeloning oquhppmnt 14. We warrant new ad eondidodng equipment for a period of one yea from the data of budullnilr,, Oihf ender-41i we'5 6t, (fwnluhrt.5 by us will be free from defects. 16. Under 'Ns warrant, Universal Air & Heat has the tat option to repair the egslprlWniof [soma tolwott44410, 18, Any job that requires a rem* win be eubjed to a $x.00 minimum pem(tn fee gvrareel nfm.vn 11,1 1'1,11 .wont t' I' s 0111111010,111W11101.19 otherwise sated In the above conbacl. 17. Customers will be subject to a minimum $76.03 red tag tee depending on the city If 111,1 litsnittlett ftttifVrittS la ... i' o h.. rrr iinnnrva. (Example: Not home or No access to Inspect.) THE LIABILITIES BET FORTH ABOVE ARE IN OFALL OTHER WARRANT I ' 1 ANli I MAtlil I 11i;41 1 fli Gfl r 1' IMI "I1ry11, Pi LAW OR IN FACT, INCLUDING IMPLIED WARRANTIES OF MECHANTABILI1Y FOR SALESPERSON CHECKLIST Size of slab Sias of Aih breaker Size of condenser breaker Size of A/H hlgh voltage w6e size condensor high voitago wire Closet dimensions Attic openings dimensions'_ d h Size of existing keen lire Is there a 116 volt outlet In the A/H closet for a condensate pump D yes 0 No la the existing return lox D Yea D No Insulated on an sides & the bottom Is the existing drain line insulated D Yes CI No Notes For Installer, STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399, -0783 THOMPSON, MICHAEL ANTHONY UNIVERSAL AIR & HEAT 5460 STATE ROAD 84 BAY 12 DAVIE FL 33314 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and team more about the Departments initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! t .� BATCH NUMBER 1 4 ANY. 115 S, Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2011 THROUGH SEPTEMBER 3012012 Receipt #:183 -1458 Business Name: UNIVERSAL AIR & HEAT Business Type:HEATING /AIRCONDITION 'CO (CLASS 8 A/C CONTRACTOR Business Opened:12/23/2004 StatelCountylCert/Reg:CACO58142 Exemption Code :NONExEmPT DBA: Owner Name: MICHAEL A THOMPSON Business Location: 5460 STATE RD 84 3.2 DAVIE Business Phone: 954- .581 -7110 Rooms Seats Employees '10 Machines Professionals For Vending Business Only Number of Machines: Vendinn Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and Is non - regulatory In nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business Is legal or that It Is in compliance with State or local laws and regulations. Mailing Address: MICHAEL A THOMPSON 5460 STATE ROAD 84 #12 DAVIE, FL 33314 Receipt #032 -10- 00006417 Paid 09/01/2013. 27.00 2011 - 2012