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MC-11-2169Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 166938 Permit Number: MC -11 -11 -2169 Scheduled Inspection Date: March 12, 2012 Inspector: Perez, JanPierre Owner: RODRIGUEZ, JOHN Job Address: 29 NW 107 Street Miami Shores, FL 33168- Project: <NONE> Contractor: EDD HELMS ELECTRIC & NC INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)776 -0889 Parcel Number 1121360070460 Phone: 305 - 653 -2520 Building Department Comments REPLACE EXISTING 3 TON AIR CONDITIONING SYSTEM. Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments March 09, 2012 For Inspections please call: (305)762 -4949 Page 8 of 31 30 BUILDING 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 Permit No. (I —2 I Gel PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL Owner's Name (Fee Simple Titleholder) 01/ .4) oad et ve z_ Phone #32c— ?740. -DPe 9 RECEI T' NOV 2 x'2011 BY: Master Permit No. Owner's Address 2. / k) (0 7 S`t l e-er City /'vi 1 /4 i 1 ( State r--10/-1 Zip 3 3 / Tenant/Lessee Name Email Phone # Job Address (where the work is being done) a9 /VA/ /0 7 S -e eF City Miami Shores Village County Miami -Dade Zip 33/5 3 FOLIO / PARCEL # // — .v2/ 360– ®® 7- ® � C� Is Building Historically Designated YES Contractor's Company Name +++eil F/o',,(f+ 4+ l"v00047 ip.t?✓il q Phone ( f) ( T3 f ?.� 3 0 Contractor's Address ,�7 SC, /b%p. I . 5 1i v City / 27/ k-7Eei ( State `' /O /"'r c Zip 3 3 (, Z Qualifier Name 1201i lI 120c-r ®(" 1 5 Phone # 3 e 6,s." 3 ° 2s-so State Certificate or Registration No. (-pi C l Z fl ` b 71( Certificate of Competency No. NO ai Flood Zone Contact Phone 2,S-6.53- 2120 Architect/Engineer's Name (if applicable) E -mail fraweith e y gee /4,4 1S. do vs-, Phone # Value of Work For this Permit $ kit 7 t - ' Square /.Linear Footage Of Work: Type of Work: ['Addition ['Alteration ['New 11:: . Repair/Replace ['Demolition Describe Work: /Zc� Y`ef e Ei` (s 1 (NJ i 041 l�a� 7c10/2t, f , ar + * **x* r **x *x** * * ** * es***************************************** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Notary $ Training/Education Fee $ DPBR $ Violation date: Technology Fee $ Bond $ Structural Review. $ Total Fee Now Due $ See Reverse side -* 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. Signatur Owner or Agent The foregoing `instrument was acknowledged before me this 14.' day of NI `� / , 20 11 , by ilnkt&-fiZ6trt who is personally known to me or who has produced As identification and who did take an oath. 4° ",:`4Z:kt, A1.BERTO F. QUIROS * MY COMMISSION # DD 827416 EXPIRES: October 21, 2012 'two" Bosded Diu B NetrySees NOTARY PUBLIC: 9 My Commission Expires: (9€7 2, � Za / Z_ Contractor The foregoing instrument was acknowled ed before me this Z day of 0 V , 201,( , by Ile -/1...e who i N me or who has produced as identification and who did take an oath. PUBLIC: AR. i Sign. Print: My Commission �,_ ':` -MY COMMISSION # DD 817400 rr E.XI'IAES: October 1, 2012 Wad fhisMWyF Undeiwhun * * * * *** * ** **** * ** * * ** *,ter * * * - ^, * * * * * ** * * * * * * , ,t{ * * * * *x * * * * * *, , seer *** * *, sac***** ,a ** ***x * * *** **** *** * * * * ** *x* v\ APPROVED BY Plans Examiner (Revised 07 /10 /O7)(Revised 06/10/2009) Engineer Zoning 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): 2 9 fu t.() C! ? Sr' /Zfi4/44 / 61/0 "se 11r L 1,41-1-e City: Miami Shores Village County: Miami Dade Zip Code: .33 i 4 -3 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 IN UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER /2e�i..0 S' /2, 6/4 2 11 itlieieW HUi.r PKG. UNIT MODEL# /21/LL /411 3e?( J4 124L-LamJAZ. •ND. UNIT MODEL # ivy Aril a4Aa1 KW HEAT t 0 NOM TONS 3 AHU CU PKG 1) M.C.A AHU L'!CU 3.0PKG AHU CU PKG 2) M.O.P AHU Jv CU 30 PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / I PKG UNIT I I EER/SEER i 6. See•Z YES NO REPLACING DUCTS YES NO i( YES NO REPLACING THERMOSTAT YES X NO YES NO NEW 4 "CONCRETE SLAB YES .b( NO YES NO NEW ROOF STAND = "- YES NO DC YES NO NEW RETURN PLENUM,BOX ' '- ' "` YES NO p( 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 4'O4" 474 4//74/6414, lei' ao,o - ��°�� -� thy(i' 3. Voltage of Circuit (2080.80): 4. Size Disconnecting Means: Contractor's Company Name: edg eggic4c1-r 141 Phone(bi7.1) State Certificate or Registration N. Certificate of Competency N. Signature (Qualifier's signature only) oberts Date: CMC 1 249674 EiihibEddHeims Air Conditioning &Electric CIVIC 1249674 November 11, 2011 John Rodriguez 29 NW 107 St Miami Shores, F1, 33168 (305) 776 0889 We hereby propose to furnish labor, materials, and equipment as outlined below:: 1) Ruud cube (3) ton 16 seer system with air handler + R410 -a refrigerant ❖ Condenser Model :14AJM36A01 Air Handler Model: RHLLH'3821JA ❖ Copper on aluminum condenser coil. 2) 10 Kw electric heater: 3) Hurricane clips for condenser. 4) New cement pad. 5) Install new Honeywell digital thermostat. 6) New filter rack with filter. 7) Install new cut off switch. 8) New 7/8 x 318 - refrigeration lines. 9) Reuse: no warranty items. + Reuse all breakers, and wiring: + Existing duct work. + Existing metal stand. 10) Remove existing equipment from premises. 11) Complete startup and check out. 12) No other items included other then work scope listed above. 13) Mechanical city permits with inspections included for unit replacement 14) Optional 1 bulb UV light system AIR KNIGTI I for air handler additional $650.00 15) Optional 10 years labor extended warranty: additional $780:00. 16) Warranty • Equipment- 10 years compressor, 10 years condenser coil, 10 years parts, and -1 year labor. • After it is registered with the manufacturer. > Warranty Hours M F 8:30am- 5:30pm 17850 NE 5th Avenue • Miami. t'L 33162 • Tel: (305) 653.2530 • Toll Free: (800) 329 - 26330 *-Fax: (3051653 -7933 • v r.eddheims.com €Jll1ll'Edd Helms Air ConditionlnR & Electric CMC 1249674 Total for goods and services above: $4,178.00 FPL Rebate: - $ 585.00 Final Investment Price (Total): $3,593.00. System is approved for federal tax credit (Customer is. responsible for applying for tax credit on their 2011 tax retltrns) Cash or Credit Card terms: 50% down payment, balance due on startup of equipment This proposal is dated November 11, 2011. This proposal is valid for 30 days.. Edd }feints Air Conditioning is authorized to perform theabove work and services at the prices and terms specified herein. All payments shall be due in accordance with the terms described above. Customer agrees to pay all court costs and attorneys fees should legal mean be necessary for collection. The HVAC system included in this proposal is designed according to industry standards to provide comfort cooling in occupied areas. This proposal does not include the responsibility by EDD HELMS for any procedures to identify, control, eliminate or remove mold in occupied or unoccupied spaces. If you suspect mold to he a problem, or if you have construction conditions that support the growth of mold, we recommend the CUSTOMER take remedial actions outside of this proposal to eliminate the problem, remove -the mold, and insure a mold free environment. Edd Helms Air Conditioning shall not be responsible for drywall repairs, painting, concrete repairs, or code violations outside: of the scope of work. All cancellations must be submitted in writing direct to Edd Helms Group, Inc. three business days before verbal schedule installation date. MOLD AND ISSUES RELATED TO INDOOR AIR QUALITY. This contract does not include the responsibility by Edd Helms for any procedures to identify, control-, eliminate or remove mold or mildew in any HVAC systems or equipment, If you suspect mold or mildew to be a problem, or if you have construction conditions that support the growth of mold or mildew, we recommend the CUSTOMER take remedial actions outside of this proposal to eliminate the problem, remedy the construction conditions, remove the mold or mildew, and insure a mold free environment. Alberto Quiros Comfort Specialist Cell: 305 - 218 -3134 Aguiros @eddlteltns.com Cast m r Signature It� 14 II Date 17850 NE 5th Avenue •' Miami, FL 33162 • Tel (305} 653 -2530 • Toll Free: (800) 326 -2530 «'FIX: (305) 853. 7933.• www.oddhelms corn This combination qualifies for a Federal Energy. Efficiency Tax, Credit when placed in service. between, Feb 17,;2009 and Dec. 31, 2011.: AHRI Certified Reference Nurnber. 3849913 Date: 11116/2011- Product: Split System: Air- Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM36 indoor Unit Model Number: _RHLL- HM3821 +RC SL -W3821 Manufacturer: RUUD AIR CONDiTIONNiNG DIVISION Trade/Brand name: RUUD 14AJM SERIES Manufacturer responsible for the rating of this system combination Is RUUD AIR CONDITiONING DIVISION Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air - Source HeatPump Equipment andsubjectto verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Capacity (Stun) 37600 EER Rating (Cooling): 1!3=00 SEER Rating (Cooling): 1606 Ratin >s Wowed biranasteriskI 'Iateatvnluntar#raraiea DISCLAIMER AHRI cleat not endorse the producttsl Its ted.onthLscadificate and makes no representationst,warranties or guarentees asta..and assumes ivo respons1b111Vt ik the productt s). 1stedonthteOedlficate .AHRIexpressly* e &Validity for damageeof any itfortailiainteutidthatise performanceof theproduct{sl.orthe uuauthorizedatterailon of data listed owthis Certificate. rtiSedzplings'are valid only for modetsandeonligttralltaltated fn ilia drede?ryyatwvariah'rJdireeter 04 TERMS ANO,CONDiTION&s This Certificate and RS contents are proprietary pnodactsofANRI. Thin Certificate shall only he usedforindleidua4 pexonalandconfklengal reference purposes. thosoidents of this Certiitcaemay not, inwholS &fnpart,,hareprnde-cad; copied; disseminated;a ntantalntoaoempzderdatabase ;orotherwise illized,.thany former mannererby any Means, except for the user slndtvidaal, personal and confidentialreferoytee; Rusty published dale, unless S. a undfcate8 an tttvelun>ary terate,. CERTIFICATE VERIFICATION The ihfnrmationforthe model cited :Oil ttdscordf tsars -cante verified atwEnt.anddlrectorymg„ Aft-C nditioning,.MOOttns claim Verify Carlintrateth at endenteriheA MCediflulReferenceHumberandthedaleon '„ andPofrigeration tlule whichthe certificate was_ hunted, which laffstettaboVerendiheZeitilleate No„ which IS Sited below — ©2011 Air - Conditioning, Heating, and Refrigeration institute CERT'IFICAT'E NO.: 129ti59481607299215 24f MW to-) s -i- Pil taws ; sho ,R 3 3 Cs-3 (vt (14 (o c,,•'r -5 -S