MC-10-14742.1 T Submittal Fee $
L't I5Z Miami Shores Village
Building Department
BUILDING
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: MECHANICAL
Owner's Name (Fee Simple Titleholder) 0„CISCIVOCaaa Phone # - 1®I -1
Owner's Address T15 OE - - ccr + I
City State - Zip 33 13 2
Tenant/Lessee Name Phone #
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
0303man
Al AN a_eio
�1 ia1
Permit No. MC t() - 141
4 >O -
•••
Email co (r1c& • conf,
331
Job Address (where the work is being done)
City Miami Shores Village
County Miami -Dade
FOLIO / PARCEL # 1 — ® (D(-13- 040
Is Building Historically Designated YES NO e.-...•°°'"9"11
Zip
Contractor's Company Name a-}t'ig `d"G At r 4 1'I�Ci�t'i Phone #
Contractor's Address 515 146 1' /n 0
City rY1 ttl' f n o t State Zip 3' j 1-19
Qualifier Name Jo) .rirtemain Phone # 7 CA LL D& 7y)
State Certificate or Registration No. £ iNCc7 4' 1 11 Certificate of Competency No.
--I Contact Phone A 11C I4
4 0 E -mail
Flood Zone
V7 4q4o 017i
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $
Type of Work: ❑Addition
Describe Work: 111iA.0 INS14
Square i"Lineafin of ge-3f Wtrk:= _ ._:
Demolition
********* ** * * * * * * ** * ** * * * * * * * * * * * * ** * ** ees************* * * ** * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit Fee $
CCF $3 •w CO /CC $
Notary $ 2 Training/Education Fee $ A. 0 0 Technology Fee $
3
Scanning $ .00 Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $ X71 -
See Reverse side 2i
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 CONDITIOIlERS, 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 ofia building permit with an estimated value exceeding $2500, the applicant must
promise in good faith tha a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subj $ attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
inspection will
for the first inspectich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
n r% -' ved and a reinspection fee will be charged.
Signature RUYA.!
er or Agent
The for going instrument was ac
day of ,g g: 2010 , by
Contractor
The foregoing instrument was acknowleIged before me this 2g-
day of
,20 /0, by r7 MA -,,
who is personally own to me or who has produced who is personally known to me or who has produced
NOTARY P
Sign:
Print:
My Commission Expires:
As identification and who did take an oath.
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
:CRtPubtc - Stf Florida
•= My Comm. Expires Jun 1, 2013
Commission # DD 894823
0141149makfielar#443srs
* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * ** * ** * * * * * * * * **
Plans ans xaminer
Engineer
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
* * * * * * * * * * * * * * * * * **
Zoning
Clerk checked
ADDENDUM TO BUILDING PERMIT APPLICATION i
AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN B Ar NED T � 2010
OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.
PERMIT # !'YV, l °111
PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR:
PLUMBING
ELECTRICAL
ECHANICAL
ITEM
UNIT
FEE
ITEM
UNIT
FEE
ITEM
UNIT
FEE
BATH TUB
SWITCH OUTLETS
SPACE HEATERS
DISHWASHER
LIGHT OUTLETS
CENTRAL HEATING 54:1ft,/
DISPOSAL
RECEPTACLES
NC (WIND)
FLOOR DRAIN
SERVICE TEMPORARY
NC (CENTRAL) 240r
%
GREASE TRAP
SERVICE SIZE IN AMPS
DUCT WORK
INTERCEPTOR
SERVICE REPAIR/METER CHANGE
REFRIGERATION
LAVATORY
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
LAUNDRY TRAY
RANGE TOP
UNDERGROUND TANKS
CLOTHES WASHER
OVEN
ABOVE GROUND TANKS
SHOWER
WATER HEATER
U.F. PRESSURE VESSELS
SINK. POT /3 COMP.
MOTORS 0 -1 HP
STEAM BOILERS
SINK, RESIDENCE.
MOTORS OVER 1 -3 HP
HOT WATER BOILERS
SINK, SLOP.
MOTORS OVER 3 -5 HP
MECHANICAL VENTILATION
TEMPORARY WATER CLOSET
MOTORS OVER 5 -8 HP
TRANSPORTING ASSEMBLIES
URINAL
MOTORS OVER 8 -10 HP
ELEVATORS /ESCALATORS
WATER CLOSET
MOTORS OVER 10 -25 HP
FIRE SPRINKLER SYSTEMS
INDIRECT WASTES
MOTORS OVER 25 -100 HP
COOLING TOWERS
WATER SUPPLY TO:
MOTORS OVER 100 HP
VIOLATION
NC UNIT
NC WINDOW
REINSPECTION
FIRE SPRINKLER
AIR CONDITIONERS
HEATER -NEW INST.
STRIP HEATER
HEATER - REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
GENERATORS TRANSFORMERS
SWIMMING POOL
GENERATORS TRANSFORMERS
WATER SERVICE
SPECIAL PURPOSE.
SEWER CONNECTIONS
OUTLETS COMMERCIAL
UTILITY -SEWER
SIGN TUBES
UTILITY -WATER
SIGN TRANSFORMERS
SEPTIC TANK
SIGN TIME CLOCK
RELAY
FIXTURES
FAINFIELD, 4" TILE/RES.
ANTENNA
PUMP & ABANDON SEPTIC TANK
TELEVISION OUTLETS
SOAKAGE PIT CU. FT.
VIOLATION
CATCH BASIN
REINSPECTION
•
DISCHARGE WELL
DOMESTIC WELL
AREA DRAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STANDPIPE
POOL PIPING
LAWN SPRINKLER SYSTEM
GAS RANGE
METER SET (GAS)
GAS PIPING
02/03/2010 11:48 3056548152
AFFORDABLE PAGE 01
ACORD„ CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
Risk Transfer Programs, LAC
sea-4E.-93E2' " ••
219 East Livingston Street
Orlando, FL 32801
AQPXQVZH
DATE (MM/DD/YYYY)
12/18/2009
INSURED
First Financial Employee Leasing, Inc.
PA 941- 625 -7141£ 800 -624- 1805 /Fx 941 - 683 -5E52
3745 Tamiami Trail
Port Charlotte, FL 33952
THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
- • " ' HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
MMURERn=4 Inaurmca company 40134
INSURER B:
INSuRER 0:
INSURER 0:
INSURER E
COVERAGES
THE POUC1kS OI-• INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AEWE FOR THE PQuCY PEF(IOU INDICAI kLT. NO I'W fHS IANUINC
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE APPORDED BY THE POLICIES DESCRIBED HEREIN IS SUSJEGTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iA3R rm-
LTR INSRC
• TYPE OR INSURANCE
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
I CLAMS MADE n OCCUR
L.�
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY f j'CT LOC
AUTOMOBILE tiAWUTY
ANY AUTO
ALL OWNED AUTOS
80HEDULED AUTOS
HIRED AUTOS
NON DINNED AUTOS
POLICY NUMBER
POLIC7 [iSmCnve DUB JY DN
DATE (MM/DD/YYI
EACH OCCURRENCE
LIMITS
■,.i,.•.., • a . ■
,PREMISES CEe ocWI8nre). .. .......
MED EXP (/Wry we person) $
FkRSONAL & AUY INJURY
GENERAL AGGREGATE
S
3
PRODUCT$ - COMP/OP AGG
(
3
iOa ect deent) SINGLE LIMIT
$
130DILY INJURY person
$
BODILY INJURY
(Pera0cMeM)
5
PROPERTY
amDAMAGE
5
A
GARAGE UAflILITY
ANY AUTO
..EXCESSNM8RELLA LIABILITY
OCCUR El CLAIMS MADE
RDEDUCTi8tE
RETENTION • 3
WORKERS COMPENSATION AND
EMPLOYERS' LIAAILITY
ANY PROPRiETOHfgiII NEWEXECUTIVE •
OFRCER/MEMBER EXCLUDED?
SPE6IALLPPROVISIONS below
CIDIER •
AUTO ONLY - EA ACCIDENT
OTHER THAN
AUTO ONLY;
WSLTEPE 000066 04
EACHOCCURRENCE
AGGREGATE
EA ACC
AGO
$
8
$
3
3
12/31/2009
01/01/2011
X� RY LIMITS i i ER
E.L EACH ACCIDENT
$
S 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
DESCRIPTION OF OPERATnoNy / LOCAlions /VEHICLES / excursion ADDED BY ENDORSEMENT/ BPECiAL PROI118ION3
Coverage is extended to the leased employees of alternate employer (Florida,
Affordable Air a Heat inc. $ 5208 (Effective 12.07.2006)
PLEASE CALL FIRST FINANCIAL FOR AN UPDATED LIST OF COVERED EMPLOYEES.
CERTIFICATE HOLDER
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
Georgia and TexaS Operationa Only):
City of Muni Shores Village
10050 NE 2 AVG
Miami3Eoree, FL 33138
ACORD 26 (2001/08)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCWBE0 POLICE BE CANCEL= BEFORE THE EXPIRAnQN
DATE TREMOR THE LES(ANG INSURER WILL EMDEAVDR TO MAIL 30 DAYS WRITTEN NOTICE TO
THE cERnFIcATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 30 SHALL IMPOSE NO
OBIJGAT(ON OR uABO,ITY OF ANY KIND UPON THE INSURER, ITS AGENTS op
REPRESENTATIVES.
AUTHORS REPRESENTATIVE
Page 1 es 1
® ACORD CORPORATION 1988
02/03/2010 11:48 3056548152
. .
AFFORDABLE
SEE OTHER SIDE
DO NOT FORWARD
AFFORDABLE AIR $ HEAT INC
515 NE 190 ST
MIAMI FL 33179
J',I1Ii1111ijJ11jbI1 411,1,1.48,1111,111..111,1,141)All
PAGE 02
A3 a ' jzI3
Air Conditioning & Electrical Contractors
AffordableAir&e ' nc.
CAC048111
C /a( WHERE QUALITY IS AFFORDABLE
515 N.E. 190th Street • Miami, FL 33179
Jrade (305) 940 -0777 Broward (954) 987 -9943
HOME # :-
2c/?
CELL # 7f /- 1, i /
NAME: e955 &iA
CITY:
STATE .z ZIP ,
n
MANUFACTURER
Ell MOM
JOB DESCRIPTION:
WORK #
E00001140
OTHER #:
STREET:
CITY:
STATE:
ZIP:
EQUIPMENT
CONDENSER / PACKAGE MODEL
J 'jL 4o/
SCHEDULE
AIR HANDLER MODEL
S.E.E.R.
EST. ANNUAL
OPERATING COST
HEATER
TONS
2—
DESCRIPTION OF SERVICES PERFORMED
AIR DISTRIBUTION:
Ductwork will be designed, fabricated and installed in accordance with
accepted engineering practices and in compliance with all building codes
in force on above date. ®s
DUCTWORK:
System of fle ber andlor ductwork with
outlets and returns. Subject to modification according to structural
or other requirements.
LABOR WARRANTY:
Service will be provided free by us fora period of B C
year(s) from date of installation during regular working days & hours.
MANUFACTURER WARRANTY:
Parts Warranty (Yrs.)
Compressor Warranty (Yrs.)
EXTENDED WARRANTY:
Provided through
C
C
for
AFFORDABLE AIR & HEAT, INC. WILL PROVIDE: YES NO
INSTALLATION OF EQUIPMENT ,/177 ❑
REFRIGERATION LINES ( ) OR FLUSH ( ) ❑
GRILLES (5) RETURNS (Z.) ❑
PERMIT FEE(S) & PLANS, IF REQUIRED
DRAIN PIPING ( ) OR FLUSH ( ) ❑
AIR HANDLER SUPPORTS
CONDENSATION PUMP
EMERGENCY FLOAT SWITCH
HURRICANE TIE -DOWNS
CONCRETE SLAB
year(s).
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 shalt have the right to take immediate possession of said merchandise
and 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
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
electrical systems, and maintenance related repairs.
In the -event -the purchaser refuses to allow seller to commence work after
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 any existing building or electrical code violations.
All material is guaranteed to be as 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 be executed
upon written orders and will be subject to charges over and - } e this estimate.
Initial Here
DeTtiol,
NO
EXISTING YES
❑ THERMOSTAT ❑
❑ CARPENTRY ❑ ,X
❑ BALANCE AIR FLOW ❑
• REMOVAL OF JOB SITE DEBRIS - ❑
❑ ❑
❑ ❑
❑ ❑
ELECTRICAL WIRING (POWER CONTROL) ❑
CONNECTTO EXISTING SERVICE/PANELS ❑
INCREASE ELECTRICAL SERVICE AMPS ❑
OTHER ❑
OTHER ❑
OTHER ❑
EXISTING
OST
REBATES /CREDITS
TOTAL COST
1, �iy, 1
L _ r%
B
c
Payment to be made
ff■JANCING AVAIL
as follows• , ad7 L) U " 'CYO deposit, balance
upon start-up.
1 4111
This
THE
Option
Authorized Company
proposal subject tO
ABOVE PRICES, SPECIFICATIONS AND
Chosen Signature
-
Date
Signature _
acceptanc =# !thin s days and is void there after at the
option of the seller.
WILL BE MADE AS OUTLINED ABOVE.
Date
CONDITIONS ARE HE IF ACCEPTED. YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED. PAYMENT
www.ahridirectory.org
Certificate of Product Ratings
AHRI Certified Reference Number: 1346181 Date: 1/28/2010
Product: Split System: Air - Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 13AJL24
Indoor Unit Model Number: RBHP -17 +RCHL -24A2
Manufacturer: RHEEM MANUFACTURING COMPANY
Trade/Brand name: RHEEM 13AJL SERIES
Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING COMPANY
Rated as follows in accordance with AHRI Standard 210/240 -2006 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): 23600
EER Rating (Cooling): .. 11.50
SEER Rating (Cooling): 14.00
A * following a ratlng'indicates 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 www.ahridirectory.org.
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 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 listed above, and the Certificate No., which is listed below.
2009 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129091652911534007
la ® Air - Conditioning,
® ®s®Heating, and
Refrigeration Institute
,�� Project Summary
�. Entire House
AFFORDABLE AIR & HEAT,INC
515 N.E. 190th STREET, MIAMI, FL 33179 Phone: 305- 940 -0777
Job:
Date: 01 -28-10
By: JON FREEMAN
For:
Notes:
P r-o'ectaInformation
CASA URBANA
637 NE 92 ST, MIAMI, FL 33138
Phone: 305 - 762 -6191
NEW INSTALLATION OF CENTRIAL AIR AND HEAT REMOVING EXISTING WALL
AND WINDOW AIR CONDITIONING UNITS.
Desi n;Infor'mation
Weather: Miami, Intl AP, FL, US
Winter Design Conditions
Outside db
Inside db
Design TD
Heating Summary
Structure
Ducts
Central vent (49 cfm)
Humidification
Piping
Equipment load
Infiltration
Method
Construction quality
Fireplaces
50 °F
70 °F
20 °F
8444 Btuh
74 Btuh
1068 Btuh
0 Btuh
0 Btuh
9586 Btuh
Heating
Area (ft2) 929
Volume (ft') 8198
Air changes /hour 0.45
Equiv. AVF (cfm) 61
Simplified
Average
0
Cooping
819988
0.23
31
Heating Equipment Summary
Make RHEEM
Trade RHEEM
Model 5KW IN AHU
Efficiency
Heating input
Heating output
Temperature rise
Actual air flow
Air flow factor
Static pressure
Space thermostat
100 AFUE
17070 Btuh
17070 Btuh
19 °F
800 cfm
0.094 cfm /Btuh
0.00 in H2O
Summer Design Conditions
Outside db
Inside db
Design TD
Daily range
Relative humidity
Moisture difference
89 °F
75 °F
14 °F
L
56 0
gr /Ib
Sensible Cooling Equipment Load Sizing
Structure
Ducts
Central vent (49 cfm)
Blower
19790 Btuh
144 Btuh
742 Btuh
0 Btuh
Use manufacturer's data n
Rate /swing multiplier 0.94
Equipment sensible load 19416 Btuh
Latent Cooling Equipment Load Sizing
Structure
Ducts
Central vent (49 cfm)
Equipment latent Toad
Equipment total load
Req. total capacity at 0.70 SHR
Cooling Equipment
Make RHEEM
Trade RHEEN
Cond 13AJL24A01
Coil RBHP- 17 +RCHL -24A2
Efficiency
Sensible cooling
Latent cooling
Total cooling
Actual air flow
Air flow factor
Static pressure
Load sensible heat ratio
Printout certified by ACCA to meet all requirements of Manual J 8th Ed.
1997 Btuh
28 Btuh
1849 Btu h
3874 Btuh
23289 Btuh
2.3 ton
Summary
14 EER
16520 Btuh
7080 Btuh
23600 Btuh
800 cfm
0.040 cfm /Btuh
0.00 in H2O
0.84
!!�.►� wtnghlltsoft Right -Suite Residential 6.0.90RSR30563
AC.0 A C:\My Documents \Wrightsoft HVAC\CODA,BILL.rrp Calc = MJ8 Orientation = N
2010 - Jan -28 10:48:12
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