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MC-11-969Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 160323 Permit Number: MC -5 -11 -969 Scheduled Inspection Date: April 16, 2012 Inspector: Perez, JanPierre Owner: PAVONE, REGINA Job Address: 541 NE 105 Street Miami Shores, FL Project: <NONE> Contractor: ALL YEAR COOLING AND HEATING Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1122310140260 Phone: (954)566 -4644 Building Department Comments REPLACE CENTRAL NC W /REEM 2.5 TON 16 SEER Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 13, 2012 For Inspections please call: (305)762 -4949 Page 3 of 36 2 goy 35-g .5-5 zs veAtx 150 ni-cti '010 b lil 1 1 —1--h Miami Shores Villagfl Building Department (0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. t G I I Ito0i Master Permit No. BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) REGINA PAVONE Owner's Address 541 NE 105 STREET City MIAMI MAY 2b2tfli BY: Phone # 305 - 762 -5414 Tenant/Lessee Name N/A State FL Zip 33138 Phone # E -MAIL: Job Address (where the work is being done) 541 NE 105 STREET City Miami Shores Villa a County Miami- ade Zip 33138 FOLIO / PARCEL # 11- 2231 - 014 -0260 Is Building Historically Designated YES NO Contractor's Company Name ALL YEAR COOLING & HEATING Phone # 954-566 -4644 Contractor's Address 6781 W. SUNRISE BLVD City PLANTATION State FL Zip 33313 Qualifier Name GRETA B. SMITH State Certificate or Registration No. CAC058160 Certificate of Competency No. CMC511 CMORGAN@AYCAIR.COM Architect/Engineer's Name (if applicable) N/A Phone # Phone # 954- 566 -4644 Value of Work For this Permit $ 00 Square / Linear Footage Of Work Type of Work: ❑Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work REPLACE CENTRAL A/C W /RHEEM 2. 5TON, 16 SEER, CU #14AJM30 AHU #RHLLHM3617 ** ***** ** * * ** ************* ** * * * * **** * Fees**************** **** ** ** * ** rya ******** * ****** Submittal Fee $ Permit Fee $ t t/ 0 c /2(2 CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ (0 1 •V See Reverse side --> Bonding Company's Name (if applicable) "'/A Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N/A 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 a ' . roved and a reinspection fee will be charged Signature Own 1. r Agent The foregoing instrument was acknowledged before me this c9 who is personally known to me or w o has produced As identification and who did take an oath. NOTARY PUBLIC: day of C—', 20 I I , by Sign: Print: (110 j rr� i/cvw My Commission Expires: NOTARY PUBLIC-STATE OF FLORIDA %. Cheryl Morgan Commission #DD897935 Expires: J UNE 28, 2013 BONDED THRU ATI_' T!C BONDING CO., INC. Signature Contractor The foregoing instrument was acknowledged before me this �5 day of , 20 L, by Groff. 8 . &. who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Q ,NOTARY ARY PL-STATE OF FLORIDA Cheryl Morgan -,-,, ;' Commission .01)1)897915 ;;0•". Expires: JUNE 28, 2013 My Commission Exp es. BONDED VI U ATLANTIC BONDING C0., INC. Hada*Ht* Na**** ************* ok* a3*********+ ktlNHQ********** *da***+ NW dada***** ***NHadsda+k******** ** * *** *Na *****+k*B****N******** APPLICATION APPROVED BY: (Revised 02/08/06) �l Plans Examiner Engineer Zoning 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): S'/ /d/A"" / /S— Sh-reA City: Miami Shores Village County: Miami Dade Zip Code: 3 313 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 EKARHI Sheet Attached: YES 30 ❑ Contract Attached: YES E UNIT BEING REPLACED DATA NEW UNIT eL! ee,,,,_ MANUFACTURER .k'7.4e e..,.,� Alm_ -/ 213e AHU or PKG. UNIT MODEL # f,9 L 7 34 / i .0--,eA- --ZZA 0 COND. UNIT MODEL # 4f�,z' 30 5— KW HEAT if -a - NOM TONS ,S--- AHU CU g-PKG 1) M.C.A AHU ,13-CU as-PKG AHU g DCU 30 PKG 2) M.O.P AHU 3DCUil„ PKG AHU CU,7,,) PKG 3) VOLTS AHU,vm CU., PKG PKG UNIT / / PKG UNIT / / if EER/SEER d YES REPLACING DUCTS YES A1) NO REPLACING THERMOSTAT M NO YES SO NEW 4 °CONCRETE SLAB YES A •. YES 415 NEW ROOF STAND YES y�r= YES ) NEW RETURN PLENUM BOX YES o 1. Minimum Circuit Ampacity (Wire Size): /OA/ 2. Maximum Overcurrent Protection (Fuse /Breaker Size): %r7p°S 3. Voltage of Circuit (208/240/480): 02 30 4. Size Disconnecting Means: Loo r -ps Contractor's Company Name: ail C r Cop State Certificate or Registration N. CIC -dam- t (.0 Certificate of Competency N. Signature Phone: q54- a:7G - e M cs--1 Date: S/ 1) A!RLCERTIFIEDT WWW ahiidllectoly oig This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. Certificate of Product Ratin s AHRI Certified Reference Number: 3412355 Date: 5/25/2011 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, , ._ _ ._ ._.. _ .1 .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) 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 (lability 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 wwwahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products ofAHRL 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" 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 U®' Air - Conditioning, Heating, NM a' and Refrigeration Institute CERTIFICATE NO.: 129508103354407840 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): , 4'r A/A- /CS' ,.S#S -r /' City: Miami Shores Village County: Miami Dade Zip Code: 3 3 / 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 EARHI Sheet Attached: YES I3 NO ❑ Contract Attached: YES L7 1. 2. 3. 4. UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS eniG z, f j 36/7 I p �4. eta AHU,3—CU ,2,51PKG 1) M.C.A AHU 3 z9CU 30 PKG 2) M.O.P AHU,2 PKG 3) VOLTS PKG UNIT / / AHU,,2, -CU PKG AHU CU „ PKG AHU CU, PKG EER/SEER PKG UNIT / / YES NO YES YES REPLACING DUCTS REPLACING THERMOSTAT NEW 4 "CONCRETE SLAB YES NEW ROOF STAND /6, YES NO YES YES fir NEW RETURN PLENUM BOX Minimum Circuit Ampacity (Wire Size): /CJ,42 Maximum Overcurrent Protection (Fuse /Breaker Size): s ,tos Voltage of Circuit (208/240/480): c2 30 YES Size Disconnecting Means: (c a rrp s Contractor's Company Name: a I t Cie Ci:.n1�i,.. State Certificate or Registration N. Clk,65 Signature :a (Qualifiers signal Phone: 9Szf - - Certificate of Competency N. Cs (1 Date: Ci / 1 I This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. Certificate of Product Ratings AHRI Certified Reference Number: 3412355 Date: 5/25/2011 Product: Spilt 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) 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 atwww.ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is fisted above, and the Certificate No., which is listed below. 1 Air - Conditioning, Heating, line 'IL and Refrigeration Institute ©2011 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129508103354407840 Property Information Report My Home • Page 1 of 1 Property Information Report Summary Details: Folio No.: 11- 2231 - 014 -0260 Property: 541 NE 105 ST Mailing Address: CI-IARMAINE DEFRANCESCO & REGINA M PAVONE 541 NE 105 ST MIAMI FL 33138 -2044 Property Information: Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/2 Floors: 2 Living Units: 1 Adj Sq Footage: 2,098 Lot Size: 9,150 SQ FT Year Built: 1948 Legal Description: AMD PL MIAMI SHORES SEC 5 PB 10-47 LOT 16 & W1/2 LOT 17 BLK 110 LOT SIZE 75.000 X 122 OR 19103 -2245 05 2000 1 OR 19103 -2245 0500 00 Assessment information: Year: 2010 2009 Land Value: $90,923 8125,069 Building Value: $162,189 $175,579 Market Value: $253,112 $300,648 Assessed Value: $220,131 $214,344 Exemption information: Year. 2010 2009 Homestead: $25,000 $25,000 2nd Homestead: YES YES Taxable Value Information: 'Year: 2010 2009 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $50,000/$170,131 $50,000/$164,344 County: $50,000/$170,131 $50,000/$164,344 City: $50,000/$170,131 $50,000/$164,344 School Board: $25,000/$195,131 $25,000/$189,344 Sale Information: Sale Date: 5/2000 Sale Amount: $222,500 Sale O/R: 19103 -2245 Sales Qualification Description: Sales which are qualified View Additional Sales !Close window] !Click here to Printl This report was created on 5/23/2011 4:00:18 PM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. http:// gisims2. miamidade .gov /myhome /proptext_print.asp ?folio= 1122310140260 &cmd = 5/23/2011 Tesenhorm.Yesidoe new • CONTRACT 6781 W. Sunrise Boulevard, Plantation, FL 33313 Phone: (954) 5664644 Fax: (954) 667 -1290 www.ayeair.com Est. 1973 with over 150,000 Installations CONTRACT; We hereby submit specifications for JJ Equipment Installation ❑ Indoor Air Quality ❑ Other At Year Cling w2 banish ail pads, labor and egWpnent necessary tof the mace checked above in acorde se with the conditions and specifications listed in this contract lees not include electrical upgrade urde steed. PURCHASER NAME 4, 9 »c„ a ✓$ +�- ADDRESS SL%% 4/', /O. s7' CITY /STATEIZIP M . a r n : 5 4,, re P 3 3 3 13 f E-MAIL Ail rm.; a r. "tope. ALPO _ G0 Jek HOME PHONE 3o 76Z — Sa//V CELL PHONE 30S SNP 3 / INDOOR -AIR IMPROVEMENT Dud Cleaning & Sanitizing #_ Vents # _of Duct Systems ❑ High Quality Air Filter Location Location ❑ UV Light ❑ High Quality Air Cleaner RETURN & SUPPLY DISTRIBUTION ❑ ModifyINew Supply Duct(s) ify!New Return Duct(s), New Return Air Grill, Size:2,Qx j2jQQty. • NEW EQUIPMENT Ii ■ Split System ■ Package Unit Pump Straight Cool Horizontal Application ❑Other MAKE 1 11(it . •••• 3 1 1 Marrgi Electric Heat Recovery Unit # of Systems Attic Vertical Application MODEL SEER y lb-Apo � lb 2/4 LL/44,36/7 ❑ New Supply Grill, Size x Qty ❑Seat Up Leaks In Duds # 0 Modifications of:❑Supply Plenum • Return Air Plenum WIRING ❑ Air Handler Breaker Wire Size- ❑Use Existing Replace /P ❑ New Breaker ®Brand V' g ❑ Condenser Breaker Wire Size _/ [2 t ❑Use Existing Replace ❑New Breaker Brand r t, SG S • ) Electrical Disconnect Box Provided By AD Year Cooling 0 In -line Float Switch Auxiliary Float Safety Switch 7: - �Q y� Type of Thermostat - Specify Type l / J Weather Resistant Vibration, isolation Pads 1 Year 1 Visit Maintenance Agreement 5 Year Extended Warranty ❑ 10 Year Extended Warranty CONDENSATION & COPPER PIPING Condensate Drain Hook -Up Primary ❑ Secondary Refrigerant Copper Suction Line with Insulation, Size: New Condensate Pump ■ Auxiliary Drain Pan Length of Run ❑Refrigerant Copper Liquid Line Size New • 3:Ir J • pp r ❑ Refrigerant Line Cover Liabilities and Workmen's Comp for Our Work Performed with Existing Codes punting Hardware of Stand for Air Handler Hurricane Code Strapping , OTHER 0 Detector E ❑Extend dab a ne/Gerie Lift New Slab, Smoke ❑ Labor Needed ft 1 Year Warranty by All Year Cooling on work performed, and Manufacturer's nties manufacturer's warranty on equipment unless otherwise stated below. Compressor J /, Condenser Years Parts Years tabor provided by sear m this period ie Aeantlay through sunray. ► vap. Coil / Years INVESTMENT BREAKDOWN Subtotal S�Rod $ S Permit 4$ 15--7 s s U sti PI. $ So o s $ Man. Rebate $ 15-0 S S fliesCedief%)o` $ (3o a) $ s Total investments S S S Balance Due $ % S ("U $ 5 TEM& Are financing must bo arranged24 boom prior to starting any work. Balance Duo to Technician Boon Completion of slob. A te u." DETAILS OF WORK PERFORMED -_ /' J"0r p-int Lek 4: Da .'t .;.3)0,7,;,.. 41 /9 a %!ere }e4 I 4T4p Form et Payment ❑ CashZCb i ❑ CC ❑ Rnanace License 6CAC058159, 94CME1506X, U16711, 08E000413, ER0012903