MC-12-263Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 169977
Scheduled Inspection Date: April 18, 2012
Inspector: Perez, JanPierre
Owner: MARTINEZ, AURELIO PEDRO
Job Address: 999 NE 94 Street
Permit Number: MC -2 -12 -263
Miami Shores, FL
Project: <NONE>
Contractor: EDD HELMS ELECTRIC & A/C INC
Building Department Comments
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number
Parcel Number 1132060350010
Phone: 305 -653 -2520
REPLACE EXISITNG 5 TON SPLIT AC SYSTEM
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
April 18, 2012
For Inspections please call: (305)762 -4949
Page 7 of 17
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0\ (I BUILD NG
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. 41,C..-
PPLICATION
,L1,1 FEB
Master Permit No.
Owner's Name (Fee Simple Titleholder) ,4. / / to Makiine4 Phone #
Owner's Address 9qq /(/6 94t
City A1/ 9/ e.S. State
Zip 3313r
Tenant/Lessee Name Phone #
Email
aSizi.4,21 valuta. co ,4-1
Job Address (where the work is being done)
9qq sirieet
City Miami Shores Village County Miami -Dade Zip 33./3,1
FOLIO / PARCEL # / / 3 zo ®3S' ® ®/°0
Is Building Historically Designated YES NO
Contractor's Company Name
Contractor's Address
City /T/' /x.147 ! State
Qualifier Name %gD%t9 ite DTs
Flood Zone
Ede/ ' Weis ,04�6)."044®�is�� Phone # e
E 5° - A e" e_ J
Zip 3214
Phone # 3Cl Fes' 7 .)- /Z 9
State Certificate or Registration No. C-114 12--V97/' Certificate of Competency No.
Contact Phone 30s-
C
E -mail
Architect/Engineer's Name (if applicaa6 56 n,0 Phone #
Value of Work For this Permit $
Type of Work: ❑Addition
Describe Work:
r
EAlteration
Square / Linear Footage Of Work:
❑New [4.-/re-pair/Replace
S 41'. 4-
❑ Demolition
* ** ** * * * * ** * *** * * * * * ** * *,a ***** * * ** * ** Fees************* * * * ** * ** * * * * * * * * * * *** ** * * * * * * **
,CC® tt
Submittal Fee $ /v ®� Permit Fee $ 6 q t 6 CCF $ CO /CC $
Notary $
Scanning $
Double Fee $
Training/Education Fee $
Radon $
Structural Review. $
DPBR $
Violation date:
Technology Fee $
Bond $
Total Fee Now Due $
1C9TO
See Reverse side -->
7-16
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection ' occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will approv; and a reinspection fee will be charged.
Signature
r
Owner or Age*
The foregoing instrument was acknowledged before me this 7
'
day of -Gl 4 20 Z, by 4. &rO Maa--i1he. .
who is personally known to me or who has produced pat i ib�tj=
O17: a (03° /49e- L.) As identification and who did take an oath.
NOTARY UBLIC:
Print:
My Commission
APPROVED BY
ilty MARY E. RAM Y
A MY COMMISSION # DD 817400
EXPIRES: October 1, 2012
Bonded 'Mrs Wavy Pubis Undetw$tere
Signature
Contractor
The foregoing instrument was acknowledged before me this 7
day of i'Ltaki , 2012 , by r%87evi1 1' et -%s
who is ersonally knoW3 to me or who has produced
as identification and who did take an oath.
�►`' �' ,y ,u MARE HACKNEY
.,� 1AY COMMISSION # DD 817400
EXPIRES: October 1, 2012
d1fS�b�� Bonded Thm Notary PebsetinctottwMten
*************************** * * * * * * * * * * * * * **4 ** *** * * * * * * * **
' Plans Examiner
Engineer
(Revised 07 /10 /07)(Revised 06/10/2009)
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): 9q9 NE 91/
City: Miami Shores Village County: Miami Dade Zip Code: 33-1 3g-
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 Z ARHI Sheet Attached: YES E iNO ❑ Contract Attached: YES ®,'--
UNIT BEING REPLACED
DATA
NEW UNIT
121-1ft
MANUFACTURER
7i2, .
z1/
AHU or PKG. UNIT MODEL #
-Mg 740640
•Agi¢
COND. UNIT MODEL #
(I'M 52)(9/
/ 0
KW HEAT
/0
5'
NOM TONS
6-
AHU 60 CU 45 PKG
1) M.C.A
AHU CCU gs-PKG
AHU ior› CU V5- PKG
2) M.O.P
AHU 60 CU q515kG
AHU CU PKG
3) VOLTS y.ot /�30
AHU CU PKG
PKG UNIT / /
PKG UNIT / /
D
EER/SEER
/
YES -eta
REPLACING DUCTS
YES •
YES OP
REPLACING THERMOSTAT
YES i •
YES •,'
NEW 4 "CONCRETE SLAB
YES r
�"
YES 11: ►''
, NEW ROOF STAND
YES , �;
YES ( NO .
NEW RETURN PLENUM BOX
YES NO
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse /Breaker Size): 419
3. Voltage of Circuit (208/240/480): //.� 7 f
4. Size Disconnecting Means: W my `bisAytripefi
Contractor's Company Name: Ede" #e-toiS '- Phone: —305-6S-32S:76
State Certificate or Registration N. 81/4AC-t- 'ici(ol 4 Certificate of Competency N.
Signature
(a
alUIer's sig%ature only)
Date: cP
e
CUMULATIVE SUBSTANTIAL IMPROVEMENT
VERIFICATION WORK SHEET
In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all
improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed
improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished
materials (include those donated), labor (including volunteer and self - performed), construction supervision and
management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is
attached for your reference. (A C�op®y of the Contract must be attached)
PROPERTY OWNER: Ape& Mars - Z
K PERMIT #
X. ADDRESS:
961'7 A/€" 9''./ S/'-et
FOLIO NUMBER: //32 *P35-00 /0 FLOOD ZONE:
BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL:
COST OF PAST IMPROVEMENTS (12 MONTHS):
COST OF PROPOSED IMPROVEMENTS: 76 S/'
(ATTACH COPY OF CONTRACT)
TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed):
VALUE OF PRINCIPAL STRUCTURE (attach appraisal):
® OWNERS SIGNATURE:
PLANREVIEWER:
/+-c 014
DATE: .2 / /2—
PLAN REVIEWER SIGNATURE:
Created on June 2009
DATE:
ecliEdd Helms
conowent,. it
February 4, 2042
Pedro lasmez ricattfift
999 NE 94th Street
Miami Shores,. Ft 33138
,305-807-2929
astufam@yahoo.com
Edd Helms Air Conditioning is pleased to provide this proposal to replace the 5 ton Rheern system in your
home-
1. Removal and disposal of the existing equipment
2. New 6,ton Trane 16 Seer system
3. Condenser Model: 4TI5061E1
4. Air Handler Model TAM7A0C60
5. 10kw Heater
6. Auxiliary Drain Pan and Safety Overflow Switch
7. 120v Condensation Pump
6. Strap Copper to wail on condenser and insulate
9. Reconnect to the copper, drainage system, electrical and duet system
10. All Materials and Labor
It Permit is included
Warranty: One 'Year Labor and Five Years all Parts. Register system with in 60 days of installation at
www.trane.corn and Tram w the parts warranty to Ten Years.
Warranty hours are M hrough Fri y8 am to 5 pm exclucli s.
Total for the system abo
1005.00 FPL Rebate
Add for 120v Eledrical 0 for Pum 150.00
$ 4,651.0
Cost to remove door and install customer provided door $ 450.00. Thli3tione by NM Builders.
Ron ThotTipson CMC1249674 Cell 305.9704711 ALitilorizeri Si, ure &
All additional work to ha parioirn' ad evil be paid ford he rite of 894 per-regulerworking hour With arteitncetrviraten daitC9 fitlill
.
customer, Aelditionsimeteriefs used in exttavvotit shall be paid for et our normal rates. Price is contingent oporrwork being
performed during normal` workiis3 hours. Payment terms: 5O% on authorization, S0% on start-up of newOqUiPillent AltPli Yalents
shalt be doe in accordance- with the tens described above. Customer agrees to pay-ell court tests atuf attorneys felisshoUld legal
mans be necessary for collection
time its, setms. burnt notida13.162 Ter: 305463.2530 . Free: OO2g.253O. Far, (305)1153.7931. Motettikkeitliz4001
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17, 2000 and Dec.3i, 2011.
certh9cate of r.iIujc
AHRI Certified Reference Number: 4385308 Date: 202012
Product: Spilt System: Air,Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 4TM5061E1
Indoor Unit-Model Number *AM7A0C80H51
Manufacturer; TRANE
Trade/Brand name: XR15
hlatutfacturerresponsIble for the rating of Dills system combination is TRANE
Rated as follows In accordant with ARM Standard 210/240,2008 for Unithry Air-Conditioning and Air-Source
Heat Pump Equipment and subject tovarifitation of rating accuracy by AHRI-sponsored, Indepandent, third
party testing::
Cooling Capacity (Btuh): 57500
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 48.00
• iterres lestensdnit ones/mirk sjoests*imucttati, -terms el provinestinublishedda untess:ectimpenitranitti ONA.SvnlianirsfeciestethrOtenMcy made:
DISCLAIMER
AHRI does stater:de= the madam-gel listottonlItis Certificakt and makes no_ representations,nsuantles or guarantees es ts, andessumes ndreSportsIhnibtfan
the productfaylisted on this CednicablAtitilnnpressty disclaims an flabilityfer damages of any kind arising Out oftherlse erpinfelmance of the pmaucttahafute
unauthaectedafteradon of data Wed on thIseertilleate. C.ertiffed rathiasIne valid oily for models and-vOnligurattoneltsted Ste iltrectorvattnns.ahricartictunA010.
TERMS AND CONDITIONS
This certitteate_tfut contents are Waldo& arAHRL ThkaertNimte Shall anbrt, beitsed tildM/10alullgmoneraftticlanfidenth4 llgerence Pillflasest
The contents ofitils Certificate Marnat,,M-whobror fn pat, he reproduartd; captedlkdisseinfamedi attired Int* eamitinderdatithiselorotherwituruillizetkittMty
roilnrof Milder nTlnialf, meaustomentler the-user's indinictuat Inusenal and confidential refeMktee.
-
CERTIFICATE VERIFICATION iM; if; r,
ThnOtthccoflthjfbtflbe Insnietfattstvtnehridtrectory.ets Ak-CondIflon1ngHeoflng
cikkort "Verify Carliffeate" Ha and mder theANRI Certified Reference Number and the date on iFal Eta =et igh"
MA ono Kei igeroson h tui0
whIchtbs certMcats was Issued; vsMoit-Isilstetr4bove, and ihscerlillsalirtio.,whith Is
020112 Air-Conditioning, Heatingrand Refrigeration Institute - CERTIFICATE NO.: 1297omotoce77o