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MC-12-1267Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 175657 Scheduled Inspection Date: July 23, 2012 Inspector: Perez, JanPierre Owner: GATO TUERTO LLC, Job Address: 74 NE 97 Street Miami Shores, FL 33138- Project <NONE> Contractor: JM ARCE SERVICE Permit Number: MC -7 -12 -1267 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060130750 Phone: 305 - 262 -3589 Building Department Comments INSTALL 2 COND UNITS REPLACEMENT ))(\' \i/-D 1/2/ Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments July 20, 2012 For Inspections please call: (305)762 -4949 Patio 23 of 43 CERTIFICATE L CE ICAA IS Ul 3, AS ff I 2 R NA Y AND C TANT: I the 1 Insurance Co iS Of Dab 2470 NW 102 Fla Ste 203 Mient, FL 33172 Phone (305)406 INSURED J,M, ARCE SERVICES SW 22nd St Miami, FL 33155 A THIS IS TO CERTIFY THATT INDICATED. NOTNITHSTA DING/ CERTIFICATE MAY B ISSUED OR MAY EXCLUSIONS AND CANtI FIO 4F Sl1 R A : t Ct } commeRclAt. GENERAL LIARIUTY . O 0 CLAIMS.MADE OCOLIR • S1PPO Ded t AOOR E 1 WAIT A 9ESPE€t POLICY D I,ce .AUTOMORILELIAIRLITT (� ANT AUTO • ALL OWNED AUTOS 0 SOMEOULEO. AUtOS • HIRED A r 0 O UMBRELLA LJAS 0 43c.. O MESS LIAR O. DISDUCTIOLE 1:4 0. L:.>AC tAGODEMT' L.i37. TAE. _E PCfS '4 U DFSRRtF'tION OF OPERRAATIONSi'LOCATIONS 1 VSHICLEbS (Attach ACORD 1 INSTALLATION SERVICE,:' REPAIR AND SALES OF LP GAS.APPLi INDUSTRIAL APPLICATIONS RTIFI PIP etre IN t U S3 Etf AN[) .AUt 7 r1 TA7i AC. 2 IeA+C thiSTMIAMIVIVQ.V..r.:`.1 :LT 1-4.4.Tekts404;u4471:. 44- '..'..4..: -.4. ,..:i....,SIS.:TAX iPT •.ve203/r's ' 'ADE C:..11,,F,,,:11: - E.-7.Fi....:73.31.°4-' :7-1.1.."•ilitia ' - - . - f, 4.:./T-43:,,f.....c•4.i,i,;74,1,:,..7,...,,,..:. ' r ,,,46.- • 41,z..!:,,.;-....: THISISNOTABILL-DONOTPAY RENEWAL REINEWTMX 458130-1 STATE* CAC057951 431295-5 BUSINESS NAME LOCATION M ARCE SERVICE INC 6030-CORAL WAY 33155.UNIN DADE COUNTY OWNER ' . ; • .:'-r-1;r: J M ARCE SERVICE INC Sec. Type at Business „UMW MECHANICAL CONTRACTOR naNstrAT1 i 4 EXIST= REGULATORY OR RONNE LAWS OF THE COUNTY OR MIES. t4OR GOES TT UNAPT • THE HOU= ',ROMNY WRIER PERMIT OR LICENSE MOWED EY LAW. MESA itiot LDERCERIFICAs Qat Rm.* OF mE PA. Yttlii ett ,TT cREIternyTAx 89/23/2011 49018305001 • 000075.00 SEE OTHER SIDE FilInt-raisaS i LS. POSTA,C PAID MANN, FL PERMIT NO. 231 WORKER/S 4 DO NOT FORWARD J M ARCE SERVICE INC JOSE M. ARCE PRES 6030 SW 22 ST MIAMI FL 33155 Lill, I 11 us: Whit liana; Mat t India ;Issas 1 305� -- Li©44r- 16 0, -7 nc■;)-- 4-00)-) B ING PERMIT APPLICATION FBC 20 P Permit Type: MECHANICAL �'j'� OWNER: Name (Fee Simple Titl`eholder):, Qa...-kuI 1 tt2 � -\ LLc Phone#: Address: L t h\' Sk 3,k� �a J State: l . Zip: 33 t3, Tenant/Lessee Name: Phone#: Email 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 E'!.'.�i. JUL 10 2012 Permit No. al t C.I 7 l Master Permit No. City: 4 Oam.1 JOB ADDRESS: City: Folio/Parcel #: \ - 3 a'd 6o- d C6 - �� S tl Miami Shores Pe' t County: Miami Dade Zip: 3 3 (3 V Is the Building Historically Designated: Yes NO CONTRACTOR: Company Name: d a I` �I e A C_ Address: �-t State +- 1 - City: 00 0 C� Qualifier Name: CAC ®1 1 ill Flood Zone: Phonet 3 -44-0 1 Zip: Phone #: f ( { o " D - 6 - 1 - 0 4 0 I State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address:. DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ /0 ® Square/Linear Footage of Work: Type of Work: OAddress DAlteration Descri i tion of Work: Vii. �� . A C. ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *Fees Submittal Fee $ Scanning Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ * * * * * ** * * * * * * ** * ** * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ I ®O (, " CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 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 condi promise-in good faith - < whose prop for the first inspectio will n suance of a building permit with an estimated value exceeding $2500, the applicant must of commencement and construction lien law brochure will be delivered to the person a certified copy of the recorded notice of commencement must be posted at the job site (7) days after the building permit is issued. In the absence of such posted notice, the ection fee will be charged. a copy of the noti subject to attachment. Als on which occurs seven be approved and a rei ;r Owner or Agent rI C.I; actor The fore g instrument was ac kr pwledged b ore me this C4 The foregoing instrument was acknowledged before me this day of , 20 \24 by ) ,&vY p o of , day of d (/ , 20 I,? , by —ILA c 0—a,-A °, who is personally kno to me or who has produced who is personally known to me or who has y P P Y as produced �identification and who did take an oath. aa�en.1 as identification and who did take an oath. NOTARY _�� NOTARY PUBLIC: Sign: Print: My Comm Sign: Print: dreg „/3/LUi3 i re save My Commission rfpli'es ►► ►�.p XXXXXXXXX 417 ,k,M,k,k,k**d*,k*******A *** h*K,*tl,*+k#*****9*+k+k** , M***** ************* *+ N******* ***, k**+ N***# ************+k***,A ****b******* \,0/ APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk 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): I i) (2 9 -ep t City: Miami Shores Village County: Miami Dade Zip Code: J 1 3 k - 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 ARHI Sheet Attached: YES ❑ NO I Contract Attacheet YES Change Disconnecting means: YES ❑ NO UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # MA-Ui3040/ r3AJMf3la COND. UNIT MODEL# KW HEAT NOM TONS 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 / / PKG UNIT / / EER/SEER YES NO REPLACING DUCTS YES NO YES NO , REPLACING THERMOSTAT YES NO YES NO NEW 4 °CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO ®/ 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (FuseBreak9r Size):. 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Phone: 743 -a-51---001e Contractor's Company Name: State Certificate or Registration N.e- & • 941 Certificate of Competency N. Signature (Qu ' er's gnature only) Date: 1 — ('Z- Y® ry. Heating J antl ORK Air Conditioning J.M. CE AIR CONDITIONING • REFRIGERATION . CONTRACTOR SALES • SERVICE • INSTALLATION BILL TO NAME STREET TRANS CO® 6030 S. W 22 Street Miami, Florida 33155 Office: (305) 262 -3589 CAC 057951 LICENSED & INSURED PHONES: (305) 262 -3589 (305) 318 -6383 HVAC SERVICE ORDER INVOICE cries WORK IS TO BE ❑ C.O.D. MAKE ❑ CHARGE MAKE ❑ NO CHARGE MODEL MODEL SERIAL NUMBER SERIAL NUMBER PROMISED CONDENSING UNIT PHONE °I CALL BEFORE TECHNICIAN ❑ A.M. ❑ P.M. AUTHORIZED BY WORK TO BE PERFORMED ❑ RECOVERED ❑ RECYCLED ❑ RECLAIMED ❑ RETURNED ❑ DISPOSAL ❑ DISMANTLED ❑ CHANGED OUT/REPLACED OTAL $ LEVELED CLEANED COIL CHECKED CHARGE REPAIRED LEAK IN COIL REPAIRED LEAK IN COPPER N REF. CHECKED MOTOR CHANGED MOTOR COND'SATE DRAINS CLEANED MAIN DRAIN REPAIRED MAIN DRAIN CLEANED PAN DRAIN REPAIRED PAN DRAIN FURN. OR FAN COIL REPLACED BELT ADJUSTED BELT REFRIGERANT R- ADJUSTED BELT FILTERS FILTERS BELTS REPLACED RUN CAPACITOR CLEANED OR ADJ. CONTACTOR REPAIRED WIRING REPLACED FUSE REPLACED COMPRESSOR EVAPORATOR COIL REPLACED PULLEY ADJUSTED PULLEY CLEANED BLOWER OILED MOTOR OILED BEARINGS CLEANED HEAT EXCH. REPLACED EXP. VALVE ADJUSTED EXP. VALVE REPLACED CAP. TUBE REPLACED VALVE CLEANED BURNERS DUCT REPAIRED ADJUSTED REPAIRED COIL LEAK THERMOSTAT REPAIRED ;7: COPPER CONN. TOTAL MATERIALS CLEANED COIL LEVELED COIL REPLACED AbJUSTEO ELECT. HTR. REPLACED LINK CLG TOWER CLEANED t REPLACED KLIX. REPAIRED WIRE REPLACED CONT. MATERIALS B LABOR MAY BE CONTINUED ON OTHER SIDE TOTAL LABOR TERMS READ CAREFULLY: I UNDERSTAND AND WILL PAY A DIAGNOSTIC FEE OF $ IF I DON'T PROCEED WITH THE ESTIMATED REPAIR COST AT THIS TIME. SIGNED: I have authority to order the work outlined above which has been aatisfactotpy completed. I agree that Seller retains title to equlpmenVmaterlals furnished until final payment Is made. 1H,c4yment is not made as agreed, seller can remove said equipment/materials at Sellers expense. Any damage resulting from said removal shall not be the responsibility of Seller. CUSTOMER slat/Arun DATE LIMITED WARRANTY: All materials, parts and equipment are warranted by the manufacturers' or suppliers' written warranty only. All labor performed by the above named company is warranted for 30 days or as otherwise indicated in writing. The above named company makes no other warranties, express or implied, and its agents or technicians are not authorized to make any such warranties on behalf of above named company. PUMP(S) GREASED REPAIRED FILTERS )] CLEANED :ID REPLACED.. TOTAL MATERIALS TOTAL LABOR ❑ REGULAR ❑ WARRANTY TRAVEL CHARGE ❑ SERVICE CONTRACT TAX 91 CNw TOTAL