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MC-12-137Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 169236 Permit Number: MC-1-12-137 Scheduled Inspection Date: May 30, 2012 Inspector: Perez, JanPierre Owner: DENNIS LEYVA, CLARK REYNOLDS Job Address: 69 NE 102 Street Miami Shores, FL 33138- Project: <NONE> Contractor: REYES AIR CONDITIONG & PARTS Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060131680 Phone: (786)426 -9812 Building Department Comments REPLACE EXISTING 3 TON PACKAGE UNIT WITH A SPLIT SYSTEM 5/Jzit Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 30, 2012 For Inspections please call: (305)762 -4949 Page 4 of 47 19, DING B 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 LICATION Permit Type: MECHANICAL Permit No. RECEIVED JAN 2 6 012 BY: Dr)\--C3 Master Permit No. OWNER: Name (Fee Simple Titleholder): L 42e, .441-45 Phone* S5 5' Y' Address:, /fig, /0? J T23' e 7- City: A it/ij fn / 5) ii'" State:.FL Zip: X� j.3 Tenant/Lessee Name: �p Phone#: '° Email: e4 4-t2/4 � � l7 »kr Co / \ JOB ADDRESS: / City: Miami Shores v eta County: Miami Dade Zip: :?-3/3E? Folio/Parcel #: Is the Building Historically Designated: Yes NO X Flood Zone: 4/0 CONTRACTOR: Company Name: IyyS ,(JN 7 a Phone #: '% — 78/(a- Address: % 96 I it.), /V. Me> e' 7 . City: /14 / »/ L State: fL" Zip: 336, /6 Qualifier Name: y -4 4f2 P_eye5 Phone#: 7 p4% a WO- State Certification or Registration #: 2:360347A Certificate of Competency #: '7M / -S 2 Contact Phone #: 98 /Z Email Address: CUIf S yPS /'al07ortak- cm DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 4 SSO Square/Linear Footage of Work: Type of Work: ❑Address OAlteration ONew Ei air/Replace ODemolition Description of Work: Ry iAriAy S t& 1 r- c ieviT td ttk 6 45h r 6y6 fe ********** *** *** *** **** ********** ** *** :ees*** ******** ** *** ** *** **************** ***** Submittal Fee Permit Fee $ CCF $ ilim Scanning Fee $ Radon Fee $ DBPR $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CO /CC $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ III 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 Fr.F,CTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDTTIONERS, 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 ' ap rov and a reinspection fee will be charged. O er or Agent The for , going instrument was acknowledged before me this The fore _ oing ins day , 20 Eby ," , day who ' rsonally known " me or who has pr s uced who As identification an . ' who did taken oath. Signature � Cactor nt was acknowl . ged bef 20 ., by „ :: AI. /... o me or who . produced *** * **** **** ** * * * ** *** **. * * * * *. ** * * ** * * ** APPROVED BY emethis person 4 y known identification and who did take an oath. NOTARY PUBLIC: Sig Print: My Co ******w******* ***** * *** Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) 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): 69 X) E 0-- City: Miami Shores Village County: Miami Dade Zip Code: ,'a/j21 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 u NO ❑ ARHI Sheet Attached: YES EKIO ❑ Contract Attached: YES UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER RP VA&J In AHU or PKG. UNIT MODEL # FV4Cid 1�c,4112... COND. UNIT MODEL # 7 /g' AM 0.36 KW HEAT .S' NOM TONS AHU CU PKG Soyk, 036.3 1) M.C.A AHU CU/ s./ PKG AHU CU PKG 2) M.O.P AHU CU,J PKG AHU CU PKG 3) VOLTS AHUzeOCU2a5PKG PKG UNIT / / PKG UNIT / / EER/SEER (6 YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES YES NO NEW 4 °CONCRETE SLAB CY..a NO YES NO NEW ROOF STAND YES 4 YES NO NEW RETURN PLENUM BOX YES No) 1. Minimum Circuit Ampacity (Wire Size): ,fig 2. Maximum Overcurrent Protection (Fuse /Breaker Size): .5'6 3. Voltage of Circuit (208/240/480): a445 4. Size Disconnecting Means: Sr) R. R. its Contractor's Company Name: Rjye-s 4fla aA)A/ Ja2C , /h £75a T.X9e . Phone: State Certificate or Registration N. 2 13 29[3c34 71S Certificate of Competency N. 0 ` /4 ®0/ Signature Date: 0/0 A_ (Qua/ er's signature only) 4 9RL1® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) PRODUCER Lakes and Country General Insurance 8555 NW 186th Street Hialeah, FL 33015 Phone (305)829 -2777 Fax (305)829 -0782 THIS CERTIFICATE IS 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 # INSURED REYES AIR CONDITIONING & PARTS, iNC. 7761 NW 106 Terr Miami Lakes, FL 33016- INSURER A: NOVA INSURANCE COMPANY INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LT; A ADD L I' ' - ' TYPE OF INSURANCE POLICY NUMBER 09AL068169 POLICY EFFECTIVE DATE (MM/DDIYY) 12/06/11 POLICY EXPIRATION DATE (MM/DD/YY) 12/06/12 LIMITS ❑ GENERAL LIABILITY EACH OCCURRENCE 1,000,000 V COMMERCIAL GENERAL LIABILITY PREMISES (Ea Eoc curence) 1,000,000 ❑ ❑ CLAIMS MADE V OCCUR MED EXP (Any one person) 5,000 ❑ PERSONAL &ADVINJURY 1,000,000 ❑ GENERAL AGGREGATE 2 ,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PROJECT ❑ LOC PRODUCTS - COMP/OP AGG 2,000,000 ❑ AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) ❑ ❑ GARAGE LIABILITY ❑ ANY AUTO ❑ AUTO ONLY - EA ACCIDENT EA ACC ALYN UTO ON AGG ❑ EXCESS/UMBRELLA LIABILITY ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC STATU- OTH- ❑ TORY LIMITS ❑ ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS AIR CONDITIONING SERVICE, REPAIR, INSTALL & PARTS CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE 10050 NE 2ND AVE MIAMI SHORES, FLORIDA 33138 FAX# 305 - 756 - 897205 - 795 -2204 • "Annr. nm innn• tnn• ...... — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ....',,'--?`°' ©ACORD CORPORATION 1988 JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. 01- 18-2012 EFFECTIVE DATE: PERSON: FEIN: 01/18/2012 EXPIRATION DATE: 01/17/2014 REYES LAZARO E 260792492 BUSINESS NAME AND ADDRESS: REYES AIR CONDITIONING & PARTS INC 7781 NW 160TH TERRACE MIAMI LAKES FL 33018 SCOPES OF BUSINESS OR TRADE: 1- INSTALL & REPAIR A/C EQUIPMENT 3- REGISTERED A/C CONTRACTOR 2- A/C REPAIRS * * IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by tiling a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.06112), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade Iisted on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation it, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 01/18/2012 EXPIRATION DATE: PERSON: LAZARO E REYES FEIN: 260792492 BUSINESS NAME AND ADDRESS: REYES AIR CONDITIONING & PARTS INC 7761 NW 160TH TERRACE MIAMI LAKES, FL 33016 SCOPE OF BUSINESS OR TRADE 1- INSTALL & REPAIR A/C EQUIPMENT 2- A/C REPAIRS 3- REGISTERED A/C CONTRACTOR 01/17/2014 IMPORTANT F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who O elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt.. apply only within the scope of the business or trade listed on E the notice of election to be exempt E Pursuant to Chapter 440.05(131, F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 REYES, LAZARO E REYES AIR CONDITIONING & PARTS INC 7761 NW 160TH TERRACE HIALEAH FL 33016 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfioridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE (850) 487 -1395 STATE OF FLORIDA AG# 54301343 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION RB29003478 06/17/11 100457544 REGISTERED BUILDING CONTRACTOR REYES, LAZARO E REYES AIR', CONDITIONING & PARTS I (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR. TO CONTRACTING IN ANY AREA) BAS REGISTERED under the provigione of c1%.489 Expiration Hate: AUG 31,E 2013 L11061700446 STATE OF FLORIDA` DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NBR. SEQ# L11061700446 06 17/2011 100457544 RB29003476 BUILDING CONTRACTOR N m d :.below HAS` REGISTERED Under the provisions of Chapter _ Expiration date;.. AUG 31, 2013 .(INDIVIDUAL :.MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING - I] ANY REYES* LAZARO _E RE.YES.. AIR.. CONDITIONING & PARTS 77;61. Nib 1607 I TERRACE ALNAi . FL 33016 ICR` SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY 614475 -2 BUS Ame IITIONING & PARTS INC 7761 NW 160 TERR 33016 MIAMI LAKES OWNER_ ES AIR CONDITIONING & PARTS I 2011 LOCAL BUSINESS TAX RECEIPT, , 2012 MIAMI -DADE COUNTY- STATE OF FLORIDA" EXPIRES SEPT. 30, 2012.' MUST BE.DISPLAYED AT PLACE OF BUSINE - PURSUANT TO COUNTY CODE CHAPTER 8A - A THIS IS NOT A BILL - DO NOT PAY CC FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 RENEWAL &REC �1�7 '1252 640815 -7 Sec T-1/118. at 19CFLCHANICAL CONTRACTOR WORKER/S MIS IS ONLY A LOCAL NISINESS TAX RECEIPT. IT XIS NOT PERMIT THE +OLDER TO VIOLATE ANY EXISTING REGULATORY OR CONING LAWS OP THE :OUNTY OR CITIES. NOR )OES IT FYCMPT THE +OLDER FROM ANY OTHER 'ERMIT OR LICENSE IEOUIREO BY LAW. THIS IS OT A CERTIFICATION OF ME HOLDER'S OUAUFICA- note:. 'AYMENT RECEIVED AIAMI -pADE COUNTY TAX O E`er 07/19/2011 60070000221 000045.00 SEE OTHER SIDE MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 DO NOT FORWARD REYES AIR CONDITIONING & PARTS INC LAZARO E REYES PRES 7761 NW 160 TERR MIAMI LAKES FL 33016 11.11.. an IIIJI11111,..11,..,11,11IIi111 11 bi61 2011 MUNICIPAL CONTRACTORS 2012 TAX RECEIPT MIAMI -DADE COUNTY - STATE OF FLORIDA PURSUANT TO COUNTY CODE SEC. 10 -24 EXPIRES SEPT. 30, 2012 RECEIPT NO. 11- 6408157 BUSINESS NAME / LOCATION REYES AIR CONDITIONING & PARTS INC 7761 NW 160 TERR OWNER : REYES AIR CONDITIONING & PARTS IN THIS IS NOT A BILL - DO NOT PAY CC NO: 07M001252 RESTRICTED TO THE CITY OF: MIAMI SHORES Receipt holder must egister in the city vhere work is to be Ione. AYMENT RECEIVED IIAMI -DADE COUNTY TAX a- 141110 /2012 02240005001 000037.50 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 RECEIPT HOLDER MAY DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. SPEC MECHANICAL CONTRACTOR DO NOT FORWARD REYES AIR CONDITIONING & PARTS INC LAZARO E REYES PRES 7761 NW 160 TERR MIAMI LAKES FL 33016 Ill litttllt 1l: Lt1 AIIIItli1t111LII11hfltl tttltllid a ILI 9 c:Itut5 Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY 07M001 252 REYES AIR CONDITIOING & PARTS INC REYES RO E a wtifled under the tAtumLir T Ifl 1 ICIALJC(01 0002 A/C - LTD CG# 07M001252 09CML15571 R Airconditioning & Parts, Inc 7761 NM. 160 Terrace Miami - Lakes, Florida 33016 Phone: (786) 426-9812 ]fE' ELVTED JAN 2 6 2012 13Y: PROPOSAL SUBMITTED TO: PHONE r% /,i's fd-y4)e)(-i)5.,. STREET 69 /0E f'g CITY , /,4 i, �(GIRE STATE QTY. BRAND AAil:/ ma'am Llemai rAmmorrAsmiairro 1 365.-s-4 - 493°7 JOB NAME V STREET DATE ai SALES SERVICE INSTALLATION §%8 CITY STATE ZIP CODE EQUIPMENT SCHEDULE COND. UNIT MODEL COND. UNIT VOLTAGE i 1 AIR NDLER ARHIAPOLER SEER VOLTAGE EER STRIP HEAT. SIZE TONS L!r'!alsBr:�' iu- eu MUM PACKAGE UNIT MODEL iorj 1 totes r a APPRO\JED ZONING DEP'r SB`LRDGDEPT AIR D RIBOTIOPT 6cirli°64,68Fokat(tlle t tairiated and nstalled in compliance with all appHeable BY DATE DUCTWs `s <.aE ro ! HLLES AND REGULATIONS WILL BE: (3 G /1�a_ccFIBER �iTLXDIIC7° —C CONTROLS: C ❑ OTHER THERMOSTAT HEAT & COOL SERVICE: W U be provided free by us for a polled of O K)E from date of installation, during regular working days regular working hours. PARTS WARRANTY: Manufacturer's Manufacturer's %® RESPONSIBILITY: Delivery , Installation of Equipment Installation of Thermostat & Controls ..... »... » Refrigeration Piping Ductwork .._ Grilies(S- )(R- ). Hoist Equipment Permits Fee h s.- year warranty on parts. year warranty on compressor. OTHER Return Air by Grille 0 or Loover Door 0 (by other) f on above date. Title to the above merchandise remains with the Vendor until paid In full. In case of any default to any temps of this Order - Contract, the Seller shall have the right to take Immediate possession of sell merchandise and the full amount of the purchase price then unpaid shaft become Immediately due and payable at the sellers option without notice or demand. All monies paid shad remain with the Vendor as liquidated damages. In the event of default under the terms of this oontrad, requiring the services of an attorney to protect the In rest of the seller, the Purchaser agrees to pay reasonable attorney's fee together with interest thereon at the rate of 18% per annum, payable monthly, plus an host Incident thereto. The Seller shall not be liable for delays in delivery or installation resulting from strikes, embargoes, tires, floods. Ads of Clod, labor troubles or other causes beyond the control of the Seiler. This Proposal to the Purchaser In offer, and is Subject to acceptance by seller. That in the event the purchaser repudiates this contract after executions and refuses to allow sewer to commerce work under contract provisions, then and In that event, the purchaser shall pays to and be responsible to the seller In the sum of the contract prices and for Liquidated and agreed damages and not as penalty. RESPONSIBILITY: Drain Piping Air Handler Supports OTHER up, Painting Decorating & Patching .... »»... Heat Recovery . » ».. » »............ Kitchen Exhaust Vent Pipe ... »_. » Bathroom Exhaust Dryes Exhaust »» Smoke Detector — Electrical Wiring (Power & Control)... 01A We hereby propose to furnish .� tabor and materials - complete in accordance with the above spedRge foes, for the samh of: koo S �yt Ci hallo 4C! Co /,Q, �'''S • dollars ($ " 4e "CLi ) with payment to ba made as follows: PE} j i .z i AT Co-4147:44u ®F 1,002e-- Purchaser is responsible for all equipment and materiels delivered to job site. All wok to be completed in a workmanlike manner according to standard practises- Any alteration or deviation from above specification involving extra costa, witl be executed only upon wrabln orders, and will become an extra charge over and above the estimate. This proposal subject to acceptance wtthing ya and is vain of the tratersigrred. 1. * Price good until da /l% /a1- ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are hereby accepted. You are authoriz as outline above. ACCEPTED: Date o //044- Signature • s s • - »yment win / - Signature / * This Proposal does not relict future price increases from equipment and material suppliers. Any and all price increases will be added to this agreement after date stated above. 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: 3663618 Date: 1/20/2012 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 116BNA036****A Indoor Unit Model Number: FV4CN(B,F)003 Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Trade /Brand name: LEGACY RNC 16 PURON AC Manufacturer responsible for the rating of this system combination is BRYANT HEATING AND COOLING SYSTEMS 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): 33200 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 • Ratings followed by an asterisk (q 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 an (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 atwwwahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL 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 wwwahridirectory 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 blow. ©2012 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129715503943919675 Condensing Unit Cond. Unit tie -down with 114" X 3" Screw r 5 � Air Handler Float Valve 3/4" PVC Drain Pioe ■ To outdoor Job Name: Reynolds Clark Residence Contractor. Reyes Air Condition & Parts, Inc. Description: Condensing unit and Air Handler Detail Refrigeration Imes TIB" Suction Line 318" Liquid Line f,r To7 L CA "Acir EN6.CA CFl CxIST/AJG ?/1414tGE UNN ' :Past •1... ism, r 11.1 i ro +.i► _14 t9 thy% • ra 404 it) At f ` C. ■ ._ _.,,,,.,......,....�.as.7..4.14 ...... OE94Gt/ FOR: _•.. fl..E 5 f 1DEXJ6C e0002AC eg: (3.E/F5 gfi, CMD. irnlTY . .SCALE _ A...0 •