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MC-12-406Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 170848 Permit Number: MC- 3- 12-406 Scheduled Inspection Date: April 25, 2012 Inspector: Perez, JanPierre Owner: LINDA D ORTIGOZA, NICOLAS H MADIAIU m ANfl Job Address: 1065 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ALL YEAR COOLING AND HEATING Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)751 -8872 Parcel Number 1132060143700 Phone: (954)566 -4644 Building Department Comments REPLACE 5 TONS CENTRAL A/C SPLIT SYSTEM. Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 25, 2012 For Inspections please call: (305)762 -4949 Page 8 of 24 LI Ii.1 1 ANI IV1Ll' %NOer1ak.1 w li L I.P.-3 `511A1 2 Miami S ores Village 11Ii io �- . <° 1, Building Department /1- Sv °1'1 LA ' Q— 1...�, tuL, >0050 N.E.2nd Avenue, Miami Shores, Florida 33138 is i Tel: (305) 795.2204 Fax: (305) 756.8972 P'-�2n 119 u ?A-'D . tTIING Permit No. PERMIT APPLICATION FBC 2004 U7 r Master Permit No. Permit Type: Mechanical Owner's Name (Fee Simple Titleholder)Lj.z �� 0� f � c '�� Phone # 3 7S 7S7 Owner's Address /O S ./f.-146' ,6' 9 J: City ; (S dja� s State Zip 3 3/ 3 e Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) /® 6 /L,)t .F 6 . 5-11rr --,-.a` City Miami Shores Village County Miami -Dade Zip 3 S/ 3 r FOLIO / PARCEL # 1/ -- 3.2 0 6 -- / 4' --' 2 ® 0 Is Building Historically Designated YES NO X Contractor's Company Name ALL YEAR COOLING & HEATING Contractor's Address 6781 W. SUNRISE BLVD Phone # 954 -566 -4644 City PLANTATION state FL Zip 33313 Qualifier Name GRETA B. SMITH Phone # 954 -566 -4644 State Certificate or Registration No. CAC058160 Certificate of Competency No. CMC511 E -MAIL: Permits @aycair.com 9 Architect/Engineer's Name (if applicable) Nth ,') Phone # " �( Value of Work For this Permit $ %� Square / Linear Footage Of Work: .2 S li iT Type of Work: ['Addition ['Alteration Describe Work: REPLACE CENTRAL NC – ['New epair/Replace ❑ Demolition **** * ** * * *** * * ** * * ** * * ** ****** ** * ** * ******************************************* 71Nif.a." CCF $ CO /CC Submittal Fee $ Notary $ Scanning $ Permit Fee $ Training/Education Fee $ Technology Fee $ Bond $ ode Enforcement Structural Review. $ See Reverse side --> I t Bonding Company's Name (if applicable) N/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 bed• roved and a reinspection fee will be charged Signature fklar'1• ror Agent The foregoing instrument was acknowledged before me this c)--- day of � ,20 %a2,by ,, who is personally known to me or who has produced As identification and who did take an oath. Sign: Print: My Commission Expires: y % (aq aU 15— **************************************************** * * * * * * * * * * ** * * * * * ** * * * * * * * * * * ** Contractor The foregoing instrument was acknowledged before me this a2 day of ,P,,6 , 20 /c2 , by &rem Sm who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: APPLICATION APPROVED BY: (Revised 02/08/06) 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): /-t9, City: Miami Shores Village County: Miami Dade Zip Code: `� ' ? 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 ❑ NO Contract Attached: YESUK-- UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER j c'r /s t7i_ a y AHU or PKG. UNIT MODEL # a 7-E S' 6S- COND. UNIT, MODEL # a o. /c? KW HEAT t e, CIEWIFIMMIIIMM AHU , 8 CU o PKG NOM TONS .s 1 M.C.A AHU syb CU PKG 2 M.O.P AHU 6o CU , PKG AHU 3e) CU zoo PKG 3 VOLTS AHU ,CCU 9-.m PKG PKG UNIT / / l;e9 EER/SEER YES 17` REPLACING DUCTS YES 4 • NO REPLACING THERMOSTAT trEV NO YES (--440 NEW 4 °CONCRETE SLAB YES Olifli YES difii NEW ROOF STAND YES YES = NEW RETURN PLENUM BOX YES (NO) . Minimum Circuit Ampacity (Wire Size): Maximum Overcurrent Protection (Fuse/Breaker Size): . Voltage of Circuit (208/240/480): ? 30 . Size Disconnecting Means: 60 :ontractor's Company Name: '17/ tate Certificate or Registration N. � l ®, cF/ %/' Certificate of Competency N. signature (Qoalifler's slgnatu only) Phone:54‘ y V (K5-z/) Date: co 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): l06 ,S' 11)6 City: Miami Shores Village County: Miami Dade Zip Code: j 3 e? 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 ['ARHI Sheet Attached: YES ❑ NO Contract Attached: YES UNIT BEING REPLACED DATA / - MANUFACTURER ..I .- AHU or PKG. UNIT MODEL # o? _ 3d 6,5- 11011111111111111 COND. UNIT; MODEL # a z as s • NOM TONS AHUS CUs-• PKG 1 M.C.A AHU sb CU .. PKG AHU a CU a PKG 2 M.O.P AHU CU . PKG AHU 3v CU .2.4D PKG 3 VOLTS AHU .CCU .a.%) PKG PKG UNIT 1 I PKG UNIT / 1 '� EER/SEER Ull NO ig �r REPLACING DUCTS NO REPLACING THERMOSTAT YES Vii►, NEW 4 °CONCRETE SLAB YES --...- YES NEW ROOF STAND 4a*, YES NEW RETURN PLENUM BOX 1 , . Minimum Circuit Ampacity (Wire Size): Maximum Overcurrent Protection (Fuse/Breaker Size): . Voltage of Circuit (208/240/480): e? 30 . Size Disconnecting Means: 60 ontractor's Company Name: /a17/ %�"c� fc�� /• , Phone: .�� (7S�,) tate Certificate or Registration N. r47o. SF / %/] Certificate of Competency N. (",\,(41C..-7/ ■ignature (Quafi8er's slgna re only) Date: ,/_D g 9 Residential Proposal. ALL YEAR cooling and Heating. / Proposes to and Install .A, TEAR COOLING AND HEATING, INC. Kt TEAR ELECTRIC, INC. 1346 NE 4th Avenue Fort Lauderdale, Florida 33304 Phone: 954 -588 -4644 • Fax: 954- 667 -1290 Serving South Florida Since 1973 voww .allyearcoolingandheating.com heating and/or air conditioning products and related equipment for Name L-■ Qr4t ` to • Address 1065 NE 96 04 M�∎ r,� 5k rl' 5/ ei,/ '/31 $ Phone (3e`� 115 ( 4fb7 in accord�nct this proposal. the conditions and specifications outlined in AIR CONDITIONING SYSTEM EQUIPMENT: u GittO CIT Y SIZE & TYPE -TQI ✓ YJ 14 44,Al v 4,� p,(� AIR CONDITIONING UNIT *` Z�i,900 HTG - CIA THERMOSTAT W/FAN - OFF - COOL - SUBBASE - 5 -t AIR HANDLING UNIT W/RESISTANCE HEAT DUCTWORK: NEW RETURN AIR DUCT(S) & GRILLE(S) NEW SUPPLY(IES) & GRILLE(S) INSULATION OF EXISTING CTWORK c WIRING: �'� • Wete-t t. ih`s'1' 1 • flop& olh %Anil S y �� n • Nan t #,e.I n, r; l xa4' s NEW 220V & 110V POWER WIRING FOR AIR CONDITIONING SYSTEM NEW LOW VOLTA C C NTROL WIRING FOR AIR CONDITIONING SYSTEM NEW ELECTRICAL VICE REQUIRED ,L.x • tl r,�+,,, !'' kA+t x or • y t , . -'{iletrt{' -stock. . ON fun (Q il"IG4 � • k i14'f," Oa" START UP INSPECTION AND (- YEAR WARRANTY ON ALL LABOR AND SERVICE .{� (• to YEAR WARRANTY ON COMPRESSOR - (MANUFACTURER'S WAR�iANTY) Vs YEAR WARRANTY ON PARTS PERMITS: Inda6 `s^ t4 ► W >ky ,.. G4k� • NC & ELECTRICAL PERMIT COST & PROCESSING FEE NOT INCLUDED IN CONTRACT PRICE. COST DEPENDING ON CITY IS $125 - $325 TO BE BILLED WHEN JOB IS COMPLETE. (HOMEOWNERS ARE RESPONSIBLE FOR PERMIT FEES AND MEEfdNG INSPECTORES AT FINAL INSPECTION) LOT BLOCK: SUB: PLAT BOOK HOME COMFORT MCI PAGE State NC: RACX)39864 & RA11045041 aC Arc: CMC-5l1 & CMC -537 State esic ER- A01293 • SC Elea 04•CME•1506 . X DOWN PAYMENTS/DISCOUNTS UNPAID CASH BALANCE ACCEPTAN OF PROPOSAL - The above prices, specifications and conditions are satisfactory and are hereby acaapie You ere authorized to do the work as specified. Payments will be made as outlined above. Date of Acceptance Signature Signature RETAIL INSTALLMENT CONTRACT TERMS•AND CONDITIONS: You are entitled to an exact copy of the contract you Waned. Goods hold and delivered to the name In this order shall remain the property of seller until the purchase price Is paid in full. Setter reserves the right to take possession Of all equipment and materials upon default of payment. Service & Warranties: All equipment & materials installed by seller shall be guaranteed by the manufacturer for a period of 1 year from date of insl6Aaton unless attendee specified. Labor provided by seller In this period is from 8:00 am to 5:00 pm Monday through Friday. Coil cleaning, drain flushing, air filter cleaning and existing electric breakers, bless and wiring is not covered under equipment warranty. Seller is riot responsible for any � or sweating duct problems that might occur to your existing ductwork and grills and any dust accumulation or odors that might be expelled from system and any mold, mildew or mold spores, due to sweating coming from their a/c unit. Seller Is not resemble for any water damage to wells, floors, ceilings, carpeting or any building material and for any mold growth from water leaks from drain pan over flew and roof leaks from • mounted equipment. Due to your existing building construction and Soulh,Flarida'S high humidity and heat wave weather conditona, seller Cant guarantee any particular cooling temperature. It Is recommended to set your thermostat at 78 degrees for maximum savings on electric Temperature set below could result duct in air conditioning of attorney act running g for extended length of time. Property owner agrees to grant Ail Year Goofing and Inc ./All Year ey your agent to obtain all necessary paperwork to permit this contract. 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