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MC-12-1235
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 175449 Permit Number: MC -7 -12 -1235 Scheduled Inspection Date: August 22, 2012 Inspector: Perez, JanPierre Owner: Job Address: 874 NE 99 Street Miami Shores, FL Project: <NONE> Contractor: C&R AIR CONDITIONING CO Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060142410 Phone: 305 -685 -6394 Building Department Comments EXACT REPLACEMENT 4 TON SPLIT UNIT e (4, Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 22, 2012 For Inspections please call: (305)762 -4949 Page 14 of 38 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. ' r n `CI 3' —0,55 BUILDING PERMIT APPLICATION FBC 20\ Permit Type: MECHANICAL Owner's Name (Fee OSwimple Titleholder) Owner's Address O7Q"�� Y V / 9 `� City AI I�h'�1� �d Tenant/Lessee Name Email JUL 0 5 2012 Master Permit No. Phone # 3 0 9 ®q • 6913 State F l . Zip // 1 3 k c� Phone # 0 4—• 90'10 1. 6 9 23 Job Address (where the work is being done) g-74 N E Q 9 S" p City Miami Shores Village County Miami -Dade Zip 33 13 4 . FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name C f R Air Co hcJ _ Co Contractor's Address o, a City �Wul State Zip 3 0/ �1 T Qualifier Name Phone # State Certificate or Registration No. Contact Phone 6,0'13 A1'1 16-14T �. 4 Phone # 3 OS CS / '1 C ,4 c ©16 ,-1 / Architect/Engineer's Name (if applic Value of Work For this Permit $ Type of Work: ['Addition Describe Work: Certificate of Competency No. 0 LI g $'O 2 • 3 E -mail C avid R 4c compQn yp oL , C o on 0 Phone # Square / Linear Foot a Of Work: ['Alteration ['New Repair/Replace ['Demolition ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *Fees * ** I5 3% Submittal Fee $ Permit Fee $ Notary $ Scanning $ Radon $ Double Fee $ ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CCF $ Training/Education Fee $ Structural Review. $ DPBR $ CO /CC $ Technology Fee $ Bond $ Violation date: Total Fee Now Due $ ?5°41 See Reverse side --> --in 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 which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 0 ' s er or Agent The foregoing instrument was acknowledged before me this day of Zik , 20 �, by who i o me or who has produced Signature The foregoing instrument was acknowledged before me this 2 day of J cl' , 20 la , by who i ersonally known me or who has produced as identification and who did take an oath. NOTARY PUBLIC: As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires �, '�s ROBE! 1 J. CiiRYST Sign: Print: My Commis H oCommission # EE 091937 sExpires May 9,2015 Bonded T ,u Tory Fain Insurance 800.388.7019 * * * ** :***** ****** *** **:Y**** * ***** * *** **** ***** * ******* * * ** * ** * **:i':k: *** * ** *** *** *** *** * *** **** * **** *** **:F** APPROVED BY 1 Mans Examiner Zoning Engineer (Revised 07 /10 /07)(Revised 06/10/2009) 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): g % Li lq 9R OT City: Miami Shores Village County: Miami Dade Zip Code: 3 0 13 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 'tne DATA ,,, UNIT -e w) MANUFACTURER u ua a IA 1(3'(( AHU or PKG. UNIT MODEL # r} L L. H AI q A : A 0431'42. COND. UNIT MODEL # I l.{ AVM 49 10 KW HEAT ) a r 6 ' NOM TONS LA a1/41- AHU 60 CU PKG 1) M.C.A AHUsbOUggOPKG AHU CU ° PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS 244 0 AHU CU PKG PKG UNIT / / PKG UNIT / / EERISEER I6 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 ire Size): lqt 2. Maximum Overcurrent Protection (Fuse /Breaker Size): C 0 A ay► 3. Voltage of Circuit (20: i/480): 4. Size Disconnecting Means: 60 A en P Contractor's Company Name: C+ R Air Con ® Co. Phone: 30 5-6 8S 6299 State Certificate or •istration N. C A C 01644 i Certificate of Gompetenc� N. OLI & 8oa ° 3 1 Signature big er's s ature only) Date: 7.2 ` Jul 02 12 1220p C&R Air Cbnditiorung w ;JAN -anr 4leC1)fYnfg 305-01:6-6 395 p.1 This combination qua$lfli� Energy Effciency Tax CCrr+eaddtft d in service between Feb 17, 2089 and Dec 31, 2011. Certificate of Product Ratin s 1 AHRI Certified Reference Number. 3800719 Date: 7!2/2012 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Qutdoor Unit Model Num er:14AJM49 Indoor Unit Model Numbs: Rt4LL•MM4521+4CSL'H•' 1 Manufacture= RUUD AIR CONDmONING DIVISION TradslBrand name: RUUD 14AJM SERIES Manufacturer reseonsiblefor the rating of this system combination is RUUD AIR CONDITIONING DIVISION Rated as follows in accordance with AHRI Standard 21012402008 for Unit a)/ A r -Condom ni p third Pump Equipment and subject to verification of rating accuracy by Ah* i p party fig: Cooling Capacity (Stun): 46003* E'ER Rating (Cooling): 1100 SEER Rating (Cooling): 16.00• • R,dims tdk wvd tar an mamba r) indicate a abeam relate at Ptsr ausiY oaeu, uama at aao,eieh u nod, which inaosom an neaulderf into*. AIDE owt Mat aeatorsa (e) listed anAUa and magi n9 napreandadsmeawanties or vamooses a! M and aaaaras rro,aepan181t g for, rand em eft C vvne e. AMU expranly disdain's nabob c� Wed Whin MEdtlts dna windows/bee aritn eaf tt e un sawdeed akaeaon awn dated en this GrtrtkUn Ceraded re tnAs and configurations bawd h, tho etwreas .idirotl wY Y TF�iM$ AND COrerITIONS oTANRI TMt: Cetttfleate Pad 4s and tor etttlt+i9Yat, personal a� e�°'an°• purposes. Thew(( me antihoeaan perry adored Into aamniAtiter database; or utl d,inanY Omar The sontsd. ottldaCa mil mat. d Mdnfteo►iw RsA. he reproduced; copied; disseminate* OrmaniMrobi $4Nmsaes, nowt tor inuser`a ineadual, 0eac eland ainfidentlea tease. CERTIFICATE vERW ICATION Illatniumandon torthemodelaheadonthis ca can be veddad rawahridircateryntar click on " YmHil Cat ikerar' link and eedertheAl ti Craned Ndererme number stud the date am seam the ontricada visa Dewed. ideals Is bated shove. and the Centlladoth whichis Nstedbeaw. C)2012 Air - Conditioning, Heating, and Refrigeration Institute P I Ai..Condlitta dng. Hooting, DM I and aoirige3ration. Instilele CERTIFICATE NO.: 129857192551 5rr1 C &R Air Conditioning Co. 6073 NW 167th Street Suite C-4 Miami Gardens, FL 33015 -4330 CandRacCompany@aol.com DADE: 305-685-6394 BROWARD: 954-680-4494 www.CandRac.com DATE ,2 ADTIS4 9'}T 331.38 6 .�.e We hereby propose to: Furnish, install and service the equipment and materials listed below with the conditions and specifications detailed below. NEW EQUIPMENT System #1 $- 14 3 1 System #2 $- System #3 5- FPL Rebate (instant) - 7 g 0. 0 0 Total Before Rebate/Tax credit $ Q6 _ 5 Dealer Rebate Tax Credit Your Investment $ '3' . (j .©a $ Manufacturer I� ((�� U U r_ Condensing Unit Model # 1 Li A u AA Li 9 fJ Air Handler Model # ( H L L j-1 M I d` HOME PHONE ci0Li° 69 a3 NUMBERS WORK CELL Email: ❑ UNDER CONSTRUCTION 4❑ EEXISTING STRUCTURE Package Unit Model # Refrigerant Heating KW Btuh S.E.E.R. Warranty ' l J R 4 10 Hb 000 Parts i 0 Yr. Compressor 100 Yr. Parts _ Yr. Compressor _ Yr. Parts _ Yr. Compressor Yr. 1 Year Labor 1 Year Labor Condensing Unit Stand Concrete Slab Other Air Handler Stand [r Thermostat S 6) PD f DUCT SYSTEM ❑ Package Unit Change -out Reconnect to Existing System Float Switch E1 Auxiliary Drain Pan 8 1 Year Labor ❑ Condensate Line ❑ Fire Dampers ELECTRIC SYSTEM [Existing Reconnection ❑ New Electric ❑ Ref. lines ft El El [1( v-11 tl A qualified air conditioning expert will start and test the system and explain its operation. This proposal is good for a two week period from date of proposal and at that time is subject to review. Title to the system shall remain in us until all sums due us have been fully paid. In the event the purchaser fails to comply with any of the requirements of this contract and such default results in litigation, the Purchaser agrees to pay reasonable attofney's fees and all court costs and expenses incident to such litigation. Delinquent payments shall bear 1.5% per month interest from due date until paid. All work is to be performed during our regular work hours unless otherwise specified. This contract contains all agreements. Neither party shall be bound by any representation, warranties nor agreements, oral nor written not herein contained. This proposal shall become a contract when accepted by you and approved in writing by our duly authorized corporate officer. We agree to furnish and install the above described labor and materials on the terms indicated below for System # FREON LINES ❑ Existing Reconnection TOTAL INVESTMENT $ Lit 3 1 FPUDEALER REBATE $ - YOUR INVESTMENT $ 9 .c. PERMIT FEE NOT INCLUDED PURCHASER . ° DATE JOB NOTES 50% DEPOSIT $ go 0 50% DUE WHEN 7 r READY TO OPERATE $ <,{ PE_ PRESENTATIVE VALID FOR WEEKS