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MC-12-1573Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Dy,/ Inspection Number: INSP - 177602 Permit Number: MC -8 -12 -1573 Scheduled Inspection Date: September 05, 2012 Inspector: Perez, JanPierre Owner: ROBBIN, DAN AND JOSEPHINE Job Address: 810 NE 100 Street Miami Shores, FL 33138- Project: <NONE> Contractor: SERVICE EXPERTS LLC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060340060 Phone: 305 - 264 -2020 Building Department Comments EXACT CHANGEOUT 4 TON A/C SYSTEM WITH 9KW HEATER Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments September 04, 2012 For Inspections please call: (305)762-4949 Page 18 of 33 251(9‘111 BUILDING PERMIT APPLICATION Fsc zo 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 5 AUG gY :ve - -- - - - - -� Permit No. 11.ia —�� Master Permit No. Permit Type: MECHANICA OWNER: Name (Fee Simple Titleholder): a J 1.-i( NI. 4 4j 61 IJ Phone #: ' 21/, p 11,1 Address: 0 i 0 i& � Q® S+ City: 1-4/a./.4I l.c?r State: FL Zip: 3 313p Tenant/Lessee Name: AVA' Phone#: Email: JOB ADDRESS: S7/ © Ng i 0 0 S'Q..e.4- City: Miami Shores County: Miami Dade Zip: 3313? Folio/Parcel #: I l ' '3 � (j -D34-0060 Is the Building Historically Designated: Yes CONTRACTOR: Company Name: 72//`(/ i GQJ E Address: 21 City: DY(� 4 r Qualifier Name: NO Flood Zone: State: ?` �. lrM Phone #: 5. 264 .2.02.0 / Phone #: CA- /� State Certification or Registration #: � C ( g 1 3 �UJ Certificate of Competency #: Contact Phone #: '3/ 5 .323 • a 7 8 0 Email Address: Zip: 33/ 72- 3o6,6./1.1q 3, DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 1 1 641 Square/Linear Footage of Work: Description of Work: -E--AM C-7+ C../ k 0 Type of Work: OAddress OAlteration ONew Repair/Replace ODemolition 4-----foN1 Arik 51c LvY 1 Kw h eAL. ********************************* * ** ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Puri 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 FT ,FCTRICAL WORK., PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S A}FH)AVIT: 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection wi , be approved and a reinspection fee will be charged. Signature Omer or Agent The foreg ing instrument was acknowledged before me this ■ day of ,I1:..1 V$ 20 0?! by Tamil ril ° who is person ly known to me or who has produced 1L b L- P\ )60.09)- s identification and who did take an oath. NOTARY P LIC: Sign: Print: My Commission Expires: JESSICA AC()SiA MY COMMISSION I DD 884414 EXPIRES: May 13, 2013 i E OF Bonded Thu Bud Notary Services FAO Signature, Contractor The foregoi g instrument was acknowledged before me this ( 7 day of , 20j, by Cif L Zak , or who has produced, as identification and who did take an oath. LIC: NOTARY Sign: Print: My Commission Ex ''pRY P.ait, JESSICA ACOSTA MY COMMISSION 8 DD 884414 EXPIRES: May 13, 2013 'NoFFi.o F 'e °P Bonded Tiuu Budget Nay SeMcea **************** * * * * * * * * * * * * * * * **+k+h+k**** *$ + b**+ N*****+ k*+ k+ k************* ***+ k**+ b*********** ****+k*******M****$**** APPROVED BY 4�- #11 X)/ f glans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): ® 10 NE / b o Sdreeji- City: Miami Shores Village County: Miami Dade Zip Code: 3 3I 3r ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO Ea ARHI Sheet Attached: YES 111 NO ❑ Contract Attached: YES ['J UNIT BEING REPLACED DATA UNIT fillA 2. -- S MANUFACTURER / ANEW t eili l0)6 42- A- Lig I'5 A-A/,3 AHU or PKG. UNIT MODEL # c.6 X 32/Y1V O 4-y °711-2. o 4-? / 0 0 A o COND. UNIT MODEL # ,2/ p 4 j / De (A) KW HEAT NOM TONS 4 AHU CU KG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU?4oCU9.40PKG 3) VOLTS AHU2 CU 240PKG PKG UNIT / / PKG UNIT / / ids EER/SEER / YES (----Ng REPLACING DUCTS .YE$ N YES IV) REPLACING THERMOSTAT t✓ YE' NO YES NEW 4"CONCRETE SLAB l'[ NO YES ( 7 NEW ROOF STAND YES YES C% NEW RETURN PLENUM BOX YES `a 1. Minimum Circuit Ampacity (Wire Size): 4 (a 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 6 0 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: 60 Q/np Contractor's Company Name: .i'1/ r -{s Phone: 3 o -264 • Zo 20 or Registration N. C I? 13R 6 T Certificate of Competency N. Signature v C� (Qualifier's gnature only) Date: P// %/ 12- NOTICE OF CO NCEMENT STATE OF F A RECOIRDED COPY MUST BE POSTED ON THE JOB lam AT TIME OF FIRST COVE PERMIT NO. STATE OF FLORIDA COUNTY OF DADE Jix FOLIO NO. 11— 3#9(P -16504in my HARVEY RUVI 111111111111111111111111111111111111111111111 CFH 2012R0!591962 OR Bk 28238 Ps 0333; (lps) RECORDED 08/22/2012 105419 HARVEY RUVINp CLERK OF COURT MIAMI-DADE COUNTY FLORIDA LAST PAGE RDA, COUNTY OF LADE TIFY that this is a tal copy of the co on 2 d9Y A D 20 / d sn. Official Saal • CLER of Or it arid County Courts /' 40■6 D.C. By THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Legal description of property and street address: r 10 N6. 1DO Skeeffi-) )-A6(4-1) S(nbres 'FL- cf; 2. Description of improvement 0,116114 i /.41" 4 -loo Si154e4. 3. Owner (s) name and address: ..Da N) e. 1 M . k 1:16d0 F10 isJe 11)0 3/r:ee1- Stiore3 t 3131 Interest in property: Name and address of fee simple titleho 4. Contractor's mune and address: (// gyeef-A- 152/ NL,) f9 le- a 1 531 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond: $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) 7., Florida Statutes: Name and address: 81n addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in Section 713. 13(1) (b) 7., Florida Statutes: Name and address: II I Ion • Sii of Owner Print Owner's Name Sworn to and subscri Notary Public Print Notary's N My Commission Expires: ent (the expiration date is 1 year from the date of recording unless a different date is specified) )79. dL',j.) 20 / 2— ore me this day MY COMMISSION DD 884414 EXPIRES: Mal 13,2013 Botiefahru Budget Natal Sallices Prepared by: 0 11P ' Address: 15z1 M.0 yl c5144-- 7.1Dy-61( Vu 104 License #: CAC1817129 nate: 0 Install Date: CY2-3„ /114-.) I t 9,1 (It k4k, Service Experti 866.EXPERTS HEATING & AIR CONDITIONING ServiceExperts.com Customer Name: EsV\-1\-- bb ) tts \ State:C:::- `7"t -.;';:z•-•:, Email: rrf Home Phone:QTY:-) ( Work Phone: Service Address: INVESTMENT AGREEMENT Was possible asbestos observed? 0 Yes 0 No Has the customer been informed of their responsibility to remove it? 3 Yes 0 No _ Were possible microbes observed? 0 Yes 0 No Has the custorner been informed of ,D Yes 0 No the possible presence of microbes? See 'Wad Cum* Terms' an the rEmce mle XV. MiiiiffiffiekiiiMO Somme Premium Deluxe Slandafd Size Efficiency -■ Equipment 0 Air Conditioner 0 0 0 0 1,..ccKAN )K Ca ) i-_-) 4.4 -7-5 t) i , Li Li ti 0 Furnace 0 0 0 C) `f,37--tv) FL 1 I 15 t)4-;1---..,_-:)"1 0 Heat Pump 0 0 0 0 0 Air Handler 0 0 0 0 0 Goofing Coil 0 0 0 0 V4-1 0 Boiler o 0 o 0 .._)LT) tj--\l'a- 0 0 0 0 i,,1 L Li c--,Y,) 'I) kcrialcc--- 0 QUALITY ASSURANCE GUARANTEES 0 Written 100% Satisfaction Guarantee ,.t.Ailanufacturer Warrant' ,Highest Customer Satisfaction o NC Compressor 61.N44ghly-Graded BBB Accreditation \-1, " Parts *TE-Certified Professional Technicians 0 Furnace Parts VOfficial ENERGY STAR® Retail Partner 0 Heat Exchanger — 0 Labor 03 Year 100% Satisfaction Guaranteed 0 PLUS MAINTENANCE AGREEMENT OS teiravided if checked) Comfort Guarantee years years years years years Date of Sale IS Dealer Number 0 CASH 0 VISA 0 WC 0 AMEX 0 DISC 0 SEI Print Customer Name Acct # 1 1 1 1 1 1 1 1 1 1 1 1 5 1 3 1 4 1 8 1 1 2 1 , J.) NC system will provide a indoor temperature on a summer day. 0 Heating system will provide a Indoor temperature on a winter day. 0 Other Co k-,-.1 .4:57. 51. Cf.-D tti OP- -rD Delivery Date i t-) / 1 c'cc7) Ill 14-i BUYER'S RIGHT TO 111111 1 1 THANK Y 1 1 0 Check 11111 Auth Code 1 1 1 1 1 1 I Credit Plan 1 1 Custornortignature / t e Sales Consultant Signature CANCEL th O U You, mi I this tran ca actiony at any time prior to midnight of the third business day after the date of this transaction. See the notice of cancellation for an explanation of this right on the reverse side, Exp. Date 1 14'02. Date Date Date QUALITY INSTALLATION Reconnect existing duct work 0 Add Supply 0 Add Return 0 Insulate duct work Seal duct work 'Balance air flow Reconnect existing wiring Weatherproof elec. disowned ?skr rcuit breaker Power circuit IfirContrOi wiring 0 Ceiling saver kit w/auto cutoff 0 Gas Piping 0 Flue Piping 0 Flue Liner 0 Opt-sized refrigerant piping 0 Architechiral piping cover Condensate piping/pw-np 0 Condenser foundation pad 0 Vibration/shock isolators 0 Combustion air 0 Gallon Water Heater 0 Replaced components disposal pther 'prop cloth/floor saver protection (.3 complete cleanup &vacuuming Ir"„CertMed refrigerant handling SI Code compliance s(Permit Licensed & insured INDOOR AIR QUALITY 1 FILTRATION 0 High-efficiency 1" media filter 0 High-efficiency 4° media filter 0 Electronic air cleaner 0 Electrostatic air cleaner 0 Purer system 0 Charcoal filter 0 UV Light - Single / Double BioFighter PLUS Single / Double 0 P-MAC 0 Dust lock 0 Catalytic 0 Other SOURCE CONTROL 0 Humidifier 0 Dehumidifier 0 Duct cleaning 0 Duct sanitizahon 0 Duct sealing 0 Other VENTILATION 0 Energy recovety ventilation 0 Heat recovery ventilation O Attic / Crawl apace 3 Fresh air mixing system 0 Zoned Comfort System Zones CONTROL 0 Digital/programmable T-stat 0 Smoke detector 0 CO detector 0 Efficiency enhancements 0 Other 1:110:111 14 System Investmenv tic/A V Indoor Air Quality Total Home Comfort lnvestme Sales Tax Less Initial Investment Balance Due Upon Completion ) Reverse Side For Tens & Conditions MeV/64M 2012 Service Experts Heating & AT Cooditioning EEC. 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 Fatings AHRI Certified Reference Number: 5012258 Date: 8/16/2012 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: XC21-048 230 -07 indoor Unit Model Number. CBX32MV- 048* +TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade!Brand name: XC21 SERIES Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC. Rated as follows in accordance with AHRI Standard 2101240 -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 (Stub): 49500 EER Rating (Cooling): 13.20 SEER Rating (Cooling): 18.00 * Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied wdh a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, =wean or guarsudees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disdains all UMW for damages of any kind arisbng out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Cede. Certified ratings are vafid only for modem and corftntrations listed in the directory atwww.ahridirectory.org. TERMS AND CONDITIONS This Ceram and Its contends are prop►thiary products MAIM. This CeitMcate shall only be used for kWividual, personal and confidential reference purposes. The contents of this Certificate may not, In whole or in part, be rem; copied; ; entered brio a computer database; or otherwise ufil zed, In any form or mariner or by any means, except far the user's halivtdual, personal and confidential reference. CERTIFICATE VERIFICATION The bsfonnation forthe model cited on tits certificate can be verified at www.ahrtdirectory org — Air- Conditioning, Heating, click on "Verify Certificate" fink and enter the AHRI Certified Reference Number and the date on = S, and Refrigeration institute which the certMcale was Issued, which Is fisted above, and the Certificate No, which is listed below. ©2012 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129896205562729203 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 Ratini.s AHRI Certified Reference Number. 5012258 Date: 8/16/2012 Product: Split System: Air - Cooled Condensing Unit, Coil wiith Blower Outdoor Unit Model Number. XC21-048 230 -07 Indoor Unit Model Number. CBX32MV-048* +TDR Manufacturer. LENNOX INDUSTRIES, INC. Trade/Brand name: XC21 SERIES Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC. Rated as follows in accordance with AHRI Standard 21012402008 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): 49500 EER Rating (Cooling): 13.20 SEER Rating (Cooling): 18.00 • Ratings followed by an asterisk (1 indicate a voluntary relate of previously published data, unless accompanied with a WAS, which indicates an involuntary relate. DISCLAIMER AHRI does not endorse the pr ducts) Ind on this Certificate and makes no anineserdations, wananfies or guar as to, and assumes no responsibility for, the product(s) Slated on this Certificate. AHRI expressly disclahrs all liability for damages of any kind arising out of the use or performance of the product(s), orthe unauthorized alteration of data listed on thls Certificate. Certtied ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS Thls Certificate and Its cordehit; are proprietary products ofAHRL This Certificate shall only be used for lndlvldual. personal and confidential reference purposes. The contents of tnla CertMcate may not, in whole or hi part, be repoduced; ; entered Into a computer database; oroterwlae utIDmd, hi any form or manner or by any means, except forte user's individual, personal and confidential reverence. CERTIFICATE VERIFICATION The Information for the model cited on this certMcate can be verified at www.ahridirectory org, Air- Conditioning, Pleating, click on "Verily Certificate" fink and enter the AHRI Certified Reference Number and the date on ME a and Refrigeration Institute which the certificate v as issued, which is Bated above, and the Certificate No.,which is listed below. 02012 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129896 2729203 DesignStar Load Calculation Results are intended for use with Rheem heating and cooling systems only Customer Information Street Address Latitude, Longitude House Square Footage: Name: Phone: Location: 810 NE 100 St, MIAMI-DADE, FL 33138 25.7791°, -801978° 2484 sq ft Daniel Robbin (305) 299-8141 Desion Conditions Outdoor Dry bt.11,P ('F) ReIative. humidity I,loisftire difference Indoor indoor temperature (°F) Design temperature Oitterence( 'F) Heating 50 Cooling 90 5 0% Heating Cooling 70 75 20 t ft eit- osY Pua, JESSICA ACOSTA 4, MY COMMISSION # DD 884414 EXPIRES: May 13, 2013 Bonded Thru Budget Notary Services 1 Heatin• Loads Area Btuh % of load b764 30 1 Floor Heating Loads Wall Infiltration System Efficiency Loss Ceiling Windows Coo lino Loads Area Nall CeWrq Windows 23801 49.7 Sensible Infiltration 3431 7.2 Latent Infiltration 8200 17,1 System Efficiency Gain 3891 8.1 Internal 2787 5.8 Sensible People Load 1143 2,4 Btuh % of load 1503 3.1 1975 4.1 Latent People Load Total: Sensible load Latent load SHR 1143 2.4 47873 38530 Capacity at .75 SHR Cooling Loads 9343 0.8 4.28 Tons Windows - 4 r Sensible People Load Latent People Load Wall Ceiling internal Sensible Inflliratio System Efficiency Latent Infiltration • e • uate Ex • ©sure Diversit 40000 30000 20000 10000 AED Graph Sam 9am loam ilam 12pm 1pm 2pm 3pm — Hourly Loads — Average 4prn 5pm 6prn 7pm 8pm ♦ CCA Manual S equipment se le VY Sl.,nuner Outdoor Summer Wet Bulb Summer Indoor sum er Design Grains Winter Indoor isbie Cooling Cooling the fotiov i q Manual S derived values. 90 °F 77 °F 75 "F 50% 50 "F 70°F 38,530 Btuf 9,343 Btuh € equ ed Ieainq A;r;roV A! caiciflations are based upon approved bvac IF du, state and -ederid code requirements. All computed Systems and idea Tree 22.253 Btuh 289 CHM `js and procedures, and comp !v= with ail !ocel, 5t #f1'1fires. Product provided by Ererc#} Design