MC-12-2086Permit Number: MC -11 -12 -2086 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
inspection Number: INSP - 181142
Inspection Date: November 14, 2012
Inspector: Perez, JanPierre
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Adrian Hall
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: COOL WATER AIR CONDITIONING
Permit Type: Mechanical - Commercial
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number
Parcel Number 1121360010160 -07
Phone: (305)807 -0288
Building Department Comments
REPLACE 11.5 TONS NC UNIT
Infractio Passed Comments
INSPECTOR COMMENTS False
IV 1
i 1 1Z
Passed
Inspector Comments
TECH - JACKSON
954 - 655 -9109
steve 305.807.0288
lil
%
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
November 14, 2012
For Inspections please call: (305)762 -4949
Page 1 of 1
") IrL —tom,
U LDING
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. °' C 12 2tysto -
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: MECHANICAL
Owner's Name (Fee Simple Titleholder) 13ARAy towatg1 / Phone # 305. 219. 3q'
Owner's Address 11300 N G Seel AUG
cityM 4Mj sikarls State telL Zip 33 6 ( I
0 2 20i2
mmmmmm
Tenant/Lessee Name
Email
Phone #
Job Address (where the work is being done) "' 4 o Mr't " TW Lti lA'' -. I
City Miami Shores Village County Miami -Dade Zip 3 3 i 6/
FOLIO / PARCEL # 1 / ' - r % 00/ 0 / (s0-- / (1'
Is Building Historically Designated YES NO
Contractor's Company Name COOLAi2 CriValt#46
Contractor's Address 7, S. Qfr'LV
City Il j,( GI State rt.., Zip 3 �,
Qualifier Name 5 f e v e,.3 /ze/ ti) �.y Phone # ,O 5- 10 7 ® 0 Z g'
State Certificate or Registration No. CM C 0%97/0 " Certificate of Competency No.
Flood Zone
Phone # 36. $07. OZ 8 i
Contact Phone 7 - 0 7- '
Architect/Engineer's Name (if applicable)
E -mail
5-- eve eoo/ we ie.2c3c• co
Phone #
Value of Work For this Permit $ / /JO O Square / Linear Foota ; 1 f Work:
Type of Work: ['Addition []Alteration ['New Ii Repair/Replace ❑ Demolition
Describe Work: i �. ., i / »i
Submittal Fee $ Permit Fee $
Notary $ Training/Education Fee $
CCF $
Co /CC $
Technology Fee $
Scanning $ Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $
Total Fee Now Due $
See Reverse side -+
‘J\\t.) 1-1C
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
N/ft
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
/4A-
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.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this tsf
day of = 20 Z, , by J(.F epArbar
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Ex
APPROVED BY
Contractor
The foregoing instrument was acknowledged before me this 24,-)j
day of A) ®V• ,20 /71 by
j-� e., ye kee t j
who is personally known to me, or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: : , ,. `'e-
°" Notary Public - State of
Florida
My Comm. Expires Aug 2 7, 2018
Commission N EE 83 0580
My Commission Expires:
*************************************************************************
3 ''Plans Examiner
Engineer
(Revised 07 /10 /07)(Revised 06/10/2009)
Zoning
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): 11300 NE 2nd Ave Miami, FL 33161
City: Miami Shores Village County: Miami Dade Zip Code: 33161
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
NEW UNIT
MANUFACTURER: RHEEM
AHU or PKG. UNIT MODEL # RBHP21
RHEEM
iRHEEr'
COND. UNIT MODEL #13AJN36
KW HEAT
NOM TONS 3.5 TON
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
/ /
EERISEER / f.
�
YES
NO
REPLACING DUCTS
YE
NO
YES
NO
REPLACING THERMOSTAT
Cqp
NO
YES
NO
NEW 4 °CONCRETE SLAB
S
YES
NO
NEW ROOF STAND
YES
NO 7
YES
NO
NEW RETURN PLENUM BOX
S)
NO
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit (208/240/480): 208/230
4. Size Disconnecting Means: 30 AMP
Contractor's Company Name: COOL WATER A/C Phone: 305 -807 -0288
State Certificate or Registration N. CMC 056710 Certificate of Competency N.
12 GAUGE
Signature
Date:
•
www_ahridirecto- ry.org
Certificate of Product Ratings
AHRI Certified Reference Number: 4525743 Date: 8/18/2011
Product: Split System: Air - Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 13AJN36
Indoor Unit Model Number: RBHP -21 +RCHL -36A1
Manufacturer: RHEEM MANUFACTURING COMPANY
Trade/Brand name: RHEEM 13AJN SERIES
Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING COMPANY
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 (Stun):
EER Rating (Cooling):
SEER Rating (Cooling):
36000
11.50
14.00
Ratings followed by an asterisk (•) 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 Catifihate and makes no representations, warranties or guarantees as to, and genes no responsibility for,
the product(s) meted on this Certificate AHRI expressly d all liability for damages of any kind arising out of the use or performance of the product(s), or the
Intauthortzed alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations fisted in the directory at w wi ahridirectory org.
TERMS AND CONDITIONS
This Certificate and Its contents are proprietary products of AHRL Thy Certificate shall only be used for individual, personal and confidential reference purposes.
The contents of this Certificate may not, hr whole or in part, be reproduced; copied; disseminated; entered hit* a computer database; or otherwise utilized, in any
form or manner or by any means, except for the user's hufividual, personal and confidential reference.
CERTIFICATE VERIFICATION
The information for the model cited on this certfkate can be verified at w wn.ahridirectory.org,
dick on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on
which the certificate was Issued, which is limed above, and the Certificate No., which Is listed below
02011 Air - Conditioning, Heating, and Refrigeration Institute
A�
® ®�Air - Conditioning, Heating,
and Refrigeration Institute
CERTIFICATE NO.: 129581841086513750
COOL WATER AIR CONDITIONING INC.
760 South Shore Drive Miami Beach Fl 33141
Phone 305 807 -0288 Fax 305- 865 -0800
www.coolwaterac.com
Barry University
11300 NE Second Avenue
Miami Shores, Florida 33161
October 19, 2012
Attn: Ron Hultquest / Jeff Yao
RE: Adrian Hall
The following proposal is to replace the existing air handler with the correct match to the new condensing
unit. This will include all new return air ductwork, and necessary electrical upgrades.
Scope of work:
D. Provide and install (1) new (3.5) ton Goodman. air handler
• Provide and install (1) new thermostat.
and insta
1
new
return
air
uctwor
➢ Provi • e a necessary e ectrica wor or
• Leak -check all connections.
• Start -up unit and check for proper operation.
an
•
necessary grills this is required.
air
an
e
Note: All work to be performed during normal business hours, 8:00 am to 5:00 pm Monday through Friday
This price will include: all material, labor, and applicable sales tax.
Our price for this scope of work will be
Sincerely,
Lorn Tucker
$ 10.100.00
Payments to be made as follows: 35% deposit with the balance due upon completion
TERMS AND CONDITIONS OF THIS CONTRACT: It is expressly understood and agreed that Cool Water Air Conditioning Inc.
retains title to the above- described property. In addition, it shall not pass or become vested in the purchaser until the entire purchase
price has been paid. Said property shall be and remain personal property and retain its character as such and purchaser shall not attach
or affix said property to any realty so that it does not lose its character as personal property nor shall purchaser resell said property
until the full purchase price thereof has been paid. The purchase price shall be due and payable as provided under "terms" above.
Finance charges will be applied to all late payments. Upon the failure of the purchaser to make any payments on the due date, the
seller, at its option, may declare the entire balance of the purchase price due and payable. In case of default, purchaser shall pay all
costs and damages including a reasonable attomey's fee incurred by seller in collecting this account or repossessing the described
property, whether suit be brought or not. Purchaser hereby waives presentments, demand, and all other pre- requisites required to make
it liable. No warranties, representations, or promises not appearing in writing in this contract shall be recognized. This agreement shall
not be considered executed or binding to the seller until duly accepted by an authorized officer of the seller. The execution by seller of
this agreement is subject to force majeure and its contingent upon strikes, accidents, acts of God, weather conditions, regulations, or
other restrictions imposed by any Govemment or Govemmental agency or other delays beyond seller's control. All work to be
performed during normal working hours Monday through Friday 8: 00 am to 5:00 pm. unless otherwise specified. Excludes any code
upgrades on existing equipment. All quotes are good for 30 days from date.
Authorized Signature Date PO
NOTICE OF COMMENCEMENT
A RECORDED CM MUST BE HMO ONTBE XIS f MAT MU OF RBSf
T NO. M .it- Comoro No• flfZ13(P00ro /4
STATE OF FLORIDA:
COUNT( of MIAMI -DAB:
THE UNDERSIGNED Eby gives notice that improvemerds be mate to certain real
propmt% and ki accardancewith Chepter713, Florida. theft Information
Is prcarided in this Notice of Commencement.
111111111111111111111111111111111111111111111
CFN 201280788789
OR Bk 28341 Ps 2215; (1ss)
RECORDED 14:42:46
HARVEY RUVINr2CLERK OF COURT
MIAMI —DADE COUNTY? FLORIDA
LAST PAGE
-iy
space ebove rese�red for use of raw** office
WOOZY 11 rg 44 AAA
r I A;:.') N : ,k
5. Sleety: (Payment bond marked by owner from
Nam address and phone number.
Amount of bond
7 Persons within of designated by Owner upon whom notir.es or oar documents may be served as provided by
Sermon 913.13(1)($7., Florida Se:aides,
Name, address and phone number:
8. to action to himself, Owners designates the following persons) to receive a copy otthe Uenof's Notice as provided in Section
713.13(1)(13), Florida Ste.
Name, address and phone numb:
9. ton date of this Notice of pmt:
(thsexplestan dee Is1year.=dte dab) at teoonb'p imams& daentdeoeIsso d}.
WARNING TO OVINGt ANY PAYMENTS MADE BY THE OWNER AFTER THE EXRIRATIONOF THE NOTICE OF COMMENCEMENT ARE
IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES. AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
Fnisr INSPE OUR NOTICE CO OBTAIN FINANCING, COST WITH YOUR LENDER OR AN Y BEFORE COMMENCING WORK
oR R�
Signature(s) of Owner(s) or
Prepared By
Print Name
Title/Office
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The d�
iPi
individually, or a$
Personally known, or El produced the
Signature
Authmi¢ed O(OCer/Di /Party /idlaruger
Prepared By
Print game
Title/Ofe
me this tSt day of N `Vr
1. -: :3 L , r r ..s ► r• 7 -�' �, OF FLORIDA, CO
Under penalties of perjury, I declare that t 8�'COUNTY Y OF
that the facts stated to A are true, to the best of my latowledge enyi Aelivt.8 Y CERTIFY that this is ore co
SJ8 (s) •' ,: ; : f' •' $•s Authorized Of icerJDIrector
By
9@un.ss PMGeD 3110
i','ril
my hand and Offi
iARVEY RUVIN, CLERK, of Cs
Covets
O.C.