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MC-12-2199Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 182295 Permit Number: MC -11 -12 -2199 Scheduled Inspection Date: December 03, 2012 Inspector: Perez, JanPierre Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Kolasa 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 -33 Phone: (305)807 -0288 Building Department Comments REPLACE 1 TON MINI SPLIT Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 181811. l November 30, 2012 For Inspections please call: (305)762 -4949 Page 27 of 29 Miami Shores Village Building Department NOV 1 9 201 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 k Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 10 Permit No. Master Permit No. MCI D\-91 1 �� Permit Type: MECHANICAL JOB ADDRESS: 11300 NE 2ND AVE, KOLASA COMMUNICATION ROOM City: Miami Shores County: Miami Dade zip: 33161 Folio/Parcel #: 1121360010160 -14 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): BARRY UNIVERSITY Address: 11300 NE 2ND AVE Phone#: City: MIAMI SHORES State: FL Zip: 33161 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: COOL WATER A/C Address: 760 S SHORE DRIVE City: MIAMI BEACH State: FL Qualifier Name: STEVE KERNEY Phone#: 786 -953 -8988 Zip: 33141 Phone#: 305 -807 -0288 State Certification or Registration #: CMC 056710 Certificate of Competency #: Contact Phone#: 305 -807 -0288 Email Address: STEVE @COOLWATERAC.COM DESIGNER: Architect/Engineer: NJA Phone#: Value of Work for this Permit: $ 2850 Square/Linear F Type of Work: DAddress DAlteration ONew Description of Work: REPLACE 1 TON MITSUBISHI MINI SPLIT e of Work: epair/Replace ODemolition **********cc •********a.*c+*.x a/. six: x+ r**** �x�xa�a�x�+ ��xi• r* x�a �x* *x��a�x:�x�+xa� *�x * *a�+r * *c• *+a Submittal Fee $ Permit Fee $ 1 " CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ -<h) 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 FT FCTRICAL 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 a reinspection fee will be charged. Signature J) Owner or Agent The foregoing instrument was acknowledged before me this /4 day of PI-V, , 20/`� , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expir , kekeieeP*>k****3eaaHeeie*** APPROVED BY Ptoc Notary Public State of Florida 41- 1: Cheryl Saida Gerber My Commiss on D0988126 ow Expires 05/08/2014 Alfikt Signature Contractor The foregoing instrument was acknowledged before me this day of My- ,20 /Z, by 5.4e Lie f:P2N, who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLI Ar My Commission Sign: Print: ******** * *** ** **fee ** Plates Examiner Structural Review Revised 3 /1212012)(Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) JUDITH P0L • Notary Public - State of Florida :�, My Comm. Expires Aug 27, 2016 - .�,�FQ,: n p 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): 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 CO RACT IS REQUIRED WITH ALL S,UBMITALS ARI 'HRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO ARHI Sheet Attached: YES NO ❑ Contract Attached: YES 2/ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER: MITSUBISHI AHU or PKG. UNIT MODEL #)I 5-4 I ZI'JA MITSUBISHI COND. UNIT MODEL # j i i, A- f 1014 KW HEAT NOM TON 1 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 1 / EER/SEER i t 2/ 1 3 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 (Wire Size): 12 GAUGE 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: 3054074288 State Certificate or Registration N. CMC 056710 Signature Certificate of Competency N. (Qua l psi, ature only) Date: Lip , AI . ar C RT aF hE D a h xidi ectory:org Certificate of Product satin s AHRI Certified Reference Number: 961213 Date: 11/15/2012 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower, (Free Delivery) Outdoor Unit Model Number: MU Al2WA Indoor Unit Model Number: MSAI2WA Manufacturer: MITSUBISHI ELECTRIC AND ELECTRONICS USA, INC. Trade/Brand name: MR. SLIM Manufacturer responsible for the rating of this system combination is MITSUBISHI ELECTRIC AND ELECTRONICS USA, INC. 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): 12000 EER Rating (Cooling): 11.20 SEER Rating (Cooling): 13.00 Ratings followed by an asterisk (1 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) fisted on thls Certificate. AHRI expressly disclaims all Ilability for damages of any kind arising out of the use or perfomunrce of the product(s), or the tmauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL This Certificate shad 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; dtsseminated; entered into a computer dame; or otherwise utilized, in any tor' or manner or by any means, except for the user's Individual, personal and confidential reference. CERTIFICATE VERIFICATION The hhfonnatlon forme model cited on this certificate can be verified atwww.ahridirectory.org, Air- Conditioning, Heating, dick on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on ®® ®a and Refrigeration Institute which the certificate was issued, which Is listed above, and the Certificate No., which is listed below. ©2012 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129974886670424553 COOL WATER AIR CONDITIONING INC. 760 South Shore Drive Miami Beach Fl 33141 Phone 305 807-0288 Fax 305-865-0800 www.cootwaterac.com Barry University 11300 NE Second Avenue Miami Shores, Florida 33161 Attn: Ron Hultquest Ref: 1-ton mini split for Kolasa communications room Dear Sir, Sept. 21, 2012 Thank you for calling on Cool Water Air Conditioning. The following is a price quote to replace a 1-ton Mitsubishi mini split system at Kolasa communications room on the 3rd floor. The price to do this would be $2,850.00. Please feel free to contact me with any questions or comments. Sincerely, Stephen Kerney