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MC-12-2049Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 180888 Permit Number: MC -10 -12 -2049 Scheduled Inspection Date: November 05, 2012 Inspector: Perez, JanPierre Owner: CAMACHO, RICHARD AND JOSEPHINE Job Address: 152 NE 101 Street Miami Shores, FL 33138- Project: <NONE> Contractor: DIAMOND ICE AIR CONDITIONING Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)757 -7057 Parcel Number 1132060131980 Phone: (305)887 -9976 Building Department Comments REPLACEMENT OF EXISTING AIR CONDITIONING UNIT Infractio Passed Comments INSPECTOR COMMENTS False � tii i-z,„ Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments November 02, 2012 For Inspections please call: (305)762 -4949 Page 27 of 37 3 [01 3 2 -U ivi4 BUILDING PERMIT APPLICATION 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 Type: MECHANICAL JOB ADDRESS: 152 NE 101 ST CEMIVTI OCT 2 9 2012 BS FBC 20 Permit No. IVC) 1 Z� 2-04-9 Master Permit No. City: Miami Shores County: Miami Dade zip: 33138 Folio/Parcel #: 11- 3206 - 013 -1980 Is the Building Historically Designated: Yes NO X Flood Zone: OWNER: Name (Fee Simple Titleholder): RICHARD & JOSEPHINE CAMACHO Address: 152 NE 101 ST City: MIAMI SHORES state: FL Tenant/Lessee Name: N/A Phone #: 305 - 785 -3790 Phone #: Zip: 33138 Email: CONTRACTOR: Company Name: DIAMOND ICE AIR CONDITIONING Address: 2118 W 62ND STREET Phone #: 305 - 887 -9776 City: HIALEAH Qualifier Name: VICENTE CHAO State: FL zip: 33016 Phone #: 305 - 979 -5337 State Certification or Registration #: CAC1815914 Certificate of Competency #: Contact Phone #: 305 -887 -9776 DESIGNER: Architect/Eng.n Email Address: INFO @DIAMONDICEAC.COM Phone #: 3,3 Value of Work for this ermit: $ 3,031.00 Square/Linear Footage of Work: Type of Work: Address = eration UNew ' l' epair/Replace UDemolition Description of Work: REPLACEMENT OF EXSISTING AIR CONDITIONING UNIT + x+ xx�******** x�x�x�x�x�x��xx��xa�x� +x�x*** * * ****1 il�� ******* *** ***+x**** ******* ** * **x * *** Submittal Fee $ Permit Fee $ �; ` b t�, ' F $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Structural Review $ TOTAL FEE NOW DUE $ I "1 '' 'l QLp 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. Owner or Agent Contractor The foregoing instrument was acknowle► = ►/. Mme this 022 The foregoing instrument was acknowledged befor e this .23 day of evil 1 / P; by +1 D f :. 0/14-4163.y of D c-7-1,76. � , 20 /.Z by . � .err if i who isASersonally kny?wn to me o who :'s produced Sign: Print: My Commission Expires: As identification and who did take an oath. APPROVED BY . * * * * * * ** ** **** * ** who irsonally known t me or who has as identification and who did take an oath. NOTARY PUBLIC: ans Examiner Structural Review Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Sign: Print: My Commission Expires: 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): ,..S -2 A/& (0 1 it City: Miami Shores Village County: Miami Dade Zip Code: 3 t 39, 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 ARHI Sheet Attached: YES Ei<110 0 Contract Attached: YES d Change Disconnecting means: YES [] NO UNIT BEING REPLACED DATA NEW UNIT Cr e-- f 4 o^ MANUFACTURER (4 ee ,1 AHU or PKG. UNIT MODEL # R 14 LL 1-1,-421,2-/,T4 ,'0,2, 4-49/ / Se/�a- f p - I✓ 4/01'% 030. -6 COND. UNIT MODEL # ` KW HEAT /0 NOM TONS 3.5D 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 / / EER/SEER /.3 Po YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT (Y S) NO YES NO NEW 4 "CONCRETE SLAB ''rEg) YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX pl, YES � 1. Minimum Circuit Ampacity (Wire Size): Lid — 6 2. Maximum Overcurrent Protection (Fuse /Breaker Size): /0 — 6 3. Voltage of Circuit (208/240/480): -Zo g 4. Size Disconnecting Means: i3," c ' Contractor's Company Name: iD 7 /9 fa .J ]] -ice r r Phone: ..19-5- -c am% -9977 State Certificate or Registration N. 6"4 /m/5 % O y Certificate of Competency N. Signature lager's signature only) Date: /4,' 77"/Z LAMP u.. / CERTIFIED T wwwrahridirecfory;org 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 Ratings AHRI Certified Reference Number: 3806012 Date: 10/27/2012 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM42 Indoor Unit Model Number: RHLL- HM3821 +RCSL- H*3821 Manufacturer: RHEEM MANUFACTURING COMPANY Trade/Brand name: RHEEM 14AJM SERIES Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING COMPANY Rated as follows in accordance with AHRI Standard 210 /2404008 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): 40000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 * Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanled with a WAS, which Indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no t epresentations, monodies or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate AHRi expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certficate. Certified ratings are valid only for models and configurations listed in the dirt at www.ahridirectory.org. org. TERMS AND CONDITIONS This Certificate and its contends are proprietary products of AHRL This Certlflcate shall 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; disseminated; entered hrto a computer database; or otherwise utMzed, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION unr The information for the model cited on this certtflcate can be verified adtwwuw.ahridirectory.org, Air - Conditioning, Heating, click on "Verify Certificate" link and enter the AtiRl Certified Reference Number and the date on ran ® ®® and Refrigeration Institute which the certificate VMS issued, which is listed above, and the Certificate No., which is listed below. ©2012 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129958228240037333 LICENSE NO. CAC1813914 October 23, 2012 AIR CONDITIONING INSTALLATION CONTRACT JOSEPHINE CAMACHO 152 NE 101 STREET MIAMI SHORES, FL33138 Diamond Ice Air conditioning Inc. is please to tend this contract to install a complete air conditioning unit at 152 NE 101 Sty Miami Shores, FL 33138 as follows: Install 1 (One) Rheem 14AJM42A01 RHLL- HM3821JA 3.5 ton unit (16 Seer 410A Refrigerant) for a sum of $3,318.00 dollars less FPS, Rebate of $685.00 for a total sum of $2,633.00 dollars plus tax . Concrete slab additional for $200.00 Included Touch - Screen Thermostat. Permit, duct work and electrical work not included. Payment: 100% GE Capital. Financing Unit carries a 5 year manufacturer's warrantee (can be extended to I0 years by registering on line), and a 2 year Labor guarantee. Ali materials guaranteed 10 be sue. All work 10 be completed in a vie manner adding to the standard mottoes. Any alteration from the above specifications involving cane cost will be executed only upon milks orders and will become an extra charge over and above the estimate. Owner to carry fire, wind and all other necessary ices. Our company is fully covered by Liability Insinance. In the event of any litigation receding the terns orpexfom/ance ofthe contrast, the prevailing party shall be awarded reasonable attorney tees and or aunt cost Should any ofthe sums du: under this agreement is not paid under to terms set forth above, Customer agrees to pay all reasonable attorney's fees, collectire expenses and cart cost inclined to collect said suns. In addition, all past due sums will carry an interest of 1.5% per month. Sincerely, Ihovany Linares. President Contract Agreed to by: Signature: , , Name: J $ :4/1 r,t V "cv@iFt r4T �$�II Date: % .2-3h 1— sjwt€vnar 10050 MIAMI SECOND AVENUE ..I\ MIAMI SHORES, FLORIDA 33138-2382 "TELEPHONE (305) 795 -2207 FAX (305) 756-8972 COURTESY NOTICE Date (J - 2-3- (2. Address t S 2. A Je (0( S Dear Property Owner / Occupant ma In an effort to maintain the appearance and property value of your home, Miami Shores Village has various codes for the upkeep and maintenance of the homes and properties within the community. We are sure that you will agree that a well- maintained home enhances the appeal of the entire neighborhood. Occasionally, a deficiency may be noted at an individual residence. We have found that in most cases, residents were not aware that a problem existed. In this case, it was noted that the following item(s) require your attention: 0 Property is in .need of mowing. / cleaning 0 Vehicle parking areas must be paved 0 Trash on site 0 Vessel boat not properly stored 0 Exterior of structure requires maintenance 2"6erior / exterior work requires permits 0 Trees/bushes/hedges need taimming 0 Prohibited signs on property 0 Commercial vehicle in residential zone 0 Non - domestic animals on perry 0 Inoperable vehicle on property 0 Other: „ia, ' f13f °4t `r l_ Cl Vehicle parked in landscaped area f 4 "x✓t I S 0 1 t S7 ) 0/ Please correct the above noted item(s) by ll'°" Of' l7 (Date) If you feel tact me into c . mp Sincerely, additional time or assistance in this matter, please con= t we can discuss your options for bringing the property Code Enforcement Officer Miami Shores Village