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MC-13-1096Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 191719 Permit Number: MC -5 -13 -1096 Scheduled Inspection Date: June 10, 2013 Inspector: Perez, JanPierre Owner: SAMMONS, CHARLES Job Address: 1700 NE 105 Street 301 Miami Shores, FL Project: <NONE> Contractor: FLORIDA SOLAR AND AIR INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1122300500390 Phone: (305)824 -7386 Building Department Comments REPLACE CONDO A/C UNIT Infractio Passed Comments INSPECTOR COMMENTS False � 6 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 10, 2013 For Inspections please call: (305)762 -4949 Page 10 of 25 1St 0v ca NUM 12 1 :.1101 AC, ELECTRICAL S C CE IC AC+ A = RD FLORSOL -01 MUAB ..0 RL7r CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 5/21/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Automatic Data Processing Insurance Agency, Inc 1 ADP Boulevard Roseland, NJ 07068 CONTACT PHONE FAX (A/C, No. Est): (A/C, No): ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Amtrust Technology Insurance 42376 INSURED Florida Solar and Air, Inc 10210 Jamica Drive Miami, FL 33189- INSURER B : INSURER C : INSURER D : $ INSURER E : $ INSURER F : CLAIMS -MADE COVERAGES CERTIFICATE NUMBER: • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POUCY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) UMITS GENERAL UABIUTY COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE POUCY UMIT APPUES PRO- JECT PER: LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE — _ LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ _ SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA IJAB EXCESS LAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED 1 RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A TWC3359965 4/23/2013 4/23/2014 X W C STATU- TORY LIMITS °E731- ER E.L EACH ACCIDENT $ 100,000 E.L DISEASE - EA EMPLOYEE $ 100,000 E.L DISEASE - POLICY UMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2nd Avenue Miami, FL 33138- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BUSINESS TAX RECEJPT LICENSE NO: 12000156 FLORIDA SOLAR 4 AIR, INC 11956 tansmAR PKWY MIRAMAR FL 33025 •BEGINNING 10/01/2012 ENDING 09/30/2013 NAME & LOCATION OF LICENSEE FLORIDA SOLAR- 4 AIR, INC 11956 MIRAIW PKWY MIRAM.AR FL 33025 CONTACT PERSON: ALEXANDER ,MUSTELIER DEscRIPTION: CONTRACTORS-SPECIALTY FIRE INSPECT <5000 SQ. FT PHONE: 954) 828-0208 PRINT DATE: 05/07/2013 ** BUSINESS TAX RECEIPT MUST BE DISE, YEE) ** „„. AY .Y 0 • ; tr_ (954) 6024040 PHONE (954) 6024470 FAX ** RESTRICTIONS** MAIL &PHONE ONLY NO EMPLOYEES AT ROME NO WORK ON PREMISES NO CLIENTS AT ROME NO DELIVERIES TO HOME HOME USED FOR OFFICE ONLY S * Hart ~n:;& ?:sxipa iaa :EEO,'-22 Rana&ho ACCaanalInfaI Feat lWtaq laaatariaaefa taatee Citataaa j Finn r'aua ttacameate, Pe`mihderr¢awn Main Pant [' l..:t .•.whist Patel Pewit Type Wad[Caat Pend srdo. Swale Feet **seam Name= Cate I Innate P12702 rivaled Date Came Lasthapclica From: Florida Solar & Air, In Fax: (877) 310-0310 To: +13057668972 Fax: +13067668972 CERTIFICATE OF LIABIL.ITYINSURANCE THIS CERTIFICATE IS (SS.UED AS A. MATTER OF INFORMATION ONLY.AND CONFERS NO RIGHTS 'UPON THE CERTIFICATE H CERTIFICATEDOWNOT•AFFIRMATIVELY*OR NEGATIVELY AMEND;ENTEND OR ALTER THE COVERAGE AFFORDED. BYTH agLow. TPus.CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AU REPRESE.NTATiVE..OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORT certmoto holder an Apornow ffilecuRm the pon6iveo endorsed. if SUBROGATION*IS .subjectto subject certificate holder Infieu of•such.endoreemen s Me terrns arid condition* otthe.policy, certain :policies. may require an endorsement 'A statement an this certificate does not confer richts to th PRODUCER. Alliance InsurancsAgancy, UP" BILLMICKEY PHONE 2950 SW 27thAve Suite 100 ' 305) 444-8000. Coconut drove,. FL, 33133 petiouc Phone (305) 444-8000 5).444-8020 instataci Florida Solar & Air, Inc. 11956.Mirarnar Parkway Miramar, FL 33025 Page 2 of 2 6/21/2013 3:22 • ( DATE (01111/DDA'YYT) 01/16/13 INSURER A : GRANADA INSURANCE INSURER ; VICTORIA SELECT INSURANCE iNsuaert c COVERAGES CERTIFICATE NUMBER: PqllMeMMIIBIIIIIIIIIIIIIIIIIII , 111111111111111111 THIS IS TO CERTIFY T T'T 11--,R--1F—poLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE poLic: PERIOD REVISION NUMBER: ..' INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT oR oTHER uocumarr WITH RESPECT TO , ICH THIS CERTIFIcATE MAY BE ISSUED OH MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES Descmfaut HEREIN is SUBJECT TO ALL THE T s, EXCLUSIONS AND CoNDITIONS OF SUCH Pol..1_,ICIEISa. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID cLArms. .. . i.....0 oEHERAL Oraft.rry cOWERCIAL GENERAL LtAtoury D CiAlivis-MADE J occuR 0 GENI. AGoRggarg.umir Arrues. PER: POLICY 0 F 0 LOC AUTOMOBILE LIABIUTY O ANY AUTO o ALL ow NED AMR R3 SCHEDULED AUTOS 0 HIRED AUTO o S NoN-OVvNEO AUToS 0 LIMITS BODILY INJURY(Ps) BODILY INJURY (Per accident. PROPERTY DAMAGE (Per acelderd).. Cornpreienelve: $500 Collision:4600 ANY PROPRIETOR/PARTNEMIXECUTIVE OFFICERNEMBER.EXCUDEDT (Mnettoy In NH) Ilyes, describe under DESCRIPTION OF oPERATIONS below . DescRIPTION.DF.OPERATIONS Loc.ATioNsivEHicLES ,(Attach AociRD 101, Additional Remsrkg Se 14t, rflOre.SP • liquirod) AC, ELECTRICAL SERVICES, WINDOW INSTALLATION AND GLAZING CERTIFICATE HOLDER Miami Shores Village Building Department 10050 NE 2nd Avenue Miami, FL 33138 CANCELLATIO SHOULD ANY OF THEABOV DESCRIBED POLICIES SE emu THE EXPIRATION DATE 'THEREOF; NOTICE WILLIE DELIVERED ACCORDANCE binT1.4 THE Policy PRoVIstoNs, AUTHORIZED RE PRESENTATIVE ACORD 25(2009/09) CIF 19554009 ACORD CORPORATION.. All ghts, reserved. The ACORD name and logo are registered rite of ACORD 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 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL MCMEWil t4AY 1 7 2013 Y: OCIOoocio0O0G70017PaVGIQO mC)13-00 Master Permit No. ,c) 0/ gg9 i OWNER: Name (Fee Simple Titleholder) rfteni—eS /5 - (cnin P-Pait/S Phone#0 04-, .-• - • - - Address: 1 tz? /14E° leg -vi-'-'* gr LW IT 301 c zip: .Ig( ity: /1/4,1177 i .7/1--vf?Fs- S tate: f 1- ef Tenantii.eisee Name. AlCiA/4 ' , • Phone#: Email: JOB ADDRESS: City: Miami Shores Cn Folio/Parcel#: \ Is the Building Historically Designated: Yes NO Miami Dade CONTRACTOR: Company Name: .4704ees4 crei4Ig /Ai,/ 16a Address //9 Zip: j Flood Zone: phona:20.5- City: /11/;€496v State: Zip: (-94 PAIS 7di- Qualifier Name. State Certification or Registration .riy..(stite(-) Certificate &Competency #: Email Address: Gii 4, 413 e.y.cAeettior..k, • co 0.7 Contact Phone : DESIGNER: Architect/Engineer: Phoned: 5 it 82 b 0°24 3,361 Phone#: Value of Work for this Permft: $ ,,,, SV.e Square/Linear Foo of Work: Type of Work: °Address °Alteration ONew Description of Work: 4'1&ph i9—,kx_ eaiv» o a AA, 7-- Ile air/Replace °Demolition ***************************************Fees******************************************** Submittal Fee $ Permit Fee $ 15 1 t--/q7 cc F $ cmcc$ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ .50 • (31 /Aonding 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 - 3 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 A} FtDAVIT: 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 The foregoing instrument was ack9eed befo a me this /I/ C (A day of , 2013 by kaki who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY tItirWFATE OFFLORIDA Timothy Gallivan Commission #DD991334 Expires: MAY 12, 2014 BONDED THRU ATLANTIC BONDING CO., INC. Signature 014.4 Contractor The foregoing instrument was acknowledged before me this day of ,2O 1.2,by l -tr)C who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: /(0- flifY gL ✓ NOTARY YU IC-Mil E of FLORIDA My Commission , Timothy Gallivan Commission #, DD991334 .,,, I. Expires: MAY 12, 2014 BONDER THRU ATLANTIC B ONDING CO., INC. * * * * * * * ** * * * * * * * ** *114* * * * * * * * * * * * * * * * ** * * * ** * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * ** Il 1 3PIans Examiner (Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Structural Review Zoning Clerk Jr 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): ' (j City: Miami Shores Village County: Miami Dade Zip Code: 3€2›' 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 0 NO 0 ARHI Sheet Attached: YES ❑ NO ❑ Contract Attache& YES [] UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER ' Ct e,,8. AHU or PKG. UNIT MODEL # crb Pe v ®t/2- K COND. UNIT MODEL # KW HEAT — NOM TONS r S' AHU CU PKG 1) M.C.A AHU CU P 2S; q AHU CU PKG 2) M.O.P AHU CU KG if AHU CU PKG 3) VOLTS AHU CU PKG 2.30 PKG UNIT / / PKG UNIT / / EERISEER I •; YES NO REPLACING DUCTS YES • YES NO REPLACING THERMOSTAT YES YES NO NEW 4°CONCRETE SLAB YES `, YES NO NEW ROOF STAND YES • YES NO NEW RETURN PLENUM BOX YES 0' 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): t-f 0 3. Voltage of Circuit (208/240/480): V-10 4. Size Disconnecting Means /40 Contractor's Company Name: 1Dd.C, IC)11-N Phone: °'I •CU 516 State Certificate or Registration N. C.l CAR(6u ") S Certificate of Competency N. Aignature a-6AP AC'-Nif (Qualifier's signature only) Ar Date: .51 /Li- / 3 THE SMOKES CONDOMINIUM APARTMENTS 1700 NORTHEAST 105TH STREET ON BISCAYNE BAY • MIAMI SHORES, FLORIDA 33138 • PHONE (305) 893 -6741 Dare : .J / Vi3 . To Whom It May Concern.; Permission has been granted to C/ W S /Yi0AIS Unit # JO/ for he purpose of (EflL ' / P'6 Board of Directors DBPR -,MUSTELIER, ALEXANDER; Doing Business As: FLORIDA SOLAR & MR I... Page 1 of 1 2:30:17 PM 5/17/2013 Licensee Details Licensee Information Name: Main Address: County: License Mailing: LicenseLocation: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Class B Construction Business MUSTELIER, ALEXANDER (Primary Name) FLORIDA SOLAR & AIR INC (DBA Name) 10210 JAMAICA DRIVE CUTLER BAY Florida 33189 DADE Certified Air Conditioning Contractor Cert Air CAC1816475 Current,Active 03/09/2010 08/31/2014 Qualification Effective 03/09/2010 03/09/2010 View Related License Information View License Complaint 1940 North Monroe Street, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA /EEO employer. Convrioht 2007 -2010 State of Florida, privaov Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public - records request, do not send electronic mall to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address If they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. https:// www. myfloridalicense .com/LicenseDetail .asp ?SID= &id= 621FBCCE72AD 1865B1... 5/17/2013 1% 1 s l CERTIFIED ,, ww ahrR lrectary or Certificate of Product Ratings AHRI Certified Reference Number: 3634059 Date: 5/16/2013 tStatus: Active Product: Water /Brine to Air Heat Pump Packaged Unit Model Number: 50PCHNO42 5 Manufacturer: CARRIER AIR CONDITIONING Trade /Brand name: CARRIER Rated as follows in accordance with ANSUAHRUASHRAE/ISO Standard 13256 -1 for Water -to -Air and Brine -To -Air Heat Pumps and subject to verification of rating accuracy by AHRI- sponsored, independent, third party testing: Cooling Air Flow Rate: 1400.0 / 1400.0 Heating Air Flow Rate: 1400.0 / 1400.0 WLHP (Water -Loop Heat Pumps) Cooling Capacity(Btuh) Cooling EER Rating(Btuh/watt) Cooling Fluid Flow Rate(gpm) Heating Capacity(Btuh) Heating COP(watt/watt) Heating Fluid Flow Rate(gpm) Cooling GWHP (Ground -Water Heat Pumps) Capacity(Btuh) 45900,1 45900 Cooling EER Rating(Btuh/watt) 19.60 / 19.60 Cooling Fluid Flow Rate(gpm)- 11.25 / 11.25 Heating Capacity(Btuh) , 44000 / 44000 Heating COP(watt/watt), 3.80 / 3.80 Heating Fluid Flow Rate(gpm) 11.25 / 11.25 Full Load 40100 / 40100 13.10 / 13.10 11.25 / 11.25 52700 / 52700 4.30 / 4.30 11.25 /11.25 GLHP (Ground -Loop Heat Pumps) Cooling Capacity(Btuh) Cooling EER- Rating(Btuh/watt) Cooling Fluid Flow Rate(gpm) Heating Capacity(Btuh) Heating COP(watt/watt) Heating Fluid Flow Rate(gpm) 40500 / 40500 14.40 " / 14.40 11.25 / 11.25 34300 / 34300 3.30 / 3.30 11.25 / 11.25 t Models with an 'Active' status are those that are currently in production. Models with a 'Discontinued' status are those that the manufacturer has elected to stop producing, yet stock is still available. Models with an 'Obsolete' status are those that the manufacturer 1s required to stop manufacturing due to an AHRI certification program test failure. * 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 Certificate and makes no representations, warranties 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 Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahrkiirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shalt 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 into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which Is listed below. ©2013 Air - Conditioning, Heating, and Refrigeration Institute LIPP Air - Conditioning, Heating, 11 am and Refrigeration Institute CERTIFICATE NO.: 130131885409370450 41- wrightsoft® Project Summary Entire House Florida Solar & Air, Inc. Job: Date: By: 11956 Miramar Pkwy, Miramar, FL 33025 Phone: 305-428-2555 Fax 877 - 515-0220 Email: info @sotarandaircom Web: www.solarandair.com Pro 'ect:Information For: Charles Sammons 1700 ne 105th St, #301, Miami Shores, FL 33138 Notes: 3.5 Ton Desi ® n Information Weather: Miami Intl AP, FL, US Winter Design Conditions Outside db Inside db Design TD Heating Summary Structure Ducts Central vent (0 cfm) Humidification Piping Equipment load Infiltration Method Construction quality Fireplaces olluume (ft3) Air changes /hour Equiv. AVF (cfm) 50 70 20 °F °F °F 22845 Btuh 0 Btuh 0 Btuh 0 Btuh 0 Btuh 22845 Btuh Simplified Average 0 Heating Cooling 19437 19437 0.38 0.20 123 65 Heating Equipment Summary Make Carrier Trade CARRIER Model 50PCHNO42 5 AHRI ref no3634059 Efficiency 4.47 COP Heating input 59228 Btuh Heating output 59228 Btuh Temperature rise 36 °F Actual air flow 1510 cfm Air flow factor 0.066 cfm/Btuh Static pressure 0 in H2O Space thermostat Summer Design Conditions Outside db Inside db Design TD Daily range Relative humidity Moisture difference 90 °F 75 °F 15 °F L 50 % 56 gr /Ib Sensible Cooling Equipment Load Sizing Structure 33197 Btuh Central vent (0 cfm) 0 Btuh Blower 0 Btuh Use manufacturer's data n Rate/swing multiplier 0.95 Equipment sensible load 31504 Btuh Latent Cooling Equipment Load Sizing Structure Ducts Central vent (0 cfm) Equipment latent load Equipment total load Req. total capacity at 0.70 SHR Make Trade Cond Coil AHRI ref no3634059 Efficiency Sensible cooling Latent cooling Total cooling Actual air flow Air flow factor Static pressure Load sensible heat ratio 7122 Btuh 0 Btuh 0 Btuh 7122 Btuh 38626 Btuh 3.8 ton Cooling Equipment Summary Carrier CARRIER 50PCHNO42 5 16.86 EER 30314 Btuh 12992 Btuh 43306 Btuh 1510 cfm 0.045 cfm/Btuh 0 in H2O 0.82 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wrightsof Right- Suite® Universal 8.0.21 RSU11584 Aetk C: \Users\TIm- Pedro\Documents \Wrightsoft HVAC \Charles Sammons.rup Cale = MJ8 Front Door faces: 2013 - May -16 10:32:28 Page 1 r►' a...1 ERTIFIE/ www.ahridirectury.orq Certificate of Product Ratings AHRI Certified Reference Number: 3634059 Date: 5/16/2013 Product: Water /Brine to Air Heat Pump Packaged Unit Model Number: 50PCHNO42 5 Manufacturer: CARRIER AIR CONDITIONING Trade /Brand name: CARRIER tStatus: Active Rated as follows in accordance with ANSI /AHRI /ASHRAE/ISO Standard 13256 -1 for Water-to-Air and Brine -To -Air Heat Pumps and subject to verification of rating accuracy by AHRI- sponsored, independent, third party testing: Cooling Air Flow Rate: 1400.0 / 1400.0 Heating Air Flow Rate: 1400.0 / 1400.0 WLHP (Water -Loop Heat Pumps) Full Load Cooling Capacity(Btuh) 40100 / 40100 Cooling EER Rating(Btuh/watt) 13.10 / 13.10 Cooling Fluid Flow Rate(gpm) 11.25 / 11.25 Heating Capacity(Btuh) 52700 / 52700 Heating COP(watt/watt) 4.30 / 4.30 Heating Fluid flow Rate(gpm) 11 :25 / 11.25 GWHP(Ground -Water Heat Pumps) Cooling Capacity(Btuh) r 45900145900 Cooling EERRating(Btuh/watt) 19.60/19.60 Cooling Fluid Flow Rate(gpm) 11.25 / 11.25 Heating Capacity(Btuh) .t -w 44000 / -44000 Heating COP(watt/watt), 3.80 / 3.80 Heating Fluid Flow Rate(gpm) 11.25 /'11.25 GLHP (Ground -Loop Heat Pumps) Cooling Capacity(Btuh) 40500 / 40500 Cooling EER Rating(Btuh/watt) 14.40 f 14.40 Cooling Fluid Flow Rate(gpm) 11.25 / 11.25 Heating Capacity(Btuh) 34300 / 34300 Heating COP(watt/watt) 3.30 / 3.30 Heating Fluid Flow Rate(gpm) 11.25 / 11.25 t. Models with an 'Active' status are those that are currently in production. Models with a'Discontinued' status are those that the manufacturer has elected to stop producing, yet stock is still available. Models with an 'Obsolete' status are those that the manufacturer is required to stop manufacturing due to an AHRI certification program test failure. • Ratings followed by an asterisk (ry 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) fisted on this Certificate and makes no representatlons, warranties 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 praduct(s), or the unauthorized 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 AHRI. This Certificate 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 into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at ww w.ahridirectory.org, click on "Verify Certificate" Zink and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed below. ©2013 Air - Conditioning, Heating, and Refrigeration Institute Air- Conditioning, Heating, MIN I and Refrigeration Institute CERTIFICATE NO.: 130131885409370450 -- wrightsoft® Project Summary Entire House Florida Solar & Air, Inc. 11956 Miramar Pkwy, Miramar, FL 33025 Phone: 305- 428 -2555 Fax 877 -515 -0220 Job: Date: By: Email: info@soiarandaircom Web: www.solarandatccom Project Information For: Charles Sammons 1700 ne 105th St, #301, Miami Shores, FL 33138 Notes: 3.5 Ton Desi e n information Weather: Miami Intl AP, FL, US Winter Design Conditions Outside db Inside db Design TD Heating Summary Structure Ducts Central vent (0 cfm) Humidification Piping Equipment load Infiltration Method Construction quality Fireplaces VVolumez(ft3) Air changes /hour Equiv. AVF (cfm) 50 °F 70 °F 20 °F 22845 Btuh 0 Btuh 0 Btuh 0 Btuh 0 Btuh 22845 Btuh Simplified Average 0 Heating 7 Cooling 1767 194377 19437 0.38 0.20 123 65 Heating Equipment Summary Make Carrier Trade CARRIER Model 50PCHNO42 5 AHRI ref no3634059 Efficiency 4.47 COP Heating input 59228 Btuh Heating output 59228 Btuh Temperature rise 36 °F Actual air flow 1510 cfm Air flow factor 0.066 cfm/Btuh Static pressure 0 in H2O Space thermostat Summer Design Conditions Outside db Inside db Design TD Daily range Relative humidity Moisture difference 90 °F 75 °F 15 °F 50 % 56 gr /Ib Sensible Cooling Equipment Load Sizing Structure 33197 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Blower 0 Btuh Use manufacturer's data n Rate/swing multiplier 0.95 Equipment sensible load 31504 Btuh Latent Cooling Equipment Load Sizing Structure 7122 Central vent (0 cfm) 0 Equipment latent load 7122 Equipment total load 38626 Req. total capacity at 0.70 SHR 3.8 Btuh Btuh Btuh Btuh Btuh ton Cooling Equipment Summary Make Carrier Trade CARRIER Cond 50PCHNO42 5 Coil AHRI ref no3634059 Efficiency 16.86 EER Sensible cooling 30314 Btuh Latent cooling 12992 Btuh Total cooling 43306 Btuh Actual air flow 1510 cfm Air flow factor 0.045 cfm/Btuh Static pressure 0 in H2O Load sensible heat ratio 0.82 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wrightsofr Right - Suite® Universal 8.0.21 RSU11584 C:1Users 1Tim- Pedro1DocumentslWrightsoft HVAC1Charles Sammons.rup Calc = MJ8 Front Door faces: 2013 - May -16 10:32:28 Page 1 F L O R I D A &arr 08 solar Customer Name CU CI_, tEJ' .4/0104ear Ref) ,old toptldo AHU Tstat Htr Labor Required ki/7E .G.VueicCE � %�' � � ilz30.c 60/apc. /30,1eVev Finance Co. ij'.vcE doe Promo /Code Municipality "/off ;,If Discounts � Roof Access ''U1/4 Gate Code 44 4EcoAr./ Permit App Signature Contractor Customer Comments /Requests: /yam /49,- /5. 407 /6 .,-,../20-41,646 e L - 4100 46, •se ti f'c_' E,4' vy/ T _ � ai' �D ✓��,'� -- 436 &Qc;97Ed va-,ze -ol1ex4 v X74/ , 6°4 "e94.--& c4 Notes: CAeLe 3* 5704 7 JQU.•CCc- Zgevx , Ur dozy. -a/L 6 i0�r /3 cavob /Ara D 1,55 CUSTOMER NAME .,r G4. 6.1- Aryj ,v.t `���� F L O i I D A -ow mu ADDRESS /76 % 6 j(4 it .J 3 o ar8ek /»/4 /.2/ iho66/ G 3 303 6 11956 Miramar Pkwy., Miramar, FL 33025 Ph: 877- 310 -0310 Fax: 877 -515 -0220 JOB NUMBER: Website: www.solarandait .com NOTICE OF RIGHT TO CANCEL Your Right to Cancel. You are entering into a transaction that will result in the purchase of a home improment product(s). You have the legal right under federal law to cancel this transaction without cost, within three business da ys from whichever of the following events occurred last: 1) The date of the transaction which is 575/3 / 2) The date you received this Notice of Right to Cancel which is ,6 /g/j3 If you cancel this transaction, the installation of your home - improvement project will be cancelled and all materials given to you must be returned to Florida Solar & Air and any money that was given to us in connection with this trsaction must be returned to you. o, If you cancel this transaction you may keep the materials we have given you until we have refunded all of yur money. Once your money has been refunded then you will be required to retum all materials. If we do not take possession of the materials within 20 calendar days of the receipt of this cancellation notice then you may keep the materials without further obligation. If it is impractical or unfair for you to return the materials than you must offer the fair market value of the replacement materials paid via a check or money order and submitted to the address below. How to Cancel. If you decide to cancel this transaction you may do so by notifying us in writing at: FLORIDA SOLAR & I A R, INC. , x 11956 MIRAMAR PKWY. MIRAMAR, FL 33025 FAX: 877- 515 -0220 You may use any written statement that is signed and dated by you and states your intention to cancel or ou may use this notice by dating and signing below. If there is more than one buyer than each buyer has the right to c anceij, The exercise of this right by one buyer shall be effective for all buyers. Keep one (1) copy of this notice because it c ,stains important information about your rights. Your cancellation notice must be received by Florida Solar & Air by midnight of the third business day foll the two event dates identified in the "Your Right to Cancel" section above. 1 Wish to Cancel ng the latest of Customer Signature Date of Cancellation Receipt of Notice. I hereby acknowledge that the transaction identified on the face of this notice was consuimated and that I have received two copies of this Notice. Do not sign unless the event dates in the "Your Right to Cancel" section have been completed. 5 3 Customer Signature Date of Notice Florida Solar & Air, Inc. 11956 Miramar Pkwy., Miramar, FL 33025 Ph: (877) 310 -0310 Fax: (877) 515 -0220 Web: solarandair.com ,�', F L O R 1 D A o13 soaFr &air Job Number: FL Gen. Contr. #: FL HVAC#: Electrical License#: BC058952 AC1816475 C13004514 Name: C 4.L ! % i9/!f4 M ( Phone Res: 305 8S/ P 6 9/ Mobile' 3� 6 7)g3 �9 C ST: Zip I/We, the owners of the premises described below hereinafter referred to as "Purchaser" offer to contract with Florid ',Solar & Air, Inc. hereinafter referred to as "FSA" to furnish, deliver, and arrange for installation of all materials necessary to impr ' a the premises located at: Address: / 70 R .�/L' /G y_drb/I.r� ry: /19.0 ' (Street) (City) (State) Description of the Project and Description of the Significant Materials to be Used and Equipment to be �nstaII SYSTEM INFORMAL ; Equipment Brand: .4 .e�.d • ■ Split System ■ Package ■ Duel Fuel SEER (up to): / Cooling BTU: 4".740 a KW: ❑ Straight Cool Ifeat Pump ,,.�,,rr I INSTALLATION TYPE; II New t�'t�zeplacement ■Conversion �Remave and discard `�d system EQUIPMENT Existing • SPECIFICATIONS: New • ■ • ■ • ❑ ■ ■ • ❑ (� • MODEL # OF NEW COMPONENT FURNACE /FAN COOL ELECTRICAL Ea/CONNECT • TO EXISTING E ' INSTALL NEW AMP CTRICAL MAIN PANEL ■ • • ■ • • • • MISCELLANEOUS: ■ ❑ ■ CONDENSER UNIT • ■ ❑ Other NEW DISCONNECT ❑ FURNACE EVAPORATOR COIL NEW GFI OUTLET • CONDENSER PACKAGE UNIT ATTIC LIGHT & RECEPTACLE THERMOSTAT ii HUMIDIFIER DUCT ❑ • ■ ❑ • ❑ WORK: Q -USE EXISTING DUCT Sly INSTALL NEW DUCT SYSTEM REBUILD PLENUM ❑ Su `�ly TEM RUNS AIR CLEANER UV LIGHT EVAP COOLER - ■ ly 0 Return Return x LINE SET _ ❑ PAD _" X," NEW TRUNK LINE(S) ■ Sup NEW RETURN GRILL(S) DRAIN LINE • CONDENSATE PUMP AUXILIARY DRAIN PAN • OTHER REPLACE REGISTER(S)# DUCT CLEANING SPECIAL INSTRUCTIONS; /Z 4f'4r4 // ert/►4-4, ✓j/ / ,W /, 'V,% ' .rL „, r4 of 4 t v' f Weald 4'a'i /row y evcc L l;, _ a/ . w All of the above check boxes have been reviewed and explained to me. Customer(s) Initials i APPROXIMATE START DATE AND APPROXIMATE COMP a ON DATE: THE WORK WILL START APPROXIMATELY / SUBSTANTIALLY COMPLETED BY APPROXIMATELY AV- . THESE DATES ARE SUBJECT TO CHANGE AT THE E')'HE ACCEPTED BY FSA OR AT ANY OTHER TIME BY MUTU • , WRITTEN AGREEMENT. CUSTOMER UNDERSTANDS THAT {;{THIS ESTIMATE DATE AND THE CUSTOMER WILL BE CONTAC D PRIOR TO THIS DATE TO SCHEDULE THE ACTUAL INSTALLA1* ' D WILL BE CONTRACT IS IS ONLY AN N DATE. ASBESTOS ABATEMENT: Customer(s) Initials .x THIS ESTIMATE AND PROPOSAL ASSUMES THAT THERE ARE NO ASBESTOS CONTAINING MATERIALS ( "ACMs i7HAT DISTURBED IN THE PERFORMANCE OF THE INSTALLATION WORK. IF UPON FURTHER INSPECTION BY THE CONTRACT LEARNED THAT ACMs HAVE TO BE DISTURBED TO PERFORM WORK, THEN CUSTOMER MUST ARRANGE AND PAY FO ASBESTOS BY A QUALIFIED PERSON PRIOR TO THE START OR CONTINUATION OF WORK. IF CUSTOMER FAILS NECESSARY ASBESTOS ABATEMENT WITHIN THIRTY (30) DAYS, FSA MAY CANCEL THIS CONTRACT UPON WRI CUSTOMER. OULD BE OTHERS IT IS ABATEMENT OF ARRANGE FOR ( N NOTICE TO CUSTOMER AGREES: Customer(s) initials FSA IS NOT RESPONSIBLE FOR CORRECTING ANY EXISTING CODE PIPING, ELECTRICAL SUPPLIES OR EQUIPMENT NOT BEING REPLACED CUSTOMERS RESPONSIBILITY. ' N. ITIONAL CHANGE WORK. «C 98 �6 VIOLATIONS OR PRE - EXISTING CONDITIONS ► AT THIS TIME. IF ADDITIONAL WORK IS REQ 7 BE QUOTED AND APPROVED PRIOR TO THE STAR 1Y s >CTWORK, P ILL BE THE OF ADDITIONAL CONTRACT PRICE $ s 0 METHOD OF PAYMENT ' CASH /CHECK � CREDIT CARD,: ❑ FINANCING ❑ '' DOWN PAYMENT $ � 1 % 2. 00 FPL REBATE $ / � 0 00 ACCOUNT# MANUFACTURER REBATE $ 0 .00 EXPIRATION DATE: / / i1. ° h t,Z t./ �t !! BALANCE DUE $ . � IJ t0 00 SPECIAL INSTRUCTIONS: I L f:vo AA? 3 ^�' - 66 6 r _G a SUBMITTED BY 4' 4�i4 �� f� /V� /3__�t% {additional provisions of this are proposal stated on ,t`evers® -side) (CUSTOMER'S SIGNATURE) (CUSTOMER'S SIGNATURE) (DATE OF IS - • S�#CTION) NOTICE TO BUYER: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATIO EXPLANATION OF THIS RIGHT. /,EFCPJ s,fj 13y ` 015F C/1' -z-� l THE THIRD OR AN vol NON - NEGOTIABLE AFTER 60 DAYS FROM DATE OF INSTALLATION Residential Central Air Conditioning Rebate Ce ; ificate CONGRATULATIONS on your decision to purchase a new high- efficiency A/C unit. FPL joins in your effo�f s to save energy by helping you reduce your cost through the following rebate. '4 96 /90 TOTAL COST OF A/C SYSTEM FPL REBATE AMOUNT (Cost of unit only, excluding add -ons) (Must be itemized on customer's invoice) MOM $ 60 BY CUSTOMER CTOR FPL CUSTOMER ACCOUNT NO. LANDLORD NAME (if different from name on FPL account) 1NSTALLA 'eN ADDRESS /7o io ova' /o S CITY 4,46,/ 1/74044., 1 BEST CONTACT PHONE N1M8 CITY 7361 cor7eex TELEPHONE ,S5' eieta a6 STATE P FL 33/J 6 3i5ef /- 869/ STATE �, ZIP FL 33rd$ COMPANY REPRESEI *ATIVE PARTICIPATING INDEPENDENT CONTRACTOR SIGNATURE i DATE ie� Optional measures selected and performed by your contractor that prom ote energy rgy ncy: If box is checked, the amo by FPL to your contractor to encourage their participation in these optional measures. ❑ $25 — INSTALLED ELECTRONICALLY COMMUTATED MOTOR (ECM)* 'ECM is an electronically controlled motor that maintains the airflow In the WC System. shown will be paid ❑ $30 — PLENUMS* SEALED TO FPL'S SPE FICATIONS, WHEN NOT REQUIRED BY BUILD! CODE 'Plenums are the part of the A/C Duct System that attach to the dler. Specify the total number of Air Conditioning Systems in the home: (Numeric Value Only) By signing this certificate, both the homeowner and contractor acknowledge the total number of Air Conditioning Systems speeifi above is correct. My signature and acceptance of the FPL Rebate indicates that the above described energy saving measure has been fully installed to my satisfaction and that I understand and agree to the terms below, including Disclaimer of Warranties and Waiver. Date TOMER SIGNATURE Certificate is not valid unless signed by customer: IMPORTANT INFORM TION. TERMS. DISCLAIMERS AND WAIVER REGARD NG FLORIDA POWER & UGHT COMPANY'S FPL Residenttai Central Air Conditioning: This program may offer a rebate to offset the costs of the improvement you have selected; you can team more about this program by going to www.FPL.corn. As not all energy saving improvements are appropriate for every application, it is the responsibility of both the Customer and its selected contractor to determine what products, if any, might be appropriate for the Customer's specific situation and location. FPL does not represent, warrant or guarantee that any particular energy saving improvement that is eligible for an incentive payment is appropriate for the customer's premise or will provide any particular amount of energy savings. In order for a customer to be entitled to a rebate from FPL for a potential energy saving improvement that has been selected by the Customer, the Customer must use a contractor that has been pre - approved by FPL to participate in its program (a participating independent contractor). FPL has pre - approved many different contractors to participate in its program from which the Customer can select at the Customer's sole discretion. These participating independent contractors are neither employed by FPL nor an agent of FPL nor under the control or supervision of FPL but rather are independent contractors. The decision to select, hire and the management of these participating independent contractors is the sole responsibility of the Customer. FPL is not a party to any agreement reached between the Customer and its selected participating independent contractor nor Is it involved in the negotiation of the terms of such agreement. DISCLAIMER OF WARRANTIES: IN REFERENC TO THE ENERGY SAVING IMPROVEMENT FOR WHICH CUS COMER SEEKS A REBATE, FPL DOES NOT MAKE AND EXPR Y DISCLAIMS ANY WARRANTIES, GUARANTEES, PROMIS t1OR COVENANTS, WHETHER EXPRESSED OR IMPLIED, INCL DING, WITHOUT LIMITATION, ANY IMPLIED WARRANTIES OF ° RCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, z, E SUITABILITY OR QUALITY OF THE MATERIALS OR EQUI ' ENT INSTALLED BY THE PARTICIPATING INDEPENDENT NTRACTOR OR THE WORKMANSHIP OF THE PARTICIPATI } INDEPENDENT CONTRACTOR SELECTED BY A CUSTOMER. $,' •uld the customer have any issue regarding the workmanship and /o the suitability of a specific energy saving product that is eligible for = rebate from FPL, the customer must seek redress from the partic ;` -ling independent contractor it selected and hired to perform th + work. FPL is not responsible for any of this work. WAIVER IN CONSIDERATION OF THE RE - TE FROM FPL, CUSTOMER AGREES TO FULLY RELEASE , ITS AGENTS, AFFILIATES, INSURERS, AND EMPLOYEES, FROM ANY AND ALL CLAIMS, DAMAGES, LIABILITIES, RIGHTS''4AND REMEDIES, WHETHER KNOWN OR UNKNOWN, BOTH AT LA AND IN EQUITY, THAT CUSTOMER HAS AGAINST FPL, THAT LATES TO THE IMPROVEMENT UPON WHICH THE CUST ER SEEKS THE REBATE FROM FPL. Part 1 (Customer) rm 359W Rev. 11/12