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MC-13-282l 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 By FEB 11 ZO13 FBC 20 ID BUILDING Permit No. PERMIT APPLICATION Master Permit No. rn (I 3 2Z- Permit Type: MECHANICAL JOB ADDRESS: 1 0 1 5 oI 2 ND ST Miami Shores County: Miami Dade City: Folio/Parcel #: 11 '3a ®5 O i ottg 0 Zip: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): I, E 1 N Q D t C.,( Phone #: ,S' [! ��� '11 6 ? t Address: re, Cc N e 2 •A4 'C] Zip: 3) t3 City: V► 4 Mti (..0^ -(' '3 State: Tenant/Lessee Name: Phone#: Email: rI CONTRACTOR: Company Name: Pal DA le alltiUr/ Ccie.4) .'t`�'Is�'� Phone #: 2or �� %r '0 y79 ex Address: 'j 29 , I 11 City: ikA,b.4„,./. - N, State: ftl Qualifier Name: .S 1-1 G•ve Q N .S1 s State Certification or Registration #: e O t 6 Syb Contact Phone #: 0.0 12,32--30 dy Email Address: DESIGNER: Architect/Engineer: Zip:rg Phone #: Certificate of Competency #: CQ� v 16 �` )b Phone #: Value of Work for this Permit: $t Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration :New nSidlepair/Replace :Demolition Description of Work: A 1 •CIl,A V b Vk ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Scanning Fee $ Notary $ Double Fee $ Permit Fee $ Radon Fee $ Training/Education Fee $ Structural Review $ tV7.f) 6 CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 1/1 ' �� ti 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 acknowledged before me this The foregoing instrument was acknowledged before me this t' , day of =@ , 20 13 , by a I:/.6 D L A. , day of ems_ , 20 j&, by i d q 4 cevrpekil,C''' who i : ; oval kno -n to me or who has produced who is . ersonally kno to me or who hass produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission , uuoc - state of Florida •i My Comm. Expires Oct 4, 2013 43'4' Colt • ., sion # DD 927154 Plans Examiner identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Comt , * * * * * * * * ** Structural Review Revised 3 /12/2012)(Reviscd 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) JOSE GINORIS sNotary Public - State of Florida •= My Comm. Expires Oct 4, 2013 a`= Commission # DD 927154 * ** Zoning Clerk '�R i1 CERTIFICATE OF LIABILITY INSURANCE 2/11/20130 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 pollcy(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 GBP Risk Solutions www.GBPrs.com 3303 E Baseline Rd, Ste 102 Gilbert AZ 85234 NAME: Teresa Flower PHONE FAX • Ext):480- 775 -1811 (ac, No):480- 668 -1936 tE MAIL AfDRESS:teresa @gbprs.com INSURERS) AFFORDING COVERAGE NAIC # INSURER A :Scottsdale Indemnity Company LIABILITY COMMERCIAL GENERAL LIABILITY INSURED 10511 Kendale Air Conditioning 12041 SW 117 Court Miami FL 33186 INSURERB:Philadelphia Insurance Company 23850 INSURER c :Technology Insurance Co. 1/28/2014 INSURER D : $1000000 INSURER E : $100000 INSURER F : CLAIMS -MADE COVERAGES CERTIFICATE NUMBER: 548594176 REVISION 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 POLICY EFF (MM/DD/YYYY) POLICY EXP (MMIDD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CPS1727994 1/28/2013 1/28/2014 EACH OCCURRENCE $1000000 PRS (RENTED PREEMMI ESES (Ea occurrence) $100000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $5000 PERSONAL 8 ADV INJURY $1000000 GENERAL AGGREGATE $2000000 GE X 'L AGGREGATE POLICY LIMIT APPLIES PECOT- PER: LOC PRODUCTS - COMP /OP AGG $2000000 $ B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X X SCHEDULED AUTOS AUTOS NED PHPK884155 7/1/2012 7/1/2013 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per PROPERTY DAMAGE $ $ UMBRELLAUAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ C 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 TWC3341027 1/28/2013 1/28/2014 X WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $1000000 E.L. DISEASE - POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) When required by written contract, certificate holder is named as additional insured, Waiver of Subrogation applies in favor of the additional insured when required by written contract with respect to General Liability, Auto Liability and Work Comp. General Liability and Auto Liability coverage is primary and other's is non - contributory. CERTIFICATE HOLDER CANCELLATION Miami Shores Village 10050 NE 2nd Ave Miami Shores Village FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC# 61,53810 . li kum.. r1lcl/llYl.l.L■i11•MIWIIIIy •llrlr.l STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION • CONSTRUCTION INDUSTRY LICENSING -BOARD SEQ #L12060600732 • DATE BATCH NUMBER LICENSE NBR 06/06/2012 110415332 CAC016540 The CLASS A AIR CONDITIONING CONrRA;CT Named below IS CERTIFIED. Under the provisions of Chapter Expiration date: AUG 31, 2014 GREENSTEIN, JAY H KENDALE AIRCONDITIONING 12041 S.W. 117TH CT. MIAMI FL 33186 RICK SCOTT KEN LAWSON GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW THIS IS NOT A BILL — DO NOT PAY RENEWAL RECEIPT NO. 205369-2 STATE* CAC016540 194566 -7 BUSINESS NAME / LOCATION KENDALE AIR CONDITIONING 12041 SW 117 CT 33186 UNIN DADE COUNTY FIRST -CLASS U.S. POSTAGE I PAID MIAMI, FL PERMIT NO. 231 OWNER CENTRAL MOBILE AIR OF MIAMI INC See. Type of Business WORKER /S 11,8 IS t4l I A SAC MECHANICAL CONTRACTOR 4 BUSINESS TAX RE APT. TT DOES NOT PERIBT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR MIES NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIN IN NOT A CERTIFICATION OF THE HOLDER'S QUALffICA- MONS. DO NOT FORWARD KENDALE AIR CONDITIONING JAY H GREENSTEIN PRES 12041 SW 117 CT MIAMI FL 33186 PAYMENT RECEIVED MIAMI-DADE COUNTY TAX COLLECTOR: 07/13/2012 jjtt jj pjjj [ (( j tt }} tt tt jj (( ��jj}} 09010273001 li11111i1111nIIJ11f1 1111111 111 11111)11111111IIJ1f11111liT#I,1t 000075.00 111111.1000 SEE OTHER SIDE 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): /61f 71./ G 9.02 City: Miami Shores Village County: Miami Dade Zip Code: 73/.2 ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.MA MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS ARI HRI) DATA SHEET REQUIRED Change Disconnecting means: YES 0 NO ARHI Sheet Attached: YES [21/NO 0 Contract Attached: YES If( UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER /�rv„va 56 AHJbr PKG. UNIT MODEL # Q,k71 vq 4 7A //J /o e o- . COND. UNIT MODEL # 10/4c%t -Id y 9 KW HEAT Ibj/Gty NOM TONS I7/ /--A r AHU CCt PKG 1) M.C.A C PKG CU PKG 2) M.O.P CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER / 6l0 it 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): y t� 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 47b 3. Voltage of Circuit (208/240/480): —20" 7 4. Size Disconnecting Means: > Contractor's Company Name: ' '1l G' !a l ti Ga,., .1,o_ Phone: 331- State Certificate or Registration N. ei4e01 C 5 4 D Certificate of Competency N. Signature (Quallfl 'signature only) Date: /,) Proposal submitted to: Street �'tl BiIling Address City, State, Z. C6de°1� r v 1 2 tJ 7 fh1.0.-) •7.J %,P Date: Teiephone., ., Home J C Cell Street City, State, Zip Code Telephone Home (Job location - if different) Cell MILMINI .•_._ NEW EQUIPMENT: Tons/Mfodel # toge k Q-7 Tons/Model # (76W 7t V / 01 /f Outside ❑ Air Handler . C6 SEER ❑ BTUH [� D Heat Strip' ° Maximum KW Size allowable on the existing electrical circuit to existing unit. ❑ 0 ELECTRICAL AND CONTRQL ve function heating & cooling thermostat," `9t l Reconnect existing electrical to new unit(s) endale Air Conditioning, Inc. will not provide any electrical work other than to reconnect the existing electrical service to the new equipment. clithe event that the existing electrical service is inadequate in any way or does not meet all electrical codes, the customer will be responsible for all expenses, including, but not limited to, permits and inspection fees and any other costs necessary for any additional electrical work. ❑ DUCT SYSTEM: 9-connect to exisiting duct system Air handler on metal stand 1 f1Air cleaner with disposable elements ❑ PG: Reconnect existing piping ❑ New liquid line size ❑ New suction line with thermal barrier size ❑ New condensate piping ❑ New condensate pump ❑ Other GENERAL: All work will be consistent with the existing codes at the time of installation. . fisting equipment will be removed from premises. ❑ Precast concrete slab provided if needed. All work to be performed in a.neet & professional manner including cleaning up — and debris renjoval upon job completion. 9 I an he price below is after rebate (if applicable) and is to be paid directly to the contractor. WARRANTY: Year(s) manufacturer's warranty on compressor Year(s) manufacturer's warranty on parts Year(s) material and labor ❑ One year maintenance agreement We hereby propose to fumish the above, as specified, for the sum of due on day of installation ACCEPTANCE OF PROPOSAL: accept this proposal and at the terms and conditions on the face and back. I understand that the terms, conditions and warranties are limited to those stated in this proposal. I am the owner of the property described above or I have been given authority by the owner of said property to order the wop set forth above and hereby do so affixing my signature. Signature (Customer) z /r, f 73 (Date) Signature Signature (Customer) (Date) (Date) 12041 SW 117th Court • Miami, Fl 33186 • 305 232 -3000 Alk :�:i CFRTiFIED,. • wuvw.ahridirectory:urg This combination qualifies for a Federal Energy Efficiency Tax Credit when placed In service between Feb 17, 2009 and Dec 31, 2013. Certificate of Product Ratings. Ala AHRI Certified Reference Number: 3869211 Date: 2/11/2013 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: XC14 -047230'" Indoor Unit Model Number: CBX27UH- 048 - 230 * +TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: XC14 SERIES Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, 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): 46500 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 " Ratings followed by an asterisk (1 Indicate a voluntary rerate of pravloueiy published data, unless accompanied with a WAS. which indicates an Involuntary berate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warrantees or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims ail Gabiltty for damages of any kind arising out of the use or performance attic product(a), orthe unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahrldirectory.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 reverence purposes. tone or of or is Certificate may not, in whale or in part, be reptoduced; copied; disseminated; entered Into a computer database; or otherwise utilized, in any by any means, except for the user's Individual, personal and confidential reference. CERTIFICATE VERIFICATION The iMormation for the model cited on this certificate can be verified at wwww ahridirectoty org, click on "Verify Certificaate" 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. 02012 Air - Conditioning, Heating, and Refrigeration Institute ja LEM � Air- Conditioning, Heating, NMI � * and Refrigeration institute CERTIFICATE NO.: 130050657663611518 r "M. Load Calculator HOUSE INFORMATION What direction of the house has the most glass? Click the corresponding arrow next to the photo. Adjust square footage of window area on this home. Adjust square footage of window area: E 153 N 21 S 21 � W 107 % Shading HOUSE INFORMATION What is the conditioned square footage of your house ?: Square feet:2110 t l When was your house built? Before 1990 1990 - 2000 After 2000 How do ou want insulation values displayed? Winter Electricity Rate Summer Electricity Rate Natural Gas Rate Propane Rate Oil Rate Summer indoor design temperature Page 1 of 3 HOUSE LOADS Cooling Load:49,430 Heating Load:IZ2,429 ADEQUATE EXPOSURE DIVERSITY (AED) 30,000 - -- 20,000 10.000 0 8am 10am Opm 2001 4pm 8pm 8prn gam 11am fpm 3pm Spur 7pm Hourly Loads ':;i.: Aveage LOADS GRAPH 60,000 30,000 15,000 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec HEATING M COOLING ® HEATING opere&g a COOLING operating Windows Cooling Loads 49,430 btu /'hr Sensible People Load j — Latent People Lo Wall Internal Sensi Cell Sys Latent Infiitrat http:/ /yourvirtualhvac.com/contractor /loads /?user hash= 0f53522b6902bf240056db0ff7ae3 ... 2/11/2013 Load Calculator Page 2 of 3 Summer outdoor design 90 temperature Winter indoor design temperature 70 4p Floor Winter outdoor design temperature SHR Number of Residents Average Ceiling Height Wall R -Value Floor R -Value Ceiling R -Value Window U -Value Single Pane = 1 Double Pane = .5 Triple Pane = .3 Window SHGF Clear = 1 -.85 Low -E = .6 -.4 Grains of moisture difference Duct Loss Duct Gain Cooling Infiltration Rate (ACH) Heating Infiltration Rate (ACH) Winter Ventilation Summer Ventilation 50 18.87 '4 0.85 aO 0.8 FLOORS f IICTf1MFR INFfRMATIf1N Heating Loads 22,429 btu/hr System Efficiency Loss Ceiling Windows http:// yourvirtualhvac .com/contractor/loads/ ?user hash= 0f53522b6902bf240056db0ff7ae3 ... 2/11/2013 DesignStar Load Calculation Results are intended for use with Ruud heating and cooling systems only Street Address Latitude, Lurtgl'tude House Square Footage: Name: Phone: Email: 1015 NE 92nd St, i', FL 25.779J. -80,1978 21.10 5, 8etti n 1015 NE 92 St 33138 SHR Number of rsidni Ceiling height all U -value (- value. Floor U -value I R -value .75 9 rag U -value I R -value Window U -value Window SHGF Moisture grains Duct loss % Duct gain % Cooling in 0.25 0 ..053 0.5 0.85 58 • action (CH).: 10 Heating infiltration (ACH) Winter ventilation Summer ventilation 0.8 Outdoor Heating Daily range Relative humidi Moisture difference l Indoor to Indoor tune .(° 58 Heating Cooling Design temperature difference( °F) 20 15 Area Btuh % of load Floor Ceiling Windows Infiltration System Efficiency Loss 7520 33.5 2237 10 30209 13.5 To Floor 510 23 2039 9, 22429 Heati ng Loads 22429 BTU/hr System Efficiency Loss Ceiling Wall Windows Infiltration • Azeza Wall tun 7oOtK wd 1.R29 3.7 Windows.: • 26329 533 • S( e • Latent Infiltration 6965 141. jS Efi internal iad 1F:cent People Load. 4E2= 0.9 The 51.nt: :31e load Latent load 7425 SHR : 085 Capacity at .75 SHR • 4.67 Tons Windows ---- Cooling Loads 49.430 BTU/hr r Sensible People Load Latent Load Wall Internal Sensible Infiltration Ceiling ------ System Efficienc Latent Infiltration • r • 50000 40000 30000 - :95 20000 10000 AE D Graph 0 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm — Hourly Loads — Average „„ ,ANNI\IN \ sb • 1 System equipment selection will be made using the following derived values. Summer Outdoor Summer Wet Bulb 77°F Summer Indoor 75°F 90°F Summer Design Grains 50% Winter Outdoor 50°F Winter iridoor 70°F Sensible Cooling 42,004 Btuh Latent Cooling 7,425 BtLih . . Required Cooling Airflow 1,909 CFM Sensible Heating 22,429 Btuli Required Heating Airflow 291 CFM All calculations are based upon approved hvac industry standards and procedures, and comply with all local, state and federal code requirements. All computed results are Estimates. Product provided by Energy Design Systems and Idea Tree