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MC-12-1641Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 T INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 lt� Permit Type: MECHANICAL SEP ®4' i? Permit No. In C ( '-( (t-i Master Permit No. OWNER: Name Lee Simple Titleholder): Cdr � OS C b Phone#: 3Ur'J ° ! 56 ' 12 13 Address: 3 SS' N6 -/ T city: 0161441 'norms State: Zip: 31 Sri Phone #: Tenant/Lessee Name: A)/ As Email: JOB ADDRESS: 3 5 8 NE 614i- City: Miami Shores // County: Miami Dade Folio/Parcel #: 1 1 - 3 24 D/ 3 "" 1� 15 o Is the Building Historically Designated: Yes NO Flood Zone: Zip: 33 13 P CONTRACTOR: Company Name: 411 Ci.-1 1C Address: I' 2-1 t iA.) /-"f` City: 71)01-0L1 State: Qualifier Name: Carel L= 240`1.4 State Certification or Registration #: CAC- I 1 17 12-9 Certifi Phone #: 5 24q `22Q Zip: 3 3 / % Z Phone #: cate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ i 1 S O D Type of Work: DAddress DAlteration Description of Work: an Square/Linear Footage of Work: DNew )(Repair/Replace tea r A c S DDemolition e Fret Submittal Fee $ Scanning Fee $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ Permit Fee $ 6 9�F $ co,cc $ Radon Fee $ DBPR $ Bond $ TOTAL FEE NOW DUE ql. 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 F.i 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 and a reinspection fee will be charged. Signature Signature , «/%--. Contractor The fore: i ing instrument was ac owledged before me this g The forego" instrument was acknowledged before me this day 20 � 1y �. �' , day of 20 1 Irby 1_ ' « da o � -;1L, , s:r who is personal known to me or who has produced who is p onally known to or who has pro uced Owner or Agent As identification and who did take an oath. NOTAR -'. PUBLIC: ,RY Pi/ JESSICA ACOSTA * MY COMMISSION # DD 884414 �: ni EXPIRES: May 13, 2013 Sign' arr " oo9 Bonded Thm Budget Notary Seiias yr rL Prin My Commission Expires: as identification and who did take an oath. NOTARY ' c LIC: Sign: r.c:4 Print: -' My Commission Expii FOFF15) JESSICA ACOSTA EXPIRES: May 13, 2013 Bonded T ru Budget Notary Setvlooe **********************************************'****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** BY 1lP 1 xaminer Structural Review (Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk Miami Shores Village f Building Department ® 10050 N.E.2nd Avenue 1‘ M ami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AIR CONDITIONING REPLACEMENT DAtk✓ 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): 3C 8 NE- 9 4" S - City: Miami Shores Village County: Miami Dade Zip Code: 3"313S7 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 ARHI Sheet Attached: YES Ei/NO 0 Contract Attached: YES [ UNIT BEING REPLACED DATA NEW UNIT �' MANUFACTURER L V1 fOi CA Xs3ZMV0' Kr2.1 0 3 Co %rtCLI041,2..k. I AHU or PKG. UNIT MODEL# C. )*2.01-i- I , j"A COND. UNIT MODEL # KW HEAT NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU ,gcU .2'KG 3) VOLTS AHU2-140CU 24OPKG PKG UNIT / / PKG UNIT / / D EER/SEER I q p YES NO REPLACING DUCTS YES• YES NO REPLACING THERMOSTAT YES., YES NO NEW 4 °CONCRETE SLAB NO YES NO NEW ROOF STAND YES IV YES NO NEW RETURN PLENUM BOX YES N0) _ 1. Minimum Circuit Ampacity (Wire Size): 4"40 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 3. Voltage of Circuit (208/240/480): (.3 40 4. Size Disconnecting Means: / 0 W� (tea a Contractor's Company Name: .ry X, lS Phone: 30 5 6qq , f q 30 State Certificate or Registration N. CAC, 1111 12 1 Certificate of Competency N. Signature (QuaJ is signature only) Date: '2 (all i Miami Shores village Building Department 10050 N.E.2nd Avenue 49O4.7 5'4iami Shores, Florida 33138 Tel: (305) 795.2204 AIR CONDITIONING REPLACEMENT DATAi Fax: (305) 756.8972 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): 3 5 8 p NE. 9 ' 4-1-r ° City: Miami Shores Village County: Miami Dade Zip Code: 3 3 158 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 REQUIRED/ ❑ Contract Attached: YES UNIT BEING REPLACED DATA NEW UNIT � r % Y MANUFACTURER N V-, i [3 ( 1 � ( AHU or PKG. UNIT MODEL # M J X 32 ®36 j 6 1 to COND. UNIT MODEL # X I'7 g IL KW HEAT 14 2, ' A NOM TONS ea VA. AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU 2q0cu Z,4oPKG 3) VOLTS AHUAGSU ZeKG PKG UNIT / / PKG UNIT / / (D EER/SEER l YES NO REPLACING DUCTS YES (NV YES NO REPLACING THERMOSTAT CY? NEW 4 "CONCRETE SLAB B NO N • YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 30 3. Voltage of Circuit (208/240/480): 2 0 41,4p 4. Size Disconnecting Means: }, Contractor's Company Name: Ser(IlC.L- 8 G "" i3 Phone: -35.646i, (F3 State Certificate or Registration N. GC✓ 1 g 1 '7 RI Certificate of Competency N. Signature _ (■ Date: g + Z ` (Z- QuaQiier' signature only) s �r1 Service ExperIs HEATING & AIR CONDITIONING ServiceExperts.com Ticket It " ? 5t&3 invoice#!, 1921 NW89Ct. MKS. 33172 305.599.1530 License d: CAC1813864 Auth # DATEQ Lica , 1" a Reason for Call Technician: . Tackle., Call Type Dept Dispatched:, Arrive!: Completed: Held: Address: ^ Phone(5 e 7S-C Please tell us how we did! Go to www.ServiceExpertsCares.com to fill out a brief Customer Satisfaction survey. Be sure to enter the following code, NextTune Up hats Customer, Equip. Location Brand Cflfg. Date Andhimo, Work Performed Address: Oty Cotle Sty Email: rp: 3509 1 Acc: Localion 1 Brand Mfi1, Date Modell) / Yr/1 o3 Desctiplion Price • Paid By CI Cash ❑ Check 141 ❑ Vise Cl MC D Discover D Other Name on Card Recommendations' lIJU1TIYPt Hrgh/LawPressure L. FiterType Superheat_ Sher Size Schooling Conti Volts CondAmps Der Amps RA Temp` SA Temp WO Temp OD Temp Flame Signal Gas Pressure MUM Type Ors Added Ors Recovered Customer Advised of Leek 0Yes 0 N Metering Device ❑ TXV D Axed NOME HEALTH al REPORT CARD Indoor RH CrawI/DsmtRH, 90 Oct, Static Pressure nitration System DuctWorkLeakage ❑ Supply 0 Return ❑ None DuctWork Int ❑ Clean Q Dirty Duot Work Ext. 0 Good ❑ Poor C.O. Detector 0 Yes 0 No VentSystem 0 Yea fl No (. J 1 ) 1 1 1 1 1 1 1 1 I I I Diagnostic Charge EnergYJMaterial Charge $53/0 1 1 Card /Account Number Audi. Code I l 1 I 1 1 I EXP. W 1 Credit gict: fi,�.i. Pien I I 1 I 1513141811 21 Service Experts Dealer Number Subtotal _ PLUS� ates ax c1✓t✓1. 161 TA I I J 7 Zlg CHECK ONE 0 PLUS 0 Platinum PLUS 0 Declined 4 of Tune- ups/year Agreement starts SIMonth War. _SA Mcmtha, *Yalu 0 Automatic CC Debit ti Automatic Checking Met Debit 0 Annual Billing PLUS4 Signature otAaceptence. ovum extkor mcazak taarionewayapply.Staririlti nendmamanuWw ,vradwnfloshaesBaneont Pla #inum_ +Maintenance Agreement Work Authorization Data Data Work Completion 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 3844339 Date: 8/20/2012 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: XC17-030 -230" Indoor Unit Model Number: CBX32MV. 036* +TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: XC17 SERIES Manufacturer responsible for the ratting of this system combination is LENNOX INDUSTRIES, INC. Rated as follows in accordance with AHRI Standard 210/24018 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): 28200 EER Rating (Cooling): 13.70 SEER Rating (Cooling): 17.00 * Ratings followed by an asterisk (*) indicate a voluntary rerate of prevlousiy published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse lire products) fisted on this Certificate and makes no represenistions, warranties or guarantees as to, and assumes no responsibility for; the products) listed on this Cerfliieate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the products), or the unauthorized alteration of data fisted on this Certificate. Certified ratings are vaal only for models and configurattons listed In the directory at www.ahridirectory.org. TERMS AND CONDITIONS The Certificate and its contents are dietary products of AHRL ills Cent to shall only be used for Individual, personal and confidential reference purposes. The contends of this Certificate may not, In whole or In part, be reproduced; copied: ; entered Into a computer database: or otherwise ufffized, a any form or manner or by any means, except forth the user's individual, personal and confldentlal reference. CERTIFICATE VERIFICATION The information for the model cad on this ceitpicate can be verified atwwwahrid 'irectonyorg, Air - Conditioning, Heating, click on °Verify Certificate" link and enter the AHRI Certified Reference Number and the date on and Refrigeration Institute which the was mod, width Is fisted above, and the Certificate No.,wblc h Is listed below. 9 ©2012 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: • 129899895461030646 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 Ratin • s AHRI Certified Reference Number: 5012022 Date: 8/20/2012 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number XC21 -036230 -07 Indoor Unit Model Number CBX32MV- 036" +TDR Manufacturer. LENNOX INDUSTRIES, INC. Trade/Brand name: XC21 SERIES Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC. Rated as follows in accordance with AHRI Standard 210/2402008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI - sponsored, independent, thind party testing: Cooling Capacity (Btuh): 35800 EER Rating (Cooling): 13.20 SEER Rating (Cooling): 19.20 ° Ratings followed by an asterisk (°) indicate a voluntary relate of previously published data, unless accompanied wfth a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Cerra and makes no representations, warranties or guarantees as to, and assumes no responstfdgtyfoc the product(s) listed on this Certificate-AHRI expressly disclaims all liability for danrges of any kind arising out of the use or performance oft he product(s), or the unauthorized alteration of data listed on this Certificate. Cetfified ratings are valid only for modem and configurations listed In the directory at www.ahricikectory.org. TERMS AND CONDITIONS This Certificate and as contents are proprietary products oAHRL This Certificate shall only be used for hulividttal, personal and confidential reference purposes: The contends of Hits Certificate may not, In whole or In part, be reproduced copied: dlssetrdr d: entered hdo a computer 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 tnfornhation forthe model cited on this certificate can be vend at www.ahridirectory org, click on "Verify Certtficate" fink and etter the AHRI Certified Reference Munberardi the date on winch fire certMcate was issued. which Is listed above, and the Certiflcate No., whk:h Is !WWI below. 11-11:10 Air- Conditioning, Heating. \• and Refrigeration Institute 02012 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129899892361705290 Inc New Corn Des ig nStar Load Calculation Results are intended for use with Rheem heating and cooling systems only Customer Information Street Address 358 NE 94St, MIAMI -DADE, FL 33138 Latitude, Longitude Email: Desi e n Conditions Dry bulb ( °F) Daily range Outdoor Heating Cooling 50 95 Relative humidity 50% Moisture difference 58 Indoor Heating Cooling Indoor temperature ( °F) 70 75 Design temperature difference( °F) 20 20 0,rei Z.Ar 6° p°8z. JESSICAACOSTA * MY COMMISSION 4 DD 884414 EXPIRES: May 13, 2013 tPi F ts'��O` Bores Ttw Budget Notary Services TFOFfL� Heatin• Loads Area Wall Floor Ceiling Windows Infiltration Btuh % of Toad 1930 9.2 5808 27.6 2442 11.6 3300 15.7 5657 26.9 System Efficiency Loss 1914 9.1 Total: 21051 Heat' n Loads Floor System Efficiency Loss Infiltration -j Wall Ceiling `- Windows Coolin• Loads Area Wall Ceiling Windows Btuh % of bad 1930 3.5 2442 4.4 29664 53.8 Sensible Infiltration 4243 7.7 Latent Infiltration 7606 13.8 System Efficiency Gain 4588 8.3 Internal 2585 4.7 Sensible People Load 1060 1.9 Latent People Load 1060 1.9 Totat: 55178 Sensible load 46512 Latent load 8666 SHR 0.84 Capacity at .75 SHR 5.17 Tons Windows Cooling Loads 55,178 BTU /hr Sensible People Load Latent People Load �- WaII iliorri- Cei inteling mai Sensible Infiltratio -.41111141 "--- System Efficiency Latent Infiltration 3 60000 40000 20000 0 AED Graph 8am 9am 10am llam 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm — Hourly Loads —Average ACCA Manual S System equipment selection will be made using the following Manual S derived values. Summer Outdoor 95°F Summer Wet Bulb Summer Indoor 75°F Summer Design Grains 50% Winter Outdoor 50 °F Winter indoor Sensible Cooling 70°F 46,512 Btuh Latent Cooling Required Cooling Airflow 8,666 Btuh 2,114 CFM Sensible Heating Required Heaing Airflow 21,051 BbJh 273 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 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE'STREET TALLAHASSEE FL 32399-0783 ZARM, CAREY L SERVICE EXPERTS HEATING & Al?. CONDI-.:ZONING 1209 POTOMAC DR MERRITT ISLAND FL 32952 C.:10T/,tia:■41a.,C•riS. 1.:■S i■CerSe become ona of the nearly one minion Floridians icens.r.., tri :me I:leper:7er.: ot. Busiress and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way wa do business in order to serve you better For inforrnaton about our services. please log onto www.myllorldalicense.com. There you can find more information about our divisions and the regulatiors than impact you, subscribe to department newsletters and learn more ebaut the Deprtment's initiatives. Our mission at the Department is: License Efficiently. Regelate. °fr.'s constarrily strive to serve you better so that you can serve your cus:Dmer. Thank you for don g busness in Florida. sr coneratuiatcns :r _ DETACH HERE (850) 487-1395 37FFLQRCA A - — ‘Ar DEPARTMENT OF BUSINESS REGULATION USINESS AND CAC1817129 05/21/12 110261318 CERTIFIED AIR CONDI CONTR ZARM, CAREY L SERVICE EXPERTS HEATING & AIR CO =ha provisiegas o Ch.489 FS A.--33 2314 L12052103440 "_'32214 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L12052100440 r)ATE, BATCH NUMBER Li E = 05/21/2012 110261318 CAC1817129 The CLASS A AIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 ZARM, CAREY L SERVICE EXPERTS HEATING & AIR CONDITIONING 1209 POTOMAC DR MERRITT ISLAND FL 32952 RICK SCOTT GOVERNOR d LAidurte CAvie 1)) gW(4 DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. I - 320(0 - 615- (06D STATE OF FLORIDA COUNTY OF DADE 1111111111111111 11111 1111111111 11111 11111111 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement 1. Legal descrip' Son of propero and street address: 3 5 0? N6 4 S'Ire44- )4144.4 Iore FL /9 P 0_,6940-144- 2. Alc 5/51-ticgS 2. Description of improvement: CFN 2012R0624049 OR Bk 28255 Ps 3762; (1ps) RECORDED 09/04/2012 124717 HARVEY RUVIN, CLERK OF COURT MIAMI-DADE COUNTY, FLORIDA LAST PAGE Interest in property: Name and address of fee simple ti 4. Contractor's name and address: a.)Drati FL 55 $72 STATE OF FLORIDA, COUNT OF DADE- 5. Surety: (Payment bond required by owner from contractor, if anp)lEREBY CERTIFY that this is o true copy of the Name and address: Amount of bond $ 6. Lender's name and address: ongmat filed m this offce on day of . I 411111111111V7411/11 T 7. Persons within the State of Florida designated by Owner upon whom n (1) (a) 7., Florida Statutes: Name and address: ts may biservcd as provided by Section 71313 8.In addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in Section 713. 13 (1) (b) 7., Florida Statutes: Name and address: 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Owner Print Owner's N Sworn to and Notary Public Print Notary' My Commission Expires: Prepared by: E bi- Address: 2.-1 Mit) 7)01-61 I 7 Form 104 Aug 23 2012 6.03PM HP Fax page 1 * * * * * * *as* * 2222 * * * * 2 HIANI-DACE COUNTY TM CC.ECTOR 11 W. Floater Stmt Niami. Florida 33130 f kk receipt for reference. Thank you and have a nice day. 8/23/20121300/227/001CLAA 0009 -0001 Last Seq. #:0001 WI LBT #:00 025400 -3 Local B *Mass Tax $75.00 01 b15.00 CHANGE $0.00 NMI-DADE COUNTY TAX COLLECTOR LOCAL BUSINESS TAX-SECTION : 140 W.. Flagler St. - 1st Floor Miami. Florida 33130 TOPORARY RECEIPT 2012-2013 LOCAL BUSINESS TAX Local Bushy= Tax40124t1.7.# State/CW:01CM '�� Issied to: SERVICE - EXPERTS LLC Type-of SPEC MECHANICAL CONTRACTOR RIME OF PA " _' FOR YOUR LOCAL -S TAX OR REMIT. YOUR (FFICIAL RECEIPT WILL BE MAILED TO YOU WITHIN •10 DAYS FROM DE VALIDATION DATE ON THIS RECEIPT. Paydnt Received as-Certified Above Meal - Bade - County Tax Coll actor- =12=333 === 3 3 3 3 3 2 2 = _ =• •