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MC-12-1451
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 183236 Permit Number: MC -8 -12 -1451 I Inspection Date: December 19, 2012 Inspector: Perez, JanPierre Owner: MARTINEZ - ARIZALA, ALBERTO Job Address: 1238 NE 96 Street Miami Shores, FL Project: <NONE> Contractor: SERVICE EXPERTS LLC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)751 -3853 Parcel Number 1132060143920 Phone: 305 - 264 -2020 Building Department Comments EXACT CHANGE OUT 3 UNITS (1) 3 TON (2) 2 TON Infractio Passed Comments INSPECTOR COMMENTS False qvi V2/A I Inspector Comments 51 ctA. l77--„ Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. December 19, 2012 For Inspections please call: (305)762 -4949 Page 1 of 1 ' Miami Shores Village !"ECEOVED Building Department AUG 01 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER (305) 762.4949 B u 'DING PERMIT APPLICATION Permit Type: MECHANICAAL/ /,, JOB ADDRESS: gU! C-1r4eA- 9.) FBC 2011 Permit No. Master Permit No. MC— 1 City: Miami Shores /__ ,, (( '34420 County: Miami Dade Zip: 3313? Folio/Parcel#: 1 I 2-06 - 014-- Is the Building Historically Designated: Yes NO Flood Zone OWNER: Name Simple Titleholder): A be/rip k Z ^ 4 ,`7 I • or/ ° '3 "Z" (Fee � ) 4 �� 7� 7 Phone#: �1� Address: 12-:;? N f g Sir City: (0 4 4 t � it Q5 State: ' _(_ zip: e 3152 Tenant/Lessee Name: NA"- Phone#: Email: CONTRACTOR: Company Name: Se/r111 Ct, gyferts Phone#: 366 . 2-64k. 2020 I 2 l M'- g9 Caw (L„-}— Address: / � City: State: `� Zip: 531'72_ Qualifier Name: C t re LeyC " Phone#: 506 9 Cji 1730 State Certification or Registration # C C ' �( 1.38 4 TCertificc ate of Competency #: Contact Phone#: N6 -5 2-5 -06V? Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ d-40 3 Square/Linear Footage of Work: Type of Work: °Address °Alteration °New s�epair/Replace °Demolition Description of Work: -e CI C. t 3 AAC. 5 ]1 c' jl.(s Submittal Fee $ Permit Fee $ 7 L 0 N 6LoCCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ G 1 j Bond dig 4m an3t's Name (if applicable) Bonding Company's Address City State 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 taw 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 The foreg day of Owner or Agent g instrument was acknowledged before 20 I7-7-by j Contractor Their. - : <i , g' ..,l I,o;tit was acknowledged before me this I day of 20 \2iby C re j L Z4rr1.-& who is , ; , ,f�' , me or who has produced as identification and who did take an oath. NOTARY P C: LAs identification • , , w 1 4 did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY er ruBo, JESSICA ACOSTA _a S' * MY COMMISSION *Ix 884414 * ` EXPIRES: May 13, 2013 grEOF Fa' 45" Bonded Ttuu Budget Notary Semi= * MY COMMISSION # DD 884414 EXPIRES: May 13, 2013 Bonded Tin Budget Notary Services * ** ' ***********, ss, e***** *****s********************** * ** ****�x ************ p t3t I Plans Examiner Zoning Structural Review Revised 3 /12/2012)(Revised 07110/07)(Revised 06110t2009XRevised 3/15189) Clerk NOTICE OF CO r r NCE NT A RECORDED COPY MU9 BE POSTED ON TAE JOB SITE AT TIME OF FIRST' INSPECTION PERMIT NO. L $4S 1 TAX FOLIO NO I I ° 320 (0 '0 (4-- WO STATE OF FLORIDA COUNTY OF DADE 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 description of property and street address: 12- 3 N L '' CCi (a Sir I✓11 amt Sinu r os FL 33/ 3? 2. Description of improvement: C JAcif'1(i,o (A- 3 A/c 5 (/J s4e#- ( $ 111111111111111111111111111111111111111111111 CFN 201280578079 OR Bk 28231 Fs 0671; (11)u0 RECORDED 08/16/2012 12:14:44 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY► FLORIDA LAST RAGE 3. Owner (s) name and address: , ` • ',/ �' / / y ( (23? ?JE... °► (P Stream NMir ,o r— 3513i? Interest in property: Name and address of fee simple titloho 4. 's name and address: 2i UI Cx� C a€4, '' % 5 2/ iU4) O ! C 4/21 ) vv�v( �—C. X3/`72- ,i 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond: $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) 7., Florida Statutes: Name and address: &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: Nano and address: 9. Expiation 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 Name / t-'U , 64Y'i C 1 Prepared � Sworn to and subscribed me tb,s day , : s.',. )2...- Notary Public /41! /t� Print Notary's N feg Rio MI �pMMlSS1ONIDD99! 14 My Commission Exphes: x; EXPIRES: day s 1 * ' : • 1'fiwB�9n sip ��oe` SiAT OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFYthat this is a true copy of the original filed in this eke on day of AUG 1 A 2012 , A.D. 20 aiJITNESS my hand and Official Seal. H • V R VIN, CLERK, of Circui and County Courts U/ce_ 44 Address: %SZ/ NW g' Ct)w ,tT-- :DETra r F X31 D.C. Perm 104 ACQREP CERTIFICATE OF LIABILITY INSURANCE D6/27 012 7/1/2013 6/27/2012 THIS CERTIFICATE 1S 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 CERTIRCATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the Wiggles) must he endorsed. U SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, twffilt poScles may require an enthnsenand. A statement outlets does not confer rights to the certificate holder In lieu of such erg PRODUCER LOCKTON COMPANIES, LLCM DALLAS 717 N. HARWOOD, LB#27 DALLAS TX 75201 214- 969 -6700 No Eat ADDRESS: l FINC.AX Not COI/EMIRS NAIC 0 INSURED Service Experts, LLC 1317819 2140 Lake Park Blvd. Richardson TX 75080 MUM"' ACE Ame, icau Insurance Company as a: Indemnity insurance Co of North America efSURER C : Starr Indemnity & Liability Company 22667 43575 38318 INSURER D: DISURER E: INSURER F COVERAGES LENIN06 LI CERTIFICATE NUMBER: 10764601 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 118.0W HAVE BEEN TO THE DISURED MANED MOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY OF ANY CONTRACT OR OTHER DOCUMENT WM/ RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURNWE AFFORDED BY THE POUCES mamma tit IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COIONTIOIM OF SUCH POUCES. UMITSSHOWN MAY fliWE DEBI REDUCED SY PAID CLAIMS. LYt8TRR TYPE OF INSURANCE INUOVNIONER ER, MeV EXP LIMOS traitcrialimni 11110627001957 711/2012 7/1/2013 GENERAL LIABILITY X COMMERCIAL Ij CLAIMS-MACE GEN% AGGREGATE LIMIT APPLIES PER �P n n CC EACNOCCUNRENOE IltddRGE TORENTED PRELSISESPLootonnove) MEDEXP ammo mann PERSONALS ABBVINJURY $ 1,000_000 $ 1,000,000 s Excluded $ 1,000,000 GENERAL AGGREGA AGG $ 3.000.000 s Exc uded AurfOISOEILE LIABILITY X ANY AUTO ALL OWNED _ AUTOS X HIRED AUTOS SCHED nen AUTOS NOLOOYMED AUTOS N ISA lA 7/ IMMURES SINGLE LIMIT (Ea aesAlenG RONANRai/RV &sr Pelson) GODS::/ UURVD'aaaa nt) tlf $ 2.000.000 $ XXXJKX s3X $ XXXXXXX $ C B A A A X UIINLMLAUAB EXCESS UAB 4 DED 1 1 RETENTIONS WORKERS COMPENSATION AND EMPLOYERS LIAIDLITY YIN PROPRIETEMBPARINERIEILECUTIVE O OFFICERVEMBERDIMMER N (Mandatory In NMI If yes, decode under DESCRIPTION OF OPERATIONS A N N 12 7111201.2 711/2013 SCF EACHOCOUBRENCE $ 10,000,000 71112012 711/2013 X I r 10111- /1/2012 711/2013 y 71112012 711/2013 Gcaeral Liability (Ptnducts/Comp•c ) 111)0627014995 $ 10.000.000 $ El- DISEASE - EA. EMPLOYEE $ 1.000.000 $ 1,000,000 E.uoartast - POUCYLUMIT $ 1.000.000 /112012 7/1/2013 &eh Occataziae Limit $3,000,000 Amanda Limit$10,000,000 DESCRIPTION OF OPERATIONS f f IPL &mare spiels lestaitaej CERTIFICATE HOLDER CANCELLATION 10764601 Village of Miami Shores Mechanical Div. Build & Zoning 10050 NE 2nd Avenue Miami Miami Shores FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREON NOTTCE WILL SE DELIVERED IN ACCINIOANCE MIME P!OUOY PROVISIONS. ADIVORMED TRY€ ACORD 25 (2010/05) TIm Ramo name and Iwo are atelMared matte at ACORD 0/9882010 ACORD CORPORATION. All righte reserved 1 MIAMI -DADS COUNTY TAX-OOLLECTOR'-. 140 W: FLAGLER ST 11 FLOOR • MIAMI, FL 33130 `; .: 442622 -7 THIS IS NOT A BILL - DO NOT PAY BU ff j LLC 1521 NW 89 CT 33172 DORAL CWITINICE EXPERTS LLC Secirne %PrilneNt CHANICAL CONTRACTOR MIS IS ONLY A LOCAL BUSRNESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VOLATE ANY HOISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES TT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR UCENSE REQUIRED BY LAW. THIS IS A CERTIFICATION OF E THE HOLD Cl LIFSCA WONS. PAYMENT RECEIVED MIAW -DADS COUNTY TAX CIXLECTOIC 07/25/2011 60030001146 000075.00 SEE OTHER SIDE FIRST-CLASS MS. POS AID A MIFL PERMIT NO. 231 RENEWAL 025400 -3 STATEE13864 WORKER /S 20 DO NOT FORWARD SERVICE EXPERTS LLC JIM MISHLER PRES 1521 NW 89 CT DORAL FL 33172 11311,„ li „►,ill,,,l „1 ►1 „l,i,I1„il ii„ irl.440.1 2 H!rr_s Vill, Miami Shores Village Building Department 10050 N. E. 2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.89 72 LIANCE WI rr--i ALI FF =:_ AIR . CONpIT1QLNtNq�,P F LACEMENT DATA PERMIT NUMBER: MC I 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): /07 28 G d.6 \CF Row/. fs4' s City: Miami Shores Village County: Miami Dade ALL CONDENSING UNITS MUST BE ON A ALL UNITS MUST COMPLY WITH F.E.M.A A COPY OF THE CONTRACT IS REQUIR ARI (AHRI) DATA SHEET Change Disconnecting means: YES (11 NO ARHI Sheet Attache Zip Code: 3.3%38Y INCH SOLID CONCRETE SLAB INIMUM FLOOD ELEVATION D WITH ALL SUBMITALS EQUIRED : YES (NO ❑ Contract Attached: YES el UNIT BEING REPLACED DATA NEW UNIT .y rey C 4,,,..‘e N A�� MANUFACTURER 46/1A/0X G 3> 3 /i�v �� (3) X (qa''Ga)Yca1036 5 lay a to ill 0412 M i;2 �(JHO`O AHU or PKG. UNIT MODEL # i� %i�f' /li� , -/4 COND. UNIT MODEL # ..S"" ^ S' - 7. S' KW HEAT NOM TONS a �a) 31t'f,J AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHUZIO CUB PKG 3) VOLTS AHU,? pCU2 OP KG PKG UNIT / / PKG UNIT / / .4/ /AL EER/SEER a TON (Q./a i 13 rt& /u YES NO REPLACING DUCTS S E.) YES NO REPLACING THERMOSTAT ' NO YES NO NEW 4 °CONCRETE SLAB 0 YES NO NEW ROOF STAND YES 0 YES NO NEW RETURN PLENUM BOX YES MN 1. Minimum CircuitAmpacity (Wire Size): 14'e' 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 35 3'0 3. Voltage of Circuit (208/240/480): 02 O Vo ' 4. Size Disconnecting Means: Contractor's Company Name :.. 6gUIC . Ga i State Certificate or Registration N. C . 1 l �g�4 e- Certificate of Competency N. Signature (Qu Bier's signature only) Phone: 30S • 26 4-10-2,0 Date: -1131/ f z- Nis CERTIFIED r< 1, 4hriiiirecieryu ; g This combination qualifies fora 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: 3946122 Date: 7/31/2012 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number XC21 -038-230-05 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 2101240 -2008 for Unitary Air- Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, Independent, third party tsting: 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 with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the products) listed on this Certificate and makes no representations, wananiies or guarantees as to, and assumes no responsibility for, the product(s) listed on this Cerit?icate. 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 valid only for models and contlgwatlons listed in the directory at www.ahridaectoryorg. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This CertM ate shall only be used for huiividual, personal and confidential reference purposes. The contents ofthls Certhlcate may not, in whole or In part, be reproduced; copied; dissendnated; 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 confidentlal reference. CERTIFICATE VERIFICATION The infomnatlon for the model cited on thls certificate can be vedfled at www.ahridinectory.org, A Air - Conditioning, Heating, click on 'Verify Certificate" link and mbar the AHRI Caddied Reference Number and the date on Ann mil IL and Refrigeration Institute which the certificate was Issued, which is listed above, and tie Certificate No., which is l�ted below. g 02012 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129882036915255796 CERTIFIED virvv1.^r.a!ilidttectory.uig 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. 3945974 Date: 7/31/2012 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number. XC21 -024- 230.05 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 2101240-2000 for Unitarryy Air - Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRisponsored, independent, third party testing: Cooling Capacity (Btuh): 26400 EER Rating (Cooling): 14.70 SEER Rating (Cooling): 21.00 " 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 products) ilstad on this Certflcate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) isted on this Certificate. AHRI expressly dlsclalms all liability for damages or any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data meted on this Certificate. Certified ratings are valid only for models and conflguratkms listed in the directory at www.ahridirectoy.org. TERMS AND CONDITIONS This Certificate and its contents am proprietary products of AHRI. This Certificate shall only be used for kMividual, personal and confidential reference purposes. The contents of thls Certificate may rat, 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 thls certificate can be verified at www.ahridirectory.org, Air - Conditioning, Heating, click on "Verify Certificate" fink and enter the AHRI Certified Reference Number and the date on II and Refrigeration institute which the cerMicatewas Issued, which Is listed above, and the Certif sate No., which Is listed below. g ©2012 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: l "'!R r$Yi1t� +?d.1r.iP• '1� C orro'or DLsi -Star Load Calculation Results are intended for use with Rheem heating and cooling systems only Customer information Location: Street Address Latitude, Longitude House Square Footage: Name: Phone: Email: 1238 NE 96 ST Miami Shores FL, MIAMI -DADE, FL 33138 25.7791 °, - 80.1978° 4167 sq. ft AlbertoArizala` (305) 807 - 7322` Desi• n Conditions Outdoor Dry bulb ("F) Daily range Relative humidity Moisture difference Heating 50 Cooling 90 L 50% 58 Indoor Heating Cooling Indaxtemperature ( °F) 70 75 Design temperature di ference( °F) 20 15 e.„__7 L. Zama JESSICAACOSTA MY COMMISSION 8 DD 884414 EXPIRES: May 13, 2013 ��O� sr9ro pBonded No Budget Notary Services Ade. "uate Ex. osure Diversi 100000 75000 c 50000 25000 AED Graph 0 8am gam 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 fallowing Manual S derived values. Summer Outdoor 90 °F Summer Wet Bulb Summer Indoor Summer Design Grains Winter Outdoor Winter indoor Sensible Coding Latent Coaling Required Coding AirA Sensible Heating Required Heating Airflow 77 °F 75 °F 50% 50 °F 70 °F 77,336 Btuh 15,673 Btuh 3,515 CFM 37,085 Btuh 482 CFM All calculators are based upon apprwed 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 Area Wall Ceiling Windcros Sensible Infiltration Latent Infiltrafim System Efficiency Gain Internal Sensible People Load Latent People Lced Total: Sensible load Latent load SHR Capacity at .75 SHR Cooling Loads 93,009 BTUthr Btuh 1947 3313 52048 5755 13756 7682 4675 1917 1917 93009 Caolin• Loads % of load 2.1 3.6 56 62 14.8 8.3 5 2.1 2.1 77336 15673 0.83 8.59 Tons f Sensible People Load LateWall nt People Load r--- -- Ceiling Internal Sensible Infiltration Windows ------ ys em 4_ System Efficienc: Latent Infiltration H1atin• Loads Area Wall FIcor Ceiling Windows Infiltration System Efficiency Loss Total: Floor Heating Loads 37,085 BTU/hr Btuh % of load 2596 7 10500 28.3 4417 11.9 5970 16.1 10231 27.6 3371 9.1 37085 Wall System Efficiency Loss Ceiling Infiltration Windows Service Expertt HEATING & AIR CONDITIONING 1521 NW 89 Ct. Minh R.33172 305.599.1530 WWW.SERVICEEXPERTS.COM License #: =1813864 Customer Name: 14)(- tinioz-- / Street Address: /..3 City: Mut/ ti--,44t5- State: Zip: :1? gerEma Horne Phone: ,.4)5 Work Phone: hJat : I- OtIAL7 rNSTALI_ATION ) Reconnect existing dud win Add Supply turn e duct ).vurk duct work e air flow ()connect existing wiring oaf elec. disconnect breaker circuit wiring saver kit a/auto cutup Piping fluePipffig Flue Liner 3 Opb-sized refrigerant piping Architectural piping cover ) Condensete plping/pump L.) Condenser foundation pad Vibration/shock isolators Combustion air _) Gallon Water Heater ‘,7 Replaced components &those] 0 Other 3 Drop cloth/floor saver protection ,3 Complete cleanup & vacuuming Certified refrigerant handling Gothitcompliarme 0 Permit 17 License- & insured Service Address: INVESTMENT AGREEMENT Equipment Was possible asbestos observed? Yes ',I No Were possible nit Has the customer been informed of 3Yes )No their responsibility to remove II? Supreme Prinniwe Deluxe tarinnant Size Has the =tomer treen 'Sp, lore tlra aiSICid gl,1 raw the possible presence m crobes? Efficiency 77 Air Conditioner _1) • ) r) ) Furnace , ) ) ) Heat Pump ) Air Handier ) 1) ) Cooling Coil ▪ -) , ) ) ) 01.1ALLIY ASSUP r E GUARANTEES',1--- L.51-(9 xs- 1 ST V`-t;c:s3 I -ix d, O303. 'icItA-T. if PLATINUM PLUS PROTECDON PLAN r ) PLUS MAINTENANCE AGREE/AM -ittee 100% Salislactior Guarantee ghest Customer Sat) I Highly-Graded 8R8 Accreditatien i.tric) ATE-Certified Professional Technicians ENERGY STAR dt) Retail Partner r Warranties crk‘ei•Rti/ CalrrrOrt Guarantee Compressor / years A/C Parts 0 years ) Furnace Purls years ) Exchanger _ _ years abler _ years , P/C system will provide a indoor temperature on a summer day ) Heating system will provide a indoor temperature ort a _ winter day_ ) Other NOTES JS// „ss_e_c)1 "-'4-(..,--re/ 0 A e A csa 2, . 4 2 i jik,4ot Ac:v CA,/,i/CA-S Date of Sale rOiLi 03i 1 / I cA ■1 Delivery Date taiSI / 1 4 / iat [0i Model # Serial #111 i 1 1 I 1 Dealer Number 1513141811121 THANK YOU! 1 1 1 1 1 1 1 1 1 -3 CASH 3 VISA 3 WC 3 AMEX , 3 DISC ,__`) SEI ) Check # Print Customer Name Acct# 1 1 1 Auth Code i 1, AMUR) Fioanced 1 Credit Plan 1 1 1 i • 1 1 Exp. Date "Comfort ArivisurVtralure Date Date Date ROYER'S RIGHT TO CANCEL You. the buyer, may cancel this transictitel at any hme prior to midreptit et the third business day alter am data of this transaction. See the notice of cancellation nor an explanauen al this tight on the reverse side. - .INDI1DR AIR-OUALITY* FILTRATION 3 Rqh-Efficiency 1" media fitter ▪ Higli-effir..lencv 4" media filter O Electronic air cleaner 7 Electrostatic air cleaner ) PureAir system 3 Charcoal filter 3 UV Light Single / Double BioFighter PLUS Single / Double P-MAC 3 Dust lock CI Catalytic ) Other SOURCE CONTROL 7 Humidifier 3 Dehumidifier '3 Duct cleaning 3 Mot sanitization 7 Duct seating ) Other VENTILATION ) Energy recovery venlhatien ) Heat recovery ventilation Attic / CAW space Fresti air mixing system 3 Zoned Comfort System Zones CONTROL (7 DIgttaberogrammanle T-stat O Smoke detector CO attestor ) Efficiency enhancements )Other System lnvestment ar Air Qt Total Home Comfort Investment Sales Tax Less Initial investment Ralance Due Upon Corn* See Reverse Side For Terms &Condit's= AIR CONDITIONING REPL This form must accompany ALL air conditioning replacement permit a sheet. Multiple units on single sheets are not acceptable. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CEMENT DATA PERMIT NUMBER: MC plications. Each unit change -out must be on its own data Job Address (where the work is being done): /07 3 er Ai 96 \a- /Il'r'/ j ' s City: Miami Shores Village County: Miami Dade. ALL CONDENSING UNITS MUST BE ON A ALL UNITS MUST COMPLY WITH F.E.M.A A COPY OF THE CONTRACT IS REQUIR ARI (AHRI) DATA SHEET Change Disconnecting means: YES n NO 1. 2. 3. 4. Zip Code: 33%33 INCH SOLID CONCRETE SLAB INIMUM FLOOD ELEVATION D WITH ALL SUBMITALS EQUIRED ARHI Sheet Attached: YES ( ■NO Contract Attached: YES (/7< UNIT BEING REPLACED DATA NEW UNIT 1®, /c C 4„P.'e - /%.� MANUFACTURER Z,CivA/OX 'C, /r') 3� (3) 1x ®I2 Ro4M .41 t ) J/ O AHU or PKG. UNIT MODEL # F/�% 1 /js� ,z /�¢ COND. UNIT MODEL # xc (®a4't 62 Yc (o, 3- '- 7- S'- KW HEAT 5 I{ (A) O Lv NOM TONS Q. l J ) '11»,1 AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHuAstO CUbt2O PKG 3) VOLTS AHtb?OCU2 OPKG PKG UNIT / / PKG UNIT / / ,/ /A. EER/SEER 02 Tc'NO021 /3 RAA, )1 S 10 YES NO REPLACING DUCTS YES NO REPLACING THERMOSTAT i'1 NO YES NO NEW 4 "CONCRETE SLAB • YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES • Minimum CircuitAmpacity (Wire Size): A4'3 Maximum Overcurrent Protection (Fuse /Breaker Size): 35 Voltage of Circuit (208/240/480): 02 0 8 /c3/-S 5 39 Size Disconnecting Means: Contractor's Company Name: ,..6g6f(C - 1 f State Certificate or Registration N. CiACc. 1 ©l 3Q64 Certificate ofl Competency N Signature (Qu• irier'ssignatureonly) Phone: 3 5.2k 4-. 2-02o Date: -7 /3 I f I This combination qualities 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: 3946122 Date: 7/31/2012 Product Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number. XC21 -036-030.05 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 21 W240 -2008 for Unitaryry Air - Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRIaponsored, independent, third party testing: Cooling Capacity (Btuh): 35800 EER Rating (Cooling): 13.20 SEER Rating (Cooling): 19.20 • Ratings followed by an asterisk (7 indicate a voluntary rerate of prey published data, unless accompanied with a WAS, which indicates an involuntary rem. DISCLAIMER ARM does rice endorse the product(s) fisted on this Certificate and makes no remesenlations, warranties or guartudees as to, and assumes no responsibilityfor, the prodtcgs) listed an this Certificate. AHRI expressly disdains all Baba /for damages of any kbnd arising out of the use or perfonance of the products), or the unauthorized alteration of data listed on Otis Certificate. Certified mlings are valid only for models and configurations meted In the dhectory at www.atuidirectory.org. TERMS AND CONDITIONS Ths Certificate and its carters are proprietary products of AHRI. This CertMcate shall only be used for htdividuat, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part be reproduced; copied; ; erdered into a computer database; or atierwise 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 cated on this certtfbcate can be verified atwww.ahridirectory org, click on `Verify Certificate" link and enter the AHRI Certified Reterence Plunder and the date on width the certificate was issued, which N fisted above, and theCaelfcate No.,whtch Is listed bed 02012 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: mammal 5285798 1 Alr- Conditioning, Heating, Iii and Refrigeration Institute 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 3945974 Date: 7/31/2012 Product: Spilt System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: XC21 -024- 230-05 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 21W240 -2008 for Unitary Air - Conditioning and Air Source Heat Pump Equipment and subject to verification of rating accuracy by AHRbsponsored, Independent, third party testing: Cooling Capacity (Btuh): 26400 EER Rating (Cooling): 14.70 SEER Rating (Cooling): 21.00 • Ratings followed by an asterisk (7 indicate a voluntary rerate of previously published data, unless accompanied whit a WAS, which indicates an involuntary resale. DISCLAIMER AHRI does not endorse the product(s) listed on thls Cerdficate and makes no representations, wanantfes or guarantees as to, and assumes no responsibilityfor, the products) wed on this CertMcabS. AHRR expressly maims all liablifty for damages of any kind arising out of the use orperfomance of the product(s), or the unauthorized adoration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www ahridkectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of ANAL This Comte stall *My be used ter individual, personal and confkiential reference purposes. The contents of fhb Certificate may not, In whole on in part, be reproduced; copied; , entered Into a computer database; orotherwise utMzed, In any form or manner or by any mans, except forte user's individual, personal and confidentkd reference. CERTIFICATE VERIFICATION The Information for the model cad on fits certMcate can be verified at www.ahridirectory org, ask on "Verify Certificate" 6n* and enter the ARM Certified Reference Number and the date or which the certlikate was Issued, whir h Is listed above, and the Certificate No.,which Is listed below. 1 Air- Conditioning, Heating, MU lik and Refrigeration Institute 02012 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO..: 1203820350684613908