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MC-13-761
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 193222 Permit Number: MC -4 -13 -761 Scheduled Inspection Date: June 10, 2013 Inspector: Perez, JanPierre Owner: ESTEBAN, MARCELO Job Address: 133 NW 99 Street Miami Shores, FL Project: <NONE> Contractor: MIKE'S AC SERVICE INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1131010220400 Phone: (305)751 -5814 Building Department Comments EXACT CHANGE OUT 3 TON AIR CONDITIONING & HEATING SYSTEM Infractio Passed Comments INSPECTOR COMMENTS 17--, False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP - 189244. June 10, 2013 For Inspections please call: (305)762 -4949 Page 23 of 25 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 193222 Permit Number: MC -4 -13 -761 Scheduled Inspection Date: June 10, 2013 Inspector: Perez, JanPierre Owner: ESTEBAN, MARCELO Job Address: 133 NW 99 Street Miami Shores, FL Project: <NONE> Contractor: MIKE'S AC SERVICE INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1131010220400 Phone: (305)751 -5814 Building Department Comments EXACT CHANGE OUT 3 TON AIR CONDITIONING & HEATING SYSTEM Infractio Passed Comments INSPECTOR COMMENTS False VG [0 1 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP - 189244. June 10, 2013 For Inspections please call: (305)762 -4949 Page 23 of 25 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 Permit Type: MECHANICAL JOB ADDRESS: 133 NW 99th Street APR 152013 FBC 20 (P Permit No. Master Permit No. , rn City: Miami Shores County: Miami Dade Zip: 33150 Folio/Parcel #: 11 -3101- 022 -0400 Is the Building Historically Designated: Yes NO No Flood Zone: No OWNER: Name (Fee Simple Titleholder): Marcelo A. Esteban Address: 133 NW 99th Street Phone#: 305 960-0451 City: Miami Shores Tenant/Lessee Name: Email: State: Florida zip: 33150 Phone#: CONTRACTOR: Company Name• Mike's AC Service, Inc. Address: 775 NE 79th Street Suite H Phone#: 305 751 -5814 City: Miami state: Florida zip: 33138 Qualifier Name: Miguel Mayta Phone#: 305 751 -5814 State Certification or Registration #: CAC039619 Certificate of Competency #: Contact Phone #: 305 861 -6334 Email Address: mikesacs(msn.com DESIGNER: Architect/Engineer: N/A Phone#: Value of Work for this Permit: $ 3,650.00 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration UNew ORepair/Replace UDemolition Description of Work: Exact change out of 3 ton air conditioning & heating system ********* * *** * **************** * * ** ** a** Fees***x:**** * ****** * * * * ** * * *** *ass:* *aim * ****** * *** Submittal Fee $ 53). Permit Fee $ k-2;1 1 ��r" CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Technology Fee $ Scanning Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ qj.i5- TOTAL FEE NOW DUE $ it\i‘ Bonding Company's Name (if applicable) N/A Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N/A 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 att' went. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection whi oc' . rs seven (7) ays after the building permit is issued. In the absence of such posted notice, the inspection will not be app ved d a reinspe on fee will be charged. Signature Owner or Agent The foregoing instrument was ackn• ledged befo rde_methiis day of �7�1 , 20 3, by MaiG� �•i 0 �'a1 who is personally known to me or who has produced i/ As identification and who did take an oath. NOTAR PUBLIC: Sig 1 W 44--. Print: Wei `/ ?e - *NA/ ex— My Commission Expires: ock - "V NOTARY PIMLIC•STATE OF FLORIDA si ,,;J Expires: OCT. 07, 2014: APPROVED BYBarao THRU ATLANTIC BONDING C� „arc, \\\C-1, Contractor The foregoing instrument was acknowledged Abefore me this day of �l �— , 2011 `3, by 0 t le t urbt- ,W4 who is personally known to me or who has produced CA—A j.) as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ‘0I 1111 ii ********* ** ************** * * * * * * ** aye * ***** * ****** *** *** ** x** ** * * * ** * Plans Examiner Structural Review Zoning Clerk AC #6251963 ElftP + G tV S A Cad BORED BAG aG n0 RCP !Fif fdW,t EKARk ENE!) PAPER STATE OF FLORIDA. DLPARTMENT:OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L1208070165 DATE BATCH NUMBER LICENSE NBR 08/07/2012 128031668 CAC039619 The CLASS A AIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 MAYTA, MIGUEL MIKE'S .A C SERVICE INC P 0 BOX 4384 MIAMI BEACH FL, 3.3141. RICK'SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY TAX COLLECTOft 40 1st FWLOOR FLAGLER ST MIAMI. FL 33130 °CAM BUSINESS TAX RECEIPT 2013 LADE tOtINTY - STATE OF FLORIDA EXPIRESSEPt30,2013; MUST BE DISPLAYED AT PLACE OF atoms PURSUANTTO-COUNTY GODS CHAPTER SA »ART. 9 & 10 THIS IS NOT A BILL, — DO NOT PAY 166337 -7 BUSINESS NAME / LOCATION MIKES A C SERVICE INC 775 NE 79 ST 33138 MIAMI RENEWAL RECEIPT NO. 166337-7 STATE# CAC039619 _1 FIRST-CLASS U.S. POSTAGE I PAID MIAMI, FL PERMIT NO. 231 OWNER MIKES A C SERVICE INC Sea Type of Business no 1 12y6A *ac MECHANICAL CONTRACTOR SUMNESS TAX REPOT. PERMIT THE HOOLLn> PTO VIOLATE E»s REGULATORY OR ZONING LAWS OF THE COURT OR CMS. NOR DOES IT EXEMPT THE HOLDER PERMIT OR NEY OTHER RECUR= SY LAW. THIS 13 NOT HOLD PAY!ffiNT REcWVEO cGWJTYTAX comimmt 08/20/2012 60010000073 000045.00 SEE OTHER SIDE WORKER /S 10 DO NOT FORWARD MIKES A C SERVICE INC MIBUEL MAYTA PRES PO BOX 4384 MIAMI BEACH FL 33141 1llil 1111I III 1IIIIl1l 11 ilIIllIIIl lillllillIillt13 hilt t11li11192 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. '-� COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. /''°- COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION1 IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: Mike's AC Service, Inc. BUSINESS ADDRESS: 775 NE 79th Street CITY Miami STATE FL ZIP CODE 33138 BUSINESS PHONE: (305 ) 751 -5814 FAX NUMBER (786 ) 224 -2569 CELL PHONE ( ) QUALIFIER'S NAME: Miguel Mayta QUALIFIER'S LIC NUMBER: CAC039619 E -MAIL ADDRESS (IF APPLICABLE): mikesacs @msn.com Created on 3119108 BY MLDV / RV 3128/09 MLDV MIKES -2 OP ID: KR '�'C.° °0 CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DD/YYYY) ova2n3 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 Ileu of such endorsement(s). PRODUCER 305. 364 -7800 BROWN & BROWN OF FLORIDA INC 305 - 7744401 14900 NW 79th Court Sulte#200 Miami Lakes, FL 33016-5869 House Accounts CONTACT PHONE FAX (arc. No. Ext$ ( LA(C. Not E-MAIL ADDRESS: - INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: *FCCI Commercial Insurance Co 33472 INSURED Mike's A/C Service, Inc. P.O. Box 4384 Miami Beach, FL 33141 INSURER B :*Technology Insurance Co. Inc. 42376 INSURER C: 01/01/14 INSURER D : $ 1,000,000 INSURER E : $ 100,000 INSURER F : COVERAGES CERTIFICATE NUMBER: 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE JAaca POUCYNUMBER (MM�IWYY1 IMMIDDIIVY C1 LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY GL00148481 01/01113 01/01/14 EACH OCCURRENCE $ 1,000,000 DAMAGE TO REN TED rt PREMISES (Ea occuence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEM. LIMIT APPLIES PER: 7 POLICY n ,PiF a 1 l LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE — LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS — _ SCHEDULED NON-OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) 1 $ BODILY INJURY (Per person) BODILY INJURY (Per acddent) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y /❑N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A TWC3299488 01/01/13 01/01/14 X I aCSTATU- I I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space Is required) CERTIFICATE HOLDER I MiemiShOreSV)118 @ Village 10050 Ne 2Nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 2010 ACORD CORPORATION. All rights reserved. PROPOSAL AND SALES AGREEMENT CUSTOMER: Marcelo Esteban ADDRESS: 133 NW 99th Street ADDRESS: Miami Shores, Florida 33138 April /04/2013 RE: Replace 3.0 ton air conditioning and heating system (with new environmentally friendly refrigerant 410A) INSTALL 3.0 TON RUUD AIR CONDITIONING & HEATING SYSTEM (MADE BY RHEEM AIR CONDITIONING) 1) We will recover the refrigerant 22 from the old system, we will remove the old air handler unit from the air conditioning closet, we will remove the condensing unit, and we will dispose the old air conditioning system according to EPA regulations. 2) We will install new 3.0 ton HI EFFICIENCY RUUD air conditioning & heating system, the air conditioning system has efficiency rating of 14.00 SEER & 11.40 EER, all installations will be done according to South Florida BLDG codes. 3) We will install the new concrete slab to comply *ith new code, we will install the new condensing unit in the same place over new concrete slab, we will install the new air handler unit in the same place in the air conditioning closet, we will install the new float switch in the air handler unit, we will clean out the existing refrigerant lines, we will connect the refrigerant lines in to existing, we will connect the electrical in to existing, we will make new main plenum in the air conditioning closet, and we will connect the ductwork in to existing. 4) We will evacuate the system, we will recharge the system with new refrigerant R10A and we will balance the system in the house. EQUIPMENT: RHEEM AIR CONDITIONING & HEATING SYSTEM SEER IS 16 & EER IS 13.00 1 13AN- 36A01A01 CONDENSING UNIT 1 RHLL- HM3617JA AIR HANDLER UNIT 1 RXBH- 1724C07J HEATER INCLUDED 1 ALL THE MATERIALS, NEW STAT, CU SLAB, REFRIGERANT LINES, INSULATION, & REFRIGERANT 410A LABOR WARRANTY: Service will be provided free of charge by us for a period of one year from date of installation, during regular working days Monday thru Friday & regular working hours 8:00 AM to 5:00 PM. No warranties on air conditioning filters and regular preventive maintenance. • , MANUFACTURER'S WARRANTY: All the parts in the system for period of ten years, the evaporator coil for period of 10 years, the condenser coil for period of 10 years and the compressor for period for 10 years from the date of installation. If the compressor fails in 5 years manufacturer will replace entire condensing unit outside. TOTAL SYSTEM COST: We shall furnish labor, materials & equipment detailed on pages 1 & 2 for $3,650.00 dollars, the sales tax is included in this proposal. FPL REBATE ($210.00) MFG REBATE ($00.00) TOTAL CUSTOMER PAYS $3,440.00 (PLUS THE PERMIT FEE, PROCESSING FEE & LOAD CALCULATION) TERMS: Customer hereby accepts this proposal = 4 . agrees t payments as follows, 50% down payment upon acceptance of this proposal, and 50% final payment when the Job : t mpleted. CONTRACTOR: � /.Lim/ / DATE: CUSTOMER: r OrRITAISY DATE: INC I974 = � z ertifica Product in AHRI Certified Reference Number: 4525779 Date: 4/12/2013 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 13AJN36 Indoor Unit Model Number: RHLL- HM3617 +RCSL- H*3617 Manufacturer RHEEM MANUFACTURING COMPANY Trade/Brand name: RHEEM 13AJN SERIES Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING COMPANY 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): 34800* EER Rating (Cooling) : 11.50* SEER Rating (Cooling): 14.00 * Ratings followed by an asterisk (") indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an irwoluntary 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 products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arises 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 configuration listed In the directory at 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 CertMcate may not, in whole or In part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utlftzed, in any form or manner or by any means, except for the user's hutividual, personal and cofdidentlal reference. CERTIFICATE VERIFICATION The information for the model clted on this certificate can be verified at www.ahridirectary.org, click on "Verify Certificate" fink 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 02013 Air - Conditioning, Heating, and Refrigeration Institute Air - Conditioning, Heating, aUll and Refrigeration Institute CERTIFICATE NO.: 130102428700864753 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 penult 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): I r4 `1 City: Miami Shores Village County: Miami Dade Zip Code: 3 S 1."` 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 NO 0 Contract Attached: YES i UNIT BEING REPLACED DATA NEW UNIT g/-74 67e..-/-11 MANUFACTURER d?f-fG Pi R H 4° 3 To A/ AHU or PKG. UNIT MODEL # )/-N,'36 / /°„: COND. UNIT MODEL # /3de: j/ 3 , AI 0 q° 6 L a� _ KW HEAT '/ a :..5- k LO NOM TONS AHU CU 25 PKG , 1) M.C.A AHU36CU IP PKG AHU CU " ,,, PKG 2) M.O.P AHU °CU.3.5-PKG AHU O CU 0PKG 3) VOLTS ARON, CU 7&PKG PKG UNIT / / PKG UNIT / / EER/SEER YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT , YES v NO YES NO NEW 4 °CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES (dif 1. Minimum Circuit Ampacity (Wire Size): b /i2 /1 *la 4 /0 6 jj 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 5-0 3. Voltage of Circuit (208/240/480): -2 0 e / 0 4. Size Disconnecting Means: 12— , h/" 4-14.2 471-2 � j.. /7"0" Contractor's Company Name: J 1 l /z,4' `5 . 6/2-V Phone:3 $ a ' i- ' / State Certificate or Registration N. CA G O3 / 6 / 9 Certificate of Competency N. y Signature (Qualifier's signature only) Date: