MC-13-2171V_
Inspection Worksheet
Miami Shores Village V
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-199846 Permit Number: MC-9-13-2171
Scheduled Inspection Date: November 13,2013 Permit Type: Mechanical- Residential
Inspector: Perez,JanPierre Inspection Type: Final
Owner: ALEGRE, MARIA CRISTINA Work Classification: A/C Replacement
Job Address:629 NE 92 Street 8-B
Miami Shores, FL Phone.Number
Parcel Number 1132060430120
Project: <NONE>
Contractor: SOLAR BEAR SERVICES Phone: (305)863-1830
Building Department Comments
A/C CHANGE OUT 2 TONS Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed 10
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 12,2013 For Inspections please call: (305)762-4949 Page 15 of 38
C
� � l ��
l
Miami Shores Village
Building Department FSEP 0�
90050 N.E.2nd Avenue,Miami Shores,Florida 33138 2013
n Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20 to
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. W 13 dl'T/
Permit T e:MECHANIC
JOB ADDRESS: 2hd S f A4 I T Ej
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): CIA a`S-np t FA_e- Phone#: _186-W-7g5 S
Address:_6-q mg1 %,&465'v- Aft- Rig
City: PAt&M` 5.,W"S State: OL Zip: -3313.9
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name:.s®�D� Cn ez-,r Secy f, ce S Phone#: 430
Address: O 124 Alvv- 116 V d
City: 01 td/r, State: /Grs jo" Zip: �3 7
Qualifier Name: , Phone#:
State Certification or Registration#: C 17213 G' Certificate of Competency#:
Contact Phone#: _ Email Address: 'Ca
DESIGNER:Architec ngineer: Phone#:
Value of Work for this P 't: Square/Linear Footage of Work:
Type of Work: ❑Address/� ❑Alteration ONew epair/Replace ODemolition
Description of Work:A GLxcat Q q
��x�xx���x����������n��������m�x������� ees�n�xxxxuxuxxxx�•�xxxx�w�����:x�xxx���xxxxx�xx��
Submittal Fee$ `��) Permit Fee$ rr CCF$ CO/CC$
Scanning Fee$_ Radon Fee$ . DBPR$ Bond$
Notary$ Training/Education Fee$ T� Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
I
Bonding Coinp6y'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$2500, the Applicknt must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature _
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this-L!_—
day of S .2013 ,by day of ,20-ja,by &M J4,A
who is personally known to me or who has produced who is personally known to me or who has produced 3 1..
�� identification and who did take an oath. �
„ r JESUS GARCIA
NOTARY PUBLIC: ;$: :�=C0111M�SS10N�FF032969 NOTARY P L x p Notary Public-Arizona
EXPIRES:JULY 02,2017 a County
N;%, o`' wwwAmONNOTARYmm. • _ res Jan 18,2016
Sign: Sign:
Print. V®r ln/ � � Print: !.lf1� l°?°�t•�-Ce���
t- "
My Commission Expires: t 7-vZ,--2--101 7 My Commission Expires:, bul it®-
APPROVED BY V L?ns Examiner Zoning .
Structural Review Clerk
Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
L —
Miami Shores Village
x 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). Zip Code: ?' ;l 3
City: Miami Shores Village County: Miami Dade
ALL CONDENSING UNITS MUST BE ON A 41NCH.SOLID CONCRETE SLAB
ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION
A COPY OF THEARCIO � DATA RE RSHEET REQU SUBMITALS
Change Disconnecting means:YES [] NO❑ ARHI Sheet Attached.YES NO❑ Contrary Attached:YES
DATA NEW UNIT
UNIT BEING REPLACED NWNUFACTURER
A AHU or PKG.UNIT MODEL#
FA COND.UNIT MODEL# k v./
KW HEAT
Tam NOM TONS AHU CU PKG
AHU CU PKG 1 M.C.A AHU. CU PKG
AHU CU PKG 21 M.O.P AHU CU PKG
AHU CU PKG 3 VOLTS PKG UNIT / 1
PKG UNIT 1 l E�SEER
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 yE NEW RETURN PLENUM BOX YES NO
g NO
1. Minimum Circuit Ampacityy Mire Size):
2. Maximum Overcurrent Protection(Fuse/Breaker Size):
3. Voltage of Circuit(20812401480):
4. Size Disconnecting Means: 7 v
Phone.
Contractohs Company Name: 70
Certificate of Competency N.
State Certificate or Registration N. � l q l
Date:
Signature
Iqua6flees signature only)
Form ZZ
IN THE CIRCUIT COURT OF THE.
ELEVENTH JUDICLAL CIRCUIT
IN AND FOR MIAMI-DADE COUNTY,
FLORIDA
FAMILY DIVISION
IN RE:THE MARRIAGE OF: 2010—000741—FC—04
f'dillity CII'GUtt: ($e:CCt1QQ+F('''��
� ti A GRA51 u A Q (F 6 R� !►��
Petitioner, CASE N
and 1
Lu lS h-PtJNN-)O
Respondent.
FINAL JUDGMENT OF DISSOLUTION OF MARRIAGE
(MSA with Property an&or Debts)
TIIIS CAUSE came Vtofore the Court on this day of - `'
20 on the 's Petition for Dissolution of Marriage: After
hearing argument of the parties, it is therefore,
ORDERED AND ADJUDGED that
1. This Court has jurisdiction over the subject matter of this action.
2. This Court has jurisdiction over the parties:
C"'\ A valid Florida Driver's License,ID or Voter's Registration Card has been
produced.
A Residency Witness Aff davit was submitted and made a part of the file.
I s
There was sworn testimony as to who is qualified as a residency
residency by
witness.
Final Judgment of Dissolution I of 2
The Famffy Court Seff-HeIP Program
Self Help File No.:0918071 Receipt&Packet No.:0919MMPA
Printed on.11=009 4:25:53 PM
A TRUTE COPY
CivRVIFTIC-00N ON LAST PATh.
Form ZZ
CASE NO.: /`} _, f 7
3. The marriage of the parties is irretrievably broken and is hereby dissolved-
4. The parties have no minor or dependent children in common,and the vrife is not
pregnant..
ed b the
executed 5. A marital settlement agreement has been Y Parties-
This
agreement is ratified and is incorporated herein by
reference.
6. The Wife's former name is restored to D�{ C .S P E 6
7. This Court reserves jurisdiction for purposes of enforcement of the provisions of this
Final Judgment.
DONE AND ORDERED in Chambers at Miami-Dade Co ty,Florida.this
day of Q 8�i11{1 ,20
CIRCUIT COU JUDGE
.Petitioner Name: � �}� � ��$�iu A � k�@ G �i h p MSE M. Ri0I'� GM-7-
Street Address: rr D-Pt 8 t3 Circuit Judge
City, State,Zip: K i S oiO R -S t 3 313
Telephone No.:
Respondent Name:L L, i S &R N fl N o i tt
Street Address: 'M Pi P&A-S Cb� &—f--
City, State,Zip: tx: C--sE- P 0111 Gtr"
Telephone No.: 'IS q - 44 S 9'6 L
STATE OF FLORIDA,COUN—OF MIAMI-DADE ','F /
HEREBY CERTIFY that the of is a true and
}'e9 ,...s
•� F't Ig,
correct cop f NC.' r I onfile it this
of 5ce AD 20 I _ .. ;VEY �II of it and ounty !; ; •> I
AF
Deputy Clerk
Alejandro S-�sa
Final Judgment of Dissolution 2 of 2
The Family Court Self-Help Program
Self Help File No.:0918071 Receipt&Packet No.:0919M7DPA
Pri W on:11M2009 4:25:53 PM
10125 WW 116 Way,Suite 10;Miami,FL 33178
Phone 305-863-1830 FAX 305-863-1885
www.SolarBearFL.com
BwIff FL Reg.CAC 1817134
Contract/Proposal
■ Cooling ■ Heating ■ Air Quality
lr�sto�liid'orrAddress::
isairii � �'r7 "' 0`3/ /r
StreLt" t T ` Installatonstart:date. Q /p` `I
Cttb► ate,x p / inn l> !'L 313'? Brand of Equipmerm Lewmyio
Permit Fee.(City/County) �.P.
Ir leAla#k _ Comfort.Consuftft ,,q t
Equipment to be InsWited:
System I
System 2 System 3
A/C or Heat Pump
Air Handier
Coil
AdMand accessories: Additional materials:
Thermostat System 1 2 3 System 1 2 3
Disconnect box 130 ❑ New return plenum ❑ ❑ ❑
W Light High voltage wiring ❑ ❑ ❑ Insulate ductwork ❑ ❑ ❑
Zoning Low voltage wiring `jwQ❑ ❑ Old equipment removal 000
HEPA Filter New outdoor pad ❑ ❑ ❑ New supply ducts ❑ ❑ ❑
Air Cleaner Vibration pad 000 New return ducts ❑ ❑ ❑
Line set ❑ ❑ ❑ New registers/grilles 11 11 Dehumidifiers Refrigerant filter dryer `0 ❑ ❑ New condensate piping ❑ ❑ ❑
Other Recover refrigerant °COQ ❑ ❑ Condensate pump(sft.switch) ❑ ❑ ❑
Additional services. Mastic seal plenums ❑ ❑ ❑ Drain pan with overflow switch❑ ❑ ❑
New supply plenum ❑ ❑ ❑ V filter rack ❑ ❑ ❑
Dud Cleaning Mastic and seal supply/return 4 feet ❑ ❑ ❑
Annual Service Agreement FPL Completed ❑ ❑ ❑ Load Calculation Cl ❑ ❑
Scope Of Work:
6 T4 ii z-oNes CRO-40 ear N Wwotess
Gr-JW&15o9 V pi a ANo Mws p*� Alepto y-Nas , Lges .
a) m-z's 1- o0i P 'Q° 141 -18Pi
Compressor yrs.
Coil yrs.
Pa rts yrs.
Labor yrs.
Zoning yrs. T^ Lvtes
Water Heater yrs•
Extended Warranty yrs. �j
Other yrs• Atj—- Pepw%mf 1�
Payment terms: Customer Cash Card $ S00° ® Sale Price
Credit Card Type 'C3
Discounts/Coupon
Name on CC Federal TAX Credit $ ® " Dip
Credit Card# FPL Rebates _ "C'�
Exp.Date Total Investment � 76•20
Check# Total NET out of pocket expense after
all rebates,discounts and tax credits Balance due to Solar Bear S —7 To.°—7 7
Notes: (Labor portion plus permit fees)
Balance due to Costco S I
(Total Investment minus Balance due to solar Bear)
All material is guaranteed to be as specified.All work to be completed in a professional manner according to standard practices.Any alteration or deviation from above
specffications involving extra cost will be executed only upon written orders,and will become an extra charge over and a e estimate:All agreements contingent upon
strikes,accidents or delays beyond our control.Owner/owners to carry all neces4chha Our worker's are a oriarian's Compensation Insurance.
The above prices,specifications and conditions are satisfactory and are hereby aa autho ed dot r as specified.Payment will be made as outlined above.
Any payment not made as specified shall be subject to 18%annual interest plus ou att Price subject to change if n ot accepted within 15 days.
X r X q:5 d !�OP
Company authorized si ure Customer si Date of acceptance
110ertificate of Product Ratings
AHRI Certified Reference Number: 5454433 Date: 9/16/2013
Product:Variable Speed Multi-Split Heat Pump
Outdoor Unit Model Number: MSS-ZO 24P3* n -7/
Indoor Unit Type:Non-Ducted Indoor Units RFCE1 D
Manufacturer: LENNOX INDUSTRIES,INC. SEP 2 5 206
Trade/Brand name: M38 SERIES By: e12
Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES,INC.
Rated as follows In accordance with AHRI Standard 2101240-2008 for Units r'y 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): 26000
EER Rating(Cooling): 8.20
SEER Rating(Cooling): 16.00
Heating Capadty(Btuh)@ 47 F: 29000
Region IV HSPF Rating(Heating): 8.20
Heating Capacity(Stuh)@ 17 F: 17000
CERTIFIED RATINGS FOR VARIABLE-SPEED,MINI-AND MULTI-SPLIT SYSTEMS ARE VALID FOR ALL COMBINATIONS OF INDOOR UNITS
(BASED ON COMBINATION TYPES)WITH THE SPECIFIC OUTDOOR UNIT LISTED ABOVE AND IN THE AHRI DIRECTORY OF CERTIFIED
EQUIPMENT.VISIT WWW.AHRIDIRECTORY.ORG TO VERIFY THAT THIS COMBINATION IS AN ACTIVE LISTING AND THE DATA LISTED ON
THIS CERTIFICATE IS ACCURATE.SEARCH ON THE AHRI REFERENCE#TO QUICKLY LOCATE THIS COMBINATION IN THE DIRECTORY.
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)dated on this Certi f eft and makes no represerWons,warranties or guarantees as to,and assume no responsibility for,
the product(s)listed on this Cmtlflrrette.AHRI errpressly disclaims all Itabi ty for damages of any kind arishg out of the use or performance of the product(s),or the
unauthorled aMmadon of data listed on this Certificate.Certified ratings are valid only for modals and conflgurtations listed In the direr/at www.ahndirectory.org.
TERMS AND CONDITIONS
This CerdHcate and ft contimits are proprietary products ofAHRL This Certificate shag only be used for Individual,personal and confidential reference purposes.
The contents of this Certificate may Trot,In whole or In part be reproduced;copied;dissemirtated;entered Into a computer database;or c#mwlse u mmed,In aryl
form or manner or by any means,ehrcept for is user's IndMdual,personal and confidential refe"mce.
CERTIFICATE VERIFICATION
The hftmatonforthe model cited onthtecartflcatecahbeveriftedstwww.ahridimctory.org, to Air-Conditioning,Heating,
click on"Verify Certificate ink and en ter the AHRI CerWW Reference Number and the date on
which the cerdfioste was issued,which Is listed above,and the cerdtkat a No„which is met below. and Refrigeration Institute
02013 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 130238091798003589
DesignStar Load Calculation
Resuhs are intend fear use with Rhei heating and cooling systems
q
�A..�`��' x at
D �4•rV K.Z- .F fR � :
l at4t&JCie,.�e}rlgitude 25.7791°, -81):1978°
It ,
1 Crisb' Aiegre
Pil
One,
�- OOa6
Email:
SH R .75
iar
rsi
ber eederits 2
Ceiling height 9
ri;'i1 i e
11-4i!cie. 0:09 .
Floor U-value I R-value 0.2 1 5
Cegli: g ia1e j R-value g.0 { 39
Window U-value 0.5
lad e -1 F 0.85
Moisture grains 58
Duct gain % 10
Cao g r ltrae o CH), ;
Heating infiltration (-ACH):...._._......_._.__._..._...�.._r.__..._..,_.�.� 0.8.��..._...�.._:._w_..,�
iar ve1�itr 0
Sumrner ventilation 0
O
Outdoor Heating
5a 95
Daily range L
te�aie ifi�. 5®%
Moisture difference 58
Indoor Heating Cooft
Design temperature differenceCT) 20 20
• ArSO k .�� load
Floor 3512 31
8.2
Wind s 2180 .19.2
E fitigncY, Loss 1033
Heating Loads
11,337 BTU h
r
/
Ceiling
i r
' 1
I System Efficiency Loss
Floor r
I
d�
Well
i s
a
i F •
l 1
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$ia3 �
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f �
;''.�2d'.F fF3 n��e��"a�{�4 r�r44'�"'ld�,T��y -."YS•.r` a. } $ j �7 .
t '
-Ufth
L :V ` f
Cae Q2 X4415
i Cooling Loads
21,571 BTU/hr
Sensible People load
err—Latent People load
1! t j.--Internal
Sensible Inflttratlon
windows
i
i
System Efticlenq
i
i
i
Wan
i
Latent Intit ration `Calling
i
AED Graph
10000
7500
V
i a
2500
Sam gam 10am 11am 12pm fpm 2pm 3pm 4pm 5pm bpm 7pm Spm
Hourly Loads —Average
.-._.... ----- -- -------- -------- ---- ---- ----
System equipment selection will be made using the following derived values.
Glass (E) 24 sq. ft.
'I
' -16
Glass (N) 94 sq. ft.
Summer Outdoor 95°F
u er tk t p 1b :: �°
Summer Indoor 75°F
Winter Outdoor 50°F
qtr 70
Sensible Cooling 38,212 8tuh
I
I_ t rt 3,358 Bt.Uh
Required Cooling Airflow 828 CFM
.Required .Heatin.g Airf1ow 147 CF M-
All ti laltEsrlS ire nasec4 upr�r�appr rrecl hvas arstlustry standards and procedures,and comply w0th-all local,
sfiat and fede't a bode;requiremot rpmputed resins are Estimates.Procfur- gr0-vided by Eneigy C3eslgn
Systems and.ld�a Ta' �:. .
I