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MC-13-1533
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-194919 Permit Number: MC-7-13-1533 Scheduled Inspection Date: September 16,2013 Permit Type: Mechanical- Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: SAKZ, ROBERT Work Classification: Addition/Alteration Job Address:5 NE 102 Street Miami Shores, FL Phone Number Parcel Number 1132060131640 Project: <NONE> Contractor: ALL YEAR COOLING AND HEATING Phone: (954)566-4644 Building Department Comments Infractio Passed Comments AC CHANGE OUT 5 TON INSPECTOR COMMENTS False V Inspector Comments Passed J Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 13,2013 For Inspections please call: (305)762-4949 Page 10 of 38 � Miami Shores Village - Building Department JUL 16 J 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fag: (305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 BUILDING Permit No. PERMIT APPLICATION Master Permit No. L r FBC 20 Permit Type: MECHANICAL OWNER:Name(Fee Simple Titleholder): ROBERT SAKZ Phone#: Address: 5 NE 102 ST City: MIAMI SHORES State: FL Zip; 33138 Tenantdxssee Name: Phone#: Email: JOB ADDRESS: 5 NE 102 ST City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 11-3206-013-1640 Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR:Company Name: ALL YEAR COOLING AND HEATING Phone#: 954566-4644 Address: 1345 NE 4TH AVE City. FORT LAUDERDALE State; FL gip; 33304 Qualifier Name: THOMAS A.SMITH Phone#: 954-566.4644 State Certification or Registration#: CAC058159 Certificate of Competency#: CMC537 Contact Phone#: 954-566-4644 Email Address: DDANIELS@AYCAIR.COM DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ $4,905.00 Square/Linear Footage of Work: Type of Work: ❑Address DAlteration DNew 2kepair/Replace DDemolition Description of Work: A/C CHANGE OUT OF 5 TON RUUD UNIT 14AJM56/RHLLHM6024 Submittal Fee$ Permit Fee$ L CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW D �0 , b Bonding Company's Name(if applicable) NIA Bonding Company's Address City State zip Mortgage Lender's Name(if applicable) NIA 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�e • e of commencement and construction lien law brochure will be delivered to the person whose property i u ct to attachmen. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first in pection which occurs sev ( days after the building permit is issued. he absence of such posted notice, the inspection wi; t be pproved and a reinsp on fee will be charged. � Signature 12 _Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this +® The foregoing instrument was acknowledged before me this rC day of ,20 13,by Ro o f l . S day of JUIV 20-L3,by aloj�� who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: N zo,..........��y R1 Print •° Y'"' � 71VON KARIM HART pmt. ��p 1 •= MY COMMISSION#FF014134 '-v'• `� 1 My Commission Expires q ,. w'M;oP �Q•' EXPIRES May 2,2017 M Commission Ex p' es. . +F • 'o° EXPIRES May 2,2017 y p (407)3 -0163 FloridallotaryService.com (407)3980153 FloddallotaryServtce.com kskT **�� sksksksls sksk�ikXaak�3sskeksk�sk�k:ksk�#sIaBc�#sktk�ik�k8asksk��IaXaBas kaksk�k�ikik�krk�k�skakskffiek�k�sksk�I:�lssksk�k��Ia�kik�ksk�sksk�k�� APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) NZM Y-PAtyyu t v VV)rat J65 AN-t ' Today's Comfort...Yesterday's Prices. QCONTRACT ❑ESTIMATE 6 / 1345 NE 4th Ave.,Fort Lauderdale,FL 33304 N" i Phone:(954)5664 Fax:(954)6111-1120 1 1 mm aycalr t:Dm 0 #'l Z, J"��G �,Z' Est with over 150,0001astallati ns `jo' DATE • .- PURCHASER'S NAME CONTRACT ADDRESS 'z. �W,e hereby submit specifications for CITY/STATE/ZIP /Yl,, ., I<t ui ment Installation —�. da,61 4 Z ❑ Indoor Air Quality E-MAIL ? ?/?Z_ ❑ Other HOME PHONE CELL PHONE All Year Cooling will fumM all parts,labor and equipment necessary to facilitate the service REFERRED BY_�`Z yd Sl.p checked above to accordance with the conditions I and specifications listed in this contract.Does ❑ I WOULD Ull RECEIVE NEWS,UPDATES,OFFERS AND PROMOTIONS VIA SMS TINT MEMING not Include electrical upgrade Unless stated. Message SUPPLY f Ii IT'.'/nome,is Toi—,if'y sr-nolh,Presiclentf of All Ycor Cooling. All Yea;Cooling Is c lor-niiy busil oul call 0-ione ci;954-773-8619 RETURN& DISTRIBUTION ❑ModffyMew Supply Duct(s) ❑New Supply Wil,Size x Qty. ❑Modffy/New Return Ducts) ❑Seal Up Leaks in Ducts# [:3 Now Return Air Grill,Size x Oty ❑Modi6rations of ❑Supply Retum ❑Return Air Plenum NEW EQUIPMENT WIRING pllt system A�ri��ecMc Heat Air Handler B ri ire Size Package Unit p Heat Recovery Unit 6jtM Existing Breaker ❑Replace Breaker Heat Pump #of Systems / ❑New Breaker ❑Brand Straight Cool Attic ❑Condenser Breaker Wire Size Horizontal Application �M Application ❑Use Existing Breaker ❑Replace Breaker ❑Other 4EI New Breaker ❑Brand MODEL MAKE eectrical ded by 11 Existing Electrical 1 ,J Disconnect Box All Year Cooling to Code 2 pi,in-[no Float Switch_tk ❑ wdliary Float Safety Switch 3 W��,�+pe of Thermostat-Specify Type -eather ResistantVibration,Isolation Pads 009"P 1r "Al i 1 Year 1 Visit Maintenance Agreement ❑5 Year Extended Warranty ❑10 Year Extended Warranty CONDENSATION& 1•• "PIPING Condensate Drain Hook-Up 2frimary ❑Secondary ❑Refrigerant Copper Suction Line with Insulation,Size Va❑ i ew Condensate Pump ❑Auxiliary Drain Pan [I So of Run efrigerarit Copper Liquid Uns,Size 2412 !, - r Existing Copper ❑Refrigerant Line Cover OTHER abilities and Workmen's Comp for Our work Performed ❑Smoke Detector-ExistinglNew �Existing Codes ❑Straps ❑Crane/Genie Lift nting Hardware of Stand for Air Handier ❑Extend Slab ❑New Slab Hurricane Code Strapping ❑ Labor Needed ft WARRANTIES 1 Year Warranty by All Year Cooling on work performed,and Manufacturer's Warranties manufacturer's warranty on equipment unless otherwise stated below. ❑Compressor�_Years ❑Labor 2, Years ❑Condenser . Years ❑Parts —Years cdor�ra+xaad4sWimInftptodIs M=W n�s�y. ❑Evap.Coil�_Years INVESTMENT BREAKDOWN DETAILS OF /' PERFORMED Subtotal 6 $ $ Permit $ uainy Rebate $ p►('"�'"'—g�L .J Man.Rebate $ $ $ Misc Credits $ $ $ Totallnvestmerds $ $ $ Extended warranty $ $/► Balance Due $ TERIts Aay tisemdllg must be arranged 24 tnana prior to slarthl9 any wale For gl of []cub C ee Balance Due to 0.bs tipon Completion of.bb. � MY8ffWrjRm=wWwftr&= ciftffosliaw Date LIOe=#0=59159.941206 KUIP11.06E000413.900129M SEE REMFORTERMSANDlx1=011S 61 � 1 1-- y' �gOR�s F7� orli Miami Shores Village _ r tes Village�c Building Department APP R P BY DATE �0 i3 10050 N.E.2nd Avenue Miami Shores, Florida 33138 ZODING DEPT A Tel: (305) 795.2204 Fax:(305) 756.8972 PLDG DE 1 � ry DITI 0 NING REPLACEMENT DATA T , 1.5, 5 si_!BJECT ,o cr�,i' it�NCE v\n FH All FEUEPAL PERMIT NUMBER: MC'3 "T�TC^"',� C`C.�._� ? r!_f l'iD ' GUFF�IG''JS 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): 5 NE 102 ST City: Miami Shores Village County: Miami Dade Zip Code: 33138 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❑ Contract Attached:YES EI UNIT BEING REPLACED DATA NEW UNIT RHEEM MANUFACTURER RUUD RENB2010BZS AHU or PKG.UNIT MODEL# RHLLHM6024 RAKB060 COND.UNIT MODEL# 14AJM56 10 KW HEAT 10 5 NOM TONS 5 AHU 50 CU 45 PKG 1 M.C.A AHU 50 CU 45 PKG AHU 60 CU 50 PKG 2 M.O.P AHU 60 CU 5o PKG AHU 230 CU230 PKG 3 VOLTS AHU 230CU 230 PKG PKG UNIT / / PKG UNIT 1 / EERISEER 13116 YES NO REPLACING DUCTS YES N YES REPLACING THERMOSTAT f E'SD NO YES NEW 4"CONCRETE SLAB Y NO YES NO NEW ROOF STAND YES d YES COD NEW RETURN PLENUM BOX NO 1. Minimum Circuit Ampacity(Wire Size): 6 2. Maximum Overcurrent Protection(Fuse/Breaker Size): 60AMPS 3. Voltage of Circuit(2081240/480): 208-230 4. Size Disconnecting Means: 60 AMPS Contractor's Company Name: ALL YEAR COOLING&HEATING Phone: 954-566-4644 State Certificate or R tion N. CAC058159 Certificate of Competency N. CMC537 Signature od-ld47= Date: 13 (Qu lifie i to OKIYTV -p�- wrightsoft e Project Summary Job:: Entire House By. ALL YEAR COOLING AND HEATING 1345 NE 4TH AVE, FORT LAUDERDALE, FL33304 Phone:954 566 4644 Fax 954 640 0200 Web:ALLYEARCOOLINGANDHEATING.COM Proiect Information For: ROBERT SAKZ 5 NE 102 STREET, MIAMI SHORES, FL Notes: Design i • • Weather: Fort Lauderdale/Hollywood, FL, US Winter Design Conditions Summer Design Conditions Outside db 50 OF Outside db 90 OF Inside db 70 OF Inside db 75 OF Design TD 20 OF Design TD 15 OF Daily range L Relative humidity 50 % Moisture difference 61 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 61800 Btuh Structure 33557 Btuh Ducts 7135 Btuh Ducts 12536 Btuh Central vent (49 cfm) 1073 Btuh Central vent (49 cfm) 805 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 70008 Btuh Use manufacturer's data n Rate/swing multiplier 0.95 Infiltration Equipment sensible load 44553 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 2918 Btuh Ducts 3442 Btuh Heating Cooling Central vent (49 cfm) 2039 Btuh Area (ft2) 1952 1952 Equipment latent load 8399 Btuh Volume (ft3) 19520 19520 Air changes/hour 0.38 0.20 Equipment total load 52952 Btuh Equiv.AVF (cfm) 124 65 Req. total capacity at 0.70 SHR 5.3 ton Heating Equipment Summary Cooling Equipment Summary Make Make Ruud Trade Trade RUUD 14AJM SERIES Model Cond 14AJM56 AHRI ref non/a Coil RHLL-HM6024++RCSL-H*6024 AHRI ref no3800859 Efficiency 100 EFF Efficiency 13.0 EER, 16 SEER Heating input 0 Btuh Sensible cooling 37800 Btuh Heating output 67774 Btuh Latent cooling 16200 Btuh Temperature rise 34 OF Total cooling 54000 Btuh Actual air flow 1800 cfm Actual air flow 1800 cfm Air flow factor 0.026 cfm/Btuh Air flow factor 0.039 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.85 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2013-Jul-09 19:30:13 �•.` wrightsoft Right-Sufte®Universal 2012 12.0.07 RSU12433 Pagel ,9�..c.P� C:\Users\iphillips.AYCH\Desktop\tom smith.rup Calc=MJB Front Door faces: N 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 AHRI Certified Reference Number: 3800859 Date: 7/5/2013 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM56 Indoor Unit Model Number: RHLL-HM6024+RCSL-H*6024 Manufacturer: RUUD AIR CONDITIONING DIVISION Trade/Brand name: RUUD 14AJM SERIES Manufacturer responsible for the rating of this system combination is RUUD AIR CONDITIONING DIVISION 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): 54000 EER Rating (Cooling): 13.00 SEER Rating(Cooling): 16.00* •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 product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising 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 configurations listed in the directory at www.ahridirectoryorg. 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 Certificate may not 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 this certificate can be verified at www.ahridirectoryorg, �' Air-Conditioning,Hooting, click on"Verify Certificate"link and enter the AHRI Certifled Reference Number and the date on owu 0 and Refrigeration Institute which the certifcate was issued,which is listed above,and the Certificate No.,which is listed below. g 02013 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 130175165983736680 ATTACHMENT OF AC TO CONCRETE PAD 36" F EXAMPLE OF TYPICAL A/C A/C UNIT ON APPROVED CONCRETE PAD UNIT LESS THAN 36V X x 36L 1. UNITS LESS THAN 36" W x 36' L USE 4 ANGLE CUPS. INSTALL 4 CUPS PER UNIT, SEE BELOW (ONE EACH CORNER, ONE EACH SIDE, OR TWO EXAMPLE OF LOCATIONS: EACH AT SHORT SIDES) WITH (2) STAINLESS STEEL OR ZINC TWO CUPS AT BOTH SHORT SIDES, PLATED #12 TEK SCREWS INTO UNIT. AND (1) X x 1% ONE CUP AT EACH CORNER, ONE TAPCON CONCRETE SCREW INTO CONCRETE PAD. CUP EACH SIDE 2. UNITS OVER 36" LONG IN ANY DIRECTION, USE TWO (2) ADDITIONAL CUPS ALONG BOTH LONG SIDES. TYPICAL CONCRETE PAD OR DECK 4 TYPES OF ANGLE CLIPS TO CHOOSE FROM 1. STAINLESS STEEL 16 GAGE ANGLE CUPS Or WIDE x 2" BASE x4.5" AND 5.5" LONG 2. GALVANIZED 6-90 16 GAGE ANGLE CUPS 171" WIDE x 2" BASE x 4,5" AND 5.5" LONG 3. ALUMINUM ANGLE CUP 76" x 139 WIDE X 2" BASE x 5" LONG 4. ALUMINUM ANGLE CUP 3/8" x 3"WIDE x 3" BASE X 1.5" LONG CUP SPECIFICATIONS ARE ENGINEERED IN ACCORDANCE WITH THE CURRENT FBC VERSION 2010. IN ACCORDANCE WITH ASCE 7 2010 WIND LOAD AND FOUND IN SECTION 301.12 OF THE MECHANICAL CODE AND SECTION 1620 OF THE BUILDING CODE MILTON CUBAS, P. E., INC. CONSULTING ENGINEERS P.E.#51902 C.A.#27267 S.I.#6999901 1302 NE 125 ST NORTH MIAMI, FLORIDA 33161 �jfl PHONE:(305)891-4174 FAX(305)891-4175 www.miltoneubaspe.com Q E MAIL miltoncubas @msn.com 1/4 °ASCE705W.xie Program Version 1.0 WIND LOADING ANALYSIS-Chimneys, Stacks, and Vertical Tanks Per ASCE 7-10 Code for Cantilevered Structures Classified as Other Structures Job Name: ALUMINUM STAND Subject: Job Number: Originator I Checked Input Data: 16 Q � V= 176 mph end Map,Figure 6-1) Class.= II (Occupancy Category form Table 1-1) Exposure= C (Exposure Category from Sect.6.5.6) Wind h Kzt= 1.00 (Topographic Factor from Sect 6.5.7) h= 3.00 fL(Height of Stack/Tank itself) Hb= 6.00 ft.(Ht.of Stack/Tank Base Above Ground) D= 3.00 ft(Diameter or Width of Surface Normal to Wind) Hb>=0 Shape? Square (Round,Hexagonal, or Square) Ground = 0.010 (Damping Ratio=0.010-0.070) Elevation Ct= 0.0412 (Period Coefficient=0.020-0.035 Kd= 0.90 (Direct Factor,Table 6-4) Wind Load Tabulation for Stack/Tank Cf= 1.300 (Force Coef.from Fig.6-21) z Kz qz p=cfeG* F=qz*G*Cf`D ft Ib/ft 6600_ 0.85 60.58 66.95 200.84 Resulting Parameters and Coefficients: 9.00 0.85 60.58 66.95 200.84 If z<15 then: Kz=2.01*(15/zg)^(2/a) If z>=15 then: Kz=2.01*(z/zg)A(21a) a= _9.50 (Table 6-2) zg= 900 (Table 6-2) 14_ 1.00 (Table 6-1) (Import.Factor) h/D= 1.000 freq.,f= 10.648 Hz. (f>=1) Rigid G= 0.850 (Gust Factor,Sect 6.5.8) Velocity Pressure(Sect.6.5.10,Eq.6-15): qz=0.00256*Kz*Kzt*Kd*V^2*I Net Design Wind Pressures(Sect.6.5.13): P=qz*G*Cf (psfl Net Design Wind Forces(Sect.6.5.15,Eq.6-28): F=qz*G*Cf*D (lbtft) Resulting Total Base Shear&Moment: EV(total)= .. ...0.60 kips _ EM(total)= I. 4.52 ft kips IV n7 1 of 3 3/26/2012 11:32 AM 2/4 "ASCE705W.xls"Program Version 1.0 Determination of Gust Effect Factor,G: _ Flexible? No f>=1 Hz. 1: Simplified Method for Rigid Structure G=r--0-85---1 Parameters Used in Both Item#2 and Item#3 Calculations(from Table 6-2): QA= 0.105 b"= j.60'* a(bar)= 0.154 b(bar)= 0.65 C= 0.20 l = 500 x. s(bar)_ _ 0_.200 z(min)= 15 Calculated Parameters Used in Both Rigid and/or Flexible Structure Calculations: z(bar)= 15.00 =0.6*h, but not<z(min), ft. Iz(bar)= 0.228 =c*(331z(bar))^(1/6), Eq.6-5 Lz(bar)= 427.06 =1*(z(barY33)`(E(bar)), Eq.6-7 gq= 3.4 (3.4,per Sect 6.5.8.1) gv= 3.4 (3.4,per Sect 6.5.8.1) gr= 4.720 =(2*(LN(3600`f)))^(1/2)+0.577/(2*LN(3600*�)"(1/2),Eq.6-9 Q= 0.979 _(1/(1+0.63*((B+h)/Lz(bar))^0.63))^(1/2), Eq.6-6 2: Calculation of G for Ricild Structure G=1 0.914 =0.925*((1+1.7*gq*lz(bar)*QY(1+1.7*gv*lz(bar))), Eq.6-4 3: Calculation of Gf for Flexible Structure P= 0.010 Damping Ratio Ct= 0.049 Period Coefficient T= 0.094 =Ct*h"(3/4), sec.(Approximate fundamental period) f= 10.648 =1/T, Hz.(Natural Frequency) V(fps)= N.A. =V(mphr(88/60), ftlsec. V(bar,zbar)= N.A. =b(bar)'(z(baryd3r(a(bar))'V"(88/bU), tt./sec.,Eq.5-14 N1 = N.A. =f`Lz(barY(V(bar,zbar)),Eq.6-12 Rn= N.A. =7.47*N1/(1+10.3*N1)^(5/3),Eq.6-11 ,qh= N.A. =4.6*f h/(V(bar,zbar)) Rh= N.A. =(1/gh)-1/(2"ryh^Z)*(1-e^(-2'71h)) for Tjh>0, or =1 for rlh=0,tq.6-13a,b rlb= N.A. =4.6*1*D/(V(bar,zbar)) RB= N.A. =(1/-qbr1/(2*rlb^2)*(1-e"(-2*Ob)) for rlb>0, or =1 for r}b=0,Eq.6-13a,b rld= N.A. =15.4*f'D/(V(bar,zbar)) RL=LN.L =(1/itdy1/(2*rid^2)*(1-e"(-2*qd)) for nd>0, or =1 for rld=0.Eq.6-13a,b R= =((1/p)*Rn*Rh*RB*(0.53+0.47*RL))^(1/2),Eq.6-10 Gf= =0.925*(1+1.7*lz(bar)*(gq"2*Q"2+gr^2*R^2)A(1/2))/(1+1.7*gv*lz(bar)), Eq.6-8 Use:G= 2 of 3 3/26/2012 11:32 AM STAND Milton Cubas PE,Una.,Milton Cubs Mar 26,2412;11:31 AM Load Case:W+Z IES VlsualAnslysis 9.40.0017 I 1 , a�.• i�i•r•i•.Y f \" tF fi��4 Pvz r Cb' :r�S:t, .ZZ% i W f STAND Mlton Cubes PE,Inc.,Milton Cubes Mar 26,20'12;11.32 AM ° Result Case.WZ IES VisualAnalysis 9.00.0017 4 TYPES OF ANGLE CUPS TO CHOOSE FROM 1, S7AILEA S,jEt3, 16 GAGE ANGLE CLIPS 1 1$'WIDE It 2" BASE x4.6"AND 5.5" LONG 2. 9&WI7fO 6-99 16.-QZ ANGLE CUPS I A"WIDE It 2' BASE x 4.5"AND 5.5"LONG j 3. ALUMNUM ANGLE CLIP x 1%*WIDE x 2"BASE It V LONG 4. A,UEl11; ..ANGLE CUP W x 3"WIDE x 3'BASE x 1.5'LONG I ' �1> A TENSION = 151 lb 0711'9 i-b • u Y . q o7 , a0 1719 . A .A Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-199765 Permit Number: MC-9-13-2159 Scheduled Inspection Date: October 16,2013 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: AGOSTA, MARY Work Classification: A/C Replacement Job Address:200 GRAND Concourse Miami Shores, FL 33138-2834 Phone Number Parcel Number 1132060133540 Project: <NONE> Contractor: REEVE AIR CONDITIONING CONTRACTOR Phone: (954)7644481 Building Department Comments REPLACE 1 TON SLIPT UNIT AC SYSTEM Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed 10 Failed El Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 15,2013 For Inspections please call: (305)762-4949 Page 22 of 48 1 t , Miami Shores Village ;R Building Department SEP 2 4 2a2 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 B Ye INSPECTION'S PRONE NUMBER:(305)762.4949 l� ` %39G FBC 20 UD B Permit No. PERMIT APPLICATION Master Permit No.rh C S Permit Type:MECHANICAL JOB ADDRESS: 9,00 64AAIO 60,Al C 0045 E City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3- 206° 013 -3SV o Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): M AAY A 60S—A Phone#: S-7V— l Address: 2- 0 k,4mo 6o A; _5,6 r City: Mt&ft S>eAES State: �FL Zip: Tenant/Lessee Name: Phone#: Email: tv r A e io s a A is f 6 et Te A,< arA CONTRACTOR:Company Name: Ec-yE A 8A I'Ti0, AI X Phone#: 6-759,1(73 1 Address: 00.4.E City: Li4rJ104 E State: f L Zip:^, 300/0 Qualifier Name: AG&V E Phone#: State Certification or Registration#: CAC 0 25!K_>> _Certificate of Competency#: Contact Phone#: P Address: CONTA C 7 `T e-eye,4e a c om DESIGNER:Architect/Engi er: Phone#: Value of Work for this Perini Square/Linear Footage of Work: 0-0 ECI Type of Work: ❑Address UAlteration ONew epair/Replace ODemolition Description of Work: &XAcr G R&n °O v`3'" ®6 In2A/ RIdGT'Z es,3 V_q r Hoorn 41C tlIV17- S744161'r CWt Gk-I SE E) Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ 9 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 food faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose pr_:'a,+ is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the firs''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. 67Y �L Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20_,by/ 14 RO-Se 41125 Ell; day of 20_,by--'3 r40*� �� /21946' n who is personally known to or who has produced who is personally known to me or who has produced �e 72a °� 9 5-4 7 As identit cation and who did tae an oat as identification and who did take an oath. NOTARY PUBIC: NOTARY PUBLI Sign: Sign: 2 '•, ="4 PATRIC Print: .��0/U•,, Prin#: ��.�pRV,+ �� * « Notary Public-State of Florida Notary Public-S:aF ida My Co i g1m� Comm.Expires Apr f F rids My Co s' Comm.Expire015 Commission#EE 82552 %,, �.? Commission#onded Throu h National Notar ` � ° Bonded Through Natissn. g Y Assn. x APPROVED BY Plans Examiner Zoning Structural Review Clerk Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) f: of ,A +t �s DesignStar Satellite J Load Calculation All Calculations based on the ACCA Manual 3 8h Edition. Product provided by Energy Design Systems and Idea Tree Performed by State Licensed HVAC Contractor: CACO25438 TV Contractor Cff Name: Stephen E. Reeve OPT Company: Reeve Air Conditioning, Inc. C_ Address: 2501 S Park Road City,State zip Hallandale, FL 33009 Phone: 954-962-0252 Fax: 954-719-6391 E-mail: ContactLibReeyeAc.coITi website: www.ReeveAc.com Customer Information: Name: Mary Agosta Address: 200 Grand Concourse City, state zip Miami Shores, FL 33138 Phone: 305-790-8811 i d3 Design tar Load Calculation Results are intended for use with Rheem heating and cooling systems Street ,address 200 Grand Contourse, l i mi 1,. 33138 Latitude, Longitude 25.7791'3, -89.1978" House Square Footage: 400 sq. l"-t. Name: Mary Agosta Phone: 305-758-4731 mail: contactCa)Reeve, c.com 5H .75 Number of residents 2 Ceiling height 9 "all -value R-value 0.09111 Floor U-value ' -Value 9.2 1 5 Ceiling U-value P,-value 0.053 19 UindG U-value 0.5 Window SHGF 0.85 PlOiStUre grains 58 uct l ss % 1 DU'It gain 10 Cooling infiltracti n ( CH) 0.6 Heating infiltration ( CH) 0.8 _ . .._._ m ..._..... ._.. Winter ventilation 0 Summer ventilation 0 - i Outdoor Heating Cooling Dry bLdb ,b'F) 50 Daiiy rangy L R i t ve humidity _ 0% N,16,lt ire difference 5 Indoor Heating Cooling Indoor femperattare (''F) 70 75 Design temperature diff renceff) 20 15 f Area Btu h % of load Wa c. F, r'H _ )Gr%'= ii 91 8 6 11 e.,zit:= LC-icl> Ceiling System Effirinric:y Los s Infiltration r a'm�J Windows wall Area Btu 1 of load I II APE ka 0 IVVS 7. n' Ii en i 71 te� 6 I Et Internal 5.1 III '.�r Illmr IIWII�'pil 1p IIiII Il lilil'. ',III II i iili i - � l�lll�,i I�Ipr 3 I � I I 'ti pllllll lil I'I Latent. People Load 4 60 i ' w Se e r I oad 4 II - I Latent fond 1780 0.87 Capacity a" .75 SHR 1.28 Tons ro()jing Loads, Sensible People Load Latent People Load i Sensible Infiltration Internal I � 9 -_�--- Ceiling yrylflrl A� Windows —.._ ltl System Efficiency Latent Infiltration Wall D Gfapli •.. e'` L4. it::: C�0 Glass (SE) `�35��'C"Y% k.IC !!�-':! i.°��;^�..1Cw!'i'dYdj3 15., � i1 �.�s+'k<.�4Ez� .,•'t . 1 1,F"? 11( , .. € ,r .":'a,: Glass SW .�SG: (NE) t sq, ft. Gs --!ass (N � , �. Sunm r Outdoor 0 F- So rn rner Wet Bulb., . 770F or mler Indoor Summer Design Grains 50% Winter I ndoor' u=risible Cooling 11,492 tuh 1,180 BtQllh'� Latent Cooling Required Cu iir�q Airflow �� �i v� Sensible Heating +�, l t F Required Heating Airflow . All C a.�.l,°x$I tl��'a apc- s:a 'E,pol-, improved�vac 1+(Vi.tlua��J �..a� 'S+StC� :k P"''t-i-'d.€ S.aIS i uT�"i�,k"*- kh all.CSC 411, ::a g 3�7L1 #,°€ t iC" Q�kl!°E?%°f1k".SC E�CpP.) -C PG ._ ?< S :ice .,yt:,. mcs ind Imes Tree y 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 RaflnR2. I AHRI Certified Reference Number: 4934966 Date: 9/19/2013 Product:Variable Speed Mini-Split Air-Conditioner,with Remote Outdoor Unit-Air-Source, Free Delivery Outdoor Unit Model Number: MUY-GE15NA-1 Indoor Unit Model Number: MSY-GE15NA Manufacturer: MITSUBISHI ELECTRIC AND ELECTRONICS USA,INC. Trade/Brand name: MR.SLIM Manufacturer responsible for the rating of this system combination is MITSUBISHI ELECTRIC AND ELECTRONICS USA, 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: s Cooling Capacity(Btuh): 14000 EER Rating (Cooling):_ 13.00 SEER Rating (Cooling): 21.00 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)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Cer`dfied ratings are valid only for models and configurations listed in the directory at www.ahridirectoryorg. TERMS AND CONDITIONS This Certificate and its contents are proprietary products ofAHRI.This Certificate shall only be used for Individuah personal and confiderrdal reference purposes. The contents of this Certificate may not in whole or in part,be reproduced;copied;disseminated;entered into aputer 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 eked on this certificate can be verified at www.ahridirectoryorg, Air-Conditioning,Hating, click on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on ap, R®}fBgE3rOtiOri Institute which the certificate was issued,which is listed above,and the Certificate No.,which is fisted below. ©2013 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE .: 130240743074103815 . Cap fO(2 rLP6 'N�D-r REEVE AIR CONDITIONING, INC SINCE 1957 E-Mail: Contact @ReeveAc.com www.ReevLAc.com State Licensed CACO25438 & Insured 2501 S: Park Rd, Hallandale, FL 33009 Broward 954-764-4481 Fax 954-719-6391 Dade 305-758-4731 NAME: _M Agosta DATE: 8/26/2013 STREET: 200 Grand Concourse LOCATION: Bedroom CITY: Miami Shores STATE: FL ZIP: 33138 PHONE: 305-790-8811 E-MAIL' MrAgosta(a)theadom.org i We appreciate the opportunity to provide this Proposal for a new High Efficient Split A/C System with the following specifications. 1.2 Ton Mitsubishi (Inverter)Straight Cool Condensing Unit REEMUYGEI5NA Fan Coil(s) MSYGEI5NA with R-41 OA Freon 208/230 V. Straight Cool Variable Cooling Capacity 3100- 18200 BTU's @ 21 SEER ARI# 4934966 Including: Materials and Labor to Furnish,Deliver,and Install: [ X } New Digital Programmable Multi-Function Wireless Remote Control Thermostat [ X ] Install New Insulated Copper Refrigeration Lines [ X ] New Hurricane Tie Down Fasteners X Install New Condensate Sensor Cut off Switch X Install PVC Condensation Drain Piping [ I [ ] P g Proposed Mitsubishi (Inverter) Y Straight Cool System Installed Sale Price $ 2774.57 g minus FPL Incentive $ 570.00 (Subject to FPL Terms, Conditions, & Policy Guidelines) Price ALSO: unit cualiftes for a $300.!IO Federal Energy Efficiency Tar Credit Manufacturer's Limited Warranty: I yr Labor,5 year Mfg.Parts & 7 Years Mfg.Compressor NOT Included. ( X J Customer&/or Customer's Electrician is Responsible for Providing&Connecting (230v)Electric Power, & All related wiring to all A/C components. Responsibility must include properly fused disconnect switches. ( X J Heat Load Calculation - additional cost is $150.00 ( X J Any Building Permit Fee, and the costs of obtaining, will become an additional cost over and above the Purchase Price. Terms: 10% Deposit upon Acceptance of this Proposal Balance in Full upon Completion/Start up If you Pay the ENTIRE PURCHASE PRICE by Bank Check. or Cash you will receive an Additional Discount of $80.00 All material is guaranteed to be as specified Any alteration from the above speeificatons involving extra costs,will be executed only upon written orders,and will become an extra charge over and.above this proposal. Suitable space and acmes.for this installation must be provided by the customer. All agreements contingent upon strikes,accidents or delays beyond our control. This Proposal subject to acceptance within 3_days and is void thereafter at the option of the undersigned. Date: "' /13 Signature: r Print name: Stephen E Reeve t ACCEPTANCE OF PROPOSAL r t The above prices,specifications and conditions are hereby accepted You are authorized to do the work as specified. Payment will be made as outlined above. It is agreed that title to the above specified equipment and materials,remain titled to seller,until fully paid for. In the event it shall become necessary to collect the money described herein or any part thereof,l agree to pay any cost thereof,including reasonable attorney's fees. I further acknowledge and agree that a service charge of 1.5%per month will be applie&'t all amounts which are delinquent 30 days past due. Date: Signature. rmt name: I'lo r t r'J,0, r r 2012-10-0813:49 REEVE AIR CONDUIONI 9547198213» 18006857530 P1t1 Name of Business Business Tax Receipt Receipt No. REEVE AIR CONDITIONING Oct. 1,2013 To Sept.30,2014 14-1113308 j .. Account No. j Is Hereby Engaged In The Business, TOWN OF PEMBROKE PARK 113308 Profession or Occupation of 3150 S.W. 52nd Avenue Fee$ 78.75 A/C CONTRACTOR Pembroke Park,Florida 33023 Del.Penalty$ i/2 year Location Date Paid Q`(, -13 2501 S PARK RD NcYnCX: In the event the business for which thi$ �1, sf.� 1'. receipt was issued ehxW hands,said receipt nay TembrVneTUr1t be trawlkr�I wittrm 30 days of such change orwill Name Of Business/Mailing Address j biome null and wid All personal tax due on said REEVE AIR CONDITIONING business mast be paid before such transfer wilt be CLYDE REEVE Sn'mted• 2501 S PARK RD j T—a:L PEMBROKE PARK FL 33009 This Receipt Must Be Posted In A Conspicuous Plane 'fownManoger I CERTIFICATE OF USE 2013-2014 TOWN Of PEMBROKE PARK 3150 S.W. 52nd Avenue Pembroke Park,Florida 33023 Local Location: 2501 S PARK RD Type of Business/Limitations A/C CONTRACTOR Name Of Business/Mailing Address: -)embroke-Pa REEVE AIR CONDITIONING ' Account No 113308 CLYDE REEVE Fee 52.50 2501 S PARK RD Doi.Penalty$Q y PEMBROKE PARK FL 33009 Date Paid 07'/`�`�$ IF Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-196989 Permit Number: MC-8-13-1814 Scheduled Inspection Date: October 16, 2013 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: MACPHAIL,GAVIN AND MARCIA Work Classification: A/C Replacement Job Address:226 NW 93 Street Miami Shores, FL 33150- Phone Number Parcel Number 1131010331080 Project: <NONE> Contractor: TEMPSTAT MECHANICAL CORP Phone: (786)290-9347 Building Department Comments AC CHANGE OUT 3 1/2 TON Infractlo Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed KJ Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 15,2013 For Inspections please call: (305)762-4949 Page 10 of 48 q Miami Shores Village �J Building g AUG 0 10050 N.E2nd Avenue,Miami Shores,Florida 33138 ! Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)7614949 BUILDING Permit No. rte-, PERMIT APPLICATION Master Permit No. ��' 10 FBC 20 Permit Type: MECHANICAL OWNER:Name(Fee Simple Titleholder):_ Y__\ 01-\ Q I Phone#: 7 E) 1 Address: 2- ffw q,� City: A's" Shores State: p: Tenant/Wseo Name: Phone*: Email: /YlA�jdl�Asl a�tat ae'Co� JOB ADDRESS: /J City: Miami Shores County: Miami Dade Zip: \ ro 0 FolioMarcelt Is the Building Historically Designated:Yes NO Flood Zone: A(o CONTRACTOR:Company Name: \ e\J nps k a� y o- �' Phone#: �Cln LO Address: 53(r) 1; k_0 0 City: State: Tap: \-3 C Qualifier Name: r) C a On-1 Q\-P-L Phone#• • State Certification or Registration#: Rs vy-, i LAn� (a 9 R Certificate of Competency#: Contact Phone#: 11MO ILA -) Email Address: $e of o 23 a l DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ Q O ®C� $quareUnear Footage of Work: Type of Work pAddress . DAlteration ONew �Repair/Replace i]Demolition Description�of Work: �L)D M P � ' ,—0 4, Submittal Fee$ Penult Fee$ CCF$, CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ TYaining/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ ` 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. the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature �'' Signature P Owner or Agent Contractor The foregoing instrument was acknowledged before me this„� The foregoing in meat was acknowledged before me thi day of b day of 20 by who is personally known to me or wh as produc i who i ally known to who has produced` As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Si Print: Print: My Commission Exp' ,, Natiry i�ft�°of F4dda Marh My Co s 1�t13t�t5 vmn;pres +� µY Cam 131464 a Expires 12113''/2015 APPROVED BY 4 Tans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/1=009)(Revised 3/15/09) Miami Shores Village . Building Department { 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:(305) 795.2204 :(305} 756.8972 AIR CONDITIONING REPLACEMENT DATA Fax 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 (o A)W A r) City: Miami Shores Village County: Miami Dade ZIP Code:_'3 '3 t F5(' 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 E] Contract Attached:YES❑ UNIT BEING REPLACED DATA NEW UNIT Q U MANUFACTURER Oki WA 0 14 11 AHU or PKG.UNIT MODEL# L 1 y Q1 In O COND.UNIT MODEL# t °1 . KW HEAT NOM TONS AHU 3.4 CU 1 . PKG 1 M.0 A AHU H z CU PKG AHU CU PKG 2 M.O.P AHU CU PKG AHW 0 CUa JO PKG 3 VOLTS AHUM CU PKG PKG UNIT / / PKG UNIT / / EERlSEER YES CNO REPLACING DUCTS YES N S NO REPLACING THERMOSTAT VES NE S NEW 4°CONCRETE SLAB FYES I Na YES Wu NEW ROOF STAND YES N NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity(Wire Size): i Ow i <-e Dv—ov'Y1 d ®s C( c P o 2. Maximum Overcurrent Protection(Fuse/Breaket Size): 30 IAme�D A . 3. Voltage of Circuit(208/240/480): 4. Size Disconnecting Means: 0 1lS Contractor's Company Na of (0 1 Phone: State Certificate or egis n N. l y I C Certificate of Competency N.--. k 2MD00. 3q 1 Signature Date: g 1 UQUWOa ignawre only) ! 01-30-2013 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 01/30/2013 EXPIRATION DATE: 01/30/2015 PERSON: GONZALEZ JUAN C FEIN: 383829868 BUSINESS NAME AND ADDRESS: TEMPSTAT MECHANICAL CORP 536 SW 12TH AVE #202 MIAMI FL 33130 SCOPES OF BUSINESS OR TRADE: 1- HEATING, VENTILATION, AIR-COND IMPORTANT: Pursuant to Chapter 440 . 05(,14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-160• DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who CONSTRUCTION INDUSTRY 0 elects exemption from this chapter by filing a certificate of election CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L under this section may not recover benefits or compensation under this WORKERS'COMPENSATION LAW a D chapter. EFFECTIVE: 01/30/2013 EXPIRATION DATE: 01/30/2015 Pursuant to Chapter 440.05{12), F.S., Certificates of election to be PERSON: JUAN C GONZALEZ H exempt.. apply only within the scope of the business or trade listed on FEIN: 383829868 E the notice of election to be exempt BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt TEMPSTAT MECHANICAL CORP and certificates of election to be exempt shall be subject to revocation 536 SW 12TH AVE 4202 if, at any time after the filing of the notice or the issuance of the MIAMI, FL 33130 certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this 1- HEATING, VENTILATION, AIR-COND section. QUESTIONS? (850) 413-1609 CUT HERE Carry bottom portion on the job, keep upper portion for your records. DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 InvolcaMork Order No. Proposal/Estimate No. Office Use Work Authorization No. Tempstat Mechanical Corp. Contact Name $36 SW 12th AVlt 0202 Ati/r h a G q +� Phone �J3 5 i Miami,PL.53130 Company Name/Owner-Purchaser I PhonelFax PNz(954)957-3000 ddress r� c D e 3 Time Q Part Number And Description Price Amount J S Q— ',^(�O � C State Zip Date Desir Time �� J �oo.o� r h-oc4ps i 5 v r a Location Date Scheduled Time Nature of So Reques e O v Date Completed Time 13-F,-.-) l®� 1 S Pr 0ej Name,Make and Model S � 1Y,1 DewAption Of Work To Be Performed Amount �)0 e 6 kG c-,A- s S kPrr) oD PQ ovp�l o Pcn ,k n. Labor Date Hours Rate Amount This work authorization is for only work herahstal ad.if due to this malfunction,the unit cannot be shed Q1 for further defective parts.When unit Is operational and further testing Is possible you will be advised If further Total repairs are necessary and a estimate will be given before work is done. azo I have the authority to order the work outlined above and I hereby authorize the above work to be done along with the necessary materials.You and your employees may operate or work in the unit or area herein Total Party O described for purer of testing,Inspection or deWery at my risk.it is also understood that Tempstat Mechanical Corp.will not be held responsible for loss or damage to the unittarea of work(or artic�left in or with the unWarea of work}In case of fire,theft,accident Inclement weather conditions or any other causes beyond our control.it Is agreed that any equipmentand/or materials installed by Tempaet Mechanical Corp.shall Other remain the personal property of Tempstat Mechanical Corp.until final payment.The debt is due and payable when invoice Is rendered.Tempstat Mechanical Corp.shall not be liable for detects in work or matarials unim the buyer gives written notice of the same within ten days from comple of the work and debt h paid.In case same b not paid in full within ten days from Invoice date,the debt shall beer the highest legal rate 360`Q 0 of Interest upon default In case suit shall be brought for collection or en h ,or the same has to be collected or enforced upon demand of an attorney,the buyer pry to pay reasonable attorney fees for Sub-T I enforcing the same.Tempstat Mechanical Co may a the uipment installed without notice until debt Is paid.Renwvedreinstalling expenses to be bome by the buyer. Acceptance of the above prices,specifications and ns sad** and acs hereby accepted. Payment will be made as outlined.There Is an 2 hour minimum charge on all service calls. Tax o Aut r en a * `r•� TWO Q 1�P >6© Total Dollars V 05/28/2021 21:45 FAX Q001 ■. •�t.d C*ertificate of Product Riatimmillft- AHRI Certifled Reference Number: 4529162 Date: 8/512013 r•, Product:Split System:Air-Cooled Condensing Unit, Coil with Slower Outdoor Unit Model Number: 13AJN42 Indoor Unit Model Number: RHSL-HM4221+RCSL-H=4821 hlanufaeturer: RUUD AIR CONDITIONING DIVISION Trade/Brand name: RUUD 13AJN SERIES lF Manufacturer responsible for the rating of this system combination i s RUUD AIR CONDITIONING DIVISION ^a �N Rated as follows in accordance with AHRI Standard 2101240-2008 fo'Unitary Air-Condibaning and Air-Source Feat Pump Equipment and subject to Verification of rating accuracy by AHRI-sponsored, independent,third party testing: P Couling Capacity(Stuh): 40000 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.00 1•v �M i u � .t -R1d1n3s foyawad by an a„^tad..k{y indivde a viduntury rarute of pruouely published duta,urdeul anernparda 9 t ith a WAS,whuh int&]tns an i'volumary tat Lite.rum w rA�P�rF. � ol,:c1.A1MER AHRI do"ttot8rltlorn VA prodw*)listed on this Cergflcate and makes na representatlorts,warrerrie-t or guarantees as to,and asauines no responsibility for, the product ul listed on this C*JVFrmte,AHRI expressly disclaims all VabWty for damages of any Wnd ud:,ing out ofthe use or porfotma we of the produet(s),orthe a' um,uthorked altorxfth of deal listed on this Certlflests.Certified ratings are valid only for models and c.trifigumtlons listed in the dieestory at www.ahridlreetoryory. TE WS AND CONDITIONS r Thin Certifcate and Its contents are proprietary products ofAHRL This Certificate shall only be used fix mrividuai,porsonati and cwli untial refvroncc pt.R' arm I 'rh,-contents ofthw carwmato may riot,in whole or in part be reproduced;copied;dissominatad;enter td intb a computer dawwsr;or otherwise utilited,in any for n or manner or by any momm,except for the usWs individual,potronal Pnd confidential rofarronce. CERTIFICATE VERIFICATION +• Tho information forthe model cited on this rertiflcate can be verified at vww,ahridlroctory erg, ir" "IMP' Aui-Conditioning,Heating, click on"Verify CcrtfficzW lank antl enter tlW AHR)Certified Reference Numberand the date on wivch the t*Afficatawas IWAH d,which is Ileted above,and the Certificate No.,which Is listed below. r� af1'y Refrigeration Institute L?013 Air-Conditioning,Heating,and Refrigeration Institute lot-RTIFICATE NO.: 130205307328065560 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-195258 Permit Number: MC-7-13-1580 Scheduled Inspection Date: September 30,2013 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: MEADOR,STEPHEN Work Classification: A/C Replacement Job Address:429 NE 102 Street Miami Shores, FL 33138-2452 Phone Number (305)693-8782 Parcel Number 1132060170790 Project: <NONE> Contractor: SEER AIR CONDITIONING Phone: 305-552-9810 Building Department Comments Infractio Passed Comments REPLACE 3 TON AC INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 27,2013 For Inspections please call: (305)762-4949 Page 7 of 30 l V '-� �� J� rk, i k i E �,._._...... 8 �._,._L Miami Shores Village Building Department I I UL 1 2013 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 BUILDING Permit No. PERMIT APPLICATION Master Permit No.Wo 5:: Permit Type: MECHANICAL JOB ADDRESS: City: Miami Shores County: Miami Dade 3 Folio/Parcel#: z Is the Building Historically Designated:Yes NO Flood Zone: b OWNER:Name(Fee Simple Titleholder): _'3 Leo-" —Phone#: '305 (0(3 0 7 _(C Address: /1) tc, 0_-L'r City: State: Zip- -1� Tenant/Lessee Name: Pf/h - owejftf OCCUP/eb Phone k. C 6�y Email: CONTRACTOR:Company Name: 111 Phone#Q10d) STi-- H Address: City: State: Zip: Qualifier Name: iLJO Phone#�i nl— f State Certification or Re # I '27Di Certific4te P-I.Competency Re Contact PhonefQ —Olfa_� Email Address: f_Q,-1qf-2��-( t4>4k, DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ Square/Linear F ta f Work: Type of Work: LIAddress DAlteration LINew =ep /Replace LIDemolition Description of Work: , C V Submittal Fee 0 - Permit Fee$ TF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$_ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE >, It 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature &U Signature Owner or Agent Contractor The foregoing instrument was acknowledged befo a me this The foregoing instrument was acknowledged before me this 12— day o �q ,20 ,by 4> 1 day of T LA .201 by ca&Jdq r 11v r , who is person ly known to me or who has produced 5/'"t who is personal(y known to me or who has produced 117st.6--79-7-/-"`BAs identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: OMMI Print: 44554 cFt, EXPIRES December 06 2013 Y EXPIRES December 06 2013 M Commission Ex ices: )398 My Commi 1 eS. PiordaNOtarySernce.com My A (407 398-0983 FlOrideNo4aryService.com 407)388-0153 *******ok***s k*sk **sk�k�sk�k�k�k�k�Ia4¢�k�k �k�k�k$ask /k�k�ks Ia�k�k�k=k�k�IaXa�s=k��k�k��k�k�k��k�ks k�R�ksk�ks k�k�k�k�ksks k�k�k�k��k�k�k�Iaskok�kakXask�H�Sa�k�Is sk�k:k:k�kak��k�kxwR�kak�k �:k APPROVED BY � � Plans Examiner Zoning Structural Review Clerk Revised 3/12/2012)(Revised 07110 107)(Revised 06110/2009)(Revised 3/15/09) SEERA-1 OP ID:TC A� ►per DATE(MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 07/12/2013 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 lieu of such endorsement(s). PRODUCER Phone:305-223-2533 NNAAMECT iSure Insurance Brokers Fax 305-220-0765 PHONE FAX 2700 SW 137 AVE A/c No Ext: AIC No Miami,FL 33175 E-MAIL Teresa R.Carmona, Agent ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Granada Insurance Co. 16870 INSURED Seer Air Conditioning Corp INSURER B:Travelers Indemnity Comp of Co Roberto Morales. 90 S.W.132 ND AVE. INSURER C: MIAMI, FL 33184 INSURER 0: INSURER E: 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER POLICY MMIUDD EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DE TO RENTED B X COMMERCIAL GENERAL LIABILITY 660-OC843641 0711012013 07110/2014 PREMISES Ea occurrence $ 100,00 CLAIMS-MADE Fx-1 OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 POLICY 7 PRO LOC $ AUTOMOBILE LIABILITY Ee acx dentSINGLE LIMIT $ A ANY AUTO 0110FL00013187 03115/2013 0311512014 BODILY INJURY(Per person) $ 10,00 ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ 20,00 AUTOS AUTOS S N PROPERTY DAMAGE $ 10,00 HIRED AUTO AUUTOS TOS ED Per accident UMBRELLA L.IAB OCCUR EACH OCCURRENCE $ EXCESS LJAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN RY LIMITS ER ANY PROPRIETORIPARTNER/EXECUTIVE❑ N/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,K more space Is required) AIR COND. REPAIR & INST. CERTIFICATE HOLDER CANCELLATION MIAMSHV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Building Department. 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 C 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD �m C- <D Miami Shores village Building Department teams 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:(305) 795 2204 AIR CONDITIONING REPLACEMENT DATA 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):_ IeI21 hl C /oZ N s,7— City: Miami Shores Village County: Miami Dade Zip Code: 3 3 l 3 8 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 7ARHI HRI)DATA SHEET REQUIRED Change Disconnecting means:YES [I NO Sheet Attached:YES®NO❑ Contract Attached:YE UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG.UNIT MODEL# 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 CU PKG 3 VOLTS AHU CU PKG PKG UNIT I l PKG UNIT / I EERISEER 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): 2. Maximum Overcurrent Protection(Fuse/Breaker Size): 3. Voltage of Circuit(208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: Phone: State Certificate or Registration N. Certificate of Competency N. Signature Date: (Qualffises signature only) Certificate of Product Ratin s AHRI Certified Reference Number:3412409 Date:7/13/2013 Product:Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number:14AJM36 Indoor Unit Model Number: RHLL-HM3617+RCSL-H*3617 Manufacturer: RHEEM MANUFACTURING COMPANY Trade/Brand name: RHEEM 14AJM 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): 36200 EER Rating(Cooling): 13.00 SEER Rating (Cooling):. 15.50 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)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorbed alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectoryorg. 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 Certificate may not,in whole or in part,be reproduced;copied;disseminated;entered Into a computer database;or otherwise utiltoad,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 this certificate can be verified at www.ahridirectory org, Air-G i In ,Hoofing, click on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on 111010 and RefdGwation Institute which the certiflcabn was Issued,which is listed above,and the Certificate No.,which is listed below. ©2013 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 130182098887725910 SEER AIR CONDITIONING CORP. ° 0884 COMERCIAL & RESIDENCIAL Installations•Sales• Services 100% FINANCING Lic.#CAC1813305 1�1 IER 1, F T. N Box Date: Customs Name: Years at Current Locatio Customer Address: 1,6 Telephone Nj City,State and Zip Code: - Fax/Mobile No.: Social Security No.: Date of Birth: Name of Property Owner(if different from Customer): Address of Property Owner(If different from Customer): City,State and Zip Code of Property Owner(ff different from Customer): Relationship of Customer to Property Owner(ff Property Owner Is different from Customer): SYSTEM EQUIPMENT AND TYPE OF MATERIAL USE : 410 1 Ll ✓cep� --�" c�� �� - (9 ce , Fit i Job Price$ UNIT-3 SUPPLIES: SEER: Tax$ Rebate$ ` Job Total$ Ir 0 . as• ❑KITCHEN: DINING ROOM ❑RETURN ❑BAT M ❑ RIDA ROOM ER PUMP EILIVINd RbQM ZBENOOM DITION ❑F ILY ROOM ❑DEN ❑ INSTALLATION SCHEDULE Contract Expi tion ate: We will be ready to begin lrWallation a !omt y Date: Purchaser Acceptance: Installation Date: � Seller Approval: Salesperson: Phone: 1/2 IN TAE Evurr OF MATERIALS BREACH In the event that either party commits a material breach of any term of this Agreement,the other party shall have the right immediately to terminate this Agreement.Not failure on the part of either party to exercise or delay in exercising,an right under this Agreement shall to as a waiver of such right,nor shall any single or partial exercise of any right preclude any other or further exercise of any right under this Agreement.The remedies provided in this Agreement are cumulative and are not exclusive of any other reme- dies provided by law. MODIFICATION ON Tests AGREEMENT NO modification to this Agreement shall be enforceable,unless in writing and signed by both parties. INTEGRATION CLAUSE There are no other Agreement between the parties,either written or oral,regarding the subJect matter contained herein and this Agreement reflects the full and complete under- standing between the parties. FORCE MAJEURE Delay caused by floods,strikes,labor disputes,accidents,Acts of God or any other cause beyond the reasonable control of the Contractor shall excuses or extend the time for per- formance of the contract,as based upon the reasonable assessment,evaluation and opinion of the Contractor. Customer warrants that Customer carries an adequate amount of casu- alty,property and general liability insurance to insure and protect against any damages caused or occasioned by any delay caused by floods,strikes,labor disputes,accidents,Acts of God or any other cause beyond the reasonable control of the Contractor. LIAwm FOR DAMAGE To PROPERTY The Contractor will not be held liable for any damages to the property that may occur during or after installation,or during the servicing of air conditioning unit or any equipment, including all items within the home regardless of fault.All damages are sole responsibility of the property owner,financially and otherwise.Any water leaks,penetration of water through roof,floors or walls of clients property must be repaired by a licensed plumber,roofer,etc.,at their(clients)expenses. Customer shall assume any and all liability for damages caused to real and personal property through the Customer's failure to keep the area demised for the sale,delivery and installation of heating,ventilation,refrigeration and air conditioning equipment,parts,supplies and related(HVRAC)materials nd area demised for professional consultation,eval- uation,fitting,installation,repair and replacement services perforated free and clear of impediments,obstacle and obstructions that may hinder or prevent the Contractor from the discharge of its duties. Customer expressly assumes liability for any and all damage of any kind,and caused by any party,to valuable objects or effects found and located in the area demised for work. CONTRACTOR.'S WARRANTIES AND D.CIARdERS THE ONLY GUARANTEES OR WARRANTIES PROVIDED FOR MATERIALS AND RELATED CONSTRUCTION PRODUCTS AND SUPPLIES FURNISHED OR INSTALLED BY THE CONTRACTOR ARE THOSE PROVIDED BY THE MANUFACTURERS,DISTRIBUTORS AND THIRD PARTIES OTHER THAN THE CONTRACTOR CONTRACTOR MAY,AT ITS SOLE DISCRETION,OFFER THE CUSTOMER AN ADDITIONAL WARRANTY OVER AND ABOVE THE WARRANTY OR WARRANTIES, IF ANY,PROVIDED BY THE MANUFACTURERS,DISTRIBUTORS AND THIRD PARTIES OTHER THAN THE CONTRACTOR.IN THE INSTANCE THAT THE CONTRAC- TOR OFFERS AN ADDITIONAL WARRANTY TO THE CUSTOMER,ANY SUCH WARRANTY SHALL BE EXPLICITLY STATED IN WRITING BEFORE THE COM- MENCEMENT OF ANY WORK. ANY WARRANTY THAT THE CONTRACTOR PROVIDES TO THE CUSTOMER,WHETHER FOR PARTS,LABOR OR BOTH,SHALL NOT INCLUDED MANUFACTURER RECOMMENDED OR ROUTINE CARE AND MAINTENANCE,WHICH REMAINS THE RESPONSIBILITY OF THE CUSTOMER;OR REPAIR OR REPLACEMENT ARIS- ING FROM DAMAGE CAUSED BY ABUSE,MISUSE OR INTENTIONAL OR NEGLIGENT ACTS AND OMISSIONS PERFORMED BY THE CUSTOMER OR ANY THIRD PARTY AND/OR DAMAGE CAUSED BY MALFUNCTIONING ELECTRICAL SYSTEMS OR POWER SPIKES OR SURGE.AFTER THE COMPLETION OF THE WORK,ANY CALLS TO THE CONTRACTOR REGARDING MATTERS OUTSIDE THE SCOPE OF THE WARRANTY PROVIDED SHALL BE BIlJ ED AT THE CONTRACTOR'S STANDARD HOURLY RATE. CONTRACTOR HEREBY DISCLAIMS ALL WARRANTIES OF ANY KIND OR NATURE WHATSOEVER.PERTAINING TO THE SALE, DELIVERY AND INSTALLATION OF HEATING, VENTILATION, REFRIGERATION AND AIR CONDITIONING EQUIPMENT, PARTS, SUPPLIES OR RELATED (HVRAC) MATERIALS AND/OR PERTAINING TO THE PROFESSIONAL CONSULTATION,EVALUATION,FITTING,INSTALLATION,REPAIR AND REPLACEMENT SERVICES PERFORMED (INCLUDING WARRANTIES OF MERCHANTABILITY OR HABITABILITY AND FITNESS FOR PARTICULAR PURPOSES), WHETHER EXPRESSED OR IMPLIED UNLESS EXTENDED,GRANTED OR MODIFIED,IN WRITING. LUWMTION OF REMEDIES CONTRACTOR SHALLNOTBE RESPONSIBLE FORANYCONSEQUENTTALDAMAGFSARISING BECAUSE OFTHE FAILURE ORMISUSEOFANYPRODUCI!CONTRAC- TOR IS NOT RESPONSIBLE FOR MOVING OR REINSTALLING MAJOR APPLIANCES OR CUTTING DOOR ALL MATERIALS AND RELATED CONSTRUCTION PRODUCTS AND SUPPLIES SHALL BE WARRANTED SOLELY BY THE MANUFACTURERS,DISTRIBUTORS AND THIRD PARTIES OTHER THAN THE CONTRACTOR THAT PROVIDE SUCH GUARANTEES AND WARRANTIES TO CONSUMER AND END-USERS. IN THE EVENT THAT THE CONTRACTOR OFFER A WARRANTY TO THE CUSTOMER CONTRACTOR RETAINS SOLE AND EXCLUSIVE DISCRETION REGARDING THE MANNER OF HONORING THE WARRANTY INCLUDING BUT NOT LIMITED TO THE SELECTION OF REPLACEMENT PARTS,THE METHOD OF REPAIR AND/OR REPLACEMENT AND ALL RELATED ISSUES AND SURROUNDING THE MANNER IN WHICH THE WARRANTY IS FULFILLED. TITLE Legal and equitable title to all heating,ventilation,refrigeration and air conditioning equipment,parts,supplies and related(HVRAC)materials sold,delivered,installed,repaired and/or replaced under this Agreement remain vested in the Contractor unless and until the Customer has paid the Contractors in full for all materials sold and work performed. BEERAIR-01 LARA CERTIFICATE OF LIABILITY INSURANCE °ATV(M'/Drfm' 7123x2013 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 POUCII!S BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT, If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such andorsement(s). PRODUCER -9A0MME.CT- Automatic Data Processing Insurance Agency,Inc Arc°NN Noy 1 APP 0*ulavard E Roseland,NJ 0706$ ADDRESS: INSUREWS)AFFORDING COVF.PAGR NAIL& INSURER A:Hartford Underwritem Insurance Company 30104 INSURED Seer Air Conditioning Corp INSURER B: 90 SW 132 Ave INSURER C Miami,1133184- INSURER D. INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 1S 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 DMCkIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ttk TYPE OF INSURANCE ADDL POLICY NUMDRR 1,0 EIS (Ow—'119% LINTS CJENERAI.iIAGl1J1Y EACH OCCURRENCE $ COMMERCAL GENERAL LIABILITY PREI I8ET FI oCCll/reP1Ca $ CLAIMS.MADE F OCCUR MED EXP(Any ono pmsan) $ PERSONAL BAOVINJURY $ GENE RALAGGREGAYE S GEN°LAWR06AYE LIMIT APPLIES PEP. PRODUCTS-COMPIOPAGG S POLICY PI� 71 LOC AUTOMOBILE ffi A LE LWBILITY E M�F.,D SINGES La1ifT $ ALL OWNED INJURY(Per pelsor9 $ AEI,OWNIdD SCHEDULED AUrO8 A()Tj BODILY INJURY(Per acoldetm $ NO -OWNED HIRED AUTOS AUTOS PR E RTY DAMAGE $ 8 UMBRELLA LIAR OCCUR EACH OCCURRENCE 8 EXCESS i.0 CUUMS-MADE AGGREGATE ffi DED RETENTION ffi WORKERS COMPENSATION X g $ AND EMPLOYERS`PJAWLITY WO ER A ANY CUTR�E Y� NIA gwEG�7 g 3/10/2013 3/90/2014 E.L.EACH ACCIDENT $ x,000,00 (Manda6ory in NH) E.E.DISEASE-FA EMPLOYE S 1,000,00 IF e8,deaorbaurlder Or OF(?PERATION$below 51,DISEASE-POLICY LNIT I S 1,000,00 GBSCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICM(Atbtch A*0RD 401,AOdltloeal Remarks adwe s,if more apaoe is re*ire j CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE pncitI6ED P041GIES Be CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attention; BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 AVE AUTHOXWOR€PRESENTATive Miami Shores,FL 33438- 9 /001980.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of A00RD