MC-13-1978 W_
Ilk Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 C"')
Inspection Number: INSP-198304 Permit Number: MC-8-13-1978
Scheduled Inspection Date: September 09,2013 Permit Type: Mechanical - Commercial
Inspector: Perez,JanPierre
Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: A/C Replacement
Job Address: 11300 NE 2 Avenue Renne M. Hall
Miami FL 3313 -
Shores,
8 0000 ho tuber
Phone Number
Parcel Number 1121360010160-18
Project: BARRY UNIVERSITY
Contractor: COOL WATER AIR CONDITIONING Phone: (305)807-0288
Building Department Comments
REPLACE 3.5 TON AC SYSTEM Infractio Passed Comments
INSPECTOR COMMENTS False
v
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 06,2013 For Inspections please call: (305)762-4949 Page 10 of 13
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Miami Shores Village D
Building Department AUG 3 0 2013
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Y
Tel:(305)795.2204 Fox:(305)756.8972
INSPECTION'S PHONE NUMBER:(3W 762.4949
FBC 20 tU
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. C'�
Permit Type: MECHANICAL
JOB ADDRESS: d 1 -2100 L ZN D A e- Mb -5 �). M, CA�`'`1 -3
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER Name(Fee Simple Titleholder): l L 1 �^' v `e-et-�" Phone#:
Address �o o A-)(-- ?'s-- D ,� i �° , �� 3.3 �v
City: M ; & 6-. 1 5 L. t,(L� State: Zip: [�
TenandLessee Name: Phone#:
Email:
�- G
CONTRACTOR:Company Name: C 6 0 � � + �- 6 d-' o �i�ne#: 7 (o 53
Address: 0
City: k Ck 0-n �i� State
Zip:
Qualifier Name: '- rL- Phone#: :7&' - 3
State Certification or Registration# C ® S LP -71 0 Certificate of Competency#:
Contact Phone#: ®-7.k Email Address: 0 eo C 0 a j �,j e-41c�(c a
DESIGNER:ArchitectlEngineer• o-� I A Phone#:
Value of Work for this Permit: I `'l Square/Linear Footage of Work:
Type of Work: LIAddress ❑AI ration ONew Repair/Replace ODemolition
Description of Work: I G S -r
Submittal Fee$ S� -"0 Z� Permit Fee* r CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ TraininglEducation Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ "I G'41
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 ported 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 appr d and a reinspection fee will be charged.
Signature Y Signature
Owner or Agent 4 Z Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me is r
day of �y�,2p L-3,by L Q i W4 S' day of 20 L by (' � i �(��(�
vcois_nersonally known to me or who has produced who is personally known w me or who has produced
As identification and who did take an oath. as i tification and who did take an oath.
NOTARY P LIC: NOTARY P C:le"r
Sign: Sign:
Print: At b L I
/® %sell
My Commission Expires: ° RY J YAO My Co res: JUDITH POL
MY sstoN#>�ds29 • Notary Public-State of Florida
ts:N t2,2014 sA eg My Comm.Expires Aug 27,2016
E. arornxY Fl.��`' 10` c° •,� °� Commission#EE 830580
APPROVED BY Plans Examiner zoning
Structural Review Clerk
Revised 3/122012X.Revised 07110/07)(Revised 06/102009)(Revised 3/15109)
Miami Shores Village
Building Department
it 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 Ding done): 11300 NE 2n+Ave Miami,FL 33161
City: Miami Shores Village County: Miami Dade Zip Code: 33161
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 RI)DATA SHEET REQUI7/NO
Change Disconnecting means:YES [] NO Sheet Attached:YES ❑ Contract Attached:YES
UNIT BEING REPLACED DATA NEW UNIT
MANUFACTURER:RHEEM
AHU or PKG.UNIT MODEL# H = J O
COND.UNIT MODEL# q
KW HEAT
NOM TONS a Tv 6
AHU CU PKG 1 M.C.A AHU CU PKG
AHU CU PKG 2 MAP AHU CU PKG
AHU CU PKG 3 VOLTS AHU CU PKG
PKG UNIT / I PKG UNIT / I
EER/SEER
YES NO REPLACING DUCTS YES NO
YES NO REPLACING THERMOSTAT YES
YES NO NEW 4"CONCRETE SLAB YES
YES NO NEW ROOF STAND YES rNv
YES NO NEW RETURN PLENUM BOX YES
1. Minimum Circuit Ampacity(Wire Size): 12 GAUGE
2. Maximum Overcurrent Protection(Fuse/Breaker Size):
3. Voltage of Circuit(208/240/480): 208/230
4. Size Disconnecting Means: 30 AMP
Contractor's Company Name: COOL WATER AIC Phone: 305-807.0288
State Certificate or Registration N. CMC 056710 C sate of Competency N.:,,,,Signature Date: ' 7 4,3—4
swWwre 0*)
COOL WATER A CONDITZONZNG ZNC.
760 South Shore rive Miami each F1 33141
Phone 305 807-6288 Fax 305-865-0800
www.i coolwaterac.com
August 14,2013
Barry Univ� rsity
11950 NE Avenue
Miami,Flo ida 33161
Attn:Ron ultquest/Gene
RE:MD#5
The fbllow�g is a turn key proposal is to replace the existing(3.5)ton Rheern split system.
Scope of w�rk-
Disconnect remove and properly dispose of existing 3.5 ton Rheem units.
) Provide and install(1)new 5)ton Rhem split system.
) Provide and install a new di W thermostat
) Reconnect condensate line,eltric and controls.
) Leak-check all connections,evacuate system.
) Start-up unit and check for proper operation.
Note:All mork to be performed during normal business hours,8:00 am to 5:00 pm.Monday through Friday
This price i vill.include:all material,labor,p6mit and applicable sales tax.
Chur price for this scope of work will be —$4,149.00
F
omit add an additional $400•00
Sincerely,
Lorn Tuck�
Payments to be made as follows:35%deposit with the balance due upon completion Inc
TERMS ANE 1 CONDITIONS OF THIS CONTRACT:It is expressly understood and agreed that C001 Water Air Condition*
retains tide to the above-described property.In addition,it shall not pass or become vested in the purchaser until the entire purchase
price has beei k paid.Said property shall be and remain personal property and retain its character as such and purchaser shall not attach
or affix said Oroperty to any realty so that it does not Ic se its character as personal property nor shall purchaser resell said property
until the full Ourchasc price thereof has been paid.The purchase price shall be due and payable as provided under"terms above.
Finance c will be applied to all hft payments.unon the failure of the purchaser to make any payments on the due date,the
shall pay all
fee
seller,at may declare the entire balance of purchase price due and payable.In case of defouk purchaser
costs and its including a reasonable attorney's incurred by seller in collecting this account or repossessing;the described
I kms,
property,w suit be brought or not.Purchaser hereby waives presentments,demand,and all other pre-requisites required to make
it liable.�40 ties,representations,or promises appearing in writing in this contract shall be recognized.This agreement shall
not be consid nW executed or binding to the seller on duly accepted by an authorized Officer of the seller.The execution by seller of
.his agnema t is subject to force in*=and its��,gent upon strikes,accidents,acts of God,weather conditions,regulations,or
other restri ct')ns imposed by any Government or Gov agency or other delays beyond seller's control.All work to be
performed du ring normal working hours Monday gh Friday 8:00 am to 5:00 POL unless otherwise specified.Excludes any code
upgrades onisting equipment.All quotes are good f 30 days firoin date.
PO
Date
Authorized Signalture
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Certlfi ate of Product
AHRI Certified eference Number:45259 Date: 8114/2413
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Product:Split S :Air-Cooled Condensing Unit,Coil with Blower
Outdoor Unit l Number: 13AJN42 Ii
indoor Unit Model Number:RHSL-HM4221+R� L-H*4821
Manufacturer: EEM MANUFACTURING COMPANY
TradeMrand name:RHEEM 13AJN SERIES .
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Manufacturer m ponsible for the rating of this system combination Is RHEEM MANUFACTURING COMPANY
Rated as follows in accordance with AHRI Standard 2101240-2008 for Unitary Air-Conditioning and Air-Source
Heat Pump Equipment and subject to verif cagon of rating accuracy by AHRI-sponsored,independent,third
Ply testing:
Coolirq Capacity(Stuh): 40000
EER R iting(Cooling): 11.00
SEER I lating(Cooling): 11i.00
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*Ratings followed by an (')indicate a voluntary n uate of prevlousgj pubtiahed date,unless accomPanled wish a WAS,whkh Indicates an Involuntary rerate.
DISCLAIMER
AHRI does not andose I a product(s)hated on this CsrWIMts and no rgwasatwcme,warranties or -to,and assumes rro tor,
the product(s)Iced on AHRI � for of army idnd arias ng out oft use or�of the proauc*t or the
urandhosttaci data listed on Oft Certified are vand ordy for modeled and listed in the directory at wwWA gidlrectory.org.
TERMS AND CONDITI NS
This Certificate and nits are products of AHRI Certificate shall ordy to used for Individual,peraonsi and database; l utilized,ICO W In S
The contents of Oft may rant,in whole or in pent,be ucad;copied;di summated;egad Into a computer WW
Tom or manna or by means,exeeig for the user's individual,parsonal and co tidentiei reftence
CERTIFICATE VERIFI ATION
The Information fort cited on this wifficate can be at •o►S, Air itioning,Heating,
dick an"V eft n W*arc! the AM CertlPled Number and t listed and efri ation Institute
which the was which is above,and t I�, ni
CERTIFICATE NQ.: ��s
02013 Air-Condi oning,Heating,and Refrigeration Institute � s
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