MC-13-1705 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-198399 Permit Number: MC-7-13-1705
Scheduled Inspection Date: September 04,2013 Permit Type: Mechanical - Residential
Inspector: Perez,JanPierre
Inspection Type: Final
Owner: SMITH,WILLIAM ROBERT Work Classification: A/C Replacement
Job Address:230 NE 94 Street
Miami Shores, FL 33138-
Phone Number
Parcel Number 1132060133630
Project: <NONE>
Contractor: RESIDENTIAL AIR CONDITIONING CORP Phone: 305-652-6040
Building Department Comments
REPLACE FJCISITNG 4 TONS AT 7.51CW Infractio Passed Comments INSPECTOR COMMENTS
False
Inspector Comments
Passed 1�2
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 03,2013 For Inspections please call: (305)762-4949 Page 26 of 26
IN )�,7 Miami Shores Village _
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 JUL
Tel: (305)795.2204 Fax: (305)756.89721;
INSPECTION'S PHONE NUMBER: (305)762.4949 r
•
BUILDING `Permit No.
PERMIT APPLICATION Master Permit No. l L ) n 0
FBC 20
Permit Type: MECHANICAL
Owner's Name(Fee Simple Titleholder)101 / 66 Phone# 3y - 'vs—r ®41-7 4
O er's Address A- .�Ill /t -
City 0
A&041 S#0Pa State Zip
Tenant/Lessee Name L4 Phone#
Email
Job Address(where the work is being done) An
City Miami Shores Village County Miami-Dade Zip 3133
FOLIO/PARCEL#
Is Building Historically Designated YES NO 11 Flood Zone
Contractor's Company Name/� /} ,y�7, /�rL iii Phone# 303--6 J--2 6-0 54C
Con actor's Address
Ci Zip �� 9
Qualifier Name Phone# to's 4 -604,60
State Certificate or Registration No. � Certificate of Competency No:
Contact Phone - E-mail
Architect/Engineer's Name(if applicable) Phone#
i
Value of Work For this Permit$ Square!Linear Footage Of Work:
Type of Work: ❑Addition °]Alteration ONew, ia"'Repair/Replace ❑Demolition
Describe Work:
�,������,����*���*�•x��r���,�•x���r�•x���r*�x,Fees,��,�������a*�����,�,�•x,��,��,�,���,��,�,��,��,a��,r�,u�*,�•x�
Submittal Fee$ Permit Fee$ ,t CCF$ CO/CC$
Notary$ Training/Education Fee$ Technology Fee$
Scanning$ Radon$ DPBR$ Bond$
Double Fee$ Violation date:
Structural Review.$ Total Fee Now Due$
See Reverse side
a
Bbnding 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of� ye ment must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is i c�, qty ence of such posted notice, the
inspection will n$�, v qy d and a reinspection fee will be charged. ���� .•••""•••°G���
• MMtS °�L �
�x ,tip-;�� •••9 ��r®,' ►,� :;A�cA 'y° y e
Signature Lt. ignature+ •
•� • •
ei sA tor
.d ° a o00 ®O.
The forego alvas wledged before me thi a orego' g b owl ged before me thi �
O e ••
day of °° �v. at I d of ,by .
w is personally a or ' ho produced wh is pe onally know to a or w has d ro ced
®
As ' cati d wh did t e an oath. s i entific ion ho i ake
NOT AR LIC• ;` NOTAR
i
Sign: Sign:
Print: GLLt Print: iJI it A
My Commission Expires: My Commission Expires:
APPROVED BY ,�/.� lJnxaminer Zoning
Engineer Clerk checked
(Revised 07/10/07)(Revised'06/10/2009) f
a
i
1 ,
Miami Shores village
un nmM
-----
Building Department
� mp 90050 N.E.2nd Avenue
Miami Shores, Florida 33938
Tel: (305) 795.2204
I 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.
l --�
Job Address (where the work is being done): c2 3V
City: Miami Shores Village County: Miami Dade Zip Code: 3312f
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
1 Change Disconnecting means:YES ❑ NO❑ ARHI Sheet Attached:YES[ (NO❑ Contract Attached:YES
UNIT BEING REPLACED. DATA NEW UNIT
MANUFACTURER
j JeA Aj f4 ® AHU r PKG.UNIT MODEL# L---, IV Fl:;)—
D.UNIT MODEL# J q&&2j
® KW HEAT I
NOM TONS 4—D AI-S'
AHU 111CU36 PKG 1 M.C.A AHU,3g22Uj7 PKG
I AHU C . o PKG-,-"",..' 2 M.O.P AHU' 'CU PKG
AHU ✓ CU PKG 1.30 3 VOLTS AHU ..CU ;PKG 2
PKG UNIT / / PKG UNIT
EE EE a
YES. t. NO REP G DUCTS YES NO
1 YES 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
I
1. Minimum Circuit Ampacity(Wire Size):
2. Maximum Overcurrent Protection(Fuse/Breaker 6ize):
3. Voltage of Circuit(2081240/480):
I 4. Size Disconnecting Means: A
6-°
Contractor's Company Name: -� tv 7zf-c�— Phone: 20r-
State Certificate or Registration N. 3 Certificate of Competency N.
nature - Dater
(Quaift gnature only)
4
Residential Air Inc.
' 1662 NE 205 Terrace
Miami,Florida 33179
' 305-652-6040 *954-764-0489k
Fax: 305-651-4992
State Licensed and Insured
July 11,2013
Mr.and Mrs.Bob Smith
230 NE 90 Street
j Miami Shores,Florida
305-758-0476/305-972-3986
Residential Air will furnish and install the following:
Rheem 4 Ton Su6er High Efficiency Split Coolin¢System-16 SEER
Installation in the following:
R410 Eco Friendly Equipment listed below.
j Condenser model 14AJM49 will be installed and secured on a Dade County approved slab.
Air handler will be installed on a new stand which will be lowered approximately 15".
Connections to existing ductwork,refrigeration lines,drains and electric.
Remove and dispose of existing equipment.
New float switch,digital thermostat and heat.
I Flush lines with RX- 11
Start up system and check for proper operations.
All labor and materials for a complete and professional installation.
One year warranty labor and ten year warranty parts.
3 Price does not include permit fee.
Payment.terms-are 50%deposit and balance upon installation.
i
Air handler model RHKL4821 This is a true variable speed air handler which has the ability to drive more air to
support the ductwork.under the house and-gush:more air though out the house.
t.
Total Price$485176-$780.00 FPL Rebate=4071.76
Respectfully,
Richard Vanni
Residential Air Inc.
3 •
I t
1
Approved by
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11f117� IE�}iJlll x ; 1 FIRST-CLASS
j TA � U.S.POSTAGE
40V FLAGLE�#S'C �<5 i
PAID
MIAAAt,F L-3313b MIAMI,FL
U1t1t�1`Cr t •, + �� PERMIT NO.231
713669-0 THIS 1q'NOTA BILL DO NOT PAY
-TRANSFER
sU: ?lfllfflftfAAYR INC STATED ��ATC035484 063960-0
1662 NE 205 TERR
+�+ 33179 UNIN DADE COUNTY
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O'MIDENTIAL AIR INC
sec BrOiRIM"effECHANICAL CONTRACTOR UIORK10
THIS t3 ONLY A LOCAL
BUSINESS TAX RFCLIPT.IT V
DOES NOT PERMIT THE ,
HOLDER TO VIOLATE ANY _
EXISTING REGULATORY OR
ZONING taws of THE DO NOT FORWARD
COUNTY OR CITIES. NOR
DOES IT EXEMPT THE
HOLLER FROM ANY OTHER
PERMIT OR LICENSE RESIDENTIAL AIR INC
NOT A CERTIFICATION BY L THIS IS
TFm Ha ER' LLtr•IC0. RICHARD M VANNI•
7ONS' 1662 ,NE 205 TERR
' PAYMENT RECEIVED MIAMI[ FL 33179
i MIAM4UADE COUNTY TAX '
COLLECTOR: i
04/.25/2013.
60000000009
000007.50
SEE OTHER SIDE
4 STATE OF FLORIDA
I DEPARTIV BUSINESS AND
PROFS °. ULATION
CAC035484S
4104/2013 '
GERTIPIED
VANNI'
RESUENTIALAII � t f fr s 3 z
1S C�Rtl�f�b under the prbVIsfons of Ch.489
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a® CERTIFI.CATt 'OF LIABILiTY INSURANCE . F "O"W"Mv 0 0013"
'THIS CEItTiP1CATB 18 ISBUHD AS A MAT MR OF iNF,ORMATION ONLY AND CONRE N NO rucaM UPON T"E.CERtMATE HOLDER.THIS
1 CERT11FICAT9 DOES NOT AFFIRMATIVELY OR NE"'IMLY AMi3ND, RDt I ID OR ALTER THE COVERAGE AFFORDED SY THE POUCIES
Mow. THIS comFICATfE of mtE3uRANcE bolas w n cvNaTiTUTE A COMMACT BErAM THE i84UMG Td URERI18), AUTHOROW
REPRESENTATIVE=OR FROMt2iaR,itND THE 61R7lK0AT5 HOLDRR.
WPORT'ANT: if the cerdfloate holder is an ADDiTio L va ,the p0licyliaj nwat to a Isad, R SUB TiOTI ,subject m
{( the Wins and conditions of the policy,GOWN 100116140 may require an endorsement A statement on this certificate does not confer rights to the
certificate holder In Btu of wnh endora a
nocuoenc >
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17071 tit Dille Highway MEN
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Endurance Amedcen Specipltj!
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L 3;1179 INIU e21
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THIS IS To OERT"THAT THE POLIOES of INeuRANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED KAA14F.O ABOVE FOR THE PMW PERIOD
INDICATED. N0TWTHSTAxoINe Atw RECUIR MENT,TERU OR CONDITION OF ANY CONTRAW OR OTHER DOM AIM MIJ RESPECT TO WMICH THIS
oEinvir u MAY se wwrw on MAY PERTAIN,THE WWRRANCE AFFORDED SY THE POLICIES DESCRIBED HERON m amjeor TO ALL THE TOWS,
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CERTIFICATR KOLDER - N
dills a dP Ml rni Shores BxoLrrao ANY OF TW AWM DSSCRMao pmI to o CANCl3LLi!D BUM
THE UPWATION DAIS THHWOF Nonce vALL 98 DIS.IVEtED IN
i Building Department Acorxeo�rECe E: OHS•
' 10050 NE 2 Ave
Miami Shores,FL 33138 Ali
W 1 ACORD CORPORATION. All rights reserved.
ACORD 20 PRIM" The ACORD name and logo are lat to ered aw of ACORD
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Outdoor Heating Cooling
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is 4.
Moisture difference 58
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Design temperature difference(6F) , 20 15
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System EficfencyLoss
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