MC-13-1850 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL V
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-197263 Permit Number: MC-8-13-1850
Scheduled Inspection Date: August 22,2013 Permit Type: Mechanical- Commercial
Inspector: Perez,JanPierre Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: A/C Replacement
Job Address: 11300 NE 2 Avenue Kelly House
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1121360010160-10
Project: <NONE>
Contractor: COOL WATER AIR CONDITIONING Phone: (305)807-0288
Building Department Comments
repalce 2.5 ac unit Infractio Passed Comments
INSPECTOR COMMENTS False
� 23113
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 21,2013 For Inspections please call: (305)762-4949 Page 16 of 38
f Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BUG
Tel:(305)795.2204 Fax:(305)756.8972 -
INSPECTION'S PHONE NUMBER:(3055)762.4949
FBC 20 1®
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. 13 ' 0
Permit Type: MECHANICAL e I N`'`ice- ��''� I D 7
JOB ADDRESS: N 13 o o C: 7i p p 1 M e a l"'k C
City: Miami shows County: Miami Dade Zip:
Folio/Parcel#: I I L0 _ 0 00 - o 0s.0
Is the Building Historically Designated:Yes NO Flood Zotre:
OWNER:Name(Fee Simple Titleholder): \1 �' � • Phone#:
Address: I ?O o �J t l t-,D Aug
City: 1`' d 0L State: C— Zip: >7? w
Tenant/1 essee Name: Phone#:
Email:
CONTRACTOR:Company Name: 0 t7 I l/��-t 4 ofd- l e� �y Phonee#. °1 S3
Address: (7 In e as n \ sl e LAi a i,, i Ee c C�- C—L-- 31 q B
City: _ �Aka C L, State. Zip:
Qualifier Name: �"�(' k ' t' ct Phone#: 5 p S- 0:7— ®Z
State Certification or Registration#: C KA C D S U- 1 0 Certificate of Competency*
Contact Phone#: 75 D S-Y07 Z-Y e( Email Address: ST e- U e- C 0 U 1 1,0 ca f 2
DE.SIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ Square/Linear =epair!Replace of Work:
Type of Work: DAddress OAlteration ONew ODemolition
Description of Work: G C
C. C
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$
Bonding Company's Name{if applicable)
I
Bonding Company's Address
City State ip
I,I
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,
*M 1S,S,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. Alan, 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 approved u reinspection fee will be charged.
Signature Signature
Owner or Agent q� Contractor
The foregoing instrument was acknowledged before me this "F' ' The foregoing instrument was acknowledged before me this
day of k(IMM 20-[�,by Wl(10 �� day of 20 3 by T e a�P,-,
who is personally known to me or who has produced. who i. rsonally known to me or who has produced
A.s identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY P :
Sign: 4A4& Sign:
Print: Print:
Puiilic•State of Florida
• s Aug 27,2016
My Commission Expires: vnssrorr# My Commission i' ;�,`��•' Comnd"19n#EE ON550
1.8G0 NOTARY fT.Ndmy llieaomtAQ�6
7.*Examiner APPROVED BY Zoning
Structural Review Clerk
Revised 311212012)(ReOwd 07/10/17)(Revised 0611012009XRevised 3115109)
Miami Shores Village
Building Department
p, 10050 ME.2nd Avenue
Miami Shores, Florida 33138
Tel. (305) 795.2204
Fax.(305) 756.8972
AIR CONDITIONING REPLACEMENT DATA
PERMIT NUMBER: MC
This form must accompany ALL air conditioning replacement permit applications.Each unit change-out must be on its own data
sheet.Multiple units on single sheets are not acceptable.
Job Address(where the work is being done): 11300 NE 2^w 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 COTARHI T IS REQUIRED WITH ALL SUBMITALS
ARI( ATA SHEET REQUIRED
Change Disconnecting means:YES ❑ NO heet Attac hed:YES ❑ Contract Attached:YES
UNIT BEING REPLACED DATA NEW UNIT
MANUFACTURER:RHEEM
AHU or PKG.UNIT MODEL# s L 3U t
COND.UNIT MODEL# 0
KW HEAT
NOM TONS Z S ® ems
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 / / PKG UNIT 1 I
EER/SEER
YES NO REPLACING DUCTS YES
YES NO REPLACING THERMOSTAT YES
YES NO NEW 4"CONCRETE SLAB YES
YES NO NEW ROOF STAND YES
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 Reg' ration N. CMC 056710 Certificate of Competency N.
Signature Date:
( s s re on )
COOL WATER AtR CONDZTZONZNG a
760 South Shore Drive Miami Beach F133141
Phone 305 807-0288 Fax 305-865-0800
www,cootwaterac.com
Barry University uly 23,20I3
ity
1 1950 NE28d Avenue
Miami,Florida 33161 r
i
Attn:Ron I fultquest/Gene
RE:Kelly I iouse Room# 107
The following is a turn-key proposal is to re�lace the existing(2.5)ton Rheem split system.
Scope of work:
t
Disconnect remove and pro `rby dispose of existing 2.5 ton Rheem units.
Provide and install(1)new( .5)ton Rheem split system.
Provide and install a new dig tal thermostat
Reconnect condensate line,a ectric and controls.
Leak-check all connections,t vacuate system.
Start-up unit and check for 7per operation.
Note:All ork to be performed during nort-al business hours,8:00 am to 5:00 pm Monday through Friday
This price ill include:all material,labor, rmit and applicable sales tan.
C
O price for this scope of work will be--- -----------°-----°-----13,73192
ermit add an additional-------- ---------------- x•00
t
Sincerely,
Lorn Tucker
i
I
Payments t be made as follows:35%deposit' th the balance due upon completion
TERMS CONDITIONS OF THIS CONTRACT It is expressly understood and agreed that Cool Water Air Conditioning Inc.
retains title the above-described property.In ad lit shall not pass or become vested in the purchaser until the entire purchase
price has bee i paid Said property shall be and regnam d Proi�3'and retain its character as such and purchaser shall not attach
or affix said to any realty so that it does not 1 its character as personal property nor shall purchaser resell said property
until the full Orchase price thereof has been paid.Theipurchase price shall be due and payable as provided under"terms"above.
Finance will be applied to all late payments.Upon the failure of the purchaser to make any payments on the due date,the
seller,at its 00dion,may declare the entire bWlwm oftlic purchase price due and payable.In ease of default,purchaser shall pay all
costs and including a reasonable attorney's fee incurred by seller in collecting this account or repossessing the described
property,w suit W brought or not Purchaser h4by waives presentments,demand,and all other pre-requisites required to make
it liable.No v=riuities,representations,or promises not appearing in writing in this contract shall be recognized.This agreement shall
not be tonal executed or binding to the seller duly accepted by an authorized officer of the Mier.The execution by setter of
this agreem t is subject to force in*=and its Caw' ent upon strikes,accidents,acts of God,weather conditions,regulations,or
other restricti ns imposed by any Government or Gov tal agency or other delays beyond seller's control.All work to be
performed du ring normal working hours Monday Friday 8:00 am to 5:00 poi.unless otherwisc specified.Excludes any code
upgrades on 7stina equipment All quotes are good d f#r 30 days from date.
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Authorized�ignature Date
1
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Certificate of Product Ratin
AHRI Certified Reference Number:45256 4 Date: 818!2013
Product:Split hem:Air-Cooled Condensi Unit,Coil with Blower
Outdoor Unit M el Number 13AJN30
Indoor Unit Mod Number:RHSL-HM3017+R�SL-H*3i117
Manufacturer: EEM MANUFACTURING PANY
Trade/Brand name:RHEEM 13AJN SERIES
Manufacturer r ponsible for the rating of tht i system combination Is RHEEM MANUFACTURING COMPANY
Rated as follows In accordance with AHRI Sts ndard 2101240-2008 for Unitary Air-Conditioning and Air-Source
Heat Pump Equipment and subject to verifice Ion of rating accuracy by AHRl-sponsored,independent,third
party testing:
I
Cooling Capacity(Stuh): 27800
t
EER Rating(Cooling): 11.00
SEER Rating(Cooling): 1 r.00
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Ratings Wowed by an asW sk n indicate a v*nWy mate of prevlouaiy I iWished Bata,unless accompanist wfth a WAS,wtdch UWlcates an WWuntauy rerate.
DISCLAIMER
AHW does not endorse (s)sated on this Cute and an we no representations,warnadles or Wiarantees as to,and assumes no respomftft for,
theproducks)l1stedonft Ceftificate.A14IRlexpresslydisclalmsallff bft for damages of any WW adeirtg out ofthe we or parformimce of the pttxhut(s),or the
unauthorized alleraNan of c aft Rated an this Cerdflcsta.CatUBad ratin a are valid only for trwdde and configurations Rated In the directory at ahvidkectwy org,
'PERMS AND CONDITe
This Cerwicate std its are proprietary products of AHK a shall only be used for kmtAdual,personal and confidential reference purpos.
The contents oftds may not In whole or In pant,be rep d; ;entered into a computer ;or othaiwise uwbN d,in any
form or manner or by any o wept for the i s I ndk4dual, and confidential
CERTIFICATE vERIFIC TION
The Information for the cited o►tle;cwditae ca t bo vorffted a twwwah*Jkectvcy.9rg, Air-Conditioning,Heating.
dWkon-feftC-erMcaWffnkwWeMw#wAMCew#ftdReftrom Number arch tto date on and Refrigeration Institute
which the cattillcaft was Is Ku4 which Is Rated above,and the Cerlift de No.,w hech is Rated bdotar.
02013 Air-Conditic ning,Heating,and Refrigeration Institute CERTIFICATE NO,: 13MO447M72747340