MC-13-1851 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-197265 Permit Number: MC-8-13-1851
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 Renne M. Hall
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1121360010160-18
Project: BARRY UNIVERSITY
Contractor: COOL WATER AIR CONDITIONING Phone: (305)807-0288
Building Department Comments
CHANGE OUT 3 TON Infractio Passed Comments
INSPECTOR COMMENTS False
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)7624949 Page 17 of 38
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Miami Shores Village
g
Building Department
0050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fox:(305)756.8972
INSPECTION'S PHONE NUMBER:(MS)762°4449 _ --
FBC 20 1®
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. C�3— is-Is
Permit Type: MECHANICAL
B ADD � 4�'1
J4 ADDRESS:
City: Miami Shores County: Miami Dade Zip:
FoliolParcel#: I / ° 000 -- 0 0 S O
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): �r-6l a y Phone#:
Address: O L1 C AJ e. 3-3 1 u
City: State. 3-7� / U R
TenantUssee Name: Phone#:
Email:
CONTRACTOR:Company Name: - L 0,,,-
Address: '7(c)0 S m S fu- a i J e,
City: i e t-Lr State: Zip: l 4 A
Qualifier Name: X-�2 V P,) FL--e' N Phone#: 3 0 S-9,D 7 P 0
State Certification or Registration#: t S Lo-11 L) Certificate of Competency#:
Contact Phone#: 0 ® 9'U-1 ® ® Email Address: f e-0 d�t7 C2 � d-) e FL 4 01, C �
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ SquareAAne ar Zpair/Replace of Work:
Type of Work: DAddress OAlteration ONew ODemoRtion
Description of Work: e.,e "e ( G'4- 3 o e,i f
Submittal Fee$ Permit Fee$, i D CCF$ 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)
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 bas
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$2500,the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be ported at the job site
for the first inspection which occurs seven (7) days after the building permit & issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 2Q l3,by 'IAt76IWl/�,(" day of 20.�,by SAP n �-P�
who is t�ersonally known to me or who has produced. who is own to me r who has produced
A.s identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUB
Sign: Sign:
Print: Jr J 4 �� JWITH POL
Print:
Y J. ,E u e- e o orida
My Commission Expires:$ car. °Si®R1#BE36829 My Commission ��r'�Y Comm.Expires Aug 27,2018
a1r . ..v 12,2014 ' ,..•` Commisefon#EE 830550
Q.'81p.}NOTARY 14.Nwary f9W=W Aa m Co.
PORP
APPROVED BY (1 Plans Examiner Zoning
Structural Review Clerk
Revised 31 12/2012KRevised07t10107)(Revised 06/1012009)(Revised 3115/09)
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Miami Shores Village
Building Department
A
RD 10050 N.E.2nd Avenue
LO
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):---j 1300 NE 21+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 HRI)DATA SHEET REQUIRED
Change Disconnecting means:YES ❑ NO Sheet Attached:YES NO❑ Contract Attached:YES
UNIT BEING REPLACED DATA NEW UNIT
MANUFACTURER:RHEEM
AHU or PKG.UNIT MODEL# k L
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COND.UNIT MODEL# A _
KW HEAT
NOM TONS r�
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 1 1 PKG UNIT I l
EERISEER "I
YES NO REPLACING DUCTS YES
YES NO REPLACING THERMOSTAT YES 0
YES NO NEW 4°CONCRETE SLAB YES
YES NO NEW ROOF STAND YES
YES NO NEW RETURN PLENUM BOX YES N
1. Minimum Circuit Ampacity(lire 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 A/C Phone: 305.807.0288
State Certificate or Regist ion N. CMC 6710 Certificate of Competency N.
Signature Date:
Mu a W 0 1 e s—s W-6 w�osIY)
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e of Product Rati
AHRI CertMed F eference Number:45257 Date: 818/2013
Product:Split Sy itern.-Air-Cooled Condensing Unit,Coil with Blower
Outdoor Unit M 1 Number: 13AJN36
Indoor Unit Modi I Number: RHSL-HM3617+R L-H*3617
Manufacturer:Rl IEEM MANUFACTURING COMPANY
Trade/Brand na :RHEEM 13AJN SERIES
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Manufacturer responsible for the rating of thi system combination Is RHEEM MANUFACTURING COMPANY
Rated as follows In accordance with AHRI S r=2101240--2008 for Unitary Air-Conditloning and Alr-Source
Heat Pump Equli iment and subject to ve on of rating accuracy by AHl�l�onsored,Independent,third
party teating: 7
Coolin Capacity(Stuh): 3800
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EER R ling(Cooling): 11 .00
SEER ting(Cooling): 1 1.00
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Ratings followed by an affi wisk(')indicate a vctuntmy rerate of previoush published data,unless accompanied wUh a WAS,which indicates an InvoluntarY mate.
DISCLAIMER
AHM does not endorse tt a prodwd(a)ftftd on We COrtilicate and n ekes no representationth warnnow or guaranums as to,amt asses no tbr
the products)fisted ontile Cardricata.AHN expressly disdains Off lability for domes or any kind adsim out ofthe use or poformance of the product(s),or the
unauthorized data gated on We Cartftd rav igs are valid only far models and configurations fisted in the directory at www.ah .ore.
TERMS AND CONDtT{ NS
This Cartflcatla arxd its are proprietary Products of AHit.Tt Is Cerillicsta shag ody be used for Individual,persotd and coffidenlial roirence purposes,
The contents Cd ttkt may tot,M wider or In peat,be repo Suced;copied; ;entered into a computer ddalme,or otherwise taxed,In any
kom or manner or by msene,axoeptfor the user's hndMiduai, wW cwdWenW r r+ea.
CERTIFICATE VERIFI ATION
The hdom udion firtm cited on oft cwtircate can be verified at www.ah .org, RAW-A Air-Conditioning,Heating,
dick on C "fink and enter the AHdS Ced fled Number and the data on AVOW ME And Retf)geration institute
vA*h the certi icaft was asued,widdr is listed above,and Eta CwW cate No,vAct►is tad below.
02013 Air-Condit oning,Heating,and Refrigera on Institute CERTIFICATE NO.: 130204595W03B7235
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COOL WATER AIR CONDZTZONZNG Q
760 South Shore Drive Miami Beach F133141
Phone 305 807-10288 Fax 305-865-0800
www. --oolwaterac.com
Barry University July 23,2013
11950 NE 2nAvenuc 0 �p
Mimi,F1 'da 33161
Attn:Ron F lultquest/Gene
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RE:MD#
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The following is a turn-key proposal is to relate the existing(3)ton Rheem split system.
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Scope of work: j
Disconnect remove and properly dispose of existing 3 ton Rheem units.
Provide and install(1)new(3 ton Rhem split system.
Provide and install a new dig'al thermostat
Reconnect condensate line,el wtric and controls.
Leak-check all connections,a iacuate system.
Start-up unit and check for pr}per operation.
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Note:All ork to be performed during normal business hours,8:00 am to 5:00 pm Monday through Friday
This price will include:all material,labor,pOwmft and applicable sales tax.
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price for this scope of work wio be ---------------------- --S 3,956A
ermit add an additional-------- ------------- x•00
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Sincerely,
Loin Tuck
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Payments to be made as follows:35%deposit with the balance due upon completion
TERMS AM i CONDITIONS OF THIS CONTRACT:It is expressly understood and aged that Cool Water Air Conditioning Inc•
retains title to the above-described property.In additi it shall not pass or become vested in die purchaser until the coke purchase
price has beci i paid Said property shall be and remain al property and retain its character as such and purchaser shall not attach
or affix said to any realty so that it does nett l its character as personal property nor shall purchaser resell said property
until the full price thereof has been paid.The price shall be due and payable as provided under`Perms"above.
Finance c will be applied to all late payments.Un�failure of the purchaser to make any payments on the due date,the
seller,at its o 'on,may declare the entire balance of purchase price due and payable.In cage of default,purchaser shall pay all
costs and including a reasonable attorney's fe incurred by seller in collecting this account or repossessing the described
properly, er suit be brought or riot.Purchaw her by waives presentments,demand,and all other pre4equisiteg required to make
it liable.No N arrantics,representations,or promises n t appearing in writing in this contract shall be reeognW d.This agreement shall
not be consid Ted executed or binding to the seller un duly accepted by an authorized officer of the seller.The execution by seller of
this agreem t is subject to force majeure and its oan' gent upon strikes,accidents,acts of God,weather conditions,regulatim or
s' by Government or Gov tal agency or other delays beyond seller's control.All work to be
other restri imposed y y an code
perfmned d normal working hafts Monday gh Friday 8:00 am to 5:00 pm.unless otherwise specified Excludes y
upgrades on misting equipment.All quotes are gaOdd 30 days from date.
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Authorized ignature Date PO
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