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MC-13-1988 Inspection Worksheet s Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL c L", Phone:(305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-198382 Permit Number: MC-9-13-1988 Scheduled Inspection Date: September 18,2013 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: ROBLES, DARWIN Work Classification: A/C Replacement Job Address:9120 NE 8 Avenue 3G Miami Shores, FL 33138- Phone Number (305)332-5535 Parcel Number 1132060440320 Project: <NONE> Contractor: TRIUMPH AC& REFRIGERATION CORP Phone: (786)512-0548 Building Department Comments Infractio Passed Comments REPLACE A/C UNIT 2 TON 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 17,2013 For Inspections please call: (305)762-4949 Page 11 of 17 C l J RECEIV Mami Shores Vill age i Buildin g Department artment 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 j Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 20 Permit Type:MECHANICAL OWNER:Name(Fee Simple Titleholder): Rg le-S hone#: . 3 Address: d City: .Adan r4 State f/ zip: Tena4esseh Name:_ l _ ..( Phone#: o"- 9 Email: 110- JOB ADDRESS: q _9_0 A1_ Ate_ City: Miami Shores County: Miami Dade Zip: Folio/ParceW. Is the Building Historically Designated:Yes NO Float Zone: CONTRACTOR:Co Y Name: G� Phone#: Address: e-f City: 6ZA State: C-7 /11 Zip: 7"'1 Qualifier Name: Phone#: State Certification or egitration - e (aa j j Certificate of Compcy#: Contact Phone#: ?9,6 J t a a S' Email Address: V,4,4®e• C-, DESIGNER:Architect/Engineer: Phonek Value of Work for this Permit:$ f Square/14near Footage of Work: Type of Work: ®Address []Alteration ONew ' air/Replace ❑Demolition Description of Work: 4�� la ev ° Submittal Fee$� Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Doable Fee$ Structural Review$ TOTAL FEE NOW DUE$ • UK ` I °'`"'s Name(if applicable) Brig,�P�Y Bond�urg Company's Address "O t ,, . 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 the notice of commencement and construction 'en w brochure will be delivered to the.person whose property is subject to attachment. Also, a cerlifred copy of the recorded no ti n encement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is is e . n he en a of such posted notice, the inspection will not be app a reinspection fee will be charged Signature Signature Owner or Agent for The foregoing instrument was ac owledged before me this The foregoing instru t wa ac wledged before me this day f V 20 b � ' C- f r y y � day of �. 20, ,by•��1�� d who is personally known to me or who has produced Qentification and who did take an oath. NOTARY PUBLIC: • NOTARY PUBLIC: Sign: Sign: Print: NORA GONZALEZ b P EXPIRES:December 5,2016 Print: My Commis :Bonded Thru Notary Pubnfe Undertvrtters My Commission Expires: or ,c• . ° . .� ` •.� / / .®A.... \\ APPROVED BY "V Plans Examiner Zoning Structural Review Clerk (Revised 07 110/07)(Revised 06/1=009)(Revised 3/15/09) Miami Shores Village Building Department toR 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. ,4 3 Job Address(where the work Is being done): i City: Miami Shores Village County: Miami Dade Zip Code: 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 ❑ UNIT BEING REPLACED DATA NEW UNIT 1_7 VC1 MANUFACTURER AHU or PKG.UNIT MODEL# COND.UNIT MODEL# - 40 f 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 1 / PKG UNIT 1 I EER/SEER ,1 az. YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4 000NCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity(1Mre Size): ° 2. Maximum Overcurrent Protection(Fuse/Breaker Size): Sot® . 3. Voltage of Circuit(208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: e �` �� e Phone: a 0 Oe� State Certificate or Registration N. Lam— «f jra 22 9 _ Certificate of Competency N. Signature Date: ,Q 9/ r on Property Search - Report Page 1 of 1 MIAMI-DADE COUNTY i OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Carlos Lopez-Cantera Property Appraiser Property Information: Folio 11-3206-044-0320 ? s?• Property Address 9120 NE 8 AVE 3G ; Owner Name(s) DARWIN M ROBLES Mailing Address 1743 NW 38 ST FORT LAUDERDALE FL 33309 Primary Zone 5000 HOTELS&MOTELS- s` pi GENERAL X Psi ilri� 0007 CONDOMINIUM- Use Code RESIDENTIAL Beds/Baths/Half 0/0/0 Floors 0 Living Units 0 Adj.Sq.Footage 754 Lot Size 0 Year Built 1949 Aerial Photography 2012 Full Legal Description SHORES PLAZA EAST CONDO N UNIT 3G-2ND FLOOR UNDIV.01948%INT IN COMMON Taxable Value Information: ELEMENTS CLERKS FILE 73R213197 Current Previous Previous 2 OR 17695-3209 0697 1 Year 2013 2012 2011 COC 21953-4093 01 2004 1 Assessment Information Exemption/ Exemption/ Exemption/ Taxable Taxable Taxable Current Previous Previous 2 County $0/$58,058 $0/$52,780 $0/$62,090 Year 2013 2012 2011 School Board $0/$68,610 $0/$52,780 $01$62,090 Land Value $0 $0 $0 City $0/$58,058 $0/$52,780 $0/$62,090 Building Value $0 $0 $0 Regional $0/$58,058 $0/$52,780 $0/$62,090 Market Value $68,610 $52,780 $62,090 Assessed Value $58,058 $52,780 $62,090 Sale Information: Benefits Information• Date Amount OR Book-Page Qualification Code 3/2013 $103,000 28572-0336 Sales qualified as a result of Current Previous Previous 2 examination of the deed Benefit Type 2013 2012 2011 1/2004 $91,000 21953-4093 Sales which are qualified Non-Homestead Assessment $10,552 $0 $0 6/1997 $49,500 17695-3209 Sales which are qualified Caps Reduction 4/1994 1 $36,000 16324-2977 Sales which are qualified Note:not all benefits are applicable to all Taxable Values(le County, 8/1991 $0 15156-3034 Sales which are disqualified as a School Board,City,Regional). result of examination of the deed 811988 $34,600 13809-3245 Sales which are qualified 8/1976 $21,800 09426-0972 Sales which are qualified 10/1973 $24,000 00000-0000 Sales which are qualified Disclaimer: The Office of the Property Appraiser and Miami-Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS positional accuracy.No warranties,expressed or implied,are provided for data and the positional or thematic accuracy of the data herein,its use,or its interpretation.Although this website is periodically updated,this information may not reflect the data currently on file at Miami-Dade County's systems of record.The Property Appraiser and Miami-Dade County assumes no liability either for any errors,omissions,or inaccuracies in the information provided regardless of the cause of such or for any decision made,action taken,or action not taken by the user in reliance upon any information provided herein.See Miami-Dade County full disclaimer and User Agreement at http://www.miarnidade.gov/info/disclaimer.asp. Property information inquiries,comments,and suggestions email:pawebmail@iniaiTiidade.gov tniatnidade.gov GIS inquiries,comments,and suggestions email:gis@miainidade.gov Generated on:Tue Sep 3 2013 http://gisweb.miamidade.gov/PropertySearch/printMap.htm 9/3/2013 Ceftificate of Product R S AHRI Certified Reference Number: 5550389 Date: 9/3/2013 Product:Split System.Air-Cooled Condensing Unit,Coll with Blower Outdoor Unit Model Number: 14AJM25 RECD Indoor Unit Model Number: RHSL-HM2417+RCSL-H*2417 Manufacturer: RHEEM MANUFACTURING COMPANY SEA 0 3 20 Trade/Brand name: RHEEM 14AJM SERIES BY: 1 Manufacturer responsible 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 verification of rating accuracy by AHRI-sponsored,independent,third party testing: Cooling Capacity(Btuh): 23800 EER Rating (Cooling): 12.00 SEER Rating(Cooling}: 14.50 Ratings Wkwed 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)Ilsted on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility 1164 the product(s)listed on this Certificate.AHRI expres*disclaims all liability for damages of any kind arising out of the use or performance ofthe product(s),or the unauthorized alteration of data listed on this Certificate.certified ratings are valid only for models and configurations IMW In the directory at www.ahridirectDry.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products ofAHRI.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 eked on this certificate can be verified atwwwahridirectory.org, A At U1211 Jr-Conditioning,Heating, click on'Verify Certificate"Certificate"link and enter the AHRI Certified Reference Number and U*deft on Argo ffill III which the certificate was Issued,which Is listed above,and the Certiftale No.,which Is listed below. and Refrigeration Institute 02013 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 130226959945408975