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MC-13-2147 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-199670 Permit Number: MC-9-13-2147 Scheduled Inspection Date: October 09,2013 Permit Type: Mechanical- Commercial Inspector: Perez,JanPierre Inspection Type: Final Owner: , Work Classification: A/C Replacement Job Address: 10150 NE 2 Avenue Miami Shores, FL Phone Number Project: <NONE> Parcel Number 1132060131850 Contractor: ALL COOL AIR CONDITIONG LLC Phone: (305)688-4212 Building Department Comments REPLACE 10 UNIT Infractio Passed Comments INSPECTOR COMMENTS False W Inspector Comments Passed Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 08,2013 For Inspections please call: (305)762-4949 Page 11 of 24 T Mlarni Shores 'Village �a SEP Building Department tom, 10050 N.B.2nd Avenue,Miami Shores,Florida 33138 y Tel: (305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 BUILDING Permit No.mCl'3 +a IT+ PERMIT APPLICATION Master Permit No. FBC 20 Permit Type:MECHANICAL OWNER:Name(Fee Simple Titleholder): ®, L/f P . I��9 g,,4 Phone#:3 v!S7 ` ifI e(. 61 Address: /B 0 219J a4%)�L• City: State:P44 _ Zip: 3'3 TenantlIxisee Name: h�` s41-e_57 Phone*: Email: P� JOB ADDRESS: /01.5'0 1,J. a, '�!_d ,An,.A, City: Miami Shores County: Miami Dade Zip; .331 a ? Folio/Parcel#: W3ZLIo 013 t�rS O Is the Building Historically Designated: Yes NO `✓� Flood Zone: ® L L4-e, CONTRACTOR:Company Name: �7`� L� G � c�.rFi ®d4,as T Phone#: Address: ®f N 1L I'le C07 st— City: State: 6 Zip: .3 31 (�? Qualifier Name: %IvLs L1f P 9i[e Phone#: State Certification or Registration#: C g C D S g 081 Certificate of Competency#: Contact Phone#: Email Address: DESIGNER:Architect/Engineer: 1`�ff� Phone#: Value of Work for this Permit:$ -Z ® o-o-r° —Square/Linear Footage of Work: Type of Work: OAddress OAlteration ONew >(Repair/Replace ODemolition Description of Work: yL® J''7Z.,s Yb,-j S�I..,P� ��Sd�rir•--: Submittal Fee$1 �' Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee S. D PR$ • Bond$ Notary$ Training/Education Fee$ Technology Fee$ _ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ - � Z� Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) &Ile� 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 cenifted copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building pe ' issued. In a absence of suc osted notice, the inspection will not be approved and a reinspection fee will be charged.g Si natu ��. Signature Owner or Agent ° The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me is day of ,2013—,by db i ii ()1. 6 U ir<VZ day of ,20�,by I)F who is personally known to me or who has produced L who is p onally known to me or who has produced . i to Y% 6 c 0V BAs identification and who did take an oath. E---as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUB Sign: Print: - P ntW11 My Commission Expires: :a '� � BM SMAAk ESTEP y Commission Expires: +r MY COMMISSION#DD 9553D0 AINSW ORTH A IT" .R EXPIRES:March 29,2014 ®� y e� Bonder Thru Notary Public Umierwdtets NOTARY PUBUO ® . Corr m#EE176743 APPROVED BY Plans Examiner t�®a Ekpires 31512016 Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06110/2009)(Revised 3115/09) r f Miami Shores Village Building Department �ORI� 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 being done): C' 155 /o Y F, AdLr City: Miami Shores Village County: Miami Dade - Zip Code: "3 ( 3 9 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 ij NO N ARHI Sheet Attached:YES❑ NO[4 Contract Attached:YES UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG.UNIT MODEL# 0 COND.UNIT MODEL# / � a KW HEAT a) NOM TONS AHU CU PKG 1 M.C.A B X AHU CU PKG AHU CU PKG 2 M.O.P AHU CU PKG AHU CU PKG 3 VOLTS Y777-777=70 CU PKG PKG UNIT / / PKG UNIT / / EER/SEER , YES NO REPLACING DUCTS YE N0 YES NO REPLACING THERMOSTAT S YES NO NEW 4°CONCRETE SLAB YES N YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX- YES NO 1. Minimum Circuit Ampacity(Wire Size): 2. Maximum Overcurrent Pro ction(Fuse/Breaker Size): C z> 3. Voltage of Circuit(208/ 40/4 0): 4. Size Disconnecting Means: Contractor's o any Na A It t o 4 L A L. L Q, Phone: T 9 2.r 2 State Certificat or R istratl n 9-'. Z Certificate of Competency N. Signature Date: - (QuaHfi s signature only OD •••• umin Miami shores V Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE(CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION(EITHER CERTIFICATE OR EXEMPTION) IF IMIMMTOR]HAS A MlAN!DADE 66IfkT_Y CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER - ------- ---B. COPY OF LOCAL BUSINESS TAX RECEIPT B. COPY OF MIAMI`DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY_OF LIABILITY-INSURACE-(CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. ' COPY OF WORKERS COMP INSURANCE(EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 r COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: 1 ® ®L. i Co eo d t-f-1` 0 / tj f L L G BUSINESS ADDRESS: 7,0 t t a 1( A4 ; STATE C-!A ZIP CODE 3 � � � ­7 BUSINESS PHONE: 0-3- 11 -L FAX NUMBER�) CELL PHONE QUALIFIER'S NAME: ycc �/ A / L CE QUALIFIER'S LIC NUMBER: C 2 k E-MAIL ADDRESS(IF APPLICABLE): Created on 3119109 BY MLDV 1 RV 3126109 MLDV I RV 6127111 AS 11-20-2012 JEFF AT`IVATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO RE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 11/20/2012 EXPIRATION DATE: 11/20/2414 PERSON: VIRGILE YVES FEIN: 591507631 BUSINESS NAME AND ADDRESS: ALL COOL AIRCONDITIONING LLC 2010 NW 107STREET MIAMI FL 33167 4' SCOPES OF BUSINESS OR TRADE: 1- HEATING, VENTILATION, AIR-CONO , IMPORTANT: Pursuant to Chapter 440 . 05041, F.S., as officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only .within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 (WESTIONS? (850) 413-160 SSWA ; r �K -CLASS I-I � Q _ U.S.POSTA�GI fm PAID P. .. ` Q MIAMI,FL W .- PERMIT NO.21 Q'. h 1� t .. . :1.., - -.... :itl° _:t _ 8•-�; � tS ....s..f.t:.'°...._. `t!��rx^ ..-.. & }•� } 552 1-2 THIS IS T A BILL-DO OT PAY RENEWA z GO suSINESS ME/LO ION RECEIPT NO. 483661-6 ,to m ,t ALL C L CONDITI IN's LLC STAT CAC058 9 d A. 2010 07 ST 33167 U DADE C NTY rr. OW R Q ALCOOL AIR NDITIONING I LC /.T.!I*yl p of 9usins ss NO ER/S *.z; THIS IA L EC M CHANI L CONTRACTOR Cl I BUSINE RECEIPT. W -'hQy.=�•.•, W,.'�" �•(fj ! DOES NOT PERMIT-TH - flU HOLDER TO VIOLATE ANY 44 ~ EXISTING REGULATORY O ,}.:.,. ZONING LAWS OF T' o .o I COUNTY OR CmEs. R 00 NO FORWARD Q ,.�• { DOES IT EXEMPT E HOLDER FROM ANY HER I.W � PERMIT OR CENSE Q. REQUIRED DY LA .THIS IS NOT A CERTIfl TION OF ALL QD®L a R CONDITIONING LLC _rte THE HOLDER'S UALIFICA• 1 W .. ' TIONS. I_S �IRGLL. 03 I PAYMENT RECEIVED 2010 N W 107 S T MIAMI-DADE COUNTY TAX MIAMI FL 33167 •'� COLLECTOR: 08/21/2012 j 60000000147 fl{}I3F?i€?}}}�iFiIFF}:13IiilFj}I }}}F S'lISF4 ii}4I! 71FFFit929 000075, 00 SEE OTHER SIDE 002360 ll/Ir�mi—Dade" d� #Y, ',. 'IS I& Q I r0 NO A BI _y , I,L bSJ,Nt1TPAY - � �°i i ' i 5 13t1SINESS NAhfI04 CA17jC>7e A1GEIC P Op co,,�r�larurnl>✓ c. -him E�CPI� �° zotOl�wa07sT ' v y;36 SEPTEIVIB`EI 3rd. �Q14 NItAMIL X3167 46616 Mk45 t tte`aisplayecJ at pldce of 6tusltjg pursuatlt-to Courty`Corte' Chapter 8, OWNE13 SEC. OOL AIR CONDITION' T1yPE OF BkJiSINESS NC LLC 196 SPCC M��IANVCAL C0'�T1�ACTOR ,,.- PA TAX RECE OR Wor)ter�s) 1 CAC058089 $75.00 09/06/20:13 11►-:a oval Busin - ECHECk-13-00`7ooe rti(iPSSCaTi RR�eceipt 401jbonfirms Pa utol e.. Pet 174 pr a ce find oftha holders quefifioau� � L4ya1 Business Tax.The 006OLIpt is not a license, aon9pvemme,nal ra�yjatory lavvb and,'requirements wh c b yn"&Holder mu t c P1t :to the busiaess; 4mP1Y with any governments,or lfie RECEIPFly�,above�astidisplayedan all coitilnabtsial vehi e IN(aiiti�Did Qodo Sec Ba 216 Format6 itformation,;risit ,miamidade aovTar� r,- { � For information regarding Transfer First-Class MMIA of Business/Owner,please visit US Postage -� www.miamidade.gov/taxcollector/ PAID Even; Miami,FL v Permit#231 Tax Collector 140 West Flagler Street Miami FL 33130 10701-222 oan2 002360 ALL COOL AIR CONDITIONING LLC YVES VIRGILE 2010 NW 107 ST MIAMI FL 33167 !111,1,1111111111111,1„111111,11( 11111„111,1111,,,1,,,,11,1111 09/10/2013 10:34 9549211964 ACE UND GRP HWD PAGE 01/01 DATE(MM1DOn•YYY) CERTIFICATE OF LIABILITY INSURANCE 09/10/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,Subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate,does not confer rights to the Cert ficate holder in lieu of such andorsemeat s. PRODUCER Ace UndelWriting Group? CONTACT NAME: Gustomer.5ervice Center X954-581-0202 L,N°s;954.'"i81-2999 5305 West Broward Blvd. ADDe-MAIL RESSZ S @rvtoe@urlderwritlfig com Plantation,FL 33317 W SURER(S)AFFORDING COVERAGE, NAIG� _ INSURER A•A�V x 1NsuREO AII'Cool Alr Conditionlr 191 LLC INSURER 9 1 2010 Nw 107 St INSURER I Miami,FL 33167 INSURER 0- - INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD s, INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERRA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR TYPE OF INSURANCE R POLICY NUMBER hF7MUCY EFF M i:Y EXP LIMITS COMMERCIAL GENERAL LITY EACH OCCURRENCE $ 1000000 _ CQfdMER L1AR1 . � CLAIMS-MADE 0acCUR Ca1,9299700 08/18/2013 08/18/2014 PREMi3E�ce) $ 100000 MED EXP(Any�+w Person S 5000 „ PERSONAL&ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $2000000 POLICY❑PRO LO, PRODUCTS-COMWOPAGO $20$0000 JECT ROTHEM MOINE AUTOMOBILE LIABILITY SINGLE L $ ANY AUTO BODILY INJURY IRK person) $ ALL GOWNED SCHEDULED BODILY INJURY(Per ecs;idonl) S NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENOE $ EXCESS LIAR CLAIMS MADE AGGREGATE _ 5 DED RETRNTION $ WORKERS COMPENSATION P H OTH- ANn EMPLOYERS'LIABILITY ST�UTE ANY PROPRISTORIPARTNER/EXECUTrvE YIN N E.L.EACH ACCIDENT S OFFICERIME.MOER EXCLUDED? ❑ N/A " (ummory In NH) E.L.DISEASE.EA EMPLOYEE $ „ If yr deSCrlDe under DESCRIPTION OF OPERATIONS balmy E.L.DISEASE-POLICY LIMIT $ HE I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Addittenal Reimarkn Sah6dLlo,Maybe wttachad If more space Is mquircd) CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI SHORES 10050 NE 2AVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. MIAMI, FL 3313a THE EXPIRATION DATE THEREOF, NOTICE WILL. RE OELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FAX:305-756-8972 A 7r REPRESENTATIVE 0 1980-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACOR13 name and logo are registered marks of ACORD Produced using Fries Bate Web sottwers.wwwr r9r mexz eemi®hnpresel"Publishing 8110.206-1977 Cc iltllli- Proposal No. One of One CA k- L, \lliv /�l 1 Sheet No. One of One Proposal Submitted To Date Feb. 06, 2013 Name Work To Be Performed At h Street 10150 N E. 2nd. Ave. Street City Miami Shores City r►lami shore Ave State Fla. Date of Plans NIA Fla State Telephone Number Architect N A We hereby propose to furnish the materials and perform the labor necessary for the completion of Ill, rill: ll -- 1 ) SC PE Remove existin OF ****************************** 2 Purchase s em and dis ose of nd in new ten 1 Same 3 Hook-u to existin ton s stem. ucts, d cts ada ted and modified ..to ada t to E 4 Hook. to existin resent N 5 Hook-u refri Brant and condensate drain lines. to existin electrical service. volta e available. Usin the 6 Furnish all labor resent am a e Remove all trash andddebrisiwe to c°m lete 8 Start-u enerated from b� —10 permitts is and ust s stem to 0 obsite. included erate ro erl atchin of all holes and but will be *************************** * rovided at cost that needed. lama es we caused but no aintin END OF in All material is and specifications submitted for as specified, and the above above work to be performed in accordance with the drawings work and completed in a substantial workmanlike manner for the sum of With pay�}���'o be mac�esas�o�owEight Hundred Twenty Dollars To be worked out to both Dollars 9, 820.00 ($ party's satification. AnY alteration or deviation from above s 1,5 L3 will be executed only upon written order,and�fwill�becometan extra charge over,or above the estimate All agreements contingent upon strikes,acci. Respectfully submitted dents,or delays beYond our control. Per Note— This ro osal p p may be withdrawn by us if not accepted within •3� days The above prices specifications and conditions are satisfactory A aCE OF PROPOSAL d are hereby acc 'aYments will be made as outlined above. . You ar auth o do the work as specified. )ate Signat e oas woe w o 1 Signat III II IIII I �IIIII II 0 8 958 09450 3 ulertifitc-ate of PrOduct Ratings AHRI Certified Reference Number: 6334525 Date: 9/20/2013 tStatus: Active Product: Split System:Air-Cooled Condensing Unit, Coil with Blower Model Number: DX11 SA1203A* Indoor Model Number: DAR1204A* Manufacturer: DAIKIN MANUFACTURING COMPANY, L.P. Trade/Brand name: DAIKIN Rated as follows in accordance with AHRI Standard 340/360-2007, Commercial and Industry Unitary Air-Conditioning and Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent,third party testing: Cooling Capacity(Btuh): 114000/114000 EER Raving (Cooling): 11.20/11.20 11.5/11.5 r; IEER: Heating Capacity at 47F (Btuh): COP at 47F: Heating Capacity at 17F (Btuh): COP at 17F: The AHRI 340/360 certified EER ratings in Btu/h1W are calculated under the same methodology as the EER ratings at T1 conditions of ISO 5151:2010 and ISO 13253:2011. t Models with an'Active'status are those that are currently in production.Models with a'Discontinued'status are those that the manufacturer has elected to stop producing,yet stock is still available.Models with an'Obsolete'status are those that the manufacturer is required to stop manufacturing due to an AHRI certification program test failure. Ratings followed by an aster,k(`)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)listed on this Certificate and makes no representations,ion s,warranti s or out a the use to performance of the prodnuct(s)Tyorthe the products)listed on Ibis Certificate.AHRI expressly disclaims all liability for damages Y kind unauthorized aiter,,tion of data listed on this Certificate.certified ratings are valid only for models and configurations listed in the directory atwww.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shdisse in sled en tared a to a c mp to rdatabase;orr otherwise utilized In any The contents of this Cart:;cate may not,in whole or in part,be reproduced;copied; form or manner or by any means,except for the user's individual,personal and confidential reference. CERTIFICATE VERIFICATION g Heating, The information for the model cited on this certificate can be verified at www.ahridirectory.org, and Refrigeration Institute click on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on which the certificate was issued,which is listed above,and the Certificate No.,which Is listed below. CERTIFICATE N O.: 130241607353134575 ©2013 Air-Cc,nditic ring, Heating,and Refrigeration Institute Miami Shores Village IED Building Department SEP a 201 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 ry INSPECTION'S PHONE NUMBER:(305)762.4949 B I DING Permit No. 6� PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: MECHANICAL &karn,talrV. &e-Ffr4,tqcesec70 OWNER:Name(Fee Simple Titleholder): Of-A 1r1Q.. Pca VD rK. Phonek-734 'S58 •Snob b Address: 541 IJ e I®S 6ST • ! {, ' City: � State: I'r--� Zip:3'��J X Tenant/Lessee Name: Phonek Email: JOB ADDRESS: _5�A l ij E 10�5 4 (, City: Miami Shores County: Miami Dade Zip: 331Z .? Folio/Parcel#: I I a 3 I o 14 0 o)-t0 0 Is the Building Historically Designated:Yes NO '° Flood Zone: CONTRACTOR:Company Name:611 G 1/ ,-DO IC f 10 Phone#: e?Jq-5-tO(a`g(uLjg Address: V)Z I W . S 1 g r`I s-e-_ 9;�r vei City: &rrf-a[ )o State: A=—i Zip: 333(,.:�) Qualifier Name: Q Phonek 9,W-S-6&-46 4-4 State Certification or Registration#: CA'C.a 5 ISM Certificate of Competency#: olle' C-Z-7 Contact Phone#: Email Address: �.?i!/Yl! f5 � n k Ash e-OL-A DESIGNER:Architect/Engineer Phonek Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: OAddress DAlteration ONew ORepair/Replace ODemolition Description of Work: EA&ct MIC e) n o ie-Lo sleek- l 1 T s- a P 1 :xxxmxxnxxnxx eesxxxxxxxxxxxxxxxx Submittal Fee$ Permit Fee$ c O CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ � qj (d P-1 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-198662 Permit Number: MC-9-12-1667 Scheduled Inspection Date: September 09,2013 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: PAVONE, REGINA Work Classification: A/C Replacement Job Address:541 NE 105 Street Miami Shores, FL Phone Number Parcel Number 1122310140260 Project: <NONE> Contractor: ALL YEAR COOLING AND HEATING Phone: (954)566-4644 Building Department Comments AC change out 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. September 06,2013 For Inspections please call: (305)762-4949 Page 12 of 13 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..... ' and that all work will be done in compliance with all R AFFIDAVIT: I certify that all the foregoing information is accurate � OWNER'S fy g g P 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 posted 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 and a r inspection fee will be charged. Signature 111Signature Oqaer or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,202Z,by Fl a 1 v L-dlr-- day of ,20 L�by INO�r' a A shftI4, who is personally known tome or who h. produced )f_ who' ersonally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Si � Print: J �.; i Print: ° °° '�tPa`P`e`g? Notary Public-State of Florida My Commiss INGRY F,4RIAS My Commiss' n Notary Public-State of Florida ^°My Comm.Expires Sep 15,2013 *'S ICY Comm.Expires Sep 15,2013 Commission#DD 924860 Commission#DD 924860 Bonded Through National Notary Assn. ekskskskskskakiksk'ksky °°0°e ii H=�,�,, ��ik'+���� �R� fi�f. � °ks kz k�ksN=k=kN=�kzkXazksk�ksIaksksk�k'k�hakakekzk:k APPROVED BY s Examiner zoning Structural Review Clerk (Revised 07110/07)(Revised 06/10/2009)(Revised 3/15/09) itToday's Comfort...Yesterday's Prices. ❑ CONTRACT p.1!91IMATE 6781 W.Sunrise Boulevard,Plantation,FL 33313 N" Phone:(954)566-4644 Fax:(954)667-1290 www.allyearcoolingandheating.com Est.1973 with over 150,000 Installations DATE: Z 20 I`Z PURCHASER'S NAME G(AJ 4- ,&,"At 1 ADDRESS S-1 - We hereby submit specifications for: CITY/SATP > � ® S 33 1 Equipment Installation TE/ZI E-MAIL Nb• +�V©� .4- Nb'�" � Indoor Quality HOME PHO ' 5�0 5 3� All Year Cooling will furnish all parts,labor and PHONE Cfls equipment necessary to facilitate the service REFERRED BY checked above in accordance with the conditions and specifications listed in this contract.Does ❑ i wouLD uKE To RECEIVE maws,upoATES,OFFERS amD pmona*s vuc sMs TExr wssmwG not include electrical upgrade unless stated. INDOOR AIR IMPROVEMENT ❑Duct Cleaning&Sanitizzing# Verdsi of Duct Systems ❑High Quality Air Fitter I n ❑UV Light ❑High Quality Air Cleaner acation SUPPLY RETURN& DISTRIBUTION M 106dify/New Supply DN". NU ❑New Supply Grill,Size Qiy. ❑Modify/New Return Ducts) ❑Seal Up Leaks In Ducts# ❑New Return Air Grill,Size x Qty. ❑Modifications of Wupply Return ❑Return Air Plenum EQUIPMENT NEW Alit System 45&bjHeat 61tMandler Brea Wire Size ZG ❑Package Unit [I Heat Recovery Un ff r9je Existing Breaker ❑Replace Breaker Heat p nl of Systems ❑New Breaker ❑Brand g4ffidght Cool ❑Attl QSoid6ser Breakerwire Size ❑Horizontal Application rBcal Application 034 eefft ing Breaker ❑Replace Breaker ❑Other ❑New Breaker ,,��,., ❑Brad MAKE MODEL SEER Electrical Disconnect Box All Year ng ❑ to Code Electrical Z.o 171 1 2 -ne Float Switch ary Float Safety Switch '�"� `'�QS G'4prooFTThsrmostat-Specify Type,! 3 Wea 1staMVibratlon,Isolation Pads ear 1 Visit Maintenance Agreement ❑5 Year Extended Warranty ❑1 O Year Extended Warranty CONDENSATION&COPPER nsate Drain Hook-Up ERr9wky ❑Secondary CSR@ gerant Copper Suction Line with Insulation,Size ❑New Condensate Pump ❑Auxill D ❑Length o eftigerard Copper Liquid Line,Size i ng Copper ❑Refrigerant Line Cover OTHER Iltties and Workmen's Comp for Our Work Performed ❑Smoke Detector-ExistingfNew with Existing Codes ❑Straps C7 Crane/Genie Lift i9-Wunfin ware of Stand for Air Handler C r Tvllc ❑Extend Slab L9Am`Slab CLUwrltas Code Strapping ❑Labor Needed ft WARRANTIES 1 Year Warranty by All Year Cooling on work performed,and j1penser r�rears �rZ_Years manufacturer's warranty on equipment unless otherMse stated below. —�Q-Years Years LEW wawa bYSder In ft mod Is M=W WUP Coll )Years INVESTMENT BREAKDOWN DFTAILS OF 1•K PERFORMED in R Permit $ ISO WIRY Rebate $— Z6 $ W46 Man.Remote $ $ � �, Miss Credits $-.—�0$ $ «.. Toted Investments $ $ $ Extended warranty $ Belence Due $ :;?c I $ Iva Any fi>a�g mlat be wren*2411mae l�to erermt any work Bonn of rayn,�t ❑C8St1 19 * ❑� ❑ adhnae Due tafeekoden Upon CMRPWon of Job. yes CUft a 9WZkre Do Mme&CAMI69.94CME1506x,U16711,03E=13.EFW129M SEE REVERSE FOR TERMS AND CDNMIONS SNP Miami .Shores Village Building Department 10050 N.E.2nd Avenue R Miami Shores, Florida 33138 Tel. (305) 795 2204 Fax.(305) 756.8972 AIR CONDITIONING REPLACEMENT DATA j 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. yy�� Job Address(where the work is being done): 541 N V E 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 ET'NO❑ Contract Attached:YES UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER Z E' Mk LO-RA4 AHU or PKG.UNIT MODEL# Y-A COND.UNIT MODEL# tj h12 ItJ KW HEAT 10 NOM TONS AHU$D CO -5 PKG 1 M.C.A AHU 51 CU Zrj PKG AHU(pO CU$5 PKG 2)M.O.P AHU 6a CU 315 PKG AHUM CU DPKG 3 VOLTS AHU23CCU230130 PKG UNIT / / PKG UNIT !U EER/SEER YES REPLACING DUCTS YES NO REPLACING THERMOSTAT dM NO YES NEW 4"CONCRETE SLAB MF NO YES NEW ROOF STAND YES YES CNW NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity(Wire Size): (p I r). 2. Maximum Overcurrent Protection(Fuse/Breaker Size): r) a b&p 3. Voltage of Circuit(208/240/480): 30 4. Size Disconnecting Means: —,} Contractor's Company Name: 1�O 4 Phone: State Certificate or Registration N.CACOS$I Sq Certificate of Competency N. e-)-1 C 5 q Signature 4 Date: cl•'7 . h..- (Qualifier's signature only) now e e uertificate AHRI Certified Reference Number: 3412296 Date: 8/27/2012 Product: Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number: 14AJM24 Indoor Unit Model Number: RBHP-17+RCHL-24A2 Manufacturer: RHEEM MANUFACTURING COMPANY Trade/Brand name: RHEEM 14AJM SERIES Manufacturer responsible for the rating of this system combination Is RHEEM MANUFACTURING COMPANY Rated as follows in accordance with AHRI Standard 210/240-2008 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): 23400 SI=1 Ft t tin .(Ct�t ling}>." 15.00 ' a xF. , 3' *Ratings followed 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)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims ap liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data fisted on this Certificate.Certified ratings are valid only for models and configurations listed M the directory at www.ahridimetory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products ofAHRL 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 arty means,except for the user's individual,personal and confidential reference. CERTIFICATE VERIFICATION The information for the model ekerd on this certificate can be vedfied at www.ahridirwWry org, "IMP, Alr-Conditioning,Heating, cpck on"Verity Certificate"link and enter the AHRI Certified Reference Number and the date on and " Institute which the certificate was issued,which is listed above,and the Certificate No,which Is listed glow. 02012 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 129905512646009266 Manual S Compliance Report oot Entire House By: ALL YEAR COOLING AND HEATING 1345 NE 4TH AVE,FORT LAUDERDALE,FL 33304 Phone:954 566 4644 Fax:954 640 0200 Web:ALLYEARCOOLINGANDHEATING.COM i I For: PAVONE 541 NE 105 ST, MIAMI,FL Design Conditions Outdoor design DB: 90.4°F Sensible gain: 17982 Btuh Entering coil DB: 76.7°F Outdoor design WB: 77.4°F Latent gain: 4704 Btuh Entering coil WB: 63.4°F Indoor design DB: 75.0°F Total gain: 22686 Btuh Indoor FIR 50% Estimated airflow: 780 cfm Manufacturer's Performance Data at Actual Design Conditions Equipment type: Split AC Manufacturer: Rheem Model: 14AJM24+RBHP-17++RCHL-24A2 Actual airflow: 780 cfm Sensible capacity: 16380 Btuh 91%of load Latent capacity: 7020 Btuh 149%of load Total capacity: 23400 Btuh 103%of load SHR: 70% Design Conditions Outdoor design DB: 50.5°F Heat loss: 15089 Btuh Entering coil DB: 69.7°F Indoor design DB: 70.0°F Manufacturer's Performance Data at Actual Design Conditions Equipment type: Elec strip Manufacturer: Model: Actual airflow: 780 cfm Output capacity: 15089 Btuh 100%of load Temp.rise: 0 OF The above equipment was selected in accordance with ACCA Manual S. 2012-Aug-2713:31:04 tg Right-SufteO Universal 201212.0.07 RSU12433 Page 1 C:\Userslroddguez\Desktop\Residential.rup Gallo=10J8 House faces: N wrightsoft Project Summary Date: Entire House By. ALL YEAR COOLING AND HEATING 1345 NE 4TH AVE,FORT LAUDERDALE,FL 33304 Phone:954 588 4644 Fax:954 640 0200 Web:ALLYEARCOOLINGANDHEATING.COM ii I For: PAVONE 541 NE 105 ST, MIAMI,FL Notes: Weather: Miami, FL, US Winter Design Conditions Summer Design Conditions Outside db 51 OF Outside db 90 OF Inside db 70 OF Inside db 75 OF Design TD 20 OF Design TD 15 OF Daily range L Relative humidity 50 % Moisture difference 57 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 12808 Btuh Structure 13878 Btuh Ducts 2282 Btuh Ducts 4104 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 15089 Btuh Use manufacturer's data n Rate/swing multiplier 0.95 Infiltration Equipment sensible load 17155 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 3701 Btuh Ducts 1003 Btuh Heating Cooling Central vent(0 cfm) 0 Btuh Area(ft2) 1098 1098 Equipment latent load 4704 Btuh Volume (fta) 8784 8784 Air changes/hour 0.45 0.23 Equipment total load 21859 Btuh Equiv.AVF(cfm) 66 34 Req.total capacity at 0.70 SHR 2.0 ton Heating Equipment Summary Cooling Equipment Summary Make Make Rheem Trade Trade RHEEM 14AJM SERIES Model Cond 14AJM24 AHRI ref no. n/a Coil RBHP-17++RCHL-24A2 AHRI ref no.3412296 Efficiency 100 EFF Efficiency 12.5 EER, 15 SEER Heating input 0 Btuh Sensible cooling 16380 Btuh Heating output 15089 Btuh Latent cooling 7020 Btuh Temperature rise 18 OF Total cooling 23400 Btuh Actual air flow 780 cfm Actual air flow 780 cfm Air flow factor 0.052 cfm/Btuh Air flow factor 0.043 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.79 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2012-Aug-2713:31:04 RightSuft.8 Universal 201212.0.07 RSU12433 Pagel C:\Userslrodriguez\DesktoplResidential.rup Laic=MJ8 House laces: N