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MC-13-1334 Miami Shores Village ! i JUN 1 Building Department 10050 N.E2nd Avenue,Miami Shores,Florida 33138 Td:(305)795.2204 Fam(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 BUMDMG PerMt.xo. PERMIT APPLICATION Master Permit No. ­6 Lj- FBC 20 CEIAMCAL Permit Typez ='Ve. }-N �\/,Ze7r . OWNER:Name(Fee Simple 4 eholder): r%>c� Phone#: I�, Sc�-O� Address: mss. .. - city: (Z I e state:t Tenantlt.essee Name: + 4 : o .;1 6g I=kO O Ema : x'11 ���. ,� ®.T�c..t�5� JOB ADDRESS: � City: Miami Shores County: Miami Dade Zip: e Folio/Parcel#: t t�a .�6� i �L` l 0 its the Building Hlatorl ally Deslgnated:Yes NO X Flood Zone: i -11�+ - f tom° CONTRACTOR:Company Name: � •.r- C�� /�� Tr,.�,c. Phone#: ���• a Address; I _2(4 S 1- _T City:, ^-�-i State: ' C_ . Zip: 1 _ Qualifier Name: W®S_- � �., .c-+�-� Phone#: -7 8-6-aZl- _LQ;,Vc3 n State Certification or Registration#: C,A C e a Certificate of Competency# contact Phone#:-:)W-g Q ;71 Email Address: Aj L-ntm 0_1 DESIGNER:ArclutectlEngineer. Phone#: Vatae of Work for ibis Permit:$ '6- ` Sgmwl lnear Foo of Work: 9 Type of Work: OAddress OAlteration ONew LtBtrepakftplace ) ODemolition Description of Work: ci s e+s+ e�e�+ a�eee�e*,rye*�$�+�a�+�s�stte eesesees*oses*e�+se*a�+aeea�*�a*axs�a*xeaax�+�e Submittal Fee$�- C Permit Fee _F$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Tr dift/Education Fee$ TechnolW Fee$ Doable Fee$ Sti nctnral Review$ TOTAL FEE NOW DUE$ f 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 to do the work and installations as indicated. I certify that no work or installation has Application is hereby made u obtain a p�t and that all work will be performed to the standards of all laws regulating commenced prior m the issuance nd a pnd t to t must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, conswction in this Jun ction I understand that a separate pernai. WELLS,POOLS,FURNACES,BOILERS;HEATERS,TANKS and AIIt(;O$TDITIONERS,ETA,.... 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 constriction and zoning. "WARNING To OWNER: YOUR FAMURE TO . RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR BIPROVEMENTS TO YOUR PROPERTY. � IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Notice tg Applicant: As a condition to the issuance of a building Permit with an estimated value ezcee&ng$2500, the applicmrt must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a cenred copy of the recorded notice-of commencement must be Posted at the job site for the first inspection which occurs seven (7)days i fter the building permit is issued In the absence of such posted notice, the inspection will not be approved and a coon fee will be charged Si Signature Agent Contractor y4- The fore oing' was acknowledged before me this The foregoing instrument was acknowledged before me this fZ day of 2i)�by 1�`Q(J i � ZL. T day of U ?A by.lye �r► (fit � ' has . known to me or who has produced__ who K P�y kuo to me or who product who is personally as idetiot"tcation and who did take an oath. As identification and who did take an oath. NOTARY PUBLIC: NOTARY PUB C: pp Sign: �l iA / � r-c- �iSh,. Sign: print print� otwy Public State cir Fbdda My Commission Expires: 1 O'13 15� ' TRACEY KATHERINE BISHOP MY mmission Jeanette Vizcafio ` MYComm EE084478 No"Public:mate Of Florida M os Boa° Expires 041142018 *Comm.Expl�O'43,?(i 15 No.EE 134015 t Zug APPROVED BY Exaroiaer Structural Review Clerk M • Wvised 071I0W)W-vi$W 061t0aWXRevised msa) r j - a Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Sham R s, adda 33138 Tel:(305) 795.E For:(305) 756.8972 AIR CONDITIONING REPLACEMENT-DATA PERMIT M=Ek 9C Tide fb m nuest accompwry ALL*conditioning re fit peraft appbdlom E wh urdt ctmge-otd must be on its own data stmt.Mu(t&unit on single stoma are not acceptable. Job Address Oftre the wo*Is being don).16 FE-7 �' e�.. A at�ga Shorn Nfgage CowlW MWW Dade Zip Code: ALL CONDENSING UNITS!MUST BE ON A 414CH SOLID CONCRETE SLAB &L QWrS MST COWLY WITH F.E"WMW FLOOD ELEVATION A COPY OF THE ACT IS REQUOM WITH ALL SUBWTALS -ARI(AHRI)DATA SHEET REQUIRED Change DNcortnectittg means:YES ❑ NO"RHI Sheet Attacdted:YES NO❑ Contract Attad►ed:YES UNIT BEING REPLACED DATA _ NEW UNIT MANUFA PK& N r-r MODEL# _ �®1E3 E<)A go o COND. MODEL# Via.? K N NEAT NOM TONS SL AHU CU 1 M.CA AMU CU P AHU CU G -7 2 M.O.P AHU CU Cp AHU CU PKG 0 3 VOLTS '' AM CU KG PKG UNIT I I PKG UNIT I I EERISEER „ YES' NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT YES YES NO NEW 4%XWCRETE SLAB YES YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES N0 1. Minimum Circuit Ampa*(Yft Size): C—) A 2. Maximum 0vemurrent Probclon(FuseiBreaker Size): A v,..v 3. Voltage of Circuit(20&240/48}): vZ VQ(-�-- 4. Sze Diswnnecft Me=• 60 A t�y ContrecWs Company Nama: phone: State Certificate or Registratbn NC Ar-0;;t.t 39rA CefflIcale of Competency . Signature Date: : e MW ' JUN/12/2013/WED 12: 45 PM FAX No, P, 003 LARI. -1 OP ID KY CERTIFICATE OF LIABILITY INSURANCE osily2o 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERYIMCATE HOLDEik IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, 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 certificate holder In[tau of such andorsemen s. PRODUCER BROWN 8,BROWN OF FLORIDA INC Phone:305-364 780 CO 14900 NW 79th Court Sulte#200 Fax:305-714-4401 PNONB F No; Miami I.Akes,FL 3301 85889 E-b1A1L Robert Munchick INSURM AFERROING CO NAIC# INSURFAA*FFVA Mutual insurance Cc* 10385 INSURED Larrabee Air Conditioning,Ina INSURERS s*FCCI Commercial Insurance Co 33472 DBA Kar&Larrabee Mechanical Contractors tmeuRRRcs*FgRl 19sUrance,Company* 10170 7171 NW 74th Street INSUaERO: Medley,FL 33166 INSURER E 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 INDICATED. NOTWITHSTANDINQ ANY REQUIREMENT,TERM 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'ME TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OP INSURANCE AD0 PO CYNUMBER POLIaY POLICY LUftd7S GENERAL LIABILITY EACH OccuRRENCE S 1,000,00 C X commicIAL cENERN.uASam CPP00073903 07/01/2012 07101/2013 gE e,�,, $ 100,00 CLQU9 MADE a OCCUR MED EXP(Any one per=* S 5,00 PERSONAL&ADVINJURY $ 100,00 GeW-RAL AiWREGATE 2,000,00 GEN1 AGGREGATE OMIT APPLIJ PER: PRODUCTS-COMPIOPAGG $ 2,000,00 P°uCY FR7 O L� $ AUTOMOBILE LIABILITY I 1,000,00 $ Ix ANY AUTO CADOUS1175 07/01/2012 07/01/2013 BODILY INJURY(Per person) $ ALLOWNEO SCHEOULM AUTOS AUTOS somILY WJtN mueno $ HIREDAUTOS X AUTOS OWNEO ROPER $ AO" r t $ X UM BMLLA UAH X OCCUR EACH OCCU $ 5,000,0 B EXCMLIAe CLAILS-MADE UMBOOO66795 07/0112012 07101/2013 AGGREGATE DED I X I RETUMON$ 10.000 1 $ WORIMRSCOMPENSATION X AND EMPLOYERS'LIABILITY A ANY PROPRIE r.of,WARTNENE,D,M III VE YIN C84000293452013A OS/1 Ofx013 09/1012014 EL EACH ACCIDENT $ 500,00 iEXOLUDED7 � NIA qr E.L.DIS -EA EMPLOY S 600,00 DESS�i FI V OF OPHRATIONB bg-. E.L DISEASE POLkCY LIAAI f $ 500,00 DBSCR nCN CF OPSRAMONS/LDCATr6b1S/VMW M(Ameh ACORO l04,AddlHmml Remarks Sahedula,H mcwa mpmo Is mauired) CERTIFICATE HOLDER CANCELLATION MIAMI55 SHOULD ANY OF THE!ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERM IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NR 2nd Ave AUTHOFIRW ROPRESF.NTATM Miami Shores,FL 33136 ✓ �_.,,.�.,_� 01900-2010 ACORD CORPORATION. All rights reserved. ACORD 25(20101 The ACORD name and logo are registered marks of ACORD C— N O W k� d Tit N 1' � �'' �� �� �`�ODE• tAlt,�'• �'.::$Ia'.S'• '. ;,-.�. � x'�� :•,. !s.-...�: �a' -r :,•. ' :> TSCENSE I1BI2�,,•°_ .� s: :•4 SEC#L32071700824 U7'':1Z' Oi :--n.0a =4 79' :The :CLAS ilc Under tote 9D CERT�F xpirata,q� t�. AU P� : = I, 2.014 d: ►, .•.f� r LARRiaLe `DEB AIR. bC- C , !;•;t,� ,:: '::sa 717 I�ChT VR'ST$ggT'� N�1'G IN � �__• , 7..; -. ' j i Y. •r •S r'-' FL $_ 166=.�p,s�;y Z;�!_ T r•• •ry , ".wit Te t yFl. .. a�•_': %i. :. :9: >4 ' 4_+'t�' 't e�' u•A Y� � � .; ,� , >e •!' ��L��{�.�`"7�y��.•,�^ •.•N ,. �,. �. tv, 7y, ;'�I;w la! J`::'• :'�' � !�•! u"'y : I _ • ._ �•:� : :•: �< '3:;,` t; r=;? ,:rf ';y a�a sKES�C�T LAWSON ' o _ DISPL"AY,4S �`��`� _ _ RF( UIRED'B11Al+V '�-=� RETRY b 0 0 JUN/12/2013/WED 12:45 PM FAX No, P. 002 c IA�tdi!-rDAnr:Gou is a: ��;:� :> : •.: °; �q O I%j1 A Di7*GV,UNTY S TAX RECEIPT '18'';::•.i.+ FIRST-GLASS •CTg7GQO.LL'E'C7'.t1R:•.`'+:. ':i.1't'• '.2t1•. ., 40.W, S'�:'r :•1 cx"• F6±0FifDX1 _ s. U.S.POSTAGE ,mat I3�R ' •':` -: ;.•;:;�P'A�rt�'�til��T LiE�ISP���E 917'PLACP F�F3ilSINESS'.•� *e k�N PAID �." aAAtAl�l,pL:B, p '.;;. ?rh:`iF�hjl�S,tJ14�tT O�:OCINTY'C�JbE G F = MIAMI,FL r,;'• .'•. ' �� HIA ii#'eA- 1fi�.'9&HD ' _.....,.. ._a..._•a:: .a.•.z..•• as°• ,. a i PI:RMR NO-231 :.s:_.°,..w..i:..rtda..:s..'r.•�._•w:fi°.'.r_Y'i:.i�.4°v�.:�!'_._._?•{•_T_ . i,s�•a�.`�t- 025797-2 THIS tS NOT A BILL--DO NOR-PAY RENEWAL. BURR AH NYT CONDITIONING INC STATER CAC00 309 025797-•2 7171 NW 76 ST 33166 MEDLEY OWLAPRABEE AIR CONDITIONING INC niyeegACl CHANICAL CONTRACTOR WORKER/S Brava �YRA PA,• 1 a N:QS71Np�T�o�Qyy1Pu(��01A•[E:A n P ZONING -9 LLA Fry GN couNry ow Gm®. DO NOT FORWARb PECHUSIR ' UGG EE RSpUWE06y ICAT H F LARRABEE AIR CONDITIONINe INC 7�',GT A OEq'�RWAUF NORMAN L LARRABEE PRES 7!1f 1�8 RaOLDER'B QUAUFfGA• 7171 NW 74 ST ���gqa�AA'pp� Ago 7171 MEDLEY FL 33166 OOLLEOTDlt 09a03860 �•. . aa0045.00 �• •r,�A.�' � -i��t l,�tH�,����'t,���;i`3���'��) t ��-3a����l;�•�•�it� �ltil•fr : Larrabee Air Conditioning, Inc. 7171 NW 74h Streed M1am4 FL 33166 Phone.305-887-1573: 887-5184 Fax:885-0994 Proposal Pate:June 12.2013 Proposal submitted to: Fran Everett&Associates 9600 NE 2r'd Avenue M1=d Shores,F133138 Phone: 727-599-9079 Job Location: 9608 NE2edAve.Miami Shores Attn: Fran Everett We hereby propose to furnish material and labor in accordance with specifications below,for the sum of Six thousand six hundred and fifty dollars 00/100 $6,650.00 Larrabee Air Conditioning,Inc.proposes to furnish material and labor necessary to install a new American Standard roof top package unit as follows. 1. Demo:Remove the existing 5 ton roof top unit and take to salvage yard. 2. Install new factory roof curb in same location as old unit. Secure to roof with 12-lag bolts 3/8"x 4"long as shown on shop drawings furnished by this contractor. 3. Set new American Standard PK unit model TSC060E3EOA000013 SEER,on new curb and secure to curb. 4. Reconnect new unit back to the existing duct system,electrical and drain system. No warrantee on the existing duct system. 5. Install factory OA hood and set for 200 CFM O/A. 6. Install 10 KW electric heater into unit. 7. Warrantee:This contractor will give one year parts and labor for work performed under this contract. Additional four year warrantee on compressor only as per manufacturer's warrantee. 8. Price:$6,650.00. Note: This Proposal may be withdrawn if not accepted within 30 days. Authorized Signature All materials are guaranteed to be as specified.All wok to be eamplaW in a warlmraoL'ke man=accoding to standard prackes.Any alterations or dev lion fiom spedfiaadons above involving extra cod will be atemned only upon wnum orders and will become an ext[a charge over and above*e estimate.All agreements are ommalleat upon acmdents or delays beyond o0 contmL Acceptance of Proposal: The above prig,specifications rand conditions tine satisfactory and are hereby accepted. You are aWholuW to do the work as specified Payment win be made as outlined above. Date of acceptance: Signature Signature r N O W C :6.. co z TA AC day ` a T :./_1 •,•/7 US IaTI �l � RY , R _GUI�AT'IC3N - r } •. � � �eiiiY Sii � f�> f •.t.•.." •� ' i�.07170082¢ 1 � •p. '17: 2=012t::x .,.. ..;� , aM,, R.��`• 2130-0 p - CLAS °k Named:be�ov�v .� $ F }�F�O��LtTiTeP rati P ioas o Pt = ha 1 y.' �•`- •� � :�.:.� 3, � , 2.0141. 7271 NW' 7 CONI?IT ©N1`G i STREET ^ MT7lMT ;- FL.,<3� 166 '`^�td�? 'a"�•t:!'V.I.Z- •.•� '. r �i 1� `:: 5•' � .�. .� Ygl'�Nia,�W F,� � � —�dri °•� : 1 GovupxoR If Karr LAWSON ° _.•---•--._._._..________.__ _. :�=:F•,r , •cam'.._ SECRETARY. --- --------• AS REQUIRED'8o L4W• b • o 0 N Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number. INSP-197810 Permit Number: MC-6-13-1334 Scheduled Inspection Date: August 26,2013 Permit Type: Mechanical-Commercial Inspector: Perez,JanPierre Inspection Type: Final Owner: EVERETT,HENRY AND FRANCES Work Classification: A/C Replacement Job Address:9600 NE 2 Avenue Miami Shores, FL 33138- Phone Number (727)461-4370 Parcel Number 1132060132510 Project: <NONE> CONDITIONER INC Phone: 305 887-1573 Contractor. LARRABEE AIR CONDI ( ) Building Department Comments REPLACE PKG UNIT ON ROOF Infractto Passed Comments INSPECTOR COMMENTS False LARRABEE11 @GMAIL.COM PERMIT PAID BUT NOT PICKED UP. ROOFING PERMIT MUST BE ISSUED FIRST BEFORE THEY CAN SCHEDULE ANY INSPECTIONS 7/11/13 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-193478. by rick larabee V6 Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 23,2013 For Inspections please call: (305)762-4949 Page 13 of 24 JUL/11/2013/THU 12:37 PM FAX No, P, 001 ------ LARRA4 OP ID:RG CERTIFICATE OF LIABILITY INSURANCE m06M/2013 D YI THIS CERTIFICATE 19 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(Ies)must be endorsed. If SUBROGATION 13 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 certificate holder In Ileu of such endorsemen s. PRODUCER Phone:305-364-7800 NAM BROWN S BROWN OF FLORIDA INC Fax:305-774.4401 P oNs 44900 NW 79tH Court Suite#200 ++ Miami Lakes,FL 33018.5869 E Robert Mu"rhick 01SUR AFFORDING CWARAGE NAIC 0 INegg A:"FFVA Mutual Insurance Co' 10385 --azen ' Larrabee Air Conditioning.Inc INSUREts:`Amerisurs Insurance Company* 1848 Kar&Larrabee Mechanical dba INSURERc I*Amerisure Mutual Insurance Co 23396 Kar&Larrabse Mechanical DBA 7171 NW 74th Street IXsu n: Medley,FL 33166 INSURERS: RFRFt 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 INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM 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 CONbrrloNS OF SUCH PouclEs.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R YYPE OF INSURANOB ADD POUGYNUMBER Y P LIMITS t�QteaAt uAalLttr FACH ocoURRENCE es 1,000, C X cotOaERCIAL GENERAL LIABILITY CPP2088167 07/01/2013 07/0112014 EMISES Eeod6trrteltce S 100,000 CLAIMS-MADEEK OCCUR &im sxA tAn ono Po�On? S 5,00 PERSONAL&AOV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000, GEMLAC,GREGATELIMITAPPLIESP.ER: FRODUCTS-COMP/OPAOG $ 2,000, FOLICY X P►iO LOC $ AUTOMOSILE LIABILITY INED SINGLE LIMIT Ea aaZt 1.000.00 $ X ANY AUTO CA2088166 07/01/2013 07/01/2014 BODILY INJURY(Per person) S ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per aaddaAn S X HIREDAUY08 X NON-OWNED PER7Y MaAGE AUTOS araadEa S S X UMBRELLA LAS X OCCUR L'A/.'H OCt;uRRENCE $ 5,000100 C EXCEMS L1AB CLAIMa AADE CU2088108 07/01/2013 07101/2014 AGGREGATE S 5 000,00 . DED LJ RETENTION S NIA $ WM9GRSC0AftNSATION X SYA U- OTH AND 9UPLOYERV uAsILnY _ A ANY PROPRie70fWAWN9wdtEDUnvs j�j WC84000283482013A 05110/2013 05/10/2014 F_L,OACH ACC;IoSNT S 500,00 OFFI aw9MBER EXCLUDED? L J NIA Piandatury Nni &L.DISEASE.GAKA1PLOY S. 500.00 DE yea. OPERATIONS below E.L.DrsEASE-POLICY ua11r 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Addhlonal Remarks Schedule,if mare W6e Ic regalred) CERTIFICATE HOLDER CANCELLATION MIAM155 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shares Village YHE 00nR0.TION bATI= THEREDF, NOTICE WILL 6E 10151-1VERED IN Building Department ACCONUMCE WITH THE POLICY PROVISIONS. 10060 NE 2nd Ave AUTHORrZEDREPRESENTATWE Miami Shores,FL 33138 �. ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD s� r Certificate of OP""roduct Ratings AHRI Certified Reference Number: 5491641 Date:6/11/2013 Product:Single-Package Air-Conditioner,Air-Cooled Model Number.TSC060E3*0A**00 Manufacturer.AMERICAN STANDARD,INC. Trade/Brand name:AMERICAN-STANDARD Manufacturer responsible for the rating of this system combination Is AMERICAN STANDARD,INC. 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): 60000 EER Rating(Cooling): 11.00 SEER Rating(Cooling): 13.00 FootNote 11-The AHRI 2101240 certified EER ratings are calculated under the same methodology as the EER ratings at T1 Conditions of ISO 5151:2010 and ISO 13253:2011. "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)dated on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed an tits certmcate.AHRI expressly dlschthns all uability for damages or any khnl arising out afire use or perk mnance of the p roduct(sb or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations Iced in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This certificate shah only be used for Individual,personal and confidential reference purposes. The contends athis Certificate may not,In whole or in part,be reproduced;copied;disseminated;entered into a computer database;or otherwise uURzed,in any fom or manner or by any meaner,except for the user's individual,personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at wwmahrldirectory org, Air-Conditioning,Heating, click on"Verily Certificate"link and enter On AHRI Certified Reference Number and the data on No ILI and Refrigeration Institute which the certificate was Issued,which is listed above,and the Certificate No,which Is listed below. 02013 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 130154502198931048 Y ' HEATING & AIR CONDITIONING 3-10 Ton R-410A PKGD Unitary Cooling Rooftop . . . . _ Name 7ob01 Tag Address Quantity Sales Team Model Number TSC06OE3EB-0- 000000-00 Comments Unit function DX cooling Unit efficiency Standard efflclency Airflow Application Downflow Design Airflow 2000 cfm Tonnage 5 Ton Cooling Entering Dry 80.00 F Bulb Cooling Entering Wet 67.00 F Ent Air Rel Humidity S1.08% Bulb Ambient Temp 95.00 F Total Heating Capacity 20.49 MBh Heating EAT 70.00 F Voltage 208-230/60/3 Design ESP 0.500 In H2O Airflow Convertible configuration Unit controls Electro-Mechanical Heating capacity 6 kW @240,480,600 controls 3 ph derate to unit voltage Evaporator Face Area 7.71 sq ft Evaporator Rows 4 Evaporator Fin Spacing 192 Per Foot Evaporator Face 259 ft/mIn Velocity Min.Unit Operating 613.0 lb Max Unit Operating 797.0 lb Weight Weight Rated ca ARI 60.00 MBh ASHRAE 90.1 Yes IPLV @ ARI 0.0 IPLV Gross Total Capacity 62.27 MBh Gross Sensible Capacity 48.11 MBh Gross Latent Capacity 14.16 MBh Evap Coil Leav Air 57.73 F Fan Motor Heat 2.65 MBh Temp(DB) Net Total Capacity 59.62 MBh Net Sensible Capacity 45.46 MBh Net Sensible Heat Ratio 0.76 Number Cooling Leaving Unit DB 58.95 F Cooling Leaving Unit 57.40 F Evap Coil Leav Air 56.93 F WB Temp(WB) Dew Point Temp 56.41 F Refrig charge(HFC- 9.4 lb 410A)-ckt 1 Refrig charge(HFC- 0.0 lb Saturated Discharge 121.07 F 410A)-ckt 2 Temp Circuit 1 Saturated Suction 52.21 F Saturated Discharge 0.00 F Temp Circuit 1 Temp Circuit 2 Saturated Suction 0.00 F Temp Circuit 2 _, •..... IPLV 0 ARI 0.0 IPLV IPLV @ ARI 0.0 IPLV Output Htg Capacity 20.49 MBh Output Htg Capacity 23.14 MBh Heating LAT 79.43 F w/Fan Heatina Temp Rise 9.43 F IPLV @ ARI 0.0 IPLV Field Supplied Drive Kit None Required Electric Heat Static 0.056 In H2O Component SP Add 0.000 in H2O Press Add Indoor RPM 973rpm Indoor Mtr.Operating 0.78 bhp Page 1 SiEwdad HEATING A AIR CONDITIONING Power Indoor Motor Power 0.58 kW Outdoor Motor Power 0.40 kW Compressor Power 4.34 kW System Power 5.32 kW MCA 29.50 A MOP 45.00 A MCA(230 w/Hec Heat) 29.50 A MOP(230 w/Elec Heat) 45.00 A Compressor 1 RLA 17.60 A Condenser Fan FLA 2.50 A Evaprator Fan FLA 5.00 A Electric Heat FLA 12.50 A Electric Heat FLA(230 14.40 A SEER/EER @ ARI 13.00 btuh/watt V) Compressor 2 RLA 0.00 A Exhaust fan power 0.65 kW IEER Rating 0.00 IPLV @ AU 0.0 IPLV Roof curb Roof curb Fresh air selection Manual outside damper 0-50% Page 2 4 S HEATING 8 AIR CONDITIONING TOP PANEL ONDENSER FAN EVAPORATOR SECTION ACCESS PANEL CONDENSATE DRAM(ALT) 3/4•-14 NPT DAL HOLE ,,-CONDENSER COIL 41/4" 23 9/1(• UNIT CONTROL WIRE 7/8"DW.HOLE 42 14" CE GAUGE PORT ACCESS 13/8°DIA.HOLE UNIT POWERW IRE OLAND COMPRESSOR ACCESS PANEL 2'ELECTRICAL CONNECTION (SINGLE POW POWER WHEN HEAT WSTALLED) ISOMETRIC-PACKAGED COOLING 35/8 14" 9111V 15112' 4' 18" SUPPLY 24' RETURN O THROUGH THE BASE ELECTRICAL (REQUIRES FACTORY INSTALLATION) 213/18° 43fl8" 7J IS 11/8" THROIM 47/8' 2312" THEBASE 51fl6' CONDENSATE AIR ROW (FACTORY INSTALLED) DOWNFLOW-PENETRATION 361/4" HORIZONTAL RETURN 1� AIRFLOW SUPPLY 143W 201/4• 9 5/8' 5�, 43W 1111 Ezz:j 1 00 171/4' 8718" 13 V4 3118" 41/4" 59118• CONDENSA 75V 89 7/8' 44 1/4° HORIZONTAL-PENETRATION RIGHT-PACKAGED COOLING Page 3 A - HEATING & AIR CONDITIONING r SUPPLY RETURN 314"-14 NPT DRAINCONNECTION 23 9/18• \411/4" r ISOMETRIC-PACKAGED COOLING Page 4 1 I HEATING 8 AIR CONDITIONING *ELECTRICAL/GENERAL DATA GENERAL RH4i(e) WITHHEATER Model: TSC060E Oversized Motor Heuer kW Rating: 456.0 Urdt Operating Voltage: 187-253 I CA: WA Slaw 29 5J29.5 Lk*Primary Voltage: 2D8 MFS: WA L"Se-dary Voltage: MCB: WA MFS 45.0/45.0 Lkdt i MCB 450/45.0 Unit Phase: 3 SEEM 13D Starxi rd Motor Reld Installed Oversized Motor Owwatmd Moor Field Iretatied Oversized Motor Minimum Ch AAmpadty: 285 MCA: WA MCA: WA MCA: WA Maximum Fuse Size: 45.0 MFS: WA MFS: WA MFS: WA Maximum(HACFQ Cirouti Breaker 45D MCB: WA MCB: WA MCB: WA INDOOR MOTOR Sarbard Mom Oulsimd Motor Field Installed Oversized Motor Numbs: 1 Number. 'WA Number: WA Horsepower: 1.0 t orsepower. WA Horsepower. WA Motor Speed(RRM): – Motor Speed(FIRM): WA Motor Speed(Rte: WA Phase: 3 Phase: WA Phase: WA Full Load Amps: 55 Hill Load Amps WA Full Load Amps: WA Locked Rotor Amps 322 Looked Rolor Amps: N/A LcakedRotwAmps WA COMPRESSOR Chcult 1/2 OUTDOOR MOTOR Numb: 1 Number: I Horsepower. 43 Horsepower: 0.33 Phase: 3 Motor Speed(RFI M): 1075 Rated Load Amps: 145 Phase: 3 Locked Rotor Amps: 91D Full Load Amps: 2.5 Looked Rotor Amps: 6.6 POWER EXHAUSTACCESSORY (3) FILTERS REFRIGERANT (2) (Field Installed Power Exhaust) TWO R410 Phaae: WA Type: Throwaway Horsepower. WA Fumtohad: Yes FadoryCharge Motor Speed(RPM): WA Number 2 Chun 81 9.4 lb Full Load Amps WA Ftocormnerded 20'x30 x1' Chill 182 WA Locked RotorAmps WA NOTES: 1.Maximum(HACR)Chaff Breaker suing is forkatailadons In the United States only. 2.Refdgera t chaWIs an aWmI matevalue.Fora rove precise value,sea unit nameptateard service Instructions. 3.Valle does rothckide Paper Exhaust Accessory. 4.Vake htdkdes oversized motor. 5.Vale does rcthclude Power Exhaust Accessory. 6.EER Is rated at ARI cardtions and in aacordartce with DOE Test procedures Page 5 ,r r-•- � • • i I - r 1 °__ ------ 111111�ll. 1����� '• - - D 1 � ------ — ---- --- --- 1 MOTORIZED OUTSIDE AIR DAMPER �i LINT MOUWEDCRCUrr BREAKER(FlOPS) POWERED a CoNvENocE•- • -- -- Nu A \\;� . �. x. a HEATING & AIR CONDITIONING CLEARANCE FROM TOP OF UW 72 CLEARANCE 36' CLEARANCE 48° u, SUPPLY RETURN DOWN FLOW CLEARANCE 36' HORIZONTAL CLEARANCE 18' CLEARANCE 37° PACKAGED COOLING CLEARANCE ROOF OPENING -,,,_ 1 1 1 1 UNIT OUTUNE-,",� I � 4412° I 1 I I 40' 3/16° DOWNFLOW-ROOF OPENING Page 7 AmmCao SAwd"d HEATING A AIR CONDITIONING 0 MANUAL OUTSIDE AIR HOOD ..t{•Jy {MLS: :• Tom;;; UAL OUfSIDEAM HOOD S y'':S y •{1f1:' 6'V4" a I--121/2• ACCESSORY-MANUAL OUTSIDE AIR HOOD Page 8 Sd HEATING 9 AIR CONDITIONING 1 314 14" 1314"� 65 a/4" 41711(r r r ACCESSORY-ROOFTOP CURB 61 a/4" 2215/16" 149116" i" 16 W 1" 1" 1713/16' 26 3/16" ACCESSORY-ROOFTOP CURB Page 9 aft Sd HEATING & AIR CONDITIONING 243* 141/18' �16 3/18" I I 171/18" I Duaft raM Comacbm-aaldFatricged alFlanaffl-I W ACCESSORY-DUCT CONNECTIONS Page 10 , w skid HEATING S AIR CONDITIONING General The units shall be convertible airflow.The operating range shall be between 115°F and 0°F in cooling as standard from the factory for units with microprocessor controls.Operating range for units with electromechanical controls shall be between 115 OF and 40°F. Cooling performance shall be rated in accordance with ARI testing procedures.All units shall be factory assembled, internally wired,fully charged with R-410A , and 100 percent run tested to check cooling operation,fan and blower rotation,and control sequence before leaving the factory.Wiring internal to the unit shall be colored and numbered for si nplif ed identification.Units shall be UL listed and labeled, classified in accordance to UL 1995/CAWCSA No.236-M90 for Central Cooling Air Conditioners.Canadian units shall be CSA Certified. Casing Unit casing shag be constructed of zinc coated,heavy gauge,galvanized steel. Exterior surfaces shall be cleaned,phosphatized, and finished with a weather-resistant baked enamel finish. Unit's surface shall be tested 672 hours in a salt spray test in compliance with ASTM B117. Cabinet construction shall allowfor all maintenance on one side of the unit.All exposed vertical panels and top covers in the indoor air section shall be insulated with a cleanable foil faced,fire-retardant permanent,odorless glass fiber material.All insulation edges shag be either captured or sealed.The unit's base pan shall have no penetrations within the perimeter of the curb other than the raised 1 1/8"high downflow supply/return openings to provide an added water integrity precaution,if the condensate drain backs up.The Hesse of the unit shag have provisions for forklift and crane lifting,with forklift capabilities on three sides of the unit. Unit Top The top cover shall be one piece construction or,where seams exist,it shall be double-hemmed and gasket-sealed. The ribbed top adds eAra strength and enhances water removal from unit top. Filters One inch,throwaway filters shall be standard on 3-5 ton units.Gas Electric/Cooling only standand efficiency,3-4 Ton standand efficiency Heat Pump, &3 Ton High efficiency. units.Two Inch,Throwaway filters shag be standard on all 4.5 Ton Hight efficiency units&5 Ton standand efficiency heat purr. Compressors All units shall have direct-drive, hermetic, scroll type compressors with centrifugal type oil pumps.Motor shall be suction gas-cooled and shall have a voltage utilization range of plus or minus 10 percent of unit nameplate voltage. Internal overloads shag be provided with the scroll compressors. Crankcase heaters shall be included. Refrigerant Circuits Service pressure ports,and refrigerant line filter driers are factory-installed as standard.An area shall be provided for replacement suction line driers. Evaporator and Condenser Coils Internally finned, 5/16"copper tubes mechanically bonded to a configured aluminum plate fin shall be standard.Coils shall be leak tested at the factory to ensure the pressure integrity.The evaporator coil and condenser cog shall be leak tested to 200 psig and pressure tested to 450 psig.The condenser coil shall have a patent pending'1+1+1 hybrid coil designed with slight gaps for ease of cleaning.A removable,reversible,double-sloped condensate drain pan with provision for through the base condensate drain Is standard. Outdoor Fans The outdoor fan shall be direct-drive,statically and dynamically balanced,draw-through in the vertical discharge position.The fan motor shall be permanerdly lubricated and shall have built-in thermal overload protection. Indoor Fan All 3-5 ton 1-phase units offer shag be direct drive type. Ali 3 phase ID motors shall be belt drive type with FC fans with adjustable sheaves. AD motors shall be thermally protected.All indoor fan motors meet the US. Energy Policy Act of 1992 (EPACT). Controls Page 11 d HEATING & AIR CONDITIONING Unit shall be completely factory-wired with necessary controls and contactor pressure lugs or terminal block for power wiring. Unit shall provide an external location for mounting a fused disconnect device.A choice of microprocessor or electromechanical controls shall be available. Microprocessor controls provide for vok control functions.The resident control algorithms shall make all heating,cooing,and/or ventilating decisions in response to electronic signals from sensors measuring indoor and outdoor temperatures.The control algorithm maintains accurate temperature control, minimizes drift from set point,and provides better building comfort.A centralized Microprocessor shall provide antfshort cycle timing and time delay between compressors to provide a higher level of machine protection. ®ectric Heaters Electric heat modules shall be available for installation within basic unit.Electric heater elements shall be constructed of heavy-duty nickel chromium elements intemally delta connected for 240 volt;wye connected for 480 and 600 volt.Staging shall be achieved through RellaTel?. Each heater package shall have automatically reset high limit control operating through heating element contactors.All heaters shall be individually fused from the factory,where required, and stall meet all NEC and CEC requirements when properly installed.Power assemblies shall provide single point connection.Electric heat modules shag be UL listed or CSA certified. Manual Outside Air Damper This rain hood and screen shall provide up to 50 percent outside air. Roof Curb The roof curb shag be designed to mate with the unit's downflow supply and return and provide support and a water tight Installation when installed properly.The roof curb design shag allow field fabricated rectangular supply/return ductwork to be connected directly to the curb.Curb design shall comply with NRCA requirements. Curb shag be shipped knocked down for field assembly and shall include wood nailer strips. Page 12