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MC-13-134 I pe t ion Worksheet is Shores Village 10050 .E. d Avenue Miami Shores,FL Phon (30 95-2204 Fax: (305)756-8972 Inspection Number: INSP-196273 Permit Number: MC-1-13-134 Inspection Date:August 05,2013 Permit Type: Mechanical-Commercial Inspector: Perez,JanPierre Inspection Type: Final Owner: , Work Classification: Repair Job Address:9710 NE 2.Avenue Miami Shores,FL 33138- Phone Number (954)553-0553 Parcel Number 1132060132350 Project: <NONE> Contractor: WEDGEWOOD AIR CONDITIONING Phone:954-454-9636 Building Department Comments Install new duct workCHANGE OUT 3.5 TON A/C Infractio Passed Comments PACKAGE INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-184672. need outside air jpp Failed Correction Needed Re-Inspection a Fee No Additional Inspections can be scheduled until re-inspection fee Is paid For Inspections please call: (305)762-4949 Miami Shores Village Building Department JAN 2 5 2013 l 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 )))) Tel: (305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 41,BUILDING Per %mit No. ' " PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: MECHANICAL OWNER:Name(Fee Simple Titleholder):-S� J Eels 1,LC- Phone#: '-�f6 .2�1 O Address: City: State: i" L Zip: Tenant/Uss�ee Name: r (' O e �l9 c„{t,' �t Phone#: 8 _`(�1•t?fi9b Email: re-0- ihyo � rz:A-n.C .r Lcsw� JOB ADDRESS: City: Miami Shores County: Miami Dade Zip; 213 Folio/Parcel#: 3,?,c6®) 'S Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR:Company Name: Phone# Address: �A t<� City: " o— State: gip; 4,70499 Qualifier Name: f'r fd Phone#: 1TT—Fli f— 107 State Certification or Registration#: e If C-Q '3 s"T3 Certificate of Competency#: Contact Phone#: x-r-gry—!N74 Email Address: �at✓' K 7® ®G�lhtc�`� �°h v- DESIGNER:Architect/Engineer. Phone#: Value of Work for this Permit:$ Square/Linear Foo a of Work: Type of Work: OAddress DAlteration ONew 3Cpair7Replace ODemolition Description of Work: ty ✓bl� �. r,��°I- �/� ' D ar tAl 03 0 i Submittal Fee$ � � "�� Permlt 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) 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..... 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 attachment. Also a certified co o the recorded notice o commencement must be posted at the job site whose property is subject to atta copy f f P uch posted otice the s after the building permit is issued. In tJ� ence o s , or the first inspection which occurs seven (7) day f g p f P f .� P inspection will not be approved a reinspection fee will be charged Signature i Signature Owner or g Contractor The fore oing instrument was ac wledged befo e m this The foregoing instrument was acknowledged before me this day of 20_, y 1 day of r 20 ,byLrn. K rd(.°yt ,/L4 orally known wh 'ipersonally known or who d who is me or who has produced�c�pp� As identifica}i#3�n aiYd• "nth. as ide did take an oath. Goo Est 9, F�,o°. �� �*';""•"K JEANNET E: m ouiz NOTARY PUBLIC• o� 20 • NOTARY°PUBL �3F r: /? Q r�,9� MY COMMISSION#EE038097 * • s•® ;*m EXPIRES October 28,2014 'e ; #EE 209881 : ° $j (40713^:'-°'`3 FlotdallotaryS�nF.+b.eoa� Sign �: Print: f •°• B�eded ih� •.`Owe Print: My Commission Exp' s: ��� fBZIC•3TA �e���°�� My Commission Expires: �c9(r3 1I({ r ( 9t//r�11N4t90.11 I 77"" xa�APPROVED BY lans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 061102009)(Revised 3/15/09) May 13 2013 8: 51 WEDGWOODRIRCONDII 4543787 p. 2 , 3y Wedgewood Air Conditio ngq..Co.. 3 70 Awixt Plvd. Hallandale Beecb,FI 33009 954-454-•9636 office 954-454-37,67 fax t CAC 035530 Prop WA1.1069-A Sausage 03/18/2013 Proposal/Contract Ruben Matz ' 9722 NC 20d Ave Mialxii 33,138 To 7$6.240:$815 . To install a now.3.5 ton "American Standard"(13.0 S.E,E.R.)wan tno>l rated a/c:package-unit(beat pump) To.inAude: • New custom fabricated angle iron wall bracket to replace the.existing totted bracket Hook up to the existing electXicsal:and-ductwork • 1 year labor,5 years parts, 10 years compressor wfirtanty GrnergL Job-gegA fta*down; Equlpm,OW $2,800.00 New wall bracket $630.00 Arit:hors, .sheet metal and incidental.materials$375:00 Labor S77s.00 Custgmers tos....................................................................................5 44600.00. 5W,,deposit, Balance upon complerlan, C.O.D. Permit fees and anoneeiriAg-sire not included The above prices,specifications sad eoadimms are satisfactory apa are herby accepted. You arc authorized to do the work as specified. Payment whi bg•uade as mitilsed above. All merebandtsc sold apd delivered to the puivhw cr abaci Gematn tko property ofthi oenpr and title s4stl not pats to the purchaser ungi.the purebase*Ivr is paid in full. T7 a purchaser agrees to per.any artd all attorney fees under this¢outset mod say liiidat touorOalms•arkhGS retwecntheparries, Upon defatdiarpsymeatofthepurehast price gFothakviabatklneH' thle contract,the slider slmlt be eatltted to n1mmess and remove the membandise iw equipment without recourse to pkotxe8teg cad without,prior aof&e. Ail payments made prior to re posssasion AM be applied as rent for the time used. In the event of default of p&Yasn4 purchau Aspens to pay on costa of eurorelagi vendors rl ,ineht&tg bufantilmited to,reasgrgabtc atterneys e s IOD Approv - orjzbh signature Date. i� • } NEW - WEDGAIR-01 SSIMEON ACORO' DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 412512012 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 CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)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 certificate holder in lieu of such endorsement(s). PRObucER CONTACT NAME: Collinsworth,Alter,Fowler S French,LLC PHONE o Ext 305)822-7800 ac No: 305)362-2443 8000 Governors Square Blvd Suite 301 ADDRE : Miami Lakes,FL 33016 INSURE S)AFFORDING COVERAGE NAIC A INSURER A:FCCI Commercial Insurance Co 33472 INSURED INsuRERB:FCCI Insurance Company 10178 Wedgewood Air Conditioning Co INSURER C: 370 Ansin Blvd. INSURER D: Hallandale Beach,FL 33009 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 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 DLSUBR POLICY EFF POLICY EXP LTR rGENEPAL TYPE OF INSURANCE POLICY NUMBER D MMlDD LIMITS LIABIL ITY EACH OCCURRENCE $ 1,000,000 A MERCIAL GENERAL LIABILITY X X GL00102163 4/25/2012 412812013 PREMISES Ea $ 100,000 CLAIMS•MADE FX-1 OCCUR MED EXP(Arty one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEITL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO-F-1 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acdd.0 AN AUTO BODILY INJURY(Per person) $ ALL ED AUTOS SCHEDULED BODILY INJURY(PeraWdara) $ HIRED AUTOS AUTOS EED PRar BCOIE GE $ UMBRELLALJAB OCCUR EACH OCCURRENCE $ EXCESSLJAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X V1fC STATU OTH- AND EMPLOYERS'LIABILITY B ANY PROPRIETORIPARTNERIEXECUTIVE YIN X 001 WC12AS4191 4/25/2012 4125/2013 E.L.EACH ACCIDENT $ 11000,00 OFFICERIMEMBER EXCLUDED? 0 NIA (Mandatory tn NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 N describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NO Miami Shores Village ACCORDANCE WITH THE POLICY PROVISION8CE WILL BE DELIVERED IN 10050 NE 2nd Avenue Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. 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' � °' :t �r 'GO'YERNOR �'•� ` ` � ., �Sr �`� �� '.�.:c: J �(`:•r'•�..#! .s..'°`�,g',�f�!��' Y'f%'�'=i ;�,-��.�z ('.`";� ECRETARY r" f f tt'`t�'`, ,.�-, -<::^•.,.,, ,.��.., .; :t .�. :�;.DISPCAYAS RE�I}IRED BYLAW :•-.�,-<�=:��,:s ;=� %-;�. ,:��•t.\bf�z.-r `�.. i U.S.POSTAGI PAID MU1N11,FL PERMIT NO.Z THIS IS NOT A BILL-DO NOT PAY 592463-5 RENEWAL BUSINESS NAME/LOCATION RECEIPT NO. 618039-2 WEDGEWOOD AIR CONDITIONING CO STATE# CAC035530 DOING BUS IN DADE CO OWNER WEDGEWOOD AIR CONDITIONING CO + Sec.Type of Business WORKER/S 196 SPEC MECHANICAL CONTRACTOR 10 THUS IS ONLY A LOCAL BUSINESS TAX RECEIPT.IT DOES NOT PERMIT THE - HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE DO NOT FORWARD COUNTY OR CITIES. NOR DOES IT M(EMPT THE HOLDER FROM MY OTHER WEDGEWOOD AIR CONDITIONING CO PERMIT OR LICENSE REQUIRED BY LAW.THIS I9 KROHN BARRY PRES ' THE 10 o oL ALIFtcn- 370 ANSIN BLVD noNS HALLANDALE FL 33009 1 PAYMENT RECEIVED F MIAMI-DAVE COUNTY TAX COLLECTOR: 09/20/2012 60050000346 ty 000075,00 ilfli3ll l!}11tll��itliilttitlllt iti lllltlittff�i/f��I}}ilt'ill�f8 SEE OTHER SIDE L_._. -—-- -..- - ..----.- r---- - ---- -- - - - - --- - -- --- n BROWARD.COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm.A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2012 THROUGH SEPTEMBER 30,2013 DBA: Receipt#:STING%AIRCONDITION CO TR Business Name:IiJEDGEtN00D AIR CONDITIONING Business Type:(CLASS B A/C CONTRACTOR) Owner Name:BARRY C RRoHN/QUAL Business,Opened:03/15/1988 Business Location:370 ANSIN BLVD State/County/C®rt/Reg:CAC035530 HALLANDALE Exemption Code: Business Phone:954-456 6066 � �y�, } }' Rooms r Sea g s Empto ee's J` �IAac Tinos Professionals FAt4 For Vending Business Only T Number of Machines: ; Pending Type: Tax Amount Transfer Fee NSF Fee Penalty F yPfior Ysars yCollection Cost Total Paid r 27.00 0.00. .'_x: <a O.O.o.' *"`.>.'.^.�o.Q ' i�i 0 OQd3 :0.00 27.00 THIS RECEIPT MUST-BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature.You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements.This Business Tax Receipt must be transferred when the business is sold, business name has-changed or you have moved the business location.This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: BARRY C KROHN/QUAL Receipt #13B-11-00010030 370 ANSIN BLVD Paid 09/24/203.2 21.00 HALLANDALE, FL 33009 2012 - 2013 - -- Hl: b=b`�' U 4 �_� .;::% .$ �1� `'.S?'AT OF:FLP IDA° : . w♦ �° r f,�:. ..;:i;7•:;�;Pr;;'+'.:'c l M3 a _. i:,. 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Lauderdale, FL 33301-1895—954-831-4000 } VALID OCTOBER 1,2012 THROUGH SEPTEMBER 3o,2013 i DBA: Receipt#:183-1432 Business Name:WEDGEWOOD AIR CONDITIONING Business Type:HEATING/AIRCONDITION CO i i (CLASS B .A/C CONTRACTOR) Owner Name:BARRY c KRoHN/ouAL Business Opened:03/15/1988 Business Location:370 ANSIN BLVD , State/County/Cert/Reg:CAC035530 HALLANDALE Exemption Code: Business Phons.954 .45.6 6066,= 4• 1 fiN Rooms ��Seats 'Em to ees ' i 5 1 � � Machines Professionals 4 P Y } • , 'dt �3e k; st X10 +g For Vending Business Only >•' t r: za '.�'" Number of Machines: 't,. s - >.Vending Type: Tax Amount Transfer Fee d i NSF Free z r PenaitXy� Prior�Years ., <,colieaion Cost Total Paid 27.00 0.00: :L MW X67b0_. ISM r 6,e 0.00 27.00 ' I THIS RECEIPT.MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT --.This tax is levied for the privilege of doing business within Broward County and(s M y non-regulatory In nature.You must meet ali County and/oi Munic(pality planning WHEN VALIDATED and zoning requirements.Ttiis'Bus.ness Tax Receipt must be transferred when the business Is sold, business name has,changed;or.you have moved the business location.This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: BARRY C KROHN/QUAL Receipt #13B-11-00010030 370 ANSIN BLVD Paid 09/24/2012 27.00 HALLANDALE,' FL 33009 2012 - 2013 — — ———. l9r%,v%iniAt r.w -,o%o%2 Gai-wmi /%A :T A V r%r- 4 Al�l/'►T - ss } t . - r C i WEDGAIR-01 SSIMEON CERTIFICATE OF LIABILITY INSURANCE DATD/YYY1� . 4/126/226/2013 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(S),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 condlUons of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endomemen s. PRODUCER CONTACT NAME: Collinsworth,Alter,Fowler&French,LLC PHONN (305)822-7800 Ne; 305 362-2443 8000 Governors Square Blvd Suite 301 ADD IL Miami Lakes,FL 33016 INSU S AFFORDING COVERAGE NAIC ti INSURER A.FCC[Commercial insurance Co 33472 INSURED INSURER B:FCCI Insurance Company 10178 Wedgewood Air Conditioning Co INSURER C: 370 Ansin Blvd. INSURER D Hallandale Beach,FL 33009 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 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 CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER MMIDD EFF M� LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X X GL00102164 412512013 412512014 PRDAMAGE TO RENTED EMISES Ea occurrence) $ 100,00 CLAIMS-MADE FXI OCCUR MED EXP(Any one person) $ 5,00 X $500 PD Deductible PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEML AGGREGATE LIMIT APPLIESPER: PRODUCTS-COMP(OPAGG $ 2,000,00 POLICY PRO LOC $JECT AUTOMOBILE LIABILITY COMBINED sINGff L MI Ee accident ANY AUTO BODILY INJURY(Per person) $ � OOSWNED SCHEDULED BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PRBOPPEERT DAMAGE $ AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESSLUIB CWMS-MADE AGGREGATE $ DED I I RETENTION s $ WORKERS COMPENSATION X W TOCRY_U STAB- 0TH- AND EMPLOYERS'LIABILITY ER B ANY PROPRIETORIPARTNEWEXECUTIVE YIN X 001 WC12A"191 4/25/2013 4/25/2014 E.L.EACH ACCIDENT $ 11000,00 OFFICERIMEMBER EXCLUDED? u NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 8 ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Wedgewood Ak Conditionin .4 Co.^ 3774 Ansin Blvd. Hallandale$each,F133009 954-454-9636 office 954-454-3767 fax CAC 035530 Prop WA11069-A Sausage 03/18!2013 Proposal/Contract Ruben Rutz 9722 NE 2nd Ave Miami Shores,Fl 33138 786.290.8815 To install a new 3.5 ton "American Standard" (13.0 S.E.E.R.)wail mounted a/c package unit(feat pump) To i1c u e: • New custom fabricated angle iron wall bracket to replace the existing rotted bracket • Hook up to the existing electrical and ductwork • 1 year labor, 5 years parts, 10 years compressor warranty Gen }rt Jab gists break demon: Equipment $2,800.00 New wall bracket .650.00 Anchors, sheet metal and incidental materials$375.00 Labor 5775.00 CustomerseosL.....................................................................................$4,600M 50%deposit, Balance upon completion, CO.D. Pent fees and engineering are not included The above prig,specifications and conditions are satisfactory and are herby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. All merchandise sold and delivered to the purchaser shall remain the property ortbe seller and title shat)not pass to the purchaser until the purchase prise is paid in full. The purchaser agrees to pay any and all attorney fees under this contract and any litigation or claims arising between the parties. Upon default of payment of the purchase price or other viq�atlott of this contract,the setter shall be entitled to repossess and remove the merchandise or equipment without retworse to legal proeeed{ng and without prior notice. All payments made prior to repossession shad be applied as rent for the time used. In the event of defaalt of payment,purcbaser agrees to pay all costs of enforcing vendors rights,,including but not limited to,reasonable attorneys fees i r ' D Approve - too signature Certificate of Product Ratin AHRI Certified Reference Number: 3603973 Date: 5/9/2013 Product:Single-Package Heat Pump Air-Source Model Number:4WHC3042A1 Manufacturer:AMERICAN STANDARD,INC. Trade/Brand name:AMERICAN STANDARD 13H Manufacturer responsible for the rating of this system combination Is AMERICAN STANDARD,INC. 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): 41500 EER Rating(Cooling): 11.00 SEER Rating(Cooling): 13.00 Heating Capacity(Btuh)@ 47 F: 39500 Region IV HSPF Rating(Heating): 7.70 Heating Capacity(Btuh)@ 17 F: 22000 `Ratings followed by an asterisk(7 indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an Involuntary rerate. DISCLAIMER AHRI does not endorse the producgs)Rated on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsW tty for, the product(s)Rated on this Certificate.AHRI expressiy disclaims all ilablitty for damages of any kind arising out of the use or performance of the product(s),or the tmauftrked alteration of data Rated on this Certificate.Cerdfted ratings are vaffd only for models and configurations listed In Via directory at www.ahtidinKwfy.org. TERMS AND CONDITIONS This Cerdfcate and Its conhtards are proprietary products of AHRI.This CerdRcats shall only be used for Individual,personal and confidential reference purposes. The contents ofthis Certificate may not,In whole or In part,be reproduced;copied;disseminated;Ordered Into a computer database;or otherwise utilized.In arty fomt or manner or by any means,except for the user's Individual,personal and confidential reference. CERTIFICATE VERIFICATION The Information for the model cited on this certifk:ate can be verlflaI at www,ahridirectory org, Air-Conditioning,Heating, clIck on"Verify Certificate"link and enter the AHRI Corned Reference Number and the date on and Refrigeration institute which the certificate was Issued,which is listed above,and the Certificate No„which is Rated beta. 02013 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 130126026702032764 i f i Certificate of Product Ratin AHRI Certified Reference Number: 3603973 Date: 5/9/2013 Product:Single-Package Heat Pump Air-Source Model Number:4WHC3042A1 Manufacturer:AMERICAN STANDARD,INC. Trade/Brand name:AMERICAN STANDARD 13H Manufacturer responsible for the rating of this system combination is AMERICAN STANDARD,INC. 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: I Cooling Capacity(Btuh): 41500 EER Rating(Cooling): 11.00 SEER Rating(Cooling): 13.00 Heating Capacity(Btuh)@47 F: 39500 Region IV HSPF Rating{Heating): 7.70 Heating Capacity(Btuh)@ 17 F: 22000 Radngs followed by an asterisk(h Indicate a voluntary rerste of previously published data,unless accompanied with a WAS,which indicates an Involuntary mate. DISCLAIMER AM 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 an 4abNty for damages of arty kind arising out of tie use or performance of the products),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed In the directory at www.ahtidirOct0q.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products ofAHRL This Certificate shag 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;diseandr ated;entered into a computer database;or otherwise utA(zsd,In any form or manner or by any means,except for tte user's hhdivkival,personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at wwwAhridlrectory wg, Air-Conditioning,Hoofing, click on"Verify Certificate"link and enter the AHRI Certified Reference Number and the date on pill Refrigeration institute which the certificate was Issued,which Is listed above,and Ire certificate No„which Is listed below. 02013 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 130126026702032764 PrtL 'Pace G o bg, as cod. 1. FI t' ! • �.." -. 1. 013 � - • . ■�po®wo..mosa / F ' �-I �,� 7Irr i arrai ShOSe(z Vi9l� a APPROVED .• �1. ®� DATE ®Nin,G DEBT f : t ` SL DEPT 3 ' SUBJECT To COMPLIAN MTN ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS ' .� Prf� ev RA. lot a-,rGIF- o/•gib. � D �, c� X013 • �Yowo.a�ommv®000wa�o� . . i 1u hJliarra9 Shores village ®®�/ ®ATE APPROVED f Yi -�• a ®NiNG DEPT MAI,, k S DLOG DEPT 4 A. SUBJECT TO COMPLIANC WITH ALL FEDERAL ••.. t STATE AND COI INTY RULES AND REGULATIONS M _ . . ill