MC-13-1517BUILDING
Miami Shores Villne CC-
x VT
Rl� JUL b 2� 13
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (3W 762.4949
FBC 20
Permit No..
PERMIT APPLICATION
Master Permit No
Permit Type: MECHANICAL -Z tj> Av - A
JOB ADDRESS: (fl 7—> P D o 6 'e 5c,
City: Miami Shores County- Miami Dade
FoiiozParcew.—
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple
Address:
City:
NO Flood Zone:
tj k L)
State: Zip:
Tenant/Lessee Name: Phone*.
Email:
CONTRACTOR: Company Name:
Address: '7 60 S. .
City:
Qualifier Name:
M
��W N
C C-- ----.7,iP' 3 3 1
� 0S- 9V-7 - Q Z, 9T
State Certification or Registration #: C- &A, 0- 0 U —1 1 Certificate of Competency
Contact Phone#- 7,
, g Email Address:. 0 0 I e JZ C— CO M
DESIGNER: Architect/Engineer. L4 Phone*
Value of Work for this Permit- . Ec 0
' -Square/Linear F t �fW ork:
Type of Work: ❑Address , LWteration pNew ,p rlepl p
Description of
N
Submittal Fee $ Permit Fee CCF $ CO/CC $
LIDemolition
Scanning Fee $ Radon Fee $ DBPR $ Bond $_
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
SWME lei
Bo"ng Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
Zip
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 ELECIRICAL 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 certifted 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 pnd'
A reinspection fee will be charged.
Signature -Z Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this It The foregoing instrument was acknowledged before me this-&
Q 1,
day ofsJLhrr—,20 13, by SIEU05 ;,�WAQ—Z)r day of 20('-Iby �J,(
who is personally known to me or who has produced_
As identification and who did take an oath.
NOTARY
Sign
---`;�P;F 7'
Print:
My Commission
APPROVED BY
SAY COMMSION # EE36929
EXPIRES: November 12, 2014
FLNoUwyD180GMA=mCs.
who is personally known to me or who has produced_
as identification and who did take an oath.
NOTARY
Sign:
Print:
pot
My Commission Exp NOWY Public - State of Florida
MY COMM. Expires Aug 27, 2014
COMMMIN # EE 830550
Plans Examiner Zoning
Structural Review Clerk
Revised 3112/2012X.Revised 07110/07)(Revised 06/10/2009)(Revised 3/15/09)
Miami Shores Village
Building Department
90050 N.E.2nd Avenue
Miami Shores, Florida 33938
Tel. (305) 795.2204
Fax: (305) 756.8972
AIR CONDITIONING REPLACEMENT DATA
PERMIT NUMBER: MC 1,3— r-.-V
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): 11300 NE 2nd Ave Miami, FL 33161
City: Miami Shores Village County: Miami Dade Zip Code: 33161
ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB
ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION
A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS
AR (AHRI) DATA SHEET REQUIRED
Change Disconnecting means: YES ❑ NO ARHI Sheet Attached: YES NO ❑ Contract Attached: YES E�/
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse /Breaker Size):
12 GAUGE
3. Voltage of Circuit (208/240/480): 208/230
4. Size Disconnecting Means: 30 AMP
Contractor's Company Name: COOL WATER A/C Phone: 305.807.0288
State Certificate or Registratio CMC 0 ri�ficate of Competency N.
Signature Date: -7
(Quamees 9"4 on )
UNIT BEING REPLACED
DATA
NEW UNIT
MANUFACTURER:RHEEM
AHU or PKG. UNIT MODEL # K F> H F>
f -
COND. UNIT MODEL # 13 A -5 Aj 1
KW HEAT
o
NOM TONS
e
=70
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 /
/
PKG UNIT /
/
EER/SEER
YES
NO
REPLACING DUCTS
YES
YES
NO
REPLACING THERMOSTAT
YES
NO
YES
NO
NEW 4 °CONCRETE SLAB
YES
0
YES
NO
NEW ROOF STAND
YES
OR
YES
NO
NEW RETURN PLENUM BOX
I YES
0
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse /Breaker Size):
12 GAUGE
3. Voltage of Circuit (208/240/480): 208/230
4. Size Disconnecting Means: 30 AMP
Contractor's Company Name: COOL WATER A/C Phone: 305.807.0288
State Certificate or Registratio CMC 0 ri�ficate of Competency N.
Signature Date: -7
(Quamees 9"4 on )
AHRI Certified Reference Number: 4525292 Date: 2119/2013
Product: Split System: Air - Cooled Condensing Unit, Coll with Blower
Outdoor Unit Model Number:13AJN18
Indoor Unit Model Number: RSHP- 17 +RCHL -24A2
Manufacturer. RHEEM MANUFACTURING COMPANY
Trade/Brand name: RHEEM 13AJN 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): 17200
EER Rating ( Cooiing): 11.50
SEER Rating (Cooling): 14.00
. 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 products) 119W on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility ft
the product(s) Hated on this Certificate. AHRI expressly disclaims all liabldhty for damages of any kind arising out of the use or perFortnance of the product(s� or the
unauthorized akaradon of data Hated an this Certificate. Certit9ed ratings are valid only for model and configurations listed in the directory at www.ahr[dWectDry.org.
org.
TERMS AND CONDITIONS
This Certificate and its contends are proprietary products of AHRL This Certificate shag only be used for Individual, personal and confidential reference purposes.
The contents of ids CertHeate 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 referenca.
CERTIFICATE VERIFICATION
The Information for the model cked on this certificate can be vwWWd at ww w ahridirectory org, Air- Conditioning, Heating,
dick on "Verify Certificate" lk* and enter the AHRI Certified Reference Number and the date on 00 ®® and Refrigeration institute
which the certificate was issued, which Is listed above, and the Certlticate No., which is Hated below,
02012 Air - Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 130057824165477881
Barry University
11950 NE 2f Avenue
Miami, Florida 33161
Attn: Ron Oultwest / Gene
RE: Sage I iall Room # 9 & #I
The follo ' g is a turn -key proposal to
Scope of v ork:
Disconnect remove and prof
Provide and install (1) new (
Provide and install all new s
Provide and install aluminun
Provide and install new then
Provide all necessary electric
Leak -check all connections,
Start -up unit and check for p
Note: All ork to be performed during no
This price ll include: all material, labor,
price for this scope of work
mit add an additional - ---- --
Sincerely,
Lorn Tuck
Payments to
be made as follows: 35% deposit
TERMS AND
CONDITIONS OF THIS CONTRACT:
retains title to
he eve- described property. In addititot
price has been
paid. Said property shall be and remain
or affix said In
opmly to any realty so that it dots not to
until the full p
irclum price thereof has been paid. The
Finance charg
will be applied to all late payments. U�,
seller, at its op
' may declare the entire balance of it
costs arul
including a reasonable attorney's fe
property, wh
er suit be brought or not. Purchaser her
it liable. No w
ties, representations, or promises nc
not be cm,1
exeartecl or bmdmg to the seller unti
this agreeme
is subject to force majeure and its conth
other restrictio
ris imposed by any Government or Gove
performed dur
ng normal working hours Monday throe
upgrades on a
'sting equipment. All quotes are good fc
Way Myi,
,.
i305-865-080*
cootwaterac.cour
May 16, 2013
the existing (1,5) ton split system.
dispose of existing 1.5 ton split system.
ton 14seer Rheem split system.
Y air ductwork transition.
handler stand.
materials to relocate disconnect for air handler.
tcuate system.
ter operation.
business hours, 5:00 am to 5 :00 pm Monday through Friday
nit and applicable sales tax.
be
$72900.00
—$900.00
ith the balance due upon completion
: is expressly understood and agreed that Cool Water Air Conditioning Inc.
it shall not pass or become vested in the purchaser until the entire purchase
rsonal property and retain its character as such and purchaser shall not attach
its character as personal property nor shall purchaser resell said property
rchase price shall be due and payable as provided under "tc rms" above,
a the failure of the purchaser to make any payments on the due date, the
purchase price due and payable. In case of defaults purchaser shall pay all
ncurred by seller in collecting this account or repossessing the described
y waives presentments, demand, and all other pre - requisites required to make
appearing m writing in this contract shall be recognized. This agreement shall
kdy accepted by an authorized officer of the seller. The execution by seller of
cut upon strikes, accidents, acts of God, weather conditions, regulations, or
mental agency or other delays beyond seller's control. All work to be
r Friday 8: 00 am to 5 :00 pm. unless otherwise specified. Excludes any code
30 days from date.
Authorized gimatum �I Date PO