MC-13-1519BUILDING
Miami Shores Village
0 L g � .
Building Department JUL �a3
10050 N.E.2nd Avenue, Miami Shores, Florida 33138,
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20
Permit No. % / ✓ - J
PERMIT APPLICATION
Permit Type: MECHANICAL
Master Permit No.
JOB ADDRESS: -;00 �j A�� ]�Iko 1('� '� p " S)
City: Miami Shores County: Miami Dade Zip:
FoliolParcel#: 0 00 ®�
Is the Building El Morically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple
,1
vP rL -,�. IA
City: State: Zip:
Tenant/i esme Name: Phone#.
Email:
CONTRACTOR: Company Name: C, 0 0 C, � f Phone#: 2W1 S3 —?J
Address: 7 �p 0 S . � L. a !> t1 L -j �- - -
City:
Qualifier Name:
State Cert ficath
Contact Phone#: �0.S ° ko 7 "
DESIGNER: Arcbitect/Engineec _
Address: S+f, J ,q-G r-' 0 0 I Vi G +-( (I a C_ e AV--- .
Value of Work for this Permit: $ Is . SquareA inear
Type of Work: DAddress OAlteration L3New
Description of Work: (-- )[ e: C ' (LL P 1 G C P
Submittal Fee $ Permit Fee
Scanning Fee $
Radon Fee $
of Work:
CCF $ CO/CC $
DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
ODemolition
0 f.)z� S
TOTAL FEE NOW DUE $
-� I CLE))
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
City State V I I Zip
Application is bereby 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 met the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured. for ELECTRICAL WORK, PLUMBING, SIGNS,
WEI LS, POOLS, FURNACES, BOMERS, 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 constivetion 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 goad 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 crmzmencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In absence (if such posted notice, the
inspection will not be approved and
einspection fee will be charged.
Signature 14 —,- y
Owner or Agent
The foregoing instrument was acknowledged before me this
day of -1AN6 .20 d, by WJ4 QS * WJWS ,
The foregoin instrument was acknowledged before m this
day of U N e 20 ,I, by ��-
----t
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
P��4�►
APPROVED BY
WJ0MM=0N N EE36W
Eli nM: Novmdw 12, 2014
. FL Namy Dhmat Am= Co.
L
31"
Structural Review
Revised 3/ 12t2012KRevised 07110107)(Revised 06/10/2009)(Revised 3115/09)
,
NOTARY
Sign: A",
Print:.
My Commission
and who did take an oath.
rao,11 wullu • pume or Fmnda
Comm. EXPIM Aug 27, 2018
Comed881M # EE 830550
Zoning
Clerk
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel. (305) 795.2204
Fax. (305) 756.8972
AIR CONDITIONING REPLACEMENT DATA
PERMIT NUMBER: MC J
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 Ding done): 11300 NE 2"d 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
7ARHI RI) DATA SHEET REQUIR7NO Change Disconnecting means: YES [] NO Sheet Attached: YES ❑ Contract Attached: YES
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse /Breaker Size):
12 GAUGE
3. Voltage of Circuit (208/240/480): 2081230
4. Size Disconnecting Means: 30 AMP
Contractor's Company Name: COOL WATER A/C Phone: 305.807 -0288
State Certificate or i tion CM 710 Certificate of Competency N.
Signature Date:
(Quamees sig awre
UNIT BEING REPLACED
DATA
NEW UNIT
MANUFACTURER:RHEEM
z
AHU or PKG. UNIT MODEL #
gl 5i2'j/
�9. T
COND. UNIT MODEL # t �,
A J by 1 ?
KW HEAT
10 r.J
NOM TONS ;.J
6,
AHU
CU
PKG
1 M.C.A
AHU
CU
PKG
AHU
CU
PKG
2 MAP
AHU
CU
PKG
AHU
CU
PKG
3 VOLTS
AHU
CU
PKG
PKG UNIT /
/
PKG UNIT
EER/SEER
YES
NO
REPLACING DUCTS
YES
NO
YES
NO
REPLACING THERMOSTAT
YES
YES
NO
NEW 4 "CONCRETE SLAB
YES
N
YES
NO
NEW ROOF STAND
YES
YES
NO
NEW RETURN PLENUM BOX
YES
0
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse /Breaker Size):
12 GAUGE
3. Voltage of Circuit (208/240/480): 2081230
4. Size Disconnecting Means: 30 AMP
Contractor's Company Name: COOL WATER A/C Phone: 305.807 -0288
State Certificate or i tion CM 710 Certificate of Competency N.
Signature Date:
(Quamees sig awre
Firs
First Co. (
Outdoor Unit Mi
Outdoor Unit Mc
First Co. Indoor
Cooling Capacity
EER (Cooling)
SEER (Cooling):
First Co. ci
Section 43+
with ANSII,
standards.
DOE Requirem
Effective July 5,
expands the exi
Residential and
ucts must be or
Certification 1/+
The above ratin
First Co.: ratinc,
DOE: www.reg
/ov,'�S
CertfficO�e
Reference Number: , A 15214 Print Date: 11112/2012
icturer: RHEEM
Number: 13AJN18
lei Number: 19HX
17.5
11,00
13,00
that the capacity and SEE
of 10CFR Part 430. The c
101240-2008 and has been
shown are calculated using the methodology In
procedure utilizes t data collected In accordance
by an Independent test in accordance with DOE
1, the U.S. Department of orgy (DOE) issued a Final Rule (10 CFR Parts 429 -431) that
I certification, compliances,, t d enforcement requirements for all covered products, including
nmerciai HVAC products. i, part of the Final Rule, all efficiency information for covered prod -
with DOE. All First Co. raft have been submitted to DOE.
can be verified o0ither of the following web sites:
Void Date: 07/01/2013
I Amu
Phone 305 807.
.1.
Barry Univ rsity May 20, 2013
11300 NE Second Avenue
Miami Sho es, Florida 33161
Attn: Ron Aultoest / Gene
RE: Browne Hall
The folio g proposal is turn -key propose
Rooms: 1- , 5-6,7-8,11-12,19-20,35-36,
raising the it handler in room 47-48.
Scope of
Disconnect remove and prof
provide and install (10) new
Provide and install (10) new
Provide and install new sups
Reconnect condensate line, t
Leak-check all connections,
Start -up unit and check for r
Note: All ork to be performed during not
This price, ill include: all material, labor,
price for this scope of work
unit add an additional - ---- --
born
Payments to be made as follows: 35% deposi
TERMS AN 3 CONDITIONS OF THIS CONTRAC'
retains title the above- described property. In additi,
price has been paid. Said property shall be and remah
or affix said pmperty to any realty so that it does not
until the fidl purchase price thereof has been paid. lb
Finance ohm gm will be applied to all late payments.
seller, at its ption, may declare the entire balance of
costs and do nages including a reasonable attorney's
property, wt ether suit be brought or not, purchaser h
it liable. No warranties, representations, or promises ,
not be aonsi executed or binding to the seller ur
this agrecim ut is subject to force majeure and its con
other testrici 'ions imposed by any Government or Go
performed d aring normal working hours Monday tht
upgrades on existing equipment. All quotes arc good
Signature
replace (10) existing (1.5) ton split system.
38, 41-42,43-44,45-46. Including removing the wood and
ly dispose of 10 existing 1.5 ton split system.
.5) ton Rheem split system. R-410 refrigerant.
air ductwork transition.
;tric and controls.
icuate system.
xT operation.
business hours, 8:00 am to 5:00 pm Monday through Friday
applicable sales tax.
ON
3
—$2,750.00
with the balance due upon completion
It is expressly understood and agreed that Cool Water Air Conditioning Inc.
y it shall not pass or become vested in the purchaser until the entire purchase
,ersonal property and retain its character as such and purchaser shall not attach
se its character as personal property nor shall purchaser resell said property
purchase price shall be due and payable as provided under "terms" above.
" the failure of the purchaser to make any payments on the due date, the
e purchase price due and payable. In case of default, purchaser shall pay all
a incurred by seller in collecting this account or repossessing the described
Eby waives presentments, demand, and all other pre - requisites required to make
,t appearing in writing in this contract shall be recognized. This agreement shall
I duty accepted by an authorized officer of the seller. The execution by seller of
,gent upon strikes, accidents, ads of God, weather conditions, regulations, or
rnmental agency or other delays beyond seller's control. All work to be
igh Friday 8: 00 am to 5:00 pm. unless otherwise specified. Excludes any code
rr 30 days from date.
G=
PO