MC-13-1660iJ1111,
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 198666 Permit Number: MC -7 -13 -1660
Scheduled Inspection Date: September 11, 2013
Inspector: Perez, JanPierre
Owner: CHRISTINA POULOS, RAYMOND SLATE
Job Address: 9230 NE 2 Avenue
Miami Shores, FL 33138 -2805
Project: <NONE>
Contractor: MG EXCELLENCE SERVICE CORPORATION
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number
Parcel Number 1132060133050
Phone: (786)247 -7067
Building Department Comments
REPLACE A.0 Infractio Passed Comments
INSPECTOR COMMENTS False
< q
September 10, 2013 For Inspections please call: (305)762 -4949 Page 16 of 28
Inspector Comments
Passed ra
Failed
Correction
Needed a
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
September 10, 2013 For Inspections please call: (305)762 -4949 Page 16 of 28
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Miami Shores Village - -
Building Department E 1'�6�p`
10050 N21nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 ! __ - -- —
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: MECHANICAL
OWNER: Name (Fee Simple Title
City: anW&'ddd dr*WVl1S State: Zip:
Tenant/Ussee Name: Phone#:
Email:
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
w
CONTRACTOR: Company Name: e 69 6 `T AbU one#:
Address:
City: ��'.GP•,lil State: Zipyj �J
Qualifier Name �[ �iLe�� phone#: �(! oA L/;1 j,
&
State Certification or RegiMration Certificate of Competency #: _
Contact Phone#• OR5!R-1 Y O�) Email Address:
DESIGNER: Architect/Lngineer: Phone#:
Value of Work for this Permit: $ tJ67"�O ' ®� Square/Linear Footage of Work: _
Type of Work: OAddress DAlteration ONew DRepair)Replace ODemolition
Description of Work: i &� ,:�W
l
Submittal Fee $ Permit Fee $ G ZJt y V CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ ,n A
Is
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Tap
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 lite issuance of a building permit with an estimated value exceeding $ 500, 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 mus be posted of the Job site
for the fast inspection which occurs seven (7) days after the building permit is issued. In the absence such posted notice, the
inspection will not be approved and a reinspection fee will be charged ^ _
The fore nio instrument was ackno ledged before e
day of Gv 2p/_�, G�
who is personal known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
Rr - "„_
EM�O,
The fore ' g instrument was 1knowledged before me this ® v
day of 20.,by ,
who is personal] known to me or who has produc ,
as identification and who did take an oath.
-71--2-4 [ ('�
Plans Examiner
(Revised 07 /10/07)(ReAwA 0 i /10/2009)(Revised 3/15/09)
NOTARY
Sign:
Print:
my
Notary Pubic Stet of Florida
EAeser Piawres
My commission EE 884850
Zoning
Structural Review Clerk
7/25/13
M.G. Excellent Services Corp.
Michel Garcia CAC 1816067
2471 NW 67 Str. Miami ,FL,33147
786 - 2477067
Estimate 0696970 from M.G. Ecellent Services Corp.
ESTIMATE
Raymond Slate Estimate # 0696970
9230 NE 2 Ave .Miami Shores
Estimate Date 07/25/2013
Item Description Unit Price Quantity Amount
Installation of AC 5200.00 1.00 5,200.00
NOTES: See attached AHRI for equipment details.
Subtotal 5,200.00
Total 5,200.00
Amount Paid 0.00
Estimate $5,200.00
~.ay =caWprintEstimate.php 1/1
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Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel; (305) 795 2204
: (305) 756.8972
AIR CONDITIONING REPLACEMENT DATA Fax
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), 5�400 /0 E;—
e)— d-a—P
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$4 ARHI Sheet Attached: YES , NO ❑ Contract Attached: YES
1. Minimum Circuit Ampacity (Wre .Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size) /:
3. ,Voltage of Circuit (208/240/480):
4. Size Disconnecting Means:
Contractor's Company Name:
State Certificate or Registration N.
Signature
on�r
of Competency N.
Date: `
UNIT BEING REPLACED
DATA
NEW UNIT
MANUFACTURER
AHU or PKG. UNIT MODEL #
COND. UNIT MODEL #
KW HEAT
NOM TONS
AHU
CU
P KG
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 1
/
PKG UNIT
EER/SEER
YES
NO
REPLACING DUCTS
YEg
YES
NO
REPLACING THERMOSTAT
NO
YES
NO
NEW 4 °CONCRETE SLAB
YES
YES
NO
NEW ROOF STAND
YES
YES
NO
NEW RETURN PLENUM BOX
YES
OC Nn
1. Minimum Circuit Ampacity (Wre .Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size) /:
3. ,Voltage of Circuit (208/240/480):
4. Size Disconnecting Means:
Contractor's Company Name:
State Certificate or Registration N.
Signature
on�r
of Competency N.
Date: `
TR-
AHRI Certified Reference Number: 4717904 ! Date: 7/24/2013
Product: Split System: Air - Cooled Condensing Unit, Coll with Blower
Outdoor Unit Model Number: VSX130241D*
Indoor Unit Model Number: AWUF24XX16B*
Manufacturer: GOODMAN MANUFACTURING COQ, LP.
Trade /Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONIN
Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP.
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 lof rating accuracy by AHRI- sponsored, independent, third
party testing:
Cooling Capacity (Btuh):
230001
EER Rating (Cooling):
11.001
SEER Rating.(Coolmg).
13.00
I
Ratings followed by an asterisk (ry indicate a voluntary rerete of previously publish
0 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 products) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the
unauthorized akeration of data listed on this Certificate. Certified ratings are
TERMS AND CONDITIONS yatid only for models and configure wc
tions gated in the directory at wwahridlrectoryorg.
This Certificate and its contents are proprietary products of AHRI. 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 utilbxmd, in any
form 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 certificate can be verified at www Ohridirectory.org,
click on "Verify Certificate" Unk and enter the AHRI Certified Reference Number and the date on Air-Conditioning, Hoofing,
which the certificate was issued, which is listed above, and the Certificate No.� which is listed below. and Refrigeration institute
02013 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130191666690039980
E
�•• •• ••>� C E RTI FI E D r�
.� �� t +jtidt� ahntllrector� org
Certificate of Product Ratir
AHRI Certified Reference Number: 5526730 Date: 7/24/2013
EJ
Product: Split System: Air - Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: VSX130421A*
Indoor Unit Model Number: ARUF42C14A*
Manufacturer: GOODMAN MANUFACTURING CO., LP.
Trade /Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONIN
Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP.
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): 39500
EER Rating (Cooling): 11.00
SEER Rating ;(Gooling)r:., 13, Q0
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 productis) 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 all liability for damages of any kind arising out of the use or performance of the product(s), or the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations fisted in the directory at wwv4shrit irectory org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRL 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; 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 reference.
CERTIFICATE VERIFICATION
The Information for the model cited on this certificate can be verified at www ahridirectoryorg,
click on "verity Certificate" link and enter the AHRI Certified Reference Number and the date on Air- Condit♦oning, Heoting,
which the certificate was Issued, which is listed above, and the Certificate No., which is listed below. RUSS and Refrigeration institute
02013 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130191668022738875
Uertificate Ratin
AHRI Certified Reference Number: 5526730 Date: 7/24/2013
�J
Product: Split System: Air - Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: VSX130421A*
Indoor Unit Model Number: ARUF42C14A*
Manufacturer: GOODMAN MANUFACTURING CO., LP.
Trade /Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONIN
Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP.
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): 39500
........ _ ....... _....._......... .
EER Rating (Cooling): 11.00
* 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 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 all liability for damages of any kind arising out of the use or performance of the product(s), or the
unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at wwmahridirectory org.
TERMS AND CONDITIONS
This Certificate and its contends are proprietary products of AHRI. 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; 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 reference.
CERTIFICATE VERIFICATION
The information for the model cited on this certificate can be verified at www.ahridWectory org, Air- Conditioning, Heating,
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. and Refrigeration Institute
02013 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130191680534389235