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MC-14-3004Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 207394 Permit Number: MC- 2- 14-304 Scheduled Inspection Date: February 24, 2014 Inspector: Perez, JanPierre Owner: DEUSCHEL, HERBERT Job Address: 847 NE 99 Street Miami Shores, FL Project: <NONE> Contractor: CAPITAL AIR INC comments A/C REPLACEMENT STOP WORK ORDER NEED LICENSE AND INSURANCE FROM CONTRACTOR 02/2012014 - LIC & INS RECEIVED Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number INSPECTOR COMMENTS False Inspector Comments Passed OR Faile&' Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. 1132060340130 Phone: 9541792 -4942 V O ZIL� [y February 21, 2014 For Inspections please call: (305)762 -4949 Page 17 of 24 CAPIT10 OP ID: JR CERTIFICATE OF LIABILITY INSURANCE D021181201 Y1� TYPE OF INSURANCE 02/18/2014 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 pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, Subject to the tenns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does riot confer rights to the certificate holder in lieu of such endomeme s . PRODUCER BROWN & BROWN OF FLORIDA INC Phone: 305 -384 -7800 14900 NW 79th Court SuIte0200 Fax: 305-714-"01 Miami Lakes, FL 33016 -5889 Marc D. Jacobson NAM CND PHONE FAX N EA4DMDAIL INSUREM AFFORDING COVERAGE NAICS X INSURERA:Commerce and Indust Ins Co 19410 EACH OCCURRENCE INSURED Capital Air, Inc. dba Capital Air Conditioning Callahan Property INSURER B :Amerlsure Insurance Company 19488 INSuRmc:Amerlsure Mutual Insurance Co 23396 INSURER 0: $ 1,000,0 Acquisitions, Inc. INSURER E, GENERAL. AGGREGATE 2951 -2953 Simms Street Hollywood, FL 33020 INSURER F: PRQDUCTS - COMP/OP AGG L:Uvt:KAGES CERTIFICATE NUMBER- RPM-WiMN NlIMRFR- 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. LT R TYPE OF INSURANCE ADDL SUBR POLICY NUM ER POLICY EFF 0911612013 POLICY EXP 0911612014 LIMITS REPRESENTATIVE B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRI OCCUR X GL20644200302 EACH OCCURRENCE $ 1.000.00 PREMISES Ea ocaunenms $ 100,0 MED EXP (Any one pmson) $ 5, PERSONAL & ADV INJURY $ 1,000,0 GENERAL. AGGREGATE $ 2,000,00 GEN'L AGGREGATE UMIT APPLIES PER POLICY X PRO- LOC PRQDUCTS - COMP/OP AGG $ 2,000, $ B AUTOMOBILE LIABILITY ANY AUTO ALLOW NED AUTOS HDULED HIRED AUTOS X NON -OWNED AUTOS CA206"210302 09/16/2013 09116014 aBINED NGLE LIMIT $ 1,000,5C X BODILY INJURY (Per parser) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per aril $ A X UMBRELLA LIAR EXCESSLIAB X OCCUR CLAMS -MADE SE033076704 09/1612013 09!1612014 EACH OCCURRENCE $ 1 r000r� AGGREGATE $ 1100010 DED REra ON $ $ C WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORfPARTNEPJEXECUTN r E N OFFICEMMEMBER EXCLUDED? (Mandatory in NH) ff describe under DESCRIPTION OF OPERATIONS below NIA WC20802871 01/01/2014 01/01/2015 X TWOCRY�A 3 ER E.L EACH ACCIDENT $ 11000. E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E L DISEASE - POLICY LIMIT $ 1,000,= DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 707, Additional Remarks Schedule, it move apace Is rquired) In regards to the air conditioner replacement for Herbert Dueschel @ 847 NE 99 St. Miami Shores. The Certificate Holder Miami Shores village is an Additional Insured with regards to General Liability when required by written contact. CERTIFICATE lldLDER r_ANr_FI I A nnN ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 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 2014 -01 -09 07:22 Capital Air Cond. 9547970029 >> 1 800 685 7530 P 2/2 AC 52034-37 1 . _ .. .c•: .. a._:i, �t °•Saes ,.,�.:.�...�,a�ar..aice�ar_ ,e�i�4a�Yi[$.19s.•'�`S4�'9 •�� r8r.�tf.�p.�.��er rA "'9tiaS+YS �f9.��iRe� � •,Y,@�� ! 54:�..�'.�,' {Y':�•'1 � u�r . � ?� { ' % C �Er '' r •f ` 'fir; •,.. ,•!j :„IY` ..' K• y,�. .+ 41d douRT, IRED BY LAW Sg 07%60043 115 8, Andmm Ave., Rm. A`100, Ft. Lsudw4mle. FL 33301 - 1898 -- 064-831 -40 VALK) OCTOBER It 2013 THROUGH ILEPTEI;1 BER A 2014 DBAt CAPITAL AIR XXC VT LAUDDRDALE RUSUMm Pled► . 954-702-4942 ousln ned.05/13 f . 995 •pa as C1 Y OF HOLLyw000 . LocAL.ousmessrAx RECEIPT PMT DATE: 9/1311" THIS IS FOUR LOCAL BUSINESS TALC I CEIPT. PLMSE DETACH AND POST IN A, CONSPIOJOUS PLACE AT THE BUSINESS LOCA110 , PLEA 00 HOT REMIT AW PAYMENT. �� .: Miami Shores Village Building Department _ 1:8 2014 10050 N.E.2nd Avenue, Miami Shores, Florida 330 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE . 949 BUILDING PERMIT APPLICATION Permit Type: MECHANICAL FBC 20 Permit No. Master Permit No. he, 14 __ 30q. JOB ADDRESS: 124 rl I N :� R S- City: Miami Shores County: Miami Dade Zip: 3-3 1316 Folio/Parcel #: It —39,0-G " ®3 4 ° o t -3 Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Tenant/Lessee Nam--e: II Email: -0 %il°,1 sCc pp �L CONTRACTOR: Address: a 15- NO Flood Zone: .l Qualifier Name: ' State Certification or tR�egist°ration #: n ER 7 Contact Phone #: P" [ �� �l Email Address: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: _ Type of Work: ❑Address ❑Alteration ❑New pair/Replace Description of Work: :ax 416-rN_`2 Zip: ;to ;� 0 ODemolition ii�,a� *, ter*, �** ��rt�r* �*, r�x, r��, e, r * #,t��ar,�,�,�,t����t�tf *� *�ru Submittal Fee $ Permit Fee $ k � 11� CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond Technology Fee $ TOTAL FEE NOW DUE $ / sc vl tq d �i � �� d� �� ,�, � V� �.� �� Bonding 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 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 whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days fter the building permit is issued. In the absence of such pos otic , the i tion will not be approved and a reinspecdon fee will b hanged. or Agent The foregoing instrument was acknowledged day of rL % 20' 14 , by.'� e/b e-+�f has produced .D L4 who is personally NOTARY meff this ff�7 5 e.h P-1 My Commission' "•ir. ••• c tk ak is ie tk �k is Ar 9a dr ie de ie to :U APPROVED BY (4nd who did take an oath. • The foreggo/in_g. instrument was acknowledged before me this ,[�� -�1 dayof�'v% ,20 &by.� who' personally known me or who has produced as identification and who did take an oath. NOTARY Sign: -2)� & Pl� Examiner Zoning Structural Review Clerk Revised 3 /12/2012)(Revised 07/10107J9tevised 06 /10/2009)(Revised 3/15/09) CONSUELO Rlat- HARPER My Commission . r f= MY COMMISSION #FF070613 'o ?A= EXPIRES December 8, 2017 20153 (407) FkWidalloten,ge, im rr,,, -2)� & Pl� Examiner Zoning Structural Review Clerk Revised 3 /12/2012)(Revised 07/10107J9tevised 06 /10/2009)(Revised 3/15/09) Miami Shores Villag Building Departmei 10050 N.E2nd Aveni M9WW Shores, Florida 331. Tel. (305) 795 2Z Fax: (305) 756.89: AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit dirge -out must be on its own da sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being City: Miami Shores Village County: 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 ION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SU ITALS ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO ❑ ARHI Sheet Ate: NO ❑ 1 UNIT BEING REPLACED DATA NEWUMT MANUFACTURER C k E 2-1 %-J-)O AHU or PKG. UNIT MODEL # x it A p VEX COND. UNIT MODEL # Z � A,8 e- 6 O k-k-) KW HEAT } C i-- s NOM TONS MU149 CU 30 PKG 1 M.CA AHU q PKG AHU 6 0 CU 0'u PKG 2 M.O.P Am 6c CU vs PKG AHU z-10CUWr, PKG 3 VOLTS AHUZjaCU2__ZaPKG PKG UNIT ! I PKG UNIT I f 121 F_ERISEER YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT NO YES NO NEW fGONCRETE SLAB YES YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES NO, 1. Minimum Circuit Ampacity (Wire Size): g 'i' L 2. Maramum Overcurrent Pmtecdon (FuselBreaker Size): `10 + 3. Voltage of Circuit (2081240/480): 2 1�0 4. Size Disconneding Means: Li 0 +40 0 Contractor's Company Name: CAP ([ A-L- A. [ P— Phone: State certificate or Registration N. W o 5f If (0 Cmtiiicate of Competency N. Signature i�� Date: 2— i (eft0+) AHRI Certified Reference Number: 3916559 Date: 2/14/2014 Product: Split System: Air -Cooled Condensing Unit, Coll with Blower Outdoor Unit Model Number. 24ABC648A**31 Indoor Unit Model Number. FX4DN(B,F)049 Manufacturer. CARRIER AIR CONDITIONING Trade/Brand name: CARRIER AIR CONDITIONING Series name: COMFORT 16 PURON AC Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING 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: Coaling Capadty (Btuh): 46500 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): Ratings followed by an aserM (*) bxkam a votary rem6e of previously {utr8ahed dam, unless ao0wriparded with a WAS, which Indigos an Inrohdrmry nee. 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)1isted on this Certificate. AHRI expressly disclaims all liability for damages of arty kind arming out of the use or performance of the prolwft or the unauthorized alteration of data HAW on this Certificate. Certified ratings are valid only for models andf configurations listed in the directory at www.ahridlrectory.org. TERMS AND CONDITIONS:: 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, copier; dissemieated; entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Indivkhol, personal and confidential reference. AIR - CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The InfomlaUon for the model cited on this certificate can be verified at www,ahridirectory.org, dick on "Verity Certificate' Irk we make life better - 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 lid at bottom right ©2014 Air - Conditioning, Heating, and Refrigeration Institute C NO.: 1�� ,F 11241 - till 311,4 a At I,I I I �M. Y� I,I I I A/C UNIT ANCHORING DETAILS . FATSOY CUPS AS MANUFACTURED BY. THE ORIGINAL PANISNAP RrTE CO FOR USE tJNDaR. FLORIDA BUILDING CODE # f 'o m a [Design Conditions Daily range Moisture difference �V Design temperature difference(OF) 20 15 e at i ng !•! Area Btuh % of load Floor 4392 24.5 _-tit` Windows 3740 20.9 Floor h4lbration H eab ng Loads 17,920 BTU /hr ytnss 19 Wan Windows Cooling Loads 41,700 M /hr r Sensible People Load I Latent People Load wall i- sensible Infiltration system Gelling Latent infiltration Adequate Exposure Diversit - �-------- - - - - -- — ��� - -- AED Graph -------- - ----- - - -- 30000 i I 20000 V to J 10000 0 8am 9am loam 11am 12pm 1pm 2pm 3pm 4pm 5pm Hourly Loads — Average iE qLjiDment selection System equipment selection will be made using the foilowing derived values. Glass (E) 126 sq. ft Glass (N) 52 sq. ft. Gi aS� f pA F Y V.Cf �k�v Summer Outdoor 90 °F Summer Indoor 75 °F 6pm 7pm 8pm r , } Winter Outdoor 50 °F Sensible Cooling 35,486 Btuh Required Cooling Airflow 1,613 CFM All caiculatioCis.:are. based upt r► approyed hvac Indusiry standards anti pru�cedures: and comply nth ali local, slate and fedeial ade,regi�i r►7errts: k l cprgf? i r�suJLs are Fstlmates Produci4prov decl tiy'Fnergy _Des n Systems and ;WA Wren . .,Adequate Exposure Diversity (- �---- -___ -- _ -- AED Graph 30000 20000 M M s 10000 0 8am 9am loam Liam 12pm ipm 2pm 3pm 4pm 5pm 6pm 7pm 8pm Summer Outdoor Summer Indoor 90 °F 75 °F d Winter Outdoor 50 °F Sensible Cooling Required Cooling Airflow Required Heating Ai-rflow All cakuWotts are based. upon I I pprdved hvac industry state and fbderal code requiM"nts,49:160 pM U I! " systems and: W' a Tree_ , 30,629 Btuh 1,392 CFM siaktards and procedures and cOMMY with AWOL t� are,EstlFnat�s. F�rvclr;�tfirovfed by'Er�er�Y�iesigc�_. Arw#.62.0,34.37 oF,FLORIDA. .. s,. i z a�Y%QID PRQF B'I�NAL 'R KGULATxON .� g. 1 CO$�� "II I3S RY. I;'IC�ISNG 80 SEL1Z07160043 i'b'v 5 63 t37'/-1§ 2.'012'. x;2.800 1''he :� � Ci',AS � •B ;ASR CbII��O>�I�_ i ; � � . . - '•i f. •t9:.. a ��Tas4ui3d: <.hel.`�a�- �S CBIF • '•f -- •:, . . -� >•:. .. t7nc`ier the 'rovisitiis o °`happ: "<f� Expiration date: AU0..31, 2014 $r C'AT•T•7fiE#aN, °1�E' C.0 >, �Ti3hT: CAPITAL W 4T 17111 •S COURT`' t. FT LAUDERDALE. , _. • FL. , ,3,3 3 31 R.LCICCOT'�: DISPLAY AS REQUIRED 13Y LAW REN LAWSON SECRETARY 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2014 DBA: CAPITAL AIR INC Business Name: Owner Name: PETER M CALLAHAN Business Location: 2951 SIMMS STREET FT LAUDERDALE Business Phone: 954- 792 -4942 Receipt #:REARNG /2AIRCONDITION Business Type: (A /C LTD 15. TONS Cots Business Opened-.05/13/1985 State/County /Cart Reg:CAC058746 Exemption Code: Rooms seats Employees Machines Professionals i For Vending Business Only Vandinn Tune' Tax Amount • Transfer Fee _.. w. NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 OuAO 0100 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS I CITY OF. HOLLYWOOD LOCAL: BUSIN €SS TAX RECEIPT PRINT DATE: - 9/13/13 THIS IS YOUR LOCAL BUSINESS TAX RECEIPT. PLEASE DETACH AND POST. IN A CONSPICUOUS PLACE AT THE BUSINESS LOCATION, PLEASE DO NOT REMIT ANY PAYMENT. THIS_IB NOT A BILL. Business Name: .Business Location: Business Class: Tax Basis: .Receipt Number: Receipt Year. Expiration Date: CAPITAL AIR, INC. 2951 SIMMS ST CONTRACTOR /AIR CONDITIONER 5 - 25 WORKERS 14 O�OS057.9 10/01/13 09/30/14