MC-13-2007Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 198497 Permit Number: MC -9 -13 -2007
Scheduled Inspection Date: October 07, 2013
Inspector: Perez, JanPierre
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Sage Hall
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: COOL WATER AIR CONDITIONING
Permit Type: Mechanical - Commercial
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number
Parcel Number 1121360010160 -15
Phone: (305)807 -0288
Building Department Comments
EXACT REPLACEMENT 1.5 TON RHEEM SPLIT SYSTEM Infractio Passed Comments
INSPECTOR COMMENTS False
October 04, 2013 For Inspections please call: (305)762 -4949 Page 9 of 15
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
October 04, 2013 For Inspections please call: (305)762 -4949 Page 9 of 15
r�A
BUILDING
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permi
PERMIT APPLICATION
Permit Type: MECHANICAL
JOB ADDRESS:
Master Permit No
0 1 2013
BY: mssmomo ® ®ava000mo
L -
City: Miami Shores County. Miami Dade Zip: 3
Folio/Parcel #: i! Z M� co o o k D i G n— i s
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple Ti
.a,a� d
e
e• V 1-31 0 0
NO Flood Zone:
M
City: State: Zip:
e
Tenant/Lessee Name. Phone#:
CONTRACTOR: Company Name: Cc�o 061 e fL A ��- C � s° hone#: ' ° �°l S so s,f
F.M
City: _V
Qualifier Name:
e (� Zip: -,3 -"? d Ll i
State Certification or Registration #: C- C� 0 S to Z / 1) Certificate of Competency #
Contact Phone# 3 D> " 32 7 ® 2-9 Email A ss: `17 (- L) 9- `' 6a d 0 d Gj
DESIGNER: Arebitect/Engineer: r1+ Phone#:
Value of Work for this Permit: $ 3cl C 0 Square/Linear Fotepm, of Work:
of Work: DAddress LIAlteration ONew /Repl ace
Type
Description of Work: & Y C, (- —\ C 7 1 6� c r", C' Pf T 1,6
2
Submittal Fee $ Permit Fee
CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
CIDemolition
TOTAL FEE NOW DUE
i
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 � '--1 1 1 i 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 perforated 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, BOMERS, HEATERS, TANKS and AIR CONDITIONERS, ETC.....
OWNER'S AFFEDAVIT: 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 u condition tai the issuance of u 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 after the building permit is issued In the absence of such posted notice, the
inspection will not be approved a reinspection fee will be charged
gna �� '
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before rte this
day of , 20 �, by IACE lMO5,' ,
who is personally known to me or who has produced
As identification and who did take an oath.
Y J. YAO
MY CON IISSION # EM6M
EXPIRES: November 12.2014
V FL Nancy Dbacmt Ann Co.
The foregoing instrument was acknowledged before me this
day of / > 20 I by �% Q /% Iy►C'� I e;L "���
who is personally known to me or who has produced
Plans Examiner
Structural Review
Revi%ed 3/12P2012)(Revised 07 /10/07)(R"ised 06/10/2009X.Revised 3/15109)
as
Sign: gr
Print: I
My Commission Expires:
and who did take an oath.
JUDITH POL
Commission 830580
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
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
:ARHI HRI) DATA SHEET REQUIRED
Change Disconnecting means: YES ❑ NO Sheet Attached: YES ° NO ❑ Contract Attached: YES Ezv/
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Ovvencurrent 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 AIC Phone: 305. 807.0288
State Certificate or Registra ' MC 056710 Certificate of Competency N.
Signature Date:
t gig��
fll-
UNIT BEING REPLACED
DATA
NEW UNIT
MANUFACTURER RHEEM
AHU or PKG. UNIT MODEL #
1-i
T, I - ;%0
COND. UNIT MODEL #
tj
A
1
AJ /VA
KW HEAT
NOM TONS
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 1
/
PKG UNIT
I
I
EERISEER
f L4
YES
NO
REPLACING DUCTS
YES
NO
YES
NO
REPLACING THERMOSTAT
YES
NO
YES
NO
NEW 4 "CONCRETE SLAB
YES
NO
YES
NO
NEW ROOF STAND
YES
NO
YES
NO
NEW RETURN PLENUM BOX
YES
NO
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Ovvencurrent 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 AIC Phone: 305. 807.0288
State Certificate or Registra ' MC 056710 Certificate of Competency N.
Signature Date:
t gig��
fll-
Attu: Gene( j / Myrline
�
RE: Sage Fall Room # 6 j
The folio is a turn key proposal to replace the existing (1.5) ton split system.
Scope of work:
Disconnect remove and prope
Provide and install (1) new (I
Provide and install aluminum
Provide and install new therm
Provide all necessary electrici
Leak -check all connections, e
Start -up unit and check for pr
Note: All work to be performed during not
This price oiill include: at material, labor,
price for this scope of work
-mit add an additional
Sincerely,
Lorn Tuck
Payments to made as follows: 35% deposit v
'PERMS AND ONDITIONS OF THIS CONTRACT: l
retains title to above - described property. In addition,
price has been aid. Said property shall be and remain p
or affnc said p to any realty so that it does not Ios
until the full base price thereof has been paid. The p
Finance chwg will be applied to all late payments. Up
seller, at its opt on, may declare the entire balance of the
costs and including a reasonable anomey's fee
property, whed er suit be brought or not. Purchaser here]
it liable. No wa mmties, representations, or promises not
not be consi executed or binding to the setter until
this agreement subject to force nupure and its continl
other restrictioi imposed by any Government or Craven
performed dun normal working hours Monday throug
upgrades one g equipment. All quotes are good for
dispose of existing 1.5 ton split system.
ton 14seer Rheem split system.
handler stand.
materials.
tcuate system.
w operation.
business hours, 8:00 am to 5:00 pm Monday through Friday
At and applicable sales tax.
be
13,900.00
$400.00
th the balance due upon completion
is expressly understood and agreed that Cool Water Air Conditioning Inc.
t shall not pass or become vested in the purchaw until the entire purchase
sonal 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 "terms" above.
n the failure of the purchaser to make any payments on the due date, the
mrchase price due and payable. In case of default, purchaser shall pay all
ncurred by seller in collecting this account or repossessing the described
waives presentments, demand, and all other pre - requisites required to make
ppearing in writing in this contract shall be recognized. This agreement shall
Ay accepted by an authorized officer of the setter. The execution by =Her of
of upon strikes, accidents, acts of God, weather conditions, regulations, or
nental agency or other delays beyond seller's control. All work to be
Friday 8: 00 am to 5:00 pm unless otherwise specified. Excludes any code
0 days from date.
Authorized S afore Date PO
2�
fflml'� AR 1 11 �. k„ 5"'.
AHPJ Certified
Product: Split
Outdoor Unit I
Indoor Unit Mf
Manufacturer:
Trade/Brand n
7
Number:
Date: 8127/2013
tem: Air- Cooled Condensing Unit, Coll with Blower
W Number- 13AJN18 s
Number. RSHP47+RCHL -44A2
:EM MANUFACTURING COMPANY
RHEEM 13AJN SERIES
I
Dnsibie for the rating of this system combination is RHEEM MANUFACTURING COMPANY
Rated as follows In accordance with AHRI Staindard 2101240 -2008 for
Heat Pump Equl nt and subject to verification of rating accuracy
party testing:
Cooling Capacity (Btuh): 1 00
EER Re ling (Cooling): 11,50
SEER a8ng (Cooling): 14F00
- RaUngs fotiowed by an aole4k (•) indtcaie a voluntary rerate or previously
Unitary Air- Conditioning and Air- Source
by AHRI -sponsored, Independent, third
dM, unless a=mpwftd wub a WAS, M"ch Wftates an involuntary rerate.
s no represerdefloci% wommUm or quWanUNM as to, end 85suRms n0 M6110MOft fa;
MY for dwmam of any kind arkft out at ow use or pwfommm of the product(s), or the
are vvM o* for models and conflipraftm fisted In #* dbecWy at www 4 -Ovg
« uWze(L In WW
Alf-Conditioning, Heating,
--= and tft dde on and Refrigeration Institute
Ac, which is Uded Wow.
a
02013 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130211050779357925
005934
Local
usiness Tax Receipt
Miami --
IT'de County, State of Florida
IS ES NOFA BILL— DO NOT PAY
5612277
BUSINESS NAM
LOCATION NGCEIPT NO.
EXPIRES
COOL WATER AIR
CONDMONING INC RENEUNAi
SEPTEMBER 30, 20'14
760 S SHORE DR
3853420
Must be displayed at place of Wain=
MIAMI BEACH FL
3141
Aurwant to Counry code
Chapter SA — Art. 9 & 10
OWNER
COOL WATER AIR C
=C' TYPE OF BUSINESS
NDMONING 1NC 196 GENERAL MECHANICAL CONTRAC701 '4YMENT RgeEivea
Y TAX COLLECTOR
Worker(s) t
CMC05fi710
$45.06 07/11/2013
TXHS1 -13- -025121
or*
The
Tax Receipt oolit confirms p nt of the Local Business Tax. The Receipt Is not a lioenee.
Ition of die bolder E qualify to da business. Holdw must comply with any gavemmeAtal or
galoto►y lawn and requiramams which apply to the business.
N0. above must be displayed on all commercial vehlclas — Miami -Dada Code Sec: 6a -276.
For mare lotormation, visit www.miamidedwAMO GGHWAar