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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