MC-12-0659 (2)Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 172385 Permit Number: MC -4 -12 -659
Scheduled Inspection Date: December 18, 2013
Inspector: Perez, JanPlerre
Owner: DEVINE, MICHAEL & CLAUDIA
Job Address: 54 NE 102 Street
Miami Shores, FL 33138-
Project: <NONE>
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number
Parcel Number
305 - 759 -4883
1132060131470
Contractor: MARNO A/C SERVICES Phone: (305)885 -2195
ismiaring Department comments
INSTALL A/H & COND UNIT SPLIT SYSTEM 5 TONS
as per approval, ok to exten permit 6 months.
December 17, 2013 For Inspections please call: (305)762.4949 Page 2 of 31
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
December 17, 2013 For Inspections please call: (305)762.4949 Page 2 of 31
a t Miami Shores Village
g
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
BUILDING
PERMIT APPLICATION
FBC 2010
Permitlype: MECHANICAL
Permit No. W(2) 1 Z—Y 9
Master Permit No. fC212--� F
OWNER: Name (Fee Simple Titleholder): M ®-kjp 4j2 Ce'An 0 je Phone #202 --7 -1 Z- G,oC7 Q7
Address: �P
City: `(��,` r� S �,n fGS State:
Tenant/Lessee Name: Phone #:
Email: 4:3Le\A Ci2-C--
JOB ADDRESS: n I-= I o a c�-
City: Miami Shores County: Miami Dade --Zip:S
Folio/Parcel #:
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name:
NO jz Flood Zone:
State Certification or egistration #: Certificate of Competency #:
Contact Phone ?S S:J�a' Z 1 S Email Address: h6910 M
DESIGNER: Architect/Engineer: Phone #:
e �
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑Address
Description of Work: _
❑Alteration
`XAjY aafvs
❑New
- i
v
r
)dRepair/Replace ❑Demolition
4-7; 15 7`'' 5�-U-. /C, , -
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
t y O'CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
1
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 after the building permit is issued. In the absence of such posted notice, the
inspection ill of be approved and a reinspection fee will be charged.
Signature A 0 2 Signature"'
r
Owner or Agent Contractor
The fovegoinginstrument was a o ledge b re s I The fgcoming trument was acknow ledged befor e this day o , 20 by y o20 a, byis p onally own to me or who has produced o known me or who has produced
Ie ification and who did take an oath. s identification and who did take an oath.
Sign: k I V l/W J W° i�aa
Print:
v o� 016
uo ;slate 23,2
0
No1aNQ�X41`gEE �oal4sg °'
M Y Commis on Expires:
,,,pal Pie 09
�+ a G e6lh�oo9
APPROVED BY
(Revised 07 /10 /07)(Revised 06 /10/2009XRevised 3/15/09)
NOTARY PUBLIC:
_ %1
Examiner Zoning
Structural Review 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): A I/ Y, Jd O� 5 T
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 ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES
UNIT BEING REPLACED
DATA
NEW UNIT
�Tse.
MANUFACTURER
VI e-t D1
4 €°4 3 ;?"a a C,
AHU or PKG. UNIT MODEL #
g
4
COND. UNIT MODEL #
j cr /C 60
KW HEAT
7
NOM TONS
AHU v CU C- PKG
1 M.C.A
AHU6 0 CU4j2 PKG
AHU CU PKG
2 M.O.P
AHU i :. CU .< PKG
AHU E 3 CU PKG
3 VOLTS Qogj�n&Pe P
AHU CU PKG
PKG UNIT / /
PKG UNIT
77. e "
EER/SEER
600 &—E
YES NO
REPLACING DUCTS ? r-
YES NO
YES NO
REPLACING THERMOSTAT
YES 5," NO
YES NO
NEW 4 "CONCRETE SLAB
YES NO V
YES NO
NEW ROOF STAND
YES NO
YES NO
NEW RETURN PLENUM BOX
YES NO a�
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse /Breaker Size):
3. Voltage of Circuit (208/240/480): c90P/c)30/6-jAd
n a
4. Size Disconnecting Means: !<
Contractor's Company Name: I
State Certificate or Registra7)11-1 N. ClitJ' 4c �T %3 0 Certificate of Competency
Signature
U
alifler's signature only)
Date:
1?—
,:s.•cy's}s ?. . }:,• si's'ti s,'•♦ }•1se's•.e y, .y ::T:$ysosv s'.••...• •aA'•yY ?¢i:e %�i?•::ti'\:'r,'•i,4
\s{•'i 4 �+ ,`� .°°. \ ?�.. _ ::.'\.•,• %• '"••°\, ; �
.. 5 " s' v4q} s• s��l. ii{ �LLi\ e•. sLILMwK •.'iih\\`s \sYSi•,V�sc.Lv.. \ \s'v+':�VJkv. ^\ \ \•\�css,,,
PRODUCERM1` Wesdand South losurwm
2608 NW 97th Ave
MIAMI, FL 33172
�. DATE (bIM/DD/YY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMP ES AFFORDft COVERAGE
(305)593 -0600
#
COMPANY INS CO
A GRANADA
INSURED COMPANY
MARNO AIR CONDITIONING SERVICE B BRIDGEFIELD EMPLOYERS INS CO
INC
2012 WEST 73RD STREET COMPANY C
HIALEAH FL 33016
COMPANY
D
N 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 PAD CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DO/YY)
LIMITS
A
OENERIiI LIABILITY
COMMERCIAL GENERAL LIABILITY
w.: MADE ® OCCUR.
0185FL00005716
11712012
117/2013
GENERAL AGGREGATE
$ 2,000,000
PROD . COM / Aw
2
1,090,000
PERSONAL & ADV. INJURY
EACH OCCURRENCE
A 1 Oaa 00
OWNER'S & CONTRACTORS PROT.
FIRE DAMAGE OjV one Fire)
S 50,000
MED EXP (Any one person)
$ 11000
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
$ 50,000
A
®
ALL OWNED AUTOS
SCHEDULED AUTOS
OIIOFL00001777
11712012
11712013
BODILY INJURY
(P-P— n)
$
LM
HIRED AUTOS
NON- OWNEDAUTM
BODILY INJURY
(Peraecident)
$
PROPERTY DAMAGE
$
G ARAC3E
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
LIABILITY
EACH OCCURRENCE
$
AGGREGATE
*EXC,ESS
UMBRELLA FORM
rl OTHER THAN UMBRELLA FORM
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
STATUTORY LIMITS
EACH ACCIDENT
B
THE PROPRIETOR/ (� INCL
PARTNERSIEXECUTIVE U��11
OFFICERS ARE: EXCL
830 29656
12/1/2011
1211/2012
$ 11000,000
DISEASE - POLICY LIMIT
g 1,Q00,�0
DISEASE -EACH EMPLOYEE
$ 1,000,000
f
OTHER
DESCRIPTION OF OPERATIONS /LOCATIONSIVEHICLES/SPECIAL ITEMS
2006 CHEV EXPRESS VIN #1GCGG26V261243928
MECHANICAL CONTRACTOR
Miami Shores Village
Building Department
10050 N.E. 2nd Avenue
Miami Shores, Florida 33138
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE
AUTHORED REPRESENTATIVE
HOMERO LAVERNIA
City of,Hialeah
2011 -12
Mixed Sources
J:
F�� Business Tax' Receipt
se$PUBAS rom >.m o<mwun.0 amn
PFIINTrn N «„�.5�.��.�,n Mayor Carlos Hernandez
ENVIRONMENTALLY wwetx.m
FRIENDLY GREEN INKS O14e1am"'°"°"�`°""'
No: 238220 -69 (OLD - 1711 -2) Amount: $ 150.00
The person, firm or corp. listed here has paid the business tax required to engage in or operate the business specified subject to the
regulations and restrictions of the City of Hialeah, Florida
Owner:
Type of Business: Plumbing, Heating, and Air- Conditioning Contractors
MARNO AIR COND SERVICE, INC.
2012 W 73 ST
HIALEAH, FL 33016
Validating No.: 0000
THIS IS NOTA BILL
Business Location:
2012 W 73 ST
Expires September 30, 2012
CTQB
Construction Trades Qualifying Board
.BUSINESS CERTIFICATE OF COMPETENCY
0041387
0
AIR CONDITIONING SERVICE INC
A.:
PE EPZ JUAN
Is oertiffied under the provisions of Chapter 10 of Miami-Dade Cou
Bu(PI^9/no gz j j 0 pecj�ew
swp ev P 8! ww*� apec-iL em
'3'd -&MC sW8410
alb - ON 2000
(S)�IGVIU E)NlkJi-lvno
3
DEPARTNPaYT �TATE, QF FLORIDA
OF BUSIXES AND PROFS
op�
Y4usTRy LXC
LICENSE
06 0'..'__' 20:Ll 106463190 - p R
00
e- CLASS B 3 9.9 si
.. . ............. ...... . . ......... ..... .
amed.: ow AIR CONDITIONING
lyndii' I HAS REGIS N C
. r the D CONTRACTOR
"-.4k.tion date:- ALTG of Chapter 489 IpS.
I VlbtjAt� MUST 31 013
2 1
PRIOR to ALL LOCAL LXCRZ;Sll;a
PEREZ, quix
C011TRACTIV(; Ally AR.VA)
WV+ST 7jRDI
* MARNO AIR. CO ND SERVICE IjqC
STREET
FL 33016
RICK SCOTr
GOVERNOR
TIOjq
SEQ#L'1060201186
KEN LAWsobr
DISPLAY As REQUIRED 13Y LAW SECRETARY
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MIAMI -DADE COUNTY 2011 LOCAL BUSINESS TAX RECEIPT — '
TAX COLLECTOR MIAMI -DADE S:OUNTY
140 L FLAGLER ST. STATE OF FLORIDA 2012 FIRST-CLASS
1st FLOOR ZXPIRES SEPT. 30, 2012 U.S. POSTAGE
MIAMI, FL 33130 MUST BE DISPLAYED AT PLACE OF BUSINESS PAID
PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 MIAMI, FL
PERMIT N0.239
182765 -9 THIS IS NOT A BILL - DO NOT PAY
BUSINESS NAME / LOCATION RENEWAL
MARNO AIR CONDITIONING SVC INC STATEIPTNo.
30 182765 -9
2012 W 73 ST # C
33016 HIALEAH
OWNER
MARNO AIR CONDITIONING SVC INC
Sec. Type of Business
IS b,N96A SPEC MECHANICAL CONTRACTOR WORKER /S
!EBB TAX Rs Cl7PT. IT 10
NAT
noES IT EXEMPT THE
HOLDER FROM AM OTHER
DO NOT FORWARD
CONDITIONING SERVICE
REQUIRED OR UCENBE
NOTT AR C^T6w of
MARNO AIR CONDITIONING
THE HOLDERS ouauAacA-
SVC INC
JUAN PEREZ FIRES
FIRES
noNs
2012 W 73 ST
ST
PAYMENT RECEIVED
HIALEAH FL 33016
33016
MAAMI -DADE COUNTY TAX
COLLECTOR:
08/15/2011
608000000517
000045.00
$q djy3 $}d )j
SEE OTHER SIDE
9}} 3j g ,,i g
YA @t i)!dP /@d�)78 @8ld18 ii@dt88Pd @818888 it /!9887 itA8t8 t'�AW )d
._ --.._
-- --- ------.----------------- -----
------
MIAMI -DADE COUNTY
2011 LOCAL BUSINESS-TAX RECEIPT 2012
FIRST -CLASS
TAX COLLECTOR
MIAMI -DADE CJUNry,- STATE OF FLORIDA
U.S. POSTAGE
140 W. FLAGLER ST.
-EXPIRES 'SEPT. 30, 2012
PAID
1st FLOOR
MIAMI, FL 33130
MUST BE DISPLAYED AT PLACE OF BUSINESS
PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10
MIAMI, FL
PERMIT NO. 231
THIS IS NOT A BILL - DO NOT PAY
070374 -5
BUSINESS NAME / LOCATION
MARNO AIR CONDITIONING SERVICE
INC
2012 W 73 ST
33016 HIALEAH
OWNER
MARNO AIR CONDITIONING SVC IN(
Sec. Type of Business
196 SPEC MECHANICAL CONTRACTOI
THIS IS ONLY A LOCAL
BUSINESS TAX RECEIPT. IT
DOES NOT PERMIT THE
HOLDER TO VIOLATE ANY
EXISTING REGULATORY OR
ZONING LANE OF THE
COUNTY OR CITIES. NOR
DOES IT EXEMPT THE
RENEWAL
RECEIPT NO. 070374-5
CC # 000013581
WORKER /S
10
DO NOT FORWARD
HOLDER FROM ANY OTHER
MARNO AIR
CONDITIONING SERVICE
PERMIT OR LICENSE
REWIRED BY LAW. THIS IS
INC
NOT THE oc�s CERTIFICATION OF
JUAN PEREZ
FIRES
TIONS.
2012 W 73
ST
PAYMENT RECEIVED
HIALEAH FL
33016
MIAMI-DADE COUNTY TAX
COLLECTOR:
09/13/2011
60000000351
000045.00
ii H{ gi tg
1111431111111113))861
&tt Midi; } j 9t jj !!
HILL 1� 111 Ill
SEE OTHER SIDE
I 1A idi; A III A3 I3t11111 Iffi
This combination qualifies for a Federal Enegy
Efficiency Tax Credit when placed in servirce
between Feb 17, 2009 and Dec 31, 2011.
,,.
5116;:W1
AHRI Certified Reference Number: 3799471 Date: 4/5/2012
Product: Split System: Air - Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 14AJM56
Indoor Unit Model Number: RHLL- HM6024 +RCSL- H*6024
Manufacturer: RHEEM MANUFACTURING COMPANY
Trade /Brand name: RHEEM 14AJM SERIES
Manufacturer responsible for the rating of this system combination Is RHEEM MANUFACTURING COMPANY
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:
Cooling Capacity (Btuh):
54000
EER_Rab g. (Cpoling):
13.00_
SEER Rating (Coaling):
16.00
. 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,
Me 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 www.ahrldirectory.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; copied; disseminated; entered Into a computer database; or otherwise utiUzed, 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.ahfidirectoiy org, Air- Conditioning, Heating,
click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on 1191 and Refrigeration Institute
which the certificate was issued, which is listed above, and the Certificate No„ which is listed below.
02012 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129781067101165680
Marno A/C Service Inc.
2012 West 73 Street
Hialeah, Florida 33016
(305)885 -2195 — (305)823 -2195
Email: marnoac(abellsouth.net
ANGLER DEVELOPMENT
Job: Devine Residence
54 NE 102 Street
Miami Shores, Florida
SCOPE OF WORK
• PERMIT
• DISCONNECT & DISPOSAL OF EXISTING EQUIPMENT
• INSTALLATION OF (1)ONE SPLIT SYSTEM RHEEM MODEL:
• 1- 14AJM56A01 COND. UNIT —16.00 SEER — 410 FREON — 5 TONS
• 1- RHLLE M6024JA AIR HANDLER UNIT
• 1 -1OKW HEATER
• ONE AIR HANDLER STAND(24 ")
• ONE FILTER
• ONE CONDENSATE OVERFLOW DRAIN SWITCH
• ONE PROGRAM-ABLE THERMOSTAT
• REPAIR DUCTWORK & ADD OUTLETS SUPPLY WITH FIBERGLASS
DUCTWORK
• INSTALLATION OF (I)ONE SET OF REF. LINES 7/8 & 3/8
• INSTALLATION OF (1)ONE SET OF % PVC DRAIN LINES
• INSTALLATION OF ONE BATH EXHAUST FAN (80CFM)
• INSTALLATION OF ONE WALL CAP FOR DRYER
• INSTALLATION OF 8" METAL PIPE FOR KITCHEN HOOD
PRICE --------------- $ 8,800.00
FPL REBATE - - - - -- - 895.00
$7,915.00
WARRANTY:
TEN YEAR WARRANTY ON COMPRESSOR BY MANUFACTURER
TEN YEAR WARRANTY ON PARTS BY MANUFACTURER
ONE YEAR ON LABOR
Permit No: J
Job Name:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
MECHANICAL Critique Sheet
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Review Complete by: Jan Pierre Perez
Chief Mechanical Inspector
786- 412 -5318