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MC-14-0045
s Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 206592 Permit Number: MC -1 -14-45 Scheduled Inspection Date: February 05, 2014 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: , Work Classification: A/C Replacement Job Address: 9425 N MIAMI Avenue Miami Shores, FL 33150- Phone Number Parcel Number 1132060130510 Project: <NONE> Contractor: AIR KING MECHANICAL CONTRACTOR, INC Phone: 305 - 823 -5888 euticding Department comments A/C CHANGE OUT AFTER THE FACT INSPECTOR COMMENTS False G February 04, 2014 For Inspections please call: (305)762 -4949 Page 41 of 47 Inspector Comments Passed 63 Failed Correction Needed ❑ Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid February 04, 2014 For Inspections please call: (305)762 -4949 Page 41 of 47 I Miami Shores Village Building Department - Q(150.L�.E.2nd venue, am: t3� Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762A949 BUILDING PERMIT APPLICATION FBC 200 Permit Type: MECHANICAL b u AN A13 BY.- Il 00000000000 ®00 Permit No. Master Permit No. MC, OWNER: Name (Fee Simple Titleholder): tl�c -4 �•-f N-''� �.� Phone#• Address: 1-76 G-L-0 % ST- City: tA % QomA: t State: !0L_ Zip; 3 a3 Tenantkssee Name: per; Email: JOB ADDRESS: C-14 City: Miami Shores County: Miami Dade Zip: FolioMamel#: I ( - 3"4p - 41 Tw •- d Q O Is the Building Historleally Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: t o (`pa H 2 C i oJ Address: 2J) 5 `� `� �'� City: A c State: Zips. AA�� / 61 Qualifier Name: ,4 n q-&j A m'A rA _ Phone#: State Certification or Regi tion Certificate of Competency* md Contact Pho=4& �J- �e Email Address: DESIGNER: ArchitectlEngineer• Phone;#: z0's a 0 Value of Work for this Permit: $ ?rFA ' SquarwUnear Footage of Work: Type of Work: OAddress UAlteration ONe ` �j DRep ' /Rep ace Description of Work: g!tL y o 9 n/ '/ h t G� Submittal Fee $ Permit Fee $ L CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $. Training/Edncation Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ODemolition Bonding - Company's Name (if applicable) Bonding Company's Address City _State �— Tip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 will not be approved an inspect will be charged Q d Si Signature / /C/ 1 4er or Agen Contractor The foregoing instrument was acknowledged before npe this day of , 201 , by LA ,V Nil , who is nally known to me or who has produced dentification and who did take an oath. A UBLIC: /CHARLE". LEVY III Y COMM SION # EE140187 ... EXPIPXS October 23, 2015 APPROVED BY (Revised 07 /10/07)(Revised 06/10=09)(Revised 3115/09) The foregoing instrument was acknowledged before me this day ofMl . 2013 by wh 1s personally known a or who has produced as identification and who did A NOTARYPUBLI • q,�/pa pppL�Rc�.cq°�I�♦EN m colY11G11,W1U1: #MOM SIRES: JUL 05, 05 Sign: Bonded through 1st M Print: L1 d ZPs Examiner My Commission Expires: Zoning Structural Review Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 ToI: (305) 795.2204 - : (305) 756.8972 AIR CONDITIONING REPLACEMENT DATA Fax PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit appllcations. 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):_ 8425 � �li�h✓Il �� 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 ❑ 1, Minimum Circuit Ampacky (Wire Size): yt A� ✓ 10e 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 60 Ahl ?i - 3. Voltage of Circuit (206/240/480): Xd 4. Size Disconnecting Means: t q5 Obove Contractor's Company Name: Phone: State Certificate or Registratio Certificate of Competency N. Signature Date: 1SA%3 ueug q 84nawm only) NIT BEING REPLACED DATA NEW UNIT MANUFACTURER ems, AHU or PKG. UNIT MODEL # K504 — 17 t I N>FD COND. UNIT MODEL # M b— o AZ KW HEAT Z. 3 Q - NOM TONS 3 AHU CU PKG 1 M.C.A AHU U z I PKG AHU CU PKG 2 M.O.P AHU 3o PKG AHU CU PKG 3 VOLTS AHU U "#KG PKG UNIT 1 / PKG UNIT / / EER/SEER YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT YES YES NO NEW 4 °CONCRETE SLAB YES YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES N 1, Minimum Circuit Ampacky (Wire Size): yt A� ✓ 10e 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 60 Ahl ?i - 3. Voltage of Circuit (206/240/480): Xd 4. Size Disconnecting Means: t q5 Obove Contractor's Company Name: Phone: State Certificate or Registratio Certificate of Competency N. Signature Date: 1SA%3 ueug q 84nawm only) Residential System Sizing Calculation Summary Project Title: 9425 N MIAMI AVE 9425 N MIAMI AVE MIAMI SHORES, fl 33150- 11 /25/2013 Location for weather data: Kendall- Tamiami, FL - Defaults: Latitude(25.65) Altitude(7 ft.) Temp Range(L) Humidi data: Interior RH 50% Outdoor wet bulb 78F Humidity difference 59 r. Window total Winter design temperature(MJ8 99 %) 49 F Summer design temperature(MJ8 99 %) 91 F Winter setpoint 70 F Summer setpoint 75 F Winter tem erature difference 21 F Summer temperature difference 16 F Total heating load calculation 21240 Btuh Total cooling load calculation 34497 Btuh Submitted heating capacity % of calc Btuh Submitted cooling capacity % of calc Btuh Total (Electric Strip Heat) 113.0 24000 Sensible (SHR = 0.75) 94.2 27000 Subtotal Latent 154.3 9000 0 cfm 0 Total 104.4 36000 Winfp -r Hpafinn I nari (fnr 17AR cnftl WINTER CALCULATIONS DUCW13%) Load component Load Window total 223 sqft 5354 Btuh Wall total 1073 sqft 3951 Btuh Door total 40 sqft 386 Btuh Ceiling total 1746 sqft 2133 Btuh Floor total 1624 sqft 3866 Btuh Infiltration 119 cfm 2755 Btuh Duct loss 2795 Btuh Subtotal 21240 Btuh Ventilation 0 cfm 0 Btuh TOTAL HEAT LOSS 21240 Btuh InIM(13%) ce®nW19%) SUMMER CALCULATIONS Rummpr Cnniinn I nari (fnr 17AR cnft) Load component Load Window total 223 sqft 13149 Btuh Wall total 1073 sqft 3102 Btuh Door total 40 sqft 570 Btuh Ceiling total 1746 sqft 4272 Btuh Floor total 0 Btuh Infiltration 95 cfm 1680 Btuh Internal gain 2580 Btuh Duct gain 3311 Btuh Sens. Ventilation 0 cfm 0 Btuh Blower Load 0 Btuh Total sensible gain 28664 Btuh Latent gain(ducts) 804 Btuh Latent gain(infiltration) 3829 Btuh Latent gain(ventilation) 0 Btuh Latent gain(intemaVoccupants /other) 1200 Btuh Total latent gain 5833 Btuh TOTAL HEAT GAIN 34497 Btuh Aft qW8th Edition UdWA trier M0%) M1.tiafn(7%) Docts(12%) InfIL(16%) Domsc2%) wafla(9%) EnergyGauge® PREPARED BY: DATE: x �. EnergyGauge® / USRFZB v2.8 Sizing v"W19%) ceNn9s(12%) v a7 " CERTIFICATE OF LIABILITY INSURANCE DATE(MMtOD/YY1rl THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC1 1j21/2014 HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED ATE HOLDER- POLICIES BY 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 ENSURED, the policy(Ees) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemen s . PRODUCER Torres Insurattce Agency Inc. 6135 NW 167 SIRE= # E25 No ACT Rarla Torres PHONE (305)512 -5880 F a: (305) 512 -5881 aAIL . ktorres (+�torresiaeuxanaeage>acy.com PRODUCER 0006444 ' Miami Lakes FL 33015 INSURED INSURERS AFFORDING COVERAGE INSURERA.Nat%ionwide Insurance Company NAIC0 INSURERS. LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE $OCCUR ��1,aa0 D ®duOtfble AIR ICING MECHANICAL CONTRACTOR INC 3351 SW 137TH AVE INSURERC: CPGLZ03006396947 INSURER D : EACH OCCURRENCE $ 11000,000 INSURER E : $ 100,000 FL 33027 -3202 CnVERAC:FC INSURERF: $ 5,000 `--- KCVR5l1f7N NUMBER: 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. LSR R TYPE OF INSURANCE POLICY NUMEER PMMMDDY EFF PMOLICY EXP 1/8/2014 LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE $OCCUR ��1,aa0 D ®duOtfble CPGLZ03006396947 11/8/2013 EACH OCCURRENCE $ 11000,000 vAmAae TO RENTED MEOEXP( one person $ 100,000 X $ 5,000 PERSONAL & ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 1,000,000 GEN1 AGGREGATE LIMIT APPLIES PER X POLICY PRO- OC PRODUCTS - COMPIOP AGG $ 11000,000 AUTOMOStLE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT (Ea aeddent) $ BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Par eceldent) $ $ $ UMBRELLA LIAR EXCESS UAB OCCUR CLAIMS-MADE NIA EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION WORKERS COMPENSATION AND EMPLOYERS' UABIUTY YIN ANY PROPRIETORIPARTNER DMOUTIVE OFFIGERIMEMMR EXCLUDED? (Mandatory in NH) El If describe under D SGtRIPTION OF OPERATIONS below $ Is WG�U• DTHOTH- EA_ EACH ACCIDENT $ LL DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ 3ESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (Attach ACORD 101, AddRional Remarks Schedule, If more space Is required) stir Conditioning Service and Repair ^FRTICIPATG LIM nre Village of Miami Shores Building Department: 10050 HE 2 Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE VM THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ►CORD 25 (2009109) ©1988 -2009 ACORD CORPORATION. All rights reserved. VS025 {2o�os) The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGES Ref # I Description State surcharge 1 Coverage Code STSR1 Form No. 7Editi on Date Limit 1 Limtt 2 Limit 3 Deductible Amount Deductible Type Premium $16.00 Ref # Description Add9 for policy minimum premium Coverage Code APMP Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium $45.00 Ref # Description Property damage - single limit Coverage Code PD Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount 1,000 Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium FoFADTLCV Copyright 2001, AMS $ervices, Inc.