MC-14-13T
0
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 205308 Permit Number: MC- 1 -14 -13
Scheduled Inspection Date: January 13, 2014 Permit Type: Mechanical - Residential
Inspector: Perez, JanPlerre Inspection Type: Final
Owner: , Work Classification: A/C Replacement
Job Address: 716 NE 92 Terrace 4 -M
Miami Shores, FL Phone Number
Parcel Number 1132060440540
Project: <NONE>
Contractor: AFFORDABLE AIR & HEAT S ELECTRIC CONTRACTOR Phone: 305 - 770 -4167
Building Department Comments
REPLACE 2 TON W/H 5 KW Infractio Passed Comments
INSPECTOR COMMENTS False
71
January 10, 2014 For Inspections please call: (305)762 -4949 Page 14 of 23
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
January 10, 2014 For Inspections please call: (305)762 -4949 Page 14 of 23
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
BUILDING
PERMIT APPLICATION
Permit Type: MECHANICAL
JOB ADDRESS:
wry.
a JAN 01 2094
BY:
FBC 20
Permit No. NC ,J Master Permit No. l % � 13
M
City: Miami Shores County: Miami Dade Zip: ZQ J tJZ)
Folio/Parcel #: NL3aOio -C>LA4 - 06y0
Is the Building Historically Designated: Yes
NO bt' Flood Zone:
OWNER: Name (Fee Simple Titleholder): INN A P=- 1 I 1 Phone#:
Address: \,.,a `N'E 31 Q- 4
city: NM tarrn k Shogz-� state: �= 1. Zip: 35 115% -
Tenant/Lessee Name: \,j / rt- Phone #:
Email: rj /r-.k
CONTRACTOR: Company Name: hMcac&e e NIX Phone #:
Address
City: \ <Yl i State: 1� L Zip:
Qualifier Name 0n y5'0e_a CY-,C n Phone #:
State Certification or Registration #: Ct(C 04R k I Certificate of Competteency #:
Contact Phone #• y �� Email Address: \� 1i C',,r+n 5 &ce r-6_ -b le Q i v-. Ca M
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ `Ck () y Square/Linear Footage of Work:
Type of Work: (]Address UAlteration ONew 04epair/Replace (]Demolition
Description of Work: PX —C6hl W /h 5 KyJ
Submittal Fee $ Permit Fee $ r CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
\I
Bonding Company's Name (if applicable) 1N+ ly:lf
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 () days r the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a
reinspection fe4will beed
Signature
K) Contractor
The fbiegoing instr4ent was acknowledged before me this � The foregoing instrument was acknowledged before me this
day of bye N kCh II& day of �i by -)Or', Vxe-a rfv` '`
who i Wally kno o me or who has produced who ' personally known a or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Print: f r
CHRISTINA WIWAMS
My Commission Exp IN COMMISSION #FF035961
SMS: AUG 12, 2017
1(211wdedgmolstSolumme
APPROVED BY Plans Examiner
Structural Review
Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Sign:
wow&# My COMMISSION #FF035961
My Commis• EXPIRES: AUG 12, 2017
woo 1st Stffie M=
bi
Zoning
Clerk
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel. (305) 795.2204
Fax: (305) 756.8972
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): LG W rG
City: Miami Shores Village County: Miami Dade Zip Code: 33
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 R[ NO ❑ Contract Attached: YES ❑
UNIT BEING REPLACED
DATA
NEW UNIT
�Q
MANUFACTURER
14
AHU or PKG. UNIT MODEL #
Ll5
COND. UNIT MODEL #
KW HEAT
NOM TONS
AHU CU PKG
1 M.CA
AHU CU PKG
AHU CU PKG
2 M.O.P
AHU CU PKG
AHU CU PKG
3 VOLTS
AHU CU PKG
PKG UNIT I I
PKG UNIT I I
EER/SEER
YES NO
REPLACING DUCTS
YES
YES NO
REPLACING THERMOSTAT
NO
YES NO
NEW 4 °CONCRETE SLAB
YES NO
NEW ROOF STAND
YES
YES NO
NEW RETURN PLENUM BOX
YES
1. Minimum Circuit Ampacity (Wire Size):
2. Ma)amum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit (208/240/480):
4. Size Disconnecting Means:
Contractor's Company Name: < <'c,-'4
State Certificate or Regis lion N. �/'Ps� Certificate of Competency N._
Signature
(Qu liner's signature o
Phone:
Date: 1'3' `'I 9
C3 &
Air Conditioning & Electrical Contractors
1111- arm 11111111 1111111
Affora'ag'plu Air neat, Inc.
WHERE QUALITY IS AFFORDABLE
515 N.E. 190th Street • Miami, FL 33179
CACOA8414 �_ I --- I - __ ____ -
A111.DISTRIBUTION:
Ductwork will be designed, fabricated and Installed In acp
gift
accepted engineering practices and In compliance wl
in force on above date.
DUCTWOR
. .. ...........
System of and/or
outlets and uply-work w
eturns. Subject-ito m9c ording to,664c—tu
or other requiumtor.;
LABOR WARRANTY:
Service will be provided free by us fqri.;i
.'perlod of AL.�:U C
year(s) from date of Installation Burin 'ice works
MANUFACTURER WAR gf4 nw * Aq
ours.
Parts Warranty (Yrs.) . . . . . . . . . . . . . . . . . . . . . .
Compressor Warranty (Yrs.)
B
EXTENDED WARRANTY
Provided through or., vearts
AFFORDABLE AIR & HEAT, INC. WILLIP _R YE254.
NO
INSTALLATION OF EQUIPMENT
W
REFRIGERATION LINES OR
E! ECTRICAL: WIRING R (POWER CONTROL)
GRILLES )RETURNS(
QNK!, M-M -_.IN SERVIC: Elp ANELS
PERMIT FEE(S) & PLANS, IF REQUIRED:
1g,
weRq SERVICE AMPS
DRAIN PIPING OR FLUSH
AIR-HANDLER SUPPORTS
.... .. ....
CONDENSATION PUMP
OTHER
OTHER
EMERGENCY FLOAT SWITCH
HURRICANE TIE-DOWNS
CONCRETE SLAB
.............. . ....... ...
to the above merchandise remains with Affordable Air and Ino
J0811.9krl•gritil paid for In full. In case of default In any terms of this contract, th�
.__ye the right to take immediate possession of said merchandise
,
Ipt Jhe purchase price then unpaid she be immediately
' "tit sLeitses option without notice or demand. All monies paid I
du6,*q pa 11 come
shall reqM
._npA
�qeWaq liquidated damages. In the event the services of I
an attorneyr "%O.W
_.Wp.W
Xte force the Interest of the seller, the purchaser shall
._.p
='nuad
reto�, attorney's fees together with Interest and all I
hl.r .08 shall be performed on accounts with an
outstanding bola wg-
abw -,- -
Co.- minty '�
n '.Mppre ity excludes, existing ductwork, existing
electrical systems, and'ii*ttignqp *relsted repatre.
In
U.M. ..rit. -PiRm-hi W to allow seller to commence work after
Shall be responsible to tie sells fo
r n a r r:
agreed damages. Seller shall not be 1
rnuxurw. tile gugMnreq
specified. All work to be completed Ina i
artn4w'?
" OCCt 4..0 ... .....X.... W.
..
."Ondard practices. Any alteration rston
or the cc&acq 0MIMOIVIng extra CoStswili be executed
_ P. he Mae over a nd above this estimate.
.... .......................
Watial Here
NO
EXISTING
rHER S
................. ...............................
1.00/1.00'd VZV# 0:60 VLOZ/90/1.0 W0JJ
W
E! ECTRICAL: WIRING R (POWER CONTROL)
QNK!, M-M -_.IN SERVIC: Elp ANELS
1g,
weRq SERVICE AMPS
F-1
r
OTHER
OTHER
................. ...............................
1.00/1.00'd VZV# 0:60 VLOZ/90/1.0 W0JJ
This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed In service
between Feb 17, 2009 and Dec 31, 2013.
o,;, ax1 "'
AHRI Certified Reference Number: 6349165 Date: 1/3/2014
Product: Split System: Air - Cooled Condensing Unit, Coll with Blower
Outdoor Unit Model Number. 4TTB6024A1
Manufacturer: TRANE
Indoor Unit Model Number: F,PE *E32(6,9)24
Manufacturer: ADVANCED DISTRIBUTOR PRODUCTS
Trade/Brand name: ADP
Series name:
Manufacturer responsible for the rating of this system combination is ADVANCED DISTRIBUTOR PRODUCTS
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:
* Ratings famed by an asterM (q indicate a voluntary rerate of preWous►y published dam. unless accompanied with a WAS, which indicates an kmIurdWy resin.
02013 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130332505425382102
R .i
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