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MC-14-138Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 206172 Scheduled Inspection Date: February 05, 2014 Inspector: Perez, JanPierre Owner: GONZALEZ, CLAUDIO Job Address: 1178 NE 98 Street Miami Shores, FL 33138 -2508 Project: <NONE> Qi Permit Number: MC -1 -14 -138 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132050180400 Contractor: TSE AIR CONDITIONER CORP Phone: (786)536 -8517 tsuuamg uepanment comments CHANGE OUT CENTRAL AC 42000 BTU INSTALL MINI Infractio Passed Comments SPLIT I INSPECTOR COMMENTS False February 04, 2014 For Inspections please call: (305)762 -4949 Page 30 of 47 Inspector Comments Passed 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 30 of 47 r Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 44277. -_r4 Y. - ai� b2 --- INSPECTION S PHONE NUMBER: (305) 762.4949 t�2�To FBC 2010 BUILD 1 G permit No. PERMIT APPLICATION Master Permit No. 9 Permit Type: MECHANICAL JOB ADDRESS: 1179 m 5 City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple %.M. ) R City: State: G— Zip: S313�f Tenant/Lessee Name: Phone #: Email: 01U109 (T 12M h o AA CONTRACTOR: Co �� r 0"V f I� �� ��� �Z� � • mUanv Name: /Y J � Phone #. Address: R City: ' 1i jM! Qualifier Name 1 a f zip: 337 X ;�- U6 i93 & YE i State Certification or Registration #: e-.N C- 01 (r (9 X V Certifica of Competency #: Contact Phone #: Email Address: a� DESIGNER: Architect/Engineer Phone #: Value of Work for this Permit: $ �5�; J.6 ° V o Square/Linear Footage of Work: Type of Work: DAddress OAlteratio Ne �Repair/Rel Desc ption of Wor �-i�� P n_ �e V I 0 9 ODemolition Submittal Fee $ Permit Fee $ = CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Se $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Aln 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 com en cement must be posted at the job site for the first inspection which oc s e (7) days after the building permit is issue . n h absence of such posted notice, the inspection will b approved d r in ction fee will be charged. Signature Signature Owner or The foregoing instrument was acknowledged before me thisal- day of :S ,20 L by CL6M L J G WLjx� , who is personally known to me or who has produced 16C t '-3� As identification and who did take an oath. NOTARY PUBLIC: Sip: Print: My Commission Expires: APPROVED BY Contractor IT The foregoing instrument was acknrowwleedgeed before me thi day of J �*� . 20 L'-J by J!L -1 who is personally known tome or who has produced A -i D as identification and who did take an oath. �\' Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009XRrdsed 3/15/09) NOTARY PUBLIC: d�la07 Sign: �� ss W Si' �dX 3 s /UG M Zoning Clerk J m Miami Shores Village Building Department 10050 N. E.2nd Avenue Miami Shores, Florida 33138 Tel. (305) 795 2204 : (305) 756.8972 AIR CONDITIONING REPLACEMENT DATA Fax 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): City: Miami Shores Village County: Miami Dade Zip Code: __38,%3? 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 Ampacity Wire Size): 6�7 dWo Ir 2. Maximum Overcurrent Protection (Fuse/Breaker Size): Uo 3. Voltage of Circuit (208/240/480): U 4. Size Disconnecting Means: —�° Contractor's Company Name: l 9� a� r I �o),� Phone: State Certificate or Registratio N. i MI U Certificate of Competency N. Signature 1 4 Date: (Qua ees signature only) UN T BEING REPLACED DATA UNIT MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS AHU CU PKG 1 M.C.A AHU CU PKG AHU CU PKG 2 M.O.P AHU CU PKG AHU CU PKG 3 VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4 °CONCRETE SLAB YES V NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity Wire Size): 6�7 dWo Ir 2. Maximum Overcurrent Protection (Fuse/Breaker Size): Uo 3. Voltage of Circuit (208/240/480): U 4. Size Disconnecting Means: —�° Contractor's Company Name: l 9� a� r I �o),� Phone: State Certificate or Registratio N. i MI U Certificate of Competency N. Signature 1 4 Date: (Qua ees signature only) MILTARN- PRIETO, PEDRO TSE MR CONDITIONER CORP 33 NOR�ST 108 COURT FL 33172 (850) 487 -1395 SATE o� Mcgim AC4 3. CongratulaBonsl With license you become one of the nearly one milfonEP'ART QF BtiSTA�BSS i Fbridians ficerrsed by Pepe tment of Business and prof mional Regulation. PR 1?EBSI�_ tTi ►TIfJN Our profs orals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. CAC] t#T 6Bt3fs 12700125 Every day we work Yo improve the way we do business in order to serve you better 4 °.. s For lnfwrr►tion about our services, please tog onto .ntyfi tcense,corn ` C7�RTPI� There you can find more information about our divisions and the regulations that T$P: Impact you, subscribe to departtrtent newsletters and learn more about the N, Department's Initiatives. rrt is: License Efficiently, Regulate Fairty. We Our mission at the Deparime f that: Carr serve your customers. xs o� ca; X389 cxjnstantiy strive to serve you congratulations on your new t 3.1, �� a +# ss2 -�k you for doing business to Florida, �►> HERE OF I TO BE EXEW FROM FLORMA WORKERS all, ! 7 t:. This certifies that the individual listed below has, elected to be exempt from Florida workers` Compensation lawn. EFFECTIVE DATE: 1212112012 EXPIRATION DATE' 12/2112014 SCOPES OF BUSINESS OR TRADE 4— HEATING, VENTILATION, AIR—COW MPM"T_ Psrsoant to Chapter 449 . 96(14), F.S., a officer of a corporation who eletxs exemption from WS cbapter by filing a certificate of election under this sonars may recover beutotfes or compaasetioa thus cheoter. Perssuant to Chapter 449.951121. FA. Certificates of election to be exempt••• fly only withia Ike scope of the business or trade listed so the notice of election to be exempt. Pursoaat to Chapter of the fce f Ike ela t to be exempt and certificates "Olics of elatxlgo to be exempt sbail be subjoct to rev"atiea d, at a" taste after Ike filing of the notice nr the isssat r � me ilic certificate, the Person famed as the So P or derttficata no longer meets the rageirsmeots of this swans for issaeace of a c"licate. The deportment shell revoke a certificate ot aoy lion far tailors of tba Person neared on tics certificate to !Beet the regeiremeots of IMS sectfen. t%UESTIONS? (860) 413— DWC -252 CERTIFICATE OF ELECTION TO BE EXEWT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE SCOPE OF BLISMM OR TRADE: i- HEATS.. VEN"AMOM AIR -COND UPPOr .. .._ . Carry bottom portion on the job. keep DWC-252 CERTIFICATE OF ELECTION TO BE EXEf14PT REVISED 01 -11 Local 8�u����ss Tax Rec it/iiami -Dad* County, State of Mori -THS IS NOT A SLL - DO NOT PAY CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) TYPE OF INSURANCE 01/27/14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: K the certificate holder is an ADDITIONAL INSURED, the policy((es) must be endorsed. K 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 endorsement(s). PRODUCER First Insurance Group 10967 SW 40 St CONTACT E: miriammesa@aol.com PHONE , (305)221 -7878 AIC No (3()5)5547090 -MAIL miriammesa@aol.com Miami, FL 33165 Phone (305)221 -7878 Fax 305)554 -7090 INSURERS AFFORDING COVERAGE NAIC # INSURER A: FEDERATED NATIONAL INSURANCE COMPANY 01/11/2014 INSURED TSE AIR CONDITIONER CORP INSURER B AMTRUST INSURANCE CO $ 1,000,000.00 INSURER C: $ 1000 000 INSURER D: $ 5,000.00 33 NW 108 Ct INSURER E: ❑ MIAMI, FL 33172- 305 INSURER F: GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PRa ❑ LOC PRODUCTS . COMPIOP AGG GCK I nrm;A 1 C NUMI3tx: RFV!4%1 M NI IMRFR- 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. ILTR TYPE OF INSURANCE ADD UBR POLICY NUMBER POLICY EFF MMMIDD EXP LIMITS A GENERAL LIABILITY Q COMMERCIAL GENERAL LIA131U Y ❑ CLAIMS -MADE ❑ OCCUR ❑ GLO5040088582 -02 01/11/2014 01/11/2015 EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED PREMISES Ea occurrence $ 1000 000 MED EXP (Any one person $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PRa ❑ LOC PRODUCTS . COMPIOP AGG $ 2,000,000.00 $ B AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED ❑ AUTOS ❑ HIRED AUTOS ❑ AUTOS NED ❑ ❑ MBINED SINGLE LIMIT acciderd BODILY INJURY (Per person) $ BODILY BODILY INJURY (Per accident) $ P of -P9JY AMAGE er accl ent $ $ ❑ UMBRELLA LIAR ❑ OCCUR ❑ EXCESS LIAR ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) ❑ I'M describe under DCRIPTION OF OPERATIONS below NIA AWC1029368 01121/2014 01/21/2015 WC STATU- OTH- © `' ❑ ER E.L. EACH ACCIDENT $ 500,000.00 E.L. DISEASE - EA EMPLOYE $ 500,000.00 E.L. DISEASE - POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) GENERAL LIABILITYAND COMPENSATION INSURANCE vNSU AIR CONDITIONING INSTALLATION AND REPAIRS. SIIVCe 1974 0% 10'%7 $1 CERTIFICATE HOLDER - "'r- 3316sx CANCELLATION -- 3M,2217878 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CELLED BEFORE BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL E RED IN 10050 NE 2 AVE ACCORDANCE WITH THE POLICY PROVISI S. MIAMI SHORES VILLAGE FL 33138 AUTHORIZED REPRESENTATIVE , 01888 -2010 ACORD CO 101N. All rights reserved. ACORD 26 (2010108) QF The ACORD name and logo 1stered marks of ACORD Date: 1/27/2014 Attention: V 0 " T.S. E.Ai r Conditioner py -- @gym »�� 7523 SW158Ct, Miami FL 33193 Cell:786- 277 -9475 * Fax:305- 221 - 4284 I l i t Claudio Gonzalez 1178 NE 98 Street Miami Shores FI Miami Shores Village APPROVED BY DATE ZONING DEPT DEPT <KY(2� 2-7 JA SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS Description: Furnish and install Mini Split Mitsubishi 21SEER 15,000 BTU TOTAL: $2,225.00 Model: OUTDOOR UNIT MUZGE15NA1 Model: INDOOR UNIT MSZGE15NAB Furnish and install Split System 3.5 ton 16SEER Carrier "Tempstar" TOTAL: $3,300.00 Model: OUTDOOR UNIT NXA642GKA Model: INDOOR UNIT FXM4X48A Not including Permits & Extra City requirements /costs TOTAL AMOUNT: $5,525.00 Agreeing to the terms and conditions above, vClaudio A. Gonzalez Cust er ` •• Pear® A i a ,:': go 00 President . ... .... ... . .. . . . . . . .. :Pleaie.mUb check pJabie to T.S.E. AIR CONDITIONER CORP .... ....... . . ...... . .... .... . . .... . I I f r • e• • •• Clime La CA to fy Vii' • rIlr,4 r.'s T::i • CID T I `❑ yp Des i ntar Load Calculation Results-Pre irdencled fb.rusewith.Rheern heatingand Wolirq symm. ft NOW Des= Of vo 5H K gz en ts Lemn ilel ttt Floor U -value I R -value 0.215 Window U -value 0.5 Moisture grains 58 MOC4.0 i l'u..... 10 ';tieatirip ipf ltraik)n 4( CH) 0.8 � �r: Desi n Conditions Daily range L Moisture difference m Design temperature difference( °F) - _ 20 .15 _. ....... . .. .. . ......... . .. ... .. . .... • ... .... ... . .. . . . . . . . . . .. . .. ... . .... ........ . .. ... . . . . . .. . ......... . .. ... .. . . . .. . ... • . ... ... . • . . . . . . .. . . . .. . . .... . . . ... . . • . ... . . . .... . .. . 0.0 ... . . . . %.vUi i ng sodas 14,740 BTU /hr Sensible lnflltration Sensible People Load Latent People Load Wail Ceiling • • • • •• ••• • • • • • •• • go: • • • • • •• • • ••• • ••• •• • • • of • ••• • ••• ••• • • • • • •• • • • ••• • • • ••• • • • • ••• • • • • • • • • • • • • ••• • • • ••• • • 00 AED Graph 15000 10000 5000 0 . ... .. ... Sam 9arn 10am 11am 12prn 1PM 2prn 3prn 4pm 5PM 6pm 7pm 8pm Hourly Loads —Average j System equipment selection will be made using the following derived values. Glass (E) 10 sq. ft. Glass (N) 70 sq. ft. Summer Outdoor 90 °F Summer Indoor 75 °F aoli6a, Airflow- *% -4 Cep 64,fr D ' • •. • Calculation ,a prry` s,• SHR Cei Boor U -value l R -value 0.215 Window U -value 0.5 Moisture grains 58 dLxt gtiw* %Io: •0* 10 TUN• ... •; H eati rCg 4 liratio n 4 ACH) 0.8 ., , t I Daily range L Moisture difference m ..Design temperature differenceff) .. ... • . . . . .. • . .... ....... .... .. . .. ... . . • • .. • • 000 • 0 • • • • • • 0 0 • • • • • • • •• • • ••• • • • • • • • • • • • • • • • • • • • • z0 i Area `' lkU*W,.% of load System Efficiency loss •• ••• • • • • • • •• •• • • • • ••• • •• ••• •• • • • ••• • •• • • • • • • • • • ••• • •• • • • ••• • • • • ••• • " I� Sensible people Load -- -- Latent people Load r-- Wall Sensible Infiltration IBM m, . Internal ' • • • ••• • • • • • •• •• • • • • ••• • ••• •• • • • •• • • • • • • • • • • ••• • • • • ••• • • • • • • • • • • • • • ••• •• • •• • • • •• •• • • ••• • • AED Graph 40000 ( 30000 34 20000 10000 0 Sam gam loam 11am 12prn 1PM 2prn 3prn 4pm 5PM 6prn 7prn SPM Hourly Loads — Average System equipment selection will be made using the following derived values. Glass (E) 120 sq. ft. Glass (N) 30 sq. ft. Summer Outdoor 90 °F Summer Indoor 75 °F Winter 6 atdd a r 50 "F :0 0: This combination qualifies for a Federal Energy Efficiency Tax Credit when placed In service between Feb 17, 2009 and Dec 31, 2013. tip, +a• dz 121P, ,. ek r 7 • - °��„;; AHRI Certified Reference Number: 4058662 Date: 1/2712014 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: NXA642GKA* Indoor Unit Model Number: FXM4X48 * *A* Manufacturer: TEMPSTAR Trade /Brand name: 16 SEER N SERIES R410A AC Series name: Manufacturer responsible for the rating of this system combination is TEMPSTAR Rated as follows in accordance with AHRI Standard 210/240 -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): 42000* EER Rating (Cooling): 13.00* SEER Rating (Cooling): 16.00* IEER Rating (Cooling): p2013Alr- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130353010349001347 . -- - 9 • ••'• •