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MC-14-167Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 206354 Scheduled Inspection Date: February 24, 2014 Inspector: Perez, JanPierre Owner: FERNANDEZ, MARTA Job Address: 163 NW 102 Street Miami Shores, FL Project: <NONE> C� Permit Number: MC -1 -14 -167 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1131010230060 Contractor: UNIVERSAL HVAC CORP Phone: (305)785 -7630 Building Department Comments REPLACING A 3 1/2 TON UNIT Infractio Passed Comments INSPECTOR COMMENTS False Failed Passed LE Inspector Comments Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 21, 2014 For Inspections please call: (305)762 -4949 Page 14 of 24 r� 4 � T Miami Shores Village AM Rttilrlinv nPnartmant ZI-0 r,511k,2 DING p 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (30 762.4949 � � �9A z i o JAN Q.q 2014 BC 20 ZI(FIzq Cwt -� ermit No. PERMIT APPLICATION W Master Permit No. it / L - &t Permit Type: MECHA NICAL j JOB ADDRESS:' � &)w 1 ®� , s_lle e_fi City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: - Is the Building Historically Designated: Yes OWNER: Name (Fee Simple I Address: I U) City: I Tenant` -- Email: State: NO K Flood Zone: L rok CONTRACTOR: Company Name: t/,'J4o /hi,/ar, Phone #: "3057- Address:1 City: h6zieJ011 Qualifier Name: Z State Certification or Contact Phone #: DESIGNER: Architect/Engineer. Stater Zip: 33 014 i il4Q�y��B Phone#: C3yS-2 %29C - 76-3'a #: C-C! JP166 g Certificate of Competency #: a Email Address: avltosAh I c- &*b gi&md• E'Do k WAddre A Submittal Fee $ Permit Fee $ Scanning Fee $ Notary $ Radon Fee $ Training/Education Fee $ Double Fee $ Structural Review $ t. VIM u e epdO CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ ODemolition TOTAL FEE NOW DUE $ 110 ° `I A 4 v Bonding.Company's Name (if applicable) Bonding Company's Address City State zip _i Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowled ed b fore me this 9 % day of g, by ? who is6rsonally known o me or who has produced As identification and who did take an oath. NOTARY PUBLIC: — — - — — — — — — — — — Sign: Print: My Commislion Expires: APPROVED BY Signature s Contractor The foregoing instrument was acknowledged before me this day of , 20L4 by k• who is ersonally known me or who produced as identification and who did take an oath. NOTARY PUBLIC: Nomy PWft , sane of FWMa M� Comr Sign: Commlaelon w EE 1918$1 Print: My G L 17-AJ1,14Plans Examiner MARYELIS DIA2_ 2018 Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /102009XRevised 3/15/09) a J 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): j 11/Lti i(),� S 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: YESP NO ❑ Contract Attached: YES rZ Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name:. State Certificate or Registration N 9 Signature Certificate of Competency N Phone:.aW ���" 917, UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # Tiq COND. UNIT MODEL # J l KW HEAT NOM TONS 3 AHU CU PKG 1 M.C.A AH U ao PKG AHU CU PKG 2 M.O.P AHUSVz CU 40 PKG AHU CU PKG 3 VOLTS AH r-[JJbR PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YE NO YES NO REPLACING THERMOSTAT YES X NO YES NO NEW 4 °CONCRETE SLAB YES y NO YES NO NEW ROOF STAND I YES NO YES NO NEW RETURN PLENUM BOX I YES NO Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name:. State Certificate or Registration N 9 Signature Certificate of Competency N Phone:.aW ���" 917, Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 • Fax: (305) 756.8972 CONTRACTORS' REGISTRATION ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. " COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE* D. COPY OF WORKERS COMPENSATION INSURANCE* *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: BUSINESS NAME: J &g 1 0 e, Y MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION A C. ec-q BUSINESS ADDRESS: 16 3 `i w :4 ST CITY STATE "�-\ ZIP CODE %'�!V BUSINESS PHONE: Q! ) -9 f Sr-- 4 1- 3 0 FAX NUMBER ( 3®E) 2®® - 3 CELL PHONE (W) 8V- aL 0 QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: C t4 e / 2?16 JS- Created on 3119109 BY MLDV I RV 3126109 MLDV I RV 6127111 AS Local Business Tax Receipt Miami-Dade County, State of Florida THIS 15 NOTA BILL —00 NOT PAY 6695200 OUGM888 KAMMAMATION FMECEIpr rmx UNNEM WAC CORP PJW9WAL 1639`W 72 ST 6988219 HW.EAH FL 33014 owns" SM TYPE OF BUSMUISS PAVM=T RECEWW UNIVERSAL HVAC CORP 196 SPEC MECHANICAL CONTRACTOR BY'rAXCOUZ=n Worker(s) I CAC1816556 $45.00 07/25/2013 FPPU05-13 -MO66 *w ofte LwW R Tm7bft c e" sndeftam permit, Of 0 M Of *0 6ftdo' r Al ese ftift =008*v "a MW gmMumeaw or Ift "J"Tra abne MWhe awl"W an an ammudw v8MC1w-MwMwh*Uft btap.-A F * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE' 05/3012012 PERSONk GONZALEZ FEIN; 272649543 BUSINESS NAME AND ADDRESS: UNIVERSAL HVAC CORP 1039 V 72ND ST HIALEAH FL 33014 SCOPES OF BUSINESS OR TRADE: 1— HEATING, VENTILATION. AIR -COND EXPIRATION DATE: 0513012014 JORGE L 2— CERTIFIED AC CONTRACTOR' Ifd WANT. flummot to Cbepter 840 . 05114. F.S- ao officer Of a cotPOMUoa wbe efts exemption from lids tfmpter by filing a certificate of election under titis section my not recover benefits or compensation under this chaste` Personal to Chapter 44(1.0602). M. Certificates of election to bs exempt.. apply only within the scope of the business or trade listed on the notice of election to be exempt. Persons to Chapter 440.05031 F.S. Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at nay time niter the filing of the calico or die issuance of the certificate. Ore parson owed on the notice or certificate as lour menu the rialdremems of this section for issa mce of a certificate. The department shell revoke a certiftents at any time for failure of dm person named an the certificate to most the regelrements of this section. QUESTIONS? (850) 413 -1609 OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 CERTIFICATE TE OF LIABILITY INSURANCE _ 0A11! _01/29/14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AF'flRly(ATIVELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUUVO INSURER(S), AUTHORIZED OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: c the one omts holder is an ADDITIONAL INSURED, the S Les must be endorsed: If SUBROGATION IS WAIVED, subject to the terms and conditipps oitlte 1 � �( ) • Pc icy, certain PORGIes may requite an endomement A sttttement on this certificate dose not Confer fights to the 1 _ _Peri cgs holder in lieu of such endamem mt(s) PROQUCER _ `— t ' Florida Bankers Insurtance _ .... MARIA ALON50 _.... . 7278 SW 8 Street 306) 286 6493- 7, l++ok. (806, 262.0879 Miami, FL 33144 AODRE3SS -_ marta (a�floridebankersinsurance;COrn PRODUCER — Phone (305)266.8493 FaX C STOMERID, N.. , aX (30582-0679 rNSURER(5) AFFORDING COVERAGE NAILS fyufaplt ; •FEDERATED NAT(pNAL INSURANCE COMPAN UNIVERSAL HVAC CORP. -A• - - - j 1639 W 72 St INSURER a,; . •... HIALEAH, FL 33014 intjpR R D s (305) 785 -7630 '.INSURER 9: ' COVERAGES _ CERTIFICATE N M -_ _..N NUMBER-* - _,_. _......._...... ____ . - - - - - -• .. -.. --. U SER: _ _ _ REVISION __ ! 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT YO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBAICT TO ALL THE TERMS EXCLUSIONS AND CONDITION 5 OF SUCH POLICIES. LTR ' SUBk TYPE OF INSURANCE] LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, -- 'LIMITS .. _ .. _ — .. _.. _. rNSR. tMVp ' _ .. PO4cy _3. _ .. (�+L3— i..(N�� GENGRAL LIAt3iUTY - - - -- 6ACta0QQURRENCE i 0 COMMERCIAL GENERAL LIABILITY s 1AOOA00�00 DAMAGE TO REIVTEO "—T-" ! ❑ ❑ CLAIMS -MADE © OCCUR 0 �?� ° !CV) s. _____� . ...,00 A ❑ GL -0504007676-02 MW EW (wale f, t S _„ 5.000.00 07/12/2013 07/12(2014 ! - - -- ❑ ...._ .. . _ ...._. ' PSMNAL & ADV IALIURY _ 1 000�000�00 SEWRALAGGREGATE $ 2,000.000.00' GERL AGGREGATE LIMIT APPLIES PER ® POLICY Q El Loc PRQPUCYS - COMP/OP AGG S 2,000.000.00 i — — AUTOMOBILE LIMU7Y — _ S - COMBII A SINGLE LIMIT ❑ ANYAUTO i (9a a0waffl) ❑ ALL OWNED AUTOS ! BODILY INJURY (Per pown) S Q SCHEDULED AUTOS BODILY rNJURY (Per aMIdent) S -- ❑ HIRED AUTOS ❑ PROPERTY DAMAW SS NON-OWNEDAUTOS ❑ UMBRELLA LIAR ❑ OCCUR — ElEXCESS LIAa _ ❑ CLanas -MADe ❑ ^DEDUCTIBLE i J❑ RETENTION S I WORKERS COWENSATION AND EMPLOYEW LIASUM Y l ff ANY PRO ET0KMARTNEWEXECUTIVE OFFICE EXCLubFn4 MIA S DESCRIPTION OP OPERATIONS / LOCATIONS I' VEHICLES (Annh ACORD IDI, Addidcnel Remarks Sohedub, B more space is �7eq�Ged) CERTIFICATE HOLDER CITY OF MIAMI SHORES BUILDING DEPARTMENT i 10050 NE 2 AVE MIAMI SHORES, FL 33138 1305) 756 -8972 -- ACORD 25 (2009109) QF G d IIEL ON CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELW9kED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ®1988.2009 ACORD CORPORATION. All rights reserved. The ACORD nanre and logo are registered marks Of ACORD 30NUnSNI SUNNU VCH013 AM:[ �10Z '66 '°pr fravasul Page No. UNIVERSAL H`6/'AC9 CORP Uc. # CAC 1816556 fl -rrtf4 a. °ba s 1535(o C� 6 JOBNAME Mm I try u L4.) c ATE and ZIP CUR loe LOCATION of 1639 W. 72 St Hialeah, FL 33014 Tel: 305- 785 -7630 Fax: 305- 200.3964 universaihvaca d =r gyp" hereby to furnish material and moor — complete m accort:laace wim spermmavans glow. Tar me eum ot: V U 5-414 fl \,.a iw y) �o� (' ° �'�� doxars t$ 5 -� 014 7 )• Payment to be made as follows: An material Is guaranteed to be as spectrtal. An wale to be coed In a WON modue PIM manner accrRdb� to standard practices. Any a�ation or dert�on bas be- Al tow Involving extra costa win be executed only coca wrmen orders, and win become an hn extra charge over and above the estimate. An agreements soffit awn swkec 9ai- SPMMPWSVMBY be dents m beyond our control. Owner to carry Me. tornado and other k ry Withdrawn by us U trot accepted wltlUt (� days. insurance. Our workers are funy covered by workmen's Comps asHok hmtasrcce. We hereby submit specifications and ealfrustes for. ._.. ....... _... ._.. .... ................... _ .............. _.....t. ----- ._ _ ...._. ................. .- _..... _. .w ...._._....... "..` ��`!..._...._&.fs_ ......... M+ Ch E—Le4fMfo L) WAM_d Tim above tares. and conditions are satisfacmry and are hereby accepted. You are &U*O Gd ftnat" to do the work as epacif W.,F&ymenVwM be made as outlined above. Date of Acceptance: _T ®� �j 81"Istre This combination qqualMes for a Federal E Efflclency Tax Credit when planed In s betwn Feb 17, 2009 and Dec 31, Iron 1 91 AHRI Certified Reference Number: 3806012 Date: 91=2013 Product: Split System: Air-Cooled Condensing Unit, Coll with Blower Outdoor Unit Model Numin}r:14AJM42 Indoor Unit . Model. Number.. RHLL- HM3821 +RCSL44*3821 Manufacturer. RHEEM MANUFACTURING COMPANY Trade rand name: RHEEM Manuf cturer 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 AH -sponsored, Independent, third party testing: • M by an e) iaatcga a bob may of y aaK u acon a a was, + + h an kNOWI ary aaab 02013 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 13M484MM734M FLORIDA BUILDING CODE 20109 ENERGY CONSERVATION mandatory Heat Load Cakulation for HVAC syskms total replacement - RESIDENTIAL For total replacement of the condensing unit ad evaporator wtoponena of the HVAC systems (Florida Building Code 2010, Energy► Conservation, §101.4.7.12 & FS 553912) Owner. A![ kVW4ke m iii :,gin am �IL�C / 6rb Stred d a city- %!/ l Zip: a 3 % -Q Final Inspection Date: I certify that I have performed the equipment sizing calculations using a nationally recognized method in accordance with the Florida Law and the provisions of the Florida Building 2010, Energy Conservation, Sections 101.4.7.12 and 403.6.1: Heating and Cooling equipment is sized in accordance with ACCA Manual S based on the equipment loads calculated in accordance with Manual J or other approved heating and cooling load calculations methodologies, based on the loads- for the directional orientation of the building. Company Name: Contractor's/Engineer's License No: CgC 119/ 6- 6 � , Print Engineer's/Qualifier's Nam: Ttae Engtneer's/Quamer's signature: Date: d 014 Y f DesignStar Load Calculation Resul s are i nded for use with Rheem heating and cooling systems SHR : 5 Number of residents 3 Ceiling height 9. Wall U -value f R -value 4.2 5 Floor U -value R -value 0.2 5 Ceiling U- value's R value 0:053119 Window U -value a.5 Window SHGF 4�.8 Moisture grains 58 Duct loss % 1Q Duct gain % 14 Cooling infiltraction (ACH) 0.6 Heating "infiltration (ACH) 08 . Winter ventilation 4 Summer. ventilation 0 3 f Desicin Condiflbh&� Outdoor Heating Cooling UFU Infiltration Y LOSS 19 Windows i; fd Vofit�47 iSW mall Spebold f:: yINICK10 11110 ® ent s i System equipment selection will be made using the following derived values. Glass (E) 124 sq.. ft,. Glass ( 17 sq.. Glass (N) 1.7 sq. ft. Glass M Summer Outdoor 9i*F SUMIner. Wet"BU1 7 P Summer lncloorl 75 °F Summer. Design gains ; _ Winter- Outdoor SQ°F Winter Indoor 706F SensfbCe Coaling 9 i h t_atent Coollnf �r Required Cooling Alrflo�V 1,414 Cl= Sensible Heating 18 94 Required Heat{ng airflow 246,CFM { «..+rte. -.«..- ..LJw.. +••.....i . .� .»Nmrr- _..+.W- uJ,r +. -•r-. +:.+,vn+k. -{ i 5mms ana raea iree