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MC-14-43i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number. INSP- 205527 Permit Number: MC -1 -14-43 Scheduled Inspection Date: January 22, 2014 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: WADE, DRAYTON DOUGLAS JR AND Work Classification: A/C Replacement rnw l ru Job Address: 353 GRAND CONCOURSE Miami Shores, FL 33138 - Phone Number Parcel Number 1132060136030 Project: <NONE> Contractor: C&T AIR SERVICES INC Phone: 305 - 888 -6560 Isunmmg uepartment comments 4 TON AC REPLACEMENT Infractio Passed Comments INSPECTOR COMMENTS False 0 1 Z z j January 21, 2014 For Inspections please call: (305)762 -4949 Page 24 of 39 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 21, 2014 For Inspections please call: (305)762 -4949 Page 24 of 39 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 o cc vi 092M FBC 20 1(Z) Permit No. 2 Master Permit No. MCC y""1 7 Permit Type: MECHANICAL JOB ADDRESS: Tr3 C5-q-q- � d ,cJ a w a-JV City: Miami Shores County: Miami Dade Zip:! 3 Folio/Parcel #: Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder): City: _ _ je!±j `T-kl., "-r State: Tenant/Lessee Name: Email: CONTRACTOR: Company Name: Address: 4!Ko &--� City: Qualifier Name: NO Flood Zone: 351 ,318 State Certification or Registration #: C 4C 0 -%—,C 7 G .r— Certificate of Competency #: Contact Phone #:�- % �,�,r`O Email Address: C t e / • �'� DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ zeelp®. e,-, Square/Linear Footage of Work: Type of Work: 1]Address OAlteration ONew 0<epair/Replace ODemolition Description of Work: P0 " Submittal Fee $ • Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ k 1) q71V 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 will not be approved and a reinspection fee will be charged Signature 10 A731A1. Owner r Agent The foregoing instrument was acknowledged before me this day of , 20/w/, py DOUG , who isCpersona y mown o m�e or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My C Signature Contractor The foregoing instrument was acknowledged before me this day of Zia , 20/f�, by cm. 4 �. who itTersonally known to me r who has produced as identification and who did take an oath. NOTARY PUBLIC: ELIN CA 08 Sign: ' Print: �_ gym' Expires May 10, 201s C # EE 87330 My Comm Bonded is National IyAssn. APPROVED BY la 16iner Zoning Structural Review Clerk Revised 3 1122012)(Revised 07 /10 /07XRevised 06 /10 /2009)(Revised 3/15/09) 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): :3 S- •� tie C °� �Z.�e City: Miami Shores Village County: Miami Dade Zip Code: 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 7ARHI R 9 I) DATA SHEET REQUIRED Change Disconnecting means: YES E] NO Sheet Attached: YES NO ❑ Contract Attached: YES 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: 0 0 Contractor's Company Name: A 1- ;,�� t9� Phone: State Certificate or Registration N. Certificate of Competency N. Signature Date: (Quallflees signafure only) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER 14 A.10 d AHU or PKG. UNIT MODEL # COND. UNIT MODEL # 6 f KW HEAT NOM TONS a . 49 AHU CU PKG jj M.C.A AHU CU PKG AHU CU PKG 2 M.O.P AHU CU PKG AHU CU PKG 3 VOLTS So 7, AH U PKG PKG UNIT / ! KG UNIT o EER/SEER s YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT YES yfwl YES NO NEW 4 "CONCRETE SLAB YES YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX I YES IN22 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: 0 0 Contractor's Company Name: A 1- ;,�� t9� Phone: State Certificate or Registration N. Certificate of Competency N. Signature Date: (Quallflees signafure only) s • s • AVVKU to (AUIWUS) INS025 piowpi cQ 186 -2070 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JAN /09/2014/THU 09:38 AM Matrix PAX No,9047392720 P. 001/001 ® AC[3RC7 CERTIFICATE OF LIABILITY INSURANCE �,,,,.• DATE (MM0DIYYYY) 12/23!2013 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 ALTERTHE COVERAGE AFFORDED BYTHE 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: If the certificate holder is an ADDITIONAL INSURED, the policy()es) 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 endorsement(s). PRODUCER Ariskco, Inc. 9016 Philips Hwy. CONTACT Nom' PHC n o Exc : FAX C,No: E-MAIL ADDRESS: Jacksonville. FL 32266 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Normandy Harbor Insurance Company, Inc. 13012 EACH OCCURRENCE INSURED Matrbc Employer Services INSURERS: $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F-1 OCCUR Ally Hr, Inc & Ali Hr II, Inc INSURER C : 9016 Philips Hwy Jacksonville, FL 32266 INSURER D MED EXP (Any one pemor) $ PERSONAL & ADV INJURY $ INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:WT29FLEK REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE 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. IN SR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF M1DDIYYYY P U Y EXP M1DDrYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES a orxutrence $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F-1 OCCUR MED EXP (Any one pemor) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $ $ POLICY PRO-- LOC AUTOMOBILE LIABILITY -COMBINED SINGLE 091T_ Ea accident) BODILY INJURY (Par persm) $ AN AUTO BODILY INJURY (Par accident) $ ALL OWNED SCHEDULED AUTOS NON- -OWNED HIREDAUTOS AUTOS PROPERTY l Pe $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ RDED AGGREGATE $ XCESS LIAB CLAIMS -MADE RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIFXECUTIVE YIN OFFIC ERIMEMBER EXCLUDED? FN (mandatory In NH) NIA NHFL140286 01/01/2014 01101!2016 X TWC TTU- OETRH- E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes describe under DESCRIPTION OF OPERATIONS bebw DESCRIPTION OF OPERATIONS 1 LOCATIONS i VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is required) Coverage is extended only to the insured's employees who are leased to the client company employer. C&T Air Service Inc 0202114 DISCLAIMER: Coverage is not extended to any employee of the client company employer who is not leased from the insured or to any leased employee for which the dierd company employer is not reporting payroll hours to the insured. This certificate remains in effect provided the client company employer's account is In good standing with the insured. Please contact the insured at 866- 453 -2722 for verification of employees leased to the dient company employer by the insured.. Current number of leased employees is 5 CERTIFICATE HOLDER CANCELLATION Miami Shore Village 10050 NE 2nd Ave Mianl Shore, FL 33138 1- 305 - 756 -8972 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE y C & T Air Service, Inc. Air Conditioning & Refrigeration 40 west 22 street bqv # 4 Hialeah, FL 33010 Phone: (305) 888 -6560 PROPOSAL "FAST SERVICE AVAILABLE" Customer DOUG & TONI S. WADE Address 353 GRAND CONCOURSE DR SERVICE, SALES & INSTALLATION Date: 1/8/2014 Job* C0100965 City MIAMI SHORES FL Phone: 252 -450 -9600 We, C &T Refrigeration propose to furnish, install and service under warranty (state on reverse side) heating and /or air conditioning products enu Matea equipment Tor you in accordance with the conditions and specifications set forth in this SYSTEM EQUIPMENT AND TYPE OF MATERIAL USED: FOR THE REPLACEMENT OF 3.5 TONS CENTRAL AIR COND SYSTEM BRAND TRANE 16.00 SEER & FLOAT SWITCH, DUCT WORK CONNECTION, REFRIGERANT LINES CONNECTION, ELECTRICAL, DRAIN LINE, START UP AND REFRIGERANT CHARGE. PART AND LABOR XL -151 A/H M# TAM7AOC48H41SB C/U M# 4TTX6042H1000A 5,101.00 FPL REBT 780 TERMS: Down payment $ % Subtotal $ 4,321.00 rough duct work, inspection $ % Tax $ Delivery of equipment $ % Job Price $ 4,321.00 On completion of job $ Remarks: WARRANTY 10 YEAR ON COMPRESSOR 5 YEAR ON PART 1 YEAR ON LABOR BED RM. BATH MR. LIVING DINNING ROOM Other KITCHEN FAMILY ADDITION BREAKFAST ROOM RESPONSIBILITIES: The following responsibilities will be assumed by each party as indicated Pu Local Permits and Licenses Equipment Foundation Writing from Building Panel to Unit Thermostat Control System New Electrical Service Panel CONTRACT EXPIRATION: This proposal will become a contract between us if accepted by you on /before and subsequently by our credit department. INSTALLATION SCHEDULE: We will be ready to begin installation approximately,by OWNER PURCHASE ACCEPTANCE: SELLER APPROVAL: Drain Lines Refrigerant Lines Dryer Exhaust Bathroom Exhaust Kitchen Exhaust 30 DAYS Purchaser I Seller (Date) This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. T". �_ • AHRI Certified Reference Number: 5858379 Date: 1/9/2014 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTX6042H1 Indoor Unit Model Number: *AM7AOC48H41 Manufacturer: TRANE Trade/Brand name: XL161 Series name: Manufacturer responsible for the rating of this system combination is TRANE 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): 45000 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): . Ratings followed by an asterisk (*) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. 02013 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130337524986874838 3 DesignStar Load Calculation Results afe intended for use with Rheern heating and cooling systems the Ntw veww, SHR .75 Ceiling height 9 Floor U-value I R-value 0.215 Window U-value 0.5 Moisture grains 58 Duct gain % 10 -V. 'I A J-t Ilk fy I Heating infiltration A IiRSE04-3=1 i Design temperature difference( °F) 20 22 a L�Np�\ He n L o aid s , Area Btuh % of ... Floor 6456 29.7 Floor Heating Loads 22.706 BTU/hr Y Loss lows Ceiling Cooling Loads 38,486 BTU/hr Ceiling -/ Wall 15000 10000 V to 3 5000 AED Graph Glass (N) 15 sq. ft. Summer Outdoor 970F Summer Indoor i5 °F Winter Outdoor 50T i,ensible Cooling 33,074 BtLM Required Cooling Airflow 1,503 CFM Required Heating Airflow 282 CFM ........ . ..... . ...... ........ I . .......... All calculations are based upon approved hvac industry standards and procedures, and comply with all local, state and federal code requirements. All computed results are Estimates. Product provided by Energy Design Systems and Idea Tree