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MC-14-98Inspection Worksheet Miami Shares Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 205903 Permit Number: MC- 1 -14 -98 Scheduled Inspection Date: March 05, 2014 Inspector: Perez, JanPierre Owner: KROBOTH, ROBERT Job Address: 257 NE 103 Street Miami Shores, FL 33138 -2430 Project: <NONE> Contractor: MIKES A/C SERVICE, INC Building Department Comments REPLACE 2 UNITS 3 TON AND 1 1/2 TON Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1121360130420 Phone: 305 - 714 -4400 Infractio Passed Comments INSPECTOR COMMENTS False March 04, 2014 For Inspections please call: (305)762 -4949 Page 9 of 26 F. 1� Miami Shores Village \C/t Building Department I �� 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �� y Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: MECHANICAL 7 C- d�N.: 2014 BY: FBC 20 �'P Permit No. Master Permit No. m G I y_ Cl f3 JOB ADDRESS: ;Z5 i �• • I b 3 �' °S'' City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: /)® City: A lM I S)*.g State: 1" � - Zip: 3� 114 Name: Phone #: Email: CONTRACTOR: Company Name: �?�` /� /,� 04C. 64E;2 t1rCa_ Phone #: A ©V- SO 14 Address: 17 %J /V 6 71 57� P city: I" r� -s�-a C' State: �6r_:7 14 Zip: Z3 1 8 Qualifier Name: 7 L� /1 G= �?�l ��-// , Phone#: ?Q 5- qd -l-.T State Certification or Registration #: C%�'�� 4� Certificate of Competency #: & A Contact Phone #: 9D, 5- Cdr 5'L- 9 JW- Email Address: Z?::4 1 iG L _f Gt_ C 5; 0 /7-"? 5 � P t-1�4-2p DESIGNER: Architect/Engineer: Phone #: ---- Value of Work for this Permit: $ � 57 ® 0 • Square/Linear Footage of Work: Type of Work: OAddress OAlteration ONew MIRepair/Replace ODemolition Description of Work: Z 6 d?Ztq j! � j — 3 ;22 A,., o-% 9z_/ S Z_ �t�l Z2 1-0 Al /�_;7 n,? Submittal Fee $ Permit Fee $ Scanning Fee $ Notary $ Radon Fee $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ C20 L • ?A 9d 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. Of tune I f ` Si � / � ` Signa e Owner or Agent The foregoing instrument was acknowledged before me this day of -50sr1 , 201 _�,A by QA3(4 who is personally known to me or who has produced - t'1 As identificatior� W i8 /0* take an oath. NOTARY PUBLIC: ��.�� d ®Iypyd, APPROVED BY Contractor The foregoing instrument was acknowledged before me this Z( day of S Ail-4 . 20 14' byr l I VnU aj, ri►n't J & who is personally known to me or who has produced_n__ID NOT Sign: Print: MyC as identification and who did take an oath. Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012XRevised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09) ��. y 0 S �•� '''�.r l.'' •: qty Sign. Print: My Commission Expires: '',� ua %1 b APPROVED BY Contractor The foregoing instrument was acknowledged before me this Z( day of S Ail-4 . 20 14' byr l I VnU aj, ri►n't J & who is personally known to me or who has produced_n__ID NOT Sign: Print: MyC as identification and who did take an oath. Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012XRevised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09) mu"s A co SOME Inc. AIR CONDITIONING AND HEATING PROPOSAL AND SALES AGREEMENT CUSTOMER: Robert Kroboth January 16, 2014 ADDRESS: 257 NE 103rd Street ADDRESS: Miami Shores, Florida 33138 RE: Replace 1- 3.0 ton 81 -1.5 ton air conditioning and heating system (with now environmentally friendly refrigerant 410A) INSTALL 3.0 TON 81.5 TON RHEEM AIR CONDITIONING 8 HEATING SYSTEMS 1) We will recover the refrigerant 22 from the old systems, we will remove the old air handier units from the air conditioning closet, we will remove the condensing units, and we will dish the old air conditioning systems according to EPA regulations. 2) We will Install new HI EFFICIENCY RHEEM air conditioning & heating system, the air conditioning system has efficiency rating of 18.50 SEER 816.00 SEER, and all installations will be done according g to South Florida BLDG codes. 3) We will install the new condensing units In the some place over same concrete slab, are will Install the new air handler units in the same place in the air conditioning closet, we will Install the new float switch In the air handlers unit, we will dean out the existing refrigerant Ines, we will connect the refrigerant lines In to existing, we will connect the electrical In to existing, and we will connect the ductwork in to existing. 4) We will evacuate the system, we will charge the system with new refrigerant 410A, and we will balance the system in the house. EQUIPMENT: RHEEM AIR CONDITIONING & HEATING SYSTEMS SEER IS 15.50 816.00 SEER 1 RAPMMEZ CONDENSING UNIT 1 RHLLHM3617JA AIR HANDLER UNIT 1 RXBH- 1724C10J HEATER 1 RAPM018JEZ CONDENSING UNIT 1 RHLLHU 2417JA AHU WITH 54=1620E3 FILTER RACK 1 RXBH- 1724C05J HEATER 1 ALL THE MATERIALS, REFRIGERANT LINES, INSULATION, & REFRIGERANT 410A LABOR WARRANTY: Labor will be provided free of charge by us for a period of one year from date of installation, during regular working days Monday thrU Friday & regular working hours 8:00 AM to 5:00 PM. No warranties on regular preventive maintenance & tine air conditioning filters.' MANUFACTURER'S WARRANTY: All the parts in the system for period of ten years, the evaporator coil for period of 10 years, the - condenser coil for period of 10 years and the compressor for perm for 10 years from the date of Installation. No warranties on refrigerant, freight charge, 8 materials. TOTAL SYSTEM COST: We shall furnish labor, materials & equipment detailed on pages 1 & 2 for $G J-00.00 dollars, the sales tax Is Included in this proposal. FPL REBATE ($680.00) MFG REBATE (00.00) TOTAL CUSTOMER _PAYS $6, 5820.00 (PLUS THE PERMIT FEE, PROCESSING FEE 8 LOAD CALCULATION) TERMS: Customer hereby accepts this proposal and agrees to payments as follows, 50% down payment upon acceptance of this proposal, and 50% final payment when the job is completed. CONTRACTOR: L' DATE: CUSTOMER: r4-? DATE: 775 N.E. 79th St. Suite H. - Miami, FL 33138 - Phone (305) 751 -5814 - Fox: (305) 861 -4190 CAC 039619 SALES - INSTALLATION - SERVICE SINCE 1974' 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: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: /% t lC Ice BUSINESS ADDRESS: 7.5' 1%b S14- CITY STATE ?55Z- ZIP CODES J l 3 BUSINESS PHONE: L'9��2) FAX NUMBER ( ) CELL PHONE ( ) QUALIFIER'S NAME: A-7 l [% t--- 67- In QUALIFIER'S LIC NUMBER:-(!f- /q C- C� Created on 3119109 BY MLDV I RV 3126109 MLDV I RV 6127111 AS ( Y MIKES -2 OP In! C3 '4`,,.°RDp CERTIFICATE OF LIABILITY INSURANCE 1113 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIR"TWMY OR NEGATIVELY AM END, EXTEND OR ALTS THE COVERAGE AFFORDED BY THE POLICES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE iSSLIM INSURER(S), AUTHORMED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: N the owtfficate holder is an ADDITIONAL INSURED, the polry(ies) must be endorsed. If SUBROGATION M WAIVED, subject to the terms and conditions of the Policy, certain Polite may require an endorsentent. A statsrrent on this cartilicefs does not confer rights to the certificate holder In Hsu of such endorsement(s). ROMMM BRp O & BROYWN OF FLORIDA INC Phone: 3Q8.364 -7 14800 NW 79th Court Sufi Fax: 305-714401 MkuM Lakes, FL 33018.8888 House Accounts M Not APF01019I0I AeE NAICo nee MRA 'FOCI Commercial Insurance Co 33472 09RU O Mike's A/C Service, Inc. P.O. Boni 414384 Miami Beach, FL 33141 VISLIOR 6:790111"olm Insurance Co. Inc. 42376 mac• D• INMIRER E auvv MVIDA W MINflaC{C THIS B TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDM 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 AMXWW BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONOMNS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WR lYmoFUOURAWE LOOKS JwJL GOGRALL1AHURY EACIOCCURFENCE Is 1AW A "XwMNMww9PALuww 48482 I"MO t4 01�11Z01S lM Eaa>outtenCS a A -MADE rX ot�llR MED EXP ate Is WWC1M=0F0PMM=1IJ==N8#VM6CLfiS ~ACMW181.A l Sdedtda BmorewMis SHOULD ANY OF THE ABOVE DESCRIBED POLLMS BE CANCELLED BEFORE `L THE EXPIMT= DATE THEREOF. NOn= WUJ. BE DRIVEREA IN Miami Shores Village ACCOROAHCE VNTH THE POLICY PROVISIONS. 10050 No 2Nd Avenue Miami Shores, FL 33138 ramrE 0 1088 2010 ACORD CORPOIRATION. All rkrhb resreVed. ACORD 25 (10” The ACORD me= and logo we registensd marks of ACORD P !1 • hM I- .�, ...ti' •," - - -�1-.< .: MGK %':'.I:1% I I sl tl' �I - ..H ,F MI.'a '. ,TIT, „lil�l ■ WWC1M=0F0PMM=1IJ==N8#VM6CLfiS ~ACMW181.A l Sdedtda BmorewMis SHOULD ANY OF THE ABOVE DESCRIBED POLLMS BE CANCELLED BEFORE `L THE EXPIMT= DATE THEREOF. NOn= WUJ. BE DRIVEREA IN Miami Shores Village ACCOROAHCE VNTH THE POLICY PROVISIONS. 10050 No 2Nd Avenue Miami Shores, FL 33138 ramrE 0 1088 2010 ACORD CORPOIRATION. All rkrhb resreVed. ACORD 25 (10” The ACORD me= and logo we registensd marks of ACORD P l i • • • •; .: SECWTa24807016 . 108/07/2012-1128033.668. CAC0i987.� The . CLASS A Q`;CQRAC'rOR Named beloi►. IS C�TIIAIB4: -: 'Mader the provisions of'" til><t- Atli- 8spiration dates AM 31, X034 HATTA . ffi� :- P 0 Box 4384 I BBACB RICK SCOTT`. _' RSJ LAWBON � 8 -DRAY Ali REtll� 0 LM SRC83CTARY' c� Y ti c� 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): .9S 7 A/ F l03 S t City: Miami Shores Village County: Miami Dade Zip Code: 3 3 1 L3 0 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 C9 ARHI Sheet Attached: YES ® NO ❑ Contract Attached: YES UNIT BEING REPLACED DATA NEW UNT MANUFACTURER 12 14 A - I 9XIIf U1-1,q AHU or PKG. UNIT MODEL # Ile H44 Al 410 6 7,77W M - Z, COND. UNIT MODEL # R A P m C7 3 &-T6 I v A4 KW HEAT be . 7 - -' NOM TONS AHUS- -rCU " PKG 1 M.C.A AHUS'4KU Z2PKG AHU 6 6CU OT PKG 2 M.O.P AHU 6OCU 3 KG AHUa U KG 3 VOLTS AHU,2446CU Z4VPKG PKG UNIT / / 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 1. Minimum Circuit Ampacity (Wire Size): #*1 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 2d 0 1.2 4(0 4. Size Disconnecting Means: Contractor's Company Name: /Yll 15p- `S` (C .e Phone: State Certificate or Registration N. e-AG ® -I l Certificate of Competency N. Signature Date: (QuallBer's signature only) t j7Z 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 ring done): ;Z S- 7 N. e, / 0 3 S 7� Clty: Miami Shores Village County: Miami Dade Zip Code: -T-'? 1.3 0 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 (9 ARHI Sheet Attached: YES ® NO ❑ Contract Attached: YES ja UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL# 9 14 G A/ 1Z Q Z. COND. UNIT MODEL # RA p 01 -6z. KW HEAT p( NOM TONS 0— -- AHU 0 CU 13 PKG 1 M.CA AHU PKG AHUJO CU20 PKG 2 M.O.P AHU KG AHUA U G 3 VOLTS AfiUZ*CUZqMG PKG UNIT / ! PKG UNIT 1 / 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 1. Minimum Circuit Ampacity (Wfe Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Mears: Contractor's Company Name: State Certificate or Registration N. Certificate of Competency N. Signature (Guauti 8 ewndam ask) Phone: Date: Ri III! � • [SILO • AHRI Certified Reference Number: 3410684 Date: 1/13/2014 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number. RAPM- 036JEZ Indoor Unit Model Number: RHLL- HM3617 +RCSL -H *3617 Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. 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: Cooling Capacity (Btuh): 35600* EER Rating (Cooling): 13.00 SEER Rating (Cooling): 15x50 IEER.Rating (Gaoling): * Ratings followed by an asterisk(*) indicate a voluntary rerste of previously published data, unless aco mpanied with a WAS, which Indkates an involuntary rerate. DISCLAIMER AHRI does not endosethe produd(s) listed on thisCerfficate and makes no represenlidlom swan nuities or gumwd es as to, and assumes no responsibl6lyfar, the product(s) listed on this CerWkate. AHRI expresslydisclahns all llabmh►ror dwniges of any kind arcing out of the use or performance of the product(sj orthe unauthorized alteration of data listed on this Certificate. Certiwed ratings are valid only for models amt coMigundions listed In the directory at ww wahridirectoryorg. TERMS AND CONDITIONS This certificate and its contents are proprietary products ofAHR4 This Certificate shall only be used for Idivdtol, personal and confidential reference purposes. The contents of this Certificate may not, In whole or In part, be reproduced; copied; dissembuded; witared Into a computer database; or otherwise uti0z®d, In any form or nannar or by any means, exceptforthe user's Individual, personal and confidential reference. CERTIFICATE VERIFICATION The Information for the model died on tits ce,tiPicairecan be verified at www.ahridirectoryorg, Air - Conditioning, Heating, dick on Certificate° fink and � the AHRI Cer�ed roe Number and the data on v a and Refrigeration InsNhlte which the cede was , which N listed above, and the Certificate No, which Is belt 02013 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130341316470717611 This combination qualifies for a Federal Energy' Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. Certificate of Product Ratings AHRI Certified Reference Number: 3487308 Date: 1/13/2014 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: RAPM- 018JEZ Indoor Unit Model Number: RHLL- HM2417 +RCSL -H *2417 Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM Series name: Manufacturer responsible for the rating of this system combination Is RHEEM SALES COMPANY, INC. 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- sponsomd, independent, third party testing: * Ratings folkm+ed by an asterisk (7 indicate a voluntary haste of previously published date, unlass accompanied with a WAS, which indicatas an involuntary rerate. DISCLAIMER AHM does not endorse the product(s) III I on this Certilricateand makes no representtttlon% vorrantles or guarentees as to, and assumes no responsibMtyfor, the product(s) listed on this Certificate, AIR expresslydisclahns gig BWOtyfbr dares of any kind a hft out of to use or perfomamce of the product(s), or the unauthorized alteration of dab listed on this Certificate. CerlHied ratings are valid only for models and configurations listed In the directory at wnWahrldirectoryorg. TERMS AND CONDITIONS This Certificate and its contents are proprietary products odAHRi. This C n#fical a shall only be used for Individual, personal and confidential reference purposes. The contents of this Certificate may not In whole or In part, be reproduced; copied; disseminated; entered Into a cumin der database; or otherwise utilized, In anry form or marmer or by any means, except for tie useft Individual, personal and owdidential reference. CERTIFICATE VERIFICATION The kvomntion for the model cited on this cerfillicale can be verified at wwwahridirec torltorg, Air- Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Certified Refrenee Number and the date on ®� and Refrigeration Institute which to certificate was issued, which Is Rated above, and to Cardficide No., which is listed beknw: 02013 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130341364590951051 E ee , o_ DesignStar Load Calculation Rmft wftwe and ng symm pp- dequate ExDosure Diversit iDMent selection Property Search Page 2 of 2 http:l/ gisweb .miamidade.gov /PropertySearch/ 1/14/2014