MC-14-4930 • �
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 208912 Permit Number: MC- 3- 14-493
Scheduled Inspection Date: May 07, 2014
Inspector: Perez, JanPierre
Owner: DURAN, CARLOS
Job Address: 745 NE 96 Street
Miami Shores, FL 33138-
Project: <NONE>
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
Contractor: AFFORDABLE AIR & HEAT & ELECTRIC CONTRACTOR
Building Department Comments
REPLACE 4 TON A/C WITH 10 KW
Phone Number
Parcel Number
1132060142240
Phone: 305 - 770 -4167
Infractto Passed Comments
INSPECTOR COMMENTS False
2
May 06, 2014 For Inspections please call: (305)762 -4949 Page 10 of 34
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
May 06, 2014 For Inspections please call: (305)762 -4949 Page 10 of 34
Miami Shores Village ®,��
Building Departmen N�
aL
10050 N.E.2nd Avenue, Miami Shores, Florida 3
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949,
BC 20
BUILDING
PERMIT APPLICATION
Permit Type: MECHANICAL I
JOB ADDRESS: � `"1 5 Y � L -1 �0
Permit No.
Master Permit No.
City: Miami Shores County: Miami Dade Zip: 930 "o
Folio/Parcel #: k d S Q ®� '
- c) k LA " Qa °� 0
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): V O A U\-)\ O- _�) k S C o Phonek es ? " � 0 6 L
... X11 9 nt -r_-- C�r e)..
city: �JV Q M % SAIUt-eS —State: 2 )
Tenant/Lessee Name: �\j rN Phonek
Email:
CONTRACTOR: Company Name: W;Qc6C)C) l2 a c C'C Phone #:131 (�I LV) _9=
Address: 5 \5 N t \90 SV ,
City: W�, ® &'s m_ a State• T— L Zip: M OR
Qualifier Name: :. \\ O t,4 "EK-f C can a- C0 Phone #: 3a, S- 6 0777
State Certification or Registration #:
Contact Phone #: J Q ti C7 ` 05_4� ail Address:
DESIGNER: Architect/Engi
Z
Value of Work for this Pe S
Certificate of Competency #:
Footage of Work.
Type of Work: OAddrress OAlteration ONew :W []
Repair/Replace Demolition
-
Description of Work: �kP n 1 L� `OW c W
Submittal Fee $ Permit Fee $ 4 L dJ CCF $ CO /CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
_xt �()
TOTAL FEE NOW DUE $
J�xt 'at
Bonding Company's Name (if applicable) f
Boning Company's Address
City
State
Mortgage Lender's Name (if applicable) `V
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 pos6olnotice, the inspection will not be approved and a
reinspection fee will be charged
gignature Signature `-- /![ % /!Jd"AT
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this V5
day of 0 l V
who ' o _- wn to me or who has produced
As identification and who did take an oath.
NqTARY PUBLIC:
The foregoing instrument was acknowledged before me th4
day of % �' by ms's,
who is ally k me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
� `� :. ; '.Ii.W:.
APPROVED BY li Plans Examiner Zoning
Structural Review Clerk
Revised 3 /12/2012XRevised 07 /10 /07XRevised 06 /10/2009xRevised 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): q L-\ � e� �. oic -5�
City: Miami Shores Village County: Miami Dade Zip Code: 1
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: YESJZ
U
BEING REPLACED
DATA
JNEW UN
MANUFACTURER
AHU or PKG. UNIT MODEL #
t,
Za 441
COND. UNIT MODEL #
KW HEAT
NOM TONS
AHU 'Wlff
PKG
1 M.C.A
AHU-4 CUVO
PKG
AHU90 CUO PKG
2 M.O.P
AHUCC( CU
PKG
AHU CU
PKG
3 ) VOLTS
AHU CU
PKG
PKG UNIT
I I
PKG UNIT,
/ I
EERISEER
YES
NO
REPLACING DUCTS
YES
YES
N
REPLACING THERMOSTAT
YES
YES,**'
NO
NEW 4-CONCRETE SLAB
aw
NO
YES
N
NEW ROOF STAND
YES
YES
NOK
NEW RETURN PLENUM BOX
YES
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fu B ker S' e):
3. Voltage of Circuit (208/240/480):
4. Size Disconnecting Means:
Contractor's Comp am %� Phone:
State Certificate or egistratio Certificate of Competency N.
Signature Date.
Q s sign re onty)
:5LWYO
Product: Split System: Air- Cooled Condensing Unit, Coll with Blower
Outdoor Unit Model Number:14AJM49
Indoor Unit Model Number: RHLL- HM4821 +RCSL -H *4821 AdO3
Manufacturer: RHEEM SALES COMPANY, INC.
Trade/Brand name: RHEEM, RUUD, WEATHERKING
Series name:
The new Patent pending "FAT80Y" Condon g Unit
Tie Down is truly u"3. e.
equaled The 'opt It's. tmiverW design is un-
sc>�v installation <at yam. fafled as a -standard can.
MUY�tmig � aEion' making "Fatbola r the oral
Tie Dovb►fl. ie � • 7
cliuively. for Florida. En ' Wad• Fns Pa
all cable and mg i'�° are inc)nded n
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0:001F i OR OF Stftahlb PERFORMED
AIR DISTRIBUTION:
Ductwork will be designed, fabricated and installed''In accordan a wl"'
accepted engineering practices and in compliance with aN fuiidin$,cgdes z
in force on above date.
k
DUCTWORK:
System of flex/fiber andlor
outlets and returns. Subject#o mod; according to structun
or other requirements.
LABOR WARRANTY:
Service will be provided free by--us for ll<period of S C
year(s) from date of installation during tfgular workmg d & h
MANUFACTURER WARRANTY:_
Parts Warranty (Yrs.) A B C
Compressor Warranty
EXTENDED WARRANTY:
Provided
ed through
AFFORDABLE AIR & HEAT, INC. WILL PRI�V(R!
INSTALLATION OF EQUIPMENT
REFRIGERATION LINES( ) OR FLUSH r
GRILLES ( ) RETURNS (pL)
PERMIT FEE(S) & PLANS, IF REQUIRED_
DRAIN PIPING ( ) OR FLUSH ( )
AIR HANDLER SUPPORTS
CONDENSATION PUMP
EMERGENCY FLOAT SWITCH
HURRICANE TIE -DOWNS
CONCRETE SLAB
■
■ ■
Y Titie`fo the above merchandise remains with Affordable Air and Heat, Inc.
(geller) until paid fQr in full. In case of default in any terms of this contract, the
seUe s 10 twe the right to take immediate possession of said merchandise
alnd full hxotttrt q, the purcb se price then unpaid shall become immediately
du @a "rid payai Pe at fi fe seller spption out notice or demand. All monies paid
shalC r a!n �u tts as Iiquidated damages. In the event the services of
an attor� ats 'd' Q109force the interest of the seller, the purchaser shall
be require"61-1 'J, an 'ogle attorney's fees together with interest and all
costs thereto. seNice shall be performed on accounts with an
outstanding balance :ananty excludes, existing ductwork, existing
electrical systems, an,440ite4ncerelated repairs.
In rthe ev8e_ t p4rctssr t$fuse$ to allow seller to commence work after
tl�e'co�trAct :#�erxecutrchesershall be responsible to the seller for
35 % of the7total ptfs os liquidated and agreed damages. Seller shall not be
respons ting building orelectrical code violations.
All�ntelal gtJatanteed to be as
'specified. All work to be completed in a
orlynan n accgtdtt to standard rogVevid ctices. Any alteration or
d�iro'tfie core#ract;Rpfioattonsihvolycosts will be executed
4iFR`ra rltt ers iii will bJecitp: arge above this estimate.
s Initial Here
YES
NO
EXISTING
El
❑ ❑
OTHER
s Initial Here
YES
NO
EXISTING
El
'O JQik SITE DEBRIS`
&ir
❑
❑
Ai#:4i I (POWER CONTROL)
❑
❑
TQ EXi$TBt SERVICEIPANELS
tW
❑
❑
ECE�TdikL SERVICE AMPS
❑
C6�
❑
y
❑
Si
❑