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MC-14-928Miami 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 Permit Type: MECHANICAL JOB ADDRESS: -71-7 J- ct l 5 f 4- City: Miami Shores Folio/Parrel#: Is the Building Historically : Yes :RECEIVED MAY 072014 FlIC Permit No, Master Permit No. rflC- I Ll ® X12 ' Miami Dade . 33!38 NO Flood Zone: a.R OWNER: Name (Fee Simple Titleholder): D(L d D/-Q- Phone #: 95" I - c 1 g/G State: Tenant/Lessee Nance: Phone#: Email: CONTRACTOR: Company Na e: A [/t lit6f49t.G—lu Phone#: Address; / ii i //4 )t � City: L, , , Qualifier NaflE:. l"' (xO - -- n Phone#: State Cron Contact DESIGNER: Zip : 17 Value of Work for this Type *Mork: QAdd Description of Work: nare/Linear Footage of Work: UNew ° epair/Replace Elfet�liti n 0AJ i S L LL itrki ******** * Feat, l L ikmte ti1Ut�4irir#ibitr +a**O i*ikf9r9e Submittal Fee Sn 3 • �� Permit Fee $ 1 s CCF S CO/CC S Scanning Fee $ Radon Fee $ DBPR 8 Bond $ Maury S Train /Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUES C4 �� Bonding Comity's Name (if applicable) Bonding Company's Address City State ZiP Mortgage Lender's Nome (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a penait to do the work and installations as indicated. 1 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 Incas regtaiating construction in thisonsdmon. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BO1.ERS,HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work wilt 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." 1Votice to Applicant` As a condition to the issuance ofa building permit with an estimated value exceeding .S25CO3 the applicant rust prom-Ise in good faith that a copy of the mice of commenced 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 conmrencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit Ls issued In the absence of such inspection will not be oved and a reinspection fee will be charged Signature Owner or Agent The foregoing instrument was acknowledged before me thi day of keA ,2O-,by 110 (L 1 C /\ who is personally known to me or who has produced jy (hQ_ As identification and who did take NOTARY PUBLIC: Si Print C My Commission Expires: a :U 110taii S10N # FF047731 WIRES: AUG. 22, 2017 phi aaa�0 yyVM.AA otedoTARY.c **&* **4* ** * **** **air****** * **** APPROVED BY • 14.1 Signature The foregoing day of who is Cam' as acknowledged = fa , = ;Iris L t: by 1-0111 1V t 10 6 b, tae or who has produced as identification and who did take an oath. Examiner Structural Review Revised 3/I2t2012XRovised O7/1010i)Re 06(1Ol2009XR 3115109) NOTARY PUBLIC: Sign: Print: My Commission E •: Myr Comm. Expires Oec 11.4016 Commission • EE 111072 Bonded Trough National Notery Assn. NI, 411 Zoning Cleric From: airinstalll@aolcom Subject: Gerlifbate of Insurance - Miami Shores Village Date: March 24, 2014 at 10:45 AM To: jody@evokemediastudio.com, jodyereelnauti.com see attached ,....-1.4 AtRiN1 OP la COL ''',.91";)- CERTLFICATE Of LIABILITY INSURANCE 1 ORTTONYIYI WWI CORIWICAIN Pi SURD AS A WATER OF iliFORMAIION ONLY ARO CRS NO REAM UMW MR OfiltURICATE SOWER. use , MO142614_....1 GER1WICATIE DOES NW AifIRRAThraix OR tiliWATINELY AMID, FATED OR AMR Ilei =IMAGE AFFORDED SY 111E POLICUta BELOW. 114W ORSOIFICATE OF NISI CE DOES 1101- CONSTERIVE A CORMACT REIMER Ttle MU= IWARWRZS), AIMIRROWD stemeserirme OR PRODUCER. NMI= CORITFIOATEIIOLDE1. WPOOTAR11 rt tite aerates% fierkr Es or NOINTIONAL INSINSO. le �y$$ ulna be audgiand. If atigROCATION ISMNirr--111001110 Me tefitie and tenclitiona of the poky. certain pities atit/ noire ea sedereereas. A zearineef mate certificate etas net meralf Viet taThe cesSicate leder blies eieuch eaftwetweigat MORON Atrinstall ISO Rawhefee0 Lem Psaiatiba, PAWN larelli=ett • TO I4flFr THAT THE. POIAORR OF ORITRANCE MVO RUM MINE MN IMMO 10 'OW RZUHtO MOM MOHR FOR MR WRICY PWRKO TR) . AntOticcariz REOLOREMEENT MOM/ =ER !PM V1 Wir faerneor OR on OM =MOOR' V4114. R&SPECT TO ?RUM MRS GERTIROwle WAY PE MED OR WAY RAM, 11.1E RiMazAticH AFFORITTO RY irn PROMS ORSORRED WREN IR mum To pal THR mem WicauROtis CCODMORR Or WO I Pautaa Lecirestafvoilew mew at EN tura fx wr alum T ESIMMIESE FamilefHASTf Warambacmi elhores Mae BuIdlno DeNailemol 1054140172 Fez 1000 NE 2 Ave NNorpl Muss, FL.331313 Pot IORD 25 MIMS) MOIRA SWIM OW *HOW RERCRESolioutom RE comer! LTA* MORE meatemes mercaer, same nat. aftreltitee IUMORORRIZOMITRE PRIACTRROVOLORS. isawasts Acortb CORPORATION. AS The ACM name an Woo are regfeepeet marks et ACORD AIR INSTALL, INC. 561 BEACHWOOD LANE PLANTATION, FL 33317 (954) 839 -2737 (754) 223 -7383 FAX AIRINSTALL@AOL,COM PROPOSAL Page 1 of 2 PROPOSAL SUBMITTED TO: Evans PHONE/FAX: I DATE: March 27, 2014 STREET: 717 NE 91 Street JOB NAME: Same CITY, STATEZIP CODE: Miami Shores, FL 33138 JOB LOCATION: ARCHfECT: DATE OF PLANS: JOB PHONIC We hereby propose to furnish materials and labor necessary for the compietion of acqutrmg permit for code vio case number 8-11 -8848. To include: 1. Air conditioning condense permit 2. Job inspection as needed 3. Bring condenser installation to code compliance 4. labor Contract Price: $52 &I0 AIR INSTALL, INC. 561 BEACHWOOD LANE PLANTATION, FL 33317 (954) 839-2737 (754) 223 -7383 FAX AIRINSTALL@AOL.COM PROPOSAL Page2of2 717 NE 91 Street WE HEREBY PROPOSE to furnish material and labor - complete in accordance with the above specifications, for the sum of: Five hundred and twenty-eight tears ($528.00) Payment to be made as follows: All material is guaranteed to be as specified. All work is Authorized to be completed in a substantial workmanlike manner Signature according to specifications submitted, per standard Ton} f Vicioso Sares Rep. practices. Any alteration or deviation from above specifications involving extra costs will be executed oniy upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation insurance. Note: This proposal may be withdrawn by us if not accepted within _ days. ACCEPTANCE OF PROPOSAL Signature The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature ECEP' E= 4UN 19.2014 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 U PERMIT NUMBER: MC 1 —! 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. g c Job Address (where the work Is being done): 717N Ii C 1 7 I C� City: Miami Shores Village County: Miami Dade Zip Code: J C ) 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: MESA NO ❑ Contract Attached: YES UNIT BEING REPLACED DATA NEW UNIT C.:100/Y114-Al y nj We It, (� MANUFACTURER 1 AHU or PKG UNIT MODEL # )Cl5r/A16- l C . I 'A 0'2,4 I 0Ah COND. UNIT MODEL # 6-A KW KW HEAT at `]'ft 43 Cr ' NOM TONS - AHU CU PKG 1) M.C.A AHU CU 4QPKG AHU CU PKG 2) M.O.P AHU CU CKG MU CU PKG 3) VOLTS AHU CU23PKG r PKG UNIT / / PKG UNIT / .09' EER/SEER /, YES NO REPLACING DUCTS _ YES 0) . YES NO REPLACING THERMOSTAT YES 0 YES NO _ NEW 4°CONCRETE SLAB YES 0 YES NO NEW ROOF STAND YES X YES NO NEW RETURN PLENUM BOX YES -'7'.- _ 1. Minimum Cirauft Ampacity (Wire Size): -$/2 2. Maximum Ovemturent Prota:tlon (Fuse/Breaker Size): 30 3. Voles of Circuit (208/24014SO): 27C) 4. Size Disconnecting Means: 3!) /9/PP Company Name: ,4i/ X/7)64,41- 27 State Certifizate or Registration N. Ch6 0202036 Certificate of Competency N. r=te Phone: ,3as= 6'g6.6Og, Signature I11., 1 � , i►�. J .1 CERTIFIED° Argil ■ - www.ahritlireciory.org j. Certificate of Product Ratings AHRI Certified Reference Number: 4700188 Date: 6/16/2014 Product Split System: Air - Cooled Condensing Unit, Coil Alone Outdoor Unit Model Number: GSC130241 P Indoor Unit Model Number: CA`F1824 "88' +EEP Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN, JANITROL, AMANA DISTINCTIONS, EVERREST, ONE HOUR AIR CONDITIONING AND HEATING, ENERGI AIR Series name: GSC13 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. 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): 22800 EER Rating (Cooling): 11.00 Feder, le ilnaswtag ep% . �~ .., on in United Staretnew R -22 systems. R -22 condensing units may, however, be sold uncharged and JEER 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. DISCLAIMER AHRI does not endorse the products) lamed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsiblIIty for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahrtdlrectory.org. TERMS AND cONDmONS mis Certificate and Its contents are proprietary products of AHRL This Certificate 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 computer databasxc or otherwise utilized. In any form or manner or by any means. except for the user's Individual, personal and confidential reference. CBRTIFICATC VaRIFIOATION The Information for the model cited on this certificate can be verified at www.ah rid irectory.org, click on 'Verify Certificate' link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom right ©201.4 Air- conditlontng, Heating, and Refrigeration Institute AIR-CONDITIONING, HEATING. at RCFRIKYCRA1IUn INbIIIUTE we make life better'. CERTIFICATE NO.: 130474188213696114 AIR INSTALL, INC. 561 BEACHWOOD LANE PLANTATION, FL 33317 (954) 839.2737 (754) 223.7383 FAX AIRINSTALL @AOL.COM PROPOSAL Page 1 of 2 PROPOSAL SUBMITTED TO: Residence PHONE /FAX: DATE: June 11, 2014 STREET: 717NW91st Street, #3B JOB NAME: CITY, STATEZIP CODE: Miami Shores JOB LOCATION: ARCHITECT: DATE OF PLANS: JOB PHONE: We hereby propose to furnish materials and labor necessary for the completion of Air Conditioning System. To include: 1. Permit to replace 2 ton condenser 2. Field job inspection 3. Meet with inspector on job site Contract Price: $500.00 AIR INSTALL, INC. 561 BEACHWOOD LANE PLANTATION, FL 33317 (954) 839.2737 (754) 223 -7383 FAX AIRINSTALL@AOL.COM PROPOSAL Page 2 of 2 Residence 717 NW 91st Street, #3B WE HEREBY PROPOSE to furnish material and labor - complete in accordance with the above specifications, for the sum of: Five hundred dollars ($500•OO) Payment to be made as follows: All material is guaranteed to be as specified. All work is Authorized --- 4.8 All to be completed in a substantial workmanlike manner Signature !/ according to specifications submitted, per standard Tony Vi so /Sales Rep. practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. Note: This proposal may be withdrawn by us if not accepted within _ days. ACCEPTANCE OF PROPOSAL Signature L The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Le t • IA Signature Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 MAY 7, 2014 Permit No: MC14 -928 Mechanical Critiiue - Jan Pierre Perez Need a/c change out sheet COPN Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, replace them with new revised sheets and place behind the most current page. L . IP IP 1111, 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2014 DBA: Business Name: AIR INSTALL INC Owner Name: TONY VICIOSO Business Location: 561 BEACHWOOD LN SUNRISE Business Phone: 954 -349 -4967 Rooms Receipt 0: 183 - TI1N7G3iutcoNDITION Business Type: (A/C CONTR) Business OperiOd:08/ 07/2007 StatelCounty/Cert/Reg:CACO24380 Exemption Code: For Vending. • Number of Machines: • Professionals CON1MACTR Tax Amount Transfer Fee 7„t,....,.,. E,FAltmoar:RIP**..:..,E04;fW4.ytW": Collection Cost Total Paid 27.00 3 . 00f1iitika:Y*, -;1,.., i ,,:44.C4g 0.00 0.00 29.70 THIS RECEIPT MUST BE THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: AIR INSTALL INC 561 BEACHWOOD LN PLANTATION, FL POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature. You must meet alt County and/or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. 33317 - 1901 2013 - 2014 Receipt 8101 -12-00002150 Paid 07/23/2013 29,70 To find out about business and economic opportunities for Florida veteran business enterprises, as well as Florida's small minority and women-owned businesses, please contact or visit the Department of Management Service's Office of Supplier Diversity at: /w trida.comli her oK s ',her di To find out about State of Florida tools supporting statewide centralized procurement activities which have streamlined interactions between vendors and state government entities, please contact or visit the Department of Management Services MyRoridaMarketPlace at: httos:fivendor.mvt7oritkrtnarketplace.com MY1 AS 4:12H1f1031:1 SV AYldSICI AW133133S NO,SMY, Na?,1 914M:1000ipen # 03S et0E/OULO :030SSI VAIA - , • , :•,„„ , 8ON83A00 1100S )43k . . • •••-• • ' --- ........ ................................................. -7 • ---- wasvints OS ONISI43311 Asisnate moo -tvmoissuova GNV ssamsne 40 ManialVd313 Welairela .1". 2 1 WI 0 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 211970 Permit Number: MC -5 -14 -928 Scheduled Inspection Date: July 07, 2014 Inspector: Perez, JanPierre Owner: JOANNE KETTLE, MORGAN NORDONE Job Address: 717 NE 91 Street 3 -B Miami Shores, FL Project <NONE> Contractor: AIR INSTALL INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060440070 Phone: (305)588 -0045 Building Department Comments PERMIT TO REPLACE CONDENSER Infractio Passed Comments INSPECTOR COMMENTS False 1 Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 03, 2014 For Inspections please call: (305)762 -4949 Page 6 of 21 27)