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MC-14-1058Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: IN$P- 212927 Permit Number: MC -5 -14 -1058 Scheduled Inspection Date: June 16, 2014 Inspector: Perez, JanPirre Owner: MURPHY, WILLIAM Job Address: 873 NE 98 Street Miami Shares, FL 33138- Project: <NONE> i Contractor: AAA M ODERN AIR CONDITIONING, INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060142520 Phone: 954 -921 -4486 Building Department t omments REPLACE 3.5 TON UNIT Infractlo Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections re- inspection fee is paid. can be scheduled until Inspector Comments June 13, 2014 For Inspections please call: (305)762 -4949 Page 16 of 32 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 FBC 20 Permit No. Master Permit No. ill /9 —1&T3 Permit Type: CHANICALL .� JOB ADDRESS: 17 3 lv l 1 51 e City: Miami Shores County: u Miami Dade Zip: Folio/Parcel#: /1 39-0 6 O 1 L 02 6-2-1) Is the Building Historically Designated: Yes NO Flood Zone: OWNER a .e.,i(FeeeS le Titleholder): L Lil k' t LP Y 1' t U r g 41 Phone #: Address: L) I�'. oi f !j City: 'At; Ni%, Tenant/Lessee Name: '� Phone #: Email: State: PLC..— Zip3 CONT C /OR: Compny Name: 'v c City:Sbre-s State: Qualifier Name: Sir( iii) r OP CZ, Phone #: State Certificatio r Registration #. Contact Phone #:� ac ` f 2,6- "L0 Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ tio3C..0 Square/Linear Footage of Work: Type of Work: DAddress v+Alteration New _ Description of Work: l 3,. $ air/Replace ODemolition /0 d: (AI .*** * **** ** **r*********** ** ******1* *F s *, , .x,a, , . *, , a, , , ....,a,�,�,�,�,�,�a,r,�,�, ...fix. *,a,�r,� Submittal Fee $ Permit Fee $ , % //- CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 4 I -7--) K\l/{ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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 post otice, the inspection will not be approved and a reinspection ee will be charged. Owner or Agent The foregoing instrument w acknowledged / before da)1A , 20 d by , 44 I Signature ,` / /l.Y Contractor The foregoing instrument was kn' , ledges before me this 201 b r who is personally known tome or who has produced As identification and who did tak ho is personal] known to me or who has produced as identification and who did take S:0 • �.. NOTARY ' UBLIC: ° " "" AILLOAt -t.i_ 3-4 a -4 ,-, I m y w cn e T. - . 0, F, < 1 it °) t0 s n N V C 3n6nth' 9r**** 4iJr4n4�1iRa 9r4r4r4rrr9ifY +Y�+rORdeir�iiir**** ****�4,4, A** m My Commission Expires: Sign: Print: My Commission Expires: ***Je***dr***ar*+ k********ir***** **** �r�Y�r�rav��r�rarvr�rv*** APPROVED BY CJ 9 Plans Examiner Zoning Structural Review Clerk Revised 3 /12/2012)(Revised 07/ 10/ 07)(Revised,06/10 /2009)(Revised 3/15/09) AAA MODERN AIR SALES - SERVICE - INSTALLATION 901 PHIPPEN WAITERS RD. DANIA FL. 33004 web site www. PHONE # 954 - 921 -4486 FAX # 954 - 362 -2369 e-mail accheckup @aaamodernair.com INVOICE aamodernair.com Deirdre 873 Ne Miami I° BILL TO: 1 JOB LOCATION Murphy Deirdre Murphy 98 St 873 Ne 98 St Shores FL 33138 Miami Shores FL 33138 Home 757- 570 -6767 Cellular Home 757 - 570 -6767 Cellular INVOICE # 0001065285 CUST # 0049269 PAGE # DATE 5/19/2014 QUAN LISTED BELOW IS THE DESCRIPTION OF WORK AMOUNT 1.00 Estimator Name: Josue 1.00 Tons_3.5_ Seer 16 KW Heat Strip 10 1.00 Bryant Condenser Unit Model # 116BNA042000 1.00 Bryant Air Handler Model # FX4DNF049L00 1.00 Air Conditioning Unit Manufacturer's Warranty: 10 Year Parts 2 Year Labor 10 Year Compressor 10 Year Condenser Coil 10 Year Evaporator Coil 1.00 New Float Switch 1.00 New Programmable Thermostat 1.00 New Building Code Approved Pre - Fabricated Lightweight Concrete Slab 1.00 Flush Existing Drain Line 1.00 Insulate Existing Retum Air Box 1.00 New Air Handler Box 1.00 All Air Conditioning Permit Fees & Load Calculations Included 1.00 Remove All Debris & Equipment From Premises: System Start Up And Test For Proper Operation. 1.00 Hook Up To Existing Refrigerant Lines - 1.00 Evacuate Refrigerant Lines 1.00 Hook Up To Existing Duct Work 1.00 Hurricane Strapping Per Code 1.00 New Rubber Isolation Pads 1.00 Hook Up To Existing Electric 1.00 Existing Location of Air Handling Unit In Closet 1.00 Existing Location of Condenser Unit On Ground 1.00 One Year Maintenance Agreement Included [2 Visits] 1.00 Blue Poly Filters [12] Included 1.00 Duct System Inspection Included 1.00 TOTAL 4,035.00 1.00 FPL Rebatc - 685.00 FILTER SIZE X X INSTALLERS NHS.# C /US.# NOTE: PLEASE REFER TO BOTH SIDE OF THIS CONTRACT FOR ALL TERMS AND CONDITIONS. BY SIGNING THE FACE OF THIS CONTRACT, PURCHASER ACKNOWLEDGES THAT PURCHASER HAS READ, UNDERSTANDS AND AGREES TO ABIDE BY THE TERMS AND CONDITIONS OF THIS CONTRACT. TERMS AND CONDITIONS: You are entitled to and exacted copy of the contract you signed. Unless otherwise specified above, all installation of replacement and new NC systems will be installed, hooking up to existing electrical wiring and breakers, refrigerant lines, drain lines, slabs, roof stands and support brackets, air handler platform boxes, condensate pumps, smoke detector, fire dampers, thermostats, humidistat, duct work, supply and retum air grills. Due to your existing building constructions and South Florida's high humility and heat wave weather conditions, seller can't guarantee any particular cooling temperature. It is recommended to set your thermostat at 78 degrees for maximum savings on electrical usage. Temperature set below 78 degrees could result in your air conditioning system to run for extended length of time. If it becomes necessary to take collection actions for any charges, THE CUSTOMER, shall be responsible for all court cos,, collection cost, and reasonable attomey?s fees incurred to collect any unpaid charges. Customer Print Nam - ?r 6,u- WPAP 1 Salesman Na Customer Signature, /t, ,(,Q AA�/ Date 7 CV' ** By Signing Here Agree With The Terms & Conditions Above And On Reverse Side of This Contract AAA MODERN A/R SALES - SERVICE - INSTALLATION 901 PHIPPEN WAITERS RD. DANIA FL. 33004 web site PHONE # 954 - 921 -4486 FAX # 954 - 362 -2369 e-mail accheckup www.aaamodernair.com @aaamodernair.com LOCATION' INVOICE Deirdre 873 Ne Miami BILL TO: I I JOB Murphy Deirdre Murphy 98 St 873 Ne 98 St Shores FL 33138 Miami Shores FL 33138 Home 757 - 570 -6767 Cellular Home 757 -570 -6767 Cellular INVOICE # 0001065285 CUST # 0049269 PAGE # Page 2 DATE 5/19/2014 QUAN LISTED BELOW IS THE DESCRIPTION OF WORK AMOUNT TOTAL $3,350.00 Discover 6043 $3,350.00 Auth 01981R BALANCE $0.00 FILTER SIZE NH S. # X X INSTALLERS C/U S. # NOTE: PLEASE REFER TO BOTH SIDE OF THIS CONTRACT FOR ALL TERMS AND CONDITIONS. BY SIGNING THE FACE OF THIS CONTRACT, PURCHASER ACKNOWLEDGES THAT PURCHASER HAS READ, UNDERSTANDS AND AGREES TO ABIDE BY THE TERMS AND CONDITIONS OF THIS CONTRACT. TERMS AND CONDITIONS: You are entitled to and exacted copy of the contract you signed. Unless otherwise specified above, all installation of replacement and new NC systems will be installed, hooking up to existing electrical wiring and breakers, refrigerant lines, drain lines, slabs, roof stands and support brackets, air handler platform boxes, condensate pumps, smoke detector, fire dampers, thermostats, humidistat, duct work, supply and retum air grills. Due to your existing building constructions and South Florida's high humility and heat wave weather conditions, seller can't guarantee any particular cooling temperature. It is recommended to set your thermostat at 78 degrees for maximum savings on electrical usage. Temperature set below 78 degrees could result in your air conditioning system to run for extended length of time. If it becomes necessary to take collection actions for any charges, THE CUSTOMER, shall be responsible for all court cost, collection cost, and reasonable attomey?s fees incurred to collect any unpaid charges. Customer Customer Print Name Salesman Name Signature Date By Signing Here You Agree With The Terms & Conditions Above And On Reverse Side of This Contract v 1. s: ahi�diroeto�y oig This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. Certif:cate of Product Ratings AHRI Certified Reference Number: 3664240 Date: 5/21/2014 Product: Split S stem: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit M del Number:116BNA042****A Indoor Unit Mo el Number: FX4DN(B,F)049 Manufacturer: IZRYANT HEATING AND COOLING SYSTEMS Trade /Brand nave: LEGACY RNC 16 PURON AC Series name: Manufacturer rtsponsible for the rating of this system combination is BRYANT HEATING AND COOLING SYSTEMS Rated as follow 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 testin • 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) listed on this Certlflcate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on Ns Certificate. AHRI expressly disclaims all Ilabllity 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.ahrld rectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. 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 compute database; or otherwise utilized, In any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFI ATION The Information for the odel cited on this certificate can be verified at www.ahridirectory.org, click on °Verify Certificate° link and enter the AHRI Ce Hied Reference Number and the date on which the certificate was Issued, which Is listed above, a d the Certlflcate No., which Is listed at bottom right CERTIFICATE NO.: ©2014 Air - Conditioning, Heating, and Refrigeration Institute AIR-CONDmONING, HEATING, & REFRIGERATION INSTITUTE we make life better" 13045175109208431 i Miami Shares Village Buildin Department 1005 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 alr conditioning replacement permit applications. Each unit change -out m sheet. Multiple units on single sheets are not a - epttasblle. % Job Address (where the work is being done): (J' r J / 9f ar City: Miami Shores Village County: Miami Dade Zip Code: J J$ 3f st be on its own data ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCREI�E 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,I-.NO ❑ Contract Atached: YESIS UNIT BEING REPLACED DATA NEW UNIT r k r t . 6 , r — MANUFACTURER f / 1 . - Er ¢ AHU or PKG. UNIT MODEL # i COND. UNIT MODEL # Jo KW HEAT � G NOM TONS 3 AHU CU G 1) M.CA AHU CU P AHU CU PK 2) M.O.P AHU CU PK AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT .-1 / PKG UNIT �7"'°'/' i,(� EERISEER YES ∎ a REPLACING DUCTS YES e' YES REPLACING THERMOSTAT YES ` YES I NEW 4 "CONCRETE SLAB YES YES - NEW ROOF STAND YES pis YES NEW RETURN PLENUM BOX YES 41' t 1. 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 Regis Signature (Qualifier's signature only) ta_ Phone: S`ei Certificate of Competency N. Date: 5 -L lr``( et. • a 1N "FAISOY" 13 �1 vawN -0 411 CONatit urA1130Y" N51ALLA110N GUR2I NOM 145 WAIL 15AaNIFIC 1. �NVAtiON OF iit CLF FORM SEETAELESFORFROM 1■10ein ofAITA ION15PiW5IDEAC CVM10 A 'Ai , OF IN51111ATIONAND TYPE Of IOTAMOIt VW""°ps 5.Of I in LONGX &' WIDE g.O15i'1.aNGxi'WI1;E C1) a" X2 "PITON MLALE AGDUMON& Ie PLATE I" ma A glat PLATE 1" WIDE X t �11 5iEEI. 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