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MC-14-1362Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-214831 Permit Number: MC -6-14-1362 Scheduled Inspection Date: September 03, 2014 Inspector: Perez, JanPierre Owner: LANCE, JERRY Job Address: 246 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: C&R AIR CONDITIONING CO comments Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060134740 EXACT CHANGE OUT OF 4 TON UNIT SPLIT SYSTEM ------ INSPECTOR COMMENTS False Phone: 305-685-6394 September 02, 2014 For Inspections please call: (305)762-4949 Page 8 of 30 Inspector Comments Passed 191 Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 02, 2014 For Inspections please call: (305)762-4949 Page 8 of 30 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) 762.4945 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL OWNER: Name (Fee Sim le Titleholder): Address: e. 4 b NF I' S City: State: JUN 2 6 2014 RV Permit No. /� Master Permit No. � � /" 1-3b677 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: d L16 NE 102" City: Miami Shores County: Miami Dade Zip: 2:3 Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Lo 4 ( a r d . Co. Phone#: 0 4- Address: 407.3 N W i 6'7."r City: aA on I State: 1- Zip: ,3 3 y I Qualifier Name: 6 P Ir-tAA C P J( Phone#: State Certification or Registration #: C A l_6.Q6 q 14 -Certificate of Competency #: 6 4 t 962. 3 Contact Phone#: Email Address: CN r% Q C (2 ®n+ P G n! i ft 6 =- - C 0 M DESIGNER: Architect/Engineer: Phone; Value of Work for this Permit:$ Square/Linear F�ootaa e of Work: Type of Work: ❑Address ❑Alteratiion • ❑New .-,. ;e-pair/Replace ❑Demolition � Description of Work: a Submittal Fee $ Permit Fee $w �� CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ H 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 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 Signature 1M 1 t l �!a ' /Owne A nt Contractor The foregoing instrument was acknowledged before me this The fore�gyoing instrument was acknowledged before me this—2-0 . day of Cil t 201=,by 7tCr4 Letv%Ce- day of JQIne– ,20ly,by 966cli P�JT who i ersonally know o me or who has produced who i ersonally kno to me or who has produced As identification and who did take an oath. as identificat' and who di take oath. NOTARY PUBLIC: S e r r ` f L' a ole � NOTARY PUBLIC: V®lo-er-T-4 - Choy 3T Sign: Print: My Commission Expires: �+kgeska$$eke$aagaksksye$tsk�sk$ask$ssk�skHasksksksE�X� APPROVED BY Sign: �4 VtAeW T Print: V Tg to e t 1 �� ROSERTJ.CHRYST Coromiselon # FF 086047 Expires May 24, 2018 UAW T#M Try F b 1 , 6 / --� �-- / T/M (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) My Commission Expires: JANET WNZ Commission # EE 091937 Hi Hasksksksksksksksk3a�a:kakak • i y9�� xkskskck Zoning Examiner Structural Review Clerk 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): 246 NG l 01 A'T City: Miami Shores Village County: Miami Dade Zip Code: �) 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: YES ❑ 1. Minimum Circuit Ampacity (Wire Size): '21 / �;* 8 2. Maximum Overcurrent Protection (Fuse/Breaker Size): y 3. Voltage of Circuit (208/240/480): a cio 4. Size Disconnecting p Contractor's Company Name: C+ R A t t Co r,6. co Phone: :30 S 6 Cs- 4 State CerfificateAl WRegistration N. C Certificate of Competency N. 04,9 kc 2—S PLL Signature Date: t °I ' 1 ualifie nature only) 0 UNIT BEING REPLACED DATA NEVg UNIT r MANUFACTURER 0,j C W 4 AHU or PKG. UNIT MODEL # l LL HM 4cl 0-1 a COND. UNIT MODEL # l KW HEAT 714' NOM TONS AHU CU PKG 1 M.C.A AHU CUj I PKG AHU CU PKG 2 M.O.P AHULj® CUiojS0)KG AHU CU PKG 3 VOLTS AHU030CUZOPKG PKG UNIT / / PKG UNIT EER/SEER 1G. - YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT E NO YES NO NEW 4°CONCRETE SLAB YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity (Wire Size): '21 / �;* 8 2. Maximum Overcurrent Protection (Fuse/Breaker Size): y 3. Voltage of Circuit (208/240/480): a cio 4. Size Disconnecting p Contractor's Company Name: C+ R A t t Co r,6. co Phone: :30 S 6 Cs- 4 State CerfificateAl WRegistration N. C Certificate of Competency N. 04,9 kc 2—S PLL Signature Date: t °I ' 1 ualifie nature only) 0 C&R Air Conditioning Co. C&R 6073 NW 167`" Street Suite C-4 Miami Gardens, FL 33015-4330 < > DADE: 305-685-6394 BROWARD- 954-680..4494 CUSTOMER PHONE NUMBERS DATE Jerry Lance Residence CELL 305-219-1083 6-19-14 ADDRESS 246 NE 102 Street ❑UNDER CONSTRUCTION CITY ZIP Miami Shores 33138 33138 ® EXISTING STRUCTURE We hereby propose to: Furnish, install and service the equipment and materials listed below with the conditions and specifications detailed below during our regular working hours of Monday through Friday 8:30 — 4:30. NEW EQUIPMENT System #1 $ 4445.00 System #2 $ System #3 $ FPL Rebate (instant) - 780.00 Your Investment 3665.00 Manufacturer RUUD Condensing Unit Model # 14AJM49 Air Handler Model # RHLLHM48 Refrigerant R410 Heating KW 7.5 Btuh 46000 S.E.E.R. 16.0 Warranties *IF REGISTERED Parts 10 Yr. Compressor 10 Yr. Parts _ Yr. Compressor _ Yr. Parts _ Yr. Compressor _ Yr. I Year Labor 1 Year Labor I Year Labor ❑ Condensing Unit Stand ❑ Air Handler Stand ® Float Switch ❑ Ref. Line cover ❑ Condensate Line ® Concrete Slab ® Thermostat PD ❑ Auxiliary Drain Pan ❑ Uv Light ❑ Fire Dampers ❑ Other ❑ Package Unit Change -out ® Existing Reconnection ® Existing Reconnection ® Reconnect to Existing System ❑ New Electric ❑ Ref lines ft. ❑ ❑ ® Flush Lines A quaimeu air communing expert wnii start aria test the system aria explain its operation. This proposal is good for a two week period from date of proposal and at that time is subject to review. Title to the system shall remain in us until all sums due us have been fully paid. in the event the purchaser fails to comply with any of the requirements of this contract and such default results in litigation, the Purchaser agrees to pay reasonable attomey's fees and all court costs and expenses Incident to such litigation. Delinquent payments shall bear 1.50A per month interest from due date until paid. All work Is to be performed during our regular work hours unless otherwise specified. This contract contains all agreements. Neither party shalt be bound by any representation, warranties nor agreements, oral nor written not herein contained. This proposal shall become a contract when accepted by you and approved in writing by our duly authorized corporate officer. We agree to furnish and install the above described labor and materials on the terms indicated below for System # 1 TOTAL INVESTMENT $4445.00 ` 4 ® ®� 50% DEPOSIT $ 1835.00 FPtJDEALER REBATE $ - 780.00 FPL Account# 50016 DUE WHEN READY TO OPERATE $ 1830.00 YOUR INVESTMENT $ 3665.00 PERMIT FEE NOA INCLUDED �r PURCHASER DATE C%—.X<5®REPRESENTATIVE VALID FOR 2 WEEKS JOB NOTE