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MC-14-1662Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-216964 Permit Number: MC -7-14-1662 Scheduled Inspection Date: August 06, 2014 Inspector: Perez, JanPierre Owner: ALOISE TR, DENISE Job Address: 185 NW 106 Street Miami Shores, FL 33150-1247 Project: <NONE> Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1121360080250 Contractor: TYCOON FLOW CONTROL Phone: (305)828-6655 liunaing uepari:ment comments REPLACEMENT OF A/C 3 TONS Infractio Passed Comments INSPECTOR COMMENTS False G August 05, 2014 For Inspections please call: (305)762-4949 Page 21 of 37 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 05, 2014 For Inspections please call: (305)762-4949 Page 21 of 37 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBpp C 20f, f) Master Permit No Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING 5�VECHANICAL ❑PUBLICWORKS ❑ CHANGE OF E] CANCELLATION F-1SHOP !`,(�'CONTRACTOR DRAWINGS JOB ADDRESS: Folio/Parcel#: 62/36 —4409 ®® LIs the Building Historically Designated: Yes NO Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder): Address: IZ6- x/° City: Construction Type: Flood Zone: J ew'e-�'a® ��� BFE: FFE: -; 6S-®- 75;? -161 _Zip: -�)-3®�� Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name:® C9WAdv i�&'X Phone#,3Gp " ®;�f Address: �� a'i City: State: `�� Zip:2 e-7 Qualifier Name: /�% Phone#: — State Certification or Registration #: DESIGNER: Architect/Engineer: cate of Competency #: Address: City: State: Value of Work for this Permit: $ 100Z10!.Je Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration F-1 New Repair/Replace Description of Work: Specify color of color thru tile: Submittal Fee $� • '3 Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revisedo2/24/2014) X' � Zip: ❑ Demolition CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ �1 ° -71 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 w�P N 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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. 7 Signature - OWNER or AGENT The foregoing instrument / t was acknowledged before me this :L 0 day of (yq , 20 by D en,5, 6, Mej ,v , who is personally known to me or who has produced 1'51®. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Signature CONTRACTOR The foregoing instrument was acknowledged before me this 30 day of , 20 IZ by -�Fy4w' J% '5"I e' . who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Balled ft Troy F* I a°°3es'°'B Seal: as 141s APPROVED BY Examiner Zoning Structural Review Clerk (Revised02/24/2014) ISSUED: 07/08/2014 DISPLAY AS REQUIRED BY LAW 0 SEQ # L1407080000666 FROM :SPP INSURANCE FAX NO. CERTIFICATE OF PRII DUCER South Pacific Professional Ins, 500 K W. 49th Street Hialeah, FL 33012 Phone (305)825.3535 Fax (305)825-5694 :3058255694 Jul. 30 2014 01:11PM P1 DATE (N NIMIN IY) LIABILITY INSURANCE _ 07/30/14 THIS CERTIFI SATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTEtt THE,9 QVERAGE AFFORDED BY THE POLICIES, BELOW. . INSURERS AFFCI RDING COVERAGE_ MAIC # _ IPrll GRED TYCOON FLOW CONTROL CORP INsumm A: GRANADA COMMERCIAL INS CO.— 13683 2500 W 78 St Bay # 9 INSURER 8: _ 'Hialeah, FL 33018 INSURER C. I I 305 218-0788 INSURER D: PH i ) LLC 13683 _ INSURER �: ASCENDANT UNDERRWRITERS, G I VERAGES _ T 18 POLICIES OF INSURANCE LISTED HAVE SEOV EN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICAT%6. NOTWITHSTANDINd — i I Y REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPO CT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR N IN PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A LL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH F I CICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _. AWL A t �/ E: i TYPE OF INSURANCE GENBRAL LIABILITY 6dCOMMERCIAL GENERAL LIABILITY ❑❑ CLAIMS MADE R OCCUR ❑ aEFPL AGGREGATE LIMIT APPLIES PER: ® POLICY n PROJECT n LOC AUTOMOBILE LIABIUTY — ❑ ANY AUTO Ij ALL OWNED AUTOS D SCHEDULED AUTOS ❑ HIRED AUTOS F1 NON OWNED AUTOS U GARAGE LIABILITY ❑ ANY AUTO n EXCESS I UMBRELLA UABIUTY ❑ OCCUR n CLAIMS MADE b ❑ DEDUCTIBLE 1'-1 RETENTION $ FRS COMP9N8ATI0N AND EMPLOYERS' LWBIUTY ANY PROPRIETOR / PARTNER I EXECUTIVE YM OFFICER I MEMBER EXCLUDED? (Mandabry In NH) OTHER 1; CONDITIONING-CAC1813706 POLICY NUMBER GLO185FL00052827 I VEHICLES I I I ERT IFICATE HOLDER MIAMI SHORES VILLAGE 10050 WE 2 AVENUE MIAMI SHORES, FI- 33138 FAX 305-758-8972 All ORD 26 (2009101) QF ICY Flo 09/2312013 I 0 D123/2014 09/23/2013 LIII " _ EACH OCCURRENCE 1,000,000 DAMAGE TO RATED 1001000 PREIunSES ma cmnawe — MED EXP (Any are wa m) _5,000 PERSONAL&ADV INJURY 1,000,000 GENERAL AGGREGATE 2000,000 PRODUCTS - COMP/OP AGO 2,000,000 COMBINED SINGLE LIMIT (Fa a2ddent) BODILY INJURY .(LeLp—own) •, .— BODILY INJURY (Per s�idsnt) PROPERTYDAMAGE it!r—anit— AUTO ONLY - EA ACCIDENT OTHER THAN @ APC -- AUTO ONLY: AGO EACH OCCURRENCE AGGREGATE .LIISIERH)9!23/2014 ,MT E.L. EACH ACCIDENT 500,000 E.L. DISEASE - EA EMPLOYEE 500,000 E.L. DISEASE - POLICY LIMIT 500,000 Z50613Y ENDORSEMENT I SPECIAL — CANCELLATIOI i SHOULD ANY OF 1 HE EXPIRATION DAT!) TH 30 DAYS y( R11 THE LEFT, BUT FA1 It U OF ANY KIND UPd a AUTHORIZED REI♦ 01/R DESCRIBED P L IES BE CANCELLED BEFORR THE EGF, THE UIN INS RER WILL ENDEAVOR TO MAIL NOMC CER FICATI: HOLDER NAMED To TO 00 S S IM E NQ O GATIOft OR LIABILITY MSURf: G NT R ENTATIVE8. iTATiVE, ': ® 9 RDCORPORATION. All rights rewrved. RD nam end Ingo are registared marks of ACORD IN (,) WOM0,193 mW 'SpKW Insti s' wtion have 4wn reviemd and, Cf as , ris Sors F# :.. W3mv~W ProdoCft flit., .RY oafs sbam PO, IX �t �s ..pMdUCto L .. L 3V50-1579 asp : z P { 8W) 4644683 aiiilA}°�s _ S E ESTIMATE AMID PROPOSAL isarrr€tasgtiurma€r 7FL (mcm26u,cMC12496I0) CoaHoofing & ting 14�lz 14 MXAMI SWO S b f. MM is inst I$t§m) withm COY Omft? 4-irstaft 3$ COWIVmAt P�� VA01 tt't fsf�!se ,�zja ('tsiq?�} .g Oft DeWJ 111an ofibeftoltd and nif ant Materials % t3 d and E4WPmw1tt0 « C�li�t f<l � � � fSll az��ti�ifti�k3��G U F�S��f� CIt �rrsT`ffrr��: DA .. I.] ie CONDENSER UNIT � "l CONNECT TO EXISTING ELECTRICAL ��<����� r Ll EVAPORATOR COIL � � :.� . ,«,. «. � .� "_: INSTALL NEW., . ...AMP MAIN 1 L I., PACKAGE UNIT «e-mweaw y>ymnawm..v,.nvw.w„«,s«µ,a r. ._' NEW DISCONNECT FURNACE El C NSE V, THERMOSTAT �r �€.� sir����� .�� _... ..« .« CFI CUTLET ATTIC LIGHT TRECEPTACLE . z. HUMIDIFIER .-._ '.«- :, AIR CLEANER 0 _.z UV LIGHT �... � F,� � � C EXISTING DUCT SYSTEM AP C r (.' INSTAL NEW T SYSTEM.IT . _ .. NEW Uri ie REBUILD PLENUM (Sf i ' ei )'�� r-, LINE SET _`PAD ._. ...... � ,.: NEW TRUNK LINC(S) el CAIN LINE .. C E `PE PUMP :...: W REtURN GFTIt1§S} x .. ; x ::.. « _. �PIL! �i;IrI Iii T REPLACE R iSTE (S I «V tai DUCT CLEANING : M Ust emAngvet or chmmy histab new ? tttft py liftr Six: f fll Pi f �# Edit c Efr s : 1,104= l veli l Ty s m ApeS 0S, ai Pipe Iytg=Pi Insaa}}t�gi�€q�1�f�1p�g Pipe ImMgUatt Combushm Afr Ewlsrt> v> IN (,) WOM0,193 mW 'SpKW Insti s' wtion have 4wn reviemd and, Cf as , ris 2'a 2fi P) The we* No start al oximalely 7 1 jApttrommak-, Stan We) " )"I" ikvoximaliw Completion Cale) ase dates are subIled to rl'ariqc at the inti; It* cmaract is afx&,,,t' try Seam Home imlw,)vemf-m Proaucts tom,. i"Seors' j or at any alter tifne by mutwi Attep agircenwo (A61MI& ^dS F 9 t that !hr Approximate S',jq Dite is onlv it, eshffmiei date and ft Custornor will do corlmcled prior to this oatriti Me ABATEMENT. TW, E-stirriate onVosai abwnries Mal ftwo are ro asWslios wntaino.9 mater i6 ("ACMS'i that would be disturbed in of the installation iwrk. It upon further Inspection by the conitramr or Weirs it is warted that ACMs have to be disludxd to pegorm wa*1I ft'"t arrange ard pay for abett-nient 41 baIt by a quallfed Perm Prior to , 'oo start of cwtinuakan of F asbestos atiato offilft airy ("wj days. Seam MW owl this contract VW EASE NO'M that Sews is riot reWinsible for correcting any exis!" code vitsaborls or mrialtiorm of rye f rtt piping, eleftou'll equipment net t*pg teplared at this time, 9 additional wot* is rquifedi It gilt be the COOM'S reVortsib ilily, Any aqftfiqajI changes will tw, qu proved poor to the start of imy additimal worli. Cwtorriegs) fts A copy of the torms and coriddions of ft 6ireir Pro Agra Na ided I Yem Master Pit tc-Mon Agrefirliefit n W 0 Year Repair Protection Agreement kL PKE Encluding all labor, material taws and any applicable mwourd s 1, 15 con;ot Prim state SmSTAX ( i) 00 is duo wmi 14) Swim 0= L(a Sas Tax f v, w % $ o,00 Earn and MWWd by hi the Cast arts) wil Pay f6dosalbed in 860carate QmmCmd3t custaffler(s) I Paymerit AddendtnTi made a pan of ard incwPorated trito this contract breierence no NOTICE TORUYFR; YOU,7HE BUYER, MAY CANCEL THMTRA NSACTIONATANY TIME PRIOR TO WDNIGHTOf THE THIRD SUMESS DAY (FIFTH GUW'SS DAY IN AL FIFTEENTH BUSMESS DAY IN NORTH DAKOTAIF YOU ARE AOE 65 OR OLDER) A THE DATE OF T141S TRANSAC, TION. SEE T44E AYtACHED U0710E OF CANCELLATION FORM FOR AN WLANATION OF THIS 1116HT AROM&MMM Seem offers to twash the matentitis and reran ge for ft* delivwy wd Installation as s1wctliao on Ow first tmqe ania."or ttie, aftached far the TOTAL PRICE stow This offer must waproved hy1hainslaosifim Depontreni. If this itsia credo -sale orapayrnarat on WM*kM Sato. it ftst be approved by the Credit Sala Depaftent, If this pra;msai is not approved " the tostallabon canru be mWe IV am-w4ance *0 the [mv ha offer will be mthdtown ard any payments y have rinade Will be refunded to yati, Any materds left over after the itistaUban has bW completed are SpAfs properly aw will be kwouto vy Sears IJA, I unikistarid that Sears *0 not install the matenals but all arrange V tte mmakation. Sears is riot responsible for trial orinstailatio" NOT fumstted or aiTaqeo by So&% Sears installation cootractor15),vill obtafWall bwldiriq psfrriits %Wjmd by local law, For homes, Wood in histatic or landmark zoning district, Custorriet -*41 be res sibo for obtaining required &Wovaisairld related parrinim poor ir, the w"neeirmt of work on this cm1tad A09fiEftfi. I authorize Sea($ to: (1) arrange for ' a Contractor (limrsed where reouired by law) to make the instal ton of materials, (2) Issue a work order for this to oonbactor, (3) impel the ens tallabon_ and (4) pay the tile Installation is Complete if I have signed a tri to that Me Installation he,. been oonoeted to rrW sabstacton. ROINAMIJIMA9400, 1 agree that S(laft, is riot fesporisible for detajs in. rldvery or installation due I* weattwtr- fire, strikes, war,govemme,01 replailms orarry cWtos, lWyono Sqws` Wnw"l, unvarstawj that 910maN r'Q Oral agMeWix-& betweev Seirs mitt rm. Everytiog I expml &;ars to haiWeri OL ifteMed in Writing r, this Woltacl, Nothr"D girl be r'bap4po in this contract urdms it I', Y1 W01r. i A V'pafafe form au'llf4ed by me andl Sears i aqree that arra Information or urea suiriem &N if 1 .1 rornpletc, (ern rospnisi tile for any special m(k 'Pve to kats am correct an dumbed in this iwritrad 1 wit WOVIft- Wt-41AIO (Apt.1mat anour PIWINM semceisli to fus any nutty ovartaill appliance's or other furnisfungs. It ft e rt i acid or plummIg servicets) do not meet ilia slaridards of the t9day cWipairq (4 electrical and"Or Ourni%ng codes, I evil m,< ko the nowssary changes at My expense Unless SOars has IgMW to this r4ntracl to make the change-,; &Yflift I will pay Se*s It* cash rAv-v that cowirs the price of material and insiatiatan as awn oo the fast page, WffAftWMAjja, Appmonota product wwanty dowments VAII be Pori to " by wars Sears ftyfilinty Oft InSwilallon & SEARS' LIMIT 0 WAMANTY ON INSTALLAIM in aadbon to any manutwureir iNwanty extended to you on the prodwt(sj oave (ti hia warranty bewMs Adwe the date the m"WiSe is ftlalled), if the. stip (or appicafion) of any, Sears arrdriged Installation p faulty Wthn we year after Irte cimploWn of mstallaboft:art upon f0we from you Sears will muso such faults to be car(wed by reW at to additional cost to you, if Som dotermins ftl mpr I$ riot WMIfloroally PW[1e or can= be timely Made, ther" at Sears- $010 cpsmituft, Sears may oleo to provide (oviataqvient Of rt-funrj< seirvice U fts Lknited W is availawe by Calling Sears Hamipy ra Product# a Option t Tfus wwanty gives you specific, lager nghtsone yea may Wso have other nqMs that vary Itow State to State SHM. (OKI -i Rei 02/10?12 Paw, 2 of I r ,JUL 3 0 2014 Z ,3 AIR CONDITIONING REPLACEMENT DATA Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 PERMIT NUMBER: MC e LA" VG 2— This 2— 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 sheetsre not acceptable. Job Address (where the work is being done): 0� , CD ' B U Zip Code: 3 o .�C> City: Miami Shores Village County: Miami Dade 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 AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO'E ARHI Sheet Attached: YES NO ❑ Contract Attached: YES ❑ 1. Minimum Circuit Ampacity (Wire Size): 4•••••• 2. Maximum Overcurrent Protection (Fusereaker ize): 9 .� ��� • 3. Voltage of Circuit (20 40 80): 4. Size Disconnecting Means: _ -3 Contractor's Company Name: L0 State rti i or Regis tLoN 4i Signatur (Qualifier's signature) (Revised02/24/2014) Phone: 3 6?-�� of Competency No. Date: 7 14 6 UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER c0'� 0'0.10 AHU or PKG. UNIT MODEL # COND. UNIT MODEL # le.Oq KW HEAT NOM TONS AHU 44D CU c, PKG 1) M.C.A AHU 416CU 3.0 PKG AHU igo CU PKG 2) MAP AHU 66CU PKG • • • AHU CU PKG 3) VOLTS AHU CU PKG* • PKG UNIT / PKG UNIT • f / EER/SEER C • • YES REPLACING DUCTS YES •• • YE NO REPLACING THERMOSTAT YES •••PIO • • ES NO NEW 4"CONCRETE SLAB ES • • •'NO • • • • YES NO NEW ROOF STAND YES ••: .••••• YES NEW RETURN PLENUM BOX YES 0 1. Minimum Circuit Ampacity (Wire Size): 4•••••• 2. Maximum Overcurrent Protection (Fusereaker ize): 9 .� ��� • 3. Voltage of Circuit (20 40 80): 4. Size Disconnecting Means: _ -3 Contractor's Company Name: L0 State rti i or Regis tLoN 4i Signatur (Qualifier's signature) (Revised02/24/2014) Phone: 3 6?-�� of Competency No. Date: 7 14 6 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed In service between Feb 17, 2009 and Dec 31, 2013. a Certificate of Product Rafl"ngs AHRI Certified Reference Number: 4049494 Date: 7/28/2014 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: NXA636GKA* Indoor Unit Model Number: FXM4X36**A* Manufacturer: KENMORE Trade/Brand name: KENMORE Series name: 16 SEER N SERIES R410A AC Manufacturer responsible for the rating of this system combination is KENMORE 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 (13tuh): 34200 EER Rating (Cooling): 13.00" SEER Rating (Cooling): 16.00* IEEE Rating (Cooling): .. ...... .. ...I 000600 0 0000 • • • • • • .... .... .••.•. oes* •.•0.0••••• . • • a•• •••••• • • • • * Ratings followed b an asterisk ' indicate a voluntary rerate of previously • • • • • • g y ()' ry p hl published data, unless accompanied with a WAS, which indicates ani involuntary rerate.• DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility 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.ahridirectory.org. TERMS AND CONDITIONS A!Imm 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 computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org, click on 'Verify Certificate" link we male tiff bLucir- 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 _____97 ©2014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130510345993423197