MC-14-1027Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-215754 Permit Number: MC -5-14-1027
Scheduled Inspection Date: July 16, 2014 Permit Type: Mechanical - Residential
Inspector: Perez, JanPierre Inspection Type: Final
Owner: RAPHAEL, JULES Work Classification: A/C Replacement
Job Address: 117 NW 94 Street
Miami Shores, FL
Project: <NONE>
Phone Number
Parcel Number 1131010330720
Contractor: HARPERS AIR, INC. Phone: 305-266-1040
Building Department Comments
REPLACE EXISTING 3.5 TON Infractio Passed Comments
INSPECTOR COMMENTS False
Passed 1�9
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP-212678. no one home @ 4:16
July 15, 2014 For Inspections please call: (305)762-4949 Page 8 of 21
NG'{d
BUILDING
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: (3057 762.4949
PERMIT APPLICATION
Permit Type: MECHANICAL
FBC 20 t�
Permit No.
MAY I G 2014
Master Permit No. C— i LA
JOB ADDRESS: WI WW 1A ST -
city.. Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): a3Vk-Z.5 QWM 0- ' �— Phone#:
Address: \\1 1-44 1llN S -N .
City: \`1\mAN S\a0(--i S State: Zip: T3150
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: " INM- .S A \V-- Phone#: LIUS) -W k, -WO
Address: \D3\ 5\,3 W) F
City: M\ArA\ State: �"�- Zip: 331`\L\
Qualifier Name: -N--RfL1;,\JL 1 AAF, ?-- Phone#:
State Certification or Registration #:
Contact Phone#:
DESIGNER:
Value of Work for this
Type of Work: OAd
Description of Work:
Submittal Fee
Scanning Fee $
Notary
N'1—Certificate of Competency #:
Footage of Work:
❑Alteration ONew IgRepair/Replace
CA W -A IN E -*04 L DCATIOQ
Permit Fee $
Radon Fee $
Training/Education Fee $
Double Fee $ Structural Review $
0f -L-3
$ CO/CC $
DBPR $ Bond $
Technology Fee $
ODemolition
TOTAL FEE NOW DUE $
s6 tq 4
Miami Shores Village
Building Department
10050 ME.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):y\-1 �,\\ami 0\ 4 4�;V -
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 0 ARHI Sheet Attached: YESJ& NO ❑ Contract Attached: YES
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit (208/240/480): 20%
4. Size Disconnecting
4z� "
Contractor's Company Name: \A S �N, \V- Phone:
State Certificate or Registratio C.Pr 23�;�'L Certificate of Competency N.
Signature Date:
flier's signature only)
UNIT BEING REPLACED
DATA
NEW UNIT
Fin
MANUFACTURER
cAlAkvu
lt4N A
AHU or PKG. UNIT MODEL #
"4CtSF OOSTriD
1Z.1 VA -O L;�Al
COND. UNIT MODEL#
2 IaC -LP��3
\0
KW HEAT
3
NOM TONS
3 5
AHU
CU PKG
1 M.C.A
AHU
CU PKG
AHU
CU PKG
2 10.0.13
AHU
CU PKG
AHU
CU PKG
3 VOLTS
AHU
CU PKG
PKG UNIT / /
PKG UNIT
EER/SEER
YES
NO
REPLACING DUCTS
YES
N
YES
NO
REPLACING THERMOSTAT
Mw
NO
YES
NO
NEW 4°CONCRETE SLAB
xW
NO
YES
NO
NEW ROOF STAND
YES
YES
NO
NEW RETURN PLENUM BOX
YES
CNP
1. Minimum Circuit Ampacity (Wire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit (208/240/480): 20%
4. Size Disconnecting
4z� "
Contractor's Company Name: \A S �N, \V- Phone:
State Certificate or Registratio C.Pr 23�;�'L Certificate of Competency N.
Signature Date:
flier's signature only)
This combination qualities for a Federal Enerl
Efficiency Tax Credit when placed In servii
between Feb 17, 2009 and Dec 31, 201
AHRI Certified Reference Number: 3657132 Date: 5/19/2014
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 24ACC642A**30
Indoor Unit Model Number: FV4CN(B,F)005
Manufacturer: CARRIER AIR CONDITIONING
Trade/Brand name: CARRIER AIR CONDITIONING
Series name: PERFORMANCE SERIES PURON AC
Manufacturer responsible for the rating of this system combination is CARRIER AIR CONDITIONING
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:
* Ratings followed by an asterisk (') Indicate a voluntary rerats of previously published data, unless accompanied with a WAS, which indicates an 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.orM
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 reproduce!; 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 INSTITLITE
The Information for the model cited on this certificate can be verified at www.ahrldirectoryorg, click on "Verify Certificate" link
we make life better -
and enter the AHRI Certified Reference Number and the date on which the certificate was [mod,
which is listed above, and the Certificate No., which Is listed at bottom right
`i
13Q4498127124581
02014 Air -Conditioning, Heating, Refrigeration Insdtute
fCAT-� NII.
and
HARPER'S AIR INC. CACO23492
1031 S.W. 69 AVENUE - MIAMI FLORIDA 33144
(305) 266-1040 - FAX (305) 262-2219
www.harpersair.com - email: info@harpersair.com
NAME wJl)�TGS aA(a'
PHONE C-i�b��J��—�18 CELL. PHONE
ADDRESS �»
O�At •ST.
DATE
?P-Jr)k4
CITY/STATE X-%Pgt1\
ZIP 3'�1 EMAIL 5
�� j t" ��'C?l,t.�Wi\
BEST ZoN
ITEMS CHECKED APPLY ' -
TA N COND. UNIT - MODEL" Z.4Ar.,b-jAtS A063
4r TONS -SEER k\d-'S_ BTUH 49.CO
l l , AIR HANDLER - MODEL* Bl tCiAF 0051
X1 HEATING K.W. STRIP HEATING
18 THERMOSTAT MODEL e -TCO �OZgC
1$1 CONNECT EQUIPMENT TO EXISTING DUCT SYSTEM
❑ PLANNED SERVICE AGREEMENT
❑ OTHER
MISCELLANEOUS.
Ll REFRIGERANT LINE COVER
OLREF. LINES 'SII; GA FT X1 CONDENSATE LINE
❑ PRECAST SLAB FOR COND. UNIT
❑ PLANS - PERMITS - CLEAN UP
W FLOAT SWITCH
❑ THERMOSTAT WIRING
%I OTHER VAQ%rCA 5aLL)O
❑ OTHER
❑ OTHER
PRICE
MISCELLANEOUS
SUB TOTAL
FPL REBATE
MANUFACTURES REBATE
TOTAL . _ i
BEnER Q3_I IZ TO "3
ITEMS CHECKED APPLY:
COND. UNIT - MODEL- -L� tAL.AKIO3
TONS SEER VO BTUH 4\ tozi
VA—AIR HANDLER -MODEL- 'NA CIJF QZ TM
'ti31 HEATING _ % K.W. STRIP HEATING
-
W THERMOSTAT MODEL e-Tcor,4N 10A
IS CONNECT EQUIPMENT TO EXISTING DUCT SYSTEM
❑ PLANNED SERVICE AGREEMENT
❑ OTHER
MISCELLANEOUS.
❑ REFRIGERANT LINE COV R
REF. LINES �� FT ❑ CONDENSATE LINE
❑ PRECAST SLAB FOR COND. UNIT
❑ PLANS PERMITS - CLEAN UP
'W FLOAT SWITCH
❑ THERMOSTAT WIRING
N OTHER STP�ND.
❑ OTHER
❑ OTHER
PRICE
MISCELLANEOUS
SUB TOTAL
FPL REBATE
MANUFACTURES REBATE
TOTAL
WARRANTYAND GUARANTEES � ®1% \\47%3ca -\ LA W
byear manufactured warranty on compressor \0,year manufacturer's warranty on condenser coil
4 43S.
10
$ art \C3), co
—X'—J year warranty on all parts 'S 1:" Lot- ,
extended warranty plan�XJ�
year service from date of start up during nominal working days and hours 8:00 am to 4:30 pm Monday_thru Friday z,(;lDtio n
System will maintain an inside temperature of 75F 0 91 F outside on cooling and 68F inside @ 40F outside heating according to air co`n'ditioning.and refrigerant institute
standards when duct work is designed and Installed by HARPER'S AIR INC.
Please note clogged condensate drains are not fault of equipment or Instaflation. Service performed after the first 90 days for clogs, leaks or back ups will be charged.
This contract may be withdrawn by sailer if not accepted within ten (10) days
We agree to furnish and install the above described laborand materials on terms indicated.
I WAS OFFERED THE MANUFACTURES EXTENDED WARRANTY AND DECLINED AT PRESENT TIME. $ uFF�11 0)
PLEASE INITIAL
ACCEPTANCE
The customer acknowledges that prior to signing this contract he has read the
terms and conditions contained herein and hereby accepts this contract including
;he conditions on the reverse side of hereof which are part of the contract and
further agrees to make payments as follows,
READ IMPORTANT PROVISIONS OF THIS AGREEMENT ON REVERSE SIDE.
SALES PERSON -i QW$c
DATED
TOTAL AGREEMENT
EXTENDED WARRANTY co
OTHER I.11J1.S
INITIAL INVESTMENT
AGREEMENT BALANCE $-
PURCHASER
ACCEPTED PURCHASER
FOR HARPER'S AIR INC.
TITLE DATED