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MC-14-1396Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-215026 Permit Number. MC -6-14-1396 Scheduled Inspection Date: July 09, 2014 Permit Type: Mechanical - Residential Inspector. Perez, JanPierre Owner: SEATON, DOUGLAS Job Address: 1201 NE 97 Street Miami Shores, FL 33138-2559 Project: <NONE> Inspection Type: Final Work Classification: A/C Replacement Phone Number 3051758-1145 Parcel Number 1132050090370 Contractor: BIMINI BREEZE HVAC INC Phone: (305)968-4205 Building Department Comments 3 TON AC CHANGEOUT Infractio Passed Comments INSPECTOR COMMENTS False July 08, 2014 For Inspections please call: (305)762-4949 pane 40 of Rd Inspector Comments Passed Failed El Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. July 08, 2014 For Inspections please call: (305)762-4949 pane 40 of Rd 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 ❑BUILDING ❑ ELECTRIC ❑ ROOFING JUN 80 22014 P � � FBC 20 1,3 Master Permit No. MC '2A Sub Permit No. 14 ❑ REVISION ❑ EXTENSION ❑RENEWAL []PLUMBING ® MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP ( / �� a CONTRACTOR DRAWINGS JOB ADDRESS: I �j ^14—' / / S�� City: Miami Shores County: Miami Dade ZIP: Folio/Parcel#: // 3;4E —00 9 -'03' 70 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): VOt f C--Ih5 -56WO- /Z Phone#.J Address: Z-9-0//Y�` City: 2ggizy . s/ State: 0 ic G _ Zip: 3 3 0 T Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: �� Phone#: 305410's )— Address: 7z4 /O /V t.[1 09S.7— City: 9S;—City State• - Zip: Qualifier Name: r14_ Phone#: State Certification or Registration #: of Competency #: DESIGNER: Architect/Engineer: Phone#: _ Address: City: State: Value of Work for this Permit: I Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New _ . , .Repair/Replace Description of Work: —/ LV-,/ /1/—C/— Specify color of color thru tile; Submittal Fee S ' Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) Zip: ❑ Demolition CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 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 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. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this V day of Imo. � , 20 t . by who is personally known to me or who has produced ` 5i— as identification and who did take an oath. NOTARY PUBLIC: wwwwwwwww APPROVED BY (ReWsed02/24/2014) CONTRACTOR The foregoing instrument was acknowledged before me this u day o0 p � . 20 I ` , by I -J �-�Y� '2- , who is personally known to me or who has produced rte— as identification and who did take an oath. NOTARY PUBLIC: Print: Seal: L I �/W Illals Examiner Structural Review - T .Q y � 47 a9♦: 685• - wwwwwwwwwwwwwwwwwwwwwwwwwww Zoning Clerk IIIIIIII/Jr///� •.,��� Sign: Print: N Seal: wwwwwwwww APPROVED BY (ReWsed02/24/2014) CONTRACTOR The foregoing instrument was acknowledged before me this u day o0 p � . 20 I ` , by I -J �-�Y� '2- , who is personally known to me or who has produced rte— as identification and who did take an oath. NOTARY PUBLIC: Print: Seal: L I �/W Illals Examiner Structural Review - T .Q y � 47 a9♦: 685• - wwwwwwwwwwwwwwwwwwwwwwwwwww Zoning 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. Q Job Address (where the work is being done): / �o/ /�-� / 57— 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 AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means:ry� Contractor's Company Name: /7 /� %� " �-� Phone: r �or ' �Op VA —, State Certificate or Registration No. Certificate of Competency No. Signature Date: 0Z I/ /91rssignature) (Revised02/24/2014) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER — AHU or PKG. UNIT MODEL # O p Q t0 COND. UNIT MODEL # KW HEAT NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES O YES NO REPLACING THERMOSTAT YES 49 YES NO NEW 4"CONCRETE SLAB re NO YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means:ry� Contractor's Company Name: /7 /� %� " �-� Phone: r �or ' �Op VA —, State Certificate or Registration No. Certificate of Competency No. Signature Date: 0Z I/ /91rssignature) (Revised02/24/2014) 1111 Will W ' 44 AHRI Certified Reference Number: 3663621 Date: 6/29/2014 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number 116BNA036****A Indoor Unit Model Number. FV4CNF002 Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Tmde/Brand name: LEGACY RNC 16 PURON AC Series name: Manufacturer responsible for the rating of this system combination is BRYANT HEATING AND COOLING SYSTEMS Rated as follows in accordance with AHRI Standard 2101240-2008 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): 33000* EER Rating (Cooling): 12.00 SEER Rating (Cooling): 15.00 IEER Rating (Cooling): * RaWp followed by an asterisk r) Indicate a voluntary rerate 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 prodUCKS , or the unauthorized afterstion of data listed on this Certificate. Certified ratings are valid only for models and configurations listed In the directory at www.ahridirectery.org. TERMS ARID CONDITIONS This 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 hrte a computer database; or otherwise utilized, In any fort 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 veNfled at +veew.ahr'sdirectary.org, dict on "Verify Certificate' link we make life better' and enter the AHRt 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 tight ©2014 Air -Conditioning, Heating, and Refrigeration institute CERTIFICATE NO.: 130485677314Q451 I MECHANICAL $CUE= locrevoTwvs. mom IS) PINOO M PAST THREAD PLANE FOR WN sm T" 0,ow TRICK AM AM STEM Clip, m MECRWM UNU M OTHERS. ALUMNAM mousm UNITS WAIL BE FA6346 MIN. wmmm shwwrm ftT 30 9SI, MUT MIN, TATCOMS,SM901110mmls ll StAw UZI MIN. STREI. GRAM 33� Pf*WDE ISTMI OV.AD RAK�_ IC., ASTM MIM. PAST WPT4P Pon SAW SMS, IV. I SVAU .. r" I 3t "­.---A4CKW WE 0? UNIT SK411 - (1) OR 12)ANOWn SCHEDULE a Fun" VVI'"I pm MR ANC40A OF 01P, W SPACE Of CLIP. NO SPACE PERMITTEI). 1W. ftR SWSYkATE ILA (VARIES) SCKVIAI d 1" TIE -DOWN CLIP 2" TIE -DOWN CLIP / "\"3-\ ANCHOR DETAIL r4 ANCHOR DETAIL 4 \IV r - IW OVA& 1 1 __ Zip Ii OSSIGsIEO PDA Mi.� CWACT WITU RE OAM Of (�MIACr WIM THE BASE 0� 0 M"AITICAL kMrr. TYP, MOC"AAFICAL MIT, TV.WA r- ............. DESIGN PRE .pm WIWI .e CUPOFFM -Aessw It" ev" W VOUFM M 4.4 rTVP W"wx E 9 & SSURE EXAMPLE SCENARIO STA a. '10 THE 9 1111R: =1 .4T Is RuwH. m CIA E21%V&.RAT Paw, OI14A 3oUTi?UBE47 :3),=2 S" GRAD9 5 "-cup.wp i MTKV,............._..........,......,....,.......IPS %IMW MUTAL SCREWS SEPARATE CIP0.14W CAPUGM- CMTjFjCAnM ....... . ....... =2114som ~0 11001j . ...... .... .... . ......................... ....... . 'I'WT FOP OF m", T",OrALSOMMAT UTLW (4) Cl LM ",=, bYDWWOMAT.. NOW f6r TO MGMT Put km ANoms. Y", 0`4 .. M* W" CbIPS P"' OA�* .. ­m.w. "1 .12 t"s T0.0=94 Lm M 0,wc, �af A, Wou ae �,­w ful. U_w ttALTERNATE CUP DETAIL •klTILtYE I, I" IWO Ir alal VM 40,134al.11S S . -3 A-01- lAkk �6 C T.- M X US PRICE CAC #1816329 Bimmi BREEZE P�KJARR­ A**iwa' ix-�%:� , , . o* PARTS WARRANTY A': are PSI AWS Cf OI @fftACiS 7'IGhiT & CLEAN ;1L0l0L*CONoiT*4. Q0 CHARM 103 S.*.. AMPS WRIIF OR, AMOUN HVAC INc Commercial a Residential Air Conditioning Services Inc. 7010 NW 169 Si 0 co par. Grcrampe Hialeah FL 33015 0 Se—, Ph 305.968-4205 0 LASTNAME FIRST NA f C) STREET 0 C -T MAKE MCC: I SrWALNUNISER 0 A-, ut. to. I ft*I*. LASOR GUARANTY S ikT;&-CLF_AN a MOTOR owl-eni se—ced as noted. -S guaranteed for a pe"o of 0,, "T, do not. otcou(se. guaranty Wher parts than'no"' ni, all I repairs ;,Ivl become necessary dao to other defective w.s. they wil, be charged separately 0 0 AFFIt MACH USAGE I. ASOR CHARGES HRS @b !MR TOTAL OTHER CHARGES TECmNiCIAN CERT. 0 SIGNATURE LT 0111.1 ON ITEM REPAIR ESTIMATE 37 4040'/ Aw LIST I HAVE THE AUTHORITY Tp ORDER TME ASOVE WORT( APoD DO SO ORDER AS OUTLINED ABOVE IT IS AGREED THAT THE SELLER WILL LOTA L y 5/'Z -an awe. I=0 TYPE SYSTEM OTY — E U D —REFRIG I ACE PRINTING 305-430-8300 -76,- Y5-- 1 a <p6ii3O DATE 47w;M71111 TOTAL PARTSi P�KJARR­ A**iwa' ix-�%:� , , . o* PARTS WARRANTY A': are A WRIIF OR, AMOUN ut. to. I ft*I*. LASOR GUARANTY S ... ..... .. r A•1w owl-eni se—ced as noted. -S guaranteed for a pe"o of 0,, "T, do not. otcou(se. guaranty Wher parts than'no"' ni, all I repairs ;,Ivl become necessary dao to other defective w.s. they wil, be charged separately F LO w AFFIt MACH USAGE I. ASOR CHARGES HRS @b !MR TOTAL OTHER CHARGES TECmNiCIAN CERT. 0 SIGNATURE TOTAL OTII.(:R CHARaS ITEM REPAIR ESTIMATE ENVIRONMENT CHECK LIST I HAVE THE AUTHORITY Tp ORDER TME ASOVE WORT( APoD DO SO ORDER AS OUTLINED ABOVE IT IS AGREED THAT THE SELLER WILL LOTA L R awe. I=0 TYPE SYSTEM OTY — E U CHARGED OUT (OR E3 D REPLACED)7 YES NO —REFRIG E F R (D (9) RECOVERED10 YES NO UIV — I p, M E N T DIS- MANTLED? YES NO RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL FINAL A COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT MADE AS AGREED. THE SELLER SHALL HAVE THE RIGHT To REMOVE SAME AND THE SELLER WILL BE MELD HARMLESS FOR ANY DAMAGES RESULTING FROM THE REMOVAL THEREOF. TRIP CHARGE RECYICLED?OTY _ YES No TAX G 03 RELCAIMEO? a Is OTY _ YES NO OUR PERSONNEL RECOMMEND: E RETURNED TO IM SYSTEM,OTY YES NO — A Q DISPOSAL AUTHORIZED SIGNATURE IITIALS In TIME ARRIVED TIME DEPARTED NOW USABLE OTY YES NO DISPOSAL —1 OWNER'S IN TED AND I AC04OWLEDGE RECE11irr OF My COPY N ACCEPTED I DECLINED I ACE PRINTING 305-430-8300 -76,- Y5-- 1 a <p6ii3O DATE 47w;M71111