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MC-13-2676Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: MECHANICAL NOV 2 b 2013 FBC 20 Permit No. 2 Master Permit No. I' f e, 3 —.26 7-6 JOB ADDRESS: 12M °V P I,)= fl'��- City: Miami Shores County: Miami Dade Zip: .� Folio/Parcel#: 1 I - 32.0 - OY M°- 02A Q Is the Building Historically Designated: Yes NO Zone: OWNER: Name (Fee Simple Titleholder): Phone#: �c-r✓�" City: �°11 � �7L>�-(� �7 State: i JL Zip: _ Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Sol Address: z�'�� N ►ti City: —M1. Qualifier Name: State Certification or Registration #: Contact Phone#:S �C� DESIGNER: Architect/Enginee4.' Zip: r > Phone#• 33 G 19 26 15 361 '7 Certificate of Com:��i /�� Address: (Y e -A e3 � �cr -Gail Value of Work for this Pit: Square/Linear Footage of Work: Type of Work: ❑Address ation UNew I Repair/Replace ❑Demolition Description of Work: _ G 9 e \ Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ "/ 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 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 CONEAENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR EMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF 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. ., SignatureZZ U�ner or Agent The foregoing instrument was acknowledged before me this Z.S day of (120 13 , by f who is personally known tome or who has pr ed - '!:� h. Z_�e.�I.IS ,As identification and who did take an oath. NOTARY PUBLIC: Sign: t` Print My Commission E APPROVED BY Contractor The foregoing instrument was acknowledged before me this tS day of Ole-- 20 j?, by who is personally known to me or who has,producede` alt, LA _ as NOTARY PF .. Sign: MY CQMMiS8t0�t� 15.2014 EXPIRES SeVo Plans xaminer r Structural Review Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Rmised 3/15/09) US GARCIA 'ubiic - Arizona icopa County Expires Jan 18, 2016 Print: JLLYS. My Commission Expires: j6 1 tb, liul%p Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 To/. (305) 795.2204 Fan. (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): 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 AR (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES [:1NO ARHI Sheet Attached: YES NO ❑ Contract Attached: YES 1. Minimum Circuit Ampacity ire Size): 2. Maximum Overcurent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: _ Contractor's Company Name: �-- State Certificate or Registration N. L--1 11-� Ccnd,(,A c,.6r, Z Z- -c Certificate of Competency 01 Signature�� Date: (Qualtflees signature only) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER - j1'- Z L AHU or PKG. UNIT MODEL # 11 — ® fn- rn 13 Oce r COND. UNIT MODEL # KW HEAT NOM TONS AHU CU PKG 1 M.C.A AHU CU PKG AHU CU PKG 2 10.0.17 AHU CU PKG AHU CU PKG 3 VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES MV YES NO REPLACING THERMOSTAT 0 YES NO NEW 4°CONCRETE SLAB YES YES NO NEW ROOF STAND N YES NO NEW RETURN PLENUM BOX YES1 NO 1. Minimum Circuit Ampacity ire Size): 2. Maximum Overcurent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: _ Contractor's Company Name: �-- State Certificate or Registration N. L--1 11-� Ccnd,(,A c,.6r, Z Z- -c Certificate of Competency 01 Signature�� Date: (Qualtflees signature only) ■ Cooling In Heating in Air Qua iiiy lnstalladonAddhissr E*dpment to be Installed. 10125 NW 116 Way, Suite 10, Miami, FL 33178 Phone 305-863-1830 FAX 305-863-1885 www.SatarBearFLcom FL Reg. CAC 1817134 Contract/Proposal Installation start date: Brand of Equipment: L en n O X Permit Fee (aty/counW): Au c Comfiort amsrdtant:.__ - E 4j , A/C or Heat Pump r % Air Handler �1 ❑ ❑ ❑ New return plenum ❑ ❑ ❑ High voltage wiring Coil Insulate ductwork 3.,es Syste1 �,. Yv k y li; w m 5 stem"2 S' sterni Scope of work: System 1 2 3 r % System 1 2 3 Disconnect box ❑ ❑ ❑ New return plenum ❑ ❑ ❑ High voltage wiring 000 Insulate ductwork 000 Low voltage wiring 000 Old equipment removal m ❑ ❑ New outdoor pad ❑ ❑ ❑ New supply ducts 0011 Vibration pad W ❑ ❑ New return ducts 000 Line set 000 New registers/grilles 000 Refrigerant filter dryer 15 ❑ ❑ New condensate piping 000 Recover refrigerant [a ❑ ❑ Condensate pump (sft switch) 000 Mastic seal plenums 10 ❑ ❑ Drain pan with overflow switch 0„ ❑ ❑ New supply plenum 000 r filter rack 000 Mastic and seal supply/return 4 feet ❑ ❑ ❑ C'( FPL Completed ❑ ❑ ❑ Load Calcndadon ❑ ❑ ❑ 1 n ilk r % r Tar_ �a r� r rZ.e /) C C. Gt r r*i li -T-C. N e t Q C-( s Co. 1a�� AJC_ l Fc r cti1 Carl }S 124 J A F - t- 1 TCC t -i M }i- p. Tl 4 7 �a "'� t I i � tt�, y.�.. C• t f`-- i Ya ` . f 1•. ~ ,:y ( 1 t �'! t . . . Compressor Coil r G7 Zrs '� - s e P Parts 10 yrs• C'( ° Ll Labor i yrs. Zoning yrs. Water Heater yrs. ifs a Cn/st'r^v ,' % mR c.tt, i u Tc �tee� • q . rE Extended Warranty yrs,' Z-1-- 0 CJ suit. ri irC,2 . Other yrs. Payment terms: , Customer Cash Card $ Credit Card Type `+ Name on CC dt..k-a-r Federal TAX Credit $ Credit Card #37-2.2- 2�3nSK `r 1vG� Exp. Date 0 Total NET out of pocket Check # all rebates die p me andptax Cred ern Notes: Sale Price $ el " Discounts/Coupons$ =� 179 a-'-0 FPL Rebates $ _ Total Investment $ Si Balance due to Solar Bear (Labor portion plus permit feesi Balance due to Costco $ Al (Total Investment minus Balance due to Solar Bear) All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifications involving extra cost will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner/owners to carry all necessary insurance. Our worker's arecovered by Workman's Compensation insurance. The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment Will be made as outlined above. Any payment not made as spedfied shall be subject to 18% annual interest plus billing charges, court costs and attorney fees. Price subject to change if not accepted within 15 days. X X f /0 Z-SZ43 Company auftdze wig tura omer signature to of ..b.,r— MWO Ceiling height Floor U -value R -value .75 9 0.215 A 2t o NOV 2 5 2013 Duct gain % 10 Heating infiltration (ACH) 0.8 Summer ventilation 0 Dell n Co`nditlon° Outdoor Heating Daily range Moisture difference 58 Design temperature difference(OF) 20 20 low �. • •�• Area Btuh % of load Floor 7520 40.4 Floor Windows Sensible People Load �- — Latent People Load j--- Wall Internal System Effic Sens ible Latent Infiltration AED Graph 15000 10000 s 5000 0 Sam 9am loam Ilam 12pm ipm 2pm 3pm 4pm Spm bpm 7pm 8pm Hourly Loads — Average Glass (N) 15 sq. ft Summer Outdoor 95°F Summer Indoor 75°F Winter Outdoor 50°F Sensible Cooling 25,876 Btuh Required Cooling Airflow 1,176 CFM mbination qualifies for a Federal Energy iency Tax Credit when placed In service between Feb 17, 2009 and Dec 31, 2013. Certificate of Product Ratings AHRI Certified Reference Number: 5185998 Date: 9/25/2013 AA e, 26 Product: Split System: Air -Cooled Condensing Unit, Coll with Blower I Outdoor Unit Model Number:14ACX-036-230-14 IL AV Indoor Unit Model Number: CBX27UH-036-230*+TDR in AW Manufacturer: LENNOX INDUSTRIES, INC. CIT Trade/Brand name:14ACX SERIES AW Manufacturer responsible for the rating of this system combin n OIX IN Y STRIES, INC. 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 (Btuh): 35000 EER Rating .(Cooling): 13.20 SEER-Ratingi(Coolirligj 46:00 I FootNote 11 - The AHRI 210/240 certified EER ratings are calculated under the some methodology as the EER ratings at T1 condition of ISO 5151:2010 and ISO 13253:2011. * Ratings followed by an asterisk (*) Indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which Indicates an Involuntary rerats. DISCLAIMER AHRI does not endorse the product(s) fisted on this Certificate and nukes no representations, wanwittes or guarantees as to, and assumes no responsibility for, the product(s) Hated on this Certificate. AHRI expressly disclaims all Ilability for damages of any kind arising out of the use or perfommnce of the product(sh or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for model and configurations listed In the directory at www.ahridimatoryorg. TERMS AND CONDITIONS This Certificate and its contents are proprietary products ofAHRL 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. CERTIFICATE VERIFICATION The Infommton fbr the model cited on this certificate can be verified at wwwahrldirectoryorg, A IM' Air t -Conditioning, Heating, click on 'Verify Certificate' link and enter the AHRI Certified Reference Number and the date on �..� ,' and Refrigeration Institute which the certificate was Issued, which Is Hated above, and e Certificate No., which Is fisted below. g ©2013 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130246013926134320