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MC-14-544Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-209332 Scheduled Inspection Date: September 15, 2014 Inspector: Perez, JanPierre Owner: POLITI, VICKI Job Address: 286 NE 107 Street Miami Shores, FL Project: <NONE> Contractor: NORCA AIR CONDITIONING & REFRIGERATION CORP Permit Number: MC -3-14-544 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1122310130450 Phone: (305)558-1422 Building Department Comments REPLACE EXISTING 3 /12 TON SPLIT SYSTEM Infractio Passed Comments INSPECTOR COMMENTS False Q� �1�51�ti September 12, 2014 For Inspections please call: (305)762-4949 Page 2 of 26 Inspector Comments Passed MI Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 12, 2014 For Inspections please call: (305)762-4949 Page 2 of 26 Mar. 20. 2014 1:15PM No. 0299 P. 1 CERTIFICATE OF LIABILITY INSURANCE t-te 1 3/312014 producer, Lion insurance Company 2739 U,S, Highway 19 N. Holiday, FL 34691 (727) 938-6662 This Cortincato is issued as a matter of Information only and confers no rights upon the Certincate Holder. 'this Certificate does not amend, extend or alter the coverage afforded by the policies below. Insurers Affording Coverage South Past Personnel Leasing, Inc. & Subsidiaries 2739 U.S. Highway 19 N. Holiday, FL 34691 insurerAi ton insurance Company 5 Insurer 8, ffNATCinsureds lnsurarC: Insurer D: Insurer F,: Coverages 0 polclos 91 1mr-mm listal b1cm Sao n Mafflid iha limled non above f8filab May period Inulcated. NaWdistaruling any rewtaniem, lenn or cor allsoa of any coMfad or ogrer docu twit with respect to wnteh Ws eerafioets may be issued or pray pettaln, the Inwrim eNorded by the polities des0bed herein is subject to all the terms, eadustons, and conditions of such polides. Amregate tuats si"at may Irsve been reduced by pard claims. INSR LTR Annt. INSRD Type of Insurance Policy Number Policy riffective Date - (MM/DD/YY) Policy rtxplraVon Date (MM/DD/YY) Limits GENERAL LIABILITY 6adrOccurrence S Commercial General Liability Claims Made 0 Occur Damage to meted preadses (CA vccurrcnco) s Mad Exp s Personal Adv Injury S General aggregate limit applies per: PoIIoy ❑ Project [3 LOC QenerefAggregate Products - CorWOPAgg AUTOMOBILE LIABILITY WOW Single unit AnyAulo All tMsred Autos 808doled AIM MAArddent) 5 tied tY lrrjtsy tf er t'eraon) S BWily Injury Dred Abtos Non-OrrncdAutOs (PerArAdcnt) Property mrriaage (Pe(Actideru) S EXCESSIUMBRELLA LIABILITY Each occurs Lie Occa ❑ claims Made Aggregate Daducme A Workers Compensation and WC 71040 01/01/2014 01/01/2015 X westates OTH- Employers' Liability tory Limits ER E.L Each Accident 51,000.0m Any proprietor/partner/executive officerlmember exciuded? No E.L. Disoaso- £a Employce $1,000.000 If Yes, describe under special provisions Wow. E.L. Discaso - Policy I. its $1,000,000 Other Lion insurance COMPanY is A.M. Best Cons an rated A- (Excellent). AMB # 12616 bescriptions of Operations/LocatlonsfVehleles/Exclusions added by Endorsomenf/special Provisions: Cllertt ID: 91-67-488 Coverage only applies to active employee(s) of South Fast Personnel I easing, Inc. & Subsidiaries that are leased to the following °Ctlent company': Nara Air Conditioning & Refrigeration Corporation Coverage only applies to injures incurred by South East Personnel Leasing, Inc. & Subsidiaries active ernploye2(s;, while working in: FL. Coverage does not apply to statutory employs*) or independent contractor(s) of the Client Company or any other entity. A list of the active emplore(s) leased to the (]lent Company can be obtained by faxing a request to (727) 937.2138 or by calling (727) 938.5562, aroJect Namei AIR CONDITIONING AND REPAIR WNTRNC TOR ISSUE 2-M14 (MT) REISSUE 03-03-14 (EP) Benin Date 10/612013 CE nfl0 TO HOLDER CANCELLATION MIAMI SHORES HILI AGR OUILDWO DEPT. should any of the above de301nied pdidas be certcelled Defote the expiration date grand, the lambig Insurer %f l endcavor to milt 30 days written notice to the certlfiaato holder named to rho left, tot folium to do so final! Impo6e no Obligation or 11abillty of any Knd upon the insurer, Its agents or representatives. 10050 NE 2ND AVR MIAMI SHORTS, pL 33130 /1 UM 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) 762.4949 BUILDING PERMIT APPLICATION Permit Type: MECHANICAL P,BcEIvED � FBC 20 Cly Permit No. Master Permit No. me I `1 , �°LA JOB ADDRESS: �� �o �I `(�•"� �� City: Miami Shores County: Miami Dade Zip: 5-50 (D\ Folio/Parcel#: 0`- ���`'��� _-'Z�LN�s O Is the Building Historically Designated: Yes ` • OWNER: Name (Fee Simple Titleholder): \C l iia Address: C v.e- City:Sim' e_�, State: NO Flood Zone: Tenant/Lessee Name: Phone#: Email: '_2)___N �o1 —Lr 1q-1 CONTRACTOR: Company Name: Vj ®rclr".A, Phone#: Addresq: 0 � 05 _ \j \J j ca 7�_" -�' r .p 42 City: �y e @XtiS State: Qualifier Name: Q State Certification or eeistration #: Contact Phone#:__a-QS� \ J -Q "�-, Email Address: of Competency #: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: _C�c� Square/Linear Footage of Work: Type of Work: ❑Addre(ssss ❑Alteration ❑New I Description of Work: 16 vi>� a ❑Demolition kkkkkk kkkkkkkkkk kk kk kkkkkkkkkkkk kkkkkkkFee.Skkkkkkkkkkkkk kkkkkkkkkkkkkkkkR kkkkkkkkkkkkkk 50460, Submittal Fee $ Permit Fee $-A33 CCF $ CO/CC $ Scanning Fee $ WV1 -1 Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ 3ba W 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 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 & charged. Signature Signature e -,.may i l Owner . The forgoing instrument was acknowledgebefore me this `Z.(o day of ttlQ a by �ei1 who is personally known to me or who has produced. As identification and who did take an oath. NOTARY PUBLIC: Sign: n Print: at LJJ A r My Commission Expires: The foregoing instrument was ackno edged befo t� day of k 9t %A 20 4 byA i1 �+P ` C� i e? -- who is personally knoA to me or NNhAas produced as identification and who did take an oath NOTARY PUBLIC: c 1r0 —75 ^1— 11 WINI'm F My CommiSSie1 EE 219163 My Commission Expires 07/24/2u 16 N11I Yt �tMfl NNY�NWri WA1�MtMAflMNNW NMtg1�0w WNflAWWN �etMMRANNN arlIawren Yt YtWWWAY1 fYflfY fYWRft ........... l YI lIW NWANRNW Yt IYMM APPROVED BY lila m' er �a Iyotary Public State of Florida ;_ Aline M Hernandez +� My CommiWon EE 219183 '9 p) Expires 09/2412018 _ _ _ _ Zoning Structural Review Clerk Revised 3/12/2012)(Revised 07110/07)(Revised 06/10/2009)(Revised 3/15/09) NORCAIR-01 RGOMEZ CERTIFICATE OF LIABILITY INSURANCE 1 DATE (M 2127/2014 2014/DDIYY' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Collinsworth, Alter, Fowler & French, LLC 8000 Governors Square Blvd Suite 301 Miami Lakes, FL 33016 CONTACT NAME: PHONE305 822-7800 FAX N.): (305) 362-2443 (AIC,No Ext:( ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURER A: American Empire 10/1/2014 INSURED INSURER B: Ohio Casualty Company INSURER C: Norca Air Conditioning & Refrigeration Corporation INSURER D: 8195 NW 98th Street Hialeah Gardens, FL 33016 INSURER E: INSURER F: B COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR VWD POLICY NUMBER D)MnTI (MMOONYM LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR ,a 13 EP 0179485 10/1/2013 10/1/2014 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occutrencel $ 100,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRo LOC$ PRODUCTS - COMP/OP AGG $ 2.000,000 B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS H R D AUTOS X NON-0WNED AUTOS BAS(14)55760741 1011/2013 10/1/2014 COMBINED SINGLE Ea accident)LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ R P RTY DANA $ Per accident A X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE 13 EX 0179486 10/1/2013 10/1/2014 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ DED I X I RETENTION$ 10,000 Aggregate $ 21000,00 WORKERS COMPENSATIONN� AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below N / A STATU- OTH- TORY LIMBS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Rmnarke Schedule, B more space Is required) Insured Operations: Air Conditioning and Reapir Contractor CFRTIFICATF Wnt_nFR CANCELLATION ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NO ACCORDANCE WITH THE POLICY ROVIS ON8CE WILL BE DELIVERED IN 10050 NE 2 AVG Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE ,a ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Miami Shores Village Building Department 90050 N.E.2nd Avenue Miami Shores, Florida 33938 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): ai5 �O PQ E k ®-1 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 CONTRA IS REQUIRED WITH ALL SUBMITALS ARI ( DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO �ARHl Sheet Attached: YES NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # Lt_, COND. UNIT MODEL # p Q 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 NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO NEIN ROOF STAND YES NO YES NO NEIN RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): (0 S�Z� 2. Maximum Overcurrent Protection (Fuse/Breaker Size): GO iNMPS 3. Voltage of Circuit (208/240/480): 2©o—Q 4% 4. Size Disconnecting Mean: Contractor's Company Name: _ State Certificate or Registration N Certificate of t�N Phone:SQf;k;`%%%-®4 'Q'a.o- Signature Date: a- ,04-4 (Qualdrees signature onl AIR CONDITIONING 8195 NW 98th St, Hialeah Gardens, FL 33016 Phone: (3.05) 558=1422 / Fx: (305) 556-0587 PROPOSAL NO: PROPOSAL SUBMITTED TO PHONE DATE Mrs. Vicky Politi 10 -Mar -14 STREET JOB NAME 286 NE 107 Street CITY,STATE,ZIP JOB LOCATION Miami Shores WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATED FOR Removal and disposal of existing Air Conditioning System as per EPA Regulations. Installation of new 3.5 ton Ton 16 Seer 410 Freon Rheem Air Conditioning System with all related connections and materials to complete the work. Installation of new digital programmable thermostat. Installation of new float switch per code. Reconnect to existing drain and electrical connections. Installation of new air handler base. Installation of new concrete base. Rheem Heat Load Calculations. Warranty of 10 years on Compressors, 10 in parts. One Year Free Labor with Norca. Materials, Equipment, and Labor: $ 3,800.00 THIS IS THE ONLY WARRANTY PROVIDED WITH THIS CONTRACT. THERE ARE NO IMPLIED WARRANTIES PROVIDED WITH THIS CONTRACT. Rebate from FPL $685.00 FINAL INVESTMENT: $3,115.00 DUE TO NORCA NOT INCLUDED: Mechanical Permit Fees, any wall repairs, patching or painting. Duct Replacements, or repairs if required Code upgrades or mechanical en ineer n plans. WE PROPOSE HEREBY TO FURNISH MATERIAL AND LABOR- COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS, FOR THE SUM OF: Three Thousand Eight Hundred Dollars ----00/100 DOLLARS($ $ 3,800.00 PAYMENT TO BE MADE AS FOLLOWS: All Material is guaranteed to be as specified, all work to be completed in a workmanlike manner according to standard practices, any alterations or deviation from above AUTHOR specifications involving extra cost, will be executed only upon written orders and will SIONATUR PEPI become an extra charge over and above the estimated. All agreements contingents upon mandez strikes, accidents or delays beyond our control. Owner to carry fire, tomado and othernecessary insurance, our workers are fully covered Workmen's Compensation Insurance. NOT ' AL MAY BE WITHDRAWN BY US IF NOT ITHIN DAYS ACCEPTANCE OF PROPOSAL - 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. SIGNATURE SIGNATURE DATE OF ACCEPTANCE y��A ,;tb� ss ?o tc> �i A<� c`r�q �P } 't s ,ua-', b C�p'%Ec ,,,i -c,.cgt t�9' C� a ��>y� ':ftJ fi RC'.,.-:•fPc�.s. tt �s AHRI Certified Reference Number: 3806012 Date: 2/27/2014 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM42 Indoor Unit Model Number: RHLL-HM3821+RCSL-H*3821 Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM, RUUD, WEATHERKING Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. 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: * Ratings followed by an asterisk (*) 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 Certit9aats. 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. Cartified ratings are valid only for models and configurations listed in the directory at www.abridireafry.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI. This Certificate shall only be used for Individual, ?may %:•>!M�� personal and confidential reference The this Certificate in o' •':• purposes. contents of may not, whole or in part, to reproduced: copied: disseminated; ,�✓/ y"ssn� entered Into a computer database; or otherwise utilized, In any form or manner or by ary means, except for the user's Individual. personal and confidential reference. 7.:$;- 1: 0 N V i T1 0.14 1 N .2 K aE'mo: CERTIFICATE VERIFICATION #ti&'s$*9: A:W'b.M1-'ts'sLt94- The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on `Verify Certificate" link 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 13038001857871244 052014 Air -Conditioning, Heating, and Refrigeration Institute I ERTIFICA;' NO.: JUDesignStar Load Calculation Results are intended for use with Rheem heating and cooling systems ThONWOW"Ofembft- SHR .75 Ceiling height 9 Floor U -value I R -value 0.2 1 5 Ceiling U-value`I ft walue0.05 1,_9 { Window U -value 0.5 Moisture grains Duct gain % �3 W Heating infiltration (ACH) 0.8 Winter ventl'ation i Summer ventilation 0 IDesign Conditions Daily range L Moisture difference 58 Indoor Heating Cooling ;:Indoor temperature (°F)' 70 75 Design temperature difference(OF) 20 15 Windows 15.1 >2930 Cnilf=ation 49995 >tal : 1 it Heating Loads 19,377 BTU/hr Floor Inftltrati, Y LOSS ng Wall ¢ A �y { %.� I I l P ¢ A R i} ow O':. i{ �^` $w 1 tis Y '*'"d iRi RIP" fA..� + €k 4c {Ar ._,. r�.O.( HLY Ad �te�na� to � ; F. 14GL:-1l L`�Gii�.J�tS� L.VQ4 ,, "{"VW t '+t x ,, i s3 a a. N x r r! ..atent load :71$1 i . A6 M zi f 77, ?s#r O � arr �aaae�t STIR Cooling Loads 38,200 BTU/hr � I IrSensible People Load Latent People Load i --- Wall �--- internal Sensible Infiltration Windows System Efflcienc Ceiling Latent infiltration mAdequate Exposure Diversity 20000 15000 g10000 5000 AED Graph 0 Sam 9am 10am Ilam 12pm fpm 2pm 3pm 4pm 5pm bpm 7pm 8pm Hourly Loads — Average Sumrher Design Grains 50°!0 � Winter Outdoor 50°F Winter Indoor 70, Sensible Cooling 31,019 Btuh Latent Cooling 7,181 Btuh Required Cooling Airflow 1,410 CFM Sensible Hefting 19,377 Btuh Required Heating Airflow, > 252 CFM All calculations are based upon approved hvat n,dustry standards and procedures, and complywrith all local, state and federal code requirements. All computed results are Estimates, Product provided by Energy Design Sys*ms and Idea Tree`