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MC-14-2069Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-220157 Permit Number: MC -9-14-2069 Scheduled Inspection Date: October 16, 2014 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: MUSETTI, ISBEL Work Classification: Repair Job Address: 957 NE 99 Street Miami Shores, FL 33138 - Phone Number Parcel Number 1132060340260 Project: <NONE> Contractor: UNIVERSE MECHANICAL AND AIC INC Phone: (786)348-1034 tsuuamg uepartment comments REPLACE MINI SPLIT 12000 BTU AND DRYER Infractio Passed comments VENTILATION I INSPECTOR COMMENTS False October 15, 2014 For Inspections please call: (305)762,4949 Page 14 of 29 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. October 15, 2014 For Inspections please call: (305)762,4949 Page 14 of 29 r Miami Shores Village Building Department s 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 SO 2 4 2014 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ` cB`C 2010 ---- BUILDING _ BUILDING Master Permit No.zo o -G � df PERMIT APPLICATION Sub Permit No. ❑BUILDING LE RIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS S77�� JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: -32,139 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): i5 8 &- , H'JS �E T(r Phone#: 96 3 3 9151 Address: 5-+N' q +k SfaaEI-V ® City: fk�a K,State: T -t -o Zip: 3313 Tenant/Lessee Name: I 40 [ Phone#: CONTRACTOR: Company Name: Itoyt= 6s, b-&rC4f-At j%r*L Phone#: Do 3 4(f ( 0 3 `� Address: City: ` '� ` State: �- Zip: d Qualifier Name: O� O J `� I Phone#: State Certification or Registration M. C KC- 12- e 3 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 21A0 0 Square/Linear Footage of Work: Type of Work: ❑ Addition [:1Alteration [:1New E:1Repair/Replace ❑Demolition Description of Work: IL�'d U t -AF Ml i °`''i S LA ? f 21 oziAO VS a- D f` v% - \P Specify color of color thru tile: _ _ R Submittal Fee $ ( f Permit Fee $ Q� CCF $ CO/CC $ Scanning Fee $ Radon Fee $ . DBPR $ Notary $ Technology Fee $_ Training/Education Fee $ • C00 Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ �0 (Revised02/24/2014) 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 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued the the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. \ '1 Signature I I I J Signature WNER or AGENT The foregoing instrument was acknowledged before me this day of 5V r-e".A Af 20 t , by l who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: 's Print: CARLOS DE LA TORRE Seal: - = MyCMt 1SON;EE 124164 The f�regoing instrument was cknowledged before me this Z day of �` ` 20 (1 , by v jag? ® ✓. / who is personally known to as me or who has produced identification and who did take an oath. 10 Lei Ll :A 1111:1 q Is; Seal: :$V CARLQSDELATORRE WCOA618S M t EE 124164 EXPIRES: September 9, 2ois ,Rp faded TMM Noky ftk Un &wft is as APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 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. Job Address (where the work is being done): Uj C 011 S'T City: Miami Shores Village County: Miami Dade Zip Code: I ' I 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 O/NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER X411 4 <-- -✓ 2 G �/�, AHU or PKG. UNIT MODEL # - f!/ *1?A- ..� COND. UNIT MODEL# Aj'4 KW HEAT Gi NOM TONS A0 AHU CU PKG 1) M.C.A AHU%G CU 4 . PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU/40 CU//D PKG 3) VOLTS AHU,:/PCU ®/V PKG PKG UNIT / / PKG UNIT / / "/s 0 •.9P EER/SEER //.Z i 3 V YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO .✓ YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO P/ 1. Minimum Circuit Ampacity (Wire Size): /�w 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): //0 d 4. Size Disconnecting Means: Contractor's State Certificate or Signature (Revised02/24/2014) CSC I2141"C 39 UM, VE �-S-G Phone: -725 P 5f I? (c' i f C' B -C MI el S '3 S _Certificate of Competency No. - - ) Date: o A . ?,I. I N. RIUMODU1I,VVVCRIVVII ISSUED: 07/01/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1407010001687 UNWE-2 OP ID: KH '•��.:.`�"" CERTIFICATE OF LIABILITY INSURANCE °A0`1""`` TYPE OF INSURANCEADDL 09/22/2014 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 pol(cy(ies) must be endorser. 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 !Sure Insurance Brokers 8700 W. Flagler St., Suite 270 Miami, 33174 Javier A.. FemirsemBndez NAME: Javier A. Fernandez (AICN o .305-223-2533 a/c -Noj: 305-220-0765 E L Javie iSureBrokers.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL # INSURERAMestern World Insurance Co. 13196 NPP8135362 INSURED Universe Mechanical &Air Conditioning Inc. 812 NW 135 Ct INSURER S:Castl@PoInt Florida Ins. Co. INSURERC: Miami, FL 33182 INSURER D: INSURER E: OEN L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC INSURER F: PRODUCTS - COMPIOP AGG $ 1,000,000 aiVYGw%ft%7C0 GCK "k[;A Ib rm jmRFR- 0=110l11R1 s111Mecn. 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 CONTRACT OR 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. ILTR TYPE OF INSURANCEADDL SUOR POLICY NUMBER -PO"UCY EFF MMfDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR NPP8135362 11/05/2013 11/05/2014PREMISE EACH OCCURRENCE $ 1,000,000 rtes $ 100,000 MED EXP (Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,000 OEN L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMPIOP AGG $ 1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS AUTOSNOND BI D I G accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ P RAS G $ $ UMBRELLA LIAR UMBRELLA L`A�BCL41MS EXCESS LIAB OCCUR MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION s $ B INORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (��ry in NH) Ms describe under DESCRIPTION un OPERATIONS below N / A WCP761354501 04/26/2014 04/26/2015 X WC STATU• TH- TO LI ITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 T- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, ff more apace is required) R CONDITIONING SYSTEMS INSTALLATION, SERVICE, OR REPAIR CIlYMl1 City of Miami Shores Village 10050 NE 2 Ave Miami, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Sep.22.2014 09:05 PM UNIVERSE MECHANICAL AND A 305 226 0732 PAGE. 1/ 1 1.Jh�IVE1�SE MBt+M'SAL a aw r_c�.¢n,tn3bx&Ki. wG. P�aPosA� No: Zs�� Proposal Submitted to: Phtwe/Aax: Date: MMUE & DENIS CONSTRUCTION. 786 3979861 09nin4 Street. Job Name: 13727 S.W 152 STRUT SUIT$ # 369 ISSBEL MUSETTI tate, zip Code: Job Loudon: MIAMI FL 33177 1 957 NE 99 STREET I14iAM1 SHORE FL 33138 Ardikeet-, 13ste of Pians: Job P1to>tm We hereby submit speeifimtions end estimated for: We are proposing to supply and install one midi split Mitsubishi 12,000 BTU and dryer ventilation Bid Price: S 2,000.00 WE PROPOSE hereby to ftM M taawrw and bbor ftmphft In mordaaae with above 0"Moni ns for tbo sum of Dollars: S2,400.00 Payment to be made as follow®: AM MataW Is goarantood to be as speck& All work to be compk,tod in a narkmanN o mo naT mceordleg to =M psaedoeR. Amy &Uwallme or deviation from above 6pedocoaaas rmohinga0.1t, *M be executed" upim written orftn and will bomw em eftra dwW over and above On �. g� All aria tents upon orfims, or ro taM 4*bya beyond our control. Omw to carry flm tottntdo and atber ueenmy hm4nuw— Our workun an f nova vd k Wo '' n z ' Note: This proposer may be withdrawn by na if not Authorized S' ure: °' r 'V \. - ac ted within 30 da ACCIUPTANCE OFPRO OSAL: w �, Tile above pricey spetWications and conditions art satisketory and are hereby accepted. You are authorbW to do the work as 4eci&d payment i Ti+IIV RSE N1CAL, will be made as out tnetd above Date of Acceptance: O5' Signature: 812 NW 135 Court — MJAmh FL 33182 — Ph. 786-348-1034 — Fax. 305 225-9732 i -mail: Ckiudio�a univetrse�air com AHRI Certified Reference Number: 961213 Date: 9/22/2014 Product: Split System: Air -Cooled Condensing Unit, Coil with Blowier, (Free Delivery) Outdoor Unit Model Number: MU-Al2WA Indoor Unit Model Number: MS-Al2WA Manufacturer: MITSUBISHI ELECTRIC COOLING & HEATING Trade/Brand name: MR. SLIM Series name: COOLING & HEATING Job Name: System Reference: I Date: TPUES TO INDOOR UNIT: �t1S-Al2WA ❑ MS-AI2WA-1 •°APPLIES TO OUTDOOR UNIT. rte` !Al2WA ❑ MU-AI2WA-1 Indoor Unit MS-A121NA- Outer Unit MU-Al2WA" Wirdess Remote Controller GENERAL FEATURES • !Nall -mounted indoor unit for residential applications • Compact side discharge outdoor unit • Zone control • Quiet operation for both indoor and outdoor units • Wireless remote controller is included • Indoor unit powered from outdoor unit using A -Control • Automatic restart following a power outage • Self -check functon — onboard diagnostics • Dry Mode function is standard • Limited warranty: five years parts and seven years compressors ACCESSORIES Outdoor Unit ❑ Low -ambient Head -pressure Controller (ICM-326HM-1) Indoor Unit ❑ Condensate Pump (115V; S13100-115) Specifications are subject to change without notice. O 2014 Mitsubishi Electric US, Inc. SPECIFICATIONS Cooling' Rated Capacity ............................... 12,000 Btuih SEER.......................................... 13.0 Total Input........ .. ... 1,070 W • Rating Conditions Coolin�q) - Indoor: 80° F (27° C) DB, 67° F (19° C) VVB; Outdoor. 95° F (35° DB, 5`5° F (24° C) WB. Power Supply ......................... 115V,1 -Phase, 60 Hz Breaker Size........................................20 A Voltage Indoor - Outdoor Ll -N ............................ AC 115V Indoor - Outdoor L2 .............................. AC 115V Indoor - Remote Controller ......................... Wireless OPERATING RANGE Indoor Intake Air Temp. Outdoor Intake Air Temp. UNIT INCHES / MAA Maxim= 95° F (35° C) DB' 115° F (46° C) DB 71° F 22° M Cooling Minimum 67° F (19° C) DB, 67° F (19° C) DB 8-1/4/210 57° F (14° C) wi3 Indoor Unit MCA............................................. 1.2A Fan Motor.....................................0.95 F.L.A. Airflow (Lo - Med - Hi - Powerful) Cooling .............. 222 - 286 - 406 - 446 Dry CFM 198 - 254 - 363 - 399 Wet CFM Sound Pressure Level (Lo - Med - Hi - Powerful) Cooling ........................... 33 - 38 - 45 - 47 dB(A) DIMENSIONS UNIT INCHES / MAA W 30-11/16/ 780 D 8-1/4/210 H 11-3(4/299 Weight.....................................23 lbs. / 10 kg Extemai Finish ...................... Munsell No. 3Y 7.8 / 1.1 Field Drainpipe Size O.D......................5/8" 115.88 mm Remote Controller ............................... Wireless Outdoor Unit INCHES / MM Compressor........................... Single Rotary MCA...................................... ....16 A Fan Motor.....................................0.93 F.L.A. Sound Pressure Level Cooling......................................52 dB(A) DIMENSIONS INCHES / MM W 33-7/161849 D 11-7/161291 H 23-13/161605 Weight ..:................................. 96 tbs. / 44 kg External Finish ......................... Munsell 3Y 7.8 / 1.1 Refrigerant Type.... R410A Refrigerant Pipe Size O.D. Gas Side.................................1 /2" / 12.7 mm Liquid Side................................1/4" / 6.35 mm Max. Refrigerant Pipe Length.....................65 ft. / 19 In Max. Refrigerant Pipe Height Difference ............ 35 ft. / 11 In Connection Method ................................ Flared ti MS-Al2WA** Inland m 71111MM6 OblM hole Unit: inch �m fil Uqutd 9=411418-11/16 all (has lure 9¢3/816-15x16 Irmtl m 9618 O.D 0 3141.D Dnsln hose 05M Afrout 1�(Connected pmt O D 6n 01-183 MUA12WA'* A$� El ECM REQUIRED SPACE Unit: htdt COOLING & HEATING 1340 Satellite Boulevard EE Toll Free: 8004334822 wnmmehuac.corn �I891 13-31/32 2 �o holeeft 13314 3/16 qM•°t cs �Aa in 4 � Air in N Drainage 3holes s1-5/16 �. Air out y tom° 20� r4 ht or mors 1-15!16 1-3/16 Service panel Ucpdd retrigermd � low O Refrigerant pipe (dared) 9114 N tOr1 m Gas refrigerard pipe joint m 3/16 3-3116 5(16 RFdgerant POO (flared) e1/2 1&11/16 33-7/16 2-1/4 IPUS Intertek FORNW MS Al2WA" & MU-Al2V * - 201403 Specifications are subject to change without nonce. 0 2014 Mitsubishi Electric US, Inc. A$� El ECM COOLING & HEATING 1340 Satellite Boulevard Suwanee, GA 30024 Toll Free: 8004334822 wnmmehuac.corn