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MC-14-1913Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-218909 Permit Number: MC -9-14-1913 Scheduled Inspection Date: November 05, 2014 Inspector: Perez, JanPierre Owner: SMITH, ELRETHA Job Address: 9035 NE 4 Avenue Road Miami Shores, FL 33138 - Project: <NONE> Contractor: RAMA AIR CONDITIONING INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060460180 Phone: (305)262-1121 tiuuaing uepanment comments REPLACEMENT OF 3 TON UNIT 10 K. W Infractio Passed Comments INSPECTOR COMMENTS False <' q ��' 5 Y f\ 2' L� November 04, 2014 For Inspections please call: (305)762-4949 Page 10 of 31 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until c re -inspection fee is paid. November 04, 2014 For Inspections please call: (305)762-4949 Page 10 of 31 Miami Shores Village Building Department SEP 0 3 2014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY: INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 2010 BUILDING Master Permit No. " o PERMIT APPLICATION Sub Permit No. ❑BUILDING [:] ELECTRIC [ ROOFING ❑ REVISION [:] EXTENSION RENEWAL [--JPLUMBING A MECHANICAL []PUBLIC WORKS [ CHANGE OF ❑ CANCELLATION [ SHOP d /� _1 CONTRACTOR DRAWINGS JOB ADDRESS: ® /G: ,e, City: Miami Shores /� County: Miami Dade zip:—:8123 l r! ;'416®! !% M 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. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. F Signature Signatur FLI-7 OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ®� day of 20 �� by 03 day of S��7T . 20 by ,��'% who is personally known tot%�e�d��/�_ who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign Sign: Print:�! Print: °' B 1158ETN BASCOY Seal: us"ref Dftoy ,r oa Notary PUNIC • Stete of FIW"Wa � � = My C Stat Seal: e of flora =. .' hly Comm. Expires Jun /5, 2017 Comm: E1oiree Jeo 18, 2017 q, oft"shin 017 COmmission # FF 004820 FF i!48 *------- sr�*►ra��,�r*+rx,sa,raeww*�e�,*.x*�r�,a��r+►,s��,�+�a* x�e r�*►,x�,* r APPROVED BY APlans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N. E.2nd Avenue Miami Shores, Florida 33138 To/ (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): q6315- //Z/ /Y /Z,/) 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 ❑ N0� ARHI Sheet Attached: YES] NO ❑ Contract Attached: YES,, 1. Minimum Circuit Ampacity ire Size): A 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means:! Contractor's Company Name: State Certificate or Registration N. Certificate of Competency N. Sign _.. Date: d s (Qualftes signature only) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # 47-1Si�T/ COND. UNIT MODEL # ! ,�qo/ KW HEAT p 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 YES NO REPLACING THERMOSTAT YES YES NO NEW 4°CONCRETE SLAB YES YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity ire Size): A 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means:! Contractor's Company Name: State Certificate or Registration N. Certificate of Competency N. Sign _.. Date: d s (Qualftes signature only) Certificate of Product Ratih6s AHRI Certified Reference Product: Split System: Air -Cooled' Outdoor Unit Model [Number: 14AJ Indoor Unit Model Number: RBHP= Manufacturer: RHEEM SALES COA Trade/Brand name: RHEEM; RUUD Series name: RHEEM 144JM SERI I : 3412388 Date: 9/3/2014 Mensing Unit, Coil with Blower 1 ', INC: THERKING Manufacturer responsible for the r 'ng of this system combination Is F Rated as follows in accordance witAHRI Standard 210/240-2008 for UI Heat Pump Equipment and subject verification of rating accuracy by party testing: Q'tr�:: •�'rY;,,ki" it+. *^ v>'r=y':" :' " .;.. Pi %'„�kljnRiBtln Ratings followed by an satetleit (') indicate a voluntary r& 0i501LAIMEN AHRI docs not endorse the product(s) hated on this ca the products) listed on this Certificate. AHRI expressly uneuthonzed alteration of data listed on this Cert9fleal directory, atwWWAhrldireetory.org. TERMS AND CONDm4N5 This Cartidcatc and Its contents are proprietary produi confidential reference purposes. The contents of this I ontered:intoa computer database; or otherwise LiVI t personal and confidential reference. CERTiFICATE VERIFICATION The informo tion for the model cited on this certificate and enter the AHRI Certified Reference Number and•t which Is listed above, and the CeMlICate No., which is ®2014 Air -Conditioning, Heating, and R COMPANY, INC. Itioning and Air -Source ed, independent, third J�. ^••': ^L•r .•!T•L:: 'S^:'„ ;�:.r f.�:"1C” ':,,a�.y «�...-a. .. ,a, •..«.:•r Ir••..y_ .. rr.y:•-r:n ,ef:• ' �•::^;ffi.•;;:!!i�,+:��„�:o.�•":;wei•t ::((:•Iwl,i ..P"` •'L'•Y:„ '' •, 7" ¢ " �:�':* e"7,1 s • , .: .. a: a• ,•L�'`: ."••'•• ", > f: Z_(.•a'•�''':'�.7•}!;•Y;C S:• •'�'-^ � '.�1,�... ••.ij „•.� . ,'�A,'.�.::. v'•„•:,r6.F'- '•'�i, •:'a,!:v.:: ,.n-vik,i'Kr�.•;• �,...r,a. :,,i; .d•h.: c:"':'''•A ''•:: :r .• .:. ::•L,•':r• -.y .p•r„ AL K �. 11i 1«.fY• :'4�".��a�. :%. ylt:. l•• /.:.1:W .'.. 'n'.n •:�f:: .��' • :I.'7 •:,'Hk`d ..:a��`:%, vng.:::q :! 3.7, i•.;. :. ,st. _ "'::., ro?;,•t:�`�'��•;1�: <•H � 3J��4N;r•nr''f .:, ii.. .y,.....e.... ''��e' ,ry �„^::i.�•.,w.::'N^• . :iCTiv� • : :,..: �"• ^'', .. •4'r i. ,: r.P .. ...i a e' .,:'fi'P:�' A� ,' � «, ..t Of previously published data, unless aeeoanpanied with a licate and makes no representations, warrantees or Isdalms all liability for damages of any Idnd arising Certified ratings are valid only for models and confl of AHRI. This Certificate shall only be used for individuo tiflcate may not, In whole or In part, be reproduced; col in any form or manner or by any means, except for the be verified at www.anridirectory.org, did! On ate on which the certificate was issued, :d at bottom right. aeration Institute `�`�F indicates an involuntary rerate. a as to, and assumes no responsibility for, the me or performance of the product(s), or the >ns I sted in the pers 3nal and AM 9; d eminated; er's ndividual, AIR-CONDITIONING, HFATINa, & eEFRtOERAMON INSTITUTE :erti este” link we make Ilio botterw NO.: 7305r4234911.1705,t IMPORTANT WORKMANSHIP Our work will be performed in the highest workmanlike manner and comply with existing governing codes and WARRANTY 1. RAMAAir Conditioning, Inc. warrants that for one year from the date of installation all products and equip- ment will free from defects in material and workmanship --- except the air conditioning system compressor with is so warranted for years by the manufacturer. Copies of warranties are provided upon installation of equipment. 2. We warrant for a period of one year from date of installation that material and labor furnished by us will be free defects. 3. Under this warranty, RAMA Air Conditiong, Inc has the option to repair the equiment or provide replacements SERVICE 1. Service under these warranties will be provided by us during Monday thru Friday from 8:30 am to 5:00 pm. 2. Wdrranty does not incluide routine maintenance, such as or fuse replacement. GENERAL 1. During installation, we shall take all reasonable precautions to protect persons and avoid damage to property. The owner shall protect any valuable object or items or remove them from working area. 2. THE SERVICING COMPANY WILL NOT BE HELD LIABLE FOR LOSS OR DAMAGE consequential or direct, arising from the operation or failure of the equipment or its controls, or for work done on it, or for, material or labor delays. Deposits not refundable. 3. It shall be at the discretion of the Servicing Company and its technician to repair or replace defectivE parts materials, or units, whenever necessary. Nuiance calls beyond the scope of its agreement will be charged at our normal service rates. 4. Any alteration or deviation from the proporsal specifications and conditions involving extra cost of material or labor will only be executed upon written orders for same, and will become an extra charge over the sum men- tioned on this contract. All agreement must be made in writing. 5. Title to the equipment and other materials will remain with us until all sums due us have been paid. 6. If payment as set forth herein are not made when due, you will be liable for costs of collection, including resonably attorney's fees. 7. Once the equipment has been delivered at the job site, it is the owner's responsability or the general contrac- tor to care for them. 8. We, RAMAAir Conditioning, Inc. ARE I` -.!OT responsible for any, water damage, wall painting, any framing, any wall paper covering, any equipment delay, or any other inconvenience other than that, of the mechanical failyre. 9. RAMAAir Conditioning, Inc. can stop all work if payment as set forth herein are not made when due. 10. RAMAAir Conditioning, Inc CAN DO and has the option to pick-up any parts equipments, units, etc., if payments as set froth are not made when due, from any and ail properties, where such equipment, units, parts exits. 11. The air conditioning energy efficiency ratio may be affected by interchanging of componets from different manufacturing system designed to maintain inside temperature at 75° F at 91 ° F outside air temperature. 12. BUYERS RIGHT TO CANCEL: This is a home solicitation sale, and if you do not wants the goods of services, you may cancel this agreement by mailing a notice to the seller. This notice must be postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement, the seller may keep all or part of any cash down payment, not to exceed the lesser 5 percent of the cash price or $50. 13.I1: is understood that this proposal sets forth the entire agreement between the parties. 14.During installation no one shall be close to working area to avoid any kind of personal injury. 15. 100% UPON COMPLETION. IF WITHIN 30 DAYS CUSTOMERS DOES NOT PAY, A 10% SERVICE CHARGE WILL BE ADDED TO THE TOTAL AMOUNT. 16. Clean filter or flush the drain is NOT COVERED UNDER ANY WARRANTY. From: Carmen Rodriguez Fax: 305-436-6797 To: Fax: +1 (306) 766-8972 Page 1 of 1 09/03/2014 12:13 AC©RLI� CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYY" 09/03/2014 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 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 ALL CITY INSURANCE INC - ACI 275 FONTAINEBLEAU BLVD. SUITE 190 MIAMI FL 33172 CO"rEf" Carmen Rodriguez PHONE 305 463-9431 LAICFAX • 305 436-6797 E-MAIL gmailOwIldlyins.com PRODUCER .200248 LAE NG INSURED RAMA AIR CONDITIONING, INC 310 NW 577H CT MIAMI FL 33126 - •AMTRUST NORTH AMERICA INsuREgB,ASCENDANT COMMERCIAL INSU INSURER C: GL -43352-0 COVERAGES CERTIFICATE NUMBER: 26 REVISION NUMBER: 00 THIS IS TO CERTIFYTHAT 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 MAYBE 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. I"TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXPLTR LIMITS B GENERAL LIABILITY GL -43352-0 11/09/201311/09/2014 EACHOCa;RRENCE 1,000,000 DAMAGE TO RENTED 100,000 !� COMMERCIAL GENE AL LIABILITY MED EXP (Any oneperson) 5,000 CLAIMS -MADE OCCUR PERSONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE 2 00A 000 GEN' L AGGREG TE LIMIT APPLIES PER PRODUCTS- COMP/OP AGG s 2,000,000 X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE $ (Per accident) $ NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESSLIAB CLAIMS -MADE DEDUCTIBLE A WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/ENECUTIVE /" EXCLUDED? OFFICE(Mandatory NIA AWC1025043-01 8/16/2014 8/16/2015 WC STATU- OTH- Fp E.L. EACH ACCIDENT 100,000 E.L. DISEASE- EMPLOYEE 100,000 NER (Mandatory in NH) If yes, describe under ESCRIRTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) A/C CONTRACTOR LICENSE #CACO43192 --^••• •�• `•� ••����^ vIV�IVGLLA11V1Y /Al UUUUOU SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVENUE MIAMI SHORES FL 33138- AUTHORIZED REPRESENTATIVE v T`.RRf-ZUU9 ACVRD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ISSUED: 08/15/2014 DISPLAYAS REQUIRED BY LAW SEQ# L1406180000944