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MC-14-1958Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-219201 Permit Number: MC -9-14-1958 Scheduled Inspection Date: December 01, 2014 Inspector: Perez, JanPierre Owner: HODGES, VERNA Job Address: 1700 NE 105 Street Miami Shores, FL Project: <NONE> Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)895-2117 Parcel Number 1122300500010 Contractor: EDD HELMS AIR CONDITIONING AND ELECTRIC Phone: (305)653-2530 Building Department comments REPLACE WATER SOURCE. Infractlo Passed Comments INSPECTOR COMMENTS False November 26, 2014 For Inspections please call: (305)762-4949 Page 6 of 27 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. November 26, 2014 For Inspections please call: (305)762-4949 Page 6 of 27 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑PLUMBING MECHANICAL Miami Shores Village 77T--T1T-41 Building Department SEP o $ 2014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 Y INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 2016 Master Permit No. � ` I A- Lq 58 Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: , /w.0 City: MiamiShores County Miami Dade zip: Folio/Parcel#:_ /I amo- &,(Z> ch/.0 Is the Building Historically Designated: Yes NO Occupancy Type Load: OWNER: Name (Fee Simple Titleholder) -,_j Address: /2ND' Ah AOS - city: s Construction Type: Flood Zone: BFE: FFE: A FC- Zip: J3, Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name:Phone#: Oar 9 O Address: City: i State: 0�� Zip:<(p�� Qualifier Name: OI'M.-aNI Phone#: State Certification or Registration #:�i Pz(30 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: s City: State: Z12 -00-0c:) Value of Work for this PerraW $ '72-00 • 0 c:) Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repalr/Replace Description of Work: Specify color of color thru tile: Submittal Fee $ 00 Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (RevkedD2/24/2014) 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 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 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 EMIPROVEMENTS 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. SiSignature / Wll,"'�— — `--�� Owner or Agent . Contractor The foregoing instrument was acknowledged before me this �' The foregoing instrument was acknowledged before me this g day of �_, 20 '" , byi��"1) NQS day of I 20 �� by r1�^Q/�1^Qb'P`Q who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: wo-� Sign: Sign: � Print: Print: �4Par v�6 NADINE My Commission y My C '���"empires: NADINE AUSTERFIELD ° = Notary Public -State of Florida ' My commission Expires Nov 7, 2017 ;a°o • �P Notary Public -State of Florida Commission # IF 55651 '_ • + WE My Commission Expires Nov 7, 2017 ",�����••� �-"meq` o- Commission # FF 55651 gasg$a:p$seps�:ksk%kHsapH=xIsspsp ... � .,� � .; �t+ �� oke+ik=N:N�k�kok:k�isokzksk=k=k+H �I+;k�skek:N�+N� Ht sH+ksH: APPROVED BY �rvkl%ninr Zoning Structural Review Clerk Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL, REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 LARRABEE NORMAN LEE EDD HELMS AIR CONDITIONING AND ELECTRIC 17650 NG STH AVENUE MIAMI FL 33162 Congratulationsl With this license you become one of the nearly pne million Floridians lieensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Irvery day we work to'Improve the way we do business in order to serve you better. For Information about our services, please log onto www,myfloridalicense,com. There you can find more information about our divisions and the regulations that Impact you, subscribe to, department newsletters and learn more about the Department's Initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly We constantly strive to serve you better so that* you can serve your customers. Thank you for doing business In 1=lo* dda, and congratulations on your -new license) DETACH HERE _ 1:1 a� STATE' OF FLORIDA i. v^ ' DEPARTMFNy Q -F BUSINESS AND u ` PRQFEW NASI _GULATI©N a� CA00213C ' }� 1§W b '06/10/2014 i CERTl1=1EDAI LARRABEE., Cl, EDD HELMS A111 14UNLJ.ITIO i �1�111� ELE IS'.eERTiFIEp updar'.ftie.proJ�lslons of i;h.;aseF •.S. .Expltatlan dple ': AUG 31,-2016,' 114061i]0000958 RICK SCOTT; GOVERNOR o; .: .. ....... .. 'KEN. LAWSON, SECRETARY STATE OF FLORIDA DEPARTMIENT OF BUSWESS A,ND PROFESMONAL REGULATION CONSTRUCTION 11NDUSTRY WCENSING BOARD ArQ2�1309 _. ff TIM 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 sheetsarenot acceptable./ Job Address (where the work Is being done): / %4*D N F /Zu �7`L�+�T1 �/ey City: Miami Shores Village County: Miami Dade Zip Code: 2 c3 /-�* 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: YFN/O ❑ ARHI Sheet Attached: YES NO ❑ Contract Attached: YES ❑ 1. Minimum Circuit Ampacity (Wire Size): Ow 2. Maximum Overcurrent Protection (Fuse/Breaker Size): _ 3. Voltage of Circuit (208/240/480): C72ipljl)" 4. Size Disconnecting Means: 12*5 0 Contractor's CompanyName: 1p Phone: State Certificate or Registration No. Certificate of Competency No. Signature /Leola - Date: (Qualffiers signature) (Revised02/24/2014) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # �° N ✓B3C�f COND. UNIT MODEL# KW HEAT NOM TONS AHU CU PKG 3V 1) M.C.A AHU CU, PKG AHU CU PKG 3O 2) M.O.P AHU CU PKG 3D AHU CU PKG 22ZL2.20 3) VOLTS AHU CU PKG&O! Z_V 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 YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): Ow 2. Maximum Overcurrent Protection (Fuse/Breaker Size): _ 3. Voltage of Circuit (208/240/480): C72ipljl)" 4. Size Disconnecting Means: 12*5 0 Contractor's CompanyName: 1p Phone: State Certificate or Registration No. Certificate of Competency No. Signature /Leola - Date: (Qualffiers signature) (Revised02/24/2014) Manufacturer: CLIMATE MASTER, INC. TradelBrand name: TRANQUILITY 16 Rated as follows in accordance with ANSI/AHRUASHRAE/ISO Standard 13256-1 for Water -to -Air and Brine-To,Air Heat Pumps and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing: Cooling Air Flow Rate: '1000.01 1000.0 Heating Air Flow Rate: 1000.0/1000.0 WLHP (Water -Loop Heat Pumps) Full Load Cooling Capacity(Btuh) 28100128100 Cooling EER Rating(Btuh/watt) 13.40 /13.40 Cooling Fluid Flow Rate(gpm) 8.00/8.00 Heating Capacity(I3tph.:.::::::::::::::::........:351:135100.. .,..::....................... .....:.:.::..:.:::.:.:.:.:..,.;::::::.:::.;.::: Heatin9tO . tfi/�n�f�;,::,:::. `:::::;;;i::i:.;.,.,,..Fits.:..�Q..:..: . Heath...:...f� .:Fluid::Flt3uit;> ..:::......:.:..:..:...:..,.:.:::.::..,..._..:......:...................:::...:... GW P r nd-Wa r H.;:::.: P tf. to u tfr ea# Pum s . i p) Coolltg:Eapacdy(HtUCi):::.::::.......: 31700/.31:lQ`:>:_. Cooling;f✓EfRatinc� Btrififwlatt}::::i:.:::i'.:20,.1'./20;1;0: AM-CONDITWIM BEACING, Cooli. :fluid FLaw�2ate(gPin) a RMOGI INSTITUTE Heating aacity:Btuh):.:.:..::: Q0./.29 flQ::::::.:::. : Heati .: F' 4:.1:0>:;`1.::.::::.:..:..:::::::::..':::_:::_:•:::::::::::::::.:; :: »:::::.::::; :: ;:::<:::.':.:.::.::;:;,::.:..:.::..:::;.::.::.: ;: . Heatls�g. �`Itl� ��ouv r�te�gyarKt) 8 00:1::3:Oi�. LH round.1,P.W. Aurrx _. V ,:i Coolin Itria: :1.8500::.....:.:::::::.::::::::..:;::::::,.;::>:::::.::.::.:::>:::_::::::.::..::;:::>::::::::: ... Iv� very unit4.�!�1ryei .. 5A0.. ....:......:....:..::..:. :....:..::. ..... ..: Coolin Fluid Flow Rata g {gpmj 8.00!:8.00 ...... . ....... . Heating Capacity(Btuh) 234001:93400 Heating COP(watt/watt) 3.40/3.40 Heating Fluid Flow Rate(gpm) 8.00/8.00 • Ratings followed by an asterisk (7 indicate a voluntary rerate of previously published data, unless accompanled with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not the products) Iii on this Certificate and makes no repesardeHons wanardles or guarantees as to, and assumes no responsiibllty for, the product(s) listed on this Certifieate. AHRI expressly disclaims all Rablliy for damages of arty kind arising out of the use or performance of the product(s), or the unauthorized alteration of data Ifs on this Certificate. Certiftd ratings are valid only for models and oon igundlons listed in the directory at tc ut�v.atsrtddraoto¢y.erg. TERMS AND CONDITIONS This Certificate and Its conterds are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purpose& The contents of this Certificate may not, In whole or in part, be reproduced; copied; disseminated;r entered Into a computer dat abose; or otherwise utilized, In any form or manner or by any means, except for the user's Individual, personal and corrttdental reference. AM-CONDITWIM BEACING, CERTIFICATE VERIFICATION a RMOGI INSTITUTE The information for the model cited on this certificate can be vertfled at dict on 'Verity Certificate' link 4 make lite bcr'rerm andenter the AHRI Certified Reference Number and the date on which the certificate was Issued, which Is listed above, and the Certificate No., which is luted at bottom right ::.:::.:::-- :: ::: @2014 Air -Conditioning, Heating, and Refrigeration Institute MNO..130541.Irt32s. V ,:i �w COWIN 1A 000140 'September 6 I : -2044 Vorno HMOs .170ON9105"'Street 19111an7 PI. 33136 add 'HeIn1sAIr,CondI ;ilnijis ptease to provide this proposal to replacotho air cond [if 1. permit kelnq"I*nd d1sposolOthe OXIM11116,94ulpsn n .1 0, 3. Newt P - V-11 I Wate, ; as;t6r'byCarrI&r2-4Lto 'W� n, HIP 4i4 EER 4. Model: TCV030AGC30LTi % Naim Oft fader hose jr-111 FfOatS,WItch per' code M '04 for, � Pat Pur"p, Metal il , - 'W , cods S." Recortnecf - to the watervalues,m .. electric, duct systeand drainage system o, NOW'Dialtal Thermo J: 10.: All Mat end *or CAC 021309 Warranty. One YearLabOrand PmtgtiFl" 'Year Warranty .onthe Compressor. Warranty hours are Monday thp MAO: Friday flam,to 5 PM wtudIng holidays. Total for the system abovar%$ 4,416.00 - $136.00PPL Service Gall ,w$ 4,280,00 Toofti. S. 2,14 down, a6t$ 2,140,00 O stertbpdf new sysitern. EOCLlip ',-Ar.CqndRj"n -To eUMMt d'tQ'-p All payments srh:lil tie dt►t3' t;: �iaasardar}ee wllh'tha terms dadsrlbnve.t�st<amer agrees to pa}r atl court casts end attorneys foe sh poid.lat mean lie necessary tqr Won, "Che HVAG.-system IncWdeo 1h this proposal Is' desfgped according'to Industry standards to pro,4de,comfdrt c66111* lh omploci areas. fhis-ppqppsaj 49 -es not iqcltw1wft-, -few.on§l0lfityWtW HELMSfar-any proced ur"-la WOnt1l'y'rpnitrol. allminaWWwramove mato loocopledor-unam. pled -spaces. If y0j, suopoot mold 'loba a problem', or fyou -have construction candidws that NOW the groWth of Mold, we rd4dit(mbrid thewCUSTOM ER WO remedial 8010 4,001d"of this proposallooM Mel Irtotalhootpb rOm6V*%00*.OnOlOPrOa Wo- Helms Alr Om',I'w OAropmont #ng sho d_U_ bq direct to HolMa,QM-,p, loclh*",!16Whiondoyt;'bbford,v#r schedufe' ipstallntl04000i iow AND IWWES -RELAMb TO W66611 AIR QUALITY, ThIs conlre does notl phioe the to$ n 11ty Hy Edd HOJOOrfor any prooedumstaidentify, control, eltmttmte,orremove ,mold: ormlld]BVIlnjariy�HVACtys%Marv4ulp -if �4fmdld & ffiltdow tq'be�ra 0 �m nt, _VS01 role or, 1*140, or mll ety, We req()MMq"t.jhct 0 V you. _,.jqrrPV4h�qfmojO �d OTO .fake proposal cohatiti6t6h,condh[onsi remove t1f&t001d c ' Jd—,_ rop If you, have OhyAostions conc6rWAO this proposaf,please, do not hesitate, to, contact us at your convenience, We thank YOU (or' IhIsfo T PpWiUnity tdrb-e of service. $1hpowly, Ron Thompson cmtort SPOO1411pt, 170 60 i 0E, Ob Ave We i -Miami, Fit o n�d 0 � 3310 TO 3.05 663 630 . 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