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MC-14-2520Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-227121 Permit Number: MC -11-14-2520 Scheduled Inspection Date: January 28, 2015 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: , B&L REALTY HOLDINGS LLC Work Classification: AIC Replacement Job Address: 170 NW 97 Street Miami Shores, FL 33150- Phone Number Parcel Number 1131010250030 Project: <NONE> Contractor: BLUE BREEZE AIR CONDITIONING AND HEATING Phone: 305-865-1220 uwamg Department comments REPLACE 3 TONS AC UNIT EXACT CHANGE OUT Infractio Passed Comments INSPECTOR COMMENTS False January 27, 2015 For Inspections please call: (305)762-4949 Page 25 of 34 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-226899. Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. January 27, 2015 For Inspections please call: (305)762-4949 Page 25 of 34 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 0 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION ❑RENEWAL []PLUMBING Q MECHANICAL ❑PUBLIC WORKS []CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 170 NW 97 Street City: Miami Shores County: Miami Dade Zip• Folio/Parcel#: Is the Building Historically Designated: Yes NO X Occupancy Type: res Load: Construction Type: cbs Flood Zone: BFE: - FFE: OWNER: Name (Fee Simple Titleholder): B $ L REALTY HOLDINGS, LLC Phone#:305-519-6968 Address: 3900 NW 2ND AVE City: MIAMI State: FL Zip: 33127 Tenant/Lessee Name: N/A Phone#: Email CONTRACTOR: Company Name: Blue Breeze One Hour Air Conditioning Phone#: 305-865-1220 Address: 655 NW 118th Street City: Miami State: FL rp: 33168 Qualifier Name: Matias Torroija Phone#: 786-282-6356 State Certification or Registration #: CAC18183298 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address Cty: ____State: Zip: Value of Work for this Permit: $ 4000 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New 1011 Repair/Replace ❑ Demolition Description of Work: Replace 3 tons AC unit exact change out Specify color of color thru tile: Submittal Fee $ Permit Fee $/ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Revrews $ Bond $ TOTAL FEE NOW DUE $ (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 occur 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. Signature I Signature N or AGENT C NTRACTOR The foregoing nstrumen was acknowledged before me this The foregoing instrument was acknowledged before me this 1 OTH day of HOVE 20 14 by 10TH day of NOV .. 20 14 by MICHAEL BROMLEY who spers �11y-knbn to Matias Torroija who i ersonally kno to me or who has produced as me or who has produced as identification and who did take an oath. identification and w NOTARY PUBLIC: OTARY PUBLIC: Notary Public Stan of Florida JA ry Public Surae of Florida Emi Van Den Bergh .� Van Dan Bfsrgh y a OblOZ12016 EIE 195262 Sign: mission EE 195282 gn. Print: Emilce Van Den rint: Emilce Van Den rgh Seal: Seal: APPROVED BY r P ns Examiner Zoning Structural Review Clerk (Revised02/24/2014) ytAR & Miami Shores Village Building Department ,,, ....� 10050 N.E.2nd Avenue Miami Shores, Florida 33138 ��. OTel: (305) 795.2204 `LR1Dp` FaxJ305) 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). NW 97 STREET MIAMI SHORES City: Miami Shores Village - County: Miami Dade Zip Code: 33150 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 0 ARHI Sheet Attached: YES [K] NO ❑ Contract Attached: YES 1. Minimum Circuit Ampacity (Wire Size): 35 AMPS 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 40 AMPS 3. Voltage of Circuit 08/240 0): 4: .Size Disconnecting Means: 40 AMPS .Contractor's Company Narniiii. BLUE BREEZE ONE HOUR AIR CON DITIONINGPhone: 305-865-1220 State Certificate or Registr ion 1813298 Certificate of Competency No. Signature Date: 11 /10/2014 IQ s slgnaturei (Rev1sed02/24/2014) UNIT BEING REPLACED DATA NEW UNIT TRANS MANUFACTURER GOODMAN TWE036 AHU or PKG. UNIT MODEL# ARUF036 2TTBO36 COND. UNIT MODEL # GSX1436 10 KW KW HEAT 10 Kw 3 TONS NOM TONS 3 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 J / 12 SEER EER/SEER 14 SEER YES IV REPLACING DUCTS YES NO NO REPLACING THERMOSTAT YES NO Y) S NEW 4"CONCRETE SLAB YES NO YES NEW ROOF STAND YES NO YES NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 35 AMPS 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 40 AMPS 3. Voltage of Circuit 08/240 0): 4: .Size Disconnecting Means: 40 AMPS .Contractor's Company Narniiii. BLUE BREEZE ONE HOUR AIR CON DITIONINGPhone: 305-865-1220 State Certificate or Registr ion 1813298 Certificate of Competency No. Signature Date: 11 /10/2014 IQ s slgnaturei (Rev1sed02/24/2014) Invoice MDM Air Conditioning - OneHour 540 W 83rd St Miami FL 33014 305-865-1220 FAX: 305-865-7779 CAC 1813298 Account# 108673 B&L Realty Holdings, LLC (Main Offi 3900 NW 2 Ave. Miami FL 33127 Invoice # 317847 Date: 11/04/14 Page # 1 of 1 Service At: B&L Realty Holdings, LLC 170 NW 97 ST. Miami Shores FL 33150 Service Date 11/10/14 PO # Job # 220143 Contract # Claim # hang up 10 inch flex , put in a 12 inch cilinder can , need to wait for construction staff to open new hole on old ceiling , so we can conect the rest of the flex into the suplly Description Of Service Quantity Unit Price Extended Price Tax 3 Ton Basic A/C 1 $3,923.00 $3,923.00 FPL REBATE 1 ($210.00) ($210.00) Repair few ducts leaks 1 $287.00 $287.00 City pemits fees by owner 1 $0.00 $0.00 Balance Due $4,000.00 Terms: Due Upon Receipt Please pay from this Invoice. Thank You ---------------------------------------------------------------------------------------------------- Please Detach and Return with Remittance Check Enclosed[ ] Method of Payment Master Card [ ] Visa [ ] AmExp [ ] Discover [ ] Acct # Exp Date Name on Card Signature Remit To: MDM Air Conditioning - OneHour 655 NW 118th Street Miami FL 33168 Invoice # 317847 Date : 11/04/14 Account# 108673 B&L Realty Holdings, LLC (Main OM Amount Due $4,000.00 Amount Paid Certificate of Product Ratings AHRI Certified Reference Number: 5983568 Date: 11/11/2014 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: GSX160361F* Indoor Unit Model Number: ASPT36C14A* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR Series name: GSX16 Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP. Rated as follows in accordance with AHRI Standard 210/240-2008 for Heat Pump Equipment and subject to verification of rating accuracy party and Air -Source )endent, third ;k, * 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 Certificate. 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. Certified ratings are valid only for models and configurations listed in the directory at www.abridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and lint 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. AIR-CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make life better - 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.- r ©2014 Air -Conditioning, Heating, and Refrigeration Institute ATE NO: 13060192911