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MC-14-2786Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-226292 Permit Number: MC -12-14-2786 Scheduled Inspection Date: January 12, 2015 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: , Work Classification: A/C Replacement Job Address: 873 NE 96 Street Miami Shores, FL 33138- - Phone Number Parcel Number 1132060142840 Project: <NONE> Contractor: AIR Q INC Phone: (786)486-7810 Building Department Comments CHANGE OUT 2 AC UNIT 4 TON EACH Infractio Passed Comments INSPECTOR COMMENTS False � cr January 09, 2015 For Inspections please call: (305)762-4949 Page 24 of 26 Inspector Comments Passed Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. January 09, 2015 For Inspections please call: (305)762-4949 Page 24 of 26 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 farm 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): 873 NE 96 Street City: Miami Shores ViNage County: Miami Dade Zip Code: 33138 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 Q ARHI Sheet Attached: YES © NO ❑ Contract Attached: YES Q UNIT BEING REPLACED DATA NEW UNIT York MANUFACTURER Rhe em F2FP048N06G AHU or PKG. UNIT MODEL# RH1P48215TANJA UCUL30048AA001 COND. UNIT MODEL# 13AJN48A01 to KW HEAT 10 4 NOM TONS 4 AHU 54 CU 3 3 PKG 1) M.C.A AHU56 CU 2 9 PKG AHU 60 CU 50 PKG 2) M.O.P AHU 6 0 CU 5 0 PKG AHU240CU240 PKG 3) VOLTS AHL240CU240PKG PKG UNIT / / PKG UNIT / / EER/SEER M50113 YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW4"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): AH (6), CU (8) 2. Maximum Overcurrent Protection (Fuse/Breaker Size): AH (60), CU (50) 3. Voltage of Circuit (208/240./480): 240V 4. Size Disconnecting Means: AH (60), CU (50) Contractor's Company Name: Air -Q, Inc. Phone: 786-486-7810 State Certificate or Registration No. CMC1249976_Certificate of Competency No.`� _ SignatureWT Date: 2014-12-19 (Qualifie s signs ) (Revised02/24(2014) LQ Air-Q, Inc. Air -Q, Inc. 9010 S.W. 32nd Street Miami, FL 33165 Name / Address Xavier Asset Services, Inc. Javier D'Espaux 10240 S.W. 56th Street Suite # 107 Miami, FL 33165-7066 Ship To 873 N.E. 96th Street Miami Shores, Fl. 33138 Lock Box: 9648 Estimate Date Estimate # 10/16/2014 2741 Phone # Approved 10/17/2014 aa Project a873 NE 96 St, Mia... 786-486-7810 Description Qty Cost Total ESTIMATE/CONTRACT FOR AC REPLACEMENT 4 TONS SYSTEM (46,000 Btu/h), RHEEM, 13 SEER, AHRI# 7148347 5 YEARS WARRANTY ON COMPRESSOR, I YEAR WARRANTY ON PARTS AND LABOR 4 Tons Air Handler. Rheem, Model# RHIP4821 STANJA SN: 2 850.00 1,700.00 Air Handler Heater, 10 kW. Rheem, Model# RXBH- I 724CIOJ 2 95.00 190.00 4 Tons Condensing Unit. Rheem, Model# 13AJN48AOI,;S/N: 2 1,155.00 - 2,310.00 Replacement of Air -Handling Unit 2 200.00 400.00 Replacement of External Condensing Unit 2 150.00 ' 300.00 EXTRAS, INCLUDED Digital Non -Programmable Thermostat 2 0.00 0.00 Safety T Switch, SDSS3 2 0.00 0.00 Air Handler Units Stands, 18" 2 0.00 0.00 Concrete Pad 36"x36"x4", hurricane rated 2 0.00 0.00 Notes: This estimate is good for 30 days. Electrical work, excluded from this estimate. City fees excluded from this estimate. Miami -Dade County Sales Tax 7.00% 0.00 (o���`t`t Thank you for your business. Total &4,900.00 Phone # Approved 10/17/2014 aa Fax # E-mail 786-486-7810 786-363-8810 airginc@yahoo.com Jo( AHRI Certified Reference Number: 7148347 Date: 10/17/2014 Product. Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 13AJN48 Indoor Unit Model Number. RHIP4821STAN+RCH4824STAM Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name. RHEEM; RUU©; 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: Cooling Capacity (Btuh): 46000 EER Rating (Cooling): 10.50 SEEk Rating (Cooling): 13.00 IEirF Rating (Cooling): Ratings followed by an asterisk ()indicate a voluntary rerate of previou sty published data, unless accompanied with a WAS, which indicates an involuntary cerate DISCLAIMER AHRI does not endorse the products) listed an 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 tar models and configurations listed in the directory at www.ahridirecto(y.org. TERMS AND CONDITIONSi This Certificate and is contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or m part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except tar the users individual, personal and confidential reference. AIR-C€NDIT14NIt ,, HEATING, CERTIFICATE VERIFICATION &?ER5EPA71-3laINSTITUTE The information for the model cited on this certificate can be verified at w Y t rift; ~ r,ry.6rg, click on lklenty Certificate" ink „t make iiie better„ and eaterthe AHM Certified Reference Number and the date an which the certificate was issued, which is listed above, and the Certificate No., which is listed at bottom tight,-------- --- 02014 Air -Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 1305$018255534394 BUILDING PERMIT APPLICATION 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 BUILDING ❑ ELECTRIC ❑ ROOFING DEC 2 2 204 FBC 20 10 Master Permit Nodyl c' (�--A — ZI�/"-' Sub Permit No. ❑ REVISION ❑ EXTENSION [:]RENEWAL []PLUMBINGMECHANICAL PUBLIC WORKS [:]CHANGE OF F -] CANCELLATION F-1SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 873 NE 96 ST City: Miami Shores County: Miami Dade Zip: -3-�) ``�> p Folio/Parcel#: 11-3206-014-2840 Is the Building Historically Designated: Yes NO Occupancy Type: SFR Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): WELLS FARGO BANK N A Phone#: Address: 4101 WISEMAN BLVD City: SAN ANTONIO State: TX zip. 78251 Tenant/Lessee Name: N/A Phone#: Email: CONTRACTOR: Company Name: �`�Y- Q �T 0 C • Phone#: Address: A C k d S W __N? S't • 2 City: IN) i 0. M I State: T Zip: Qualifier Name: Q d & , F O Ak o VX s 0 Phone#: _416-0b-3210 State Certification or Registration #: C � lZ 4q-4 (0 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 141t100,00 Square/Linear Footage of Work: 2 +R 00 Type of Work: ❑ Addition ❑ Alteration ❑ New 19 Repair/Replace ❑ Demolition Description of Work: C\A. a,- q e ® ')-t o f ("L� AC 0 uyti's (A T o— ' , t 0 K W Specify color of color thru tile: Submittal FeeL� { l Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee$ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) 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 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 blapprpved and a reinspection fee will be charged. MICHAEL C. SCHEFFERT Signatur / f`%vice prisident 10211 WAIRIMWSignature zw OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged beforre' me this day o 20 JL4 by V11 lr� C who is personally known to me or who has produced 7 as identification and who did take an oath. The fgrpgoing instru t was acknowledged before me this da, � C 120 by who is ersonally known o me or who has produced identification and who did take an oath NOTARY PUBLIC: /1 /! / Sign: Print: as APPROVED BY lans Examiner Zoning Structural Review Clerk (Revised02/24/2014) RPR.11.201210:54AM N0.2237 P. 1/2 WELLS FARGO BANK, NATIONAL ASSOCIATION MORTGAGE BANKING COMMITTEE I OF THE BOARD OF DIRECTORS ACTION BY WRITTEN CONSENT Effective as of April 1, 2012 The sole member of Mortgage Banking Committee I of the Board of Directors of Wells Fargo Bank, National Association (the "Bank"), a national banking association, hereby consents to the adoption of the following resolutions: WHEREAS, in the normal course of business, employees of the Bank need to execute various documents in connection with closings for the sale of real property, contracts and addenda: and are required to present certification of their authorization authority; WHEREAS, these actions will be best and most efficiently accomplished by a confirmation of existing corporate officer authority to execute individual documents on behalf of the Bank, and the appointment of Designated Signers with authority to execute individual documents on behalf of the Bank. RESOLVED, that the Bank confirms the authority of the following officers to execute all instruments as authorized under their officer title pursuant to the General Signature Resolution of Mortgage Banking Committee I on behalf of the Bank: Baker, Jeremy Michael alk/.a Baker, Jeremy -Vice President Loan Documentation Bremer, Kristen A. alkla Bremer, Kristen- Assistant Secretary Brennan, Janene - Vice President Loan Documentation Brennan, Nathan L. -Vice President Loan Documentation Carder, Lynn A. - Assistant Vice president Cornish, Jodi L. - Vice. President Cross, Kathryn Mary alk/a Cross, Kathryn - Vice President Loan Documentation Duffy, Amy Leigh -Vice President Loan Documentation Geist, Scott -Assistant Secretary Hopke, Melanie J. - Assistant Vice President Jensen, Bradley W. alkla Jensen, Brad - Vice President Loan Documentation McFadden, Anne E. - Vice President Loan Documentation SiduffK 1 C; - V= President Lmn documentation Smith, Tyler N. -Vice President Stone, Tamara Ann alkla Stone, Tamara -Assistant Secretary Thelin, Allison Diane - Vice President Loan Documentation Van Hauen, Angela Kay alkla Van Hauen, Angela - Vice President Loan Documentation Wright, Leah A. - Assistant Secretary RESOLVED, that the following employees of the Bank are elected as Designated Signers for the Bank and authorized to execute any instrument relating to the origination, closing and servicing of Conventional, FHA -insured, or VA - guaranteed mortgages, including deeds and conveyances of real property acquired through foreclosure on behalf of the Bank: Aguiniga Jr., Ray R. a/k/a Aguiniga, Ray Avery, Tara M. Beemer, Joy Noel Blue, Nolan Brown, Susan 1. Buntenbach, Edward A. Busch, Megan Coon, Craig S. Cross, Scott James a/k/a Cross, Scott Divan, Paul Doud, Cheryl L. a/k/a Doud, Cheryl Edgington, Justin Michael Fields, Hubbel Lyn a/k/a Fields, Hubbel Freese, Brad A. Frost, David Frydendall, Eric M. Gaspar, DeeArnn Marie Gentzler, Dusty Le alkla Gentzier, Dusty Gibson, Georgia Marie Goodman, Sara M, Gonzalez, Erin R. a/k/a Gonzalez, Erin Gulick, Zachary Neal Hagen, Matthew Mark alkla Hagen,Matthew Hansen, Mark John a/k/a Hansen, Mark 04/11/2012 8:58AM (GMT -07:00) r- rk APR, 11.2012 10:55AM Harris, Tyler Jake Harrison,. Gail A. a/k/a Harrison, Gail Harryman, Kalli M. a/k/a Harryman, Kelli Matcher, Jayme Elizabeth a/k/a Hatcher, Jayme Neer, Nicholas Calvin Holmberg, Joey Dean a/k/a Holmberg, Joey Holmes, Paul Hudson, Mike E. a/k/a Hudson, Mike Johnson, Jacob Edward Johnson, Michelle Lynn lager, Kenneth L. a/k/a Kiger, Kenneth Koll, Melinda J. a/k/a Koll, Mindy Kooistra-Sullivan, Elise M. Krog, Alexandra Nicole a/k/a Krog, Alex Kuhl, Chad Michael a/k/a Kuhl, Chad M. Leichty, Faith Marie Lem, China Livingston, Donald S. May, Tobias R. a/k/a May, Toby R, Miller, Nathan Lee Moeder, Amanda Rae Newhouse, Shawn S. a/k/a Newhouse, Shawn Pannkuk, Patrick Joseph N0.2237 P. 2/2 Partett, Benjamin A. Peek, Jeffrey J. Phillips, Jessica Suzanne a/k/a Phillips, Jessica Pritchett, Nichoie L. Pyle, Daron Quick, Danae Raymond, Ryan Reimer, Gregg A. Rohrer, Natalie Sue Rowe, Heather Renee Sandy, Matt Scharnberg, Kristine Lee Schockemoehl, Ryan Louis a/k/ Schockemoehl, Ryan Shockey, Heather Schultz, Aeja M. a/k/a Schultz, Aeja Sheldon, Michael A. Spratt, Lisa L. Stover, Erin M. Trenhalle, Tracy A. Wambold, Abbigail S. VanHaaften, Lisa Wheat, Morgan Harrison a/k/a Wheat, Morgan RESOLVED, that each individual's authority as an Officer or Designated Signer of the Bank as aforesaid shall terminate automatically upon the termination of such individual from employment with the Bank. SECRETARY'S CERTIFICATION I, Deidre A. Messenger, Assistant Secretary of Wells Fargo Bank, N.A., a national banking association, do hereby certify that the foregoing is a full, true and correct copy of the resolutions adopted by Mortgage Banking Committee I of the Board of Directors of Wells Fargo Bank, N.A., effective as of April 1, 2012; that said resolutions have not been amended or revoked and that the same are, on the date of this certification, in full force and effect. WITNESS MY HAND AND THE SEAL OF THE BANK, this 91h day of April, 2012. (SEAL) 7, X • , p, tit idre . Messenger, Assistant Secretary 04/11/2012 8:58AM (GMT -07:00) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 ni.qPl AY Aq R OUiRED BY LAW' SEQ'# L1405290002469 12/22/2014 12:06 3053872918 A AND D ALL LINES PAGE 01/01 --le DATE(MMIDDMTY) ACCORVCERTIFICATE OF LIABILITY INSURANCE 12/22/2014 I IiiR THIS CERTIFICATE IS MSUFD AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE }{OLDER. 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 pollcy(les) must be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the polity, certain policies may require an endorsement. A statement on this certificate does not confer rights to the egrtlficate holder in lieu of such endofsoment(s). PRODUCER N A NAM$: A&A ALL -LINES INS ASSOC INC PI10 No lix1: (305) $63-67$1 Arc N,):(305)387-2918 5600 SW 135 Ave Ste 106 ADDRESS;Samadpr@bellsouth. not MiaMi, FL 33183 INSUREMS) APPORDING COVERAGE NAIGO INSURERA:F.C.S-& I - MED EXP (Any one parson) $ 000_.. INSURE C AIR -Q, INC. INSURER e; LLOYDS OV Lt7NDON 9010 SW 32ND STREET INSURER c: MIAMI, FL 33165 I INSURER D: 786-486-7810 I INSURER 8: s INSURER F: r_n1!'1=RAf2PA t r-PTIFIrATF NUMBER• REVISION NUMBER' _ THIS, E&:TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SeEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD _fivFiFEO.,-NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS C 1 FI :1. 1 E MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, C�$IONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I IiiR TYPE OF INSURANCE NO WWW POLICY NUMBER MM10D FF MMID LIMITS ::'x r, �. ;GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE CI OCCUR x CIBFL0006487 09/23/14 09/23/15 EACH OCCURRENCE 5 1,000,00u, MAIZAM-M REN I EDI PREMI$ S Ea cowrrende $ 100,000 MED EXP (Any one parson) $ 000_.. PERSONAL s,ADviwuRY $ 1,000,000. GEN'L AGGREGATE LIMIT APPLIES PER: PRO- LOC POLICY JECT GENERAL AGGREGATE $ 2,000,000 PRODUCTS • COMPIOP AGG $ 2,000,000, I AUTOMOBILE LIABILITY ANYAUTO ALasvMED SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS RUTH REZ EP ENTATNE Ea "&NGMIC IT S BODILY INJURY (Per aermcn) $ BODILY INJURY (Pat ecOdent) $ PROPERTY DAMAW­ Perseiden! $ a...',. I'- ... VM$RELLA LIAR . %CESS LIAS OCCUR CLAIMS MAGE EACH OCCURRENCE $ A(3GREOA7E $ ; ;S3t D . ' RETENTION S $ rL!!} l: r,.i i �ti : II;�•'A VERS COMPENSATION CI iMFL0YER8' LIAEIILr` Y ' PAOPn1ETORIPAFTYNER;E%ECUTNE YIN OFFICE.(Itli!itlaturV ER EXCLUDED? ;ory In In NNH) H, es, describe undsr $CRIPTION OF OPERATfONS belgw NIA 7 lob^ -522x23 G 05/08/14 05/08/15 A TORY LIMITS E E.L. EACH ACCIDENT a 100,000. E,L DISEASE - EA EMPLOYE $ 100 , 000.._ S. L. DISEASE - POLICY LIMIT S 500 000,-, TI ' DESCRIPTION OF OPERATIONS 1 LOCATION$! VEHICLES (AU04 ACORD TOT, Addltkmal Ramerks Schedule, if marc spate i9 required) License# CMC1249976, Mechanit~al Contrator I (91 VUd-LUT U AGORD C:QRFVRATION. All rights reserved. :A66RD25(2010105) The ACORD name and logo are registered marks ofACORD I4 ,:,. MIAMI sxtaREs VILLAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BUILDING DEPARTXMT THE EXPIRATION DATE THEREOF, NOTICE WELL BE DELIVERED 'IN' ;•t ..:-`;. ja:' ::.1Q0$p g 2nd AVE�+, ACCORDANCE WITH TME POLICY PROVISIONS, _ ..n :M•iY.:;. 'MIAMI SHORES FL 3313$ RUTH REZ EP ENTATNE (91 VUd-LUT U AGORD C:QRFVRATION. All rights reserved. :A66RD25(2010105) The ACORD name and logo are registered marks ofACORD I4 ,:,.