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MC-15-104Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-227262 Permit Number: MC -1-15-104 Scheduled Inspection Date: January 28, 2015 Permit Type: Mechanical - Commercial Inspector: Perez, JanPierre Owner: MILITANA, JOHN AND ADRIENNE Job Address: 8801 BISCAYNE Boulevard Miami Shores, FL Project: <NONE> Inspection Type. Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060280240 Contractor: METROPOLITAN AIR CONDITIONING INC Phone: 305-264-4646 Building Department Comments EXACT REPLACEMENT OF A 4 TON UNIT FOR SUITE Infractio Passed Comments 101 INSPECTOR COMMENTS False Inspector Comments Passed % CREATED AS REINSPECTION FOR INSP-226649. contractor not ready, owner call the inspection 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 33 of 34 Miami Shores Village Building Department JAN 16 2m 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 %d BUILDING Master Permit No. ('. �.�"- /0!2 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL []PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTO_Rj_ DRAWINGS JOB /ADDRESS: U �C / � �I ��%� s i City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: 8FE: FFE: OWNER: Name (Fee Simple Titleholder): R 1+#,v-61 Phone#: 51C Sf 7,rSy �✓ C Address: X 8 0( 6 (J 4 City: %?Wi�!A_ % Skc reS State: // Zip: 3 Tenant/Lessee Name:^-� c� `�W tt C c'" ® Phone#: 3-dj`7 f' 6 6 / Email: a, 0 C-0 o - CONTRACTOR* Company Name: L14A rk�n � 0—=T:13 Address: /7u) r�xS"� �^ City:` Q t�R State: T- Zip: 3_3/(0(0 Qualifier Name: State Certification or Registration #: of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ [ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ Newpair/Replace ❑ Demolitio i Description of Work: egaal Specify color of color thru tile: Submittal Fee $ Permit Fee $ �' CCF $ CO/CC $ Senning Fee $ Radon Fee $ DBPR $ 'Notary $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) Double Fee $ Bond $ TOTAL FEE NOW DUE $9L/.3G P r 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 AFFIDAW. 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 attachT lso, certified copy of the recorded notice of commencement must be posted at the job site for the first Inspection which ocTt seven (7 days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved, dnd a reinspe Ion fee will be charged. 'or AGENT The fpregoing instrument was acknowledged before me this t/o day of '20 js , by o M 1 I who is personally known -to me or who has produced identification and who did take an oath. NOTARY PUB Sign: L' Print: u Seal: (Revised02/24/2014) RU* A. BYDASH Notary Public • State of Florida My Comm. Expires Mar 27.2018 NOW1111 Natary as 77 Signature s c--- ONTRACTOR The foregoing instrument was acknowledged before me this day of�P.I :)L _, 20 �^, by who is personally known to me or who has produced J xP--1a(W K111%-41—as identification and who did take an oath. NOTARY PUBLIC: 24� Sign: Print: Seal: Notary publicState of FloridaM Meana Rodriguez Y� My Commission EE 882474 Expires 0311112017 Plans Examiner Zoning Structural Review Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tet: (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. _ 9 Job Address (where the work is being 19 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 SUBMMALS A RI DATA SHEET REQUIRED Change disconnecting means: YES NO ARHI Sheet Attached: YES NO ❑ Contract Attached: YES 1. Minimum Circuit Ampacity (Wire Size): I (i 2. Maximum Overcurrent Protection (Fuse/ ea er 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: Phone: -tet State Certificate or sismtwe) (Revised02/24/2014) of Competency No. UNIT BEING REPLACED DATA NEW UpiiT MANUFACTURER "-" AHU or KG. NIT MODEL# COND. UNIT MODEL# KW HEAT NOM TONS AHU CU dW..2, 1) M.C.A AHU CU Q!M AHU CU S'Za 2) M.O.P AHU CU <M> AHU CU ' 3) VOLTS AHU CU PKG PKG UNIT / rj&c PK / / It i EER/SEER / YES REPLACING DUCTS YES YES NO REPLACING THERMOSTAT NO YES NO NEW 4"CONCRETE SLAB YES YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity (Wire Size): I (i 2. Maximum Overcurrent Protection (Fuse/ ea er 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: Phone: -tet State Certificate or sismtwe) (Revised02/24/2014) of Competency No. Jan 16 15 02:21 p Metropolitan AC 305-267-2525 p.1 ,a� a►CERTIFICATE OF LIABILITY INSURANCE i�lfi/2 ' 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 CER'nFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: B the cerdficate holdar 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). PRObWER coNr Maria Nelson G. David Harris Insurance PHONE (305)885-2055 F(AIC 0, Evil;'ax (3U5)865 -2D05 688 South DriveADDRESSIMAria@gdhinsurance.com i 1/9/2014 INSURHt S AFFORDING COVERAGE NAIL / EACH OCCURRENCE S L,000,000 INSURERA:GRANADA INSURANCE COMPANY SPRINGS FL 33166 INSURED INSURER a :SUM!` IT CORMTING INSURER C: Metropolitan Air Conditioning, Inc. INSURER D: 6917 NW 50 Street INSURER E: LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HiREO AUTOS NON-CWNEO HIREDAUTOS INSURER F : Miami FL 33166 COVERAGES CERTIFICATE NWNBER.CL1511t1UU778 REVISION NULERFR' 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. NSrn TYPE OF INSURANCE AD 5UDK POLICY NUMBER POLICY EFF POLICUNIMNYM Y F�(P LIMO'S A GENERAL UABILlTY iii COMMERCIAL GENERAL I-MBILrry CLAIMSAIADE aOCCUR 018SIrL000643730 i 1/9/2014 1/9/2015 EACH OCCURRENCE S L,000,000 PR S $ 100,000 MED ED(P fArry one mon) $ 5,000 PERSONAL& ADV INJURY S 1, 000, 000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATEUMITAPPUESPER. X POLICY MPRR LOC PRODUCTS •COMP/OPAGG tS 1,000,000 $ AUTOMOSB.E LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HiREO AUTOS NON-CWNEO HIREDAUTOS COMBINED SINGLE LRAIT (EaacoIenti- BODILY INJURY (Par person) $ BODILY INJURY (Perecddeng S PROPERTY DAMAGE S 011110RELLALIA9 EXCESSLIAB HOCCUR CLAIN94AADE EACH OCCURRENCE $ AGGREGATE $ OED I I RETENTIONS. S H WORKERS COMPENSATION AND EMPLOYERS' LU1 UTY ANY PROPRIETORIPARTNERIEXECUTIVE MOJEMIEXCLUD ) _21090 If yes, describe Under DESCRIPTION OF OPERATIONS below NIA 8 /3/201 /3/2015(endat VJCSTATU• 0TH - E.LEACH ACCIDENT S 100,000 E-LOfSEASE - EA EMPLOYEE S 100,000 E.L. DISEASE • POLICYUMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Auaeh ACORO 101, Additional Remerlm Schedule, V more space Is nqulud) CONTRACTOR #CAC043919 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES, rL 33138 ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIM REPRESEWATIVE NelaonlMARLA ®1988-2010 ACORD CORPORATION. All riahts reserved- MM1129;rmmmcnn+ Thu Ar`nRn name nnel letnn aro raniulnraei marine of OrnRn RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION'JINDUSTRY LICENSING BOARD ISSUED: 06/23/2014 DISPLAY AS REQUIRED BY LAW SEQ # L1406230000414 BY T 75.00 107/1 .HECKZ)1=] is not a license any governman Sec Ba -276. 1 iness 1 6917 NW 50`h St, Miami, Florida 33166 Phone: 305-2644646 Fax: 305-267-2525 1-800-749-KOOL Proposal Submitted To: All >frt ilfC. �L*W Job Info: Residential - Commercial - Industrial CAC043919 Date: 1-14-15 Name Name Biscayne Rental Same Street Address Street Address 8801 Biscayne Blvd. Suite 101 8801 Biscayne Blvd. Suite 101 City, State, Zip City, State, Zip Miami, FI. Miami, Fl. Phone No. Phone No. 305-758-6691 / Fax: 305-757-7833 We hereby submit specifications and estimates for: The Supply and Installation of one 4 Ton Package Unit. Make: Goodman Model: GPC 1348M41 S.E.E.R.13 Includes• Installation of the New Unit, Crane, Fresh Air, and Thermostat Warranty 5 -Years on Compressor 5 -Year Parts 1 -Year Labor We Propose hereby to famish material and labor — complete in accordance with above specifications, for the sum of THREE THOUSAND THREE HUNDRED 00/100 ($3,300.00) Payment to be made as follows: 50% at sign contract, and 50% upon equipment installation. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving ea will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent apo ces, acci is or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by omen's nation Insurance. Authorized Signattlre_/� �., Now This proposal may be withdrawn by us if not accepted within 30 days Acceptance ofProposa! `Tj�r_ above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature Signature www.aliridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 5696965 Date: 1/15/2015 Product: Single -Package Air -Conditioner, Air -Cooled Model Number: GPC1348M41C* Manufacturer: GOODMAN MANUFACTURING CO., LP. Trade/Brand name: GOODMAN; JANITROL; AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR CONDITIONING AND HEATING; ENERGI AIR Series name: GPC13 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 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): 45500 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.00 IEER Rating (Cooling): • 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.ahridirectory.org. TERMS AND CONDITIONS�� This Certificate and its contents are proprietary products of AHRI. This Certificate shalt only be used for individual, personal and 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 "Verity 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. ©2014 Air -Conditioning, Heating, and Refrigeration Institute [CERTIFICATE NO.: 130658154406707432