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MC-15-58Inspection Worksheet Miami Shores Village ✓ 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-226374 Permit Number: MC -1-15-58 Scheduled Inspection Date: January 20, 2015 Inspector: Perez, JanPierre Owner: HURLEY, KATHERINE Job Address: 685 GRAND CONCOURSE Miami Shores, FL 33138 - Project: <NONE> Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060172180 Contractor: MANCO AIR INC. Phone: 305/409-7719 Building Department Comments a/c replacement. Infractio Passed Comments INSPECTOR COMMENTS False TO CLOSE PERMIT# MC -14-1401 For Inspections please call: (305)762-4949 January 16, 2015 Page 20 of 32 Inspector Comments Passed Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. For Inspections please call: (305)762-4949 January 16, 2015 Page 20 of 32 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 JAN 12 2015 FBC 2010 Master Permit No. Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING dMECHANICAL [-]PUBLIC WORKS [] CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: _J.•? L2gla4l4k City: Miami Shores County: Miami Dade -36 Folio/Parcel#: Is the Building Historically Designated: Yes NO occupancy Type:- Load: Construction Type: e QHS Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): �a;.'1-1'1,f_'U rtC -4-ri iL Phone#: Address: 0'57 CQ` IX, .se City: At S 1ant Y Tenani/Lessee Nome: Email: - State: _ L Zip: 33(3? Phone#: CONTRACTOR: Company Name: f r l owc Air .,-.Il c Phone#:y_s-- 4.Q T' - 7 Address: i g7 /1/ tV° 109FAVC City l kRi'Ml S State: I=L. Zip: '� 1 Qualifier Name: (TUt44 CL fl(LAW-1V ' Phone#: State Certification or Registration #: C A o s -C -s Certificate of Competency #: _ DESIGNER: Architect/Engineer: Phone#: Address: City: Stater Zip: Value of Work for this Permit: $ d Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 0 Specify color of color thru tile: Submittal Fee $ 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 $ m _ Bonding Company's Name (if applicable) Bonding Company's Address City a State Zip 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 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. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this day off � U�� 20 It by n -T (� tLy , who is personally known to me or who has produced FU'D9Z kXF- as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: �sr Notary Public State of Florida Seal: " Sindia Alvarez �+1My Commission FF 156750 �l0 f pJ Expires 09/03/2018 Signature CONTRACTOR The foregoing instrument was acknowledged before me this nI'?—! day of J AW AO—/) , 20 by ! V`t p��- � MAW . who is personally known to me or who has produced � `..- Do LkN'P as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: No Public State of Fiore Seal: Sindia Abarez My Commi, : FF 156750 p Expires 09M312018 APPROVED BY✓Plans Examiner Zoning Structural Review (Revised02/24/2014) Clerk --- To:3057568972 JUN -30-2014 12:39 From: or 0 This combination qualifies for a Federal Energy Efflclancy Tax Credit when placed In service between Feb 17, 2009 and Doc 31, 2013. Certificate of Product Ratings AHRI Certified Reference Number, 3799428 Date: 6/30/2014 Product: Spilt System: Air-Coolod Condensing Unit, Coll with Blower Outdoor Unit Model Number: 14AJM49 Indoor Unit Model Number: RHKI.-HM482i*RCSL-H"4821 Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brand name: RHEEM, RUUD, WEATHERKING Series name: Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC. Rated as follows to accordance with AHRI Standard 2101240.2008 for Unita Air -Conditioning and Air -Source Heat pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, Independent, third party testing: Cooling Capacity (Stuh). 46000 EER Rating (Cooling): 13.00 SEER Dating (Cboling): 1x.00 IEER Rating (Coating). • Ralinps followed by an "tonsk r) Indicate a voluntary resale of previously published (tata, "meas accompanied with a WAS, Which Indicates an Involualary rorats OISCLAIMEIi AHRI does not andorse the produat(s) listed on this Gartiflcals and makes no topresentations, warranties or gaa,rontess as to, and assumes no responsibility tor, the ptoduCtis) listed On this Cartlticato. AHRi expressly disclaims All (lability for damages of any kind arising out of the use or performance of the produet(sh 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.ord. TCertificate ANp CONDo 'rHJ5 ls Certlficats antl Itss contents are proprietary products of AHRI. This CsrHdoate Mall only be used for Intllviqual, Personal and Confldonpal reference purposes. The contents Of this Certificate may not, In Whole or In part, be reproduced; Copied; disseminated; entered Into a computer databeso: br otherwise utf ized. In any form or mannan or by any means, except for the User's IndlVlqual, Willi Jim"11KIIII Personal and Contldentlal ratererrae. Allt•OONOITIONINO, HFATINQ, CERTIFICATE VERIIriCATION i R011110ERATION WaTITUM Tho Information for the made# cited on this certificate can be verified at www.ghrldlraatory.org, click on 'Verify Cartiflanta` fink $4% in -hr lifd loy�e.r and enter the AHRI Cartldad Reference Number and the date on which the dortlficale was issued, which Is listed above, and the Certrricate No. which Is hated at bottom right. _._..._, ._.....�_......... „...,,____ ,. _ 02014 Aft+Conditloning, Heatingr and Refrigeration institute CERTIFICATE N4.: 131111=60248093046 MAMCO AIR, Inc. N° 197 N.W. 104TH AVENUE CORAL SPRINGS, FL 33071 305-409-7719 PICKUP DEL. Uc.# CACO 58505 SERVICE ORDER^ AP, DATE Nww4t/e4 Make Address b di r r-NC��ts�' MIN Phone SIN Comoloint - c: This estimate includes only repairs mentioned above. There will be a storage charge for merchandise left over 30 days. Customer agrees that any expense incurred in the collection of this repair charge will be paid by the customer. REPAIRS AUTHORIZED BY .Ar, 0'1�iii "74 I �,t �[�l�•..rssr�s.;r� M!,J.�J� 04 W�V � PICKUP & ESTIMATE TAMK / - • - TOTALCHARGE TOTAL This estimate includes only repairs mentioned above. There will be a storage charge for merchandise left over 30 days. Customer agrees that any expense incurred in the collection of this repair charge will be paid by the customer. REPAIRS AUTHORIZED BY