MC-14-1862Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-218518
Scheduled Inspection Date: February 11, 2015
Inspector: Perez, JanPierre
Owner: PORTER, PATRICIA
Job Address: 10298 N MIAMI Avenue
Miami Shores, FL 33150 -
Project: <NONE>
Contractor:
C&R AIR CONDITIONING CO
Building Department Comments
EXACT REPLACEMENT OF 2 1/2 TON SPILT SYSTEM
Permit Number: MC -8-14-1862
Permit Type: Mechanical - Residential
Inspection Type: Final
Work Classification: A/C Replacement
INSPECTOR COMMENTS
Phone Number (305)934-5453
Parcel Number 1131010210010
Phone: 305-685-6394
February 10, 2015 For Inspections please call: (305)762-4949 Page 2 of 29
Inspector Comments
Passed ED
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
February 10, 2015 For Inspections please call: (305)762-4949 Page 2 of 29
BUILDING
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
T -7_ -
AUG 2 8 014
FBC 20 l0
Master Permit No. C—) q —
PERMIT APPLICATION
Sub Permit No.
❑BUILDING ❑ ELECTRIC
❑ ROOFING
❑ REVISION
❑ EXTENSION ❑RENEWAL
❑PLUMBING MECHANICAL
[:]PUBLICWORKS
❑ CHANGE OF
❑ CANCELLATION ❑ SHOP
CONTRACTOR
DRAWINGS
p�
JOB ADDRESS: 1018 !" /V1i Qwr► A� t
City: Miami Shores
County:
Miami Dade
Zip: ai 3 1119 5-0
Folio/Parcel#:
Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Type:
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
PConstruction
v
®
1 PAAL-
Phone#: ®S' • �ys
Address:
City: I 0:29k tJ m f n oh '
Ave State: F I
Zip: 50
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: +` C04. ` ® Phone#: J ®T 6 o '�' 6,3 9 LI
Address: 60-7 +" LAJ 6 Lf t^
City: I Of rn _ State: El, Zip: ® 0�.,1
Qualifier Name:O-e , I- T . t.61 \ Phone#:
State Certification or Registration M C AC 0 a 6 411 '4 Certificate of Competency #: 04 9- &0.2
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $
Type'of Work: ❑ Addition El
Description of Work:
Specify color of color thru tile:
City: —State: Zip:
Squar."neacF tagef,Wolrk
❑ New Repalr/RepJace 0 Demolition
A- AL 2
Submittal Fee $ Permit Fee $ h� CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ 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 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
a � day of A u p A't 20 by
)c&1c14- R,-kk , who i personally kno to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:ROBERT J. CHRYST
Ca =MM 1# FF 086047
- n ExA May 24, 2018
4i 1
I lel.\ 0 owAWUmTwrF.1+Ma..MW&3WMe
Print:
Signature
ONTRACTOR
The foregoing instrument was acknowledged before me this
d� day of u ,� 20 14 . by
whoersonally known o
me or who has produced R t.UJ $ ri 7 t j3 as
identification and who
NOTARY PUBLIC:
Sign: _
Print: J
Seal: Seal:
JANET KRANZ
Commission # EE 091937
Expire May 9, 2015
1 Pa TmyF* kamw 800,MS.M0
141
APPROVED BY Pins Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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 sheets are not acceptable.
Job Address (where the work is being done): 10298 N lel I Q rn i A `f e -
City: Miami Shores Village County: Miami Dade Zip Code: 23 �®
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 � ARHI Sheet Attached: YES aNO ❑ Contract Attached: YES
e M
i rrgti�
1.
2.
3.
UNIT BEING REPLACED
DATA
IIJEW UNIT
MANUFACTURER
U o
REEA a 1410
AHU or PKG. UNIT MODEL #
H 1
COND. UNIT MODEL #
14AVA 030
KW HEAT
NOM TONS
AHU CU_I`Q PKG
1) M.C.A
AHU(4OCU PKG
AHU L(0 CU tj PKG
2) M.O.P
AHU CU 30 PKG
AHU CU PKG
3) VOLTS 2�® 1 PH
AHU CU PKG
PKG UNIT / /
PKG UNIT
EER/SEER
YES NO
REPLACING DUCTS
YES 1003
YES NO
REPLACING THERMOSTAT
NO
YES NO
NEW 4"CONCRETE SLAB
YES NO
YES NO.
NEW ROOF STAND
YES
YES NO
NEW RETURN PLENUM BOX
YES
Minimum Circuit Ampacity (Wire Size): IT V Ce h,J AN
r't
Maximum Overcurrent Protection ( / reak Size): 50 - y 0
Voltage of Circuit (208 40 480): �i ® F H
4. Size Disconnecting Means:
Contractor's Company Name: _
State Certifica gi ra
Signature
ualitie
(Revised02/24/2014)
W, i
®• Phone: J 01 c
I y Certificate of Competency No. 0 Cl ® &® `l
8, a,5'-19
C&R C&R Air Conditioning Co. c�R
6073 NW 167h Street Suite C-4 Miami Gardens, FL 33015-4330 < >
CandRacCompanyna,aol.com DADE:305-685-6394 BROWARD:954-680-4494 www.CandRac_cnm
CUSTOMER
PHONE NUMBERS
DATE
Porter Residence
HOME WORK CELL
305-9345453
826/14
ADDRESS
10298 N Miami Ave
❑ UNDER CONSTRUCTION
CITY 21P33138
Email:
EXISTING STRUCTURE
Miami Shores
We hereby propose to: Furnish, install
and service the equipment and materials Iisted below with the conditions and specifications detailed below during our
regular working hours of Monday through Friday 8:30 — 4:30.
NEW EQUIPMENT
System#1 $ 4225.00
FPL Rebate (instant)
500.00
Your Investment
$ 3725.00
Manufacturer
RUUD
Condensing Unit Model #
14AJM30
Air Handler Model #
RHIT36
Package Unit Model #
Refrigerant
R410
Heating KW
7.5
Btuh
29.000
S.E.E.R
16
Warranty
Parts 10 Yr. Compressor. 10 Yr.
1 Year Labor
❑ Condensing Unit Stand ® Air Handler Stand ® Float Switch ❑ Ref Line cover
❑ Condensate Line
❑ Concrete Slab ® Thermostat S D PD Auxiliary Drain Pan ❑ UV Light
❑ Fire Dampers
❑ Other
❑ Package Unit Change -out
® Existing Reconnection ® Existing Reconnection
® Reconnect to Existing System
❑ New Electric ❑ Ref. lines
&
❑
® ANY UPGRADE BY CODE NOT INCL ❑
A qualified air conditioning expert will start and test the system and explain its operation. This proposal is good for a two week period from date of proposal and at
that time is subject to review. Title to the system shall remain in us until all sums due us have been fully paid. In the event the purchaser fails to comply with any
of the requirements of this contract and such default results in litigation, the Purchaser agrees to pay reasonable attorney's fees and all Court costs and expenses
incident to such litigation. Delinquent payments shall bear 1.5% per month interest from due date until paid. All work is to be performed during our regular work
hours unless otherwise specified. This contract contains all agreements. Neither party shall be bound by any representation, warranties nor agreements, oral nor
written not herein contained. This proposal shall become a contract when accepted by you and approved in writing by our duly authorized corporate officer.
We agree to finish and install the above described labor and materials on the terms indicated below for System # 1
5�
TOTAL INVESTMENT $ 4225.00 ` �j b ,S ,, 509/4 DEPOSIT $ 1865.00
FPUDEALER
REBATE $ - 500.00 FPL Account # 50% DUE WHEN
READY TO OPERATE $ 1860.00
YOUR INVESTMENT $ 3725.00
PERMIT FEE CLUDED
PURCHASER DATE / REPRESENTATIVE DAV
w_-_ /[t N., %J
This combination qualifies for a Federal E
Efficiency Tax Credit when placed in 9
between Feb 17, 2009 and Dec 31,
Or
0? rM 11
AHRI Certified Reference Number. 7148125 Date: 8/25/2014
Product: Split System: Air -Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: 14AJM30
Indoor Unit Model Number: RH1T3617STAN+RCH3617STAM
Manufacturer: RHEEM SALES COMPANY, INC.
Trade(Brand name: RHEEM; RUUD; WEATHERMNG
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): 29000
EER Rating (Cooling): 13.00
SEER Rating (Coaling): 16.00
IEER Rating (Cooling):
• Ratings fotowW by an asterisk (") Indicate a voluntary cerate of previously published date, unless accompanied with a WAS, which indicates an involuntary rerate.
DISCLAIMER
AHRI does not endorse the product(s) fisted on this Certificate and malm no repressyrtatione, wanmues 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 Kitd arising out of the use or performance of the produd(SI or the
unauthorlzei akeratlon 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 pr9d acts of AHRL This Certificate shall 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;
bow iii-zi
erntered into a computer database; or oduwwlw utilized, In arty torn or manner or by any mearrs, except for the user's ircllWdual,
pprBOnal and confidential reference.
AIR-CONomONiNG, HEATING,
CERTIFICATE VERIFICATION
& REFRIGERATION INSTITUTE
The infemation for the model cited on this certificate can be verified at www.abridirectory.org, dick on `Verify Certificate" link
we make life better -
and end the AHRI Certified Reference Number and the date on which the certificate was issued,
which is listed above, and the Certificate Na., which Is listed at bottom right.
I
-. — .--- f%C0"nC1f`ATC IATA
13OM4679958M757