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MC-15-611Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-230637 Permit Number: MC -3-15-611 Scheduled Inspection Date: April 13, 2015 Permit Type: Mechanical - Commercial Inspector: Perez, JanPierre Inspection Type: Final Owner: ABRANTE, JOSE Work Classification: A/C Replacement Job Address: 323 NE 91 Street Miami Shores, FL 33138 - Phone Number (305)323-1718 Parcel Number 1132060136500 Project: <NONE> Contractor: CSCR AIR CONDITIONING CO Phone: 305-685-6394 rsuiliamg uepartment comments EXACT REPLACEMENT OF 5 TON SPLIT SYSTEM Infractio Passed Comments INSPECTOR COMMENTS False April 10, 2015 For Inspections please call: (305)762-4949 Page 9 of 25 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. April 10, 2015 For Inspections please call: (305)762-4949 Page 9 of 25 °mss c, Miami Shores Village CCF 10050 N.E. 2nd Avenue NE "'• Miami Shores, FL 33138-0000 DCA Fee Phone: (305)795-2204 fitUR1DA $1.60 Project Address Parcel Number Applicant 323 NE 91 Street 1132060136500 JOSE ABRANTE Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell JOSE ABRANTE 323 NE 91 Street (305)323-1718 MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone C&R AIR CONDITIONING CO 305-685-6394 (954)680-4494 5 tional Info: EXACT REPLACEMENT OF 5 TON SPLIT SY sification: Residential oved: In Review ments: Date Approved:: In Review Denied: Type of Work: ming: 3 Fees Due Amount CCF $4.80 DBPR Fee $3.83 DCA Fee $3.83 Education Surcharge $1.60 Permit Fee $255.32 Scanning Fee $9.00 Technology Fee $6.40 Total: $284.78 Valuation: $ 7,295.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # MC -3-15-54858 03/19/2015 Credit Card $ 50.00 $ 234.78 03/25/2015 Credit Card $ 234.78 $ 0.00 Available Inspections: Inspection Type: Final Review Mechanical In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoi i rm do a u e nd hat all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the b n me tract r do the work stated. March 25, 2015 Authorized Signature: Owner / Applicant / o tr ctor /LAgbht Date Building Department Copy March 25, 2015 1 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: (30S) 762-4949 MAR 19 2015 FBC ZO 10 Master Permit No. Mc I !;--o I I Sub Permit No. F_JBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION ❑RENEWAL ❑PLUMBING Q MECHANICAL [-]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR JOB ADDRESS: 323 NE 91 ST STREET DRAWINGS Foilo/Parcel#:11-3206-013-6500 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): JOSE ABRANTE Phone#: 3 OS' 3 23. 1 -7 18' Address: 323 NE 91ST STREET City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: Phone#. 305-323-1718 Email: CONTRACTOR: Company Name: C&R AIR CONDITIONING Phone#: 305-685-6394 Address: 6073 NW 167TH ST SUITE C-4 City: MIAMI GARDENS T. State: FL Zip: 33015 Qualifier Name: R o to c- T. C Lt r V sT Phone#: 3 0 16 U 6:3 g y State Certification or Registration #: CAC 0 2.64 1 L4 Certificate of Competency #: U 9 R 0 )j DESIGNER: Architect/Engineer. Phone#: Address: City: State Zip: Value of Work for this Permit: $ 1 f C? Is-. ® Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New u Repair/Replace ❑ Demolition Description of Work: EXACT REPLACEMENT OF 5 TON SPLIT SYSTEM Specify color of color thru the Submittal Fee $ Permit Fee$ Scanning Fee $ Radon Fee $ $ CO/Cc $ _ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ D� (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 WNER or AGENT The foregoing instrument was acknowledged before me this 1 day of A / r I Q rC k . 20 1 F by seZ a � , who is ersonally know) o me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Ck Print: bee . C 4,, y r 7 Seal: PCEr:qT J, CHRYST ':.t.on6stion # FF ONW irj xt May 24, 2018 ab ;w huu •rivy Fola hwmw 00805M Signature RN * CONTRACTOR The foregoing instrument was acknowledged before me this 1 day of I r� CI P C k 20 1 T by 9 010ert o'. C 111 ryiT , who i ersonally know o as me or who has produced Identification and who did take an oath. NOTARY PUBLIC: as Sign. Print: 1Gl"12L I- Q Seal:3iA� : i% � F JANET KRANZ .,e Commission # FF 197298 a Expires May 9, 2019 �i�,p{Hw� Bw4W ThmTmy F* Im umroa 7019 ******************************************************* APPROVED BYVIPla 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 PERMT 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): 323 NE 91 ST STREET City. Miami Shores Village 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[] NOVIARHI Sheet Attached: YES 0 NO ❑ Contract Attached: YES 0 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 60 3. Voltage of Circuit (208/240/480): / o uo 1i I U" nN 4. Size Disconnecting Means: 6 6 n f Contractor's Company Name: c+ R A,- r C ®w+ d. Co. Phone:.. ®eY 6 ?C10 3 7 9 State CertificaM41ifi,Vs No. C Ac O 2 (o q I q Certificate of Competency No. 4 O °Z-3 Signature Date: signature) (Revised02/24/2014) UNIT BEING REPLACED DATA NEW UNIT d mah Pn� MANUFACTURER r r► -Ruuj 1 AHU or PKG. UNIT MODEL# FX q 0%IFO6 I 63C 136 60 COND. UNIT MODEL# lib i3luAo60 KW HEAT 10 S' NOM TONS -S' AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU ® CU 4 D PKG AHU CU PKG 3) VOLTS O ` f1i AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER 6. YES NO REPLACING DUCTS YES O YES NO REPLACING THERMOSTAT E NO YES NO NEW 4"CONCRETE SLAB NO YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES N 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 60 3. Voltage of Circuit (208/240/480): / o uo 1i I U" nN 4. Size Disconnecting Means: 6 6 n f Contractor's Company Name: c+ R A,- r C ®w+ d. Co. Phone:.. ®eY 6 ?C10 3 7 9 State CertificaM41ifi,Vs No. C Ac O 2 (o q I q Certificate of Competency No. 4 O °Z-3 Signature Date: signature) (Revised02/24/2014) A uo CE RTI FI ®s s www.ahridirectory.org' This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. AHRI Certified Reference Number" 7023302 Date: 3/13/2015 Product: Split System: Air -Cooled Condensing Unit, Coll with Blower Outdoor Unit Model Number.116SNA060'"*'A Indoor Unit Model Number: FX4DN(B,F)061L Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Trade/Brand name: BRYANT HEATING AND COOLING SYSTEMS Series name: LEGACY LINE PURON AC Manufacturer responsible for the rating of this system combination Is BRYANT HEATING AND COOLING SYSTEMS . 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 responsibfiity 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.aliddirectory.org. TERMS AND CONDITIONS This Certificate and its 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 In part, be reproduce!; 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 A REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified et www.ahrldirectory.org, dick 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 1307D7A694542532� ©2014 Alt -Conditioning, Heating, and Refrigeration Institute CERTrFICATE NO.: