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MC-14-2189Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-221072 Permit Number: MC -10-14-2189 Scheduled Inspection Date: April 15, 2015 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: FERA, G P DELLA Work Classification: A/C Replacement Job Address: 651 NE 105 Street Miami Shores, FL Phone Number (305)751-2387 Parcel Number 1122310120080 Project: <NONE> Contractor: RESIDENTIAL AIR INC duuaing uepartment comments REPLACE EXISTING 5 TON A/C SYSTEM/ HEAT Infractto Passed Comments INSPECTOR COMMENTS False April 14, 2015 For Inspections please call: (305)762-4949 Page 4 of 25 Inspector Comments Passed Im Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. April 14, 2015 For Inspections please call: (305)762-4949 Page 4 of 25 L Miami Shores Village Building Department OCT 62014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 < Tel: (305) 795-2204 Fax: (305) 756-8972 "- V:—, INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 �® "BUILDING Master Permit No. M01 PERMIT APPLICATION Sub Permit No. BUILDING M ELECTRIC ❑ ROOFING REVISION EXTENSION M RENEWAL PLUMBING [2r/MECHANICAL PUBLIC WORKS E] CHANGE OF CANCELLATION M SHOP I CONTRACTOR DRAWINGS JOB ADDRESS: 0 'S-/ {�/ /L7�5 A j7L r �y City: Miami Shores County: Miami Dade zip: 3-313 P Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: (OWNER: Name (Fee Simple Titleholder): Phone#: City: J� L� Zip. Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: PheneM:vs�� In ale C► t!-� Address: Air- City: State: Zip: -jj,/ si,. Qualifier Name: l 0/ /�4 M% YY rr � �l1�lVitr / Phone#:�t�:� L.!` i State Certification or Registration #: C& do �aS'� � Certificate of Competency #: DESIGNER: Architect/Engineer: Square/Linear Footage of Work: Specify color of color thru tile:_ Submittal Fee $so Permit Scanning Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Radon Fee $ Training/Education Fee $ $ CO/CC $ DBPR $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ 6W' 11 t Bonding Company's Name (if applicable) Bondingtompany's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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 inspe occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the - inspection will n be ag0ove and a reinspectionfee will be charged. I Signature V f dye The foregoing ia3��ment -- gas all _ r1 c ed before me this The foregoing it u hent was abledged before me this L i 8 0• Sdo..! s ,lqy, F •� •, 20 l by day �'/J' 20 r� by days • ` A 4 ` e,{ °•. .• 5 personally known to �.'�:,,�" .-V& personally known to s�'` �ooaoe me or who has product iTE ,all ';�o� as me or who has prod�k` „IrE,OF Fu�����i as Seal: Seal: ***'I** yl� APPROVED BY Plans Examiner Zoning Structural Review Clerk (Rev1sed02/24/2014) a A 1 7 1 'IVllali'II"L/y�.]a -bun ^�q �+rt at�" , •��;,y fi_ys+'><iw ,s �j�1.�ir-j,3p {�d�:��j�' : � �,�g %y r1 ,t •a �y"�3� rx, i TNIu ISr N�7 f11C� �StS Ff��° f3A� ;i s' n. 1 Tl��t39tl •" 0iU81Nti85 kA M Eiiibd*A,:'ii6N i a�sl�eNllAri A1rr: INt 1 � ` ��Ci�l��� 1662 Ne 26 r f� I � _ $ ` :z `'i t �t MIAMI i L 3 1 g Mudt btl Ellt7plbydd bt play§ t3# budhebs i n 1 � � �UPdUdh1 t� �t5diify.�dri i OWNER SEC. 7 q RESIDENTIAL AIR INC V BUSINBSS �a1 SRR RHANI AI C�i� ,4 f� PAYME[YfRECBIVfrgii Wdr' (gjI 10 AC035d�+ ` `' OY TAX frdLLECT(�11 $75.00 06/13/204 j CRE) ITGAkD=14-032528 , Thiel$uaines�di�i chl,lpt o tirtns pegitisnt o1 tNb i u et Busl6is Tax The hoo i�iis not a ilddh3e, partflHr tll d certlflo lUii`iii the hdtd tail aliltontl6b to do buthiess. Holder -must complyhH a or ii�ttt�dVbtnmantei i�Qillt!tory la �loquiremfints whioh ep�iq to the bnliifttday, - nq govetMfMdlttril: the gECEIPT Ilii �Ueovo mol-riplayed off iiii�606 lei vehici0 l I iWHfip'd t ede Sac Ba 276.. e 7' � For ation,'i', STATE OF FLORIDA dEl°AF7TMN7-0f. BUSINESS AND \ PROFS AV. GUt-ATION , CAC03548.4 If a:x CERTIFIEd Ail VANNI, RICHA RMb1 NTIAL .� u fS C�hTIFII=Dunder the proofs(ons of Ch4C;s _ /1 Etpiration dole AUG 39, 201!3 s. Litl0837�026gg .d, r P .s 7 ,t .r t , P w _..__.._ ._. ._ .-- DA CERTIFICATE OF LIABILITY INSURANCE 03124/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF IN ONLYpNTEND OR ALTER NO D CONFERTHE COVERAGE AFFORDEDIGHTS UPON THE ABY THE POLICIETE HOLDER. S ^.ERTIFICA�E DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEhID, ;FLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INBURER(3), AUTiiARIZED. ,REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pellay(ios) must be endorsed. If SUBROGATION 1S WAIVED, subject .:o the terms and conditions of Nto policy, eertaln policies may require an endorsement. A statement on this certificate does not confer rights to fha cortlficate Holder in lieu of such endorsemon s). A Greg Kaplan PRODUCER trMA 954.944-1899 Suburban Associates, Inc � gre Qsuburbanassoclates.net 17071 W Dixie Highway NAZCA North Miami Beach, FL 33160 INSURER FFORQING CO�eRAOR P,9uRvc A: Starr. Indemnity& Liabili Com an f21 irnn" Gnmoanv Residential Air Inc 1662 NE 208 Terrace Miami INDICATED, NorMT'HSTANDINt+ AP CERTIFICATE MAY BE ISSUED OR I EXCLUSIONS AND CONDITIONS OF S nv� TYPE DF INf,URANCE tIJ7 NIERCIALGENER U811ILrrY A CLARA3 DMDE a OCCUR FL 33179 TIPItiA C 17Yry�acr�: OF INSURANCE LISTED BELOW HAVE BEEN 19SUED TO THE INSURED NAMEb ABOVE FOR THE, :QUIREME:NT, TERM OR CONDITION OF ANY CONTRJ4CT OR OTHER DOCUMENT WITH RESPECT TO NhiICH THIS PERTAIN, TWE INSURANCE AFFORDED BY THB POLICIES DESCRIBED HEREIN IS &OBJECT TO ALL THE !TERMS, POLICIES. LIMITS SHO'A►►r MAY HAVE BEEN REDUCED BY PND CLAIMS, Y 1 1100020`1370141 103123/141 03/23/15 MED S 100,000 GORL AGOREGATELIMIT APPLES PER. pRonUCTS• COMPIOP AGO S J,WU X POLICY Ej •QT F LOO S MER: Ohe D EUM11 3 80D' AUTOMOBILE LIABILITY BODILY INJURY (Pet parm) S ANY AUTO BODILY INJURY (P -f ebaldenl)S ALL OS SCHEDULED �vaL°mia , 3 NO •ovWED S HIRED AUTDS AUTOS EACHOCCURRENCE S UMBRELLA LIAR OCCUR AGGREGATE $ FJ(CESS LIAR CLAIMS -WOE g DED RC+i NTION S WORKERS COMPBNSAMN AWC1021397 A 03123/2014 03/2312015 101 S B AND El111"LOYERYIN s LIABILITY E.L. EACH ACCIDENT 10, ANY PROPRIETORS RIFJcECUTN'e �MFICFRI F- ED7 N/A E.L. DISEASE - EA EMPLOYEE S 501 E Dt3FASK-POLICY LtNIr S n�( s dearribe undo b�sdRIPTION F OPERATIONS below , 031231201403/23/2015 50,000 Limit of Insurance A Business Personal Y 1000201370141 $500 AOP Deductible. Property DESCLeiP71oN OF OPHRAtIONs /LOCATIONS /VEHICLES (ACORQ 101, AdM0nsl ReMr0 9e11ecale. My bo ettschod 9 Vrb Spa" is mQulred) Mechanical Contractors Villa' a of Miami Shores sNOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED RJEPOR g THE EXpipATION DATE THEREOP, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POUGY PROVWIONB. 10050 NE 2nd Ave. AUTNOFMI) RO Miami Shores, FL 33138 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD dame and logo are registered markt of ACORD 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. I' Job Address (where the work is being done).," one) 6,5-1 � L City: Miami Shores Village County: Miami Dade Zip Code: .3j /3 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 ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES Id NO ❑ Contract Attached: YES IF( 1. 2. 3. 4. -UNIT BEING REPLACED DATA NEW UNIT ' $Wjflxz j MANUFACTURER Ely eP & i --' (KH r PKG. UNIT MODEL # 7 /11 -7 fqe6 0 COND. UNIT MODEL # 17,9 KW HEAT NOM TONS AHU_qDCU31 PKG 1 M.C.A AHU 40CU ,° KG AHU 44,aU .KG 2 M.O.P AHUaMU PKG AHU CU PKG 3 VOLTS AHU CU_ PKG PKG UNIT 4F PKG UNIT EER! EER le, YES d NO RE LAC NG DUCTS "'' YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW. ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO Minimurrr Circuit Ampacity (Wire Size): Maximum Overcurrent Protection (Fuse/Breaker Size): Voltage of Circuit ( 4 480): Size Disconnecting Means: A— Contractor's Company Name: State Certificate or Registration N.j S—Ke Certificate of Competency N. Phone: 30-r— (e9.f A _160y_o ftte. _ Date: ®o (Qua flier's signature only) This combination qualifies for Federal Enorgy Efficiency Tax Credit when placed In sorvlce between Feb 17, 2008 and Doc 31, 2013. Certificate of Product Ratings AHRI Certifled Reference Number: 5824029 Data: 10/6/2014 Product: Split System: Air -Cooled Condensing Unit, Call with Blower Outdoor Unit Model Number: 4A7A6061H1 Indoor Unit Model Number; •AM78000OH81 Manufacturer: AMERICAN STANDARD, INC, Trade/Brand name: AMERICAN STANDARD Series name: GOLD XI Manufacturer responsible for the rating of this system combination is AMERICAN STANDARD, INC. Rated as followsiA'accordence 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: r , 1 Cooling 104peclty. (Btuh): l: 57000 �. E FinGil g (Cooling):-)-.. ,,; 13,100 .. , SEER Rating°(Cooling); 16:00 - f+ IEER Rating (Cooling): r j ,k ° listings followed by nn nnlaripk (') hldikole a voluntaryrarate of pmvlouply pubashod dein, unless amrnpegled with a WAS. which Indiryales btu Involuntary roraln DISCLAIMER AHRI does not endorse the product(s) dated on this C4nlllcate and makes no representations, warranties or guaranteoe as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expraosly disclaims all liability for damages of any kind erleing out of the 1184 or performance of the pmduct(s), or the unauthmlzod alterallon of data listed on this Certificate. Certllled ratings are valid only for models and configurations listed In Inc directory at www.uhfldlreototy.org. TERMS AND CONDITIONS This Certificate and Its contents aro proprietary products of AHRI. This Certificate shell only bs 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 farm or Manner of by any moons, except for the user's Individual, AM personal end confidentlal reference, AIR•CONVITIONINO, HaAnNO, CERTIFICATE VERIFICATION & RNFRIOCRATION INOTITUT11 The Informnlion for the model cited on this certificate can be verified at www.ohrldlrootory.oru, click on 'Verify Certificate' link aw lnakr Ido' I114tr,,n and enter the AHRI Certified Reference Number and the date on wnich the certificate woo Issued, which Is listed above, and the Certificate No., which Is llsted at bottom right.— 02014 Air-Condltloning, Hoating, and Refrigeration institute Fcl-�ERIFICATr NO.: 13ofi709078114683008 Residential Air Inc. 1662 NE 205 Terrace Miami, Florida 33179 State Licensed and Insured CAC035484 305-652-6040 * 954-764-0489 September 15, 2014 Mr. Jimmy Dellafera 651 NE 105 Street Miami Shores, Florida 33138 Residential Air will furnish and install the following: American Standard 5 Ton -16 SEER High Efficiency Split Cooling System Condenser 4A7A6061 will be installed and secured on a new Dade County approved slab. Variable speed Air Handler model TAM7A060 will be installed on a new stand. Installation Includes: New heater. Touch screen programmable thermostat. Float switch. Flush lines with RX -11 flush. Remove and dispose of existing equipment. Connect to existing refrigeration lines, electric and ductwork. New drain lines. Labor and materials for a complete and professional installation. One-year warranty labor and ten -year warranty parts. Price does not includes x=it fee. Residential Air Inc. Approved by. balance due on installation. FPL # Notes: Optional secondary float switch with custom pan installed under the air handler additional charge $200.00 I have been thinking about the door and it will be more efficient and economical for you to have a handy man take care of the door rather than me.