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MC-15-1007
-2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-234505 Permit Number: MC -4-15-1007 Scheduled Inspection Date: May 13, 2015 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Owner: PETERSEN, CARSTEN Job Address: 1209 NE 98 Street Miami Shores, FL Project: <NONE> Contractor: AIR SYSTEMS INNOVATIONS INC Building Department Comments CHANGE OUT 4 TON SPLIT SYSTEM W/10 KW HEATER AND 3 TON SPLIT SYSTEM WITH 75 KW HEATER 3 TRANSFER RETURNS 4 SUPPLY GRILLES WITH DUCTS REPLACEMENTS & DAMAGE DUCTS AS NEEDED Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)807-2221 Parcel Number 1132050090230 Phone: (954)793-6084 INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-233554. missing louver door and need plywood box for a/h garage Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. May 12, 2015 For Inspections please call: (305)762-4949 Page 27 of 30 en's, Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Applicant 1209 NE 98 Street 1132050090230 CARSTEN PETERSEN Miami Shores, FL Block: Lot: Owner Information Address Phone Cell CARSTEN PETERSEN 1209 NE 98 Street (305)807-2221 MIAMI SHORES FL 33138- 1209 NE 98 Street MIAMI SHORES FL 33138 - Contractors) Phone Cell Phone AIR SYSTEMS INNOVATIONS INC (954)793-6084 (954)793-6084 Info: CHANGE OUT 4 TON SPLIT SYSTEM W/10 on: Residential In Review nents: Date Approved:: In Review Denied: Type of Work: nine: 3 Fees Due Amount CCF $3.60 DBPR Fee $3.10 DCA Fee $3.10 Education Surcharge $1.20 Permit Fee $206.50 Scanning Fee $9.00 Technology Fee $4.80 Total: $231.30 Valuation: $ 5,900.00 Total Sq Feet: 00 Pay Date Pay Type Amt Paid Amt Due Invoice # MC -4-15-55352 04/28/2015 Check #: 3829 05/04/2015 Check #: 3837 $ 50.00 $ 181.30 $ 181.30 $ 0.00 Available Inspections: Inspection Type: Final Review Electrical 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 foregoing information isAccurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-narWd gfoAtractor to do the work stated. May 04, 2015 Authorized Signature: Owner / Applicant / 06ntrd&or / Agent Building Department Copy May 04, 2015 1 Miami Shores Village Building Department ��°ZS2 's 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY. Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 Address: City: State: Zip: Value of Work for thisPermit: $ Square/linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: C i A-nAj, O Ut Q F t4 TOS, s p i i �- � � S "�' -I? aw (� I i 0 KcoU A 4,2- a � �0 r, J Specify color of color thru tile: Submittal Fee $ Permit Fee $ _ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ DBPR $ Notary $ Double Fee $ Bond $ 4 TOTAL FEE NOW DUE $ JV FBC 20 1O BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. F-1 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS V,41 �^ JOB ADDRESS: V,4Q AA% fQr / • JAK / f/ ,0AP/r1V r AG 3,3/3 City:_ Miami Shores County Miami Dade Zip 3 % Folio/Parcel#: Is the Building Historically Designated: Yese NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): G AIlS�/�iy %' `Tr'/��iJr /�% Phone#: YoPg* AO% 22 2% Address: 0& 9 &4e 900 si . City ff/q" X*0 A?ts: 9 State: / �. Zip: 3VAP Tenant/Lessee Name: Phone#: Email: 19IRS 40J04131' 1*0<, Cott CONTRACTOR: Company Name: It fa 6�SM* S zyoom-ri pNS, TNG Phone#: 9Sy^ J93 - 40 8V Address: 1631 KW `SIA AVe City: MftP,( *1r' State: FL- Zip 3 063 Qualifier Name: �oS� .1'i+�c,�et Phone#: CITY -113-601V State Certification or Registration #: _cit l°. I9)S1 b L Certificate of Competency M DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for thisPermit: $ Square/linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: C i A-nAj, O Ut Q F t4 TOS, s p i i �- � � S "�' -I? aw (� I i 0 KcoU A 4,2- a � �0 r, J Specify color of color thru tile: Submittal Fee $ Permit Fee $ _ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ DBPR $ Notary $ Double Fee $ Bond $ 4 TOTAL FEE NOW DUE $ JV 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 IL Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 fill be done in compliance with all applicable laws regulating construction and zoning.;, "WARNFNG 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 VOTICE Of COMMENCEMENT.". Notice to Applicant: As a condition to the issuance of a building permit with an estlmat6 value exceeding $2500; the applicant must promise; 14 good faith that a copy of the notice of commencement•and construction lien iaw.brdFMaie will be degvergd'bo 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` E; f , Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowiedged before me this 20 by o? 7 day of, .., � . 20 , by ccii 5i-er) o+k>` 5Cr\, , who is personally known to �j rN 1 who is personally known to me or who has produced as, me or who has produced as identification and who did take an oath. NOTARY PUBLIC: identification and who did take an oath. NOTARY PUBLIC: S Ign Cdollno Sign: wii°Itnq � Pri Print ODALMA M MEJIA :EXPIRES ALMA MEJlA Se MY COMMISS1014 # EE09716o Seal: MISSION # EE097160 EXP iRES Mei,,31 2015 May 31 2G1S 153 Fb►IW+nwtar (40 3sao153WaN0MryS9rVb8.WM Y�e►hCe.com APPROVED BY �\, kV2AkA'_) Pians Examiner Structural Review IRev1sed02/24/20141 Zoning Clerk 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): /,2, Q "J' p C 99 S4- 14l 1gMo o e -I City: Miami Shores Village County: Miami Dade Zip Code: 33/39— ALL 3/39— 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 disconnectingmeans: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ UNIT BEI14G REPLACED 0)4-n/ Pi/�� 1 ii'/!) %� U ��- C 1 J_' y9' DATA MANUFACTURER AHU or PKG. UNIT MODEL# COND. UNIT MODEL# NEW UNIT 0j'jV '.215TA1VA lllAjM q2 AOf KW HEAT f® NOM TONS AHU S-0 .CU/ e, PKG AHU (, o CU 7Lr PKG 1) M.C.A 2) M.O.P AHU,jo CU JY PKG AHULD CU PKG AHU;Z Va CU 1 -Vo PKG 3) VOLTS -4S AHUyo CU 2VO PKG PKG UNIT / / PKG UNIT EER/SEER / YES NO REPLACING DUCTS Y NO YES NO REPLACING THERMOSTAT NO YES NO NEW 4"CONCRETE SLABES NO YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX ES NO 1. Minimum Circuit Ampacity (Wire Size): _ 5-6) s- 2. Maximum Overcurrent Protection (Fuse/Breaker Size): Lo 3. Voltage of Circuit (208/240/480): ;? Ok 2 K O 4. Size Disconnecting Means: Contractor's Company. Name: -A//L 5fiS 7r✓/✓0IV4-71'0AJS X.AJC, Phone: State Certificate or Registration No. lfd IPS /4 G Certificate of Competency No. Signature 0Date: (Qual ature) (Revised02/24/2014) AIR CONDITIONING REPLACEMENT DATA Miami Shores Village Building Department 10050 N.E.2nd Avenue. Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 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):-],;? 0 � 4) E ?eS �- M t *lnl' S &YD -s F1 City: Miami Shores Village County: Miami Dade Zip Code: 7_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 AHRI DATA SHEET REQUIRED Change disconnecting means; YES NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ 1. Minimum Circuit Ampacity (Wire Size): _ y 01 ,Sj 2. Maximum Overcurrent Protection (Fuse/Breaker Size):gS_ 3. Voltage of Circuit (208/240/480): 2akf Z� 4. Size Disconnecting Means: L/._ Contractor's Company. Name: 14'>L Sy5t'41.S �—rin oV�a�i Dn 3, aT;N1 C Phone: ?54 %93' 6D x-4! State Certificate or Registration No. e#6 %k/Sf�6 g Certificate of Competency No. Signature 9Date: QuaUfle gnature) (Revised02/24/2014) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER PYCE14 AHU or PKG. UNIT MODEL# T36.2/ "Th N,TA COND. UNIT MODEL# j LIATM3r-h0! fa 4 KW HEAT A NOM TONS AHU CU PKG 1) M.C.A AHU yo CU 30 PKG AHU CU PKG 2) M.O.P AHU`/ CU 3s- PKG AHU CU PKG 3) VOLTS AHUa n CUo2go PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS ES NO YES NO REPLACING THERMOSTAT NO YES NO NEW 4"CONCRETE SLAB Y NO YES NO NEW ROOF STAND YES 0 YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): _ y 01 ,Sj 2. Maximum Overcurrent Protection (Fuse/Breaker Size):gS_ 3. Voltage of Circuit (208/240/480): 2akf Z� 4. Size Disconnecting Means: L/._ Contractor's Company. Name: 14'>L Sy5t'41.S �—rin oV�a�i Dn 3, aT;N1 C Phone: ?54 %93' 6D x-4! State Certificate or Registration No. e#6 %k/Sf�6 g Certificate of Competency No. Signature 9Date: QuaUfle gnature) (Revised02/24/2014) AIR SYSTEMS INNOVATIONS, INC. P.O. BOX 938751 MARGATE FL 33093 E-MAIL iiimenezasi@comcast.net CAC1815166 TO: Carsten Pertersen OFFICE: FROM: Jose Jimenez RE: 1209 NE 98St Miami Shores, FI DATE: 03-05-2015 OUR SCOPE OF WORK IS AS FOLLOW: -Installation of 4 Ton System with Heater -Installation of 3.0 Ton System with Heater -Installation of Duct Plenum -Installation of 3- Transfer Return grilles -Installation of 4- Supply Grilles -Relocated 2- Supply grilles -Remove duct from attic. -Remove and replace existing damage ducts and flexes. -Installation of Refrigerant lines -Installation of Drain line -Installation of 2- Air Handler Stand -Installation of 2- Float Switches -Installation of 2- Condenser concrete slab -Installation of 2- Thermostat -Installation of Isopads on condenser -Installation of a Return grille -Start Up -Check unit for proper air flow Sum $ 5,900.00 NOTE: Owner will provide units with heater A/C Contractor will provide all materials and Labor ACCEPTED B P TEL: 954-793-6084 FAX: 954-970-1021 DATE: r .2 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemation Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: � Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this By ° A(5 -en 0Q4Y' SP- ,-\- 01 day of 1)� n � , 20 )5- who S who is personally known to me or has produced as identification. Notary: ►iY� <(UY ODALMA M MEJIA SEAL: My COMMISSION # F-EO97160 EXPIRES May 31 2015 AIR SYSTEMS INNOVATIONS, INC. P.O. BOX 938751 MARGATE FL 33093 E-MAIL iiimenezasi@comcast.net CAC1815166 04-27-2015 State of P w�&' Countryof �M uia �-d TEL: 954-793-6084 FAX: 954-970-1021 Before me this day personally appeared ' i 11'112 n Q L who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at Jo1ON — (iS 3� tA(arm' 'S�IZ KS 331?, Sworn to (or affirmed) and subscribed before me this C� 1 day of '� `'� 20 by A ' t Personally know Or Produced Identifications Type of Identification Produced ODALMA M MEJIA I Q MY COMMISSION # EE097160 EXPIRES May 31 2015 (407y 3eaolsa FloddalloWyServimcom Print, type or Stamp Name of Notary A<��'�V CERTIFICATE OF LIABILITY INSURANCE! �. DATE(MMIDD/YYYY) 5/4/2015 THI I CERTIFICATE IS ISliUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NO'r AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFI-ORDED BY THE POLICIES BEI OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING BOJSURER(S), AUTHORIZED REI •RESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMP DRTANT: If the CerWicate holder Is an A )DMONAL INSURED, the pollcy(les) must be endorsed. If SUBROCATI()t+I IS WAIVED, subjeat to the terms and Conditions Df the policy, Certain policies may require an endorsement A statement on this certificate doell not confer rlghls to the Cen Ideate holder In lieu Cf such endcrsemc s . PRODI CER Ali RICAN QUAL]-TY INSURANCE 3700 W. HILLSHCIRO SLVA DE: 3RFIELD BEACH,FL 33442 NAME: IRONo rl. (954)420-009w A�No;(954)420-0083 t MALI.s:�erica�lq�.ialii � @�ie].lsauth. net INOURBnivl A1701100; COVERAGE NA►cs INSURER A: CANOPIUS US INSUR cD AIR SYSTEMS INNOVATION, INC. INSURER a: PROGRESSIVE _ JOSE JI.ffNEZ, PO SOX 938751 MARGATE, FL 33093 954-793-6084 INSURER C: ^_ INSURER D: COMMERCIAL C9ENENAL LIABILITY1SWOr Y CLAIMS -MADE ;:K OCCUR INSURER E: INSURER F! ..., UUVI'KAUES CERTIFICATE NUMBER, ta_pIVISInN NIIMRFR• THI i IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED DIMMED ABOVE FOR THE POLICY PERIOD IND CAI -ED, 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, QX( LUSIONS AND CONDr90NS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R TYPE OF INSURANCE WD POLICY NUMBER DIYYYY) LIMITS iENERAL LIABILITY Itp4H OCCURRENCE $ 1, 000 000 TO IRPN7 EL) P_F;EMIS.ES_(Ea occurrence $ 100,000 K COMMERCIAL C9ENENAL LIABILITY1SWOr Y CLAIMS -MADE ;:K OCCUR f1D$XP(My meperson) S 5 000 A OUS009058653 1/14/151/14/16,I'FRSONALA ADV INJURY $ 1,000,000 iN NERAL AGGRRQATE $ 2,000,000 IEN'L AGGREGATE LIMIT APPLIES PER:IaI:ODUCTS-GOMP/OPAGG 7 P a171 000, 000 POLICY L00 .,UTOMOSILE LIABILITY ,pIT 11 MEd. IE _ ANYRUTO $ SCHEDULED 07560526-3 07/23/14 07/23/15 I31;IDILYINdLIRY(Parpareon) $ 50'000 BODILY INJURY (P(w=ddnnt) $ 00NON_Q'000 B _ ALLOWNED AUTOS _ MIRED AUTOS AUTOSWNEO 15N $ IPrlr accident 2 5, 0 0 0 I _ UMBRELLA LIAR 1:0CCUR EACH OCCURRENCE $ I EXCESS LIAR CLAIMS -MADE ��{iIGREGATE $ DC*D RETENTI JN $ $ —ATU� C - T VORKERS COMPENSATIC N "NO EMPI,OYFRS' LIAR4LrY YIN NY PROPRIETOMPARTNPAI!XECLITIVE .FFIC@RIMP1, A MXCLUOV-1 NIA B'I_EACH ACCIDENT $ aanuote In to L 'yyea, tlescrl0e antler _ 121, DISEASE - EA EMPLOYEE $ E.I., DISEASE" . POLICY LIMIT $ I IESCRIPTION OF OPERK ]ONS below DESCP tPTION OF OPERATIONS ' LOGAT)ONS I VEHICLES (Attach ACORD 101, Additlorml Ramarka Schnduln, If =ra mmea In MquUod) AIR CONDITIONING CONTRACTOR LIC ?NSE # CAC :.815166 1`G115-11CU�ATIIM- unr ncn -• CANCELLATION MIAMI SHORES VILLAGE SHOULD ANY OF THE ABOVE DI:fiICRIBED POLICIES BE CANCELLED BEFORE 10050 BE 2 AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MIAMI SHORES VILLAGE, FL 33138 ACCORDANCE WITH THE PO CY I''RWSIONS. AUTHORIZED REPRESENTATNE Pr 7 I �9 1920 61;1-eMPORATiON, All rights reserved. ACOI 11325(2010/05) The ACORD name and logo are registered marks of te-rnatio.n 2�2pr��0�1 e d.a Building Code' 's State Approved, FL 14239=11 EQUIPMENT TIE DOWNS FTD04 1" x 4" Tie Down Clip, Galv/Powder Coat, 4/Bag TD06 1" x 6" Tie Down Clip, Galy/Powder Coat, 4/Bag TD08 1" x 8" Tie Down Clip, Galv/Powder Coat, 4/Bag TD04SS 1" x 4" Tie Down Clip, Stainless Steel, 4/Bag TD06SS 1" x 6" Tie Down Clip, Stainless Steel, 4/Bag TD042L 2" x 4" Tie Down Clip, Galv/Powder. Coat, 4/Bag TD062L 2" x 6" Tie Down Clip, Galv/Powder Coat, 4/Bag TD062 2" x 6" Fat Cat Clip., Galvanized, 4/Bag BMP International, Inc., 4710 28th St N, St. Petersburg, FL 33714 - 727-4SS-D544 Note: This file contains approval information from www.floridabuilding.org for BMP tie down clips. InfgTrRgtion required by building departments will vary, from listing the approval ntujiWrpM4. ZSp-R1, on your permit application to submitting copies of thiel dfavvitlgs' Consult with the individual building departments for their.req,uireraegt$. This file can be downloaded :in PDF format for use. Drawings 1-40dtain t6 t st ich instructions. ... . .... ....... . . ..... . ... . . .... .... . . .... . Product Ma nsfaWsrar BMP irmm mew" Inc. mdd„ll 4710 20h Street N SL PeWmbwl Ft 33714 CM 4SO.0544 eeam MOS@ aho— Aestlkset'ed StriabireXletrsl Te d vdtal Re PresWt3M Ade+esWVnau Qua1Ry AsWWW Repan cwwry CompOance Mettiod EvaWation Report koro a PArMa Regmered Ardaect ora I kmsed Florida Prof Etghxer Date Validated sdamal g &aWWm Report - ftdoW Reewtvad F1orMa E gamer or Aradb3a Norm who derdoped the Frank L Barnardo, P.E. EvaWaHml Report Florida Lksm QuaW Aswcmwe fly P&0046549 Natlo AomWM2don & Manage—* Quaff Ash Oxy Ern Date 12!31(2018 Validated BY Woo 3. long, P.E. Camledby Udepandet4< 06 POKV Yee t% NftWagm Ceddist - tWdcapy Rewived ceraficate of Independence Gr 14239 R1 COI C01 -ad Referdued ward and Year (of SteMarQ i4m ASR9 D1761 -W mw ASTM D1761 -M 2M ft Walaroe of Product Standuds Cam By Fkvkfa u mmd Profewbrial E-Ambftd &14232 Rl Eauly Ee E- Sectlmis frorn the Cade Metlsod 1 Option D Qate swooftted 09/29/2011 Date Validated 12113 11 Data Po&4 FBC Approval 12/16/2011 Date Approved 01/31/2012 FL* VAdalr!L= ft•r Nam:• • • • 14239.1 Sk? 5eeori Tfe-&own CO•a, 1d an1 COD (Far Use wAh Medi IRfs at rModmb •• ••• •• •• RW or GWaftumft of Use I FIHYXis Yes Approved for eore to Approved for um tV • NVUL, des a Akd II7 L VerOr Frank Bameldo, P.E. 004W4S %N/A • 000 • Camledby Udepandet4< 06 POKV Yee • • • •&AdhadW• Destpre pressu m N/A • fob • • • v01y�9 • I adelmOrl" Pori Yes The racpdred sdte-spuria dtsi)rt prewme (dam• ehagbe-a.slaDedbyad=$for MOM > • d'"`0 • how 0:6 •• • • • • 9:0 •• • • • • • • • • • • • • • •• •• • • O •• •• ••• • • • ••• • • 2127/12 124a Ale PUge 1012 NovemberC2011- Application Number. FL#14239 FLB Project Number. 11 -OMP -0001-01 Product Manulkturer. BMP International Manufacturer Address: 4.710 2 t Street North St Petersburg, M. 33714 Product Nam: Slotted Sleal TL -Dom Clips, I - and T. Models. Product Dwaii*m Steffi. Tie -Down Clip SyMbn (For Use wh Modaniml Unb at Rod or GWO Scope of Evahm6m: This Product Evaluation Report is being. Issued in accordance Ath. the ve*&wwft ofthe Florida Department- of Community Aftalm (Florida Building CotartAsslon) Rub - O"W S" 005:s FAC., 1br suftwide acceptance per Method 1 (d) The product noted above has b tested andlAor evaluated as summarized herein to show compliance with the 2010 Florida Building Code. and Is, for &e pwpoft Intended, at least equivalent to that required by to Code. Re-evaktabnotthisprem shdbe. re4ubW' following pertinent Florida Building Code modilications or revisions. Substividafing Daft; 0 P.ROMICT WALUATTIONDOeLUMSM FLS drawft #11 -BMP -60 01 -01 OW Weehanical Unit Sted TwOmm Cl p Cqpackles: AtGraft and Roof -Top Mounted AppBoadone, sheets 1-4, prepared by EMIneeft Bpess., s &maled by:Int L Bennardo, P.E is an bWW part of this EvakWdon Report 0 TEST FJ920PTS Ultimate test loading• structural performanoe has been tested in a000rdwas with ASTM DMI -0 W standards per test report(t) *TEL Olff _03ff7A and #TEL 01870 Inc. • STRUCTURAL- E.WxNEERM CMM- MATIONS Struetural aVineeft calms- hire been. Wvpared wift evahate the podAid band (m =nparsOve arwillor rational analysis b quWy the ftbvAng dwW witerm 1. hhDdmurn Allowable Urd VWnd Pressures. 2. Minim= Allo able Unit*VAM 3. MeArnum MaVaiid tAMW* 4. MInImumeWnItV4q*%O-: : : 0 5. 6. Clip Configuration and Anchor Spacing 7. Anchor.CaW& for Wrious S•ubsti--WoO : a 0 0 : 0 : : : 0 • •see :0•fe0 e f 0 ee 0 : see 160 SW 10*'AJiEXUE *1.06 DVtRn#L8-.SUtF(, FL 334.4Z 110*t VI554-Of 60:FAX!, 954-3$4-041143 :*:W".VX4SjXP.C4P'" .. , 0 .:0 . :• ~ November 4, 2011 BMP INTERNATIONAL— SLOTTED STEEL TEDOWN CLIPS Mr Page 2 of 2 8. Maximum Allow" Additional Uplift per Clip in Combination with Lateral Forces (For Use with Rooftop Appliications) No 33% Inmease in allowable stress has been used -in the design of this product _ ......................_............._._._..._..........................: Impact Resistance: Not applicable to this product. Wind Load Resistance This product has been designed to resist wind loads as indicated in the design schedule(s) on the Product Evaluation Document (Le. engineering drawing). Installation The product fisted above shall be installed in strict compliance with the Product Evaluation Document (Le, engineering drawing), along with all comments noted therein. The product components shall be of the material specified to the Product Evaluation Document (Le. engineering drawing). Limitations & Conditions of Use: Use of Hits product shall be to strict accordance with the Product Evaluadan Document (Le. erovaing drawing) as noted herein. All supporting host structures shall be designed to resist all superimposed loads and shall. be of a nuderld listed to this products respective anchor schedule. Host stere conditions which are not accounted for In this products respective anchor schedule shall be designed or of a site sperm . Iasis by a registered professional engineer. Ali comments which are permanently installed shalt be protected agate corrosion, contamination, and other such damage at all times. This product has been designed for use withln the High Velocity Hurricane Zone (HVHZ). ...... . . . . .. . .. . . . . ... . .. ... .. . . . .. . ••• . ••• . . .. . . . . ..... . .. . • . • • • • 160 SW 12711 AVENUE #106 DEERFIELD BeAEH, FL 33442 PHONE: 954-354-0660 FAX: 954-354-0443 •�• i i : : UFjFW J-.ENGaXP.COM- • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • vr_ I a I all I 11-9\9Y/`\I jk*%.FIVF %&—I alv%.On MECHANICAL UNIT STEEL TIE -DOWN CUP CAPACITIES: AT GRADE & ROOF -TOP MOUNTED APPLICATIONS GENERAL. NOTES' - ALUM MINNA"RArg 1. CERTtRiCATiON, Trp, OI`T}I@ 201 tcomopmAvm MSUNW-II)ACrATTO 2. GoommomacpTHE 3. A "CHANICAL UNIT. uNrrmusyse 11111 DESIGN AWTANGULAR, tcom OF $a==FOR S' pm• GPA' MAXMM SURFM 4. �7 AREA AND DESIGN pReSmA Typ. c"wmAAF_ OR 00A r. RAM LATEPAL ANDIOR UP ESIGN Twc=atm4dS oy -DOM 01M FIEELTIL BASIS IN A a CODE 00 Doe*••• t4AW E. MAX". & D r_(5mm . N USP SK44 co 9 • Do 00• Y* N SCHEDULP FOR op SpEcomylONS um) tNFDRMATIONr TV. Kwacmo RE NSAN19 WTHE E ODD:** 0 00 3;W so 4- M.Tololwow Up. • so goes, typ. TV KBIM4 FOkANt]iI ALL FMIR TECTIONTO PREVENT :0 ODD: HOST SAGUIRG DESIGN EN WL FQ00. ., 1-1* L •'**e ALLOW&I WMt. ALL S`WW4VW*_9%j.l_MPR0JMVQJ MECW.ICA.L UNIT rl-"N nk=MI OfflaRIC is r lo.V 301we, +FOR. A am smVARO N4T1, -1 mtomomms P I I m 9. 11CAIR ZONE. NIM CTS FROM TEST WON PROVAL BY AS Ltsm RATIONALLY LTED FOR USE 10. ALL woo6kommsgmLispmwpmm.MTEDSOWTHMYMLOWPINE GRADE 02 WITII 4W OR GRSIUM DIREff =Wa,= is Nor pmmlo FOR ROOF -TOP MI FSC U, THE 6DNIMCM IS 8_&wl To VAMTE ALL MEOW FROM MATERIALS TO PXVAW W&PRIDLYSIS. LE, ALUM PER P&Q. 12. eLgcrpMopAMWHEN REQ=goTOBIIDEB WM&RWALLOW IS, WASLACY OF ANY INWINSVIttICTUM TO 14. is. MULLING I ftFEW :i: •: 0 • 0. 0.113 A28 'THICK AgM-)IYIJI [R MECHANICAL UNIT BY OTHERS ALUMINUM HOUSING UNffS SHALL SE fiiT6MM ALUMINUM SligEr WrM F"30 Mg, 0.125' MA THMM, STEEL HOUSING UNM SHALL Be 33K8I MIK VW� ORM 93, 2213A MIN. SAE GRADE 6 BMW METAL (t�0.02607 THROUGH CUP TO p1 ..HOUSING UW BY a SFd ks "m R.Tulf-V A"" 0,06 Acq�Tu AW STEEL Cup, BASE OF UNIT SHALL BE FLUSH WITH BASE ANCHOR PER ANCHOR SCHEDULE Of CLIP, NO SPACE z'SUBSTRATE PER ANCHOR �ZTSMWM (YAMS) l" TIE -DOWN CUP Li ANCHOR DETAIL - 3* 11-W 09YA& CLIP 16 DMONED FOR FULL CONTACT wrr" THE EASE Op EACH MEC"ANICAL UNIT, TYK oast ro O.armw. V SHALL 80 3 12 Me OWN S SHEET METAL 7KROLM" ap TO (410w; ISCAL HOUM91. UNIT BY PATO=S) ENS, lyp. Fromm A&& BASSOPUMSHALL, ANWORsPOFt ANCHOR FLUSHWlT118hSE f,MGM" H[CK ASTM OF QV, NO SPACE F, 1, PCE VaUff"00, Tfp- ANCHORAMP. .37V F.0, 2" TIE -DOWN 'CLIP QW 4�W,,HQK DETAW &fAIL Aa [COM 4NOMMOU N0ClfAMtAL0WrTYP, a 0 NOTES: 1 LOAD COMBINATION ASD PER 24.1 ASCE 7.10 0.6 x DEAD +0.6 x WIND (ASCE 7-10; 2.4.1) 2 DESIGN IS BASED ON SECTION 20.5 OF ASCE 7-10"OTHER STRUCTURES' UNITS ARE TO BE LOCATED ON THE GROUND. 3 ALL OTHER UNITS NOT SHOWN MUST BE DESIGNED ON A CASE BY CASE BASIS. 4 LARGER HURRICANE PAD USED IN SOME COMBINATIONS TO SATISFY DESIGN CHECK 5 WIND PRESSURE ON UNITS IN ACCORDANCE WITH ASCE 7-10 FIGURE 20.6-1 5 ORIGINAL EQUIPMENT MANUFACTURER INSTALLATION INSTRUCTIONS SUPERSEDE HURRICANE PAD INSTALLATION INSTRUCTIONS IF MORE STRINGENT. Page 1014 • MASTER CONSULTING 19401110ERS, INC. HURRICANE PAD - SOUTH FLORIDA HIGH WIND ZONE T - CLASS DADE, BROWARD AND PALM BEACH COUNTIES) SM WEST CYPRESS STREET(MIAMI SUITE 200 CLIENT: DWERSITECH TAMPA FLORIDA 33607 PROJECT: WIND ANALYSIS OF 4- HURRICANE PADS MAX WIND SPEED 178 MPH CODES: FLORIDA BUILDING CODE 2010 CA: 8428 ASCE 7-10 RISK CATEGORY a 11 MUM DADE COUNTY BASIC WIND SPEED -175 MPH BROWARD COUNTY BASIC WIND SPEED =170 MPH A BASIC WIND SPEED OF 178 MPH JAMES R. MEHLTRETTER. P.E.USE FL # 33860 Y-- 0.85 Expomue C : TaW 28.3-1 Kd- 0.68 Table 28.0.1 March 8.2012 K11a 1,00 Figure 28.8-1 Wind Speed Ve - 178.00 qz= O.00256'Kr'KzPKd1M .67 PSF 1W DNA TAPOON SCREW I- EMB Fhe geG•CPAf (Eq. 28.5.2) G- 0.88 PULLOUT 011400 ULT Ck (Figure 20.6.1) 1.30 PULLOUT 2850 SERVICE INSTALL SCREWS THROUGH UNIT BASE 22 GAGE MINIMUM USING HC-I HURRICANE CLIPS (8 TOTAL) WIM Pressure . :.8281 PSF Fh= W6M Pressure •MF Bee Tables Ah-LxH See Telles T CLASS HURRICANE PAD4INCHES THICK MODEL# WEIGHT L W WIND SPEED Pressure HT3030.4 127 30 30 176 6281 PSF HT3648-4 250 36 48 HT3636-0 I80 36 36 HT2438-4 120 24 38 HT24244 as 24 24 MT32324 165 32 32 HT334S4 215 33 45 HT40404 260 40 40 HT4242-4 288 42 42 RT46S6-4 350 48 68 HT3852.4 285 36 52 0 NOTES: 1 LOAD COMBINATION ASD PER 24.1 ASCE 7.10 0.6 x DEAD +0.6 x WIND (ASCE 7-10; 2.4.1) 2 DESIGN IS BASED ON SECTION 20.5 OF ASCE 7-10"OTHER STRUCTURES' UNITS ARE TO BE LOCATED ON THE GROUND. 3 ALL OTHER UNITS NOT SHOWN MUST BE DESIGNED ON A CASE BY CASE BASIS. 4 LARGER HURRICANE PAD USED IN SOME COMBINATIONS TO SATISFY DESIGN CHECK 5 WIND PRESSURE ON UNITS IN ACCORDANCE WITH ASCE 7-10 FIGURE 20.6-1 5 ORIGINAL EQUIPMENT MANUFACTURER INSTALLATION INSTRUCTIONS SUPERSEDE HURRICANE PAD INSTALLATION INSTRUCTIONS IF MORE STRINGENT. Page 1014 • 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: 7426807 Date: 4/27/2015 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM36 Indoor Unit Model Number: RH1T3621MTAN 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 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: Ratings followed by an asterisk (•) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which Indicates an involuntary cerate. DISCLAIMER AHRI does not endorse the product(s) tisted:ou this"rtWcate and makes go re rgsentations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AJRI expre ftcll ime aNliabliltr/ foe damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on il CertiVAteAPCd rJtin:%t:e *ld only for models and configurations listed In the directory at www.ahridirectory.org. • • • • • • • • • TERMS AND CONDITIONSso 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 reproduced; copied; disseminated; entered Into a computer database; or otherwAsu utilized, it anydgrgr or minner or iiJ' any means, except for the user's individual, personal and confidential reference.• s • • • • AIR-CONDITIONING, HEATING, s • • • • & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION • • • • • • • • • • • The information for the model cited qp A ce$iilcate c9rlfe drlf tc! at www1aholdisectory.org, click on "Verify Certificate" link we make life better' and enter the AHRI Certified Reference Number and the date on -Which the ce%flcdte was Issued, which Is listed above, and the Certificate No., which is listed at bottom right 1307463577123899' @2014 Air -Conditioning, Heatipg.apd Refrigerati$p•Inistitute CERTIFICATE NO.: • •• •• • •• e �• •� ••• • • ••• • • 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: 7426826 Date: 4/27/2015 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower 'Outdoor Unit Model Number: 14AJM49 Indoor Unit Model Number: RHIT4821STAN 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 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: " Ratings followed by an asterisk (•) indicate a voluntary rerale of previously published data, unless accompanied with a WAS, which Indicates an involuntary rerate DISCLAIMER AHRI does not endorse the product(s) listed **thWCWdJcaW an4maVs 40 reyr9pentations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. Ail express ditc,�la.l�i1mlrallilatilitl►forsdamages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on th sCertiflpp. 9 Yflep r4n1§,aF vQlil 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 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; entered Into a computer database; or otlierwiesutilized, iroany fpYq or magner or bg any means, except for the user's individual, personal and confidential reference.• • • • • • • • • AIR-CONDITIONING, HEATING, • • • • • • • • • • & REFRIGERATION INSTITUTE CERTIFICATE VERIFICATION •• • • • • • • • • • The information for the model cited o%thl certthte cdhJ3@ vdli ed at www.thrldfr•ctory.org, click on "Verify Certificate" link we make life better' and enter the AHRI Certified Reference Number and the d1te on hich the ceRificatRa was Issued, which is listed above, and the Certificate No., which is listed at bottom right 130746358186982$1 ©2014 Air -Conditioning, HeatigZ arui Refrigerltl gInstitute CERT�� CATS NO.: Yv aa �VQ,el a � �J vv It o N a C 0o t u Q �-o 1 GO, � 1� � o- V TA 31.E �oEA ELECTRICAL REVIEW APPROVE® ®ATE