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MC-15-765 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231593 Permit Number: MC-4-15-765 Scheduled Inspection Date: July 01, 2015 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: GREEN, DANIEL Work Classification: A/C Replacement Job Address:511 NE 94 Street Miami Shores, FL 33138- Phone Number (305)685-6394 Parcel Number 1132060140855 Project: <NONE> Contractor: C&R AIR CONDITIONING CO Phone: 305-685-6394 Building Department Comments EXACT REPLACEMENT OF 5 TON SPLIT SYSTEM Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. June 30,2015 For Inspections please call: (305)762-4949 Page 13 of 40 Permjt 4 � ,56Mki LMiami Shores Village oa% l 10050 N.E.2nd Avenue NE Miami Shores, FL 3313&0000 Phone: (305)795-2204 a! P�rrit�>*us s LQRLD 41=01 Expiration: 1010612015 Project Address Parcel Number Applicant 511 NE 94 Street 1132060140855 ' Miami Shores, FL 33138- Block: Lot: DANIEL GREEN Owner Information Address Phone Cell DANIEL GREEN 511 NE 94 Street (305)685-6394 4 MIAMI SHORES FL 33138- 511 NE 94 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 5,180.00 C&R AIR CONDITIONING CO 305-685-6394 (954)680-4494 E Total Sq Feet: 0 Tons:5 Available Inspections: Additional Info:EXACT REPLACEMENT OF 5 TON SPLIT SY Inspection Type: Classification:Residential Final Approved:In Review Review Mechanical Comments: Date Approved: : In Review Date Denied: Type of Work: Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.60 Invoice# MC-4-15-55050 DBPR Fee $2.72 DCA Fee $2.72 04/09/2015 Credit Card $ 155.34 $50.00 Education Surcharge $1.20 04/03/2015 Credit Card $50.00 $0.00 Permit Fee $181.30 Scanning Fee $9.00 Technology Fee $4.80 Total: $205.34 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. OWNERA IT: cert; all he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construct; n n th rm r , I thorize the above-named contractor to do the work stated. April 09, 2015 Authorized Sig re:O / Applicant / Contractor / Agent Date V17Building Department Copy April 09, 2015 1 w 1� Miami Shores Village RECEjV Building Department APR 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 FBC 20 Ib BUILDING Master Permit No.m� PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING1MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: p City: Miami Shores County: Miami Dade Zip: I •J 0 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): V lXM Phone#: ,-? g O I S ' 7ao 0 Address: Iv E C) T J City: State: R . Zip: j j Tenant/Lessee Name: Phone#: Email: / r CONTRACTOR:Company Name: G + R Air- Co^ J • r v o • Phone#: ,3 01-b 9y 6 j y Address: (6 O 7 3 A Lv 16 ! JT C. . q City: I a 01 1 State: F t Zip: © 1 Oft Qualifier Name: /��1 C I^' r 3 ( Phone#: J 0 U b Sib State Certification or Registration#: G A C d b f L Certificate of Competency#: L49e o 2 DESIGNER:Architect/Engineer: Phone#: Address: City: '. State: Zip: ti Value of Work for this Permit:$ S �� ;Square/Linear Fo tage of'Work: Type of Work: ❑ Addition El Alteration ElN2w Repair/Replaee ❑ Demolition Description of Work: Specify color of color''��thra tile: Submittal Fee'$ W Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ I (Revised02/24/2014) ti Bonding Company's Name(if applicable) Bonding Company's Address City 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 Signature —QA—� OWNER or AGENT CONTRA TOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 3 day of. r i l 20 I V by ((„� day of r 1 1 20 ' by D(�n 1 t(. tarf<n who personally know toA 0 Lee e-t T. � f J� ho i ersonally known 0 me or who has produced as me or who has produced as """"'• identification and who did t c.s ROBERT J.CHRYST#FF 086047 identification and who did take an oath. NOTARY PUBLIC: , •= Expires May 24,2018 NOTARY PUBLIC: '' BardWTWTwpfob womm/O&Nsale P W—A pu� Sign: Sign: ` Print: r 7 Print: J q ries`• Q h 2 w ' F&ERT J.CHRYST Seal: � -L Seal: JANETKRANZ Commission#FF 086047 :.: .- Commission#FF 197298 ExpiresMay 24,2018 Expires May 9,2019 8,,Q liirii T*Fes,lmrf a 800-M54019 ��., .�•� BordW Nu Troy Fain Inwranoa 800388.7018 ################################# ########################################################################## APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 5N°RFS Miami Shores Village Building Department soon10050 N.E.2nd Avenue Miami Shores, Florida 33138 Lel �� Tel: (305) 795.2204 OR 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 si(n�gle sheets are not acceptable. Job Address(where the work is being done): � I I N C 991 , City: Miami Shores Village County: Miami Dade Zip Code: 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 ❑ UNIT BEING REPLACED DATA NEW UNIT XUA NUFACTURER r Q n 6 AHU or PKG. UNIT MODEL# y, L4 D N i- © ( /q 7 A © 19Q COND. UNIT MODEL# I 5g d (� KW HEAT ) NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU CU L4 0 PKG 2) M.O.P AHU(00 CU t4 Q PKG AHU CU PKG 3)VOLTS O H AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES 0 YES NO REPLACING THERMOSTAT YES YES NO NEW 4"CONCRETE SLAB YES N YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity(Wire Size): # 6 2. Maximum Overcurrent Protection (Fuse/Breaker Size): (7 0 3. Voltage of Circuit(208/240/480): 1 LI 6 P H 4. Size Disconnecting Means:_ ro 0 Contractor's Company Name: C. t K A C Co . Phone:_ S o C� �6 u State Certificate o g tra n C o 2 y Certificate of Competency No. Signature Date: (Qu 'ier's ature) (Revised02/24/2014) o This combination qualifies for a Federal Energy sou an ILI CERTIFIE Efficiency Tax Credit when placed in service between Feb 17,2009 and Dec 31,2014. Certificate of Product Ratings AHRI Certified Reference Number: 3664607 Date: 4/2/2015 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 116BNA060****A Indoor Unit Model Number: FX4DN(B,F)061 Manufacturer: BRYANT HEATING AND COOLING SYSTEMS Trade/Brand name: BRYANT HEATING AND COOLING SYSTEMS Series name: LEGACY RNC 16 PURON AC Manufacturer responsible for the rating of this system combination is BRYANT HEATING AND COOLING SYSTEMS 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: Cooling Capacity(Btuh Ca aci : 52500* ) EER Rating(Cooling): 13.50 SEER Rating(Cooling): 16.00 1EER Rating(Cooling): '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 products)listed on this Certificate and makes no representations,warranties 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 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.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 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 &REFRIGERATION INSTITUTE The Information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link tie 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. 1307246ss630285712 -- ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: