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MC-15-1429 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-236536 Permit Number: MC-6-15-1429 Scheduled Inspection Date: August 24, 2015 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: YAGODA,JAY A Work Classification: A/C Replacement Job Address:70 NE 99 Street Miami Shores, FL 33138- i Phone Number (954)401-6233 Parcel Number 1132060131050 Project: <NONE> Contractor: DIRECT A/C & REFRIGERATION INC Phone: 305-596-2666 Building Department Comments REPLACE A/C SYSTEMS 3 &2 TONS UNIT Infractio Passed Comments INSPECTOR COMMENTS False CSU/ Inspector Comments Passed 190 Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 21,2015 For Inspections please call: (305)762-4949 Page 10 of 39 Miami Shores Village U57JUN, EIVETy Building Department 102015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY- INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 /67 BUILDING Master Permit No& PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION F-1 EXTENSION ❑RENEWAL ❑PLUMBING MMECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP Q CONTRACTOR DRAWINGS JOB ADDRESS: -70 N�t 1 C( S � City: Miami Shores County: Miami Dade Zip: 331'3& Folio/Parcel#: ( i ,3206- O)3 10 SU Is the Building Historically Designated:Yes NO X Occupancy Type: S•�. Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): J��Y �6c�OA Phone#: Address: 1nn"7 O NC 99 S I City: , `�\ A—� S, State: Zip: 33oz Tenant/Lessee Name: Phone#: 154—L{®` - 62-33 Email: ,AV Go OA q,MAtL .Cor1 CONTRACTOR:Company Name: Phone#: 2-66L Address: 11-2-00 SLAJ 12q � City: A1�, < State: �L Zip: 3 7 Qualifier Name: 7yLP,N JC> LON(oy Phone#: 30J 55(o State Certification or Registration#: C A C.O S 7 3 Z 19 Certificate of Competency#: AIC Coni DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 1 O�29 O 'r Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: CSO LA S AIL 5 V S4f-v�S 3 4 2 h o s Specify color of color thru tile: Submittal Fee$ 69 7 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$. (Revised02/24/2014) 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 Pf com encemen must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is i sued in he abs nce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. /L �h,�u SignatureSignature < OWN r AGENT C NTRACTOR The foregoing instrument was acknowledged before me this The forego ng instrumen was acknowledged before me this nh X01 day of �G�►( 120 l by Ob 0( ay of 20 l(,a by who is personally known to dq ° ho is personally known t� me r who has produced as e o who has produced as identification and who take an oat identification and who did to an oath. NOTARY PUBLIC: NOTARY PUBLIC- Sign:, Sign: � M Print: Print: = N AM o ary7PubFIFI 1,da ;�r� o,c Y Comm EX St of FlPrltla Seal: N, •r?My ComSeal: %,, ���d`,,• Com yres qu3.2017 missi15.?OlOF FIOom511Oed" " � Bonded Try AgSe_ T nro�h NatkM�wry 1 1 APPROVED BY Io 0 ans Examiner Zoning Structural Review Clerk (Revised02/24/2014) F _ STATE OF FLORIDA DEPARTMENT OE BUSINESS AND PROFESSIONAL REGULATION �. CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 1940 NORTH MONROE STREE I TALLAHASSEE FL 32399-0783 SOTOLONGO, JUAN JESUS DIRECTAIC & REFRIGERATION INC 12921 SW 27TH STREET MIAMI FL 33175 Congratulations! With this license you become one of the nearly -- - one million Floridians licensed by the Department of Business and T Professional Regulation. Our professionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. '' PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to CAC057328 ISSUED: 07/16/2014 serve you better. For information about our services,please log onto www.myfloridalicense.com. There you can find more information CERTIFIED AIR COND CONTR about our divisions and the regulations that impact you,subscribe SOTOLONGO,JUAN JESUS to department newsletters and learn more about the Department's DIRECT A/C&REFRIGERATION INC initiatives. Our mission at the Department is:License Efficiently,Regulate Fairly_ We constantly strive to serve you better so that you can serve your IS CERTIFIED under the provisions of Ch.48s FS_ customers. Thank you for doing business in Florida, ,CE TI I AUG under L14,489 FS- and congratulations on your new license! E 1019 DETACH HERE RICK SCOTT GOVERNOR LAWSON,SECRETARY S TATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CAC057326 The CLASS AAIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 � o SOTOLONGO, JUAN JESUS DIRECT A/C&REFRIGERATION INC 12921 SW 27TH STREET MIAMI FL 33175 ISSUED: 07/16/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1407160001019 Local Business Tax Receipt Miami-Dade County, State Of Florida —THIS IS NOT ABILL—DO NOT PAY \ LBT�/ 3630473 BUSINESS NAN E&OCATION RECEIPT NO. EXPIRE DIRECT AIR CONDITIONING INC RENEWAL SEPTEMBER 30, 2015 MIAMI FL i 3 8 67 3793271 Must be displayed at place of business MIAMI,FL 33186 Pursuant to County Code Chapter 8A—An.9&tU OWNER SEC.TYPE OF BUSINESS` PAYMENT RECEIVED DIRECT AIR CONDITIONING INC 196 SPEC MECHANICAL BY TAX COLLECTOR CIO JUAN SOTOLONGO CONTRACTOR 76.00 08122/2014 Worker(s) 10 CAC057328 0223-14-006808 Tbis Local Business Tax Receipt only confirm payment of the Local Business Tax.The Receipt is nota iicense, permit,or a certification of the holder's gsatrNcatlew to do business,Holder must comply wide any governmental or oongovernmeutel regulatory laws and regairementswbich apply to the business. The RECEIPT 90.above most be displayed on all commercial vehicles—Miami—Bade Code Sec 8a 276. For more information,vbkmrww.miamidade aovltaxeolleetor : a Oct 13 01 03:04a Direct Air Conditioning 3054533330 p.2 CERTIFICATE OF LIABILITY INSURANCE DATE(M1UDOmrY) i 06101!2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TF E CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERA E FFORDSD BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE IS Ul G INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION I W IVIED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not nfer rights to the certificate holder in Ileu of such endorsement(s). PRODUCER CONTA NAMEC Luca Estrella Accurate Group Llc PHONE y t. (3135)226-8727 IAFCAX No, (305)226-8767 i 8300 West Flagler Suite 114 E-MAIL ADakEss- luciaestrellaQbellsouth.net Miami,FL 33144 tNSURER S AFFORDING COVERAGE NAIC0 Phone (305)226-8727 Fax (305)226-8767 _ INSURER A: Starr Indemnity&Liabilib,Company 113853 INSURED INSURER B• Direct Air Conditioning S Refrigeration Inc I IMSUREFC: INSURER D: 12200 SW 129 Ct i --i INSURER E: Miami FL 33186- INSURER F: i COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCU NT ITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMIT'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR! TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LTR POLICY NUMBER (MM)D0 MM/DD LIMITS GENERAL LIABIUTY C CCURRENCE 1 000,000.00 COMMERCIAL GENERAL LIABILITY I GE TO RENTED 5 50,000.0 ❑ ❑ CLAIMS-MADE Q OCCURI ED (Anyorraperson S 5,000.00 A Y Y 1000051713131 !08/09/2014 08109!2015 NAL&ADV INJURY is 1,000,000,00 ❑ I ( EN RAL AGGREGATE 'S 2,000,000.00 GEN L AGGREGATE LIMIT APPLIES PER: ROI CTS-COMPJOP AGG S 1,000,000.00 ❑ POLICY ❑ PRO- ❑ LOC i S AUTOMOBILE LIABILITY EaMa I!�EDISINGLE LIMB IS IC ANYAUTO I ODI Y INJURY(Per per=)ALL 5 I C AUTOS NES ❑ SCHOS EDULEDODI Y INJURY(Per accident 3 NON-OWNED OFERTY DAMAGEC HIRED AUTOS ❑ AUTOS Poti oci nt) , S G ` g k ❑ UMBRELLA LIAR ❑OCCUR i OCCURRENCE 5 j ❑ EXCESS LIAR ❑CLAIMS-MADE I ! GG EGJITE t S ❑ DED ❑ RETENTIONS 5 WORKERS COMPENSATIONYIN P R ❑OTFi- AND EMPLOYERSLIABILITY i ANY PROPRIETOR/PARTNERIEXECUTIV i OFFICERIMEMBER EXCLUDED? ��N JA L CH ACCIDENT 1 (Mandatory In un .L EASE-EA EMPLOYEE S I i q yes,desaiLe under DESCRIPTION OF OPERATIONS below LI HISEASE-POLICY UM17! $ j DESCRIPTION OF OPERATIONS I LOCATIDNSJ VEHICLES(Attach ACORD 101,Additional Remarks Schedule,IF more space is required) License#CAC057328 1 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE D SC BED POLICIES BE CANCELLED BEFORE Miami Shores Village Builidng Department THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2nd Avenue ACC _ A CE`WITHTHE POLIC P VISIONS. Miami Shores,FI 33178 AUTH'& IZ , R Rl SENTATIUE T Lucia Es a 031988-2014 A OR D CORPORATION. All rights reserved.' ACORD 25(2014101)QF The ACORD nam It ar d logo are registered marks of ACORD Oct 13 01 03:04a Direct Air Conditioning 3054533330 p.3 .4co O® CERTIFICATE OF LIABILITY INSURANCEATE IV �� 0610112015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPC N THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE CO/EF AGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN T ilE SSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. if S JBIROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on th s c rtificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Automatic Data Processing Insurance Agency,Inc. PHONE _rP AILa Exl: (Avc,No): 1 Adp Boulevard ADDRESS: Roseland,NJ 07068 INSURER(S)AFFOR DINGCOVERAGE NAICS INSURERA: Markel Insurance C mp ny 38970 I NSU RED -- DIRECT AIR CONDITIONING&REFRIGERATION INC INSURER INSURERB B 12920 SW 128th St Bay 7 : Miami,FL 33186 INSURER D: INSURER E INSURER F. COVERAGES CERTIFICATE NUMBER: 349358 SIGN NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURINAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER OCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIB H REIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. l RAZM SUB; LIC LTR TYPE OF INSURANCE BO WVD POLICY NUMBER L%UDDPiYYY) (MWDD/YYM LIMITS COMMERCIALGENERALUABILITY EAC OCCURRENCE $ I CLAIPAS-MADE !7 OCCUR ENTED PRE WISES(Any o one $ I ME EXP(Arty one person) S i PER &ADV INJURY $ I GEN'LAGGREGATE LIM17APPLIESPER: GEN=RAL AGGREGATE t$ POLICYC JPEC LOC i f�RO DUCTS-COMP/OPAGG s OTHER: , AUTOMOBILE LIABILITY COPBIN LIMIT ANY AUTO Ea ccideni $ AALOOSWNED ;'—� SCHEDULED BO LY INJURY(Per person) $ ! I AUTOS I BOD LY INJURY(Per accident) $ HIREDAUTOS I I UTOS NON-OWNED AUTOS ERTY D WAGE er "deM $ I $ UPABRELLALIAB ;OCCUR EAC OCCURRENCE 5 EXCESS LIAR CLAIMS-MADE AG EGATE $ DEDRETBJIONS WORKERS COMFENSATION $ AND EMPLOYERS LIABWTYOTH- ANYPROPRIETOIL'PARTNER/EXECUTIVE YIN I STATUTE ER A CFFICEWMEMSER EXCLUDED? N/A N TWC3443160 12101!2014 i 1Z/0VZ0tS' E L- CHAccIDENT ; 1,000,000 (Mandatory In NH)and I ` E.L. ISEASE-EA EMPLOYE $ 1,000,000 Ifyea,describe under DESCRIPTION OF OPERATIONSDeIow E.L.DISEASE-POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS P LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be aftached if more epee Is roqui License#CAC057328 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE D SC BED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TH RE F, NOTICE WILL BE DELIVERED IN Miami Shores Village Building Department ACCORDANCE WITH THE POL1C P OVISIONS. 10050 No 2nd Ave. Miami,FL 33138 AUTHORIZED REPRESENTATIVE I A©1988-2014 AC R CORPORATION.All rights reserved. ACORD 25(2014104) The ACORD name and logo are registered marks of ACORD CFN:20150355609 BOOK 29642 PAGE 440 DATE:06/04/2015 09:53:38 AM DEED DOC 3,393.00 HARVEY RUVIN,CLERK OF COURT,MIA-DADE CTY hared by And return to: Federico E.Fernandez DiFalco&Fernandez,LLLP 777 Brickell Ave Suite 630 M iam),FL 33131 305-569-9800 File Number. 15-0006 Will Call No.: (space Abovc This Line For Reounling Data) Warranty Deed This Warranty Deed made this 29th day of May,2015 between 70 RE Venture GLC,a blorida limited liability company whose post office address is 1450 Brickell Ave,Miami, FL 33131,grantor, and Jay A. Yagoda,a single man whose post office address is 55 SE 6 Street,#4202,Miami,FL 33131,grantee: (Whenever used hereht the terms"grantor' and"grantee include all the paries to this insaument and the Imirs. legal represenudvcs,and assigns of Individuals.and the successors and assigns of corporations,tntxts and trustees) Witnesseth,that said grantor, for and in consideration of the sum of TEN AND NO/100 DOId.ARS($10.00)and other good and valuable considerations to said grantor in hand paid by said grantee,the receipt whereof is hereby acknowledged, j has granted,bargained, and sold Lo the said grantee, and grantee's heirs and assigns forever,the following described land, situate,lying and being in Miami-Dade County,Florida to-wit: LOTS 3 AND 4, BLOCK 8, AMENDED PLAT OF MIAMI SHORES SECTION NO. I. ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE 70, OF THE PUBLIC RECORDS OF DADE COUNTY,FLORIDA. Parcel Identification Number: 11-3206-013-1050 Subject to taxes for 2015 and subsequent years; covenants, conditions, restrictions, easements, reservations and limitations of record,if any. j Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold,the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and)awful authority to sell and convey said land;that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is tree of all encumbrances,except taxes accruing subsequent to December 31,2014. In Witness Whereof,grantor has hereunto set grantors hand and seal the day and year first above written. DoubleTimee CFN: 20150355609 BOOK 29642 PAGE 441 Signed,sealed and delivered in our presence: f 70 RE VENTURE LLC Witness Name: nto a Florida limited liability company By:DIFALCO&FERNANDEZ,LLLP a Florida limited liability iced partnership its Manager it ess Name:ja irret I hi fttfiod 61 IrIT- By: Ct6We L.DiFalco,Partner State of Florida County of Miami-Dade The foregoing instrument was acknowledged before me thiscv� -day of May,2015 by Christophe L. DiFalco,Partner of Delco &Fernandez, LLLP, a Florida limited liability limited parinerip and Manager of 70 Re Venture LLC,a Florida limited liability company, on behalf of the company. HeJshe ��/-]/ is personally known to me or U has produced as identification. [Notary Seat] No Public Printed Name: :T&mu mu- w— ��•*=-„ JANELLY AVOIDANO — � t MY COMMISSwN MFFt 12931 My Commission Expires: ri 1 1J, ] ExPIRES APdl 19,2018 Qp p ►dtiNa teo yoa.ms9 � Warranty Deed-Page 2 DoubieTimee Property Search Application- Miami-Dade County Page 1 of 8 --� MIAMI-DADE I APPRAISER Address Owner Name Folio Search: 70 NE 99 ST Suite Property Information Folio: 11-3206-013-1050 Sub-Division: MIAMI SHORES SEC 1 AMD Property Address 70 NE 99 ST Miami Shores, FL 33138-2339 Owner 70 RE VENTURE LLC Mailing Address 1450 BRICKELL AVE#1400 MIAMI, FL 33131 Primary Zone 1000 SGL FAMILY-2101-2300 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT Beds/Baths/Half 3/2/0 Floors 1 Living Units 1 Actual Area file:///C:[Users/Jesus/AppData/Local/Temp/J9XGHVvRG.htm 6/1/2015 SNoRs Miami Shores Village Building Department ... ..,..� 10050 N.E.2nd Avenue Miami Shores, Florida 33138 jr" y6 Tel: (305)795.2204 �ORIDp' 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): ?C) Nt _L(i S City: Miami Shores Village County: Miami Dade Zip Code: 3`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 UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER Tf(AN bf�'oMo6R AHU or PKG. UNIT MODEL# 7A0C36 3( 5D �j 0 0 COND.UNIT MODEL# �� ( U 3(, KW HEAT NOM TONS 3 AHU , CU PKG 1)M.C.A AHU CU PKG AHU 60 CU LS PKG 2)M.O.P AHU CU PKG AHU 240 CU alo PKG 3)VOLTS 23o AHU CU PKG PKG UNIT / / PKG UNIT i Z EER/SEER (o YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity(Wire Size): M ftw b 2. Maximum Overcurrent Protection (Fuse/BreakerSize)): Lo 3. Voltage of Circuit(208/240/480): Z�un VcJ 4. Size Disconnecti Me s: Contractor's Compa y Name - C ! A.(� C)N`� �� Phone: State Certificate or egistration S7 3Z Certificate of Competency No. Signature M A Date: to I I S Nees natur (Revised02/24/2014) �' 5� Miami Shores Village Building Department sell ugly" 10050 N.E.2nd Avenue � e Miami Shores, Florida 33138 �tOR 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): 7 c1 N t '31'S � City: Miami Shores Village County: Miami Dade Zip Code: 3 313 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�L ARHI Sheet Attached:YES NO❑ Contract Attached:YES UNIT BEING REPLACED DATA NEW UNIT ` MANUFACTURER C 2-Lk AHU or PKG.UNIT MODEL# 'i' PcQ Z W2-I SID 6 6 F2 COND.UNIT MODEL# KW HEAT NOM TONS AHU CU PKG 1)M.C.A AHU CU PKG AHU CU PKG 2)M.O.P AHU CU PKG AHU CU PKG 3)VOLTS 23C)Jo AHU CU PKG PKG UNIT / / PKG UNIT Z EER/SEER I YES NO REPLACING DUCTS YES 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 1. Minimum Circuit Ampacity(Wire Size): pkwy 2. Maximum Overcurrent Protection(Fuse/Breaketr�Size): 6:20Ar E 3. Voltage of Circuit(208/240/480): 2-1 0 J 4. Size Disconnecti Me s: . Contractor's Compa y Named c� A-('2. Phone• State Certificate or egistration 4 C ( '7?2 Certificate of Competency No. Signature V � / �, Date: & ilhs lifters natu (Revised02/24/2014) o This combination qualifies for a Federal Energy CERTIFEDEfficiency Tax Credit when placed in service www.ahridirectory.org between Feb 17, 2009 and Dec 31, 2014. Certificate of Product Ratings AHRI Certified Reference Number: 5857088 Date: 6/1/2015 Product: Split System:Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTX6024H1 Indoor Unit Model Number: *AM7AOA24H21 Manufacturer: TRANE Trade/Brand name: TRANE Region: All (AK,AL,AR,AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN,TX, UT,VA,VT,WA,WV,WI,WY, U.S. Territories) Series name: XL161 Manufacturer responsible for the rating of this system combination is TRANE 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): 26400 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER 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 product(s)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 I JOB 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, ir"M 111M 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 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. 02014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO. 130776340263690167 o This combination qualifies for a Federal Energy 1 AM Efficiency Tax Credit when placed in service'!WRLI CERTIFIE www.ahridirectory.org between Feb 17, 2009 and Dec 31, 2014. Certificate of Product Ratings AHRI Certified Reference Number: 5857902 Date: 6/1/2015 Product: Split System:Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 4TTX6036H1 Indoor Unit Model Number: *AM7AOC36H31 Manufacturer: TRANE Trade/Brand name: TRANE Region: All (AK,AL,AR,AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IA, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI,SC, SD, TN,TX, UT,VA,VT,WA,WV,WI,WY, U.S. Territories) Series name: XL161 Manufacturer responsible for the rating of this system combination is TRANE 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): 38500 EER Rating(Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER 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 product(s)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 8100 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, AWW Rim 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 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. _"_"- ©2014 Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 130776339871966634 12200 SW 129 Court ! 3100 South Congress Ave.#7 Miami,FL 33186 Boynton Beach,FL 33426 PHONE:305-596-2666r �! Palm Beach:561-404-1100 FAX:305-551-1546 Broward:954-281-4004 info@directac123.com r Fax:561-336-2567 STATE CERTIFIED CONTRACTORAIR CONDITIONING service@directac123.com LICENSE&INSURED CAC057328 RESIDENTIAL&COMMERCIAL SINCE 1995 11"f y Direct-Air?..Because 147e Care " BBB DATE S — I. O PROPOSAL O CONTRACT CUSTOMER: `p� PHONE: s ��3 ADDRESS: -7 PHONE(2): CITY/ST./ZIP: i tq y„l i` S Vbt -5 , It 3 3`3 9 EMAIL COMFORT ADVISOR: N1L(;OS 33 REFERRED BY: In a Includes: • ,(STRAIGHT COOL O PACKAGE UNIT O HEAT PUMP O MUL YSTEM Zq iectric Heater kw gital Thermostat �{��N E✓ TONS Z SEER O Programmable OUTDOOR MODEL# X�, INDOOR MODEL# —W-7 Float Switch COMPRESSOR: SINGLE STAGE O TWO-STAGE O DUAL COMPRESSOR O VARIABLE SPEED O Surge Protector INDOOR UNIT: aHYPERION IARUIBLE SPEED OVERTICAL O HORIZONTAL OATTIC ❑GARAGE Concrete Slab)ZL) JOB TOTAL $ Z I(0Z�r WARRANTY NOTES: •Outdoor Stand -UTILITY REBATE $ 3"38 Z c) �o U �unicane Tie-downs _ . YEARS COMPRESSOR O Water Pump -MANUF.REBATE $ [�Q ! , J,J S- OAuxiliary Drain Pan -COMPANY REBATE $ i}(�(_j YEARS PARTS N, O Floor Drain Pan &(_M I O YEARS COILS S o •Maintenance Agreement—_--year(s) PERMIT FEE $ 1 t O Crane Services TOTA TMENT $ O 2`�(} _YEARS LABOR O Electrical: eSTRAIGHT COOL O PACKAGE UNIT O HEAT PUMP O MULTI SYSTEM O Disconnect Box MAKE ��_A�� TONS %4'2-- SEER O Breaker(s) f OUTDOOR MODEL# L (�( INDOOR MODEL# -FA,4,1-7 O Fuses COMPRESSOR: I 21(SINGLE STAGE O TWO-STAGE O DUAL COMPRESSOR O VARIABLE SPEED OElectrical Extension INDOOR UNIT: RION PVARIABLE SPEED OVERTICAL •HORIZONTAL OATTIC •GARAGE O Low Voltage Wiring O High Voltage Wiring JOB TOTAL $ 11 ,9:391 — WARRANTY NOTES: O -UTILITY REBATE $ 339,- C A-S 4 Duct Work: -MANUF.REBATE $ 600) _LL_YEARS COMPRESSOR ,dSuppiy vents i i W 01 Zy-4 1 YEARS PARTS O Return Vents) r,D CAIS -COMPANY REBATE $ I (�(�.` �' G(��,o� Cru•�'� O Return Grill PERMIT FEE $ 31t4 CA_jj C CP YEARS COILS . O Duct Inspection TOTAL INVESTMENT $ © — 1 YEARS LABOR O Return Box O POUTDOOR O STRAIGHT COOL O PACKAGE UNIT O HEAT PUMP OMULTISYSTEM Refrigeration Lines:O Suction/Liquid TONS SEER O Copper Extension MODEL# INDOOR MODEL# ,,[fro-Grade Flush/Treatment/Vacuum COMPRESSOR: I O SINGLE STAGE O TWO-STAGE O DUAL COMPRESSOR •VARIABLE SPEED O Line Cover O INDOOR UNIT:113HYPERION 0 VARIABLE SPEED OVERTICAL •HORIZONTAL OATTIC OGARAGE Air Quality Package: JOB TOTAL $ WARRANTY NOTES: •Duct Cleaning -UTILITY REBATE $ O Duct Sanitation -MANUF.REBATE $ YEARS COMPRESSOR O W Light O Air Purification -COMPANY REBATE $ YEARS PARTS O Air Filters PERMIT FEE $ YEARS COILS •Anti-mold Treatment O TOTAL INVESTMENT $ YEARS LABOR NOTE:ALL PRICES SHOWN ARE AFTER FPL REBATES HAVE BEEN APPLIED,90 DAY WARRANTY ON WATER LEAKS.BUILDING PERMITS ARE REQUIRED FOR ANY REPLACEMENT OF AN HVAC SYSTEM. cu.nn�rn nn., A evnuer—1.1 n..01 n r.0..0 VI—MIUcc Ar^—CD.­=.=