MC-15-1885 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-241654 Permit Number: MC-7-15-1885
Scheduled Inspection Date: August 19, 2015 Permit Type: Mechanical - Residential
Inspector: Perez, JanPierre
Inspection Type: Final
Owner: GUERRA,JUAN AND BERTA Work Classification: A/C Replacement
Job Address:518 NE 94 Street
Miami Shores, FL
Phone Number (305)757-3111
Parcel Number 1132060140960
Project: <NONE>
Contractor: MIKE'S AC SERVICE INC Phone: (305)751-5814
Building Department Comments
REPLACEMENT OF A/C UNIT 3 TONS SYSTEM AND 10.0 Infractio Passed Comments
KW HEATER INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-240034.
Failed
Correction ❑
0
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 19, 2015 For Inspections please call: (305)762-0949 Page 36 of 39
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1$1iORE';T D� Miami Shores Village ; ."" Fa `" pe':Met a�►i�i-R
10050 N.E.2nd Avenue NE lass 041iort Repl+k�lertt
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• -� "'""'' Miami Shores,FL 33138-0000
F mit Stlitus:APPIR,OVE ?.
� Phone: (305)795-2204 � ;'
GOR1Dp` � a`
� 3/3l201a Expiration: 01/30/2016
Project Address Parcel Number Applicant
518 NE 94 Street 1132060140960
JUAN AND BERTA GUERRA
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
JUAN AND BERTA GUERRA 1045 10 ST#907 (305)757-3111
MIAMI BEACH FL 33139-5362
Contractor(s) Phone Cell Phone Valuation: _ $ 4,475.00
MIKE'S AC SERVICE INC (305)751-5814 (305)986-0702
Total Sq Feet: 00
Tons:3 Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Final
Approved:In Review Review Mechanical
Comments: Date Approved: : In Review
Date Denied: Type of Work:REPLACEMENT OF A/C UNIT 3 TON:
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.00 Invoice# MC-7-15-56489
D13PR Fee $2.35 08/03/2015 Credit Card $ 133.33 $50.00
DCA Fee $2.35
Education Surcharge $1.00 07/28/2015 Credit Card $ 50.00 $0.00
Notary Fee $5.00
Permit Fee $156.63
Scanning Fee $9.00
Technology Fee $4.00
Total: $183.33
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 is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named contract do the r stated.
` �. � August 03, 2015
Authorized Signature:Owner / Applicant Contracto / get Date
Building Department Copy
August 03,2015 1
Miami Shores Village '
JUL Z�a za��
Building Department BY:
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305)795-2204 Fax: (305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201/
BUILDING Master Permit No.M17 ^ —
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING CKMECHANICAL F—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: `_3Z2(2(2'
Folio/Parcel#: /i 3 ,2 d - o e- I-q & o Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder)* 3A0 r c 1 c,CAO Phone#: ?AD�; --7-IS t
Address: � (�A
City: "AfIra- State: F, Zip: _3�37j
Tenant/Lessee Name: ) Phone#:
Email: 6ALW�i_QLJ 0' 12!f_A-500-f��In . ✓ e
CONTRACTOR:Company Name: t•1 k e'n) Phone#:3US-
Address: 1-7 "75 /V,5 g,:21 S Z2Z L L; T ZY
City: l)-71�4 State: in=L zip-3r
Qualifier Name: /Y!t !>'6�G L 17'7.4 y Phone#: , S' 715_/_sem f
State Certification or Registration#: CA L 0.?z 5' Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: �7 City: State: Zip:
Value of Work for this Permit:$aj C2 d Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work:
YABtNa'
v A �2, S t4S T�
Specify color of color thru tile:
Submittal Fee$ ..TD'y Permit Fee$ CF$ CO /CC$
/.0:6 b
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 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
III inspection will not be approved and a reinspection fee will be charged.
'J
Sg Signature
n ure ! Si nature ` G
X
/ f
i� NES AGENT CONTRAC OR
The foregoing)nstr Qnt was acknowledged beforemethis The foregoing instrument was acknowledged before me this
L
day if 20 S by ao day of / 20 �v by
{�
/ In0 personally known to /qi,JJJ& who is
personally known to
me or who has produced as me or who has produced � as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
r• M�
Print: i
MY vuiwri.cwi= Notary FUD11C
�' Joanna M Feliciano
Seal: f „ Sea My Commission FF 082 53
NriMM
OF d11' Expires 0111212018
PW
***************************************** **** ***********************************************************
APPROVED BY lans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
5�0 Miami Shores Village
Building Department
■■■ ■■■■■l" 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
�r"10 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):_' NNG !2 /� _'S 7-1Z L ,!.-5-_7
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❑ NO10 ARHI Sheet Attached:YES 7Z NO ❑ Contract Attached:YES P.
UNIT BEING REPLACED DATA NEW UNIT
12,1_711 CIE !yI MANUFACTURER (Z f.-/C
8/-/"--- 02 6 // AHU or PKG. UNIT MODEL#p NG/17 6 y 1 ivif14 AJ
Z 4 L (o T COND. UNIT MODEL# (Zq p E,]( 3
KW HEAT
NOM TONS
AHU CU Z PKG 1)M.C.A AHU,04tU.2f PKG
AHU CU PKG 2) M.O.P AHU U 3,f PKG
AHU CU ' KG 3)VOLTS AHU21XU;I>KG
PKG UNIT / / PKG UNIT
EER/SEER / ,4 j
YES NO REPLACING DUCTS YES NO
YES NO REPLACING THERMOSTAT YES NO
YES NO NEW 4"CONCRETE SLAB YES MW
YES NO NEW ROOF STAND YES 22
YES NO NEW RETURN PLENUM BOX I YES CO)
1. Minimum Circuit Ampacity(Wire Size):t�-
2. Maximum Overcurrent Protection (Fuse/Breaker Size): � 42 / a' f
3. Voltage of Circuit (208/240/480): 3
4. Size Disconnecting Means: k e2
Contractor's Company Name: C_ S�Z�/� P Phone: X���,S
State Certificate or Registration No. FJr Certificate of Competency No.
Signature Date:
(Qualifier's si natu e) T-'
(Revised02/24/2014)
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: 7942208 Date. 7/27/2015
Product: Split System: Air-Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number: RA1636AJ1
Indoor Unit Model Number: RH1T3621MTAN
Manufacturer: RHEEM SALES COMPANY, INC.
Trade/Brand name: RHEEM; RUUD
Region:
Region Note: Central air conditioners manufactured prior to January 1,2015, are eligible to be
installed in all regions until June 30, 2016. Beginning July 1, 2016, central air conditioners
can only be installed in region(s) for which they meet the regional efficiency requirement.
Series name:
Manufacturer responsible for the rating of this system combination is RHEEM SALES COMPANY, INC.
Rated as follows in accordance with AHRI Standard 2101240-2008 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): 36000
EER Rating (Cooling): 13.00
SEER Rating (Cooling): 16.00
IEER Rating (Cooling):
Dating;tdiz od by an asterisk('i irkiicatca vduntary rcratoof prcviousty publishaid,=,unk:a,ar::nipan&J withaWAS,vtiich indr7toaan involuntary r-rat—
DISCLAIMER
AHRI does not endorse the pro duct(s)listed on this Certificate and makes no representations,vi arranties or guarantees as to,and assurnes no responsibility for,
the product(s)listed on this Certificate.AHRI expressly disclaim s all liabilityfor damages of any kind-arising out of the use or performance of the pro duct(s),orthe
unauthorized alteration of data listed on this Certificate.Certified rating:are valid on�j fur models and configurations listed in the
directory at
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRI.This Certificate shall onlybe used forindividual,personal and
confidential reference purposes.The contents ofthis Certificate maynot,in whole or in part,be reproduced;copied;disseminated;
entered into a computer database;or otherntise utilized,in anyform or manner or by arry m cans,except for the a ser-s individual,
personal and confidential reference.
CERTIFICATE VERIF ICATION
The inform ation fo rth e m ode cited on this certificate can be verified at Click on" link
and enterthe.AHRI Certified Reference Plumber and the data 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.: �aaaz�aaaaaaa�s�ao
G
k iY y+F
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PROPOSAL AND SALES AGREEMENT
CUSTOMER: Juan Guerra July 09, 2015
ADDRESS: 518 NE 94t'Street
ADDRESS: Miami Shores, FL 33138
RE: Replace 3.0 ton air conditioning and heating system in the west side of the house(with new environmentally
friendly refrigerant 410A)
INSTALL 3.0 TON RHEEM AIR CONDITIONING AND HEATING SYSTEM
1)We will recover the refrigerant 22 from the old system, we will remove the old air handler unit from the air conditioning closet,
we will remove the condensing unit, and we will dispose the old air conditioning system according to EPA regulations.
2)We will install new 3.0 ton HI EFFICIENCY RHEEM air conditioning&heating system, the air conditioning system has
efficiency rating of 16.00 SEER 813.00 EER, all installations will be done according to South Florida BLDG codes.
3)We will install the new condensing unit in the same place over new concrete slab,we will install the new air handler unit over
same stand, we will install the new air handler unit in the same place in the air conditioning closet,we will install the new float
switch in the air handler unit, we will clean out the existing refrigerant lines with R11 flush out&nitrogen , we will connect the
refrigerant lines in to existing,we will connect the electrical in to existing, we will make new main plenum in the air conditioning
closet, and we will connect the ductwork in to existing.
4)We will evacuate the system, we will charge the system with new refrigerant R10A, and we will balance the system in the
house.
EQUIPMENT: RHEEM AIR CONDITIONING&HEATING SYSTEM SEER IS 16&EER IS 13.00
1 RA1636AJl NA CONDENSING UNIT
1 RH1T3621MTANJA AIR HANDLER UNIT
1 RXBH1724C10J HEATER INCLUDED
1 FLOAT SWITCH
1 ALL THE MATERIALS, REFRIGERANT LINES, INSULATION, & REFRIGERANT 410A
LABOR WARRANTY: Service will be provided free of charge by us for a period of one year from date of installation, during
regular working days Monday thru Friday®ular working hours 8:00 AM to 5:00 PM. No warranties on air conditioning filters,
and in the preventive maintenance
MANUFACTURER'S WARRANTY: All the parts in the system for period of ten years, the evaporator coil for period of 10 years,
the condenser coil for period of 10 years and the compressor for period for 10 years from the date of installation.
TOTAL SYSTEM COST: We shall furnish labor, materials&equipment detailed on pages 1 &2 for$4,475.00 dollars, the sales
tax is included in this proposal. FPL REBATE($200.00)MFG REBATE(0.00)TOTAL CUSTOMER PAYS $4.275.00(PLUS THE
PERMIT FEE,& PROCESSING FEE.
TERMS: Customer hereby accepts this proposal and agrees to payments as follows, 50°x6 down payment upon acceptance of this
proposal, and 50°x6 final payment when the job is completed.
r 7
CONTRACTOR: ` , _ " DATE: f
CUSTOMER: DATE:
s
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