MC-15-2079 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-241530 Permit Number: MC-8-15-2079
Scheduled Inspection Date: September 23, 2015 Permit Type: Mechanical - Residential
Inspector: Perez,JanPierre
Inspection Type: Final
Owner: SERVER,SUSAN Work Classification: A/C Replacement
Job Address:566 NE 107 Street
Miami Shores, FL Phone Number
Parcel Number 1122310140020
Project: <NONE>
Contractor: HABIFY Phone: (305)443-4900
Building Department Comments
EXACT REPLACEMENT OF 3 TON SPLIT SYSTEM Infractio Passed Comments
INSPECTOR COMMENTS False
Z_3 l�
I I
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 22,2015 For Inspections please call: (305)762-4949 Page 11 of 35
R fi .�# y�-
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eG,t Miami Shores Village �t �, IGWv.
FiStl7 ���
10050 N.E.2nd Avenue NE Ai*1 PRO
Miami Shores,FL 33138-0000 AP
` Phone: (305)795 2204
lu�bate �1 rE
Expiration: 02/1512016
ON
Project Address Parcel Number Applicant
566 NE 107 Street 1122310140020
Miami Shores, FL Block: Lot: SUSAN SERVER
Owner Information Address Phone Cell
SUSAN SERVER 566 NE 107 ST
MIAMI SHORES FL 33161-7139
Contractor(s) Phone Cell Phone
HValuation: $ 4,250.00
ABIFY F
(305)443-4900
Total Sq Feet: 00
C&R AIR CONDITIONING CO 305-685-6394 (954)680-4494
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:EXACT REPLACEMENT OF 3 TON SF
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.00
CCF Fee Invoice# MC-8-15.56741
DBP $2'25 08/17/2015 Credit Card $50.00 $121.50
DCA Fee $2.25
Education Surcharge $1.00 08/19/2015 Credit Card $121.50 $0.00
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $4.00
Total: $171.50
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,WINIff,
S,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing informio c r an th t II work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-n ntr to d t I ork stated.
August 19, 2015
Authorized Signature:Owner / Applicant / ContradoAg&Wate
Building Department Copy
August 19,2015 1
Miami Shores Village r�CIETV�Ef
Building Department AUG 17 2015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 $Y•
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(30S)762-4949
FBC 20)el-
BUILDING Master Permit Not —
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: ,�66 N Ir )0 '7 ,"r
City: Miami Shores Coun : Miami Dade zip: 13 161
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): , � 1/1Yt61 Phone#: i®3' 7 71IS'
Address: 5 6 6 NE 107'r
/►�
City: i cl e7i 1 S In or e j State: F7( 3 16 Zip:
Tenant/Lessee Name: Phone#:
Email: Susgvi SePyec CTMei, coo
CONTRACTOR:Company Name: C +(z Air co h 1 Co. Phone#:20"�56�
Address: 0 7v
1 I w 16 -7 J'r c Li
V P
City: f State: F 1 . Zip:,-j
Qualifier Name: 0 b ev-t q. C�;O j j ( Phone#:
State Certification or Registration M C AC 09.6 4 I L-t Certificate of Competency M—q& $013
DESIGNER:Architect/Engineer: Phone#:
Address: City: State Zip:
Value of Work for this Permit:$ L4 I S-® -o Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New [Repair/Replace ❑ Demolition
Description of Work: &dA Q� ,
Specify color of color thru tile: r '.
Submittal Fee$ Permit Fee$ /-��• CCF CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ yy
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
inspection will not be approved and a reinspection fee will be charged.
Sign ure Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
A day of U 9 20I ,by Q day of A L14-J 20 S by
15 NJ�' ,who i personally known o t�fO ue 1 � C lit .who i personally know o
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:—N 1-4�iSign: IJIA 14�
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Print: h e t NtPrint: a r,et K rQ rU
Seal: ROBERTJ.CHRYST Seal: £ L JANET KRANZ
Cion#FF ORW :*. Commission#FF 997298
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APPROVED BY Plans Examiner Zoning
��
Structural Review Clerk
IRevised02/24/20141
a
' Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
�lppLIDA 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): 56 6 N 1: 1®7s T
City: Miami Shores Village County: Miami Dade Zip Code: 16 1
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 1� ARHI Sheet Attached:YES ❑ NO❑ Contract Attached:YES ❑
UNIT BEING REPLACED DATA NEW UNIT
er-M MANUFACTURER r a�
I.1 C- I1 r1 O AHU or PKG. UNIT MODEL-# �X F-®�
COND. UNIT MODEL#
%0 KW HEAT )�
NOM TONS
AHU CU PKG 1)M.C.A AHU CU PKG
AHU CU PKG 2)M.O.P AHU CU:30 PKG
AHU CU PKG 3)VOLTS Q ` r(-) AHU CU PKG
PKG UNIT / / PKG UNIT
EER/SEER 1(2,
YES NO REPLACING DUCTS YES
YES NO REPLACING THERMOSTAT _tEp NO
YES NO NEW 4"CONCRETE SLAB ES NO
YES NO NEW ROOF STAND YES NO
YES NO NEW RETURN PLENUM BOX YES NO
1. Minimum Circuit Ampacity(Wire Size):_ 6
2. Maximum Overcurrent Protection (Fuse/Breaker Size): 6 Z 10
3. Voltage of Circuit(20 240 480):
4. Size Disconnecting Means: 60 to 0 C
Contractor's Company Name: C t R R i r C,®"C( . CO. Phone:
State Certificate Wirjj ®`.a y �'I Certificate of Competency No.� � �O�.
Signature Date:
alifier's gnature)
(Revised02/24/2014)
i
a
BRYANT LARGE BASE CUBE
BASED ON A REVIEW AND ANALYSIS THE FOLLOWING UNITS CONFORMS TO
THE 2014 FLORIDA BUILDING CODE AND THE ASCE 7-10 WIND ANALYSIS
CODE. SEE ENCLOSED ANCHORING DETAIL REQUIREMENT AS SPECIFIED IN
SECTION 1620 FOR MAX WIND SPEED OF 180 MPH AND A 3 -SECOND GUST ,
MAX HEIGHT OF 60 FEET.
Bryant Basepan Size Height (in.)
189BNVO49 Large 4411
NOTE: ALL OF THE WIND RESISTING EXTERIOR PANELS, INDIVIDUALLY MEET OR EXCEED
THEIR CAPACITY TO RESIST THE DESIGN WIND LOADS AS STATED IN THE CALCULATIONS
AS REQUIRED BY THE FLORIDA STATE BUILDING CODE 2014. DUE TO THE INDETERMINENT
NATURE OF THESE UNITS, DISTORTION AND DEFLECTION CANNOT BE ACCURATELY
EVALUATED, BUT WITH DIAPHRAGM ACTION OF EXTERNAL COMPONENTS AND INTERNAL
STIFFENERS, THE BASE UNIT HAS THE CAPACITY TO WITHSTAND THESE FORCES WITH
INDIVIDUAL EXTERNAL PARTS BEING CONTAINED. YEARLY INSPECTIONS OR DURING
EQUIPMENT MAINTENANCE,ALL TECH SCREWS, CABINET COMPONENTS, CLIPS AND
ANCHOR BOLTS ARE TO BE VERIFIED BY THE A/C CONTRACTOR. ALL DAMAGED CABINET
COMPONENTS, LOOSE, CORRODED, BROKEN TECH SCREWS OR ANCHOR BOLTS SHALL BE
REPLACED TO ENSURE STRUCTURAL INTEGRITY FOR HURRICANE WIND FORCES
JobNa 15-18 JOB ROBERT .PA
r 9 Ertglnsers
Do' 06-30-2015 BRYANT LARGE BASE CUBE Shm'`#°l"E"`"�
IS-1 Clea sv: R.Samara
omwner qg et ' 4675 PONa���31$
MODELS LIST
coaru GABIEB.FL 3.1146
Ph:3p8-662-1916 fac 308.662-2d91
BRYANT CUBE UNIT
�h
BASED ON A REVIEW AND ANALYSIS THE FOLLOWING UNITS CONFORMS TO
THE 2014 FLORIDA BUILDING CODE AND THE ASCE 7-10 WIND ANALYSIS
CODE. SEE ENCLOSED ANCHORING DETAIL REQUIREMENT AS SPECIFIED IN
SECTION 1620 FOR MAX WIND SPEED OF 180 MPH AND A 3 -SECOND GUST ,
MAX HEIGHT OF 60 FEET.
BRYANT AIR CONDITIONER MODEL UST FOR UTC"CUBE STYLE BASE PAN UNITS"
UNITS UP TO 39"HIGH FOR UNITS OVER 39"HIGH TO UNITS OVER 44"HIGH TO
180 MPH WIND VELOCITY WITH 44"HIGH FOR 180 MPH WIND 48"HIGH FOR 180 MPH WIND
A MAXIMUM BUILDING HEIGHT VELOCITY WITH A MAXIMUM VELOCITY WITH A MAXIMUM
OF 60' BUILDING HEIGHT OF W BUILDING HEIGHT OF 60'
EXPOSURE"D" EXPOSURE"D" EXPOSURE"C"
PA13NR(1.53.5 tan,5 ton) PA13NR(4 ton)
CA13(all tonnages)
CA16(1.5-4 Ton) CA16(5-Ton)
113A(all tonnages)
113C(all tonnages)
1188(1.5 thm 4Ton) 1168(5 Ton)
123A(all tonnages)
126B(1.5.4 Ton) 126B(5 Ton)
127A(2-4 Tan) 127A(5 Ton)
1868(1.5-3 Ton) 1868(3.5-4 Ton) 1868(5 Ton)
1878(4 Ton)
1878 2-3 Ton 1878(5 Ton,series 1) 1878 5 Ton,series 0
1806 2 Ton,series 1 1808 2 Ton,series 0
BRYANT HEAT PUMP MODEL UST FOR UTC"CUBE STYLE BASE PAN UNITS"
UNITS UP TO 39"HIGH FOR UNITS OVER 39"HIGH TO UNITS OVER 44"HIGH TO
180 MPH WIND VELOCITY WITH 44"HIGH FOR 180 MPH WIND 48"HIGH FOR 180 MPH WIND
A MAXIMUM BUILDING HEIGHT VELOCITY WITH A MAXIMUM VELOCITY WITH A MAXIMUM
OF 60' BUILDING HEIGHT OF 60' BUILDING HEIGHT OF 60'
EXPOSURE"D" EXPOSURE"D" EXPOSURE"C"
PH13NR 1.5-0 tonPH13NR 5 ton
CH13 all tonnages)
213A(all tonnages)
213ANC(all tonnages)
2138(all tonnages)
2158(all tonnages)
213C(all tonnages)
214C(all tonnages)
2258 all tonnages)
226A(all tonnages) 226A(5 ton
2858 1.5.4 ton) 2858(5 ton)
285NH 2-3.5 ton285NH 4 tot
2868 2-4 ton) 266B(5 ton)
289B(2 ton series 1) 2898(2 ton series 0)
2898 3-5 ton
280A ell tonna )
NOTE: ALL OF THE WIND RESISTING EXTERIOR PANELS, INDIVIDUALLY MEET OR EXCEED
THEIR CAPACITY TO RESIST THE DESIGN WIND LOADS AS STATED IN THE CALCULATIONS
AS REQUIRED BY THE FLORIDA STATE BUILDING CODE 2014. DUE TO THE INDETERMINENT
NATURE OF THESE UNITS, DISTORTION AND DEFLECTION CANNOT BE ACCURATELY
EVALUATED, BUT WITH DIAPHRAGM ACTION OF EXTERNAL COMPONENTS AND INTERNAL
STIFFENERS, THE BASE UNIT HAS THE CAPACITY TO WITHSTAND THESE FORCES WITH
INDIVIDUAL EXTERNAL PARTS BEING CONTAINED. YEARLY INSPECTIONS OR DURING
EQUIPMENT MAINTENANCE, ALL TECH SCREWS, CABINET COMPONENTS, CLIPS AND
ANCHOR BOLTS ARE TO BE VERIFIED BY THE A/C CONTRACTOR. ALL DAMAGED CABINET
COMPONENTS, LOOSE, CORRODED, BROKEN TECH SCREWS OR ANCHOR BOLTS SHALL BE
REPLACED TO ENSURE STRUCTURAL INTEGRITY FOR HURRICANE WIND FORCES
Job NO: 15-18 ROBERTs SAMMA P'EY a
NAM:
ConsWting Engineers
Do' 06-30-2015 BRYANT CUBE UNIT muctural PE:1%49
R.Samara
�. ` MODELS LIST 4678 PONCE de LEON BLVD,3316303
A Bamet Ph:305-664-119 6 5 Ftp 305-662-2491
(RANK w v.e.
ANCHOR SCHEDULE: A51 Nq
1"CLIPS 2"CLIPS
��- SURSTRAW DESCRIPTION SUBSTRATE DESCRIPTION=
u
(1)-5/16.0 CARBON STEEL (1)-5/16.0 CARBON SIE Z'
F w rte+ p ITW BUILDER TAPCON, TTW BUILDEX TAPCOIS
CONCRETE: 2Y4'FULL EMBED TO CONCRETE: 2Y.'FULL EMBED TO i
(4THICK MIN, CONCRETE,3Y•MIN. (4•THICK MIN, CONCRETE,3!e'MIN.
a p ' 3000 PSI MIN.) EDGE DISTANCE,3T:•MIN. 3000 PSI MIN.) EDGE DISTANCE,31W MIN.
Y ul a yI SPACING TO ANY ADJACENT TO ANY
¢ _ I ADJACENT ANCHOR ACANCHOR. {p
U4 tm W 8u
(1)-f 14 SAE GRADE 5 (2)-f 14 SAE GRADES Z N
ALUMINUM: ALUMINUM: SHEET METAL SCREWS TO W Urj u
MIN. SHEET METAL SCREW TO ~ 333
ALUMINUM,PROVIDE 5 (0.125'MIN.
() THICKAST ,"KIN.6 ALUMINUM,PROVIDE(5) 3
3'MAX THICK,6061.76 (!
(3;r
TYR MIN.ALUMINUM) P THRFESADMI NMIN.ALUMINUM) PITCHES MIN.PAST yOa3'MA7( 1°CLIPS THREAD PLANE wTYP. 3"MAX .i 0
STEEL: (1)-014 SAE GRADE 5 STEEL: (2)-a14 SAE GRADE 5
(0.125'MIN. SHEET METAL SCREW TO (0.125•MIN.•tO •LYZ THICK,33 KSI SHEET METAL SCREWS TO
q O STEEL.PROVIDE(5) THICK.33 KSI STEEL.PROVIDE(S)
3•MAX -J`A,LL� O MLN.STEEL) PITCHES MIN.PAST MIN.STEEL) PITCHES MIN.PAST
THREAD PLANE THREAD PLANE Z y! M
TYP. O
B Z 1. EMBEDMENT AND EDGE DISTANCE EXCLUDES FINISHES,IF APPLICABLE. J
A / Cl2. ENSURE MINIMUM EDGE DISTANCE AS NOTED IN ANCHOR SCHEDULE. >
d �
CONNECTION 1-It,
TYPE C 3. SEE DETAILS ON SHEET 3 FOR ANCHORS ATTACHING TO MECHANICAL UNIT. Q F• O
CONNECTION TYPE C2 x
1°CUP-UTILIZE(1)AT EACH CORNER FOR A TOTAL OF(4)PER UNIT CZ O Z��
`f 1•CLIP-UTILIZE(2)AT EACH CORNER FOR A TOTAL OF(8)PER UNIT
• Qom(:
Z g
R 0 � a
R 0 W
z UNIT WIDTH o6*MAX LL N
Z .. CLIP OFFSET 6"MAX
£w j CLIP PAIR SPACING .. •• CLIP OFFSET IZ-4 C
f�W �Wo a 8
w zow 3•TIP m
O MECHANICAL
_ F� �---�CLIP-CLIP UNIT PER
L1
_I SPACING SEPARATE PL'
'l CERTIFICATION
3•MAX, _ ' Ing
g. €
2•CUPS 3•MAX TYP.
TYP 2°CUPS 3'MAX UTILIZE(4)CLIPS EA SIDE g
TYP. OF UNIT FOR A TOTAL OF
(8)PER UNIT E F O
Rn 3`MAX_H\MJMss`o htnx ,�o o S 6
Tr YP. ` J
MO
3'MAX
TYP. NZ 7 ??
- TYP.
OmRNBIONWfIL6IY1mOP8 '
n CONNECTION TYPE C315-2378
5 ALTERNATE
^� 2•CUPS-UTILIZE(I)AT EACH CORNER FOR A TOTAL OF j4)PER UNIT CONNECTION TYPE C4 (8) CLIP DETAIL sru.m RTIL
2•CUPS-UTILIZE(2)AT EACH CORNER FOR A TOTAL OF(8)PER UNIT 3 N.T.S. PLAN VIEW
THIS DETAIL MAY BE USED AS AN ALTERNATE GEOMETRIC
PATTERN FOR ALL CONNECTION TYPES THAT UTILIZE(2)
CUPS AT EACH CORNER FOR A TOTAL OF(8)CUPS PER ^
UNIT.
i
® " This combination qualifies for a Federal Energy
Efficiency Tax Credit when placed in service
between Feb 17,2009 and Dec 31,2014.
® ® PrOduct
AHRI Certified Reference Number: 6946495 Date: 8/11/2015
Product: Split System:Air-Cooled Condensing Unit,Coil with Blower
Outdoor Unit Model Number: 116BNA036'***A
Indoor Unit Model Number: FX4DN(B,F)037L
Manufacturer: BRYANT HEATING AND COOLING SYSTEMS
Trade/Brand name: BRYANT HEATING AND COOLING SYSTEMS
Region: Southeast and North(AL,AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC,TN,TX,VA
AK,CO,CT,ID,IL,IA,IN,KS, MA, ME, MI,MN, MO,MT,ND, NE,NH,NJ,
NY, OH, OR, PA, RI,SD, UT,VT,WA,WV,WI,WY, U.S.Territories)
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 regions)for which they meet the regional efficiency requirement.
Series name: LEGACY LINE.PURON AC
Manufacturer responsible for the rating of this system combination si BRYANT HEATING ANQ COOLING
SYSTEMS
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 accurac-by AHRIvsponsared, Independent thirdparty testing:
Gaoling Capacity(E tuh}: 34200
EER Rating'(Cooiing): 13.013
SEER Rating(Cooling}: 16.00
IEER Rating(Cooling):
`Ratings followed by an asterisk(')Indicate a voluntary rerate of previously published date,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 produces)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 users Individual, ARswim
personal and Confidential reference. AIR-CONDITIONING,HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The inforrnatlon for the model cited on this certificate can be verified at www.ahrid irectory.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
13083788��2s 4
42014 Air-Conditioning, Heating,and Refrigeration Institute RTrF1CATE NO.: �
< >C&RC&R Air Conditioning C-o.
C&R
6073 NW 16Th Street Suite C-4 Miami Gardens,FL 33015-4330
DADE: 305-685-6394 BROWARD: 954-680-4494
CUSTOMER PHONE NUMBERS DATE
SUSAN SERVER CELL 8/101,15
ADDRESS 305-772-5257
566 NE 107"`ST ❑UNDER CONSTRUCTION
CITY ZIP Email:
MIAMI SHORES 33161 SUSANSERVERLGMAIL.COM ® EXISTING STRUCTURE
We hereby propose to: Furnish,install and service the equipment and materials listed below with the conditions and specifications detailed below during
our regular working hours of Monday through Friday 8:30-4:30.
NEW EQUIPMENT System#1 $ 4450.00 System#2$ System#3 $ 4383.00
FPL Rebate(instant) 200.00 123.00
Your Investment 4250.00 4255.00
Manufacturer BRYANT
RUUD
Condensntg Unit Model# 116BNA036 RA1436
Air Handler Model# FX4DNF037 RBHP21.107
Refrigerant R410 R410
Heating KW 7.5 7.5
Btuh 34.200 36,200
S.E.E.R. 16 15.5
Warrannties°IF REGISTERED BY Parts 10 Yr. Compressor 10 Yr. Puts_Yr. Compressor_Yr. Parts 10 Yr, Compressor 10 Yr.
CUSTOMER(reverts to standard if not) 1 Year Labor 1 Year Labor 1 Year Labor
MISCELLANEOUS
❑Condensing Unit Stand ®Air Handler Stand ®Float Switch ❑Ref.Line cover ❑ Condensate Line
® Concrete Slab ® Thermostat D ®Auxiliary Drain Pan ❑ UV Light ❑Fire Dampers
❑ Other
I
❑ Package Unit Change-out ® Existing Reconnection ® Existing Reconnection
® Reconnect to Existing System El New Electric F-1 Ref lines !I.
❑ ® Any up ag de by code not included ® R-1 l FLUSH
A qualified air conditioning expert will start and test the system and explain its operation.This proposal is good for a two week period from date of proposal and at that
time is subject to review.Title to the system shall remain in us until all sums due us have been fully paid. In the event the purchaser fails to comply with any of the
requirements of this contract and such default results in litigation,the Purchaser agrees to pay reasonable attorney's fees and all court costs and expenses incident to
such litigation.Delinquent payments shall bear 1.5%per month interest from due date until paid. All work is to be performed during our regular work hours unless
otherwise specified.This contract contains all agreements. Neither party shall be bound by any representation,warranties nor agreements,oral nor written not herein
contained.This proposal shall become a contract when accepted by you and approved in writing by our duly authorized corporate officer.
We agree to furnish and install the above describe labor and materials on the terms indicated below for System # 1
1200 . V 's1k �JL oe
TOTAL INVESTMENT $ 4450.009 2s� (�Q jI � 1� 50% DEPOSIT
FPL DE.aL.ER REBATE $- 200.00 FPL Account# `^
5090 DUE WHEN
READY TO OPERATE $ dy
YOUR INVESTMENT $ 4250.00 CUSTOMER RESPONSIBLE FOR REGISTERING SYSTEM
PERNI1T F• • --INCLUDED WARRANTY REVERTS BACK TO STANDARD IF NOT REGISTERED
PURCHASE --'�—/\DATE ' l�REPRESENTATIVE
I ALID FOR 2 WEEKS
JOB NOTES 11
Items not included: permit fee, removal of bushes to install new slab 48"x 36"x 4" next to existing slab