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MC-15-2441 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-244197 Permit Number: MC-9-15-2441 Scheduled Inspection Date: October 14, 2015 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: CATHERINE HABERMANN, GLENN Work Classification: A/C Replacement rnOn Job Address: 164 NE 105 Street Miami Shores, FL 33138-2033 Phone Number Parcel Number 1121360130660 Project: <NONE> Contractor: UNIVERSAL HVAC CORP Phone: (305)785-7630 Building Department Comments EXACT A/C CHANGE OCT(2 A/C UNITS) 3 TONS &2.5 infractio Passed Comments TONS INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 13,2015 For Inspections please call: (305)762-4949 Page 31 of 69 R Miami Shores Village it NO ani fe tlal .. 10050 N.E.2nd Avenue NEf3SG o RWtt y Miami Shores,FL 33138-0000 �E"tea` Phone: (305)795-2204M APROViEb �, � a13t2j3 :� Expiration: 03/2812016 Project Address Parcel Number Applicant 164 NE 105 Street 1121360130660 Miami Shores, FL 33138-2033 Block: Lot: GLENN FORD CATHERINE HABI Owner Information Address Phone Cell I GLENN FORD CATHERINE 164 NE 105 Street ----- MIAMI SHORES FL 33138- 164 NE 105 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 8,500.00 UNIVERSAL HVAC CORP (305)785-7630 (305)200-3964 Total Sq Feet: 0 Tons:5.5 Available Inspections: Additional Info:EXACT A/C CHANGE OCT(2 A/C UNITS) 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 $5.40 DBPR Fee Invoice# MC-9-15-57206 $4.46 09/30/2015 Check#:2676 $329.82 $0.00 DCA Fee $4.46 Education Surcharge $1.80 Permit Fee $297.50 Scanning Fee $9.00 Technology Fee $7.20 Total: $329.82 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 con actor to do the work stated. September 30, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy September 30,2015 1 Miami Shores a Villag S a BuildingDepartment � S€P 2 4 2 15 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 ------------------- """ t l INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20'1 BUILDING Master Permit No. kC- IS- 2Lf L4 I PERMIT APPLICATION Sub Permit No. ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 16-51 4iC /OS- 57- City: Miami Shores County: Miami Dade Zip: 3 3 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: /Construction Type:: � Flood Zone: �y BFE: FFE: OWNER: Name(Fee Simple Titleholder): (/r.�°� '� %l:'`�1�,d�YV "Phone#: yJ�f Address: /6 4 /ti-r- P0.3 33) 13 °.� City: All, / yN-t0aC State: Zip: Tenant/Lessee Name: Phone#: Email: /�� l CONTRACTOR:Company Name:&nl6o"'SW/ "'r Phone#(w5)79!5-- 7630 Address: q-Sv el 7— R!i�Z Va— City: SVe: ( Zip:3 3©/A Qualifier Name: 6nz?CC?,6 Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ ATOD -0 J Square/Linear Footage of Work: 1 Type of Work: ❑ Addition ❑ Alteration ❑ New P Repair/Replace ❑ Demolition Description of Work: 641CytS 3 RN S 2_S RNs Specify color of color thru tile: Submittal Fee$ Permit Fee$ ` CCF$ CO/CC$� V Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ � rd (Revised 02/24/2014) e 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 reinspect' n fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 by by 3 day of so 20�, by rowho is personally known to ' of� C��t r.;�L who is personally known to me or who has produced C OUity jr�3 3W 0 as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PU LIC: NOTARY PUBLIC: Sign: Sign: 1 Print: Print: �•o`P, ,, MARY IS DIAZ. Seal: ;zt .�c Notary Public-State of Florida Seal: ,=o::aY P„ea I MARYELIS DIAZ- My Comm. Expires May 2,2 116 . c Notary Public-State of Florida Commission#EE 194981 My Comm.Expires May 2,2016 „„"° �'•%E OFF��'d Commission#EE 194981 APPROVED BY V Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) �s INC 's. Lie.# 1816556 2744 __. s _ � '� 4rr.10 EXto 2450 W. 80th Street Bay#2 Hialeah, FL 33016 • el:(305)785-7630-(954.) Bill to: t2 ej Service Location- Address. _ - Address: & c 3vir'.1w M,.% Telephone: Telephone: gs ` 197 E-Mail: Date: %Down Payment, %When the job get done Q Visa MC AE Disc CC# Exp Date: Verf Cade: Financing ves0 No[:] by Plan# I?EMOLITION&DISPOSE MATERIAL DUCT PIPE&;FITTM Demo.Existing Package Uniteconect to Existing Piping New Set Refrigerant Lines Demo.Existing Condensing Unit ush Refrigerant Lines 4 SIffsh Drain Lines Demo.Existing Air Handling Unit econect to Existing Plenum ect to Existing Electrical Demo.Other E .UtPM-1ENT INSTALL&START-UP Pkg.Unit Model 4 oat Switch Vibration Padssd� SEER TONS: BRAND: UV Light le Downs S<-r Condenser Model s ' b 3 ondenser Slab,34,g-34 x�>� Condensate Pump STONS: _BRAND: / Con user Stand Air dler Model;; G b it Handler Stand t 'Model: Gold Frame Life Time Warranty Filter oc vital Thermostat ( t64 ::ODuct Cleaning Others: — S -1 eeL- e,z - ,1,CLCi . SMt11/len.'Uu' , fo��eu.,u.rE>tto.• /G i tea'' Years Co ressor. Years All Parts, Years Labor Job TaPrice: _j -- • Extende ''Ottty: • Service Agreement: Yesol, Ne D Syrs Svc A&=Ment $ • Permit ees: j.. ... I have authority to order the work as outlined above.It is agreed that the seller will retain . to any equipment or � $ o • material that maybe furnished until ting payment is.madeln.sw the total charges are-co"by suitor upon demand -n •• of an attorney,the purchaser hereby agrees to pay attorney's fees and court cost for the m*4v of sash collection I FPL!Rebate: Z 0` d • hereby accet the above service and conditions of sale on reverse sidi as being satisfaciory.Hhncownwr must register theMai •.• • a• new equipment within(0Q days as indicated on theilmrerselmvotc representative with nueb�te: . . questions concerning online registration.The above Warranty is.apluti e4aly,,µr the equip "t manufacture registration Caste Paid: i fav Tax Credit: $ Contractor Signature: - --- Final Price: $ �'13-oi� Dov�tl Pa�mlent $ Costumer Signature: Date: Amount Due: $ 0. univtr-s�al.hvac.corp@gmail.com • www.universalhvac.net This combination qualifies for a Federal Energy MWILI CERTIFIED Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2014. www.ahridirectory.org Certificate of Product Ratings AHRI Certified Reference Number: 5561731 Date: 9/23/2015 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: ES6BF-036K Indoor Unit Model Number: B6EMMX36K-B Manufacturer: NUTONE Trade/Brand name: NUTONE 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) 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 namezCl� ry> '3,rS Manu,feS� . Rated"as# ws In accordancewitl -IRIt �' irk ' ource r �r Heat y ��t third party / X,' i / /r 5E`ER Rating"(Cooling....; 16.00 IEER Rating (Cooling): . . .... ...... .••.•• 00:0 .••••. . .... . .. ..... *Ratings followed by an asterisk(*)indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indic9t8s:A?h:oluntary rerte*.•• ••••• DISCLAIMER •...•• • • AHRI does not endorse the roduct s listed on this Certificate and makes no representations,warranties or guarantees as to,: 2ssttmes no 4es on4ibiIit for • P O P g p Y ti..••• 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 theiilowdvot(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in'the .•. • :*so*: directory at www.ahridirectory.org. .• . • 66* . • TERMS AND CONDITIONS AM 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 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. / � ,r 1308751©6�.'� ©2014 Air-Conditioning, Heating,and Refrigeration Institute ATE NO.: r o it This combination qualifies for a Federal Energy POW UNILI CERTIFIEDEfficiency Tax Credit when placed in service www.aiiridirectory.org between Feb 17, 2009 and Dec 31, 2014. Certificate of Product Ratings AHRI Certified Reference Number: 5561731 Date: 9/23/2015 Product: Split System: Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: ES6BF-036K Indoor Unit Model Number: B6EMMX36K-B Manufacturer: NUTONE Trade/Brand name: NUTONE 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) 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: NUTO�ES6BI= SPIES r f/ <„ 81,' ri �///�%�//i r r Manuf2�ut^er resp �Ible °irtf�`ratl%n`g e� i'r's Rate � w pIf�nf dwi� ource - thirdHeat Part�- .,, SE Rating ( -ooling IEER Rating (Cooling): . . .... ...... ...... .... ...... .... . •• ••••• *Ratings followed by an asterisk(*)indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicato""oluntary rerAtt.•• so*** DISCLAIMER • AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,end asst•mes 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{!erformatce of tl�p4lycj(s),or tOe •••• unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed inthe • • • • directory at www.ahridirectory.org. *00• 0 • ••• 0••••0 TERMS AND CONDITIONS AM 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.ahrid!rectory.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. r'" 13087510669��. ©2014 Air-Conditioning, Heating,and Refrigeration Institute TE NCi.' ,SNOR ES L,t Miami Shores Village Building Department en 10050 N.E.2nd Avenue g�FNrj�e Miami Shores, Florida 33138 �loRiDA 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 sin/glee sheets are not acceptable. 'T Job Address(where the work is being done):16 k /05' $/ 1 City: Miami Shores Village County: Miami Dade Zip Code: 3 3 /3 S ALL C,O1�pENSING °t1NITS MUST BE INCH 4 A ON OLID CONCRETE-SLA `- ) 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 I DATA NEW UNIT -�L MANUFACTURER 14 AHU or PKG. UNIT MODEL# 6 — Aim)(' 56 COND. UNIT MODEL# --5 �ji K KW HEAT NOM TONS AHU 3 5 CU j PKG 1) M.C.A AH YnCU/61,6 PKG AHU 40--U :30PKG 2) M.O.P AHUg0 CU30 PKG AHU U ) KG 3)VOLTS AHL901?CU,;ObPKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO 00.0 YES NO NEW 4"CONCRETE SLAB YE • • 0 "'•' YES NO NEW ROOF STAND YES " O i •s•• •• 0000.• YES NO NEW RETURN PLENUM BOX YES • 0000.. ..., .. 1. Minimum Circuit Ampacity(Wire Size): 0 • sees 0000 . .. $00000 sees 60s0e 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 00.000 ••:• 0.00•0 :so:*: e e 3. Voltage of Circuit (208/240/480): • 0000.. 0000.. •000 0 . b' eans: e 4. Size Disconnecting M • ss . 1: — Contractor's Company Name:i//1/1 ,,!5, vl � � � Phone:C 0 State Certificate or Registration NO.C_17C 18165':5:6 Certificate of Competency No. Signature s Date: 0 (Qualifier's signature) (Revised02/24/2014) Extreme Wind Condition Mounting Kit INSTALLATION INSTRUCTIONS For Anchoring (*)S3, (*)S4, (*)S5, (*)SA2,(*)SA4, (*)S6, RSN13, RSG13, & RSG14 Air Conditioners and (*)T3, (*)T4, (*)T5, (*)T6, (*)SH2, (*)SH4, HRN13, HRG13, & HRG14 Heat Pump Models From 1.5 - 5Ton KIT CONTENTS INSTALLATION OF THE ANCHOR KIT DESCRIPTION QUANTITY ON SPLIT-SYSTEM AC/HP MODELS: Base Mounting Bracket for models with 1. It is recommended that this kit be installed on the unit prior to metal base pan 8 connecting refrigerant lines and electrical wiring.It may be installed later if necessary. Base Mounting Bracket for models with 8 2. Position the unit on the concrete pad or other structure and composite base pan install the base mounting brackets as shown in the figure below. TapconTM Concrete Screw 1/4"x 1-3/4" 8 NOTE:The provided concrete screws may be used if the unit is being anchored to a concrete pad or slab. If the unit is mounted Hex Head SM Screw#14 x 2" 8 on a built-up roof or other appropriate structure or framework,the Installation Instructions 1 provided 2"sheet metal screws may be used. 3. Install two anchors on each side of the corners of the unit as shown ABOUT THE KIT forsplit-system AC/HP models(below).IMPORTANT:The screws The extreme wind condition mounting kit is used to anchor split- used in this kit must be properly installed so that the head of the system air conditioners and heat pumps. fastener engages the bracket and anchors it securely. This anchor system is designed to meetthe requirements of Section PRODUCT CERTIFICATION 1620 of the Florida Building Code,5th Edition(2014),regarding The test data,instructions,and contents of the"high-wind"mounting the wind resistance and anchoring requirements for mechanical g g equipment in Florida hurricane zones.This kit will secure these units kits for anchoring Model (*)S3, (*)S4, (*)S5, (n)SA2, , (*)T , (*)S6, to an adequately designed concrete base pad, metal frame or roof RSN13* RSG13,&RSG14 Air Conditioners and (*)T3, (*)T4, (*)T5, structure so that it can withstand a 3 second gust of a maximum been reviewed and t,HRN13, gs have &been est heat pumps have wind speed of 180 MPH. Minimum concrete pad requirements are been reviewed and these findings have been established: shown in the illustration. The mounting kit clips allow the designated units to resist a 180 The kit has been updated to include four additional base mounting MPH wind speed when fastened to an adequately designed hard brackets for use on units that have the composite base pan.These concrete or metal support (stand) in accordance with provided brackets can be identified by the number of holes in the base of instructions. • The acceptable anchorin fasteners include 1 4"T consTM with p g e s / ap the bracket. Composite base pan mounting brackets have 3 holes in the base. 1 1/2"embedment into concrete and#14 x 2"sheet metal screws, one through each clip and into mating metal support. • The technical study was based upon Section 1620 of the Florida Split-System AC&HP models Building Code,5th Edition(2014),3 second gust wind speed,and an exposure to category"C". i - This installation is approved for units on buildings with a height PP 9 9 Smak Base Units: Z""Min. less than or equal to 250 ft. Lat' elt3ase Units: '„ 5'°*Min. NOTE: Copies of the Installation Instructions included with the kit are not stamped. If the local Mechanical Inspection office does not have a stamped copy of this Installation Instruction on file,one may be obtained from the manufacturer of this kit.Contact the distributor Metal ••0• Base Pan where this kit was purchased. • •0••0• •••• Bottom Base • • • Pan Lip M •• • •� ountin • Bracket ••s• •••••• 41;60n Concrete Sam % � ° ' �� ���• •� � • • 1/4"x 1-3/4"Min.or c �'; "� *� �� • • •••• ••••• #14 x 2"Hex Head SM Screw Drill 3/16"Dia. r,,, " """te"""e "~"�y„ • • Pilot Hole w • •e•• eee•• 'Slab may be less than 3.5"but not less than 2"if allowed by all applicable codes. � e Mounting system depicted is suitable for mounting to 3000 PSI poured �i•. e • concrete,1/8"minimum thickness steel,or 1/4"minimum thickness aluminum •""` • at a height above ground up to 250 feet * • • e•••e e y � u Specifications&illustrations subject to change without notice or incu rring obligations(08/15). II I I I I I I l l I II'I'I(III I'll O'Fallon,MO,0 Nortek Global HVAC LLC 2015.All Rights Reserved. 10097480(Replaces 7095010)