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MC-15-2311.10 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-243283 Permit Number: MC-9-15-2311 Scheduled Inspection Date: November 04, 2015 Permit Type: Mechanical - Commercial Inspector: Perez,JanPierre Inspection Type: Final Owner: MIAMI,ARCHDIOCESE OF Work Classification: A/C Replacement Job Address: 10690 NE 5 Avenue SCHOOL Miami Shores, FL Phone Number (305)762-1033 Parcel Number 1122310430010 Project: <NONE> Contractor: SCREEN TECH SERVICES, INC Phone: (305)915-8029 Building Department Comments REPLACE 4 PACKAGE UNITS-3 TONS EACH TRAVE Infractio Passed Comments (LIKE FOR LIKE) CLASSROOMS 104,105,110,110A. WEEK INSPECTOR COMMENTS False REQUIRED TO START FOR NEW SCHOOL YEAR. CLASSROOMS ARE RUNNING WARM, SPAKE W/ MANNY SALAZAR. 425 NE 105 ST SCHOOL ADDRESS Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 03,2015 For Inspections please call: (305)762-4949 Page 5 of 39 `! Miami Shores Village fi It R-; --, Building Department SEP1 � �a, 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 �---J INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201 BUILDING Master Permit No. C- lS— ,311 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-IPLUMBING 21VZECIHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP pp CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: sa 13 Folio/Parcel#: j 1— `?D�s 1 -©Lf 3-' 00 IL-6 ._ :he Building Historically Designated:Yes NO // Occupancy Type: Load: Construction Type: �Flo\od Zone: BFE: FFE: ^� OWNER: Name(Fee Simple Titleholder): A�1 „c� �6,am & e�Je�►cyn,= Phone#: '36S _)s Address: 13C,9(1 rvk City: nm� S1nc.ge.,111 State:. Zip: 331138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Phone#: Address: *tCC S1,) 166 Ft, 3-a�44a City: State: F-1 I_ Zip: 3311; l L.Qualifier Name:Z'4 L cae i�4 �D X&w+co( . C,Bnq Phone#: qs4 90} qla�� State Certification or Registration#: C.Axn Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 'Pon , cG Square/Linear Footage of Work: Type of Work: ElAddition ElAlteration ElNew Repair/Replace El Demolition Description of Work: - i— 'F_ �x4 e- 4 SC\. YsyC1fts6mo ac eae- !2pnffX7cC I ckryn JQa ,� / ..g Se- _Aa1:� Specify color of color thru tile: Submittal Fee$ Permit Fee$ 4�AV V CF$ 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 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 �7a—tjt� Signature r OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this �Q dayof 9 20) by ��� � dayof Ak4U-AJ 20 ZOiS by A kNen J%C f,0 ,who is perso wn to 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: ( � p Sign: r ' r-� Sign: Print: Pri � _ o CHRISTINA nKiLBRUXSeal: ) Sea ':. .�,- Notary Public-•'- ty0c5��„`uolss, � My Comm.Expire4t O•L40Z'LnoNsaJ(dv.3uolssiwwoORW = ., � Commission s,,�d Ati a•'� j 0131,Iu31Sntl 3NI0VPJ APPROVED BY - ans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 � ,�•�` 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 LOPEZ, JOSE JESUS SCREEN TECH SERVICES, INC. 8622 NW 49 DR CORAL SPRINGS FL 33067 Congratulations! With this license you become one of the nearly one mlll10 Floridians licensed by the Department of Business and 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 CAC013562 ISSUED: 07/24/2014 serve you better. For information about our services,please log onto www.myfloridalicense.com. There you can find more information CERTIFIED AIR CONI?CONTR about our divisions and the regulations that impact you,subscribe LOPEZ,JOSE JESUS to department newsletters and learn more about the Department's SCREEN TECH SERVICES:,.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 customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new license! Expiratian date-AUG 31,2076 1-1407240=736 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD q CAC013562 �.. The CLASS AAIR CONDITIONING CONTRACTOR >- Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 LOPEZ, JOSE JESUS ■ SCREEN TECH SERVICES, INC_ 3400 SW 10TH STREET SUITE C DEERFIELD BEACH FL 33442 s s ■ ISSUED: 07/24/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1407240000736 E �3 3�� f ITT z k r� kP9 f , 1., rfau kg "My Lvov S �g Q �E 0, >k x 4mum v � qw It k'. � Jd�`* 4z e Lia aR iF.t'4±F w Twp w•.R xR Mv1 p�s}Y� jy � iy :' Mu w,.r.Kc awwr vlC�`o. +� ai. ' OA { sig \ r - Y "va �, h' �yy �• �' i i � �r �vw r a" a1 y� a v � v a v r E' ca11;_104' MIAMI i C 3 gym. monoRON $ A 3 V \ R K y\ i \ - c CA POW 01 al ��i t; 3 v t c 3\\� `� \ t } \ra .� s'S,; v a' a �Y€.f '�`•" 1�\irq a\ "' - -. IN Y - } % a x s e,."i Y ¢'': a POE im `qac F fs `xi .E V a r.�. Nw­EEl i 2 ' .* '_v�• ..- �""F'o?i i E - v _ '` +§AY�r..f t 1 ;h T \ tFkv s, aIN NO 0� �, � e r c a2 vv � fi f Mfwth 01, it law a "Y` ,f� 4 3 40 # i, v i r '� \�` ""*, \ _ hn9�, L•y ty 3 v _ o,� v -'°°'�-'�`� CERTIFICATE OF LIABILITY INSURANCE DAT 09/04DIYYYY) 09/04/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 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 IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CAADNTACT Gregg Ditzian Get Smart Insurance Inc. PHONE Ext): (305)653-7977 ac No): (305)6540293 20286 N W 2 Ave E-MAIL info@insure-smart.com Miami,FL 33169 INSURERS AFFORDING COVERAGE NAIC# Phone (305)653-7977 Fax (305)654-0293 INSURER A: Granada insurance INSURED INSURER B: Progressive Insurance Screentech Service Inc INSURER C: 3400 S W 10 St INSURER D: Amtrust Deerfield Beach,FL 33442 (305)915-8029 INSURER E: INSURER F: 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD UB POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 DAGE TO RENTED Q COMMERCIAL GENERAL LIABILITY PRREM SES(Ea occurrence) $ 100,000.00 A ❑ ❑ CLAIMS-MADE O Y N 11/03/2014 11/03/2015 OCCUR 0185FL00040574 MED EXP(Any one person $ 5,000.00 ❑ PERSONAL&ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000.00 0 POLICY ❑ PRO- JECT ❑ LOC 1 $ AUTOMOBILE LIABILITY (CEO, OEaMBINED accident SINGLE LIMIT 1,000,000.00 ❑ ANY AUTO BODILY INJURY(Per person) $ B ❑ ALL AUTOS OWNED AUTOS ULED N N 03304615-0 10/02/2014 10/02/2015 CHEDBODILY INJURY(Per accident $ F-1 HIRED AUTOS ❑ AUTOSWNED Per..,, n)AMAGE ❑ ❑ $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATIONa WC STA ElOTH- AND EMPLOYERS'LIABILITY Y/NER ANY PROPRIETOR/PARTNER/EXECUTIVE AWC1042888 E.L.EACH ACCIDENT $ 100,000.00 D OFFICERIMEMBEREXCLUDED? N/A N 01/21/2015 01/21/2016 (Mandatory In NH) a E.L.DISEASE-EA EMPLOYE $ 100,000.00 If yyes describe under DESG�RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,K more space is required) JOE LOPEZ-CAC0013562 MITCHELL SCREEN LIC#CAC013562 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village Bid Dpt THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores FL 33138 AUTHORIZED REPRESENTATIVE Ga a.txiax t)C9236 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD �4- City of 0 E E R F I E L 1P B E A C H Development Services Department Planning & Zoning Division Certificate of Use Certificate #: 15-00005212 Business Name: SCREEN TECH SERVICES Business Address: 3400 SW 10 ST Business Owner's Name: Mitch Screen Business Uses(s): Office, Business Limitation(s)/Restriction(s): Suite C Property Zoned: I Date: 7/29/2015 MUST BE POSTED AT BUSINESS LOCATION %J SEP 11 ?-015 c!-es vil" 7_W7�1 Miami es Village P V DATE Buildi @NIX 10050 N.E.2nd Avenue X Miami Shores,Florida 33138 Alt Fy Tel:(305)795.2204 Fax:(305)756.8972 11 CT TO COMPLIANCE VVI-A-19 CQkH*j10N1 G REPLACEMENT DATA L R1 JI-F-q ANn RF('T1,JLAT1n�1S 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): LAIAS_ MF- 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 F1 NO[] ARHI Sheet Attached:YES ❑ NO❑ Contract Attached:YES ❑ UNIT,DEING REPLACED DATA NEW UNIT C_\ft, 5S!M= 1(54 MANUFACTURER —jAjP'%LS -C_kn'S_%'-aM 104, Go '�UNIT MODEL# Lio_�NtktwaA r6-A . AHU orftC COND.LAN-IT MODEL# KW HEAT NOM TONS AHU CU PKG_> L>,*A 1)M.C.A 4 es AHU' _CU Ckd) AHU CU PKG .2)M.O.P 41�0 AHU CU PKG AHU CU PKG 3)VOLTS AHU CU PKG PKG UNIT PKG UNIT 000000 EER/SEER 14 0 0 0000 0000•• YES UO REPLACING DUCTS YES 0 6069 00 YES REPLACING THERMOSTAT YES 001) - "'00 YES NEW 4"CONCRETE SLAB YES •0 0 0 0• j NEW ROOF STAND YES :606061 0%496 YES 0.4as YES NEW RETURN PLENUM BOX YES 00 N9 -000 000 0090:0 1. Minimum Circuit Ampacity(Wire Size): d�-Ia U3=AC_ *so:**• 0 96 0 0 000000 2. Maximum Overcurrent Protection(Fuse/Breaker Size): 43 aq&, 0 0000 0 00 0 0 0 3. Voltage of Circuit(208/240/480): .•0 :11: 4. Size Disconnecting Means: C_ Contractor's Company Name: 5�a'EMMY-FIC JA 9F-Am-xa&& '75%34— Phone: I5-_%Ql 9 State Certificate or Registration 0.- &A C-0 1,;51a_Certificate of Competency No. Signature signature) CHRISTINA KILBRIDE 'Notary Public-State of Florida aq� VV My Comm.Expires Sep.18,2017 Commission#FF 055509 (Revised02/24/2014) W I I Miami Shores Village �q Building Department ... MIA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 eye 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): LA las City: Miami Shores Village County: Miami Dade Zip Code: I� 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 � { �gAe AHRI DATA SHEET REQUIRED Change disconnecting means:YES NO❑ ARHI Sheet Attached:YES ❑ NO❑ \ Contract Attached:YES ❑ UNIT EING REPLACED DATA N IT Qt r, A. MANUFACTURER 1CAHU or K UNIT MODEL# �,(�t000 A CON D.UNIT MODEL# KW HEAT ",- NOM TONS AHU CU PK nq, 1)M.C.A t-{ AHU CU PKG) AHU CU PKG 2)M.O.P 4�n AHU CU PKG AHU CU PKG 3)VOLTS ® AHU CU PKG PKG UNIT / / PKG UNIT / / •••• EER/SEER • • •••• •••••• YES 0 REPLACING DUCTS YES " O ; .••. •• YES REPLACING THERMOSTAT YES •• • sows •••••• YES NEW 4"CONCRETE SLAB YES •••••• YES 0 NEW ROOF STAND YES ••44& 60.06• YES 0 NEW RETURN PLENUM BOX YES 06 h{O 6 66:666 6. 66 6 666666 1. Minimum Circuit Ampacity(Wire Size): :W10 tA)=RC. 0 6666.. . . . . 666666 2. Maximum Overcurrent Protection (Fuse/Breaker Size): ® &V&. 0 0 0••... . 6...66 3. Voltage of Circuit(208/240/480): ®g � �, • 4. Size Disconnecting Means: C— Contractor's Company Name: Phone: -ot IS 901121119 State Certificate or Registratiolf o. S'( Certificate of Competency No. Signature s a (R a ifie signature) �` r PU(c CHRISTINA KILBRIDE 0 Notary Public-State of Florida I a94+lBfl °o' My Comm.Expires Sep.18,2017 (RevisedO2/24/2014) �'••;,��„°'P` Commission#FF 055509 q q�� 1 �5NOR y Miami Shores Village Building Department .fes o...M 10050 N.E.2nd Avenue Miami Shores, Florida 33138 jr�RIDp. 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): LA as IAF- I cis-16, City: Miami Shores Village County: Miami Dade Zip Code: _�z 13 a 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 ` r ) AHRI DATA SHEET REQUIRED Change disconnecting means:YES❑ NO❑ ARHI Sheet Attached:YES ❑ NO❑ Contract Attached:YES ❑ UNIT EING REPLACED DATA NEW, NIT �+S rqSM110 MANUFACTURER �i�a£ G�SSnaa II®� �1 - (3 OCy AHU or K UNIT MODEL# AdQQQA CON D.UNIT MODEL# KW HEAT 2�1 NOM TONS tzg AHU CU PKG L> 1)M.C.A 146 AHU CU PKG AHU CU PKG 2)M.O.P g AHU CU PKG AHU CU PKG 3)VOLTS �, AHU CU PKG PKG UNIT / / PKG UNIT / / •••• EER/SEER • . •... .•••.. YES O REPLACING DUCTS YES •• 0 • •• •• YES REPLACING THERMOSTAT YES '•09m, '•'• """ YES NEW 4"CONCRETE SLAB YES :••••: YES O NEW ROOF STAND YES • •••••• YES 0 NEW RETURN PLENUM BOX YES • • .• •• . .••••. 1. Minimum Circuit Ampacity(Wire Size): :-1 W=aC- ..•.•• . . . . ...•.. 2. Maximum Overcurrent Protection(Fuse/Breaker Size): �® g,.,D�. •••••• .. 3. Voltage of Circuit(208/240/480): 901K I 4. Size Disconnecting Means: C. Q� Q Contractor's Company Name: fAiC.. Phone: 3c:6-ot IS OQ`r�9 State Certificate or Registratioxf o. 19b Certificate of Competency No. Signature ® o (Q a die signature) `p04% n",,, 0 jj ,�,�o� "•��; CHRISTINA KILBRIDE Ian, E 'Notary Public-State of Florida :a o,'My Comm.Expires Sep.1 B.2017 P� �°`' Commission#FF 055509 „�i.``� (Revised02/24/2014) 4.°,�` �s@°RQ Miami Shores Village t� Building Department ..0 nn 10050 N.E.2nd Avenue Miami Shores,Florida 33138 IORID� 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): LAaS MF— 105--%, 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❑ \ CA�o�ct Attached:YES ❑ UNIT,BEING REPLACED DATA NEW,,UNIT MANUFACTURER 0%A-%k£ e)-&C.--M (QS— AHU or K UNIT MODEL# A COND.UNIT MODEL# KW HEATc Taa� NOM TONS casae AHU CU pK-o brkig- 1)M.C.A Ll es AHU CU rPKG �Sn� AHU CU PKG 2)M.O.P 4$0 AHU CU PKG AHU CU PKG 3)VOLTS ® AHU CU PKG PKG UNIT / / PKG UNIT / / .... EER/SEER 4 Sean • • •••• •••••• YES O REPLACING DUCTS YES • O • •• •• YES REPLACING THERMOSTAT YES ••• • •••• •••••• YES NEW 4"CONCRETE SLAB YES O •••• YES O NEW ROOF STAND YES • •••••• • • YES 60NEW RETURN PLENUM BOX YES .. Q . . ..;..' .. .. . ...... 1. Minimum Circuit Ampacity(Wire Size): � � • 2. Maximum Overcurrent Protection(Fuse/Breaker Size): O ar•,w7S_ "'•" 3. Voltage of Circuit(208/240/480): �•o� `�'��. •..• 4. Size Disconnecting Means: C_ � c o Contractor's Company NamPhone: 325-9 IS-RW)R, State Certificate or Registration o. , !9 Certificate of Competency No. Signature %% o ® o (Q ae signature) �.�p`'p'v P�B,, jj ?o• � , CHRISTINA KILBR{DE l e 'Notary Public-State of Florida a,9 -My Comm.Expires Sep.18.2017 Commission#FF 055509 (Revised02/24/2014) �'•i;o� � .' I��2� • t` g{ Submittal �y Single Packaged 14 SEER Heat Pumps 4WHC4036A1000A Note."Graphics in this document are tdr'Fbgresentation only.Actual motel rgay.differ in."barance.O••• • • •••• • ••••• •••••• • • ••••• •• •• • •••••• • • • • • •••••• TAG: SAFETY • Only qualified personnel should install and service the equipment The installation,starting up,and servicing of heating,ventilating,and air-conditioning equipment can be hazardous and requires speck knowledge and training.Improperly installed,adjusted or altered equipment by an unqualified person could result in death or serious injury.When working on the equipment,observe all precautions in the literature and on the tags,stickers,and labels that are attached to the equipment Product Specifications MODEL 4WHC4036A1000A OUTDOOR FAN—TYPE PROPELLER RATED Volts/PH/Hz 208-230/1/60 No.Used/Dia.(in) 1/20 Performance Cooling BTUH(e) 35800 Type Drive/No.Speeds ECM/1 Indoor Airflow(CFM) 1070 CFM @ 0.0 in.w.g.(e) 2500 Power Input(KW) 2.92 No.Motors—HP/RPM 1/1/3/850 EER/SEER(BTU/Watt-Hr.)(b) 12.0/14.0 Volts/Ph/Hz 208-230/1/60 Sound Power Rating(dB(A)]W 75 F.L.Amps 2.8 Performance(Heating) INDOOR FAN—TYPE CENTRIFUGAL (High Temp.)BTUH—C.O.P. 32000-3.6 Dia.x Width(in.) 10 X 10 Power Input(KW) 2.75 No.Used 1 (Low Temp.)BTUH—C.O.P. 19500-2.30 Drive/Type/Speeds(No.) DIRECT/CTM/2 Power Input(KW) 2.48 CFM @ 0.0 in.w.g.M SEE FAN PERF TABLE HSPF(BTU/Watt-Hr.) 8 Motor—HP/R.P.M. 1/0.5/1050 POWER CONN. 208-230/1/60 Volts/Ph/Hz 208-230/1/60 V/Ph/Hz F.L.Amps 4.1 Min.Brch.Cir.Ampacity(d) 26.2 FILTER/FURNISHED NO Fuse Size—Max.(amps) 40 Type Recommended THROWAWAY Fuse Size—Recmd.(amps) 40 Recmd.Face Area(sq.ft)(9) 4.00 COMPRESSOR SCROLL REFRIGERANT R-410 No.Used—No.Speeds 1-1 Charge(lbs.) 7.2 Volts/Ph/Hz 208-230/1/60 Subcooiing 80 F R.L Amps—LR.Amps 15.4-84 DIMENSIONS H X D X W OUTDOOR COIL—TYPE PLATE FIN Crated(in.) 36 X 33-3/4 X 48 Rows/F.P.I 2/22 WQGHT Face Area(sq.ft.) 11.2 Shipping(lbs.)/Net(Ibs.) 322/275 Tube Size(in.) 3/8 (e) Rated in accordance with AHRI Standard 210/240. Refrigerant Control TXV—NB (b) Rated in accordance with D.O.E.test procedure. INDOORCOIL—TYPE PLATE FIN W Sound Power values are not adjusted for AHRI 270-95 tonal corrections. Rows/F RI 4/12 (d) Calculated in accordance with currently prevailing 1&-AF•lectrical Code. • • Face Areas ft. 3.44Air— • • •••• •••••• ( q• ) (e) Standard Dry Coil—Outdgpr. • • • Tube Size(in.) 3/8 (n Standard Air—Dry Coil—Indoor•• • 0 ••• •• (9) Filters must be installed in returrbiWa ream.Square ges listed.•••• Refrigeration Control TXV—NB are based on 300 f.p.m.face vel9qtV.':f Vrmanent fiRgrs are used Drain Conn.Size in. 3/4 FEMALE PVC size per manufacturer's recommendation with a clean resistance oft••••i ( ) 0.05"W.C. •••• • • • • Duct Connections SEE OUTLINE DRAWING •0009• i...•• ***So •••••• • • ••••• 0. • • Indoor Fan Performance 4WHC4036A1 EXTERNAL STATIC PRESSURE(IN.WG) MOTOR SPEED 0.2 0.3 0.4 0.5 LOW(a) WATTS 325 330 340 350 CFM 1205 1160 1115 1075 HIGH WATTS 410 415 410 395 CFM 1325 1275 1215 1150 WET COIL,NO FILTERS (a) FACTORY SETTING Pressure Drop Table Number of Racks Airflow 1 2 3 Heater Model No.of Racks CFM Air Pressure Drop(Inches of w.g.) BAYHTRC106A 1 600 0.02 0.04 0.06 BAYHTRC109A 1 700 0.03 0.05 0.07 BAYHTRC111A 1 800 0.03 0.06 0.09 BAYHTRC117A 2 900 0.04 0.08 0.12 1000 0.05 0.10 0.15 1100 0.06 0.12 0.18 1200 0.07 0.14 0.21 1300 0.08 0.17 0.25 1400 0.10 0.20 0.30 1500 0.12 0.23 0.35 • • •••• •••••• • ••Go•• •••• • *fees • •• •G • •••••• • • • • • •Gose• • • • %Goes • G • PETRA �0— ScreenTecs >> . License: CAC013562 servicesinc ° Heating, Ventilation 8 Air Conditioning Consultants Customer: Saint Rose of Lima Location: Classrooms 104,105,110,11 OA Attn: Art Castle Address: 415 NE 105 ' Street Miami Shores, FL 33138 Email: acastle@srischool.com RE: Replace 4- 3 Ton Package Units Phone: (305) 758-0539 Fax: (305) 751-8398 Screen Tech Services CertWied Petra Service Agent is providing a proposal to perform the air con- ditioning work in accordance with the following: Please Note:We found the over and under arrange- ment exact replacement from Trane they phased out the 13 Seer and it only comes 14 Seer and as a Heat Pump, no electric heat therefore the price is reduce significantly because of the same duct ar- rangement. We have included the following in this proposal: • Remove and discard old Trane package units • Supply and install (4) new Trane 3Ton M/N-4WHC4036A Heat Pump Package Units (Like for Like) • Connect new ductwork transition to existing supply and return ductwork • Supply and install manual outside air damper, and filter kit • Re-connect to existing electrical and controls • Secure and anchor units ; .Sege • Crane and rigging ."'+"• • Start up and check unit operation :'• sets• �•� • eee.I... . .S•.r . • • Warranty:1 year parts and labor and 5 years on the compressor ••; 'eels: • Permit •••••s.• :1s •; We have excluded the following from this proposal: Any or code upgrade modifieNIUMperkiyhr ' county request electrical or otherwise. Any Roofing required for this change out. AnyX�j e ,1rical rQ' f• .. • quired outside the scope of this proposal •• t ;•••;• .:::r; • ALL WORK IS TO BE PERFORMED Monday through Friday 8:OOAM To 4:00 PW;K Lding,�-IoG- .+ days • ••` .:'.•:s• .se.ee Price for the work or service performed: ••• •�� ::ti Written Amount Total Cost: $19,$00.00 . . # .• • Terms of Payment: 50% due upon acceptance and 50% due upon completion All payments shall be due in accordance with the terms described above. Customer agrees to pay all court costs and attor- neys fees should legal means be necessary for collection.This proposal shall be valid for a period of_30_days from the date submitted below. Submitted by: Accepted by: Screen Tech Service, Inc. •• •• e 0 • CAC013562 • • • • as 00 see 00 0 0 000 Mitchell Screen Operations Manager—305-915-802V 00 0 .'Authorized Signature and Title see .. . . Date: 08/04/15 •" •Date: ... . . . . 0 :0 . . sees . . . . . .. so . . . 3400 S.W. 10th Street, Suitt;1!. DeerfitI 4aeit,•FL•..33.4'.42 I P: (786)323-8809 F: (305)621-2207 info@screentechservices.com I www.screentechservices.com Permit NO. MC-9-15-231'11 Me Miami Shores Village 1UO5ON£2nd Avenue NE Wk work Ctassfflcation.AICR placement Miami Shores,FL35138-OUOO Permjt&ONs ,,PPR VIED ", Phone: (3m�rS�22U4 ZORIssue xpiration: 03/13/20 Project 10690 NE 5 Avenue Number: SCHOOL 1122310430010 Miami Shores, FL Block: Lot: ARCHDIOCESE OF MI Ml Owner Information Address Phone Cell ARCHDIOCESE OF MIAMI 415 NE 105 ST (305)762-1033 MIAMI SHORES FL Contractor(s) Phone Cell Phone Valuation: $ 19,800.00 SCREEN TECH SERVICES, INC (305)915-8029 Total Sq Feet: 0 Tons:3 Available Inspections: Additional Info:REPLACE 4 PACKAGE UNITS-3 TONS EA Inspection Type: Classification:Commercial 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 $12.00 Invoice# MC-9-15-57045 DBPR Fee $8.91 09/11/2015 Check*6728 $50.00 $602.82 DCA Fee $8.91 Education Surcharge $4.00 09/15/2015 Check#:6738 $602.82 $0.00 Permit Fee $594.00 Scanning Fee $9.00 Technology Fee $16.00 Total: $652.82 In consideration of the issuance to me of this nnnnit. | agree to penunn the work covered xonaummnv in compliance with an 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 ouueponQ this ponnu / uouumo responsibility for all work done uyeither myself, my agent, enmmnts. o,employes. | understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: | certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable |owm regulating construction and zoning. Futhermore,|authorizetx b u contractor to do the work stated. _dk September 15, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department C opy