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MC-16-510 j Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-253523 Permit Number: MC-2-16-510 Scheduled Inspection Date: March 16,2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: PECK,STEPHEN Work Classification: A/C Replacement Job Address:173 NE 107 Street Miami Shores,FL Phone Number (305)801-4427 Parcel Number 1121360070310 Project: <NONE> Contractor: RESIDENTIAL AIR INC Building Department Comments REPLACE EXISTING 31/2 COND THAT WAS STOLEN infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed 1 ' Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid March 15,2016 For Inspections please call: (305)762-4949 Page 12 of 31 Miami Shores Village t` 1 4 10050 N.E.2nd Avenue NE = Miami Shores,FL 33138-0000 Phone: (305)795-2204 .3 a Expiration: 09/10/2016 IMa Project Address Parcel Number Applicant 173 NE 107 Street 1121360070310 Miami Shores, FL Block: Lot: STEPHEN PECK Owner Information Address Phone Cell STEPHEN PECK 173 NE 107 Street (305)801-4427 MIAMI SHORES FI-33161- Contractor(s) L33161- Contractor(s) Phone Cell Phone Valuation: $ 2,800.00 RESIDENTIAL AIR INC g -- Total Sq Feet: 00 Tons:31/2 Available Inspections: Additional Info: 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 $1.80 Invoice# MC-2-16.58804 DBPR Fee $2.00 03/14/2016 Check#:1032 $61.80 $56.00 DCA Fee $2.00 Education Surcharge $0.60 02/24/2016 Check#:1013 $50.00 $6.00 Permit 174-11, $100.00 03/14/2016 Check#:1033 $6.00 $0.00 ScanninCF6 $9.00 Techno[Q Fee $2.40 Total: _, $117.80 ICn. In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining'-- ' reto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting s permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required far LECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS A- FIDAVIT: I certify Pat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructiffand zonin . Futh ore,I a the above-named contractor to do the work stated. March 14, 2016 Auth rized Signature:Owner / Applicant / Contractor / Agent Date Bullc ng Department Copy March 14,2016 1 Miami Shores Village fv]a® BuildingDepartment HiS 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tei:(305)795-2204 Fax:(305)756-8972 774 �r1 INSPECTION UNE PHONE NUMBER:(30S)762-4949 FBC 20)L' BUILDING (waster Permit No. , C I b - ,S l o PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL ❑PLUMBINGIECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: AJ6- 10-7 Miami h i ml Dade Zi Folio/Parcel#: is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE:OWNER:Name(Fee Simple Titleholder):. Peal< Phone#: Address: City: State: Zi Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Compan Name:A4m- Address: PhonU�/®�o��(� City: eV4 __ State Zip: Qualifier Name: Z.APhone#: State Certification or Registration#: rtificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City -State: Zip: Value of Work for this Permit:$ akJOA0 --- Square/Linear Footage Type of Work: ❑ Addition ❑ Alteration ❑ New pal place ❑ Demolition Lei Descrip,tion of ork: -nio o ie ��k 779 e).,n j-A Specify color of color thru We: rr,� Submittal Fee$ Permit Fee$ �, D CCF$� v CO/CC$ _ Scanning Fee$ Radon Fee$ 'Co DBPR$ Notary$ Technology Fee$ ZTraining/Education Fee$ 6. Double Fee$ Structural Reviews$ Q Bond$ TOTAL FEE NOW DUE$ 0� - V. ,BondingCOmpany'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$25W, 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. I t e absence of such posted notice, the irispectfon wig not be armed and a reinspection fee wig be charged. Signature C� Signature OWNER or AGENT T�for oing instrum`- wledged before me this The foregoing in� ledged before a this day of AWN _,20 by __s2 -day3i9 • o - i� rsonaliy n to erson i to me or who has p u �d�A _ as me or who ha cedff t Jo = as Identification and jd identification an � �""' -. NOTARY PUB ••�" NOTARY Sign: Sign: Print: E/rr k.4 a Ch Print: E v Seal: Seal: APPROVED BY 1iPlans Exammer Zoning Structural Review Clerk a � Miami Shores Village Building Department 100 50 N.E.2nd Avenue Florida 33138 CT V ft (305)795.2204 AIR CONDITVIN11WRI�a=0O��i� � .Fax.(305)756.8972 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): �F-/07 6—T City: Miami Shores Village County: Miami Dade Zip Code:`= �l� 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 F-1 NO PKARIHI Sheet Attached:YES Q'INO❑ Contract Attached:YES UNIT BEING REPLACED DAa x NEW UNIT MANUFACTURER AHU or PKG.UNIT MODEL# COND.UNIT MODEL# KW HEAT NOM TONS % (Lg AHU to PKG 2 f= 1 M.C.A -LA AHU CU PKG AHU CU PKG t10 2)M.O.P Q, iD AHU CU PKG AHU CU PKG 3 VOLTS Z AHU CU PKG t PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES YES NO NEW VCONCRETE SLAB YES YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity(Wire Size): � 10 2. Maximum Overcurrent Protection(Fuse/Breaker Size): 440 3. Voltage of Circuit(2080)- 4. Size Disconnecting Means: r J 13 ® t u Z / Contractor's Company Name: Phone•.�,, �.�c�lo State Certificate or Registra n Nortificate of Competency No. w toe�// 0 Signature Date: Ips This combination qualifies for a Federal Energy Efficiency Tax Credit when placed In service between Feb 17,2009 and Dec 31,2016. AHRI Certified Reference Number:3806012 Date:2/23/2016 Product:Split System:Air-Cooled Condensing Unit,Coll with Blower Outdoor Unit Model Number:14AJM42 Indoor Unit Model Number:RHLL-HM3821+RCSL-H*3821 Manufacturer: RHEEM SALES COMPANY,INC. Tmde/Bmnd name: RHEEM;RUUD;WEATHERKING Region:Southeast and North(AL,AR,DC,DE,FL,GA,HI,KY,LA,MD,MS,NC,OK,SC,TN,T),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 condltlonem 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 most 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 2101240-200 8 for Unitary Air-Conditioning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponged,Independent,third Party testing: Cooling Capacity(Btuh): 40000 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 t0.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 pertormence of the producc(el or the unauthorized aMeration of data Inked on this Certificate,Cwtifled ratings are valid only for models and configurations Med in the directory at TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI.This Certificate shell only be used for Individual,personal and confidential reference purposes.The contents of fids 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 arty means,except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at click on• °link cve make late 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 rWL 020114 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 131007148594735342 .Residential Air Inc. 10818 1662 NE 205 Terrace Doe A I a 4 l Miami, FL 33179 c `WM Dade 305-652-6040 Broward 95476440489 su""At Residentlalalr*aol.com Residentialairconditioning.com 113 I v 1 0-7 �S* - Oty-Pswip State licensed and insured. CAC035484 M-35 LC Omer Cm ownt TeOeo— AV Futas Equipment Make&Model Serial No. Date Installed capeftr Condenser Air Handler cataatsaee pwttp Work Performed Rate Hours Labor tater tau corAhmsw 4 oaa>e �l uaah - La b QTY Materials Description Parts awapwaror tit hoca Ftemt Hard stat Kft Thermo" Thank you,we appreciate the opportunity of servicing your air conditioning needs. TOTAL Service Notes: PAM TOTAL LAKM TAR (M Applk") Satvtre T t.uumrrar Si�adue Date VbM .Qne Yeararranty an parts or rnufacnues parts warranty and 60 DaVs Labor. F::--Terms.Paywnent Is expected when services are rendered.We Accept Cash,Credit Cards, and Checks.Made payaMe to Residential Air irtc. r STATE OF FLORIDA DEPARTMENT OF'.BUSINESS AND PROFESSIONAL REGULATION CAC035484 ISSUED: 08/31/2014 CERTIF1EDAIA 0.0NO CONTR VANNI,,RIC14ARO M`' RESIDENTIALAIR,INC. 1'$ CERTIFIED undo r the provisions of Ch.489 FS. EXpK4ftn,*@ AUG31.2010 U40e310=99 00ai8? t•' '�•a•' '1�'Y.t'-�i+^i��'f��:�+F .:1�'k3 4 .# t.-<:t3 b •,. r i UVf�afJ,gr� .,��'49r +Lt ?'4�hyT �y r.• '� 71JF7D 7 tY� Plti" '`q 14LOAM Rf=51b1:�1lI� r�,R�yI, JAW 1#i62 N tSRlt Faust¢�+digpttay �cp of busifdtss MIAn+IrFL 3i* hit ,a4toCsunty CtlpferA Atte &t4 OW111EPtSm TYPE OF�li1mi. RESMEiu iAL ata INC •198 SPEd MECHANIdAt�� sv TAX LL9 Tbft ` Watker(9) .10 CAC0354ed " $75M-*14/2015 6ECK21—I5-11474$ ilL 7, This $asUreeB' sit o a B"s'Pe BaehlessTo L The is sat o tisanes �� d I Notdit oon►plT w any ga erNmeaeal ,M�,gnygi►�nef� calks... � , 71itIitECkIPTtib.sbtiwlinsethe on all • � `tri "`� r��. ' • I