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MC-16-746 •� - ' Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (306)796-2204 Fax: (305)756-8972 nspection Number: MSP-255284 Permit Number: MC-3-16-746 Inspection Date: March 28,2016 Permit Type: Mechanical- Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: NICHOLS,ALLAN Work Classification: Addition/Alteration Job Address: 113 NW 106 Street Miami Shores, FL 33160- Phone Number (305)758-9630 Parcel Number 1121360080310 Project: <NONE> Contractor: AIR& HEAT UNLIMITED CORP Phone: (3051,557-9333 Building Department Comments INSTALLATIODN OFF NEW A/C AND DUCTWORK Infractio Passed Comments _�- INSPECTOR COMMENTS False l/ I Passed Inspector Comments l � Failed COrraCtia 0 Needed i i Iia•-o napection Fee No Addit:onE 1:nspecticns can be scheduled until ro-;Iapa:.acn fee is paid. For Inspections please call: (305)762-4949 March?.R,i06 Page 1 of 1 e Miami Shores Village n d 10050 N.E.2nd Avenue NW Miami Shores,FL 33138-0000a H Phone: (305)795-2204 v y Expiration: 09120/2016 Project Address Parcel Number Applicant 113 NW 106 Street 1121360080310 ALLAN NICHOLS Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone cell ALLAN NICHOLS 113 NW 106 ST (305)758-9630 MIAMI SHORES FL 33150-1247 Contractor(s) Phone Cell Phone $ 10,000.00 AIR&HEAT UNLIMITED CORP (305)557-9333 Valuation: Total Sq Feet: 0 Tons:4 Available Inspections: Additional Info:INSTALLATION OF NEW A/C AND DUCTWOR Inspection Type: Classification:Residential Final Approved:In Review Rough Duct Comments: Date Approved::In Review Review Mechanical Date Denied: Type of Work: Underground Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $6.00 Invoice# MC-3-16-59099 DBPR Fee $5.25 03/24/2016 Check*8076 $335.50 $50.00 DCA Fee $5.25 Education Surcharge $2.00 03/22/2016 Check#:12946 $50.00 $0.00 Permit Fee $350.00 Scanning Fee $9.00 Technology Fee $8.00 Total: $385.50 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,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing info Ertafte and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the abov named con to do the work stated. v March 24,2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy March 24,2 16 1 w s t • Miami Shores Village Building Department artmentY'VD IZE 7MA2 22816 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY: INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 201q BUILDING Master Permit No. (6 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ffil MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 113 NW 106 STRET City Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2136-008-0310 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): ALLAN J NICHOLS Phone#: 305-725-3536 Address: 113 NW 106 STREET City: MIAMI SHORES State: FL Zip: 33150 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: AIR& HEAT UNLIMITED CORP Phone#: 305-557-9333 Address: 1725 W 39 PL City: HIALEAH State: FL Zip: 33012 Qualifier Name: ARIEL LANDRAU Phone#: 305-557-9333 State Certification or Registration#: CAC 1815244 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: value of Work for this Permit:$10,000.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration 0 New ❑ Repair/Replace ❑ Demolition Description of Work: INSTALLATION OF NEW AC AND DUCTWORK -Tory S Specify color of color thru tile: 42 Submittal Fee$ - C� Permit Fee$ e5O LOO CCF$ CO/CC$ Scanning Fee$ Radon Fee$ . 99`< DBPR$ ',PS Notary$ Technology Fee$�► Training/Education Fee$ Q � Double Fee$ C1� Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ^� (Revised02/24/2014) � s 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 Signature NER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of /141412YN ,20 1 ( ,by 15TH day of MARCH ,2016 by -7. A11 CH61S ,who is personally known to ARIEL LANDRAU ,who is person wn 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: C Sign: 4Sign: alo. Print: Print: .. I,C�MLE�ARRILLO �;rM"^ ARIEL- 075729 '`'' oP'f EXPIRES January 28,2018 Seal: "' #FF Seal: AW-e ry jR MY COMM}SS1 11,2017 *� !iDtPIFtI:B Deoe (407)Me-otsa FioNdaN 9endce.aom �'+aa It tM�9NAts lie cam+ M.MM1<s� �7k7��7�7k*��***��*7�***7��1k7k**7k7M*�7k APPROVED BY \P'larsExaminer Zoning Structural Review Clerk (Revised02/24/2014) RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY ' STA'•fE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD ;°;t 11 IN I �y CAC1815244 •e ?o .a The CLASS AAIR CONDITIONING CONTRACTOR• Named below IS CERTIFIED _ Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 - LANDRAU,ARIEL - - AIR&HEAT UNLIMITED.CORP.._, 1725 W 39 PL. - �. .. _ -. - _ `• ' ,� •HIALEAH FL'33012 ISSUED: 06/2=014 DISPLAYAS REQUIRED BY LAW SEQ# L1406220000874 Local Business Tax Receipt Miami—Dade County,State of Florida THIS IS NOTA BILL-DO NOTPAY 5955043 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES AIR&HEAT UNLIMITED CORP RENEWAL SEPTEMBER 30,2016 1725 W 39 PL 8212328 Must be displayed at place of business HIALEAH,FL 33012 Pursuant to County Code Chapter SA-Art.S&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED AIR&HEAT UNLIMITED CORP 196 SPEC MECHANICAL BY TAX COLLECTOR ARIEL LANDRAU,QUALIFIER CONTRACTOR 9000 07/28120/5 Worker(s) 25 CAC1846244 CHECK21-15.107775 This Local Busluess Tax ilacelpt only confirms payment of the locel liusineas Tax.Ths Becetpth:nota license, permlt,or a certification of the holder's qualifications,to do busiaees.Holder must comply with any governmental or nongovernmental regulatory laws and requlremsols which apply to the business. I RECEIPT N0,above most be displayed on all commercial vehtcles-Miami-Dade Code Sec rte-276. at pl tt For more Information,visitwww.mfamidade govhaxeollemm r r ' aco®� CERTIFICATE OF LIABILITY INSURANCE DATE( ' kl.� 3/21/2016 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 terns 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 Julie Hughes Stahl & Associates Insurance Inc. PHONE (863)606-6061 FAX (863)688-4344 91 Lake Morton Drive ADDRL :julie.hughes@stahlinsurance.cam P O Boa 3608 INSURER(S) AFFORDING COVERAGE NAIC0 Lakeland FL 33802 INSURERAMCCI Insurance Group INSURED INSURER B:FP'VA Mutual Insurance Cc INSURER C: Air & Heat Unlimited Corp WSURERD: 1725 W 39th Place INSURERE: Hialeah FL 33012 INSURER F: COVERAGES CERTIFICATE NUMBER:15/16 & 16/17 Master 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. INSRTYPE OF INSURANCE ADDL POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS $ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ENTED A CLAIMS-MADE 50 OCCUR -D04l $ 100,000 GLOO11271 12/31/2015 12/31/2016 MED EXp(Any one n) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 HPOLICY ECT ElLOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY EaMaccl INEDIN $ 1,000,000 8 ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED AUTOS AUTOS CA0015151 12/31/2015 12/31/2016 BODILY INJURY(Per accident) $ NON-OWNED PP OP ERS DAMAGE $ 1HIRED AUTOS AUTOS PIP-Basic $ 10,000 8 UMBRELLA LIAR B OCCUR EACH OCCURRENCE $ 11000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED I 8 I RETENTION 10,000 01480017935 12/31/2015 12/31/2016 $ WORKERS COMPENSATION g STATUTE ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN NIA E.LEACH ACCIDENT $ 1,000,000 B OFFICEtoly In H)EXCLUDED? a WC84000209342016A 1/1/2016 1/1/2017 E.L.DISEASE-EA EMPLOYE $ 11000,000 (Mandatory In NH) Wdescribe under dRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space is required) Contractors License CACIS15244 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Miami Shores Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Tony Martinez/HUGHES ] ""~" ®198&2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS028mmtl 1�^ Q • w view Um Iaml shores Village Building Department �ORI� 10050 N.E.2nd Avenue Miami Chores, Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 CONTRACTORWREGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B.��COPY OF LOCAL BUSINESS TAX RECEIPT C. COPYOF LIABILITY INSURANCE* A. COPY 4F WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor AltidaWt) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT, D. COPY OF LIABILITY INSURACE* E, COPY OF WORKERS COMPENSATION INSURANCE'S (Workers Compensation EXEMPTION must have NOTICE TO OWNER form end Contractor Afffdavit) *YOUR INSURANCE'COMPANY MUST ISSUE,A CERTIFICATE AS FOLLOW:. Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 Certificate must spa*the description of operations or contractor license number, •sssaa�aasaasaaaaarsasaaaasasassas�saa�ss�as�aaaaarassaaasaaaarsarea�as�sYsasaarasssaaraaa• BUSINESS NAME: Oke- uM C-Q �'(�PP BUSINESS ADDRESS:_ �1Z S 2A, �k . CITY 1)kA\camSTATE \ ZIP � BUSINESS PHONE: L=5 95`1-qa-nii. FAX NUMBER CELL.PHONE(__) QUALIFIER`S NAME:&1 eA L, n dau QUALIFIER'S LIC NUMBER: C Lit Szsa�i ' Allb PROPOSAL & SALES AWMEMENT M016- ( 05)557-9333 AIR CON KING&INSULATION qcx T qrm 1725 West 39th Plane,Hialeah,Florida 33012 PORCKWI11- SITE ADDRESS• '/ ) 3 EQUIPMENT SCHEDU PACKAGE UNIT CONDENSING SECTION BLOWER COIL,a CON ENsINQ SECTION BLOWER COIL' VEN7ILA ON QUANTITY BRAND A 47 MODEL s SIZE HEATING HEkrTREcovERy CONDENSING SEC**• 13L'OWER COIL CONDENSING SECTION COIL LAWN QUANTITY BRAND 11,61 MODEL 4AB P4 4U SIZE iU HEATING AIR DISTRIBUTION: Will be installed according to: our plan # to moditilCalion-acconiing AIR CONDITIONING ING to.structural or other requirements. h DUCTS: vAU be: VQLASSF46ER '4FLEX DUCT NtAt�t ED.All material vviil be:aU neW,Bret quality, SUPPLY desigpe#,.fabricated and installed according to accepted engineering practice and in Compliance vAth all RETURN __ applicable building codes In force on above date. %01GRILLES:. VAll be as shown subject to job-site requiremerts: 44-METAL 4-)-.P YSTYRENE CONTROLS: q Thermostat shall be aE wall type: :( tEATING ( CLUNG HEAT RECdvERr PARTS WAR Manufacturer's year Warranty on compressor. RAN1Y;, 9 Manufacturer's year warranty.on all other componer'lts.' SERVICE; f AIR&HEAT UNLIMITED CORP.Will provide free service labor for period of from date of start-up. Service will be performed-during normal working days ate' h rd only unless �iCEs cvr>O TtIRu* authorized by purchaser at additional charge.' ` '�— c/Z ; . - �� AESPONSISILITY SHALL BE ASSUMED AS INDICATED BELOW:' r-�!"Z 40m Mike INSTALLATION OF E OUIPMENT DRAiN PIPiNCi . . . . . .. . . . (� ( �. THERMOSTAT'iNSTALLATION. i CONDENSATE PUMP . . . ( 1 ' POWER WIRING FROM PANEL TO EOUIPMENT. REFRIGERATION PI NG . . . ( j WATER PIPING FOR HEAT iiECOVER'K;I�MT. . INSTALL DUCTS AN6-GRILLES. . . . . . , . . ( (' CUTTING,PATCHING OF HOLES FOR PIPE$, ° � 'DRYER VENT. . . .9. DUCTS,ETC.: (' IOTCHEN HOOD PIPE . . . . . . . . ( ACCESS&CLEARANCE MR DUCTS GRILLER BATH EXHAUST FM I(SEE VENTILATION) . . . . . EQUIPMENT STRUCTURAL SUP RT FOR EOUiPMENT:. . . . . . - STEEL STRUCTURE,FOR COND.UNIT L.. Ll _ SCHEDULE OF PAYMENTS SALES ENGINEER Vm ORDER............ . °o VVITM UINDERGROUND(II�fE3. *a M=RWSH6 IN... % ptedfor He~Uffftd Corp. Title: AmIm t1NRS ALL CONDITIONS READ AND ACCEPTED(SEE REVERSE FOR CONDITIONS OF CONMNGPURCHASER -Tim *THIS PROPOSAI.DOES NOT REFLECT FUTURE PRICE INCREASES FROM EQUIPMENT&MATERIALS SUPOLIERS.ANIf&�A{�PRICE I REASES WILL BE TO THIS/AGREEMENT AFTER DATE SET ABOVE !. • l --<i R [�3a'4+ s r r rs x �r r 'r ( 51,44 g, hat-:+ iaa.�-�es� rr r sx' •g. f � r4*.c i,_ F1r] g A .ftR.41fc- a9 ssaa73�Ac +�apR',mizz+*aac-gaa�+�aPvgee4w^�..a..��`= sss eP.�.vc_rsic_.� t,y 2Yr �,•i°�A+b1� F' t.At ..� - J..-..,...�1.�. 'ar,*.4*q.�...,.->R-.--s.x�- . .--.t--, - �•� �• _� � _....._.�- __� �-�.J�'� 1 yam^ /Jit-`� t 1..,_� 7 kic «.� 1r�� fll �Safi i 9t3 ��IRr31,"w1ut�_ °M11-} �ltl�: i J a"n� �� t 1Maea' w Lt a l Ti�9J 7x M'- A .� T� its Bt�C?3A: �14f �w`�t�4J3+� .:47 i + l14iNrSr 5�1'` i. �d�rc'_�i' l9d�l fZs�si �•51rk3?� i livered 7€fT w +s� i equipenant a`nd h�eterlaT3a to'�'jo6srr�`est " pin®moi litrlin ,in h fr 'd deador �bcve irra wiil'lae eicEnt� n � _ T Ii.t ,l)NM f t �r tt i`�u i3f a i� "►ar i`f as or ig d " . p`f Y equipment. e a other person to assume-for 1t any Habilrt/ , +'M hONction with the sole of thrs � 1�.;=.r�� rL? PAY..#ti ILC90:•1.," i'7'"ft,a�'c`11 eCl.Ple�"rr .3�•�k'd�pr�a� '�>�=�. ernr3Gt'f'�dty+ r�Y 1.4 j>1t,°#,a? 7.,t 0,�'�} C rter6hip tha a e.e 'i�1 and t In�n sei g 1 } Y ` Sam.is i° ✓19Y 3dd !74 r1f't'-yP iT �.l' irrl 'L.ii.T ly! d �f;` >4t.�n[i'.a`".�. fully paid in a "Ce As t o sc a use o as aet e h a even p `gnt ie nc made iic, the bnle artd `ae. 4F ° ti `tr, 't3ar r ► elYd `tt` ' ia'iiirials-- .� possession ether or not saime`have t��n ��i c �o' �� graes to -ys ��' r - able y fesa e�►id r o 'M.4.r�6�� 1'�1E aft mr�r x6 �dii All servrt�e all be suspended on post d� lYto o tri E 4_Y i e99&! PV, > Y RV.; a4a 1t is ` at the �q�.haser releases the seifer a that t is s po_16' nd shall not; ire' `' � N""' t'�"c r 9> era i �i e "t A�' responsible any loss,tla� >�^decaya� l > f e 'aaricas ,` �i� on,tiaeft,ficds, v f - wl 4 1. P.. J. Ndi . : ' .:JWWjq"rt�r '.! `flit ;. of Sod; .:� v q *O&?And any e�renit f� e co tit f 1lciel ' consequential da"ges ;Pufch»ser an his easrgns; ri�e hold, r harmers end'release seller`fr�rin.eny and all.clarr►sor� damages, including vJater.damage, resulttru feom�.... installa4an of arty eq meat, duct iniork, or drainage feciCitaes 4 specified in this pro�sai. 1513 f 4i tlt�1r71 il�;v�k" vA*� Y.C,i- '.�rr}.i.r r .'i - 'Fhat iri.; elven -the pur•che rapudra s fps execul�on and re `to,ails it seii�to cerrn7Rtence vuoric )'•under t provisions,then itt thst:&A ri�C user shall pay to and p�nsibie to the s�s�i-r�ri 1 cf 90%.; the contract pr ico,as for 11, iiia mages anc .nbt as'a p eitjr b Y" '�` `� ct i� F�,,4�,r, 9 This prtsal may be vt"icrawi� r not amain 30 del d y € 'Y,. YJ F ill 4 L1 at,i r'.r "hVf tta The c n tact" Y be e" i ! i�rr� 9 c has not cpr imenced a in til days afi a' n �,r �� ,ATPMI Puecl e�.egr f� to rote ,of-1-1 . °lo per a ism ai(past du��En ata 'M less,of atsta rrs of:Job. . r�� VAc� ?iifs^!l,r<r� r tih�1` i<�8 i 9t�4gop. +.+f1!P +7tTf . � - c vt �_ �< _ d c',�.2.1�!AI•ICAi,4�0"Lt tiTf'N� 1 �} f 1 'irT q t? 37ira 'F�rg#'�.w5 ttt4 is F�qty �( _ _; ,- f d 14f Q31d=�U0W r rJ`r W➢,�Htet d s "� Cl4ylhc �L'^A4}'vah b91r.y�4 ,yd�d�E�?WY!* ?b�Fr' _°°+r »Wl 338)+03TgR00A�R14A CMM 89h3 9; rit? VI Le tAc r r 1^f" +yo x iJE3Pd� +r #1'��1 �7:p.) ' 31 i f: 9�' :i° s4 5 '.a T 1 £agl6m;;�:7'La1Ff� a Si?1�i� + 1 3 13"PSB !T aZ413d d +d s ^ firx�+ -, -!Z°' i a IZODtA •... .. MAR 2 2 2010 • BY: Ijur••••• • •• •ffffe • •f••f• e• •• •ef•fe Of•4 (O.Ya. p , /Oly/0. /©!t t� !Ox y�. e P � 91 BXto BAt,� r • /Ox$ � �� 6Y� 7 fid_ Miami Imes i lage APPROVED BY DATE ZONING DEPT BLDG DEFT • �� UBJ CT i"O C(;n,lPI_IPNCE WI LIQ All FEDERAL AND REUULAr16NS '� Miami Shores Vila e,,'---j Building Departme 10050 N.E.2nd Avenue Miami Shores,Florida 33138 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)-113 NW 106 STREET City: Miami Shores Village County: Miami Dade Zip Code: 33150 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 0 NO❑ Contract Attached:YES Q UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER TRANE AHU or PKG.UNIT MODEL# TEM60A48H41 COND.UNIT MODEL# 4TTR6049 KW HEAT 60 NOM TONS 4.0 AHU Cu PKG 1)M.C.A AHU CU PKG AHU CU PKG 2)M.O.P AHU CU PKG AHU Cu PKG 3)VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER 16 YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity(Wire Size). 41 2. Maximum Overcurrent Protection(Fuse/Breaker Size): 60 3. Voltage of Circuit(208/240/480): 208/230 4. Size Disconnecting Means: Contractor's Company Name.AIR & HEAT UNLIMITED CORP Phone: 305-557-9333 State Certificate or, egistr ion No.CAC1815244 Certificate of Competency No. Signature. Date: 03/15/16 (Qua ifier's signature) (Revisedo2/24/2014)