MC-16-946 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,Fl. �.
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-256540 Permit Number: MC-4-16-946
Scheduled Inspection Date:April 20,2016 Permit Type: Mechanical - Residential
Inspector: Perez,JanPlerre
Inspection Type: Final
Owner: MOODY,JOHN Work Classification: A/C Replacement
Job Address:1131 NE 97 Street
Miami Shores,FL 33138- Phone Number
Parcel Number 1132050170050
Project: <NONE>
Contractor: C&R.AIR CONDITIONING CO Phone: 305-685-6394
Building Department Comments
EXACT REPLACEMENT OF 4 TON SPLIT SYSTEM Infractio Passed Comments
INSPECTOR COMMENTS False
V
Inspector Comments
Passed 91
Failed
Correction D
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
April 19,2016 For Inspections please call: (305)762-4949 Page 27 of 46
41—
z Miami Shores Village
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000
Phone: (305)795-2204
yyrs���
Expiration: 10109/2016
Project Address Parcel Number Applicant
1131 NE 97 Street 1132050170050
Miami Shores, FL 33138- Block: Lot: JOHN MOODY
Owner information Address Phone Cell
JOHN MOODY 1131 NE 97 ST
MIAMI FL 33138-2557
Contractor(s) Phone Cell Phone Valuation: $ 5,195.00
C&R AIR CONDITIONING CO 305-685-6394 (954)680-4494
.n. w: :._a.........:.__o Total Sq Feet: 0
Tons:4 Available Inspections:
Additional Info:EXACT REPLACEMENT OF 4 TON SPLIT SY 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 $3.60 Invoice# MC-4-16.59346
DBPR Fee $2.73 04/12/2016 Credit Card $155.89 $50.00
DCA Fee $2.73
Education Surcharge $1.20 04/08/2016 Credit Card $50.00 $0.00
Permit Fee $181.83
Scanning Fee $9.00
Techno Fee $4.80
Tota" $205.89
!u 'i
In consi�eration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertainir*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`f LECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNEF;k. F IT t II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructio authorize the above-named contractor to do the work stated.
April 12,2016
/authorized SI ure:Owner / Applicant / Contractor / Agent Date
Buit'ding Department Copy
April 12,2016 1
Miami Shores Village ��
Building Department APR is
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2014
BUILDING Master Permit No. mac'`�''`�`�(it=)
PERMIT APPLICATION Sub Permit No.
BUILDING ELECTRIC ROOFING
REVISION EXTENSION
❑ ❑ ❑ ❑ ❑ ❑RENEWAL
❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP
❑ ❑
CONTRACTOR DRAWINGS
JOB ADDRESS: 11 31 f V f i ! s T
City: Miami Shores County: Miami Dade Zi
Folio/Parcel#: is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFFE:
OWNER:Name(Fee Simple Titleholder): Phone#: �3 O • 97 7!19 9 1
Address: ( 13 E 9 `7 S
— �
City: Al la a m ( S k 0 f ej State: Zip: 1 :
Tenant/Lessee Name: Phone#:
Email: 60
/ r o
CONTRACTOR:Company Name: L^ [1 R t r C®i'� Co . Phone#: ®�b �V (O-7 7
Address: �3 w I J , • L4
City: Al ( Q'ih 1 _ State: Zip:
Qualifier Name: B L er ty- �j /a f ' Phone#: Q Q
State Certification or Registration#: A
C C 69 6— ! Certificate of Competency#: ® 8
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ S 1 ® Square/Unear Foot of Work:
Type of Work: F-1Addition ❑ Alteration ❑ New Repair/Rep ace ❑ Demolition
Description of Work: e{ '
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ VO CCF$ `�.�� CO/CC$
Scanning Fee$ Radon Fee$ 3 DBPR$ � Notary$
Technology Fee$ (4 - Training/Education Fee$ ' 20 Double Fee$
Structural Reviews$ Bond$ 9
TOTAL FEE NOW DUE$ 1515
(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 appr-ovved and a reinspection fee will be charged.
Signature Signature
— Pk
OWNER or AGENT CONTRACTOR
The foregoing instrurpent was acknowledged before me this The foregoing instrument was9 acknowledged before/me this
day of Pi 201 t ,by O day of f I l 20b b
. y
60(�n M®d Ciwho i, personally known o RO b'ec _ Gin t qJ'r .who i ersonally 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: '1.910 R, JANET KRANZ NOTARY PUBLIC:
a.: ` Commission#FF 197298
r Expires M 9 9
9aWd eoa aor9
Sign• Sign•
Print qhs Kt Print °� °lam c1 I`cQl
Seal: JANET KRANZ
Seal: ••�_---_--
N11 1111.
18 � ' Com#FF 197298
Boma Tlau T-Y r9 *i Exp May 9,2019 tm9
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�Y .
APPROVED BY ns Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village
Building Department
■■■■ per■ 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
app► 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.
� N pry, ' %
Job Address(where the work is being done): 11 I E `7
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 Z ARHI Sheet Attached:YES JNO❑ Contract Attached:YES ❑
UNIT BEING REPLACED DATA NEW UNIT
MANUFACTURER r a-qT
vY Y ® AHU or PKG. UNIT MODEL# QX OC4
13 7 y 100 COND. UNIT MODEL# 1160 IVA049
® KW HEAT 10
Li NOM TONS
AHU CU PKG 1)M.C.A AHU CU&0 PKG
AHU CU PKG 2)M.O.P AHU CU40 PKG
AHU CU PKG 3)VOLTS 0 1 M AHU CU PKG
PKG UNIT / / PKG UNIT
EER/SEER 1
YES NO REPLACING DUCTS YES
YES NO REPLACING THERMOSTAT NO
YES NO NEW 4"CONCRETE SLAB E NO
YES NO NEW ROOF STAND YES
YES NO NEW RETURN PLENUM BOX YES
1. Minimum Circuit Ampacity(Wire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size): 40 60,04
3. Voltage of Circuit(2081960):
4. Size Disconnecting Means: & 0 4 L,( O
Contractor's Company Name:__ C+R h i r C'n e1 . Co . Phone:,30 s- 6 J9 Ct
State Certificatei o._CAC 02`o L4(L{ Certificate of Competency No. '^I ?8 ® 23
ftq(
Signature Date: L4, 9') 6
allfier' ignature)
(Revised02/24/2014)
•
OP This combination quallfies for a Federal Energy
CE
Efficiency Tax Credit when placed In service
between Feb 17,2009 and Dec 31,2016.
Certificate of Product Ratings
AHRI Certified Reference Number:6948519 Date: 4/8/2018
Product: Split System:Air-Cooled Condensing Unit, Coll with Blower
Outdoor Unit Model Number: 116BNA046""'B
Indoor Unit Model Number: FX40N(6,F)"21.
Manufacturer. BRYANT HEATING AND COOLING SYSTEMS
Trade/Brand name: BRYANT HEATING AND COOLING SYSTEMS
Reglon:Southeast and North(AL,AR,DC, DE,FL,GA,HI, KY,LA,MO, MS,NC, OK,SC,TN,TX,VA
NY, CO. R,PX K1, 0,UT,VT WA VIN,Wl' YOUJ STAT witar ess)'NJ.
Revlon Note:Central air conditioners manufactured prior to January 1,2013,are eligible to be
Installed In all regions until June 30,2016. Beginning July 1,2016,central alr oonditlonere
can only be installed In reglon(s)for which they most the regional efflclency requirement.
Series name: LEGACY UNE PURON AC
Manufacturer responsible for the rating of this system combination is BRYANT HEATING AND COOLING
SYSTEMS
Rated as follows In accordance with AHRI Standard 2101240-2008 for Unitary Air-Condltloning and Air-Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-a onsored Independent third
party testing;
Cooling Capacity(Stuh): 46500
EER Rating(Cooling): 13.00
SEER Rating (Cooling): 15.00
IEER Rating(Cooling):
•Ratings followed by an asterisk)•)indicate a voluntary rerato of previously published data,unions accompanied with a WAS,which Montes an involuntary rersts.
DISCLAIMER
ANTU Goa not endorse the prodtwt(s)Il,tsd on thN tsarsliseve and makes nd roprasenranona,warrantia or Guarantees as W,And ANYnta no mspttnsloplty tor,
the product(s)1)staA an this Cortinate.AHRI expressly disdadms all liability for d,rmeses of any kirM arisirts out of the use W petfsrmerme of the produdd(sh of the
unauthorind alteration of data tilted on this Certiiteata Certified ratings are von W only for modals and conliguratiom listed in the
directory at www.ahrldlrectory.org.
TORMR AND OONDITIONa
This Cortdkate and ks contents aro proprietary products of AHRI,This Certificate shell only be used for Individual.personal and
confMandal reference purposes,The consents of this Certiflcate may not.In whose or in part,be reproduced;copied:disseminated:
entered Into a computer databow.or otherwise utilized,In any form or manner or by any means,"@opt for the vaer's Individual.
personal and confideadel reference. AIR•CONDITIOddNa.HEATING,
CERTIFICATE VERIFICATION A R9FRIO9RATI9f11NPTITM
The information for the model cited of this certlfioate can be verified Flt www.ahtl4lreotoiy.org.dick on*Verify Certificate'link sen+,e!`1H':.(m
end enter the AMR[CereMed Reference Number and the done on which the certificate was Issued,
which Is hated stave,am the certificate No.,which A listeo at ba,ent r[PL
c02014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 1310488868267680 ,
t
BRYANT CUBE UNIT
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 CONDIT ONER MODEL UST FOR UTC"CLSE STYLE BASE PAN UNITS'
UNITS UP TO 38"HIGH FOR UMTS OVER 38"HIGH TO UNITS OVER 44"HIGH TO
180 MPH WIND VELOCITY WITH 44'HIGH FOR ISO 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'S" EXRMRE"D" EXPOSURE"C"
AS 1, 3, toR5 ton PrIIRWR ton
CA tonnages)
CA18 1.5 4 on CAI Tan
11 a tonna )
(all tonnapaj
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12
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on1808NA050on
BRYANT KEAY PUMP MEL LIST FOR UTC"CUBE STYLE BABE PAN UMTS"
UMTS UP TO 38"HIGH FOR UNITS OVER 39'HIGH TO UMTS OVER 44-HIGH TO
180 MPH WIND VELOCITY WITH 44"HIGH FOR 180 MPH WIND 48"HIGH FOR 160 MPH WIND
A MAXIMUM BUILDING HEIGHT VELOCITY WITH A MAXIMUM VELOCITY WITH A MAXIMUM
OF 60' BUILO NG HEIGHT OF 60' BUILD{NO HEIGHT OF tib'
E)I'OSURE"D" EXPOSURE"U' EXPOSURE"C'
PH13t821.S4ton i3NR ton
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21 tame
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2868 1, ton) 128bB 15 ton
25 ton 4 ton
2888 2 4 ton 6 ton
2 lon Genes 1) 28 2 ton saties 0)
Aa 36!on
260A tomo
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 EXTERN. :COMPONENTS AND INTERNAL
STIFFENERS,THE BASE UNIT HAS THE CAPACITY TO Wb. ;ND'THESE FORCES WITH
INDIVIDUAL EXTERNAL PARTS BEING CONTAINED, OTIONS OR DURING
EQUIPMENT MAINTENANCE,ALL TECH SW$ _ NE:<NTS,CLIPS AND
ANCHOR BOLTS ARE TO BE VERIFIED BY THE' -''� W— GED CABINET
COMPONENTS, LOOSE, CORRODED, BROK BOLTS SHALL BE
REPLACED TO ENSURE STRUCTURAL INTEQ`. ';'•f'ORCES
.roe No: 15-18 J08 RSRT "amappm P conn
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DERIVED BY THE MANUFACTURER, ida
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DRAWINGS BY UTC.
2. MAXIMUM UNIT WIND DESIGN ByLU
VISUAL COMPARISONS OF MODEL5 n
• IN EACH GROUP 15 USED FOR THE .
• f • ANALYSIS.
3. ALL UNIT COMPONENT (PARTS) ,.
t, ATTACHMENT TO EACH OTHER HAVE A'
i� MINIMUM OF (3) 10-16 TECH SGREJNS' _:- k
Ft
PROVIDING A CAPACITY OF 2$9 LB5
{ IN SHEAR (S.F.=3)
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1=01423983
DETAIL ��
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(2) X12-14 x I" LG (HWH#3) HILTI KWIK-FLEX �-
SELF DRILLING STEEL SCREW rv/ WA5HER5
(.045° MIEN THIG 2"PAN (OR EQUIVALENT) a
fU
FOR CONCRETE FOUNDATION ATTACHMENT USES' �
(2) 4n VX 24" LG HEX HEAD STAINLESS STEEL
O, BUILDEX TAPCON STEEL. SCREWS (SHW4-214) AND 'o ° m
O 0 OO
J",P STAINLESS STEEL WASHERS OR a
O _ (2) 4>X 2 LG HEX HEAD BLUE COATED BUILDEX
N TAPCON SCREWS (HW4-214) AND J"P 5TAINLE95
STEEL WA5HER5 OR
CLIP DETAIL (2) 4"0 X 3" LG POWERS WEDGE BOLT
GONGRETE I " HEAVY DUTY CONCRETE ANCHORS. _S2
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000290 ,
Local Business Tax Receipt
Miami—Dade County State of FloridaBT
-THIS IS NOTA BILL - DO NOT PAY l
488023
BUSINESS NAMq/LOCATION RECEIPT NO. EXPIRES
C&RAIRCONDITIONINGCO RENEWAL SEPTEMBER 30, 2016
6073 NW 167 ST C4 488023 Must be displayed at place of business
MIAMI FL 33015 Pursuant to County Code
Chapter 8A-Art.9&10
OWNER SEC.TYPE OF BUSINESS
C&R AIR CONDITIONING CO 196 SPEC MECHANICAL CONTRACTOR PAYMENT RECEIVED
BY TAX COLLECTOR
Worker(s) 10 CACO2641,4 $75.00 07/09/2015
CHECK21-15-085930
This Local Business Tex Receipt only confirms payment of the Local Business Tax.The Receipt is not a license,
permit or a certification of the holder's qualifications,to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Code Sec Ba-276.
For more Information,visit www.miamidade.aoyAaxcollector
.t
STATE'OF FLORIDA
,DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 i
•''wae 1940 NORTH MONROE STREET '°
TALLAHASSEE FL 32399-0783y
,f
CHRYST, ROBERT JAMES
C&R AIR CONDITIONING COMPANY
6073 N.W..167TH ST., C-4
MIAMI FL 33015
Congratulations) With this license you become one of the neariy ---"--
one million 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. PROFE$$l -.N. L REGULATION
Every day we work to improve the way we do business in order to CACO26414 " ISSUED," 07/03/2014
serve you better. For information about our services,please log onto r µ
www.myfloridalleense.com. There you can find more Information CERTIFIED AIR CONQ..CONTR.-
about our divisions and the regulations that Impact you,subscribe CHRYST,ROBERT JAMES
to department newsletters and learn more about the Department's C&R AIR CONDITIONING PO ANY
Initiatives. r
Our mission at the Department Is:Ucense 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.488 FS.
and Congratulations on your new license! E)#aWn date:AUG 31,2016 1.1407030000714
DETACH HERE
...................................._.................................................................... ... . ..... .."..._.........................._ ................................................_.................._.......................__..............___...__................._........... .
- -KEN LAW ,`-SECRETARY
RICK SCOTT,GOVERNOR '
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
CACO26414
The CLASSAAIR CONDITIONING CONTRACTOR C'
Named below IS CERTIFIED -.
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31,2016,
ta.
CHRYST, ROBERT JAMES,,-
C&R AIR CONDITIO,NINQV�MP.AI�Y
6073 N.W. 167TH ;.. ,� :�MIAMI FL