MC-16-1333 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-258994 Permit Number: MC-5-16-1333
Scheduled Inspection Date:June 08,2016 Permit Type: Mechanical - Residential
Inspector: Perez,JanPierre Inspection Type: Final
Owner: PEAKE, FRANCES Work Classification: A/C Replacement
Job Address:9342 NE 9 Avenue
Miami Shores,FL Phone Number
Parcel Number 1132060020050
Project: <NONE>
Contractor: JG CLIMATE CONTROL CORP Phone: (305)318-6479
Building Department Comments
REPLACE EXISTING 3.0 TON CENTRAL AIR Infractio Passed Comments
CONDITIONING. INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
June 07,2016 For Inspections please call: (305)7624949 Page 15 of 36
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Miami Shores Village
10050 N.E.2nd Avenue NE c '�
Miami Shores,FL 33138-0000
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Phone: (305)795-2204
A al vi :
Expiration: 1112312016
Project Address Parcel Number Applicant
9342 NE 9 Avenue 1132060020050
Miami Shores, FL Block: Lot: FRANCES PEAKE
Owner IMormation Address Phone Cell
FRANCES PEAKE 9342 NE 9 AVE
MIAMI SHORES FL 33138-2904
Contractor(s) Phone Cell Phone Valuation: $ 4,200.00
JG CLIMATE CONTROL CORP (305)318-6479
Total Sq Feet: 0
Tons:3 Available Inspections:
Additional Info:REPLACE EXISTING 3.0 TON CENTRAL Al 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 $3.00 Invoice# MC-5-16-59802
DBPR Fee $2.21 05/17/2016 Credit Card $50.00 $118A2
DCA Fee $2.21
Education Surcharge $1.00 05/27/2016 Credit Card $ 118.42 $0.00
Permit Fee $147.00
Scanning Fee $9.00
Technology Fee $4.00
Total: $168.42
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 hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and uthe ore,i authorize the above-named contractor to do the work stated.
May 27,2016
Autho i n u er / Applicant / Contractor / Agent Date
Building De artment Copy
May 27,2016 1
Miami Shores Village
Building Department MAY 17&20116
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 LBY.
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 - `�4
`� ��� FBC 20N�R J
� U 1 LD I N G Master Permit No.
PERMIT APPLICATION Sub Permit No.
r-]BUILDING ❑ ELECTRIC ❑ ROOFING 0 REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING tg MECHANICAL r-1 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
�y
i CONTRACTOR DRAWINGS
JOB ADDRESS: C134a P& G A°'1�°
City: Miami Shores County: Miami Dade Zig 1.
Folio/Parcel#: It—3>OkO"O®b?-(--<)SO Is the Building Historically Designated:Yes NO
Occupancy Type:.. Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): FrCaY1CC,S M. QP-av-e- Phone#:C Jam') 3116—an,
Address:g3gQ U f-, 9 J!Nje-
City: —State: f�l Zip: 331,3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name:—jEl (Xff atc Gar1hr01 cxx e. Phone#:)45-k-0-85ci 1
Address: t CIC(Ci eLO A-JC,
city: --1 State: 1 Zip:
Qualifier Name:�1C_5-L5 lv"tOAZ AC'_Z Phone#:«) �_45LO--15S91
State Certification or Registration#: CAC,(a(C"--*"3` Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of work:" 13EplQ e,,e 46�elsrlr-J 5 3 •® re/^) CW7_4 L A14 ZAndi IlaN/-/9
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ ` CCF$ 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 on 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 0 1 Signature
OWNER or AGENT COT CTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
1 day of SIC .-r) ,20 t( ,by t.3 day of M!a±-; ,20 1 k ,by
Fr-(ny)GC5 PGO,X44t,,who is ersonally known who is ersonally kno
me or who has produced as me or who has produced as
identification and wh( did identification and who did take
d rry
", ,•,. JOAWEYQlZ
NOTARY PUBLIC: : JOWEON#F NOTARY PUBLIC: .: mycortAl1MS81�1#FF08M81
*; .= MI1'CO1�IAiFelm f FF ,2011 ::: '� EXPIRES•Fabntal 28,2018
EXPIRES February 28 2018
rye' Bonded nn rayPast ung ;g ; ' Bow TM Nagy Pu*
una�wraeB
SignOcv—a
Sign
Print: Print: —XOL'6<- AZ
Seal: Seal:
�w�x��:rswffi*�*��aae��x:�x*� s�**�*we<a�we<e<r�***aux*�xa�x�xs��xs�s�*�x�x�**���r**r►���**�x�xs*�s*�x�xwss��s**����*s�x�ww�*+►a<���**�x�aa��x*+xaa
APPROVED BY iIk Examiner Zoning
ir
Structural Review Clerk
(Revised02/24/2014)
,yh ;�s Miami Shores Village
Building Department
9.11 MIN 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):C13t4 Q- W f C( A JiEt,
City: Miami Shores Village County: Miami Dade Zip Code:3300
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❑ Contract Attached:YES ❑
UNIT BEING REPLACED DATA NEW UNIT
MANUFACTURER r&AAI,=
IV 073 `l l AHU or PKG.UNIT MODEL# 7f�IIA17G $A'
jT .j�A/gyp A- COND.UNIT MODEL# VIIA 3 /®Oo
KW HEAT /0
• O NOM TONS 3 . d?
AHU 5d CU/8 PKG 1)M.C.A AHU QCU 18 PKG
AHU60 CU 3®PKG 2)M.O.P AHU gOCU 30 PKG
AHU,XVGCU X/Z>PKG 3)VOLTS AHU2-140CU ZV4`PKG
PKG UNIT / / PKG UNIT
EER/SEER
YES CNJ REPLACING DUCTS YES NO
ES NO REPLACING THERMOSTAT ES NO
ES NO NEW 4"CONCRETE SLAB NO
YES NEW ROOF STAND YES
NO NEW RETURN PLENUM BOX LY_EV NO
1. Minimum Circuit Ampacity(Wire Size):
2. Maximum Overcurrent Protection(Fuse/Breaker Size): 50
3. Voltage of Circuit(208/240/480): �,Vo
4. Size Disconnecting Means:
Contractor's Company Name:JE� aWNaj W- CQf\rr'51 corp. Phone: oO5/ t_6u`"8591
State Certificate or Registrati .C� lS1koo31 Certificate of Competency No.
Signature Date: o5-13- 01,i
Z
( lifter' igna re)
(Revised02/24/2014)
i This combination qualifies for a Federal Energy
® Efficiency Tax Ciredit when placed In service
between Feb 17,2009 and Dec 31,2016.
u 0%
® ® Product
AHRI Certified Reference Number:8676079 Date:5/13/2016
Product:Split System:Air-Cooled Condensing Unit,Coil with Blower
Outdoor Unit Model Number.4TTR6036J1
Indoor Unit Model Number.TEM4AOC42S41+TDR
Manufacturer.TRANE
Trade/Brand name:TRANE
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,NO,NE,NH,NJ,NM,NV,NY,OH,OK,OR,PA,RI,SC,SO,TN,TX,
UT,VA,VT,WA,WV,WI,WY,U.S.Territory)
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 conditionem
can only be Installed in r9eglon(s)for which they most the regional efficiency requirement.
Series name:XRi6
Manufacttlt9er responsible for the rating of this system combination Is TRANE
Rated as follows in accordance with AHRI Standard 21OFMO-20M for Unitary Air-Conditioning and Air-Source
Heat Pump Equipment and subject to vein of rating accuracy by AHRI-sponsored,indalendent,third
partying:
Coating Capacity(Btuh): 36400
EER Rating(Cooling): 14.00
SEER Rating(Cooling): 17.00
IEER Rating(Cooling):
•I folbred by an asWdsk o haeme a vokv".erne ofprevbwlypubWmddoWunhmacmqazftdvjMaVM,whkhbxkdwanhrtvkmWyrarat&
DISCLAIIMER
AHTS does not endorse the product(s)fisted on this Certificate and mks no representations,warranties or guarantees as to,and assumes no responsibility for,
to product(s)fisted on this Certificate.AHRI expressly discluIra all Rabillty for damages of any lord arising art of the use or performance of the products),or the
umautlroriaed alteration of data Bated on this Certificate.Certified ratings are valid only for models and configurations listed in the
directory at www.ahridirectory.org.
TERMS AND CONDITIONS
This Certificate and its contents are proprietary products of AHRL This Certificate shall only be used for Individual,personal and Aconfidential reference purposes.The txmten of this CertiflceEe may not,in whole or In part,be teproduCed; n
entered Into a computer database;o otinerrrise ut�od,Inany farm or manner or by arty means,except for One user's Iufividual,
t,
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,tick on'Verify Certificate'Snit we make life better-
and enter the AHRI Certified Reference Number and the date on which the certificate was issued,
whhdn is wed above,and One Certificate No,which Is listed at bottom right 131076173838927463
02014 Air-Conditioning,Heating,and Refrigeration lns tute CERTIFICATE NO.;