MC-16-19 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-261694 Permit Number: MC-1-16-19
Scheduled Inspection Date:June 27,2016 Permit Type: Mechanical- Residential
Inspector: Perez,JanPlerre Inspection Type: Final
Owner: LOCKHART SAYDKHUZHIN,TONI Work Classification: A/C Replacement
Job Address:925 NE 98 Street
Miami Shores, FL 33138- Phone Number (786)564-5796
Parcel Number 1132060143430
Project <NONE>
Contractor: C&R AIR CONDITIONING CO Phone: 305-685-6394
Building Department Comments
EXACT REPLACEMENT OF 2 TON SPLIT SYSTEM Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed MW CREATED AS REINSPECTION FOR INSP-250431.
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
June 24,2016 For Inspections please call: (305)762-4949 Page 28 of 37
t ,
Miami Shores Village E
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000
Phone: (305)795 2204 Expiration:0710 2016
Project Address Parcel Number Applicant
926 NE 98 Street 1132060143430
TONT LOCKHART SAYDKHUZHII
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
TONI LOCKHART SAYDKHUZHIN 925 NE 98 Street (786)564-5796
MIAMI SHORES FL 33138-2947
925 NE 98 Street
MIAMI SHORES FL 33138-2947
Contractor(s) Phone Cell Phone Valuation: $ 3,995.00
C&R AIR CONDITIONING CO x 4M 305-685-6394 (954)680-4494 Total Sq Feet: 0
Tons:2 Available Inspections:
Additional Info:EXACT REPLACEMENT OF 2 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 $2.40 Invoice# MC-1-16-58236
DBPR Fee $2'10 01/08/2016 Credit Card $109.43 $50.00
DCA Fee $2.10
Education Surcharge $0.80 01/06/2016 Credit Card $50.00 $0.00
Permit Fee $139.83
Scanning Fee $9.00
Technology Fee $3.20
Total: $159.43
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.
OWNER A I VI : I ce at all t e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructi n nin he a e above-named contractor to do the work stated.
January 08,2016
Authorized S ature:00w-der Applicant / Contractor / Agent Date
Building Department Copy
January 08,2016 1
Miami Shores Village
t Building Department SAN o 6 2015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 S
FBC 2014
BUILDING Master Permit No. ny-,1 (O
PERMIT APPLICATION Sub Permit No.
❑BUILDING VE CTRIC E] ROOFING REVISION EXTENSION [:]RENEWAL[::]PLUMBINGCHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:_9 Q I S N G, 9 9
City: Miami Shores County: Miami Dade Zip: V O
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):TLa Phone#: 7 86. 149^ C7 7 99
Address: R ST
City: . State: Zip: -�
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: + Q A +r C®r. 14 l bn I n sC®. Phone#:
Address: 7 6 I s T
City: 1- State: Zip: 13
Qualifier Name: Uer /� �1 r T Phone#: 06
State Certification or Registration#: c A c d o►�6 1.}1 �-( Certificate of Competency#: 4 2�
DESIGNER:Architect/Engineer: Phone#:
Address: q �^ CP 0 City: State: Zip:
Value of Work for this Permit:$ Ip! Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ Newair/Re lace
Re
p p ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$ SO ' ()�3 Permit Fee$ 1 Z-) CCF$ P-90 CO/CC$_
Scanning Fee$ . 00 Radon Fee$—12,. (0 DBPR$ ? . 1 Notary$_��__
Technology Fee$ 3' 20 Training/Education Fee$ Double Fee$_
Structural Reviews$ 10 n
Bond$
TOTAL FEE NOW DUE$ 3 a 43
(Revised02/24/2014)
f
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 t ding permit is issued. in the absence of such posted notice, the
inspection will n e appro d and a reinspection f be charged.
Signature Signature
—Da (a
W ER or AGENOR
T NT
The foreg i instrument was acknowledged before me this The foregoing instrument was acknowledged before rme this
6 day of 30JAcrap 20 16 ,by day of-\T4AIW o P q 20 G by
--y- who 1 ersonally kno to who i ersonally know to
me or who has produced 1 O l'� l L o% k L,Qa• as me or who has produced P Tas
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign: 1,
Print: bC4 T. C6 r .IT Print: vl 7—
Seal: Seal:
. JANET KRANZ
CWT*slan#FF 188047 :.. := Commission#FF 197298
Eqk%May londkrhUTOW , a�i'4N*jmwwWHW gym„M,yF�.2019 kmem woW.,7ore
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
• �5�.° s Miami Shores Village
Building Department
10050 N.E.2nd Avenue
02--,0 Miami Shores, Florida 33138
i;, 05
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): 91-� N E 9y �T
City. Miami Shores Village County: Miami Dade Zip Code: :3:3 (�
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
A I DATA SHEET REQUIRED
Change disconnecting means:YES❑ NO ARHI Sheet Attached:YES E& ❑ Contract Attached:YES ❑
UNIT BEING REPLACED DATA NEW UNIT
MANUFACTURER
( rO--7 AHU or PKG. UNIT MODEL# EA 4 DIV
4 COND.UNIT MODEL# W AIA A ZL(
KW HEAT
I IST' -
NOM TONS
AHU CU PKG 1)M.C.A 14® 0 AHU CU PKG
AHU CU PKG 2)M.O.P S AHU CU PKG
AHU CU PKG 3)VOLTS a 4P H AHU CU PKG
PKG UNIT / / PKG UNIT
EER/SEER L co
YES NO REPLACING DUCTS YES O
YES NO REPLACING THERMOSTAT NO
YES NO NEW 4"CONCRETE SLAB S in
YES NO NEW ROOF STAND YES
YES NO NEW RETURN PLENUM BOX YES O
1. Minimum Circuit Ampacity(Wire Size):
2. Maximum Overcurrent Protection (Fuse/Breaker Size):
3. Voltage of Circuit(20 40 80):
4. Size Disconnecting Means: �//►►� • v ® tt p
Contractor's Company Name: C"�` Pic rCo(�� . Co
Phone:
State Certificat egi aY o. CAC® L4 Certificate of Competency No. 4 0
Signature Date: 6- 16
ualffie signature)
(Revised02/24/2014)
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 , HIGH VELOCITY HURRICANE ZONES-WIND LOADS FOR MAX
WIND SPEED OF 180 MPH AND MAX HEIGHT OF 60 FEET.
BRYANT AIR CONDITIONER MODEL LIST FOR UTC"CLIBE SME BASE PAN UMTS
UWTS UP TO 39"HIGH FOR S OVER 39 HIGH TO UMTS OVER 44"HIGH TO
180 MPH WIND VELOCITY WITH 44"HIGH FOR 180 MPH WIND 48"HIGH FOR 180 MPH WIND
A MAXIMUM BUILDING HEIGHT VELOCITY WITH A MAXIMUM VELOCITY WITH A MAXIMUM
OF W BUILDING HEIGHT OF BU BUILDING HEIGHT OF W
EXP09URE'7 EXPOSURE 17 EXPOSURE"C"
1.5-3.5 tan,5 tat ton
CA13(d tomagm)
CAI 1.5 4 on CAI o
11 tomages1
113C(vi tomag")
1 (LS V"4 on) on
i (a )
t on 1 -(5 Tch)
1 ( on) 127A(5 Ton)
1 Na MW Ton) 186 3. on on
18 (4 on)
1878 Z 3 Ton 1878 5 T sense t 1878 6 Ton aeries
,BOB 2 Ton,series 1 1808 on,serieo 0
IBORNA036(3 ton ton
BRYANT HEAT PUMP MODEL LIST FOR UTC"CUBE STYLE BASE PAN UNITS'
UNITS UP TO 38"HIGH FOR UNITS OVER 3g"HIGH TO UNITS OVER 44"HIGH TO
180 MPH WIND VELOCITY WITH 44"HIGH FOR 180 MPH WIND 4B"HIGH FOR 180 MPH WIND
A MAXIMUM BUILDING HEIGHT VELOCITY WITH A MAXIMUM VELOCITY WITH A MAXIMUM
OF 60' BUILDING HEIGHT OF Bt7 BUILDING HEIGHT OF 80'
EXPOSURE"D" EXPOSURE'O" EXPOSURE"C"
PH13N 1. ton PH13 ton
CH13(ah tonna
213A tome
213ANC fag tome
2138 al tome
2158 al toms
2130 a tome
2140 ail torram
2258 a tome
226A tome 226A IS ton
1. ton 2858 5 ton
Z&4H 2-3.5 ton 285NH 14 tan
2868 2.4 ton 28183 5'2 tai
(2 ton as 1 2 ton ea 01
]8F3-5 ton
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 EXTERNAL COMPONENTS AND INTERNAL
STIFFENERS, THE BASE UNIT HAS THE CAPACITY TO WITHSTAND THESE FORCES WITH
INDIVIDUAL EXTERNAL PARTS BEING CONTAINED. YEARLY INSPECTIONS OR DURING
EQUIPMENT MAINTENANCE,ALL TECH SCREWS, CABINET COMPONENTS, CLIPS AND
ANCHOR BOLTS ARE TO BE VERIFIED BY THE AIC CONTRACTOR. ALL DAMAGED CABINET
COMPONENTS, LOOSE, CORRODED, BROKEN-TECH SCREWS OR ANCHOR BOLTS SHALL BE
REPLACED TO ENSURE STRUCTURAL INTEGPJTY-,�,"4HVB CANE.WIND FORCES
dao No: 15-18 NAMF•. �" G J •. 'i7 �-8 ROBERT E.SAMARA P.E.,PA.
09-11-2016 BRYANT CUBE UNIT shucturm m#1%49 a
S-1 Cn ra er. R.SOlncto
Tl MODELS UST — 4675 PONCE ae LEON BLVD.#W3
Dm-ay-
A Batttei CORAL .FL 331"
Ph:305.661-1016 Font 306662-2491
!ase•. r•'. A _
._ 1J
. r. .. ....,.,, v ....,,.. vVi,...«r .„.,, vW WVV VV. vVWW M•'•'•
MP This combination qualifies for a Federal Energy
DEfficiency Tax Credit when planed in service
between Feb 17,2008 and Dec 31,2014.
Certificavottle of Product Ra ins
AHRI Certified Reference Number; 7023305 Date: 1/6/2016
Product: Split System:Air-Cooled Condensing Unit, Coil with Blower
Outdoor Unit Model Number, 118BNA024'"**A
Indoor Unit Model Number: FXADNF023L
Manufacturer. BRYANT HEATING AND COOLING SYSTEMS
Trade/brand name; BRYANT HEATING AND COOLING SYSTEM$
Region: Southeast and North(AL,AR,DC, DE, FL,GA,HI,KY,LA,MD,MS,NC, OK,SC,TN,TX,VA
AK, CO,CT,10,IL,IA, IN,KS, MA,ME,MI, MN MO MT,NO, NE,NH,NJ,
NY,OH,OR, PA,RI, 80, UT,VT,WA,WV,WI,W.L.B.Territories)
Region Note:Central air conditioners manufactured prior to January 1,2015,are eligible to be
Installed In all regions until June 30,2018. Beginning July 1,2076,central air conditioners
can only be Installed In region(s)for which they most the regional efficiency 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-Conditioning and Air-Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRkponsored, Independent,third
party testing;
Cooling Capacity(Btuh): 23400
EER Rating(Cooling): 13.00
SEER Rating (Cooling): 15.00
IEER Rating(Cooling):
•Ratings k4owed by an asterisk 1'1 indicate a vdundary mate of previously published data,unless accompanied with a WAS,which indicates an involuntary rersts.
bl$CLAIMIR
AHRI aces not endern the proouot(s)gated on this WnIflcate and M454411 no reptesentaaons,warMnlift Of eOMMeea as W,And animas no responsibolly for.
the product(s)4494 on this Certificate.AHRI eaprestdy 4131drdrns All liability for dAmoses of Any kimt oftr st out of the use W performance of the pfedud(s),W the
unauthorized alteretion of data listed on this Certifloefs OrMIled ratings are volt/only for models and configuretions listed in the
directory at www.ahrldirectotyerg.
TCRMD AND DONDITIONa
This Certificate and its contents are proprietary products of AHRI.This Certificate shag only be used for Individual.personal and
no In whole or In be r redo co led:disseminated:
is of this Cartlflcate t, aP �cop
led,reference purposes,The center may paR,
P ►Po
entered Into a compute►database:Or otherwise utilized,In any forth or manner or by any means,oaoept for t+e user's Individual.
AIR•CONDITIDldWQ.NQATtNG,
peasnel end confidaadal reference• a RGFRIGERAMN IN$VTVTB
CERTIFICATE VERIFICATION
The infom+auon for tits model cited on this certificate can ter vertfied•at www.shridirectory.org.dick on*Verify Certif loste'link ,;�„•,,,c I'Pr:rttet"
end enter the AHRI CeftMed Reference Number and the doff on which the cerlifirate was Issued,
which is Meted a00Ve,and the CarlIc8te No.,WfNth IS Il6te0 At batten right 13D88b717138672097
02014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.;