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MC-16-797 Miami Shores Village �RE .� .� Building Department �a �2 201t6i 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 20( ��BUILDING Master Permit No. LA 0 �4 9 PERMIT APPLICATION Sub Permit No. F-IBUILDING ❑ ELECTRIC ROOFING REVISION EXTENSION RENEWAL ❑PLUMBING 2 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP Q p CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores Coun : Miami Dade Zi : Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): VJJ� t� .16W1 Phone#: /S�' 02-00 ^- Address: Iff N w 944-r City: State• Wo, Zip; Tenant/Lessee Name: Phone#: Email: CONTRACTOR:CompanyName: C (��ame: ••�'• a` t r Co to j . C p Phone#:430J 6 0 S' ��4 Address: ®�� 1 V 16-7 't T C- - c1 �� . City: CI�'K t tSt��ate• _ Zip:�� ® f� Qualifier Name: 0 lo-erT C "1 S ! Phone#: State Certification or Registration#: C A G a. 4 1� Certificate of Competency#: L 3'0 a� I DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ L{ ®® Square/Linear Foo ge of Work: Type of Work: El Addition F-1Alteration ❑ New_ Repair/Replace ❑ Demolition Description of Work:j&.djrj&"Ae Aj --1 Specify color ��--of color thru tile:6 Submittal Fee$ J • OD Permit Fee$ ` CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ 0 Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) r 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. r. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was/acknowledged before me this day of .20 16 ,by day of (1 IQ r G h 020 16 by who is ersonally known o who is personally known 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: NOTARY PUBLIC: Sign• Sign: �oa Print: Print: J Avi c q n =t• :* C=06sW#FF� Seal: 48W7 Seal: Expires May 24,2018 JANET KRANZ BmdedTMuTroyFaNfneicerroelgtg >: Commission#FF 197298 Expires May 9,2019 ',•� ' BMWTMuTMyF&ikreie ==a5- 1q &*k+kY*k#kkB#Rk*ki#tB+kiB##ki#kkkIrklk+Fk&+kirikkW9kl+i&k#k##&k+MRltik*ri#t k8*&irkk*k#k+k APPROVED BY Plans Examiner Zoning Structural Review Clerk (Rev1sed02/24/2014) s s ,yH° s Miami Shares Village Building Department ••" "mss' 10050 N.E.2nd Avenue Miami Shores, Florida 33138 ��pRipp 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): ) ) 9 N W q�-1 T City: Miami Shores Village County: Miami Dade tip 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 ;ARHI RIDATA SHEET REQUIRED Change disconnecting means:YES❑ NO Sheet Attached:YES L'.I NO❑ Contract Attached:YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER IU Rheum R REA • 177 AHU or PKG. UNIT MODEL# Kki IT 149 O 4 2 COND.UNIT MODEL# RA b KW HEAT NOM TONS j is AHU CU PKG 1)M.C.A AHU CUIN PKG AHU CU PKG 2)M.O.P AHU L40CUq0 PKG AHU CU PKG 3)VOLTS 1290 I AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER 16 YES NO REPLACING DUCTS YES YES NO REPLACING THERMOSTAT QW NO YES NO NEW 4"CONCRETE SLAB QW NO YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES 1. Minimum Circuit Ampacity(Wire Size): S 2. Maximum Overcurrent Protection (Fuse/Breaker Size): I") 3. Voltage of Circuit(208/240/480): 0,L( ® ) A H 4. Size Disconnecting Means: L4 ® Atwr Contractor's C mpany Name: C +!9 A l'CL-0 n CO Phone:_mss o�f��,�p� t L( State Certifictltnallfle CAL ®2 C�Ig Certificate of Competency No. 49302. 1 Signature Date: 3 - 1 -7 ' )6 ature) (Revised02/24/2014) This combination qualifies for a Federal Energy Efficiency Tax Credit when placed In service t �� ? ® between Feb 17,2009 and Dec 31,2016. MM Uert® ® Product AHRI Certified Reference Number. 7942888 Date: 3/21/2016 Product:Split System:Air-Cooled Condensing Unit,Coil with Blower WITY Outdoor Unit Model Number: RAI"2AJ1 Indoor Unit Model Number.RH1T4821STAN Manufacturer: RHEEM SALES COMPANY,INC. cur Trade/Brand name:RHEEM; RUUD Region:Ail(AK,AL,AR,AZ,CA,CO,CT,DC,DE, FL,GA,Hl,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,SD,TN,TX, UT,VA,VT,WA,WV,Wi,WY, U.S.Territories) Region Note:Central air conditioners manufactured prior to January 1,2016,are eligible to be Installed in all regions until June 30,2016. Beginning July 1,2016,central air conditioners can only be installed In reglon(s)for which they meet the regional efficiency requirement. Series name:. Manufgc Ire lbls for the rating of this system comb�natIn',-1�A1K EEM SALES COMPANY,INC. Rated as'foNows in-accordance with AHRI Standard 210/240 08 fiir Unitary Al -Conditioning and Air-Source Heat Pumill Equtpinuint and Subject to verification of rating.ac curacy by AHRl�ponsornd,independent,third party Coming Capacity(Stub): 41600 EER Rata(Cooling): 13.00, SEER Rating(Cooling): 16.80 IEER Rating(Cooling): MY: Ratings followed by an asterisk(')indIcete a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an irwoluntary rerate. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disdadms all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.ahvidifectory.org. TERMS AND CONDITIONS P. This Certificate and Its contents are proprietary products of AHRL This Certificate shall only be used for Individual,personal and confidential reference purposes.The contents of this 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 any means,except for the user's individual, 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,dick on'Verify Certificate"link we make life 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 right 13103Q53T7994 40408 02014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: M1AMa MIAMI DADS COUNTY PRODUCT CONTROL SECTION 11905 SW 26 Street,Room 208 DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES(RER) Miami,FlorldaP3175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE {NOA) www.mla,uiaaa@.� t�ee�o>r,� Rheem Sales Company,Inc. 5600 Old Greenwood Rd. Fort Smith,AR 72917 SCOPE:This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed and accepted by Miami-Dade County RER Product Control Section to be used in Miami Dade County and Ater areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Section(In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner,the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify,or suspend the use of such product or material within their jurisdiction. RER reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code,including the High Velocity Hurricane Zone. DESCRIPTION:Mechanical Unit Steel and Aluminum Tie-Down Clips for Grade and Rooftop Applications APPROVAL DOCUMENT:Drawing No.15-2543GA,titled"Wind Load Certification of Mechanical Unit Cabinetry and SteellAluminum Tie-Dawn Clips:At Grade and Roof Mounted Applications",sheets 1 through 7 of 7,dated 05/14%2015,revised on 11/2012015,prepared by Engineering Express,signed and sealed by Frank L.Bennardo,P.E.,bearing the Miami-Dade County Product Control approval stamp with the Notice of Acceptance number and approval date by the Miami-Dade County Product Control Section. MISSILE IMPACT RATING:None LABELING:.Each unit shall bear a permanent label with the manufacturer's name or logo,city,state, model/series,and following statement"Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been Sled and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words miiami Dade County,Florida,and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of this page 1 and evidence page E-1,as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M.Utrera,P.E. NOA No.154903.08 Expiration Date:February 25,2021 fJ Approval Date:February 25,2016 Page 1 Riteem Sales Company,Inc. NOTICE OF ACCEPTANCE: , EVIDENCE SUBMITTED A. DRAWINGS 1. Drawing No. 15 2543GA,titled"Wind Load Certification of Mechanical Unit Cabinetry and Steel/Aluminum Tie-Down Clips:At Grade and Roof Mounted Applications",sheets 1 through 7 of 7,dated 05/14/2015,revised on 11/20/2015, prepared by Engineering Express,signed and sealed by Frank L.Bennardo,P.E. B. TESTS 1. Test report on Uniform Static Air Pressure Test per FBC, TAS 202-94 along with marked-up drawings and installation diagram of Rheem RA Series Mechanical Units, prepared by American Test Lab of South Florida, Test Report No. 0323.01-15, dated 05/18/2015,signed and sealed by Stephen W.Warter,P.E. C. CALCULATIONS 1. Anchorage calculations prepared by Engineering Express,dated 11/20/2015,signed and sealed by Frank L.Bernardo,P.E. D. QUALITY ASSURANCIK 1. Miami-Dade Department of Regulatory and Economic Resources(RER) E. MATERIAL CERTIFICATIONS 1. None. F. STATEMENT I. Statement letter of code conformance to the 5a`edition(2014)FBC issued by Engineering Express,dated 08/24/2015,signed and sealed by Frank L.Bennardo,P.E. 2. Statement letter of no financial interest issued by Engineering Express,dated 11/20/2015,signed and sealed by Frank L.Bennardo,P.E. 3. Distributor agreement dated 11/12/2015. C rlos M.Utrem,P.E. Product Control Examiner NOA No.15-0903.08 Expiration Date:February 25,2021 Approval Date:February 25,2016 E-1 p } 1 FRANK ,PR. RHEEM SALES COMPANY, INC. ' WIND LOAD CERTIFICATION OF MECHANICAL UNIT CABINETRY AND STEEL/ALUMINUM TIE-DOWN CLIPS: AT GRADE MOUNTED APPLICA O` S *: .46 uQ1 .tAw 3-g y�C[ �,5 t 3 0.313250.750" 0'.. STATE 0 ♦. � t /, RID 18-QAAS'TM STEEL PAINTED O . CABINETRYIg 0 0A J P UD �? 4 SIN.1'0 C tlUl 5IM.1'0 OUT O g ON OPP.FACE OPP.FACT: I I mo. V A C UUU M 0.187° CONCRETE CONCRETE O sUPPOAT= a SUPPORT= STRUCTURE BY 0.306• ��} STRUCTURE B s OTHERS,TYP. COOL� D rip, tY'V L.7 1 MECHANICAL UNIT a MECHANICAL UNIT t----}1.000• 1 N.T.S. FRONTISOMETRIC N.T.S. SAcXlSOmETRIC TIE-DOWN CLIP THESE ISOMETRICS ARE INTENDED FOR\:::..•%��/�� na DIAGRAhMfATICAL PURPOSES ONLY;ALTERNATE!BO?EM MIAMI TECH CLIP:14GA(0 07%ASTM A653 ER UNITS LISTED HEREIN MAY VARY IN APPEARANCE Fum90 KSI STEN(CLrtD10)OR TM (4 RNAL POST 5052+32 ALUMINUM(CUTDA10),MIAMI ADJACENT TO TECH KIT 9 RRCUTDLK OR RRCUTDALK CLIP,TYP. CONTROLBOX OUVER --l— Cu �,z..<,,,.; • TYP. *37.25° C ER CLI B 9 NIT BASE BASE DO BASE ANCHOR PER PAN PAN PAN SCHEDULE N N 3000 PSI MIN. J, c CONCRETE BY •••® ® © .•�..�` DI 11 OTHERS,TIM U ®a/fg eppq CLIP OFFSET DIMENSION SHAH _ _._. BOX_. AND ON Till R' ot�T 's[d�'bt�4• n DATUM FACE OPP.FACES 4 TIE-DOWN CLIP LAYOUT aL PL 3 TIE-DOWN CLIPS 1 N.T.S. ELEVATION 1 N.T.S. PLAN 15-2 GA soft ANCHOR SCHEDULE: TIE-DOWN CLIP OFFSETS: APKICABLEMODILS via& • is B,•ral,,aals SUBSTRATE DNBCRZPTM DIM.1 4.50•MAX OFFSET FROM DATUM FACE RA1842A,RA1848,RA18s0,FNSW, t1'•V4.0 CARBON sum ,STAM Bar i •MIN rBlewro RP14M.RP1848,RD1448.RP M. (a•THit1t t41N, CSR 4 pOH ease DtsrANce 3•W.avac,nD Ta$aNraDu lrANaK,a DIM.2 30.00°MIN OFRiET FROM DATUM FACE RD1480 FVVUA1748,RlVUA17� 3m�Km.) (1}V4.0 CARBOQI STEEL POBB RS 1tl@IXie eaT+,i�Emm TO CONCRere,3• DIM.3 31.OV MIN OFFSET FROM DATUM FACE RMIA2048,RIWAM.MPIU 1746, el Mai.GM VIFMW e.3•MM SPACDKi TO ANYA0MCBNTAKCNOR. RPA;P17$%FUWP2048.RPAJPM A I. SUPFORnNO CONCRETE SUB4TRATE DEM SIUKL BE A MUM"14 EMBM DU4.4 13.0V MAX OFFSET FROM DATUM FACE �v SSS BITHM ANCHOR FROM TM SCHEDULE MAYBE USED FOR INSTALLATION. Miami Shores Village 10050 N.E.2nd Avenue NW Miami Shores FL 33138-0000 s Phone: (305)795-2204x' 1 _ Expiration: 271201 8 ,c Project Address Parcel Number Applicant 118 NW 94 Street 1131010330750 BRENT TRANTUM Miami Shores, FL Block: Lot: Owner Information Address Phone Cell BRENT TRANTUM 118 NW 94 Street (954)632-3007 miamj shores FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 4,520.00 C&R AIR CONDITIONING CO 305-685-6394 (954)680-4494 Total Sq Feet: p Tons:31/2 Available Inspections: Additional Info:EXACT REPLACEMENT OF 3 1/2 TON SPLI Inspection Type: Classification:Commercial 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-3-16-59152 DBPR Fee $2'37 03/31/2016 Credit Card $129.94 $50.00 DCA Fee $2.37 Education Surcharge $1.00 03/24/2016 Credit Card $50.00 $0.00 Permit Fee $158.20 Scanning Fee $9.00 Technology Fee $4.00 Total: $179.94 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 fo LECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNER A PAVI I ce t all he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construct z nin Fu e o ,I uthorize the above-named contractor to do the work stated. March 31,2016 Authorize ure:OtWApplicant / Contractor / Agent Date Building Department Copy March 31,2016 1