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MC-16-2072 (2) ' r Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-264022 Permit Number: MC-7-16-2072 Scheduled Inspection Date: August 01,2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPlerre Inspection Type: Final Owner: BENNETT,TONY Work Classification: A/C Replacement Job Address:10518 NE 3 Avenue Miami Shores,FL Phone Number 305-751-8865 Parcel Number 1122310130410 Project <NONE> Contractor: JG CLIMATE CONTROL CORP Phone: (305)318-6479 Building Department Comments REPLACE EXISTING FIVE 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 July 29,2016 For Inspections please call: (305)762-4949 Page 17 of 43 F � k h Miami Shores Village "• � 10050 N.E.2nd Avenue NEu Miami Shores,FL 33138-0000 Phone: (305)795-2204 r �� .. �� Expiration:01/24/2017 Project Address Parcel Number Applicant 10518 NE 3 Avenue 1122310130410 Miami Shores, FL Block: Lot: TONY BENNETT Owner Information Address Phone Cell TONY BENNETT 10518 NE 3 AVE 305-751-8865 MIAMI SHORES FL 33138-0000 Contractor(s) Phone Cell Phone Valuation: $4,950.00 JG CLIMATE CONTROL CORP (305)318-6479 Total Sq Feet: 0 Tons:5 Available Inspections: Additional Info:REPLACE EXISTING FIVE TON CENTRAL A 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-7-16.60721 DBPR Fee $2.60 0725/2016 Credit Card $50.00 $145.45 DCA Fee $2.60 Education Surcharge $1.00 07282016 Credit Card $145.45 $0.00 Permit Fee $173.25 Scanning Fee $9.00 Technology Fee $4.00 Total: $195.45 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 AFFIDAVI . I cerj#y that all the foregoing information is acc4rate and that all work will be done in compliance with all applicable laws regulating construction o g. F ermore,I authorize the above-nam nt ctor to do the work stated. July 28,2016 o re:Owner / Applicant / o r r / Agent ate Building epartment Copy July 28,2016 1 0 !!�- Miami Shores Village REC�1�� Building Department J l 25 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 By: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION UNE PHONE NUMBER:(305)762-4949 FBC 2 BUILDING Master Permit No. �'-20�2" PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION []RENEWAL ❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10 511 N6 3 At/E 9w: Miami shores County Miami Dade ZD• 3 313 Fl Foib/Parcel#: Is the Building Historically Designated:Yes NO Occupancy TypeSe S Load: Construction Type: Flood Zone: BFE: FFE: L,OWNER:Name(Fee Simple Titleholder): ^''A1 Phone#: -136S 7! Address: City; 9� < a'Y.4S State: Trp: two � Tenant/Lessee ame: Phone#: Email: CONTRACTOR:Company Name: n 6l t�'KYa�C. 2AhQ j C00• Phone#:CC6) L+5U -8591 Address: I C�qO 3 k)-&3 Sl0 0#-� City: },C%hCAh State -F1 Tp: 3.3015 Qualifier Name: 73C,'1-t-5 C10nZAA(C--Z Phone#•(D—on 145*0- OS91 State Certification or Registration#: CA C /8/6 Q3 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Trp: Value of Work for this Permit:$ �J Q Do Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration �/ ❑ New C9 Repair/Replace ❑ Demolition Description of work: 1��pLA Of, OV fivE T�,/ C¢.l�caL �►i/L le.vc�iT.�..�g, Specify color of color thm tile. Submittal Fee$ �� Permit Fee$ CCF$ r\ CO/CC$ Scanning Fee$ �'. , Radon Fee$ rrD;�BPR$ " '00 Notary$ Technology Fee$ . � Training/Educatton Fee$ • w Double Fee$ Structural Reviews$ 100 ^_ Bond$ t TOTAL FEE NOW DUE$ (Rev�sedoa/24/2Di4) Bonding Company's Name(if applicable) PIA Bonding Company's Address C•rty 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. 1 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$2500,the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the Inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CU �ICTOR Ua—cknowledged The foregoing instrument was acknowledged before me this The foregoing instrument before me this day of •rS t--!J ,20 Com ,by 2 5'day of T4,11- 20 /6,by ,who is personally known to lS Elm/t'Zatz=Z who i rsona y no o me or who has produced 30 6 M Sof/Jgas me or who has produced as identification and who did take an oath. ' Z" identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: � Sign:_ � Print: � i� V��Z� Print: CC. �i�ltZ Seal: „� " "' -- Yp¢ Seal: JOAMVRU MY COMMISSION#FF OWI MY( pSSION 9 FF0M1 EXPIRES:FebwW 28 EXPIRES:FeWWY 28 . • Bonded T►eu NoteuY Wb6o �7Y, ` Bont�d Tlee Idot�Y Pubdc 77 ssssssss ssssssssssssss sss sssssssss$ss ssssssssssssssssssss APPROVED BY 111s Examiner Zoning Structural Review Clerk iRev1sed02/24/2014i yea Miami Shores Village Building Department ..,, 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): 0 S/ho y e 3 A Ac City: Miami Shores Village County: Miami Dade Zip Code: :231,32' 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 0 Contract Attached:YES ❑ UNIT BEING REPLACED DATA NEW UNIT /1•QyE MANUFACTURER AHU or PKG.UNIT MODEL# g' dA A COND.UNIT MODEL# C, yv ,4 rj KW HEAT /C7 NOM TONS AHU 60 CU 60 PKG 1)M.C.A AHU lj CU 0 PKG AHU O CU p PKG 2)M.O.P AH B CUb-.X PKG AHU aZO8CUaIoB PKG 3)VOLTS AHU;?oBCUJ-gf PKG PKG UNIT / / PKG UNIT EER/SEER YES REPLACING DUCTS YES NO Y NO REPLACING THERMOSTAT YES NO YES NEW 4sCONCRETE SLAB YES NO YES NEW ROOF STAND YES NO YES QW NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacityr(Wire Size): F 2. Maximum Overcurrent Protection(Fuse/Breaker Size): 3. Voltage of Circuit(208/240/480): 4. Size Disconnecting Means: Contractor's Company Name:—jG (Il t NI%a tcl Ga ►-c>1 c4c:)CP. Phone: (-am)"As Co— SGL I State Certificate or Registration o. G a(U031 Certificate of Competency No. Signature Date: e-,-) ��6� �� s s�adeel (ReviseOZ/24/2014) yi g Certificate of Product Ratings AHRI Certified Reference Number: 7944313 Date: 7/25/2016 Product:Split System:Air-Cooled Condensing Unit,Coll with Blower Outdoor Unit Model Number:4TTR6061C1 Indoor Unit Model Number:TEM4AOC60SS1+TDR J 215 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, , LA, MA, MD, ME, MI, MN,MO, MS, MT, NC, ND, 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 1,2015,are eligible to be Installed in all regions until June 30,2016. Beginning July 1,2016, central air conditioners can only be Installed in regions)for which they meet the regional efficiency requirement. Series nain me; R1 5 ; k a3 Manu , �ee1:11", a11f��"fir i f Rated, is wIR in p�rdince,wlth-AHIRI t � r fi �'« idl iio Itt � r»Source /Heat �p� tI Itll - "& A ISPs :third Pa� T�vL G 'K " J 7y y 3 t i' W. ��a ro 4,c q�4€y t 's.�x is 3 .."€ r ° •Fe 1 }€` `� •<` , '� 3 0 _ - 'mss 1 4 4iil��l�ta�ng(CQp�'i��.x� �� ."��� • IEER Rating (Cooling): •Ratings followed by an asterisk(*)Indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary 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 disclaims 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.shridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and AM 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.abridirectory.org,click on'Verify Certificate"link we make life better"' and enter the AHRI Certified Reference Number and the date on which the certificate was rued, which Is listed above,and the Certificate No.,which is Med at bottom right 42014 Air-Conditioning,Heating,and Refrigeration Institute Ak ' n Certifica e of Product'm Ratings AHRI Certified Reference Number: 7944313 Date: 7/25/2016 Product: Split System:Air-Cooled Condensing Unit,Coil with Blower Outdoor Unit Model Number:4TTR6061C1 L 2 5 2016 Indoor Unit Model Number:TEM4AOC6OS51+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, ND, 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 1,2015,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 � s F 5 Manu e #trlrethrg iir' 00 Ratedt € p�pw In' c�l*nce'wltt IRI,fi rrniR Irce Heater ' T t, b it l s third d , A V z s M1i ' s r � zza IEER Rating(Cooling): Ratings followed by an asterisk r)Indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which Indicates an involuntary rerete. DISCLAIMER AHRI does not endorse the product(a)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 disclaims ag 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.abridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL This Certificate shall only be used for individual,personaland 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.shrldirectory.org,click on"Verify Certificate"link we make lite better- and enter the AHRI Certified Reference Number and the date on which the certificate was rued, which is tasted above,and the Certificate No.,which Is listed at bottom right 189� i4 i8`4 ©2014 Air-Conditioning,Heating,and Refrigeration Institute � i�t7. �gp b ..