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MC-16-1754 (2)
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-261655 Permit Number: MC-6-16-1754 Scheduled Inspection Date: September 07, 2016 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: , Work Classification: A/C Replacement Job Address: 1071 NE 95 Street Miami Shores, FL Phone Number Project: <NONE> Parcel Number 1132060143610 Contractor: CHANIN MECHANICAL Phone: (305)865-1729 Building Department Comments EXSITNG 5 TON SLIPT SYSTEM Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed I Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 06,2016 For Inspections please call: (305)762-4949 Page 10 of 40 i v 41 i� Miami Shores Village � �' t llt _MettmalReWdo�a[ 10050 N.E.2nd Avenue NE S T 61 Aft��������ent Miami Shores,FL 33138-0000 �E FF€;mtrt= taftt�_1P �3 Phone: (305)795-2204 �- Expiration: 1212 OP016 _ issued:012312016 P� Project Address Parcel Number Applicant 1071 NE 95 Street 1132060143610 Miami Shores, FL Block: Lot: DONALD S MCCORQUODALE JI Owner Information Address Phone Cell DONALD S MCCORQUODALE JR&W& 1071 NE 95 ST -- -- - ------- -- - MIAMI FL 33138-2547 Contractor(s) Phone Cell Phone $ 4,550.00 CHANIN MECHANICAL (305)865-1729 Valuation: Total Sq Feet: 0 Tons:5 Available Inspections: Additional Info:EXSITNG 5 TON SLIPT SYSTEM 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-6-16-60315 DBPR Fee $2.39 06/23/2016 Check#:6219 $ 186.03 $0.00 DCA Fee $2.39 Education Surcharge $1.00 Notary Fee $5.00 Permit Fee $159.25 Scanning Fee $9.00 Technology Fee $4.00 Total: $186.03 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 AFFID T: I certify that I the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructs a zoning. Futhe e, u orize the above-named contractor to do the work stated. June 23,2016 Authorized Signature: wner Applicant / Contractor / Agent Date Building Department Copy June 23,2016 1 Miami Shores Village ^— Building Department I JUN 2 , 01 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 io Iq s BUILDING Master Permit No. ryl G I (0—nsl PERMIT APPLICATION Sub Permit No. F-IBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS r JOB ADDRESS: ` © l/ �%— h ?_5 7 City: Miami Shores County: /1 6b E= 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. Signatur -1 AUy?W 0kQ Signa OWNER or AGENT CONTRACTOR The for oing instrument was acknowledged befor gme this The foregoing instrument was acknowledged before me this day of 20,x _ by day of ''.lt' 20 by Siyfeb-� (ncc—cDc--w V perSbna" ny—known to IJV E.�1 1. �£+/�• who is personally known to me or who has produced r—p,.-- nizihb as me or who has produced as identification and who did take an oath. identification and who did take an oath. �N111111 11i1// NOTARY PUBLIC: NOTARY PUBLIC: � R ••GO S s�o Sign: — °�'°o• Sign: s Print: ;�t ®•® y° Print: 113 ,9�y asp Seal G•: ° trnu • Seal: =;?:L°Ye56, wc0WA0=#FFWW SATE :a= Ef M:Muth 24.200 ///1011 f I I IIIII`��� �'•q,OF nQo` i�ofd6d 7Nu iVolary 1111dBRM11If INN ################################################################ ######## APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA • DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 CHANIN, DREW NED CHANIN MECHANICAL LC 6095 NORTH BAY ROAD MIAMI BEACH FL 33140 Congratulations! With this license you -come one of the nearly r one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range Y from architects to yacht brokers,from boxers to barbeque restaurants, STATE OF FLORIDA and they keep Florida's economy strong. DEPAR BUSINESS AND Every day we work to improve the way we do business in order to PROF ULATION serve you better. For information about our services,please log onto CAC056292 k X6/15/2014 www.myfloridalleense.com. There you can find more information about our divisions and the regulations that impact you,subscribe CERTIFIED As to department newsletters and learn more about the Department's CHANIN;DRQ ' initiatives. .r CHANIN MEC 7 Our mission at the Department is:License Efficiently,Regulate Fairly. y' We constantly strive to serve you better so that you can serve your -� customers. Thank you for doing business in Florida, and congratulations on your new license! IS CERTIFIED under the provisions of Ch.489 FS. E q?k4cn date:AUG 31,=6 L14 i50000g32 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT;OF BUSIkESS AND PROFESSIONAL REGULATION CONST14UCTIOlt1 INDUSTRY LICENSING BOARD. CAclo�s�s2 The_CLASBAAIR"COI-I)MONING CON TRAC �: Nain d 14810W IS CERTIFIED Under1he INavi.sJorrs_efChapter 489 FS. Xpifaitisri date. AtiG-31-; 2016 ZN 1R P r �x4 � • r t�"x r^"y� '"2..,�^'`^a '°��c.P � ��:t�'Rr$r °q� _ ■ 4. ISSUED: 06/15/2014 DISPLAY AS REQUIRED BY LAW Y SEQ# L1406150000939 D04600 Local Business Tax Receipt .Miami—Dade County,- State of Florida —THIS IS NOTA BILL. — DO NOTPAY I LBT 5894317 BUSINESS NAMWLOCATION RECEIPT NO. EXPIRES CHANW MECHANICAL LCRENEWAL SEPTEMBER 30, 2016 1965 71 ST °" 6148373 Must be displayed at place of business MIAMI BEACH FL 33141 Pursuant to County Code Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED CHANIN MECHANICAL LC 196 SPEC MECHANICAL CONTRACTOR BY TAX COLLECTOR Worker(s) 9 CAC056292 $45.00 07/09/2015 CHECK21-15-084368 This Local BusinessTart Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, permit or a certificadonof the holder squalificationa,to do business.Holder must comply any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles—Miami—Dade Code Sec 6a-276. For more hdormation,visit www miamidade aoyltaxcollecmr ' ISI ��Ra® CERTIFICATE OF LIABILITY INSU RANCrz I�TMPKD THIS CERTIFICATE 13 ISSUED ASA 6/15/2016 MATTER Op INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTTFICAT E HOLDER. 7T{IS BELO FICA1'E DOES NOT AFFIRMATIVELYFINSURANCE OR NEGDOES NoT C AMEND, EXTEND OR ALTER M COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE Ig$UING INSURER(S), AUTPO ICEC1 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT; if gfe {I#1g holder is an Ai7DITIONAL INSURED,the AapcYpes)must endorsed. I SUBROGATION 1g yyAlyEp,subJact the"Ica s and homer In A.. of the polIcendo ,certain policies may require an endorsement. A staltemant on this certificate dens not confer rights to the certlfloete holder to Ifeu of such etldor8ement(,e, to PRODUcen� Internabioaal Insurance Center, l+oIue. A Maria Fisk 7990 SW 117 avenue Ne (305)279-5446 P Suite 209 maria@iia.cc a i3o5?z�s-4o4s Miami In- 33183 I SU AFFaR o caVeR�►Ge 11VSUREO 1N8uR!`RA:9QEt8Co ZY18'u=dlLCe Qp 11UUOi# I ER a xlssoc3ated Imus ies Xnauran25011ce Chanin mechanical LC 1965 71st Street: IRsu o: 23140 IkouREQ D, Beach FL 33141 INSU g: ER COVERAGES CERTIFtCAYE NUMBBR;CL1661502285 P I THIS IS ED CERTIFY THAT THEDIN POLICIES OF FEMEN NICE LISTED EElOW yAVE i3EEN 13SUED TO THE INSURED NAMED A80yE GOR THE POLICY PERIO INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER pOCUMIENTON NWITH GEC CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 8Y THE POLJCIES DESCRIBED HEREIN 15 SUBJECT E ALL THE TERM D EXCCUSION3AND COWDITIONS OF SUCH POLICIES.LIMITS 5HOWN MAY NAVE B REDUCED By pip CLAIMS. T TO WHICH THIS Iz� 7YPQa'IN6wRANCE S, X CaIlIMmoft GENERAL L All ICY Amolts ° pCCt3R EACH E S • 21000,000 WV21382481 AXP(An a soome a $ 100,000 p(�p, 6/20/2026 6/20/2oi7 MED DSptAn � ) $ 5,000 8 Cy❑M ❑ OC °NAL6 ADV p�RY $ 11000,000 LOC oAGG6ArE OTMS 2#000,000 F PItODLICIB-CON�ApPAMs Aoro100�LtAey,(ZY i 21000,000 A ANY AVrO 6 IN S . AAUuroOsmeD X A�NEDULED 500,OOC WPP1457436 8ODLYWWII(PeFpwm) S HIRED: A AWNED 6/20/2016 6/20!2017 GODLY MJt1R1f(Pera4pidott0 S 0MRELLA L LM am $ Ia OCCUR unee t ed at S 300,600 l88 LIAR CE AJMS4VJA EACH acctrRktENOE $ WORKERA 00 N AQGREGAraAND $ �' LI7Y ANY PROPRI$rOR1pAR� � a X $ $ ° in eN� rwwc1o8i846 WOLUDED9 NIA S F Ee IcACH acdDENr $ 1 000 000 Q Defari 4/28/2916 4/28/2017 ELD18FAsE.EAEMp $ i 000 000 ' I:•LD F-PALICYLIMIT S 1 00 000 09SCI4IP'I7aN 01:0�'A'RObi8)LaCATlpN8/VJBl1Cl.88(AeORG 791.AoeNlomil R4husrl®sa1:C3uEs,r�pe mad ff more x �m Giceaao Humbert CACO 59692 ym ra�uiror0 %E1g71FFCATE K0LDBR CANCELLATION Miami Shores Vijjgge SHOULD ANY OF'THE ABOVE DFSCRIBED POLICIES Be CANtCELL6D BEFORE 10050 N S 2 Avenue THE EXIPIAATION DATE THEREOF, NIOTICe VYILL 8E ELLED BED IN Shore 1JL ACCORDANCE VvrrH THE POLICY PROVItttONS. fie. 3'L 3318 AtmioRlXeD ENTAm+E . Edward Cabassa/CF CORA 23(2014/x7) The ACORID name and kgo enc ®1988,2074 ACORD CORPORRT-1011. Is025 t�n,en�► reA;stared marks of ACORD All right$reserved. 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. C Job Address(where the work is being done): � 0—�) � a irm.._ J City: Miami Shores Village County: Miami Dade Zip Code: '32) ®3 le 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 E(ARHI Sheet Attached:YES ❑ NO❑ Contract Attached:YES ❑ UNIT BEING REPLACED DATA NEW UNIT -- �b MANUFACTURER d AHU or PKG.UNIT MODEL# d _ ��® COND.UNIT MODEL# 0 to KW HEAT 0 NOM TONS AHU I.O CU PKG 1)M.C.A AHZQ CU FA PKG AHU IeC�CU Aia PKG 2)M.O.P AHU L-0CU 14.J PKG AHU zCU ®PKG 3)VOLTS AHUA3-CU;Z KG PKG UNIT / / PKG UNIT EER/SEER YES FO) REPLACING DUCTS S NO REPLACING THERMOSTAT E5 W01 YES NEW 4"CONCRETE SLAB YES YES NEW ROOF STAND YES 0 YES NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity(Wire Size): —k q 2. Maximum Overcurrent Protection(Fuse/Breaker Size): l� 3. Voltage of Circuit(208/240/480):_ 4. Size Disconnecting Means: Contractor's Company Name: ! Phone: 7 State Certificate o ration No.���-'Os���� Certificate of Competency No. Signatur — Date: �3 (Q aaiffiers signature) (Revised02/24/2014) This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2016. Certificate of Product Ratings AHRI Certified Reference Number: 7019875 Date: 6/23/2016 Product: Split System:Air-Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: CA16NA060****A Indoor Unit Model Number: FV4CNB006L Manufacturer: CARRIER AIR CONDITIONING Trade/Brand name: CARRIER Region: Southeast and North (AL,AR, DC, DE, FL, GA, HI, KY, LA, MD, MS, NC, OK, SC,TN,TX,VA AK, CO, CT, ID, IL, IA, IN, KS, MA, ME, MI, MN, MO, MT, ND, NE, NH, NJ, NY,OH, OR, PA, RI,SD, UT,VT,WA,WV,WI,WY, U.S.Territories) Region Note: Central air conditioners manufactured prior to January 1, 2015, are el'Igible to be installed in all regions until June 30,2016. Beginning July 1, 2016, central air conditioners can only be installed in region(s)for which they meet the regional efficiency requirement. Series namK 16 SEER PURON AC Manufacturer resp I onsible for the rating of this system combination Is CARRIER AIR CONDITIONING Rated:as:foNows in accordance with AHRI Standard 290/240=2008 for Unitary Air-Conditioning and Air-Source Heat Pum Equipment=and subject to verification of rating accuracy-by,AHRI-sponsored, independent,third party.tesg: Coaling Capacity(Blah): 53000 EER Rating(Codling): 14.04 SEER Rating(Cooiing): 16.00 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.ahridirectory.org. TERMS AND CONDITIONS This Certificate and Its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal an confidential reference purposes.The contents of this Certificate may not,In whole or in part,be reproduced;copied;dissemina ed; - entered Into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's individu I, 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 issued, which Is listed above,and the Certificate No.,which is listed at bottom right. — — ©2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE h10.: 131111625809522717 STATE LICENSED PH:305-561729 AND INSURED FAX:305-8641354 CAC05629Z 1965 71s%STREET MIAMI BEACH,FL 33141 rVUzAankat XX Air Comffff ring Con&actor DATE: June 23,2016 We,the firm of Chanin Mechanical,L.C.,propose to furnish,install and service the air conditioning and heating system for: Beverly McCorg uodale Job located at: 1071 NE 95th Street-Miami Shores—Florida In accordance with following conditions and specifications: EQUIPMENT TYPE: Option #1: Carrier - 5 Ton—Basic series - Freon R-410 Seer 16 Qty—[1] Condensing Unit-Model#CA16NA06000 Qty—[1] Air Handler Unit-Model#FV4CNB060T00 With 10 KW Heater EQUIPMENT TYPE: Option #2: Carrier- 5 Ton—Performance 2 Sneed Freon R-410 Seer 17 Qty—[1] Condensing Unit-Model#24ACB76OA003 Qty—[1]Air Handler Unit-Model#FV4CNB060T00 With 10 KW Heater LOCATION OF EQUIPMENT Air Handler to be installed on existing foundation Condensing Unit to be installed on existing foundation PIPING: Will tie to existing Freon lines and drain lines. WIRING: Will tie to existing high and low voltage wiring MISCELLANEOUS: Qty-[1) Condensate Overflow Safety Switch Qty-[i]Heat&Cool Thermostat DUCTWORK: Will tie to existing duct work with fiberglass board. i Initials: RESPONSIBIIdTY Each party as indicated will assume the following responsibilities; PURCHASER/SELLER Delivery,uncrating,assembly and erecting: X Equipment Foundation: (as described): X Duct/Work(as described): X Supply&Return Outlets(as described): Existing Electrical Service: Existing Wiring to Building Panel: Existing Wiring Existing Disconnects: X Wiring of Existing Air Conditioning Control System X Cutting Holes: N/A Redecorating,Painting and Patching: Piping(as described): X Local Permits and Licenses:Please See Note Last Page. X Miscellaneous:Drain Line Raiser Existing Initials: WORKMANSHIP Our work will be performed in the most professional manner and in compliance with existing governing codes and regulations. WARRANTY AND SERVICE: 1. After installation,our qualified representative will start and test the equipment and also provide instructions on the use of the equipment. 2. All equipment,material and labor furnished by Chanin Mechanical,L.C.,will bear a one-year warranty from the date of installation,against defects in workmanship and material. The Manufacturer's warranties are limited solely to furnishing replacement equipment or parts, freight prepaid,upon the manufacturers inspection. Copies of the manufacturer's warranties are available to you and will be supplied upon installation of the equipment. 3. We will provide service under this warranty promptly during our normal working hours. Warranty service does not include maintenance such as filters,parts or fuse replacement. GENERAL: 1. During installation we will take all reasonable precautions to protect all persons and to avoid damage to property. 2. We will not be liable for damages in the event of delivery or installation delays,which are due to causes beyond our control. 3. Title to the equipment remains with Chanin Mechanical,L.C.,until all sums due to Chanin Mechanical,L.C.,have been paid. 4. It is understood that this proposal sets our entire agreement and is entered into by Chanin Mechanical,L.C.,as an independent party and not as an agent of the manufacturers. 5. This proposal will become a contract between Chanin Mechanical,L.C.,if accepted by you, and thereafter approved in writing by our duly authorized representative. 6. The proposal will be considered valid until:30 days. 7. In the event of defaults of any term or conditions of this contract,SELLER shall have the right to take immediate possession of the equipment. It is agreed that the SELLER will retain title to the equipment or materials furnished until final payment is made, and if settlement is not made as agreed,the SELLER shall have the right to remove same and the SELLER will be held harmless for any damage resulting from removal thereof. In such an event,the full amount of the purchase price shall become due and payable forthwith. Any and all amount paid shall be retained by the SELLER as liquidated damages and not as penalty: Initials: In the event of default by purchaser,purchaser agrees to Seller's reasonable Attorney's fees and cost incident thereto. A finance charge of 1-1/2% per month will be applied if account is not paid in full within 30 days. Seller shall not be responsible of any delays in delivery of installation as a result of strikes, fires,floods,acts of God,or any other causes or acts of nature beyond the control of the Seller. INSTALLATION SCHEDULE: 1. The equipment will be ready in approximately_days from the date of our approval of this contract. TERMS: l on rac � n#1: $4,550.00 Option 42: $,S; 5.00 S 6 *Add$150.00 to contract price for a Miami-Dade approved hurricane stand Factory's Parts warranty Compressor 10 years,Parts 10 years if registered online by Purchaser. Note: The cost for local permits and processing fees will be billed separate from the contract price. Jason Chanin ACCEPTANCE: The proposal is accepted byA iCd QD ay1�Date: 8d 1 b . DEALER APPROVAL: This contract is approved by .Date: (Title: