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MC-12-2351Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 182874 Permit Number: MC -12 -12 -2351 Scheduled Inspection Date: February 06, 2013 Inspector: Perez, JanPierre Owner: JUANICO, KIMBERLY Job Address: 1558 NE 105 Street B3 Miami Shores, FL Project: <NONE> Contractor: NO SWEAT AIR CONDITIONING INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (786)252-3466 Parcel Number 1122300530150 Phone: (954)557 -6179 Building Department Comments 3 TON A/C CHANGE OUT Infractlo Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 05, 2013 For Inspections please call: (305)762 -4949 Page 5 of 22 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 it t INSPECTION'S PHONE NUMBER: (305) 762.4949 rte' l'°l. '.' Permit No. WI 102-J43 I • DE% 1 2012 BUIL ING PERMIT APPLICATION FBC 20 Master Permit No. Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): Xfrbi 46A-4 ✓iii' " "® Phone#: 3 SOP e "V.0 Address: _13-0 Air / 9 sr. City: /14/A41/ 5 I4 state: ,4 zip:33 'sr Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: /3' ivir /dose" .0" City: Miami Shores County: Miami Dade Zip: S3/3# Folio/Parcel#: Is the Building Historically Designated: Yes Flood Zone: /a' CONTRACTOR: Company Name: ` 4 j7416-491- �� 1/�% ( Z:9 a.� -9 9 , Address: OW JVM redi— AVE- City: 0' VA:- State: 1"-- _ Zip: a��vA5 Qualifier Name: /64 6/5 / 4#/21 f— 'J' Phone#: /6 7.33-7-6/7 /' State Certification or Registration #: C ‘ 54/ 0 d ` Certificate of Competenc #: Contact Phone#:4� ! 7 o/ Email Address: /✓� "/C'lf ME ` 41, L o £®/l DESIGNER: Architect/Engineer: Value of Work for this Permit: $ Type of Work: °Address °Alteration Descriptlon of Work: / ' 034 13,411, S 11�dotYi Gtrioli fro , .... : . ,. bin "£ nib sotp3 a�ly�ein+{ t 39 b nataattittno: p/9 Square/Linear Footage of Work: New fRepair/Replace °Demolition * * * * * * * * ** •* * * * * * * * ** Permit Fee $ 1 in (1 l 4 CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ ippie WAR* * *4 * * * * * * * * * * * ** Scanning Fee Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Stat 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 Contrac The foregoing instrument was acknowledged before me this / 0 of 0 . eeJ4' 20 ill by /li(i4. Jy 'a-,i a, da so or who has produced Sign: Print: My Commission Expires: The foregoing instrument was acknowledged before me this/® day of f,'-eiv r , 20 [27-, by h a 5 kyi. ni J7( whoss personally known tojr who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print 74,4 civa My Commission Expi�es;, _ * * * * * * * * * * * * * * * * * * * ** APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) ,,,,, MARK T. MASCO •�* Nosy Pone • tote N ROM a, 201 Commission • et t ou14 Banded lbram0 floury Assn. Clerk 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): ' /t /ice / 5 - E- City: Miami Shores Village County: Miami Dade Zip Code: 33132 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 ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO ❑ (ARHI Sheet Attached: YESP3 NO ❑ contract Attached YES UNIT BEING REPLACED DATA NEW UNIT ®O,ilm-frof/ 3 f ' e,- , MANUFACTURER Le- /ye _/ 3,15w �7 49 AHU or PKG. UNIT MODEL # - � .- O COND. UNIT MODEL # __ / X - - /O,-(4.9 ,, / KW HEAT NOM TONS ,� AHU CU PKG 1) M.C.A /r, 7 AHup CUM/PKG AHU CU PKG , 2) M.O.P 31, AHU j CUPO PKG AHU CU PKG 3) VOLTS 23 0 AHU CU PKG PKG UNIT / / PKG UNIT / / EEC Aeee YES NO , REPLACING DUCTS YES der— YES NO REPLACING THERMOSTAT Malo NO ' YES NO NEW 4 °CONCRETE SLAB YES YES NO NEW ROOF STAND YES YES NO NEW RETURN PLENUM BOX YES - i es 1. Minimum Circuit Ampacity (Wire Size): � 't 1'O4 d j® 2. Maximum Overcurrent Protection (Fuse/Breaker Size): AM/ �® 3. Voltage of Circuit (208/240/480): ai fe° ozia V ° 4. Size Disconnecting Means: 4 ' 4'0 • 36 ,4 bSc- Contractor's Company Name: Ale Salmi" /4124— Phone: f59-=0"7-6/7f State Certificate or Registration N.0 Ra 0/49 Certificate of Competency N. Signature Date: /4/e/2--- (Qualifier's signature only) CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self - performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) K,tylberly PROPERTY OWNER: ZU a v, L 12 PERMIT # ADDRESS: Aril' ✓ Y ' g / ©6 Sired /'i o r S4Gr$s I L, 3313S' FOLIO NUMBER: / /".1-2,98A.57.3041-. 2FLOOD ZONE: / E BASE OOD ELEVATION• ' FREEBOARD: EAST OF FL.CCCL: . 6e .tif rk-ceJ e» ro of 414 i 3 Q. ► Seco4 17®®," U 006 S pa � �6u COST OF PAST IMPROVEMENTS (12 MONTHS): 1/ J '0,2, 2-4 00 /✓ew Cer.4,4 1 plc COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): VALUE OF PRINCIPAL STRUCTURE (attach appraisal): a ®D OWNERS SIGNATURE: DATE: 12,110 112-- PLANREVIEWER: PLAN SIGNATURE: DATE: REVIEWER SUBSTANTIAL IMPROVEMENT / DAMAGE LIST (NOTE: THIS LIST IS INTENDED FOR GUIDANCE ONLY, AND IS NOT ALL INCLUSIVE) ITEMS TO BE INCLUDED ALL STRUCTUAL ELEMENTS, INCLUDING Foundations including; Spread footing, Continuous footing, isolated footing, piles and pile caps Slabs including; Monolithic, floating, elevated Walls including; Exterior walls, Bearing walls, Shear walls Beams, Tie Beams, Columns and Posts Wood decking, Floor and Roof Sheathing Trusses, Joist Windows /Doors ALL BUILDING ELEMENTS, INCLUDING Interior Partitions, Walls, Columns Drywall, Ceilings, Built in Furniture, Cabinets, Vanities All Fixtures Flooring, Tile, Carpet, Stone, Linoleum, ect. All Finishes including Drywall, Paint, Stucco Plaster, Paneling, Tile, Marble, and Moldings Roofing Material ALL HARDWARE ALL UTILITY and SERVICE EQUIPMENT HVAC Electrical System and Equipment Plumbing System and Equipment Security System and Equipment Central Vacuum System Plumbing Fixtures Lighting Fixtures and Ceiling Fans Water Systems including Softeners /Filtration Created on June 2009 ALSO: All Labor and other Costs associated with Demolition, Removing, Replacing, Installing Building or Altering Building Components Construction Management / Supervision Overhead and Profit Equivalent cost for: Donated Materials Volunteer Labor (including owners and friends) Any Improvements Beyond Pre - damaged Condition, including; Utility Upgrades Code Upgrades ITEMS TO BE EXCLUDED Plans and Specifications Survey Costs Elevation Certificate Costs Permit fees Debris Removal Items not considered to be REAL Property Rugs, Furniture, Refrigerator, Appliances not Built -in Outside Improvements, Including; Landscaping Sidewalks Patios Fences Yard lights Sheds Gazebos Irrigation Pool "NO SWEAT" AIR CONDITIONING, REFRIGERATION, & HEATING, INC. 511 Sumter Avenue / Davie, Florida 33325 Broward: (954) 423-9696 / Dade (305) 623 -15' 00 _ 6 ` `y '\) '4--✓ Phone 71/ pj r3 Customer Name /e /� �'� Address, /j, �r At ./:05" sr" City 4944w/ .40/0043 State 1 ZIP /3P Job Address Property Legal. Description: Lot Block DUCT SYSTEM ( ) &cones wah hampers ( ) Regular or Square ( ) Round ( ) SidewaU ( ) Fberboarcl ( ) Insulated Metal Ducts ( ) Fberboard Plenum ( )_Flex Dud (: i E ( ) Free A ( ) Lined Plenum ( ) Ebbing Plenum ( Ducted ( ) Filter Grill ttite'hereby subunit sons and estimates for EQUIPMENT ALTERNATE A L E Package Unit tons Na SEER BtuStull. ( - A/�r/d,' Condenser —tons Model No. ,'$1CX --O 44, SEER /6000 134th 5; .9.0k, (A -0Z Air Handler .3.® tons Model No. ,C.6x�7!/i1 Q. cfm soli– sr-drar- vert..(1/41 hark. ( ) ( ) .: Coll tons, coil No. blower sec. Model No. (,)Heating c" /1 iG , 9 km Condensate pump ( ) Electronic air cleaner Model No. Heat recovery unft Model No. ( 1S�IUS (AI heat ()11 tool ( ) set back 0P///j Ref. fps it. suction in. Liquid in y` /Ord- i/1 '/. Carbonate One ConnectIonto adequate 'electrical ( ) Hed rtecovery Reconnect Y1-9r / * Lire ✓iL ( ,) Precast slab kw rte. un ( ) Ref. tlnecover ¢Q Plans-Pend-dean up /1 /A-b 4`1.0/T7ctu 1 - , _0 140k ( ) Eedtfcal cow I �xrsT --•3 =° od- i OA-- "Vs 41 Lei an • material on the terms in .r below for the TOTAL CONTRACT PRICE OF , - $ agree ID i ,r', and Install the above Fta Power I Ld'Rebate $ q=%- t'5 EQUIPMENT ALTERNATE B ( -) , .. Package Unit .. toe Modd No. ( ) Condenser tons Model No. (. ) Headier kais Model No. ( ') Coil tons, wit Model No. ( kw. (.) . e pump ( as caner Model No. Heat recovery unk Model No. MISCELLANEO. US ( )� ( ) ( )� ( ) R f _ IL suction in. liquid in (- }Castanets Hite ( ) Connection to adequate electrical ( ) Heat Recovery Reconnect ( ) Weagree to fumish and install the above described labor and material on the terms bndicated below for the TOTAL CONTRACT PRICE OF $ Florida :.Power & Ught .Rt to $ S R dm blower see. Mom No. went. ( ) hodz. ( ) ( ) Precast slab for cond. unk ( ): Woofer ( ) Plmit-deen up by others WARRANTY AID GUARANTEES ( ) 5EC Year Warranty on all labor & parts installed by No Sweat Air Conditioning Inc. ( ) Year manufacturer's extended warranty on compressor. Condenser coil ( ) The customer ,:acknowledges -that prior to signing this contract he has read the'temts and conditions herein and hereby accepts this contract including the conditions on the reverse side hereof which are part-of the contract; .and further agrees to make payments as follows: /OD upon signing.contract $ % when ducts are roughed $ % on delivery of units $ % on start up of system $ % Financed $ "BUYERS RIGHT TO CANCEL' 'Tills is a hone solicitation sale, and if you do not team the goods or senrke% you may camel this agreement by mailing a rake to the seller. Ttw mate must be pose atked before midnight of the thin! business after this : :: ment. d u this :< , ; ,n the seller ma .::., all or of - cash down ,., : not to exceed the lease 5 . of the cash or • Purchaser This os ntract may be withdrawn by seller if not accred within ten (10) days. Sales Engineer Ww.. ,hridirectoty.org'; This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2011. Certificate of Product Ratings AHRI Certified Reference Number: 5185998 Date: 12/10/2012 Product: Split System: Air - Cooled Condensing Unit, Coll with Blower Outdoor Unit Model Number: 14ACX-038-230-14 Indoor Unit Model Number: CBX27UH- 038-230 *+TDR Manufacturer: LENNOX INDUSTRIES, INC. Trade/Brand name: 14ACX SERIES Manufacturer responsible for the rating of this system combination is LENNOX INDUSTRIES, INC. Rated as follows in accordance with AHR1 Standard 210/240 -2008 for Unitary Air- Conditioning and Air-Source Heat Pump Equipment and subject to veNflcation of rating accuracy by AHRI- sponsored, independent, third party testing: Cooling Capacity (Btuh): 35000 EER Rating (Cooling): 13.20 SEER Rating (Cooling): 16.00 *Ratings followed by an asterisk ( *) indicate a voluntary rerate bf previously published data, unless accompanied with a WAS, which indicates an Involuntary rerate. DISCLAIMER AHRI does not endorse the product(a) listed on this Certiflcate and makes no representations, warantlss or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims ap 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. Cert fled ratings are valid only for models and configurations Iced 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 and confidential reference purposes. The contents of this Certificate may not, In whole or In pat, be reproduced; copied; disseminated; entered Into a computer database; or otherwise utilized, in any form or manner or by any means, except forth user's indhtdual, personal and confidential referee e. CERTIFICATE VERIFICATION LOOP The Information forth modal cited on this certificate ran be verified at www.ahridirectory.org, A Air- Conditioning, Heating, click on "Verify Certificate" link and enter the AHRI Canted Reference Number and the date on ®® ®® and Refrigeration Institute which the cerBflcate was issued, which Is listed above, and the Certificate No., which le listed below ©2012 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129996209370765444