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MC-12-2443Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 186966 Permit Number: MC -12 -12 -2443 Scheduled Inspection Date: March 11, 2013 Inspector: Perez, JanPierre Owner: PERWIN, SCOTT Job Address: 800 NE 95 Street Miami Shores, FL Project: <NONE> Contractor: SERVICE EXPERTS LLC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)757 -4082 Parcel Number 1132060410010 Phone: 305 -264 -2020 Building Department Comments AC CHANGE OUT Infractlo Passed Comments INSPECTOR COMMENTS False --12 3 41 113 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 183566. no access @ 2:30 March 08, 2013 For Inspections please call: (305)762 -4949 Page 32 of 40 NOTICE OF COMMENCEMENT A RECORDED COPY MUST lgiftSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. 1-14 3 TAX FOLIO NO. 11 52-up -o41- 0010 STATE OF FLORIDA COUNTY OF DADE THE UNDERSIGNED hereby gives notice that improvements will be made to certain real prow.* ty, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of C,ommencement 1. Legal description of property and street address: (e 00 ifQ6 C1t5 s-ireje4- 1111111 11111 C F N 2013R0057895 OR Bit 28455 Ps 3340; (1Ps) RECORDED 01/23/2013 11g2607 HARVEY RUVINv CLERK OF COURT MIAMI-DADE COUNTYr FLORIDA LAST PAGE 2. Description of improvement C-hetryou--1- 3 - *'i A/c, cci . 3. Owner (s) name and address: AM 3 P10.-C, te- ta,Ai Peltpuit.) ?op 1N )4 4A-6 ClAoye-s 31?)/ -38 Interest in property: Name and address of fee simple titleho 4. Contractor's name and address: S 1---rNj5Nteet FL, -33 V72. 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond: $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) 7., Florida Statutes: Name and address: gin addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in Section 713. 13 (1) (b) 7., Florida Statutes: Name and address: 9. Expiratin date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of Print Owner's Name Sworn to and subsea Notary Public Print Notary' My Commission Expires: 14CC-(42-1(ciA Zr} 4 Bonded 'Nu Budget Notary Servias * MY COMMESION # DD 884414 EXP1RE3. My 13, Prepared 111- ce- EY-12e1d3 Address: 162 7-NW :FL, 33ii72-- Form 104 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 DING Permit No. 0 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: MECHANICAL " j� Pc ,, `L �7 OWNER: Nam5 (Fee Simple Title oldder); V • C ( l ado pavi:#1•110/1/41: ti 5 / 5 9- 40(L Address: ®O 0 ^N6, ct c . .® City: l am a CAW reo State: i L Zip: 3' I Tenant/Lessee Name: jam' Phone#: Email: JOB ADDRESS: O0 �6 9 5 S JYPe7" City: Miami Shores County: Miami Dade Folio/Parcel #: — 04 t — 00 1 0 Is the Building Historically Designated: Yes NO Flood Zone: Zip: CONTRACTOR: Company Name: �1 CU ekreig---k Phone #: , ` 4 ' 20 Address: 1 ��� �� �9 'C4 taj- City: cj) V C State: _ �s Zip: 3 j 172- c Qualifier Name: �j Phone #: JO6 ° 3 3 State Certification or Registration #: / /,C / F ? 1 1 Certificate of Competency #: Contact Phone #: ° -0SS Email Address: DESIGNER: Architect/Engineer: 10,570 Phone #: Value of Work for this Permit: $ 7 Square/Linear Footage of Work: °NewI °Repair/Replace °Demolition Description of Work: C.,� C �1 Ah a) � M+ 3 A/c- sai s- t�p-Nn g k - i j Type of Work: °Address °Alteration ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * **** * * * ** **** *+ ** ****** *** * * ** ** * * ******** b Submittal Fee $ 5b Permit Fee $ c CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology 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 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 F.I .FCTRICA L 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 „.1 wner or Agent The for instrument was acknowledged before me this 2C6 day of � 20 I— by cr. MSC ( who is personally know to me gar who has produced As identification and who did take an oath. Sign: Print: Contractor There instrument was acknowledged before me this '." day of _ 20 _.ig by CaAl i 76C/4/1 , who • My Commission Expir EXPIRES: May 13, 2013 Bonded Thru Budget Notary Services me or who has produced as identification and who did take an oath. NOTARY 1) 1 LIC: Sign: Print: My Commis JESSICA ACOSTA MY COMMISSION # DD 884414 • EXPIRES: May 13, 2013 Bonded Thru Budget Notary Send * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * ** * * * * ** * ** [sminer * ** ********************** * * * * * * * * ** * * * * * * ** * ** ** * * ** ** ** APPROVED BY 1 Zoning Structural Review (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) 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): WOO lU '+ City: Miami Shores Village County: Miami Dade Zip Code: j3 13 S) 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 I NO 12 ARHI Sheet Attached: YES NO ❑ Contract Attached: YES LIK UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER (,,perry nx_52.Mv0.56 21034, ( -me, Tilt 03(0 F I AHU or PKG. UNIT MODEL # fin o 16 A-C, on (p COND. UNIT MODEL # °7 KW HEAT 3 NOM TONS AHU 5 CU I2-PKG 1) M.C.A AHU 5 CU ( PKG AHU Z CU ci PKG 2) M.O.P AHU , CU i ( PKG AHU22OCU EKG 3) VOLTS AHU2.24 CU 220 PKG PKG UNIT / PKG UNIT / / ID EERISEER 19 YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT (YES NO YES NO NEW 4 °CONCRETE SLAB NO YES NO NEW ROOF STAND YES "i ) YES NO NEW RETURN PLENUM BOX YES , • . 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4° 4. Size Disconnecting Means: 6,0 p clI•S n o , E Contractor's Company Name: . , •V1 C..tJ Phone: 30 G✓ • , 6, Li- • 2 D20 / State Certificate or Registration N.0 L ( 1" i 21 Certificate of Competency N. Signature Zot,t."----..., Date: !a /o q t A (Qu Hier's signature only) ■�r►>i CIFi�ED,'� g. wwwahiRTAtliredPo'iy ; or 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: 5320356 Date: 12/27/2012 Product Split System: Air - Cooled Condensing Unit, Coll with Blower Outdoor Unit Model Number: XC21-036- 230-08 indoor Unit Model Number. CBX32MV-038` +TDR Manufacturer LENNOX INDUSTRIES, INC. TradelBrand name: XC21 SERIES Manufacturer responsible for the rating of this system combination Is LENNOX INDUSTRIES, INC. Rated as follows In accordance with AHRI Standard 2101240.2008 for Unary Air- Conditioning and Air- Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored, independent, third party testing: Cooling Capacity (Stub): 35600 EER Rating (Cooling): 13.50 SEER Rating (Cooling): 19.00 ' Ratings followed by an asterisk (*) indicate a voluntary mate of previously published date, unless accompanied with a VAS, which Indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on olds Certificate and rakes no repreaenffitlona, wanantka or guarantees as to, and assure es no responsibility for, She product(s) listed on this Certificate. AHRI expressly disclaims all liability for dermas of any kind atiebfg out of Ste use or perfannance of the product(s), or ere unauthorized alteration of data died entitle Certificate. Certified tatkrgs are valid on lyfor mods and configurations listed in the directory at wwvshridirectory org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for khdhdual, personal and confidential reternnoa purposes. The contents of this Certificate may not in whole er 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. CERTIFICATE VERIFICATION T einformationfortimmodelcPoadenthiscertmmte ambeverifiedatwwv .ahridhrectaryarg, Air-Conditioning, Heating, click on "Verify Certificate" link and enter the ANN Certified Wens= Number and the data on ®® MM and Refrigeration Institute With the certificate es issued, which is listed above, and the Certificate No., which Ie listed below ©2012 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130010824698832268 t. D1. DesignStar Load Calculation Results are intended for use with Rheern heating and cooling systems only lnformatlon Street Address 8 i NE 95 St, Miami, FL 3313 3 Latitude, ' Longitude House Square Footage: Name: Phone: Email: SH R Number of residents Ceiling height Wall U -value ;R -value Floor U- value 6 R- value Ceiling _ l -value R-value Window U -value Window SHGF Moisture grains Duct loss Duct gain % Cooling infiltraction (ACH Heating infiltration (ACH) Winter ventilation V � iAds 6i12 Summer ventilation JESSICA C( N 889414 EXPIRES: May 13, 2013 Bled Ttua Butt NdalY Sew Heating Cooling Dry bulb (°F) Daily range RetaUv humidity Moisture difference Indoor temperature (F) Hea Cooling 70 75. Design temperature difference { °F) 20 1:5 Wall Floor`' Ceifing Windows 2103 8.S 6888 27.3 2898 11.7, 3930 15.9 Infiltration System Efficiency toss 2253 Total: 24784 Heating Loads 24,784 STUihr Wall System Efficiency Loss Ceiling Windows Infiltration 'V Vai l Ce Windows Latent Intl Internal Latent People Load Toil Sensible load Latent load .SH-HR Capacity at .75 SHR 5.60 Tons Windows Cooling Loads 59,883 BTU /hr r Sensible People Load ��-- Latent People Load Internal Senile Infiltration r t System Efficient) A 3 AED Graph 60000 0 8am 9am 10am clam 12pm Pm 2pm 3pm — Hourly Loads — Average 4pm 5pm 6pm 7pm apm System equipment selection will be made using the twilowing derived values., Summer Outdoor 90°F . - Summer Summer lridoor Summer Design Grains Winter Outdoor Winter Indoor 77°F 75°F 5 0% 50°F Sensible Cooling Latent Cooling Required Cooling Airflow Sensible Heating Required Heating Airflow 70°F 50,398 Btuh 9,485 BtLin 2,291 CrIvi 24,784 tuh 322 CFM Ail calculations are based upon approved hvac industry Standards and procedures, and comply :with all slate and federal code requirements. All computed results -are Estimates. Product provided by 'Energy Design, Systems and Idea Tree -- - - . - service Experts F 66.EXPERTS SERvICELXPLHTS C OM rr� Were possthle m*c tlbe f 1!`srsriae uie xj r k i 94 f rr, I3 �r $x3.?mVo (C 163 hd f ) PIUS MAINTENANG AG a Comtort Guarantee years ySten t; temper h E -; .. ) Heating system will temperature. on <i ) Otne• Delivery Date i........1_,_. 1_.1_i THANK YOU! Yo"` BUY l �_L 1 1 _1 ` .7-SC ) S Ei ) Check . edit tk�iti. Exp. Dante _. cancel tint tray; at mtdnigHI of the tl buserest day alter „ de Eros T e rt