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MC-16-1117Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 � c is -3040 Inspection Number: INSP-272563 Permit Number: MC -4-16-1117 Scheduled Inspection Date: December 07, 2016 Permit Type: Mechanical - Residential Inspection Type: Final Owner: GUERRA, JUAN AND BERTA Work Classification: A/C Replacement Job Address: 518 NE 94 Street Inspector: Perez, JanPierre Miami Shores, FL Project: <NONE> Contractor: AIR SYSTEMS A/C LLC Phone Number (305)757-3111 Parcel Number 1132060140960 Phone: (786)208-3484 Building Department Comments REMOVE AND REPLACE A/C UNIT. Infractio Passed Comments INSPECTOR COMMENTS False 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-257550. December 06, 2016 For Inspections please call: (305)762-4949 Page 28 of 29 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. MC -4-16-1117 Permit Type: Mechanical - Residential Work Classification: A/C Replacement Permit Status: APPROVED Issue Date: 4/27/2016 Expiration: 10/24/2016 Parcel Number Applicant 518 NE 94 Street Miami Shores, FL 1132060140960 Block: Lot: JUAN AND BERTA GUERRA Owner Information Address 1045 10 ST #907 MIAMI BEACH FL 33139-5362 Phone Cell Contractor(s) AIR SYSTEMS A/C LLC Phone (786)208-3484 Cell Phone Valuation: Total Sq Feet: $ 4,000.00 0 Tons: 4 Additional Info: Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved:: In Review Type of Work: Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $2.40 $2.10 $2.10 $0.80 $140.00 $3.00 $3.20 $153.60 Pay Date Pay Type Invoice # MC -4-16-59537 04/26/2016 Credit Card 04/27/2016 Credit Card Amt Paid Amt Due $ 50.00 $ 103.60 $ 103.60 $ 0.00 Available Inspections: Inspection Type: Final Review Mechanical 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 AFFIDAVIT: I certify that all the foregoing inform. . is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above �J' d co actor to do the work stated. (/ April 27, 2016 Authorized Signature: Owner / Applicant / Building Department Copy Contractor / Agent Date April 27, 2016 1 41. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 rTt FBC 20 i y BUILDING Master Permit No. R • 15. 30'W Sub Permit No. Ice. (6- 1' I l PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING PLUMBING 5efMECHANICAL PUBLIC WORKS JOB ADDRESS: 1'i NE q4 5treG'1 City: Miami Shores ❑ REVISION ❑ EXTENSION RENEWAL CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS County: Miami Dade Zip: 313 Folio/Parcel#: I I •- 320(0' 01 14 - Ogiloo Occupancy Type: Is the Building Historically Designated: Yes Load: Construction Type: Flood Zone: BFE: NO FFE: OWNER: Name (Fee Simple Titleholder): Ju v , 6>UeXYQ Phone#: TR(o.52? , ' tug Address: S 11 NE q 4 ST City: b/1ka►m► S�oreS State: FL . Zip: ?)-31.:$ Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Av 51<-I-:irrS file_ LLC. Address: 41041 t' _ i,2>?, 51— City: 1City: OPG.- !, f) L; -A 4 `' State: a. Zip: 305 Qualifier Name: 9.0 V $32-CvGZ Phone#: 3(1 S" OT i ` 10( -VO State Certification or Registration #: l✓( _0?ig5-4 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 'C�19. - Square/Linear, Footage of Work: CIs Phone#: 305' VA I 1040 A Type of Work: ❑ Addition Iteration ❑ New .'Repair/Replace ❑ Demolition Description of Work:G� al!`•Q c . co f G Specify color:of color:thru tile: ' 44+. .... ;�,. .. 1I/ t.i;t - 4.:1 i - Submittal Fee $ .� 'Permit Fee $ e,V(.�CF $ `•� ::1 •v:"';� .r': ,c0/.Cc $ f Scanning Fee $ S - CO Radon Fee $ DBPR $ 2 • 10 Notary $ Technology Fee $ 5. 20 Training/Education Fee $ V , dO Structural Reviews $ 0 (Revised02/24/2014) Double Fee $ Bond $ 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 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) daysafter the buildingpermit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection ee will be charged. Signat a AdarAglielly4 AliSignature The foregoing instrument w • s acknowledged before me this The foregoing instrument was acknowledged before me this `L \ day of Pt-Fr.A , 20 1 It , by 3VAn C�iUU A , who is personally known to me or who has produced j _ n n fl�� identification and who did take an oath. NOTARY PUBLIC: Sign: i Print: Seal: as 11 1. VASAddG2. apa 1. vasquez Commission # FF942611 Expires: December 9, 2019 Bonded thru Aaron Notary APPROVED BY (Revlsed02/24/2014) `Ll dayof Acr l .20 l td , by Ro.� Vaz�u� z , who is personally known to me or who has produced DL * ort 1 e as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: xaminer Suyapa T. Vasquez Commission # FF942611 Expires: December 9, 2019 Bonded thru Aaron Notary Zoning Structural Review 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 singlelesheets are not acceptable. Job Address (where the work is being done): 518 L"- 9q ST, City: Miami Shores Village County: Miami Dade Zip Code: 3_313e 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 NOJ ARHI Sheet Attached: YES] NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER 24 i K i N 1,911c1",1/43 AHU or PKG. UNIT MODEL #byy gPTcpq DY YFp7'c%I`i COND. UNIT MODEL # 1)X I(pSAOki gi`)1C /4.54 soy,/ KW HEAT l 0 / (3/ NOM TONS AHU CU PKG 1) M.C.A * -3.43, AHUt,/OCUUf9PKG AHU CU PKG 2) M.O.P `%i, AHUCOCU *0 PKG AHU CU PKG 3) VOLTS ..,c7' 12.3 0 AHLL3O CUO..3CYKG PKG UNIT / / PKG UNIT / / EER/SEER I (p YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: Air S,+S-km AI!'_ LLC State Certificate or Rei on No. Signature (Revised02/24/2014) ePrc o33sy% (Q " ,gnatu)e Phone: 305• job{ i '1040 Certificate of Competency No. Date: Li g211110 www.ahridirectory.org This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. Certificate of Product Ratings AHRI Certified Reference Number: 6527930 Date: 1/15/2015 Product: Split System: Air -Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: DX16SA0481A* Indoor Unit Model Number: DV48PTCD14A* Manufacturer: DAIKIN MANUFACTURING COMPANY, L.P. Trade/Brand name: DAIKIN Series name: DX16SA Manufacturer responsible for the rating of this system combination is DAIKIN MANUFACTURING COMPANY, L.P. Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air -Conditioning and Air -Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent, third party testing:— _ ,—. _ _ . _ r _. _ _ _ . . , - . . _ m _ t Cooling Capacity-(Btuh): EER Rating (Cooling): • -. SEER Rating°°(Cooling);---- IEER Rating (Cooling): 45000 13.00 — 16.00 * 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 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. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link 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 NO.: AIR-CONDITIONING, HEATING, & REFRIGERATION INSTITUTE we make life Netter'" 130658116585409680