Loading...
MC-17-855 Permit NO MC-347-856 �s+O1 s Miami Shores Village Permit Type.,Mechanical-Commercial 10050 N.E.2nd Avenue � ...u� Per it »+`ark C��°rcaticsra AIC Replacement . Miami Shores,FL 33138-0000 Penn#t,Status:A����� P h � Phone: (305)795-2204 FL R,1flp' .. Date*41,1412017Expiration: 10/11/2017 Project Address Parcel Number Applicants 10000 BISCAYNE Boulevard 1132050200010 MIAMI SHORES VILLAGE Miami Shores, FL Block: Lot: Owner Information Address Phone Cell MIAMI SHORES VILLAGE I Contractor(s) Phone Cell Phone $ 40,000.00 Valuation: SUN STATE MECHANICAL, INC (954)962-1240 ...... Total Sq Feet: 0 Tons: Available Inspections: Additional Info:CHANGE OUT 2 PACKAGES UNIT REPLACE Inspection Type: Classification:Commercial Final Approved:In Review Review Mechanical Comments: Date Approved::In Review Review Mechanical Date Denied: Type of Work:CHANGE OUT 2 PACKAGES UNIT RE Review Mechanical EJE Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $24.00 Invoice# MC-3-17-63488 DBPR Fee $18.00 03/29/2017 Check#:6971 $50.00 $1,259.00 DCA Fee $18.00 Education Surcharge $8.00 04/14/2017 Check#:7001 $ 1,259.00 $0.00 Permit Fee $1,200.00 Scanning Fee $9.00 Technology Fee $32.00 Total: $1,309.00 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,PLUMBRIMMECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERMt6Applicant I the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construcI orize the above-named contractor to do the work stated, April 14, 2017 r / Applicant / Contractor / Agent Date Zuilding Depa ent Copy -il 14,2017 1 ' Miami Shores Village �y Building Department 4MA Zo,� g 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 �P\20 = _ Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2014 BUILDING Master Permit No. Rc' I7 —8S5 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP /� n CONTRACTOR DRAWINGS JOB ADDRESS: 1000D /J 1SGA yA & f &L-)- City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type®®: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): �Y J Yrt/ ITO/l�- �' 1//�L�"y'Y Phone#: Address: /69<_() City:T'A 43 l S/�y�/�` State: Zip: Tenant/Lessee Name: Phone#: Email: OC^ 7 �7 7 2 CONTRACTOR:Company Name: J 4/l✓ .����� �ZG `✓ Phone#:� � Address: OJ -r �p city: l c A Zip: 3 Ci / /�� State: 23gaG� Qualifier Name: 005�/l/9 �A 4k Phone#: State Certification or Registration M Gg� a �2 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ l Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration �❑ New Repair/Replace ❑ Demolition Description of Work: z r 49 r/ 1 — , q&L /11 ori &/--- IQiic Specify color of color thru tile: rt� Submittal Fee$ o Permit Fee$_11 1 2.E ()Z�CCF$ �1' wj� CO/CC$ Scanning Fee$ GO Radon Fee$ 1 W DBPR$ 10 ' w Notary$ Technology Fee$ 3�Z - 03 Training/Education Fee$ 03 Double Fee$ ^^� Structural Reviews$ 0 Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 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. 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 - Y * Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this OLS( day of Cby day of Y( ,20 0 ,by �_ �(5 ,wh is personally known t o e who is personally known to me or who has produced as me or who has produced W �O�wer l5 ��(t� as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: sign: � Sign: Print Print• G Seal: ,. rv�., BARBARAAESP Seal: BARBARAAESTEP - W COMMISSION 9 FF 073975 -' :* *£ ;,. = MY COMMISSION 1i FF 073975 EXPIRES:March 29,2018 A• EXPIRES:March 29,2018 Bonded Thru Notary Public Underwriters ' ,�F RY„P+ Rg ,,• Bonded Thru Notary public Underwriters ************************** ***************************************** ******** APPROVED BY ®l J,� Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014) Property,Search Application-Miami-Dade County Page 1 of 1 2"OFFICE OF THE PROPERTY APPRAISER Summary Report Generated On:3/29/2017 Property Information '- Folio: 11-2231-045-0010 Property Address: 10000 BISCAYNE BLVD Miami Shores,FL 33138-0000 f'• Owner MIAMI SHORES VILLAGE ' N; Mailing Address 10050 NE 2 AVE MIAMI SHORES,FL 33138-2304 4> PA Primary Zone 8000 COMMUNITY FACILITIES �S Primary Land Use 3840 GOLF COURSE OR DRIVING RANGE:MUNICIPAL ; Beds/Baths/Half 5/2/0 Floors Living Units 2 Actual Area Sq.Ft Living Area Sq.Ft . Adjusted Area 7,689 Sq.Ft Taxable Value Information Lot Size 5,030,003.88 Sq.Ft 2016 2015 2014 Year Built 1950 County Assessment Information Exemption Value $154,558 $154,558 $154,558 Year 2016 2015 2014 Taxable Value 1 $1,960,053 $1,906,0071 $1,900,433 Land Value $1,811,849 $1,811,849 $1,811,849 School Board Building Value $170,377 $153,375 $147,731 Exemption Value $154,558 $154,558 $154,558 XF Value $132,385 $95,341 $95,411 Taxable Value 1 $1,960,053 $1,906,007 $1,900,433 _._.._...._...._....._....___...__..�.___-._-- .--..__..—_..____...____ City Market Value $2,114,611 $2,060,565 $2,054,991 Assessed Value $2,114,611 $2,060,565 $2,054,991 Exemption Value $154,558 $154,558 $154,558 Taxable Value $1,960,053 $1,906,007 $1,900,433 Benefits Information Regional Benefit Type 2016 20152014 1 Exemption Value $154,558 $154,5581 $154,558 Municipal Exemption 1 $154,558 $154,558 $154,558 Taxable Value $1,960,053 $1,906,007 $1,900,433 Note:Not all benefits are applicable to all Taxable Values(i.e.County, School Board,City,Regional). Sales Information Previous Sale Price OR Book-Page Qualification Description Short Legal Description 31 52 42&5-6 53 42 MIAMI SHORES GOLF&COUNTRY CLUB PROPERTY PB 40-9 TRS 1 THRU 4 LESS BEG AT MOST ELY COR TR 2 TH S 38 DEG W 1091.76FT The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 3/29/2017 Q�QIS\O,INO • ggRgaER4t Pia` �ry Broward: Dade: 954-962-1240 Sun State Mechanical, Inc. 305-358-1240 "It's A Matter of Degrees" SALES•SERVICE•INSTALLATION Date: State of Florida / County of M/ 1?�! Before me this day personally appeared GfJ , irk ho, being duly sworn, deposes and says: That he or she will be the only person orking on the project located at /De) of C,0 X4 71 14� Sworn to and subscribed before me this d y o r.l , 2017, by G-CrOlcl CA-et- I rMChIA7, . Personally known Produced Identification .� Typ f Identificati Iroduced � d N a ubli Signature Stamp: --- eP. � pP,Y?LB•. YANADY PRIL�"0 MY COMMISSION#FF 214031 9r EXPIRES:March 25,2019 'oF�F °o'er Bonded Thru Notary Public Underwriters 5800 S. W. 25th Street Hollywood, Florida 33023 OP ID:TR CERTIFICATE OF LIABILITY INSURANCE DA 04H4l2017 11412017x' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SL AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Hsu of such endorsemen s PRODUCER CONTACT NAME: Roebuck Associates Insurance PHONE Fax Exchange LLC No No: 5599 S University Drive,#301 ADDRESS: Davie, FL 33328 SUNST-1 Roebuck Associates CUSTOMER[D III: INSURER(S)AFFORDING COVERAGE NAIC f INSURED Sun State Mechanical Inc. INSURERA:Federated National Ins.Co. 5800 SW 25th Street, Bay 5 INSURER B:Progressive Hollywood,FL 33023 INSURER c INSURER D: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCEWVD POLICY NUMBER POUCYEFF LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000, A X COMMERCIAL GENERAL LIABILITY GL050401091403 07/27/2016 07/272017 PREMISES Ea occurrence $ 100. CLAIMS-MADE OCCUR MED EXP(Any one person) $ 51 PERSONAL&ADV INJURY $ 1,000, GENERAL AGGREGATE $ 2,ON, GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000, POLICYFX-1Pf20 LOC $ AUTOMOBILE LABILITY COMBINED SINGLE LIMIT $ B ANY AUTO 020871764 02/262017 02/262018 (Ee accident) BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (PER ACCIDENT) $ NON OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ 4DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC SL O R AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETORIPARTNERU(ECUTIVE F—] N/A E.L.EACH ACCIDENT $ OFFICERNEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS W. E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES (AMach ACORD 101,Additional Remarks Sehedufe,U more space M required) cc# CACO24322 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave. Miami Shores,FL 33138 AMORIZEDREPRESENrATIVE ®1998---2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD } Ir: , V a ' r wr r v r 90010 . . a 4 O �f, • oi Google Earth feet ' meters s��- ���- 119 ...... .... ...... .... . ..... A R 10 2017 ...... .... ..... .. .. .... ...... r • Miami Shores Village � •• APPROVED BY DATE • ZONING DEPT EPT a THJI Cr TO COMPI IC. 1fTH AI_L FEDF _ '�I f null)(�C�l)�I TY l7UL_FS 11ND RFCaUI_nTIQNS evd 6- 70 � ® wpi F 3 cx a . .. .. ... .... ...... .. .. ... ...... t • of • ••• --- - C � ® 7/ el AL RECEIVED h�d If x 17 ,do !�- &;sc /c Fy Y�yz Y,- s 1Qve,51' 0000.. 0000.. • 0000.. 0.0009 00 .. 00 00 0000. . . 0 0. 0000.. 00000 0000 .... • 0000 0000 M� 0000.. El_�• • • 0000.. .0.00. .... • _" : :00::e ..... • 0000 • .. • _ 0.000• 0000 ••• : Miami Shr_res Village • 000&0 - APPRO'VED BY DATE "cc, no DEPT BLDG DEPT SUBJECT I O CChiPWNCE WITH ALL FEDERAL STATE ANO CCUKiv RUL—ES AND REGULATIONS 44 4.4"q�f+lot*, A Broward: Dade: 954-962-1240 Sun State Mechanical, Inc. 305-358-1240 "It's A Matter of Degrees" SALES•SERVICE•INSTALLATION April 2,2017 Job: Miami Shores Country Club 10000 Biscayne Boulevard Miami Shores,Florida Process No: MC-3-17-855 The 15-ton package unit that we are replacing is a 15-ton Carrier supply over return unit. It is being replaced with a Carrier side-by-side unit. As per rough drawings that were supplied we will be capping off one return to prevent a crossover of duct work and replace a short run of new supply and return duct. 00 My&rthetquestions,please feel free to call me at 954-347-1219. •• 64 go ••••.••.•.•.••. IJ� s, :........ .. :. go .•. n ..•.. .. •President*:*Goo 000000 ; 0000 5800 S. W. 2e Street Hollywood, Florida 33023 egos ` k Miami Shores Village X01? Building Department ,,,m �, 10050 N.E.2nd Avenue iami Shores,Florida 33138 Tel:(305)795.2204 .f� L Fax:(305)756.8972 1-, 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. 0 /, /cS�G ! z )iU✓ Jeb Address(where the work is being done) City: Miami Shores Village County: Miami Dade Zip Code: ALL CONDENSING UNITS MUST BE ON A 41NCH 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: N06 ARHI Sheet Attached:YES,eNO❑ Contract Attached:YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER ZT195"Fl, AHU or PKG.UNIT MODEL#r4r,r,06 f�I G a2 COND.UNIT MODEL# �--- KW HEAT 0 0000 NOM TONS : 0.00 0.00:• AHU CU PKG 1)M.C.A AHU PKG.* •. AHU CU PKG 2)M.O.P AHU L! PKG •• ••• AHU CU PKG 3)VOLTS AHU 4U,, PKG.. PKG UNIT / / PKG U IT...I •.� .••.. EER/SEER 0000.. .0 00000 YES NO REPLACING DUCTS YES 0 0 *NO 0096 0000:0 YES NO REPLACING THERMOSTAT YES •• 0000.. YES NO NEW rCONCRETE SLAB YES 00, :00000 • YES NO NEW ROOF STAND YES *..*Nb ... . :0 YES NO NEW RETURN PLENUM BOX YES NO •• 1. Minimum Circuit Ampacity(Wire Size): -46t: h 2. Maximum Overcurrent Protection(Fuse/Breaker Size): 3. Voltage of Circuit(208/240/480): -?e)Z2 00 4. Size Disconnecting Means: Contractor's Company Name: Phone:5�r7 State Certificate or Regi tion v�.y�.2� Certificate of Competency No. SignatureDate: .""/ 2 7 (Qaali ;es ) (Rev1sed02/24/2M14) i This combination qualifies for a Federal Energy Non on ad Efficiency Tax Credit when placed in service www.ahridireclory.org __j between Feb 17,2009 and Dec 31,2016. Certificate of Product Ratings a AHRi Certified Reference Number 7599966 Date: 3/29/2017 Product:Single-Package Air-Conditioner,Air-Cooled Model Number:50KC**06••"5A• Manufacturer: CARRIER CORPORATION Trade/Brand name:CARRIER CORPORATION Region: Region Note:Central air conditioners manufactured prior to January 1,2016,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:CARRIER WEATHERMAKER k Manufacturer responsible for the rating of this system combination is CARRIER CORPORATION Rated as follows In accordance with AHRI St4ndard.218/240 2008 for Unitary Air-Conditloning and Air-Source Heat Pump Equipment and subject to verification of rating accuracy'6y AHFti-sponsored,Independent,third party testing. Cooling Capacity(Btuh): 58500 EERRating(Cooling): 12.00 0000 SEER Rating(Cooling): 14.10 - 0000.• .. .. 0 jlEER Rating(Cooling): �• •0 0 690460 .. .. .. .. 0000.. 0000 .. . . 0 0000 . .. 00 0 0 .. .. . 0 0 0 0 0 00 00 0000 .. 0. 000.0. 000.0. 0 . .. 00 000 0 `Ratings followed by an asterisk(q 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 users 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.ahridirectory.orM click on`Verify Certificate'Unk we make life bettel- 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 IWO at bottom right 131352sW321134468 ©2014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: ,yt►0 Miami Shores Village Building Department .... Q.,, 10050 N.E.2nd Avenue Miami Shores, Florida 33138 L�I 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./00,10 Job Address(where the work is being done): /00 d © City: Miami Shores Village County: Miami Dade Zip Code: ALL CONDENSING UNITS MUST BE ON A 41NCH 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:YESV NO ARHI Sheet Attached:YES ❑ NO 9 Contract Attached:YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER C AHU or PKG.UNIT MODEL# 1- D/ TV 1'G 4 COND.UNIT MODEL# KW HEAT �f(!.J •••• NOM TONS :l "" •"'•• AHU CU PKG 1)M.C.A AHU 'f'U PKG. '. AHU CU PKG 2)M.O.P AHU Cl! PKG AHU CU PKG 3)VOLTS AHU .Q4. PKG.. ;••••; PKG UNIT / / PKG U IT...� '..' ..... EER/SEER f" •• •• •• YES NO REPLACING DUCTS " 'NO "•• "":. YES NO REPLACING THERMOSTAT • • •. YES NO NEW 4"CONCRETE SLAB YES •••••• YES NO NEW ROOF STAND YES '..' ... 09: YES NO NEW RETURN PLENUM BOX E NO •• 1. Minimum Circuit Ampacity(Wire Size): !t6 2. Maximum Overcurrent Protection(Fuse/Breaker Size): /d o 3. Voltage of Circuit(208/240/480): 3 PFJ - A��43� 4. Size Disconnecting Means: Contractor's Company Name: s�� .�'�A�� %' �� Phone: �rry State Certificate or Rstra ' n N G 4 Certificate of Competency No. Signature Date: (Q a signature) (Revised02/24/2014) CERTIFIED certificate of Product Ratings AHRI Certified Reference Number: 5581748 Date: 3/29/2017 tStatus:Active Product:Single-Package Air-Conditioner,Air-Cooled Model Number:50TC**16***(5,6,1)A***(A,C,D,F)* Manufacturer.CARRIER CORPORATION Trade/Brand name:CARRIER CORPORATION Series name:CARRIER WEATHERMAKER Rated as follows In accordance with AHRI Standard 3401360-2007,Commercial and industry Unitary Air-Conditioning and Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, Independent,third party testing: Refrigerant Used: R-410A Hertz: 60 Cooling Capacity,(Btuh): 174000/174000 EER-Rating(Coding) 11.0 1 00 IEER: 117/117 Heating Capacity:at 47F(Btuh): COP_at 47F: Heating Capac at 17F Btuh COPatsea . Full Load irdoo�Coil Air.Quantity: 5250 •• •• .. .... . .. .. . ...... . .. .. . .. .. .... .. .. ...... .. .. . .. .. .. .e. . . The AHR1340W(I carHfled EER ratings in BhdhM are calculated under the same methodology as the EER ratings at Ti conditions of ISO 5151:2010 and ISO 13253:2011. Ratings followed by an asterisk(7 Indicate a voluntary rerate of previously published data,unless accompanied adtir 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 responsibliity 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 utNzed,in any form or manner or by any means,except for the user's individual, AM 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.ahridirectoryorg,click on`Verify Certificate'fink we makes life berter- 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 Usted at bottom right x ©2014 Air-Conditioning,Heating,and Refrigeration Institute fZERTIFICATE NO.: 1313521357 667512 7` • • .• .. . • • •. •• • _ ••• • • • ' ' "' ' 0WINVUALCULATIONS: go: In acerordince with FBC 2014 (G lSN IT" - ` CAP�1 I CAIG •� • '.: :J.isk'�atpgory = II, HVHZ •.• :•• ••1utt=:I-15� mph, Vasa= 135,(mph I z= 2D ft, Exp. Cat. = C , .. : : ••• :• :" 7 p010, Kt= 1.0, Kd= 0.9 ;'; :'tIZ ..00�56KZKZtKdV2 =(3.'5®lb/ft2 BEAMS?EEI:. - For Unit to Clips, Af ft2, GCf= 3.1 A,= 54,8 ft2, GC,= 1.5 Whor;Z=ghAGCf 9030 lbs NOTE: W-,,,,t =ghAGCr= ��52,(8 lbs = 1. Fasten replacement unit to existing I-beam supports using 4-- 3" x 3" D — 1lbs, Dho,;Z H= F 0 - (l4. thick x Critical Load Combination= CLC wide steel angle clips located approximately as CLC = (0.6D) + (0.6W) shown. Fasten each clip using 44- #14 SDSM screws with washers, I Z CLC = -5 lbs (horizontal) through top end into unit frame and M through bottom end into I- CLC = U,9 g lbs (vertical) beams. Screw Load = (WG.Z lbs (tension) lbs (shear) For Clips to Existing Stand, Af= Aj6,<) ft2, GCf= 3.1 A,= 5A,:8 ft2, GC,= 1.5 WhoriZ=ghAGCf= 90,259 lbs Wert =ghAGCr= 5Z-18 lbs D,ert = -j4W lbs, CLC = -54,44- lbs (horizontal) D Bue►osse CLC = 7.�9i lbs (vertical) a P.E. 0050867 Bolt Load = 145. � lbs (tension) -- ET 50 E. Sample pd. _ I I3,() lbs (shear) --_ Bldg. 3, Suite 220 Pompano Beach,FI 33064 - 954-633-4692 i . . ... . . . ... ... . . . ... . . . . ... 748 464 ,•• • WJND CALCULATIONS: •. .• •.; ; Ingaccordance with FBC 2014 NOTE I ' ' :•• ••' •0-5V Edition. HVHZ A/C UNIT 524 Ib5 Carrier �• �• •�� R15k Category =II 50 TC A06 •� ;•; ; ; ; ;• •�ult =IX-5- mph, m • • • • • •• '%d = 1 mph Z =mss" ft •-5 - - - - .. . . ... Txp. Cat.=D, Kz= f.14 Kz = 1.0 , Kd = 0.9 EXISTING CURB Qh = .00256kzkztkdV2 Qh = 70L 0 3 lb/ft2 For Unit to Existing Curb, Af =,/;:2 ft2, GCf = 3.1 Ar =,Z4•t ft2, GCr =1.5 NOTES: Whoriz = QhAGC f =4I?-43 lbs I . Fasten unit to existing curb using #14x 6 " SDSM Wvert = QhAGCr = lbs —s Z,� screws through unit base rails into curb adapter flangDivertlbs, Dhoriz =H=F=Oes. Critical Load Combination = CLC Provide 16 screws on each long side and on screws on CLC = (0.6D) + (0.6W) each short side CLC = 4634 lbs (horizontal) CLC = 11.63 lbs (vertical) Screw Load= 67.8 lbs (shear) J 17 2017 � MOUNTING DETAIL9� r ' n � ry' 9`� .f 'l1t�4 Miami 5hore5 C.0 ® r , ,� z F-L 313,004, h 0000 Bi 5cayne Blvd. aa� Miami a m l S�c�rr-�sl F C:\U5er5\tong\Document5\AutoCAD\5UN_5TATE_MECH—14.dwg . Randy's Air-Control, Inc. Invoice www.rmdysaircontrol.com CAC 1816462 -Phone(954)966-0280 Date Invoice# 6390 Sherman Street Hollywood, FL 33024 3/24/2017 a-1201 Bill To Ship To Sun State Mechanical Inc 200 SW 2 Street 5800 SW 25th Street,Bay#5 Boca Raton,FL 33432 West Park,FL 33023 Jerry Broward County Project Page 1 of 2 Quantity Item Code Description Price Each Amount MISC MATERIALS Materials:Miscellaneous 80.00 80.00T MATERIALS Materials: 81.56 81.56T (IIn 10x10 1 Way,(II) 10x6 1 Way,(III)10x6 Wall,(I)8x8 4Way, (1)6x6 1 Way 12 FILTERS Filters: 13 1/4 x 21 x 1 Pleated 5.16667 62.00T 5 LABOR 2 MEN Labor 2 Men 95.00 475.00T Description of Work: 18-5&18-2 Control Wire Repair 3 Supply Vents Repair,Pull New Wire,Was Cut 2 Places Broward County-Sales Tax • • 6.004" 41.91• •• ••• •• •. 0000• • 0000• • •• • • 0000• • •• ••• • • 0000• •• •• •• • • 0000• • ••• •• • • • • 0000• • • • 0 • • 0000• 00 • 000 • • 1)Does not include changes that Inspector deems necessary which were not included in the comracL 2)Deposit is non-reSmdahle on cancellations(after 24 hm=)tithe camekfKm was made by the Customer. 3)Randy's Air Control is not responsible for costs/fees for city permits. Total $740.47 4)Any parts and/or equipment sold by Randy's Air Control.Inc belong to Randy's Air Control,Inc mnl paid for.Corresponding parts can be legally removed if not paid for in f dl,mchuhng credit card charge back or insufficient fads of any S Florida Construction Lien Law Disclaimer is on Page 2 of ibis IwoiceXonnuct. Customer Printed Name Payments $0.00 Customer Signature Balance Due $740.47 Date BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT { 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 I, VALID OCTOBER 1,2016 THROUGH SEPTEMBER 30,2017 �L DBA: Receipt#:183-14 4499 I Business Name:SUN STATE MECHANICAL INC Business T Type: CONTRAGTR Y (CLASS A CERTIFIED AIR CONDII CON) �^ Owner Name:GERALD P HENCHY JR BusinessOpened:09/01/1984 Business Location:5800 SW 25 ST BAY 5 State/County/Cert/Reg:CACO24322 WEST PARK Exemption Code: Business Phone:954-962-1240 Rooms Seats Employees Machines Professionals 10 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee I NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.001 0.00 0.00 0.00 0.00 27.00 I I � THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax Is levied for the privilege of doing business within Broward County and is non-regulatory In nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location.This receipt does not Indicate that the business is legal or that 1 it is in compliance with State or local laws and regulations. j i i Mailing Address: GERALD P HENCHY JR Receipt #52A-15-00009229 19071 NE 20 AVE Paid 09/01/2016 27.00 NORTH MIAMI BCH, FL 33179 2016 . 2017 _- __ c�an�e�w nn r►nt i�F�+i n�+Ai Qi- e��icee-`TAX�QG�'`FIDT -- ---_--- 42601 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 �``�� BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 HENCHY,GERALD P JR SUN STATE MECHANICAL INC 19071 NE 20 AVE NORTH MIAMI BEACH FL 33179 Congratulationsl With this license you become one of the nearly one million Floridians licensed by the Department of Business and " STATE OF FLORIDA Professional Regulation. Our professionals and businesses range - from architects to yacht brokers,from boxers to barbeque DEPARTMENT OF BUSINESS AND restaurants,and they keep Florida's economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order CACO24322 ISSUED: 08/16/2016 to serve you better. For information about our services,please tog onto viww.myftoddaI%cesmecom. There you can"find more CERTIFIED AIR GOND CONTR information about our divisions and the regulations that impact HENCHY,GERALD P JR you,subscribe to department newsletters and learn more about SUN STATE MECHANICAL INC the Department's initiatives. Our mission at the Department is:License Efficiently,Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new license! ExpkaVan date:AUG31.2018 LISM1601 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD F a CACO24322 The CLASS AAIR CONDITIONING CONTRACTOR r ' Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2018 LE HENCHY,GERALD P JR SUN STATE MECHANICAL INC a 19071 NE 20 AVE 16 t,• NORTH MIAMI BEACH FL 33179 ISSUED: 08/1612016 DISPLAY AS REQUIRED BY LAW SEa# L1608160002061 —. o"M"N OP ID:TR ACOR[3" DATE IMI&DWYM �- CERTIFICATE OF LIABILITY INSURANCE 03122f2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holier is an ADDITIONAL INSURED, the pollcy(les) must be endorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the popsy, certain policies may require an endorsement. A statement on this Certificate does not confer rights to the certificate holder In Hou of such endorsemsnt s PRODUCER CONTACT NAME: Roebuck Associates Insurance PHONE FAX Exchange LLC Na Na: 5599 S University Drive,#301 ADDRESS: Davie, FL 33328 SUNST-1 Roebuck Associates CUSTOMER C INSURERS)AFFORDING COVERAGE NAIC i INSURED Sun State Mechanical Inc. IINSURERA:Federated National Ins.Co. 5800 SW 25th Street,Bay 5 wsLRERs:Progressive Hollywood, FL 33023 INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE_FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rA —X TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0001 COMMERCIAL GENERAL LIABILITY GLOSMID91403 07/27/2016 07/27/2011 PREMISES Ea occurrence $ 100, CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5, PERSONAL&ADV INJURY $ 1,000, GENERAL AGGREGATE $ 2,000, GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000, POLICY X JECT PRO- RO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B ANY AUTO 020871764 02/2612017 02/26/2018 (Ea accident) $ 50, BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (PER ACCIDENT) $ NON-OWNED AUTOS $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNERlEXECUTIVEEl NIA E.L.EACH ACCIDENT $ OFFICERIMEh16ER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave. Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE O 1989-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD wo JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 12/5/2016 EXPIRATION DATE: 12/5/2018 PERSON: HENCHY GERALD P FEIN: 592396065 BUSINESS NAME AND ADDRESS: SUN STATE MECHANICAL, INC. 19071 N. E.20TH AVE. NORTH MIAMI BEACH FL 33179 SCOPES OF BUSINESS OR TRADE: HEATING,VENTILATION, AIR-COND Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609