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MC-13-1811Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 196980 Permit Number: MC -8 -13 -1811 Scheduled Inspection Date: February 24, 2014 Inspector: Perez, JanPlerre Owner: VILLAGE, MIAMI SHORES Job Address: 9825 PARK Drive Miami Shores, FL 33138 Project <NONE> Contractor: C&R AIR CONDITIONING CO comments Permit Type: Mechanical - Commercial Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number PARC2004 -19 Phone: 305 -685 -6394 EXACT REPLACEMENT OF 5 TON SPLIT IN NORTH LOCKER ROOM INSPECTOR COMMENTS False <� 4 2----114 /1 February 21, 2014 For Inspections please call: (305)762 -4949 Page 2 of 24 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 21, 2014 For Inspections please call: (305)762 -4949 Page 2 of 24 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 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL OWNER: Name (Fee Simple Permit No. Master Permit No. �9 t, AUG 08141i 3 TY 789'° K7o % Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: ! US PU 0A City: Miami Shores County: Miami Dade Zip: Folio/Parcel# I'll Is the Building Historically Designated: Yes NO r Flood Zone: CONTRACTOR: Company Name: ! i r Conj. C ® hone#: -30T 4 y Addres. _ P0 0 7�3 0 W / & 7 ST C • L4 _ _ City: 0 -, &f.& Qualifier Name: -eel J C 110 y J State Certification or Registration #: C A C , o :u c4 1 q Certiifi c(�te of Competency #: _ Contact Phone #: 5 9[1 S �� �'� Email Address: C C, �A 1� Q C ®v►► X14 fn DESIGNER: Architect/Engineer: Phone#: �3,1 ®l T o2.3 ,OL. Co �1 c sValue of Work for this Permit: $ S of o . ®® Square/Linear.Foo of W.Q&;�_,. a Type of Work: OAddresss�s II DAlteration RNew epair/R,eplace UDeeijolitionA Descrintien of Work: &AA � �� ��� � � e'l Lam[/, . Q s Submittal Fee $ Permit Fee $ CCF $ ® CO /CC $ Scanning Fee $ Radon Fee $ �Z DBPR $ • �_ 1 Bond $ Notary $ Training/Education Fee $ Technology Fee $ 4 Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 0 � IZ Bonding Company's Name (if applicable) _ Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State zip 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. 14WARNING 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 02Z47 Owner or A ent Contractor The foregoing instrument was acknowledged before me this The fore ping instrument was acknowledged before me this ,-7— day of tk, 19012, by day of 20 Q, by , who i rson ly kno to me or who has produced who i ersonally own me r who has produced As identification and who did take an oath. dentification and who did take an oath. NOTARY PUBLIC: ROBERT J. CHRYST Si Camydnion 24 D 9955419 - M Print: ®� My Commission Expires: APPROVED BY (Revised 07 /10/07)(Revised 06110/2009)(Revised 3/15/09) Plans Examiner NOTARY PUBLIC: �., uk , f My Commission JANET KRANZ *.= Commission # EE 091937 ` Expires May 9, 2015 ft"TINTmyFatitre=ft 701® Zoning Structural Review Clerk 7 , Y 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. Multiole units on single sheets are not acceatable. _ A Job Address (where the work is being done): 19 2 S City: Miami Shores Village County: Miami Dade Mi Zip Code: 3 ° ? 12 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: YES E NO ❑ Contract Attached: YES [� UNIT BEING REPLACED DATA N W UNIT Q-e- MANUFACTURER (? AHU or PKG. UNIT MODEL # L L. HIIA60 ® 6 0 -SA 2 COND. UNIT MODEL # I &zym O KW HEAT NOM TONS AHU CU PKG 1 M.C.A AHU CU PKG AHU CU PKG 2 M.O.P AHU U 4,9- G AHU CU PKG 3 VOLTS AHU CU PKG OF PKG UNIT / / PKG UNIT / / EER/SEER ISO YES NO REPLACING DUCTS YE YES NO REPLACING THERMOSTAT S NO YES NO NEW 4 °CONCRETE SLAB E V NO YES NO NEW ROOF STAND YES N YES NO NEW RETURN PLENUM BOX E NO 1. Minimum Circuit Ampacity (Wire Size): Z 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of. Circuit {20 24 480): 4. Size Disconnecting Mean, Contractor's Company Name: ,Fft 10 Li S'•40 t P1f State Certificate r Registration N. CAC® I6 4 i Lf Certificate of Competency N. 0 Lt � g 0,1 . —1 Signature Date: 6, —7 ) ai tes signature only) ffl'" anal CERTIFIED,. y AUG 0 8 Zvi r Certificate of Product R s�o AHRI Certified Reference Number: 3413399 Date: 8/7/2013 Product: Split System: Air - Cooled Condensing Unit, Coil with Blower Outdoor Unit Model Number: 14AJM60 Indoor Unit Model Number: RHLL- HM6024 +RCSL -H *6024 Manufacturer: RUUD AIR CONDITIONING DIVISION in AF Trade /Brand name: RUUD 14AJM SERIES CIT Manufacturer responsible for the rating of this system combination DI NING DIVISION Rated as follows in accordance with AHRI Standard 210/240 -2008 for ita 1r- nditi ng and Air - Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI - sponsored, independent, third party testing: Cooling Capacity (Btuh): 61500 EER Rating (Cooling): 12.50 SEER Rating (Cooling): 15.00 - Ratings followed by an asterisk ( *) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rests DISCLAIMER AHRI does not endorse the product(s) fisted on this Certificate and makes no representations, warranties or guaardees as to, and assumes no responsibiUty 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 fisted in the directory at www.ahridirectoryorg. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shag 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 Air - Conditioning, Heating, which the certificate was Issued, which Is listed above, and the Certificate No., which Is listed below. , � an ' and Refrigeration Institute 02013 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130203678544062265 C R> C &R Air Conditioning Co. C &R 6073 NW 167`" Street Suite C4 Miami Gardens, FL 33015 -4330 DADE:305 -685 -6394 BROWARD:954- 680 -4494 CUSTOMER PHONE NUMBERS DATE Miami Shores Field House HOME WORK CELL 305 - 758 -6701 7123/13 ADDRESS ❑ UNDER CONSTRUCTION 9825 Park Drive (North Locker Room CITY ZIP Email: mckll@miamishoresvillage.com, ® EXISTING STRUCTURE Miami Shores 33138 indorfam©miamishoresvillage.com We hereby propose to: Furnish, install and service the equipment and materials listed below with the conditions and specifications detailed below during our regular working hours of Monday through Friday 8:30 - 4:30. NEW EQUIPMENT System #1 $ 5449.63 FPL REBATE 99.63 Your Investment 5350.00 Manufacturer RUUD Condensing Unit Model # 14AJM60 Air Handler Model # RHLLHM60 Refrigerant R410 Heating KW 5 Btuh 61.500 S.E.E.R. 15.0 Warranties COMMERCIAL Parts I Yr. Compressor 5 Yr. I Year Labor ❑ Condensing Unit Stand ® Air Handler Stand ® Float Switch ❑ Ref. Line cover ❑ Condensate Line ® Concrete Slab ® Thermostat D ® Auxiliary Drain Pan ❑ UV Light ❑ Fire Dampers ® Other Condensate Homo. 2400 FB RA Brill. ❑ Package Unit Change -out ® Existing Reconnection ® Existing Reconnection ® Reconnect to Existing System ❑ New Electric ❑ Ref. lines ft. ❑ ® need to upgrade AH wire feed for 10 kw ® R -1 I Flush from # 10 to #6 wire with 60 amp breaker NOTINCLUDED A ntta ifiM air nnndifinninn a—k uAll af—f —A faaf fke o maw....." i..: a- -- -- -" - _.._._._.....a - ^r -•- __••• �•• •••� ••• •• .••• ..� �...... o.... vw,..a.....w vrv.auvu. - nw F—pi —i m 9— or a Two week penoo trom date of proposal and at that time is subject to review. Title to the system shall remain in us until all sums due us have been fully paid. In the event the purchaser fails to comply with any of the requirements of this contract and such default results in litigation, the Purchaser agrees to pay reasonable attorney's fees and all court costs and expenses incident to such litigation. Delinquent payments shall bear 1.5% per month interest from due date until paid. All work is to be performed during our regular work hours unless otherwise specified. This contract contains all agreements. Neither party shall be bound by any representation, warranties nor agreements, oral nor written not herein contained. This proposal shall become a contract when accepted by you and approved in writing by our duly authorized corporate officer. We agree to furnish and install the above described labor and materials on the terms indicated below for System # 1 TOTAL INVESTMENT FPL REBATE YOUR INVESTMENT PERMIT FEE NOT INCLUDED PURCHASER $ 5449.63 $ 99.63 FPL ACCOUNT# $ 5350.00 DATE REPRESENTATIVE VALlb FOR 2 WEEKS JOB NOTES v *upon start up of new equipment, if existing duct smoke detector is not working correctly, it could be replaced on time and material basis 501/6 DEPOSIT $ 2675.00 500/6 DUE WHEN READY TO OPERATE $ 2675.00