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MC-14-698Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number. INSP- 211350 Permit Number: MC- 4- 14-698 Scheduled Inspection Date: April 28, 2014 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Owner: MALAMED, ADAM Work Classification: A/C Repl cement Job Address: 9215 N BAYSHORE Drive Miami Shores, FL 33138- Phone Number (917)685 -2273 6 Parcel Number 1132050270590 Project <NONE> Contractor: AIR DUCT ASEPTICS Phone: (954)979.4996 comments SECOND FLOOR AIR HANDLER UNIT REMOVE AND REINSTALL EXISTING UNIT AND INSTALL NEW 4 TON AC SYSTEM FLOOR KITCHEN. INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 25, 2014 For Inspections please call: (305)762 -4949 Page 16 of 24 Miami Shores Village. Building Department 10050 N.E.2nd Avenue, Mami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPEMON'S PHONE NUMBER: (305) 762.4949 FBC 20" bD BUILDING Permit No. PERMIT APPLICATION Master Permit No.' G I `-� ---- Permit Type: MECHANICAL JOB ADDRESS. 9215 N. Sayshore Drive City: Miami Shores County: Miami Dade Zip: 33138 Folio/parcel #: 11 -32057027 -0590 Is the Building Historically Designated: Yes NO XXX Flood Zone: OWNER: Name (Fee Simple Titleholder): Y�4CACXM rDa La Mr.4 Phone #: Address: °l21 1V • beLV je. City: t'��r,��rr S c r�S State: r 1.-- Zip: 33 j �� �- Tenant/Lessee Name Phone #:� (o S • Z Email: CLSrr- ,0-tQL 4? d Q � hQ1Q - 64CMn CONTRACTOR: Company Name: Address: 1937 NW 31 Ave City: Pompano Beach Qualifier Name: SAINSBURY -TI State Certification or Registration #: Contact Phone#: 954 -979 -4996 AIR DUCT ASEPTICS phone#: 888.707.7763 State: FL Zip: 33069 _SOR, PETRINA JOY Phone #: 954- 979 -4996 CAC057550 Certificate of Competency #: Email Address petr nna @adaflorida.com DESIGNER Architect/Engineer: N/A Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: OAdr OAlteration ONew XXEIRepair/Replace Description of Work: Second Floor Air Handler Unit - Remove and Reinstall existing N unit to ODemolition Submittal Fee $ 5b ' Permit Fee $ ACCF$ CO /CC $ Scanning. Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ - `7O7 K61 Bonging Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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 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) defter the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee ud be hanged. Signature. Signature Owner or Agent 00 The foregoing instrument was acknowledged before me this day of fkM% L- , 20 1%4, by A OA WL MA % A w& C.d who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: eg- Print: iCA , My scion Expires: APPROVED BY Contractor The foregoing instrument was acknowl ZZ e me th� day of '�`�' 20 / b/ •G who is personally own o me or who has producedZ -r,l d- I.7 / -� as identification and who did take an oath. ®Notary Public - State of P Oft My Comm. Expires Nov 27, 2015 Commission #r EE 148431 Examiner Structural Review Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) NOTARY # EE 74125 fional Notary Assn Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 NOT APPLICABLE 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): City; Miami Shores Village County: Miami Dade Zip Code: 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 [] NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS AHU . CU PKG 1 M.CA AHU CU PKG AHU CU PKG M.O.P AHU CU PKG AHU CU PKG 3 VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EERISEER 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 N 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: Phone: State Certificate or Re jis ' N .--7 -,--C6fffc-a'W of Competency N. Signature Date: (Qualifier's signature only) Remit to: 1059 NW 31" Avenue Pompano Beech, FL 33069 Statewide: (888) 707 -7763 Fax Toll Free: (800) 504 -4907 www.ADAflorida.com Call toll free 888- 707 -7763 OFFICES STATEWIDE G Estimate # 84623 Date..?- CAC057550 � Referral or Bill To: �� W/MBE Crew:L Name: Street: City: Zip: Apartment: Phone: Alt/Fax: Email: SERVICES supply ducts @ $ $� return ducts @ $ $ dryer exhaust ducts @ $ $ bathroom exhaust ducts @ $ $ Chemical cleaning to AHU (coils, blower) �!� / @ $ /J`' each $L.� � Coils cleaned in place / pulled (please mark) Dusdok air filters Ship / Delivery $ Size: Anti - microbial coating @ WX&P $� 1 Anti- microbial plenum @ $45 /each $ /;-S— UV Light System @ $ /each $ Service fee $ Total investment $ Coupons / Wattsavers / Deposit $ Balance Due $/ ja,� /D �w W 1 H111 " I T S i 1 1 ` �1. ,✓ / `� / i Guarantee: AM-A- guarantees Its labor for a period of 365 days from date of service. Parts and materials including chemicals or chemical solutions shall he Installed or applied In accordance with the manufacturers instructions and are provided with the manufacturers, warranty /guanntee, if any. My signature acknowledges that I have walked around the home with the technician, inspecting for general clean up and checking that all the vents have been reinstalled and adjusted properly. A return trip to adjust vents is charged at $75.00 service charge. I have also checked for possible dam- age. I am satisfied with the work process. I also agree to release A.D.A. from any liability resulting from my decision to eliminate certain areas from being treated and A.D.A. cannot be held responsible for future cross- contamination. Payment is due upon completion of work performed. Finance charges of 1.5% per month will be assessed for all delinquent accounts. Returned checks will be assess a $45.00 fee. AD.A..catnot be responsible for any damage reported to the office after 24 hours from work date. Signature: ❑ ❑ ❑ �.JJ Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 ............................................................ ............................... BUSINESS NAME: �1 '� BUSINESS ADDRESS: 487 wi CITY A� A7, ' STATE ' ZIP CODE BUSINESS PHONE: FAX NUMBER 979 —� � 7, CELL PHONE 1. 1 OUALIFIFR'S NAMF- QUALIFIER'S LIC NUMBER: E -MAIL ADDRESS (IF APPLI Created on 3119109 BY MLDV / RV 3126199 MLDV ADAINA OP ID: Al AC'ORL7� �.,.� CERTIFICATE OF LIABILITY INSURANCE E FDAT04/03'12014 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 holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WANED, 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 lieu of such endorsement(s). PRODUCER Phone: 305-364-7800 ONACT NAAMME: BROWN $ BROWN OF FLORIDA INC 14900 NW 79th Court Suite#200 Fax: 305 - 714 -4401 Miami Lakes, FL 33016 -5869 Alfredo Andrial PHONE FAX vc No): EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURERA:CastiePoint Florida Ins. Co. 13599 $ 100,00 INSURED Air Duct Aseptics, Inc. DBA INSURERB:LIO ds of London PERSONAL 8 ADV INJURY A.D'A 937 NW 31 Avenue INSURER C: GENERAL AGGREGATE $ 2,000,00 Pompano Beach, FL 33069 INSURER D: $ 2,000,00 $ 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. I�TR TYPE OF INSURANCE ADDL SUER POLICYNUMBER POLICY )n 12/31/2013 POLICY EXP 12/31/2014 LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_1 OCCUR Miami Shores, FL 33138 PGIARK0348000 EACH OCCURRENCE $ 1,000,00 MM SES Ea occurrence $ 100,00 MED EXP (Any one person) $ 10,00 PERSONAL 8 ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY 7 PR' LOC PRODUCTS - COMP /OP AGG $ 2,000,00 $ AUTOMOBILE LIABILITY ANY AUTO ALL OW NED SCHEDULED AUTOS NON-OWNED HIRED AUTOS AUTOS COMBINED SING LIMIT Ea acddent BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Par acddent $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNE Y/N OFFICEPJMEM13ER EXCLUDED? F—] (Mandatory in NH) H yes, describe under DESCRIPTION OF OPERATIONS below N/A WCP761114101 05/31/2013 05/3112014 WCSTATU- OTH- TORY LIMITS X ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 B B Professional Liab. Pollution Liab. PGIARK0348000 PGIARK0348000 12/31/2013 12/31/2013 12/31/2014 12131/2014 Limit 1,000,00 Limit 11000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) License type is A and the Lic # CAC057550. CERTIFICATE HOLDER CANCELLATION MIAMISH 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. Building Department 10050 Northeast 2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Walker Emmett From: Molly Sookhoo < molly @adaflorida.com> Sent: Thursday, April 03, 2014 3:26 PM To: Walker Emmett Subject: FW: Miami Shores Village certificate of insurance reissued Attachments: Miami Shores Village certificate .pdf Emmett, please find attached is the certificate of insurance with the correct info the city is asking for. At Your Service, Molly Sookhoo 1- 888 - 707 -7763 http://www.ADAFlorida.com From: Aida Sheran [mailto:asheran @ bbmia.com] Sent: Thursday, April 03, 2014 2:25 PM To: molly@adaflodda.com Subject: Miami Shores Village certificate of insurance reissued Good afternoon Molly, Attached is certificate of insurance for Miami Shores Village, includes the license type & number. If you have any questions, please contact us. Regards, Aida J. Sheran Account Manager Associate Brown & Brown of Florida, Inc., Miami Division 14900 NW 79th Court, Suite 200 Miami Lakes, Florida 33016 Main phone # (305) 364 -7800 Direct phone # (305) 714 -4526 Main Fax # (305) 714 -4401 Email address: Asheran(a-bbmia.com From: Brenda Gonzalez Sent: Thursday, April 03, 2014 1:55 PM To: Aida Sheran Subject: FW: ADD CERT HOLDER Cert request -Rush Brenda Gonzalez Account Manager Associate Brown & Brown of Florida, Inc 14900 NW 79th Court Suite #200 Miami Lakes, Florida 33016 Direct Line: 305 - 714 -4464 Fax: 305 - 714 -4401 Please allow 24 hour turn around time for certificates of insurance APlease consider the environment before printing this e-mail. From: Molly Sookhoo fmailto:molly @adaflorida.com] Sent: Thursday, April 03, 2014 1:51 PM To: Brenda Gonzalez Subject: RE: ADD CERT HOLDER Brenda, the City is asking us to add our license type and # on the description of operation On this certificate. That type is A and the Lic # CAC057550. I WOULD NEED THIS AS A RUSH PLEASE. THANKS, Molly Sookhoo From: Brenda Gonzalez fmailto:bgonzalez @ bbmia.com] Sent: Thursday, March 27, 2014 2:57 PM To: molly@ADAflorida.com Subject: FW: ADD CERT HOLDER Good Afternoon, Attached is the certificate of insurance as requested. Thanks, Brenda Gonzalez Account Manager Associate Brown & Brown of Florida, Inc 14900 NW 79th Court Suite #200 Miami Lakes, Florida 33016 Direct Line: 305 - 714 -4464 Fax: 305 - 714 -4401 Please allow 24 hour turn around time for certificates of insurance APlease consider the environment before printing this e-mail. From: Molly Sookhoo fmailto:molly (&adaflorida.com] Sent: Thursday, March 27, 2014 1:26 PM To: Brenda Gonzalez Subject: ADD CERT HOLDER Brenda, can I please get a certificate for this company. • Miami Shores Village, • Building Department, • 10050 NE 2 Ave Miami Shores Village FL 33138). Pa At Your Service, Molly Sookhoo 1 -888- 707 -7763 hftp://www.ADAFlorida.com We Would Love Your Feedback. Please visit http: / /www.bblistens.com/ and select Florida and Miami to rate US. Brown & Brown of Florida, Inc. - Miami Division. Protecting Your Business and Personal Assets is Our Business. Notice: Please remember that insurance coverage cannot be bound or changed by leaving an electronic message or voice mail message. CONFIDENTIALITY NOTICE: The information contained in this communication, including attachments is privileged and confidential; it is intended only for the exclusive use of the addressee. If the reader is not the intended recipient, or the employee, or the agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error please notify us by return email or telephone immediately, Thank You. 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): �1r2 I's) d' , Ld i City: Miami Shores Village County: Miami Dade Zip Code: 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 ❑ N0. `'' ARHI Sheet Attached: YESkf NO ❑ Contract Attached: YES.g 1. Minimum Circuit Ampacity (Wire Size): —46 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): J4 0 4. Size Disconnecting Means: Contractor's Company Name: State Certificate or Reoisbatron Signature signature only) Phone: - � � � � �/ -� to of Competency N. Date• ®� UNIT BEING REPLAC D DATA NEW UNIT MANUFACTURER ,30 ' - OCf AHU or PKG. UNIT MODEL # , o 104ye, 1 r 6-e COND. UNIT MODEL # Iq 16A qf? A6 Lo ve / KW HEAT NOM TONS Lj �.� AHU CU PKG 1 M.C.A AHU CU PKG AHU CU PKG 2 MAP AHU CU PKG AHU CU PKG 3 VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EE YES NO-� REPLACING DUCTS YES YES 0! REPLACING THERMOSTAT YES YES NCB NEW 4 °CONCRETE SLAB YES YES NEW ROOF STAND YES YES NEW RETURN PLENUM BOX YES 0 1. Minimum Circuit Ampacity (Wire Size): —46 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): J4 0 4. Size Disconnecting Means: Contractor's Company Name: State Certificate or Reoisbatron Signature signature only) Phone: - � � � � �/ -� to of Competency N. Date• ®� �...i GERTIFvIEDR a .max.. wwvd:ahridn�eciory:org ,., CeIrstificatek of Product Ratings AHRI Certified Reference Number: 3799429 Date: 417/2014 Product:: Split System: Air - Cooled. Condensing Unit, Coil with Blower Outdoor Unit Model Number:14AJM49 indoor Unit Model Number: RHLL- HM4821 +RCSL -H *4821 Manufacturer: RHEEM SALES COMPANY, INC. Trade/Brend name: RHEEM, RUUD, WEATHERKING Series name: Manufacturer responsible for the rating of this system combination Is RHEEM SALES COMPANY, INC. 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: Cooling Capacity fth): 46000 EER Rallng (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rat n+ (Cooling): Ratings followed by an asterisk r) 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) IWW on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the produces) 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.IhOldirettory.org. TERMS AND CONDITIONS This Certificate and Its content 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 utillmd, In any form or manner or by any means, except for the users individual, personal and confidential reference. AIR- CONDITIONING, HEATING, CERTIFICATE VERIFICATION & REFRIGERATION WTME The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link we make life better- and enter the AHRI Certified Reference Number and the dais on which the certificate was issued, which Is Ilated above, and the Cartlfirastii Wo., Which Is listed at bottom right ©2014 Air-Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.. 13041356464043058 '1 ■A Dill ADA PROPOSAL FOR HVAC EQUIPMENT REPLACMENT Adam Malamed, 9215 N. Bayshore Drive, Miami Shores, FL 33138 April 7, 2014 Scone of Work: We propose to furnish and install the following: Furnish and install one (1) 4 -ton, 16 SEER air handler unit and condenser unit to replace existing units Includes 10 kW heat Includes new auxiliary pan and stand (AHU) Connected to existing refrigerant lines, drainage, electrical, slab Connected to existing ductwork and water lines Labor warranty for 1 year during normal business hours (excluding holidays) Manufacturers' 10 year parts warranty with registration of unit. Permitting additional ($ TBD). TOTAL COST $5,080 Minus FPL rebate ($780) Balance due $4,300 Limitations: This quotation is to replace the existing HVAC equipment with the same size and SEER unit. Any alterations to the HVAC configuration, including ductwork are not included with our proposal. Heat load calculations have not been performed; calculations are not included with this proposal and are available upon request. All equipment and material will be new, first quality, and installed according to accepted engineering practice. Any alteration or deviation from above proposal and bid documents involving extra costs will be executed only upon orders, and will become an extra charge. The warranties provided herein are expressly in lieu of all other warranties or obligations expressed or implied and it neither assumes nor authorizes, any other person to assume for it, any liability in connection with the sale of this equipment. All warranty calls will be made during normal working hours Monday through Saturday. Emergency calls made after normal hours will be charged at the rate of difference between straight time and overtime. "iii% ■ it � � ADA M: In PROPOSAL FOR HVAC EQUIPMENT REPLACMENT Adam Malamed, 9215 N. Bayshore Drive, Miami Shores, FL 33138 April 7, 2014 Ownership of the above equipment and materials shall remain in sellers' name and title is hereby retained until fully paid. In the event payment is not made within the time and manner as set forth below, at its' option, may remove said equipment. It is agreed that the seller shall not be responsible for any loss, damage or delay caused by malfunctioning equipment, acts of Government, strikes, lockouts, fire, explosion, theft, floods, rain, water damage, riot, civil commotion, war, nuclear disaster, malicious mischief, acts of God or by any cause beyond its control and in any event for consequential damages. Seller may withdraw this proposal if not accepted within 30 days. Any costs incurred as a result of nonpayment of billing including court costs and purchaser will sustain attorneys' fees. The contractor price for this material and installation, complete in accordance with the above specifications..... The terms for payment of this contract are: 50% deposit required with order 25% at rough inspection 25% at final inspection Date Accepted for Air Duct Aseptics