PLC-14-1778Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-220153
Scheduled Inspection Date: October 28, 2014
Inspector: Diaz, Osvaldo
Owner: TERR. LLC, BISCAYNE
Job Address: 8851 BISCAYNE Boulevard
Miami Shores, FL
Project: <NONE>
Contractor:
DEL RIO & SON PLUMBING CORP
Building Department Comments
CHANGE GAS WATER HEATER
Permit Number: PLC -8-14-1778
Permit Type: Plumbing - Commercial
Inspection Type: Final
Work Classification: Repair
Phone Number
Parcel Number
1132060120020
Phone: (786)295-0098
mtractio eassea Loomments
INSPECTOR COMMENTS False
Inspector Comments
PassedEl CREATED AS REINSPECTION FOR INSP-217933. Partial unit ok need to
add vacuum breaker for bottom fed water heater
1404M003459
390000BTUs
Failed CV
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 27, 2014 For Inspections please call: (305)762-4949 Page 13 of 35
BUILDING
PERMIT APPLICATION
Miami Shores Village P- - -- _ 1
�� T
Building Department Au 014
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 BY - --�
INSPECTION UNE PHONE NUMBER: (305) 762-4949 a, 1
FBC20°
Master Permit No:.
Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: /5 C• '? Y 110�/ E F L V p
Folio/Parcel#: L. Q a 0 Is the Building Historically Designated: Yes NO X
Occupancy Type: un y�� Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simp TitlehollId''er): � 'N' k-' L_J_C Phone#: DQ5 - ,2-0- ffiVil
Address: ) �l �) i�I� j .� t C@( 1 l�� LA- A4= a --O --
City: State: -L_�c rlcf (D Zip:
Tenant/Lessee Name: -4" 09 k- ° e- Phone#: _19%'4-+ 60
Email: 4� c
CONTRACTOR: Company Name: �� a Phone#: t o L J o
Address: .Q CD _ \
(00
City:
Qualifier Name: \ZjCLT__x C, C=k�: ® 'k c- � _rnone
State Certification or Registration #: <_'' --C � 4 n - `' 2 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Zip: (0 '�_
725 O q b
Address City: State:
Value of Work for this Permit: $ a t 9 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ Newepair/Replace
Description of Work:
Zip:
❑ Demolition
Specify color
o(f�color thru tile:
Submittal Fee $ �� '�� . Permit Fee $ ( l /
5 CCF $�I� CO/CC $
Scanning Fee $ Radon Fee $ F�,; DBPR $ Notary
Technology Fee $ �� + g/ r),' �� �') Trainin Education Fee $ �4 Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $�
(Revised02/24/2014)
. . q L
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 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 ipproved and a reinspection fee will be charged.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of 20 by
tiLo_roli A L.�'� . who is personally known to
me or who has produced as
identification and who did take an oath.
Signature "S'�"Q
CONTRACTOR
The foregoing instrument was acknowledged before me this
day ofV 1 .20 . by
l_i ci is known to
me or who has produced (- (_;)(2JV1UL-- as
Identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
Sign:
Sign:
�-
x
Print•
a _c)
Print:
Cn
- r te
Seal:
°`��
Seal:
=d`�`
!NY CO FF124989
E)MR6: MAY 20,2018
/J/�����ihN
Bonded through 1st $to Insumm
�r i I i � � ����`��\\\•
************************************************************************************************************
APPROVED BY ( �� % ��% `j Plans Examiner
Structural Review
(Revised02/24/2014)
Zoning
Clerk
Detail by Entity Name
Florida Limited Liability Company
LFNG LLC
Filing Information
Document Number L14000008648
FEI/EIN Number NONE
Date Filed 01/16/2014
State FL
Status ACTIVE
Effective Date 01/15/2014
Principal Address
C/O CJLAW 1395 BRICKELL AVE. #800
MIAMI, FL 33131
Mailing Address
C/O CJLAW 1395 BRICKELL AVE. #800
MIAMI, FL 33131
Registered Agent Name & Address
MARILI CANCIO JOHNSON PA
139 BRICKELL AVE #800
MIAMI, FL 33131
Authorized Person(s) Detail
Name & Address
Title AR
MARILI CANCIO JOHNSON PA
1395 BRICKELL AVENUE #800
MIAMI, FL 33131
No Annual Reports Filed
01/16/2014 -- Florida Limited Liability I View image in PDF for
Page 1 of 2
http://search. sunbiz. org/InquirylCorporationSearchIS earchResultDetaillEntityName/flal-11... 8/14/2014
Sep 1614 09;57p
0STATE OF FLORIDA
2�: DEPARTMENT OF BUSINESS AND
PROFESSIONAL REGULATION
CFC 1427 828 ISSUED: 06/23/2014
CERTIFIED PLUMBING CONTRACTOR
DEL RIO, EDELBERTO
DEL RIO & SON'PLUMBING CORP
IS CERTIFIED under the PfavfslOns of Ch,489 FS.
EVL*aW- dale : AUG 31, :file L14=3a=538
7863625426 p.1
1 •4
Dimensions and Specifications:
INDUCED RAFT MOTOR
I- NPT 1 -NPT
RELIEF RELIEF FOR EASE IN ORDERING
VALVE VALVENG BY MODEL NUMBER
Q OPENING Q OPENI
\ ` CG o�N 180 080
OUTLET OUTLET
This is a natwal gas
Charger water heater.
It has standard construction,
C A A 180,000 Btu/hr, and 81 gallon
INLET INLET storage capacity.
71 N'T
E Wul
SEP 152014
GAS CONNECTION I �' B��cE GAS CONNECTIOT1 �NOE
MODELS CG120-400 MODEL CG -500-:- -
Model Btu/hr Cupadty GPH @ Vent Gas Water Shipping
Number Input Gallons 100*F Rise A B C i E Size —Conn Conn Weight
(GN120070 120,000 71 116 69-3/4" 27-3/4" 52" 19-3/4" 4-1/4" 6" 1/2" 1-1/2" 400
(GN150032 150,000 32 145 45" 27-3/4" 42-1/2" 15-3/4" 5" 6" 3/4" 1-1/2" 460
(611155 000 154,000 81 149 73" 27-3/4" 59" 19-3/4" 4-1/4" 6" 1/2" 1-1/2" 470
CGN180 080 180,000 81 175 67-1/2" 27-3/4" 54-3/4" 20-1/2" 4.1/2" 6" 1/2" 1-1/2" 470
CGN200 032 199,000 32 194 45" 27-3/4" 42-1/2" 15-3/4" 5" 6" 3/4" 1-1/2" 460
CGN200080 199,000 81 193 67-1/2" 27-3/4" 543/4" 20.1/2" 4-1/2" 6" 1/2" 1-1/2" 470
CGN200100 199,000 100 193 75" 27-3/4" 62-3/4" 20-1/2" 41/2" 6" 1/2" 1-1/2" 603
(611199100 (A) 199,000 100 193 72" 30-1/4" 56-1/2" 19-3/4" 41/2" b" 1/2" 2" 630
CGN250100 (A) 250,000 100 242 72" 30-1/4" 56-1/2" 19-3/4" 41/2" 8" 1/2" 2" 630
CGN250065(A) 251,000 65 243 75" 27-3/4" 58-3/4" 20" 41/2" 8" 1/2" 1-1/2" 750
(611275 100 (A) 275,000 100 267 72" 30-1/4" 56-1/2" 19-3/4" 41/2" 8" 1/2" Zn 630
(611305 065 (A) 305,000 65 296 75" 27-3/4" 58-3/4" 20" 41/2" 8" 1/2" 11/2" 750
R3365A85-(A� 365000 85 354 79-1/2" 27-3/4" 63" 22-1/2" 41/2" 8" 3/4" 1-1/2" 725
(Al 39
CG1500 085 M) 501C0OT� 85 485 82-1/4" 27-3 4" 65-3j4"_2r1/2" 41 2" 8" 1"
=—�4gAconn
for dimensional information on Top and Back Tappings
Standard Features: Optional Equipment:
• 80% Thermal Efficiency • UL Sanitation
• Multi -Flue Design • High Altitude (2,000 to 8,000 feet)
• Glass Lined Tank
• 150 PSI Working Pressure
• Tank Saver Anode • • • • ...
• ASME Temperature & Pressure Relief Valve • • •
• Automatic Reset High Limit.
• • • • • • • • • • • • •
...... ...
• Spark Ignition • •
...... ......
• 180°F Operation Approved 0000
. • •
• Combustible Floor Approved 989669
• • • • • • • •"'
• Steel Jacket with Foam Insulation.. • • • "' • •
0 • . .
• Hand Hole Cleanout go • .. • • • ' • • • : •
• Slide Out Burner Tray :00:0: • •.
• 3 Year Limited Warranty on Tank • • • • • • •
• 1 Year Limited Warranty on Parts • • • •""•
V $Xk0
joumd
�� emlPoolHeeteis
AN i SF -5 M E M B E R
B1gL E�denry Weser Heaters, Hollers S M
Lochinvar, LLC • 300 Maddox Simpson Pkwy • Lebanon, TN 37090. 615-889-8900 / Fax: 615-547-1000
www.Lochinvor.com
CGR-17 (Revised CGR-17 10/11) PDP -W -1/12 -Printed in U.S.A.
Dependable, Tank Type
Charger
The Lochinvar Charger gas fired, tank type water heaters are designed to
provide ease of installation, low stand-by loss and years of trouble free service.
Chargers are ideally suited for apartments, schools, food service and many other
commercial and industrial applications with requirements for hot water. They
are built to ensure easy installation and maintenance.
Outstanding Features / Quality Design
The Charger features a multi -flue design for increased efficiency and fast heat
transfer. The tank is glass lined for prolonged life and protection from rust and
corrosion. The tank is certified for 150 psi working pressure and is available
in standard construction or ASME construction (over 200,000 Btu/hr input).
Multiple anode rods are installed for additional protection from corrosion.
Factory installed, motorized flue dampers hold in heat during the off cycle.
Ease of Installation
Charger installations are fast and easy. The water heaters are fully assembled
and ready to drop into any applications. The Charger has a small footprint and
is often shorter than competitor models. The Charger is designed with three sets
of water circulation tappings. Water connections on the top, the front and the
back provide ultimate flexibility, especially on retrofit applications.
Even More to Offer
All Chargers feature spark ignition which is more efficient than traditional
standing pilots. Hand hole cleanouts and slide out burner trays offer superior
serviceability. And all models are combustible floor approved.
Meets ASHNE Energy Efficiency Standards
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BILL.'
TO
STEINE ATLANTIC CORS
P.O. BOX 380578 • MIAMI, FLORIDA 33238-0578
DADE: (305) 754.4551 • TOLL FREE: 1-800-333-8883 • FAX: (305) 751-8390
www.steineratiantic.com
DREAM COIN LAUNDRY
8851 BISCAYNE BOULEVARD
MIAMI. FL 33138
OFFICE AND SHOWROOM
290 N.E. 68th STREET
MIAMI, FLORIDA 33138-5520
FOB: ORIGIN
SHIP'
TO
DREAM COIN LAUNDRY
8851 BISCAYNE BOULEVARD
MIAMI FL 33138
OUR TRUCK,
STOCK NO.
DESCRIRTIOf `:
UIM
QUANTITY
UNit' RICE
AII80q1TC
_OC CGN400--100
LOCi-3INVAR 100 GAL WATER HEA
TEA
I
8525.L"2100
8525.00
NATURAL GAS,
39, 000OBTU
Serial Numb6r .-
1404M00345 wp
Subtotal
8525.00
INLAND FREIGHT
300.00
DELIVERY—OUR Tt?UC{'
OLS
300.00
Sales Tai
579.50
Total
9704.50
Deposits Applied
3722s50CR
Credit on Account
18.00CR
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nILL GOODS SOLD
ARE F. iso B. ORIGIN.
-JE APPRECIATE )OUR
BUSINESS!
"PURCHASER REPRESENTS THAT PURCHASER HAS READ AND ACCEPTS WITHOUT QUALIFICATION ALL OF THE TERMS AND CONDITIONS OF SALE INCLUDING THOSE LISTED ON THE REVERSE SIDE HEREOF."