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CC-16-1530 o� 7-/4, ri � r b(D Permit NO. CC-6-16-1530 Miami Shores Village Permit Type:Commercial Construction 10050N. .2nd Avenue NEPer I d4 T EWork Classification:Alteration Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 FtORtDA Issue Date: 12/112016 Fxpiration: 05/3012017 Project Address Parcel Number Applicant 9501 NE 2 Avenue 1132060133920 Miami Shores, FL 33138- Block: Lot: DVS LLC Owner Information Address Phone Cell DVS LLC 9400 NE 2 Avenue (305)756-3711 MIAMI FL 33138- Contractor(s) Phone Cell Phone $ 40,000.00 Valuation: ALTA CUINA CORP (305)509-6222 (305)895-8481 a Total Sq Feet: 1590 Approved: In Review Available Inspections: Comments: Inspection Type: Date Approved: : In Review Fill Cells Columns Date Denied: Final PE Certification Type of Construction:NEW PARTITIONS TO FORM THE P Occupancy Load: Window Door Attachment Stories: Exterior: Tie Beam Front Setback: Rear Setback: Slab Left Setback: Right Setback: Termite Letter Plans Submitted:Yes Certification Status: Framing Certification Date: Additional Info: Store Front Attachment Bond Return: Classification:Commercial Insulation Drywall Screw Scannin : 10 Window and Door Buck Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Celling Grid CCF $24.00 Review Planning CO/CC Fee $200.00 Invoice# CC-11-16-62162 Review Electrical DBPR Fee $18.00 12/01/2016 Credit Card $200.00 $0.00 Review Electrical DCA Fee $18.00 Review Planning Education Surcharge $8.00 Invoice# CC-6-16-60020 Review Building Notary Fee $5.00 11/14/2016 Credit Card $ 1,575.00 $200.00 Review Building Permit Fee $1,200.00 06/02/2016 Check#: 1015 $200.00 $0.00 Review Building Plan Review Fee(Engineer) $120.00 Review Building Plan Review Fee(Engineer) $160.00 1 Review Structural Plan Review Fee(Engineer) $80.00 Review Structural Plan Review Fee(Engineer) $80.00 Review Structural Scanning Fee $30.00 Review Structural Technology Fee $32.00 Review Mechanical Total: $1,975.00 Review Mechanical Review Plumbing Review Plumbing Review Plumbing 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 � I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for EL TRI AL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OW FFI�.)l certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction Futhermore,I authorize the above-named contractor to do the work stated. December 01,2016 1 Miami Shores Village RECEIVED Building Department 401072016 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ' Tel:(305)795-2204 Fax:(305)756-8972 — ( INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2014 BUILDING Master Permit No. CCI �- �S30 PERMIT APPLICATION sub Permit No. Fm-]BUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION ❑RENEWAL [-]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP T CONTRACTOR DRAWINGS JOB ADDRESS: 9517 & 9519 NE 2nd Ave n CrAy j Cell City: Miami Shores County: Miami Dade Zip: 33138J Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):DVS LLC Phone#: Address:201 NE 95ht Street City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Miami Independent Learners, LLC Phone#:(305) 895-8481 Email: anaolaya@ikumon.com CONTRACTOR:Company Name: Alta Cuina Corp Phone#: (305) 509-6222 Address: 335 S Biscayne Blvd, Suite 3406 City: Miami State: FL Zip: 33131 Qualifier Name: Walter DelgadoPhone (3095-8481 State Certification or Registration#: CGC1523934 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ L�Q CDC!�(� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑E Alteration ❑E New ❑ Rep�aiir'/Replace ❑ Demolition Description of Work: Tenant Buildout PcT2_ �py����� Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name(if applicable) NSA Bonding Company's Address _ City State Zip Mortgage Lender's Name(if applicable) NSA 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: 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. ds Signature Signature 9OWN or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of JV0 20 1 (o by4- day f 1-)t�Om/-x k ,201, by v6wsc k ON Ml who is personally known to ��C1 .who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sig . Sign: Print: Print: ;y�►'+ ol-N. IU+SETH ELORRIMA '•. Seal: ;;I ,;•`- MY COMMISSION#r FF9535M Seal: '': MY COMMISSION 0 FF9W= EXPIRES January 13.1070 EXPIRES Jarwary 75.1070 �3gif-0•a� sbneallow �re�oaK 140h.i"-0•b3 r-br1LV4(ft cow Uj/ll!ti APPROVED BY Plans Examiner A bAg Zoning Structural Review Clerk (Revised02/24/2014) C,C 1 (40 SNOR'3F,s mile MINIM Miami shores Village 61" �y` Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 CONTRACTORS' REGISTRATION Fax: (305) 756.8972 IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES 0 COPY OF LOCAL BUSINESS TAX RECEIPT COPY OF LIABILITY INSURANCE* (7�-COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT, D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. BUSINESS NAME: Alta Cuina Corp BUSINESS ADDRESS 335 S Biscayne Blvd., Suite 3406 CITY Miami STATE FL Zip 33131 BUSINESS PHONE: ( 05 ) 509-6222 FAX NUMBER( CELL PHONE ( 05 ) 895-8481 QUALIFIER'S NAME: Walter Delgado QUALIFIER'S LIC NUMBER: CGC1523934 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 DELGADO, WALTER ALTA CUINA CORP 335 S BISCAYNE BLVD STE 3406 MIAMI FL 33131 Congratulations! With this license you become one of the nearly — - one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range s'" STATE OF FLORIDA I from architects to yacht brokers,from boxers to barbeque kj 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 CGC1523934 . ISSUED- 07/28/2016 I to serve you better. For Information about our services, please to onto www.myfloridalicense.com. There you can find more CERTIFIED GENERAL CONTRACTOR information about our divisions and the regulations that impact , DELGADO;WALTER you, subscribe to department newsletters and learn more about ALTA CUINA CORP the Department's initiatives. - �- Our mission at the Department is: License Efficiently, Regulate ,r Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IsrCERTIFIED under the provisions of Ch.489 Fs. and congratulations on your new license! ExPw3ttondate- AUG 3: 2618 u607280001699_ DETACH HERE _ RICK SCOTT, GOVERNOR �-- _ _ F KEN LAWSON, SECRETARY ' STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION w _CONSTRUCTION,INDUSTRY LICENSING BOARD `+''CG C1523934.. The GENERAL CONTRACTOR I Narhed.bel&IS CERTIFIED Under theprovisions of Chapter 489 FS. Expiration date:, AUG 31-, 2018, -� DELGADO, WALTER, N\ / .- - � ALTA CUINA CORP 335 S BISCAYNE BLVD STE 3406 �� ,• , MIAMI ' FL 33131 ISSUED: 07/28/2016 DISPLAY AS REQUIRED BY LAW SEO# L1607280001699 u Local Business Tax fecei pt Miami-Dade County, State of Florida -THIS IS NOT ABILL-DO NOT PAY LBT 7197391 BUSINESS NAMEILOCATION RECEIPT NO, EXPIRES ALTA CUINA CORP RENEWAL SEPTEMBER 30, 2017 335 S BISCAYNE BLVD STE 3406 7479752 MIAMI, FL 33131 Must be displayed at place of business Pursuant to County Code Chapter BA-Art 9& 10 OWNER SEC TYPE OF BUSINESS PAYMENT RECEIVED ALTA CUINA CORP 196 GENERAL BUILDING BY TAX COLLECTOR C/O WALTER DELGADO QUALIFIER CONTRACTOR 49.50 10/27/2016 Worker(s) 1 CGC1523934 CREDITCARD-17-002236 This Local Busi ness Tax Fecei pt oN y con'Irn-a payment of the local Bus ness Tax.The Pecei pt i s not a I i cense, perr it,or a cerci"cation of the holder's quell"cations,to do business.Holder crust comply with any governmental or nongovernmental regulatory laws and requirements which appl y to the business. The FECB PT NQ above mist be displ ayed on all cormercf al vehicles-Mi am-Dade Code Sac 8a-776. MIIAAMMI For more IrtorR9tlon,visit ww_wa arridkaQzA cgft= Al��® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/28/2016 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 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 lieu of such endorsement(s). PRODUCER CONTACT NAME: Karen Thomas The Chaisteli Group PHONE (954)583-3838 Ali No: (954)583-3898 5400 S.UniversityDrive Ste.405 E-MAIL info thec ins.com ADDRESS: g INSURERS AFFORDING COVERAGE NAIC# Davie FL 33328 INSURERA: ENDURANCE AMERICAN SPECIALTY INS 10641 INSURED INSURER B Alta Cunia Corp INSURER C: 335 S Biscayne Blvd INSURER D: Suite #3406INSURER E: Miami FL 33131 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. INSR POLICY EFF POLICY EXP ADDL SU LTR TYPE OF INSURANCE D POLICY NUMBER MMIDD//YYYY) (MM/DD/YYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADEOCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Anyone person) $ 5,000 A CBC20000676501 08/24/2016 08/24/2017 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- F—] JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED tid P BODILY INJURY(Per accident) $ AUTOS AUTOS ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CONTRACTOR LICENSE# CGC1523934 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 Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE Miami Shores,FL 33138 ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD nco" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) ♦��� 10/28/2016 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 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 lieu of such endorsement(s). PRODUCER CONTACT NAME: Staci Merchant Merchant Insurance Solutions P"CNE (239)823-4382 a/c No): (866)406-4983 E-M12326 Isabella Drive ADDRESS: smerchant@merchantinsurancesolutions.com INSURERS AFFORDING COVERAGE NAIC# Bonita Springs FL 34135 INSURERA: WESCO INSURANCE COMPANY 25011 INSURED INSURER B: ALTA CUINA CORP. INSURER C: 335 S Biscayne Blvd,Suite 3406 INSURER D: INSURER E: Miami FL 33131 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM DDfYYYY) (MMIDDfYYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE EIOCCURA PREMISES Ea occurrence $ MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY[::�] JECTPRO r7LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY• COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE OERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? ❑N NIA AWC1054554 10/01/2016 10/01/2017 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Contractor License Number:CGC1523934 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 Bldg Dept ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE Miami Shores FL 33138 ' ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Florida Building Code, Fifth Edition (2014) - Energy Conservation EnergyGauge Summit® Fla/Com-2015, Effective Date: June 30, 2015 IECC 2012 - Total Building Performance Compliance Option I Check List Applications for compliance with the Florida Building Code, Energy Conservation shall incl de: This Checklist An Input report generated from the software just after-completing compliance calculations without any further changes The full compliance report generated by the software that contains the project summary, complaince summary, certifications and detailed component compliance reports [� Boxes appropriately checked in the Miscellanous report generated by the software at the end of the compliance report /�.' Q�•' S ' int+ t • 3 • o rr i P ONP�, EnergyGauge Summit@ Fla/Cojr12014.TAM 2014-1.0 Compliant Software.Effective Date:June 30,2015 5/27/2016 : : •:' : Page 1 of 13 PROJECT SUMMARY a Short Desc: KUMONT Description: MIAMI SHORES Owner: Enter Owner's name here Addressl: 9517-9519 NE 2nd Avenue City: Miami Shores Address2: Enter Address here State: Florida Zip: 33138 Type: Retail Class: Renovation to existing buildi Jurisdiction: MIAMI SHORES VILLAGE,MIAMI-DADE COUNTY,FL(232600) Conditioned Area: 1658 SF Conditioned&UnConditioned Area: 1658 SF No of Stories: 1 Area entered from Plans 1590 SF Permit No: 0 Max Tonnage 5 If different,write in: Compliance Summary Component Design Criteria Result Gross Energy Cost (in$) 1,436.0 1,676.0 PASSED LIGHTING CONTROLS PASSES EXTERNAL LIGHTING No Entry HVAC SYSTEM PASSES PLANT No Entry WATER HEATING SYSTEMS PASSES PIPING SYSTEMS No Entry Met all required compliance from Check List? Yes/No/NA IMPORTANT MESSAGE •• . . . Info 5009 -- -- --An input report of'th,is:dWgNb�r4na must be submitted along with this Compliance Report EnergyGauge Summit®Fla/Com-2014.TAM 2014-1.0 Compliant Software. Effective Date:June 30,2015 5/27/2016 •;• ; Page 2 of 13 CERTIFICATIONS I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code Prepared By: Building Official: + Date: Date: I certify that this building is in compliance with the FLorida Energy Efficiency Code Owner Agent: Date: If Required by Florida law, I hereby certify(*)that the system design is in compliance with the Florida Energy Efficiency Code Architect: Reg No: Electrical Designer: MARIO DUANY Reg No: 67340 Lighting Designer: Reg No: Mechanical Designer: MARIO DUANY Reg No: 67340 Plumbing Designer: MARIO DUANY Reg No: (*) Signature is required where Florida Law requires design to be performed by registered design professionals. Typed names and registration numbers may be used where all relevant information is contained on signed/sealed plans. EnergyGauge Summit®Fla/Com-2014.TAM 2014-1.0 Compliant Software. Effective Date:June 30,2015 5/27/2016 ':' : : •••0 : Page 3 of 13 :00 0 • Project: KUMONT Title: MIAMI SHORES Type: Retail (WEA File: Miami.tmy) Building End Uses 1) Proposed 2) Baseline Total 91.50 125.00 $1,436 $1,971 ELECTRICITY(MBtulkWhl$) 91.50 125.00 26797 36641 $1,436 $1,971 AREA LIGHTS 21.30 22.50 6247 6600 $335 $355 MISC EQUIPMT 16.60 16.60 4858 4858 $260 $261 PUMPS& MISC 0.00 0.00 2 2 $0 $0 SPACE COOL 38.60 58.00 11310 17005 $606 $915 SPACE HEAT 0.10 0.10 24 31 $1 $2 VENT FANS 14.90 27.80 4356 8145 $233 $438 Credits Applied: None PASSES Passing Criteria= 1676 Design (including any credits)= 1436" ••• .. Passing requires Proposed Building Cost ii b-6 at Inbst J0% of Baseline cost. This Proposed Building is'dt 72'9%• •• EnergyGauge Summit®Fla/Com-2014.TAM 2014-1.0 Compliant Software.Effective Date:June 30,2015 5/27/2016 •;• Page 4 of 13 t External Lighting Compliance Description Category Tradable? Allowance Area or Length ELPA CLP (W/Unit) or No.of Units (W) (W) (Sgft or ft) None Project: KUMONT Title: MIAMI SHORES Type: Retail (WEA File: Miami.tmy) Lighting Controls Compliance Acronym Ashrae Description Area Design Min Compli- ID (sq.ft) CP CP ance TENANT 14 Classroom/Lecture Hall 1,658 1 1 PASSES PASSES OV ... EnergyGauge Summit®Fla/Com-2014,TAM 2014-1.0 Compliant Software. Effective Date:June 30,2015 5/27/2016 ; ; Page 5 of 13 • .. .. .: Project: KUMONT Title: MIAMI SHORES Type: Retail (WEA File: Miami.tmy) System Report Compliance SYSTEM System 1 Constant Volume Air Cooled No.of Units Split System<65000 Btu/hr 1 Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Conditioners Air Cooled 60000 16.00 13.00 8.00 PASSES Split System<65000 Btu/h Cooling Capacity Heating System Electric Furnace 36092 1.00 1.00 PASSES Air Handling Air Handler(Supply)- 2000 0.25 0.82 PASSES System-Supply Constant Volume Air Handling Air Handler(Return)- 2000 0.25 0.82 PASSES System-Return Constant Volume Air Distribution Not in Check list- 6.00 6.00 N/A System(Sup) Compliance Ignored Air Distribution Not in Check list- 6.00 6.00 N/A System(Ret) Compliance Ignored Energy Recovery Compliance Not Applicable PASSES Unit PASSES Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV liance None .. . . ..' EnergyGauge Summit®Fla/Com J4,TAM�014-J.0 Compliant Software. Effective Date:June 30,2015 5/27/2016 Page 6 of 13 ... . . . ... . Project: KUMONT Title: MIAMI SHORES Type: Retail (WEA File: Miami.tmy) Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Eff Loss Loss liance Water Heater 1 Electric water heater <= 12 [kW] 0.97 0.97 PASSES PASSES Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins Req Ins Compliance [inches] Runout? Temp [Btu-in/hr Thick[in] Thick[in] [F] .SF.F] None .. ... . . . . . •. • EnergyGauge Summit®Fla/Com-2014.TAM 2014-1.0 Compliant Software.Effective Date:June 30,2015 5/27/2016 ••• • • • •.. . Page 7 of 13 ... . . . ... . Mandatory Requirements (as applicable) Mandatory requirements compiled by US Department of Energy and Pacific Northwest National Laboratory. Adopted with permission Topic Section Component Description Yes N/A Ex 1. To be checked y beiigner or Engineer Fenestration C402.2.7 Envelope U-factor of opaque doors associated with the building thermal envelope meets requirements. Insulation C402.2.1.1 Envelope High-albedo roofs satisfy one of the following: 3-year-aged solar reflectance>=0.55 and thermal emittance>=0.75, 3-year-aged solar reflectance index>=64.0, initial year solar reflectance>_ 0.70 and thermal emittance>=0.75,or initial year solar ❑ ❑ Wattage C405.6 Exterior Lighting Exterior grounds lighting over 100 W provides>60 Im/W unless on motion sensor or fixture is exempt from scope of code or from external LPD. ❑ ❑ Wattage C405.4 Interior Lighting Exit signs do not exceed 5 watts per face. Wattage C405.2.3 Interior Lighting Additional interior lighting power allowed for special functions per the approved lighting plans and is automatically controlled and separated from general lighting. HVAC C403.2.6 Mechanical Exhaust air energy recovery on systems meeting ❑ 0 Table C403.2.6 SYSTEM–SPECIFIC C403.3.1,C403.3.1.' Mechanical Air economizers provided where required,meet ❑ ❑ the requirements for design capacity,control signal,ventilation controls, high-limit shut-off, integrated economizer control,and provide a means to relieve excess outside air during operation. ❑ / ❑ SYSTEM–SPECIFIC C403.3.1,C403.4.1 Mechanical Water economizers provided where required, meet the requirements for design capacity, maximum pressure drop and integrated economizer control. SYSTEM–SPECIFIC C403.4.1.4 Mechanical Economizer operation will not increase heating energy use during normal operation. SYSTEM–SPECIFIC C403.2.10.1 Mechanical HVAC fan systems at design conditions do not 1=1 exceed allowable fan system motor nameplate hp or fan system bhp. SYSTEM–SPECIFIC C403.2.10.2 Mechanical HVAC fan motors not larger than allowable limits. 0 ❑ SYSTEM–SPECIFIC C404.2 Mechanical Service water heating equipment meets efficiency ❑ ❑ requirements. SYSTEM–SPECIFIC C403.2.3 Mechanical Centrifugal fan open-circuit cooling towers having ❑ E6 combined rated capacity— 1100 gpm meets minimum efficiency requirement:>=38.2 gpm/hp. 2. To be ch_ec_ke by Plan Reviewer Air Leakage C402.4.7 Envelope Vestibules are installed on all building entrances. 11 Doors have self-closing devices. Insulation C402.2.6 Envelope Slab edge insulation depth/length.Slab insulation 1:1 0 0 extending away from building is covered by pavement or—10 inches of soil. ••• Plan Review C103.2 Envekgpg Plans and/or specifications provide all information ❑ ❑ 11 • • :Nil�vogh c)n:lijrtoe can be determined for the •. •; "dijg:nvel eend document where ••• • •exeep#iors�•Te sf,dard are claimed. 0 00 • •• • • •• • • • • • • 00 go* EnergyGauge Summit®Fla/Com-2014.TAM 2014-1.0 Compliant Software.Effective Date:June 30,2015 5/27/2016 ••• ' • • • ••• • . Page 8 of 13 see ••. .. .• Plan Review C103.2 Exterior Lighting Plans,specifications,and/or calculations provide ❑ 0 ❑ all information with which compliance can be determined for the exterior lighting and electrical systems and equipment and document where exceptions to the standard are claimed. Information provided should include exterior lighting power calculations,wattage of bulbs and ballasts,transformers and control devices. Wattage C405.6.2 Exterior Lighting Exterior lighting power is consistent with what is shown on the approved lighting plans, demonstrating proposed watts are less than or equal to allowed watts. Plan Review C103.2 Interior Lighting Plans,specifications,and/or calculations provide ❑ ❑ ❑ all information with which compliance can be determined for the interior lighting and electrical systems and equipment and document where exceptions to the standard are claimed. Information provided should include interior lighting power calculations,wattage of bulbs and ballasts,transformers and control devices. HVAC C403.2.5.1 Mechanical Demand control ventilation provided for spaces 1100 >500 ft2 and>25 people/1000 ft2 occupant density and served by systems with air side economizer,auto modulating outside air damper control,or design airflow>3,000 cfm. HVAC C403.2.4.3 Mechanical Each zone equipped with setback controls using 11 ❑ ❑ automatic time clock or programmable control system. Plan Review C103.2 Mechanical Plans,specifications,and/or calculations provide 0130 all information with which compliance can be determined for the mechanical systems and equipment and document where exceptions to the standard are claimed. Load calculations per acceptable engineering standards and handbooks. Plan Review C103.2 Mechanical Plans,specifications,and/or calculations provide all information with which compliance can be determined for the service water heating systems and equipment and document where exceptions to the standard are claimed. Hot water system sized per manufacturer's sizing guide. SYSTEM–SPECIFIC C403.4.5 Mechanical Zone controls can limit simultaneous heating and ❑ 0 ❑ cooling and sequence heating and cooling to each zone. SYSTEM–SPECIFIC C403.4.3.1 Mechanical Three-pipe hydronic systems using a common return for hot and chilled water are not used. SYSTEM–SPECIFIC C403.4.3.2 Mechanical Two-pipe hydronic systems using a common 0 ❑ ❑ distribution system have controls to allow a deadband-15 OF,allow operation in one mode for at least 4 hrs before changeover,and have rest controls to limit heating and cooling supply temperature to-30 OF. SYSTEM–SPECIFIC C403.4.3.3.1 Mechanical Hydronic heat pump systems connected to a ❑ 0 ❑ common water loop meet heat rejection and heat addition requirements. SYSTEM–SPECIFIC C408.2.2.2 Mechanical HVAC hydronic heating and cooling coils have means to balance and have pressure test connections. SYSTEM–SPECIFIC C403.4.2 Mechanical VAV fan motors—7.5 hp to be driven by variable speed drive,have a vane-axial fan with variable pitch blades,or have controls to limit fan motor demand. SYSTEM_SPECIFIC C403.4.2.1•• ••• #Aechanical• . VAV,fans have static pressure sensors positioned ❑ ❑ 11' ' ' ' ' ' ' ' 13 setpoint—1/3 total design pressure. SYSTEM_SPECIFIC C403.4.2.2• Wleehaniial:�: Reset static pressure setpoint for DDC controlled IA/boxes reporting to central controller based on the zones requiring the most pressure. SYSTEM_SPECIFIC C403.4.5.4 ... Mechanical Multiele zone HVAC systems have supply air • . ••: .•• . *temperature reset controls. SYSTEM–SPECIFIC C403.4`3:4 yVle�chlnigal• ••Fly*oRicsystems greater than 300,000Btu/h •• • ..aesigned for variable fluid flow. EnergyGauge Surpgip f la/CQm;2014,.JjM 2014-1.0 Compliant Software.Effective Date:June 30,2015 5/27/2016 Page 9 of 13 . . . . . . . . . . ... . . . ... . . SYSTEM–SPECIFIC C403.4.3.4 Mechanical Temperature reset by representative building 1:1 E] ❑ loads in pumping systems for chiller and boiler systems>300,000 Btu/h. SYSTEM–SPECIFIC C403.4.4 Mechanical Fan systems with motors—7.5 hp associated 0 0 ❑ with heat rejection equipment to have capability to operate at 2/3 of full-speed and auto speed controls to control the leaving fluid temperature or condensing temp/pressure of heat rejection device. Plan Review C406 Project Plans,specifications,and/or calculations provide 11 ❑ 0 all information with which compliance can be determined for the additional energy efficiency package options. Plan Review C402.3.2.2 Envelope Skylights in office,storage,automotive service, ❑ ❑ ❑ manufacturing,non-refrigerated warehouse, retail store,and distribution/sorting area have a measured haze value>90 percent unless designed to exclude direct sunlight. 3. To be checked by Inspector Air Leakage C402.4.1,C402.4.2 Envelope The building envelope contains a continuous air ❑ ❑ 0 barrier that is sealed in an approved manner and either constructed or tested in an approved manner. Air barrier penetrations are sealed in an approved manner. Air Leakage C402.4.3,C402.4.4 Envelope Factory-built fenestration and doors are labeled 1:1 ❑ as meeting air leakage requirements. Air Leakage C402.4.1.1 Envelope All sources of air leakage in the building thermal envelope are sealed,caulked,gasketed,weather stripped or wrapped with moisture vapor-permeable wrapping material to minimize air leakage. Air Leakage C402.4.6 Envelope Weatherseals installed on all loading dock cargo doors. Air Leakage C402.4.8 Envelope Recessed luminaires in thermal envelope to limit ❑ ❑ ❑ infiltration and be IC rated and labeled.Seal between interior finish and luminaire housing. Fenestration C303.1.3 Envelope Fenestration products rated in accordance with ❑ ❑ ❑ NFRC. Fenestration C303.1.3 Envelope Fenestration products are certified as to ❑ ❑ ❑ performance labels or certificates provided. Insulation C303.2 Envelope Below-grade wall insulation installed per ❑ 0 0 manufacturer's instructions. Insulation C303.2 Envelope Slab edge insulation installed per manufacturer's instructions. Insulation C403.2.7,C408.2.8,( Envelope Exterior insulation protected against damage, sunlight,moisture,wind, landscaping and equipment maintenance activities. Insulation C402.4.2.1 Envelope Roof R-value.For some ceiling systems, E] ❑ ❑ verification may need to occur during Framing Inspection. Insulation C303.2 Envelope Roof insulation installed per manufacturer's instructions. Blown or poured loose-fill insulation is installed only where the roof slope is-3 in 12. Insulation C402.2.1 Envelope Skylight curbs are insulated to the level of roofs ❑ 0 ❑ with insulation above deck or R-5. Insulation C303.2 Envelope Above-grade wall insulation installed per ❑ ❑ ❑ manufacturer's instructions. Insulation C303.2 Envelope Floor insulation installed per manufacturer's 11 0 11 •. ••• . . . .instWVions. Insulation C303.1 : :Envelope : : :Building envelope insulation is labeled with •. •: : : : ; ;R-vglye or insulation certificate providing R-value •• '•' •• • • •arMbther relevant data. Insulation C303.2.1 Envelope Exterior insulation is protected from damage with 0 ❑ ❑ a protective material.Verification for exposed • "' '•' ' .f8uncIptign insulation may need to occur during • • • • • • •Putin anon Inspection. EnergyGauge Summit®Fla/Com-2014.TAM 2014-1.0 Compliant Software. Effective Date:June 30,2015 5/27/2016 ••• ••• Page 10 of 13 . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . Insulation C402.2.1 Envelope Insulation intended to meet the roof insulation requirements cannot be installed on top of a suspended ceiling.Mark this requirement compliant if insulation is installed accordingly. Controls C405.2.4 Exterior Lighting Automatic lighting controls for exterior lighting ❑ ❑ 11 installed. Controls C405.2.2.1 Interior Lighting Automatic controls to shut off all building lighting installed in all buildings. Controls C405.2.1.1 Interior Lighting Independent lighting controls installed per approved lighting plans and all manual controls readily accessible and visible to occupants. Controls C405.2.1.2 Interior Lighting Lighting controls installed to uniformly reduce the ❑ ❑ 0 lighting load by at least 50%. Controls C405.2.2.3 Interior Lighting Daylight zones provided with individual controls ❑ 0 0 that control the lights independent of general area lighting. Controls C405.2.3 Interior Lighting Sleeping units have at least one master switch at ❑ ❑ 11 the main entry door that controls wired luminaires and switched receptacles. Controls C405.2.2.2 Interior Lighting Occupancy sensors installed in required spaces. ❑ ❑ ❑ Controls C405.2.2.3 Interior Lighting Primary sidelighted areas are equipped with required lighting controls. Controls C405.2.2.3 Interior Lighting Enclosed spaces with daylight area under ❑ ❑ ❑ skylights and rooftop monitors are equipped with required lighting controls. Controls C405.2.3 Interior Lighting Separate lighting control devices for specific uses ❑ ❑ 0 installed per approved lighting plans. Controls C405.3 Interior Lighting Fluorescent luminaires within odd numbered lamp 11 ❑ 0 configurations that are with 10 feet center to center(if recess mounted)or are within 1 foot edge to edge(if pendant or surface mounted) shall be tandem wired. Wattage C405.5.2 Interior Lighting Interior installed lamp and fixture lighting power is consistent with what is shown on the approved lighting plans,demonstrating proposed wafts are less than or equal to allowed wafts. HVAC C403.2.4.5 Mechanical Freeze protection and snow/ice melting system sensors for future connection to controls. HVAC C403.2.3 Mechanical HVAC equipment efficiency verified. 0 ❑ ❑ Air Leakage C402.4.5.1 Envelope Stair and elevator shaft vents have motorized dampers that automatically close. Air Leakage C402.4.5.2 Envelope Outdoor air and exhaust systems have motorized ❑ El ❑ dampers that automatically shut when not in use and meet maximum leakage rates.Check gravity dampers where allowed. HVAC C403.2.8.1 Mechanical Piping Insulation exposed to weather is protected ❑ ❑ ❑ from damage(due to sun, moisture,wind,etc.). HVAC C403.2.7 Mechanical HVAC ducts and plenums insulated. Where ducts 0 ❑ ❑ or plenums are installed in or under a slab, verification may need to occur during Foundation Inspection. HVAC C403.2.8 Mechanical Thermally ineffective panel surfaces of sensible 11 ❑ ❑ heating panels have insulation>=R-3.5. HVAC C403.2.7 Mechanical Ducts and plenums sealed based on static ❑ ❑ 0 pressure and location. HVAC C408.2.2.1 Mechanical Air outlets and zone terminal devices have means •• ••• • • e. • .for air•balancing. HVAC C403.2.11 '• •;Mpeja*a? ;•4.Ur;Vclosed spaces that are heated use only ❑ ❑ ❑ • • • • • • •radiant heat. •• ••• •• • • • •• HVAC C403.2.4.1 Mechanical Heating and cooling to each zone is controlled by a thermostat control. HVAC C403.2.6% •;• Mbtdaryje4 •I*rWrrpdsjatic controls have a 5°F deadband. ❑ ❑ 11 • • • • • • • • • • •• • • • • • • •• • • EnergyGauge SUMQin FVCo T-2014.TAM 2014-1.0 Compliant Software. Effective Date:June 30,2015 5/27/2016 ;•; Page 11 of 13 . .. .. . . . .. .. ... . . . ... . . HVAC C403.2.4.2 Mechanical Temperature controls have setpoint overlap ❑ ❑ ❑ restrictions. HVAC C403.2.4.3 Mechanical Automatic Controls:Setback to 55°F(heat)and ❑ ❑ ❑ 85°F(cool);7-day clock,2-hour occupant override, 10-hour backup SYSTEM–SPECIFIC C404.3 Mechanical Temperature controls installed on service water 000 heating systems(110 OF for dwelling units and lavatories in public restrooms and 90 OF for other occupancies.) SYSTEM–SPECIFIC C404.4 Mechanical Automatic time switches installed to automatically ❑ ❑ ❑ switch off the recirculating hot-water system or heat trace. SYSTEM–SPECIFIC C404.2 Mechanical Heat traps installed on non-circulating storage 1100 water tanks. SYSTEM–SPECIFIC C403.2.3 Mechanical PTAC and PTHP with sleeves 16 in. by 42 in. ❑ ❑ ❑ labeled for replacement only as per Footnote b to Table C403.2.3(3). SYSTEM–SPECIFIC C403.4.2 Mechanical VAV fan—7.5 hp are driven by mechanical or ❑ ❑ ❑ electrical variable speed drive,or driven by vane-axial with variable speed blades,or operate with motor demand-30%design kW at 50% design flow-calculations required SYSTEM–SPECIFIC C403.2.8 Mechanical HVAC piping insulation thickness. Where piping ❑ ❑ ❑ is installed in or under a slab,verification may need to occur during Foundation Inspection. SYSTEM–SPECIFIC C403.2.7.1.3 Mechanical Ductwork operating>3 in.water column requires ❑ ❑ ❑ air leakage testing. SYSTEM–SPECIFIC C403.4.3.5 Mechanical Reduce flow in pumping systems>10 hp to ❑ ❑ ❑ multiple chillers or boilers when others are shut down. SYSTEM–SPECIFIC C403.4.3.3.3 Mechanical Two-position automatic valve interlocked to shut ❑ ❑ ❑ off water flow when hydronic heat pump with pumping system>10 hp is off. SYSTEM–SPECIFIC C403.4.6 Mechanical Condenser heat recovery system that can heat ❑ ❑ ❑ water to 85 OF or provide 60%of peak heat rejection is installed for preheating of service hot water in 24/7 facility,water cooled systems reject >6 MMBtu,SHW load-1 MMBtu. SYSTEM–SPECIFIC C403.4.7 Mechanical Hot gas bypass limited to: ❑ ❑ ❑ -240 kBtu/h–50% >240 kBtu/h–25% SYSTEM–SPECIFIC C403.2.4.2 Mechanical Heating and cooling to each zone is controlled by ❑ ❑ ❑ a thermostat control. Minimum one humidity control device per installed humidification/dehumidification system. SYSTEM–SPECIFIC C403.2.4.3.3 Mechanical Systems include optimum start controls. ❑ ❑ ❑ SYSTEM–SPECIFIC C403.2.4.1.1 Mechanical Heat pump controls prevent supplemental electric ❑ ❑ ❑ resistance heat from coming on when not needed. SYSTEM–SPECIFIC C404.3 Mechanical Public lavatory faucet water temperature< 110°F. ❑ ❑ ❑ SYSTEM–SPECIFIC C404.5 Mechanical All piping in circulating system insulated ❑ ❑ ❑ SYSTEM–SPECIFIC C404.5 Mechanical First 8 ft of outlet piping is insulated ❑ ❑ ❑ SYSTEM–SPECIFIC C404.5 Mechanical All heat traced or externally heated piping ❑ ❑ ❑ insulated SYSTEM–SPECIFIC C404.6 Mechanical Controls are installed that limit the operation of a ❑ ❑ ❑ recirculation pump installed to maintain temperature of a storage tank. SYSTEM–SPECIFIC C404.7.1 .• •••M•chanical • Pool•heaters are equipped with on/off switch and ❑ ❑ ❑ ' ' ' ' ' ` ' bo Continuously burning pilot light. SYSTEM SPECIFIC C404.7.3 ��• �•�Ma:henie�l• � vapor�etardant pool covers are provided for heated pools and permanently installed spas. SYSTEM–SPECIFIC C404.7.2 Mechanical Time switches are installed on all pool heaters ❑ ❑ 11••• .•• . and puraps. • . 0 • • • .. • . • . • • • EnergyGauge Summit®Fla/Com-2014.TAM 2014-1.0 Compliant Software. Effective Date:June 30,2015 5/27/2016 ... . . •.. Page 12 of 13 • .. .. . • . .• .. ... . • . •.. . • 1 Testing C408.2.3.2 Mechanical HVAC control systems have been tested to ensure proper operation,calibration and adjustment of controls. Mandatory Additional C406 Project Efficient HVAC performance,efficient lighting ❑ 0 ❑ system,or on-site supply of renewable energy consistent with what is shown the approved plans. Insulation C402.2.8 Project Bottom surface of floor structures incorporating ❑ 0 ❑ radiant heating insulated to-R-3.5. 4. To be checked by Inspector at Project Completion and Prior to Issuance o Certificate of Occupancy _ _ Post Construction C408.3 Exterior Lighting Lighting systems have been tested to ensure 1:1 El ❑ proper calibration,adjustment,programming,and operation. Post Construction C408.2.5.1 Interior Lighting Furnished as-built drawings for electric power ❑ ❑ ❑ systems within 30 days of system acceptance. Post Construction C303.3,C408.2.5.2 Interior Lighting Furnished O&M instructions for systems and ❑ ❑ equipment to the building owner or designated representative. Post Construction C408.3 Interior Lighting Lighting systems have been tested to ensure ❑ 0 ❑ proper calibration,adjustment,programming,and operation. Post Construction C408.2.5.1 Mechanical Furnished HVAC as-built drawings submitted 1:1 ❑ ❑ within 90 days of system acceptance. Post Construction C303.3,C408.2.5.2 Mechanical Furnished O&M manuals for HVAC systems within 90 days of system acceptance. Post Construction C408.2.5.3 Mechanical An air and/or hydronic system balancing report is provided for HVAC systems. Post Construction C408.2.1 Mechanical Commissioning plan developed by registered ❑ 0 0 design professional or approved agency. Post Construction C408.2.4 Mechanical Preliminary commissioning report completed and ❑ ❑ 0 certified by registered design professional or approved agency. Post Construction C408.2.5.4 Mechanical Final commissioning report due to building owner ❑ ❑ 11 within 90 days of receipt of certificate of occupancy. Post Construction C408.2.3.1 Mechanical HVAC equipment has been tested to ensure ❑ 0 ❑ proper operation. Post Construction C408.2.3.3 Mechanical Economizers have been tested to ensure proper ❑ ❑ 0 operation. • •• • • • • ••• • •• ••• •• • • • •• 00 • • • • • • • • • • •• • • • • • • •• • • • •• • • • • • • • EnergyGauge SummiitS Ra/Corc-2014.INA 2014-1 0 Compliant Software. Effective Date:June 30,2015 5/27/2016 » ••• Page 13 of 13 2016 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT FILED DOCUMENT# L10000129579 Apr 25, 2016 Entity Name: DVS, LLC Secretary of State Current Principal Place of Business: CCO204796481 201 N.E.95TH STREET MIAMI SHORES, FL 33138 Current Mailing Address: 201 N.E. 95TH STREET MIAMI SHORES, FL 33138 US FEI Number: 80-0670481 Certificate of Status Desired: No Name and Address of Current Registered Agent: CACCAMISE,THERESA 201 N.E.95TH STREET MIAMI SHORES,FL 33138 US The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,in the State of Florida. SIGNATURE: THERESA CACCAMISE 04/25/2016 Electronic Signature of Registered Agent Date Authorized Person(s) Detail : Title AUTHORIZED MEMBER,MANAGER Title AUTHORIZED MEMBER, MANAGER Name tCACCXMISE,IrT HE SA. Name CACCAMISE, RICHARD- Address 201 N.E.95TH STREET Address 201 N.E.95TH STREET City-State-Zip: MIAMI SHORES FL 33138 City-State-Zip: MIAMI SHORES FL 33138 1 hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath;that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 605,Florida Statutes;and that my name appears above,or on an attachment with all other like empowered. SIGNATURE:THERESA CACCAMISE AUTHORIZED 04/25/2016 MEMBER/MGR Electronic Signature of Signing Authorized Person(s)Detail Date November 7,2016 OV 0 8 2016 F B r _ Mr. Ismael Naranjo,CBO Building Director Miami Shores Village 10050 NE 2nd Avenue Miami Shores, FL 33138 bo@msvfl.gov; naranioi@miamishoresviliage.com Reference: Tenant Buildout Early Start Permit 9517 and 9519 NE 2"d Avenue, Miami Shores, FL 33138 Subject: Process 6-16-1530 Dear Mr. Naranjo Pursuant to our earlier meeting,we are respectfully requesting your permission to start the scope of work delineated in the building permit application and plans prior to the final approval of the permit, in conformance with section 105.12 of the 2014 Florida Building Code.Any work completed will be entirely at our risk and will not proceed beyond the first required inspection. We are confirming that all county and other outside agencies have already approved the above subject permit application.Yesterday we submitted a response to the building department comments and we are currently waiting for approval of these comments by structural and building. Your expeditious consideration and approval to this request is greatly appreciated. I may be reached directly at(305)895-8481 if you have any questions or require any further clarification. Respe fly, Walter Delgado Vice President Alta Cuina Corp. CGC 1523934 oar Notary POOF s'fgf6 of Florida r :t $India Aft7c'9 e, MYCOMMiMtbn FF 15®7F0 orw EXOre8O!Y103/2018 } Jr a HOLD HARMLESS PROPERTY LOCATED AT: 9517&9519 SE 2nd Avenue, Miami Shores, FL 33138 As Walter Delgado,Alta Cuina Corp. license contractor of subject property, Permit number 6-16-1530 I request an early start permit as allowed under section 105.12 of the 2014 Florida Building Code for the scope of work delineated in the building permit application and plan prior to the final approval and issuance of the permit, provided the work does not proceed past the first required inspection. I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any responsibility or liability for any legal action or damage, cost or expense (including attorney's fee) resulting from missed inspection of the above mention permit. I furthermore assume responsibility for the correction, if r uired, of work performed under the above permit. Walter Delgado (Print Name) (Prime Contractor-qualifier) State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above property mentioned. Sworn to and subscribed before me this day of 1 Vc'r'tB. Notary Public, State of Florida at Large vQk:z�- .o Y ®�� Notary Public State of Ruda Sindia Alvarez o`` My Commission.FF 156750 OF FIOp Expires 09/03j2018 x ' Space Input Data KUMON OF MIAMI SHORES 05/26/2016 MDS En ineer'n Corp07:27PM KUMONT MIAMI SHORES 1.General Details: Floor Area_---..........................................._..------ ........1590.0 ftz Avg.Ceiling Height------------------------------------------------------------15.0 ft Building Weight........................................ ...... ..............70.0 Ib/ftz 1.1.OA Ventilation Requirements: Space Usage..........EDUCATION: Multi-use assembly OA Requirement 1 ---------------------------------------- .---.--.-7.5 CFM/person OA Requirement 2 0.06 CFM/ftz Space Usage Defaults..............ASHRAE Std 62.1-2004 2.Internals: 2.1.Overhead Lighting: 2.4.People: Fixture Type------------------------------------------Recessed(Vented) Occupancy--------.---_---------------------- _-----.15.0 People Wattage ----------------------------.. . . ....... 0.00 W/ftz Activity Level--------------------------------------------------------Office Work Ballast Multiplier------------------------------------------------------------------1.00 Sensible-------------------------------------------------------------------------------245.0 BTU/hr/person Schedule-----------------------------------------------------------------------------None Latent----------------------------------------------------------------------------205.0 BTU/hr/person Schedule-----------------..--------_--...------------------NEW Schedule 2.2.Task Lighting: 2.5.Miscellaneous Loads: Wattage----------------------------------------------------------................ 0.00 W/ftz Sensible--------------------------------------------------------------------------------------0 BTU/hr Schedule .--None Schedule-----------------------------------------------------------------------------None Latent_..................... . .. . ............................ _..............0 BTU/hr Schedule------------------------------....--------------------------------------None 2.3.Electrical Equipment: Wattage -----------------------------0.00 W/ftz Schedule None 3.Walls,Windows,Doors: Exp. Wall Gross Area(ftz) Window 1 Qty. Window 2 Qty. Door 1 Qty. E 496.0 0 0 0 W 496.0 2 0 2 3.1.Construction Types for Exposure E Wall Type EAST WALL 3.2.Construction Types for Exposure W Wall Type WALL 1 st Window Type WESTA Door Type WEST DOOR 4.Roofs,Skylights: Exp. Roof Gross Area(ftz) Roof Slope(deg.) Skylight Qty. H 1590.0 0 0 4.1.Construction Types for Exposure H Roof Type--------------------------------------------------Default Roof Assembly \\ 5.Infiltration: ,; •D.UANJ- Design Cooling---------------------------------------------------------------100.00 CFM Q' •• E N Sp •• 1) Design Heating.................................................................0.00 CFM f ��•��G If Energy Analysis------------------------------------------------------------------0.00 CFM •• 000 • • • • • .. / � Infiltration occurs only when the fan is off. •• N -340 6.Floors: ••• ••i ••i ••• i i ••• • � Type--------------------------------------------- Slab Floor On Grade •• /o Floor Area--------------------------...--------------------------------------....1590.0 ft, Total Floor U-Value_....-.._-----__-_-----------------.---------------0.100 BTU/VFftz-WV)• 00: • • • • • • • • • • • � .o Exposed Perimeter---------------------------------------------------------------0.0 ft . . • . • • . • . • a.. Edge Insulation R-Value--------------------------------------------------0.00 (hr-ftz-'FrBTV. • : • : : • •: : : ,\\� SOON 7.,Partitions: 7.1.1st Partition Details: Uncondit.Space Max Temp-------------------------------------------75.0 •F Partition Type---------------------------------------------------Wall Partition ••• • AmbieKt at fipaee Max Tem 95.0 •F Area--------------------------------------------------------------------------------------455.0 ftz • • Cnc6lit.4acs Min temp--------------------------------------------75.0 °F U-Value ------_-------- -----------------------------._------------0.500 BTU/(hr-ft:•F):••Amliedt at:;paCF.-101y>;Temp..---------------------------------------55.0 °F ••• • • • ••• • • Hourly Analysis Program v.4.3 Page 1 of 2 Space Input Data KUMON OF MIAMI SHORES 05/26/2016 MDS Engineering Corp07:27PM 7.2.2nd Partition Details: Uncondit.Space Max Temp.................. 75.0 °F -Partition Type---------------------------------------------------Wall Partition Ambient at Space Max Temp----------------------.---.-..--.........95.0 T Area..------------------------------------------------------------------------------- 455.0 ft' Uncondit.Space Min Temp--------------------------------------------75.0 T U-Value-------------------------------------------------------------------------------0.500 BTU/(hr-ft?°F) Ambient at Space Min Temp------------------------------------------55.0 T • . •. 00 000 • • . . . • • . . 00• . • 000 ..• 00: •• 000 :0 000 000 000 000 Hourly Analysis Program v.4.3 Page 2 of 2 Air System Sizing Summary for KUMONT Project Name: KUMON OF MIAMI SHORES 05/26/2016 Prepared by:MDS Engineering Corp 07:30PM ,Air System Information -Air System Name...------------------.-........................... KUMONT Number of zones----------------------------------------------------------------------------1 Equipment Class---------------------------------------------------SPILT AHU Floor Area.-----------------------------------------------------------------------------1590.0 ft, Air System Type-----------------------------------------------------------SZCAV Location..-....---------------------------------------------Chicago IAP,Illinois Sizing Calculation Information Zone and Space Sizing Method: Zone CFM-----------------------------Sum of space airflow,rates Calculation Months---------..--------------------------------.--......Jan to Dec Space CFM------------------------Individual peak space loads Sizing Data -----------------------------------------User-Modified Central Heating Coil Sizing Data Max coil load------------------- 73.3 MBH Load occurs at---..-...----.---.------------------------------------------------Des Htg Coil CFM at Des Htg-------------------------------------------------------2000 CFM BTU/(hr-ftZ)-------------------------------------------._................................-..46.1 Max coil CFM--------------------------------------------------------------------2000 CFM Ent.DB/Lvg DB---------------------------------------------------------50.2/84.9 °F Water flow @ 20.0°F drop--------------------------------------------_N/A Supply Fan Sizing Data Actual max CFM--.--- 2000 CFM Fan motor BHP----_-------------_------____---_.--.--.-.__-------------------0.00 BHP StandardCFM--------------------------------------------------------------------1952 CFM Fan motor kW-----------------------------------------------------------------------0.00 kW Actual max CFM/ftZ------------------------------------------------------------1.26 CFM/ftZ Fan static.-------------------------------------------.------- 0.00 in wg Outdoor Ventilation Air Data Design airflow CFM-------------------------------------------------------------498 CFM CFM/person------------------------------------- -------------------------------------33.20 CFM/person CFM/ftZ .0.31 CFM/ftZ • • • • • • • • • • 060 Goo Hourly Analysis Program v.4.3 Page 1 of 1 Zone Sizing Summary for KUMONT Project Name: KUMON OF MIAMI SHORES 05/26/2016 Prepared by:MDS Engineering Corp 07:30PM Air System Information •Air System Name....................................................KUMONT Number of zones--------------------------------------.-------------------------------------1 Equipment Class................................................. SPILT AHU Floor Area.. . ... ..................................... . ...........1590.0 ft2 Air System Type-------------- SZCAV Location----------------------------------------------------Chicago IAP,Illinois Sizing Calculation Information Zone and Space Sizing Method: Zone CFM-----------------------------Sum of space airflow rates Calculation Months--------------------------------------------.......Jan to Dec Space CFM... Individual peak space loads Sizing Data-----------------------------------------------------------User-Modified Zone Sizing Data Maximum Design Minimum Time Maximum Zone Cooling Air Air of Heating Floor Sensible Flow Flow Peak Load Area Zone Zone Name (MBH) (CFM) (CFM) Load (MBH) (ft2) CFM/ft2 Zone 1 31.5 2000 2000 Jul 1500 35.6 1590.0 1.26 Zone Terminal Sizing Data No Zone Terminal Sizing Data required for this system. Space Loads and Airflows Cooling Time Air Heating Floor Zone Name/ Sensible of Flow Load Area Space Space Name Mult. (MBH) Load (CFM) (MBH) (ft2) CFM/ft' Zone 1 KUMONT MIAMI SHORES 1 31.5 Jul 1500 845 35.6 1590.0 0.53 • ••• ••• • • • Hourly Analysis Program v.4.3 Page 1 of 1 Air System Design Load Summary for KUMONT Project Name:KUMON OF MIAMI SHORES 05/26/2016 Prepared by:MDS Engineering Corp 07:30PM DESIGN COOLING DESIGN HEATING NO COOLING DATA HEATING DATA AT DES HTG NO COOLING OA DB/WB HEATING OA DB/WB -6.0°F/-7.2°F Sensible Latent Sensible Latent ZONE LOADS Details (BTU/hr) (BTU/hr) Details (BTU/hr) (BTU/hr) Window&Skylight Solar Loads 139 ft2 - - 139 ft2 Wall Transmission 813 ft2 - - 813 ft2 13925 - Roof Transmission 1590 ft2 - - 1590 ft2 14569 - Window Transmission 139 ft2 - - 139 ft2 6221 - Skylight Transmission 0 ft2 - - 0 ft2 0 - Door Loads 40 ft2 - - 40 ft2 912 Floor Transmission 1590 ft2 - 1590 ft2 0 Partitions 910 ft2 - 910 ft2 0 - Ceiling 0 ft2 - - 0 ft2 0 - Overhead Lighting - - - 0 0 - Task Lighting - - - 0 0 Electric Equipment - - - 0 0 - People - 0 0 0 Infiltration - 0 0 Miscellaneous - 0 0 Safety Factor 0%/0% - 0% 0 0 >>Total Zone Loads 35626 0 Zone Conditioning - - - - 34090 0 Plenum Wall Load 0% - 0 0 - Plenum Roof Load 0% - - 0 0 - Plenum Lighting Load 0% - - 0 0 - Return Fan Load - - 2000 CFM 0 - Ventilation Load - - 498 CFM 39249 0 Supply Fan Load - - - 2000 CFM 0 Space Fan Coil Fans - - 0 - Duct Heat Gain/Loss 0% - - 0% 0 - >>Total System Loads 73339 0 Central Heating Coil - - - - 73339 >>Total Conditioning 73339 0 Key: Positive values are cig loads Positive values are htg loads Negative values are htg loads Negative values are cig loads . .. . . . . ... . . . . . . . • . . . . . . . . . • . .. 000 000 . 000 Hourly Analysis Program v.4.3 Page 1 of 1 Zone Design Load Summary for KUMONT Project Name: KUMON OF MIAMI SHORES 05/26/2016 Prepared by:MDS Engineering Corp 07:30PM Zone 1 DESIGN COOLING DESIGN HEATING COOLING DATA AT Jul 1500 HEATING DATA AT DES HTG COOLING OA DB/WB 91.0°F/74.0°F HEATING OA DB/WB -6.0°F/-7.2°F OCCUPIED T-STAT 75.0°F OCCUPIED TSTAT 70.0°F Sensible Latent Sensible Latent ONE LOADS Details (BTU/hr) (BTU/hr) Details (BTU/hr) (BTU/hr) Window&Skylight Solar Loads 139 ft2 9334 - 139 ft2 - - Wall Transmission 813 ft2 5052 813 ft2 13925 - Roof Transmission 1590 ft2 12261 - 1590 ft2 14569 - Window Transmission 139 ft2 1022 - 139 ft2 6221 Skylight Transmission 0 ft2 0 - 0 ft2 0 - Door Loads 40 ft2 150 - 40 ft2 912 - Floor Transmission 1590 ft2 0 - 1590 ft2 0 Partitions 910 ft2 0 - 910 ft2 0 - Ceiling 0 ft2 0 - 0 ft2 0 Overhead Lighting 0 W 0 - 0 0 Task Lighting 0 W 0 - 0 0 - Electric Equipment 0 W 0 - 0 0 - People 15 3675 3075 0 0 0 Infiltration 0 0 - 0 0 Miscellaneous 0 0 - 0 0 Safety Factor 0%/0% 0 0 0% 0 0 »Total Zone Loads 31494 3075 35626 0 • •• • • • • ••• • •• ••• •• • • • •• • ••• ••• • • • • • • • • • • • • • •• • • • • • • •• • • 00 • •• • • • • • • • 0:0•• • • • • ••• • • ••• • • • ••• • • Hourly Analysis Program v.4.3 Page 1 of 1 ` ' � ' Space Design Load Summary for KUMONT Project Name:KUMON OF MIAMI SHORES 05/26/2016 Prepared by:MDS Engineering Corp 07:30PM TABLE I.I.A. COMPONENT LOADS FOR SPACE *'KUMONT MIAMI SHORES" IN ZONE "Zone 1 " DESIGN COOLING DESIGN HEATING COOLING DATA AT Jul 1500 HEATING DATA AT DES HTG COOLING OA DB/WB 91.0 OF/74.0 OF HEATING OA DB/WB -6.0 OF/-7.2 OF OCCUPIED T-STAT 75.0 OF OCCUPIED T-STAT 70.0 OF Sensible Latent Sensible Latent SPACE LOADS Details (BTU/hr) (BTU/hr) Details (BTU/hr) (BTU/hr) Window&Skylight Solar Loads 139 ft2 9334 - 139 ft2 - - all Transmission 813 ft2 5052 813 ft2 13925 - Roof Transmission 1590 ft2 12261 - 1590 ft2 14569 - Window Transmission 139 ft2 1022 - 139 ft2 6221 - Skylight Transmission 0 ft2 0 - 0 ft2 0 Door Loads 40 ft2 150 40 ft2 912 - Floor Transmission 1590 ft2 0 - 1590 ft2 0 - Partitions 910 ft2 0 910 ft2 0 - Ceiling 0 ft2 0 - 0 ft2 0 - Overhead Lighting 0 W 0 - 0 0 - Task Lighting 0 W 0 - 0 0 - Electric Equipment 0 W 0 - 0 0 - People 15 3675 3075 0 0 0 Infiltration 01 0 -1 0 0 Miscellaneous - 0 0 - 0 0 Safety Factor 0%/0% 0 0 0% 0 0 >>Total Zone Loads 31494 3075 35626 0 TABLE I.I.B. ENVELOPE LOADS FOR SPACE "KUMONT MIAMI SHORES" IN ZONE "Zone 1 " COOLING COOLING HEATING Area U-Value Shade TRANS SOLAR TRANS (ft2) (BTU/(hr-ft2--F)) Coeff. (BTU/hr) (BTU/hr) (BTU/hr) E EXPOSURE WALL 496 0.225 - 3692 8497 W EXPOSURE WALL 317 0.225 - 1360 - 5427 WINDOW 1 139 0.588 0.811 1022 9334 6221 DOOR 40 0.300 - 150 - 912 H EXPOSURE ROOF 15901 0.1211 12261 - 14569 • •• • • • • ••• • •• ••• •• • • • •• • ••• ••• • • • • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • ••• • • • • ••• • • ••• • • • ••• • • Hourly Analysis Program v.4.3 Page 1 of 1