RC-14-425 (3) r, Miami Shores Village
311111M_ Building f" Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax: (305)756.8972 �Y _
INSPECTION'S PHONE NUMBER: (J05)762.4949
r
FBC 20
BUILDING Permit No.
PERMIT APPLICATION Master Permit NVZN
Permit Type: BUILDING ROOFING
JOB ADDRESS: 38 NNq 11081N STRErri
City: Miami Shores County: Miami Dade Zip: 331 Go 5
Folio/Parcel#: 0120 MAMA ,i-fX09 COUf)r,
Is the Building Historically Designated: Yes NO ✓ Flood Zone:
OWNER: Name(Fee Simple Titleholder):PAW K: q�14.1'6�+ S&1u1a-S s Mull-4f&&Phone#: _k!� cya yr
Address: 11t) N t / // 5 7A6-65
City: A:Nw; 51.0-61 State: Zip: 3 3 I
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: (�(/LbE�l -L n/� • Phone#:
Address: 3&9S- AJ-W- S770 101+eZ
City: Q 4A,':A, 6A de -s State: - Zip: 3 I G G
Qualifier Name: Phone#:
State CertificationorRegistration#: e 6C # IS/L fi
d/G 4 Certicattee of Competency#:
!
Contact Phone#: k(. .3 C1,1 b VA3 Email Address: i✓} C CdLbbq/ X�1jC-
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ U Square/Linear Footage of Work:
Type of Work: UAddition ❑Alteration ❑New WRepair/Replace ODemolition
Description of Work:
n�IC01n�2_ I c)DeV— 0'"A 0jo , Mvv�)
.�
Ild 171 0(2-
Color thru tile:
Submittal Fee$ -(SCJ Permit Fee$ ! • 13 CCF$ 2 l CO/CC$ - W
Scanning F.ee$ Radon Fee$ IS • 0? DBPR$ Bond$
Notary$ 0 Training/Education Fee$?j �?.-0_Technology Fee$ 32- -�30
Double Fee$ 0 Structural Review$ k2c • M y0 '1M w 12-0 -CO
TOTAL FEE NOW DUE$ 1 G a Q • ��
Bonding Company's Name(if applicable) P 1
Bonding Company's Address \\
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. 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 fust 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 on Te- —e-will will be charged.
'O `I�
Signature Signature
Aer or Agent Contractor
The foregoing instrument was acknowledged before me this B The foregoi4instnt was acknowledged before me this �dayof .IAuuA ,20L+,by 6b04ed )L/iLL-ErQ day of �IA ,20/4,by !W' �L a4'0"Oe x"24;
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign: [1�
Print: t/Z.APrint: d1S dJ /�/Qitl�l°/
My Commission Expires: °CONSTANZA MANRIQUE My Commission Expir
-4*" .001 MY COMMISSION k FF006111 ' 'CONSTANZA MANRIQUE
EXPIRES:APV 13.2017 MY COMMISSION 0"006111
EXPIRES:April 13,2017
p�/
*APPROVED BY Plans Examiner V////6/Zoning
� ti3 1
Structural Review Clerk
(Revised 5/2/2012 X Revised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09XRevised 7/10/2007)
<<j ,SNuRFs
NounIy un.?" Miami shores V
Building Department
ORNA 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CONTRACTORS' REGISTRATION
ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED.
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A. COPY OF QUALIFIER'S STATE LICENCES
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. _��COPY OF LIABILITY INSURANCE*
D. COPY OF WORKERS COMPENSATION INSURANCE*
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT
C. COPY OF LIABILITY INSURACE*
D. COPY OF WORKERS COMPENSATION INSURANCE*
*YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
COMPLETE CONTRACTOR'S INFORMATION
BUSINESS NAME: OZL6f-t— _:rwC
BUSINESS ADDRESS:32,g s' Ai-ci -nw P(ht£ CITY U�n.3rr�� GA yrs
STATE ZIP CODE 6 6
BUSINESS PHONE: (78( ) .394- Lq G 3 FAX NUMBER
CELL PHONE ( ) .3Yq-4 yG3 QUALIFIER'S NAME:
QUALIFIER'S LIC NUMBER:—C—(;C- ISI "4 L
Created on 3119109 BY MLDV I RV 3126109 MLDV 1 RV 6127111 AS
008327
Local Business Tax Receipt
Miami—Dade County, State of FloridaLBT
-THIS IS NOTA BILL-DO NOT PAY
s
k_
j 6236376
BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES
i RENEWAL. SEPTEMBER 30, 2014
1 COLBERT INC 6601044
3649 NW 57 PL Must be displayed at place of business
Pursuant Ch
VIRGINIA GARDENS FL 33166
Chapter
to County Code
BA-Art.9&10
DEC.TYPE OF BUSINESS PAYMENT RECEIVED
OttVPIi
COLBEIn INC 196 GENERAL BUILDING CONTRACTOR BY TAX COLLECTOR
CGC1512466 $45.00 07/11/2013
Worker(s) 3 TXHSI-13-023099
` This Local Business Tax Receipt Daly confirms il'"N to of the Local Business Tax.The Receipt is not a license.
., permit or a certification of the ides a qualificaboas,to do badness.Helder must comply with ON govemmemtd or
nongovernmental regulatory taws and requirements which apply to the business.
The RECEIPT NO.above must be displayed on all commercial vetdelos-Miami-0ade Code Sac 80-M
For more inlormation.visit
y
• 10-05-2012
JEFF ATWATER STATE OF FLORIDA
CHUWIgNMC LOFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers Compensation law.
EFFECTIVE DATE: 11/09/2012 EXPIRATION DATE: 11/09/2014
PERSON: GIAMPETRUZZI RAFAEL E
FEIN: 201782049
BUSINESS NAME AND ADDRESS:
COLBERT INC
3845 NM, 57 PLACE
VIRGINIA GARDENS RL 33188
SCOPES OF BUSINESS OR TRADE:
1- LICENSED GENERAL CONTRACTOR
IMPORTANT, Persoaet to Chapter 44o . 06114►, F.S., on officer d a MINIFItfoa rho elects exemption tress Ills gapter by filing o certlfiata of olectlon attdr this
section may not recover benefits or amtNfation Mer Ibis chapter. Parsoaot to Chapter 440.051111 F.S., Certificates d election to I» exmpt.— apply Daly 'alliin the
state of the of recon or tresis lista! on the ooNco d obis ci to k exempt. Parwsat is Chaptr 440.05113% F.S., Netitos d election to be exempt aced tartfflcaton d
eleetlon to be exempt shall be sebiett to revocation it. at my time atter lite filing of tires ontia r the isaoaace of the crtilteate the W►ws named on the notice or
certificate on longer mean the repirments of this SSWON forIssrace of ■ cartl[icate Tie department shall revels a csrtilicate at ony time for QUeFSrI0NS7 re (8of the 50) 413-1609
need
as the certificate to tact the requirements d this section.
OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE of FLORIDA IMPORTANT
DEPARTMENT OF FINANCIAL sERVIcEs F Pursuant to Chapter 440.05(141, F.S., an officer of a corporation who
DIVISM OF W0R1(ERS!COMPENSATION 0 elects exemption fran this chapter by filing a certificate of election
CONSTRUCTION INDUSTRY
��j�RSTE OF EW ELECTION
O B EXE"�FLORIDA L � is secthm mey not recover benefits or compensation trader this
EFFECTIVE: 11/09/2012 EXPIRATION DATE: 11/09/2014 Pursuant to Chapter 44005112). F.S., Certificates of election to be
PERSON: RAFAEL E GIAMPETRUZZI H exempt_ apply only within the scone of the business or trade listed on
E the notice of election to be exempt
FEIN: 201782049 R
BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.0503), F.S. Notices ll election m be exempt
COLSERT INC and certificates of election to be exempt shall be subject ce revocation
3945 NW, 57 PLACE if, at any time after the filing of the notice or the issuance of the
VIRGINIA GA DENS, FL 33166 certificate, the person maned an the notice or certificate no longer meets
the requirements of this section for issumtce of a certificate. The
department shall revoke a /emit"late at any time for failure of the
person named on the certificate to meet the requirements of this
SCOPE OF BUSINESS OR TRADE
Section.1- LICENSED GENERAL CONTRACTOR
QUESTIONS? (850) 413-1609
CUT HERE
• Carry bottom portion on the job, keep upper portion for your records.
OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11
STATE OF FLORIDA
� - DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
•�' �. TALLAHASSEE FL 32399-0783
GIAMPETRUZZI, RAFAEL EDUARDO
COLBERT INC
3845 NW 57 PLACE
VIRGINIA GARDENS FL 33166
Congratulations! With this license you become one of the nearly one million "-sra7E of FGomQ�►_ -• AC# 6-3 5.. 3 g
Floridians licensed by the Department of Business and Professional Regulation. bEPA�TMENT. OF';BUSINESS AND
Our professionals and businesses range from architects to . PRO ESSIQNf�I,;AREGULATIGN
9 yacht brokers,from
boxers to barbeque restaurants,and they keep Florida's economy strong.
CGC1512466 r ' 0941/12 128076114
Every day we work to improve the way we do business in order to serve you better.: -
For information about our services,please log onto www.myfloridalicense.com. C$RTIF*EOTt GENERAL:,CONTRACTOR;
There you can find more information about our divisions and the regulations that >' GIAWETRUZZI, RAFAEL 13D17ARD0.;.:
impact you,subscribe to department newsletters and learn more about the COLB$RT ::SNC
Department's initiatives.
Our mission at the Department is:License Efficiently,Regulate Fairly.We
constantly strive to serve you better so that you can serve your customers.
Thank you for doing business in Florida,and congratulations on your new license! IS: CERTIFIED under the provisions of.cii 489 Fe
i mcpiracton eate:'AUG 31,_2014 722.63. 02284
DETACH HERE
'� ;a STATE OF FLORIDA
DEPARTMENT QF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
SEW L12091102184 '
DATE BATCH NUMBER LICENSE NSR
NNW
70§/11/20111128076114 ICCC1512466
The GENERAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2014
GIAMPETRUZZI, RAFAEL EDUARDO
COLBERT INC
3845 NW 57 PLACE
VIRGINIA GARDENS FL 33166
RICK SCOTT KEN LAWSON
GOVERNOR SECRETARY
DISPLAY AS REQUIRED BY LAW
1:04:10 PM 91312014
Licensee Details
Licensee Information
Name: GIAMPETRUZZI, RAFAEL EDUARDO (PrimaryName)
COLBERT INC (DBA Name)
Main Address: 3845 NW 57 PLACE
VIRGINIA GARDENS Florida 33166
County: DADE
License Mailing:
Lice nseLocation:
License Information
License Type: Certified General Contractor
Rank: Cert General
License Number: CGC1512466
Status: Current,Active
Licensure Date: 11/30/2006
Expires: 08/31/2016
Special Qualifications Qualification Effective
Construction Business 11/30/2006
View Related License Information
View License Complaint
1940 North Monroe street,Tallahacc a FL'47199 :: Email: customer Contact Center :: Customer Contact Center:
850.487.1395
The State of Florida is an AA/EEO employer.Qpyright 2007-2010 State of Florida.Privacy Statement
Under Florida law,email addresses are public records.If you do not want your email address released in response to a public-
records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail. If you have
any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,
licensees licensed under Chapter 455,F.S. must provide the Department with an email address if they have one.The emails
provided may be used for official communication with the licensee.However email addresses are public record. If you do not wish to
supply a personal address,please provide the Department with an email address which can be made available to the public.Please
see our Chapter 4SS page to determine if you are affected by this change.
7.
J
SNoRIL
�s
n
�I •.���� Miami shores
Village
'�. o + Building Department
R1Dp' 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project
prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate
officers or members of a limited liability company (LLC) in the construction industry may
elect to be exempt if.
1. The officer owns at least 10 percent of the stock of the corporation,or in the case
of an LLC,a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State,Division of Corporations;and
3. The corporation is registered and listed as active with the Florida Department of
State,Division of Corporations.
No more than three corporate officers per corporation or limited liability company members
are allowed to be exempt. Construction exemptions are valid for a period of two years or until
a voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption.In these circumstances Miami Shores Village
does not require verification of workers' compensation insurance coverage from the contractor's company. Therefore,you maybe
personallyliable for the worker compensation injuries of anperson allowed to work under this permit. Please check with your
insurance carrier since most property insurance policies DO NOT cover this type of liability.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
c
Ow ne t Co r t r
Print Name:
r4 / r ,P}> l"R /v�j�th
t Name:
Signature i Signature: � I ARM"t�,
State of Florida) State of Florida)
County of Miami-Dade) County of Miami-Dade)
Sworn to and ubscribed before me this Sworn to and subscribed before me this
day of ,20 day of J*4 ,201—C4
By B
y
(SE ;......._, :
TyT eioffi T _ I tfic#Aeon
;' o�nd:'o EXPIRES February 2,2018 EXPIRES February 2,2018
(407)398-0153 FloridallotaryService.com (407)398-0153 Floridallota service.com
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NPUT FILE NAME ____> C:IDOCUME-11OAREVALOIMYOOCU-11MYDOCS-11WDJST12.CB
DATE -___> 4/7/2014 8:28:18 AM
30MMENTS =___> Floor joist 2x10's at 2"c/c ,
Oscar Posada -Architect
AR-0016550
9231 SW 12 St.
Miami, Fill 33174 ,
(305) 554-1094(786) 683-5156
4'•�o•r
RHS Technical Services, Inc.
270 N. E. 123rd Street North Miami,Florida 33161
Phone: 305-688-6022 E-Mail: rhstech@gate.net
November 18, 2013
Miami Property Solutions LLC
Attention: Mr. Javier Hernandez
190 N.E. 111th Street
Miami Shores, Florida 33138
Services: Suspected ACM Building Survey Ila 12
Project: Demolition of Illegal Improvements UP. `
Location: Single Family Residence Y
38 N.W. 108" Street 0000"
Miami Shores, Miami-Dade County, Florida 0000.. 0000:.
0000..
0000..
Gentlemen:
0000 . .. 0000.
At your request, on November 13,2013, Marilyn Brown Schuler, an accredited asbestos Wkiing ....
•
inspector for RHS Technical Services,Inc.,conducted a suspected asbestos c HIgning buirding '•
. . . . 0000..
materials survey at the bedroom suite located in the former garage at above referenced si0gt2•• .
family residence. This survey was requested in order to remove the reportedlyi}legnl interipr••
improvements, as part of the interior renovations. The Scope of Work for this report doeVildt
include other areas of the residence,the structure exterior or roof.
BUILDING & SURVEY AREA DESCRIPTION 0000
. . 0000 0000..
Our review of the Miami-Dade County Property Information found the subject iop0erty •' '•
.p00 .. .. 0.0006
improvements were constructed circa 1951. Prior to our arrival on site,the prpposed demolition .
and renovations were discussed with us. .0 0 0 0 0
0000 0000 . .
0000 0000 0000.
The subject single family residence is a CBS construction on wood floor joists,"ggrosting pf'a
living room,hallway with a bathroom and two bedrooms. A concrete slab on padeflorida room •;
is located on the south side of the living room. The kitchen, located in the northwest cormx of. 00 00"
the residence, is accessed from the northwest corner of the Florida room. Frorn.Jyjtitchen,.4.. ;••••
hallway extends southward through a structure to the former garage. In the hallway by tho.:-
kitchen,the laundry room is located several steps down from the hallway elevation. This area is
not included in this survey.
RHS Technical Services,Inc. Page 2
The hallway extends to a room that is identified as a sitting room, with a closet and windows.
The hallway extends southward with a bathroom on the west side. The hallway ends at the
former garage, with covered windows, closet and an exterior doorway. The garage opening has
been closed with drywall on the interior.
Interior finishes include a sprayed-on textured ceiling finish on drywall in the sitting room, with
the hallway,bathroom and bedroom having painted ceiling finish on drywall. Interior walls are
finished drywall, with the bathroom having ceramic tile on the walls. Flooring consists of
ceramic tile throughout this area.
SUSPECTED ACM SURVEY
6666
The suspected ACM were identified as sprayed-on textured ceiling finish ancWrXwall ce'kngs and ••••••
walls. No other suspected materials were identified. Bulk samples of suspected ACM WC& :
collected for laboratory analysis. Analysis was performed by Polarized Light AiFjpscopy(dm) ;0 0.0
in conjunction with dispersion staining. Analysis was performed in a certified lWwratory.
accredited for asbestos fiber analysis by participation in the NIST National Voh�taty Laboratory
Accreditation Program(NVLAP). """ ••
6666..
The attached table summarizes the individual laboratory findings for the analized Bulk soUlp)4s. •••• •
For additional information,please refer to the individual bulk sample analysis repofts attached to ••••
.. 6666
this report. •
FINDINGS, OPINION AND RECOMMENDATIONS
No asbestos fibers were detected in the bulk samples of the suspected ACM collected for.W .
survey. Should any additional materials, other than those sampled as part of Ss 'eY��*• •
•'
uncovered during a renovation,bulk samples of these suspected materials shoWd bo colleote&ty •••• •
an accredited asbestos building inspector and submitted for laboratory analysis".6. :6000:
0 0 0:
6666 6666 . .
6666 6666 6666.
6666.. 6666 6666.
QUALIFICATIONS 0 •
6666..
. .
The work was performed under the direction of Robert H. Schuler,P.E., P.G.,a Florida ltddAsdd
professional engineer and asbestos consultant. Work was performed by Marifyc$rimwn Schuler, ••
an accredited asbestos building inspector. The firm has the appropriate licensures, certifications,
insurance and experience to perform this work. Documentation is available upon request.
RHS Technical Services,Inc. Page 3
We appreciate this opportunity to be of service to you for your project. If you have questions or
desire additional information,please let us know.
Respectfully submitted,
RHS Technical Services nc:'' ��' $C��`�
moo•.•��GMe
4715 �
Rob ch er, P.E., P:,GkEresident
r •cc
or-da Licensed Asbestos Coasltanl► l . 00,90014
�
SION A�- 6666
. . 6666 6666..
6666..
6666 6666 6666..
6666..
6666..
. . 666.66
00 . 666.
6666
. 0 6666 660666
..
. .
6666.. 6666 666600
606:06 0 6666..
.60. 0006
6666 6666 6666.
6666.. 6666 6666.
. . 6 .
6666 .. . 6666.9
666666 6
00
. . . . 6696.6
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0 . 0 0 0 0 0 6
. .. . 6666 . .
RHS Technical Services,Inc. Page 4
Project: Demolition of Illegal Improvements
Location: Single Family Residence
38 N.W. 1081' Street
Miami Shores, Miami-Dade County, Florida
Date Sampled: 11/13/2013
Date Analyzed: 11/18/2013
Sample Description of Location of Sampled Suspected ACM Percentage of
Number Sampled Suspected ACM Asbestos Detected
1 textured ceiling material Front"sitting"room-ceiling,north side None Detected
and drywall
0000
2 textured ceiling material Front"sitting"room-ceiling, south side Drone Datea6d •s.s•.
• •
so* • •
3 drywall Front"sitting"room -east wall 6• -Aron Detected •••• •
4 drywall Front"sitting"room-closet, south w4- -None Lletgctgd •
0000.
5 textured ceiling material Front"sitting"room-ceiling,middle 6• •IV)ne L2eW"gd •••••
and drywall area •• •• 0.00 0.00••
0000. so
0
. . . .
009.••
6 finished drywall Hallway- ceiling None Ioeleeted
0000..
0000 •
7 drywall Hallway- west wall None Lathed
8 finished drywall Bathroom- ceiling None Detected
9 finished drywall Bedroom-ceiling, north side None Detected
10 finished drywall Bedroom-ceiling, south side None Diftered
0000..
11 drywall Bedroom-north wall Nbne Deteetdd 41
.. 0004.00
12 drywall Bedroom - south wall None Detected :Soso
.
0000 0000 0000.
96.00. ..9. .o...
.. .. .. . 0000..
. . . . 0000..
0000..
. . .Soso.
00 0 966.
DOVE ENVIRONMENTAL CORP.
8910 MIRAMAR PARKWAY, SUITE 200 MIRAMAR FL 33025
c,.�.., Tel. (954) 374-9274 Fax: (9S4) 639-7426
ASBESTOS TEST REPORT
CLIENT : RHS TECHNICAL SERVICES. INC PAGE 1
ADDRESS: 270 NE 123RD STREET,
NORTH MIAMI, FL 33161 DATE 11/18/13
PROJECT: RESIDENCE ADDITION SAMPLE ID 0311190
38 NW 108TH ST MIAMI SHORES
CONSULT: ROBERT H_ SCHULER NVLAP Lab Code: 102053.0
LAB NO. : 01 SAMPLE NO. : 1
FRI/HOM : NO/NO LAYERS: 02 DATE OF ANALYSIS: 11!"1$/13
DESCRIPTION : TEXT. CEILING MATERIAL & DRYWALL
ASBESTOS TYPE: NOME-DETECTED
OTHER FIBERS : 20% CELLULOSE
NON FIBERS : 75% MINERALS 5% PAINT
---------------------------._-________-__.__-------------------------- _0 0__00 000
0.
LAB NO. : 02 SAMPLt N6,P: 2 0.00 - 0.00:•
FRI/HO�t1 NO/NO LAYERS: 02 DATE OF AN4Y�Lj: 117i$�D 0000:.
DESCRIPTION : TEXT. CEILING MATERIAL 000,00 0 ,
ASBESTOS TYPE: NONE DETECTED 0000 000.0•
.. 0
OTHER FIBERS : 20% CELLULOSE •000.• : •00• 00.00
NON FIBERS : 10% POLYSTYRENE-FOAM 60Z MINERAL&0000 .. 00:000
00
10% PAINT 00 0•000•
0000..
--------------------------------------------------------------- 0.00-------•_- •'
LAB NO- : 03 SAMPLE" 90:: 3 : ;0 0.00:•
FRI IHOM : NOINO LAYERS: 03 DATE OF ANPtY,,I : 11;10"8 /13 8 :....:
DESCRIPTION : DRYWALL 00 • •
ASBESTOS TYPE: NONE-DETECTED 0.00
OTHER FIBERS : 20% CELLULOSE
NON FIBERS : 70% MINERALS 10% PAINT
Dove Environcental Corporation is solely responsible for analysis performed on saeple content supplied by
client and method 40 CFA Part 761 Subpart F App. SPA/600/1-93/116. measurement Uncertainty inloruat r;.«s
available by contacting the Laboratory. Laboratory Reports will be kept for a period of three f3�ya& s 0000.•
electronically. Percentages are visually estimated. Point count performed at clients*r2suesZ only.}osnit-c •"
relates only to itear analyzed. This report should .not be reproduced by client or an,x#—#itboat.vri � 0000 0•
pernision from Dove Environmental Corporation. All. sacples will be stored for a perv.0 0A-2 conth.•Our ;•0 0 0
laboratory uses iarious microscopes and is VVLAP accredited.Floor-Tile isson-hoaogeneo Vis'•ate, resutt%0e ly •
reflect saaple content. 0000 0.00 ...•
------'-------.......r-------- ---------------------`-_••___...ws.-`---w'-----------------^LajLt------ 0 0 0 0- 0 0 0 0.
---.w....._.....,..._0_00_-'0-----` ---"------•---•----------000_0_.a w_w----------- ----0-----V'0= 0
•
000.00
0000..
Analyst 1 R. Pepe RaAnath• Ph6 :0000:
LABORATORYO�IANAGER..:.•• 0
"'1 DOVE EN1/IRt)NMENTAL CORP*
® 8910 MIRAMAR PARKWAY,SUITE 200 MIRAMAR FL 33025
Td. (954)374-9274 Fax: (954) 639-7426
ASBESTOS TEST REPORT
CLIENT RHS TECHNICAL SERVICES, INC PAGE : 2
ADDRESS: 270 NE 123RD STREET,
NORTH MIAMI, FL 33151 DATE : 11/18/13
PROJECT: RESIDENCE ADDITION SAMPLE ID : 0311190
38 NW 108TH ST MIAMI SHORES
CONSULT: ROBERT H. SCHULER NVLAP Lab Cafe: 102053-0
LAB NO. : 04 SAMPLE NO. : 4
FRI/HOM : NO/NO LAYERS: 03 DATE OF ANALYSIS: 1.1/18/13
DESCRIPTION : DRYWALL
ASBESTOS TYPE: NONE-DETECTED
OTHER FIBERS : 20% CELLULOSE
NON FIBERS : 70% MINERALS 10% PAINT
---- -
LAB NO. : 05 SAMPLE NO. : 5- -----
FRI/HOM : NO/NO LAYERS: 03 DATE OF ANALYSIS: 11/18!13
DESCRIPTION : "TEXT. CEILING. MATERIAL & DRYWALL •....' ......
ASBESTOS TYPE: NONE-DETECTED •••• ; •�•� ;
OTHER FIBERS : 20% CELLULOSE .. ......
° NON FIBERS : 70% MINERALS 10% PAINT ...;.. •
......
LAB NO. 06 SAMPLE.M 0: 6 : •..• .....
FRI AGM NOINO LAYERS: 02 DATE OF ANAL.4;S : l ljljW+1, ••�•••
DESCRIPTION FINISHED DRYWALL •• •• •••• ••••;•
ASBESTOS TYPE: NONE-DETECTED •.•.•. •
OTHER FIBERS : 10% CELLULOSE •
. . . . ......
NON FIBERS : 80% MINERALS 10% PAINT '•�•••
Dove Environmental. Corporation is solely responsible for analysis perforied on sample context supe?lea' by
client and method 40 CPP Part 761 Subpart F App. BPA/600/1-931116. Measurement Uncertainty inforoatioa is
available by contacting the Laboratory. Laboratory Reports will be kept for a period of three t 1.wrs
electronically. Pereeatages are visually estirated_ Point count perforred at clients.zegu:st oaly'awts ......
relates only to item analyzed. This report should not be reproduced by client or aj jasf ithoxt vritten .•
peraision fro3 Dove Bnvirormental Corporation. All samples will be stored for a per<c4-010 1 noluk*'Qv*r ••••:•
laboratory uses various microscopes and is PUP accredited.Floor-Tile is coa-ho_09eneoe9•64 results#only ;••��;
reflect saxple content. • •• •• • • •
.... .. . .....
Analyst 1 R. Pepe R81r:natn. P%..:. "'•"
LABORATORY NANAGER' :••••
DOVE ENVIRONMENTAL CORP.
0 8910 MIRAMAR PARKWAY, SUITE 200 MIRAMAR FL 33025
o Tel. (954)374-9274 Fax; (954) 639-7425
ASBESTOS TEST REPORT
CLIENT : RHS TECHNICAL SERVICES, INC PAGE 3
ADDRESS: 270 NE 123RD STREET,
NORTH MIAMI, FL 33151: DATE Il/1$/13
PROJECT: RESIDENCE ADDITION SAMPLE ID D311190
38 NW 108TH ST MIAMI SHORES
CONSULT: ROBERT H. SCHULER NVLAP Lab Code: 102053-0
LAB NO. : 07 SAN►PLE NO. : 7
FRI/HOM : NO/NO LAYERS: 03 DATE OF ANALYSIS: 11/18/13
DESCRIPTION : DRYWALL
ASBESTOS TYPE: NONE-DETECTED
OTHER FIBERS : 10% CELLULOSE
NON FIBERS : 80% MINERALS 10% PAINT
--------------------------------------------------------
LAB NO. : 08 SAMPLE NO. : 8
FRI/HOM NO1NO LAYERS: 03 DATE OF ANALYSIS: 11/j&.13
DESCRIPTION FINISHED DRYWALL • . •es•s• sees..
ASBESTOS TYPE: NONE-DETECTED •s�• ; 0009 go
OTHER FIBERS 20% CELLULOSE .00.00 .0 0000..
NON FIBERS : 70% MINERALS 10% PAINT :.0 •
_ sees..
---______� ________________________________________. -
LAB NO9 ,s�•,_.---..-_e.-_ .
SAMPL&X54.'. 9 - '••' •• ••
FRI/HOM : NO/NO LAYERS: 03 DATE OF ANA�.JY S I.5: l l t l0f-1 •••••
DESCRIPTION : FINISHED DRYWALL ••••••
ASBESTOS TYPE: NONE-DETECTED •�
OTHER FIBERS : 20% CELLULOSE .
'
. . . sees..
•.....
NON FIBERS : 70% MINERALS 10% PAINT :••••�
.. sees -
Dove Enviroacental Corporation is solely responsible for analysis performed on sample content supplied by
client and cethod 40 CFR Part 763 Subpart P App. EPA/600/R-931116. Measurement uncertainty information is
available by contacting the Laboratory. Laboratory Reports will be kept for a period of three 1311.fears
electronically. Percentages are visually estimated. Point count perforrad at clieats.requwt.onlyowi s ••••••
relates only to item analyzed. This report should not be reproduced by client or anyohla' Without critter •'
per®ision from Dove Environwental Corporation. All samples will be stored for a period••ot•1 aont�s'{{;;.� •••• •
laboratory uses various microscopes and is WVLAP accredited.Piaor-Til£ is uon-ho:ogeneoaf•anrtl• results enly :see*:
reflect sample content. sees sees
-=---=------=------- ------------------=-----=_=-_-_===__=-__---_---_- -_ - - -----------------
:000 �...,�_
es.. sees.
se ... sees.
_— — -- --- — _ --__—_.._sees—r—r------_ •
Analyst 1 R. Pepe RAna�th' Phi...:. :0000:LABORATORY•Mf1WER .... :••••
DOVE ENVIRONMENTAL CORP.
8910 MIRAMAR PARKWAY, SUrTE Zap MIRAMAR FL 33025
Tel. (954) 374-9274 Fax:(954)639-7428
ASBESTOS TEST REPORT
CLIENT RHS TECHNICAL SERVICES, INC PAGE ; 4
ADDRESS: 270 NE 123RD STREET,
NORTH MIAMI. FL 33161 DATE 11/18/13
PROJECT: RESIDENCE ADDITION SAMPLE ID D311190
38 NW 1081H 5[ MIAMI SHORL�
CONSULT: ROBERT H. SCHULER NULAP Lab Code: 102053-0
- W,m
_
LAB NO. : 10 SAMPLE NO. : 10
FRI/HOM : NO/NO LAYERS: 03 DATE OF ANALYSIS: 11/18/13
DESCRIPTION : FINISHED DRYWALL
ASBESTOS TYPE: NONE-DETECTED
OTHER FIBERS : 20% CELLULOSE
NON FIBERS : 70% MINERALS 10% PAINT
-----------------------------------------------------------------
LAB NO. : 11 SAMPLE NO. : 11-------
FRI/HOM' : NO/NO LAYERS: 03 DATE: OF ANALYSIS: 11/JA413
DESCRIPTION : DRYWALL •
ASBESTOS TYPE: NONE-DETECTED •..' : •.
O1HLR FIBERS : 20% CELLULOSE .. ......
NON FIBERS : 70% MINERALS 10� PAINT ...:.. •
_ ......
LAB NO. ---: 12 SAMPC&-'e.: 12• - •.�..•
FRT/HOM : NO/NO LAYERS: 03 DATE OF ANAtoM: 1171871.3 ••••.
DESCRIPTION : DRYWALL •. •• •••• ••••;•
ASBESTOS TYPE: NONE-DETECTED •••••• •.
OTHER FIBERS : 20% CELLULOSE. ;. :0••'•
NON FIBERS : 70% MINERALS 10% PAINT •'• :•••••:
caa_asaaa___mars:z-_caaa____ac==acszsaa_asa_ _r_v=a -____ _ ----__ •• • •.•• •
-___aa ___..a T►Yi 1__r
Dove Environmental Corporation is solely responsible for analysis perfomed on saAple content scpplied by
client and cethod 40 CFR Part 763 Subpart F App. 9PA/600/R-931116. Measurement Uncertainty information is
available by contacting the Laboratory. Laboratory Reports will be kept for a period of three (31 furs
electronically. Perceatages are visually estimated. Point count performed at clieats.requwt osly*auriLts ••••••
relates only to item analyzed. This report should cot be reproduced by client or any%re' rithont ucittef ••
peraision frog Dove Environmental Corporation. All sarples will be stored for a perw••af•I cobht*o; ••••:•
laboratory uses various microscopes and is VVLAP accredited.Floor-Tile is non-homogeceoi -4d• results coaly ;•���;
reflect Sample Content. •..• •.•• • •
"a--aaa_s=:=== -" -°=mars--_--aiaarar===="=-==----=-=----- - ----- -- - - • • • •
- -----=-="-----a--aa���--==---- ----------was_-----
Analyst I - R. Pepe-Ramnath' Ph( •••:• :.....
LABORATORI.MAkfGER :0 :••••;
RHS TECHNICAL SERVICES,INC.
270 N.E. 123'd Street North Miami,Florida 33161
Phone: 305-688.6022 E-mail:rhstul rr 8temet
SUSPECTED ACM BULK SAMPLE LOG
THIS IS A CHAIN OF CUSTODY WCUMEW
PLEM FU OUT COMPtZMY AM SIGN ACCORDTTiGLY.
FROJECT/BLDG: �'1� 51 e c e / c r i •-
LAB Na.:
ADDRESS:
SURVEY DATE: t4 /I q Aol TURNAROUND:
SAMPLE D£SCRIP ITp?d OF
UMB ON SM LOCATION OF a moN
SAMPLED MATERIAL SAMPLED MATFRLUS (REMARKS)
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NU&ISERS RKS"TFX WAL SRR?4 1Nr- RY ••DATE •7 q1 •
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ASO,CONSULTANT: Robert H.Schuler,P.E,,P G.,L.A.C.
SURVLYOR: JW
Property Search- Report Page 1 of 1
MIAMI-DADE COUNTY
OFFICE OF THE PROPERTY APPRAISER
PROPERTY SEARCH SUMMARY REPORT
Carlos Lopez-Cantera
Property Appraiser
Property Information: " •
Folio 11-2136-011-0120
Property Address 38 NW 108 ST
Owner Name(s) CARLOS EDUARDO GARCIA
EVANGELISTA SCROGGINS
Mailing Address 38 NW 108 ST y
MIAMI SHORES FL 33168
Primary Zone 0800 SGL FAMILY-1701-1900 SQ
Use Code 0101 RESIDENTIAL-SINGLE FAMILY
1 UNIT
Beds/Baths/Half 2/110
Floors 1
Living Units 1
Adj.Sq.Footage 1,560 ia•,'.'`
Lot Size 9,225 SQFT
Year Built 1951
Full Legal Description DUNNINGS MIAMI SHORES EXT NO 7 N Aerial Photography 2012
PB 52-33
LOT 4BLK211 ••
LOT SIZE 75.000 X 123 Taxable Value Information: • • u•••• ••••;•
OR 14726-374 0990 1 •
COC 23520-0887 05 2005 4 Year 2013 •• • •2t%, • •
Assessment Information: Exemption/•• • ExemptIpn/ • •
Taxable •••• + Taza le ••••••
Year 2013 2012 • • •
County $50,000/$109,1a0 • $57!,0 /$114,779 ••••+
Land Value $45,979 $45,979 •• • +
School Board $25,000/$127,*l�0 •• $25,000139,779 •••+•
Building Value $106,121 $118,800 ••••••
City $50,000/$102,3(1 • $50,80;w 4,779 •
Market Value $152,100 $164,779 •
Assessed Value
Regional $50,000/$10L,f •• $50,0007$114,779 •
$152,100 $164,779 • ..+•••
Sale Information: • •••••• + •
Benefits Information: + • •••••„
Benefit Type 2013 Y012 Date Amount OR Book-Page PWANfisation Codes+•• • •
Homestead Exemption $25,000 $25,000 02/15/2011 $210,000 27590-4055 Qual by exam oP~
07/23/2009 $100 26992-0788 Financial inst or-In Lieu of
Second Exemption
ption $25,000 $25,000 ForGosure-stated
05/01/2005 $0 23520-0887 Qua[by exam Qf�tgd
Note:not all benefits are applicable to all Taxable Values(ie County, 09/01/1990 $70,000 14726-0374• 2008 and priar yt4 Sales; +r++r
School Board,City,Regional).
• QuaMby exam of deed •
•
08/01/1990 $0 14707-1279 ual by exartlQfeed: ••• •
000:00 9
Disclaimer: ••••+•
• • • •
The Office of the Pro Appraiser and Miami-Dade County are continual) editing and updating the tax roll and GIS data to reflect the latest rose ••+ •••••
Property pp ty y g pd g p p nY informa�on and GIS • •
positional accuracy.No warranties,expressed or implied,are provided for data and the positional or thematic accuracy of the data herein,itg&*,erns interpretation gPAthough thit••••
website is periodically updated,this information may not reflect the data currently on file at Miami-Dade County's systems of record.The PJ4PtrV N$praiser anti am,Dade ......
County assumes no liability either for any errors,omissions,or inaccuracies in the information provided regardless of the cause of such or for any decision made,action taken,or •
action not taken by the user in reliance upon any information provided herein.See Miami-Dade County full disclaimer and User Agreementat• • • ••
http://www.miarnidade.gov/info/disclaimer.asp. 4 r • • 000000
Property'information inquiries,comments,and suggestions email:Pawebmail miamidade. ov 00 see*
• • • • +
• • • •rr•r•
GIS inquiries,comments,and suggestions email:gis@miamidade.gov Generated owAr0ov 17 2013
http://gisweb.miamidade.gov/PropertySearch/printMap.htm 11/17/2013
U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National PioodInsurance ProgramImportant: Read the instructions on pages 1-9. Expiration Date: July 31, 2015
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name MIAMI PROPERTIES Policy Number:
A2. BuildinR,Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number:
38 NW 108 STREET
City MIAMI SHORES State FL ZIP Code 33168
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
FOLIO#11-2136-011-0120 MIAMI-DADECOUNTY
A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. _Latitude/Longitude:Lat.25'52'26"N Long.80'l 1'56W Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 8
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 3.391 sq ft a) Square footage of attached garage 169.0 sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s)within 1.0 foot above adjacent grade 15 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in AB.b 2.593 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP Community Name&Community Number B2.County Name B3.State
VILLAGE OF MIAMI SHORES /120652 MIAMI-DADE FLORIDA
B4.Map/Panel Number B5. Suffix B6. FIRM Index Date B7.FIRM Panel B8. Flood B9 Base Flood Elevation(s)(Zone
12086 0302L L 09/11/2009 Effective/Revised Date Zone(s) AO,use base flood depth)
09/11/2009 X •..U/A
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. . 0 •0000' .9••:•
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: •9.• : *000 ; •9
611. Indicate elevation datum used for BFE in Item 69: ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source.•9.000 90 9.....
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)?•••••• ❑ Yes ' ® No:****:
Designation Date:NIA ❑ CBRS ❑ OPA 9••• •. ' • •
• . . 9••• 9999•
•••• fT
SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIf2a•• .. •••••
Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* •• ®'Finished�oris�ruction ••
*A new Elevation Certificate will be required when construction of the building is complete. :60:9: 0 •
999••
C2. Elevations—Zones Al—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,ARI'AO.Ar"41:4Items C2.9a—h •
below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. 9 • • :0.•. .
Benchmark Utilized: N-567 Vertical Datum: NGVD-1929 •••• • •"' • •
Indicate elevation datum used for the elevations in items a)through h)below. O NGVD 1929 ❑ NAVD 1988 ❑Other/Source: "••
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
.9••
a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 11.27' • ®flet ❑4TW4%9 .•••.•
b) Top of the next higher floor 13.05' .®`feat ❑pieterg .'
c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ..®.feet d a4va .9..:.
d) Attached garage(top of slab) 10.95' 9•Zfeot ❑meters 0 •
e) Lowest elevation of machinery or equipment servicing the building 11.13' .®.feet C3 e •9999•
ieters • •
(Describe type of equipment and location in Comments) •
9999 ••.• •9..•
f) Lowest adjacent(finished)grade next to building(LAG) 11.05' ..®.feet ❑iry ws ..;..•
g) Highest adjacent(finished)grade next to building(HAG) 11.15' ..ffee*t [I melera ...9••
h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support N/A. ..®.fest ❑meters
SECTION D—SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION . ;••••• •
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevatidn •
information.1 certify that the information on this Certificate represents my best efforts to interpret the data available. r•••
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001.
® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No
Certifrer's Name GINO FURLANO License Number 5044 < _
Title LAND SURVEYOR Company Name J.A.F.SURVEYING INC
Address 2492 WEST 72ND STREET City HIALEAH State FL ZIP Code 33016 �✓- ��
Signature Date 10-17-13 Telephone 786-416-1018
FEMA Form 08 3(7/12) See reverse side for continuation.- Replaces all previous editions.
1MPORT'ANT: In these spaces,copy the correspon ing information from Section A
Building Street Address(including Apt.,Unit,Suite,and/or Bldg__No.)or P.O.Route and Box No. FOR INSURANCE COMPANY USE
38 NW 108 STREET Policy Number:
City.MIAMI SHORES State FL ZIP Code 33168
Company NAIC Number:
SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner.
Comments CROWN OF ROAD ELEVATION=10.73'
Miami-Dade County Benchmark:#N-567 Elevation=10.54'datum NGVD 1929
Descriptio C2 e): slab=11.13 LEFT BLDG
Descrip no A5): or inates Obtain GPS
Signet re
Date 10-17-13
SECTION E—BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items E1—E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C. For Items E1—E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawlspace,or enclosure)is 0 feet
b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters El above or below the HAG.
E2. For Building Diagrams 6-9 with permanent flood openings ❑meters ❑above or❑ below the LAG.
(elevation C2. in the diagrams) a the building isprovrded❑nfeSe tion A Itefis 8 and/or 9(see pages g-.9 of Instructions),the next higher floor
❑meters [I above or ❑below the HAG.
E3. Attached garage(top of slab)is
❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is
❑feet ❑meters ❑above or❑below the HAG.
E5. Zane AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes ❑ No ❑ Unknown.The local official must certify this information in Section G.
SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION ....
The property owner n here.The statements in Sections A, B,owners authorized representative , B, completes
or Zone AO must sign Sections A,B,and E for Zone A(without a FEMA-iVLgd or community-issued B-----and E ar
e correct to the best of my knowledge. &6. . ...
Property Owner's or Owner's Authorized Representative's Name • fee*:*
000:0* • . •
Address .....•
city State .•••7•IP Codi` •
Signature • . ..• •••••
Date • `
Telephony • .. ••••
4444• •
Comments • • •�� ...•.•
4444.• •
• • • • 4.4.44
❑Ch&t ere if attaclm rats:
SECTION G-COMMUNITY INFORMATION(OPTIONAL) •`
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A•B,C(or E),and G
Of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8—G10.in Puerto Rico only,enter meters.
G1. C1 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,en ••
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the C�rrmgrft�area b foW.)' architect who
•�• .•
G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or communfty-fssued�FE) betone AO. s•
G3. ❑ The following information(Items G4—G10)is provided for community floodplain management purposes. .00:00
• • ••• ••
G4.Permit Number """ ' • •
G5. Date Permit Issued ••••••
G6. Date Certificate Of Complj9hCZtoFcupang4 fSSdpf •
4696 .•.• •.•..
G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement •••••• •••• ••••
8. Elevation of as-built lowest floor(including basement)of the building: ❑feet • • • • ••••
❑meters Da�t�rD �_ ••
G9. BFE or(in Zone AO)depth of flooding at the building site:
❑feet ❑meters MturA 'i_ • • .••.;•
G10.Community's design flood elevation: ••••••
❑feet El meters Datum• • • •
• . �— 9.•0.9
Local Official's Name Title 0000
ree
Community Name Telephone
Signature
Date
Comments
❑Check here if attachments
=EMA Form 086-0-33(7/12)
Replaces all previous editions.
4
j
ELEVATION CERTIFICATE, page 3 Building Photographs
See Instructions for Item A6.
IMPORTANT: in these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Policy Number:
38 NW 108T"STREET
City MIAMI SHORES State FL ZIP Code 33168 Company NAIC Number:
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions
for Item A6. Identify all photographs with date taken; "Front View" and "Rear View", and, if required, "Right Side View" and "Left Side
View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as
indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
DATE:10-17-13 FRONT VIEW / LEFT VIEW BACK VIEW/RIGHT VIEW
Y'ri rad #
s
IN
•
••• •
- :-�` ,.'. :,. •-•••• • • fir _.
W IM
•
• `
t w •
0
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FEMA Form 086-0-33(7/12) Replaces all previous editions.
Super Pest Control
P.O. Box 452933 LETTER DATE: 1/10/2014
Miami, Florida 33245-2933
(305) 505-9113 INITIAL INSPECTION: 1/10/2014
(786) 234-5861 PRE-DEMOLITION INSPECTION: REQUIRED
E-mail. information@spcservicesllc.com START DATE: TBD
Website: http://Www.spcservicesllc.com END DATE: TBD
ON-SITE INSPECTION
Service Site Contact Information
Miami Property Solutions LLC Miami Property Solutions LLC
c/o Amparo Mejia
38 NW 108 Street 190 NE 111 Street 0000
Miami Shores,Florida 33168 Miami ShorespFloridi33161•••'000 0 0
.0 •
Folio# 11-2136-011-0120 786-39�=6'�'i 1' 0• ••0• •
Y • •
0000•• 0000 •
• • • 0000•
0000 • •• • •
On-Site Inspection & Service Notes •••••• ;';
• +rs:•:
The above stated service site was inspected on Friday,January 10,2014. :;;�;; N••..: f•0�
There was no evidence of any vermon inhabiting the location. �;; ; •...•• ,�"
Service technicians will be on-site the day of the demolition to confirm that there is no ev*1 c0e:3f verwbrl:• 00000
•
inhabiting the location before the process of demolition begins. ::0::.
. .. .. . 0000:0
• • •
If you have any questions-Please feel free to contact me. ••••••
0 . 0000 00000•
Best Regards,
_ G�ristp �ern�-n�e2
Cristy Fernandez
Authorized Agent
rY
"Big Enough To Meet Your Needs ... Small Enough To Give Personalized Attention"
FORM 405-10
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Business and Professional Regulation - Residential Performance Method
Project Name: Addition to residence Builder Name: Owner
Street: 38 N.W.108 St. Permit Office: Miami-Dade
City,State,Zip: Miami Shores,fl,33168- Permit Number:
Owner: Miami Property Solutions LLC Jurisdiction: 231000
Design Location: FL,Miami
1. New construction or existing Existing(Projecte 9. Wall Types(2098.5 sgft.) Insulation Area
2. Single family or multiple family Single-family a.Concrete Block-Int Insul, Exterior R=5.0 2098.50 ft2
b.N/A R= ft'
3. Number of units,if multiple family 1 c.N/A R= ft'
4. Number of Bedrooms 3 d.N/A R= ft'
5. Is this a worst case? No 10.Ceiling Types (1750.0 sgft.) Insulation Area
a.Under Attic(Vented) R=30.0 1750.00 ft2
6. Conditioned floor area above grade(ft2) 1750 b.N/A R= ft'
t.
Conditioned floor area below grade(ft2) 0 c.N/A R=
11.Ducts R f1 ft2
7. Windows(254.5 sgft.) Description Area a.Sup:Attic,Ret:Attic,AH:Main 6 350
a. U-Factor: Sgl,U=1.00 254.49 ft'
SHGC: SHGC=0.50
b. U-Factor: N/A ft2 12.Cooling systems kBtu/hr Efficiency
SHGC: a.Central Unit 44.5 SEER:16.00
c. U-Factor: N/A ft2
SHGC: 13.Heating systems kBtu/hr Efficiency
d. U-Factor: N/A ft2 a.Electric Strip Heat 24.0 COP:1.00
SHGC:
Area Weighted Average Overhang Depth: 2.000 ft.
Area Weighted Average SHGC: 0.500 14.Hot water systems
a.Electric Cap:50 gallons
8. Floor Types (1750.0 sgft.) Insulation Area EF:0.920
a.Slab-On-Grade Edge Insulation R=0.0 1750.00 ft2 b. Conservation features
b.N/A R= ft2 None "•'
c.N/A R= ft2 15.Credits • • • Pstat••• •
Glass/Floor Area: 0.145
Total Proposed Modified Loads: 47.48 •••••• P M S� ••.•:.
...:.. �"►,
Total Standard Reference Loads: 59.94 •
.•.. .. .....
I hereby certify that the plans and specifications covered by Review of the plans and ••;••; iAt ST4 •.•
this calculation are in complianne ith the Florida Energy specifications covered by this •• •• 1,Q �s�F}�
Code. calculation indicates com lianc; • h�;,,,,
with the Florida Energy Code. • • »::, " :-. ';,, .�
PREPARED BY: p •«
Before construction is com leted • w -
DATE: •' this building will be inspected for.•• ti*, `-`;Y•
1 17 7
compliance with Section 553.908
1 hereby certify that this building, esigned, is in compliance Florida Statutes. •• r�nom' r ' .'
with the Florida Energy Co t� � BUILDING
• •• •�b� L�4J •• •
OWNER/AGENT: • BUILDING OFFICIAL: ••• •• •;
DATE: DATE: •••• •• •
...... . .. .....
- Compliance requires completion of a Florida Air Barrier and Insulation Inspection Checklist •• •• •••• ••••;•
• . . . .••.•.
•
1/2/2014 8:01 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 1 of 5
WALLS
Adjacent Space Cavity Width Height Sheathing Framing Solar Below
0
_ 1 N Exterior Concrete Block-Int Insul Main 5 55 9 495 ft' 0 0.75 0
_ 2 E Exterior Concrete Block-Int Insul Main 5 61 7 9 554.25 ft' 0 0.75 0
_ 3 S Exterior Concrete Block-Int Insul Main 5 55 9 495 ft2 0 0.75 0
4 W Exterior Concrete Block-Int Insul Main 5 61 7 9 554.25 ft2 0 0.75 0
DOORS
# Omt Door Type Space Storms U-Value Width Height Area
Ft In Ft In
1 N Wood Main Metal 0.460000 2 8 6 8 17.77777
2 E Wood Main Metal 0.460000 2 8 6 8 16.66666
3 W Wood Main Metal 0.460000 2 8 6 8 16.66666
WINDOWS
Orientation shown is the entered,Proposed orientation.
Wall Overhang
# Ornt ID Frame Panes NFRC U-Factor SHGC Area Depth Separation Int Shade Screening
1 N 1 Metal Single(Clear) Yes 1 0.5 19.52777 2 ft 0 in 1 ft 6 in Drapes/blinds None
2 N 1 Metal Single(Clear) Yes 1 0.5 75.54166 2 ft 0 in 1 ft 6 in Drapes/blinds None
3 N 1 Metal Single(Clear) Yes 1 0.5 6.645833 2 ft 0 in 1 ft 6 in Drapes/blinds None
4 E 2 Metal Single(Clear) Yes 1 0.5 24.66666 2 ft 0 in 1 ft 6 in Drapes/blinds None
5 S 3 Metal Single(Clear) Yes 1 0.5 9.506944 2 ft 0 in 1 ft 6 in Drapes/blinds None
6 S 3 Metal Single(Clear) Yes 1 0.5 37.77083 2 ft 0 in 1 ft 6 in Drapesiblinds None
7 S 3 Metal Single(Clear) Yes 1 0.5 24.5 ft2 2 ft 0 in 1 ft 6 in Drapes/blinds None
8 S 3 Metal Single(Clear) Yes 1 0.5 19.52777 2 ft 0 in 1 ft 6 in Drapes/blinds None
9 W 4 Metal Single(Clear) Yes 1 0.5 36.80555 2 ft 0 in 1 ft 6 in Drapes/blinds None
0000
INFILTRATION 0 •
0000 0000..
# Scope Method SLA CFM 50 ELA EgLA ACH •••i 0•ACH 50 •• •• ••••••
•000.0 -_.,
1 Wholehouse Best Guess 0.000500 2295.1 126.00 236.96 0.3450 ••0.0.8.7433
••0 0• •••••
•
HEATING SYSTEM •••••• 60.0 00.00
# System Type Subtype Efficiency Capacity 0 0 0 0 0 0 Block Ductq
1 Electric Strip Heat None COP:1 24 kBtu/hr• • 0 01 0 zy'pt:0
000000
0 • 0 000000
COOLING SYSTEM •• 0000
"00*
# System Type Subtype Efficiency Capacity AlFloWP SHR ••011lock UUCIS:•
1 Central Unit Split SEER:16 44.5 kBtu/hr 133 cfm• 0.75*0•• 1: SA 1•
00.000 •• • •0••
000000
000000
0000 00 • • •
0 0 • • •
0000 • 0 0 00000
• 0
000000 • 00 000.0
0 0 0 0 0
00 00 0000 000000
0
000000 • 0
•
0 : •
• • • •
000000 000000
• • • 0 0000 000000
00 0 •
• 00
1/2/2014 8:01 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 3 of 5
PROJECT
Title: Addition to residence Bedrooms: 3 Address Type: Street Address
Building Type: User Conditioned Area: 1750 Lot#
Owner: Miami Property Solutions LLC Total Stories: 1 Block/SubDivision:
#of Units: 1 Worst Case: No PlatBook:
Builder Name: Owner Rotate Angle: 0 Street: 38 N.W.108 St.
Permit Office: Miami-Dade Cross Ventilation: County: Miami-Dade
K Jurisdiction: 231000 Whole House Fan: City,State,Zip: Miami Shores,
Family Type: Single-family ft, 33168-
New/Existing: Existing(Projected)
Comment:
CLIMATE
IECC Design Temp Int Design Temp Heating Design Daily Temp
Design Location TMY Site Zone 97.5% 2.5% Winter Summer Degree Days Moisture Range
FL,Miami FL_MIAMI_INTL AP 1 51 90 70 75 149.5 56 Low
BLOCKS
Number Name Area Volume
1 Blockl 1750 15750
SPACES
Number Name Area Volume Kitchen Occupants Bedrooms InfilID Finished Cooled Heated
1 Main 1750 15750 Yes 6 3 1 Yes Yes Yes
FLOORS
# Floor Type Space Perimeter R-Value Area Tile Wood Carpet
1 Slab-On-Grade Edge Insulatio Main 233 ft 0 1750 ft' ____ 0.5 0 0.5
ROOF : .•. ....• ......
/ Roof Gable Roof Solar SA••:••Emitt %rant•: Deck••Pj�'c,(y
V # Type Materials Area Area Color Absor. Te8ti!6••• Tested Insul.• (deg,
0640 • •
1 Hip Barrel the 1844 ft' 0 ft' Dark 0.96 No••• 0.9 "d'• 0 •• 8!4•
•ATTI ••••••
gas -
ATTIC
C •• •' '• 0.9.00
. . . ......
/ ......
V # Type Ventilation Vent Ratio(1 in) Area RBS•. RCC • . •
1 Full attic Vented 300 1750 ft' N N •r9 • •
•
CEILING
# Ceiling Type Space R-Value Area Truss Type. •
1 Under Attic(Vented) Main 30 1750 ft' 041010• ••• ••Wood • •
• • •
•• •• 0000 •9••••
00*0
•
- •9.99• •
• • • •
0000••
• • • 0000••
•• • 0000 • •
•
1/2/2014 8:01 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 2 of 5
HOT WATER SYSTEM
# System Type SubType Location EF Cap Use SetPnt Conservation
1 Electric None Main 0.92 50 gal 60 gal 120 deg None
SOLAR HOT WATER SYSTEM
FSEC Collector Storage
Cert # Company Name System Model# Collector Model# Area Volume FEF
None None ft'
DUCTS
---Supply-— --Return— Air Percent HVAC#
# Location R-Value Area Location Area Leakage Type Handler CFM 25 Leakage QN RLF Heat Coot
1 Attic 6 350 ftz Attic 87.5 ftZ Default Leakage Main (Default) (Default)% 1 1
TEMPERATURES
Programable Thermostat:Y Ceiling Fans:
Cooling [ Jan [[ ]]Feb [[ ]]Mar [ ]Apr May rj Jun rl
Jul ri Aug jXj Se [ ]Oct Nov Dec
He EX�Jan [X]Feb (X]Mar [ ]Apr l May Jun Jul AuSep [ ]Oct HX Nov f 1 Dec
Ventin [[ ]Jan [[ ]]Feb [[X1]Mar [X]A r [ Ma Jun Jul Aug Se [X]Oct Nov l ]1 Dec
Thermostat Schedule: HERS 2006 Reference Hours
Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12
Cooling(WD) AM 78 78 78 78 78 78 78 78 80 80 80 80
PM 80 80 78 78 78 78 78 78 78 78 78 78
Cooling(WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78
PM 78 78 78 78 78 78 78 78 78 78 78 78
Heating(WD) AM 66 66 66 66 66 68 68 68 68 68 68 68
PM 68 68 68 68 68 68 68 68 68 68 66 66
Heating(WEH) AM 66 66 66 66 66 68 68 68 68 68 68 68
PM 68 68 68 68 68 68 68 68 68 68 66 66
•
so 0
•• •• •• • ••••••
s
• • • • ••••••
• • •••• ••••••
• • •
•••••• •• ••••••
•
• • • • •
•••••• • •• •••••
•
•
1/2/2014 8:01 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 4 of 5
• FORM 405-10
Florida Code Compliance Checklist
Florida Department of Business and Professional Regulations
Residential Whole Building Performance Method
• ADDRESS: 38 N.W. 108 St. PERMIT#:
Miami Shores, fl, 33168-
MANDATORY REQUIREMENTS SUMMARY-See individual code sections for full details.
COMPONENT SECTION SUMMARY OF REQUIREMENT(S) CHECK
Air leakage 402.4 To be caulked, gasketed,weatherstripped or otherwise sealed.
Recessed lighting IC-rated as meeting ASTM E 283. Windows and
doors= 0.30 cfm/sq.ft. Testing or visual inspection required. Fireplaces:
gasketed doors&outdoor combustion air. Must complete envelope
leakage report or visually verify Table 402.4.2.
Thermostat& 403.1 At least one thermostat shall be provided for each separate heating and
controls cooling system.Where forced-air furnace is primary system, /
programmable thermostat is required. Heat pumps with supplemental
electric heat must prevent supplemental heat when compressor can
meet the load.
Ducts 403.2.2 All ducts, air handlers, filter boxes and building cavities which form the
primary air containment passageways for air distribution systems shall /
be considered ducts or plenum chambers, shall be constructed and
sealed in accordance with Section 503.2.7.2 of this code.
403.3.3 Building framing cavities shall not be used as supply ducts.
Water heaters 403.4 Heat trap required for vertical pipe risers. Comply with efficiencies in
Table 403.4.3.2. Provide switch or clearly marked circuit breaker
(electric)or shutoff(gas). Circulating system pipes insulatel4o= R-f"' "' ;•
+ accessible manual OFF switch. �**too . 9 .
Mechanical 403.5 Homes designed to operate at positive pressure or witfiP016*anical • .Soso•.
ventilation ventilation systems shall not exceed the minimum ASOR90eP2 levil!•••
No make-up air from attics, crawlspaces, garages or odttbbrs adjaccfib9 9999
9
9000.. 9999 9999
to pools or spas. . 0
99 99
Swimming Pools 403.9 Pool pumps and pool pump motors with a total horseq&4§i*VP) of= 19
&Spas HP shall have the capability of operating at two or mote speeds. SQj%•: J''•. .
and heated pools must have vapor-retardant covers c'a 4QWd cover or
other means proven to reduce heat loss except if 70%bf he'at from.jet • •
site-recovered energy. Off/timer switch required. Gas-heaters minit3lMi90
thermal efficiency=78% (82% after 4/16/13). Heat pumppo;I heater&• • •
minimum COP=4.0. 9.0.90 •• 9.99 •
..0999
Cooling/heating 403.6 Sizing calculation performed &attached. Minimum effiNep;ies per,• •
Tables 503.2.3. Equipment efficiency verification regL%P'q.•8peciat •••• ��.
equipment occasion cooling or heating capacity requires separalAgyVem or
variable capacity system. Electric heat>10kW must fae%vided intd ap.' 9 9 9 9
or more stages. 9999..
Ceilings/knee walls 405.2,1 R-19 space permitting. ••••••
9
1/2/2014 8:01 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 5 of 5
- FORM 405-10
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
I.�y Florida Department of Business and Professional Regulation - Residential Performance Method
Project Name: Addition to residence Builder Name: Owner
Street: 38 N.W.108 St. Permit Office: Miami-Dade
City,State,Zip: Miami Shores,fl,33168- Permit Number:
Owner: Miami Property Solutions LLC Jurisdiction: 231000
Design Location: FL,Miami
1. New construction or existing Existing(Projecte 9. Wall Types(2098.5 sgft.) Insulation Area
2. Single family or multiple family Single-family a.Concrete Block-Int Insul, Exterior R=5.0 2098.50 ft'
b.N/A R= ft'
3. Number of units,if multiple family 1 c.N/A R= ft'
4. Number of Bedrooms 3 d.N/A R= ft'
10.Ceiling Types (1750.0 sgft.) Insulation Area
5. Is this a worst case? No a.Under Attic(Vented) R=30.0 1750.00 ft'
6. Conditioned floor area above grade(ft') 1750 b.N/A R= ft'
c.N/A R= ft'
Conditioned floor area below grade(ft') 0 11.Ducts R ft'
7. Windows(254.5 sgft.) Description Area a.Sup:Attic,Ret:Attic,AH:Main 6 350
a. U-Factor: Sgl,U=1.00 254.49 ft'
SHGC: SHGC=0.50
b. U-Factor: N/A ft' 12.Cooling systems kBtu/hr Efficiency
a.Central Unit 44.5 SEER:16.00
SHGC:
c. U-Factor: N/A W
SHGC: 13.Heating systems kBtu/hr Efficiency
d. U-Factor: N/A ft' a.Electric Strip Heat 24.0 COP:1.00
SHGC:
Area Weighted Average Overhang Depth: 2.000 ft.
Area Weighted Average SHGC: 0.500 14.Hot water systems
a.Electric Cap:50 gallons
8. Floor Types (1750.0 sqft.) Insulation Area EF:0.920
a.Slab-On-Grade Edge Insulation R=0.0 1750.00 ft' b. Conservation features
b.N/A R= ft' None
c.N/A R= ft' 15.Credits Pstat
Total Proposed Modified Loads: 47.48 PASS SS
Glass/Floor Area: 0.145 Total Standard Reference Loads: 59.94
I hereby certify that the plans and specifications covered by Review of the plans and OF 11E ST,gT�
this calculation are in complianc ith the Florida Energy specifications covered by this Av _ 0�
Code. calculation indicates compliance ,,,°
with the Florida Energy Code.
PREPAREDBY: Before construction is completed �4
-- d
DATE: this building will be inspected for
compliance with Section 553.908 ° x �
I hereby certify th this building g desi ned, is in compliance Florida Statutes. :•••'. l •,
with the Florida Energy Co so*:** L�4� ;•;•
OWNER/AGENT: G BUILDING OFFICIAL: """ y '
DATE: DATE: sees so ' ' '
• •
...... . .. .....
•
- Compliance requires completion of a Florida Air Barrier and Insulation Inspection Checklist so so sees sees"
•
•
•
• •
• • ••••••
••••••
F JI La V. • • •
Y. • •+ ••••••
so
•
••••
Y
1/2/2014 8:01 PM EnergyGauge®USA-FlaRes2010 Section 405.4. o i n 5 Page 1 of 5
}
WALLS
Adjacent Cavity Width Height Sheathing Framing Solar Below
- W ,.all a pace R-Valu -
0
_ 1 N Exterior Concrete Block-Int Insul Main 5 55 9 495 ft' 0 0.75 0
_ 2 E Exterior Concrete Block-Int Insul Main 5 61 7 9 554.25 ft' 0 0.75 0
_ 3 S Exterior Concrete Block-Int Insul Main 5 55 9 495 ft' 0 0.75 0
4 W Exterior Concrete Block-Int Insul Main 5 61 7 9 554.25 ft' 0 0.75 0
DOORS
# Ornt Door Type Space Storms U-Value Width Height Area
Ft In Ft In
1 N Wood Main Metal 0.460000 2 8 6 8 17.77777
2 E Wood Main Metal 0.460000 2 8 6 8 16.66666
3 W Wood Main Metal 0.460000 2 8 6 8 16.66666
WINDOWS
Orientation shown is the entered,Proposed orientation.
/ Wall Overhang
V # Ornt ID Frame Panes NFRC U-Factor SHGC Area Depth Separation Int Shade Screening
1 N 1 Metal Single(Clear) Yes 1 0.5 19.52777 2 ft 0 in 1 ft 6 in Drapes/blinds None
2 N 1 Metal Single(Clear) Yes 1 0.5 75.54166 2 ft 0 in 1 ft 6 in Drapes/blinds None
3 N 1 Metal Single(Clear) Yes 1 0.5 6.645833 2 ft 0 in 1 ft 6 in Drapes/blinds None
4 E 2 Metal Single(Clear) Yes 1 0.5 24.66666 2 ft 0 in 1 ft 6 in Drapes/blinds None
5 S 3 Metal Single(Clear) Yes 1 0.5 9.506944 2 ft 0 in 1 ft 6 in Drapes/blinds None
6 S 3 Metal Single(Clear) Yes 1 0.5 37.77083 2 ft 0 in 1 ft 6 in Drapes/blinds None
7 S 3 Metal Single(Clear) Yes 1 0.5 24.5 ft' 2 ft 0 in 1 ft 6 in Drapes/blinds None
8 S 3 Metal Single(Clear) Yes 1 0.5 19.52777 2 ft 0 in 1 ft 6 in Drapes/blinds None
9 W 4 Metal Single(Clear) Yes 1 0.5 36.80555 2 ft 0 in 1 ft 6 in Drapes/blinds None
INFILTRATION
# Scope Method SLA CFM 50 ELA Eq LA ACH ACH 50
1 Wholehouse Best Guess 0.000500 2295.1 126.00 236.96 0.3450 8.7433
HEATING SYSTEM
# System Type Subtype Efficiency Capacity Block Ducts
1 Electric Strip Heat None COP:1 24 kBtu/hr 1 sys#Y
COOLING SYSTEM
# System Type Subtype Efficiency Capacity lir Flow• SHR' `Block 0�Du is
1 Central Unit Split SEER:16 44.5 kBtu/hr 1�3��, 0.75 '•' •.sY51 •
•
• • • • •
•••• • •• •••••
•
• • • • ••••••
•• • •• • • •
1/2/2014 8:01 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 3 of 5
• PROJECT
Title: Addition to residence Bedrooms: 3 Address Type: Street Address
Building Type: User Conditioned Area: 1750 Lot#
Owner: Miami Property Solutions LLC Total Stories: 1 Block/SubDivision:
#of Units: 1 Worst Case: No PlatBook:
Builder Name: Owner Rotate Angle: 0 Street: 38 N.W.108 St.
Permit Office: Miami-Dade Cross Ventilation: County: Miami-Dade
Jurisdiction: 231000 Whole House Fan: City,State,Zip: Miami Shores,
Family Type: Single-family fl, 33168-
New/Existing: Existing(Projected)
Comment:
CLIMATE
/ IECC Design Temp Int Design Temp Heating Design Daily Temp
v Design Location TMY Site Zone 97.5% 2.5% Winter Summer Degree Days Moisture Range
FL,Miami FL_MIAMI_INTL_AP 1 51 90 70 75 149.5 56 Low
BLOCKS
Number Name Area Volume
1 Blockl 1750 15750
SPACES
Number Name Area Volume Kitchen Occupants Bedrooms InfilID Finished Cooled Heated
1 Main 1750 15750 Yes 6 3 1 Yes Yes Yes
FLOORS
# Floor Type Space Perimeter R-Value Area Tile Wood Carpet
1 Slab-On-Grade Edge Insulatio Main 233 ft 0 1750 ft' 0.5 0 0.5
ROOF
/ Roof Gable Roof Solar SA Emitt Emitt Deck Pitch
v # Type Materials Area Area Color Absor. Tested Tested Insul. (deg)
1 Hip Barrel tile 1844 ft' 0 ft' Dark 0.96 No 0.9 No 0 18.4
ATTIC
V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC
1 Full attic Vented 300 1750 ftz N N 000000 0000•
Y • •••• ••••••
CEILING " • "' '
# Ceiling Type Space R-Value Area Frami"Wec *Truss Type •
1 Under Attic(Vented) Main 30 1750 ft' •fl 1?'• ;'• '•Wood
•••• • •• •••••
•••••• • •• •••••
•• •• •••• ••••••
•
• • • •
• • • • ••••••
1/2/2014 8:01 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 2 of 5
}
HOT WATER SYSTEM
# System Type SubType Location EF _Cap Use SetPnt Conservation
1 Electric None Main 0.92 50 gal 60 gal 120 deg None
SOLAR HOT WATER SYSTEM
FSEC Collector Storage
Cert # Company Name System Model# Collector Model# Area Volume FEF
None None ft2
DUCTS
/ --Supply--- —Return— Air Percent HVAC#
V # Location R-Value Area Location Area Leakage Type Handler CFM 25 Leakage QN RLF Heat Cool
1 Attic 6 350 ft2 Attic 87.5 ft2 Default Leakage Main (Default) (Default)% 1 1
TEMPERATURES
Programable Thermostat:Y Ceiling Fans:
Coolin [[ ]]Jan [ Feb [[ ]]Mar ]A r [ ]Ma [X]Jun [X]Jul rI
AugX]Se [ ]Oct [[ ]Nov Dec
Heating [X]Jan f X]Feb [X]Mar [ ]Apr [ ]May [ ]Jun [ ]Jul Au [ ]Sep [ )Oct [ Nov XDec
Venting [I ]]]]Jan [[ 11 Feb [[X]]Mar [X]A r [ 1 Ma [ 1 Jun [ 1 Jul Aug [ ]Se [X]Oct [[XJ Nov 11 Dec
Thermostat Schedule: HERS 2006 Reference Hours
Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12
Cooling(WD) AM 78 78 78 78 78 78 78 78 80 80 80 80
PM 80 80 78 78 78 78 78 78 78 78 78 78
Cooling(WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78
PM 78 78 78 78 78 78 78 78 78 78 78 78
Heating(WD) AM 66 66 66 66 66 68 68 68 68 68 68 68
PM 68 68 68 68 68 68 68 68 68 68 66 66
Heating(WEH) AM 66 66 66 66 66 68 68 68 68 68 68 68
PM 68 68 68 68 68 68 68 68 68 68 66 66
• • •••• ••••••
•••••• •• ••••••
•
•••• • •• •••••
•••••• • •• •••••
•• •• •••• ••••••
•
• • • • ••••••
1/2/2014 8:01 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 4 of 5
f
FORM 405-10
Florida Code Compliance Checklist
Florida Department of Business and Professional Regulations
Residential Whole Building Performance Method
ADDRESS: 38 N.W. 108 St. PERMIT#:
Miami Shores, fl, 33168-
MANDATORY REQUIREMENTS SUMMARY-See individual code sections for full details.
COMPONENT SECTION SUMMARY OF REQUIREMENT(S) CHECK
Air leakage 402.4 To be caulked, gasketed,weatherstripped or otherwise sealed.
Recessed lighting IC-rated as meeting ASTM E 283. Windows and
doors=0.30 cfm/sq.ft. Testing or visual inspection required. Fireplaces: ✓
gasketed doors&outdoor combustion air. Must complete envelope
leakage report or visually verify Table 402.4.2.
Thermostat& 403.1 At least one thermostat shall be provided for each separate heating and
controls cooling system.Where forced-air furnace is primary system,
programmable thermostat is required. Heat pumps with supplemental V
electric heat must prevent supplemental heat when compressor can
meet the load.
Ducts 403.2.2 All ducts, air handlers, filter boxes and building cavities which form the
primary air containment passageways for air distribution systems shall
be considered ducts or plenum chambers, shall be constructed and
sealed in accordance with Section 503.2.7.2 of this code. V
403.3.3 Building framing cavities shall not be used as supply ducts.
Water heaters 403.4 Heat trap required for vertical pipe risers. Comply with efficiencies in
Table 403.4.3.2. Provide switch or clearly marked circuit breaker
(electric)or shutoff(gas). Circulating system pipes insulated to= R-2
+ accessible manual OFF switch.
Mechanical 403.5 Homes designed to operate at positive pressure or with mechanical
ventilation ventilation systems shall not exceed the minimum ASHRAE 62 level.
No make-up air from attics, crawlspaces, garages or outdoors adjacent
to pools or spas.
Swimming Pools 403.9 Pool pumps and pool pump motors with a total horsepower(HP) of�•t•
&Spas HP shall have the capability of operating at two or mare spt'rds. Sp&V ""
and heated pools must have vapor-retardant covers or•2 ligdid covleTU
other means proven to reduce heat loss except if 7001o*&}fb'at from •
site-recovered energy. Off/timer switch required. GasVLt.-t&r's minimum :..•
thermal efficiency=78% (82% after 4/16/13). Heat puma *I ool heaters-
minimum COP=4.0. •�•� • •� ��••
Cooling/heating 403.6 Sizing calculation performed &attached. Minimum efttoieneies per •:00
•••• •
Tables 503.2.3. Equipment efficiency verification requdret%ecial •
equipment occasion cooling or heating capacity requires separate system or ;•••; "'
variable capacity system. Electric heat>10kW must I*diyitlpd intd'two :..0
or more stages. •• 0004, 0 1•
Ceilings/knee walls 405.2.1 R-19 space permitting.
1/2/2014 8:01 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 5 of 5
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE INDEX* = 79
The lower the EnergyPerformance Index,the more efficient the home.
38 N.W. 108 St., Miami Shores, fl, 33168-
1. New construction or existing Existing(Projecte 9. Wall Types Insulation Area
2. Single family or multiple family Single-family a.Concrete Block-Int Insul,Exterior R=5.0 2098.50 ft2
b.N/A R= ft
3. Number of units,if multiple family 1 c.N/A R= ft'
4. Number of Bedrooms 3 d.N/A R= ft2
10.Ceiling Types Insulation Area
5. Is this a worst case? No a.Under Attic(Vented) R=30.0 1750.00 ft2
6. Conditioned floor area(ft2) 1750 b.N/A R= ft2
7. Windows— Description Area c.N/A R= ft2
a. U-Factor: Sgl,U=1.00 254.49 ft2 11.Ducts R ft2
a.Sup:Attic,Ret:Attic,AH:Main 6 350
SHGC: SHGC=0.50
b. U-Factor: N/A ft2
SHGC: 12.Cooling systems kBtu/hr Efficiency
c. U-Factor: N/A ft2 a.Central Unit 44.5 SEER:16.00
SHGC:
d. U-Factor: N/A ft2 13.Heating systems kBtu/hr Efficiency
SHGC: a.Electric Strip Heat 24.0 COP:1.00
Area Weighted Average Overhang Depth: 2.000 ft.
Area Weighted Average SHGC: 0.500
8. Floor Types Insulation Area 14.Hot water systems
2 a.Electric Cap:50 gallons
a.Slab-On-Grade Edge Insulation R=0.0 1750.00 ft EF:0.92
b.N/A R= ft2
c.N/A R= ft2 b. Conservation features
None
15.Credits Pstat
I certify that this home has complied with the Florida Energy Efficiency Code for Building EST
Construction through the above energy saving features which will be installed (or exceeded) Q
in this home before final inspection. Otherwise, a new EPL Display Card will be completed
based on installed Code complia
&0'rS/4&ar PAW .
.S+.d"r Signature: p Date: ¢•�D•�¢. U
Address of New Home: Cit /FL Zip: �/Q H/ S
wrE
...... . .. .....
*Note: This is not a Building Energy Rating. If your Index is below 70, your home may qualifrfor energy effiCt2rft
mortgage (EEM) incentives if you obtain a Florida EnergyGauge Rating. Contact the EnergyGP ;41otline at(321) '.
638-1492 or see the EnergyGauge web site at energygauge.com for information and a list of certified Rater$.JF,',
information about the Florida Building Code, Energy Conservation, contact the Florida Building,Cogftissiorfs support :....:
staff. •• ""
**Label required by Section 303.1.3 of the Florida Building Code, Energy Conservation, if not DEFAULT.
L
EnergyGauge®USA-FlaRes2010 Section 405.4.1 Complianto are
System Sizing Calculations - Summer
Residential Load - Whole House Component Details
Miami Property Solutions LLC Project Title:
38 N.W. 108 St. Addition to residence
Miami Shores,fl 33168-
1/2/2014
Reference City: Miami, FL Temperature Difference: 15.OF(MJ8 99%) Humidity difference: 58gr.
Component Loads for Whole House
Type' Overhang Window Area(sqft) HTM Load
Window Panes SHGC U InSh IS Ornt Len H t Gross ShadedUnshaded Shaded Unshaded
1 1 NFRC 0.50,1.00 B-L No N 2.Oft 1.5ft 19.5 0.0 19.5 20 20 397 Btuh
2 1 NFRC 0.50,1.00 B-L No N 2.Oft 1.5ft 75.5 0.0 75.5 20 20 1534 Btuh
3 1 NFRC 0.50,1.00 B-L No N 2.Oft 1.5ft 6.6 0.0 6.6 20 20 135 Btuh
4 1 NFRC 0.50,1.00 B-L No E 2.Oft 1.5ft 24.7 1.3 23.4 20 48 1155 Btuh
5 1 NFRC 0.50,1.00 B-L No S 2.Oft 1.5ft 9.5 9.5 0.0 20 23 193 Btuh
6 1 NFRC 0.50,1.00 B-L No S 2.Oft 1.5ft 37.8 37.8 0.0 20 23 767 Btuh
7 1 NFRC 0.50,1.00 B-L No S 2.Oft 1.5ft 24.5 24.5 0.0 20 23 498 Btuh
8 1 NFRC 0.50,1.00 B-L No S 2.Oft 1.5ft 19.5 19.5 0.0 20 23 397 Btuh
9 1 NFRC 0.50,1.00 B-L No W 2.Oft 1.5ft 36.8 1.4 35.4 20 48 1738 Btuh
Window Total 1 254 (sqft) 6813 Btuh
Walls Type U-Value R-Value Area(sqft) HTM Load
Cav/Sheath
1 Concrete Blk,Hollow-Ext 0.13 5.0/0.0 375.5 2.0 741 Btuh
2 Concrete Blk,Hollow-Ext 0.13 5.0/0.0 512.9 2.0 1012 Btuh
3 Concrete Blk,Hollow-Ext 0.13 5.0/0.0 403.7 2.0 797 Btuh
4 Concrete Blk,Hollow-Ext 0.13 5.0/0.0 500.8 2.0 988 Btuh
Wall Total 1793 (sqft) 3538 Btuh
Doors Type Area (sqft) HTM Load
1 Wood-Exterior 17.8 9.9 176 Btuh
2 Wood-Exterior 16.7 9.9 165 Btuh
3 Wood-Exterior 16.7 9.9 165 Btuh
Door Total 51 (sqft) 506 Btuh
Ceilings Type/Color/Surface U-Value R-Value Area(sqft) HTM Load
1 Vented Attic/DarkTile 0.032 30.0/0.0 1750.0 1.08 1895 Btuh
Ceiling Total 1750 (sqft) 1895 Btuh
Floors Type R-Value Size HTM Load
1 Slab On Grade 0.0 1750(ft-perimeter) 0.0 0.6"
Floor Total 1750.0 (sqft) Natu#t• ••••••
... • •
Envelope Subtotal: .. ...12752 Btuhe ••••••
Infiltration Type Average ACH Volume(cuft)Wall Ratio CF M= . .. Load. ���••�
Natural 0.41 15750 1 108.7% ..• 1795 Ak* •••••
Internal Occupants Btuh/occupant Applianaa ... Load, •• •• •••
gain 6 X 230 + 34009* ..• 4780•Bttih� •••••'
Sensible Envelope Load::• :0:19325 Btu"
q •• ••
•
Duct load Average sealed,Supply(R6.0-Attic),Return(R6.0-Attic) (DGM of 0.173) .'. 3347• Btuh ••••
Sensible Load All Zones 2267219tulh
EnergyGauge®/USRFZB v3.0 Page 1
Manual J Summer Calculations
Residential Load - Component Details (continued)
Miami Property Solutions LLC Project Title: Climate:FL_MIAMI_INTL_AP
38 N.W. 108 St. Addition to residence
Miami Shores,fl 33168-
1/2/2014
WHOLE HOUSE TOTALS
Sensible Envelope Load All Zones 19325 Btuh
Sensible Duct Load 3347 Btuh
Total Sensible Zone Loads 22672 Btuh
Sensible ventilation 0 Btuh
Blower 10000 Btuh
Whole House Total sensible gain 32672 Btuh
Totals for Cooling Latent infiltration gain (for 58 gr. humidity difference) 4285 Btuh
Latent ventilation gain 0 Btuh
Latent duct gain 1122 Btuh
Latent occupant gain (6.0 people @ 200 Btuh per person) 1200 Btuh
Latent other gain 600 Btuh
Latent total gain 7207 Btuh
TOTAL GAIN 39879 Btuh
EQUIPMENT
1. Central Unit Rheem #RAKB-048JAZ 44500 Btuh
*Key: Window types(Panes-Number and type of panes of glass) . • •
(SHGC-Shading coefficient of glass as SHGC numerical value) •• ' "' ; .•
(U-Window U-Factor) so**** •• "0000
(InSh-Interior shading device:none(No),Blinds(B),Draperies(D)or Roller Shades(R)) �; 0 :0606:
- For Blinds:Assume medium color,half closed 0
For Draperies:Assume medium weave,half closed �' y •
For Roller shades:Assume translucent,half closed • •• `�'^� • '• 0000'
(IS-Insect screen:none(N),Full(F)or Half(%)) .0
000
0000•
(Ornt-compass orientation) • '
•• • 0000 0000••
s
000 0
� �d4rsion S ' '•
0 • 00.0.0
0000••
0 0 0 •
• • • •0000••
•• • 0000 • •
EnergyGaugeO/USRFZB v3.0 Page 2
Residential System Sizing Calculation
Summary
Miami Property Solutions LLC Project Title:
38 N.W. 108 St. Addition to residence
Miami Shores, fl 33168-
1/2/2014
Location for weather data: Miami, FL - Defaults: Latitude(25.82) Altitude(?ft.) Temp Range(L)
Humidi data: Interior RH 50% Outdoor wet bulb 77F Humidity difference 58 r.
Winter design temperature(MJ8 99%) 50 F Summer design temperature(MJ8 99%) 90 F
Winter setpoint 70 F Summer setpoint 75 F
Winter temperature difference 20 F Summer temperature difference 15 F
Total heating load calculation 23770 Btuh Total cooling load calculation 39879 Btuh
Submitted heating capacity % of Calc Btuh Submitted cooling capacity %of calc Btuh
Total (Electric Strip Heat) 101.0 24000 Sensible (SHR= 0.75) 102.2 33375
Latent 154.4 11125
Total 111.6 44500
WINTER CALCULATIONS
Winter Heating Load for 1750 sqft)
Load component Load D°cta(ts%>
y#; wMdow2(21%)
Window total 254 sqft 5090 Btuh jl
Wall total 1793 sqft 4718 Btuh
w+d'
Door total 51 sqft 470 Btuh
Infd.(13%)
Ceiling total 1750 sqft 1115 Btuh
Floor total 1750 sqft 5499 Btuh
Infiltration 145 cfm 3187 Btuh G ora(2%)
Duct loss 3692 Btuh
Subtotal 23770 Btuh wek.(20%)
Ventilation 0 cfm 0 Btuh fbora(23%)
TOTAL HEAT LOSS 23770 Btuh
SUMMER CALCULATIONS ••••:•
Summer Cooling Load for 1750 sqft)
•• • ••• • •
Load component Load •••:•• •• �•••••
Window total 254 sqft 6813 Btuh ••••••
Wall total 1793 sqft 3538 Btuh •••• •
.... . .. .....
Door total 51 sqft 506 Btuh • •
...... . .. .....
Ceiling total 1750 sqft 1895 Btuh • • ••;••• ••••
Floor total 0 Btuh *VftW.(17%) '
Bbwer(25%) • ••• • •
Infiltration 109 cfm 1793 Btuh : : . . ....:.
Internal gain 4780 Btuh . Ccllings(SK)•••• . •
Duct gain 3347 Btuh .... :••••:
Sens.Ventilation 0 cfm 0 Btuh ••:•
Blower Load 10000 Btuh atentntermk5%) wels(g%)
Total sensible gain 32672 Btuh %)
Latent
Latent gain(ducts) 1122 Btuh ,n1Ga,in(12%)
Latent gain(infiltration) 4285 Btuh
Latent gain(ventilation) 0 Btuh
Ducta(11%)
Latent gain(internal/occupants/other) 1800 Btuh
Total latent gain 7207 Btuh
TOTAL HEAT GAIN 39879 Btuh
EnergyGaugeO System Sizing
8th Edition PREPARED BY: 0
r
DATE: r
EnergyGauge®/USRFZB v3.0
System Sizing Calculations - Winter
Residential Load - Whole House Component Details
Miami Property Solutions LLC Project Title:
38 N.W. 108 St. Addition to residence
Miami Shores,fl 33168- Building Type: User
1/2/2014
Reference City: Miami, FL (Defaults) Winter Temperature Difference: 20.0 F (MJ8 99%)
Component Loads for Whole House
Window Panes/Type Frame U Orientation Area s ft X HTM= Load
1 1, NFRC 0.50 Metal 1.00 N 19.5 20.0 391 Btuh
2 1, NFRC 0.50 Metal 1.00 N 75.5 20.0 1511 Btuh
3 1, NFRC 0.50 Metal 1.00 N 6.6 20.0 133 Btuh
4 1, NFRC 0.50 Metal 1.00 E 24.7 20.0 493 Btuh
5 1, NFRC 0.50 Metal 1.00 S 9.5 20.0 190 Btuh
6 1, NFRC 0.50 Metal 1.00 S 37.8 20.0 755 Btuh
7 1, NFRC 0.50 Metal 1.00 S 24.5 20.0 490 Btuh
8 1, NFRC 0.50 Metal 1.00 S 19.5 20.0 391 Btuh
9 1, NFRC 0.50 Metal 1.00 W 36.8 20.0 736 Btuh
Window Total 254.5 s ft 5090 Btuh
Walls Type Ornt. Ueff. R-Value Area X HTM= Load
(Cav/Sh)
1 Conc Blk,Hollow - Ext (0.132) 5.0/0.0 376 2.63 988 Btuh
2 Conc Blk,Hollow - Ext (0.132) 5.0/0.0 513 2.63 1350 Btuh
3 Conc Blk,Hollow - Ext (0.132) 5.0/0.0 404 2.63 1062 Btuh
4 Conc Blk,Hollow - Ext (0.132) 5.0/0.0 501 2.63 1318 Btuh
Wall Total 1793 s ft 4718 Btuh
Doors Type Storm Ueff. Area X HTM= Load••• •
1 Wood- Exterior, m (0.460) 18 9.2 0 0 164 Btah • 6600:0
2 Wood- Exterior, m (0.460) 17 9.2 •• •153 l3tdh 0•
3 Wood- Exterior, m (0.460) 17 9.2 000;00153 Btuh •0 0000
Door Total 51 s ft00000. 470Btuh ;....;
Ceilings Type/Color/Surface Ueff. R-Value Area X HTM= ,'000,Load:', '
1 Vented Attic/D/Tile (0.032) 30.0/0.0 1750 0.6 "0*1115 Eftuh ' 00:000
Ceilinq Total 1750 s ft 00:1115Etu4 0o •0600
Floors Type Ueff. R-Value Size X HTM= 00 00 Load ' 0 909:6
1 Slab On Grade (1.180) 0.0 233.0 ft(perim.) 23.6 :*•:09499 Btuh
Floor Total 1750 s ft 0 5499 6tah % :,00 0
• . 0 . 0400 00000,
Envelope Subtotal: 16891 Btyq
Infiltration Type Wholehouse ACH Volume(cuft) Wall Ratio CFM=
Natural 0.55 15750 1.00 144.9 3187 Btuh
Duct load Average sealed, R6.0, Supply(Att), Return(Aft) (DLM of 0.184) 3692 Btuh
All Zones Sensible Subtotal All Zones 23770 Btuh
EnergyGauge®/USRFZB 0.0 Page 1
Manual J Winter Calculations
Residential Load - Component Details (continued)
Miami Property Solutions LLC Project Title:
38 N.W. 108 St. Addition to residence
Miami Shores, fl 33168- Building Type: User
1/2/2014
HOLE HOUSE TOTALS
Subtotal Sensible Heat Loss 23770 Btuh
Totals for Heating Ventilation Sensible Heat Loss 0 Btuh
Total Heat Loss 23770 Btuh
EQUIPMENT
1. Electric Strip Heat 24000 Btuh
Key:Window types-NFRC(Requires U-Factor and Shading coefficient(SHGC)of glass as numerical values)
or-Glass as'Clear'or'Tint'(Uses U-Factor and SHGC defaults) `_
U-(Window U-Factor)
HTM-(ManualJ Heat Transfer Multiplier)
Version 8 ••••
• •
• • •••• ••••••
•• • ••• • •
•••••• •• ••••••
•
•••• • •• •••••
•••••• • •• •••••
•• •• •••• ••••••
•
• • • • ••••••
EnergyGauge®/USRFZB v3.0 Page 2
2492 WEST 72nd STREET TYPE OF PROJECT: SCALE:
PHONE: FLORIDA 33016 BOUNDARY SURVEY DATE: 20'
"1)9
PHONE:786-416-1018 10/17/13
FAX:305.817-9709
E-MAIL:josefanjul(dymall.com PROJECT LOCATION: DRAWN BY:
38 N.W. 108th STREET L.R.
FILE NO:
CITY,STATE B ZIP CODE 38-13
PROMIAMI, FLORIDA 33168, US JAF 3T
No:
-1
J A � � SHEET: 2
1�VZGEN, nm. NOTE:ONLY VALID WITH PAGE 1 2 SHEETS
NORTH
SCALE: 1"=20'
N.W. 108th,STREET
.o0 4 _ �o
- 17' ASPHALT PAVEMENT - -
75' TOTAL RIGHT-OF-WAY
ASPHALT PAVEMENT
M �
n
24'PARKWAY
FIR. 1/2"
5' ONO:SIDEVy No I.D.
r ..... . ,o. :..,-.' ti..: 75."00.R o.
No ' � � - 224.73'R�
•111 2• F.N. 224.85'(M) W
8952.24" BLOCIC�
9 736" CORNL% 4
••• 00 9.LI 0000
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•ORo ••
zo"' 1—STORY 0i •• •• " I w 0.00 •
REISDENCE N•38 04 :00:0:
:100
QFRONT) F.F.E.=13.05' • • Z •••• •
.00' REAR) F.F.E.=12.82' ^ • :•• •
• •
GARAGE=10.95' 20.40' 10.17 • • • •••• •
\O.y A/C ^ 00 0 0000 •
LOT-5 `' 21.65' r-.: '; 1–oLOT-3 9 0% •
BLOCK-211 �I o ELEV.=11.13' ,oh BLOCK-211
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ASPHALT BLOCK-211 •
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000000 00 0000
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3.08' 009 89 '10' 0.34' 0000 •• • �••••
• • • •
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FlR 5/8' moo. •
0000•• • •• 0000•
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OFFSET ^ .6 V. 1/200 • 0000 0000•
'NQRTH.� ��10'ASPHALT PAVEMENT _ _ �`' o t D. •
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_ 0000••
—• • • •
LOT-12� — — — — LOT-13 •• � 0.00 :0.00
LOT-T4
BLOCK-211 I BLOCK-211 I BLOCK-211 0000
"DUNNING'S MIAMI SHORES EXTENSION N°3"
(PLAT BOOK 42 - PAGE 33)
MIAMI-DADE COUNTY
2492 WEST 72nd STREET TYPE OF PROJECT: SCALE:
HHONE: ,FLORIDA-1018 6 BOUNDARY SURVEY DATE'"— 20'
qJAL
PHONE:78&416-1018
FAX:305-817-9709 10/17/13
E-MAIL:josefanjul@ymail.com PROJECT LOCATION: DRAWN BY.L.R.
38 N.W. 108th STREET F11 N :
CITY,STATE 8 ZIP CODE 38-13
MIAMI, FLORIDA 33168, US PROJECT No:
JAF 8-1SUR VE WANG
� • MwC= NOTE:ONLY VALID WITH PAGE 2 SHEET: 1
2 SHEETS
CERTIFIED TO: FOLIO NO: 11-2136-011-0120
1. MIAMI PROPERTIES
LEGAL DESCRIPTION:
Lot4, Block 211 of "DUNNING'S MIAMI SHORES EXTENSION N°7," according to the Plat thereof, as recorded in Plot Book 52 at
Page 33 of the Public Records of Miami—Dade County, Florida.
c 'z —
li.t 7S .. � 78'• 746s � M 7lS�
NORTH - g-M _ _ 4 A«�
SCALE: 1"=100' 7� AA ,. „ ,, 7 74. ^� 7�!
( Q s r0 �f i2 r 73 Q►. f4 N fS /4 t a, � 9
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7s •• •, a •, ��yy 7s 74.73 'E 74
N it
L74 0 X508Pi�M ��Vs rs .v
LOCATION MAP • •• eq:
'
SURVEYOR'S NOTES: SCALE:1"=100' ..�.•• '..• •:•• •
1. LEGAL DESCRIPTION FURNISHED BY CLIENT. NO SEARCH OF PUBLIC RECORDS WAS MADE BY THIS OFFICE. :•.:.; • •
2. ANY ELEVATIONS SHOWN HEREON ARE PER NGVD (NATIONAL GEODETIC VERTICAL DATUM) OF 1929. • • • • ...
• •
3. NO EXCAVATIONS WERE PERFORMED AS TO DETERMINE UNDERGROUND • • :• •'•
• . • •
ENCROACHMENTS. •• • •.••
•
4. DISTANCES AND ANGLES ARE FIELD MEASURED AND CORRESPOND WITH RECORD DATA UNLESS NOTED. 0000 ••
5. THIS SURVEY WAS PREPARED FOR CONSTRUCTION PURPOSES PERMITTING. PERMITTING FOR ADDITIONAL CONSTRUCTION ETC. MAY ••••
REQUIRE ADDITIONAL INFORMATION WHICH CAN BE OBTAINED FROM THIS OFFICE.
6. IN SOME INSTANCES, GRAPHIC REPRESENTATIONS HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE RELATIONSHIPS BETWEEN
PHYSICAL IMPROVEMENTS AND/OR LOT LINES, IN ALL CASES, DIMENSIONS SHOWN SHALL CONTROL THE LOCATION OF THE IMPROVEMENTS
OVER SCALED POSITIONS.
7. ADDITIONS OR DELETIONS TO THIS SURVEY MAP BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED WITHOUT THE
WRITTEN CONSENT OF THE SIGNING PARTY OR PARTIES. (CHAPTER 5J-17 OF THE FLORIDA ADMINISTRATIVE 472.027 CODE PURSUANT TO
SECTION 472.027 OF THE FLORIDA STATUTES)
ABBREVIATIONS AND LEGEND ®_NR CONDITIONER <:14=GOLJ"IFjSE
Q =BELLSONTH 80x. 6- =HANDIW4�ACE ••s• •
A C F.I.P. .I.R FDIRD IRON PIPE OD A ® =CABLE BM• •® =IN6. • •
A/C AIR CONDITIONER R RECORD • •
N FOUNDNAI.AN DISC R RIGHT-OF-WAY ®=CATCH thl •• =UGHT POLE• •..• •
F.PILN. AL NAI •...••
C CALCULATED A S.I.R. .I.P SET 1/2'IRON ROD E D =CONCRETE POLE * =METAL LIGHT POLE ••
aETEFWM I.D. SURVEYORS IDENTIFICATION •••• •• • 5
TAN TANGENT C)-CONTROLWALVE BOR �S =SANITARY MANHOLE
LA. LgAI A EA TYP. TYPICAL 0600
• •• •.••
CH CHORD BEARING LM.. MAIN AN ®=ELECTRICti�J�• • r=47ELLIj ISH •.i•
C.M.E. M MEASURED W.E. WATER EDGE * �6fV`17LA s a �� ......
rMOTT 0 a�=EXISTI
P 7TE0 —/i—//— FENCE
—X—X— CHAIN LINK FENCE ® -ELECTRIOPLEWS•s "�j=WATER WLVE •
OF COMPOt CURVATURE
s • •
MN IRON ALUMINUM FENCE 8 =ELECTRIL•SERVICE!X cQ,=WSOD POLE •• s •
t'C, PENCE WMLK P.O.C. P OF MENCEMEN --— MONUMENT LINE ••••• • •
VA -— CENTERUNE =FIRE H4ANT
•a••4•
PROPERTY LINE •• • •••• • •
® =FLORIDA POKER h LIGHT BOX •
FLOOD ELEVATION INFORMATION: I HEREBY CERTIFY THAT THIS SURVEY HAS BEEN PREPARED BY THE OFFICE SHOW HEREON AND THAT I AM
THE SURVEYOR OF RES 044E CHARGE FOR NONE OTHER THAN SAID OFFICE ADDITIONALLY,THIS SURVEY
MEETSDATE OF FIRM: 09/11/2009 FLORIDAND/OR
OAD1RgSTRA�472.027�M PURSUANT CTIONTEOIN"STANDARDS A472.027 OF THE FLORIDS SET FORTH IN A(CHAPTER
1TEES) THE
COMMUNITYNo: 120652/ VILLAGE OF MIAMI SHORES*
PANEL: 0302 SUFFIX:L SOURCE OF ELEVATION: xx
f•�'
ZONE: X BENCHMARKNO: N-567 SK M
DINO FURLANO SURVEYOR AND MAPPER
FLORIDA LICENSE NO.:5044
BASE FLOOD ELEVATION: N/A ELEVATION: 10.54 NOT VALID NTHOUT THE SIGNATURE AND THE ORIMAL RAISED SEAL OF THE FLORIDA UCENSED
SURVEYOR/MAPPER NAMED ABOVE
PERMIT #: 13-SC-1540648
APPLICATION #:AP1148137
STATE OF FLORIDA
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID:
4WS .
CONSTRUCTION PERMIT RECEIPT #:
DOCUMENT #: PR945108
CONSTRUCTION PERMIT FOR: OSTDS Existing Modification
APPLICANT: (Miami Property Solutions LLC)
PROPERTY ADDRESS: 38 NW 108 St Miami, FL 33161
LOT: 4 BLOCK: 211 SUBDIVISION:
PROPERTY ID #: 11-2136-011-0120 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 900 ] GALLONS / GPD Existlnq septic tank t0 remain. ' CAPACITY
A [ ] GALLONS / GPD N/A CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 500 ] SQUARE FEET Bed confiquration SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: F.F.E. 13.05' NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 24.60 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCB•POINT
E BOTTOM OF DRAINFIELD TO BE [ 54.60 ] [ INCHES FT ] [ ABOVE BELOW BE1tH"/REFEP&'&U POIN?•••••
•
L • • •
•••••• •. ••••••
D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 30.001 INCHES •
•
*Install an outlet filter. •.•• .• . •
*Invert elevation of drainfield to be no less than 9.00'NGVD. •0000• •..• 0.0 0•
T *Bottom of drainfield elevation to be no less than 8.50' NGVD. •.•.•• • •. ••:.•0
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons(2 per bedroom),for a total�stlrr'{ated fl8y;.0• 000000
H of 300 god. 0000.• . .0
•
SPECIFICATIONS BY: Jorg lan TITLE:
APPROVED BY: TITLE: Dade CHD
Carlo M Icaza ertorrn a
DATE ISSUED: 07/15/2 14 nee` �s required t >AATQON DATE: 01/15/2016
The Contractor;or d ts'the Arainfield exca
DH 4016, 08/09 (Obsoletes all previous editi8me Op}jiet�sf 'yior�t�lelo �e �pProval,the DOH
Incorporated: 64E-6.003, FAC [ and compare the Page 1 of 3
h ,I '1 Hess the soli bonng
v 1.1.4 lnspectolh?$ amil
results to the original site evaluation sg�Qn��
reinspection tee willaeangedsimef the contractor is not
at the jobsite at th
STATE OF FLORIDA APPLICATION # AP1148137
DEPARTMENT OF HEALTH PERMIT # 13-SC-1540648
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE930283
SITE EVALUATION AND SYSTEM SPECIFICATION
WIL
APPLICANT: Miami Property Solutions LLC
CONTRACTOR / AGENT: Empire Engineering
LOT: 4 BLOCK: 211
SUBDIVISION: ID#: 11-2136-011-0120
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST
PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.21 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLET / OTHER-TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 525.02 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACK]]
UNOBSTRUCTED AREA AVAILABLE: 800.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: F.F.E. 13.05'NGVD
ELEVATION OF PROPOSED SYSTEM SITE 24.60 [ INCHES / FT ] [ ABOVE / BELOW]] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [ ]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON-POTABLE: FT
BUILDING FOUNDATIONS: 8 FT PROPERTY LINES: 10 FT POTABLE WATER LINES: 10 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [XINO]
10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: 11.00 FT [ MSL /FGVD
SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES: Urban land USDA SOIL SERIES: Urban land
Munsell#/Color Texture Depth Munsell#/Color Texture Depth
1 OYR 5/3 Sandy Loam 0 To 8 10YR 5/3 Sandy Loam 0 To 8
1 OYR 6/3 Sand 8 To 72 1 OYR 6/3 Sand 8 To 72
• • •••• ••• ••
• • • •
•••••• •• ••• ••
• o
•
OBSERVED WATER TABLE: INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: aa: TQERCHE4 isAEPAREN�I'*)�a
ESTIMATED WET SEASON WATER TABLE ELEVATION: 84 INCHES [ ABOVE / BELOW ]� EXISTING GRADE 0* 0
••••• • •
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [ ]YES [X]NO : )?EI:rH: INCW..:.
�s-
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EX�AVAXtPN: 0 30 INCQPbZ••i
DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
SITE EVALUATED BY: DATE: 04/07/2014
Millan,Jorge(Title:)(JORGE MIL)
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
AP1148137 EID1540648 v 1.0.2
' NOTICE OF RIGHTS
A party whose substantial interest is affected by this order may petition for an
administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such
proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for
administrative hearing must be in writing and must be received by the Agency Clerk for the
Department, within twenty-one (21) days from the receipt of this order. The address of the
Agency Clerk is 4052 Bald Cypress Way, BIN #A02, Tallahassee, Florida 32399-1703. The
Agency Clerk's facsimile number is 850-410-1448.
Mediation is not available as an alternative remedy.
Your failure to submit a petition for hearing within 21 days from receipt of this order
will constitute a waiver of your right to an administrative hearing, and this order shall become
a 'final order'.
Should this order become a final order, a party who is adversely affected by it is
entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings
are governed by the Florida Rules of Appellate Procedure. Such proceedings may be
commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the
Department of Health and a second copy, accompanied by the filing fees required by law,
with the Court of Appeal in the appropriate District Court. The notice must be filed within 30
days of rendition of the final order.
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