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RC-14-1525 qj (611-1 _ Miami Shores Village RECEIVE® Building Department APR 10 1017 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972V4_L� C� INSPECTION LINE PHONE NUMBER:(305)762-4949 J FBC 201x--1 BUILDING Master Permit No. C I U- 152 S PER APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKSCHANGE OF ❑CANCELLATION E] SHOP � CONTRACTOR DRAWINGS JOB ADDRESS: �� ,��✓ �l 1j l( ����'°(�'"d 4 City: Miami Shores County: Miami Dade Zip: 3313 Folio/Parcel#: ) ( 3(0 1011-000-30 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): ��✓lJ� �i �-+�- ��� Phone#: Address: 5C Ng l I 7 City: M IAM 1 � YZ65 V IU4 e- State: �L� Zip: 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: `CJt �� / Phone#: ®1r� Address: 0( l( MAUL- city: (J&Akk _ oc- State: Zip: �3A(V/T— Qualifier Name: J�Ll- 1°L fav1�s�( Phone#: State Certification or Registration#:Q6 W02 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition //L°°3��Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: uNr 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) 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 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. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this u day of I-q.),o ruaf ,20 (� by q--h day of� 20 by AiCar4 0 Ce DEco ,who i personallyknow to of SQA,-UT— who' ersonally known o 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: 1h4Ae,4 (� EDUARDO LUISSignSin o��PaY p a'•- rida Print: �E Print: �-t! -•* :•= NAY Comm.Expires Jul 10,2018 a � ��CMIMIt '� o,•' Commission# 1 Seal: > Seal: ,��''FOPF`g`' „����n• Bonded Through Naftal Notary Assn. rgs� EXPIRES.December 14,2019 Bonded It.N.Wy P ft Wftd. APPROVED BY 6V461- 1,2- Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) DOT CONSTRUCTION Inc 9311 SW 52"d Terrace Miami, Florida 33165 Phone(305)525-8960 Fax(786)524-2810 E-mail:hsamlut@gmail.com CGC4809 April 13, 2017 State of Florida County of Miami-Dade Before me this day personally appeared Hector E Samlut who being duly sworn, deposes and say: That he will be the only person working on the project located at 50 NE 91",Street. Miami Shores Florida 33138 under Building Permit#RC-7-14-1525. Sworn to and subscribed before me this 13'h day of April, 2017 by46"MX1 Personally known s Not Seal: P� Pad PV yP EDUARDO LUIS p� e`�: Notary Public-State of Florida ='t :•a My Comm. Expires Jui 10,2018 ;' Commission#FF 140791 Bonded Through National Notary Assn. n Miami shores Village Building Department �AR1Dp' 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 and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: /L__ Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this 9,5 day of t �'l ,20 (2' . By 0-lo YJ l Y lJ� who is personally known to me or has produced r identification. i — Notary SEAL: . MAHARAI K.GONZALEZ MY COMMISSION#GG 044602 ;o= EXPIRES:November 2o22 20 e otary Public Urtderwriters OR �NI y Miami Shores Village "" Building Department I�LQR' A 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. Owner's Name(Fee Sim le Title Holder)Xc?-e�z' � ear,C, Phone#: Owner's Address: L" /J e- C ( City: H1 VIS �)fiu--&5vi State : C- Zip Code: 3 Job Address (Of where work is being done): I GC IJ6 City: Miami Shores r� State:—Florida Zip Code: -31 .e Contractor's Company Name: L �`>k,,: r 4 k,k 5j Phone#: Address: /511 L.I5VVa'J City:COM L, &A-b t,=5 State: F- - Zip Code: Qualifier's Name:. ,Tqz �T, M /LLD Lic. Number: Architect/ Engineer of Record Name: Phone#: Address: City: State: Zip Code: Describe Worlc f►' T 6 0'/01" kL-V-- 1`ATl 0�' hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Mia hores harmless of al gal involvement. Signature Signature I�M�— Owner or Agent Con ctor or Architect The foregoing instrument was aknowledged before /�me The forging instrument was aknowledged_befooree me i� this day of =�,20 11,by 0\ f l_ G r-(D this day of , 20��by `� LCJ l Who is ersonall know to me or who has produced who is rsonally know o me or who has produced as indentification. as indentification. Nota Public: NoVubli�c: Sign: Lj �e �e�& Or r r 15 1 Sign g 1 Seal: Seal: anti Pp L CELESIEPARRI,%4 1 t"�. CFlE8TEPARRi311 :$ : W COMMISSION Y FF 8288.48 W COMMISSION i FF @28894 °.. . EXPIRES:December 14 2019 1W EXPIRES:December 14,2018 3 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 26101 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 SAMLUT HECTOR E DOT CONSTRUCTION CORPORATION 9311 SW 52ND TER MIAMI FL 33165 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 STATE OF FLORIDA architects to yacht brokers,from boxers to barbeque DEPARTMENT,OF BUSINESS AND restaurants,and they keep Florida's economy strong. �e PROFeE � LRE !ULATION Every day we work to improve the way we do business in order CGC4809 07/06/2016 to serve you better. For information about our services,please to onto www yfloridali .com. There you can find more CERTIFIER G I 1 0#IT ACTt3 t information about our divisions and the regulations that impact SAMLUT,HES you,subscrit to department newsletters and Team more about DOTCONS a PION the Department's initiatives. Our mission at the Department is:License Efficiently,Regulate Fairly.We constantly strive to serve you better so that you Can i$ CER rI1CJ untlr the ptgviiorts of Ch.4�9S. serve your customers. Thank you for doing business in Florida, and congratulations on your new license? L16070M1121 DETACH HERE RICK SCOTT,GOVERNOR PEEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL.REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD COC,4W _ The GENERAL CONTRACTOR � Named below;IS,.CERTIFIED , Under the provisions of Chapter 489 FS. Expiration date: AUG$1,2018 "- f � x SAMLUT, HECTOR E us /DOT CONSTRUCTION C TTION : - - S3 i 1,SW 52ND TES. t NNW x ISSUED: 07mMOM DISPLAY AS REQUIRED BY LAW SEO0 Lt60706OM1121 00614 Loical2lumin, ess Tax mIami ,, State of Florida -THIS IS NOT A BILL-DO NOT PAY 4899689 BUSINESS 7REC61" NO. EXPIRES DOT CONSTRUCTION INC RENEWAL SEPTEMBER 30 9311 SW 52 TERR 511"18 , 2017 MIAMI FL 33165 Must bedila t place of business Pursuant to County code Chapter SA - Art OWNER SEC. TYPE BUSINESS T CONSTRUCTION INC 196 GENERAL BUILDING 6 ONTRACTORPAYMENT RECEIVM IrtfoY T COLLjECToft r a07/14/2016 hipLocal Business Tax fteceipt only 06#&ms paymat of the Local i e Ux ` t . li p g Of 91 CO cation the hold ® �to do bush , molder tY _ I ova ental �r by a t,si r to [awl r _ which apply the busivess, The:RECEIPT NO.above a d On all commercial"dales-Wanti-Oade Code Sec gq,�M, r l alio .visit o� Policy NumberBAG-1008620-5 Date Entered:1/24/2 0 17 A�Q® DATE(MNWDDNYYY) CERTIFICATE OF LIABILITY INSURANCE F1/24/2017 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 pollcy(les)must have ADDITIONAL INSURED provisions or 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 De Zayas Insuraace NAME` 10110 SW 107 Ave. PUVCHONE , (305)274-1234 :(766)472-6807 Ne E MIAMI, FI, 33176 L ALE7CQDEZAYASINSIIRANCE.COM INSURER(S) AFFORDING COVERAGE NAIC 0 INSURERA:Seneea Specialty Insurance Company INSURED DOT Construction Inc. INSURER B: Hector Samlut INSURER C: 9311 SW 52 Terr INSURER D: Miami, FL 33165 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MLR R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS L A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE ® OCCUR BAG-1008620-5 10/24/2016 10/24/2017 DAMAGE TO RENTED PREMISES Eaocaurence $Included MED EXP(Any one Pte+) $Excluded PERSONAL BADV INJURY $1,000,000 GEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JJECT LOC PRODUCTS-COMP/OP AGG $1400400 ,O00 OTHER: $ AUTOMOBILE LIABILITY NED acid SIN L $ Ea ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per soddent) $ AUTOS ONLY AUTOS HIRED NON OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident L I _ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'UA BILITY Y/N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICERMEMBER EXCLUDED? (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ K desa�be under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Addhional Remarks Schedule,may be attached K more space is required) General Contractor 80% sub work CERTIFICATE HOLDER CANCELLATION Miami Shore Village Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2nd Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Florida 33138 AUTHORIZED REPRESENTATIVE �j 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Produced using Fomes Boss Plus software.www.Fon nsBoss.com;Impressive Publishing 800-208-1977 N NC JEFF ATWATER �o CHIEF FINANCIAL OFFICER STATE OF FLORIDA 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: 9/26/2016 EXPIRATION DATE: 9/26/2018 PERSON: SAMLUT HECTOR E FEIN: 651104592 BUSINESS NAME AND ADDRESS: DOT CONSTRUCTION INC 9311 SW 52ND TERRACE MIAMI FL 33165 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 9 Fax; (305)756-8972 10/21/2016 To: Current Owner 50 NE 91 Street Miami Shores, FL 33138- Permit: RC-7-14-1525 Address: 50 NE 91 Street Miami Shores FL33138- Dear Sir or Madam, Our records indicate that the above -eferenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to obtain new permits, refinance or sell this property. Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sin:erelV, Ismael Naranjo ( BO) Puild'ng Director ��,� Miami Shores Village 'z' I � Department JUL 165,2014� Building De p 13y:-- 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 20 1 BUILDING Master Permit No. PC 11-4" I PERMIT APPLICATION Sub Permit No. �ILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP r / CONTRACTOR DRAWINGS JOB ADDRESS: ® l 57-!°f Trl-J I City: Miami Shores County: Miami Dade Zip: 3 3 13 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood tone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): ®Me<I D `�'r �® Phone#: Address: a=���60 %(��—�T City: �I Am r 5> ��5 State: Tenant/Lessee Name: Phone#:_'W6 3 7 20 Email: CONTRACTOR:Company Name: �g�r ' /`��` ��S Phone#: "�L )AI3 4 3 Address: l I ( ®4 5r ( 1'77 City: M r A W State: Zip: Qualifier Name: � �''r— �+j /A°"`6/,' L Phone#: State Certification or Registration#: C GC /6��®� Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ to ) ®�® ' � Square/Linear Footage of Work: Type of Work: ❑ Addition E— Alteratiion ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: ��LACf-_ A La W-i ry 0,_q A LIF6,A HPZ '4 '� C L-0 S,!5_7"S Specify color of color thru tile: Submittal Fee$ I 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$ (Rev1sed02/24/2014) Bonding Company's Name(if applicable) 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 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 charged. Signature Signature - OWNER orAGENT C NTRACTOR The fore%ing instrument was acknowledged before me this The foregging instrumentwas acknowledged before me this ca day of e��Yl C—� ,20 L by day of �,1 1 U VI C ,20 �� , by who is personally known to r I who is personally�}^ me-or who has produced as me or who has produced as identification and who did take an oath. identification and who did talm 0 th. C.PAt0i1SH NOTARY PUBLIC: NOTARY PUBLIC: to mycomms"#w DO'IRES.DEC 14L 2M6 Bended fte*191 Stt Isom Sign: � / Sign: Print: O/f- r-r-1I 4) Print: d�lr 1 LJ Seal: Seal: PA-,1611 par i�� C.PARRISH 4,<<'(� My COMMISSION#EE15M EXPIRES:DEC 14,2015 '' 3�&ifisura APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MERLO, JORGE JUAN MERLO BROTHERS CONSTRUCTION INC 1511 LISBON STREET CORAL GABLES FL 33134-2227 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 pEPARTTE OMENTOOIFDBUSINESSRND from architects to yacht brokers,from boxers to barbeque restaurants, PROFESSIONAL REGULATION and they keep Florida's economy strong. Every day we work to improve the way we do business in order to CGC1510874 .-ISSUED: 07/23/2014 serve you better. For information about our services,please log onto www.myfloridalicense.com. There you can find more information CERTIFIED GENERAL CONTRACTOR about our divisions and the regulations that impact you,subscribe MERLO,JORGEJ.UAN to department newsletters and learn more about the Department's MERLO BROTHERS CONSTRUCTION INC initiatives. Our mission at the Department is:License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your �S CERTIFIED under the provisions of Ch.489 FS. customers. Thank you for doing business in Florida, as RTI :DunAUG under L74.489 FS. and congratulations on your new license! EV 1476 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD z CGC1510874 The GENERAL CONTRACTOR Named below IS CERTIFIED ' * Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 0 0 MERLO, JORGE JUAN MERLO BROTHERS CONSTRUCTION INC 1511 LISBON STREET CORAL GABLES FL-33134-2227 MAXI ISSUED: 07/23/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1407230001476 oom LocalBmi ess Tax Receipt Miami-Datl County, State of, Florida THIS IS NOTA.BILL DO NOT PAY 5966800 SUMEM NAMt/LOCAMON RECEIPT NO. EXPIRES . MMLO BROTHEM CONMUMON INC RENEWAL &EP-EMBER 30, Q14L. 11104 SW 127 CL _ Must be displayed a/place of husirn9ss - If MMI F1 33186 Pursua itto.Cous"Code Chapter 8A,4rt 9&10 MNNERSEC.TV m OIL stisi ESS - PAYMENT RECEIVED AflERLO BROTHERS CONStRUC110N INC 198 GENERAL BUILDING CONTRACTOR BY TAX COLLECroe Worker(s) I CGC1510874 $75.00 07/23/2014 CHECK21-14-032384 This Local Badmass Tax ilecai t of the Lacal eusloss Tar.rhe sept is m o lig. permit.uracerditatWodt elu►Wer's bdotu�ainess Hold��acoa*wuhany pver l armagammunteotakregala" which applyto rhe nosiness The MOff 11M above am he dlegayet!an aU commuclal vehicles-AAbW4)ade Code Sec ft--276. For mme idonnadom visit r A�" ® DATE(MM/DDNYYY) VCU CERTIFICATE OF LIABILITY INSURANCE 7/11/2014 THIS CEEtTIFICATE 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(les)must be endorsed. if SUBROGATION IS WANED,subject to the terns 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 endomement(s). PRODUCER NAME: THE SOLUTION INSURANCE SVCS, INC H(AIOnlo (305)485- FAX 9090 (A/C,N.):(305)485-9083 10855 SW 72nd St, Ste 7 ADDREss:solutioninsuranc@bellsouth.net Miami, FL 33173 1 INSURER(S) AFFORDING COVERAGE NAIC# I INSURER A:ATLANTIC CASUALTY INSURANCE COMPANY INSURED MERLO BROTHERS CONSTRUCTION , INC INSURERB:MADISON INSURANCE COMPANY 11104 SW 127TH COURT INSURER C: MIAMI, FL. 33186 INSURER D: INSURER E: INSURER F: t 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. LADDL SUER POLICY EFF POLICY EXP LTR TYPE TYPE OF INSURANCE INSR VWVD POLICY NUMBER MWDD MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 CLAIMS-MADE ®OCCUR MED EXP(Any one person) $ 5,000 A L040001949-0 01/07/2014 01/07/2015 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 7X POLICY X PED X LOC $ } AUTOMOBILE LIABILITY SINGLE LIMIr— Ea accident $ ANYAUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS DAMAGER PER NON-OWNED Per accident $ HIRED AUTOS AUTOS 1 $ j UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 07/11/2014 07/11/2015 WM65065-02 E.L.EACH ACCIDENT $ { B OFFICER/MEMSER EXCLUDED? ❑ NIA I (Mandatory In NH) E.L.DISEASE-EA EMPLOYE'$ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) OPERATIONS ARE THAT OF GENERAL CONTRACTOR CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE SHOULD ANY OFTHE ABO ESCRIB POLICIES BE CANCELLED BEFORE BUILDING DEPARTMENT THE EXPIRATION DA THEREOF NOTIC WILL BE DELIVERED IN 10050 N.E. 2ND AVENUE ACCORDANCE WIT E PO P NORTH MIAMI, FL. 33261 AUTHORIZED REPRESENTATIVE ©1988-2010 ACO CORPORATION. All rights reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD r FORM 405-10 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Business and Professional Regulation - Residential Performance Method Project Name: ceperoroberto BuilderName: Street: 50 ne 91 st Permit Office: City,State,Zip: miami shores,FL,33138- Permit Number. Owner: roberto cepero Jurisdiction: 232600 DesignLocation: FL,KENDALL TAMIA MIAMI 1. New construction or existing Existing(Projecte 9. Wall Types(1928.0 sqft.) Insulation Area 2. Single family or multiple family Single-family a.Concrete Block-Int Insul,Exterior R=5.0 1760.00 ft2 b.Concrete Block-Int Insul,Adjacent R=5.0 168.00 ft2 3. Number of units,if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 3 d.N/A R= ft2 5. Is this a worst case? No 10.Ceiling Types (2302.0 sqft.) Insulation Area a.Under Attic(Vented) R=30.0 2302.00 ft2 6. Conditioned floor area above grade(ft2) 2302 b.N/A R= ft2 Conditioned floor area below grade(ft2) 0 c.N/A R= ft2 11.Ducts R ft2 7. Windows(470.0 sqft.) Description Area a.Sup:Attic,Ret:Attic,AH:Main 6 460.4 a. U-Factor: Sgl,U=1.30 470.00 ft2 SHGC: SHGC=0.27 b. U-Factor: N/A ft2 12.Cooling systems kBtu/hr Efficiency SHGC: a.Central Unit 48.0 SEER:16.60 c. U-Factor: N/A ft2 SHGC: 13.Heating systems kBtu/hr Efficiency d. U-Factor: N/A ft2 a.Electric Strip Heat 34.0 COP:1.00 SHGC: Area Weighted Average Overhang Depth: 2.000 ft. Area Weighted Average SHGC: 0.270 14.Hot water systems 8. Floor Types (2302.0 sqft.) Insulation Area a.Electric Cap:50 gallonsEF:0.920 a.Slab-On-Grade Edge Insulation R=0.0 2302.00 ft2 b. Conservation features b.N/A. R= ft2 None c.N/A R= ft2 15.Credits Pstat \0\%"" " '/T0'al Proposed Modified Loads: 41.18 Glass/Floor Area: 0.2Q* �,d N O/ -8PASS ®, ,tandard Reference Loads: 51.81 I hereby certify that_4hi5iins ajV Q0&6*atior%s go0red by Review of the plans and O�T E ST,g1� this calculation are t'nrApliance the Florida Energy specifications covered by this Code. ON M z calculation indicates compliance' B ^ Zy with the Florida Energy Code. PREPARED B)'i*• ° Before construction is completed ; SATE! �� `� this building will be inspected for ••••• ,•••• tCPO compliance with Section 553.908 T j�&P�certifythat this buiy1wils dem ed, is in compliance Florida Statutes. v4fh the Florida Energy Cotic!••• 00000• • •• .. .. OWN :•-=- BUILDING OFFICIAL: bA E+ .' -. DATE: 0000.. 0000.. 0000.. %Cb"PIIancVWquires campletfon of a Florida Air Barrier and Insulation Inspection Checklist 0000•• 0000 • • � -157 JUL 16 014 j I I 3/19/2014 8:0 nergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 1 of 5 PROJECT Title: ceperoroberto Bedrooms: 3 Address Type: StreetAddress BuildingType: User Conditioned Area: 2302 Lot# Owner: robertocepero TotalStories: 1 Block/SubDivision: #of Units: 1 Worst Case: No PlatBook: BuilderName: Rotate Angle: 0 Street: 50 ne 91 st Permit Office: CrossVentilation: County: dade Jurisdiction: 232600 Whole House Fan: City,State,Zip: miami shores, FamilyType: Single-family FL, 33138- New/Existing: Existing(Projected) Comment: CLIMATE IECC Design Temp Int Design Temp Heating Design Daily Temp v DesignLocation TMY Site Zone 97.5% 2.5% Winter Summer Degree Days Moisture Range FL,KENDALL TAMIA_MI FL MIAMI_KENDALL TA 1 48 90 70 75 238.5 59 Low BLOCKS Number Name Area Volume 1 Blockl 2302 18416 SPACES Number Name Area Volume Kitchen Occupants Bedrooms InfilID Finished Cooled Heated 1 Main 2302 18416 Yes 12 3 1 Yes Yes Yes FLOORS # FloorType Space Perimeter R-Value Area Tile Wood Carpet 1 Slab-On-Grade Edge Insulatio Main 220 ft 0 2302 ft2 ___- 0 0 1 ROOF Roof Gable Roof Solar SA Emitt Emitt Deck Pitch V # Type Materials Area Area Color Absor. Tested Tested Insul. (deg) 1 Hip Compositionshingles 2372 ft2 0 ft2 Medium 0.96 No 0.9 No 0 14 ATTIC V # •O.TYPe Ventilation Vent Ratio(1 in) Area RBS IRCC 1 FL41 attic •.• ; Vented 300 2302 ft2 N N • CEILING • •. #'.;.Gt1iIingTy:g.;.. Space R-Value Area Framing Frac Truss Type •"'• 1 ....VmderAttic d) Main 30 2302 ft2 0.11 Wood • • • • • .•••.• •. •••••• •• • • • • •••• •••• • • • 3/19/2014 8:09 AM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 2 of 5 WALLS Adjacent Cavity Width Height Sheathing Framing Solar Below # Ort To VWnll?yr? Space H-value Ft In Ft In Area R-Value-Fracti ° 1 N Exterior Concrete Block-Int Insul Main 5 54 8 432.0 ft2 0 0.75 0 2 S Exterior Coi icrete Block-Int Insul Main 5 54 8 432.0 ft2 0 0.75 0 3 E Exterior Concrete Block-Int Insul Main 5 56 8 448.0 ft2 0 0.75 0 4 W Exterior Concrete Block-Int Insul Main 5 56 8 448.0 ft2 0 0.75 0 _ 5 N Garage Concrete Block-Int Insul Main 5 21 8 168.0 ft2 0 0.75 0 DOORS # Omt Door Type Space Storms U-Value Width Height Area Ft In Ft In 1 N Insulated Main Metal .46 6 7 42 ft2 WINDOWS Orientation shown is the entered,Proposed orientation. / Wall Overhang �/ # Omt ID Frame Panes NFRC U-Factor SHGC Area Depth Separation IntShade Screening 1 N 1 Metal Single(Tinted) Yes 1.3 0.27 146.0 ft2 2 ft 0 in 5 ft 0 in Rollershade Interior50 2 S 2 Metal Single(Tinted) Yes 1.3 0.27 106.0 ft2 2 ft 0 in 5 ft 0 in Rollershade Interior50 3 E 3 Metal Single(Tinted) Yes 1.3 0.27 192.0 ft2 2 ft 0 in 5 ft 0 in Rollershade lnterior50 4 W 4 Metal Single(Tinted) Yes 1.3 0.27 26.0 ft2 2 ft 0 in 5 ft 0 in Rollershade Interior50 GARAGE # FloorArea Ceiling Area Exposed Wall Perimeter Avg.Wall Height ExposedWall Insulation 1 382.8 ft2 382.8 ft2 64 ft 8 ft 1 INFILTRATION # Scope Method SLA CFM 50 ELA EgLA ACH ACH 50 1 Wholehouse Best Guess .0005 3019.1 165.74 311.71 .345 9.8363 HEATING SYSTEM # System Type Subtype Efficiency Capacity Block Ducts 1 Electric Strip Heat None COP:1 34 kBtu/hr 1 sys#1 COOLING SYSTEM # %ItLm Type Subtype Efficiency Capacity Air Flow SHR Block Ducts "'•; 1 Cenral Unit•.• : None SEER:16.6 48 kBtu/hr 1440 cfrrt 0.75 1 sys#1 0000.. 0000.. 0.0000 . 00 066660 00000 0000 000000 00000 • 0000 0000.. 0000 0000.. 0000.. 0000.. 0000 0 0 3/19/2014 8:09 AM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 3 of 5 HOT WATER SYSTEM # System Type SubType Location EF Cap Use SetPnt Conservation 1 Electric None Garage 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 CFM 25 CFM25 HVAC# V # Location R-Value Area Location Area Leakage Type Handler TOT OUT QN RLF Heat Cool 1 Attic 6 460.4 ft Attic 115.1 ft Default Leakage Main (Default) (Default) 1 1 TEMPERATURES Programabl[eT]]hermostat: Y Ceiling Fans: rl Cooling eat ng [X]Jan Feb Mar Apr Oct Nov Dec May Jun r1jul Apr May Jul Aug r]Sep L 1 OcX Nov DecVenting �I ]]Jan Feb Mar Jun Aug Sep lxl ThermostatSchedule: 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 9900 • • • 0009 • •• 0000•• • • • 0000•• 9000•• • • • • • • 9000•• 00900• . •• •• •. 0000. 9000 0000•• 0000• • 0000 99.9•• • • • • • • 0000 0900•. • 9090•• .• •9.999 •9•••• 0000 • • • 0000 3/19/2014 8:09 AM 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: 50 ne 91 st PERMIT#: miami shores, FL, 33138- 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 controls and 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 v 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 v 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 '-t— to pools or spas. Swimming Pools 403.9 Pool pumps and pool pump motors with a total horsepower(HP) of= 1 &Spas HP shall have the capability of operating at two or more speeds. Spas 0:09 and heated pools must have vapor-retardant covers or a liquid cover or ...: "" .". other means proven to reduce heat loss except if 70% of heat from /I .....: site-recovered energy. Off/timer switch required. Gas heaters minimum •.•. thermal efficiency=78% (82% after 4/16/13). Heat pump pool heaters .106606906 .... . .. .. .. minimum COP=4.0. • • • 'Qddling/hedtltf<j' 403." Sizing calculation performed &attached. Minimum efficiencies per ...... Tables 503.2.3. Equipment efficiency verification required. Special • ...gquipmdnt "" occasion cooling or heating capacity requires separate system or .... .. o f'*,• variable capacity system. Electric heat>10kW must be divided into two • • or more stages. . ... .. Ceilings/kn. gg.w.alls 4.05.2.1 R-19 space permitting. 3/19/2014 8:09 AM 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. 50 ne 91 st, miami shores, FL, 33138- 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 1760.00 ft2 b.Concrete Block-Int Insul,Adjacent R=5.0 168.00 ft 3. Number of units,if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 3 d.N/A R= ft2 5. Is this a worst case? No 10.Ceiling Types Insulation Area a.Under Attic(Vented) R=30.0 2302.00 ft2 6. Conditioned floor area(ft2) 2302 b.N/A R= ft2 7. Windows' Description Area c.N/A R= ft2 a. U-Factor: Sgl,U=1.30 470.00 ft2 11.Ducts R ft2 SHGC: SHGC=0.27 a.Sup:Attic,Ret:Attic,AH:Main 6 460.4 b. U-Factor: N/A ft2 SHGC: 12.Cooling systems kBtu/hr Efficiency c. U-Factor: N/A ft2 a.Central Unit 48.0 SEER:16.60 SHGC: d. U-Factor: N/A ft2 13.Heating systems kBtu/hr Efficiency SHGC: a.Electric Strip Heat 34.0 COP:1.00 Area Weighted Average Overhang Depth: 2.000 ft. Area Weighted Average SHGC: 0.270 8. Floor Types Insulation Area 14.Hot water systems Cap:50 gallons a.Slab-On-Grade Edge Insulation R=0.0 2302.00 ft2 a.Electric 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 Construction through the above energy saving features which will be installed (or exceeded) ST�gp�o in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: el ©IeV/-J Date: b ¢ c� Ac r hof NeVNbme: Aj 9/c City/FL Zip: .•0000 • 0 • . •"We: Tris,le got a IJdff j h§ Energy Rating. If your Index is below 70, your home may qualify for energy efficient 1Wtgage MM) inceA064 ff you obtain a Florida EnergyGauge Rating. Contact the EnergyGauge Hotline at(321) •tMr 1492•ar•9ee the E049-Ag auge web site at energygauge.com for information and a list of certified Raters. For ;•iinirimatior About theF�g�i Building Code, Energy Conservation, contact the Florida Building Commission's support •• •e 0000•• a:416abel reqorsd by Salon 103.1.3 of the Florida Building Code, Energy Conservation, if not DEFAULT. •••• EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Residential System Sizing Calculation Summary roberto cepero Project Title: 50 ne 91 st ceperoroberto miami shores, FL 33138- 3/19/2014 Location for weather data: Kendall-Tamiami, FL - Defaults: Latitude(25.65) Altitude(7 ft.) Temp Range(L) Humidit data: Interior RH 50% Outdoor wet bulb 78F Humidity difference 59 r. Winter design temperature(MJ8 99%) 49 F Summer design temperature(MJ8 99%) 93 F Winter setpoint 70 F Summer setpoint 75 F Winter temperature difference 21 F Summer temperature difference 18 F Total heating load calculation 33097 Btuh Total cooling load calculation 44599 Btuh Submitted heating capacity % of calc Btuh Submitted cooling capacity % of calc Btuh Total (Electric Strip Heat) 102.7 34000 Sensible (SHR = 0.75) 101.1 36000 Latent 133.5 12000 Total 107.6 48000 WINTER CALCULATIONS Winter Heating Load for 2302 sqft) Load component Load Window total 470 sqft 12831 Btuh Wall total 1416 sqft 3912 Btuh Wirbowa(39%) Door total 42 sqft 406 Btuh IMII,(12%) Ceiling total 2302 sqft 1540 Btuh Floor total 2302 sqft 5452 Btuh Infiltration 169 cfm 3913 Btuh Dooan%> Duct loss 5044 Btuh Subtotal 33097 Btuh Fboa(,6%r Ventilation 0 cfm 0 Btuh TOTAL HEAT LOSS 33097 Btuh waJW12%) SUMMER CALCULATIONS Summer Cooling Load for 2302 sqft) Load component Load Window total 470 sqft 15155 Btuh Wall total 1416 sqft 3353 Btuh Door total 42 sqft 457 Btuh Ceiling total 2302 sqft 3446 Btuh Letem interrw(s%) Floor total 0 Btuh I^t.Gam{12%) Infiltration .... 127 cfm 2515 Btuh Wndawa(3a%) Ir?ternal4W" .. 5160 Btuh :•• tluctgain • ••• : 5520 Btuh *eel liens. Ventilation • • 0 cfm 0 Btuh •• Blower Lo2d •••••• 0 Btuh Thtal s*qj6 ygain ."." 35607 Btuh •• Latent gairi(igucts) •• ••• 1495 Btuh ••• Latent ga.o* jration� ••••• 5097 Btuh :•• tPtentgairl(ventilatioT.:•:. 0 Btuh •., "tent W(internal/or.(;lb1pNs/other) 2400 Btuh '. Total latedt g ri . .. 8992 Btuh .:• TOTAL H ATI GAIN �.� : 44599 Btuh EnergyGauge(R)System Sizing 8th Edition PREPARED BY: ✓f�/S/ r� ✓ DATE: EnergyGauge®/USRFZB v3.1 FORM 405-10 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Business and Professional Regulation - Residential Performance Method Project Name: ceperoroberto BuilderName: Street: 50 ne 91 st Permit Office: City,State,Zip: miami shores,FL,33138- Permit Number: Owner: roberto cepero Jurisdiction: 232600 Design Location: FL,KENDALL_TAMIA_MIAMI 1. New construction or existing Existing(Projecte 9. Wall Types(1928.0 sqft.) Insulation Area 2. Single family or multiple family Single-family a.Concrete Block-Int Insul,Exterior R=5.0 1760.00 ft2 b.Concrete Block-Int Insul,Adjacent R=5.0 168.00 ft2 3. Number of units,if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 3 d.N/A R= ft2 5. Is this a worst case? No 10.Ceiling Types (2302.0 sqft.) Insulation Area a.Under Attic(Vented) R=30.0 2302.00 ft2 6. Conditioned floor area above grade(ft2) 2302 b.N/A R= ft2 Conditioned floor area below grade(ft2) 0 c.N/A R= ft2 11.Ducts R ft2 7. Windows(470.0 sqft.) Description Area a.Sup:Attic,Ret:Attic,AH:Main 6 460.4 a. U-Factor: Sgl,U=1.30 470.00 ft2 SHGC: SHGC=0.27 b. U-Factor: N/A ft2 12.Cooling systems kBtu/hr Efficiency SHGC: a.Central Unit 48.0 SEER:16.60 c. U-Factor: N/A ft2 SHGC: 13.Heating systems kBtu/hr Efficiency d. U-Factor: N/A ft2 a.Electric Strip Heat 34.0 COP:1.00 SHGC: Area Weighted Average Overhang Depth: 2.000 ft. Area Weightede"Page SHGC: 0.270 14.Hot water systems °8!flooi Types*(1902.0 q '• a.Electric Cap:50 gallons s ft. . . Insulation Area • . EF:0.920 .• �Ia b -On-CevedeE2ge Insulltion R=0.0 2302.00 ft2 b. Conservation features •:.N/A . . R= ft2 None • Goose. • •N/A e •• .. R= ft2 15.Credits Pstat •e Dose ose 000090 Total Proposed Modified Loads: 41.18 :CAcIN/Floor,keal 0.20.4���,e ee,�����ea,rttaq ra Reference Loads: 51.81 PASS 0 e •ee•000•; /r s, •Geeta• ee ..ice. °•Y� taereby cerdfy�t,at the plaQA specifics' r(s edd•e�c��ay Review of the plans and © THE ST41� `:' •ha calculatioveare in conM, 5he F(brid riet�y specifications covered by this -V _ -Code. G) _ calculation indicates compliance � rrn a G7 • O = with the Florida Energy Code. +a„r,`!'. _......PREPARED BY: Before construction is completed eti DATE: this buildingwill be inspected for P c9 `� compliance with Section 553.908 * ( ,r I hereby certify that this buildin f�; � n , Hail b)j pliance Florida Statutes. with the Florida Energy Code. ����rrrr i i���0 010D WF,CRS OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: - Compliance requires completion of a Florida Air Barrier and Insulation Inspection Checklist �F� / L-) ju 1 014 6Y:_ - 3/19/2014 8:09 AM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 1 of 5 PROJECT Til le: ceperoroberto Bedrooms: 3 Address Type: StreetAddress B ildingType: User Conditioned Area: 2302 Lot# Owner: robertocepero Total Stories: 1 Block/SubDivision: #ofUnits: 1 Worst Case: No PlatBook: Bi ilderName: Rotate Angle: 0 Street: 50 ne 91 st P rmitOffice: CrossVentilation: County: dade JL risdiction: 232600 Whole House Fan: City,State,Zip: miami shores, F milyType: Single-family FL, 33138- New/Existing: Existing(Projected) C mment: 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,KENDALL_TAMIA_MI FL_MIAMI_KENDALL_TA 1 48 90 70 75 238.5 59 Low BLOCKS umber Name Area Volume Block1 2302 18416 SPACES Number Name Area Volume Kitchen Occupants Bedrooms InfillD Finished Cooled Heated Main 2302 18416 Yes 12 3 1 Yes Yes Yes • FLOORS 00: # •"(forType ; •• Space Perimeter R-Value Area Tile Wood Carpet • 1Sl9t4h•OradeEdgelns*1latio Main 220 ft 0 2302 ft2 ____ 0 0 1 • •��� •• ••• • •• •• •• ROOF . . • ••• • •• Roof Gable Roof Solar SA Emitt Emitt Deck Pitch • # •;ype •00000 Materials Area Area Color Absor. Tested Tested Insul. (deg) • • •.••.• 690000 1 •.Hip ..:•t:mpositionshingles 2372 ft2 0 ft2 Medium 0.96 No 0.9 No 0 14 • .. ... .... ATTIC. . # Type Ventilation Vent Ratio(1 in) Area RBS IRCC 1 Fullattic Vented 300 2302 ft2 N N CEILING # Ceiling Type Space R-Value Area Framing Frac Truss Type 1 Under Attic(Vented) Main 30 2302 ft2 0.11 Wood 3/ 9/2014 8:09 AM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 2 of 5 WALLS Adjacent S# Omt To Wall Typepace Cavity Width Height Sheathing Framing Solar Below Ine Et In Ft In Area R--VaI11e Fraction Ahsor G 1 N Exterior Concrete Block-Int Insul Main 5 54 8 432.0 ft2 0 0.75 0 2 S Exterior Concrete Block-Int Insul Main 5 54 8 432.0 ft2 0 0.75 0 3 E Exterior Concrete Block-Int Insul Main 5 56 8 448.0 ft2 0 0.75 0 4 W Exterior Concrete Block-Int Insul Main 5 56 8 448.0 ft2 0 0.75 0 5 N Garage Concrete Block-Int Insul Main 5 21 8 168.0 ft2 0 0.75 0 DOORS # Ornt Door Type Space Storms U-Value Width Height Area Ft In Ft In 1 N Insulated Main Metal .46 6 7 42 ft2 WINDOWS Orientation shown is the entered,Proposed orientation. Wall Overhang V # Ornt ID Frame Panes NFRC U-Factor SHGC Area Depth Separation IntShade Screening 1 N 1 Metal Single(Tinted) Yes 1.3 0.27 146.0 ft2 2 ft 0 in 5 ft 0 in Rollershade Interior50 2 S 2 Metal Single(Tinted) Yes 1.3 0.27 106.0 ft2 2 ft 0 in 5 ft 0 in Rollershade Interior50 3 E 3 Metal Single(Tinted) Yes 1.3 0.27 192.0 ft2 2 ft 0 in 5 ft 0 in Rollershade Interior50 4 W 4 Metal Single(Tinted) Yes 1.3 0.27 26.0 ft2 2 ft 0 in 5 ft 0 in Rollershade Interior50 GARAGE # FloorArea Ceiling Area Exposed Wall Perimeter Avg.Wall Height ExposedWall Insulation 1 382.8 ft2 382.8 ft2 64 ft 8 ft 1 INFILTRATION ...... . . . . #•' Scope ' Methba"•' SLA CFM 50 ELA EgLA ACH ACH 50 1 ••%Zlehouse•:•BestGuesa•:•. .0005 3019.1 165.74 311.71 .345 9.8363 HEATING SYSTEM • ••• # .*System Type*.:••• Subtype Efficiency Capacity Block Ducts ' 1 • EILLRAc Strips-legifNone COP: 1 34 kBtu/hr 1 sys#1 COOLING SYSTEM # System Type Subtype Efficiency Capacity Air Flow SHR Block Ducts 1 Central Unit None SEER:16.6 48 kBtu/hr 1440 cfm 0.75 1 sys#1 3/19/2014 8:09 AM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 3 of 5 HOT WATER SYSTEM # System Type SubType Location EF Cap Use SetPnt Conservation 1 Electric None Garage 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 V/ —Supply— —Return— Air CFM 25 CFM25 HVAC# # Location R-Value Area Location Area Leakage Type Handler TOT OUT QN RLF Heat Cool 1 Attic 6 460.4 ft Attic 115.1 ft Default Leakage Main (Default) (Default) 1 1 TEMPERATURES ProgramableThermostat: Y [[ Ceiling Fans: Oct Nov Dec Heat ng HJan Jan H Feb M Mar Apr € i May ��JApr May un r1julJul rl Aug rl Sep L t Oct Nov ( DecVenting Feb [[XX]]Mar Jun Aug Sep txJ ThermostatSchedule: 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 0000 PM 68 68 68 68 68 68 68 68 68 68 66 66 I!saticy;WEH)• • A113 .**Q6 66 66 66 66 68 68 68 68 68 68 68 PM• 88 68 68 68 68 68 68 68 68 68 66 66 *:ease • • • • • • • . . • . sees.. sas•ea • 00 9. •• • • • • •09.s ease •seas. *:sea: . • •0000• • • . •.saes 0.0900 e• ..e0.0 • . •e• • •• • . a 000.00 ease s • a . sees 3/19/2014 8:09 AM 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: 50 ne 91 st PERMIT#: miami shores, FL, 33138- 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 controls and 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. ...: 4.03.3.3 Building framing cavities shall not be used as supply ducts. yVa;r heaf4g••; 403.4 Heat trap required for vertical pipe risers. Comply with efficiencies v :.0 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. MeghanicaT;•••0000 ; 40, Homes Homes designed to operate at positive pressure or with mechanical 41, •••:entilatorr 00:090 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. . . sloes*Swimming Roofs• 403.9 Pool pumps and pool pump motors with a total horsepower(HP) of= 1 &Spas HP shall have the capability of operating at two or more speeds. Spas and heated pools must have vapor-retardant covers or a liquid cover or At/ other means proven to reduce heat loss except if 70% of heat from site-recovered energy. Off/timer switch required. Gas heaters minimum thermal efficiency=78% (82% after 4/16/13). Heat pump pool heaters minimum COP=4.0. Cooling/heating 403.6 Sizing calculation performed & attached. Minimum efficiencies per Tables 503.2.3. Equipment efficiency verification required. Special equipment occasion cooling or heating capacity requires separate system or variable capacity system. Electric heat >10kW must be divided into two or more stages. Ceilings/knee walls 405.2.1 R-19 space permitting. 3/19/2014 8:09 AM EnergyGaugeO 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. 50 ne 91 st, miami shores, FL, 33138- 1. 3138-1. 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 1760.00 ftz b.Concrete Block-Int Insul,Adjacent R=5.0 168.00 ft 3. Number of units, if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 3 d.N/A R= ft2 5. Is this a worst case? No 10.Ceiling Types Insulation Area a.Under Attic(Vented) R=30.0 2302.00 ft2 6. Conditioned floor area(W) 2302 b.N/A R= ft2 7. Windows" Description Area c.N/A R= ft22 a. U-Factor: Sgl,U=1.30 470.00 ft2 11.Ducts R ft a.Sup:Attic,Ret:Attic,AH:Main 6 460.4 SHGC: SHGC=0.27 b. U-Factor: N/A ft2 SHGC: 12.Cooling systems kBtu/hr Efficiency c. U-Factor: N/A ft2 a.Central Unit 48.0 SEER:16.60 SHGC: d. U-Factor: N/A ft2 13.Heating systems kBtu/hr Efficiency SHGC: a.Electric Strip Heat 34.0 COP:1.00 Area Weighted Average Overhang Depth: 2.000 ft. Area Weighted Average SHGC: 0.270 8. Floor Types 0000• Insulation Area 14.Hot water systems • . .• • Cap:50 gallons •a,9leb-On-Gradetd2e Insultisn R=0.0 2302.00 ft2 a.Electric EF:0.92 0b. N/A 000000 0 • R= ft2 00 0ell%A 0 • : • : R= ft2 b. Conservation features • 0000•• None •••••• • •• •• •• 15.Credits Pstat 0000• 0000 0000•• 0000• • ••e• • • • • 0000 000•• I cirtify that this tfbme has Cap Mred with the Florida Energy Efficiency Code for Building -[M ST Coh'stl' dlion t4bwgh the atgd�7�'�hergy saving features which will be installed (or exceeded) y��` � €S74 11 • • • • • in�t:§ home beforeinal insp�ec�lan. Otherwise, a new EPL Display Card will be completed based ori instatt��JCode compliant features. Builder Signature: J C/Z Date: Address of New Home:Jl-p City/FL Zip:/fj�,E,Q/ 41y p? ffycob wF. `Note: This is not a Building Energy Rating. If your Index is below 70, your home may qualify for energy efficient mortgage (EEM) incentives if you obtain a Florida EnergyGauge Rating. Contact the EnergyGauge Hotline at(321) 638-1492 or see the EnergyGauge web site at energygauge.com for information and a list of certified Raters. For information about the Florida Building Code, Energy Conservation, contact the Florida Building Commission's support staff. **Label required by Section 303.1.3 of the Florida Building Code, Energy Conservation, if not DEFAULT. EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Residential System Sizing Calculation Summary roberto cepero Project Title: 50 ne 91 st ceperoroberto miami shores, FL 33138- 3/19/2014 Location for weather data: Kendall-Tamiami, FL - Defaults: Latitude(25.65) Altitude(7 ft.) Temp Range(L) Humidity data: Interior RH 50% Outdoor wet bulb 78F Humidity difference 59 r. Winter design temperature(MJ8 99%) 49 F Summer design temperature(MJ8 99%) 93 F Winter setpoint 70 F Summer setpoint 75 F Winter temperature difference 21 F Summer temperature difference 18 F Total heating load calculation 33097 Btuh Total cooling load calculation 44599 Btuh Submitted heating capacity IN, of calc Btuh Submitted cooling capacity % of calc Btuh Total (Electric Strip Heat) 102.7 34000 Sensible (SHR = 0.75) 101.1 36000 Latent 133.5 12000 Total 107.6 48000 WINTER CALCULATIONS Winter Heating Load for 2302 sqft) Load component Load Window total 470 sqft 12831 Btuh Wall total 1416 sqft 3912 Btuh "Jindowa(3974) Door total 42 sqft 406 Btuh nfi ,S Ceiling total 2302 sqft 1540 Btuh Floor total 2302 sqft 5452 Btuh Infiltration 169 cfm 3913 Btuh Duct loss �:• 5044 Btuh :• 9abtotal 000 •�•• 33097 Btuh - 0�(e•ntilatidlj••• 0 cfm 0 Btuh ceamsa(s%) WeXa(1296) '. TOTAL HE4T LOSS ' • • 33097 Btuh •��••• •� �• •• SUMMER CALCULATIONS ..... .... ...... 000"1mmer _ Cooli Load for•2302 sqft) ;.• d com onet0.00 Load 0 Window totAl 00:0@0470 sqft 15155 Btuh 0:*wall totai0• 00000416 sqft 3353 Btuh •• Door total •0• 000• 42 sqft 457 Btuh 00.00 •••. • Ceiling tdtpl.00 2302 sqft 3446 Btuh Latent nternal(5%) Floor total 0 Btuh lrt.cen(12%s Infiltration 127 cfm 2515 Btuh Win4owa(36%) Internal gain 5160 Btuh Duct gain 5520 Btuh Sens. Ventilation 0 cfm 0 Btuh Blower Load 0 Btuh Total sensible gain 35607 Btuh Latent gain(ducts) 1495 Btuh Latent gain(infiltration) 5097 Btuh Ce1bngnO In fil 117 Latent gain(ventilation) 0 Btuh oouratYStl1(a°�) Latent gain(internal/occupants/other) 2400 Btuh Total latent gain 8992 Btuh TOTAL HEAT GAIN 44599 Btuh EnergyGauge®System Sizing 8th Edition PREPARED BY: ,Qjj/ ✓ f DATE: �D EnergyGauge(/USRFZB v3.1 iami Shores Village lmcr Vr. ilding Department FEB 9 2U15 X10 I.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY' F F . INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 ICS Master Permit No. (44 152-5 MIT APPLICATION Sub Permit No. ( BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 5® M E. Ol J City: Miami Shores County: Miami Dade Zip: 3 3 13 t3 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type,: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): ? 4 Vt3zW emo Phone#: 9-d+. 3` � L 3 97 Address: '50 N- E. C,1 J'plk city: M,°"'/V',' 3hor-P_4 State: t^ zip: 33 13 a Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: MOO;" P D_ * -(�� 5 ai05��`0� Phone#: ���1 Address: ��a %) (?­:� 4:t— City: -tCity: f ��,,gg�� rr State: FL ZZiiD::p� 3r� Qualifier Name: � � W L'(� Phone#: I I� l 7 State Certification or Registration#: / ® � Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition 21AIteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Cli+ j;, $ Specify color of color thru tile: Submittal Fee$ Permit Fee$�5 • CCF$ CO/CC$ Scanning Fee$ �' o2� Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ —T� ' (Revised02/24/2014) Bonding Company's Name(if applicable) 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 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appr ed a d a reinspection fee will be charged. Signature Signature OWNER or AGENT ONTRACTOR The foregping instrument was acknowledged before me this The foregoing instrument was acknowledged before me this , ll day of J \f20 10 , by o� �' day of a LA G r 20 k ' by 0 C `�l? C" �,who i rssonally known.to `2 ,who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC Sign: / �ro� � Sign: Print: S Print: A- r `� Seal: C.PARRISH Seal: C.PARRISH My COMMISSION#EE153394 MY COMMISSION#EE153394 - EXPIRES:DEC 14,2015 DIPIRE3:DEC 14,2M5 •,gee thtough let$'tete lnyme Beed tlaough'1st Stele ineu�ice �t APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) DATED OWartlM v CERTIFICATE OF LIABILITY INSURANCE 1/$/2015 THIS CERTIFICATE 0 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF DMRANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISISUB+IG INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE COWIFICATE HOLDER. IMPORTANT: B the carMcids holder Is an ADDITIONAL INSURED.the pollt y0m)mrd be sndorsed. B SUBROGATION 13 WAIVED,subject to the tsmis and cond ons of the pol1q,cataln poples may regWre an andomement. A statement on this certtileate does not confer eights to the cordlicafe holder In Hsu of such wtdorswnwd(s). PRODUCER THE SOLUTION INSURANCE SVCS INC PHONE (305)595-6216 10855 SW 72nd St, Ste 7 ANC N,:(305�595-69A7 Miami, FL 33173 AwREss.solutioninsuranc@belloouth.net A231800 > I A INSURER A :► AIC CASUALTY n"MMNCB CMMNY INSURED MERLO BROTHERS CONSTRUCTION, SNC INSURER 0: 11104 SK 127TH COURT INSURER C: MIAMI, FL 33186 INSURER D: INSURER E: INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAM. LTR TYPE OF INSURANCE Imm VM POLICY NUMBER OEM AMR LIMITS X COMMEMML a EACH OCCURRENCE $ 1,000,000 CLA ®O=UR PRE[IBES Ea QW"8RMe $ 100,000 MEOExp oft amp ) $ 5 000 A L040001949-1 3./07/2025 1/07/2016 PERSONAL SAW INJURY $ 1,000,000 GErL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s 2,000,000 X POLICY®M ®LOC PRODUCTS-COMP/OP AM S 1,000,000 OTHER: $ AUTOMOBILE LIAMMY =I $ - aasd-11 ANYALITO BODILY INJURY(Ru pwsm) $ ALL OWNED AUTOS SCHEDULEDAUTOS BODILY DNURY(Pw a t) S HIRED AUTOS we AUTOS NON-OWNED er $ S UMBRELLALWB OCCUR EACH OCCURRENCE $ EXCESS LIAS CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EM PLOYMW LIABILITY YIN STATIJIE ER ANY EL EACHACCIDENT S 0FRORROINNER ppm ❑NIA yds In WO EL INSEAM-EA EME�,O $ uraw DESd� TIOdasc�N OF OPERATIONS below EL DISEASE-POLICY LIFT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Adffl mei Renu SdredWe,may be amadmi I more spme Is mTkedi OPERATIONS ARE THAT OF GENERAL CONTRACTOR CERTIFICATE BOLDER CANCELLATION MIAMI SHORES VILLAGE HIIILDIM DEPT SHOULD ANY OF THE ABOVE DESCRIB BE CANCELLED BEFORE 10050 NE 2ND AVE THE EXPIRATION DATE TTi NNWiLL BE DELIVERED IN MIAMI SHORES, FL 33138 ACCORDANCE WITH THE Y O NS. AUTHORIZED REPRESENTATIVE FAX 305 756 8972 ®1988-2013 ACORD CORPORATION.All rights reserved. ACORD25(2013/04) The ACORD narne and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE °"� °"5 3/19/2015 11II8 7E W ISSUED AS A MATTER OF W1 ORMATTON ONLY AND CONFERS"NO Rj%rM UPDN THE CEWnF=ATE HOLDE L WN CERTIFICATE DOES NOT AFARMATNELY OR NEtAMMY Ate, EXTEND OR ALTER THE COVERAE AFFORDED BY THE POLMM BELOW THIS CER17 CATE OF INSURANCE DOES NOT CONSTiTLITE A C0WRACT BErwEEN THE 0SLWG , AUDtOROW REPAE8WTATI4E OR PRODUCER,AND THE COMFICATE NOLOER IN11PO1TrANr. a tho Gerwiftft bddar Is Go ADDITIDNAL WBUR® the p opt be eudomed. "SUBRD4pTd)N IS WAMED,magm to the terms and candillous of thO peDoA s"1001110108 may require am midOtBeMnt A sbtftment an this go does no!�tl�is SoheWur la nou W end PRS Building Trades Association 561 961-1374 561) aQi-0621 6353 W. Rogers Circle, Unit 3 &. (561 uildia radea.cam Boca Raton, FL 33487 a MUM INSURER A:Bssoaiated Industries ins Co. 23140 Fergaeoa Marine Services, migmsMestern World Insurance Co. 13196 Air Conditioning and Refrigeration BtSWIM C: 21515 SK 97 Ct Cutler Bay, FL 33189 D: MOLMME: 305-233-5336 MUM F: COVERAGES CERTIFICATE NUMBER: REVISION NUMlBM THIM M TO CERT Y THAT THE POL CW OF MMLOViCE LRWW BELOW HAVE BEEN 1SWIE0 TO THE RRMW NAFFED ABOVE FDO THE POLJCY PERIOD INDICATED. NOTWITIEMANOM ANY REMWOMENT.TERM OR DONDE H3N OF ANY DONTRACT OR OTHER DOCUMENT WRH F1SPECT TO WMN:M THIS ATE MAY BE WSUED OR M%Y PERTAN,TEE DMMANCE AFFORDED BY TMB POUGEB DESCRIED HEIBW IS SUBJECT TO ALL THE TEFF, EXCLUSIONSANDCONDMONSOFISUCH POUDIES.LWFOSHOWN MAY WIVE BEEN REDUCED BY PA®CLABNS. TYK OF WROLVOCE NIX I POUCY NUMBER Lam R =ENWA t"NWAL tueam : 1 Goo ,000 ®OCCURonamomd : 100.000 A BINDER- KJBLE 2/2-1/152/27/16 "ow—mm--) $ 5 000 _ Pww0w&MwwAw $ 1,000,000 Loc eE BM ASSRMWE 8 2 000,000 PRODTB-COMPW AM $ 1,000,000 AUFOMM UAa[trY a AWAM Atmos BODILY NAM owaomm" : MUM AUTOS4jA1JT0S $ caere,A ocoAt EACH . Dense LMBD ABATE AID 9lLOVEW UAaw" Ytta h ELEAWIAOCOM $ S00,000 ANC1042415 /28/1 EL I) -FAEMKVE,$ 500,000 ELDBE ME-POLCYLeat 500,000 OFTta ILOCATKMIVE ICUM tAODWM.A09ftW .MYbeeas*Wammeapemabraq�, Mechanical AC # CAC 1815070 HQ CANCELIATION Miami Shores Village Building SHOULD ANY OF THE ASM CESCRMW POUGEs BE CANCELLED BEFORE Department THE DIPRATHN DATE THEREOF, NOTEE WILL BE OMNEIED IN 10050 RE tad ave. ACCORDANCE WITH THE PDUCr PRnjSXNe. Miami Shores Village, FL 33138 avowMM y$ Pas #a 305-756-8972 i 1 4). ®19W=4 AWW G0RPGRATKK AO fWft re9rved. A�RD3S(201Mbt) The ACORD name end b8o am registered nwft at ACM 1 - - Miami Shores Village -- Building Department JUL 0 9 015 10050 N.E.2nd Avenue,Miami Shores,Florida 331380\ - -2204 Fax:(305)756-8972 L �� - SEJIU HONE UMBER:(305)762-4949 REVIFBC 20 BUILD Master Permit No. �� -7 " PE MIT APPLICATION Sub Permit No. UILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: N Y S'A � " City: Miami Shores County: Miami Dade zip: Folio/Parcel#: is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): A001 44V � Phone#: ?t6 3(Q 2 5 5.5 Address: 5-0 1C) L ci/ r� City: State: zip: 37/30 Tenant/Lessee Name: // Phone#: Z--3 S S Email: e.'-® CONTRACTOR:Company Name: ���`�°-3� �' � `tl 'dCe 187-- Phone#: Address: City: G State Zip: Qualifier Name: � ''� '� ` Phone#: State Certification or Registration#: C66 C I�0 ©a� 4 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: I-V?) Xi-11- Type y-iType of Work: ❑ Additione[�Altte_ration El New ,! ElRepair/Replace F-1Demolition Description of Work: S°� 62111-t'llq�v lir®r' ",.��t �1�►� `�` t- � Jae. rAce . Specify color of c or thru tile: Submittal Fee$ Permit Fee$9��� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ U. v" Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) J Bonding Company's Name(if applicable) 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 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 approv d and a reinspection fee will be charged. Signature Signatur � OWNER or AGENT CO RICTOR The foregoing instrument was acknowledged before me this The foregoin /nstrument was cknowledged before me this day of V dL l 20 15 ,by day of � 20 1.5 ,by /I e- v P(t o (;eV eJ ® ,who is/personally known to G / who is personally known to me or who has produced L as me or who has produced L as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Ve ?i Print. OMARFUENTESVELEL Seal• Seal: ;.�� , „y. :+_ MY tbA041tSSION#EE ti rty , OAIARFI)ENTESVEIFI EXPIRES:October1,2016 MY COMMISSION#EE 839959 �'.W• M Bonded T Nota�Y Undexdrtere .. ` EXPIRES:October 1,2016 RFS Bonded Thor Notary Public Uncle ########## ################################################################### APPROVED BY ' i Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village [BY.- ? CRTNZT'. Building Department Se? 14 2015 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 20 BUILDING Master Permit No. PERM IT APPLICATION sub Permit No. ❑ ELECTRIC ❑ ROOFING VREVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP p� �I CONTRACTOR DRAWINGS JOB ADDRESS: 50 r,1' -1 I a�-4-r P 'y Ci : Miami Shores County: Miami Dade Zi I D Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BBF(FE: 2/ FFE: OWNER:Name(Fee Simple Titleholder):� ,'-.)PS 7_;P C,e�'Pz rzz Phone#i� Address:5`0 N. IIE_ r' City: H ( cy 0A 5 hZeS State: � � Zip: 33 13b Tenant/Lessee Name: Phone#: IS 340 Email: e&Q(sp . e .)�e^4%3 N Csys�, r �►, CONTRACTOR:Company Name �fd-L® � ���1��7 �'-' n 0 t�Phone#: W6 )-�_?L'37 4 Address: S V-) q City: M p iA State: Zi 3 3 I�l /� ))�� Qualifier Name: �-�� (.�1� � Phone#: State Certification or Registration#: Cr&c 15(o,014 Certificate of Competency#: DESIGNER:Architect/Engineer: :A r✓,,; n N. ckr$;ne- Phone#(2�S� n i V 3a� Address: �3�� S,\0• �9 late , (4" City: t1\iGM_- State: '� �- Zip: 3 Value of Work for this Permit:$ Square/linear Foo ge of Work: (o Type of Work: ❑ Addition El Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: a, cA- 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) 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 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. r Signature Signature OWNER or AGENT I '.) 6 (�NTRACTOR The foregoing instrument was acknowledged before me this The foregoingi strument was acknowledged before me this I 1 day ofS�-W-MYX'-r ,20 IS ,by day of � �Icer 201 by Ftok,c.e-o- Ctfj2QcO ,who is ersonally known o JbC!Ge \. Mpr►Q ---,who is personally known to me or who has produced as me or who has produced Floridck as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign ,9 u CCA d -\'� Sign Cu Print: CcLAderOPrint: JENNY CALDERON Seal: Seal: :: :• JENNY CALDERON d A, `° .:. : MY COMMISSION#FF148356 ��j ; e MY COMMISSION#FF148356 1 j'•:%o,�e?:' EXPIRES August 6,2018 `:` '` d' EXPIR A +x *****+x >k+ sEv►9s1�* *FAbl4 *>k:k "4 * (407)398.0153 Roridallotalryneryice.COm APPROVED BY f Plans Examiner Zoning / Structural Review Clerk (Revised02/24/2014)