Loading...
CC-17-386 (2)Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. CC -2-17-386 Permit Type: Commercial Construction Work Classification: Alteration Permit Status: APPROVED Issue Date: 10/19/2017 Expiration: 04/17/2018 Parcel Number Applicant 9537 NE 2 Avenue Miami Shores, FL 33138- 1132060133910 Block: Lot: DVS LLC Owner Information Address Phone Cell DVS LLC 9400 NE 2 Avenue MIAMI FL 33138- (305)756-3711 Contractor(s) Phone Cell Phone VENTURA ARCHITECTURE DEVELOP (954)423-1362 Valuation: Total Sq Feet: $ 160,000.00 2070 Approved: In Review Comments: Date Approved:: In, Review Date Denied: Type of Construction: INTERIOR BUILD OUT OF DUNKIN Stories: Front Setback: Left Setback: Plans Submitted: Yes Certification Date: Bond Return : Scanning: 24 Occupancy Load: Exterior: Rear Setback: Right Setback: Certification Status: Additional Info: Classification: Residential Fees Due CCF CO/CC Fee DBPR Fee DCA Fee Education Surcharge Permit Fee Plan Review Fee (Engineer) Scanning Fee Technology Fee Total: Amount $96.00 $50.00 $72.00 $48.00 $32.00 $4,800.00 $120.00 $72.00 $128.00 $5,418.00 Pay Date Pay Type Invoice # CC -2-17-62943 02/14/2017 Credit Card 10/19/2017 Credit Card Amt Paid Amt Due $ 200.00 $ 5,218.00 $ 5,218.00 $ 0.00 Available Inspections: Inspection Type: Final PE Certification Window Door Attachment Tie Beam Slab Termite Letter Framing Store Front Attachment Insulation Drywall Screw Window and Door Buck Ceiling Grid• Fill Cells Columns Review Planning Review Mechanical Review Electrical Review Electrical Review Building Review Building Review Building Review Structural Review Plumbing Review Plumbing In consideration of the issuance to me of t permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and ' strict con• mity the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume r: •on •ility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRIC L, PLUM:: = �� - NDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFID IT:y I all he fore•oin• in ormation is accurate and that all work will be done in compliance with all applicable laws regulating construction and i e hell I . ut •r t, -!.b. e -named contractor to do the work stated. October 19, 2017 Authori = . i • 'I ur:: • ne Applican / Contractor / Agent Date Building ' e rtment Copy October 19, 2017 1 Jv q524 93-7 /7,s -o \ ) \CX°9 BUILDING PERMIT APPLICATION ElBUILDING ❑ ELECTRIC Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 Master Permit No. FBC 20N C.C.I `7-30 Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL ❑ PUBLIC WORKS JOB ADDRESS: / V t Z' Vi City: Miami Shores County: Folio/Parcel#: // 3 ZO6 0/3 3'/J Occupancy Type: G -B Load: 54A Construction Type: IIA Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): O US L- L G Phone#: Address: 20/ A)( 95 ST, City: M/4/141 S//Es n State: i"--2-404-/ 6019 Zip: �3%3 7,u Tenant/Lessee Name: /7 ,C//%% �!/dA,GtT S Phone#: Email: D CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Miami Dade Zip: Is the Building Historically Designated: Yes NO CONTRACTOR: Company Name: VENTURA ARCHITECTURE DEVELOPMET Address: 11870 STATE ROAD 84, C14 City: DAVIE Qualifier Name: MICHAEL VENTURA State: FL Phone#: 954 423-1362 Zip: 33325 State Certification or Registration#: 954 423-1362 DESIGNER: Architect/Engineer: MICHAEL VENTURA Address:11870 STATE ROAD 84, C14 Value of Work for this Permit: $ 160,000 Phone#: 954 Certificate of Competency #: CGC 060048 Phone#: 954 937-1850 City: DAVIE State: FL Zip: 33325 Square/Linear Footage of Work: 2,070 SQ.FT. Type of Work: ❑ Addition 0 Alteration ❑ New ❑ Repair/Replace Description of Work: INTERIOR BUILD OUT OF A DUNKIN DONUTS ❑ Demolition Specify color of color thru tile: Submittal Fee $ 20z)!I • co Permit Fee $ !' 1 9 (D. 0 CCF $ Q 4 Scanning Fee $ 2 Radon Fee $ -R • Q DBPR $ �2 ' Technology Fee $ l ze • p Training/Education Fee $ 3Z • 4z) Structural Reviews $ 12-0 - 0` co/ccs sjc) • Notary $ Double Fee $ Jg Bond $ TOTAL FEE NOW DUE $ 55, 2..1R• (30 (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 st be pos % at the job site for the first inspection which occurs seven (7) days after the building permit is issued. n the absen s; posted notice, the inspection l ofof b ved and a : 'nspection fee will be charged. WNER or AGENT ing instrument was acknowledged before me this day of uQ j, , 20 1 7 , by Ctita ✓t 1a _a•adon ,' ho is personally known to rr� or who has produced identification and who did take an oath. NOTARY PUBLIC: SigrT." Print: Seal: as Vii.+:" >iyi ELIZABETH ELORRIAGA c MY COMMISSION 0 FF953536 ,kms !lea, ,. EXPIRES January 25.2020 110/1.1w!-0.19 F Eemceaur ***********>,.T,.,.,.,.,...,..�..++.R++a/(Ji1 Plans Examiner ✓ APPROVED BY (Revised02/24/2014) Signature The foregoing instrume / 3 day of M/K,i Vit,jr1fL CONTRACTOR was acknowledged before me this 20 / 7 , by , who is personally knuio =„or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Prin Seal: as ,• << ' ' UILINO JR. s:� Notary Public - State of Florida u, --.1. ore Commission N GG 011372 '•.'j;,ait, ... My Comm. Expires Jul 13, 2020 Structural Review ******** k* * Zoning Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 VENTURA, MICHAEL VENTURAARCHITECTURE DEVELOPMENT INC. 11860 WEST STATE ROAD 84 B7 DAVIE FL 33325-3810 Congretutationsf Wth this Ecense you become one of the nearly one miction Floridians licensed by the Department of Business and Professtonat Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to borbeque restaurants, and they (keep Florida's economy strong. Every clay we work to improve the way we do business ►n order to serve you better For information about our services, please tog onto www,myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you subscnbe to department newsletters and le21rn more about 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 serve your customers. Thank you for doing business in Florida, and congratu.ations on your new license! RICK SCOTT, GOVERNOR STATE OF FLORIDA �T-✓{T'�= I DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CGC060od8 ISSUED. 07110/2016 r" DEIRTIFIED GENERAL CONTRACTOR- -VENTURA, MICHAEL VENTURA ARCHITECTURE DEVELOPMENT I 1 • IS CER7If1ED orlaer tris otoosions 2r Ca 4136 FS - €eo'aton (sits - A:4 )'4 1. tise,vxxcrzt DETACH HERE { KEN LAWSON, SECRETARY STATE dF,FCORIDA DEPARTMENT OF -BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRYLICENSING BOARD • The GENERAL CONTRACTOR. Named below IS CERTIFIED Underthe provisicns•of Chapter 489 FS Exporaton date: AUG.31 ,.2018 VE`NT0RA, MICHAEL .VENTURA ARCHITECTURE DEVELOPMENT INC 11860 WEST STATE ROAD,84 B7 I. DAVIE. .FL 33325 ISSUED 07110s2016 DISPLAY AS REQUIRED BY LAW �►, SEC) # 11607100001624 _ __ _ .. BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2016 THROUGH SEPTEMBER 30, 2017 DBA: VENTURA ARCHITECHTURE & Business Name: DEVELOPMENT INC Receipt #:GENE A32C0NTRACTOR (GENERAL Business Type:CONTRACTOR) Owner Name: MICHAEL A VENTURA Business Opened:1i/14/2000 Business Location: 11860 W STATE RD 84 #B7 State/County/Cert/Reg:CGC 0 6 0 0 4 8 DAVIE• - Exemption Code: Business Phone: 954-423-1362 Rooms Seats Employees 1 Machines Professionals For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid ____27.-__00 __O.00 0. 0 - - 21700_ -8-99- - 0.0U T.OTT THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS -4 THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: VENTURA ARCHITECHTURE & DEVELOPMEN' 11860 W STATE RD 84 #B7 DAVIE, FL 33325 2016 - 2017 Receipt #1CP-15-00015876 Paid 07/25/2016 27.00 Client*: 1449331 132VENTUARC ACORD. CERTIFICATE OF LIABILITY INSURANCE CATS(uuteDONTYY) 2/1312017 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: (f the certificate ho(dcr is an ADDITIONAL INSURED, the policy(res) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Alisa Josephs 8138T -Oswald Trippe and Company COMMERCIAL GENERAL LUtRUTY PHONccT 670-0083 FAx 9200 S. Dadefand Blvd, Ste 314 E wNa t1:305 I (/Ie�Nok 8668028668 AOORES3: ajosephstbbandt.com 10110/2017 Miami, FL 33156 11,000,000 INSURE els) AFFORDING COVERAGE NAIL • 305 670-0083 INSURER A: Colony Insurance Company 39993 msum°,,;auKF, o-, c_mr:t•-__ 1 !::a _ !s•._urance C 19410 Ventura Architecture Development Inc INSURER c: American Builders Insurance Com 11240 Mike Ventura IeauRER D: AmTrust Insurance Company of Ka 15954 11870 W State Road 84. Suite C14 INSURER 5 : GENERAL AGGREGATE Davio, FL 33325 INSURER F : 52,000,000 CERTIFICATE NUMBER: PHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FCR THE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DCCUMENT WITF RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED CR MAY PERTAIN. THE INSURANCE A:FORDED BY T 1E PCUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CUNOIf1ONS OF SUCH POLICES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIR TYPE OF INSURANCE r, SUR PO ICI__Vf E_ C O(1CY pr.) LIIM13 A X COMMERCIAL GENERAL LUtRUTY 103GL00653402 10/10/2016 10110/2017 EACH OCCURRENCE 11,000,000 ICW64` 1MOE X OCCLR R7FIA�INQFatl ) S100,000 LIED EXP (Arty cam aersea) s 5.000 CFNI iuYRF.^.:aTF I MIT A=PI IFR PER' '3IXY /MT 1 1 LOC IJIH=t PorsorULaADV INJURY 11,000,000 GENERAL AGGREGATE 52,000,000 PRODUCTS-COt/ROP ACC 52,000,000 f D AI/TO1/OBILELIABILITY X ANY .M.11C- AIL�71?%ZD 411-�. -11H1-!:SUIr):i X X °^HE1U_�C AilT:k^ AV P,Nm WPP138267201 08/05/2016 08/051201V re/.1131NEVINGLEUMIT 11,000,000 OCOILY W/IIRY (Per parson) t BCOILYtNJURY(FeracoOnYl) $ PROPERTY DAMAGE (PeraGoa7111 1 s It-- Y UM4 drEA LIAR EXCESS LW 1 I `� OCCUR X IS C1AD/SAACE EBU015433630 08/23/2016 08123,2017 F::i rJ'CIIFVFRCF AGGICI T_ 51,000,000 1.1,000,000 $ I1 DED 1 1 RETENTION $ C WORKERS COMPENSATION SN AND EMPLOYERLBR/TY YIN ANY PR�7PRIETCR�PART1r� 'EIrECU TIE CFFICEf MEL1BER EYCLl1tJE02 N (Mandatory In Nr1) N as 6wrlwaNW RPIION CP OPjRAlp.tS baba N l A WCV01322970308/2912016 08/2912017 3711 �T.1-II-C R F 1 =A.H Ac: -.11F4.7 L1,000,000 C.L DISC: 9C G: CMPLCYCL f.1,000,000 1.1 11ISFShF-I':71 1[:Y1 IL11t 3.1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES (ACORD 101, Additional Remarks ScbeMWrr, wow Its ,Uad1nd if um a wave in 1awu s J) Contractor License it: CGC060048 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Bldg Dept 10050 NE 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE HALL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ?.?„- olerret ACORD 25(2014/01) 1 of 1 The ACORD name and logo are registered611986 2014 ACORO CORPORATION. All rights reserved. g marks of ACORD ALJO t1S176415561M 16962315 STATE OF T NO. DEPARTMENT OF FLORIDAHEALTHJ i_ 9 DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL ` FEE PAID: SYSTEM "� .A i'� RECEIPT #: APPLICATION FOR CONSTROCTIONC APPLICATION FOR: [ ) New System [ ] Existing System [ ] Repair [ ] Abandonment APPLICANT: AGENT: Dvs tLc [ Holding Tank Temporary ] Innovative St0.ietA) o(/ i C Covvelec-hbeu Inc TELEPHONEP Q S G (- 6+6 33 MAILING ADDRESS: ex 366Soj13 woof( 330ff3 TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STAWurbS. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY, INFORMATION a LOT: (Z-17 BL0 1C: 2q PROPERTY ID #: 40AZ56 G PROPERTY SIZE: a C 2 ACRES WATER SUPPLY: •• SUBDIVISION: tAardii S tOreJ SC 1 ...•PtATi••r"49":. • • • • • . • it-3Z©6--o13-3c I3 SEWER AVAILABLE AS PER 381 0065, FS? PROPERTY ADDRESS: DIRECTIONS TO PROPERTY: • ZONING: C I/M OR E•Q•MENT: [• •••• • • • • •••• • [ ] PRIVATE PUBLIC [X J <s2Q8C 0PD [ 1000GPD• • • • • •s [ Y /®] DISTANCE. CO. iSEWER : 00 90 0:/�j c5b t N'E 2 Ave,/`1Actr,m 4t-oti 4 151, • �3 • • FT • • • • BUILDING INFORMATION Unit Type of No Establishment 0 mces-tkermL 1 2 3 4 [ ] Floor/Equipment Drains SIGNATURE: t' ' [ ] RESIDENTIAL [X] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 126 O 2- t? Other (Specify) (1-eire.P. SO104 r•NO•N) DH 4015, 08/09 (0 soletes previous editions which may not be used). Incorporated 64E-6.001, FAC DATE: b v5 (3 Page 1 of .4 • • • 7§1T -ATE (.517-' FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit AppficaWn Number — • PART - SITE PLAN Scate: Each block represents 5 feet and 1 inch = 50 feet. •--- • • o1/4 {-,i6.4;;;ris otro.c•S. • .:•• +t sePee,4- o -e -c:43 cAnerN-1-'° il9r4 rt ("key • • . • . • .. • ..' : . .. • . '7": • :' • •••••• i• ' '7 • • • • • r • • ; • r • : - • -; • • • VI" • • ) • .4— 1-1- • 4. : • • 1 • -:-.... •—:--=......•,..-)••-:•......-.!.......:.......4......--1.... !................... • . ' • 1 • ' 1 . , t . .. - . t. :. . '.... —. • -L ..i._. .... -:....: •-. ••••//b.' I i • . ... ••.•-• ••• • • • • • -411•0-0 • • • • . , • i .......n: ...-...,......4...... - .........-r-t—r—...,. ..--1:.:- , 4 -H----''Y .-- ---4...,-..-7-4-T-1--f•-!---•-.4.:3::..6'• 120)8E: 7t.. ' :„,. iso . , . . . ' SO 4' . '.- --'. . .110 C4' 1 .., ortto,....rAmier : .1,6t-- • . . . • : ;. i --•-,- ,-.1.--- . : • , .......... . : -• • : • . .....: . cri7114.— _s.:. .•._:.: -.--i.:_. ..'..I' -tiiitie • • 1-.. ; . : ::. : ,..,.... ••,,,..... ••:, i...”: -,-.---- .:!..--: -.• : r .. • ..• • • . • ._. Not.as: S01 N 2- Av-ci fkkiekroi pes 33136 C-Pq it< Sr-iS :Aft ri•PNC-rt 0 N IV r(ZoPERly / Ty -Zs Site Plan submitted by: Plaii Approved By_ Signature Not Approved I ° 15 /r cc) rd.ro 0400.- Titie Date County Health Departmer ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT OH 405, 10/05 (Bo 1� HRS -11 Form 4015 whirit nay bo wed) (Stock lumbar: $744.0G2-4015-61 8':'A7. :1.:' . ,....,moi:+.. DA -'N T T,. . -+N- \GE T TREATMENT AND , 1':: t -O... AL S',.S:i EM E.i......IN.- S',.'S EM A1Q) S'ZSTrE'..N! 'REPAIR EVALUATION bv3 (-LC L DT: tZ SLOCK, 1 mit: i i 7o 6 " 013 TO BE COMPLETED SY FLORIDA REGISTERED ENGINEER, DEPARTMENT EMPLOYEE, SEPTIC TANK CONTRACTOR OR OTHER CERTIFIED PERSON, SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE ALL APPLICABLE ITEMS. :: OMP„ETE' TANK CERTIFICATION BELOW CR NOTE IN REMARKS WHY THE TANKS CANNOT BE CERTIFIED. .".... .. .S._.-F=F.i:-..3_. E'XIs'r �a t1/1/4;mu( - Ot— sloN [ (0501 GALLONS :i ,` GPD ATU £ • .1 GALLONS SEPTIC TANK/GPD ATU 1 GALLONS GREASE, INTERCEPTOR GALLONS DOSING TANK LEGEND: __00___0__0__. LEGEND: LEGEND: __._._...__.__.... ._.. LEGEND: MATERIAL:C0104Q, BAFFLED: [Y /ji ; MATERIAL: BAFFLED: fY / r?1 MATERIAL: MATERIAL: # PUMPS : f 1 -2.-rcass ESC::._.__..-._ F::;zF-FF=:c_cFq_sam aaamca.ro al nan,w.: s. :eaeam m'4s-m= Co2aJc:-as=sFz CERTIFY THAT THE: LISTED TANKS WERE PUMPED ONIO !( /I3 BY c ` G • •••• , HAVE THE VOLUMES SPECIFIED AS DETERMINED By [ 'iITAMIPNS / FILLING / LEGEND 1 ,; A.V.P.FREE all'•38SERVA8'9i4:0 DEFECTS OR LEAS A D HAVE A [ SOtennetii,ECTION DEVICE / OUTLET FILTER DE` TC 1 I.I AB D. • 102 SI 4C G E OF LICENSED CONTRACTOR BUSINESS NAME D TR* • • --=ca=:ssmb�e lmm saaas x=n crosa ex s.sa=a z.:sa axacoemamsc xaa asmc.-cea m=c cs.-aa� .. sra stsa ri.�1y,^ia a.ra,•• .l .•-•� • 0000 • EXISTING DRAINFIELD INFORMATION (./1•J A"'C) tA3Ar. U- PCCt. 437.111/2,--r [ j SQUARE [ 1 SQUARE TYPE OF SYSTEM: CONFIGURATION: DESIGN: FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES FEET SYSTEM NO. OF TRENCHES f7C1 STANDARD I 1 FILLED f 1 MOUND f 1 [ 1 TRENCH [ 1 BED — • [ 0000 • • • • • DIREIS'lIQNS: 00.0 Y • DViggiaus. • • •-- r –—'.-s.-s • • ` 1 . • . • . • •.. •–. — - f 1 HEADER f D -BOX ()CI GRAVITY SYSTEM f 1 DOSED SYSTEM ••• • ELEVATION OF BOTTOM OF DRAINFIELD IN RELATION TO EXISTING GRADE 40 INCHES ( ABOVE / BEL01+i3 SYSTEM FAILURE AND REPAIR INFORMATION 14: `I 4.1 j SYSTEM INSTALLATION DATE 1 GPD ESTIMATED SEWAGE FLOW BASED ON SITE I j DRAINAGE STRUCTURES f 1 POOL CONDITIONS: ( 1 SLOPING PROPERTY E NATURE OF f FAILURE: FAILURE SYMPTOM: 1 HYDRAULIC 0 ..RLOAD 1 DRA GE RUN OFF [ i SEWA 1 P 1 SOILS f 1 RCC TYPE OF WASTE [ j DOMESTIC [ COMMERCIAL 1 METERED WATER IX1 TABLE 1, 64E-6, FAC I 1 PATIO / DECK [ j_ MAINTENANCE WATER TABLE ON G'. f 1 TA:V ['7 D BOX/HEADER ING BACKUP f j ` kr.-lc 91-r,er.A,bns 71- - 343`^) %C L) REMARKS;'ADDITIONAL CRITERIA Ix 1 PARKING _C S -M•16_4 } li INCre' ta46 i ? " r3 1tMc SUBMITTED BY: fit TITLE/LICENSE Yl'OOi`7! Z6 G DATE:��� DH 4015, 08/ soletes previous editions which may not be used) Incorporated 64E-6.OQ1, FAC Page 4 of 4 �3 LDG »2 ;cr:; s E ,.....%i A `-._ TREATMENT AND D 1:3 w A!., SYSTEM SY._•E1 AND SYSTEM REPAIR EVALC3ATIOR ,',;). T L.;;T OR / A.'GEN'T es i:r__._..x bvs [.0 fritPreltS1402esc� t 'L'i! BE COMPLETED i3Y FLORIDA REGISTERED PERSON. ENGINEER, DEPARTMENT EMPLOYEE, SEPTIC EP;IC TANK CONTRACTOR OR O::ER CERTZFEn SIG4 AND SEAL ALL SUBMITTED DOCUMENTS. t'Ort;ETrALL ApPLICAFI^ ITFMC . COMPETE SAN ?. CERTIFICATION BELOW OR NOTE IN REMARK E CANNOT I„ WHY THE '� �>:C :::'�_FNG BF. CERTIFIED. �u . Yiw::�.xc 3,.*; �FoRMA.r'toN Tan K # ✓ o` �° \Dc$ 100 1 GALLONS "' TK/GPD A'_T'Lt �- Gt t �SD ' aLLOlvS �` T V ` 1 GALLONS GREASE TNTERCEP'T'OF K /OPD ATL; kA 1 GALLONS DOSING TANK LEGEND: LEGEND: LEGEND: MATT.i21AL chc1 e4 - MATERIAL : MI TERI AL : MATER IAL : BAFFLED: BAFFLED: # PUMPS: -.-..:x.••xs:evt=z:ssxa: sx x:xz..r ;a ximm>-_-. _..-�.. .. •x xrz s:.. s ma:s:a- (Y/ (Y /��- 1 c(( :: CERTIFY THAT THE L/STED 'TANKS WERE PUMPED ON Wet /) ?3Y G • • a i_ rOL AVE �tIMES SPECIFIED AS DETERMINED BY E��IONS / FILLING / LE END 3 f• A :" E:FREE•0OHSERVABL4• �c.FECTS OR LEAKS, RAVE A { SOZ,IDa"�y$CT ON DEVICE / OUTLET rILTER. wi7Io 7 I STAR. • $.TE • • . sc. =mama__=___. -x___________ -,_x____ --_s_______•..._ =--czmarae==svu2siillox.x41iWAc=;z=egu • EXISTING DRAINFIELD INFORMATION SIGN •T . E OF LICENSED CONTRACTOR BUSINESS NAME .••. U W- f kDu) sJ 0 - P -'*i 1 ••.• . • • •• •• •••• • • f1 SQUARE FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES = 1 DIVISIONS : _ • _ X • • 1 SQUARE FEET SYSTEM NO. OF TRENCHES 3 DtME1�Sf ONS :. , • - �• . rssrti - TYPE SYSTEM: { 3 STANDARD i ) FILLED { 1 MOUND t 3 • • • • • CONFIGURATION: 3 TRENCH BED 1 1 . • i �i • • • •• ice" • ~• DESIGN: { 3 HEADER { ) D -BOX (,;Ki) DOSED SYSTi:r! 3 GRAVITY SYSTEM 1 •-• • • ELEVATION OF BOTTOM OF DRAINFIELD IN RELATION TO EXISTING GRADE 40 INCHES ( ABOVE / BELOW) SYSTEM FAILURE AND REPAIR INFORMATION { SITE CONDITIONS: NATURE OF FAILURE: FAILURE SYMPTOM; SYSTEM INSTALLATION DATE GPD ESTIMATED SEWAGE FLOW BASED ON { 1 DRAINAGE STRUCTURES { 1 POOL { 3 SLOPING PROPERTY 1 HYDRA r rc ovE { 3 DRAINAGE 1 1 TYPE OF WASTE OAD { 1 SOILS { OFF, C 1 ROOTS SEWAGE 0 GROUND 1 PLUMB_I ,U BACKUP REMARKS/ADDITIONAL CRITERIA { 1 TANK 1 1 {. 1 DOMESTIC 0C1 COMMERCIAL 1 METERED WATER i )(3 TABLE 1, 1 PATIO / DECK {X(1 PARKING 1 MAIN ANCE 1 WA R TABLE BOX/HEADER 64E-6, FAC DRAINFIELD _Tan( *S DitimbeNii 8Lx3,5wx S8 D ---4re—vutsraNif Fkkemoi` TTi . Tie, SUBMITTED BY: C )` "" TITLE./LICENSE t,P"'QQ{'7 2..& L DATE:6 DH 4015, 08/09 , -'letes previous editions which may not be used) Incorporated 64E-6.001, FAC 713 Page 4 of 4 N 41 tEXISTING TANK INFORMATION ( low— : GALLO, SEP'.f';C TANK/GPD ATU14 "GALLON 1.i , GALLONS SEPTIC TANK/GPD ATU d taco 1 GALLONS G ?vilr �r Iz "TOR �, 1 i GALLON'.- DOSING TANK AT?2r.:I::ANT . STATE OF FLORIA ,ogTiEI;T 0;? ,:.7Y!:: 7t: ''t},i... . ._.. S .i+:AGP TR%,A il`:,'rr AND 7.-.I: P,CS:\L SYSTEM , i . ,:.',.:i'.t .., '.r i'. S E7:,!! ,_ M :t ?A i K t' ALU_ e I ORI b 4 3 CONTRACTOR . AEENT. BLOCK: STA -TENON- SEIniC C.NfN S (NC 2°►..__.__._. STUBsDTV : S H OZS SEc I ; t i -3 - (713- 50 2 Ate.- 3s 1 3720 _... TC BE COMPLETED BY FLORIDA IDA REG 'STERED ENGINEER, DEPARTMENT EMPLOYEE,SEPTI::.: T.7t:. CONTRACTOR OR OTHER R CERT__ IED PERSON. SIO:N AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE =�_._„_ _ _ ;AB- E, ITEMS. . COMPLETE TANK CERTIFICATION BELOW CR NOTE IN REMARKS WHY THE TANKS C,:. Ni•7:)T ._:, L .,.. ......_ _ ... .:..,.: - i„ EGEND : LEGEND: -,. LEGEND: MATERIAL:00a9t0 Q' . MATERIAL MATERIA ,:Cep,n ..- MATERIAL BAS...'EPLErl:Y ICA c-.:.s:r_:ro^.emrs c'•-a-.._._.._..._^..-.xs.-=:n:e rscss-3•a::ne-•-�•••••••-•xas=:;ate-nsc zu.asss=sn=zna>za:c:xaa:rs-z :. '.: ::: :::-:s.-.-=.x�axs==_v ._ _... _. _. ... .....__. 4141•• I CERTIFY THAT THE LISTED TANK5 WERE PUMPED or: lO!c ' A 3 BY THE VOLUMES SPEC'T.F "ED AS DETERMINED BY ( I DEFECTS OR LEAKS ANT! HAVE A ( SOLI liLECTIO G SSS ••«...•' F : • CNS / FILLING / LEGEND ! !a*E:F'Rltic:• E' i:BSEyR`iA3L DEVICE / OUTLET FILTER iiltYLs Iy a�� (' • SIGN OF LICENSED CONTRACTOR BUSINESS NAME s m.•m.uaua.a .nz r.:saxx: z� .cnsscsx x.rx �s 3'a=a s..._... _.s>ax c=xsox EXISTING DRATATFIE'LD INFORMATION • • • • • • • TanK j+. .. .. .... 300 IM-MSSQUARE FEET PRIMARY DRAINFIE. D SYSTEM NO. OF TRENCHES ( 1 DIT ONS : •10 }C 41 41 z, SE T SYSTEM NO. OF TRENCHES i : • +•s, • �,.s : 0 . _.... 1 .�.M...s.3.>• py o.:.. ()C STANDARD ] FILLED ] MOUND ( 3 • • •r•• • • ( 1 TRENCH (.s -----•--t-.-._... ___ .. _..rr• 41.41 • BED 1 .. • .•'. • • • i. HEADER ; 1 D -BOX (..KA GRAVITY SYSTEM DOSED STEM --0 RELATION TO EXISTING GRADE.... INCHES ! ABOVE • �0 AAAI a T: • 911_x.---- • 0410••• • • spa •�►iiia===xzJ�xs�:�_c:e;�a�i�•••t41 • • (k01 SQUARE 'TYPE OF SYSTEM: 04' CONFIGURATION, 4. DESIGN: ELEVATION OF BOTTOM OF DP.AINFIELD IN SYSTEM FAILURE AND REPAIR INFORMATION 1C1 }� 1 SYSTEM INSTALLATION DATE ( 1 GPD ESTIMATED SEWAGE FLOW BASED ON SITE C 1 DRAINAGE STRUCTURES ( 1 POOL CONDITIONS: ( i SLOPING PROPERTY ( 1 TYPE OF WASTE (>) DOMESTIC ( ( ] METERED WATER ()C 1 TABLE ( 1 PATIO / DECK 's COMMERCIAL 1, 6.4E-5, FAC PARKING NATURE OF ( 1 1is'DRP.L•TC OVER •AD i ; SOILS 1 ] FAILURE: ( ] DRAINAGE OFF ( 3 ROOTS ( 3 4ASNTEN: NCE ABLE FAILURE C ) SEWAGE 0 GROUND ( ] TANK ( 1 • BOX/11 <DER SYMPTOM: ( ] PLUMBIN. BACKUP ( 1 Ete 74 AK 3,4 -PC 1-,,,,xcelst3vo �'L �c L w x 3.8 D ti REMARKS/ADDITIONAL CRITERIA .M DAMAGE NFIELD SUBMITTED BY DH 4015, 08/0 Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC � -: 15 -121. 3�i w X..J i L 3F -tt w1 z348 COC Ar11415f. TITLE/LICENSE l'h CY1i Z6'z DATE: (o I ("5 Page 4 of 4 Florida Building Code, Fifth Edition (2014) - Energy Conservation EnergyGauge Summit® Fla/Com-2015, Effective Date: June 30, 2015 IECC 2012 - Total Building Performance Compliance Option Check List Applications for compliance with the Florida Building Code, Energy Conservation shall include: ❑ This Checklist The full compliance report generated by the software that contains the project summary, compliance summary, certifications and detailed component compliance • .. • reports. • The compliance report must include the full input report generated by the sokvian as contigous part of the compliance report. • • ... • Boxes appropriately checked in the Mandatory Section of the complaince repo• rt? • • •.•• • • •••• •• • •• • • • • .• • • .•.• • .•.• • • . . • • • •• . • • • •. • ••• • .•. ..• • •.. • •.• • ••• .•• ••. • • EnergyGauge Summit® FIa/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option 2/8/2017 Page 1 of 23 ••. • • • • • • • • • •• • 2/8/2017 PROJECT SUMMARY Short Desc: Dunkin Donuts Description: Dunkin Donuts Miami Shores Owner: Dunkin Donuts Addressl: 9545 NE 2nd Ave City: Miami Shores Address2: Enter Address here State: Fl Zip: 33138 Type: Dining: Cafeteria/Fast Food Class: New Finished building Jurisdiction: MIAMI SHORES VILLAGE, MIAMI-DADE COUNTY, FL (232600) Conditioned Area: 2007 SF Conditioned & UnConditioned Area: 2007 SF No of Stories: 1 Area entered from Plans 2070 SF Permit No: 0 Max Tonnage 7.5 If different, write in: • • • • • •• • •••• • • •••• ••• •• • • • • • •• ••• •••••• • •••• • • • • •••• • •••• • • • •• •• •••• • • • • •• • • • • • • Compliance Summary • • • • • • • •••4 Component • • • Design Criteria Result• •• •••, • Gross Energy Cost (in $) 1,960.0 2,187.0 PASSED LIGHTING CONTROLS PASSES EXTERNAL LIGHTING PASSES HVAC SYSTEM FAILS PLANT No Entry WATER HEATING SYSTEMS PASSES PIPING SYSTEMS PASSES Met all required compliance from Check List? Yes/No/NA IMPORTANT MESSAGE Info 5009 -- -- -- An input report of this design building must be submitted along with this Compliance Report EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option Page 2 of 23 • :• • • 2/8/2017 CERTIFICATIONS I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code Prepared By: Building Official: Date: 02/08/2017 certify that this building is in compliance with the FLorida Energy Efficiency Code Owner Agent: Date: Date: If Required by Florida law, I hereby certify (*) that the system design is in compliance with the Florida EnergX • • • Efficiency Code . •••• • ••••••• Architect: 'T°"-- Reg No: a00. ' • • • .•• Electrical Designer: Lighting Designer: • Reg No: •... • .•.►.. • • •••• • ••• ►• • • •••• ••• ••• • •••• •••••• • • ••• •.• Reg No: . • •. .• Mechanical Designer: Reg No:: • • Plumbing Designer: (') Signature is required where Florida Law requires design t professionals. Typed names and registration numbers may contained on signed/sealed plans. • . • •• EnergyGauge Summit® FIa/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option Page 3 of 23 ••• • • 2/8/2017 Project: Dunkin Donuts Title: Dunkin Donuts Miami Shores Type: Dining: Cafeteria/Fast Food (WEA File: FL_MIAMI_OPA_LOCKA.tm3) Building End Uses Total 1) Proposed 124.00 $1,960 2) Baseline 162.20 $2,573 ELECTRICITY(MBtu/kWh/$) 124.00 162.20 36360 47561 $1,960 $2,573 AREA LIGHTS MISC EQUIPMT 18.70 5482 $295 16.90 4953 $267 •• •••87.00 • 7921 • $429 . • •• • • •••• •• • • • .• • ••4 •• • .•• �• ••« ••W' • • • •....16.90 • ••• ..•..• 4953 : 2/8/2017 Project: Dunkin Donuts Title: Dunkin Donuts Miami Shores Type: Dining: Cafeteria/Fast Food (WEA File: FL_MIAMI_OPA_LOCKA.tm3) External Lighting Compliance Description Category Tradable? Allowance (W/Unit) Area or Length ELPA or No. of Units (W) (Sqft or ft) CLP (W) Ext Light 2 Uncovered Parking Areas -- Yes 0.15 Parking lots and Drives 800.0 120 700 Tradable Surfaces: 700 (W) Allowance for Tradable: 830 (W) All External Lighting: 700 (W) Complicance check includes a excess/Base allowance of 750.00(W) PASSES Project: Dunkin Donuts Title: Dunkin Donuts Miami Shores Type: Dining: Cafeteria/Fast Food (WEA File: FL_MIAMI_OPA_LOCKA.tm3)_ • •• •• •• _ Lighting Controls Compliance • • • ' ' •.•. ..• Acronym Ashrae Description Area ID (sq.ft) Design. • • Min CP. •.. P 1 .. Compli- . am. ... . " Seating A 8 Food Service - Leisure Dining 480 Service and Sales 8 Food Service - Leisure Dining 370 Rest Rooms 6 Toilet and Washroom 164 Kitchen A 7 Food Service - Kitchen 220 Seating B 8 Food Service - Leisure Dining 256 Cooler Area 7 Food Service - Kitchen 160 Office 17 Office - Enclosed 100 Kitchen B 7 Food Service - Kitchen 256 .41.... 1 • £' • • . 1 :40r: 1 • 1 • 1 ; 1 • • . 1 .1' • 1 1 1 1 1 PAS,&& 146. S PASSES Pi1SBS PASSES PetsSEg PASSIM PASSES ..: .. • • • • • • PASSES EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option Page 5 of 23 2/8/2017 Project: Dunkin Donuts Title: Dunkin Donuts Miami Shores Type: Dining: Cafeteria/Fast Food (WEA File: FL MIAMI OPA LOCKA.tm3) System 1 System Report Compliance System 1 Constant Volume Packaged System No. of Units 1 Component Category Capacity Design Eff Design Eff Criteria IPLV IPLV Comp- Criteria liance Cooling System Heating System Air Handling System -Supply Air Conditioners Air Cooled 65000 to 135000 Btu/h Cooling Capacity Electric Furnace Air Handler (Supply) - Constant Volume 90000 34121 3000 13.00 11.20 8.00 1.00 1.00 0.80 0.82 11.40 FAILS PASSES PASSES System 2 System 2 Constant Volume Air Cooled Split System < 65000 l;tu/lu' . .. . • Nut of Units •• •••• •1• I _._ . Component Category Capacity • •. ..i Design Eff Design:.. IPLV . Comp- . Eff Criteria IPI. .. Criteria .liance : • • Cooling System Heating System Air Handling System -Supply Air Conditioners Air Cooled Split System < 65000 Btu/h Cooling Capacity Electric Fumace Air Handler (Supply) - Constant Volume 60000 25591 2000 13.00 13.00 S13D... .. • • • • 1.00 1.00 • • 0.80 0.82 • •. • • • • ....PASSE.,s, .... • • • . • • PASS1'i& . •. • PASSEKS• • • • • • System 3 System 3 Constant Volume Air Cooled Split System < 65000 Btu/hr No. of Units 1 Component Category Capacity Design Eff Design Eff Criteria IPLV IPLV Comp- Criteria liance Cooling System Heating System Air Handling System -Supply Air Conditioners Air Cooled Split System < 65000 Btu/h Cooling Capacity Electric Furnace Air Handler (Supply) - Constant Volume 48000 17060 1600 14.00 13.00 8.00 1.00 1.00 0.80 0.82 PASSES PASSES PASSES FAILS EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option Page 6 of 23 • . . • • •. 2/8/2017 Project: Dunkin Donuts Title: Dunkin Donuts Miami Shores Type: Dining: Cafeteria/Fast Food (WEA File: FL_MIAMI_OPA_LOCKA.tm3) Water Heater Compliance •••• Description Type Category Design Min Dgsig :. Max cow • Eff Eff rope toss nc% '.. 1 ••• Water Heater 2 Electric water heater <= 12 [kW] 0.89 0.86 • PASSES . •• • ••• •••• • • • •••• __- •••r • PASSES •• •••• •• Project: Dunkin Donuts ... • Title: Dunkin Donuts Miami Shores • .'. • •• • ••• • • Type: Dining: Cafeteria/Fast Food • • (WEA File: FL_MIAMI_OPA_LOCKA.tm3) Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins Req Ins Compliance [inches] Runout? Temp [Btu-in/hr Thick [in] Thick [in] [F] .SF.F] Plant Compliance PASSES Description Installed No Size Design Eff Min Eff Design IPLV Min Category IPLV Comp fiance I None ] Project: Dunkin Donuts Title: Dunkin Donuts Miami Shores Type: Dining: Cafeteria/Fast Food (WEA File: FL_MIAMI_OPA_LOCKA.tm3) Water Heater Compliance •••• Description Type Category Design Min Dgsig :. Max cow • Eff Eff rope toss nc% '.. 1 ••• Water Heater 2 Electric water heater <= 12 [kW] 0.89 0.86 • PASSES . •• • ••• •••• • • • •••• __- •••r • PASSES •• •••• •• Project: Dunkin Donuts ... • Title: Dunkin Donuts Miami Shores • .'. • •• • ••• • • Type: Dining: Cafeteria/Fast Food • • (WEA File: FL_MIAMI_OPA_LOCKA.tm3) Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins Req Ins Compliance [inches] Runout? Temp [Btu-in/hr Thick [in] Thick [in] [F] .SF.F] Domestic and Service Hot Water 0.25 True 105.00 0.28 0.50 0.50 PASSES Systems PASSES EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option Page 7 of 23 •• • • •• • • • • • • •• 2/8/2017 Mandatory Requirements (as applicable) Topic Mandatory requirements compiled by US Department of Energy and Pacific Northwest National Laboratory. Adopted with permission Section Component Description Yes N/A Exempt 1. To be checked by Designer or Engineer Fenestration Insulation Wattage Wattage Wattage HVAC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC C402.2.7 Envelope U -factor of opaque doors associated with the building thermal envelope meets requirements. C402.2.1.1 Envelope High -albedo roofs satisfy one of the following: 3 -year -aged solar reflectance >= 0.55 and thermal emittance >= 0.75, 3 -year -aged solar reflectance index >= 64.0, initial year solar reflectance >_ 0.70 and thermal emittance >= 0.75, or initial year solar C405.6 Exterior Lighting Exterior grounds lighting over 100 W provides >60 Im/W unless on motion sensor or fixture is exempt from scope of code or from extemal LPD. C405.4 Interior Lighting Exit signs do not exceed 5 watts per face. C405.2.3 Interior Lighting Additional interior lighting power allowed for special functions per the approved lighting plans and is automatically controlled and separated from general lighting. • • C403.2.6 Mechanical Exhaust air energy recovery on systems meeting • Table C403.2.6 • • • C403.3.1,C403.3.1.1 Mechanical Air economizers provided where required, meet* the requirements for design capacity, control• • • • • signal, ventilation controls, high -limit shut-qft • • • • integrated economizer control, and provide a • • • means to relieve excess outside air during operation.• • •• •• C403.3.1,C403.4.1 Mechanical Water economizers provided where required, meet the requirements for design capacity. • • maximum pressure drop and integrated • • economizer control. • • C403.4.1.4 Mechanical Economizer operation will not increase heating • energy use during normal operation. C403.2.10.1 Mechanical HVAC fan systems at design conditions do not exceed allowable fan system motor nameplate hp or fan system bhp. C403.2.10.2 Mechanical HVAC fan motors not larger than allowable limits. C404.2 Mechanical Service water heating equipment meets efficiency requirements. C403.2.3 Mechanical Centrifugal fan open -circuit cooling towers having combined rated capacity >= 1100 gpm meets minimum efficiency requirement: >=38.2 gpm/hp. do ❑ d❑ ❑ d❑❑ ref ❑ ❑ d❑•••• ❑ • d'o ❑:.. ••• • • • • ••• • •••• ••• •„, d•• � o.� d❑ ❑ 2. To be checked by Pian Reviewer Air Leakage Insulation Plan Review C402.4.7 C402.2.6 C103.2 Envelope Envelope Envelope Vestibules are installed on all building entrances. Doors have self -dosing devices. Slab edge insulation depth/length. Slab insulation extending away from building is covered by pavement or >= 10 inches of soil. Plans and/or specifications provide all information with which compliance can be determined for the building envelope and document where exceptions to the standard are claimed. EnergyGauge Summit® FIa/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option Page 8 of 23 • • ••• •• • • • •• • •• • •• • 2/8/2017 Plan Review C103.2 Wattage Pian Review HVAC HVAC Plan Review Plan Review C405.6.2 C103.2 C403.2.5.1 C403.2.4.3 C103.2 C103.2 SYSTEM_SPECIFIC C403.4.5 SYSTEM_SPECIFIC C403.4.3.1 SYSTEM_SPECIFIC C403.4.3.2 SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC C403.4.3.3.1 C408.2.2.2 C403.4.2 SYSTEM_SPECIFIC C403.4.2.1 SYSTEM_SPECIFIC C403.4.2.2 SYSTEM_SPECIFIC C403.4.5.4 SYSTEM_SPECIFIC C403.4.3.4 Exterior Lighting Plans, specifications, and/or calculations provide all information with which compliance can be determined for the exterior lighting and electrical systems and equipment and document where exceptions to the standard are claimed. Information provided should include exterior lighting power calculations, wattage of bulbs and ballasts, transformers and control devices. Exterior Lighting Exterior lighting power is consistent with what is shown on the approved lighting plans, demonstrating proposed watts are less than or equal to allowed watts. Interior Lighting Plans, specifications, and/or calculations provide all information with which compliance can be determined for the interior lighting and electrical systems and equipment and document where exceptions to the standard are claimed. Information provided should include interior lighting power calculations, wattage of bulbs and ballasts, transformers and control devices. Mechanical Demand control ventilation provided for spaces >500 ft2 and >25 people/1000 ft2 occupant density and served by systems with air side economizer, auto modulating outside air damper control, or design airflow >3,000 cfm. Mechanical Each zone equipped with setback controls using automatic time clock or programmable control system. Mechanical Plans, specifications, and/or calculations p pvide• • • all information with which compliance can be• • • determined for the mechanical systems ane equipment and document where exceptions tpA., standard are claimed. Load calculations per*, • • acceptable engineering standards and • • handbooks. • • Mechanical Plans, specifications, and/or calculations p1b48 • • all information with which compliance can be* • • determined for the service water heating sYS&% , • and equipment and document where exc4tionS : to the standard are claimed. Hot water system • sized per manufacturer's sizing guide. • • • Mechanical Zone controls can limit simultaneous heatinVhd • cooling and sequence heating and cooling to each zone. Mechanical Three -pipe hydronic systems using a common retum for hot and chilled water are not used. Mechanical Two -pipe hydronic systems using a common distribution system have controls to allow a deadband >=15 °F, allow operation in one mode for at least 4 hrs before changeover, and have rest controls to limit heating and cooling supply temperature to <=30 °F. Mechanical Hydronic heat pump systems connected to a common water loop meet heat rejection and heat addition requirements. Mechanical HVAC hydronic heating and cooling coils have means to balance and have pressure test connections. Mechanical VAV fan motors >=7.5 hp to be driven by variable speed drive, have a vane -axial fan with variable pitch blades, or have controls to limit fan motor demand. Mechanical VAV fans have static pressure sensors positioned so setpoint <=1/3 total design pressure. Mechanical Reset static pressure setpoint for DDC controlled VAV boxes reporting to central controller based on the zones requiring the most pressure. Mechanical Multiple zone HVAC systems have supply air temperature reset controls. Mechanical Hydronic systems greater than 300,000 Btu/h designed for variable fluid flow. ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ •••• • Q:� ❑••• • • • • •• • • ••• • • • • ••• ❑ :E� ❑••: •••• ••• • • • ••• • . 0•❑ ❑••• ❑ ❑❑ ❑ ❑❑ EnergyGauge Summit® FIa/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option Page 9 of 23 ••• .• • ••• • • • • •• •• • ••• •• • ••• • ••• • •• •• ••• • • D. 2/8/2017 SYSTEM SPECIFIC C403.4.3.4 Mechanical Temperature reset by representative building loads in pumping systems for chiller and boiler systems >300,000 Btu/h. SYSTEM SPECIFIC C403.4.4 Mechanical Fan systems with motors >=7.5 hp associated with heat rejection equipment to have capability to operate at 2/3 of full -speed and auto speed controls to control the leaving fluid temperature or condensing temp/pressure of heat rejection device. Plan Review C406 Project Plans, specifications, and/or calculations provide all information with which compliance can be determined for the additional energy efficiency package options. Plan Review C402.3.2.2 Envelope Skylights in office, storage, automotive service, manufacturing, non -refrigerated warehouse, retail store, and distribution/sorting area have a measured haze value > 90 percent unless designed to exclude direct sunlight. 3. To be checked by Inspector Air Leakage Air Leakage Air Leakage Air Leakage Air Leakage Fenestration Fenestration Insulation Insulation Insulation Insulation Insulation Insulation Insulation Insulation Insulation Insulation C402.4.1,C402.4.2 Envelope The building envelope contains a continuous air barrier that Is sealed in an approved manner and either constructed or tested in an approved manner. Air barrier penetrations are sealed in an approved manner. C402.4.3,C402.4.4 Envelope Factory -built fenestration and doors are labeled as meeting air leakage requirements. • • • C402.4.1.1 Envelope All sources of air leakage in the building thermal •• envelope are sealed, caulked, gasketed, woittjtypg • • stripped or wrapped with moisture • vapor -permeable wrapping material to minimize air leakage. • "' • • C402.4.6 Envelope Weatherseals installed on all loading dock catgb• • doors. • • C402.4.8 Envelope Recessed luminaires in thermal envelope to RmlP • infiltration and be IC rated and labeled. Seal between interior finish and luminaire housiae. • • • C303.1.3 Envelope Fenestration products rated in accordanceith • NFRC. • • • •• • C303.1.3 Envelope Fenestration products are certified as to performance labels or certificates provided. C303.2 Envelope Below -grade wall insulation installed per manufacturer's instructions. C303.2 Envelope Slab edge insulation installed per manufacturer's instructions. C403.2.7,C408.2.8,C4, Envelope Exterior insulation protected against damage, sunlight, moisture, wind, landscaping and equipment maintenance activities. C402.4.2.1 Envelope Roof R -value. For some ceiling systems, verification may need to occur during Framing Inspection. C303.2 Envelope Roof insulation installed per manufacturer's instructions. Blown or poured loose -fill insulation is installed only where the roof slope is <=3 in 12. C402.2.1 Envelope Skylight curbs are insulated to the level of roofs with insulation above deck or R-5. C303.2 Envelope Above -grade wall insulation installed per manufacturer's instructions. C303.2 Envelope Floor insulation installed per manufacturer's instructions. C303.1 Envelope Building envelope insulation is labeled with R -value or insulation certificate providing R -value and other relevant data. C303.2.1 Envelope Exterior insulation is protected from damage with a protective material. Verification for exposed foundation Insulation may need to occur during Foundation Inspection. ❑ ❑❑ D.G. 0 •••• ••• D•13• ❑ • •• ••• • • ••• • • • ❑ ••• • p•13 ❑••• • • ••• ❑ • ••• 0.•u ❑• ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fitch Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option Page 10 of 23 r•• • r•• • 2/8/2017 Insulation C402.2.1 Envelope Insulation intended to meet the roof insulation requirements cannot be installed on top of a suspended ceiling. Mark this requirement compliant if insulation is installed accordingly. Controls C405.2.4 Exterior Lighting Automatic lighting controls for exterior lighting installed. Controls C405.2.2.1 Interior Lighting Automatic controls to shut off all building lighting installed in all buildings. Controls C405.2.1.1 Interior Lighting Independent lighting controls installed per approved lighting plans and all manual controls readily accessible and visible to occupants. Controls C405.2.1.2 Interior Lighting Lighting controls installed to uniformly reduce the lighting load by at least 50%. Controls C405.2.2.3 Interior Lighting Daylight zones provided with individual controls that control the lights independent of general area lighting. Controls C405.2.3 Interior Lighting Sleeping units have at least one master switch at the main entry door that controls wired luminaires and switched receptacles. Controls C405.2.2.2 Interior Lighting Occupancy sensors installed in required spaces. Controls C405.2.2.3 Interior Lighting Primary sidelighted areas are equipped with required lighting controls. Controls 0405.2.2.3 Interior Lighting Enclosed spaces with daylight area under skylights and rooftop monitors are equipped with required lighting controls. Controls C405.2.3 Interior Lighting Separate lighting control devices for specificcuses• • • Installed per approved lighting plans. • • • Controls C405.3 Interior Lighting Fluorescent luminaires within odd numberecfI rfl • • configurations that are with 10 feet center to center (if recess mounted) or are within 1 foot. • • • edge to edge (if pendant or surface mounted). • • • • shall be tandem wired. Wattage C405.5.2 Interior Lighting Interior installed lamp and fixture lighting powers • consistent with what Is shown on the approftd • • lighting plans, demonstrating proposed watts ere. • • • less than or equal to allowed watts. • •• HVAC C403.2.4.5 Mechanical Freeze protection and snow/ice melting system • sensors for future connection to controls. • • • •• • HVAC C403.2.3 Mechanical HVAC equipment efficiency verified. Alr Leakage C402.4.5.1 Envelope Stair and elevator shaft vents have motorized dampers that automatically close. Air Leakage C402.4.5.2 Envelope Outdoor air and exhaust systems have motorized dampers that automatically shut when not in use and meet maximum leakage rates. Check gravity dampers where allowed. HVAC C403.2.8.1 Mechanical Piping Insulation exposed to weather is protected from damage (due to sun, moisture, wind, etc.). HVAC C403.2.7 Mechanical HVAC ducts and plenums insulated. Where ducts or plenums are installed in or under a slab, verification may need to occur during Foundation Inspection. HVAC C403.2.8 Mechanical Thermally ineffective panel surfaces of sensible heating panels have insulation >= R-3.5. HVAC C403.2.7 Mechanical Ducts and plenums sealed based on static pressure and location. HVAC C408.2.2.1 Mechanical Air outlets and zone terminal devices have means for air balancing. HVAC C403.2.11 Mechanical Unendosed spaces that are heated use only radiant heat. HVAC C403.2.4.1 Mechanical Heating and cooling to each zone is controlled by a thermostat control. HVAC C403.2.4.2 Mechanical Thermostatic controls have a 5 °F deadband. HVAC C403.2.4.2 Mechanical Temperature controls have setpoint overlap restrictions. o ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑ ❑ ❑❑❑ •••• L :E giro.❑ •YI • ••I • • • cl ❑ i• ••. • • • • • 1�1 • Erni ❑ • ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ ❑ ❑❑ EnergyGauge Summit® FIa/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option Page 11 of 23 ••• • • • • ••• • • • • ••• a • • ••• • ••• • 2/8/2017 HVAC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC SYSTEM_SPECIFIC Testing C403.2.4.3 Mechanical C404.3 Mechanical C404.4 Mechanical C404.2 Mechanical C403.2.3 Mechanical C403.4.2 Mechanical C403.2.8 Mechanical C403.2.7.1.3 Mechanical C403.4.3.5 Mechanical C403.4.3.3.3 Mechanical C403.4.6 Mechanical C403.4.7 Mechanical C403.2.4.2 Mechanical C403.2.4.3.3 Mechanical C403.2.4.1.1 Mechanical C404.3 Mechanical C404.5 Mechanical C404.5 Mechanical C404.5 Mechanical C404.6 Mechanical C404.7.1 Mechanical C404.7.3 Mechanical C404.7.2 Mechanical C408.2.3.2 Mechanical Automatic Controls: Setback to 55°F (heat) and 85°F (cool); 7 -day clock, 2 -hour occupant override, 10 -hour backup Temperature controls installed on service water heating systems (110 °F for dwelling units and lavatories in public restrooms and 90 °F for other occupancies.) Automatic time switches installed to automatically switch off the recirculating hot-water system or heat trace. Heat traps installed on non -circulating storage water tanks. PTAC and PTHP with sleeves 16 in. by 42 in. labeled for replacement only as per Footnote b to Table C403.2.3(3). VAV fan >= 7.5 hp are driven by mechanical or electrical variable speed drive, or driven by vane -axial with variable speed blades, or operate with motor demand <=30% design kW at 50% design flow - calculations required HVAC piping insulation thickness. Where piping is Installed in or under a slab, verification may need to occur during Foundation Inspection. Ductwork operating >3 in. water column requires air leakage testing. Reduce flow in pumping systems >10 hp to multiple chillers or boilers when others are shut down. • • • Two -position automatic valve interlocked to silo► •• off water flow when hydronic heat pump witty pumping system >10 hp is off. Condenser heat recovery system that can heat water to 85 °F or provide 60% of peak heat , ' • • • rejection is installed for preheating of service Ndt • • water in 24/7 facility, water cooled systems •eject• • s >6 MMBtu, SHW Toad >=1 MMBtu.• • •• •• Hot gas bypass limited to: <=240 kBtu/h — 50% • • • >240 kBtu/h — 25% • • Heating and cooling to each zone Is controil•9d b • a thermostat control. Minimum one humidity• • • control device per installed humidification/dehumidification system. Systems include optimum start controls. • Heat pump controls prevent supplemental electric resistance heat from coming on when not needed. Public lavatory faucet water temperature <=110°F. All piping in circulating system insulated First 8 ft of outlet piping is insulated All heat traced or extemally heated piping insulated Controls are installed that limit the operation of a recirculation pump installed to maintain temperature of a storage tank. Pool heaters are equipped with on/off switch and no continuously buming pilot light. Vapor retardant pool covers are provided for heated pods and permanently installed spas. Time switches are installed on all pool heaters and pumps. HVAC control systems have been tested to ensure proper operation, calibration and adjustment of controls. EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option Page 12 of 23 ••• •• • • • •• ••• ••• ••• • ••• • 2/8/2017 Mandatory Additional Eff C406 Project Efficient HVAC performance, efficient lighting LJ El a system, or on-site supply of renewable energy consistent with what is shown the approved plans. Insulation C402.2.8 Project Bottom surface of floor structures incorporating El EJ El radiant heating insulated to >=R-3.5. 4. To be checked by Inspector at Project Completion and Prior to Issuance of L , _ Certificate of Occupancy Post Construction C408.3 Exterior Lighting Lighting systems have been tested to ensure El CFO - proper _ calibration, adjustment, programming, and operation. Post Construction C408.2.5.1 Interior Lighting Furnished as -built drawings for electric power El El 13 systems within 30 days of system acceptance. Post Construction C303.3,C408.2.5.2 Interior Lighting Furnished O&M instructions for systems and El ID Ell equipment to the building owner or designated representative. Post Construction C408.3 Interior Lighting Lighting systems have been tested to ensure El CI El proper calibration, adjustment, programming, and operation. Post Construction C408.2.5.1 Mechanical Furnished HVAC as -built drawings submitted El El ID within 90 days of system acceptance. Post Construction C303.3,C408.2.5.2 Mechanical Fumished O&M manuals for HVAC systems El 0 El within 90 days of system acceptance. Post Construction C408.2.5.3 Mechanical An air and/or hydronic system balancing report is 0 • Irt;'J El provided for HVAC systems. Post Construction C408.2.1 Mechanical Commissioning plan developed by register4• • • • • • design professional or approved agency. • • • • Post Construction C408.2.4 Mechanical Preliminary commissioning report completed &,d: • • ip •0 • • • certified by registered design professional of • approved agency. •••• • • 191 Post Construction C408.2.5.4 Mechanical Final commissioning report due to building aril, • within 90 days of receipt of certificate of •••• • occupancy. • • • Post Construction C408.2.3.1 Mechanical HVAC equipment has been tested to ensurd' " pl• �Ljs.'J� El • • • proper operation. • • • Post Construction C408.2.3.3 Mechanical Economizers have been tested to ensure proper • [1•a0 • • • operation. . •• • • • ••• •• • ••• 1 • EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option Page 13 of 23 ••• • • • ••• • ••• • • • •• ••• • • • • • • Input Data Report Proi ect Information Project Name: Dunkin Donuts Address: 9545 NE 2nd Ave Owner: Dunkin Donuts Building Type: Dining: Cafeteria/Fast Food No.of Stories: 1 Bldg. Rotation: None Project Title: Dunkin Donuts Miami Shores State: FI Building Classification: New Finished building GrossArea (SF): 2,007 Zip: 33138 EnergyGauge Summit® FIa/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option 2/8/2017 Page 14 of 23 Zones • .... • No Acronym Description Type Area isfl Mslti • - Tete Asea • lir • • .... . . . -r--.--r • . 1 Zone 1 Zone I CONDITIONED 1013.9 ...L.' :fli39' . ... 2 Zone 2 Zone 2 CONDITIONED 476.3 ..01 4746.3. • • ...' 3 Zone 3 Zone 3 CONDITIONED 516.4 • • .541(»4 • ..... 1L.' • Spaces • ' .. No Acronym Description Type Depth Width Height Mult Total Total [ft] [ft] [ft] Area Vol[cf] Id] In Zone: Zone 1 1 Seating A Seating A Food Service - Leisure Dining 10.12 47.42 10.00 1 480.0 4800.0 ❑ 2 Service and Sale! Service and Sales Food Service - Leisure Dining 7.80 47.42 10.00 1 370.0 3699.9 3 Rest Rooms Rest Rooms Toilet and Washroom 11.71 14.00 10.00 1 163.9 1639.4 ❑ In Zone: Zone 2 1 Kitchen A Kitchen A Food Service - Kitchen 28.38 7.75 10.00 1 219.9 2199.5 2 Seating B Seating B Food Service - Leisure Dining 20.00 12.82 10.00 1 256.4 2564.0 ❑ In Zone: Zone 3 1 Cooler Area Cooler Area Food Service - Kitchen 21.33 7.50 10.00 1 160.0 1599.8 EJ 2 Office Office and Back Area Office - Enclosed 20.00 5.00 10.00 1 100.0 1000.0 3 Kitchen B Kitchen B Food Service - Kitchen 20.00 12.82 10.00 1 256.4 2564.0 EJ EnergyGauge Summit® FIa/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option 2/8/2017 Page 14 of 23 Lighting No Type Category No. of Luminaires Watts per Power Control Type Luminaire [W] No.of Ctrl pts In Zone: Zone 1 In Space: Seating A 1 LED In Space: 1 LED 2 LED In Space: 1 LED Service and Rest Rooms In Zone: Zone 2 In Space: Kitchen A 1 LED In Space: Seating B 1 LED In Zone: Zone 3 In Space: Cooler Area 1 Compact Fluorescent In Space: Office 1 LED In Space: Kitchen B 1 LED Sales General Lighting General Lighting General Lighting General Lighting General Lighting General Lighting General Lighting General Lighting General Lighting 12 45 540 Manual On/Off 4 45 180 Manual On/Off 4 55 220 Manual On/Off 2 55 110 Manual On/Off 2 65 130 ManualOn/Off. •• • 4 45 180 Manual 4Qf'• ...• •••• 4 35 140 Manual MON .. 1 65 65 ManualOn/Off• • • ••• • 5 45 225 Manual On/Off •••• • • •. • • •• • • • • • •• • • 1 1 1 1 1 ••�..• • •• 1 •••• ••• • • • • • • 1 •••• • ..• • • • •1 0 EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option 2/8/2017 Page 15 of 23 Walls (Walls will be rotated clockwise by building rotation value) No Description Type Width II (Effec) Multi Area Orient Cond- Beat Dens. R -Value [ft] [ft] plier [sf] ation uctance Capacity [1b/ct] [h.sf.FBta] IBtu/h.sf.F1 [Btu/sf.F[ In Zone: Zone 1 1 West Seating A Dunkin Donuts Wall 12.50 12.00 1 150.0 West 0.1466 9.817 63.68 6.8 El Construct 2 NW Seating A Dunkin Donuts Wall 15.00 12.00 1 180.0 North 0.1466 9.817 63.68 6.8 ❑ Construct West 3 North Seating A Dunkin Donuts Wall 10.58 12.00 1 127.0 North 0.1466 9.817 63.68 6.8 0 Construct 4 West Seating A Dunkin Donuts Wall 3.00 12.00 1 36.0 West 0.1466 9.817 63.68 6.8 0 Construct 5 East Seating A Dunkin Donuts Wall 6.83 12.00 1 82.0 East 0.1466 9.817 63.68 6.8 El Construct 6 East Rest Rooms Dunkin Donuts Wall 12.50 12.00 1 150.0 East 0.1466 9.817 63.68 6.8 ED Construct • • • • In Zone: Zone 2 ' ' 1 West Seating B Dunkin Donuts Wall 18.66 12.00 1 223.9 West 0.1466 ' • •4'.81: .61.68 •• 6.8 ri Construct •• ' ' 2 North Seating B Dunkin Donuts Wall 3.08 12.00 1 37.0 North 0.1466 , • •1$17 63.611 6.8• `T J. Construct "' ' •••• • • • • In Zone: Zone 3 •• •••• • 1 East Cooler Dunkin Donuts Wall 21.33 12.00 1 256.0 East 0.1466 • • „Via 634 .. 6.8• • .CI' Construct • • •• •• •• •••• 2 East Kitchen B Dunkin Donuts Wall 4.25 12.00 1 51.0 East 0.1466 • • •99ljl l 63.6$ 6.8 12 Construct • • • • • • • • • • . • • ••• • • • • • EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option 2/8/2017 Page 16 of 23 Windows (Windows will be rotated clockwise by building rotation value) No Description Orientation Shaded U SHGC [Btu/hr sf F] Vis.Tra W [ft] H (Effec) Multi Total Area [ft] plier [sfJ In Zone: Zone 1 In Wall: East Seating A 2 Side Door East In Wall: North Seating A 1 Front Glass North In Wall: NW Seating A 1 Front Door and NorthWest Glass In Wall: West Seating A 1 Side Glass West In Zone: Zone 2 In Wall: West Seating B 1 Side Seating Glass West In Zone: Zone 3 In Wall: East Kitchen B 1 Side Door East No No No No No No 0.3000 0.3000 0.3000 0.3000 0.3000 0.3000 0.30 0.30 0.30 0.30 0.30 0.30 0.76 0.76 0.76 0.76 0.76 0.76 3.00 9.00 12.00 9.00 9.00 3.00 8.00 1 24.0 8.00 1 72.0 10.00 1 120.0 8.00 1 72.0 8.00 1•••••• 72.0 • • •••• .•••111 • • • •• • •• • • •• ••• • • • 13:04)• 1• • • 24.0. • • • ••••14-1 •••• • • • • • •••• • --- • EJ 9 EJ • • • • Doors . • • .. • No Description Type Shade? Width H (Effec) [ft] Multi Area plier [sf] Cold.• • • Dens.. Ht Cap. t..:.[fti [Btu/h.stiF] • [[b/cf[• • •[$tIsf. [11.sf.F/ • 11 Btu] In Zone: In Wall: EnergyGauge Summit® FIa/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option 2/8/2017 Page 17 of 23 EnergyGauge Summit® FIa/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option 2/8/2017 Page 18 of 23 Roofs No Description Type Width H (Effec) Multi Area Tilt Cond. Heat Cap Dens. R-Value [ft] [ft] plier [sf] [deg] [Btu/h.Sf. F] [Btu/sf. F] [Ib/cf] [h.sf.FBtu In Zone: Zone 1 I Zone 1 Roof In Zone: Zone 2 1 Zone 2 Floor In Zone: Zone 3 1 Zone 3 Roof Dunkin Donuts Roof Construct Dunkin Donuts Roof Construct Dunkin Donuts Roof Construct 50.42 20.12 1 1014.4 0.00 0.0301 0.87 5.01 33.2 50.42 9.45 1 476.4 0.00 0.0301 0.87 5.01 33.2 EJ 50.42 115.00 1 5798.0 0.00 0.0301 0.87 5.01 33.2 EJ Skylights No Description Type • • U SHGC Vis.Trans W H (Effec) : Mt Ara' • •Total Ater • ; • [Btu/hr sf F] [ft] [ft] Vier • [gr. • . [Sf] • . . In Zone: In Roof: - - • .... .. .• .... • ' .. . ... . • . Floors No Description Type Width H (Effec) Multi Area Cond. Heat Cap. Dens. R-Value [ft] [ft] plier [sf] [Btu/h.sf.F [Btu/sf. F] [lb/cf] [h.sf.FBtu In Zone: Zone 1 1 Zone 1 Floor In Zone: Zone 2 1 Zone 2 Floor In Zone: Zone 3 1 Zone 3 Floor 1 ft. soil, concrete floor and tile 1 ft. soil, concrete floor and tile 1 ft. soil, concrete floor and tile 50.42 20.12 1 1014.4 0.3952 34.75 113.47 2.53 1 50.42 9.45 1 476.4 0.3952 34.75 113.47 2.53 1 50.42 11.50 1 579.8 0.3952 34.75 113.47 2.53 1 EnergyGauge Summit® FIa/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option 2/8/2017 Page 18 of 23 EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option 2/8/2017 Page 19 of 23 Systems System 1 System 1 Constant Volume Packaged No. Of Units System 1 Component Category Capacity Efficiency IPLV 1 2 3 Cooling System Heating System Air Handling System -Supply 90000.00 34121.00 3000.00 13.00 8.00 ❑ 1.00 ❑ 0.80 ❑ System 2 System 2 Constant Volume Air Cooled No. Of Units Split System < 65000 Btu/hr 1 Component Category Capacity Efficiency IPLV 1 2 3 Cooling System Heating System Air Handling System -Supply 60000.00 25591.00 2000.00 13.00 8.00 ❑ 1.00 ❑ •••• ••. 0.80 .0. System 3 System 3 Constant Volume Air g,gpje,d : • .Alb. Of WO.: Split System < 65004 Btu/hr . 1• • Component Category Capacity .... • • • Efficiency ' ... .' IPLV. 1 2 3 Cooling System Heating System Air Handling System -Supply 48000.00 17060.00 1600.00 14.00 . . 8.00 ; I"' i • er 1.00 • �. 0.80 • • •. • • CI:. • • • . . • . . .. . .•. . • . Plant Equipment Category Size Inst.NoEff. IPLV Water Heaters W -Heater Description Capacity Cap.Unit UP Rt. Efficiency Loss 1 Electric water heater 80 [Gal] 12 [kW] 0.8900 [Ef] [Btu/h] ❑ EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option 2/8/2017 Page 19 of 23 Ext-Lighting Description Category No. of Watts per Lumin- Lumin- aires aire Area/Len/No Control Wattage 1st/ft/No] Type [W] 1 Ext Light 2 Uncovered Parking Areas -- 4 175 Parking lots and Drives 800.00 Photo Sensor control 700.00 ❑ Piping No Type Operating Insulation Temp Conductivity [F] [ Btu-in/h.sf.F] Nomonal pipe Insulation Is Diameter Thickness Runout? (in] [in] 1 Domestic and Service Hot Water 105.00 0.28 Systems .... • 0.S' • Yes' • • • • 0.25; . • • t) • • • • • • . • . •• . • • Fenestration Used .... • . • •••• ...• • . . •. .. .... Name Glass Type No. of Glass SHGC Panes Conductance• [Btu/h.sf.F]• ••• • VLT • • • •• . . • •• .. • ••• . • • • . Dunkin Donuts User Defined 2 0.3000 0.3000 Storefront 0.7600 EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option 2/8/2017 Page 20 of 23 Materials Used Mat No Acronym Description Only RValue Thick Cond- Density Sp. Heat R -Value [h.sf.FBtu] [ft] uctivity [lb/cf] [Btu/lb.F] Used [Btu/h.ft.F 187 Mat1187 GYP OR PLAS BOARD,1/2IN 265 Mat1265 Soil, 1 ft 48 Mat148 6 in. Heavyweight concrete 267 Mat1267 0.75" stucco 105 Mat1105 CONC BLK HW, 8IN, HOLLOW 81 Mat181 ASPHALT -ROOFING, ROLL 244 Mat1244 PLYWOOD, 1/21N 185 Mat1185 CLAY TILE, PAVER, 3/8IN 91 Mat191 BUILDING PAPER, PERMEABLE FELT 80 Mat180 AIR LAYER, 41N OR MORE, HORIZ. ROOFS 1001 ApLbMat1001 Outside surface resistance 1002 ApLbMat1002 INSIDE SURFACE AIR FILM, VERT. WALLS 1003 ApLbMat1003 Fi-Foil. R-4.2 1004 ApLbMat1004 R-30 Generic Insulation 1005 ApLbMat1005 Inside surface resistance No 0.4533 0.0417 0.0920 50.00 0.200() No 2.0000 1.0000 0.5000 100.00 0.2000 No 0.5000 0.5000 1.0000 140.00 0.2000 No 0.1563 0.0625 0.4000 16.00 0.2000 No 1.1002 0.6667 0.6060 69.00 0.2000 Yes 0.1500 No 0.6318 0.0417 0.0660 34.00 0.2900 No 0.0301 0.0313 1.0410 120.00 0.2000 Yes 0.0600 ••••. Yes 0.9200 • ••• ••••• • • • •• • •• • • • • • •• Yes 0.3300 • • Yes 0.6800 ••.• • • Yes 4.1000 •• •.••• •••• • •••• No 30.0000 0.6548 O,A? 18 • • 0.30 • • 0.2000 • •• • " • • Yes 0.6900 , • • • 1:21. • • • • ❑❑❑ ❑ 0000 • • • • • • • •. • ••• • EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option 2/8/2017 Page 21 of 23 Constructs Used No Name Simple Construct Massless Conductance Heat Cap Density RValue Construct [Btu/h.sf.F] [Btu/sf.F] [lb/cf] [h.sf.FBtuI 1005 1 ft. soil, concrete floor and tile No No 0.40 34.75 113.47 2.5 Layer Material Material Thickness Framing No. [ft] Factor 1 265 Soil, 1 ft 1.0000 0.000 0 2 48 6 in. Heavyweight concrete 0.5000 0.000 0 3 185 CLAY TILE, PAVER, 3/81N 0.0313 0.000 0 No Name Simple Construct Massless Conductance Heat Cap Density RValue Construct [Btu/h.sf.F] [Btu/sf.F] [lb/cf] [h.sf.FBtu] 1051 Dunkin Donuts Wall Construct No No 0.15 9.82 63.68 6.8 ❑ Ala • • Layer Material Material Thickness : • Framing • • • • . No. [ft] • • Factor •• . • . • • •• 1 1001 Outside surface resistance • 0.000 • 0 • •••• ... • • 2 267 0.75" stucco 0.0625 • •0.000 3 105 CONC BLK HW, 81N, HOLLOW 0.6667 • •0.000 • • •• •• ••.• • 4 1003 Fi-Foil. R-4.2 . • 0.000 • . • 5 187 GYP OR PLAS BOARD,1/21N 0.0417 : • • 0.000 • • 1 • •••• 6 1002 INSIDE SURFACE AIR FILM, VERT. 0.000 • • WALLS • • • • • • ...• No Name Simple Construct Massless Conductance Heat Cap Density RValue Construct [Btu/h.sf.F] [Btu/sf.F1 [lb/cf] [h.sf.FBtuI 1053 Dunkin Donuts Roof Construct No No 0.03 0.87 5.01 33.2 ❑ Layer Material Material Thickness Framing No. [ft] Factor 1 1001 Outside surface resistance 0.000 0 2 81 ASPHALT -ROOFING, ROLL 0.000 0 3 91 BUILDING PAPER, PERMEABLE FELT 0.000 0 4 244 PLYWOOD, 1/2IN 0.0417 0.000 0 5 80 AIR LAYER, 4IN OR MORE, HORIZ. 0.000 0 ROOFS 6 1004 R-30 Generic Insulation 0.6548 0.000 0 7 187 GYP OR PLAS BOARD,1/21N 0.0417 0.000 0 8 1005 Inside surface resistance 0.000 0 EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option 2/8/2017 Page 22 of 23 2/8/2017 •. • • • • • • •••• • • • • •• • •• • • • •• • • • •• • • •••• • • • • •••• • •••• • • • •• •• •••• • • • • • • • • • • • • • • • • • • • •• • ••• • • • EnergyGauge Summit® Fla/Com-2014. TAM 2014-1.0 Compliant Software. Effective Date: June 30, 2015 Florida Building Code, Fifth Edition (2014) - Energy Conservation IECC 2012 - Total Building Performance Compliance Option Page 23 of 23 Miami -Dade County Building Department Page 1 of 1 e -Permitting Search: Status of Plans Process: M2017006557 Application Date: 02/15/2017 Storage Location: By: Date Picked up: MIAMI-DADE Review Reviewed By Est Comp Date Disp Date Disposition DERM MIRIAM NEGRIN 02/15/2017 04/10/2017 A FIRE JORGE HERNANDEZ i 02/15/2017 03/16/2017 A PWIF CORTES, RAMON 02/15/2017 03/24/2017 N WASA CRAIG, TIESHA 02/15/2017 03/29/2017 A PAYU FEE COL 02/16/2017 02/16/2017 A N/C JORGE HERNANDEZ 02/15/2017 03/14/2017 A HRS 04/10/2017 Disposition Legend: A=Approved, D=Disapproved, N=N/A, P=Approved as Noted Page: 1 REVIEW STATUS INQUIRY SUCCESSFUL (NO MORE ENTRIES) BLDG Home Paae 1 BLDG Man Menu 1 BLDG Permit Menu 1 BLDG Plans Procyssina Menu 1 Inspection Types 1 Address Format Home 1 About 1 Phone Directory 1 Privacy 1 Disdaimer E-mail your comments, questions and suggestions to Webmaster This page was last edited on: February 23, 2004 Web Site 0 2004 Miami -Dade County. All rights reserved. http://egvsys.co.miami-dade. fl.us:1608/W W WSERV/ggvt/BNZAW972. DIA?KEY=M2017... 5/8/2017 Status of Plans Process: M2017006557 Application Date: 02/15/2017 Storage Location: By: Date Picked up: Review Reviewed By Est Comp Date Disp Date ( Disposition DERM MIRIAM NEGRIN 02/15/2017 04/10/2017 A FIRE - JORGE HERNANDEZ 02/15/2017 03/16/2017 A PWIF CORTES, RAMON 02/15/2017 03/24/2017 N WASA CRAIG TIESHA 02/15/2017 03/29/2017 A PAYU `= FEE COL 02/16/2017 02/16/2017 A N/C JORGE HERNANDEZ 02/15/2017 03/14/2017 A HRS GONZALEZ, LOANIS 04/10/2017 10/13/2017 A Isition Legend: A=Approved, D=Disapproved, N=N/A, P=Approved as Not PAYU relates to payment of up -front fees only. Page: . REVIEW STATUS INQUIRY SUCCESSFUL (NO MORE ENTRIES) 1 `age BLDG Main Menu j BLDG Permit Menu ( BLDG Plans Processing Menu I Inspection Types I Address Format Home I About I P . Dir- Privacy I Disclaimer E-mail your comments, questions and suggestions to Webmaster This page was last edited on: February 23, 2004 Web Site O 2004 Miami -Dade County. All rights reserved. INSPECTION RECORD Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax (305)756-8972 POST ON SITE Permit NO. CC -2-17-386 Permit Type: Commercial Construction Work Classification: Alteration Expires: 04/17/2018 Issue Date: 10/19/2017 r - INSPECTION REQUESTS: (305)7624949 or Log on at https://bldg.miamishoresvillage.com/cap REQUESTS ARE ACCEPTED DURING 8:30Al1 - 3:30PM FOR THE. FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Commercial Construction Owner's Name: Parcel #:1132060133910 Job Address: 9537 NE 2 Avenue Miami Shares FL 33138 - Bond Number: ; ,Contractor(s) VENTURA ARCHITECTUR ractor N.PI!TWN ci./67/04-»Ab OA' Owner's Phone: Total Square Feet: Total Job Valuation: illININIV WORK IS ALLOWED: MONDAY THROUGH FRIDAY, 8:OOAM - 7:OOPM. SATURDAY 8:OOAM - 6:OOPM. NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS. BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. eg#4 3,7 0k-. • F it g, 1A-4ut-e tAg (YeNi; sCiLiadis NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE IT IS THE PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF .ANY MATERIAL REQUIRED TO ALLOW INSPECTION. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. INSPECTION INSPECTION RECORD STRUCTURAL DATE INSP Foundation Stemwall Slab Columns (1st Lift) Columns (2nd Lift) Tie Beam Truss/Rafters hytiln Roof Sheathing Bucks Interior Framing Insulation Ceiling Grid Drywall Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base • Tin Cap Roof in Progress Mop in Progress Final Roof Shutters Attachment Final Shutters Rails and Guardrails ADA compliance FINAL !igii�'i% DOCUMEN Soil Bearing Cert Soil Treatment Cert Floor Elevation Survey Reinf Unit Mas Cert Insulation Certificate Spot Survey Final Survey Truss Certification STRUCTURAL COMMENTS WINDOWS & DOORS INSPECTION DATE INSP Attachment FINAL PUBLIC WORKS INSPECTION DATE INSP Excavation FINAL p Water Service ELECTRICAL INSPECTION DATE INSP Temporary Pole f rl ,/ 30 Day Tempo /rar�L`e'g Pool Bonding Pool Deck Bonding Pool Wet Niche Undergroun��► ./ ''4'J Footer Ground Slab Wall Rough." Roudrio"7 ' �-' we fr Pool Piping Rough Backflow Preventor Telephone Rough Interceptor Telephone Final Catch Basins TV Rough Condensate Drains TV Final HRS Final Cable Roug Ilt9,,�. ��� PLUMBING Cable Final % • . - /19 Intercom Roug t rt. 47 " Intercom Final _.,147)0_-e MECHANICAL INSPECTION Alarm Rough INSP Underground Pipe Alarm Final A 4411x'4 Fire Alarm Rough Zi Rough Fire Alarm Final it 172 Service Work With '`f 9G' FINAL _ COMMENTS )5ig ELECTRICAL Pressure Test Final Hood. INSPECTION FIRE DATE INSP Final Sprinkler Final Alarm FINAL 2.1c4ig PLUMBING INSPECTION y DATE INSP Rough gVmk114 U -N -n p Water Service 2nd Rough Top Out f rl ,/ Fire Sprinklers 4 Septic Tank Sewer Hook-up Roof Drains Gas LP Tank Well Lawn Sprinklers Main Drain Pool Piping Backflow Preventor Interceptor Catch Basins Condensate Drains HRS Final PLUMBING CO MENTS $I1V MECHANICAL INSPECTION DATE INSP Underground Pipe A 4411x'4 ti Zi Rough it 172 Ventilation Rote/4741'Z, f 2.7 Hood Rough Pressure Test Final Hood. t 1 Final Ventilation Final Pool Heater Final Vacuum FINAL 41k,' rr MECHANICAL CO v NTS , taek, eiti 6,Pil19'vl--' .'t,A , i MIAMI-DADE WATER & SEWER DEPARTMENT METER OPERTATIONS & MAINTENANCE %'iIQiHMADE CROSS -CONNECTION CONTROL UNIT COUNTY 1001 N.W. 11th STREET, MIAMI, FL 33136-2209 Phone (305) 547-3046 Fax 786 268 5485 BACKFLOW PREVENTION ASSEMBLY TEST REPORT FORM 1 ADDRESS OF DEVICE 9545 NE 2 Ave OWNER OF DEVICE: Dunkin Domuts OWNER CONTACT: Tony PHONE:: 786 581 6401 FAX. ADDRESS OF OWNER: Tony@surfsidemgmt.com ZIP CODE:: 2 NAME OF TESTER: Billy Dominguez CERTIFICATION #: H02122 EXPIRATION DATE: 03/19 PHONE:: 305 796 6525 BUSINESS NAME: 1A Backflow & Services LLC BUSINESS ADDRESS: 12363 SW 132 Ct, Miami Fl ZIP CODE: 33186 3 TEST KIT MAKE::MODEL Mid- West #: 845-3 SERIAL #: 1132232 DATE LAST CAL. 04/15 SITE TUBE: YESNom R.P. x D.C. P.V.B. 1 4INITIAL MAKE OF ASSEMBLY: Wins MODEL NO: 975XL `j SERIAL it: 3774947 `t SIZE: 1" LOCATION OF ASSEMBLY: Curb of 2 ave HAZARD/SERVICE: Domestic o METER NO. TEST: ANNUAL TEST. X DATE OF TEST: 2/9/17 METER READING: SHUT OFF VALVE #1: SHUT OFF VALVE #2: x LINE PRESSURE: PRESSURE STABLE NO x CLOSED TIGHT: CLOSED TIGHT: LEAKED: LEAKED: D.C.V.A. R.P.Z.A. P.V.B. N 1 -12-2 CHECK VALVE NO. 1 CHECK VALVE NO. 2 DIFFERENTIAL RELIEF VALVE AIR INLET CHECK VALVE XX Closed Tight: Closed Tight: FAILED TO OPEN - FAILED TO OPEN:_ LEAKED:_ Leaked: Leaked: 3.4 OPENED AT: PSI OPENED AT: PSI HELD AT: PSI PRESSURE DIFFERENTIAL ACROSS CHECK 2.0 Psi PRESSURE DIFFERENTIAL ACROSS CHECK 8.4 PSI IF THE ASSEMBLY FAILS FOR ANY REASON, COMPLETE THIS SECTION AND NOTE REPAIRS REMARKS / REASON FOR FAILURE (IF APPARENT): CHECK VAVLE NO 1 CHECK VAVLE NO. 2 DIFFERENTIAL RELIEF VALVE P V.B. REPAIRS CLEANED: CLEANED: CLEANED: CLEANED: REPLACED: REPLACED: REPLACED: REPLACED: D.C.V.A. R.P.Z.A. P.V.B. RETEST CHECK VALVE NO.1 CHECK VALVE NO.2 DIFFERENTIAL RELIEF VALVE AIR INLET CHECK VALVE Closed Tight: Closed Tight: FAILED TO OPEN. FAILED TO OPEN:_ LEAKED:_ Leaked: Leaked: OPENED AT PSI OPENED AT: PSI HELD AT: PSI PRESSURE DIFFERENTIAL ACROSS CHECK PSI PRESSURE DIFFERENTIAL ACROSS CHECK PSI 1 CERTIFY THAT I HAVE TESTED THE ABOVE ASSEMBLY IN ACCORDANCE WITH THE A.W.W A. CROSS CONNECTION CONTROL MANUAL AND THAT ALL THE INFORMATION IS ACCURATE TO THE BEST OF MY ABILITIES.THIS CERTIFICATION REPORT EXPIRES 1 YEAR FROM DATE OF TEST n Device Passed SIGNATURE OF CERTIFIED TESTER: 72-0-14,,,,,,:r. DATE: 2/8/17 Device Failed FOR OFFICE USE ONLY: DATE: Revised: 01/10/2005 www.miamidade.gov/wasd/backflow.asp development Inc a) VENTURA 11860 State Rd 84 , B7 Davie Florida 33325 phone: 954 423 1362 CG -C060048 AA- 0003 123 Date: 02-08-18 TO: Miami Shores Village Building department 10050 N.E. 2 nd Ave. Miami shores, Florida 33138 RE: Street Address: 9537 NE 2" ave, Miami Shores, FL Permit Number: CC 217-386 Contractor: Ventura Architecture Development I Michael Ventura having completed and approved the required Inspections, and all documents required have been issued. To the best of my knowledge, belief and professional judgment, those portions outlined above meet the intent of Chapter 1 of Florida Building Code and are in subsequent accordance with the approved plans. This document shall be submitted to the village of Miami shores Building department in conjunction with the application for the certificate of completion for the above referenced project. • Certificate of Completion Miami Shores Village 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department This certificate issued pursuant to the requirements of the Florida Building Cade 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: Contractor VENTURA ARCHITECHTURE DEVELOPMENT IN Square Footage Description of Work INTERIOR RENOVATION OF DUNKIN DONUTS 9537 NE 2 AVE Unit # 9545 Miami Shores FL 33138 Not Transferable POST IN A CONSPICUOUS PLACE