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RC-19-732/24 FINAL DESIGN Marlenis Hernandez Navoa American Woodmark /-I Savannah Maple, Silk Q /A� Top Molding: LCM8 - Large Crown Molding / Bottom Molding: Ogee Molding `vx 1-Add furniture drawer 12" high to double oven area 2-2-drawer base with internal scalloped - roll -out tray. Also available as just a o 2-drawer base only 3-624 with WTCD (wood tiered cutlery divider 4-Tall End Panel. The FP9648 panel will be reduced to 42" wide 5-Customer will b a nolh, 0" hood • i ]% 4 rye ` ✓� DESIGN APPR:- •,.ii, i0 DATE:2/26/18 CV MARLENIS HERNANDEZ-NAVOA DARK SMART X .. = V VV - 191-;" Wit' �t0 FLSH2410 W1842L � � W3642 BUTT CW2442L SG d N a ' 5/48L {F} B18L BW_B_T15- DISHW24 B24 WTCD `B - m NO POINT ALONG COUNTER TO BE kiopE T AA, t - CEw 2 FEET FROM G.F.► PROTECTED RECEPTACLE. a' R� p18 PUT D/W RECEPTACLE UNDER SINK. o aR 2 1 ALL FIXED APPLIANCES 07% DEDICATED CKTS. N O :� • ; •• _••••;09*00• •••••• Tw ••• •• • i ,--I ^ -� V1t -• ♦• ••••i• • n •• z••• 23�„�_ �� I rn �) 2 \3 -n ro o3 ; I • I • • •••••• ...... CG A •••! � Of M 2871' f r+yo�t— 036 BUTT SE _ 11 imensions -size designate s iv n are subject to verification on job site and adjustment to fit job conditions. 5/yam//f not i m m S � Designed: 3/16/2018 pied unless Da1`e inted: 3/16/2018 or iob 22603832 All #: 11 No Scale. 110;g" 00 0) 86-" ,g 7T. N N M M �0� N i CO CO -- -- OVD3096 AS BUTT 1 DDWR 'M^ CO Y, CO M ;z- -24" HOOD30-3 CW2442L SD .. • ——CKT.GA36-2-- _ BPPU SB36 BUTT TBfUF3B45/48L (F) '�- 30" �5 �9"� 36"_7 24" - r 4 ,6 All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. sees e 649669 •. e • • • •s •.•s. .• • e..s. • . e.ses. sees.. sees.. • .. . Designed: 3/16/2018 Printed: 3/16/2018 22603832 El 1 #: 1 I No Scale. 1918" - --65 8" i 36" 51 8" 66" f /--24"-//- 24" 18" 74" �m N FLSH2410 N 14 168 8" 24,E �� 46 8 - - / - 42" 31 2 ,< 26 8 42" i ; 99 3vo �� �; m CNL -- N N -IN m N M co CW2442L S N � N � M Cr) � 3" _ - 24" /f B30 BUTT FH Ite"B18 FH All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. T I i 0 00 0•• •,•• •••IIl/i•• 2 F B 3 0 B U T T 2.f-n...W :;(2�' I ' 8 V 4 11 This is an original design and must not be released or copied unless applicable fee has been paid or job order placed. Designed: 3/16/2018 Printed: 3/16/2018 22603832 El 4 Drawing #: 1 No Scale. rn rn ^CO rn L 32,16 3�� / 14''16 �' 12" r6 ; B30 2FWT BUTT .... . . . . .... ...... .. . . . . 000000 ...... . . ...... .... .• . .... . .. ..... . . . . . . . .. .. . .. ...... ...... .. . .. . 1416' 18" All dimensions _size designations This is an original design and must given are subject to verification on not be released or copied unless job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Designed: 3/16/2018 Printed: 3/16/2018 22603832 J E1 6 Drawing #: 1 I N Scale. 328 / 15n 2n 15 29�� 17 n to 30if _ N'` N COICO _ 10 MCD W3036 BUTT SD cf) 11 11 00 0) N 0) r,ICO LO (`M All dimensions _size designations given are subject to verification on job site and adjustment to fit job conditions. rnWT 7, F P4834 P96 This is an original design and must not be released or copied unless applicable fee has been paid or job In order placed. Designed: 3/16/2018 Printed: 3/16/2018 22603832 El 7 Drawing #: 1 No Scale. 3311 N ` N� 10 00 CO CO M 0) N LO 11100 LO CO All dimensions -size designations given are subject to verification on job site and adjustment to fit job conditions. e 291611 30„ 2 (QWTE P96F P4834VS3S396 B30 2FWT BUTT ,l i i 4 30 This is an original design and must not be released or copied unless applicable fee has been paid or job Inlorderplaced. Designed: 3/16/2018 Printed: 3/16/2018 22603832 J El 8 I Drawing #: 1 I No Scale. A ' t' I y,.DD 1 I I y I I I I I ' I I I 1 I I I I m I , I 1 , I 1 I I I I row" I I I I 1 I I I I I I � .Fax. Fm�oeac I - --- I a 1 LJ 1 � n I [ i 1 I eslD. 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E SECT. 901 COMPLY WITH NA A II / BRI � Slane Wer on FIRE X let FLOOR SLAB-12.45' .»-1, Paavg See wal GROSS SECTION THRU FIREPLACE • • KKii • • ^ U. •• Z••}• • m SECTION THRU DINING, FAMILY- BED 04 d HOBBY SOUTH U/1 vi N E. —b PILE. AFCHITECi tiliAwC Rs aJ1• q wn LIO. • fill 777/77 �i vF� Ww CCNC, tiE EEN-1 I � eEo•s anw �`fmlw tM ROOK FW ROOR�Qie - / Rr rt >I t.w•i� e a r.J.un � lIDDrtIpU / \ •ten scmx �, /� i 4 m roreD ---- -- lfIAtOH EXbTJ--�S /VuV\ Ewer. PD0. ac CROSS SECTION THRU DINING PORCH BED 04 4 SITTING EAST Ea�-TOR NOIE _ Yam. SfRVCIInE 'RM arsFxn BLSED oN nt >.• FIX: zam. B/ loop AG4EIQMvOi = Bwnac moE. mmz szcTIDM — T , L FrW TIO FWN [;iF�NL�t1jP jES rn.yur—.w��Am.u,o �u.umu. 9O°1Q wiisY.vp � xx P.oapx-' �..A �wPn awa+Pw=..,�,a A: of Pm.a w. a Pa.eA... Waal. AArA a m.w.,r me4n ve rrR �? ml raA a A AXO. 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IA AaR ____________ SITE SIM]" BAS0 ON FEED OBSERVATIONS THE EXISTING SOIL CACRM OCNSTST R U[61U® SAW SOL R REI;A BIT. A BEARI NO CAPACITY OF 2000 psl. IF UPON EXCAVATION OTHER MATERIALS OR CONOHIONS ARC ENCOUNTERED STOP BORN DN 'HIS AREA) AND NOTIFY E N OI N E ER IMMEDIATELY. rT OTYT i r � ( a' YAS smasut r..aA ' O i NAuaws�m np r.R.vq R/Aw�O .rrr x�aawaArm Pw - saAwwPxw�wl•R• q Q�ISTfEL COLU�/N TOP &BASEArE ZZ FL RAVING PUN �..�r'"4L%r aEMI PLAN ` 1■■ ME ■■■ ■wa 1■■ Mimi mcm! ■■■ ■mm WWI ■• mm %1TW. C CRETE BEM DETAIL AT ARCHVIAYS E8 4A s�� 35 3S 1-1 ®as —� - I ® I I "a I I -- ® 1 Ol— — — - -� I I I I I I I I\}I Q)D RD WING a 3s AS ROOf FRAIAINC PUN aa® 3S 3S —mac— AS -- . .... • i� • •* .... z • 0 H rn- Fl e Ilo nua.'� ��rw @LU r. r mar4 su arE INI n mr. m. ION TNRD ADDITION ..s.. 414 va1nK II 1 II II mlM.lm �.•u Mrm MIA lu Nas vunrr x s-• DI r. r n 4Fv1 a [,oi s¢ faavu[ m4i n� n TYPICAL PIDOY HACK TRUSS DETAIL n IYPN;AI CONNECTION TO LE �r-r� ��r. LEDGE a 0 • f • • •••••• •• ••• • OL •••• • . • • •••• • • •• •• • •••••• • •• •• •• of 0*000 U � • • . • M • • • 004 O R • . •• • Z. ... •• • . • O O ru U4Y IaUll tl Yp01 �ri`li,D4r0 ... wm mal a PARTIAL 2ND FLOOR LEFT ELEVATION U x.cy -iJ c ,^ Vt V1 CONNECTION SCHEDULE I/m alllar ,.[ A,CPe uup[ um MSA mMidl eml cm w.r. rower. .nmm, Y�w.r..m row.rrssm urom�. of V. ® xiu Mf-f[ (%Imwa. 1%w.uaW wn-rrin mom-m %MA% ba. (%larvm pima .Mn .lrr� a/Wmi, e.Wml (M w.w 1�%rm Aum. ..r aaa� siM/m. Ihua I% w r m Iro �m a 02/ �l a SECTION A (N/O ipi � � RUSS n [oarsc00 SCHEDULE MARK DESCRIPTION MARK DESCRIPTION ] [i rurz 9 l/Y.Y.�/Y ([fa .,) rMrf.slrtp „0 0.f nn5¢s caN. 3 m ma 11. a/e' [vrt.m awr[ RoncO. >R r[.mi ra Na.NG R0. a. 1% s/Y a.m. w w. Y.i1' mxc. ,r a.W 1/•-woo rv. 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I 1 � Ad my.nu.K Wa [rM MYos m.i artrm urn a -DIY of rp m, mw,u[m..ar, m ,nfas wm ao m .rma nmvo [ I I I tIK�,INa wa ,q¢ M uIA mlO a mm h i W i pa m.MS Ibr tx �/Y ate. n CONCRETE BEAM DROP AT OPENINGS LEDGER SCHEDULE W.� �iw .noii .41n SI,ILTUS W mwn sm m w m W. B/ M /DIIDO", BCUDNG M. HMI SEclnas WE — LL rr t>m /ws�meu*.�aru ar[�rtsfru•r r� ■w/�w:ewr/ wr>r �ersrr/s�r �� �'0����•'� R� pp��ffOM r�''sr./�� karlst� aria rnr r rfi/,.• j ��1/f1:Yt7:i1@Y[��11 :�-� il/ srr � .. a�r�ElGresaru' /�rrnc..r r_crrr./rs_ru/won. �., J f: rrr� ar:ra�wu�t~unau �r:wnr.ur sa • /wwrrrwr/u2ew� s,•,wrZ�a�rru,r:w ■■iannd� �i'ii rn/a/T •� i L T MnM 4 I11tir.< - M,.Aa.w_aw� DD. WMM b NTED �G� 14 IL - - - - nw� I — — L------ --------------- Ind FLOOR 8385* g REVISED 2ND FL. ELECT. PLAN EXIST. PAVE DRIVE TO RE AIN 51 --- I _ I -- RVfSED1ST -F L--.-Et E� T- PLAN----J 1----------- ------------------------{ I • • •• • • • • • A ANDOAIMENT • �?cIST.I S� • • • • ••• •• LJ • Iwo 04 04 kn ELECTRIC GENEPAL ]NOTES 1. M dUwpla AIO 6rFL91CATwN xora: AfP oneu®ro x mvwe)e tic wulert�wcM mil. ruiwus,wo wawourm®oorwi®. uum w[, a.vlrEo m ore Axo xor M aMIL sxwl d: rwxax®AND wsrAum As MaAal svL�lwlr cuti9 rosmemx. sNauw Am olsaavu vArvE.wwdMR uu Pal6MIAGTIaI AND WdIKr[Ow BWN! SUBxnnxG dD. 2.II0ffipm: rt a M Dlldrt aF M duwwas AM svE�lunox 11o1a ro ortAw A mMRF1FAM 6ATafACTORY psTA1lATW1r. AN AnBVrlllS[®1 WV][ ro saduTE AICl1Ox9 a ME sPEOffiUn0r6; rlovevwL sua SFPAMTMINS SIV1L 110r McYE M ODfOMLT fA0r1 f1A1 Ae9ar•tam ar mrrllArsoe wIM M waw or Issne119ADE wxla ! 9EN1AT®a1 Am V M wUWII1Gs AND ODNSE SECrI0r6 p M sxmrwTtorrs MWI-AL, t9WLCMAUIIFINs a1E ALL CML, t)JID(I AP0ORClUA11, 11911L1wILL, AM MEONrOLLL DPAW V1G Nb SfBOAGTNN6, pAppIRaI TOM flLCidCJLAMD OIIlt eaATED 1PAoa AfO sEcllaa. ma monnoarua sw9L d: oWe rAroe ro SU•ailpNt M dD. M A11001ECI1aALAlE) sI911LmNAL onAWilla9 swu TAAE PABD9JBlOE 0.91M xCOWDGL AMD •K1NGL g1Aw0ra9 wllx PEF®B1Gro •aDD1G 0Or6191K1fON AI0 OOell40rLS. M MECIMNN'1LAND etorAlGL auwMcs AAe olArnA911lAllo GRAPE ro R f0U1)wm As ClA9BY A6 M KiwLCON6TP11LTICM a M dNDO`!G AMD wpAR a OlxwI INIOa WDl PEAMT. s. M CMW01C5 ANO AL9d15 wOIG1E w OIdaA1ElAliC mP11 M AAAAMGE11d115 CaD1ED NIINL EQDDwEMT, 111DIL4AL AIPAMna, [IGr AMO SHALL El PwIOWtp AS aaIdY AS MBddP. MOwN•LM mN111ACIDD AWL 513110! AIRADAl1O1ML odouL BOOS AI• We@IG oueromdA. as Goes ossTUN.IEDis Ar wo muomrloM owxwL 6. : M pGirl@Il O0.AdNR[Cr SMALL k 601E Ir1rEAIPFIER a ALL MAT®f11N11ULT OOPNBIIS. ). Vw10Y EOINIBIr: CIeCI(On1Bl SHCf WIK Of M SP69IGTION r101B PoE [prRNB1TlO eE LOIpeCIVD UNOQmaODNIPK.T. ALL ftlCIDIGIL EQDD1l9R AWL d: wu[D uroelmrs Doxrsvcr. ExrsAs awL tlor d: Auav®mn PARwE W M mNnw.lms vANrro oaaLr wlm M AeOYE. 0. A/O POWER D0xIROLS: AQDDNDRW WND AND VBIRATDIG EQUp16rt, 10wwl AND OONIIWL WIEIfLr101a, OdR90. VIIADIG DwGAx6, LrAN1ER6, WNp1O1da, 111831(IETATS,ETC, SIWLeEfw1LL91®WMAa 0OMDR101•rO NIIIPALIOIL SAfEtt aVlr61a, 1w1CI1Cx eOAIS� W01a1G AND 141TEdAl roE WlrIeLTOx Or ALL NLoverlr AND Cartluol s1U11 d! f1AVOAeO AxD DmAULn m nds CVIIIPA.CIOA 9. dll WsrBLIlOrS: ALLaECIEIGL Sw110B, AB®rA6a, IN#Ir FpT1aa, lHEra10r1, TBHllae 9wM.fTG APE 106E DtlTAUID rpl OwlBls Da1Ei a1 dsOPE DaTAUAT10x OF■I®OaCIOT •IIIMf%WDUxfi 3O. 6WRCII IDC1TgN5: Au wAu r1D1M®swnac5 ro eE NwN1®w• aN aNIEA APwe EmsN wnOrL vorttcAt. areas awmwrsc NDIn. vAJwnas uslwLr oma p g01f16 AMD MTNWwIL II. IIdNWI 1S lOGT10116: ALL WALL 11O1Rlr® HCCf WCAt-AGES,-EVSWrI, AND TflHlpre o1mErs ro eE xOwnED lo• ax adRAAeoe PDlwl nmL NO11nOxrAL, axles arxeEwlsE xm®. vAEw,wra 1LxwLY oaw w qG1•• AND eAn•oa®. Ix uort Amnia IocwTtara: IACATIOII Of ALL uOrt mows ro m veAatED W M owreA ertoN[ AxrL INSTAllAT10N. lA SYIIl9l�ltfll¢: V•IOY SEgIBlaauort SWffGIa WIM OWI®t d9oPE wcrAwnox. 14. EY191Rx Sm( LOGTIOwf: WIaT ALL[EI - WfAEOEIrAGa6•ro CW191 are AsovE rvm®aAPE, lwiIaIsas orlesrl� xDlm. Is. slffLYTY _m=m: POe 110e5, ---K A?NARY, GAP, EIC AE ApP auwwrs. 16. GUILT-W FLgTE1GL: flICIElUil0O1119KI01ro llooN wAll flECTAN'K IDGTl0 p fill0eil. Iep1lb OA)KAIED ON OMWD10 AMO AS SPEGf®OY Ae001RT AMD L.O. A Vmllrx w v-r�vu. •Ka1gA M]sRAQES p IatGIBI AND IAYXORV eAIixA9Na ro eE IIOIMFD MIAmOxfAl Ai lY APl. Cw11l1 use OA Y CBIIR lOe AdM AN1Alt9 CAdNmSWAQ. gTGIFNawnA[CBrAGH IOE x011N1E0 HORQDMALAT ]3• AF.F. CHIIEYp[ ON PA01 Mp DR AS NOIHI ON MNs. YEIUIY WCf ID(' ROrI NID IelG1R WIM AIIOurCiT AMD LD. S, drplwr-epvu. 6PCIEIIK �IAGES A10 AwIl0E5 W MnaOdl4 AIE) DIIE5601G AIWS 61IX AIO E.E SPlA91 ro d: MOIIR®MOxQOrRIL AT Y CB11FA uxE AEOVL iO®1® VAMTIY $UIfA01IIIOESS OfIQY/IA NOTep 011E ro 5r111•ICMOI. Vf9aYf.VACr LOGTIOfI AIEI NEPM WIIII ANOIR[CI AND LD. t). TdrS: roMO 0�PA3E1. OIf0O111LiTAMD lEla COrPIIAagl0rl AS seQ-p•eD IIIf maoaE,e, aM mxwAplDxs NlSlgdeWlY dull p O®AI AND 019TN1ATf W DOSIS 10. EAEAI®L9: wyIRlfWI u GENrt dIPAG9I.S ro x n@)1AL1lAraleltC 19. WOUIq AND aWdsr: Au rew ax Eeu wa1ND ro r: msa waE w ounwr wxeiE M)1•IED m moe AIO I1preE flxwer_ AS Pal waaloA mae peOA) AID MATd1AL enLlnsG �L moe I39ssI ..a noao 1E1H: ePCTvcxauw[rs (9EC®YAQE AM 11tirt01 O) eeow eAsx fuAw e1eJAnox Auu d! asrAum ArM xtoesr rvJ+rtrm e1mAT1oN AND swu r wsrAllao aN Is®A[ArE> troEPesoelr � A1Dr1 11106E p M xAertUAI AIEAS. ]1. ePP17ANCFS: WA 11. $: AIC COxEEE65096 SNNL eE IN6TALUD A.DrE RISE RC00 wPVAnox. 13. iV LOfAn0l1: xAw awxr rEAJm1 rEA[L sNWI sE 1DGT®Ae0rE aAse naoD M 0O1r19JCrOR a ro caws wnN ggmA W WEA AND Mort ro IorAl[ M •KINIrW reTOl PAILS, OaODMRCT6, AMD pe1mILY aB1fAAT011 WRN SNRO•Ni RM.ro fbRrsYIM IlDa1ALBmlaBIL W:Vv91EM /QXCY 0D7UP1BIB(I5. rs. pEVf�: IIarALL terV OENCa p NEVI dIIXB. A MEIpEERwIN/LgMMp16Po0. ALLWNL 5WR01E5AVD[ECErtAR6 IANWL/SE N10IAO OBIGNFA fALT91An3. CO100. As s•ECR9 m a pleoa0lE10u6o1mO1xc0.swlroNs swuL eE lumax •LmEo• mxrnoL9. C. O1.P1Dt PF®rAQa ro eE uI1pN1'IglA T• CWIIEOL9� COIOA As ].PLIED W MBI:d10EAQ81. D. OIGNOaCOIr, e.cr uc , NAGNEIIC AN0 RI1011BtD1T 01NMEP5 AWL BE LUTAON 7.Y1e0• COxIROL6. ?4. u(9fr PDOlIPES A MNIlIOACl01lAWLAE�4. Sr0aC DaTALL AM CONMRT llriflDla Nllllla As SMOs/N ar M OMwDNa. e. ItfrlT01a wmA1s Aw BU S 668IN W aVNER, wMNm®AND INSTAum W M DW auu mNt[Ano9, axes on•IwaE xorzD. se: uGxr fDIIIaE soeWAE C. LOGna10P ALL uartfatuusro d!V9161EOWOWNEII EF 81E D6TAwTbN. 11. MOT wAT916 2pII: WA M. aPI0.IfNI2rOR NOAwx -W M H- ODWMACTDN, wlpEA m! wne+AL coxlsAnaPs sulEavalarl, a ro ODORD[NATE xa wau wIm M Aa tONDnl0xulG Ae0OxI9ACICIR 50 M PIACENEM OFmE1A PBPEOIIVE PAQrrli xTu xm d: w mNrucT. a rt EDrores xeorssAAr mAM •ILIxIrx fAmmaromnaDc 1®ron�wAr raa M Aa{ONDRfOs•C EACO3Ie6, RWOl B[0011E ATM d0@H OFM 6PLTEC O0M@ILId1. ID. VOLTAGE OPDI: M waE SUES SP[CII® AAf Mu11t901. ME 9ECTNIc1L CONiWClOA rs ro d! AlSr0x5•IE wA IxGEL9NG w1AE suE aJF ro VOLTAGE DeOP w FLECIdGL •as TWIT EEfFA AOCEPTAdE IB1G11a m sloeuNG Dmo� wAm IDw. >0. WE1e10 W 01IODIA)10N: GPCIAICIL O0NIPACI00. a TD VGW FY/Lf Y✓�Mla-MFANiI Slil: /O0. a5IN1ATWEl OE WRIER IEAIEIL NA CDNDAIOr•If m01w1f EW6N0?. MOIONE NID OIWA EQ1DMIXf AIq DDIpLCnOr6, ETC 6@ORl M1ESOAm KfaNW wiE. Oprrr9ll[r0A ro Norm AAORrtcrmlanr•q r... AIDO OMIIGa wEm epnmeR NODIfIGTtON6 d1C00! �eG1•maws. 11. QMptG PANS: WA sl. eoralDr A>II+e: elEcaleu oortlDAnaN a ro vlwr AIOAOMi ErAct CONWAt 5� A3 AEOUa®W R PPPPFE 06rAWnIa1 p WawG. AoomawL Dorlourt smxG Due m IE1rGiN a vuu al a1Nda of eMos ro K M ml11DItT0116 AaPOflstmm w OESId, IaTEWILAID wsrAwMp. ra Emus G1AvreD Pox carourt urcPADe wsL eE EFAIDn®. )1. G F L OUREl6: Ait DDRET6 M)IWlO1G aft ro 141VE 0.f.1 RE®rACLES. N. Alart Der[C1DN xO1F: AU Alo1e D[I[a0A5 AWLEE IUAOVIfACOro D.nnamlmarl smex a Au sus xlrnoss AWL xAve eArr•1r eAOI.1a. AlGO: pErKr0a9 ro eE mwrEC1FP ro A •1M, iolalEn uortdo mlcvtr, d90RE swlla. NWA n:-x1.1 ls. f/yll D1LI:fANiAWLAREAeW 50ENlaP AT NO1Pa TIMM Mwllm EAE1l {art was As sEpm®). 30. OCCK a MY1ER 11d116: WA n. �snn_a�clroy, PROVIDE APG aN ALL user eovnEr GAarns AS PAl t1AMWK FILCINtt 000l. ELECTRICAL PAIN m��omoao S m©0©00� Bonn - oom om��0�omm E LECTRICAL ELECTRICAL RIbER DIAGRAM H.T S. 1 r---_-_- I I ------------------------------- Ir____________ [,lv.-Niw I L______J L J g REVISED SITE 4 ROOF PLAN g ASMILT6ITE 4 ROOF PLAN p LOT —T LOT N 4PYLE. bn vIN !6 PYLE. ST. LCCi NL N i. A ]T61 a LtC. PI )1)1 mt ---------- i r i I nd FLOOR - 83851 / / _ g REVISED 2ND FL.PLUMBING PLAN /� j�/ /'/%/ �/ / / /� ' I J 3 W mo i 3 � ///j// / // � r' / �� / r '�'•��.: nano wiwr �. P-L-U-M-5-F-Wa-PtA±N F----------------- --- - 625 SQ. FT. DRQIf--------i P4_NFEILD (TRENCH SYSTEM) ------_---- -- I 1200 GAL. — — — — — — — — — — — — — — — - - — ELEV. 10.01' NGVD I L -J o� �• ------ ------ a L- -- ---J I I �----------------------------------- I I , A PLUMBING GENERAL NOTES o 1. CODES: ALL WORK TO BE DONE IN ACCORDANCE WITH THE FLORIDA PLUMBING AND BUILDING WOES.0 .-• • • 2. DRAINAGE: BUILDING DRAINAGE SYSTEM DESIGN BASED ON 1/8-FT. MINIMUM FALL, 2' PIPES*:4". • • 4 • a • • • MIN. FALL ANY DEVIATION SHALL BE APPROVED BY ARCHITECT AND OR ENGINEER. 3. GROUNDING: EXISTING • • • • • • • 4. ffi11ffiETE : • • • • • • • Vejo WATER METERS AND ALL UNDERGROUND VALVES ARE EXISTING. • • • S. FLASHING: PLUMBING CONTRACTOR TO FURNISH ALL REQUIRED FLASHING FOR PIPES TO RAW • • 4 4• • • • • CONTRACTOR. • •••••• • •• •• •• 6. MATERIALS STALL BE ALL NEW AND AS FOl1AV/S: • • • • •• •• • • •• ••• A DRAINAGE PIPING: PVC SCH. 4D • B. WATER PIPING: ALL NEW WATER SUPPLY PIPING TO BE COPPER TYPR'V. • • • • • • • C. NC CONDENSATE DRAIN: SCHEDULE 40 PVC • • • rrTT,, • • • • •tom � �• ••• D. PLUMBING FIXTURES: AS SELECTED BY OWNER, SUPPLIED AND INSTALLED BY CONTRACTOR. • • • L7�L7JJ b E. PRKENS.JOSAM OR EQUAL FLOOR - IASAM *30000 A SERIES WITH 1/2' PRIMER TAP. • • • • (�y Qa • • • • F. WATER HEATER: EXISTING • • • • • T� ® • • G. VALVES: 325 PSI NIBCO $COTE OR EQUAL • • H. HOSE BIBBS: CHICAGO 952 OR EQUAL z ). BACK FILLING: PROVIDE ALL EXCAVATION, BACK FILL AND COMPACTING AS REQUIRED FOR ALL rr ,, PLUMBING WORK. V 8. PERFORM THE FOLLOWING TESTS: A. WATER PIPING S7W.L BE SUBJECTED TO HYDROSTATIC PRESSURE TEST OF 100 PSI FOR A �I PERIOD OF TIME SUFFICIENT TO EXAMINE ENTIRE SYSTEM BUT NOT LESS THAN ONE HOUR. e. DRAINAGE PIPING - BEFORE INSTALLATION OF ANY MADE, THE ENDS OF THE SYSTEM ,p SMALL BE CAPPED AND ALL LINES FILLED WITH WATER TO HIGHEST POINT AND ALLOWED kd TO STAND UNTIL INSPECTION IS MADE AND WATER LEVEL REMAINS CONSTANT. C. CORRECT ALL DEFECTS DISCLOSED BY ABOVE TESTS. 9. STEULQE: STERILIZE ALL WATER LINES WITH A MIXTURE OF (2) TWO POUNDS OF CHLORINATED LIME TO EACH 1000 GALLONS OF WATER (SO PPM OF AVAILABLE CHLORINE). RETAIN 14 MIE IN - PIPE' 24 HOURS AND FLUSH THOROUGHLY WITH POTABLE WATER BEFORE PLACING IN SERVICE ' 30. TESTS-. COMPLETE SYSTEM FIXTURES AND EQUIPMENT SHALL BE GIVEN AN IN-SERVICE TEST AFTER COMPLETION OF THE INSTALLATION. ti Aeexle' wm LNITECT �6 P— ST. Il. GUARANTEE: 331 PLUMBING CONTRACTOR SHALL FURNISH A WRITTEN GUARANTEE THAT ALL PLUMBING LIC. F0 7174 WORK SHALL BE FREE FROM DEFECTS OF MATERIALS AND WORKMANSHIP FOR A PERIOD OF ONE YEAR FROM DATE OF FINAL ACCEPTANCE, AND THAT HE WILL, AT HIS EXPENSE REPAIR AND REM ACE ALL WORK WHICH BECOMES DEFECTIVE DURING GUARANTEE PERIOD. mt 12. WDRKJIQyIE; INSTALLCOMPLELE NEW WORKING PLUMBING SYSTEM, AS SHOWN ON WORKING 0 I DRAWINGS, PROVIDING COLD WATER TO ALL FMIA ES AND MOSS BIBB6, HOT WATER TO ALL FIXTURES EXCEPT TOILETS AND HOT WATER HEATER, A COMPLETE NEW SEWAGE DISPOSAL SYSTEM I FROM ALL FIXTURES TO EXISTING SEPTIC TANK. REVIEW ALL WORKING DRAWINGS INCLUDING ARCHITECTURAL, ELECTRICAL, AU CONDITIONING AND PLUMBINGG. PLANS FOR COMPLETE SCOPE Meevei¢,& �ii OF WORK TO BE PERFORMED. ara Evil a3nev 13. END WITHIN: ALL SANITARY, NOT SUPPLY BE►SIG WITHIN LATE AND SECOND FLOOR WAILS .m,�` mj wi AND R FLEX ORSECONDRUIN RDOR FARMING, ID [[ SOUND INSULATED WITH 3/4' MINIMUM, THICK - ARMOR FLEX OR RIIBBFRTIX. 14. YALYM TURN OFF VALVES TO BE PROVIDED AT ALL PLUMBING FIXTURE LOCATIONS. 15. WATER SERVICE: EXISTING. 16. ERR. SPRINKLER SYSTEM: BY OWNER. �a• ra1oM� m HrnED �o� 400) -W - - - - - - - - - - F— — — — — — — — --- - — — — — — — — — — — — — — — — — — — — 2-1 FLOOR - 036-" REVISED NE) F L Alr— FLAN TYPICAL VERTICAL AIR UNIT DETAIL TAIL CEILING OIFNSER DETAIL DUCT TRANSITION DETAIL mvlm C N[R MET DETAIL DETAIL .?ff2lSn LINT MW.'Wr see- go 41 0 so OIR io 00 00 JLLI• NEw s... /. /// / �• (4 �1• • • • 4 0 p 4 on lzl TWO W, NO EXIIT. in 7 PYLE, ARCHITECT ILI -1. ,/ YafL / 3 // / /� ///�p/£ / "* ul LIC.. 7174 Fall p Nt w z E-E. /Z 5T F L. A/C F L A W4 Hid -717 H - H FM �ECVLE I-IIIml- ,,lo/s ) X AIR COND IdaNING NOTES: 1. WD RE211RED' • • ♦• • • •• •• TOOLLT6Oa A TMLS [GIIPLLIRNTITTR,ACI0iQU@®PoRT,XE , COIWLEIE ♦ ♦ • LVSTAWTION OTXECOMFLETE HUTaG, VElITIUTUNi AND AIR COXDIIIONING •• • • sYSIExs FOR m PRENEB DacueED. READr FOR SAFE pFRATNIx Or m ss�En HEREa Df5CI1IDED ♦ AnD shown aN M LQIIIRACf DRAwam. GoxlRA ro swm FO0. AROIIIECIUTAL RMEW, AK SHW DMwaGS, • ♦ • • ! • • ! ♦ • • -T xn4xr SF[CIEUTIa6,HUT aAD1 ANO ENEA4Y CAlpAAWaE, OOCIWgIK � urprtAxD st>r3. . •••♦♦• • e. m Ix1Exr a iXESE sxanunaru AxD CONil4LT DMmxGs s ro NDDVIOE � • • ! COMMEIE D6TAWlIW Of THE VARIOUS SYSIBLS OEiCADItD lEltD1 AID 0000 aDR-wTED oN m auwars ANr Lsrula aR aauTpN or rtENs NRIImNED 04 • oR woRR ro eE naroRN®, sxul xm eE mEstRu®ro eE mlwtre a • • IRELi AND 9wL NOTULIIrmmNTMcioxronnlDs>t AxD veTALL All • ♦ • • wwR, EQUIRNENr, A[CalDR1F5, mxtRas, Erc, To • • • • • ♦ • COIWIFTE m CDMfRACT a SIRSTANTLLL AND i1xRY NANxEC � G S TFIS !^N: ME AM CONDITID m SY51E1, AS SMOWM aNm waRATNG ♦ • • • • • • ♦ • • • • • DMWOIG6 N AS NOTED a ME SPC�fUTRMS, 6 A O6ld Q.M- ro DL6TMTE • • • H M 0lBII OFMCDMMETE EAT01f L901aO N0 pDWISTAp yYgiElS. µr • • • • • • • • • • • ADDITION, O4N(.FS OR NODDICATsms MT m AG NIIIIIACfpI DEEMS NECESSMY IOA M MORBt DKTAWTNJN p AN EDDHOIDCAL AI• BEI($R MGTaG AMD CDaINLG MTEI s M TOTAL RESFDIEipRlIY O m M W WIMCIOR. AI!! • • ♦ • • • ♦ SUOG6T® NOD61UTIaLS AHD/9R AWrtIONSro m SYSID• AIIE ro 6e •ro11ulr romAR[Mf1EG15 AlTEMipI OURORlM • • NiDCF REglIRO®DIG • • AT 1-7 W[a EIIICDIG. m OEC AROOTECf WDL TDF, AT mT PDaf, CNAIQS ARE RCGUDIO. ♦ W • r', • � � � • • ! ♦ AFf9lm EIDMLSgMD0.PR0Vlfl A11D mT1p(I1MCIS A0R0 KIW®AI1gMMOWNER NIDM •• •� b • NECESSARY FORM EM/ERiWAT1OXAlA OREIATION PoRAN E0ONgDULT ♦ • • ♦ z7J (� • • • • E:FIOELf nMTING AMD COOl11RI Sl'SIEII YIAIl EE m CONIWLTaI'S RFSPONS16RI1• WIiJ1 NO ADOIi10NAL CIWIQSTOMONIEL OMY OWMER aRUIED CXMKiS WILL 1♦ • eE mr6IDerm wa auus ouu Axo AEwc monNlRAc'r sul. • •� . • D. m soovE: m waan sulL DlalloE m Ia11DrIINc, elrr s IIDr uwIED TN61f1O: • • ��pp • k� � [� k�� 1. le lA %NNaTIonDN: SYSTEI, AIR [oolm CDNDEJsvIIG UMR, ADt HANa1NG uxTr, FAK rmlNc ANO ALL nE�stARr , AcaswRlEs ro mnwar6 TXE xEw mTEZLs. z. ADl DtsigillTlDN SYSlFMS AIq RETWUI SYSTEMS. 1R RDaR alit. u 1 VEMRATI011 OF 0.ATHA LSIS[[A 6wTX •GRAM ONLY. �. asuAttox aF EG- s. EX14USf iiiYEN$ AS aD1GTED Ox THE M.L115. A RTI0IBI HOOD, EIOSTING TO REHAa L. C-' S. IGaO®I EQIDFIIEnT: E1lbIII1G ro RE61a c. aDrlNS Dares. elmYlHcro RITAAa 6. lDwTaG AND ODOLaG TIIB11106TA15. 1f MaDR aLr Et T. lE5TV1G MD ADMTIHG (SAIANCLNG) OF G $TANDARM: m CONMK100.5NAll RxU0511 AIL lAOOR. MTERWSAND Slgwx OR aOiUT®IORACOLMEIl X.VAC SYSTEM aADCMDIN[E xI ITQEDMWaaS, Y/d V) ANOM uTEsr mmox oFm rallarvLG MIlIGTIOHS: 1. A MNx#ET59b AM091. 3. A.N-S.S.I. b4.1 MEOVNIGL REHUGEMTION. 3. S.NAGNA AS N.RAE. 5. RORIDA SUIlUOIG CDOE 3W1 I OR UTCSTADDIIioll ) 3. plCf W(NI%: ALL HEW OR MODIEIID AIR COIIDI110HaG DIICTYS'p1R SWll6E 1-lYi' INa.) FIBLWGI/S.S OR AS SFECIEFD 6Y CODE. Udt TUN 111.IARCHITECt 1R16 xE. Si. F ). ttA1K ILA 3I 1 - 1. SF `` A1' Va-IeDEES ff IN: SUATED F.V.G CONDENSATE DRAG F0a NEY AIR CONDff1010NGL-.. 'i GroIDAWaEAI/O0.NMCDE:- 5. mRORnOn D•MLL ALL MEW AIR DEVICES AMO DW1AeE [RfSISf6t1Ial1EW AND GRSURF SYStEM 5141E 6E ALLA4RONIM CONSTWICf10N lt. EOSEDFACT911Y6ISI IA[1ITED WXRE MUMER TOR AlMMATNa OI FAIM Fa611 A5 OOUfLIN 6Y L.D.. r ALL Au DEVICES SHALL x As sHowx ON SOIFanF, RAN AHD/DI1 sHov DPAWD145. 6. �aE OPP0.413)lADE DAMFeLx,TWNp1G VANES AMD f%TRAa1pR5 AT D0fV5EKS AAi1Rw M1 V�1E RSi G.�J, T. 4�JC6TATS AREro RE NatEYWKL CONTORT mNI110L CENIelT60M)STAT atAN IJu+I •ter -yea �• AAROVN EQI4L CH NEW AM E%ISIOIG SYS1E6. MM nJ S. ALL RERIGe4t? FIRING SMALL Y NPRFA D6UATE ALL LIQUID lDlfS WLM'MN i1F](' - NYv» ..� . ft.- OR AN ARNtOVED [QWL 9. 6AIAxaxG: M ODI011ALTOR S1WL EE RESFONSIME TOR xAlA11f91C M NEVIAND E16TDIG KVAG IW WA AND S FRDITDIG D6DUICTIDNS Pq{ m OWNERS aeeuTna a m SYSIBI, AISO STAIaGITEMS COlelm SY IOS Gl4PAMf2. K+P. 10. DAYER: m CONTRACTOR 5141E MOVIOE A L1QVID LINE aIYERAND SIGHT fi/WS f0R H!W SYSieI. P- 3, RO1O Il. HRi M CINIIRACfOR 5TW1 PIbVID! 141T0IEp SY'SIBI CDIlDIEN15 A5 9fG6®ORNI AS NOTED APIRW®EQLLIL I00. OPD41Nfl ATm SIL�7m EIPLTRIUL RLr1U01lIBrt5. p-y 11. 6f&7RJC)IEdI: ElEC1RK SfRV HEATERS SMALL RE WR�gUMf®. COINEfE WLIII NISES. NI-TEW CUTOUTS � no^ (A111O AND MAMUAI), REAYS, FIG. ANO WRM A3ES AS NOTED. "N_,Ull' 13. l�fl : M ASIDE OFALL V6p1E IaFAR ODRKELS SIMIL SE PADDED MT RIACG (�-J 16. MMS; FllgxpE RETURN AIR FRT aN ALLAG o3NDeNIIaLG elUOMER. IF PRNIDE TEE DAMIERS a ALL DUCTS MSSDLD TMRU FOIE DN510N WALIS, ROOF MaETMTlOf65 AMD ROaR IE31ElI4TIDl6. FD1E OAMwJK D6TAWTNNS SNNLCOMRY Wfa M IOCK MaS. 10. � AR NMXf1010G Ep1.61e1f ro MV! A MaDNM U.0 S E E R MTa0 11. NMT RFCWM: TVA 10.AfCTyllm ^1�-i ��/RJR • • NGRDLA t IF] lMO1MG M Ma KIW AIR LNNDIDIG UMIT CI0SFf. 6E iSTYms GRe1m TIMN 1DTALAgM of SIN0.Y Am taus IDR TL4T SFAAZ. 'Pow .r •••••• •••• •••••• • •••• •••• • • •••••• • ••• ••••• •• •• •• • •••••• • •••••• go • r • m �Ir[I HI HO sex to mo •nay oe PERMIT #: {� luwl sHoe cs i.Lr/o vn!nowl 7/b e Cal Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 540 GRAND CONC, Miami Shores, FL 33138 [nntacts Issue Date: 06/27/2019 Parcel Number 1132060171411 Permit NO.: RC-01-19-73 Permit Type: Building (Residential) Work Classification: Alteration Permit Status: Approved Expiration: 09/30/2019 DARIK & MARLENIS SMART Owner MCI CONTRACTORS, INC. Contractor 540 GRAND CONCOURSE, MIAMI SHORES, FL 33138 MELQUICEDEC ORLANDO VIVEROS Other: 3057518127 4684 NW 133 ST Business: 3058976328 Other:7862512978 Description: KITCHEN CABINETS (TO REPLACE EPIRED Valuation: $ 12,500.00 Inspection Requests: APPLICATION RC18-736) Total Sq Feet: 200.00 Fees Amount Payments Date Paid Amt Paid 100% Permit Renewal Fee $375.00 Total Fees $375.00 Credit Card 06/27/2019 $375.00 Tota I : $375.00 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws Feaulatina construction and zonina—Futhermore, I authorize the above named contractor to do the work stated. Signature: Owner / Applicant / Contractor / Agent Date June 27, 2019 Page 2 of 2 Notice to Owner - Workers' Com Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 nsation 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: I . 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. State of Florida County of Miami -Dade The foregoing was acknowledge before me this 9—? day of U 20 `. Byr,7()W-cC4R-- who<2erson own to me or has produced s identi\lr\p���i�.IIIIIIII //i,,�� Notary: ``ayo?: ' W co,%'s. cP r a. Al. SEAL: _ % •.Qy.. � •pia ' •: a � 0 q:� W-10 q�W-000 mopr.00' 00 CONTRACTORS INC Date: 6/26/2019 State of Florida County of Miami Dade County Before me this day personally appeared deposes and says: Melquicedec Viveros 11820 Miramar Parkway Suite # 129 Miramar, FL 33025 LICENSE # CGC1516249 who, being duly sworn, That he or sh will b the only person working on the project located at: 54 and onco rse, Miami Shores, FL. 33138 Contractor Signatu Sworn to (or affirmed) and subscribed before me this 26 day of June by U-aLzm Personally know, OR Produced Identification Type of Identification Produced 2019, CHRISTOPHER COX " MY COMMISSION # GG011522 �? EXPIRES July 13, 2020 (407) 390-0t F NOti 1-l".00M G I` Print, Type or Stamp Name of Notary CELL: (786) 251-2978 OFFICE: (305) 897-6328 FAX: (480) 393.4600 EMAIL: mci,2mcicontractors.com BUILDING PERMIT APPLICATION 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 i 6l Z i i Ndf FBC 20 Master Permit No., " Sub Permit No. ❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Phone#: 3�S a i �' 3 �f Address: C"`I Gr Cc/,ra�i�c- UY/ "t6 City: TGte^ S 1'1 S State: �� Zip: Tenant/Lessee Name: Phone#: Email: Aarmarr-7)-.la ("—'�CGY''y"C4S&t CONTRACTOR: Company Name: Address: 1 M YY(Ij, Cl G0 0- 1 aVS. )N C . ne#: 113C 2-51 o�-"� -?$ City:Ml r qy'-0-f State: \ Zip: Qualifier Name: Phone#: State Certification or Registration #: C- Certificate of Competency #: DESIGNER: Architect/Engineer: ne#: Address:. City: State: Zip: Value of Work for this,Permit: $ ( 2 S� • `� Square/Linear Footage of Work: 2A-3 D Type of Work: , ❑ Addition , ❑ Alteration i ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color o color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $_ Structural Reviews $, Training/Education Fee $ CCF $ DBPR $ 0 .. .r. W._. ----' I -CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zi 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 x ding $1500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law br hure ill be delivered to the person whose property is subject ttachment. Also, a certified copy of the recorded notice of comment ment ust be posted at the job site for the first inspection w ich ccurs seven (7) days after the building permit is issued. ln..the senc oAsuch posted notice, the inspection will n e app oved d a . spection fee will be charged. Signature Signature r�wasacknowleclged T CONTRACTO 'Fl\- The foregoing instrum before me this The foregoing instrument was acknowledged before me this day of !20 �9 by t_�9 day 20 by �yrr% f/r1GI f who is personally known to - N-e�� ud� C - ��"''�S ho is personally kno__wn Yo me or who has produced as me or who has produced _ as identification and who did take an oath. identification and wh n deI�i11PAY MH NOTARY PUBLIC: NOTARY PUBLIC: 4, gad � pmr3asac� F _ .6f1ti:.� Sign: AO -Sign - Print: _;L-1Y4WV#aU9Y SARANGO (arGCc' �1G1.yG. _; �• Notary ublic -State of lori a / Seal: :jai Commission # GG 257494 Seal: My Comm. Expires Sep 11, 2022 Bonded through National Notary Assn. APPROVED BY vz! Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami shores Village Building Department 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: I . 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 Yj�'� ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. I_ l 1 Signature: State of Florida County of Miami -Dade The foregoing was acknowledge before me this It day of rRZ , 20 l� . who is personally known to me or has produced as entifiigH111Nl�1 Xxxx ARZ�N%���i Notary: Coh jjs 2 • Mar0h sV, SEAL: '�;• �X:Ps= SIP_ 20 C3