EL-05-22-1287Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Parcel Number
1263 NE 101ST ST, Miami Shores, FL 33138 1132050250040 __....------.........
contacts
PAUL MAGNES Owner LONGMAN ELECTRIC INC Contractor
1263 NE 101 ST MICHAEL LONGMAN
95 NE 166 ST, Miami, FL 33162
Business: 3057581211 longmanelectric@bellsouth.net
Description: INSTALL 48KW GENERATOR. POWERS HOUSE Valuation: $ 500.00 Inspection Requests:
WITH PRE FAB TEMP CABLES
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Structural Review ($60)
$60.00
Technology Fee
$2.50
Total:
$211.30
Payments
Date Paid Amt Paid
Total Fees
$211.30
Credit Card
06/10/2022 $161.30
Credit Card
05/20/2022 $50.00
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
regulatin,g)constroo�n and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: OGvner / Applicant / Contractor / Agent
June 10, 2022
Date
Page 2 of 2
y Wall ,
ENTEHED
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
❑BUILDING FE-1 ELECTRIC ❑ ROOFING
MAY 2 0
BY:
FBC 20
Master Permit No. EL- 0!3- 2Z-12-e i
Sub Permit NO
❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOBADDRESS: 1263 NE 101 ST
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3205-025-0040 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titlehold
Address:1263 NE 101 ST
City: Miami Shores
Tenant/Lessee Name:
Email: pmagnes@wsvn.com
CONTRACTOR: Company Name:
Address: �.5 /�/
A .
City:
Paul Magnes, Lisa Magnes Phone#: 617 470-1758
State: FL
33138
hone#:
4.— Zip: _33/4�
Qualifier Name: Phone#:��..
State Certification or Registration #: 25 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 00 Square/Linear Footage of Work:
Type of Work: ❑ Addition El Alteration New )❑ Repair/Replace El Demolition
Description of Work- 1Al-. l 4t L 7 O Y ��4 C C%dl el a T��/� /"C!/(/>; � A e"'w (e-c
Specify color of color thru tile:,
Submittal Fee $
Scanning Fee $
Technology Fee $^
Structural Reviews $.
Permit Fee $
Radon Fee $
_ Training/Education Fee $
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ , lQI - 3 0
(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
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER. YOUR :FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER orA ENT
The foregoing instrument was acknowledged before me this
(1� day of 5fr 121r,,o Gt , 202rJ by
u 2. °kJ ci L / 5 d MA &5 , who is personally known to
me or who has produced j a /i.SA �/1� L LAY ffiNOy✓/V`as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: C �G
Print: / V/ "i
Seal'Oky a VIVIAN M CREWS
Notary Public - State of Florida
Commisslon N GG 255914
of My Comm. Expires Sep 25, 2022
��;+�*SortdetkblxeughHeNa►sehHolai�i��srf,
Signature
CONTRACTOR
The forqToing instrument was acknowledged before me this
AA
day of !�/ Gti 20 `� , by
Alaliit'10101 444M who ispersonally known to
me or who has produced as
identification and who did take an oath
NOTARY PUBLIC:
Print: 9ullA, f e 1`1'rez,
Seal:
*******************:k***************** k*****************8
APPROVED /Cep[ Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
/ 111
Property Search Application - Miami -Dade County Page 1 of 1
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3205-025-0040
Property Address:
1263 NE 101 ST
Miami Shores, FL 33138-2608
Owner
PAUL MAGNES
LISA MAGNES
Mailing Address
PA Primary Zone
1263 NE 101 ST
EL PORTAL, FL 33138 USA
11400 SGL FAMILY - 3001-3250 SQ
Primary Land Use
10101 RESIDENTIAL -SINGLE
FAMILY:1 UNIT
Beds / Baths / Half
5 / 3 / 0
Floors
2
Living Units
1
Actual Area
5,294 Sq.Ft
Living Area
4,325 Sq.Ft
Adjusted Area
4,518 Sq.Ft
Lot Size
13,000 Sq.Ft
Year Built
Multiple (See Building Info.)
Assessment Information
Year
2021
2020
2019
Land Value
$491,832
$491,832
$491,832
Building Value
$774,318
$782,902
$791,487
XF Value
$38,237
$38,686
$39,133
Market Value
$1,304,387
$1,313,420
$1,322,452
Assessed Value
$1,304,387
$1,313,420
$1,322,452
Benefits Information
Benefit
Type
2021
2020
2019
Homestead
_..____
Second Homestead
Exemption
... __....................._...........____.....
Exemption
$25,000
_.
$25,000
$25,000
_....._.____.._.__._....
$25,000
$25,000
...... ....... _._..__._......
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
PB 42-25
BAY BREEZE SEC MIAMI SHORES
LOT 5 BLK 185
LOT SIZE IRREGULAR
Generated On : 5/20/
Taxable Value Information
2021
2020
2
County
Exemption Value
$50,000
$50,000
$50.
Taxable Value
$1,254,387
$1,263,420
$1,272.
School Board
Exemption Value
$25,000
$25,000
$25..
Taxable Value
$1,279,387
$1,288,420
$1,297.
City
Exemption Value
$50,000
$50,000
$50.
Taxable Value
$1,254,387
$1,263,420
$1,272.
Regional
Exemption Value
Taxable Value
$50,000
$1,254,387
$50,000
$1,263,420
$50.
$1,272.
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Descripti(
08/10/2018
$1,760,000
31110-0462
Qual by exam of deed
12/01/2006
$775,000
25203-0821
Sales which are qualifies
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appra
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:/Iwww.miamidade.gov/info/disclaimer.asp
Version:
https://www.miamidade.gov/Apps/PA/propertysearch/ 5/20/2022
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COUSINS SURVEYORS & ASSOCIATES, INC.
3921 SW 47TH AVENUE, SUITE 1011
DAVIE, FLORIDA 33314
-4� CERTIFICATE OF AUTHORIZATION : LB # 6448
PHONE (954) 689-7766 FAX (954) 689-7799
ENXERED
PROJECT NUMBER : 6688-11
0 2022
CLIENT ml
CLAUDIO RODRIGUf6Y:
SKETCH
OF SURVEY
LOT 3
BLOCK 185 LOT 4
BLOCK 185
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19' ASPHALT PAVEMENT
REVISIONS DATE FB PG I DWN CKD FLOOD ZONE INFORMATION PROPERTY ADDRESS
BOUNDARY k IMPROVEMENTS SURVEY 10/05/11 SKETCH JD REC COMMUNITY NUMBER 120652 1263 NE 101ST STREET
UPDATE SURVEY 04/05/12 ----- REC REC PANEL NUMBER 0306 L
FOUNDATION SURVEY 06/03/14 SKETCH REC REC ZONE AE SCALE: 1 "= 20'
FINAL SURVEY 08/01/18 SKETCH AM REC BASE FLOOD ELEVATION 8
EFFECTIVE DATE 09/11/09 SHEET 2 OF 2
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RODRIGUEZ RESIDENCE ALTER.
1263 NE 101 STREET
MIAMI SHORES, FL. 33138
PROPOSAL
FROM:
Doug Vecchio
Pau! Magnes Florida Backup Power, LLC.
1263 NE 101 Street 2740 S.W. Martin Downs Blvd. #328
Miami Shores FI. March 18, 2022 Palm City, FL 34990
P: 954-825-7741
2 pages doug@floridabackuppower.com
Ref:031822-DV
The service and parts requirements are listed below, together with pri cep: and
estimated delivery dates. Prices are valid for 30 days. Orders will be placad
upon receipt of your purchase order or signature below. Cancellation atter 14
days from purchase order date will result in a minimum 15% cancellation
charge.
Location Res
Scope of work: slab
• Mobilize.
• Remove grass.
• Form 4'x 8' x 2' thick slab.
• Supply and install #5 reabar 12" OCEA top and bottom.
• Pour slab with 3000 PSI concrete.
• Strip forms
• Demobilize
PRICE FOR ABOVE WORK: $4,990.00
Florida Backup Power, LLC.
2740 S.W. Martin Downs Blvd. #328
954-825-7741
I4— 48" -►I
o�
#5 Rebar @ 12" O.C. EW
Top & Bottom Mat
3000 PSI Concrete
d'
N
Side View
Generator Slab Details
INCLUDES:
• Two -Line LCD Multilingual Digital Evolution"
Controller (English/Spanish/French/Portuguese)
With External Viewing Window for Easy
Indication of Generator Status and Breaker
Position
• Isochronous Electronic Governor
• Sound Attenuated Enclosure
• Closed Coolant Recovery System
• Smart Battery Charger
• UV/Ozone Resistant Hoses
• ±1 % Voltage Regulation
• Field Convertible Fuel Type With No Mechanical
Adjustment Required.
• 5 Year Limited Warranty
• UL 2200 Listed
• Listed and labeled by the Southwest Research
Institute allowing installation as close as 18 in
(457 mm) to a structure*
*Must be located away from doors, windows, and fresh air
intakes and in accordance with local codes.
https:#assets.swri.org/library/DirectoryOfListedProducts/
Constructionindustry/973_Doc _204_13204-01-01 _Rev9.pdf
FEATURES
O INNOVATIVE DESIGN & PROTOTYPE TESTING are key components of
GENERAC'S success in "IMPROVING POWER BY DESIGN." But it doesn't
stop there. Total commitment to component testing, reliability testing,
environmental testing, destruction and life testing, plus testing to
applicable CSA, NEMA, EGSA, and other standards, allows you to choose
GENERAC POWER SYSTEMS with the confidence that these systems will
provide superior performance.
O TEST CRITERIA:
✓ PROTOTYPE TESTED ✓ NEMA MG1-22 EVALUATION
✓ SYSTEM TORSIONAL TESTED ✓ MOTOR STARTING ABILITY
O MOBILE LINKO CONNECTIVITY: Free with select Protector Series
standby generator sets, Mobile Link Wi-Fi allows users to monitor the
generator set status from anywhere in the world using a smartphone, tablet,
or PC. Easily access information such as the current operating status and
maintenance alerts. Users can connect an account to an authorized service
dealer for fast, friendly, and proactive service. With Mobile Link, users are
taken care of before the next power outage.
Standby Power Rating
Model RG048 (Aluminum - Bisque) - 48 kW 60 Hz
Model RG060 (Aluminum - Bisque) - 60 kW 60 Hz
Model RG080 (Aluminum - Bisque) - 80 kW 60Hz
ONus QvIE-Er
•nssenueamm usawre
tlpmealc eN Mre13n pats
Meets EPA Emission Regulations
CA / MA Emission Compliant
O SOLID-STATE, FREQUENCY COMPENSATED VOLTAGE
REGULATION. This state-of-the-art power maximizing regulation system is
standard on all Generac models. It provides optimized FAST RESPONSE to
changing load conditions and MAXIMUM MOTOR STARTING CAPABILITY
by electronically torque -matching the surge loads to the engine. Digital
voltage regulation at ±1%.
O SINGLE SOURCE SERVICE RESPONSE from Generac's extensive dealer
network provides parts and service know-how for the entire unit, from the
engine to the smallest electronic component.
O GENERAC TRANSFER SWITCHES. Long life and reliability are
synonymous with GENERAC POWER SYSTEMS. One reason for this
confidence is the GENERAC product line is offered with its own transfer
systems and controls for total system compatibility.
SO
�;F zooa
GENERAC'
48/60/80 kW application & engineering data
GENERATOR SPECIFICATIONS ENGINE SPECIFICATIONS
Type
Rotor Insulation Class
Stator Insulation Class
Telephone Interference Factor (TIF)
Alternator Output Leads 1-Phase
Alternator Output Leads 3-Phase
Bearings
Coupling
Excitation System
VOLTAGE REGULATION
48 kW
60 / 80 kW
Synchronous
Synchronous
F
H
H
H
<50
<50
4 wire
4 wire
6 wire
6 wire
Sealed Ball
Sealed Ball
Flexible Disc
Flexible Disc
Direct
Brushless
Type
Electronic
Sensing
Single Phase
Regulation
± 1%
GOVERNOR SPECIFICATIONS
Type
Electronic
Frequency Regulation
Isochronous
Steady State Regulation
± 0.25%
ELECTRICAL SYSTEM
Battery Charge Alternator
12 Volt 35 Amp
Static Battery Charger
2.5 Amp
Recommended Battery (battery not included)
Group 27F (48kW), 725CCA
System Voltage
12 Volts
GENERATOR FEATURES
Revolving field heavy duty generator
Directly connected to the engine
Operating temperature rise 120 °C above a 40 °C ambient
Class H insulation is NEMA rated
Class F insulation is NEMA rated
All models fully prototyped tested
ENCLOSURE FEATURES
Aluminum weather protective
Ensures protection against mother nature.
enclosure
Electrostatically applied textured epoxy paint for added
durability.
Enclosed critical grade muf-
Quiet, critical grade muffler is mounted inside the unit to
fler
prevent injuries.
Small, compact, attractive
Makes for an easy, eye appealing installation.
SAE
Sound attenuated enclosure ensures quiet operation.
48 kW
60 / 80 kW
Make
Generac
Generac
Model
Inline 4 cylinder
Inline 4 cylinder
Cylinders
4
4
Displacement (Liters)
4.5
4.5
Bore (in/mm)
4.5 / 114.3
4.5 / 114.3
Stroke (in/mm)
4.25 / 107.95
4.25 / 107,95
Compression Ratio
9.9:1
8.85:1
Intake Air System
Naturally Aspirated
Turbocharged and aftercooled
Lifter Type
Hydraulic
Hydraulic
ENGINE LUBRICATION SYSTEM
Oil Pump Type
° ° Gear
°
Oil Filter Type
° ° ° ° ° gull Flow SRiQ-Gn Cartridge
Crankcase Capacity (qt / 1)
° ° ° ° ° ° 12 / 11
(
G000r.G
0 0 0 C I
ENGINE COOLING SYSTEM
O O O O e 0 O O
<tC < < 0000
°
Type
° ° ° Ethylene G;y�La, 0 // 053 Mix
Water Pump
° o ° ° G Belt -Driven
Fan Speed (rpm)
e ° ° ° ° 2,100
e e
Fan Diameter 48 kW (in / cm)
° ° ° ° ° ?0 (50.8)
Fan Diameter 60 kW and 80 kW (in / cm)
22 (55.9)
Fan Mode
Pusher
FUEL SYSTEM
Fuel Type
Natural Gas, Propane Vapor
Fuel Shut Off Solenoid
Standard
LP Fuel Pressure
7 -14 in Water Column
NG Fuel Pressure
3.5 -14 in Water Column
(All ratings in accordance with BS5514, IS03046, IS08528, SAE J1349 and DIN6271)
GENERAC
48 / 60 / 80 kW operating data
GENERATOR OUTPUT VOLTAGEAW - 60 Hz
kW LPG Amp LPG kW Nat. Gas Amp Nat. Gas CB Size (Both)
120/240 V,10,1.0 pf
48
200
48
200
200
RG048
120/208 V, 30, 0.8 pf
48
167
48
167
175
120/240 V, 30, 0.8 pf
48
144
48
144
150
277/480 V, 30, 0.8 pf
48
72
48
72
80
120/240 V,10,1.0 pf
60
250
60
250
300
RG060
120/208 V, 30, 0.8 pf
60
208
60
208
200
120/240 V, 30, 0.8 pf
60
180
60
180
200
277/480 V, 30, 0.8 pf
60
90
60
90
100
120/240 V.10,1.0 pf
75
312
80
333
400
RGO80
120/208 V, 30, 0.8 pf
75
260
80
278
300
120/240 V, 30, 0.8 pf
75
226
80
241
300
277/480 V, 30, 0.8 pf
75
113
80
12C
150
rt i t tc,
C
SURGE CAPACITY IN AMPS ENGINE FUEL CONSUMPTION
0
0000a
Voltage Dip @ < .4 pf
15% 30%
120 / 240 V,10
100
300
RG048
120 / 208 V, 30
118
242
120/240 V, 30
144
260
277 / 480 V, 30
64
123
120 / 240 V, 10
150
413
RG060
120 / 208 V, 30
135
313
120 / 240 V, 30
117
289
277 / 480 V, 30
54
122
120 / 240 V,10
283
600
RGO80
120 / 208 V. 30
236
500
120 / 240 V, 30
204
432
277 / 480 V, 30
102
192
Note: Fuel pipe must be sized for full load.
For Btu content, multiply ft3 / hr x 2,520 (LP) or 1`13 / hr x 1,000 (NG).
For megajoule content, multiply m3 / hr x 93.15 (LP) or m3 / hr x 37.26 (NG).
Refer to "Emissions Data Sheets" for maximum fuel flow for EPA and SCAQMD
permitting purposes.
Natura: Gasp a Prr,pene
0 00000c
(ft3 / hr) (m3 / hr) (gal/hr, ;it3 / hs) (I / tif)
Exercise cycle
101
2.86
0.67
24.5
2.54
25% of rated load
201
5.7
2.88
104.7
10.9
RG048
50% of rated load
336
9.5
4.16
151.3
15.7
75% of rated load
447
12.7
5.28
192
20
100% of rated load
604
17.1
6.61
240.4
25
Exercise cycle
103
2.9
0.9
33.2
3.5
25% of rated load
257
7.3
2.1
78
8.1
RG060
50% of rated load
432
12.2
4.4
161.2
16.8
75% of rated load
618
17.5
6.8
247.2
25.7
100% of rated load
808
22.9
8.4
305.6
31.8
Exercise cycle
103
2.9
0.9
33.2
3.5
25% of rated load
292
8.3
2.6
93.6
9.7
RGO80
50% of rated load
534
15.1
5.7
208.8
21.7
75% of rated load
799
1 22.6
8.3
303.2
31.5
100% of rated load
1,063
1 30.1
10.8
393.2
40.9
STANDBY RATING: Standby ratings apply to installations served by a reliable utility source. The standby rating is applicable to varying loads for the duration of a power outage.
There is no overload capability for this rating. Ratings are in accordance with ISO-3046-1. Design and specifications are subject to change without notice.
GENERAC
48 / 60 / 80 kW operating data
ENGINE COOLING
48 kW 60 / 80 kW
Air Flow (inlet air including alternator and combustion air in c1m / cmm)
2,829 / 80.1
3,197 / 90.5
System Coolant Capacity (gal / liters)
2.9 / 11
4.5 / 17
Heat Rejection to Coolant (BTU per hr/ MJ per hr)
201,600
204,570
Maximum Operation Air Temperature on Radiator (°F / °C)
150 / 66
150 / 66
Maximum Ambient Temperature (°f / °C)
140 / 60
140 / 60
COMBUSTION REQUIREMENTS
Flow at Rated Power (scfm / cmm) 1 92.7 / 2.6 170.4 / 4.8
SOUND EMISSIONS
Sound Output in dB(A) at 23 It (7 m) With Generator' I 68 I 68
'In exercise mode r
Dann
EXHAUST o r n
r n r
Exhaust Flaw at Rated Output (scam / cmm) 104 / 2.9 181 / 5.1
Exhaust Temperature at Muffler Outlet (°F / °C) 945 / 507 1,213 / 656
ncc
ENGINE PARAMETERS
Rated Synchronous rpm 1,800 1,800
POWER ADJUSTMENT FOR AMBIENT CONDITIONS
Temperature Deration.................................................................................................................... 3% for every 10 °C above 25 °C or 1.65% for every 10 °F ^hove 77 °F
Altitude Deration (48 kW).............................................................................................................1 % for every 100 m above 183 m or 3% for every 1,000 It above 600 ft
Altitude Deration (60 kW and 80 kW)............................................................................................1 % for every 100 m above 915 m or 3% for every 1,000 ft above 3,000 ft
M1111114"Tanfll1"
Two -Line Plain Text LCD Display.............................................................................................................................................
Simple user interface for ease of operation.
Mode Switch: Auto....................................................................................................................................................
Automatic Start on Utility failure. 7 day exerciser.
Off.................................................................................................................................
Stops unit. Power is removed. Control and charger still operate.
Manual.................................................................................................Start
with starter control, unit stays on. If utility fails, transfer to load takes place.
Programmable Start Delay Between 10-30 Seconds.........................................................................................................................................................10
sec standard
Engine Start Sequence...............................................................................................................................
Cyclic cranking:16 sec on, 7 rest (90 sec maximum duration)
EngineWarm-up..............................................................................................................................................................................................................................5
sec
EngineCool-Down..........................................................................................................................................................................................................................1
min
Starter Lock-Out.........................................................................................................................................Starter
cannot re-engage until 5 sec after engine has stopped.
SmartBattery Charger.................................................................................................................................................................................................................Standard
Automatic Voltage Regulation With Over and Under Voltage Protection
........................................................................................................................................Standard
AutomaticLow Oil Pressure Shutdown........................................................................................................................................................................................Standard
OverspeedShutdown.......................................................................................................................................................................................................
Standard, 72 Hz
HighTemperature Shutdown......................................................................................................................................................................................................
Standard
OvercrankProtection...................................................................................................................................................................................................................Standard
SafetyFused...............................................................................................................................................................................................................................Standard
Failureto Transfer Protection......................................................................................................................................................................................................Standard
LowBattery Protection................................................................................................................................................................................................................Standard
50 Event Run Log.......................................................................................................................................................................................................................Standard
FutureSet Capable Exerciser......................................................................................................................................................................................................
Standard
IncorrectWiring Protection........................................................................................................................................................................................................
Standard
InternalFault Protection..............................................................................................................................................................................................................Standard
CommonExternal Fault Capability...............................................................................................................................................................................................Standard
GovernorFailure Protection........................................................................................................................................................................................................
Standard
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GENERAC'
48 / 60 / 80 kW available accessories
G0071690
G006478-0
G007992-0
G007990-0
G005651-0
G005703-0 - Bisque
G007991-0
G006664-0
Generac's Mobile Link allows you to check the status of your generator from anywhere that
Mobile Link° 4G LTE
you have access to an Internet connection from a PC or with any smart device. You will even'
Cellular Accessory
be notified when a change in the generator's status occurs via e-mail or text message. Note:'
Harness Adapter Kit required.
Available in the U.S. only.
Kit, Adapter Mobile Link
L/C (Required for QT and
The Harness Adapter Kit is required to make liquid -cooled units compatible with Mobile'
RG Series)
Link°.
If the temperature regularly falls below 32 IF (0 °C), install a cold weather kit to maintain
Cold Weather Kit
;optimal battery temperature. Kit consists of battery warmer with thermostat built into the,
wrap.
Extreme Cold Weather Kit Recommended where the temperature regularly falls below 32;°F (0 °C) for a.4a;lded periods
of time. For liquid cooled units only.
_ `_...` f........_... ....(>..O_.. ..n ..............p..�...070 l f:
Base Plug Kit
Add base plugs to the base of the generator to keep out aeori5. a
0 a...........n....... ............i
If the generator enclosure is scratched or damaged, it is itnpoiiant to tcuch•aa`the paint to
Paint Kit
protect from future corrosion. The paint kit includes the necessary paint to properly mairtwin'
or touch-up a generator enclosure.
Scheduled Maintenance
The Liquid -Cooled Scheduled Maintenance Kits offer all The haruware nrc,essury to per`c,�m
Kit
complete maintenance on Generac liquid -cooled generators.
Local Wireless Monitor
Completely wireless and battery powered, Generac's wireless remote nionito, provides you
with instant status information without ever leaving the house.
G006665-0 Wireless Remote
Extension Harness
G007993-0 E-Stop
G007005-0 Wi-Fi LP Fuel Level
Monitor
Recommended for use with the Wireless Remote on units up to 60 kW, required for use on
units 70 kW or greater.
E-stop allows for immediate fuel shutoff and generator shutdown in the event of an emergen-
cy.
The Wi-Fi enabled LP fuel level monitor provides constant monitoring of the connected LP!
fuel tank. Monitoring the LP tank's fuel level is an important step in making sure your
generator is ready to run during an unexpected power failure. Status alerts are available',
through a free application to notify when your LP tank is in need of a refill.
Smart Management Modules (SMM) are used to optimize the performance of a stanc
G007000-0 (50 amp)' Smart Management
;generator. They manage large electrical loads upon startup and shed them to aid in
G007006-0(100 amp)'; Module
;recovery when overloaded. In many cases, using SMM's can reduce the overall size
cost of the system.
Ultrasonic Cleaner
. _
An ultra -concentrated anti -corrosive cleaning solution engineered to reach the small
A0000018981
Solution
;cavities to clean the toughest contaminants. This water based formula is non -toxic,
biodegradable, safe for both metal and plastic surfaces, and is superior in rinsability.
A0000019001 All Surface Protestant
_....... ..._. .._ ....... ........... _.. _ _1 ......... _- _._....... .._._. _ .......... ..._.._
'All surface protestant forvinyl, rubber, plastics creates a barrierthat seals & protects s
!faces from water, UV rays while renewing the look of the surface.
GENERAC
48 kW installation layout
Drawing #A0000293718-C (1 of 2)
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GENERAC'
60 / 80 kW installation layout
Drawing #A0000293264 (1 of 2)
I
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ISM
RI'm
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$a
Sul Magnes
!63 NE 101 Street
iami Shores H.
Ref: C 31822-DV
oc%
F P
FLORIDA BACKUP POWER
PROPOSAL
FROM:
Doug Vecchio
Florida Backup Power, LLC.
2740 S.W. Martin Downs Blvd. #328
March 18, 2022 Palm City, FL 34990
P: 954-825-7741
2 pages doug@floridabackuppower.com
: •.. f. , The servics a.nd parts requirements are listed below, together with prices and
• • estimated delivery dates. Prices are valid for 30 days. Orders will be placed
upon receipt,of your purchase order or signature below. Cancellation after 14
so:*e
• • • • • • days from ;purchase order date will result in a minimum 15% cancellation
• charge. .....
...... 4
• o cc e e o
oe•eoe
• e
Location Res
Scope of work: slab
• Mobilize.
• Remove grass.
• Form 4'x 8' x 2' thick slab.
• Supply and install #5 reabar 12" OCEA top and bottom.
• Pour slab with 3000 PSI concrete.
• Strip forms
• Demobilize
PRICE FOR ABOVE WORK: $4,990.00
Florida Backup Power, LLC. 954-825-7741
2740 S.W. Martin Downs Blvd. #328
=tea
FLORIDA BACKUP POWER
PROPOSAL
FROM:
Doug Vecchio
Pau! Magnes
Florida Backup Power, LLC.
1263 NE 101 Street
2740 S.W. Martin Downs Blvd. #328
Miami Shores FI.
March 18, 2022
Palm City, FL 34990
P: 954-825-7741
2 pages
doug@floridabackuppower.com
Ref: 63=18=22-1)V'
the servic=&@,nzi parts requirements are listed below, together with prices and
-'e�tigaatedVehvery dates. Prices are valid for 30 days. Orders will be placed
upon receipt oaf your purchase order or signature below. Cancellation after 14
cl_.ayg from. purchase order date will result in a minimum 15% cancellation
dbarge. ;
3 s _
D`
L-#caffion Res
Scope of work: slab
• Mobilize.
• Remove grass.
• Form 4'x 8' x 2' thick slab.
• Supply and install #5 reabar 12" OCEA top and bottom.
• Pour slab with 3000 PSI concrete.
• Strip forms
• Demobilize
PRICE FOR ABOVE WORK: $4,990.00
Florida Backup Power, LLC.
2740 S.W. Martin Downs Blvd. #328
954-825-7741
60 / 80 M
Drawing #A0000293264 (2 of 2)
GENERAC�
installation layout
GENERAC"
Generac Power Systems, Inc. • S45 W29290 HWY. 59, Waukesha, WI 53189 • generac.com
V2019 Generac Power Systems, Inc. All rights reserved. All specifications are subject to change without notice. Part Number A0000373704 Rev E 9!25/2020
U.S, DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance
SECTION A — PROPERTY INFORMATION
Al. Building Owner's Name
CLAUDIO RODRIGUEZ
A2. Building Street Address (including Apt„ Unit, Suit(, and/or Bldg., No,) or I.O. Route and
Box No.
1263 NE 101 STREET
OMB No. 1660-0008
Expiration Date: November 30, 2018
ONTERED
MAY 2 0 2022 ,
anv. and (3) buildinnl owrfer.
Number:
Company NAIC Number:
mie% l orivic •, Florida 331$8
A3, Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 5 Block 188 OF "BAY BREEZE SEC. MIAMI SHORES P.B. 42, PG. 25, M/D.C.R.
A4, Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.25°52'06,60"N Long,80°10'18.80"WN I Horizontal Datum: M NAD 1927 Q NAD 1983
A& Attach at least 2 photographs of the building If the Certificate is being used to obtain flood Insurance.
A7, Building Diagram Number 8
A8. For a building with a ctawlspace or enclosure(s):
a) Square footage of orawlspace or enclosure(s) 1,282 sq ft
a
b) Number of permanent flood openings in the crawispace or enclosure(f) within 1.0 foot above cdjacert grade 4
c) Total net area of flood openings in A81 1,282 sq in
°
,IN C=" vi _h 4 P 4 rt n r-f
e
oe e e
A9. For a building with an attached garage: ° ° ° ° ° °
a) Square footage of attached garage 452 sq ft ° ° • ° ° ° ° ° •
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b 0 sq in
nuvu UVVIw1y5f LJ Yes U NO
�® SECTION B — FLOOD INSURANCE DATE MAP (FIRM) INFORMATION
B1. NF1P Community Name &Community Number
83. State
VILLAGE OF MIAMI SHORES 120652
=2name
Florida
B4. Map/Panel
B5. Suffix
86. FIRM Index
87. FIRM Panel
68. Flood Zone(s) 139. Base Flood Elevation(s)
Number
Date
Eff®dive/
n�n� An.
rtevised gate
Flood Deth)
12086C 0306
L
09/11/2009
09/11/2009
A 8
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: N/A
611. Indicate elevation datum used for BFE in Item B9: ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: N/A
B12. Is the building located in a Coastal Barrier Resources System (CBRS) eirea or Otherwise Protected Area (OPA)? ❑ Yes ❑x No
Designation Date: N/A ❑ CBRS ❑ OPA
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6
OMB No. 16QQ-0008
FI I=VATinN CFRTiFICATE Expif6tion Date: November 30; 2018
IMPORTANT: in these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street -Address (including Apt., Unit, Suite, arrdlor Bldg. No.) or R.O: Rbute and Box No.
POlicjr Number:
1263 NE 101 STREET
City State ZIP Code
Campany NAIC Number
MIAMI SHORES Florida 31$8
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED).
C1. Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction* ❑x Finished Construction .
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations - Zones AJ-7A30, AE, AH, A (with BM), VE, V1 V30; V (with BFE),-AR, AR/A, ARiAE, ARIA1—A30, ARIAH,'�/AO.
Complete items C2.a=h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: d-OUNTY## B26RN ELEV-17.23' Vertical Datur'rr: NGVD29
Indicate elevation datum used for the elevations in items a) through h) below.
❑x NGVD 1929 ❑ •NAVD.1988 ❑ Other/Source: :.N/A
Datum used for building elevations must be the same as that used for tho BFE.
— - Check the measurement used.
a) Top of bottom floor, (including basement, crawlspace, or enclosure flobr) 7.6 x❑ feet ❑ meters
b) Top of the next higher floor 9.9 x❑ feet ❑ ;meters
c) Bottom of the lowest horizontal structural member (V Zones only) NSA. ❑x feet ❑ meters
d)-Attached garage (top -of stab) -...8. 3 .!rxl. feet Ll-meters`
e) Lowest elevation of machinery or equipment servicing the building 8.8 1 feet ❑ ; meters
(Describe type of equipment and 10cation in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 7.3 [] fee : 0, meters
g) Highest adjacent (finished) grade next to building (HAG) 8•: 1 ❑x feet, f_ ] meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including 8 1 x❑ feet' ` `❑ meteru
structural support _.
SECTION D —SURVEYOR, ENGINEER, OR ARCHITECT CERTIFIGATiQN
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by 1ai t tQ `certify (,l'ayaflon inforrrafiali.;
l certify that the informatiorl on this Certificate represents my best efforts to intetpret the data .available. 1 understa?d thr any false
statement maybe punishable by fine orimprisonmeot under 18 U.S. Code, SOOVon 1001.
Were latjtude and longitud6 in Section A provided by a licensed land surveyot? ❑ Yes ❑ No ❑ Check here if attachments.
Certifier's Name License Number
RICHARD E. COUSINS 4188
Title
LAND SURVEYOR & MAPPER
Company NamePlace
al ' �$
COUSINS SURVEYORS & ASSOCIATES, INC.
Address .... Her. .
3921 SW 47TH AVENUE, SUITE 10.11
City State ZIP Code
DAVIE Florida 33314
Signaturp Date Telephone
(954) 689-7766
Copy all pages of this Elevation Certificate and all attachments for (1) community official,-(2) insurance agenticompany, and (3) building owner.
Comments (including type Of equipment and location, per C2(e), if applicable)
Latitude and Longitude was obtained by the GPS Street Finder installed in our trucks and verified by the Google Earth program.
Field survey datum is same as datum used for BFE in item 59. No conversion needed.
C2a- Top of Bottom Floor - 7.55' (Crawispace) C2e - A/C Elevation - 8.160'
C.0.R.-7.16'
FEMA Form 086-0-33 f7115)
RP..n1ACPA all nrPvint is arilfinnc
Fnrm Pang 9 of R
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding in from Section A. FQR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and%or Bldg_ No.) or P.O. Rpute and Box No. Policy Number:
1263 NE 101 STREET
City State ZIP Code Company NAIC Number
MIAMI SHORES Fjorida 3$138
SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQOIROD)
FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (withoat BFE), complete Items El- E5. jf the Certificate is intended to support a LOMA or LOMR-F request,
complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,
enter meters.
El. Provide elevation information for the following and oheck the appropriate boxes to show whether the elevation is above or below
the highest adjacent grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement,
crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or Q below the HAG.
b) Top of, bottom floor (including basement,
crawls ace; or enclosure is p ) ' .. `❑ feet ❑ mil tern - ❑ above or` ❑ bplow the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or y ,;pee {ages 1-? of instructions),
the next higher floor (elevation C2.b in
the diagrams) of the building is ❑ feet ❑ •.meter¢ , [ l above or �� below the HAG.
E3. Attached garage (top of stab) is ❑ feet ❑ inetere ` ' [j above 6t ❑ below the HAG,
E4. Top of platform of machinery and/or equipment < <
servicing the building is ❑ feet ❑ T.neterr , ❑ above br , ,below the, HAG,
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in ac�&8t 6ce with the dommunity's
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this info(,, ,gtiofi in Sect.ori G:
SEC"hON F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CEIffIFICATIO0
The property owner or owner's authorized representativo whp completes Sections A, B, and E :for Zone A (without a FEMA-issued or
community -issued BFE) or 2tone AO must sign here. The statements an Sections A, B, and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Narne
Address City State ZIP Code
Signature Date Telephone
Comments
THIS PAdE LEFT INTENTIONALLY BLANK
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6
FLFVATION CERTIFICATE
OM..B No. 1660-0008
Expiration Date: N.oyember 30, 2018
iMPORTAW: in these spaces, copy the correspon0ing information from Section A.
F R INSU.RANCS COMPANY USE
Building Street Address (ncluditig Apt. Unit, Suite, -and/or Bldg. No.) or P.O. Route and Box No.
Palicy Nu fnber:
1263 NE 101 STREET
Slate ZIP Code
Company NAIC Number
AMI SHORES Florida 33138
M)y
SECT10.[V G COMMUIJ.ITY INFOtkMA'tIGN (.0 ?TiONAL) .
The local official who is authgi'ized by law or ordinance to administer khe cbmrrjunity's fldodplaiin rnanag4roent ordinancecan complete
Sections A, B, C (or E), and G of this Elevation .Certificate. Complete the applicable items) and sign belDW. Check the measurement
used in Items G8--G10. In Puerto biro only, enter meters.
G1. ❑ The information in Sectioh C waslaken from other documentation that has 4een signed and sealed by a licensed surveyor,
engineer, or architect who is authorized by law to Certify elevation information. (Indicate th4 source ar)d date of the elevation
data in the Comments area below.)
❑ A community offcial.completed Section E.fvr a.building located in Zone A (without a FEMA-Iss-ued or.community-issued B1=E) .
E
Gz
or Zone AO.
G3. ❑ The following information (Items Q4—G10) is provided far community floodplain management purposes.
G4. Permit Number
G5. Date Pparmit Issued
G6, Date C+ rzjf ieate of .
Com1i4.rtcelOccup:3ncy issued
G7. This permit has been issued for: ❑ New Construction [] Substantial Improvement
G8. Elevation of as -built lowest floor (including basemgnt) ❑feet [� meters Datum...'
of the building: T. .
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑feet meters . Datum
G10. Community's design flbod elevation: ❑ feet ❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature' Date
Comments (including type of equipment and location, per C2(e), if applicable)
THIS PAGE LEFT INTENTIONALLY BLANK
❑ Qheck here if attachments.
CCRIID Corm nRn_0-,A A 17119% Renl.,eQ oil nrduinI le arliflnnc Fnrm Perna d of F
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION GERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
1263 NE 101 STREET
City State ZIP Code Company NAIC Number
MIAMI SHORES Florida 33138
If using the Elevation Certificate to obtain NFIP flood insurance., affix at least 2 building photographs below according to the
instructions for Item A6, Identify all photographs with date taken; "Front View" and "Rear ear View"; and, if required, 'Right Side View" and
"Left Side View." When applicable, photographs must show the fpundation with representative examples of the flood openings or
vents, as indicated in Section AS. If submitting more photographs than will fit on this page, use the Continuation Page.
Photo
S Photo One Caption DATE TAKEN: 08/0112Q18 Front View
V.
Photo Two
Photo Two Caption DATE TAKEN: 08/01/2018 Front View
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Paae Fynirafinn r)afc• Nnvcmt— 4n )n„x
IMPORTANT; In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
1263 NE 101 STREET
City State ZIP Code
Company NAIC Number
MIAMI SHORES Florida 33138
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and 'Rear View'; and, if required, 'Right Side View" and "Left Side View" When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
,
°tl
f `
t c
(
Photo One
Photo One Caption PIC TAKEN: 08/01/2018 Rear VieW
''^EI
t• : •
J, .jam?:Y ^' [i•'-`'; ' .i:.{ji;i .�.. .
.:_�.
L it
Photo Two
Photo Two Caption PIC TAKEN: 08/01/2018 Rear/Side View
r-tnnN corm u36-u-33 (t/'i b) Replaces all previous editions, Form Page 6 of 6
COUSINS SURVEYORS & ASSOCIATES, INC.
3921 SW 47TH AVENUE, SUITE 1011
DAVIE, FLORIDA 33314
CERTIFICATE OF AUTHORIZATION : LB # 6448
PHONE (954) 689-7766 FAX (954) 689-7799
PROJECT NUMBER : 6688-11
CLIENT
CLAUDIO RODRIGUEZ
SKETCH OF SURVEY
11AMTEIRED
LEGEND: MAY 2 0 2f
22
CKD CHECKED BY
CONC CONCRETE
OWN DRAWN BY BYS
FB/PG FIELD BOOK AND PAGE
SIR SET 5/8" IRON ROD & CAP #6448
SNC SET NAIL AND CAP #6448
FIR FOUND IRON ROD
FP FOUND IRON PIPE
FNC FOUND NAIL AND CAP
A/C AIR CONDITIONER SLAB "<
P.B. PLAT BOOK " r
M/D.C.R. MIAMI/DADE COUNTY RECORDS
—X— CHAIN LINK/ WOOD FENCE C
,
WM WATER METER
gk ELEVATION °O"""" °
" r
R RADIUS
A ARC DISTANCE """"
CCoor
A DELTA ANGLE 000000 Coca
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LAND DESCRIPTION: ® ° u ° o
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LOT 5, BLOCK 185 OF "BAY BREEZE SECTION MIAMI SHORES", r o ° ° ° ° °
o r
ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 42, ° 00°
C o 0 o s r
o
PAGE 25, OF THE PUBLIC RECORDS OF MIAMI/DADE COUNTY, o ° ° ° °
FLORIDA.
NOTES :
1. NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED
SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.
2. LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR RIGHTS —OF —WAY,
EASEMENTS, OWNERSHIP, OR OTHER INSTRUMENTS OF RECORD,
3. THIS SURVEY WAS DONE SOLELY FOR BOUNDARY PURPOSES AND DOES
NOT DEPICT THE JURISDICTION OF ANY MUNICIPAL, STATE,
FEDERAL OR OTHER ENTITIES.
4. THE LAND DESCRIPTION SHOWN HEREON WAS PROVIDED BY THE CLIENT,
5. UNDERGROUND IMPROVEMENTS NOT SHOWN.
6. ELEVATIONS SHOWN HEREON ARE BASED ON THE NATIONAL GEODETIC
VERTICAL DATUM OF 1929.
7. BENCHMARK DESCRIPTION : MIAMI/DADE COUNTY BENCHMARK # B-26—RA
ELEVATION = 17.23'
I HEREBY CERTIFY THAT THE "SKETCH OF SURVEY" OF THE HEREON DESCRIBED
PROPERTY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF
AS SURVEYED IN THE FIELD UNDER MY DIRECTION IN AUGUST, 2018.
1 FURTHER CERTIFY THAT THIS SURVEY MEETS THE STANDARDS OF PRACTICE
FOR SURVEYING IN THE STATE OF FLORIDA ACCORDING TO CHAPTER 5J-17 OF
THE FLORIDA ADMINISTRATIVE CODE. PURSUANT TO SECTION 472.027, FLORIDA
STATUTES. THERE ARE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE
SHOWN HEREON, SUBJECT TO THE QUALIFICATIONS NOTED HEREON.
FOR THE FIRM, BY:------------------------------------
RICHARD E. COUSINS
PROFESSIONAL SURVEYOR AND MAPPER
SURVEY DATE : 08/01/18 FLORIDA REGISTRATION NO. 4188
REVISIONS
DATE
FB PG
DWN
CKD
BOUNDARY & IMPROVEMENTS SURVEY
10/05/11
SKETCH
REC
REC
UPDATE SURVEY
04/05/12
- - - - -
REC
REC
FOUNDATION SURVEY
06/03/14
SKETCH
REC
REC
FINAL SURVEY
08/01/18
SKETCH
AM
REC
FLOOD ZONE INFORMATION
COMMUNITY NUMBER 120652
PANEL NUMBER 0306 L
ZONE AE
BASE FLOOD ELEVATION 8
EFFECTIVE DATE 09/11/09
PROPERTY ADDRESS :
1263 NE 101ST STREET
SCALE: 1 "= 20'
SHEET 1 OF 2
COUSINS SURVEYORS & ASSOCIATES, INC
3921 SW 47TH AVENUE, SUITE 1011
DAVIE, FLORIDA 33314
CERTIFICATE OF AUTHORIZATION : LB # 6448
PHONE (954) 689-7766 FAX (954) 689-7799
PROJECT NUMBER : 6688-11
CLIENT
CLAUDIO RODRIGUEZ
SKETCH
OF SURVEY
LOT 3
BLOCK 185
LOT 4
BLOCK 185
sIR
�
c;
x— x—
5' PUBLIC UTILITY EASEMENT
— x— x— x— x— x—
N
eti t
CHAIN LINK FENCEi OO.00 6�
0.2
0.2'
SIR
POOL PUMP
ON CONC
-19' OFFSET SOUTH _
44.5' 160
I
CORAL POOL
3
r
DECK LOT 5
BLOCK 185
w
ry
N
H
Z
Lw>I
M
POOL LEAN
z
z
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o
x
CORAL WALK
Z
I
STEP
Z x
LANTE
� =
o
STEP STE
JSTEPP�TER:)
COLUMNCOVEREDp (TYP)
Al®43.2'10.0'
PTIOm10.
37.0'
2 STORY CBS RESIDENCE
m M
o
FLOOR ELEVATION = 9.90'
a
1.3'
SECOND FL ELEV=19.70'
,�
m r
a
JI
11.0'
w
J
U
z M
10.0' is r`�
U
Z
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PLANTER 13.3' ^
c
x
a PORCH a w
m
10.
25.4' 3 3
20.5' 0.0'
STEPS
30
1
o
BRICK BRICK DRIVE
1�
Q
oO N
o
ui
N N
9O.
000•,
c
900
o
FIR (5/8-)
61
FIP (3/
")
o
LB 6448
0
100.00'
6h
1
14.5' CONCRETE WALK
DROPPED
DROPPED
CURB
CURB
1.8' CONCRETE CURB & GUTTER
0
o
WATER
d
>
c
Y
V
mm
METER
w
>
�
0
Y
U
m
NE 101ST STREET
19' ASPHALT PAVEMENT
REVISIONS
DATE
FB PG
DWN
CKD
BOUNDARY & IMPROVEMENTS SURVEY
10/05/11
SKETCH
JD
REC
UPDATE SURVEY
04/05/12
-----
REC
REC
FOUNDATION SURVEY
06/03/14
SKETCH
REC
REC
FINAL SURVEY
08/01/18
SKETCH
AM
REC
FLOOD ZONE INFORMATION
COMMUNITY NUMBER 120652
PANEL NUMBER 0306 L
ZONE AE
BASE FLOOD ELEVATION 8
EFFECTIVE DATE 09/11/09
PROPERTY ADDRESS :
1263 NE 101ST STREET
SCALE: 1 "= 20'
SHEET 2 OF 2
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
1263 NE 101ST ST, Miami Shores, FL 33138 1132050250040
:ontacts
PAUL MAGNES Owner OWNER Contractor
1263 NE 101 ST
1 Inspection Re uests
Description: FURNISH AND INSTALL (1) NEW CONCRETE SLAB Valuation: $ 4,990.00 1305--162-4949,FOR GENERATOR"
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$3.00
Concrete/asphalt/pavers, slabs, dways,
$50.00
swalks
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$1.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$113.50
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$113.50
Credit Card
05/20/2022 $50.00
Credit Card
06/10/2022 $63.50
Amount Due:
$0.00
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
regulating pnstructi%and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owndr / Applicant / Contractor / Agent Date
June 10, 2022 Page 2 of 2
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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
ENXEa E"
MAY 2 0 ZOZZ
BY:
FBC 20
Master Permit No, Ei L - 05 - Z�
Sub Permit No.-D-5 - (35 - 2-2 -
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1263 NE 101 Street
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:1132050250040 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Pain E Magnes
Address:1263 NE 101 ST Street
City: Miami Shores State: FL
Tenant/Lessee Name:
Email: pmagnes@wsvn.com
hone#:617 470-1758
CONTRACTOR: Company Name: MIA `1(VIVe`", Li'lle'r Phone#:
Address:
Zip: 33138
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: _
Value of Work for this Permit: $ 7 00 Square/Linear Footage of Work:
Type of Work: ❑ Addition El Alteration / New ElRepair/Replace
Description of Work: 1-_tt "l?/ h doid iy.51 all 6 Q f» iy 4- O o r-r-el e -5
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
Zip:
❑ Demolition
Permit Fee $ CCF $ CO/CC $
Radon Fee $ DBPR $ Notary $
Training/Education Fee $ Double Fee $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
_ruing (ompany s Name (it appiicable)
nding Company's Address
state
lortgage Lender's Name (if applicable)
rteaee Lender's Address
City
State
Zip
Zi.
Application is hereby made to obtain a permit to do the work and installations as indicated. I certifv that no work or installation nL.,
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.....
)WNER'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 apalicant musr
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature r Signature llelKz W,"X /740e�l
OWNER o'r AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The fo a oing instrume t was acknowledged befog"� this
6 day of May , 20 22 by d y of r 20 by
/� U` />Ce N L� S who is personally known to who is personally known to
me or who nas producea RCREOkIALL111VOV✓&4s me or wno nas p oucea �s
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: V/
``� ��`- Notary Public State of Florida
Seal: a; Commission k GG 255914
My Comm. Expires Sep 25, 2022
Bonded through National Notary Assn.
identification and who did take an oath.
NOTARY PUBLIC:
Print:
Seal:
x
x
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 02/24/2014)
gN_0 Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: Pi / /7ic[3J7 e i DATE: '-/ 2 0 Z Z
ADDRESS: Z 67 yt-F A r�, 1,?,, i s P1 3/3
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have
read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner
must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption
allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the
construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a
cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be bulk for sale or
lease. if you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built
for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make
sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on
your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and
with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all
applicable laws, ordinances, buildings codes and zoning regulations.
Please read and initial each paragraph.
1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an
exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain
restrictions even though I do not have a license./J
Initial /
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and
is not hiring a licensed contractor to assume responsibility. )�
Initial k " '
3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts.
Initial PA"
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve a commercial
building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially
improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the
construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption.
Initial / •�/" �
S. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. ��/)
Initial / - -
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It
is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance.
Initial-_1 9141
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously
implies that the property owner is providing his or her own labor and materials. 1, as an owner -builder, may be held liable and subjected to
serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's
insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance
coverage for injuries to workers on my property. y��"v��
Initial / ' '
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the
work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by
me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the
Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow
these may subject to serious financial risk.
Initial_
9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and
requirement that govern owner -builders as well as employers. I also understand that the
Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations.n
Initial 1' V
10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States
Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry
Licensing Board at 850.487.1395 or http://www.mvfloridalicense.com/dbor/oro/cilb/index.html
Initial
11. 1 am aware of, and consent to; an owner -builder building permit applied for In my name and understands that I am the party
legally and financially responsible for the proposed construction activity at the following address:
Initial
12, 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on
this disclosure. 19, � n
Initial �V
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the
Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial
loss that you sustain as a result of contractor may be in civil court. it is also important for you to understand that, if an unlicensed contractor or
employee of an Individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder
permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of
the contractor's workers compensation coverage.
Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local
permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property
owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued.
Was acknowledged before me this day of APR / L 20_'--dN—
By '?'iQ L4 L_ X7 A6�, ✓Q e,- who was personally known to me or who has
Produced there License or ?Z�OIV 41_ L {i/1 OW/Vs identification.
OWN/160TARY
fair>u'•. VIVIAN M CREWS
W.
Notary Public - State of Florida
�o`s Commission M GG 25 4
of i .R,' My Comm. Expires Sep 25, 2022
Bonded through National Notary Assn.
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Expiration: 11/16/2022
Location Address Parcel Number
1263 NE 101ST ST, Miami Shores, FL 33138 1132050250040
:ontacts
PAUL MAGNES Owner FOREVER GAS CORP Contractor
1263 NE 101 ST ROBERTO GONZALEZ
18111 NW 68 AVE 1105, HIALEAH, FL 330153989
Business: 3052980193
Description: RUN ABOUT 160 FEET PIPING UNDERGROUND 1 Valuation: $ 5,500.00 Inspection Requests:
305
1/4 FOR GENERATOR
762 454$
TotalSq Feet: 0.00 f il
€
Fees
Amount
Application Fee - Other
$50.00
CCF
$3.60
DBPR Fee
$2.89
DCA Fee
$2.00
Education Surcharge
$1.20
Permit Fee
$142.50
Scanning Fee
$3.00
Technology Fee
$4.81
Total:
$210.00
Payments
Date Paid Amt Paid
Total Fees
$210.00
Credit Card
05/20/2022 $50.0.0
Credit Card
06/10/2022 $160.00
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
regulating ponstru,cfion,pnd zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature:
/ Applicant / Contractor / Agent
Date
June 10, 2022 Page 2 of 2
Miami Shores Village
ENTERED
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
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
gPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS:1263 NE 101 Street
MAY 2 0 ?022
r
BY-.—'
FBC 20
Master Permit No. I as'l
Sub Permit No. PC- - 65'22- - 1 Z'r 0
❑ REVISION ❑ EXTENSION ❑RENEWAL
® CHANGE OF ❑ CANCELLATION M SHOP
CONTRACTOR DRAWINGS
City Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): P��C/. r'� JC�I+�L- s Phone#: b/7 . 470 —L 7F'P,
Address: 12 L• 3 Lra /01 5 1 r, /�
City: 4 %/j A4 % 5 d 6 d &S State: P& Zip:.3���e
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Forever Gas Corp. Phone#: 305-293-01 g3
Address: 16111 NW 63 AVE Unit 1105
City:
Hialeah State: Florida Zip: 33015
Qualifier Name: Roberto Gonzalez Phone#: 305-298-0193
State Certification or Registration #: LI23379 Certificate of Competency #: _
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: _
5 OCR 160ft
value of Word for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration 5011 New ❑ Repair/Replace
Description of Work: Run about 160 feet piping undergrOUnd *l 1/4, for generator
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $
Radon Fee $
Training/Education Fee $
Zip:
❑ Demolition
_ CCF $ CO/CC $
_ DBPR $ Notary
Double Fee $
Bond $ 11
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
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
i
Signature �4=�
OWNER or AGENT
The foregoing instrument was acknowledged before me this
�, ' day of 4 021 L , 20 ��� by
p7l L,/ /V L.f who is personally known to
me or who has produced P L P> AIAL Ly Kl� "'tVIJ as
identification and who did take an oath.
NOTARYY-611BLIC:
Sign:
Print: V I I/ I� 7fj w
MP, �•.VIVIAN M. CREWS
Seal: =fiNotary Public - State of Florida
Commission # GG 255414
�oF°4"` My Comm. Expires Sep 25, 2022
Bonded through National Notary Assn.
APPROVED BY
Signature
Cf NTRACTOR
The foregoing instrument was acknowledged before me this
day of IV o'-Ch , 20 by
-P-,(,N- rfC .60 rQQ 1-C- t , who is personally known to
me or who has produced :p i, ,t c, r6 (,I n as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:-� (,C.t)1x2. Cis�t�
Print: i') J t<'
�g Ayxa Fernandez
Seal: oc, NOTARY PUBLIC
jaSTATE OF FLORIDA
Comm?t GG340030
Plans Examiner
Zoning
(Revised 02/24/2014)
Structural Review
Clerk
�:NTEaED
MAY 2 0 2022
BY: `
!Rill NW 68 AVF INIT I-105
Hialcait F L. 330 is
305 — 298 -0193 Cell 305 — 331- 25 72 Office
Forevergas(all ive.com
CONTRACT
Name PAUL MAGNES Date: 03/24/2022
Client Address 1263 NE 101 ST City MIAlV1I SHORES, FL Zip 33138
Service Address 1263 NE 101 ST City MIAMI SHORES, FL Zip 33138
Telephone (
Cell ( 617 ) 470- 1758
IN THIS CONTRACT
• THIS IS TO RUN ABOUT 160 FEET 1 'A GAS LINE FOR A GENERATOR
• CONNECT GENERAOR
• PARTS
• LABOR
NOT INCLUDED
• PERMIT COST
• PERMIT WILL BE SUBMITTED AND RUN BY CUSTOMER
• CUSTOMER WILL PAY PERMIT COST
FIRST PAYMENT IS FOR A DEPOSIT AND SIGN CONTRACT $3,000.00
SECOND PAYMENT AFTER INSPECTION $2,000.00
FINAL PAYMENT FOR FINAL WHEN GAS WORK IS COMPLETD $ 5W
TOTAL S6»UWO
15,500
TERil-IS AND CONDITIONS
WITH THE DELAY OF PAYMENT, WE WILL BE IMPOSING A $100.00 LATE FEE. IF PAYMENTS ARE NOT MADE
WE ARE NOT RESPONSIBLE FOR DAMAGES DONE TO DESIGN WALKWAY OR TO LANDSCAPING OR ANY REPAIR
THIS INCLUDES LABOR. IF THERE IS ANY CHANGES IN THE PIPE SIZE OR ANY WRONG LOCATION OF ANY OF THE
EQUIPMENT FROM THE ORIGINAL QUOTE PRICE AND PLAN SETTINGS THERE WILL BE ADDITIONAL COST. WE ARE A
LICENED AND INSURED GAS CONTRACTOR, WE ARE NOT RESPONSIBLE FOR ANY SPRINKLERS AND PRIVATE
UTILITIES NOT MARKED ALL WORK WILL BE DONE ACCORDING WITH NFPA 58 AND FLORIDA BUILDING
'I'lie customer must sigh ttttd return contract accel)tittg scrvices an(I charges
All finalized parts and installations have a 30-day warranty from She day of completion (Equipment NOT included). All work done by
other service company, service technician, employee and / or owner of an establishment different from Forever Gas Corp. will
automatically void all warranties. There will be additional costs and an increase in fees added to the contracted price for alterations and
changes to the initial specifications quoted. Absolutely no refunds on deposits, parts, or labor.
Returned checks are subject to $ 75.00 charge. If invoice is a proposal, prices are valid for 30 days ONLY.
If payments are not made for the final payments when jobs are completed Due the delay of payment, we will be imposing $100.00 late fee.
I hereby accept above services and charges as being satisfactory and acknowledge that equipment has been left in good condition.
CUSTOMER
SIGNATURE:
Print Name
DATE:
OFFICE USE ONLI' Check number: Amount
Cash Amount $:
Money accepted by Technician:
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