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EL-01-22-35 GeneratorMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1224 NE 96TH ST, Miami Shores, FL 33138 Contacts Permit NO.: EL-01-22-35 Permit Type: Electrical - Residential Work Classification: Generator Permit Status: Approved Issue Date: 02/07/20221 Expiration: 08/08/2022 Parcel Number 1132060143931 TONY SEIDEN TRS J AND W LAND TRUST Owner ALL QUALITY ELECTRICAL SERVICES, INC Contractor AGREEMENT SAMUEL LIGHTBOURNE 1224 NE 96 ST, MIAMI SHORES, FL 331382554 14750 S RIVER DR, MIAMI, FL 33167 Business: 3057905899 Description: INSTALLATION OF NEW 24 KW FIRED WHOLE Valuation: $ 7,850.00 Inspection Requests: HOUSE GENERATOR WITH 200 A AUTOMATIC TRANSFER 3OS-762-4949 SWITCH Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $4.80 DBPR Fee $4.12 DCA Fee $2.75 Education Surcharge $1.60 Permit Fee $224.75 Scanning Fee $12.00 Technology Fee 56.87 Total: $306.89 Payments Date Paid Amt Paid Total Fees $306.89 Credit Card 01/06/2022 $50.00 Credit Card 02/07/2022 $256.89 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 construction and zoning. Futhermore, I authorize the above named contractor to do thework stated. Authorized Signature: Owner / Applicant / Contractor / February 07, 2022 Date Page 2 of 2 cp, `P L Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)795-2204 Fax: (305)756-8972 nECEIVE I ►�� .•_ INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT AP7ELECTRIC CATION ❑NG BUILDI❑ ROOFING FBC 20 20 Master Permit No. C1-0i - 22-39 Sub Permit ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWIN[s JOB ADDRESS: Folio/Parcel#: /1— 3 2 0 E Occupancy Type: 5L Load: OWNER: Name (Fee Simple Address: City: /W /(I Tenant/Lessee Name: Email: CONTRACTOR: Company Name: Address: IV7 �J. U City: Qualifier Name: 96 5f- Countty7/ : / Miami Dade Zip: 33/•39 3 9 J Is the Building Historically Designated: Yes NO _ G,7 Construction Type: J Flood Zone: )0 BFE: FFE: s7- State: r-& / C- 33/38 36s 9657f3-2 Zip: .S 31 6 7 State Certification or Registration#: 6 C / 3 U D / O T b Certificate of Competency #: DESIGNER: Architect/Engineer: n%/tl Phone#: Address: ""j �ii p City: — State: — LZip: Value of Work for7tyh''� Permit: $ /7 0 SO . Squar Linea Footage of Work: �o �T Type of Work: IJ Addition ❑ Alteration 1-1 New `/' ElRepair/Replace ,J❑ Demolition Description ofWork: .Lr,Sf/v,11l.AA6Z ^UJ 9V-rLJ 1-26-f t} ciO 11-Q- A4VS{ e 7kn s L2r .)/u, Specify color of color thru tile: Submittal Fee $ �'� Permit Fee $ CCF $ Scanning Fee $ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CO/CC $ Notary Double Fee $ Bond $ r 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 OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this J d day of (\JD UFI L , 20 OJ by day of A)a llCct!!oC f 20 2( by -FL-0t-� Nwho is personally known to S�y It i �i pG wO ulnwho is personally known to r me or who h�%'=c! as me or who has produced K N b uil as identification and who did take an oath. identification and who did take an oath. NOTARY P C: NOTARY PUBLIC: Sign: Sign: W'Pu� e L%' Print: P Print: Seal: SINDIA ALVAREZ IFS Seal: g. MY COMTAISS10t4 k GG 7.33273 I` 4 `,; EXPIRES: September 3, 2022 Bonded Thm Nc�ary Public Undenwiters �H APPROVED BY jg�,f ��%. Plans Examiner GUILLERMO A CALDERON Notary Public - State of Florida Commission p GG 342574 Ay Comm, Expires Jun 23, 2023 d through National Notary Assn. ® 6.ICJ- L Zoning Structural Review )RevisedO2/24/2014) Clerk U.S. DEPARTMENT OF HOMELAND SECURITY OMB No.1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2022 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 agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: Tony Seiden, as Trustee of the J&W Land Trust Agreement dated September 27, 2021 A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1224 NE 96TH STREET City State ZIP Code MIAMI Florida 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) FOLIO: 11-3206-014-3931 LOT 15 AND THE WEST 30 FEET OF LOT 14 BLOCK 84, MIAMI SHORES SECTION NO 3 PB 10-37 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 25°51'49.98"N Long.80°10'23.47"W Horizontal Datum: ❑ NAD 1927 Z NAD 1983 A6. 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 crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 2405.58 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 30 c) Total net area of flood openings in A8.b 4680.00 sq in d) Engineered flood openings? ❑ Yes 0 No A9. For a building with an attached garage: a) Square footage of attached garage 400.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes 0 No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State VILLAGE OF MIAMI SHORES 120652 MIAMI-DADE COUNTY Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12086CO306 L 09-11-2009 09-11-2009 AE 8 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ FIS Profile Z FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: Z NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Z No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 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: 1224 NE 96TH STREET City State ZIP Code Company NAIC Number MIAMI Florida 33138 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al—A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: B=62 ELEV 8.66 Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a) through h) below. Z NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawispace, or enclosure floor) 7.5 0 feet ❑ meters b) Top of the next higher floor 9.4 [g feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A JZ feet ❑ meters d) Attached garage (top of slab) 7.5 Z feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 7.4 feet meters ❑ (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7.0 Z feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 7.2 [g feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including meters N/A feet ❑ structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? Z Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number OSCAR E BAEZ 5034 �. BAEZ. c VP� ENgF Gs,O Title REGISTERED SURVEYOR AND MAPPING LLC �%C oy o Company Name 360* SURVEYING AND MAPPING, LLC NO. Lsso� STATE OF �c/0 Address 2935 SW 82ND AVENUE *c''1CRANC 5�011 City State ZIP Code MIAMI Florida 33155 Signature Date Telephone Ext. OEgitaaysignWbyoscarE8m Oscar E Baez Date: 2021A9.2stoa7:0s-oa'oo' 09-28-2021 (305) 265-1002 N/A Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) DATA IN C2.a-h IS ONLY ACCURATE TO 0.1, SECTION C., C.2., e, TYPE OF EQUIPMENT = A/C LEFT SIDE VIEW LATITUDE, LONGITUDE FROM GOOGLE EARTH, This Elevation Certificate not valid without the Electronic Signature and Digital Seal and/or the Signature and Original Raised Seal of a Florida Licensed Surveyor and Mapper FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 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: 1224 NE 96TH STREET City State ZIP Code Company NAIC Number MIAMI Florida 33138 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 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: 1224 NE 96TH STREET City State ZIP Code Company NAIC Number MIAMI Florida 33138 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items 134-1310) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) ❑ feet ❑ meters of the building: Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood 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) ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2022 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: 1224 NE 96TH STREET City State ZIP Code Company NAIC Number MIAMI 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 View"; and, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. a a milli I , Photo One Photo One Caption FRONT VIEW 08-27-2021 Clear Photo One i , /s s Phoro Two Photo Two Caption LEFT SIDE VIEW 08-27-2021 Clear Photo Two FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No.1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2022 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: 1224 NE 96TH STREET City State ZIP Code Company NAIC Number MIAMI 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. s! Photo Three Photo Three Caption REAR VIEW 08-27-2021 Clear Photo Three Frew Four Photo Four Capflon RIGHT SIDE VIEW 08-27-2021 Clear Photo Four FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6 EAPP CIRICALREVIEVVl� ROVEQ DATE. Riser Diagram Seiden Residence 1224 NE 96 St., Miami Shores, FI.33138 Notes: All above ground conduit strapped to wall Generator line buried from house wall to generator 18" deep Generator riser rear of pad, stub up area behind genset Schedule 80 PVC conduit from ATS to generator, 1'/<" with #2 wires for load Schedule 80 PVC conduit from ATS to generator, 1" with 7 conductor low voltage wires for signaling 22kW Generator GENEFAC 24" High Concrete Pad PLUMBING PLANS ' Approved I Date I tl ZL ')isapproved Date 2" Metal Offset Nipples w/ 2/0 wire) lri)5 c m j 5i w Q (/) � »_ 0 C O- N O O .6 ^, N �3 G C CD 0 m C z�oo� CD w o io — N co 0 C T N w � t D w o' m ` � m N' 200 AMP Automatic 00 Transfer Switch with 0 Integrated Service : W< Disconnect 200 AMP Service TECO Meter #6 ground connected from TECO meter to generator 2/0 wire, 2" PVC PANEL A Interior House Panel Generator Controlled L.. i6:Gxxdund,W rN with (3) 8' Ground Rods Seiden Residence, 1224 NE 96 St. Miami Shores, FL. 33138 Existing Panel A- Interior, Voltage: 120/2401 phase, Bus rating: 200 amp Main Circuit Breaker = 200 amps # Identification TUii Trip Identification # 3 AHU #1 60 DP 50 DP Cooktop 4 S Oven SODP 40 DP Dryer 6 9 Sprinkler Pump 30DP 20 DP SPARE 111 2 13 15 Dining Rm Recap 20 SP 30 DP AHU #2 14 16 Bath #1 Light/Recep 20 SP 17 19 Bath#2, light 20 SP 30 DP FP&L Surge Protector 18 20 Liv Rm Recep 20 SP 21 23 25 Hall Lights, Mstr 20 SP 20 SP Microwave 22 24 26 Mstr Bed, lighting 20 SP 20 SP SPARE SPARE 20 SP 20 SP Kitchen Outlet 27 29 31 33 35 37 Outside Lights 20 SP 20 SP Kitchen Lights 28 30 32 34 36 38 TV, LR Lights 20 SP 20 SP Kitchen Outlet SPARE 20 SP 20 SP Fridge SPARE 20 SP 20 SP Garage SPARE 20 SP 20 SP SPARE SPARE 20 SP 20 SP SPARE 39 SPARE 20 SP 20 SP SPARE 40 41 SPARE 20 SP 20 SP Garage Fridge 42 NEC 2017 (220.83)(A) Existing Dwelling Calcs. Gen. light-2305 sq.ft.x 3va=6915 va Small appliance- 2 x 1500 va = 3000va Laundry-1 x 1500 va =1500 va Bathroom-Sx 1500 va=1500va Refrigerator- Ix 1200 va =1200 va Sprinkler pump -1/2hp x 9.8 x 120v=1176va Microwave- 20ax120v = 2400va Wen-SOax240v=12000va Dryer-30ax240=7200va Pool pump-1/2HP x 4.9a x 240v=1176va General Load Sub total= 38,067va First 8 KVA @ 100%= B4OOOva Remainder 30,067 va @ 40 %=12,026.80va General Load total= 20,026.80va Air Handler#1-@100%=14,40Dva (Circuit not included in load calcs. Circuit on SMM Load Shed Device) ACCU#1-@300%=12.000va (Circuit not included in load calks. Circuit on SMM. Load Shed Device Air Handler#2-@100%=7,200va (Circuit not included in load calcs. Circuit on SMM Load Shed Device) ACCU#2-0100%=14.400va (Circuit not included in load calks. Circuit on SMM Load Shed Device) Total Demand = 20,026.80va/240v=83.45a NEC 2017 (310.1587) 83.45x.83= 69.26amps Use # 3 AWG For Generator Existing Panel B- Exterior, Voltage: 120/2401 phase, Bus rating: 200 amp Main Circuit Breaker = 200 amps # Identification THE 1 Pool Pump 20A DP 2 3 AC Comp #1 SOA DP 4 5 6 Service Disconnect 200A 4P 7 8 Outside Lighting iSA DP 9 10 AC Comp #2 60A DP 11 12 ELEC I RICAL REVIEVVI/ J7�f.-z z I IAPPROVECJgjDATE-- ••• • • • • • •• ELECTRICAL R— — E'� 'W &,%y'�" 2 � i APPROVED ATE PROPERrcA E93: 13IINEMSTREET, AMYISNgYES,FL]]t]S FLOOOSMNEINFORMTWIL MUMUNITYNO ISSUES PANELNO.WSS SUFFML FIRM MTE:Sf119WE iL00o]SINE AEN' LEMLOE9CRVOgI: M)SANOMEWTOi EE T LOTIA,BLOL%M,OEMINM TB ESSECTION NOONCCDRDNPMCRPLATTHEREOE,ASRELORO ,FLCRBOp(IO. AT PAGE W, OFTHE PUBUL RELOROS6MIAMLONE000NIY,FLCPIDA SURVEYORS NOTES: tEGALOFSCRPTpN WASFURNSNEOBY1HE tlIEHi. LEM OESGVIw,L SUBJECT TO ANY DEI)kATFOS LLETAnONS RESIWCOpIJ9,RESERVAnoxsaRREfAROED EA9ENExrs i)S;REMAYBEIEWLRESiitlLTRlN90NTNE wSECTPROPERITTINT A9EN0T SHOWN ONTIEMAA OFSURVEY THAT M.AY BEFCMDNTIff PL&ICRECORGS OF MIAM EDAOE C W N)Y, IXt nlE RECOR09 OF ANY On&R PU&IC Np PIINAIE ExililE9 AS /MEN MiSON:igNS IMY APPEAR MS SURVEY WA4GY)N000IFDPoRIHEPINOSEOFA BOUNOVLYwRVEY MY WELL-0ENTIFIED FEATURES A9 DEPICTED ON lws suBVEY' AxD Mw n£RE UNLESS EOTOANFSn SHORAN. RQONTAL N91n01NL ACCUP/GYDF f110 FOOT UNLESSOMERM9E SHOWN. THE MM OF SURVEY S INTENDED TO BE DISPINYED AT THE STATED GRMNIC SCALE IN ENQUSH UNRS OF MEASUREMENT. ATIEMION IS BROUGHTTOTHE FACT THAT SV D DMW W G NAY BE ALTERED N SME BY THE RfPROgILDON ERO w THE SURVEYOR MANES NO REPRESENTATION AS TOOWNERSHP,POSSESSION OR OCCUPATION OF THE SUBJECT PROPERTY BY ANY ENTITY OR NOMDUAL wBSLRFACE WPROVENENTS P)IWOR ENCPOACHIAEMSYWnRRUPON, ACR059, ABUTINO OR ADIALFM ro TIE SUBJECT PR4^ERIY WFIE NOi LaaTEDMroARExorsHowN NOT VALownHDUT THE EL MONC SIONAIINE AND WITAL SELL ANDICR TDSSNPM AN) ORNBND RASEDSEAL OFISnOROA LICENSED BY OMEYLLE PM WPM SCAM ARE PROHIBMETITED THISUT THE MITTEN CONSENT THE SIGN MGVUNIPARtt MEPROHIBffEO WfflpUf THE WRITiFN CONSEMOF THE SSNNO PARTY. THS IIAP OF SURVEY HAS BEEN PPEPMED FOR n E EXCLUSNE LSE OF INE EHIIIIESNAMED HEREINPND TSCEATFICAlXN1 WESNOT EY1OOroANY U,SW.ED PMW. TONY70NY BE P EIDERA9 TRUSTEE OF TEJBW LAND MUST AGREEMENT MIED SEPIEMBERSI,SpEI FOWLER WAVE BURNETT PA aD REPuauc MnoNu nnE Nslnu)cE La.IPANr SUJBTYORSCERTHC.LMOX:, IN MY PROFESSIONAL OPT". THIS WDRIfY SURVEY', MEETS THE STANFSSID OF PRACTICEAS SETFORMB IN EftOfUMB7.05 .O PROFEsM Wl SURVEYORSAw WPM SEC NLiWTER sst FLORO STATUTES. AND, 1ST TRUE ANCOOEECTTO TLOSTOFUTION 1OC EDGEANSTAMES. AND, IS TRUE ANDCORRECrroTHEBE97OF MYNNIAVLEDGEAW SSJEF. 3W SURVEYING ARD MAP140,11C ROWMCERTIFIGIE OFNTIMgRATON N3 LBS38 �J''`1Lt1T�'�'o'. ogMM+W+ea N..ILm Oscar E BaezNN,N,m,L.•.,.NF•.� O6CAR ESAFZLUSOO.PLS, m"aE ..�; STATE OAEDwDVEYORANDMAPPER STATE OF FLORIDA �'6eRieP:p: �e'+`r`; o• tru t' hfvaM�tU �'Ua-A 1. 0 C ati it (a�'2dOdd e�015 \H4D'J( /AV#-,i 1*11-0-41,01 SpJ71i-a 1:�,& 1GI rAP 0F'' S'I , r360' SURVEYING AND MAPPING, LLC ./ Und Surveyor$ - Land Planners 2R35S.W.B A. 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SdSD "sziv Voot J^n fasua��a�1� zv ZZ :S3�or, 20/22/24 kW MEN_ INCLUDES: • True Power" Electrical Technology • Two-line multilingual digital LCD Evolution'" controller (English/Spanish/FrencNPortuguese) • 200 amp service rated transfer switch available • Electronic governor • Standard Wi-Fi® connectivity • System status & maintenance interval LED indicators • Sound attenuated enclosure • Flexible fuel line connector • Natural gas or LP gas operation • 5 Year limited warranty • Listed and labeled for 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. FEATURES O INNOVATIVE ENGINE DESIGN & RIGOROUS TESTING are at the heart of Gen- emc's success in providing the most reliable generators possible. Generac's G- Force engine lineup otters added peace of mind and reliability for when it's needed the most. The G-Force series engines are purpose built and designed to handle the rigors of extended run times in high temperatures and extreme operating conditions. O TRUE POWER" ELECTRICAL TECHNOLOGY: Superior harmonics and sine wave form produce less than 5% Total Harmonic Distortion for utility quality power. This allows confident operation of sensitive electronic equipment and micro -chip based appliances, such as variable speed WAC systems. O TEST CRITERIA: ✓ PROTOTYPE TESTED ✓ NEMA MG1-22 EVALUATION ✓ SYSTEM TORSIONAL TESTED ✓ MOTOR STARTING ABILITY O MOBILE LINK® CONNECTIVITY: FREE with select Guardian Series Home standby generators, Mobile Link Wf-Fi allows users to monitor generator status from any- where 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 last, friendly, and proactive service. With Mobile Link, users are taken pre of before the next power outage. GENERAC' GUARDIAN® SERIES Residential Standby Generators Air -Cooled Gas Engine „'Standby Power Rating G007038-1. G007039-1. G007038-3. G007QV9,. G007042-2, G007043-2, G00704233 6007043:,i G007209.0, G00741"-16Al&rnnuin-Bisq&)- 24 kW ul Hz • GENERAC — - !'.o va or GuV US QSTEDVI wW Note: CER or CUL certification only apppplies to unbundled unilsand units packaged with limited circuit switches. Units pa=ed with the Smarl Switch are ER or UL certified in the USA only. O SOLID-STATE, FREQUENCY COMPENSATED VOLTAGE REGULATION: This stare -of -the -art power maximizing regulation system is standard on all Generac mod- els. It provides optimized FAST RESPONSE to changing load conditions and MA& MUM 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 small- est electronic component. O GENERAC TRANSFER SWITCHES: Long life and reliability are synonymous with GENERAC POWER SYSTEMS. One reason for this confidence is that the GENERAC product line is offered with its own transfer systems and controls for total system compatibility. ELECTRICAL KEVIEVVILu4x� APPROVED- DATE GENERAC ®:� rSzpt PROMISE �� 0' GENERAC` 20/22/24 kW Features and $i�iicfits „•,•, Engine •••••• • Generac G-Force design Maximizes engine "breathing" for increased fuel efficiency. Plateau honed cylinder walls and plasma moly �, rings help the engine run cooler, reducing oil consumption and resultimiT in User engirw RM.-•, •, •; • "Spiny-lok" cast iron cylinder walls .... ... .......... Rigid construction and added durability provide long engine lice. , • Electronic ignition/spark advance ..... ..... These features combine to assure smooth, quick starting every time. „ •, • • • • Full pressure lubrication system •• Pressurized lubrication to all vital bearings means better performance,lec%wAenance, and longer engine life. Now featuring up to a 2 year/200 hour oil change interval. • , , , . • Low oil pressure shutdown system . • • Shutdown protection prevents catastrophic engine damage due to lov►oil. • . • High temperature shutdown Prevents damage due to overheating. Generator • Revolving field Allows for a smaller, light weight unit that operates 25% more efficiently than a revolving armature generator. • Skewed stator Produces a smooth output waveform for compatibility with electronic equipment. • Displaced phase excitation Maximizes motor starting capability. • Automatic voltage regulation Regulating output voltage to ±1% prevents damaging voltage spikes. • UL2200listed For your safety. Transfer Switch (if applicable) • Fully automatic Transfers vital electrical loads to the energized source of power. • NEMA 311 Can be installed inside or outside for maximum flexibility. • Integrated load management technology Capability to manage additional loads for efficient power management. • Remote mounting Mounts near an existing distribution panel for simple, low-cost installation. Evolution'" Controls • AUTO/MANUAL/OFF illuminated buttons Selects the operating mode and provides easy, ata-glance status indication in any condition. • Two-line multilingual LCD Provides homeowners easily visible logs of history, maintenance, and events up to 50 occurrences. • Sealed, raised buttons Smooth, weather -resistant user interface for programming and operations. • Utility voltage sensing Constantly monitors utility voltage, setpoints 65%dropout, 80% pick-up, of standard voltage. • Generator voltage sensing Constantly monitors generator voltage to verify the cleanest power delivered to the home. • Utility interrupt delay Prevents nuisance start-ups of the engine, adjustable 2-1500 seconds from the factory default setting of 5 seconds by a qualified dealer. • Engine wane -up Verifies engine is ready to assume the load, setpoint approximately 5 seconds. • Engine cool -down Allows engine to cool prior to shutdown, setpoint approximately 1 minute. • Programmable exercise Operates engine to prevent oil seal drying and damage between power outages by running the generator for 5 minutes every other week. Also offers a selectable setting for weekly or monthly operation providing flexibility and potentially lower fuel costs to the owner. • Smart battery charger Delivers charge to the battery only when needed at varying rates depending on outdoor air temperature. Compatible with lead acid and AGM -style batteries. • Main line circuit breaker Protects generator from ovedoad. • Electronic governor Maintains constant 60 It frequency. Unit • SAE weather protective enclosure Sound attenuated enclosures ensure quiet operation and protection against mother nature, withstanding winds up to 150 mph (241 km/h). Hinged key locking roof panel for security. Lift -out front for easy access to all routine maintenance items. Electrostatically applied textured epoxy paint for added durability. • Enclosed critical grade muffler Quiet, critical grade muffler is mounted inside the unit to prevent injuries. • Small, compact, attractive Makes for an easy, eye appealing installation, as close as 18 in (457 mm) away from a structure. ELECTRICAL REVIEW I' APPROVE449;�x, DATE GENERAC® ures anUl3enefifq, Installation System ...... - .... • 14 in (35.6 cm) flexible fuel line connector Listed ANSI Z21.75/CSA 6.27 outdoor appliance connector for MO MidlrBd connectionlo the gas s ffly. piping. .... .... • • Integral sediment trap .... .. • • Meets IFGC and NFPA 54 installation requirements. ...... .... Connectivity (Wi-Fi equipped models only) • Ability to view generator Exercise/Run and Total Hours • Ability to view generator maintenance information Monitor generator with a smartphone, tablet, or computer at art timll v j the Mopile Link applicalton for . complete peace of mind. • �" Review the generator's complete protection profile for exercise howl $ndtotal hou;. ,, : • • • • Provides maintenance information for the specific model generator when scheduled m%ipledance is due. • Monthly report with previous month's activity Detailed monthly reports provide historical generator information. • Ability to view generator battery information Built in battery diagnostics displaying current state of the battery. • Weather information Provides detailed local ambient weather conditions for generator location. EQE 7'kICHL REVIE'V APPROVE ` ELECTkICAL FtEvIEW APPROVE DATE__. 20/22/24 kW Generator Model GENERAC' G007038-1 G007042-2 G00703M • • 800111142-3 G007039-1 G007043-2 G007039-3 . GVPt.K3-3 (20 MY) (22 kW) (20 kW) L22 K GQ072DM .9007101 Rated maximum continuous power capacity (LP) 20,000 Wafts' 22,000 Wafts' 20,000 Wags' 21, OO Wafts' 24,80E Watts' Rated maximum continuous power rapacity (NG) 18,000 Wags' 19,500 Wags' 18,000 Watts' • 612.%5ratts' ",11011 Wells' Reed voltage 240 Rated maximum continuous load current- 240 volts(lP/NG) 83.3/75.0 91.7/81.3 83.3/75.0 ••.041/631.3 1l10/87.5 Total Harmonic Distortion Less than 5% Main line circuit breaker 90 amp 100amp 90 amp • 100 amp • eAamp Phase I Number of rotor poles 2 Rated AC frequency 60 Hz Power factor 1.0 Mary requirement (not Included) 12 Volts, Group 26R 540 CCA minimum or Group 35AGM 650 CCA minimum Unit might (Ib/kg) 448/203 466/211 436/198 445/202 455/206 Dimensions (L xW x H) in/an 48 x 25 x 29 1121.9 x 63.5 x 73.7 Sound output in dB(A) at 23 It (7 m) with generator operating at normal load" 67 67 67 67 67 Sound output in dB(A) at 2311(7 m) with generator in Oulel-Tesl" low -speed exercise mode" 55 57 55 57 57 Exercise duration 5 min Engine Engine type GENERAC G-Force 1000 Series Number of cylinders 2 Displacement 999 cc Gylmder bock Aluminum w/ cast iron sleeve Valve arrangement Overhead valve Ignition system Solid -slate w/ magneto Governor system Electronic Compression ratio 9.5:1 Starlet 12 VDC Oil rapacity including filler Approx. 1.9 q1/1.8 L Operating rpm 3,600 Fuel consumption Natural gas ft3mr (mamr) 1/2 Load Rill Load Liquid propane Itartr (gal/hi) [Uhrl 1/2 Load Rill two Note: Fuel pipe must be sized for lull bad. Required fuel Two-line plain text multilingual LCD Mode butteries: AUTO MANUAL OFF Ready to Run/Maintenance messages Engine run hours indication Programmable start delay between 2-15DO seconds Utility Voltage Loss/Return to Utility adjustable (brownout selling) Future Set Capable Exerciser/Exercise Set Error warning RurvAlanm/Madteaance logs Engine start sequence Starer lock -out Smart Battery Charger Charger Fault(Missing AC warning Low Battery713attery Problem Protection and Battery Condition indication Automatic Voltage Regulation with Over and Under Voltage Protection Under-Frequency/Ovedoad/Glepper Overwnent Protection Safety Fused/Fuse Problem Proration Automatic Low Oil Pressure/High Oil Temperature Shutdown Overcrank/Overspeed (@ 72 Hzugm Sense Loss Shutdown High Engine Temperaure Shutdown Internal Faulglaconrec[ Wiring projection Common external fault capability Field upgradable firmware 204 (5.78) 728 (6.46) 164 (4.64) 203 (5.75) 301 (8.52) 327 (9.26) 287 (8.13) 306 (8.66) 87 (2.37) [8.991 92 (2.53) [9.571 86 (2.36) [8,951 92 (2.53) (9.571 130 (3.56) [13.481 142 (3.90) [14.771 136 (3.74) [14.151 142 (3.90) (14.771 generator fuel inlet at all load ranges - 3.5-7 In water column (0.87-1.74 kPa) for NG, 10-12 in water column (2.49-2.99 kPa) for LP Simple user interface for ease of operation Automatic slarl on Mary failure. Weekly, Bi-weekly, or Monthly selectable exerciser. Stan with starer control, unit stays on. It utility fails, transfer to load takes place. Stops unit. Power is removed. Control and charger still operate. Standard Standard Standard (progremnwble by dealer only) From 140-171 V/ 190-216 V Standard 50 events each Cyclic cranking: 16 sec on, 7 rest (90 sec maximum duration). Starter canna( re-engage unlit 5 sec slier engine has stopped. Standard Standard Standard Standard Standard Standard Standard Standard Standard Standard Standard Standard "Sound levels are taken from the front of the generator. Sound levels taken from other sides of the generator may be higher depending on installation parameters. Bating definitions - Standby: Applicable for supplying emergency power far the duration of at talgy power outage. No averred capability is available for this ratan. (All ratings in accordarce with BS5514, 1S03046 and DIN6271).' Maximum kilaroll amps and cunrntare subject to and limited by such taclarsasfact B1114megalcole content, ambient temperlun, alkNAe, engine power and condition etc. Madmprn powerdecteases approximately 3.5%tor each 1,000 it (304.8 m) above sea level; and also will decrease approdrrMely 1%tar each 10 `F (6'C) above 60" (16 °C). GENERAC• 20/22/24 kW ; •. SWitd:pptiop.. Service Rated Automatic Transfer Switch Features ..G0a7Gi9-1, GoejlPs4sRdkvq Model .. 00217A43-2. GDo7013i (YL ItW), • Intelligently manages up to four air conditioner loads with no additional hardware. , • 6007210-1 Vi e • Up to eight additional large (240 VAC) loads can be managed when used in conjunction No. of poles • • 3 • ` with Smart Management Modules (SMMs). Current rating (amps) 200 `» • Electrically operated, mechanically -held contacts for fast, clean connections. Voltage rating (VAC) • • • • • • • . • Main hreakers are rated fnr fl07, cnnfinumte Inad. Uliliy voltage monitor(fired)' • • • • in 2-pole, 250 VAC contactors. in Service equipment rated, dual coil design. • Rated for both aluminum and copper conductors. • Main contacts are silver plated or silver alloy to resist welding and sticking. • NEMA/UL 311 aluminum outdoor enclosure allows for indoor or outdoor mounting flexibility. Dimensions 200 Amps 120R40, In Open Transition Service Rated Height IWfdlh Depth H7 H2 W7 W2 in 26.8 30.1 10.5 1 13.5 6.9 cm 67.95 1 76.43 1 26.67 1 34.18 17.5 We Ranges Conductor Lug Neutral Lug Ground Lug 250MCM-#6 350MCM-#6 210-#14 -Pick-up -Ompour Return to UDlity' ; M or UL listed Enclosure type Circuil breaker protected Lug range -Function of Evolution controller Exercise can be set to weer y, bi-weekly, or mom6y ELE( 'IRIGAL REVIEW U i"'Z APPROVE DATE 60% • •± Appro):l3lei Staldfd ' .. NEWfUL4R • ` " 22,000 ` 250 MCM - #6 GENERAC' 20/22/24 kW Available AcceMples ,,,,,, Model # Product Description G007101-0 Battery Pad Warmer Pad warmer rests under the battery. Recommended for use if temperature regularly falls below 0 °F (-18I C)*(Not nec- essary for use with AGM -style batteries). G007102-0 Oil Warmer Oil warmer slips directly over the oil fitter. Recommended for use if temperature reguNvAlll., below 0 °F (I I C). •';' •, G067169-1 Breather Wanner ..te ....• Breather warmer Is for use in extreme cold weather applications. For use with Evolutop polhpol9rs only i., climete9where • �••� heavy icing occurs. 6005621-0 Auxiliary Transfer Switch The auxiliary transfer switch contact kit allows the transfer switch to lock out a single large BleQdcai loalglat rrpy not be •. Contact Kit , needed. Not compatible with 50 amp pre -wired switches. , • • •' G007027-0 - Bisque Fascia Base Wrap Kit The fascia base wrap snaps together around the bottom of the new air-cooled generffiar0hibl offers vilaek, pontoured (Standard on 22724 kW) appearance as well as offering protection from rodents and insects by covering the liftng holes locatetin the base. ' G005703-0- Bisque Touch -Up Paint Kit If the generator enclosure is scratched or damaged, it Is Important to touch up the paint to protect from future corrosion. The touch-up palm kit Includes the necessary paint to correctly maintain or touch up a generator enclosure. G006485-0 Scheduled Maintenance Kit Generac's scheduled maintenance kit provides all the items necessary to perform complete routine maintenance on a Generac automate standby generator (oil not included). G007005-0 Wi-R LP Tank Fuel Level The Wi-R enabled LP tank fuel level monitor provides constant monitoring of the connected LP fuel tank. Monitoring the Monitor LP tank's fuel level is an important step in verifying the generator is ready to run during an unexpected power failure. Sta- tus alerts are available through a free application to notify users when the LP tank is In need of a refill. G007000-0 (50 amp) Smart Management Module Smart Management Modules (SMM) are used to optimize the performance of a standby generator. In manages large elec- G007006-0 t6cal loads upon startup and sheds them to aid in recovery when overloaded. In many cases, using SMM's can reduce (100 amp) the overall size and cost of the system. G007169-0- 413 LIFE Mobile Link® Cellular The Mobile Link family of Cellular Accessories allow users to monitor generator status from anywhere in the world, using G007170-0 - WI-F✓ Accessories a smart phone, tablet, or PC. Easily access information such as the current operating status and maintenance alerts. Us - Ethernet ers can connect an account with an authorized service dealer for fast, friendly, and proactive service. With Mobile Link, users are taken can: of before the next power outage. G007220-0 - Bisque Base Plug Kit Base plugs snap into the lifting holes on the base of air-cooled home standby generators. This offers a sleek, contoured appearance, as well as offers protection from rodents and insects by covering the lifting holes located in the base. Kit contains four plugs, sufficient for use on a single air-cooled home standby generator. Model UPC G007038-1 696471074185 G00703W 696471074185 G007039-1 696471074192 G007039-3 696471074192 G007042-2 696471074208 G007042-3 696471074208 G007043-2 696471074215 G007043-3 696471074215 G007209-0 696471071511 G007210-1 696471084801 LE" SIDE VIEW Dimensions & UPCs pas M FRONT VIEW Di wd=slum wapenuunde. See inslelhll0mmnW Ira rap dnasbls. DO NOT IISEIHESE DIMENSIONS FOR IWALLATION PURPOSES. tLcc;TkIC;AL REVIEW// .7-A4-` I2_- APPROVE(;�IDATE GENE RAC` Generac Power Systems, Inc. • S45 W29290 HWY. 59, Waukesha, WI 53189 • generac.com "-mmo� 02021 Genesl`Ww System,Inc. Allright5nnMved. ARspe0kAJ nuesubca to Narige wlewut mace. Put NO. AOM37814 RW.D 04714/2021 Smart Management Module (SMM) FEATURES GENER&. C� .. .... GENERAL° LOAD 10AWAGEII�ENT;'•• 50 Amp Smart Management.INodulew ... .... . w];AehG007R-10 • uP .sgs47104)pV2„. at�Us Intertek Generac's Smart Power Management System is designed to optimize the performance of a standby generator or PWRcel I -energy storage system (ESS). The system can consist of up to eight individual Smart Management Modules (SMM). Unlike other load management systems that depend on another control device, the SMM's are self -aware and operate autonomously. Frequency is the true measure of system performance, and does not need to factor in increased ambient temperatures, elevation changes, or generator fuel type. The SMM monitors the frequency (Hz) of the power being produced by Generac's standby generators or PWRcell ESS. If frequency falls below a certain threshold of a correctly sized system, the SMM will automatically shed the managed loads to allow the system to recover. The modules can be set to a load priority between 1-8, or be set in a lock -out only mode for loads that do not need to run in an outage. This reduces the minimum size of system required for a more cost-effective solution. * It is recommended to size the generator or PWRcell ESS with appropriate excess capacity to allow starting of the largest managed loads (i.e. loads with highest starting currents). Each managed load of the SACM and SMM must be assigned a unique priority setting, so no two managed loads attempt to start simultaneously. See owner's manual for more information. SMM SPECIFICATIONS Power supply source Contact voltages....... Contactor coil voltage Coil VA inrush.......... Coil VA sealed .......... Poles ....................... Resistive amps......... F/L Inductive amps... Locked rotor amps.... N E M A ...................... Enclosure Frequency 240 VAC (from line input) .................. 220/240 VAC ......................... 240 VAC 180 50 Hz GENERAC' Smart Management Module (SMM) Dimensions and•014rols .... )imensions •••••• � ...... Model 0007000-0 Height (in/ mm) H1 6.17/156.8 H2 2.36 / 60 Width (in / mm) W1 7.06 / 179.4 W2 4.72 / 120 Depth (in/mm) 3.7/94 Weight (lb / kg) 2.06 / 0.94 Shipping weight (lb / kg) 2.44 SMM Controls ...... LED ON = LOAD CONNECTED LED ON = LOAD CONNECTED LED RASH IS=LOAD SHED PRIORITY LOCKOUTAD ON LO LED FLASH 3S = 30 MIN LOCKOUT s GENERATOR LED RASH 6S = GEN LOAD LOCKOUT 7 LED OFF =NO MODULE POWER ® _® b 0 LOCKOUT TEST DISABLED Priority Dial (A) Sets module priority. Lockout Switch (B) Prevents load from operating when system is operating under backup power. Test Button (C) Disables contactor output for a specified time. LED (D) Provides module status with easy viewing through the external viewing window located in the upper right corner of the module. ELECTRICAL REVIEW APPROVEC�DATE GENERAC• Generac Power Systems, Inc. • S45 W29290 HWY. 59, Waukesha, WI 53189 • generac.com 02020Gero Power SysDtms,Nc. AOtl0h6rmwea AI sWfta5=arewb*dW Chan. wHmuliwtice. Pat No.10000029407 flNE 07/34020 Generator Notes: ➢ PAD is 55" Long x 36" Wide x 24" Tall ➢ Generator mounted to pad at all (4) corners via Redhead expansion bolts measuringY2" diameter x 5" Long ➢ Total pad and generator height will be 53" Concrete Being Used wr•-•r••rr. CONCRETH i mix I i6i Sample Rebar Image 0 Job Address Job Description: Contractor Information Pour Concrete Pad for All Quality Electric 1224 NE 96 St. 22kw NG fired Generator 14500 NW 16 Ct Pad weight = 3,800 Ibs Miami, FI. 33167 305-968-7832 Seiden Residence #5 Rebar, with weed block material at base (2) 60 iindh#Siraft, IW OMftftVAh3tt (7) 30 inch #5 rebar laid North to South, spaced 10" apart .� Wire ties placed at each cross section , •% Entire wire mesh raised 8" off ground via paver bricks at each corner, two at center •;• 11 /15/2021 36" Deep \\ 124" Tall 55" Long 5/8 in. x 10 ft. #5 Rebar, Total of (7) cross bars and (2) long bars Made from high -quality steel for durability ' • •�� , Designed to strengthen and hold the concrete in tensiEq • � � � � . , : Sakrete 60 lb. High -Strength Concrete Mix • , , . ;' ; High -strength formula: 4000 PSI, (see manufacturer spAlficatioi4s sfieet;ti Full depth applications 2 in. or greater Exceeds ASTM C387 standard specification for,packdggrd, drycombined materials for mortar and concrete r • , •' , A total of 62 60LB bags will be used forthisslab7. • .: : : • : : ; • • • • • • • • • • ••• • • • ••• • • .... . ...: . PP �iTAOUXEf3. • •VirAP OFF SOU R,U E-'Y IRT07SIABIREE, ABAAtlfiHOfiES, fI:DDF • • • ' • ° _ • .. FLOOD 2DXF Q IMUDN} : : ' • • ' • • • • 360°SURVEYING AND MAPPING, LLC RW MTEYNO13TS52 PMRNO. Z:AE4T FNL • • ' •' • • • • • • r W.82MLond rveyms-LBn FLORn FIWA DATE:0411AN9 FLOOD2DIE: AE.S' 1935 S.W.821N Avclme MNM4 FLORIOA 3315E LEOALDESCRIPT01h PHONE:I30EI 1002 LOTIEMOTHEMET]OFBTOFjUQjK A000N,OF WAI SHDP86ECTDX NO3.RONGIO7HEFIATj3EHEOF�DI,,,�,�• ••• PME37.OF TIE PUBMCgECORD.�FINAIT IRR�JFYfNp� LEGAOSUMOORB4Pn0K LEGAOESCRORION WM FURMSNEDBYINEDEM. • • • •• •• LEOALDESGS.FE VAMNTO.WYOENGE WTAT1011B. RESTWCTIGNARESERVAIIONS ORRECOROEOFASFAENf3, THERE MAY BE LEM RESTRICTIONS ON THE SUBJECT PROPERTY TINTME NOT SHOWN ON ME AM OF SLRVEY TNOT MAY BE FOUND W THE F WREODROS OF MW66ME COUNTY, OR ME RECORDS OFMYOTHEN PUNK MD MALE ENTITIES MiNERAIREDE1roN5N/,YAPPEM 714S SURVEY WAS CONDUCTED FOR THE PURPOSE OF A ECONOMY SURVEY ONLY W EIOEM V`W FEATURES AS DMTEO ON Tf4B SURVEY MD NM WERE WASUREDTO M FTYNATED HOREONTA, POGfn N ACCURIDY OF IIID FOOT uxLEss oTxEmwsE sID WN. THE NAP OF SURVEY 13 INTENDEDTO SE DISMAYED AT THE STATEOURMHIC SCALEIN E1M W UNITS OF MEASUREMENT. AITENOON IS BRWGHTM THE FACT THAT BAD DROVING MAY BEAMED N SCME WTHE RD'RC Ofl PROCESS ALL NFA9URBAFNT9 SI ID15N ARE N 1HE UNITED STATES STANDAD FEET THE NOME MMES NO REPRESENTATION 4370OWNER91®, POSSESSION OR CC W PATION OF THE SUBFECT FROPERTY BY MY E UD Y OR VBTM W AL SUBSURFACE MPgOVEAEMSMWR EMJIOSpNEME WRIW3.UPoN, ACN0.55, PBUTIMDORPANCEM10l1E SUBIECf PROPERTYMERENOT LOCATED MO ME NDT SNON'N NOT V"WITHOUT THE ELECTRONIC SIGNATURE MD NGRALSEAMDIOR THE EENATURE AND ORIGINAL RASED SEA OF A FLORIDA LICENSED S WNEYQ4 AND NAPPmA "OHSMODElE1DN3TOM16IMPOF SURYEYRDTHEt THAN THE ROMIIOMRTY ME NSWIBRED WITHOUT THE CORM WNBEMOF THE SENNO PMn. THS MOP OF SURVEY HAS BEEN PREPMED FOR THE EICWSREum OF THE ENTRIES NUUM HEREW AND THE CERTPIG7104 DOESNOT ERTEIDTOMY UIPUMEOPMn. CEIRMT(h TOM' BIDDEN.M TRUSTEE OF THEAW LAND TR IBTACREEMENT MTED SEPTEMBER27=1 FOWLECWHNEB mdN PA OID PEPUaD NATDNA TIRE MISRMICE fD1EPANY SqR1nD`MCERTFIUTJON: INW FROPESSIOWL DPIMIA THB'BONNOMY SURVEY-, MEETEIME STANOMDS OF P W=EM BET FORTH BY THE FLORIOA BOMOOF PROF ESSDHAL SMMORR AND UAPPERS IN CI W TER 5117.05 ROBOA AOMINGTMTNE CODE FLRSIMMTOSECTDN 42D21. FLORIM STATUTES. AND. O TRUE MD CORREOT TO THE SETT OF W NADWLEDGE MD SEIFF. 3SO'SMVERTIFIM MAPRND,LLC ?.•'IieSFe ?� FLONOACER71EIG1EOFAVTNOPPATI0.4N0. LB D58 Oscar E Baeza OSCMEBAELCUSDO, PAS. =,�o DM1r SEGISTEOFRDVnORMD MAFPERNO. S%11 ;4y ?�aN PA STATEDF ROPIDA Du t� rE.r vaeL�P Ava-A 7--Jum f V� I� {1�,ado3/d ap S�t�dfl 1.aC N SCALE:1" a 20' d IT.r: :ILL E V A R D a�• Il��l ., : .1 �TRT•:. F_T-11�'Bpr�FITC LOCATION MAP N INOTTOSCALEI A N.E.196th STREET INDPF3MDBd0.EYFE1GIPun BYP9NCWWIr#WAY augPuw.WBJTNr — 4 B CDIgF1E TI'WMA'AT AIPM'L71 T SpRNRRRawm p. rcarDNRwxN BO,oB' - I CONCRETE W4%'AY I NOR ES SECTIONNa3• P.D. T0, PG. 37 I ONESTORY RESIDENCE 0224 r e�l�'ffnns,,�hyzl W�K•PRLh , I Fy�m /'L 2 vwMWDCDIDCE DO.ow I MOxPrE-7 1BALLRY WA TPAWAEI6 J Hn Z"m I I I I I OI' I I I I I I r, I g I 01�I Z �I � Z I � �I I I I I I I I I I i I I I I I .1312A '"7s7 6p10n -r cP D a t f -71-71 0'C `S1y VQoz j^H rasuab C?aAI4 , r4 "ZZ S�«Ij Dm <SAKRETE> 1.1. Product identifier Product form Product name Sakrete High Strength Concrete Mix Safety Data Sheet according to the Hazardous Products Regulation (February 11, 2015) Date of issue' 03292017 Revisio d te' 06/26/2019 Version: 2.0 Mixtures Sakrete High Strength Concrete Mix 1.2. Recommended use and restrictions on use Recommended use : Various 1.3. Supplier Manufacturer Sakrete Of North America 625 Griffith Rd., Ste 100 Charlotte, NC 28217- USA T 866-725-7383 1.4. Emergency telephone number Emergency number Distributor For Hazardous Materials [or Dangerous Goods] Incident Spill, Leak, Fire, Exposure, or Accident Call CHEMTREC Day or Night 1-800-424-9300 [USA] / +1 703527-3887 [CANE SECTION 2: Hazard identification 2A. Classification of the substance or mixture Classification (GHS-CA) Skin Irrit. 2 H315 Eye Dam. 1 H318 Cam. 1A H350 STOT RE 1 H372 2.2. GHS Label elements, including precautionary statements GHSCA labelling Hazard pictograms (GHS-CA) GH805 GHa88 Signal word (GHS-CA) Danger Hazard statements (GHSCA) H315 - Causes skin irritation H318 - Causes serious eye damage H350 - May cause cancer H372 - Causes damage to organs through prolonged or repeated exposure Precautionary statements (GHSCA) P201 - Obtain special instructions before use P202 - Do not handle until all safety precautions have been mad and understood. P260 - Do not breathe dust P264 - Wash hands, forearms and face thoroughly after handling P270 - Do not eat, drink or smoke when using this product P280 - Wear eye protection, face protection, protective clothing, protective gloves P308+P313 - IF exposed or concerned: Get medical advice/attention P302+P352 - IF ON SKIN: Wash with plenty of water P362+P364 - Take off contaminated clothing and wash it before reuse P332+P313 - If skin irritation occurs: Get medical advice/attention P305+P351+P338- IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing P310 - Immediately call a POISON CENTER or doctor P405 - Store looked up P501 - Dispose of contents/container to hazardous or special waste collection point, in accordance with local, regional, national and/or international regulation 2.3. Other hazards No additional information available 2.4. Unknown acute toxicity (GHSCA) Not applicable 01131/2018 EN (English) Page 1 Sakrete High Strength Concrete Mix Safety Data Sheet according to the Hazardous Products Regulation (Febwary 11, 2015) 7.1. Precautions for safe handling Precautions for safe handling Do not swallow. Avoid contact with skin and eyes. Good houseke'e mo %'Important to prevent accumulation of dust Avoid generating and breathing dust The ta^oof eompressed airefor cleaning clothing, equipment, etc, is not recommended. Handle andoggn containetryi pre. When using do not eat, drink or smoke. • • Hygiene measures u•• Launder contaminated clothing before reuse. Wash hands betorg VqtiPgdrinking, or smoking. " 7.2. Conditions for safe storage, including any incompatibilities • • Storage conditions Keep out of the reach of children. Store in dust -tight, dry, Iabelleel eerltaiaers. Keep coptainer lightly closed when not in use. Avoid any dust buildup by frequent cle$niag and syrijabl e construction of the storage area. Do not store in an area equippgd with emergency water• sprinklers. •. J=YTzQnrP rTTtrTlq/-._ ... TmtpctinT VIER 8A. Control parameters USA-ACGIH I ACGIH TWA(mg/m•) USA - ACGIH ACGIH TWA (mg/m') 1 mg/m' (particulate matter containing no asbestos and <1% crystalline silica, respirable particulate matter) 8.2. Appropriate engineering controls Appropriate engineering controls Use ventilation adequate to keep exposures (airborne levels of dust, fume, vapor, etc.) below recommended exposure limits. 8.3. Individual protection measures/Personal protective equipment Hand protection: Wear suitable waterproof gloves Eye protection: Wear approved eye protection (properly fitted dust- or splash -proof chemical safety goggles) and face protection (face shield). Skin and body protection: Wear suitable waterproof protective clothing Respiratory protection: A NIOSH approved dust mask or filtering facepiece is recommended in poorly ventilated areas or when permissible exposure limits may be exceeded. Respirators should be selected by and used under the direction of a trained health and safety professional following requirements found in OSHA's respirator standard (29 CFR 1910.134) and ANSI's standard for respiratory protection (Z88.2). Other information: Handle according to established industrial hygiene and safety practices. Do not eat, smoke or drink where material is handled, processed or stored. Wash hands carefully before eating or smoking. 9.1. Information on basic physical and chemical properties Physical state Solid Appearance Powder Colour Various Odour Characteristic Odour threshold No data available pH 12 -13 Relative evaporation rate (butylacetale=l) No data available Relative evaporation rate (ether-1) No data available Melting point No data available Freezing point No data available Boiling point No data available Flash point No data available Auto -ignition temperature No data available Sakrete High Strength Concrete Mix Safety Data Sheet accouding to the Hazardous Products Regulation (February 11, 2015) Decomposition temperature No data available Flammability (solid, gas) Not flammable Vapour pressure No data available Vapour pressure at 50 °C No data available Relative density No data available Solubility No data available Partition coeffictent n-ochanol1water No data available Viscosity, kinematic No data available Explosive limits No data available 9.2. Other information VOC content 0%, Not applicable .. SECTIONt 10.1. Reactivity Reactivity No dangerous reaction known under conditions of normal use. Chemical stability Stable under normal storage conditions. Keep dry in storage. Possibility of hazardous reactions No dangerous reaction known under conditions of normal use. Conditions to avoid Incompatible materials. Moisture. Incompatible materials Wet cement is alkaline and incompatible with acid, ammonium salts and aluminum metal. Hazardous decomposition products May include, and are not limited to: oxides of carbon. SECTION 11: Toxicological information 11.1. Information on toxicological effects Acute toxicity (oral) Not classified. Acute toxicity (dermal) Not classified. Acute toxicity (inhalation) Not classified. Skin corrosion/irritation Causes skin irritation. Serious eye damagefrtitation Causes serious eye damage. Respiratory or skin sensitization Not classified. Germ cell mutagenicity Not classified. Carcinogenicity May cause cancer. Reproductive toxicity Not classified. STOT-single exposure Not classified. STOT-repeated exposure Causes damage to lungs through prolonged or repeated exposure. Respirable crystalline silica in the form of quartz or cristobalite from occupational sources is listed by the International Agency for Research on Cancer (IARC) and National Toxicology Program (NTP) as a lung carcinogen. Prolonged exposure to respirable crystalline silica has been known to cause silicosis, a lung disease, which may be disabling. While there may be a factor of individual susceptibility to a given exposure to respirable silica dust, the risk of contracting silicosis and the severity of the disease is clearly related to the amount of dust exposure and the length of time (usually years) of exposure. Aspiration hazard Not classified. Other information Likely routes of exposure: ingestion, inhalation, skin and eye. Symptoms/effects after inhalation May cause respiratory irritation. Symptoms/effects after skin contact Causes skin irritation. May cause bums in the presence of moisture. Skin contact during hydration may slowly develop sufficient heal that may cause severe bums possibly resulting in permanent injury. Do not allow product to harden around any body part or allow continuous, prolonged contact with skin. Handling can Cause dry skin. Symptomsteffects after eye contact Causes serious eye damage. May cause bums in the presence of moisture. Symptoms may include discomfort or pain, excess blinking and tear production, with possible redness and swelling. Symptoms/effects after ingestion May be harmful if swallowed. May cause stomach distress, nausea or vomiting. SECTION 12: Ecological information 12.1. Toxicity Ecology - general No ecological consideration when used according to directions. Normal dilution of this product to drains, sewers, septic systems and treatment plants is not considered environmentally harmful. 01/31/2018 EN (English) 4/5 • Sakrete High Strength Concrete Mix Safety Data Sheet according to the Hazardous Products Regulation (February 11. 2015) 12.2. Persistence and degradability,: Sakrete High Strength Concrete Mix ° ° d o ooee ® e 0 e ° p 000 Persistence and degradabliity No data available. 0 ° 0 000 p 12.3. Bloaccumulative potential e e o o,„ Sakrete High Strengtll Concrete Mix 0000 °**Oka° Bioaccumulative potential TNo data available. 000000 0 a 12.4. Mobility in soil - o0 0o o a o ee e Sakrete High Strength Concrete Mix: Ecology - soil No data available. e o 0 0 0 e 0 00 12.5. Other adverse effects 000 o e o 0 Other adverse effects No data available. ° ° o0 ° e SECTION 13: Disposal considerations 13.1. Disposal methods Product/Packaging disposal recommendations This material must be disposed of in accordance with all local, state, provincial, and federal regulations. 14.1. Basic shipping description In accordance with TDG Transportation of Dangerous Goods Not regulated for transport 14.2. Transport information/DOT No additional information available 14.3. Air and sea.transport No additional information available •N15: Regulatory inf• • 15.1. National regulations All components of this product are listed, or excluded from listing, on the Canadian DSL (Domestic Substances List) and NDSL (Non -Domestic Substances List) inventories. 15.2. International regulations No additional Information available Date of issue : 03/29/2017 Revision date : 01/31/2018 Prepared by : Nexreg Compliance Inc. www.Nexreg.com &NEXREG Disclaimer. We believe the statements, technical k tom etbn and recommendations contained herein are rekable, but they are given m1hout warranty or guarantee of any kind. The information contained in this document applies to this specific material as supplied. N may not be valid for this material if It Is used /n combination wr7h any other materials, it is the user's responsibility to satisfy oneself as to the suit Wily and completeness of this trdormadon for the users own particular use. 000000 • e e 0aa000 o p e00000 a 0 00000 0 0 00000 000000 0 0 0 00aaoo 0 0 ea0000 0 0 01/31/2018 EN (English) 5/5 FOREVER GAS CORP. Total BTU - Longest Run of Pipe - Omegaflex Tracpipe - Natural Gas Table- 41)I •`I (2 Job Address lz?.t4 N€ 96 4 18111 NW 68 AVE UNIT 1-105, HIALEAH, FL 33015 Tel: 305-331-2572 Cell:305-298-0193 --004- PLUMBING�P"L�ANS Approved Date Approved Disapproved 1. State of Florida County of Dade Sworn and Subscribed before me On this 31 day of 4Q 20? lby 'Notif Mdniba:L..San na .Pera&al KhoWd : ••or :educed as Identification. . . .. . . . . . . .• 'QUalifier:'Rbbertb Wnzalez xxsone State # : 28379 2$055 •.• • • • • •• CC # ; GRG28379, .. ... . . . ... . . FROP IU WEW: 1211NENEsdn ZVFEU. dNdlSHOWS.11.NnU FLOODZDNE WFOR4ATION: COMAJmJf1Y N0.1ZIa52 PONELN001W SINFUL RRd OAMW4M FLOODZONEAEM LEGAL DESCMF Q_IN. Na3. AND NGTOT7DFEETOFLWJa.BLODNW, OF iNM T REaitAT N O ]. ACCQlON010 THE PLAT OEPE W, AS REC W OFD IN PUT BOOK tE AT PAGE m, OF THE PUBIJC RECORDS OF NIAMJOF W C W NTl'. FLOProA 9URVINOIB NOTES: LEMLOFaCIJIPTgI WM FWNISHEDSYIXECLEM, LEGALDESCR" JSLLSJECTTOINYOEOIGTCNA, WITAPONS REBTPoCfpNB.RE®iVAT10N90RREW ROFDF/SFNB?5. 1HEREIMYBEIEOAL RESTRICTION80N iHESUBIECTPROPERiYT1UTMENOF NIMWINONTHEMA OFSIIRYETTINT MAY BEFOM'OIHTHE PUBLICRECORW OG M WJ W AOE COJNtt, OR INE PECOROs OF ANY OTXER FOS.IC MD PNVATE EHR TIES AS TNER NR601CfJONS IMY PPPFIA TMSsUNLVEYWa CONOUCiEDFWTNEPURPOSEWAB NDMYSURVEY ONLY Y,'ELSO DTOA fEATUINES AS DEPICTED ON TNIssUfYYEYANDMAPWENE UI.LEREDTOMIEINMTED Npi@ONTALPOSRIONALACCURALYDF IIro FOOT U A LE55 ONHEAWISE SNiMJ. PROCESS ALL MFASLPEAIENR SHOWN PRE N THE U NOFO STATES STANDARD GEET SUaSURFAtE WPgOVEMEA06 MOMLENCROILMORS NITHN UPON, ACROSS,ABUT7INOORMJaCENfi01HEEUaIECiPNOPERTYVIfPE NOT LOGIEONW MENOTSNOWN, NOT VNIDWnHOUFTHEElEC1RdlC SNWANRENUdGRaISFHMOIOR rAE awxmARE uO oWG W aL RcsEo �u a a noRwa LK;Exsm aJReem+ MO MAPPER ACdROAb MO OELEIIONS TO TXIS LLAP OF SINOEN' 0Y DTJJFA TWW THE NIOMNOpgRfYME PRONIB0E0 WRHOUTiHE WHRIENCONSEM W TNESNJNNO PMT'. iM5 WPOF BURVEY HM BEEN PRFPMEO FOR il¢ E%CLUSAE WEOFTHE ENi1nE9 NV.L®NERFdV NN RIECEROFlGIAN DOESNOT ElIFN0T0ANY UNNAINDPMtt. QERlOY10 iONT 9EIODI,Aa iRUS1EE0FTHEJAW IM901USTAGREEMFM W1E0 sEPTEu0FR 2T, mJ:1 FwnMWNJJEeuWETr vn OLO RFPUNICNA1pAUl TIRE WNRMCECOMPNtt SURVLYORS CERTIFICAMONI W MYPROJESSION.LL CPINION,IHN'BOUNDARYSMVEY•, MM Snff STAN0IAW Oi PPACTICEA9 BEifWM BY OIEFIOPJDA BONUW PROFE1SRU07 SURYEYOUnAW TOUCMCWPfER FLOR AUATU ADM,M TRUE ANCODE.PURTOTHTGST OF LT2 W EDGEA WAN . S. axD, 0 iRUE MO WRRECTTO THEBESf OF MYIMOWLEOGEANOBRIEF. JFY SURVEYINOgNO MAPRXO,tIC `�„?KI:� ROP&UCERIIFIGIEOFALTIOPGAlI0N N0. LB SEe '�:�.ce•i�;fF Oscar EBaez a."ro,;` eMm p snow OECM E&EZLUNpO.P18. - W"fF REGM^iERFOSURVEYORAND MAPPEANp. SO]L '�' STATEOFFLORIDA •,%��,i`•,.� b-L4 l l K.t'/w0yol ,A-Va-A r W.4-L. oar {,.f Ot4 ,rp 15 w0 Pti Alo&A 1-�oAJ,ol SPVIDIV 2-20C Bg OF S'UR,UEYr 360• SURVEYING AND MAPPING, LLC i Land Swvayms-Land Planners 2B35S.W. B2MAY"da MIAELL FLORIN M155 PHONE006)20S1002 &OCI Dlw. / N 'xplfliF - J� Ixo:ol I I I I SCALE I" = 29' I �1 r:HfILL L E V A R D �� q " `1 n n • • n t�• � • v v r ,P aTRT•' F_T LOCATION MAP A (NOTTOSCALEJ _y_ PLO W IRO MIE �MI_ i jo 0�6 N.E.196th STREET _ LdIWEwaeauavFwlpun MPLtaN:FIGNTLl.WAY nJSRLLLrPANEne;r MNfAEM 21'PNPWAY FPPRLLN aCUfM 0.YNfff WYIAt, scaxc.amFWNN 50.00' I CWLRfiIE pRMWAY LOTMEILOCKS SHORES SECTION W. 3' P.B. 10, PG.37 I ONESTORY 1 f RESIDENCE 1 01224 1 I ® I iLSI,hZ ROOWOI 1 j NOIOEL% r<b )� I I ••I POOL ••• • • •• WALLEY BO.M' 'dWWE1P t JPN•a m"" --- _-- •S1p� vaot /"" r•L)*4A?A b W "ZZ :S-Dig DATE:08/30/2021 State of Florida County of Miami Shores Before me this day personally appeared ROBERTO GONZALEZ who, being duly sworn, Deposes and says: That he will be the only person working on the project located at: 1224 NE 96 ST . Miami shores FL 33138 22�� 2�p�q SWORN TO (OR AFFIRMED) AND SUBSCRIBED BEFORE ME THIS —11 DAY OF T1�T'021 "BY fLobe2+o Gonz0kz' PERSONALLY KNOW OR PRODUCED IDENTIFICATION TYPE OF IDENTIFICATION PRODUCED $�'1 DATE: SIGNA RE OF NOTARY PPBLIC "'�. MONICA L.SANTANA MY COMMISSION 9 HH90576 EXPIRES: February 28, 2025 18111 NW 68 AVE UNIT 1-105 HIALEAH, FL 33015 • CELL: 305-298-0193 • OFFICE: 305-331-2572 005031 Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOTA BILL -DO NOT PAY 6978051 Wu EWNAMMCARM FOREVER GAS CORP 18111 NW 68TH AVE APT 1 105 MIAMI FL 33015 OWNER FOREVER GAS CORP C/O ROBERTO GONZALEZ PRES RECEIPTNO. RENEWAL 7253636 •1 f• LBT EXPIRES •- SEPTEMBER 30, 2022 Must be displayed at place of business Pursuant to County Code Chapter 8A- Art 9 & 10 PAYMENR RECEIVED BYTA2 CDUECTOR $100.00 08/01/2021 INT-21-355629 This Local Business Tax Receipt only confirms Paymam of the Local Business Tex. The Receipt is note license, permit or a certification oftha holder squalification, to do business. Holdermust comply with any governmental or nongavermnen id regulebry laws and r•quiramerrb which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec as-276. For mom information, visit YrwNRiAmIdjjI@'QgvftXco11ector State of Florida Department of Agriculture and Consumer Services v v� Division of Consumer Services (850) 921-1600 2005 Apalachee Pkwy • t atiahassee, Rjoriuhj- 32399-o5fiir yq w 0ip00 0 0 0 0 0000 060604 0 0 0 0 00 a 0 0 0 660666 0 000000 0 000006 • 000000 0 0 0 6 0 6 0 0 0 0000 0a00 0 0 0 0 0 0 0000 0000 0 0 6 a C 0 O -._ 0 0 0 0 0 0 0 0 6 0 00000 00 00 00 0 604000 0 000000 0 • 0 0 o a o s 00 0 0.00•0 Regi otratio No.: MOJ79 o 4 6 0.0 6 • Issue I5ate: Expiration Date: p AuRgsj 04, 2021 Au« must 31, 2011L POST CERTIFICATE Liquified Petroleum Gas License CONSPICUOUSLY LP Gas Installer Chapter 527, Florida Statutes Good for one location only Any change in ownership of this Business enders this license Invalid n alid FOREVER GAS CORP 18111 NW 68TH AVE APT I105 HIALEAH, FL 33015-3989 n i wfu NICOLE "NIKKI" FRIED COMMISSIONER OF AGRICULTURE ACaRtf CERTIFICATE OF LIABILITY INSURANCE DATE o2� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(Les) must be endorsed. If SUBROGATION IS WAIVED, subject to 0 0 the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does notj%onf9 fthts to thto Go 0 0 0 e o w certificate holder in Lieu of such endorsement(s). 00 0 0 0 0 PRODUCER CONTACT CLAUDIA M DE LA ROSA o 0 0 0 0 0 0 00000 PHONE : (786)293-9141 0 0 0 o o a No : 786) 293-tW Claudids Insurance -MAIL deudia aodaudlesinsurance. in' 0 0 0000 0 18901 SW 106th Ave 132 0000 0000 INSURERS AFFORDING COVERAGE 00000 NAIC to Miami, FL 33157 Phone (786) 293-9141 Fax (786) 293-9142 INSURER A: SCOTTSDALE INSURANCE GWA`4 0 0 0 0 0 ° 412970 000 0 INSURED INSURER s : NAUTILUS INSURANCE COWPW o 17370 0 0 INSURER C : ° ° ° 0 FOREVER GAS CORP INSURER o : ® ° o 18111 NW 68 AVE 1105 INSURER E• o o e Goose HIALEAH, FL 33015 (305) 298-0193 ® o 0 INSURER F ' COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADD U D NUMBER POLICPOLICY MWDDDY EFF POLICMWDD EXP LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY D ❑ CLAIMS -MADE d❑ OCCUR ❑ GEN'L AGGREGATE LIMIT APPLIES PER 0 POLICY ❑ PRO- ❑ LOC cT N N SCNNL-S 10/17/2021 10/17/2022 EACH OCCURRENCE $ 2,000,000.00 DAMAGE TO RENTED PREMISES PREMISES Ea occurrence)$ MED EXP (Any one person s 5,000.00 PERSONAL & ADV INJURY $ 2,000,000.00 GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS - COMPIOP AGG $ 2,000,000.00 $ AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ AUTOWNED ❑ SCHEDULED AUTO❑ HIRED AUTOS ❑ NON -OWNED O ❑ ❑ COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident $ PROPERTY (eaccident) $ $ B UMBRELLA LIAR �/❑ OCCUR �/ EXCESS LIAR ❑ ❑ CLAIMS -MADE N N AN1248643 10/17/2021 10/17/2022 EACH OCCURRENCE $ AGGREGATE $ 3,000,000.00 ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A ❑ WC STATU- ❑ OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space Is required) GAS APPLIANCE SERVICE, INSTALL AND REPAIR LP GAS LICENSE # LI 28379 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 ACORD 25 (2010105) QF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 Gu--- O 1988-MO ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Ron DeSantis, Governor STATE OF FLORIDA Halsey Beshears, Secretary DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD THE ELECTRICAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES LIGHTBOURNE, SAMUEL CHRISTOPHER ALL QUALITY ELECTRICAL SERVICES INC. 14750 S RIVER DRIVE MIAMI FL 33167 LICENSE NUMBER: EC13009246 EXPIRATION DATE: AUGUST 31, 2022 Always verify licenses online at MyFloridaLicense.com if �I r, rt }r.t, Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: DS-01-22-36 Permit Type: Driveways/Walkways/Slabs Work Classification: Addition/Alteration Permit Status: Approved Issue Date: 02/07/2022l Expiration:08/08/2022 Location Address Parcel Number 1224 NE 96TH ST, Miami Shores FL 33138 1132060143931 Contacts TONY SEIDEN TRS1 AND W LAND TRUST Owner ALL QUALITY ELECTRICAL SERVICES, INC Contractor AGREEMENT SAMUEL LIGHTBOURNE 1224 NE 96 ST, MIAMI SHORES, FL 331382554 14750 S RIVER DR, MIAMI, FL 33167 Business: 3057905899 11 .,,`e c- z- 7�- Description: NEW CONCRETE PAD (FRAMED + POURED) FOR 24 Valuation: $ 1,100.00 Inspection Requests: 305-762-4949 KW GENERATOR Total Sq Feet: 161.50 Fees Amount Application Fee - Other $50.00 CCF $1.20 Concrete/asphalt/pavers, slabs, dways, $50.00 swalks DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Planning and Zoning Review Fee $35.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $146.10 Payments Date Paid Amt Paid Total Fees $146.10 Credit Card 01/06/2022 $50.00 Credit Card 02/07/2022 $96.10 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 construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Date February 07, 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 pN � 6 2022 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20Z�� BUILDING Master Permit Nolk 1 j ` % 2-- : S PERMIT APPLICATION Sub Permit No. i�S-O (- - � % �/BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL 0 PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP l/ / � / CONTRACTOR DRAWINGS JOB ADDRESS: /� 97 /� C RFi s� 3313E Folio/Parcel#: //— 3,; O b — N — J9 j I Is the Building Historically Designated: Yes 1 NO _ Occupancy Type: Sr Load: Construction Type: C6S Flood Zone: BFE: FFE: OWNER: Name (Fee Simple City: L - _ State: /" �' Zip: J Y / `Z L/ � Tenant/Lessee Name: Phone#: 7 Email: �-+/ / Q / p p CONTRACTOR:: Company Name: I/V l.Y U(,�.L��l�, L L2G FYI G Phone#: 3yJ 7 6 0 7d 3 2— CONTRACTOR: i7J Q LV-r- ✓/ /lie City: State: f Zip: '7/p ? Qualifier Name: Phone#:30,Sy/a ./%/,� 3— State Certification or Registration #: 3 U `/' b Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: —a State: Zip: Value of Work for this Permit: $ b 160 - Squar Linear Footage of Work: Type of Work: � Addition ❑ Alteration ❑ New /1 ❑ Repair/Replace ❑ Demolition Description of Work: �YJ GI- Cl/141— j'Yfcix0�� Yed J/ /61,j Specify color of color thru tile: Submittal Fee $ ' Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $_ DBPR $ 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 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 (Vl—, v `/ Signature 4Y411ue'! �7rLl�/Lf.Friu� OWNER or AGENT CONTRACTOR The foregoing instr ent was acknowledged before me this —day of 20 Z by 3614 N who is personally known to me or who has produced L —L)CA «L (%CZ' asS!'7 identification and who did take an oath. NOTARY PUB C: Sign: n _ Print: t` DI f` p (U Seal: APPROVED BY SINDIA ALVAREZ My COMMISSION p GG 238273 EXPIRES: September 3,2022 The foregoing instrument was acknowledged before me this 0 day of //DI/e;A t b a d . 20 t( by SAL4 ti c C Cc VQ )oQQ q who is personally known to me or who has produced Kvl O L.yv1 as identification and who did take an oath. NOTARY PUBLIC: Print: Seal: Plans Examiner ;'r:`. Notary Public - State of Florida yg' Commission # GG 342574 My Comm. Expires Jun 23. 2023 Bonded through National Notary Assn. Zoning (Revised02/24/2014) Structural Review Clerk Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1224 NE 96TH ST Miami Shores FL 33138 Contacts Permit NO.: PL-01-22-37 Permit Type: Plumbing- Residential Work Classification: Gas Permit Status: Approved Issue Date: 02/07/2022 Expiration: 08/08/2022 Parcel Number 1132060143931 TONY SEIDEN TRS J AND W LAND TRUST Owner AGREEMENT 1224 NE 96 ST, MIAMI SHORES, FL 331382554 FOREVER GAS CORP Contractor ROBERTO GONZALEZ 18111 NW 68 AVE 1105, HIALEAH, FL 330153989 Business: 3052980193 inspection Requests: Description: INSTALL NEW GAS LINE FROM TECO METER TO Valuation: $ 1,800.00 ii,.i,. NEW 24 KW GENERATOR , _ }�tZ Total Sq Feet: 0.00 i i �11 � � Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $131.10 Payments Date Paid Amt Paid Total Fees $111.10 Credit Card 01/06/2022 $50.00 Credit Card 02/07/2022 $61.10 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 construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Date February 07, 2022 Page 2 of 2 Miami Shores Village Building Department N 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ��FFBC 20 N BUILDING Master Permit o.-«— O l ` 22- 3S PERMIT APPLICATION Sub Permit NO.-�)L'PC) ( ZZ ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION DRENEWAL []PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP / CONTRACTOR DRAWINGS �� / JOB ADDRESS: jr Y n 6 S� City: Miami Shores gCoun : Miami Dade Zip: 33 � 3cr Folio/Parcel#: /'/-2U b — o 3 / 3 I Is the Building Historically Designated: Yes_ NO Occupancy Type: SrJ Load:--�Co/nstruction Type: 13S Flood Zone: /) BFEn Q FFE: '// �y OWNER: Name (Fee Simple Titleholder): i. An C 6141A.— Phone#: 717 ?44 14 Address: S( - City: /� n.� State: Zip: / Tenant/Lessee Name: Phone#: Email: —' CONTRACTOR: Company Name:_ 70'eoy)w //4s Phone#: Address: O/ Xl MILL �u City: N State: A76 zip: 33t7pIS— Qualifier Name: OS-P.✓A /' Z Phone#:.JOS �-90 0/?3 State Certification or Registration#: Certificate of Competency #: DESIGNER: Architect/Engineer: Jcl r Phone#: i Address: �� Ci State: Zip: p Z Value of Work for thi Permit: $ �(! r'%y - Square Linea Footage of Work: � Type of Work: Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work,,: //.. L Gk) Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $_ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ I V (Revised02/24/2014) Bonding Company s Name (if applicable) Bonding Company's Address City State Mortgage Lenders 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 $1500, 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. /n the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNERorAGENT 0 RAcl-OR The foregoing instrument was acknowledged before me this day of NoV4--�- 2, 20 Z , by who is personally known to me or who has produced DO s identification and who did take an oath. NOT PUBLIC: Sig . Print. N�1 J �ilV� Seal: SINDIA ALVAREZ y i°.., MY COMMISSION q GG 238273 EXPIRES: September:i, 2022 APPROVED BY r `- 11 1 I1 27., The foregoing instrument was acknowledged before me this i dayof ,20 =�—( by P,M b2.r4c Fmzcl 1i' - , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sim--XV.C1/'.LILaVL-� Print: A,4Cl PcrnGhCi-(� r> Seal: Ayxe Fernandez NOTARY PUBLIC S STATE OF FLORIDA Comm# GG340030 Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk