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RC-08-1860Owner's Name: Job Address: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 PLANS DO NOT SHOW CLAY TILE ROOF Permit NO. RC-10-08-1860) Issue Date: Not Issued Expires:Not Issued Folio Number:1121360020250 Owner's Phone: 11016 2 Avenue NW Total Square Feet: 1400 Miami Shores, FL 33138 Total Job Valuation: $ 150,000.00 Contractor(s) Phone Primary Contractor .... :•,• Planning and Zoning Criteria and Comments Approved: In Review Date Approved: : In Review Date Denied: 10/22/2008 Comments:Z DO NOT REFLECT FINAL APPROVED ARCHITECTURAL DETAIL PLANS ARE NOT APPROVED BY DERM AND DEPARTMENT OF HEALTH AND NO BUILDING PERMITS WILL BE ISSUED UNTIL SUCH APPROVAL IS SECURED PERMIT #; I, A Me' 1 •0, apy%Ve—S f ontractor et ❑ : rchitect • Miami Shores Village Building Department SI Address: From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLEARK INITIAL: PERMIT CLEARK INITIAL: v 10050 .NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 RECEIPT RESUBMITTED DATE: TOO 09 0 DAVID A. DACQUISTO, AICP PLANNING & ZONING DIRECTOR DEVELOPMENT ORDER File Number: PZ -6 -08- 200882 Property Address: 11016 NW 2' Avenue M iami Sliore� V1itar 10050 N.E. SECOND AVE. MIAMI SHORES, FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 Applicant: NHS Housing Development LLC (Owner) Address: 100 NE 84 Street #200 Miami FL 33138 Page 1 of 2 SEP Olg Whereas, the applicant NHS Housing Development LLC (Owner) has filed an application for site plan review before the Planning Board on the above property. The applicant sought approval as follows: Special Approvals, Sec. 600: Sec. 523. New one - family dwelling. Whereas, a public hearing was held on September 11, 2008 and the Board, after having considered the application and after hearing testimony and reviewing the evidence entered, finds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village. 2. The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code. The Board requires that all further development of the property shall be performed in a manner consistent with the site plan, drawings, and the conditions agreed upon at the hearing: 1) Applicant to secure any additional development approvals required by DERM and HRS, prior to the issuance of village building permits. 2) Applicant to obtain all required building permits before beginning work. 3) Applicant to meet all applicable code provisions at the time of permitting. 4) Applicant to utilize only roofing material that is approved by the building official. 5) This zoning permit will lapse and become invalid unless the work for which it was approved is started within one (1) year of the signing of the development order by the board chair, or if the work authorized by it is suspended or abandoned for a period of at least one (1) year. OCT 0 9 200 in sTim OAS -li9op 4 6) Roof to be barrel style clay tile. 7) Applicant to add the additional architectural features presented to the facade of the residence. Additionally, the applicant must, satisfy all applicable Miami Shores Village Codes, Miami -Dade County Codes, the applicable building and life safety codes required for development, and provide a copy of the development order to the Building Dept. The application with conditions was passed and adopted this 11 day of September, 2008 by the Planning and Zoning Board as follows: Mr. Abramitis Yes Mr. Powell Yes Mr. Reese Yes Mr. Sastre Absent Chairman Fernandez Yes Ri yti'd M. Fernandez air, Planning Board Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 68° /84o STRUCTURAL CRITIQUE SHEET Job Name 114va r c . ,Qe ve t. Date p/2.8 /a8 y P .° . i - 7C" ! e-r ` 1" i e o� ; fv11 `� PA Co, , o - �•e ere c , /-, 'L3 ". 0 aln 1z -I sec. 2 SI5vw /taw 7 t.en -d. fht- Qtiv t . pig 1/ .1 • "ohm AyG�rh Ca`cvl`Ghan5 per /ACE 7 -02 . ti'1l f Q (6) It'vted 4 Seale ,/• 5k1. / -1 ©NLY Permit No: 08 -1860 Job Name: November 4, 2008 Norman Bruhn CBO 305- 795 -2204 Miami Shores Village Building Department 10050 N.E. 2 Avenue Miami Shores, Fl 33138 Tel: 305- 795 -2204 Fax: 305-756-8972 Building Critique Sheet Page 1 of 1 1) Plans must be reviewed and approved by Miami Dade County DERM. 02) Plans must be approved by HRS for the septic system. 3) Provide a receipt from Miami Dade County Water and Sewer for impact fees. c ) .4) Provide receipt from Miami Dade planning and Zoning for impact fees. 6k' 5) The address on the plans is incorrect. -'6) The stamps from the state are unreadable; please provide a single copy of the state stamp. 7) The foundation plan must be signed and sealed. 8) Provide structural calculations for the foundation and for the attachment of the structure to the foundation.. 9) The top of the foundation must be a minimum of 8" below finished grade. c%-10) The energy calculations are incomplete and incorrect. The information pertaining to job and location (jurisdiction) must be corrects X1 1) Provide 3 copies of the energy calculations. a l/12) The plans show a solar panel, is this part of the state approval? 13) The zoning approval required color thru clay tile. The plans must include this • detail. 14) The plans show options, what options will be used? 15) All the planning & zoning comments must be corrected. The structural comments must be corrected. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. he foUowin, p pages were originalf attached to pans with the following permit # ROa-Zo 4 Permit Type (circle): BUILDING PERMIT APPLICATION FBC 2004 Value of Work For this Permit $ ISO, D 0 C� M h ores Village OCT • 2 ,1 2006 • gtt B BY: --�. Roofing Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. i COE 1 &J Master Permit No. Owner's Name (Fee Simple Titleholder) N RS rtcniSi �r �Je.JeIoewe, LLC Phone # v q-S -1. O f ( Owner's Address V &) E p Sk• - " o .00 J City M10 k State -F L Zip Tenant/Lessee Name /t-/ Ik Phone # Job Address (where the work is being done) 1 1, 0 b A) W Ave, City Miami Shores Village County Miami -Dade Zip 33 FOLIO / PARCEL # I — a 136- toa - oas° Is Building Historically Designated YES NO t/ Contractor's Company Name A aGZ ►-�l V\caot elsi w� 4 a 5 Phone # 3 OS • 4S r • 21 1 °_ Contractor's Address (oC) AJE -44 Sf. — '' D., C> City / A.('mis.N l ( State -P I--- Zip 3 3 t 3 T! CXU 2' Qualifier Name i d 4O rc e.0 Phone # 3 O • 9R9°. S State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable; t c /Qi G 'C. e - CAN.c.efts Phone # See j q q - (3 b O Square / Linear Footage Of Work: «o Type of Work: ❑Addition ['Alteration New ❑ Repair/Replace ❑ Demolition Describe Work: COr1Ct�2 vv m ck cu - \� 9.- L. besari. a 6 1 400 Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ r Structural Review. $ Total Fee Now Due $ REG CO7 102108 12"40g CI RGE $250.00 Tenant/Lessee Name BY: BUILDING PERMIT APPLICATION FBC 20 Permit Typ Email Notary $ Scanning $3 d CCU Double Fee $ :BUILDING Owner's Name (Fee Simple Titleholder) !V Owner's Address 100 At✓ City ,A ll State — (____ Job Address (where the work is being done) * * * * * * * * * ** Submittal Fee $ Structural Review. $ Ads ( "i' 10050 N.E.2nd Avenue, Miami Shores, Florida 3313 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 76' 'Contact Phone 30C 4S9- 811 Type of Work: ❑Addition DAlteration Describe Work: Miami Shores Village Building Department OOFING L-4 becya 6a_A Training/Edncation Fee $ Zip Architect/Engineer's Name (if applicable) ) v �O Cc e,cn` Phone # Ws VA P.bcc Y\�12S @ (� A.aA . coy., ItCAL MA) Att- - 33138' Value of Work For this Permit $ f 5d / °C)-C) Square / Linear Footage Of Work: IgNew b v cc� dUlQ,v- h� 3 0S 7S9 -89 � a City Miami Shores Villa a County Miami -Dade Zip FOLIO / PARCEL # (1 — ),131, - a 02 - 0 O Is Building Historically Designated YES NO Flood Zone Contractor's Company Name �-y� t"1 4 ln5ne # Contractor's Address (bb Me LS" a. ' 2.0t) 2.0t) S i ce S p, City 1 " IO W t State L.- Zip 3 (3 O n Qualifier Name �p%A/ CI `�tl��( Qit� Phone # 3cS - St e tV - -. 9q State Certificate or Registration No. �- GC- ISO , y 8 Certificate of Competency No. E -mail 0 ovw� S a� Tka:i 1. Cows n Inc re'1"e 1nC Phone # - r-i- ! 8.— (3 9 0 1 o r 561- -' - 136 (400 SC ❑ Repair/Replace ❑ Demolition * * * * * ** * ** * ** *** *** * * *** ***F ******* * * * * * * * * * * * * * * * * * * ** * * * ** * * ** ** Permit Fee $ 7J CCF $ CO /CC $ Technology Fee $ Radon $ DPBR $ Bond $ Violation date: Total Fee Now Due $ See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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.. Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 (A, by. Q 0.11 4 tad& who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: (Revised 07 /10 /07)(Revised 06/10/2009) State ' Zip Sign: Print:. My Commission Expires: • Contractor The foregoing instrument was acknowledged pp befo 9 -eme this day of , 20 act, by h au/1 CX tri*ro(•r , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY - 77/ 'Jf JOy SY).* G f Plans Examiner Zoning Engineer Clerk checked CONCRETE MODULA HOME 4 BEDROOM /2 BATHROOM Passe Inspector Comments � � . Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Project <NONE> I nspection Number: INSP- 145820 Permit Number: RC -10 -08 -1860 1 Inspection Date: June 09, 2010 Inspector: Dacquisto, David Owner: Job Address: 11016 NW 2 Avenue Miami Shores, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: ADANAC DEVELOPMENT AND CONSTRUCTION SERVICES, Building Department Comments June 10, 2010 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Declaration of Use Work Classification: New Phone Number Parcel Number 1121360020250 Page 1 of 1 w orm. w orm IMO Cd WM 14. mm.q= � w :" . a. Ca Irmo 1 .. -, . aim tri s REPARED BY: J)o'i l er ✓ nw ......14 CA DECLARATION OF USE imiumrs 4 0 -C4 0 d.3 . KNOW ALL MEN BY THESE PRESENTS: to 1.4 C3 0 o " ce �v, WHEREAS, the undersigned WS - o p il..3t l /�++ is/are the fee simple owner(s) of the following described property (Property) r W 8 e dtuated and being in Miami Shores Village, Florida: ��1 `� • ot(s) �� Block of SLt re-tO hcx - t�eP� v�TS (S ubdivision), according to the plat thereof, as recorded In the Plat Book Pr 0 Page S5 cite Public Records of Miami -Dade County, Florida, (address) 1 I O l G. A1‘,./ a" , M k'&W % .> hore.,g and ce c. w a WHEREAS, the undersigned owners) have sought certain development approval from Miami Shores and are providing this document in consideration thereof ��y-or �� o I.to Induce the Village to grant same: 1.1.. W ' � � a � NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which is acknowledged, the undersigned do(es) hereby declare and agree: 1. That the Property will not be used in violation of any Ordinance of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. 2. That the property will be used for a single family residence only. 3. That he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declares) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above Property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/hersuxessors and assigns and may only be released by Miami Shores Village, or its successors, in accordance with the codes, rules and regulations of said Village then in effect. IN WITNESS WHEREOF, the undersigned has/have caused hand(s) and seal(s) to be affixed hereto on this day of 200 . WI`S) 11/tolwe4 Signature ,( • and Print /item(( -SS GL Re) e,to/ Per Signature �— and Print �/ e-t fo n STATE OF FLORIDA. COUNTY OF MIAMI -DADE YME OF FLORIDA, COUNTY CAS C AV Iy ri ➢ v, t n, Hs1 / 41 m L r 4117 swoRkjami ATE before eon this day of S CGL `x1 20m Cam,. Lamothe My commission ex` \ `'! = commission # D D867384 Exp APR. 1 1, 2013 BONDED TIM manic BO mom co., am NOTAR M iami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS: Signature and Print S/ and, Print I HEREBY CERTIFY that on this day pe nally appeared before me 8 V id T /8 r04 o is personally known tom r has produced (type of identification) as Identification and he/she acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes therein expressed. UBLIC, STA August 28, 2009 RE: Statement of Soil Condition 11016 NW 2 Ave, Miami Shores FL 33138 Permit # RC -10 -08 -1860 To Whom It May Concern: Upon inspection of the above mentioned property, I have determined that the soil conditions for this property are average. Visual conditions of footing excavation show existing soil conditions will provide a minimum 2000 p.s.f. bearing pressure. Submitted, Gollaville Krishna Rao, Consulting Engineer 18098 SW 87 Street Davie, Florida 33324 Phone: 954 802 -1267 FL P.E. # 41516 Gollaville Krishna Rao, 'FL P,E. 1)0 JUN 0 3 2 oio �J Al -Flex Exterminators, Inc. 4035 S.W. 98 Avenue, Miami Florida 33165 5MOMEW P.O. Box 650213 / Miami Florida 33165 -0213 Tel. (305)552 -0141 / 1 -800 782 -9284 FAX (305) 227 -1797 p j u N 0 3 2016 WEB PAGE: www.al - flex.com / E -Mail: al- flex @bellsouth.net Partial Treatment Notice Project Name: NEW CONSTRUCTION Property Address:11016 NW 2ND AVE Lot 0 Block 0 Model: Service order by: ADANAC DEVELPMENTCONSTRUCTION 100 NE 84 ST # 200 MIAMI, FL. 33138- Permit #: MIAMI SHORES FL Date: 7/29/2009 Time: 10:00 AM Applicator: CASIMIRO Product Used: I MAXX PRO Chemical Used: IMIDACLOPRID (active ingredient) Number of Gallons applied : 199 Percent Concentration: 0.03 Area Treated : 1,400 Sq. Feet Tamp: N Linear feet Treated : 148 Stage of Treatment : Horizontal/lnterior Vertical THIS IS NOT A PROOF OF WARRANTY V v B A . 4..411. 1• i 44116 This is not valid without a company seal 1. The above noted structure has received the first of two or more required treatmets for the prevention of native subterranean termites. 2. Upon completion of this treatment and payment of any balance due under this contract, AI -Flex will provide purchaser with written confirmation that the treatment is completed and the associated limited warranty is in full force and effect. The limited warranty shall not be considered to be in effect until all required payment has been made. This form is for inspection or construction draw purposes only. The perimeter of the above structure must be treated at final grade accordance with pesticide label and Florida Statue. Warranty and treatment certification will be issued upon completion of final treatment. This form should not be accepted as proof of complete treatment for Certificate of Occupancy or Closing. NOTICE TO BUILDER: It is the responsibility of the builder to notify AL -Flex Exterminators should treatment be required for patios, driveways and entryways. Al -Flex Exterminators must be notified at final grade of structure so final treatment can be completed warranty issued, and required paperwork for closing submitted. Proctor r S oil Descri ption Max. Dry Density ( mu ;Optim Moisture ( %) 8867 Fine Brownish Sand with Trace of Gravel 109.3 12.2 Required Compaction ( %) 95 d Test Depth Penetration (inches): 12 Client: Adanac Development & Coast. Serv. 100 NE 84 Street, # 200 Miami, Florida 33138 Project Name: Residence Project Location 11016 NW 2 Avenue, Miami Shores, Florida Test No. Proc. No. Comments: Test Location Southeast Area of Footing Pad 8867 Center Area of Footing Pad 8867 Northwest Area of Footing Pad TESTING 6 ENGINEERING SERVICES. INC FIELD DENSITY TEST REPORT PROCTOR DATA FIELD DENSITY TEST RESULTS Lift Dry o. ' Densi Footing 107.3 Footing 106.6 Footing 106.4 Date: August 4, 2009 Job: D- 090806 13370 SW 130 Street, Suite 105, Miami, FL. 33186 (305) 259 -9779 Moist. 11.4 10.3 10.7 arcia Professio „t E ' in No. 56712 te,, _,,,.da Result 98.2 Pass 97.5 Pass 97.3 Pass CONCRETE MODULA HOME 4 BEDROOM /2 BATHROOM Passedd & 40 Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: June 03, 2010 Inspector: Bruhn, Norman Owner: Job Address: 11016 NW 2 Avenue Project <NONE> Building Department Comments June 03, 2010 Miami Shores, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 145193 Permit Number: RC -10 -08 -1860 Contractor: ADANAC DEVELOPMENT AND CONSTRUCTION SERVICES, For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Final PE Certification Work Classification: New Phone Number Parcel Number 1121360020250 Page 1 of 1 Royal Concrete Concepts, Inc. e 8 00-515-4204 ✓ I ® ,-72 0 7t I c forth West !'alm B ach FL 3341 Miami Shores Village Building Dept. 10050 N.E. 2n Avenue, Miami Shores FI. 19 November 2009 Adanac Development and Construction Services Re: Sealant Installation Approval 324 NW 108 th Street Miami, FL. 33168 Permit No. 2009009569 To whom it may concern; This is to confirm that to seal the Joint between the module components we use the 2c NS EZ Mix, Sikaflex polyurethane compound. Please see the attached product information. As you can see this product meets the requirements for water tightness, expandability and weather resistance as required by the building code. Thank you for your attention to this matter. If we can be of further assistance please contact us at the - =ov= number. Stev ruh Architect R00008678 painvn JUN 032010 Md BY: Think of the Possibilities Product Data Sheet Edition 7.15.2008 Identification no. 764 -15N Sikaflex -2c NS EZ Mix Sikaflex ® -2c NS EZ Mix Two - component, non -sag, polyurethane elastomeric sealant Description Where to Use • Intended for use in all properly designed worldng joints with a minimum depth of inch. • Ideal for vertical and horizontal applications. • Placeable at temperatures as low as 40F. • Adheres to most substrates commonly found in construction. • An effective sealant for use in Exterior Insulation Finish Systems (EIFS). • Submerged environments, such as canal and reservoir joints. Advantages Coverage 1 gal. yields 231 cu. in. or 154 lin. ft of a 1/2 in. x 1/4 in. joint Packaging 1.5 gal. unit, 3 gal unit Color -pak is purchased separately. Limestone Gray color available pre - pigmented. How to Use Surface Preparation Priming Mixing Sikaflex-2c NS EZ Mix is a 2- component, premium -grade, polyurethane-based, elastomeric sealant It is prindpally a chemical cure in a non -saq consistency. Meets ASTM G920, Type M, Grade NS, Class 25, use T, NT, M, G, A, 0 and Federal Specification TT S- 00227E, Type II, Class A. Meets CAN /CGSB 19.24 - M90. • Capable of ±50% joint movement • Chemical cure allows the sealant to be placed in joints exceeding % in. in depth. • High elasticity with a tough, durable, flexible consistency. • Exceptional cut and tear resistance. • Exceptional adhesion to most substrates without priming. • Available in 40 architectural colors. • Color uniformity assured via Color -pak system. • Available in pre - pigmented Limestone Gray (no Color -pak needed). • Non -sag even in wide joints. • ANSI/NSF 61 approval for contact with potable water • Easy to mix. • Paintable with water -, oil-, and rubber -base paints. • Jet fuel resistant All joint -wall surfaces must be clean, sound, and frost-free. Joint walls must be free of oils, grease, curing compound residues, and any other foreign matter that might prevent bond. Ideally this should be accomplished by mechanical means. Bond breaker tape or backer rod must be used in bottom of joint to prevent bond. Priming is typically not necessary. Most substrates only require priming if sealant will be subjected to water immersion after cure. Testing should be done, however, on questionable substrates, to determine if priming is needed. Consult Technical Service or Sikaflex Primer Technical Data Sheet for additional information on priming. Note: Most Exterior Insulation Finish Systems (EIFS) manufacturers recommend the use of a primer. When EIFS manu- facturer specifies a primer or if on -site bond testing indicates a primer is necessary, Sikaflex 429 primer is recommended. On -site adhesion testing is recommended with final system prior to the start of a job. Pour entire contents of Component 'B' into pail of Component 'A'. Add entire contents of Color -pak into pail and mix with a low -speed drill (400.600 rpm) and Sikaflex paddle.* Mix for 3-5 minutes to achieve a uniform color and consistency. Scrape down sides of pail periodically. Avoid entrapment of air during mixing. Typical Data (Material and curing conditions 73 °F (23 °C) and 50% RH.) Shelf life One year in original, unopened containers. Storage Conditions Store dry at 40 ° -95 °F (4 °- 35 °C). Condition material to 65 ° -75 °F before using. Colors A wide range of architectural colors are available. Special colors available on request. Application Temperature 40° to 100 °F, ambient and substrate temperatures. Sealant should be installed when joint is at mid -range of its anticipated movement Service Range -40° to 170 °F (- 40 °- 75 °C). Curing Rate (ASTM C -679) Tack-Free Time 8-10 hrs. Final Cure 3 days Application Life 4-6 hrs. Tear Strength ASTM D -624 45 lb./in. Shore A Hardness ASTM D -2240 25 ± 5 Tensile Properties (ASTM D-412) Tensile Strength at Break 95 psi Tensile Elongation 300% 100% Modulus 70 psi Adhesion In Peel (Fed Spec. TT- S- 00227E) Substrate Peel Strength % Adhesion Loss Concrete >15Ib. Zero Weathering Resistance Excellent Chemical Resistance Good resistance to water, diluted acids, diluted alkalines, and residential sewage. Consult Technical Service for specific data. INSTALLATION OF GROUND WIRING TO REBAR AND UPGRADE OF ELECTRICAL SERVICE FOR FP&L CONNECTION Passed Inspector Comments /0 ( ; L2 � � Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: I NS P- 106936 Permit Number: EL -2 -09 -248 1 Inspection Date: February 10, 2010 Inspector: Devaney, Michael Owner: Job Address: 11016 NW 2 Avenue Project <NONE> Miami Shores, FL 33138- Contractor: DETAIL ELECTRIC, INC Building Department Comments February 09, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360020250 Phone: (786)326 -2857 Page 1 of 1 Protect Address 11016 2 Avenue Miami Shores, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Expiration: 08/24/2009 Parcel Number 1121360020250 Block: Lot: NHS HOUSING DEVELOPMENT LLC 100 84 Street MIAMI FL 33138- rffeardMEM Contractor(s) DETAIL ELECTRIC, INC Phone Cell Phone (786)326 -2857 Type of Work: ELECTRICAL Additional Info: MODULAR HOME Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $159.99 $3.00 $4.00 $167.79 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy February 27, 2009 Invoice # EL -2 -09 -34042 Check #: 6337 Total Amt Paid Amt Due $ 167.79 $ 167.79 $ 0.00 Applicant NHS HOUSING DEVELOPMENT 1 Date Valuation: Total Sq Feet: $ 1 ,000.0 0 0 Available Inspections: Inspection Type: Underground Rough Final Meter Box Alteration Relocation Fire Alarm Service Change W. W. 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 February 27, 2009 1 ITEM BATH ILE UNIT FEE ITEM SWITCH CUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER ( RECEPTACLES A/C (WIND) DISPOSAL SERVICE TE6PORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN APS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WAR MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTCRS OVER HOT WATER BOILERS SINK, POT/3 COMP. MOTCRS OVER MECHANICAL VENTILATION SINK, RESIDENCE t MOTCPS • E' TRANSPORTING ASSEMBLIES SINK, SLOP MOTCRS OVER ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 0 FIRE SPRINKLER SYSTEMS URINAL MOTCRS OVER •0 HP COOLING TOWERS WATER CLOSET MOTORS OVER 1C0 hP VIOLATION INDIRECT WASTES-' A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMl1ING POOL OUTLETS COWERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRAISFOMERS • UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Miami Shores Village IMCMEVICI Building Department FEB 1 .9 209 10050 N.E.2nd Avenue, Miami Shores, Florida 33 138 BY. BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical �( Owner's Name (Fee Simple Titleholder) !V l S `A usi,N LPhone # 3 s9. gq Owner's ddress l00 /Oa a®c) City lckyK I State -p t= E -MAIL: PV1\tO N/0- S � G W,.Oit. CONN Job Address (where the work is being one) t t 0 1 t .; 4rA) City Miami Shores Village County Miami -Dade Tenant/Lessee Name FOLIO / PARCEL # 1 1 °Q\ ®o ASO Tel: (305) 795.2204 Fax: (305) 756.8972 Zip 3 13 S Phone # Is Building Historically Designated YES NO X Contractor's Company Name 1E 7 Phone # Contractor's Address /3 �.. c' J) d - X City Celt It-0 C' -+t4- State FL_.. Qualifier Name 0 f ag_ e State Certificate or Registration No. 0 6 C ,7® 0 f r� E -MAIL: Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Permit No. E -Q Master Permit No. (3 — I `?‘:.® Zip 3 3138" 78( 326. - Zip 3 QSpv-" Phone # _f6t Value of Work For this Permit $ 3-47 0 r °a Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration New ❑ Repair /Replace ❑ Demolition Describe Work: ev 7"c ,a G /.) ' 2 /Ai 6 4-6 4 �4- �� E' °6 -4-6 c. /''PL- *id gc%t t"4, ***** xxxxxxx * * ** * * * * * * * * * * * * * ** * * * **x ** F * ** *xxrxxxxx * *x * * * * * * ** * * *xxxxx Submittal Fee $ Permit Fee $ fVet0f b CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ .Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ )(0 See Reverse side --> Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Owner ar gent The foregoin day of who is perso NOTARY P IC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) State r" k „, & tei.: 3 Wii fd 1 , educed entification and who did take an oath. before me this 7049 Signature 006 NL� Contractor �L day ► J ► ►. Y; IN Y' 11 ®ldie The foregoing instrunte, ` this Gi J ':1 1,. .�� , ,� �eQE�•:./T r1 '00F ft- who is personally known'ttf' as ide NOTARY PUBLIC: and who did take an oath. Sign: Print: My Commission Expires: x xxxx xxx * * * * * * * * ** * * *xxxxx** ******** ** * *x*** **** xx*w W *xxxxxxxx x ***** wxxxxxxxxxxxxx * **Wiz** ********* ***x ice - '.%Plans Examiner Engineer Zoning Miami Shores Village Building D ep artment ELECTRICAL CRITIQUE SHEET e every -, P 19 J` ®i /0-4 .d/c-- Lis z`17- 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 - Per -mit ATE. - y Job Name ,U/}$ hie/V.5 / CONCRETE MODULA HOME 4 BEDROOM /2 BATHROOM Passe Inspector Comments Os Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: I NS P- 145190 Permit Number: RC -10 -08 -1860 I Inspection Date: June 03, 2010 Inspector: Hernandez, Rafael Owner: Job Address: 11016 NW 2 Avenue Project: <NONE> Contractor: ADANAC DEVELOPMENT AND CONSTRUCTION SERVICES, Building Department Comments June 03, 2010 Miami Shores, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: HRS Approval Work Classification: New Phone Number Parcel Number 1121360020250 Page 1 of 1 CONCRETE MODULA HOME 4 BEDROOM /2 BATHROOM Passed L � 1 Inspector Comments ; Q Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until f a1 nspection Number: INSP - 145194 Permit Number: RC -10 -08 -1860 Inspection Date: June 03, 2010 Inspector: Bruhn, Norman Owner: Job Address: 11016 NW 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: ADANAC DEVELOPMENT AND CONSTRUCTION SERVICES, Building Department Comments June 03, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: F. Termite Letter Work Classification: New Phone Number Parcel Number 1121360020250 Page 1 of 1 Vie, ) VI) 4 a, ceitAeutp r f 6q-t)_ d • CONFIRMATION OF COMPLETION OF SUBTERRANEAN TERMITE PRETREATMENT AND CERTIFICATE OF COMPLIANCE Purchaser : ADANAC DEVELPMENT CONSTRUCTION Address 100 NE 84 ST # 200 /MIAMI, FL Phone (305) 759 -8912 Number of Structure(s) to be treated : ONE Square Footage : 1,400 Gallons Used : Linear Footage : 148 Gallons Used : Permit #: Date Initial Treatment : 7/29/2009 10:00 AM Date of Completion : 2/18/2010 12:00 PM Technician : CASIMIRO nators, Inc. by Al -Flex Exte President Dated: 2/17 /2010 A' -Flex Exterminators 4035 S.W. 98 Avenue, Miami Florida 33165 Tel. (305)552 -0141 / 1 -800 782 -9284 FAX (305) 227 -1797 WEB PAGE: www.al- flex.com / E -Mail: aI- flex @bellsouth.net Address of Treated Premises : NEW CONSTRUCTION Lot- 0 Block- 0 11016 NW 2ND AVE/ MIAMI SHORES, FL 199 I MAXX PRO 59 IMIDACLOPRID Product Used : ( 0.03 ) Al -Flex Exterminators hereby confirms that the structures described above have received a complete treatment for the prevention of subterranean termite infestation. Treatment has been made in accordance with the rules and laws as established by the Florida Department of Agriculture and Consumer Services. Exterior perimeter treatment was completed upon final grade AI- Flex's limited warranty is presently in full force and effect. Corporate Seal: � GNZII�IFE� Jun1 3 2016 BY: ....................... t Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP- 145192 Permit Number: RC -10 -08 -1860 1 Inspection Date: June 03, 2010 Inspector: Bruhn, Norman Owner: Job Address: 11016 NW 2 Avenue Project <NONE> Miami Shores, FL 33138- Contractor: ADANAC DEVELOPMENT AND CONSTRUCTION SERVICES, Building Department Comments June 03, 2010 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1121360020250 CONCRETE MODULA HOME 4 BEDROOM /2 BATHROOM Passed C(A)) 6 No Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 1 of 1 1 9 0S0 S 030' x CL x Li x 0 < 9.94' Avocado D =2.0' H =30' C =25' Suffix Date of Firm Index Firm Zone ,o- g � 19.15' N N V 20.40' Concrete Driveway 42.10' to ONE STORY CBS ° RESIDENCE # 11016 "X" To 1. N 16.05' o 58.15' 25.00' 12.50' u N x� -1 0 60 ' 22.50' C+-ac 25.00' v � 22 0 ah Mango tb% — 24.00' J H =30' C =25' Community Number Panel Number Suffix Date of Firm Index Firm Zone Base Flood Elev. 120652 0139 L 9 - 11 - 09 "X" NONE SCALE: 1 " =20' 0.30' LL 0 N CI: 0 0 u_ CL Z 0.15' CL' v rn U SKETCH OP JQ I )AFT SURVEY • C.B.S. WaII C.L.F. J LOT 23 125.00' NW 111 STREET C.L.F. 125.00' LOT 21 NOTE: THIS SURVEY HAS BEEN PREPARED FOR EXCLUSIVE USE OF THE ENTITIES NAMED HEREON. THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. o. 0_ 0 0 z? U- 0 0 i0 10.44' m U 0 10.44' 5.00' 5.00' 10.76' NW 110 STREET LEGAL DESCRIPTION: LOT 22 BLOCK — OF "SHORELAND HEIGHTS" SUBDIVISION, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 43 OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. AT PAGE 85 PROPERTY ADDRESS; 11016 NW 2 AVENUE, MIAMI, FL CERTIFICATION TO: ADANAC DEVELOPMENT `•; ROBERTO R. BRIZUELA & ASSOCIATES Land Surveyors OFFICE: 7319 WEST FLAGLER STREET MIAMI , FLORIDA 33144 PHONE: (305) 551 -4393 FAX: (305) 266 -6112 LOCATION MAP ItY /L LACER erk sw N. 1 - • 1 SURVEYOR'S NOTES: 1.) EXAMINATION OF ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. 2.) LOCATION AND IDENTIFICATION OF UTILITIES IF ANY ARE SHOWN IN ACCORDANCE WITH RECORDED PLAT. 3.) OWNERSHIP IS SUJECT TO OPINION OF TITLE. 4.) TYPE OF SURVEY." BOUNDARY SURVEY". 5.) THIS SURVEY IS NOT VALID UNLESS SIGNED AND SEALED BY THE SURVEYOR OF RECORD 6.) ALL RIGHT OF WAYS SHOWN ARE PUBLIC UNLESS OTHERWAISE NOTED 7.) LANDS SURVEYED AS DESCRIBED. 8.) NO UNDERGROUND INSTALLATIONS ON IMPROVEMENTS HAVE BEEN LOCATED, EXCEPT AS NOTED. FLOOD ZONE INFORMATION SOURCE ELEVATION PROVIDED BY DAnF COUNTY SURVEY DEPARMENT RELATIVE TO MEAN SEA LEVEL NATIONAL GEODETIC VERTICAL DATUM OF 1929 LOCATOR INDEX BENCHMARK NO. ELEVATION COPYRIGHT ROBERTO BRIZUELA & ASSOCIATES, INC. "LEGEND" P.R.M.- PERMANENT REFERENCE MONUMENT P.C.P.- PERMANENT CONTROL POINT F.I.P.- FOUND IRON PIPE S.I.P.- SET IRON PIPE UT STAMPED F.D.H.- FOUND DRILL HOLE S.D.H.- SET DRILL HOLE C.A. - CENTER UNE RES : RESIDENCE LF.E.- LOWEST FLOOR ELEVATION F.F.E.- FINISH FLOOR ELEVATION C.L.F. CHAIN LINK FENCE U.E.- UTILffYEASEMENT W.F.- WOOD FENCE M . MEASURE R.- RECORD S.N.D. -SET NAIL & DISC STAMPED P.L.S. F.N.D. - FOUND NAIL & DISC C.B.S. - CONCRETE BLOCK STRUCTURE ENC. - ENCROACHMENT RMI. RIGHT OF WAY CL- CLEAR NOT THIS SURVEY IS INTENDED FOR MORTGAGE OR REFINANCE PURPOSE ONLY, EXCLUSIVELY FOR THIS USE BY THOSE TO WHOM IT IS CERTIRED. THIS SURVEY IS NOT TO BE USED FOR CONSTRUCTION, PERMITING, DESIGN OR ANY OTHER USE WITHOUT WRITTEN CONSENT OF ROBERTO BRIZUELA. JOB NUMBER 10 -02 -50 FIELD BOOK FILES FIELD WORK DATE 2-22-2010 REVISIONS 1: REVISIONS Z REVISIONS 3: I HEREBY CERTIFY: THAT THE ATTACHED °SKETCH OF SURVEY" OF THE ABOVE DESCRIBED PROPERTY 1S CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED UNDER MY DIRECTION, AND THAT THERE ARE NO ENCROACHMENTS OTHER THAN THOSE SHOWN, AND MEETS THE INTENT OF THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS IN CHAPTER 61017 OF FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027 FLORIDA STATUTES. ROBERTO R RI LA PROFESSION LAND SURVEYOR 3064 STATE OF FLORIDA � � GN�II�/F �� Up 0 21 [EERMiT Miami Shores Village APPROVED ZONING DEPT BLDG DEPT DATE 6f /0 ‘fT10 SUBJECT - TO CCMPUANCE WITH ALL FEDERAL STATE AND CCUN IY riULES AND REGULATIONS • CONCRETE MODULA HOME 4 BEDROOM /2 BATHROOM Passed W Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: June 09, 2010 Inspector: Bruhn, Norman Owner: Job Address: 1101'6 NW? 4enuei Miami Shores, FL- 331°38 R Project Contractor: Building Department Comments June 09, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 145748 Permit Number: RC -10 -08 -1860 1 ADANAC DEVELOPMENT AND CONSTRUCTION SERVICES, For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: F. Elevation Certificate Work Classification: New Phone Number Parcel Number 1121360020250 Page 1 of 1 B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective /Revised Date Zone(s) AO, use base flood depth) 12086C0139 L 9 -11 -09 9 -11 -09 "X" NONE U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency Management Agency National Flood Insurance Program Al. Building Owner's Name ADANAC DEVELOPMENT A2. Building Street Address (including Apt, Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 11016 NW 2 AVENUE A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 22 BLOCK - PB 43 PG 85 SHORELAND HEIGHTS A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude /Longitude: Lat. 25.5257 Long. 80.1213 Horizontal Datum: A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s), provide a) Square footage of crawl space or enclosures) N/A sq ft b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in B1. NFIP Community Name & Community Number CITY OF MIAMI SHORES 120652 B2. County Name DADE B3. State FLORIDA B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes No Designation Date ❑ CBRS ❑ OPA f) 9) City MIAMI State FL ZIP Code 33168 Check here if comments are provided on back of form. Title PROF. LAND SURVEYOR Address 7319 WEST FLAGLER STREET City MIAMI Signature FEMA Form 81 -31, February 2006 Important: Read the instructions on pages 1 -8. SECTION A - PROPERTY INFORMATION SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION A9. For a building with an attached garage, provide: a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ►14 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1-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 -g below according to the building diagram specified in Item A7. Benchmark Utilized N -566 Vertical Datum NGVD Conversion /Comments N/A a) Top of bottom floor (including basement, crawl space, or enclosure floor) - b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) 11.77 ►0 feet N /A. ® feet N /A. e feet N /A. ® feet 11.70 ►4 feet 11.32 ® feet ❑ meters (Puerto Rico only) 11.48 ® feet ❑ meters (Puerto Rico only) 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. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Certifier's Name ROBERTO R. BRIZUELA License Number 3064 Company Name ROBERTO BRIZUELA & ASSOCIATES State FL ZIP Code 33144 Date 2 -22 -10 Telephone 305 - 551 -4393 For Insurance Company Use: Policy Number Company NAIC Number Check the measurement used. ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) OMB No. 1660 -0008 Expires February 28. 2009 NAD 1927 ❑ NAD 1983 PLACE SEAL HERE sq in See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 11016 NW 2 AVENUE City MIAMI State FL ZIP Code 33168 Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments CROWN OF ROAD: 10.83' C2 (e) : TYPE OF EQUIPMENT: AIR CONDITIONER NOTE: LAT /LONG WAS TAKEN USING GPS GARMIN DEVICE Signature Date 2 -22 -10 ❑ Check here if attachments ILDING 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 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 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, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided In Section A Items 8 and/or 9 (see page 8 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. 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's or Owner's Authorized Representative's Name Address Signature Comments ❑ Check here if attachments 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. and G9. 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 G4.-G9.) 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) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (In Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Community Name Signature Comments FEMA Form 81 -31, February 2006 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION City Date Telephone SECTION G - COMMUNITY INFORMATION (OPTIONAL) Title Telephone Date 3 For Insurance Company Use: Policy Number Company NAIC Number State ZIP Code ❑ Check here if attachments Replaces all previous editions Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 11016 NW 2 AVENUE City MIAMI State FL ZIP Code 33168 For Insurance Company Use: Policy Number Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page, following. FRONT VIEW: Building Photographs See Instructions for Item A6. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 11016 NW 2 AVENUE City MIAMI State FL ZIP Code 33168 For Insurance Company Use: Policy Number Company NAIC Number 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." REAR VIEW: Building Photographs Continuation Page Inspection Number: INSP- 124779 Permit Number: RC -10 -08 -1860 Owner: Scheduled Inspection Date: September 17, 2009 Inspector: Bruhn, Norman Job Address: 11016 NW 2 Avenue Project: <NONE> Contractor: ADANAC DEVELOPMENT AND CONSTRUCTION SERVICES, Building Department Comments CONCRETE MODULA HOME 4 BEDROOM /2 BATHROOM Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Cn.n +nmhnr 4R lnno Miami Shores, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Foundation Work Classification: New Phone Number Parcel Number 1121360020250 Donn 4R of 711 Project Address 11016 2 Avenue Miami Shores, FL 33138- Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 NHS HOUSING DEVELOPMENT LLC Address 100 84 Street MIAMI FL 33138- Parcel Number 1121360020250 Block: Lot: Contractor(s) Phone ADANAC DEVELOPMENT AND CONS" Cell Phone Expiration: 08/16/2009 Phone Approved: In Review Comments: PLANS DO NOT REFLECT FINAL APPROVED ARCHITECTURAL DETAIL. Date Approved: : In Review Date Denied: 10/22/2008 Type of Construction: NEW MODULAR HOME Stones: Front Setback: Left Setback: Bedrooms: Plans Submitted: Yes Certificate Date: Bond Retum : Occupancy: Single Family Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Fees Due Bond Type - Contractors Bond CCF Co /CC DBPR Surcharge Education Surcharge Permit Fee - Additions/Alterations Plan Review Fee (Engineer) Plan Review Fee (Engineer) Radon Surcharge Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $300.00 $90.00 $50.00 $7.00 $30.00 $4,500.00 $60.00 $60.00 $7.00 $24.00 $250.00 ($50.00) $121.75 $5,449.75 Authorized Signature: Owner /- Applicant / Contractor / Agent Building Department Copy February 27, 2009 Invoice # RC- 10-08 -33148 RC -10-08 -33148 Total Amt Paid Amt Due $ 5,449.75 $ 5,199 75 $ 5,449.75 $ 5,449.75 $ 0.00 Bond #: 1817 Applicant NHS HOUSING DEVELOPMENT 1 °, Cell Valuation: Total Sq Feet: $ 150,000.00 1400 Available Inspections: Inspection Type: Final Building Second Floor Slab Second Floor Tie Bond Beam Final PE Certification Shutter Final Tie Beam Bond Beam Window Door Attachment Slab Termite Letter Framing Insulation Floor Trusses Drywall Screw Trusses Plan Submittal Roof Sheathing Spot Survey Wall Sheathing Shutter Attachment Footer Column Pads Rake Beam Window and Door Buck Roof Trusses Density Fill Cells Columns Wire Lathe Stem Wall Footer 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. February 27, 2009 Date 1 Opt BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. KM 1 K0 Master Permit No. Roofing mmomErma La OCT 2 4 1 208 BY: ;�opene u.0 Phone # R9 ( a Owner's Name (Fee Simple Titleholder) P LA S doosi Owner's Address 100 !l)E. s Ry * Sk. - ' 0200 City �\ O. . State -F L Zip " (3 $ Tenant/Lessee Name N/ A Phone # Job Address (where the work is being done) '1[0 b /U W a Avc . City Miami Shores Village County Miami -Dade Zip 33 1 FOLIO / PARCEL # 1 a (34j" 06a - Oa5O Is Building Historically Designated YES NO t/ 7'-Ca CS v a?* +set,/ ce.S Phone # 3 OS . -59.8 `� Contractor's Company Name V L Contractor's Address I Oa , a O 9 -F� S ; - a a(=> City M. l a w\ i � u t1 State -V I— Zip 3 3 Qualifier Name 1) o 1 8 4w-a Phone # 3 oS . O �". (2 5 State Certificate or Registration No. Certificate of Competency No. Architect Engineer's Name (if applicable) oyc.i a hC 2- Cbi c &kS Phone # S4 1 - (3 b 0 Value of Work For this Permit $ IS© a0 D Square / Linear Footage Of Work: I 400 S Type of Work: DAddition ['Alteration New ❑ Repair/Replace ❑ Demolition Describe Work: C01\Crete_ Vv.* cktAo4 - \NO Q bow / 106L44. 1 4 dO *** * * * * * ** * ***** ** * * *** * * ** * * ***** F * * **** ** * ***** ** * * *** * * *** ***** PAO co ��C � CO /CC �� S Submittal Fee $ Permit Fee $ CCF $ �1J'VI J � c Notary $ Training/Education Fee $CD Technology Fee $ I I& • Scanning $ ' Radon $ 11 C0 DPBR $ 1• C Bond $ O Code Enforcement $ Double Fee $ � Structural Review. $ 6L ° °'°' "/"I 0 '+ 5'1 C. u Total Fee Now Due $_3j1 I - 1(� *IS • Zoning $ RE Cif? 102 r a " 14 ' 4 - sc ¶`5l i O i i,�._; �''.!! .�u_�uu I�e�`ers g64 �_,�1: Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Add -ess 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 thy, 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection' which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this I'S'` day of (' c itibtr , 200K, by 1)44;4 q,r,el who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print My Commission Expires: ***** * * * **•x************** ::********lx*lxlx****** * **** x****** **:x**x: **lx**l *** ********* * *Ix**** ***** *** *** * * ******* APPLICATION APPROVED B1 r ✓ 2 Ji6 /0 4 51Y74G1: Plans Examiner Engineer Zoning (Revised 07 /10/07) State FY`: Lamothe II. rp, aG. Af ,,. , t 1 t i, . r ��llx �;" T es: APR 11, 2009 �� 1111••• n ,., : .: vi a 8 NM Sign: Print: Zip Contractor �l The foregoing instrument was acknowledged before me thislS � day of o wl C61- , 20a8", by �Ycdhc}I 4oyrck who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NNW' f l 11 \ \p\ My Commission Expires: mothe dnn #1)1)417049 R. 11,2009 ON .cam SUBMITTAL DATE: OCT lig:a ADDRESS: II 10 ► ,N a A-0 . NAME:IJ, S 1 116 RESUBMITAL DATES: 091R1011104 !R* PROJECT TYPE: F.J IN/I He /VC/ , C /2- :s a a) ,Vid 7 0 ' ZONING FIRE >(R e., ial- g /68 laiA c.19-kr■ STRUCTURAL IMPACT FEES S °e t ).'11)''.#''/Z-. to I ELECT ! AL,� 3� - jam HRS/DERM Ofh, . j NOC i � Q VA Ci 1-1774 MECHANICAL r BLDG 1L''4 Pivii 1 PERMIT #0/( 'CONTRACTOR: - NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO.RC d$ _ i g6 TAX FOLIO NO. /1 / 3 ".. OO —OSo STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information Is provided in this Notice of Commencement. 1. Legal description of property and street/address: (I 0 ` M y xi Ave- • / ' icomi Lewes R- Skore.10 ,4 s / � - ; 2. Description of improvement: S t YVG \e - Wo IA V \P 1 .0 Cr2y'-1/4--lU(A-i o r 3. Owner(s) name and address: l 1 ■ 012( I /00 *au), M1 LLC L 33 /3 - Interest in property: Name and address of fee simple titleholder. S 4. Contractor's name and address: � Ci c_ PeAlCA �pm54-d)Ch'Cd, Se'rki: CrS l'bO /J� S'� - v. M ico, , -FC. 3 _1 i 3 8 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: /1 Amount of bond $ 6. Lender's name and address: AO 111111111111111111111111111111111111111111111 CFICI 2009R0117842 OR Lk 26756 Ps 1869; ( RECORDED 02/18 /2009 13:22:3V HARVEY RUV'IHr t :LERK. OF COURT MIAMI -DADE COtUWTYr FLORIDA LAST PAGE 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: A) /9 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Notary Public Print Notary's Name My commission expires: Signature of Owner Print Owner's Name 123.01 -62 PAGE 4 5/08 s;Ct ED.coct Q :; 6, / `4.\4. 1 n l Prepared by z. lk' s M Sworn to and subscribed before me this 1 day of 'C , 20 09 . rk`T' 1,ta ' . WW rit &A e rat ono Address: • STATE OF FLORIDA, COUNTY OF DADE 1 HEREBY CERTIFY that this is e e copy nf the Ned in this office on 61 ,AD20 WITNESS my handand iM : !Seat of Circuit and County Courts BY a lc Al& ''S 'aao 3 3132- D.C. � , F A X MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2 AVE Miami Shores, Fl 33138 Phone 305- 795 -2204 WWW.MIAMISHORESVILLAGE.COM PAGES : 2 (INCLUDING COVER) To: Alex Martinez Fax number: 305.770.7996 From: Viviana Cubillos Fax number: 305 - 756 -8972 Cubillosv ©miamishoresvillage.com Date: 3une 17, 2010 Regarding: Certificate of Occupancy 11016 NW 2 Ave Miami Shores, Fl 33138 Phone number for follow -up: 305 - 762 -4860 DIRECT LINE ._ 06/17/2010 15:58 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES X1001 TRANSMISSION OK DESTINATION ID ST. TIME TIME USE PAGES SENT RESULT * * * * * * * * * * * * * * * * * * * ** * ** TX REPORT *s* * * * * * * * * * * * * * * * * * * * ** TX /RI NO 0193 RECIPIENT ADDRESS 93057707996 06/17 15:57 01 °03 2 OK Alex: Please End attached a copy of the Certificate of Occupancy issued by Miami Shores Village. If you have any questions please do not hesitate to contact me. Alex: Please find attached a copy of the Certificate of Occupancy issued by Miami Shores Village. If you have any questions please do not hesitate to contact me. Viviana Cubillos Administrative Assistant Miami Shores Village Building Dpt Tel: 305.795.2204 Fax: 305.756.8972 To: Alex Martinez Fax number: 305.770.7996 F X MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2 AVE Miami Shores, Fl 33138 Phone 305 - 795 -2204 WWW.MIAMISHORESVILLAGE.COM PAGES : 2 (INCLUDING COVER) From: Viviana Cubillos Fax number: 305 - 756 -8972 Cubillosv @miamishoresvillage.com Date: June 17, 2010 Regarding: Certificate of Occupancy 11016 NW 2 Ave Miami Shores, Fl 33138 Phone number for follow -up: 305 - 762 -4860 DIRECT LINE Alex: Please find attached a copy of the Certificate of Occupancy issued by Miami Shores Village. If you have any questions please do not hesitate to contact me. Viviana Cubillos Administrative Assistant Miami Shores Village Building Dpt Tel: 305.795.2204 Fax: 305.756.8972 ^.■ Certificate of Occupancy Miami Shores Village 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: Not Transferable POST IN A CONSPICUOUS PLACE 4f 6/7,c Building Offici ; Approval Norman Bruhn, CBO 7.5 :1/ 1 ADANAC DEVELOPMENT AND CONCONSTRUCTION SERVICES, INC. RC-10-08-1860 MOMEWRI JUN 032OO CERTIFICATE OF OCCUPANCYICOMPLETION CHECK LIST M iami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Building permit card. ❑ Surveys (2 copies) Final as built - Required Items: Elevations of buildings showing all intended setbacks from property lines and other existing structures. Ingress+ Egress, required parking spaces, Wheel stops, stripping, and all paving to exterior. %Adb Ati Certificate of Elevation — (Sealed by surveyor). Expiration date required on the form. ❑ Certificate of Insulation. Certificate of Soil Treatment (Final treatment- original)1 CHAPTER 2913 -5 TERMITE PROTECTION: "This Building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with the rules and lawn as established by the Florida Department of Agriculture and Consumer Services." - '61 Health Department Approval Letter (On septic or private water). Note: If the house is on septic tank, approval letter is required from Health Dpt. ❑ Soil Compaction Letter (Density report is required) '1 Final certification letter from the Engineer /Architect (on masonry, trusses, special structure, etc) ❑ Backflow preventor certificate (Required on commercial projects only) 1 Certificate of use. (Recorded in Miami -Dade Clerk of Courts) PLEASE NOTE THAT THE SAME ITEMS ARE REQUIRED FOR TEMPORARY CO • Emergency CO (Without 24 Hrs Processing) Additional fee is $80.00. • Temporary CO (Up to 90 days max) $75.00. • Residential CO fee is $150.00 • Commercial CO is $200.00 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address 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 FLECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 a ter the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fell be charged. Signature NOTARY Sign: Print: Chc 12/15/03 * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED Owner or Agent ent was acknowledged before me this 20 fl, by r who has produ As identification and who did take an. oath. P LIC: i1440 /2t). 19u,(4, 6A} i sal Janice M Mueller my L Ommisslon DDOdb47 My Commission Expires J Expires February 14, 2006 e Sip tore e Contractor ent was acknowledged before me this 5d�r , 20c,11, by� 1 fat.: Ss� The foregoing day of ALI ho is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Janice M Muc er My C mmission Expire 1 t My * * *** * ***** * *, * * ** * **** * *, * * *** ** ** * * * ** * ** ** * ** * *** * * ** * * * * *** * ** a * * * **+tvr ***** ** � ik*tle 'u******* *** * ******** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Expires February 14, 20006 Plans Examiner Engineer Zoning CONCRETE MODULA HOME 4 BEDROOM /2 BATHROOM Passe•, 6iX16 Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Owner: :w l Contractor: nspection Number: INSP - 145748 Permit Number: RC -10 -08 -1860 Inspection Date: June 09, 2010 Inspector: Bruhn, Norman Job Address: 16 \N 2 ve, ue Project: <NONE> ADANAC DEVELOPMENT AND CONSTRUCTION SERVICES, Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Residential Construction Inspection Type: F. Elevation Certificate Work Classification: New Phone Number Parcel Number 1121360020250 June 09, 2010 For Inspections please call: (305)762 - 4949 Page 1 of 1 7/01/2009 To: Current Owner Permit Number: Permit Type: Job Address: Expiration Date: Date of Last Inspection: Dear Sir or Madam, MIAMI SHORES VILLAGE Building Department 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305 - 795 -2204• Fax: 305 - 756 -8972 PL -2 -09 -247 Plumbing - Residential 11016 NW 2 Avenue Miami Shores, FL 33138- 08/22/2009 01/01/2999 Our records indicate that the above referenced permit will expire in 52 days. In order to serve you better, we are notifying you that work on this project must have an approved inspection or the permit will expire. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced" Please be advised that expired permits will create additional fees and hinder your ability to refinance or sell this property. Please contact the Building Department, well in advance of the permit expiration in order to allow sufficient time to take care of this matter. To schedule an inspection please call 305- 762 -4949 Sincerely, a wuui. (CBO) 111huft,ff111 tt+ ft( tfttW1ift1 ,tttt}ttltt(111lttt1(tft 1I I OOSO N E.2 AVENUE F L O R I D A 33136 Current Owner 11016 NW 2 Avenue Miami Shores, FL 33." "° 331390$2392 07, NIXIE 33i CE 1 94 07!12109 RETURN TO SENDER NOT DELIVERABLE AS ADDRESSED UNABLE TO FORWARD BC: 33139239299 *1508- 05899 -12 -27 ll„ Il, tt, ilt, iltl►, It„ I, It ,Il,It,i,,,1,Il 7/01/2009 To: Current Owner Permit Number: Permit Type: Job Address: Expiration Date: Date of Last Inspection: Dear Sir or Madam, Sincerely, ayanan £zuiri (CBO) MIAMI SHORES VILLAGE Building Department 10050 NE 2 Ave, Miami Shores Fl, 33138 Tel: 305-795-2204. Fax: 305 - 756 -8972 MC -2 -09 -246 Mechanical - Residential 11016 NW 2 Avenue Miami Shores, FL 33138- 08/22/2009 01/01/2999 Our records indicate that the above referenced permit will expire in 52 days. In order to serve you better, we are notifying you that work on this project must have an approved inspection or the permit will expire. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced" Please be advised that expired permits will create additional fees and hinder your ability to refinance or sell this property. Please contact the Building Department, well in advance of the permit expiration in order to allow sufficient time to take care of this matter. To schedule an inspection please call 305 - 762 -4949 fflu ► tt € tai►ttF ►tt ►,illf► ►t ►tt ►,i►►ri rr ►tt► ►t l/t I 1 0050 N. E. 2N0 AVENUE F L O R 1 D A 33138 yi OZI t`n{t i; Current Owner 11016 NW 2 Avenue Miami Shores, FL 33138- (X Mailed From 3313E 07/3812009 Gal 000418501 US POSTAGE 00°44 NIXIE 331 CE 1 04 07/12,09 RETURN TO SENDER NOT DEL tVERADLE AS ADDRESSED UNABLE TO FORWARD SC: 33133233299 *1309- 09839 -12 -27 3313002302 ta` ��at��tta► rttjra�► ttttrt: rt►�►rit�t� ►� ►r�tr�►� +r ►drt�it� 7/01/2009 To: Current Owner Permit Number: Permit Type: Job Address: Expiration Date: Date of Last Inspection: Dear Sir or Madam, Our records indicate that the above referenced permit will expire in 46 days. In order to serve you better, we are notifying you that work on this project must have an approved inspection or the permit will expire. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced" Please be advised that expired permits will create additional fees and hinder your ability to refinance or sell this property. Please contact the Building Department, well in advance of the permit expiration in order to allow sufficient time to take care of this matter. To schedule an inspection please call 305 - 762 - 4949 Sincerely, au n. (CBO) MIAMI SHORES VILLAGE Building Department 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305 - 795 -2204• Fax: 305 -756 -8972 PW -4 -09 -664 Public Works 11016 NW 2 Avenue Miami Shores, FL 33138- 08/16/2009 01/01/2999 {tIUiUitfJ(t '(Ittitft�rli/ltilf !![flt{tttt(rtltfj+Ctt�tit� 10010 N. E. 2NO AVENUE F L O R 1 D A 33138 1101 i \r\I 2 A,,nnuet Shore -s. FL 3313e- 7• - ss ;? ; ; i 9 Tizt. US P4::TAGE Mailed Num 3313 07/0802009 031A 00041850 i AC . ,. NIXIE 331 CC 1 84 07/12/09 RETURN, TO SENDER NOT DELIVERABLE AS ADDRESSE UNABLE TO FORWARD BC 33136238299 *1305- 05587 712 -27 3313002362 �tf} ltrl�lrtt�Ilt��t tl lal t�lt�'�l tll�1�l9�!l�f�tt.l 7/01/2009 To: Current Owner Permit Number: Permit Type: Job Address: Expiration Date: Date of Last Inspection: Dear Sir or Madam, Sincerely, alktfrutn � � i (CBO) MIAMI SHORES VILLAGE Building Department 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305 - 795 -2204• Fax: 305 - 756 -8972 EL -2 -09 -248 Electrical - Residential 11016 NW 2 Avenue Miami Shores, FL 33138- 08/24/2009 01/01/2999 Our records indicate that the above referenced permit will expire in 54 days. In order to serve you better, we are notifying you that work on this project must have an approved inspection or the permit will expire. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced" Please be advised that expired permits will create additional fees and hinder your ability to refinance or sell this property. Please contact the Building Department, well in advance of the permit expiration in order to allow sufficient time to take care of this matter. To schedule an inspection please call 305- 762 -4949 10010 N. E. 2ND AVENUE F L O R I D A 33138 Cu; ..IV6 nei 11016 NW 21' -;.; nus: FL 3c• 138- NIXIE 331 CE 1 o4 07/12/09 RETURN TO SENDER NOT DELIVERABLE AS ADDRESSED UNABLE TO FORWARD BC: 33130239299 *0909- 05499 -09 -39 I I,„IJl,,,1I I, IJ, I „1,,,1,1„ (331 f OOO l 1.85017 1,11, J„►111 J, I„1,1,, I:.1, I I 7/01/2009 To: Current Owner Permit Number: Permit Type: Job Address: Expiration Date: Date of Last Inspection: Dear Sir or Madam, Sincerely, g4mdn autgn (CBO) MIAMI SHORES VILLAGE PL -2 -09 -249 Plumbing - Residential 11016 NW 2 Avenue Miami Shores, FL 33138- 08/22/2009 01/01/2999 Building Department 10050 NE 2 Ave, Miami Shores Fl, 33138 Tel: 305 - 795 -2204• Fax: 305 - 756 -8972 Our records indicate that the above referenced permit will expire in 52 days. In order to serve you better, we are notifying you that work on this project must have an approved inspection or the permit will expire. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced" Please be advised that expired permits will create additional fees and hinder your ability to refinance or sell this property. Please contact the Building Department, well in advance of the permit expiration in order to allow sufficient time to take care of this matter. To schedule an inspection please call 305 - 762 -4949 lrtlii 'll'fIlll( it +ilii+11ff1111 ffIlljtttl +tes (/^� \\\ 10050 N. E. 2MO AVENUE F L O R I D A 33138 Current Owner 11016 NW 2 Avenue Miami Shores, FL 33138- f' US POST4GE $ 00.44 Mailed From 33138 07108/2009 .031 017 NIXIE 331 CC 1 94 07112./09 NOT DELIVERABLE SR NOT UNABLE TO FORWARD BC: 33133236299 *1606 - 05592 -12 -27 33130@2362 1 Ihl1'lllll111dbitifin11jilliii ,ill,Ilfiri71IIIlihini 7/01/2009 To: Current Owner Permit Number: Permit Type: Job Address: Expiration Date: Date of Last Inspection: Dear Sir or Madam, Sincerely, g awn gasL& (CBO) MIAMI SHORES VILLAGE Building Department 10050 NE 2 Ave, Miami Shores Fl, 33138 Tel: 305 - 795 -2204• Fax: 305 - 756 -8972 RC -10 -08 -1860 Residential Construction 11016 NW 2 Avenue ' Miami Shores, FL 33138- 08/16/2009 01/01/2999 Our records indicate that the above referenced permit will expire in 46 days. In order to serve you better, we are notifying you that work on this project must have an approved inspection or the permit will expire. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced" Please be advised that expired permits will create additional fees and hinder your ability to refinance or sell this property. Please contact the Building Department, well in advance of the permit expiration in order to allow sufficient time to take care of this matter. To schedule an inspection please call 305- 762 -4949 10030 N. E. 2M0 AVENUE F L O R I D A 33138 Current Owner 11016 NW 2 Avenue Miami Shores, FL 33138- W9 I d From 33138 07/08/2009 031A 0004185017 US POSTAGE $ 00 NIXIE 331 CE i 94 07/12/09 RETURN TO SENDER NOT DELIVERABLE AS ADDRESSED UNABLE TO FORWARD BC: 33139239299 *0906- 05471 -09 -39 B4. Map /Panel Number 12086C0139 B5. Suffix L B6. FIRM Index Date 9 -11 -09 B7. FIRM Panel Effective /Revised Date 9 -11 -09 B8. Flood Zone(s) "X" B9. Base Flood Elevation(s) (Zone AO, use ba3e flood depth) NONE U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program Al. Building Owner's Name ADANAC DEVELOPMENT A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) A5. Latitude /Longitude: Lat. 25.5257 Long. 80.1213 A6. Attach at least 2 photographs of the building if the Certificate is being A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s), provide a) Square footage of crawl space or enclosure(s) N/A sq ft b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) f) g) Certifier's Name ROBERTO R. BRIZUELA Titre PROF. LAND SURVEYOR ® Check here if comments are provided on back of form. FEMA Form 81 -31, February 2006 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -8. For Insurance Company Use: Policy Number Company NAIC Number SECTION A - PROPERTY INFORMATION A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 11016 NW 2 AVENUE City MIAMI State FL ZIP Code 33168 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 22 BLOCK - PB 43 PG 85 SHORELAND HEIGHTS SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION RESIDENTIAL B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile FIRM ❑ Community Determined ❑ Other (Describe) 11.48 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION Company Name ROBERTO BRIZUELA & ASSOCIATES Address 7319 WEST FLAGLER STREET City MIAMI State FL ZIP Code 33144 Date 2 -22 -10 Telephone 305 - 551 -4393 OMB No. 1660 -0008 Expires February 28, 2009 Horizontal Datum: ® NAD 1927 ❑ NAD 1983 used to obtain flood insurance. A9. For a building with an attached garage, provide: a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in B1. NFIP Community Name & Community Number CITY OF MIAMI SHORES 120652 B2. County Name DADE B3. State FLORIDA BI1. Indicate elevation datum used for BFE In Item B9: NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 11.77 ® feet N /A. ►P feet N /A. 0 feet N /A. ® feet 11.70 ® feet 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. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. License Number 3064 El No C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ►5 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1-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 -g below according to the building diagram specified in Item A7. Benchmark Utilized N -566 Vertical Datum NGVD Conversion/Comments N/A Check the measurement used. ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) 11.32 ® feet ❑ meters (Puerto Rico only) feet ❑ meters (Puerto Rico only) PLACE SEAL HERE _- Z z -, e See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 11016 NW 2 AVENUE City MIAMI State FL ZIP Code 33168 Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments CROWN OF ROAD: 10.83' C2 (e) : TYPE OF EQUIPMENT: AIR CONDITIONER NOTE: LAT /LONG WAS TAKEN USING GPS GARMIN DEVICE jgnature ❑ Check here if attachments 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 E1 -E5. If 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 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, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 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. 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's or Owner's Authorized Representative's Name Address Signature Comments ❑ Check here if attachments 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. and G9. 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 G4.-G9.) 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) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Community Name Signature Comments ❑ Check here if attachments FEMA Form 81 -31, February 2006 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION City Date 2 -22 -10 Date Telephone Title Telephone Date • - ' For Insurance Company (Jse: Policy Number Company NAIC Number State ZIP Code Replaces all previous editions Building Photographs See Instructions for Item A6. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 11016 NW 2 AVENUE City MIAMI State FL ZIP Code 33168 For Insurance Company Use: Policy Number Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page, following. FRONT VIEW: Building Photographs Continuation Page Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 11016 NW 2 AVENUE City MIAMI State FL ZIP Code 33168 For Insurance Company Use: Policy Number Company NAIC Number 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." REAR VIEW: BUILDING PERMIT APPLICATION FBC 2004 Permit Type: PAINT PERMIT Owner's Name (Fee Simple Titleholder) 0\c - 44C•us e,u. LLCPhone # Owner's Address (d® A C 8)(144- s+. IcaQp 1 City I 0..1 ( State 1 Tenant/Lessee Name / E -MAIL: VA vv. c' ©h V e s e° G� INkQ t l. CC7Y+1 )I Job Address (where the work is being done) (10\ L MV) O' Av-r. City Miami Shores Villa. e County Miami -Dade Zip S S (S 9' FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address I C3 d N E. t 41. Sl. 1" 415 City M s. aw.'� 1I1 1 State -c L Zip 13 p Qualifier Name &V t Q \- ''CA.f�12� — Phone # ��S - .7 -a C f State Certificate or Registration No. OWNER BUILDER: Value of Work For this Permit $ _ Describe Work:) Permit Fee $ Training/Education Fee $ Aciasivt r ev- C►. .SerPh ne # Miami Shores Villa Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Zip 3 33 (32 Phone # Certificate of Competency No. Type o f Work: ❑ Addition / ❑ Alteration /A& 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC "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 of er the building permit is issued. In the absence ofsuch posted notice, the inspection will not be approved and a reinspection fee will be charged. ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * *:* * * * * * * * * * * * * * * * * * ** CCF $ Technology Fee: Notary $ Code Enforcement $ Double Fee $ Zoning $ Total Fee Now Due $ Permit No. Master Permit No. 'RC- (O R60 ;65- 7 -s9 -81Q 30s ew / ❑ Repair/Replace lit.. Sr "t.r,ztt, See Reverse side Directions: Please circle corresponding number to appropriate color sample. Walls: Fascia: 1----C2 3_ Drip Cap/Drip Edge: _1 2 3_ Soffit: 1 �2� 3 Roof: 1 2 3 Flower Bins: 1 2 3 Shutters: 1 2 3 Awnings: 1 Chimney 1 Doors and Door Jams. Garage Doors: 1 Railings: Fences: 1 2 3 1 1 PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted 2 3 2 3 3 2 3 2 3 2 3 All brick (simulated or regular): 1 2 4 4 4 4 4 4 4 4 4 4 4 4 3 4 4 4 Stucco Banding: 1 Any other Stucco Features: _ 1 ►g 3 Accessory Buildings Fri Other: QUC,i hS 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. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of fiGtifie, , 20 eq, by who is personally kno i' My Commission Expir 2 3 �llt2i� *an fi1Se an oath. APR. 11, 2013 BONDING CO., INC. Attach color samples with name and 4 umber. Signature 2 3 4 Contractor The foregoing instrument was acknowledged before me this 3 day of i U 'Gt.l , 2097 , by who is personally known to m as identi Sign: Print: PITBEfaiA d A d w118C', 6d tlikanotheb. Commission #DD867384 es: APR. 11, 2013 ATLANTIC BONDING CO., INC. NOTARY PUBLI My Commission Expires: APPLICATION APPROVED BY: Plans Examiner Preservation Board Code Enforcement (Revised 04/24/07) RGQc. VC(o0 tsct a9a BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) ,I m_c - 1 4 ouc , &i pyvy„ir Phone # 26 S- 7S'? -Lf f a Owner's Address City M [COW S AO --I - Zip 33/3 S AO Tenant/Lessee Name E -MAIL: m W\ c C J @ 11 . (CAA Job Address (where the work is being drone) C) k t) 9.Kk Alyz. City Miami Shores Village County FOLIO / PARCEL # f I- a l 36- O0 a-caSo Is Building Historically Designated YES NO 6,x,,4 6- 61C‘ Contractor's Company Name C 4A-1 L&71-Al (iC9LO4(4c, Phone # Contractor's Address 3 $' D j � V U •f State City Qualifier Name Zip 3. &2 3 g Phone # 7 86 3 2-4.0 State Certificate or Registration Np ' 4 wS7 7`- ' Certificate of Competency No. E -MAIL: G A-a2 -• $t✓44 - t /dLl�f . � /1/( Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ° ' °' Square / Linear Footage Of Work: Type of Work:. ❑Addition ['Alteration ew ID Repair /Replace • ID Demolition Describe Work: -�- e t. ; S ,Q G e-1Ji•.ti ,) g /4 pr /trs 1�C� l n►,�C 2 Tr Submittal Fee $ * xx* *r. *xxxxxx * * *xxxxxx ** * * * * *xxxxx Fees * * * * * *'exxxxx * *xx war te'e'e *'ex x * * * * * * * *x Permit Fee $ Notary $ Training /Education Fee $ Scanning $ CO Radon $ Bond $ • • Code Enforcement $ Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DPBR $ Phone # Miami -Dade Zip 3 3 13 a • Double Fee $ Total Fee Now Due $' 'Dlr. 3 :. See Reverse side FEB NrEcrovzi 1 9 1009 LID BY: Permit No. I v K J O Master Permit No. 0 Q I g'4 G [c�� icxx CCF $ I.9O CO /CC Technology Fee $ 3 Zoning $ 4 /4 Bonding Company's Name (if applicable) Bonding 'Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. l 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 commen ° e 't must be posted at the 'ob site for the first inspection which occurs seven (7) days after the building permit is issued. In 'bs -nce of uch post .' .otice, the inspection will not be approved and a reinspection fee will be charged. Signature_ ~' Owner or Agent ,snap The fore oing instriA P l acitWiled 9y ..clzcomr day of who is personally knd eww.wh T W s raduestfi As ide /ion and who did take an oath. NOTARY PUBLIC: Signature The foregoing m trur day of l� � -a 5 �r „,. „c�Y:,�. 1 r, :_ -r _. who is personally krfd f lpe W. `Ro _ r, - m as identificatio and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Sign: Print: My Commission Expires: x* x* x* x**xx** x*xx*** x****xx***x xxxxx x* xxxx****** xxx****** xxx* xxxxxxx *xx ***x*xx*xxxxxxx *** *x ***' APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 11016 2 Avenue Miami Shores, FL 33138- 1121360020250 Block: Lot: NHS HOUSING DEVELOPMENT Owner Information Address Phone NHS HOUSING DEVELOPMENT LLC 100 84 Street MIAMI FL 33138- Valuation: Total Sq Feet: $ 2,000.00 Contractor(s) Phone CARIBBEAN COOLING ENGINEERS 305-363 -2607 Cell Phone Tons: 2 Additional Info: A/C CONDENSING UNIT Classification: Residential Approved: In Review Comments: Date Denied: Date Approved: : In Review Type of Work: MODULAR HOME Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $150.00 $3.00 $3.75 $158.35 Invoice # Total Amt Paid Amt Due MC -2 -09 -34021 $ 158.35 $ 158.35 $ 0.00 Check #: 6337 Available Inspections: Inspection Type: Ventilation Final Rough Hood Rough Duct Smoke Test Smoke Det Test 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 / Agent Building Department Copy February 27, 2009 Date Expiration: 08/22/2009 Cell February 27, 2009 1 Inspection Number: INSP- 106919 Scheduled Inspection Date: February 11, 2010 Inspector: Perez, JanPierre Owner: Job Address: 11016 NW 2 Avenue Project: <NONE> Miami Shores, FL 33138- Contractor: CARIBBEAN COOLING ENGINEERS Building Department Comments installation of new 2 tons a/c condensing unit anda/c handler installation Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments February 10, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: MC -2 -09 -246 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360020250 Phone: 305 -363 -2607 Page 1 of 29 USDA SOIL SERIES: Munsell #/Color . . Urban land texture • •••••• •••• Depth. • ... 10YR 5/1 Sand ; • "• O To 20 10YR 6/3 Oolitic Limestone 20 To 72 USDA SOIL SERIES: Urban land Munsell # /Color Texture Depth 10YR 5/1 Sand 0 To 20 10YR 6/3 Oolitic Limestone 20 To 72 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT NHS Housing Development LLC CONTRACTOR / AGENT: a super septic LOT: 22 SUBDIVISION: BLOCK: Shoreland Height ID #: 11- 2136- 002 -0250 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY AUTHORIZED SEWAGE FLOW: 450.01 GALLONS PER DAY UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT BENCHMARK /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE SURFACE WATER: N/A FT SOIL PROFILE INFORMATION SITE 1 OBSERVED WATER TABLE: 79.20 INCHES [ ABOVE / ESTIMATED WET SEASON WATER TABLE ELEVATION: HIGH WATER TABLE VEGETATION: [ ]YES [X]NO SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: REMARKS /ADDITIONAL CRITERIA SITE EVALUATED BY: 10.83' NGVD C/L NW 2 Ave. I BELOW I 79 I NGVD I 2.76 [I INCHES / FT ] [ ABOVE / DITCHES /SWALES: N/A FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT UNOBSTRUCTED AREA REQUIRED: DRAINFIELD CONFIGURATION: [X] TRENCH [ ] BED [ ] OTHER (SPECIFY) NET USABLE AREA AVAILABLE* 0.18 ACRES RESIDENCES - TABLET 1500 GPD /ACRE OR 'BELOW ] EXISTING GRADE TYPE: INCHES [ ABOVE / MOTTLING: [ ]YES [X]NO Solomon, Teresa (Title: Master Septic Tank Contractor) (Statewide Septic Connectlo DH 4015, 09/2006 (Previous Editions May Be Used) APPLICATION # AP902398 PERMIT # 13 -SG- 961614 'BELOW' DOCUMENT # SE775126 / OTHER -TABLE 2 ] 1 2500 GPD /ACRE 667.00 SQFT ] BENCHMARK /REFERENCE POINT ] THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEAipREB• NOErMAIkT?!, WET : •[• • = YES • t MVO • WELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE: N/A FT •• NON- POTBL£: N/A • •FT • •• —««.• POD$ • WATER LIVES: JO XT T•T.• ••.• •••• • • • SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X ] NO 10 YEAR •E•I!O)ODING? $• • 3YES • { E•]BtTOJ 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / ] SITE ELEVATION: ••:'10 CT•••[r MSL ••—. •••• PROFILE INFORMATION• 6ii.'E 2 • APPARENT I [ PERCHED / EXISTING GRADE DEPTH: INCHES Sand/1.20 DEPTH OF EXCAVATION: 30 INCHES DATE: 10/30/2008 Page 3 of 4 AP902398 EID961614 v 1.0.2 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (NHS Housing Development LLC) PROPERTY ADDRESS: 11016 NW 2 Ave Miami, FL 33168 LOT: 22 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PROPERTY ID #: 11- 2136 -002 -0250 SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH ER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. •••••OTH• SYSTEM DESIGN AND SPECIFICATIONS T [ 1,050 ] GALLONS / GPD Septic CAPACITY • • • A [ ] GALLONS / GPD N/A CAPACITY • •••• •••••• • • N GALLONS GREASE INTERCEPTOR CAPACITY •••• •••• [ ] [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS • • K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES P HRS•• :• Pumps•L••••] • • D [ 334 ] SQUARE FEET SYSTEM • • • • • •••• • • • R [ ] SQUARE FEET N/A SYSTEM • • •••• • • • • • A TYPE SYSTEM: [x] STANDARD [ ] FILLED [] MOUND [ ] •• • • - • • I CONFIGURATION: [x] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: 10.83' NGVD C/L NW 2 Ave. I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: 0 T H E 1.-Install a 1050 gal min. category-3 septic tank with an approved filter. 2. -The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E- 6.013(3)(f), FAC. 3.- Install 334 sf of drainfield in trench configuration. 4. -Invert elevation of drainfield to be no less than 8.60' NGVD. 5.-Bottom of drainfield elevation to be no less than 8.10' NGVD. R SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: BLOCK: SUBDIVISION: Shoreland Height [ 0.00] INCHES id V Edwards Astrid V Edwards 12/30/2008 [ 2.76 1 [I INCHES k FT ] [ ABOVE /I BELOW U BENCHMARK /REFERENCE POINT [ 32.76 ] [I INCHES k FT ] [ ABOVE /) BELOW b BENCHMARK /REFERENCE POINT EXCAVATION REQUIRED: [ 30.00] INCHES TITLE: Engineer Specialist II TITLE: Engineer Specialist II DH 4016, 10/97 (Previous Editions May Be Used) v 1.1.4 AP902398 8E775126 PERMIT # : 13 -SG- 961614 APPLICATION # : AP902398 DATE PAID: 11/18/2008 FEE PAID: $55.00 RECEIPT #: 13-P I D- 1080354 DOCUMENT #: PR759183 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] • • • • • • • • • •• EXPIRATION DATE: 06/30/2010 • Dade CHD Page 1 of 3 NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statues. Such proceedings are governed by Rule 28 -106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty -one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN # A02, Tallahassee, Florida 32399 -1703. The Agency Clerk's facsimile number is 850 -410 -1448. Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a 'final order'. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. •••• • • • ••• • • S • • I. • • • • • • • •• • ISIS S IB S • • •••• • • •• .. • IS SS • ••• • • • • • • • S • •••• • • •••• • • • • .I SS • • •• • • • S • USDA SOIL SERIES: Munsell # /Color . . • • Urban • •••••• text& •••• Dept. •. •: 10YR5/1 . Sand ;•••.• OTo20 Oolitic Limestone 20 To 72 10YR 6/3 0 To 20 10YR 6/3 USDA SOIL SERIES: Munsell #/Color Urban land Texture Depth 10YR 5/1 Sand 0 To 20 10YR 6/3 Oolitic Limestone 20 To 72 APPLICANT: NHS Housing Development LLC CONTRACTOR / AGENT: a super septic LOT: 22 SUBDIVISION: Shoreland Height TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY AUTHORIZED SEWAGE FLOW: 450.01 GALLONS PER DAY UNOBSTRUCTED AREA AVAILABLE - 1000.00 SQFT BENCHMARK /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: SOIL PROFILE INFORMATION SITE 1 OBSERVED WATER TABLE: ESTIMATED WET SEASON WATER TABLE ELEVATION: HIGH WATER TABLE VEGETATION: [ ]YES REMARKS /ADDITIONAL CRITERIA SITE EVALUATED BY: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION 79.20 INCHES [ ABOVE / BLOCK: WI: 11- 2136- 002 -0250 10.83' NGVD C/L NW 2 Ave. [ ] YES [X]NO FT [ MSL / 79 [ X NO I BELOW INGVD) I RESIDENCES- TABLE1 1500 GPD /ACRE OR UNOBSTRUCTED AREA REQUIRED: ] EXISTING GRADE TYPE: INCHES [ ABOVE / MOTTLING: [ ]YES [X]NO Solomon, Teresa (Title: Master Septic Tank Contractor) (Statewide Septic Connectlo DH 4015, 09/2006 (Previous Editions May Be Used) APPLICATION # AP902398 PERMIT # 13 -SG- 961614 I BELOW DOCUMENT # SE775126 NET USABLE AREA AVAILABLE• 0.18 ACRES ] [ ABOVE / I BELOW I] BENCHMARK /REFERENCE POINT 2.76 [I INCHES / FT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEAT£€• • SURFACE WATER: N/A FT DITCHES /SWALES: N/A FT NO1 !AIJ?I, WET: •[ •tstv0 WELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE: N/A FT •• NON-POTABLE: N/A • • FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT • • • - -rrrr• • PO • WATER LI 1ES : JO V •••• •••• • • 10 YEAR •IWI100DING? 0 • 3YES . s]NO] ] SITE ELEVATION: ••:•.f •••` MSL 7 LE INFORMATION•SEEE 2 • / OTHER -TABLE 2 ] 1 2500 GPD /ACRE I 667.00 SQFT 'APPARENT [ PERCHED / EXISTING GRADE DEPTH: INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: Sand/1.20 DEPTH OF EXCAVATION: 30 INCHES DRAINFIELD CONFIGURATION: [X] TRENCH [ ] BED [ ] OTHER (SPECIFY) DATE: 10/30/2008 Page 3 of 4 AP902398 E1D961614 v 1.0.2 Inspection Number: INSP - 106941 Permit Number: PL -2 -09 -249 Scheduled Inspection Date: February 19, 2010 Inspector: Hernandez, Rafael Owner: Job Address: 11016 NW 2 Avenue Project: <NONE> Contractor: A SUPER SEPTIC TANK, INC. Building Department Comments INSTALLATION OF 1050 GAL SEPTIC TANK WITH 333 SQ FT TRENCH DRAINFIELD Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments HRS APPROVAL IN FILE. February 18, 2010 Miami Shores, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Septic Phone Number Parcel Number 1121360020250 Phone: (05)364 -0113 Page 3 of 14 Project Address 11016 2 Avenue Miami Shores, FL 33138- Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 NHS HOUSING DEVELOPMENT LLC Address Valuation: Total Sq Feet: 100 84 Street MIAMI FL 33138- Contractor(s) Phone Cell Phone MIAMI DADE WATER & SEWER DEPT (786)256 -5200 PROV Expiration: 07/29/2009 Parcel Number 1121360020250 Block: Lot: Phone Fees Due CCF Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $100.00 $3.00 $3.30 $107.10 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Invoice # PW -4-09 -34605 $ 107.10 $ 107.10 $ 0.00 Check #: 00401665 Total Amt Paid Amt Due Applicant NHS HOUSING DEVELOPMENT I Available Inspections: Inspection Type: Final Excavation 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. April 30, 2009 Date Cell April 30, 2009 1 Public WOika Permit Application FBC 2004 Job Address (where dte work ts being done) /We V CO /9 COY Wend Num Is Sodding Hia laic* Desgnated: Conireetors °mildew Nterw/h Conireeters Address-1d /' city j.4l /.970,' Atdovosofoneee4koo4gAvgwto-Te4/--ZAf c 2_ $ Value at NSA For this Perndl Type or Week Describe Work dubmithd Fee $ Notary $ Scanning $ Code Ententerment I Tehd Fee Now Doe $ Miami Shores Village BY: -- Public Works Department YES No 5 aoo. zwAssectamerdaire zarmarmiarmwArnotiamtairAlif (Continued on °ppm* eido) co4 0 DOr 004/0/VeS* 10050 N.E. 2nd Avenue, Miami Shares, Florida 33138 Tel: (305) 795.2204 Fax: (305) 766.8972 011111.14•1111M11111611•••• F oos tle110110****1•Mq10110 Dewily Wood Dade Pew* Fee I MOO CCF $ 040 TraddrigiEddeadon Fool 0 "ND Techwiaw Fo ul Send $ Radon $ ond directural Plan Review $ ap plow* 7,YC 0 reoug• ofwa* 111.0.11.• Bonding Company's. Name (if Bonding g Comtaaye Address City Signature 91t17 Nolie r W App ;Inman in goad fiat Ply is ► N�ftAF`Y PuuUUC; Sigh' Print My Cisartitssion Expires: APPLICATION APPROVED (1tY: Mortgage Lender's Name at lir st'Io) Mortgage Lender's Addle: City sI "WARNING TO OWNER: YOUR FAILURE TORECORD A NOTICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO ATTORNEY BEFORE RECORDJNG YOUR NOTICE OF Application is herebyrnade to obtain a commenced p .. to tho is3uhn of. thrr Ienstritlron I understand that a Sella to pertrsstt m ust ? Iqt EI ECTRICAL WORIt, PLUMBING, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS,ETC OWNER'S AFFIDAVIT: I certify that all the foregoing iniumrritk h is =orate and that alI work will b Bows regulating etrns.tfuulurt and zoning.. to tarrsa of a Public Works permit with an as ++nitro a} r $ 500. tt►rs I aisl mi ttr ►iatrr►prti and c nisstiuciinn from new bn>tdture.l r liar r tin The parson whose o t d r y */ The recordednotice at corrHr wrtlemrrrrt matt be ponied stalejob she -fur the rat d7 days all t tiro building pennil" fs,5ui>ot, in The able adtut* fwsfvd oak*. the rrrspeciiorn writ not be wilt t e eliwped Owne or Astern Stale The foregoing insti day of who is personally wn to moor wit as identification and > Itts.d tafaa:an oath. ar ft and info rill SiOnshfr N/A My Connm►tst NIA SAY T I YOUR PAYING TWICE. TILT WITH YOUR LENDER OR AN faltation has rrtatin' i tailrr 3 4 .. I- 2 5''Ala 41.104: 4 4.44 g 2 E Pt✓F'AiL7 ,SP 40" " 0131' Expires: L • 1 S e �po Public Works Director or his designee mb Kys og ooLto 16c Vs/0y 50 ,41RGc )(, 4 7. & Check Date: 04/08/2009 Invoice Number i ivoice Date 113502 01/22/2009 Check Number Date MIAMI -DADE WATER AND SEWER DEPARTMENT POOLED CASH ACCOUNT P.O. BOX 330316 MIAMI, FL 33233 -0316 Vendor Name: MIAMI SHORES VILLAGE DP36704 SERVICE S � � . � mot. � •' � Customer service is not a department.... its an attitude. 00401665 04/08/2009 Unit at 305- 375 -5773. mr /cso Wasdap 04/2008 Voucher ID Gross Amount The attached check represents the amount due you as shown on our records. For additional information, contact (305) 665 -7471 Total Gross Amount $107.10 107.10 Check Number: 00401665 Payment Deductions Ins Gen Fee User Access Fee Discount Paid Amount 0.00 0 0.00 107.10 04 ~-1 fit-2009 ii t •� {at tl.�f4;ijii Ti S1197.10 DER 5 BCD Total Total Total Total lnsp Gen Fee User Access Fee Discount Paid Amount $0.00 $0.00 $0.00 $107.10 PERMIT `: ru3 Oct_(Q(r Miami Shores Village APPROVED BY DATE ZONING DEPT Wrgattal yJ,t7 BLDG DEPT SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS ADA Coordination Agenda Coordination Arl in Public Places Audit and Management Services Aviation Building Code Compliance Building Business Development Capital Improvements Citizen's Independent Transportation Trust Communications Community Action Agency Community & Economic Development Community Relations Consumer Services Corrections & Rehabilitation Countywide Healthcare Planning Cultural Affairs Elections Emergency Management Employee Relations Enterprise Technology Services Environmental Resources Management Fair Employment Practices Finance Fire Rescue General Services Administration Historic Preservation Homeless Trust Housing Agency Housing Finance Authority Human Services Independent Review Panel International Trade Consortium Juvenile Assessment Center Medical Examiner Metropolitan Planning Organization Park and Recreation Planning and Zoning Police Procurement Management Property Appraiser Public Library System ' Public Works ••: .�aJe e1gh 4d Frks• •• •• • • • • • • •• •• • • • •• • • • • • • • • • ••• • • • • •• • • • • • • • • • • •582.0r • • • •• • • •• • • • • • • • • 22- Apr -09 Miami Shores Village Building Department do Mr. Norman Bruhn , CBO Building Official /Director 10050 NE 2 Avenue Miami Shores, FL 33138 -2382 Re: Water Service Installation & Retirement for: 11016NW2AVE AFA # 39 ER # 16289 & AFA 86 ER 16278 Dear Mr. Bruhn : Transmitted herewith for your approval and permit is one (1) set of the permit application and two (2) sets of the water service installation referenced above. Upon approval and issuance of the permit, it is requested that you return to us one copy of the approved sketch and the original permit. If your approval and issuance of the permit has special restoration requirements, we will need to notify the customer of the additional charges involved with the installation. Please inform us if there will be special restoration requirements for this permit request. Should you have any questions regarding this matter, please advise. Sincerely, Isabel Rodriguez New Business Office Office: 786- 268 -5134 aya @miamidade.gov Miami -Dade Water and Sewer Department P. 0. Box 330316 • 3575 S. LeJeune Road Miami, Florida 33233 -0316 T 305 - 665 -7471 miamidade.gov VILLAGE OF MIAMI SHORES MIAMI -DADE COUNTY SEC. 36 -52-41 • • . .. • • • • . •.• • DJV1741. ?- B. •. 24 23 21 EXISTING 4" C.I. WATER MAIN GENERAL NOTES N.W. 111 STREET 20' 1 � � • •• ••• • • . • • •. ;. Fj9 4U B FOIE :DIGGING CALL SUNSHINE • •STe4T€ OjE C . -4770 2. LANE CLOSURES PER F.D.O.T. DESIGN ••• STANDARD INIDEX # 605.. ;•3. PAyEJ ErIT v£ST.O j'fIQI PER M.D.C.P. W.M. R -21.1. • .4. SLdEWAI:R FtESTORA1ICTN"PER M.D.C.P. W.M. R -13.1 5. MAINTAIN MIN. 30" COVER ON ALL SERVICE LINES. 6.IQ NO1 SSti ME(S) AT THIS TIME. 35' f p, •.27/2009 CKD: I.R. W Z W c N V* OFF OF PAVEMENT ALLEY MIAMI - DADE WATER AND SEWER DEPARTMENT AFA -86 ER -16278 L S 1" SINGLE SERVICE SET BOX AND SPACER LOCATE AT SOUTH PROPERTY LINE N.W. 110 STREET AFA -39 ER -16289 NEW WATER SERVICE FOR 11016 N.W. 2nd. AVENUE AFA -86 ER -16278 AFA -39 ER -16289 SCALE: N.T.S. RETIRE EXISTING 3/4" SERVICE AT SOUTH PROPERTY LINE PUBLIC WORKS DEPARTMENT MIAMI -DADE COUNTY Work Information Form (To be completed by all agencies planning to perform construction on Miami -Ddade County road rights -of -way). 1. Have the roads, which are impacted by the proposed work recently been paved or surfaced? ❑ Yes l94o 2. Briefly state type of construction to be performed and the location boundaries of the work: NEW 1" DOMESTIC SERVICE FOR: 11016 N.W. 2nd. AVE. TO BE INSTALLED AT SOUTH PROPERTY LINE. FROM EDGE OF SOUTHBOUND LANE 3. Will this construction affect, in any way, normal traffic flow? /Yes ❑No 4. Will work be started within 15 days of permit issuance? ❑Yes Eiff o 5. If no, state estimated starting date WITHIN 30 DAYS ± // 6. Will work continue on a 24 hour basis until normal traffic is resumed? IYYes ❑No 7. Please provide an estimate of construction time for which traffic flow will be affected. (1- WORKING DAY) 8. Provide the number and direction of lanes affected by construction. North South 1 East West 9. Does construction work pass through a signalized intersection or mid -block pedestrian signal? ❑ Yes liNo (If yes, see Special Provisions below). 10. Does trench or excavation fall within the paved roadway? _❑ t No 11. Will work damage existing sidewalk, curbs and gutters? Ls Yes ❑ No 12. Give dimensions (from edge of pavement) showing cut or trenching CONSTRUCTION FROM APPROXIMATELY 1 FT. MORE OR LESS OFF OF PAVEMENT IN SOUTHBOUND LANE 13. List name and telephone number of person to contact if further information is needed JOSE A. GONZALEZ NEW BUSINESS SUPERVISOR 786 -268 -5201 14. Please provide e-mail address. • • • • • • • • • • • • • • .. • . • • • • • c i • • FCF @miamidade.gov SPECIAL PROVISIONS - SIGNALIZATION IN CONSTRUCTION AREA �Rr!y st icpori evpriwticr'2ffects the operation and /or maintenance of a signalization (signalized intersection, mid- block, flashing jgnal tin, TO, shall require the contractor to accept responsibility for the operation and maintenance of the signalization Avm4 x date'ar t►me that work begins until such time as the work is complete, the signalization is returned to normal operation, and inspectors from the Public /Arks Department have re- accepted it for operation and maintenance. Between the start and end dates, the contractor shall employ the services of an officially approved signalization subcontractor who will provide 24 -hour on -call maintenance ..on all signaGzatioaand signalization related equipment in complete accordance with the current version of the "Miami -Dade County Special Proirisiona'#or Ti' . Sight Construction and Maintenance." MIAMI -DADE WATER & SEWER 786 -268 -5200 Company Telephone No. • . • rF' • THIS FORM MUST ACCOMPANY PERMIT APPLICATION • • • . . • . • • • . • • • • •• .• • • • • • • . . • ... . . •.. • • • • • •. • • • • • •• • •••• • • •••• • • • S. • • • • • • • • • • •• •• • • • • • • • • • a • • • • • • • •• •• • • • • •••• '• • • • • •• • • • • • • i • • a SYMBOLS ® Work Area 8 Work Zone Sign tr Flogger Lane Identification • Direction of Traffic Sign WIIh /B" x /8 t Min. ) Orange Flog And Type B Light Type I Or Type IT Barricade Or Vertical Panel Or Drum (With Steady Burning Light At Night Only) (Tubular Markers May Be Uad Awing Daylight Only. Con. May Be Used - See Index No. 600.) Type I Or Type II Barricade Or Vertical Pone/ Or Drum (with Flashing Light At Night Only) C l ® ,111 ® Work Arco R 1( Less Thon I Z00' �. Floggers shalt be In sight of each other or in direct communication at oil times. GENERAL NOTES I. Work operations shall be confined to one travel lone. leaving the opposing travel lane open to traffic. 2. When vehicles Ire o parking zone block the line of sight to rcz signs or when TCZ signs encroach on a normal pedestrian wa /Away, the signs shall be post mounted and located In accordance with Index No. 0302 3. if work area /s confined to on outside auxiliary lone. the work area shall be barricaded and Me FLAOEER signs replaced by ROAD WORK AHEAD signs. Floggers are not rewired. a b 5. The FLAGOER legend sign may be substituted for the symbol sign. 6. The maximum spacing behveen devices shall be no greater than TS,' 7. For general TCZ requirements and additional Information, refer to index No. 600. 8. The two ehonnellzhq devices directly In front and directly of the end of the work area Is occupied only by a vehicle with activated high-Intensity rotating, flashing, oscillating, or strobe lights. 2008 FOOT Design Standelds CONDITIONS WHERE ANY VEHICLE. EQUIPMENT. WORKERS OR THEIR ACTNITIES ENCROACH ON THE PAVEMENT REQUIRING THE CLOSURE OF ONE TRAFFIC LANE, FOR WORK AREAS LESS THAN 200' DOWNSTREAM FROM AN INTERSECTION FOR A PERIOD OF MORE THAN 60 MINUTES. CONDITIONS WHERE ANY VEHICLE, EQUIPMENT. WORKERS OR THEIR ACTIVITIES ENCROACH ON THE PAVEMENT REQUIRING THE CLOSURE OF ONE TRAFFIC LANE, FOR WORK AREAS 200' OR MORE DOWNSTREAM FROM AN INTERSECTION FOR A PERIOD OF MORE THAN 60 MINUTES, TWO -LANE TWO -WAY, WORK NEAR INTERSECTION lad en••l HP. Re.Obn 07/01/07 to( 1 605 Inspection Number: INSP - 112198 Permit Number: PW -4 -09 -664 Scheduled Inspection Date: February 18, 2010 Inspector: Bruhn, Norman Owner: Job Address: 11016 NW 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: MIAMI DADE WATER & SEWER DEPT Building Department Comments Passedo( / /d Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments rc_ RE TIRE EXISTING WATER SEWER AND NEW INSTALLATION 1" PIPE FOR 11016 NW 2 AVE AFA 86 ER -16279 AFA 39 ER 13289 February 17, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Public Works Inspection Type: Final Work Classification: Public Works Phone Number Parcel Number 1121360020250 Phone: (786)256 -5200 Page 1 of 24 s MIAMI•DADE COUNTY , ',Carlos Alvarez, Mayor ATLAS PAGE: F -7 INV #: FOLIO NUMBER: PREVIOUS FLOW: PROPOSED FLOW: BY: CRITERIA: A2E BY: 350 SIGNATURE OF, REPRESENTATIVE NEW BUSINESS COMMENTS: PLANS REVIEW COMMENTS: PLANS REVIEW COMMENTS: CONTACT NAME: MELISSA MOONVES CONTACT PH • NE: (305) 759 -8912 VtRIFICATI(' W FORM EXPIRES ONE YEAR FRIOIL) DATE ON FORM 11- 2136 - 002 -0250 J FORM #: Printed On: 1/22/2009 11:22:25 AM FEES DUE: WATER VERIFICATION $30.00. EXISTING SERVICE UP TO STANDARDS NEW BUSINESS COMMENTS: 'HEALTH DEPT APPROVAL DATED: 12/30/2008 # AP02398 r:3 0 9 BY: t 200919747 DATE: NAME OF OWNER: IADANAC RESIDENCY - NHS HOUSING DEVELOPMENT LLC PROPERTY ADDRESS: X11016 NW 2ND AVE PROPOSED USAGE / SINGLE FAMILY RESIDENCE NO. OF UNITS: REPLACES: PREVIOUS VACANT LAND **ACCOUNT HISTORY IN CIS'"' 5796414200. USAGE / NO. OF UNITS: PROPERTY LEGAL: SHORELAND HGTS PB 43 -85 LOT 22 LOT SIZE 65.690 X 125 OR 25885 -2256 08 2 GALLONS PER DAY INCREA PREVIOUS SQUARE FOOTAGE: 0 E 0 NEW PROPOSED SQUARE FOOTAGE: 0 ❑ INTE THIS IS TO CERTIFY THAT THE MIAMI -DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) _4 INCH WATER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY, (OR, IF' WILL HAVE ", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF WATER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, (AGREEMENT ID # N /A) SUBJECT TO PROHIlilItr0 OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF 6 ff S'�,' WITHDRAWAL. Hyacinth Derb Business Re SIGNATURE OF REPRESENTATIVE AUTHORIZED BY THIS IS TO CERTIFY THAT THE MIAMI -DADE WATER AND SEWER DEPARTMENT DOES NOT HAVE A(N) = INCH GRAVITY SEWER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY, (OR, IF 'WILL HAVE ", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF SEWER SEWER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, (AGREEMENT ID # N/A ). SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF SEWAGE DISPOSAL. FURTHERMORE, APPROVAL OF ALL SEWAGE FLOWS INTO THE DEPARTMENT'S SYSTEM MUST BE OBTAINED FROM D.E.R.M. THE ANTICIPATED DAILY WATER AND /OR SEWAGE FLOW FOR THIS PROJECT WILL BE: NO GALLONS [0] GALLONS PER DAY INCREASE. Hyacinth Derby -Rudd - New Business Representative NB: Hyacinth Derby -Rudd PR: _ Water & Sewer 11GIi)71 SW 38th Avenue Florida 33233 -0316 T • • • • • • ml • y ' ale.gov • • • • • • • • • • • • • • cn u • Q , cn ', ' MIA — IN ACCOUNT WITH ADANAC DEVELOPMENT AND CONSTRUCTION 100 NB 84T ST #200 MIAMI, FL 33138- REFERENCE FEES FOR VERIFICATION LETTER FOR SFR REPLACING SAME AT 11016 NW 2 AVE. RETIRE EXISTING SERVICE & UPGRADE TO 1" AT 11016 NW 2 AVE. AFA 39 ER 16289 WORK WITH AFA 86 ER 16278. PD BY CHK# 6311 DESCRIPTION i-4 CJ Q t.4 Ca cP ri �J" G• sy. •ty> 5a- a° ..r *A. 44 Miami -Dade Water and Sewer Department New Business Office P.O. Box 330316 Miami, Florida 33233 -0316 3575 South LeJeune Road, Room 114 Miscellaneous Charges tce413502frinted 0 1/22/ - 40911 :45 :52 AM By : JUDANA JIMENEZ llis#ail ion: %� ite- Custp"° r, Yellow-General Office, Pink -Local Office, Gold -New Business =, �a X CI p ors ci INVOICE # L 113502 DATE: January 22. 2009 PeopleSoft Acct ID# 1 4329957128 GUSTID: L 123948 ER WATER: L N/A ER SEWER: L N/A AGMT ID: QNTY /GPD' DESCRIPTION DIST:CODE UNIT PRICE AMOUNT • 1 1” Single Water Service Install 1200 $1200.09 2 Permit Fee Single (Miami Shores) 1 07.1 • $ 1 21$.215 - ••�••• 1 Verif Form- res (R -A) (Water) 30 $30.00 TOTAL: $1!444Q0 WATER DEPOSITS: SEWER DEPOSITS: • • •• • • • • • • • • • • • • • • $0.00 $0.00 INVOICE NO. 113502 TOTAL: $1,444.20 •• •• • • •••• • • • • • • • • • • • •••••• • •i • ••••• • • • •••• •S••• '• • • •• •I••• • • • •••• •••••• • • • • •••• • • • •••• • • • •• • • • • Project Name: ORLANDO Miami Dade Builder: ROYAL CONCRETE COP Address: 11016 NW 2nd Ave Permitting Office: City, State: Miami Shores, FL 00000- Permit Number: Owner: ROYAL CONCRETE CONCEPT Jurisdiction Number: � Climate Zone: South 1. New construction or existing New _ 12. Cooling systems 2. Single family or multi- family Single family _ a. Central Unit Cap: 23.6 kBtu/hr _ 3. Number of units, if multi- family 1 _ SEER: 13.00 4. Number of Bedrooms 4 _ b. N/A _ 5. Is this a worst case? Yes _ _ 6. Conditioned floor area (ft 1400 ft _ c. N/A _ 7. Glass typel and area: (Label regd. by 13- 104.4.5 if not default) a. U- factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7a(Sngle Default) 134.6 ft _ b. SHGC: a. Electric Heat Pump Cap: 34.0 kBtu/hr HSPF: 8.50 _ _ (or Clear or Tint DEFAULT) 7b. (Tint) 134.6 ft _ b. N/A •••• 8. Floor types • • a. Slab -On -Grade Edge Insulation R =0.0, 172.2(p) ft c. N/A • • • • • • — • • _ b. N/A • •••• — _ • I c. N/A _ • 14. Hot water systems • • ' 9. Wall types a. Electric Resistance • • • • • • cap!404 gallons ' a. Concrete, Int Insul, Exterior R =12.9, 1257.0 ft _ •••• • • •' EF: 0.92'r b. N/A c. N/A b. N/A • •• • •• • ••••• d. N/A c. Conservation credits • • • • e. N/A (HR -Heat recovery, Solar • • • • • •-•-• • 10. Ceiling types — • • DHP- Dedicated heat pump) • • • • • • • • •••• • • • • • a. Single Assembly R =23.4, 1400.0 ft 15. HVAC credits • • • • — b. N/A _ c. N/A _ 11. Ducts _ a. Sup: Con. Ret: Con. AH: Interior Sup. R =6.0, 150.0 ft b. N/A _ (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, MZ- C- Multizone cooling, MZ- H- Multizone heating) FORM 600A -2004R EnergyGauge® 0.. FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Glass /Floor Area: 0.10 Total as -built points: 21297 Total base points: 22213 PASS I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code. PREPARED BY: BY: AALL Cam: DATE: 1 I hereby certify that this building, as designed, is in compliance with the Florida Energy Code. OWNER/AGENT: DATE: 1 Predominant glass type. For actual glass type and areas, see Summer & Winter Glass output on pages 2 &4. EnergyGauge® (Version: FLRCPB v0..) Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance with Section 553.908 Florida Statutes. BUILDING OFFICIAL: DATE: FORM 600A -2004R EnergyGauge® DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. EnergyGauge® 0.. SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i BASE AS -BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Floor Area Overhang Type /SC Omt Len Hgt Area X SPM X SOF = Points .18 1400.0 30.53 7694.0 1.Single, Tint NE 0.5 5.0 18.4 45.70 1.00 835.0 2.Single, Tint SE 0.5 5.0 25.6 66.34 1.00 1698.0 3.Single, Tint SE 0.5 6.0 16.2 66.34 1.00 1071.0 4.Single, Tint SE 0.5 4.0 9.7 66.34 1.00 642.0 5.Single, Tint SW 0.5 6.0 22.7 60.87 1.00 1377.0 6.Single, Tint SW 0.5 6.0 16.2 60.87 1.00 981.0 7.Single, Tint NW 0.5 6.0 16.2 39.52 1.00 637.0 8.Single, Tint NW 0.5 4.0 9.7 39.52 0.99 381.0 •••• • • As -Built Total: 434.6 • •••• 96Z2.1 •. • WALL TYPES Area X BSPM = Points Type R -Value • •Atea X SPlbl• POltttS' Adjacent Exterior 1257.0 0.0 0.00 0.0 2.70 3393.9 1. Concrete, Int Insul, Exterior 12.9 1257.0. 088.• ' •••• ' ' •••• ' :1181.f • • •• • • • • • Base Total: 1257.0 3393.9 As -Built Total: 1291.0 • "" 1i tf.2 • • "• . DOOR TYPES Area X BSPM = Points Type • Ared X SPNI' .= PbTn • �' Adjacent 0.0 0.00 0.0 1.Exterior Insulated 20!4 • 4.4Q • • • • 130.6 Exterior 20.4 6.40 130.6 •••• Base Total: 20.4 130.6 As -Built Total: 20.4 130.6 CEILING TYPES Area X BSPM = Points Type R -Value Area X SPM X SCM = Points Under Attic 1400.0 2.80 3920.0 1. Single Assembly 23.4 1400.0 8.37 X 1.00 11712.8 Base Total: 1400.0 3920.0 As -Built Total: 1400.0 11712.8 FLOOR TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Slab 172.2(p) -20.0 - 3444.0 1. Slab -On -Grade Edge Insulation 0.0 172.2(p -20.00 - 3444.0 Raised 0.0 0.00 0.0 Base Total: - 3444.0 As -Built Total: 172.2 - 3444.0 INFILTRATION Area X BSPM = Points Area X SPM = Points 1400.0 18.79 26306.0 1400.0 18.79 26306.0 FORM 600A -2004R EnergyGauge® DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. EnergyGauge® 0.. SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i BASE AS -BUILT Summer Base Points: 38000.5 Summer As -Built Points: 43435.1 Total Summer X System Points Multiplier = Cooling Points Total X Cap X Duct X System X Credit = Component Ratio Multiplier Multiplier Multiplier (System - Points) (DM x DSM x AHU) Cooling Points 38000.5 0.3250 12350.1 (sys 1: Central Unit 23600btuh ,SEER/EFF(13.0) Ducts: Con(S),Con(R),Int(AH),R8.0(INS) 43435 1.00 (1.00 x 1.165 x 0.90) 0.260 1.000 43435.1 1.00 1.048 0.260 1.000 11840.8 11840.8 FORM 600A -2004R SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details EnergyGaugeTm DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. EnergyGauge® 0.. ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: .... • • • • . .. . • • • . •. • .. • • .. • . . • • • • ••.. •••• • • • • .... .... • • • . . • • • • • .. • • .• .. • .... • .... • • .... • • • • • • .. • • .. • FORM 600A -2004R EnergyGauge® DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. EnergyGauge® 0.. WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: BASE AS -BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Floor Area Overhang Type /SC Omt Len I-Igt Area X WPM X WOF = Point - .18 1400.0 3.60 907.0 1.Single, Tint NE 0.5 5.0 18.4 5.96 1.00 109.0 2.Single, Tint SE 0.5 5.0 25.6 4.57 1.01 118.0 3.Single, Tint SE 0.5 6.0 16.2 4.57 1.01 74.0 4.Single, Tint SE 0.5 4.0 9.7 4.57 1.02 45.0 5.Single, Tint SW 0.5 6.0 22.7 5.26 1.00 119.0 6.Single, Tint SW 0.5 6.0 16.2 5.26 1.00 85.0 7.Single, Tint NW 0.5 6.0 16.2 6.09 1.00 98.0 8.Single, Tint NW 0.5 4.0 9.7 6.09 1.00 59.0 •••• • • As -Built Total: •344• •••• 'tea WALL TYPES Area X BWPM = Points Type X WPM' • = R -Value "kW • MM Adjacent 0.0 0.00 0.0 1. Concrete, Int Insul, Exterior 12.9 12.57!( •, Q.SS • • •443.1 Exterior 1257.0 0.60 754.2 •••• • • • • • • • • •. • • • • Base Total: 1257.0 754.2 As -Built Total: 1/.0" "" 443.4 • • • . DOOR TYPES Area X BWPM = Points Type Area • X WI�t • Points Adjacent 0.0 0.00 0.0 1.Exterlor Insulated 211.'4 • tin "• • 36.7 Exterior 20.4 1.80 36.7 "" Base Total: 20.4 36.7 As -Built Total: 20.4 36.7 CEILING TYPES Area X BWPM = Points Type R -Value Area X WPM X WCM = Points Under Attic 1400.0 0.10 140.0 1. Single Assembly 23.4 1400.0 0.10 X 1.00 136.4 Base Total: 1400.0 140.0 As -Built Total: 1400.0 136.4 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Slab 172.2(p) -2.1 -361.6 1. Slab -On -Grade Edge Insulation 0.0 172.2(p -2.10 -361.6 Raised 0.0 0.00 0.0 Base Total: -361.6 As -Built Total: 172.2 -361.6 INFILTRATION Area X BWPM = Points Area X WPM = Points 1400.0 -0.06 -84.0 1400.0 -0.06 -84.0 FORM 600A -2004R EnergyGauge® DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. EnergyGauge® 0.. WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: FORM 600A -2004R EnergyGauge® 0.. WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i EnergyGaugeTm DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. •••• • • • • •••• • • • • •• • •• • • • • • • • • • • • •• •• • • • • •• • • • •••• • • • •••• • • • • • • • • •• • • • • • • • • • • •••• •••• • • • • • • •••• • • • • • • • BASE AS -BUILT Winter Base Points: 1392.3 Winter As -Built Points: 877.6 Total Winter X Points System = Multiplier Heating Points Total X Cap X Duct X System X Credit = Component Ratio Multiplier Multiplier Multiplier (System - Points) (DM x DSM x AHU) Heating Points 1392.3 0.5540 771.3 (sys 1: Electric Heat Pump 34000 btuh ,EFF(8.5) Ducts :Con(S),Con(R),Int(AH),R6.0 877.6 1.000 (1.000 x 1.137 x 0.91)0.401 1.000 364.3 877.6 1.00 1.035 0.401 1.000 364.3 FORM 600A -2004R EnergyGauge® 0.. WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i EnergyGaugeTm DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. •••• • • • • •••• • • • • •• • •• • • • • • • • • • • • •• •• • • • • •• • • • •••• • • • •••• • • • • • • • • •• • • • • • • • • • • •••• •••• • • • • • • •••• • • • • • • • FORM 600A -2004R EnergyGauge® 0.. WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i PASS EnergyGaugeTA° DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. • • •• • • • • • •• • • • • • • • • • • 5155 •• • • •••• • • • • • •• • • •• • • • • • •••• BASE CODE COMPLIANCE STATUS AS -BUILT BASE Multiplier = Total Tank EF Volume Number of X Tank X Multiplier X Credit = Total Bedrooms Ratio Multiplier 4 AS- BUILT.••••. • • •••• Cooling Points + Heating + Points Hot Water Points = Total Points Cooling Points + Heating Points + :Ho Water • ..=:• Total • • • •: epints Points 12350 771 9092 22213 11841 364 •;;;;9092 •,,,,• 21 297•. FORM 600A -2004R EnergyGauge® 0.. WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i PASS EnergyGaugeTA° DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. • • •• • • • • • •• • • • • • • • • • • 5155 •• • • •••• • • • • • •• • • •• • • • • • •••• BASE AS -BUILT WATER HEATING Number of X Bedrooms Multiplier = Total Tank EF Volume Number of X Tank X Multiplier X Credit = Total Bedrooms Ratio Multiplier 4 2273.00 9092.0 40.0 0.92 As -Built Total: 4 1.00 2273.00 1.00 9092.0 9092.0 FORM 600A -2004R EnergyGauge® 0.. WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i PASS EnergyGaugeTA° DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. • • •• • • • • • •• • • • • • • • • • • 5155 •• • • •••• • • • • • •• • • •• • • • • • •••• COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows & Doors 606.1.ABC.1.1 Maximum:.3 cfm/sq.ft. window area; .5 cfm/sq.ft. door area. • • Exterior & Adjacent Walls 606.1.ABC.1.2.1 Caulk, gasket, weatherstrip or seal between: windows /doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at corners; utility penetrations; between wall panels & top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier Is installed that extends from, and is sealed to, the foundation to the top plate. Floors 606.1.ABC.1.2.2 Penetrations /openings >1/8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. Ceilings 606.1.ABC.1.2.3 Between walls & ceilings; penetrations of ceiling plane of top floor, around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier, gaps in gyp board & top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seams. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non -IC rated, instanedr'nside a rated with < 2.8 m from • sealed box with 1/2" clearance & 3" from insulation; or Type:IC • • •• • . conditioned space, tested. • • • • • • Multi-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. • ; - • • . Additional Infiltration reqts 606.1.ABC.1.3 • • Exhaust fans vented to outdoors, dampers; combustion spacglipgters complyath NFPA, have combustion air. ••..•• •••••• •••0• • COMPONENTS SECTION REQUIREMENTS • • ...... . c 11MK Water Heaters 612.1 Comply with efficiency requirements in Table 612.1.ABC.3.3. Switch or clearly marked • cir • • • •. • breaker (electric) or cutoff (gas) must be provided. External or' built -i n heat iter: Le aired. • • Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78 %. Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated, and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics: R-6 min. Insulation. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1, 602.1 Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. FORM 600A -2004R 6A -21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST 6A -22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residence* EnergyGaugeTm DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. EnergyGauge® 0.. Code Compliance Checklist Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: • • • • • 0000 • • • ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD 1. New construction or existing 2. Single family or multi- family 3. Number of units, if multi- family 4. Number of Bedrooms 5. Is this a worst case? 6. Conditioned floor area (ft 7. Glass type' and area: (Label regd. a. U- factor: (or Single or Double DEFAULT) b. SHGC: (or Clear or Tint DEFAULT) 8. Floor types a. Slab -On -Grade Edge Insulation b. N/A c. N/A 9. Wall types a. Concrete, Int Insul, Exterior b. N/A c. N/A d. N/A e. N/A 10. Ceiling types a. Single Assembly b. N/A c. N/A 11. Ducts a. Sup: Con. Ret: Con. AH: Interior b. N/A ESTIMATED ENERGY PERFORMANCE SCORE* = 86.7 The higher the score, the more efficient the home. ROYAL CONCRETE CONCEPT, 11016 NW 2nd Ave, Miami Shores, FL, 00000- New _ 12. Cooling systems Single family _ a. Central Unit 1 4 _ b. N/A Yes 1400 ft _ c. N/A by 13- 104.4.5 if not default) Description Area 7a(Sngle Default) 134.6 PP 7b. (Tint) 134.6 ft _ R =0.0, 172.2(p) ft R =12.9, 1257.0 ft _ R =23.4, 1400.0 Jr 13. Heating systems a. Electric Heat Pump Sup. R =6.0, 150.0 ft _ b. N/A c. N/A 14. Hot water systems a. Electric Resistance b. N/A c. Conservation credits I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: Date: • • • • • .• • •.•• • • • • . • • • S (HR -Heat recovery, Solar • • • • DHP- Dedicated heat pump) • • • • 15. HVAC credits (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, MZ- C- Multizone cooling, MZ- H- Multizone heating) Address of New Home: City/FL Zip: • • Cap: 23.6 kBtu/hr _ SEER: 13.00 _ •••• • • •••• •• • • • • • •• • • ••.• • • •.•• ▪ • • • • •••• *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA/DOE EnergyStar""designation), your home may qualify for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -1492 or see the Energy Gauge web site at www.fsec.ucfedu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487 -1824. 1 Predominant glass type. For actual glass type and areas see Summer & Winter Glass output on pages 2 &4. nergyGauge® (Version: FLRCPti v0..) Cap: 34.0 kBtu/hr _ HSPF: 8.50 • — • • — • GaT,?'t s gallons •••• EF:0.91 • :". • I. • •:a• • • • •• ••..-. •• • • • •t••• • • • • Load component Load Load Window total 135 sqft 6641 Btuh Wall total 1257 sqft 1306 Btuh Door total 20 sqft 186 Btuh Ceiling total 1400 sqft 1498 Btuh Floor total 1400 0 Btuh Infiltration 103 cfm 1693 Btuh Internal gain Btuh 2350 Btuh Duct gain 2466 0 Btuh Sens. Ventilation 0 cfm 0 Btuh Total sensible gain 13673 Btuh Latent gain(ducts) Ventilation 0 Btuh Latent gain(infiltration) Btuh 4466 Btuh Latent gain(ventilation) 14927 0 Btuh Latent gain(intemalloccupants /other) 1000 Btuh Total latent gain 5466 Btuh TOTAL HEAT GAIN 19139 Btuh Load component Load Window total 135 sqft 3933 Btuh Wall total 1257 sqft 2365 Btuh Door total 20 sqft 164 Btuh Ceiling total 1400 sqft 1325 Btuh Floor total 172 sqft 4674 Btuh Infiltration 98 cfm 2466 Btuh Duct loss 0 Btuh Subtotal 14927 Btuh Ventilation 0 cfm 0 Btuh TOTAL HEAT LOSS 14927 Btuh Residential System Sizing Calculation Summary Project Title: ORLANDO Miami Dade ROYAL CONCRETE CONCEPT 11016 NW 2nd Ave Miami Shores, FL 00000- 12/31/2008 Location for weather data: West Palm Beach - Defaults Latitude(26) Altitude(15 ft.) Temp Range(M) Humidity data: Interior RH (50 %) Outdoor wet bulb (78F) Humidity difference(64qr.) Winter design temperature Winter setpoint Winter temperature difference 47 F 70 F 23 F Total heating load calculation 14927 Btuh Submitted heating capacity Total (Electric Heat Pump) Heat Pump + Auxiliary(0.0kW) % of calc Btuh 227.8 34000 227.8 34000 Summer design temperature Summer setpoint Summer temperature difference 90 F 75 F 15 F Total cooling load calculation 19139 Btuh Submitted cooling capacity % of calc Btuh Sensible (SHR = 0.75) 129.4 17700 Latent 107.9 5900 Total (Electric Heat Pump) 123.3 23600 Winter Heating Loa Summer Cooling Load (f WINTER CALCULATIONS SUMMER CALCULATIONS Version 8 For Florida residences only EnergyGauge® FLRCPB v0.. Lcdwd 6rtamag5%) .• • Code Only Professional Version Climate: South •• • • • • • ••• • EnergyGauge® Sy S ng PREPARED BY: DATE: / -' 3(-U 64,& Window Panes /SHGC /Frame /U Orientation Area(sgft) X HTM= Load T NCDd lf)Cfl IN- 00 1, Tint, Metal, 1.27 SW 18.4 29.2 1, Tint, Metal, 1.27 NW 25.6 29.2 1, Tint, Metal, 1.27 NW 16.2 29.2 1, Tint, Metal, 1.27 NW 9.7 29.2 1, Tint, Metal, 1.27 NE 22.7 29.2 1, Tint, Metal, 1.27 NE 16.2 29.2 1, Tint, Metal, 1.27 SE 16.2 29.2 1, Tint, Metal, 1.27 SE 9.7 29.2 Window Total 135(sgft) 536 Btuh 749 Btuh 472 Btuh 284 Btuh 662 Btuh 472 Btuh 472 Btuh 284 Btuh 3933JEituh Walls 1 Type R -Value Area X HTM= Concrete Blk,Filled - Ext(0.08) 12.9 1257 1.9 •••• Wall Total 1257 • : Iliad... 2365 Bt+ih 234513tH Doors 1 Type Area X HTM= • Insulated - Exterior 20 8.1 •••••• Door Total 20 - ••.. Loads 1Q41131% 16 ntih Ceilings 1 Type /Color /Surface R -Value Area X HTM= • Single Assembly /D /Shin 23.4 1400 0.9 �' Ceiling Total 1400 A • • •• • 6 ,,,,• : Loael 132g 73 132010 L8Sa..• 4614 Btwh 4674tANA Floors 1 Type R -Value Size X HTM= Slab On Grade 0 172.2 ft(p) 27.1 • Floor Total 172 Zone Envelope Subtotal: 12461 Btuh Infiltration Type ACH X Volume(cuft) walis(sgft) CFM= Natural 0.38 15400 1257 97.5 2466 Btuh Ductload Average sealed, Supply(R6.0- Cond.), Retum(R6.0- CondfDLM of 0.000) 0 Btuh Zone #1 Sensible Zone Subtotal 14927 Btuh System Sizing Calculations - Winter Residential Load - Whole House Component Details Project Title: Code Only 110 n6 NW 2n Ave Ave0000- ORLANDO Miami Dade Professional Version Climate: South Reference City: West Palm Beach (Defaults) Winter Temperature Difference: 23.0 F 12/31/2008 This calculation is for Worst Case. The house has been rotated 225 degrees. 'AL CONCRETE CONCEPT EnergyGauge® FLRCPB v0.. Page 1 • • • • • • • • Manual J Winter Calculations Residential Load - Component Details (continued) Project Title: Code Only 11016 NW 2nd Ave ORLANDO Miami Dade Professional Version Miami Shores, FL 00000- Climate: South 12/31/2008 ROYAL CONCRETE CONCEPT E TOT Subtotal Sensible Ventilation Sensible Total Btuh Loss 14927 Btuh 0 Btuh 14927 Btuh EQU 1. Electric Heat Pump { •• Z4000 rtuh • "• 11 Key: Window types (SHGC - Shading coefficient of glass as SHGC numerical value or as clear or tint) (Frame types - metal, wood or insulated metal) (U - Window U- Factor or'DEF' for default) (HTM - ManualJ Heat Transfer Multiplier) Key: Floor size (perimeter(p) for slab -on -grade or area for all other floor types ) • • • • •• • •• • • • • • • • •••• • • • • • Versipn 8. • • For Florida iesidenoes only EnergyGauge® FLRCPB v0.. Page 2 • • • • •• • • • • • • System Sizing Calculations - Summer Residential Load - Whole House Component Details Project Title: 11016 NW 2nd Ave ORLANDO Miami Dade Miami Shores, FL 00000- ROYAL CONCRETE CONCEPT Code Only Professional Version Climate: South Reference City: West Palm Beach (Defaults) Summer Temperature Difference: 15.0 F 12/31/2008 This calculation is for Worst Case. The house has been rotated 225 degrees. Window 1 2 3 4 5 6 7 8 Walls 1 Doors I Ceilings 1 Floors 1 Infiltration Internal gain Duct load Type* Pn/SHGC/U /InSh/ExSh /IS Omt 1, Tint, 1.27, None,N,H 1, Tint, 1.27, None,N,H 1, Tint, 1.27, None,N,H 1, lint, 1.27, None,N,H 1, Tint, 1.27, None,N,H 1, lint, 1.27, None,N,H 1, Tint, 1.27, None,N,H 1, Tint, 1.27, None,N,H Window Total SW NW NW NW NE NE SE SE Overhang Len Hgt 0.5ft 0.5ft 0.5ft 0.5ft 0.5ft 0.5ft 0.5ft 0.5ft 5ft. 5ft. 6ft. 4ft. 6ft. 6ft. 6ft. 4ft. Window Area(sqft) Gross Shaded Unshaded 18.4 0.3 25.6 0.0 16.2 0.0 9.7 0.0 22.7 0.0 16.2 0.0 16.2 0.5 9.7 0.2 135 (sqft) 18.0 25.6 16.2 9.7 22.7 16.2 15.6 9.5 HTM Shaded Unshaded 27 27 27 27 27 27 27 27 50 49 49 49 49 49 50 50 • • • • Type Concrete BIk,Filied - Ext Wall Total R- Value /U -Value Area(sqft) 12.9/0.08 1257.0 1257 (sqft) HT M' iQ • ••• •••• Type Insulated - Exterior Door Total Area (sqft) 20.4 20 (sqft) H TM,. . 9.1••• • •• •• Type /Color /Surface R -Value Single Assembly/DarkShingle 23.4 Ceiling Total Area(sqft) 1400.0 1400 (sqft) HIM • 1!1 . . • • Type R -Value Slab On Grade 0.0 Floor Total Size HTM' 172 (ft(p)) 0.0 172.2 (sqft) Zone Envelope Subtotal: Type SensibleNatural ACH Volume(cuft) wall area(sqft) CFM= 0.40 15400 1257 102.7 Occupants 5 Btuh /occupant X 230 + Appliance 1200 Sensible Envelope Load: Average sealed, Supply(R6.0- Cond.), Retum(R6.0 -Cond) (DGM of 0.000) Sensible Zone Load Load 904 Btuh 1267 Btuh 799 Btuh 481 Btuh 1121 Btuh 799 Btuh 792 Btuh •'47$' 8tuh 66M1'Btuh l bad 1308 Btuh 13QQ.Stuh Mad.' . • 189. Btuh • • 4$6•13tuh S . Load ' .1 98 • ptuh 149aBtuh Goad'. •. • Btuh 0 Btuh 9630 Btuh Load 1693 Btuh Load 2350 Btuh 13673 Btuh 0 Btuh 13673 Btuh EnergyGauge® FLRCPB v0.. Page 1 • • • • • • • • •• • • • • Manual J Summer Calculations Residential Load - Component Details (continued) Project Title: Code Only 11016 NW 2nd Ave ORLANDO Miami Dade Professional Version Miami Shores, FL 00000- Climate: South 12/31/2008 ROYAL CONCRETE CONCEPT Whole House Totals for Cooling Sensible Envelope Load All Zones Sensible Duct Load Total Sensible Zone Loads Sensible ventilation Blower Total sensible gain Latent infiltration gain (for 64 gr. humidity difference) Latent ventilation gain Latent duct gain • • • • •• • •••• • •••• Latent occupant gain (5 people @ 200 Btuh per persort)• • • • Latent other gain Latent total gain TOTAL GAIN • • • • • • • S . 13673 Btuh 0 Btuh 13673 Btuh 0 Btuh • D..Btuh • • 136' :Btuh 446 •Btuh • O..Btuh • • • • b. ..Btuh 1000• Btuh • • • D. ▪ .Btuh • • • 54 % % :Btuh • 191S91'Btuh • • • • • '1. Central Unit # 23600 Btuh *Key: Window types (Pn - Number of panes of glass) (SHGC - Shading coefficient of glass as SHGC numerical value or as clear or tint) (U - Window U- Factor or 'DEF' for default) (InSh - Interior shading device: none(N), Blinds(B), Draperies(D) or Roller Shades(R)) (ExSh - Exterior shading device: none(N) or numerical value) (BS - Insect screen: none(N), Full(F) or Half(H)) (Omt - compass orientation) Version 8 For Florida residences only EnergyGauge® FLRCPB v0.. Page 2 • • • • • • • • •• • • FORM 600A -2004R EnergyGauge® 0.. FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Buildin Performance Meth • • Glass /Floor Area: 0.10 Total as -built points: 12307 Total base points: 22213 • . ..• I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code. PREPARED BY: DATE: /a- `7 /- I hereby certify that this building, as designed, is in compliance with the Florida Energy Code. OWNER/AGENT: DATE: 1 Predominant glass type. For actual glass type and areas, see Summer & Winter Glass output on pages 2 &4. EnergyGauge® (Version: FLRCPB v0..) • PASS': • • • •••• • • • •• • Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance with Section 553.908 Florida Statutes. BUILDING OFFICIAL: DATE: • • • • • • • • CEI • • • • Project Name: ORLANDO Miami Dade - Solar Builder: ROYAL CONCRETE COI Address: 11016 NW 2nd Ave Permitting Office: City, State: Miami Shores, FL 00000- Permit Number: Owner: ROYAL CONCRETE CONCEPT Jurisdiction Number: c)-3a .6e>t) Climate Zone: South 1. New construction or existing New _ 2. Single family or multi - family Single family - 3. Number of units, if multi- family 1 - 4. Number of Bedrooms 4 _ 5. Is this a worst case? Yes _ 6. Conditioned floor area OP) 1400 ft _ 7. Glass typel and area: (Label reqd. by 13- 104.4.5 if not default) a. U- factor: Description Area (or Single or Double DEFAULT) 7 a(Sngle Default) 134.6 ft b. SHGC: - (or Clear or Tint DEFAULT) 7b. (Tint) 134.6 ft - 8. Floor types a. Slab -On -Grade Edge Insulation g R =0 0 172.2(p) ft b. N/A - c. N/A _ 9. Wall types - a. Concrete, Int Insul, Exterior R =12.9, 1257.0 ft2 b. N/A c. N/A - d. N/A _ e. N/A - 10. Ceiling types - a. Single Assembly R =23.4, 1400.0 ft b. N/A _ c. N/A 11. Ducts - _ a. Sup: Con. Ret: Con. AH: Interior Sup. R =6.0, 150.0 ft b. N/A - - 12. Cooling systems a. Central Unit b. N/A c. N/A 13. Heating syste, a. Electri e. mp b. N/A c. N/A \ J \, 1 14. Hot water y terns J 1 a. Electric R ' t e b. N/A c. Conservation credits (HR -Heat recovery, Solar DHP- Dedicated heat pump) 15. HVAC credits (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, • • PT- Programmable Thermostat, • • • MZ- C- Multizone cooling, • MZ- H- Multizone heating) •••• • • •••• Cap: 23.6 kBtu/hr SEER: 13.00 Cap: 34.0 kBtu/hr HSPF: 8.50 Cap: 40.0 gallons EF: 0.92 Solar •••• • •••• • • • • • • ' • •' • •••• • • • • • _ _ - - _ - - - _ _ - _ • • • , ••• i • ••• • • FORM 600A -2004R EnergyGauge® 0.. FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Buildin Performance Meth • • Glass /Floor Area: 0.10 Total as -built points: 12307 Total base points: 22213 • . ..• I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code. PREPARED BY: DATE: /a- `7 /- I hereby certify that this building, as designed, is in compliance with the Florida Energy Code. OWNER/AGENT: DATE: 1 Predominant glass type. For actual glass type and areas, see Summer & Winter Glass output on pages 2 &4. EnergyGauge® (Version: FLRCPB v0..) • PASS': • • • •••• • • • •• • Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance with Section 553.908 Florida Statutes. BUILDING OFFICIAL: DATE: • • • • • • • • CEI • • • • FORM 600A -2004R EnergyGauge® 0.. SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i EnergyGauge® DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. BASE AS -BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Floor Area Overhang Type /SC Ornt Len Hgt Area X SPM X SOF = Points .18 1400.0 30.53 7694.0 1.Single, Tint NE 0.5 5.0 18.4 45.70 1.00 835.0 2.Single, Tint SE 0.5 5.0 25.6 66.34 1.00 1698.0 3.Singie, Tint SE 0.5 6.0 16.2 66.34 1.00 1071.0 4.Single, Tint SE 0.5 4.0 9.7 66.34 1.00 642.0 5.Single, Tint SW 0.5 6.0 22.7 60.87 1.00 1377.0 6.Single, lint SW 0.5 6.0 16.2 60.87 1.00 981.0 7.Single, Tint NW 0.5 6.0 16.2 39.52 1.00 637.0 8.Single, Tint NW 0.5 4.0 9.7 39.52 0.99 381.0 As -Built Total: 134.6 7622.0 WALL TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Adjacent 0.0 0.00 0.0 1. Concrete, Int Insui, Exterior 12.9 1257.0 0.88 1107.7 Exterior 1257.0 2.70 3393.9 Base Total: 1257.0 3393.9 As -Built Total: 1257.0 1107.7 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 1.Exterior Insulated 20.4 6.40 130.6 Exterior 20.4 6.40 130.6 •••• ••• Base Total: 20.4 130.6 As -Built Total: 20.40 • • .. . 130.6 • •• •••• CEILING TYPES Area X BSPM = Points Type R -Value Area •X.SPM X SCM = Points Under Attic 1400.0 2.80 3920.0 1. Single Assembly 23.4 140%4.47 X 1.OQ • • • • 111124 • •• • •••• Base Total: 1400.0 3920.0 As -Built Total: 1400!0 • • • • • • • • 111712$ • FLOOR TYPES Area X BSPM = Points Type R -Value ' Ar e a • X Sj M. • • Points• Slab 172.2(p) -20.0 - 3444.0 1. Slab -On -Grade Edge Insulation 0.0 17272(p : -20 .00 .. -3)4.0 ; Raised 0.0 0.00 0.0 '••••" Base Total: - 3444.0 As -Built Total: 172.2 - 3444.0 INFILTRATION Area X BSPM = Points Area X SPM = Points 1400.0 18.79 26306.0 1400.0 18.79 26306.0 FORM 600A -2004R EnergyGauge® 0.. SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i EnergyGauge® DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. FORM 600A -2004R EnergyGauge® 0.. SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i EnergyGaugeTM DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. • • • • • •• • • • • • • • • • • • • •• • • .. • • .•• • • • • • • • • a• • •••• •••• • • • • • • •• •••• • •• • • • • • •• •• •••• • •••• • • .•.• • •• • • • s••• • • • • • • • • • • • • BASE AS -BUILT Summer Base Points: 38000.5 Summer As -Built Points: 43435.1 Total Summer X System Points Multiplier = Cooling Points Total X Cap X Duct X System X Credit = Component Ratio Multiplier Multiplier Multiplier (System - Points) (DM x DSM x AHU) Cooling Points 38000.5 0.3250 12350.1 (sys 1: Central Unit 23600btuh ,SEER/EFF(13.0) Ducts: Con(S),Con(R),Int(AH),R6.0(INS) 43435 1.00 (1.00 x 1.165 x 0.90) 0.260 1.000 43435.1 1.00 1.048 0.260 1.000 11840.8 11840.8 FORM 600A -2004R EnergyGauge® 0.. SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i EnergyGaugeTM DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. • • • • • •• • • • • • • • • • • • • •• • • .. • • .•• • • • • • • • • a• • •••• •••• • • • • • • •• •••• • •• • • • • • •• •• •••• • •••• • • .•.• • •• • • • s••• • • • • • • • • • • • • FORM 600A -2004R EnergyGauge® DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. EnergyGauge® 0.. WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: • • • • • • • • • • BASE AS- BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Floor Area Overhang Type /SC Omt Len Hgt Area X WPM X WOF = Points .18 1400.0 3.60 907.0 1.Single, Tint NE 0.5 5.0 18.4 5.96 1.00 109.0 2.Single, Tint SE 0.5 5.0 25.6 4.57 1.01 118.0 3.Single, Tint SE 0.5 6.0 16.2 4.57 1.01 74.0 4.Single, Tint SE 0.5 4.0 9.7 4.57 1.02 45.0 _ 5.Single, Tint SW 0.5 6.0 22.7 5.26 1.00 119.0 6.Single, Tint SW 0.5 6.0 16.2 5.26 1.00 85.0 7.Single, Tint NW 0.5 6.0 16.2 6.09 1.00 98.0 8.Single, Tint NW 0.5 4.0 9.7 6.09 1.00 59.0 As -Built Total: 134.6 707.0 WALL TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Adjacent 0.0 0.00 0.0 1. Concrete, Int Insul, Exterior 12.9 1257.0 0.35 443.1 Exterior 1257.0 0.60 754.2 Base Total: 1257.0 754.2 As -Built Total: 1257.0 443.1 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 1.Exterior Insulated 20.4 1.80 36.7 Exterior 20.4 1.80 36.7 • • • • • • •••• ••• 1I Base Total: 20.4 36.7 As -Built Total: 20.21 • • • • !. ••• 36.7 ( worri ••• M CEILING TYPES Area X BWPM = Points Type R -Value Area 'A' Wf 1 XM WCM = Points Under Attic 1400.0 0.10 140.0 1. Single Assembly 23.4 1400044110 X 1.8(1••• 13M M. • • • •• • •• Base Total: 1400.0 140.0 As -Built Total: 1401e0 • • • • • • • IMO , • • I FLOOR TYPES Area X BWPM = Points Type R -Value • Area 'X WeM• ; Ponts• • Slab 172.2(p) -2.1 Raised 0.0 0.00 -361.6 0.0 1. Slab -On -Grade Edge Insulation 0.0 172.2 1• -2.:10 ••••• -��I'. ' Base Total: -361.6 As -Built Total: 172.2 -361.6 INFILTRATION Area X BWPM = Points Area X WPM = Points 1400.0 -0.06 -84.0 1400.0 -0.06 -84.0 FORM 600A -2004R EnergyGauge® DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. EnergyGauge® 0.. WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: • • • • • • • • • • FORM 600A -2004R WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i EnergyGauget DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. •••• • • •••• • • • • •• • •• • • • • • •• • •••• •• • • • •• •• EnergyGauge® 0.. • • • • • • • • ••• •• • • ••• • • • • • • • • • • • • • • • • •••• • • • • •••• • • • • • •• • • • • • • • • BASE AS -BUILT Winter Base Points: 1392.3 Winter As -Built Points: 877.6 Total Winter X Points System = Multiplier Heating Points Total X Cap Component Ratio (System - Points) X Duct X System X Credit = Multiplier Multiplier Multiplier (DM x DSM x AHU) Heating Points 1392.3 0.5540 771.3 (sys 1: Electric Heat Pump 34000 btuh ,EFF(8.5) Ducts :Con(S),Con(R),Int(AH),R6.0 877.6 1.000 (1.000 x 1.137 x 0.91)0.401 1.000 364.3 877.6 1.00 1.035 0.401 1.000 364.3 FORM 600A -2004R WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i EnergyGauget DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. •••• • • •••• • • • • •• • •• • • • • • •• • •••• •• • • • •• •• EnergyGauge® 0.. • • • • • • • • ••• •• • • ••• • • • • • • • • • • • • • • • • •••• • • • • •••• • • • • • •• • • • • • • • • FORM 600A -2004R EnergyGauge® 0.. WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i I PASS EnergyGaugeTm DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. •••• • • • • •••• • .• • • • • •• •••• • • • • •• •• • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • •••• • • • • • • • • • • • • • • •• • • • • • BASE AS -BUILT WATER HEATING Number of X Bedrooms Multiplier = Total CODE COMPLIANCE STATUS Number of X Tank X Multiplier X Credit = Total Bedrooms Ratio Multiplier 4 2273.00 BASE 9092.0 40.0 0.92 As -Built Total: 4 1.00 2273.00 0.01 102.3 102.3 AS -BUILT Cooling Points + Heating Points + Hot Water Points = Total Points Cooling Points + Heating Points + Hot Water Points = Total Points 12350 771 9092 22213 11841 364 102 12307 FORM 600A -2004R EnergyGauge® 0.. WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i I PASS EnergyGaugeTm DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. •••• • • • • •••• • .• • • • • •• •••• • • • • •• •• • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • •••• • • • • • • • • • • • • • • •• • • • • • BASE AS -BUILT WATER HEATING Number of X Bedrooms Multiplier = Total Tank EF Volume Number of X Tank X Multiplier X Credit = Total Bedrooms Ratio Multiplier 4 2273.00 9092.0 40.0 0.92 As -Built Total: 4 1.00 2273.00 0.01 102.3 102.3 FORM 600A -2004R EnergyGauge® 0.. WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: i I PASS EnergyGaugeTm DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. •••• • • • • •••• • .• • • • • •• •••• • • • • •• •• • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • •••• • • • • • • • • • • • • • • •• • • • • • COMPONENTS SECTION COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 612.1.ABC.3.2. Switch or clearly marked cir breaker (electric) or cutoff (gas) must be provided. External or built -in heat trap required. 606.1.ABC.1.2.1 Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78 %. 606.1.ABC.1.2.2 Shower heads 612.1 Water flow must be restricted to no more than 2.5 minute 80 PSIO.• • • 606.1.ABC.1.2.3 Air Distribution Systems 610.1 gallons per at All ducts, fittings, mechanical equipment and plenum chambers shane mecharliM attached, sealed, insulated, and installed in accordance with the ciiteria of Seaoo 610. Ducts in unconditioned attics: R -6 min. insulation. • • • • • • • HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for 13g5 ••••.. �1. y s stem. I Insulation 604.1, 602.1 •••• Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R -3 boll side. • • Common ceiling & floors R -11. • • • • • • • • •• •• •••• _� • Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. il COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows & Doors 606.1.ABC.1.1 Maximum:.3 cfm/sq.ft. window area; .5 cfm/sq.ft. door area. Exterior & Adjacent Walls 606.1.ABC.1.2.1 Caulk, gasket, weatherstrip or seal between: windows /doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at corners; utility penetrations; between wall panels & top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to, the foundation to the top plate. Floors 606.1.ABC.1.2.2 Penetrations /openings >1/8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. Ceilings 606.1.ABC.1.2.3 Between walls & ceilings; penetrations of ceiling plane of top floor, around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier, gaps In gyp board & top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seams. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non -IC rated, installed inside a sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2.0 cfm from conditioned space, tested. Multi-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. FORM 600A -2004R 6A -21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST 6A -22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) EnergyGauge® 0.. Code Compliance Checklist Residential Whole Building Performance Method A - Details I ADDRESS: 11016 NW 2nd Ave, Miami Shores, FL, 00000- PERMIT #: EnergyGaugem DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v0.. • • • • • • ••.• • • • • ••. • • • • • •• • • • • • • • ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD 1. New construction or existing 2. Single family or multi-family 3. Number of units, if multi - family 4. Number of Bedrooms 5. Is this a worst case? 6. Conditioned floor area (ft ESTIMATED ENERGY PERFORMANCE SCORE* = 89.7 The higher the score, the more efficient the home. ROYAL CONCRETE CONCEPT, 11016 NW 2nd Ave, Miami Shores, FL, 00000- New Single family 1 4 Yes 1400 ft 7. Glass typel and area: (Label reqd. by 13- 104.4.5 if not default) a. U- factor: Description Area (or Single or Double DEFAULT) 7 a(Sngle Default) 134.6 ft b. SHGC: (or Clear or Tint DEFAULT) 7b. (Tint) 134.6 ft b. N/A 8. Floor types a. Slab -On -Grade Edge Insulation R =0.0, 172.2(p) ft c. N/A b. N/A c. N/A 14. Hot water systems 9. Wall types a. Concrete, Int Insul, Exterior R =12.9, 1257.0 ft _ b. N/A c. N/A d. N/A e. N/A 10. Ceiling types a. Single Assembly R =23.4, 1400.0 ft _ b. N/A c. N/A 11. Ducts a. Sup: Con. Ret: Con. AH: Interior Sup. R =6.0, 150.0 ft b. N/A a. Central Unit b. N/A c. N/A 13. Heating systems a. Electric Heat Pump 12. Cooling systems I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: Date: a. Electric Resistance Cap: 40.0 gallons EF: 0.92 b. N/A c. Conservation credits Solar _ (HR -Heat recovery, Solar DHP- Dedicated heat pump) 15. HVAC credits _ (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, MZ- C- Multizone cooling, ••••• • MZ- H- Multizone heating) • •'. • •••• •• • •• • ' • • • • • •• • •••• • • •••• • .• • • • • • : • •• Address of New Home: City/FL Zip: *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA /DOE EnergyStar your home may qual for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -1492 or see the Energy Gauge web site at www.fsec.ucf edu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487 -1824. 1 Predominant glass type. For actual glass type and areas see Summer & Winter Glass output on ages 2 &4. EnergyGauge�� (Version: FLRCP v0..) Cap: 23.6 kBtu/hr _ SEER: 13.00 • • Cap: 34.0 kBtu/hr _ HSPF: 8.50 • • • .• •.. • • • •• • •.•. • • Location for weather data: West Palm Beach - Defaults Latitude(26) Altitude(15 ft.) Temp Ra 1413 irzuuo nge(M) Humidity data: Interior RH (50 %) Outdoor wet bulb (78F) Humidity difference(64gr.) Winter design temperature Winter setpoint Winter temperature difference 47 F 70 F 23 F Summer design temperature Summer setpoint Summer temperature difference 90 F 75 F 15 F Total heating load calculation 14927 Btuh Total cooling load calculation 19139 Btuh Submitted heating capacity Total (Electric Heat Pump) Heat Pump + Auxiliary(0.0kW) % of calc Btuh 227.8 34000 227.8 34000 Submitted cooling capacity Sensible (SHR = 0.75) Latent Total (Electric Heat Pump) % of calc Btuh 129.4 17700 107.9 5900 123.3 23600 Load component Load Load Window total 135 sqft 6641 Btuh Wall total 1257 sqft 1306 Btuh Door total 20 sqft 186 Btuh Ceiling total 1400 sqft 1498 Btuh Floor total 1400 0 Btuh Infiltration 103 cfm 1693 Btuh Internal gain Btuh 2350 Btuh Duct gain 2466 0 Btuh Sens. Ventilation 0 cfm 0 Btuh Total sensible gain 13673 Btuh Latent gain(ducts) Ventilation 0 Btuh Latent gain(infiltration) Btuh 4466 Btuh Latent gain(ventilation) 14927 0 Btuh Latent gain(intemal /occupants /other) 1000 Btuh Total latent gain 5466 Btuh TOTAL HEAT GAIN 19139 Btuh Load component Load Window total 135 sqft 3933 Btuh Wall total 1257 sqft 2365 Btuh Door total 20 sqft 164 Btuh Ceiling total 1400 sqft 1325 Btuh Floor total 172 sqft 4674 Btuh Infiltration 98 cfm 2466 Btuh Duct loss 0 Btuh Subtotal 14927 Btuh Ventilation 0 cfm 0 Btuh TOTAL HEAT LOSS 14927 Btuh Residential System Sizing Calculation Summary Project Title: ORLANDO Miami Dade - Solar ROYAL CONCRETE CONCEPT 11016 NW 2nd Ave Miami Shores, FL 00000- Winter Heating L Summer Cooli WINTER CALCULATIONS SUMMER CALCULATIONS Version 8 For Florida residences only EnergyGauge® FLRCPB v0.. IntL(32%) Latent trternai(5%) Urt.Gafn(12%) • • • • • •• • • • Code Only Professional Version Climate: South • ••. •••• •• • • • • • •• • • • • • • Str • •• • • • •••• •••. ••• • • • • EnergyGauge® Sy zing PREPARED BY: DATE: ja'T( -• • •• . • • • • • •• • • • • • •• CeiOrga(8%) 0 � s- NM�LOCON-03 Panes /SHGC /Frame /U Orientation Area(sqft) X HTM= Load 1, Tint, Metal, 1.27 SW 18.4 29.2 1, Tint, Metal, 1.27 NW 25.6 29.2 1, Tint, Metal, 1.27 NW 16.2 29.2 1, Tint, Metal, 1.27 NW 9.7 29.2 1, Tint, Metal, 1.27 NE 22.7 29.2 1, Tint, Metal, 1.27 NE 16.2 29.2 1, Tint, Metal, 1.27 SE 16.2 29.2 1, Tint, Metal, 1.27 SE 9.7 29.2 Window Total 135(sgft) 536 Btuh 749 Btuh 472 Btuh 284 Btuh 662 Btuh 472 Btuh 472 Btuh 284 Btuh 3933 Btuh Walls 1 Type R -Value Area X HTM= Concrete Blk,Filled - Ext(0.08) 12.9 1257 1.9 Wall Total 1257 Load 2365 Btuh 2365 Btuh Doors 1 Type Area X HTM= Insulated - Exterior 20 8.1 Door Total 20 Load 164 Btuh 164Btuh Ceilings 1 Type /Color /Surface R -Value Area X HTM= Single Assembly /D /Shin 23.4 1400 0.9 Ceiling Total 1400 Load 1325 Btuh 1325Btuh Floors 1 Type R -Value Size X HTM= Slab On Grade 0 172.2 ft(p) 27.1 Floor Total 172 Load 4674 Btuh 4674 Btuh Zone Envelope Subtotal: 12461 Btuh Infiltration Type ACH X Volume(cuft) walls(sqft) CFM= Natural 0.38 15400 1257 97.5 • - . •..• : 2466,Btuh. • . • •• Ductload Average sealed, Supply(R6.0- Cond.), Return(R6.0- CondiDLM of 0.000) • • ,••••, 0.l3tUM , •••• •••• Zone #1 Sensible Zone Subtotal • .. t • 14927 l�uM • System Sizing Calculations - Winter Residential Load - Whole House Component Details Project Title: Code Only NW 2nd Ave ORLANDO Miami Dade - Solar Professional Version Miami Shores, FL 00000- Climate: South Reference City: West Palm Beach (Defaults) Winter Temperature Difference: 23.0 F 12/31/2008 This calculation is for Worst Case. The house has been rotated 225 degrees. 'AL CONCRETE CONCEPT • • • . . .. • EnergyGauge® FLRCPB v0.. Page 1 • • • • • • • • • • • • •. • • • • • Manual J Winter Calculations Residential Load - Component Details (continued) ROYAL CONCRETE CONCEPT Project Title: Code Only 11016 NW 2nd Ave ORLANDO Miami Dade - Solar Professional Version Miami Shores, FL 00000- Climate: South 12/31/2008 Subtotal Sensible Ventilation Sensible Total Btuh Loss 14927 Btuh 0 Btuh 14927 Btuh 1. Electric Heat Pump # 34000 Btuh Key: Window types (SHGC - Shading coefficient of glass as SHGC numerical value or as clear or tint) (Frame types - metal, wood or insulated metal) (U - Window U- Factor or'DEF' for default) (HTM - ManualJ Heat Transfer Multiplier) Key: Floor size (perimeter(p) for slab -on -grade or area for all other floor types ) Version 8 For Florida residences only • • • • • •• • • • • • • • • • •••• • • •• • • • • •••• •• • S . • • • • • S • • •••• • •• • • • • • • • S . • • • • • • •••• • • • • •••• • • • • • •• • • •• • • • • • EnergyGauge® FLRCPB v0.. Page 2 Window Type* Pn/SHGC /U /InSh/ExSh /IS Omt Overhang Len Hgt Window Area(sqft) Gross Shaded Unshaded HTM Shaded Unshaded Load •-- N 03 Ir) CO 1` CO 1, Tint, 1.27, None,N,H SW 1, Tint, 1.27, None,N,H NW 1, Tint, 1.27, None,N,H NW 1, Tint, 1.27, None,N,H NW 1, Tint, 1.27, None,N,H NE 1, Tint, 1.27, None,N,H NE 1, Tint, 1.27, None,N,H SE 1, Tint, 1.27, None,N,H SE Window Total 0.5ft 0.5ft 0.5ft 0.5ft 0.5ft 0.5ft 0.5ft 0.5ft 5ft. 5ft. 6ft. 4ft. 6ft. 6ft. 6ft. 4ft. 18.4 0.3 18.0 25.6 0.0 25.6 16.2 0.0 16.2 9.7 0.0 9.7 22.7 0.0 22.7 16.2 0.0 16.2 16.2 0.5 15.6 9.7 0.2 9.5 135 (sqft) 27 27 27 27 27 27 27 27 50 49 49 49 49 49 50 50 904 Btuh 1267 Btuh 799 Btuh 481 Btuh 1121 Btuh 799 Btuh 792 Btuh 478 Btuh 6641 Btuh Walls 1 Type R- Value /U -Value Concrete Blk,Filled - Ext 12.9/0.08 Wall Total Area(sqft) 1257.0 1257 (sqft) HTM 1.0 Load 1306 Btuh 1306 Btuh Doors 1 Type Insulated - Exterior Door Total Area (sqft) 20.4 20 (sqft) HTM 9.1 Load 186 Btuh 186 Btuh Ceilings 1 Type /Color /Surface R -Value Single Assembly/DarkShingle 23.4 Ceiling Total Area(sqft) 1400.0 1400 (sqft) HTM 1.1 Load 1498 Btuh 1498 Btuh Floors 1 Type R -Value Slab On Grade 0.0 Floor Total Size HTM 172 (ft(p)) 0.0 172.2 (sqft) Load 0 Btuh 0 Btuh Zone Envelope Subtotal: 9630 Btuh Infiltration Type ACH Volume(cuft) wall area(sqft) SensibleNatural 0.40 15400 1257 CFM= 102.7 Load 1693 Btuh Internal gain Occupants 5 Btuh /occupant X 230 + Appliapce 12(10. • • : Loricj • • • 2150 6tuh Sensible Envelope LoaZi78 : • • • 136738tuh • Duct load Average sealed, Supply(R6.0- Cond.), Retum(R6.0 -Cond) (DGM of 0.007 • 8 0 8 B uh .•-• Sensible Zone Loac: : : :: •••••• •••• 1363 tuh System Sizing Calculations - Summer Residential Load - Whole House Component Details Project Title: Code Only 11016 NW 2nd Ave ORLANDO Miami Dade - Solar Professional Version Miami Shores, FL 00000- Climate: South ROYAL CONCRETE CONCEPT Reference City: West Palm Beach (Defaults) Summer Temperature Difference: 15.0 F This calculation is for Worst Case. The house has been rotated 225 degrees. 12/31/2008 • .• • • • • • • • • •• • ••• • • •. .• • •• • • • • • • EnergyGauge® FLRCPB v0.. Page 1 ROYAL CONCRETE CONCEPT Manual J Summer Calculations Residential Load - Component Details (continued) Project Title: Code Only 11016 NW 2nd Ave ORLANDO Miami Dade - Solar Professional Version Miami Shores, FL 00000- Climate: South Whole House Totals for Cooling Sensible Envelope Load All Zones Sensible Duct Load Total Sensible Zone Loads Sensible ventilation Blower Total sensible gain Latent infiltration gain (for 64 gr. humidity difference) Latent ventilation gain Latent duct gain Latent occupant gain (5 people @ 200 Btuh per person) Latent other gain Latent total gain TOTAL GAIN 13673 0 13673 0 0 13673 4466 0 0 1000 0 5466 19139 Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh 1. Central Unit # • 2 *Key: Window types (Pn - Number of panes of glass) (SHGC - Shading coefficient of glass as SHGC numerical value or as clear or tint) (U - Window U- Factor or'DEF' for default) (InSh - Interior shading device: none(N), Blinds(B), Draperles(D) or Roller Shades(R)) (ExSh - Exterior shading device: none(N) or numerical value) (BS - Insect screen: none(N), Full(F) or Half(H)) (Omt - compass orientation) • • • 12/31/2008 • • • :Version For i clorida re l only • • • •••5 • •• • • •• • • EnergyGauge® FLRCPB v0.. Page 2 • • • • • • • • • • f 801 Pike Road West Palm Beach, Florida 33411 Phone: 561 - 689 -3987 Fax: 561 - 689 -0407 E -Mail: PERMITENG @aol.com STRUCTURAL CALCULATIONS FOR Adnac Residential Modules Comment Response ROYAL CONCRETE CONCEPT WEST PALM BEACH, FLORIDA 09 -29 -08 ••• • • • • •••• • • • .. • •• • • • • • •• • • • .. • • • • •. .. • .. • • •... • • •• • • . • • • • • •• •. • ? 4 08 BY: ALBERT KWAN P.E. • • • • .... • •• • . • •• • • • .o I ES 0 1 dz. 0 „--711REAbv. I A LT ft P4 r A A t. 0 I/JAM- Loat,,..,t (54,m e 0 •_,2,- 0 ., Klp$ ('fa eJf ) (a) (zfp.r L" ( 60) k-epi 7. 51 kpS SE ctiA fa teht. r 10 0.53'35)(o,‘ (0). -1 ) Jot" '" pst) ( I 1,g7') 1 P 1.41 ?Es e 5 ' 0" X - ''' [It Se. SA) k at) C 0,$33) ig)( 8) 6082 kips x 52) + D•651) # Pf(*4 /54 ().983) 4 14.6” 7,5%4. 0.E45q 4:754- 0,183' case) Y A...a t A t 5. — 41.6 5,11" e tz.?2" KO MO IASt: §r1.. 4 SoL,E 4s it C.8a gt-74.-41.1E-44 set-. 14. 1 , 6f s 000 frKTWVvErit'T I/ tiCria . &ton t • t.J00-31 4 1.106t4LE A itZt•-o" Z. lele-oe spr • • OTWER- 1.0 I lte4:44a- '. • • • . . • 41 • • • • '4, •• • L 'l�) ( 1 • • •••• • • • •• • • •••• •••• Si- ..S74c•44 C r* .2 L4:4" 11 c.b1.41 3 - S ToP a , Tiferati, , 0 ,115 p5k 2.7.1 Ksi 2 z ,1 tcs f ) - Dia - -r4e e.,a Izsq‘e4P.f i-IE r-IT Cp4.4}0 3.04, 5) , - rt46 'DEN-$.1 OF 1HE etc.-E %E.Atis HM aEE,.., 1.3cP (SEE SHee, c-‘). mi,s c t-tap.t.e T..e.siAL, ■ 0 A - wecci. 14 st IN E.:Cc ei.44-41 RE,,,, THE 4.joksr (I E 4 S gape.,SSEmTe I, Ra ze , • • • • • • • vz.- ic-s F st.t. • • • • • • • • • • • • • • • Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 &A Owner or Agent The foregoing instrument was acknowledged before me this _ day of Yen , 20 , by who is personally known to me or who has produced r P • I NOT Sign: Print My Co Chc 05/13/03 As scion xpires: did take an oath. 42(stott Adt eP ade Signa NOTARY P Sign Contractor The foregoing instrument was acknowledged before me this,. day of Wo' , 20 ' by (PE/pis (PE/pi 1'1O t9 Iin, who is ' ersonall All own to me or who M y Commission Expires: Sp /Or ************ * * * * * * * * * * * * * * * * * * * * * * * * * * *; *., **** y:***************************** * * * * * * ** * * * * * ** * ** * * **p ** * * ** ** APPLICATION APPROVED BY: / Z `° 4' C 0 Plans Examiner Engineer Zoning f Rev. 860000 Use: KW4807851, Vat 5.6.0,1 •oec-2003 ()1883 -2003 ENERCALC Engtneer4tto Soltxrere Combined Footing Design Page 1 ednaa.emACalevtatiom Description Footing Reinforcement LGeneral Information Code Ref: ACI 318 - 02,1997 UBC, 2003 IBC, 2003 NFPA 5000 Allow Soli Bearing Seismic Zone Concrete Wt Short Term Increase Overburden L bimensions Footing Size... Distance Left Dist. Betwn Cots Distance Right Footing Length Width Thickness Vertical Loads... Dead Load Live Load Short Term Load Length = 20.00ft, Width = 2.00ft, Maximum Soil Pressure Allowable Max Shear Stress Allowable Min. Overturning Stability Soil Pressure © Left Dead + Live teed +LIve+Short Term Soil Pressure @ Right End Dead + Live Dead+Ltve +Short Term Stability Ratio Moments... Mu @ Col #1 Mu Btwn Cots Mu © Col #2 One Way Shears... Vn : Allow' 0.85 Vu X07 Coi #1 Vu Btwn Cass Vu Col #2 Two Way Shears... Vn : Allow * 0.55 Vu Col #1 Vu (§) Cal #2 2,500.0 psf 0 145.0 pcf 1.00 0.00 psf 5.00 ft 10.00 ft 5.00 ft 20.00 ft 2.00 ft 12.00 in Loads •• • •• • Note: Load factoring supports 2003 IBC and 2003 NFPA 5000 by virtue of their references to ACI 318 -02 for concrete A • Factoring of entered loads to ultimate loads within this program Is according to ACI 318-02 0.2 Thickness = 12.00In, Dist. Left = 5.00ft, Btwn. =10.00ft, Disk Right = 5.00ft : . • 801.00 pat 2,500.00 psf 59.72 psi 186.23 psi 999.000 :1 Actual Allowable 801.0 2,500.0 psf 801.0 2,500.0 psf 801.0 801.0 999.0 :1 ACI C-1 11.07 k -ftlft 11.07 k -loft 11.07 k-ftift 93.113 psi 37.245 psi 37.317 psf 37.245 psi 186.226 psi 59.723 psi 59.723 psi fc 3,000.0 psi Fy 60,000.0 psi Min As Pet 0.0018 Distance to CL of Reber 3.50 in Live & Short Term Load Combined gip Left Column 8.220 k 4.900 k k 2,500.0 psf 2,500.0 psf Title : Adnac Residential Job # Detain Date: 4 :14PM, 22 SEP O8 Description : Scope : Column Support Pedestal Sizes #1 : Square Dimension ...Height #2 : Square Dimension ...Height Steel Req'd Left Steel Req'd @ Center Steel Req'd @ Right ACI Factored Eq. C -1 1,059.2 psf Eq. C-2 794.4 psf Eq. C•3 500.4 psf Eq. C-1 1,059.2 psf Eq. C-2 794.4 psf Eq. 0-3 500.4 psf Moment & Shear Summary ( values for moment are given per unit width of footing) ACI 0-2 8.30 k-f /fl 8.30 k-fUft 8.30 k-ft/ft 93.113 psi 27.934 psi 27.988 psi 27.934 psi 186.228 psi 44.792 psi 44.792 psi d Right Column 8.220 k 4.900 k k 0.00 In 0.00 In 0.00 in 0.00 In • • .. • • •• •• FolingfDDsign 036 •• • 0.340 in21ft 0.340 in2 /ft 0.340 in2/ft AC1 C -3 4.62 k -ftlfl 4.62 k -fifft 4.62 k-ft/ft 93.113 psi 15.564 psi 15.594 psi 15.564 psi 186.226 psi 27.804 psi 24.956 psi • • • • • • Eccentricity 0.000 ft 0.000 ft 0.000 ft 0.000 ft •••• • • • • •••• • • • • • • • • • • • • •••• • • • • • • .• Combined Footing Design Page 2 ednesecwCahxdatIons Rev: 580000 user. KW-0867651 Vet5.8.0, l- Dec-2003 4t »1953.2003 ENE? CALL Rsgleaeiing Software Description Footing Reinforcement [Reinforcing ( values given per unit width of footing ) (Si Left Edge of Cal #1 Ru/Phi As Recd ACI C-1 170.17 psi 0.340 in2ttt @ Bottom ACI C -2 127.62 psi 0.2961n2fft t Bottom ACI C-3 71.11 psi 0.259 in2ift @ Bottom LACI Factors (per ACI. applied internally to entered loads) I ACI C-1 & C-2 DL ACICI &C -2 Li ACI C-1 & C-2 ST ....seismic = ST' : 1.200 1.600 0.800 1.100 71,11 psi ACI C-2 Group Factor ACI C -3 Dead Load Factor ACI C-3 Short Term Factor Title : Adnac Residential Job # Dsgnr: Date: 4 :14PM, 22 SEP 08 Description Scope : Between Catumns RuiPhi As Req'd 170.17 psi 0.340 in2ift a@ Bottom 127.62 psi 0.296In2ift @ Bottom 0.259 1n2/ft @ Bottom Col Rlnht Edpe of Col #2 Ru/Phi As Req'd 170.17 psi 0.340 in21ft @ Bottom 127.62 psi 0.2961n2ift @ Bottom 71.11 psi 0.750 Additional Seismic 9.4" Pack 0.900 Additional Seismic "0.9" Facto 1.300 0.259In2Ht @ Bottom • • • • •• • • •• •• • • •• • • •• •• • • • 1.400 0.900 •••• • • •••• • • • • • • • • • • • • •••• • • • • • • •••• • • 3 • • • • • • • • • • • •••• • • • • •••• • • • • • • •• • • •• • • • • INC. 1 4C. HWC GOA 8 to2r • • • • • • • • • • • • • •• • • • • • • • • • • • • • • ••• • • • • ••• AGEWCV APPROVAL These prints t OI ly with the Florida] Manursrtiarad .Act of 19718 Cor+•fru?:t?r+n Crde n,t4 adhere to the folios/Mg ortearis: Cot Tvne ficomerni of ri.3!7rc Wise v. s oni►n /S g Se J fire PO,ur of B. Wails Plan No .? -0 /61F Allow. floor Load '" /..I Approval [sake tAanufanturer Approved for High B ona . • • • • •• • • •• •• • • ••• • • • • • • • • • • • • ••• • • • • • • • • • • • • • • •• • • • • •• • • •• • • • • •• TO THE BEST OF MY KNOWLEDGE THESE D COMPLETE AND COMPLIES W1 2004 FBC + 2( SUPPLEMENTS, AND THE FLORIDA FIRE PRI SEE SITE PLAN, PREPARED BY OTHERS, FC FOLLOWING INFORMATION: THE MINIMUM CRITERIA FOR PARKING, FIF SETBACKS, BUILDING SEPARATION & TABL REQUIREMENTS, WALKWAYS, SITE ACCES: ETC. PLAN REVIEW NO FIRE SAFETY PLAN REVIEW AND INSPECTION 15 RESERVEL AUTHORITY RAVING JURISDICTION. WINDOWS AND DOORS MUST BE CERTIFIED FOR GOMPLIAN PRESSURES FOR COMPONENTS AND CLADDING. THESE PLANS SHALL COMPLY WITH RULE 0B-12. (PRODUCT RAISED SEAL SET OF PLANS ARE ON FILE IN THIRD PART DIRECTED BY THE DCA. Sincerel February 20, -2008 Royal Concrete Concept, Inc 3800 N.W. 16th Blvd. Suite Okeechobee, FL 34972 A RE: Manufacturer: Royal Concrete Concept S/N Size & Occupancy RE5828 HWCPIan# :2026 -01 69F 28 X 58' R -3 To Whom It May Concern: .... This is to certify • • • fy that the • • • :• • • • • reviewed and approved plans or the referenced manufactured f •• • • pproved as being in compliance with the 2004 Florida building des (7 . • .... • • • Standards, with 2005/06/07 supplement, as noted on the a pproved drawin the following limitations: • • • • •. • • II �•�ect to • ••• 1. Approval covers factory -belt strut • built Approval ur ture • only (Note • e on site voids state approval) Any alterat;ori 2. Itern.s installed at the site are subject to review, the local • t., F _. _ • ••••• • 3. The Chapter 633 Plan Review jurisdiction. approval, and inspection by •••• fire safety and Inspection shall be conducted by local y the Si Y inspector Signed and sealed plans shall be on file with HWC Engineering. 5. IS approved for High Velocity Hurricane Zone (i.e. B owar Counties). ( roward and Dade HILB R WERhTE CARTER & ASS CIATES, INC. -Rev_iewe{ HILBORN, WERNER, CARTER AND ASSOCIATES, INC. 1627 SOUTH MYRTLE AVENUE CLEARWgTER, FLORIDA 33756 FAX: (727) 586 -3343 ( 5 84-8151 7) Modular / (727) 585 -2392 / (727) 587 -0447 Dapla Inspection ENGINEERING • INSPECTIONS CERTIFICATIONS • TESTING • • • 2 REPORT OF SUBSURFACE SOIL EXPLORATION GEOTECHNICAL EVALUATION AND RECOMMENDATIONS I mcznYsit OCT 2 1 fa RD APPROVED ZONING DEPT Miami Shores Village BY DATE BLDG DEPT SUBJECT TO COMPLIANCE `fie ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS ADANAC DEVELOPMENT & CONSTRUCTION SERVICES, INC. 100 NE 84 STREET, SUITE 200 MIAMI, FLORIDA 33138 PROPOSED RESIDENCE 11016 NW 2n AVENUE MIAMI SHORES, FLORIDA OCTOBER 2008 Prepared for: ING AND ENGINEERING SERVICES, INC. 13370 SW 131` Street, Suite 105 Miami, Florida 33186 I Project Address 11016 2 Avenue Miami Shores, FL 33138- Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Address Expiration: 08/22/2009 Parcel Number 1121360020250 Block: Lot: Phone NHS HOUSING DEVELOPMENT LLC 100 84 Street MIAMI FL 33138- MEMVANISMISICVMMENN Contractor(s) PLUMBING BY SALOMON Phone 305 - 935 -9214 Cell Phone Valuation: Total Sq Feet: Type of Work: PLUMBING Type of Piping: MODULAR HOME Additional Info: Bond Return : Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $175.00 $3.00 $4.37 $183.17 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy February 27, 2009 Invoice # PL -2 -09 -34022 Check #: 6337 Total Amt Paid Amt Due $ 183.17 $ 183.17 $ 0.00 Applicant NHS HOUSING DEVELOPMENT I -2 February 27, 2009 Date Cell $ 1,000.00 0 Available inspections: Inspection Type: Top Out Re Pipe Main Drain Underground Rough Heater Water Service Final Water Main Lavatory 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. 1 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titlehdlder) /V S 1400Si ricDe,Vej '° A °• J- i Tho 36S- 7 C0 S '� Owner's Address 100 A,J& * aO City Al ((Alai State Tenant/Lessee Name E -MAIL: Job, Address (where the work is being done City Ai/A e s Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Value of Work For this Permit $ Work: Submittal Fee $ Permit Fee $ Notary $. Scanning $ r & Bond $ Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Co vv //0/ .6 /Ow' 111 • County Miami -Dade Contractor's Company Name f L6ss Fay tAoe1 Phone # .,„ 5 GR O o t - i'1 Contractor's Address l Q GAD RS Ott . -Tea& Iv , Kit City i State Zip - a - 3 t1-1 Qualifier Name aO •1? 4. L c Phone # State Certificate or Registration No. r° S in Certificate of Competency No. E -MAIL• rrt.kiV5V/ s* } .. Architect/Engineer's Name (if applicable) Type of Work: ❑Addition ['Alteration ******* * * * * * * * *x * * * * * ** * * * **** * * *iex** **F Training /Education Fee $ Radon $ Code Enforcement $ NO X New DPBR $ Zip SepeAr Per r evue; dam, ti Double Fee $ Permit No. P Master Permit No. OS 0 Phone # /f f Zip 1 . 1 R Phone # /4, Square / Linear Footage Of Work: D Repair /Replace Total Fee Now Due $ IIECMIEVri FEB 1 2009 BY: -a4-1 ❑ lbemolition )92/eft 4 F A-U CCF $ O . QC CO /CC Technology Fee $. • 1 Zoning $ 1 65.1 See Reverse side - Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Signature Owner or Agent The foregoing insI twi; was cLcnowle 11. . . : Qr, r Lintz Nt day of `� om ✓'I 0 �. �� , a I1, r . who is personalr�® thi As NOTARY PUBLIC: Sign: Print: My Commission Expires: xxxxxxle eYx�ltatx�' edr,}�;x�x,x,�,q,t,�,Fxxxxxxxa4 orx�xA, x9cx #xxx APPLICATION APPROVED BY: (Revised 02/08/06) State State m/4 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 rmmenceme �, ' for the first inspection which occurs seven f g p ermit is issue ice, the ed at the job site (7) days after the building r a absence of such poster - .:. inspection will not be approved and a reinspection fee will be charged. The fore oi, . in day of who is personally kno as ide NOTARY PUBLIC: Sign: Print: My Commission Expires: ..***w*** :xsY.knFd **..xxxx xx iYxxnx oYu** ******* ******* *** *xx **x* ****xx yr-e>z-te-ty( and who did take an oath. Plans Examiner Engineer Zoning c# 401692 �,p 9 1.0'0N 111N1i3d ld `IWVIW OI 3OYISOd 'S'n SSY13ISHId l 6 1 11 111 1 11 11 1l 111 ti1 111 11 1 11 1i 1 1 111 "1 6L1££ ld H3V3H IWVIW N Nd31 ZIZ 3N 0901 SOI3V1Vd NOWO1VS NOWO1VS AR 9NIHWOld OHVMHOI ION o0 1 S /?J3)INOM £8'78h03d3 031V1S £- 2151£Z 'ON Id1333H 1tlp13N3S /lVd ION 00 V ION SI SIHI 116 s- .6X15 - VS 113idVH3 3003 l4LNOW 011NVnsUnd SS3NISn9 i0 33Vld IV O3AY ldSIO 38 1Sow 60OZ; 'GE '1d3S S31:1IdX3 YONIOld d0 3IVJS - JU.Nf103 3aV0-IWVW4 6008 1413338 XVi SS3NISn8 SOON 3019 1i3H1O 339 05'Z80000 1 000Z/00/0I NO133rloa X51 IINno3 3aV0 - 111Vl1 03A1333H 1N3LNAVd NOI1 -V0131T5fO S.H3010H 3H1 jO N011V3ldlf1133 V ION SI Val - WI AS 03131110311 1d1333H 80 118113d 113H10 ANS SOH! 113010H 3H11d53X3II 3300 HON "S3I118 HO A111003 3HLAO SMV1 OHI802 H0 AH01V'1n03H Ho ONILSIX3 ANV 31V101A 0l H3010H 3H111WH3d ION 5300 II id1303H XVI SS3NISna 15301 V 1180 St SIH1 dO13VS1NO3 9NIHWAId 961 sseulsng ;o adAj •saS SOI3V1Vd NOWO1YS I3NMO A1N003 MVO NINO 6L1££ SS31 ZIZ 3N 0901 NOWO1YS AS 9NIgWnld NOLLV3O1 13WVN S 3NIS1 MET 14 IINVIW 9:1001d jdlb 1 8 0133 11 0 3 XY1 A114n00 30V0-XWYIW STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# 60810020154 The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date; AUG 31, 2010 PALACIOS, SALOMON PLUMBING BY SALOMON 1060 N 3 212 TERRACE NORTH MIAMI BEACH FL 33179 CHARLIE CRIST GOVERNOR DISPLAY AS REQUIRED BY LAW CHARLES W. DRAGO SECRETARY Inspection Number: INSP- 106928 Scheduled Inspection Date: February 19, 2010 Inspector: Hernandez, Rafael Owner: , Job Address: 11016 NW 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: PLUMBING BY SALOMON Building Department Comments SEWER LINE FOR CONNECTION BETWEEN THE HOUSE & SEPTIC SYSTEM Passed X Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 2 February 18, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: PL -2 -09 -247 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360020250 Phone: 305 - 935 -9214 Page 2 of 14