1077 NE 91 Terr (10)1
FORM 600A -97
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Project Name:
Address:
City, State:
Owner:
Climate Zone:
I. 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 3
5. Is this a worst case? No
6. Conditioned floor area (ft') 1225 ft'
7. Glass area & type
a. Clear - single pane 0.0 ft _
b. Clear - double pane 0.0 ft' _
c. Tint/other SC /SHGC - single pane 167.0 f1
d. Tint/other SC /SHGC - double pane 0.0 ft
8. Floor types
a. Slab -On -Grade Edge Insulation R =0.0, 154.0(p) ft
b. N/A
c. N/A
9. Wall types
a. Concrete, Int Insul, Exterior R =4.2, 983.0 ft' _
b. N/A
c. N/A
d. N/A
e. N/A
10. Ceiling types
a. Single Assembly R =19.0, 1225.0 ft'
b. N/A
c. N/A
11. Ducts
a. Sup: Unc. Ret: Con. AH: Interior Sup. R =6.0, 123.0 ft _
b. N/A
I hereby certify that the pl ns and spec
by this calculation are in compliance
Energy Code.
PREPARED
DATE:
I hereby certify that this building, as designed, is in
compliance with the Florida Energy Code.
OWNER/AGENT:
DATE:
Florida Department of Community Affairs
Residential Whole Building Performance Method A
TUMANI RESIDENCE
1077 NE 91 TERR
MIAMI SHORES, FL
MR & MRS NELSON TUMANI
South
ca
th the
ns covered
lorida
12. Cooling systems
a. Central Unit
b. N/A
c. N/A
13. Heating systems
a. Electric Strip
b. N/A
c. N/A
14. Hot water systems
a. Electric Resistance
b. N/A
Glass /Floor Area: 0.14 Total as -built points: 18390.00
Total base points: 20593.00
Builder: Re& (Set
Permitting Office:
Permit Number:
Jurisdiction Number:
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)
BUILDING OFFICIAL:
I
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.
DATE: 5 D
EnergyGauge® (Version: FLRCPA -203)
c° ortstro c - t oil
MIAMI SHORES
4'& o7
232600
Cap: 30.0 kBtu/hr _
SEER: 11.00
Cap: 50.0 gallons
EF: 0.86
Cap: 34.0 kBtu/hr _
COP: 1.00
MR & MRS NELSON TUMANI
1077 NE 91 TERR
MIAMI SHORES, FL
Summary Energy Code Results
Residential Whole Building Performance Method A
Project Title:
TUMANI RESIDENCE
Class 3 Rating
Registration No. 0
Climate: South
3/8/00
PASS
e- Ratio: 0.88
EnergyGauge ®(Version: FLRCPA -203)
Energy Use
Base
As -Built
Cooling:
Heating:
Hot Water:
Total:
12613 points
870 points
7110 points
20593 points
Cooling:
Heating:
Hot Water:
Total:
9323 points
1795 points
7107 points
18225 points
MR & MRS NELSON TUMANI
1077 NE 91 TERR
MIAMI SHORES, FL
Summary Energy Code Results
Residential Whole Building Performance Method A
Project Title:
TUMANI RESIDENCE
Class 3 Rating
Registration No. 0
Climate: South
3/8/00
PASS
e- Ratio: 0.88
EnergyGauge ®(Version: FLRCPA -203)
Building Loads
Base
As -Built
Summer:
Winter:
Hot Water:
Total:
35431 points
798. points
6257 points
42486 points
Summer:
Winter:
Hot Water:
Total:
31123 points
1790 points
6257 points
39170 points
MR & MRS NELSON TUMANI
1077 NE 91 TERR
MIAMI SHORES, FL
Summary Energy Code Results
Residential Whole Building Performance Method A
Project Title:
TUMANI RESIDENCE
Class 3 Rating
Registration No. 0
Climate: South
3/8/00
PASS
e- Ratio: 0.88
EnergyGauge ®(Version: FLRCPA -203)
FORM 600A -97
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: 1077 NE 91 TERR, MIAMI SHORES, FL,
PERMIT #:
EnergyGauge® DCA Form 600A -97 EnergyGauge® /FlaRes'97 /98 FLRCPA -203
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 1225.0 53.20 11731.2
Single, Tint N 2.0
Single, Tint N 2.0
Single, Tint N 2.0
Single, Tint N 2.0
Single, Tint S 2.3
Single, Tint S 2.0
Single, Tint E 2.0
Single, Tint W 2.0
As -Built Total:
4.5
2.5
7.0
3.5
6.0
4.0
4.5
4.5
13.0
10.0
40.0
10.0
26.0
16.0
26.0
26.0
167.0
27.68 0.86
27.68 0.75
27.68 0.92
27.68 0.81
52.00 0.75
52.00 0.67
61.31 0.78
54.85 0.78
308.5
208.7
1023.6
224.9
1012.1
559.9
1238.3
1117.5
5693.5
WALL TYPES
Area X BSPM = Points
Type
R -Value
Area X SPM
=
Points
Adajcent
Exterior
Base Total:
0.0 0.0 0.0
983.0 2.70 2654.1
983.0 2654.1
Concrete, Int Insul, Exterior
As -Built Total:
4.2
983.0 2.28
983.0
2241.2
2241.2
DOOR TYPES
Area X BSPM = Points
Type
Area X SPM
=
Points
Adjacent
Exterior
Base Total:
0.0 0.00 0.0
20.0 6.40 128.0
20.0 128.0
Exterior Wood
As -Built Total:
20.0 9.40
20.0
188.0
188.0
CEILING TYPES Area X BSPM = Points
Type
R -Value
Area X SPM
=
Points
Under Attic
Base Total:
1225.0 0.80 980:0
1225.0 980.0
Single Assembly
As -Built Total:
19.0
1225.0 2.50
1225.0
3062.5
3062.5
FLOOR TYPES
Area X BSPM = Points
Type
R -Value
Area X SPM
=
Points
Slab
Raised
. Base Total:
154.0(p) -20.0 - 3080.0
0.0 0.00 0.0
- 3080.0
Slab -On -Grade Edge Insulation
As -Built Total:
0.0
154.0(p) -20.00
- 3080.0
- 3080.0
INFILTRATION
Area X BSPM = Points
Area X SPM
=
Points
1225.0 18.79 23017.8
1225.0 18.79
23017.8
FORM 600A -97
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: 1077 NE 91 TERR, MIAMI SHORES, FL,
PERMIT #:
EnergyGauge® DCA Form 600A -97 EnergyGauge® /FlaRes'97 /98 FLRCPA -203
FORM 600A -97
ADDRESS: 1077 NE 91 TERR, MIAMI SHORES, FL,
PERMIT #:
EnergyGauge DCA Form 600A -97 EnergyGauge® /FlaRes'97 /98 FLRCPA -203
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
BASE
AS -BUILT
Summer Base Points:
35431.0
Summer As -Built Points:
31123.0
Total Summer X System
Points Multiplier
=
Cooling
Points
Total X Cap X Duct X System X Credit =
Component Ratio Multiplier Multiplier Multiplier
Cooling
Points
35431.0 0.3560
12613.4
31123.0 1.000 0.966 0.310 1.000
31123.0 1.00 0.966 0.310 1.000
9322.7
9322.7
FORM 600A -97
ADDRESS: 1077 NE 91 TERR, MIAMI SHORES, FL,
PERMIT #:
EnergyGauge DCA Form 600A -97 EnergyGauge® /FlaRes'97 /98 FLRCPA -203
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
BASE
AS -BUILT
GLASS TYPES
.18 X Conditioned X BWPM = Points
Floor Area
Overhang
Type /SC Ornt Len Hgt
Area X
WPM X
WOF
=
Points
.18 1225.0 2.02 446.4
Single, Tint N 2.0
Single, Tint N 2.0
Single, Tint N 2.0
Single, Tint N 2.0
Single, Tint S 2.3
Single, Tint S 2.0
Single, Tint E 2.0
Single, Tint W 2.0
As -Built Total:
4.5
2.5
7.0
3.5
6.0
4.0
4.5
4.5
13.0
10.0
40.0
10.0
26.0
16.0
26.0
26.0 '
167.0
4.98
4.98
4.98
4.98
3.80
3.80
3.99
4.60
0.98
0.97
0.99
0.98
1.07
1.13
1.04
1.00
63.6
48.3
197.2
48.7
1.06.3
68.9
108.1
120.1
761.2
WALL TYPES Area X BWPM = Points
Type
R -Value
Area X
WPM
=
Points
Adajcent 0.0 0.0 0.0
Exterior 983.0 0.60 589.8
Base Total: 983.0 589.8
Concrete, Int Insul, Exterior
As -Built Total:
4.2
983.0
983.0
1.02
1002.7
1002.7
DOOR TYPES Area X BWPM = Points
Type
Area X
WPM
=
Points
Adjacent 0.0 0.00 0.0
Exterior 20.0 1.80 36.0
Base Total: 20.0 36.0
Exterior Wood
As -Built Total:
20.0
20.0
2.80
56.0
56.0
CEILING TYPES Area X BWPM = Points
Type
R -Value
Area X
WPM
=
Points
Under Attic 1225.0 0.10 122.5
Base Total: 1225.0 122.5
Single Assembly
As -Built Total:
Type
19.0
R -Value
1225.0
1225.0
Area X
0.30
WPM
=
367.5
367.5
Points
FLOOR TYPES Area X BWPM = Points
Slab 154.0(p) -2.1 -323.4
Raised 0.0 0.00 0.0
Base Total: -323.4
Slab -On -Grade Edge Insulation
As -Built Total:
0.0
154.0(p)
-2.10
-323.4
-323.4
INFILTRATION Area X BWPM = Points
Area X
WPM
=
Points
1225.0 -0.06 -73.5
1225.0
-0.06
-73.5
FORM 600A -97
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
ADDRESS: 1077 NE 91 TERR, MIAMI SHORES, FL,
PERMIT #:
EnergyGauge® DCA Form 600A -97 EnergyGauge® /FlaRes'97 /98 FLRCPA -203
FORM 600A -97
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: 1077 NE 91 TERR, MIAMI SHORES, FL,
PERMIT #:
EnergyGaugerM DCA Form 600A -97 EnergyGauge ® /FlaRes'97 /98 FLRCPA -203
BASE
AS -BUILT
Winter Base Points:
797.8
Winter As -Built Points:
1790.5
Total Winter X
Points
System =
Multiplier
Heating
Points
Total X
Component
Cap X Duct X System X Credit =
Ratio Multiplier Multiplier Multiplier
Heating
Points
797.8
1.0900
869.6
1790.5
1790.5
1.000 1.003 1.000 1.000
1.00 1.003 1.000 1.000
1795.0
1795.0
FORM 600A -97
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: 1077 NE 91 TERR, MIAMI SHORES, FL,
PERMIT #:
EnergyGaugerM DCA Form 600A -97 EnergyGauge ® /FlaRes'97 /98 FLRCPA -203
FORM 600A -97
WATER HEATING & CODE COMPLIANCE STATUS
Residential Whole Building Performance Method A - Details
ADDRESS: 1077 NE 91 TERR, MIAMI SHORES, FL,
PERMIT #:
1 PASS
EnergyGauge DCA Form 600A -97 EnergyGauge ® /FlaRes'97 /98 FLRCPA -203
BASE
AS -BUILT
WATER HEATING
Number of X
Bedrooms
Multiplier
=
CODE COMPLIANCE STATUS
Tank EF
Volume
Number of X Tank X Multiplier X Credit = Total
Bedrooms Ratio Multiplier
3
BASE
7110.0
50.0 0.86
As -Built Total:
3 1.00 2424.09 1.00 7272.3
7272.3
AS -BUILT
Cooling
Points
+
Heating
Points
+
Hot Water
Points
=
Total
Points
Cooling
Points
+
Heating + Hot Water
Points Points
=
Total
Points
12613.4
869.6
7110.0
20593.0
9322.7
1795.0 7272.3
18390.0
FORM 600A -97
WATER HEATING & CODE COMPLIANCE STATUS
Residential Whole Building Performance Method A - Details
ADDRESS: 1077 NE 91 TERR, MIAMI SHORES, FL,
PERMIT #:
1 PASS
EnergyGauge DCA Form 600A -97 EnergyGauge ® /FlaRes'97 /98 FLRCPA -203
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
3
2370.00
7110.0
50.0 0.86
As -Built Total:
3 1.00 2424.09 1.00 7272.3
7272.3
FORM 600A -97
WATER HEATING & CODE COMPLIANCE STATUS
Residential Whole Building Performance Method A - Details
ADDRESS: 1077 NE 91 TERR, MIAMI SHORES, FL,
PERMIT #:
1 PASS
EnergyGauge DCA Form 600A -97 EnergyGauge ® /FlaRes'97 /98 FLRCPA -203
COMPONENTS -
SECTION
REQUIREMENTS FOR EACH PRACTICE
CHECK
Exterior Windows & Doors
Exterior & Adjacent Walls
Floors
606.1.ABC.1.1
Maximum:.3 cfm /sq.ft. window area; .5 cfm /sq.ft. door area.
✓
A-1 /mil
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.
4./
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 perimete 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. .
610.1 i
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.
Separate readily accessible manual or automatic thermostat for each system.
Multi -story Houses
606.1.ABC.1.2.5
Air barrier on perimeter of floor cavity between floors.
/)74
, /
`�
Additional Infiltration reqts
606.1.ABC.1.3
Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA,
have combustion air.
COMPONENTS
SECTION
REQUIREMENTS
CHECK
Water Heaters
612.1
Comply with efficiency requirements in Table 6 -12. Switch or clearly marked circuit
breaker (electric) or cutoff (gas) must be provided. External or built -in heat trap required.
✓
A-1 /mil
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
ef 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 i
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 -97
Code Compliance Checklist
Residential Whole Building Performance Method A - Details
I ADDRESS: 1077 NE 91 TERR, MIAMI SHORES, FL,
PERMIT #:
6A -21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST
6A -22 OTHER PRESCRIPTIVE MEASURES (m
EnergyGauge DCA Form 600A -97 EnergyGauge ® /FlaRes'97 /98 FLRCPA -203
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE SCORE* = 85.4
The higher the score, the more efficient the home.
MR & MRS NELSON TUMANI, 1077 NE 91 TERR, MIAMI SHORES, FL,
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 3
5. Is this a worst case? No
6. Conditioned floor area (ft 1225 ft'
7. Glass area & type
a. Clear - single pane 0.0 ft _
b. Clear - double pane 0.0 ft _
c. Tint/other SC /SHGC - single pane 167.0 ft _
d. Tint/other SC /SHGC - double pane 0.0 ft
8. Floor types
a. Slab -On -Grade Edge Insulation R =0.0, 154.0(p) ft
b. N/A
c. N/A
9. Wall types
a. Concrete, Int Insul, Exterior R=4.2, 983.0 ft _
b. N/A
c. N/A
d. N/A
e. N/A
10. Ceiling types
a. Single Assembly R =19.0, 1225.0 ft _
b. N/A
c. N/A
11. Ducts
a. Sup: Unc. Ret: Con. AH: Interior Sup. R =6.0, 123.0 ft _
b. N/A
Builder Signature: Date:
12. Cooling systems
a. Central Unit
b. N/A
c. N/A
13. Heating systems
a. Electric Strip
b. N/A
c. N/A
14. Hot water systems
a. Electric Resistance
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,
RB -Attic radiant barrier,
MZ -C- Multizone cooling,
MZ- H= Multizone heating)
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.
Address of New Home: City/FL Zip:
Cap: 30.0 kBtu/hr _
SEER: 11.00
Cap: 34.0 kBtu/hf _
COP: 1.00,,
Cap: 50.0 gallons
EF: 0.86
*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 qualms for energy efficiency mortgage (EEM) incentives ifyou obtain a Florida Energy Gauge Rating.
Contact the Energy Gauge Hotline at 407/638 -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 al 850/487 -1824.
EnergyGauge® (Version: FLRCPA -203)
1
Location for weather data: Miami - Defaults: Latitude(25) Temp Range(L)
Humidity data: Interior RH (50 %) Outdoor wet bulb (75F) Humidity difference(56qr.)
Winter design temperature
Winter setpoint
Winter temperature difference
47 F
70 F
23 F
Summer design temperature
Summer setpoint
Summer temperature difference
90 F
70 F
20 F
Total heating Toad calculation
16334 Btuh
Total cooling load calculation
22975 Btuh
Submitted heating capacity
Submitted as °AD of calculated
0 Btuh
0.0 %
Submitted cooling capacity
Submitted as % of calculated
0 Btuh
0.0 %
Load component
Load
Window total
167
sqft
5354
Btuh
Wall total
983
sqft
4030
Btuh
Door total
20
sqft
254
Btuh
Ceiling total
1225
sqft
2940
Btuh
Floor total
154
ft
0
Btuh
Infiltration
72
cfm
1575
Btuh
Internal gain
3000
Btuh
Subtotal(sensible)
17153
Btuh
Duct gain
1715
Btuh
Total sensible gain
18868
Btuh
Latent gain(infiltration)
2727
Btuh
Latent gain(internal)
1380
Btuh
Total latent gain
4107
Btuh
TOTAL HEAT GAIN
22975
Btuh
Load component
Load
Window total
167
sqft
4442
Btuh
Wall total
983
sqft
4620
Btuh
Door total
20
sqft
212
Btuh
Ceiling total
1225
sqft
1348
Btuh
Floor total
154
ft
2864
Btuh
Infiltration
82
cfm
2070
Btuh
Subtotal
15556
Btuh
Duct loss
778
Btuh
TOTAL HEAT LOSS
16334
Btuh
Residential System Sizing Calculation
Summary
Project Title:
TUMANI RESIDENCE
MR & MRS NELSON TUMANI
1077 NE 91 TERR
MIAMI SHORES, FL
Winter Heating Load for 1225 sgft
Summer Cooling Load for 1225 sgft
WINTER CALCULATIONS
SUMMER CALCULATIONS
EnergyGauge® FLRCPA -203
Latent infil.(12%) - Wlndows(23%)
Oain(13 %)
Duds( ? %) ..
Intil.(7 %)
Doors(1 %)
Int.
Ducts(5 %)
Latent internal(6 %)
Wat (26 %)
Walls(18 %)
Class 3 Rating
Registration No. 0
Climate: South
3/8/00
Ceilings(13 %)
The sizing method used was EnergyGauge® System Sizing.
PREPARED BY:
DATE:
Sec. 6 -3 Air Conditioning Regulations.
Miami Shores Village
(a) All individual air conditioning units installed in walls or windows shall be securely anchored
to the walls by approved methods. Units installed over public property, paths of egress or more
than ten (10) feet above grade shall be secured to the structure by bolts or screws to resist horizontal
wind loads. Such units cantilevering more than eight (8) inches on the exterior of a building shall
be supported by steel angle bradoets secured by bolting. Bolts to masonry shall be set in lead shields
or similarly rot - resistant fastenings.
(b) The following special requirements shall apply to the control and regulation of noise nuisance
from air conditioning machinery.
(1) All equipment, existing or hereafter installed, regardless of location, shall be
maintained in good working order. Equipment so located that normal operating
noises create a nuisance to adjacent owners or occupants shall be provided with
soundproofing, or sound- absorbing baffels, or enclosures, as approved to insure
maintenance of a reasonable noise leveL
(2) All equip :rent on outer walls, on roofs, or in the other exposed locations, which are
unduly noisy, and which causes valid complaints from adjoining property owners or
occupants may be required to be relocated, redesigned and/or enclosed in noise-
retarding materials when, in the opinion of the building official, such enclosure is
necessary or would be effective.
Special consideration shddl be given to the planning of all future installations to
minimize the noise nuisance to adjoining property owners or occupants and the
building official shA1i have authority to reject or require the redesign of any system
which, in his opinion, would cause such a noise nuisance.
(3)
(c) Violation of this section haft be punished as is now or may hereafter be provided by law
(Ord. No. 299, Sec. 1 -3, 2- 21 -61).
I have read the above ordinance and will comply with the regulations thereof
er /signature
•
y
Contractor Signature
ve read the above ordinance and will comply with the regulations thereof
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor
or Builder ! /
MIAMI SHORES VILLAGE. FLORIDA
0
❑ DATE
❑ PERMIT N? 6753 Contractor's
License No.
0
Owner of
Building
Legal Lot
Description ! Bl.
Address of r -
Building /
Signed
Work to be performed under this Permit
Subdi-
f+ %
vision t
Value of
Project $ <Z' /
7s ?Y
195 V
I Amount of /
II Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings cr in the sta)ements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
3
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered here(nder 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 ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRAC,TOR OR BU 7 BY AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
MIAMI SHORES VILLAGE, FLORIDA
DATE
o PERMIT N9 6044
Owner of
Building
Architect
Contractor .....;
or Builder 4 ^1 4,4 (...._.
llt l.,we V . G 0 U
Legal Lot 0
Description II BI
/ — ?U — hod 19
Contractor's 13
License No
Work to be performed under this Permi 1 -J9•
Subdi-
vision
Address of C Value of 9 0 .... ..... 4) I Amount of v
Building / 0 1 1 11 5 r f / - J. Project $ I Permit $ �'
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with ordinanc regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ao
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
4,1 C.4,12A42
CONTRACTOR OR BUILDER BY AUTHORITY ABBOT
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other stru ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Villag -, Fonda, and all provisions of the Law of the State of FIoi da, 311 ord=nances of Miami Shores Village 'nd all rules and
regulations of the Building Division of Miam Shores Village sh 11 be co _.plied with whether h r in specifie ' not. A cop of apt roved
plans and specifications must be kept at bu.ld -ng during progress of the work.
Dat. -_ _ Jan. 2 0,- _ _ _ _ 19.55
Owners Name and Address ___ . Will iam__M.___ Young__ ___ ____ No. _ _3.077 Street__ _ ._91 Terrace
Registered Architect and /c- Engineer_______ _ ______ ___ _
Name and address of licensed contractor TRULY__NOLE i +_. ___- __.___600_._�1_.__W_.. -_ 7 - Avenue, Miami, _ Fla .
Location and legal description of lot to be built on:
Lot . Block Subdivision_ Street and Number where work is to be done 1077 N . E_.__ 91. Terrace. Miami __Shores,_ Fla.
State work to be done and purpose of building (by floors)____ _ _ __ _ ___ _ _ __ __ ____ _ _ ___ _ __ .__ _ . __ - _ ___ _ _ _ _
-____Fumigation___ — Using Vikane an-__approximate_._20 -. ±__. hours_ exposure
period. Nylon. tent.._._ _. _ and for no other purpose.
n
EXTER1 A TION No. of Stories __ _
New Building______ __ __ _ _. Remodeling. i Repairs
To be constructed of _ ._ . _ __ Kind of foundation._ _. _ __ _ _.Frame ___ _._ _ __ __.. _ _ Roof Covering_ ._. Flat_ _Gravel_ ___-
Estimated Total cost of improvements $ _ -19000- ___ ___Amount of Permit $ _5..00 --
Zone cubage required____ _____ _.__ _ .___.__. — __.Plan Cubage 15 /- 000
Distance to next nearest building 25___Ft___._________ of Building Lot_
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to - - - - - - - - - - - - - - - - - -
T h e undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employ:r
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar : ompliance from all contractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the wor, r. h public notice
or notices as are required by the Act. The undersigned agrees to employ only such subco rs, on work o be -rf. ed under this
permit, as are licensed by Miami Shores Village.
Remarks — — (Signed) --
STATE OF FLORIDA,
COUNTY OF DADE. j ss
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, pen a rally ap-
peared _
and who, being by me first duly sworn, upon oath deposes and says that he is the -
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No. _ L 0
Disapproved - - - - - - - - - - - - -
( S i g n e d ) ..... ( e., - -- -
Building Inspector
Date_.._ /-- --
_ Date
PLANNING BOARD __ ._ ___ _. _ _ DATE
Chairman Member __
Member _ Member
Member - - Mem Icr - - - -- -- -
Council Approved ._
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires __
_ _ __ to me well known,
_ Date Disapproved . _ Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after appr .1 has been obtained from
the Planning Board
A re- inspectiol Fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.