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350 NE 92 St (7)FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600C -01 ResrdentiatLimited AppJicdttans Prescriptive Method C SOUTH 7O9 Small Additions, Renovations 8 Building SystenLs • • • •• • • • • •. • Compliance with Method C of Chapter 6 of the Florida Energy EffidPew!Code rniigderronstrated bytiouse orF•r r600C -01 for additions of 600 square feel or less, site - instated components of manufactured homes, and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 6008 -01 or 600A -01. BUILDER: • Mr N VIAMl ° >P10II -- Z ' M12 4 M`2 MCC. - SMALL ADDITIONS TO EXISTING RESIDENCES (600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C-1, 6C -2 and 6C-3 apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces horn conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS (Residential buildings undergoing renovations costing more than 30% of the assessed value of the building). Prescriptive requirements in Tables 6C -1 and 6C -2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS. Only site- installed components and features are covered by this form. BUILDING SYSTEMS Comply when complete new system is installed. PROJECT NAME: AND ADDRESS: OWNER: PREPARED BY: I hereby certify th OWNER AGENT ▪ • ••• • • • ••. • • • • • • • • . • • • • ••• • • • • • • • • • • • .•. • ••• • • • • • • - 11?I:1 •• ••.• • .• • • •• . .FL•. • • • pBRMtT NO.: 1. Renovation, Addition, New System or Manufactured Home 2. Single family detached or Multifamily attached 3. If Multifamily -No. of units covered by this submission 4. Conditioned floo•area (sq. ft.) 5. Predominant eave overhang (ft.) 6. Glass area and type: a. Clear glass b. Tint, film or solar screen 7. Percentage of glass to floor area 8. Floor type and insulation: a. Slab -on -grade (R- value) b. Wood, raised (R- value) c. Wood, common (R- value) d. Concrete, raised (R- value) e. Concrete, common (R- value) 9. ' Wall type and insulation: a. Exterior: 1. Masonry (Insulation R- value) 2. Wood frame (Insulation R- value) b. Adjacent: 1. Masonry (Insulation R- value) 2. Wood frame (Insulation R- value) c. Marriage Walls of Multiple Units* (Yes /No) 10. Ceiling type and Insulation: a. Under attic..(Insulation R- value) b. Single assembly (Insulation R- value) 11. Cooling system* (Types: central, room unit, package terminal A.C., gas, existing, none) aT4MITTING MICE: Mom 5,402ES 12. Heating system *: (Types: heat pump, elec. strip, natural gas, L.P. gas, gas h.p., room or PTAC, existing, none) 13. Air Distribution System *: a. Backflow damper or single package systems' (Yes /No) b. Ducts on marriage walls adequately sealed* (Yes /No) 14. Hot water system: (Types: elec., natural gas, other, existing, none) * Pertains to maru:actured homes with site installed components. I hereby certify that the Plans and specifications covered by the calculation are in compliance with the Florida Energy Code: DATE: wilding 1i ' pIianr with the Florida Energy Code DATE: ; L. FLORIDA BUILDING CODE=- -BUILDING (Revised November, 2001) 2. 3. 4. 9b -1 9b -2 9c CLIMATE ZONE: 7 JURISDICTION NO.: Please Print 9a -1 R= r J 1 sq. ft. 9a -2 R= •~ • sq. ft. R sq. 'ft. R - sq. ft. 13a. 13b. 14. Type: sL4 • (l6f EF: 8a. R= ,D 777 lin. ft. 8b. R= -' sq. ft. 8c. R= sq. ft. 8d. R= sq. ft.. 8e. R= - sq. ft. 10a. R= 311- I 2 1 L sq. ft. 10b. R= - sq. ft. 11. Type: CCl► 2AL 04.150 SEER/EER: D 12. Type: ELrL r p HSPF /COP /AFUE: l I ll Single Pane Double Pane ' sq. ft. - sq. ft. sq. ft. sq. ft. ?)r) % CK Review of 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 in accordance with Section 553.908, F.S. BUILDING OFFICIAL: DATE: 13.205 Maximum percentage glass to floor area allowed is selected by type, overhang length, and solar heat gain coefficient. Maximum% = W Installed % = 30 GLASS TYPE, OVERHANG, AND SOLAR HEAT GAIN COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED I UP TO 20% (UP TO 30I UP TO 40% l UP TO 50% = Single Double Single Double Single Double Single Double OH - SHGC OH - SHGC OH - SH(C OH - SHGC OH - SHGC OH - SHGC OH - SHGC OH - SHGC l '- .87 0'- .75 0'- .78 '- .75 0 .57 1 ' - .78 0'- .61 3 "- .87 2 "- .75 1 .57 0 .39 2'- .78 1 '- .61 0 ' - .44 4'- .87 3'- .75 2 ' - .57 1 .39 0'- 10 3'- .78 2'- .61 1 .- .44 Cr- .35 Get certified SHGC from the manufacturer or use defaults: Single clear SHGC = .87, doubi_ clear SHGC = .78, and single tint SHGC = .75. Single Assembly; Enclosed TABLE 6C -3 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather- stripped or otherwise sealed. '. Exterior Windows & Doors 606.1 Max. 0.3 cfm /sq.ft. window area; .5'cfm /sq.ft. door area. HSPF Sole & Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. = Recessed Lighting 606.1 Type IC rated with no penetrations (two alternatives allowed). V. N/i - l Y Multi -story Houses 606.1 Air barrier on perimeter of floor cavity between floors. Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust ductwork. Combustion Heating 606.1 Combustion space and water heating systems must be provided with outside combustion air, except for direct vent appliances. 2.7* 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 for vertical pipe risers. Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar healed). Non - commercial pools must have a pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78 %. 5 Hot Water Pipes 612.1 Insulation is required for hot water circulating systems (including heat recovery units). I Shower Heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. s / HVAC Duct Construction, Insulation & Installation 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 610.1. Ducts in attics must be insulated to a minimum of R -6. V HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. .78 EQUIPMENT MINIMUM EFFICIENCY T INSTALLED EFFICIENCY Central A/C - Split i SEER = 10.0 SEER = la .ING ' - Single Pkg. I SEER = 9.7 SEER = ' Room unit or PTAC EER = 8.5 EER = • Undeg Attic R -30 D Single Assembly; Enclosed Electric Resistance ANY .. ILII Metal Pans R -13 - Heat pump - Split HSPF = 6.8 HSPF = ' - Single Pkg. HSPF = 6.6 HSPF = • IEA' Room unit or PTHP COP = 2.7* HSPF/ = • 5 COP R -6 s P. • (2 D Gas, natural or propane AFUE = .78 AFUE = ' Fuel Oil AFUE = .78 AFUE = • HOT I WATER Electric Resistance EF = .88 EF = e 5 V Gas; Natural or L.P. EF = .54 EF = Fuel Oil EF = .54 EF. = COMPONENT MINIMUM INSULATION INSULATION INSTALLED Concrete Block R -5 " r Frame, 2`x 4" R -11 - LL Frame, 2' x 6' R -19 • Common, Frame R -11 • Common, Masonry R -3 ' Undeg Attic R -30 D Single Assembly; Enclosed Frame R -19 .. ILII Metal Pans R -13 - Single Assembly; Open R -10 - Common, Frame R -11 • FLOORS Slab -on -grade No Minimum 2. • 0) Raised Wood R -11 Raised Concrete R -5 - Common, Frame R -11 5 In unconditioned space R -6 s P. • (2 D In conditioned space No minimum _ -2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS I see Table 8.3, 6 -7 Climate Zones 7 8 9 TABLE 6C-1 : PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS (600 Sq. FL and Less), RENOVATIONS TO EXISTING BUILDINGS AND SITE- INSTALLED COMPONENTS OF MANUFACTURED HOMES. GENERAL DIRECTIONS: 1. On Table 6C -1 indicate the R -value of the insulation being added iq each cginpgpent arad the efficiency levels of the equipment being installed. All R- values and efficiencies installed must meet or exceed the minimum values listed. Components and equipment neither being added nor renovated may lr IefTblank • 0 0 0 0 °00 0 0 2. ADDITIONS ONLY. Determine the percentage of new glass to c i ditoned ilio`are :in tge atioc asfblaows. Totalte areas of all glass windows, sliding glass doors and glass door panels. Double the area of all non- vertical root glass and add it to the previous total. When glass in existing extenor vets; beiIIg relived oitencliosectby the addton, an amount equal to the total area of this glass may subtracted from the total glass area. Divide the adjusted glass area total by the conditioned floor area of the addition. Multiply by 100 to get tie percent. tgid the It glas913ercentage under which your calculated percentage falls on Table 6C -2. Prescriptives are given by the type of glass (Single or Double pane) and the overhang (OH) paired with a solar heat gain coefficient (SHGC). For a given glass type and overhang, the minimum solar heat gain coefficient allowed is specified. Actual glass windows and doors previously in the exterior walls of tie house and being reinstalled in the addition do notrave to comply with the overhang and solar heat gain coefficient requirements on Table 6C -2. AB new glass in the addition must meet the requitement for one of the options in the glass percentage category you vdkated•Th overhang (tl) di :ante is mea rftd horn the lace of the glass to a point directly under the outermost edge of the ove(hang. 3. RENOVATIONS ONLY. Replacement glass needs to meet the following requirrgment; Any §l ss type andaolaahea gal coefficient may be used for glass areas which are under at least a two foot overhang and whose lowest edge does not extend further than 8 feet horn the overhang. Glass areas t�pjp enovateti at do not raeetris giterr must% either single -pane tinted, double -pane dear or double -pane tinted. 4. BUILDING SYSTEMS. Comply when new system is installed for system instated. • ° ° ° 0 0 0 0 5. Complete the information requested on the top half of page I. 6. Read 'Minimum Requirements for Small Additions and Renova ons', Table 6C -3, and check all applicable items. 7. Read, sign and date the'Owner /Agent certification statement In page b ° c ° c ° ° 0 0 0 0 • o ° 13.206 a g 0 00 w c .0_ o 0 ( November, 2001) FLORIDA BUILDING CODE - BUILDING ° 0 0 00 0 00 0 PROCESS# FOLIO # C.O.R. ¢ J.atr! FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For insurance Company Use: Policy Number Company NAIC Number BUILDING OWNER'S NAME BUILDING STREET ADDRES _ancludin • Apt ,Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. �O G ,Uo CITY STATE ZIP CODE PROPERTY DESC!IO Lot and Bt ck Numbers, Tax Parcel N r i Description, et �' 9 / 9. 4.C�.O �Y ir� / 0 :6 � ' - T".7�0 BUILDING USE (e.g., Residential n- residential, Addition, Accessory, etc. Use Comments section if necessary.) LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: ( #° - ##' - ##.; -: , or 44.#41444 El NAD 1927 0 NAD 1983 - SECTION B - FLOOD INSURANCE RATE MAP (FIRM)1NFOR B1. NFJP COMMUNITY NAME & COMMUNITY NUMBER - / ZO - 2 84. MAP AND PANEL NUMBER /2o 6 007,3 65. SUFFIX B6. FIRM INDEX DATE ,2 - /, 75 B2. COUNTY NAME B7. FIRM PANEL EFFECTIVEIREVISED DATE LOOD ELEVATION(S) • >:: depth of flooding) B10. Indicate the source of the ase Flood Elevation (BFE) data or base flood depth entered in 69. ❑ FIS Profile FIRM ❑ Community Determined , ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in 89: GVD 1929 0 NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources-System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes allo' Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings* ❑ Building Under Construction* Bfinished Construction *A new Elevation Certificat will be required when construction of the building is complete. C2. Building Diagram Numbe (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building; provide a sketch or photograph.) C3. Elevations — Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BEE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculate p,:�se the space provided or the ornments area of Section D or Section G, as appropriate, to document the datum conversion. Daturn.t4(/ Conversion/CommerV Eleva ion reference mark used e elevation reference mark used appear on the FIRM? © Yes LD- ) Top of bottom floor (including basement or enclosure) 7 4-, O b) Top of next higher floor ❑ C),Bottom of lowest horizontal structural member (V zones only) _f.(m) d) Attached garage (top of slab) / .V2f#.(m) O e) Lowest elevation of machinery and /or equipment servicing the building ❑ 1) Lowest adjacent grade (LAG) ❑ 9) Highest adjacent grade (HAG) TITLE , a ■MIP • • L(m) SOURCE: D GPS 0 USG E � z S O.M.B. No, 3067-0077 Expires July 31, 2002 Amended by MDC -DERM- OCT, 1999 Other. fl. 0 am Cij a E a w m /97 fL(m) °' fL(m) /gft.(m) ❑ h) No. of permanent openings (flood vents) within 1 ft. above adj ca' ent grade 11 /4 2- . ❑ i) Total area of all permanent openings (flood vents) in C3h ` sq. in. (sq. cm) ,f,, SECTION D - SURVEYOR; ENGINEER, OR ARCHIT CT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C 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 ( • • . ,. .e,.•• ADDRESS SIGNATURE LICENSE NUMBER f4.c' COMPANY NAIJfE DELTA SURVEYORS INC Mt ELEPHONE -��uF� ^099 iMF RTANT: in these spaces, copy the corresponding information from Section A. D'!NG STREET ADDRESS (Including Apt, UniI, Suiie, end /or Bidg. No.) OR P.C. ROUTE AND BOX NO. Cll SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) both sides of this Elevation Certificate for (1) community official, (2) insurance ager ./company, and (3) building owner. CC);,' MENTS SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) Foi L AO and Zone A (without BEE), complete items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA orLOMR -F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is I I I ft.(m) I I lin.(cm) 1_1 above or L i below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is I I fL(rn) I I Iin.(cm) above the highest adjacent grade. E4. For 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? I I Yes I No I Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA - issued or community- issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE COMMENTS SECTION G - COMMUNITY INFORMATION (OPTIONAL) STATE ZIP CODE ne loca: official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete ,ections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. +. ;;The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) 32. 1 A community official completed Section E for a building located in Zone A (without a FEMA - issued or community- issued BFE) or Zone AO. `:;3. I I The following information (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G6. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED �7. This pen has been issued for LI New Construction I I Substantial Improvement '. 8. Elevation of as -built lowest floor (including basement) of the building is: ft.(m) Datum: BFE or (in Zone AO) depth of flooding at the building site is: ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE ::OMMUNITY NAME TELEPHONE SIGNATURE DATE .;OMMENTS F. MA Fo; rn 81 -31, AUG 99 DATE TELEPHONE For Insurance Conipany Use: Policy Number Company NAIC Number II Check here if attachments Check here if attachments 1 I Check here if attachments REPLACES ALL PREVIOUS EDITIONS r • ra►.... .a v■,411iiivit;al.,:l ivricit I A RECORDED COPY MUST BE POSTED ON T E JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FO4.IO NO. STATE OF FLORIDA: COUNTY OF DADE: Name and address of fee simple titleholder „It Signatur-! Owner � Print Owner's Name: �p 1�. f 1' . 4D )k 1, , Sworn to and subscribed before me this day of Notary Public Print Notary's Name My Commission Expires r3V� a CLE THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following infomraiton is provided in this Notice of Commencement. 1.1 Legal description of property and street address: FDVb 1/ • i201. " O, . 441(o LdY's 4- W 3e Fir. 4 ' 4 7 •C. I � j pr. B14612 4S su87 v /wAMl S�fo S SEalioA/ ONE AS JPEe4DEJ) iN R4r3a,te 2 Description of improvement: TE �tto Ar P. 7o Jr r eV TIDE !od 'AY , EL. / TEA,biiP'l� FA .Rao ,'5a /V 92 Sr. ' �J • ',C�ircoNC�l 3. Owner(s) name and address: agar . OA?//LEXM A �,fetLO$,!(,�y moo . Ear 5'3otZ5', /6t1AAat 3 FL 133,1'3 Interest in property: Alta '� S J '� 4. Contractor's name and address: t�0 AIPEA//}S C/ Aeam d w n /06)(0 4/ i6 PL• Amity Sfloes fi. 33t3( 5. Surety: (Payment bond reouired by owner form contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 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: tL JSg 7)/ GtJGMO /SU. ej; G Utdhe► & dtl,GI10 2 D,V ►E 1/10Y. , m/ frl fL 5 I53 8. In addition to himself, Owner designates the following person(s) 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) STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY that trusts a rue co of the or, .7.1 fllcc' in s office on _ day of ,AD20 G� ' ;' , d end Official Seal. Hr B owls D.C. 20 0 - 3 . C NDiI Diana C. (Wanda a e Cnmmivinn #DD 179267 z ' g Expires: Jan 22, 2007 "' B Mini Mini ' Atlantic Bonding Co., Inc. Prepared by .2 of �C�i , Address: ;, 3 J'3d 121' ,4J14M1 SuaRES, F� 33 ►S3 M -- /0 7 w // 6 e/r 5 n. Lot ' Block Owner's 'Name Lic.N0._, Add. or Phone General Contractor Lic.No. Add. or Phone Zone Req.Cu.Ft. 4 f # Cu.Cont. 2 n / By (/ •: Plat Restriction Checked by /1/2 To Planning Board Approved Rejected__ Re- Submitted to P.B. Approved Rejected Plans & Spec. Checked by C C'� �_ ,) • To Council Approved Rejected � Bldg. Permit No. ` Date 9i' 0 i �' Fee � ��� /4 Cost /" C / %,��. Type C, // Stories _ / Roof ,1� . New Construction Alterations Plumbing Permit No. Septic Tank Sewer Misc t1 New Const. 'Electrical Permit No. Fixtures Heater Motors Misc 'l New Construction Plumbing Inspection Roughing Fixtures Sower septic Tank Solar Heater Final Certificate EIecbrical Inspection Date Roughing Fixtures Final T emy , 0.K. Da,e Alteration Date rt n n Alteration / Subdivision No. Street Date It n Repairs Fee rt r► n Re •airs Repairs Building Inspection Date _ B Re-insp By Re -Insp By Foundation ��?,' ( ' /1/ - Beams & Lintels Final Final Clean -Up Re -insp By Re -Insp By By Re -insp By Re -Insp By Service O.K. to Power Co. /„ ' Cert.Occup.Issued APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY I, ,F(9,246 /9 Th4175S to re- occupy the single family residence known as : (address) 4/'(‹ o i " - - ,c i , Miami Shores, Florida. Legal Description: Lot: Block PB & PG: I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single- family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant , hereby apply for a certificate Print Name ,6?c * * * * * * * * * * * * * * * * * * * * * * ** * * * ** *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, plege contact: Nei..SOn' i�S7 /1U Contact Name)iv - Buyer Seller Realtor Company Name Application Fee ($50) paid: Cash Check No. / 1 Inspected by: F F . LUB I EN Approved X Denied Date 11/17/98 Comments: PAGE 1 OF 2 Telephone: , gCQS 7 / c CER'11N'1CATE OF RE- OCC On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes. PAGE 2 OF 2 MIAMI SHORES VILLAGE, FLORIDA By: Date of Certification: 11/17/98 THIS CER' ELF ICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. CALL MR. ECHEVERRI AT 305 - 415 -6323 TO SET APPOINTMENT OF INSPECTION Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until INN Inspection Date: 02/06/2006 Inspector: Grande, Claudio Owner: Job Address: 350 92 Project: <NONE> Contractor: Friday, February 3, 2006 inspection Number: INSP -88 Miami Shores Village, FL Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho e: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: RC -2-06 -294 Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1132060136450 Lot: Page 1 of 2 (Rev. 10/02/03) 000 O m00000 000000oo moo co RE- OCCUPANCY APPLICATI-O- Date ;/ 6 Contact Name Buyer Seller Realtor Company Name Property Address 356 A/E y.2 City Miami Shores State Fl Zip 3,3 /373 I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on the property. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. Applicant Nam Signatur The forego T g instrument was acknowledged before me this GC. day of F.�b , 20 OG , by QI . EC P (JO V✓7 , who is personally known to me or who has produced i ' MONICA USSETH DIAZ .c , MY COMMISSION # DD 483995 a' • EXPIRES: October 20, 2009 _... iI6 Bonded Thti Notary Public Underwriters Sign: Print: My Commission Expires: Miami Shores Village Building Department 3 me„ � r.�7 e PePP/ NOTARY PUBLIC: o.FGio -'4 Loc ID Phone # Building Officials Approval: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 MS"- 9/5-‘3..73 nd who did take an oath. Re -Occ. $60.00 Notary $5.00 lZ CCF $0.60 (Z Total . P ete l3 FEB 0 2 PAID ADDRESS 350 NE 92nd St 8 VII 30* of 6 & E45* of 7 1-4 LEGAL Blk 48 MS Sec 1 RECORD GARBAGE TAX P ID BY - YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER Jail/ ' 2. , o ' /2 -5 ,, /,-/3' - /, 0 0 ov 0 p Of (i /9 —a a o — 7, 6 O� 0, ._ 2 -aef 03/36 _g .,-; �.4-- a 959 c / /P f /, /e)°5B - , t l )7f /1,X-00 L/ %► �� _ s 2 -' 02- / - S 0 / ; — ADDRESS 350 NE 92nd St 8 VII 30* of 6 & E45* of 7 1-4 LEGAL Blk 48 MS Sec 1 RECORD GARBAGE TAX