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RC-09-1255 y , r L' _..t.�t.�:•s:�. ,...:�..ai.�..�..� ..4,._.>::,. � >.t _:r_• «rte. tlr. ,... _ - .. .. _.,. ._ .._.. la',.� r..... _.±" .� <.,, i, }, .,...;aR.. _,. •, -. a...... ...,.__, t,aea_,.•- .c.,.:v.. ... .. - � .:.. .. -..., r. � Y 1 Certificate of Occupanc t Miami Shores Village 3 10050 NE 2 Ave, Miami Shores Fl, 33138 R ' ' ` 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: = r Permit Type Residential Construction Bldg. Permit No. RC -7 -09 -1255 k 4 ;. - Owner RICHARD CRISWELL Contractor OCTAGON CONSTRUCTION CORP `�aavy��, � p k z � s Subdivision /Project <NONE> Date Issued 05/21/2010 r te r, , Construction Type ADDITION 134 SQ FT Occupancy Single Family ,. { 32 NW 93 Street Miami Shores FL 33150- L ocat ion F nu Building 0fficials Approval N orman Bruhn, C BO c " fi 0 -+' - Not Transferable I iR POST IN A CONSPICUOUS PLACE • - 4 ':�✓? ; { `+ii *.ems' =:^ "�' .d - ss"ir c'' ra i- ; t,+';•'s+}:d�� + %, :.,�,ji. .v t`�"�``:+ r _ ,�;...,•_ `�'r,�,.Sr ^'�, I r; ` ' .Y -' "i "" I ti'k, a., ' ' -•.,% _ .r.'i�` .f:;i. �- � - z {��"a3`a' s,�' '�` ..ii,'� i�� ' � T- • �r '�:: � $ ,� � � _4 �. us 7 'YQ' J�' Et �: �'�'r .���sf�°� �. +y� ,. `�'C •� �' a :�`'.�`_' DC "�'!� l r ;_ .•yltlf ,• ��S I `� `,`"�'4A� :, '.- t ���'.°�," .: 4- i_,� °„���;�T.''+zi �°' €�,� .' `a��°+'�i 4 � •{ " 5 � ' *'.�+3� �` f �.. i4 � ^� Y � _tkp r- .!"} � A 1��9�`� � �:: Y - & a-w '7•t •. "�. f !1- l t = •'. n • � g a` i' _ �c� � .U';W�I`� �'ro 'i e4 �� - - �`A R�} � �.� .C�t .�. �=•" d ,•+ � � �_ �'+" S, �,r''W ,O� �W 0 ♦ R Eggs Miami shores Village Building Department lOR1D 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CERTIFICATE OF OCCUPANCYICOMPLETION CHECK LIST 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 b spaces, Wheel stops, stripping, and all paving to exterior. Certificate of Elevation — (Sealed by surveyor). Expiration date required on the form. y p� Certificate of Insulation. Certificate of Soil Treatment (Final treatment - original)\ 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." ' 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) ! Final certification letter from the Engineer /Architect (on masonry, trusses, special structure, etc) ❑ Backflow preventor certificate (Required on commercial projects only) 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 REV (2/1812010) (4/20/10) s 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 I nspection Number: INSP 120318 Permit Number: RC -7 -09 -1255 Inspection Date: January 01, 2999 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: F. Elevation Certificate Owner: CRISWELL, RICHARD Work Classification: Addition /Alteration Job Address: 32 NW 93 Street Miami Shores, FL 33150 - Phone Number (305)448 -2764 Parcel Number 1131010170060 Project: <NONE> Contractor: OCTAGON CONSTRUCTION CORP Building Department Comments BATHROOM AND WALK IN CLOSET ADDITION TO THE REAR OF THE HOUSE Inspector Comments Passed a Failed Correction Needed Re- Inspection �`� �, Fee A No Additional Inspections can be scheduled until re- inspection fee is paid. x For Inspections please call: (305)762 -4949 May 14, 2010 Page 1 of 1 r i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INS P- 120318 Permit Number: RC -7 -09 -1255 Inspection Date: January 01, 2999 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: F. Elevation Certificate Owner: CRISWELL, RICHARD Work Classification: Addition /Alteration Job Address: 32 NW 93 Street Miami Shores, FL 33150- Phone Number (305)448 -2764 Parcel Number 1131010170060 Project: <NONE> Contractor: OCTAGON CONSTRUCTION CORP Building Department Comments BATHROOM AND WALK IN CLOSET ADDITION TO THE REAR OF THE HOUSE Inspector Comments Passed El Failed El Correction ❑ Needed Re- inspection w , o l JM1 e r ' Fee m+ No Additional Inspections can be scheduled until re- Inspection fee is paid. i 1=nr inanpctions please call: (305)762 -4949 02nd n U.S. DEPArTMENTQF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008 Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1 - 9. SECTION A - PROPERTY INFORMATION or <'Insuttce Al. Building Owner's Name Richard B Criswell & Mirta Criswell Policy-Number A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. k) i?eh NAIC 1Yt11I' 6r� 32 N.W. 93 Street City Miami Shores State FI ZIP Code 33150 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A Canaday Extension Plat Book 41, Page 71 of Lot 6 Miami Dade County MAX 1 4 2010 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) residentia A5. Latitude/Longitude: Lat. N25 §136 Long. W80 11 55 Horizon al-Datum: - _ ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) n/a sq ft a) Square footage of attached garage 240 sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 92. County Name B3. State 120635 Miami Dade CountyFl B4. Map/Panel Number B5. Suffix I B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12086CO302 L Date Effective /Revised Date Zone(s) AO, use base flood depth) 03/04/94 09/11/2009 X N/A 610. 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 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ® Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AO. Complete Items C2.a -h below according to the building diagram specified in Item AT Use the same datum as the BFE. Benchmark Utilized N568 Vertical Datum NGVD Conversion/Comments E ev 9.65 Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 12.90 ®feet El meters (Puerto Rico only) b) Top of the next higher floor nn /a. ❑ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) n/a. ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 10.70 ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 1115 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to building (LAG) 10.80 ❑ feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 11.10 ❑ feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including nn /a. ❑ feet ❑ meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ®Yes ❑ No Certifler's Name William Herryman License Number 2804 Title Professional Land Surveyor Company Name America Layout Corp �1 Address 7659 SW 102 Place 'ty Miami State FI ZIP Code 33173 Signature Date 11/04/2009 Telephone 305 - 606 - 0031 FEMA Form 81-61, Mar 0 See reverse side for continuation. Replaces all previous editions IMPORTANT: In geese spaces, copy the corresponding information from Section A. For Insurancey � Building Stet Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Po►fc Number . 32 N.W. 93 Street City Miami Shores State Fl ZIP Code 33150 m(AIE " "` r SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Crown of Road 10.80 Signature _ _ Date 11/04/2009 ❑ 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. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA - issued or community- Issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone 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 items) 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 GT. 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 G10. Community s design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81 -31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance , rn - ny Use. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. PalicY Number 32 NW 93 Street City MIAMI SHORES State FL ZIP Code 33150yfly0 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 on the reverse. Front View of Property — Photo taken 11/04/2009 pi a 1 i Building Photographs Continuation Page Far Insui'ince cq Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Policy Number 32 NW 93 STREET City MIAMI SHORES State FL ZIP Code 33150 CarflyNG[urnb 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." Back View of Property — Photo Taken 11/04/2009 ^ r4 y Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP- 143448 Permit Number: RC -7 -09 -1255 Inspection Date: January 01, 2999 Permit Type: Residential Construction Inspector: Dacquisto, David Inspection Type: Survey Final Owner: CRISWELL, RICHARD Work Classification: Addition /Alteration Job Address: 32 NW 93 Street Miami Shores, FL 33150 - Phone Number (305)448 -2764 Parcel Number 1131010170060 Project: <NONE> Contractor: OCTAGON CONSTRUCTION CORP Building Department Comments BATHROOM AND WALK IN CLOSET ADDITION TO THE REAR OF THE HOUSE //7�d Inspector Comments Passed Failed 1W110 El S�f�Py q ±F Correction Needed a A� 4 Tl Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 May 14, 2010 Page 1 of 1 1 Sheet I of2 Final Survey LOCATION SKETCH N.T.S. a , �.7or1h /ire ✓.6.r/v af. , ee. / J Ceder of .� I 1 : - JHi/vJ�si ✓Jswaa/ - ✓c"t� -io/v - - -- - ------- - - - - -- - - -- - - - -- - ZJ ulh %Jrre of B%e.P - � - J North , /ne WXaAafA., - ofl.6.4 � 3 JYE.99 671.7E . — —. v -,'.._ ._ Via — F _ 76.71 - 7 70 70 71 ~ D I -- -- -_ p Z o v I 4 e ; J. 1 76.79. 7S 7S 7J 7s 7.6 la 7S 1 t ! I n!W 9z aA fr s f I f B/ J - 76.78! 9 ?9 7s iro I 4e w __-- &W. vz- - el I Nor /iF•eeuoaro : Hoj /.vuuoEa .1 (9�i I 6 1 RCef 7.Be /oo Re./x 14° 1 4 l tj ze. PROPERTYADDRESS ABBREVIATIONS LEGAL DESCRIPTION: AVE - AVFHOR Lot 6 of. "CANADAY EXTENSION" MPH VSPH:V.T 32 Northwest 93rd Street A -W ANC ONDM)NE A.0 I O R l ORNER according o the Plat Thereof as Miami Shores, Florida, 33150 H .B.-CA RDING g H. C'OR- H t C.H. - CATC'N I K F CLN N. a) N WN F }: "`F recorded in Plat Book 41 at C ) I - - CON'CRFIA cot_ - C0 C I U.P. .C'.P. - aweRF}:TR,DY%H} page 71, of the Public Records CBS CDA - CONC'RET,I 17OIR %)I F. CBS C'RF7EB1 < %'N CERTIFIED ONLY TO: SC A N AI..%IA MF. C. \LF.. - ENA1.11: \N.WCF. of Miami -Dade County, Florida. A1FEU:Nr D DE DRI D W - DRI \F.W'A1' Richard B. Criswell & Mirta Criswell U.M.E. DR:VIAOE @MAIMINAINCE FIVEMF.NT F.1_ - ".FVATI(N ENC. F.NCROAC IFNr E.T.P. , FIRCTRIC TRANS%)RMER PAD F.P.L. - F'I.("(R)A RIWER :W D WRIT F.H. - FIRFID'DR:WT F.I.P. - FIX INI IRON PIPE. Surveyors Notes F.F. - FWISII FI[ %)R F.D. ". - I NDURR7. " DI t: E.R. F OIMDRFILVF #1 Examination ofABSTRACT OF TITLE will have to - ED - MNDDLSC F N' - F RNCF. NCV 1E - RRON be made to determine recorded instruments, if an y, '(DN F ELEVATION WORMATION. L.F.B. LF0 OW 9T FI,(X)R EI.EV. TR N affecting this property. Lp. °`I EA "` E #2 Location and identification of utilities ifan AIR4S. - M N, " , y , are UK MCK(AV DI F. Comm Panel 120635 ,. " "N ' ""F shown in accordance with Recorded Plat N.O.\'.D.- DC'ALI. DAPITI N.\TIONAI)AWFTIC #3 Benchmark Miami -Dade County Public Works Dep. VR Panel # 0302 N.T.S. F. N OVE RI F.IH::V To! F .I.E CTRIC I.MF. BIM Name N- -568 Elev. 9.65'• N.G.V.D 1929 O.. )FIF. OL - ON IJNE f f Firm Zone: °X° O.H ()VERII:WORS)RDOF #4 Bearings as Shown hereon are asumed Basis P.C'.P. - PFRMANF.NTCY)ATROL RWr Date of Firm: 09 - - 2009 a mTMt CI'N ER on Northwest 93rd Street, N89 °50'56 "E Base Flood Elev.: N/A ?V P.V(NWA. #5 Please See Abbreviations and Legend PL R - RADR IS F. Floor Elev. 12.90' "FS - RESR)ENC'F: #6 Scale of Drawing 1 " - -20' R -w - Ri1HT OF W #7 Ownership is subject to OPINION OF =E. S.D.H. - SET I URII.I.IIOIJ: L .A.G 10.80' S.I.P. - SF7IRONPIPE SW - SKI'N,VI. Wil: - SR)EW:V.F: SD #8 Type of survey. FINAL SURVEY. H.A.G 11.10' T TO - Mr[` #9 All Right of Way shown are Public unless otherwise Su 1IX: L WAS AUDSI":D noted W.\'. _ W X D(TIJTI' WATER V:V.\'F #10 Legal Description Furnished by client. Elev. Ref to NGVD 1929 W.LP. N EN — —• - . IRO FENCE CHAIN I AMD'FEN,CF.'NCE #11 Land Surveyed as described CN IW . #12 No underground installations on improvements CI XN EVA nov3 — — — 171E MU have been located except as noted BUILDING #13 Ownership of fence is not determine. — DISTANCE ® - CAT ® WATER AII: R:R #14 Record a measurement calls are in substantial ® W AT E ROAD -STAT agreement unless otherwise shown. "S I'I(I"W�" #15 Com late Field Surve 05 -07 -2010. 0 - INTERSTATE P y #16 Last Revised: I HEREBY CERTIFIED: THAT THE "FINAL SURVEY" OF THE HEREIN / DESCRIBED PROPERTY WAS RECENTLY SURVEYED / UNDER MY DIRECTION AND THAT THIS SURVEY , MEETS THE "MINIMUN TECHNICAL STANDARDS SET America Layout Corp FORTH THE FLORIDA BOARD OF LAND SURVEYORS" N BY: HERRYMAN PURSUANT TO CHAPTER: 472027, FLORIDA STATUES l AND CHAPTER 5J- 17.051 OF THE "FLORIDA CesN6oa Professional Land 280 5tuv 4 ey(7r ADMINISTRATIVE CODE ". W e STATEOFFLORIDA OFF. TEL.: 305- 606 -0031 s FAX: 305 -412 -3545 JOB No. 10 -119 Engineering & Surveying consultant Not valid without the signature and original raised seal FIELD WORK DATE: 05 -07 -2010 LB 7464 ofa Florida Licensed Survey and 7659 Southwest 102nd P13x ey Ma pper. Additions DRAWN DATE: 05 -10 -2010 M)emi, Florid. 33173 or deletions to Survey Maps by other than the signing TeL 305 - 2154250 PB 41 - 305-606-W31 are prohibited without the written consent of the Fes. 305-012 -3545 signing party. Sheet 2 of 2 Final Survey v �'�Y `� ,�� 4 �� 2016 Z6' !�- F/Nail 75.0' Right of way Intersection of :::::::. NW 1st Ave. N89 °50'56 "E::: --9:::: Northwest 93rd Street :.... ................. �::::::::::. ..... : ::::: ::._.. k� ..:. :::::........... 406.71 k .. :.::::.:.:. ::: :75.OU'::::::::::::::'::::::N89 ° 50'56 "E ::: .:. : ................. ............. .......... "°... : ": -'1 :: :: :::::::::::: :::::::::.::::::::.::::.::::::. :::::.: o: 5- 0' ::.:.:.:::::: :::::..::::.:.::::::.:.:::::.. - .. : :.:.::.:::.:.:::::::::: v, . .............:.:.:::.::::.. 1 c k .::::::::::. ::.:::::::.: ::::::::::. :. :::::::..:::.:.: N.. ........................ �., . .. ...........................20.4 Asphalt Pavement::::::::::::::::: �::.::.:::... ......................... .. ............................... 0NORTH LINE OF SE 1/4; OF NW 1/4; 3I c OF SE 1/4; OF SECTION 1- 53S -41E g c Asph. c 22.0' Parkway z iD/W z 3� 75.00' N °50' "E ' s� saewa>k '12.61' ' 3' � — B.Cor. FIP 1/2" 3.35' No Cap No Cap No Cap Concrete bol 5-T l o Walk � - 5 I, 8 cg x1rj I x � l 10 W 2.98' _j p 1 Tile step / /13 80 /, CU O 5.2x1 p I/F O o 2. 1 O Z0 9 1.6r 3 H=4 C:) p 11.40' "0 F.F.E +12.90' 10.8' i O x1 �i 26.80' t ; Z Tile Entry �r ' 7.3'x3.45' I P4 0 a I N One Story CBS Cn I H Residence #32 H / 0 33' CO 9.60', I O M r vi 15.60'/ c V- 9 48' ~ 11.00 � : r5-% 16.13'/ 'IT r - Wood ...:' • : 13.20' Deck I �/ A/C slab 9 00 16.4 I 5.3'x4.7' N b q I E1 = +11.15' Ix1 3 Wood steps Q O steps 5.2'x0.83' "Z'9 I I Mail 75.00' N89 0 57'23" V1l F.R No ID LOT 11, PB 41 -71 I I I I 1 -1 America Layout Corp ,— N NY. WM IAMHEdZRYMAN JOB No. 10 - 119 w E Ftofessional Land Surveyor Certificate No. 2804 FIELD WORK DATE: 05 -07 -2010 STATE OFFLORIDA. DRAWN DATE: 05 -10 -2010 a OFF. TEL.: PB 41 - Engineering & Surveying Consultant FAX: 305 - 412 -3545 LB 714 ot valid without t s ignature an o raised seal i 7659 Southwest 102nd Placro N lid h5- g g Miami. Florida 33173 of a Florida Licensed Surveyor and Mapper. Additions 305-21 TeL 5-3280 S urveyor Notes 305-606.0031 or deletions to Survey Maps by other than the signing Survey is Incomplete without sheet one Fax. 305412 -3545 are prohibited without the written consent of the Scale ofDrawing 1=20' signing party. ` • o Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP- 120321 Permit Number: RC -7-09 -1255 Inspection Date: January 01, 2999 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: Final PE Certification Owner: CRISWELL, RICHARD Work Classification: Addition /Alteration Job Address: 32 NW 93 Street Miami Shores, FL 33150 - Phone Number (305)448 -2764 Parcel Number 1131010170060 Project: <NONE> Contractor: OCTAGON CONSTRUCTION CORP Building Department Comments BATHROOM AND WALK IN CLOSET ADDITION TO THE REAR OF THE HOUSE Inspector Comments Passed J / J Failed kJ Correction Needed t Re- Inspection, Fee,. y No Additional Inspections can be scheduled until q, re- inspection fees paid. r�, a$ For Inspections please call: (305)762 -4949 May 14, 2010 Page 1 of 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP - 120321 Permit Number: RC -7 -09 -1255 Inspection Date: January 01, 2999 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: Final PE Certification Owner: CRISWELL, RICHARD Work Classification: Addition /Alteration Job Address: 32 NW 93 Street Miami Shores, FL 33150- Phone Number (305)448 -2764 Parcel Number 1131010170060 Project: <NONE> Contractor: OCTAGON CONSTRUCTION CORP Building Department Comments BATHROOM AND WALK IN CLOSET ADDITION TO THE REAR OF THE HOUSE Inspector Comments Passed D Failed El Correction ❑ Needed Re- Inspection ❑ �- Fee tx M K1 � 3 jq No Additional Inspections can be scheduled until re- inspection fee is paid. &` For Inspections please call: (305)762 -4949 May 14, 2010 Page 1 of 1 . MAY 4 2010 Manuel E. Siques 8331 SW 12� Terrace rc�- Miami, FL 33144 305 586 4776 msiq ues(aabel lsouth.net May 04, 2010 City of Miami Shores Building Department Miami shores, FL Atli: Building Official RE: 32- 93 St. NW Miami Shores, FL Building Permit # RC -7-09 -1255 Miami Shores, FL 33150 Sir: Please be advised. that I have performed as the Special Inspector for the reinforced masonry and I have inspected the masonry reinforcing, splices, cells and inspection grout pockets. In addition I have inspected the concrete tie beam reinforcing as indicated in the approved log. I hereby attest that to the best of my knowledge, belief and professional judgment, the structural and envelope components, as referenced above, are in compliance with the approved plans, and the inspected reinforced cells are in compliance with the As Built condition of the structure. This document is being prepared in compliance with the Florida Building Code, Section 307.2. mcerely, Manuel E. �Siques, P.E. #20233 Civil — Structural Consulting Engineer Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP - 120319 Permit Number: RC -7 -09 -1255 Inspection Date: January 01 2999 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: F. Termite Letter Owner: CRISWELL, RICHARD Work Classification: Addition /Alteration Job Address: 32 NW 93 Street Miami Shores, FL 33150 - Phone Number (305)448 -2764 Parcel Number 1131010170060 Project: <NONE> Contractor: OCTAGON CONSTRUCTION CORP Building Department Comments BATHROOM AND WALK IN CLOSET ADDITION TO THE REAR OF THE HOUSE Inspector Comments Passed Failed El Correction k'' Needed Re- Inspection ❑ 5, Fee �R t , No Additional Inspections can be scheduled until+ re- inspection fee is paid. For Inspections please call: (305)762 -4949 May 14, 2010 Page 1 of 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP - 120319 Permit Number: RC -7 -09 -1255 Inspection Date: January 01, 2999 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: F. Termite Letter Owner: CRISWELL, RICHARD Work Classification: Addition /Alteration Job Address: 32 NW 93 Street Miami Shores, FL 33150 - Phone Number (305)448 -2764 Parcel Number 1131010170060 Project: <NONE> Contractor: OCTAGON CONSTRUCTION CORP Building Department Comments BATHROOM AND WALK IN CLOSET ADDITION TO THE REAR OF THE HOUSE Inspector Comments Passed El Failed El Correction ❑ Needed t Re- inspection ❑ ,� f 1 f dh Fee P ." b No Additional Inspections can be scheduled until re- inspection fee is paid. x For Inspections please call: (305)762 -4949 May 14, 2010 Page 1 of 1 s 4035 S.W. 98 Avenue, Miami Florida 33165 MAY 1 4 2010 P.O. Box 650213 Miami, FL 33165 -0213 Tel. (305)552 -0141 / 1 -800 782 -9284 FAX (305) 227 -1797 Web Page: www.alflexexterminators.com / Email: alfle @bellsouth.net CONFIRMATION OF COMPLETION OF SUBTERRANEAN TERMITE PRETREATMENT AND CERTIFICATE OF COMPLIANCE Purchaser: Address of Treated Premises I II OCTAGON CONSTRUCTION ADDITION Address 1551 NE 158 ST /MIAMI, FL Lot- 0 Block- 0 Phone (305) 244 -7904 32 NW 93 ST/ MIAMI SHORES, FL Number of Structure(s) to be treated : ONE Product Used Square Footage: 128 Gallons Used: 12 1 MAXX PRO Linear Footage : 44 Gallons Used: 17 IMIDACLOPRID ( 0.03 ) Permit #: Date Initial Treatment: 11/30/2009 9:45 AM Date of Completion: 5/12/2010 10:30 AM Technician: CASIMIRO AI -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. AI -Flex Exterminators, Inc. by Corporate Seal: President Dated: 5/12/2010 This is not valid without a Company Seal e Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 I nspection Number: INSP- 143453 Permit Number: RC -7 -09 -1255 Inspection Date: January 01, 2999 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: F. Insulation Certificate Owner: CRISWELL, RICHARD Work Classification: Addition /Alteration Job Address: 32 NW 93 Street Miami Shores, FL 33150 - Phone Number (305)448 -2764 Parcel Number 113101017006 Project: <NONE> Contractor: OCTAGON CONSTRUCTION CORP Building Department Comments BATHROOM AND WALK IN CLOSET ADDITION TO THE REAR OF THE HOUSE Inspector Comments _y f ' Passed °- k a j a Failed El I Correction Needed Re- Inspection _ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 May 14, 2010 Page 1 of 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP - 143453 Permit Number: RC -7 -09 -1255 Inspection Date: January 01, 2999 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: F. Insulation Certificate Owner: CRISWELL, RICHARD Work Classification: Addition /Alteration Job Address: 32 NW 93 Street Miami Shores, FL 33150 - Phone Number (305)448 -2764 Parcel Number 1131010170060 Project: <NONE> Contractor: OCTAGON CONSTRUCTION CORP Building Department Comments BATHROOM AND WALK IN CLOSET ADDITION TO THE REAR OF THE HOUSE Inspector Comments Passed E:1 Failed Correction Needed a Re- Inspection` ` Fr Fee No Additional Inspections can be scheduled until re- inspection fee is paid. =' For Inspections pleasb call: (305)762 -4949 May 14, 2010 Page 1 of 1 MAY 1..4 2010 ENERGY, SOUND AND IMPACT CERTIFICATE Building Permit No: Project Name: �Y` L I S C r'010 (Y') A bb ( 'I'l f Job Address: �2 3 4SF STATEMENT OF COMPLIANCE We, the undersigned, hereby certify that the ENERGY, SOUND AND IMPACT INSULATION has been installed in the above referenced project, in compliance with the latest edition of the FLORIDA BUILDING CODE, the APPROVED ENERGY CALCULATIONS and Plans and in accordance with good constiuction practice. The insula 'on furnished and installed has the characteristics shown below: (check only a plica le boxes) O 1) Exterior CBS Walls Insulation: R- in' laterial: Thickness: inch (es): Density: lb /ft: Mfgr: O 2) Exterior Frame/Metal Stud Walls: R- (Min.): Material: Thickness: inch (es): Density: — lb/ft: Mfgr: O 3) Exterior solid concrete walls: R- (Min.): Material: Thickness: inch (es): Density: — lb/ft: Mfgr: O 4) Interior walls separating A/C from non A/C spaces insulation: R- (Min.) Material: • Thickness: inch (es); Density: _1b/ft O 5) MULTI - FAMILY RESIDENTIAL CONSTRUCTION ONLY: The COMMON (Party) walls to two separate conditioned tenancies shall be insulated to a minimum of R -11 for frame walls, and to R -3 on both sides of common masonry walls See ENERGY CODE, 2007, paragraph 13 -602. ABC.1.1, on page 13.74, latest edition. These "minimum levels of insulation ", are not included in the Energy Calculations, but shall be installed in the field. n 0 6) Ceiling insulation R- (Min.); Material fit' Thickness: inch (es): Density: lb/ft: Mfgr: 0 7) Walls, partitions and floor /ceiling assemblies between dwelling units or between dwelling units and adjacent public or service areas such as halls, corridors, stairs, etc. must have a sound transmission class (STC) of not less than 50 (penetrations must maintain the required rating). 0 8) Floor /ceiling assemblies between dwelling units or between dwelling units and public or service areas such as halls, corridors, stairs, etc. must have an impact insulation class (IIC) rating of not less than 50. Make photocopies of this sheet in your office, as required for future jobs. Installed by: Insulation Company Name Insulation Contractor Signature Insulation Contractor CC# f ,� �, / Date Certified: _ O.C./Builder: I . GDn I / j ' a l� � Company Name ui er's Sig Building Contractor CC #: Date Certified: Note: For lightweight Insulating concrete, use appropriate forms, separate from this one. Revised 02 -26 -2009 123_01 -172 3/09 ,►� haze vlilat NN Rc5 1U66 M �ntl Awei)ue „fftt c T M 3$ -0000 J 4SSt"H� << #�` d'►It�ne :j3tjYS 04 R�1U1N >i B ATRIA a #4:3f:36 Piatl FfiTo# F0 LO W olm E ` n irrrmr. ier,a Owner °s Nam' RICHARD CRISUUELL Job Address: �2 � tr g t� �otai Square 1^ee - h r` - -1 I50- ., s Bond Number. 1898 X�a �:Jo #'tai# inn '2�.Q�0.0�1, >: WORK #B A��b�yED MONO rHN�Ot#OH ,5A iUi�[7AY, Contractor (s) ' F#aane Primary Contra i 3N #ANYi N >:0aPM: l 1/ R1� # i��OWFP 77, -' SUNDAY 0 , 0LrV3A ,: OCTAGON CC NSTRUCTION CARP Yep BUlLDlN lN�15F'ECTN0NIS A E bONE.N�IONDAY TF#ROUIG I URSDAY. F2NJ(3F�iN INSPECTIONS ANNE Dii E' 0640A `ii Ii�tOli�i�.fi2li�AY, .N0.8LIJLDlN i tOtCTIONS DONE ON FR{DAY L EC T NO r�ECTION 1�UILL t MADt UNLESS THE PERMIT CART? IS DISPLAYED AND HAS #3�EN.AP(�}2�11/�Y? i'Li41±1S ARE READN Y Ai�ANLr� THE.i'ERMiT AF�PLNCP.N�TT'S RT=SP(JNSlBILITY TO ENSURE THAT_Wt�T3K `/ �;ivE SIBLE'ANCF XI QSi T�; C3f� 1 C Piri f1 N p tT 0 iT 1ME1T1 i 1 THE iU4LDING'Dl =i ICU�L NNpR TI-!E CNTY SHALL BE LIABLE F'QRtXPEN ENTANIEA #N'# TNT N 1 J4yAL 69 RFPLAC1 Ai1I NT OT�AN�iY 11i1�1N EFtTAN ' U1►A$�I�II�f�a �' OWNE : ` YOU I� i� �1' � Tb � _ � ��� �. Cr O�O ME`NCE6l EDIT' _AY : RES T P�Y�lel(� ±` � O i Q �P'C . ,. Tyr M d' A1��E iE E � E M -, -AND POSTED 15 E -0JRE T fE P �fi� TIO 14 N END O ; OBTAIN fINfii: �I IN �:��e�,�lJ��' �INIT �PC�lJ�, tE� a�� ®� MY BEFORE COM EN IN CI 0� k l _ RV! � CE 0i' COMMENCtMENr'. I NSPE CTIONRECO STRUCTURAL ZONING bualixin Ftn T ti trnw�1# olurnns: Colurn rrs tat l Tie Beam r. � Z / d Pyre a �nklers ,; tic fitoofheathin Viewer qbl is Gzicks > loo ©# t�rai�s Windows/Doors EdTRICAL . s. interior Fr mir . e Wspe ", ' i sp I Tern o foie Cefir- Grid. 30 D Tei ora ry liavii _rinkler`a ail . PooI:Bondin' I in #3rain l irewall Pool Deck l3ontlin2 fool Pi in Wire Lath Pool! Wet Nine lack Prevr; rttor ot�l Steel; Underground' � � In err e ,ter Pool [3eck` Footer Ground, Ca #cf� Sair2 final P not S1ab oneriat �rtns +Final P anic Wall , 80 screen, Ertel ©sure Ceiling Bough. driveway Bough Driveway ase Tele hone HO y h Tin Ca Tele . ne Fin l Roof in Pr; ress TU feu h Mr Pra res, TV Final " fiinit hoof Catilb lou f shutters Attachrriero #' Cable l=rtl, Final shutters Into ruom °3vub bails Arid Guardrails Intercom Fins ADA com Ran Alarm Rou h . 1NSP IiFINAL �T��1V DATE llli. Alarm Final : 1911 tlarrurad Pte D()CU VIENTS Fire Alarrn flp if Bean ng Cert Fire Alarm Final Soi,f Treatment cart Service Wail Y�fa Floor 1= levaiion Surve V ent4a #tiro Rough fetiwnit Mas CentLECTRI AL 1riuiation Ct;rtifcate Pefe T.e# S � Survey l�i�al,l�d Flrt $urvy .. ,...`." hal tletaofit Cer#ilacrtc�n Finai 1't Mete CJhJ1Vll1+1 Fal1�tt JIM A� - z Final s Fit�alr,lart .+.....mo r , ,,< LEGEND A = Central Angle N.W. 93rd STREET A = Arc A/C - Air Conditioner (Publicly Dedicated) Al�-, AV~ — .0-4 ASPH = Asphalt T -------------- - r 7Z 7,;. BB = Barbecue 1 a ow. Concrete Block Structure ru H .1 q .. . '. MR. W - CBS H W CH Chord 117Z 9 a i. 1'. H H H Hi H H.ME IN - - 1 9. 9 .... 1 .4? ;% ' Z J4- Chattahoochee N 9­ .. -H.- .... .. . ..................... . ......... Chatta. 7 RN o — Center Line 0 CLF Chain Link Fence HE R R M Clear 1H 11 01 Conc. = Concrete C71 a an' OiS 22.5' PKWY D = Deed M771 W 1 0 = Diameter rr DH =Drill Hole J DME = Drainage & Maintenance Easmlt H Easm't = Easement 75.00' (P) '11 W W. W-4 Enc. = Encroachment F.H. = Fire Hydrant Fnd. PRM FIP = Found 1/2" Iron Pipe Fnd. DH FIR = Found 1/2" Iron Reber s� Fnd. DH .43 S FPL = Florida Power & Light A '(P) ID = Identification (NO I.D.) NO I. D.) 125.05 C2 Or. C P q 125.08' (M) I.P. = Iron Pipe m m LB Licensed Business LM 0. Location Sketch E = Maintenance Easement CONC. WALK NTS L.S. = Land Surveyor M = Measured MAINT. = M: 01 ME = Maintenance nee Easement = Monument Line Mon. = Monument a N/A = Not Applicable TILED CONC. 13.75' 13 , — N�D = Nail & Disc —0.30 CI. N = Number STOOP NTS = Not to Scale METAL� O/S = off FENCE O.U.L. = Overhead Utility Lines 10.05' 4� 8.80' P = Plat iv ...... i6to - PB = Plat Book 0 to, 0" PC = Point of Curvature C:) 0 _j One Story 9D 0 PCP = Permanent Control Point L L PG = Page 0) C.A) W Z Residence q! I g _11 P.I. = Point of Intersection No. 32 - PKWY = Parkway �> E = Property Line CD Lu FINISHED FLOOR --0.20'Cl. LEGAL DESCRIPTION: PL = Planter Lu ELEVATION = 12.92' PLS = Professional Land Surveyor 33' ---0.68' Cl. Lot 6, CANADAY EXTENSION, according to the Plat thereof, as recorded in Plat Book P.O.B. = Point of Beginning 9.10 15.35' 41, Page 71, of the Public Records of MIAMI-DADE County, Florida. P.O.C. = Point of Commencement 0! 16.30' q 0 CD P.P. = Power Pole PRC = Point of Reverse Curvature • --9.7 11 83' CERTIFIED TO: Richard B. Criswell & Mirta; Cambridge Title & Closing Services; PRM = Point of Reference Monument 0.60' Enc. -- -q 6. b 4" PT 3.66... Lawyers Title Insurance Corporation; Prospect Mortgage, LLC. = Point of Tangency 1.00' Enc. P! R = Radius FOUNTAIN Res. = Residence jE '1 5 Surveyor I ' � . i PREPARED FOR: Richard B. Criswell & Mirta, 32 N.W. 93 Street, Miami Shores, FL R.L.S. = Registered Land Su RNG = Range 1 m 33150 R/R = Railroad o i0 V � ( ON N574.30' N J, I MR RSM = Registered Surveyor Mapper &9 RM = Right-of-Way Encroachments: Sdwk = Sidewalk 5'W.F. 1 Overhead utility lines. Sec. = Section 0.15' Enc.. T = Tangent I— .— 4 �. _ Li. 2. The asphalt drive is encroaching into the street Right-of-Way (N.W 93rd Street). TWP = Township Fnd. .D' Reber P.P. 75.00' Frid. I/V I.P. (No I.D.) 3. Portion of the 5 foot high wood fence is encroaching over the West boundary line. Utility Easement :_ (No I.D.) U.E. = U UTIL. = utility 0.25'O/S WEST 18 ' q 4. Portion of the abutting 5 foot wide concrete sidewalk is encroaching over the North W.F. = Wood Fence C; 01 W.M = Water Meter – boundary line. W.M WME = Wall Maintenance Easement SURVEYOR'S SEAL BOUNDARY SURVEY MOJARENA &ASSOCIATES, INC. Unless it bears the signature and I HEREBY CERTIFY: That the attached survey was made • AJI clearances and/or encroachments shown hereon are of apparent nature. Fence ownership by visual means. Legal ownership of fences not determined. th under my responsible charge and substantially meets the Land Surveyors & Mappers e original raised seal of a minimum technical standards as set forth by the FLORIDA Certificate of Authorization No. 6698 • Encroachments Noted: 4 Florida licensed surveyor and BOARD OF LAND SURVEYORS In Chapter 61G17-6, Florida vvi E 12925 S.W. 132nd Avenue • Underground structures, if any, not located. mapper, this map/report is for Administrative Code, pursuant to Section 472.027, Florida • Bearins, if shown, are based on assumed meridian or Plat of Record. informational purposes only a Statutes. There am no encroachments, overlaps, easements g nd is appearing an the plat or visible easements other than as Miami, Florida 33186 (305) 278-2494 • Lands shown hereon were not abstracted for easements and/or right-of-ways of record. not valid. shown hereon. • Legal description provided by client. • This certification is only for land as described. It is not a certification of title, zoning, easements, or freedom from encumbrances. ABSTRACT NOT REVIEWED. REVISED: 08-21-09 714 ' A�2 FLOOD ZONE: X BASE: N/A • There may be additional restrictions not shown on this survey that may be found in the public records of this county. ABSTRACT NOT REVIEWED. (SPOT ELEVATIONS) NtL9ON MOJV!E:NA • This B06NDARY SURVEY has been prepared for the exclusive use of the entities named hereon. The Certificate does not extend to any unnamed party. Registered Surveyor & Mapper No. 5504 DATE: SCALE: DWN. BY JOB NO. • This survey was based on the monuments found on the field. No construction in any manner should be made without the prior written consent of the Surveyor. State of Florida 06-11-09 1" = 20' NMJR 09-0119 r SHOP DRAWING DOCUMENT REVIEW These documents have been reviewed for conformance with the design concept and intent and general compliance with the contract documents. The contractor is responsible for confirming acid correcting all quantities and dimensions, fabrications and constru ' MIAMI coordination of this trade with all other LINTY, FLORIDA APPROVED W GLER BUILDING GLER S ET, SUITE 1603 BUILDING CODE COMPLLANCIMWWWWOTIONS MUM Q RIDA 33130-1563 PRODUCT CONTROL DMSIO (305) 372 -6339 NOTICE OF ACCE SMIT C1 www .miamidade. vlbnildin code Sunshine Windows Mann fa =MAN D: 17 W. 33 Place UES, P.E, 1IE Hialeah,lNZ 33012 R. MIAMI FL SCOPE: FAX (30+5) 2�iT This NOA is being issued un e-use r0- tion materials. The documentation submitted has been reviewed by Miami -Dade (;ounty Pr uct Control Div sion and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other where allowed by the Authority Having Jurisdiction (AHJ)- This NOA shall not be valid after the expiration date stated below. The Miami Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to Perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or - suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dada County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series 1650 Aluminum Horizontal Sliding Window — L.M.L APPROVAL DOCUMENT: Drawing No. HS08 -01, titled "Series 1650 Aluminum Horizontal Sliding Window (XO) Impact Resistant Glass", sheets 1 through 7 of 7, dated 03/14/08, prepared by manufacturer, signed and sealed by Francisco Hernandez, P.E., bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and Approval date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product o e s. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other se eally terminate this NOA. Failure to comply with any section of this NOA sP on and removal of NOA. ADVERTISEMENT: The NOA num pr e, b} ' a wo d Miami -Dade County, Florida, and followed by the expiration daze may be displayed 'n s g y portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NO 1 o user by the manufacturer or its distributors and shall be available for is on a at th . quest of the Building Official. This NOA consists of this page 1 and evid c E -2, as well as approval document mentioned above. The submitted documentation was reviewed by Manuel Perez., P.E. lifer NOA No. 08-0107.08 Maw COIR�Er1r Expiration Date: April 10, 2013 Approval Date: April 10, 2008 Page 1 Y El i IPbia' j y A 4 1 ` fi�iTfd 15. - . 1 Sunshine Windows Manufacturing, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No HS08 -01, titled "Series 1650 Aluminum Horizontal Sliding Window (XO) Impact Resistant Glass ", sheets 1 through 7 of 7, dated 03/14/08, prepared by manufacturer, signed and sealed by Francisco Hernandez, P.E. B. TESTS 1. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per FBC TAS 202 -94 3) Water Resistance Test, per FBC, TAS 202 -94 4) Large Missile Impact Test per FBC, TAS 201 -94 5) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 6) Forced Entry Test, per FBC 24113.2. 1, TAS 202 -94 along with marked -up drawings and installation diagram of Aluminum Horizontal Sliding Window, prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTL -5331, dated 09/18/07, signed and sealed by Carlos S. Rionda, P.E. 2. Test reports on: 1) Air Infiltration Test, per FBC, TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per FBC TAS 202 -94 3) Water Resistance Test, per FBC, TAS 202 -94 4) Large Missile Impact Test per FBC, TAS 201 -94 5) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 6) Forced Entry Test, per FBC 24113.2.1, TAS 202 -94 along with marked up drawings and installation diagram of Aluminum Horizontal Sliding Window, prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTL -5015, dated 07/27/07, signed and sealed by Carlos S. Rionda, P.E. C. CALCULATIONS 1. Anchor verification calculations and structural analysis, complying with FBC -2004, prepared by Sunshine Windows Manufacturing, Inc., dated 12/15/07, signed and sealed by Francisco Hernandez, P.E. Complies with ASTM E1300 -02 D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 05- 1208.02 issued to E.I. DuPont DeNemours & CO., Inc. for "DuPont Butacite PVB. Interlayer." dated January 05, 2006, expiring on December 11, 2010. Manuel Pe .E. Product Control xam er NOA No. .08 Expiration Date: April 10, 2013 Approval Date: April 10, 2008 E -1 Sunshine Windows Manufacturing, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED F. STATEMENTS 1. Statement letter of conformance, dated December 15, 2007, signed and sealed by Francisco Hernandez, P.E. 2. Statement letter of no financial interest, dated December 15, 2007, signed and sealed by Francisco Hernandez, P.E. 3. Laboratory compliance letter for Test Report no. FM-5331, issued by Fenestration Testing Laboratory, Inc., dated September 21, 2007, signed and sealed by Carlos S. Rionda, P.E. 4. Laboratory compliance letter for Test Report no. FTL -5015, issued by Fenestration Testing Laboratory, Inc., dated August 07, 2007, signed and sealed by Carlos S. Rionda, P.E. G. OTHER 1. None Manuel PerezrTf.E. Product Control E ml r NOA No. 08 0107.08 Expiration Date: April 10, 2013 Approval Date: April 10, 2008 E -2 DESIGN PRESSURE CHART - PSF 10° SERIES 1660 ALUbiQ1UM � .:: •:::..._ .. HORIZONTAL SLDJING WINDOW (XO)� •r.:n " "r•'•.r; :u:.i:.nv:v " HEAT STRENGTHENED LAMINATED DeACT o IMPACT IMPACT a � »': ::.: 't }f { :{ : RESISTANT G : %:Ytt:> :,.t 111. GLASS GLASS X106 W WINDOW ANCHOR 6URRICANEPR0CrRC170N W 0�7N19. DINEMON SCHEDULE I9 NOT QUI9ED M � 1746 W. 33rd Ptaos PER PER 1314" SILL 3" SII.L = wmon t2 wroTH HEIOFII HEAD do rCi ✓� �Dt� / E) Fro (�oa>3e4ess2 SILL EXT. 3 WT. EXT. INT. p ,, l . , F=(308)828 -5118 O F;; 261/2' 3 53.33 120.00 80.00 120.00 37' 4 53.33 120.00 80.00 120.00 a 53 1/8' 6 3 53.33 119.30 80.00 119.3 (6 FALSE MUNTIN BE SURFACE APPLIED) J Q 74 8 1 53.33 90.0 80.00 90.00 1 v 26 1/2` 3 53.33 120.0 80.00 120.00 1/8. 1 0° 3Y 4 53.33 120.0 80.00 120.00 35 3 /e 53 1/8. • 6 5 53.33 95.50 80.00 95.50 Vr WINDOW WIDTH 7 8 53.33 78.90 78.90 78.90 3Y 4 53.33 104.70 80.00 104.701 TYPICAL ELEVATION (XO) 53 1/$' 50 5/8 6 6 53.33 88.40 80.00 88.40 74• 8 53.33 67.30 67.30 67.30 37` 4 53.33 88.20 80.00 88.20 53 1/5• 83' 6 7 53.33 75.00 75.00 75.00 GENERAL NOTES' IMPACT HORIZONTAL ROLLER WINDOW. 74• 8 1 53.33 82.00 162.00 82.00 1. CONFIGURATIONS OX AND XO 24 3 53.33 120.0 80.00 1120.0 2, FOR NUMBER OF ANCHORS FOR EACH UNIT SIZE REFER TO 35" 4 53.33 120.0 80.00 120.0 DESIGN PRESSURE CHART V1 O $ 45• 2e 5 3 53.33 120.0 80 120.0 3.- REFERENCES: TEST REPORTS FTL -5015 AND FTL -5331. I` aaa� , jjj �• 6 53.33 120.00 80.00 120.0 4.- THIS PRODUCT MEETS THE REQUIREMENTS OF THE 2004 0 72` 7 53.33 90.00 80.00 90.00 FI-�DA BUILDING CODE ►� 24" 3 53.33 120.00 80.00 120.0 5.- FASTENERS MUST HAVE THEIR OWN NOTICE OF ACCEPTANCE AND MUST BE MADE OF STAINLESS STEEL. OR HAVE ADEQUATE APPa>R'�eB�7�8a1>b0e 38' 4 83.35 120.00 80.00 120.0 PROTECTION AGAINST CORROSION, PER DIN 50018. ALUMINUM + CONTACTING METALS SHALL BE PROPERLY PROTECTED. 48` 38° 5 4 53.33 120.00 80.00 120.0 Mi®t E7 Cad 8.- GLAZING: 0.340" OVERALL LAMINATED GLASS USING TWO LTTES OF I 80• 6 53.33 99.90 60.00 99.90 0.125` HEAT STRENGTHENED GLASS WITH A 0.090" INTERLAYER DY q 72" 7 53.33 88.60 80.00 88.60 FILM DUPONT BUTACTTE PVB. BETWEEN THE TWO LITES OF GLASS. LAMINATED BY TECNOGLASS OR SIMILAR H 35• 4 53.33 100.40 80.00 100.40 48 5 53.33 93.90 80.00 93.90 *ft . RF oc D 0 a 80• 6 5 83.33 87.00 80.00 87.00 MIAM- DADE DIPACT RESISTANT SHUTTERS ARE NOT REQUIRED Saabs 1 ®1 72 7 53.33 74.30 74.30 74.30 38• 4 53.33 90.00 80.00 90.00 oAAYPpYO N& 45' 5 7 53.33 87.00 80.0 87.D0 HS08 -01 Go. 6 53.33 83.40 80.0 63.40 3 /5 SHEET 72• 7 53.33 67.e0 67 eo 67.60 MACT RESISTANT WINDOW 1 o f 7 FRANCISCO HERNANDQ FLORIDA PE � 51393 , . . ' *7 AS=l*eWindm SERIES 1650 ALMNUM PACT IMACT GLASS GLASS R UANJ GLASS 1745 W. 3&t Nice VnNIDOW ANCHOR RURNWANEZROCTECT)ION F% (305)364-"U Ps PER 1314* SML 3# SUL _z7m1_'0wT SILL JAMB Ea. I NT. EXT. NT. —FALSE MUNTINS (SURFACE APPUED) MAY BE USED 3r 6 53.33 90.00 80.00 90.00 74r rll 53.33 85.20 80.00 85 WINDOW WIDTH 4r 7 53.33 90.00 80.00 90.00 TYPICAL ELEVAnON (XO) 7r ll 53.33 90.00, 80.00 90-001 GENERAL NOTES. IMPACT HORIZONTAL ROLLER WINDOW, I.- CONFIGURATIONS OX AND XO 2.- FOR NUMBER OF ANCHOR$ FOR EACH UNIT SIZE REFER TO DESIGN PRESSURE CHART r � 3,- REFERENCES. TEST REPORTS FrL-5015 AND FTL-5331. 4- THIS PRODUCT MEETS THE REQUIREMENTS OF THE 2004 FLORIDA BUILDING CODE 5.- FASTENERS MUST HAVE THEIR OWN NOTICE OF ACCEPTANCE AND MUST BE MADE OF STAINLESS STEEL OR HAVE ADEQUATE PROTECTION AGAINST CORROSION, PER DIN 50018. ALUMINUM Daft CONTACTING MErALS SHALL BE PROPERLY PROTECTED. S.- GLAZING: GZW OVERALL LAMINATED GLASS USING TWO UTES OF 0.125" HEAT STRENGTHENED GLASS WITH A 0.090* INTERLAYER BY FILM DUPONT BUTACTTE PVB. BETWEEN THE TWO LITES OF GLASS. LAMINATED BY TECISIOGLASS OR SIMILAR RF DPAWM - NO. FLORIDA PE # 51393 ` . . ' ' M5 A 33rd PIM Weak Fbfto 33M2 Fam —6118 (2��(l 0, WINDOW WIDTH HORIZONTAL SECTION oil 17 BY 11 M ; VERTICAL SECTION Ddu VERTICAL SECTION DROM NO. SHEET Lop � - r .:i:r.::;s,.y MMlExuttasr Mnz$R>aLt.rsr .:,'• t��:; >i�'� ITEM* PART# RBQD. DB9CRI'rm D,ATlRt1AL rMUO PART# REQD. DESCRIPTION MATERIAL t SW-019 1 FRAME HEAD 8083 -T3 13 SW -018 1 MOVING SIDE RAIL 8083 -TB �7ipU4:�•�t• :7 »iiimt•:: " 2 SW-Ot9 1 FRAME SILL 6093 -75 14 SW3257 AS ROD WEATHER STRIP BULB VINYL +:: ::::::: ::::,.:•::a -:•, 3 SWXXX21 1 INSERT TRACK 8083 -TS 18 SW -987 AS ROD LATCH ZINC $U dmb V�A�91S klanufachairlg, IOC. S SW -012 2 SLIDER TOP /BOTTOM RAIL 6083 -T5 19 SW -S10 2 /SILL REnCULATED FILTER FOAM 1748 W. 33rd PIWO 016 Fwwo B SW3019 AS ROD FIN SEAL PILE FELT 17 SW40771 1 SILL RISER 8083 -Ts ft tlWle 0)J84� - 9862 5064 SM 8 S021W 2 WHEEL BRASS 18 SW -014 1 JAMB TO FAXED PANEL 6083 -T5 Fina(30)828 -5118 9 SW -017 1 MOVING MEETING RAIL 6063 -TS 19 - AS ROD SILICONE PEC. -8118 OR SIMILAR 10 SW401It 1 FIXED MEETING RAIL 6083 -15 20 SW-101 AS ROD IMPACT GLAZING BEAD 8083 -TB 11 SW -AS AS ROD ASSEMBLY SCREWS B X i SMS. 21 SW -STL 1 3/8' X 3/4 FLAT BAR STEEL 12 SW -013 1 JAMB TO MOVING PANEL 8083 -TS 22 SW-AS 4 ASSEMBLY SCREWS 8 X 2 1/2' SMS. 0 OAl2 1.626 ---{ T� T I T 0.050 T . aoex I 0.394 780 1.878 •�•• Mi a., t 1 +•437 of JJ o�76o AS J� a9t2 0.667 1.412 GLAZING BEAD FAXED MEMO RAIL MOVING MEETING RAN. JAMB TO FIXED PANEL FRAME JAMB TO MOVING PANEL �3 -• 3 C SW -40111 SW -017 SW -014 SW -013 ICI 6083 -TS 6083 -T6 6083 -TS 8083 -T8 0.078 �} art ao82 I 1,780 ,.87y0 s.082 140 0.892 100 0.060 ,.� 0.780 A ascmn* Swbhtffi Q810 I+- z10 1.0000 JDow 0 O M � Dadc+ j•Lj FRAME HEAD AND SILL MOVING SIDE PAIL SILL RISER INSERT TRACK SLIDER TOP AND BOTTOM RAIL 6�,T5 ggyyyy �� gg 60063 -75 T5 808375 � N-40 OM-75 13Y om. 9a RF soft Dates 0 1 1 2'e:t Ra RwW— RO Na HS08 -01 SHEET IMPACT RESISTANT WINDOW FRANCI A PE 3 3 4 of TTI� � . . � '^ TYPICAL ANCHORS TYPICAL ANCHORS 1/4 SMIS 1 1/2 MIN. PENETRATION INTO WOOD. 1/4 TAPCONS 1 1/4' MIN. EMBEDMENT INTO MASONRY THROUGH I' BY WOOD SUCK INTO MASONRY THROUGH 1* BY WOOD SUCK (FOR MAX. ANCHOR SPACING AND NUMBER OF ANCHORS REP TO DESIGN PRESSURE CHARY) Q.—MR. VA.A- 2" BY WOOD SUCK 1745 A 3W Pla" Fm (305)38+-9052 FM(305)528-01 18 DETAIL A DETAIL B ATTACHMENT TO MASONRY ATTACHMENT TO WOOD TYPICAL ANCHORS 1/4" $MS. THROUGH METAL (FOR MAX. ANCHOR SPACING AND NUMBER OF ANCHORS REFER TO DESIGN PRESSURE CHART) tn ;AMN 0 ATTACHMENT TO METAL STRUCTURE DETAIL RF (STEEL Oft ALUM. l/e MIN. THICKNESS) ftvwwu— TYRICAL HEAD SEMONS S-1gy-09 HSO t] SHEET IMPACT RESISTANT WINDOW FLORIDA PE 11 51393 _ it "rayti a; i .... i .i: • :.... ,v {.k{ii4'titi ?Y �i {i�:riti «i• $Un8�In@ �Ind6WS NLmufacturillg, Inc. 1745 W' PIm laaaan, Flerm pots Pht (306)36+ —osM2 • Pma(x6)SM -6118 r ! . . a0 '• ..fy qY.i�. 7/4` MAX. NON L — SHRWIt OUT d c1l OR I* BY wow BUCK •• .6' ♦' •e v: .die \Z ... •• �i 2 1/2" MIN. 2 1/2" MIN. 2 1/2" MIN. _2 1/2" MI N. ' I y TIPIML ANCHORS TYPICN. ANCHORS ----j � 1/4' TAPCM 1 1/4' YIN. EMBEDMENT 1/4' TAPCONS 1 1/4' MIN. EMBEDMENT V INTO MASONRY INTO MASONRY THROUGH 1" BY WOOD BUCK (FOR MAX. ANCHOR SPACING AND NUMBER OR NON SHRINK NON METALLIC GROUT OF ANCHORS REFER TO DESIGN PRESSURE CHAR) (FOR MAX. ANCHOR SPACING AND NUMBER OF ANCHORS REFER TO DESIGN PRESSURE CHART) DETAIL D DETAIL E I"t ATTACHMENT TO PRE -CAST SILL ATTACHMENT TO MASONRY r„ Fl� �rma�rmm, O 2' BY WOOD BUCK TYPICAL ANCHORS A x 1/4' SMS THROUGH METAL DL TYPICAL. ANCHORS (FOR MAX. ANCHOR SPACING AND NUMBER BY OF ANCHORS REFIIi TO DESIGN PRESSURE CHART) 1/4' SMS 1 1/2" MIN. PENETRATION INTO WOOD. DETAIL oANCHO R T DESIGN PRESSURE CHART) m a ,, RF ATTACHMENT TO METAL STRUCTURE (STEEL OR ALUM. 1 /e MN. THICKNESS) DoOet 3 -1 swim DETAIL P ATTACHMENT TO WOOD + TYPICAL SILL SEC HS08 01 SHEET IWACT RESISTANT WINDOW DA E�;� 6 OF 7 1/4" MAX. SHIM SPOCE 2" BY WOOD BUCK ..::i : "'•�.iizi�.' 114' MAX .... ...... • SHIM SPACE g;:i ir:r�:4:�;{ •Y•aii•' ... z &{�s it itiii ' TYPICAL ANCHORS ,,; Swine �+ndows •�• ' 1/4" SMS 1 1/2" MIN. PENETRATION INTO WOOD. GCtllnitg, InC. (FOR MAX. ANCHOR SPACING AND NUMBER 1748 W. 83rd pine 4L — INTO fSON TYPICAL ANCHORS 10R6 OF ANCHORS REFER TO DESIGN PRESSURE CHART) WAWu � RvMe ST012 TYPICAL ANCHORS ha � 89982 1/4' TAR 1 1/4' MIN. EMBEDMENT 1/4' SMS. THROUGH METAL MONRY THROUGH i' BY WOOD BUCK DETAIL I - N OR NON SHRINK NON METALLIC GROUT (FOR MAX ANCHOR SPACING AND NUMBER = o (FOR MAX. ANCHOR SPACING AND NUMBER ATTACHMEW TO WOOD DETAIL _ - __ OF ANCHORS REFER TO DESIGN PRESSURE CHART) _. . .. OF ANCHORS REFER TO DESIGN PRESSURE CHART) - – DETAII, I "; t O's • ?t ATTACHMENT TO METAL STRUCTURE DETAIL (STEEL OR ALUM. 1 /8" MIN. THICKNESS) , (/� DETAIL H ATTACHIYENT TO MASONRY GLAMG DETAII, � 0.090" DUPONT TAB Ply H TYPICAL. ANCHORS 1/8' HEAT 1/8' HEAT 1/4' SO THROUGH METAL STRENGTH STRENGTHENED T (FOR MAX. ANCHOR SPACING AND NUMBER OF ANCHORS REFER TO DESIGN PRESSURE CHART) 3/8 MICAL) BM Qi M COUNTY APROVED AppaoveQes eoatF196tbw96ffie 17 Date 0 0 SIU CONE 0 SSR AR D DRA 895 Miami Dacia l4WudCaWd x >ly GLAZING: 0. 340" OVERALL LAMINATED GLASS USING TWO LRES OF 0.]28" HEAT STRENGTHENED GLASS WITH A 0.090" INTERWYER FILM DUPONT BUTACTTE PdB, BETWEEN THE TWO LITES OF GLASS. ---._- LAMINATED BY TECNOGLASS OR SIMILAR on " 9w RF -- odm 4- sof 1 2 -1 Rahtas ATTACH TO MULLIONS DBTAII DRAM Na TYPICAL JAMS SECTIONS HS08 -01 SHEET IMPACT RESISTANT WINDOW FRANCISCO E A of OCT. 14 2009 -- �_ s r 3 y ppp • �P � �., .. -.:,,. —sue... n r y a � � sure P.E. A2o233 ENGINEER :.,.. 8331 SW 12TH TERRACE M L 33144 41 • ^ ll. ` 1 o"t- m PL r o � t4 1 1 �: pp 4 1 f 75) L 1.-- 40 coo Q; fi { { I g � k i t 4 �Q M u , "L s 1 rwmw ao�IVO H"1- ARS L£E8 ,.. .... _..rz. wanionals -nAto !worms ela tN L insNoo t s - s•a sanais •a,anNvw (4)� Gh 8 lw* Q i g I _ MANUEL. E. SIQUES P.E. 020333 CONSULTING ENGINEER CML- STRUCTURAL 8331 SW 12TH TERRACE MIAMI, FL 33144 776 r i ' � r o 1 : ya K r< ' AGA, F� 6 4 Ile f cmMULTM" MMINEOR r. MAR, FL =144 , u —Vt so V Y -x` 4 ' - "gin �� �•`�� o �� B. '14 lfnvm WVMML a me &SW anammuwm �p 70 lip —q dor �. b d Jos w 0 r U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008 Federal Emergency Management Agency I Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1 -9. SECTION A - PROPERTY INFORMATION j -F Itrancx# Company tl Al. Building Owners Name Richard B. Criswell & Mirta A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.Dr 1IC 1 _ •_. 32 N.W 93 Street City Miami Shores State FL ZIP Code 33150 Al. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 6, Block, CANADAY EXTENSION, PB 41, PG 71 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 25.86034° N Long. - 80.19803° W Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 8 A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) 1249.37 sq ft a) Square footage of attached garage 254.68 sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade 9 walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 1026.72 sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ID No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State Village of Miami Shores 120652 1 MIAMI -DADE FL 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) 12025C 0093 J 7117195 312194 X N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. a ❑ FIS Profile ® FIRM [:1 Community Determined El Other (Describe) 1311. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) W..2. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date N/A ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction* ® Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a -h below according to the building diagram specified in Item AT Use the same datum as the BFE. Benchmark Utilized N -568 Vertical Datum NGVD 1929 Conversion/Comments N/A Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure 10 7 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 12 ® feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N/A ® feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 10 ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 11 1 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 10 4 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 12 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 10 7 ® feet ❑ meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a F , licensed land surveyor? ® Yes ❑ No Certifiers Name License Number °' r Nelson Moiarena 5504 Title Company Name President Moiarena &Associates Inc. Address City State ZIP Code _ 12925 S.W. 132 nue Miami FL 33186 8/21/2 09 Signature Date Telephone RSM #5504 FEMA Form 1 -31, Janu 2003 See reverse side for continuation. Replaces all previous editions d IMPORTANT: In these spaces, copy the corresponding information from Section A- For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 32 N.W. 93 Street city State ZIP Code Company NAIC Number Miami Shores FL 33150 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. v Comments C2. e Type of Machinery Servicing Building = A/C on South side Highest Crown of Road = 10.89' r A8 & A9. d) Engineered flood openings information not provided. Signature Date 8/21/2009 ❑ Check here if attachments SECTI N E - BUIL G 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. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, 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 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 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 [I 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 S ection G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA - issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name a Address City State ZIP Code Signature Date Telephone 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 G10. Community's design flood elevation _ _ ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments ,► FEMA Form 81 -31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Policy Number 32 N.W. 93 Street City W.-ami Shores State FIL ZIP Code 33150 Company NAIL 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. v r t I, f F 'Y T' Front View 8/21/2009 Rear View 8/21/2009 k Right Side View 8/21/2009 Left Side View 8/21/2009 4 FORM 1100A -08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: criswell_richard Builder Name: Street: 32 nw 93 st Permit Office: miami shores City, State, Zip: miami shores, fl , 33150- Permit Number: Owner: Richard Criswell Jurisdiction: 232600 Design Location: FL, Miami 1. New construction or existing Addition 9. Wall Types Insulation Area 2. Single family or multiple family Single- family a. Concrete Block - Int Insul, Exterior R =5.0 1552.00 ft b. N/A R= ft 3. Number of units, if multiple family 1 c. N/A R= ft 4. Number of Bedrooms 4 d. N/A R= ft 5. Is this a worst case? No 10. Ceiling Types Insulation Area 6. Conditioned floor area (ft 1736 a. Under Attic (Vented) R =30.0 1603.00 ft b. Cathedral /Single Assembly (Vented) R =19.0 133.00 ft 7. Windows Description Area c. N/A R= ft a. U- Factor: Sgl, U =0.55 204.00 ft SHGC: SHGC =0.30 11. Ducts b. U- Factor: N/A ft2 a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 347.2 ft SHGC: 12. Cooling systems - c. U- Factor: N/A ft a. Central Unit Cap: 42.0 kBtu /hr SHGC: SEER: 14 d. U- Factor: N/A ft 13. Heating systems - SHGC: a. Electric Strip Heat Cap: 16.5 kBtu /hr e. U- Factor: N/A ft2 COP: 1 SHGC: 14. Hot water systems 8. Floor Types Insulation Area a. Electric Cap: 66 gall a. Slab -On -Grade Edge Insulation R =0.0 1736.00 ft gallons 2 EF: ons b. N/A R= ft b. Conservation features c. N/A R= ft2 None 15. Credits Pstat Glass /Floor Area: 0.118 Total As -Built Modified Loads: 36.81 PASS Total Baseline Loads: 43.99 MANUEL E. a1 UMS P.E. #120233 1 hereby certify that t t4nmovered by Review of the plans and rt E A this calculation are i Energy specifications covered by this 0 Code. MIAIIM. FL 331 calculation indicates compliance 306440-47" with the Florida Energy Code. PREPARED BY: t7, I _._ Before construction is completed w ' M DATE: - __ this building will be inspected for }' , f compliance with Section 553:908 I hereby certify that th building, as designed, is in compliance Florida Statutes.", with the Florida Energy Code. © W1 " OWNER /AGENT: _ -_ BUILDING OFFICIAL: DATE: - - - -- -- DATE: 10/11/2009 7:49 PM EnergyGauge® USA - FlaRes2008 Page 1 of 5 i PROJECT Title: criswell_richard Bedrooms: 4 Adress Type: Street Address Building Type: FLAsBuilt Bathrooms: 0 Lot # Owner: Richard Criswell Conditioned Area: 1736 SubDivision: # of Units: 1 Total Stories: 1 PlatBook: Builder Name: Worst Case: No Street: 32 nw 93 st Permit Office: miami shores Rotate Angle: 0 County: dade Jurisdiction: 232600 Cross Ventilation: City, State, Zip: miami shores, Family Type: Single- family Whole House Fan: fl , 33150 - New /Existing: Addition Comment: CLIMATE / IECC Design Temp Int Design Temp Heating Design Daily Temp �/ Design Location TMY Site Zone 97.5% 2.5% Winter Summer Degree Days Moisture Range FL, Miami FL_MIAMI_INTL_AP 1 51 90 75 70 149.5 56 Low FLOORS # Floor Type Perimet R -Value Area Tile Wood Carpet 1 Slab -On -Grade Edge Insulatio 194 ft 0 1736 ft 0 0 1 ROOF / Roof Gable Roof Solar Deck �/ # Type Materials Area Area Color Absor. Tested Insul. Pitch 1 Gable or shed Barrel the 1789 ft2 216 ft Medium 0.96 No 0 14 deg ATTIC V # Type Ventilation Vent Ratio (1 in) Area RBS IRCC 1 Partial cathedral cei Vented 300 1736 ft N N CEILING # Ceiling Type R -Value Area Framing Frac Truss Type 1 Under Attic (Vented) 30 1603 ft2 0.11 Wood 2 Cathedral /Single Assembly (Vented) 19 133 ft2 0.11 Wood WALLS — Cavity Sheathing Framing Solar # Ornt Adjacent To Wall Type R -Value Area R -Value Fraction Absor. 1 N Exterior Concrete Block - Int Insul 5 408 ft2 0 0.75 2 S Exterior Concrete Block - Int Insul 5 408 ft 0 0 0.75 3 E Exterior Concrete Block - Int Insul 5 368 ft 0 0 0.75 4 W Exterior Concrete Block - Int Insul 5 368 ft 0 0.75 10/11/2009 7:49 PM EnergyGauge® USA - FlaRes2008 Page 2 of 5 i DOORS # Ornt Door Ty _ Storms U -Value Area 1 S Wood None 0.46 21 ft 2 E Wood None 0.46 21 ft WINDOWS Window orientation below is as entered. Actual orientation is modified by rotate angle shown in "Project" section above. / Overhang # Ornt Frame Pan N FRC ____U -Factor SHGC Storms Area Depth Separation Int Shade Screening 1 N Metal Single (Tinted) Yes 0.55 0.3 N 85 ft 2 ft 0 in 5 ft 0 in HERS 2006 None 2 S Metal Single (Tinted) Yes 0.55 0.3 N 52 ft 2 ft 0 in 5 ft 0 in HERS 2006 None 3 E Metal Single (Tinted) Yes 0.55 0.3 N 22 ft 2 ft 0 in 5 ft 0 in HERS 2006 None 4 W Metal Single (Tinted) Yes 0.55 0.3 N 45 ft 2 ft 0 in 5 ft 0 in HERS 2006 None INFILTRATION & VENTING / - -- Forced Ventilation - - -- Run Time Fan Method SLA CFM 50 ACH 50 ELA EgLA Supply CFM Exhaust CFM Fraction Watts Default 0.00050 2277 9.84 125.0 235.1 0 cfm 0 cfm 0 0 GARAGE # Floor Area Ceilin Area Exposed Wall Perimeter Avg. Wall Height Exposed Wall Insulation 1 176 ft 176 ft 30 ft 8 ft (invalid) COOLING SYSTEM # System Type Subtype Efficiency Capacity Air Flow SHR D uctless 1 Central Unit None SEER: 14 42 kBtu /hr 1260 cfm 0.75 False HEATING SYSTEM # System Type Su Efficiency Capacity Ductless 1 Electric Strip Heat None COP: 1 5 kBtu /hr False HOT WATER SYSTEM # System Type EF Cap Use SetPnt Conservation 1 Electric 0.92 66 gal 70 gal 120 deg None SOLAR HOT WATER SYSTEM FSEC Collector Storage Cert # Company Name System Model # Collector Model # Area Volume FEF None None ft 10/11/2009 7:49 PM EnergyGauge® USA - FlaRes2008 Page 3 of 5 DUCTS ---- Supply - - -- - - -- Return - - -- Air Percent V # Location R -Value Area Location Area Leakage Type Handler CFM 25 Leakage QN RLF 1 Attic 6 347.2 ft Attic 86.8 ft' Default Leakage Interior TEMPERATURES Programable Thermostat: Y Ceiling Fans: Cooling [X] Jan [X] Feb IX X j Mar [X] Apr I X] May [X� Jun I X] Jul [X] Aug [X] Sep [X] Oct [X] Nov [X] Dec Heating X Jan X Feb Mar X Apr May X Jun Jul X Aug X Sep X Oct X Nov X Dec Venting X Jan X Feb X Mar X Apr X May X Jun X Jul X Aug X Sep X Oct X Nov X Dec Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 Cooling (WD) AM 78 78 78 78 78 78 78 78 80 80 80 80 PM 80 80 78 78 78 78 78 78 78 78 78 78 Cooling (WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Heating (WD) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 Heating (WEH) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 10/11/2009 7:49 PM EnergyGauge® USA - FlaRes2008 Page 4 of 5 FORM 1100A -08 Code Compliance Cheklist Residential Whole Building Performance Method A - Details ADDRESS: 32 nw 93 st PERMIT #: miami shores, fl, 33150 - INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONE SECT REQUIREMEN FOR EACH PRACTIC CHECK Exterior Window & Doo N1106 .AB.1. 1 Maximum: .3 cfm /sq.ft. window area; .5 cfm /sq.ft. door area. Exterior & Adjacent Walls N1106.AB.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 N1106.AB.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 N1106.AB.1.2.3 Between walls & ceilings; penetrations of ceiling plane to top floor; around shafts, chases, soffits, chimneys, cabinets sealed to I continuous air barrier; gaps in gyp board & top plate; attic access. V EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seam Recessed Lighting Fixtures N1106.AB.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 with < 2.0 cfm from conditioned space, tested. Multi -sto Hous N1106.AB.1.2. Air barrier on perimeter of floor c avity between floors. A Additional Infiltration reqts N1106.AB.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREME CHECK Water Heaters N1112.AB.3 Comply with efficiency requirements in Table N112.ABC.3. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be p rovided. External or built -in heat trap required. Swimming Pools & Spas N1112.AB.2.3 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 %. Heat ump ool heaters shall have a minimum COP of 4.0. Shower heads N1112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems N1110.AB All ducts, fittings, mechanical equipment and plenum chambers / shall be mechanically attached, sealed, insulated and installed in v accordance with the criteria of Section N1110.AB. Ducts in unconditioned attics: R -6 min. insulation. HVAC Controls N1107.AB.2 Separate readily accessible manual or automatic thermostat for (� each system. Insulation N1104.AB.1 Ceilings -Min. R -19. Common walls -frame R -11 or CBS R -3 both N1102.6.1.1 sides. Common ceiling & floors R -11. 10/11/2009 7:49 PM EnergyGauge® USA - FlaRes2008 Page 5 of 5 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 84 The lower the EnergyPerformance Index, the more efficient the home. 32 nw 93 st, miami shores, fl, 33150- 1. New construction or existing Addition 9. Wall Types Insulation Area 2. Single family or multiple family Single- family a. Concrete Block - Int Insul, Exterior R =5.0 1552.00 ft2 b. N/A R= ft 3. Number of units, if multiple family 1 c. N/A R= ft 4. Number of Bedrooms 4 d. N/A R= ft 5. Is this a worst case? No 10. Ceiling Types Insulation Area 6. Conditioned floor area (ft 1736 a. Under Attic (Vented) R =30.0 1603.00 ft 7. Windows Description Area b. Cathedral /Single Assembly (Vented) R =19.0 133.00 ft2 c N/A R= ft a. U- Factor: Sgl, U =0.55 204.00 ft SHGC: SHGC =0.30 11. Ducts b. U- Factor: N/A ft2 a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 347.2 ft SHGC: 12. Cooling systems - c. U- Factor: N/A ft a. Central Unit Cap: 42.0 kBtu /hr SHGC: SEER: 14 d. U- Factor: N/A ft 13. Heating systems - SHGC: a. Electric Strip Heat Cap: 16.5 kBtu /hr e. U- Factor: N/A ft2 COP: 1 SHGC: 14. Hot water systems 8. Floor Types Insulation Area a. Electric Cap: 66 gallons a. Slab -On -Grade Edge Insulation R =0.0 1736.00 ft2 EF: 0.92 b. N/A R= ft2 b. Conservation features c. N/A R= ft2 None 15. Credits Pstat 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: Bf/ 0HA1C__z_ Date: Address of New Home: 3 j�3 S_ r City /FL Zip: we *Note: The home's estimated Energy Performance Index is only available through the EnergyGauge USA - FlaRes2008 computer program. This is not a Building Energy Rating. If your Index is below 100, your home may qualify for 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 energygauge.com 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. * *Label required by Section 13- 104.4.5 of the Florida Building Code, Building, or Section B2.1.1 of Appendix G of the Florida Building Code, Residential, if not DEFAULT. EnergyGauge® USA - FlaRes2008 System Sizing Calculations - Winter Residential Load - Whole House Component Details Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South Reference City: Miami (Defaults) Winter Temperature Difference: 20.0 F 10/11/2009 FOLIC � " ' ' 8" Subtotal Sensible 17792 Btuh Ventilation Sensible 0 Btuh Total Btuh Loss 17792 Btuh , t z Q ,fin U . v s -; � c- k :e^i g, i" •� n+'�„�s^�, 1. Electric Strip 5000 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 EnergyGauge® FLRCPB v4.5.2 Page 1 System Sizing Calculations - Winter Residential Load - Room by Room Component Details Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South Reference City: Miami (Defaults) Winter Temperature Difference: 20.0 F 10/11/2009 t✓omponertt Loads for �bne #1, Maur � � �$ <� £ �� 3 Window Panes /SHGC /Frame /U Orientation Area s ft X HTM= Load 1 1, SHGC =0.3, Metal, 1.27 N 85.0 25.4 2159 Btuh 2 1, SHGC =0.3, Metal, 1.27 S 52.0 25.4 1321 Btuh 3 1, SHGC =0.3, Metal, 1.27 E 22.0 25.4 559 Btuh 4 1, SHGC =0.3, Metal, 1.27 W 45.0 25.4 1143 Btuh Window Total 204 s ft 5182 Btuh Walls Type R -Value Area X HTM= Load 1 Concrete Blk, Hollow - Ext(0.14) 5.0 1552 2.7 4230 Btuh Wall Total 1552 4230 Btuh Doors Type Area X HTM= Load 1 Wood - Exterior 42 10.8 454 Btuh Door Total 42 45413tuh Ceilings Type /Color /Surface R -Value Area X HTM= Load 1 Unvented Attic /D /Tile 30.0 1603 0.6 1021 Btuh 2 Single Assembly /D /Othe 19.0 133 1.0 134 Btuh Ceilinq Total 1736 115513tuh Floors Type R -Value Size X HTM= Load 1 Slab On Grade 0 194.0 ft(p) 23.6 4578 Btuh Floor Total 194 4578 Btuh Zone Envelope Subtotal: 15598 Btuh Infiltration Type ACH X Volume(cuft) walls(sgft) CFM= Natural 0.42 13888 1552 97.2 2138 Btuh Ductload Average sealed, Supply(R6.0- Attic), Return(R6.0 -Cond) (DLM of 0.003) 56 Btuh Zone #1 Sensible Zone Subtotal 17792 Btuh M ©LE HbUS 711E r f 'r Subtotal Sensible 17792 Btuh Ventilation Sensible 0 Btuh Total Btuh Loss 17792 Btuh EnergyGauge® FLRCPB v4.5.2 Page 1 Manual J Winter Calculations Residential Load - Component Details (continued) Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South 10/11/2009 1. Electric Strip 5000 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 EnergyGauge® FLRCPB v4.5.2 Page 2 System Sizing Calculations - Summer Residential Load - Whole House Component Details Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South Reference City: Miami (Defaults) Summer Temperature Difference: 15.0 F 10/11/2009 EnergyGauge® FLRCPB v4.5.2 Page 1 Manual J Summer Calculations Residential Load - Component Details (continued) Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South 10/11/2009 Sensible Envelope Load All Zones 24602 Btuh Sensible Duct Load 171 Btuh Total Sensible Zone Loads 24773 Btuh Sensible ventilation 0 Btuh Blower 0 Btuh Whole House Total sensible gain 24773 Btuh Totals for Cooling Latent infiltration gain (for 58 gr. humidity difference) 15149 Btuh Latent ventilation gain 0 Btuh Latent duct gain 368 Btuh Latent occupant gain (5 people @ 200 Btuh per person) 1000 Btuh Latent other gain 0 Btuh Latent total gain 16517 Btuh TOTAL GAIN 41290 Btuh E IIN t k 1. Central Unit # 42000 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)) a (Ornt - compass orientation) �n �; .� Version 8 For Florida residences only EnergyGaugeO FLRCPB v4.5.2 Page 2 System Sizing Calculations - Summer Residential Load - Room by Room Component Details Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South Reference City: Miami (Defaults) Summer Temperature Difference: 15.0 F 10/11/2009 yg C�mpaneint far Type* Overhang Window Area(sqft) HTM Load Window Pn /SHGC /U /lnSh /ExS /IS Ornt Len Hgt Gross Shaded Unshaded Shaded Unshaded 1 1, SHGC =0.3, 1.27, None,N,N N 2ft. 5ft. 85.0 0.0 85.0 26 26 2176 Btuh 2 1, SHGC =0.3, 1.27, None,N,N S 2ft. 5ft. 52.0 52.0 0.0 26 26 1331 Btuh 3 1, SHGC =0.3, 1.27, None,N,N E 2ft. 5ft. 22.0 0.0 22.0 26 48 1064 Btuh 4 1, SHGC =0.3, 1.27, None,N,N W 2ft. 5ft. 45.0 14.9 30.1 26 48 1836 Btuh Window Total 204 (sqft) 6407 Btuh Walls Type R- Value /U -Value Area(sqft) HTM Load 1 Concrete Blk,Hollow - Ext 5.0/0.14 1552.0 2.6 4081 Btuh Wall Total 1552 (sqft) 4081 Btuh Doors Type Area (sqft) HTM Load 1 Wood - Exterior 42.0 16.2 680 Btuh Door Total _ 42 (sqft) 680 Btuh Ceilings Type /Color /Surface R -Value Area(sqft) HTM Load 1 Unvented Attic/DarkTile 30.0 1603.0 2.4 3778 Btuh 2 Single Assembly /DarkOther 19.0 133.0 1.3 167 Btuh Ceiling T otal _ _ 1736 (sqft) 3945 Btuh Floors Type R -Value Size HTM Load 1 Slab On Grade 0.0 194 (ft(p)) 0.0 0 Btuh Floor Total 194.0 (sqft) 0 Btuh Zone Envelope Subtotal: 15114 Btuh Infiltration Type ACH Volume(cuft) wall area(sqft) CFM= Load _ SensibleNatural 1.66 13888 1552 384.2 6338 Btuh Internal Occupants Btuh /occupant Appliance Load gain 5 X 230 + 2000 3150 Btuh Sensible Envelope Load: 24602 Btuh Duct loa Averag sealed, Supply(R Attic), Return(R6.0 -Cond) (DGM of 0.007) 171 Btuh Sensible Zone Load 24773 Btuh EnergyGauge® FLRCPB v4.5.2 Page 1 Manual J Summer Calculations Residential Load - Component Details (continued) Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South 10/11/2009 wHOIL r��uyT�aLS w �# Sensible Envelope Load All Zones 24602 Btuh Sensible Duct Load 171 Btuh Total Sensible Zone Loads 24773 Btuh Sensible ventilation 0 Btuh Blower 0 Btuh Whole House Total sensible gain 24773 Btuh Totals for Cooling Latent infiltration gain (for 58 gr. humidity difference) 15149 Btuh Latent ventilation gain 0 Btuh Latent duct gain 368 Btuh Latent occupant gain (5 people @ 200 Btuh per person) 1000 Btuh Latent other gain 0 Btuh Latent total gain 16517 Btuh TOTAL GAIN 41290 Btuh EQi11��NEN7 a � .+ .». .. , c _ ^.. [ -,r v ..:,_ o.• re {t.. .. .. .t . w... x > . J t`u' h ? X K'a� . �7 "; . 1. Central Unit # 42000 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)) (Ornt - compass orientation) Version 8 For Florida residences only EnergyGauge® FLRCPB v4.5.2 Page 2 Residential Window Diversity MidSummer Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South 10/11/2009 l�l��t�r�r date fi�tr Mta�i, D�faOlts ` x � ' k w Summer design temperature 90 F Average window load for July 6049 Btuh Summer setpoint 75 F Peak window load for July 7483 Btuh Summer temperature difference 15 F Excusion limit(130% of Ave.) 7864 Btuh Latitude 25 North Window excursion Jul None WINDOW Average and Peak Loads 8M-60 Limit fair excuraian 6tbCi4f.:00 12 flour Average `DDD. D ` 4GDD..t D 3DO0.0 GM 1DD0.0D tb, fFtY a M. 1'It 12 2 p.rn. 4 p.m. 6 p.m. 8 p.m. a.m. Total July Window Load(Radiation and conduction) The midsummer window load for this house does not exceed the window load excursion limit. This house has adequate midsummer window diversity. EnergyGauge® System Sizing for Florida residences only PREPARED BY: DATE: EnergyGauge® FLRCPB v4.5.2 Residential System Sizing Calculation Summary Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South 10/11/2009 Location for weather data: Miami - Defaults: Latitude(25) Altitude(11 ft.) Temp Range(L) Humidity data: Interior RH 50% Outdoor wet bulb 77F HumiditV difference 58 r. Winter design temperature 50 F Summer design temperature 90 F Winter setpoint 70 F Summer setpoint 75 F Winter temperature difference 20 F Summer temperature difference 15 F Total heating load calculation 17792 Btuh Total cooling load calculation 41290 Btuh Submitted heating capacity % of calc Btuh Submitted cooling capacity % of calc Btuh Total (Electric Strip) 28.1 5000 Sensible (SHR = 0.75) 127.2 31500 Latent 63.6 10500 Total 101.7 42000 WINTER CALCULATIONS Winter Heating Load for 1736 sqft Load component Load hf,1112%) Window total 204 sqft 5182 Btuh Do.W3 %) w1ndD.% (29%) Wall total 1552 sqft 4230 Btuh Door total 42 sqft 454 Btuh Ceiling total 1736 sqft 1155 Btuh Floor total 194 sqft 4578 Btuh Infiltration 97 cfm 2138 Btuh Fl�m(M %> Duct loss 56 Btuh e' ngs( Subtotal 17792 Btuh Ventilation 0 cfm 0 Btuh TOTAL HEAT LOSS 17792 Btuh vuAIW,,24%) SUMMER CALCULATIONS Summer Cooling Load for 1736 sqft Load component Load Window total 204 sqft 6407 Btuh Wall total 1552 sqft 4081 Btuh Door total 42 sqft 680 Btuh LAt81d %) Ceiling total 1736 sgft 3945 Btuh ,nt,n(s) '""' °"f5'��) IAucts {t9i.) Floor total 0 Btuh Infiltration 384 cfm 6338 Btuh Internal gain 3150 Btuh Duct gain 171 Btuh Sens. Ventilation 0 cfm 0 Btuh Total sensible gain 24773 Btuh�,� { �,� ) Latent gain(ducts) 368 Btuh Latent gain(infiltration) 15149 Btuh Latent gain (ventilation) 0 Btuh Latent gain(internal /occupants /other) 1000 Btuh Total latent gain 16517 Btuh TOTAL HEAT GAIN 41290 Btuh EnergyGauge® Syste Si/ zing Version 8 PREPARED BY: V For Florida residences only DATE: l� /% EnergyGauge® FLRCPB v4.5.2 FORM 1100A -08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: criswell_richard Builder Name: Street: 32 nw 93 st Permit Office: miami shores City, State, Zip: miami shores , fl, 33150- Permit Number: Owner: Richard Criswell Jurisdiction: 232600 Design Location: FL, Miami 1. New construction or existing Addition 9. Wall Types Insulation Area 2. Single family or multiple family Single- family a. Concrete Block - Int Insul, Exterior R =5.0 1552.00 ft b. N/A R= ft 3. Number of units, if multiple family 1 c. N/A R= ft 4. Number of Bedrooms 4 d. N/A R= ft2 5. Is this a worst case? No 10. Ceiling Types Insulation Area 6. Conditioned floor area (ft 1736 a. Under Attic (Vented) R =30.0 1603.00 ft b. Cathedral /Single Assembly (Vented) R =19.0 133.00 ft 7. Windows Description Area c. N/A R= ft a. U- Factor: Sgl, U =0.55 204.00 ft SHGC: SHGC =0.30 11. Ducts b. U- Factor: N/A ft2 a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 347.2 ft SHGC: 12. Cooling systems - c. U- Factor: N/A ft a. Central Unit Cap: 42.0 kBtu /hr SHGC: SEER: 14 d. U- Factor: N/A ft 13. Heating systems - SHGC: a. Electric Strip Heat Cap: 16.5 kBtu /hr e. U- Factor: N/A ft2 COP: 1 SHGC: 8. Floor Types Insulation Area 14. Hot water systems a. Electric Cap: 66 gallons a. Slab -On -Grade Edge Insulation R =0.0 1736.00 ft2 EF: 0.92 b. N/A R= ft2 b. Conservation features c. N/A R= ft2 None 15. Credits Pstat Glass /Floor Area: 0.118 Total As -Built Modified Loads: 36.81 PASS Total Baseline Loads: 43.99 I hereby certify tha he plans and specifications covered by Review of the plans and ,- 4E S�^, , this calculation ar i V*M di *hht>IrFFtoTida26aeogy specifications covered by this „y 0. Code. ', CONS ULTING ENG0,1iZER calculation indicates compliance + CL-STRUCTURAL' IVIL - STRUCTURAL f 8331 8W 12TH TERRACE ' "• with the Florida Energy Code. �* ivrrc a PREPARED BY: FL 331" construction is completed c d DATE: -_ } 7G - this building will be inspected for 2' , - - compliance with Section 553.908 I hereby certify that this building, as de 'gned, is in compliance Florida Statutes. 1, with the Florida Energy Co 'b' OWNER /AG "_ __ ___ BUILDING OFFICIAL: DATE: _ _ _ DATE: 10/11/2009 7:49 PM EnergyGauge® USA - FlaRes2008 Page 1 of 5 PROJECT Title: criswell_richard Bedrooms: 4 Adress Type: Street Address Building Type: FLAsBuilt Bathrooms: 0 Lot # Owner: Richard Criswell Conditioned Area: 1736 SubDivision: # of Units: 1 Total Stories: 1 PlatBook: Builder Name: Worst Case: No Street: 32 nw 93 st Permit Office: miami shores Rotate Angle: 0 County: dade Jurisdiction: 232600 Cross Ventilation: City, State, Zip: miami shores, Family Type: Single- family Whole House Fan: fl , 33150 - New /Existing: Addition Comment: CLIMATE / IECC Design Temp Int Design Temp Heating Design Daily Temp �/ Design Location TMY Site Zone 97.5% 2.5% Winter Summer Degree Days Moisture Range FL, Miami FL_MIAMI_INTL_AP 1 51 90 75 70 149.5 56 Low FLOORS # Floor Type Perimeter R -V alue Area Tile Wood Carpet 1 Slab -On -Grade Edge Insulatio 194 ft 0 1736 ft 0 0 1 ROOF / Roof Gable Roof Solar Deck �/ # Type Materials Area Area Color Absor. Tested Insul. Pitch 1 Gable or shed Barrel tile 1789 ft 216 ft Medium 0.96 No 0 14 deg ATTIC V # Type Ventilation Vent Ratio (1 in) Area RBS IRCC 1 Partial cathedral cei Vented 300 1736 ft N N CEILING # Ceiling Type R -Value Area Framing Frac Truss Type 1 Under Attic (Vented) 30 1603 ft 0.11 Wood 2 Cathedral /Single Assembly (Vented) 19 133 ft 0.11 Wood WALLS Cavity Sheathing Framing Solar # O rnt Adjacent To Wall Type R -Value Area R -Value Fraction Absor. 1 N Exterior Concrete Block - Int Insul 5 408 ft 0 0.75 2 S Exterior Concrete Block - Int Insul 5 408 ft 0 0 0.75 3 E Exterior Concrete Block - Int Insul 5 368 ft 0 0 0.75 4 W Exterior Concrete Block - Int Insul 5 368 ft 0 0.75 r 10/11/2009 7:49 PM EnergyGauge® USA - FlaRes2008 Page 2 of 5 DOORS # Ornt Doo Type Sto U -Value Area 1 S Wood None 0.46 21 ft 2 E Wood None 0.46 21 ft WINDOWS Window orientation below is as entered. Actual orientation is modified by rotate angle shown in "Project" section above. / Overhang # Ornt Frame Panes NFRC U- Fac SHGC _S torms Area Depth Separation Int Shade Screening 1 N Metal Single (Tinted) Yes 0.55 0.3 N 85 ft 2 ft 0 in 5 ft 0 in HERS 2006 None 2 S Metal Single (Tinted) Yes 0.55 0.3 N 52 ft 2 ft 0 in 5 ft 0 in HERS 2006 None 3 E Metal Single (Tinted) Yes 0.55 0.3 N 22 ft 2 ft 0 in 5 ft 0 in HERS 2006 None 4 W Metal Single (Tinted) Yes 0.55 0.3 N 45 ft 2 ft 0 in 5 ft 0 in HERS 2006 None INFILTRATION & VENTING - - -- Forced Ventilation - - -- Run Time Fan Method SLA CFM 50 ACH 50 ELA EgLA Supply CFM Exhaust CFM Fraction Watts Default 0.00050 2277 9.84 125.0 235.1 0 cfm 0 cfm 0 0 GARAGE # Flo Area Ceiling Area Exposed Wall Perimeter Avg. Wall Height Exposed Wall Insulation 1 176 ft 176 ft 30 ft 8 ft (invalid) COOLING SYSTEM # System Type Sub Efficiency Capacity Air Flow SHR Ductless 1 Central Unit None SEER: 14 42 kBtu /hr 1260 cfm 0.75 False HEATING SYSTEM # Syst Type Subtype Efficiency Capacity Ductless 1 Electric Strip Heat None COP: 1 5 kBtu /hr False HOT WATER SYSTEM # System Type EF Cap Use SetPnt Conservation 1 Electric 0.92 66 gal 70 gal 120 deg None SOLAR HOT WATER SYSTEM FSEC Collector Storage Cert # Company Name System Model # Collector Model # Area Volume FEF None None ft 10/11/2009 7:49 PM EnergyGauge® USA - FlaRes2008 Page 3 of 5 DUCTS ---- Supply - - -- - - -- Return - - -- Air Percent # Location R -Value Area Location Area Leakage Type Handler CFM 25 Leakage QN ' RLF 1 Attic 6 347.2 ft Attic 86.8 ft Default Leakage Interior TEMPERATURES Programable Thermostat: Y Ceiling Fans: Cooling JXJ X Jan FXJ Feb [[XX]] Mar jXXj Apr [[X]] May [[X]] Jun jXXj Jul [[X] Aug I Sep JX Oct XNov [[X]] Dc Heating X Jan Feb [X] Mar Apr E X] May [X] Jun Jul [X] Aug � Sep I Oct jXj Nov [X] Dec Venting Jan Feb [X Mar X Apr X May [X Jun X Jul [X Aug X Sep X Oc t X Nov [X Dec Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 Cooling (WD) AM 78 78 78 78 78 78 78 78 80 80 80 80 PM 80 80 78 78 78 78 78 78 78 78 78 78 Cooling (WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Heating (WD) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 Heating (WEH) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 10/11/2009 7:49 PM EnergyGauge® USA - FlaRes2008 Page 4 of 5 FORM 1100A -08 Code Compliance Cheklist Residential Whole Building Performance Method A - Details ADDRESS: 32 nw 93 st PERMIT #: miami shores, fl, 33150 - INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Wind & Do ors N1106.AB.1.1 Maximum: .3 cfm /s .ft. window area; .5 cfm /s .ft. door area. Exterior & Adjacent Walls N1106.AB.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; (1 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 to lap te. Floors N1106.AB.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 N1106.AB.1.2.3 Between walls & ceilings; penetrations of ceiling plane to 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 N1106.AB.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 with < 2.0 cfm from conditioned space, _ t ested. Mult -story Hous N1106.A Air barrier on perimeter of floWcavi between floors. R Additional Infiltration reqts N1106.AB.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) COMPO NENTS SECTION REQUIREMENTS CHECK Water Heaters N1112.AB.3 Comply with efficiency requirements in Table N112.ABC.3. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be p rovided. External or built -in heat trap required. Swimming Pools & Spas N1112.AB.2.3 Spas & heated pools must have covers (except solar heated). / Non - commercial pools must have a pump timer. Gas spa & pool AI A- heaters must have a minimum thermal efficiency of 78 %. Heat um pool heaters shall have a minimum COP of 4.0. Shower heads N1112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per minu at 80 PSIG. Air Distribution Systems N1110.AB All ducts, fittings, mechanical equipment and plenum chambers / shall be mechanically attached, sealed, insulated and installed in v accordance with the criteria of Section N1110.AB. Ducts in unconditioned attics: R -6 m in. insulation. HVAC Controls N1107.AB.2 Separate readily accessible manual or automatic thermostat for (� each system. Insulation N1104.AB.1 Ceilings -Min. R -19. Common walls -frame R -11 or CBS R -3 both N1102.B.1.1 sides. Common ceiling & floors R -11. 10111/2009 7:49 PM EnergyGauge® USA - FlaRes2008 Page 5 of 5 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 84 The lower the EnergyPerformance Index, the more efficient the home. 32 nw 93 st, miami shores, fl, 33150 - 1. New construction or existing Addition 9. Wall Types Insulation Area 2. Single family or multiple family Single - family a. Concrete Block - Int Insul, Exterior R =5.0 1552.00 ft b. N/A R= ft 3. Number of units, if multiple family 1 c. N/A R= ft 4. Number of Bedrooms 4 d. N/A R= ft 5. Is this a worst case? No 10. Ceiling Types Insulation Area 6. Conditioned floor area (ft 1736 a. Under Attic (Vented) R =30.0 1603.00 ft b. Cathedral /Single Assembly (Vented) R =19.0 133.00 ft 7. Windows - Description Area c. N/A R= ft a. U- Factor: Sgl, U =0.55 204.00 ft SHGC: SHGC =0.30 11. Ducts b. U- Factor: N/A ft2 a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 347.2 ft SHGC: 12. Cooling systems - c. U- Factor: N/A ft a. Central Unit Cap: 42.0 kBtu /hr SHGC: SEER: 14 d. U- Factor: N/A ft 13. Heating systems - SHGC: a. Electric Strip Heat Cap: 16.5 kBtu /hr e. U- Factor: N/A ft2 COP: 1 SHGC: 14. Hot water systems 8. Floor Types Insulation Area a. Electric Cap: 66 gallons a. Slab -On -Grade Edge Insulation R =0.0 1736.00 ft2 EF: 0.92 b. N/A R= ft b. Conservation features c. N/A R= ft2 None 15. Credits Pstat I certify that this home has complied with the Florida Energy Efficiency Code for Building 1 -14E SS T 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: 0HA1�%2_ Date: Q ' Address of New Home: AIA4 ��� City /FL Zip: " � ✓, C *Note: The home's estimated Energy Performance Index is only available through the EnergyGauge USA - FlaRes2008 computer program. This is not a Building Energy Rating. If your Index is below 100, your home may qualify for 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 energygauge.com 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. * *Label required by Section 13- 104.4.5 of the Florida Building Code, Building, or Section B2.1.1 of Appendix G of the Florida Building Code, Residential, if not DEFAULT. EnergyGauge® USA - FlaRes2008 System Sizing Calculations - Winter Residential Load - Whole House Component Details Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South Reference City: Miami (Defaults) Winter Temperature Difference: 20.0 F 10/11/2009 �LG HUG 1`� A l t s s # •u '.,'�°` $' 112 f; Subtotal Sensible 17792 Btuh Ventilation Sensible 0 Btuh Total Btuh Loss 17792 Btuh c 3 t g 'a (�IUIM�f�T� 1. Electric Strip 5000 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 EnergyGauge® FLRCPB v4.5.2 Page 1 System Sizing Calculations - Winter Residential Load - Room by Room Component Details Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South Reference City: Miami (Defaults) Winter Temperature Difference: 20.0 F 10/11/2009 ornponent Ldc�>� fobon� #: Main Window Panes /SHGC /Frame /U Orientation Area s ft X HTM= Load 1 1, SHGC =0.3, Metal, 1.27 N 85.0 25.4 2159 Btuh 2 1, SHGC =0.3, Metal, 1.27 S 52.0 25.4 1321 Btuh 3 1, SHGC =0.3, Metal, 1.27 E 22.0 25.4 559 Btuh 4 1, SHGC =0.3, Metal, 1.27 W 45.0 25.4 1143 Btuh Window Total 204 s ft 5182 Btuh Walls Type R -Value Area X HTM= Load 1 Concrete Blk, Hollow - Ext(0.14) 5.0 1552 2.7 4230 Btuh Wall Total 1552 4230 Btuh Doors Type Area X HTM= Load 1 Wood - Exterior 42 10.8 454 Btuh Door Total 42 45413tuh Ceilings Type /Color /Surface R -Value Area X HTM= Load 1 Unvented Attic /D /Tile 30.0 1603 0.6 1021 Btuh 2 Single Assembly /D /Othe 19.0 133 1.0 134 Btuh Ceilin Total 1736 115513tuh Floors Type R -Value Size X HTM= Load 1 Slab On Grade 0 194.0 ft(p) 23.6 4578 Btuh Floor Total 194 4578 Btuh Zone Envelope Subtotal: 15598 Btuh Infiltration Type ACH X Volume(cuft) walls(sqft) CFM= Natural 0.42 13888 1552 97.2 2138 Btuh Ductload Average sealed, Supply(R6.0- Attic), Return(R6.0 -Cond) (DLM of 0.003) 56 Btuh Zone #1 Sensible Zone Subtotal 17792 Btuh , 'k 1'7QL�3Fi: - � 1 ILC.a! Subtotal Sensible 17792 Btuh Ventilation Sensible 0 Btuh Total Btuh Loss 17792 Btuh EnergyGauge® FLRCPB v4.5.2 Page 1 Manual J Winter Calculations Residential Load - Component Details (continued) Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South 10/11/2009 1. Electric Strip 5000 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 EnergyGauge® FLRCPB v4.5.2 Page 2 System Sizing Calculations - Summer Residential Load - Whole House Component Details Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South Reference City: Miami (Defaults) Summer Temperature Difference: 15.0 F 10/11/2009 EnergyGauge® FLRCPB v4.5.2 Page 1 Manual J Summer Calculations Residential Load - Component Details (continued) Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South 10/11/2009 �. . , _ .. –.. _ ,.� �� � – — _ .. .�.._..� � ..�_w.. ,. . - :` .� `= —–' s . a �"' ., . �_•, rat_.- �.,�a� w .. �.:� Sensible Envelope Load All Zones 24602 Btuh Sensible Duct Load 171 Btuh Total Sensible Zone Loads 24773 Btuh Sensible ventilation 0 Btuh Blower 0 Btuh Whole House Total sensible gain 24773 Btuh Totals for Cooling Latent infiltration gain (for 58 gr. humidity difference) 15149 Btuh Latent ventilation gain 0 Btuh Latent duct gain 368 Btuh Latent occupant gain (5 people @ 200 Btuh per person) 1000 Btuh Latent other gain 0 Btuh Latent total gain 16517 Btuh TOTAL GAIN 41290 Btuh EUIPIT =�. , . .,,... ,o .. 1. Central Unit # 42000 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)) ti (Ornt - compass orientation) Version 8 For Florida residences only EnergyGaugeO FLRCPB v4.5.2 Page 2 System Sizing Calculations - Summer Residential Load - Room by Room Component Details Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South Reference City: Miami (Defaults) Summer Temperature Difference: 15.0 F 10/11/2009 Compon�nt Type" Overhang Window Area(sqft) HTM Load Win Pn /SHGC /U /lnSh /ExSh /I S Ornt Len H t G ross Shaded Unsh aded Shaded Unshaded 1 1, SHGC =0.3, 1.27, None,N,N N 2ft. 5ft. 85.0 0.0 85.0 26 26 2176 Btuh 2 1, SHGC =0.3, 1.27, None,N,N S 2ft. 5ft. 52.0 52.0 0.0 26 26 1331 Btuh 3 1, SHGC =0.3, 1.27, None,N,N E 2ft. 5ft. 22.0 0.0 22.0 26 48 1064 Btuh 4 1, SHGC =0.3, 1.27, None,N,N W 2ft. 5ft. 45.0 14.9 30.1 26 48 1836 Btuh Window Total 1 204 (sqft) 6407 Btuh Walls Type R- Value /U -Value Area(sqft) HTM Load 1 Concrete Blk,Hollow - Ext 5.0/0.14 1552.0 2.6 4081 Btuh Wall Tota _ 1552 (sqft) 4081 Btuh Doors Type Area (sqft) HTM Load 1 Wood - Exterior 42.0 16.2 680 Btuh Door Total 42 (sqft) 680 Btuh Ceilings Type /Color /Surface R -Value Area(sqft) HTM Load 1 Unvented Attic/Dark 30.0 1603.0 2.4 3778 Btuh 2 Single Assembly /DarkOther 19.0 133.0 1.3 167 Btuh _ Ceiling Total 1736 (sqft) 3945 Btuh Floors Type R -Value Size HTM Load 1 Slab On Grade 0.0 194 (ft(p)) 0.0 0 Btuh Floor Total 194.0 (sqft) 0 Btuh Zone Envelope Subtotal: 15114 Btuh Infiltration Type ACH Volume(cuft) wall area(sqft) CFM= Load Sensibl 1.66 13888 1552 384.2 6338 Btuh Internal Occupants Btuh /occupant Appliance Load gain 5 X 230 + 200 3150 Btuh Sensible Envelope Load: 24602 Btuh Duct load Averag sealed, Supply (R6.0- Attic), Return(R6.0 -Cond) (DGM of 0.007) 171 Btuh Sensible Zone Load 24773 Btuh EnergyGauge® FLRCPB v4.5.2 Page 1 Manual J Summer Calculations Residential Load - Component Details (continued) Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South 10/11/2009 WH ©B;HOU x. an ` ' * r...��,v�." 5 , =. Sensible Envelope Load All Zones 24602 Btuh Sensible Duct Load 171 Btuh Total Sensible Zone Loads 24773 Btuh Sensible ventilation 0 Btuh Blower 0 Btuh Whole House Total sensible gain 24773 Btuh Totals for Cooling Latent infiltration gain (for 58 gr. humidity difference) 15149 Btuh Latent ventilation gain 0 Btuh Latent duct gain 368 Btuh Latent occupant gain (5 people @ 200 Btuh per person) 1000 Btuh Latent other gain 0 Btuh Latent total gain 16517 Btuh TOTAL GAIN 41290 Btuh pm EQUIRIIIF'1 1. Central Unit # 42000 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)) (Ornt - compass orientation) Version 8 For Florida residences only EnergyGauge® FLRCPB v4.5.2 Page 2 Residential Window Diversity MidSummer Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South 10/11/2009 txp a �`� Summer design temperature 90 F Average window load for July 6049 Btuh Summer setpoint 75 F Peak window load for July 7483 Btuh Summer temperature difference 15 F Excusion limit(130% of Ave.) 7864 Btuh Latitude 25 North Window excursion Jul None WINDOW Average and Peak Loads 8DDD.00 Limit fbr excursion 6DD010 12 Hour Average 5M.30 ` 0 4DDG.5a C 3000.00 2DDD.00 1 OWN G. Do B a.m. 1,0 12 2 P.m. 4 P.m. 6 P.m. 8 p.m. a.m. Total July Window Load(Radiation and conduction) The midsummer window load for this house does not exceed the window load excursion limit. This house has adequate midsummer window diversity. EnergyGauge® System Sizing for Florida residences only PREPARED BY: DATE: EnergyGauge® FLRCPB v4.5.2 Residential System Sizing Calculation Summary Richard Criswell Project Title: Code Only 32 NW 93 St criswell_richard Professional Version Miami Shores, FL 33150- Climate: South 10/11/2009 Location for weather data: Miami - Defaults: Latitude(25) Altitude(11 ft.) Temp Range(L) Humidity data: Interior RH 50% Outdoor wet bulb 77F Humidity difference 58 r. Winter design temperature 50 F Summer design temperature 90 F Winter setpoint 70 F Summer setpoint 75 F Winter temperature difference 20 F Summer temperature difference 15 F Total heating load calculation 17792 Btuh Total cooling load calculation 41290 Btuh Submitted heating capacity % of calc Btuh Submitted cooling capacity % of calc Btuh Total (Electric Strip) 28.1 5000 Sensible (SHR = 0.75) 127.2 31500 Latent 63.6 10500 Total 101.7 42000 WINTER CALCULATIONS Winter Heating Load for 1736 sqft Load component Load Window total 204 sqft 5182 Btuh �es> uvnanws() Wall total 1552 sqft 4230 Btuh Door total 42 sqft 454 Btuh Ceiling total 1736 sqft 1155 Btuh Floor total 194 sqft 4578 Btuh Infiltration 97 cfm 2138 Btuh e�rscz�> Duct loss 56 Btuh Subtotal 17792 Btuh Ventilation 0 cfm 0 Btuh TOTAL HEAT LOSS 17792 Btuh vu~4%) SUMMER CALCULATIONS Summer Cooling Load for 1736 sqft Load component Load Window total 204 sqft 6407 Btuh Wall total 1552 sqft 4081 Btuh Door total 42 sqft 680 Btuh Latwft,�t�x Ceiling total 1736 sqft 3945 Btuh ' "'""�� u✓�ewavesc�sxA Floor total 0 Btuh Infiltration 384 cfm 6338 Btuh Internal gain 3150 Btuh'" ""� Duct gain 171 Btuh Sens. Ventilation 0 cfm 0 Btuh Total sensible gain 24773 Btuh „ Latent gain(ducts) 368 Btuh Latent gain(infiltration) 15149 Btuh x�tu. °oaE sasst Latent gain(ventilation) 0 Btuh Latent gain(internal /occupants /other) 1000 Btuh Total latent gain 16517 Btuh TOTAL HEAT GAIN 41290 Btuh EnergyGauge® System Sizing _ Version 8 PREPARED / BY: For Florida residences only DATE: lr7 �3�9 d EnergyGauge® FLRCPB v4.5.2 r , MIAMaDADE MIAMI -DADS COUNTY, FLORIDA R 1181 METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 372 -6339 NOTICE OF ACCEPTANCE (NOA) www.maimidade.gov/buildinzcode Nu -Vue Industries, Inc. 1055 E. 29 Street Hialeah, Florida 33013 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series NVJH, NVTP /H, NVSO and NVHC Wood Connectors. APPROVAL DOCUMENT: Drawing No. NU -3, titled "NVJH Joist Supports, NVTP & NVTPH Plate Anchors, NVSO 236 Joist Hanger, NVHC 43 & NVHC 43/2 Hurricane Clip ", sheets 1 through 3 of 3, dated 07/10/03, with last revision # 3 dated 04/27/05, prepared by Nu -Vue Industries, Inc., signed and sealed by Vipin N. Tolat, P.E., bearing the Miami -Dade County Product Control renewal stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: None LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA # 05- 0516.01 and consists of this page 1 and evidence page E -1, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. NOA No. 08- 0828.02 Expiration Date: January 1, 2014 hnartaw►o! c Approval Date: October 23, 2008 oa j�/ Page 1 Nu -Vue Industries, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Drawing No. NU -3, titled "NVJH Joist Supports, NVTP & NVTPH Plate Anchors, NVSO 236 Joist Hanger, NVHC 43 & NVHC 43/2 Hurricane Clip ", sheets 1 through 3 of 3, dated 07/10/03, with last revision # 3 dated 04/27/05, prepared by Nu -Vue Industries, Inc., signed and sealed by Vipin N. Tolat, P.E. "Submitted under NOA # 05- 0516.01" B. TESTS Test reports on wood connectors per ASTM D1761 by Product Testing, Inc., signed and sealed by C. R. Caudel, P.E. Report No. Wood Connector Direction Date 1. PT # 03 -4303 NVTP4 Upward 04/21/03 2. PT # 03 -4343 NVTP4H Upward 05/05/03 3. PT # 03 -4344 NVTP4 Upward 05/01/03 4. PT # 03 -4345 NVTP4H Upward 05/02/03 5. PT # 03 -4349 NVS0236 Up & Down 05/19/03 6. PT # 03 -4357 NVS0236 Up & Down 05/20/03 7. PT # 03 -4358 NVJH24 Up & Down 05/30/03 8. PT # 03 -4385 NVJH26 Up & Down 05/30/03 9. PT # 03 -4386 NVS0236 Up & Down 05/13/03 10. PT # 03 -4387 NVJH28 Up & Down 05/30/03 "Submitted under NOA # 03- 0730.03" C. CALCULATIONS 1. Report of Design Capacities, dated 07/22/03, sheets 1 through 13 of 13, prepared, signed and sealed by Vipin N. Tolat, P.E. "Submitted under NOA # 03- 0730.03" 2. Report of Design Capacities, dated 0713/05, sheets 1 through 5 of 5, prepared, signed and sealed by Vipin N. Tolat, P.E. "Submitted under NOA # 05 -0516 01" D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). /D yl�g Carlos M. Utrera, P.E. roduct Control Examiner NOA No. 08- 0828.02 Expiration Date: January 1, 2014 Approval Date: October 23, 2008 E -1 Nu -Vue Industries, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED E. MATERIAL CERTIFICATIONS 1. None. F. STATEMENT 1. Statement letter of code conformance, no financial interest and no change of product, dated 08/21/08, issued, signed and sealed by Vipin N. Tolat, P.E. G. OTHER 1. Notice of Acceptance No. 05- 0516.01, issued to Nu -Vue Industries, Inc., approved on 09/29/05 and expiring on 01/01/09. oz �� Carlos M. Utrera, P.E. P oduct Control Examiner NOA No. 08- 0828.02 Expiration Date: January 1, 2014 Approval Date: October 23, 2008 E -2 TABLE 1 ' JOIST SUPPORTS ' General Notes: 18 G NVJH JOIST SUPPORTS Allowable toads (lbs) 1. Steel shall conform to ASTM A653, structural grade 33 O&n. yield 33 ksi) Product Joist Double Single Fasteners - Gra py Loom upM toga, he s �h Size, Header Header Double 5xlgle _ - o«1we g and• a minimum galvanized coating of G 60 per ASTM A5.25, W . H • BS Size Size - Heoder Header Joist , xooda' - A _ - NV,M24 1 3 3 2 2=2x64 ' 2xe s -Lod e-,oa =,>f- . -,od tn- -7 -7 2. Allawable loads are based on National Desing specifications (NDS) for WOOd CORStrU � j dition. - -A Plo,r;da QW IcQ' �� Z.00G�2Ce7 NVJH26 1 3¢ 5 3 - 2x8 2 -28 2.6 10 -Lod to : - +oa = ,Jy" Z (q p 8121 tom 3. Design loads are for Southern Pine species with a specific gravity of 0.55. ' 2x8 , 2 -2x8 2x8 Allowable loads for other species shall be adjusted accordingly. Nvwi2a 13g s3, 3 WO 2-WO r 2x10 14 -1Od ,— x to T - +od x Vr Mr- (73G 1 i?s 2x12 2 -2x12 2x72 - 4. Nail values are based on NDS table G=0.55 and have been reduced for Penetration Depth factor.. - 5. Allowable loads for wind uplift and lateral loads have already been ' increased by a duration factor of 6o Y for anchor nail. No increase is Single' Header , 3" Double Header allowed for stress: - - 1 -2X UT `°�� 2 -2X ' - 6- Allowable loads for more than a single cminetion cam be added ' together. A design load which be divided into coir_oonents in. the direction ' 1 k�" given must be evaluated as follows: 1 a a • Actual Uplift + Actual I 1 + Actual L2 0 Allowable Uplift Allowable L1 Allowable. L2 < =1.0 J 7. Allowable loads are base on 1 Y2" thick wood members unless otherwise ro 5t noted. i - 1 .1 - , 8. All tests have been conducted in accordancr -1761. 1 Yi i W VIPIN N. TOLAT, PE (CWM) �wurw Fhe . FI.. RIW. # 12847 e ue 5 -0 15123 LANTER CREEK TANS ' HOUSM4,1M 17068 ty r H e - AA N y� u. ea V ld!l. yyp o - Industries. Iac.. - ` _ ,^ , - 10591i NVM 26 as shown 1053 ast 29 Street NVJH 24 at 28 ifalesL, fla-ida 33013 simgor but with - - - r r�.05 (305) 69 4-0397 BS - different holes. /�Q' 7i . ` FAM (30D 694 -0:i98 NVJH JOIST SUPPORTS ' l DWG:9: Sheet: Date= . Revisions (1) 11/10M rx> l of 3 ' iMY 1 zoos NS `. NU-3 0. _ . (33 04127 . TABLE 2 - TABLE 3 TOP PLATE ANCHORS' NVSO 236, 16 GAUGE, HEAVY DUTY NVTP & NVTPH FACE MOUNT JOIST HANGER Product Dimensions (in) Size Code Gauge • A -Fasteners Allowable Loads (Lbs.) B Joist Header 2x4/4x4 NViP4 20 3j" - 8" Size Size Header, Joist GRAVITY Uplift 2x6 /4x6, NVTP8 20 - 59* 8" 14-10d 6 -10d 175$ 1108 , 2 -2x8 2x8/4x8, NVIP8 - 20 - 7j" $" 2x6 -8 2 -200' 14-16d 6 -16d 1875 1279 2x4/4x4 NVTP4H - 18. 3j' 8" 2-2x1 2 L ; 6-16d, Soo 1217 2x6 /4x6• NVTPSH . 18, 5r $" , 2x8 /4x8 NVTPBH 18 79" ' 8 ' Notes: Total number of fasteners 1. See General Notes, Sheet 1. Product 10d x 1 R" Wind Fa Rc-t5S Header code ' MaX. Uplift Capacity (lbs) 1 " 2 -2X Minimum 6 8 10 - 12 NVTP 4,6,8 ' g 28 • 1087 1346 1605 - •y 0 0 NVTP 4H,6H,8H 938 1 °7. (47 (745 , Notes: S1b 0 O t 1. See General Notes, Sheet 1. 2. One half of all specified fasteners shall be used on each side of the stud ' 0, 0 0 °0 to One tabulated values. 3 '4 0 / " A r BOLT HOLES 1/2" DIA. Joist NAIL HOLE 3/76" DIA. + �,� 1 -2X Minimum I 74" �tTw4lnlniD g s ,CT ; at tsrn o Min. �� �altrMt• � . :• t€H r�nrtda ° o VM N. TOLAT, PE (CWM) e l o Stud o FL. REG. # 12847 z+:5.<�:s,;c.; o o x 4 Minimum ° 15123 LAN1'ER CREEK LANE f a o 0 o HOUSTON, TX 77068 Mew Bet Ceonei o ° o airiabo o ° a o A 6.It — Vue Industries, Inc. ° o 3063 -1069 Heat 89 Street o � 16a1ee6, Flatda 33013 ° (305)6%-W97 ° a S FAX: (W 694 -0398 NVTP 4: NVTPH PLATE ANCHORS. NVSO 236 JOIST HANGER DWG # Sheet: Date: Revisions: W 11/10/03 i (2)12/11/03 NU -3 2 of 3 xn x 14 2003 (3) 04/27ro6 i TABLE 4 18 Gauge NVHC 43 & NVHC 43/2 HURRICANE CLIP. PRODUCT FASTENERS • DESIGN LOADS (LBS) / CODE / DESCRIPTION " HEADER JOIST uPUFT a Lz NVHC 43 Hurricane Clip - Wide 9 -10d • 9 -10d, '687* 407, 308 NVHC 43/2 Hurricane Clip - widex2' 10 -10d' 10 -10d' / 917 5471 432 Notes: ' (-For Uplift, use two clips, one on each side to comply with section 2321.7 of 1. See General Notes, Sheet 1. the FBC 2004 3 ,. Y2 " 2Ya" , * 'V sY" NVHC 43/2 NVHC 43 ' 1- 2X(1)fWide) UPLIFT PEVMD 2 - 2x 3 "Wide UPLIFT ft "M" VIPIN N. TOLAT, PE (CIVIL) r i FL. REG. # 12847 NVH 15123 LAN rER CREEK LANE ll�r t�ei Carunl L2 NVHC43 2 ' W 2c1(es HOUSTON, TX 77068 L2 ®vlesr L1 Q5 �1� L l �'� N lLJS ® V l�k e Industries, Inc. 1053-1069 East 29 Street Hialeah, Florida 35013 (305) 694 -0397 a I FAX: (305) 694-0398 NVHC 43 & NVHC 43/2 HURRICANE CLIP. DWG #: I Sheet: I Date Revisions: (1) 11/10/03 (2) 12/11/03 NU -3 3 of 3 nns 10, 2003 (3) 4/27/05 i MIAMhDDADE • MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 372 -6339 NOTICE OF ACCEPTANCE (NOA) www.miamidade.goy/buildin Nu -Vue Industries, Inc. 1053 -1059 East 29 Street Hialeah, Florida 33013 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BCPRC reserves the right to revoke this acceptance, if it is determined by Miami -Dade county Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series NVTA, NVTAS, NVBH, NVUH, NVRT and NVTH Wood Connectors. APPROVAL DOCUMENT: Drawing No. NU -2, sheets 1 through 4, titled "NVTA and NVTAS, NVBH 24 and NVUH, NVRT and NVTH", dated 02/13/03, with last revision on 07/19/06, prepared by Nu -Vue Industries, Inc., signed and sealed by Vipin N. Tolat, P.E., bearing the Miami -Dade County Product Control revision stamp with the Notice of Acceptance (NOA) number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: None LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA # 05- 0701.04 and consists of this page 1 and evidence pages E1 and E2, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. NOA No: 08- 0326.11 raaaH14Decouwrr Expiration Date: August 21, 2013 • , Approval Date: May 22, 2008 Page 1 �/�08 Nu -Vue Industries. Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Drawing No. NU -2, sheets 1 through 4, titled "NVTA and NVTAS, NVBH 24 and NVUH, NVRT and NVTH", dated 02/13/03 with last revision on 07/19/06, prepared by Nu -Vue Industries, Inc., signed and sealed by Vipin N. Tolat, P.E. "Submitted under NOA No. 05- 0701.04" B. TEST Test reports on wood connectors per ASTM D1761 by Product Testing, Inc., signed and sealed by C. R. Caudel, P.E. and S. E. Black, P.E. Report No. Wood Connector Direction Date 1. PT 02 -4073 NVTA Upward 11/06/02 2. PT 02 -4075 NVTA Upward 11/07/02 3. PT 02 -4074 NVTA Upward 11/06/02 4. PT 02 -3938 NVTA Upward 08/06/02 5. PT 03 -4177 NVRT36 Upward 02/03/03 6. PT 03 -4202 NVRT36 -T Upward 02/19/03 7. PT 03 -4271 NVRT36 -T Upward 03/27/03 8. PT 03 -4270 NVRT24 -T Upward 03/27/03 9. PT 02 -4095 NVUH26 Up & Downward 01/17/03 10. PT 02 -4096 NVBH24 Up &Downward 12/03/02 11. 31- 22456.0002 NVTA & NVTAS Lateral 07/06/02 12. PT 04 -4698 NVTH24 Upward Parallel/Perpendicular 04/15/04 13. PT 04 -5036 NVTH24 Upward Load 12/10/04 C. CALCULATIONS Report of Design Capacities prepared by V. N. Tolat, P.E. Product Model No. of Pages Date Signature 1. NVBM24 7 through 8 05/05/03 V. N. Tolat, RE 2. NVRT 9 through 14 05/05/03 V. N. Tolat, P.E. 3. NVTA & NVTAS 1 through 6 05/05/03 V. N. Tolat, P.E. 4. NVTA & NVTAS 1 through 14 02/06/03 V. N. Tolat, P.E. 5. NVRT 15 through 15 07/07/03 V. N. Tolat, P.E. "Submitted under NOA No. 04- 1202.01 " D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). 4 � �51 ° arlos M. Utrera, P.E. Product Control Examiner NOA No: 08- 0326.11 Expiration Date: August 21, 2013 Approval Date: May 22, 2008 E -1 Nu -Vue Industries. Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED EMATERIAL CERTIFICATIONS E. STATEMENTS 1. No Financial Interest and code compliance letter issued by Vipin N. Tolat, P.E., on 03/26/03 signed and sealed by V. N. Tolat, P.E. "Submitted under NOA No. 04- 1202.01 " 2. Letter to Nu -Vue Industries issued by Building Code Compliance Office on 08/10/04 and signed by C. F. Font, P.E. "Submitted under NOA No. 04- 1202.01 " G. OTHER 1. Notice of Acceptance No. 08- 0326.11, issued to Nu -Vue Industries, Inc., approved on 09/14/06 and expiring on 08/21/08. 6% Carlos M. Utrera, P.E. Product Control Examiner NOA No: 08- 0326.11 Expiration Date: August 21, 2013 Approval Date: May 22, 2008 E -2 TABLE t TABLE 2 Truss Anchors NVTA and Riveted Truss Anchors with Seat NVTAS Truss Anchors NVTA and Riveted Truss Ancho with Seat WAS a No. of Gauge H Product aximum Allowable Load Ibs H Product Gauge Gauge No. of Maximum Allowable Load Ibs Length Code seat strop Fasteners Uplift Uplift Ll Single L2 Single Length Code seat strap Fasteners Uplift Uplift L1 Single L2 Single In each strap Single Doubler & Double & Double ( each strap Si Double & Double & Double 16 NVTA -16 WAS 212 20 14 10d Strap NVTA Sim Straps Straps 16 NVTA -16 NVTAS 212 20 14 10d x 1.5" Strap N� s Straps Strops 18 NVTA -18 WAS 214 20 14 5 757 1514 250 500 18 NVTA -18 WAS 214 20 14 5 1032 2236 250 500 6 805 1610 250 500 6 1127 2254 385 565 20 NVTA -20 NVTAS 216 20 14 20 NVTA -20 WAS 216 20 14 7 854 1708 250 500 7 1136 2272 520 630 22 NVTA -22 NVTAS 218 20 14 8 902 '1804 250 500 22 NVTA -22 WAS 218 20 14 8 1144 *2288 520 630 24 NVTA -24 WAS 220 20 14 9 951 *1902 250 500 24 NVTA -24 NVTAS 220 20 14 9 1153 -2308 520 630 10 999 *1998 250 500 10 1161 -2322 520 630 26 NVTA -26 WAS 222 20 14 26 NVTA -26 WAS 222 20 14 11 1048 *2096 250 500 it 1170 *2340 520 630 28 NVTA -28 WAS 224 20 14 12 1096 *2192 250 500 28 NVTA -28 WAS 224 1 20 14 12 1178 *2356 520 630 30 NVTA -30 NVTAS 226 20 14 13 1145 *2290 250 500 30 NVTA -30 NVTAS 226 20 14 13 1187 *2374 520 630 36 NVTA -36 WAS 232 20 14 14 1193 1 *2290 250 500 36 NVTA -36 NVTAS 232 20 14 *Note: For 8 or more nails per strap, use double truss for double straps. 48 NVTA -48 WAS 244 20 14 *Nate: For 8 or more nails per strap, use 48 NVTA -48 NVTAS 244 20 14 double truss for doublo straps. l�iAh Perpendicular to -wall t10111mbs X12 General Notes: fMrMen• t. Steel shall conform to ASTM A653, structural grade 33 (Min. yield 33 kel) and a minimum galvanized coating of G 60 per ASTM A525. 1 Reinforcements Required O 2. Allowable loads are based on National Dosing specifications (NDS) for wood H 2 1` construction, 2001 Edition and Florida Building Code 2004. 3. Des loads are for Southern Pine with a specific gravity of 0.55. 4;" 21" Design species sp 9 Y MIN. O Allowable loads for other species shall be adjusted accordingly. EB 0 .- Concrete Tie Beam Parallel L1 or Tie Beam formed 4. Nall values are based NOS table 11P, for common wire nails and i• to wall with concrete filled O have been reduced for Penetration Depth factor for Co. o WAS masor meel�Ducyir� Holes Dia. 5. Allowable loads for wind uplift have already been Increased by a duration Code�1111101111mille NVTA, WAS factor of 1.6 for anchor nails. 33X stets stress increase Is not used in the WIN N. TOLAT, PE (CIVIL) AosiploomMAQUA& 7 tabulated values. FL. REG. # 12847 6. Allowable loads for more than one direction for a single connection cannot be 15123 LANTERN CREEK LANE B added together. A design load which can be divided into components in the HOUSTON, TX 77068 directions given must be evaluated as follows: I AlleraMe psR + t + � <= 1.0 l V u Vu a Industries, Inc East 7. Allowable loads are based on 1J" thick wood members unless otherwise noted. 10 Hialeah r � Florlda233013 et 8. All tie beams and grouted concrete masonry shall comply with chapters 19 ar° PHONE: (305) 694 - 0397 and 21 of 2004 FBC. Concrete for tie beams and grout and mortar for concrete , H p er FAX: (305) 694 -0398 masonry shall be a min. of 2500 psi. Concrete masonry shall comply with ASTM NVTA AND NVTAS TRUSS ANCHORS C90. MIN 4" 9. All tests have been conducted in accordance with ASTM D -1781. EMB. DWG #: Sheet: Dote: Revisions: "Y 7, 2003 June 75. 20115 NVTA 1" NU - 1 of 4 FM. 13, 2003 J . i0, Wall TABLE TABLE TAB 6 NVRT Twisted Rafter Ties to Concrete Tie Beams NVRT Flat and Twisted Rafter Ties or Concrete Filled Masonry Length Product 16d Fasteners Maximum Uplift Load (Ibs) Length Product Gouge No. of 16d nails No. of }" diameter Maximum Uplift (in) Code TOTAL rr" m°g° Flat Ties Twisted Ties (in) Gauge Code g to Wood Framing Tapcons to Concrete Load (Ibs) 12 NNRT -12 14 8 4 725 724 12 NVRT -12 14 4 6 722 16 NVRT -16 14 10 5 861 860 16 NVRT -16 14 5 7 856 12 6 998 996 6 8 991 18 NVRT -18 14 14 7 1135 1132 18 NVRT -18 14 7 9 1125 20 NVRT -20 14 20 NVRT -20 14 • - h i slle FIo1lift 22 NVRT -22 14 22 NVRT -22 14 AempOeaelVo - fl 24 NVRT -24 14 24 NVRT - 24 14 BY 1" 2 0 1" 30 NVRT - 30 14 30 NVRT -30 14 0 36 NVRT - 36 14 36 NVRT - 36 14 � rhdYft 1 " a 1 " _ iiir o 48 NVRT - 48 14 48 NVRT -48 14 NVRT Anchor Notes Notes: " Holes die. 1. Specify "F" for Flat and "T" for Twisted when ordering. 1. ITW topcons shall be embedded a minimum of 1j" Into concrete tiebeam or tiebeam formed with concrete filled masonry. ITW topcons shall Do not 2. Fastener values are based on a minimum 1J" thick wood members. have a min. edge distance of 21" and minimum spacing of 11" as shown. Use circled holes 3. * Indicates no. of nails In each connected wood member. 2. See General Notes, sheet 1. 16d 4. See General Notes, sheet 1. UPLIFT 3. All topcons must be to the some row apace at 178" on centers, i Do not use holes in the opposite row. Strop must be long enough to accommodate required topcons. o 0 r Tapcons 0 0 • i1 mnowes VIPIN N. TOLAT, PE (CIVIL) See ° I LENGTH I re.1 FL i REG. 12847 Note /3 ° a id « 15123 LANTERN CREEK LANE „•'', HOUSTON, TX 77068 I I I \ /1 HALF HALF '' �' -Jn�'� ( V U — V u a Industries, Inc. Connected Connected /(` to truss to wall 1053 -1059 East 29 Street Hialeah, Florida 33013 PHONE: (305) 694 -0397 • w 21" Min. edge distance l0 FAX: (305) 694 -0398 2 LENGTH Reinforcement required - NVRT FLAT AND TWISTED RAFTER TiES Tie Beam formed with DWG Sheet: Date: Tjuly evisions: 7, 2oo3 concrete filled maeonary or June 15, 2005 3 Of 4 fEa. 13, 20 Jun. 10 2008 concrete tie beam NU July 19, 2008 II TABLE 7 Truss Anchors NVTH 1Ys H Maximum Uplift Loads (lbs) Length Product Gouge Gauge No. of Fasteners Truss plate r equ ir ed (in) in ) Code seat strap in each Strap Single Strap Double Straps to transfer load to 10d x 1.5 on on bottom chord 12 NVTH -16 18 14 Single Truss Double Truss Reinforcements Required 5 1032 2064 H 14 NVTH -18 18 14 6 1222 2444 rot oao� +' 16 NVTH -20 18 14 7 1275 2550 MIN. 4' Single Strap 18 NVTH -22 18 14 8 1329 2658 EMB. Single Truss Concrete Tie Beam 9 1383 2766 NVTH or Tie Beam formed with concrete filled 20 NVTH -24 18 14 10 1437 2874 masonry 22 NVTH -26 18 14 11 1490 2980 12 1544 3088 24 NVTH -28 18 14 13 1598 3196 26 NVTH -30 18 14 1 Truss plate required 32 NVTH -36 18 14 W1 1t' I to transfer load to bottom chord 44 NVTH - 48 18 14 14' Reinforcements .. O Required 211' O IV it Nails on Front do Bock a Shall be off centered _ - Hofer Dia. 1�' n" FL REG. # 1284, 7 E (CIVIL) O Concrete Tie seem Double Strap 15128 I.A�fERN CREEK LANE Double Truss or Tie Beam formed 5 Nails In Front (Min.) HOUSTON, T% 77068 NVTH with concrete filled Nails 10d x 1.5' masonry N u — Vu e Industries. lna. eosoM=RBKWW "NOXtAv 1065 -1069 East 29 Street edlC►t�Hlsi� r3Yd1r Hialeah. Florida $9019 K , 0 rf3 Phone: (306) 894 -0997 Pair (90) 894-0398 XM ANCHORS - Qwnai DWG #: Sheet: Date: Revisions: NU -2 4 of 4 JULY 1s, 2M TABLE 3 TABLE 4 NVUH 26 JOIST HANGER NVBH 24 BUTTERFLY HANGER FASTENER ALLOWABLE LOADS (Ibs.) FASTENER ALLOWABLE w SCHEDULE W SCHEDULE LOADS (Ibs.) n g 8 0. g a V N a 0 o; DOWNWARD NAND UPLIFT 0 v~i m DOWNWARD $ GRAVITY LOADS LOAD 0. q' GRAVITY LOADS = 2x6 NVUH26 14 20 10 2233 1213 2.4 NVBH24 16 12 6 1113 Notes: Notes: 1. Use all specified fasteners in schedule to achieve values 1. Use all specified fasteners in schedule to achieve values indicated. indicated. 2. Values are based on 11" header and Joist thickness. 2. Values are based on 3" header thickness and 11" Joist thickness. 3. See General Notes, Sheet 1. 3. See General Notes, Sheet 1. FFANVJ f -- SYMM.® Mid Span s<11r.W. UPLIFT SYMM.0 Mid Span 2f D e &" • a � o o • 5r • p �. 0 Os0 0.0 , r 2i 7 r yr ' �� �swM Weil 1 B Bw C7iaP Ae�pUSaap, 2 i " VIPIN N. TOLAT, PE (CIVIL) • • FL. REG. N 12847 DOWNWARD LOAD BY DOWNWARD LOAD 15123 LANTERN CREEK LANE RoduetOooeet • • • HOUSTON, TX 77068 • � o • N u — Vu a Industries, Inc. • 2�" 1053 -1059 East 29 Street 01 " Hialeah, Florida 33013 i PHONE: (305) 694 -0397 OI FAX: (305) 694 -0398 1a" 2" 2 NVBH 24 AND NVUH 26 HANGERS DWG i. Sheet: Date: Revisions:JUly 7, 21X13 June 15, 2005 NU -2 2 of 4 FEB. 13, 2 Jan. f0, 2006 July te, 2006 MIAMI - AD MIAMI -DADOCOUNTY, OR IDA �: METRO -DADS FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 BUILDING CODE COMPLIANCE OFFICE (BCCO) MIAMI, FLORIDA 33130 -1563 PRODUCT CONTROL DIVISION (305) 375 -2901 FAX (305) 372 -6339 NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov / buildin cg ode Nu -Vue Industries, Inc. 1055 East 29"' Street Hialeah, FL 33013 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series AB, NVSTA, NVHTA, NVTHJ, III, NVTT and NVHC -37 Wood Connectors APPROVAL DOCUMENT: Drawing No. NU -1, titled "Truss and Top Plate Anchors ", sheets 1 through 4 of 4, dated 02/18/08, prepared by Nu -Vue Industries, Inc., signed and sealed by Vipin N. Tolat, F.E., bearing the Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: None LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises and renews NOA # 03- 0224.10 and consists of this page 1 and evidence page E -1, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. NOA No. 08- 0325.02 CM COUNTY — Expiration Date: May 22, 2013 Approval Date: June 5, 2008 y /i3� Page 1 Nu -Vue Industries. Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Drawing No. NU -1, titled "Truss and Top Plate Anchors ", sheets 1 through 4 of 4, dated 02/18/08, prepared by Nu -Vue Industries, Inc., signed and sealed by Vipin N. Tolat, P.E. B. TESTS Test reports on wood connectors per ASTM D1761 -88 by Product Testing, Inc., signed and sealed by C. R. Caudel, P.E. Report No. Wood Connector Load Direction Date 1. 05 -5195A AB -5 F1 and F2 06/03/05 2. 05 -5196A AB -7 F1 and F2 06/11/05 3. 04 -4995 NVTHJ -26 Upward 01/31/05 4. 04 -4996 NVTHJ -28 Upward 01/31/05 5. 05 -5612 IKE -1 Upward, L1 and L2 03/20/06 6. 06 -5622 IKE -2 Upward, L1 and L2 05/01/06 7. 04 -4908 NVTT Upward and L1 07/21/04 8. 03 -4631 NVTT Upward and L1 06/21/04 9. 08 -6711 NVHC -37 Upward, Ll and L2 03/14/08 C. CALCULATIONS 1. Shear value of common wire nails and steel plate tensile calculations, prepared by Vipin N. Tolat, P.E., Consulting Engineer, dated 03/20/08, signed and sealed by Vipin N. Tolat, P.E. D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). E. MATERIAL CERTIFICATIONS 1. None. F. STATEMENTS 1. Code conformance letters, issued by Product Testing, Inc., signed and sealed by C. R. Caudel, P.E. G. OTHER 1. Notice of Acceptance No. 03- 0224.10, issued to Nu -Vue Industries, Inc., approved on 04/17/03 and expiring on 05/22/08. a*5 fl - 3 Carios M. Utrera, P.E. Product Control Examiner NOA No. 08- 0325.02 Expiration Date: May 22, 2013 Approval Date: June 5, 2008 E -1 18 Gauge Angle Clips. GENERAL NOTES: 1. Steel shall conform to ASTM A653, structural grade 33 (Min. yield 33 ksi) and a minimum ` galvanized coating of G 60 per ASTM A525. V2 wr w2 Wr I Ft 2. Allowable loads are based on National Desing specifications (NDS) for wood construction, 1 2001/2005 Edition. VOW • 3. Design loads are for Southern Pine species with a specific gravity of 0.55. Allowable loads for • . other species shall be adjusted accordingly. • c y 4. Common wire nail values are based on NDS table 11P, 00.55 and have been reduced for • Penetration Depth factor P /10D. • • ' • F2 5. Allowable loads for wind uplift have already been increased by a duration factor of 60% for anchor nail. Load values shown are without 33% steel stress increase. 6. Allowable loads for more than a single connection cannot be added together. A design load AB -7 A13-5 Typical Installation which is divided into components in the direction given must be evaluated as follows: Actual e U pl ift ll � e Ll AM W" e pl + � o + o e L2 7. Allowable loads are based on 1t/2" thick wood members unless otherwise noted. 8. All tie beams and grouted concrete masonry shall comply with chapter 21 of FBC. Concrete for tie beams and grout and mortar for concrete masonry shall be a nummtnn of 2500 psi. Concrete Product Dimensions (inches) Fastener Schedule Alowable Loads (lbs) masonry shall comply with ASTM C90. Code WI I W2 L Header Joist Fl F2 9. All tests have been conducted in accordance with ASTM D -1761. AB5 1Y 2 %6 5 3- 10dxP/2" 3- 10dxlt/2" 511 595 AB7 lY 2%6 7 4- 10dx$Y2" 4- 10dxP/2" 582 794 MODUCIrREVISED .cuawb* — Notes: Nail wider angle leg to Joist and Shorter leg to Header. awks dos 0 �3 , 15123 LANTERN CREEK LANE Z ttu4act VIPIN N. TOLAT, PE (CIVIL) Nn -Vne FL. REG. # 12847 l� Indoaniea, Inc. 1053 -1059 Fast 29Streat HOUSTON, TX 77068 Hialeah, Florida 33013 � (305) 694 -0397 (`! " Fax: (305) 694-0398 TRUSS AND TOP PLATE ANCHORS �3(2• o$` DWO0: Sheet: Date: Revisions: Feb 18, NU -1 1 of 4 2,008 Deep Seat Truss Anchor.. They are designed to resist lateral and uplift forces. Holden Double Strap Riveted Truss Anchor They are designed of 14 gauge steel The strap is made of 14 gauge steel and the seats of 20 gauge steel. plates to resist lateral and uplift forces. The seats are made of 20 gauge steel. UPLIFT UPLIFT I L2 Y M _ bona" [IImM f . � T Ma'M MgiM.tl t" tra"afer 4 � + • button abu'd iz ME ¢a z J � Assembly Mansion Total No. Total No. of Assembly Dimension Total No. Total No. of Allowable Loads (bs) Product H of Fasteners Fasteners in Allowable Loads (ibs) P roduct H of Fasteners Fasteners in Code (inches) in Strap 20 GA. Seat 6 6 6 Code (Inches) in two Straps 20 CTiA. Seat 6 5 6 6 10dx 1W 10dx 1%. Uplift Ll LZ 10dx 1%" 10dx 1 II p� Uplift Ll L2 NVSTAl2 12 5 6 1046 700 1049 NVHTAl2 12 10 6 1506 1766 1050 1450 6 6 1141 760 1144 12 6 1695 1987 1181 1631 NVSTA16 16 7 6 1236 823 1239 NVHTA16 16 14 6 1883 2208 1312 1812 NVSTA20 20 8 6 1331 887 1335 NVHTA20 20 16 6 MI. 2429 1444 19% 9 6 1426 950 1430 18 6 2259 2649 1575 2175 NVSTA22 22 NVHTA22 22 Notes: PROOMT REVtNaD NVSTA24 7A NVHTA24 24 1. Nails are necessary in straps and seat to achieve, desing ba d Asl letlia 2. See note 6, sheet 1 for combined loading. Aa oepb nm N* ,9. P 3. Nails through chords shall not force the tress plates. 4. For general notes, see sheet 1. 5. For higher uplift bads, concrete shall be 3000 psi. 6. Based on min. 2500 psi concrete. MPIN N. TOLAT, PE (CML) FL. RM # 12847 Nu -Vue hx niea Inc. 15123 LANTERN CREEK LANE 1053 -1059 East 29 Street HOUSTON, TX 77068 Hialeah, Florida 33013 (305) 694.0397 Fax: (305) 694-0398 TRUSS AND TOP PLATE ANCHORS DWG H: Sheet Date: Revisions: NU -1 2 of 4 Feb 18, 2,008 12 Gauge NVTHJ Truss Hip & Jack Hanger 20G Stud Plate Ties ° UPLIFT L e Left e e Right a H � IKE -1 L1 '.. b b (ISOMETRIC) TYA� 0 0 0 0 I , T YA' H Jack H 1 -2x rrPlca IKE7 \ I Header 2 -2X 5- �•—�{ • . ° INSTALATION IKE -1 IKE,2 NVTHJ -28 as shown NVTHJ -28 similar U.S. Patent No. 4,964,253 Allowable Loads (lbs) S. Pine Nail Schcdule Product Dimensions Cam) Fasteners Allowable Loads (Lbs) Product Uplift Header Hip NO 10d Ja&Nail10d Code W g L Stud Plate Uplift Ll L2 Code Nails 16d Lis (e) a b I total c I d total NVTHJ26 1478 16 4 3 7 2 3 5 RM 1 $¢ 5 3% 6-10d 4-10d 787 337 337 1KE 2 1 6 334 6.10d 7 -10d 932 451 318 NVTHT28 1931 20 5 4 9 2 3 5 Note: For 1 -2x members I Odx%" nails can be used UPLIFT VIPIN N. TOLAT, PE (CIVIL) 1W FL. REG. # 12847 Nu' v ue wushies,lnc. 15123 LANTERN CREEK LANE 1053 -]059 East 29 Sheet • °° HOUSTON, TX 77068 Hialeab, Florida 33013 a ° a PRODUCTPE, FA (305) 694-0397 n • • ® NVTHJ - as shown ft emnPly*widiasFINift Fax: (305) 694-0398 es NVTHJ - slmliar ,P /J�Q� TRUSS AND TOP PLATE ANCHORS a a • ® 151 = p. DWG #: Sheet: Date: Revisions: j � , � � tb � j1 g Feb 18, Z] \ �g�� Di.:laa NU-1 3 of 2,008 18 Gauge NVTT Sanibel Truss Strap 18 Gauge NVHC 37 SWAY Grip Clip, (520) Dimensions (inches) Fastceo><a Schedule Allowable Loads Ms) 1'codmK Hollow Concrvlc Nail Schedule Allowable DosiBa Loada (ft) Code W B H L Truss Top Plates Masonr Uplift Li Product Coffi Description Uplift Li L2 NV7T -1 1 %, 1% 14 13 2- 10dx1Y2" 6-10d _ 968 343 or 6 "6x1 %" 16-8d or 12.84 or NVTT -2 1%6 lea 14 13 2 - lOcbrl�" -- TWO 1584 465 NVHC 37 5 Way C1fp 16-10d 12 -10d 702 560 637 1. 1- 10dx1)4" nail is placed on each aide of the Tram and 3- 10duails in each leg are placed in two top plates. 2. 3 x I%" long, lY4" embedment tapcons are placed in each leg and into the hollow concrete masonry . Maintain 2Y," edge distance from top oftbe block and spacing of3" ��hs between the tapcons. t� UPLFT UPL/FT .i Lz L2 UPLFT 4' IVat7holo 1V87T 1111e 1, kOMCPREVmM 9�e Naflhole "% �iYt n�l aa wftdw mfaa v L � A�O�"eNia .02 W � z ®`° 0 3 ea, � • t9odactC.amd VIPIN N. TOLAT, PE ((CIVIL) FL �] FL REG. # 12847 1\ u ♦ ue 1053 -1059 East 29 Street 15123 LANTERN CREEK LANE �L =1 NVTT -1 As Shown HOUSTON, TX 77068 0 5) 6 397 NM2 Smalvemr gcmaotemmeWmuh Fax: (305) 694 -0398 NVFri«wa u�m.a�«a;ame aorweaallm,a�,a,Ta TRUSS Qom` - AND TOP PLATE ANCHORS DWO #: Shed: Date: Revisions: O �✓ NU -1 4 of 4 Feb 18, 2,008 1ii111 l��ii 111111 {11111111 1i11i lil�1 �iil �iil CFN 2010R031S99`7 OR Bk 27282 Pss 0981 - 982; (2p9s) RECORDED 05112/2010 15 :25'•58 DOCUMENT COVER PAGE '' MIAMI- DADE FLLORI COLT For those documents not providing the required P ao �4�� space on the first page, this cover page describing c °`~ "ERA , o the document in sufficient detail to prohibit its transference to another document can be attached. An additional recording fee for this page must be remitted. N GOD I WE t3' B.L. Coil: Description of Document r � (Mortgage, Deed, Construction L en, Etc.) Given By f (Names of All Mortgagors or Grantors) To (Names of Mortgagees or Grantees) Property Description (If Applicable) As more fully described in above described document. F.S. 695.26 Requirements for recording instruments affecting real property (Relevant excerpts of statute) (1) No instrument by which the title to real property or any interest therein is conveyed, assigned, encumbered, or otherwise disposed of shall be recorded by the Clerk of the Circuit Court unless: A 3 -inch by 3 -inch space at the top right -hand corner on the first page and a 1 -inch by 3 -inch space at the top right -hand corner on each subsequent page are reserved for use by the Clerk of Court. OR Miami shores Village , B Ildg Department "" } i i�£K tFYrrra tlASlsa �rryd°G 0050 N.E.2nd Avenue ,KIA 00 � of ° ' hores, Florida 33138 b ro mil►` ` Tel: (305) 795.2204 r / � Fax: (305) 756.8972 -q o w, �..'✓ (` r�4i �, yY �.CCsa„ Jig t„ri ' l„tll,- , �� n� 6 r twi,,r+ PREPARED BY: DECLARATION OF USE M KNOW ALL MEN BY THESE PRESE � WHEREAS, the undersigned f d(ag_h L - (2 i=4 are the fee simple owners) of the following described property ("Property") situated and being in Miami Shores Village, Florida: Lot(s) tiP Block of CAu�u Std k) (Subdivision), according to the a 4 I Page ` of the Public Records of Miami -Dade County Florida (add kD , , ress) (d,) C Lt thereof, as recd ed in the Plat Book 15 A l and WHEREAS, the undersigned owners) have sought certain development approval from Miami Shores and are providing this document in consideration thereof and to induce the Village to grant same: NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which is acknowledged, the undersignedAo(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 declare(s) 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/hersuccessors 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 ff nn IN WITNESS WHEREOF, the undersigned hasthave caused hand(s) and seal(s) to be affixed hereto on this Ion day of 206-0 , WITNESS (ER) Signature q gnature and Print /—��L� -emu Sl�� and Print C W10 C Y0 1A Signature Signature and Print and Print STATE OF FLORIDA ) COUNTY OF MIAMI -DADE ) "Olm AL I HEREB C RTIFY that on this day personally appeared before me !" I is personally known to me or has produced Y "Q (type of identification) as identification and he/she acknowled a that he/she executed the foregoing, freely and voluntarily, for purposes therein expressed. r NOTARY INJBLIC- STATE # FLORIDA SWORN TO AND SUBSCRIBED before me on this ) C� day of ` C� V CUU103 fCos m� #DD717923 ° °•.., rxfs_t°es: SEP. 23, 2011 My commission expires: of 1 BONDED T 4iRU ATLBN rIC BONDING CO., INC. V NOTARY PUBLIC, STATE OF FLORIDA Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Numbe INSP- 127846 Permit Number: RF -10 -09 -1765 Scheduled Inspection Date: May 12, 2010 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Roof Owner: CRISWELL, RICHARD Work Classification: Flat Job Address: 32 NW 93 Street Miami Shores, FL 33150- Phone Number (305)448 -2764 Parcel Number 1131010170060 Project: <NONE> Contractor: CATHEDRAL ROOFING INNOVATION INC Phone: (305)244 -7904 Building Department Comments NEW FLAT ROOF FOR BATHROOM ADDITION Inspector Comments Passed El Failed la Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 12, 2010 For Inspections please call: (305)762 -4949 Page 2 of 25 M iami \ \ (/ir.�„� S yy3\ I� \ �, �'" a ✓,fir\ Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 s �% h� " �s' Phone: (305)795 -2204 Expiration:1 V06 /20'10 Project Address Parcel Number Applicant 32 NW 93 Street 1131010170060 RICHARD CRISWELL Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell RICHARD CRISWELL 32 NW 93 Street (305)448 -2764 MIAMI SHORES FL 33150 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 CATHEDRAL ROOFING INNOVA (305)244 -7904 (305)945-4750 Total Sq Feet: 156 Type of Work: Re Roof Available Inspections: Additional Info: FLAT ROOF FOR NEW ADDITION Inspection Type: Classification: Residential Tin Cap Final Roof Roof Review Roof in Progress Renailing Affidavit Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Education Surcharge $0.20 Invoice # RF -10 -09 -36239 05/10/2010 Credit Card $ 510.60 $ 0.00 Permit Fee - New Roof $250.00 Permit Technology Fee $0.00 Scanning Fee $9.00 Technology Fee $0.80 Work without Permit Fee $250.00 Total: $510.60 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. May 10, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy May 10, 2010 1 Fm:MyFax -A.T. Insurance Group -Workers Comp Dep To:CERTIFICATE (13059409309) 13:02 04/14110GMT -04 Pg 02 -02 .ac Rr� CERTIFICATE OF LIABILITY INSURANCE OA,E (MMDOYYYW) 04/14/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETNIEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate bailer is an ADDITIONAL INSURED, the policy(in) must be endorsed. N SUBROGATION IS WANED, subject to the terms and Conditions of the policy. Certain policlas may require an endorsement. A statement on this certUkaM does not confer rights to the cortl4ctba holder In Aen of such andomement(s). PRODUCER NAME: A. T. INSURANCE GROUP PHONE FAX IN& fft EMU: my 400 Executive Way Drive EMAIL West Palm Beach. FL 33401 P#O0tCE Phone: 1 5927 F 561 282 ws AFFORDaai COVERAGE NA0 s INSURED INSURSt A . AC CATHEDRAL ROOFING INNOVATIONS, INC. NaUReRe: 5001 NW 4th Ave INSURER Boca Raton, FL 33431 i mmm Ace Insurance Company . Phone: (305) 2447904 Fax: (561) 391 -0649 INSURERE: INSURER F: COVERAGES CERTIFICATE N UMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY EFT POLICY EW LTR VIVO POLICY NUMBER MM MM LIMITS GENERAL LIABILITY f.ACH OCCURRENCE f 1 M-000 A COMMERCIAL GENERAL LIABILITY FeRrEa tt f CLAIM"ADE F] OCCUR MED EXP (Any one penen) f GL77483525396 OW401 OW4110 PERSONAL & ADY wAW s GENERAL AGGREGATE t GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- amPioPAGG f FOLIC" PRO' Loc f AUTOMOBILE UAetl1TY COMBINED SINGLE LIMIT f (Es acadent) ANY AUTO BODILY NIJURY (PSrpmcpn) f All OWNED AUTOS R(1rNLY INJURY (Peranident) f SCH£DULEDAUTOS PROPERTY DAMAGE S HIREDAUTOS (Per 8CC10610 W.WUMW AU I US f f •u IIAe OCCUR EAL71 OCCURRENCE f Ita".T.10 (CESS LIAn _ —__ _.__..._ .. AGGREGATE $ _CWMS -MADE EDTBLE i $ f VIORKMI COMPENSATION I VYC STATU- IO AND EMPLOYERS' LIABILITY YIN D ANF �EMSOEXCLUDE UTIVE F E. E.L EACH ACCIDENT f 1 M O 0 ( � 1 WC88453772495 o7/D3f09 o 7/D3/ lo E "L.DISEAEE EA EM PLOYEE s1,0W,000 e y " descan rower DESC�tIPTION RAii E.L. DISEASE- POLICY LIMIT 1 0WO 000 T DESCRIPTION OF OPERA79M /LOCATIONS I VEHICLES (ANSh ACORD 101, Additional Remain Seh.&", r• core spWA Is required) NO Special provisions or walvers have beer( attached. This certificate covers codes 5551 Roofing & 5437 Carpentry. This certificate covers CATHEDRAL ROOFING INNOVATIONS. INC. UC- # CCC1327875- This Certificate covers Workers Compensation & General Liabililyonty in the State of Rodde. Should any of the above described policies be cancelled before de expiration date thereof. the issuing Oomparty will molt 30 days written notice to tier certificate holder. CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE S NOLXD ANY OF THE ABOVE DESCRIBED Pot ICIE SBE CANCELLED BEFORE THEREOF, BUILDING DEPARTMENT THE EXPIRATION ATE c THEREOF, NOTICE WILL BE DELIVERED IN ACC ORDANICE VWM THE POLICY 10059 NE 2nd Ave Miarni Shores, FL 33138 AUTNORMED REPRESENTATIVE i i ®1988 -2009 ACOO CORPORATION. All rights ed. ACORD 25 (2003!09) The ACORD name and b go are registered marks of ACORD Miami Shores e Villa g f _31' 1 Building Department OCT 2 7 2009 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BY "'"° INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No: PERMIT APPLICATION muster Permit No. A" z j� FBC 20 Permit Type: BUILDING" ROOFING Owner's Name Fee Simple Titleholder / �/ f /�/ ( p ) f .I/ V. s Phone # 3 0 "27666. Owne 32 l l City 1 �I i Am] C "Ci5 State R, Zip �50 L5 0 Tenant/Lessee Name Phone # Email Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip �3<7 FOLIO / PARCEL # Is Building Historically Designated YES NO Flood pone Contractor's Companyy Name />Gi`/ 1 ne # � gQ Contrac or's Address J�C City ,A St to Zip Qualifier Name Phone # ,2 State Certificate or Registration No. Certificate of Competency No. - Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit • O Square /Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration XNew ❑ Repair/Replace ❑Demolition Describe Work: lot Submittal Fee $ Permit Fee $ kj S � CCF $ CO /CC .$ Notary $ Training /Education Fee $ O R() Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ S Violation date: ruc oral Revie C w. $ Total Fee Now Due $ t/ 0 `(! See Reverse side —> 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. 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspectii n fee will be charged.. r Signature V _ Signature Owner or Agent Con The foregoing instrument was acknowledged before me this� The foMW, nt was acknowledged before m this day of _ , 200T by h l�; 1 day of 2001 by YXVCA who is personally known tome or who as du d who is ]personally known to me or has produce tification and who did take a identification and who did take an oath. NOTARY PUB ' '` OTAR PUBLIC: hh,its Sign: i Sign: OF Print: p Print: My Commission Expires: �a� 2 `'* My Commission Expires: 9e *ik *9t'kiY *F9Ctk 'tdttk9e ink *9t *tk9t *7@ic 9t * *ir * # *1k *de$it 9e *et9e *tk *4ttk *tt *9ede i[* ek** tktk* 74** Ytikk**' kl2tkok* ktk* it9edl" k1k1k7k�e fe kdF' k9t7k 'k *'ktk *'k7k9rk *ekiC'+k'k9roF APPROVED BY Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) ♦ SNuREs �r M iat i ni shores Village Bilding Department J �LUR ' ID p► 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #:0 �J DATE: 2 �. Contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (ot ) rechPr)�.- PY Tvc9f Address: From the building department on this date in order to have corrq'ctions done to plans And /or get County stamps. I understand that the plans need to tie brought back to Miami Shores Village Building Department to continue permitting process. j Acknowledged b T PERMIT CLERK INITIAL: RESUBMITTED DATE: 0S OSI I PERMIT CLERK INITIAL: X S . RES `� Miami Shores Village °.. mil Building Department 10050 N.E.2nd Avenue RIDp Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: C6 t 10050 NE 2nd Ave Miami Shores, Fl 33138 Re: Owner's Name: , -C c (-) c t)11 ` Property Address: kt C6 Roofing Permit Number: \ T r-- Cq (1 j Dear Building Official: I aQ Cjst �—'� certify that I am not required to retrofit the roof to wall connections of my building because: 'fie Just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/ft is th owner for the above property mentioned. Sworn to and subscribed before me this day of Ji,TA v Y^'RF 0,T:RT �r �P.IDA DD7. Notary Public, Sate of Florida at Large I! ©NllS t)1 RU A17 AiC t3QNDfi�q • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21/2009 ,St��RFS iG Miami S hores V illage l... ...,. Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 �l0RiDA Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT OF COMPLIANCE WITH ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE -BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PURSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: �- I ns I 1 0 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: may) A L Property Address: Roofing Permit Number: w — Dear Building Official '� e certify that I have improved the roof to wall connections of the referenced property as required by the Manual of Hurricane Mitigation Retrofits for Existing Site -Built Single Family Residential Structures as adopted by the Florida Building Commission by Rule 913-3.047 F.A.C. Signature Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he /she is the owner for the above property mentioned. Sworn to and subscribed before me this day of N 20 i! Notary Public, Sate of Florida at Large (SEAL) NOTARY 7#Q3 FINAL COMPLIANCE Revised on 5/21/2009 BONDED WAU ArIJKFrG��rdu11- ���,�� Miami -Dade My Home Page 1 of 2 My Home MIA N41 -DA DE Show Me: Property Information Legend Search By: Prope Select Item fAw NE 4 rtt S Boundary N Selected Property Text only Property Appraiser Tax Estimator Street El Property Appraiser Tax oV Highway Comparison ttT � � � � aN Miami -Dade County Portability S.O.H. Calculator ® Water Summary Details: N Folio No.: 11- 3101 -017 -0060 P roperty : 32 NW 93 ST xtib 8 W M ailing RICHARD B CRISWELL&W A ddress: MIRTA M CRISWELL Eli lV's " g 2 NW 93 ST MIAMI S HORES FL 150- Property Information: rimary Zone: 800 SINGLE FAMILY ESIDENCE LUC: 0001 RESIDENTIAL - INGLE FAMILY Beds/Baths: /1 Floors: 1 ivin Units: 1 Digital Orthophotography - 2007 0 111 ft d' S Foota e: 1,452 L Size: 7,575 FT Lot 1941 ANADAY EXTENSION B 41 -71 LOT 6 LOT My Home I Property Information I Property Taxes Legal S IZE 75.000 X 101 OR I My Neighborhood I Property Appraiser Description: 19816 -1308 05 2001 1 OC 26458-488106 Home I Using Our Site I About I Phone Directory I Privacy I Disclaimer 008 1 OR 26938 -4725 60901 Assessment Information: ear: 2009 2008 If you experience technical difficulties with the Property Information application, Land Value: $124,868 208,543 or wish to send us your comments, questions or suggestions essed Value: $127,628 129,203 please email us at Webmaster Value: $252,496 337,746 Value: $252 496 W1 46,906 Exemption Information: Web Site ear: 2009 2008 O 2002 Miami -Dade County. All rights reserved. omestead: $25,000 $25,000 12 nd Homestead: I YES i YES Taxable Value Information: ear: 2009 2008 Applied Applied axing Authority: Exemption/ Exemption/ Taxable Taxable Value: Value: Regional: $50,000/ $50,0001 $202,496 $96.906 C ounty: $50,000/ $50,000/ $202,496 1 $96,906 ity: $50,000/ $50,000/ $202,496 $96,906 chool Board: $25,0001 $25,000/ 1 $227,496 $121,906 Sale Information: e�m r��m• nnno http: / /gisims2. miamidade .gov /myhome /propmap.asp 5/5/2010 ,5�, °RFS Miami shores Village �c l logo Building Department 10050 N.E.2nd Avenue �, -•►� Miami Shores, Florida 33138 OR p Tel: (305) 795.2204 Fax. (305) 756.8972 Permit No: 09 -/.7 Job Name: ; , 2009 Page 1 of 1 AL T / Building Critique Sheet . // 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. Norman Bruhn CBO 305 - 795 -2204 ROOF ASSEMBLIES AND ROOFTOP STRUCTURES SECTION 4402.14 HIGH - VELOCITY HURRICANE ZONES UNIFORM PERMIT APPLICATION Florida Building Code Edition 2007 •••� . . .... ..... High - Velocity Hurricane Zone Uniform Permit Application Form. • • • • : • • • • • INSTRUCTION PAGE , t jij .r kpa.4, Gam+ • COMPLETE THE NECESSARY SECTIONS O� :� '• --- --------- °° ° THE UNIFORM ROOFING PERMIT • • : • y APPLICATION FORM AND ATTACH THE " , c '••, •; REQUIRED DOCUMENTS AS NOTED BELOW: •••••• Roof System Required Sections of the Attachments Required Permit Application Form See List Below Low Slope ADRIlcation ABC 1 2 3.4.6.6.7 Prescriptive BUR -RAS 150 ABC 4.6.6.7 As haltic Shin les ABD — 1245.6,7 D CC) (7 Z 0 Concrete or Cla Tile A,13 D E 1 2 3 4 5 6 m m 67 z O Metal Roofs A B D 1 2 3 4 5 6 7 Z i� ,� < c o C) Wood Shin ales and Shakes ABD 1.2.4.5 z z Other As Applicable 1.2.3.4.5.6.7 _o i . . Z Frl V -� < ATTACHMENTS REQUIRED: D 1. Fire Directo Listinn 132 a T ' 1 1 !r c 2. From Product Approval: Front Page rri Specific System Description Specific System Limitations _) General Limitations Applicable Detail Drawings 3. 2e Calculations per Chapter 16, or N Applicable, RAS 127 or RAS 4. Other Component of Product A roval 5. Munici al Permit Application 6. Owners Notification for Ro2ff9j Considerations (Reroofing On 7. Any Required Roof Testing/Calculation Documentation FLORIDA BUILDING CODE — BUILDING SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR RQP�Q4G CONSIDERATIONS "' " ...... .. . ...... R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractort4provide the dWner :....: with the required roofing permit, and to explain to the owner the content of the section. TIC pfftsions of Section ' R4402 govern the minimum requirements and standards of the industry for roofing systemiiistallations. Additional) "�' "• , the following items should be addressed as art of the agreement between t ' ; "' Y 9 � P 9 ag�gyyff�r ant tha' ...... contra clor. The owner's initial in the designated space indicates that the item has been explained. •, . . . . ...... 1. Aesthetics - Workmanship: the workmanship provisions of Section R4 ar2.for thd'purpose of ' providing that the roof system meets the wind resistance and water instruction perfomMce'standares. ' • ' Aesthetics (appearance) are not a consideration with respect to workmanship " ; p p provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the a reement between the owner and the contractor. 2. Renailing wood decks. When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to reinoving the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or owner hould notify the occupants of adjacent units of roofing to be performed. 4. Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. �Ponding water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. 6. Overflow scuppers (wall outlets): it is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimetededge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. 7. 4b — ::: __ VentiIatlon: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the ...- roof. Owner /Agent's Signature Date Contractor Signat re D to Revised on 7/9/2009 I.D ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High- Velocity Hurricane Zone Uniform Permit Application Form. SPU O f ,PngraI Inform - a • • • • • • 0000:9 •• 0 • •.• • E C- 11 �1 M _�' / ` �'`� ,�y� �-�► • •• • 000000 . Master Permit No v C /_+ J Process No. i`- t 'y` (� . • •0..0• Contractor's Name r `1� N S — j1( � + . 0 • • "' • • • �� �� p,/� .••• •0.0• Job Address 3Z (�.� 3 Ste• T11/LA I�fYI / c'� VL�T�fj ...... • 0 ... ..:.. • R00ECATErC= ::0 . . . . . ..... • . Low Sloe •• "' P ❑ Mechanically Fastened Tile ❑Mortar /Adhesivg Sgt Tile' :....: ❑ Asphaltic ❑ Metal Panel /Shingles El Wood Shingles /Shakes • • • • • • • Shingles ❑ Prescriptive BUR -RAS 150 s ROOF TYPE Et New Roof ❑ Reroofing ❑ Recovering ❑ Repair ❑ Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) 1'0p Steep Sloped Roof Area (SF) Total (SF) lla( Section R (Roof Pla,3) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. r tt FLORIDA BUILDING CODE — BUILDING ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High - Velocity Hurricane Zone Uniform Permit Application Form. Section C ( o6v Slope Application) Surfacing: �(�' f719 L • ' • • • •' • • • • Fill in specific roof assembly components Ili ..' •.. and identify manufacturer Fastener Spacing for AnchoNBage Sheet ANchihent: • • • (If a component is not used, identify as '$NA") • • • • rrll���•— �/ / Field: I" oc • Lap, # RoV • _ "'oc . • System Manufacturer /'Y7Gi�U�T ..•. .... ... c� Perimeter: " oc @ Lap, fl t �• t 'oc • • • Product Approval No.: O ! 121 e 0 • • • • • • • • • " 'f • Design wn Pressures, From RAS 128 or Calculations: Corner: oc @ Lap, # Rows : @ Qc ...... • • ' QQ Pmax1 Pmax2• Pmax3• Number Fasteners Per Insula�is' Board .... •' 9. ^ a�• � � � ' Perimeter' Corner`s Max. Design Pressure, from the specific Product Field � App roval system: - Illustrate Components Noted and Details as Deck: � �� Applicable: Type: �,(' Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter - Gauge/Thickness: Flashing, Coping, Etc. / Indicate: Mean Roof Height, Parapet Height, Height of Base Slope: �i• J 1 ' 21' � Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit Anchor /Base Sheet & No. of Ply(s): ' �or 1 CAP in F Anchor /Base Sheet Fastener /Bonding Material: C) ©y Q�t� D Base Insulation Size and Thickness: Base Insulation Fastener /Bonding Material: Top Insulation Layer: A/ __ /1' ``T �_I — - Parapet Height ____ i Top Insulation Size and Thickness: At _._....,....._..__...... _.__... _.. ._ ...........................FT, ..... _...._.. _....._ . DI Top Insulation FastenerlBonding Material: o mv f Mean Base Sheet(s) & No. of Ply(s): Roof Height Base Sheet Fastener /Bondin M `terial (r 3X3 ' S NAtt_ l �/ s� Ply Sheet(s) & No. of Ply(s): 2 !� �� � yy g _ 111 �• R•S . N A �s P �fO�ffll7� en f $on teri/ ,�r' —i Top Ply: 6- t al"674/ To ast ner on 'n Ma ial: TU FLORIDA BUILDING CODE — BUILDING SNAP D DOCUMENT R EVIEW MIAMI- OAUE. 7, :' - documents have been reviewed for eonformancp,�vfllpe�, A desi;ar; concept and intent and general compliance with ttTiA 01-W COUNTY, FLORIDA docurne nts. 'rhe contractor is responsible for confirmingi WWdWe9 FLAGLER BUILDING BUILDING CODE COMP LI t� ns, fabrications and cq S TREET, SUITE 1603 PRODUCT CONTROL DI V - coorG'n r7 o h trade with all other ap "bile " ra M M AUT F LORIDA 33130 -1563 APPRCC 'VED (305) 375 -2901 FAX (305) 375-2908 0000 NOTICE OF ACC 0 0000 0000.6 GAF Material Corpora �l:JE� Ep RESUBMIT 00 1361 Alps Road 90 Q ROAR. } F• 9. • Wayne, NJ 07470 CAT,., REVIEWED. ❑ 9 • 1 MANUEL E. SIQUES, RE, #20233 fee SCOPE: 8531 S.W. 12 TERR. MIAMI, FL 33144 000 90:0 • • • • • This NOA is being issue under the app �7 sou ,n erning the u *teens tiet3 ' 9.0 • materials. The documen 5��5." B ilding • Code and Product Review Committee to be used in Miami Dade County and other areas where lo+ ad • 0 0 0 0 • • by the Authority Having Jurisdiction (AHJ). • • • • • • .. 0000 • 0000 This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and /or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built -Up Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION. of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and /or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No. 03- 0501.05 and consists of pages 1 through 19. The submitted documentation was reviewed by Jorge L. Acebo. NOA No.: 07- 1219.09 MIAMI-DADEC u N'rlr Expiration Date: 11/04/13 • Approval Date: 03/20108 Page 1 of 19 ROOFING SYSTEM APPROVAL Category Roofing Sub- Cateeorv: BUR Deck Type: Wood • • • • Maximum Design Pressure -75 psf • • 09 "" 0 06 0 . ... • 000000 '..' . 6000.. TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY A AtcANT: 'o • 0000.. TABLET 0 0000 0 • 0000 • 0600 0060 0...0 Test Product• ••• • ••• 0 . 00 • Product Dimensions S cation Descriptir►n • 6 " 6 0 "" i • 066606 • • • Leak BusterTM MatrixTM 3, 5, 55 gallons ASTM D 41 Asphalt concrete primer tised to proAte • 0 0 • • • • 6 307 Premium Asphalt adhesion of asphalt in ult- ofin " "" p p .. co gy.6 0 0 0 0 b; Primer ' 0000 GAF Mineral ShieldTm 60 & TOO lb. bags ASTM D 1863 Granules for surfacing of exposed asphalt, Granules cold process cement or emulsion. GAF Mineral ShieldTM Granules shall be used for flashing applications only. Leak BusterTM MatrixTM 5 gallons ASTM 1227 Surface coating for smooth surfaced roofs. 305 Fibered Asphalt Emulsion Leak BusterTM MatrixTM 1, 5 gallons ASTM D 2824 Fibered aluminum coating. 303 Premium Fibered Aluminum Roof Coating LeakBusterTM MatrixTM 55 gallons Elastomeric roof coating. 322 Elastomeric Roof Coating LeakBusterTM MatrixTM 55 gallons Asphalt emulsion fibered. Select Asphalt Emulsion Fibered 306 Leak BusterTM MatrixTM 1, 5 gallons ASTM D -4586 Refined asphalt blended with a mineral 204 Wet/Dry Roof ASTM D -3409 stabilizer and fibers. Permits adhesion to Cement wet and dry surfaces. RUBEROID Modified 5 gallons ASTM D 4586 Fiber reinforced, polymer modified Flashing Bitumen Flashing cement Cement LeakBustefrm MatrixTM 5 gallons ASTM D 4586 Asphalt flashing Cement 201 Premium SBS Flashing Cement GAFGLAe #75 39.37" (1 meter) ASTM D 4601 Asphalt impregnated and coated glass mat wide base sheet. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Mrat�r• ur�rr Approval Date: 03/20/08 Page 2 of 19 Test Product Product Dimensions Saecification Description GAFGLAS #80 39.37" (1 meter) ASTM D4601 Asphalt impregnated and coated, fiberglass ULTIMATM Base Sheet wide base sheet 0000 GAFGLAS 39.37" (1 meter) ASTM D 2178 Type VI asphalt impregflnate.6glass lefts t+tth 0 . 000 :' Flex PlyTM 6 wide asphalt coating. • • .' 0 . ...0.. .. . 000000 GAFGLAS Ply 4 39.37' (1 meter) ASTM D 2178 Type IV asphalt impregnates glass felt With :0060: wide asphalt coating. • 0966 • . • "' . ' ... 0000 ..�..� GAFGLAS Mineral 39.37 » (1 meter) ASTM D 3909 Asphalt coated, glass fibermat cap sh: eO 0 • �.... Surfaced Cap Sheet wide surfaced with mineral grarxiles. • 60 .. .. . 0000.. GAFGLAS 3937' (1 meter) ASTM D 3909 Asphalt coated, glass fitttlt . {cap sheet • • EnergyCapTM Mineral wide surfaced with mineral granules with Maly' , • . Surfaced Cap Sheet applied layer of TOPCO;�rltergyCgte,,k : • GAFGLAS 39.37' (1 meter) ASTM D 4897 Fiberglass base sheet impregnated and • STRATAVENT wide D 3672 coated on both sides with asphalt. Surfaced EliminatorTM Perforated on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. GAFGLAS® Flashing Various Asphalt coated glass fiber mat flashing sheet available in three sizes. GAFGLAS 39.37' (1 meter) ASTM D 4897 Fiberglass base sheet impregnated and STRATAVENT wide D 3672 coated on both sides with asphalt. Surfaced Eliminatofrm Nailable on the bottom side with mineral granules embedded in asphaltic coating. RUBEROID SBS 1 meter (39.37') ASTM D -6164 Non -Woven Polyester mat coated with Heat- WeldTM Smooth wide polymer- modified asphalt and smooth surfaced. RUBEROID SBS 1 meter (39.37') ASTM D -6164 Non -Woven Polyester mat coated with Heat- WeldTM Granule wide polymer modified asphalt and surfaced with mineral granules. RUBEROID SBS I meter (39.37') ASTM D -6164 Non -Woven Polyester mat coated with fire Heat- WeldTM 170 FR wide retardant polymer modified asphalt and surfaced with mineral granules. RUBEROIDP SBS 1 meter (39.37') ASTM D -6164 Non -Woven Polyester mat coated with Heat- We1dTM PLUS wide polymer modified asphalt and surfaced with mineral granules. RUBEROO SBS 1 meter (39.37') ASTM D -6164 Non -Woven Polyester mat coated with fire Heat-Weld TM PLUS FR wide retardant polymer modified asphalt and surfaced with mineral granules. RUBEROIe SBS 1 meter (39.37') ASTM D -6164 Non -Woven Polyester mat coated with Heat- We1dTM 25 wide polymer-modified asphalt and smooth surfaced. RUBEROID Modified 39.37' (1 meter) ASTM D4601, Premium glass fiber reinforced SBS Base Sheet wide Type II, UL modified base sheet Type G2 BUR NOA No.: 07- 1219.09 MlAMbDADE CO Expiration Date: 11/04/13 UNTY •, Approval Date: 03/20/08 Page 3 of 19 Test Product Product Dimensions Specification Description RUBEROID' 20 39.37" (l meter) ASTM D 6163 SBS modified asphalt base sheet and wide ASTM D 5147 interply sheet reinforce with a glass fiber 0000 mat. • 0000 0000.. RUBEROID' Mop 39.37" (1 meter) ASTM D 6222 Non -woven polyester mat goaled with ... Granule wide ASTM D 5147 polymer modified asphalt audsurfadbiliM k • • • • • mineral granules. 094:0* 9 6 6 RUBEROID' Mop Plus 39.37" (1 meter) ASTM D 6222 Non -woven polyester mit eeated witif 9 •' . ' (Granule) wide ASTM D 5147 polymer modified asphalyddd surfaee$'wlth • • 0. 0 . mineral granules. 00 0 6 0 RUBEROID' MOP 39.37" (1 meter) ASTM D 6164 Non -woven polyester ma;igited with • 0 • • Smooth wide ASTM D 5147 polymer- modified asphalt acid Smooth 6 **000 000000 surfaced. • 0 :0609: RUBEROID' MOP 39.37" (1 meter) ASTM D 6164 Non -Woven polyester mat coaled wi4r1ite 0 ' 170FR wide ASTM D 5147 retardant polymer modified asphalt and surfaced with mineral granules. RUBEROID' MOP FR 39.37" (1 meter) ASTM D 6164 Non -Woven polyester mat coated with fire wide ASTM D 5147 retardant polymer modified asphalt and surfaced with mineral granules. RUBEROID' TORCH 39.37" (l meter) ASTM D 5147 Heavy duty, polyester reinforced, asphalt Smooth wide modified bitumen membrane, smooth surface. RUBEROID' TORCH 39.37" (1 meter) ASTM D 5147 Asphalt impregnated, coated felt, surfaced Granule wide with mineral granule. RUBEROID' TORCH 39.37" (1 meter) ..ASTM D 6222 Heavy duty, polyester reinforced, asphalt PLUS (Granule) wide ASTM D 5147 modified bitumen membrane, granule surface. RUBEROID' TORCH 39,37" (l meter) ASTM D 6222 Heavy duty, polyester reinforced, coated FR wide ASTM D 5147 with fire retardant asphalt modified bitumen membrane, granule surface. RUBEROID' 170FR 39.37" (1 meter) ASTM D 6222 Heavy duty, polyester reinforced, coated TORCH Wide ASTM D 5147 with fire retardant asphalt modified bitumen membrane, granule surface. RUBEROID' 30 39.37" (1 meter) ASTM D 6163 Non -woven fiberglass mat coated with wide ASTM D 5147 polymer modified asphalt and surfaced with mineral granules. RUBEROID' 30 FR 39.37" (1 meter) ASTM D 6163 Non -woven fiberglass mat coated with fire wide ASTM D 5147 retardant polymer modified asphalt and surfaced with mineral granules. RUBEROID' 39.37" (1 meter) ASTM D 6298 Woven fiberglass mat coated with Polymer ULTRACLAD' wide ASTM D 5147 modified asphalt and surfaced with aluminum, copper or stainless steel foil. RUBEROID' Dual FR 39.37" (1 meter) ASTM D 6164 Non -woven polyester and fiberglass mat Wide ASTM D 5147 coated with file retardant, polymer modified asphalt and surfaced with mineral granules. Vent Stacks (metal and TAS 100(A) One way valve vent used to relieve built -up plastic) ASTM D 1929 pressure within the roof system. GAF Vent ASTM D 635 Stacks are available in metal or plastic. NOA No.: 07- 1219.09 MAW DE COUNTY= Expiration Date: 11104/13 Approval Date: 03/20/08 Page 4 of 19 Test Product Product Dimensions Specification Description Leak BusterTM MatrixTM 5 gallons ASTM D2824, Nan - fibered aluminum pigmented, asphalt 302 Non Fibered Type I roof coating. Aluminum Roof Coating • 0000 . • • GAF Built -Up Roofing 100 lb. cartons, ASTM D312, Interply mopping and suif'ciilg aspbAlt:' : • Asphalt bulk Types I, II, III 090:90 ' • • • • • ••• . and IV g p ••• • RUBEROID MOD 60 lb. kegs SEBS modified as hale • • • • Asphalt, Asphalt L & 00 . ... ..... Asphalt P • Leak BusterTM MatrixTM 5 gallons Surface coating for sindA l;faced and • 1 000000 602 •..••. mineral surfaced roofs.. ' . . . . ...... Leak BusterTM MatrixTM 5 gallons Surface coating for smooth surfaced'atxl.. 715 mineral surfaced roofs. LeakBusterTM MatrixTM 2 gallons Surface coating for smooth surfaced and 531 WeatherCot6m mineral surfaced roofs. SeamCoteTM 2, 5 gallons proprietary Elastomeric roofing membrane. FireOutTM 5, 55 gallons Low VOC, fire barrier coating. VersaShield 350 sq ft. roll Non- Asphaltic Fiberglass -Based Underlayment. VersaShield FB -IS 350 sq ft. roll Non - Asphaltic Fiberglass -Based Underlayment. VersaShield FB -2S 350 sq ft. roil Non - Asphaltic Fiberglass -Based Underlayment. TOPCOAT` FireShiele 5, 55 gallons ASTM D -412 Elastomeric roofing membrane MB ASTM D -21 -96 ASTM D1475 ASTM E -1644 Leak BusterTM MatrixTM 5 gallons ASTM D3019 Cold Applied Modified SEBS Asphalt 201 SBS Flashing Adhesive — Flashing Grade. Cement Leak BusterTM MatrixTM 5 gallons ASTM D3019 Cold Applied Modified SEBS Asphalt .102 SBS Adhesive Adhesive. Leak BusterTM MatrixTM 5 gallons ASTM D4586 Cold Applied Modified SEBS Asphalt 202 SBS Flashing Adhesive — Flashing Grade. Cement Leak BusterTM MatrixTM 5 gallons ASTM D4586 Standard Plastic Asphalt Roofing Cement 203 Plastic Roof Cement Leak BusterTM MatrixTM 5 gallons ASTM D3019 Cold Applied Asphalt Adhesive. 103 Cold Process Adhesive NOA No.: 07- 1219.09 Expiration Date: 11/04/13 MIAMI ae ouN'rY Approval Date: 03/20/08 Page 5 of 19 Test Product Product Dimensions Specification Description Leak BusterTM MatrixTM 5 gallons ASTM D 2824 Fibered aluminum coating. 303 Fibered Aluminum Roof Coating Leak BusterTM MatrixTM 5 gallons ASTM D2824, Non - Fbered aluminum pi nexted, asphott; '. 304 Non Fibered Type I roof,coating. 00* • • • "' • • Aluminum Roof Coating 0 00000 • • ...... .... ..:. . . 0000 0000 0000• •0000• • 000 00000 • • • • • :: •• �0 •0000• AP PROVED INSULATIONS: ' ee 0.0000 Table 2 • • • Product Name Product Description. 11 44facturer• • • 0 • (With Current. SQAl EnergyGuardTM RA, RN Polyisocyanurate foam insulation BMCA Composite A & N Polyisocyanurate foam insulation with GAF Materials Corp. high density fiberboard or Permalite perlite insulation. . EnergyGuardTM Fiberboard Fiberboard insulation. GAF Materials Corp. EnergyGuardTM Permalite Perlite insulation board. GAF Materials Corp. EnergyGuardTM GAFCANTTM Cut perlite board GAF Materials Corp. . EnergyGuardTM Permalite Recover Perlite recover board GAF_ Materials Corp. Board EnergyGuardTM Tapered Edge Strip Tapered perlite board GAF Materials Corp. EnergyGuardTM Perlite Perlite insulation board GAF Materials Corp. EnergyGuardTM High Density High density wood fiberboard insulation. GAF Materials Corp. Fiberboard EnergyGuardTM Composite Polyisocyanurate /wood fiberboard BMCA composite EnergyGuardTM Composite RA Polyisocyanurate /wood fiberboard BMCA composite Wood Fiber Wood fiber insulation board generic High Density Wood Fiberboard Wood fiber insulation board generic Perlite Insulation Perlite insulation board generic Dens Deck, Dens Deck Prime, Water resistant gypsum board G -P Gypsum Corp Dens Deck Dura GuardTM Structodek Wood fiber insulation board Knight Celotex SecurockTM Fiber reinforced roof board USO Corporation NOA No.: 07- 1219.09 Expiration Date: 11/04/13 C MIAiMI EcouNTr Approval Date: 03)20/08 OV Page 6 of 19 AP PRQVED FASTENERS: TABLE 3 Fastener Product Product Manufacturer Number Name Description Dimensions (With Current UX4 •• �, 1. Drill -TecTM #12 Standard, Insulation fastener and Various GAF- Afterials.Eotp. '. # 14 and # 15 extra Heavy Base Play fastener for • •.• ; • • " ' ' •' • Duty Fastener, Heavy steel, wood & concrete " "" • Duty Roofing Fastener decks. e • o • • . r •..• •t1• ••••• s • 2. Drill -TecTM ASAP Pre - assembled Drill- Various GA';Mltierialsr of : ��••• TecTM Fasteners and • • *0 00:0 metal and plastic plates. • • 3. Drill -TecTM #12 or # 14 Base sheet fastening Various GA.F Materials rorp • : Standard screws with assembly. • AccuTrac Plate 0000 4. Drill -TecTM Galvalume Round Galvalume stress 3" and 3 ' /z" GAF Materials Corp. Plates plates. 5. Drill -TecTM Round polypropylene 3" and 3 %2" GAF Materials Corp. Polypropylene Plates stress plates. 6. Drill -TecTM AccuTrac Square Galvalume 3" Square GAF Materials Corp. Plate coated steel plate. EVIDENCE SUBMITTED: Test Affencv Test Identifier Description Date Factory Mutual Research Corp. J.I.2B8A4.AM 4470 07.02.97 J.I.3B9Q1:AM 4470 01.08.98 J.I.ODOA8.AM 4470 07.09.99 1.1. OD i A&AM 4470 - TAS 114 07.2994 J.I.OY9Q5.AM 4470 - TAS 114 04.01.98 3029832 4470 - TAS 114 05.11.07 PRI Asphalt Technologies, Inc. GAF - 012 -02 -02 Physical Properties 11. 06.01 GAF - 020 -02 -01 ASTM D 4977 02.01.02 IRT of S. Fl. 02 -005 TAS 114 01.18.02 02 -014 TAS 114 03.22.02 NOA No.: 07- 1219.09 MWMbDA ® Expiration Date: 11/04/13 LINTY pp A royal Date: 03120/08 Page 7 of 19 APPROVED ASSEMBLIES Deck Type 1I: Wood, Insulated Deck Description: 19/32" or greater plywood or wood plank System Type A: Anchor sheet mechanically fastened, all layers of insulation adhered with approved asphalt. All General and System Limitations shall apply. One or more layers of any of the following insulations. . Insulation Layer (Table 2) Insulation Fasteners Fastener ' (When applicable: Steel plate only =S, plastic plate only (Table 3) Density /fe =P). EnergyGuardTM, EnergyGuardTM Composite, EverGuard RA, EnergyGuardTM RA Composite Minimum 1" thick N /A' N/A EnergyGuardTM High Density Wood Fiber, EnergyGuardTM Recover Board, Wood Fiber, Minimum %x" thick N/A N/A EnergyGuardTM Perlite Minimum 3 /4" thick N/A NIA Fiberglas (Min. 15 / 16 " thick) N/A N/A Note: All insulation shall be adhered to the anchor sheet in full mopping of approved hot aspi;K • ...... within the EVT range and at a rate of 20 -40 lbs /100 fi Please refer to Roofing Applicktion .. • • • Standard RAS 117 for insulation attachment. Insulation listed as base layer only shamobe usu.onliy 0 0.0:0 as base layers with a second layer of approved top layer insulation installed as timfilai memtbrame • 0000.. substrate. Composite insulation panels may be used as a top layer placed with the "'. . • `• • • polyisocyanurate side facing down. GAF requires either a ply of GAFGLAS STMAIAVEN) O " ".". EliminatorTM Perforated laid dry or a layer of EnergyGuardTM Perlite or wood 44 ;C pverlay 6 9 W • • 0000.. on all isocyanurate applications. • Fire Barrier: FireOutTM Fire Barrier Coating, VersaShield ® Nan - Asphaltic tibergtass -B } % 0 •' (optional) Underlayment or SecurockTm. • • • • • • .. 0000 Anchor sheet: GAFGLAS #80 ULTIMATM Base Sheet, STRATAVENT* EliminatorTM • "� Nailable, RUBEROID Modified Base Sheet, RUBEROID` 20, RUBEROID Heat- WeldTM Smooth or RUBEROID Heat- WeldTM 25 base sheet mechanically fastened as described below; Fastening Options: GAFGLAS Ply 4, GAFGLAS Flex PlyTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure —45 psf, See General Limitation #7) NOA No.: 07- 1219.09 Expiration Date: 11 /04/13 ...; , Hn Approval Date: 03/20/08 Page 8 of 19 Fastening Options: GAFGLAS Ply 4, GAFGLAS Flex P1yTM 6, GAFGLAS 475 Base Sheet or any of above Anchor sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill - TecTM steel plate or Drill -TecTM AccuTrac Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure —4S psf, See General Limitation #7) GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with approved annular ring shank nails and tin caps at a. fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure —52. S psf, See General Limitation #7) GAFGLAS #80ULTIMATM, RUBEROID ® 20, RUBEROID Smooth, base sheet attached to deck with approved 1' /a" annular ring shank nails and inverted 3" steel plate at a fastener spacing of 9" o.c. at the 4" lap and in two rows staggered with a fastener spacing of 9" o.c. in the center of the membrane. (Maximum Design Pressure —60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates, 12" o.c. in 4 rows. Ono row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —60 psf, See General Limitation #7) Any of above Anchor sheets attached to deck approved annular ring shank. nails and 3" inverted Drill -TecTM insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. •. • • (Maximum Design Pressure —60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Anchor sheets aV40g1}�c to deei�411i se Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -Tec':: steel plate or . Drill -TecTM AccuTrac Plates, 8' o.c. in 4 rows. One row is in tl 2" side lap,.. The other rows are equally spaced approximately 9" o.c. in th;4Md of the 4wft.' • • • • • (Maximum Design Pressure —75 psf, See General Limitation 10 • ; . • :9: • • • • • 00 0 Base Sheet: (Optional) Install one ply of GAFGLAS #75, GAFGLAS #$9 44 MATM • • Base Sheet, GAFGLAS STRATAVEN 4 EliminatorTM Perfbrated, ,...,. • • • • • • RUBEROID Modified Base Sheet, RUBEROID Mop Smoakh, R :....: 20 RUBEROID Heat- We1dTM Smooth or RUBEROID Heat -WeOm dir4N • over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq; (see General Limitation #4). Ply Sheet: One or more plies GAFGLAS PLY 4, GAFGLAS Flex Plym 6 sheet, #80 Ultima, RUBEROID Mop Smooth or RUBEROID 20 adhered - in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs./sq. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Miahtl�noe eouN rir Approval Date: 03/20/08 Page 9 of 19 Cap Sheet: (Optional) One ply of GAFGLAS Mineral Surfaced Cap Sheet or GAFGLAS EnergyCapm Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. Surfacing: (Optional, required if RUBEROID MOP Smooth or RUBEROW 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lbs. /sq. and 300 lbs. /sq. respectively in a flood coat of approved asphalt at 60 lbs. /sq. or applied in a flood coat of Leak BusterTM MatrixTM 103 Cold Process Adhesive applied at a rate of 3 gal. /sq. 2. GAFGLAS Mineral Surfaced Cap Sheet, GAFGLAS Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. 3. Leak BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal. /sq. 4. Leak BusterTM MatrixTM 715, Leak BusterTM MatrixTM 322, TOPCOAT MB +, TOPCOAT Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 gal. /sq. 5. Leak BusterTM MatrixTM 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote® roof coating applied at I to 1.5 gal. /sq. 6. TOPCOAT Surface Seal, TOPCOAT Fireshield SB Solvent based Elastomeric Roofing Membrane applied at Ito 1.5 gal. /sq 7. Advance Green Technologies Photovoltaic Laminate solar ener collector auxiliary roof equipment installed in. con1plianca .1vit r • • • • • • manufacturer's specifications and applicable Buildtag Cakes. • • • • • . Maximum Design ...... • • • 0066:9 Pressure: See Fastening above. 600:00 • .....• 0000 0060 • 6 9 • 0000 0000 6900 f, 06.09• • 969 09600 96 00 00 0 096000 • •9•••9 • 9 0000•• • • • 0000 •• *000 • • 0900 NOA No.: 07- 1219.09 Expiration Date: 11/04/13 MiAM6AA ovNnr. Approval Date: 03/20/08 Page 10 of 19 `Deck Type 1I: Wood, Insulated Deck Description: 19/32" or greater plywood or wood plank System Type B: Optional base sheet laid dry; base layer of insulation mechanically fastened, optional top layer adhered with approved asphalt. All General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation for Base Layer (Table 2) Insulation Fasteners Fastener When applicable: Steel plate only =S, plastic plate only =P (Table 3) Density /fe EnergyGuardTM, EnergyGuardTM RA Minimum 1.3" thick 1, 2, or 3 1:3 ft EnergyGuardTM RN Minimum 1.4" thick 1, 2, or 3 1:3 ft EnergyGuardTM Composite, EnergyGuardTM RA Composite Minimum 1.5 thick 3 1:3 ft EnergyGuardTM Perlite Minimum %" thick 1 S(3.5 "), or 3 1:2 11 EnergyGuardTM Fiberboard, EnergyGuardTM High Density Fiberboard Minimum 1" thick 1, 2, or 3 1:4 ft Note: Base layer shall be mechanically attached with fasteners and density described. Insulation panels listed are minimum sizes and dimensions; if larger panels are used the number of fasteadON. per board shall be increased maintaining the same fastener density (See Roofing JL�jl�ioation Standard RAS 117 for fastening details). GAF requires either a ply of GAFGLA5 • 0000. STRATAVENTO EliminatorTM perforated laid dry or a layer of EnergyGuardTM.o%Und fiber . . 0000.. overlay board on all isocyanurate applications. 0000 • • • • • 0... 0000 0.000 Insulation for Top Layer (Table 2) Insulation Fastened.... Fastepe f. . 00000 • When applicable: Steel plate only =S, plastic plate only =P (Table 3) ..' Dens1Wt 9 9 0 9 . 9 Any of the insulations listed for Base Layer, above. N/A • • • • • • N/A . 0000.. EnergyGuardTM High Density Wood Fiber, EnergyGuardTM High Density Wood Fiberboard, 0... 9 0000.. EnergyGuardTM Recover Board • • . • 000* • Minimum %z" thick N/A d1A• • • Note: Optional top layer of insulation shall be adhered with approved asphalt within the EVT range and at a rate of 20 -40 lbs /100 W. Please refer to Roofing Application Standard RAS 117 for insulation attachment. Composite insulation boards used as a top layer shall be installed with the polyisocyanurate face down. Fire Barrier: FireOutTM Fire Barrier Coating, VersaShieleNon- Asphaltic Fiberglass -Based (optional) Underlayment or SecurockTm. NOA No.: 07- 1219.09 OM MIA a DA a E C uN7v Expiration Date: 11/04/13 Approval Date: 03120/08 Page 11 of 19 Base Sheet: (Optional) Install one ply of GAFGLAS® #75, GAFGLAS #80 ULTIMA Base Sheet, GAFGLAS® PLY 4, GAFGLAS Flex P1yrm 6, GAFGLAS STRATAVENr Eliminator Perforated(laid dry), RUBEROID Modified Base Sheet, RUBEROID Mop Smooth or RUBEROID 20 directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq; (see General Limitation #4). Ply Sheet: Two or more plies of GAFGLAS PLY 4, GAFGLAS F1exPly' 6 ply sheet, #80 Ultima, RUBEROID Mop Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. (See specification number for appropriate number of plies). Cap Sheet: (Optional) One ply of GAFGLAS® Mineral Surfaced Cap Sheet or GAFGLAS EnergyCapTM Mineral Surfaced Cap Sheet adhered in a full . mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. (See GAF application instructions for approved method of installation). Surfacing: (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lbs./sq. and 300 lbs. /sq. respectively in a flood coat of approved asphalt at 60 lbs. /sq. or applied in a flood coat of Leak BusterTM MatrixTM 103 Cold Process Adhesive applied at a rate of 3 gal. /sq. 2. GAFGLAS Mineral Surfaced Cap Sheet, GAFGLAS Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq . • 3. Leak BusterTM MatrixTM 303 Premium Fibered AluipinVn;Roof ..... • • • • • • Coating, at 1.5 gal. /sq. • • ; • ; • • ...... .. . ...... 4. Leak BusterTM MatrixTM 715 , Leak BusterTM MatrixTM'. TOPCOAT MB +, TOPCOAT Fireshield Elastomerio-Roofing .... Membrane, applied at 1 to 1.5 gal. /sq. • • • • • • • • • • • • • ...... . ... ..... 5. Leak BusterTM MatrixTM 602 MB Xtra Elastomeric Ijgd jgg Memr "Ae,. **so: EnergyCote® roof coating applied at 1 to 1.5 gal. /sq...... . 6. TOPCOAT Surface Seal, TOPCOAT Fireshiele SB Sol'vent Nwed:. Elastomeric Roofing Membrane applied at Ito 1.5 galip • ...... 7. Advance Green Technologies Photovoltaic Laminate solar O wmiy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building-Codes. Maximum Design Pressure: -45 psf; (See General Limitation #7) NOA No.: 07- 1219.09 Expiration Date: 11104113 AP PROVED Ecou�urr Approval Date: 03/20/08 Page 12 of 19 Deck Type 1I: Wood, Insulated Deck Description: 19/32" or greater plywood or wood plank System Type C: One or more layers of insulation simultaneously attached; Base layer optional. All General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation for Base Layer (Table 2) Insulation Fasteners Fastener. (When applicable: Steel plate only =S, platic plate only =P) (Table 3) Density /fe EnergyGuardTM RN, EnergyGuardTM, EnergyGuardTM RA Minimum 1.3" thick N/A N/A EnergyGuardTM Min. 1.4" thick N/A N/A EnergyGuardTM Composite, EnergyGuardTM RA Composite Minimum 1.5" thick N/A N/A EnergyGuardTM Perlite Minimum %" thick N/A N/A Wood Fiber, EnergyGuardTM Fiberboard, EnergyGuardTM High Density Fiberboard Minimum I" thick N/A N/A Note: All layers shall be simultaneously fastened; see top layer below for fasteners and densit Insulation panels listed are minimum sizes and dimensions; if larger panels are, use #, the *r • of fasteners shall be increased maintaining the same fastener density. Pleasb.rdf4 to Roofing Application Standard RAS 117 ' for insulation attachment. GAF requires• •ekhor a • ply of ....:. GAFGLAS STRATAVENTO EIiminatorTM perforated laid dry or a layer e!linergyGuarilTM Perlite or wood fiber overlay board on all isocyanurate applications. . see* 4, **of 0 • Insulation for Top Layer (Table 2) Insulation Fastened • •; Faslentr • • • • • • When applicable: Steel plate only =S, plastic plate only =P (Table 3) • • • • Dens" ft; .... • • EnergyGuard, EnergyGuard RA • • • • • • • Minimum 1.3" thick 1, 2, or 3 1 •�ft� , EnergyGuardTM RN • • . • • • • • • Minimum 1.4" thick 1, 2, or 3 1 :3 ft EnergyGuardTM Composite, EnergyGuardTM RA Composite Minimum 1.5 thick 3 1:3 ft EnergyGuardTM Perlite Minimum %" thick 1 S(3.5 "), or 3 1:2 ft Fiberglas Minimum 15 /16" thick 1, 2, or 3 1:2.67 ft Wood Fiber, EnergyGuardTM Fiberboard, EnergyGuardTM High Density Fiberboard Minimum 1" thick 1, 2, or 3 . 1:4 ft NOA No.: 07- 1219.09 Expiration Date: 11/04/13 CIAMMAK) IWO CO NTY Approval Date: 03/20/08 Page 13 of 19 Note: Insulation panels listed are minimum sizes and dimensions; if larger panels are used, the number of fasteners shall be increased maintaining the same fastener density. Please refer to Roofing Application Standard RAS 117 for insulation attachment. GAF requires either a ply of GAFGLAS STRATAVENT® Eliminator'' Perforated laid dry or a layer of EnergyGuardTM Perlite or wood fiber overlay board on all isocyanurate applications. Fire Barrier: FireOutT'a Fire Barrier Coating, VersaShieleNon- Asphaltic Fiberglass -Based (optional) Underlayment or SecurockTM. Base Sheet: (Optional) Install one ply of GAFGLAS #75, GAFGLAS #80 ULTIMA Base Sheet, GAFGLAS PLY 4, GAFGLAS F1exPly"" 6, GAFGLAS STRATAVENT Eliminatofrm Perforated (laid dry), RUBEROID Modified Base Sheet, RUBEROID Mop Smooth or RUBEROID® 20 directly over the top layer of insulation. Adhere with any approved mopping asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq.. If base sheet is applied-directly to polyisocyanurate insulation only a spot or strip mopped application as detailed in this approval the use of an overlay board is approved; see General Limitation #4. Ply Sheet: Two or more plies of GAFGLAS PLY 4, GAFGLAS FlexPly 6 ply sheet, #80 ULTIMA , RUBEROID Mop Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. Cap Sheet: (Optional) One ply of GAFGLAS Mineral Surfaced Cap Sheet or GAFGLAS EnergyCapTM Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. Surfacing: (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: • • • • 1. Gravel or slag applied at 400 lbsJsq. and 300 lbs. /sq. reppfctiveryima • • • • • • flood coat of approved asphalt at 60 lbs. /sq. or applieWn a flood. eogr; •, of Leak BusterTM MatrixTM 103 Cold Process Adhe§ivea**' *lied af'd ' • "" 0000 rate of 3 gal. /sq. • • • • • • 0000 2. GAFGLAS Mineral Surfaced Cap Sheet, GAFGLA04n &p• • • • • • • Mineral Surfaced Capsheet adhered in a full moppiflg Vf*provgd V: • • • • • asphalt applied within the EVT range and at a rate M26 lbs. /sq* 0000.. 3. Leak BusterTM MatrixTM 303 Premium Fibered Alaminurn Roof • • • • : • 0000.. Coating, at 1.5 gal. /sq. • 4. Leak BusterTM MatrixTM 715, Leak BusterTM MatrixTM . 322, • • •, • • TOPCOAT MB +, TOPCOAT Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 gal. /sq. 5. Leak BusterTM MatrixTM 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote® roof coating applied at 1 to 1.5 gal. /sq. 6. TOPCOAT Surface Seal, TOPCOAT Fireshiele SB Solvent based Elastomeric Roofing Membrane applied at Ito 1.S /sq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building Codes. Maximum Design Pressure: -45 psf; (See General Limitation #7) NOA No.: 07- 1219.09 a M1AM 1-.-g,1 DPuNTY Expiration Date: 11/04/13 ,APPROVED Approval Date: 03/20108 Page 14 of 19 Deck Type 1I: Wood, Insulated Deck Description: 19 It or greater plywood. or wood plank System Type D: Insulation and Base sheet simultaneously All General and System Limitations shall apply. One or more layers of any of the following insulations. Insulation Layer loosely laid with firmly butted joints. Insulation Fasteners Fastener (Table 3) Density/A EnergyGuardTM, EnergyGuardTM RA, Minimum 1.3" thick N/A N/A EnergyGuardTM High Density Fiberboard, EnergyGuardTM Fiberboard Minimum 1" thick N/A N/A Fire Barrier: FireOutTM Fire Barrier Coating, VersaShield Asphaltic Fiberglass -Based (optional) Underlayment or SecurockTM. Base Sheet: Install one ply of GAFGLAS® #75, GAFGLAS #80 Ultima ULTIMA' Base Sheet, GAFGLAS® STRATAVENT® EliminatorTM Nailable or RUBEROIDO 20 base sheet applied over the loose laid insulation with 2" side laps mechanically fastened as described below; Fastening Options: Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates are installed through the base sheet and insulation in 3 rows 12" o.c. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. 0000 (Maximum Design Pressure —45 psf, See General Limitation #71 0 0000 0 000000 0 Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TeG;; j gVl plaftgf 00 0 0 ; 0 Drill -TecTM AccuTrac Plates are installed through the base she-641 insulation in 0 4 rows 8" o.c. One row is in the 2" side lap. The other 3 rows are epually0speceo 900 approximately 9" o.c. in the field of the sheet. 0 . 00 00.0 0.0.0 (Maximum Design Pressure —75 psf, See General Limitation %J 00000 .. .. - .. . 0.0000 GAFGLAS #80ULTIMATM, RUBEROID RUBEROIDIMWFmooth, bike sheet attached to deck with approved annular ring shank nails with irminirava L 0.00.0 embedment of V into the wood substrate and inverted 3" steed plate at a fastener :0000: spacing of 9" o.c. at the 4" lap and in two rows staggered with a fastener sp A * 0 0 of 9" o.c. in the center of the membrane. (Maximum Design Pressure —60 psf, See General Limitation #7) Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates in 4 rows 12" o.c. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —60 psf, See General Limitation #7) Ply Sheet: One or more plies GAFGLAS PLY 4, GAFGLAS®, GAFGLAS FlexPlyTM 6 sheet, #80 Ultima or RUBEROID 20adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. NOA No.: 07- 1219.09 MIAMI•DADE COUNTY Expiration Date: 11/04/13 . Approval Date: 03/20/08 Page 15 of 19 Cap Sheet: (Optional) One ply of GAFGLAS Mineral Surfaced Cap Sheet or GAFGLAS' EnergyCapTM Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 2040 lbs. /sq. Surfacing: (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lbs. /sq. and 300 lbs. /sq. respectively in a flood coat of approved asphalt at 60 lbs. /sq. or applied in a flood coat of Leak BusterTM MatrixTM 103 Cold Process Adhesive applied at a rate of 3 gal. /sq. 2. GAFGLAS Mineral Surfaced Cap Sheet, GAFGLAS Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbsJsq. 3. Leak MatrixTM 303 Premium Fibered Aluminum Roof Coating, a t 1.5 gal. /sq. G o e s 4. Leak BusterTM MatrixTM 715, Leak BusterTM Mate ix rK • 322, • • • • • • • • • ; • TOPCOAT MB +, TOPCOAT ElastornCric Roofrr3g Membrane, applied at 1 to 1.5 gal. /sq. "' :" 000000 000000 0 . . 5. Leak BusterTM MatrixTM 602 MB Xtra Elastomeric- Roofing .... : * • • • : Membrane, EnergyCote® roof coating applied at N •k4 gal. /sq • • • • ; • • • 0000 . 6. TOPCOAT Surface Seal, TOPCOAT ® Fireshielc.;3$ * 9olvent • �. . 0000 based Elastomeric Roofing Membrane applied at Lto.1.5,gal./sq 7. Advance Green Technologies Photovoltaic Lan inate 'solar eaesiy • collector auxiliary roof equipment installed it; compliance .yvj jh ; • • • •; manufacturer's specifications and applicable Building Codes. • 0000 • Maximum Design Pressure: See Fastening Above NOA No.: 07- 1219.09 MCA !•r)A LINTY Expiration Date: 11/04/13 • • • Approval Date: 03/20/08 Page 16 of 19 Deck Type 1: Wood, Non - insulated Deck Description: 19 / 32 " or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. All General and System Limitations shall apply. Fire Barrier: FireOutTM Fire Barrier Coating, VersaShield ® Non - Asphaltic Fiberglass -Based (optional) Underlayment or SecurockTm. Base sheet: GAFGLAS #80 ULTIMATM Base Sheet, STRATAVENTO Eliminatofrm Nailable, RUBEROID Modified Base Sheet, RUBEROID 20, RUBEROID Heat- WeldTM Smooth or RUBEROID Heat- WeldTM 25 base sheet mechanically fastened to deck as described below; Fastening Options:. GAFGLAS Ply 4, GAFGLAS Flex P1yTM 6, GAFGLAS #75 Base Shedfdr . any of above Base sheets attached to deck with approved annular ring. sha.9 • nails and tin caps at a fastener spacing of 9" o.c. at the lap st#gg l and 14 $*CC • • • • ; rows I2" o.c. in the field. (Maximum Design Pressure —45 psf, See General Limitation X9 • • • • • .... .... ..... GAFGLAS® Ply 4, GAFGLAS Flex PlyTM 6, GAFGLAS Sheet or: • • • • • any of above Base sheets attached to deck with Drill -TecTM *6- standard, *f 4 - • • • • ; • or # 15 Screws and 3" Drill -TecTM steel plate or Drill -Tee ;AegTrrac Platel, 12 o.c. in 3 rows. One row is in the 2" side lap. The other rows are equaily •. spaced approximately 12" o.c. in the field of the sheet. • • • • • • •• • .... (Maximum Design Pressure —4S psf, See General Limitation #7) ' GAFGLAS' Flex PlyTM 6, GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure —52.5 psf, See General Limitation #7) GAFGLAS` 480ULTIMATM, RUBEROID RUBEROID Smooth, base sheet attached to deck with approved 1 annular ring shank nails and inverted 3" steel plate at a fastener spacing of 9" o.c. at the 4" lap and in two rows staggered with a fastener spacing of 9" o.c. in the center of the membrane. (Maximum Design Pressure —60 psf, See General Limitation #7) GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —60 psf, See General Limitation #7) Any of above Base sheets attached to deck approved annular ring shank nails and:3" inverted Drill -TecTM insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure —60 psf, See General Limitation #7) NOA No.: 07- 1219.09 C IRMIAMI.� 'W- CO U NTY Expfration Date: 11/04/13 U 4P ... Approval Date: 03/20/08 Page 17 of 19 GAFGLAS #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —75 psf, See General Limitation #7) Ply Sheet: One or more plies of GAFGLAS PLY 4, #80 ULTIMA, RUBEROID MOP Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. Cap Sheet: (Optional) One ply of GAFGLAS Mineral Surfaced Cap Sheet or GAFGLAS EnergyCapTM Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 401bs. /sq. Surfacing: (Optional, required if RUBEROID MOP Smooth or RUBEROID 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lbs. /sq. and 300 Ib.;Jsg!rpspectifaly'in • • • `; • a flood coat of approved asphalt at 60 lbs. /sq. or . IIgpli6d in a .. . . ...... coat of Leak BusterTM MatrixTM 103 Cold Proces AcI iesive applied at a rate of 3 gal. /sq. • .... .... . . 2. GAFGLAS Mineral Surfaced Cap Sheet, GAFbL'AS" Energy 0t; Mineral Surfaced Capsheet adhered in a full moiiSd bf appro vid asphalt applied within the EVT range and at a rate a 20 -40 lbs. /§q. ' 3. Leak BusterTM MatrixTM 303 Premium Fiberede*Aluminum �QQ : • • • • • Coating,.at 1.5 gal. /sq. • 4. Leak BusterTM MatrixTM 715, Leak BusterTM MatrixTM 322;....' TOPCOAT' MB +, TOPCOAT Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 gal. /sq. 5. Leak BusterTM MatrixTM 602 MB Xtra Elastomeric Roofing Membrane, EnergyCote® roof coating applied at 1 to 1.5 gal. /sq. 6. TOPCOAT Surface Seal, TOPCOAT Fireshield" SB Solvent based Elastomeric Roofing Membrane applied at Ito 1.5 gal. /sq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building Codes. Maximum Design Pressure: See Fastening Above NOA No.: 07- 1219.09 MIAMI COUNTY Expiration Date: 11/04/13 ... , Approval Date: 03/20/08 Page 18 of 19 WOOD DECK SYSTEM LIMITATIONS: I A slip sheet is required with Ply 4 and Flex P1yTM 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum ' / a" Dens DeckTm or ' /z" Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: I . Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approve.6 espbalt, panel size shall be 4'x 4' maximum. • • •' " "" 4. An overlay and/or recovery board insulation panel is required on all applications deer Nosed eel: ream • • . .... .. ...... insulations when the base sheet is fully mopped. If no recovery board is used the lase sheet shall be • ` +.... applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c; mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet%1lowi3ig a contirxious area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be;plse ed every ;lq in • • • • • each ribbon to allow cross ventilation. Asphalt application of either system shall beeatwminimuMratb of "•';' 12 lbs. /sq. Note: Spot attached systems shall be limited to a maximum design;#f4iLre of -45' sf. • • 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force 'A) valt6af m • ibf., as tested in compliance with Testing Application Standard TAS 105. If the fastgiaer Jalue, a4 ,f Wd- ; • • • •; tested, are below 275 lbf. insulation attachment shall not be acceptable. ****s 6. Fastener spacing for mechanical attachment of anchor/base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and/or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (i.e. field, perimeters, and corners). Neither rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10.. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 913-72 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 07- 1219.09 Expiration Date: 11/04/13 hr' ECnuwn Approval Date: 03/20/08 Page 19 of 19 "'N mg Ae1* Afo. RC-7-0 9 . - �.:: artes Miami Shores Village ��iaitt� �l'ilcihon g 10050 N.E. 2nd Avenue y s � tt Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 LORQ�' y� Expiration: 04/261201 Project A ddress Par cel Number Applicant 32 93 Street 1131010170060 RICHARD CRISWELL Miami Shores, FL 33150 Block: Lot: Own Informatio Address Phone Cell RICHARD CRISWELL 32 93 Street (305)448 -2764 f MIAMI SHORES FL 33150 Contractor(s) Phone Cell Phone Valuation: $ 2 0,000.00 OCTAGON CONSTRUCTION CORP Total Sq Feet: 134 Approved: Yes For Inspections please call: Comments: (305)762 -4949 Date Approved: 7/27/2009: Yes Available Inspections: Date Denied: Inspection Type: Type of Construction: ADDITION Occupancy: Single Family Final PE Certification Stories: 1 Exterior: Drywall — j Front Setback: Rear Setback: 25 Miscellaneous Left Setback: 13 Right Setback: 10 Window Door Attachment Bedrooms: 2 Bathrooms: 2 Tie Beam Plans Submitted: Yes Certificate Status: Final Certificate Date: Additional Info: Framing Bond Return : Classification: Residential Insulation Truss Insp Fees Due Amount Invoice # Total Amt Paid Amt Due Columns Bond Type - Contractors Bond $300.00 Window and Door Buck CCF $12.00 RC -7 -09 -35494 $ 1,226.34 $ 976.34 A, Fill Cells Columns CO/CC Fee $150.00 RC -7 -09 -35494 $ 1,226.34 $ 1,226.34 $ 0.00 Wire Lathe DBPR Surcharge $0.67 Check #: 1324 Bond #: 1898 Foundation Education Surcharge $4.00 F. Termite Letter Permit Fee - Additions /Alterations $600.00 F. Elevation Certificate Plan Review Fee (Engineer) $60.00 Plan Review Fee (Engineer) $60.00 Radon Surcharge $0.67 Scanning Fee $24.00 Submittal Fee $250.00 Submittal Reversal Fee ($250.00) Technology Fee $15.00 Total: $1,226.34 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. October 27, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy October 27, 2009 1 04MI69 Miami Shores Village Building D JUL ?_ 7 2009 g p r 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No.! PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) k6hflA hone # Jos '' � Z7 Owner's Address Z 1/ id g - ut . City .ills -il D' State f z Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 3 2 ^�' � City 44 Miami Shores Village County Miami -Dade 33ITo Zip FOLIO / PAR Is Building Historically Designated YES NO Contractor's Company Nam �_ p' :.. Contr c is dress - l City. State Zip _ Qualifier Name Phone # 2 State Certificate or Registration No. ' e l5/ ertificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Zor '4 Value of Work For this Permit$ ` Square / Linear Footage Of Work: 3 31. 2 — Type of Work: VAddition ❑Alteration QNew ❑ Repair/Repl ❑ Demolition Describe Work: -D t TY7�D /� C GUS -7 JUL 2 7 PAit� s�i :x�x ; G� Submittal Fee $ R ' Permit Fee $ CCF $ I9'OQ C CC /s40 Notary $ Training/Education Fee $ ' Technology Fee $ "'t V' Scanning $ 4' v Radon $ "0 DPBR $ 049 Zoning $ Bond $ 0 Code Enforcement $ Double Fee $ Structural Review.$, L V efo of Total Fee Now Due $ l("o cJ`1 See Reverse side 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. 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. n Signature Signature Owner or Agent Con tr for The foregoing instrument was ackQowledged before me this The fo i g ' stru nt was ackno dged before me thi day of , 20 , by W �L day of , 20, by U identification and who did take oath. ' identification and who did take an oath. NOT R UBLIC: o�~��o1a T Y PUBLIC; , Sign: ' P �' Sign: �� 1 Print: c ' � Print: •'b ` ��cA 4p My Commission Expires: My Commission Expires: '4 w•,,4Gp<D; c�° APPLICATION APPROVED BY &/6� Zb,��S kZf Plans Examiner Engineer 2/_02 Z Zoning (Revised 07110107) VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: �G�j � r12 / sl�t��� DATE:c� ADDRESS: �z Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, KS 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with- holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. I . I hold title to the above property and I am planning on doing this construction Myself. Initial 2. 1 understand that as an owner- builder I must abide by all zonin=g ordinances and building regulations in effect at the time of permit application. Inactive permits for a period of over 180 days will become null and void (expired) and a new permit will be required. to be issued for reinstatement of the permit. Initial �-- 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code - only if the structure meets the minimum code. Initial 5. I understand that as an owner- builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Initial 4 6. I understand that if I compensate any person or company for work performed they are requited to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company or person. Initial JL1 7. I understand that ifany person .gets injured on_my construction project they are entitled to workmen's compensation. And if they db not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial 8. 1 understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtaining the proper permits by licensed contractors. Initial ' Was acknowledged before me this M day of ' 20 By Y� CJ who was personally known to me or who has Produced there License or (Ro as identification. r O R NOTARY� p. x "• ,PAP• " .�hr"' w This In enl Prepar By rrir Name '"' Address / $' rrnw /pr /'�rtf 6 � wow Permit No. Tax Folio No. r� NOTICE OF COMMENCEMENT ■� STATE OF COUNTY OF� i z THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with hapler 713, Florida Statutes, the following information is provided in this Notice of Commencement. ~. <C �. Ca i•3 1. Description of property: (legal description of property, and street address if available) —� 2. General description of improvement: �:.. 4 Db1 - ti`M M #t726rQ -4 7/t #7 - 14WO of c �> "" 3. Owner information .��f� Q r` •• a. Name and address: r � tai C c i 14 b. Interest in property: OW fbe�#2_ C{ c. Name and address of fee simple titleholder (if other than owner): co c,, Contractor: = �' '? i n j a. Name and address: �}�� Q� C�� �r"� c w c �--v 0:1 C^d ..1 3� i rt b. Phone number: f 01 C-4 5. Surety 10 It r a. Name and address: r ` TM+ d , b. Amount of bond $ W ¢ c. Phone number: [`t ; c tai O `^ { 6. Lender a. Name and address: b. Phone number: ar4 _j Of 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: a. Name and address: b. Phone number: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.130)(b), Florida Statutes: ► ` a. Name and address: 1 � b. Phone number. 9. Expiration date of notice of commencement (the expiration date Is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR tN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. T Signature of Owne or Owner's Authorized Officer /Direct Partner /Manager Signatory's Title /Office The forego tng instr Rtenl was ac nowledged before me this tfay of (Year) by al/vi L ti (/ f�Cf (name of person) as (type of author ...e.g. officer, trustee, attorney in fact) for _(name ('party on behalf ofild instrument was executed). 0 = a i�j Signature of Notary Public — State of Ida �oe+ Print, Type, or Stamp Commissioned me f otary P tic co v. Commission Number � IF or Produced tden Personally Known S '. 19 , _ lification � ZQ� 'fication Pursuant to Section 92.625 F orida Statutes Under penalties of per(ury, I declare that I have read the foreg g and that the facts stated in fflue to the est' of my knowledge and belief. Signature of Natural Person SI nfn A o e 9 9 t` ♦5N C.1 D� Eggs um� a m Shores Village Building Department �L�R'�pp► 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: cq-)OS DATE: 1 0k ❑ Contractor Owner ❑ Architect t _'rl �91mYY'Q.1(l . Aje other) Address: 3 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 CLERK INITIAL: RESUBMITTED DATE: 10 1 PERMIT CLERK INITIAL: y �� a Zon'ng Crfter'a r Miami Shores Village Permit NO. C-7-09-12,55 10050 N.E. 2nd Avenue .... ............ ..... . . ..... ........ ........ . ...... . ............... . .. . ..... . - -- - ....... ....... ............... - --------- Rot ............. ­­­ ............. ...... .. ... .......... ..... - ................ ........ . ........ ... ................. .. .... .. .. ........... .. . ........... ............................. ................... Miami Shores, FL 33138-0000 ....................... ............................................... ............... .. .... ................. ............... ..... .. .... or dRI.Q. .. ..... ---- --- ... ..... era tow..... ...... .... _W A f. ........... ................ ........ ............ .. - : X � X . X ...... ............ ­­....._.- ...... ............. . ..... . ­ ...... . .... .... ­­ ..... ... .. . .... ......... ...................... .......... ....... Phone: (305)795-2204 Fax: (305)756-8972 .................. ................ _ ­__ Ak ......... ... .... ...... ......... .. .............. I ssue . sue . Date: Not .. Iss ue d . . . . ... Expires Not Issued ............ .. .. ..... ... .............................. ............. ................................ Folio Number) 131010170060 ............ .. . ...... . .. Owner's Name: RICHARD CRISWELL Owner's Phone: (305)448-2764 Job Address: 32 93 Street Total Square Feet: 134 Miami Shores, FL 33150 - Total Job Valuation: $20,000.00 .. . ....................................................... ........................... ............. ............. ................................. .......................................... ............. ....... . ........... ...... Contractor(s) Phone Primary Contractor HOME OWNER Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 7/27/2009: Yes Comments: Miami Shares Village g . B u i l d i n g Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No, / 2 Job Name 4; t $zv_c I Date 7 Z. STRUCTURAL CRITIQUE SHEET S v1 V Zi 1 - 74-"aV dLD� S�iv -wir fZ�C ruh n s 4F_x'4 5 19 X PER MIT# CONTRACTOR: SUBMITTAL DATE: ,, l ADDRESS: 3� 1 �1 NAME: t RESUBMITAL DATES: PROJECT TYPE: C TTl a M? ZONING FIRE Rei. oK -M m/I V/0 IMPACT FEES STRUCTURAL ELECTRICAL HRS /DERM IIY_, I��1 PLUMBING NOC MECHANICAL BLDG a STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 •��� TALLAHASSEE STREET FFLL 32399 -0783 ORTIZ, FRANCISCO M OCTAGON CONSTRIICTION CORP 1551 NE 158 ST NORTH MIAMI BEACH FL 33162 AC# STATE, OF FLORIDA, DEPARTMENT OF'HUSINESS=AND PROFESSIONAL' REGULATION .- -CONSTRUCTION. - INDUSTRY_= LICENSING = BOARD'. SEQ# L09082501770 • - LICENSE NBR 08/25/2009 097008115 3350936` The BUSINESS ORGANIZATION Named below IS QUALIFIED - Under the provisions of - Chapter 489 FS. Expiration date: AUG 31, 2011 .(THIS IS NOT A LICENSE TO:PERFORM WORK. THIS ALLOWS,-:_THE,_ COMPANY TO DO BUSINESS ONLY IF. IT HAS A QUALIFIER ) OCTAGON CONSTRUCTION CORP 1551 N.E. 158TH ST. NORTH MIAMI BEACH FL 33162 CHARLIE CRIST GOVERNOR ..CHARLES W. DRAGO DISPLAY AS REQUIRED BY LAW SECRETARY AC# 4 0 STATE OF FLQ.RIDAJ= _ DEPARTME:t OF BUSINESS AND PROkESSIONAL XEd LATION �CONSTRUCTIW INDUSTRW, E1�jSINS ROAM _ SE ;.4 .• LICENSE NBRJ. 1 07/18/2008 1 088010654 CdC1512165. The GENERAL CONTRACTOR Named below IS CERTIFIED` Under the provisions of Chapter 489 - FS. r Expiration date: AUG 31,;2010 ORTIZ, FRANCISCO M OCTAGON CONSTRUCTIORT' CORP, 1551 NE 158 ST = NORTH MIAMI BEACH FL 33162 i - CHARLIE CRISTCK DRAW_. GOVERNOR ZNTN! SECRETARY DIS PLAY A REQUIR LAW - se-l- 0S -125 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL almoe Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 127104 Permit Number: MC -10 -09 -1693 Scheduled Inspection Date: April 01, 2010 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: CRISWELL, RICHARD Work Classification: Addition /Alteration Job Address: 32 NW 93 Street Miami Shores, FL 33150 - Phone Number (305)448 -2764 Parcel Number 1131010170060 Project: <NONE> Contractor: METROPOLITAN AIR CONDITIONING INC Phone: 305 - 264 -4646 Building Department Comments ONE AIR SUPPLY AND ONE EXHAUST FAN FOR BATHROOM ADDITION U uv Inspector Comments Passed Eil Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 31, 2010 For Inspections please call: (305)762 -4949 Page 5 of 23 . 1 Miami Shores Village 10050 N.E. 2nd Avenue y T E Miami Shores, FL 33138-0000 "-° Phone: (305)795 -2204 Expiration: 0412412010 L Project Address Parcel Number Applicant 32 93 Street 1131010170060 RICHARD CRISWELL Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell RICHARD CRISWELL 32 93 Street (305)448 -2764 MIAMI SHORES FL 33150 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 METROPOLITAN AIR CONDITIONING 1305-264-4646 q Total S Feet: 133 Tons: For Inspections please call: Additional Info: MECHANICAL (305)762 -4949 Classification: Residential Available Inspectio Approved: In Review Inspection Type: Comments: Date Approved:: In Review Ventilation Date Denied: Type of Work: Final Hood Rough Duct Underground Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $0.60 MC -10-09 -36156 $ 162.55 $ 162.55 $ 0.00 Education Surcharge $0.20 Notary Fee $5.00 Check #: 19876 Permit Fee - Additions/Alterations $150.00 Permit Technology Fee $3.75 Scanning Fee $3.00 Total: $162.55 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 03, 2010 Authorized Signature: Owner / Applicant / Contractor 1 Agent Date Building Department Copy February 03, 2010 1 Miami Shores Village R , Building Department 200 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.1949 - I BUILDING Permit No. PERMIT APPLICATION Master Permit N o. o r FBC 20 Permit Type: MECHANICAL Owner's Name (Fee Simple Titleholder Phone # 22 4 Owner's ddress �� MW City State Zip Tenant/Lessee Name Phone # Email Job Address (where the work is being done) a6 NW qL City Miami Shores Village County Miami -Dade zip — :5- : 3 FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name al!k —An �-lt "� 1 _ Phone # VX)5' (0 (o Contractor's Address ' 01 AD ' M � ilM - "(g '] . 2 S ZS City 0 - ocl i State Zip a25% (a (n Qualifier Nam Y 0 zakz, Phone # State Certificate or Registration No. C, ( , ogg Certificate of Competency No. Contact Phone E -mail __ 1- '- `,-(y_�► ,(Q��yY� , (� Architect/Engineer's Name (if applicable) Phone # i Value of Work For this Permit $ • ®� Square /Linear Footage Of Work: /. �' i Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace El Demolition Describe Work: One Wr z�&.)p pk j cuxa pne F-Ahn � n Submittal Fee $ —' Permit Fee $ 1 4 �D CCF $ CO /CC $ Notary $ Training/Education Fee Technology Fee $ ` Scanning $ Radon $ DPBR $ Bond $ Double Fee $ 'Violation date: Structural Review. $ _ Total Fee Now Due $ 1 LDC See Reverse side -� 11 f J 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. 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 reinspectign fee will be charged. t' n Signature i �, Signature t Owner or Agent s Contractor fore The foregoing instrument was ac owledged be a t The foregoing instrument was acknowledged before me this o77 day o fk0A 20 ' by a d t 0 Way of , 20 a, by , who is personally known to me who is personally known to me or who has produced As identification and who did take an oath. ,�(� (rr, 6 as identification and who did take an oath. NOTARY PUBLIC: .466 , NOTARY PUBLIC: Sign: • eaa Sign: Print: Print: Nota f My Commission Expires: M Co c ' i commission o 5 212112013 3 V z� , �r w APPROVED BY i/A IV f f la Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) TESTING & ENGINEERING SERVICES, INC VISUAL INSPECTION November 2, 2009 Building Official Miami Shores Village Building Department 10050 NE 2 " Avenue Miami Shores, FL 33138 RE: Residence 32 NW 93 Street Miami Shores, Florida NTES Project Number: SS- 091104 Dear Sirs, A representative of Nelco Testing and Engineering Services, Inc. has inspected the footing excavations at the above referenced property. Upon inspection it was observed that the footings were excavated into the existing limestone bedrock. Field density tests of the limestone bedrock do not yield comparative measures and thus a visual inspection was performed. Nelco Testing and Engineering Services, Inc. appreciates the opportunity of assisting you in this project. If you have any questions or if we may be of further assistance, please call us at (305)259 -9779. Respectfully Submitted Nelco Testing and Engineering Services, Inc. w�g V- Vinayagar M. Balakrishnan Professional Engineer No. 63107 State of Florida 13370 SW 131 Street, Suite 105, Miami, FL. 33186 (305) 259 -9779 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 129023 Permit Number: RC -7 -09 -1255 Scheduled Inspection Date: November 12, 2009 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: Foundation Owner: CRISWELL, RICHARD Work Classification: Addition /Alteration Job Address: 32 NW 93 Street Miami Shores, FL 33150 - Phone Number (305)448 -2764 Parcel Number 1131010170060 Project: <NONE> Contractor: OCTAGON CONSTRUCTION CORP Building Department Comments BATHROOM AND WALK IN CLOSET ADDITION TO THE REAR OF THE HOUSE Inspector Comments Passed, CREATED AS REINSPECTION FOR INSP- 128362. CREATED AS REINSPECTION FOR INSP- 128262. Provide compaction report. NB Same comments Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 10, 2009 For Inspections please call: (305)762 -4949 Page 20 of 31 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 121047 Permit Number: DS -8 -09 -1292 Scheduled Inspection Date: December 16, 2009 Permit Type: Driveways /Sidewalks /Slabs Inspector: Bruhn, Norman Inspection Type: Final Owner: , Work Classification: Addition /Alteration Job Address: NW 110 Street Miami Shores, FL 33168- Phone Number Parcel Number 112136003064 Project: <NONE> Contractor: MAX RIGZ ENTERPRISES INC Phone: (786)846 -4393 Building Department Comments INSTALL A NEW CONCRETE SLAB NEXT TO THE EXISTING PATIO Inspector Comments Passed OK TO SIGN ON COPY CARD. PLANS LOST. Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. December 15, 2009 For Inspections please call: (305)762 -4949 Page 3 of 23 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 130343 Permit Number: RC -7 -09 -1255 Scheduled Inspection Date: December 01, 2009 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: Stem Wall Footer Owner: CRISWELL, RICHARD Work Classification: Addition /Alteration Job Address: 32 NW 93 Street Miami Shores, FL 33150 - Phone Number (305)448 -2764 Parcel Number 1131010170060 Project: <NONE> Contractor: OCTAGON CONSTRUCTION CORP Building Department Comments BATHROOM AND WALK IN CLOSET ADDITION TO THE REAR OF THE HOUSE Inspector Comments Passed 461/1 ,- Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 30, 2009 For Inspections please call: (305)762 -4949 Page 30 of 32 n TESTING 6 ENGINEERING SERVICES. INC FIELD DENSITY TEST REPORT Client: Octagon Construction Date: Nov. 24, 2009 1551 NE 158 Street Job: D- 091154 N. Miami Beach, FL. Pro'ect` lame: Addition at Rear Pro ect L©cationz 32 NW 93 Street, Miami, Florida PROCTOR DATA Proctor .Dry` Uptim>�m N0. �escr><gtxfln. Uensi c Moi tur ,(! o ) 9017 Tan Sand with Gravel 115.1 13.9 tequ><red actii `,,) "; 95 t''Yepth 12 fiches):' FIELD DENSITY TEST RESULTS �O)!S "#t 1 9017 Center Area of Addition- Building Slab Final 110.5 7.5 96.0 Pass 2 9017 Northwest Area of Addition- Building Slab Final 109.5 6.8 95.1 Pass 3 9017 Southwest Area of Addition- Building Slab Final 112.0 7.6 97.3 Pass Comments: Vinayagar M. Balakrishnan Professional Engineer No. 63107 State of Florida 13370 SW 13 1 Street, Suite 105, Miami, FL. 33186 (305) 259 -9779 IV 1 . . • 4035 S.W. 98 Avenue, Miami Florida 33165 P.O. Box 650213 / Miami Florida 33165 -0213 Tel. (305)552 -0141 / 1 -800 782 -9284 FAX (305) 227 -1797 W EB PAGE: www.al- flex.com / E -Mail: al- flex @bellsouth.net Partial Treatment Notice Project Name: ADDITION Property Address: 32 NW 93 ST Lot 0 Block 0 Model: MIAMI FL Service order by: OCTAGON CONSTRUCTION 1551 NE 158 ST MIAMI, FL. Permit #: Date: 11/30/2009 Time: 9:45 AM Applicator: CASIMIRO Product Used: I MAXX PRO Chemical Used: IMIDACLOPRID (active ingredient) Number of Gallons applied: 12 Percent Concentration: 0.03 Area Treated : 128 Sq. Feet Tamp: N Linear feet Treated : 44 Stage of Treatment: Horizontal /Interior Vertical 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. AI -Flex Exterminators must be notified at final grade of structure so final treatment can be completed warranty issued, and required paperwork for closing submitted. THIS IS NOT A PROOF OF WARRANTY Inspection Worksheet Miami Shores Village s � 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 l PA�30,084 Permit Number: RC -7 -09 -1255 Inspection`s 60 rn , Inspector: Dao ui � ��� � Permit Type: Residential Construction a p Inspection Type: Spot Survey Owner. s 6ARD Work Classification: Addition /Alteration Job Address: 3 . y9S Street Miami Shores, FL 33150- Phone Number (305)448 -2764 Parcel Number 113101017006 Project: <NONE> Contractor: OCTAGON CONSTRUCTION CORP Building Department Comments BATHROOM AND WALK IN CLOSET ADDITION TO THE REAR OF THE HOUSE Inspector Comments Passe Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 December 07, 2009 Page 1 of 1 i Sheet 2 of 2 Spot Survey F/AiNail 75.0' Right of way NV4 ,W0'kve. N89 0 50 1 56 " E: �9 Northwest 93rd Street . �p 1p 406.71' X 75 00 ' N89 ° 50'56 "E X Xti M : 20.4' Asphalt Pavement M ` NORTH LINE OF SE 1A OF NW 1/4; 3 c OF SE 1/4; OF SECTION 1- 53S -41E c c Asph. 0 22.0' Parkway 0 Z .. 376.72 75.00' :._..`:':.:, .;N °50' "E :::' '`a'sidewalk`:: 1 FIP 1/2" 12.61 3 . 3 35_ FIP 1/2" B.Cor. No Cap No Cap Concrete 601 o Walk of y C v M M y h y 00 U U � g e W N 8' . I 0 13.80' / Cfl O I 5Zx1 ! _ 1 Tile step r — � �— ' N OF 0 CO 2.7 3 O 9.96' 1.67' H=4.8 ' ° 0 11.40' . 10.8' 0 X��' N 26.80; Tile En o c 7.3'x3.45' ° a a I N One Story CBS Residence #32 H F.F.E = +12.90' a 0.33' 9.60'' i 15.43' r t` 'v ° I 0 M I i 16.30' i Under Const. 0 I 9.48' ~ 11.00' El. 12.90 O0 0.70'_ Wood °� ~ 13.20 , It o Deck 16.13 ' A/C slab 0 16.4' 1 5.3x4.7' X 10 El.= +11.15' X1� 3 Wood steps 3 65 ' W i 3 Wood steps 5.2'0.83' 4.0'x1.07' X I F/Nail 75.00' N89 0 57'23 "W F.R No M LOT 11, PB 41 -71 America Layout Corp N $ WUdLAM HERRYMAY JOB No. 09 - 131 w E Professional Land Surveyor _ Certificate No. 28M FIELD WORK DATE: 12 - 01 - 2009 STAT) OFFLORIDA DRAWN DATE: 12 -02 -2009 s OFT. TEL.: 305- 606 - 8031 PB 41 -71 Engineering & Surveying Consultant FAX: 305- 412 3545 cB 7464 Not valid without the s ignature and or raised seal 7659 Sout6wes[ 102nd Piece g Miami, Florida 33173 of a Florida Licensed Surveyor and Mapper. Additions Survey o r Notes: Tel. 305 -215 -3280 305 - 6060031 or deletions to Survey Maps by other than the signing Survey is Incomplete without sheet one Fax. 305-412 -3545 are prohibited without the written consent of the Scale of Drawing 1 =20' signing party. Sheet I of 2 Spot Survey LOCATION SKETCH N.T.S. — Cen�er of �/� w ✓ 1 OCA' /68 ft ' - � - PJi =Mi /HOPN- ✓BlrioN 6 - A S n y ly. 99.0a e c,rE/1 fj w .�.,' =r — f J.E.;(r of .f'. 6 *7 '7 - T Y i l _- -- 16.72, 75 75 75 75 75 75 r Ae 1 Q� 7 ° M pp y i 1 ' }' fie° ;3• 75 ` 1 75 75 75 75 i I 1 I O ! Al K. 9z -° j I 67/ R/ _ - - J 76:8/ 75 75 75 /m -Re N ~•���� ' i i /XYX 91""e ! zi0 - ° I 92x1 ti to 75 1 °I ' iYOl / c[uoEO N A — 1mez&oER �. � zio 270 kti 1 � - �� 75 w Nt J PROPERTYADDRESS ABBREVIATIONS LEGAL DESCRIPTION. I\ "E Lot 6 of: "CANADAY EXTENSION" \Ik \r asrn \sru v T 32 Northwest 93rd Street \u' , RCO MAITO NE ' - LDINO ER Miami Shores Florida n -C'(k 33150 I K """CK \F:R according to the Plat Thereof as U C Rill " "`E recorded in Plat Book 41 at C'UI.. - C'Ol.t'91\ -P C C RI,FL 101f] AW Page 71, of the Public Records cl..v C N C EI LB I GITr P(11 T: S 03S CI \(RI IT. nIAx'R \Iktt II RF: CERTIFIED ONLY TO: "' `\\t'-\'\I'N\N`' of Miami -Dade County Florida. U - t14:L)RII MAN Richard B. Criswell & Mirta Criswell "' "R "` ^ °'&\ " " "` ° " "` I \lwsr F:l'.P. -- EI.F:C' IItIC' l'R.1 \SFY)R\IF:R N F.P.I.. -FEURIU: \ : \\'U F.I(ilI F1' Efl. - FIRE. iII'UR: \ \'T 1 F'J. P. - F()I "aD [k(i. \PIPE; Surveyors N otes: Fr FI \ISir ITO( R F . I \" F.1 " ,LF. R. F 't\URF.INAR13\R #1 Examination of ABSTRACT OF TITLE will have to F.R - OH F 1) FIN 11, DISC' , FO „w: \II. be made to determine recorded instruments, if any, 1 F IRON FTVCE ELEVATION INFORMATION: , (” ffecting this property. L.r.I 1 Ou Fs I Fux)R EI LN Al AI'IO\ I.r. 1 (Al N LR '' EU IS \1 ' #2 Location and identification of utilities ifany, are NL:T LAN HOLY, slE ds ,\I( - ,1I, \tin \TLM. . shown in accordance with Recorded Plat... Comm Panel 120635 \.```. "' R1I' 1N vE RTlc.v. Rl II NI #3 Benchmark Miami -Dade County Public Works Dep. '. \I Panel # 0302 OT - 01 FRUF:AYFLECTRICLM BIM Name N - 568 , Elev. 9.65; N.G.V.D 1929 Firm Zone: n V n ()11 <) \I RII,.(l O \1 #4 Bearings as Shown hereon are asumed Basis /1 vile PIRSI N OF rolrl' Date of Firm : 09 -11 -2009 N , � n11 OFCI RIXR RL, on Northwest 93rd Street, N89 0 50'56 "E Base Flood Elev.: N/A P Y III R r1 11 #5 Please See Abbreviations and Legend .- R I R \"" \ RES RI #6 Scale of Drawing l " =20' F. Floor Elev. 12.90' S1101: WAN S I)r \II RIFIJIOrl, #7 Ownership is subject 4o OPINION OF. TITLE. L.A.G 10.80 SIP I , I I II (). \P(YF: #8 Type of survey: SPOT SURVEY. sox'LI, - slurw. -a.n H.A.G 11.10 T "ti`IE \T #9 All Right of Way shown are Public un less otherwise U.It. PTILITY F.sk,lE>v -F Suffix: L P F' WOE w:s WOE sxau noted. w \' \` V IR \ 41. \'F W1 P #10 Legal Description Furnished by client. FENCE Elev. Ref to NGVD 1929 P(x)U I'IILII, POI I — ,k(A FENCE — - ; FI x> I I KF E CE #11 Land Surveyed as described. "SR" I. #12 No underground installations on improvements F:RNF L ILEC C . — — —_ - FTI ER ' have been located except as noted. — FXI Rl.E\.anms .0 00 _ - nnEnnc #13 Ownership offence is not determine. ® c \tzTl n ,St\ #14 Record a measurement calls are in substantial ® 9\ITR\16I'ER I HEREBY CERTIFIED: S \, I P IF R()1U agreement unless otherwise shown. I. \ THAT THE "SKETCH OF SURVEY" OF THE HEREIN O t'SI,RRI WIN ' #IS Complete Field Survey: 12 - -2009. DESCRIBED PROPERTY WAS RECENTLY SURVEYED UNDER wn:Rtil:nr. MY DIRECTION AND THAT THIS SURVEY MEETS THE #16 Last Revised: "MINIMUN TECHNICAL STANDARDS SET FORTH THE FLORIDA BOARD OF LAND SURVEYORS" PURSUANT TO CHAPTER: 472027, FLORIDA STATUES AND CHAPTER 61 G17 -6 OF THE 1 "FLORIDA ADMINISTRATIVE CODE ". America Layout Corp N BY. WIL IAM HERRYMAN Professional Land Surveyo. Certificato No. 2804 W E STATE OF FLORIDA -, 6FF, FAX TEL.: 3115 -hoc -ow I s FA 30g- 412 -3545 JOB No. 09 -131 Engineering & Surveying Consultatlt Not valid without the signature and original raised seal FIELD 7659 Southwest 102nd Place D WORK DATE: 12 -01 -2009 1.8x464 ofa Florida Licensed Surveyor and Mapper. Additions DRAWN DATE: 12 - -2009 Mianu, FloFida331'73 or deletions to Survey Maps by other than the signing Tel. 305- 215 -3280 are prohibited without the written consent of the PB 41 -71 305 -606 -0031 Fax. 305 -412 -3545 signing party. DE% 0 8 2009 A BY: ------------ PE I T V -1 Miami Shores V!1l7: �e APPROVED BY DATE ZONING DEPT BLDG DEPT e SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS RC • 7 -09 1255 Inspection Worksheet Miami Shores Village CL 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 127092 P ermit Number: PL -10 -09 -1691 Scheduled Inspection Date: April 09, 2010 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: CRISWELL, RICHARD Work Classification: Addition /Alteration Job Address: 32 NW 93 Street Miami Shores, FL 33150- Phone Number (305)448 -2764 Parcel Number 113101017006 Project: <NONE> Contractor: AGE OF EMPIRE INC Phone: (305)851 -5897 Building Department Comments PLUMBING WORK FOR NEW ADDITION Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 08, 2010 For Inspections please call: (305)762 -4949 Page 1 of 10 RC "I ' 09 - 255 Inspection Worksheet C Miami Shores Village L, 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 127100 Permit Number: EL -1049 -1692 Scheduled Inspection Date: April 06, 2010 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: CRISWELL, RICHARD Work Classification: Addition /Alteration Job Address: 32 NW 93 Street Miami Shores, FL 33150- Phone Number (305)448 -2764 Parcel Number 1131010170060 Project: <NONE> Contractor: Valco Electric Inc. Phone: (772)201 -6427 Building Department Comments ELECVTRICAL WORK FOR NEW ADDITION Inspector Comments Passed El - Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 05, 2010 For Inspections please call: (305)762 -4949 Page 2 of 25 1 �s °R r Miami Shores Village ti jet(( 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 y " ►w Phone: (305)795 -2204 �LQR1D}' �, � ✓r, �,I Expiration: 0 4/24/201 0 Project Address Parcel Number Applicant 32 93 Street 1131010170060 RICHARD CRISWELL Miami Shores, FL 33150 Block: Lot: , Owner Information Address P hone Cell 1 RICHARD CRISWELL 32 93 Street (305)448 -2764 MIAMI SHORES FL 33150 Contractor(s) Phone Cell Phone Valuation: $ 2, 000.00 Valco Electric Inc. (772)201 -6427 _ Total Sq Feet: 133 Type of Work: ELECTRICAL For Inspections please call: Additional Info: (305)762 -4949 Classification: Residential Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Underground W. W. Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $1.20 EL -10 -09 -36155 $ 189.10 $ 189.10 $ 0.00 Education Surcharge $0.40 Permit Fee - Additions /Alterations $180.00 Permit Technology Fee $4.50 Scanning Fee $3.00 Total: $189.10 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. December 16, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy December 15, 2009 1 tfll24l o ^� Miami Shores Village U B � g epartment OCT 1 4 200 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BY---------------- INSPECTION'S PHONE NUMBER: (305). 762.4949 BUILDING Permit No. — - L PERMIT APPLICATION Master Permit N FBC 20 - Permit Type ELECTRICAL nn we ��`� , Q Owner's Name (Fee Simple Titleholder) B• di phone # 3 Owner' Address City Stat Zip Tenant/Lessee Name Phone # Email Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name VC lCc I c4P` C Phone # Contractor's Ad dress Sc V )Ct w City cstJXc State Zip 3 9 � ^^ j Qualifier Name 12 Vv .J _eC Phone State Certificate or Registration No. D 0 of f f Certificate of Competency No. Contact Phone 7 76� - -40 l — 6 r/ 7 E - mail Vex �� � �ecyy c..yo I c U • C - 0 * Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 1 2 ) 0, Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace F] Demolition Describe Work: Ekc Q Submittal Fee $ Permit Fee $ / S ®e O p CCF $ CO /CC $ Notary $ Training /Education Fee $ Technology Fee $ 4 s Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 1X I"1 0 See Reverse side 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. 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 re-inspection _fee will be charged. Signature Signature G'GC Owner o Agent �l„ ntractor The fore oing instrument was acknowledged before me this �� The foregoing instrument was acknowledged before me this day of , 20' a��' n "ay of &A- , 20�, by 1) P , -2 who is personally kno w o as produced who is personally known tome or who uced ation and who did take an oath. 1r- as identificatii a an oath. NOTARY PUBLIC' NOTARY PUBLIC: Sign. � Sign: �o Print: rsOeDi Print: My Commission Expires: 9�� a' My Commission Expires: A.-S a-s 7 L a a� APPROVED BY - c plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) Miami Shores Village 9 JUL 1 5 2009 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ' B Y '•"""'•"•'°••- Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. PERMIT APPLICATION Master Permit No. FBC 200 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) �, chid O r l SAtQ Phone # —0S-*q t - x Owner's Address C Nh� 6C kS State Zip Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) (' City Miami Shores Vilta e _ County Miami -Dade Zip 2�3t'S FOLIO / PARCEL # \`' , 0`' ok- ° D(�tan Is Building Historically Designated YES NO ✓ Contractor's Company Name Ms. 'k�®otL \oC Phone # Contractor's Address City State Rt�c Zip Qrualifier Name l� Is Phone # ' } State certificate or Regfstr lion No � O � ` d q �0 Certificate of Competency No. Architect /Engineer's Name (if applicabiet Phone # Value of Work Foe this`PernAt $ 15o k ni Square / Linear Footage Of Work: Type of Work: ]Addition Alteration ❑New VRepair/Replace ❑ Demolition Describe Work: Ol l C'C QIYI�►� (, d �� •xx������xx���x�xx Submittal Fee $ Permit Fee S � e �� CCF $* CO /CC Notary $ . Training/Education Fee Technology Fee Scanning $ rfi Radon $ DPBR $ Zoning $ Bond $ wode Enforcement $ Double Fee $ Structural Review: $ Total Fee Now Due $ ml JU 1 5 PAD See Reverse side R431 Bonding Company's Name (if applicable)` Bonding Company's Address City State Z i p 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 po ed n tice, the inspection will not be approved and a reinspection, fee will be charged. Signatur Signature Owner or Agent Contractor The for ng instrument was ackn I V ged before me this The f in ` instrument was actin le ged be re me this day oft ` , 20%, by YG ' day of 2 0 by > AYUA who its p rson ly known to me or who has produced who is nall known to me or who has produ ' identification and who did take an oath. cation and who did take an oath. NOTARY UBIAC: � N TA PUBLIC; ti a Sign: . ��1 �Q�ti Sign: C'ti -iy2� qi Print: Print: 0' Ste' oGO., My Commission Expires: � ,tc ' ems' �� My Commission Expires:° APPLICATION APPROVED BY: Plans Examiner t -, Engineer (Revised 02/08/06) s 1 DIVISION OF Environmental Health Florida Department of Health �� ®� Miami -Dade County Health Department ! OSTDS /Well Division 11805 Ski' 26 St: • Miami, FL 33175 �o Inspector Date Address Comments: Sj Signature + DIVISION Of • •' Environmental Health 0o Florida Department of Health Miami -Dade County Health Department Of OSTDS /Well Division 11805 SW 26 St. • Miami, FL 33175 Inspecto V(' r��e s Date Address t t• k j t OSTDS it 2 9 �f - f 2- Comments: + Signature STATE OF FLORIDA PERMITI�O — DEPARTMENT OF HEALTH `DATE PAI ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM, SAID e ` CONSTRUCTION INSPECTION AND FINAL APPROVAL — _ , VIM � k t r (� APPLICANT _ AGENT: PROPERTY ADDRESS: .,t LOT BLOCK: SUBDIVISION: ,' PROPERTY ID *A 13 -- - -- - - - -- - -� - -- — —, CHECKED {Xj ITEMS ARE NOT : IN COMPLIANCE WITH STATUTE OR RULE- AND T -0 x TANK INSTALLATION SETBACKS [ ] [01} TANK SIZE (1} [2] [ 1 [27} SURFACE WATER [ } [OZj TANK MA ; s n / I #= a: [ } 1281 DIT�a FT [ } [03} OUTLET DEVICE , � [ } , [29} [ l [04} MULTI-CHAMBERED ] [ } {} FSUIi Ii its > E [ ] (05] OUTLET FILTER. ' " [ ] X311 I RRIT Wt FT [ [ [06] LEGEND [ } . [32} F( i A@LE 1�lATERI I s [07] WATERTIGHT [ } [33} [ 1 [} LEVEL . :` [ } . ; ,[34 PROf?T'dES �� <FT DEPTH TO LID [ ] [3 ] OTHER — �-' I t FT ' DRAINFIELD INSTALLATION } FILLED I Aif6 a El [ j101 AREA [i] [21 SOFT [ } [36} ' t?RAItI -I GSR } [111 DISTRIBUTION BOX HEADER [ } [3 SHO �wftS [ ] [12] NUMBER OF DRAINLINES _ [ ] [38] -SLOPE [ } ['i3} DRAINLINE SEPARATION r [ 1 [39] uTABILIZATtC�d ", I j [14] DRAINLINE SLOPE [ 1 [15} DEPTH OF COVER A D DITIONAL 3N7H�tIAI IdN ry (161. ELEVATION JABOVE /BELOW] BM ' f [ j [' Qj ' UNOPS fU E { 1. [171 SYSTEM LOCATION [ ] .[41} STORM141ATE R } 1 DOSING PUMPS In [ } [42} ALARMS � { 1 [191, AGGREGAT1,SiZE [ } [43] MAINTI i�tAlE= [ ] [20 AGGREGATE EXCESSIVE FINES ' [ ] 1441 BUILDING AREA" � [ } [211 AGGREGA'} E DEPTH [ } [45} LCDCATI4 r ( 1 [461' FINAL $-IE 3 er FILL 1 EXCAVATION MATERIAL [ ] [47] GONTFEAC4L [ } [22] FILL AMOUNT { ] {+#8} QTHEA! [ ] [23] FjH TEXTURE [ } [2 4) EXCAVATON DEPTH Pit ASANDOO MEAI3't` f } [25] AREA REPLACED [ l [49} TAN14:A1I�[D - [ } [261 REPLACEMENT: MATERIAL [ 1 .. }501 TAN# t,lSt*O EXPLANATION OF VlOiATIONS / REMARKS: [ } f CONSTRUCTION jAP . plpl$APPROVED]: , r, -b FINAL SYSTEM- [A SAPPROVED]. > "µ _ GHD DAM LL DH 4018 (Page 2), , 10/97 (Pt*iws EtRiorfs May Be Used) Stock Number a344- Q02- 401fr4 , ] P`f -t: PT 2:.tn9tafl ot4l�uCtor: ^ P7 &LIldirr =tiOq ; PT N Dom- =� � l PERMIT NUMBER: Permit tracking number assigned by CHD. APPLICANT: Property. owners full name. AGENT: Propetty p vnfes legally authonzod,nipresentative. MAILING ADDRESS: P.O. box or street mailing address for applicant or :agent. LOT, BLOCK, SUBDIVISION Lot, Block -and Subdivisiort fog lot or _ PROPERTY ID #: 27 character, number for property. (property appraiser ID # or GIS location) COUNTY HEALTH DEPARTMENT CHECKS [X] ITEMS NOT IN COMPLIANCE WITH CONSTRUCTION PERMIT AND STATUTE OR RULE. INFORMATION IS COMPLETED BY-CHD ON FOLLOWING ITEMS; TANK SIZE (gallons) AS BUILT INSTALLATION-SKETCH TANK MATERIAL (concrete, fiberglass, etc) OUTLET FILTER (manufacturer, make, model) ' LEGEND (manufacturer code) < " DRAINFIELD AREA (square feet) DISTRIBUTION BOX 7 HEAbEk(chepk box)* NUMBER OF - DRAINLINES (number installed) ;- SYSTEM ELEVATION (in relation to BM) DOSING PUMPS (number installed} SETBACKS (record actual- setbacks in ft) _ SETBACKS OTHER (as required) STABILIZATION (date stabilized) CONTRACTOR (contractor installing system) ADDITIONAL INFORMATION (as required) ABANDONMENT TANK PUMPED (date) {•., TANK CRUSHED AND FILLED (date) EXPLANATION OF VIOLATIONS: Record item number; explanation of violation, and rectuir+sd ' CONSTRUCTION APPROVAL* Circle approved or disapproved, CHD signature and date: FINAL APPROVAL: Circle approved or disapproved. , eHD signature and :dafe of appn "t. Final approval shall not be granted until - the CHD.has con that - building constnktlon at#f IBC "grad df6Jn substahtIal compliance with plans and specifications submitted with the permit application. ELEVATION WORKSHEET ELEVATION OF BENCHMARK OR'REFERENCE POINT. EXISTING GROUND TOP OF AGGREGATE [ +] SHOT H.I. H.I. H 1 H.1. [ -j SHOT - [- SHOT [- j 'SHOT ELEVATION ;.. STATE OF FL ORIDA - DEPARTMENT OF HEALTH DATE AID ONSIT SEWAGE TREATMENT AND DISPOSAL SYSTEM FE PA a . CONSTRUCTION INSPECTION AND FINAL APPROVAL . elf .APPLICANT: AGENT: PROPERTY.ADDRESS: r LOT: BLOCK SUBDIVISION: ' PROPERTY Olt CHECKED '[Xj. ITEMS _ARE ARE NOT IN COMPLIANCE WITH STATUTE OR RULE- AND ', RPtEC�. TANK INSTALLATION SETBACKS = I ] 1011 TANK SIZE [1] 121 [ 1 (271 � � � �T [ 1 [021 TANK MATERIAL �� 1 l [ DfTC 1 1 [031 OUTLET DEVICE [ ] ` [291 PRIVAM 1A CLS { ] (041 MULTI- CHAMBEREDN ] [ 1 [30} : ,I_ Y ] 105] OUTLET f FILTER ( ] [31]. IF1E3t�;* ts [ [W]: LEGEND [ ] [321 POT TEFI �~ [ ] (07] WATERT. T [ . ] [331 15W f9A ,? f ] [03] C EVEL [ j [34] P1 tIA1 1=I 1 1 {09] DEPTH TO LID _ 1 ] 1351 At r DRAHVFIELD INSTALLATION FILLED IMOUN, I l C #0] AREA {1] (2} SOFT [ ] [36] bRAl G3 C4 I SH f ] [11] DISTRIBUTION BOX -.HEADER y.. e [ } [T21 NUMBER OF DRAINLIN] [ : } ` [36] S PI+ f C ] [i3] . DRAINLINE SEPAR/ ON [ I [39] STABu TK3AI } [ j [14 MAINLINE SLOP � }� a [ ] [15} DEPTH OF, CO R ,4[)[71ITIONAL IPIt3RMA: _. C I [t6] ELEVATION BOVE /BELOW] BM_ ( ] 1401 Uf s L ']_ [1T1 SYSTEM { ] [41] ST C ] [18} DOSfNUMPS [ } [42 [ ] [191 AG�aFiEG/kTE SIZE ? [ ]' [43} MAII�IT A R T ( ] [201 AGGREGATE EXCESSIVE FINES [ ] 14 f ] [2i] AGGREGATE DEPTH f ] {A5] LO CI >� FINAt FILL / EXCAVATION MATE AL [ ] {471 G?TOR f ] 122] FILL AMOUNT r [ ] 1481 OTIlER ", ' [ I [23] FILL TEXT ` �' x - f l [241, EXCAVAT DEPTH ASAM1IDt31tE1! t ( ] [25] AREA REPLACED [ ]- [49] . , T 4.F�1M A X [ ] C261 REPLACEMENT MATERIAL [ ] (50j TANK Oi#Ilt«e I1 .. EXPLANATION OF VIOLATIONS /.REMARKS: CONSTRUCTION (A sRPPROVEDI: w # w r J FINAL SYSTEM [APP ISAPPROVED]: CIAT DH 401 {Pace 2), tU/9T (Prey u s Eaiti May Be Used) `# Stock Number 574G•002w4Dt6 4 ' PT I; ApPk PT 2: trrStaE�t'L�r PT-3, ecdg;- t y k 't f „r PERMIT NUMBER: Permit tracking number assigned. by CHD. APPLICANT: Property owners full name.. AGENT: property o+, S IegaAy utf 'roP�lser►t�tn - " MAILING ADDRESS: P.O. box or street maWng address for applicant ar`gyertt. LOT, BLOCK, SUBDIVISION Lot, Block and Subdivisionf4r:fot or PROPERTY ID #: 27 character number for property. ,(property- appraiser ID # or GIS location) COUNTY HEALTH DEPARTMENT CHECKS jX] ITEMS; NOT IN COMPLIANCE W" CONSTRUCTION PERMIT AND, STATUTE OR RULE. INFORMATION IS COMPLETED BY CHID ON'°FOLLOWiNC i TANK SIZE (gallons) AS BUILT INSTALLATION -OW TANK MATERIAL (concrete, fiberglass, etc) OUTLET FILTER (manufacturer, make, model} LEGEND (manufacturer code) DRAINFIELD AREA (square feet) DISTRIBUTION BOX I HEADER (check box) NUMBER OF DRAINONES (number Installed} SYSTEM ELEVATION (in gelation to BM) DOSING. PUMPS (number installed)': SETBACKS (record actual setbacks in :ft) SETBACKS OTHER (as required) 4 3 STABILIZATION (date stabilized) CONTRACTOR (contractor installing system) ADDITIONAL INFORMATION (as required):. ABANDONMENT TANK PUMPED (date) TANK CRUSHED AND FILLED (bate) EXPLANATION OF VIOLATIONS: Record item number, explanation of violation, and required' CONSTRUCTION APPROVAL: Circle approved or disapproved, CHD signature and date, 5 ' FINAL APPROVAL: Circle approved or disapproved. CHD signature and data Hof approval. Final approval shall not be granted until the JCND has confirmed that building constn ctiori' `gradth6 -are in substantial compliance with plans and specifications subt'rlltted :with -the: permit application. ELEVATION WORKSHEET ELEVATION OF BENCHMARK OR REFERENCE POINT: " EXISTING GROUND TOP OF AGGREGATE [ +] SHOT N.I. H L H,C H.I. [ -] SHOT ( -] SHOT -j S140T ELEVATION _ _ ° Miami Shores Village 10050 N.E.2nd Avenue 4 Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 OR lljSr�t Expiration: 0 V1 1201 Project Address Parcel Number Applica 32 93 Street 1131010170060 Miami Shores, FL 33150 Block: Lot: RICHARD CRISWELL, Owner Information Address Phone Cell RICHARD CRISWELL 32 93 Street (305)448 -2764 MIAMI SHORES FL 33150 ; Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 MS ROOTER INC (305)681 -8810 Total Sq Feet: 225 ;. Type of Work: PLUMBING For Inspections please call: Type of Piping: DRAINFIELD (305)762 -4949 Additional Info: Available Inspections: Bond Return : Inspection Type: Classification: Residential Final Rough Landscaping Fees Due Amount Invoice # Total Amt Paid Amt Due Bond Type - Owners Bond $300.00 PL -7 -09 -35386 $ 491.18 $ 191.18 '$_..,u.: CCF $0.60 Education Surcharge $0 PL -7 -09 -35386 $ 491.18 $ 491.18 $ 0.00 Notary Fee $5.00 Check #: 593 Bond #: 1870 Permit Fee - Additions/Alterations $175.00 Scanning Fee $6.00 Technology Fee $4,36 Total: $491.18 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 July 15, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy July 15, 2009 1 PENT # : 13 -SC- 994726 APPLICATION #: AP928571 STATE OF FLORIDA DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM R RECEIPT #: DOCUMENT #: PR778809 CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Richard Criswell PROPERTY ADDRESS: 32 NW 93 St Miami, FL 33150 LOT: 6 BLOCK: n -a SUBDIVISION: PROPERTY ID #: 11- 3101 -017 -MO [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] 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 OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] GALLONS / GPD New Septic Tank CAPACITY A [ 0 ] GALLONS / GPD CAPACITY N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ l D [ 225 ] SQUARE FEET Trench confiouration drainfi SYSTEM R [ 0 ] SQUARE FEET SYSTEM A TYPE SYSTEM: [g] STANDARD [ ] FILLED [] MOUND I l I CONFIGURATION: [XI TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: F.F.E., 12.90' NGVD. I ELEVATION OF PROPOSED SYSTEM SITE [ 2.00 ][INCHES [ABOVE BELOW HENCffiMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 4.50 ][INCHES FT [ABOVE BELOW BENCHMARK /REFERENCE POINT L . D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 42.00] INCHES O *Invert elevation of drainfield to be no less than 8.90 ft NGVD. *Bottom of drainfield elevation to be no less than 8.40 ft NGVD. T *Install 12" of slightly limited soil under the bottom of the drainfield. ;'- ADOF-11DR(S) H - Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or drain trench. -The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with E sec. 64E- 6.013(3)(f). F.A.C. R "THIS PERMIT IS NOT FOR " ADDITION(s) ". SPECIFICATIONS BY: Carlos c za TITLE: APPROVED BY: a 'TITLE. Dade CHO Ca3 los icaz DATE ISSUED: 07/15 EXPIRATION DATE: 10113/2009 DH 4016, 10/97 (Previous Editions May Be Used) Page 1 df 3 v 1..1 4 AP928 ;71 SE791749 1 . a c. STATE OF FLORIDA t •� DEPARTMENT OF HEALTH u , APPLICATION FOR ONSITE SENAGE DISPOSAL SYSTEM CONSTRUCTION.PERMI�° A z Permit Application Number - --------------------------- PART II - SITEPLAN --------------------------- Scaler Each block re resents 10 feet and 1 inch = 40 feet. - g 0 y. r r) a-17 t P 1 u 9 1 Notes: ' �- �. S u � Y Site Plan submitted by; ,--' �J iL �_c� signat Title �- Plan Approv d Not Approved Date C) -7 By f County Health Department ALL CHANGES MUST BE A PROVED" BY THE COUNTY HEALTH DEPARTMENT DH 4015,10/96 (Replaces HRS -H Form 4016 which may be used) Page 2 of 4 (Stock Number: 5744002- 4015 -6) i Invoice Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 eturn to: Miami Shores Village Invoice Number: PL -7 -09 -35386 10050 N.E. 2nd Avenue NW Invoice Date: July 15, 2009 Miami Shores, FL 33138 -0000 Permit Number: PL -7 -09 -1183 Bond Number: 1870 Bill To Comments- RICHARD CRISWELL 32 NW 93 Street MIAMI SHORES, FL 33150 �rt c ,• � Date Fee Name Fee Type Fee Amount 07/15/2009 Scanning Fee Calculated $6.00 07/15/2009 Education Surcharge Calculated $0.20 07/1512009 Bond Type - Owners Bond Fixed $300.00 07/15/2009 Permit Fee - Additions /Alterations Percentage $175.00 07/15/2009 CCF Calculated $0.60 07/15/2009 Technology Fee Percentage $4.38 07/15/2009 Notary Fee Fixed $5.00 Total Fees Due: $491.18 Payments Date Pay Type Check Number Amount Paid Change 07/15/2009 Check 2431 $191.18 $0.00 Total Paid: $191.18 Total Due: $300.00 Wednesday, July 15, 2009 $ R 5 ° Miami Shores Village` ( rter�l 3 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 ff n Phone: (305)795 -2204 CEO' Expiration: 05/161201 Flo- �tff ..,- Project Address Parcel Number Applicant 32 93 Street 1131010170060 RICHARD CRISWELL Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell RICHARD CRISWELL 32 93 Street (305)448 -2764 MIAMI SHORES FL 33150 Contractor(s) Phone Cell Phone Valuation: $ 2, 000.00 AGE OF EMPIRE INC (305)851 -5897 ....... .. M_ .. - _..... Total Sq Feet: 133 Type of Work: PLUMBING For Inspections please call: Type of Piping: (305)762.4949 Additional Info: Available Inspections: Bond Return: Inspection Type: Classification: Residential Top Out Re Pipe Main Drain Underground Rough Heater Water Service Final Water Main Lavatory Fees Due A ]$4.76 Invoice # Total Amt Paid Amt Due CCF PL- 10-09 -36154 $ 199.35 $ 199.35 $ 0.00 Education Surcharge Permit Fee - Additions/Aiterations Permit Technology Fee Scanning Fee Total: $1 0 M E In consideon of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining ftreto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting t& permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required fo LECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. C OWNERS FIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio nd zoning. Futhermore, I authorize the above -named contractor to do the work stated November 17, 2009 ArjOorized Signature: Owner / Applicant / Contractor / Agent Date Buildrpg Department Copy November 17, 2009 1 9 , l � � � Shores vill age ���� � ►� t� �I ID I g De art ent DCT 14. 2009 I ' �'!� 050 NA 4 �venL4e, Mi Shores, Plo �ia` } "� I Tcit (0¢f� 95. 204 Fax: (30S) 756.8 V' �e 72 B �,e- - - - -•— . it �1111�H NE N i, S ER: (Q5) 762.4 B LD ` ' P loq 01 I P Mas er Permit N Permit No � , � II FIB( 20 I 1 j P e r i t T i I e e: UMB IN I i . O is Name S' le Titlehol tl e hone # �a 1 I� --, -- o�' g Adare C1 1�n no S � � ,. z ip C P Te t/Le §see N' b , �, � Ph ne�'# 1; . Job L, ddress (wh� rc the work is bew City i'` ho dcty -D ad a 1Vliaxi d OlPAR 1 Is B { ding Histo cally Desiguatec ISO Flood Zone ij s I� Can actor's C auy Name C.. Co'n tors Ad' , i� � h Imo, b I. r Ci G I to L er Name I F one S tat ertifica Q � to i R' e istra ' � Co on N I I —t t?� C fic to a a . g �1.': c 0 ten Y No. Con' 'ct Phone I Arc tectlfingine '� Name �(if appl el �e i hone # -1� I i I ns' Val of Work Fbr this Permit $ �+ S 9 g uare ! Linear P ota e Of Work: Typ of Work: ❑Addlti'on , ? I' " Altera i � 1' �' �, j, EINev�+ Repak/Regiace El emolition e$ D !be Work Ai i i I ,: yl � r i I I , l I , & I drska�zse9e�e�keYsY &a84c ate' ' " � 't�iVd� rk ''� i'' � .. : • �, �,', �`�; ,: �'��`I,��'li, ,' �r� ��r�,�1 ��r��{��i�,��r�r�.�������r�a� aY�k! �e9F�trdz9r4raY4e�r:? ikdr9e3rd sRrdr�ttdo9i9P�YsY,, Sub 'ttal Fee $ert Tee $ C $ CO/CC Note $ r � �I �Edu atl Iq Fee $ gY Fee $ Technolo I Sca ing Raloon �I Ia '�I �; DPt2 $ Bond I W Dou I le Fee $ pl ion date: Str #ural Revle Totall F Now Due $ l , See Reverse side -4 Bonding. Company's Name (if applicable) Bonding Comp' Any's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address: l i 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; 'I!! WELLS, POOLS, FURNAC 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. lil WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMNM NCEME 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 A RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good fa, ith that copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job. site J� � he first ins p ection occurs seven (7) days after the building permit is issued. In the absence of such po ted notice, the n will not be a ro' ectzo and a reinspection fg C e will be charged. .Signature � � Signature ss' 4,0,oei Owner r Agent Contractor The foregoing instrument was acknowledged befo me this The foregoing instrument was acknowle ged before me this tP day of , 20��, i 1 n day of �� ': 20 Q by fAF who is personally known to me or uced who is personally known to me or who has As identification and o did take oath. as identification and who did take an oath. NOTARY PUBLIC` or "'••,' NOTARY PUBLIC: AIN M AA Sign: Sign: Print:' . Print: My Commission Expires: O My Commis ` ' j COMMISSION DD 512418 �.fl �� HP�4h 9 ond E d P wE� S:M P�U 2010 � ndenntters OO ,rk�t3e4e�$edr4r,Y dF4rvk�z �Y�r dr 4takd a�k9r�9t:kBck9e9r:Y &kik4r�Y9t� �* 9t�dek9ek�9e�Yae# 4t9t�Y# �Y�Y: Y�Fk9t�k3e4e4rk��9F�Y& 3o4e3eaFkafraF4r3e3r3rdr :YktFdrs+c9:ksYAr�Y9e PRO D BY /q la� �' s Examsner Zoning �I Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) Nov 17 09 09:24a Maroel Alonso 305 - 663 -5769 p.1 CERTIFICATE -� LIABILITY DA 10 130109 PRODUCER Acceptance Insurance Services THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 6887 S.W. 40th St. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Mlami, FL 33155 ALTER THE COVERAGE AFFORM BY THE POLICIES BELOW. Phone (305)740-0515 Fax (305)740-0518 INSURERS AFFORDING COVERAGE NAiC; INSURED Age of Empire Inc. INSURER A: United Special Insurance Compan 6760 SW 50 Terr INSURER B: INSURER C: MIAMI, FL 33155 INSURER D: (305) 300 - 0172 INSURER E: COVERAGES INSURER F. THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS. iNSR ADD'L TYPE OF INSURANCE POLICY NUMBER pA EFFECTIVE p u j� N LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,000 P9 COMMERCIAL GENERAL LIABILITY IMS272416 09/16 109 09116/10 PREMISES TO Ea 100,000 ❑❑ CLAIMS MADE ® OCCUR MED EXP (Any one person) 5,000 ® ❑ PERSONAL & ADV INJURY 1,000,000 ❑ GENERAL AGGREGATE 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG 2,000,000 d❑ POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea accident) ❑ ALL OWNED AUTOS BODILY INJURY ❑ ❑ SCHEDULED AUTOS (Per person) [] HIRED AUTOS BODILY INJURY ❑ NON OWNED AUTOS (Per accident) ❑ PROPERTY DAMAGE Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ❑ ❑ ANY AUTO OTHER THAN EA ACC ❑ AUTO ONLY: AGG EXCESSIUMBREL LA LIABILITY EACH OCCURRENCE ❑ ❑ OCCUR ❑ CLAIMS MADE AGGREGATE ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND WC STA7� E] OTti- EMPLOYERS' LIABILITY Y UNITS R ANY PROPRIETOR/ PARTNER /EXECUTIVE E.L. EACH ACCIDENT OFFICER/ MEMBER EXCLUDED? Ifyes, descriim under E.L. DISEASE - EA EMPLOYEE SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS GC SPECIALIZING IN REMODELING & PLUMBING Request policy for complete details on endorsements and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATHM DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Clay of Miami Shores Village 10 DAYS WRnTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO Building Code Compliant Department THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIA131LITY 10050 Northeast 2nd Ave. OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Fax: 305 - 756 - 8972 ACORD 25 (2001/08) OF 0 ACORD CORPORATION 1888 Nov 17 09 09:24a Marcel Alonso 305 -663 -5769 p.2 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 ALONSO, MARCELINO JUAN AGE OF EMPIRE INC 6760 SW 50TH TER MIAMI FL 33155 Congratulations! With this license you become one of the nearly one million STATE OF MORIDA AC# 3 i4 2 2 711 Floridians licensed by the Department of Business and Professional Regulation. DEPARTMFJ1T OF BUSINESS AND " Our professionals and businesses range from architects to yacht brokers, from PROFESSIONAL REGULATION boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. CGC1514379 06/19/08 078168392 For Information about our services, please log onto www.myfloridalicense.com CERTIFIED GENERAL CONTRACTOR. There you can find more information about our divisions and the regulations that ALONSO, MARCELINO JUAN impact you, subscribe to department newsletters and learn more about the AGE OF EMPIRE INC Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers i Thank you for doing business in Florida, and congratulations on your new icense! I s CERTIFIED —d— ta® P- ,i.ioas of cn.489 is Expiration dat ®. AUG 31, 2010 L08061900664 DETACH HERE A ­382 7 `•: „ ...,- STiA.TE`OP FL��Di� . <`D ARTNT OE`: =.B STTSuND :PROFSSIONAI, REGULATION EP : CONS'Z'RTJ ,,: :T4VDU8TRY'' LI.CENS�NG.:.BOARD - * SEQ# L08061900664 � M NSE `TS1'68392 . :. 57:4` :9' Ili® GENERA�:.`CONTRiGTOI2'; Uzzder e rdvi'sicsas w';.,.. Exp oai•<• date `ATTG �:,:.y :��' %. r., ,.. .... ALONSO �MARCELI I30` ;i7LYAN AGE OF EMP IRE: INC 676 4`:':SV1 :S:OTH= "' `" • MIAMI' FL 33.15`5: 'CHAFLLZE�•:CRIST - - - GOVE - CHUCK RNOR DRAGO A8>`REQUIF2ED BY t AW INTERIM SECRETARY Nov 17 09 09:25a Marcel Alonso 305 - 663 -5769 p.3 410 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-2395 TA.LLA.HASSEE STR FL T 32399 -0783 ALONSO, MARCELINO JUAN .AGE OF EMPIRE INC 6760 SW 50TH TER MIAMI FL 33155 r Congratulations! With this license you become one of the nearly one million ST ATE of FLORIDA AC# 382 Floridians licensed by the Department of Business and Professional Regulation. DEPARTMENT OF BUSINESS AND Our professionals and businesses range from architects to yacht brokers, from PROFESSIONAL REGULATION boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. CFC1427603 06/19/08 078168394 For information about our services, please log onto www.myfforidalicense.com. CERTIFIED PLUMBING CONTRACTOR There you can find more information about our divisions and the regulations that ALONSO, MARCELINO aUAN impact you, subscribe to department newsletters and learn more about the AGE OF EMPIRE INC Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! IS CERTIFIED un der the proviaiona of ch .489 Fs sapirat3ou dates AVG 31, 2010 L08061900642 DETACH HERE AC# ' . : _ :STA -E.-OP ZLORIDA ::13EPARTlE' 01a' ; $ 3'R0FES S ZONAL REGULATION -_ - C.TSRETC'•:,ZjItY ;'LICENSING BOARD > : ' SEQ LOBO 619006 LOG/19 10 781.683'94.. CFO142.7603 - The: PLUMB ING CONTRACTt�Tt ''NaXlt @d b elow IS Under the provij�inns Expiration. datte-: '':A:UG 3 . ALONSfl:; MARCE:LINO, :,;.. AGE OF' EMPIRE- '• INC `~ MIAMI 7. 'C.H'ARL'h .GRIST ' ' y'c.�.7�' CHU DRAGO INTERIM SECRETARY A1S`?t A�°:x\2EQEfiRE17'i3Y LAW Nov 17 09 09:25a Marcel Alonso 305 -663 -5769 p.5 ..._ .......... .. ..... . �•tt^e t �, 09 - 09 - 2008 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL- SERVICES DIVISION OF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSAT LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 09109/2008 EXPIRATION DATE: 09/09/2010 PERSON: A4QNSQ MARCELINO FEIN: 260439498 BUSINESS NAME AND ADDRESS- AGE OF EMPIRE INC 6760 Std 50TEf TERR MIAMI FL 33155 SCOPES OF BUSINESS OR TRADE: S- CERTIFIED PLUMBING CONTRACTOR 2- CERTIFIED GENERAL CONTRACTOR 3- CERTIFIED UNDERGROUND UTILITIE IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by tiling a cettiricate of election ender this sactian may not recovm benefits at camDensaNan under this chaplet. Porsuaat to Chapter 440.051121, F.S., Certificates of election In be exempt... apply only within the scope of Ibo busloon or trade listed on the notice of election to be ixenpt. Pumuzet to thzptor 4 40.06413t, F.S., Notices of eieu:an to be exempt and rertiticates of election to be exempt shalt be subject to revocation if, at any time after the tiling of the notice or the issuance of file certificate, the person named on the notice or certificate an longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the Certificate to meet the tegairemenls at this section. OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 QUESTIONS? (850) 413- PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES � IMPORTANT DIVISION OF WORKERS' COMPENSATION ; Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who CONSTRUCTION INDUSTRY O CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA elects exemption from this chapter by filing a certificate of election WORKERS' COMPENSATION LAW 97 L under this section may not recover benefits or compensation under this 4-sD chapter. EFFECTIVE: 08/09/2008 EXPIRATION DATE: 09/09/2010 PERSON: P9ARCELINO ALONSO � Pursuant to Chapter 440.0502), F.S., Certificates of election to be exempt_. apply only within the scope of the business or trade listed on FEIN: 260439458 EE the notice of election to be exempt BUSINESS NAME AND ADDRESS: AGE of 5 E : Pursuant to Chapter 440.0503), F.S., Notices of election to be exempt 6760 sw ot0', n te E R1t and certificates of election to be exempt shall be subject to revocation ?.itAMi, rl 33555 i €, at any time after the filing of the notice or the issuance of the certificate, the person named an the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this 1- C£IiT:F:ED PLUMBING CONTRACTOR 7,- CERIWIED GENERAL CONTRACTOR sectlan. 3• ceRr. ea tRDeRCpouwn urttirlr QUESTIONS? (8501 413 -1604 CUT MERE Carry bottom portion on the Job, keep upper Portion for your records. OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 MIAMI - LTAUp WUN I Y 2UU9 LUCAL BUSINESS TAX RECEIPT.: - 2014: FIRST-CLASS TAX COLLECTOR . I11IjAMI -DADS COUNTY-; STATE OF FLCiR10A.: ':.. U.S. POSTAGE Z 140 W. FLAMER ST. EXPIRES SEPT. '30,20V PAID: o ist Ft:OOR MUST BE DISPLAYED AT PLACE• OF OUSINt's5$ ...:.; ,:`., ;:: ;'.:' >: .:.' MIAMI; IT �G } MIAMI, FL 331311: PURSUANT TO COUNTY CODE CHAPTER SA:- ART. !} ya. ;_:_'•:: ':•:- PERM N0. M v C) "AY f s i €!$ :S idt�T A3lLL -• t� f l: }T ?ICY c0 613358 - 1 RENEWAL o ° STATE TSM rn 0=0 �g$$ �� �^'' wa.� N� 6760 SW 'S0 TERM co � �` g as m¢ m M IT °' 33155 UNIN DADE;COUNTY �m In W%% o .,• �� OF •EMPIRE YfC n� $aa xm$a 'tom t to t t,- �►TIm °^ Wo..: �oO' WORKER /S �� C�•&�O h1m M � S8G' 80 m ncaa a$ �uT-o� ;g [I BUILDING CONTRACTOR 1 R THt9 IB ONLY* - LOCAL m BUSINS60 TAX AECFIPfi. (� A m . NOT P9Fm THE O W m 4 HO 02 ra VIOLATE ANY 4 m r�l m H I N NO LAWS�01 Y ens DO NOT FORWARD o' € z m z 'D r R O tai 0 0 1°? >e. � £ c0urm o GrtIES "A gp DO ES IT EXEtAP1 THE HO LD FROM OM ANYtOTHER AGE OF EMPIRE INC ' REQUII CEDBti BY oH�OF MARCELINQ J ALONSO PRES asr�rn n u' a. ITHeR040Bfl'80UALIRCA• 6760 SW 50 TERR moo m MCI '"' ;�, �+ -»� { MIAMI FL 33155 ! to r-1 z d rTt ' > A ® € PAYMENT t C51tE0 � � :'C� �`.. O.. � 14SAh11.OAD$ COUN7YTAX I € � I" 2: m C7 FA O rl i GOLtECTOR wo0� z ���o� j QZ/03l2009 w �� moc 09010193001 in �a S b r ITI f aaoo7x.00 LIIItIlllrrr►iIr III, Iirllrllltll ,Ilfltl, fill ilflltllllltl,l 611 2 f Q I m--i`. SEE OTHER SIDE C) > COUNTY 72009 LOCAL iUSINESS TAX RECEIPT ' 201 qv: FIRST-CLASS , � TAX COi:t ECTOR MIAMI•DAOE COUNTY • STATE OF FLOAIDA °.'.. ; >: u. S. POSTAGE I = rn a = 1A0 W: FLAQLEA ST, EXPIRES SEPT, 30,2010 .• : PAID . I y a n =�: •: lot FLOOR :.. MOV OE•DISPLAYEO AT PLACE OF BU . SINESS: ° ::::. • ..`::. MIAML FL- € MiAM1, Fl 33150: PURSUANT TO COUN' Y CODE CHAPTER SA - ART: 9. &. i0 , _: , : PERMIT M 23 wz IV p ,. I THIS IS P €OT A BILL DO i I 4N m ,. :.. { 618980 -7 RENEWAL 434 -2 1 � � a 645 .. •. . ° � eus y� s O � c I w ►-+ r �G S A 1 427603 0 NC 7ATE� �� A 6760 SW 50 TERR 33155 UNIN DADE ;COUNTY I c� i QWA � OF EMPIRE INC rn WORKER /S C° a do ; ssogT MG COOITRACTOR � j C - a THIS 18 ONLY A LOCAL 'I BUBINES8 TAX - MCOP ,, IT WED. NOT PERMIT THE (J HOLDER TO VIOLATE ANY I ! 2 Ota�NO ° L AN[ O DO NOT FORWARD �'_" — • I COUNTY ofl CiT1E8, NOfl I D R FROM ANY 0 ER PERMIT OR ,T SNas REQUIRED BY LAW AGE OF EMPIRE INC , ON IS THEHOLOEA'SQUALIRCA °' • MARCELINO J ALONSO PRES 'IONS. 6760 SW 50 TERR PAY NT RECEIVED MIAMI FL 33155 TM DADE COLLECTO ► 07/03/2009 09010192001 7 000075.00 �s rl�s is ��s lls lls �s �rs is ll lfll s� sIT111��s,�1,�.1! „I }.....7t.!