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135 NE 94 St (10)Company Phone # For Inspector: Approved, (l) Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request /`S / ' Time 21 S�O Date 6 i Type Insp'n /POOL s1 /! , 8i) - ihc't Permit No. (/ D ' ja / Name 6or)o .1 23L5 N 2 / 5 (_ Address MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ° '/ " Time Type Insp'n Permit No. A - //-3 Name (3 h4' Address /3 a /l W 574 Company 1104 / Phone # For Inspector: -;„ ) O , e & to Approved Correction Re- Insp'n Fee _•%Iii %�,/i •,i _�i/� / ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ..51 /1 Time Type Insp'n Permit No. "370 x 02 ' '"pZ / Name T/!J1. Address //g 9f Company 4 1 Phone # — 3 Or— Yloq ` 0000 For Inspector: ;�S Name & e C) 0 Approved Correction ❑ Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n ��t /'b Permit No„ r •e u . Name *A Milt I -441 • Address For Inspector: Approve d G Correction Re- Insp'n Fee 5c) Company Phone # ( S ame & Date " o; )a8 zL 4 6th � e - M2i,viS 0 4. -77.oe)L. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 B uilding Inspection Request Date /I az. Time Type Insp'n � d& Permit No. F PO - /3 / Name lT ? VdO Il Address /3 S 11 7 S,L Company $ g ! 7O B 1 Phone # 3 D For Inspector: ,C Approved Correction Re- Insp'n Fee ❑ Date Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /5/2005 Applicant: FLORENCE Owner: BLACK - GORDON JOB ADDRESS: 135 NE 94 u TE r Permit Number: 1L2005 =297 I] Page 1 of 1 Contractor RJJ PLUMBING CONTRACTOR CORP Contractor's Address: 2970 W 84 ST UNIT 3 Local Phone: Parcel # 1132060132881 BLACK - GORDON FLORENCE ST Legal Description: 1 53 41 & 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 19 & E3OFT LOT 18 BLK Fees: FEE2005 -13154 FEE2005 -13155 FEE2005 -13156 FEE2005 -13157 FEE2005 -13158 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Total Fees: Amount $140.00 $0.60 $5.00 $0.20 $3.50 $149.30 Total Fees: $149.30 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 4/1/2006 Construction Value: $1,000.00 Work: INSTALL KITCHEN SINK, FAUCET, DISHWASHER AND ICE MAKER Signed: (INSPECTOR) 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: r� Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP- 3942. ' .:.~ Permit Number: BP2005 -1418 Inspection Date: 12/22/2005 Inspector: Grande, Claudio Owner: BLACK - GORDON, FLORENCE Job Address: 135 94 Street NE Miami Shores Village, FL Project: <NONE> Contractor: Building Department Comments Thursday, December 22, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Kitchen Cabinets Work Classification: Kitchen Cabinets Phone Number Parcel Number 1132060132881 Lot: Page 2 of 2 135 NE 94 ST FINAL KITCHEN CABINETS Passed Inspector Comments f fitA-4- AC-t:e—P F 1 lam-' ) ellitsj , Failed I Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP4253"" Permit Number: BP2OO5 -1418 Inspection Date: 12/19/2005 Inspector: Grande, Claudio Owner: BLACK - GORDON, FLORENCE Job Address: 135 94 Street NE Miami Shores Village, FL Project: <NONE> Contractor: Building Department Comments Friday, December 16, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Kitchen Cabinets Phone Number Parcel Number 1132060132881 Lot: Page 2 of 2 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10/5/2005 Applicant: FLORENCE Owner: BLACK - GORDON JOB ADDRESS: 135 NE 94 Contractor Local Phone: Parcel # 1132060132881 Signed: (Contractor or Builder) uliding Perot Permit Number: fP2OO5 14118 BLACK - GORDON FLORENCE ST Contractor's Address: Permit Status: APPROVED Permit Expiration: 3/29/2006 Construction Value: $2,200.00 Work: KITCHEN CABINETS REMODELING BY: Page 1 of 1 Legal Description: 1 53 41 & 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 19 & E3OFT LOT 18 BLK Fees: FEE2005 -13170 FEE2005 -13171 FEE2005 -13172 FEE2005 -13173 FEE2005 -13174 FEE2005 -13175 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $100.00 $1.80 $5.00 $0.20 $2.50 $3.00 $112.50 Total Fees: $112.50 Total Receipts: $0.00 c t'� c t Signed: (INSPECTOR) 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 responisibility for all work done by either myself, my agent, servants or employes. 1350NE 94 ST FINAL INSPECTION FOR RAILINGS TILES IN PORCH AND 9 Passed (� a Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until � i � Inspection Number: 3245Ta 4444 ,, Inspection Date: 12/16/2005 Inspector: Grande, Claudio Owner: BLACK - GORDON, FLORENCE Job Address: 135 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Friday, December 16, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: v Permit Number: BP2005-1420 Permit Type: Imported Permit Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060132881 Lot: Page 2 of 2 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. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent Contractor The for oing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day t1; -ZJ by ; D , C e ✓) y of , 20 by Atlantic bon who is person, y kno n to me or who has produced NOTAR Sign: Print: My Co mission Expires: APPLICATION APPROVED BY: Chc 05/13/03 11CD Signature who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. 9'Pas o., n * * * * * * * * * * * * * * * * ** * s * * * *s * *s * * * *ss * * * * * *ss * * * *** * ** NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * ** * * * * * * * * * * * ** ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * ** ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** $0/ DV Plans Examiner Engineer Zoning Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING 'i '_..4 7 z G ' 4, Permit No�^ 4 2O PERMIT APPLICATION Master Permit No. FBC 2001 _ 1�- Permit Type (circle): Building E le ctr ical Plumbing Mechanical l Roofing Owner's Name (Fee Simple f1 Titleholder � �P e sag 1725 Phone # c 0 5 / / 2/5 — 7 53 Owner's Address 95 H" G 9 V 57 - City t(ri9M i ' S a P5 State ( Zip ,.3 3 /3 &' Tenant/Lessee Name Ap) Phone #/� Job Address (where the work is being done) /35A/E 91-5.7 • Is Building Historically Designated YES $ Value of Work For this Permi t / 0 0 . 0 0 Total Fee Now Due $ [12.10 (Continued on opposite side) Miami Shores Village City Miami Shores Villa :e County Miami -Dade NO K State Certificate or Registration No. Certificate of Competency No. Zip Contractor's Company NameCDC 1 2. Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Phone # Type of Work: ❑Addition ['Alteration ❑New / tdRe air/Re lace p p ❑Demolition Describe Work: 1e c E pig / r!/ � � s /., poi? i9'7 Q7 Ft7 / Ace - 7 1 //e s Submittal Fee $ Permit Fee $ /06 CCF $ • Z0 CO /CC Notary $5. CO Training/Education Fee $ C) . 40 Technology Fee $ 2 .S7 Scanning $ 3 • CO Radon $ Zoning_ Bond $ Code Enforcement $ Structural Plan Review. $ Square Footage Of Work: PI Z 1/ 64/4.444-7' • VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT 1 5 ,9/5 Located at: / 35g. " 1 57 ' ' s`l as ,3 /;e Legally described as Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),And I have read and understand the following disclosure Statement, which entitles me to ibrk 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 licensed contractors. You have applied for a permit under an exemption to that 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- farnily or two- family residence or a farm out - building. ' You may also build or improve a commercial building at a cost of 525,000.00 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 completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that 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- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument Was acknowledged before me this 28 day 6tt , 20 �J By Produced Owner Owner ID. BUILDING DEPARTMENT being the legal property owner, for the property DISCLOSURE STATEMV1ENT arm who is personally brown to me or who has as identificat who did take an oath. a- xptres: Ju I Bon ded 7'h n. 4 tianhr Rnndutn ('ri f r Reviewer: Claudio Grande C.B.O 305- 795 -2204 Ext 430 Miami Shores Village Building Department Permit No. Job Name Date BUILDING CRITIQUE SHEET S c4- lGo4J 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ®5 L0-0 6.4A)70.5 . 9 / 2 4o,9oSe2 eay.s 4c(X '/44 77A; S fc�vze /s Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /14/2005 Applicant: FLORENCE Owner: BLACK - GORDON JOB ADDRESS: 135 NE 94 Contractor Local Phone: Parcel # 1132060132881 Signed: (INSPECTOR) Lill ST Signed: (Contractor or Builder) ink Per mat Permit Number: P2005-1420 BLACK - GORDON FLORENCE Contractor's Address: BY: Permit Status: APPROVED Permit Expiration: 3/29/2006 Construction Value: $1,100.00 Work: REPLACE RAILINGS IN PORCH AND REPLACE TILES Page 1 of 1 Legal Description: 1 53 41 & 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 19 & E3OFT LOT 18 BLK Fees: FEE2005 -13531 FEE2005 -13532 FEE2005 -13533 FEE2005 -13534 FEE2005 -13535 FEE2005 -13536 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Notary Fee Total Fees: Amount $100.00 $1.20 $0.40 $2.50 $3.00 $5.00 $112.10 Total Fees: $112.10 Total Receipts: $0.00 02 PAM ►-r C- 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 responisibility for all work done by either myself, my agent, servants or employes. / -r S,.2 „fie ;1,47 � , 45 tac, 6: ij;, To ° ; ` 44 7 k: 00-C ��.�. s � �S I/S�v� , p, ckci-s f K 4/ oc I Ap NJN 1 4., GrT T1 wsQt. 3*1v57Lt 11/ &fi..T4ZL.Z.1,-. I 1 p* / e v F(J L.) 4 4 t,✓ f 2,-_,7 - ( ite, c.., ,,,., 4A, e.,0- 7 -4 . ) 0, �t1A0� 1Mir it 17&3Q' P. t UL ONE c RESIDINOE sus k_ LOT 18 OCK .1•04 r.•..•• - -- • 0.00' P, --- , 1� aunt .• ••• • • • • • • .. . .• .. • • •• •• ■ .r.. W'1• � . • • TOTAL, • • • • • T • • • • • • • • • • • • • • • • • • • • • • • 4 • O • • • • • • • • • • • • • • • • • • • • • • • • • • • . • • • • • • • • • • • • • • • • • • • • • ••• • • ••• • • Iii lid& Oiniu 1e css C)ns wee Owed at dis gm, of V purvey, SAP !ft 137 AV tAr La CONC ar PAM ffi' Af1PtM .... • • .... • • • • .. • • .. • • •••• • • • • .. •••• • .. • • •••• .. • •••• .. • .. • • • • • • • •••• • • • . ▪ •••• • • • • • • • •.• 0 • •• 0• • .y. FORM 600A -2001 Project Name: Address: City, State: Owner: Climate Zone: FLORIDA E E GY EF DCIE CY CODE FOR !'UILDI O CONSTRUCTION 1. Ncw construction or existing 2. Single family or rnulti-family 3. Number of units, if multi-family 4. Number of Bedrooms 5. Is this a worst case? 6. Conditioned floor arca (ft') 7. Glass area d-type a. Clear glass, default U- factor b. Default tint c. Labeled U or SHGC 8. Floor types a. Slab -On -Grade Edge Insulation b. N/A _ c. N/A 9. Wall types a. Concrete, Int Insul, Exterior b. Frame, Wood, Adjaccnt c. N/A d. N/A c. N/A 10. Ceiling types a. Under Attic b. N/A c. N/A 11. Ducts a. Sup: Unc. Rct: Con. AH: Garage L. N/A 0.0 ft` 377.0 fl 0.0 ft' Florida Department of Community Affairs Residential Whole Building Performance Method A TERRACE ENCLOSURE 135 NE 94 STREET MIAM SHORES, FL 33138 - Florence Gordon rESIDENCE South Addition Single family 1 3 No 2100 ff vl L: Pna:: 0.0 ft 0.0 ft 0.0 ft' R=0.0, 266.0(p) fi: _ R�.0, 1383.0 ft" 128.0 f1 R =30.0, 2184.0 ft Sup. R=6.0, 50.0 ft _ 12. Cooling systems a. Central Unit b. N/A c. N/A 13. Heating systems a. Electric Strip b. N/A c. N/A 14. Hot water systems a. Electric Resistance b. N/A Builder: Permitting Office: Permit Number: Jurisdiction Number: c. Conservation credits (HR -Hcat recovery, Solar DHP- Dedicated heat pump) 15. HVAC credits (CF- Ceiling fan, CV -Cross ventilation. HF- Whole house fan, PT-Programmable Thermostat, 1417- C- Multizone cooling, MZ- H- Multizonc heating) MIAMI SHORES Cap: 48.0 kl3tu SEER: 13.00 Cap: 32.0 kBtu/hr COP: 1.00 Cap: 50.0 gallons EF: 0.89 Glass /Floor Area: 0.18 Total as -built points: 31265 Total base points: 31967 PASS PT. I hereby certify that the plans and specifications covered by this calculation are in pliance with the Florida Energy Code. PREPARED BY DATE: ./r-09 I hereby certify that this building, as designed, is in compliance with the Florida Energy Code. OWNER /AGENT: DATE: Florida S BUILDING DATE: -nnrnv =at,ncii•.1 (4,creinr 2".I3:, y this mpliance Code. i p! : g e d cted for Sec ion 553.908 s. OFFICIAL: 1 BASE AS -BUILT INFILTRATION Area X BSPM = Points Area X SPM = Points 2100.0 18.79 39459.0 2100.0 18 79 39459 0 Summer Base Points: 56294.1 Summer As -Built Points: 60974.3 Total Summer Points X System Multiplier = Cooling Points Total X Component Cap X Duct X System X Credit Ratio Multiplier Multiplier Multiplier (DM x DSM x AHU) = Cooling Points 56294.1 0.4266 24015.1 60974.3 60974.3 1.000 (1.067 x 1.165 x 1 00) 0.262 1.00 1.243 0.262 0.950 0.950 18887 4 18887.4 FORM 600A -2001 ER CALCULAT • `,JS Residential Whole Building Performance Method A - Details rn' n ^ a =.,r,, ADDRESS: 135 NE 94 STREET, MIAM SHORES, FL, 33138 PERMIT #: I BASE AS -BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Floor Area Overhang Type /SC Ornt Len Hgt Area X SPM X SOF = Toints .18 2100.0 32.50 12285.0 I _ . Single, Tint N 2.0 8.0 84.0 29.33 0.94 2316.7 Single, Tint N 2 0 4.0 15.0 29.33 0 84 368.2 Single. Tint E 2 0 4.0 76.0 65 40 0 74 3678 4 Single, Tint E 2 0 3.0 4.0 65 40 0 65 169.3 Single. Tint E -1 0 4 0 40.0 65 40 0.63 1394.0 Single. Tint E 2 0 4 0 13.0 65.40 0 74 629.2 Single. Tint S 2.0 4 0 25.0 55.34 0 67 931.0 Single, Tint S 2 0 4 0 25.0 55.34 0 67 931.0 Single, Tint W 2 0 3 0 26.0 58.39 0.67 1009.7 Single, Tint W 2 0 3.0 4.0 58.39 0 67 155 3 Single. Tint W 2.0 4.0 50.0 58.39 0 75 2188.5 Single. Tint W 2 0 3.0 15.0 58.39 0 67 582.5 As -Built Total: 377.0 14353.8 WALL TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Adjacent 128.0 1.00 128.0 Exterior 1383.0 2.70 3734.1 Base Total: 1511.0 3862.1 Concrete. Int Insul, Exterior 0 0 1383.0 4 20 5808.6 Frame. Wood, Adjacent 0.0 128.0 3 40 435.2 As -Built Total: 1511.0 6243.8 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior 20.0 6.40 128.0 Base Total: 20.0 128.0 Exterior Wooa 20.0 9 40 188 0 As -Built Total: 20.0 188.0 CEILING TYPES Area X BSPM = Points Type R -Value Area X SPM X SCM = Points Under Attic 2100.0 2.80 5880.0 Base Total: 2100.0 5880.0 Under Attic 30.0 2184.0 2.77 X 1.00 6049.7 As -Built Total: 2184.0 6049.7 FLOOR TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Slab 266.0(p) -20.0 - 5320.0 Raised - 0.6 0.00 0.0 Base Total: -6320.0 Slab -On -Grade Edge Insulation 0.0 266.0(p -20.00 - 5320.0 As -Built Total: 266.0 - 6320.0 FORM 600A -2001 SUM r EAD' , C /\LC L TII*NS Residential Whole Building Performance Method A - Details = no n•, _a inor6i ^n ;:nr,r Ron L_7nr: no ,,r_a $e =, „_. ^ inn n ID. ADDRESS: 135 NE 94 STREET, MIAM SHORES, FL, 33138- PERMIT #: FORM 600A -2001 Y 11 t C LCULATIO S Residential Whole Building Performance Method A - Details ADDRESS: 135 NE 94 STREET, MIAM SHORES, FL, 33138- PERMIT #: = Horn „ _a Work n, orn,r_,. inor151/=i =rDnn1 =i a "1747-, qr BASE AS- BUILT INFILTRATION Area X BWPM = Points Area X WPM = Points 2100.0 -0.06 -126.0 2100.0 -0.06 -126.0 Winter Base Points: 1347.3 Winter As -Built Points: 4565.1 Total Winter Points X System = Multiplier Heating Points Total X Component Cap X Duct X System X Credit Ratio Multiplier Multiplier Multiplier (DM xDSMxAHU) = Heating Points 1347.3 0.6274 845.3 4565.1 4565.1 1.000 (1.085 x 1 137 x 1.00) 1.00 1.234 1.000 1.000 0.950 0.950 5350. 5350. FORM 600A -2001 Y 11 t C LCULATIO S Residential Whole Building Performance Method A - Details ADDRESS: 135 NE 94 STREET, MIAM SHORES, FL, 33138- PERMIT #: = Horn „ _a Work n, orn,r_,. inor151/=i =rDnn1 =i a "1747-, qr EASE AS -BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Floor Area Overhang Type /SC Ornt Len Hgt Area X WPM X WOF Points .18 2100.0 2.36 892.1 Single, Tint N 2.0 8.0 84.0 6.11 0.99 509.2 Single, Tint N 2.0 4.0 15.0 6.11 0 98 89.9 Single, Tint E 2 0 4.0 76.0 5.05 1.05 402.4 Single, Tint E 2.0 3 0 4.0 5.05 1 07 21.6 Single. Tint 0 4 r 4 '7 40.0 5 05 1 11 224 6 Single, Tint E 2 0 4.0 13.0 5.05 1.05 68.8 Single, Tint S 2 0 4.0 25.0 4.79 1 13 135.6 Single, Tint S 2.0 4 0 25.0 4.79 1 13 135.6 Single, Tint W 2 0 3 0 26.0 5.65 1 02 149 1 Single, Tint W 2 0 3 0 4.0 5.65 1.02 22.9 Single, Tint W 2.0 4.0 50.0 5.65 1.01 284.2 Single. Tint W 2 0 3.0 15.0 5 65 1 02 86.0 As -Built Total: 377.0 2130.0 WALL TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Adjacent 128.0 0.50 64.0 Concrete, Int Insul, Exterior 0 0 1383.0 1.90 2627 7 Exterior 1383.0 0.60 829.8 Frame, Wood, Adjacent 0.0 128.0 1.70 217.6 Base Total: 1511.0 893.8 As -Built Total: 1511.0 2845.3 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0 0 0.06 0.0 Exteror Wood 20 0 2 80 56.0 Exterior 20 0 1.80 36 0 Base Total: 20.0 36.0 As -Built Total: 20.0 56.0 CEILING TYPES Area X BWPM = Points Type R -Value Area X WPM X WCM = Points Under Attic 2100.0 0.10 210.0 Under Attic 30.0 2184.0 0.10 X 1.00 218.4 Base Total: 2100.0 210.0 As -Built Total: 2184.0 218.4 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Slab 266.0(p) -2.1 -558.6 Slab -On -Grade Edge Insulation 0.0 266.0(p -2.10 -558.6 Raised 0.0 0.00 0.0 Base Total: 658.6 As -Built Total: 266.0 -658.6 FORM 600A -2001 INTER C LCUL 4 T ONS Residential Whole Building Performance Method A - Details I ADDRESS: 135 NE 94 STREET, MIAM SHORES, FL, 33138- PERMIT #: ry^z. Cnorn,,r -a or,;= cc inn ,P „ 'Zr BASE CODE COMPLIANCE STATUS AS -SUOLT WATER HEATING Number of X Bedrooms Multiplier BASE Total Tank EF Volume { X Tank X Multiplier X Credit = Total Ratio Multiplier 3 AS -BUILT 7107.0 Cooling. Points + Heating + Points Hot Water Points = Total Points Cooling Points + Heating + Hot Water Points Points = Total Points 24015 845 7107 31967 18887 5350 7027 31265 BASE AS -SUOLT WATER HEATING Number of X Bedrooms Multiplier = Total Tank EF Volume Number of Bedrooms X Tank X Multiplier X Credit = Total Ratio Multiplier 3 2369.00 7107.0 50.0 0.89 As -Built Total: 3 1.00 2342.38 1.00 70271 7027.1 FORM 600A -2001 ATER HEATING & C DE C MPUUANCE STATUS •Residential Whole Building Performance Method A - Details ADDRESS: 135 NE 94 STREET, MIAM SHORES, FL, 33138- PERMIT #: error „(_o Wore. n -L =nrr∎ inn _inn _�:.- ,,,_. nay, ; = ioD = inn CI D ^DG �r COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows & Doors 606.1.ABC.1.1 Maximum:.3 cfm/sq.ft. window area; .5 cfm/sq.ft. door area Exterior & Adjacent Walls 606.1.ABC.1.2.1 Caulk. gasket, weatherstrip or seal between: windows /doors & frames, surrounding wall, foundation & wall sole or sill plate; joints between exterior wall panels at corners; utility penetrations; between wall panels & top /bottom plates; between walls and floor. 11 EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to, the foundation to the top plate. / 6 � Floors 606.1.ABC.1.2.2 Penetrations /openings >1/8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and seams Between walls & ceilings. penetrations of ceiling plane of top floor; around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate. attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seams. V Ceilings 606.1.ABC.1.2.3 Recessed Lighting Fixtures - 606 1.ABC.1.2 4 Type IC rated with no penetrations, sealed; or Type IC or non -IC rated, installed inside a sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2.0 cfm from conditioned space, tested. / .,/ Multi -story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. '/ Additional Infiltration reqts - 606 1.ABC.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6 -12. Switch or clearly marked circuit breaker (electric) or cutoff (qas) must be provided. External or built -in heat trap required. Swimming Pools & Spas 612 1 Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a pump timer Gas spa & pool heaters must have a minimum thermal efficiency of 78 %. l / Shower heads 612.1 Water flow must be restricted to no more than 2.5 oallons per minute at 80 PSIG All ducts, fittings. mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated, and installed in accordance with the criteria of Section 610 Ducts in unconditioned attics: R -6 min. insulation. i.--/ o// V f Air Distribution Systems 610 1 HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1, 602.1 Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. l7 FORM 600A -2001 Code Co„ ipliance Checklist 'Residential Whole Building Performance Method A - Details ADDRESS: 135 NE 94 STREET, MIAM SHORES, FL, 33138 PERMIT #: 6A - 21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST met or exceeded b all residences Horn, rr -.lino T!' r l ^A nrm ann._ -')nr 7 :7 „ r Florence Gordon rESIDENCE 135 NE 94 STREET MIAM SHORES, FL 33138- Summary Energy Cote Results Residential Whole Building Performance Method A Project Title: TERRACE ENCLOSURE Code Only Professional Version Climate: South 12/14/2004 PASS e- Ratio: 0.98 EnergyGauae ®(Versior:: F! RCP5 v3.30, Energy Use Base As -Built Cooling: Heating: Hot Water: Total: 24015 points 845 points 7107 points 31967 points Cooling: Heating: Hot Water: Total: 18887 points 5350 points 7027 points 31265 points Florence Gordon rESIDENCE 135 NE 94 STREET MIAM SHORES, FL 33138- Summary Energy Cote Results Residential Whole Building Performance Method A Project Title: TERRACE ENCLOSURE Code Only Professional Version Climate: South 12/14/2004 PASS e- Ratio: 0.98 EnergyGauae ®(Versior:: F! RCP5 v3.30, uold ng Loads Base As -Built Summer: Winter: Hot Water: Total: 56294 points 1347 points 6254 points 63896 points Summer: Winter: Hot Water: Total: 60974 points 4565 points 6254 points 71794 points Florence Gordon rESIDENCE 135 NE 94 STREET MIAM SHORES, FL 33138- Summary Energy Cote Results Residential Whole Building Performance Method A Project Title: TERRACE ENCLOSURE Code Only Professional Version Climate: South 12/14/2004 PASS e- Ratio: 0.98 EnergyGauae ®(Versior:: F! RCP5 v3.30, GY E ISPLAY CA izir a .; :t .,.1r ., x M. t.IF. t'a?!t ESTIMATED ENERGY PERFORMANCE SCORE* = 54:4 The higher the score, the more efficient the home. • , If ∎lx !wr1 „13r5A t :;7k1F fi131% i'sWr Rat,�"1h'tCrai vii' Florence Gordon rESIDENCE, 135 NE 94 STREET, MIAM SHORES, FL, 33138- 1. New construction or existing 2. Single family or multi- family 3. Numbcr of units, if multi- family 4. Number of Bedrooms 5. Is this a worst case? 6. Conditioned floor arca (ft `l. Glass arca & tyi)e a. Clear - single pane b. Clear - double pane c. Tint/other SHGC - single pane d. Tint/other SHGC - double pant 8. Floor types a. Slab -On -Grade Edge Insulation R:).0, 266.0(p) ft b. N/A - c. N/A 9. Wall types _ a. Concrete, Int Insul, Exterior R0.0, 1383.0 ft' _ b. Frame, Wood, Adjacent R3.0, 128.0 ft _ c. N/A d. N/A e. N/A 10. Ceiling types a. Undcr Attic b. N/A c. N/A 11. Ducts a. Sup: Unc. Rel.: Con. AH: Garage Sup. R 6.0, 50.0 f b. N/A Single Pane 0.0 ft 377.0 ft 0.0 ft Addition Single family 1 3 No 2100 ft Double Pane 0.0 ft 0.0 ft 0.0 fe N CE LEVEL (E t 12. Cooling systems a. Central Unit b. N/A c. N/A 13. Heating systems a. Electric Strip b. N/A c. N/A 14. Hot water systems a. Electric Resistance b. N/A c. Conservation crcdits (HR -Hcat recovery, Solar _ DIIP- Dedicated heat pump) R =30.0, 2184.0 ft _ 15. HVAC credits (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, MZ- C- Multizonc cooling, MZ- H- Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: Date: Address of New Home: City/FL Zip: L) Cap: 48.0 kBtu/hu SEER: 13.00 Cap: 32.0 kBtu/hr _ COP: 1.00 Cap: 50.0 gallons EF: 0.89 PT, _ *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA/DOE EnergyStdP designation), your home may qualify for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -1492 or see the Energy Gauge web site at wwwfsec.ucf edu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1S2 EnergvGauge® N %ersior. FLRCPB 04P 1, /2. -2' Location for weather data: Miami - Defaults: Latitude(25) Temp Range(L) Humidity data: Interior RH (50 %) Outdoor wet bulb (77F) Humidity difference(56qr.) Winter design temperature 47 F Summer design temperature 90 F Winter setpoint 70 F Summer setpoint 75 F Winter temperature difference 23 F Summer temperature difference 15 F Total heating Toad calculation 38478 Btuh Total cooling load calculation 37968 Btuh Submitted heating capacity % of calc Btuh Submitted cooling capacity % of calc Btuh Total (Electric Strip) 83.2 32000 Sensible (SHR = 0.75) 108.1 36000 Btuh Duct loss Latent 257.5 12000 TOTAL HEAT LOSS Total 126.4 48000 Load component Load Window total 377 sqft 10028 Btuh Wail total 1511 sqft 16872 Btuh Door total 20 sqft 212 Btuh Ceiling total 2184 sqft 1747 Btuh Floor total 266 ft 4948 Btuh Infiltration 112 cfm 2839 Btuh Subtotal 36646 Btuh Duct loss 1832 Btuh TOTAL HEAT LOSS 38478 Btuh Residential System Sizin Summary Project Title: TERRACE ENCLOSURE Florence Gordon rESIDENCE 135 NE 94 STREET MIAM SHORES, FL 33138- Load for 2100 sgft Summer Cooling. Load (for 2100 sqft Load component Load Window total Wall total Door total Ceiling total Floor total Infiltration Internal gain Subtotal(sensible) Duct gain Total sensible gain Latent gain(infiltration) Latent gain(intemal) Total latent gain TOTAL HEAT GAIN 377 1511 20 2184 sqft sqft sqft sqft 98 cfm 12157 11274 208 2621 0 1620 2400 30280 3028 33308 3739 920 4659 3796E Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh WINTER CALCULATIONS SUMMER CALCULATIONS = narnv',ai inch' =1 R"Pr+ « '.i Calculate V :S) Code Only Professional Version Climate: South EnergyGauge® System Sizin PREPARED BY Florence Gordon rESIDENCE 135 NE 94 STREET MIAM SHORES, FL 33138- anual J ;% Calculations Residential Load - Component Details (continued) Code Only Professional Version Climate: South Project Title: TERRACE ENCLOSURE 12/14/2004 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 ) -r, rn•,n;aiir, 4 Window Panes /SHGC /Frame /U Orientation Area X HTM= Load C\I CO `4" 1.0 co cr) " 1, Tint, Metal, DEF N 84.0 26.6 2234 Btuh 1, Tint, Metal, DEF N 15.0 26.6 399 Btuh 1, Tint, Metal, DEF E 76.0 26.6 2022 Btuh 1, Tint, Metal, DEF E 4.0 26.6 106 Btuh 1, Tint, Metal, DEF E 40.0 26.6 1064 Btuh 1, Tint, Metal, DEF E 13.0 26.6 346 Btuh 1, Tint, Metal, DEF S 25.0 26.6 665 Btuh 1, Tint, Metal, DEF S 25.0 26.6 665 Btuh 1, Tint, Metal, DEF W 26.0 26.6 692 Btuh 1, Tint, Metal, DEF W 4.0 26.6 106 Btuh 1, Tint, Metal, DEF W 50.0 26.6 1330 Btuh 1, Tint, Metal, DEF W 15.0 26.6 399 Btuh Window Total 377 10028 Btuh Walls Type R -Value Area X HTM= Load 1 Concrete - Exterior 0.0 1383 11.7 16181 Btuh 2 Frame - Adjacent 0.0 128 5.4 691 Btuh Wall Total 1511 16872 Btuh Doors Type Area X HTM= Load 1 Wood - Exter 20 10.6 212 Btuh Door Total 20 212Btuh Ceilings Type R - Value Area X HTM= Load 1 Under Attic 30.0 2184 0.8 1747 Btuh Ceiling Total 2184 1747Btuh Floors Type R -Value Size X HTM= Load 1 Slab -On -Grade Edge Insula 0 266.0 ft(p) 18.6 4948 Btuh Floor Total 266 4948 Btuh Infiltration Type ACH X Building Volume CFM= Load Natural 0.40 16800(sgft) 112 2839 Btuh Mechanical 0 0 Btuh Infiltration Total 112 2839 Btuh System Sizing Calculations o Winter Residential Load - Component Details Florence Gordon rESIDENCE Project Title: 135 NE 94 STREET TERRACE ENCLOSURE MIAM SHORES, FL 33138- Reference City: Miami (Defaults) Winter Temperature Difference: 23.0 F = nornv ",ai oar =I R ^DP, v- 4 Code Only Professional Version Climate: South 12/14/2004 Totals for Heating Subtotal Duct Loss(using duct multiplier of 0.05) Total Btuh Loss 36646 Btuh 1832 Btuh 38478 Btuh Vindow Type Panes/SHGC/U/InSh/ExSh Ornt Overhang Len Hat Window Area(sgft) Gross Shaded Unshaded HTM Shaded Unshaded Load 1, Tint, DEF, N, N N co Q s-f c+) V V V V CO CO ‘;t C", (V (V CV N tV (V CV tr (V N 84.0 0.0 84.0 20 20 1680 Btuh 1, Tint, DEF, N, N N 15.0 0.0 15.0 20 20 300 Btuh 1, Tint, DEF, N, N E 76.0 31.5 44 5 20 61 3343 Btuh 1, Tint, DEF, N, N E 4.0 1.3 2.7 20 61 190 Btuh 1, Tint, DEF, N, N E 40.0 33.2 6.8 20 61 1079 Btuh 1, Tint, DEF, N, N E 13.0 4.6 8 4 20 61 606 Btuh 1, Tint, DEF, N. N S 25.0 25 0 0 0 20 32 500 Btuh 1, Tint, DEF, N, N S 25.0 25.0 0.0 20 32 500 Btu! 1, Tint, DEF, N, N W 26.0 14 4 11.6 20 61 996 Btuh 1, Tint, DEF, N, N W 4.0 1.3 2.7 20 61 190 Btuh 1, Tint, DEF, N, N W 50.0 20.8 29.3 20 61 2199 Btuh 1, Tint, DEF, N, N W 15.0 8.3 6 7 20 61 575 Btuh Window Total 377 12157 Btuh Walls Type R -Value Area HTM Load 1 Concrete - Exterior 0.0 1383 0 7.8 10787 Btuh 2 - Frame - Adjacent 0.0 128.0 3.8 486 Btuh Wall Total 1511.0 11274 Btuh Doors Type Area HTM Load 1 Wood - Exter 20 0 10.4 208 Btuh Door Total 20.0 208 Btuh Ceilings Type /Color R -Value Area HTM Load 1 Under Attic/Light 30.0 2184 0 1 2 2621 Btuh Ceiling Total 2184.0 2621 Btuh Floors Type R -Value Size HTM Load 1 Slab -On -Grade Edge Insulation 0.0 266 0 ft(p) 0.0 0 Btuh Floor Total 266.0 0 Btuh Infiltration Type ACH Volume CFM= Load Natural 0.35 16800 98.2 1620 Btuh Mechanical 0 0 Btuh Infiltration Total 98 1620 Btuh System Sizi ; g Calculations - S }.Ammer Residential Load - Component Details Florence Gordon rESIDENCE Project Title: 135 NE 94 STREET TERRACE ENCLOSURE AM SHORES, FL 33138- Reference City: Miami (Defaults) Summer Temperature Difference: 15.0 F Warns. ".a1 ina(r =1 P Code Only Professional Version Climate: South 12/14/2004 Internal gain Occupants 4 Btuh/occupant X 300 + Appliance 1200 Load 2400 Btuh anu && J Summer Calculations Residential Load - Component Details (continued) Florence Gordon rESIDENCE Project Title: Code Only 135 NE 94 STREET TERRACE ENCLOSURE Professional Version MIAM SHORES, FL 33138- Climate: South 12/14/2004 Totals for Cooling Subtotal Duct gain(using duct multiplier of 0.10) Total sensible gain Latent infiltration gain (for 56 gr. humidity difference) Latent occupant gain (4 people @ 230 Btuh per person Latent other gain TOTAL GAIN 30280 Btuh 3028 Btuh 33308 Btuhk 3739 Btuh 920 Btuh 0 Btuh 37958 Btuh Key: Window types (SHGC - Shading coe ficient 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 /Daperies(B) or Roller Shades(R)) (ExSh - Exterior shading device: none(N) or numerical value) (Ornt - compass orientation) = nam■; -,a• •np(r. =1 P ^DC, VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE STATEMENT I Co r oh y t CIO r.Of o y1 being the legal property owner, for the property Located at: D SS N & R II— rel a ti S 4ore.s Ft- 33I ST , Legally described as 0 w A 2 « ' Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),And I have read and understand the following disclosure Statement, which entitles me td 34rork 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 licensed contractors. You have applied for a permit under an exemption to that 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 const! uction yourself. You may build or improve a one - family or two - family residence or a farm out - building. 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 completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that 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 Iicensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. Tlie foregoing instrument Was acknowledged before me this '2 day oft , 20 0 B y C.Ind j rp ( l - �� d6)' who is personally known to me or who has Produced G (0 3.S- ) 7- 7(. L %Y V as identification and who did take an oath. 6QrA 4:".. ` CIO (0(t,.. Owner Owner DISCLOSURE STATEMENT 'STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, C,Or vi . Cp. t'N , does hereby attest that the (property owner) attached survey, performed by et l r e.O performed on 7 - /3 - ( , is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this 77 day of -4 Affiant is personally known to me, produced 5441ye Org I 't (name °I-surveyor's company) l� ®�� ctil go — Affiant/Property owner 12/29/2004 14:10 3058566029 MIAMJ PRODUCILCONTROL NOTICE OF ACCEPTANCE PGT Industries 1070 Technology Drive Nokomis ,FL 34275 The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: QQAVIll EXPIRES: 1 Raul Rodriguez Chief Product Control Division `HIS IS TAE COVLRSHEET, SEE ADDITIONA PAGES FOR SPECIFIC AN GENERAL CONDITION BUILDING CODE & PRODUCT REVIEW COMMITTEE APPROVED: I I/09/2000 \40 iteslnotic, accup ano. cover pace dot JORGE I MANTLLA 9 Internet maii address: postmaster @buildiagcodeonlhne.com • Homepage: http : / /www.buildingcodcontine.com PAGE 02 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET. SUITE 1603 MIAMI, FLORIDA 33 130- 1563 (305) 375 -2901 FAX (305) 375 -2908 CONTRACTOR LICENSING SECTION (305) 375 - 2527 FAX (305) 375 - 2558 CONTRACTOR ENFORCEMENT DIVISION (305) 375 - 2966 FAX (305) 375 - 2908 PRODUCT CONTROL DIVISION (305) 375.2902 FAX (305) 372 -6339 Your application for Notice of Acceptance (NOA) of- Series SGD -70 Aluminum Sliding Glass Door under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. I3CCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. I3CCO reserves the right to revoke this approval. if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Cornmittce to be used in Miami -Dade County, Florida under the conditions set forth above. Francisco .1. Quintana, R.A. Director Miami -Dade County 'Ming Code Compliance Office 12/29/2004 14:10 3058566029 FGT tndustrie:! JORGE I MANTLLA PAGE 03 ACCEPTANCE No.: 00- 0628,11 APPROVED : November 9- 2000 EXPIRES : November 9.2005 NOTICE OF ACCEPTANCE: _ SPECIFIC CONDITIONS 1. SCOPE 1.1 This approves an aluminum sliding glass door, as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code (SFBC), 1994 Edition for Miami -Dade County, for the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The SGD -70 Series Aluminum Sliding Class Door — Large Missile Impact Resistant and its components shall be constructed in strict compliance with the following documents: Drawing No 4345 -1, titled "SOD-70 OXXO." Sheets 1 through 4 of 4 dated 03- 15 -99, last revised on 10- 13 -00, signed and sealed by Robert L. Clark, 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. These documents shall hereinafter be referred to as the approved drawings. 3. - LIMITATIONS 3.1 This approval applies to single unit applications only, as shown in approved drawings. 3.2 Head receptor is not allowed to be used in this installation. 4. INSTALLATION 4.1 The aluminum sliding glass door and its components shall be installed in strict compliance with the approved drawings. 4.2 Hurricane protection system (shutters): The installation of this unit will not require a hurricane protection system. 5. LABELING 5.1 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 ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance 6.1,2 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the proposed installation. 6.1.3 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. j" 1. L114.144 Ishaq I. C handa, P.E. Product Control Examiner Product Control Division 2 of 3 96.000 MAX 88. 6• I —I 13' 1 - ■- 144X. ON CENTER MAX 43.562 DtO WIDTH 197.750 MAX o� “AX no MCA. HEAD t SILL 2 ROWS OF ANCHQR SCRf115 SEE SHEET 4 OF 4 LARGE MISSLE IMPACT DOORS 7 .rr GLAZING' 7/76' LAMINATED 2 .1 CONFIGURATIONS: OXXO 3. SEALANT. FRAM CORNER, INSTALLATION SCREWS SEALED MIN SCHNEE /MOREIHEAD /SAI55O4 SEAM SEALER a 4.) ANCHORS: Aux. r FROM EACH CORNER (HEAD & SILL) MAX. 6' FROM EACH CORNER (JAMES) A4AX. SPACING AT HEAD & SILL: 73.000 A £MX. SPACING AT .IAMBS: 21.000 5.) SNU11tN REQUIREMENT: NO SHUTTERS REQUIRED 6.) 'REFERENCE TEST REPOR7: fit -2359 & PANEL CORNERS " A 16 ledPix ELEVATION D£STGH PRESSURE RATING POSinvE MG417 W + 60 PSF - 60 PSF M MN AO !dNl1 qaitA w 01. pop rethjaLLOgi �d NOWT 404110L AIKM ACcortma 01_9_0- 442p k Dew* w. 4345-1 12/29/2004 14:10 3058566029 PGT Indugtrieq JORGE I MANTLLA 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. (horw1t Y. PAGE 04 ACCEPTANCE No.: 00- 0628,11 APPROVED : November 9. 2000 EXPIRES : November 9, 200 NOTIC ACCEPTANCE; STANDAI CONDI TIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; h) The product is no longer the same product (identical) as the one originally approved; c) if the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and scaled the required documentation initially submitted is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and /or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. S. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process. b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purpose. 6. The Notice of Acceptance 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 Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. Ishaq aq , P. E. Product Control Examiner Product Control Division END OF THIS ACCEPTANCE 3 of 3 w 4 0 4 J J 1- z a H w C7 0 4303 2-11110]' 91f AF -12241 MOM PANEL rat RAIL NA) Af .rn11 I .- AM ----{ 1 4 7 -7RKYf WAD * -}2245 rr��1 H I IT" 4515 7 4J04 2- 7RIC1( MEMO 2 -TRICK W11 of- UM Ai -12247 I.W 147 r Vs, , IBr faro > 4J14 AtN O 11161-1.--.1 — L 'i -12234 43}7 4311 4319 1 4320 SCJ—M TOP 1118 SCREEN WT. RM. Sf3� SfDE "4 SCREEN WEE RM. AP - Ai -12236 A7 -12257 AF -12158 Af - }2239 LI—r.aa— 1 t r J71 I l E } on 7DEED AvEl C!P 4.144 Ar - 1120 9CRED/ AS1RK:1. (OTC) Ar/A- 4 1IN win mei 11 1lM44 1.1 PERMICalKUMie .21114e MAINE* WW1 An! A tops/Da T.W. rZtie w* Mir na f l � I 4342 *MO W(0) aw A1MQ AS1a1G1/ (dEKO) 1449]2 MIL rar•T4 Aua NOTE: ALL OTHER EXTRUSIONS ARE 606J —T5 ALUM. irtlroalMaAI11 Adam IAl WRVS. i Ma mos tr so -70 L 430.5 sox RAB 70P & ®OL 112 AT-12249 AT-12241 IND for SGO- 70 OXXO (Extrusion Profiles) rQ .t IOW Soft Aar Orwhe 3/15/99 - 3.4 4345 -3 1,0^4 • 0 E llefL=IC IE EtIE:- car: EgEr [E1 - '+ E ®?Z7Jftli!'"'7 ILIIITAZIMALLIOrz cm7 r77 r; Eft1[� �,,'T MMIVAIIr ItAL, T . frorni WW1* C or es 1 R,.7 ms m DESCRIPTION Astr000f Mfr t AmaA14 Q J J 1- z a H w 0 F- -- 4303 2 -117104 Slit If-12246 MOM NMI tar ROR NO) AF -12261 4.114 WO PANEL 40401217 AF -12204 Lt .4n 4302 2 -?84C9 HEAD Af -1225 1.8;4 1 1 1 4304 7 ,w19 K -12247 1; PA? CI IA »� cae —; — 4317 4318 4319 4320 SCOW TQ RAM SpPE ih! 60► RAR SCREtN SATE R1k SCREEN 1RF7. 8)4 71-12254 11 -12157 AF -12 256 AF -12259 E L ,.172 >,. 4342 (14004 FA) Avait ASTRA0 (OM) cut. FEAO f7 /11' r or ) A<- 1 4326 MED NC CLP 4344 Lfr,......_, . SCREEN A51RH L (0410) m11, 1113-1I AM rrareacaiaro+eal NOTE: ALL OTHER EXTRUSIONS ARE 6063 -T5 D a ALUM. 4 09Ua00MIIIR19oR gunman 0444.11 44r/1-4- REV. A 10/13/00 F.7. tom 4315 2 -1RACA 11923100 II Af -12255 - r.47Q F- 4309 TOP Q 601 Rat 12249 Ar -12248 �13ir _ Ads • 1 1,44 40,4 - AWE 11 ' SCD -70 IN i iiiiP°. ..A11111111klb&■ 41111111 Sin D.8. 3/W99 560 - 70 OXXO (Extrusion Profiles PCS MO, Stet 10wit Doti - 314 4345 -3 MAIO DEALT 1 Iwo WI 3/W rAi M MOT" DOA 1010 TO Su9 DES N PRESSURE RATING POSITIVE + 60 P5'• NEGATIVE - 60 PSF N W C7 0 1[n 0 0 MAX OLO HECHT 96, 000 MX ,___i_73. L— AW. AN CENTER MUI 43.562 OLD M1OTH 0 TYPICAL HEAD & SILL 2 BONS of ANCHOR SCREWS SEE SHEET 4 OF 4 0 T21.730 MAX LARGE MISSLE IMPACT DOORS 1. GLAZING: 7/16' LAMVIWITED ? CONF1Gt MTIONS: OXXO J. SEALANT: FRAME CORNER. 1NSTALUATTON SCRAMS 8 PANEL CORNERS SEALED M7U SCHNEE/MOREHEAD /SM5504 SEAM SEALER 0 4.) ANCHORS: rim. 6" FROM EACH CORNER HEAD & SILL) MAX. 6' FROM EACH CORNER (JAMBS) MAX. SPACING AT HEAD a SILL: 13.000 0 MAX, SPACING AT .IAMBS: 21.000 -5.) SHUTTER REQUIREMENT: NO SHUTTERS REQUREO - &) REFERENCE TEST REPORT FTL -2369 ELEVATION *sag at NNW ore of parr ° 3/1:i/99 MA X. ON CENTER Arakm. a virs w=r k Apia i r MOM ND mount RAM CCU 001 01M011 marroactor ELEVATION Sale rat Awl" — — t +4 4345 -1 • RGUGFi r PEPONG IM MO' VERTJCAJ_ SECT)ON RQ1CH OPEN) NG 1NTER3GA 5.357 21937 Wt Awn AEO+r HORIZONTAL SECTION \G9 kiwi+ !1 rTUEt7 +4u411 a.,c /ITF TVJ RUM V row J i saY IS 1423. Y 75 8230 & 77 , 7704 , BdTTW+ 1 /16' 7f T6" LAMINATED GLAZING DEMI_ AcC ferVc-c- A rg a lleihet f — FM+ 33, N.%' Fs. AI say LeCATWD W e 4`r aM2T CCASTRUCTION OVAL OVERALL 7 /£6 LA 14WA£ED 'X)NS1sT Gf .S/I15' $S GLASS LITES (Ex T[R101P & ,NTERADA SIDE) YN7!a .688 SAFEtE1C 117c PYB r?CRLEYER BY SOWN, &Thal L7E5 19 1. tout 4 lik-11 (1-P67 s N ? .0") fir,:; !'r_._-; .:. .444.4r I .1 iTtrN1:11i 56n. -. atodankr 70.1.10a.: : o. e. "3/)5/9•9 PCT arc i v[+eaa .NOt I sad.. +weaosoutu Puli o na ? a0. H', 1%1441 1 .L�„y3d. PROCUCTCON110. MON iu 'two aloe dolomite O Ifl oxpt/7lC8 06 02 1.1 LKIERIZZ ElCUCH OPEMwC itulagla INDU TRIES SCD— 70 OXKQ (SECTION VIEWS Swat. C-:aq ,b 244 4345 -2 BUILDING OWNER'S NAME CORDINEL GORDON BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 135 N.E. 94TH ST. CITY MIAMI SHORES PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 19 AND THE E. 30 FT. OF LOT 18, BLOCK 21, PB 10, AT PAGE 70 BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) ( ##° - ##' - ##.#W or ##.#####' 131. NFIP COMMUNITY NAME & COMMUNITY NUMBER 120653 Iii. SUFFIX J B6. FIRM INDEX DATE 7/17/95 B4. MAP AIND PANEL ' M.IMBER 12025C0093 B10. IncS ate the source d the Base Flood Elevation (BFE) data a base flood depth entered in B9. 0 FIS Profile ® FIRM 0 Cammurnity Determined 0 Other (Describe): B11. Indicate the elevation da4m used fortis BFE in B9: ® NGVD 1929 0 NAVD 1986 0 Other (Describe): B12 Is the bulking located in a Coastal Barrier Resumes System (CBRS) area a Otherwise: Protected Area (OPA)? 0 Yes ►:1 No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Budding elevations are based at 0 Construction Drawings' . 0 Bulking Under Carnstuction• ® Finished Construction • 'A new Elevation Ce r fob v l be required when ccristrtdion of the building is complete. C2. Buitdng Dagam Number 1 (Select the buidng dagarn most sir>tlar to the buiidmg for which this certificate is being carpletied - see pages 6 and 7. If no dagram accurately represents the budding, provide a stretch a photogaph.) C3. Berations— Zones A1-A30, AE, AH, A (with BFE), VE, V1 V30, V (wulh BFE), AR AP/A, AR/AE, AP/A1-A30, AR/AH, AR/AO Cerrplete Items C3. -a-i below acoadiig tote budding dagam specified in Item C2. State the datum used. If the datum is afferent from the datum used for the BFE in Section B, convert the datum to that used for the BFE Shaw field meastr+anents and datum conversion calculation. Use the space p arided or the Garments area of Section D.a Section G, as appro to docunerd the datum conversion. Datum NGVD Can asioNCarrnents Benton reference mark used BM Does the elevation reference mark teed appear at the FIRM? ® Yes 0 No a) Top of bottom floor (tincturing basanerd a enclosure) 13 . :?.2 g(m) 1 b) Top of next higher tba 0 . f.(m) c) Bottom of lowest horizontal dructtral member (Vzones only) , s -' �' 0 1t(m) i 2 d) Attached garage (top of slab) w 6 e) Lowest elevation of machinery andla equipment .. J J a J 6 z t) Lowest ad)aoerd (finished} Bade (LAG) R h 10/4/04 9) (f Wade (HAG) ;; h) No of permanent openings (food vents) wdtin 1 ft above :.16.4: , , , Total are dal permanent openings (flood vents) in C3.h ? L2 `. ° 3 CM ) SECTION D - SURVEYOR, N OR u 11111" TECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect a I ' ed by law to certify elevation information. 1 certify that the information In Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER AD IS N. NUNEZ 5924 TITLE COMPANY NAME REGISTERED LAND SURVEYOR BLANCO SURVEYORS, INC .• ADDRESS CITY STATE ZIP CODE 555 ppNC H ).TORE DRIVE MIAMI BEACH FLORIDA 33141 SIGNATNRE 1 4 n TELEPHONE (305) 865 -1200 FEMA Form 81 -31, January 2003 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD - INSURANCE PROGRAM ELEVATION CERTIFICATE Important Read the instructions on pages 1-7. SECTION A - PROPERTY OWNER INFORMATION HORIZONTAL DATUM: NAD 1927 ❑ NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B2 COUNTY NAME MIAMI — DA])E STATE FLORIDA Fa Insurarre Company Use: Policy Number Company NAIC Number FLOODZONE(S) X B9. BASE FLOOD ELEVATION(S) (Zane AO, use depth of floodng) N/A B7. FIRM PANEL EFFECTIVE/REVISED DATE 3/2/94 DATE 10/4/04 # 04 -1858 O.M.B. No. 3067 -0077 Expires December 31, 2005 ZIP CODE 33138 SOURCE: 0 GPS (Type): 0 USGS Quad Map 0 Other. B3. STATE FLORIDA See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. BUIIDING STREET ADDRESS (Inducing Apt., Ural Suite, a,dla B. No.) OR P.O. ROUTE AND BOX N0. 135 N.E. 94TH ST. CRY STATE ZIP CODE MIAMI SHORES FLORIDA 33138 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides d this Elevation Certi ficate fa (1) cmmony official, (2) insuame aganticornpary, and (3) bulling owier. COMMENTS CROWN OF ROAD ELEVATION: 10.29' ON CENTERLINE ON. CENTER OF ROAD BM 1/ N -444 Fa Zone AO and Zone A (vidhout BFE), can Items El through E4. If the Elevation Certificate h. intended fa use as supporting idamation fora LOMA or LOMR -F, . Section C must be carpleted • El. Bolting Diaga n Nuzbar _(Ce:ad the lacing sing &gee mod rt'ar b the bolding fa whit this catirtate is big completed —see pages 6 and 7. If no dagarn aoaratey represents the bilking, pinkie a *et% a photograph.) E2. The top of the Lott= floor (inducing basement or endosrre) of the bold ng is _ R(m) _n(am) ❑ abate or ❑ below (check are) the highest adjacent Bade. (se natal prade, i evalable). . Fa Bilking g erns 6-8 Wth openings (see page 7), the nett higher floor oreletrated Soar (elevation b) cite bulking Ls _ tt(m) _in.(an) above the highest adacent gale. Complete items C3:h and C3.i al tiont d Tam. E4. The tip of the platfarn of machinery ardor equipment seM l g the bilking is _ R(m) _in(cm) ❑ abate or ❑ below (chedc one) the highest Ascent gade. (Use natural gale, if available). E5. For Zane AO afjr. If no flood depth number's available, is the top it the bolt= floor elevated h accordance vet tie comma ky/s tbodplan management ordinance? ❑ Yes ❑ No ❑ Unkna n. The kcal official must cerffy this irnfomtation it Section G. ADDRESS SIGNATURE COMMENTS G4. PERMIT RIMER LOCAL OFFICIALS NAME COMMUNITY NAME SIGNATURE COMMENTS • SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) FEMA•Form 81 -31, January 2003 For Irsuranre Company Use: Polak Number CompeM NAIC Number, J LOCATOR # 3100 S.W. ELEV. 10.79' SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's autfiamed represenbaSie who ccricktes Sectors A, B, C (furs C 3h and C3.i only), and E kr Zane A (without a FBr1Mssued or c mnuiry- issued BFE) a Zane AO must sign here The stelamenfs in Sec6ans A, Q C, end E are cared to the best of my knowiealge PROPERTY OMER'S OR OWNERS AUTHORIZED REPRESENTATIVES NAME Gi DATE PERAITISSUED G7. This permit has been issued kr. ❑ New ❑ Substantial krprovement G8. Elevation etas -butt lowest tom (inducing basement) dthe btridng • G9. BFE ale Zane AO) depth d tioodig at the buidrng sortie is: • . CITY DATE TELEPHONE TITLE TSEP410hE _. _ti) — _ILO) . . ❑ Check here if attacFrnents • STATE ZIP CODE ❑ Check here if atiactments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local dfical who is authorized by lawn admire In adi tirtister the oamturttiy/s flooci rrtaregemertt ordnance can complete Section A. B, C (a E), and G of this Swam Cerfiticate. Ca nplele the appicable ten(s) and sign below. - . 61. ❑ The riformafon in Secion C was taken tam ether cb:uner *afron that has been signed and ertrowed by a licensed suvehr,. engineer, aironed wtio is auCtor¢ed by state a kcal law to cagy ele sabot kiamna tort. (Irndcale the source and date dthe elevation data it the Canrietts area below.) G2. ❑ Aemori's y dfidal completed Sedan E for a buickg located in Zone A (infanta FBAkissued or aatmury-issued BFE) a Zane AO. • G3. ❑ The timing infem>aiion (Items G4 G9) is provided to ca=nnily leodpla n management purposes. - 08. DATE.CERTFICATECF COMPLIANC6COCUPANCY ISSUED Datum: Datum: Replaces all prevt' ;3: eCt3t -. n�,,•-■, For Irsu ce C«npary Use Pcio,' Number Company NAIC Nrrnber IMPORTANT: In these spaces, copy the corresponding information from Section A BUILDING STREET ADDRESS (Inducing Apt., Unit, Srite, ands Bldg. No.) OR P.O. ROUTE AND BOX NO. 135 N.E. 94TH ST. CITY STATE ZIP CODE MIAMI SHORES FLORIDA 33138 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides d this Elevation Certificate for (1) community official, (2) uscrance agent/canparry, and (3) buik6ng owner. COMMENTS BM # N -444 CROWN OF ROAD ELEVATION: 10.29' ON CENTERLINE ON CENTER OF ROAD SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (1MTHOUT BFE) Far Zone AO and Zone A (without BFE), =bleb hens El though E4. If the Elevation Certfimfe is untended for use as upping intonation fora LOMA a LOMR -F, Section C must be carpeted Et. Bu1cing. Diaga"n Minh& _( °.,elan the buildng degarrn most •rr3ar to the Ixtldrg for v4rth this w YCa1d is tag completed —sae pages 6 and 7. If no daga'r, axiaatety represents the bulling, provide a sketch or photogaph.) E2. The top of the botbm floor (miming basement a endosue) d the buldng is _ ft(m) _in(an) 0 atom a 0 betaw (cheek one) the highest adjacent gads. (Use natral wade, if avalable). E3. Fa Bunking Diagans 6-8 uith openings (see page 7), the next higher floor a elevated Flom (elevation b) of the bulking is _ t(m) _in.(an) above the highest adjacent Bade. Carnplete terns C3.h and C3i on front of form. E4. The by of the platform d mnacimayander equinent senncng the buicirg is _ ft(m)_n(cm) 0 above a 0 below (check one) the highest adjacent gade. (Use mat Mal gads, if ava'lable). E5. Fa Zone AO ony. If n3 flood depth rxnber is arable, is the by eft* bottom tbor elevated in aoxrdence with the carnmundy's Iaodptan management ordnance? 0 Yes 0 N3 0 UnknoveL The Ixal official must certify this information in Secion G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The cnverty owner or owner's authamed representive who canpletes Sections Al~ B, C (Items s C31 and C3.i ori), and E fcr Zane A (without a FEMA- issued or corrmknity- issued BFE) a Zane AO must sign here The stlements in Sedans A, B, C, end are turned to the best of my loror►fedge PROPERTY OWr€R'S OR OWNERS AUTHORIZED REPRESENTATIVES NAME ADDRESS SIGNATURE COMMENTS SECTION G - COMMUNITY INFORMATION (OPTIONAL) The beat cdfcal who is authorized by law or aananoe to adnrnsterthe carmurrly/s flood:lain marnaga lent einance can oamplets Sedans A, B, C (a E), and G d this Elevation Certifioae. Canplete the applicable tem(s) and sign below. G1 .0 The inf mnation in Section C was taken from other doarnnentaGon that has been signed and embossed by a licensed surveykr, engineer, a architect who is a,ttmreed by state a lxal taw to oatfy elevation Kendal. dorn. (Indcate the source and date orbs elevation data in the Cements area below.) G2.0 Acommunity axial completed Section E fora baking located m Zone A (wilhoul:a FBM Xissued or cc mu itydssued BFE) a Zane N). . • G3.0 The folowing inkii bon (Items 04-G9) is provided fa aormUi(y foocptain management purposes. G4. PERMIT NUMBER G6. DATE PERMIT ISSUED G7. This permit has been ' ssued fa 0 New Construction ❑ Substantial irpraremerlt G8. Elevation d as -bull lowest floor (mdudng basement) cite bulking is: G9. BFE a (In Zane AO) depth d flocking at the bulirng sites: LOCAL OFFICIALS NAME COMMUNITY NAME SIGNATURE COMMENTS FEMA Fomn E1 - 31, January 2003 LOCATOR # 3100 S.W. ELEV. 10.79' CITY DATE TELEPHONE G6. DATE ,CERTFICATE OF COMPUANCE(DOCUPANCY ISSUED TITLE 1 ❑ Check here if attachments STATE ZIP CODE 0 Check here if attachments Datum: Datun: DATE Replaces all previ,) BUILDING OWNER'S NAME CORDINEL GORDON BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No. 135 N.E. 94TH ST. CITY MIAMI SHORES PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, LOT 19 AND THE E. 30 FT. OF LOT 18, BLOCK BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) ( ##° - ## - ##.#W or ##.# B1. NFIP COMMUNITY NAME & COMNI N I Y NUMBER 120653 B4. MAP AND PANEL - NUMBER 12025C0093 B5. SUFFIX 86. FIRM INDEX DATE J 7/17/95 CERTIFIER'S NAME ADIS N. NUNEZ TITLE REGISTERED LAND SURVEYOR ADDRESS 555 ppN�O SIGNATOIRE H SILO E DRIVE FEMA Form 81 - 31, January 2003 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD -INSURANCE PROGRAM ELEVATION CERTIFICATE Important Read the instructions on pages 1.7. SECTION A - PROPERTY OWNER INFORMATION HORIZONTAL DATUM: D NAD 1927 ❑ NAD 1983 41 04 - 1858 OR P.O. ROUTE AND BOX NO. STATE FLORIDA Legal Description, etc.) 21, PB 10, AT PAGE 70 Use a Comments area, if necessary.) SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 132. COUNTY NAME MIAMI – DADE B7. FIRM PN'EL EFFECTIVE/REVISED DATE 3/2/94 SOURCE: ❑ GPS (Type): 0 USGS Quad Map UCFSISE NUMBER 5924 COMPANY NAME BLANCO SURVEYORS, CITY MIAMI BEACH DATE 10/4/04 O.M.B. No. 3067 -0077 Expires December 31, 2005 Fa Irtisurarce Company Use: Policy Number Company NAIC Number ZIP CODE 33138 ❑ Other. B3. STATE FLORIDA 88. FLOOD ZONE(S) X B9. BASE FLOOD ELEVATICN(S) (Zone AO, use depth of Boxing) N/A B10. Indcate the souse d the Base Flood Elevation (BFE) data a flood depth entered in B9. ❑ AS Profile ® FIRM ❑ Community Determined ❑ Other (Desabe): B11. Incicatle the elevation ciahm used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Desabe): B12. Is the boiling located in a Coastal Bader Resouces Systan (CBRS) area a Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date SECTION C BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Bulking elevaa6ns are based a> 0 Construction Drawings* • ❑ Bulking Under Consfnrdim* ® Finished Canstrucdon • 'A new Elevation Ca fca v ! be required when cansfndion of the buidirxg is complete. C2. Bulking D'ag a n Number 1. (Select the buicl g dagam most similar to thebuldng for which this aartificate is being completed - see pages 6 and 7. If no dagar accurately represent the bulling, provide a sketch or ptro ogaph.) C3. Beiatiorrs –Zones A1-A30, AE, AH, A (with BFE), VE, V1 V30, V (volt BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/A0 Complete Items C3. -a-i below accarairg tons buiding dagam spied in Item C2. State the datum used tithe datum is dfferent tan the datum used for the BFE in Section B, convert the daturn What used fo the BFE Sham field measurements and datum conversion calculation. Use the space prorided or the Comments area d Section Do Section G, as appropriate, to docanerd the datrn conversion. Datum NGVD CanrersionfCamnents Elevation reference mark used BM Does the elevation reference mark used appear on the FIRM? ® Yes ❑ No a) Top of bottom f (undubng basement or erckstre) 13 .2 2 gm) b) Top of next timer floor 0 . gm) c) Bottom of lowest horizontal stnrdual rnerrba (V zones nrdy) 0 . _gm) d) Attached garage (t P of slab) 0 ' - ft(m) e) Lowest elevation of machinery and/o equipment servicing the boiling (Desaibe in a Carrnenis aree) 10.301t01) f) Lowest adlaoent (firrdned) gads (LAG) 976p) g) I•;ghest a:Went (fished) gade (W1/4G) 10 ..0 2 ft(n) h) No. of permanent openings (flood vents) whin 1 ft above.alaoent Bade N /A ) Total area d all permanent cpenings (11cod vents) in C3.h N /A SQ . IN . (SQ . CM) 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 In Sections A B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. INC. STATE ZIP CODE FLORIDA 33141 TELEPHONE (305) .865 -1200 See reverse side tor continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A BUILDING STREET ADDRESS (Inducing Ape., Ural, Stile, ancYa Bldg. No.) OR P.O. ROUTE AN) BOX N0. 135 N.E. 94TH ST. CITY MIAMI SHORES Copy both sides d this Elevation Cep far (1) ccrrrnunity official, (2) irmtanoe ageit/exzrpary, and (3) bulking owner. COMMENTS BM # N -444 Fa Zone AO and Zcne A (wlfhaut BFE), cau lete Items E1 through E4. If the Beaton Certificate is intanded far use as supporting edema ion fa a LOMA or LOMR -F, Section C must be carpleted El. BukSng. Diagram hb.ribar _pied the b;ridng divan most snfiar to the bu'k5ng tq viral this ce fcate is being carpfe ted —see pages 6 and 7. If no dagam acaaateiy represents the biding, promote a skebh a photogaaph.) E2. The fop cite botbm floe (rising basement a endosue) d the butidng is _ ft(n) _n.(em) ❑ above or ❑ below (check one) the highest aciacent gale. (Use natural Bade, IT avalable). E3. Fa Budding Giagams 6.8 with openings (see page 7), the mead higher boor ar elevated tloa (elevation b) d the busing is t(m) _ er.(an) above the highest adacent Bade. Canplete items C3:h and C31 m front d Tam. E4. The bp dthe platten d =army andler equiment sevicirg the buidng is _ tt(m) _m.(an) ❑ above a ❑ below (check one) the truest actiasent Bade. (Use natural gade, if available). E5. Fa Zane AO ahfy: If no food depth nurter is wattle, is the lop of the boffin floor elevated in accordance wdh the camxnly's loociplaih managerneht acirence? ❑ Yes ❑ No ❑ Unknown The local official must certify his information in Section G. The pr perty owner air meet's authorized representative who com S e c t i o n s A B, C (Therm CU and C3.i ally), and E b Zane A ( w i t h o u t a FEMA -ssued e n d S e d a n s PROPERTY OWNERS OR OWNERS AUTHORIZED REPRESENTATIVES NAME ADDRESS SIGNATURE COMMENTS SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local Adel who b authaiaed b y law or o n : b a n a l b adrinisterthe c a r m u r l d y s floo i n , ,r eget lent adnartce can carpleta Sectors A B, C (a E), and G ribs awake Certificate. Complete the Eppicable km(s) and sign below G1. ❑ The nimmation in Section C was taken fan other doamentafion that has been :dgled and unloosed by a b reed Suvehr, engineer, a echitsd %tno is authorized by state a kcal law to cagy elevation irdomnation . (Indicate the source and date arts elevation data in the Ca mienis area below) G2. ❑ Aanmury aria! completed Section E bra baking located in Zone A (without a FaIA issued or oamxnily Issued BFE) a Zone A0. • G3. ❑ The blowirg infmmaticn (Items G4-G9) is promoted fa cormruniy Too an management purposes. G4 PERMIT NUMBER G6. DATE PERMIT ISSUED G7. This permit has been issued fa: ❑ New ❑ Substantial Improvement G8. Elevafim das-bult lowest Ica (inducing basement) d the buddng is G9. BFE a (n Zone AO) depth d foxing at the bulking ales: . LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS • STATE ZIP CODE FLORIDA 33138 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) CROWN OF ROAD ELEVATION: 10.29' ON CENTERLINE ON CENTER OF ROAD FEMA'Form E1 -31, January 2003 For IrsumLe Company the: PokyNumber Company NAIC Number LOCATOR # 3100 S.W. ELEV. 10.79' SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION CITY DATE TEIBHOt'E TITLE TELEPHONE ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) STATE ZIP CODE ❑ check here if attachrne nts G6. DATECERTFICATECF ANCY ISSUED Datum: Datum: DATE Replaces all previo SECTION A - PROPERTY OWNER INFORMATION BUILDING OWNER'S NAME # 04 - 1858 CORDINEL GORDON BUILDING STREET ADDRESS (Ir Iuding Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 135 N.E. 94TH ST. CITY MIAMI SHORES PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc) LOT 19 AND THE E. 30 FT. OF LOT 18, BLOCK 21, PB 10, AT PAGE 70 BUILDING USE (e.g., Residential, Nonresidential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) ( ##° - #il' - ##.#1r or ##1k#### B1. NAP COMMUNITY NAME & COMMUNITY N.JMBER 120653 B5. SUFFIX J 86. FIRM INDEX DATE 7/17/95 B4. MAP AND PANEL - NUMBER 12025C0093 B10. Indicate the source d the Base Flood Elevation (BFE) data abase flood depth entered in B9. 0 FIS Profile ® F O Carmtrhify Determined ❑ Ober (Desa;<ree): 811. Indcate the elevation dal= used for the BFE in B9:12] NGVD 1929 0 NAVD 1988 0 other (Des rbe): B12. Is the buidng Iocaied in a Coastal Barrier Resouces SyStan (CBRS) area a Otherwise Protected Area (OPA)? 0 Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevators are based on: 0 Construton Drawing' 0 Butting Under Ca rfn ctiori ® Finished Ccnstrudicm • 'A new Swaim Certifmte v. ! be required Men ca rind on of the bilking is complete. C2. Bulking Dugan Number 1, (Select the bulking dagam most simtiar to fiebull king for which this certificals is being ccirpleted - see pages 6 and 7. If no ¢agar =irately recresents the buid provide a sketch or photogaph.) q. Elevations— Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (wth BFE), AR AR/A, AR/AE, AR /A1, AR/AH, AR/AO Complete Items q.a-i below a000rdrg to the buldng dagam specified in Item C2. State the datum used If toe datum is dfferent from the datum used fa the BFE in Section B, convect the datirn to that tsed for the BFE Show field nreastrernents and dattm conversion calculation. Use the space provided or the Comments area of Section D.or Section G, as appropriate, b docunert the datum conversion. D NGVD Corwersion/Ccrnments Elevation refenaroe milk used BM Does the elevation reference mark used appear on the FIRM? 1K1 Yes 0 No a) Top of both floor Wiring basement err enclosue) 13.2 2 t.(m) b)Topof next higher fba 0 . tt(m) c) Bottom of lowest hor¢ontal stnrchral member (Vzones only) 0 ) d) Attached garage (top of s ) 41 w CO e) Lowest elevation dmadhihery and/or equipment o : saving the bull (Desabe in a Garments area) 10.3 0 it(m) f) Lowest adjacent (finished) gads (LAG) 9_7.6 It(m) Z . Q° 9) (finished) n 9 (AG) 10 ..0 2 R(m) °Le to h) Na of permanent openings (flood vents) within 1 ft above ad)aoent wade .N c2 3 Total area dal permanent epenings (flood vents) in Mb _N SQ . IN . (SQ . CM) 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 In Sections A B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 18 ILLS. Code, Section 1001. LICENSE NUMBER 5924 COMPANY NAME BLANCO SURVEYORS, INC. • CITY STATE ZIP CODE MIAMI BEACH FLORIDA 33141 CERTIFIER'S NAME ADIS N. NUNEZ TffLE REGISTERED LAND SURVEYOR ADDRESS 555 NO SIGNAT FEMA Form 81 -31, January 2003 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOODiNSURANCE PROGRAM ELEVATION CERTIFICATE Important Read the instructions on pages 1- 7. HORIZONTAL DATUM: Q NAD 1927 0 NAD 1983 82. COUNTY NAME MIAMI — DADE STATE FLORIDA SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B7. FIRM PANEL EFFECTIVBREVISED DATE 3/2/94 See reverse side for continuation. DATE TELEPHONE 10/4/04 (305) 865 -1200 SOURCE: 0 GPS (Type): 0 USGS Quad Map O.M.B. No. 3067 -0077 Expires December 31, 2005 ZIP CODE 33138 For Imurarce Compary Use: Pdicy Number Company NAIC Number ❑ Other. B3. STATE FLORIDA B8. FLOODZONE(S) X • B9. BASE FLOOD ELEVATIONS) Clone AO, use depth offlaming) N/A Replaces all previous editions REVISED: 37.50' BLOCK CCRNER FOUND IRON PIPE i/2' (NO 10.) --s FOUND IRON \ � PIPE 1/2 `� (No ID.) 37.50' 25.00' CONC. WALK CBS WALL (TYPICAL) PLANTER 45.30' (TYPICAL) ci 12.60' \ 1 0 8.95 O I LOT 18 128.75' (R & M LOl 20 BLOCK 21 PORT1ON OF LOT 18 FOUND IRON PIPE (No 1D.) 128.75' (R & M) T fit 4' ORE FENCE FGJND IR ( �) PPE 1/2 ON (NO ID.) WATER METER GEAR ■ WATER NETER < . t W vs 300' PO1ER LINE ABBREVIATIONS: SW(=SIDE WLLK CBS = CONCRETE BLOCK STRUCTURE. CLF =CHAIN LINK FENCE. PL= PROPERTY LINE. DUE = DRAINAGE UTILITY EASEM ENT. IP =IRON PIPE, F= FOUND, A/C =AIR CONDITIONER PAD, P /C= PROPERTY CORNER, DM= DRILLED HOLE, VNF= WOODEN FENCE. RES= RESIDENCE, CL- CLEAR, RB= REBAR. UE= UTILITY EASEMENT. CONC= CONCRETE SLAB. RAAWRIGHT OF MY, DE= DRAINAGE EASEMENT, C/L= CENTER LINE. O= DIAMTER, TYP= TYPICAL, M= MEASURED, R= RECORDED, ENCR= ENCROACHMENT, COMP = COMPUTER, ASH = ASPHALT. N/D =NAIL & DISC, S =SET, FEE = FINISH FLOOR ELEVATION, NOT VALID UNLESS EMBOSSED WITH O /S= OFFSET, P/ P= POWER POLE, OHP= OVERHEADPOWERLINE,IAM =W1 TER METER SURVEYOR'S SEAL MA MASONRYWALL= I I I I t I 1 1 11 ELEVATION BASED ON LOC. # CONCRETE= I•V.:•.V. ••t •••: �!.••� %••� .• . . t;.•.I 3100 S .W. MAINTENANCE & DRAINAGE EASEMENT= M & D.E. CBM# N -444 ELV o ! 79 r TYPE OF SURVEY: BOUNDARY SURVEY SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATURE AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5) UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9) CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB PAGE i HEREBY CERTIFY That the survey represented thereon meets the minimum technical requirements adopted by the STATE OF FLORIDA Board of Land Surveyors pursuant to Section 472.027 Florida Statutes. There are no encroachments, overlaps, easements appearing on the plat or visible easements other than as shown hereon. ADIS N. NUNEZ REGISTERED LAND SURVEYOR STATE OF FLORIDA #5924 LOCATION SKETCH SCALE: NTS (305) 865 -1200 FLOOD ZONE: PANEL: 0093 X DATE: SCALE: 10/4/04 ly=2cr W C Lt N.E. 1ST AVENUE 15 16 17 7 18 )/X' r- < 14 13 12 11 10 n SURVEY FOR: CORDINEL GORDON, 135 N.E. 94TH ST., MIAMI SHORES, FLORIDA 33138. LEGAL DESCRIPTION: LOT 19 AND THE EAST 30 FT. OF LOT 18 BLOCK 21 OF AMENDED PLAT OF MIAMI SHORES SECTION NO. 1 SUBDIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 70 OF THE PUBLIC RECORDS MIAMI —DADE COUNTY, FLORIDA SINCE 1987 BLANCO SURVEYORS INC Engineers • Land Surveyors • Planners • LB # 0007059 555 NORTH SHORE DRIVE MIAMI BEACH, FL 33141 Fax: (305) 865 -7810 SUFFIX: DATE: BASE: 7/17/95 N/A COMMUNITY # 120653 DWN. BY: IJOB No. F. Blanco 04-1858 k# (305) 865 -1200 FLOOD ZONE: 0093 R PANEL: DATE: SCALE: 10/4 04 r =2o' SINCE 1987 BLANGO SURVEYORS INC. Engineers • Land Surveyors • Planners • LB # 0007059 555 NORTH SHORE DRIVE MIAMI BEACH, FL 33141 Fax: (305) 865 -7810 SUFFIX: DATE: BASE: J 7/17/95 N/A COMMUNITY# 120653 DWN. BY: JOB No. F. Blanco 04- REVISED: 37.50' 4, o its NOT VALID UNLESS EMBOSSED WITH SURVEYOR'S SEAL BOO‹ CCRNEP FOX) RON PIPE 1 /2' I (NO D.) 8 14 ,, F� I IRON (No t.) FOUND IRON PIPE 1/2• (NO ID PORTION OF LOT 18 128.75' (R & M cONC. PORCH I 1 1 1 1 1 1 1 1 1 86.01 ONE STORY C.B.S RES1 ENCF NO 135 F.F. ELEV.= 13.22' 6' %OM FENCE-) LOT !9 128.75' (R & M) 101 20 BLOCK 21 1. ; s..S ;I.. I y :• s'f.•• s ;..•. 1 38.30' 50 FENCE O c0 FOtINO IRON_ PIPE 1/2 S; (No lo.) ' WATER WTER 4' 1mRE FENCE FPPE OUND 1/2" IRON ,°„ W $ s g p WATER METER � (NO t :. 0. a ABBREVIATIONS: S %K= SIDENALK CBS = CONCRETE BLOCK STRUCTURE. CLF =CHAIN LINK FENCE, PL= PROPERTY LINE, DUE = DRAINAGE UTILITY EASEM ENT, IP =IRON PIPE, F= FOUND, NC =AIR CONDITIONER PAD, P /C= PROPERTY CORNER, DM= DRILLED HOLE, WF= WOODEN FENCE, RES= RESIDENCE, CL-C LEAR, RB= REBAR, UE= UTILITY EASEMENT. CONC= CONCRETE SLAB, RAAcRIGHT OF WAY, DE= DRAINAGE EASEMENT, C/L= CENTER LINE, O= DIAMTER, TYP= TYPICAL, M= MEASURED, R= RECORDED, ENCR= ENCROACHMENT, COMP = COMPUTER, ASH = ASPHALT, N/D =NAIL 8 DISC, S =SET, FEE = FINISH FLOOR ELEVATIODI, 0 /S= OFFSET, P/P =POWER POLE, OHP= OVERHEAD POWERLINE, WM =VIA TER METER MOD FENCE- MASONRY WALL - CONCRETE= MAINTENANCE 8 DRAINAGE EASEMENT= M 8 D.E. POYIER LINE ELEVATION BASED ON LOC. # 3100 S.W. CBM# N -444 ELV.10 (79 r TYPE OF SURVEY: BOUNDARY SURVEY SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATURE AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5) UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9) CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB PAGE i HEREBY CERTIFY That the survey represented thereon meets the minimum technical requirements adopted by the STATE OF FLORIDA Board of Land Surveyors pursuant to Section 472.027 Florida Statutes. There are no encroachments, overlaps, easements appearing on the plat or visible easements other than as shown hereon. _ ADIS N. NUNEZ REGISTERED LAND SURVEYOR STATE OF FLORIDA #5924 LOCATION SKETCH SCALE: NTS LJ L N.E. 1ST AVENUE 15 16 17 20 I4 12 11 10 13 9 SURVEY FOR: CORDINEL GORDON, 135 N.E. 94TH ST., MIAMI SHORES, FLORIDA 33138. LEGAL DESCRIPTION: LOT 19 AND THE EAST 30 FT. OF LOT 18 BLOCK 21 OF AMENDED PLAT OF MIAMI SHORES SECTION NO. 1 SUBDIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 70 MIAMI —DADE OF THE PUBLIC RECORDS COUNTY, FLORIDA BUILDING CRITIQUE SHEET Ailb2.(ye Pe4.41,71 Miami Shores Village Building Department Permit No. BP (/� gq Job Name (4 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 x'}34 C-d1 MIAMI SHORES VILLA BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 icJ Type Insp'n - Oca or)c y Permit No. fa.0 Zoos - i q5 Name N o r7G9 DouuW►) Address / ` NE 9 4 ST Approved Correction Re- Insp'n Fee a Company kICI del GUI I I I 0 013 Phone # `Z3cs la" - 14 1 ? (3o5) 51' los Inspection Date Y ' RE- OCCUPANCY 1 AUG 0 APPLICATION - Date (Rev. 10/02/03) City Miami Shores Miami Shores Village Building Department Contact Name Buyer Seller Realtor Company Name Property Address 1 3S �E 7c( -5 - e *- State Fl I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is being used for single- family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on the property. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. Applicant Name x °'-1 e 1 0 v Signature CDr1_ 4 The foregoing instrument was acknowledged before me this 1 day of 6Cptilnbei , 20 C: by Crdifel qt et ,549is personally known to me or who has produced l0 . as identification and who did take an oath. Y PUBLIC: Sign: Print: Ma My Commissi. a Expires: 303 0 19- �� Phone # 30 5- �'� —0H tczji 12-N 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 Permit No. FIZIDS Loc ID Zip Building Officials Approval: Re -Occ. $60.00 Notary $5.00 CCF $0.60 / Total CD rJ • Co O. 2 32 00 • The Sunshine State LICENSE G6354 0741 404 . =MOSEL MOMS 0071005k1 133 NE C4TH ST MIS SHORES, PI. :321SSEe1 FRRTH DATE SEX HOT. REST. ENDORSE. 1248-71 M saw ISSUED EXPOSES I2IS-02 921.01146 DUPLICATE 0-0-00 SAFE DRIVER SOS0212120182 of a motor velest2 conettutos C0113C311 to Elly peorbly tort rcogred by ker. - Village of Miami Shores N° 3786 • JOB !� GiA n ADDRESS D 'Fe' ST, INSPECTION TIME READY REMARKS (t.)D--- INSPECTOR DATE Village of Miami Shores N? 3638 JOB ADDRESS /r INSPECTION TIME READY REMARKS INSPECTOR 7% 42 S r--- „ t”' -) 7 ; DATE 6 APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY I • /e .A/Sec/ ' , hereby apply for a certificate to re- occupy the single family residence known as : (address) /35 /t/e 91/ ' .Sim Legal Description: Lot: I hereby certify that I understand that the zoning of the property is for single- family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single- family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant Block Print Name Jil<5q,✓ 4a6, 9A/ *********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: ill.Ss�t/ ,� „So1.J c.3 ° : Telephone: yp, fl Buyer Seller Realtor Compan / y Name Application Fee ($50) paid: Cash Check No. PAGE 1 OF 2 iee 5 Miami Shores, Florida. PB & PG: Date 72- p/ Add /3 Inspected b �% Approved Denied X Date 2 —/? Comments: CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes. MIAMI •RES ORIDA By: Date of Certification: 7 o2/ THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE 2 OF 2 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date f, 5/9( Job Address /.75 /(/.L= py f, /rlc< Tax Folio / [ — c3 zo 6 -- o/3 — 8� Legal DescriPhon.56C— ‘3 0 t /8 0 Historically Designated: Yes No A Owner/Lessee / Tenant / 4/-T,/ fpm f - o, a S Master Permit # 9 8 3 3 Owner's Address x3,5 //,F 7' 17? 1-cc/ Phone Contracting Co. ,4 & /�� y �. fj ��f T,� e . Address Qualifier l/L�/4.-- .-/ (.' �✓ /�/� State # CnC G5 , y,2 Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one)( BU > ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION (7CP71 1y� P," A';1 Square Ft. Estimated Cost (value) /2 00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOU FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL 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 :1 ►: ting cons s on and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner d/or Condo President / / Date Signature of Contractor or Owner - Builder Date Notary as to Owner and/or Condo President Date My Con ni Iga rialy — z 8-9 vrYl p f, 0A: JQ L1 ":"S NY: ?, ", FEES: PERMIT ' a. p U RADON APPROVED: Zoning Mechanical Building -2 ?s Nt 9-z = ' - pf/ 5S# /72 - - 17/2 Phone (Yes) 7r a' r'-?/ 5/2_ ,y/y: Notary as to Contractor or Owner- Builder Date My Commission Expires: • "c) ' >I q`O P'1V a?7 1I OFfv J'\lli C.C.F. / o 0 NOTARY (17o 6 TOTAL DUE *I* Electrical Plumbing Engineering Owner's Name and Address MI MI SHORES VILLAGE Registered Architect and /or Enginee Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block _ Subdivision Street and Number where work is to be done /.3 ATE- State work to be done and purpose of building (by floors) 20 x 7...o BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date __- _ -. --- "�� No. __f � Street and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 1 = o0 Estimated Total cost of improvements $ Amount of Permit $ — Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed )7 A4 STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. (� Permit No 6712_ Date r'c57- ° Read, Sworn to and Subscribed before me. Disapproved Da cte� (Signed) Building Ins 'ector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ;r Notary Public, State of Florida APPLICATION FOR BUILDING PERMIT ApplicatioiP is hereby wade for the approval of the detailed statement in we plans and specifications herewith submitted for the build in or other structure herein described, This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations pf the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date , 197Y- Owner's Name and Address .. — No .._. Street. 4r..a.._ .... .._..........._. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot /... Block /we/ Subdivision / . ( 11.1. � Street and Number where work is to be done / • G_.. + . ^ P State work to be done and purpose of building (by floors) / ' 1 � L ' Ncw Building Remodeling Addition To be constructed of CS •C' , Kind of foundation Estimate Total cost of improvements $ 3.00 O U � Maximum live load to be borne by each floor and who, being by me first duly sworn, upon oath deposes and says that he of the above described construction, that he has carefully read the foregoing therein by him stated are true. �� Permit No �/ a 1 Date MIAMI SHORES VILLA Disapproved �.. _. c � Date (Signed) ing Inspector NOTE: A charge of $1.00 will be made for making the I'Lrnnir,;; Board. A re- m fee of $1.00 will be charged materials anti /or workmanship. Chairman Member , Member Council Approved Date BUILDING INSPECTION DEPARTMENT 16. 370 JAL To 1 r ir) •It:t 9t1 and fob no other purpose. Repairs No. of Stories X /' 7' /o - g Roof Covering T Amount of Permit $.....,...- Zone cubage required _Plan Cubage Distance to next nearest building ZV Size of Building Lot I hereby submit all thhee plans and r specifications for said building. All notices with refere ce to the budding and its cons ruction may be sent to.. S ' Q . . L t� ex -0, , P e r . . 0 . A) 7eAg6. 14> 4 t, /S3 . titj. 1✓ Ltc /S' ` 1 . it&.$ / /J 1 , 3 1 The un,ersigned applicant for this building permit does hereby certify that he understands and accepts hi; obligations as an employer of labor under the 'r i'onda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied 's ith the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or noticcs as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks (Signed) -- r- STATE OF FLORIDA, COUNTY OF DADE. j ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared , is the. C• application, and that he did sign the same, and that all facts ubscri . , . befo e me. . &aC p My Com ff ono y Yes ` " uw" (`'-;u i7, t9i' BONDED Triku GENERAL INl UNL , ,. ,. ht7Etiv PLANNING BOARD DATE to me well known, Member Member Member Disapproved Date corrections or changes to this application after approval has been obtained 1min when such re- inspection is made necessary by Improper notice for inspection or faulty MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application -is hereby made for the approval of the detailed statement or +ne plans and specifications herewith submitted for the build in -or other -structure herein - described. This application Is made in compliance- and conformity with the Building Ordinance of IttiamL Shores Village, Flnrid.t. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules - and - regulations of iluiiding Oivisinn of Miami Shores Village shall be complied with. whether-herein specified or not. A copy of approved pia&u and specifications must be kept at building during progress of the work. / Date Owner's Name- and Address O L /OQ N1 E Registered Architect and /or Engineer.. Name and address of licensed contractor (N t A t 5t— 0f2—ES: q l (Z GoND_ / e 1p (.41 ESC D be l E Location and legal dcscri Con of lot to b� built on: Lot ..L9 J ' � Street and Number where work is to be done. _ E P6- c GO OD Ig •i S'( &.J N Lj' C Are- R. f rZ E-S o c.E3 CON A kt S "I` C _ R-EFI -1GERA -7 Lf/VES N State work to be done and purpose of building (by floors) New Building Remodeling Addition ._ Repairs No. of Stories........_...__ To be constructed of Kind of foundation. .. _. Roof Covering Estimates Total cost of improvements. S..._....... 4-00. .. O � _ ._.._Amount of Permit t._._.._.. 9,a O Zone cubage required. ....__... .._.— __.__. Flan Cubage. Distance.to next newest building Maximum live load to be borne by each floor - --- •••- - - - - -- I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The undcrsicncd applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of Libor under the Florida Workmen's Compensation Act. being Section 5066, Compiled General Laws of Florida. Prominent Supplement. and has complied %%ill+ the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcon actors. on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks. -__ sq..s. ( Signed) STATE OF FLORIDA, COUNTY OF DADE. SS ' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, prr,onaily ap- peased and who. being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing ap by him stated are true.. Permit No.. -1- Disapproved (Signed) 0000 Building Inspector PLANNING BOARD Clair:nun Member Member �.__._....-- --._._._.._.._.... Council Approved - *QM* 0000..... -. - .- -.... .. -- „« •.�..• ..... ..............•....... Subdivision /11Le/.k T✓ i // 1 / ` 3 cgfr 1 Size of Building Lot. rn to and Subscri fore me. Notary Public, State of Florida My Commiuion Expires....flOTARY fLORIOA NY COMMISSION EXP. APR.28,1992 DATE BONDED THRU GENERAL IRS. UND. Member v 3 . 19 g No. -1 street.N. 33fSe7 to me well known. ication, and that he did sign the sW te. and t hoc 4 facts and for no other purpose. • Member Member Disapproved Date A ch.irge of 31.00 will be made for making corrections or changes to this application niter approval has been obtained from the I'L+nnir...: I:u.+rd. A re- inspection fee of 31.00 will be charged when such re- inspection is made- necessary by improper notice for inspection or faulty materials anu /or workmanship. } PERMIT APPLICATION, It MUNICIPALITIES OF DADE COUNTY (O4NIR TO RETAIN COPY) Date 4Au,o_ 9 Job Address /35 //a 99 � Tax Folio /1 g2a6 � X,71 /f Legal Description /9 , i / � � " I `.779 ) /Al7 Owner / Lessee / Tenant /6-4a(/61 e) //' /4 s v . Master Permit # Owner's Address /3 94/ Phone / 7 5'% Contracting Co. G` ICY. /f t - F) C Address /3 4-" /AE Qualifier cJotstJf rS' eo) GUU Igo SS# 26 Z -• 11 ?`/ - 6 Phone / State l'- ©9,5 icipal # Competency # Ins.Co. Architect /Engineer Bonding Company Mortgagor Square Ft. /(4' Notary as to Owner and /or Condo President APPROVED: Zoning C-r 44 4 Address 14/0 G/J //5 Address Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION l�G �JI�'( �/ . � x-0 p aeoe,v � / �- g a-C Estimated Cost(value) /,v6 7 U WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and /or Condo President ignatu f Co trItto �� o milder Date: Date: 0f 9/f Notary Pubh, Matt of Florida My Comma Exp. April 30,19SS No. CC197545 • as to Con ractor or Owner-Builder My Commission Expires: My Commission ExwiLcb. Print type or stamp name of Notary Public Person.illy known ❑OR Produced I.D.Er ** * * * * * * * * * * Type And ni fiber of I.D. produced: r L. * * es / % ID NO an oath, or FEES: PERMIT � ` RADON C.C.F. I ED NOTARY �N� ID NO�n � - ISM Fire � Other Building_ 6J 1 Electrical Mechanical Plumbing_ Engineering THEE PLA4VS ARE APPROVED FOR ISSUANCE OF A BUILDING"PERMIT VARIANCE(S) LISTED IN "REMARKS" E Ml?.MI SPORES BUILDING AND ZONING IIsJLES:3 SPECIFICALLY LISTED BELOW. AND COUNTY LAWS MUST BE COMPLIED Authorized Signature Date • WITH t!O VtRI4:?CFS ■ WITH NO OTHER OE'.'IAT!O•S MOM T- ORDI::ANCES WILL BC PE:aAIiTF0 ALL OTHER APP` IC.AB'.E ST \TE WITH BY ALL PARTIES. 1 FI ?E DFP 1RT IEei i PL` :' .!C WOR;iS RrY ,., f ( „' BUILDING DIRECTOR PLANING & Z0: ING et iiu VILLAGE COUNCIL APPROVAL PRELIMINARY: AMAU REMARKS: COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MAW SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER & SUB CONTRACTORS ARE CH TIED WIT! !' KNOWLEDGE OF ALI_ BUILD - 6F3G REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. 4114 1 s IMAM G' i2 y1' p t �yeucus�E wl,qp.o.v5 (-re teo9.1) CO►aG. EL�� Cam``) EL O '• O" '2 G �t]T2�GtE� - 7 SL -t 4 o L L. C 1' - r ovI�2 o I � p -O.. nL'�IJ 1 6: -o' • - © =1E- 17G4 4-1*.1.190F 6 `f yl�� OF RED �EJ.IGL ct.IC141DE � U.J 1 t. f to a�EMBL-Y I>,t Ile EXIST . ifIJt►.IG�- t1�`�Gt_r2� - � /Jlt�l , i 44TAL1. cam. C (%ST C' 1? 1J MONOKII \V 1.311'Cy INGjIt 1.1741 ENG% L) 2 kL�+�IG2 v-IGT Mc- UFbcrU AecArracT �x�i1 GMU \V L - 62OU1( SILL f3LOG G�I,th N1�It L��(,�tG GLrFY INTO ti;x&r L� r• i< \\ 2. 1 1�.U. S �ECT1 -1 b "Mr>" -) - i 2 t‘ VRILL 1)-ITC) Sxts'r GO►-1G.5LAS .A►.n" k 5 tvEt_ (18` I'To c -rL «cLL C 4E E4GN et -cxK ?' IN) agbo CELLS D7T/ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Ben Pumo Jr Registered Architect and /or Engineer. Manfred Ungaro Name and address of licensed contractor Ben Pumo 4 Bldg. Corp, Box e. __ _6Q6___Little...Rivr.. Location and legal description of lot to be built on: / ?J ' d' g! / e` tf/' Lot 19...L 39 18 Block 21 Subdivision Miami Shore »_Sac I Street and Number where work is to be done State work to be done and purpose of building (by floors) s; One family C muumn residence one story, and for no other purpose. New Building X Remodeling. Addition Repairs No. of Stories .._.... To be constructed of C.,BoS.D. Kind of foundation Mine. ...o.Qno_o Roof Covering t i le Estimated Total cost of improvements $ jU° O Amount of Permit $ r Zone cubage requed. ..... _.__�� k� ° 2 ® •g ® .flan Cubage ' L? ? 4 Distance to next nearest building. 19 Size of Building Lot Kula ul2.9 Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to Omer The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No L�_ Date / ° ° Read, Sworn to and Subscribed before me. Disapproved ( Signed) [! Building Inspector A it Date 1119/5 , 19 No B Q( 60.6 Street._3.tt.1e RjvQ_r......... to me well known, Notary Public, State of Florida My Commission Expires ti PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00, will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. .f State work to be done and purpose of building (by floors) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date 1/19/56 ,19 s 1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address Ben P1 10 Jr. N Box 606 Street Litt,o Ri 'Ter' Registered Architect and /or Engineer Manfred Ungaro Name and address of licensed contractor Ben PUTho Bldg. Corp. Box... 600_. Little._ Ilivo?x'.. -$tt.j .fl. Location and legal description of lot to be built on: Lot 19 E0 80° 18 Block 21 Subdivision Miami Shores Sec 1 Street and Number where work is to be done One family C.B.S. 7 , ,51jat residence, one story. and for no other purpose. New Building X' Remodeling Addition Repairs No. of Stories - .... -....X To be constructed of C,B,S.o.._.__. Kind of foundation rein, cone, Roof Covering t il0 Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building 1 Size of Building Lot 80°X129° Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 00r The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member ... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. /1 -^/ /Pm er 6 • I ' - 1 /L )Gi%d; => t' „ v ? '7e3`'. , „ 9 , /,/ pc',-r" , e 10' (je . .B 9 • 19"/ M i <9 I .: • ‘ , . -16 1 / 9 ./ /, -.. A 4 7 • , 'Y / ' ' '(:-.. A af r •/' „.( cve : 3 t123 ' p Oct -1, 1 --, d_ ,. /i 7 1) /1 1 "1 7 /...4 -- ---A ,---,-. • -- -I, '‘) -') ,-- ( - , , e ,„ , .) , , ,,,c i ,.. 3 '-' ---' C -) 5) / t ...... .0 4,43 6,9 e7 /A1 ,,,, 1,6 4 , --, ' • ' e ,' , , - - -. ,4 f) •`, 1 ) 1 / C %), 6 0 ILV ( 4„0, ,/VP2 NA. e. • 4 • - OWNER'S NAME then Panto Jr i ZESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 135 N.E. 94th St„ LOT 19E30'18 ADDRESS Box 606 Little BLOCK 21 River Statio SUBDIVISION MiRmi ,Shores Sent PHONE NO. 1 LICENSE NO. GENERAL CONTRACTOR Ben Pumo Blg Corp BUILDING PERMIT NO. 3 DATE 1-26-56 PERMIT FEE $ 23 ))0 BUILDER'S BOND NO. DATE ZONE R5 REQUIREMENTS 20 CU. FT. PLAN CUBE 2 4 2 98 CU. FT. EST. COST S 187Q0 DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: Read DATE NEW CONSTRUCTION TYPE CBS STORIES one ROOF CONSTRUCTION tilt INTERIOR CONSTRUCTION 3 bedroom 2 bath kitohan dine REPAIRS DESCRIPTION and lounge, wd floors and b. - - Jr_ • ••- It • K • • - -• s n ALTERATION DESCRIPTION and ceilings. ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ¢ - y ISSUED BY / TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE PERMIT NO. ,...3 PERMIT DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 2 3 -�?,-,! %" ?.5 ; - 'PE $ $ BEAMS & LINTELS - $.... • t ": $ $ FRAMING � 3-8--s-: -. / :3f-'7` \ ;,1 -- � $ $ St. .P1- Z-2t.-5.< 37 _ $ INSPECTIONS i DATE BY RE- INSPECT FINAL .t., ? - ' ic. - 4.j Ctl71 ty 42,3/ - - 2- i? :•+ . :"-, CLEAN -UP i+ GAS I H. W. HEATER CONN CONTRACTOR 47 LOT--- , C n1 F: F: (-r ' PHONE PERMIT NO. ,...3 PERMIT DATE FEE $ NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ $ SEPTIC TANK - /•:'o9i.-- ✓ c3 i; /g %, i` •$36 -itf (-�' SEWER $ $ SOLAR HEATER $ $ GAS $ $ _ $ INSPECTIONS i DATE BY RE- INSPECT BY RE- INSPECT - BY ROUGHING Z' �/'Zi�.. ,R ,ir te �.' f -: . - - 2- i? :•+ . :"-, , i+ GAS I H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK - • OLAR HEATER FIXTURES &FINAL FIXTURES %'}C� — ; ? CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. 1 ALTERATION l ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY I RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE , ' - 3.0,' % ROUGHING F • . H. W. HEATER CONN RANGE CONN. FIXTURES &FINAL .3,<.V -- %'}C� — ; ? BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE Disapproved Date (Signed) MIAMI SHORES VI LLAG E BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date T (JW I , 19..� L� ...E Owner's Name and Address.. E . _ !1 y" y� . No.. 1 3 5' Street. o St . ... Registered Architect and /or Engineer Name and address of licensed contractor ' R me t10 e, Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done �� .� State work to be done and purpose of building (by floors) .... ALAL i ahm and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ t Amount of Permit $ a. 0 '® Zone cubage required Plan Cubage Distance to next nearest building. . Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s ontractors, on be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authprity, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No �� bl 2 3 Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE Chainnan Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. • Qwner's Name and Address Roy J. Looney New Building Remodeling To be constructed of Kind of foundation Estimated Total cost of improvements $ 2000.00 Disapproved r ;± (Signed) Building Inspe MIAMI SHORES VILLAGE Da BUILDING INSPECTION DEPARTMENT APPLICATION FOR. BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date July 30 No 135 Street NE 94 St. ,19 Registered Architect and /or Engineer Name and address of licensed contractor Heating & Ventilating Co., 2515 SW 8 St., HI 4-5731 Location and legal description of lot to be built on: Lot_ Block Subdivision Street and Number where work is to be done X NE 94 St® State work to be done and purpose of building (by floors)___ Chrysler 01205-RC„ 4 HP, 230V, single phase heat pump, unit only, existing system and for no other purpose. Addition Repairs No. of Stories Roof Covering Amount of Permit $ 8.00 Zone cubage required — ________Plan Cubage:_ Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor • I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may, be sent to Miami Heating & Ventilating Co., 2515 Sig 8 St., HI 45731 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be .erformed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed) __ --- __cam STATE OF FLORIDA, COUNTY OF DADE. Ss' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has care lly read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tru . Permit No. Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires NNING BOARD DATE Chairman Member _ Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building PERMIT ETA 0 0 Architect Contractor or Builder Legal Lot ro Description Address of Building MIAMI SHORES VILLAGE. FLORIDA B1 Work to be performed under this Permit Subdi- vision Value of Amount of Project $ �I Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for cr-.thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings cr is the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY INSPECTOR 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 ac- cepting this permit I assume responsibility for all work done by either, myself; my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA 0 PERMIT 0 ❑• NA 3563 DATE 195 Contractor's License No. Work to be performed under this Permit Bl Subdi- vision Value of Project $ Amount of Permit $ This permit is granted to the contractor or builder named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed 6 BY INSPECTOR . 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY 11 SECTION BY D • E Zonin • Wr , !- t iI S�mAM - Electrical iiil Mechanical f Mff=' Plumbing rirII AIMII V /WI Fire Public Works 6.-- . , 33\6L Structural /4 ;� 4 - p? Building Official Qualifier Name ^ D _ ) 7' SS ' Other CONTRACTOR New Construction Name r ,� t^ w,e ` 6 . `A Nam e � 5 5 i ` eC5Q\ , � F 1�. 3 ..S 3? License No. Address� Business Telephone Relocation of Structure Address i 8' L. - 1 5 S. .\ .6 F.1., 6.-- . , 33\6L Telephone 30I `� ` �/� U F c9 -� - " + n ,� l?,/t `S l" Qualifier Name ^ D _ ) 7' SS ' Other P i" OPE i" TY OWNER New Construction Name r ,� t^ w,e ` 6 . `A (,),:l., C Address 3 ' N c �.1 ---:, s\- ,)r.s � F 1�. 3 ..S 3? Home Telephone Address� Business Telephone Relocation of Structure Fax Q (�iy ^ I /� /V Foundation Only ENGINEER / New Construction Name r . R ; % C ` License No. Alteration Interior Address� Relocation of Structure Telephone Q (�iy ^ I /� /V Foundation Only Fax n l� 303 1i 7( oy TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'1 Attachment Other Add'I Detachment Other Page 4 OFFICE USE ONLY 11E— MAST_ U OWNER - BUILDER FORM (Attach) ® FIRE DEPARTMENT APPROVAL (Commercial / multi- family) CONCURRENCY (New Construction) CI OTHER (Specify & Attach) CI PROOF OF OWNERSHIP (Attach) CI HRS / DERM APPROVAL (Septic / Sewer) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review 01 IMPACT FEE (New Construction) CI OTHER (Specify & Attach) `, PER MIT FEES $ /0,0 REVIEWED AND PREPARED BY: (sq.ft. = x/1000 x 0.60) (0.005 / sq.ft.) (0.01 /sq.ft.) PERMIT APPLICATION (J CONDO ASSOCIATION APPROVAL (Attach) L BPR APPROVAL (Restaurants) CO CONTRACTOR REGISTRATION (On File) TOTAL $ DATE: CONDITION OF APPROV Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL o (305) 795 -2207 o FAX (305) 756 -8972 o http : / /www.miamishoresvillage.com IWIFRUrec If0 1S = The folio s steps must ig tatie i ob[ Oa pernn lfr n th l nu Slio'res ��illage:' Step 1. Step 2. Job Address: Folio Number Lpt Fence Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. PPLICATI`ON kJ cf Address Block Z Subdivision Ali 14in. , `S\N.mreS PB PG Zoning Eurrent Use of Property Square Feet Proposed Use of Property Value of Work Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT License No. Name Address Telephone Fax Apt. Description of Work Master Permit No. Subsidiary Permit No. )s-A. `5�tsre 5 F 331 31 City State Zip if,e00 Tax Assessed/Appraised Value PERMIT APPLICATION Q.W i?UQ` `'t Linear Feet Units Floors Bldg Value Flood Zone Base Floor Elev. PLUMBING TYPE A/C Condensate QTY TYPE Drains, Roof QTY TYPE Miscellaneous Fixture QTY. TYPE - — — — — Soakage Pit QTY Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet - Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory • Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps - A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery . Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Demolition Low -volt, Intercom/Teleph. Repair Circuits Dishwasher Low -volt, Television Service, Number of Amps MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel - Page 2 PERMIT APPLICATION IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7 :30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTEUI'hD FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 sr W 1 Street, Floor, (305) 670 1074 nce recorded, the Notice f f ommavFSra',0 " 'm.uc OSED TP OB SITE t b PT AT TT in 22 1`I. YY. 1st JLLGGI, 1 1.1W1, (305) V / /-aV / V. O v ..a.a, ay..v. u..u, o ua., Notice V Co'" .. ... ...... v.. - v.. . -� -� �. .. ...� ..-- ....... accordance with Section 713 -35 of Florida Statutes. Review the brochu Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE C.o ( 0'►'\ Signature of Owner Print Name Sworn to • nd subscribed before me � / day Signature o SEA A PR VBe. IIJANATORRES �_ SEAL: 2 1 0 COMM'aSION NUMBER CC840452 ..0 MY COMMISSION EXPIRES MAY 26,2003 Personally (mown ' OF F OR, Produced identification Si•. - State of Florida SEAL: A, COUNTY OF MIAMI -DADE KENNETH SHERMAN Notary Public, State of Florida My co . exp. May 24, 2003 omm• No. CC819725 Personally known OR, Produced Ident Type of Identification Produced: Type of Identification Produced: Page. PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: c( Miami Shores Village 10050 NE 2nd Avenue d ) Phone: 305 -795 -2204 Printed: 513 /2002 Applicant: FLORENCE Owner: BLACK- GORDON JOB ADDRESS: 135 NE 94 Contractor ESSIG POOLS INC Local Phone: 305- 949 -0000 0 Parcel # 1132060132881 Fees: FEE2002 -2474 FEE2002 -2475 FEE2002 -2476 FEE2002 -2477 Miami, FlalOa ESSIG POOLS, INC. 1800 NE 151ST STREET NORTH MIAMI, FL 33162 Mellon United National Bank Description Buildier's Bond Building Fee CCF Radon Total Fees: «'08669 Lo 4:06 70096461: 00 2 L Permit Number: BP2002 -852 30 0u■ 1 01 BLACK-GORDON FLORENCE ST Contractor's Address: 1800 NE 151 ST Legal Description: 1 53 41 & 6 53 42 MIAMI SHORES SEC 1 A.MD PB 10 -70 LOT 19 & E3OFT LOT 18 Amount $300.00 $350.00 $8 40 $10.08 $668.48 10/28/2002 Construction Value: $14,000.0() DATE 63 -9642 670 Page 1 of 1 Total Fees: $668.48 Total Receipts: $0.00 ' Permit Status: Approved Permit Expiration: Work: NEW POOL & DECK If there is no permit package accessible on the job -site for inspectors to verify. there will be no inspections. Re- inspection • .:_ _ ,..__ s.,.L.. —s rollinn fnr annthAr insnectiOn. ■,, - 86691 r ireful" in strict compliance with all ordinances awe been submitted to and approved by the without authorization. A further condition upon antes and regulations pertaining to the work ►, ser ants or employees. lining thereto and in strict conformity with the r all work done by either myseit, my agent, MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date rrllTime Type Insp'n I^0._16 P004 Permit No. Name g � Address 7" 3 ( 56 Company Phone # . gar �' 9 © °CD 6