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BP-05-1541BUILDING PERMIT APPLICATION FBC 2004 City Miami Shores Village County Miami -Dade FOLIO / PARCEL # It - ? ( • c:.14-. Is Building Historically Designated YES NO Contractor's Company Name Type of Work: ❑Addition ['Alteration Describe Work: i'YieN`' I, ar* Miami Shores Village _ n� g �. MAY 12301 Building Department BY: c,w 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 �., (� Permit No. prcn - -1 Permit Type (circle): uilding , Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) 3343-X11•4 Phone # Owner's Address 4 5 7 N. 5 �r City /V1 i t. M t dieszeLS State Zip Zj' (3 R Tenant/Lessee Name Phone # Job Address (where the work is being done) r '7,( t,,. . .,, e "1 Phone # 3 o . Z 5 I. laCket 3 Contractor's Address \ �.�j Cr City . r State FL.-- Zip %'S I Qualifier Name s ,,„„ x"1-4 dJ •••� 1 t, Ct� Phone # ' Q ` ' Z2 • 1 Z.1 :1 State Certificate or Registration No. CC-C-- ( Certificate of Competency No. Gift Co. p -7422 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 7 ©O- •7 Square / Linear Footage Of Work: \/ q to Submittal Fee $ Permit Fee $ TJ CCF $ 42 CO /CC Notary $ -- Training/Education Fee $ \4O Technology Fee $ 1p Scanning $ 12 Radon $ DPBR $ Zoning $ e Bond $ Code Enforcement $ Double Fee $ Master Permit No. o QS' 1 -I Zip ❑ Repair/Replace ❑ Demolition Structural Review. $ Total Fee Now Due $ a:4 4 K See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City • State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that.no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or. Agent The foregoing instrument was acknowledged before me this The forego day of , 20 , by , day of who is personally known to me or who has produced who is personally own to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) as identification and who did take an oath. tor cknowledged before me this 2(�, bloor n pro. My Commission Expires: Plans Examiner Engineer Zoning 1524't�Jlt prtaii'is to tN ction, it is the responsibility of the roofing contractor to provide the owner with the required roo f pc �,7a t explain to the owner the content of this section.. The provisions of Chapter 15 of **ling the /tad ifd � ;C , e, *ling govern the minimum requirements and standards of the industry for roofing syst iii st t t qAdditi�Z Bally, the following items should be addressed as part of the agreement between the own r x it tr tor. The. owner's initial in the adjacent box indicates that the item has been explained. J , �/. Aesthetics- Workmanship: The workmanship provisions of Chapter 15 (High Velocity Hurricane Zone) ar for the purpose of providing that the roofing system meets the wind resistance and water intrusion performance standards. Aesthetics (appearance) issues are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. AA:4 2. Renailing Wood Decks: When replacing roofing, the existing wood roof deck may have to be renailed ordance with the current provisions of Chapter 16 (High Velocity Hurricane Zones) of the Florida Building Cade. (The roof deck is usually concealed prior to removing the existing roof system). _3. Common Roofs: Common roofs are those which have no visible delineation between neighboring i.e. townhouses, condominiums, etc.). In buildings with common roofs, the roofing contractor and /or owner uld notify the occupants of adjacent units of roofing work to be performed. I 4. Exposed Ceilings: Exposed, open beam ceilings are where the underside Of thprpof deccfrfg'can be ewed from below. The owner may wish to maintain the architectural appearance'•thefefore,. g nail penetrations of the underside of the decking may not be acceptable. The Florida BtilMr rode pf6vidt3s the option of maintaining this appearance. • 5. Ponding Water: The current roof system and /or deck of the building may •rtdt• drain welfand mar' V". • !ise ' water to nand (accumulate) in low -lying areas of the roof. Pondina can be drt :fldii ation.dP §fhjctura di tress and may require the review of a professional structural engineer. Pondlt May shorttat 'the life • expectancy and performance of the new roofing system. Ponding conditions may not bretel$nt until tha original r ofing system is removed. Ponding conditions should be corrected. • ••••• 6. Overflow scuppers (wall outlets): It is required that rainwater flow off ▪ Sb that the •rtpf :s no? • o !loaded from a build up of water. Perimeter /edge walls or other roof extensions may block this discharge if o erflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the F •rida Building Code, Plumbing. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of th 'structural assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which can result in extending the service life of the roof. Property Address s Signature Rev:112012005,Compufer Services, Building Department SECTION 1524 URRICANE ZONES REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS . / Date Nerrrrrt Number •••• •••• • • ractor's Sig' -ture MAY u „J • • • HIGH-VELOCITY HURRICANE ZONES Florida *SWUM* biide filittott 20D4. , , Matadi a. as Lin . Pe 'KA 11 . 6. 1 fParai. Coritra.ctbe;S'Namt / 1144$11ar P7tTcaff:149 f5". Pi;x: job: Ad L 'POOr0:: Motha .tiat.tmt.04.1vg.:$0010A . . P: iat 0 ?.A7..00-Aig#:0441$P*4$ 0 #01P.9:riiitft01 likediti0:1*00," M Ro.of cI abrititifitiff: - 0..Ri360. 1 0•iiild 0 Rei5arr ti Mattitettaiioo• tiSigr:**A.TfriM 140.w.010 Asph4itic. NnJe •LoW FttiO* k0:F1 !of:A*1pm'. .T4fitksu: •• • • • • • oq tam 471c1.44+ •••• 9pf ii Ittuftrats..411 4tairM.. liteop.fk.. . r.„ :•..,-;•••1--.1• • ••••. • , t 1 . '1- • •; • ;• • • • 1-•.;•4•J s i • • v i• 11 Lt, T • • . 444.+ 4 - : . • I' • , • )" 'VI • • • • • t#k . . .§acticoli-059,0 Rani liworktin4 4legiona, Toof. 40, ocylsitt",i ,1 inciutte on.t.mstor 14 4.0.6114 tweifil.. • rr__rr_rfr4rrrr.TT 000, •••• . I • • • A-4.444+- ±t: • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • . • • • • • • • • • • • • • • • • • • • • • • • • HIGh-VELOCITY HURRICANE ZONES Roof Slope: I. :12 A Plorida-Suliding Code Edft'lort 2Q-04 Hig b'Va1ojfy Herr:karma= Urtiform PorrrritA If bn'Foirri; S ection' 0 (Sloop Siptiect.flopt..Syst#0) R‘rui Syeiem AfillinuTacturer: Product Approval Number: ae:21•• • ilesit4". de,c Design Iiiiih,d:Pressures, if Appliceble (riomi5t4§-121ortoiculetion0): Pl.: • P2: • P4t ' Maximun4 ijeSign Pressure' Frociuct Approvai Specific System: • Method tie *attachment $tee Ridge Ventilation? Mean Roof Height: IV E•••••■■•••••■■■•**2 Insulation. 44eo Barrier \ De, TY 01 1/€ of S. stem D I •Yrir • • • 0 •••• • • • •• • • ••• • •••• • • • • • • • I .ype •••••• °••••• 3t2- o.A..-57 • .,.•, • ••••• • • • •Adhesive Type: Now aten Type & S.Pacirqr -Roof Pftveritv • • • • 0 • • • • •• • • •• • • •• 1%4 LeItt" - gts 4- 1 , 404-1 , 64-c - Type Size Drip 4/16/ lic•Wte e.041A• * • g • • • • • • • • • • • • • Cade:Editot s ,.. „ Vefoeittifinnicanelone.UritfirroPetrollestital Form. Section (Tife..Cal,cutationsl For Moment basithile systems.; choose either Method 1 or 2, Compared the;values for Moidtfrthe volues' from Mr. If the 'M %%1n re greater than, or-eq to the Mr t.U4 u. tIL A Int ig 'LIMO Lue Lue Is acceptable. Metlibd 1 "Moment Based Tile Calcupt ..Per RAS 12r (P17. 0-'11 0 .7,017,..=, 10 40)— mi ,0 4*.101 Product Approval M 141, b x ?�.24t 2al )- m la Ugs 36, Product Approval M (P1:014. 1 =0/43 li ip Product Approval M, IVIeflurd Z• ° Simplified TileCaleuIsi don Doi Taltie.13 • Required Pao rocii t of "leash/um (tir Table If etow 15' 34.4 322 Product Approval IVE, *Must 44 used in conjunetion vitt. Ut vi.venient...4sed: fitcestezuveriderred • n •••• Brown r4 COanv Board Onkniel For °Mgt hase,d tile systems use'Nfethod compaATed..thrvaill'erto.r • • valges for.F„It the Jokes Xre,gre3.0.eviliatu,.0t. *equal ( tlit the F., .vaktes, FI fat Aneh .area of' the..roof,..then 11 . 3 .e. - Ifithxohwientmetiggl in Desoriptim I ttUILUINLi GliUh fitSlUtNIIAL HIGH HURRICANE ZONES Product royal .t too • r ct A Intl Product Apiroya I littosimoriteipia 401 .ruirekaitittf turi . 14 duaw Attiancat es &time, rAdMore'est itteneve- Avit • tramtm.,mehey ' 1TAMMI1 loulta ve mttlelq t bele:lofted nom tesiga4tassurc P.I "OM:104 it.A.11111 TabliWAirtructungtaceriag ugly& ptcparoarylell fourul °LOME • • • • • • • • • • • • • • • • • • • • • • • • • • • •••• • • • Wietiliyd341/plitifTlasedl'ilfe CitIcaintions:Bor PAS 1Z7" 1 • • Product Approval . • • • • • (Pf.: VI: ) Vit COs • • (P1 : X = X IV: .g= — X COS* •= Pa; Product Approval P ) reas Product A.pproval Vlifeie.tii‘elitainAtittran on 44001 Witeretn find • • • • • 44.23 • • • • • • MIAM1•DADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products. Inc. 11715 Boudreaux Road T TX 77375 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The BCCO (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BCCO reserves the right to revoke this acceptance, if it is determined by BCCO that this product or material fails to meet the requirements of the applicable building code. • • • • • • • • This product is approved as described herein, and has been designed to comply with the lth'V'elocity • DESCRIPTION: Polypro® AH160 • Zone of the Florida Building Code. •••• •••• RENEWAL of this NOA shall be considered after a renewal application has been filed andthe has boon co change in the applicable building code negatively affecting the performance of this product. • • • • • • • • • • TERMINATION of this NOA will occur after the expiration date or if there has been a fevisioh or cfuilige•ip the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an adore of IJ1 ' • product, for sales, advertising or any other purposes shall automatically terminate this NOk'Failure to cor with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA No.01- 0521.02 and consists of pages 1 through 7 The submitted documentation was reviewed by JJrge L. Acebo. MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 • • • • • NOA No.: 06- 0201..02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 1 of 7 • • • ROOFING ASSEMBLY APPROVAL: Category: Sub Category: Materials: SCOPE: This approves Polypro® AH160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Dimensions Test Specifications Polypro® AH160 N/A TAS 101 Foampro® RTF 1000 ProPack® 30 & 100 PHYSICAL PROPERTIES: Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Property Roofmg Roof tile adhesive Polyurethane N/A N/A •• • • ••• • • • • •• • • PRODUCTS MANUFACTURED BY OTHERS: • • Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a currre t MOA wh%li: : • list moment resistance values with the use of Polypro AH 160 roof tile adhesive. • • • • • •• • •• • •• • • Test ASTM D 1622 ASTM T) 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment • • • • • • • • • Results. • • • • • • 1.6 lbs. /ft. 1 R PST Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 Lbs./Ft 3.1 Perm / Inch +0.07% Volume Change @ -40 F., 2 weeks +6.0% Volume Change @158°F., 100% Humidity, 2 weeks 86% • • •• • • • •••• ••• • • • Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 2 of 7 EVIDENCE SUBMITTED: Test Agency Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01 -6743 -011 ASTM E 108 11/16/94 01- 6739- 062b[1] ASTM F. 84 01/16/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 •••• 520109 -1 TAS 10I • • 12/28/§13••• S�n1nc►_� • • • • •• • • ••• • 520109 -3 • 520109 -6 • 520109-7 • •••• •••• • • • •• 520191 -1 TAS 101 " 03/02/9§ • • 520109 -2 -1 • • •• •••• .• • •• •• • LIMITATIONS: ,2 MS • • • • • •••• • • • • • •••• • • • 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for Fire • rating. 2. Polypro® AH160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. p w NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 3 of 7 • • • • • Table 1: Adhesive Placement For Each Generic Tile Profile• •.' ••• Two Aaddy;WeightJ per addy Min.' •. g m) • • • Tile Profile Placement Detail Single Paddy Weight Min. (grams) Flat, Low, High Profiles #1 35 N/A High Prnfi1P (2 Piece Barrel) #1 17/sidc on cap and 34 /pan N / Fl r High n ri .+, a lv.r', ii. i iivi��,j iL Y.C. 24 NiA Flat, Low, High Profiles #3 8 INSTALLATION: 1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 2. Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance. expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0- 1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. Polypm® AH160 shall be applied with Foampro RTF1000 or ProPack® 30 & 100 dispensing equipment only. •••• • 7. Polypro® AH160 shall not be exposed permanently to sunlight. • ▪ •••• 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 ttfnutt's afeg • ; • Polypro® AH160 has been dispensed. LABELING: All Polypro® AH 160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 4 of 7 • • • •• • • 9. Polypro® AH160 placement and minimum patty weight shall be in accordance Vfh'fhe Placement Details' herein. Each generic tile profile requires the specific placement noted herein • •• •. • • • • • • • • • • • .. • • • • • • • Nail through plastic cement R top portion of the eave omen cover Ole. Abut to second course of panties. Ensure eave end of pan and cover fibs am Rush at eave lire. 1) Pbce enough adhesive to achieve 17 to23 Optional Ws for sarere inches in contact with the pan Se - steel pitch aP 2) Tum covers upside down. Place adhesive 1!2 In / To 1 hr. From outskfe edge of cover tile. . • Than install the tie. Nalt through pfastla cement •••• • • • ••• ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY • .... .... • • .... • . .. • • • • • .. .. .. . • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04/13/06 Page 6 of 7 • • • • • • • . . • • ▪ .... • • • • • • . • • . . • •.. • • • Nall through plastic cement �.ln. t x3in. Single paddy on under- layment Single paddy on top of tile Single paddy under tile Paddy (between tile) Paddy (under tile) Eave course 2 in. X 7 in. medium size paddy eave Fascia course only ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nail through plastic cement Underlayment r in.x 3 in. Single 4In. paddy on under- layment Single paddy under tile Single paddy between tile 2 In. x 7 in. medium size paddy eave course only Single paddy on top of tile Eave Course Fascia Weephole • Wales= •••• • D ::: d g e • • • Nag through plastic cement � se' 3in.x3in. Single paddy on underiayment Single paddy on top of tile Eave Course Single paddy under tile Single paddy between tile Eave Closure 2 in. x 7 in medium Fast paddy eave course only END OF THIS ACCEPTANCE •.•• •••• • • • • •••• •••• •• • • • • • • •• •• •• • NOA No.: 06- 0201.02 Expiration Date: 05/10/11 Approval Date: 04 /13/06 Page 7 of 7 • • • • • • • • • • • • • • • • • • •••• • • • •••• • • • • • •• • ••• • • • • • •• MIAM IDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Santafe Tile Corporation 25 NW 95 Street Medley, FL 33178 This NOA consists of pages 1 through 4. The submitted documentation was reviewed by Frank Zuloaga, RRC MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305)375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AIIJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this' elect or material fails to meet the requirements of the applicable building code. • • • • • •••• • •• • • • ••• • • • • • This product is approved as described herein, and has been designed to comply with the Fitt: Velocity t err iit ane • Zone of the Florida Building Code. ••.. •••• • DESCRIPTION: Mission Barrel "Roofing Tile" • •••• • •••• • •• • LABELING: Each unit shall bear a permanent label with the manufacturer's name or lop, it stat �lm • • • following statement: "Miami -Dade County Product Control Approved ", unless otherwise:Mttaherein. RENEWAL of this NOA shall be considered after a renewal application has been filed ardci tlie has : n no change in the applicable building code negatively affecting the performance of this product. • • • TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. NOA No.: 03 -0114.06 Expiration Date: 10/13/07 Approval Date: 03/27/03 Page 1 of 4 • • ROOFING ASSEMBLY APPROVAL Category: Roofing Sub - Category: 07320 Roofing Tiles Material: Deck Type: Clay Wood 1. SCOPE This revises a roofing system using Santafe `Mission Barrell', as manufactured Santafe Tile Corporation described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building code does not exceed the values listed in Section 4 herein. The attachment calculations shall be done as an moment based system. 2. PRODUCT DESCRIPTION Manufactured by Test Product Applicant Dimensions Specifications Description Mission Barrel Clay Table 1 Roof Tile Trim Pieces 2.1 SUBMITTED EVIDENCE: Test Agency The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. The Center for Applied Engineering, Inc. Testwell Craig Laboratories & Consultants, Inc. PRI Asphalt Technologies, Inc. 3. LIMITATIONS Length: varies Width: varies Varying thickness TAS 112 TAS 112 Test Identifier 94 -156 -5 94 -156 -6 25- 7121 -1 Project: 07- 07 -00 -91 (307023) Lab #MK -2 SFTC -001 -02 -01 High profile, two piece, clay roof tile equipped with one nail holes. For nail-pp with clip, mortar set and adhesive set ••••• applications. • • • • • • • • • • • • • • Accessory trim, clay ropf ptas for use at hips, rakes, ridges and valle'• terminations• • Manufactured for each tiieprofile. • • • • • •• Test Name/Report • • PA 101 PA 102 PA 101 PA 100 ASTM C 1167 TAS 101 • • •. • • • •• • • • Date '. •••• Aug•1994 •• Nov. 1995 Sept. 1994 Aug. 1996 Dec. 2002 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance with RAS 106 may be required, refer to applicable building code. NOA No.: 03 -0114.06 Expiration Date: 10/13/07 Approval Date: 03/27/03 Page 2 of 4 Table 5: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment Resistance Mission Barrel Clay Roof Tile Polyfoam PolyPro 141.8' 3 Place 35 grams per pan and 35 grams per cap of PolyProTM'. Table 3: Restoring Moments due to Gravity - M (ft-Ibfl • • • • • • „•, • Tile 3 ":12" 4 ":12" 5 ":12" 6 ":12' • Mission Barrel Clay Roof Tile 7 ":12" cu. Profile : • • greate. . Mission Barrel Clay 625 6.20 6.11 6.00; • • • 5. Roof Tile • • • ••• • Table 2: Aerodynamic Multipliers - A (ft • • • • • • • • •_ • • • • Tile a, (ft3) • Profile Direct Deck ApplicaltIk • • Mission Barrel Clay Roof Tile 0.242 • ••• • • • • • • • Table 1: Average Weight (W) and Dimensions (I x w) Tile Profile Weight -W (Ibf) Length - I (feet) Width -w (feet) Mission Barrel Clay Roof Tile 5.50 1.50 0.68 •••• Table 4: Attachment Resistance Expressed as a Moment - Mf (ft-Ibf) Tile Profile Tile Application Minimum Attachment Resistance Mission Barrel Clay Roof Tile Nail -on With A Clip System 24.1 33 Applicant shall retain the services of a Miami -Dade county Certified Laboratory to perform quarterly tests in accordance with TAS 112, appendix `A'. Such testing shall be submitted to the Building Code Compliance Office for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Application Standard listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 1,6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4 TWQT4 T, ATifN 4.1 Santafe 'Mission Barrel' and its components shall be installed in strict compliance with Miami Dade County Roofing Application Standard RAS 118, RAS 119, and RAS 120. 4.2 Data For Attachment Calculations 1. The nail hole shall be located at the center of the cover tile, 1 -1/2" from the head. 2. Minimum 3” headlap. • • •••• NOA No.: 03- 0114.06 Expiration Date: 10/13/07 Approval Date: 03/27/03 Page 3 of 4 Table 5A: Attachment Resistance Expressed as a Moment - Mf(ft-Ibf) for Mortar Set Systems Tile Profile Tile Application Attachment Resistance Mission Barrel Clay Roof Tile Mortar Set' 57.4 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo, or following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERM TT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 i his Notice of 6.1.2 Any other documents required by the Building Official or applicable Building Code in order to properly evaluate the installation of this system. PRnFTT.F DRAWING SANTAFE "MISSION BARREL" CLAY ROOF TILE END OF THIS ACCEPTANCE ••• • • • • • •••• • • • • • •• • • ••• • • • • •• • � 511-111.11• •• • • • • •••• • • • • •••• •• • • • • •• • NOA No.: 03 -0114.06 Expiration Date: 10/13/07 Approval Date: 03/27/03 Page 4 of 4 • • • • • • •••• • • • • •••• • • • • • •• • ••• • • BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Contractor's Company Name Contractor's Address ' City C Qualifier Type of Work: ['Addition Describe Work: (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PE EI1VE r Electrical / Plumbing echanical Roofing Owner's Name (Fee Simple Titles older) --4Y _i4 , 14:11r O 5 - 15L4 —54942 ✓ Owner's Address ! IQ 6 6/5 it Cit fLW'i ( ,ha(L9) State ?..---- Tenant/Lessee Name Phone # Job Address (where the work is being done) 45 Nle 6765 -h Al a al (3 S Zip `33 City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO +, CI-6-.0 Phone # State Zip 3 ( State Certificate or Registration No. 0 X3°7 42Z_. Certificate of Competency No. L Architect/Engineer4 Name (if applica ,kiQ,41 , Phone # $ Value of Work For this Permit kfNew ❑ Repair/Replace Demolition • A kJ PA MAMMON k ['Alteration N O 4 /2005 ,M ster Permit No. Zip 331 3 43 Square Footage Of Work: obu, m63 Permit No. ^ �l 1,0 I ***** * * ** ** *** ** ***** * * * ** *F es * * *** * *** * * ** * * * * * * * * * * **** *** Submittal Fee $50 . CO . Permit Fee $ ?j �� CCF $ 105 — CO /CC Op Notary $ 5^ Training/Education Fee $ �S _ Scanning $ 15 Radon $ at I. a ,1 i Zoning Bond $ .,,�" Code Enforcement $ Structural Plan Review. $ 0. CO tt- a w -: ' / f C , D (2 Total Fee Now Due $ (0 01 G ,L 1 100 ,00 . c.K 3307 Technology Fee $ r Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Y Mortgage Lender's Name (if applicable) - k Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING; SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S Ali 14II)AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regular ng 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 insp.- ton which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will lot b,ap oved and a reinspection fee will be charged Signature O er or Agent The foregoing instrum'-n> acknowledged before me this 3 The foregoing in ent c . owledged before me this day oft'J ' , 2005by.k1 t' ()VI $ 11g y of r `t lal , 2( 1 by fD kfClee- who is personally known to me or who has produced t. . As identification and who did take an oath. APPLICATION APPROVED BY: v chc 05/13/03 who is personally known to me or who has produced NOTAR , P i : C: I Nam PUBLIC OF F0�A NOTARY PUBLIC / - - #;) Sign: Sign: Say.... szi 7111 Si Print: . i m`�Y Y AII.V � . �� . � • 476455 Print: Bond Thru tlantic Bonding Co , Inc. � `V .a' /.9 My Co 1 s sion Expire My Co .� ' ssion Expires: ` '4 � 6. ® ' r tificatick4r4 Jo did take an oath. cb 'WO Plans Examiner Engineer Zoning PERMIT # 1I 5 - 1541 CONTRACTOR :TE5L) , SUBMITTAL DATE: NCSV i I32' . , 3 a i PROJECT TYPE: I_ G.paAK S- TZ>p4gE1 � s) • _ •14". ACCESSORY BLDG POOL CABANA 1021 SQ FT Certificate of Occupancy Miami Shores Village 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: Building dais Approval Norman Bruhn, CBO Contractor SOUTHERN ENGINEERING CONSTRUCTION :7P: Inspection Number: INSP -5083 Permit Number: BP2005 -1541 Scheduled Inspection Date: October 20, 2010 Inspector: Bruhn, Norman Owner: QUINTON, ALBERT Job Address: 457 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: SOUTHERN ENGINEERING CONSTRUCTION LLC Building Department Comments ACCESSORY BLDG POOL CABANA AND STORAGE BUILT IN PLACE OF OLD CARPORT & STROGE CHECK PL TO SEE COMMENTS. Passed/J/1 ze5 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 19, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Addition Phone Number Parcel Number 1132060140630 Phone: (305)251 -3000 Page 23 of 24 ACCESSORY BLDG POOL CABANA AND STORAGE BUILT IN PLACE OF OLD CARPORT & STROGE CHECK PL TO SEE COMMENTS. 0 _ (. Passed /0, Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP- 133512 Permit Number: BP2005 -1541 Inspection Date: October 13, 2010 Inspector: Bruhn, Norman Owner: QUINTON, ALBERT Job Address: 457 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: SOUTHERN ENGINEERING CONSTRUCTION LLC Building Department Comments October 13, 2010 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Survey Final Work Classification: Addition Phone Number Parcel Number 1132060140630 Phone: (305)251 -3000 Page 1 of 1 ACCESSORY BLDG POOL CABANA AND STORAGE BUILT IN PLACE OF OLD CARPORT & STROGE CHECK PL TO SEE COMMENTS. Passed J Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP - 152232 Permit Number: BP2005 -1541 I Inspection Date: October 13, 2010 Inspector: Bruhn, Norman Owner: QUINTON, ALBERT Job Address: 457 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: SOUTHERN ENGINEERING CONSTRUCTION LLC Building Department Comments October 13, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Elevators Work Classification: Addition Phone Number Parcel Number 1132060140630 Phone: (305)251 -3000 Page 1 of 1 B4. Map/Panel Number 12086CO302 B5. Suffix L B6. FIRM Index Date 9/11/2009 B7. FIRM Panel Effective /Revised Date 9/11/2009 B8. Flood Zone(s) X B9. Base Flood Elevation(s) (Zone AO, use base flood depth) N/A U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program Al. Building Owner's Name JENNIFER D. QUINTON A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 457 N. E. 95 STREET A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) THE E 1/2 OF LOT 19 AND LOTS 20, 21, 22 , BL 53 "MIAMI SHORES SECTION 2 ", P.B. 10, PG. 37, MIAMI DADE COUNTY, FLORIDA. A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. Long. Horizontal Datum: A6. Attach at least 2 photographs of the building if the Certificate is being used A7. Building Diagram Number 1 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) ts, sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes CI No B1. NFIP Community Name & Community Number VILLAGE OF MIAMI SHORES 120652 B2. County Name MIAMI DADE B3. State FLORIDA B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. B11. Indicate elevation datum used for BFE in Item B9: i NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Designation Date N/A ❑ CBRS ❑ OPA Certifier's Name ALBERTO LORENZO LUACES Address 10700 S.W. 66 TE Signature City MIAMI SHORES State FL ZIP Code 33138 -2729 FEMA Form 81 -31, Mar 09 Important: Read the instructions on pages 1 -9. ELEVATION CERTIFICATE SECTION A - PROPERTY INFORMATION RESIDENTIAL ® NAD 1927 ® NAD 1983 to obtain flood insurance. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION ❑ FIS Profile e FIRM ❑ Community Determined ❑ Other (Describe) A9. For a building with an attached garage: a) Square footage of attached garage N,� sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b NIA sq in d) Engineered flood openings? ❑ Yes ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AO. Complete Items C2.a -h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized MD COUNTY 3250 Vertical Datum NGVD 1929 Conversion/Comments NONE a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 9.15 b) Top of the next higher floor N /A. c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) N /A. e) Lowest elevation of machinery or equipment servicing the building 8.55 (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (1AG) 9.1 g) Highest adjacent (finished) grade next to building (HAG) 9.5 h) Lowest adjacent grade at lowest elevation of deck or stairs, including NIA. structural support Title LAND SURVEYOR Company Name SELF EMPLOYED City MIAMI feet ❑ feet ❑ feet ❑ feet ® feet feet feet ❑ feet CI License Number 3087 Date 8/6/2010 Telephone 305 - 301 -3895 Check the measurement used. ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information on this Certificate represents my best efforts to interpret the data available./ understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes No State FL ZIP Code 33173 OMB No. 1660 -0008 Expires March 31, 2012 For Insurance Company Use: Policy Number Company NAIC Number ® No i Soe9 e y/, 0 1 0 20/0 See reverse side for continuation. Replaces all previous editions ACCESSORY BLDG POOL CABANA AND STORAGE BUILT IN PLACE OF OLD CARPORT & STROGE CHECK PL TO SEE COMMENTS. Passed ,o / Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until 0 Inspection Number: INSP - 133513 Permit Number: BP2005 -1541 Inspection Date: October 13, 2010 Inspector: Bruhn, Norman Owner: QUINTON, ALBERT Job Address: 457 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: SOUTHERN ENGINEERING CONSTRUCTION LLC Building Department Comments October 13, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: F. Insulation Certificate Work Classification: Addition Phone Number Parcel Number 1132060140630 Phone: (305)251 -3000 Page 1 of 1 January 15, 2010 Building Official Village of Miami Shores 10050 NE 2nd Ave. Miami Shores, FL 33138 Re: Quinton property located at: 457 NE 95th Street Miami Shores, FL 33138 Dear Sir: Arco Construction Corporation Upon visual inspection of the guest house at subject property, we were able to determine that thermal insulation was installed (the walls have R-4.2 and ceiling R -19) according with approved plans and according to appropriate South Florida Building Code. General Contractors/CGC 1505163/1665 N.E. 137th Terrace/N.Miami, F133181 305.892- 6507/Fax 305.892 -2379 ACCESSORY BLDG POOL CABANA AND STORAGE BUILT IN PLACE OF OLD CARPORT & STROGE CHECK PL TO SEE COMMENTS. Passed // Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -5060 Permit Number: BP2005 -1541 I Inspection Date: October 13, 2010 Inspector: Bruhn, Norman Owner: QUINTON, ALBERT Job Address: 457 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: SOUTHERN ENGINEERING CONSTRUCTION LLC Building Department Comments October 13, 2010 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Termite Letter Work Classification: Addition Phone Number Parcel Number 1132060140630 Phone: (305)251 -3000 Page 1 of 1 457 N. E. 95 S7 NIANI FL 9/7/10 Date Notice of Preventative Treatments for Termites (As required by Florida Building Code (FBC) 104.2.6) 0. 25% Percent Concentration COMO cai.a Krypton Pest Control Co. 2215 West 78th. St., Hialeah, FL 33016 Dade: (305) 828-2999 / Broward:(954) 779 -1535 Address of Treatment or Lot/Block of Treatment Time P,411! JWDRTO1/F.Z Applicator 8 :00 14.17. CT ER 7C Cq ERI7E7IIRIN 6 Q4LLONS Product Used Chemical used (active ingredient) Number of gallons applied 146 LF Area trreated (square feet) Linear feet treated 4D ;OININ( SLAB Stage of treatment (Horizontal, Vertical, Adjoining Slab, retreat of disturbed area) As per 104.2.6- If soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. If this notice is for the final exterior treatment, initial and date this line -9-/-7-1-1 0 C i 1 / 4 - 9/7/10 Date 0. 25 Percent Concentration Notice of Preventative Treatments for Termites (As required by Florida Building Code (FBC) 104.2.6) K rypton Pest Controll Co 2215 West 78th. St., Hialeah, FL 33016 Dade: (305) 828 -2999 / Broward:(954) 779 -1535 457 N. E. 95 S7 t'V/ZAl7I FL Address of Treatment or Lot/Block of Treatment Time 8:0O .PP. Applicator CJPER 7C Cyl ERME7/11UN 6 G'4LLONS Product Used Chemical used (active ingredient) Number of gallons applied 146 LT Area trreated (square feet) Linear feet treated A n T S,t_A Stage of treatment (Horizontal, Vertical, Adjoining Slab, retreat of disturbed area)? 0/ . Z As per 104.2.6- If soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. If this notice is for the final exterior treatment, initial and date this line 9/7 / 10 6'4.. -- STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL APPLICANT: Albert & Jennifer Quinton AGENT A League PROPERTY ADDRESS: 457 NE 95 St Miami FL 33138 LOT: 19-22 SUBDIVISION: Mllami Shores AIM BLOCK: IDS: 14-320814 -0830 APPLICATION 0:AP908924 maxim e:13 -SC- 968337 DOCENT : FI744318 DATE PAT ; 01!26/2009 PEE x : 375.00 RECEIPT #:13 -PID -1 094585 API ] ] 3 3 3 ] ] 3 1 3 3 rim. RESTER LOO /LOO CHECKED ITEMS TANK INSTALLATION [01] TANK EMU 111 [02] TANK 1A IAL [03] OU1Z DEVICE [043 MULTI — CHAMBERED 421/ N 1 [05] OUTLET SZL'TER Zoeller [061 sLcEmo 1. 1,1- 04 -04SO3 2. [07] MATEATIGHT [08] LEVEL [09] DEPTH TO Lin DRAINNFIELD INSTALLATION [10] AREA [11 209 [23 [11] DI$TRIBUTION BOX READER (121 NtEGER O9' D]tn3AN*fl 9 1 13_00 2. [13] DRAINLINE SEPARATION [141 DSA LINE SLOPE [351 DEPTH of COVER 1161 ELEVATION ( ABOVE / (173 SYSTEM T.oCATZON [183 DOSING Mum [193 AGGREGATE ExzE [203 AGGREGATE EXCESSIVE sx e [211 AGGREGATE DEPTH FILL / EXCAVATION MATERIAL [22] FILL AMOUNT [23] FILL nom [243 EXCAVATION DEPTH [25] AREA REPLACED [26] REPLACEMENT MATERIAL CONSTRUCTION [ I APPROVED 1 I APPROVED I ARE NOT 900.00 [2] Concrete 88LOW / DISAH9AOvED 3: Dade OHD DATE: 03/31/2009 Ronald 6 Cave [DOW County Environmental H00100 / DISAPPROVED I: (8sp1anatSan a! V ;o /nt4ons on 0o1Lawsuu Pte) IN COMPLIANCE SOFT x ] NM 27.84 DE 4016, 10/97 (Previous Editions May NI USO4) EH Dattbasm v 1.0.1 AP001024 WITH STATUTE OR RULE AND MOST RE CORRE 1 3 [ 3 [ 3 1 ] [ 3 [ 3 [ 1 [ [ 3 [ 3 [ 1 t ] [ ] [ ] [ 3 [ 1 1 [ 3 [ 3 [ 3 [ 3 [ 1 [ ] [ 3 SETBACKS [271 SURFACE WATER ADD!'IONAL INFORMATION [403 [ [421 [433 [441 [45] [463 [4 [48] Rat E C4va (Da oUnty Erwtmm o rdiditealt ) [28] DITCHES [29] PRIVATE WELLS [30] PUBLIC WELLS [31] IRRIGATION WELLS [32] POTABLE leMER [333 BUILDING FOUNDATIONS [34] pROBBRTV LS:mt$ [35] OTHER PILLED / MOUND SYSTEM [363 DPAIN5IELD COVER [37] SHOULDERS [38] sums [391 STABILIZATION ABANDOIBEINT [49] TANK PUMPED [80] TANK CRUSHED 4 FILLED 40 7 22 gaol 15 FT FT FT FT PT FT FT FT FT UNOBSTRUCTED ARE $TOWNATER #X3NOFF ALARMS SCE AGREEMENT BUILDING AREA LOCATION CONFORMS NITS SITE PLAN FINAT4 SITE GRADING CONTR Guillermo Suarez (A Leapue) OTHER INFILTRATOR Quldt4 EQ 38 Dade cHs DATE: 03131/2009 Pug 2 of 3 XV. 99:). 6002/8O/LL ACCESSORY BLDG POOL CABANA AND STORAGE BUILT IN PLACE OF OLD CARPORT & STROGE CHECK PL TO SEE COMMENTS. Pass fU Inspector Comments / Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: October 13, 2010 Inspector: Bruhn, Norman Owner: QUINTON, ALBERT Job Address: 457 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Building Department Comments October 13, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP -5059 Permit Number: BP2005 -1541 J Contractor: SOUTHERN ENGINEERING CONSTRUCTION LLC For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Density Work Classification: Addition Phone Number Parcel Number 1132060140630 Phone: (305)251 -3000 Page 1 of 1 TO DENSITY NUMBER E Engineers �r I� ralr Your Project Is Our Commitment Di Roma Construction 895 SW 69th Avenue Miami, FL 33144 ATTN: Danay PROJECT •457 NE 35th St .. CMT REPORT NO. 1 NO. OF DENS TIES CONTRACTOR AREA @ Cabana House . CONSTRUCTION TYPE Continuous -Footers • @ E. Wall Area @ N. Wall Area @ S. Wall Area @ W. Wall Area LOCATION 0 Centex of N. Columns @ Center of E. Columns @ Center of W. Columns @ Center of SE. Columns • • 8 Tan Sand Tan Sand Tan Sand PROJEDT'NO. 4 - 1343 . r!I II=NT D Roma • inict i nn • - • . LOCATION 457 NE •95th•• st • Miami Shores • • • TESTED BY W • Di a z • MATERIAL TYPE Tan ' Sand Tan Sand Sand Tan Sand - Tan Sand C.C. FIELD METHOD Nucl eC.r ASTM D2922 LABORATORY METHOD Mod].fied, Proctor• ASTM D1557 COMMENTS I. ... • ; '. . MOISTURE. FIELD J IAB 7.6 6.6 6.4 7.8 •8.0 8.6 7.9 8.0 10.0 10.0 10.0 10.0 10.0 10.0 10.0 10.0 1 - 11b rlae3 /003 F -176 . FIELD DENSITY REPORT DATE TESTED Jun 07, 2007 • DRY DENSITY . FIELD J LAB 101.9 102.6 102.1 102.4 102.1 102.9 103.4 102. 103.0 103.0 103.0 •103.0 103.0 103.0 103.0 103.0 COMPACTION 100 99 100 99 99 99 100 100 SPECIFIED COMPACTION 98 LOW DENSITIES INDICATED * Page 1 of 1 Jun 13 , 2007 Nutting Engineers of Florida. Inc. PER. o// * Rez avidan P.E., #60223 Reporting of these test results constitutes a testing service only. Engineering interpretation or evaluation of test results Is provided only on written request. • *Palm Beach (561) 736 - 4900 Browaid (954) 941.8700 *•Miami D.ade'(305) 824 * Port St. Lucie (772)408.1050 ACCESSORY BLDG POOL CABANA AND STORAGE BUILT IN PLACE OF OLD CARPORT & STROGE CHECK PL TO SEE COMMENTS. Passe 4P/ Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: October 13, 2010 Inspector: Bruhn, Norman Owner: QUINTON, ALBERT Job Address: 457 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Building Department Comments October 13, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP -5080 Permit Number: BP2005 -1541 Contractor: SOUTHERN ENGINEERING CONSTRUCTION LLC For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Final PE Certification Work Classification: Addition Phone Number Parcel Number 1132060140630 Phone: (305)251 -3000 Page 1 of 1 Tel.: (305) 567 -0125 Fax: (305) 567 -0129 October 8, 2010 Miami Shores Village Building and Zoning Department 10050 N.E. 2 Avenue Miami Shores, Florida 33138 Reference: Mr. & Mrs. Quinton Residence Addition 457 N.E. 95 Street Miami Shores, Florida Permit No.: BP 05 -1541 Dear Sir /Madam: This letter is to verify, that to the best of my knowledge, belief and professional judgment, the reinforced masonry work meets the intent of the Florida Building Code and are in substantial accordance with the approved plans. Resp PI se let us know if you need any further assistance regarding this matter. Francisco Cu: lo, Jr., P.E. President FC /Imc /Quinton Letter FRANCISCO CUELLO JR., P.E., INC. Consulting Engineer 147 Alhambra Circle Suite 200 Coral Gables, FL 33134 ACCESSORY BLDG POOL CABANA AND STORAGE BUILT IN PLACE OF OLD CARPORT & STROGE CHECK PL TO SEE COMMENTS. Pass /- Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until I nspection Number: I NS P- 152231 Permit Number: BP2005 -1541 I Inspection Date: October 13, 2010 Inspector: Dacquisto, David Owner: QUINTON, ALBERT Job Address: 457 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: SOUTHERN ENGINEERING CONSTRUCTION LLC Building Department Comments October 13, 2010 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Declaration of Use Work Classification: Addition Phone Number Parcel Number 1132060140630 Phone: (305)251 -3000 Page 1 of 1 PREPARED BY: Signature and Print e. . to STATE OF FLORIDA COUNTY OF MIAMI -DADE My commission expires: DECLARATION OF USE KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the ned undersi • �/ following r g �� ` 6),tA I is /are the fee simple owner(s) Lot(s) 2 • EW.1t 7.1 !21 Block 53 of Mt4Mt SKaee.S SeL2. (Subdivision), according to the plat thereof, as recorded in the Plat Book to Page 3•T of the Public Records of Miami -Dade County, Florida, (address) 45 j E1 — v AJ, wS and WHEREAS, the undersigned owner(s) have sought certain development approval from Miami Shores and are providing this document in : onsideration thereof and to induce the Village to grant same: NOW, THEREFOR E, for good and valuable consideration, the receipt and sufficiency of which is acknowledged the undersigned do(es) hereby declare and agree: 1. That the Property will not be used in violation of any ordinance of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. 2. That the property will be used for a single family residence only. 3. That he /she wll not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjoym ant and title to the above Property and shall constitute a covenant running with the land and shall be binding upon the u dersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordance with the codes, rules and regulations of said Village then in effect. of the fo g property ( r perty") situated and be ng in Miami Shores Village, Florida: IN WITNESS WHE REO , the undersigned has/have caused on this is day of yVlQ,17 2001- . Dwint;, SWORN TO AND SUBSCRIBED before me on this MAR 33 0 2007 J B Y: OWNE Signature and Print Signature / and Print I pert iE G4 r h `f bet . I HEREBY CERTIFY that on this day personally appeared before me j..LI`i11 . r 41- 41 f lc/( 4 k I who is personally � know� to a or has produced (type of identification) as identificattmi`l3>S a to acknowledge that he /she executed the foregoing, freely and voluntarily, for purposes therein expressed. day of TAW OF FLORIDA, CCU. ' . 1,,. fr6• ARY PU t of -REet Ct'ftitf tPat till$ k: 3 tax t "y of the N - c f 91 ,IN'" Donna C Moak 0 1)274887 E1�7TVC -SS tri 'r :rr• i■. Siti: ~ Expires December 44. 2007k,ARVE'4' RU` or 1 C ' f`y 1111111111111111111111 1111111111111111111 111 of A:7 54 :t i 40„ CFN 2OO7R0324691 OR Bk 25493 Ps 0026; Ups) RECORDED 03/29/2007 15:57 :26 HARVEY RUVIN,, CLERK. OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE hand(s) and seal(s) to be affixed hereto E OF F ORIDA , 200 ACCESSORY BLDG POOL CABANA AND STORAGE BUILT IN PLACE OF OLD CARPORT& STROGE i 77 0707 Passed 1l� Inspector Comments 1—''''''' / Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 07/16/2007 Inspector: Dacquisto, David Owner: QUINTON, ALBERT Job Address: 457 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SOUTHERN ENGINEERING CONSTRUCTION LLC Building Department Comments Friday, July 13, 2007 Inspection Worksheet 0711 (ol--1 Miami Shores Village � 10050 N.E. 2nd Avenue Miami Shores, FL Ul Phone: (305)795 -2204 Fax: (305)756 -8972 CIT Permit Type: Residential Construction Inspection Type: Spot Survey Work Classification: Addition Phone Number Parcel Number 1132060140630 Lot: Phone: (305)251 -3000 Page 1 of 2 U.S. DEPARTMENT OF HOMELAND SECURITY F ederal Emergency Management Agency National Flood, insurance Program Al. Building Owner's Name ALBERT & YENNIFER QUINTON A2. Building Street Address (including Apt., Unit, Suite, anchor B 457 NE 95 ST BI. NF P Comnippity Name & Qqp grytty Number � MIAMISMOR €S 12.0652 41. Map/Panel • •••• 12025 C 0093 f) 9) Signature City MIAMI State FL ZIP Code 33138 • BS. Suffix ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -8. B6. FIRM Index Date 7/17/95 SECTION A - PROPERTY INFORMATION A3. Property Description (Lot and Block Numbers, Tax Parcel Nu rr L LOT 20 & E 1/2 OF LOT 19 & LOTS 21 &22,BL53 "MIAMI SHO A4. Building Use (e.g., Residential, Non - Residential, Addition, A A5 Latitude/Lvngitude: Lat. N 25° 51' 45.48" Long. A6. Attach at feast 2 pltotograQhs dittft building if the Certificate 11'' bidding DiaBrem41umber t • AB. Fora buildfngwit4 a crawtspre $r enclosure(s), provide • . a) Square footage of crawle~paeewor enclosure(s) WA sq ft •: • p .No. of permanent flood openings in the crawl space or enclosire(ss) rprl3lls witht•16 toot above adjacent grade WA • • • &)• • Total net area gf flood openings in A8.b sq in • • • • SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B2. County Name MIAMI -DADE B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in item B9. . 0 FIS Profile ® FIRM, ❑ Community Determined ❑ Other (Describe) BI1. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 0 Other (Describe) B12. is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ' - ®No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ® Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations —Zones Al A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR /A1 -A30, AR/AH, AR/AO. Complete Items C2.a -g below according to the building diagram specified in Item A7. Benchmark Utilized BM # 3250. EL 7.70 Vertical Datum N.G.V.D. 1929 Conversion/Comments NONE a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ :9.85 N/A b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) Ro B7. FIRM Panel Effective/Revised Date ;3/2194 d Box No. ) , " e 37 MIAMI -DADE COUNTY, FLORIDA Horizontal Datum: ❑ NAD 1927 . NAD 1983 to obtain flood Insurance.' feet ❑ feet .❑ feet B8. Flood Zones) X ❑ meters (Puerto Rico on ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation Information. 1 certify that the Information on this Certificate represents my best efforts to Interpret the data available. I understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Certifier's Name ALBERTO LO ENZO- LUACES -- License Number 3087 Title LAND SURVEYOR f Company Name SELF EMPLOYED Address 923 - .W. ;Y' " l �.. City MIAMI State FL ZIP Code 33184 Date 7/3/07 Telephone 305- 220 -6397 0,M8 No. 1660 -0008 E*pires February 28. 2009 F or Insurance Company;Use: -POI1cy Number .. B3. State FLORIDA Compan yIAIC':Number A9. For a building with an attached garage, provide: a) Square footage of attached garage W qI sq ft b) No. of permanent flood openings In the attached garage walls within 1.0 foot above adjacent grade . Nom/ c) Total net area of flood openings in A9.b N/A sq in 99. Base Flood Elevation(s) (Zone AO, use base flood depth) N/A • � � Check the measurement used. JUL 13200' j ID feet meters (Puerto Rico onl y feet Y:J --- -- - ❑ feet ❑ meters (Puerto Rico,only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) PLACE SEAL HERE IMPORTANT: in these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. City State 'ZIP Code Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. Comments CRO N OF ROAD EVATION: 8.92' Signature Address Signature Comments Local Official's Name Community Name Signature Comments SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) i 7 1/a7 e ❑ Check bare if attachments SECTIO E = UILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO,AM p ONE As(ifilTHOUTIFE) • • •••• • • For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMRF reautst, comp ate factions fit Br • • and C. For items E1 -E4, use natural grade, If available. Check the measurement used. In Puerto RIco only, enter mete** • • • •' El . Provide elevation information for the following and check the appropriate boxes to show whether the elevation is •abppa sir bein e1 ,highest acijeoen* • • • a) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ tae or ❑ below the HAG... ; .. • b) Top of bottom floor(including basement, crawl space, or enclosure) Is ❑ feet ❑ meters Clite11e'or ❑ DIbfill'e LAG, • E2. For Building Diagrams 6-8 with permanent flood openings provided In Section A Items 8 and/or 9 (seepage 8 otieet9w Ions), the n@xt higherOdbt" ; (elevation C2.b in the diagrams) of the building Is ❑ feet ❑ meters ❑ above or 0 below tte9 ., E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. . • • • • • E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ apovd' r'❑ belowY tp • E5. Zone AO only: of no flood depth number is available, is the top of the bottom floor elevated In accordance with the community'efjggieltin management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. grade (HAG) and the lowest adjacent grade (LAG). SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA - issued or:community- issued BFE) or Zone AO must sign .here. The statements In Sections A, B, ..and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name City State • ZIP Code Date Telephone G7. This permit has been for. 4] New Construction , ,0 Substantial improvement G8. Elevation of as -built lowest floor (Including basement) of the building: ,:0 feet 0 meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet :❑ meters (PR) Datum Title Telephone Date :for insurance Company+ =Ssa:' .Fancy . NUmber Company sNAIC ":Number fl Check here 11 attachments , SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable Items) and sign below. Check the measurement used in Items G8. and 39. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who Is authorized by Iaw to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA - issued or community- issued BFE) or Zone AO. 33. ❑ The following information (Items G4. -G9.) Is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit issued G6. Date Certificate Of Compliance/Occupancy issued Check here if attachments ACCESSORY BLDG POOL CABANA AND STORAGE BUILT IN PLACE OF OLD CARPORT & STROGE JUN 2 , VP Passed lY l Inspector Comments CREATED AS REINSPECTION FOR INSP -5061. Inspection for slab is not ready, called in with plumbing rough. 6/25/07 CG Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 06/27/2007 Inspector: Grande, Claudio Owner: QUINTON, ALBERT Job Address: 457 95 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SOUTHERN ENGINEERING CONSTRUCTION LLC Building Department Comments Tuesday, June 26, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Slab Work Classification: Addition Phone Number Parcel Number 1132060140630 Lot: Phone: (305)251 -3000 Page 1 of 2 TRIAL NUMBER WET DENSITY ligMO. '- DRY DENSITY (IbI(t3) MOISTURE CONTENT • (%) 1 107.3 • 100.6 6.7 2 111.6 102.7 8.7 3 113.9 103.1 10.5 4 114.1 101.6 12.4 • • ■ MAXIMUM DRY DENSITY OPTIMUM MOISTURE CONTENT (IbIft3) (%) .CALCULATED 103.0 10.0 • • ■ :_ . • ■ ; • • • ■ ■ ■ / . 1 ■ II 1114 1111 111E1111 )111 - 1111 11111111 111 TO SAMPLED BY TESTED BY SOURCE COMMENTS WO rcr 14:1r rtlUl7- MUMS roarPrejcaBoucmni tnrn, i R vuru CU,.Struct 895 SW 69th Avenue • Miami, FL 33144 ATTN: Danay PROJECT 457 NE 95th St CMT CONTRACTOR' • PROCTOR NO. 1 MATERIAL IDENTIFICATION • ` • • • • COLOR Tan MAJOR Sand MINOR COMPONENT 110.0 107.5 105.0 102.5 z ILI 100.0 C 97,5 95.0 W. Diaz T. Alphonse Obtained On-Site 1. . 4 . 5 6 . 7,, 8 9 .10 '11 .12 • IVIOi3TUJRE CONTENT ( %) Page 1 of 1 Jun 13, 2 •Nutting Engineers of Florida, Inc. T -116 P002/003 F -176 MOISTURE - DENSITY • RELATIONSHIP REPORT PROJECT.NO. Hialeah -1343 CLIENT Di Roma Construction LOCATION 457 NE 95th St . Miami Shores . . DATE TESTED Jun 06 2007 DATE RECEIVED •Jun 06, 2007 DATES,MPLED Jun 05 2007 COMPACTION STANDARD COMPACTION PROCEDURE RAMMER TYPE TOTAL NUMBER OF TRIALS Modified. Proctor, ASTM D1557 C: 6" Mold, Passing 3/4" -Automatic 4 These test results constitutes a testing service only. Engineering interpretation or evaluation of results Is provided only on written request. TO VV L. at - ..C,1r rrrnnr Engi e1►lodaa� mrfBP Yoic Project Is onr ro.mrr . �J Gwnmltm>mt. . Di Roma Construction 895 SW 69th Avenue Miami, FL 33144 ATTN: Danay PROJECT -457 NE 95th St =.. CMT REPORT NO. 1 NO. OF DENSITIES 8 CONTRACTOR AREA @ Cabana House . CONSTRUCTION TYPE Continuous -Footers • DENSITY NUMBER Page 1 of 1 LOCATION @ E. Wall Area @ N. Wall Area • @ S. all Area @ W. Wall Area @ Center of N. Columns @ Center of E. Columns @ Center of W. Columns @ Center of SE. Columns • PROJECT'NO. Hialeah -1343. • . cu !Ohm Di Rom •e7t n. t•rlic-t` i c,n TESTED BY W. • Di a z • MATERIAL TYPE Tan • Sand Tan Sand Tan Sand .Tan ' ' Sand Tan Sand Tan Sand Tan Sand Tin Sand C.C. FIELD METHOD Nuclear ASTM D2922 LABORATORY = Modified Proctor ASTM 01557 . COMMENTS •LOCATION 457 NE 95th•• St • . . Miami Shores • • . MOISTURE • • FIELD 7.6 6.6 6.4 7.8 •8.0 8.6 7.9 8.0 LAB 10.0 10.0 10.0 10.0 10.0 10.0 10.0 10 .0 Jun 13 , 200 7 NLiting Engineers of Florida. Inc. PER. Reporting of these test results constitutes a testing service only. Engineering interpretation orevaluatian of test results Is provided only on written request T -116 P003/003 F -176 . FIELD DENSITY REPORT DATE TESTED Jun 07 2007 • DRY DENSITY . FIELD 101.9 102.6 102.1 102.4 102.1 102.9 3.03.4 102.9 LAB 103.0 103.0 103.0 103.0 103.0 103.0 103.0 . 103.0 SPECIFIED COMPACTION 98 LOW DENSITIES INDICATED * 'Palm Beach (561) 736-4906 Browaiii (954) 941.8700 *'Miami Ilade'(30S) 824.0060 Port St. Lucie (712)40S COMPACTION 99 100 99 99 99 100 100 100 Notice of Preventative Treatment for Termites (As required by Florida Building Code (FBC) 104.26) KRYPTON PEST CONTROL, COMPANY 2215 WEST 73' ST s'r EFT 6 6 a • HIALEAH, FL 33016 (305)9828 -2999 (954)779 -1535 457 NR 95 STRPF.T,MIAMI,FT, Address of Treatment or Lot /Block of Treatment 6/25/07 10:00 A.M. VLADIMI OVIED Date Time Applicator CYPER TC CTPERMETHRIN 70 GALLONS Pkoduct Used Chemical used Number Of Gallons (active ingredient) Applied 0,25 % 700 SF Percent Area Treated Concentration (square feet) Linear feet treated AD,TOTNTNG SLAB Stage of treatment (horinzontal, Vertical :Slab, retreat of disturbed areat d d As per 104 -2.6 if soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval If this notice is for the finalexterior treatment initial and date this line PLANNING AND ZONING PZ06- 0323 -6 457 NE 95 Street Whereas, the applicants Jennifer & Albert Quinton III (owner) have filed an application for site plan review before the Planning and Zoning Board on the above property. The applicant sought approval as follows: Site Plan Review, Sec. Pool Cabana. Whereas, a public hearing was held on March 23, 2006, and the Board, after having considered the application and after hearing testimony and reviewing the evidence entered, finds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village 2. The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code. The Board requires that all further development of the property shall be performed in a manner consistent with th � e si e . G'' , drawings, and the conditions agreed upon at the hearing. Applicant must our a covenant of restrictive use and unity of title. Additionally, the applicant must, satisfy all applicable Miami Shores Village codes, Miami - Dade County Codes, the applicable building and life safety codes required for development, the minimum floor level, meet the parking setbacks and provide a copy of the development order to the Building Dept . A motion to approve the application with conditions for made by Mr. Sastre and seconded by Mr. Reese was passed and adopted this 23` day of March, 2006 by the Planning and Zoning Board as follows: 3 Dat Member Sastre Yes Member Abramitis Yes Me ber lmer Yes Th iarni SIiores Vital 10050 N.E. SECOND AVE. MIAMI SHORES, FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 DEVELOPMENT ORDER Chairman Fernandez Yes Mr. Reese Chairman, P annin: d Zoning B OS -15441 MIAMI SHORES VILLAGE Page 1 of 1 PZ06- 0323 -6 Jennifer & Albert Quinton III 457 NE 95 ST Sec.600: Site plan approval 3 -car garage Mr. Schenk explained the basis of the request, the site conditions, and recommended denial of the application. Mr. Schenk testified that the applicant proposed to demolish an existing carport, replace it with a pool cabana, and construct a pool and pool deck. He also stated that the proposed pool and the cabana meet all setback requirements. Staff is concern that the characteristic of the cabana lend to propensity for the structured to be used as a guest house. Mrs. Jennifer Quinton (owner) and Ana Alvarez (architect) were there to present the case. Mrs. Quinton testified that the intentions fro the proposed cabana will be for storage and a game room. Chairman Fernandez stated that the property owner should record a covenant of restrictive use and unity of title. After a brief discussion from the Board, Mr. Sastre made a motion to approve the application subject to record a covenant of restrictive use and a unity of title. Mr. Reese seconded. Motion passed 5 -0. http:// www. miamishoresvillage. com/ VillageBoards /P &ZB /03- 23- 06P &ZMIN.htm 3/15/2007 Southern Engineering & Construction, LLC Builder and Contractor Certified General Contractor #037422 Date: 11/18/2008 To: Building Official Building Department Miami Shores Village 305.795.2204 0 305.756.8972 F Should you require any additional information please do not hesitate to contact me. Thank you, Jonathan Y Southern Engineering & Construction, LLC 786.285.7270 Mobile Property Address: 457 NW 95 Street, Miami Shores Florida 33138 Permit No.: BP05 -1541 Re: Request for Master Building Permit Extension for the above listed Property. This letter shall serve as a request to extend the Building PPrrrm t BP05 -1541, for the above referenced Property. 305.251.3000 Phone . 305251.3013 Fax . 1000 Ponce De Loon Blvd . So/te 205 . Coral Gables . F/orlda . 33134 PREPARED BY: 'OP O-1-J KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned` ' V' 'A �4 614 is /are the fee simple owner(s) of the following described property ( "Prbperty") situated and be ng in Miami Shores Villa 9 e, Florida: Lot(s) LO • E :- I t 4 It Block 61?) of M 14Mt sfica4 $ e c, ;L (Subdivision), according to the plat thereof, as recorded in the Plat Book ■o Page 3'7 of the Public Records of Miami -Dade County, Florida, (address) 451 tS and WHEREAS, the undersigned owner(s) have sought certain development approval from Miami Shores and are providing this document in consideration thereof and to induce the Village to grant same: NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which is acknowledged, the undersigned do(es) hereby declare and agree: 1. That the Property will not be used in violation of any ordinance of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. 2. That the property will be used for a single family residence only. 3. That he /she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above Property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his /her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordance with the codes, rules and regulations of said Village then in effect. IN WITNESS WHEREOF, the undersigned has /have caused hand(s) and seal(s) to be affixed hereto on this is day of ,2O0-. Signature and Print STATE OF FLORIDA ) COUNTY OF MIAMI -DADE ) My commission expires: MAR 3 2001 j CFN 2OO7RO 24691 OR Bk 25493 Ps 0026 Ups) �1�, `` �� RECORDED 03/29/2007 15:57 :28 B Y: W"' HARVEY RUVINv CLERK OF COURT IIIAIII -DACE COUN4TYr FLORIDA LAST PAGE DECLARATION OF USE OWNE ft Signature and Print 111111111111111111111111111111111111111111111 Signature / and Print f l V e r ( " (-4N /141 I HEREBY CERTIFY that on this day personally appeared before me \ £L4 1'1 r q'41610( (4k who is pe onally_kno to me or has produced (type of identification) as identifi e e acknowledge that he /she executed the foregoing, freely and voluntarily, for purposes therein expressed. SWORN TO AND SUBSCRIBED before me on this / „ 11 , , / , 200 day of ir J E OFF ORIDA C r ;_Sc, ` ARY PU met Donna C Hudak � 0 1,' �, �� 0; AT MY Commission DD274687 -' ti'VI(f � CV �, ` i , OF Ci .i a C "-Pt! Co:JT S C 21 107 s. December 14 k1ARVE5 RU fri NOTARY SEAL : P 0 5- 1541 T A T F OF- FLOr 1 , CD' !' CE ?Till f`..:(?s OR 3 0 2007 Lj B Y OATH OR AFFIRMATION DECLARATION OF RESTRICTIVE COVENANT AND UNITY OF TITLE STATE OF FLORIDA, COUNTY OF MIAMI -DADE: to (or affirm ) and l bscribed before me this day of )/ i ignature of Owner Name of Notary Typed, printed or stamped ap _ ► Donna C Hudak • My Cormniasion D0274607 (Pl a check one) 7dr Expires December 14. 2007 Personally known to me; or ❑ Produced identification. Type of Identification Produced: NOTARY SEAL: 111111111111111111111111111111111111111111111 C Ft4 ' i e e a 8.03:24692 OR Bit 25493 Ps 0027i (1Ps) RECORDED 03/29/2007 15 :57 :28 HARVEY RUVIHr CLERK OF COURT MIAMI -DADE COUHTYp FLORIDA LAST PAGE KNOW ALL MEN BY THESE PRESENTS: Afbar* EdMJ gr.4 Qur K +U" WHEREAS, the undersigned oevi -Tempt: 4 r Q �, „ f K Ware the fee simple owner(s) of the following described property and being in the Village of Miami Shores, Florida: Property Description: zdo t E '/z vit Zt ZZ ?�-ac•K S� o ! M to•PM S +E W '�G 2 , +?P> .06, 14 ";c4eR 'r$l.,>,G Arco ►s as" MCI '# t - boE- C f Ems .... , pasizw...epS. NOW, THEREFORE, for good'attd - valuable consideration, the undersigned do(es) hereby declare and agree as follows: 1. Each and all of such separated recorded lots, plots, parcels acreage or portions thereof shall be regarded as unified under one (1) title as a singular and indivisible building site, for the purpose of compliance with the provisions of the Code of Ordinances of the Village of Miami Shores; that the property shall be henceforth considered as one (1) plot or parcel of Land, and that no portion thereof shall be sold, conveyed or devised separately. 2. This declaration of unity of title shall constitute a covenant to run with the land, as provided by law, and shall be binding upon signatories hereto, their heirs, successors and assigns, and all parties claiming under them until such time as the declaration may be released, in writing, by a properly authorized representative of the Village of Miami Shores. fi Ii.Jar I / 7" A Si ature of Notary Public of Florida rrv►n� �', t , v l h fvh --11 Si Print N S ure of Notary Public -S th`e f Flori I 0114 c C V Name of Notary Typed, printed or stamped Swo to (or affirmf4) and subscribed before me this , by. C day of WON, , by. rn I VI VI t.c'br 0 it ( MD ‘1 A Donna �� M Hudak My Comm n D0274087 Ne wv Expires December 14.2007 (PI Ise check one) Personally known to me; or ❑ Produced identification. Type of Identification Produced: NOTE: Please mark boxes that apply The following individuals(s) employed by this firm or me are authorized to perform inspections. 1 Fib aco C4Jt e t o 42 FL 2. cffefaroPHd 2 moot1.1 Prigtoo eI 3. • Miami Shores Village l . B o uilding Department Avenue, Miami Shores, F133138 Tel: 305-795-2204 * Fax: 305-756-8972 4. ^77 mk, 7 2007 BY: ( A' ) " NOTICE TO MIAMI SHORES VILLAGE BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING` CODE I (We) have been retained by (tiame of owner /agent) 1 t .. e h to erform Special Inspector services under the Florida Building Code at the project (address) 57 SE ° {S STS • Miami Shores, as of • 11 - ? 1 7 (date). I am a registered Architect or Professional Engineer licensed in the State of Florida. PERMIT NUMBER \ S 41 ErSpecial Inspector for Reinforced Unit Masonry, FBC 2122.4 ❑ Special Inspector for Trusses over 35 Ft. Long or 6 Ft. High, FBC 2319.17.2.4.2 ❑ Special Inspector for Steel Connections, FBC 2218.2 Special Inspector for Soil Compaction, FBC 1820.3.1 ❑ Special Inspector for Precast Units & Attachments, FBC 1927.12.2 ❑ Special Inspector for Pilings, FBC 1822.1.20 ❑ Special Inspector for I, (we) understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site for reference by the Miami Shores Building Department Inspector. All mandatory inspections, as required by the Florida Building Code, • must be performed by Miami Shores: The building inspections must be called for all mandatory inspections. Inspections performed by the Speciallnspec1or fired by the Owner are In addition to the mandatory &weed= performed by the Building Depa tment. Further, upon completion of the work under each Building Permit, I will submit to the Miami Shores Building Department at the time before the final inspection the completes inspection log form and 'a sealed statement indicating that, to the best of my knowledge; belief and professional judgmeint those portions of the project outlined above meet the intent of the Florida Building Code and are in substantial accordance with the approved plans. Engineer /Architect Name A 04.4441 Ct1euo j4 NF . /id. (Print) Slimed and S ed /47 16/ g G/7.4th 1p Address 41/ >� , 4,42,61. 444 3 et, - .33/3V Date: t ip , Phone No. ( S`)Sl•7' apiS Florida License No: i 444°1°7 Miami Shores Building Department 1 Product Approval Schedule / Comparison Chart Address: 4'f A E 9: Sr Permit No.® — Opening Description of Window Product Acceptance Product Approval Opening Design Rough Opening Shutter Required Mullion Required Impact 11) or Door or Mullion Number Design Pressure Pressure Size Yes / No Yes / No Yes / No ( +) PSF ( -) PSF ( +) PSF ) PSF l r„Orjw 1:1 ,0 ,.L -ferei E,J W .06 -O/-Z7 • 02. 7 %ay T ao 7.534 .Zf/ 30 "kJ. 9 /j/® ✓Vd Cc 6%z 3 ../07:44. .,iy D6 -OAP 7- 02_ 7`/00- /o o 5:Ar - Sir aV 6o " x • " /1/0 ./!/O .�' /1'002 ? ox 7,&9 ./�° a 6 freer- Wet GC- /'5 oloo 6, 03 7 Po t -a. s-y /4 .v,- 72 5` 9(0' 77 AIJ 7,0 C eF,,r1 GC /A✓G- 1 Do 1. O 0 ' O .44F: O f fe J''' -0/ fSI.O -60. 3s-#)c .7k 4: F fAG l --RJEr1ta> J 3s" "xApo„� �n / y� 73 C 4.reNedc110 - °70 2 e• 0/ f / /O //I 14 r0 . ° Z / " O/ e3 r)6 ..i!/O o Cl PrinIOQ, C6--) 7546 t.i.o.feyi OG -O y- A- e.o/ '` / /D / - ihr,ff ¢.1 .../( "X f/, ,.y m ///o rr — / ' � u , ��," w l A i 4 i �4 o FRANCISCO CUELLO JR.,P.E.,INq .; Consulting Engineer 4 s Z2- 1)3' ✓� J L e„5/0( �/!.nE2,4 . ta,.///%4371 • d 4,4 vac 4 a440.0.4" = (/7 4 . ) 2 (3 c 7&.33/ • (t40 • • • • •SCALE • • • •• • • • • • • • • • • •• • • • • • • •._ • • - ..•• -_ - • • - • • • • • • • • A-/J,° .vv ••.• • • • • • • 4 ' valo k c) : oo sr 'VW -,97 1`7 - 1.a7-- Reorder From NESS CU ' "printing smite 1-800-888-6327 NESS, Inc. Peterborough, NH 03458 www.nebs.com aloe . - . - . t' /i110.(/ . J4OdW4 d E • • • • • • • • ••• • • • • • BNEIN NO • ••• • • • • ••• CALCULATED BY • an • • • • • • • SUBJECT TO.CQMPLIAN if WITH ALL FEDERAL STATE AND COUNTY RULES -AND- REGULATIONS OF DATE _ @ ME ; 441 MAR 1- 2001 - O• /8 B Y. __ 0 u z W tU F m m O , g N , E V it c no B ±_, C 3 co C o :_ Miami Shores Village Ref. N0: 0 143200744 FRANCISCO CUELLO JR.,P.E.INC .: • 00 - .v4 Consulting Engineer - Zek/e 2 (.L`Arelgiast) - rover kr) : • • • • • • • • • • dp ' 2. Reorder From NEBS CUST •1A' printing service 1400-888-6327 NEBS, hrc. Peterborough. NH 03458 www.rtebs om • A. .. ae.421i'r / il9.oNZg. •• ••• • ••. • • • • SHELF NO • • • • • • • ••• CALCULATED BY DATE • ••• ' • ••• • • • •• • • • • • • • - • • d • • • • • • • • • ••• • • • • • • • • • • • • • • ••• • • • • • • • •• • •• •• • • • • • • • • • • •• • • • • • • • • ••••••• • • p..-• •j -�••• • • - -• • 1 /./E:7 s f (. m.ak) 2 9 f 2 OF r ('9 1- /Y/y. Z 2) ' - /6 4'3 I'M Rot. No:9 143200748 ( / a'N r /M /Th t r ,�� / a I- I ' - - AEI ink /Ilk • • 3 1/2 • • • • • ••• • •• • • • • • •••• • • • • • • • • .•.. • .••• •• •. • • • • •• • • • • • • • • •• • •••• • • ••. • • •••• • • • • r - r 1 -7_ - Sd .Z PRECAST PECORATI E CONCRETE PANEL DY 'PIDMARK NC' T.Dh. 56..ord - v -- \-74 1 r( Et TOP OP IMAM • 1 TOP CO TOP OP 8R EL 1 TOP O' UD EL TOP OP 611.1. EL TOP OF PIN. PL • 1 EL /41 MIN } P a 53- 5° _ _ 58 � 1 r c- • • ••. • • • • • • • • • • • • • • • • •••• • • • •••• ah I go. nIG11. • i • • • • ' • ■■ I 54.o2 . -60.v? s �a� t a 56 J . — sr . J•"7 5 It L tpr ,so.5 -r _ - a.y a tf $ .56..0.27 0 / - / p's;oJ ThTT _.rp"yo.s/W 9 D s _0_6,4.05. MIAMI -DADE • • • • • • • • • • • • • • • • • ••• • • • • • • -litkillk t ••• • • • ' yE • . • ',' ;140 WEST E • • • BUILDING CODE COMPLIANCE OFFICE (it.CO)' . PRODUCT CONTROL DIVISION 4 tRI DA 1J LDING ET, SW E 1603 M F RIDA 331 0 -1563 (305) 375 -2901 FAX (305) 375 -2908 NOTICE OF ACCEPTANCE (N4 AI .: • • • • , •• • • • • www.buildingcodeonline.com • Construction Glass Industries till 051541 •• • • • • • ••• •. 10100 N. W. 25 Street Miami, FI. 33172 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series "238" Aluminum Casement Window LMI APPROVAL DOCUMENT: Drawing No. W98 -100, titled "Series -238 Aluminum Casement Window, sheets 1 through 6 of 6, prepared by Al- Farooq Corporation, dated 12/04/98 and last revised on 09 -07 -2006, signed and sealed by Dr. Humayoun Farooq, P. E., bearing the Miami -Dade County Product Control Renewal stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews & revises NOA # 01- 1002.03 and consists of this page 1 and evidence pages E -1 and E -2, as well as approval document mentioned above. The submitted documentation was reviewed by Ishaq I. Ch i da, P.E. NOA No 06- 0928.04 / Expiration Date: October 26, 2007 ✓ Approval Date: October 26, 2006 Page 1 • • ..• • • • • •• •. •. • • • • •. • • • • • • • • • • • • • • • • • •. • • • • • • • • • • • • • •.• • • • • .• • Construction Glass Industries . ... . . . ... NOTICE OF At�E1 • �` tM4t: EV1D E•SUBMITTED . ... ••• A. DRAWINGS (transferred from file # 01!f602.0 • 1. Manufacturer's parts and sections drawings. 2. Drawing No. W98- 100,M1e1 Ssnes 238 AlImifitim Casement Window, sheets 1 through 6 of 6, prepared by:AFgrgog <otForation, dated 12/04/98 and last revised on 09 -07 -2006, signed Aild stated lsy Dr.•Hti'ta'3un Farooq , P. E.. B. TESTS (transferred from file # 01- 1002.03) The original test conducted per PA 201, 202, 203 -94, now termed as TAS 201, TAS 202 & 203 -94: 1) Test report on 1) Large Missile Impact Test, per PA 201 -94. 2) Cyclic Wind Pressure Loading, per PA 203 -94 Along with marked -up drawings and installation diagram of an Aluminum Casement Window, prepared by Hurricane Testing Lab, Inc., Test Report No(s). HTL- 0080- 0303 -96, dated 03/06/96 for specimen #1, 2, 3 & 4 dated 10/14/94, signed and sealed by Timothy S. Marshall, P.E. 2) Test report on 1) Air Infiltration Test, per ASTM E283. 2) Uniform Static Air Pressure Test, Loading per ASTM E330. 3) Water Resistance Test, per ASTM E547/E331. Along with marked -up drawings and installation diagram of an Aluminum Casement Window, prepared by Fenestration Testing Laboratory, Inc., Test Report No(s). F 1'L -1003, dated 10/14/94 and FTL-1041 dated 10/14/94, signed and sealed by Yamil Kuri, P.E. 3) Test report on 1) Large Missile Impact Test, per PA 201 -94. 2) Cyclic Wind Pressure Loading, per PA 203 -94. along with installation diagram of a alum. fixed, casement and project -out windows, prepared by Hurricane Test Laboratory, Inc. report No. HTL- 0080- 0303 -96 dated 03/06/96, signed and sealed by Timothy S. Marshall, P.E. 4) Ref. Test report on 1) Uniform Static Air Pressure Test, Loading per ASTM E330. along with installation diagram of a Series CGI 238 alum. fixed windows, prepared by Hurricane Test Laboratory, Inc. report No. HTL - 0080 - 1127 -98 dated 11/10/98, signed and sealed by Timothy S. Marshall, P.E. 5) Ref. Test report on 1) Air Infiltration Test, per SFBC PA 202 -94 2) Uniform Static Air Pressure Test, Loading per SFBC PA 202 -94. 3) Water Resistance Test, per SFBC PA 202 -94. along with installation diagram of CGI 238 alum. fixed window, prepared by Hurricane Testing Lab, Inc, report No. HTL -0080 - 1107 -98 dated Nov. 10, 1998, signed and sealed by Timothy S. Marshall, P.E. 6) Ref. Test report on 1) Large Missile Impact Test, per PA 201 -94. 2) Cyclic Wind Pressure Loading, per PA 203 -94. along with installation diagram of a alum. fixed, casement and project -out windows, prepared by Hurricane Test Laboratory, Inc. report No. HTL -0080- 0303 -96 dated 03/06/96, signed and sealed by Timothy S. Marshall, P.E. E -1 \ ,Le 1. LIw Ka� Ishaq 1. chanda, P.E. Product Control Examiner NOA No 06-0928.04 Expiration Date: October 26, 2007 Approval Date: October 26, 2006 Construction Glass Industries • . ••• • • • • .. .. .. • • • .. • • • • • • • • • • • • • • • • • • • • • • ... • • • • .. • • • .• • • • ..• • • • •• • • • • NOTICE OF ACCEPTANCE: F,V1DENCX$i7I1 .TED • ••• • • ... • ... • • C. CALCULATIONS •• • • • •• ••• •• 1. Anchor Verification Caleklitigni, w / .FBC -2004, dated 09 -07 -2006, prepared by Al- Farooq.J64., jiatgd 09/26,.1. signed and sealed by Dr. Humayoun Farooq, F.E. 2. Analysis and anchor calculations for Series 238 Casement window addressing ASTM E1300 and new IG glass conditions, prepared by A1- Farooq Corp., dated 09/26/01, signed and sealed by Dr. Humayoun Farooq, P.E. (from file # 01- 1002.03) 3. Comparative Analysis and anchor calculations for Series CGI 328 CASEMENT picture window, prepared by Al- Farooq Corp., dated 02/20/99, signed and sealed by Humayoun Farooq, P.E. (Submitted under NOA# 01- 0730.01) D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 03- 0827.08 issued to Solutia, Inc. for "Saflex interlayer ", expiring on 03/04/2009. F. STATEMENTS 1. Statement letter of compliance w/ FBC -2004 dated 09/07/06, signed by Dr. Humayoun Farooq, P.E. 2. Statement letter of compliance and of no financial interest, dated 08/31/06, signed and sealed by Dr. Humayoun Farooq, P.E. 3. Laboratory compliance statements, part of above test reports. G. OTHER 1. This NOA renews & revises NOA # 01- 1002.03, expiring on October 31, 2006. 2. One year conditional approval subjected to verification test. 3. Testing confirmation letter issued by Hurricane Testing Lab dated 09 -01 -2006. 4. Correspondence between CGI & BCCO dated 03/21/01 & 08/21/2001 E -2 LhA hag I. chanda, P.E. Product Control Examiner NOA No 06- 0928.04 Expiration Date: October 26, 2007 Approval Date: October 26, 2006 AT I Mf ACT VINDIWS ONLY INSTRUCTIONS; USE CHARTS AS FOLLOWS. GENERAL WINDOW SECTIONS 0 G DETERMINE DESIGN WIND LOAD REQUIREMENT BASED ON WIND VELOCITY, BLDG. HEIOHT, WIND ZONE USING APPLICABLE ASCE 7 STANDARD. SEE CHARTS ON SHEETS 3 AND 4 FOR DESIGN LOAD CAPACITY OF DESIRED GLASS SIZE BASED ON APPLICABLE WIND DURATION. USING CHART ON SHEET 8 SELECT ANCHOR OPTION WITH DESIGN RATING MORE THAN DESIGN LOAD SPECIFIED IN STEP 1 ABOVE. THE LOWEST VALUE RESULTING FROM STEPS 2 AND 3 SHALL APPLY TO ENTIRE SYSTEM. FOR GLASS TYPES, REFER TO SHEETS 3 AND 4. C CM NOTES: THIS PRODUCT HAS BEEN DESIGNED AND ItsItU TO COMPLY WITH THE REQUIREMENTS OF THE FLORIDA BUILDING CODE 2004 EDITION (REV. 2005) INCLUDING HIGH VELOCITY HURRICANE ZONE (HVHZ). WOOD BUCKS BY OTHERS, MUST BE ANCHORED PROPERLY TO TRANSFER LOADS TO THE STRUCTURE. ANCHORS SHALL BE AS LISTED. SPACED AS SHOWN ON DETAILS, ANCHORS EMBEDMENT TO BASE MATERIAL SHALL BE BEYOND WALL DRESSING OR STUCCO. ANCHORING OR LOADING CONDITIONS NOT SHOWN IN THESE DETAILS ARE NOT PART OF THIS APPROVAL A LOAD DURATION INCREASE IN ALLOWABLE STRESS IS USED IN DESIGN OF ANCHORS INTO WOOD ONLY, MATERIALS INCLUDING BUT NOT LIMITED TO STEEL/METAL SCREWS, THAT COME INTO CONTACT WITH OTHER DISSIMILAR MATERIALS SHALL MEET THE REQUIREMENTS OF 2004 FLORIDA BLDG. CODE SECTION 2003.8.4 (SUPPLEMENT 2005). J 24° MAX. TYP. AT HEAD /SILL WINDOW WIDTH VENT WIDTH WW -2 D.4 OPG. WW -7 N. n -- li u ! N TYPICAL ELEVATION Engr: DR. HUAYY UNN FARG00 FIA F£ A 18557 C.A.N. 3838 6° VAX. TYP. HEAD /SILL CORNERS o $ • • FOR MUWON /MULTIPLE UNITS, REFER SEPARATE CGI MUWON N.0A. SURFACE APPLIED FALSE NUNTINS OPTIONAL p• • • •116 I. • 1••• •• • • • •• •• •• atomq#Atelith the PEW • • II1I7 1T • NT • — • • ( THESE WINDOWS ARE RATED FOR LARGE MISSILE IMPACT. SHUTTERS ARE NOT REQUIRED. •• •• ••• L6 c m • •8 4,?; E. z g z m �... N q U ga C a O U Z M o < 4 O ] - a I zz M WN0F - • a O I • U n w l p w t � ? ill a m • = N N °) • g • • •••• Z ° • •• •• s,• • r • a 8 LL drawing 1 ( W98 -100 ,sheet 1 of 6 , • • • • • • •••• • VENT CORNER ALL FRAME AND VENT CORNERS TO BE SEALED WITH GE SII.PRUF OR EQUIV. FRAME CORNER ITEM 2 ART 8 AP -425 AS RE00. FRAME WEATHERSTRIPPING 0200 0190 AS RE00. VENT WEATHERSTRIPPING 35 -10 -00 -101 2/ VENT 4 BAR HINGE, AT TOP ARE BOTTOM 24 -13 -00 -202 2/ VENT FACE MOUNT LOCK - 2/ VENT .110 THICK LOCK KEEPER, AT FRAME JAMB FACING LOCK 23 -20-00 -101 OPERATOR HANDLE 30175 1 OPERATOR TRACK - 2/ CORNER FRAME AND VENT ASSEMBLY SCREWS CORNER KEY .060 THICK ST. STEEL CORNER KEY .062 THICK ALUMINUM QUANTITY DESCRIPTION 001-373 4 FRAME 001 -376 4 VENT (5/16' LAM. GLASS) 4 VENT (INSUL LAM. GLASS) C01 -385 4 VENT (7/16' LAN. GLASS) CGI -375 4 GLAZING BEAD 4 .080 THICK CORNER KEY 8 .080 THICK CORNER KEY TERIAL MAW/SUPPLIER/REMARKS 8083 -28 INDIUM OR EOUN. 8083 —T6 P 051.11( OR EQUIV. 6083 -16 INDALEX OR EOUN. 8083 —T8 INDALEX OR EQUIV. 8083 —T5 INDALEX OR MIN. ALUMNUM — ST. STEEL. — STEEL STEEL STEEL STEEL STEEL FRAME .383— 754 r - 5117 GLAZING STOP .830 SCHLEGEL APTUS SCHLEGEL 0—LON TRUTH, ATTACHED W/ (8) 88 X 3/8' SS SMS TRUTH, ATTACHED W/ (2) #8 X 3/8" SMS C01, ATTACHED W/ (2) #10 X 3/8' SS SMS TRUTH, ATTACHED W/ (2) /8 X 3/8" SS SMS TRUTH, ATTACHED W/ (2) #8 X 3/8 SS SMS #10 X 1 -1/4 SS 5145 Engr. OR. HU51RUi0 N FAROOQ U S FLA. PE i 18557 CAN. 3838 VENT (5/16 LAM. GLASS) VENT (INSt4,6 GUM GLASS) • • ••• dITYI 20 �1 • 66 •••• •.347• • VENT (7416 LAU. GLASS) • • • 1.875 •-•1.15: •1 •• • • • •• • ••• PRODUCT L *Maids T M �w ce U ci 3 w () W 0 • N IS O c.l M d F 1 O — 1 ° 1- S 8 G o0s j drawi no. ( - 1oi 2 (s ng Gf Li • • • ••• • •• ••• • ••• • ••• • • ••• ••• • • • •••• • •••• • PERFORMANCE VALUES OF IMPACT RESISTANT WINDOWS NO SHUTTERS REQUIRED REFER TO SHEETS 5 AND 8 FOR INSTALLATION DETAILS PERFORMANCE REFER VALUES OF IMPACT NO SHUTTERS RESISTANT WINDOWS REQUIRED FOR INSTALLATION DETAILS TO SHEETS 8 AND 8 WINDOW DIMS. GLASS TYPE '2' GLASS TYPE '3' GLASS TYPE '6' WINDOW DIMS. GLASS TYPE '2' GLASS TYPE '3' GLASS TYPE '8' WIDTH HEIGHT DO'. ( +) TNT. ( -) EXT. ( +) intr. ( -) EXT. ( +) 1NT. ( -) WIDTH HEIGHT EXT. ( +) 1NT. ( -) EXT. ( +) 1NT. ( -) EXF, ( +) TNT. ( -) 20° 24" 28 30 32 36" 40 42" 110.0 194.3 110.0 210.0 110.0 210.0 20" 24 28" 30" 32 36" 98.8 112.6 110.0 210.0 110.0 210.0 110.0 161.9 110.0 210.0 110.0 210.0 85.8 95.4 110.0 120.0 110.0 120.0 110.0 138.8 110.0 210.0 110.0 210.0 78.7 83.3 110.0 120.0 110.0 120.0 110.0 129.5 110.0 209.5 110.0 210.0 73.2 77.7 110.0 120.0 110.0 120.0 110.0 121.4 110.0 191.1 110.0 210.0 70.2 72.8 110.0 120.0 110.0 120.0 107.9 107.9 110.0 198.5 110.0 210.0 64.8 64.8 110.0 120.0 110.0 120.0 97.1 97.1 110.0 120.0 110.0 120.0 20 24 28 30 32 66 86.7 86.7 110.0 169.0 110.0 169.0 92.5 92.5 110.0 120.0 110.0 120.0 73.4 73.4 110.0 120.0 110.0 120.0 20 24 28 30" 32 38 40 42 42 " 110.0 186.5 110.0 210.0 110.0 210.0 64.2 64.2 110.0 120.0 110.0 120.0 110.0 138.8 110.0 210.0 110.0 210.0 60.8 60.6 110.0 118.2 110.0 118.2 110.0 118.9 110.0 210.0 110.0 210.0 57.5 57.5 110.0 112.2 110.0 112.2 110.0 111.0 110.0 210.0 110.0 210.0 20" 24 28" 30" 32 72 66.4 66.4 110.0 120.0 110.0 120.0 104.1 104.1 110.0 120.0 110.0 120.0 56.1 56.1 109.3 109.3 109.3 109.3 92.5 92.5 110.0 120.0 110.0 120.0 48.9 48.9 95.3 95.3 95.3 95.3 83.3 83.3 110.0 120.0 110.0 120.0 46.0 46.0 89.8 89.8 89.8 89.8 79.3 79.3 110.0 120.0 110.0 120.0 43.6 43.6 85.0 85.0 85.0 85.0 20" 24 28" 30 32" 36 40 42" 110.0 145.7 110.0 210.0 110.0 210.0 20" 24 28 78 52.0 52.0 101.3 101.3 101.3 101.3 110.0 121.4 110.0 210.0 110.0 210.0 43.8 43.8 85.4 85.4 85.4 85.4 103.8 104.1 110.0 120.0 110.0 120.0 38.1 38.1 74.3 74.3 74.3 74.3 97.1 97.1 110.0 120.0 110.0 120.0 20" 24" 84 " 41.5 34.9 41.5 80.8 80.8 80.8 80.8 91.1 91.1 110.0 120.0 110.0 120.0 34.9 68.0 68.0 68.0 88.0 80.9 80.9 110.0 120.0 110.0 120.0 19 -1/8" 28 -1/2 37" 26 110.0 210.0 110.0 210.0 110.0 210.0 72.8 72.8 110.0 120.0 110.0 120.0 110.0 203.0 110.0 210.0 110.0 210.0 89.4 69.4 110.0 120.0 110.0 120.0 110.0 145.4 110.0 210.0 110.0 210.0 20 24" 28 30 32 38 40" 42 'Is 110.0 129.5 110.0 195.7 110.0 210.0 19 -1/8 26 -1/2" 37 38 -3/8" 110.0 190.8 110.0 210.0 110.0 210.0 98.0 107.9 110.0 210.0 110.0 210.0 110.0 137.5 110.0 210.0 110.0 210.0 88.2 92.5 110.0 120.0 110.0 120.0 98.5 98.5 110.0 120.0 110.0 120.0 84.4 88.3 110.0 120.0 110.0 120.0 19 -1/8 26 -1/2" 37" 50 -5/8 110.0 144.5 110.0 210.0 110.0 210.0 80.9 80.9 110.0 120.0 110.0 120.0 99.7 74.7 104.3 110.0 203.3 110.0 203.3 71.9 71.9 110.0 120.0 110.0 120.0 74.7 110.0 120.0 110.0 120.0 84.8 84.8 110.0 120.0 110.0 120.0 19 -1/8 26 -1/2 37 63" 96.7 104.2 110.0 203.2 110.0 203.2 61.7 61.7 110.0 120.0 110.0 120.0 74.9 77.9 110.0 120.0 110.0 120.0 60.0 60.0 110.0 117.0 110.0 117.0 19 -1/8" 28 -1/2 74 -1/4" 63.0 83.0 110.0 120.0 110.0 120.0 48.6 46.8 90.9 90.9 90.8 90.9 1/8" ANN. GLASS .090 INTERLAYER SAFLEX PV8 / 5/16" NOMINAL GLASS TYPE '2' 1/8" ANN. GLASS GE -1200 SILICONE 3/18 ANN. GLASS .090 INTERLAYER SAFLEX PVB 3/16 ANN. GLASS ■ 7/18 NOMINAL GLASS TYPE '3' GE -1280 SILICONE g. 2 I /18" HEAT STREN'D GLASS .090 INTERLAYER i SAFLEX PV8 T 3/16 ° HEAT STREN'D GLASS 7/16" NOMINAL GLASS TYPE '6' GE -1200 SILICONE Engn 56. HUWlYOUN FAf1OO9 FlL STRUCTURES 57 6 • • • • • • • •• • NOTE: GLASS CAPACfTIES ON THIS SHEET ARE BASED ON ASTM E1300 -02 (3 SEC. GUSTS) •• � • • • . r z' •1•••• •••• • 3I,Zr >i • • • ••• •••• • I F i ••• • • • •• •• ••• •t °- •••• • • •• f'g • • •i•1 •� • t andone• 3- �. .. _, z °D ; V W / Q p N z g F U z Off 8 O a oui Uf "o z M _ Oga r pN�o� N' • •••• • a a draw ing no. W98 -100 (sheet Of 8 ) • • PERFORMANCE VALUES OF IMPACT RESISTANT WINDOWS NO SHUTTERS REQUIRED REFER TO SHEETS 5 AND 6 FOR INSTALLATION DETAILS PERFORMANCE VALUES OF IMPACT RESISTANT WINDOWS NO SHUTTERS REQUIRED REFER TO SHEETS 5 AND 6 FOR INSTALLATION DETAILS WINDOW DIMS. GLASS TYPE '2A' GLASS TYPE '3A' WINDOW DLMS.. GLASS TYPE '2A' GLASS TYPE '3A" WIDTH HEIGHT EXT. ( +) 1NT. ( -) EXT. ( +) 1NT. ( -) WIDTH HEIGHT EXT. ( +) 157. ( -) EXr. ( +) 1NT. ( -) 20 24" 28" 30 32 36 40 42 110.0 194.3 110.0 210.0 N N N A M n 98.8 112.6 110.0 210.0 110.0 161.9 110.0 210.0 85.8 95.4 110.0 120.0 110.0 138.8 110.0 210.0 76.7 83.3 110.0 120.0 110.0 129.5 110.0 210.0 73.2 77.7 110.0 120.0 110.0 121.4 110.0 210.0 70.2 72.8 110.0 120.0 107.9 107.9 110.0 210.0 64.8 84.8 110.0 120.0 97.1 97.1 110.0 120.0 20 24 28" 30 32" 66" 86.7 86.7 110.0 189.0 92.5 92.5 110.0 120.0 73.4 73.4 110.0 120.0 20" 24 28 30 32 38 40 42 42 , 110.0 166.5 110.0 210.0 64.2 64.2 110.0 120.0 110.0 138.8 110.0 210.0 60.6 60.6 110.0 118.2 110.0 118.9 110.0 210.0 57.5 57.5 110.0 112.2 110.0 111.0 110.0 210.0 20 24" 28` 30 32 72" 66.4 66.4 110.0 120.0 104.1 104.1 110.0 120.0 56.1 58.1 109.3 109.3 92.5 92.5 110.0 120.0 48.9 48.9 95.3 95.3 8.3.3 83.3 110.0 120.0 46.0 46.0 89.8 89.8 79.3 79.3 110.0 120.0 43.8 43.6 85.0 85.0 20" 24" 28" 30" 32 38" 40" 42' Y 110.0 145.7 110.0 210.0 20 24" 28" 78' 52.0 52.0 101.3 101.3 110.0 121.4 110.0 210.0 43.8 43.8 85.4 85.4 103.8 104.1 110.0 120.0 38.1 38.1 74.3 74.3 97.1 97.1 110.0 120.0 20 24 84° 41.5 41.5 80.8 80.8 91.1 91.1 110.0 120.0 34.9 34.9 68.0 68.0 80.9 80.9 110.0 120.0 19 -1/6" 26 -1/2" 37 28 110.0 210.0 110.0 210.0 72.8 72.8 110.0 120.0 110.0 203.0 110.0 210.0 69.4 69.4 110.0 120.0 110.0 145.4 110.0 210.0 N N 'm 'R Is Y Y 110.0 129.5 110.0 210.0. 19 -1/8" 26 -1/2 37' 38 -3/8 110.0 190.6 110.0 210.0 98.0 107.9 110.0 210.0 110.0 137.5 110.0 210.0 88.2 92.5 110.0 120.0 98.5 98.5 110.0 120.0 84.4 86.3 110.0 120.0 19 -1/8 28 -1/2" 37" 50 -5/8 110.0 144.5 110.0 210.0 80.9 80.9 110.0 120.0 99.7 104.3 110.0 203.3 71.9 71.9 110.0 120.0 74.7 74.7 110.0 120.0 64.8 64.8 110.0 120.0 19 -1/8 26 -1/2" 37 53" 96.7 104.2 110.0 203.2 81.7 61.7 110.0 120.0 74.9 77.9 110.0 120.0 60.0 60.0 110.0 117.0 19 -1/8° 26 -1/2 74 -1/4° 83.0 63.0 110.0 120.0 46.6 48.8 90.9 90.9 1/8" TEMP. GLASS 1/8' ANN. GLASS .090 INTERLAYER SAFLEX P D 3/4" INSULATED GLASS TYPE '2A' i° TEMP. GLASS 1/6" TEMP. MASS 090 INTERLAYER SAFLEX P808 r 1 /8" ANN. GLASS i 1/8" TEMP. GLASS -1200 vi ICONE 3/4" INSULATED GLASS TYPE '3A' GE -1200 IL ICONE Etgr: wi. NUMAYOUN FAROOQ STRUCTURES FLA. PE 116557 C.A.N. 3538 • •t: • • • •• • • • au ll •• • • i.`�. N • • • • •• •• • BMWs NOTE: GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM E1300 -02 (3 SEC. GUSTS) •• • • • • ••• ••• • • • • • • • • ••4:. • ' • I • • • • • ■ R erowsWED • • • •y �w�etdaPilnTlAd • •�. CC U • Z • • G� • In j a •••• ( s 1• •••• oN • M ••• M m • • z i ••• ..:1• •••• Zm" • 8°10 •. 11 •••• •• • Z. c =� drawing no. W98 -100 (sheet 4of 6_, SEALANT- 1/4' TAPCUN L 2 -1 /2' MIN. � INSTALLATION TYPE '1' TYPICAL INST'AI I ATK)N DETAIL ON ALL FOUR SIDES/USING WOOD 1/4' TAPCUNS 1 -1 /2' EMBED1 1' MIN. INSTALLATION TYPE '3' BUCK INSTALLATION BY OTHERS TYPICAI INSTALLATION DETAIL ON All FOIJR SIDES /USING WOOD INSTALLATION CONDITIONS (APPLIES TO AJ FOUR SIDES) FOR ANCHOR PERFORMANCE VALUES SEE SHEET 6 1 3/8' 2 1/8 WOOD BUCK TYPE '1' &IERAL: PRESSURE TREATED 1 3/8' 2 7/8 WOOD BUCK TYPE '3' /MURAL: PRESSURE TREATED SEALANT 2 -1 /2' MN. INSTALLATION TYPE '2' 1/4' TAPCONS 1 -1/2' ENBED WOOD BUCKS NOT BY CGI CORP., MUST SUSTAIN LOADS IMPOSED BY GLAZING SYSTEM AND TRANSFER THEM TO THE BUILDING STRUCTURE. TYPICAL INSTALLATION DETAIL ON ALL FOUR SIDES /USING WOOQ BUCK INSTALLATION BY OTHERS TYPICAL INSTA I ATION DETAIL ON Al L FOUR SIDES /USING WOOD 2 1 /8' MIN. WOOD BUCK TYPE '2' MAIESAL: PRESSURE TREATED 2 1 / 8' MN. INSTALLATION TYPE '4' WOOD BUCK TYPE '4' . L: PRESSURE TREATED D SIRU CTCTUR� FAR000 ES FLA PE i 16557 CA.N. 33563388 • • • • • ATTACHM6iM1" TO I EfAL in1I IM •••• • • •••• 012 SNS 1 1 • . • ATTACHMENT TO APPROVED MULLIONS z ••• • • • •• • • • •• • ••• EINURICTIMMID SI // o 4Aya1� L C T11 1 ll —� N •. �*. o m • v t •• 0 • •� m • ! W Z t • • LU • Isom N N d O N • •••1 Z •••• • API • • c c a g if 6. rEi 8 1 i ▪ 5 drawing no. W98 -1 cahoot De 6 ) • • PERFORMANCE VALUES OF INSTALLATION ANCHORS REFER TO SHEET 5 FOR DETAILS WINDOW DIMS. MI)DTH HEIGHT 20" 24' 28° 30" 32' 36 40" 42 20° 24' 28' 30 32" 38' 4a' a2° 20 24" 28' 30" 32' 36' 40 42' 20' 24 28' 30" 32' 36" 40 42' 20" 24° 28' 30' 32" 36' 20" 24" 28" 35° 32' 20" 24" 25° 30" 32" 20' 24' 28 20' 24" 38" 42' 48" 54' 80' 86" 72 78' 84° EXT. ( +) NT. ( -) 210.0 210.0 208.3 194.4 182.3 162.0 145.8 138.9 210.0 208.3 178.5 166.8 1502 138.9 125.0 119.0 210.0 210.0 208.3 194.4 1823 162.0 145.8 138.9 210.0 210.0 185.1 172.8 162.0 144.0 129.6 123.4 210.0 194.4 168.6 155.5 145.8 129.6 210.0 210.0 189.4 176.7 165.7 210.0 202.5 _ 173.6 " 182.0 151.9 210.0 188.9 160.2 210.0 208.3 PERFORMANCE VALUES OF INSTALLATION ANCHORS REFER TO SHEET 5 FOR DETAILS WINDOW DIMS. WIDTH 19 -1 /8' 26 -1/2' 37' 19 -1/8' 26 -1/2' 37' 19 -1/8' 26 -1/2 37' 18 -1/8° 26 -1/2 37' 18 -1/8" 28 -1/2' HEIGHT 26 38 -3/8' 55 -5/8 63° 74 -1/4' EXT. ( +) N1. ( -) 210.0 210.0 210.0 210.0 208.5 147.9 210.0 208.7 149.4 210.0 167.7 120.1 210.0 177.8 LYPICAL ANCHORS; SEE ELEV. FOR SPACING 1/ 4" TAPCONS INTO 2BY WOOD BUCKS OR WOOD STRUCTURES 1 -1/2 MIN. PENETRATION INTO WOOD THRU 1BY BUCKS INTO CONC. OR MASONRY 1 -1/4 MIN. EMBED INTO CONC. OR MASONRY DIRECTLY INTO CONC. OR MASONRY 1 -1/4" MIN. EMBED INTO CONC. OR MASONRY #14 SMS OR SELF DRILLING SCREWS INTO METAL STRUCTURES STEEL : 12 GA. MIN. (Fy - 36 KSI MIN.) ALUMINUM : 1/8" THK. MIN. (6063 -T5 MIN.) (STEEL IN CONTACT WITH ALUMINUM TO BE PLATED OR PAINTED) #12 SMS OR SFI F DRILLING SCRFW5 INTO MIAMI -DADE APPROVED MULLIONS (MIN. THK. a 1/8 (NO SHIM SPACE) Engr: DR HUMAYOUN FAR000 STRUCTURES FLA. PE / 18557 CAN. 3838 [ ; 1 O°1-. CI m1 g G.1 1 a A O v o 0 EE a 41 u O to a U Ei n o Z e%1 0 n C9' 3 Qa m oa- r' N 1 aoggg=-. Ei'll $ a • U • • •• • io •••• • • • , G • •• • `• Ia. ? L 1<t, •• •• • s •••• i LL Z 07 • • ••.• • Zu1n • • •..• • • M7 {� ••• • 3 • • • •)F�t..• •. ••. ..., gt�.••• • • • J.8 °g' 0' : • • • ••••-- �9•••• • ••f• ng • P RODUCTRENIWID 1N91 iStal/s A a1Wp6 a fN1iBr eafti S8 S G r d rawing no. W98 -100 81186((cof $ 1 .•. • • • ••• • • • •• •. • • • •• .• • • • • • • • • • • • • • ••• • • • • • • • • • • • ••• • • • • • •• • • ••• • • • •.• • • • • • •• • • • • • • • • • • • • • • • • • ••. • • • • • • • • • • • • • • • •• • • ••• •• ••• •• • • • •• • • • • • • • • • • • • • •• ••• • • • • • •• 3 (lar) I k- 1 5 -z,u,11-0 R 1 4 2007 u _ :1. BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION • • • • • • • • • • •• • • • . V . NOTICE OF ACCEPTANCE .M Construction Glass Industries 101001 N.W. 25 St. Miami FL., 33172 • • ••• • • ••�•s • • • • •• • . "• • •. • • • • • • •• • • • • • • • • • • • • • •• • • • • • .• ••• • • • • • • • • • • ••• • • •• •• • • •• • • •• • •• • • • • • • • • ••• •• • ••• •• • • • •• • ••• • • • • • ORIDA DING 1603 'I 1563 (305) M-2908 vvww.bulTding 'dP os -iyH SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series "450" Outswing Aluminum Door w/ Sidelites - Impact APPROVAL DOCUMENT: Drawing No.W98 -01, titled "Series 450 Doors & Sidelites", sheets 1, 1.1 through 7.1 of 7.1, prepared by Al- Farooq Corporation, dated 10/02/98 and last revised on 11 -08 -2006, signed and sealed by Dr. Humayoun Farooq, P.E., bearing the Miami -Dade County Product Control Renewal stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises & renews NOA # 03- 0422.02 and, consists of this page 1 as well as approval document mentioned above. The submitted documentation was reviewed by Ishaq I. C1 r'nda, P. E. NOA No. 06- 0127.02 Expiration Date: November 09, 2011 if Approval Date: November 30, 2006 Page 1 • • • •• • • •• •• • • •• • • • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • Construction Glass Industries NOTICE OrACCEPTA 4 : EVNENIF SUBMITTED A. DRAWINGS ( transferled f{am file?! 0Y- A422421 : • 1. Manufacturer's die drawings and section§. • 2. Drawing No.W98 -, 1, titled "Series 450 Doors & Sidelites ", sheets 1, 1.1 through 7.1 of 7.1, prepartil bi �1- rhooq cdtbrad6n, dated 10/02/98 and last revised on 11 -08 -2006, signe d:add left1e:11:ypr uniayoun Farooq, P.E. . •• • ••••••. B. TESTS (transferred from file # 03- 0422.02) Original test conducted per FBC, PA 201, 202 &203 -94 now known as FBC, TAS 201, 202 & 203 -94. 1. Test report on 1) Air Infiltration Test, per PA 202 -94 2) Uniform Static Air Pressure Test, Loading per PA 202 -94 • 3) Water Resistance Test, per PA 202 -94. 4) Forced Entry Test, per SFBC 3603.2 (b) and PA 202 -94 5) Large Missile Impact Test per SFBC and PA201 -94 6) Cyclic Wind Pressure Loading per SFBC and PA203 -94 Along with manufacturer's parts and section drawing marked -up drawings of an aluminum In/out swing door w /sidelites, by Hurricane Testing Laboratory, Inc., Test Report No. HTL -97055 (0080 - 912 -97) dated 09/23/97 thru 02/27/98 for specimen #1, 2, 3, 4 tested per PA202 -94, specimen #4, 5A, 513, 5C tested per PA201 -94 & PA203 -94, signed and sealed by Timothy S. Marshall, P.E. 2. Additional test report on 1) Uniform Static Air Pressure Test, Loading per PA 202 -94 2) Large Missile Impact Test per SFBC, PA201 -94 3) Cyclic Wind Pressure Loading per SFBC, PA 203 -94 Along with manufacturer's parts and section drawing marked -up drawings of aluminum out swing door w /sidelites, by Hurricane Testing Laboratory, Inc., Test Report No. HTL- 01071 (0080-0402-02) dated 04/01/20028 tested per PA201 -94 & PA203 -94, signed and sealed by Vinu Abraham, P.E. C. CALCULATIONS 1. Anchor verification dated 12- 21 -05and last revised on 11/06/06, prepared by Al- Farroq Corp., complying w/ FBC 2004 prepared, signed and sealed by Dr. Humayoun Farooq, P.E. 2. Glazing complies with ASTME- 1300 -02 D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 03- 0827.08 issued to Solutia, Inc. for " Solutia Interlayers", expiring on 03/04/09. F. STATEMENTS (transferred from file# 02- 0702.01). 1. Statement letter of conformance and no financial interest, dated 12- 21 -05, signed by Dr. Humayoun Farooq, P.E. 2. Letter of lab compliance, part of the above test reports. G. OTHER 1. This NOA revises & renews # 03- 0422.02, expiring 11-0V-00 . L l►a s hag I. Chanda, P.E. Product Control Examiner NOA No. 06 -0127.02 Expiration Date: November 09, 2011 Approval Date: November 30, 2006 E -1 cni, CORPOIQATI ON construction glass industries corporation 10100 northwest 25 street Word. ftorida 33172 d ENGINEER 1 AI Farooq Corporation Dr. 14umayoln Farooq Structural -Fla. P5' I6551 i date 1 10 -20 -91 1 sheet 1 of �\ 1HnI3H '!d0 ' f 1H0I3H 34'084 ., ` / 1 / cni, CORPOIQATI ON construction glass industries corporation 10100 northwest 25 street Word. ftorida 33172 product 1 Series 450 Outewlrg Poore 1 Stdelttse ENGINEER 1 AI Farooq Corporation Dr. 14umayoln Farooq Structural -Fla. P5' I6551 date 1 10 -20 -91 1 sheet 1 of 1 Th'F'ICAL ELEVATIONS STEPS TO USE CHARTS /CsR4PHE SEE SHEETS 6 rI 1. MINIM MULTIPLE SIDELITES 0 AVAILABLE 6 7/8' 11 1/4' D.L. DPG WIDTH 74 -1/2' FRAME WIDTH AL. UPG WIDTH 6 7/8' 1 ^ • • • • 1 • 8-0 • • • • • • • • / / • • • PANEL WIDTH 24' 30' 36' 42' D.L. ❑PG. WIDTH 12 -7/8' 18 -7/8' 24 7/8' 30 -7/8' PANEL HEIGHT 80' 84' 90' 96' 108' D.L. DPG. HEIGHT 66 -1/2' 70 -1/2' 76 -1/2' 82 -1/2' 94 -1/2' • NOV 0 8 2006 Enc.. DA. HUdAYOUN FA11000 STRUCTURES FLA. PE.t7 18857 FRAME HEIGHT = PANEL HEIGHT + 1.750' FRAME WIDTH = PANEL WIDTH + 2.750' ESSOBSTERNMIMIS 0 �•�4lllTf J27.oZ, TYPICAL ANCHORS SPACED AS SHOWN IN DETAILS AND CHARTS. ANCHORS TO BE AT 6 FROM CORNERS MAX. SPACING 24 O.C. AT HEAD & SILL. revisions: A 1141.8 B 11.1441 c Gamin O /2.4.• E 10./4.8 .• •• • • •• • • • • • • • • • • • • •• •• • • • •••• • • •••• - • 0087 8B. PEN Rim E -133 4 1087 IBS 0454 1r65 Rel. TOO 6489 AM NB =GEM 81EET W =ME TM STEET IDEA PEA =0 memo •••• • •••. • • ••• • •••• • • ••• • • B • •••• • O - OL{T IKfs 10012 OER4I • • • • •• • •0• • - ITEM DESCRIPTION (see sheet 2 of 1) • W98 -01 • •y• • • • • • • • • • Mk CORPORATION construction glass industries capaaRen 10100 northwest 25 sheet gland, RotW* 33172 product : Series 450 Outdoing Doors 1 Sldelltee ENGINEER : Al Parooq Corporation Dr.141mayoun Parooq Structural -Ha. PE • I655'1 data : 10 - 20 - I sheet 11 of 1 HINGE LOCATIONS MAX. DOOR HEIGHT NO. REGD. MAX. SPACING UPTO 90 -3/4' 3 30 1/2' ABOVE 90 -3/4• 4 30 9/2' T'('FICAL ELEVATIONS TRUE I-40RIZONTAL MUNTIN (I OR MORE j, PER PANEL) OPTIONAL TRUE MUNTINS POOR OR SItELITE RESIDENTIAL HARDWARE 9 1 »> .>s COMMERCIAL HARDWARE 1- 4ARDLUARE DESCRIPTION 3/16' ANN. COSS 090 P0 LAYER SAFLEX BY SOLUM 3/18' AML GLASS r Ilk ,,m11 rue GLASS TYPE 13A Engr: DR. HUNATOUN F89000 SIRucTURES 7 3/18' H.S. ASS 090 P88 LAYER SAFIEX HQ SOLUM 3/18' HS. CLASS A CE -1200 SQI0000 (E -1200 SLC GLASS TYPE 138 TYPICAL GLAZING IDETAILS I9orWe aegems - dI27.07- Mew l'rJl 1, 1/8' OR 1/4' TEMP. GLASS • • GLASS TI ..13G • • • • • • • • •••• •• • • • • • • •• 0• • • •••• •••• • • • • •••••• • • • •• • • • • • • • •• • • • •••• SPACE 3/16' ALAI. GLASS 090 PYB LAYER WILD( 8Y SOLUAA 3/19' ANN. CIASS d 4 ti :o � •••• • •••• • • •••• ••••e OOOOO • s • •••• ••• • -O - ofiVaI1riI?OOR DETAIL • • • • ••• • ••• • C _ ITEM DE9C IPTIO 9 lase sheet 2 of 1) W98 -01 • • •• • •• • • •• • • • • • • • rza CORPORATION construction glass industries corporation 10100 northwest 25 sheet miami, florid° 33172 product : Sertes 450 Outswtng Doors 4 Stdetttes ENGINEER : A Farooq Corporation Dr. Humayoua Farooq Structural -Fla. PE ° 16551 data: 10 -20 -91 I *not 2 or 1 BILL OF MATERIALS ITEM 2A1 131 X4 5 6 0 110 11 DESCRIPTION 0 12 X 11/4" HEX HEAD 6/S SM6 (3 PER CONNECTION) 3/8 -16 FULLY THREADED CONTINUOUS ROD 3/8 -16 HEX NUT 1 1/2" X 1 1/2" X 3/I6 "THK ALUMINUM PLATE SHEAR CLIP (EXT. NO. 506) DOUBLE 9/32" DIA. JAMB INSTLL. HOLES AT 6" FROM ENDS 4 24 3/16" O.G. MAX e/32" DIA. HEAD 4 SILL INSTLL. HOLES AT 6" FROM ENDS, 3 e CENTER OF PAIRS SPACED 6" O.C. 4 24" O.G. MAX 0 10 X 1" Pi4 -PH -SS TEKS SCREW, a 3" 4 1" FROM ENDS 4 24" O.G. MAX. 14 X 3/4" HEX HEAD 5/3 TEKS SCREW AT 6" FROM ENDS a 24 3/16" O.G. MAX 320 HIGH WOOL PILE WITH CENTER FIN (ULTRAFAB • 3032) .350 HIGH FOAM -TITE WEATNERSEAL (AMESBURY • 32011) THREE POINT LOCK AT ACTIVE LEAF CUSTOM CG1 THREE POINT LOCK MECHANISM WHICH CONSISTS OF (I) TITAN KWIKSET SERIES 180 DEAD5OLT (OR EQUAL) (2) DEADBOLT LATCH (TOP 4 BOTTOM) AND CUSTOM CGI INTERIOR LINKAGE MECHANISM REFLECTOLITE SERIES 6000 THREE POINT LOCK MECHANISM HAGER 4 I/2" X 4" SOLID SRASS (OR 5/5) HINGE SECURED WITH (8) 0 12 -24 X 1/2" BRASS F.H. M.S. (3 PER PANEL UP TO T - 3/4" HIGH) (4 PER PANEL OVER T -6 3/4" TO 9' -0 3/4" HIGH) FLUSHBOLT AT TOP 4 BOTTOM OF INACTIVE LEAF (DELTA MODEL 5509) WITH REINFORCED TIP 13 1 14 1 1 15 1 1161 1181 ( I'31 Le m M Id RI 13A1 1351 I3C Engr; C . HUMAYONi FAR000 STRUCTURES FtA. PE S 18557 r NOV m 8 2n0b 1/2" NOMINAL (.466 ACTUAL) ANNEALED LAMINATED GLASS (2 PCS.) 3/16" THK ANN. GLASS AND .090" SAFLEX INTERLAYER 1/2" NOMINAL (A66 ACTUAL) HEAT STREN'D LAMINATED GLASS (2 PCS.) 3/16" TI-1K. H.S. GLASS AND .090" SAFLEX INTERLAYER I" NOMINAL (.966 ACTUAL) INSUL. ANN. LAMINATED GLASS 1/8" TEMP. GLASS (OUTBOARD), 3/8" AIR SPACE AND (2 PCS.) 3/16" TI-IK ANN. GLASS AND .090" SAFLEX INTERLAYER OR 1" NOMINAL (.966 ACTUAL) INSUL. ANN. LAMINATED GLASS 1/4" TEMP. GLASS (OUTBOARD), 1/4" AIR SPACE AND (2 PCS.) 3/16" TI-4K. ANN. GLASS AND .090" SAFLEX INTERLAYER GE -1200 SILICONE •.•• ( SEE ITEM ) • • • • 3/4" X 1 I/4" X 3/4" X 1/8114K. CONTINUdeJP.ALLt1INUM CHANNEL SECURED WITH INSTALLATION SCREWS • • • •• •• • 1/2" THK (nom) CUSTOM ALUMINUM PANEL, ciPJ`ISISTING OF (2) .090 TI-1K. ALUM. 6HEETS 4 (I) 1/4•41. • OOD ... I 51 AT CENTER •••... I/2" X 1/2" CONTINUOUS CLOSED CELL FOAM • TAPE WITH ONE SIDE ADHESIVE d, 00 1 C1 i s .wsewn.w s , I. u�,. •••• •••• •••• • • • W98 -01 000000 • • • • • ••••• • • ••••• •••• D• • • • • • • PLASTIC WEEP BAFFLE • • •••• • • • • • 1/8" X 5" X 1/8" THK CONTINUOUS ALd 1M•SILL " •• • ANGLE ADAPTOR • • • • • • • • • EXT. c EXTRUSION LIST 500, 501, 502, 506, 501, 508, 509, 510 4 511 ALL EXTRUSIONS ARE 6063 -T6. • • • rrn COR PO RATJ ON COr81NCt10n 011S8 industries commotion 10100 northwest 25 street inland, florid° 33172 product : aeries 450 Outswing Doors 4 Stdelttee ENGINEER : AI Farooq Corporation Dr. 14 mIayom Farooq Structural -Fla. PE • 16551 date : 10 -20 -91 chest 3 of 1 IX4 PT WOOD it n 1/4' X 13/4' LONG 1 TAP^-CN SCREW 1 I`" • 6° FROM ENDS AND 24° O.C. Air OPTIONAL SQUARE GLAZING .082 TYPICAL TYPICAL TYPICAL .12 SCREWS 3/ EP 1/4° • X 1 3/4° LONG TAPCON SCFSW • 6° FROM ENDS AND 24. O.C. (INTERMEDIATE ANCHORS) X 3 3/4' LONG � TAPCON SCREW SE= S • T 6 OPTIONAL INSTALLATION 11 INTO 2X4 PT WOOD 2X4 PT WOOD TYPICAL JAMB 1/4° 4 X 3 3/4' LONG TAfCON SCREW • 6° PROM EN OS AND 20' O.C. (SEE SHEET 6) NOTE: WOOD BUCKS NOT BY CGI MUST SUSTAIN LOADS IMPOSED BY GLAZING SYSTEM. NOTE: ALL ANCHOR CONDITIONS SHOWN ON SHEETS 3, 4 AND 5 MAY BE DIRECTLY TO MASONRY WITH 1/4" MAX. SHIM SPACE Ig WITHOUT VARIATION IN CAPACITY. g N 1/4 X. 1.220 scan 4 1X4 PT WOOD 509 911 1 1 __ 21 II , gl �Il_ EXTEt8IO12 4.52 FRAME LUIDTI -1 INTERIOR 305 • • • • •• • •••••• • 12 TYPICAL PANEL ASSEMBLY TYPICAL PANEL ASSEMBLY TYPICAL PANEL ASSEMBLY 3"13 •••• • • •••• • • • • • •• •• •••• •.• VAT SW 114G DOOR •••• •• •• • • ••••• • • • • • • • • • OR 16 44 TOP 4 BOTTOM OF INACTIVE PANEL W98 -01 •••••• • • • • •••••• • • • • •••••• • • • •••• milk CORPORATION construction glass Industriss corporation 10100 northwest 25 street Komi, florid(' 33172 product : Series 450 Outewiag Doors 4 Sldslttee ENGINEER : Al Farooq Corporation Pr. Ntenayoun Farooq Structural -Fla. PE • 16551 date: 10 -20 -31 I sheet 4 of 1 II, 1! SWEEP II DOOR FRAME WIDTH BDD MULLION 2.878 1250 511 1 511 THIS SILL 15 NOT RATED FOR WATER 4" WIDE SADDLE THRESHOLD 1/4" • X1 3/4" LONG TAPCON SCREW • 6° FROM ENDS 0 24" O.C. 8 75 4.812 EXTERIOR 4111 SEALANT SMALL SIDELITE STILE (EXT. 503) AT SIDELITES 1' -6" WIDE OR SMALLER SIDELITE FRAME WIDTH SIDELITE FRAME WIDTH 4 F I Na A . 0.. i IF �j g r�j y�gj' Fsyr. bR. HJW .' OUM F42050 L 3 ; F•, . P 185.5 7 1/ ri ■111 IX4 PT WOOD 1250 REFER TO SHEET 2 OF 1 FOR TYPICAL BILL OF MATERIALS PROSIJCTRIIIMISVM sly Q14� ®Abtaa 1/4 SHIM • • • • • o.. • •• •• •. • 000 see • 000 *ea •••• • • ••••• • • • • •• •••••• • • • • • • • • • • •• • I/4" • X 3 3/4" LONG TAPCON SCREW • 6" FROM ENDS 4 20" O.C. AT INTERMEDIATE ANCHORS SEE SHEET 6 •••• • • • • • •• •• • • • •••••• • •.•• •••• • • • • • ••• ••• is • • •• 000 ••• • • •• • ••• I • •••• •••. • •••• • •••• • W98 -01 ••• • • •• • •• • • • o •• • • oo • oo • 10 X 1" PH-PH 5M5 S/S (2 PER 13 I CLIP) b75 SIDELITE FRAME WIDTH MULLION 4.812 0812 SEALANT OR. HUMAYOUI FAR000 K PE 1 16557 Nov sZb Ilikkargab I - 0 /27OY Oi•MQeq wrev f or Waft a .L C•tlr•1 .675 • • • • • • • •••• •• • • • • • • • • •• •• • • • • • •••• • • •••••• • • • • • •• •• • • • • • SIDELITE FRAME WIDTI -4 • • • • • • • • •••• • •••• ••••■• • • •••• • • • •••• • ••• • REFER TO SHEET 2 OF 1 FOR TYPICAL BILL OF MATERIALS • W98 =01 • MIL COR PO RAT/ Ohl C01R1/action glass industries 10100 northrst 25 and ndant florid° 33172 product , Series 450 Outdoing 17o0re t 5ldelttee ENGINEER : Al Farooq Corporation r. itumayoun Farooq Structural -Fla. 1'E • 16551 data 10 -20 -91 sheet 5 or 1 PANEL PERFORMANCE CHART FOR DOORS, SINGLE =MITES AND MULLIONS LAMINATED GLASS NOMINAL DIMS. PANEL WIDTH 2/0 2/6 3/0 3/6 2/0 2/6 3/0 3/6 2/0 2/6 3/0 PANEL HEIGHT 6/8 7/0 2/0 2/6 3/0 3/6 2/0 2/6 3/0 7/6 8/0 9/0 OUT -SWING DESIGN LOAD CAPACTY-PSF ANN. LAM. GLASS (TYPE 13A) EXT. 100.0 100.0 100.0 87.1 100.0 1 00. 0 100.0 82.6 100.0 100.0 100.0 76.8 100.0 100.0 100.0 100.0 100.0 100.0 INT. 100.0 10 10 0:0 87.1 100.0 100.0 100.0 82.6 100.0 100.0 100.0 76.8 100.0 100.0 100.0 100.0 100.0 100.0 H.S. LAM. GLASS (TYPE 138) EXT. 100.0 100.0 100.0 10 0.0 100.0 100.0 100.0 100.0 10 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 1000 INT. 110.0 110.0 110.0 110.0 110.0 LI0.0 110.0 110. 110.0 110.0 110.0 102.9 110.0 1 10. 0 110.0 1 10. 0 110.0 100.0 MULLION LOAD CAPACITY P8F 110.0 110.0 1 10. 0 110.0 110.0 110.0 110.0 110.0 110.0 110.0 110.0 110.0 110.0 110.0 110.0 110.0 96.6 80.5 LOADS SHOWN ABOVE ARE FOR DOORS USING THRESHOLD WHERE WATER INFILTRATION REQUIREMENTS ARE NOT APPUCASLE AND FOR THRESHOLD IN ANY CONDMON. OUTa(II n NOTE: GLASS CAPALM S ON THIS SHEET ARE BASED ON ASTM'E1300 -02 (3 SEC. GUSTS) CVMWI G (6ADDLE) PANEL PERFORMANCE CHART FOR DOORS, SINGLE SIDELITES AND MULLIONS INSULATED LAMINATED GLASS NOMINAL DIMS. PANEL WIDTH 2/0 2/6 3/0 3/6 2/0 2/6 3/0 2/0 2/6 3/0 2/0 2/6 3/0 PANEL HEIGHT 6/8 7/0 7/6 8/0 . OUT -SWING DESIGN LOAD CAPACTY-PSF 0080L. MIiL. LAM. GLASS (TYPE 13C) EXT. 80.0 80.0 80.0 80.0 800 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 INT. 80.0 80.0 80.0 80.0 800 80.0 80.0 80.0 800 80.0 80.0 80.0 80.0 LOADS SHOWN ABOVE ARE FOR DOORS USING THRESHOLD 03 WHERE WATER INFILTRATION REQUIREMENTS ARE NOT APPLICABLE AND FOR THRESHOLD ID IN ANY CONDITION. STEPS TO USE CHARTS; 1. DETERMINE WIND LOAD BASED ON PROVISIONS OF 2004 FLORIDA BLDG. CODE 2. DETERMINE WATER INFILTRATION REQUIREMENTS BASED ON PROVISIONS OF F80. 3. SELECT A 0000 SYSTEM I.E. INSWING /OUTSWNG AND TYPE OF THRESHOLD. 4. CHECK THE ALLOWABLE DITERIOR AND INTERIOR LOADS FROM APPROPRIATE CHART. THE ALLOWABLE LOADS MUST MEET OR EXCEED THE DESIGN LOADS REQUIREMENTS. 5. SELECT AND CHECK ANCHORS TO MEET LOAD. 6. FOR MULLED SIDELTTE REFER TO MULLION CAPACITY. THESE CHARTS CAN BE USED TO CHECK CAPACITY FOR SINGLE OR DOUBLE LEAF DOORS. REFER TO TABLES ON SHEET 7 TO DETERMINE ANCHORS REQUIRED. E^!P DR. HUMAYOUN PAI1000 STRUCTURES FLA. . PE S 18587 0 U a. 8 0 5 • g � 3 • 00 • 0 10 drawing no. W98 -01 sheet 6 of 7 • • • • • • • • •• • •• • • • • • MULLLON ANCHORS AT SIDELUTES MTG. STILE ANCHoRs AT DOUBLE DOORS NOMINAL DESIGN LOAD CAPAC?F -PMF DE9004 WAD CAPACTY-PSF DO10. TYPE 'R ' TYPE 'C NOMINAL DIMS TYPE IF TYPE 'C' PANEL V IDTH PANEL HEIGHT C.USTRR OF 2 ANCHORS CLUSTER OF 4 ANCHORS CLUSTER OF 6 514CHOR0 CLUSTER OF 2 ANCHORS CLUSTER OF 4, ANCHORS PANEL WIDTH PANEL HEIGHT CLUSTER OF 2 ANCHORS C13381714 OF 4 ANCHORS CLUSTER OF 8 ANCHORS CLUSTER OF 2 ANCHORS CLUSTER OF 4 ANCHORS 2/0 2/6 3/0 3/6 6/8 882 110.0 110.0 110.0 110.0 SASS 6/9 882 1160 110.0 110.0 110.0 70.8 110.0 110.0 1003 110.0 70.6 1109 110.0 100.3 110.0 58.8 1109 110.0 818 110.0 58.8 110.0 110.0 83.8 110.8 50.4 100.8 110.0 71.7 1109 50.4 1008 110.0 71.7 1109 2/0 2/6 3/0 3/6 7/0 84.0 110.0 110.0 110.0 110.0 2/0 2/6 3/0 3/6 7/0 84.0 110.0 110.0 110.0 110.0 672 110.0 1109 855 110.0 67.2 1109 110.0 98.5 110.0 56.0 110.0 110.0 79.6 110.0 56.0 110.0 1109 79.8 110.0 460 05.0 110.0 682 110.0 48.0 960 -110.0 682 110.0 2/0 2/6 3/0 3/6 7/6 784 110.0 110.0 110.0 110.0 2/0 2/6 3/0 3/6 7/6 78.4 110.0 1109 110.0 110.0 62.7 1109 110.0 892 110.0 62.7 110.0 110.0 892 110.0 52.3 104.5 110.0 74.3 110.0 523 104.5 110.0 743 1100 44.8 89.8 110.0 63.7 1109 44.8 80.6 110.0 83.7 1109 2/0 2/6 3/0 8/0 735 110.0 110.0 104.5 1109 2/0 2/6 3/0 8/0 73.5 110.0 110.0 1045 1100 589 110.0 110.0 818 1100 58.8 110.0 110.0 83.6 110.e • • 49.0 98.0 110.0 89.7 110.0 49.0 9M 1100 • 1100 • • SSS 9/0 853 1100 110.0 92.9 110.0 aaa 9/0 003 110.0 110.0 • • 8E7 • nib 110.0 523 104.8 110.0 74.3 110.0 52.5 104.5 110.0 74.3 y80 • 43.6 87.1 110.0 81.9 110.0 43.6 87.1 1081 • 1" • OUP 11011 • SINGLE DOOR OR SIDELITE DOUBLE DOOR FOR SIDELITE AVG. PANEL WIDTH _ DOOR PANEL + FIXED PANEL 2 TYPE 'B'- TYPE 'C'- STEPS TO USE CHARTS; 1. SELECT TYPE OF ANCHOR. 2. FOR SIZE OF UNITS DETERMINE ALLOWABLE LOAD CAPACITY. THIS LOAD CAPACITY MUST MEET OR EXCCED DESIGN WIND LOAD REQUIREMENT DETERMINE IN STEP 1 OF SHEET 8. •••• ANCHORS; • • •••• 1/4° TAPCONS ••..•• INTO WOOD STRUCTURES • • 1 - 3/4 ° MIN. PENETRATItt1 IA& WOOD Eng, OR. HUMAYOUN FAR000 S1RUCTURFS FIA. PE g 16057 lC1 ®$ 'LOOS • • •••.• • 1 -1/4° MIN. EMBED INTO CONC. OR MASONRY• • EDGE DISTANCES • • INTO CONCRETE AND MASONRY 2 -5/8" MIN. INTO WOOD STRUCTURE 1 MIN. � NOWT PROMS Ate•��0 .o Ul ••• 53 0 z 00 ••• • ••• • THRU WOOD BUCKS IN'TD I4. MASONRY • 8 IAA 1 -1/4 MIN. EMBED INTO CONC. OR MAS0f1I�Y w 0 I /4" TAPCONN • • ••• DIRECTLY INTO CONC. ; k 1 AS 0AflY • • • • m 0 v w V cc • •. • if g S N • L droving no W98 -01 (sheet 7 of 7 • •• • •• • •• • • • • • • • • HEAD CORNER DETAIL CORNERS TO BE SEALED WITH LOW MODULUS SILICONE SILPRUF OR EQUIVALENT. SILL CORNER DETAIL 2 X 2 X 1/4 ALUM ANGLE Bur Mt. HUYAYaUN FM000 STttI.TTU.AES RA. PE F 18857 #12 SCREWS 2/ LEG • • • • • . •• • 000.0• • 000000 ••• SILL CORNER DETAI ••• • • •. • • •• • • • • 0000• •0• • • • • • • • • . •• 4 4 "w1•I �.�&o12 1. g esegammumwa g rt 1 mo d" 2 0 N n R D e ••• ••• • •• • 0 •a g� z o ` ems• U $ • • fpp• 41 ago. N O z 5 • • 9 1 • • drawing W98 -01 .1 sheet 7.1of 7 • • • • • • • • • • • 0 • • • • • • r MIA MI�DADE� � ( �[ - - ®o -- • ••• • • • ••• 1 - - 1 O , ��RIDA • • •• • • •• • ►i • • • •• � • ► : ; • °' i �1 G • • • • • ••• • • • BUILDING CODE COMPLIANCE OFFICE (Be(e) • • • • • • i • • . 140 ST ,4 3 S 1603 PRODUCT CONTROL DIVISION ;, r ' � A 331 0-1563 (30 5 j • s (305) 375-008 NOTICE OF ACCEPTANCE (NO:A)::... • . ezp ot-1154.1 . • ••• •• Best Rolling Doors, Inc. • • • • • • • 9780 NW 79 Ave. Hialeah Gardens, FL 33016 Scope. This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Mani-. Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone. DESCRIPTION: 16'-0" Max. 20 Gage Slat Roll -Up Door. V APPROVAL DOCUMENT: Drawing No. 05 -084, dated 05/16/05, with last revision on 09/29/05, titled "16' -0" Max 20 Gage Slat Roll -Up Door", sheets 1 through 3 of 3, prepared by Tilteco, Inc signed and sealed by W. A. Tillit Jr, PE, bearing the Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. / MISSILE IMPACT RATING: Large and Small Missile Impact ) LIMITATIONS: This approval requires the manufacturer to do testing of all coils used to fabricate door slats under this Notice of Acceptance. A minimum of 2 specimens shall be cut from each coil and tensile tested according to ASTM E-8 by a Miami -Dade County Certified Laboratory selected and paid by the manufacturer. Every 3 months, 4 times a year the manufacturer shall mail to this office a copy of the Test Reports with confirmation that the specimens were selected from coils at the manufacturer's production facilities and a notarized statement from that manufacturer that only coils . with yield of 80.0 ksi or more shall be used to make panels for Miami -Dade County under this Notice of Acceptance. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA # 03- 0521.06 and, consists of this page, evidence page as well as approval document mentioned above. The submitted documentation was reviewed by Can . Font PE. MAR 1 4 2007 Y :- - • • •• •• • • • • • • • • • • • • • • •• • • • •••• • • ••• • • • • • ••• • • • • • • • • • NOA No. 05-0606.03 / Expiration Date: September 2, 2009 Approval Date: January 5, 2006 Page 1 Best Rolling Doors, Inc. • • • .• • • • .•• •. .. • • • • . •. • • • • • • • • • • • • • • •• • • • • • • • • • • • • • ... • • • • ••• • .. •• • • • • • •. • • • •. • •. • • • • •. • • • • • • ••• • • • • NOTICE OF ACCEPTANCE: EVIDENCE PAGE ▪ . . • •• .. • • . • • A DRAWINGS: • • • • • • • ••• • • 1. Drawing prepared by Tilteco, Inc., titled "16' -0" Max. 20 Gage Slat Roll-Up Door", Drawing No.05 -084, dated 05/16/05 with latest revision on 09129/05, sheets 1 to 3 of 3, signed and sealed by W. A. Tillit Jr. PE. B TEST: 1 Test report on Large Missile Impact Test per PA 201, Cyclic Wind Pressure Test per PA 203 and Uniform Static Air pressure per PA 202 on "Series: Roll -Up Door; Steel Garage Door", prepared by Fenestration Testing Laboratory Inc., Report No. 2337, dated 11/09/99, signed and sealed by A.P. Gonzalez, PE. C CALCULATIONS: 1 Calculations for attachment of guide to steel or masonry jamb, prepared by Tilteco, Inc. with no date, sheets 1 through 26, signed and sealed by W. A. Tillit Jr, PE on 08/27/99. 2. Revise anchor calculations prepared by Tilteco Inc. on 09/29 /05, signed and sealed by W. A. Tillit Jr PE. D QUALITY ASSURANCE: 1. Building Code Compliance Office. E STATEMENTS: 1 Code compliance letter, issued by Tilteco, Inc. on 08/27/99, signed and sealed by W. A. Tillit Jr. PE. 2 No- financial interest letter, issued by Tilteco, Inc. on 08/27/99, signed and sealed by W. A. Tillit Jr. PE. 3 Test Compliance letter issued by Fenestration Testing Laboratory, Inc on 12/06199 signed and sealed by A. P. Gonzalez, PE. 4 Yield Strength compliance affidavit prepared by Best Rolling Door, Inc. on 09/28/05, signed by S. A. Suarez and notarized by M. E. Rivera on 09/30/05. 5 F MATERIAL CERTIFICATION: 1. Tensile Test Report No. ATC 13974.0001 per ASTM A370 on slats material, prepared by ATC Associates, Inc. on 05/24/99 and 10/18/99, signed and sealed by S. E. Black, PE. 2. Tensile Test Report No. ATC 13974.0001 per ASTM A370 on components prepared by ATC Associates on 05/24/99 signed and sealed by S. E. Black PE. E - Can do F. Font PE Senior Product Control Exanninnr NOA No. 05- 0606.03 Expiration Date: September 2, 2009 Approval Date: January 5, 2006 CH4t .. 7 77 � EE EL (r ' OPTIO2 RA. / 1/4'9 , s -o° 0002 207H (Mw,) ' SLIDE BOLT LOCK 11r1/41112 3/76" LQHa FASTENED TO ANOLE W/ / cora t /2" BOLT * NUT (7YP. EA. WO TYPICAL DOOR ELEVATION J PLAIN ' N. L 5. , ()FIAT SLAT J SCALE: 1 /2 a 1 7 200A 4035. .525° INSULATED ,r SECTION A A N. T. S. 1 Counter &dance Shan ' EYLSTBNS STEEL STRUCTURE Sa00 Rea / REQUIRED 1/13' >� / STOPS / alarm DETAIL I/22� (TYP• Et 553101 M.. 607roM BAR® ■ 2.500 1.250' 1 • e° as H /B• L 25tJk7/8" Cent VANDLO0K W-7 OR W-2 ATE AIL OTHER O) SLAT .1 0 10' 0.C. / 1 SLAT p CHANNEL DUIDE(Dant) f a r g tl r 3)CNANNEI GUIDE 1 /e• 1 1/4° / 1 5 1/4" SEE SHEET 3 OF 3 FOR M. SLIP RE0'D TIP. 9408 5105 FIR A GAIN SIZE D00R SECTION B —B sa4lE t 3/8° - 1" ctlAMVEL 005(177.) SEE SHEET 3 OF 3 FOP Mw,, SUP REOD IYP. & 071 SEE FOR A OVEN SITE DOOR , $ECT /ON C —G. . SCALE : 3/8' 04237910 POURED CONCRE7E , 375' Mw. '16 ve 1 cI 7T • ID' as 2k2i1/8' CarA : \ / 7 /e° " 1 7/9° 10101.0CX W-1 OR W -2 AT EVERY 07748 SLAT (SEE MK 1/2) 7 f5b TO' O.C. / • r as 3/9 ° 0 POWER ear 07/ r LIn. 511BEOMENT (SEE SCHEMA. ON SHEET 3 FOR ANCHOR SPACRIC) START FIRST BOLT AT 5" FROM BOT70M. raw MESTIN9 & 57181760M7 7 COMPANY ONEFALANZai 1- ROLL -UP DOOR SHOWN ON THIS PRODUCT APPROVAL DOCUMENT (PAD.) HAS BEEN VIED FOR CODE COMP/AN IN ACCORDANCE WITH THE 2004 EDITION OF THE 4OR1OA BUILOINO COO& DESIGN WINO LOADS SIIAIL BE 0£FERMINED AS PER SECTION t820 OF 1712 ABOVE MENTIONED CODE ROLL -LIP DOOR'S ADEQUACY FIT 6NPAOT AND FATIGUE RESISTANCE HAS BEEN VERIFIED / IN ACCORDANCE 797TN SECTION 78011.4 OF THE ABOVE MEN7ONED CODE AS PER REPORT 2337. PER TA5 -201, TAS -202 & MS-203 PROTOCOLS. , 1027076 PRESSURE mama: *90.0. -90.0 MI 2- SLAT TO BE A.S.T.M. A -85J 50, GRADE 80, WITH G -90 GALVANIZING OR AJ.S1. ' STAONLESS STEEL SERIES MANUFACTURED WITH A M/NMUM HELD STREWN OF 80.0 KSI. i 3- ALL STEEL ANGLES 70 BE AMEN. A -38 0£SLGNAT70M SHOP PRIME1 AGNNS7 CORROSION PRIOR TO 1NSTAIJA70N. 4- 01/IDES & 744NDLOCHS 70 BE .4.17M. A -65J GRADE 50 COLD FORMED STEEL / DESIGNATION, WITH G -80 GALVANIZING 5- HOOD 70 BE 29 C.A. AS.T.M. A -85J DESIGNATION, WITH 0 -90 GALYMOZHNG 6- ALL RIVETS 70 B£ AL O.. t000 5T££L, ZINC P1ATE0 07/48.42 K57 WNW TENSILE' STRSVGDE 7- CONNCREIE ANCHORS 70 BE AS MANUFACTURED BY POWERS FASTENERS INC., AND SHALL SE ANSTALLEO 7011.0500 ALL OF 717E RECOMNEI1047707S AND SPECIFICATIONS OF THE ANCHORS MANUFACTURER. , 8- ALL 120.0120 TO CONFORM 70 AVEREANN WELDING SOtIE7YS .KS D 1.1 RECULA770NS. USE AW.S AS.1 OR A5.5 56055 515072ODES MIN. I/O' F7LCEI1176W 8 - NSULAAON MATERAL SHALL BE 19PS- EKPrWDED PCL75'7'049 j *WADI* . • • • 9 MANUFACTURED BY APACHE PRODUCTLJ COMA RYiNORCE OF ACCEPTANCE ! 01- 1706.09. t0 - 77 SHALL BE THE RESPONSIB11J7Y OF THE CON1RACTOR•TO VE�PY &AT THE A 19ISRNG STRUCTURE 7S DESIGNED 7459111 i iW AND M' row air 40711 JAMBj.. A SEE SHEET 3 OF 3, TABLE 1 FOR VK & • **VALUE£ 71 - ROLL -UP MECHANIST 1707 MTV 77& '4$AROVAL. BUT Skata BE CEATIF7£D :.: AN INDEPENDENT TESTING A05NCY, / • • • • • A1" • 72- ONE CURTAIN (70P 31A7) IS FA,rgie r 7 H5 WHEEL W a/8 r /8 LONG 11411 USING ONE 3/8" BOLT & AVE , • 73- (4) MI5 P,4.0. PREPARED BY 7755 �t E AND 7 DOES NO D 0 £ DON FOR A STE SPECIFIC TF1` ja Ev407j• FROM ONE P.A,a (B) CONTRACTOR TO BE RESPONSE j FOR Iy,E 9FE ECTON, PURCHASE AND NETALLATLDN , OF THIS PRODUCT BASED ON 77673 /i1.D. PROWDE50 1E/SHE MATE 9016 • a THE CONDITT07W DETAILED ON ITO DOCUMENT. CONSTRUCDjV 3A 83 • 5/7E l5 THE ' CONTRACTORS RESPONSIBIJ1K . • • • • • • • • • • ••• (0) TH15 P.A.D. VIAL DE 00715 21150 INVALID 07 /0DtF7FS. r• • • • • • BY A FLORIDA OD) SITE SPECIFIC wRaisors SHALL FE 257715 EREO ENGINEER OR ARCHITECT 1757JH PALL. BECOME THE 520I1PER OF RECORD / (EQR) FOR THE PROJECT AND WHO MIL BE RESPONSIBLE FOR THE PROPER USE OF THE PAD. / () DOS PAD. SHALL COMPLY wow SECTION 11 61018 OF ME FLORIDA ADMINISTRATIVE CODE. / ea a I e Ida p a. •• F.B.C. (High Velocity Hurricane Zone) 16' -0" MAX. 20 CAGE SLAT ROLL -UP DOOR BEST ROLLING DOORS, INC. IL E C 0 INC. 97 0 7107 7689 AVBBE 70.8(2 945109, F2ORl04 33919 a NVOIIR 024084 1 mZ DRAWN BN. 77.014 / L.O. e/r8/Os SAM 05-084 9RAWINO No MEET 1 OF 3 •• • • •• • • • •� • • • • • •• • / 1 1/2 STEEL OGLE FA SIDE 3 /16x2' Cont. FLAT STEEL 6AR a SIDE ✓ HALF SLIT 1 1/2'X2x1 `x0 S &L 570E SECTION X1 ® BOTTOM BAR DETAIL SCALP : 3/B = 1 O 5/16'0x1 1/2° THRU BOLT ' 12 0.C. J 11T ! (2)5/16 "0x1 1/2' MS S " � . . 4' O.C. STEEL BAR SECTION XZ ✓ BOTTOM BAR clb W/ BRACKET DETAIL SCALE: 3/8 ° - 1' Y 0 ' HALF SLAT (2)5/16'01 1/2' MS. / e o.O. ELEVATION BOTTOM BAR (1Tl W/ BRACKET SCALE : 3/5 = 1" / 12.000" 5/16'0x1 1/r THRU BOLT ! 12' AC. 1 2 01 FOR 1/440242" RNcTS TYPICAL WINDLOCK W -1 DETAIL SCALE r J /8" = 1 X1 / 12.000 0 BOTTOM SLAT DETAIL 1 (ELEVATION) N.T.S. EL / b GUIDE • n I I 1 * r I 6 TYPICAL WINDLOCX W-2 DETAIL / SCALE : 3/8' = 1 / • •; 3TACGERE77' o; • NG BOTTOM I T ' ILEC0IN..\ raLIT rESTLVO s OlE"TAWO L'NJMPANY 1n+. { -M# t7 l Alf - i°1 me�rm r I "rt wa s WALTER FLORIOA U SLUT i7 44787 OLD 03-101 11/10 + 1 ••• •••• • •W AT EI rH SLIT STAGGERED 70 W -2 •IA7RIJDJNG BOTTOM SAT. , • • • ••■• • • • •••• • • •• • 17/84 °0 HOLES - 2 PLACES FOR 1/4 ° 0 R • W-2 AT EYi051 % tER SLAT STAGGERED TOW-1 INCLUDING SLAT. ' • • • 1 •• • • • •••• W -2 AT QPIIE�A SLAT STA60EAES 70�W -1 INCLUDING BOTTOM SLAT. Y ••• • • • • • •••• • •••■ •••• • • 6t F.B.C. (High Velocity Hurricane Zone) 16' -D" MAX. 20 GAGE SEAT ROLL -UP DOOR BEST ROLLING DOORS, INC. w zralloW t ?7. 44 33GI onostnon DRAWN SY, Aay. /L0. DATE 05 -084 DRAWN 1 !BEST 2 W J • • • • • • • • • • •• • • MAXIMUM L OAD , WIIDT (FL) (n , (r- % n) (L ft) • ANCHOR SPACING * FOR Mtn 1c - .10011 psf CONCRETE FOR Main. Fa a 4000 psl CONCRETE I +80, —BO 8' -0 • OR LESS 16" 3 , / 1264 ' 320 12 " 12` 12' -0" • 5/8" ' 1736 ' 480 , 11 1/2" 12" 14' —O° • 7 /9" • 1970 ' 560 . 10" 11" 16' -0° ' 7/8 ° . 2530 • 640 • B 1/2" 9" 1 +90, —90 OR LESS ' 3/16 , 1525 ' 360 . 12" 12" 12' -0" ' 5/8° • 1999" • 540. 10" 11" 14' -0' , 7/8' , 2250 ' 630 • 9" 9 1/2 16' -0' i 7/8' ' 2872 , 720 7 1/2° B' Vx & Vy REACTIONS & ANCHOR SCHEDULE * 3/4"0 POWER BOLT W/ 7' MINIMUM EMBEDMENT EXISTING STRUCTURE l IL ECOINc. \ 711.1J7 =MO • INGINEEPUNO 00�Aq► gz' tf 1 44167 DOTING STRUCTURE LOAD DIAL M • • • • • • • ••• •• • •• VP • • •••• • • • • • •• •• LOAD DLU.4Al' • BEST ROLLING DOORS, INC 781h MIRE MUM* demo. flORCA MTh& •••• • • •••• • •••• • •••• • •••• • • 15 REVISED as wrOyisgt rrkb I'm 11.kag tees Akcerwra raOS.d - 0 3 s Sl2X,q 3 F.B.C. (High Velocity Hurricane Zone) 1e'-0" MAX. 20 GAGE SLAT ROLL -UP DOOR ?redactCasbeS 05 -084 • - -- -m�� No SHUT .1 EM' 3 •• • • • • • • • • • • •• • • • • • •• • Project Name: quinton Address: 457 ne 95 st City, State: miamishores, fl 33138- Owner: QUINTON Climate Zone: South r ; s; 1 .. Builder: Permitting Office: miamishores - - ermit Number 0 4 - - / l 'Jurisdiction Number 232600 i �N. I. New construction or existing `"I ew _ —' 12. Cooling systems 2. Single family or multi - family Single family _ a. Central Unit Cap: 18.8 kBtu/hr 3. Number of units, if multi - family 1 _ SEER: 13.00 _ 4. Number of Bedrooms 1 b. N/A _ 5. Is this a worst case? No _ _ 6. Conditioned floor area (ft 590 ft _ c. N/A _ 7. Glass type 1 and area: (Label read. by 13- 104.4.5 if not default) — a. U- factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7 a(Sngle Default) 185.0 ft _ a. Electric Strip Cap: 17.0 kBtu/hr _ b. SHGC: COP: 1.00 _ (or Clear or Tint DEFAULT) 7b. (Clear) 185.0 ft _ b. N/A _ 8. Floor types a. Slab -On -Grade Edge insulation R=0.0, 95.8(p) ft _ b. N/A — c. N/A — c. N/A _ 14. Hot water systems 9. Wall types a. Electric Resistance Cap: 50.0 gallons a. Concrete, Int Insul, Exterior R=4.1, 739.0 ft _ EF: 0.90 _ b. Concrete, Int Insul, Adjacent R=4.1, 117.0 ft _ c. N/A b. N/A — d. N/A c. Conservation credits _ e. N/A (HR -Heat recovery, Solar 10. Ceiling types DHP- Dedicated heat pump) a. Under Attic R =30.0, 590.0 ft b. N/A _ c. N/A _ 1 1 . Ducts 15. HVAC credits PT, _ (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, a. Sup: Unc. Ret: Unc. AH(Sealed):Interior Sup. R=6.0, 1.0 ft b. N/A _ MZ- C- Multizone cooling, MZ- H- Multizone heating) FORM 600A -2004 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Commu ity Affairs r Residential Whol��iiet � Fnance Method A Glass /Floor Area: 0.31 Total as -built points: 9545 Total base points: 9917 PASS I hereby certify that the plans and specifications covered by this calculation are in compliance with the F orida Energy Code. PREPARED BY: DATE: Y• / `B• a S I hereby certify that this building, as designed, is in compliance with the Florida Energy Code. OWNER/AGENT: DATE: Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance with Section 553.908 Florida Statutes. BUILDING OFFICIAL: DATE: " ' Fr 1 Predominant glass type. For actual glass type and areas, see Summer & Winter Glass output on pages EnergyGauge® (Version: FLRCSB v4.0) EnergyGauge® 4.0 FORM 600A -2004 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: J EnergyGauge® DCA Form 600A -2004 EnergyGauge®/FIaRES'2004 FLRCSB v4.0 EnergyGauge® 4.0 BASE 1 AS -BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Floor Area 1 Overhang I Type /SC Ornt Len Hgt Area X SPM X SOF = Points .18 590.0 32.50 3451.5 Single, Clear Single, Clear Single, Clear Single, Clear Single, Clear As -Built Total: N 3.0 4.0 S 3.0 5.0 S 11.0 12.0 S 11.0 4.0 E 3.0 4.0 21.0 36.46 0.76 13.0 66.93 0.62 104.0 66.93 0.53 24.0 66.93 0.43 23.0 78.71 0.61 185.0 585.7 541.7 3720.4 687.5 1103.5 6638.8' WALL TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Adjacent 117.0 1.00 117.0 Concrete, Int Insul, Exterior 4.1 739.0 2.32 1710.8 Exterior 739.0 2.70 1995.3 Concrete, Int Insul, Adjacent 4.1 117.0 1.19 139.2 Base Total: 856.0 2112.3 As -Built Total: 856.0 1850.0 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 28.0 9.40 263.2 Exterior 76.0 6.40 486.4 Exterior Insulated 48.0 6.40 307.2 Base Total: 76.0 486.4 As -Built Total: 76.0 570.4 CEILING TYPES Area X BSPM = Points Type R -Value Area X SPM X SCM = Points Under Attic 590.0 2.80 1652.0 Under Attic 30.0 590.0 2.77 X 1.00 1634.3 Base Total: 590.0 1652.0 As - Built Total: 590.0 1634.3 FLOOR TYPES Area X BSPM = Points Type R -Value Area X SPM = Points • Slab 95.8(p) -20.0 - 1916.0 Slab-On-Grade Edge Insulation 0.0 95.8(p) -20.00 - 1916.0 Raised 0.0 0.00 0.0 Base Total: - 1916.0 As -Built Total: 95.8 - 1916.0 INFILTRATION Area X BSPM = Points Area X SPM = Points ' 590.0 18.79 11086.1 590.0 18.79 11086.1 FORM 600A -2004 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: J EnergyGauge® DCA Form 600A -2004 EnergyGauge®/FIaRES'2004 FLRCSB v4.0 EnergyGauge® 4.0 BASE AS -BUILT Summer Base Points: 16872.3 Summer As -Built Points: 19863.6 Total Summer X System = Cooling Points Multiplier Points Total X Cap X Duct X System X Credit = Cooling Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AMU) 16872.3 0.4266 7197.7 (sys 1: Central Unit 18800 btuh ,SEER/EFF(13.0) Ducts: Unc(S),Unc(R),Int(AH),R6.0(INS) 19864 1.00 (1.07 x 1.165 x 0.85) 0.262 0.950 5290.4 19863.6 1.00 1.069 0.262 0.950 5290.4 FORM 600A -2004 EnergyGauge m DCA Form 600A -2004 EnergyGauge®/FIaRES'2004 FLRCSB v4.0 EnergyGauge® 4.0 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: Adjacent 117.0 0.50 58.5 Concrete, Int Insul, Exterior 4.1 739.0 1.03 764.9 Exterior 739.0 0.60 443.4 Concrete, Int Insul, Adjacent 4.1 117.0 0.45 52.1 Base Total: 856.0 501.9 As -Built Total: 856.0 816.9 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 28.0 2.80 78.4 Exterior 76.0 1.80 136.8 Exterior Insulated 48.0 1.80 86.4 Base Total: 76.0 136.8 As -Built Total: 76.0 164.8 CEILING TYPES Area X BWPM = Points Type R -Value Area X WPM X WCM = Points Under Attic 590.0 0.10 59.0 Under Attic 30.0 590.0 0.10 X 1.00 59.0 Base Total: 590.0 59.0 As -Built Total: 590.0 59.0 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points , Slab 95.8(p) -2.1 -201.2 Slab -On -Grade Edge Insulation 0.0 95.8(p) -2.10 -201.2 Raised 0.0 0.00 0.0 Base Total: -201.2 As -Built Total: 95.8 -201.2 INFILTRATION Area X BWPM = Points Area X WPM = Points ' 590.0 -0.06 -35.4 590.0 -0.06 -35.4 FORM 600A -2004 EnergyGauge® DCA Form 600A -2004 EnergyGauge®/FIaRES'2004 FLRCSB v4.0 EnergyGauge® 4.0 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: BASE 1 A AS -BUILT I IP GLASS TYPES .18 X Conditioned X BWPM = Points O Overhang .18 590.0 2 2.36 250.6 S Single, Clear N N 3.0 4.0 2 21.0 6.03 0.97 1 123.1 WALL TYPES A Area X BWPM = Points T Type R R -Value A Area X WPM = P Points FORM 600A -2004 EnergyGauge® DCA Form 600A -2004 EnergyGauge®/FIaRES'2004 FLRCSB v4.0 EnergyGauge® 4.0 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: FORM 600A -2004 EnergyGauge® 4.0 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: EnergyGaugeT"" DCA Form 600A -2004 EnergyGauge® /FIaRES'2004 FLRCSB v4.0 BASE AS -BUILT Winter Base Points: 711.8 Winter As -Built Points: 1882.2 Total Winter X Points System = Multiplier Heating Points Total X Cap X Duct X System X Credit = Component Ratio Multiplier Multiplier Multiplier (System - Points) (DM x DSM x AHU) Heating Points 711.8 0.6274 446.6 (sys 1: Electric Strip 17000 btuh ,EFF(1.0) Ducts :Unc(S),Unc(R),tnt(AH),R6.0 1882.2 1.000 (1.099 x 1.137 x 0.86) 1.000 0.950 1931.5 1882.2 1.00 1.080 1.000 0.950 1931.5 FORM 600A -2004 EnergyGauge® 4.0 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: EnergyGaugeT"" DCA Form 600A -2004 EnergyGauge® /FIaRES'2004 FLRCSB v4.0 FORM 600A -2004 EnergyGauge® 4.0 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: i AS -BUILT WATER HEATING Number of X Multiplier = Total Bedrooms 1 BASE 2273.00 2273.0 EnergyGaugeT" DCA Form 600A -2004 EnergyGauge® /FIaRES'2004 FLRCSB v4.0 Tank EF Number of X Tank X Multiplier X Credit = Total Volume Bedrooms Ratio Multiplier 50.0 0.90 1 As -Built Total: 1.00 2323.51 1.00 2323.5 2323.5 CODE COMPLIANCE STATUS BASE Cooling + Heating + Hot Water = Total Points Points Points Points 7198 447 2273 9917 AS -BUILT Cooling + Heating + Hot Water = Total Points Points Points Points 5290 1932 2324 9545 PASS FORM 600A -2004 Code Compliance Checklist Residential Whole Building Performance Method A m Details ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: 6A -21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS Exterior Windows & Doors Exterior & Adjacent Walls Floors Ceilings Recessed Lighting Fixtures Multi -story Houses Additional Infiltration reqts SECTION 606.1.ABC.1.1 606.1.ABC.1.2.1 606.1.ABC.1.2.2 606.1.ABC.1.2.3 606.1.ABC.1.2.4 606.1.ABC.1.2.5 606.1.ABC.1.3 REQUIREMENTS FOR EACH PRACTICE Maximum:.3 cfm /sq.ft. window area; .5 cfm /sq.ft. door area. Caulk, gasket, weatherstrip or seal between: windows /doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at comers; utility penetrations; between wall panels & top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to, the foundation to the top plate. 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. 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. Air barrier on perimeter of floor cavity between floors. Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. CHECK 6A -22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) EnergyGauge'TM DCA Form 600A -2004 EnergyGauge®/FIaRES'2004 FLRCSB v4.0 EnergyGaugeO 4.0 COMPONENTS Water Heaters Swimming Pools & Spas Shower heads Air Distribution Systems HVAC Controls Insulation SECTION 612.1 612.1 612.1 610.1 607.1 604.1, 602.1 REQUIREMENTS Comply with efficiency requirements in Table 612.1.ABC.3.2. Switch or clearly marked cir breaker (electric) or cutoff (gas) must be provided. External or built -in heat trap required. 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 %. Water flow must be restricted to no more than 2.5 gallons 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. Separate readily accessible manual or automatic thermostat for each system. Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. CHECK v r/ t✓ ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD 1. New construction or existing 2. Single family or multi - family 3. Number of units, if multi - family 4. Number of Bedrooms 5. Is this a worst case? ESTIMATED ENERGY PERFORMANCE SCORE* = 84.4 The higher the score, the more efficient the home. QUINTON, 457 ne 95 st, miamishores, fl, 33138- New _ 12. Cooling systems Single family _ a. Central Unit Cap: 18.8 kBtu/hr 1 _ SEER: 13.00 1 _ b. N/A No 6. Conditioned floor area (ft 590 11 _ c. N/A _ 7. Glass type' and area: (Label regd. by 13- 104.4.5 if not default) a. U- factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7 a(Sngle Default) 185.0 ft - a. Electric Strip Cap: 17.0 kBtu/hr _ b. SHGC: COP: 1.00 _ (or Clear or Tint DEFAULT) 7b. (Clear) 185.0 ft _ b. N/A 8. Floor types a. Slab -On -Grade Edge Insulation R:10, 95.8(p) ft c. N/A b. N/A c. N/A 14. Hot water systems 9. Wall types a. Electric Resistance Cap: 50.0 gallons a. Concrete, Int Insul, Exterior R=4.1, 739.0 ft _ b. Concrete, lnt lnsul, Adjacent R=4.1, 117.0 ft _ b. N/A c. N/A d. N/A _ c. Conservation credits e. N/A _ (HR -Heat recovery, Solar 10. Ceiling types DHP- Dedicated heat pump) a. Under Attic R =30.0, 590.0 ft _ 15. HVAC ucdits PT. _ b. N/A _ (CF- Ceiling fan, CV -Cross ventilation, c. N/A 1{F -Whole house fan, 11. Ducts PT- Programmable Thermostat, a. Sup: Unc. Ret: Unc. AH(Sealed):Interior Sup. R =6.0, 1.0 ft MZ- C- Multizone cooling, b. N/A _ 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: *NOTE: The home's estimated energy performance score is only available through the FLA /RES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA /DOE EnergyStar' designation), your home may qual ib, for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -1492 or see the Energy Gauge web site at www.fsec. ucf. edu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487 -1824. I Predominant glass type. For actual glass type and areas see Summer & Winter Glass output on ages 2 &4. )rnergyGauge® (Version: FLRCSB v4.0) EF: 0.90 A Job# quinton 457ne 95st m shors • Zone: GUSTAVO SOLANO MECHANICAL - ELECT: J CONSULTING G __ GISTBATION 7410 -B S.W. MrAtE, CAS . HONE: (306) 65 151 Entire House Printout certified by ACCA to meet all requirements of Manual J F T one yp •J. /uirx Wall ConditOption ALV111 -J: J Entire 10.0 U 1J JI1V House 95.8 Ft 0.0 t d ILLLI. 590.0 10.0 cabana 95.8 Ft x 1.0 Ft heat/cool Ft x Ft , Ft x Ft 4 t . _,. _ *m 11114 Bwh Btuh Bath Btuh SURE Htg Clg I8 Cig Htg Cl/1 Mg Og a 14B 958 958 *; "** *°m* b 0 0 an c 0 0 * 1 d 0 0 0 0 1 **** 0 1 1 **** ' a*** 1 *.m* e 0 **** 0 **** *M ' a*** f 0 ONO 0 e Vrmdows and 26.6 65 1727 **** 65 1727 **** *O* **** Glass Doors 27.8 140 3896 *°** 140 3896 ' Heating 0.0 0 0 0 0 0.0 0 0 **** 0 0 ea ' 0.0 0 0 *a** 0 0 * **** **** 0.0 0 0 ' 0 0 Windows and 27.0 5436 **** 5436 **** Glass Doors 0.0 a** 0 ***a' 0 **** **** Cooling 85.0 a** 312 **** 312 se*s 0 a a *sae 0 ease *ea* *e*s 0 a 8 Otherdoors a 0.0 0.0 b 0.0 0.0 9 14B 753 2494 1659 753 2494 1659 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 Ceilings 16G 0.8 1.2 590 448 681 590 448 681 0.0 0.0 0 0 0 0 0 0 0.0 0.0 0 0 0 0 0 0 11 Floors 22A 18.6 0.0 96 1785 96 1785 0.0 0.0 0 0 0 0 0.0 0.0 0 0 0 0 12 Infiltration a 14.6 4.0 205 2991 813 205 2991 813 13 Subtot Btuh Loss=6+- 8.. +11 +12 'a*** 13341 **** **** 13341 **** **** **** a 14 DuctBtuhLoss 10% 1334 **** 10% 1334 ' % % ** ** 15 TotalBtuhLoss =13+14 14675 4 ° ,0 * **** 14675 4 '** 'a*** *** 'a*** **** 16 IntGains: People@ 300 2 **** 600 2 **** 600 *** **** AppL (td 1200 1 ' 1200 1 **** 1200 **** 17 SubtotRSHGain=7 +8_ +12 +16 10701 ' ° 10701 18 DuctBtuhGain 10% **** 1070 10% e*** 1070 % o/ 19 Total RSH Gain= (17+18)*PLF 1.00 **** 11771 1.00 **** 11771 **** **** 20 CFM Air Required **** 563 563 **** 563 563 **** A Job# quinton 457ne 95st m shors • Zone: GUSTAVO SOLANO MECHANICAL - ELECT: J CONSULTING G __ GISTBATION 7410 -B S.W. MrAtE, CAS . HONE: (306) 65 151 Entire House Printout certified by ACCA to meet all requirements of Manual J F Project Name: quinton Builder: Address: 457 ne 95 st Permitting Office: miamishores City, State: miamishores, fl 33138- Permit Number: ® l -1 Owner: QUINTON Jurisdiction Number: 232600 Climate Zone: South 1. New construction or existing New _ 12. Cooling systems 2. Single family or multi - family Single family a. Central Unit Cap: 18.8 kBtu/hr 3. Number of units, if multi - family 1 _ SEER: 13.00 4. Number of Bedrooms 1 _ b. NIA _ 5. Is this a worst case? No _ _ 6. Conditioned floor area (ft 590 ft _ c. N/A _ 7. Glass type' and area: (Label regd. by 13- 104.4.5 if not default) - a. U- factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7 a(Sngle Default) 185.0 ft _ a. Electric Strip Cap: 17.0 kBtu/hr b. SHGC: COP: 1.00 _ (or Clear or Tint DEFAULT) 7b. (Clear) 185.0 ft _ b. N/A _ 8 . Floor types a. Slab -On -Grade Edge Insulation R=0.0, 95.8(p) ft _ c. N/A _ b. N/A c. N/A _ 14. Hot water systems _ 9. Wall types a. Electric Resistance Cap: 50.0 gallons a. Concrete, Int Insul, Exterior R=4.1, 739.0 ft _ EF: 0.90 - b. Concrete, Int Insul, Adjacent R=4.1, 117.0 ft _ b. N/A c. N/A _ - d. N/A _ c. Conservation credits _ e. N/A _ (HR -Heat recovery, Solar 10. Ceiling types _ DHP- Dedicated heat pump) a. Under Attic R =30.0, 590.0 ft b. N/A _ c. N/A _ 11. Ducts _ a. Sup: Unc. Ret: Unc. AH(Sealed):Interior Sup. R=6.0, 1.0 ft b. N/A _ 15. HVAC credits (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, MZ- C- Multizone cooling, MZ- H- Multizone heating) PT, FCIRM 600A -2004 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Glass /Floor Area: 0.31 Total as -built points: 9545 Total base points: 9917 I hereby certify that the plans and specifications covered by this calculation are in compliance with the I5 orida Energy Code. PREPARED BY: DATE: Y•l I hereby certify that this building, as designed, is in compliance with the Florida Energy Code. OWNER/AGENT: DATE: Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance with Section 553.908 Florida Statutes. BUILDING OFFICIAL: DATE: 1 Predominant glass type. For actual glass type and areas, see Summer & Winter Glass output on pages 2 &4. EnergyGauge® (Version: FLRCSB v4.0) PASS EnergyGauge® 4.0 BASE ' AS -BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type /SC Omt Len Hgt Area X SPM X SOF = Points .18 590.0 32.50 3451.5 Single, Clear N 3.0 4.0 21.0 36.46 0.76 585.7 Single, Clear S 3.0 5.0 13.0 66.93 0.62 541.7 Single, Clear S 11.0 12.0 104.0 66.93 0.53 3720.4 Single, Clear S 11.0 4.0 24.0 66.93 0.43 687.5 Single, Clear E 3.0 4.0 23.0 78.71 0.61 1103.5 As -Built Total: 185.0 6638.8 WALL TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Adjacent 117.0 1.00 117.0 Concrete, Int Insul, Exterior 4.1 739.0 2.32 1710.8 Exterior 739.0 2.70 1995.3 Concrete, Int Insul, Adjacent 4.1 117.0 1.19 139.2 Base Total: 856.0 2112.3 As -Built Total: 856.0 1850.0 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 28.0 9.40 263.2 Exterior 76.0 6.40 486.4 Exterior Insulated 48.0 6.40 307.2 Base Total: 76.0 486.4 As -Built Total: 76.0 570.4 CEILING TYPES Area X BSPM = Points Type R -Value Area X SPM X SCM = Points Under Attic 590.0 2.80 1652.0 Under Attic 30.0 590.0 2.77 X 1.00 1634.3 Base Total: 590.0 1652.0 As -Built Total: 590.0 1634.3 FLOOR TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Slab 95.8(p) -20.0 - 1916.0 Slab -On -Grade Edge Insulation 0.0 95.8(p) -20.00 - 1916.0 Raised 0.0 0.00 0.0 Base Total: - 1916.0 As -Built Total: 95.8 - 1916.0 INFILTRATION Area X BSPM = Points Area X SPM = Points 590.0 18.79 11086.1 590.0 18.79 11086.1 FORM 600A -2004 EnergyGauge® DCA Form 600A -2004 EnergyGauge®/FIaRES2004 FLRCSB v4.0 EnergyGauge® 4.0 SUMMER CALCULATIONS Residential Whole Building Performance Method A e Details I ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: BASE AS -BUILT Summer Base Points: 16872.3 Summer As -Built Points: 19863.6 Total Summer X System = Cooling Points Multiplier Points Total X Cap X Duct X System X Credit = Cooling Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) 16872.3 0.4266 7197.7 (sys 1: Central Unit 18800 btuh ,SEER/EFF(13.0) Ducts: Unc(S),Unc(R),Int(AH),R6.0(INS) 19864 1.00 (1.07 x 1.165 x 0.85) 0.262 0.950 5290.4 19863.6 1.00 1.069 0.262 0.950 5290.4 FORM 600A -2004 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 457 ne 95 st, miamishores, fl, 33138- EnergyGaugeTm DCA Form 600A -2004 EnergyGauge®/FIaRES'2004 FLRCSB v4.0 PERMIT #: EnergyGauge® 4.0 i • FORM 600A -2004 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: i EnergyGauge® DCA Form 600A -2004 EnergyGauge®/FIaRES'2004 FLRCSB v4.0 EnergyGauge® 4.0 BASE J AS -BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Floor Area Overhang Type /SC Omt Len Hgt Area X WPM X WOF = Point: .18 590.0 2.36 250.6 Single, Clear Single, Clear Single, Clear Single, Clear Single, Clear As -Built Total: N 3.0 4.0 S 3.0 5.0 S 11.0 12.0 S 11.0 4.0 E 3.0 4.0 21.0 6.03 0.97 13.0 4.49 1.18 104.0 4.49 1.31 24.0 4.49 1.44 23.0 4.77 1.08 185.0 123.1 69.2 611.7 155.7 118.3 1078.0 WALL TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Adjacent 117.0 0.50 58.5 Concrete, Int Insul, Exterior 4.1 739.0 1.03 764.9 Exterior 739.0 0.60 443.4 Concrete, Int Insul, Adjacent 4.1 117.0 0.45 52.1 Base Total: 856.0 501.9 As -Built Total: 856.0 816.9 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 28.0 2.80 78.4 Exterior 76.0 1.80 136.8 Exterior Insulated 48.0 1.80 86.4 Base Total: 76.0 136.8 As -Built Total: 76.0 164.8 CEILING TYPES Area X BWPM = Points ' Type R -Value Area X WPM X WCM = Points Under Attic 590.0 0.10 59.0 Under Attic 30.0 590.0 0.10 X 1.00 59.0 Base Total: 590.0 59.0 As -Built Total: 590.0 59.0 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Slab 95.8(p) -2.1 -201.2 Slab -On -Grade Edge Insulation 0.0 95.8(p) -2.10 -201.2 Raised 0.0 0.00 0.0 Base Total: -201.2 As -Built Total: 95.8 -201.2 INFILTRATION Area X BWPM = Points Area X WPM = Points 590.0 -0.06 -35.4 590.0 -0.06 -35.4 _ • FORM 600A -2004 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: i EnergyGauge® DCA Form 600A -2004 EnergyGauge®/FIaRES'2004 FLRCSB v4.0 EnergyGauge® 4.0 FORM 600A -2004 EnergyGaugeT"' DCA Form 600A -2004 EnergyGauge®/FIaRES'2004 FLRCSB v4.0 EnergyGauge® 4.0 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: BASE AS -BUILT Winter Base Points: 711.8 Winter As -Built Points: 1882.2 Total Winter X Points System = Multiplier Heating Points Total X Cap X Duct X System X Credit = Component Ratio Multiplier Multiplier Multiplier (System - Points) (DM x DSM x AHU) Heating Points 711.8 0.6274 446.6 (sys 1: Electric Strip 17000 btuh ,EFF(1.0) Ducts :Unc(S),Unc(R),Int(AH),R6.0 1882.2 1.000 (1.099 x 1.137 x 0.86) 1.000 0.950 1931.5 1882.2 1.00 1.080 1.000 0.950 1931.5 FORM 600A -2004 EnergyGaugeT"' DCA Form 600A -2004 EnergyGauge®/FIaRES'2004 FLRCSB v4.0 EnergyGauge® 4.0 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: FORM 600A -2004 EnergyGauge® 4.0 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: BASE WATER HEATING Number of X Multiplier = Total Bedrooms 2273.00 2273.0 AS -BUILT Tank EF Number of X Tank X Multiplier X Credit = Total Volume Bedrooms Ratio Multiplier 50.0 0.90 1 As -Built Total: 1.00 2323.51 1.00 2323.5 2323.5 CODE COMPLIANCE STATUS BASE Cooling + Heating + Hot Water = Total Points Points Points Points 7198 447 2273 9917 AS -BUILT Cooling + Heating + Hot Water = Total Points Points Points Points 5290 1932 2324 9545 PASS EnergyGaugeTm DCA Form 600A -2004 EnergyGauge® /FIaRES2004 FLRCSB v4.0 FORM 600A -2004 I ADDRESS: 457 ne 95 st, miamishores, fl, 33138- PERMIT #: 6A -21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS Exterior Windows & Doors Exterior & Adjacent Walls Floors Ceilings Recessed Lighting Fixtures Multi -story Houses Additional Infiltration reqts SECTION 606.1.ABC.1.1 606.1.ABC.1.2.1 608.1.ABC.1.2.2 606.1.ABC.1.2.3 606.1.ABC.1.2.4 606.1.ABC.1.2.5 606.1.ABC.1.3 REQUIREMENTS FOR EACH PRACTICE Maximum:.3 cfm /sq.ft. window area; .5 cfm /sq.ft. door area. Caulk, gasket, weatherstrip or seal between: windows /doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at comers; utility penetrations; between wall panels & top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to, the foundation to the top plate. 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. 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. Air barrier on perimeter of floor cavity between floors. Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. CHECK 6A -22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) COMPONENTS Water Heaters Swimming Pools & Spas Shower heads Air Distribution Systems HVAC Controls Insulation Code Compliance Checklist Residential Whole Building Performance Method A - Details SECTION 612.1 612.1 612.1 610.1 607.1 604.1, 602.1 REQUIREMENTS Comply with efficiency requirements in Table 612.1.ABC.3.2. Switch or clearly marked cir breaker (electric) or cutoff (gas) must be provided. Extemal or built -in heat trap required. 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 %. Water flow must be restricted to no more than 2.5 gallons 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. Separate readily accessible manual or automatic thermostat for each system. Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. EnergyGaugeTv DCA Form 600A -2004 EnergyGauge®/FIaRES'2004 FLRCSB v4.0 EnergyGaugee 4.0 CHECK ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD 1. New construction or existing 2. Single family or multi - family 3. Number of units, if multi - family 4. Number of Bedrooms 5. Is this a worst case? 6. Conditioned floor area (ft 7. Glass type' and area: (Label regd. a. U- factor: (or Single or Double DEFAULT) b. SHGC: (or Clear or Tint DEFAULT) 8. Floor types a. Slab -On -Grade Edge Insulation b. N/A c. N/A 9. Wall types a. Concrete, Int Insul, Exterior b. Concrete, Int Insul, Adjacent c. N/A d. N/A e. N/A 10. Ceiling types a. Under Attic b. N/A e. N/A 11. Ducts a. Sup: Unc. Ret: Unc. AH(Sealed):Interior b. N/A ESTIMATED ENERGY PERFORMANCE SCORE* = 84.4 The higher the score, the more efficient the home. 7b. QUINTON, 457 ne 95 st, miamishores, fl, 33138- New Single family _ 1 _ No 590 ft by 13- 104.4.5 if not default) Description Area 7 a(Sngle Default) 185.0 ft (Clear) 185.0 ft R41.O, 95.8(p) ft R=4.1, 739.0 ft _ R=4.1, 117.0 ft R =30.0, 590.0 ft Sup. R =6.0, 1.0 ft 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: *NOTE: The home's estimated energy performance score is only available through the FLA /RES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA /DOE EnergyStar ""designation), your home may quay for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -1492 or see the Energy Gauge web site at www.fsec. ucf. edu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487 -1824. 1 Predominant glass type. For actual glass type and areas see Summer & Winter Glass output on ages 2&4. I✓nergyGaugeO (Version: FLRCSB v4.0) 12. Cooling systems a. Central Unit b. N/A c. N/A 13. Heating systems a. Electric Strip b. N/A c. N/A 14. Hot water systems a. Electric Resistance b. N/A c. Conservation credits (HR -Heat recovery, Solar DHP- Dedicated heat pump) 15. HVAC credits (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, MZ- C- Multizone cooling, MZ- H- Multizone heating) Cap: 18.8 kBtu/hr _ SEER: 13.00 Cap: 17.0 kBtu/hr _ COP: 1.00 Cap: 50.0 gallons EF: 0.90 PT, • Job# quinton 457ne 95st m shors /N Printout certified by ACCA to meet all requirements of Manual J F Zone: Entire House GIISTABO SOLANO P?�. MECHANICAL - ELECT .t~ CONSULTING ENG 22 REGISTRATION 7410-B Fi.W. 4. . mr+ P7r1ONE: (0) 5 _:3 e , 1 � .Or 3 05 6o5 -iiXol Ulf .ti. . II. • 4. Azum1 - 4. .) v .L,) S 1 22 21 Name of Room Entire House cabana Running Ft I3x i. 8 Ft. 5.8 Ft. Ft Ft. Room Dimensions, 0.0 t 5S 1.0 Ft. Ft x Ft Ceiings,Ft itOption 10 d 1t heat/cool ' TYPEOF HTM Btuh Btub Btuh Btuh EXPOSURE Htg Clg Htg CL Htg Cl; 13 Htg Clg Htg Clg 5 a 14B 958 se 958 """" """" **" °®' b 0 msse 0 5555 55se 5555 c 0 mmss 05 0 ese* 0505 **** 1 d 0 0 0 0 0 0000 0 sm 4.m* 1 msss 1 5 555 e 0 ssms *es* 0 sees sees mess f 0 ssas sees 0 e=ra=s seem sees Wind 26.6 65 1727 s 0 *** 0 *** 65 1727 """ "' """" """" Glassl 27.8 140 3896 mssm 140 3896 6.3.16.3.1.3 a5 Heating TI 0.0 0.0 0 0 0 0 """" "" "" 0 0 0 0 **0$.0 "' " """" """" *Ere* 'I*** "" 0.0 0.0 0 0 0 0 """" " 0 0 0 0 """" 19,94.1. 19,94.1. "" 7 Windows and r 27.0 " "' 5436 201 5436 ""°" ssse Glass Doors NE/NW 0.0 0 0 0 eeme ma *, Cooling R S _ n e'er 31 2 4 312 seem 0005 0 0 """* 0 South ~Ms 0 0 ease 0 mess ss*s 0 55em 0 sees 0555 8 0.0 0.0 0.0 0.0 0 0 0 0 0 9 140 753 2494 1659 753 2494 1659 Exposed 0 0 0 0 0 0 Walls_._ 0 0 0 0 0 0 Partitions 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 Ceilings 16G 0.8 590 448 590 448 0.0 0 0 0 0 0 0.0 0 0 0 0 0 11 Floors 96 1785 96 1785 a s a 6 0 0 0 0 0 0 ■••■■ 0 6 s a 0 0 0 0 12 Infiltration a 14.6 4.0 205 2991 813 205 2991 813 13 Subtot Btuh Loss 6+8..+11 +12 's "'°" 13341 13341 ° see ' `" 14 Duct Btuh Loss 10% 1334 ssms 10% 1334 a/c """ a / - """" 15 Total Btuh Loss = 13+14 14 67 5 esee " 14 675 ' m es85 16 Int. Gains: People @ 300 2 s**m 600 2 600 " 11111 APIA. (a) 1200 1 8.8.108.8.106, 8.8.106, " 1200 1 1200 eesze 17 Subtot RSH Gain= 7 +8_. +12 +16 "" "'" 10701 °"** *" 10701 ' ' " 18 Duct Btuh Gain 10% "s"" 1070 10% """" 1070 % """" 0 4 19 Total RSH Gain�l7 +18) 1.00 11771 1.00 """" 11771 """" 20 CFM Air Regimed 563 563 mmse 563 563 55me • Job# quinton 457ne 95st m shors /N Printout certified by ACCA to meet all requirements of Manual J F Zone: Entire House GIISTABO SOLANO P?�. MECHANICAL - ELECT .t~ CONSULTING ENG 22 REGISTRATION 7410-B Fi.W. 4. . mr+ P7r1ONE: (0) 5 _:3 e , 1 � .Or 3 05 6o5 -iiXol WECIEVVIII Miami Shores Village Alt "Nu 1 r Building Department BY: "` BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): 111 4 11 P1Mitee Roofing Owner's Name (Fee Simple 1 >1.-1 Phone # Owner's Address City 0 �-e , State Tenant/Lessee Name Job Address (where the work is being done) FOLIO / PARCEL # Is Building Historically Designated YES 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Value of Work For this Permit $ ` 5 01 City ✓ Miami Shores Village County Miami -Dade r Ipio NO Permit No.3'00 , o5 Master Permit No. Zip 3 3 Phone # Zip Le o ' - Phone # - 05 k Contractor's Company Name Contractor's Address City State 1 \ -- •--- - Zip ------- �� Qualifier Name AA 3hq, —, - ° �JL Phone # �b Co - 2 ! ' Z Z 7 State Certificate or Registration No. c L CO? .°' 4-7- Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Type of Work: ['Addition ['Alteration ['New Describe Work. Square / Linear Footage Of Work: 7 /2oss - es 4 Repair/Replace D Demolition Submittal Fee $ Permit Fee $ as CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ i Z - Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 41 See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction? I understand that a se$arate 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 Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,20 day of who is personally known to me or who has produced who As identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: (Revised 02/08/06) Sign: Print My Commission Expires: ntracctnr The fore trument was acknowl e f ore me this T] 200 by(_ 0 a I per „ \ g- 0 3 ,-5 Sign: Print: onally known to me or who has produced as identification and who did take an oath. My Commission Expires. ****,************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** * * * * * * * * * * * ** APPLICATION APPROVED BY: >6/(17 Plans Examiner Engineer Zoning 6 7 This cover sheet is provided as per Florida Statute 61G15-31.003 in Vu of signin and sealing each individual sheet. An index sheet of the truss designs is attached which is numbered and with the identification and date of each drawing. Project Name: EDWARD QUINTON # 6-12-07 457 N.E. 95TH. STREET MIAMI SHORES,FLORIDA Building Authority : MIAMI SHORES,FLORIDA Design Load: 30 + 15 + 0 + 10 PSF Building Code: FBC2004/TP12002/ASCE7-02 Software Used: MiTek @20/20 2000 Ver. 6.4. Engineering Cover Sheet REMBERTO CONTRERAS, P.E. CONSULTING ENGINEER / CIVIL/ STRUCTURAL 30 N.W. 87th AVE. C-101, MIAMI, FL 33172 FL RE. 21522 Thes: dOC7'1 e • 7 fc and z.....7.7..structiorl ar:A i7 I:VR. S 1,/ 0 1:?. E` --- FRANCIS (.7.JELLO JR P.E., INC. CONSULTING ENGINEER ROYAL TRUSS CORP. 9550 NW 79 AVE #5 HIALEAH, FL 33016 Phone: 305- 822 - 0020/21 Fax: 305- 822 -0029 Project: Model: Contact: Site: Block No: Lot No: Office: Name: Phone: Fax: Tentative Delivery Date: To: JOB # 6 -12 -07 QUINTON RES. MIAMI SHORES, FL. Deliver To: R eaction Summary Job Number: 6 -12 -07 Page: 1 Date: 06 -27 -2007 - 7:25:32 AM Project ID: 6 -12 -07 Account No: Designer: Eddie Davis Salesperson: Quote Number: Profile: Qty: Truss Id: Span: Truss Type: Slope: Reactions: 10 MI 8 SI 12 S2 51 lbs. each 132 lbs. each 112 lbs. each 3 -9 -10 10 - 5 - 0 MONO TRUSS 3.50 0.00 6 -11 -2 19 - 4 - 0 SPECIAL 3.50 0.00 18 - 8 - 0 SPECIAL Joint 1 Joint 6 620 lbs. 661 lbs. -285 lbs. -465 Ibs. Joint 1 Joint 8 1265 lbs. 1265 lbs. -666 Ibs. -666 lbs. 5 -4 -0 Joint 1 Joint 3.50 1225 lbs. 1225 lbs. 0.00 -645 lbs. -645 lbs. REMBERTO CONTRERAS, RE. CONSULTING ENGINEER / CIVIL/ STRUCTURAL 30 N.W. 87th AVE. C -101, MIAMI, FL 33172 FL. P.E. 21522 JUN 2 7 2007 Job Truss 6 -12 -07 LOADING (psf) TCLL 30.0 TCDL 20.0 BCLL 0.0 BCDL 10.0 3x4 = M1 LUMBER TOP CHORD 2 X 6 SYP No.2ND BOT CHORD 2 X 6 SYP No.2ND WEBS 2 X 4 SYP No.3 LOAD CASE(S) Standard 5 -2-8 5 -2-8 5 -2-8 5 -2 -8 SPACING 2 - Plates Increase 1.00 Lumber Increase 1.33 Rep Stress Incr YES Code FBC2004/TPI2002 Truss Type MONO TRUSS REACTIONS (Ib /size) 1= 599/0 -8 -0, 5= 640/0 -3 -8 Max Horz 1= 297(LC 3) Max Upliftl=- 275(LC 3), 5=- 450(LC 3) FORCES (Ib) - Maximum Compression /Maximum Tension TOP CHORD 1 -2 =- 1119/430, 2- 3=- 85/45, 3-4 =-11/0 BOT CHORD 1 -6 =- 627/988, 5- 6=- 627/988 WEBS 2- 6= 0/229, 2 -5 =- 1045/664, 3 -5=- 250/249 CSI TC 0.33 BC 0.48 WB 0.52 (Matrix) 2x4 I I Qty 10 Ply 1 QUINTON RES. MIAMI SHORES, FL. Job Reference (motional) Royal Truss Corp, Hialeah Gardens, FL 33016, Eddie Davies 6.500 s Mar 8 2007 MiTek Industries, Inc. Wed Jun 27 08:10:23 2007 Page 1 10 -5-0 5 -2 -8 10-5 -0 5 -2-8 DEFL in floc) I/defl Ud Vert(LL) 0.03 6 >999 360 Vert(TL) -0.05 1-6 >999 240 Horz(TL) 0.01 5 n/a n/a BRACING TOP CHORD Structural wood sheathing directly applied or 6 -0-0 oc purlins. BOT CHORD Rigid ceiling directly applied or 9 -2 -3 oc bracing. NOTES 1) Wind: ASCE 7 -02; 146mph (3- second gust); h =20ft; TCDL= 5.0psf; BCDL= 5.0psf; Category II; Exp C; enclosed; C -C Interior(1); Lumber DOL =1.33 plate grip DOL =1.00. 2) This truss has been designed for a 10.0 psf bottom chord live Toad nonconcurrent with any other live Toads. 3) This truss requires plate inspection per the Tooth Count Method when this truss is chosen for quality assurance inspection. 4) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 275 Ib uplift of and 450 Ib uplift at joint 5. JUN 2 ? " Weight: 64 Ib 3x4 = PLATES GRIP MT20 244/190 REMBERTO CONTRERAS, RE. CONSULTING ENGINEER / CIVIL / STRUCTURAL 30 N.W. 87th AVE. C -101, MIAMI, FL 33172 FL. P.E. 21522 1 P -8/0 0 -3 -0 2x4 I pcale = 1:20.0 4 Job Truss Truss Type , ' Qty PIy QUINTON RES. MIAMI SHORES, FL. 6 -12 -07 S1 SPECIAL TRS 8 1 Job Reference Loptional) Royal Truss Corp, Hialeah Gardens, FL 33016, Eddie Davies 6.500 s Mar 8 2007 MiTek Industries, Inc. Wed Jun 27 08:10:24 2007 Page 1 LOADING (psf) TCLL 30.0 TCDL 20.0 BCLL 0.0 BCDL 10.0 P 0 -9 -0 4 -5-8 14 2x4 II 5-2-8 3.50 Fri 3x4 111 3x4 4 6 6x6 . 6x6 • 2 3 8 FLU ' Fl-9-11 5 -2 -8 I 9-8-0 0 -9 -0 4 -5-8 4-5-8 Plate Offsets (X,Y): [12:0 - 40,0 - 4 - 81 SPACING 2 - Plates Increase 1.00 Lumber Increase 1.33 Rep Stress Incr YES Code FBC2004/TPI2002 13 3x4 = 9-8-0 4 -5-8 CSI TC 0.54 BC 0.67 WB 0.31 (Matrix) 5x6 = 5 12 7x8 = 14 -1-8 4 -5-8 14-1 -8 4-5-8 11 3x4 = DEFL in (Ioc) I/defl L/d Vert(LL) 0.04 12 >999 360 Vert(TL) -0.07 12 >999 240 Horz(TL) 0.02 8 n/a n/a REACTIONS (Ib /size) 2= 1154/0 -8 -0, 8= 1154/0 -8 -0 Max Uplift2=- 663(LC 3), 8=- 663(LC 3) FORCES (Ib) - Maximum Compression/Maximum Tension TOP CHORD 1 -2 =0/13, 2 -3 =- 309/189, 3-4 =- 873/499, 4 -5=- 935/600, 5-6 =- 935/600, 6 -7 =- 873/499, 7-8= 309/189, 8-9 =0/13 BOT CHORD 3-14 =0/91, 13- 14=- 40/78, 12- 13=- 408/834, 11- 12= 408/834, 10- 11= 40/78, 7 -10 =0/91 WEBS 3-13= 496/1019, 4 -13 =- 624/400, 4 -12= 124/111, 5-12= 50/188, 6 -12 =- 124/111, 6- 11=- 624/400, 7 -11= 496/1019 NOTES 1) Unbalanced roof live Toads have been considered for this design. 2) Wind: ASCE 7 -02; 146mph (3- second gust); h =20ft; TCDL= 5.0psf; BCDL= 5.0psf; Category II; Exp C; enclosed; C -C Interior(1); Lumber DOL =1.33 plate grip DOL =1.00. 3) This truss has been designed for a 10.0 psf bottom chord live Toad nonconcurrent with any other live Toads. 4) This truss requires plate inspection per the Tooth Count Method when this truss is chosen for quality assurance inspection. 5) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 663 Ib uplift at • and 663 Ib uplift at joint 8. 6) Beveled plate or shim required to provide full bearing surface with truss chord at joint(s) 2, 8. LOAD CASE(S) Standard 18-7 -0 19-4 -9 4 -5-8 10 2x4 I I 18 -7-0 4-5 -8 0 -9-0 Weight 158 Ib LUMBER BRACING TOP CHORD 2 X 6 SYP No.2ND TOP CHORD Structural wood sheathing directly applied or 6-0 -0 oc BOT CHORD 2 X 6 SYP No.2ND *Except* purlins. 3 -14 2 X 4 SYP No.3, 7 -10 2 X 4 SYP No.3 BOT CHORD Rigid ceiling directly applied or 10 -0 -0 oc bracing. WEBS 2 X 4 SYP No.3 PLATES GRIP MT20 244/190 REMBERTO CONTRERAS, P.E. CONSULTING ENGINEER / CIVIL / STRUCTURAL 30 N.W. 87th AVE. C -101, MIAMI, FL 33172 FL. P.E.21522 JUN 2 7 2AWW 0 -9 -0 Scale = 1:38.5 N a >a 1 Job 6 -12 -07 Royal Truss Corp, Hialeah Gardens, FL 33016, Eddie Davies LOADING (psf) TCLL 30.0 TCDL 20.0 BCLL 0.0 BCDL 10.0 1 0 -9 -0 5 -0-8 0 -9 -0 4 -3 -8 14 3x4 I I Truss S2 1 0 -9-0 5 -0 -8 0 -9-0 4 -3-8 Plate Offsets (X,Y): (12:0 -4-0,0 -4-81 3.50 FIT 13 3x4 = SPACING 2 - - Plates Increase 1.00 Lumber Increase 1.33 Rep Stress Incr YES Code FBC2004/TPI2002 Truss Type SPECIAL TRS REACTIONS (Ib /size) 2= 1114/0 -8 -0, 8= 1114/0 -8 -0 Max Uplift2=- 643(LC 3), 8=- 643(LC 3) 9-4-0 4 -3-8 9-4 -0 CSI TC 0.52 BC 0.88 WB 0.32 (Matrix) • 6.500 s Mar 5x6 = 5 12 7x8 = 1 Qty Ply QUINTON RES. MIAMI SHORES, FL. 12 1 Job Reference (ptional) 8 2007 MiTek Industries, Inc. Wed Jun 27 08:10:24 2007 Page 1 13 -7 -8 4-3-8 13-7 -8 11 3x4 = 1 DEFL in (Ioc) I/defl Ud Vert(LL) 0.04 12 >999 360 Vert(TL) - 0.0812 -13 >999 240 Horz(TL) 0.02 8 n/a n/a FORCES (Ib) - Maximum Compression/Maximum Tension TOP CHORD 1 -2 =0/13, 2- 3=- 298/183, 3-4 =- 1149/633, 4 -5 =- 1138/686, 5-6 =- 1138/686, 6- 7=- 1149/633, 7 -8 =- 298/183, 8-9 =0/13 BOT CHORD 3- 14= -5/97, 13- 14=- 84/165, 12- 13=- 534/1093, 11-12=-534/1093, 10- 11=- 84/165, 7- 10 = -5/97 WEBS 3 -13 =- 520/1073, 4-13 =- 504/337, 4-12= 195/96, 5 -12 =- 99/259, 6- 12=- 195/96, 6-11= 504/337, 7 -11 =- 520/1073 17 -11 -0 4-3-8 10 17 -11 -0 18 -8 9 4 -3-8 4 -3-8 4-3-8 0-9 -0 PLATES GRIP MT20 244/190 Weight: 136 Ib 3 x 4 I I JUN 2 7 2007 18-8-Q 0 -9 -0 Scale = 1:32.7 LUMBER BRACING TOP CHORD 2 X 6 SYP No.2ND TOP CHORD Structural wood sheathing directly applied or 6-0 -0 oc BOT CHORD 2 X 6 SYP No.2ND *Except* purlins. 3-14 2 X 4 SYP No.3, 7 -10 2 X 4 SYP No.3 BOT CHORD Rigid ceiling directly applied or 10 -0 -0 oc bracing. WEBS 2 X 4 SYP No.3 NOTES 1) Unbalanced roof live Toads have been considered for this design. 2) Wind: ASCE 7 -02; 146mph (3- second gust); h =20ft; TCDL= 5.0psf; BCDL= 5.0psf; Category II; Exp C; enclosed; C -C Interior(1); Lumber DOL =1.33 plate grip DOL =1.00. 3) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live Toads. 4) This truss requires plate inspection per the Tooth Count Method when this truss is chosen for quality assurance inspection. 5) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 643 Ib uplift at joi_ and 643 Ib uplift at joint 8. 6) Beveled plate or shim required to provide full bearing surface with truss chord at joint(s) 2, 8. LOAD CASE(S) Standard REMBERTO CONTRERAS, P.E. CONSULTING ENGINEER / CIVIL / STRUCTURAL 30 N.W. 87th AVE. C -101, MIAMI, FL 33172 FL. P.E. 21522 ui 0, Id lc: This safety alert symbol is used. _to attract your attention! PERSONAL SAFETY IS INVOLVED! When you see this symbol - BECOME ALERT - HEED, ITS MESSAGE. Y .. A CAUTION: A CAUTION Identifies safe operating practices or indicates unsafe conditions that could result in personal injury or damage to structures. HIB -91 Summary Sheet COMMENTARY and RECOMMENDATIONS for HANDLING, INSTALLING & BRACING METAL PLATE CONNECTED WOOD TRUSSES° It is the responsibility of the installer (builder, building contractor, licensed contractor, erector or erection contractor) to properly receive, unload, store, handle, Install and brace metal plate connected wood trusses to protect life and property. The installer must exercise the same high degree of safety awareness as with any other structural material. TPI does not intend these recommendations to . be interpreted as superiorto the project Architect's or Engineer's design specification for handling, installing and bracing wood trusses for a particular roof orfloor. These recommendations are based upon the collective experience of leading technical CAUTION The builder, building co ° ntrstj ,.11g ontractor, "'erector or erection corltractOry vlsed10 obtain and read the entire boakiet4 mentar and Recommendations fot HandJIntgt 1 stailir g &;Bracing Metal; Plate.Connected Woe Trusses, HIB 81 "from°the Truss Plate Jnstit Trusses stored horizontallyshould be sup- ported on blocking to prevent excessive lateral bending and lessen moisture gain. WARNING: Do not break banding until instaila tion begins or lift bundled trusses by the bands USS' STO Frame 1 DANGER: - DANGER 'designates a . condition where, failure to follow instructions or heed warn ing will most likely result in ;serious- personal 'Nun or_ death or damage to'structures WARNING A WARNING describes a condition where failure to follow Instructions could result in ' severe. "personal injury ofdamage to _gra TRUSS PLATE INSTITUTE 583 D'Onofrio Dr., Suite 200 Madison, Wisconsin 53719 (608) 833 -5900 personnel in the wood truss industry, but must, dueto the nature of responsibilities involved, be presented as a guide forthe use of a qualified building designer or installer. Thus, theTruss Plate institute, Inc. expressly disclaims any responsibility for damages arising from the use, application or reliance on the recommendations and information contained herein by building designers, installers, and others. Copyright ° by Truss Plate Institute, Inc. All rights reserved. This document or any part thereof must not be reproduced in any form without written permission • of the publisher. Printed In the United States of America. CAUTiO'N Trusses shou d � be+ nload d 3 )111 h- Serra uneven 'su ,whi is c ic ause da!hagetos t he t less a I a �A lite t��r #:(110,100'01# laenoless ha�n� x4 g rad e m arked lumber Alt cnnectlons : ogid 1 erm ade E ritttba mini 'O..% 2 1 Gd mils. Ail s rpses ssiamed o cen t or les All multi : ply s 11 .tlt be connected . ogether In laccor anc ith design drawings, priorgto,lnstallatlon. uu kt. Trusses stored vertically should be braced to prevent toppling or tipping. DANGER: Walking on.trussee'which are lying flatis eztremelydangerous and should be strictly • prohibited. ' A WARNING: Do not attach cables, chains, or hooks to the web members s Tag Une Spreader Bar -- \I \I\1\1MIMI %IMI Toe In Approximately ' /zto truss len. h Toe In Spreader Bar Toe In Approximately Approximately 1 /a truss length 1 /a truss length Truss spans less than 30'. • Approximately "/z to % truss Ien h Less than or equal to 60' Less than or equal to 60' 60° or less Toe In Tag Line Tag Une Lifting devices should be connected to the truss top chord with a closed -loop attachment utilizing materials such as slings, chains, cables, nylon strapping, etc. of sufficient strength to carry the weight of the truss. Each truss should be set In proper position per the building designer's framing plan and held with the lifting device until the ends of the truss are securely fastened and tempo- rary bracing is installed. Tag Une I GROUND BRACING :BUILDING' INTERIOR MECHANICAL ' INSTALLATION Frame 2 WARNING: Do not lift single trusses with spans greater than 30' by the peak. Tag Une -' At or above mid- height Tag Line Ah.. 1 111 1.6 GO Approximately % to V, truss length Strongback/ SpreaderBar 10' 10' j �I \I\ I\ I ► /Ii Ill► ��—� Approximately 35 to 3 4 truss length Strongback/ SpreaderBar Greater than 60' Greater than 60' CAUTION: Ground bY010g required for all Inst IPationo. 10' 1.1110N: Temporary►, sses bra bll?Wn )n thi ra gh With;slmilar c Y : , " "' r o gur�tlQps;1 �ogsl regit ` reds p rat e$ acing arrangements, s tl sE s ma rr brtti tla 04' ri IGRO BUILDiNG EXTERIOR Typical vertical attachment Strut (ST) Typical horizontal tie member with multiple stakes (HT) SIc jI { �jl� SPAN !a 1 r ' � Y il i of eta,,,r:'M , u ri 10 u a' u N ' ' ' "; r l' '! ' MINIMUM PITCH '! I ' ' ;i'" TOP CHORD '"LATE ��, SPACIttG r: tiia,,,.!: BRACE LBc& ' ' ,. DIAGONAL BRACE SPACING DB� ( . , r# trusses] ji SP /DF . SPF /HF 15 Up to 32' 4/12 8' 20 Over 32' - 48' 4/12 6' 10 7 Over 48' - 60' 4/12 5' 6 4 Over 60' See a registered professional engineer I f Top chords that are laterally braced can buckle togetherand cauaecollapse ffthere land diago- nal bracing. Diagonal bracing should be naUed to the underside of the top chord when marlins are attached to the topside of the top chord. DF - Douglas Fir -Larch HF - Hem -Fir 12 '`. Continuous Top Chord Lateral Brace Required Upto28' Over 28' - 42' Over 42' - 60' Over 60' MINIM PITCH DIFFERENCE 2.5 3.0 3.0 TOP pip BRACE SPACING(LBc� 7' 6' 5' TOPCHO DIAGONAL, B 00000 '0 • ' . [# trusses SP /DF: 17 9 5 SPF /HF 12 6 3 See a registered professional engineer SP - Southern Pine • SPF - Spruce- Pine -Fir 4 or greater All lateral braces lapped at least 2 trusses. Frame 3 DF - Douglas Fir -Larch HF - Hem -Fir All lateral braces lapped at least 2 trusses. 0' ry o• 0 Q SP - Southern Pine SPF - Spruce - Pine -Fir Continuous Top. Chord Lateral Brace --�` Required — 10' 10' or Greater Attachment Required T C -loll Ru ss l Top chords that are laterally braced can buckle togetherand cause collapse if there isno diago- nal bracing. Diagonal bracing should be nailed to the underside of the top chord when purling are attached to the topside of the top chord. I SCISSORS TRUSS SPAN ; >;.; °' MINIMUM PITCH . BOTTOM CHORD LATERAL BRACE SPACING(LB& - BOTTOM CHORD DIAGONAL BRACE SPACING (DB&& [# trusses] SP /DF SPF /HF Up to 32' 4/12 15' 20 15 Over 32' -48' 4/12 15' 10 7 Over 48' - 60' 4/12 15' 6 4 Over 60' See a registered professional engineer I s s WEB MEMBER PLANE I . Bottom chord diagonal bracing repeated at each end of the building and at same spacing as top chord diagonal bracing aer pnali d 4 ‘a 4. Y onsno 1Cling tll 4 0'41 s a. O . �- Permanent ,00 so continuous lateral bracing "c: as specified by the truss engineering. Frame 4 DF - Douglas Fir-Larch HF - Hem -Fir SP - Southern Pine SPF - Spruce - Pine -Fir All lateral braces lapped at least 2 trusses. BOTTOM CHORD PLANE I Cross bracing repeated at each end of the building and at 20' Intervals. SPAN MINIMUM DEPTH TOP CHORD , LATERAL BRACE SPACING(LB TOP CHORD . DIAGONAL BRACE SPACING'(DB [#`trusses] SP /DF SPF /HF Up to 32' 30" 3' 16 10 Over 32' - 48' 42" 6' 6 4 Over 48' - 60' 48" 5' 4 2 Over 60' See a registered professional engineer DF - Douglas Fir -Larch SP - Southern Pine HF - Hem -Fir SPF - Spruce -Pine -Fir 0 The end diagonal brace for cantilevered .trusses must be placed on vertical webs in line with the support. 4x2 PARALLEL CHORD.TRUSS:TOP CHORD .I Top chords that are laterally braced can buckle togetherand causecollapee Uthere isno diago- nal bracing. Diagonal bracing should be nailed to the underside of the top chord when purlins are attached to the topside of the top chord. 1y 1y End diagonals are stability and must be duplfi:ati both ends of the truss system. End diagonals are esserjtia1f9r4 stability and must be dupiroat both ends of the truss system. 2x4 /2x6 PARALLEL CHORD TRUSS Top chords that are laterally braced can buckle togetherand cause collapse it there isnodiago- nal bracing. Diagonal bracing should be nailed to the underside of the top chord when purling are attached to the topside of the top chord. 2 08% Continuous Top Chord Lateral Brace Required 10" or Greater Attachment Required 30" or greater ater IIARt�I G IIureto se ec mm c e r pe so�ta injur pr amagig #a ons couldresu uidTn Wi *s. .i1c.S , a . Continuous Top Chord Lateral Brace Required 10° or Greater Frame 5 3 4' t 3'/za ><. Trusses must have lum- ber oriented in the hori- zontal direction to use thls brace spacing. SPAN MINIMUM PITCH TOP CHORD •: ` LATERAL BRACE SPACING(LBs) TO CHORD DIAGONAL BRACE SPACING (DBS) . � ;,-; [# trusses] SP /DF SPF /HF Up to 24' 3/12 $' 17 12 Over 24' - 42' 3/12 7' 10 6 Over 42' - 54' 3/12 6' 6 4 Over 54' See a registered professional engineer L(In) . L/200 L(ft) 200" 1" 12" 1/4" 1' 24" 1/2 2' 36" 3/4" 3' 48" 1" 4' 60" 1 -1/4" 5' 72" 1 -1/2" 6' 84" 1 -3/4" 7' 96" 2" 8' 108" 2" 9' L(In) . L/200 L(ft) 200" 1" 16.7' 250" 1-1/4" 20.8' 300" 1-1/2" 25.0' L(In) L/200 ` L(ft) 50" 1/4" 4.2' 100" 1/2" 8.3' 150" 3/4" 12.5' DF - Douglas Fir -Larch HF - Hem -Fir Diagonal brace also required on end verticals. Top chords that are laterally braced can buckle togetherand causecollapse ifther° isno diago- nal bracing. Diagonal bracing should be nailed to the underside of the top chord when purl ins are attached to the topside of the top chord. MONO TRUSS I SP - Southern Pine SPF - Spruce - Pine -Fir olio* eve'epttrsona�nI r5 E p - % %, h, *r ' Maximum . Misplacement PLUMB Truss Depth D(In) Lesser of D /50 or 2" Plumb Line OUT -OF -PLUMB INSTALLATION TOLERANCES. TALLATION °TOLERANC • :O /4" Frame 6 L(in) 12 — 13 or greater Continuous Top Chord Lateral Brace Required B• 10° or Greater Attachment Required t Lesser of L/200 or 2" B• L(In) All lateral braces lapped at (east 2 trusses. « ........:4 : : ............ .. ..............: OUT -OF -PLANE INSTALLATION TOLERANCES. Lesser of L/200 or 2" „DANGER::::::' no, yclrcumstances should construction loads of anydescrIptlon be placed on unbraced trusses°, v,, , :' BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical t � Owner s Name (Fee Simple Titleholder) -) $T *—t' Phone # Owner's Address 4'57 15 5 51 City ti A- M 1 ,.Cf- 1O1.LS. State cam- Zip \ �j Phone # Contractor's Company Name Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Tenant/Lessee Name E-MAIL: Job Address (where the work is being done) 1 e_ 15 J City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # 11- 3 - c9idr < a Is Building Historically Designated YES NO ;1. Phone # Contractor's Address, ?Xf'S" 'XXV. J»� City Gw State .1 Zip 3 d b Qualifier Name �'r1� Phone # I lei 5(O„ _ 2) 2) State Certificate or Registration No. Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 5 de> : a- Square / Linear Footage Of Work: 7 /`--t 3 - x'3 Type of Work: ❑Addition ['Alteration ❑New ❑ Repair /Replace 213emolition Describe Work: A 1 1 E for Permit No. EC J7 - C I* Master Permit NoTiP Q - 154 eYx e4r* * wx x* * *wxx Submittal Fee $ Permit Fee $ / 0 / ', G 0 CCF $ t Notary $ Training /Education Fee $ t 2O Scanning $ �— Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Technology Fee $ 2 %3D CO /CC Total Fee Now Due $ 10(°W See Reverse side --> 1 (} t B : .. ' ' _........ 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. '� 7 �� Signature Signature es, Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before methis day of , 20 _, by , day of /i4 U 20 07, by 7'�7 6519.4 .x/10? who is personally known to me or who has produced who is personally known to me or who has produced _J G As identification and who did take an oath. a? 'CO'f as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLLC: Sign: Sign: Print: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02 /08/06) 43 q Rose Tapigliani ' • My Commission DD282474 My Commission Expirj, ,f Expires January 20 2008 xxxxxxxxxxxxx xxxxxxxxxx xxxxxxxxxxxxxxxx xxxxxx irxxxxxxxxxxx xxxxxxxxxxxxxxx xxxxxx xxxxxxxxxxxxxxxxxxxxxxx*xxxxxx Goy S Plans Examiner Engineer Zoning ELECTRICAL DEMOLITION MAY 2 1 2007 Passed Inspector Comments , -- 2? ° y Failed /0 Ha/ a y, Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 05/18/2007 Inspector: Devaney, Michael Owner: QUINTON, ALBERT Job Address: 457 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: RAYMOND ELECTRIC INC Building Department Comments Thursday, May 17, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 1541 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060140630 Lot: Page 2 of 2 2_11z10% Irmo - V BUILDING PERMIT APPLICATION FBC 2004 Job Address (where the work is being done) City N .PrN4k State "f\—... Qualifier Name State Certificate or Registration No. CAC,. j E -MAIL: Value of Work For th' P Type of Worh Vii, \A a• Describe Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) N"_Nriri�- Phone # Owner's Address 4G1 ,. '%5 City 4 4s n L5, State Tenant/Lessee Name E - MAIL: City Miami Shores Village County Miami - Dade FOLIO / PARCEL # pip A' (.30 Is Building Historically Designated YES NO Contractor's Company Name J LI, {%/L Contractor's Address 12P11 51^ L \ ' t ..— rS Architect/Engineer's Name (if a cable) Phone # ['Alteration FED 441 NE-- 4 15 5 -C I ®INew UZ • A '�_. I E S V!L GE �Yb FEB di E B Y:01� Permit No. M (4.5 07. g z 4 Master Permit No. 'g,F:› 5. 15 Zip </ 77104, Phone # Certificate of Competency No. Square / Linear Footage Of Work: Zip Phone# 7S, 4-2(.-oS53 Zip Phone # ❑ Repair /Replace ? 6 ` & a4*aYaYarx de www ees *ee3eYe4**wwwwwww *www*eYa4****, *.*****wwxxxxmx See Reverse side -› c ❑ Demolition Submittal Fee $ Permit Fee $ 35 -a_ CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ IS 00 Radon $ , DPBR $ Zoning $ Bond $ Code Enforc intent $�` � r � i4 ° �, F uble Fee $ CO otal Fee Now Due $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. l certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 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 the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,20,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: w ww w ww w w w xx w xxxxx w xw APPLICATION APPROVED BY: (Revised•02 /08/06) Contractor The ferego instrume t was a acknowled g befo e m hi f a� day.of �� , 2 0 ( � b y bl who is personally known to or who has produced PG 1 S NO /55eVi entification and who did take an oath. NOTARY PUBLIC: / Sign: Print: My Co Plans Examiner Engineer Zoning Inspection Number: INSP -48361 Scheduled Inspection Date: August 03, 2010 Inspector: Perez, JanPierre Owner: QUINTON, ALBERT Job Address: 457 NE 95 Street Project: <NONE> Miami Shores, FL 33138- Contractor: ALISAEZ A/C INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 NEW A/C WORK ID Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 02, 2010 For Inspections please call: (305)762 -4949 Permit Number: MC -5 -07 -924 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1132060140630 Page 31 of 31 Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2004 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) . - 1S114,11.-1 — d y r. y . 4 . Phone # Owner's Address 8 3 7 44111. q r j tom' City 1�1 t State Tenani/Lessee Name E -MAIL: Job Address (where the work is being done) Zip City Miami Shores Village County Miami -Dade FOLIO /PARCEL# LI ^" - 4 -. Go Is Building Historically Designated YES Submittal Fee $ Notary $ Scanning $ Radon $ Structural Review. $ Training /Education Fee $ Bond $ Code Enforcement $ NO ******* * * * *xzxxxxxxxx * * * * * * * * * * * ** * * ** * F ees * * ** , * *x ** DPBR $ Master Permit No. '1aP") 54 3 ,1'3 � Phone # Permit No. M(° M- (324 L. W u 7 2007 B Y: (A4 Zip Contractor's Company Name ..ts Z k . Phone # 3 C- Gp - 1 - 1 .9 S5 to Contractor's Address -113 %-vJ # 1 3 ) City VI 1 k M 1 State ft, Zip 3 _ Qualifier Name R - n Q.r.. Lt,p Phone # - WTI c9 j 5 State Certificate or Registration No. C. 4- C. 0 02v Certificate of Competency No. E -MAIL: C11 i 5.4 e.`z CAD 1 , OD 144 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ' j� �r O')• a Square / Linear Footage Of Work: Type of Work: ['Addition ❑Alteration [ (ew ❑ Repair/Replace El Demolition Describe Work: e $2_ W.- Double Fee $ * * * * * * ** * * * ** * * * * * *** * *** CCF $ 2,(40 CO /CC Technology Fee $ .vG Zoning $ Total Fee Now Due $ 1 51.""1(0. See Reverse side -3 Bonding Company's Name (if applicable) Io „— 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: 1 certify that all the foregoing information is accurate and that all work will,bedone 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of comet ncement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In t e absence of such posted notice, the inspectio n will approved a reinspe ll b d d ction fee will be charged Signature Signature delima Owner or Agent Vig Con�cter---. rdi The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged b fore me thi day of , 20 _ , by , day of , 20e, by 1heti a C.,atilio , who is personally known to me or who has produced who is personally known to me or who has produced 13) 4 ' CAC, As identification and who did take an oath. 0,5g as identification and who did take an oath. NOTARY PUBLIC: NOTARY PU Sign: Print: APPLICATION APPROVED BY: (Revised 02 /08/06) Sign: Print: My Commission Expires: My Commission Expires: *************, kdex eY**** ,kxie*********,Y,h************* ** ********,Y, **** ******** fe****, 1** *3e****4a **** „ u1 se Tapigliiani _� y ,y . I; . P1 • Expires Jansen, 20 2008 Plans Examiner Engineer Zoning BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Owner's Name (Fee Simple Titleholder) Q'J l , 41 - 4z1--1 Phone # Owner's Address 4S►1 Nit.- City Ms. State ' Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 4% 1 wet. Os S j City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 11 14(®3 Is Building Historically Designated YES Contractor's Company Name � K Phone # 5:11%.ti0 C�1.... City Qualifier Name Tel: (305) 795.2204 Fax: (305) 756.8972 /t/Ol PermitNo. P 1, ` 1A. aster Permit No. ;.? P 15.4 te‘S Electrical Plumbing Mechanical Roofing NO e c, . C-%$; 0-S J -Zih33 ) 4,46.. ea.__ Phone # j • Z51. 3 State Certificate or Registration No. ..&, (.— 4)3142..1— Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ to Oap • J J Square / Linear Footage Of Work: 5 G1 Zip '? 1 `3 Type of Work: ['Addition . ['Alteration ew ❑ Repair/Replace ❑ Demolition Describe Work: 1-45.1.44 "S2+ ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ubmittal Fee $1, Permit Fee $ 0 Q • CCF $ CO /CCA O Technology Fee $ . Zoning $ Notary $ Training/Education Fee $ Scanning $ 1 Radon $ Bond $ Code Enforceme Structural Review. $ lD ®, 0.e WV ed 2 o7 otal Fee Now Due $ tG 3a Cn.iW MIAMI SHORES VILLAGE See Reverse side - Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application L hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first • section which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection wIl t be approved and a reinspection fee will be charged / Signature _ / IP A , : Si ture � a r The foregoing day of Owner or Agent trument was ack befo me this The foregoing ° trur - -` - ' _ ledged before __ _ -7 20 bl, by )C/A/ut l u l.[ l01/ day of 49/ i - y Q.71~ e .4„ this / who is personally known to me or who has 13rodu who is pe : orally known to 7 e or who has produced as identification and who did take an oath, NOTARY PUBLIC: As identification and who did take an oath. Sign: Prin M ommission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) r 1' 'Sign: Print: My Commission Expires: Rose Tapigliani Commission DD2mu oin Expires January -20 2008 Jerome Hurtak My Commission DD273729 / d7 5, £ LT• Plans Examiner z e Engineer Zoning PERMIT # CONTRACTOR: AVM V ;, kr' L A SUBMITTAL DATE: 9,10 r t RESUBMITAL DATES: PROJECT TYPE: \ p ZONING STRUCTURAL ELECTRICA MECHANICAL IMPACT FEES HRSIDERM Inspection Number: INSP -61138 Permit Number: BPP -9 -07 -1914 Scheduled Inspection Date: October 04, 2010 Inspector: Bruhn, Norman Owner: QUINTON, ALBERT Job Address: 457 NE 95 Street Project: <NONE> Pass 2 Failed Correction Needed Re- Inspection Fee October 01, 2010 Miami Shores, FL 33138- Contractor: SOUTHERN ENGINEERING CONSTRUCTION LLC Building Department Comments NEW RESIDENTIAL SWIMMING POOL No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments dc- For Inspections please call: (305)762 -4949 3 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060140630 Phone: (305)251 -3000 Page 32 of 33 NEW RESIDENTIAL SWIMMING POOL (" /9/ Inspector Comments Passe [ (� Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number: INSP- 150665 Permit Number: BPP -9 -07 -1914 J Inspection Date: September 27, 2010 Inspector: Dacquisto, a -vid Owner: QWT LBERT Job Addresg, Project: Contractor: September 27, 2010 l oresk 138 - 95 Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 THERN ENGINEERING CONSTRUCTION LLC For Inspections please call: (305)762 -4949 Phone Number Permit Type: Pools/Whirlpools/Hot Tubs Inspection Type: Survey Final Work Classification: New Parcel Number 1132060140630 Phone: (305)251 -3000 Page 1 of 1 RESTRICTIVE COVENANTS PROTECTIVE POOL ENCLOSURE PREPARED BY: WHEREAS, the undersigned „h,,psi �.slv C- ware the fee simple owner (s) of the following described property situate and being In the Village r\ KNOW ALL MEN BY THESE PRESENTS: Lot (s) Block 55 of • - zi cA - (address) �a `� '' (Subdtvistop), according to the plat atereo4 as recorded in Plat Book 1 , isle VI of the Public Records of Dade County, and � JGwwilee - ic; Lt ;Alb n. • single Whereas, the undersigned owner (s) 4 /bet t 4Jar4u i to utilize said Lot (s) as . wilding site, and the undersigned owner (s) do (es) hereby declare and agree as follows. " • 1. That the property will not be used in violation of any ordinances of the Village . or Dade County now in effect or hereinafter enacted. 2. That the purpose of this covenantis to induce the Village .o Lune a permit for a pool where the required enclosure is not on the subject property where the pool is located. • 3. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our /my property shall fall.to meet code requirements for pool barriers,. we, as owners will immediately • Install a protective enclosure to meet code requirements and will obtain a permit for such fence. 4. That, we, as owners, hold the Village harmless for any negligence or injury that results from not having the enclosure FURTHER, the undersigned declares) that this covenant is Intended andishall constitute a restrictive covenant concerning the nse,.enjoyment and Wets the above property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by the 'V illage : , or Its successors, In accordance of said Village then In effect. IN WITNESS WHEREOF, the un ersigned has/hAve caused hand (s) and seal (s) to be affixed hereto on this day of S gnature an DECLARATION OF RESTRICTIVE COVENANT m SAL SWORN TO AND SUBSCRIBED before me on this MY commission expires: omit, Jerome Hudak My Commission DD273729 14 4,„ Expires December 0 Jerome H oi My Comm Expires RECEIVED SEP 1 1 Zuia/ BY :.09 Signature and Print STATE 01? FLORIDA ): COUNTY OF DATE ): I HEREBY CERTIFY that on this day personally appeared before meleAk 1111111.11111111111111 111111111111111111111111 CFP4 20078089561 OR Bk 25916 F' 0795; '1Ps) RECORDED 09/11/2007 O9:52:40 HARVEY RUV'IHe CLERK OF COURT MIAMI-LADE COUNTY' FLORIDA LAST PAGE t _ Ak6A knoo �e or has produced d ' • who is persona Weldon th at he/she executed'the foregoing, freely and voluntarily, for purposes there in expressed. And he /she acknowledge Rev. 41Z NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. I1. 1- • 1 i 4 TAX FOLIO NO.11 •' STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: M, %. rib 44 f3 g 6_t.- t 103.'y? 1 -r1CYi ?.�+ fs Xr. VS. , Lac 21 2 L j3IL3G 5'$ 4 S'1 -m e. aiS 5-r 144,A 44t 13 t 3 S 2. Description of improvement: AON.t ClAremp44b : 3. Owner(s) name and address: .A4-$ 417.,X % �S.4% 1 �¢JL.. elit -. %rrCcnt-s1 Interest in property: d*&ar►Iisi'n,-- Name and address of fee simple titleholder: L�+Cr"1 ,.. .. 615 331 4. Contractor's name and address: - - _ _ Ifff,....4.."...•∎ • 5. Surety: (Payment bond required by owner from contractor, if any ATE OF FLORIDA, COUNTY OF DADE HEREBY CERTIFY iitst this is + us copy of its Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon wh•m noti•" or other document may be served as provided by Section 7 3.13(1)(a)7., Florida Sta s, Name and address: 1")Ap... l v°'► .`� 5��.� ---, 1�1A. �t.� '5 . 5 1'14 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: Si Print O ner's Nam Sworn to and subscribed before me this Notary Public Print Notary's Name My commission expires: 123.0.52 MOE 4 5/00 0 ,0, Donna C Hudak day of 111111111111111111111111111111111111111111111 CFN 2007R0474288 OR BIB 25607 Ps 4945; ( l p s ) RECORDED 05/10/2007 11:160_6 HARVEY RIJVIN? CLERK OF COURT MIAMI-DADE COUNTI v FLORIDA LAST PAGE NOV 21 on iration date of this Notice of Commencement: the expiration date is 1 year from the date of recording unless a is specified) Prepared by 3. w14 Voted *aye Ve V 10050 NE 2 Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305-756-8972 www.miamishoresvillage.com RECEIVED SEP 1 1 2007 VP NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at 4 r4 - �=- 15 5 ra T Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues. Please initial the method(s) to be used: NOTARY PUBLIC The pool will be isolated from access from the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29; pproved safety cov The pool will be equipped complies with A CONTRACTOR'S SIGNATURE AND DATE CONTRACTOR'S NAME (PLEASE PRINT) oors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self - closing, self - latching devices with release mechanisms placed no lower than 54" above the floor or deck; I understand that not having one of the above installed at the time of final inspection, or when pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second degree, punishable by fines up to $500 and/or up to 60 days in jail as established in Chapter 775, F.S. 'STATE OF FLORIDA) COUNTY OF DADE) performed on r) .3 • on Further, Affiant sayeth naught. Witness(sign and print) r Jerome Hurtak • My Commission DD273729 Expires December 09, 2007 The undersigned Affiant .. . %Om. �.'►ti►ep..• (property owner) attached survey, performed by - LA4444. 'ZS r0. 4S1 (name of surveyor's company) , 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.. SWORl3'TO AND SUBSCRIBED before me this CP day of 7. b 1 Affiant is personally known to me, . produced , does hereby attest that the • as identification. Po9.1guard - Door Alarm MADE IN USA oolgua Door Alarm POOLGUARD/PBM NDUSTRES. NO. has been manufacturing pool alarms, door alarms, and gate alarms since 1982 AV Poolguard products are proucfly Made in the USN Poo|Buard Door Alarms comply with al buding codes and are UL Listed under UL 2017. The majority of children that drown in poos go out the back door first and Pooguards Door Aarm can help protect those doors. POOL GUARD DOOR ALARM CITY C ^ PY °ULListed under UL 2017 o Inportant Safety Feature • Complies With Building Codes • SimpIe To Operate °Autmmnmt|m Reset • Battery Powered o Easy Toinstall °Afordahle Price • Pass Through Feature For Adults ~ Low Battery Indicator • Horns are 85dBat10 feet Page lof2 MODEL: -`-----^ ~~^ ^^ ^ Poolguard - Door Alarm • The Door Alarm will sound in7seconds when a child opens the door, and the alarm will continue bz sound until onadult comes to the door and resets the alarm. • Fookzuard Door Alarm will sound in7 seconds even f a ohd goes through the door and doses it behnd thern. • The Door Alarm hs always on and will automatically reset under all conditions, Pookluand Door Alarm is equipped with an adult pass through feature that wll aow aduts to go through the door without the alarm sounding. ro find out more information about pno!goamsDoor Alarm model DAPTu1:wS5650, Hee Ophond screen door kits can be purchased for the alarm. this kit aHows you to get air through your screen door without the alarm sounding. Pootguard Door Alarrn uses one 9-volt battery, (not induded) with a battery life of approximately one year. • The Door Alarm is equipped with o|mm battery indicator that wiH audibly alert you when your battery is getting low, PookJuardia the only door alarm that is UL isted under UL2017 for water hazard entrance alarrn equipment. 1 Year Warran y -- - Nol In Customer Service n — r Alarm PDF manual Page 2 of 2 <xHOME °|m Ground Pool A3arm Above Ground Pool Alarm Gate Alarm °Door Alarm °Contact Um°Buy Poolquard Door Alarm GOOD ART 6/19/03 11:0 M Page 1 DOOR ALARM Installation Instructions Model DAPT 2017 Figure 1 IMPORTANT READ THOROUGHLY BEFORE USING ALARM This product has been designed to aid in the detection of unwanted intru- sions into unsupervised areas. POOLGUARD DAPT IS A SAFETY ALARM SYSTEM AND NOT A LIFESAVING DEVICE. It should be used in conjunc- tion with the safety equipment currently in use and should not affect existing safety procedures. Door Alarm GOOD ART 6/19/03 11:0 M Page 2 1. INSTALLING POOLGUARD DOOR ALARM AND BATTERY INDOOR USE ONLY (Figure 2) Your PooIguard Door Alarm is designed to be installed within 22" of the sensor switch for the sensor wire connection. To mount door alarm on wall next to door: A. Determine the best location. Alarm must be installed at least 54 Inches above the threshold of the door. B. Remove mounting plate from door alarm by removing the four small screws. Place mounting plate at the location on Me wall which you have chosen to locate the alarm. With a pencil mark Me two spots where the large end of the key holes will be located when you hang the door alarm. These two marks are where the 2 larger supplied screws will be inserted into the wall to hang your a C. Remove the mounting plate from the wall and insert the 2 larger supplied screws into the wall on the two marks. Leave about 3/16" (not including Me head of the screw) of the screw from me wall. Pun out the battery snap from inside the hack of the door alarm and connect a 9-volt battery. Pull clown the battery lever on mounting plate (see figure 2) and install the 9 -volt battery into me battery holder according to the battery placement decal located on the battery lever. E. Reattach the mounting plate to the door alarm with the four screws NOTE: if the battery lever is not pulled down when installing the 9 -volt battery the mounting plate cannm be reattached to the door alarm. When the 9-001, Battery is installed to the door alarm, the LED win flash once every 10 seconds. When the alarm sounds, the LED will flash once every second. Hang door alarm on the mounted screws and pull downward until the screws are positioned in the small end of the keyholes in Me back of the unit. H. Now thallhe battery is installed you may accidentally settheamt oil while you are connecting the sensor wires. If this happens press the delay switch. You are now ready to connect your door alarm to the sensor switch. 2. INSTALLING DOOR SENSOR (Figure 1) The Peolguar0 Door Alarm is activated by a sensor which consists of two parts. One part contains the sensor switch and the other part the sensor magnet Both the sensor switch and the sensor magnet have plastic covers; mesa plastic covers must be emaved before installation. The sensor switch has two connecting screws for the sen- sor 'es that come from the Poolguard Door Alarm. Using the 4 smaller screws sup - plied, the sensor switch is installed In the stationary part (usually the frame) of me door, and the sensor magnet on the door itself. To function properly the sensor switch and sensor magnet must be close together and line up perfectly (figural). In some cases it will be necessary to use some wood, plastc, or double -sided foam tape under the sensor switch or sensor magnet to achieve this. For best operation the sensor switch and sensor magnet should almost touch, but a spacing of up to 1/2" is acceptable. If the door frame is made of steel, the sensor switch and sensor magnet must be spaced at least 10 or even better 1/4" away from the frame and door. Use pieces of wool, plastic, or double -steed loam tape for this pur- pose. Door Alarm GOOD ART 6/19/03 11:0 M Page 3 BATTERY LEVER NIUST BE ,Eav GLASS TUBE Figure 2 MOUNTING PLATE lcEr R_ • BATTERY REV R -4.- Figure 3 SENSOR SWITCH EMPTY t� TERMINAL F— TERMINAL BATTERY LEVER BUMPER SPRING NVOLT BATTERY WITH INCLUDED RM. NOTE: BE SURE TO CONNECT YOUR BATTERY SNAP TO YOUR 9-VOLT BATTERY 3. CONNECTING SENSOR WIRES TO SENSOR SWITCH (Figure 3) The sensor wires are permanently connected to the door alarm. Connect the sen- sor wires by loosening the 2 screws on the sensor switch and sliding the exposed ends of the sensor wires under the terminals and tighten the screws. It doge not matter which ire goes to which terminal. NOTE: it you remove the terminal screws refer to (Figure 3) for proper location. Reattach plastic covers. Door Alarm GOOD ART 6/19/03 11:0 M Page 4 4. OPERATING YOUR DOOR ALARM (Figure 1) The POOLGUARD DOOR ALARM uses two delay modes which allows the user to exit and enter the door without the alarm sounding. These two modes are explained below: A FIRST DELAY MODE When the door is opened the alarm auto- matically goes into the first delay mode which gives you 7 seconds after the door is opened to push the delay switch. If the delay switch is not pushed within 7 seconds the alarm will sound with the door open or closed. To silence the alarm close the door then push the delay switch. B. SECOND DELAY MODE When the door is opened and the delay switch is pushed within 7 seconds this puts the door alarm in the second delay mode which allows you another 7 seconds to go through the door and close it. When the door is closed within 7 seconds the alarm will automatically reset. If the door is not closed within 7 seconds the alarm will automatically go to the first delay mode, then the alarm will sound whether the door is opened or closed. 5. LOW BATTERY FUNCTION When the 9 -wtll battery is low, the door alarm hom will chirp once every 10 seconds -this means it is time to install a new battery. Test your door alarm weekly by opening the door and allowing the alarm to sound. WARRANTY AND REPAIRS POOLGUARD is sold with a limited warranty to cover defects in parts and workmanship for one year from date of purchase. (Retain proof of pur- chase). N Poolguard exhibits a defect, please call our Customer Service department at 1 -800 -242 -7163. Unauthorized retuma will not be accepted. Proper repair is only ensured when the unit is returned to the manufacturer. Poolguard® PBM INDUSTRIES, INC. P.O. Box 658 NORTH VERNON, IN 47265 812 - 346 -2648 PBM INDUSTRIES, INC. MADE IN THE USA REV, 2 DATE SWIMMING POOL OWNER'S CERTIFICATION i 1.0 c 1 MIAMI SHORES VILLAGE BUILDING AND ZONING DEPARTMENT ATTENTION: BUILDING OFFICIAL I certify that I am the legal owner of the property located at: / /tom VOW V&490 VelAVONe ce 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305 - 756 -8972 www. miamishoresvillage.com In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until a separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected, and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting an approved barrier prior to final inspection and use of the pool. Legal Owner RECEIVED SEP 1 1 ZUU7 BY:. 100 SP 1 Note: This certification is to be submitted with a swimming pool permit application in duplicate. BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) f v Phone # 457 As. °15 �r Owner's Address City iVt s' Tenant/Lessee Name E -MAIL: FOLIO / PARCEL # E -MAIL: State Job Address (where the work is being done) City Miami Shores Village t13 406040 ko 4 Is Building Historically Designated YES Contractor's Company Name ` Q L�lyi lt�� Contractor's Address * C.. V•6 Lt �k City f 1 `t V" State CU\ Qualifier Name fl.,C+ Cad State Certificate or Registration No. C C Architect/Engineer's Name (if applicable) CO Value of Work For this Permit $ 1 ' Permit Fee $ Training /Education Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33 l38 Tel: (305) 795.2204 Fax: (305) 756.8972 451 14 E. Sj County Miami -Dade NO Type of Work: []Addition ['Alteration slew Describe Work: ?C ?W 1 yA 1 5 1 '►�1(�•''lr ° Cy - 1.`d� J Zoo Submittal Fee $ Notary $ Scanning $ 5 cXD Radon $ Bond $ Code Enforcement $ Structural Review. $ Zip '3'413 Phone # Phone # Square / Linear Footage Of Work: *** *** **** * * * ** * * * *** ** *** * ** ** * ** Fees * ** ********** **** ** ***** ***** ************ *** DSO CCF $ 1 , Z CO /CC T hnolo Fee S. -• gY 40 c� Double Fee Total Fee Now Due $ ' -1 0 't1" �, '' See Reverse side -� MIAMI SHORES V L LAG E Zip -- 5 , '=ZI9 Permit No. i, 17 Master Permit No. 3„' .so • 1541 ltoo Phone # 5 .°l c flf' Zip 3; 362-CJ r Phone # J9 ))O4 I ( e' 111 : 1 7 1 , Certificate of Competency No. C- - OLt827C 0 Repair /Replace ❑ Demolition Zoning $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law broehure.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 inspe on which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will � t be i I , r, ved and a reinspection fee will be charged _/1/► I Own j Signature or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this / day of ' 20D1 , by j PA. it( day of MICIU.At , 20 , by ratee)m ll,�nc who is personally known to me or who has produced as identification and who did take an oath. NOT NOTARY PUBLIC: who is personally known to me or who has i oduced As identification and who did take an oath. Sign: Print II! r Rose ` my Commission DD282474 ommission Expires: isaion DD2737211 s ► My Commission Expireo,,. Expires January 20 2008 S ' PIAN*** ** desk# deeYeY********** **dceFaF******************xxx #x *** * *** *** * * aY**** APPLICATION APPROVED BY: (Revised 02/08/06) Signature Sign: Print: Plans Examiner Engineer Zoning Inspection Number: INSP- 137921 Scheduled Inspection Date: March 16, 2010 Inspector: Devaney, Michael Owner: QUINTON, JENNIFER Job Address: 457 NE 95 Street Project: <NONE> Contractor: ABLE ELECTRIC OF SO FLORIDA INC Building Department Comments March 15, 2010 Miami Shores, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 eiL Phone Number Permit Number: EL -9 -07 -1915 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Parcel Number 1132060140630 Phone: 305/266 -6602 ELECTRICAL FOR POOL 02/19/09 change of contractor Passed Er Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments /1/(f/1 /P 6 � -��.� 1/ f/L',,G Page 15 of 23 PAA ry Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION RECE0VE FBC 2004 FEB 1 8 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) J y t'FQ,A,, v ^ a••• Phone # 30•5 - 33.1 9 Owner's Address 46 14cr.._ ° l 5 sr City p'\ Ar 44.Eoa i, State Zip -P*, 1'z! Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) City Miami Shores Village County FOLIO /PARCEL# t '3•Z e::•1 . 014. Contractor's Company Name Architect/Enga` „ er's Name (if applicable) r 'Y �l Value of Work Fo'- this Permit $ Type of Work: [Addition Describe Work: O l Contractor's Address ?2t S3 C."1 City M ( A Qualifier Name o State Certificatq or Registration No D2S004 E -MAIL: 4c, Nc-°15 3 i Ci ❑A lterattorr c: ' ' 1 i 7 Miami -Dade Is Building Historically Designated YES NO OM q Cole trg Laste Permit No. r.-o 1 1 %5 Permit No.a1Pb1- rf Phone # Phone # Zip `3v4 Ss Phone # Certificate of Competency No. Square / Linear Footage Of Work: ❑New . Phone # Zip ❑ Repair /Replace ❑ Demolition *** xxxxx * * * * * * * * *xxxxx * * * * * * * * * *xxrxxxx Fees ***** ***** 'xxxx'e'e'o'r** *wwvc* koti:xxxxxx*** Submittal Fee $ Permit Fee $ 1 J CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code. Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse ide Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City � A ; a � FA Vr �. u' Y 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- perfprmed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 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 -rrst inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection u . - • • t be approved and a reinspection, fee will be charged. Signature` Owner or Agent The foregoing instrument was acknowledged before me this 1 day of ra) , 20®1 by jelgi'{� ft COuinTD�( �! w ho is personally known to me or who C has produced t(.' /ht� tit, 1raYk1 1i® ' As identification and who did take NOTARY PUBLIC: Sign: Print: My Commission Expires: 9:xxxric**.*xxxx APPLICATION APPROVED B (Revised 02/08/06) xxx *xxxr. *w r. x x xr. L Signature The fo day o who i Contra or ument was acknowledged befq re me this 2 20 M by e or who has pro 'j A l - r1 as identification and who d ce`•ad oath. i PUBLIC: k J Print: My Commission Expires: ;xxxxxxx xxx rxx•xxxxxxxrxx.*xxxxxxxrzxxxxrxxrx lgAeW®� Plans Examiner Engineer Zoning *4e Miami Shores Village Building Department Change of Contractor /Architect Permit No fLol l q 15 Owner's Name (Fee Simple Titleholder) Jtiv►st ,G„ NIPhone# Owner's Address 451 tvt. ®t 5 City pots. Ar ers-t o'IS•`s State • t.. Zip 37%18 Phone # Job Address (of where the work is being done) Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Architect/Engineer of records name Address City State Describe Work: I hereby certify that the work has been abandoned and/or the contractor /architect is unable or unwilling to complete the contract. I hold the Building Official and,the Village of Miami Shores harmless fr r all al involvement. Signature The foregoing iraftrument was acknowled ed before me this !b' day of reb ,20 tN By �P lIfi Pori4 who is per onally known to me or who has produced f " tic '391 Zo as identification and who did take an oa NOTARY PUBLIC: Chg4 /18/08 Signature Zip Contractor /Arc d ect The foregoing instrument was b e before me this By who is p who has produce as identification and who did tak Sign: Print: My Commission Expires: SENDER: COMPLETE THIS SECTION • Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. • Print your name and address on the reverse so that we can retum the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 24,14os 1 A Nw l'1,l 'T•. 'x1..33015 2. Article Number (Transfer from service labeij A. Sig X /,Z' PS Form 3811, February 2004 Domestic Retum Receipt FEB 8 la COMPLETE THIS SECTION ON DELIVERY D. • delivery address different from item l? 0 Yes If YES, enter delivery address below: 0 No 3. Service Type 0 Certified Mali 0 Registered 0 Insured Mail 4. Restricted Delivery? (Extra Fee) RECEIVED FEB :e 0 Agent Gam 0 Addressee C. Date of Delivery 4. .j dr 0 Express Mail 0 Return Receipt for Merchandise 0 C.C.D. 0 Yes 7007 0220 0001 5161 9414 102595 -02 -M -15401 UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G -10 • Sender: Please print your name, address, and ZIP +4 in this box • �t•�1.� • C..nt�tS 1 . LOc S 1 5 ` �. Southern Engineering & Construction, LLC Builders and Contractors Certified General Contractor #037422 Via Certified Mail Date: 12/29/2008 To: Re: Raymond Electric, Inc. To Whom It May Concern: This letter shall serve to cancel and terminate the above referenced permits due to Contractor's scheduling issues. Sincerely, Raymond Electric, Inc. 7485 NW 177 Terrace Miami, FL 33015 Termination of Permits EL-07 -925 1 11110 1118 ' EL -07 -1915 Parcel No. 1132060140630 Miami Shores Village 786.285.7270 Phone . 305.251.3013 Fax . 1000 Ponce Oe Leon Blvd . Suite 206 . Coral Giles . Floride . 33134 issued to PROPERTY LOCATED AT: 4S1 o G g �`k As legal owner of subject pr erty, I request the cancellation of permit number r= if 0 ' – 1 ) �. �n I Q. u 1 I/ 146n n for the following reason: Date of last inspection: I hereby apply as owner - builder, or authorize (new contractor) to apply for such permits as necessary to construct or complete the construction on subject property. I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any responsibility or liability for any legal action or damage, cost or expense (including attorney's fee) resulting from the cancellation of the existing permit or the issuance of a new permit. I furthermore assume responsibility for the correction, if required, of work performed under the permit for which I am requesting canc -tion. (Owner 1 S g Tk , re) 32,A i (Print Name) State of Florida County of Dade: The undersigned, being the first duly sworn, deposes and says that he /she is the;= ..agne' ,•f the above property. Sworn to and subscribed before me this Notary Public, Sate of Florida at Large 7/(m s&les VIII429e Rolf efunemeat 10050 NE 2 Ave Miami Shores, Fl 33138 Phone 305. 795.2204; Fax 305-756-8972 www.miamishoresvillage.com HOLD HARMLESS (Prime Contractor -Only if subcontractor holds permit or if change of qualifier) (Print Name) DATE: 2Ir9 /75Dq City Miami Shores Village Contractor's Company Nam Contractor's Address �! City ""/44........0 State / G Qualifier Name Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING 011Z4011:4 PERMIT APPLICATION FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) Qv t Phone # Owner's Address As ) ..4 E . 9s City j'f5 State Zip 3,13... Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) 4C Z t4 s T County Miami -Dade FOLIO / PARCEL # 11 2.0100 4 c ( Is Building Historically Designated YES NO !�i State Certificate or Registration No E -MAIL: —� Architect/Engineer's Name (if applicable) 6 " Phone # 7/‘ ire ^� 32 .e-sr ?IJ --/ /72 3 Value of Work For this Permit $ Z . Square / Linear Footage Of Work: Type of Work: ❑Addition ['Alteration Describe Work: 'Pent„ - eofL ?" 4 (. . L ew Zip 3 ' R ECEIVED SEP I 1 2007 Y : Permit No. EL -1- 1915 Master Permit No.' Zo05. I64 t Zip '3'3 1`! j Phone # ‘3z ertificate o ompetency No. Phone # ❑ Repair /Replace ❑ Demolition **************** xxxxx* *x4:xxxxxx*Feestc***wxxxnYxxxxx xxx*xxxx, , **** ** ************* Submittal Fee $ Permit Fee $ 7 as CCF $ 1 .2.CD CO /CC Notary $ Training /Education Fee $ P echnology Fee $ 5.G3 Scanning $ 3 °- Radon $ B Zoning $ II ) Bond $ Code Enforcement $ Rip Ri eee Structural Review. $ c_k m ) ( Total Fee Now Due $ £ E .25 MIAMI SHORES VILLAGE See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work .will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged 42 ,0 f 0 ner or Agent The foregoing ins ent was acknowledged before me this 69 day of/ k , 2001 by 3 who is personally known to me or who has pr duced Signature As identification and who did take an oath. NOTAR LIC: (Revised 02/08/06) APPLICATION APPROVED BY: Signature The fore day of Sign: Print: � D278729 ing instrument was acknowledged before me this ,207,by A 3--- e 7: 2 - v - 71 who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Prin . 'e/cU ► r"'C_ - R My Commission DD282474 , Expires January 20 2008 My Commission Expires: °"' Y p � � � 2W !re Expires Deoe 2pp7 My Commission Expires : xxxxxxxaY********* x x9exxrot*w**dex xxxdexx xaY** w* aY***** xxxxx****axxx xvYaY****o4dr***************** o e Tapigiiani 5 e' ,S Plans Examiner Engineer Zoning nspection Number: INSP -61177 Permit Number: MC -9 -07 -1916 1 Inspection Date: September 10, 2009 Inspector: Perez, JanPierre Owner: QUINTON, ALBERT Job Address: 457 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ALISAEZ NC INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 POOL HEATER qe 91 1 15 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments September 09, 2009 For Inspections please call: (305)762 -4949 Phone Number Permit Type: Mechanical - Residential Inspection Type: Heat Pump Work Classification: Pool Heater Parcel Number 1132060140630 Page 1 of 1 BUILDING 0710 PERMIT APPLICATION Q FBC 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) �Q Phone it Owner's Address 4s1 City N1 S State Zip gi Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) 451 ni °t 4 S City Miami Shores Village County Miami -Dade Zip 33%'3 FOLIO / PARCEL # 1132 4 Is Building Historically Designated YES NO Company Name kl/C■ Phone #� 1 Contracts r' Address l2. 11--4. s t ri te 3 City 1 State Zip *,' ( f ' �� Phone # - 78 iD - l s - c) ' State Certificate or Registration No. C4 S CO . 24:2 Certificate of Competency No. - Qualifier Name E -MAIL: Submittal Fee $ Notary $ Scanning Architect/Engineer's N me (if applicable) Value of Work For this Permit $ Z 50a Type of Work: ['Addition ❑Alteration Describe. Work: Fe Permit Fee $ Training /Education Fee $ Radon $ Bond $ Code Enforcenie Structural Review. $ Miami Shores Village RECEIVED SEP i 1 200? 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY Xfr Tel: (305) 795.2204 Fax: (305) 756.8972 Building Department Square / Linear Footage Of Work: ❑New M MIAMI VILLAGE Permit No. — Master Permit No. •1541 01- «1t ee $ Pr one # ❑ Repair /Replace ❑ Demolition ****** w wwww * * * * * * * * * * * * ** * * * * * * * * * * * * & ** CCF $ � ° EE CO /CC Technology Fee $2 -(o Zoning la! ee Now Due $1 1 3.c tLt See Reverse side —> Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City - State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. l certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC inst ent was , 20 ,by ally known to P P.: wner or Agent edged before me this — 7 X Signature The for day of who is perso LIC: My Commission Expires: APPLICATION APPROVED BY: (Revised -02 /08/06) e or wh 7 hasp I duced As identification and who did take an oath. 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 WITEI 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 prornise 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 •mmencement 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 .approved and a reinspection fee will be charged Signa Contractor Gf The fore oing ins rument was ackno Iedged beforrA me this 7 day o r !' a/ 20 7, b 1 : � . 0 a,‘,647 , who is NOT Sig .! i �l Print: g i , t Donna Hudak V loal* N C 00274887 eYxoY e4'x e49YsY oc d &�kxx4 0 :::***************x dae irdee:**** ***** *******4ex4e********v&** ** NOTARY PUBLIC: apigliani 1° ,namission DD282474 Expires January 20 2008 Sign: Print: My Cointnission Expires: Th me or who has produced as identification and who did take an oath. w Plans Examiner Engineer Zoning BUILDING 0/9-4 S PERMIT APPLICATION FBC 2004 Permit Type (circle)• Owner's Name (Fee Simple Titleholder) (2.066#1/41 (0"1 ATZ2 • Phone # Owner's Address 210 1 e Z AN " S') m g 3 City 1r l At' 4 state K- Tenant/Lessee Name W((6 , (4 0 0 Cs CAN) Job Address (where the work is being done) City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 1 •320 (.61 3 ' 30110 Is Building Historically Designated YES NO Contractor's Company Name 441 elf ltl v T Phone # 3c" Eys - 04/ OS zip `g.g.g Phone # Contractor' Address City n iI 7 Qualifier Name Type of Work: ❑Addition Describe Work: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 f 4 - Value of Work For this Permit $ X Alteration Roofmg State State Certificate or Registration No. Ci 6-C / 5) V 0 Certificate of Competency No. ngines Name (if applicable) RAU- k C A4 �+ L Phone # j�S lee' S oa . ❑New Zip Phone # Permit No. Zip 33136 quare / Linear Footage Of Work: Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 4C19 • Sl See. Reverse side - it JUN 1 7 2009 �� BY: Master Permit No. SUw 16 1g - 'MY - 7f(- Zoo • 06iC 3313 30S - v • 7c. > . ots 2 ❑ Repair/Replace ❑ Demolition t ) 804 55Pia p6u14 1 ************************************ *** * *�x�x�x *�x�x�x *�xa��x�x* * *** :�:�xa� ****�x�x****** *** Submittal Fee $ 50490 Permit Fee $ �!� 0 CCF $ 1 ' CO /CC Notary $ Training/Education Fee $ Q. Technology Fee $ 1 25 Scanning $ gi • O V Radon $ 6.43 DPBR $ "g'3 Zoning $ Bonding Company's Name (if applicable) #//4 Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) W/A Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Contractor oing The fo instrument was ac w1'I dged be ore s The foregoi, instrument was acknowl ged before day o __ � , 20. S by ��AJ ''��1(, , day of u. 1 , 2009, by 1. iI who is ,, : a y own to me or who produced �� who is O E me BitTdaB19,@uced " n 1 n ation and who did take an oath. ' MY COMMISSI # OD 5 i r� • I • . tific�ltt CY , take an oath. L , s�4: ' eorwed rnn, P u�d� g __ ! , rrrriters � i e,.. , 4 : . ''%-.<1.:1;\'i W' ',. c r . ; fo N NOTARY Sign: My Commission Expires: *** ********************** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** My Commission Expires: '*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 07/10/07) (0) (7(7c, X Signature Plans Examiner ' Engineer Zoning Certificate of Occupancy Miami Shores Village 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305- 795 -2204 Fax: 305- 756 -8972 Building Inspection Department This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: Not Transferable POST IN A CONSPICUOUS PLACE Building Officials Approval Norman Bruhn, CBO STATUS SOURCE STATUS PHF TEMPERATURE CONTROL In *Ola Approved source In *03a Cold food at proper temperatures during storage, display, service, transport, and cold holding N/O *Olb Wholesome, sound condition N/O *02 Original container, properly labeled, date marking N/O *03b Hot food at proper temperature N/A *0241 Consumer advisory on raw /undercooked oysters N/O *03c Foods properly cooked /reheated N/A *02 -13 Consumer advisory on raw /undercooked animal products N/O *03d Foods properly cooled *Q4 Fades to maintain product temperature *05 Thermometers provided and conspicuously placed *06 Potentially hazardous foods properly thawed FOOD SERVICE INSPECTION REPORT LEGAL NOTICE Failure to comply with this Notice may initiate an administrative complaint that may result in suspension or revocation of your license and fines. 12/29/09 11:30 AM Licensing Inspection Date and Time SALADINO SEAN Owner Name MISS MOOS Business Name 0 Number of Units 9545 NE 2ND AVENUE Address / City / State / Zip / etc. Item 03: Food Temperatures NOTE: Items marked above with an asterisk (9 Indicate a violation Inspector's Comments No minors working at time of inspection. AU employees must be trained within 60 days zertifkStions must be kept on premises accessible, for inspection. All violations must be ADMINISTRATIVE COMPLAINT. Water Source: Municipal/Utility. Sewage: Municipal I acknowledge receipt of this inspection form and comments. 12 -29 -09 Date DBPR Form HR 5022 - 016 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF HOTELS AND RESTAURANTS www.MyFlorida.00m /dbpr /hr Recipient: Title Phone: x � Inspection Reason In ANY VIOLATIONS corrected by the unless otherwise spectlon Result Callback Date/Tim Item 53a: Cert. Food Managers Signature of Recipient Sean Saladino Owner 305- 754-3666 Yrolabons marked with an asterisk are critical violations. Items marked IN are in comprence. Ite subsequent pages. Items marked N/A are Not Applicable. Items Marked as N/0 are Not Obse noted herein must be EX T UNANNOUNCED INSPECTION, MIAMI, 33138 Item 20: Warewashing Sanitization MET INSPECTION p'ANDARDS - - i! during this visit ; n p Booa_e . .s f hire and re-trained every 3 years. Certified managers must be re- certified every 5 years. Original rrecbed by the next un- announced Inspection. Any repeat violations may result in an IMMEDIATE No Boiler On Site. X and were not being conducted at the time of inspection. 2332567 NOST License Number 305- 798-7658 Area Code/Telephone Number 10/01/10 License Expiration Inspector Signature For further information please contact: Dennis Uriarte 8240 NW 52 Terrace #101 Miami, Florida 33166 850 -487 -1395 Marked OUT are violations. Specific details of violation are listed oh Page 1 of 3 Item 45: Fire Extinguishers and Fire Suppression Systems Dates Dec 2D 200S 1210 PM HP LRSERJE FAX r ° ° °EEEVV r DER:AR 11115NT OF BUSINESS AND PROFES310NAL REGULATION Division of Hotels. and Remaurente FOOD SERVICE OPENING INSPECTION VERIFICATION CHECKL. DISTRICT 1 INSPECTION AREA 0103 APR. /CATION NUMBER: 474682 APPLICATION TYPE 1033ASsue Irati LICENSE NUMBER: 2332567 FILE NUMBER: 2331917 ADDRESS: CITY: ZIP CODE: PHONE: OWNER/CORPORATE IMA) INFORMATION: NAME: ADDRESS: CITY. STATE ZIP CODE: ROUTING: PHONE: NAME: ADDRESS: CITY. STATE: ZIP CODE: ROUTING: PHONE \ SEATS: 0 1 PGOD SERVICE INFORMATION: ASSOCIATED LODGING: N FREE STANDING: SALES TAX NO: 2 :W1515533 5545 NE 2ND AVENUE MIAMI 33196 305- 798 -7655 ' SALADINO SEAN 460 NE 101 STREET MIAMI SHORES. FL 33138 305 -798 -7658 MAULING (LAS) INFORMATION (1F DIFFERENT•THAN ABOVE) OPENING DATE 0911517000 SALADINO SEAN 490 NE 101 STREET MIAMI SHORES, FL 33138 305- 798 -7658 dtange in 8 tsYermq mat Fr edfelorrer Fess. I HEREBY ATTEST THE r�BaVE WFOR I(gN B pit19 INSPECTOR NAME VERIFICATION DATE: 9e INSPECTOR SIGNATURE t .. .. ., 4". Division of Hotels and Reataufierlte cs9t:enter@dbpr.stata.Rus B50.487.1995 This is authorizatron to operate for 90 days. An annual license will be [nailed to the address on record within than period LT RECEIPT FOR UCENSE UCENSE NUMBER: 2332567 UCENSE TYPE: FILE NUMBER: 233198 This verifies that SALADNO SEAN Doing business as MISS MOOS has met the requirements for Permanent Food Service- NonSealtng literature to operate 9545 NE 2ND AVENUE MIAMI, FL 33135 T • ASSIGNED 70: UR1AR . .DENNIS I UcanseiNOST) APPUCATION DATE: 12612009 TOTAL FEE: 5178.00 TOTAL FEE PAID: $178.00 INSPECTOR: Please verify irdornlation below record ct innes in spaces to Ibp r' • K i and sent to district office for delta anl))r DIM NAME: - MSS MOO'S LICENSE TYPE: 2010 / Permanent Fwd Service RANK: Non-Seating LOCATION (LL) INFORMATION: Crmee niDamo Mar sparrow* tees t Pethorn Port RESTAURANT CLASS: Other nlsrteatl tUSD LT Asian fORNT) t 1 Calatarla 1CAPT1 ❑ Coteries Commiasa v fCATRI f7 French (FRNCI T1 Greek IGREK) 0 Hisaanic (HISP1 n Indian (INDNI 01 Permanent Food Service- Non - Seating SEAN SALADINO 308-798 -7658 HQ-10 -0393 LE 2010233198 O Italian 1111.511 n Kosher 114 HRI 0 Masten (Mon 0 Other fOTHRI C7 Seafood MEN. Theatre (TNRTI n Theme Park (PARK n Medina rIENl3l• INSPECTOR NAME e2)3 T7e O' nex pat Prktt Date: 6129/2009 Fl017Gi4 pparift'lent f Bus ') Protessittirtal Regulation anorim DATE '72nD t 9 V►-t 1- INSPECTOR SIGNATURE IRepof HR4024 -0ET- replaces DBPR Farm HR 5021 -024 Receipt Mr License] (Rev. 04/18/03) OCCUPATIONAL LICENSE CO SAFETY INSPECTION BY: APPLICATION Per Village Ordinance 14 -32, the purpose of obtaining a Certificate of Occupancy/ Safety Inspections is to ensure your safety and to ensure that previous tenants have not changed the original structure in violation of Fire Safety and the Florida Building Code. Building Owner's Name u 1 Phone # `7 Oro o 2 D . e$` IS Owner's Address '40, L OT 4- in . }, I l City A-41 a State F r o -- Zip Business Owners Name S '_ [ cQ�,� Phone # c. 7 4 8. 7 6 ct3 Business Name (M® I e.--S Address 9c- 5 E 2 a-► i Suite City Miami Shores State Florida Zip o 74 : 5 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. BUSINE Signature R The foregoing Instrument was acknowledged before me this ti day of� , 20 () produced IT) as identification and who did take an oath. ‘�UU Ur►rr NOTARY PUBLIC: ��. �� \lvera ''„ ``, Sign: _ ��4 Print: • � � 1 a �� 6�9p \:'� C •,,s'q T I OF \' r\ \ \ by CI\V %LAU , who is personally known to me or who has My Commission Expires: Building Officials Approval: Miami Shores Village Building Department 7 Mijrq Permit No. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 97 Inspection Number: INSP - 132617 Scheduled Inspection Date: January 07, 2010 Inspector: Bruhn, Norman Owner: , AVIV HOLDINGS LLC Job Address: 9501 NE 2 Avenue Miami Shores, FL 33138- Project: Contractor: Building Department Comments INTERIOR ALTERATION TO RECEIVE A NEW ICE CREAM SHOP ( MISS MOO) LOCATED AT 9545 NE 2 AVE. Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comment fk t //ea/ January 06, 2010 <NONE> Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: CC -6 -09 -1022 Permit Type: Commercial Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060133920 Page 20 of 26 oottaaes IRWIN Winn IMMIX amen, in saamm r Amman CL. Mae to Cd MGM w�r.L ae en N r en ▪ C^dCaN ....,"ze , te a C7c'o= 0 ...J 4 L_. CC4 C ..a7 ''e y Lai Cr ce ' tai CC • c3? -fa.. c.1 cC W CI 3 1— .s. t.? Cc'. Li, U.. tai 4C 4: 4.) Gc J This Instru Name Address Permit No. STATE OF COUNTY OF nl Pre aced 0 flit 1, f ' FI 33('3 NOTICE OF COMMENCEMENT Tax Folio No. THE UNDERSI GNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided In this Notice of Commencement. 1. Description of property: (legal description of properly, and street address if available) 9 -' S` NE . t, A-r � M(4.4.44 f s F / `3 2. General description of improvement: U�l a r•-)v aZ 73(;_t 1 3 `9% a>^S Chou vi e S 3. Owner information tpt 6 a71J M A a. Name and address: z ,6 p f ,(Je" 4 b. Interest in property: /14/irti p.-/ 3 3 s c. Name and address of fee mp a titleholder (if other than owner): 4. Contractor: 1 y a. Name and address: t-1 10 Q 113) 0.5-) 64 s „ 6� g- b. Phone number. 5. Sure &.tIA-fitAk. a. Name and address: b. Amount of bond $ c. Phone number. 6. tender a. Name and address: b. Phone number: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1 )(a)7., Florida Statutes: a. Name and address: b. Phone number: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 7.13.13(1)(b), Florida Statutes: a. Name and address: b. Phone number. 9. Expiration date of notice of commencement (the expiration date Is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. a .er Signatory's Offi �ay l or 0 r = uthorized Officer /Director A .1 ,r ,ti V y Slgnatur Partn The fjeg ment was acknowledged before me this (name of person) as authority, ...e.g. l f'icer, trustee, attorney in fact) for behalf of whom Instrument Was executed). NOIPLRY r LIC- S OF FLORIDA ,� I> is V. Cubillos . )0:41aliai011#13D71323 ` % 4ann` C &per �. 23, 2011 BONDED TRW ATLANTICBONDINGCO.,INC ar) by (type of (name of party on / %1 M . Signet <re of Notary Public - S e of Florida Print, ype, or Stamp Commissioned Name of Notary Public Commission Number Personally Known or Produced Identification • Verification Pursuant to Section 92.626. Florida Statutes Under penalties of perjury, I declare that I have read the foregoing and that the facts stated i are true to the best of my knowledge and belief. Signature o atu :1 Person • ig' g Above HALLORAN CONSTRUCTION Dear Building Official, DESIGN • BUILD • RENOVATE LETTER OF INTENT Halloran Construction hereby notices the Building Department or our intention to comply with the ADA requirements at our new project, Miss Moos, at 9545 NE 2 Ave Miami Florida 33138 The extent of the renovations are not grand in scope and do not encompass a full interior rehab. We intend to spend more than the minimum percentage on the following improvements: Moving the WC to the corner by saw cutting the concrete floor and relocating the drain. Moving a wall to obtain a 5' turning radius. Replacing the bathroom door to allow 32" clear access (36" door) Installation of grab bars Installation of ADA wall hung Lay. with trap insulation/protection. Removing replace of flooring at all thresholds to comply with ADA standards (1/2 inch rise) The cost of the total renovations is in the range of $23,000. The cost of installing the above ADA improvements far exceed the required percentage of the construction budget. Please call Andrew Halloran for any further explanation. Thank you Andrew Halloran Halloran Construction Corp 804 NW 7Th STREET RD • MIAMI, FL 33136 • CGC 1510980 PH: 305 545 0405 • FX: 305 324 3798 9 -9-09 Date: November 11, 2009 Miami Shores Village Building Department 10050 N.E. 2 Avenue Miami Shores, Florida 33138 Re: Permit # 09-4 022 Miss Moo Shop Renovation 9545 N.E. 2 Avenue Miami Shores, Florida 33138 Folio # 11- 3206 - 013 -3910 Attn: Building Department, This letter was prepared for the commercial property to revise the existing bathroom layout to a H/C layout. See attached drawing. If you have any more question please call me at my office 305 754 2318. Respectfully submitted, ark A. Campbell, Architect FL AR# 0011074 FL UC. # AR 0011074 Miss Moo Shop H/C bathroom letter 11- 11- 09.wps .. ••• • • • • • • • • • •• ••. .• • • • . .. • • •..• • • •• ... .•• • • • • • • • • •. • • • •• • • • • • •• •.• .•• • • • • • • •• .. • • • • •• . • • . • • . • • • • • • • • • • • • • •.• • • • • • • • t • • •. .• ••• •1• • • • • • me T, eve .� NOV 1 0 2009 BY: 3'- 0 -8° DOOR t 1 \ 1 \ ` .%. j mar r-r i SERVICE SINK MISS MOO'S 9545 N.E. 2nd. AVENUE MIAMI SHORES, FLORIDA [:i �n s 1 1 1 ---1EW 4'- 4"X6' —O" o H/C TURN AROUND 1 trr.WiKOOM J 1 .1 NEW WATER HEATER 72" A.F.F. 48 "X30" CLEAR FLOOR SPACE AS PER ADA 4.19.3 EXISTING BATHROOM WITH EPDXY PAINTED FINISH UP TO 5' -0" HEIGHT MIN. O NEW FLOOR PLAN SCALE: 1 /2 "= 1'--O" MARK A. CAMPBELL, ARCHITECT 11074 373 N.E. 92ND STREET MIAMI SHORES, FL 33138 305 754 -2318 o 305 757 -6198 f • • • • .. • • • • •••• • • •. •• • • • • • • • • • • • •• • • • • • • •• • • • • • • .. •• • • • • .. • • • .• • • .• •• • . • . • • • • • • • • • •• • • • • BATHROOM ACCESSORIES ACC a ACCESORY NUMBER PRODUCT REMARKS ACC ACCESORY NUMBER PRODUCT REMARKS 015'B© S•.e. • ] 36" WALL MOUNTED RAIL 42" WALL MOUNTED RAIL TOILET TISSUE DISPENSER PAPER TOWELL DISPENSER SOAP DISPENSER MIRROR • • • DEARBORN D88936 DEARBORN D88942 BOBRICK 8 -2740 BOBRICK B -B -3844 BOBRICK 8 -42 BOBRICK B -293 ADA - MOUNT AT 33 -36" AFF ADA - MOUNT AT 33-36' AFF SURFACE MOUNTED RECESSED W/ WASTE RECEPTACLE SURFACE MOUNTED TILT STYLE FOR ADA a® lii SANITARY/NAPKIN DISPEN. WATER CLOSET SINK BOBRICK 8 -2800 TOTO CST744EL TOTO LT307#01 •i SURFACE MOUNTED • • WHITEHEAD ADA 1.28 GAL WATER CLOSET • BRASSCRAFT OCR1912DLC SUPPLY & STOP • • CENTOCO 500STSCC WHITE LONG OFLC SEAT WHITE HEAD 20X18 WALL HUNG LAV 1 HOLE CHICAGO 333 -665 COLD WATER METERING FAUCF MCGUIRE 155A GRID DRAIN BRASSCRAFT OCR1912AC STOPS AND SUPPLY • • P -9704 DEARBORN P -TRAP • • TRU -BRO 102W TRAP AND SUPPLY COVER . • WALL MOUNTED LIGHT FIXTURE TYPICAL H/C VANITY SCALE 1/2• - 1' -0° TYPICAL H/C TOILET vuc 1/2" - r -n SCALE: 1/2" - 1 -0 TYPICAL H/C TOILET SCALE: 1/2" - 1'-0• 1 W/R MIRROR k METAL STUDS F �� yy pp AT Ac BASE FACE OF WALL • ••• • • • • • •• • • • ••• • • • • •• •i ••• • : • • @TYPICAL H/C VANITY SCALE 1/2•. - � ••••••• •••• • • • • • • • • • • • • • • • • • • • •• • • •• • • • • •• • • • ••• • • • EXISTING INSTANTANEOUS WATER HEATER 3.2 KW, 120V,10 RA SERVICE SINK FOYER 105 fl 106 EXISTING FLOOR PLAN SCALE: 1 /2 " =1' -0" ACCESSIBILITY NOTES: t. THERE ARE NOT ARCHITECTURAL BARRIERS THAT WOULD DEFER A DISABLE PERSON FROM TRAVELING FROM THE PARKING AREA TO THE PROPOSED BATHROOM AS PER THE ACCESSIBILITY CODE 4.1.6 AND 4.1.9 2. MAX. 1/2" DIFFERENCE ON LEVEL AT ANY FLOOR LEVEL AS PER 4.5.2 OF THE ACCESSIBIUTY CODE. NEW WATER HEATER 72" A.F.F. EXISTING BATHROOM W/T1LE FINISH UP TO 5 -0 HIGHT MIN. s - 0'X8' -8° DOOR 3. ALL COMMON AREAS ARE ACCESSIBLE 4. ALL DOORS SHALL HAVE A MIN. CLEARANCE OF 32" AS PER 4.13.5 OF THE ACCESSIBLE CODE. MANEUVERING CLEARANCE AT DOORS SHALL BE AS PER 4.13.6 AND 4.13.7 (DOORS IN A SERIES) OF THE ACCESSIBILITY CODE WHEN IT IS READILY ACHIEVABLE BARRIER REMOVAL f■ i •q� I `. 1 N 1 0 U SERVICE S NK fs H/C BATHROOM 106 I1 NEW WATER HEATER 72" A.F.F. 48°X30" CLEAR FLOOR SPACE AS PER ADA 4.19.3 4'- 4 -0 H/C TURN AROUND EXISTING BATHROOM WITH EPDXY PAINTED FINISH UP TO 5 -0" HEIGHT MIN. N EW FLOOR PLAN SCALE: 1 /2 " =1' —O" ••• • • • • • • • • • • ••• • • •• • •• • • • • • • EREViroN• WTI NNI @IY.14 1•n-a NIiT a•ena AiMAL DY \ i • • • • • • • • •• • • F. • • • • ••‘. • • S• •• • • • ••• • • TYPE OF INSURANCE POLICY NUM8ER I POLICY ATS( EFFECTIVE CieM,DDPry) POLK: Y E EXPIRATION DMT (MMtUDIYY) " LnATTS RALLIABIUTY IOMMERCIAL GENERAL LIABILITY CRA4GH008 07/27/2008 / / / / 07/27/2009 / / / / EACH OCCURRENCE $ 2 , 000 , 00 0 FIRE DAMAGE (Any one tie) $ 100 , 000 I] CLAIMS MADE 1 X ! OCCUR QED ESP (Any One Person) S 0 PERSONAL & ADV INJURY 5 2 , 000 000 GENERAL AGGREGATE 1 $ 2, 000, 000 AGGREGATE LIMIT APPLIES PER: PrRODUCTS- COMP/OP AGG i $ 2, 000, 000 'OLICY ( I .fief El LOC MOBILE UABIUTY NY AUTO LL OWNED AUTOS CHEDULED AUTOS IRED AUTOS ON-OWNED AUTOS / / / / / / / / / / / / / / / / COMBINED SINGLE LIMIT (Ea acclRant) g BOOILY INJURY (p Hr+nn Y INJURY (Per cent) S ' PROPERTY DAMAGE (PeracoMent3 5 GE L.UABILRY NY AUTO / / / / / AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG S S LIABILITY / / / / / / / / EACH OCCURRENCE S CCUR 1 1 CLAIMS MADE AGGREGATE 5 EDUCTIBLE EfENTION $ $ 5 5 RS R S O L M iAB RSA N AND ILITY - / / / / / / 1 ax STAT 1OTH- TOR L tIatITS I I ER , / / EL EACH ACCIDENT $ EL DISEASE -EA EMPLOYEE 5 E.L. DISEASE - POLICYUM)T S / / / / 7 OF OPERATIONS /LOCATIONSNEHICL PROVISIONS -STATE OF FLORIDA ESIE(CLUSIONS ADDED BY ENDORSEMENIZSPEMAL GENERAL CONTRACTOR 10 DAY NOTICE OF CANCELLATION FOR NON PAYMENT OF PR L3 TY INSURANCE 07/ 2 2008 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLBER., THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: ASPEN SPECIALTY INSURANCE CO. INSURER 8: INSURER 0: INSURER 0: INSURER E: ORQ, CERTIFICATE OF LIAMIL & TATHAM INS INC ;ONSET DRIVE FLA 33173 AN CONSTRUCTION CORP. T 7 STREET ROAD GES FL 33136— 'C(ES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED To THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_ NOTWITHSTANDING ANY MENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT INIT H RESPECT TO Vl#- fCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, JRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COMMONS OF SUCH POLICIES_ ATE OMITS SHOWN MAY HAVE BEEN REDUCED BY PAJO CLAIMS. ATE HOLDER CITY OF MIAMI SHORES 10050 NE 2ND AVE MIAMI SHORES FL 33138— S (7197) 55 (991O) ADDITIONAL INSURED; INSURER Lt t tbK; CANCELLATION ELECTRONIC LASER FORMS. INC. - (£00)327 -054$ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSSURER+LL ENDEAVOR TO MAIL 3Q* DAYS WRITTEN NOTICE TO THE CERTIFICATE HO' Llt AMER) TO THE LEFT, 80T FAILURE TO DO SO SHALL NAPO INSURER, ITS AGENTS AUTHORIZED REPRESENTA _ -. • OBLISA ,• • SO ANY KIND UPON THE © ACORD CORPORATION 1 988 papa 1 ot 2 DAVID A. DACQUISTO, AICP PLANNING & ZONING DIRECTOR DEVELOPMENT ORDER File Number: Property Address: Owner: Address: Agent: Address: DO PZ -1 -09- 200917 AVIV Holdings LLC Y//harn; Sliore� PZ- 1- 09- 200917 9545 NE 2 " Avenue AVIV Holdings LLC 2601 NE 2 " Avenue Suite 5C Miami FL 33137 Mark Campbell 373 NE 92" Street Miami Shores 33138 10050 N.E. SECOND AVE. MIAMI SHORES, FLORIDA 33138 - 2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 Whereas, the applicant AVIV Holdings LLC (Owner), has filed an application for site plan review before the Planning Board on the above property. The applicant sought approval as follows: Section 600: Sec. 523.: Article IV Schedule of Regulations: Site Plan Approval and Change of use; Restaurant. Whereas, a public hearing was held on February 26, 2009 and the Board, after having considered the application and after hearing testimony and reviewing the evidence entered, fmds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village. 2. The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code. The Board requires that all further development of the property shall be performed in a manner consistent with the site plan, drawings, and the conditions agreed upon at the hearing: 1) Property owner to secure all DERM and/or Department of Health approvals prior to the issuance of a village building permit. 2) Applicant to obtain all required building permits before beginning work. 3) Applicant to meet all applicable code provisions at the time of permitting. Page 1 of 2 4) The plans that are submitted with the building permit to show curbing or other means to separate the alley from the parking area so the parking area can only be accessed from a driveway. 5) This zoning permit will lapse and become invalid unless the work for which it was approved is started within one (1) year of the signing of the development order by the board chair, or if the work authorized by it is suspended or abandoned for a period of at least one (1) year. 6) Applicant to shall file a unity of title for Parcels: 11- 3206 -013 -3910, 11 -3206- 013 -3920, 11- 3206 - 013 -3900 and 11- 3206 -013 -3890. 7) Applicant to construct a 5 foot high concrete fence along the easterly property boundary between the parking lot and neighboring residential properties. Additionally, the applicant must, satisfy all applicable Miami Shores Village Codes, Miami -Dade County Codes, the applicable building and life safety codes required for development, and provide a copy of the development order to the Building Dept. The application with conditions was passed and adopted this 26 day of February, 2009 by the Planning and Zoning Board as follows: Mr. Abramitis Yes Mr. Powell Yes Mr. Reese Yes Mr. Madson Chairman Fernandez Yes Yes Date' / Richard M. Fernandez DO PZ -1 -09- 200917 AVIV Holdings LLC Chair, Planning Board Page 2 of 2 — INACCOUNT WITH 9545 NE 2ND AVE CORPORATION 9545 NE 2 AVE MIAMI SHORES, FL 33138- REFERENCE W/S CC'S FOR 1086 SF TK OUT ICE CREAM REST #2, EXIST 4030 SF PHARM OFF #1 //REPL 5116 SF OFF (SEE VF- UNITY OF TITLE) FOLIO 11 -3206- 013 -3910 PD CK #1059 VERIF VTR 200922903 `DESCRIPTION I QNTY /GPD DESCRIPTION DIST CODE 7 ` UNIT PRICE AMOUNT 434 Conn Chg - WASD Water 1.39 $603.26 1 Verif Form- non -res exist'g (Water) 75 $75.00 TOTAL: $678.26 98'9L9$ 6S8T I(S)* WOL9S Val '8L91 I env Ham I IS£I61@8X t. PMtMe Q09 3:31:52 PM By : Judy R Elliott it a -Gust t itlatl - General O Pink -Local Office, Gold -New Business 6blst 68/OI/66 24311.6t1/4131 seam A,LNf O3 3= -91UIW Miami -Dade Water and Sewer Department INVOICE It 1 118121 7 New Business Office DATE: September 10. 2009 P.O. Box 330316 pe eSo Acct ID# .ft , 1874421757 Miami, Florida 33233 -0316 3575 South LeJeune Road Room 114 Miscellaneous Charges Building Process #: X 1 20091351911 CUSTID: i 139642 ER WATER: ER SEWER: AGMT ID: N/A N/A WATER DEPOSITS : $0.00 SEWER DEPOSITS : $0.00 INVOICE NO. 118121 TOTAL: $678.28 Inspection Number: INSP - 115178 Permit Number: RF -5 -09 -881 Scheduled Inspection Date: July 20, 2009 Inspector: Bruhn, Norman Owner: QUINTON, JENNIFER Job Address: 457 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: DOUBLE DIAMOND CONSTRUCTION INC Building Department Comments RE -ROOF BURRELL TO BARRELL AND FLAT TO FLAT Passed Failed , f ie / 2 6.1.619 Correction Needed Re- Inspection Fee July 17, 2009 No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments A It0C16 adi /t:l For Inspections please call: (305)762 -4949 Phone Number OS -154 Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile/Flat Parcel Number 1132060140630 Phone: (386)847 -8899 Page 14 of 32 July 16, 2009 Double Diamond Construction Miami, Florida Project: Dear Sirs; test report for your review. Reileh Engineering Corp. (Consulting Engineer) P.O. Box 22011 Hialeah, Florida 33002 Tel:305 -823 -8008 Fax: 305 -823 -3300 ROOF TILE UPLIFT TEST REPORT Residential Home 457 Northeast 95 Street Miami, Florida Information provided by client: Permit Number: Not Provided Date Completion: July 13, 2009 Roofing Contractor: Double Diamond Construction Project Number: 09 -0845 (Testing Laboratory Certificate #06- 0501.15) Og-FSI In accordance with your request and authorization, a representative of Reileh Engineering Corporation completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard TAS No.106 -- Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was less than 10000 square feet, and the mean height of the roof is less than 40 feet above ground surface. The type of tile used for this project was reported to be Alhambra Roof Tile. This tile was reported to have been foamed in place. At the time of our inspection, the entire area of the roof was examined for loose tiles. Not less than one (1) tile in ten (10) of all components in the field area and one (1) tile in five (5) of all tiles in the perimeter and comer areas were physically examined. A minimum of one (1) test per every two (2) squares in the field, one (1) test per square in the perimeter area, ridge caps and (1) in the comer areas were conducted. Based on our test results, we conclude that the installation of the roof tile at the above referenced project meets the test requirement outlined :inthe above- mentioned protocol. Attachedplease find a copy ofour Reileh Engineering Corporation appreciates the opportunity of assisting you in this project. If you have ai*y questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respectfully submitted; Reileh Engineering Corporation Mo arnad Sonny Salleh, P.E.49014 Project Manager TILE UPLIFT TEST Residential Home 457 Northeast 95 Street Miami, Florida Reileh Engineering Corporation -- Project Number - 09 -0845 — Page 2 of 5 Test Number Test Load (lbf) Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass s Report of TILE UPLIFT TEST for Residential Home 457 Northeast 95 Street Miami, Florida Project Number: 09 -0845 Reileh Engineering Corporation -- Project Number - 09 -0845 — Page 3 of 5 Test Number Test Load (lbf) Test Status 24 35 Pass ' 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass Reileh Engineering Corporation -- Project Number - 09-0845 — Page 4 of 5 Test Number Test Load (lbf) Test Status 52 35 Pass 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass Reileh Engineering Corporation -- Project Number - 09 -0845 — Page 5 of 5 r 6 12 21 15 26 61 62 28 11 24 14 10 19 60 29 52 ' 7 8 54 55 57 52 45 55 48 4 5 16 41 29 56 17 40 49 55 58 22 D 18 57 58 10 59 19 31 20 92 55 1 2 E 64 47 46 54 55' 09 -084 APPROX. ROOF 'M5 LOCA110N5 ANIP f71MtN510N5 g - s6-et Mia ii Shores Village D M Ca B'W Bu Department � OW 10050 N.E. nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. a Gi _ ci PERMIT APPLICATION FBC 20 Permit Type: PLUMBING Owner's Name (Fee Simple Titleholder) J..e., 4 r QtA 1 AY Phone # 305 ' 1(( ' Owner's Address 45'7 2 '9 S Sf ( tate Zip g 1 p. �� U Email City Tenant/Lessee Name Job Address (where the work is being done) City FOLIO / PARCEL # Miami Shores Villa Is Building Historically Designated YES Contractor's Company Name Contact Phone S L12 (. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ['Addition Describe Work: Submittal Fee $ ❑Alteratiox Permit Fee $ Nk- County Miami -Dade NO ni GLW1k Y' Contractor's Address E S City (AVM s Sta Qualifier Name State Certificate or Registration No. E -mail Master Permit No. p (75- 1541 Phone # ST Zip Phone # Phone # Certificate of Competency No. Phone # Square / Linear Footage Of Work: ['New ❑ Repair/Replace ❑ Demolition * * *** *** * * * + * * * * * **** F ees * * * * * * * * * * * * *** * * ** �r * + *+ CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Vioation date: Structural Review. $ Total Fee Now Due $ BY: Flood Zone ? 5 33 (D -24-20 See Reverse side —+ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be : � r -* ed and a reinspection fee will be charged. i‘ii Signature p 111tIo. Signature 0 s or Agent / Contractor The foregoing instrumen' ' , acknowledged before meethis i The foregoing instrument was acknowledged before me this day of , 20 by �� tH t % N ft t day of , 20 by who is personally known to me or who has produced 1 I 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. NOTARY PUBLIC: \`\` � ` �t�uu��u�U N o, NOTARY PUBLIC: Sign: .„ �c' .�. Q ®';b S Print: — -�''` _ ®� —.1 ' . E, .r..-. .... c-' ,•• i 4 My Commission Expires: ' \ mill/ 4 ��MA9A�paeaas "` � APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) Sign: Print: My Commission Expires: 9 / e Plans Examiner Zoning Engineer Clerk checked Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 9-A Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -48395 Scheduled Inspection Date: September 10, 2010 Inspector: Hernandez, Rafael Owner: QUINTON, ALBERT Job Address: 457 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Building Department Comments PLUMBING FOR CABANA. ON HOLD MUST CHANGE CONTRACTOR. AS PER FAX SENT BY PL CONTRACTOR, GC HAS ANOTHER PEOPLE WORKING ON THE JOB SITE UNDER PL CONT'S LIC. NO INSP. UNTIL GC CHANGES CONTRACTOR. Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments September 09, 2010 For Inspections please call: (305)762 -4949 Permit Number: PL -5 -07 -928 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060140630 Page 14 of 14 �ry CHANGE OF CONTRACTOR 1 ARCHITECT Permit NIA.. c l6 Owner's Name (Fee Simple Title Holder): \Jelil Owner's Address: City: Job Address (Of where work is being done): 4s N ot C City: Miami Shores State: Florida Zip Code: '3"51 3 Contractor's Company Name: e,141 - .V' Q i vi- h Phone #: c ' -8 1-2,0 Address: 4 E �� City: MA n (t State: ca— Zip Code: 3313 g• Qualifier's Name : Lic. Number: Architect/ Engineer of Record Name: Phone #: Address: City: State: Zip Code: Describe Work: ptu VYl J I use I hereby certify that the work has been abandoned andlor the contractorlarchitect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless for all legal involvement. Signature 1 Signatures ►Ij er or Agent Co ,Q or or Architect The foregoing instru ent was aknowledged before me The foregoing instrum was aknowledged before me this day 20 this day of , 20 by Who is personally known to me or who has produced as indentification. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ( 4 L A W 1 , lone #: '? O 3 (' 1 State : L Zip Code: 313 K who is personally known to me or who has produced as indentification. ` 0%1111 11 11► ► �/ Notary Pub ' �� . ) %, Notary Public: Sign: '� •�y��' AP Seal: � d .9 cP '�°�%' ®� •• 3 cam` O Return Receipt Fee moment Required) cted Delivery Fee (E$dorsement Required) Total Postage & Fees Allure Plumbing Corp. 14983 SW 302 Terrace Miami, FL 33033 Dear Sirs: Postage Certified Fee Albert E. Quinton, III 457 N.E. 95 Street Miami Shores, Florida 33138 August 31, 2010 Re: Quinton Residence 457 NE 95 Street, Miami Shores, FL 33138 According to the records of the Village of Miami Shores, Allure Plumbing is identified as the plumbing contractor on the job at my residence located at 457 NE 95 Street, Miami Shores, Florida 33138. This correspondence is to provide official notice that Allure Plumbing is no longer the plumbing contractor on our job. U.S. Postal ServiceT. CERTIFIED MAIL,. RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) For delivery information visit our website at www.usps.come Postmark Here Sincerely, Sent To G '` Street Apf. No.; /4/5 3 57-€) 3 3 / Or PO Sox No. City, state ZIP 44 R 33c) PS Form 3800. August 2006 See Reverse for instructions r - ALBERT E. QUINTON, III 06/27/2007 19:11 7862982747 To: MIAMI SHORES VILLAGE BUILDING DEPARTMENT. 20050 N.E. 2 AVE MIAMI SHORES, FL. 3313$ Mr. Chief Plumbing inspector. The purpose of this letter is to inform you that Mr. Geosmany Pacheco; President of Allure Plumbing, Corp. is requesting the cancellation of a plumbing permit issued to Mr. & Ms. Edward & Jennifer Quinton which address is 457 N.E. 95st Miami Shores. Fl 33133. The above mentioned plumbing permit was pulled by Southern Engineering & Construction, LLC. CGC 037422, Company to which Allure Plumbing, Corp. gave the application sing and notarized along with all proof of insurance. This company with no good reason is doing the work with a different plumbing corporation under Allure's Plumbing permit. Our company request the City of Miami shore the prompt "ATTENTION "to this matter since our company's workman compensation insurance will not take any responsibility neither Allure Plumbing in the event of an accident. We thank you in advance and hope tom; r fr• m you very soon. Geos oregoing ins cen was acknowledged before me th /s_ day of COM3USSr N # DD36411 F • EXPIRES' Oct 19, 200; Sc�4 d Thnu Atlantic Boadiug it* ALLURE PLUMBING CORP. POBOX 925077 PRINCETON FL. 33092 PHONE (305)345 9537 FAX (305) 248 9150 LICENSE CFC1426297 is personally known to me. ( ) has produced a Notary sea/ and signature NOTART?UBUC•STATE OF 11,0 ; r . ALLURE PLUMBING CORP PAGE 01/01 as Identification. Friday, June 29, 2007 Sincerely checo, pres. 20, ,7by 41 BUILDING PERMIT APPLICATION FBC 2004 Miar ii Shores Village g e Buil!cding Department 10050 N.E.nd Avenue, Miami Shores, Florida 33138 Tel: (05) 795.2204 Fax: (305) 756.8972 Permit Type: Plumbing' ow 4t o b 4. 3cm, moo' fe, Owner's Name (Fee Simple Titleholder) & (g r / 1 6 A q 6---5/ b e"'e'i hone # ` Owner's Address 457 A T ?'g` sj City 1/,4 di' 5'/itie State Fr- 2 /et b,l4 Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) y✓ 7 96— s City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 1`-- %1,..otp p1 , t' Is Building Historically Designated YES NO. Permit No. Master Permit No. Zip 3 / - F 7 2 9 Phone # eece,t MAY ,0 , 7 2001 Zip '33/32?—?729 Contractor's Company Name .3.1..v>�j. ?t.a,Mapu.i6 C.a. Phone # Contractor's Address d k V. City +1.0.st►fta+1. Star Zip 3� or% Qualifier Name �Es p yµp 1 at.s*►c -ga Phone # State Certificate or Registration No. Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Value of Work For this Permit $ �QrO, ,m.+ Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration New [;� El Repair /Replace D Demolition Describe Work: Phone # xxxxx &xxxxxxxxxxx xx****�'.X%']'C)t1f�C* ***** F 'ewxxa'xx'rx3rxx xxxxxxxx xxxxxxxx Submittal Fee $ Permit Fee $ /7c . CCF $ . 5 CO /CC Notary $ Trainin /Education Fee t""' Technology Fee g gY $ 4.3 Scanning $ Radon $ DPBR Zoning $ Bond $ Code Enforcement $ DoUble Fee $ Structural Review. $ Total Fee Now Due $!1 See Reverse side —4 Bonding Company's Name (if applicable) ‘,4 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: 1 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 comme must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In he abse r e o such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Sign: Print: APPLICATION APPROVED BY: (Revised 02/08/06) Sign: Signature Owner or Agent C.' tractor The foregoing instrument was acknowledged before me this The foregoing instrument as acknowledged before me this Z day of , 20 _, by , day of f/ , MCP?, by 6eJ,s»ian7 04-44 o who is personally known to me or who has produced who is rsonally known t me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: NOTARY PUBLIC STATE OF FLORIDA � KENIA RO a EATIRES: OCT. 19, COMUSS101V 0 D D 6¢118 Wed Thru Atlantic Print: ,6 Afar /vita My Commission Expires: My Commission Expires: l00' e B 9 :******** xxkeFaY4reYx**4r************d *** x xxxxxxxx**** 9r*x*eew*******xxxatx*******x ecd: xxxxxabw**vtd<****xx*xx****xsr a 7 Plans Examiner Engineer Zoning BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) Owner's Address — C c l w E Cit State Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) [� E Count Miami -Dade FOLIO / PARCEL # " .0 er Is Building Historically Designated YES NO City Miami Shores Village Contractor's Company Name Contractor's Address -77/9 Ji,IJV City Lt. (� Qualifier Name State Certificate or Registration No. E -MAIL: Architect/Engineer's Name (if applicable) Describe Work: Scanning $ Bond $ Code Enforcement $ Structural Review. $ Miarii Shores Village Buikling Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (05) 795.2204 Fax: (305) 756.8972 ■ situ 4 - 1 �� (kce Stag Zip # Certificate of Competency No. Value of Work For this Permit $ 3 § • p' Type of Work: ❑Additio ❑Alteration Cvu n\ Zip r7"6 Phone # Permit No./ Master Permit No JV - 1541 Phone # Phone # Zip '3?j j uare / Linear Footage Of Work: ew ❑ R- lair /Replace ❑ Demolition xxx xx3cxxxxxxxxxxxxxxx x**xxxxxxx*xxx***. Fees********w xxxx* xxxxxxeYxxxxxxxxxxxxxxxx*xxx$x* Submittal Fee $ Permit Fee $ 3 jti Notary $ Training /Education Fee $ • (SQ CCF $ L40 CO /CC Technology Fee $ Radon $ D $ Zoning $ Double Fee $ Total Fee Now Due $ { cis" See Reverse side -* r '77" 7'777 MAY 0 7 2007 • BY:_ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. l certify that no work or installation has 'HI commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be del'vered to the person w hose property is subject to attachment. Also, a certified copy of the recorded notice of commencement in . t b . osted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the abse e of szeh posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,20,by As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: (Revised 02/08/06) Signature The foreg s ing instrument was ackno , day of [ , 20(r2, by who is personally known to me or who has produced * * **********x ****** * *****xxx xxxx - xxxxxx._.. x** *********x,tdc******* APPLICATION APPROVED Contracto dged before me this. to me or who has produced as identification and who did take an oath. NOTARY PUB of awl * i ' *_ ► ' CIMMISSION # DD 428255 J �� ► �`+ ires M 11 2009 I Kit � Sign: Print: My Com x * * * ** Plans Examiner Engineer Zoning Scheduled Inspection Date: November 05, 2009 Inspector: Levrock, James Owner: QUINTON, ALBERT Job Address: 457 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: A LEAGUE CONTRACTORS, INC. Building Department Comments November 04, 2009 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 '1- ThoS-I StA Inspection Number: INSP -48407 Permit Number: PL -5 -07 -929 For Inspections please call: (305)762 -4949 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Septic Phone Number Parcel Number 1132060140630 Phone: 305 - 256 -0306 INSTALL 900 GAL SEPTIC TANK INSTALL 286 SF OF DRAINFIELD INSTALL 42" OF SLIGHTLY LIMITED SOIL AT BOTTOM OF DRAINFIELD INVERT ELEVATION OF DRAINFIELD TO BE NO LESS THAN 6.40' BOTTOMOF DRAINFIELD ELEVATION TO BE LESS THAN 5.90' Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Page 15 of 16 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: PROPERTY ADD LOT: 19 -22 PROPERTY ID T [ A [ N [ K [ 0 T H R 900 ] SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: Albert & Jennifer Quinton RESS: #: 457 NE 95 St Miami, FL 33138 BLOCK: 53 14- 3206 -014 -0630 SYSTEM DESIGN AND SPECIFICATIONS SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLIIANT FROM- COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. GALLONS / GPD Septic Tank GALLONS / GPD N/A GALLONS GREASE INTERCEPTOR CAPACITY GALLONS DOSING TANK CAPACITY D [ 286 ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [x] STANDARD I CONFIGURATION: [ ] TRENCH [X] BED [ ] N F LOCATION OF BENCHMARK: C/L of NE 95 St el.:8.72' NGVD I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: [ 0.00] INCHES Bed configuration N/A [ ] FILLED 1.- Install 900 gal. category -3 septic tank equip with an approved filter. 2. -The licenced contractor is responsible for ins3a;)ling the minimum category of tank sec. 64E- 6.013(3)(f). 3.- Install 286 sf of drainfield in bed configuration. 4.- Install 42" of slightly limited soil at the bottom of the drainfield._ 5.- Perimiter of excavation area shall be at least 2 ft wig - all I nder than the proposed absorption bed. 6. -Invert elevation of drainfield to be no less than,6:40 ft NGVD: 7. -Bottom of drainfield elevation to be no less°tfian 5.90 ft NGVD.RE-ISSUE OF EXPIRED PERMIT 07- 0704 -N et. ose h R! Pivgr ,r 1/27/ v 1.1.4 SUBDIVISION: Miami Shores [ 3.80 1 [ 33.80 ] [ [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] CAPACITY CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 ]GALLONS @[ ]DOSES PER 24 HRS SYSTEM SYSTEM [ l INCHES INCHES MOUND [ FT ] [ ABOVE FT 1 [ ABOVE BELOW BELOW EXCAVATION REQUIRED: [ 72.00] INCHES and L lizaire TITLE: ,( - TfTIE: Engineer Specialist II DH 4016, 10/97 (Previous Editions May Be Used) Page 1 of 3 AP908924 3E778015 PERMIT #: 13-SC-968337 APPLICATION #: AP908 . 924 DATE PAID: 01/26/2009 FEE PAID: $55.00 RECEIPT #:j - PID - 1094585 DOCUMENT #: PR762331 BENCHMARK /REFERENCE POINT BENCHMARK /REFERENCE POINT EXPIRATION DATE: GALLONS] #Pumps Dade CHD 07/27/2010 Charlie Crist Govemor Quinton Albert 12365 Sw 255 Terr Pricenton, FL 33032 Dear Applicant: Sincerely, Lillian Rivera, RN, MSN, Administrator RE: 07- 00704 -N Lot: 20 Block: 53 Miami Shores 11- 3206 - 014 -0630 This will acknowledge receipt of an application and plans for an onsite sewage treatment and disposal system construction permit dated 03/01/07 for a proposed system to be constructed on the above referenced property. On 02/28/07 this department performed a site evaluation of the above described property. On the date of the evaluation, the site was suitable for an onsite sewage treatment and disposal system under the laws and rules existing on that date, however some fill may be required. Provided there are no changes to the lot site from our inspection, this evaluation is valid for one year. The longer the time lapse from site evaluation to a request for a construction permit, the more likely changes will have occurred that may invalid this evaluation. The evaluation may be affected by: erosion, man -made changes in the lot, changes in the water table, changes in drainage, installation of wells on surrounding property, changes in the law, rules, or local ordinances This permit will specify minimum conditions for your onsite sewage treatment and disposal system. We require two (2) sets of official prints so they can be stamped. If you have any questions on this matter, please call our office at (305) 513 -3459. Program Supervisor Engineer Samir Elmir, PhD, PE, DEE, CEHP, Director Miami -Dade County Health Department/Environmental Health 7769 N.W. 48 Street Suite 175, Miami, Florida 33166 TEL ( 305) 513 -3459. FAX (305) 513 -3472 Email: samir_elmir @doh.state.fl.us Website: www.dadehealth.org Joseph J. Chiaro, M.D. Interim Secretary March 5, 2007 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: [ X ]New System [ ]Existing System [ [ ]Repair [ ]Abandonment APPLICANT: Quinton Elbert PROPERTY STREET ADDRESS: 457 NE 95 St Miami FL 33128 LOT: 20 BLOCK: 53 SUBDIVISION: Miami Shores [Section /Township /Range /Parcel No.] PROPERTY ID #: 11 - 3206 - 014 - 0630 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E -6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS I [ 900 ]Gallons SEPTIC TANK [ 0 ]Gallons [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS @ [0 D [ 286 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 ]SQUARE FEET SYSTEM A TYPE SYSTEM: [ Y ]STANDARD [ N ]FILLED I CONFIGURATION: [ N ]TRENCH [ Y ]BED N F LOCATION TO BENCHMARK: 8.72' NGVD C/L NE 95 ST I ELEVATION OF PROPOSED SYSTEM SITE [ 3.8 ] [ INCHES ] [ BELOW]BENCHMARK /REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 33.8 ] [ INCHES ] [ BELOW]BENCHMARK /REFERENCE POINT L D FILL REQUIRED: [ 0.0 ]INCHES EXCAVATION REQUIRED: [ 72.0 ] INCHES OTHER REMARKS: CABANA SYSTEM 1.- Install 900 gal. category -3 septic tank equipped with an approved filter. 2. -The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with sec. 64E- 6.013(3)(f), FAC. 3.- Install 286 sf of drainfield in bed configuration. 4.- Install 42" of slightly limited soil at the bottom of drainfield. 5.- Perimeter of excavation area shall be at least 2 ft. wider and longer than the proposed absorption bed. 5.- Invert elevation of drainfield to be no less than 6.40' NGVD. 7.- Bottom of drainfield elevation to be no less than 5.90' NGVD. SPECIFICATIONS BY: EDWARDS, ASTRID TITLE: I,�/4140L II APPROVED BY: Edwards, Astrid ApJ0.1. TITLE: Dade CHD DATE ISSUED: 3/5/07 EXPIRATION DATE: 9/5/08 AGENT: OWNER, DH 4016, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744- 001 - 4016 -0) [ostds_ cons _4016 - 1] CENTRAX #: 13 -SG- 32163 DATE PAID: FEE PAID : $ RECEIPT . OSTDSNBR : 07 ]Holding Tank [ ] Innovative Other ] Temporary [ NA ] MULTI - CHAMBERED /IN SERIES: [Y ] MULTI - CHAMBERED /IN SERIES: [Y ] ] DOSES PER 24 HRS # PUMPS [ 0 ] [ N ]MOUND [ N ] [ N Page 1 of 2 APPLICANT: Quinton Elbert AGENT: , OWNER LOT: 20 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS BLOCK: 53 SUBDIVISION: Miami Shores BENCHMARK /REFERENCE POINT LOCATION: 8.72' NGVD C/L NE 95 ST TE SUBJECT TO FREQUENT FLOODING: [ ]YES [ X INC YEAR FLOOD ELEVATION FOR SITE: SOIL PROFILE INFORMATION SITE 1 Mansell # /Color Texture 1 nYR- R /7 -Vrnr AN Rand lOVP- R /1 -RN Rand 101M-7/R-17 A AN Onl iti n T,i mmm USDA SOIL SERIES: 15 Urban land Depth n to in in to 4R 4R to 79 to to to to to SITE EVALUATED BY: Guillermo Suarez 0 FT NGVD DH 4015, 03/97 (Obsoletes previous editions which may not be used) (Stock Number: 5744 - 003 - 4015 -1) [ostds eval 4015 -3] CENTRAX #: 13 -SG -32163 OSTDSNBR : 07- 00704 -N ID #: 11- 3206 - 014 -0630 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S ;_& _ OA k 4:_: _4AO PROPERTY SIZE CONFORMS TO SITE PLAN:[X]YES [ INC NET USABLE AREA AVAILABLE: 0.57 ACRES TOTAL ESTIMATED SEWAGE FLOW: 200 GALLONS PER DAY [64E -6, TABLE 1] AUTHORIZED SEWAGE FLOW: 1425 GALLONS PER DAY [1500GPD /ACRE OR 2500GPD /ACRE] UNOBSTRUCTED AREA AVAILABLE: 572 SQFT UNOBSTRUCTED AREA REQUIRED: 571 SQFT ELEVATION OF PROPOSED SYSTEM SITE IS 3.84 [ INCHES ] [ BELOW ]BENCHMARK /REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: SURFACE WATER: N/A FT DITCHES /SWALES: N/A FT NORMALLY WET? [ ]YES [ X ]NO WELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE: N/A FT NON - POTABLE: 87 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 26 FT POTABLE WATER LINES: 17 FT 10 YEAR FLOODING? [ ]YES [ X ]NO SITE ELEVATION: 8 FT NGVD SOIL PROFILE INFORMATION SITE 2 Mansell # /Color Texture 10VP- 4 /9 -Vna RN Rand 10VR- 5 /l -RN Rand 1 fYR -7 /R -V P RN nnl i ti n T,i nmPt. USDA SOIL SERIES: 15 Urban land Depth n to in into 4R 4R to to to to to to OBSERVED WATER TABLE59.00 INCHES [ BELOW ] EXISTING GRADE TYPE: [ PERCHED ESTIMATED WET SEASON WATER TABLE ELEVATION:59.00 INCHES [ BELOW ] EXISTING GRADE. HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [ ]YES [X]NO DEPTH: 0.0 INCHES SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING Replacement /0.70 DEPTH OF EXCAVATION:72.0 INCHES DRAINFIELD CONFIGURATION: [ ]TRENCH [ X ]BED [ ]OTHER (SPECIFY) REMARKS /ADDITIONAL CRITERIA: DATE: 2/28/07 O WNE R Page 3 of 3 APPLICANT: 1116. 7 f LOT $ 0 - BLOCK: THE MINIMUM SETBACK WHICH SURFACE WATER: A.V FT S: PUBLIC: gG FT UILDING FOUNDATIONS : Mansell .# /Color 0r�hf / ca oa gag tae 9° 4.. USDA SOIL SERIES s „ SITE EVALUATED BY: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SITE EVALUATION AND SY p6cyle 41- 00 /a e.l -ode -to 4'. ° ` to SOIL TEXTURE /LOADING RATE "FOR DRAINFIELD CONFIGURATION: [ REMARKS /ADDITIONAL CRITERIA: 7 ! ul."01 SUBDI�VISION:: I `—�� - Vii' [Section /Township /Range /Parcel No. or Tax ID Number] �' .� �� PROPERTY ID ° OBSERVED WATER TABLE Al / : INCHES [ ESTIMATED WET SEASON WATER TABLE ELEVA HIGH WATER TABLE VEGETATION: [ ] YES DH 4015, 10196 (Replaces HRS-H Farm 4015 (Paps 3) which may be used (Stock Number. 5744-003-4015-1) 1 ======================================4,:====== TO BE COMPLETED BY ENGINEER, ; HEALTH UN I T EMPLOYEE, OR OOTT_ QUALIFIED PERSON) ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN •SEAL EACH PAGE' OF SUBMITTAL. COMPLETE ALL ITEMS. ==== ========= ================= _ _ - "___ _______==______ PROPERTY SIZE CONFORMS TO SITE PLAN: NI] TES [ ] NO NET USABLE AREA AVAILABLE: 0 . , C 1 Y ACRES TOTAL ESTIMATED SEWAGE FLOW ;, 00 GALLONS'PER }SAY [ RESIDENCES- Tams 1) / OTHER -TABLE 2] AUTHORIZED SEWAGE FLOW: / GALLONS PER ,DAY [1 05 0 GPD /ACRE OR4 500 /ACRE UNOBSTRUCTED AREA AVAILABLE ?c SQFT UNOBSTRUCTED AREA REQUIRED: EQFT BENCHMARK /REFERENCE POINT LOCATION: j • 9? . �h '�� ✓�;__.__,�' . �'' � �a ELEVATION OF PROPOSED: SYSTEM SITE IS : �INCB /F [ABOVE/BELOiJ $EN CEMARI4 /REFERENCE POINT CAN BE MAINT INED_FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: DIT HES SW ILES: 4)f FT NORMALLY WET? [ ] YES ,-J NO • IMITED US t , _ _ FT PRIVATE: A= /0 FT NON- POTABLE: " FT FT P OPERTY LINES: FT POTABLE WATER LINES: /9 FT [ YE ,10 YEAR FLOOD ELEVATION FOR BITE : -- "ITE SUBJECT TO FREQUENT FLOODING: S SOIL PROFILE INFORMATION S I ' T ' E 1 3 f Dept) . 0 to /0 to to /0 to to to SYSTEM TEM SPECIFICATIONS [ ?] NO FT MSL /NGVD AGENT: i PERMIT #" 10 YEAR FLOODING? [ "] YES NO SITE ELEVATION: `: ` ` PT MSL /NGVD £ f 9o'gbi7 SOIL PROFILE INFORMATION SITE Munse11 :#/ lo:r T,ext Depth y � _ y. ✓ -J to a �. / to g to to N ;:. t0 p -to Aoy el • /d�_ 6 1 +°!7e S c t d ,ee P aJ x' t e a // f9 USDA SOIL SERIES: t 0 to OVE / BELOW] EXISTING GRADE. TYPE: :[PERCHED / APPARENT] IONSe INCHES ABOVE r "BELOW [ / `� - 1`EXISTING GRADE. ] NO MOTTLING: [ ] YES [LA NO DEPTH: /45/W. INCHES SYSTEM S h • 42,4 Ce>l DEPTH OF EXCAVATION: ] TRENCHI ] BED [ ] OTHER (SPECIFY) INCBES` DATE - r2 0 Page 3' of 3 INSTRUCTIONS: PERMIT NUMBER: APPLICANT: AGENT: LOT, BLOCK, SUBDIVISION: PROPERTY ID NUMBER: PROPERTY SIZE: SEWAGE FLOW: UNOBSTRUCTED AREA: BENCHMARK INFORMATION: MINIMUM SETBACKS: FLOOD INFORMATION: SOIL PROFILE INFORMATION: WATER TABLE: SOIL TEXTURE: DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: ADDITIONAL CRITERIA: SITE EVALUATED BY: Permit tracking number by County Health Department. Property owner's full name. Property owner's legally authorized representative. Lot, block, and subdivision for lot. 27 character number for property (property appraiser ID number or section/township /range /parcel number). Check if property at site conforms to submitted site plan. Record net usable area available - lot area exclusive of all paved areas and prepared road beds within public rights -of -way or easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. Record the estimated sewage flow for the establishment from Table 1 (residence) or Table 2 (non - residential), Chapter 10D-6, FAC. Record the authorized sewage flow for the lot based on net usable area and water supply (1500 gallons per day per acre for private water supplies and 2500 gpd per acre for public water supplies). ]f authorized sewage flow does not equal or exceed the estimated sewage flow, the application trust be denied. Record the square feet of unobstructed area available and the amount required. Unobstructed area must be at least 2 times as large as the drainfleld absorption area and at least 75 percent of the unobstructed area must meet minimum setbacks in Chapter 10D -6, FAC. The unobstructed area must be contiguous to the drainfield. Record the location of the benchmark. If using a surveyor's benchmark record the actual elevation. Record the elevation of the proposed system site in relation (above or below) to the benchmark. Record minimum setbacks which can be meet to all listed features. Actual measurements must be recorded or "NA" for nonapplicable features. Features on site plan or within 75 feet of the applicant lot must be measured. The location of any public drinking well within 200 feet of the applicant's lot must also be verified. Record information on lot's subject to flooding. For lots subject to flooding record 10 year flood elevation for site and actual site elevation. Two soil profiles within the proposed absorption area to a minimum depth of 6 feet or refusal are required. Soil identification will use USDA Soil Classification methodology (Munsell colors and USDA soil textures): Renasals must be clearly documented. Provide USDA soil series if available, record "UNK" if the series cannot be determined. Record the depth of the observed water table at the time of the evaluation. Mark "perched" or "apparent" as appropriate. Record the estimated wet season water table elevation based on site evaluation, USDA soil maps, and historical information. Indicate if there is high water table vegetation present. Indicate if mottling is present and depth. Record soil texture or loading rate for system sizing. [(applicable record depth of excavation required. Record "NA" if not applicable. Check drainfield configuration required. If other, specify type. Record any additional remarks pertinent to site or installation. Ex. dosing required. Signature of evaluator, title, and date of evaluation. Professional engineers must seal all documents submitted. ELEVATION WORKSHEET BENCHMARK [ +]SHOT H.I. 'ELEVATION OF BENCHMARK / REFERENCE POINT IS: SITE I H.I. [ - }SHOT SITE 2 H.I. [ - ]SHOT SITE 3 H.I. [ -]SHOT APPLICATION FOR: ] New System [ ] Repair APPLICANT: AGENT : Penn-• MAILING ADDRESS. 1°347 STATE OF FLORIDA DEPARTMENT OF HEALTH ON -SITE SEWAGE DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT [ l Existing_ 8yitem [ l Abandonment = TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED°A4 T ; MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, t'LOII ' = = = = _ = = = = — — PROPERTY INFORMATION LOT: /°22 BLOCK: +34 SUBDIVISION: Al PROPERTY ID #://3206-/V(1 PROPERTY ?SIZE : WACRES WATER SUPPLY: [ ] PRIVATE PUBLIC ] < =2000GPD L ] >2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / DISTANCE TO SEWER :4 FT Ci PROPERTY ADDRESS: 7 DIRECTIONS TO PROPERTY: fO l F'ms` s , (5 4 X/©4 BUILDING INFORMATION [] RESIDENTIAL Unit' Type of No. of No Establishment Bedrooms 1 2 fha is 3 4 ] Floo SIGNATURE: DH 4015, 10/97— P.'ge (Previous editions may be used) Stock Number: 744 -00 - 4015 -1 [ ] Holding Tank [ ] Temporary a -7 TELEPHONE: & / 1q Y 3 9 95 ��ff . 7rI fQ./1 n , . 330. - [ ] COMMBRC?AL PERMIT NO. in U i:o DATE PAID: FEE PAID: RECEIPT #: _ � DATE: - , R ,,la Paper [ ] Innovative [ ] E_ V E/e polo Commercial /Institutional System Design Area Sq Ft Table 1, Chapter 64E -6, FAC _ _ • r , ecr 2 PLATTED: /94 [( ZONING: I/M OR EQUIVALENT: ( Y / N ) ] Other (Specify) 2 4'd2 ! aate- g,/ s � e 4444( m Page 1 of 3' --Y APPLICATION FOR: APPLICANT: AGENT: TELEPHONE: MAILING ADDRESS: LOT, BLOCK, SUBDIVISION: DATE OF SUBDIVISION: PROPERTY ID#: ZONING: PROPERTY SIZE: WATER SUPPLY: SEWER AVAILABILITY PROPERTY ADDRESS: DIRECTIONS: BUILDING INFORMATION: TYPE ESTABLISHMENT: NO. BEDROOMS: BUILDING AREA: BUSINESS ACTIVITY: FIXTURES: SIGNATURE / DATE: Check type of permit, if "Other* specify type in blank. Property owner's full name. Property owner's legally authorized representative. Telephone number for applicant or agent. P.O. box or street, city, state and zip code mailing address for applicant or agent. Lot, block, and subdivision for lot (recorded or unrecorded subdivision). If lot is not in a recorded subdivision, a copy of the lot legal description or deed must be attached. Official date of subdivision recorded in county plat books (month/day /year) or date lot originally recorded. Dividing an approved lot into two or more parcels for the purpose of conveying ownership shall be considered a subdivision of the lot. 27 character number for property. CHD may require property appraiser ID # or section/township /range/parcel number. Specify zoning and whether or not property is in I/M zoning or equivalent usage. Net usable area of property in acres (square footage divided by 43,560 square feet) exclusive of all paved areas and prepared road beds within public rights -of way or easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. Contiguous unpaved and non - compacted road rights -of -way and easements with no subsurface obstructions may be included in calculating lot area. Check private or public <= 2000 gallons per day or public > 2000 gallons per day. Is sewer available as per 381.0065, Florida Statutes, and distance to sewer in feet. Street address for property. For lots without an assigned street address, indicate street or road and locale in county. Provide detailed instructions to lot or attach an area map showing lot location. Check residential or commercial. List type of establishment from Table II, Chapter 10D-6, FAC. Examples: single family, single wide mobile home, restaurant, doctor's office. Count all rooms designed primarily for sleeping and those areas expected to routinely provide sleeping accommodations for occupants. Total square footage of endosed habitable area of dwelling unit, excluding garage, carport, exterior storage shed, or open or fully screened patios or decks. Based on outside measurements for each story of structure. For commercial/institutional applications only. List number of employees, shifts, and hours of operation, or other Information required by Table II, Chapter 10D-6, FAC. Mark Floor/Equipment Drains or Others and specify item or "NA" If not applicable. Signature of applicant or agent. Date application submitted to the CHD with appropriate .fees and attachments. ATTACHMENTS: A site plan drawn to scale, showing boundaries with dimensions, locations of residences or buildings, swimming pools, recorded easements, onsite sewage disposal system components and location, slope of property, any existing or proposed wells, drainage features, Hued areas, obstructed areas, and surface water. Location of wells, onsite sewage disposal systems, surface waters, and other pertinent facilities or features on adjacent property, if the features are with 75 feet of the applicant lot. Location of any public well within 200 feet of lot. For residences, a floor plan (residences) showing number of bedrooms and building area of each unit. For nonresidential establishments, a floor plan showing the square footage of the establishment, all plumbing drains and fixture types, and other features necessary to determine composition and quantity of wastewater. OH 401d.1ONS (Replaces NIU~H Fa ch m40t5 wN May be used) (StockRuder: 574400aaots� Site Plan submitted. by: Plan Approved t By Sign Not Approved STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Application Number age PART II - SITE PLAN- - . Scale: Each block represents 5 feet and 1 inch a 50 feet. Date . ALL CHANGES MUST BEAPPROVED BY THE COUNTY HEALTH DEPARTMENT 1 i et Afew44,- b Labs: County Health Department Page 2of3 BUILDING PERMIT APPLICATION FBC 2004 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 MA i 82008 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) A..t.,f7tivr GZ.J L,,, �evJ Phone # Owner's Address 4 51 Ne. "'I 5 City M% State sr Zip Tenant/Lessee Name E- MAIL: Job Address (where the work is being done) FOLIO /PARCEL# Is Building Historically Designated YES Value of Work For this Permit $ op° • Orr N`� 1,S sr NO '— (-6\'''lega t e Tfu ro( YAD MAR 1 8 2008 Vise z8 a3' l Permit No. `n aster Permit No. } 0 5 -1541 Phone # City Miami Shores Village County Miami -Dade Zip 3"1 1"5 Contractor's Company Name a RI /' /ts p:y2-a...... Phone # e° d� Q 6 V6 27 Contractor's Address �� 9 e-6- -� City ■ij 4 , 2 C State �� Zip oa l 6 Qualifier N. me / r Phone # .O -% - e/C/ - Nil State Certificate or Registration No. � 00 .2 p 91 Certificate of Competency No. [�/ OOO / l `! 6 E MAIL: Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: So er Type of Work: DAddition ['Alteration New ❑ Repair/Replace ❑Demolition Describe Work: ******** ** ************** ** ** * * *** ***:** F * ******* ** *****1Y************** Submittal Fee $ fZ5 Permit Fee $ CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $. Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code En-forcenat;$ ‘ Double Fee $ Structural Review. $ Total Fee Now Due $ ` 1 5.0 0 See Reverse side —> Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to' do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: [ 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is iss d In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this The ng instrt nt was acknow day of 20 by day o � �. � iL 20 G b y who is personally known to me or who has produced who i produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: AlltaV � ` \t - * MY COMMISSION 8 DD 432790 My Commission Expires: y ommission Expires: d T '' OF F1° didTNliudn lit Nat" la foes x***** ** *** - * ** * **** **x ' **** iex eedc**** *x$ r****x 9e9r*xsYeYskda****de************ Fx4c4esF********x *xxx , APPLICATION APPROVED QY: (Revised 02/08/06) Zip NOTARY PUBLIC: Contractor nown to me or w e me this /e Plans Examiner Engineer Zoning CAP WATER LINE FOR A SINK & & CAP SEWER LINE FOR DEMO Passed Inspector Comments I Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until 4- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 BP 2005 • 1641 C �- nspection Number: INSP - 149829 Permit Number: PL -5 -07 -927 I Inspection Date: August 09, 2010 Inspector: Hernandez, Rafael Owner: QUINTON, ALBERT Job Address: 457 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: CEBALLOS INC Building Department Comments August 09, 2010 For Inspections please call: (305)762 -4949 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060140630 Page 1 of 1 03/17/2008 15:28 FAX 1 800 885 7530 DATA SCAN FIELD SERVICES LI 001/001 Miami Shores Village Building Department I E CII ED MA 8 2068 Job Address (of where the work is being done) 4$1 ,.r t► ClS S > Contractor's Company Name (-- 3emu' / \ , , Contractor's Address L.:ocA 4 City A r1 l State 't 1-- Qualifter ..-So/t -••+ _. ?. -1 >.oczl3 . My Commission Expires: Rev 09/19/03) Change of Contractor (� Permit No. 1 Lo 1 Owner's Name (Fee Simple Titleholder) ls.L iesor ' ?S-.?,4 Phone # Owner's Address .441 $.)e S S s City M �+e.n.g•> State fit. Zip ?j . Tenant/Lessee Name Phone # City County Zip Legal Description .D.rLF'to <- v --_}Co . \ l 7 2 c°CP1 14 ®� 7 Describe Work: owledged before me this 18 Phone # 3c • ®(o • IN" Z? Zip 33 1r 5 I hereby certify that the work has been abandoned and /or the contractor is unable or unwilling to complete the contract. I hold the Building Offi al and the Village of Miami Shores harmless from all legal involvement. Signature Contractor The foregoin this day of P'(uy , 20 03 by 7ltttu 1INP1 6/4 YY '7day of /f�,. d4 /20�Q by who is personally known to me or who has produced 24 0 YY who is d ersonally known to me or who has produced u(.62 nip As identification and who did NOTARY PUBL Sign: ` G mil•' Print: r, U9. twit.... 1 � oing instrument was acknowledged before me 77Ii =1;; v: • Y144 s'. -.' r.i1M My ton expires: as identification and who did take an oath. * ' * YCOMMI88ION#0D4 790 EXPIRES: July 14, 2009 4t PIN Mit Nobly Mica * * * * * * * * * * * * * * * * * * * * * ** >� :. * ,* * * *, ,* * *, * * * ** * *,* *,* * * * * *, *,****,***************** ** * * ** *,* *** * * * * * * *** *** * * * * *** Southern Engineering & Construction, LLC Builders and Contractors Certified General Contractor #037422 Via Certified Mail Date: 2/20 /2008 To: Re: Allure Plumbing To Whom It May Concern: This letter shall serve to cancel and terminate the above referenced permit due to the inability to schedule work for the above referenced permit. Allure Plumbing Corp 14983 SW 302ND TERRACE HOMESTEAD, FL 33033 -3771 PO BOX 925077 PRINCETON, FL 33092 Termination of Permit PL -5 -07 -927 Parcel No. 1132060140630 Miami Shores Village LIAR 1 8 2008 786.285.7270 Phone . 305251.3013 Fax . 1000 Ponce De Leon Blvd Suite 206 . Coral Gables . Florida . 33134 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete hems 1, 2, and 3. Also complete item 4 If Restricted Delivery Is desired. • Print your name and address on the reverse so that we can return the card to you • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: {�,Vd' t, Ces. 1?•Q 3 ¶o11 ?a-woes-170A -. A Sign lr7� f/ X 9 B. Received (' nted Name) D. Is delivery address diffej nt-from_item 1? ❑ Yes if YES, enter delivery addreis'betow: ❑ No ly 4. Restricted Delivery? (Extra Fee) ❑ Agent ❑ Addressee C.e of Delive 3. Service Type o= A Certified Mail °U Express.Maii ❑ Registered ❑ Retum Receipt for Merchandise ❑ Insured Mall ❑ C.O.D. ❑ Yes 2. Article Number (fl nsferfiomserviceiat>e° ?, l 7007 2680 0000 0591 6401 PS Form 3811, February 2004 l02595-02 -M -1540 UNITED STATES POSTAL SERVICE • Sender Please print your name, address, and ZIP +4 in this box • \005( rl`U S 1 L 7 N� ∎ P-M \ _ - 33 t 7 131: ��1l T��114l ��i�i l�:�11. liila.�laif►�llf��lili�e ��1�e�'1y1��re�i First-Class Mail Postage & Fees Paid USPS Permit No. G -10 di a• BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) C%( s3 RD* lea' itpito peg Phone # Owner's Address 1 157 Aa 7C s Cityg/i.4, 5 OR cs State r fo 6 Zip 3315 8' Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # ?,7„,e,( Is Building Historically Designated YES *** * * * * * **** * **xxx * *xxx * *x * ** Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 4'L7 A/6 94 r County Miami -Dade NO Architect/Engineer's Name (if applicable) Phone # Permit No.1 M Master Permit Nof0P V 541 Zip 33/37 gecuve,d MAY 0 7 2007 L1/r Contractor's Company Name d. . ��i.4Jf%lj 1st Lamy Phone # Contractor's Address Vetial 4`,t, WI. TWA.,-- City i - State , Zip 31101,,, Qualifier Name 4 po . "( y ,, ,dot t/c. Phone # State Certificate or Registration No. Certificate of Competency No. E -MAIL: Value of Work For this Permit $ 4 off. . Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Iteration ['New ❑ Repair /Replace r Demolition Describe Work: C` ) 4 F /' 1 / `/t'6 -- p ,( s# S" /' A k ° c ,r'' ate' j E (,) 6- ee e /e1-6- re 4 1 A) xx* F ees xx* xxxx r.****** ** *xxxxxxx * *xxxxxx *x *xxxxxxde** Submittal Fee $ Permit Fee $ / /ea CCF $ r COO CO /CC Notary $ Training /Education Fee $ 1 2O Technology Fee $ 26 Scanning $ 5'• Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 10(0 •?)C) See Reverse side —� . Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commence' st be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence , �f s h posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,20_,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ***it* xxxxx xxxxxxx*Icxxxxtexxxxxxxx xxxx APPLICATION APPROVED BY: (Revised 02/08/06) widA C %ntr f ctor The forego›instrument was acknowledged before me s e day of •JJ�/It.Q who is Signature as identification and who did take an oath. NOTARY PUBLIC PUBLIC.STATE OF FLORIDA KENIA ROQUE COM3USSION # DD36411$ EXPIRES: OCT. 19, 2008 Thru Atlantic Bonding Cu y Inc. Sign: Print: 14 m My Commission Expire xxxxxxxxxxxxxxxxxxxx xxxxxxxxxx xxxxxx ac x xxx 20 0 7, by &gookoat e or who has produced /0 . qJD g Plans Examiner Engineer Zoning CAP WATER LINE FOR A SINK& & CAP SEWER LINE FOR DEMO MAY 2 1 2007 Passed nsp ct o ments Failed Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled re-inspection fee is paid . until Alo X *%:•‘' Vf00 \ - `""!W*T•..,././ \ • '''''' .............. • Inspection Date: 05/18/2007 Inspector: Levrock, James Owner: QUINTON, ALBERT Job Address: 457 95 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: ALLURE PLUMBING Building Department Comments Thursday, May 17, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Block: Permit Type: Plumbing - Residential Inspection Type: Final at. Work Classification: Addition/Alteration Phone Number Parcel Number 1132060140630 Lot: Page 1 of 2 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Phone # Owner's Address 451 14e � 6--r- City / 1 ir. e State \ " Zip ! N v Tenant/Lessee Name Job Address (where the work is being done) 1 (J i %• City Miami Shores Village County Miami -Dade FOLIO / PARCEL # ' `s dPkto(p , 4- • e9(03 Is Building Historically Designated YES Contractor's Company Name Contractor's Address kO;p4) Type of Work: Describe Work: City G . C. Qualifier Name d w 4 oft,. Value of Work For this Permit $ fe f oizt..® ❑Addition ❑Alteration Submittal Fee $ Permit Fee $ Miami Shores Village Building Department Structural Review. S Notary $ S'' Training/Education Fee $ Scanning $ "' Radon $ Bond $ Code Enforcement $ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 State Certificate or Registration No. eZfeC. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work: 6000 is ❑New Phone # ******* * * * * * ** * * * * * * * * * * * * * * * * * * *** * ** F * * * * * * * * * * * * * * * * * * * * * * * ** * * * * ** (o0 DPBR $ Permit No./ DEW C - Master Permit No. e05 - 1 541 Zip ❑ Repair/Replace Demolition COICC Technology Fee $ 5.1 S Zoning $ Double Fee $ _ Total Fee Now Due $ k r VJ Lk A3 See Reverse side - MAY 0 7 2007 B Y: �� Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that.no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this Thg forego day of , 20 , by , day of who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: • Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) trument was Contract ledged s - Et 2001, by who is personally . own to me or who has produced as identification and who did take an oath. fore me this Plans Examiner Engineer Zoning DEMO catoter5 m lox 1,1 efitey 0 2 4 20t1 Passed r?? Inspector Comments Failed Correction Needed Re-Inspection Fee ($75) No Additional Inspections can be scheduled re-inspection fee is paid . until • •• • ••••••••• .............................. Inspection Date: 05/23/2007 Inspector: Grande, Claudio Owner: QUINTON, ALBERT Job Address: 457 95 Street NE Project: <NONE> Building Department Comments Tuesday, May 22, 2007 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Contractor: SOUTHERN ENGINEERING CONSTRUCTION LLC Block: 1 Permit Type: Demolition Inspection Type: Final Work Classification: Building Phone Number Parcel Number 1132060140630 Lot: Phone: (305)251-3000 Page 1 of 2 BUILDING PERMIT APPLICATIO FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) .--\' N' Q-))*-- Phone # 3310- '64 3) 4si `St. Owner's Address City M Id Tenant/Lessee Name E -MAIL: 414 State Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # .ssi o(4. ob ` Is Building Historically Designated YES NO V Contractor's Company Name � 11ZN L Phone # Contractor's Address •'Lt t SNP 0 3 Ur' City 1M/ . 1 State_L Zip 3 SS Qualifier Nam,' S - >LeAt Phone # State Certificate ation No. e ta 4 ,L , Certificate of Competency No. E -MAIL: i, kr? q Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 `4 S "t n, L. `1 S s Architect/Engineer' e (if applicable) Phone # a . Value of Work For _tlg;ermit $ Square / Linear Footage Of Work: Type of Work: ❑A ❑Alteration [New ❑ Repair/Replace ❑Demolition Describe Work: 64 °A , `, 0 ) bf GtitaliA Permit No. EL 0 S13 Master Permit No. SRO 5 1541 Zip 3'3 1'5 t Phone # aYienYvk*x dede9c *****d:xoYnY*nYoY4exxxxxxxxx r.xxx xo4xx Fees'Y'k ***x xxxxxxxxxstxxxx vex. x ****Yo:d:4:****xa *** Submittal Fee $ Permit Fee $ 15 CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side --> Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that air vv will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 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 properly is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first i #e. ion which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection wil not . proved and a reinspection fee will be charged Signature Owner or Agent d The foregoing instrument was acknowledged before me this 16 The foregoing instrument was acknow -d be' , re me this day of f`(bl , 20a, by ? V VJc?E (L W who is personally knpvynito me or who has produce . 1U0/5 L.t( wh, is personally known to As identification and wh,- did take an oath. NOTARY PUBLIC - - Sign: ® G � ®eJ Print: My Commission Expires: ****XXY. %X %X XXX XX X %X 'X XXXX APPLICATION APPROVED BY (Revised 02/08/06) Signature , day of qVF ,,., caa 2 XX %X XX XXX XX X %XY. XXXX %XX: as identificatio NOTARY PUBLIC: Si Print: My Commission Expires: X %XX %X,c,t, WX XXX'% Engineer Zoning ced id take an oath. ]: Y.XXXX XY. Y.XXXX XX*X /87 ©3 Plans Examiner PROPERTY LOCATED AT: As legal owner of subject property issued to for the following reason: (Print Name) State of Florida County of Dade: Sworn to and subscribed before me this '4otary Public, Sate of Florida at Large Vtegime Sevrea. S4 Dontograt 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 30 5.795 -2204; Fax 305- 756.8972 www. miamishoresvillage.com HOLD HARMLESS DAT EL- 01 - q2-5 ' o 5 -\4\ 5 7 ° � T Mt �s �°�• to 't'L , I request the cancellation of permit number ECEIVE FEB 1 8 29 Date of last inspection: I hereby apply as owner - builder, or authorize (new contractor) : = Lam, _ � �� . to apply for such permits as necessary to construct or complete the construction on subject property. I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any responsibility or liability for any legal action or damage, cost or e resulting from the cancellation of the existing xpense (including attorney's fee) g permit or the issuance of a new permit. I furthermore assume responsibility for the correction, if required, of work performed canc. -tion. under the permit for which 1 am requesting ,.1 day of (Prime Contractor -Only if subcontractor holds permit or if change of qualifier) (Print Name) The undersigned, being the first duly swom, deposes and says that he /she is roperty. the legal owner of the above I' q ropy :aq MO N IGA SSET� # r�s EXPIRES: °1,7 gin, Bonded Thru Nota� _. Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. is Print your name and address on the reverse so that we can return the card to you. 1® Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 044 4fat4Tcr "%A '2 A ds 74 , Nw tlli . SA '`''''`` 01.33©1 2. Article Number (Transfer from service fabeq PS Form 3811, February 2004 A. Sig Domestic Retum Receipt X Agent '/ ' - 0 Addressee C. Date of Delivery ' Jr D. s delivery address different from item 1? 0 Yes If YES, enter delivery address below: 0 No 3. Service Type 0 Certified Mall 0 Registered 0 Insured Mail O Express Mail ❑ Retum Receipt for Merchandise O C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes 700? 0220 0001 5161 9414 102595- 02- M-1540 UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid LISPS Permit No. G-10 • Sender: Please print your name, address, and ZIP +4 in this box • 401/4.311—Aft.J24-4 ��► • � t..ol�tS 1 , k. ' 1 5 t 3'5 11 S • a Southern Engineering & Construction, LLC uilders and Contractors Certified General Contractor #037422 Via Certified Mail Date: 12/29/2008 To: Re: Raymond Electric, Inc. To Whom It May Concern: Sincerely, Raymond Electric, Inc. 7485 NW 177 Terrace Miami, FL 33015 Termination of Permits EL -07 -925 EL-07 -1915 Parcel No. 1132060140630 Miami Shores Village This letter shall serve to cancel and terminate the above referenced permits due to Contractor's scheduling issues. 786.285.7270 Phone . 305.251.3013 Fax . 1000 Ponce De Loon Blvd . Suite 200 . Coral Gables , plorlda • 33134 BUILDING z PERMIT APPLICATION ' Master 1 1 � Permit No:10 ?,4:2p$ 1441 FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) I, -A Phone # Owner's Address 447 '� �� °3 • City M 5 State Zip "2-e1 % ,� Phone # Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) 451 s City Miami Shores Village County Miami -Dade Zip "5 � FOLIO / PARCEL # 1‘ Vt0 ( 0 Is Building Historically Designated YES NO Contractor's Company Name Contractor's Address 27/'S ti City Qualifier Name E -MAIL: Submittal Fee $ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 vN0',2 4/ �Z Phone # State Certificate or Registration No. S/r /t30 /$" Architect/Engineer's Name (if applicable) Value of Work For this Permit $ t DOO . -SO Type of Work: ❑Addition ❑Alteration ❑ Repair /Replace ❑ Demolition Describe Work: IVlb. * * * * *** **tent*** *x*****'**** ,t::. , i * .e Permit Fee $ Notary $ Training /Education Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ _ i de nforcement $ Double Fee $ Structural Revi NOV 1 ' VO7 cK 1 tk MIAMI SHORES VILLAGE Miami Shores Village 04-310-1.;,.:_ Building Department /14014c1 . Permit No. rt. 1- 9 State ` e- Zip 33P/ s Phone # 20 � *". 3z)-( Certificate of Competency No. Phone # Square / Linear Footage Of Work: 7 /' —d z '4:3 r**** * * * * * * * ** * * * * * * * * * * * * * * * * * * * * ** CIF$ CO /CC Technology Fee $ Total Fee Now Due $ See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR. CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will n • be approved and a reinspection fee will be charged I 4, nally known to m Signature The foregoi The fore, • in: instrument was ackn ged before me this 7 day of , I r k i• x /L u .I day of.o.:r , 200 b who is per r who has s roduce who is e p ty known to or who has produced As identification and who did take an oath. as identification and who did take an oath. *)TARY P t LIC: Si Print: —a.c.._ My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Owner or Agent ins ment was acknowledged befor me thi • '�j� * * * * * * * * * * * * * ** * * * * * * * *** * * **JSf' Signature Contr for NOTARY PUBLIC: Sign: lro,eoCFluotak Print: e'"N Rose Tapighani Comg mission amber DD2 ; My Commiesion DD My Commission Expires:,,, olF/ Expires January 20 2008 fi 14, 200 *I TIVire: *d tx d r******** sY**** de aFw deiY*x dee4o4w'-** 4,* ***4eoYeY****'udtofr***** Plans Examiner Engineer Zoning BUILDING PERMIT APPLICATION FBC 2004 Contractor's•.Address City L! State e Qualifier Name Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 5 D -�--Q Type of Work: DAddition Describe Work: Notary $ Training /Education Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) ' � iN Phone # Owner's Address 451 9'5 City M M♦ , State L- Zip V Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) 2 ��. City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # 11' 31-0( #:. , ®A . 45,3 l®34 Is Building Historically Designated YES NO Contractor's Company Name 6,4,,v./ f /e0-z ZG Phone # We - X5...3— 43 Y 2,4 4,4e /7) %�7 •A Phone # 06, %,93- ), 2) State Certificate or Registration No. Certificate of Competency No. 412 4 Dd00 /2 E -MAIL: ❑Alteration Square / Linear Footage Of Work: Scanning $ Radon $ DPBR $ Phone # Bond $ Code Enforcement $ Double Fee $ Permit No. Master Permit No. Zip Phone # El Repair /Replace Structural Review. $ Total Fee Now Due $ i i 7 2007 B Y: ❑ Demolition xxxx x **xxx*xuuxxxxx***xx& x&xxx* xxxxx* x* 1. i *xxzx *xxxxxxxx *d:xxxxxxxxxxxxx x x*xxxxx xxxxxx Submittal Fee $ Permit Fee $ / e d CCF $ ?j. 00 coicc Technology Fee $ 4• 50 Zoning $ tnb , 36 See Reverse side -� Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address , City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature . 414tatM Owner or Agent , P� The foregoing instrument was acknowledged before me this The foregoing instrument was ackn edged before me this-7 day of 20 _, by , day of , 20 07, by Q711,877 6 ii7/witsiAlv, who is personally known to me or who has produced who is personally known to me or who has produced/ Pd CT06 As identification and who did take an oath. ,926O00 /2 as identification and who did take an oath. NOTARY PUBLIC: NOTARY P APPLICATION APPROVED BY: (Revised 02/08/06) Contractor ‘-‘01:2 Zoning Rose Tapigliani My Commission DD282474 ry 1 008 Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: *JY**] 1Ci1PlY] YiY1Y% 9tif9Y%' XfY*%' ti'**** **9Y9[ 1Y**XtYSYtY**i'C ****iY]YXXX % %X i'C1Y3C*%X9C %91 **** tY% 9Y%%%% XX% * %% X1Y****% *it11CtYX *9Y '![1Y %DYIY****'*YY*XY' *** ,.'�a'U14Ians Examiner Engineer 511.010`t,it � ,- row, • BUILDING PERMIT APPLICATION FBC 20 Value of Work For this Permit $)1 - 'r ° Type of Work: ['Addition ['Alteration Submittal Fee $ Notary $ 5. IP Scanning $ ?tip Bond $ Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. rN o \ -1 1 Master Permit No. R EC El VED MAY 009 .:= 44 � rrrr 4 � Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) t �..c ®� AlloaaT Phone Owner's Address 451 ma 416 .4017 City 'l,t c ?' ^ t•L 5 State Tenant/Lessee Name Phone # Email Job Address (where the work is being done) X a�R. L City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone C Contractor's Company Name m •v+.. 9�.�. . .. r. Phone # o' • • 2. St • .34 Contractor's Address O Or' 1 vc �Z �� L Ytiy ( �p �, City C_. L' 4 1t '$ State r Zip 33 t 4 Qualifier Name � no-° �n1'� ^ \4 1�� Phone # 4 3t. fv • ''44° 5" '1171'a State Certificate or Registration No. CAC- • 0'47 4. Z„y Certificate of Competency No. Contact Phone E -mail /yv Permit Fee $ Training/Education Fee $ 0)• U Zip Architect/Engineer's Name (if applicable) Phone # Square / Linear Footage Of Work:) k 44 • . 'V-- ❑New ❑ Repair/Replace ['Demolition Describe Work: C...4-4% 4.4 ∎�(c c 0 As r 3 n. / V l l l.A. 4 Z- per • `G C.Lirib t•J o 3Y (4 * . " t ***************************************F * *** * * * ***** ****** * * * * ***** * * * *s * * * * * ****** CCF $ Technology Fee $ Radon $ DPBR $ Zoning $ Code Enforcement $ Double Fee $ Total Fee Now Due $ I V +• - ( See Reverse side -� Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS,.ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice. the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent �j The foreg ng instrument was ac Iedg bef e me th.'•sr�/�1 da ,20©1by A it C! � I I who is personal y known to me or who has produced . oCa 4 (A identification and who did take an oath. NO AR PUBLIC: My Commission Expires:. (Revised 07/10/07) Off' 0-i 4 11 'O C4 4 17 - APPLICATION APPROVED BY V "i.rlans Examiner Engine Signature ontractor }� The foregoing instrument was acknowledged acknowledged before me this day of s. ° , 20 =1 , by ?alio Nu who is personally known to me or who has produced i1 oR'45. C2 I 1 i J l 0 as identification and w Sign: Print: My Comm NOTARY PUBLIC: 60 5/ r ake an oath. * ** * * * * * * * * ** * * * *:** * **** * **** * **** * **** * * * * * * * * * * * ** * ******** * *** * **** * ** * * * *: * * * * * * * * * * * * * * * * * * * * * ** * * ce Zoning Clerk checked WOOD FENCE AT THE REAR OF PROPERTY AND CHAINLINK AT EAST OF THE PROPERTY Passed Inspector Comments Cr-- Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number: I NS P- 113908 Permit Number: FW -5 -09 -796 1 Inspection Date: July 08, 2010 Inspector: Bruhn, Norman Owner. QUINTON, JENNIFER Job Address: 457 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: SOUTHERN ENGINEERING CONSTRUCTION LLC Building Department Comments July 09, 2010 For Inspections please call: (305)762 -4949 GS--)s9 Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1132060140630 Phone: (305)251 -3000 Page 1 of 1 5'-a' MAX (RECEIVED Owner's Side 4 ° Concrete • • ••• • •• • • • • • • • • • • • • • ••• • • • •• • • • ••• • • • ••• • •• • • • • • • • • .. • • • • I 'OD FBN gr. • • • • • • • • • •• • • • • • • • • • • • ••• ••• • •• • •• • • • • • ••• •• • • • • • .• • • • • . ••• ..• • • • •• . • • • • •• • .•.• • • 4 X.4" W p o5 t .• :.•• •.. '.. Wood Posts 2" X 4 Wood Rail 4' -0" High or Less = 6' -0" O.C. 5' -0" High or Less = 5' -0" O.C. I" X6" or l" X8" Wood PIckets Conc 2915 Fences 2915.1 Wood fences,. so located on .a property that by zoning regulations they cannot be used as a wall of a building, shall be constructed to meet the following minimum specifications. (a) Fences not exceeding 5 feet in height shall be constructed to meet the following minimum requirements: from nominal 4 inch by 4 inch by 8 feet -0 inch long posts spaced 5 fee: -0 inches on centers, having a fiber stress .of 1200 p.s.i. in bending, and shall be embedded 2 feet -0 inches into a concrete footing 1 foot -0 inches in diameter and 3 feet -0 inches deep. Other components shall be designed to comply with the provisiogs of this Chapter and Chapter 23. (b) Fences not exceeding 5 feat and 4 feet in height respectively shall be constructed as provided in paragraph 2915.1 (a) herein, except that the spacing of posts may be increased to 5 feet -0 inches and 6 . feet -0 inches on • • centers.for these. heights. � - � CHAIN LINK FENCE.pg J.. 1 DETAIL (ACCORDING TO TIIE F.3.C: St;�`tIcN 2g. 24� . . ... . . . . . N.7.S. 2 Notice to Properties with Pools: If the fence is to meet the criteria as a pool barrier, the fence shall not be climbable and all rails must be placed facing the inside of the property. Pedestrian gates shall have self - closing and latching devices installed at a minimum of 54" above ground. For further details see Section 424 of FBC. 0 � 3 m 0 ca 0 W General Notes: 1. This table is applicable only to fences with unrestricted airflow. 2. Fabric: 12 -1/2 gage minimum. 3. Tension Bands: Use one less than the height of the fence in feet evenly spaced. 4. Fabric ties: Must be minimum the same gage of the fabric 5. Fabric Tie Spacing on the Top Rail: Five ties between posts. evenly spaced. 6. Fabric Tie Spacing on Line Posts: One Tess than height of the . fence in feet, evenly spaced. 7. Either top rail or top tension wire shall be used. 8. Braces must be used at Terminal Post if top tension wire is used instead of Top Rail. 9. In order to follow the contour of the land, the bottom of the fence may dear the contour of the ground by up to 5 inch without increasing 'table values to the n -xthi.h rlimit ChainL,nkFcnccFDC • • • • • • • • • • • • .. • V • . ... •... • .. v v ••••••••••••••••••••t ••••• ++++++++++++++++++ ++++ + +++ ++++ ++ +++++++++++ ++++ +i ` i + ` v v, • • •• •• ++ +++• •• •• • •' +++ •++ • 4 Ot • • •• •�• ∎ I v •• ••+• • • • • + + + + .• + + + ++ ++ ++ + + ++• + • + + +t •+, - 4 • •v•-•••••••••• • +•+•••+•+•++ +++ •++ +++ +++ v � + + + + + + + + + + + + + + +�� * + + J gr. ••∎ • • • • • + • 1+ ++ ++ ++'f + +� ++•+ +fir••••••-••• -•- •- •- • -• + + ++ v ∎ + + + + + + + + + + + + + A + 1 ' + .1 1 ' • + + + 1 + O + + + + + 0 + + + + 1 + • ∎ + + 1 + + 1 + + 1 1 + + + + + + + 1 + + + 1 + + vi ++ ++ ++ ++ ++ ++ ++• +++ •++ +' ■• +•r + + + r + + + + + + + + + + + + + + + + + +.+ ••v • + +.� + +.+ + + + + + + + + + + . . ∎ + + + + + + + ++ •• •+ + + ++ •• ••+ • •+ ++ ++ ++ ++ ++ +++ •• + •• + •• +• •• •• • •• + •• + •• + + + ++ •• 0 4 t • • • • • * •• + •• + • • ••••••• • + • • •••• +• v •••••••••••••••••••••••••••• •••••••••••••• v+++•++•+++•• •++++++++++++++•s••••••+•+++++++ v!++++•++++ + ++ +• ••+• +•+o+•+•+•+•+• +• v+•�•+•�•+•+%Iti%J • • ++++++ + + ++ ++ ++ ++ ++ ++ ++ ++ ++ + +•+ ++ ++ +�• •S ••�+ +� +� +� ■•++ ++ + + ++ +� ++ +� ++ a +� + +�i + +�• kl •+++•++••+• ++••+++• • • Wk.*** •••••• • + iii+ i+ i+ • • + ii +i +i +i + •••• i++++++ i i + + i i + • + • + • i i +�i ii i • ++ + + + + • i +++++++• `+••++++••••••+++++•++•+•+• � ♦+••••••++++++ s4++•+++•••••••++++••++•++•• ♦••••••••••••• v +, +4, +• + � + � + + + +, + e + + + + + i + + + e + +* + + + + ++ +• elte + • + 4 + • v .••••••••• •• •+ •• + • + i + •• •• + • + •• + •i + i + •• + i + i i + i + •i •• •• •• + + + i + i + i + i + i + i Nr. i •• + •• + i + i •• i + i + i + •i i + i + i + •• + %''' ••++++++++++++++ + + 1 + + + + + + + + + + + + + + + + + + + + + + + + + • • 4 : : : ∎ + + + + + + + + + 1 + + + + + 1 + + + + + + + + + v +•••••••••••• +• + +••• +• ►••••• %.•• +•�•+••••+ + + ++•+ + +•+•+• +++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ ♦++++s++++++++ •+•+••+•••••• ••++•++•+++•+••��•••••••+•••+•• +i+i+i+ i +i +i +i +i +i +i +iei +i +i +i +i +i +i +i i *i +i +i +i +i +i� +i +i iei �i i +i +i +iii.V. • e.*****************.***************. • % % % %i + % % % % v• % % % % % % % %i + % % %% • ;,-..•••••••••••••••••••••••• +++++ ++ + i +i+• ice +i+• • •••••••• •• • • v v See Table Below Fence Height Up to 4' Over 4' to 5' Over 5' to 6' Over 6' to 8' Over 8' to 10' Over 10' to 12' Over 12' Terminal Post Size & Thick 2 -3/8" x 0.042 2 -3/8" x 0.042 2 -3/8" x 0.042 2 -3/8" x 0.110 2 -7/8" x 0.110 2 -7/8" x 0.160 Line Post Size & Thick Terminal Post Footing 10" x 24" 10 "x24 12" x 40" 12" x 42" 1- 5/8 "'x 0.047 1 -7/8" x 0.055 10" x 24" 1 -7/8" x 0.065 10" x 24" 2 -3/8" x 0.095 2 -3 /8" x 0.130 2 -7/8" x 0.120 Line Post Footing 8" x 24" 8" x 24" 8" x 24" 10" x 36" 10" x 40" 12" x 42" Section 2224.1 FBC: Fences over 12' height shall be designed according to the loads specified in Chapter 16 (HVHZ). X o.c,Max. . • 7 See Table Below ..; R1 1) te? • VYA BUILDING PERMIT APPLICATION FBC 20 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Phone # Owner's Address •4'S 1-40 Q5 �� City tom. 4 oa,t3 State Tenant/Lessee Name Phone # Email c - 44.11 &Z• 4gazi,,/ Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Address L o ®' ■ City G.. 4, tu s Value of Work For this Permit $iv * 17418 Type of Work: ['Addition Describe Work: Submittal Fee $ Permit Fee $I 3 Notary $ 5. Training/Education Fee $ Scanning $ 1 N.100 Radon $ e°a Bond $ Code Enf Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Roofing RECENED 2009 County Miami -Dade • Contractor's Company N. - 1:07", L. • 60477 Phone # 3 ®S ,Z$1 -"S ® ate 'L L Lo .... Litt.. 2., State 0 Zip i '.3 d r Qualifier Name ®.» 0.- o..�• �i,�, i sue-- Phone # 3 4 1,C ' 2 .-Z S ` V 0 State Certificate or Registration No. G 4 . C 1D "5Z 4 Certificate of Competency No. Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # MIAMI SHO S`VICLAGE Zip NO Flood Zone Square / Linear Footage Of Work: ['Alteration ❑New ❑ Repair/Replace *** * * * * * *A * * * * * * * * * * * * * * * * * * * * * * ** , ve **,x*** **** **** ** * ****** ****** * *** * *** **: *** CCF $ 4. CQ/CC Technology Fee $ 4 - V Total Fee Now Due $ Zip ❑ Demolition Zoning $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice. the inspection will not be approved and a reinspection fee will be charged. Signature < (Revised 07/10/07) Owner or Agent The forego g instrument ac day o ` � , 20 n 1 , A by this • The foregoing ins 111 , day Of Nil o �s nercnnanv known to me or who has rod w p uced 14 As identification and who did take an oath. N TARP, PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY actor cknowledged before me this , 2001 , by — Omit/A 7 e/ / who is personally known to me or who has produced f?7VS `2 t3k b as identification and who did take a NOTARY PUB IC: ��,� � > 5� A. 40 a � Signature Plans Examiner Engineer Sign: Print: My Commission Exp *************** ** * * * * * * * * * * * *:K****sp** R *******+ k*** **ak*aY **#.F*sk *** ** * * *** * *** k***** as Jf Zoning Clerk checked ("------- 1 . -1g--ct-: -- - - ent-- , '214-41> .68-4z42-- FILL JOINTS W/ MASONRY SAND NEW PAVERS ---- EXISTING SOIL . \ \ \ \ \ \ \ \ 4 \ •\\ \ ‘k:'\(stv BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING. Owner's Name (Fee Simple Titleholder) JQJ \ , ( (OA ( (n, JY\ Phone # Owner's Address 457 AS City A lLl ► l 51/ ( , State Tenant/L3 Name Email Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip 35 FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name OLOAIV Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. 'Contact Phone Square / Linear Footage Of Work: ['New ❑ Repair/Replace Architect/Engineer's Name (if appli: Value of Work For this Perm Type of Work: ❑Additi Describe Work: Miami Shores Village 112CMIEVE Building Department la DEC 1. 8 2009 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 45 � q5 S� E -mail Submittal Fee $ Permit Fee $ Permit No. OC-1°Il Master Permit No. Zip g Phone # Phone # 3ar- 33c0 Flood Zone CCF $ CO /CC $ Notary $ Training/Education Fee $ Scanning $ » OD Radon $ DPBR $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 31C 00 Technology Fee $ Bond $ See Reverse side -+ BY ------ - - - - -® m- -.. ®1To Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a. building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not • ,proved and a reinspection fee will be charged. Al . re The fo : oing ' ,.. nt was ac owledg before me . 's day of � ��11�.�i 20 ' Py ""� �� ma • . who is . - rsonally known to me or who has produced 0 w. is personally known to me or has produced C Z - � II' , ()identification and who did take an oath. ..., as identification and who did take an oath. NOT _ UBLIC: 1 - o i:" 4 60 , ;$ NOTARY PUBLIC: ��: i.J _ 1 V rte, `0 C S c 'c,° Sign: .- `'� '� Sign: Print: �p ,:,.«.,,,.� ca + Print: My Commission Expires: •''' Y My Commission Expires: so *** * * * * ** * ** * * * * *** * * ** *** * * * *** ** ********** * * * * * **** * * * * * * ** * * * * **** * * **** .. ***** ** * * * * * * ** * * * * * * * * * * ** Z 447 �� L� �aef 6 'C� Plans Examiner / Zoning APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) State Zip Engineer Signature Contractor foregoing instrument was acknowledged before me this f , 20 , by Clerk checked NAME: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 � OWN BUILDER DISCLOSURE STATEMENT `J-o r (1.t (Ik-i-on DATE: (2 I g ®I ADDRESS: ( i E S ± M Lai n4 ( S 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 understood the following disclosure statement, which entitles me to work as my own contractor, I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied fora permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must _ supervise the construction yourself. You may build or improve a one - family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. • • • • • • • 1. I understand that state law requires construction to • be done by a licensed contractor and hfiva • tpried„for an o&n& irder • • permit under an exemption from the law. The exemption specifies that I, as the owner of the ppyppQ}klJted, may act as my own. • contractor with certain restrictions even though I do not have a license. • Ind i" -(*r • • • 2. I understand that building permits are not required to be signed by a property owner unlesS btshe is re for the construction and is not hiring a licensed contractor to assume responsibility. • 4. I understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I r substantially improved it for sale or lease, which violates the exemption. ji Initi •• • • • • ••I •• • 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name name. I also understand that the contractor is required by law to be licensed in Florida and to list his or permits and contracts. 5. I understand that, as the owner- builder, I must provide direct, onsite supervision of the construction. Initial Initi • • •• • Ayy,grate myself nstead of my own numbers on 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working n my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. • • • • • • • • • • 40 • • •• • • • • 7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner- builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contribution; Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. r A Initial i 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide iy all applicable laws and requirement that govem owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850 .487.1395 or htto: //www.mvfloridalicx nse.com/dborlDro/cilbfi : -X. !nit.' 11. I am aware of, and consent to; an owner- builder building permit applied for in my name and understands that I am the party legally and - j financially responsible for the proposed con activity at the following address: j 12. It¢grpt tb'notify Miami Shores Village immediately of any additions, deletions, or changes to any of the i hae'F*Mt1ed on this disclosure. • • •••• Initi • • • •••• • • •••• Ucaq,ssiteogtractors are regulated by laws designed to protect the public. If you contract with a person who does not have a • • • lice eern thh Industry Licensing Board and Department of Business and Professional Regulation may be unable to • • assist Yo4i•"ddth any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to • • • • • understhnd at, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may • eld bag; for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for • • "" verggg whither the contractor is properly licensed and the status of the contractor's workers compensation coverage. • • •• • • •• • • • •••• Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this 1 day of ()NOVI', 2069 ByL Y) 1: 1 (J iV') I i J who was rsonall known to me or who has Pe Y Produced there License or " -1. Q - ( 1\ 2 + Olt] Znaentification. Initial (NGdok • . .• • • .0 • • • • •. • • • • :.F • -Q EXISTING DRAIN • : FIELD )5ED SETBACId FROM PRIMARY BUILDING SELF -LO ;KING GATE 42' HIGH 32' • PERMIT • TOR SHALL 'RUCTION S BEFORE TION 240 5.f.. RESERVE NEW 10' -0° ASPHALT DRIVE + ( +8.8' MSL) PIN. FLOOR r • • 16' '240 SF. DRAINFIELD' J • . .,... • •.: • • • • •'.a•.• 2!: lea r••' . foot_ slope ear Pe • TREE APPROVAL G RAY THAT NO SPECIMEN - (TRUNK DIAMETER G EQUAL TO 18 INCH IN WHICH CASE A TRE_ - tS - RE RY SW' D. R S ED PRO4 SIZED TI TER THAt RE REM( REMOVAL PE DATI • • • • • • • • • • •• • •• • • • • • • • •• • • • • • • • • •••• • • •• • • •• •• • • •• •• • . •• • • • • •••• • •• • • •• • • •• •• • • • • • • • • • •• I DATE APPROVED BY ZONING DEPT SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS • • MaW DEC 1 8 2009 L,9 BY o_ - • • • • • • • • • • • • • • • • • • qyk sk BUILDING PERMIT APPLICATIO FBC 20 Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) Owner's Address I-us. 9 5 5►1 City M '- 4.4 State Type of Work: Describe Work: ['Addition Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEE E 3 200 Value of Work For this Permit $ 1/46 Z top - v Square / Linear Footage Of Work: ['Alteration 5�7.-a ❑New 1 /ES' A 0 , Notary $ Training/Education Fee $ �. ( D Scanning $ 11) - R Boni Structural Review. $ nforcement $ 1;11': Double Fee $ n g fl09 l�CF4 "AI SHORES VILLAGE Permit No. V509 Master Permit No. Phone # Zip Tenant/Lessee Name Phone # Email Job Address (where the work is being done), ir, ,per ` V City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name cn.., — ...1 . . , r.' Phone # 345 • Z60% • So o Contractor's Address k. ®D a so r City C . L... 44. tom. a State fi' Zip 1 5 % -54— Qualifier Name o •tee �,�,.. - 'C4Cti.0Zl) - Phone #' Z : 2 4 ' 17 State Certificate or Registration No. C^ 031'' ZZ Certificate of Competency No. Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # ❑ Repair/Replace ❑ Demolition V` I ******** g * ** * * * * * * * * * * * * * * * * * * * * * ** * * * *F ************* * * * * ** * ** * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ CCF$ CO Technology Fee $ L Total Fee Now Due $ c=r everse side �S$ . 5 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice. the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent NOT Y ' UBLIC: Sign: Print: My Commission Expires: (Revised 07/10/07) Signature ntractor as a r � cknowledged before me this l , 20 in, by ,D 1leiR »ftY who is personal! known to me or who has I t 4Y �/, Y a produced t �/ L 1 G,l. O as identification and who did take an oath. o 0 � �°►`I f ti NOTARY ' UBLIC: tekt The forego g instrument was ack day of , 2001 by who is nowy to me or who has produced s identification and who did take an o?' APPLICATION APPROVED BY )!/277 Plans Examiner Engineer Sign: Print: My Commission * ** * * * * * * * , nay **:x** *** * ** ** * * ****** ** * * * * * ** * * * * * * * * * * * *** * *** * ** * * * ** * ** * ***** /14,9 Clerk checked tr 0 A,P iECE Vi ZONING DEPT BLDG DEPT Miami Shores Village OVED =�1 •• •• • • • • • • • • • •• • • • • • • • • • • •• • • •. • • ••• • 1 " lJEt.;I CT 10 COMPLIANCE WITH ALL FEDERAL S l r'■ I I ','Jf) CoI;NTY HUI FS AND fRFfULATIONS