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379 NE 94 St (13)• . FI form may be l - Energy Co provided n Sectid ` be calculated usiri buildings shall cor building clepartme PROJECT NAMI AND ADDRESSI BUILDER: ®Vj OWNER: DATE: CALCULATED E.P.I.: HARVEY J. EHRLICH, ARCHITECT PROJECT MANAGER (305) 375 -1103 (305) 374-4400 METROPOLITAN DADE COUNTY, FLORIDA GSA - CONSTRUCTION MANAGEMENT DIVISION SUITE 2420 111 N.W. 1ST STREET MIAMI, FLORIDA 33128 -1988 6 In accordance with Section 553.907 F.S , I hereby certify that the plans and specifications cove ed by this calcul- .I'I are in compliance with the Florida Energy Code. OWNER/AGENT: / 4 � /ltie ► �r FLORIDA ENERGY EFFICIENCY CODE -- — — — JSTRUCTION DATE: NITY AFFAIRS ' ¶ -Ai.1 ch$ /41 NT SYSTEM METHOD CLIMATE ZONES SOUTH 7 8 9 amily detached or multifamily attached dwellings under Section 9 , and multifamily attached dwellings of three stories or less, is siding, brick veneer, etc.) or concrete wall type construction may ction 4 or Section 5 of this Code. Additions to existing residential on on how to complete this form may be obtained from your local 71 Executive Center Circle East, Tallahassee, Florida 32301. I) PERMITTING OFFICE: \1W -OR S CIRCLE CLIMATE ZONE: 7, PERMIT NO.: 441 JURISDICTION NO.: z z CALCULATED E.P.I. MUST NOT EXCEED 100 POINTS Review of the plans and specifications covered by this calculation indi- cates compliance with the Florida Energy Code. Before construction is completed, this building will cted for compliance in accordance with Section 553.908, F.S. BUILDING OFF IAL' b J Y4) GLASS AREA AND TYPE IF MULTIFAMILY, NO. OF UNITS COVERED BY THIS CALCULATION: VI ` ,�f V I DETACHED CLEAR TINT. FILM,SOLAR SCREEN SGL 50 i SGL SEPARATE CALCULATIONS ARE REQUIRED I FOR EACH WORST CASE UNIT TYPE. CHECK IF THIS CALCULATION REPRESENTS A WORST ATTACHED DBL DBL CASE CONDITION. . NET WALL AREA AND INSULATION CONDITIONED FLOOR AREA CEILING INSULATION UNDER ATTIC SGL. ASSEMBLY CBS R= FRAME R= .7 53 CIO 1 455 R= IQIDIR= • COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM RESISTANCE Xi [ELECTRIC SOLAR ELECTRIC STRIP GAS I NONE CENTRAL �� NONE C�; HEAT RECOVERY GAS OIL SOLAR 1 I ROOM DED. HEAT PUMP: COP = x HEAT PUMP: COP = 2 � PACKAGE TERMINAL AC OTHER' EER/SEER = ' O L JOINER. • . FI form may be l - Energy Co provided n Sectid ` be calculated usiri buildings shall cor building clepartme PROJECT NAMI AND ADDRESSI BUILDER: ®Vj OWNER: DATE: CALCULATED E.P.I.: HARVEY J. EHRLICH, ARCHITECT PROJECT MANAGER (305) 375 -1103 (305) 374-4400 METROPOLITAN DADE COUNTY, FLORIDA GSA - CONSTRUCTION MANAGEMENT DIVISION SUITE 2420 111 N.W. 1ST STREET MIAMI, FLORIDA 33128 -1988 6 In accordance with Section 553.907 F.S , I hereby certify that the plans and specifications cove ed by this calcul- .I'I are in compliance with the Florida Energy Code. OWNER/AGENT: / 4 � /ltie ► �r FLORIDA ENERGY EFFICIENCY CODE -- — — — JSTRUCTION DATE: NITY AFFAIRS ' ¶ -Ai.1 ch$ /41 NT SYSTEM METHOD CLIMATE ZONES SOUTH 7 8 9 amily detached or multifamily attached dwellings under Section 9 , and multifamily attached dwellings of three stories or less, is siding, brick veneer, etc.) or concrete wall type construction may ction 4 or Section 5 of this Code. Additions to existing residential on on how to complete this form may be obtained from your local 71 Executive Center Circle East, Tallahassee, Florida 32301. I) PERMITTING OFFICE: \1W -OR S CIRCLE CLIMATE ZONE: 7, PERMIT NO.: 441 JURISDICTION NO.: z z CALCULATED E.P.I. MUST NOT EXCEED 100 POINTS Review of the plans and specifications covered by this calculation indi- cates compliance with the Florida Energy Code. Before construction is completed, this building will cted for compliance in accordance with Section 553.908, F.S. BUILDING OFF IAL' b J Y4) 9A PRESCRIPTIVE MEASURES (Must be met or exceeded by all restdences.) V DETACHED COMPONENTS GLASS AREA AND TYPE IF MULTIFAMILY, NO. OF UNITS COVERED BY THIS CALCULATION: MAXIMUM OF 0 5 CFM per LINEAR FOOT OF OPERABLE SASH CRACK. JURISDICTION NO.: DOORS (903 1) MAXIMUM OF 0 5 CFM PER SOUARE FOOT OF DOOR AREA INCLUDES SLIDING GLASS DOORS. CLEAR TINT, FILM,SOLAR SCREEN TO BE CAULKED. GASKETED. WEATHER- STRIPPED OR OTHERWISE SEALED. CEILING INSULATION (903 9) MINIMUM OF R -19. SGL WATER HEATERS (903 2) 3 O q SGL SEPARATE CALCULATIONS ARE REQUIRED HOT WATER PIPES (903 4) FOR EACH WORST CASE UNIT TYPE. CHECK IF THIS CALCULATION REPRESENTS A WORST SHOWER HEADS (903.5) 1 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE. HVAC DUCT CONSTRUCTION (903 61 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHANICAL CODE. DUCTS IN UNCONDITIONED SPACE MUST BE INSULATED TO A MINIMUM R -4 2. • ATTACHED A SEPARATE. READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM DBL DBL CASE CONDITION. NET WALL AREA AND INSULATION . CONDITIONED FLOOR AREA CEILING INSULATION UNDER ATTIC SGL. ASSEMBLY CBS R= FRAME R= 753 C IO 1455 R= (1 (� D. R= . COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM ELECTRIC RESISTANCE M SOLAR r ELECTRIC STRIP GAS NONE CENTRAL NONE C� HEAT RECOVERY GAS OIL SOLAR ROOM DED. HEAT PUMP: COP = X HEAT PUMP: COP = X 2 G, PACKAGE TERMINAL AC OTHER - OTHER EERISEER = L 9A PRESCRIPTIVE MEASURES (Must be met or exceeded by all restdences.) MINIMUM REQUIREMENTS CHECK TO INDICATE COMPLIANCE COMPONENTS REOUIREMENTS WINDOWS (903 1) MAXIMUM OF 0 5 CFM per LINEAR FOOT OF OPERABLE SASH CRACK. JURISDICTION NO.: DOORS (903 1) MAXIMUM OF 0 5 CFM PER SOUARE FOOT OF DOOR AREA INCLUDES SLIDING GLASS DOORS. Review of the plans and specifications covered by this calculation indi- cates compliance with the Florida Energy Code. Before construction is completed, this building will be inspected for compliance in accordance with Section 553.908, F.S. BUILDING OFFICIAL EXT. JOINTS 8 CRACKS (903.1) TO BE CAULKED. GASKETED. WEATHER- STRIPPED OR OTHERWISE SEALED. CEILING INSULATION (903 9) MINIMUM OF R -19. WATER HEATERS (903 2) MUST BEAR ASHRAE STANDARD 90 -80 LABEL OR A MAX 4 WATT 50. FT.-STAND-BY LOSS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER (ELECTRIC) OR CUT -OFF VALVE (GAS) MUST BE PROVIDED SWIMMING POOLS (903 3) IF HEATED BY OTHER THAN SOLAR. MUST HAVE POOL COVER DESIGNED TO MINIMIZE HEAT LOSS. ALL NONCOMMERCIAL POOLS MUST BE EOUIPPED WITH A POOL PUMP TIMER. HOT WATER PIPES (903 4) INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS. IN SUCH CASES. PIPING HEAT LOSS SHALL BE LIMITED TO A MAX. OF 17.5 BTU ,H PER LINEAR FOOT OF PIPE (SEE 504 4), SHOWER HEADS (903.5) 1 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE. HVAC DUCT CONSTRUCTION (903 61 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHANICAL CODE. DUCTS IN UNCONDITIONED SPACE MUST BE INSULATED TO A MINIMUM R -4 2. • HVAC CONTROLS (903 71 A SEPARATE. READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM PROJECT NAME AND ADDRESS: CALCULATED E.P.I. MUST NOT EXCEED 100 POINTS CALCULATED E.P.I.: FIK. %441( , �/:� -) 5 OWNER: JURISDICTION NO.: In accordance with Section and specifications covere• Florida Energy Code. OWNER/AGENT: 553.907 FS., I hereby certify that the plans by this calculate. are in compliance with the J , 41 Review of the plans and specifications covered by this calculation indi- cates compliance with the Florida Energy Code. Before construction is completed, this building will be inspected for compliance in accordance with Section 553.908, F.S. BUILDING OFFICIAL DATE• / DATE: PROJECT NAME AND ADDRESS: M N.,twis C HU5 , PERMITTING OFFICE: CIRCLE CLIMATE ZONE: 79 9 FIK. %441( , �/:� -) BUILDER: PERMIT NO.: OWNER: JURISDICTION NO.: FORM 900 -A -84 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION SECTION 9— RESIDENTIAL POINT SYSTEM METHOD DEPARTMENT OF COMMUNITY AFFAIRS CLIMATE ZONES SOUTH 7 8 9 form may be used to demonstrate compliance with the Energy Code for new single - family detached or multifamily attached dwellings under Section 9 t the Energy Code..An alternative to this method for single- family detached dwellings, and multifamily attached dwellings of three stories or less, is provided in Section 10 of this Code. Only dwellings which are above ground frame (wood siding, brick veneer, etc.) or concrete wall type construction may be calculated using Sections 9 and 10. Other types of construction must comply under Section 4 or Section 5 of this Code. Additions to existing residential buildings shall comply with the requirements of Section 10 of this Code. Detailed information on how to complete this form may be obtained from your local building department or the Department of Community Affairs, Energy Code Program, 2571 Executive Center Circle East, Tallahassee, Florida 32301. – WINTER GROSS WINTER = POINTS AREA x WPM WPM 10.9 WOOD R 11 -18.9 r R19 &UP R 3-5.9 5.0 20.4 R 0-2.9 4.4 R 3-5.9 R 19 -25.9 9.6 CONCRETE R 11 -18.9 2.5 R 19 & UP 1.5 COMMON 1.1 2.7 FLOOR OVER UNCONDITIONED SPACE I EDGE INSULATION R 0-6.9 WPM R 7 -10.9 WOOD R 11 -18.9 r R19 &UP R 3-5.9 FRAME 20.4 R 0-2.9 12.4 R 3-5.9 R 19 -25.9 R 6 -10.9 CONCRETE R 11 -18.9 COMMON R 19 & UP 8.6 COMMON 3QVHD NO EMS EDGE INSULATION PERIMETER WPM 39(15.4 1 PERIMETER R 0-2.9 r 28.3 R 3-5.9 FRAME 20.4 R 6 & UP 12.4 BRICK R 19 -25.9 VENEER R 26 & UP COMPONENT WALLS R 19 -21.9 R 0-2.6 ' 30 & UP R 2.7 -3.9 CONCRETE R 4.0 -5.9 R 6-7.9 R 6.0 & UP FRAME R 0 -10.9 OR R 11.0 -18.9 BRICK R 19 -25.9 VENEER R 26 & UP COMMON COMMON 1 CEILING 1 UNDER ATTIC R 19 -21.9 R 22 -29.9 ' 30 & UP mitt 17.5 R 6-7.9 R 8-9.9 SINGLE R 10 -11.9 ASSEMBLY R 12 -18.9 NO ATTIC R 19 -21.9 COMMON 1 saooa I WOOD OR METAL INSULATED STORM DOOR COMMON SUMMER GROS. SWAMI. = POINTS AREA x SPM 24.8 755 17.5 1'21T1. 15.0 13.9 30.5 13.9 8.6 6.5 3.8 RESIDENTIAL CALCULATION [FORM 900 -A-84 VIM 84.0 44.6 21.6 1.9 1.7 1.5 5.4 4.0 3.5 2.5 1.9 1.7 2.1 1.4 6.8 3.4 2.3 5.8 2.4 4.3 1.5 1.7 17211.2 9 -42 CLIMATE ZONES 7 8 9 I441 .747111111111110411110.111•701 10.6 14.6 8.4 2.0 6.6 2.9 2.3 1.5 8.2 5.7 3.6 2.9 1.9 2.0 35540.5 GLASS DO NOT INCLUDE INTERIOR SHADING OR AREA S L DBL WOF (9F) GROSS WINTER POINTS 1305 rte, 4: - j �i M D OR AREA SINGLE DOUBLE SOF (9F) GROSS SUMMER POINTS CLR TINT CLR TINT N 25 55.4 38.5 I Q N 25 204 176 163 139 I. C 44 o NE 1.33 55.4 38.5 NE 309 264 258 218 E citz 55.4 38.5 .CJ� �jWA 1. 1 E y 425 350 362 304 . Iran PP SE ��:7/,i� 55.4 38.5 SE 418 354 355 298 S S �' 2 346 418 294 354 287 355 242 298 , �{ 4 � SW 4.I SW W • 55.4 38.5 W 425 360 362 304 • 5 r ' . .4 • NW 55.4 38.5 NW 309 264 258 218 H - 22.6 6.8 H 720 605 627 524 H = HORIZONTAL GLASS (SKYLIGHTS). FOR SC OTHER THAN 0.83 SEE SEC. 902.2(a)5. TINT MULT. MAY BE USED FOR GLASS WITH SOLAR SCREENS, FILM, OR TINT. R = 4.2 -4.9 CALCULATE ENERGY PERFORMANCE INDEX WINTER POINTS SUMMER POINTS HOT WATER PTS. (91) E.P.I. SUBTOTAL ADJUSTMENT MULTI. (9B) ADJUSTED E.P.I. CREDIT PTS. (9C + 9D) PENALTY PTS. (9E) CALCULATED E.P.I. la + `17,5 _ b = �7 x I• I = 11.? _ 2- + p = 1 '1.1 THE CALCULATED E.P.I. MUST BE EQUAL TO OR LESS THAN 100 POINTS. R = 4.2 -4.9 Tj]j/I� / .• . � 111 Ai i R= 5.0 -6.6 R = 5.0 -6.6 1.12 1.12 R= 6.7&UP R= 6.7 &UP 1.09 1.09 DUCTS IN CONDI- TIONED SPACE DUCTS IN CONDI- TIONED SPACE 1.00 . 1 linw I Lana R = •4.2 -4.9 / .• . la WINTER POINTS 901- R = 5.0 -6.6 1301- 1.12 1701 - R= 6.7 &UP 2101 - 1.09 DUCTS IN CONDI- TIONED SPACE 0-800 1.00 1300 I DIVIDE BY CONDITIONED FLOOR AREA ief . 2 ; r 1455 1 la WINTER POINTS I 9B ADJUSTMENT MULTIPLIERS CONDITION 901- 1101- 1301- 1501- 1701 - 1901- 2101 - 2301 - FLOOR AREA (SO. FT) 0-800 1100 1300 1500 1700 1900 2100 2300 ABOVE ADJUSTMENT 1.03 1.07 1.11 44g) 1.21 1.27 1.33 1.40 1.47 MULT1PIJER FORM 900-A-84 TOTAL GROSS WINTER POINTS HSM FROM 9G 5257Q•3 71 O, I I i i• 5Z MMER TOTAL GROSS SUMMER POINTS CLIMATE ZONES 7 8 9 I I'-L)1'LL DIVIDE BY CONDITIONED FLOOR AREA 1 1 21 �t�. 19.55 SUMMER POINTS 91 I HOT WATER CREDIT POINTS (HWCP) HEAT PUMP ELECTRIC RESISTANCE WATER HEATER 2.5 -2.6 0 GAS WATER HEATER 3.1 -3.2 10 INSTANTANEOUS WATER HEATER ELECTRIC 40 4.5 GAS .32 12.6 HRU (A/C) WATER HEATER ELECTRIC BACKUP (BACKUP SYSTEM FRACTION) x (BACKUP 8.9 GAS BACKUP • 1.0 15.2 HRU (HP) WATER HEATER ELECTRIC BACKUP MINIMUM COP 2.2. HSM FOR COP 2.2 - 2.4 = .45. SEE TABLE ABOVE FOR COP > 2.4 9.7 GAS BACKUP 0.55 -0.59 1 0.60 -0.64 15.4 HEAT PUMP WATER HEATER (DEDICATED HEAT PUMP) COP 1.60 -1.89 1.90 -2.19 2.20 -2.49 2.50 -2.79 2.80 -3.00 CREDIT POINTS 9.0 11.4 13.1 14.4 15.4 SOLAR HOT WATER __ OVERALL SOLAR FRACTION' 0.1 0.2 0.3 0.4 0 5 0.6 0.7 0.8 1 0.9 1 1.0 SINIOd 110393 ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24.0 GAS BACKUP 11.4 12.8 14.2 15.6 17.0 18.8 19.8 21.2 22.6 24.0 * PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM i 100 = OVERALL SOLAR FRACTION 9G ] HEATING SYSTEM MULTIPLIER (HSM) HEAT PUMP COP 2.5 -2.6 2.7 -2.8 2.9 -3.0 3.1 -3.2 3.3 -3.4 3.5 & UP HSM 40 I .37 .34 .32 .30 I .29 SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTION) x (BACKUP SYSTEM HSM) ELECTRIC STRIP HEAT 1.0 NAT 'RAL GAS /PROPANE/OIL 1.0 (SEE TABLE 9D FOR CREDITS) PTAC & ROOM HEAT PUMPS MINIMUM COP 2.2. HSM FOR COP 2.2 - 2.4 = .45. SEE TABLE ABOVE FOR COP > 2.4 9H 1 COOLING SYSTEM MULTIPLIER (CSM) ' ELECTRIC EER/SEER 7.8 -7.9 8.0 -8.4 8.5 -8.9 9.0 -9.4 9.5 -9.9 10.0 -10.4 10.5 -10.9 11.0 -11.9 12.0 -UP CSM .83 - .81 0.76 0.72 0.68 0.65 0.62 0.59 0.54 GAS COP 0.40 -0.44 0.45 -0.49 0.50 -0.54 0.55 -0.59 1 0.60 -0.64 1 0.65 -0.69 020 & UP CSM 1.50 1.25 1.20 1.09 1.00 l 0.92 0.89 MINIMUM SEER/EER LEVEL 7.8 FOR STRAIGHT COOL OR HEAT PUMPS; MINIMUM OF 7.5 EER FOR ROOM UNITS AND PTAC. FOR ROOM UNITS AND PTAC, CSM FOR EER 7.5 - 7.7 = .87. SEE TABLE ABOVE FOR EER > 7.7. 9C ( DESIGN CREDIT POINTS (CP) CEILING FAN IN COND SPACE (max 5 CP) 1 TOTAL GLASS OPENS LESS THAN 40% MULTIZONE A/C SEPARATED BY DOOR 5 5 CROSS VENTILATION (1 CP per room) 1 WHOLE HOUSE FAN (min. 1.5 cfm/s.f.) 5 WOOD STOVE 2 FIREPLACE WITH OUTSIDE COMBUSTION AIR 2 9C TOTAL not to exceed 12 points) 2, 9E 1 DESIGN PENALTY POINTS WASHER AND DRYER IN COND SPACE 3 TOTAL GLASS OPENS LESS THAN 40% 5 FIREPLACE WITH INSIDE COMBUSTION AIR 5 rFORM 900-A -84 CLIMATE ZONES 7 8 9 I 9F 1 WINTER OVERHANG FACTOR (WOF) FEET N NE E SE S SW W NW 0-0.9 1 -1.9 2 -2.9 3-3.9 4-4.9 5-5.9 6-6.9 7 -7.9 8-8.9 9-9.9 10 -10.9 11 -11.9 12 UP 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 0.99 0.99 0.91 0.99 0.99 0.99 0.99 1.00 1.00 1.00 1.00 1.00 1.00 0.85 0.85 0.86 0.87 0.89 0.91 0.92 0.94 0.96 0.97 0.98 1.00 1.00 0.75 0.76 0.77 0.80 0.83 0.86 0.90. 0.92 0.95 0.97 0.98 1.00 1.00 0.83 0.84 0.86 0.87 0.90 0.92 0.94 0.96 0.97 0.98 0.99 1.00 1.00 0.98 0.98 0.99 0.99 0.99 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 9 -44 9D I HEATING SYSTEM CREDIT POINTS NATURAL GAS /PROPANE HEATING OIL HEATING 8.0, . 9F 1 SUMMER OVERHANG FACTOR (SOF) FEET N NE E SE S SW W NW 0-0.9 1 -1.9 2 -2.9 3-3.9 4-4.9 5-5.9 6-6.9 7 -7.9 8-8.9 9-9.9 10 -10.9 11 -11.9 12 UP 1.00 1.00 1.00 1.00 1.00 0.99 0.99 0.99 0.98 0.98 0.98 0.97 0.97 1.00 1.00 0.98 0.95 0.91 0.88 0.85 0.83 0.81 0.79 0.78 0.76 0.76 1.00 0.99 0.95 0.89 0.84 0.80 0.76 0.72 0.69 0.67 0.65 0.63 0.62 1.00 0.99 0.93 0.87 0.81 0.76 0.72 0.68 0.66 0.64 0.62 0.61 0.59 1.00 0.98 0.92 0.86 0.80 0.76 0.72 0.70 0.68 0.66 0.65 0.65 0.64 1.00 0.99 0.93 0.87 0.81 0.76 0.72 0.68 0.66 0.64 0.62 0.61 0.59 1.00 0.99 0.95 0.89 0.84 0.80 0.76 0.72 0.69 0.67 0.65 0.63 0.62 1.00 1.00 0.98 0.95 0.91 0.88 0.85 0.83 0.81 0.79 0.78 0.76 0.76 Owner's Name and Address Location and legal description of lot to be built on: Ncw Building Remodeling (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 2i( /Cr APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement ui rile plans and specifications herewith submitted for the build • ii or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications nsust be kept at building during progress of the work. 19. N TVIS ...... No .... „... „..... „.r Street.._.. Registered Architect and /or Engineer � ” � 1� . ,� / is Name and address of licensed contractor... . _ S.�:l .... Uvl.3 -P ./ 2. 0 „. „.1..� X 1” -- ............ /I/ 1v1 i071 , •- Lot . , N� Bl ock ” 2n S. M /L ,� .,0 23 / - � Subdivision.... . _.. Street and Number where work is to be done 7 ..._._ .. 1 - /... 1?'�l..Jlt -�l� .. �SGQ = Ste. ork to •done and purposcb it ing (by floors) <? 47 L:1;es _..._. . / ' /�¢ .!tiS'_• ._ and for no other purpose. Addition Repairs No. of Stories .2- _ To be constructed of Kind of foundation Roof Covering... E:stimattd Total cost of improvements $ 5700 Amount of Permit $. � /4 ? - Zone cubage required _.._...Plan Cubage Distance .to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to.. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sop rlenient, anti has complied ssith the provisions thereof, and will require 'Iar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subeo� ct.�' on work to . j performed under this permit, as are licensed by Miami Shores Village. Itetnarks (Signed). STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. . Permit No.._.� / Q..Y Date Disapproved ........_.... ^ :........_...i�Date.._.. Read, Sworn to and Subscribed before me. Notary Public, State of Florida Bui lding Ins� My Commission Expires _. „.„ _........_,.� PLANNING BOARD DATE t:bair:nan Member Member Member Member .. .. _....._......_..._. _ ...._ Member ....„ Council Approved Date Disapproved ttttt ttt•••t,,• !tttflTtt ?N,•••tft to me well known, Date NUTI;: A charge of $1.00 will be made for making corrections or changes to this application after approval the Pl. Board. A rc- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspectinn or faulty materials and/or workmanship. has been obtained frnin Owner's Name and Address Registered Architect and /or Engineer MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement Di me plans and specifications herewith submitted for the build • in¢ or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during prpgreu of the work. -1Li_ /Th-wM7 /illCS /44 Vk 7 Name and address of licensed contractor Location and legal description of lot to be built on: Lot �-� f'6 i 't 17 Block qs Subdivision.... / 't Street and Numb 'where work is to be done 379 A/ 4---- q .._._ _ State work to be done and purpose of building (by floors).'�`�� erf . • ... &,.y l/ c Date..._..._. . __ / Z ,19 . Street-1V. Q .; ; 7. ^ 517— ‘ 57 L ._ - S T7o,u . j Acx use FP / and for no other purpose. Ncw Building Remodeling 1l Addition '✓ Repairs No. of Stories f _ To be constructed of Kind of kindation R f Covering. 7 f �AA Estimated Total cost of improvements $ 1 ' Amount of Permit $. ��v Zone cubage required .Plan Cubage Distance .to next nearest building. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Sup element, and has complied scith the p thereof, and will require similar compliance from all contractors or sub - contractors employed by him m the work to be performe d under this permit; and will post or cause to be posted for ins ection on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only such su tr ctors, on work to performed under this permit, as are licensed by Miami Shores Village. al s • Re mn.uks._._ (Signed)_.._...... _._ -_.... — STATE OF FLORIDA, COUNTY OF DADE. SS. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _.. and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated artru Permit No.._.__. lQ 1 Date .. b Read, Sworn to and Subscribed before me. ]Disapproved (Sinned) Building Inspector Notary Public, State of Florida My Commission Expires _........_ _ to me well known, PLANNING BOARD DATE Chairman Member Member Member ■fember .. .. Member ...._ . _......._ Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained (min the Planning Board. A re fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workinanship. z,V20 Dt-Cl. 1,16 117' U..� 34 5 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date9 ' '-30 _ 9 Job Address 379 ,J'2 `(-1 J / . Tax Folio / / ' 3 Z ti (4 - <3( 3 - (t 3 o Legal :D pti Historically Designated: Yes No [/ r O �L.essee / Tenant Dr 4,J J-, /4 44 G- � A IE r ��/nJ ,S Master Permit # 4 Owner's Address 379 /C.) G / J I p-r / /A.. • ,' f4',D /-ei Phone ..-� o J` — (, — Contracting Co. 696 3 t. >~ 0 !A , ✓ Cc),. mi j Address 2. State fl 6,4 C. 6 Ls `( r? Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBIN M ECHANIC A ROOFING PAVING FENCE SIGN WORK DESCRIPTION ( Z o .� � /} c,(c�1� G C� �i I" fl (Za� Square Ft. Estimated Cost (value) 2 7 g, WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. W . Signature of ' er and/ Condo President Date C Notary as to Owner and/or Condo President My Commission FEES: PERMIT, APPROVED: Zoning Mechanical W. Keith Phillips, III c Commission # 00 829610 s nd eed e 14.2003 Bo AtIaS► tie Bonding Co., Inc. /6-cfff RADON Building Date Signature of Contractor or Owner ilder C.C.F. 1 f go • Notary as to Contractor or Owner -B lder My Commission Expires: W. Keith Phillips, III :Commission # CC 829610 • - mo o.-' Expires June 14, 2003 Bon ded Thru %► „�,.•` Atlantic Bonding Co., Inc. NOTARY _ G - BOND Electrical TOTAL DUES/ Date Date g Plumbing Engineering