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935 NE 95 StFORM 600A -2001 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION 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 (f1 7. Glass area & type Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Address: City, State: Owper: Climate Zone: KETTANEH RESIDENCE 935 NORTHEAST 95 STREET MIAMI SHORES, FL 33138 - KETTANEH South Builder: Permitting Office: Permit Number: Jurisdiction Number: 232600 MIAMI SHORES New Single family 1 1 No 1203 11 a. Clear - single pane 136.2 ft _ b. Clear - double pane 0.0 ft _ c. Tint/other SHGC - single pane 0.0 11 d. Tint/other SHGC - double pane 0.0 ft 8. Floor types _ a. Raised Wood, Stem Wall R =11.0, 1203.011 b. N/A c. N/A 9. Wall types _ a. Concrete, Int Insul, Exterior R =4.2, 1150.7 11 _ b. N/A c. N/A d. N/A e. N/A 10. Ceiling types a. Under Attic R =30.0, 1251.0 ft _ b. N/A c. N/A - 11. Ducts a. Sup: Unc. Ret: Con. AH: Interior Sup. R =6.0, 29.0 ft b. N/A. Glass/Floor Area: 0.11 Total as -built points: 14928 Total base points: 17262 I hereby certify that the plans and specifications covered by this calculation are in c• i pliance wit tyte Florida Energy Code. PREPARED BY: DATE: I hereby certify that this building, as designed, is in compliance with the Florida Energy Code. OWNER/AGENT: DATE: 12. Cooling systems a. Central Unit b. N/A c. N/A 13. Heating systems a. Electric Strip Pncrm /(mina() / \ /creinn• GI P(PR Cap: 36.0 kBtu/hr SEER: 12.00 Cap: 34.0 kBtu/hr COP: 1.00 b. N/A c. N/A 14. Hot water systems a. Electric Resistance Cap: 0.1 gallons _ EF: 0.90 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) PASS 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: - BASE ( A.3 -BUILT GLASS TYPES .18.X Conditioned X BSPM = Points Floor Area Type /SC Overhang Omt Le n Hgt Area X SPM X SOF = Points .18 1203.0 32.50 7037.6 Single, Clear N 10.0 7.7 60.0 33.94 0.68 1388.6 Single, Clear N 1.5 6.0 30.0 33.94 0.94 957.5 Single, Clear E 1.5 5.0 24.8 73.03 0.88 1597.0 Single, Clear E 0.5 2.0 6.0 73.03 0.92 402.0 Single, Clear S 1.5 5.5 12.4 62.19 0.85 656.6 Single, Clear S 0.5 2.0 3.0 62.19 0.87 163.1 As -Built Total: 136.2 5164.9 WALL TYPES Area X BSPM = Points Type IR -Value Area X SPM = Points Adjacent 0.0 0.00 0.0 Concrete, Int Insul, Exterior 4.2 1150.7 2.28 2623.6 Exterior 1150.7 2.70 3106.9 Base Total: 1150.7 3106.9 As -Built Total: 1150.7 2623.6 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Insulated 5.5 6.40 35.2 Exterior 5.5 6.40 35.2 Base Total: 5.5 35.2 As -Built Total: 5.5 35.2 CEILING TYPES Area X BSPM = Points Type R- Value Area X SPM X SCM = Points Under Attic 1203.0 2.80 3368.4 Under Attic 30.0 1251.0 2.77 X 1.00 3465.3 Base Total: 1203.0 3368.4 As -Built Total: 1251.0 3465.3 FLOOR TYPES Area X BSPM = Points Type IR -Value Area X SPM = Points Slab 0.0(p) 0.0 0.0 Raised Wood, Stem Wall 11.0 1203.0 -0.60 -721.8 Raised 1203.0 -2.16 - 2598.5 Base Total: - 2598.5 As -Built Total: 1203.0 -721.8 INFILTRATION Area X BSPM = Points Area X SPM = Points 1203.0 18.79 22604.4 1203.0 18.79 22604.4 FORM 600A -2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: Fnornv(:aunofbl rlr`A Fnrm RMA_7M11 Fncrrnd]oi instal /FbPFC'7nM FI Pr. PP J371 - BASE AS -BUILT Summer Base Points: 33553.9 Summer As -Built Points: 33171.5 Total Summer X System Points Multiplier = Cooling Points Total X Cap X Duct X System X Credit = Cooling Component Ratio Multi Dlier Multiplier Multiplier Points (DM x DSM x AHU) 33553.9 0.4266 14314.1 33171.5 1.000 (1.067 x 1.165 x 0.90) 0.284 1.000 10545.6 33171.5 1.00 1.119 0.284 1.000 10545.6 FORM 600A -2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: I narrmrloitelo TM nre F„r,,, rune_ - )nni nnrnvf]m,nolk irl.r)F •7nni Fl Ar DR - BASE AS -BUILT GLASS TYPES .18_X Conditioned X BWPM = Points Floor Area Type /SC Overhang Ornt Len Hgt Area X WPM X WOF = Points .18 1203.0 2.36 511.0 Single, Clear N 10.D 7.7 60.0 4.91 0.96 283.2 Single, Clear N 1.5 6.0 30.0 4.91 0.99 146.2 Single, Clear E 1.5 5.0 24.8 3.76 1.03 95.6 Single, Clear E 0.5 2.0 6.0 3.76 1.02 23.0 Single, Clear S 1.5 5.5 12.4. 3.55 1.03 45.1 Single, Clear S 0.5 2.0 3.0 3.55 1.02 10.8 As -Built Total: 136.2 • 603.9 WALL TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Adjacent 0.0 0.00 0.0 Concrete, Int Insul, Exterior 4.2 1150.7 1.02 1173.7 Exterior 1150.7 0.60 690.4 Base Total: 1150.7 690.4 As -Built Total: 1150.7 1173.7 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Insulated 5.5 1.80 9.9 Exterior 5.5 1.80 9.9 Base Total: 5.5 9.9 As -Built Total: 5.5 9.9 CEILING TYPESArea X BWPM = Points Type R -Value Area X WPM X WCM = Points Under Attic 1203.0 0.10 120.3 Under Attic 30.0 1251.0 0.10 X 1.00 125.1 Base Total: 1203.0 120.3 As -Built Total: 1251.0 125.1 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Slab 0.0(p) 0.0 0.0 Raised Wood, Stem Wall 11.0 1203.0 0.00 0.0 Raised 1203.0 -0.28 -336.8 Base Total: -336.8 As -Built Total: 1203.0 0.0 INFILTRATION Area X BWPM = Points Area X WPM = Points 1203.0 -0.06 -72.2 1203.0 -0.06 -72.2 FORM 600A -2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: I PncrmA =oi indbl r1rh From Anna nn, F ncrnsi(.ni IndbVFl.P N711(11 G Pr:PR ,/3 71 . BASE AS -BUILT Winter Base Points: 922.6 Winter As -Built Points: 1840.4 Total Winter X Points System = Multiplier Heating Points Total X Component Cap X Duct X System X Credit = Ratio Multiplier Multiplier Multiplier (DM x DSN x AHU) Heating Points 922.6 0.6274 578.9 1840.4 1840.4 1.000 (1.085 x 1.137 x 0.91) 1.000 1.000 1.00 1.123 1.000 1.000 2066.1 2066.1 FORM 600A -2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details l ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: more.(] *n oon. rir. Fnrm RM1A2)f1/11 Fnornur7allno51 /FIaPFC'7rN11 Fl 17(:P1:1 71 . BASE CODE COMPLIANCE STATUS AS-BUILT WATER HEATING Number of X Bedrooms Multiplier BASE Total Tank EF Volume Number of Bedrooms X Tank X Multiplier X Credit = Total Ratio Multiplier 1 AS -BUILT 2369.0 Cooling Points + Heating + Points Hot Water Points = Total Points Cooling Points + Heating + Hot Water Points Points = Total Points 14314 579 2369 17262 10546 2066 2316 14928 . BASE AS-BUILT WATER HEATING Number of X Bedrooms Multiplier = Total Tank EF Volume Number of Bedrooms X Tank X Multiplier X Credit = Total Ratio Multiplier 1 2369.00 2369.0 0.1 0.90 As -Built Total: 1 1.00 2316.36 1.00 2316.4 2316.4 FORM 600A -2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: I PASS Frulremr.*I1no TPA nr Fnrm RMA_7fN11 Fnnrrni(]ennd 1 / /11 FI P(!PR ./311 COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows & Doors 606.1.ABC.1.1 Maximum:.3 cfm/sq.ft. window area; .5 cfm/sq.ft. door area. Exterior & Adjacent Walls 606.1.ABC.1.2.1 Caulk, gasket, weatherstrip or seal between: windows/doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at corners; utility penetrations; between wall panels & top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to, the foundation to the top plate. Floors 606.1.ABC.1.2.2 Penetrations/openings >1/8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. Ceilings 606.1.ABC.1.2.3 Between walls & ceilings; penetrations of ceiling plane of top floor; around shafts, chases, soffits, chimneys, cabinets sealed to continuous ;rir barrier; gaps in gyp board & top plate; attic access. EXCEPTION: Frame ceilings where: a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seams. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations, sealed; or Ty de IC or non -IC rated, installed inside a sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2.0 cfm from conditioned space, tested. Multi -story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between flcors. Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. External or built-in heat trap required. Swimming Pools & Spas - 612.1 Spas & heated pools must have covers (except F. olar heated). Non - commercial pools must have a pump timer. Gas spa & pool heater:; must have a minimum thermal efficiency of 78 %. Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated, and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics: R-6 min. insulation. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1, 602.1 Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. FORM 600A -2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: 6A -21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST 6A -22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences. Fnorrnd]m an. TM nr e Fnrm Anne_')nn1 Fnornv/1m �ndGl /Fbi�FC'7r1f11 FI DP ✓i ')l ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 86.8 The higher the score, the more efficient the home. KETTANEH, 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- I. New construction or existing New _ 12. Cooling systems 2. Single family or multi- family Single family _ a. Central Unit Cap: 36.0 kBtu/hr _ 3. Number of units, if multi - family 1 _ SEER: 12.00 _ 4. Number of Bedrooms 1 b. N/A 5. Is this a worst case? No _ 6. Conditioned floor area (ft=) 1203 ft c. N/A 7. Glass area & type _ a. Clear - single pane 136.2 11 — 13. Heating systems b. Clear - double pane 0.0 ft _ a. Electric Strip Cap: 34.0 kBtu/hr _ c. Tint/other SHGC - single pane 0.0 ft _ COP: 1.00 _ d. Tint/other SHGC - double pane 0.0 ft b. N/A _ 8. Floor types _ a. Raised Wood, Stem Wall R =11.0, 1203.0ft _ c. N/A b. N/A c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap: 0.1 gallons a. Concrete, Int Insul, Exterior R =4.2, 1150.7 ft= _ EF: 0.90 _ b. N/A 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, 1251.0 ft _ 15. HVAC credits b. N/A (CF- Ceiling fan, C V -Cross ventilation, c. N/A • HF -Whole house fan, 11. Ducts _ PT- Programmable Thermostat, a. Sup: Unc. Ret: Con. AH: Interior Sup. R =6.0, 29.0 ft _ RB -Attic radiant harrier, b. N/A- MZ- C- Multizone cooling, MZ- H- Multizone : seating) 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 FLARES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA /DOE EnergyStaW designation), your home may qualify for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -1492 or see the Energy Gauge web site at www.fsec.ucfedu 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. EnergyGauge® (Version: FLRCPB v3.21) C � KETTANEH 935 NORTHEAST 95 STREET MIAMI SHORES, FL 33138- Summary Energy Code Results Residential Whole Building Performance Method A Project Title: KETTANEH RESIDENCE PASS e- Ratio: 0.86 EnergyGauge®(Version: FLRCPB v3.2' ) Code Only Professional Version Climate: South 1/21/2003 Building Loads Base As -Built Summer: Winter: Hot Water: Total: 33554 points 923 points 2085 points 36561 points Summer: Winter: Hot Water: Total: 33172 points 1840 points 2085 points 37097 points C � KETTANEH 935 NORTHEAST 95 STREET MIAMI SHORES, FL 33138- Summary Energy Code Results Residential Whole Building Performance Method A Project Title: KETTANEH RESIDENCE PASS e- Ratio: 0.86 EnergyGauge®(Version: FLRCPB v3.2' ) Code Only Professional Version Climate: South 1/21/2003 Energy Use Base As -Built Cooling: Heating: Hot Water: Total: 14314 points 579 points 2369 points 17262 points Cooling: Heating: Hot Water: Total: 10546 points 2066 points 2316 points 14928 points C � KETTANEH 935 NORTHEAST 95 STREET MIAMI SHORES, FL 33138- Summary Energy Code Results Residential Whole Building Performance Method A Project Title: KETTANEH RESIDENCE PASS e- Ratio: 0.86 EnergyGauge®(Version: FLRCPB v3.2' ) Code Only Professional Version Climate: South 1/21/2003 SYSTEM SIZING SUMMARY System Name : KETTANEH RESIDENCE 01 -21 -03 Location : MIAMI SHORES, Florida Block Load v2.12 Prepared By : E.& E. CONSULTING ENG. Page 1 of 2 ****************************************** * * * * * * ** * * * * * * * * * * * * * * * * * * * * * ** TABLE 1. SIZING DATA Total coil load = Sensible coil load = Total zone sensible= Supply temperature = Supply air (actual)= Supply air (std) _ Ventilation air = Direct exhaust air = Reheat required = Floor area (sqft) Overall U -value Vent air CFM /sqft Vent air CFM /person TABLE 2. SIZING DATA -- HEATING Heating coil load = Ventilation load = Total zone load = Ventilation airflow= Supply airflow = TABLE 3. INPUT DATA -- WEATHER City State Data Source Latitude Elevation TABLE 4. INPUT DATA -- HVAC SYSTEM System Type System Start Duration = MIAMI SHORES = Florida = User Modified = 25.8 deg. • 7.0 ft SIZING SPECIFICATIONS Supply Ventilation Exhaust -- COOLING 34,948 BTU /hr 28,415 BTU /hr 25,637 BTU /hr 57.0 F 1,319 CFM 1,319 CFM 90 CFM 90 CFM 0 BTU /hr 1,203 0.158 0.07 15.00 13,547 BTU /hr 2,332 BTU /hr 11,214 BTU /hr 90 CFM 1,319 CFM : Cig & Warm Air Htg 800 24 hrs 57.0 F 0 CFM 90 CFM FAN Configuration : Draw -Thru Static Pressure : 1.50 in. Load occurs @ June 1700 Outdoor Db /Wb = 88.5/ 76.6 F Coil Conditions: Entering :)b /Wb = 75 9/ 64.4 F Leaving D:D /Wb = 56 0/ 55.4 F Apparatus dewpoint= 54.9 F Bypass fa :tor = 0.050 Resulting zone RH = 52.9 % Total coil lDad Sensible coil load SQFT /Ton Cooling BTU /hr /sqft Cooling CFM /sqft Heating BTU /hr /sqft = Heating CFM /sqft = Floor area (sqft) _ Overall U -value = Vent air CFM /sqft = Vent air CFM /person = Summer dry -bulb = Coincident wet -bulb= Daily Range = Winter dry -bulb = Atmos. Clear. Num. = 2.91 Ton 2.37 Ton • 413.07 • 29.05 1:10 91.0 F 77.0 F 15.0 F 44.0 F 0.90 11.26 1.10 1,203 0.158 0.07 15.00 THERMOSTAT SETPOINTS Cooling (Occ) 75.0 F Cooling (Unocc) : 75.0 F Heating 68.0 F FACTORS Coil Bypass 0.050 Safety (Sens) 5 % Safety (Latent) : 5 % Heating Safety 5 % RETURN AIR PLENUM : N SYSTEM SIZING SUMMARY System Name : KETTANEH RESIDENCE 01 -21 -03 Location : MIAMI SHORES, Florida Block Load v2.12 Prepared By : E.& E. CONSULTING ENG. Page 2 of 2 ******************************************* * * * * *•F * * * * * * * * * * * * * * * ** * * * * * ** TABLE 5. TOP TEN COOLING COIL LOADS Time 1) June /1700 2). July /1700 3) July /1600 4) June /1600 5•) June /1800 TABLE 6. ZONE SIZING DATA Zone Name KETTANEH RESIDENCE Sensible Ton 2.37 2.38 2.36 2.35 2.34 Maximum Cooling Sensible (BTU /hr) Total Ton 2.91 2.91 2.89 2.89 2.88 Time 6) July /:L800 7) July /:L500 8) June/1500 9) Aug /:L700 10) Aug /:_600 Design Airflow Design Rate Time (CFM) 25,663 1,320 @July 1700 Sensible Ton 2.34 2.32 2.30 2.31 2.31 Total Ton 2.88 2.85 2.85 2.84 2.84 Maximum Design Heating Flow Load Rate (BTU /hr) (CFM) DETAILED SYSTEM LOAD REPORT System Name : KETTANEH RESIDENCE 01 -21 -03 Location : MIAMI SHORES, Florida Block Load v2.12 Prepared By : E.& E. CONSULTING ENG. Page 1 of 1 ****************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** TABLE 1. LOAD COMPONENT SUMMARY for June 1700 ( 88.5/ 76.6 F) Load Component Solar Loads Wall Transmission Roof Transmission -Mass Transmission Skylight Transmission Partitions Lighting Other Electric People Infiltration Miscellaneous Slab Pulldown /Warm -up Safety Factor Total Zone Loads Ventilation Load Supply Fan Load Plenum Load Thru Wall Plenum Load Thru Roof Plenum Load - Lights Reheat Load Total Coil Loads Component Walls : NE E SE S SW W NW N Glass : NE E SE S SW W Details 136 sqft 1,015 sqft 1,251 sqft 136 sqft 0 sqft 0 sqft 1.75 W /sqft 0.50 W /sqft 6 people 5/ 5/ 5 % TABLE 2. WALL AND GLASS BREAKDOWN 0 sqft 90 CFM 1,319 CFM 0 % 0 % 0 % Design Cooling Loads Sensible Latent (BTU /hr) (BTU /hr) 3,588 - 2,007 - 5,574 - 1,270 - 0 0 7,170 - 2,051 - 1,378 720 877 2,063 503 500 - 1, 22:L 164 25,637 3,447 1,312 3,086 1,467 - 0 0 - 0 - 0 - 28,415 Design Heating (BTU /hr) 2,483 4,023 2,615 0 0 1,559 0 534 11,214 2,332 6,533 13,547 Total Cooling Cooling Heating Net Area Transmission Solar Load Transmission (sqft) (BTU /hr) (BTU /hr) (BTU /hr) 0 0 - 0 254 664 - 623 0 0 - 0 284 410 - 696 0 0 - 0 273 597 - 667 0 0 - 0 203 336 - 498 0 0 0 0 31 287 1,119 591 0 0 0 0 15 144 242 296 0 0 0 0 0 0 0 0 NW N Hor 0 0 0 0 90 840 2,228 1,728 0 0 0 0 DETAILED ZONE LOAD REPORT System Name : KETTANEH RESIDENCE 01 -21 -03 Location : MIAMI SHORES, Florida Block Load v2.12 Prepared By : E.& E. CONSULTING ENG. Page 1 of 1 ****************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** TABLE 1. GENERAL INFORMATION TABLE 2. ZONE LOAD COMPONENT SUMMARY Load Component Solar Loads Wall Tr Roof Transmission Glass Transmission Skylight Transmission Partitions Lighting Other Electric People Infiltration Miscellaneous Slab Pulldown /Warm -up Safety Factor Total Zone Loads Component Walls : NE E SE S SW W NW N Glass : NE E SE S SW W Zone Name : KETTANEH RESIDENCE System Name : KETTANEH RESIDENCE Design load @ July 1700 Db /Wb temp. : 89.5/ 76.6 F Details 136 sqft 1,015 sqft 1,251 sqft 136 sqft 0 sqft 0 sqft 1.75 W /sqft 0.50 W /sqft 6 people 0 sqft 5/ 5 0 TABLE 3. ZONE WALL AND GLASS BREAKDOWN Design Cooling Loads Sensible (BTU /hr) 3,294 2,105 5,621 1,379 0 0 7,170 2,051 1,378 942 500 0 1,222 25,663 Design Heating (BTU /hr) 2,483 4,023 2,615 0 0 1,559 0 534 11,214 Total Cooling Cooling Heating Net Area Transmission Solar Load Transmission (sqft) (BTU /hr) (BTU /hr) (BTU /hr) 0 0 - 0 254 683 - 623 0 0 - 0 284 470 - 696 0 0 - 0 273 620 - 667 0 0 - 0 203 333 - 498 0 0 0 0 31 312 1,109 591 0 0 0 0 15 156 250 296 0 0 0 0 0 0 0 0 NW N Hor o 0 0 0 90 912 1,935 1,728 0 0 0 0 MIAM3 OADE PROCESS #: 820021100029.0 BATCH: FOLIO #: 113206014310 SITE ADDRESS: 935 NE 95 ST FEEPAYER: KETTANEH, RUTH 935 NE 95 ST IFSRP_0005T DEPARTMENT OF PLANNING AND ZONING IMPACT FEE RECEIPT TOTAL AMOUNT DUE: PAID CHECK: PAID CASH: COLLECTION NO.: 56781 DATE: 0412312003 MIAMI SHORES FL 33138 FEE DIST. CAT. CATEGORY UNITS FEE EXTENDED TYPE ID CODE DESCRIPTION AMOUNT AREA 1.0 5002 00 UNIT SIZE (SQ FT) 943 0.9180 865.67 $865.67 $865.67 $0.00 CONT . - o ,... ...., ..,. • Name tJ , d /m0A1y 4, c .. Name f, 1 - Y P` �"-C% / h c'iik , , Address ff^^ Address s» i 114 g, szH S r , P7. t.ddi tz 1,4t.., Ft, 3 S 30z a 95 S Telephone c, s _ Fax � ..r - v ^s g Qualifier Name , ec97 . 7 44 sxv Business Telephone PROPERTY OWNER Name tJ , d /m0A1y 4, c .. Name / h c'iik /,1Giljet5 Address ff^^ 95 S Home Telephone T t� ) l / 1 4 i e, V P .tr, re-..t#ae, Business Telephone , t :5 ... 6%. " l cF . 7 , c , Fax Fax - c , / Add'! Attachment ENGINEER Name tJ , d /m0A1y 4, c .. Name e , . g; /,1Giljet5 License No. Repair Demolish Address 1 1 4 i e, V P .tr, re-..t#ae, Telephone , t :5 ... 6%. " l cF . 7 , c , Fax - rH - c , / ARCHITECT Name tJ , d /m0A1y 4, c .. License No. AA -- c.a"c;c Address 33t/ t,i-t 31144 SI. F1' CPL/ gr2 - c & , F[ . X33 Telephone Fax C / -y am 5'4„c,,, , / 2 9 tS TYPE OF MANAGEMENT (✓ ) New Construct on Enclosure Alteration Exterior Repair Demolish Alteration Interior Relocation of Si:ructure Shell Only Foundation On.y Add'! Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from t Step I. Complete the attached permit application which must be signed by the property owner ,tnd qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed apolication with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION• 'lob Address: C • � • C00e Addres% : . Potib°I'fumber, •• • ^'' •',•.= � V 3 J/ 9 Description of Work ,.//`-) F /OCv . .• Lot - . Blcck uhd��sion ` ` ` ` PB PG ( eZ11, Use of Property • • ° dposed Use of Prbi3erty : Tenant Information . e e c c c r c PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other �sf Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Zoning Linear Feet Square Feet � = i J Units Floors Value of Work /.-V '•r: = Bldg Value _ ` Tax Assessed/Appraised Value Flood Zone PERMIT APPLICATION Master Permit No. Subsidiary Permit No. City State e Miami Shores Village: ` /i/Ii -7 , Base Floor Elev. • Zip SECTION BY • DATE Zonin _ / __,n� Electrical Z.�IM /..e, Mechanical a Plumbin: [.i� VI� j Fire Public Works 1111FILMIM211 0 Structural Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) O OTHER (Specify & Attach) PERMIT FEES Metropolitan Dade County (C.C.F.) $ ( sq.ft. = x/1000 x 4.60) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary $ (¢.005 /sq.ft.) $ (4.01 / sq.ft.) " ISSUING OFFICIAL PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) o o o 000000 C • C G 0 • C. 0 O C SO • • • • • 0 • • 0 C C CCVCCC 0 0 C C o C • • 0 • • • C••,. • • REVIEWED AND PREPARED BY: DATE: CONDITION OF PPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http:/ /www.miamishoresvillage.com Page 2 a IMPORTANT NOTICES DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, ANI) MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. • • • • 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving sr:ptic tanks. Department of L►Tvirbnr:entai Rgsources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications ir:vo:ving sewers.` , e ` - o AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER the roDert , certif that all PP Y P P Y,, Y� �•° work will be performed to meet the standards of all laws regulating construction in this juri .;diction. I understand that separate pe js• are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, VV \rhr)W, FENCE DRIVEWAY,, ROOFING and SIGNS and there may be additional permits required from other governmental agenciea.= ` , • I, the OWNER of the property, have disclosed all information related to any work at the properly per>ormed in th ° e prior twe!ce months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under th fand any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1' Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Ha ll on Construction Lien Law and Choosing a Contractor. cribed before i e thi STA Signature o SEAL: Personally known ORIDA, periThrT Y OF AMI- Commission 0 000118/87 Expires 121812008 Bonded trough OR, Produced Identification Type of Identification Produced: STAT F FLO r . Si • , •ta , SEAL: PERMIT APPLICATION C c ore • • • • C C • L Si Print Na Sworn ure of Contractor ( Qualifier cribec 11.44 for day of 01 IAMI -DADE ,, s I 1 � S r e of Florida ... St.... r m, RICHARD H. SIMON `* Commission 8 D00168861 e v. , Expires 1218!2008 ‘4, Bonded through 8 00 - 432 - 4254) Florida Notary Assn.. Inc. ., � � •••••••••• Personally known OR Produced Identification ' C Type of Identification Produced: FORM 600A -2001 Project Name: Address: City, State: Owner: Climate Zone: DATE: ' Itt =I /o3 by this calculation are in co Energy Code. PREPARED BY: OWNER/AGENT: DATE: FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A KETTANEH RESIDENCE 935 NORTHEAST 95 STREET MIAMI SHORES, FL 33138 - KETTANEH South 1. New construction or existing New _ 2. Single family or multi- family Single family 3. Number of units, if multi- family 1 _ 4. Number of Bedrooms 1 _ 5. Is this a worst case? No _ 6. Conditioned floor area (ft 1203 ft 7. Glass area & type _ a. Clear - single pane 136.2 ft _ b. Clear - double pane 0.0 ft c. Tint/other SHGC - single pane 0.0 ft _ d. Tint/other SHGC - double pane 0.0 ft 8. Floor types a. Raised Wood, Stem Wall R =11.0, 1203.0ft _ b. N/A c. N/A 9. Wall types a. Concrete, Int Insul, Exterior R =4.2, 1150.7 ft _ b. N/A c. N/A d- N/A e. N/A 10. Ceiling types :.. Under Attic R =30.0, 1251.0 ft b. N/A c. N/A 11. Ducts a. Sup: Unc. Ret: Con. AH: Interior Sup. R =6.0, 29.0 ft _ b. N/A BUILDING OFFICIAL: DATE: Pnormtnni Inca /Vcrcinn• FI P( Prt 711 Review of th ;.•I� specificatio • • E, calculation' %; t: . a., +t . ce with the Florida En • •` e. Before construction is completed this building will be inspected for compliance with Section 553.908 Florida Statutes. Glass /Floor Area: 0.11 Total as -built points: 14928 Total base points: 17262 I hereby certify that the plans and specifications covered pliance with • - Florida nio Er I hereby certify that this building, as designed, is in compliance with the Florida Energy Code. 12. Cooling systems a. Central Unit Builder: Permitti ig Office: Permit Number: Jurisdic Number: 232600 MIAMI SHORES Cap: 36.0 kBtu/hr SEER: 12.00 b. N/A c. N/A 13. Heating systems a. Electric Strip Cap: 34.0 kBtu/hr _ COP: 1.00 b. N/A c. N/A 14. Hot water systems a. Electric Resistance: Cap: 0.1 gallons _ EF: 0.90 b. N/A c. Conservation credits (HR -Heat recover/, Solar DHP- Dedicated F eat pump) 15. HVAC credits (CF- Ceiling fan, (V -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, MZ- C- Multizone cooling, MZ- H- Multizone heating) FORM 600A -2001 SUMMER CALCULATIONS . Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: •cr■il.•. *iindbl nr:A Fnrm AMA _')M1 Fnornvr -ai moral /FIoAFC'7M1 FI I7r:PR ./3 11 BASE I AS -BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Floor Area Type /SC Overhang Omt Len Hgt Area X SPM X SOF = Points .18 1203.0 32.50 7037.6 Single, Clear N 10.0 7.7 60.0 33.94 0.68 1388.6 Single, Clear N 1.5 6.0 30.0 33.94 0.94 957.5 Single, Clear E 1.5 5.0 24.8 73.03 0.88 1597.0 Single, Clear E 0.5 2.0 6.0 73.03 0.92 402.0 Single, Clear S 1.5 5.5 12.4 62.19 0.85 656.6 Single, Clear S 0.5 2.0 3.0 62.19 0.87 163.1 As -Built Total: 136.2 5164.9 WALL TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Adjacent 0.0 0.00 0.0 Concrete, Int Insul, Exterior 4.2 1150.7 2.28 2623.6 Exterior 1150.7 2.70 3106.9 Base Total: 1150.7 3106.9 As -Built Total: 1150.7 2623.6 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Insulated 5.5 6.40 35.2 Exterior 5.5 6.40 35.2 Base Total: 5.5 35.2 As -Built Total: 5.5 35.2 CEILING TYPES Area X BSPM = Points Type R -Value Area X SPM X SCM = Points Under Attic 1203.0 2.80 3368.4 Under Attic 30.0 1251.0 2.77 X 1.00 3465.3 Base Total: 1203.0 3368.4 As -Built Total: 1251.0 3465.3 FLOOR TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Slab 0.0(p) 0.0 0.0 Raised Wood, Stem Wall 11.0 1203.0 -0.60 -721.8 Raised 1203.0 -2.16 - 2598.5 Base Total: - 2598.5 As -Built Total: 1203.0 -721.8 INFILTRATION Area X BSPM = Points Area X SPM = Points 1203.0 18.79 22604.4 1203.0 18.79 22604.4 FORM 600A -2001 SUMMER CALCULATIONS . Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: •cr■il.•. *iindbl nr:A Fnrm AMA _')M1 Fnornvr -ai moral /FIoAFC'7M1 FI I7r:PR ./3 11 BASE AS -BUILT Summer Base Points: 33553.9 Summer As -Built Points: 33171.5 Total Summer X System Points Multiplier = Cooling Points Total X Cap X Duct X System X Credit = Cooling Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 33553.9 0.4266 14314.1 33171.5 1.000 (1.067 x 1.165 x 0.90) 0.284 1.000 10545.6 33171.5 1.00 1.111) 0.284 1.000 10545.6 FORM 600A -2001 SUMMER CALCULATIONS . Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: I nurrnd]ei Ina TM nr- Fnrm R(fl _911111 norrnA]mino(nl /FhP F C'7f1M FI or Da s( ')l FORM 600A -2001 WINTER CALCULATIONS . Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: Fncrminno ondbl 111^. Fnrn, rune -')MN Fnorrnd:m Irma /Flo F)F N711111 PI P(:PR BASE I A.5 -BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Floor Area Type /SC Overhang Omt LE:n Hgt Area X WPM X WOF = Point .18 1203.0 2.36 511.0 Single, Clear N 101) 7.7 60.0 4.91 0.96 283.2 Single, Clear N 1.5 6.0 30.0 4.91 0.99 146.2 Single, Clear E 1.5 5.0 24.8 3.76 1.03 95.6 Single, Clear E 0.5 2.0 6.0 3.76 1.02 23.0 Single, Clear S 1.5 5.5 12.4 3.55 1.03 45.1 Single, Clear S 0.5 2.0 3.0 3.55 1.02 10.8 As -Built Total: 136.2 603.9 WALL TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Adjacent 0.0 0.00 0.0 Concrete, Int Insul, Exterior 4.2 1150.7 1.02 1173.7 Exterior 1150.7 0.60 690.4 Base Total: 1150.7 690.4 As -Built Total: 1150.7 1173.7 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Insulated 5.5 1.80 9.9 Exterior 5.5 1.80 9.9 Base Total: 5.5 9.9 As -Built Total: 5.5 9.9 CEILING TYPESArea X BWPM = Points Type R -Value Area X WPM X WCM = Points Under Attic 1203.0 0.10 120.3 Under Attic 30.0 1251.0 0.10 X 1.00 125.1 Base Total: 1203.0 120.3 As -Built Total: 1251.0 125.1 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Slab 0.0(p) 0.0 0.0 Raised Wood, Stem Wall 11.0 1203.0 0.00 0.0 Raised 1203.0 -0.28 -336.8 Base Total: -336.8 As -Built Total: 1203.0 0.0 INFILTRATION Area X BWPM = Points Area X WPM = Points 1203.0 -0.06 -72.2 1203.0 -0.06 -72.2 FORM 600A -2001 WINTER CALCULATIONS . Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: Fncrminno ondbl 111^. Fnrn, rune -')MN Fnorrnd:m Irma /Flo F)F N711111 PI P(:PR FORM 600A -2001 WINTER CALCULATIONS . Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: Fneln\ /�^JIInOTM nf. Fnrrn R(1/lf_lnni Fnernv(_ Ine61 /F1.0P N7M11 Fl PP PR J3 `)1 BASE AS -BUILT Winter Base Points: 922.6 Winter As -Built Points: 1840.4 Total Winter X Points System = Multiplier Heating Points Total X Component Cap X Du :t X System X Credit = Ratio Multiplier Multiplier Multiplier (DM x DSNI x AHU) Heating Points 922.6 0.6274 578.9 1840.4 1840.4 1.000 (1.085 x 1.'137 x 0.91) 1.000 1.000 1.00 1.123 1.000 1.000 2066.1 2066.1 FORM 600A -2001 WINTER CALCULATIONS . Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: Fneln\ /�^JIInOTM nf. Fnrrn R(1/lf_lnni Fnernv(_ Ine61 /F1.0P N7M11 Fl PP PR J3 `)1 BASE CODE COMPLIANCE STATUS AS -BUILT WATER HEATING Number of X Bedrooms Multiplier = BASE Tank EF Volume Number of X Tank X Multiplier X Credit = Total Bedrooms Ratio Multiplier 1 2369.00 AS -BUILT 0.1 0.90 As -Built Total: 1 1.00 2316.36 1.00 2316.4 2316.4 Cooling Points + Heating + Points Hot Water Points = Total Points Cooling Points + Heating + Hot Water. Points Points = Total Points 14314 579 2369 17262 10546 2066 2316 14928 BASE AS -BUILT WATER HEATING Number of X Bedrooms Multiplier = Total Tank EF Volume Number of X Tank X Multiplier X Credit = Total Bedrooms Ratio Multiplier 1 2369.00 2369.0 0.1 0.90 As -Built Total: 1 1.00 2316.36 1.00 2316.4 2316.4 FORM 600A -2001 WATER HEATING & CODE COMPLIANCE STATUS . Residential Whole Building Performance Method A - Details ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: Fnnrnv(_w in* TM nr. Fnrm AMA _')nn1 I PASS Fncrrnd]anndkl /FIni�FN7nM FI p(:PR COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows & Doors 606.1.ABC.1.1 Maximum:.3 cfm/sq.ft. window area; .5 cfm/sq.ft. door area. Exterior & Adjacent Walls 606.1.ABC.1.2.1 Caulk, gasket, weatherstrip or seal between: windows/doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at corners; utility penetrations; between wall panels & top/bottorr plates; between walls and floor. EXCEPTION: Frame walls where a continuous. infiltration barrier is installed that extends from, and is sealed to, the foundation to the to plate. Floors 606.1.ABC.1.2.2 Penetrations/openings >1/8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuou:a infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. Ceilings 606.1.ABC.1.2.3 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. All ducts, fittings, mechanical equipment and p lenum chambers shall be mechanically attached, sealed, insulated, and installed in ac,ordance with the criteria of Section 610. Ducts in unconditioned attics: R-6 min. insulation. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non -IC rated, installed inside a sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2.0 cfm from conditioned space, tested. Separate readily accessible manual or automatic thermostat for each system. Multi -story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table E -12. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. External or built-in heat trap required. Swimming Pools & Spas 612.1 Spas & heated pools must have covers (excep: solar heated). Non - commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78 %. Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts, fittings, mechanical equipment and p lenum chambers shall be mechanically attached, sealed, insulated, and installed in ac,ordance with the criteria of Section 610. Ducts in unconditioned attics: R-6 min. insulation. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1, 602.1 Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. FORM 600A -2001 Code Compliance Checklist . Residential Whole Building Performance Method A - Details ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: 6A -21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST 6A -22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences. Fnurn.,roi nr A cnrn, R(NlA2N1/11 GnGrn\ /(_911ncal/PI =PGC CI Pr PR ✓3 ')1 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 86.8 The higher the score, the more efficient the home. KETTANEH, 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- 1. New construction or existing New _ 12. Cooling systems 2. Single family or multi - family Single family _ a. Central Unit Cap: 36.0 kBtu/hr 3. Number of units, if multi- family 1 _ SEER: 12.00 4. Number of Bedrooms 1 b. N/A _ 5. Is this a worst case? No 6. Conditioned floor area (ft 1203 ft c. N/A 7. Glass area & type _ a. Clear - single pane 136.2 ft _ 13. Heating systems b. Clear - double pane 0.0 ft _ a. Electric Strip Cap: 34.0 kBtu/hr c. Tint/other SHGC - single pane 0.0 ft _ • COP: 1.00 _ d. Tint/other SHGC - double pane 0.0 ft b. N/A 8. Floor types _ a. Raised Wood, Stem Wall R =11.0, 1203.0ft c. N/A b. N/A c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap: 0.1 gallons a. Concrete, Int Insul, Exterior R =4.2, 1150.7 ft _ EF: 0.90 b. N/A 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, 1251.0 ft _ 15. HVAC credits b. N/A (CF- Ceiling fan, CV -Cross ventilation, c. N/A HF -Whole house fan, 11. Ducts PT- Programmab':e Thermostat, a. Sup: Unc. Ret: Con. AH: Interior Sup. R =6.0, 29.0 ft _ RB -Attic radiant barrier, b. N/A MZ- C- Multizone cooling, MZ- H- Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: Date: Address of New Home: City/FL Zip: *NOTE: The home's estimated energy performance score is only available through the FLARES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA /DOE EnergyStaW designation), your home may qualify for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -1492 or see the Energy Gauge web site at www.fsec.ucfedu for information and a list of certified Raters. For information about Florida's Energy Effr :iency Code For Building Construction, contact the Department of Community Affairs at 850/487 -1824. EnergyGauge® (Version: FLRCPB v3.21) Summary Energy Code Results • Residential Whole Building Performance Method A KETTANEH 935 NORTHEAST 95 STREET MIAMI SHORES, FL 33138- Project Title: KETTANEH RESIDENCE PASS e- Ratio: 0.86 EnergyGauge ®(Version: FLRCPB v3.21) Code Only Professional Version Climate: South 1/21/2003 Energy Use Base As -Built Cooling: Heating: Hot Water: Total: 14314 points 579 points 2369 points 17262 points Cooling: Heating: Hot Water: Total: 10546 points 2066 points 2316 points 14928 points Summary Energy Code Results • Residential Whole Building Performance Method A KETTANEH 935 NORTHEAST 95 STREET MIAMI SHORES, FL 33138- Project Title: KETTANEH RESIDENCE PASS e- Ratio: 0.86 EnergyGauge ®(Version: FLRCPB v3.21) Code Only Professional Version Climate: South 1/21/2003 Building Loads Base As -Built Summer: Winter: Hot Water: Total: 33554 points 923 points 2085 points 36561 points Summer: Winter: Hot Water: Total: 33172 points 1840 points 2085 points 37097 points Summary Energy Code Results • Residential Whole Building Performance Method A KETTANEH 935 NORTHEAST 95 STREET MIAMI SHORES, FL 33138- Project Title: KETTANEH RESIDENCE PASS e- Ratio: 0.86 EnergyGauge ®(Version: FLRCPB v3.21) Code Only Professional Version Climate: South 1/21/2003 4 SYSTEM SIZING SUMMARY System Name : KETTANEH RESIDENCE 01 -21 -03 Location : MIAMI SHORES, Florida Block Load v2.12 Prepared By : E.& E. CONSULTING ENG. Page 1 of 2 ****************************************** * * * * ** * * * * * * * * * * * * * * * * * * * * * * * ** TABLE 1. SIZING DATA Total coil load = Sensible coil load = Total zone sensible= Supply temperature = Supply air (actual)= Supply air (std) _ Ventilation air = Direct exhaust air = Reheat required = Floor area (sqft) Overall U -value Vent air CFM /sqft Vent air CFM /person Heating coil load = Ventilation load = Total zone load = Ventilation airflow= Supply airflow = City State Data Source Latitude Elevation System Type System Start Duration MIAMI SHORES = Florida User Modified = 25.8 deg.- 7.0 ft SIZING SPECIFICATIONS Supply Ventilation Exhaust -- COOLING 34., - A • hr 8,415 BTU r 25,637 BTU /h 57.0 F ,319 C • CFM 90 CFM 90 CFM 0 BTU /hr 1,203 0.158 0.07 15.00 TABLE 2. SIZING DATA -- HEATING TABLE 3. INPUT DATA -- WEATHER FAN Configuration : Draw -Thru Static Pressure : 13,547 BTU /hr 2,332 BTU /hr 11,214 BTU /hr 90 CFM 1,319 CFM TABLE 4. INPUT DATA -- HVAC SYSTEM : Clg & Warm Air Htg 800 24 hrs 57.0 F 0 CFM 90 CFM 1.50 in. Load occurs @ June 1700 Outdoor Ub /Wb = 88.5/ 76.6 F Coil Conditions: Entering Db /Wb = 75.9/ 64.4 F Leaving Db /Wb = 56.0/ 55.4 F Apparatus dewpoint= 54.9 F Bypass factor = 0.050 Resultinc zone RH = 52.9 0 Total coil load Sensible ccil load SQFT /Ton Cooling BTU /hr /sqft Cooling CFM /sqft Heating BTU /hr /sqft Heating CFM /sqft Floor area (sqft) Overall U -value Vent air CFM /sqft Vent air CFM /person Summer dry -bulb = Coincide.lt wet -bulb= -.Daily Range = Winter. d:_y -bulb = Atmos. Clear. Num. = THERMOSTAT SETPOINTS Cooling (Occ) . Cooling (Unocc) . Heating FACTORS Coil Bypass Safety (Sens) Safety (Latent) HeE.ting Safety RETURN AIR PLENUM : 2.91 Ton 2.37 Ton 413.07 29.05 1.10 11.26 1.10 1,203 = 0.158 = 0.07 15.00 91.0 F 77.0 F 15.0 F 44.0 F 0.90 75.0 F 75.0 F 68.0 F 0.050 5 9 6 5 % 5 % a N SYSTEM SIZING SUMMARY System Name : KETTANEH RESIDENCE 01 -21 -03 Location : MIAMI SHORES, Florida Block Load v2.12 Prepared By : E.& E. CONSULTING ENG. Page 2 of 2 ****************************************** * * * **r * * * * * * * * ** * * * * * * * * ** * * * ** TABLE 5. TOP TEN COOLING COIL LOADS Time 1) June /1700 2) July /1700 3) July /1600 4) June /1600 5) June /1800 TABLE 6. ZONE SIZING DATA Zone Name KETTANEH RESIDENCE Sensible Ton 2.37 2.38 2.36 2.35 2.34 Maximum Cooling Sensible (BTU /hr) 25,663 Total Ton 2.91 2.91 2.89 2.89 2.88 Design Airflow Rate (CFM) T:_me 6) July /1800 7) July /1500 8) June/1500 9) Aug/1700 10) Aug /1600 Design ?ime 1,320 @July :.700 Sensible Ton 2.34 2.32 2.30 2.31 2.31 Total Ton 2.88 2.85 2.85 2.84 2.84 Maximum Design Heating Flow Load Rate (BTU /hr) (CFM) DETAILED SYSTEM LOAD REPORT System Name : KETTANEH RESIDENCE 01 -21 -03 Location : MIAMI SHORES, Florida Block Load v2.12 Prepared By : E.& E. CONSULTING ENG. Page 1 of 1 ****************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** TABLE 1. LOAD COMPONENT SUMMARY for June 1700 ( 88.5/ 76.6 F) Load Component Solar Loads Wall Transmission Roof Transmission Glass Transmission Skylight Transmission Partitions Lighting Other Electric People Infiltration Miscellaneous Slab Pulldown /Warm -up Safety Factor Total Zone Loads Ventilation Load Supply Fan Load Plenum Load Thru Wall Plenum Load Thru Roof Plenum Load - Lights Reheat Load Total Coil Loads 28,4:1.5 TABLE 2. WALL AND GLASS BREAKDOWN Component Walls : NE E SE S SW W NW N Glass : NE E SE S SW W Details 136 sqft 1,015 sqft 1,251 sqft 136 sqft 0 sqft 0 sqft 1.75 W /sqft 0.50 W /sqft 6 people 0 sqft 5/ 5/ 5 % 90 CFM 1,319 CFM 0 % 0 % 0 % Design Cooling Loads Sensible Latent (BTU /hr) (BTU /hr) 3,5E;8 2,007 - 5,514 - 1,210 - 0 - 0 7,170 2,051 1,378 720 877 2,063 500 500 0 1,221 164 25,637 3,447 3,086 1,467 - 0 0 0 0 - Design Heating (BTU /hr) 2,483 4,023 2,615 0 0 1,559 0 534 11,214 2,332 6,533 13,547 Total Cooling Cooling Heating Net Area Transmission Solar Load Transmission (sqft) (BTU /hr) (BTU /hr) (BTU /hr) 0 0 - 0 254 664 - 623 0 0 - 0 284 410 - 696 0 0 - 0 273 597 - 667 0 0 - 0 203 336 - 498 0 0 0 0 31 287 1,119 591 0 0 0 0 15 144 242 296 0 0 0 0 0 0 0 0 NW N Hor o 0 0 0 90 840 2,228 1,728 0 0 0 0 J DETAILED ZONE LOAD REPORT System Name : KETTANEH RESIDENCE 01 -21 -03 Location : MIAMI SHORES, Florida Block Load v2.12 Prepared By : E.& E. CONSULTING ENG. Page 1 of 1 ******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** TABLE 1. GENERAL INFORMATION TABLE 2. ZONE LOAD COMPONENT SUMMARY Load Component Solar Loads Wall Transmission' Roof Transmission Glass Transmission Skylight Transmission Partitions Lighting Other Electric People Infiltration Miscellaneous Slab Pulldown /Warm -up Safety Factor Component Walls : NE E SE S SW W NW N Glass : NE E SE S SW W Zone Name : KETTANEH RESIDENCE System Name : KETTANEH RESIDENCE Design load @ July 1700 Db /Wb temp. : 89.5/ 76.6 F Details 136 sqft 1,015 sqft 1,251 sqft 136 sqft 0 sqft 0 sqft 1.75 W /sqft 0.50 W /sqft 6 people 0 sqft 5/ 5 0 TABLE 3. ZONE WALL AND GLASS BREAKDOWN Design Cooling Loads Sensible (BTU /hr) 3,294 2,105 5,621 1,379 0 0 7,170 2,051 1,378 942 500 0 1,222 Total Zone Loads 25,663 Design Heating (BTU /hr) 2,483 4,023 2,615 0 0 1,559 0 534 11,214 Total Cooling Cooling Heating Net Area Transmission Solar Load Transmission (sqft) (BTU /hr) (BTU /hr) (BTU /hr) 0 0 - 0 254 683 - 623 0 0 - 0 284 470 - 696 0 0 - 0 273 620 - 667 0 0 - 0 203 333 - 498 0 0 0 0 31 312 1,109 591 0 0 0 0 15 156 250 296 0 0 0 0 0 0 0 0 NW N Hor o 0 0 0 90 912 1,935 1,728 0 0 0 0 Miami Shores Village Building Department BUILDING CRITIQUE SHEET l htezd S P CBs c)i; 4d ge P -�'f r €'t - e 1 (.„„A,,.� it d "was . 1,Xt chi IS (2) CAS tAm-L1 C, to,.t) ^- - � ��� 7� 4,49.(4., 5 'Lei 5 c� 5 �, �. � \ D,,eacJ.'1A' S n ! &ft -eke CC l�,wg vhAA . 55/,a. E Permit No. 6i — I Job Name 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 (3 biTT, # BP o3Z 0"'l4 h ( S 14orz -es A ,Ad S � " 4 - a. 1 (L 4oto Eiv 0,0T (010.) A.6uD s . a ti Floc. i2 e r4 12- •-"� All Su6S fit° -e Cs I (or2c �J PA. 477/tc‘-c-c( firxx 03A it c,0C 511< cte 44:e 6 14 44 N7 c, ! S !iv Pu. t 1 ?-ev2 psar S" ppet.o iii%) 1 / s P 1/0 c2 p n` crr poi" fiAfir lit. JIIP.,„AW.11111r/fAiri ,- • l a- al !r am, r .r s A - 410 f :.• I4 v J 7 I • I I A . . ,y if fU Qi!/S wr, '411 4 M qg 1 It irr 1 I !1 BR i � fit. "^d / fir. 4 / .�. 4 AI 1117,11111INW FM Ark AIIPM I� Miami Shores Village Building Department 1Permit No. Job Name BUILDING CRITIQUE SHEET 10050 N Fly 33138 Miami Shoe (305) 7952204 Paz: (305) 756.8972 Om/x PA- -Por Wivaow,s cdo, fie. 434C1e&Q f3oc4ot5 for SobfrtiSSlOAi cP G'GMedmac Pt4A✓f y 4r IL'S(0641444 g r r FORM 600A -2001 j Project Name: Address: City, State: Owner: Climate Zone: FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION KETTANEH RESIDENCE 935 NORTHEAST 95 STREET MIAMI SHORES, FL 33138 - KETTANEH South 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 area & type a. Clear - single pane b. Clear - double pane c. Tint/other SHGC - single pane d. Tint/other SHGC - double pane 8. Floor types a. Raised Wood, Stem Wall b. N/A c. N/A 9. Wall types a. Concrete, Int Insul, Exterior b. N/A c. N/A d. N/A e. N/A 10. Ceiling types a. Under Attic b. N/A c. N/A 11. Ducts a. Sup: Unc. Ret: Con. AH: Interior h. N/A R =11.0, 1203.0ft R =4.2, 1150.7 ft New Single family — 1 No: (136.2ft double 0.0 ft 0.0 f1 Rk30.0 1251.0 11 — Sup. R =6.0, 29.0 ft — Glass /Floor Area: 0.11 Total as -built points: 14928 Total base points: 17262 I hereby certify that the plans and specifications covered by this calculation are in co • pliance wit - Florida Energy Code. PREPARED BY: nio Erru DATE: Florida Department of Community Affairs Residential Whole Building Performance Method A I hereby certify that this building, as designed, is in compliance with the Florida Energy Code. OWNER/AGENT: DATE: 12. Cooling syst;ms a. Central Unit b. N/A c. N/A 13. Heating systems a. Electric Strip b. N/A c. N/A 14. Hot water sy:;tems a. Electric Resi: tance b. N/A Rnorn ,C ar,,i ! \/oreinn• Fl RC.DR '; 11 Bu !der: Pe - mitting Office: Pe - mit Number: Jurisdiction Number: 232600 c. Conservation credits (HR -Heat recovery, Solar DHP- Dedicated heat pump) 15. HVAC credit; (CF- Ceiling fin, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, MZ- C- Multc:one cooling, MZ-H-Multi;:one heating) BUILDING OFFICIAL: DATE: PASS 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. MIAMI SHORES Cap:36.01kBtu/hf — SEER: 12.06 — Cap: 34.0 kBtu/hr — COP: 1.00 Cap: 0.1 gallons — EF: 0.90 FORM 600A -2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: I =norms/ Zoo inutbl nrn Fnrm RM1A_7nM Fnurmo!_no indbl /FloPF c.-) n11 F1 PrPR J1 ')•I BASE I AS -BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Floor Area i Type /SC Overhang Ornt Len Hgt Area X SPM X SOF = Points .18 1203.0 32.50 7037.6 Single, Clear Single, Clear Single, Clear Single, Clear Single, Clear Single, Clear As -Built Total: N 10.0 7.7 60.0 33.94 0.68 N 1.5 6.0 30.0 33.94 0.94 E 1.5 5.0 24.8 73.03 0.88 E 0.5 2.0 6.0 73.03 0.92 S 1.5 5.5 12.4 62.19 0.85 S 0.5 2.0 3.0 62.19 0.87 136.2 1388.6 957.5 1597.0 402.0 656.6 163.1 5164.9 WALL TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Adjacent Exterior Base Total: 0.0 0.00 0.0 1150.7 2.70 3106.9 1150.7 3106.9 Concrete, Int Insul, Exterior As -Built Total: 4.2 1150.7 1150.7 2.28 2623.6 2623.6 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent Exterior Base Total: 0.0 0.00 0.0 5.5 6.40 35.2 5.5 35.2 Exterior Insulated As -Built Total: 5.5 5.5 6.40 35.2 35.2 CEILING TYPES Area X BSPM = Points Type R -Value Area X SPM X SCM = Points Under Attic Base Total: 1203.0 2.80 3368.4 1203.0 3368.4 Under Attic As -Built Total: 30.0 1251.0 2.77 X 1.00 1251.0 3465.3 3465.3 FLOOR TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Slab Raised Base Total: 0.0(p) 0.0 0.0 1203.0 -2.16 - 2598.5 - 2598.5 Raised Wood, Stem Wall As -Built Total: 11.0 1203.0 1203.0 -0.60 -721.8 -721.8 INFILTRATION Area X BSPM = Points Area X SPM = Points 1203.0 18.79 22604.4 1203.0 18.79 22604.4 FORM 600A -2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: I =norms/ Zoo inutbl nrn Fnrm RM1A_7nM Fnurmo!_no indbl /FloPF c.-) n11 F1 PrPR J1 ')•I BASE AS -BUILT Summer Base Points: 33553.9 Summer As -Built Points: 33171.5 Total Summer X System Points Multiplier = Cooling Points Total X Cap X Duct X System X Credit = Cooling Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 33553.9 0.4266 14314.1 33171.5 1.000 (1.067 x 1.165 x 0.90) 0.284 1.000 10545.6 33171.5 1.00 '1.119 0.284 1.000 10545.6 r FORM 600A -2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details l ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: Fnurnv(.7nnnu TM r1/:G Fnrm Rti ff _')(N11 Fl q(:PR J3 71 FORM 600A -2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: I Fnorminne 04.61 nr^.. Fnrm AMA _')M1 Fnorrniron /F lo PF C'7l111 ri P(`PP ,( ")' BASE I AS -BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Floor Area Type /SC Overhang Omt Len Hgt Area X WPM X WOF = Point .18 1203.0 2.36 511.0 Single, Clear Single, Clear Single, Clear Single, Clear Single, Clear Single, Clear As -Built Total: N 10.0 7.7 N 1.5 6.0 E 1.5 5.0 E 0.5 2.0 S 1.5 5.5 S 0.5 2.0 60.0 4.91 0.96 30.0 4.91 0.99 24.8 3.76 1.03 6.0 3.76 1.02 12.4 3.55 1.03 3.0 3.55 1.02 136.2 283.2 146.2 95.6 23.0 45.1 10.8 603.9 WALL TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Adjacent Exterior Base Total: 0.0 0.00 0.0 1150.7 0.60 690.4 1150.7 690.4 Concrete, Int Insul, Exterior As -Built Total: 4.2 1150.7 1150.7 1.02 1173.7 1173.7 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent Exterior Base Total: 0.0 0.00 0.0 5.5 1.80 9.9 5.5 9.9 Exterior Insulated As -Built Total: 5.5 5.5 1.80 9.9 9.9 CEILING TYPESArea X BWPM = Points Type R -Value Area X WPM X WCM = Points Under Attic Base Total: 1203.0 0.10 120.3 1203.0 120.3 Under Attic As -Built Total: 30.0 1251.0 0.10 X 1.00 1251.0 125.1 125.1 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Slab Raised Base Total: 0.0(p) 0.0 0.0 1203.0 -0.28 -336.8 -336.8 Raised Wood, Stem Wall As -Built Total: 11.0 1203.0 1203.0 0.00 0.0 0.0 INFILTRATION Area X BWPM = Points Area X WPM = Points 1203.0 -0.06 -72.2 1203.0 -0.06 -72.2 FORM 600A -2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: I Fnorminne 04.61 nr^.. Fnrm AMA _')M1 Fnorrniron /F lo PF C'7l111 ri P(`PP ,( ")' FORM 600A -2001 WINTER CALCULATIIONS Residential Whole Building Performance Method A - Details ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: I nurm.rng Inca TM rtr Fnrm nnn e_')nn1 C ncrnv!_onnc41 /GhPFN7nn1 FI Pr PR ✓3 11 BASE AS -BUILT Winter Base Points: 922.6 Winter As -Built Points:: 1840.4 Total Winter X - Points System = Multiplier Heating Points Total X Component Cap X Duct X System X Credit = Ratio Multiplier Multiplier Multiplier (DM x C SM x AHU) Heating Points 922.6 0.6274 578.9 1840.4 1840.4 1.000 (1.085 x 1.137 x 0.91) 1.000 1.000 1.00 1.123 1.000 1.000 2066.1 2066.1 FORM 600A -2001 WINTER CALCULATIIONS Residential Whole Building Performance Method A - Details ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- PERMIT #: I nurm.rng Inca TM rtr Fnrm nnn e_')nn1 C ncrnv!_onnc41 /GhPFN7nn1 FI Pr PR ✓3 11 BASE CODE COMPLIANCE STATUS AS -BUILT WATER HEATING Number of X Bedrooms Multiplier = BASE Tank EF Volume Number of X Tank X Multiplier X Credit = Total Bedrooms Ratio Multiplier 1 2369.00 AS -BUILT 0.1 0.90 As -Built Total: 1 1.00 2316.36 1.00 2316.4 2316.4 Cooling Points + Heating + Points Hot Water Points = Total Points Cooling Points + Heating + Hot Water Points Points = Total Points 14314 579 2369 17262 10546 2066 2316 14928 BASE AS -BUILT WATER HEATING Number of X Bedrooms Multiplier = Total Tank EF Volume Number of X Tank X Multiplier X Credit = Total Bedrooms Ratio Multiplier 1 2369.00 2369.0 0.1 0.90 As -Built Total: 1 1.00 2316.36 1.00 2316.4 2316.4 FORM 600A -2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33133- PERMIT #: Fncrnwf_zi ono TM nr A Fnrm RMA_')nn1 P Fncrrnd.`.nnndbl /FIai�GC'7nn1 FI pr .on ,s 71 COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows & Doors 606.1.ABC.1.1 Maximum:.3 cfm/sq.ft. window area; .5 cfm/sq.ft. door area. Exterior & Adjacent Walls - 606.1.ABC.1.2.1 Caulk, gasket, weatherstrip or seal between: windows/doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at corners; utility penetrations; between wall panels & top/botbm 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' :op plate. Floors 606.1.ABC.1.2.2 Penetrations/openings >1/8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continu)us infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. Ceilings 606.1.ABC.1.2.3 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. All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated, and installed in a acordance with the criteria of Section 610. Ducts in unconditioned attics: R-6 min. insulation. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations, sealed; ar Type IC or non -IC rated, installed inside a sealed box with 1/2" clearance & 3" from ins Jlation; or Type IC rated with < 2.0 cfm from conditioned space, tested. Separate readily accessible manual or autom atic thermostat for each system. Multi -story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker (electric) or cutoff (qas) must be pro/ided. External or built -in heat trap required. Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78%. Shower heads 612.1 Water flow must be restricted to no more tha i 2.5 gallons per minute at 80 PSIG. Air Distribution Systems - 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated, and installed in a acordance with the criteria of Section 610. Ducts in unconditioned attics: R-6 min. insulation. HVAC Controls 607.1 Separate readily accessible manual or autom atic thermostat for each system. Insulation 604.1, 602.1 Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. FORM 600A -2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details [ 935 NORTHEAST 95 STREET, MIAMI SHORES, FL, 33138- 6A -21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST Fnorrn_meno TM n(6 Fnrm r.nn Inn, F norn ir2o∎ indSVPI.PF C'7M9 PI P(:PPI 11 PERMIT #: 6A -22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences. ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANC±. SCORE* = 86.8 The higher the score, the more efficient the home. KETTANEH, 935 NORTHEAST 95 STREET, MIAM SHORES, FL, 33138- 1. New construction or existing New 12. Cooling systems 2.. Single family or multi- family Single family _ a. Central Unit Cap: 36.0 kBtu/hr _ 3. Number of units, if multi- family 1 _ SEER: 12.00 _ 4. Number of Bedrooms 1 b. N/A 5. Is this a worst case? No _ 6. Conditioned floor area (11 1203 ft c. N/A 7. Glass area & type _ a. Clear - single pane 136.2 ft _ 13. Heating systuns b. Clear - double pane 0.0 ft _ a. Electric Strip Cap: 34.0 kBtu/hr c. Tint/other SHGC - single pane 0.0 ft _ COP: 1.00 _ d. Tint/other SHGC - double pane 0.0 ft b. N/A 8. Floor types _ a. Raised Wood, Stem Wall R =11.0, 1203.0ft _ c. N/A b. N/A c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resi: tance Cap: 0.1 gallons a. Concrete, Int Insul, Exterior R =4.2, 1150.7 ft _ b. N/A _ b. N/A c. N/A d. N/A c. Conservation credits e. N/A (HR -Heat rec )very, Solar 10. Ceiling types _ DHP- Dedica:ed heat pump) a. Under Attic R =30.0, 1251.0 ft _ 15. HVAC credit: b. N/A _ (CF- Ceiling fin, CV -Cross ventilation, c. N/A HF -Whole he use fan, 11. Ducts PT- Programmable Thermostat, a. Sup: Unc. Ret: Con. AH: Interior Sup. R =6.0, 29.0 ft RB -Attic radiant barrier, b. N/A MZ- C- Multizone cooling, MZ- H- Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: Date: Address of New Home: City/FL Zip: *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 EnergyStaT designation), your home may qualify for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -1492 or see the Energy Gauge web s?te at www.fsec.ucfedu 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. EnergyGauge® (Version: FLRCPB v3.2 L) EF: 0.90 KETTANEH 935 NORTHEAST 95 STREET MIAMI SHORES, FL 33138- Summary Energy Code Results Residential Whole Building Performance Method A Project Title: KETTANEH RESIDENCE PASS e- Ratio: 0.86 EnergyGauge ®(Version: FLRCPB v3.21) Code Only Professional Version Climate: South 1/21/2003 Building Loads Base As -Built Summer: Winter: Hot Water: Total: 33554 points 923 points 2085 points 36561 points Summer: Winter: Hot Water: Total: 33172 points 1840 points 2085 points 37097 points KETTANEH 935 NORTHEAST 95 STREET MIAMI SHORES, FL 33138- Summary Energy Code Results Residential Whole Building Performance Method A Project Title: KETTANEH RESIDENCE PASS e- Ratio: 0.86 EnergyGauge ®(Version: FLRCPB v3.21) Code Only Professional Version Climate: South 1/21/2003 Energy Use Base As -Built Cooling: Heating: Hot Water: Total: 14314 points 579 points 2369 points 17262 points Cooling: Heating: Hot Water: Total: 10546 points 2066 points 2316 points 14928 points KETTANEH 935 NORTHEAST 95 STREET MIAMI SHORES, FL 33138- Summary Energy Code Results Residential Whole Building Performance Method A Project Title: KETTANEH RESIDENCE PASS e- Ratio: 0.86 EnergyGauge ®(Version: FLRCPB v3.21) Code Only Professional Version Climate: South 1/21/2003 !' / 4, :tvr5 7 10 :,iv.40 vvvi -v 0 14- s'11f a�a ti 2d pz►v m o 14. /n7. 55 7-74 asp.I/ •s p_.vv/ ...icy • $ -, 7 1 . ! u4 I �? ,, 2'2it'V ! • u-oi/ ' • -'/d •i /. ' • .�. $1.(4141,14,14_ 5 v t /772 Lrno1'S �,►a� f a/ S)9 7 -z ?W. few J • i'4'2 9 - i ' -111;141 t /off j a� f s w►n /o7 /tea /S a W �'� ,.L/!/ r -� NU-02 AaI - 7" ll i1a� ate' �9 TR srim - ter? 9ut f s i7J 2J / us q nia dogs,.. paA !/k 'g' f 14 '0 g.) DOI zova• 1/ ramr maid -q . fua /UJ iptfl ?V <ia $fl -L o —a VS 56 -N 5 £ b - y a Nv¢- : = =or P°..nait Application (signed by person perfo=ing the work, =nt:rac;.or and the property caner, both signatures. rota :_ed) . R :Ttib • • ' vets of Dlays /drarin sicced and sealed ;y registered 2rC'►.. • : t °�• Or • �, • • � .. .. e.:ilnee_•.• • • Occ:ctialtci es by G?•ccp Ciassifict_cn must be on plans and .... r : •.ii t anpli All plan t include. folio nember and property • • % ••• ess. • • Aberi ied plans, in addition to the abo're, oast also include the • 7 .... ! : • t IItmL•.• • • • • /.... .4WiC��•• t iculatio s sic e:.' and 1 _ L • • ato rcable • • • 5e" by ==�' tee' c_ engineer when • • . •' Four sets of energy calculations, signed and sealed _Viv sets of signed a sealed Tress Clams (Eng_r _-) . DADE County or State of Florix}a Pry Ls for rcof materials, sheds, windoh5, etterior /germge deers, altminL'.; carports, screen enclosures, shutters awnings, skylights, franc: do ors and etc. royals frcm .r ti DADE CA untY Isxct Fee Section, Fire Department t (when aggli G_e) . DFRH Warranty Dee or Other Proof of Q.te h p if necessary. Ssuctaral. Revieai fee 0 ,o 6 d Notice of Commencement r Czpy SATE OF BILIZEDA ax _ C?�'ICN (t.ER) S S REGISL'. rON »D DADE COUNTY Cl21 ? cy LICE. C:,oy of �*�- =e_nt C 2ATIGaL LI sir is ' C�(Sr =.cr crafty (p. :+'CteL•e :e55 _Ct� . Certificate of Insurance for tIARL,T TY "' (dd.: tC Shores d - := ace). Czecif-cte of Instr.nce for ?'S C P (addressed tc :Liao! L ShoresVillage) or if exempt. _1C State of Florida LES Form FOE-204, Curs`- ctioor, Indus` ?(otic of Election to be Exempt �' - //a_a_e, 1A.. PLEASE stains EVER:MEM c c r ow =h. (2 051 - 2 7 :14 AX .. B.+'rr fl G -° = /=.NMA C_'O"•?.S RMIS akTICY • • err ,fit syrvey of the proee�r. • • Certificate of Elevation signed arc sealed by sue- reror. albstmntiai Tmprove:cents checklist (=at-motor e= C t1e;) . . q35 N5 1 i ce'. d PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING I ZONING DEPARTMENT • SECTION BY DATE ZONING • • • ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL t. Subject to compliance with all Federal. State. County.Yalage cute: and regulations. Village mimes no responsIbplty for accuracy offor resutts from these plans. 2. This copy of plans must be available on Wilding site or no Inspection will be conducted. DATE ZONING CRITIQUE SHEET JOB ADDRESS ?,3 5 it . c. ` s S/ APPLICANT PHONE ft APPUCATION //o/T /0 /t/ SHEET OF MISCELLANEOUS COMMENTS 03 /VE'er 5"?.( 8 ' AJF 1 r Oe 6 44/lirtf X9/eVeY) G --/evn)T - &l-Lervr9iav INITIALS PERMIT NO. - • ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY ■ DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL I. Subf ect to compliance with all Federal. State. County.Ydlage rules Ind regulations, Village assumes no responslbWlty for accuracy ()floc results from these Bans. 2. This copy of plans must be available on building site or no Inspection will be conducted. SHEET OF va a s a ■' .'-'L %JA I L L 1 JOB ADDRESS 5 E ? s --5- 1 - APPLICANT PHONE f# APPLICATION 4M/ OA/ MISCELLANEOUS DATE MUG COMMENTS 3 f ) 6) (YN T Et-e 01 g,3 N FCOO QoN S l te&e7(d / /S rVo 0`� o�U►�t' v 4E 4- f &s' Dr r/a&) Ca) S rtcL 5 C N l (le Lfrrit 5 "(Cc(' Co tv5T4i4c c n 1 5„,- , mice- 1( INITIALS ' (i) FaN S /0c- E s D6 ivcr (- Q f (fr C� ) JO ( L6 f 0 En/-14 • continue the permitting process. _Aliattu,(CitotaTilla BUILDING AND ZONING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138-2382 TELEPHONE 1305) 795.2204 FAX 1305) 756.8972 RECEIPT _ ( I, contractor /owner, picked up 2 sets of plans for ( address) from the Building and Zoning Department on (ate) to have corrections done to plans and/or get County stamps. I understand that the plans need to be brought back to Miami Shores Building and Zoning to PERMIT NO. ADDRESS: . MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' pq E SECTION BY ZONING ELECTRICAL MECHANICAL PLUMBING FIRE " PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to cot pllance with sit Federal, State. County. Village cute end regulations. Vit(age assumes no responsibility for accmcy oflor testis No these plans. 2. This copy of plans meat be aeal(abta on building site or no inspection wail be conducted. SHEET , _OF CRITIQUE SHEET JOB ADDRESS ?� 5 A C. • ! s- sr APPLICANT PHONE ft n • APPLICATION �v // ? /D MISCELLANEOUS BUM • COMMENTS • e i ' iV EV (;de 4' c OM r w,ru Q F etc- q INITIALS PERMIT NO. • • ADDRESS: . MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT• SECTION BY DATE ZONING • ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS • STRUCTURAL BUILDING OFFICIAL 1. Subject to cocnplianca with alt Federal. State. County. Village rules and reputations. Vitiate tssczates no responsibility for accurrcy otlor results No these plans. 2. ThIs copy of plans must be ayallabta on tuning site or no Inspection Mil be condccted. JOB ADDRESS 9 3 - 7 1(1 .E 75 -5 APPLICANT PHONE f# APPUCATION 4Mi SHEET OF MISCELLANEOUS CRITIQUE SHEET DATE ZONING • COMMENTS h-//0 ) G c), Ai 6 Erna C N 7 I/e77d'U -s 440 h'J'/ 5-T"1 L L 5 , LA --rk,c CD APSI R r; G INITIALS 3 ) 3i6 6) f r s)0c /97 /US ,D a AJOj O r gr (it) (-2 DErm. pcolz- --C7 • 4 4 P c r 4 W ialno& s• ) </bA 303 SITE: Ke/i - 9.35' Alt 95 5," IMF OP REITT corz scr.r.ori PAGE I.C=GN - rs V 5 h-4'`41 E X / tvkle47 $/Z foo77 Ala 2 -- Stlyuct, • rouodq..iions. v1• H. p/ail. :r • /NI ■ • crs 3/2//» ziut-a Ora / 7)'-u5 f Protiv/14 55 14144-5 fi roved ;(S7 h g eeer / 14,v d oe-sirt rei/e977 Also, re-fa e sled •iv7A7)4rot.... tri‘t 51 h-e- pi-el/iota iv Me o;-- .0e4-4-27/ ferro_ee - /eve-/ ev / g woo d_ e. 7 ea j $ l e- C-0 /Lc ki *Petal-- pi be- se-warie4 ,0 a t.A.) atL bea..144, A7 goal- P14,4, /PI oti- cer_le NJ / e z 8 1 5 pe /1 4 #-, - -1 /7) • the n-,4;yi .4,5 h otvi4 ‘• Al ezo( 5eit/ 514- le 44 . 4 eL- AUnder-lii;14 la 197r- ea1 6-ea. CZ) ca S 1 Get-6-S r /ea.,e/s. pe_faif how Me 0-01 7 zvill n ne ext 1Au hear.", 4vL1 re;nPai-ee. this cearner, 1P r - c-ovi lc .- t7 6 pp/4 // ni 5 17,feis 1414“/ beay. Oil.. live exist „ /7 0/ wood i/7; v e of 5 Gr-P 1 evid t 4 nee9fr— 7H/5 //1.41/e. 1 N /5' le_E :7 ;;TFa7E F F PtDA, COUNT OF DADE q I HEREFY CERTIFY that this is a true copy of the Jay of pr;tv3t fi :earn thus office on file? Sea a t Circuit t•vlTMcss m y h HARVEY RUN By Notice of Co Permit Number: State of Florida II 3tgeL., 0 l L( 3110 The undersigned hereb County of Dade y gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statute, the following information Is provided in this Notice of Commencement. Legal description of prqperty and street address: Description of improvement: Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: Contractor's name and address: L4 i my Cowls D.C. NOTICE OF COMMENCEMENT encement must be filed If the ase file at 22 NW 1st Street, Surety: (Payment bond required by owner from contractor if any) Name and address: Amount of Bond: S Lender's name and address: Name and address: Expiration date different te is Print Owner's Name: Sworn to and subs day of P sonally Known, or Pro •u Oath taken 003. Oath not taken b valuation of $ 2,500.00 and/or more in labor and material. '' Floor, Miami, Florida (305) 275 -1155 Folio Number: Persons with the State of Florida designed by Owner upon whom notices or other documents may be served as provided by Section 71 3.13(1)(a)7., Florida Statute: In addition to himself/herself, Owner designates the followin Section 713.13(1)(b), Florida Statute: 9 permit(s) to receive a copy of a Lienor's Notice as provided in Name and address: o • of Commencement: (the expirations date is one (1) year from the date of recording unless a (Signature of Owner) Prepared by: dres. • '0 t _ „ . Notary Pu . lic: - t , Print Notary's Name: - Commission Expires 1111111 11111 11111 1111111111 11111 11111 11111111 C-F N 2003R0637 4- . OR Bk 21598 Ps 4327; (ips ) RECORDED 09/0/2003 14:34 :57 HARVEY RUVIHP CLERK OF COURT TIIAMI -DADE COUNTY, FLORIDA LAST PAGE INN I•.- 3'3i 3 �; Page 2 IMPORTANT NOTICES I. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. • • • • 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. 12epartryent of Brlvirt3nrOental Risources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications iA vowing sewers. • • • •-•-•-• • • •••• • AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNWt9 Ole propgt yeertify fit? 11 work will be performed to meet the standards of all laws regulating construction in this jurisdiction. 4441p that separate pei its' are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE:'DRIV WAY - ROOFING and SIGNS and there may be additional permits required from other governmental agencies... I, the OWNER of the property, have disclosed all information related to any work at the proper4 performed'in the prior twet.Q ., months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under tAis an any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Ha ll on Construction Lien Law and Choosing a Contractor. e of Owner ORIDA, ceIT NTY O STA Signature o SEAL: Personally known .N. F AMI - D' s H. Commission 0 0001(8/p Expires 12/6/2000 ����7��r��BByonded Itimugh 4254) N Flori a Notary • Assn.. I OR, Produced Identification Type of Identification Produced: STA •F FLO IAMI -DADE Print Na Sworn Signature SEAL: PERMIT APPLICATION • • • •••■••• • • • • day of C./ of Florida RICHARD H. SIMON % Commission 8 DD0168667 <= Expires 12/6/2006 a;aa Bonded through 800 - 4254) Florida Notary Assn.. Inc. ! mu..... Personally known 1/ OR, Produced Identification Type of Identification Produced: CONT Name ' / A t2:1 0. Akepez,6 License Not j G ,(7 / Address N i >4 �, znlD S r. F T Lg tlh,retz 174 t., re-. t S 300 Telephone eyr y _ 5 _ Fax 9 ..r - v, s,-.64, r /,?$ Qualifier Name e ®7_,7, zii 5x5 PROPERTY OWNER 1 Name / Address 3 13 /( / _ , a S Home Telephone l) • Business Telephone Fax cTry <ci,P, / y9 `L Fax Relocation of Structure ENGINEER Name 0,_ .- l"' '. /9 //vASf7 License No. Telephone / f7 `seb.c— g /c7 e" Address t r1 Gr Q /� . F7 Ldp *P*n Pµ/E, Ft. .tf.c.o€1 Telephone gxy 5 ._cf...7cc, n Fax cTry <ci,P, / y9 `L ARCHITECT Name M , 6 ..,(9A1 y s g 'C. License No. Address 3 ? / I ,/, b, 3Zf b si, F tot tJ7 12- -cll r rt-• SSior6 Telephone / f7 `seb.c— g /c7 e" Fax -l ' . `(+CC — / Z Q 6 TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'l Detachment Other INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION • • • C ': •• . dob Address: .•• . • •••••• •••• Addis 4 fkti0•Number • • "• . H ••••• s • •• 1-04 Biqa. idposed Use o'f Prailerty : • • • • - Tenant Information • PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other 75? :.,•. . ,,, r Apt. PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT APPLICATION Master Permit No P2..D3i 6a) ) Subsidiary Permit o. City Value of Work 4,s / State Description of Work iV 17-1 ). >Ision • • '•' 'PB PG Zoning Linear Feet • Li �,pj Use of hope,rty • / Square Feet // Square �� Units Floors Bldg Value Zip • Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Centrat I' ¶'Qn Flood Lights Plugmold/Strip Subfeeds, No. of Amps .4/A jVindo* • • • • • • • • FPL -Load Central Posts Swim Pool, Commercial • Air Conditharte '. ' Garbage Disposal Range/Range Top Swim Pool, Residential • :ether • "' : • :Generators, etc. Receptacles Switchboards 'Clear Violations •••••• •••••• •• • •- Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction .mjactor • - • •: •, • • • • Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days • R3p • • • „ • Low -volt, Fire Renew - Temp Service Water Closet • Dem41rtion . . • • ...'Low -volt, Intercom/Teleph. Repair Circuits Water Heater Vi • • • • • • •Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. • • .. • • • • • •. • •• RECEIVED AND REVIEWED BY: DATE: SECTION BY • DATE Zonin: / '✓ -1:1 f1 / T � E I7 Electrical U /��i�� Wrgia Or NeAllinallIM . -... / - 7e' Mechanical Plumbing Fire Public Works Structural IIIFIZMIIII Ir���ri.� QD 03 W. Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) $ Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine $ Zoning Review Notary $C< $ 3 oo $ J �/ $ s.D $ 10, 0 O (¢.01 /sq.ft.) Ca ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) ( x .60) x/1000 (¢.005 /sq.ft.) REVIEWED AND PREPARED BY: PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) •• • • • • • • • • • • • ..•. • • ..•• • . • • • • • • • • • • • • • • • • ..•. •••• • • • • • • •• • . • S. • • • • • • • • • PERMIT FEES • •• 1S, a-0 t,;-1441(4 cLALLA TOTAL $ L1 3 • FO ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com • • • • S Miami Shores Village 10050 NE 2nd Avenue ORDER OF Phone: 305 - 795 -2204 Printed: 5/29/2003 Applicant: RUTH Owner: JOB ADDRESS: 93 Contractor Local Phone: Parcel # 1132060143110 Fees: FEE2003 -3246 FEE2003 -3247 FEE2003 -3248 FEE2003 -3249 FEE2003 -3250 FEE2003 -3251 FEE2003 -3252 Description Building Fee Builders Bond CCF Notary Fee Inpector State Educational Fund Zoning Review Structural Fee Total Fees: Amount $1,930.00 $300.00 $76.80 $5.00 $10.00 $40.00 $75.00 $2,436.80 Total Fees2,436.80 Total Receipts: $0.00 Permit Status: APPROVED RUTH POLLEY- KETTANEH 2263 EDSALL AVENUE RIVERDALE, NY 10463 PAY TO THE U `` aq e_ \ 0 a U ),' 5 icyec $ ay,8 W sT sjSD LLARS 8 583 WEST 235TH STREET BRONX, NY 10463 MEMO 1 :0 2 19 L 13691: 1 3 1086 ill' NE 95 Permit Expiration: O S L 9 Building Permit Permit Number: BP2003 -681 -F LLEIL RUTH ST )21t4-s.)4, Contractor's Address: Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 20 & 21 10/25/2003 Construction Value$128,000.00 50 1 1 9 3 6 519 1310861 DATE �� Page 1 of 1 BLK 76 LOT SIZE 100.000 compliance with all ordinances and regulations pertaining thereto and in strict Aiaml Shores Village. In accepting this permit I assume responisibility for all work BY: City w Tenant/Lessee Name Code Enforcement $ Total Fee Now I1ue $ r l. °iOv 1 2 'U;4 BUILDING PERMIT APPLICATION FBC 2001 Contractor's Company Name Contractor's Address State Certificate or Registration No. • (Continued on opposite side) Building Permit Type (circle): Electrical Plumbing Mechanical Roofing i< u 4- Fpu• w tkPhone # Owner's Address I S I l` CF k SThe Owner's Name (Fee Simple Titleholder) City G-( 1 /"\ t +6426- [ , State f Job Address (where the work is being done) Miami Shores Village is Building Historically Designated YES NO l w• City State Zip Qualifier Architect/Engineer's Name (if applicable) $ Value of Work For this Permit 1C0 Square Footage Of Work: Type of Work: ['Addition 1=1 Alteration ❑New k Repair/Replace ❑ Demolition Describe Work: P— e.T 164c -r= 15 //D• c (I■) < ck F 'a)e ,. t�G4�s f S o � O cc s e _ * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /00 CCF $ 0, CO /CC Notary $ Training/Education Fee $ pa,Q Technology Fee $ a, 560 Scanning $ 3 Radon $ Zoning Bond $ 10630 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 - Qct3 eL; 'rex N/« 935' 9S- Structural Plan Review. $ Permit No. 6 + a --) `AY - 1 Master Permit No. Zip 3 3 l Phone # Phone # J (�2 •-c County Miami -Dade Zip Certificate of Competency No. /J/ Phone # NOM 6 ?MO CNib \ 1 Bonding Company's Name (if applicable) Bonding Company's Address 1\:\ City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City 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 Z..-/ Chc 05/13/03 My Commission Expires: 9/z zbv APPLICATION APPROVED BY: State Zip Signature Owner or Agent The foregoing instrument was acknowledged before me this /S /ti The foregoing instrument was acknowledged before me this day of A/piegeogg 200 by /lur,c/ / , day of , 20 , by who is personally known to me or who has produced Zije' 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 PUBLI `t ►+!`� ?fie' Robert Hayden Armstro % OTARY PUBLIC: "`i� 4).. . .. Commission #DD2409 Sign: .. .'' *E Ex, ires: Se 22, 2007 Sign: % ±;i' o . i oAs' Bonded Thru > .� Print: o. � Ce•Jrie 0 r%' Atlantic Bonding Co., Inc. Print: My Commission Expires: Contractor Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/18/2004 Applicant: RUTH Owner: POLLEY JOB ADDRESS: 935 Contractor Local Phone: Parcel # 1132060143110 NE 95 Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2004 -1484 POLLEY RUTH ST Contractor's Address: Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 20 & 21 Page 1 of 1 BLK 76 LOT SIZE 100.000 X Fees: FEE2004 -11592 FEE2004 -11593 FEE2004 -11594 FEE2004 -11595 FEE2004 -11596 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $100.00 $0.60 $0.20 $2.50 $3.00 $106.30 Total Fees: $106.30 Total Receipts: $106.30 Permit Status: APPROVED Permit Expiration: 5/11/2005 Construction Value: $100.00 Work: REPLACE 15 LN FT WOOD FENCE In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. BY: PAGE 2 0 NOT VAUD WITHOUT PACE E I OF 2 03 -0304 JOB No. LOT 19 BLOCK 76 NP OW No I.D 1.70'CL DRWY. U.P. B.O.S. ▪ NC A' BLDG. C.B. C.B.S. CH. CI- CONC. RP OW No I.D 6WP -J V a U) a ' 8.50' r GYM • \ 15.10' 4' 4100' ••15' •.b :17 1.5' . g • NC 2.552.5' 14.40' _❑ 28.50' • 0 ID b /14.00 BOUNDARY SURVEY 18.00' LOT 20 BLOCK 76 15.00' 18.50 . 23.35' - ELEVATION S.LR. - DRIVEWAY P.O.C. UTILITY POLE F.N. ▪ BASIS OF BEARINGS P.T. AIR CONDTIONNO PAP E.N.C. ARC DISTANCE F.H. ▪ BUILONG F.LP. ▪ CATCH BASIN F.LR. CONCRETE BLOCK STRUCTURE I.F.E. CHORD DISTANCE - CLEAR ▪ ODDER UNE CONCRETE 15' ALLEY 1 00.00'(R$M) 4' cLP • 18.50" • • • tu 2 FUCK 12.40 • ASPHALT • . 55.50' 19'ASPHALT PAVEMENT P.I. SET IRON R00 P.R.0 ▪ POINT OF COMME11- ENT P.C. ▪ FOUND NAIL F.N.D. .■ PONT OF TANGENCY P.C.C. ENCROACHMENT U/L FIRE HYDRANT ▪ FOUND IRON PIPE - FOUND REBAR - LOWEST FLOOR ELEVATION I.P. - UGHT POLE (M) - MEASURED (R) - RECORD (R t M) - RECORD & MEASURED N.G.V.D. 0.E P.B. P.CP. P.O. P.O.R. P/L N.T.S. LOT 21 MOCK 76 ONE STORY RE5 #935 NE 95th ST. 15.40 1 00.00'(8 *M) . a :5' SWK 24' PARKWAY NC 3513' • 18.50' 8.0' PONT OF INTERSECTION ▪ POINT OF REVERSE CURVE ▪ POINT OF CLRVATURE ▪ FOUND NAL/DISK ▪ POINT OF COMPOUND CURVE ▪ MONUMENT UNE ▪ NATIONAL GEODETIC VERTICAL DATUM OVERHEAD ELECTRIC UNE ▪ PUT BOOK ▪ PERMANENT CONTROL POINT - PAOE - POINT OF BEGINNING - PROPERTY UNE NOT TO SCALE 14.87 X 15.10'' -• A 15.80' EFRAIN C. LOPEZ PROFESSIONAL LAND SURVEYOR No.2300 12784 N.W. BOTH COURT, HIALEAH GARDENS. FL33018 PHONE(305) 558-4779 c MP SCALE: 1" - 20' OW No ID 1.23'CL e -1/ -K— izra D/C R RAD. RED. R/W SEC. S.I.P. STY SWK UE LOT 22, 'MOCK 76 O Ln N D[ W RP OW cci No LD A 300.00' e Ei 1 W z - CENTRAL ANGLE • WOOD FENCE (6' HIGH) - CHAIN UNK FENCE (4' HIGH) -C BS WALL - BLOCK CORDER - RADIUS ▪ RADIAL RESIDENCE - RIGHTOFWAY SECTION - SET RON TOPE - .STORY ▪ SIDEWALK ▪ U' .1.I1Y EASEMENT 4 2 LOCATION SKETCH E 1 OF 1 SCALE: NTS ShORELAND BLVD N 5th ST. JOB No. 03 -0304 CLIENT. RUTH KEHANEH PROPERTY. ADDRESS 935 NE 95th ST. MIAMI SHORES,FL 33013 LEGAL DESCRIPTION: .(FURNISHED BY CLIENT) LOTS — 20. AND 21. BLOCK — 76 SUBDIVISION MIAMI SHORES SECTION No. 3 ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 37 OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. SUBJECT TO ALL RESTRICTIONS, RESERVATIONS, EASEMENTS AND RIGHT —OF —WAY OF RECORD, UNDERGROUND ENCROACHMENTS IF ANY, NOT LOCATED. LEGAL NOTES - THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCORDANCE WITH THE DESCRIPTION FURNISHED BY CUM' NO SEARCH 0 PUBLIC RECORDS HAS BEEN MADE BY THIS OFFICE FOR ACCURACY OR OMISSIONS. SUBJECT TO OPINION TITLE. I HEREBY CERTIFY: THAT THE ATTACHED BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS TO THE BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED PLATTED UNDER MY DIRECTION; ALSO THAT THERE ARE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN, AND THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS SET BY MINIMUM FLORIDA BOARD OF LAND SURVEYORS AS SET FORTH IN 4 F.5) AND CHAPTER 61G17 -6 FLORIDA ADMINISTRATIVE CODE. ELEVATIONS REFER TO: NOV DATUM 1929 A.M. USED B ELEVATION$ LOC agNAINKIEQBMABat 8.74' FEET B.M. ATED_NE 96 ST_ 66 NORTH OF CA NE 10 AVE _ 23.50' WEST OF CA RASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY DATED OR SITUATED REVISED ON 7 - - THE HEREIN DESCRIBED PROPERTY IS SITUATED WHIN ZONE BASE ^ BE FLOOD ELEVATION NA , COMMUNTW 1 2 0652 PANEL NUMBER 0093 SUFFIX lIEE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. �TIR CI3ED Ta — RUTH KEHANEH THE LIABUTY OF THIS SURVEY IS LIMITED TO THE COST OF THE SURVEY. ER THE SURVEY DEPICTED HERE IS NOT COVED BY PROFESSIONAL LIABILITY INSURANCE. SURVEY DATE: 03 -05-03 . OF NOT G SP! PAGE BY C EF C. LOPEZ PRO AWAL LAND SURVEIO 127134 COURT, T GARDENS, FL33010 PHONE:(305) 558 -4779 'NOT WUO MO UT TIE SIGNATURE. GATE ANO 11E OIGONAL ROM SEAL 0► A RAMA UOGaE SUM= M0 WPM' MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 507/0 Time Type Insp'n Permit No. MP 2603 6 8/ Name keT/oaeLi Address ?35 4% 7s sr • Company Phone # ( ' 5 9 - o /// For Inspector:155/ 3 = P. Name & Date Approved Correction Re- Insp'n Fee - '❑ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 =795 -2204 Building rnspection Request Date / ?7A 3 Time TypeInsp'n 4 Permit No. P 200 3 - C 8/ Name cr //0 // ° ti Address `/ 15 5 /l/L 7S 5 7 • Company Phone # ( `x'05) ya2... 0 /// For Inspector: Approved Correction Re- Insp'n Fee Name & Date MIAMI SH I E3 V LLAGE BUILDING INSPECTION DEPARTMENT APPLICATI ®N FO i'" LIILDING PERMIT ,] +y� 7 _ ,19 Owner's Name and Address l I.(Z 1 M n 5 0 �'t .! .e bI'e4/zt4o Street_ N ` Ci Registered Architect and /or Engineer t 1-1..N. Name and address of licensed contractor F e t) -Q 3 ^C. ® „ L it t q te4-' Location and legal description of lot to be built on: ( C Lot )— o 1 Block ") (o Subdivision I ! Street and Number where work is to be done C O , f 1./ El q ,r S - t— State work to be done and purpose of building (by floors) t'_ - \ ( 1 < 71) 1.2 4 N Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date I 1 and for no other purpose. New Building Remodeling Addition ✓— Repairs No. of Stories To be constructed of C f b S Kind of foundation C o tV 4 2_.e t &. Roof Covering 1 5 w i I t .._V Estimated Total cost of improvements $. l__SY_Lh — Amount of Permit $ Zone cubage required plan Cubage 4 4 c �� Distance to next nearest building Size of Building Lot C9 l Maximum live loa.: Lo 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 \Vorkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be pej#ormed under this permit, as are licensed by Miami Shores Village. Remarks____ (Signed). STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. , Permit No 1 Date Read, Sworn to and Subscribed before me. Disapproved 1 - -.__ Date Notary Public, State of Florida (Signed) Building Inspector ' My Commission Expires PLANNING BOARD DATE Chairman Member Member __.__ Member Member ..._ Member Council Approved. Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. OWNER'S NAME IMQ. 4 tics- s. JoMN 6. w,t..sNCEa.. PRESENT ADDRESS qtr 14. ' s LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) `t 3s cv.E • tr ST , LOT zo. vi BLOCK ? c.. SUBDIVISION 14.n.4.., Sp4ewe.E s SEe—T er 1 GENERAL CONTRACTOR Fr¢.e0 -- J • 'TO u is. eA_ ADDRESS 2 6. 0 E. 4,3' / PHONE NO, LICENSE NO. Z•f Z BUILDING PERMIT NO. 1317 ` 1 DATE 'Z_ - 11 PERMIT FEE $ Z 1. Zr BUILDER'S BOND NO. DATE G. ZONE REQUIREMENTS CU. FT. Z PLAN CUBE I T 3 [• Z ( -- CU. FT. EST. COST S - • (L1 DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: L'�• 3r�'� r'r� DA 12-7-11 NEW CONSTRUCTION TYPE LAS S STORIES °" e ROOF CONSTRUCTION %..• 14 L✓• INTERIOR CONSTRUCTION 1 F74 nti.46.•./ t2 e+.'1 AIo REPAIRS //►► DESCRIPTION _ ^ C'u.C. -e 4e •► (.ter: p(.. o.re1 w..cl s 6 . J� Cs; I I N� • Las .P el DESCRIPTION ALTERATION ADDITION +o 1_ 4s a ip Tr.... 'II 1e SM.' SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTFO TO VILLAGE. COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY I TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE ( BY INSPECTIONS DATE BY FOUNDATION I ROOF SEPTIC TANK FEE BEAMS & LINTELS I POOL TUB & TOP OUT H. W. HEATER CONN. FRAMING SOLAR HEATER AIR COND. RANGE CONN. $ FINAL I CLEAN UP MOTORS $ SLAB $ FIXTURES S SLAB $ SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE BY ROUGHING $ SEPTIC TANK FEE TEMPORARY SERVICE $ SEWER TUB & TOP OUT H. W. HEATER CONN. $ SOLAR HEATER $ RANGE CONN. $ GAS $ MOTORS $ $ FIXTURES S INSPECTIONS DATE BY RE- INSPECT BY RE - INSPECT BY ROUGHING PERMIT NO. DATE FEE TEMPORARY SERVICE TUB & TOP OUT H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. SEWER $ MOTORS $ FIXTURES SEPTIC TANK $ S FIXTURES & FINAL SOLAR HEATER FIXTURES GAS CONTRACTOR PHONE PERMIT NO_ _ I DATE FEE $ NEW BLDG. I ALTFRATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. H. W. HEATER CONN $ RANGE CONN. $ MOTORS $ FIXTURES $ S INSPECTIONS DATE BY RE - INSPECTI BY RE- INSPECT BY TFMP SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL CONTRACTOR PERMIT NO. NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS DATE I ALTERATION ADDITION PHONE FEE $ REPAIRS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY APPROVED: FEES: PERMIT * O Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 7 9J 2 671 Date a /q/SJob Address 9 .35h/k ° I 5 sr ' -.tee., . Tax Folio Legal Description / '/C 7c Q Owner / Lessee / Tenant R'�� S P7/42 �/ Master Permit # 3 77p Owner's Address 9.,:k o eS V 2M-9 Phone 2`x - ;7 ‹.% Contracting Co. 00 i AW.C Address 4f(2/ 6/AU/,: A441 i. /y Qualifier/44Y4 ,E m � / j / � SS4� - - Phone 765 - 7 ' 7Cv 2 V State #CfCn4L9?7(pMunicipal # Competency # Ins.Co. k �.ti An.//b ftiC. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBI MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /l(/N de 5(A / /a/Af, OGO� Square Ft. Estimated Cost(value) /' ,Ge / WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT CO 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. PcIIPA ignaturgg of owner- and /or Condo P esident Date: SI(zicr" Notary as ; -to Contractorq+r Owner -B lder My co ssion Expires:/ �roSei P6/ OFFICIAL NOTARY SEAL v �f ORl J TAN ER 0 SCOTT W DAVIS COMMISSION NUMBER ** * * * * `� w;lll ' o Ce25523, 1� MY COMMISSION EX Y �^ Alf, 2 1 97 Notary as to Owner and /or Condo President My Commission Expires: Fire Buildin Mechanical Plumbin Signature of Contractor-or Owner- Builder Date: m• STATE OF FLORIDA Cornrr*F 7 i *; ! ; i * * / NOTARY S TOTAL DUE . 41g 5 ' Other Electrical Engineering Date , Itri f r PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address Legal Description L. U 7 a!? O - 1 8 /( 7� Owner / Lessee / Tenant R!/ 7t// S, Pa //e Owner's Address ,,?5 - 9.Y Sf ,7 44,1444 ,5.4 s - Phone ? J4' P Contracting Co. - / SI G - el/rug/ Address 'tics j ci -/r A-'t 7/ ' 21 )4 QualifierJc4'4 6 S' 1? 7 ON At State # 5/40 Municipal # Competency fi- C.0 -° e l Ins.Co. t Architect /Engineer ig �' =, / /7 Lt, �t� J4 it C. Address E VL �� ` .(N -_t Bonding Company Address Mortgagor Address Permit Type(circle one): UILDING, ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION S t K t FEES: PERMIT APPROVED: Notary as to Owner and or My Commission Expires: oiS)��(� S) �en N ' f, O TA cP ** * * * * e F *n Zoning RADON C.C.F. Tax Folio Master Permit # '3ng6 SS #`� Phone '7 9 L 3 33 9 Square Ft. /y)( ye' Estimated Cost(value) /G C 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 informatio. 's accurate and that all work will be done in compliance with all applicable laws regulating co authorize the above -named contractor to do the work stated d z•ning. Furthermore, I ignature of owner and /or Condo P rsident ignature of Contractor or Owner- Builder Date: _ Date: milk.• %DUAHY SEAL BARBARA ANN FUGAZ I COMMISSION NUMBER CC360191 MY COMMISSION EXP. 7Aik.9, , NOTARY Fire Buildin Mechanical Plumbing TOTAL DUE Other t5 Electrical Engineering PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNT,' OF OAOE: 95R22524-0 1995 JUN 07 15:03 T HE-UNDERSIGNED hereby gives notice that improvements will be made tc 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: 4 e ' 070 44,1 ?, / / . 2/_ X2 , • s;U,,,,pr 7"4 / S" . a 1- 2. Oesaiption of improvement: 3. Owner(s) name and address: .NOTICE OF COMMENCEMENT Interest in property: (5 ,. Name and address of fee simple titleholder: 4. Contractor's name and address: cr;2/ -c c CG� .d? y � � C � , !� © D °I y / W''-- 4/41.4„0 2(4 - 3-33/2 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the State cf Florida designated by Owner upon whom notices cr other doc ments may be served as provided by Section 713.13(1)(a)7.. Florida Statutes. Name,and address: S. In addition to himself, Owner 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: 9. Expiration date of t~ is Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is spedfied) Signature of Owner Print Owners Name \ a'� �j , r-PC l \ e\/ Sworn to and subscribed before m i � day f ` 1 9,5 oea be e e this !o y o ,�-* -� 9 Notary Publi Print Notary's My Ceramist t71:1 r �O MY COMMISSION , EXP. OF f AUG. 17 1998 WA't j' FLORIDA, COUNTY OF DADE of the WPM, «UttY Our MM,11 o Nu , y h• of sr 1 9 �p, Ml .M to antes on day A, 0 19 ......,,.— , . r a . _ is I. yq •tr • tE" t HIIVIi Cti' -" ` fly Prepared by: Address: / 4 105 — 6 SF / k� Date t) -- SWIMMING POOL. OWNER'S CERTIFICATION Miami Shores Village Building and Zoning Department Attention: Building Official I certify that I am the legal owner of the property described as , located at Grc3 bJ E .11: (m) 1. 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 Owners ,�`� C K'? 1 Note: This certification is to be submitted with a swimming pool permit application in duplicate. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address ' ?5 V E ci,S1 ,> -Tax Folio / l ' 3 6 . e14 1 (7) Legal Description 0 a [ �I a, 1 kX L1(.PHistorically Designated: Yes No V f'°aui t � Owner/Lessee / Tenant ) P l l e...A Master Permit # 434) Owner's Address p�?, V N F Ci c,Th "�( Phone c , C) F 5 -° j Cj - Contracting Co. 0 IA/ i Q, '( Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one BUILD ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft Estimated Cost (value) 4) Q� WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo resident Date Notary as to Owner and/or Condo President Date My Commission Expires: .Q--)tleL s -9 - q Signature of Contractor or Owner - Builder Date Notary as to Contractor or Owner - Builder Date My Commission Expires: FEES: PERMIT `i RADON C.C.F. 6 NOTARY S BOND TOTAL DUE .S APPROVED: Zoning Xuilding Electrical Mechanical Plumbing Engineering 1MS NOTE): - A 3 d .•1.? Yam% ?= Found Iron ?i e F x/Z =Fours_ %:._> ; is - PINsCAPLE.47a FIR=:c==d Irc= RecIr ?A.tAN =NT COtt OL PO::NT La-'.72s E. P /L= PROPERTY UNE O /L= ON LINE Wkl= WATER METER PP= PTlW art c •�• •+— rscLt.Jrn J. hrt> MrAsu!"t�""'•J . 1 ItI ✓rrrrrr�rr. kv . NIID f 14.2.90 S iY Cl3s t e.s. CS`! m 1 a. 0 IN 1 L_SZ DESCRIPTION ION : (F:srn:shel by CI :Ent) LEGAL DESCRIPTION: LOTS 20 and 21 OF MIAMI SHORES SECTION NO. 3 ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK_ AT PAGE 37 OF THE PUBLIC RECORDS OF . DADE COUNTY. FLORIDA. BOUNDARY SURVEY t HEREBY CERTIFY That the survey re:Oresentea hereon meets ate re.ram..en IOOtn.CSt tepuaereerms *Mogan" by the STATE OF FLORIDA Boma al Lana S.r.eyon pwse.ate to Sec:ron 4 '2. 02: Ftuaa These are no OneroaChrnen,i, o.e :a's. easl`.tten.s apoear.ne On me pal Cr ..sabre easements other i tJ -E • t o AV E. Survey for Ruth Polley, 935 ri.E. 95th St Miami - Shores ; FIOrida 33138. SUBDIVISION BLANCO, DANIAL & ASSOC. 1NC. Land Surveyors • Planners 5=1, Nnrth ShnrP nrivP H 1;, :11 BEACH_ Florida 33141 (305) 855 -1200 FIRE DEPARTMENT PUBLIC WOR:CS PRELIMINARY: REMARKS: POLICE DEPARTMENT BUILDING DIRECTOR PLANNING & ZONING LE) VILLAGE COUNCIL AIOrri7e.1 S';;n ^.ture Date APPROVAL F'uNAL: THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT ❑ WITH NO VARIANCES ❑ WITH VARIANCE(S) LISTED IN "REMARKS" NO OTHER DEVIATIO.'S FROM "'E MIAMI S'I )RES WADING AND ZONING ORDINANCES WILL BE PERMITTED. UNLE'S:3 SPECIFICALLY LISTED BELOW. ALL OTHER APPLICABLE STA °E AND COUt' Y LAWS MUST BE COMPLIED WITH BY ALL PARTIES. COMPLIANCE WITH THE SOUTH FLORIDA BUILDi!. ;: CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQU!RD, .1 A;ii;1!ITECT, EU!! DER SUB CONTRACTORS A :?E . ” ' i; r ` E D ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN. I Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. S .Owner's Name and Address �� T CD \ Registered Architect and/or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot ��7t' / Block / (CJ Subdivision ��. Ate, J New Building STATE OF FLORIDA COUNTY OF DADE. }SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date " 19 6 7 No ris- Street Street and Number where work is to be done / Lc. N / 5 Oi )(State work to be done and purpose of building (by floors /. state exterior colors (submit samples) WiSiAg C0 4.)6 r_jr� OVFItg Rnl✓L 4 FOP-C(MM 6fL - LF. 71■)5C - S.14 Al t a) OVa ¶ & R — 6etcoe / vre€s Remodeling Addition Repairs No. of Stories Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared Notary Public. State of Florida and for no other purpose. To be constructed of Kind of foundation Roof Covering 1 ., Estimated Total cost of improvements $ ` D • Amount of Permit S 5 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 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 obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. 1 �, Remarks (Signe4 to me well known. and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the fpregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No. O 1 Date / ' / f Read. Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. DEPARTMENT OF COMMUNITY AFFAIRS "Helping Floridians create safe, vibrant, sustainable communities" LAWTON CHILES Governor Mr. Donald Eugene Smith, President Smithbilt Industries 1061 Highway 92 East Auburndale, FL 33823 May 19, 1998 Dear Mr. Smith: STATE OF FLORIDA RE: 1998 Annual Renewal Based on the 1997 -SBC's Manufacturer's I.D. Number: SII -254 This Approval Expires June 30, 1999 It is my pleasure to inform you that the Department of Community Affairs has renewed Smithbilt Industries approval to manufacture commercial and residential lawn storage buildings for installation in Florida. These buildings must meet the windspeed of the geographic area they are installed. This renewal is granted pursuant to inspection of your submitted plans which were found by this department and your inspection/plans review agency to be in compliance with the applicable codes. On site installation requirements are specifically and entirely reserved to local government. These requirements must be reasonable and uniformly applied the same as for conventional construction. A state certified building must bear a Department of Community Affairs insignia of approval. The insignia is evidence to local government that the building is constructed to meet minimus safety standards and is safe, sanitary and structurally sound. A copy of this letter must be attached to the approved plans when making application for local building permits. LHJ:sc cc: FSC FLORIDA KEYS Area of Critical State Concern Field Office 1796 Overseas Highway, Suite 212 Marathon, Florida 33050.2227 Sincerely, Lawrence rdan Building Official Codes and Standards Office JAMES 0: 2555 SHUMARD OAK BOULEVARD • TALLAHASSEE, FLORIDA 32399 -2 100 Phone: 850.488.8466/Suncom 278.8466 FAX: 850.921.0781/Suncom 291.0781 Internet address: http:// www.state.fl.us /cumaff /dca.html CREEN SWAMP Area of Critical State Concern nr.3 Office 155 East Summerlin Bartow, Florida 33830.4641 SOUTH flORIDA RECOVERY OFFICE P.0 Box 4022 8i3O0 N.W. 36th Street Miami, Honda 3.1159.402:' • MIAMI SHORES VILLAGE BU ..DING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date June 12,1970 , 19 - - 935 NE 95 St M. o res Owner's Name and Address - IIrkin Exterminating Co.Inc 1 t W: - - 27 Ave.Miami Registered Architect and /or Engineer Name and address of licensed contractor_ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 93; N.E. 9; St. N. Spores State work to be done and purpose of building (by floors) Nylon Tent Fumigation Vikane 18 - 2Li hours 30# $3) .00 — __ and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 3 '15 e 6 Amount of Permit $ © a 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, Pennanent Supplement, and has complied with the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcont actors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks__ _ (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss • Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No._ _____ I2 2 Date__ - Read, Sworn to and Subscribed before me. Disapproved (Signed) _ Chairman Member _____.____ _ Member _ Council Approved Date Building Ins tor Notary Public, State of Florida My Commission Expires__ PLANNING BOARD__ __ _ DATE Member Member . Member _Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hrrn obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspc. Lion or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of • Building Architect _ Contractor or Builder J Legal Lot Description 0 . . Address of Building This permit is granted to the contractor or builder named above to construct the building or to install the equipment or . evice described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. In consid pert ing they In ccepting MIAMI SHORES VILLAGE, FLORIaA r PERMIT N? 7797 Work to be performed under this Permit r'1 Bl. Value of Project BY Subdi- vision - DATE' / 'Y 194 Cot'itractor's License No. Amt. of Permit Signed. -• ■ 'fr`�.. By INSPECTOR f f the issuance to me of this permit I agree to perform- 't�he,(vork covered hereunder in compliance with all ord'frfices and regulations in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. 't I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BU ER AUTHORITY �,....,1f f ....,, Ir...:1! ••"•••Alr•' •�f.•••...,t f,....,,Jlf " ��1. "••al. ! ]l• •1f.• �!.••....,1 f ,....., t �,.... „tf,,...,,�1,.....,al,....,,�r f,.....,1 f,....,,1 j •JIJ.•• • !. ....” i rca ;rc ;rc 45;rioVva; v ;r f ; m;rco mtrccQa�; rco�a�rrc ; rcv'�a�rl v�;rc ms rce�m m ;rcoa�r e kc muc ; Issued (S,f` -' /1/ 19 f Amount . No. Houses d t -� KNOW ALL MEN BY THESE PRESENTS, tat I, Address 2 "`' BUILDER'S BOND in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or bui ings at the following addresse : sr G ... c' -- ---` / >,' 4-c-a _" "-'.es y.. � - tad -•c -^ , ' do hereby deposit with Miami Shores Village, Florida, the sum of ' , and I agree with said Village that, when such construction shall have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me, used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the completion of such construction within the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and repairs out of the aforesaid 7' .: , and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then Cost of clearing and repairs done by Village 7 WHEN CLEARED AND REPAIRED BY THE VILLAGE Amount of Bond $ 5 Balance due Builder $ G aiami Shores9llage P L O A ID A $ said; ---' ; shall be returned to me. WITNESS MY HAND and Seal at Miami Shores Village, Florida, this da f "� ' ° r I' d • ./fe _k, / _ ''�. *'` ± f • e . e l (Seal) INSTRUCTIONS TO BUILDER —When above mentioned construction is completed an the premises are cleared and repaired ,make this bond to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction. N? 824 Cancelled 19 By Village Building Inspectoraia bores Village i rt r1 !t 1S 1! rt 1 1 r +ta"�1 ;cD"�1+ 1! r. r r !E 11 11 r• re r4v ....• iii 'ii�°. °••'•ir•`° '...Mii`•f.eir:° •'• itr, ∎t§?Yr i'r`•°�°•'•rr`•° °, r• •n': `° °'rim°.•'•ii ir•°.+°••'•rr`•° a•°. ►°.•'•i �r`•°, °'•i °••'•ii`• '•ir`•°. ir• `•.. ' •1 ��3 N° 750 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , >` Y .� Owner, Agent or Tenant of Building '' Lot i Block_ if Subdivision 1 `� { Street Address , - - t ` Approved use by occupancy Remarks- This Certificate of Occupancy is issued to the\ above name for building at above named location only upon +the express ip ovision that the applicant wi abide by and comply with all conditions of Ordin nces Nos. t2„ 93, 94 and 97, known as he Zoning, Electrical, Plumbing and Building Ordin ces of Mi i Sh9rgs Vi Age pertaining to the erection, construction, alteration or remodelin of buii iti s or Rttuc'tjzi y ,. BUILDING DIVI$ ON f ctf.occ. 8-15-49 PAID BY g15 4 YE AR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PA PAID RECEIPT NUMBER Sirocco J. T • 19 9 , 12.00 /02-3i- 9 , DO 9•» 9 ' /. - .e/ - SV .2/ o v .../ /93/ `/ /R•''/• 5/ (030 S / i - - ,d- - 42 = </ ' t /-- o /, ADDRESS 935 N. E. 95th St. L EG A LLotS 20- 21,Blk.'76 RECORD GARBAGE TAX 350 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dae C Z 1 P Time Type Insp' Permit No. Z 0 0 Name Address I, Company Phone # For Inspector ?( b I D3JName & Date Approved Correction Re- Insp'n Fee 3 LO5 MIAMI SHORES VILLAGE BUILDING DEPARTMENT s 305- 795 -2204 Building Inspection Request Date 6 Time TypeInsp'n 5ne Thkr )C Permit No. 1? aco 3- Name Address Company I4s Icor s Phone # 30S For Inspector: 5 p 8JZO Name & Date 4' Approved Correction Re- Insp'n Fee q35 c GS SI Type Insp'n 5 fledVhi Permit No. BP CO3- �1 Name q35 1.\E 9S S Compan 9 T \J Cor fr Phone # 30S 310 — r Approved Correction Re- Insp'n Fee 3kli(Q5 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 8 v Time Address For Inspector: '3 7 8' ZO Name & Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 7-J 3 Time Type Insp'n Permit No. / � P, -20,3 ""a Name k& 151g. Address /E �� t Company R 45 7,-.0 cn Phone # 3,03 " 7 5 7/ For Inspector: 7• Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAG BUILDING DEPARTMENT 305=795-2204 Building Inspection Request Date 7- /9 f3 Time Type Insp'n - ChaelA1/1:j �. G ,4J ')1M" a / p Permit No. $ f/ 1\ �o Name e, �(�j«':�� tVE �� t Address Company X 4 S i77U C 1 ate., Phone # 3 'S ?/0- 7 7/ For Inspector: _N„arite& Date Approved Correction Re- Insp'n Fee f ❑ r► Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING fPQ,,RTMENT 305-79-2204 Building Inspection Request i Date 4 rr Type Insp'n Permit No. Name PO liy Address Y✓ 2 Company Phone # Inspection Date Date Type Insp'n Permit No. Name Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING i3?EPARTMENT 305- 795 -2204 Building Inspection Request Pleatt- a Li -/ POP. Address Company Phone # Inspection Date Apo Ay 0 MIAMI SHORES VILLAGE BUILDING DEPARTMENT Building Inspection Request \ I Y 305- 795 -2204 9 Date )0 IA I Time Type Insp'n V \ C to ;n P co Permit No. ()0 .206 (t \ Name C Gj L Address 9 I� Sl Company Q2 V I tQU J(€ h- - Phone # For Inspec`or: ' h 1 `" � _ Nam o_ rte_._ Approved Correction Re- Insp'n Fee ❑ MIAMI SHORES VILLAGE c y\ s BUILDING DEPARTMENT 305-795-2204 Building Inspection IZTIkst Date I Time Type Insp'n Permit No. Name 2 (A V) Address ( 65 NE t75 . Company g1 \2) Co( 2 . Phone # For Inspector: ) Approved 171 Correction Re-Insp'n Fee El A Name & Date "c- MIAMI SHORES VILLAGE BUILDING DEPARTMENT b 305- 795 -2204 Ql Building Inspection Request Date 1115 Time Type Insp'n 71(.t /✓ _ R 5/44 Permit No. 511 o3 I (oci 1 (NY). Address ( 135 N E 95 s-I-. Compan ' RA5 CQj. Name Phone # For Inspector: 1 1) 9 Name & Date Approved ❑ Correction Re- Insp'n Fee ❑ AtPAei /1-eesisice Address Q `5 ( , 3-1 Company Phone # For Inspector: 6l(7. i �Zl Name & Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ! t- 20 Time TypeInsp'n 1 r`) LAG- tlp Permit No. (J 0 Name \V— ' \Ppt 1 - Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Burring Inspection Request Date 0 - l U 1 Type Insp'� `�- o // Permit No. )? 03- ( � Name .eflf g ae Address qr55 q s �4 Approved Correction Re- Insp'n Fee Company Phone # For Inspector: (2. 1 Name & bate Time Type Insp' /,[44// Permit No. 3J 03 a Name flfl flue Address 0 135 "t q J ,s+ Company NIS Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Bui Inspection Request Date 1 j U I Time For Inspector: (2I 6 . Approved Correction % Re- Insp'n Fee ❑ Name & Date MIAMI SHORES VILLAGE 1UILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date S -9-0/ Time Type Insp'n Permit No. 0 CO2.6 Name Address 3,c g 9� Sv Company �U c�— For Inspector , ®/ ©`� N�� Lae ` Approved ❑ Correction Re- Insp'n Fee )17\ MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dates /(--) Time r m Type Insp'n) %Jv Perm No. / ) % 0'1) Name ' i �h„r • r1 Address � ^ an " / Company - P Y �� 9.9 '_� Phone # For Inspector )7( Approved Correction Re- Insp'n Fee ❑ / 0,3) Name & Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 t Building Inspection Request 3 Date Time Type Insp'n I n M1 Permit No. P-c3 - rics Name Address 935 ME 9 S U I Company C .'E C Phone # For Inspector: ( 3' Name & Date x Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date I1- 20• 3 Time Type Insp'n J..►15 L\aT\ pv� Permit No. V ' Name V V \Po l\-9.- - Address Q 3 14 E Company Phone # For Inspector: op, U l Approved Correction Re- Insp'n Fee ❑ Name & Date ActOy Type Insp'n Permit No. Name f3P Loo3 - 'w ta2'4Vt ,e,(4 1 Address 93.E r ) 96 s i Company 1 ' Acac Phone # 3 0, /a f 7/ For Inspector: 6-i -0 3 Name & Date ❑ Re- Insp'n Fee ❑ Correction MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Req Date (. 4' © Time �a v SHORES VILLAGE ILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date ( Time Type Insp'n / Permit No. is Name pepze)_ Address 3..5 01, r 95 JA e Company R A I74 X12)01 S e �l7 For Inspecto : am Date Approved ' / Correction Re- Insp'n Fee AMI SHORES VILLAGE ILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Time Type Insp'n -}—i v' . S 1 a€ LatX•4. IC„ Permit No. Name 6t& LA.A2—) • Address Company { • `T ructi ov- Phone # For Inspector: -' l z_18 (f 3 Name & Date Approved Correction Re- Insp'n Fee 4 c7 Date Time Type lnsp'n Yves {� Permit No. J c 05- k f Name J2u C' 11 Address q �T 3 �i c q S1 Company ) C CSM� YUCia Phone # For Inspector: �.1 17 18(0 3 Name & Date Approved Correction Re- Insp'n Fee ❑ IAMI SHORES VILLAGE ILDING DEPARTMENT 305- 795 -2204 Building Inspection Request OWNER'S NAME J. 1 BL'lOCCO PRESENT ADDRESS 11295 Biscayne Boulevard I., 7 ISE •r O. PHONE NO. JOB LOCATION (ST. OR AVE.) 935 N. ... 95th Street LOT 20 a: 21 BLOCK 76 SUBDIVISION Miami Shores GENERAL CONTRACTOR ____ _ __ __ ADDRESS 961 N. E. 96th Street PHONE NO. LICENSE NO. 32 4 BUILDING PERMIT NO. 7797 • DATE 4./ lh / Q PERMIT FEE $ 18.00 p BUILDER'S BO D NO. 82,4 4/14/49 ZONE PEQUIREMENTS 2 5, 0 00 CU. FT. PLAN CUBE 25,375 CU. FT. EST. COST $ 114000.00 14,000.00 DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY JDH ' DATE % NEW CONSTRUCTION TYPE CBS STORIES 1 ROOF CONSTRUCTION Tile INTERIOR CONSTRUCTION Oak Floors - Plaster galls REPAIRS T DESCRIPTION Liv Rm - Liv Prch - Kit - Scr. Prch - 3 Bed RMA -. 2 Baths ALTERATION DESCRIPTION 1 car attached garage w /toilet and shower ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. 750 ISSUED 1' 11 Y BY DH TO Roeinelmeyer Corp. 9a1 1, 9t1;. a BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE t. INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 4/21/49 JIM TEMPORARY SERVICE $ $ BEAMS & LINTELS /13/4.9 JDH $ 2 SEWER $ 46RAMING D/7/49 JI 3 $ $ GAS $ $ $ INSPECTIONS FINAL 8/ 11 49 ma BY RE- INSPECT BY ROUGHING r CLEAN -UP JDH ROUGHING GAS PERMIT NO. 7824 DATE 4./25/49 FEES "7.5 NEW BLDG. X ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO DATE FEE TEMPORARY SERVICE $ $ SEPTIC TANK .2110 p 7873 5/ $ 2 SEWER $ $ SOLAR HEATER $ $ GAS $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 4/29/49 JDH ROUGHING GAS c�D}x,, �Ill�,l( H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK C 5/11/49 L7 JDH SOLAR HEATER FIXTURES & FINAL FIXTURES 8 /11/)49 J .ICC CONTRACTOR Post E Posleotric PHONE FEE $ 11. PERMIT NO. 78 I DATE TO NEW BLDG. X ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ ', IXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE , 26/4.9 ROUGHING �(y2/ 7 c�D}x,, �Ill�,l( H. W. HEATER CONN / RANGE CONN. FIXTURES & FINAL 16,4 49 BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS CONTRACTOR Philli s Plumbing Co. ELECTRICAL PERMITS & INSPECTIONS APPROVAL. TO POWER CO. OR RVICE DATE 8/11/49 BY Jn.i • �u,Lrcu 600 0, MIAMI SHORES v BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application i hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami !Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address �• / - Ae No. _// _?!�,1 Street Registered Architect and /or Engineer � R_t�_ Y'• T' 7 Name and address of licensed contractor e m £4 e.r..._. `io Location and legal description of lot to be built on: Lot O V 4 / Block 4 S "" u �� ,� / Street and Number where work is to,be done ! Z • State work to be done and purpose of building (by oors) 95' N_4-'_ r To be constructed of C__Q__,.5 Kind of foundation Zone cubage required STATE OF FLORIDA, COUNTY OF DADE. j ss. Permit No _____ _ Disapproved ( d) - Chairman Member Member Date Building Inspector (Signed) Date /Q✓/j S Aoe_cs r7� New Building .Y Remodeling Addition Repairs Estimated Total cost of improvements $ /''L o 0 o Amount of Permit $ q(0( and for no other purpose. PLANNING BOARD `'y DATE - -� 7 7 orm C • No. of Stories / __ n ___ ___ .Plan Cubage r t- T-- _ _Sjze of Building Lot 1 e d, Sworn to and Subscribed before me. 19 /35047 u E- / (_. Distance to next nearest building Maximum live load to be borne by each floor I hereby su it all the plans and sppcjicati or said building. All notices with reference to the building a its cons may be sent to _Lr � - _17 ✓ r T- The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from 11 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 nspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such s contractors, on work to bq performed under this permit, as are licensed by Miami Shores Village. Remarks____________________ f-�= Kai- •�"�- �1"�- -?�f/- Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peare _ --- - -- — to me well known, and who, being by me first duly sworn, upon o th deposes and says that he is the of the above des.. . - s struction, that he h carefully d the foregoing application, and that he did sign the same, and that all facts therein by him st ted e • 4 (q L Notary Public, State of Florida My Commission Expires Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circl Building_,, Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Phone # ?L` i Y /e` 7 7 / ( / 7 ) Owner's Address 3 ) ‘1.5 1 k S i /_'. -c° r' City //// t7 5 / / State P7. Tenant/Lessee Name Phone # 7:' ,k 9.5 County Miami-Dade Is Building Historically Designated YES NO Job Address (where the work is being done) City Miami Shores Village Miami Shores Village Building Department Contractor's Company Name J J/ i S C' S CI(' Contractor's Address 5/`// /(2- ///// ,'/ / /� 1 6 $ Value of Work For this Permit City /I/ / FA/. State Qualifier , { /C.r 5- Architect/Engineer's Name (if applicable) Phone # Type of Work: ❑Addition ['Alteration Describe Work: RE` o- tc Q0, T /7&C/ G — Submittal Fee $ Permit Fee $ /00 — CCF $ Notary $ � Training/Education Fee $ e_ r) [' Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ ) h3 . 0 (Continued on opposite side) 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. ]P 0 3 -- I? Master Permit No. ( ` 2 0 a 3 - 4 / ❑New Zip 3 S /- ?J' Zip Phone # 3C 5 /t 7' 7/ Zip ::3J /. 7 Square Footage Of Work: jl C Repair/Replace ❑ Demolition 4/6 ^ ll/ c A * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** a 60 Technology Fee $ g i .© Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 roved and a rein.cnoct'on fee will be charged. Si Chc 10/14/03 Owner or Agent The foregoing instrument was acknowledged before me this Si 1 Zip Zip The foregoing instrument was acknowledged before me this day of , 20 _, by day of , 20 by who is personally known to me or who has produced who is personally kno . f ho has produced on • ��fice an oath. NOTARY P NOTARY PUBLIC: Sign: G , Sign: Print: 'f` ;� _ r � Print: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12 /3/2003 Applicant: RUTH POLLEY Owner: POLLEY RUTH JOB ADDRESS: 935 NE 95 ST Parcel # 1132060143110 Signed: (INSPECTOR) Building Permit Permit Number: BP2003 -1887 Contractor RAS CONSTRUCTION & DEVELOP INC Contractor's Address: 10400 SW 153 CT #8 Local Phone: Page 1 of 1 Legal Description: MIAMI SHORES SEC 3 PB 10 -37 LOTS 20 & 21 BLK 76 LOT SIZE 100.000 X Fees: Description Amount FEE2003 -7691 Building Fee $100.00 FEE2003 -7692 CCF $0.60 FEE2003 -7693 Training and Education Fee $0.20 FEE2003 -7694 Technology Fee $2.50 Total Fees: $103.30 Total Fees: $103.30 Total Receipts: $0.00 33 Permit Status: APPROVED Permit Expiration: 5/31/2004 Construction Value: $400.00 Work: REMOVE AND REPLACE 40 LINEAR FEET OF SIDEWALK IN FRONT OF HOUSE - SEE ATTACHED SURVEY DEC 05 PAID In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: