Loading...
1238 NE 96 St (17)Date .*///.2 Job Address fQJ11 /VIII ef&, Legal Description Z61' 1 f 0 i 11 Neede 84 ,1 /4AA,9 /Io j eG aAl /7I/ A /0 e Aok 37 Owner / Lessee / Tenant MA I /Pr*. ft A/frZ. POW* Master Permit # 3 a /'Q Owner's Address Ka 1 . Nk icy 1 Phone 1;11JJ53 Contracting Co. IN gf0Y0/1 Co1/JfrI zpit/ Address Qualifier / SS# - - Phone Architect /Engineer , necle 7i // L/?4A5 Signature Date: PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) owner an or Condo resident Notary as t Owner and /or Condo President My Commis 'on Expires: APPROVED: Zoning Fire Tax Folio 1/ 3?QG 14 le120 3 State # Municipal # Competency # Ins.Co. Address 139, ld;ri ,E /J/il/Ce Bonding Company Address Mortgagor Permit Type(circle one): :UILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION I t k 'A OA( Address Square Ft.9 tI W VS Y ' Estimated Cost(value) f P59/m2,06. 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): 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. • gill Vida rep i. Signs Date: Notary My C 'ssion Expires: a to Contractor or Owner- Builder ** * * * * * * * * * * * * * FEES: PERMIT 1 j irl , 10 RADON ,' ' C.C.P. a{ $/ C.C.F. . 0 NOTARY TOTAL DUO /iv 7 �y 75 d Other or o Building 1. 9 ./ V Electrical uilder * ** Mechanical Plumbing Engineering P: vehicles, including rental vehicles, shall be This ordinance shall become effective on the date DOPTED on first .reading ' on the day of , 1992. nOPTED on final 'reading on ' thy day of , 1992 • . Deputy Clerk • STEVEN J. JOHNSON;• Mayor 4 ? q s i!E CLERK.. . 4. . .y' . • •• • Jr., Village Attorney , " . 4 . 1 • • •• • • • _, • r ®N 1 ®111® ® ®® ®SCI® ®M®INIa ® ® ®1111® ® ® ® ®1111® ® ® ®111 1NKE MATERIALS CORP CEMENT - AGGREGATES - BLOCKS - CONCRETE - STEEL - BUILDING SUPPLIES FIRST WITH THE BEST 1 \ SERVING THE CONSTRUCTION INDUSTRY IN CENTRAL AND SOUTHEAST FLORIDA z/ ( ) •• 111122MI -- FLORIDA'S SYMBOL OF QUALITY SINCE 1926 •• 1 hereby certify that the plans and .." do , ver:. by . • - calculation are in compliance with the Flatus Energy Code. / PREPAr.ED BY: ./' . ,/ /, 4 . _ /. DATE: Review of plans and specifications covered by this calailalon indicates compliance with the the Florida Energy Code.::. . construction is completed. this building wiN be inspected for compliance in aoco • Lt ,�. ,Section 553.908. F.S. BUILDING OFFI IAL: I hereby certify that th'- 4ding is in comp :; •, with the Florida Energy Code. OWNER AGENT: DATE: ? 'l DATE: ' 1 I 1 N CONDITIONED FLOOR AREA CLIMATE ❑ ❑ ZONE: 7 8 9 IA I Prtr 1 S ■ S i F-1,0 p-( 014 9A PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) . COMPONENTS SECTION REQUIREMENTS CHECK WINDOWS 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doors). ✓ EXTERIOR & ADJACENT DOORS 904.1 Maximum of 0.5 CFM per sq. ft. of door area: solid core, wood panel, insulated or glass doors only. 6/ EXTERIOR JOINTS & CRACKS 904.1 To be caulked, gasketed, weatherstripped or otherwise sealed. ✓ WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. Extemal or built-in heat trap required. 1 SWIMMING POOLS & SPAS 904.3 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have a pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78 %. SHOWER HEADS 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. ./ HVAC DUCT CONSTRUCTION, INSULATION & INSTALLATION 904.6 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditioned space and air handlers located in attics must be insulated to a minimum R-4.2 (R-6 after 1/1/92). v' HVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. ./ //' INSULATION 904.9 Ceilings -Min. R -19. Common Walls -Frame R -11 or CBS R -3. Common Ceilings & Floors R -11. NEW CONSTRUCTION ADDITION IF MULTIFAMILY. NUMBER OF BUILDER: j NI r - P -51 CAN' GLASS AREA AND TYPE CONDITIONED FLOOR AREA CLIMATE ❑ ❑ ZONE: 7 8 9 IA I Prtr 1 S ■ S i F-1,0 p-( 014 d 4 3 3 S0. FT. UNITS COVERED BY THIS SUBMITTAL: S 1 s� l CLEAR TINT,FILM,SOLAR SCREEN 3 PREDOMINANT EAVE OVERHANG LENGTH I I — I FT SINGLE PANE 0 ,�., ...—= SQ. FT. SINGLE PANE ■ ' 6 SD. FT. CHECK IF THIS SUBMITTAL REPRESENTS A WORST CASE CONDITION: ❑ MULTIFAMILY ATTACHED ❑ SINGLE - FAMILY DETACHED ► ■ _ DOUBLE PANE "' I 4-1 SO. FT. DOUBLE PANE SO. FT. PORCH OVERHANG LENGTH ADJACENT FRAME R = — FT. PROJECT NAME AND ADDRESS: MRWt106Z 1 /40I10# BUILDER: j NI r - P -51 CAN' 123 fD IJ E 4 fo 511teer PERMITTING OFFICE: A/ WI �O A. CLIMATE ❑ ❑ ZONE: 7 8 9 IA I Prtr 1 S ■ S i F-1,0 p-( 014 OWNER: 4M( 3 - PERMIT 1 S 1 s� l a - 1_ 3 JU ISDICTION q j3 �7 I�. , O 0 SO. FT INFILTRATION PRACTICE USED #1 ❑Z ❑ . EXTERIOR MASONRY R = EXTERIOR FRAME R = 3 3 2 3 - 1 S 1 s a x 100 = 3 O 3 TOTAL AS -BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. NET WALL AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R = //�� F� 7 7 S0. FT 3 2 -- SO. FT ...—= j� T-'f SO. FT. -• I 4-1 I t: ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R = FT j . r FT ..r FT FORM 900 -A -91 FLORIDA ENERGY EFFICIENCY CODE FArAtc r kom A'ODaddj FOR BUILDING CONSTRUCTION - SECTION 9 — RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES DEPARTMENT OF COMMUNITY AFFAIRS SOUTH 7 ® 9 DUCTS IN UNCONDITIONED SPACE R = 0 IN CONDITIONED SPACE R = L_ COOLING SYSTEM KCENTRAL ❑ ROOM ❑ PACKAGE TERMINAL AIR CONDITIONER ❑ NONE SEER/EER = 12- D HEATING SYSTEM :ELECTRIC STRIP ❑ NATURAL GAS ❑ ROOM UNIT OR PACKAGE TERMINAL HEAT PUMP COP /HSPFI AFUE = 1 ❑ HEAT PUMP ❑ OTHER FUELS ❑ NONE - 1 - HYAC CREDITS ❑ CEIUNG FANS ❑ CROSS VENTILATION WHOLE HOUSE FAN ❑ ATTIC RADIANT BARRIER ❑ MULTIZONE HOT WATER SYSTEM ❑ ELECTRIC 41ATURAL GAS ❑ OTHER FUELS ❑ NONE i EF = 6 HOT WATER CREDITS SOLAR: S.F. _ HEAT RECOVERY rolEck DEDICATED HEAT PUMP: E.F. = • NUMBER OF BEDROOMS = MARTINEZ RESIDENCE FAMILY ROOM ADDITION FLORIDA ENERGY EFFICIENCY CODE 6*e FOR BUILDING CONSTRUCTION Section 9 Compliance Prooram - Residential Point System Method Version 1.0 January. 1992 Department Of Community Affairs Printout aenerated by EPI92 and submitted in lieu of Form 900-A-91 THIS COMPLIANCE FORM IS VALID IF SUBMITTED AFTER JANUARY 1. 1992 PROJECT NAME: 1 PERMITTING OFFICE: AND ADDRESS: BUILDER: OWNER: SN: 3'498 1 CLIMATE ZONE: 7 8 9 1 PERMIT NO.: 1 JURISDICTION NO.: COMPONENT: DIMENSION: VALUE: RATING: VALUE: OFFICIAL CHECKLIST STRUCTURE TYPE: Addition PREDOMINANT EVE OVERHANG Length: .00 PORCH OVERHANG Length: 3.60 WINDOWS Sinole Tint Total Area 115.80 All Vertical Glass Total Area 115.80 All Skylight Glass Total Area .00 WALLS Ext NormWtBlock Int Area: 677.00 R-Val: 3.20 DOORS CEILINGS FLAT Under Attic Area 433.00 R-Val: 19.00 FLOORS Slab-on-Grade Perimeter: 73.00 R-Val: .00 DUCTS Unconditioned Space Length ALL R-Val: 6.00 COOLING Central A/C SEER: 12.00 Cross Vent/Whole House Fan Credit HEATING Strip Heat STRIP: 1.00 HOT WATER Natural Gas EF: .66 Bedrooms: 4.00 INFILTRATION Conditioned Floor Area: 433.00 Pract: AS BUILT POINTS / BASE POINTS * 100 = EPI 13.323.58 18,958.87 70.28 GLASS TO FLOOR AREA RATIO = .2674 I Hereby certify that the plans and | Review of the plans and specifications specifications covered by this calcu- | covered by this calculation indicates lation are in compliance with the / compliance with the Florida Eneray Florida Energy Code. | Code. Before construction is completed this building will be inspected for PREPARED BY:_________________ | compliance in accordance with Section DAlE: | 553.908 F.S. I hereby certify that this buildino is in compliance with the Florida Energy Code. OWNER/AGENT: | BUILDING OFFICIAL:___________________ DATE: DATE: COMPONENTS WINDOWS ** PRESCRIPTIVE MEASURES (Must be met or exeeded by ,all residences) ** EXTERIOR & ADJACENT DOORS WATER HEATERS SWIMMING POOLS & SPAS SHOWER HEADS HVAC DUCT CONSTRUCTION HVAC CONTROLS INSULATION SECTION EXTERIOR JOINTS 904.1 & CRACKS 904.5 903.2 904.6 904.7 904.9 REQUIREMENTS _________ 904.1 Maximum of 0.34 CFM oer linear foot of operable sash crack. 904.1 Maximum of 0.5 CFM per sq. ft. of door area. Includes slidino glass doors, solid core, wood panel, insulated, or glass doors only. To be caulked, qasketed, weather stripped or other- wise sealed. 904.2 Must bear label indicating compliance w/ASHRAE stand- ard 90 or comply with efficiency and standby loss re- quirements. Switch or clearly marked circuit breaker (electric), or cut-off (gas) must be provided. An external or built in heat trap must be provided. 904.3 Spas and heated pools must have covers (except solar heated). Non-commercial pools must have a pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78 HOT WATER 904.4 Insulation is required only for recirculating systems PIPES In such cases, piping heat loss shall be limited to 17.5 BTU/H/Linear Ft. of pipe. Water flow must be restricted to no more than 3 gal- lons per minute at 80 PSIG. Constructed in accordance with industry standards & local mechanical codes. Ducts in unconditioned space must be insulated to minimum R-4.2 & ioints must be sealed. Separate readily accessible manual or automatic thermostat for each system. Ceilings minimum R-19. Common Walls - Frame R-11 or CBS R-3. Frame Common Ceilings & Floors R-11. ** INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST ** ------------------------------------~----~- COMPONENTS REQUIREMENTS _______________ ~_~~~~______ _ __== ==_________ - PRACTICE #1 Comply with Infiltration Prescriptives in above table . ******************************************************************************* WATER HEATING ******************************************************************************* === BASE === | === AS-BUILT === BEDRMS • NUM OF x MULT = TOTAL TANK VOLUME EF TANK x MULT x CREDIT = TOTAL 4 3319.0 13.276.00 , 120 .66 1.000 1629.0 1.00 6.516.00 ******************************************************************************* SUMMARY ******************************************************************************* === BASE === === AS-BUILT === --- ��� COOLING HEATING HOT WATER TOTAL / COOLING HEATING HOT WATER TOTAL POINTS + POINTS + POINTS = POINTS 1 POINTS + POINTS + POINTS = POINTS 5078.3 604.6 13276.0 18.958.87 1 4843.6 1964.0 6516.0 13.323.58 ***************** * EPI = 70.28 * ***************** RATIO MULT � ******************************************************************************* SUMMER CALCULATIONS ******************************************************************************* === BASE === === HS === ==============- = GLASS- OR[EN AREA x BSPM = POINTS : TYPE SC ORIEN AREA x SPM x SOF = POINTS N 13.80 60.2 830.8 : SGL TINT N 13.8 65.2 .70 629.8 NE 18.00 88.0 1584.0 1 SGL TINT NE 18.0 94.5 .64 1088.6 E 48.00 127.0 6096.0 : SGL TINT E 48.0 133.9 .59 3792.0 SE 18.00 135.0 2430.0 | SGL TINT SE 18.0 143.0 .52 1338.5 S 18.00 124.2 2235.6 1 SGL TINT S 18.0 132.5 .48 1144.8 . 15 x COND. FLOOR / TOTAL GLASS = ADJ. x GLASS = ADJ GLASS 1 GLASS AREA AREA FACTOR POINTS POINTS POINTS . 15 433.00 115.80 .561 13 7.390.37 1 7.993.80 ====- NON GLASS------------ AREA x BSPM = POINTS | TYPE R-VALUE AREA x SPM = POINTS WALLS Ext 677.0 1.6 1083.2 Ext NormWtBlock In 3.2 677.0 2.63 1780.5 DOORS CEILINGS- | UH 433.0 .8 346.4 | Under Attic 19.0 433.0 649.5 FLOORS --------- Sib 73.0 -20.0 -1460.0 Slab-on-Grade .0 73.0 -20.00 -1460.0 INFILTRATION--------- 433.0 14.7 6365.1 | Practice #1 433.0 18.60 8053.8 [O[AL SUMMER POIN7S 13.725.07 | 17.017.61 TOTAL x SYSTEM = COOLING | TOTAL x CAP x DUCT x SYSTEM x CREDIT = COOLING SUM PTS MULT POINTS COMPON RATIO MULT MULT MULT POINTS 13.725.07 .37 5.078.27 | 17.017.61 1.00 1.070 .280 .950 4.843.55 • ' ;K:4***************************************************************************** WINTER CALCULATIONS ******************************************************************************* === BASE === === AS-BUILT === GLASS ORIEN AREA x BWPM = POINTS | TYPE SC ORIEN AREA x WPM x WOF = POINTS N 13.80 2.2 30.4 | SGL TINT N 13.8 3.7 1.14 58.2 NE 18.00 1.4 25.2 | SGL TINT NE 18.0 2.9 1.30 67.9 E 48.00 -1.1 -52.8 | SGL TINT E 48.0 .2 11.04 106.0 SE 18.00 -3.3 -59.4 SGL TINT SE 18.0 -2.0 -.03 1.1 S 1 8.00 -3.1 -55.8 | SGL TINT S 18.0 -1.8 - .34 11.0 . 15 x COND. FLOOR / TOTAL GLASS = ADJ. x GLASS = ADJ GLASS GLASS AREA AREA FACTOR POINTS POINTS POINTS . 15 433.00 115.80 .561 -112.44 -63.07 | 244.15 NON GLASS AREA x BWPM = POINTS / TYPE R-VALUE AREA x WPM = POINTS WALLS ------ Ext 677.0 DOORS CEILINGS------------- UA 433.0 FLOORS Slb 73.0 INFILTRATION 433.0 TOTAL WINTER POINTS 549.63 1.10 . 3 203.1 | Ext NormWtBlock In 3.2 677.0 1.17 792.1 . 1 43.3 | Under Attic 19.0 433.0 .30 129.9 -2.1 -153.3 Slab-on-Grade .0 73.0 -2.10 -153.3 1.2 519.6 | Practice #1 433.0 1.90 822.7 549.63 | 1.835.54 TOTAL x SYSTEM = HEATING | TOTAL x CAP x DUCT x SYSTEM x CREDIT = HEATING WIN PTS MULT POINTS | COMPON RATIO MULT MULT MULT POINTS 604.60 | 1.835.54 1.00 1.070 1.000 1.000 1.964.03 I hereby certify that me ! Florida Energy Code. PREPARED BY: / specification '. ./ by the calculation are in compliance with the � DATE: / /4 ' Review of 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 in accordarWection 553.908, F.S. BUILDING OFFIC I hereby certify that . is building is in ••rnp:iance with the Florida Energy Code. OWNER AGENT: — DATE: a DATE: /a 711 I - 9A 1 PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS CHECIS. WINDOWS 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doors). l/ EXTERIOR & ADJACENT DOORS 904.1 Maximum of 0.5 CFM per sq. ft. of door area: solid core, wood panel, insulated or glass doors only. I I EXTERIOR JOINTS & CRACKS 904.1 To be caulked, gasketed, weatherstripped or otherwise sealed. WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. Extemal or built-in heat trap required. SO. FT SWIMMING POOLS & SPAS 904.3 Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78%. 7 SHOWER HEADS 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. CHECK IF THIS SUBMITTAL REPRESENTS A WORST CASE CONDITION: ❑ HVAC DUCT CONSTRUCTION, INSULATION & INSTALLATION 904.6 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditioned space and air handlers located in attics must be insulated to a minimum R-4.2 (R-6 after 1/1/92). / J / HVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. INSULATION 904.9 Ceilings -Min. R -19. Common Walls -Frame R -11 or CBS R -3. Common Ceilings & Floors R -11. NEW CONSTRUCTION ❑ ADDITION IF MULTIFAMILY, NUMBER OF GLASS AREA AND TYPE CONDITIONED FLOOR AREA $1 ;7 711 I - S0 FT UNITS COVERED BY THIS SUBMITTAL I I 9 1 I CLEAR T1NT.FILJN.SOLAR SCREEN 5 9 PREDOMINANT EAVE OVERHANG LENGTH I I I — FT SINGLE PANE .... SO. FT SINGLE- PANE 7 3 SO. FT. MULTIFAMILY ATTACHED ❑ SINGLE - FAMILY DETACHED CHECK IF THIS SUBMITTAL REPRESENTS A WORST CASE CONDITION: ❑ PORCH OVERHANG LENGTH _ _ FT. DOUBLE- PANE ......" SO. FT. DOUBLE- PANE "' S0. FT INFILTRATION PRACTICE USED #1 ❑ #2 ❑ #3 $1 ;7 711 - 1 4 9 y x 100 = 5 9 7 TOTAL AS -BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.1 CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. FORM 900.A -91 PROJECT NAME AND ADDRESS: mirtailo2 Re s I —ce &P o. 1230 N E q 6 Si7zt��_ L kiNk ttotr OWNER: t-ke_. 4 (..A(i-5 -r\ :? FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION SECTION 9 — RESIDENTIAL POINT SYSTEM METHOD DEPARTMENT OF COMMUNITY AFFAIRS BUILDER: 1 ■ PERMITTING OFFICE: M ) 6 PERMIT NO.: - 1 - «a �i�120dM hOPIPp�1 CUMATE ZONE: JURISDICTION NO.: CLIMATE ZONES SOUTH 7 B 9 CLIMATE ZONES SOUTH 7 U 9 7 8 9 ❑ 2' 6 NET WALL AREA AND INSULATION EXTERIOR MASONRY so. FT ADJACENT MASONRY S0. FT R= 1 13 1 R= EXTERIOR FRAME SO. FT ADJACENT FRAME SO FT R= R= EXTERIOR STEEL S0. FT ADJACENT STEEL S0. FT R= R= EXTERIOR LOG ADJACENT LOG S0. FT. R= R= DUCTS IN UNCONDITIONED SPACE R = IN CONDITIONED SPACE R = 6.1 (a COOLING SYSTEM kg CENTRAL ❑ ROOM ❑ PACKAGE TERMINAL AIR CONDITIONER ❑ NONE SEEKER = l3 1 HEATING SYSTEM ELECTRIC STRIP ❑ NATURAL GAS ❑ ROOM UNIT OR PACKAGE TERMINAL HEAT PUMP COP /HSPFI AFUE = ❑ HEAT PUMP ❑ OTHER FUELS ❑ NONE o� . HVAC CREDITS ❑ CEILING FANS UT CROSS VENTILATION ❑ WHOLE HOUSE FAN ❑ ATTIC RADIANT BARRIER ❑ MULTIZONE HOT WATER SYSTEM ❑ ELECTRIC NATURAL GAS ❑ OTHER FUELS ❑ NONE EF = 60 HOT WATER CREDITS SOLAR: S.F. = HEAT RECOVERY ,c,+Eat DEDICATED HEAT PUMP: E.F. _ El NUMBER OF p4i BEDROOMS = MARTINEZ RESIDENCE MASTER BEDROOM ADDITION FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 Compliance Program - Residential Point System Method Version 1.0 January. 1992 Department Of Community Affairs Printout generated bv EPI92 and submitted in lieu of Form 900-A-91 THIS COMPLIANCE FORM IS VALID IF SUBMITTED AFTER JANUARY 1. 1992 PROJECT NAME: : PERMITTING OFFICE: AND ADDRESS: | CLIMATE ZONE: 7 8 9 BUILDER: | PERMIT NO.: OWNER: ( JURISDICTION NO.: INFILTRATION Conditioned Floor Are 101.00 Pract: 1 AS BUILT POINTS / BASE POINTS * 100 = EPI 8.771.32 14.699.31 59.67 GLASS TO FLOOR AREA RATIO = .7228 COMPONENT: DIMENSION: VALUE: RATING: VALUE: OFFICIAL CHECKLIST STRUCTURE TYPE: Addition PREDOMINANT EVE OVERHANG Length: .00 PORCH OVERHANG Length: 4.00 WINDOWS Single Tint Total Area 73.00 All Vertical Glass Total Area 73.00 All Skylight Glass Total Area .00 WALLS Ext NormWtBlock Int Area 168.00 R-Val: 3.20 DOORS CEILINGS FLAT Single Assembly Area 101.00 R-Val: 19.00 FLOORS Rsd Wood (Stem-UFI) Area 101.00 R-Val: 19.00 DUCTS In Conditioned Space Length ALL COOLING Central A/C SEER: 13.10 HEATING Strip Heat STRIP: 1.00 HOT WATER Natural Gas EF: .66 Bedrooms: 4.00 SN: 3498 ',Hereby certify that the plans and Review of the plans and specifications specifications covered by this calcu- covered by this calculation indicates lation are in compliance with the compliance with the Florida Energy Florida Energy Code. Code. Before construction is completed this building will be inspected for PREPARED BY: compliance in accordance with Section DATE: 55.908 F.S. I hereby certify that this building is in compliance with the Florida Energy Code. OWNER/AGENT:__________________________ | BUILDING OFFICIAL: DATE: DATE: COMPONENTS WINDOWS ** PRESCRIPTIVE MEASURES (Must be met or exeeded byall residences) ** EXTERIOR & ADJACENT DOORS EXTERIOR JOINTS 904.1 & CRACKS WATER HEATERS SWIMMING POOLS & SPAS HOT WATER PIPES SHOWER HEADS HVAC DUCT CONSTRUCTION HVAC CONTROLS INSULATION SECTION REQUIREMENTS 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack. 904.1 Maximum of 0.5 CFM per sq. ft. of door area. Includes sliding glass doors, solid core, wood panel, insulated, or glass doors only. 904.2 Must bear label indicating compliance w/ASHRAE stand- ard 90 or comply with efficiency and standby loss re- quirements. Switch or clearly marked circuit breaker (electric), or cut-off (gas) must be provided. An external or built in heat trap must be provided. 904.3 904.5 903.2 904.6 904.7 904.9 To be caulked, gasketed, weather stripped or other- wise sealed. Spas and heated pools must have covers (except solar heated). Non-commercial pools must have a pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78 904.4 Insulation is required only for recirculating systems In such cases, piping heat loss shall be limited to 17.5 BTU/H/Linear Ft. of pipe. Water flow must be restricted to no more than 3 gal- lons per minute at 80 PSIG. Constructed in accordance with industry standards & local mechanical codes. Ducts in unconditioned space must be insulated to minimum R-4.2 & ioints must be sealed' Separate readily accessible manual or automatic thermostat for each system. Ceilings minimum R-19. Common Walls - Frame R-11 or CBS R-3. Frame Common Ceilings & Floors R-11. COMPONENTS ========= _____=___ PRACTICE #1 ** INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST ** == REQUIREMENTS Comply with Infiltration Prescriptives in above table ******************************************************************************* SUMMER CALCULATIONS ******************************************************************************* === BASE === === AS-BUILT === GLASS ORIEN AREA x BSPM = POINTS | TYPE SC ORIEN AREA x SPM x SOF = POINTS NE 16.00 88.0 1408.0 / SGL TINT NE 16.0 94.5 .48 731.7 E 41.00 127.0 5207.0 SGL TINT E 41.0 133.9 .39 2148.1 SE 16.00 135.0 2160.0 | SGL TINT SE 16.0 143.0 .32 741.2 . 15 x COND. FLOOR / TOTAL GLASS = ADJ. x GLASS = ADJ GLASS GLASS AREA AREA FACTOR POINTS POINTS POINTS . 15 101.00 73.00 .208 8,775.00 1,821.11 1 3,621.10 NON GLASS AREA x BSPM = POINTS | TYPE R-VALUE AREA x SPM = POINTS WALLS Ext DOORS- 168.0 1.6 268.8 | Ext NormWtBlock In 3 .2 168.0 2.63 441.8 CEILINGS UA 101.0 .8 80.8 | Sinqle Assembly 19.0 101.0 2.50 252.5 FLOORS--------------- Rsd 101.0 -2.2 -218.2 Rsd Wood (Stem-UFI 19.0 101.0 -.40 -40.4 INFILTRATION 101.0 14.7 1484.7 ( Practice #1 101.0 18.60 1878.6 TOTAL SUMMER POINTS 3.437.25 | 6,153.64 TOTAL x SYSTEM = COOLING TOTAL x CAP x DUCT x SYSTEM x CREDIT = COOLING SUM PTS MULT POINTS COMPON RATIO MULT MULT MULT POINTS 3,437.25 .37 1,271.78 6,153.64 1.00 1.000 .258 1.000 1.587.64 ******************************************************************************* WINTER CALCULATIONS ******************************************************************************* === BASE === === AS-BUILT === ==========- -_= GLASS ORIEN AREA x BWPM = POINTS | TYPE SC ORIEN AREA x WPM x WOF = POINTS NE 16.00 1.4 22.4 / SGL TINT NE 16.0 2.9 1.47 68.0 E 41.00 -1.1 -45.1 | SGL TINT E 41.0 .2 19.17 157.2 SE 16.00 -3.3 -52.8 | SGL TINT SE 16.0 -2.0 -1.06 33 . 15 x COND. FLOOR / TOTAL GLASS = ADJ. x GLASS = ADJ GLASS GLASS AREA AREA FACTOR POINTS POINTS POINTS . 15 101.00 73.00 .208 -75.50 -15.67 1 259.03 NON GLASS- | AREA x BWPM = POINTS < TYPE R-VALUE AREA x WPM = POINTS WALLS ------ Ext 168.0 .3 50.4 Ext NormWtBlock In 3.2 168.0 1.17 196.6 DOORS ------- CEILINGS- UA 101.0 .1 10.1 / Single Assembly 19.0 101.0 .30 30. FLOORS- Rsd 101.0 -.3 -28.3 | Rsd Wood (Stem-UFI 19.0 101.0 -.10 -10.1 INFILTRATION- � 101.0 1.2 121.2 | Practice #1 101.0 1.90 191.9 TOTAL WINTER POINTS 137.75 ( 667.69 = TOTAL x SYSTEM = HEATING TOTAL x CAP x DUCT x SYSTEM x CREDIT = HEATING WIN PTS MULT POINTS | COMPON RATIO MULT MULT MULT POINTS 137.75 1.10 151.53 1 667.69 1.00 1.000 1.000 1.000 667.69 ******************************************************** * **** *** *************** WATER HEATING **4**************************************************************************** === BASE === === AS-BUILT === ____________ NUM OF x MULT = TOTAL : TANK VOLUME EF BEDRMS TANK x MULT x CREDIT = TOTAL RATIO MULT 4 3319.0 13.276.00 1 120 .66 1.000 1629.0 1.00 6.516.00 ******************************************************************************* SUMMARY ******************************************************************************* === BASE === | === AS-BUILT === COOLING HEATING HOT WATER TOTAL 1 COOLING HEATING HOT WATER TOTAL POINTS + POINTS + POINTS = POINTS | POINTS + POINTS + POINTS = POINTS 1271.8 151.5 13276.0 14~699.31 1 1587.6 667.7 6516.0 8.771.32 ***************** * EPI = 59.67 * ***************** Date _ PERMIT APPLICATION FOR MIAIF I.SHD$E$, YJLLAGE .. •. . . . • • • • :•••." Job Job Address 1232 NE el:. el:. ST IRELT TA FoI ti.-ID: 71). ZjD 6 6.1 Li —3'12 Legal Description SECS t"'B (0-37 LOTS 1TO INC. ELK 84 HistoLically.Designated: No •• • • • 4a;Ji4rriit Owner /Lessee / Tenant -F_cacY (Y1A Z7i N �- . • • : i# . . • , /i a c J c� ••• ••• • ••• • ••• Owner's Address r S ALE 9 gt `o ..T• 01,56o25 L . 63(33r Phone 3 75 (" 3 653 Contracting Co. (J. S. .) C#Z t� SST = • • Address • tih .5r..7)\ cq' R110140..0 Ran (7 Qualifier TAMES 1334/1\ SS# $ 'Phone 9 Ski - 712- oa State # C 6 -C 05 OV6 S Municipal # Competency # 90 //A m Ins. Co. Address Address Address Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFIN PAVING ENCE SIGN WORK DESCRIPTION 1 tiSTALLAT(ON OF (TAitbE c )E - ? -&-- 1EcK z o � Square Ft 'l, ' Estimated Cost (value) , � i 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 contra to do )he work ted. Signature of owner and/or Condo "resident ate o do President Date Notary as to Owner My Commission EX¢ires: ..P ; Francisco J. Gonzalez • !,pU ti , 6 c rs ip Q #DD 014 864 o` Expire§ April 2, 2005 Bonded Thrill Atlantic Bonding Co., Inc. APPROVED: Zoning Building Mechanical Signature /Contractor or Owner- Builder Notary as to Contra My Commission E pine / FEES: PERMIT 1 RADON C.C.F. i 00 NOTARY fi 04 ' Date +�`` IN, Francisco J. Gonzalez �� •_O DD 014864 g April 2, 2005 Bonded T hrn Atlantic Bonding Co., Inc. nm� �j - 2q -av Date - BOND _-' TOTAL DUE' P b Electrical Plumbing Engineering • • STATE OF FLORIDA) COUNTY OF DADE) �`��iu►ni � {ios ^e� UL-t-tage The undersigned Affiant, .. AFFIDAVIT • oF'r 4 1ater) • • • • • • •. . • .. • • • . . • . • • ...• •••• • • • • • • • • • • • • • • . • • • •• ••• • ••• • •••• • .• • • •' ' ... ...:• .•• .. • • .•' • ' .• ... .. . 1. •• • • • • • • • •t • • • • • ••• •• �NeZ� C : does hereby attest that the • attached survey, performed by (AA.1‹.-A p (name of sur veyor's co performed o•: . . l y _ : , is an accurate represen of the existing conditions and • ' date ofs&vey) locations of all structures on the property as of this date. The purpose of this Affidavit h to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Witness(sign and print) Witness(sign and print) SWORN TO AND SUBSCRIBED before me this .. day of Affiant is personally known to m produced Angela M Becker • • 7 My Commission DD150048 % Expires November 15, 2008 O • — identification. • SIGNED. SEALED AND DELIVERED in the pl2senc4 of: • • 4100 • • • ... .. 00 • • • .0 00 • • • • • • • • • • • • • • 0 • • • • • • • • . • • • • 000 • • • • 0410 OchW6C •• 10050 N.E. SECOND AVE MIAMI SHORES. FLORIDA 33138 -2382 TeilphQpg: Pax: (305)7; r,BA2 : COVENANT Or CONS' RUQTION WITHIN JUCHT OF WAY VO(HEREAS, L3 KY () ZrN Z- — 1, hereinafter referred to as the Owner of the (owner) fallowing described property: Legal description/411(7N: 1 t -31.0-6 -O I J -394-0 Lot 9 To (I Block. 6 Li , S3bdivision m (Am( st-102F s Tax Folio i: (I-. 01 - 'x°( rquests perrnissior to install: [ J Asphal4. concrete, brick pavers (j Landsc ping [ ] Other olnizZ E. f( as QUER " L DECIc , within the public road right of way of l236 . 1= , .9.6 sr. (address) IN CONSIDERATION of the approval of this permit the Village, the Owner agrees as follows: To maintain and repair, when necessary, t'e al. ve- mentioned item(s) installed within the dedicated right of way. !tit becomes necessary for Miami Shares Village or Dade County to make repairs or maintain said items withjn public right of way includinglrestaration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner dr shall constitute a lien against the above described property until paid.: 2. The ownet does hereby agree to indemnify and hold Miami Shores Village or dade County harmless from any and ale liability, which may rise by virtue or permitting the installation of these items within the public right of wily. 3. The Owner does hereby agree to remove dr relscate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comp ' with this notice will result in the Village causing the item(s) to pe removed and a lien being plated op the property and/or assessed against the Owner for all. costs incu.Zed in the removal and disposal of tNe item(s). 4. The derljigned further agrees that these Conditions shall be deemed a covenant running with the land and shall in full force and effect and bit binging on the undersigned, their heirs and assigns, until such time as this obligation has been canceled by an Affidavit filed in the public records of Dade County, Florida by the Viilpge Manager of Miami Shores Villa a (or his fully authorized representative). SIGNED, SEALEd, EXECUTED AND ACKNOWLEVOE on this day of NQ V' / lez r zCommlaeton DD 014864 =°i, r o0- Expo Apn7 2, 2005 ' Bonded Thrn " ° ,,go Atiantie Bonding Co., Inc. } • O. c • • • ••• • • • ••• / ' . • 28 0' P t, yY . � �1 • • • • • 0 ,5 •cot:.)ceETE GO NG. C U (D' \ c_�O • Cep ' \ • • • • • • • •• • • • • • • _� • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Go. &)0 s1 E.6TlN6 •, -/ECo N • NEw •SrE.P• SPA 5T tPs (ri10-13 LE 7o E i as1A . TD< Isri Cyt • WI CH taa FE n10E S' \ Q' A S PKhL.T ?(N ∎ NG Parcel Information LEGAL DESCRIPTION: SALE O/R: 14814 -0679 ASSESSMENT YEAR: LAND VALUE: BUILDING VALUE: MARKET VALUE: • .... • • ...• • .. • • •••••• • • • • • • • • • • • • • • • • • • • • • • .• • • • • • MIAMI-DA DE COUNTY' PROPERTY APPRAISES P. )3L ACCSS • • • tic: . E . • • • • • • • • • • • • • • • • • • • • • • • • • • FOLIO NUMBER: 11- 3206 - 014 -3920 ADDRESS: 1238 NE 96 ST 2002 $ 178,894 $ 322,444 $ 501,338 ASSESSMENT YEAR: 2001 LAND VALUE: $ 155,458 BUILDING VALUE: $ 179,136 MARKET VALUE: $ 334,594 ADDRESS: 1238 NE 96 ST, ••. .• • • • • • • • • Use scroll bar to view compAsiini;,rn +ab%.• • • •• • • 4.. • MAILING ADDRESS: ALBERTO MARTINEZ - ARIZALA &W B K , 1238 NE 96 ST , MIAMI SHORES FL , , 33138 -2554 CLUC: 0001 RESIDENTIAL- SINGLE FAMILY PRIMARY ZONE: 1400 SINGLE FAMILY RESIDENCE BEDROOMS: 5 BATHS: FLOORS: 2 LIVING UNITS: ADJ SQUARE FOOTAGE: YEAR BUILT: LOT SIZE: 4,551 1944 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOTS 9 TO 11 INC BLK 84 LOT SIZE IRREGULAR OR 14814 -679 1290 1 SALE MONTH: 12 SALE YEAR: ASSESSED VALUE: HOMESTEAD EXEMPTION: WIDOW EXEMPTION: TOTAL EXEMPTIONS: TAXABLE VALUE: ASSESSED VALUE: $ 263,752 HOMESTEAD EXEMPTION: $ 25,000 WIDOW EXEMPTION: $ 0 TOTAL EXEMPTIONS: $ 25,000 TAXABLE VALUE: $ 238,752 Owner Search Address Search Folio Number Search Back Home Page 3 1 21,300 SQ FT 1990 SALE AMOUNT: $ 320,000 $ 315,129 $ 25,000 $0 $ 25,000 $ 290,129 Page 1 of 1 http: / /gisims.co.miami- dade.fl. us/ scripts /esrimap.dll? Name = PublicAccess &Cmd = Search... 11/28/2002 : 7; 11/26/02 10:17 FAX 305 7510271 A AND B MARTINEZ • • 0110 • • • • 1 7::21;ke( In • Oil* 000 • • • ( • .11: 0,2N • • • • • • • • • • • • • • I o(r • • 000 • • p eiVY1f 8 0(n V)ee°1-E'C T d-O(A 5 - eC (eleAr+soe2) /a3r E 960 3 1(11(aw X �9 �c') 305- 7g1- 3$53 C01) 0 • •••• • ••••. • • • •••• • •• ••• • •••• • •• • • ••1% • • 1.4 0' • L 4. • • ,•1 y .. • • •,:,k. L. 4.X. ' r.,F•g_ . • G.- P• AZ. • co.1G• iescoPeN S' CH 11,114 Lt . FE MC. E J • 0 As P -ti T Ph.V 1Nv z 625) F"i • %So. op . •••.• P (6 -LS- ) • <.bo I Pa r cG -zs.r) Miami Shores Village 10050 NE 2nd Avenue • Phone: 305-795-2204 Printed:11 /13/2002 Applicant: ALBERTO ; . .k1AF TLNEZ- ARIZALA :... B At tiRESS: 1238 NE 96 • • • '•'Contractdf:: BRIM S CLEAN CORP . ..local Phalle.; 786-299.0507 •••• .... • Pbrcel #'11320601'43920 • . • • • • Permit Status: Approved Permit Expiration: 50/2003 Construction Value: 54.000.00 Work: DEMOLITION OF POOL DECK 8 REPLACEMENT OF MARBLE STONE DECK V Building Permit Permit Number: BP2002 -1937 MARTINEZ- ARIZALA ALBERTO ST Contractor's Address: 3741 NE 163 ST #264 Owner is Responsible for Maintenance of ll Village Sidewalks as per Village of Miami Shores Code of Ordinances, In.•biding Driveways, tt Caused By Current Catns'ruclic,n Activities. Legal Description: 5 -6 53 42 MIAMI SHORES SEC 3 PB'10 -37 LOTS 9 TO 11 INC BLK 84 LOT SIZE c= 7- o f k fewTtractor or Builder) Page 1 of 1 Fees: • F77=-6384 FEE2002 -6385 FEE2002 -6386 Description Bui!dier's Bond CCF Building Fee Total Fees: Amount $300.00 $2.40 $70.00 $372.40 Total Fees: $372.40 Total Receipts: $0.00 on the job -site for inspectors to verify, there will be no inspections. Re- inspection ce before calling for another Inspection. MIAMI SHOiWf•'• PILLAGE NOTICE and above to construct the building or to Install the equipment or device described h the application herefor In strict complianoe with all that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to mil may be revoked at any time If the work Is not done in compliance with such ordinanoes or It the plans are changed without granted Is the understanding that the oonlractor or bulkier named above assumes the responsibility for a thorough knowledge of the hereby whether shovm on the plans or drawings or in the statements or specifications and That he assumes responsibility for work done ^(INSPECTOR) BY: 9 to perform the work covered hereunder In compliance with all ordinances and regulations pertaining thereto and In strict conformity ad to the proper authorities or Miami Shores Village. In accepting This permit I assume responisibllity for all work done by either REG C01 112502 1640 I!CU0I 00301? CHARGE $372.40 BY: KNOW ALL MEN BY THESE PRESENTS, that I, BRIGHT & CLEAN CORP of BRIGHT & CLEAN CORP 3741 NE 163 ST #284 in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or buildings at the fglIoyling address: • • •• ••. • •• 1238 NE ST • • • • • • . .• • • •�p_}'reby deposit yvith Miami Shores Village, Florida, the sum of: $300.00 '• apd I agreehltitad Village that, when such construction shall have been completed by me within the meaning of the ordinances • a said VIIIage will clear all premises and repair any Village property damaged by me, used for the deposit of material or • • • equipment Ri•OlLcrons1ruc(Ion or repair and that, if I do not so clear and repair such premises immediately upon the completion of each ponstrreVon wlthing the meaning of such ordinances, the Village may clear and repair the same and pay the cost of such • • t$ef rance and•repairs out of the aforesaid Builders Bond, and return the remainder to me; and that, If I shall dear and repair said • property ImAinfrately, as aforesaid, then said Builders Bond shall be returned to me. as •• • •• • •• • • • W►TNSSS MY HAND and Seal a Miami Shores Village, Florida this date. 1 /13/2002 • • • • 1 ,5(.,,z, li\v Signature J INSTRUCTIONS TO BUILDER: When above mentioned construction is completed and the premises are cleared and repaired, take 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 agreemenL 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 WHEN CLEARED AND REPAIRED BY THE VILLAGE: Amount of Bond: $ Cost of clearing and repairs done by Village: $ Balance due Builder: $ Final: N N Miami Shores Village, Florida BUILDER'S BOND Bond refund payable to applicant only. ($10.00 CHARGE IF BOND IS LOST OR DAMAGED) Cancelled* By Issued: 11/13/2002 Amount: $300.00 Bond #: FEE2002 -6384 Permit #: BP2002 -1937 Village Building Impeder, Miami Shores (Dale) NOTICE OF COMMANcEMENT A RECORDED COPY MUST BE POSTED ON THE :JC$B tsitEiMYIKIE OF FIRST INSPECTION • • • • • • • • • • • • ••• • • • • ••• PERMIT NO. TAX FOLIO NO. I I :,"" 32 _ o 1 -397,0 •• • • • • • • •"• •'• STATE OF FLORIDA: • • . • • • • • • • • • • • • • • • • • • • • • • - COUNTY OF DADE: • • • • • • • • • • THE UNDERSIGNED hereby gives notice that improvements will.be,made to cectairi mat property, and in accordance with • • • . • • • • • Chapter 713, Florida Statutes, the following information is provided ,s Cbmmtocement. • • • • • • • • • I 1. Legal description of property and street address: SEC 3 P.8 [Q7'$ to 11 INC. wet V.1 t� 1 2. Description of improvement: I A/ST/40, 011 QA) C1. (fl( ?d OU i , 3. Owner(s) name and address: �h 71n /E�.. 1238 CIE. V 61� `t. nom sial± L� 33 13x ' E. • . n 3 (( ( S O(Z� r Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: UJ .S. (( Si '' 'c C' � /STEfr1S. �yI /Uk 1 N - 7 -0 7. ?CAArrphanl FL. N33 fl 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 of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) Signature of 0 , ner Print Owner's Name (�F.0 0 014 27l Nat- Prepared by Sworn to and subscribed before me this c / day of NON. , 20 OZ" . " " " °- Francisco J. Gonzalez Add e$4 : et ,., 6 _ Commission 0 DD 014864 �� J0 ,,�` 3 Expires April 2 2005 Q Q�QJ � - O '�i•• • • Bonded Thru o , ''I P4 % �Wantie Bonding CA, he ♦ Q O rls Notary Public Print Notary's Name My Commission Expires STATE OF FLORIDA, COUNTY OF DADE 1 HEREBY CERTIFY that this is o -a� day of orr4l p, �icd i .this office on A D 20 hand and Official al Scat. Courts WITNESS U L , " • + rc it arid County HA By D.C. CO s•I Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 12 /16/2002 Applicant: ALBERTO Owner: MARTINEZ - ARIZALA JOB ADDRESS: 1238 NE 96 Contractor US BRICK I& BLOCK SYSTEMS Local Phone: 954 757 - 7559 Parcel # 1132060143920 Legal Description: Fees: FEE2002 -7187 FEE2002 -7188 FEE2002 -7189 Description Building Fee CCF Buildier's Bond Total Fees: Amount $310.00 $8.00 $300.00 $618.00 Total Fees: $618.00 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 6/14/2003 Construction Value: $19,200.00 Work: INSTALLATION OF MARBLE OVER POOL & DECK If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to c ordinances pertaining thereto and with the understanding that the wori. and approved by the proper municipal authorities. This Permit may be authorization. A further condition upon which this permit is granted is ordinances and regulations pertaining to the work covered hereby whe by his agents, servants or employees. Signed: — Signed: PEC In consideration of the issuance to me of this permit, I agree to perfc with the plans, drawings, statements or specifications submitted to the myself, my agent, servants or employes. \In Building Permit Permit Number: BP2002 -2168 Contractor's Address: 941 N STATE RD 7 Y TO € PA MERR OF MARTINEZ- ARIZALA ALBERTO ST ALBa4 MAR7INE2 -A AFA B. K. MARTINEZ 1238 N.E. 96TH ST. MIAMI SHORES, FL 33138 r__vm .r M� m°i Serving o & Fw FOR 5'L' [�ie �oa 7 r /1 0 DATE Page 1 of 1 5 -6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOTS 9 TO 11 INC BLK 84 LOT SIZE 1:26 ?0 ?78501: Sv;,,7 ,C 3 i6 il' i4P,q ©3 1469 63- 7785/2670 GA:7- 1e Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEMD YOUR VAUNTED 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• &CL M ''I1•AID s4ITA RY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREEIRtIaDI' T ArQD IEIRIS. 4. SWALES MUST BE PROTEUI'bD FROM BEING DAMAGED•B .EQjVLPI4Er2T Oft VLHICLEr, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be accordance with Section 713 -35 of Florida Statutes. Review the brochure .e Hall o Choosing a Contractor. STATE OF FLORIDA, COUNTY OF MIAMI -DADE • • • .•• • ••• • otary Pu i is - State of ' on oduced: Signa ure of Owne 4 � int Name yin C — C ez-- S�Jo� and subscrib fore me this day of , SEAL: Personally known Type of Identification • •• • ••• • • • • • • ' • . • . • • • • • • ••• • • • ••• • STATE Signatur • •• • Print Name Sworn to and subscribed before me this day of tgnature of notary Publi State •f Flori SEAL: lesion DD150048 ovember 16, 2008 ced (den • r Personally known OR, Produced ldentificati p 'ype of Identification Produced: PERMIT APPLICATION STED AT THE JOB SITE in nstruction Lien Law and OU MIAMI -DADE A n g eta M B eciter pp16° ° M Commission F:ee3 r 15, 2000 0 o- GR ; g EdOVBtitbe I A00-544'-ci (OD,, PR E T WNEV on Y ° t am Address Home Telephone Business Telephone Fax CONTRACTOR New Construction Name Alteration Exterior License No. Alteration Interior Address Relocation of Structure Telephod ll et " � ®- 66 7. Qualifier Name Other 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 Step 1. Job Address: Address Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other • ••• • • • • • • ••• • • • • ••• • ••• • • • • PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax • • ' • • • • Ma §ter•Permit No. • ••• • • • • . • • PERMIT APPLICATION CSR - i cho • . • Subsldiy Permit No. ••. • INSTRUCTIONS - The following steps must he taken to obtain a permit from the Miami Shores Village: • • . • • • ••• •. Complete the attached permit application wkicp stbe: ign ecrbythe ptbperty owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate•proccssjng•ofyour appDcation. 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 Ap escription of Work 3313 City ' State Zip Zoning Linear Feet Square Feet Units y,,, Floors a1ue of Work ,VO ' t)Bldg Value I�x Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax ELECTRICAL TV'I'E Minimum Fee QTY. TYPI? Dryer QTY. • • "I'1'I'F: *Outlet" Appliance QTY. . TYI'I Service Repair Q"1 Y. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. 'FYl'1, Generator QTY. TY'I'E 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. 'Fyn: 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 • • ••• • • • a. • ••■ • • •• • ••• • • • • ••• • .. • PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of woilebeing pert ntd and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: Page 4 OFFICE USE ONLY ❑ 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 ••• • CHECKLIST ❑ PROOF OF OWNERSHIP (Attach) • .. • • : ❑ HRS / DEP R( AE . (Septic / Sewer) • ❑ IMPACT FEE (New Construction) $ L..Q 0 P 00 SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE • ••• • •• • • • ❑ OTHER (Specify & Attach) (X .ft. = x/1000 (¢.005 / sq.ft.) . (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL •' (Attach) • • t •BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: 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 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2003 -146 Printed: 1 /30/2003 Applicant: ALBERTO MARTINEZ - ARIZALA Owner: MARTINEZ - ARIZALA ALBERTO JOB ADDRESS: 1238 NE 96 ST Contractor BRIGHT & CLEAN CORP Local Phone: 786- 290 -0507 Parcel # 1132060143920 In consideration with the plans, dr ..myself, my age Building Permit Contractor's Address: 3741 NE 163 ST #284 Permit Status: Approved Permit Expiration: 7/29/2003 Construction Value: $1,800.00 Work: CONCRETE BASE FOR FOUNDATION Page 1 of 1 Legal Description: 5 - 6 53 42 MIAMI SHORES SEC 3 PB 10 -37 LOTS 9 TO 11 INC BLK 84 LOT SIZE Fees: Description Amount FEE2003 -571 Building Permit Application Fee $60.00 FEE2003 -572 Notary Fee $5.00 Total Fees: ! $65.00 Total Fees: $65.00 Total Receipts: $0.00 4 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection 'a fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to ` and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants plo ees. SPECTOR) BY: permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity tions submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either Signed: Z; V (Contractor or Builder) BY: •• .. • • • • • • •••• • •• • .. • e••• • • • • •• • • •• • • • • • • • • • • ...... •• ...... •••• • • •■•• ..... . 0000 000 • •• • . — The Sunshine State L R • 8200- 528 -57 -100-0 . LUIS HENRIQUE REIS 2930 POINT T DRIVE 11E30 AVENTURA. 33160 -0000 tom OA rE SE. Herr. REST. ENDORSE. 03 -20.67 M 609 ISSUED EAP1RES OUPUCATE 09.0940 0320-07 0600-00 a. W W OC� SAFE MINER 1 �� � vAUO M �olioA ONLY Operation d • rr T vehicle ponsent to any fobriety test required by low •'•- 0. • ' • •••••• (0 G.■ • • • • • • Cit:: 0\ •• •• . . • ••• • • • • •• • • • • • • qv • • • • • ••• • • o • * * •• • • ••• o I o • • &.S•P.1•4 P A. \I N3/4 S I;TVC4 Nftf • PtE V■V■4/1.X • o • •• ••• •• .‘ • :::::::: • • /* • o • •• • • • 7 :: .5 c.o cizere • •".ISC:.;.;c,'. q). • • • • • • . . • ' dto fitv 1E d e • • • • • • • • • • • • • • • • • • • /7/ * L FL/ELj/$ • • ••1. :IS . 4 • • • • \SO. CDC) 1 , wt .\ 0 k 41. Sp=0;:ty 'Zia: ( .40\ /.% • • ;It S' cHtm hi l.t IJK- FE t4C. . . Page 2 STATE OF ORIDA, COUNTY OF MIAMI -DADE Signa SEAL: Personally kno Print Name Sworn to and subscribed . : e me this ' 1 day of 4+e E co - . of Notary - State of Florida VIVIAN DeQUESADA MY COMMISSION # DD 099750 EXPIRES: April 18, 2006 14800.3- NOTARY FL Notary Service & Bonding, Inc. • , • 1111 . • . I • . Type of Identification Produced: ( 1 -3 (.- ✓ j • STATE Signature o SEAL: • • ••• • • • • • • . • • • . • • . • • • • • • • • • PERMIT APPLICATION • INIPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATE154PE IT ANJ�)ZERi1 J[ CARD. Atip 'lying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Mondy 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 ANQ EON.D'QOrl ftee 'ro;n construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEJ U . • • • • ' • • 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR YEHICLE3, 4t R4A`E NQT'B USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. • • 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. • • ••• • • • 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 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 Hall on Construction Lien Law and Choosing a Contractor. Signature • Con..ctor er Cl ' /VA - ZAr fc_D Prin Name Sworn to and subscribed before this \\ day of mA0r^ 1 j0'vZ N VIVIAN DeQUESADA MY COMMISSION # DD 099750 EXPIRES: April 18, 2006 1-800-3-NOTARY FL Notary Service & Bonding. Inc. 0 OF MIAMI -DADE Personally known OR, Produced Identification Type of Identification Produced: PROPERTY OWNER Name ec k i�o� �;.t.e Address fZ N E 9C sc.. HtGc -s i St- -e5 Ft--- Home Telephone I Business Telephone e Fax ( — 0 Z7f CONTRACTOR New Construction Name r -lsc d, INc . /Enclosure License No. C(7 — 06 /aq t Alteration Exterior Address q ° Reif A t.) 530.3et � '; v t-, - P✓. FL 334 6 Telephone 305 S 7 _ V Fax C , v8 7- � / 36 S/ Q 77 Qualifier me la ( Relocation of Structure TYPE OF MANAGEMENT (✓ ) New Construction /Enclosure Alteration Exterior V/ Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other Step 1. Tenant Information PERMIT TYPE ( ✓) / Building ✓ Electrical Mechanical Plumbing LPGX Roofing Fence Other • • ••• • • • - • • . • • • ••• . • • • • . . • • • • • 000 • • • • • • ... • •. ••• • • • • • •• '• • • •• • • ••. •.• • • • .• ••• • Job Address: /2 5 ® ilJ % ST Address Apt. • ; • •. • . . • . • . • • • • ••• INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: • • •• Complete the attacIte� pr rmit a pplicat i on 1hj rust be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to al jr for a:mareiclidite rrocessing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit applitatidh. • •. • ..' 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 Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. /4i4 -w.; 54e.- e S TC City State PERMIT APPLICATION Zip Folio Number 4 / Description of Work 1 `m t /V '/ e / g� - Lot 7 /0 1/ f� 7 of e�� t ys ,vt .., Subdivision Sec A ., +9vt PB a V PG 3 7 Zoning Linear Feet Current Use of Property e S� c P S Feet Units Floors Proposed Use of Property Va of Work G / 75? Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT CHANGE (✓ ) ENGINEER Name License No. Address Telephone Fax ELECTRICAL TYPE Minimum Fee QT'.'. • • T1 i»% *Dryer. • • • • • • • •, • QTY. 'I'1'1'F Outlet, Appliance QTY. '1'l Service Repair Q I I. A/C Central 1 -3 Ton Fan Dryer Vents, Number of Outlet, Wall Ventilation, Cost Service, Temporary Air Handler, Tons A/C Central 4 -7 Ton Piping, Flammable Liquid Fire Pump Outlet, Switch Fire Sprinkler System Signs A/C Central 8 -15 Ton Bath Fan - Vented, # Fixture - Fluorescent Pressure Vessel Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New 1IECHANICAL '1'1'1'1: Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QT1'. Tvi'1: Refrigeration, Tons Q"f l. 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 Solar Water Heater Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Cap - Fixture Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Pump and Abandon PLUMBING TYPE A/C Condensate QTY. Tl'PE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. 'rviE Soakage Pit QT\. 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: Pleiteeiudicat�ibe tipe o£wbrt'being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY DA Zoning a, fit //I/ OA Electrical Mechanical Plumbing Fire Public Works Structural Building Official 1 li ( 1 L' Z` Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $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 $ ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL :• •• (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $ S- $ 0 (1) r $ O�� (sq.ft. = x/1000 x ¢.60) ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: • • •. • ••• (¢.005 /sq.ft.) (¢.01 /sq.ft.) • • • • • • • • • • •• • • • • • • • P . ERMIT APPLICATION • ❑ CONDO ASSOCIATION APPROVAL • . ( Attach • • • •. • • •• • • • • ••• • • J • BpICAM24VAj,(Restaurants) ••• • • • • ❑ CONTRACTOR REGISTRATION (On File) TOTAL $L) 0 Revised July 2001 10050 N.E. 2"D AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com 17 lei laps ... `30 l le ,Z .. ^•4- ,. II gYti Vt. - lz 1 . • 1 . a2 Fi •‘,..% , •.•` No_ . I.a • •, %A. .. tram N ^•4- ,. z- .. bcl 9 5 0 •f • b% • a2 Fi 12/10/02 16:48 ••• • FAX 05 7510271 // A AND & MAR • : •• • IF IC DESCRIPTION; • • • • • •• • • Lots 9, 10 & 11 Block 84, of . "MIAMI SHORES SECTION THREE ", • •; gcArding to. the Plat. thereof, • : : as :recoVded in Plat Book 10 at •" Page ;4•, of the Public Records of Dade County, Florida.. • • • • • • • • AfK /A 1238 N.E. 96th. St. • Miami, Shores, Fi. _..Aft0tQu'r4aTqRt .... • • . - • 'I .`;e Lands `zhootes • hereon ware na; - abmtrac ted for r a=te. ' ' ; ;arddJ -• ,•rIs hta v!• - way of. records, p t a� shozurs . c* e �r�lr J. 12.T1Thero •ar-a • riot ` ncroachrr-nte ai Sher ary s:ret±r to -' hdery lines of the subject 'property, except as shot her!xls+ni•: if • . ' - •- ,. ~te- Iiki A ttempe 'was . .made by . firm to locate '.4..adergrour . x-f�p'''o�t(nga::of -any instadlat„ton and /or structures. •, �. � . .`w' shown . hereon are bayed on Nations Geodet: .Verticei-Datum (N.B.V.D. ),'• Mean Sea Lovel (M.S.L. ); i ' • • • • • • • • • • • • • . • • • . • •• .. •• • (Li xat . N.Wr.. s Poe.z 1043 OF eSeC %OtJ S- SS- 4-2_ LOC Al 1at•J , Tr tr sC.A1LE P. - l" • I _Q 1 q �u r • • O "'St• rukirwl 12/10/02 16:48 FAX 305 7510271 • • . • . 9� -T� • • ; ._•• • • • • •• . ••• • — +- - • • • • •• • • • • • • • • • • ▪ • • • • t B . O' � 'S P N M-7 PAN � M Go. IZ.' O S' ci1MI4 l.mc FEhICt ‘O' A.11 t - 4 PL �.L�aY���:� �'• x . • .- 4 .17,• � - i sv''L • . � :. ; c.: '1r ? - .:�:. • • • • • • • • • : • • . • • • • • • • • • • .. • • • • • • • • • • 2l • .• : : • . • .• .' .. .. •• • '�°)_ '• • o ••' � • • ' • A AND R MARTI`EZ 1005 F' r_ v 1 iZair NE ■ ST. Miami Shores Village 10050 NE 2nd Avenue Phone: 305 -795 -2204 Printed: 12 /16/2002 Applicant: ALBERTO Owner: MARTINEZ - ARIZALA JOB ADDRESS: 1238 NE 96 Contractor PAMSCO INC Local Phone: Parcel # 1132060143920 Legal Description: 5 53 42 MIAMI SHORES SEC 3 PB 10 - 37 LOTS 9 TO 11 INC BLK 84 LOT SIZE Fees: FEE2002 -7183 FEE2002 -7184 FEE2002 -7185 Description Building Fee Buildier's Bond CCF Total Fees: Amount $115.00 $300.00 $4.20 $419.20 Total Fees: $419.20 Total Receipts: $0.00 Permit Status: Approved Work: Install natural If there is no permit fee is $50.00, which mt This Permit is granted to the ordinances pertaining thereto and approved by the proper m authorization. A further condit ordinances and regulations pe by his agents, servants or emr Signed: In consideration of the issua with the plans, drawings, state myself, my agent, servants or Permit Expiration: 6/14/2003 Construction Value: $6,750.00 PAY TO THE ORDER OF MEMO (sos)8? t)47 p PAMSCO, INC. 9350 NW SOUTH RIVER DRIVE MIAMI, FLORIDA 33166 CITY OF MIAMI SHORES Building Permit Permit Number: BP2002 -2167 MARTINEZ - ARIZALA ALBERTO ST Contractor's Address: 9350 NW S RIVER DR CITY OF MIAMI SHORES i0%/c - NatJV2 J 4'a XX UNION PLANTERS BANK 63- 841/670 Page 1 of 1 12/11 /2002 sc1f&`'O 6128 DOLLARS - -I Date Type Insp'n Permit No. N Approved Correction Re- Insp'n Fee Qy3 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Address Company Phone # For Inspectot: o Date ) For Inspectof: Approved Correction Re- Insp'n Fee Date i Type Insp' n — _ P�- r7�: a �y .i;1 Permit No _ p 0 •y -.1 91 v / Y Name' ,'�C,t , .t Address . o 3 .S n Company �.JA�a : Phone # MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Time C 22 4J-. f 2LI