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71 NE 97 St (4)
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME F FIk4 INSPECTION PERMIT NO. TAX FOLIO NO. 111 0t3 ( R STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: I ICE q) ' 31 H► 0 5rores _ , F 1 Id 40- -\ 16 1oct 1-- 2. Description of improvement: PI)() Y- I} (.I € L A L 7 10 R C- 4 3. Owner(s) name and address: M \ (LON Woki aIe_ 9( (i� E. G )1 n 7'- i11 CA 1.41 S rPJ Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: C)1201\!I ,I NOTICE OF COMMENCEMENT . i t, rr flC ,,..'aunty Caufti D.C. 5. Surety:(Payment bond required by owner from contractor, if any) - ' CE - .r Name and address: Amount of bond $ 6. Lender's name and address: 8" r 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: 0 IJ I r i•i 1 4N0 NW T '` 0.4 I I.nQ- r' t4 W-li F1 ?)?101, 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: Notary Public Print Notary's Name My Commission Expires: 4$ 00 Crislina Hue /.11.4. 14 .k *My Commission CC896567 . , ... .- u • c. 1.1 signature 01 own Print Owners ame Sworn to and subscribed before me this day of , 19 02R022935 2002 JAN 14 09:30 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) Prepared by: Address: NO 4U NW (0 C fvOQl n 1-U i n i 123.01 -52 101 98-256 Bill of Sale Know All Men By These Presents, 'Nat his 22nd Clay ut January , 1999 A 11 . 1111; ANTONIO V. CUBILLAS and MAGGIE CUBILLAS, his wife of the County 01 MIAMI - DADE MYRON C. NOVAK, a single man w mine„ ts: 71 N.E. 97TH STREET, MIAMI SHORES, FL 3_,:_ of the County of MIAMI -DADS 1 uac l,l F?.ciric.r; \'Vitnesset h 1101 the IIKSI' 1'AR'I'l tiS, lur and In cot side. at on of the sum of TEN DOLLARS ($10) u1AUS dud whet good and valuable consider alum to PII(ST I'Alt"I111S m h,tud p b) 5! :> (tND PAR] 1, 11 c ilccyn s h 9e _ 1 I.nt granted, bargained, sold, iranslened and delivered to Ole rod SECOND I'AI! and . ` I1CON1) 1 ' V:.'1 "S hen,, st e 0 st . , ., ,s t wt et the following goods and chattels: Refrigerator, range, dishwasher, washer and drya r, cant r,21 Ai electric water heater, ceiling fans, awnings, or :hill house, a. a.1 window treatments. Lots 20 and 21, Block 7, of MIADII SHORES SECTLON CNE AML!'IRE, according to the plat thereof, as recorded in Flat Boo): : (, at P.t,,e 70, of the Public Records of MIAMI -DADE County, Florida. 1111 VC /111(1 10 1101(1 the sane 111110 second p.tny, 1, 1.1 the 5000011 p.m) s !tens, 1c15.11, I I<p c,Cnt. 5, c 0,51 , 1 .1 5. 05 I ■cvu A 11(1 the Ina paves covenants wall the second p.uly, and the seder d garty s Lens, 1', ,30 .1 1ep10101 la . its, e t. .. 0s .1d ..ssigns that the lust pauiys ay the htwlul uwnet u( ih< s.od goods and chaos 5: .I1.d Iltcy .t, lac 11..11 .111 a u w 1 - 11 11: 111,1 pnuics have good nglu w sell and uansler sad ptop❑ty, goods and chattels: uul O. it 110 11 ,I pates n 1 w i. „ I .n I 3 r.d itt: silly and oauslt u( the 5111 pt Opel ly, goods and clltttels hereby utade t0 .i: 5000 d au:., aid 11 0 , 0111 1.1 • I e f Isullal IcpIysetuivcs, sucecssms and assigns, against ! h c 1.1,0.1 claims and demands 01 f 1 1 pas its u. u 1 .1 t JI I" .- I .c.. /.ill 6. binding upon the Gut parries and the lust pilules' tell,, pelsm...I teplescnOauvcs, sems o.d as :tg.a 111 Witness \' iFfireoI, the lust pa11105 have het a.0tu .set then hinds awl srds thy dry 0. , 0.11 I. sr ..b l.0 t 11 tut Signed, set Icd and delivered in of presence: / Witne Pr Witness ,o∎Y C0LE[1 :.t „ 1.,,,.1-nt;ON J o` t >.o- ,.Ii ■ y' ` OF 1" Al lniOl r slate lI Ficrida _ ._ (st:tl) ANTONIO V. CJIIILLAE ; ) I'.0 And /css:CNJs.9'111 ,flat ba• ;": ;,t,1l:fll 11.'.•i,h .1'119 r/� (Seal) I`LAGGIE C}JB,x ::EJsS I'U At.dic,s: 71 .N.1:. S''l I111 Itl: ..1' ,1;.1t11. ;11 11.•,,h. '1.M STA'I'I' OF Florida COUN'T'Y OF MIAMI -DADE The l oregumg Instrument was acknowledged Mule Inc this - RCIA .:ay 0 .;anu ary ANTONIO V. CUBILLAS and MAGGIE CUBILLAS, his wife whit of e 1)01 sonully known to me of who have produced Oahr i Florida driver'( .i1�i;f 'fee ns�den 11�. 71.1 1f / ir�r P:rin at ---= - --�. -- Notary Public NI) CM 1/111551111 ling, lir;t 1t. tics,am r (1 10 rt). 9 f by ( continue the permitting press. BUILDING AND ZONING DEPARTMENT 10050 N E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138-2382 TELEPHONE (305) 795 - 2204 FAX 1305) 756 - 8972 C�1 CENT tractor /owner, picked up 2 sets of plans for (ad ss) ° 7) o l 2.4 J- to /nave corrections dol a to plans and/or get County stamps. I the Building Zoning Department on ( te) Rai understand that the plans need to be brought back to Miami Shores Building and Zoning to LOGE :4. E. _ d A'i_ ?= 2h. (30 7 n5- ( 23E) ._ _ =ITC IT _ ...:f. /OEN rJ F.S P T. STR.Z1 IC N Certificate of Insurance for r.r1r7.r1- be ?! Shcr_s Village) '1 I - 910 TJr cf STATE CF ZCRIDA c -, - !QIICN (r°R) ._ SSE REGIS - MAT - 1CN AND DADE COUNTY Ca-9=NY LIc^:NSE Copy of -err -ant CCCUPATIONAL LICENSE from = mun'-inalitv > >` tusire ss is located. Certificate of Ins..rance for ?'S COMP (addressed to -fiarii ShoresVillege) or if exempt. State of Florida T.r�'S Form EC" -2.04, Construction Inas:= i Notice of Election to be Exempt. PLEASE SUBMIT EVERY= (" t D 0.E7.1147/ 1 �Z� //// Permit Application (signed by person performing the weir:, licensed contractor and the property Carer, both signatures notarized). Two sets of plans /drawings signed and sealed by registered architect or engineer. Occutencies by Group Classification trust be on plans and ce .it application. All plans Est incite folio number and property address.. Amended plans, in addition to the above, tr fist also include the permit number. Structural Calculations signed and sealed by _c tect or engineer when applicable. Current survey of the property. Certificate of Elevation signed and sealed by Surveyor. Substantial Improvements aae±list (contractor c= owzier) . . , --bZ Four sets of energy calculations, signed and sea g sets of signed 4 sealed Tress Plates (Engineer). DADE County or State of Florida Products AvraVais for roof materials, hit �S.'ied5, windows, exterior /Cage doors, aluminum car orts, screen W l °1 �enclosures, shutters awnings; skylights, _enc: doors and etc. 6- --.. P__ rovais Lan FRS, DADE County Impact Fee Section, Fire Deparonent F a th Department (when applicable). DER!! 6iarranty Deed or Other Proof of CN.t 'ship if necessa-ry. Structural R. -view fee -$ . SO m 0 () odd Elevation Notice of Commencement t/0 ;1-- PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE 'PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 9. Subject to compliance with elf Federal, State, County. Village rutes sad regulations. Vn(age MUMS no responslbtllty for accuracy oflor results from these plans. 2. Thin copy of plans mutt be arellable on building alto. or no Inspection win be conducted. DATE CRITIQUE SHEET JOB ADDRESS —?/ / \/ 7 c APPLICANT f' ( /lc) /✓ C. /JC • V %�c PHONE ## 3,9 APPUCAT1ON f€ SHEET / OF 2- MISCELLANEOUS A4 h 44 17/4.2 Q- ) iii a • i COMMENTS INITIALS C/ to b, lCc��,�i;��L: /�� �, 'r e C: l /��o ('- (ca‹.,�b� 1 4 1\--( _ ♦ it :.J � �, : \� ! . r I .d �. _� _ ►d d' .4 �(L! :�� ct B4. MAP AND PANEL 65. SUFFIX B6. FIRM INDEX B7. FIRM PANEL 88. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE /REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 12025C00093 J Jul 17, 1995 March 2, 1994 X N/A PROCESS # FOLIO # HCOR (crown of road) Elevation BUILDING OWNER'S NAME MYRON C. NOVAK FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages I - 7. 12234 SECTION A - PROPERTY OWNER INFORMATION BUILDING STREET ADDRESS (including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO. 71 NE 97 STREET CITY STATE MIAMI SHORES FL PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 20 & 21 BLOCK 7. AMENDED PLAT OF MIAMI SHORES SECTION ONE. PB 10 -70 BUILDING USE(e.g., Residential, Non- residential, Addition, Accessory, etc. Use Comments section if necessary.) RESIDENTIAL LATITUDE /LONGITUDE (OPTIONAL) HORIZONTAL DATUM: ( # #'- # #'- # #.##" or # # °) I I NAD 1927 I I NAD 1983 81. NFIP COMMUNITY NAME & COMMUNiTY NUMBER VILLAGE OF MIAMI SHORES 120652 TITLE ADDRE FE A For I I USGS Quad Map SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION servicing the building • f) Lowest adjacent grade (LAG) g) Highest adjacent grade (HAG) • h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade • i) Total area of all permanent openings (flood vents) in C3h SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION Professional Surveyor & Mapper 300 S.W. 107th Ave. Suite # 214 S2. COUNTY NAME O.M.B. No. 3067 -0077 Expires July 31, 2002 For Insurance .Company -Use: .Tl Policy: N umbe r ........: Company NAC: Number •. ZIP CODE 33138 SOURCE:I I GPS (Type): SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) sq. in. (sq. cm) J Dade Other: 93.STA fE Florida B1 0. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth ente ed in B9. I I FIS Profile I'I FIRM I I Community Determined I I Other (Describe): BI 1. Indicate the elevation datum used for the BFE in 89: I '/INGVD 1929 I I NAVD 1988 I 'Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected'Area (OPA)7 I 'Yes IN/I No Designation Date C1. Building elevations are based on: I Construction Drawings* 1 IBuilding Under Construction' Iv' Finished Construction ..` A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with B FE), VE, V1 -V30, V (with BFE), AR, AR /A, AR /AE, ARIA1 -A30, AR /AH, AR /AO Complete Items C3a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion /Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? 1 'Yes U No ID a) Top of bottom floor (including basement or enclosure) 13. 26' ft.(m) ® b) Top of next higher floor ft.(m) a I c) Bottom of lowest horizontal structural member (V zones only) ft.(m) o 0 • d) Attached garage (top of slab) ft.(m) • e) Lowest elevation of machinery and /or equipment ; v •? ft.(m) 11. 10' ft.(m) N n ft.(m) DATE August 20, 2001 This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIER'S NAME Mario Prats Jr. LICENSE NUMBER PSM # 3332 COMPANY NAME MARIO PRATS JR. & ASSOCIATES, INC. CITY Miami STATE Florida ZIP CODE 33174 SIGNA � DATE TELEPHONE August 20, 2001 305-551-6000 '! JUL00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces, copy the corresponding information from Section A. BUILDING STREET ADDRESS (including Apt., Unit Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 71 NE 97 STREET CITY MIAMI SHORES COMMENTS PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS SIGNATURE COMMENTS LOCAL OFFICIAUS NAME COMMUNITY NAME SIGNATURE COMMENTS FEMA Form 81 -31 JUL 00 STATE ZIP CODE : :Company : NAlC:Number FL 33138 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent /company, and (3) building owner. ' ' Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E 1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR - F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is l 11 f fl.(m) U! Iin.(cm) 1 I above or ' I below (check one) the highest adjacent grade. E3. For Building Diagrams 6 -8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is UUft.(m) U lin.(cm) above the highest adjacent grade. E4. For Zone AO only. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? I 'Yes '' No ' I Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections 4 4 and E for Zone A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. • CITY DATE SECTION G - COMMUNITY INFORMATION (OPTIONAL) STATE ZIP CODE TELEPHONE I 'Check here if attachments The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1.1 ' The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (indicate the source and date of the elevation data in the Comments area below.) G2.I A community official completed Section E for a building located in Zone A (without a FEMA - issued or community - issued BFE) or Zone AO. G3.I I The following information ('terns G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER 05. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7. This permit has been issued for:' 'New Construction I 'Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: TITLE TELEPHONE DATE ft.(m)Datum: ft.(m)Datum• I 1 Check here if attachments REPLACES ALL PREVIOUS EDITIONS PROCESS #: B20021100004.0 FOLIO #: 1132060131010 FEEPAYER: NOVAK, MYRpN 71 NE 97 STJ DEPARTMENT OF PLANNING AND ZONING IMPACT FEE RECEIPT BATCH: SITE ADDRESS: 71 NE 97 ST COLLECTION NO.: 51578 DATE: 01/15/2002 MIAMI SHORES FL 33138 FEE DIST. CAT. CATEGORY UNITS TYPE ID CODE DESCRIPTION AMOUNT T?& r j � -cz S e ctr 0 rl /1! AI sfSf 1 FlOor IFSRP_0005T ckL2 FEE AREA � • � • • • 1.0 5002 00 � • Z . 0. 0 . e .e.o. UNISOFT) o.e.o.e.e.o.o.o.e.o.e.e.e. 2 17 •0• � • 0.9180 • � • � • � • � • � • 19 o.e.o TOTAL AMOUNT DUE: PAID CHECK: PAID CASH: F4 #11f("-t-e-K 5 ol-ek 11X GZ 1 C I EXTENDED $199.21 $0.00 $199.21 �4 ,( 305- B4. MAP AND PANEL 135. SUFFIX B6. FIRM INDEX B7. FIRM PANEL 68. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE /REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 12025C00093 l Jul 17, 1995 March 2, 1994 X N/A Q PROCESS# FOLIO # HCOR (crown of road) 12234 SECTION A - PROPERTY OWNER INFORMATION BUILDING OWNER'S NAME MYRON C. NOVAK BUILDING STREET ADDRESS (including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO. 71 NE 97 STREET CITY STATE MIAMI SHORES FL PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 20 & 21 BLOCK 7. AMENDED PLAT OF MIAMI SHORES SECTION ONE. PB 10 -70 BUILDING USE(e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comments section if necessary.) RESIDENTIAL LATITUDE /LONGITUDE (OPTIONAL) HORIZONTAL DATUM: ( # #'- # #'- # #.##" or # # °) I I NAD 1927 ( I NAD 1983 81. NF!P COMMUNITY NAME & COMMUNITY NUMBER I R2. COUNTY NAME VILLAGE OF MIAMI SHORES 120652 TITLE ElevItion FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages I - 7. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1 0. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 89. I 1 FIS Profile I'll FIRM ( I Community Determined I I Other (Describe): BI 1. Indicate the elevation datum used for the BFE in B9:1‘/INGVD 1929 i INAVD 1988 1 (Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected'Area (OPA)? I (Yes I'( No Designation Date• SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on:1 ! Construction Drawings* ! !Building Under Construction' I,VI Finished Construction " new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with B FE), VE, V1 -V30, V (with BFE), AR, AR /A, AR /AE, ARIA1 -A30, AR /AH, AR /AO Complete Items C3a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion /Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? 1 (Yes 1 1No la a) Top of bottom floor (including basement or enclosure) 13. 26' ft.(m) N \ / / ID b) Top of next higher floor ft.(m) i / 0 cl Bottom of lowest horizontal structural member (V zones only) ft.(m) , U d) Attached garage (top of slab) ft.(m) w O e) Lowest elevation of machinery and /or equipment m m servicing the building ft.(m) I f) Lowest adjacent grade (LAG) 11. 1. 10 ' ft.(m) N in O g) Highest adjacent grade (HAG) U h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade J U i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm) Professional Surveyor & Mapper 300 S.W. 107th Ave. Suite # 214 SOURCE:! 1 GPS (Type): I 1 USGS Quad Map 1 (Other: Dade ft.(m) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION O.M.B. No. 3067 -0077 Expires July 31, 2002 For Insurance Company Use: ' '',.:.° Pollcy Number.::::.: Company: ` ' : `um•er ZIP CODE 33138 1 R3.STATE Florida DATE This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIER'S NAME P Prats Jr. LICENSE NUMBER PSM # 3332 COMPANY NAME MARIO PRATS JR. & ASSOCIATES, INC. CITY Miami STATE Florida ZIP CODE 33174 ADORE SIGNA i FE A For .-.�' 'II �I 00 SFF REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS DATE TELEPHONE August 20, 2001 305 -551 -6000 August 20, 2001 IMPORTANT: In these spaces, copy the corresponding information from Section A. BUILDING STREET ADDRESS (including Apt., Unit Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 71 NE 97 STREET CITY MIAMI SHORES Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent /company, and (3) building owner. COMMENTS SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E 1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR - F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is 1 11 1 fl.(m) 11 f in.(cm) 1 I above or I below (check one) the highest adjacent grade. E3. For Building Diagrams 6 -8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is UUft.(m) I 11 Iin.(cm) above the highest adjacent grade. E4. For Zone AO only. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? Yes No 1 1 Unknown. The local official must certify this information in Section G. The property owner or owner's authorized representative who completes Sections 4 ¢ and E for Zone A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS SIGNATURE COMMENTS The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1.1 1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (indicate the source and date of the elevation data in the Comments area below.) G2.11 A community official completed Section E for a building located in Zone A (without a FEMA - issued or community- issued BFE) or Zone AO. G3.I I The following information ('tems G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7. This permit has been issued for:1 1 New Construction I (Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: LOCAL OFFICIAUS NAME COMMUNITY NAME SIGNATURE COMMENTS FEMA Form 81 -31 JUL 00 STATE ZIP CODE FL 33138 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION CITY STATE ZIP CODE DATE TELEPHONE SECTION G - COMMUNITY INFORMATION (OPTIONAL) TITLE TELEPHONE DATE Foransurance• Company Use:. • P.olicy.:Number ompany:NA. IC:Number.: .• U Check here if attachments UCheck here if attachments ft.(m)Datum• ft.(m)Datum• I I Check here if attachments REPLACES ALL PREVIOUS EDITIONS PROJECT NAME: AND ADDRESS: R (j 7 et, r f L A77 BUILDER: -9 I to F C ., 4 r; S. 4 PERMITTING OFFICE: rt' 1 R M{ 5 CLIMATE ZONE: 7 1 1 I I g 1 OWNER: 607)7) ti ) )ft ` PERMIT NO.i I I JURISDICTION NO.: (I 1 1 I I I FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM e00C -97 Residential Limited Applications Prescriptive Method C SOUTH 7 8 9 Small Additions, Renovations & Building Systems Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600C-97 for additions of 600 square feet or less, site- installed components of manufactured homes, and renovations to single and mutifamily residences. Alternative methods are provided for additions by use of Fonn 6006 -97 or 600A -97 SMALL ADDITIONS TO EXISTING RESIDENCES (600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C -1, 6C -2 and 6C -3 apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS (Residential buildings undergoing renovations costing more than 30% of the assessed value of the building). Prescriptive requirements in Tables 6C -1 and 6C -2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS. Only site - installed components and features are covered by this form. BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 2. Single family detached or Multifamily attached 3. If Multifamily -No. of units covered by this submission 4. Conditioned floor area (sq. ft.) 5. Predominant eave overhang (ft.) 6. Glass area and type: a.. Clear glass b. Tint, film or solar screen 7. Percentage of glass to floor area 8. Floor type and insulation: a. Slab -on -grade (R- value) b. Wood, raised (R- value) c. Wood, common (R- value) d. Concrete, raised (R- value) e. Concrete, common (R- value) 9. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R- value) 2. Wood frame (Insulation R- value) b. Adjacent: 1. Masonry (Insulation R- value) 2. Wood frame (Insulation R- value) c. Marriage Walls of Multiple Units* (Yes /No) 10. Ceiling type and insulation: a. Under attic (Insulation R- value) b. Single assembly (Insulation R- value) 11. Cooling system* (Types: central, room unit, package terminal A.C., gas, existing, none) 12. Heating system *: (Types: heat pump, elec. strip, natural gas, L.P. gas, gas h.p., room or PTAC, existing, none) 13. Air Distribution System *: a. Backflow damper or single package systems* (Yes /No) b. Ducts on marriage walls adequately sealed* (Yes /No) 14. Hot water system: (Types: elec., natural gas, other, existin• none) * Pertains to manufactured homes -� r- tailed I hereby certify th compliance with t PREPARED BY: 1 hereby certify OWNER AGENT: ati he ca DATE: the Florida Energy Code. DATE: - 1 - DATE: 1. ADO kb 2. aU kti-A F Ffir� l � 3. 4. 205 5. 0 Single Pane Double Pane 6a. sq. ft. sq. ft. 6b. 9 0 • sq. ft. sq. ft. 7. 43 % 8a. R= / 8 • lin. ft. 8b. R= 7/ l d sq. ft. 8c. R= sq. ft. 8d. R= sq. ft. 8e. R= sq. ft. 9a -1 R= ;05 0 5 sq. ft. 9a -2 R= sq. ft. 9b -1 R= sq. ft. 9b -2 R= sq. ft. 9c 10a. R= 3 / . sq. ft. sq. ft. 10b. R= 11. Type: F. ?"1 SEER/EER: / Z 12. Type: rG f t r" HSPF /COP /AFUE: 13a. 13b. 14. Type: L r l_ EF: eview of plans and specifications covered by this calculation indicates compliance h the Florida Energy Code. Bef a construction is completed, this building will be wjth s pected for compliance in accor�f ce Section 553.908, F.S. BUILDING OFFICIAL - COMPONENT_ P _ MINIMUM INSULATION INSULATION INSTALLED EQUIPMENT MINIMUM EFFICIENCY INSTALLED EFFICIENCY WALLS Concrete Frame, 2" x 4" Frame, 2' x 6' Common, Frame Common, Masonry R -5 R -11 R -19 R -11 R -3 1.? -;: o z o c ' Central A/C - Split - Single Pkg. Room unit or PTAC , SEER = SEER = EER = l 10.0 9.7 8.5' SEER SEER EER = = = OH - SC OH - SC OH - SC OH - SC • OH - SC OH - SC OH - SC OH - SC 1"- 1.0 0 " -.86 o < W x a 05 Electric Resistance Heat pump - Split - Single Pkg. Room unit or PTHP Gas, natural or propane Fuel Oil ANY HSPF = HSPF = COP = AFUE = AFUE = 6.8 6.6 2.7' .78 .78 HSPF HSPF HSPF/ COP AFUE AFUE = = = = 3"- .90 2 " -.70 1 " -.50 0 -.40 CEILINGS Under Attic Single Assembly; Enclosed Frame Metal Pans Single Assembly; Open Common, Frame R -30 R -19 R -13 R -10 R -11 a x r.) ;:".1.., (' ° i ' COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints & Cracks 606.1 FLOORS�� Slab -on -grade Raised Wood Raised Concrete Common, Frame No Minimum R -11 R -5 R -11 606.1 k-11 Sole & Top Plates r- w ; x < i i Electric Resistance Gas; Natural or L.P. Fuel Oil EF = EF = EF = .88 .54 .54 EF EF EF = = = 0, 9g Multi -stery Houses c.) o In unconditioned space In conditioned space R -6 No minimum Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion device§ with integral exhaust ductwork. Maximum percentage glass to floor area allowed is selected by type, overhang length, and shading coefficient. Maximum% = 0 Installed % = �� GLASS TYPE, OVERHANG, AND SHADING COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 20% 1 UP TO 30% UP TO 40% UP TO 50% Single Double Single Double Single Double Single Double OH - SC OH - SC OH - SC OH - SC • OH - SC OH - SC OH - SC OH - SC 1"- 1.0 0 " -.86 0'- .90 2"- 1.0 1"- .86 0 " -.65 1"- .90 0"- .70 3'- 1.0 2 " -.86 1 " -.65 0 " -.45 2 .90 1'- .70 0 " -.50 4'- 1.0 3 " -.86 2'- .65 - . 3"- .90 2 " -.70 1 " -.50 0 -.40 0'- .35 SHGC or SC may be obtained from the manufacturer. Single clear SC = 1.0, double clear SC = .90, and single tint SC = .86. SHGC + .87 =SC TABLE 6C -3 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather - stripped or otherwise sealed. Exterior Windows & Doors 606.1 Max. 0.3 cfmlsq.ft. window area : .5 cfm/sq.ft. door area. Sole & Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. Recessed Lighting 606.1 Type IC rated with no penetrations (two alternatives allowed). Multi -stery Houses 606.1 Air barrier on perimeter of floor cavity between floors. Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion device§ with integral exhaust ductwork. Combustion Heating 606.1 Combustion space and water heating systems must be provided with outside combustion air. except for direct vent appliances. 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. Extemal 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 minimum thermal efficiency of 78 %. Hot Water Pipes 612.1 Insulation is required for hot water circulating systems (including heat recovery units). Shower Heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. HVAC Duct Construction, Insulation & Installation 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 610.1. Ducts in attics must be insulated to a minimum of R -6. Air handlers shall not be installed in attics unless in mechanical closets. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. e . PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS (600 Sq. Ft. and Less), RENOVATIONS TO EXISTING BUILDINGS AND SITE - INSTALLED COMPONENTS OF MANUFACTU TABLE 6C -2: PRESCRIPTIVE €IEOUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY ENERAL DIRECTIONS: On Table 6C -1 indicate the R -value of the insulation being added to each component and the efficiency levels of the equipment being installed. All R- values and efficiencies installed must meet or exceed the minimum values fed. Components and equipment neither being added nor renovated may be left blank. ADDMONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows. Total the areas of all glass windows, sliding glass doors and glass door panels. Double the area of all non - ortical roof glass and add it to the previous total. When glass in existing exterior walls is being removed or enclosed by the addition, an amount equal to the total area of this glass may be subtracted rom the total glass area. vide the adjusted glass area total by the conditioned floor area of the addition. Multiply by 100 to get the percent. Find the largest glass percentage under which your calculated percentage falls on Table 6C -2. Prescirdves e given by the type of glass (Single or Double pane) and the overhang (OH) paired with a shading coefficient (SC). For a given glass type and overhang, the minimum shading coefficient allowed is specified. Actual glass ndows and doors previously in the exterior walk of the house and being reinstalled in the addition do not have to comply with the overhang and shading coefficient requirements on Table 6C -2. All new glass in the adodion .st meet the requirement for one of the options in the glass percentage category you indicated. The overhang (OH) distance is measured Derrenc :cularly Irom the lace of the glass :0 a point directly unoer the outermost edge the overhang. RENOVATIONS ONLY. Replacement glass needs to meet the following requirements. Any glass type and shading coefficient may be used for glass areas which are under at least a two foot overhang and whose lowest 'ge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this criteria must be either single -pane tinted, double -pane dear or double -pane tinted. BUILDING SYSTEMS. Comply when new system is installed for system instated. Complete the information requested on the top hall of page 1. Read 'Minimum Requirements for Small Additions and Renovations'. Table 6C -3, and check all applicable items. Read. sign and date the'Owner /Agent' certification statement on page 1. - 2 - See Table 6-3. 6-7 E:. MM. Climate Zones 7 8 9 RIGHT -J CALCULATION PROCEDURES A, B, C, D Job #: Zone: Entire House Procedure A - Winter Infiltration HTM Calculati File name: 9 8 , 6 _ 1. Winter Infiltration CFM 1. 0 AC/HR x 2 . Winter Infiltration Btuh 1.1 x 157 CFM 3 . Winter Infiltration HTM 3796 Btuh / 157 CFM 3796 Btuh 20.2 I-iTM 78 CFM 1208 Btuh 6.4 HTM Procedure B - Summer Infiltration HTM Calculation° Procedure C - Latent Infiltration Gain Procedure D - Equipment Sizing Loads 1. Sensible)Sizing Load Sensible Ventilation Load 1.1-x 0 Vent.CFM x Sensible Load for Structure (Line 19) 14 Summer TD Sum of Ventilation and Structure Loads Rating and Temperature Swing Multiplier Equipment Sizing Load - Sensible 2. Latent Sizing Load Latent Ventilation Load 0.68 x 0 Vent.CFM x Internal Loads = 230 58 8 gr. diff. — I 0 nfiltration Load From 3 68 0 Procedure C x 16 No. People Btuh Btuh Equipment Sizing Load - Latent + 3093 Btuh 6773 Btuh *Construction Quality is: MANUAL J: 7th Ed. Right- Suite: a No. of Fireplaces is: 0 Btuh + 27060 Btuh 27060 Btuh , x 0. 94 RSM + 25436 Btuh 0 Ver 4.0.03 S/N RSR20524 Printout certified by ACCA to meet all requirements of Manual Form J RIGHT -J LOAD AND EQUIPMENT SUMMARY File name: 98166. RS For: MR NOVAK 71 NE 97TH STREET MIAMI SHORES By: Job #: Wthr : Zone: Entire House WINTER DESIGN CONDITIONS Outside db: Inside db: Design TD: Bldg. Heat Loss Ventilation Air Vent Air Loss Design Heat Load Method Construction Quality Fireplaces Area (sq.ft.) Volume (cu.ft.) Air Changes/Hour Equivalent CFM Make n/a Trade n/a n/a Efficiency Heating Input Heating Output Heating Temp Rise Actual Heating Fan Htg Air Flow Factor Space Thermostat HEATING SUMMARY INFILTRATION HEATING 1174 9392 1.0 157 48 °F 70 °F 22 °F 21980 Btuh 0 CFM 0 Btuh 21980 Btuh Simplified Average 0 HEATING EQUIPMENT SUMMARy COOLING 1174 9392 0.5 78 n/a 0 Btu 0 Btuh 0 °F 1171 CFM 0.053 CFMBtuh MANUAL J: 7th Ed. Right- Suite: FL Miami Beach CO SUMMER DESIGN CONDITIONS Outside db: Inside db: 89 °F Design TD: 75 °F Daily Range 14 °F Rel. Hum.: L Grains Water 50 58 gr SENSIBLE COOLING EQUIP LOAD SIZING Structure Ventilation Design Temp. Swing Use Mfg. Data Rate/Swing Mult. Total Sens Equip Load FL 11.0 EER 21560 9240 30800 1171 0.043 27060 Btuh 0 Btuh 3.0 °F n 0.94 25436 Btuh LATENT COOLING EQUIP LOAD SIZING Internal Gains Ventilation 3680 Btuh Infiltration 0 Btuh Equip 3093 Btuh Tot Latent E q p Load 6773 Btuh Total Equip Load 33833 Btuh COOLING EQUIPMENT SUMM Make CARRIER AIR C Trade Weathermaker 134a 38 TNO3032 CD3 (A, B)A036+TDR. 90 Efficiency Sensible Cooling Latent Cooling Total Cooling Actual Cooling Fan Clg Air Flow Factor Load Sens Heat Ratio Ver 4.0.03 S/N RSR20524 Printout certified by ACCA to meet all requirements of Manual Form J 80 Btuh Btuh Btuh CFM CFM/Btuh • MANUAL J: 7th Ed. Right- Suite: Ver 4.0.03 S/N RSR20524 RIGHT -J WINDOW DATA Job# Filename: 98166.RSR W S D W G L S S O N A S DAAH LGCR R NK y R L L W R H V G N H VV V W C W S L Z E M D G Z L O X y T T A A M R R BEDROOM 3 a a n s a c n n b n w a c n n b y 1 9 0 1.0 0.5 2.0 3.0 y 27.2 12.0 12.0 2.0 3.0 51.2 12.0 0.0 BEDROOM 2 a n s a c n n 1 90 1.0 0.5 a n e a c n n b Y 1 9 0 1.0 0.5 2.0 3.0 27.2 12.0 12.0 2.0 3.0 51.2 12.0 0.0 BEDROOM 1 a n e a a n n a c n n b y 1 90 1.0 0.5 2.0 3.0 n y 1 90 1.0 51.2 12.0 0.0 0.5 2.0 3.0 17.2 12.0 0.0 - • LIVING ROOM DINING ROOM KITCHEN a n w a c n n b y 1 90 1.0 0.5 4.0 3.0 51.2 18.0 0.0 FAMILY ROOM a nn a c n n a n n a c n n b 1. w 0 b y 1 90 . 0.5 1.0 3.0 17.2 72.0 0.0 Y 1 90 1.0 2.0 7.0 51.2 26.0 0.0 ,,98166: RSR Job# MANIAC J: 7th Ed Name of Room RiBht.suite 9.0.03 S/It RSR20524 R ng Ft. Exposed Wall Entire House BEDROOM 3 Room Dimensions, Ft 138.0 Ft 30.0 Ft Ceilngs, Ft Condit. Option 0.0 t 9 3 16.0 x 10.0 Ft d 8.0 heat /cool 25. 26 .6 0.0 0.0 0.0 0.0 MI pin TYPE OF EXPOSURE Gross Exposed Walls and Partitions Windows and Glass Doors Heating Windows and Glass Doors Cooling Other doors Net Exposed Walls and Partitions North NE/NW F/W SE/SW South Hom 0.0 0.0 3.2 0.0 0.0 0.0 0.0 0.0 1.2 0.0 0.0 6.9 0.0 0.0 3.2 0.0 0.0 0.0 0.0 0.0 17.2 0.0 51.2 0.0 0.0 0.0 0.0 0.0 2.1 0.0 0.0 0.0 0.0 0.0 1.8 0.0 0.0 5.0 0.0 0.0 Subtot Btuh Loss°6+8. +11 +12 Dux Btuh Loss Total Btuh Loss m 13+14 Int. Gams: People APpI, Subtot RS13 Gain -7 +8.. +12+16 Duct Btuh Gaits Total RSH Gain=(17 +18)°PLF CFM Air Required 300 1200 2.1 0.0 0.0 0.0 0.0 0.0 162 26 0 0 0 0 108 0 80 0 0 0 0 0 916 0 0 0 0 0 11 74 0 0 00 00 0000 69' 16 3 0000 7% 1.00 00 1104 0 0 0 0 0 0 0 2902 0 0 0 0 0 1369 0 0 8058 0 0 20933 1047 21980 0000 0000 0000 0000 0 0000 1171 0000 0000 0000 0000 0000 0000 4116 692 0 0 0 0 0000 0000 0000 0000 0000 0000 1886 0 0 0 0 0 2116 0 0 5891 0 0 1208 0000 0000 00000 4800 3600 25454 160 2706 0000 0000 0000 0000 0000 0000 0000 0000 0 000 0 000 000 00 00 1858 0 4096 0 0 0 0 0 0000 0000 59' . 0 0 00 5 1.00 00 00 1 0 240 0 0 0 0 0 24 0 0 0 0 0 12 0 12 0 0 0 0 0 216 0 0 0 0 0 160 0 0 160 0 0 187 0 0 1098 0 0 3063 153 3217 0000 0000 0000 0000 0000 171 0000 0000 0000 0000 0000 0000 610 0 0 0 0 0 0000 0000 0000 0000 0000 0000 0 0 684 0 0 0 0 0 300 0 2811 141 2952 128 0000 0000 0000 0000 0000 0000 0000 0000 0000 0000 0000 0000 206 0 614 0 0 0 0 0 445 0 0 0 0 0 288 0 0 803 0 0 0000 0000 0000 0 0 160 0 0 0 0 0 132 0 0 132 0 0 0000 0000 59' BEDROOM 2 23.0 Ft. 11.0 x 12.0 Ft 8.0 heat /cool 0 0 0 0 0 24 0 0 0 0 0 12 0 12 0 0 0 0 0 507 0 0 0 0 0 154 0 0 906 0 0 2661 133 2794 0000 0000 0000 0000 0000 149 0000 0000 0000 0000 0000 610 0 0 0 0 0 0000 0000 0000 0000 0000 0000 0000 0000 0000 300 0 2505 125 2630 114 0000 0000 0000 0000 0000 0000 0000 0000 000 0000 00 00 206 0 614 0 0 0 0 0 329 0 0 0 0 0 238 0 0 662 0 0 12 0 12 0 0 0 0 0 160 0 0 0 0 0 132 0 0 132 0 0 0000 0000 5Y 0000 1.00 0000 1 0 5 184 0 0 0 0 0 24 0 0 0 0 0 507 0 0 0 0 0 154 0 0 906 0 0 2661 133 2794 0000 0000 0000 000 0000 149 0000 0000 0000 0 000 0000 0000 610 0 0 0 0 0 0000 0000 0000 0000 0000 0000 0 0 662 0 0 0000 0000 0000 300 0 2505 125 2630 114 0000 0000 0000 0000 0 000 0000 0 000 0000 0000 0000 0000 0000 206 0 614 0 0 0 0 0 329 0 0 0 0 0 238 0 0 BEDROOM 1 23.0 Ft 11.0 x 12.0 Ft 8.0 heat /cool 184 0000 0000 0000 1.00 000 0 55' . Printout certified by ACCA to meet all requirements of Manual J Form ROOM K 19.0 x KITCHEN F FAMILY R ROOM Btuh A Area B Btuh A Area B Btuh Clg L Length H Htg C Clg L Length H Htg C Clg 0 000° 1 120 0 0000 0 000° 3 376 0 0 000 0 0000 0 ' 0000 0 0 0 0000 0 0000 0 0 0 0000 0000 0 0000 0 0 0 0000 O ODOR 0 m maoo 0 000a 0 0000 0 0 0 0000 0 0000 0 0 0 0000 0 0000 0 0000 0 0 0 0000 0 0000 0 0 0 0000 0 0-00. 0 0000 0 0 0 0000 0 00ao 0 0 0 0000 0000 0000 0 0000 1830 0 000a 0000 0 0000 692 0 0000 0000 0 0000 0 0000 0000 0 0 0 0 0 0 0000 0 0 oaoo 0000 0000 0 0000 OO°0 0 0000 0 0000 0 0 0 0000 0 0 7 72 0 0000 1238 0 0 0 0000 0 0 0 0 °000 0 0 1 18 0 0000 9 922 2 26 0 0000 1 1331 0 0 0 0 0000 0 0 0 0 0 0000 0 0 0 0 0 000a 0 0 0 0 0 0000 0 0 • 0 0 0 0 0000 0 0 0 0 0 0000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 323 2 278 0 0 0 0 0 CO CO CO 0 0 0 0 0 r- 1 572 0 0 0 C C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 216 1 190 2 222 3 342 2 248 289 4 447 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 602 1 190 1 1304 9 953 2 248 1702 1 1244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 18 3 363 1 116 9 98 1979 6 630 98166 . RSR Job', 7 8 9 10 1 1 12 13 14 15 16 17 18 19 20 1 2 3 4 DUAL J. 7th Ed. Name of Room Running Ft Exposed Wall Room Dimensions, Ft Ceiings, Ft Condit Option TYPE OF EXPOSURE 5 Gross ed Walls and Partitions Windows and Glass Doors Heating Windows and Glass Doors Cooling Other doors Net Exposed Walls and Pettit: gs Ceilin Floors North NE/NW E!W SF/SW South Horz a b a b c d e a b c a b c a b c d e f CST NO. 14B 1413 16D 20A Infiltration a HTM Htg Clg 3.2 0.0 0.0 0.0 0.0 0.0 25.4 26.6 0.0 0.0 0.0 0.0 0.0 0.0 1.2 0.0 0.0 6.9 0.0 0.0 20.2 2.1 0.0 0.0 0.0 0.0 0 OD 00 00 0* 00 00 17.2 0.0 51.2 0.0 0.0 0.0 .0 .0 .1 .0 .0 .0 0.0 0.0 1.8 0.0 0.0 5.0 0.0 0.0 6.4 Subtot Btuh Loss°6+8. ±11 +12 Duct Btuh Loss Total Btuh Loss ° 13+14 Inn Gains: People @1 300 Appl. (a) 1200 Subtot RSH Gent °7+8.. +12 +16 Dud Btuh Gain Total MR Gain°(17 +18) CFM Air Required Right -Suite Area Length 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192 0 0 192 0 0 0 0000 5% 0000 0000 3 0 5% 1.00 0000 4.0.03 - LIVING ROOM 0.0 Ft 16.0 x 12.0 Ft 8.0 heat /cool Btuh • Htg Clg 0000 0000 0000 000a 0000 0000 0 0 0 0 0 0 000 0 0 0000 *000 0000 0 0 0 0 0 0 0 0 224 0 0 1318 0 0 0 1542 77 1619 0000 000° 0000 000* 0000 86 0000 0 0 0000 0000 0000 0000 0000 0000 moo 0000 0000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 346 0 0 963 0 0 0 0000 00°0 0 900 0 2209 110 2320 100 S/N RSR205 DI 0 0000 0000 5% 0000 4 0 5% 1.00 0000 10.0 8.0 Area Length 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 0 120 0 0 24 NINO 0 x 1 hea 009 000 000 000 000 000 OD 0 *000 0400 0000 0 000 14 82 96 4 1012 0000 0000 000 0000 54 Printout certified by ACCA to meet all requirements of Manual J Form Legal Description Master Permit # i5 t' ° AOC °l . acl p\ Owner's Address ? / 7' 4 P hone4 3o.5 ?5�,� /0 6D Contracting ro h / / - net C- Address /'/ p `f b IV W 4 OW `� Qualifier Co) , /�'e X 4/ SS #� Phon9 3 G r'J = ® l Z State # �°. 9I WS Municipal # j �- t d�� 2Q o Competency #,( Ins. Co. AU Owner/Lessee / Tenant,) Q'dd! 0(14k. Sf r' S A C2 Architect/Engineer Bonding Company Mortgagor 74,117/4 OS/ Sr ature of o . and/or Condo President Date �� \ Carding' Huo * * My Commission CCUS2557 Notary toi6FA gratiltintliuritiollossident My Commission Expires: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 0 2- Job Address, K/ f (,d� e� Tax Folio - ()D 3 QO IO AIA; a.1/0 Mechanical 67 - 1 U 0 Plumbing Historically Designated: Yes No 1 - 7 Address Address Address Permit Type (circle one):`BUILDING) ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRJPTION Q PIP 444. #13 A D Po/2CW Square Ft. Estimated Cost (value) 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. 000. '/` m2 ignature' Con tc tor or Owner- Builder Date . . Crictine Huo * *my Commission CCa96557 Expires December 19, 269 Notary as to Contractor or Owner- Builder My Commission Expires: Ca t(K10/ Date FEES: PERMIT �, OTRADON C.C.F. J t 111 NOTARY ' Cr BOND - 30 0 TOTAL DUE l 0 APPROVED: Zoning Building Electrical Structural Engineer Phone # For Inspector: Approved Cor Re- lasp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date _sriikrie Time Type Insp'n i4 4;1 .[.eity h p i V' Permit No. j P ,e) /p �y Name �l�ui6' C<l7 Address f0 94 41i SY- Company 4 ,A F es 30.5" 7 Name & Date OWNER'S NAME J.R. Jameson PRESENT ADDRESS LICENSE NO. j iv PHONE NO. -. JOB LOCATION (ST. OR AVE.) 71 N.E. 97th Street LOT 20 =21 BLOCK 7 SUBDIV!'SION MS GENERAL CONTRACTOR Edw. Fitzgerald and Son ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 15020 DATE 7 = 2753 PERMIT FEE $ 6000 BUILDER'S BOND NO. DATE ZONE PEOUIREMENTS CU. FT. PLAN CUBE 1000 CU. FT. EST. COST $ 19200 DRAW NGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION Garage ALTERATION DESCRIPTION . ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RESUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS Q I . CERTIFICATE OF OCCUPANCY NO. I U lq ISSUED BY 2 )0" - J - BY ) 6. 1 •. •) TO "' "' BUILDING (PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION - - � TEMPORARY SERVICE $ BEAMS & LINTELS , \r.�1 $ SEWER FRAMING SOLAR HEATER $ GAS S 5 INSPECTIONS DATE FINAL RE- INSPECT BY RE- INSPECT BY ROUGHING ( � CLEAN -UP GAS ROUGHING -1 ' f CONTRACTOR PHONE !!ll ----.x_ PERMIT NO. ..:" ' . P ATE FEE $ ,� •`� NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER 5 SOLAR HEATER $ GAS S 5 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING ( � GAS ROUGHING SEWER H. W. HEATER CONN SEPTIC TANK RANGE CONN. SOLAR HEATER FIXTURES FIXTURES & FINAL CONTRACTOR PHONE PERMIT NO. DATE FEE $ 1 NEW BLDG. 1 ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. S MOTORS $ FIXTURES 5 $ . INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TE•*P. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL SQ "7 7 .• rx %i /'' _ 9UIL6ING INSPECTIONS✓ PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY N9 1819 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla ," " S Owner, Agent or Tenant of Building \. Lot f' Block s ubdivision Street Address Remarks: Approved use by occupancy This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. ! BUILDING DIVISION APPUCATODN FOR = :d.DDLLDONG PEPMOT Building Inspector MOAMO SHORES VOLLA E BUILDING INSPECTION DEPARTMENT Notary Public, State of Florida My Commission Expires �EcC �rl u,sE- Application is hereby mode for thc appro\•al of the detailed state m nt us we plans and specifications herewith submitted for the build inc 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 ell rules and regulations of the Building Division of MIAMI Shores Village shall be complied with, whether herein specified or mot. A copy of approved plans and specifications must be kept at building during progress of the riorh. W ,z�K I -41)uE 7S .& • (3et91 Owner's Name and Address . CAA -0 L. 1 C�tiin 1 ` �" — No. ..._. ._. $treet-1`l t:- 71[-t S� Registered Architect and /or Engineer ,,., , „... „,.,,,,,. „.,,,,...,,, „ .... Name and address of licensed contractor .._ Location and legal description of lot to be bu'lt on: Lot... e•° Block Subdivision >i) .. . / _.. Icg a.. L /O/ d Street and Number where work is to be done r t State work to be done and purpose of building (by floors) I rcaJa�......�= Mev,:�_. �R1 _yt�.la.._.�'�tJ:�ily 1��5...t1.. A. °/ • and for no other purpose. Ncw Building Remodeling).... 74tt <`t Addition Repairs No. of Stories 0"•(~ _ To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ ............. . Amount of Permit $...�.�.7t Zone cubage required .Plan Cubage Distance .to next nearest budding. Size of Building Lot Maximum live Toad 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 Libor under thc Florida Workmen's Compensation Act, being Section 54)G6, Compiled General Laws of Florida, Permanent SiippIlrnient, 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 Ahesite of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such _subeo' ctors, on to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks __. —.__ (Signed) .. \ ��_ STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared _.. to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. . � Permit No..__ Date 9 1. \. l Y ' Read, Sworn to and Subscribed before me. Disapproved Date (Signed) PLANNINC BOARD DATE Chairman Member Jlcrnber Member Member .. _....-- --...._..._. —...._ Member ...._ — •- --.... Council Approved Date Disapprov...: Date NOTE: A charge of $1.00 will be made for making convections or changes to this application after approval has harp obtained from the Pl.innir . Board. A rc- inspection fee of $1.00 will be charged when such re- inspection in made necessary by improper notice for inspevticm ea faulty materials and /or workmanship. BUMDMIC• ❑ ELECTRICAL ❑ PLUMING ❑ CONTRACTOR OR BUILDER MSAMG SHE.ii E , V LLA E, FL ERMA ERMIT N? 16020 ROOMIG ❑ Work to be poriormed under this Permit Owner of Building Architect Contractor or Builder_ Legal Lot II Bl. Description. Address of Building Subdi- vision Value of Project $ DATE 195 Contractor's I No. Amt. of Permit $ 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 or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY (NC SH RES VQLI=LA E BUILDIN INSPECTION DEPARTMENT ILBCATB®N FD 0]LiBL ©B G fPIERM8T Application is hereby made for the approval of the det, sled statemen of the plans and specifk a, ions herewith submitted for the build- ing or o h, -ructure her t described This 1-1 licatu. is made in compliance and con o'm ty w,th the Building Ordinance of Mia ii Shores Village, or da, and all pro isions of the Laws t the State c•f I-h.rid. all o d nances ,,f Mi iu Shores Village and all rules and regu a ion. of the Building Div . i of lain Sho, iilage t• '1 ,e , o, ipLed with, whether herein specified or not. A copy of approved plans and specificati .n' must: be kei • at bui,dmg durin progress of tl.e work. Date 47 - - - -- - --- � --'��d - - Owner' Name and Address._... R -_ > �-e L.. Nb 7 t_ Stree ._ � G� 7 Registered Architect and /or Engineer._. _ �� Name lid address of licensed contractor. 1 _d___ ._; .. ��.. -,- __2 ._ _�r_ c'Y1 , Location and legal description of lot to be built on: Lot ._. �.�_ ' Q . Block -- 7 __ _ Subdivision 711/1 eirtle; xfr2� a Street and Number where work is to be done 7 State work to be done and purpose of building (by floors) New Building Remodeling To be constructed of C,_. /. w •_ Kind of foundation Estimated ;tal cost of improvements $__ _-_S `� • 4`? . Zone -•ubage required __. Distance to next nearest building__ _ _ 40 l e 19E - P. and for no other purpose. Additior, - � Repairs. _ No. of Stones �Grb22"r Roof Cov Bring 5�1 -6 Amount cc. Permit $__ _plan Cubage Size of Building Lot 1620 _.�..`��__ _. _ ... Maximum live load to be borne by each floor hereby submit all the plans and specirications for said building. All notices with reference to the building and its construction may be sent to The uncle signed appli ant for th's building permit does hereby certify c'iat he understands and accepts h■s .•bligations as an employer of 1 bor under he Florida Workmen's Compensation Act being S• - •tion 5906 Coi p led Gen al Laws of Florida P r anon Sapplc Went, and h s compl ed w;th he prov':nons thereof, and will require s•milar comp lance from all contractors or sub-contractors emplo •ed by him in the wo k to be p rt med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h public not• e or •otkes as are requir d by the Act. The u. d. r ign -d agrees to employ only such abcontr. ctors, on work to be perforq, d der this permit as are licensed by M am. Shores N it ge. °�.laJ Remarks__ Disapproved _ ` __ \ . Date__ (Signed) Chairman Member Member _ _. Council Approved wilding Inspector (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths ...nd take acknowledgments, personally ap- peared and who, being by me first d ly sworn, upon oath depoes and says that he is the of tli abov de.c. ibed •,struction t • h has careially read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr le. Permit No.___j O. Date_ 7° 6 1 °_ ___ Read, Sworn to and Subscribed before me. Notary Public State of Florida My Com:nission Expires_ to me well known, PLANNING BOARD DATE Member Member Member Date Disapproved _.. . . Date NOTE: A charge of $1.00 will be made for making corrections or ?hinges to this application ift•-r approval his been obtained from the Planr ng Board A re-inspection fee of $1.00 will be charged when such re- inspection is m. :e necessary by improper notice for inspe-t•a' or fa. Ity materials and/or workmanship. June 23, 1992 RE: Air conditioning unit 71 N.E. 97 Street, Miami Shores To Whom It May Concern: JOS ftT1 L , owner of the property located at 85 /`-'E P7 ST. dive consent to Mr. Antonio Cubillas owner of the property located at 71 N.E. 97 Street to install the compressor for his air conditioning unit on the east side of his house, which is the side facing my property. STATE OF FLORIDA) COUNTY OF DADE ) Sworn to and subscribed before me this 23rd day of June, 1992. MY COMMISSION EXPIRES: 3/18/94 _.241 ea)), J A.yGIE % LLAS, NOTARY PUBLIC STATE OF FLORIDA LOCATION - � id � 97th treet GARW, AML TAX RELC PAID BY \I /1� YEAR 1940 ANNUAL TAX PERIOD USED AMOUNT PAID /# . DATE PAID ��a.fr® 2A/4 RECEIPT NU MBER /5 . Le/ T �/' � : .� a .. fi . /.. � / 1941 ■ c ® ► /�� ��." �. 194 2/ C�,�,_ • 5o0 SO (570 2' 3 r L/ -.' -' ‹,e_ ��p c57$4 ( / - 1 l , 1943 19 44 �� �� /,� . 1. .4 . „ 1 � _ :. A , 4 ., , i .� `, ,i 1945 ,,., /2--.5, — 6- '�" _as" ,r• ®a � 2 �1 2- - 5 - - °� s 7 b •1 ; 740 ; , r-;: 1946 A. �1 / "` k� E� �Y --F-+— ©� ( ) 1947 in.- ,p-77U 111 ` t ` 1948 /07. O i /.„.1- „3/" fe 1 i'3 1 / / ` roc' i/7 /( Y t i t ir I •, „ 1949 /../ /5;1°3/11, 0, / /.6 - lif if l� - e` -a' - 5 /' /r3 7 `1 i1 e n.�isila .O . .1/'/ , o � 1950 et 42 '5 t# LOCATION - � id � 97th treet GARW, AML TAX RELC 71 N. E. 97th St. _ _ year annual tax _period used _ amount said date paid receipts. Minti a MacDonald 7 ,5 _ /__ 47. . o o /o? - ,3 /'S / fr/0.7 ' y a/ s-/ /9,,— Jii ;ri. Ac. Ioiv4 /4l /96 /a_as / 6 4,?... et) //, f 6 o,' 7(4 by_ BUJLUING ELECTRICAL PLUMBING ROOFING Owner of Building_____ Architect _ Contractor or Builder Legal Description. Address of Building El DATE_. _' , u -_,. 195 ❑ PERMIT N? 14893 Contractors ❑ License No Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA„ Work to be performed under this Kermit Subdi- vision i Va1' e of q' Amt. of 3 : t , � ; A / i Project $ Permit $ , - r This permit is granted to the contractor o 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 tle statements. or specifications and that he assumes. responsibility for work done by his agents, servants or employees. ! Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY N o. STREET PART OF LOT LOT BLOCK SUBDIVISION ROOF . COST OP BUILDING FRONT DEPTH HEIGHT STORIES TYPE OF ROOF . COST OP BUILDING PERMIT FEE / Frame i e . ncrete S tucco R es e e t a. rea b 1L -- ' BUILDING PERMIT Owner of Building Architect Contractor or Builder PROPOSED LOCATION DESCRIPTION OF BUILDING illage, Florida, 6 / 0 L a� .' To 2,4544- �� This permit is issued to - �i -' L the building above described, as per applicatio +, F lans and Specifications heretofore filed in this office. This permit is granted upon the express condition that all facts stated in the application are t and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of iami Shores Village, and rules and egulations of the building department of Miami Shores Village. This permit may be revoked at any time upon e violation of any provisions of said vs, ordinances or rules and regulations, or upon any change in the plans and specifications unauthoriie_ building inspector. MIAMI SHORES VILLAGE OFFIC OF BUILD NG INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zo ng laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. 1 N° 458 (SEAL) APPLICATION iSCRYLON FOR PERMIT TO FUMIGATE WITH CYANIDE METHYL BROMIDE X APPLICATION NO. DATE Sept. 15, 1955 1. Location of building to be fumigated 71 N.E. 97 St. h. Shores 2. Name and address of owner of premises J. R. Jameson Same 3. Type, size and construction of building Res. one story C.B.S. 1. Is entire building to be fumigated? Yes If not, state what portion 6. Approximate number of cubic feet of space in building or in portion to be fumigated 19 7. Kind and quantity of fumigant to be used and manner of application and length of fumigation period Acrylon Tent G8 hr 8. Distance of nearest building and direction from building to be fumigated 20 ft. V W. 9. In what manner will vents to exterior of building be sealed? :i Tent 10. Date when fumigation will be begun Sept. 20 Time 2000 P.M. 11. It is hereby agreed to station a guard on the premises to be fumigated during the fumigation period and to post suitable placards at each entrance into the building bearing the following words in letters at least two inches by one inch in size: "DANGER - THIS BUILDING UNDER FUMIGATION WITH A DEADLY GAS ". 12. It is hereby agreed to make such provisions that all openings into the building may be opened from the outside after the period of fumigation is over and to take such other precautions as may be necessary to insure that all of the fumigant is removed from the building before anyone is permitted to enter. 13. It is hereby agreed to notify the County Health Department when the building has been prepared for fumigation. FIRM NAME ORKIN EXTERMINATING CO BY Bernie Frank ADDRESS 509 N.E. 13th St. N•ami. Florida N o. STREET ,69 PART OF LOT LOT BLOCK SUBDIVISION' 1 17 RO __ ROOF _rt COST OF BUILDING PERMIT FE ■...., FRONT DEPTH HEIGHT 3TORIEB .._ TYPE OP COO NSSTRRUCTIOON BUILDI G T lc O� USED PO G ! iL erietet t tit, = 1 17 RO __ ROOF _rt COST OF BUILDING PERMIT FE ,. Frame, Tile Concret Sta • BUILDING PERMIT ' h Owner of Building ' r, Architect Contractor or Builder` Miami $bores Village, Florida, PROPOSED LOCATION DESCRIPTION OF BUILDING MIAMI SHORES VILLAGE ORFICE OF BUILDING INSPECTOR N9 491 This permit is issued to )./) , .�, ' ' f ,1,, _ � / l ; j ✓ ; ! j 1 �/; ?i/ / % To _.� , ' ,. � , the building above described, a p ' application, Pans and Specifications here filed in this office. This permit is granted upon the e condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws ,o��f Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time ligozf7rhe violation of any provisions of said ws, ordinances or rules and regulations, or upon any change in the plans and specificaons ti untuth iiz y'ffie building inspector. Date o /; BUILDINt+ INSPECTOR In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village. 19 �` OWNER STATE OF FLORIDA) COUNTY OF DADE ) Other Apparatus g. Permit No. DU11U1116 tiau �+vv Ir� Electrical Permit No. (Issued to BUILDING PERMIT RECORD MIAMI SHORES VILLAGE FLORIDA APPLICATION DATE Application is hereby made for the approval of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in com- pliance and conformation with the Building Ordinance of the 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 Department of Miami Shores Village, shall be complied with, whether specified or not. ARCHITECT CONTRACTOR �U� J STREET LOT SUBDIVISION NEW ADDITION REPAIRS NUMBER OF STORIES ROOF TOTAL COST Ti; 4 / - to be used for ��� /� 2� o and no other use. I hereby submit all the plans and specifications for said building. Signed a notary public, tie acknowledgment, to MIAMI SHORES V r afAG E PERMIT Office of Electrical Inspector a/ No CERTIFICATE OF INSPECTION THIS CERR1FIES THAT the. wit.' agd apparatus installed at '` /-/ 7 %'' .� t , . ,/,' , - / / JJ ,, S / ' Cr ' 4 y i ^ .,,,±,.________I b ., �`. , - �; �� Address _ i • for r owner, and occupied as Plumbing Permit No. has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service_ ��'= '- Number of Lighting Circuits • • ,, f watts. Water Heater Power: Connected load ; Jl Date H P. Space Heaters ' watts ELECTRICAL INSPECTOR. watts MIAMI SHORES \ E i , PERMIT No. ,/,', ,;$ CERTIFICATE OF INSP TION r � .. ,gin -: (.1 3 THIS C,ERTIFIES THAT the wiling Gz}d appuatus installed at , , f --',/ e Address Size of Service Range Power: Connected load Other Apparatus X. Office of Electrical Inspector • / r owner, and occupied as Number of Lighting Circuits watts. Water Heater " H P. Space Heaters has been inspected and current is authorized to be turned on, until otherwise notified, for: ter 1 r , ELECTRICAL INSPECTOR. watts watts Application is hereby made for the approval of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in com- pliance and conformation with the Building Ordinance of the 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 Department of Miami Shores Village, shall be complied with, whether specified or not OWNER ARCHITECT STREET # NEW ADDITION REPAIRS NUMBER OF STORIES ROOF TOTAL COST to be used for_��!�� ��� o and no other use. I hereby submit all the plans and specifications fox said building. LOT 0 D BLK. SUBDIVISION STATE OF FLORIDA) COUNTY OF DADE ) Electrical Permit No BUILDING PERMIT RECORD MIAMI SHORES VILLAGE FLORIDA APPLICATION CONTRACTOR Signed DATE Member Member Secretary Building Inspector Permit No e Issued to �-9 �. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgment, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the builder of the above described construction, that he has read the foregoing application, and that he did sign the same, and that facts stated by him are true. Read, Sworn and Subscribed before me, Notary Public (Signed) My Commission expires Cubic Feet Cubic Feet required in this Block FLL.NNING BOARD Chairman Date Plumbing Permit No Application is hereby made for the approval of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in com- pliance and conformation with the Building Ordinance of the 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 Department of Miami Shores Village, shall be complied with, whether specified or not. OWNER 't. • <M1 r = ARCHITECT;;' CONTRACTOR`;� _ , ; "��_ = LOTS'- %H BLK. +� SUBDIVISION I ,,,, ` tiaLk -J STREET #/ iA 1N STORIES j ROOF ,! P s , NEWV141DDETIW REPAIRS _ NUMBER OF v 7 TOTAL COST (9';.‘ A Building to be used for I hereby submit all the plans and specifications for said building. STATE OF FLORIDA) COUNTY OF DADE ) Before me, the undersigned authority, a notary public, duly authorized to administe• •.th ke_ .�ckn. edgment, personally appeared CJ J _ • - � ! • to me well known, and who, being b oe first duly sworn, upon oath deposes and says that is the builder of the above described 'construction, that he has read the foregoing application, and that he did sign the same, and that facts stated by him are tr Reap Sworn and Subscribed before me, Notary Public (Signed) My Commission expires Ch Member Member Secretary Building Inspector Permit Nook »? Issued t Electrical Per No o %/ F BUILDING PERMIT RECORD MIAMI SHORES VILLAGE FLORIDA APPLICATION Signed \� Y / /7 � r PUNNING BOARD DATE Plumbing Permit No and no other use Cubic Feet % Cubic Feet required in this Block I L.+V Date 00-7 Painting Plastering Lathing Electrical Mason & Concrete Plumbing Roofing Glazing Tile Miscellaneous LIST OF SU1- CONTR.A.OTORS Remarks._ Permit No Disapproved (Signed) Mi DQMO D RI S VE1LLAGE BUILDIN INSPECTION DEPARTMEN APIL_00AT° N FOR Ei UOL®ONG PERMOT Application is hereby made for the approval of the (let ,. iled statemen• of the plans and specific a, inns herewith submitted for the build- ing or o h. -ructure her i described This t-t licatic is made in compliance and con o'm ty w.th the Building Ordinance of Mia Shores Village, or da, and all pro isions of the Laws cf the State cf I•krid. all o d nances ,,f Mi a bores Village and all rules and regu a ion. of the Building Div . i of -tans Sho, iilage h '1 ,e rob ipl.ed with, whether herein s y' cified or not. A copy of approved plans and specificati -ns must be key at buitdmg durin progress of tl.e work. 11,..2 Date itr:et 19 Owner' Name and Address ie ' ,t ; _ ° Y� 04.) No _ .�/ Registered Architect and /or Engineer.. a f4VV __ c� Name nd address of licemed contractor. Location and legal description of lot to be built on: Lot _ Block._ ___. Subdivision. Street and Number where work is to be done //�`J J� = E , State work to be done and purpose of building (by floors) v /4/7 ° ! ' C2 . j T 2 0 New Building odeling Addy To be constructed o wrI . Kind of foundation aC a _._ Roof Coy Bring. _ ®49 Estimated ;tal cost of improvements $_. �. Amount c ` Permit $... 0 v _ - -_ . ....... Zone -ubage required __. _Plan Cubage_._.. 9_CC Distance to next nearest building__ .. Maximum live load to be borne by each floor hereby submit all the plans and speciii; ations for said building. All notices with reference to the building and its construction may be sent to and for no other purpose. _Size of Building Lot Read, Sworn to and Subscribed before me. Notary Public State of Florida Buildin nspector My Com:nission Expires. PLANNING BOARD _._.DATE Chairma Member .. _ Member -.__ Member Member , Member Council Approved _ Date Disapproved Repairs. . _ No. of ,Stories s. The unde signed appli ant for th's building permit does hereby certify i'iat he understands and accepts his .•bligations as an employer of 1 hor under he Florida 'Workmen's Compensation Act being S —tion 5966 Coi p led Gen al Laws of Florida P r anon S•ipplc Went, and h s compl ed with he rrov' cons thereof, and will require similar come fiance from all contractors or sub-contractors m contractors cplo -ed by him in the wo k to be p ri med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h public noti e or •otices as are requir d by the Act. The u. d. r ign d agrees to employ only such abcontjxct rs, on work to be perforn, d der this permit as are licensed by M am, Shores \ i1 ge. \( (Signed) . STATE OF FLORIDA, COUNTY OF DADE. ss. Before fine, the undersigned authority, a notary public, duly authorized to administer oaths ,.nd take acknowledgments, personally ap- peared to me well known, and who, being by me first d. ly sworn, upon oath depores and says that he is the ..... of th abov de A. ibed • istruction t, • has careially read the foregoing application, and that he did sign the same, and that all facts therein by him st .. ed ar- r fie Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application 'ftcr approval h is been obtained from the Planr ng Board A re-inspection fee of $1.00 will be charged when such re- inspection is ma :e necessary by improper notice fer inspe: t';m or fa 'ty materials and /or workmanship. 6 /14 2 cP 4 ( M , f ---- .164 e 0 9 10 Type Insp'n Permit No. Name Address MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 44 Time For Inspector: Approved Correction Re-Insp'n Fee 1 O - 2Sl Company Phone # 3O14er T / s� -a 4 -(!)2i Name & Date MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request D Time Type Insp'n , / Lju ) Permit No. P p r D Q ° ( c- Name Address Compa X' Pho— Phone ' S 0 \1 e # ame For Inspector Approved Correction Re- Insp'n Fee ate Type Insp'n Permit No. Name <ddress Company Phone/ 30S' .5- D9 /a-- A i . roved MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 0 — 4 2 2— Time ervzit a 7/ n Re- Insp'n Fee / 2aM For nspector: j; -o 2_, Name to 3 Corrects •