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602 NE 96 St (9)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY)) Date 7 Job Address CO, Ai • 6, q6, S / f Tax Folio /1 3 2.c) 4 6 Description SE-C. P, !p -L.9 / Thrr „le 84-' 41 teal Master Permit # ✓�� /� / Lessee / Tenant (Y rzwt( irktafteP.,5 .c--- PrP,S)0 0 ° 1(1 \ 0 �, �U. f� V Owner's Address Legal Contracting Co. Qualifier State # Signature 'of Owner an Date Nota f as My Commiss * * PERMIT FEE: APPROVED: 6 ..o / V c E1 94' 5 t; Phone 75 15 ! / r m E J 2C'f7')C .72 Address ' 43 (p 11.); El ' tO s l c Ck Lk 1 g- !1 1 Q ds t°n SS # - Phone 9% 1 k 73 et Competency# �, Ins. Co. u � i of Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION i re of 1 --� h F} ir (A he r+ f — o - -- / — JQ 9 y) 3 C X Square Ft. Estimated Cost 1) 00,00 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 gulating construction and zoning. Furthermore, I authorize the above -named contractor do he work stated. to Owner ion Expires: * * 1 /or ondo President Notary Public, State of Florida My Commission Expires Der. 1, 1441 6cnded ihru r�„ 6e :. _ �❑ u� and /or Condo President Zoning Mechanical Fire Building Plumbing Signature of Contractor or Owner - Builder Date: `J - —9/ Nota My Commission Expires: .. VNotary Pu61fc, 'Flak of Fleridn `/ ' My Commission Expires Der. 1, [/�� p.m.d., r , • once Inc. y as to Contractor or Owner - Bui lder * * * Other rte rical 1( , „n. Engineering h,. Date 6 7/0 3 Job Address Qualifier5 014 e, 44actser PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Fprida 33138 • Phone: 305- 795 -22 647 96 771t z – Legal Description Historically Designated: Yes {�/� Owner /Lessee/Tenet /'Ie PGS Master Permit # I 4ot *)U) 13 #' 3° 1 Owner's Address Jun /'is e , rt of Contracting Co nshl $+*kOedriG ©F socA F3't 4L,e6ress, 3 O h/' 514 /Q, 8t{ 8tb & ,040e,FL State # �G 13001x01 Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): / BUILDING // WORK DESCRIPTION: rl/'K1� Adeelria. P rey y At , ,4.1- CLi c Square Ft. A 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 ANY 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). 1 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 all disciplines. OWNERS 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. Furth I authorize the above named contractor to do the work stated. izeotr,a,_ oeA Sig ature of o ner and/or Condo President Notary as to Owner and/or Condo President My Commission Expires got -A aipAce.6.4- c° Ci S7ft M Ow eat (t" M awl; S&o ro S Ra�li o Cabi • ,,,¢¢¢ �� Aaron L Lockwood My Commission DD133265 or Expires July 11, 2008 FEES: PERMIT 223 ‘� RADON C.C.F Tax Folio SS# Phone Qt:5 - 4 176— 537 3 Competency # Ins. Co. ASFoc; 44-4ct- r- 'wt. -- S . C . Estimated Cost (value) a3;00O 71",4c, (4 Wec.-F+ryra Date Signature of Contractor or Owner Builder Notary as to Contractor or Owner Builder My Commission Expires APPROVED: Zoning Building Mechanical Plumbing Phone qsy 839 -a6yc# PLUMBING MECHANICAL ROOFING Date Date ¢ �i� Aaron L Lockwood • T '• My Commission 00133265 � Expires July 11, 2006 NOTARY BOND 0'0 TOTAL DUE Electrical Structural Engineer Rpr 29 03 12:06p Dynamic APR 29 2003 11:56AM HP LASERJET 3200 STATE OF FLORIDA DEPARTMENT OF BIISINS8if TALLAHASSEE T. HAUSER SALVATORE ANTHONY SUNSHINE STATE ELECTRIC OF SOUTH FLORIDA INC 9831 N OAK KNOLL CIR FORT LAUDERDALE .- FL 772 - 879 -1654 n - AND PROFESSIONAL REGULATION BLSCTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE 8TR$S • x 32399-0783 STATE OFFLOAVA PROFBS`-' SC130012 � � CEETIFIBD',' sultBnXNE (850) 487 -13.95 P.5 p. 2 15 CERTITIEDunb.r tho.pcov1 iccao! Cb.489 q. • V* itcotiona&to. Aug. 31, 2304.. -fto -. DETACH HERE nl: • ;BATCH NUMBER x CA .: 1TRACTO8 `ow IS,. l:ERTIFIRD Under ' PtoviDioae of Cha EXgiiration . date: AUG 31. 20 . `STATE OF• FLORIDA ARTMEBT OF° :HZJ9.INL8 &' AiJD' PROFgSSIONA?. R$AtTLATION imuTRIc4L LICENSYNG BOARD SE #1.0248 06$ anA -130 CITY OF IQAIEZ SNORE S VILLAGE NA LL 10050 NE 2N0 AVENUE YIAEdI SHORES F. 33138 IOWA MT OP me am..onc. ets rants II c.cfuLO WOPI TIC ffnAArpR DOTO11eOM T, (MUD SWIM MA. OP/faw/oM/uL MSPOTI — TM CIO WI MI otROPII loam Po us Lolf. MR ROLM! TO Do to SOPA OPPOSE NO plummet u WARM O•OMPm WON Tot OGUOTR.S.c*i i RLPINItoTATTAM ffrRRerra wr I nu ^"+Ka w MMIEIIRR+ce LIOTED =WO INVD BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOICATRD.N)TWRHSTANDNO ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITHRESPECT TO ¶M4104 THS CERTIFICATE MAYBE ISSUED OR MAT PERTAIN, THE INSURANCE AT 0RDEO 8V THE MUMS DESCRIBED IERENIS SWUM TOM. THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICES AGGREGATE LENTS SHOWN M*Y HAVE BEM REOUCEDGT PAID CLAWS. int b TM OP aom= POLICY WON= y f � E E Ef T nR PM POPIXWg EMRb OfPIfaLlaftn 1 asuda musum.u.au^r 16803493E696.4TOF -03 03/13/03 03/13/04 c oioccwlntE f 1000000 racouwccEra,aafty INC Ow pop per ref 501 PEPfOINLa AwAfOM Or1eRALACCRTGATE '300000 f SD00 f 1000000 s 2000000 f IWOO LMOE I OCQIP Orr" Af.OP9ATE LW MOM P — 1P71ZY i i l l Mt MOOUCTI. COPPO. ACC s 200000 0 NEEW_ — ...— l .f DOOM` AMTAL:O ALt Y481AUTOf sct jLro AUT05 MVO AUTO! RONOA DAIITOS MIMEO SWAG I. NT Ifa aiOCM 1 TIOOaYWWI P P COMM f pers swami Pa calorO3 f POOPOOIVIOWA; Pe acoOO a COM IMIltinT AUIOO1L`T- GACw6R: 3 AWAWO CMS. OOP uACC f AW06TLY. ADC f aces LlaflRY OC Ut C{414 wet — & Cm OCOLRtEEICE t AGGREGATE f f _ OfOucnut DOTPOTCO 1 1 1 1 A ODIUM COWMAN= AND IArEfreLPfI1fARY 2003331749 01/01/03 01/01/04 NQMMTLT y IEE tOalcsAlc w f L.TACNA=06r s 100000 C1.O&EASt•fAEMRGYEI f 100000 el. 04EA5E• MUC LIST 1 000000 OtMf1 OROIP11011O• WMA1DAy otaknorOGCIWf1GWE01l ADM MUM 011ThT tcl LPR0a,OIM -Apr 29 03 12:07p D APR 29 2003 11:56At1 HP LRSERJET 3200 Date: 4 /29/03 11 :48 AM Senders Fax ID: 4 are aPrRao•TI 04/29/03 A LARD_ CERTIFICATE OF UABILITY INSURANCE wain Cv MUMS BADER i BROAN INC 8000 GOVERNORS SQUARE BLVD 400 MAUI IBS FL 33016-1580 Mums: 305- 364 -7000 Fax :305- 822 -5687 law= SON NE STA�TTE ELECTRIC DAVIE E 325� B4 BLDG 813 THIS CERTiIOATE 3I89IRO AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTSIOATE NDIMI. MS CERTIFICATE DM IIO7 AMEND. EXTEND OR ALTER THE COVERAGE QPORDED BY TIN N IMES BELOW. INSURERS AFFORDING COVERAGE I$l x ASSOCIATED I0D INS CO PmAt3At CHARTER OAR FIRE INS CO f ANA MILNER e COMERAaE9 CERTIFICATE HOLDER N 1 MOTTOS LLfGU!✓Ot CANCELLATION 772 - 879 -1654 O ACORD CORPORATION 10111 P.5 p.2 Page 2 o13 -Apr 29 03 12:07p Dynamic APR 29 2003 11:56RM HP LASERJET 3200 4 r R u 21 I iFS ION a Board of County Commtsetsrws, Efrowpy County Florid. : :� eROWARD COUNTY OCCUPATIONAL LICENSE TAX FCi9a'ra0.... - - .... eol ACSS r ' • FOR PERIOD OCTOBER 1,;082 TAU SEPTEI419EA 80, 2003 0 'RENEWAL ItlidCSFER SEC- -.# 18 1 '1'0:1. &NEW DATE BUSINESS OPENED `ends• oficovN(Y ce roce e..Imss Location Aeeras: 11860 w STATE RO 84 B13 D.AVI E .33324 $USINESS PHONE: (954)476 - 5513 11155. Andrews Avenue, Governmental Center Annex 0000002700 00000027 0000001810002104 1001 7 P0. B0X5917 - DAVIE. FL 33310-5017 - Reference: S AL YATOR E• HAUS E R TAx •iucaar *PENALTY T. C. On TAANIVEA TOTAL 3.00 3.00 r OCCUPATIONAL LICENSE SUNSHINE - STATE ELECTRIC 11860 STATE R084 - 80Y3- VA1fIE• FL 33325 fl !lt�1rnJ usJI1rr11Il1rI i1t I rt111t11111rrI11Utlllli�rlll 772- 879 -1654 SUNSHINE STATE ELECTRIC OF SOUTH FLORIDA INC .... -. TMIS LICENSE MUST BE CONSPICUOUSLY DISPLAYED H A U S E R S Fr L V A T O R E T O OBIllt VIEW Ar 1NE:tOCatiON ADDRESS ABOVE. • ' • • 1 10 6 0 if STATE RD N 81 ,,��// till/ FL . 33324 cS�frzw./73.1 /7�1,rd't��d�� TYPE OF LICENSE TAX RAID f ,� w.. COIJNT`E FLEC7RiC.AL f,ONTR 10 UNITS HPOWARD COUNTY REVENUE COLLECTOR • 2002 - 2003 FORT LAUDERDALE, EL 33101 PAST RECEIVED AS VALIDATED ABOVE R81WOR BEFORE SEPTEMBER 30 *O0 : t2f1- 00o2t��' ACCOUNT MAWR 'SEE BACK FORTRAN$FER INFORMATION p.3 p.4 nR CLASS PREOAK us . POS ED PAM MOAT OSPREY. R RE GUL AR 1 0 /OrIE2002 9130/2'003 00 ... :< - W 1 • r ., .. �: 954 - 749, - 4326 '..,. 03' 14244 05803 CONTRACTOR: ELECTRICAL 1D: • SUNSHINE 'STATE ELECTRIC • 41860 STATE RD 84 • SNIT -E B-1 I'YIE Ft 33325 • -Rpr 29 03 12:07p Dynamic APR 29 2003 11:56RM HP LRSERJET 3200 CON": REOU.:;FATI' SUNF.;;;IN!E MATE El.rrm7E: OF .3.r 31Z:6!"1 W 772-879-1654 p.3 p.4 r:ERTIFIC V(A.L'AT r.:C.7tNTs! MAT St:iN5INE '.::LECIt'OA.:* OF v:LeF:Jr: flET PD.DU)SEMENTS: CF rUNTY, IS RS:1.:;ISTIEF!EV A9 f2UNPniCTUQ WIr!-; ALL UNZEr: THE CQV:Pr.N.. OF POt:ilArYINF; w:.!00 EipvAroppi ALJER RFPPACI TH; .::!tiN=Ar]u:cil J. ITUil!tOW.:t, CONSC:fflA Applicant: Owner: JOB ADDRESS: 602 NE 96 Contractor SUNSHINE STATE INC Local Phone: 305 - 474 - 8484 Parcel # 1132060141410 Signed: Sign Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2003 -113 Printed: 5 /6/2003 ST Contractor's Address: 15939 NW 48 AVE Legal Description: MIAMI SHORES SEC 2' PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE P -f2';'4A 2:1S- op V Total Total Fees: UMW Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/1/2003 Construction Value: $25,000.00 Work: ADDING ANTENNAS AND EQUIPMENT TO EXISITNG CHURCH STEEPLE @MIAMI SHORES PREBYSTERIAN CHURCH ' In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Page 1 of 1 f.d:;iii;;. %i: (Contractor or Builder) BY: EH • i d T .8 UNIT FEE ITEM S'N I TCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE CET LIGHT CUTLETS CENTRAL HEATING S;RATriER RECEPTACLES A/C (WIND) SP OSAL SERVICE TE4PCA.IRY A/C (CENTRAL) IINXING FOUNTAIN SERVICE SIZE IN AMPS CULT WORK .00R CRAIN SERVICE REPAIRA ETER CHA112E REFRIGERATION ■EASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING iTERCEPTCR RANGE TOP UNOERGRCUNO TANKS ,VATCRY OVEN ABOVE GROUND TANKS .UNORY TRAY WATER HEATER U.F. PRESSLRE VESSELS .OTHES WASHER MOTCAS 0- 1 HP STEAM BOILERS - OYER MOTORS OVER 1- 3 FP HOT WATER BOILERS NK, P0T/3 COMP. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION NX, RESIDENCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEWILIES MX, SLOP MOTCRS OVER 8- 10 FP MOTCRS OVER 10- 25 FP MOTORS OVER 25.100 FP ELEVATCRS/ESCALATORS : FCRARY WATER CLOSET FIRE SPRINKLER SYSTEMS COOLING TOWERS i INAL ;TER CLOSET MOTORS OVER 100 FP VIOLATION 'DIRECT WASTES A/C WINDOW REINSPECTION ;TER SLPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFCAIERS `EATER -NEW INST. GENERATORS TRA1SFCRl€RS NEATER- REPLACE GENERATORS TRANSFOR14ERS LAWN SPRINKLER -WELL SPECIAL PU POSE o 1 o Cibtne4 SNIMdING POOL CUTLETS COAERCIAL WATER SERVICE SIGN TUBES RER CONNECTIONS SIGN TRAtSFCPJ€RS ILIT(-SEWER SIGN TI%E CLCCX ILITY -WATER FIXTURES ?TIC TANK ANTENNA � LAY TELEVISION CURETS AINFIELO. 4' TILE/RES. VIOLATION 4 & ABANDON SEPTIC TANK REINSPECTION .CAGE PIT CU. FT. TCH BASIN SOURGE WELL VESTIC WELL EACRAIN CF INLET LAR WATER HEATER . E STA OP IPE CL PIPING KM SPRINKLER SYSTEM 3 RAW4E TEA SET (GAS) 3 PIPING ~' ?N APPLICATION FOR BUILDING PERMIT RUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERHIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Q i-4)11- 30g /0 PERMIT APPLICATION•FO TVIIA llSHOVES VILLA Date Legal Description ;44tofic3113:Denyndtecj ; \ • • • • • • • • • x Owne Tenet T: Mb ?CS Master Permit # ,Owner's Address 1 A• \ 1.J w \.) C, 4v V 'L So vl la - F-42 -: p i 0 Cont- (rucfio•t.. is -/-/-,-- Contracting Cocr 'e0 t-05 OfAvnefil 4 '-'-'1C• cG• 3 - 70`1? 11 A '" Q u alifier KViV llv TA C°C1C / l ` ` Y ` SS# Phone 70 - 481Q '3YRea Ins. Co. Nei Fire + YYlatipi PLUMBING MECHANICAL ROOFING qt� S1 - - 1' - S 3` j TG - ��>� - 'mated Cost (value) / ® 0 0/03 Date Date Notary as to Cont [tor or Owner Builder Date My Commission Expires Aaron 1 Lockwood • ]( • My Commission 00133266 a 00 ,, ., } " „ Expires July 11.2006 Structural Engineer Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 5/5/2003 Applicant: Owner: JOB ADDRESS: 602 Parcel # 1132060141410 Signed: Signed: NE 96 (INSPECTOR) Building Permit Permit Number: BP2003 -720 ST Contractor DYNAMIC CONSTRUCTION SERVICES OF A ®6Rtt*tIbK Address: 5792 N. W. COOSA DRIVE Local Phone: Legal Description: MIAMI SHORES SEC 2' PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: FEE2003 -2688 FEE2003 -2689 FEE2003 -2690 Description Plans Processing Fee (Other) Building Fee CCF Total Fees: Amount $30.00 $355.00 $15.00 $400.00 0 Total Fe s: $400.00 Total Receipts: $30.00 Permit Status: APPROVED Permit Expiration: 11/1/2003 Construction Value: $25,000.00 Work: ADDING ANTENNA'S AND EQUIPMENT TO EXISTING CHURCH STEEPLE MIAMI SHORES PREBYSTERIAN In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. (Contractor or Builder) BY: Page 1 of 1 1);:;1213J STF tt 11. vv i ii L ROUGH FOR FIRE ALARM Passed Inspector Comments )W W g /V ' 2 X 19 P tad to‘ 7-Ate yy t d i%'-7 / 4 t - ' 11 ' ° d a ft x 1 +AP• f ej9 't' >- P ei3 /"°‘ r'- w/ y'% / /e e / � c) c/7 f/ e �� O ,P4 G%le Sq________ Failed V Correction Needed Re- Inspection i Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspect tion„Number: IN Inspection Date: 02/27/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES DOCCCVTCOI A AI Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Friday, February 24, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phor : (305)795 -2204 Fax: (305)756 -8972 Block: 1n4 Permit Number: ELC -12-05 -373 Permit Type: Electrical - Commercial Inspection Type: Rough Work Classification: Addition /Alteration Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 1 of 2 • ELC -12 -05 -373 Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 •'i (305)795 -2204 Fax: (305)756 -8972 Project: <NONE> 1 Owner: MIAMI SHORES PRESBYTERIAN CHURCH Phone: (305)754 -9541 I Job Address: 602 96 Street NE Parcel: 1132060141410 Miami Shores Village, FL Scheduled Insp # Inspection Type Block: Lot: Inspection Status Inspector Date Completed 01/01/2999 INSP -5961 Final None Default Inspector Not Complete 01/20/2006 INSP -5959 Fire Alarm Partially Approved Michael Devaney 1/20/2006 PARTIAL 10TH AND 2ND FLOOR STORY STRABE BOX AND STUB ONLY. ALL AREAS WHERE DRYWALL CELING ARE INSTALLED NEED TO HAVE RACE WAY TO AN ENCLOSABLE AREA. 02/27/2006 INSP -10484 Rough ROUGH FOR FIRE ALARM Friday, February 24, 2006 Pending Inspection Michael Devaney Not Complete • Electrical - Commercial Page 1 of 1 in Number: INSP- 10811 Permit Number: ELC -12-05 -373 Inspection Date: 03/01/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES OOCCOVTCOIA 1.1 Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Tuesday, February 28, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Commercial Inspection Type: Rough Work Classification: Addition /Alteration Block: Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 2 of 2 # 44 2 -- Passed Inspector Comments ,/9-.11-7- Ai �-� ; (� ' 147" , IG / ® ' i �Q%, 1lc� 9 z9,G� Failed Correction Needed � e � / .` / /j2/2 Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until in Number: INSP- 10811 Permit Number: ELC -12-05 -373 Inspection Date: 03/01/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES OOCCOVTCOIA 1.1 Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Tuesday, February 28, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Commercial Inspection Type: Rough Work Classification: Addition /Alteration Block: Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 2 of 2 Permit Type: Electrical - Commercial Work Classification: Addition /Alteration Job Address: 602 96 Street NE Additional Information Miami Shores Village, FL Comments: INSTALL FIRE ALARM SYSTEM Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Issue Date: 1/12/2006 Expires: 11/02/2006 Owner's Name: MIAMI SHORES PRESBYTERIAN CHURCH Contractor(s) Phone Primary Contractor SURE ELECTRICAL CONTRACTOR: 305 - 971 -0570 Yes Type of Work: ALARM Additional Info: Classification: Commercial 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Miscellaneous Fee Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $7.20 $2.40 $60.00 $5.00 $360.00 $60.00 $10.50 $505.10 Building Department File Copy Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: ELC -12 -05 -373 Phone: (305)754 -9541 1132060141410 Lot: PB: Total Square Feet: Total Valuation: Required Inspections 0 $ 12,000.00 Alteration Underground Rough WW Service Change Meter Box Fire Alarm Relocation Final Invoice Number ELC -1 -06 -23436 Total: 1 3 PAID Amt Due $505.10 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. inspection Number INS 15304 Inspection Date: 04/20/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES OOCCOVTCOIA Id Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Wednesday, April 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: K . ermit Number: ELC -12-05 -373 Permit Type: Electrical - Commercial Inspection Type: Fire Alarm Work Classification: Addition /Alteration Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 2 of 2 a v� lti�T4.'6 Passed /l Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until inspection Number INS 15304 Inspection Date: 04/20/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES OOCCOVTCOIA Id Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Wednesday, April 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: K . ermit Number: ELC -12-05 -373 Permit Type: Electrical - Commercial Inspection Type: Fire Alarm Work Classification: Addition /Alteration Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 2 of 2 • SURE ELECTRICAL :'• 1• CONTRACTORS iNt:* *': FIRE ALARM EQUIPMENT SUBMITTALS MIAMI SHORES PRESBYTERIAN CHURCH NOTIFIER EQUIPMENT SUPPLIER ode Plus Systems Inc FORE ALAR,rd CONTRACTO S 6765 SW 81st Street Miami Florida 33143 Ph 305- 662 -2734 - Fax 305- 662 -3718 EDWARDS SYSTEMS TECHNOLOGY DISTRIBUTOR M M ER 3037R1'o p TOR • • •• • • • ••• •• •• •• • • • .. • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• • • • • •• • • • • • • • • ••• • • •• • • • • • • • • • • • •• • • • • • • • • • • • • • • purn NOTI FI E R • • • • • • RN -68 6 • A -30 • • ••• • • ••• ONYX Series NFS -644; Intelligent •• Addressab F e Systeint. ... Section: Intelig9nt Fire Alarm_ on�rol3: • • • March 8, 2004 General The NFS -640 intelligent Fire Alarm Control Panel is part of the ONYX Series of Fire Alarm Controls from NOTIFIER. As a stand -alone small -to -large system, or as a large net- work, the ONYX"" Series of products meets virtually every application requirement. Designed with modularity and for ease of system planning, the NFS -640 can be configured with just a few devices for small building applications, or for a large campus or high - rise application. Simply add additional peripheral equipment to suit the application. Features • One, expandable to two, isolated intelligent Signaling Line Circuit (SLC) Style 4, 6 or 7. Up to 159 detectors (any mix of ion, photo, themial, or multi - sensor) and 159 modules (N.O. manual stations, two-wire smoke, notification, or relay) per SLC. 318 devices per loop/ 636 per FACP or network node. • Standard 80-character display, 640 - character large display, or display -less (a node on a network). • Network option — 103 nodes supported (NFS -640, NCA Network Annunciator, or NCS Network Control Station) us- ing wire or fiber -optic connections. 6.0 amp switch mode power supply with four Class A/B built -in Notification Appliance Circuits (NAC). Selectable System Sensor strobe synchronization. • Built -in Alarm, Trouble, and Supervisory relays. • Up to 64 output circuits per FACP or network node; cir- cuits configurable online. • VeriFireT" Tools offline program option. Sort Maintenance Reports by compensation value (dirty detector), peak alarm value, or address. • Autoprogramming and Walk Test reports. • Optional universal 636 -point DACT. • 80- character remote annunciators (up to 32). • EIA -485 annunciators, including custom graphics. • Printer interface (80- column and 40- column printers). • History file with 800 -event capacity in nonvolatile memory, plus separate 200 -event alarm -only file. • Alarm Verification selection per point, with tally. • Autoprogramming and Walk Test reports. • Positive Alarm Sequence (PAS) Presignal. . • Silence inhibit and Auto Silence timer options. • March time / temporal / Califomia two-stage coding / strobe synchronization. • Field - programmable on panel or on PC, with VerlFireTM Tools program check, compare, simulate. • Full QWERTY keypad. • Charger for up to 90 hours of standby power. • Non -alarm points for lower priority functions. • Remote ACK/Signal Silence /System Reset/Drill via moni- tor modules. LISTED S635 CS11 California State Fire Marshal 7165- 0028:214 7170 - 0028:216 U.S. Coast Guard 161.002/42/0 City of DENVER • • ••• • • • ••• 00 • • • • • • • • • • • • • • • • •MEA• • • 1. • 84 - OA -6 • • • • QPPROV® • • (Fexc ?$tions: CPU -640E, PRN -5, Proprietary service) 02/6007 NFS -640 shown in CAB -B4 with NCA 640- character display • Automatic time control functions, with holiday exceptions. • Surface Mount Technology (SMT) electronics. • Extensive, built -in transient protection. • Powerful Boolean logic equations. • NCA 640- character display features: ✓ Backlit, 640 - character display. s. Supports SCS Series smoke control system in both HVAC or FSCS modes (not UL- Listed for FSCS). Printer and CRT EIA -232 ports. r■ EIA -485 annunciator and terminal mode ports. • Alarm, Trouble, Supervisory, and Security relays. Acclimate Pius'", AWACS TM , HARSHT", NOTI•FIRE•NETH ONYXT", and VeriFireT" are trademarks, and FlashScan® and VIEW® are registered trademarks of NOTIFIER. Microsoft® and Windows® are registered trademarks of the Microsoft Corpora- tion. LEXAN® is a registered trademark of GE Plastics, a subsid- iary of General Electric Company. NOTIFIER® is a Honeywell company: This document is not intended to be used for installation purposes. We try to keep our product information up-to -date and accurate. We cannot cover all specific applications or anticipate all requirements. All specifications are subject to change without notice. For more information, contact NOTIFIER. Phone: (203) 484 -7161 FAX (203) 484 -7118 NOTI F1 E R 12 Clintonville Road, Northford, Connecticut 06472 ISO 9001 CERTIF•EtD MEM ! IMAIAMMIUM QUALITY SYSTEMS Made in the U.S :A DN -6856 • 03/08/04 — Page 1 of 9 • FlashScan® intelligent features: '/ Poll 318 devices in less than two seconds. a/ Activate up to 159 outputs in less than five seconds. i/ Multicolor LEDs blink device address during Walk Test. i/ Fully digital, high - precision protocol (U.S. Patent 5,539,389). "/ Manual sensitivity adjustment — nine levels. 4 "/ Pre -alarm AWACSTM(Advanced Waming Addressable Combustion Sensing) — nine levels. r/ Day /Night automatic sensitivity adjustment. a/ Sensitivity windows: Ion – 0.5 to 2.5%/foot obscuration. Photo – 0.5 to 2.35 %/foot obscuration. Laser (VIEW ®) – 0.02 to 2.0 %/foot obscuration. Acclimate Plus"' – 0.5 to 4.0 %/foot obscuration. HARSH"' – 0.5 to 2.35 %/foot obscuration. g/ Drift compensation (U.S. Patent 5, 764,142). #/ Degraded mode — in the unlikely event that the CPU - 640 microprocessor fails, FlashScan® detectors revert to degraded operation and can activate the CPU-640 NAC circuits and alarm relay. Each of the four buItan panel dr- cuits indudes a Disable/Enable switch for This feature. "/ Multi-detector algorithm involves nearby detectors in alarm decision (U.S. Patent 5,627,515). 4/ Automatic detector sensitivity testing. r/ Maintenance alert (two levels). r/ Self - optimizing pre- alarm. • VIEW® Very Intelligent Early Warning smoke detection technology: r/ Revolutionary spot laser design. i/ Advanced AWACSTM algorithms differentiate between smoke and non-smoke signals (U.S. Patent 5,831,524). s/ Addressable operation pinpoints the fire location. r/ No moving parts to fail or filters to change. r/ Early warning performance comparable to the best as- piration systems at a fraction of the lifetime cost. . Up to 32 Remote Displays LCD-80 KDM -2 display OR i M IL6 NCA OR with no display Sample System — Options FDU-80 4 • • Up to 64 fully 4 programmable 4 — output circuits • • • Page 2 of 9 — ON- 6856.03/08/04 LCD-80 EIA -485 NFS -640 shown in CAB-C4 with KDM -2 and voice alarm system SLC FAPT .851 Acclimate Phis FSL -751 RashScar VIEW® FSH -751 FlashScan8 HARSH". FSP -651 FlashScan5 photo etc. FSP -651 FSI -851 FST -851 Photo Ion Thermal EIA -465 • • ••• • • • ••• •• •• • • • • • •• •• • • • • • • • • • • • • • • • • ••• • • • . • Acclimate Plus low- psofilejn ljgeptt,rtflti -sett :°rs Ir/ Detector automatically adjusts sensitivity levels with- out operator intervention or programming. Sensitivity increases with heat■ • • • •/ Microprocessor -based teol7nologNcorbbiDatior;pltott. • • and thermal techrio/cigy.: • • • • • • • • FlashScan® or das. is n1bV5 cornQstfble with NFS•64d • • ./ Low - temperature warning signal at 40 °F ± 5 °F (4.44°C ± 2.77 °C). •• • • • •• ••• •• • RFX wireless interface•systemm ti/ Allows protection in areas where•tho ma Dire is bg- • • • • • • economical or unpractical. • . • . • � • � � � � � • Allows communication with wireless smoke detectors and wireless monitor modules; each RFX unit and de- tector is assigned an address. i/ Requires 24 VDC from SLC or system auxiliary power. • HARSH"' Hostile -Area Smoke Head: i/ Provides early warning of smoke detection in environment where traditional smoke detectors are not practical. a/ The detector's filters remove particulates down to 30 microns in size. ♦• Intake fan draws air into photo chamber, while airborne particles and water mist are removed. Requires auxiliary 24 VDC from system or remote power supply. • Releasing features: r/ Ten independent hazards. r/ Sophisticated cross -zone (three options). r/ Delay timer and Discharge timers (adjustable). r/ Abort (four options). r/ Low-pressure CO2 listed. • Voice and telephone features: Solid state message generation. r/ Hard -wired voice control module options. 6/ Firefighter telephone option. Intelligent Loop 1 DEVICES aglet# ° 1 1 ilMILP EIA -232 EIA -232 Terminal 1/111111 SLC Intelligent Loop 2 DEVICES PRN Printer NBG -12LX FMM -1 IDC FRM -1 XP5 Series, XP6 /1D I/Q Modules Relay Contact NBG -12LX FMM-1 FCM -1 t IDC NAC ACM -8R ACM /AEM -24AT Relay Control LED Annunciator Optional 636 point UDACT CRT-2 Terminal I ] 1.11.1 1 .1. 4n XPIQ XP5-M XPSC 2048 annunciator /control points RFX RFX-R RFX - 1 5817 CB SDS F - � � ° I � LJ • LDM-32 Custom Graphics Dual phone lines to 0 " Central Station 6856aac.wml ✓ 30- to 120 -watt high-efficiency amplifiers (AA Series). ✓ Backup tone generator and amplifier option. ✓ Multichannel voice transponder (XP1Q). • High -efficiency offline switching 3.0 amp power sup- ply (6.0 Ain alarm): ✓ 120 or 220240 VAC. ✓ Displays battery current/voltage on panel (with display). FlashScan® Exclusive New World- Leading Detector Protocol At the heart of the NFS -640 is a set of detection devices and device protocol — FlashScan® (U.S. Patent 5,539,389). FlashScan® is an all - digital protocol that gives superior pre- cision and high noise immunity. In addition to providing quick identification of an active input device, this new protocol can also activate many output de- vices in a fraction of the time required by competitive proto- cols. This high speed also allows the NFS -640 to have the largest device per loop capacity in the industry — 318 points — yet every input and output device is sampled in less than two seconds. The microprocessor -based FlashScan® detec- tors have bicolor LEDs that can be coded to provide diag- nostic information, such as device address during Walk Test. AWACST"" Advanced Warning Addressable Combustion Sensing AWACS"' is a set of software algorithms that provide the NFS -640 with industry- leading smoke detection capability. These complex algorithms require many calculations on each reading of each detector, and are made pos- sible by the very- high -speed microcomputer used by the NFS -640. Drift Compensation and Smoothing. Drift compensation allows the detector to retain its original ability to detect actual smoke, and resist false alarms, even as dirt accumulates. It reduces maintenance re- quirements by allowing the system to automatically per- form the periodic sensitivity measurements required by NFPA 72. Smoothing filters are also provided by soft- ware to remove transient noise signals, such as those caused by electrical interference. Maintenance Warnings. When the drift compen- sation performed for a detector reaches a certain level, the performance of the detector may be compromised, and special wamings are given. There are three warn- ing levels: (1) Low Chamber value, usually indicative of a hardware problem in the detector, (2) Maintenance Alert, indicative of dust accumulation that is near but below the allowed limit; (3) Maintenance Urgent, indica- tive of dust accumulation above the allowed limit. Sensitivity Adjust. Nine sensitivity levels are pro- vided for alarm detection. These levels can be set manually, or can change automatically between day and night. Nine levels of pre -alarm sensitivity can also be selected, based on predetermined levels of alarm. Pre -alarm operation can be latching or self- restoring, and can be used to activate special control functions. Self - Optimizing Pre - Alarm. Each detector may be set for "Self- Optimizing" pre - alarm. In this special mode, the detector "learns" its normal environment, measuring the peak analog readings over a long pe- riod of time, and setting the pre -alarm level just above these normal peaks. Cooperating Multi Detector Sensing. A pat- ented feature of AWACS"" is the ability of a smoke sensor to consider readings from nearby sensors in making alarm or pre-alarm decisions. Without statisti- cal sacrifice in the ability to resist false alarms, it al- - lows -a sensor - toincrease its sensitivity-to actual smoke by a factor of almost two to one. • • ••• • • • ••• •• •• • • • • • •• •• • • • • • • • • • • • • • • • • Field Programr • Q • • • ••• Autoprogram is a timesaving feature of the NFS -640. It is a special software routine that allows the NFS -640 to "learn" what devices are physk".ajly gQnnectedand automatioelly lo, them in the program with dee aaul`valires {pr1I1,p4ar)yeks. Requiring less than one auntie to run: thiCro))tine 011ciw /the user to have almost imehediatefire ptetectiom in a new insist lation, even if only a portion of the detectors are installed. Keypad Program Edit (with KDM - 2). The NFS - 640, like all NOTIFIER in�e ppRels :114s f seiduisive feature of program creatft p 41ttelitirjg capability from the front panel keypad, whilloccmtinuing to pwilde Rre 3,ro- tectlon. The architecture of tie NFS -64b s'oftVate 1s such that each point entry carries its own program, including con - trol -by -event links to other points. This allows the program to be entered with independent per -point segments, while the NFS -640 simultaneously monitors other (already installed) points for alarm conditions. VertFireTM Tools is an offline programming and test util- ity that can greatly reduce installation programming time, and increase confidence in the site - specific software. It is Win- dows® based and provides technologically advanced capa- bilities to aid the installer. The installer may create the entire program for the NFS -640 in the comfort of the office, test it, store a backup file, then bring it to the site and download from a laptop into the panel. CL'R 1 AUTO 2 =POINT 3= PR •4 =MESSPGE 2ONES65Pt1FUNCT SYSTEM 8 CHECK PRG Above: Keypad program editing. Below: Autoprogram function. PUTOPROGRAM PLEASE WAIT L 1 80 DETS, 15 MODS - L2 93 DETS, , 35 MODS PANEL OUTPUTS 24: ;BELLS 04 Ver,Firem Tools System Programming screen DN -6856 • 03/08/04 — Page 3 of 9 • • • • .•• • • • .•• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • TOP, LEFT to RIGHT: J8 Zone Code Input; TB7 DC Power (24 VDC power- limited, both resettable and Sn-reslattltie T88Alarrr Relay; TB9 Trouble Relay; T810 Supervisory Relay; TB11 Security Relay; SW1, SW5 Relay Switches; JP7 enerarBrarcEarth Jumper; TB12 EIA -485 Terminal Mode (supervised); TB13 EIA -485 ACS Mode (supervised); TB14 EIA -232 Printer; TB15 EIA -232 PC Termi- nal; J1 NUP (network/service connection: power - limited, supervised); TB16 SLC #1 Connections (detectors, modules; supervised); D55 Main SLC Ground Fault LED; JP7 Charger Disable Jumper; JP12 200MA Jumper; JP6 Earth Fault Jumper f sl �. • • • • • • • • • • • J8 187 TB8 TB9 TB10 TB11 TB12 TB13 TB14 TB15 TB16 : • • • • • • l ) • • • . ••. ••• • � • � • • F155 TB6 TB5 TB4 TB3 Disable/Enable Switches for NAC Circuit 57 Degraded Mode behind display T82 TB1 PRN ACS I. 0 m , e o NAC LEDs 0e5, 4, 3 abo n POVPEIL FIRE PRE ALARM ACLOLOWLEDGE BK..L SCROLL DISPLAY SILENCE 1 0 111 101 0 0 Network Diagram 1 0 NCS 0 NFS -640 speakers 6656contwmf phones Page 4 of 9 — DN- 6856.03108/04 0 24V - 0 ( ®1 0 0 0 s.o SW1® fat 0 0 El =ELISION SUPERVISORY NESTER TROUBLE 0 0 0 DRILL SOLD .LCmm fri 0 0 0 07 -DSW5 0 1�1 speakers phones JP13 behind display 1011 1 arACa 1 J4, J5, J 6 behind display V > >I INSTEPS RESET 101 FOI 0 OPTIONAL Style 7 Connection J1 SICAIPLS SILLINESS wzrif Block Diagram NOTI • FIRE • NETT" Sample Node Configurations 0 Key: 0oo00o NFN Twisted•Pair Wire NFN Dual Fiber-Optic Link Other Interfaces 1 1 I ° =1 0 TEST POINT MARLED - n __ - 1I 01 l 0 11 0 • • • • • • • • • ••• • • JPPbbhindV'is ay • o D72 The CPU -640 shown with KDM -2 Display D54; Control Switches SW2,\ SW3, SW4; and System Status indicator LEDs (for 'No-Keyboard Operation' behind display LEFT SIDE, TOP to BOTTOM: TB6 NAC #1, TB5 NAC #2, TB4 NAC #3, TB3 NAC #4 (all NAC circuits power - limited and supervised, and each NAC TB has an NAC LED to the right of it); J7 Accessory Power; Disable /Enable Switches for Degraded Mode; TB2 AC Power Connection; TB1 Battery Connection (overcurrent protected). BOTTOM, LEFT to RIGHT: D54 AC On LED; System Status Indicator LEDs for "No- Keyboard Operation "; System Switches SW2 (Acknowledge), SW3 (Silence), SW4 (Reset) for "No-Keyboard Operation"; J4 KDM -2 Connector; J5, J6 Panel Circuits (ONYXTM Panel Output Modules, supervised); D72 General Board Ground Fault LED; J10 Security Tamper Switch; J11 Auxiliary Trouble Input; D82 AC Power LED; J3 LEM -320 Connector (SLC Loop #2). 1:11'•i PRN NFS -640J NCA 0 0 NCS / 6856cpu.wmf ••• •• •'� • •0 • • �W 4 /A. • elk • • • ••• • • ACS PRN D82 0 LCD -80 PRN ACS J3 O^ ^O 0 A A On no O O 0 0 0 0 O n 0 0 0 0 O ono 0 0, 0 The ONYX"" Series provides integrated solutions for any lire 4afftyoappJica ion, CPU -640 Placement of Equipment in Chassis and Cabinet The following guidelines outline the NFS -640's flexible sys- tem design. Rows: The first row of equipment in the cabinet mounts in chassis CHS -M2. Mount the second, third, or fourth rows of equipment in chassis CHS -4MB (see NFS -640 Installation Manual regarding panel output modules) or CHS -4L (for voice components, see Voice Alarm System Manual). Wiring: When designing the cabinet layout, consider sepa- ration of power - limited and non - power - limited wiring as dis- cussed in the NFS -640 Installation Manual. Positions: A chassis offers four basic side -by -side posi- tions for components; the number of modules that can be mounted in each position depends on the chassis model and the size of the individual module. There are a variety of stand- offs and hardware items available for different combinations and configurations of components. KDM -2 (shown with dress plate), or NCA at front, flush with door CHS -M2 Integral power supply Panel output module mounted on L- bracket in front of control panel Available mounting slots for panel output modules Mounting location for LEM -320 Typical mounting location for NCM or TM-4 ®CAUTION! It is critical that all mounting holes of the NFS -640 are secured with a screw or standoff to ensure continuity of Earth Ground. Layers: The CHS -M2 accepts four layers of equipment, including the control panel. The CPU -640 fills three positions (left to right) in the first - installed layer (the back of the chas- sis); its integral power supply occupies (the left) two posi- tions in the next two layers; the optional display occupies (the left) two positions at the front, flush with the door. Panel output modules can be mounted in several layers with stand- offs or an L- bracket as required. Some equipment, such as the NCA, may be door- mounted directly in front of the control panel. The NCA mounts onto the DP -DISP or ADP -4B. The NCA can be used as a primary display for the NFS -640 by directly connecting their network ports (required in Canadian stand -alone applications). Expansion: Installing an LEM -320 Loop Expander Mod- ule adds a second SLC loop to the control panel. The LEM - 320 is mounted onto the CPU -640, occupying the middle - right, second (back) slot on the chassis. If networking two or more control panels, each unit requires a NCM -W (wire) or NCM-F (fiber) Network Control Module. The NCM -WI -F can be installed in any panel out- put module position (see manual); the default position is at the back of the chassis next to the control panel. Option boards can be mounted in front of the LEM -320 or NCM mod- ules; for ease of access, complete installation of those devices before mounting another layer. DN -6856 • 03/08/04 — Page 5 of 9 Agency Listings and Approvals See the first page of this data sheet for listing agencies and file numbers. These listings and approvals apply to the basic NFS -640 control panel. In some cases, certain modules may not be listed by certain approval agencies, or listing may be in process. Consult factory for latest listing status. The NFS -640 complies with UL Standards 864 (Fire) and 1076 (Burglary). It is designed to meet NFPA 72 Local, Aux- iliary, Remote Station, Proprietary (not applicable for FM), and Emergency Voice/Alarm Fire System Requirements. Specifications • Primary input power, CPU -640 board: 120 VAC, 50/60 Hz, 3.0 amps. CPU -640E board: 220/240 VAC, 50/60 Hz, 1.5 Amps. • iTota/ output 24 V power. 6.0 A in_alarm • S tandard- notification circuits (4): 2.5 A each. 1 • Four -wire detector power: 1.25 A. • Non- resettable regulated power outputs: 1.25 A each. • (flattery charger range: 12 AH — 55 A H / U s e separate cabi- net for "batteries over 25 AH • Optional high- capacity (25 — 120 AH) battery charger: CHG -120 (see CHG -120 data sheet, DN- 6040). • Float rate: 27.6 V. • Temperature and humidity ranges: This system meets NFPA requirements for operation at 0 °C to 49 °C (32 °F to 120 ° F); and at a relative humidity (noncondensing) of 85% at 30 °C (86 °F) per NFPA, and 93% ± 2% at 32 °C ± 2 °C (89.6 °F ± 1.1 °F) per ULC. However, the useful life of the system's standby batteries and the electronic components may be adversely affected by extreme temperature ranges and humidity. Therefore, it is recommended that this sys- tem and all peripherals be installed in an environment with a nominal room temperature of 15 °C to 27 °C (60 °F to 80 °F). `Note: The power supply has a total of 6.0 Amps of available power. This is shared by all intemal modules. System Capacity • Intelligent Signaling Line Circuits r 1 expandable to 2 • In`telligei t detectors — 159 per loop • Addressable monitor /control modules 159 per loop • Programmable intemal hardware and output circuits (4 standard) 68 • Programmable software zones 99 • Special programming zones 14 • LCD annunciators per CPU - 640/ -640E and NCA (observe power) • ACS annunciators per CPU - 640/ -640E 32 address x 64 points • ACS annunciators per NCA 32 address x 64 or 96* points 'Note: The NCA supports up to 96 annunciator address points per ACM - 24/48. KDM -2 Controls and Indicators Program Keypad: QWERTY type (keyboard layout). 8 LED Indicators: Power; Fire Alarm; Pre - Alarm; Security; Supervisory; System Trouble; Signals Silenced; Points Dis- abled. Membrane Switch Controls: Acknowledge /Scroll Display; Signal Silence; Drill; System Reset; Lamp Test. LCD Display: 80 characters (2 x 40) with long -life LED back- light. Page 6 of 9 — DN -6856 • 03/08/04 32 . • .•• • • • ••• •• • • • • • • • • • • • • • • • • • • • • • • • • • • • Configuration Gutdel2ngs Stand -alone and network systems require a main display. On single -CPU systems (one CPU - 640 /-640E), display options are the KDM -2 or the NCA. On tvorit system9(two or more GPU- . . 640 /-640Es), at least one NOA or NCS aR4uncttiOn defict required Other options lilted as follows: f .• • • • 4 . , • ; 10M baddit LCD dispI , with•QWER'W • p or gramming and control keypad. Order two BMP -1 blank modules and DP -DISP mounting plate separately. Requires top row of a cabinet. Required 1dr eec// stgA4-aAma 8B• • • . character display system. The KDM►L 'nay reourrt w nUvorlc, nodes to display "local" node in44164n Os 104% at least one NCA or NCS network display iS oil the systerrPtodiep /ay network information. NCA: Network Control Annunciator, 640 characters. On single CPU-640 / -640E systems, the NCA is the Primary Display for the panel and connects directly to the CPU -640/- 640E. On network systems (two or more CPU - 640 /- 640Es), one network display (either NCA or NCS) is required for every system. On network systems, the NCA connects (and requires) an NCM network communications module. Mounts in a row of FACP node or in two annunciator positions. Mounting options include the DP -DISP, ADP -4B, or in an annunciator box, such as the ABS -2D. In CAB-4 top -row applications, a DP -DISP and two BMP -1 blank modules are required for mounting. See NCA data sheet DN -6858. CPU - 640: Central processing unit with integral 3.0 amp (6:0 alarm) power supply for an NFS -640 system. Includes CPU; one Signaling Line Circuit expandable to two; installation, programming and operating manuals. Order one per system or as necessary (up to 103 network nodes) on a network system. CPU - 640E: Same as CPU -640 but requires 220 VAC, 1.5 amp, (3.0 A in alarm). CHS - Mounting chassis for CPU -640. One required for 'DP -DISP: Dress panel for top row in cabinet with CPU - 6401= 640E - installed. BMP ;1 -Blank module for unused module positions. System Modules The NFS -640 includes the ability to communicate with up to eight conventional modules each with up to eight circuits. Any mix of notification, relay, speaker, or telephone may be used. Choose any combination of up to eight output modules: 1CM/ ICE, CRM /CRE, DCM -4 or VCMNCE. Panel modules mount on either: the two far -right positions of the DP -DISP (next to the primary display); or on any of the four positions on the CHS-4N chassis (CHS -4MN kit required). NOTES: 1) These modules/expanders are NOT to be used for releasing ap- plications. 2) For additional information on these panel output modules and expanders, see data sheet DN -6859. CHS - 4MB: Expansion Chassis. Mounts up to four modules. Indudes'CHS -4N, MP -1B (Module Dress Panel), and Expander Ribbon Cable. ICM - 4RK: Notification Appliance Circuit Module, provides four Style Y (Class B) or Style Z (Class A) alarm Notification Appliance Circuits. Maximum signaling current is 3.0 amps per circuit or 6.0 amps per module, subject to power supply limitations (includes auxiliary power harness, ELRs and slide -in labels). Includes ON /OFF controls and ON /OFF LEDs. ICE (at right) Notification Appliance Circuit Expander, expands ICM-4 to provide a total of eight Style Y or Style Z alarm Notification Appliance Circuits. Circuit ratings are same as ICM -4. Note: maximum of one per ICM -4RK. May also be used to add four Notification Appliance Circuits to VCM-4. 6859am4.wml I trossi uui t rar_ a I VCM (at right) Voice Control Module provides four Style Y (25 and 70 Vrrms) and Style Z (25 VRMs only) 0 669aee w speaker circuits, eight manual select switches and indicators, slide -in labels, and plug -in terminal blocks. Move jumper to convert to telephone circuits with remote ring signal and local call -in flash. May be expanded to 6859van4wmf eight circuits with VCE -4, ICE-4, or CRE-4. VCE (at right) Voice Control Expander adds four circuits to VCM -4. Note: VCM-4/ VCE -4 combination must be eight speaker or eight phone circuits. DCM -4RK: (at left) Dual Channel Module pro -vides four Class B (Style Y, 25 & 70 VRMS) or Class A (Style Z, 25 VRMS only) speaker circuits plus four channel A/B select relays. Not expandable. Other Option Modules ARM - Auxiliary Relay Module, four Form -C relays controlled by a relay module (CRM -4 or CRE -4). N.O. contacts rated 20 amps; N.C. contacts rated 10 amps at 125 VAC and 30 VDC. Note: maximum of one for each CRM-4 or CRE-4. 6859daM.wmf V 6859ian4.wmf 029ice4.wmf PM MN 1-. • CC • CRM - 4RK: (at left) Control Relay Module, four Form -C relay contacts, rated at 5.0 A, 120 VAC or 28 VDC (resistive) per circuit. Includes manual ON /OFF controls and LEDs. CRE (at left) Control Relay Expander, expands CRM-4 to provide a total of eight Form - C relay contacts. Note: maximum of one per CRM -4RK. May also be connected to add four relays to ICM-4, TCM -2, TCM-4, or VCM-4. i rn 449 • CO • 029ice4.wnd 0461 enn4.wmf • • • •• • • • • •• •• • • • • • •• • • • o • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • ••• • • • • ••• VCC - B: Voice Control Center. Provides a variety of user - selectable tones on a single channel. Up to two different tones or messages maybe selected op a single channel. • Also provides optionaCdijjiWt jroicg nttjssage t• and n -site programmabl vice Zessagen. Includes 4dto • • Message Generator (AM 3 $ )brricroph e, bles, ti ffs• • panels, and instructions. VTCC - B: Voice/Telephone Control Center. Provides all that the VCC -1 provides jllkts tro w;y+tirre`iphte�T.le. phone (FFT -7) capability. • • , • TCC - B: Telephone Control Centeu Ijroindes • stand -alone two-way Fire Fighters telep ione (t"FT -7S). • • • • • • • Includes cables, dress panel and instructions. RM - IIRM - 1SA: Remote microphone assemblies, mount on ADP-4 (RM -1) dress panel or CAB-RM/-RMR (RM -1 SA) stand -alone cabinets. See DN -6728. AMG - (at right) Audio Message Generator (without microphone). Order in addition to VCC -1 or VTCC -1 if two- channel system is required. FFT 7 /FFT - 7S: Fire Fighters Telephone control with master handset. FTM - Firephone Control Module connects a remote firefighter telephone to a centralized tele- phone console. Reports status to panel. Wiring to jacks and handsets is supervised. AA - 30: (at right) Audio Amplifier, 30 watts. Switch -mode power. Includes amplifier and audio input supervision, backup input, and automatic switchover, power supply, cables. See AA Series data sheet, DN -3224. AA - 120 /AA - 100: Audio Amplifier provides up to 120 watts of 25 VRMS audio power for the NFS -640. The amplifier contains an integral chassis for mounting to a CAB-84, -C4, or -D4 backbox (consumes one row). Switch -mode power. Includes audio input and amplified output supervision, backup input, and automatic switchover to backup tone. Order the M- 100 for 70.7 VRMS systems and 100 watts of power. See AA Series data sheet, DN -3224. 3576wom.wmf VROM - (n): (at right) Factory-pro- grammed message for installation in AMG - 1. Provides up to 24 seconds of evacua- tion message on nonvolatile memory chip. Choose one of many standard messages available. Up to two of these messages may be installed in one AMG. Includes VROM, instructions for installation and operation, and written text of message. See VROM data sheet, DN -3576. VRAM - (at right) Field- programmed memory to be installed in AMG -1. Provides up to 24 seconds of field- program- mable evacuation message on nonvolatile memory chip. Message is programmed from microphone or cassette tape. Up to two of these nonvolatile memory chips may be installed in one AMG. Includes VRAM and instructions for installation and operation. 0740wem.wmf APS - 6R: (at right) Auxiliary Power Supply (expander). Provides up to 6.0 amperes of regulated power for compat- ible Notification appliance circuits. Includes battery input and transfer relay, and overcurrent protection. Mounts on one of four positions on a CHS-4L or CHS -4 chassis. See APS-6R data sheet, DN -5952. DN- 6856.03108/04 — Page 7 of 9 ACPS - 2406: 6.0 amp addressable charger power supply. See ACPS,2406 data sheet, DN -6834. FCPS - 24: The FCPS -24 is a remote six -amp (four -amp continuous) repeater /power supply. See FCPS -24 data sheet, DN -5132. FCPS - 24561 - 24S8: Remote six -amp and eight -amp power supplies with battery charger. See DN -6927. UZC - 256: Programmable Universal Zone Coder provides positive non - interfering successive zone coding. Micropro- cessor- controlled, field - programmable from IBM®- compat- ible PCs (requires optional programming kit). See UZC -256 data sheet, DN -3404. LCD - /LCD 80TM /FDU - 80: 80 -character, backlit LCD display. Mounts up to 6,000 ft. (1828.8 m) from panel. Up to 32 per NFS -640. See LCD- 80 /-80TM (DN -3198) and FDU-80 (DN -6820) data sheets. ACS: Annunciator Control Modules ACM -16AT, AEM -16AT, ACM -32A, and AEM -32A See ACS data sheet, DN -0524, also ACM -24AT and ACM -48A on DN -6862. AFM: Annunciator Fixed Modules AFM -16A, AFM -16AT, and AFM -32A. See AFM data sheet, DN -0056. LDM: Lamp Driver Modules LDM -32, LDM -E32, and LDM - R32. See LDM data sheet, DN -0551. ACM - 8R: Remote Relay Module with eight Form -C contacts. Can be located up to 6,000 ft. (1828.8 m) from panel on four wires. See ACM-8R data sheet, DN -3558. SCS: Smoke control station; eight (expandable to 16) circuits. See SCS data sheet DN -4818. RPT - 485: Repeats EIA -485 over twisted pair or converts to fiber -optic medium. See RPT data sheet, DN -4737. XP5: The XP5 -M and XP5 -C provide FlashScan® tran- sponder points. See XP5 data sheet, DN -6625. XP: The XP Series Transponder provides conventional monitor and control points (CLIP mode only). See DN -0759. XPIQ: The XPIQ quad intelligent voice transponder for distrib- uted multichannel voice evacuation systems, an integrated audio amplification and distribution subsystem controlled by FACP. Capable of playing up to four simultaneous messages. Accepts up to four 25-watt amplifiers. See XPIQ data sheet; DN -6823. CHS (at right) Chassis A for mounting up to four APS -6Rs. CHS (at right) Low - profile four - position Chassis. Mounts two AA -30 amplifiers or one AMG -E and one AA -30. DP - 1B: (at right) Blank Dress panel. Provides dead -front panel for unused tiers or to cover AA -30, AA -120, or AMG -E. TCAB - Series `The CAB-4 Serie cabinets are fabricated from 16 -gauge steel with unique full -front LEXAN ®, reverse- silk - screened for durability. The cabinet assembly consists of two basic ; parts: a Backbox (SBB-_4), and a Locking 3 Door (DR -_4) that may hinge ght_or_left. Cabinets are available in fours through "D ", with one to four tiers (two- tiered "8° shown at right). A trim ring option is available for semi -flush mounting. See DN -6857. Page 8 of 9 - DN -6856 • 03/08/04 52621 .wmr • • ••• • • • • :s.*: • • • •• •• Compatible Devices, 3:IA -Z32 Paris PRN - 80- column printer. See DN -6769. • • • • • • PRN - 80- column printer. VS4095/S2: Printer, 40co1unyb 24 V. jyjj5un din exte nal • • • backbox. See DN -3260; °Vet froth KAltro f Ina • • • • Compatible Intelligent Devices FSI - 851: Low - profile FlashScan® ionization detector. See DN -6934. FSI - 751: Low - profile FlashScan® ionization detector. See DN -6714. FSP - 851: Low - profile FlashScan® photoelectric detector. See DN -6935. FSP - 751: Low - profile FlashScan® photoelectric detector. See DN -6714. FSP - 851T: Low - profile FlashScan® photoelectric detector with 135 °F (57 °C) thermal. See DN -6935. FSP - 751T: Low - profile FlashScan® photoelectric detector with 135 °F (57 °C) thermal. See DN -6714. FST - 851: FlashScan® thermal detector 135 °F (57 °C). See DN -6936. FST - 751: FlashScan® thermal detector 135 °F (57 °C). See DN -6716. FST - 851 R: FlashScan® thermal detector 135 °F (57 °C) with rate -of -rise. See DN -6936. FST - 751 R: FlashScan® thermal detector 135 °F (57 °C) with rate -of -rise. See DN -6716. FST - 851H: FlashScan® 190 °F (88 °C) high- temperature thermal detector. See DN -6936. FSD - 751P: FlashScan® photo duct detector with housing. See DN -6821. FSD - 751 P L: Low -flow FlashScan® photo duct detector with housing. See DN -6955. FSD FlashScan® photo duct detector with relay and housing. See DN -6821. FSD 751RPL: Low -flow FlashScan® photo duct detector with relay and housing. See DN -6955. FAPT - 851: FlashScan® Acclimate Plus TM low - profile multi- sensor detector. See DN -6937. FAPT - 751: Acdimate_Ptusim_Iowprofile multisensordetector. _ See DN -6833. • •• CRT - Video display terrryrfaljee DN ;17 • • • • • • • • Compatible Devices, EIA -485 Ports ACS Series: Remote seri i Ater /conk�l aj�s$e �s.• See DN -0524. • • • • • • . • • • • • FDU - 80: Remote LCD displ $0 i heracte •uvitLEDs: See DN -6820. LCD - 80: Remote LCD display, 80 characters. See DN -3198. LCD - 80TM: Remote LCD display, 80 characters, terminal mode. See DN -3198. LDM Series: Remote custom graphic driver modules. See DN -0551. ACM - 8R: Remote relay module. 8 Form -C relays. See DN -3558. RFX: Wireless interface system. See DN -6739. RPT - 485 Series: Repeater, isolator and /or fiber -optic mo- dem. See DN -4737. [UDAC Universal" Dig italAlannCommunicatorTransmitter 636 channel. See DN -4867. - UZC - 256: Zone Coder. Up to 256 programmable codes. See DN -3404. FS H Flash Scan® HARSHN Hostile Area Smoke Head. See DN -6875. FSL - 751: FlashScan® VIEW® laser photo detector. See DN- 6886. LPX - 751: Low - profile VIEW® laser photo detector. See DN- 5306. _ B 224RB: Low - profile relay base. B 224B1: Isolator base for low- profile detectors. B 710LP: Low -profile base. Standard U.S. style. B501: European - style, 4" (10.16 cm) base. FMM - FlashScan® monitor module. See DN -6720. FDM - FlashScan® dual monitor module. See DN -6720. FZM - FlashScan® two -wire detector monitor module. See DN -6720. FMM - 101: FlashScan® miniature monitor module. See DN -6720. FCM - FlashScan® NAC control module. See DN -6724. FRM - FlashScan® relay module. DN -6724. FSM - 101: FlashScan® pull station monitor module. NBG - 12LX: Manual fire alarm station, addressable. See DN -6726. ISO -X Isolator module. See DN -2243. XP Series: Transponder. See DN -0759. XP5 - FlashScan® transponder, five monitor points. See DN -6625. XP5 - FlashScan® transponder, five control points or Form - C relays. See DN -6625. XP6 - FlashScan® six - circuit supervised control module. See DN -6924. XP6 - MA: FlashScan® six -zone interface module; connects intelligent alarm system to two -wire conventional detection zone. DN -6925. XP6 - FlashScan® six -relay (Form -C) control module. See DN -6926. XP10 - FlashScan® ten -input monitor module. See DN -6923. XPIQ: Intelligent quad transponder. See DN -6823. .•• • • • • • . •• • • • • • • •• . • • • • • • • • • • • • • • ••• • • • • • • • DPI - 232: Direct Panel Interface, specialized mode f o r for serial data links to remotely located FACPs and /or peripherals. See DN -68P0. • • • • • • • • LEM - 320: Loop Expan Mpdule. E pants eaah 40 totes o Signaling Line Circuits, See DN- 6881.• • • . . . . • ••• ••• • • TM - Transmitter Module. Includes three reverse - polarity &- cults and one municipal box circuit. Mounts in panel module position (single - address- s&4e).or,in 1 HS f42 pillion. See DN -6860. • • • • • • • • • • •o• • • • • •• • NCM - Network Commudicdtiq'pspcplur Vire. Orderone NCM per network node (CPU -040 MCA )). See•ON -686 . NCM - Network Communications Module, Fiber. Order one NCM per network node (CPU -640 or NCA). See DN -6861. NCS - or NCS - - ONYX: Network Control Station, Wire. UL- Listed graphics PC with 19" display and mouse. Order as necessary for network systems. Each NCS consumes one of 103 network addresses. See DN -6868, ONYXTM DN -6869. NCS - or NCS - - ONYX Network Control Station, Fiber. UL- Listed graphics PC with 19" display and mouse. Order as necessary for network systems. Each NCS consumes one of 103 network addresses. See DN -6868, ONYXTM DN -6869. VeriFlre - TCD: VeriFireN Tools CD -ROM. Contains pro- gramming software for the NFS -640, NCA, and XPIQ. Includes local panel connection cable. Programming PC requires a serial port connection. See DN -6871. ACM - 24AT: ONYX Series ACS annunciator - up to 96 points of annunciation with Alarm or Active LED, Trouble LED, and switch per circuit. Active /Alarm LEDs can be programmed (by powered -up switch selection) by point to be red, green, or yellow; the Trouble LED is always yellow. See DN -6862. AEM - 24AT: Same LED and switch capabilities as ACM - 24AT, expands the ACM -24AT to 48, 72, or 96 points. See DN -6862. ACM - 48A: ONYX Series ACS annunciator - up to 96 points of annunciation with Alarm or Active LED per circuit. Active /Alarm LEDs can be programmed (by powered -up switch selection) in groups of 24 to be red, green, or yellow. Expand- able to 96 points with one AEM -48A. See DN -6862. AEM - 48A: Same LED capabilities as ACM -48A, expands the ACM -48A to 96 points. See DN -6862. BAT Series: Batteries. NFS -640 utilizes two 12 volt, 12 to 55 AH batteries. See DN -6933. PS Series: Batteries. NFS -640 utilizes two 12 volt, 12 to 55 AH batteries. See DN -1109. NFS - LBB: Battery Box (required for batteries over 25 AH). Other Options DN -6856 • 03/08/04 - Page 9 of 9 GENERAL The Universal Digital Alarm Communicator Transmitter (UDACT) is designed for use on the NOTIFIER NFS -3030, AM2020, AFP1010, NFS -640, AFC -600, AFP- 400/300/200/ 100, System 5000, and System 500 Fire Alarm Control Pan- els. In addition, it is also designed for use on the Intelligent Network Annunciator (INA), software release 2.8 or higher. When used in conjunction with the INA, the UDACT can re- port the status of all control panels on NOTI •FIRE•NET'"'. The UDACT transmits system status to UL listed Central Sta- tion Receivers via the public switched telephone network. The UDACT is compact in size and may be mounted exter- nally in a separate cabinet. EIA -485 annunciator communi- cations bus and regulated 24 -volt connections are required. The UDACT is capable of transmitting the status of software zones (Alarm and Trouble), System Trouble, Panel Off-Nor- mal, Supervisory, Bell Trouble, Low Battery, and AC Fail. The UDACT is capable of transmitting all of the zone and point status associated with each panel. Note that the AFC - 600 and AFP -100 require UDACT revision 2.0 or higher. When the UDACT is used with the AM2020 or AFP1010, it is capable of reporting up to 2,040 points. Reporting may be in the form of software zones (up to 240) or 60 zones plus up to 1980 intelligent points. The first 568 points transmitted may be programmed for a variety of types, including fire, waterflow, supervisory, etc. Remaining points transmitted are for fire alarm only. NOTE: Descriptions regarding point capacity, listed above, are for receivers which receive in Ademco Contact ID for- mat. See chart on page 2 for compatible receivers. FEATURES • Maximum of 14 point trouble messages transmitted per hour. • Dual phone lines. • Dual telephone line voltage detect. • Surface Mount Technology. • Compact in size: 6.75" x 4.25" (17.145 x 10.795 cm). • Built -in programmer. • Built -in 4- character red 7- segment LED display. • Manual Test Report function. • Manual Transmission Clear function. • Mounts in a separate enclosure (ABS -8R or UBS -1). • Communicates vital system status including: — Independent zone fire alarm. — Independent zone non -fire alarm. — Independent zone trouble. — Independent zone supervisory. — AC (mains) Power Loss (programmable). — Low Battery and Earth Fault. — System Off - Normal. — 12 or 24 hour test signal. — Abnormal Test Signal per new UL requirements. — EIA -485 Communication Bus Failure. • •• • • • • ••• • • . . • • • • • • • • • • • • . • . 1 ... • . • • • • DN. • • -1140 uD D 1 1'•.. .... Universal DtgitaI pla�nI • Communicbt� Trdgsnli • • • Section: Armuociatbr ControjSyssenss j j NOTIFIER August 19, 2004 • LISTED S635 INDUSTRY CANADA 2132 6030 A MEA 328 -94 -E APPROVED (with Ademco 685 only) • • • CS100 •• Vol. VII ABS -8R for remote mounting FCC IWGUSA- 20723 -AL -E .• • • • • ••• • • • • UDACT ralifcrib • • 46tateAi re • • p rsOal • 7300 8t528! t74 r • Annunciation of UDACT Troubles including: loss of phone lines, communication failure with either Central Station, total communications failure. • Troubleshoot Mode converts keypad to DTMF touchpad. • Individual LEDs for. Power, EIA -485 Loss, Manual Test, Kissoff, Comm Fail, Primary Line Seize, Secondary Line Seize and Modem Communications. • Open Collector relay driver for Total Communications Failure or UDACT trouble. • Real -time clock. • Extensive transient protection. • Simple EIA -485 interface to host panel. AGENCY LISTINGS AND APPROVALS See above toasting agencies and file numbers. In some cases, cer- tain modules may not be listed by certain approval agencies, or list- ing may be in process. Consult factory for latest listing status. INSTALLATION When used with the AFP -100 or AFP -200, the UDACT mounts in the ABS-8R or UBS-1 bac kbox. When used with the System 500, the UDACT can mount in the CAB -500 far -back position. NOTIFIER is a Honeywell company. This document is not intended to be used for installation purposes. We try to keep our product information up -to -date and accurate. We cannot cover all specific applications or anticipate all requirements. All specifications are subject to change without notice. For more information, contact NOTIFIER. Phone: (203) 484 -7161 FAX: (203) 484 -7118 0 NOTI Fl E R 12 Clintonville Road, Northford, Connecticut 06472 ISO 9001 C E U 1 1 F 1 E D BIOME = 8 MAl�i101111i QVALITY SYSTEMS Made in the U.S.A. DN -4867 • 08/19/04 — Page 1 of 3 0 4 +1 Ademco Express ✓ ✓ ✓ 1 4 +2 Ademco Express ✓ ✓ ✓ (8) ✓ 2 3+1/Standard/1800/2300 ✓ ✓ (2) ✓ ✓ (4) ✓ ✓(5,6) ✓ ✓ 3 (NOT USED) 4 3+1/Standard/1900/1400 ✓ ✓ (2) ✓ (4) a/ ✓ ✓ 5 (NOT USED) 6 4 +1/Standard/1800/2300 ✓ ✓ (2) ✓ ✓ (4) ✓ ✓ (5) ✓ ✓ 7 (NOT USED) 8 4 +1/Standard/1900 /1400 ✓ ✓ (2) a/ (4) ✓ ✓ ✓ 9 (NOT USED) A 4 +2/Standard/1800/2300 ✓ ✓ (2) ✓ ✓ (4) ✓ ✓ (5) ✓ ✓ B (NOT USED) C 4 +2/Standard/1900 /1400 ✓ • (2) ✓ (4) ✓ ✓ ✓ D (NOT USED) E Ademco Contact ID ✓ ✓ ✓ ✓ F (NOT USED) • • When used with the System 5000, the UDACT can mount in any far back (front module with expander allowed) position of the CHS-4 chassis. When_used with the`NFS -3030, AM2020, AFP1010,gNFS 640, AFC-6600 or AFP -300, the UDA moT unts inf to CHS-4 or CHS-4L module position. - In all cases, the UDACT can mount remotely (up to 6,000 ft./ 1828.8 m) in an ABS-8R or UBS-1 backbox. NOTE: Due to space considerations, the far - back of the CAB - 500 position is NOT recommended. COMMUNICATION FORMATS • 3 +1 Standard • 4 +1 Standard • 4 +2 Standard • 4 +1 and 4 +2 Ademco Express • Ademco Contact ID NOTE: Ademco Contact ID must be used for independent zone reporting. REQUIRED SOFTWARE • AFP -100 EPROM = ALL • AFP -200 English EPROM' = 73609 (or higher) • AFP -200 Spanish EPROM' = 73618 (or higher) • AFP -200 French EPROM' = 73617 (or higher) • AFP -400 EPROM* = #AFP4R2.0 (or higher) • AFC -600 = ALL • NFS -640 = ALL • System 500 EPROM' = 73611 (or higher) • System 5000 EPROM' = 73610 (or higher) • AM2020/AFP1010' = Release 6.6 (or higher) • NFS -3030 = ALL • INA = 2.8 or higher "Presently, the UDACT is not capable of A.C. Fail delay (per NFPA standards) when used with the AA Series Amplifier, APS -6R Power Supply, or the XP Transponder. TYPE MODE FEATURE (Ademco Contact ID format only) Use Type Mode to identify reports to Central Station as: • Fire Alarm • Supervisory • Pull Station • Heat Detector • Waterflow • Duct Detector • Flame Sensor • Smoke Zone 48e7ute..mf • Burglary • 24 hour Non - Burglary • High Temperature • Low Temperature • Low Water Pressure • Low Water Level • Pump Failure UDACT shown in UBS -1 Page 2 of 3 — DN -4867 • 08/19/04 Format # (Addresses 16 & 42) (9) Version 1.62 software. • • ••• • •• •• • • • • • • • • • • • •• • •• • ELECTRICAL SPECIIIC/4TION3S: : ••• • • • • ••• Standby current 40 mA. Current while communicating: 75 mA. Maximum current while eSnomasicatingand w?t(i opeptQI - • • • • • • • • • •• lector output activated: 1 � mA. � • • • • • • • • • Voltage: Regulated 24 volts. Reage: 21-2 to 282 volts • • • • ORDERING INFORMATION C UDACT: Universal Digital Al nrn unicatsr• Traesmitte&. Includes operating and programirirstiuoolioa . ,�naltlodR>j- ing hardware. • • MCBL -7: DACT phone cord,./ft (2.1S m) Fong '(M , rt46ireffd). ABS -8R: Metal enclosure for extemally mounting UDACT up to 6,000 ft./1828.8 m from host FACP. 9.94" H x 4.63" W x 2.50" D (cm: 25.248 H x 11.760 W x 6.350 D). UBS -1: Metal enclosure. Includes viewing window and op- tional relay mounting capability. MR- 101ICR: SPDT Form -C relay. Contacts rated for 10 A 115 VAC. Connects to open collector relay driver. MR- 201ICR: DPDT Two Fomi -C relays. Contacts rated for 10A © 115 VAC. Connects to open collector relay driver. FBD -1: Ferrite bead kit. Use for remote mounting only. ROM1- UDACT: EPROM upgrade kit Osborne Radianics Scent m Hoffman 60001 Sescoa Sur-Gard Aden= Knight CS 4000 F& Models 6500 30008 MLR -2 685 (n 9000 (3) CP220FB 16 2 (5) f/) (9) (1) With 685 -8 Line Card with Rev 4.4d software. (2) With 9002 Line Card Rev 9035 software or 9032 Line Card with 9326A software. (3) Rev. 4.0 software. (4) FBI CP220FB Rec -11 Line Card with Rev 2.6 software and a memory card with Rev 3.8 software. (5) Model 6500 with Rev 600 software. (6) Model 6000 with Rev 204 software. (7) With Rev B control card at Rev 1.4 software and Rev C line card at Rev 1.5 software. —(8)— Model - - only Building No. FACP Type 4-Digit Acct Code Group No. Device/Zone Range A AM2020 0001 00 00 001 to 00 999 0001 01 01 000 to 01 999 0001 02 02 000 to 02 040 B AFP1010 0002 03 03 001 to 03 396 C AFP -200 0003 04 04 001 to 04 089 D System 5000 0004 05 05 001 to 05 120 E System 500 0005 06 06 001 to 06 016 Building No. FACP Type 4 -Digit Acct. Code Group No. Device/Zone Range A AM2020 0001 00 00 001 to 00 999 0001 01 01 000 to 01 999 0001 02 02 000 to 02 040 B AFP1010 0002 03 03 001 to 03 396 C AFP -200 0003 04 04 001 to 04 089 D System 5000 0004 05 05 001 to 05 120 E System 500 0005 06 06 001 to 06 016 • • ••• • • • •• • •• •• • • • • •• •• • • • • • • • • • • • • • • • • • • • • What is "Contact I.D.?" • • • • • • • • • • • • • • • ••••••• • ••• Most digital receiving formats transmit simple information about the status of the site, i.e., alarm, trouble, supervisory, battery fail, etc. Contact I.D. is a transmission format enabling transmission of alarm and trouble conditions on a bi -point basis. Three groups of information are transmitted to the central station: a four -digit b oyr2t code grroup number 99), and the device or zone number (000 -999). Each of these three information gropp$ is trogramrrable..eeauseafhe virtually unlimited number of combinations, the number of systems, points and /or torte %tinsmitted i9b�undloss: LOCAL AREA NETWORK APPLICATION The NOTIFIER UDACT (Universal Digital Alarm Communicator Transmitter) provides.the•mean% to great %9 powNful, low cost, local area network solution for any application involving multiple facilities spread 4 asrealtgioaphieprea, such as a college campus. • • • • Compatible NOTIFIER fire control panels (System 500, System 5000, AFP -100, AFP -200, AF1 AFP'4(?,, AFC -600, NFS -640, AFP1010, AM2020, NFS- 3030), NOTIFIER UDACTs, standard public switched telephone network, and a low - cost digital receiver combine to solve what has in the past been impossible to do without incurring high costs. The UDACT, when used in the contact I.D. format, transmits detailed system status via the standard public switched telephone network to a digital receiver. The telephone network becomes the "network gateway" from the FACP to the digital receiver and to an optional UniNet® monitor. In the example shown on the attached page, separate phone lines within each facility tie independently to the UDACT and modem. For example: For example: In this type of configuration, the maximum number of zones /points to be reported is 100,000. Applications include: hospitals, college campuses, shopping malls, prisons, airports, grouped govemment facilities, power plants, large commercial facilities and much more. In addition, the control panels may be networked using NOTI•FIRE•NETTM (see DN- 4644). In this configuration, a single UDACT can be used to report up to 2040 separate points and panel statuses. WIDE AREA NETWORK APPLICATION Imagine an application which requires the status of a fire system to be clearly visible for appropriate response /action, yet the monitored facility is located thousands of miles away from the monitoring center. These applications have in the past been out of reach using existing technology, but today are possible with the NOTIFIER WAN. The NOTIFIER UDACT provides the means to create a unique, flexible, low cost, wide area network solution for any application involving multiple facilities distance by a large geographic area, such as facilities located in various states spread across the continental United States. NOTIFIER WANs are created by using compatible NOTIFIER fire control panels (System 500, System 5000, AFP -100, AFP -200, AFP -300, AFP -400, AFC -600, NFS -640, AFP1010, AM2020, and NFS- 3030), a NOTIFIER UDACT, the stan- dard public switched telephone network and a low -cost digital receiver. Reporting the general system status or the specific status of any monitored point in any facility to one central location is made simple. Controlling the system in this configuration is also made simple by utilizing NOTIFIER UniNet®, which is network compatible. In the example shown, separate phone lines within each facility tie independently to the UDACT and modem. In this type of configuration, the maximum number of zones /points to be reported is 100,000 and the number of moni- tored facilities is 99. Both the number of points and the number of facilities to be monitored increase when a four -digit account number is applied (as with conventional Central Station facility assignments) as well to expand the network! Multiple _response_centers_are_possible, one may be the local monitoring central station facility required by local codes/ ordinances. The other monitoring station, as an option, may be located wherever compatible telephone networks exist. DN -4867 • 08119104 — Page 3 o13 • • • N OTI F I ER • April 1, 2003 • • ∎ • • • • • I)N -6935 ••H-262 • • FSP -851 and FSP-851T Intelligent Phkg. -in Photoelectric Smoke Deteww with 1YlaghSc i Section: Intellient/Addressatle D$viCes • • GENERAL NOTIFIER 851 Series intelligent plug -in smoke detectors with integral communication provide features that surpass conven- tional detectors. Detector sensitivity can be programmed in the control panel software. Sensitivity is continuously moni- tored and reported to the panel. Point ID capability allows each detector's address to be set with decade address switches, providing exact detector locations for selective maintenance when chamber contamination reaches an unacceptable level. The FSP -851 photoelectric detector's unique optical sens- ing chamber is engineered to sense smoke produced by a wide range of combustion sources. Dual electronic thermistors add 135 °F (57 °C) fixed- temperature thermal sensing on the FSP- 851T. FlashScan® (U.S. Patent 5,539,389) is a communication pro- tocol developed by NOTIFIER Engineering that greatly en- hances the speed of communication between analog intelli- gent devices and certain NOTIFIER systems. Intelligent de- vices communicate in a grouped fashion. If one of the devices within the group has new information, the panel's CPU stops the group poll and concentrates on single points. The net ef- fect is response speed greater than five times that of earlier designs. FEATURES • Sleek, low- profile design. • Addressable - analog communication. • Stable communication technique with noise immunity. • Low standby current. • Rotary 01 to 159 address switches (01 to 99 on traditional systems). • Optional remote, single -gang LED accessory (RA400Z). • Dual LED design provides 360° viewing angle. • Visible bicolor LEDs blink green every time the detector is addressed, and illuminate steady red on alarm. • Walk test with address display (an address of 121 will blink the detector LED: 12- (pause) -1) (FlashScan® systems only). • Built -In functional test switch activated by extemal magnet. • Optional relay, isolator, or sounder bases. • Listed to UL 268. SPECIFICATIONS Size: 2.1" (5.1 cm) high x 4.1" (10.4 cm) diameter installed in B501 base, 6.1" (15.5 cm) diameter installed in B710LP base. Shipping weight: 5.2 oz. (147 g). Operating temperature: FSP -851: 0 °C to 49 °C (32 °F to 120 °F); FSP -851T: 0 °C to 38 °C (32 °F to 100 °F). Low- tempera- ture signal for FSP-851T at 45 °F/7.22 °C ( +/— 10 °F /5.54 °C). UL- Listed velocity range: 0 — 4000 ft. /min. (1219.2 m /min.), suitable for installation in ducts. Relative humidity: 10% — 93% noncondensing. Thermal ratings: fixed - temperature setpoint 135 °F (57 °C). FlashScan® is a registered trademark of NOTIFIER. LISTED S1115 MARYLAND State Fire Marshal Permit # 2122 6934 *E1.b 9 FSP -851 with B710LP base CS915 (FSP -851A, FSP -851 TA) • • • ••• • • • • • • •-- M EA 225 -02 -E FSP-851T with B710LP base • • • • • • ••• •• • • • • • • • • •• • • • • • • • • • • Califomia al ta t re • • • a • ••727Q 0028206 • • • • • • • • • • • APPROVED DETECTOR SPACING and APPLICATIONS: NOTIFIER recommends spacing detectors in compliance with NFPA 72. In low airflow applications with smooth ceilings, space detectors 30 feet (9.144 m). For specific information regarding detector spacing, placement, and special applications, refer to NFPA 72. System Smoke Detector Application Guide, document A05 -1003, is available at systemsensor.com. FSP -851 and FSP -851T are Listed for use in ducts, but they are NOT Listed for use inside duct smoke detectors. See Duct Application Smoke Detectors Guide, documentA05.1004, avail- able at systemsensor.com, for details on pendant -mount ap- plications. ELECTRICAL SPECIFICATIONS: Voltage range: 15 - 32 volts DC peak. Standby current (max. avg.): 250 pA @ 24 VDC (without com- munication); 360 pA @ 24 VDC (one communication every 5 seconds with LED enabled). LED current (max.): 6.5 mA @ 24 VDC ("ON "). NOTIFIER® is a Honeywell company. This document is not intended to be used for installation purposes. We try to keep our product information up-to -date and accurate. We cannot cover all specific applications or anticipate all requirements. All specifications are subject to change without notice. For more information, contact NOTIFIER. Phone: (203) 484 -7161 FAX (203) 484 -7118 0 NOTI FI ER 12 Clintonville Road, Northford, Connecticut 06472 ISO 9001 GERY1F1E0 8111181111118 AI TNX ON -6935 •04/01/03 — Page 1 of 2 BASES AVAILABLE: B710LP: 6.1" (15.5 cm) diameter. 8501: 4.1" (10.4 cm) diameter. 8501 BH or B501 BHT: Sounder base assembly. Includes B501 base. B224RB Relay Base: Screw terminals: up to 14 AWG (2.0 mm Relay type: Form -C. Rating: 2.0 A © 30 VDC resis- tive; 0.3 A @ 110 VDC inductive; 1.0 A © 30 VDC inductive. Dimensions: 6.2* (15.748 cm) x 1.2" (3.048 cm). B524BI Isolator Base: Dimensions: 6.2" (15.748 cm) x 1.2" (3.048 cm). Maximum: 25 devices between isolator bases. INSTALLATION FSP -851 plug -in detectors use a separate base to simplify in- stallation, service, and maintenance. Aspecial tool allows main- tenance personnel to plug in and remove detectors without using a ladder. Mount base on a box which is at least 1.5" (3.81 cm) deep. Suitable mounting base boxes include: • 4.0" (10.16 cm) square box. • 3.5" (8.89 cm) or 4.0" (10.16 cm) octagonal box. • Single -gang box (except relay or isolator base). • With B501BH base, use a 4.0" (10.16 cm) square box. • With B224RB or B224B1 base, use a 3.5" (8.89 cm) oc- tagonal box, or a 4.0" (10.16 cm) octagonal or square box. NOTES: 1) Because of the inherent supervision provided by the SLC loop, end - of - line resistors are not required. Wiring °T -taps° or branches are permitted for Style 4 (Class °B' wiring. 2) When using relay or sounder bases, consult data sheet DN -2243 (ISO X) for device limitations between isolator modules and isola- tor bases. PRODUCT LINE INFORMATION NOTE: A" suffix indicates ULC Listed model. FSP -851: Low - profile intelligent photoelectric sensor. Musfbe m ounted to one of the bases listed below. FSP=851A:Same as FSP -851 but with ULC Listing. FSP -851T: Same as FSP -851 but includes a built -in 135 °F (57 °C) fixed - temperature thermal device. FSP -851TA: Same as FSP -851T but with ULC Listing. Bases: _ B710LPBP_:_Standard U.S. low - profile base, pkg. of 10. B710LPA: Standard U.S. low - profile base, ULC Listing. B501BP: Standard European flangeless base, pkg. of 10. B501A: Standard European flangeless base, ULC Listing. WIRING DIAGRAM Page 2 of 2 - DN -6935 • 04/01/03 REMOTE ANNUNCIATOR • • ••• • • • ••• •• •• • • • • • •• •• • • • • • • • • • • • • • B501BH(A): Sounder base, ir4Iudei B5S1(ft tuse,above. • B501BHT(A): Same as B501BH(A), but includes temporar sounder. B224RB(A): Intelligent rel llasg: • : • • • • B224B1(A): Intelligent isolDDtot bale. Isolates SLCS fre • shorts. '•' •:• • • • • • • Accessories: • • • • • • F110: Retrofit replacement flange for BX -501 base. Converts BX -501 base for use with FIasIScanighdetgctor • • • • • RA4002(A): Remote LED annunciate 3i- 32 IDC. Eits U!�, single -gang electrical box. Slppbrt4d74B11QLI A) and* B501(A) bases only •• • • • • • • • • • • • SMK400: Surface mounting kit provides for entry of surface wiring conduit. For use with B501(A) base only. RMK400: Recessed mounting kit. For use with 8501(A) base only. SMB600: Surface mounting kit for use with B710LP(A). MO2 -04 -01: Test magnet. MO2 -09 -00: Test magnet with telescope stick. XR -2: Detector removal tool. Allows installation and /or removal of FlashScan® Series detector heads from base in high ceil- ing installations. XP-4: Extension pole for XR -2. Comes in three 5 -ft. sections. Detector Guards: NOTE Some guards listed below may not be applicable to FSP models. SDG -773: Smoke detector guard; cover is 7.0" (17.78 cm) square x 3.0" (7.62 cm) deep. This guard is mechanically com- patible with FSP -751. It is UL- compatibility listed with the FSP - 851 (file UL S5515). STI 9601: Low - profile, flush -mount smoke detector guard, wire.* STI 9602: Low - profile, surface - mount, smoke detector guard, wire." STI 9609: High - profile, flush - mount, smoke detector guard, wire." STI 9605: High - profile, surface- mount, smoke detector guard, wire." STI 9604: Flush -mount heat detector guard, wire.' STI 9610: Surface-mount heat detector guard, wire' 'For dimensions and additional information on STI Steel Web Stop- pers, see data sheet DN -4936. STI- 8200 -SS: Flush -mount stainless steel smoke detector guard. STI-8230-SS: Surface -mount stainless steel smoke detector guard. OPTIONAL RETURN LOOP r. a NOTIFIER • • March 24, 2005 • • 'DF1- 6821•• H -Lt5 FSD -751 P and FSD -751 RP Intelligent PiXtdtdelectrii Du'at Smtske•• Detecto•s:with Flagh can ®:::'• Section: Intelligent Addrelstisle Devices ' • • • • GENERAL An HVAC system supplies conditioned air to virtually every area of a building. Smoke introduced into this air duct system is thus distributed to the entire building. Smoke detectors for use in air duct systems sense the presence of smoke in the duct. The FSD -751 P air duct smoke detector is a photoelectric de- tector, combining this detection technology with an efficient housing design that samples air passing through the duct, al- lowing detection of a developing hazardous condition. When sufficient smoke is sensed, an alarm signal is initiated at the fire control panel monitoring the detector, and appropriate ac- tion can be taken to shut off fans and blowers and change over air handling systems, etc. This can isolate toxic smoke and fire gases or prevent their distribution throughout the ar- eas served by the duct system. Two LEDs on each detector can be programmed by the sys- tem control panel to provide a local alarm indication. A remote alarm output is provided for use with auxiliary devices. The FSD-751P has remote test capability with the RTS451/ RTS451 KEY Remote Test Station. Traditional panels support addresses of 0 — 99. The FlashScan® protocol supports addresses of 0 — 159. Patented FlashScan® is a new communication protocol developed by NOTIFIER Engi- neering that greatly enhances the speed of communication be- tween analog intelligent devices. Intelligent devices communicate in a grouped fashion. If one of the devices within the group has new information, the panel stops the group poll and concentrates on single points. The net effect is response speed greater than five times that of earlier designs. APPLICATIONS Duct smoke detectors have specific limitations. Duct smoke detectors are: • NOT a substitute for open area smoke detectors. • NOTa substitute for early warning detection. • NOT a replacement for a building's regular fire detection system. Call NOTIFI ER for a copy of System Sensor's application guide, Proper Use of Smoke Detectors in Duct Applications, (A05- 1004 -00). INSTALLATION Wiring: For signal wiring (the wiring between detectors or from detectors to auxiliary devices), it is recommended that single conductor wire be no smaller than 18 AWG (0.75 mm The duct smoke detector terminals accommodate wire sizes up to 12 AWG (3.25 mm Flexible conduit is recommended for the last foot (30.48 cm) of conduit; solid conduit connec- tions may be used if desired. Smoke detectors and alarm system control panels have speci- fications for Signaling Line Circuit (SLC) wiring. Consult the control panel specifications for wiring requirements before wir- ing the detector loop. The FSD -751 P /FSD -751 RP detector is designed for ease of wiring; the housing provides a terminal FlashScan® is a registered trademark of NOTIFIER. LISTED CS308 S 1115 (FSD -751 PA, FSD -751 RPA) U.S. Coast Guard 161.002/42/1 (NFS -640) 161.002/27/3 (AFP1010/ AM2020, FSD-751P) 161.002/23/3 (AFP -200) • • ••• • • • • • • • • • • • • • • • • • • ••• • • • • • - • • • • • :1 -Q0 :• (F9O -7s P): : •; 389 -00 -E APPROVED (FSD-751RP) California State Fire Marshal 3240 - 0028:205 MARYLAND State Fire Marshal Permit #2036 (FSD -751P) Permit #2060 (FSD- 751RP) strip with clamping plates. LED Features: If programmed with the system control panel, two LEDs on each duct smoke detector light to provide local visible indication. Remote LED annunciator capability is available as an option. Each duct smoke detector can only be wired to one remote accessory. NOTIFIER panels offer different feature sets across different panel models. As a result, certain features of the FSD -751 P/ FSD -751 RP may be available on some control panels, but not on others. Possible features, if supported by the control panel are: • Panel controls the LED operation on sensor. Operational modes are: RED blink, RED continuous, GREEN blink, GREEN continuous, and OFF. SPECIFICATIONS LFSD -751 P Operating voltage range: 15 to 32 VDC. Standby current: 300 pA @ 24 VDC (one communication ev- ery 5 seconds with LED blink enabled). Operating temperature range: 32° to 131 °F (0° to 55 °C). Humidity range: 10% to 93% (non - condensing). Duct air velocity: 500 to 4,000 feet/min. (152.4 to 1219.2 meters/min.). Dimensions: 14.375" (365.125 mm) wide x 5.500° (13.970 mm) high x 2.750° (69.850 mm) deep. Options: RTS -451, RTS -451 KEY, RA400Z. Separate auxiliary power not required. Listed to UL 268A. FSD -751 RP Operating voltage range: 15 to 32 VDC (comm. line voltage) and 24 VACNDC or 120/240 VAC auxiliary power" (separate source). 'NOTE: The FSD -751 RP requires a separate auxil- iary source. Standby current: 300 NA ® 24 VDC (one communication ev- ery 5 seconds with LED blink enabled). Auxiliary power current draw (@ 24 VDC): 26 mA (standby), 87 mA (alarm). Options: RTS -451, RTS -451 KEY, RA400Z, APA451. NOTIFIER® is a Honeywell company. This document is not intended to be used for installation purposes. We try to keep our product information up-to -date and accurate. We cannot cover all specific applications or anticipate all requirements. All specifications are subject to change without notice. For more information, contact NOTIFIER.Phone: (203) 484 -7161 FAX: (203) 484 -7118 NOTI FI ER" 12 Clintonville Road, Northford, Connecticut 06472 ISO 9001 'CEFi - r• •ED ENGINEBIN61 IMNII1C1U11116 QUALITY SYSTEMS ON -6821 • 03/24/05 — Page 1 of 2 Outside Duct Width Inlet Tube* Up to 2 feet (0.6096 m) ST -1.5 2 to 4 feet (0.6096 to 1.2192 m) ST -3 4 to 8 feet (12192 to 2.4384 m) ST -5 8 to 12 feet (2.4384 to 3.6576 m) ST -10 Operating temperature range: 32° to 131 °F (0° to 55 °C). Humidity range: 10% to 93% (non - condensing). Duct air velocity: 500 to 4,000 feet/min. (152.4 to 1219.2 meters /min.). Dimensions: 14.375' (365.125 mm) wide x 5.500° (13.970 mm) high x 2.750° (69.850 mm) deep. Relay contact ratings: 2 Form -C, DPDT, 10 A @ 250 VAC, 10 A @ 30 VDC (resistive). Minimum switching current of 100 mA 5 VDC. Listed to UL 268A. Programming specifications /requirements for intelligent system control panels: The number of devices that can have their LEDs programmed to illuminate is limited by the features of the panel and the indi- vidual devices. The actual number of devices is determined by the control panel and its ability to supply LED current. Refer to the control panel installation manual for details. INLET TUBE SELECTION NOTE: Inlet tube is required and must be purchased separately Order one inlet tube for each duct smoke detector ordered. SAMPLE WIRING DIAGRAMS FSD-751P Detector Terminals FSD -751 P Detector Terminals F J - N w O O U O O U - 1 U U Page 2 of 2 — DN -6821 • 03/24/05 1st Detector in Loop O LED g � O O U U 8821in11.td RA400Z COMMON TEST O Field - Installed JUMPER RTS451 /RTS451KEY • • ••• • • •• •• • • • •• • ••• • • • • • • • . • • • • • ••• • • PRODUCT LINE IItFORIVLA17 • • • • • FSD -751P Duct detector housing with FlashScan® photo - \- _ electric sm9lee deto ctor. • • FSD -751 RP Duct detecjor' ouaing avitR ' la Sraq®phVoj • • electric smoke detctor, DPDT telay. • • • . ST -1.5 Metal sampling £ubL, dudt•ifidths 1' to !'•(•seA. • table at left for metric lengths). ST -3 ST -5 ST -10 RA400Z RTS.45111 RTS451KEY F36 -09-00 MO2 -04 -00 S08 -39 -01 P48 -55 -00 P48 -21 -00 A5053FS A5067 A5060 See product Installation Intructions for wiring diagrams for the FSD -751 RP + O O 0 0 rit Fi ell .. a . „1 n n a 2nd Detector in Loop ® FSD -751 P Duct Smoke Detector using a UL Listed control panel 6821wi2.wmf e e821w12.wmf O RESET Metal sampling wbg, luct w idths 2' to 4'. Metal samplifig to dud widtps 4' tai • • • Metal sampling jubp, tlud w l3' ta • • Remote annflr?ciatar Marry, LEES.: :. • .. Remote test station. Mounts in single -gang box. Includes red alarm LED and magnet test switch. Key- activated remote test station. Replacement filters. Replacement test magnet. Replacement photo insect screen. Replacement end cap for plastic sampling tube. Replacement end cap for metal sampling tube. Replacement photoelectric sensor board. Replacement power board (without relay). Replacement power board (with relay). 6821 r .wmf A FSD -751 P Duct Smoke Detector with optional RA400Z ® FSD -751 P Duct Smoke Detector with RTS451/ RTS451KEY NOTE: For RTS451, Terminal 3 is not used. RTS451 does not have a Terminal 6. For RTS451KEY, Ter- minals 3 and 6 are not used. r The RA400Z The RTS451 CD • � J The RTS451KEY • • NOTIF1ER March 23, 2001 • • • • 13N -6726 •H�4A NBC -12LJC Addressablc RulLStatiQg with F aihS • : : :• Section: Intell? ent AddressalN. Detsices • • • • • GENERAL The NOTIFIER NBG -12LX is a state -of -the -art, dual -ac- tion (i.e.,,requires two motions to activate the station) pull station that includes an addressable interface for any NOTIFIER intelligent control panel. Because the NBG - 12LX is addressable, the control panel can display the exact location of the activated manual station. This leads fire personnel quickly to the location of the alarm. FEATURES • Maintenance personnel can open station without causing an alarm condition. • Built -in bicolor LED, which is visible through the handle of the station, flashes in normal operation and latches steady red when in alarm. • Handle latches in down position and the word "ACTI- VATED" appears to clearly indicate the station has been operated. • Captive screw terminals wire -ready for easy connection to SLC loop (accepts up to 12 AWG /3.25 mm wire). • Semi -flush, mounts to a standard single -gang (2.125" [5.3975 cm] minimum depth), double -gang, or 4" (10.16 cm) square electrical box. • Smooth dual - action design. • Within ADA 5 Ib. pull force. • Highly visible. • Attractive shape and textured finish. • Key reset. • Includes Braille text on station handle. • Optional trim ring (BG -TR). • Meets UL 38, Standard for Manually Actuated Signaling Boxes. • Up to 99 NBG -12LX stations per loop on classic protocol systems. • Up to 159 NBG -12LX stations per loop on FlashScan® protocol systems. • Dual -color LED blinks green to indicate normal on FlashScan® systems. CONSTRUCTION Shell, door, and handle are molded of durable LEXAN® (or polycarbonate equivalent) with a textured finish. OPERATION Pushing in, then pulling down on the handle causes it to latch in the down /activated position. Once latched, the word "ACTIVATED" (in bright yellow) appears at the top of the handle, while a portion of the handle protrudes from the bottom of the station. To reset the station, simply unlock the station with the key and pull the door open. This action resets the handle; closing the door automati- cally resets the switch. PATENTED, U.S. PATENT NO. D428,351 OTHER U.S,PAT€t TS4:ENDI ICs. • • • • • : •• • • • • • • • . _. attfrn • Stlte o ;tit • • Marshal C LISTED S692 us • • •.. • • •.' •• • • .•. • •. .. • • • • ••• • • • • • • • 7150 - 0028:199 Approved The NBG -12LX Addressable Manual Pull Station Each manual station, on command from the control panel, sends data to the panel representing the state of the manual switch. Two rotary decimal switches allow address set- tings (1 -159 on FlashScan® systems, 1 -99 on CLIP sys- tems). FlashScan® is a registered trademark of NOTIFIER. LEXAN® is a registered trademark of GE Plastics, a subsidiary of General Electric Company. This document is not intended to be used for installation purposes. We try to keep our product information up -to -date and accurate. We cannot cover all specific applications or anticipate all requirements. All specifications are subject to change without notice. For more information, contact NOTIFIER. Phone: (203)484-7161 FAX: (203) 484 -7118 (DI N OTI F E R" 12 Clintonville Road, Northford, Connecticut 06472 ISO 9001 C E Ft 1 F1 E tU 6N 16 MNIFFSTIMNI DN- 6726.03/23/01 — Page 1 of 2 • • PRODUCT LINE INFORMATION Model Description NBG -121A Dual - action addressable Includes key locking feature. SB -10 Surface backbox. BG -TR Optional trim ring. INSTALLATION The NBG -12LX will mount semi -flush into a single -gang, double-gang, or standard 4" (10.16 cm) square electrical outlet box, or will surface mount to the Model SB -10 sur- face backbox. If the NBG -12LX is being semi -flush mounted, then the optional trim ring (BG -TR) may be used. The BG-TR is usually needed for semi -flush mounting with 4" (10.16 cm) or double -gang boxes (not with single -gang boxes). 1 Page 2 of 2 — DN- 6726.03/23/01 Back of station without door. Terminal Connections 1 SLC ( —) 2 SLC ( +) Cover open to show easy access to miniature monitor module, rotary switch, and UL label. • • •.• • • . . . i*.*f • ELECTRICAL SPECIFICATIONS• • • ••• Normal operating voltage: 24 VDC. Maximum SLC loop volts 2$.0 VDC.: • • • Maximum SLC loop current: 3%5 A. ; • • • ARCHITECTURAL/ ••• • ENGINEERING SPECIFICATIONS Manual Fire Alarm StatioAS' %h'gII 33e RQn- ceded,•with key - operated reset lock in &let ttrat$h i pney be.testbl, and so designed that afteg d attipl :Emergency, CQ)eration they cannot be restored to normal except bSr .15etifa key. An operated station shall automatically condition itself so as to be visually detected as activated. Manual stations shall be constructed of red - colored LEXAN® (or polycar- bonate equivalent) with clearly visible operating instruc- tions provided on the cover. The word FIRE shall appear on the front of the stations in white letters, 1.00 inches (25.4 mm) or larger. Stations shall be suitable for surface mounting on matching backbox SB-10; or semi -flush mount- ing on a standard single -gang, double-gang, or 4" (10.16 cm) square electrical box, and shall be installed within the limits defined by the Americans with Disabilities Act (ADA) or per national/local requirements. Manual Stations shall be Underwriters Laboratories listed. Manual stations shall connect with two wires to one of the control panel SLC loops. The manual station shall, on command from the control panel, send data to the panel representing the state of the manual switch. Manual sta- tions shall provide address setting by use of rotary decimal switches. The loop poll LED shall be clearly visible through the front of the station. The LED shall flash while in the normal condition, and stay steadily illuminated when in alarm. • • • Detail of BREAKAWAY TAB* ROTARY DECIMAL SWITCHES *Remove tab to select addresses above 99 (FlashScan® systems only). • •• • • • • • • • • •••. • • • i GENERAL FCM -1 Control Module — The FCM - Addressable Control Module provides NOTIFIER intelligent control pan- els a circuit for Notification Appliances (horns, strobes, speak- ers, etc.) or to monitor a telephone circuit. Addressability al- lows the FCM to be activated, either manually or through panel programming, on a select (zone or area of coverage) basis. (FRM - Relay Module] The FRM -1 Addressable Re- lay Module provides the system with a dry- contact output for activating a variety of auxiliary devices, such as fans, damp- ers, control equipment, etc. Addressability allows the dry contact to be activated, either manually or through panel programming, on a select basis. FlashScan® (U.S. Patent 5,539,389) is a new communi- cation protocol developed by NOTIFIER Engineering that greatly enhances the speed of communication between ana- log intelligent devices. Intelligent devices communicate in a grouped fashion. If one of the devices within the group has new information, the panel CPU stops the group poll and concentrates on single points. The net effect is response speed greater than five times that of other designs. FEATURES • Built -in type identification automatically identifies these devices to the control panel. • Internal circuitry and relay powered directly by two-wire SLC loop. The FCM module requires power (for horns, strobes, etc.), audio (for speakers), or a telephone riser (for hand- sets). Internal relay feature available on FlashScan® sys- tems only. • Integral LED "blinks" green each time a communication is received from the control panel and tums on in steady red when activated. • LED blink may be deselected globally (affects all devices). • High noise immunity (EMF /RFI). • The FCM may be used to switch 24 -volt NAC power, au- dio (up to 70.7 VRMS) or telephone. • Wide viewing angle of LED. • SEMS screws with damping plates for wiring ease. • Direct -dial entry of address 01— 159 for FlashScan®, 01 — 99 on traditional systems. • Speaker, audible /visual, and telephone applications may be wired for Class B or A (Style Y or Z). APPLICATIONS The FCM is used to switch 24 VDC audible /visual power, high -level audio (speakers), or control telephone devices. The NOTIFIER FlashScan® is a registered trademark of NOTIFIER. Noryl® is a registered trademark of GE Plastics, a subsidiary of General Elec- tric Company. n non /� n n 1, n 1, n n n 11 ,� n n n n n1, n n n n n n n n n n n n April 5, 2004 ■ n o o Dii -h724 •�H -2�0 LISTED S3705 MEA 457 -99 -E . FCM and FRM Series Control and Relay Modules with, F ®= A - n ,� Section: Inte1l g tnt( ressaCte Davioes CS669 MARYLAND State Fire Marshal Permit #2020 FCM -1 FCM -1 Module n 1, n n 11 , California State ,�Fire Magtihl 0 n n�i 7300 - 00281202 r. n n n ,� , , APPROVED n 0 0 � LOOP • 9 5 6789 10 8 2 1 7 TENS 1 15 2 78 g 6 5 °.� 3 5 z , ` � ; 4 ONES 0 ADDRESS 0 O U n i (See wiring diagram Fig. 5 for FRM -1) FRM may be programmed to operate'dry contacts for door holders, Air Handling Unit shutdown, etc., and to reset four - wire smoke detector power. CONSTRUCTION • The face plate is made of off -white Noryl®. • Controls include two rotary switches for direct -dial entry of address (01 -159). • The FCM is configured for a single Class B (Style Y) or Class A (Style Z) Notification Appliance Circuit. • The FRM provides two Form -C dry contacts that switch together. OPERATION Each FCM or FRM uses one of 159 possible module ad- dresses on a SLC loop. It responds to regular polls from the control panel and reports its type and status, including the open/normal /short status of its Notification Appliance Circuit NOTIFIER® is a Honeywell company. This document is not intended to be used for installation purposes. We try to keep our product information up-to -date and accurate. We cannot cover all specific applications or anticipate all requirements. All specifications are subject to change without notice. For more information, contact NOTIFIER. Phone: (203)484 -7161 FAX: (203) 4847118 NOTI Fl ER' 12 Clintonville Road, Northford, Connecticut 06472 ISO 9001 C E F I T I F I E MAIMS 8 MA111fAC1NMi QUALITY SYSTEMS DN -6724 • 04/05/04 — Page 1 of 4 Load Description AAplirl.on � Y� e�4 • Conant Resistive Nor Coded 301/D% 3.4Ai 2.0 A Resistive Coded 3bVDC' Resistive Non -Coded 110 VDC 0.9 A Resistive Not,Cocjed: 1.2V4C, :B.9 !i • inductive (L/R = 5 ms) Codejl :: i0 ink.. :C.5 A' Inductive (L/R = 2 ms) Cocjed ' ' 3C VDC • ; 4 0 A. Inductive (PF = 0.35) Non -Coded 125 VAC 0.5 A SPECIFICATIONS for FCM Normal operating voltage: 15 to 32 VDC. Maximum current draw: 6.5 mA (LED on). Average operating current: 350 pA direct poll (CLIP mode), 375 pA group poll (FlashScan® mode) with LED flashing. Extemal supply voltage (between Terminals T3 and T4): maximum 80 volts (RMS or DC). Drain on external supply: 2 mA maximum (using intemal EOL relay). EOL resistance: 47K ohms. Temperature range: 32 °F to 120 °F (0 °C to 49 °C). Humidity range: 10% to 93% non - condensing. Dimensions: 4.5" (114.3 mm) high x 4" (101.6 mm) wide x 1.25" (31.75 mm) deep. Mounts to a 4" (101.6 mm) square x 2.125" (53.975 mm) deep box. • ( SPECIFICATIONS-for-FR/A-7 Normal operating voltage: 15 to 32 VDC. Maximum current draw: 6.5 mA (LED on). Average operating current: 230 pA direct poll (CLIP mode), 255 pA group poll ( FlashScan® mode) with LED flashing. EOL resistance: not used. Temperature range: 32 °F to 120 °F (0 °C to 49 °C). Humidity range: 10% to 93% non-condensing. Dimensions: 4.5" (114.3 mm) high x 4" (101.6 mm) wide x 1.25" (31.75 mm) deep. Mounts to a 4" (101.6 mm) square x 2.125" (53.975 mm) deep box. (NAC). The LED blinks with each poll received. On command, it activates its intemal relay. The FCM supervises Class B (Style Y) or Class A (Style Z) notification or control circuits. Upon code command from the panel, the FCM will discon- nect the supervision and connect the extemal power supply in the proper polarity across the Toad device. The disconnec- tion of the supervision provides a positive indication to the panel that the control relay actually tumed ON. The extemal power supply is always relay isolated from the communica- tion loop so that a trouble condition on the extemal power supply will never interfere with the rest of the system. Rotary switches set a unique address for each module. The address may be set before or after mounting. The built -in TYPE CODE (not settable) will identify the module to the control panel, so as to differentiate between a module and a sensor address. Page 2 of 4 — ON -6724 • 04 /05/04 MOUNTING DIAGRAMS Note CB500 Module Barrier, which creates isolated quadrant. ISOLATED QUADRANT • • ••• • • •• • •• • • • •• • • • • • • • • • • • RELAY CONTACT Will QaG• • • for both FCM and FRM modals • PRODUCT LINE INFORMATION 672USt..td FCM -1 Intelligent Addressable Control Module. FRM -1 Intelligent Addressable Relay Module. A2143 -20 Capacitor, required for Class A (Style Z) opera- tion of speakers. SMB500 Optional Surface -Mount Backbox. CB500 Control Module Barrier — required by UL for separating power - limited and non -power limited wiring in the same junction box as FCM -1. • • • •• • • ••• ■ Fig. 1 FCM -1: Typical notification appliance circuit configuration, NFPA Style Y. • Connect modules to Listed compatible NOTIFIER control panels only. • All wiring shown is supervised and power limited. Communication Line 32 VDC max. • Module polarities are shown in alarm. ( — Refer to panel documentation for T Device ( + ) �� \ \ e of cable required. ( —) FROM Panel or Previous Device 47K EOL Resistor ELR -47K UL listed EOL Relay shown energized 24 VDC coil A77 -716B EOL Resistor is intemal at terminals 8 & 9 UL listed EOL Relay shown energized 24 VDC coil A77 -716B ( -) The Face Plate ( +) IF WIRING DIAGRAMS .: • • • • The following wiring diagra I re p rovv1ed; • • • • • 1) FCM -1: Typical notification appliance cirail canfiguratiBp,TIPPPI! Style Y. 2) FCM -1: Typical fault- toleranj notification appliance circuit con- figuration, NFPA Style Z. • i i • • • i • • • • • • • • • 3) FCM -1: Typical wiring for speakerisuaet ,i$gfarpswitohing, NFPA Style Y. •.• ••• �•• (' 4) FCM -1: Typical fault - tolerant wiring for speaker supervis and switching, NFPA Style Z. 5) FRM -1: Relay module wiring diagram. U • TO NEXT control module or EOL Relay. • ONE RELAY REQUIRED for each circuit. • Some control panels have the RELAY BUILT IN • and do not require external wiring. Refer to the NOTIFIER manual. (ii U • TO NEXT control module or EOL Relay. • ONE RELAY REQUIRED for each circuit. 1— • Some control panels have the RELAY BUILT IN 1--- and do not require extemal wiring. Refer to the NOTIFIER manual. • • •• . • .. •• • • • • .. •• ... • • • • • • • • • • • • • ••• • • • • • • • • • • • •. . • • • • • 24 VDC Circuit DO NOT LOOP wire on terminals 3 & 4. Break wire to provide supervision of connections. ( —) ( +) ■ Fig. 2 FCM -1: Typical fault - tolerant notification appliance circuit configuration, NFPA Style Z • Connect modules to Listed compatible NOTIFIER control panels only. • All wiring shown is supervised and power limited. Communication Line 32 VDC max. • Module polarities are shown in alarm. ( — ) R ■ T Device ( + ) ��4.4. 40 efer to panel documentation for of cable required. (_) , FROM Panel or Previous 4 Device 24 VDC Circuit DO NOT LOOP wire on terminals 3 & 4. 8 1 le ( Break wire to provide ( +) supervision of connections. ( —) ( +) ( +) 24 VDC POWER SUPPLY Power Supply: • Isolated, regulated, power- limited per NFPA 70. • Listed for fire protection with battery backup. ( +) 24 VDC POWER SUPPLY Power Supply: • Isolated, regulated, power - limited per NFPA 70. • Listed for fire protection with battery backup. ON-6724 • 04/05/04 — Page 3 of 4 DE- ENERGIZE 0 3 r� NOTIFIER 0 CAUTION UNIT PRIOR TO SERVICING ■ Fig. 1 FCM -1: Typical notification appliance circuit configuration, NFPA Style Y. • Connect modules to Listed compatible NOTIFIER control panels only. • All wiring shown is supervised and power limited. Communication Line 32 VDC max. • Module polarities are shown in alarm. ( — Refer to panel documentation for T Device ( + ) �� \ \ e of cable required. ( —) FROM Panel or Previous Device 47K EOL Resistor ELR -47K UL listed EOL Relay shown energized 24 VDC coil A77 -716B EOL Resistor is intemal at terminals 8 & 9 UL listed EOL Relay shown energized 24 VDC coil A77 -716B ( -) The Face Plate ( +) IF WIRING DIAGRAMS .: • • • • The following wiring diagra I re p rovv1ed; • • • • • 1) FCM -1: Typical notification appliance cirail canfiguratiBp,TIPPPI! Style Y. 2) FCM -1: Typical fault- toleranj notification appliance circuit con- figuration, NFPA Style Z. • i i • • • i • • • • • • • • • 3) FCM -1: Typical wiring for speakerisuaet ,i$gfarpswitohing, NFPA Style Y. •.• ••• �•• (' 4) FCM -1: Typical fault - tolerant wiring for speaker supervis and switching, NFPA Style Z. 5) FRM -1: Relay module wiring diagram. U • TO NEXT control module or EOL Relay. • ONE RELAY REQUIRED for each circuit. • Some control panels have the RELAY BUILT IN • and do not require external wiring. Refer to the NOTIFIER manual. (ii U • TO NEXT control module or EOL Relay. • ONE RELAY REQUIRED for each circuit. 1— • Some control panels have the RELAY BUILT IN 1--- and do not require extemal wiring. Refer to the NOTIFIER manual. • • •• . • .. •• • • • • .. •• ... • • • • • • • • • • • • • ••• • • • • • • • • • • • •. . • • • • • 24 VDC Circuit DO NOT LOOP wire on terminals 3 & 4. Break wire to provide supervision of connections. ( —) ( +) ■ Fig. 2 FCM -1: Typical fault - tolerant notification appliance circuit configuration, NFPA Style Z • Connect modules to Listed compatible NOTIFIER control panels only. • All wiring shown is supervised and power limited. Communication Line 32 VDC max. • Module polarities are shown in alarm. ( — ) R ■ T Device ( + ) ��4.4. 40 efer to panel documentation for of cable required. (_) , FROM Panel or Previous 4 Device 24 VDC Circuit DO NOT LOOP wire on terminals 3 & 4. 8 1 le ( Break wire to provide ( +) supervision of connections. ( —) ( +) ( +) 24 VDC POWER SUPPLY Power Supply: • Isolated, regulated, power- limited per NFPA 70. • Listed for fire protection with battery backup. ( +) 24 VDC POWER SUPPLY Power Supply: • Isolated, regulated, power - limited per NFPA 70. • Listed for fire protection with battery backup. ON-6724 • 04/05/04 — Page 3 of 4 • ■ Fig. 3 FCM -1: Typical wiring for speaker supervision and switching,'NFPA Stple'Y.. • • • • • • • Connect modules to Listed compatible NOTIFIER control panels only. All wiring shown is supervised. Wires must be supervised per NFPA. Module polarities are shown in alarm. 47K EOL Resistor ELR - 47K TO Next Device RELAY COMMON 2 NORMALLY CLOSED 2 NORMALLY OPEN 2 RELAY COMMON 1 NORMALLY CLOSED 1 EOL Resistor is intemal at terminals 8 & 9. (� Bypass Capacitors: A2143 -20, 100 pf, I 16 V, non - polarized, < 10 pA leakage. ( +) ( +) u Page 4 of 4 — DN -6724 • 04/05/04 ( —) ( —) ( +) — ( +) RELAY MODULE 9 TO Next Device Device CONTROL 9 MODULE 0 u ( -) (4-) u i U 6724wi5.wmf 0 Speaker Switching Circuit: NFPA STYLE W Speakers must be listed for fire protection. Refer to the Relay Contact Rating table for maximum load. Speaker Switching Circuit NFPA STYLE X Speakers must be listed for fire protection. Refer to the Relay Contact Rating table for maximum load. Communication Line 0 NORMALLY OPEN 1 1 2 3 ADDRESS Connect modules to Listed compatible NOTIFIER control panels only. All wiring shown is supervised. Wines must be supervised per NFPA. TO Next • ( –) Module polarities are shown in alarm. CONTROL MODULE ( —) ( +) u 1,,e0 ( +) • TO Next Control Module Last module must retum wires for supervision. Communication Line r• TO Next Control Module Last module must return - wires for supervision. 7 • r or 4' 4!♦ .- 4s 4!•■•■ 4011 1 1 1 1 • • • •• • • •• • • • •••• • • • • • • Use only models AA -30, —► AA -100, or AA -120. -► Amplifier must provide wiring supervision per NFPA. SUPERVISION • ( +) AUDIO AMPLIFIER 70.7 VRMs max. Use only models AA -30, — ► AA -100, or AA -120. ▪ Amplifier must provide wiring supervision per NFPA. •� SUPERVISION Communication Line 32 VDC maximum. Refer to panel documentation for type of cable required. • • • ••• Refer to panel documentation for type raf cablt required. 32 VDO m ex.• • – FRQM Panel • • • • • • • • — — ( +) oi1'ti vious• • • • • • Db)vi • • • • ••• • Audio Circuit • DO NOT LOOP wire F / 1 on terminals 3 & 4. • s • Bg on b f assure ••• : . • •ns. • .• (4 (—) l • • AIiIO 70.7 VRMS malt' • •' 6724wr3.wmf Fig. 4 FCM -1: Typical fault - tolerant wiring for speaker supervision and switching, NFPA Style Z. Refer to panel documentation for type of cable required. 32 VDC max. ( —) FROM Panel or Previous Device Audio Circuit DO NOT LOOP wire / on terminals 3 & 4. ice Break wire to ensure supervision of connections. 6724w 4.wml NOTE regarding AUDIO AMPLIFIER in Figures 3 & 4 above: 1) Audio circuit wiring must be twisted -pair as a minimum. See NOTIFIER installation manual for detailed information. 1 ( – FROM Panel ( +) or Previous • Device Fig. 5 2 ' \FRM -1: Relay module Z wiring diagram. �! • Connect modules to Listed compatible NOTIFIER control panels only. • Module does NOT supervise controlled circuits. • 1 • • GENERAL The System Sensor SpectrAlert® Selectable Output Strobes and HomlStrobes offer enhanced features that include the widest range of candela options available and the ability to recognize and self-adjust for either 12- or 24- volt operation. Performance. SpectrAlert® selectable - candela wall - mount strobes and horn/strobes offer key performance fea- tures associated with the SpectrAlert® name. The select- able- candela strobes and hom /strobes offer average cur- rent draws that are not only lower than conventional fixed - candela SpectrAlert products, but also lower than similar selectable- candela products. By consuming less current, it is possible to connect even more devices per loop, re- sulting in a lower installed cost. Installation. SpectrAlert® selectable - candela strobes and horn/strobes offer the installation - friendly features of the line, such as the option of 2- and 4 -wire operation; the ability to use standard -sized backboxes with no encroach- ment into the box; and universal mounting incorporating the labor- saving QuickClickTm feature. Such labor- saving features make wire connections simple and fast, further reducing installed cost. Flexibility. SpectrAlert® multi - candela strobes and hom/ strobes offer the broadest range of candela options. In ad- dition, the selectable - candela strobes and horn /strobes can operate on either 12 or 24 volts with no adjustment required — the device recognizes and self- adjusts to the correct operating voltage automatically. Temporal 3 or con- tinuous tone options continue to be available, in either an electromechanical or 3 kHz pattern. Aesthetics. SpectrAlert® selectable- candela strobes and horn/strobes incorporate the same stylish, low profile de- sign of the conventional SpectrAlert® products, for a con- sistent and aesthetically pleasing appearance across the entire product line. FEATURES • Widest range of candela options: 12 V: 15 and 15/75 candela. 24 V: 15, 15/75, 30, 75, 110 candela. • Operates on either 12 V or 24 V. • Easy candela selection with side viewing window. • Lower current draw. • Field- selectable horn tones (horn only offered): — Electromechanical / 3 kHz. — Temporal 3 / Non - Temporal 3. — High/Low dBA output. • Easy DIP switch selection for hom options. • Easy mounting with QuickClickni. • Synchronizable with MDL Sync•CircuitTm module or equipment with SpectrAlert® Sync Protocol. • Meets UL 1971, NFPA 72, and ADA signaling require- LISTED S4011 S5512 S1224MC wISmall Footprint Mounting Plate (S-MP) P1224MC w/Universal Mounting Plate (D-MP) MEA 126 -02 -E 122 -02 -E • • ••• • • . ••••• • • • •• • • • • • • • • — • N OTI F I E R •• June 15,2004 • • 2)146941; JAR, SpectrAlert Selectable' A.utput :Strobes . and }lira /Strc1beS • • • • Section: Audi.44sual 4A • • • _ • . • • • • • ,; •r •. • • 'a " • ' • 71 5 C5549 • €i •71 C5548 Califomia \ State giro •. APPROVED VIEWING WINDOW eattdalwrf For strobe candela se- lection, adjust slide switch located on the H12/24 w/Unlversal Mounting Plate (D-MP) SpectrAlert ®, Sync•Circuit'M, and QuickClickn' are trademarks of System Sensor. NOT1FIER® is a Honeywell company. This document is not intended to be used for installation purposes. VVe try to keep our product information up- to-date and accurate. We cannot cover all specific applications or anticipate all requirements. All specifications are subject to change without notice. For more information, contact NOTIFIER. Phone: (203) 4847161 FAX: (203) 484-7118 0 NOTI FI E R 12 Clintonville Road, Northford, Connecticut 06472 ISO 9001 CERT1F1 B CINEON S 8 MANIFAC1IfIN6 QUALITY SYSTEMS DN -6941 • 06/15/04 — Page 1 of 3 Series Candela Setting FWR Operating DC Operating FWR Operating DC Operating Horn Audibility (dBA) 12V 24V 12V 24V 12V 24V 12V 24V 51224MC Strobes 15 112 64 127 59 ., 15/75 135 74 127 69 n .. 30 ;it - 93 ' - 'i : 90 .. r ' x a, 75 158 :. 160 '; 110 208 209 5 3 ° ? . P1224MC Hom/Strobes 15 112 64 127 59 45.7 57.5 44.4 57 75 15/75 135 74 127 69 45.7 57.5 44.4 57 75 30 . ! 93 „ - , 90 r F ' 57.5 ` x 57 75 75 158 160 s: ,,,T -,, ' 0 57.5 57 75 110 208 209 ti 57.5 , 57 75 H12/24 Horns , d ".- ..- P 1 z 45.7 57.5 44.4 57 75 • • ments • Indoor models: UL, ULC, FM, CSFM, MEA. Outdoor models: UL, CSFM (strobe only), MEA, ULC. • SPECIFICATIONS Walk test: SpectrAlert© horn /strobe and hom only work on "walk tests" with time durations of 4 seconds or greater. Input terminals: 12 to 18 AWG (3.25 mm to 0.51 mm Dimensions, strobe and hom/strobe with universal plate: 5" (12.7 cm) wide x 5.625" (14.288 cm) high x 2.938" (7.461 cm) deep; with small footprint plate: 3.375" (8.573 cm) wide x 5.625" (14.288 cm) high x 2.938" (7.461 cm) deep. Weight, strobe and hom /strobe: 8.8 oz. (250 g). Mounting: standard boxes 4" x 4" x 1.5" deep (10.16 x 10.16 x 3.81 cm) or 2"x4 "x1.875" deep (5.08 x 10.16 x 4.763 cm). Operating temperature, indoor: 32 °F to 120 °F (0 °C to 49 °C), outdoor: Weatherproof Horn/Strobe 32 °F to 150 °F (0 ° C to 66 °C), Strobe -40 °F to 158 °F ( -40 °C to 70 °C), ULC Canadian strobe model -40 °C to 66 °C. Maximum humidity: 95% as tested per UL 464. Voltages: 12 or 24 VDC and FWR unfiltered. Operating voltage range *:12V 8 - 17.5 V. 24V: 16 - 33 V. With Sync - Circuit"' module MDL *:12V: 9 - 17.5 V. 24V:17 - 33 V. See current draw tables on pages 3 and 4. *Note for Strobe: Do not exceed; 1)16 -33 or 8 -17.5 voltage range limit; 2) maximum number of 70 strobe lights when connecting the MDL Sync Module with a maximum line impedance of 4 ohms per loop and; 3) maximum line im- pedance as reqired by the fire alarm control manufacturer. U.S. Patent Numbers: 5,593,569. 5,914,665. 6,049,446. • ENGINEERING SPECIFICATIONS General - SpectrAiert® horns, strobes and horn/strobes shall be capable of mounting to a standard 4" x 4" x 1.5" (10.16 x 10.16 x 3.81 cm) backbox or a single -gang 2" x 4" x 1.875" (5.08 x 10.16 x 4.763 cm) backbox using the uni- versal mounting plate included with each SpectrAlerte prod- uct. Also, SpectrAlerte products, when used in conjunc- tion with the accessory Sync•Circuit Module, shall be powered from a non -coded power supply and shall oper- SpectrAlert Current Draw Page 2 of 3 - DN -6941 • 06/15/04 • • •e• • • • •�• • • • : .• • • • • • • ••• • • • • • ••• • • • • ate on 12 or 24 volts. 12 -volt rated devices shall have an operating voltage range de - 17.5 volts,24-vglt rated de- vices shall have an operaine vbaage rare of 17 -33 voltp. • • • SpectrAlert® products shall rave an indoor ooeiatifig :•. perature range of 32 °F to 1b F.(9 "C tq,4 °C rid operate • • from a regulated DC or full -wave rectified, unfiltered power • supply. Strobe - Strobe shall be p'3y4err �enso.6 eot'Alert® model Listed to VI. 167 and:b� *Owed 1c r fire protective service. The staobf: s iaD b 'itgd Qs a pn+ mary signaling notification 1 4plidricc and compiy.wiih 1i' Americans with Disabilities Act requirements for visible signaling appliances, flashing at 1 Hz over the strobe's entire operating voltage range. The strobe light shall con- sist of a xenon flash tube and associated lens/reflector sys- tem. Horn /Strobe Combination - Horn/strobe shall be a Sys- tem Sensor SpectrAlert® model Listed to UL 1971 and UL 464 and shall be approved for fire protective service. Horn/strobe shall be wired as a primary signaling notification appliance and comply with the Americans with Disabilities Act requirements for visible signaling appli- ances, flashing at 1 Hz over the strobe's entire operating voltage range. The strobe light shall consist of a xenon flash tube and associated lens/reflector system. The hom shall have two tone options, two audibility options (at 24 volts) and the option to switch between a temporal 3 pat- tern and a non - temporal continuous pattern. Strobes shall be powered independently of the sounder with the removal of factory- installed jumper wires. The hom on horn/strobe models shall operate on a coded or non -coded power supply (the strobe must be powered continuously). Synchronization Module - Module shall be a System Sensor Sync•CircuitTM model Listed to UL 464 and shall be approved for fire protective service. The mod- ule shall synchronize SpectrAlert® strobes at 1 Hz and horns at temporal 3. Also, the module shall silence the horns on horn/strobe models, while operating the strobes, over a single pair of wires. The module shall be capable of mounting to a 4.688" (11.906 cm) square x 2.125" (5.398 cm) deep backbox and shall control two Style Y (Class B) or one Style Z (Class A) circuit. Module shall be capable of multiple zone synchronization by daisy- chaining multiple modules together and resynchronizing each other along the chain. The module shall NOT operate on a coded power supply. Horn /Strobes, Strobes and Horns Accessories Model Description Model •••• •� • • Desteptibn; • • . . • - „ P1224MC Selectable Output Horn/Strobe, 12/24 volt, red MDL Synd•Prcisitl 1odule, : : • • • • P1224MCW /Sttobe,, 12/24 lt, white, Selectable vo MDLW Sync•Circuit Module, white • P1224MCP Selectable Output Hom/Strobe, 12/24 volt, red, plain housing MDLA • Sync•Cicpuit Module,red;Canatii'afl rtldtiel Sync•Cirr ut, ih flat • 'Canadian ' • model'' • • • • • :•• • • • P1224MCPW Selectable Output Hom/Strobe, 12/24 wit, white, plain housing MDLWA P1224MCK Selectable Output Hom/Strobe, 12/24 volt, red, weatherproof S-MP Small Footprint Mounting Plate, red, for single-gang back box P1224MCSP Selectable Output Hom/Strobe, 12/24 volt, red, °FUEGO" housing S-MPW Small Footprint Mounting Plate, white, for singlegang back box S1224MC Selectable Output Strobe, 12/24 volt, red BBS Surface Mount Back Box Skirt, red Selectable Output Strobe, 12/24 voltvott fi elted BBSW Surface Mount Back Box Skirt, white S1224MCW S1224MCP Selectable Output Strobe, 12/24 volt, red, plain housing D-MP Universal Mounting Plate (replacement), red S1224MCPW Selectable Output Strobe, 12/24 volt, white, plain housing D-MPW Universal Mounting Plate (replacement), white Selectable_Output_Strobe, 12/24 wlt,_red, weatherproof --- c WBB Weatherproof Back Box 1 S1224MCK _) S1224MCSP Selectable OutpuvStrobe, 12/24 volt, red, "FUEGO" housing 3 z t r ^z H12/24 Hom, 12/24 volt, red ' s' H12/24W Hom, 12/24 volt, white �c • • • • SpectrAlert Ordering Information Notes Agency Listings — Indoor models: UL, ULC, FM, CSFM, MEA. Weatherproof models: UL, CSFM (strobe only), MEA, ULC. All of these SpectrAlert products are designed for wall mount only. All weatherproof models must use weatherproof back box model WBB. Installation of less than 75 candela strobes may be permissible under the equivalent facilitation clause of the ADAAG (Sec. 2.2). However, it is the responsibility of the person or entity designing the fire alarm system to determine the acceptability of less than 75 candela strobes. All 15/75 candela strobes or hom/ strobes are recommended for 20' x 20' rooms or less. Weal lana9herpegrrf month* with irkmasai plats Wita 1 --,.. --,, .i — \ ti—G r L— F A N Lt r Una Fl7 Pzm sit Screw Et Mg) LocKilg • • ••• • • •• •• • • • • .•• • •• • • • • • • • • • • • • • • ••• • • • • • ••• • • • • • rat a e$rm Tm9s nITFQ H.; ialNng40 with %•nton 'Y !.& I'*: : 3W, H3 PntIrku -e; 3£+> Nr IAIEff1.01 !. Nth VO4 rg F.fk•OrOYrW43 {S, DIP Switch pp,rrNm Sri 3 4V Hr tneirStrog s erf gst.. fk: k7 o'Si ?stet DN -6941 • 06/15/04 — Page 3 of 3 FIRE DEPARTMENT ' WILL RESPON TO ALARM SIGNALS UNLESS TELEPHONE Nib • SAMPLE PLACARD (305) 662 -2734 IS CALLED BEFORE TESTS OF THIS SYSTEM ARE MADE ALARM SERVICE BY: Code Plus Systems, Inc TELEPHONE NUMBER: (305) 662 -2734 SUPERVISING (CENTRAL) STATION: National Monitoring Center TELEPHONE NUMBER: CENTRAL STATION SERVICE PLACARD This fire protection signaling system installation, all equipment and wiring plus the maintenance, testing and supervision thereof are in accordance with the central station Approval requirements of FM Approval Standard No. 3011. PLACARD IDENTIFICATION: L502602 EXPIRATION DATE: 01/01/09 PRIME CONTRACTOR: 1- 800 - 662 -1711 ode Plus Systems Inc FORE ALARM CONTRACTORS 6765 SW 81st Street Miami Florida 33143 Ph 305-662-2734 - Fax 305 -662 -3718 VIOTWOER FACTORY DDSTRIBUTO • .. •. • • .. • • • . ••• • ... ••• ••• • APPROVED ff7' .. ... • .. • • • • • • • • • • • L_ PE, _NOB JA 2CC6 Los- - 73 • • • • • • Placard Registration Request & Fire Alarm System Data Sheet CODE PLUS SYSTEMS PETER HORDERN Name Name (Type or Printed) 6765 SW 81st STREET Address Signature MIAMI, FL 33143 City, ST Zip MIAMI SHORES PREBYTERIAN CHURCH Facility Name (Typed or Printed) 902 N.E 96 STREET Address MIAMI SHORES, FL City, ST Zip FM Approvals - Placard Registration Office 1151 Boston - Providence Turnpike Norwood, MA 02062 12 -15 -05 Date SAM FRUTLAND Signature Date • .. • •.. •• •• • • • • • •• • • • • • • • • • • • • • • • .... Prime Contractor Authorized Representative of Prime contractor IiThis is a New Placard Registration. 0 This is a Renewal of an Existing Placarded Registration. Protected Property Authorized Representative of Protected Property Oitiat io •1• • • •• •• - - • • • • • Instructions: Upon receipt of the Properly executed Placard Registration Request with: topy.o the aattal ializt¢• • • • Placaard,Copy of the FM Approval Certificate from the prime contracting company and Copy of the Manufacturers Specification Sheets for the Fire Alarm system or components covered by the Placard, FM Approvals will begin the process of adding the Protected Property described herein to our data base of Registered Placards. The priume natrtacttr coatrr1s'and' • bears all responsibility associated with each Placard. • Registering Central Station Company or Local Installer - The Registering prime contractor acknowledges that the Fire Alarm System as described within this application will be installed and maintained in accordance with FM Approvals Standard 3011 requirements. Note - The Expiration Date of this Placard Registration is shown on the accompanying Central Station Company Certificate. LIMITATION OF LIABILITY - FM Approvals makes no guarantees or warranties, expressed or implied, that the Alarm System as installed will prevent loss by smoke, fire, water damage or otherwise. By signing this Registration Request, the applicant is agreeing to have this system be part of the FM Approvals Central Station follow -up audit program and indicated publicly. FM Approvals conducts inspections of the Registering Central Station or Local Company and sample installations made by it. FM Approvals does not assume, undertake or discharge any liability of the Central Station Company Registering the Placard. FM Approvals does not insure or accept any responsibility and assumes no liability which may result directly or indirectly from inspection of the equipment, failure of the equipment, failure to conduct inspections, incorrect Placarding, nonconformity or failure to discover nonconformity pertaining to requirements or expectations. The undersigned as an authorized representative of the installation or Protected Property named herein, acknowledges he/she has read and agrees on behalf of the Protected Property to the terms and conditions of this request. Page 1 of 5 (Rev. 3/2003) Placard Registration Request & Fire Alarm System Data Sheet 1 - FM Approved Monitoring Company and Location. NATIONAL MONITORING CENTER DAWN ADAMS Company Name Contact Name 26800 ALISO VIEJO PKWY SUITE 250 Address ALISO VIEJO, CA 92656 City, ST Zip FACP Communication to Central Supervising Station is via; Type Description ( mfg/model info) McCulloh ❑ Dual line UDACT NOTIFIER UDACT Derived Channel ❑ Multiplex ❑ 2 -Way Radio ❑ 1- Way Private Radio ❑ Central Supervising Station Re- Transmission to Fire Department is via; Code Transmitter ❑ Direct Telephone Line ❑ Public Telephone Network te Private Network ❑ 911 Call Center ❑ Cellular ❑ Fire Department to be Notified MIAMI DADE FIRE DEPARTMENT Fire Department 5680 SW 87 AVENUE Address MIAMI, FL City, ST Zip 2 - Fire Alarm Control Information Description NOTIFIER NFS -640 (Mfg/Model) 1 -SLC 6 AMP POWER SUPPLY 2 LINE DACT FM Approvals - Placard Registration Office 1151 Boston - Providence Turnpike Norwood, MA 02062 COMMUNICATIONS Contact Name • .• • , . .. •• .. • • • .. .. . • • :... • ..•. • •. . •. • • • •... • • Page 2 of 5 (Rev. 3/2003) • • • •• • .. • •. •.• • • ••.. • . . • • .. .•• . . • • . • • • • • . .. . • 1: Placard Registration Request & Fire Alarm System Data Sheet Note - Any deviations in equipment must be explained in comments section° ° O O° ^�. 0 ° 0 n 0 0 0 _ ° . O . . et) - 0 ° ezeo 3 - Automatic Detection 0 0 0 0 0 00 000 00 zeooeoe ° iTotal - All areas, rooms or spaces are protected in accordance with NFPA 72 = ` ° : ' ' ' ' ° ° ° o Selected Areas Only - Same as above but only provided for specified area(sj asddescr:bed in comments section o Partial - Protected area is provided with some detection coverage, but less than required in NFPA 72. More information is provided in the comments section. Fill in the device counts covered by this Placard below. Type Qty Description (mfg/model info) Smoke Detectors 31 NOTIFIER FSP -851 PHOTO SMOKE Duct Detectors 2 NOTIFIER FSD -751P PHOTO DUCT Heat Detectors 0 Flame Detectors 0 Other 0 Note - Any deviations in protected area coverage serviced by detection devices must be explained in comments sections. 4 - Sprinkler System and Supervisory Device Operation ❑ Wet Pipe System ❑ Dry Pipe System Type of Device Qty Description ( mfg/model info) Waterflow Sprinkler Supv. Water Pressure Water Temp. Water Level Air Pressure Fire Pump Power Fire Pump Running Other Note - If sprinkler waterflow and supervision is not provided on any installed sprinkler system, it must be explain in comments section. FM Approvals - Placard Registration Office 1151 Boston - Providence Turnpike Norwood, MA 02062 0 000 0 p !0 0* 0 ; .0 0 et... 000 f th is 0 00 00 0 o O Page 3 of 5 (Rev. 3/2003) • • Placard Registration Request & Fire Alarm System Data Sheet 5 - Manual Fire Alarm and Guards Tour Supervisory Service Type of Device Qty Manual Stations 4 Guard Tour Stations Other Note - Any deviations in protected area coverage serviced by manual alarm stations must be explained in comments sections. 6 - Fire Alarm Notification Devices General Alarm System Type of Device Bells Horns Visual AJV Combination Other QtY 0 1 8 23 2 7 - Emergency Voice Alarm Service Type of Device Qty Voice/Alarm Channels Speaker Zones Speakers Fire Fighter Phones Phone Jacks Other FM Approvals - Placard Registration Office 1151 Boston - Providence Turnpike Norwood, MA 02062 . . .. ... .. Description ( mfg/model info) .. . . .. . . • • . NOTIFIER NGB 12LX INDOOR §Y413114 • • •. ' •• .• • • • ••• .. o Zoned or Selective Alarm Notification Description (mfg/model info) Description ( mfg/model info) • thltifitia Is • • ...• •. • •. • • •.. Page 4 of 5 (Rev. 3/2003) • •. • • • • • • • • •. ..• • NOTIFIER H12/24W INDOOR HORN ONLY NOTIFIER S1224MCW INDOOR STROBES NOTIFIER P 1224MCW INDOOR HORN STROBES NOTIFIER P 1224MCK OUTDOOR HORN STROBES • . . • • • • • • •••. Note - Any deviations in protected area coverage serviced by Notification appliances must be explained in comments sections. Note - Any deviations in protected area coverage serviced by Notification appliances must be explained in comments sections. • Placard Registration Request & Fire Alarm System Data Sheet Provided by CODE PLUS SYTEMS Company Name 6765 SW 81st STREET Address MIAMI, FL 33143 City, ST Zip Contact Name Note - Any deviations in response time must be explained in comments sections. Provided by CODE PLUS SYTEMS Company Name 6765 SW 81st STREET Address MIAMI, FL 33143 City, ST Zip Contact Name 10 - Comments/Deviations From Referenced Standards NONE, SEE ATTACHED SERVICE AGREEMENT FM Approvals - Placard Registration Office 1151 Boston - Providence Turnpike Norwood, MA 02062 PETER HORDERN PETER HORDERN • (Attach Additional Sheets if required) - • • • • • • •• .• . . • • • • • •. . . • FMAD ova Is .• • • .• • • • • • Note - Any deviations in system test & inspection must be explained in comments sections. Page 5 of 5 (Rev. 3/2003) • • • • • • .. • • . •. . - • • • •. •... 8 - System Maintenance and Runner Service - As indicated in this dodunfdrit, tl14 ¶ ire • • • Signaling System and components are maintained in compliance with FM Approval Standard 3011. Service area within 4 -hrs and equipment requiring manual Alarm reset within } �ir. • • • • • • ••• • • • • • • • ••• •• • 9 - System Test & Inspection - As indicated in this document, the Fire Alarm Signaling System and components are Tested and Inspected in compliance with FM Approval Standard 3011. .... • _ _• *• •• •• •• • •. • •• • • • • • • • . • • • • ••• A?PHQVED FM Approvals •) An FM-Gi U. a I Enicrprise Certificate of Compliance This is to certify that the central station service company indicated below is listed in the Approval Guide, a publication of FM Approvals, as eligible to use the <FM> Approval mark in conjunction with protected property installations it has Placarded as being in compliance with the equipment and service requirements of FM Approval Standard 3011 CENTRAL STATION SERVICE FOR FIRE ALARMS AND PROTECTIVE EQUIPMENT SUPERVISION. CENTRAL STATION SERVICE - The installation, testing and maintenance of signaling systems wherein fire alarm and related supervisory, trouble and test signals are initiated at a subscribing property and monitored at a constantly attended central station where properly trained personnel take prescribed action on those signals including retransmission of the signals, dispatch of runners to the protected property and appropriate record keeping. FM Approved central station service is required to be provided under a single contract. + This central station service company was examined and Approved in accordance with FM Approval Standard 3011 (Effective Date April 1999) for the following category: . ( ) CENTRAL STATION COMPANY (COMPLETE SERVICE). Capable of providing all aspects of central station service as described above. (X) CENTRAL STATION COMPANY (MONITORING ONLY) - Capable of providing only monitoring, retransmission, dispatch and record keeping aspects as described above. All other aspects of central station service must be subcontracted to an FM Approved CENTRAL STATION COMPANY (COMPLETE SERVICE) or an FM Approved FIRE ALARM SERVICE — LOCAL COMPANY. . ( ) FIRE ALARM SERVICE - LOCAL COMPANY - Capable of providing only installation, testing, maintenance and runner service aspects as described above. All other aspects of central station service must be subcontracted to an FM Approved CENTRAL STATION COMPANY (COMPLETE SERVICE) or an FM Approved' CENTRAL STATION COMPANY (MONITORING ONLY). Company:1 Advanced Protection Industries. dba National Monitoring Center ' 26800 Aliso Viejo Parkway , Suite 250 Aliso Viejo, CA 926561 THIS CERTIFICATE EXPIRES ON 12/31/2006 Continued Approval requires a satisfactory re- examination prior to the date shown above. For more than 160 years Factory Mutual has partnered with business and industry to reduce property losses. Ili• ni.r E 'ne ring . eciali t Project ID# 3014134 Issued April 10, 2003 Service Center(s): Advanced Protection Industries dba National Monitoring Center 26800 Aliso Viejo Parkway, Suite 250 Aliso Viejo, CA 92656 FM Approvals CSCert. 6/02 S$96 (9A2) . :. . aRPRE}VED f M Rpprouals • An a I Enterprise . This is to certify that the central station service company indicated below is listed in the Approval Guide, a publication of FM Approvals, as eligible to use the <FM> Approval mark in conjunction with protected property installations it has Placarded as being in compliance with the equipment and service requirements of FM Approval Standard 3011 CENTRAL STATION ' SERVICE FOR FIRE ALARMS AND PROTECTIVE EQUIPMENT SUPERVISION. CENTRAL STATION SERVICE - The installation, testing and maintenance of signaling systems wherein fire alarm and related supervisory, trouble and test signals are initiated at a subscribing property and monitored at a constantly attended 4 central station where properly trained personnel take prescribed action on those signals including retransmission of the ' signals, dispatch of runners to the protected property and appropriate record keeping. FM Approved central station service is eeq uired to be provided under a single contract. This central station service company was examined and Approved in accordance with FM Approval Standard 3011 (Effective Date April 1999) for the following category: Certificate of Compliance CENTRAL STATION COMPANY (COMPLETE SERVICE) Capable of providing all aspects of central station service as described above. )- CENTRAL STATION COMPANY (MONITORING ONLY) - Capable of providing only monitoring, retransmission, dispatch and record keeping aspects as described above. All other aspects of central station service must be subcontracted to an FM Approved CENTRAL STATION COMPANY (COMPLETE SERVICE) or an FM Approved FIRE ALARM SERVICE - LOCAL COMPANY. (X) FIRE ALARM SERVICE - LOCAL COMPANY - Capable of providing only installation, testing, maintenance and runner service aspects as described above. All other aspects of central station service must be subcontracted to an FM Approved CENTRAL STATION COMPANY (COMPLETE SERVICE) or an FM Approved CENTRAL STATION COMPANY (MONITORING ONLY). Com pan Code Plus Systems, Inc 6765 SW 81' Street 'Miami,_F_L_3.3143 Service Center(s) Same Project ID# 3024943 Issued November 11, 2005 THIS CERTIFICATE EXPIRES ON 12/31/2006 Continued Approval requires a satisfactory re- examination prior to the date shown above. For more than 160 years FM Approvals has partnered with business and industry to reduce property losses. ilk W. Elliott, Senior Engineering Specialist • . FM Approvals CSCert. 1 /03 S596 (9/02) • • Services Provided: Service Rates: Page 1 of 2 • • • • • ode Plus Systems Inc • • � ........ FORE ALA M COO TE ACCTOrS TO: Sam Frutland, Senior Pastor FROM: Monica Bucy, Vice - President DATE: December 13, 2005 SUBJECT: Service agreement for the new fire alarm system FM APPROVED CENTRAL STATION SERVICE FIRE ALARM SERVICE AGREEMENT • • • •• •••• • • • • • • • • • • • • • • • • o • .... ... • . • ... • • • 6765 SW 81st Street Miami Florida 33143 Ph 305 - 662 -2734 - Fax 305 -662 - 3718" • • • ' • ••• • • GflOT F ER FACTORY ['>SSTRO UTOQ ; •• • • • • • ••• •• In compliance with the Miami -Dade Fire Departments enforcement of Central Station Service, Code Plus Systems will provide the following mandatory fire alarm system services. 1. Provide 3-year contract for Central Station Service with FM approved placard. • 2. Provide 1 technician to respond to the building within 2 hours for a fire alarm signal. 3. Provide 1 technician to respond to the building within 2 hours for a supervisory signal. 4. Provide 1 technician to respond to the building within 4 hours for a trouble signal. 5. Perform the following required inspections; testing, and maintenance as per national fire alarm code NFPA 72, table 10.4.3. A. Annual inspection and testing of control equipment and components. B. Quarterly inspection and testing of supervisory signal devices. 6. Provide 1 annual test and inspection at the end of the 3 -year monitoring contract. 1. One technician between the hours of 7:OOAM to 3:30PM, Monday thru Friday. $85.00/hr 3/hr minimum. 2. One technician between the hours of 3:30PM to 7:OOAM, Monday thru Friday, weekends and holidays. $125.00/hr 4 /hr minimum. 3. The fee to perform the required system tests, inspections and certification is $250.00 per quarter. The inspections will be performed between he hours of 7:OOAM and 3:30PM, Monday thru Friday. • Response Terms and Conditions: • •• 1. Any call received from the Central Station, building manager, buildin teard th6 firs department will be responded to by Code Plus Systems and will b8 Jillle i.as im thg•rates • • • outlined above. 2. When after hours access is required to the facility, the building owne ogr Eepresentative must provide access to the facility within the 2 -hour time limit mandated b, JVFPA T2 �8,�� Central Station Service. • • • •• • • Contract Terms and Conditions: 1. The building owner or representative must renew this contract every 3 years. 2. Payment for any services performed at the facility must be received at our office within 30 days after work has been completed. 3. The building owner or representative must verbally approve any emergency repairs that exceed the 3 -hour minimum time charge. 4. Any non -emergency repairs that exceed the 3 -hour minimum time charge will be presented to the building owner or representative via proposal that must be approved and signed prior to the commencement of repairs. 5. All rates outlined above do not include parts or equipment. All parts and equipment will be billed in addition to the service rates. 6. Any devices or equipment found to be non - functional during the 3 -year contract will be replaced at additional cost after the 1 -year warranty has expired. 7. The facility owner may terminate this contract at any time. The termination must be given in writing, received certified mail at our office with 30-day advance notice. Warranty: • • ••• • • • •• • .• • • • •• •• • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • •• • • • • • •• 1. Code Plus Systems will provide a 1 -year warranty for all fire alarm equipment used for the installation of the new fire alarm system. The warranty expires 1 year after the equipment has been installed. Customer: Date: Owner or Representative Customer. Print Name Prepared by: Monica Bucy Vice- President Date: 12/13/05 Page 2 of 2 End of Contract 2 Fire De • artment • • • lication # YES ■ NO U •• N/A ••• • • • LOCATION/COMMENTS 3 Project Name: M IHM ! SN O R ES P R�5 6y , 1 fHl� ✓ I ...• . • • ••• ••• •• •••• 4 r� Address: 3 O oC NE 96 TH S T E ET /H/YI / S/ V / /lqG - V • • • • • • • • • •' '. • 5 A copy of the contract is provided or an af from the owner showing the total cost o the equipment and installation. Cost ; `/ � ©. EC UIP h1C NT pNl �/ , / •---•----•—• • • • • • 6 Systems costing more than ;5 are sealed or a b a Fla Re En `1// I 7 A copy of alarm ualifier's license is attached EC EF HEY # EC 1300 i 1 3 $ V s This fire alarm: is required under - . (fill in the code or indicate if it is a life safety equivalency) or is not required b an code or authori / y ., J V s For non - required systems or components, a statement is included Indicating which code or AHJ (See def. AHJ in NFPA 72) is requiring the system or component and the • arameters of the requirement. 10 A copy of the Notice of Violation from Miami -Dade County Fire Rescue, or a Copy of the relevant sections of the approved Life Safet Plan is attached 11 A complete statement of the scope of work is stated on the plan. 12 -f The total number of devices and com •onents bein installed is 13 A description o e • ui ding an • or section o the bu • ing is provided including, fire suppression systems, number of stories, square footage, and elevation of the Iasi occupied floor if over 5 stories. 14 A location key is provided showing the area of proposed work within the building. Ail devices in areas in which the voltage, temperature, and humidity variations exceed those conditions stated in NFPA 72, are listed for conditions and all such areas are identified. 16 A specific sequence of operation including all alarm, trouble, supervisory and control functions such as fire suppression, door release, smoke control, etc., are specified on the • Ian. 17 A s • cification of sower- limited or non sower limited is i ciuded o th •l an. ■ 18 Emergency forces notification or sprinkler supervision 7 is required or _ is provided, but is not re • uired. , / ■■ �• 19 Off -site monitorin a is •rovided is not •rovided. , V / ■■ 20 The method of communication to the monitoring station is included on the plan. V V 21 Complete specifications sheets are provided for all devices, control units, and components. ✓ 22 Manufacturer's documentation of device com • • tibilit has been • rovided. ,/ 23 Each device and component model number is specified in the symbol legend. Each item listed in le a end shall have a corres • ondin a uni • ue s mbol. / V ■■ _ 24 Floor plans are drawn to 1/8" scale or, if using another scale, all device coverage is diagramed on the plan and all room dimefisions are included. / V 25 indicated Each device, appliance and component is identified with it's own unique number and on the floor •Ian and riser? V 26 All new existin t re • laced or relocated devices are indicated on the floor • lan. V ■■ ' 27 All rooms & spaces are labeled indicating their use and the occupant load has been • rovided for all assembl use rooms with an occu •ant load of 50 or a reater.. ■■ 28 Ceilin • condition and hei a ht is • rovided for all ceilin: mounted devices. , v / ■■ 29 labeled. A riser diagram is provided showing each floor and building with all zones and circuits v 30 The wire size •e and number of conductors is •rovided for each circuit. The FACP or remote annunciator is located near the main entrance /lobby when required. Process # F /Apresubmittal Rev.03 /16/05 MIAMI SHORES MIAMI DADE FIRE RESCUE FIRE ALARM PRE-SUBMITTAL CHECKLIST Designer to fill in and answer all items and provide location/comments as appropriate. • • ••. • • • ••• •• • • • • • •• •• • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • •• • • • • • •• • • • - • • • • •• • • • :: f , , it r : • Page 1 32 • • • • • • • • • • • - • • • • • • • • YES NO N/A 33 The FACP and all sub .anels in unoccu . ied rooms are • rotected with a smoke detector. 34 If a complete aut omati callya cjivitpd system, there is at least 1 pull station each floor or 2 for lie bLflaines: • • • • • , / V 35 If a manually pcti e s st n the travel distance to reach a pull station is less than 200' and wear all mitt • • • • ' ... V 3s All autbihaiiL initiating devices are shown and are located in accord with NFPA 72, the manufacturer's specifications, and accepted engineering practices. V / Y 37 All visible devices are placed per the tables in NFPA 72 and each strobe has it's candela rating listed on the floor and riser. 38 All corridor spaced strobes are placed a maximum of 100' apart and within 15' from ends of the corridor. , V 39 All spaces meet the audible characteristics of NFPA 72 and NFPA 101. V 4o Walls, partition, racks, shelves and equipment which may block devices are shown with their height indicated. 41 Duct detectors or relays for duct detectors are shown on the floor plan and riser for all systems over 2000 cfm. 42 The fire pump is monitored for run, phase reversal & phase Toss to a continuously manned location, or the supervised fire alarm system. 4a Elevator recall is connected to the fire alarm.system. 44 All interconnected fire alarm control panels are arranged to function as a single system and monitored for integrity per NFPA 72. V 45 All relays for automatic extinguishing systems are shown on the floor plan and riser. (hood, sprinkler, FM200, etc.) (YIVSPK SlivroF/C 46 The class and/or style is shown for all initiating device circuits, signal line circuits and notification appliance circuits. 47 The maximum number of each device type is provided for each IDC or each SLC, based on class and style, per NFPA 72 and the manufacturer's specifications. v 4a The power supply model number and capacity is specified for each power supply in each fire alarm control panel. V 49 The total device Toad, Including voltage drop calculations, are provided for each notification appliance circuit for each power supply. 5o The wattage tap is indicated for all speakers. ./ 51 The wattage capacity and Toad is provided for each amplifier. 52 All Toad and draw calculations correlate with the provided spec sheets and the device draw or available power is highlighted on the specification sheets. 53 This system is a Local Fire Alarm System or a Proprietary Supervising Station Fire Alarm S stem and is stated as such on the • Ian. 24 hours seconda • ower / V 54 This system will be certificated as a Central Station Fire Alarm System and is stated as such on the plans. (24 hours secondary power) / V 55 This system is a Remote Supervising Station Fire Alarm System as stated on the plan and will be provided with 24 hours of secondary power supply. J 56 This system Includes Emergency Voice Evacuation and Is provided with 15 minutes of secondary alarm power. This system Is being provided back up power by an emergency generator and will provide 4 hours of standby power plus the appropriate secondary alarm power. ii 57 56 Battery calculations, detailed in chart form, are provided for each back -up power supply. V 59 se Designed b_y : CODEPWS S.'s7- e- mS -ZN'e Phone # 305 - 5025' 9333 Signature: A / de/14a 61 62 Instructions 63 clarification are available on request. Refer to the instructions for a line by line of the above items. •• ••• • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • F /Apresubmittal Rev.03/16 /05 • • • • MIAMI DADE FIRE RESCUE FIRE ALARM PRE-SUBMITTAL CHECKLIST Designer to fill in and answer all items and provide location/comments as appropriate. Page 2 • • To: Sure Electrical Contractors Attention: Robert Date: August 5, 2005 ode Plus Systems I .... .O • • . • .. • • • • • FORTE ALARM CONTRACTOR • • • • • • • • • • • 6765 SW 81st Street Miami Florida 331 Ph 305- 662 -2734 --- Fax 305- 662 -3718 EDWARDS SYSTEMS TECHNOLOGY DISTRIPUTQR• •• NOTIFIER DISTRIBUTOR .. •• • • • ••: PROPOSAL No. 05 -217 Project: Miami Shores Presbyterian Church Location: Miami Shores PG: 1 of 2 Code Plus Systems will provide the following Notifier fire alarm equipment and services as per your faxed quantities and notes. 1 - Addressable FACP with standby batteries 1 - UDACT dialer (required for educational facility, Life Safety Code 101 14.3.4.3.2 {2003 }) 22 - Smoke detectors 4 - Pull stations 1 - Duct smoke detector with sample tube and remote test station 1 - Monitor module 13 - Wall mounted strobe lights with adjustable candela 18 - Wall mounted horn strobes with adjustable candela 6 Sets of engineer sealed permit plans 4 Sets of equipment submittals Installation assistance, trip to job site, assistance by phone Final connection at panels, system programming, test and certification Fire alarm log book with NFPA certificate of completion One inspection with the fire department The cost for the equipment and services as outlined above is $9,500.00 plus tax. This proposal shall be subject to the Comments, Terms and Conditions on the attached following page(s). ••• •. • • Customer: Prepared by: 3059715978 SURE ELECTRICAL PAGE 02 , +1{306)662 -3718 To: Fria +1(306)07 ? -6070 Rage 2 of 2 Mona•y, /W �a 38, C'136.16°80 AM • ••• • • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • • • CODE PLUS SYSTEMS INC, COMMENTS, TERM - AND CONDITIONS ••• • • • • • "' 1. Any additional devices not included in our equipment list required included in this proposal. 2 Surface mount back boxes or device protective covers are not inci 3 Plans processing, plena review, installation permit and electrical in Included in this proposal. 4. Sure Electrical is responsible to proviee the complete installation o includes conduit, boxes, wire and fire alarm devices /equipment as free of grounds and shorts on the system wiring. 5 Sure Electrical w.11 provide Code Plus with a complete set of plans, AutoCAD file containing all floor plans In addition, you must have by the architect or engineer of record. 6. The customer must provide 2 BellSouth phone lines to the FACP f annual monitoring fee is $300.00 plus tax. Monitoring fees are not lines must be working 1 week beto'e the fire department inspectio 7 Installation hours are 7:00AM — 3:30PM, M — F. 8. Payment schedule: 10% down payment to prepare engineered p' equipment, 40% payment before equipment is delivered to jobsite, after system. is ready for test with the fire department 9. Fire alarm plans preparation takes approximately 4 weeks. 10. Equipment pricing and availability is valid for 30 days. P.0 // 33 4 , tU iiy,. Date: Authorized Purchaser Peter Hoiden Date: PAGE 2 OF 2 Miami Shores Presoyter,an Churon • • • the fire depa trrient&re wt'; • • • • • • • • • ••0 ••• C in this proposal. pections for the fie ala rr re eot • • o • • • • • • • • • • • • • • • the fire alarm system, whieh •' • • r our plans and specifications pec,fications and a copy of the ur plans rubbar stamped *reviewed" r monitoring, Code Plus Systems' included in this proposal. Phone is calved. s. 40% payment to order 10% remainder due within 30 days 1111311/1NTS m. ■III R 08/05/05 • • • • • • • • • • • ••• • • • • • • • • • • • ••• •• • • • • • • • • • •• • • • • ••. • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • • • • • • • •.• • • • • • • • • • • • • • •.• • • • • .•• • 0 • • . •• • • •0 •• • • • • • • • • • • • • • • • • • • • • • • • 0 • • • • • • • • ••• ••• • • • •• • • • •• ••• •• • • • • •• • • • • • ••• •• " ' - NTRACTOR p _; TORS, INC. • a" . IS CERTIFIED under the 1 provieions of Ch. 489 TS. s:piration Oat.: AUG 31, 2006 L04062700033 • • • • !Inspection :Number: INSP - 5 ! Inspection Date: 01/20/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES Doeeov-rcril A wl Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Thursday, January 19, 2006 Inspection Worksheet Miami Shores Village 10050 N. a 2nd Avenue Miami Shores, FL Phon - 305)795 -2204 Fax: (305)756 -8972 PermittNumber: ELC -12 -05 -373 Permit Type: Electrical - Commercial Inspection Type: Fire Alarm Work Classification: Addition /Alteration Block: Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305- 971 -0570 Page 2 of 2 (_ 1 > - > -/W Passed Inspector Comments ,, ,z7 /�G�n� gi-/ Z7 ri Y i i' 97 Iliv'eZ 1 Ae i°_ A-A .% ' • l - l 9, z j L`°m $ - u STIL � ST /� ,61GL // " ‘,--' "" L wfr'1 L d %coA f r it , , / g -° - .1.2`Q` <o W'6'` A ey TP ,P ia- tvs owe Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. � I V IPA �� ,� > o ", 6 until !Inspection :Number: INSP - 5 ! Inspection Date: 01/20/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES Doeeov-rcril A wl Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Thursday, January 19, 2006 Inspection Worksheet Miami Shores Village 10050 N. a 2nd Avenue Miami Shores, FL Phon - 305)795 -2204 Fax: (305)756 -8972 PermittNumber: ELC -12 -05 -373 Permit Type: Electrical - Commercial Inspection Type: Fire Alarm Work Classification: Addition /Alteration Block: Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305- 971 -0570 Page 2 of 2 PARTIAL FINAL a id) w-fe ,Kly to).- Passed Inspector Comm . Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Num er:i =5961 PermitiNumber: °ELC -12.05 -373 Inspection Date: 04/03/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES O 1.1 Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Friday, March 31, 2006 Inspection Worksheet Miami Shores Village 10050 N.E 2nd Avenue Miami Shores, FL Phone. < 05)795 -2204 Fax: (305)756 -8972 2i14-1410 Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 1 of 2 ELC -12 -05 -373 Project: <NONE> Owner: MIAMI SHORES PRESBYTERIAN CHURCH Phone: (305)754 -9541 Job Address: 602 96 Street NE Scheduled Insp # Inspection Type 01/2012006 INSP -5959 Fire Alarm Partially Approved Michael Devaney 112012006 PARTIAL 10TH AND 2ND FLOOR STORY STRABE BOX AND STUB ONLY. ALL AREAS WHERE DRYWALL CELING ARE INSTALLED NEED TO HAVE RACE WAY TO AN ENCLOSABLE AREA. 0212712006 INSP -10484 Rough Denied/Re-Inspection Michael Devaney 2/28/2006 ROUGH FOR FIRE ALARM I STOPPED BY ON FEB 27,28 THE BUILDING WAS LOCKED UP. I LEFT A CARD ON FEB 27 AND RED TAG WITH THE TILE PERSON WHO WAS OUSIDE ON FEB 28 03/01/2006 INSP -10811 Rough Partially Approved Michael Devaney 3/1/2006 FA CEILING ROUGH HALWAY ONLY NOT WIRE IN CONDUIT 04/03/2006 INSP -5961 Final Pending Inspection Michael Devaney Not Complete PARTIAL FINAL Friday, March 31, 2006 Inspection History Miami Shores Village 4050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 .144) . Phone: (305)795 -2204 Fax: (305)756 -8972 'wt t Miami Shores Village, FL Parcel: 1132060141410 Block: Lot: Inspection Status Inspector Date Completed • Electrical - Commercial Page 1 of 1 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) /lj C■ m S p r �tsh y � hon # S Y — 9 3o r) r_ 6 a Z ,v' E 9:6 5 •Y t /- Owner's Address City , Mi Ohl i Job Address (where the work is being done) State Certificate or Registration No. E ! 3OO 11 3 D $ Value of Work For this Permit /2 / g U U Scanning $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) 5 bG frS State SOS, I Miami Shores Village Building Department C 10050 N.E.2nd Avenue s, Florida 33138 Te 756.8972 F-t; av Zip Tenant/Lessee Name ,.✓ /A- Phone # /y, 6 a 2 4 /5 ff Permit No _.L - 31 Master Permit No. ,3 ? G y -1 y /0 331 g City Miami Shores Villa :e County Miami -Dade Zip ), 3 (3 Is Building Historically Designated YES NO 5v - c efeCrel ca Contractor's Company Name (on 1 p aL fO ✓I C . Phone # ( S) 9 7/- 0 S70 Contractor's Address /85 3 S, w,, /04' ,4 '<- A-4/E City " Qm/ State �L- Qualifier R o ber-to f c v'- S rl f v !ie- z cc11. i80 - zip 3 3 /52 Certificate of Competency No. E C. 1 3 0 / / 3X Architect/Engineer's Name (if applicable) 6 re tcL 1-1 C r r c r &_ Phone # 30, 662 7 3 9 Square Footage Of Work: Type of Work: ❑Addition ❑Alteration 1E4 ❑ Repair/Replace ❑Demolition Describe Work: ) h f'Gi it 1"c c.. X41 a r n-I S f / t- ( �ilij * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /-/Z O CCF $ 1. 213 CO /CC Notary $ Training/Education Fee $ 2. • 4 u. Technology Fee $ � . � Radon $ Zoning Bond $ • Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. APPLICATION APPROVED B chc 05/13/03 D Signature DI Signature Owner or Agent The foregoing instrument was acknowledged before me this The fore oing instrument was acct 1edged before me this 1 day of , 20 _, by , day ofi ) L , 2004q by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. D as identification and who did take an oath. NOTARY PUBLIC: NOTARY PU] LIh: Sign: Sign: Print: :Prin My Commission Expires: My Co Contractor / NO iIi11� 4•• C -S panning rf: : ► d A ************************************** * * * * * * * * * * * * * * * * ** * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * *41s * ** ** ** ** ** ** ** ** ** ** ** ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Examiner Engineer Zoning M. DDM/Ai , t.1! mmmtpp,pu, NE t: :•••1 t: , •!: t".;•• t;••• tr.t! •:;"; • .1 ; t •■• 1 ; , 1. ;-•!' !;'!!"!; t: i ; •;') 1.11 ;!.) !; .•!!! ), 11 • • 1 , Is Building Historically Designated YES City W\ v ANMV∎ . Qualifier Name State Certifidate or Registration No. Value of Work For this Permit $ 700- 10050 N E.2nd Avenue, Miami Shores, Florida 33138 Te : (305) 795.2204 Fax: (305) 756.8972 M LT 3 BUILDING IfI Permit No. PERMIT APPLICATIOl + U j 30 � Master Permit No. P 0 A _ \ 1ck_O FBC 2004 Permit Type (circle): Building Miami Shores Village Miami Shores Village Building Department Plumbing � Mechanical Roofing Owner's Name (Fee Simple Titleholder) IAN It . Z 6 c S ( # " J �� Owner's Address 662- /\/15 Sk to Ca i City t\N&. S5 State r-t____ Zip 3 Tenant/Lessee Name Phone # Job Address (where the work is being done) C 2 q S � s� City FOLIO / PARCEL # Contractor's Company Name S C00 SOt -- Contractor's Address 21 So County Miami -Dade Zip Phone # c &_ $S1 -q `LZ.o Zip 33 1∎ Phone # 1-1.0 Certificate of Competency No. Architect/Engineer's Name (if applicable) . Phone # Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration QNew ❑ Repair/Replace ❑ Demolition Describe Work: __Pi IZ-E 4 4 / <S / tt.) **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * ** * * * * ** �i Submittal Fee $ Permit Fee $ 3 S - CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ CP -CJ • Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 44 . See Reverse side -, Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by , day of , 20 _, by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY (Revised 02/08/06) /9 /G/ • Plans Examiner Engineer Zoning 06/20/2006 17:58 MIAMI SHORES VILLAGF 4 93059450422 Inspection Date: 06/21/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES PRESBYTERL Job Address: 602 96 Street NE Project <NONE> Contractor. SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Tuesday, June 20, 2006 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756-8972 . � S ,p. 42g4 ,r Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Block NO.796 P004 Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone; 305 -971 -0570 Page 1 of 2 Passed Inspector Comments - � C' . Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until 06/20/2006 17:58 MIAMI SHORES VILLAGF 4 93059450422 Inspection Date: 06/21/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES PRESBYTERL Job Address: 602 96 Street NE Project <NONE> Contractor. SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Tuesday, June 20, 2006 Miami Shores Village, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756-8972 . � S ,p. 42g4 ,r Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Block NO.796 P004 Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone; 305 -971 -0570 Page 1 of 2 Describe .Work: BUILDING PERMIT APPLICATION FBC 2001 Tenant/Lessee Name Qualifier 41-.4‘..)/_.— Code Enforcement $ N/ A_ Training /Education Fee $ Total Fee Now Due $ (Continued on opposite side) 9 (2)g'$' Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Fee $ Contract Address /723 W. 3 S7 State S°° Zip Job Address (where the work is being done) CRJ 2- ICE C(o ...112-66 City Miami Shores Village County Miami -Dade Zip 33 1 Building Historically Designated YES NO ` \ * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Structural Plan Review. $ Permit No. v ` S.3 Master Permit No. BP - /9/0 Permit Type (circle): Building Plumbing Mechanical Roofing M Simple � 0410 -.t Owner's Name (Fee e Simple T►tleholde Q Owner's Address (00 NO f C • r City HAW 1 Si State Phone ## 3 •5 ' 7 61- _ 15k-( 33(3 ? — 27 2 Phone # /i Contractor's Company Name 4 t �GGt.2� � $� �,�, o Phone # c g C-T — Zed/ Zip 3343I7- State Certificate or Registration No. 13 o a /, 3o Certificate of Competency No. Architect /Engineer's Name (if applicable) KW Phone # t9 • 75+ - Z'�v $ Value of Work For this Permit 2;'' j otio Square Footage Of Work: Type of Work: ['Addition ❑Alteration ❑New ❑ Repair /Replace ❑ Demolition • CCF $ /5. CO /CC Submittal Fee $ Notary $ Scanning $ 3 � Radon $ Zoning / Bond $ Technology Fee $ .Vg riding Company's Name (if applicable) onding Company's Address State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM ENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature The foregoing instrument was acknowledged before me this 6' The foregoing instrument was acknowledged before me this day of who i chc 05/13/03 rsonally known NOTARY PUBLIC: Sign: Print: My Commission Expires: Owner or Agent APPLICATION APPROVED BY: S Signature • Contractor 20 e4, by , day of ,2025 by me"or who has produced As identification and who did take an oath. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** whoi NOTARY PUBL Sign: t� er7. Enrique Chau Print: • ' • My Commission 00089879 * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *Explfel.ianuggf Man * * * * * * ** Zip Engineer Zoning ally known me or who has produced 7 identi i i . tion and who did take an oath. 541 spires 11 My Commission Expires: Bonded thru (800)432-4254 'n,,,,,r Florida Notary Assn., Inc ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** /4"/c7'e"y i 'tiP1ans Examiner Applicant: Owner: JOB ADDRESS: 602 NE 96 Contractor ALL TECH ELECTRIC INC Local Phone: Parcel # 1132060141410 Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2005 -153 Printed: 6/6/2005 ST Contractor's Address: 1793 W 37 ST 6 Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2005 -7290 Building Fee $875.00 FEE2005 -7291 CCF $15.00 FEE2005 -7292 Training and Education Fee $5.00 FEE2005 -7293 Technology Fee $21.88 FEE2005 -7299 Scanning Fee $3.00 Total Fees: $919.88 Total Fees: $919.88 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 11/6/2005 Construction Value: $25,000.00 Work: Signed: (INSPECTOR) :J 0 E, PAM e 1534 1i833 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: I • Inspection Number: INS -9 Inspection Date: 02/14/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES oDCeDVTCOI \I Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Monday, February 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Ph e: (305)795 -2204 Fax: (305)756 -8972 Block: ermitNumber EL2005 -227 Permit Type: Imported Permit Inspection Type: Rough Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 -971 -0570 Page 1 of 2 Wol-yz Passed H/ Inspector Comments / Y F ‘,0 ‘,0 (�� % ae ft/ //175 y- k 0 / m. /3 M '/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until I • Inspection Number: INS -9 Inspection Date: 02/14/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES oDCeDVTCOI \I Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Monday, February 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Ph e: (305)795 -2204 Fax: (305)756 -8972 Block: ermitNumber EL2005 -227 Permit Type: Imported Permit Inspection Type: Rough Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 -971 -0570 Page 1 of 2 Qualifier BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) ).4I1 M% SH o 2 t!S P lt (1%67Teft 61J Phone # / GNU2e,N Owner's Address (pc) 2 City M IAM I Tenant/Lessee Name Contractor's Address City /ta Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Submittal Fee $ Notary $ Scanning $ Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N. Tel State F- L Electrical , Florida 33138 756.8972 Permit No.E ` 2Z 7 Master Permit No. R - '-' o Plumbing Mechanical Zip • Roofing Job Address (where the work is being done) City Miami Shores Villa l e Is Building Historically Designated YES Contractor's Company Name Sure Efect/ca/ Cdraeters Phone # 305 - ' 7/ -0570 i 8553 Sits. to five. State Certificate or Registration No. f C 50 3 g Type of Work: ❑Addition ❑Alteration ❑New Describe Work: X17 County Miami -Dade State / NO / b erTo ,wrn n tez.- * * * * * * * * * * * * * * * * * * * * * * * * * ** *F ** zip 39/57 Certificate of Competency No. Phone # Square Footage Of Work: Zip ❑ Repair/Replace ❑ Demolition * * * * * * * * * * * * * * * * ** Permit Fee $ y✓ �� CCF $ CO /CC Training/Education Fee $ Technology Fee $ Radon $ Zoning Bond $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1: certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occ • seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will be approved a .. reins e, ion fee will be charged. Signature l �� _ Signature Owner or Agent The foregoing instrument was acknowledged before me this 1`I day of fA�1 , 2000, by gAl2 AVi SA Le W1 who is personally known to me or who has prodigOtttutltt My Commission Expires: Er. Q P APPLICATION APPROVED B Chc 05/13/03 • As identification and W ' * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** NOTA Sign Print!�I' • initittO Contractor The foregoing instrument was acknowledged before me this /9 day of Si ti V r / , 20 69 by who is personally known to me or who has produced as a identification and who did take an oath. NOTARY PUBLIC: Sign: ttebeca Rodriguez Print: . My Commicsinn Q0371307 My Commission Expires Expires November 20, 2008 **************************************************** k * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * / 5 J Plans Examiner Engineer Zoning _,. ►+� ADDENDUM TO BUILDING PERMIT APPLILA I IUN ;AN ATPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE ITEM 3ATH TLB 3IDET LIGHT OUTLETS CENTRAL HEATING __ C A/C (WIND) DISHWASHER DISPOSAL DRINKING FOUNTAIN SERVICE TEMPORARY A/C (CENTRAL) SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN -_ GREASE TRAP __ SERVICE REPAIR/PETER CHANGE REFRIGERATION APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY -_ OVEN ABOVE GROUND TANKS LAUNDRY TRAY __ WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS D- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP IMECHAN I CAL VENTILATION SINK, RESIDENCE MOTORS OVER ;- 8 HP TRANSPORTING ASSEM3LIES SINK, SLOP MOTORS OVER 8- 10 FP ELEVATORS/ESCALATORS - _ TEMPORARY WATER CLOSET __ MOTORS OVER 10- 25 HP FIRE 'SPRINKLER SYSTEMS URINAL -_ MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET __. MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REI,NSRECT1DN WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER __ GENERATORS TRANSFORMERS 'HEATER -NEW INST. 1 GENERATDRS 1 HEATER - REPLACE 1 GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE 1 SWIMMING POOL __ OUTLETS COMMERCIAL WATER SERVICE __ SIGN TUBES SEWER CONNECTIONS 'SIGN TRANSFORMERS ' ' UTILITY -SEWER SIGN TIC CLOCK UTILITY -WATER FIXTURES 1 SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS GRAINFIELD, 4' TILE/RES. VIOLATION PUMP L ABANDON SEPTIC TANK REIRSPECTION SOAKAGE PIT CU. FT. a CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTE6'. GAS RANGE METER SET (GAS) . 1 {{ GAS PIPI? I _,. ►+� ADDENDUM TO BUILDING PERMIT APPLILA I IUN ;AN ATPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL 06/20/,.. „) 17:58 Inspection Date: 06/21/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES PRESBYTERI. Job Address: 602 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Tuesday, June 20, 2006 MIAMI SHORES VILLAGF 93059450422 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 NO.796 P006 Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Phone Number (305)754 - 9541 Parcel Number 1132060141410 Block: Lot: Phone: 305 -971 -0570 Page 2of2 Passed Inspector Comments . 0 6 / ( J Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid • until 06/20/,.. „) 17:58 Inspection Date: 06/21/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES PRESBYTERI. Job Address: 602 96 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Tuesday, June 20, 2006 MIAMI SHORES VILLAGF 93059450422 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 NO.796 P006 Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Phone Number (305)754 - 9541 Parcel Number 1132060141410 Block: Lot: Phone: 305 -971 -0570 Page 2of2 nspecton Number INSP- '122 Inspection Date: 03/16/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES oocCOVTCOI A AI Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Wednesday, March 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: EL2005 -227 Permit Type: Imported Permit Inspection Type: Rough Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 2 of 2 ,Q�j .�/ /�' � Passed Inspector Comments yam � A®�- Acil Wt/07/e. $ ° / �7'' .1/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until nspecton Number INSP- '122 Inspection Date: 03/16/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES oocCOVTCOI A AI Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Wednesday, March 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: EL2005 -227 Permit Type: Imported Permit Inspection Type: Rough Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 2 of 2 Issue Date: 1/30/2006 Owner's Name: MIAMI SHORES PRESBYTERIAN CHURCH Permit Type: Imported Permit Work Classification: Electric Job Address: 602 96 Street NE Miami Shores Village, FL 33138- Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 12/31/2006 Contractor(s) Phone Primary Contractor SURE ELECTRICAL CONTRACTOR: 305 - 971 -0570 Yes Comments: INSTALL 12 NEW LIGHT FIXTURES IN RESTROOM AREA AND CLASS ROOM AREA INSTALL 2 RECEPTICLES IN ROOM Additional Information Perm Type: Electrical Alpha Four: Alpha Six: Pay Amount: 160.35 Bond Return : Alpha Two: Alpha Five: Residential Pay Date: 7/7/2005 Pay Comments: PD CC 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Building Department File Copy Applicant Signature Permit Status: APPROVED Permit Number: EL2005 -227 Phone: (305)754 -9541 Parcel #: 1132060141410 Block: Lot: Section: PB: Total Square Feet: 0 Total Valuation: $ 1,200.00 Required Inspections Rough Fees Due Amount Revision Fee $35.00 Structural Fee $3.00 Total: $38.00 Invoice Number imp -1 -06 -23656 Total: Amt Due $38.00 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. REG C01 013006 1412 MC001 033572 CHARGE $38.00 nspection s 'Number,• I Permit=Number: EI2005 -227 Inspection Date: 06/05/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES oDC OVTCOIAki Job Address: 602 96 Street NE Project: <NONE> Friday, June 2, 2006 Miami Shores Village, FL 33138- Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 -971 -0570 Page 2 of 2 Passed Inspector Comments �� 77 / fn (el- hL r . r s - r/ Iz e 17 `' il�� - L r � � � L _ ,iA /0-t r 7 -ej'z `ms .-•45775'-/L ws./ Failed H Correction Needed - ' Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until nspection s 'Number,• I Permit=Number: EI2005 -227 Inspection Date: 06/05/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES oDC OVTCOIAki Job Address: 602 96 Street NE Project: <NONE> Friday, June 2, 2006 Miami Shores Village, FL 33138- Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 -971 -0570 Page 2 of 2 / pection Date: 05/31/2006 / inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES ODCcoNFTCDIAM Job Address: 602 96 Street NE Project: <NONE> Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Tuesday, May 30, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 1 of 2 Passed Inspector Comments r6 L CG e Z. • Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until / pection Date: 05/31/2006 / inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES ODCcoNFTCDIAM Job Address: 602 96 Street NE Project: <NONE> Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Tuesday, May 30, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 1 of 2 EL2005-227 Project: <NONE> Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: MIAMI SHORES PRESBYTERIAN CHURCH Phone: (305)754 -9541 •' a Job Address: 602 96 Street NE Parcel: 1132060141410 Miami Shores Village, FL 33138- Block: Lot: Scheduled Insp # Tuesday, May 30, 2006 Imported Permit Inspection Type Inspection Status Inspector Date Completed 12/27/2005 INSP -3926 Rough Partially Approved Michael Devaney 12/29/2005 1st & 2 floor nathroom walls pipe only nowire celings not ready NORTH EAST PREBYSTERIAN CHRUCH 02/14/2006 INSP -9748 Rough Partially Approved Michael Devaney 2/15/2006 03/16/2006 INSP -12230 Rough Partially Approved Michael Devaney 3/16/2006 2ND FLOOR BATHROOMS CEILING WALLS 04/18/2006 INSP -15064 Final Partially Approved Michael Devaney 4/18/2006 CEILING ROUGH. THIS PERMIT ONLY FIRE ALARM NOT COMPLETED CANNOT PUT CEILING TILES IN. 05/31/2006 INSP -18691 Final Pending Inspection Michael Devaney Not Complete Page 1 of 1 Permit Type (circle): Building Qualifier Total Fee Now Due $ / ? 0 r t 0 09 - i rl (G vC (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 U Tel:_(V-9- 7,,9,5.:3204 F (305) 756.8972 r / BUILDING JUL C 5 ar.5 Permit No. EA DS— 2.1— - PERMIT APPLICATION e \ .. Master Permit No. J P 0 — )9/0 FBC 2001 AV (A rit 5 r t . Owner's Name (Fee Simple Titleholder) P re34y 1ci r ►u 1 C h v Phone # Owner's Address 60 Z /Y.rr-• r6 f e— City,' " Urn r S h p fC 5. State r(- Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) 602. City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Sure 1 5-1eCif1C a Contractor's Company Name Ccirl r r ( . ( Gf 6 rs . f C - Phone # ( 3 0 S Contractor's Address l SSS 3 S, G✓- /0 y 4ve City ,I'71 !lrf i State fl Zip 3 3/-r 7 State Certificate or Registration No. EC-- / 0 11 $ ' Certificate of Competency No. Architect /Engineer's Name (if applicable) Phone # Plumbing Mechanical Roofing 0 5 70 Zip BU $ Value of Work For this Permit tr/ 0 0 Square Footage Of Work: Type of Work: EAddition Alteration ❑New ❑ Repair /Replace ❑ Demolition Describe Work: r1 S 4 U (2 /14( 05) - 1 - P∎ ?(f ✓f e S / R(.sfi /aU%l c(( a 'Ad (/Q $ rvutril arGek-- .,, Ja )t4 fl( ea( lrs. / V\ re51 roves►, * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /S 6Pr L• d CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contracttor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this S da of , 20 _, by day of 7 , 20 0 C, (f o 1 e't u who is personally known to me or who has produced who is personally known to me or who has produced 27r) As identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVED BY Chc 05/13/03 � A1 ' ? as iti fi�� ti on @ i ' t oath. P v :�, 4 �Gdn,a;l i»n D1)2. .319 . 5i6011ai 3,307 Y:��rsam�h� ************ * * * It* * *It * * * * * * * * * * * * * * * * * * * * * ** ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * „4 Lob' Plans Examiner • Engineer Zoning ITEM BATH TIE UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET - LIGHT OUTLETS / CENTRAL HEATING DISHWASHER - - RECEPTACLES 2 A/C (WIND) DISPOSAL : SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/MIETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 hP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL ::•:'. MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES- ' A/C WINDOW REINSPECTION WATER SUPPLY TO: _ AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIM1ING POOL _ OUTLETS COMt,1ERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ` ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN . R00F INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE ' METER SET (GAS) GAS PIPING (AN APPLICATI017 FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING. PERMIT APPLICATION ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/7/2005 Applicant: Owner: JOB ADDRESS: 602 NE 96 Contractor Local Phone: Parcel # 1132060141410 Electrical Permit Permit Number: EL2005 -227 ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2005 -9306 Building Fee $150.00 FEE2005 -9307 CCF $1.20 FEE2005 -9308 Training and Education Fee $0.40 FEE2005 -9309 Technology Fee $3.75 FEE2005 -9310 Notary Fee $5.00 Total Fees: $160.35 Total Fees: $160.35 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 1/1/2006 Construction Value: $1,200.00 Work: INSTALL 12 NEW LIGHT FIXTURES IN RESTROOM AREA AND CLASS ROOM AREA INSTALL 2 RECEPTICLES IN ROOM Signed: (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 responisibility for all work done by either myself, my agent, servants or employes. JUL 0 7 PAID •l• iI',;,iA , Signed: (Contractor or Builder) BY: Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: 5)795 -2204 Fax: (305)756 -897 (4 nspection Number INSP- 1'`5064 ,, , . Permit Number: EL2005 -227 Inspection Date: 04/18/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES oo CCOVTCOI hI Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Monday, April 17, 2006 Block: Permit Type: Imported Permit Inspection Type: Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 2 of 2 W Inspector Passed Comments VI /J X 07e /2 (/ r d I x ' foza 1- 17(6'7 Alio'/ a o 9 / . j ,2 ctw gAl Gv % R iT a "I i'"; c 7 -- Gi`eS e 1.v i� i►� % / gi-pjz- Q � ' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: 5)795 -2204 Fax: (305)756 -897 (4 nspection Number INSP- 1'`5064 ,, , . Permit Number: EL2005 -227 Inspection Date: 04/18/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES oo CCOVTCOI hI Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Monday, April 17, 2006 Block: Permit Type: Imported Permit Inspection Type: Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 2 of 2 CURTIS CRAIG 1/11/05 305 - 795 -2204 Miami Shores Village Building Department Permit No. Page 1 1/11/05 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BP 04 -1410 BUILDING CRITIQUE SHEET till need to submi electrica , echanic :1 pumbin it n �r applications. Still need to provide 1 hr ceiling assembly number from an proved testing agency and show ceiling at chase area (chase between walls at 2 floor bathroom ceiling /roof assembly). o 4-e 2 4 41-• Bill To MIAMI SHORES PRESBYTERIAN CI MIAMI SHORES PRESBYTERIAN CI 602 96 Street NE Miami Shores Village, FL Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date Fee Name 06/20/2006 Revision Fee 06/20/2006 Scanning Fee Tuesday, June 20, 2006 Permit Invoice Report Invoice Number: ELC -6 -06 -25273 Invoice Date: June 20, 2006 Permit Number: ELC -12 -05 -373 Permit Type: Electrical - Commercial Fee Type Fee Amount Calculated $35.00 Calculated $9.00 Total Fees Due: $44.00 JUN 2 0 P1 Permit Receipt Permit Number: ELC -12 -05 -373 Invoice Number: ELC -6 -06 -25273 Applicant: MIAMI SHORES PRESBYTERIAN CHURCH Company Name: MIAMI SHORES PRESBYTERIAN CHURCH Date 06/20/2006 Payment Type CheckNum Check 1924 Amount $44.00 Total Payment: $44.00 Tuesday, June 20, 2006 Page 1 of 1 inspection Numbers INSP- 876 a ' 'ra Permit Number: ELC2005 -389 Inspection Date: 03/17/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES OOCCnvTCO, A IJ Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL Contractor: MASTEC NORTH AMERICA, INC Building Department Comments Thursday, March 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 257 -3095 Page 2 of 2 Passed Ea Inspector Comments / /' A '‘' Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until inspection Numbers INSP- 876 a ' 'ra Permit Number: ELC2005 -389 Inspection Date: 03/17/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES OOCCnvTCO, A IJ Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL Contractor: MASTEC NORTH AMERICA, INC Building Department Comments Thursday, March 16, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 257 -3095 Page 2 of 2 Owner's Address State Certificate or Registration No. Oiv . l L E Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305 795.2204 Fax: (305) 756.8972 RECEOVERDF BUILDING NOV 05 Permit No. PERMIT APPLICATION 111 Ma ter Permit No. FBC2001 ( /r 8e / /Sou Permit Type (circle): Building l Owner's Name (Fee Simple Titleholder) �'o �c i'n f1yh/ -01-ivt' y Phone # /v//v// h - -� City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) fRON T OF 60 2 AL - ?6 rn sr City Miami Shores Village County Miami -Dade Zip 33 / 3 8 Is Building Historically Designated YES NO Contractor's Company Name 8 ELL S O V 77/ Phone # 305 - - /5 / Contractor's Address 9/01 SW 2 ST City /1/4.44 / State FL Zip 3 3 / 6 S Qualifier Architect/Engineer's Name (if applicable) r/.4ivve6 .)OCvRI'O Phone # 3 OS - 22 Z — 09'' 2 $ Value of Work For this Permit $ /7 000 Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ['New ® Repair /Replace ❑ Demolition Describe Work: 8C4LSO U Tr°/ 306 # 5MP 0 S/ `/ 2 N ?LAC/A/ 6 /'1/C Cw £ T RuAr /4' 77/6 PuOtic ,4 /6i /7 -of-w4 y fag TELecom s6Rv/CES L 7 /L 1N' - CeErch PRoviDE / . * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ , " -_'• °- / CCF $ f CO /CC �.___ — Notary $ _ _ — Training /Education Fee $ t. Technology Fee $ __� Scanning S Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ • Plumbing Mechanical Roofing Certificate of Competency No. ON El 1- E v Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20,by , day of ,20__,by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. • as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ***************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. * * ** ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED B Chc 05/13/03 Plans Examiner Engineer Zoning Issue Date: 1/26/2006 Permit Type: Electrical - Commercial Work Classification: Addition /Alteration Job Address: 602 96 Street NE Additional Information Miami Shores Village, FL Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/09/2006 Owner's Name: MIAMI SHORES PRESBYTERIAN CHURCH Contractor(s) MASTEC NORTH AMERICA, INC Phone 305 - 257 -3095 Primary Contractor Yes Comments: BELLSOUTH JOB # 5MP05142N PLACING PVC RUN IN THE PUBLIC RIGHT OF WAY FOR TELECOM SERVICES Type of Work: RIGHT OF WAY Additional Info: PVC CONDUIT Classification: Commercial 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: ELC2005 -389 Phone: (305)754 -9541 1132060141410 Lot: PB: Total Square Feet: 0 Total Valuation: $ 17,000.00 Re • uired Ins . ections Alteration Underground Rough W W Service Change Meter Box Fire Alarm Relocation Final Fees Due Amount Total: Invoice Number ELC - 1 - 06 - 23626 Total: Amt Due $0.00 Amt Paid NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. z m m vIgvI SHERFS PI-R"IT SCOTCH BST EASEMENT CELL TOWER KEY MAP NE 96TH ST 1 1 1 I MI AMI SHORES PRESBYTERIAN CHURCH PROPOSED 2-4' PVC, 2 -2' PVC -FOR PWR SEE DETAIL ON DWGS 2 -3 THIS MUST BE ON J0 T TIME OF INSPECTION 1w• EeEOVED NOV ®911 / / 8 HOURS BEFORE YOU DIG 4 G CALL SUNSHINE 1 -800- 432 -4770 I T' S THE LAW I N FLORIDA CONTACT: TERRI TICKET No.(s): 293505728 DATE /TIME• 10/20/05 03:40PM RESTORATION IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS *R21.I METHOD OF TRAFFIC IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS *RI9.5 @BellSouth Telecommunications PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF MIAMI SHORES 602 NE 96TH ST Exchange: MIAMI Designer: Manuel Docurro Phone: 305 - 222 -0942 Authorization: 5MP05142N Dwg. 1 of 3 10/21/2005 10: 19: 13 AM --1 8 CONC o? EOP R/W MI AMI SHORES PRESBYTERI AN 'CHURCH MEDIAN GRASS 5' SDWK NE 96TH ST STREET LI GHT DRA[ N PROPOSED' GRADUAL SWEEP SDWK CUT & REST RE' TOP 00 PROPOSED 281' 2 -4' PVC, 2 -2' PVC (66') TO C. O. IIIIIIIIIIII lommoulm., IIIIIIIIIIII ,�� Vo vIAv I SHCRES PERvIT 90' ____ 14111f."-- /411/ iii iii. tom. z ' cc ASPHALT PROPOSED STREET CUT & RESTORE TUP CNDTS AT BASE OF POLE DRWY ENTRANCE TO PARKING LOT S EXI ST BOX W/ FPL METER E 1 ST FPL POLE PROP FPL HH / SRVC POINT PROPOSED SDWK CUT & RESTORE <I- TCH B HOURS BEFORE YOU DIG 4 G CALL SUNSHINE 1 -800- 432 -4770 IT'S THE LAW I N FLORIDA CONTACT: TERRI TICKET No.(s): 293505728 DATE /TIME• 10/20/05 03:40PM NOTE: PLACE BURIED FACIL. AT 30" DEPTH RESTORATION IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS *R21.I METHOD OF TRAFFIC IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS uR19.5 ® BellSouth Telecommunications PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF MIAMI SHORES Exchange: Designer: Phone: MIAMI / � 602 NE 96TH ST Manuel Docurro 305 - 222 -0942 Authorization: 5MP05142N Dwg. 2 of 3 10/21/2005 10: 19: 21 AM vI(1yI SHORHS PHRVIT S<FTCH EOP R/W GRASS NE 96TH ST 1 ti STREET LI GHT 5' STRI P BST EASEMENT FUTURE BST BST CABINET 10' X1 0' EASEMENT SEE DWG 2 PROPOSED 2- 4' PVC, 2 -2' PVC - j 8 ' PROP 2- 90' . 6' R PC 4' C BENDS & 2-90' . 6' R PC 2' C BENDS CONC ENCASE MEDI AN RES CHURCH TOP 00 00 N rn 3 0 cn 4 48 HOURS BEFORE YOU DIG CALL SUNSHINE 1- 800 - 432 -4770 IT'S THE LAM I N FLORI DA CONTACT: TERRI TICKET No.(s): 293505728 DATE/TIME. 10/20/05 03:40PM NOTE: PLACE BURIED FACIL. AT 30" DEPTH RESTORATION IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS UR21.I METHOD OF TRAFFIC IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS *RI9.5 @BellSouth Telecommunications PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF MIAMI SHORES 602 NE 96TH ST Exchange: MIAMI Designer: Manuel Docurro Phone: 305 - 222 -0942 Authorization: 5MP05142N Dwg. 3 of 3 10/21/2005 10: 19: 21 AM z m m vIQvI SHORES PFRVIT S C BST EASEMENT CELL TOMER MIAMI SHORES PRESBYTERIAN CHURCH KEY MAP PROPOSED NE 96TH ST 2-4• PVC. 2-2' PVC -FOR PMR <F TCH SEE DETAIL ON DWGS 2 -3 eEtlyED ELO" 39 /1 RESTORATION IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS UR2I.I 8 HOURS BEFORE YOU DIG 4 G CALL SUNSHINE 1 -800- 432 -4770 I T' S THE LAM I N FLORIDA CONTACT: TERRI TICKET No.(s): 293505728 DATE /TIME• 10/20/05 03:4OPM METHOD OF TRAFFIC IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS 1 *RI9.5 @BellSouth Telecommunications PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF MIAMI SHORES Exchange: Designer: Phone: 602 NE 96TH ST MIAMI Manuel Docurro 305 - 222 -0942 Authorization: 5MP05142N Dwg. 1 of 3 10/21/2005 10: 19: 13 AM 00 EOP R/W MIAMI SHORES PRESBYTERI AN 'CHURCH MEDIAN GRA SS 5' SDWK NE 96TH ST STREET LIGHT DRAIN vInyI SHORES PI-R PROPOSED 281 ' 2 -4' PVC, 2 -2' PVC PROPOSED GRADUAL SWEEP SOWK CUT & REST SRE TOP 00 00 90' , 11111111�11 / �� _ _ I _ I _I ___—J____I I, 1,� 66') TO C. 0. cc 0 ASPHALT PROPOSED STREET CUT & RESTORE TUP CNDTS AT BASE OF POLE v DRWY ENTRANCE TO PARKING LOT IT S EXIST BOX W/ FPL METER ExI FPL POLE PROP FPL HH / SRVC POI NT PROPOSED SDWK CUT & RESTORE ETC 4 8 HOURS BEFORE YOU 0I6 CALL SUNSHINE 1 800 - 432 -4770 I T ' S THE LAW I N FLORIDA CONTACT: TERRI TICKET No.(s): 293505728 DATE/TIME. 10/20/05 03:40PM NOTE: PLACE BURIED FACIL. AT 30" DEPTH RESTORATION IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS *R2I.I Exchange: Designer: Phone: 602 NE 96TH ST MIAMI /i 305 - 222 -0942 Authorization: 5MP05142N METHOD OF TRAFFIC IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS *RI9.5 Manuel Docurro Dwg. 2 of 3 / ©BellSouth Telecommunications PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF MIAMI SHORES 10/21/2005 10: 19: 21 AM vIPvI SHORES PFRVIT EOP R/W GRASS BST 1 X1 0' EASEMENT NE 96TH ST 1 S ETC STREET LI GHT 5' k STRI P BST EASEMENT FUTURE BST CABI NET PROP 2 -90' , 6' R PC 4' C BENDS & 2 -90', 6' R PC 2' C BENDS CONC ENCASE MEDI AN SEE DWG 2 PROPOSED 2- 4' PVC, 2 -2' PVC ---) 8 ' r RES CHURCH TOP 00 4 48 HOURS BEFORE YOU DIG CALL SUNSHINE 1- 800 - 432 -4770 IT'S THE LAM I N FLORIDA CONTACT: TERRI TICKET No.(s): 293505728 DATE/TIME. 10/20/05 03:40PM NOTE: PLACE BURIED FACIL. AT 30" DEPTH / i , / RESTORATION IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS *R2I.1 METHOD OF TRAFFIC IN ACCORDANCE WITH DADE COUNTY SPECIFICATIONS UR19.5 ©BellSouth Telecommunications PROPOSED TELEPHONE FACILITIES ON RIGHT OF WAY OF MIAMI SHORES Exchange: Designer: Phone: 602 NE 96TH ST MIAMI Manuel Docurro 305 - 222 -0942 Authorization: 5MP05142N Dwg. 3 of 3 10/21/2005 10: 19: 21 AM PLANS AND PERMIT INSIDE METER CAN. Passed Inspector Comments 2 1,97 1.1 / Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until spectiors,Numbe Permit Number: ELC -2- 06-461 Inspection Date: 03/10/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES DDCCDVF DIAM Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL 33165- Contractor: MESA ELECTRIC SYSTEMS CORP Building Department Comments Thursday, March 9, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Pho e: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: New Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 279 -5498 Page 1 of 2 ti ELC -2 -06 -461 Scheduled Insp # 03/10/2006 INSP -10442 Final PLANS AND PERMIT INSIDE METER CAN. Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Type Inspection Status Electrical - Commercial Project: <NONE> Owner: MIAMI SHORES PRESBYTERIAN CHURCH Phone: (305)754 -9541 Job Address: 602 96 Street NE Parcel: 1132060141410 Miami Shores Village, FL 33165- Block: Lot: Inspector Date Completed Pending Inspection Michael Devaney Not Complete Thursday, March 9, 2006 Page 1 of 1 Issue Date: 3/9/2006 Expires: 02/23/2007 Owner's Name: MIAMI SHORES PRESBYTERIAN CHURCH Permit Type: Electrical - Commercial Work Classification: New Job Address: 602 96 Street NE Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Additional Information Miami Shores Village, FL 33165- Contractor(s) Phone MESA ELECTRIC SYSTEMS CORP 305 - 279 -5498 Primary Contractor Yes Comments: FREE STANDING SERVICE FOR BELLSOUTH Permit Type of Work: Classification: Commercial Additional Info: 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, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: ELC- 2- 06-461 Phone: (305)754 -9541 1132060141410 Lot: PB: Total Square Feet: 0 Total Valuation: $ 1,600.00 Required Inspections Alteration Underground Rough WW Service Change Meter Box Fire Alarm Relocation Final Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $150.00 $12.00 $3.75 $167.35 Invoice Number ELC - 3 - 06 - 24076 Total: Amt Due $167.35 MAR 0 9 PAID t Paid Building Department File Copy Applicant Signature NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. BUILDING PERMIT APPLICATIO FBC 2004 Permit Type (circle): Building Electrical > Plumbing Mechanical Roofing c. Owner's Name (Fee Simple Titleholder) g2) S "Te l - 2cak-,.., Phone # jRik 3 ‘Dc ZZZ O `( Z Owner's Address Qj �� ( Sw Z `� S I City �iG► ' /' State ✓ Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # — 0 G — ©/ `I - 1 l L 0 Is Building Historically Designated YES NO Contractor's Company Name pi .e\4., F L i e�� S � l P ••••.- 6. Phone # �c� IO Contractor's tor's Address Z`� 0 W 2 � S / 1 City -1 t 'z f { State / / Zip 3S) 6 J Qualifier Name State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ 1 I � . Square / Linear Footage Of Work: Type of Work: ['Addition ❑Alteration ['New Describe Work: Structural Review. $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 4 Fax:_ 305) 756.8972 COVED Fa 2 3 Mb 1 Permit No. Master Permit No. Zip f6S Phone # io Z S Z c Phone # ❑ Repair/Replace ❑ Demolition ******** ** * * * * * * * * * * * ** * * * * * * * * * * * * * * ** F * *** * * * * * * * * * * * * * * * * * * * * * * * *,** Submittal Fee $ Permit Fee $ /5 i f 6' 41k CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Total Fee Now Due $ dritto .17. See Reverse side –* i�K Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 's` Mortgage Lender's Name (if applicable) R . j t Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by , day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) Sign: Print: My Commission Expires: ********************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ans Examiner Engineer Zoning Dated 1 /o L Job Address 4 (. 7 2 NE Tax Folio f'/ - Legal Description /J� Owner / Lessee / Tenant 97)V) $1c • C - Master Permit # Owner's Address OD I SW r ' / i Phone W Z- St- Contracting Co. /"( FS!}- e r Q Q C ,C 5»'r• 6 1 7 . Address ) ? L o S w (46),fr Qualifier c1 e i /Ps SS# Phone `7 ?-`/ 2 CG C e (Q Competency 4# / U 5 - , Ins.Co. Notary as tAt - Builder My Con ni S 1 mac ssi DD304376 o , off Expires April 17 2008 ** * * * * * * * * * * * * * * * ** FEES: PERMIT RADON C.C.F. NOTARY TOTAL DUE APPROVED: Fire Other Zoning Building V Electrical Mechanical Plumbing Engineering NORTH EAST PREBYSTERIAN CHRUCH Inspector Comments / 5 Tp/— ,i /—/ a' W,9T i ) ki.%/,1 /y fi v / �� / 4:?,...„- 1 / -- ;','-- f ; .= W j ` e Passed 1 I F ailed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until I spection N P Permit Number: EL2005 -227 Inspection Date: 12/27/2005 Inspector: Devaney, Michael Owner: Job Address: 602 96 Street NE Project: <NONE> Contractor: Miami Shores Village, FL 33138- Building Department Comments Thursday, December 22, 2005 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Phone Number Lot: Permit Type: Imported Permit Inspection Type: Rough Work Classification: <NONE> Parcel Number 1132060141410 Page 2 of 2 a BUILDING PERMIT APPLICATIO FBC 2001 ' i Permit Type (circle): Building Plumbing Mechanical Roofing C(1,u rei, •Owner's Name (Fee Simple Titleholder) T� ) 5w - P (� dkAPhone # j() �' ' � u Owner's Address 6192_ GUa Ile ) City M J c..w■ ■ State L r Tenant/Lessee Name Phone # PC— 7" - C g ! Job Address (where the work is being done) l.(C)2-. 1 St City Total Fee Now Due $ (Continued on opposite side) Miami Shores Villa •e County Miami -Dade Zip Is Building Historically Designated YES NO r � � Contractor's Company Name 441 P'uii CfirY� V �, _ `65p. P hone # 305 - v a - 2 l Contractor's Address 1 5 MiJ 9 .3W City by `( L (44-1( EC State ' Zip 'j ( 4 Qualifier «oW sAL State Certificate or Registration No. 44 C O - 4ROt zoo J Certificate of Competency No. Architect/Engineer's Name (if applicable) $ Value of Work For this Permit I ,� (lU V bCf ', Square Footage Of Work: Type of Work: ❑Addition� ❑Alteration New /S] Repair/Replace. El Demolition Describe Work: a�1 F. G D v Ylh �� Gj 3 * * * * * * * * * * * * * * * ** * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ �� n CCF $ 1 ' ' 20 CO /CC 1 Notary $ Training/Education Fee $ 3 - Technology Fee $ 1 • — 75 Scanning $ 3 • CO Radon $ Zoning Bond $ 3 ° 0 • 0 � Code Enforcement $ 83-c1.35 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Structural Plan Review. $ 1 °3 06K Permit No. Master Permit No. Zip t Phone # t 1036 I Bonding Company's Name (if applicable) / r Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) _ <> Mortgage Lender's Address Vl City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed 1:o meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature fraelii / 6-e , tv- Signature Owner or Agent Y / Contractor The foregoing instrument was acknowledged before me this 2(0 The foregoing instrument was acknowledged before me this2LO day of J u� � , 20 05 by , day of J LA .1 , 20 05, by who is personally known to me or who has produced who is personally known to me or who has produced NO Sign: Print: As tification and who did take an oath. ntification and who did take an oath. Evelyn Rodriguez =: Co mmission ##DD3 8154 pis s i , Bonded Thtu My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: chc 05/13/03 NOTARY PUBLIC Evelyia Rod igil Sign: `� I , : Commission #DD ?0$154 Print: *************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** � 1 Plans Examiner Engineer Zoning ITEM BATH T 3 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE• ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES - A/C (WIND) DISPOSAL - SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK. FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP 'APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MJTCRS OVER 1- 3 If HOT WATER BOILERS SINK, POT /3 COMP. MOTCRS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEII6LIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER • 100 HP VIOLATION INDIRECT WASTES- A/C WIDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT - STRIP HEATER t FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS .SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER F I XTI.RES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN _ DISCHARGE WELL DOMESTIC WELL AREA DRAIN , ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING -"ADDENDUM TO BUILDING PERMIT APPLICATION (AN AP ?IICPiTION BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OB'AINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL NOTICE OF COMMENCEMENT ' A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO.r 6 5'? j � 9r, TAX LOILQ NO.F STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 4. Contractor's name and address: Name and address: Amount of bond $ 6. Lender's name and address: provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: Print Owner's Name It//d4. a (dome r Sworn to and subscribed before me this / 4 day of Notary Public //32,06 • 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: CA re h cam /ids / 02 /yr q 6 st re,e't 2. Description of improvement: Zvi sir-// 23 f ire / r n e a ";t A t o 6P4.k f /od //a /de 3. Owner(s) name and address: "ark? r„ r .5 re.s 4e.s. 4 lu'ia n C--.4 (so 2 /IJE qG , tr c-t " w i : S`ore. (L 33,34 ^ 2_7(f2_ Interest in property: Name and address of fee simple titleholder: 5. Surety: (Payment bond required by owner from contractor, if any) r STATE' O FLO A, COUNT . I HEREBY COUP/ That ,Pt* ' CFN 2005RO81 OR Bk 23645 Pe 0412; (fps RECORDED 08/04/2005 14 :52:04 HARVEY RUVIK, CLERK OF COURT MIA41I -DADE COUNTY, FLORIDA LAST PAGE I l lMMMl111II : ADF otigtnal filed hi t IiVE MAF:VEY Ruvl.•.. C�_1 L 1 a( /. tai . `CIN 7. Persons within the state of Florida designated by Owner upon who ices or of e • ocumen s may be served as lq 7/ 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: i /4 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) 4 /0 1 Cele )-zo4 Signature of Owner Prepared by 0 ° "`` i A 1� ��`4i con; * �l r Date 5•? 0' 99 Job Address (D0 2 N E S( r Tax Folio 11' 3 2 Q l4 ' Om. 1100 Legal Description Owner / Lessee / Tenant kkPar1 j t`h0'1'e.c ?YC SbU s'er■ Anl cliV hch Master Permit ki 4 - 1 S. Owner' s Address L 0 Z. k1 t 1( O t Phone Contracting Co. L1 P c 'Tr+ c, Oun) S ulITS S Address 1,0095 Ill Lk) 1 1.1) Qualifier\--Arrl\ T1'AM U'(Y1.AC SS# Phone 0 S2.1 State #E 0000p0 2 Municipal # Competency #00001 49 1 9 - CaR,L)N 4- G.) True._ Architect /Engineer ■, n» S A r a m Address 7 lc, tSA11) OeeYJ z(1 Su Bonding Company , V I.4 Address Mortgagor n) Address Permit Type(circle one): BUILDING C PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN WORK DESCRIPTION I - � ZOti e F e N Arvv yol„, l ) ' 1T la 2 - h'1 O 1(C eCA'n r .s Square Ft. SOC.) �c �" Estimated Cost(value) g OCR . N 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 stayed. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Signature of owner and /or Condo President Signature Date: Date Notary as to Owner and /or Condo President My Commission Expires: Notary as to Contractor or Owne Bui d My Commission E _ • rPr.Itt,lz:.,. % 1',..t.•1. l .. WIii;;:.:: °s: •.: 0'. ** * * * * * * * * * * * CC'tk :4 :,......;::::;,3'-', - * o .i FEES: PERMITX 3 m� RADON ��i C.C.F. APPROVED: rr Fire Other Zoning Mechanical Plumbing NOTARY -^ (� TOTAL DUE Building Electrica A3 /5zoyf' Engineering ITEM BATH U3 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE FIEATERS UNIT FEE BIDET L I GFf f OUTLETS CENTRAL HEATI 0 I S WASHER RECEPTACLES A/C (WINO) 0IS?OSAL SERVICE TE6PCRARY A/C ( CENNTRAL) OR INKING FOUNTAIN SERVICE SIZE IN AMPS DUCT 10IK FLOOR CAA I N SERVICE REPA IR/1CLR CHANGE REFR IGcRAT ION GREASE TRAP APPLIANCE OUTLETS 1 PROCESS AFC PRESS PIPING INTEyCEPTCR RANGE TOP 1 UNDERGiOUFC TANKS LAVATORY OVEN 1 ABOVE GROUFD TANKS LAUFCRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOThES WASHER MDTCRS 0- 1 If STEAM BOILERS SHOWER 1QTORS OVER 1 - 3 P HOT WATER BOILERS S I NK , POT /3 Oaf' . MOTORS OVER 3- 5 NP I SECHAN I CAL VENT I LAT ION SINK. RESIDENCE 1VCRS OVER 5- 8 FP TRANSPORT I NG ASSES€LIES SINK. SLCP MDTCRS OVER 8- 10 P 1 ELEVATRS/ESCALATORS TEMPORARY '(WATER CLOSET 6DTCRS OVER 10- 25 if I FIRE SPRINKLER SYSTEMS URI NAL tOTCRS OVER 25-100 FP COOLING TOWERS 'HATER CLOSET MOTORS OVER 100 if 1 VIOLATION IFDIRECT WASTES A/C WINDOW k REINS?ECTION WATER S1,PPLY TO: AIR COFC IT I ONERS ( - A/C UNIT STRIP HEATER F IRE SPRINKLER GENERATORS TRANSFORMERS ` • HEATER -NEYY INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRAFSFCRMERS LAWN S?RINKLER -WELL SPECIAL PURPOSE SNI !WING POOL OUTLETS COMMERCIAL - WATER SERVICE • SIGN TUBES SEWER CONNECT IONS S 191 TRANSFCRWERS - UTILITY -SEWER SIGN TIME CLOCX UT IL ITY -HATER F IXTI RES SEPTIC TANK I. ANTENNA RELAY TELEVISION OUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANO( RE INSPECT ION _ SOAKAGE PIT W. FT. 1 L1 r-OTi z Ft r .. AL.1kr N C CATCH BAS IN PAN,. L . DIS ARGE WELL , 1 P11 LL C 716111 DOMESTIC WELL _ 2 S\`n 01C� c S AREA DRA I N 1 r tv STro Q 4 ROOF NET SOAR YWTER HEATER FIRE STAMJPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RAr`+CZ METER SET (GAS) GAS PIP _ _ ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS 3. OBTAINED, THE C'War ' S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL • • : .. • • • • • FIRE ALARM RISER N.T.S. VSTEM SMALL CONFORM TO S.F.B.C. k N.E.C. MO MARE 'Cr N000 INDUITOXI SURFACE cocoa 1011 gag 110. TRIP mai O 20 1060 12 3 • Q 20 500 12 5 f 20 540 12 7 2p S40 12 9 20 540 12 PANEL MOM RADIO ROOM IIUDS 200 A.M.C.& OD. Dos >ti191s 225 A. IOWA= 120 40V. 1 . 341. IOW ! A mps Tam 40 7200 8 40 7200 8 24V. CHARGER • 24V. CHARGER • 40 7200 8 24V. 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FLORIDA 33138-2382 TELEPHONE (305) 795-2204 FAX (305) 756 -8972 CERTIFICATE OF COMPLETION No. 2038 Date: May 7, 1999 Owner, Agent or Tenant of Building: Miami Shores Presbyterian Church Block Subdivision Street Address: 602 NE 96 Street, Miami Shores Approved use: Wireless communication tower Remarks: Installation of wireless communication equipment. This Certificate of Completion is issued to the above named owner for equipment installation 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. FRANK L =IEN, DIRECTOR, BUILDING DIVISION Lot - ,tizo ce:714lia r BUILDING AND ZONING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138-2382 TELEPHONE (305) 795-2204 FAX (305) 756-8972 CERTIFICATE OF COMPLETION No. 2038 Date: May 7, 1999 Owner, Agent or Tenant of Building: Miami Shores Presbyterian Church Block Subdivision Street Address: 602 NE 96 Street, Miami Shores Approved use: Wireless communication tower Remarks: Installation of wireless communication equipment. This Certificate of Completion is issued to the above named owner for equipment installation 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. FRANK L IEN, DIRECTOR, BUILDING DIVISION PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 2 • i q x`'1 Job Address Lo N . 1. 5 Tax Folio \ \- 320 to - 019 — \1(>0 Legal Description Historically Designated: Yes ff No / / �7 Owner/Lessee / Tenant �Z4Ni 5A0( S Q0.s5 4y 7E6�sAN C u(Lt,1* Master Permit # [� �l d J ` , // � 3 / Owner's Address Lo 11. E. i L 51 E E Phone 305- - i51- Contracting Co. L LEG 7 642 G S y S UrrN5 4- CONS u L1 N I S Address LoO ci s N. W' ) !!0 `711.\ a Qualifier 1- i\QQ 1 CZ . v M NCA. SS# State # Q- C)(')( \ 0 k 1 Municipal # Architect/Engineer E N T S Ek0E N Address Cj AN R EN 7-0 S UT ?E 1 IP, NI Pt Mortgagor 1/ Address N G (� Bonding Company Permit Type (circle one): BUILDING (ELECTRICAL) PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION g v.) V.-9-. LE1 L 5 l C. Square Ft. \ ri 5 SQUARE c 1. Estimated Cost (value)' `) 7 j O0O 0 O 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 a urate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the ab a -n ed contrac ertt o thew stated. Signature of owner and/or Condo Pr ent Date Notary as to 0 • -r and/or Condo President Date My Commi on Expires: Competency # 00001 1 q 19 Ins. Co. Address FEES: PERMIT/ }0(017 RADON C.C.F. 9.00 NOTARY Signature of (contractor or ,(2 Notary as to Co actor or Owner- Builder My Commission Ex i ires: Pty p OFFICIAL NOTARY SEAL O d SUZEL GIRALDO 1 n COMMISSION NUMBER Ijr o CC601205 MY COMMISSION EXPIRES 7 1. 9S" . ■.d NOV. 13 2000 Phone•, 05- <6 a.l - 5$33 ,m o.' ? • 1 9 .9� wner- Builder Date BOND TOTAL DUE Date APPROVED: Zoning Building Electrical 1 t 6 0 7 Mechanical Plumbing Engineering ITN BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE (EATERS UNIT 1 Li BIDET LIGHT OUTLETS j ! CENTRAL HEATING OIShWASiER RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEWIBARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS IO00.4 1 DIET WORK FLOUR DRAIN SERVICE REPAIR/ is Ma REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PRCCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROW) TAMS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOT ES WASHER CTS 0- 1 HP STEAM BOILERS SHOWER MDTCRS OVER 1- 3 FP HOT WATER BOILERS SINK, POT/3 COMP. MOTORS OVER 3- 5 hP MECHANICAL VENTILATION SINK, RESIODCE MOTORS OVER 5- 8 FP TRANSPORTING ASSEMBLIES SINK. SLIP MOTCRS OVER 8- 10 FP ELEVATORS/ESCALATORS TEWCRARY WATER CLOSET MDTCRS OVER 10- 25 iP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS - A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORM€RS HEATER - REPLACE GENERATORS TRAtRS • LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL ' OUTLETS COMIERCIAL WATER SERVICE • • SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS • - UTILITY-SEWER SIGN TIME 0.001( UTILITY-WATER FIXTURES 5 ` SEPTIC TAN( ANTENNA • - RELAY TELEVISION OUTLETS • ORAINEIELO, 4' TILE/RES. VIOLATION' ' PUMP & ABANDON SEPTIC TANK REINISPECTION SOAKAGE PIT CU. FT. O )., ra{=, r 9 eL . ( CATCH BASIN _ OISCHARGE WELL DOMESTIC ELL AREA MAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING 1 LAWN SPRIN(LER SYSTEM GAS RANGE METER SET (GAS) - GAS PIPING _ y 1 (AN APPLI' ATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. 03TA vED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL �f /�19s 4, PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 3 " /-? -9Y Job Address C' /YE f6i Si Tax Folio //- 97o(, - O /7- /700 Legal Description / - /O J, NC - et lo/ , Historically Designated: Yes No Owner/Lessee / Tenant W2;42,nt. j42,$ /,eS'. [ h9e..dC1 Master Permit # (9'93 35 ) 4/04y Owner's Address 1p0� /I/E 9 .y Contracting Co. 7 tee/t; /C.:- Qualifier State # C O0O0 72 G/ Municipal # Phone Address 9,0 /VA / ! • »li/e SS# Phone 9$ '- 5;f7- ..538/ Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost (value) Qd 0, 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. FEES: PERMIT /V 0. eta RADON C.C.F. NOTARY Signature of owner and/or Condo President Date Signature ofContracto •r • / % � ' fo,��._ J Smith Notary as to Owner and/or Condo President Date Notary as t . , I • • „ s , * • • 1 4 D(P1 • My Conunission Expires: My Co °� :, :c f;�,t4' a1 , Electrical May 3, 1999 D THRU TROY FAIN INSURANCE, INC. BOND TOTAL DUE Date Date APPROVED: Zoning Building Mechanical Plumbing Structural Engineer N a) co as a_ 0 w 1— Q BUILDING MIAMI SHORES VILLAGE, FLORIDA ELECTRICAL ING o PERMIT ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building NT .,4 T. ❑ Work to be performed c"Vt? r• , M QS� -ec 17, ell 1? D JD / - 1 /D s4c._ —✓� B1. b✓ Paz fie. 96 S f R or BUILDER N_ 44335 Date under this Permit, h5 ?a / /!LV ex t1 !'.lfc�,s' Q Y OrYIlL� /,.Qrl' Lr1 y l e) l4 ! C/it O 11 S /lite IU.f f. 1.21)› permit: /3 , !4 oP Subdi heN44. eC vision Cbr 7 Sq. Ft. Value of Project $2. � 0 9O 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 applica- tion berefor io 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 plats, 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 whet9er shown on the plans or drawings or in the statements or specifications and that be assumes re.pon• sibiliry for work done by his agents, servants or empj y s Signed • (INSPECTOR) BY to consideration of the issuance to me of this permit ! agree to perform the work covered hereunder in compliance with all ordinances and regulation, pertaining theret• a ts 1 let co• ormity with the plaos, drawings statements or specifications submitted to the proper authorities of Miami Shores Village. In acceptia ith'' � ssu responsibility for all work done by tither, myself, my agent, servant or employee. BY AUTHORITY Contractor's License No. i Amount of qv 11 Permit $ 9•3:) --- 19 ,. ITEM BATH IE UNIT FEE ITEM SWITCH CUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT CUTLETS CENTRAL HEATING OISHWASriER RECEPTACLES A/C (WIND) OISPOSAL SERVICE WORMY A/C (CENTRAL) 0R I NK I NG FOUNTAIN SERVICE SIZE IN AMPS a?a,A / DUCT WORK FLOOR CRAIN SERVICE REPAIR/1ETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS ANO PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUM;RY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT/3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK. RESIOENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK. SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATCRS TE4PCRARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTDAS URINAL _ MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS • HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRAHORM¢RS _ LAWN SPRINKLER -WELL SPECIAL PURPOSE _ SWIMMING POOL � ' OUTLETS COMMERCIAL WATER SERVICE • SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY-SEWER SIGN TIME CLOCX UTILITY-WATER F IX1LRES _ SEPTIC TANK ANTENNA ' RELAY TELEVISION OUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION _ PUMP & ABANDON SEPTIC TANK REINSPECTION 1 SOAKS PIT CU. FT. CATCH BASIN 7{A-.' d 94/ . o I SCARCE WELL Phiew e &A rs - 3 OOMIEST IC WELL AREA MAIN ROOF INLET SOLAR WATER HEATER . FIRE STANOP IPE POOL PIPING LAWN SPRINKLER SYSTEM GAS R�`C•.c 1 METER SET (GAS) . GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR 3UILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE ?RESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL M Permit No../ 6 7 s MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date �� @< Application is hereby made for the approval of the detailed statement of the plans and specifications herewith :(ubmitted' the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name,... . Location and Legal Description Lot . ' Block No. .. /.,2,e� Street /WV A No. _ jl.c / ° Street. /1 -4 ` Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) –. New Building Remodeling Y Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $. The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to licensed by Miami Shores Village. ES. (Signed) Electrical Inspector ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are Maaf"" Electrician. STATE OF FLORIDA, l COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK / . " SERVICE f A f ENT. SW. DIST. CAB. TEMP. SERVICE PERM. M OTORS 0.1 HP M OTORS 1.5 HP N EON TRANS. RADIO TOTAL CONTR. LIST • CHECK M Permit No../ 6 7 s MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date �� @< Application is hereby made for the approval of the detailed statement of the plans and specifications herewith :(ubmitted' the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name,... . Location and Legal Description Lot . ' Block No. .. /.,2,e� Street /WV A No. _ jl.c / ° Street. /1 -4 ` Subdivision Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) –. New Building Remodeling Y Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing B.X.L .Metal Moulding Amount of Permit $. The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to licensed by Miami Shores Village. ES. (Signed) Electrical Inspector ccepts his obligations as an employer of of Florida Permanent Supplement, and subcontractors employed by him in the of the work such public notice or notices be performed under this permit, as are Maaf"" Electrician. STATE OF FLORIDA, l COUNTY OF DADE. 1 Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Permit No._i_O_ _e0 p Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 4 ss. /,1 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ; ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement o f the plans and specifications herewith s mitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. f� / Owner's Name and Address____ L�ll/�Z� 21 7 No � Q (6 treet____ 1 Registered Architect and /or Engineer Employing Electrician's Name____ _ Location and Legal Description Lot Street and Number where work is to be performed —N State work to be performed and purpose of building (By Floors)__ New Building —_____ Remodeling Addition_________- __ Repairs No. of Stories Block Service Overhead Underground Size Feeders _______ Conduit ____________Main Sw._______________________Amps Main Fuses___________________ _Amps Type of Installation—Conduit ______ ________:_Tubing_______ _ B.X.L._ _._ Metal Moulding____ ______ _______�____�_�_�— _______ = - ��- --` -L (Signed) —_ — - -- - - -- — — — — Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed)._ ate._ No .111 ____ S 4 Street_______ (J Subdivision _Street__—__!___ �� _ LSD Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared_ 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. $W. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No._i_O_ _e0 p Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. 4 ss. /,1 MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ; ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement o f the plans and specifications herewith s mitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. f� / Owner's Name and Address____ L�ll/�Z� 21 7 No � Q (6 treet____ 1 Registered Architect and /or Engineer Employing Electrician's Name____ _ Location and Legal Description Lot Street and Number where work is to be performed —N State work to be performed and purpose of building (By Floors)__ New Building —_____ Remodeling Addition_________- __ Repairs No. of Stories Block Service Overhead Underground Size Feeders _______ Conduit ____________Main Sw._______________________Amps Main Fuses___________________ _Amps Type of Installation—Conduit ______ ________:_Tubing_______ _ B.X.L._ _._ Metal Moulding____ ______ _______�____�_�_�— _______ = - ��- --` -L (Signed) —_ — - -- - - -- — — — — Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be p osted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ( Signed)._ ate._ No .111 ____ S 4 Street_______ (J Subdivision _Street__—__!___ �� _ LSD Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared_ 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Amount of Permit $_. Permit MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and/or Engineer Employing Electrician's Name ere oil i f.... SS. ELECTRICAL INSPECTION DEPARTMENT 24:14Liit ..(Signed) Block (Signed) `■;" Location and Legal Description Lot_ Street and Number where work is to be performed—No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs No. of Stories Overhead Service und Size Feeders Conduit. _ Main Sw . Amps. Main Fuses Amps. Undergro Type of Installation—Conduit Tubing B.X T Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or. notices as are required by the Act. The under signed agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Date_ ,L — . 3 - A Street Subdivision STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and taki acknowledgments, personally appeared to me well known, and who, being by me first duly sworn. upon oath deposes and says that he is 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. My Commission Expires Notary Public. State of Florida Master Electrican. NOTE : A re-inspection fee of $1.00 will be made ' when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE . P . T'S FIXTURES NO.LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL . CONTR. LIST CHECK • . ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS MOTORS 04 HP 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST • 971/141344... . CHECK Amount of Permit $_. Permit MIAMI SHORES VILLAGE APPLICATION FOR ELECTRICAL PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Registered Architect and/or Engineer Employing Electrician's Name ere oil i f.... SS. ELECTRICAL INSPECTION DEPARTMENT 24:14Liit ..(Signed) Block (Signed) `■;" Location and Legal Description Lot_ Street and Number where work is to be performed—No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition.. Repairs No. of Stories Overhead Service und Size Feeders Conduit. _ Main Sw . Amps. Main Fuses Amps. Undergro Type of Installation—Conduit Tubing B.X T Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966. Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or. notices as are required by the Act. The under signed agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Date_ ,L — . 3 - A Street Subdivision STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and taki acknowledgments, personally appeared to me well known, and who, being by me first duly sworn. upon oath deposes and says that he is 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. My Commission Expires Notary Public. State of Florida Master Electrican. NOTE : A re-inspection fee of $1.00 will be made ' when such re-inspection is made necessary by improper notice for inspection, or faulty materials and/or workmanship. Permit No 1 Owner's Name and Address Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT L i 94 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. STATE OF FLORIDA, COUNTY OF DADE. jt ss' fl/ 51404E) U 4614,) ,4 c/4 61- ro 7 Li i tjto CA. p4® h!J4 61 d Registered Architect and /or Engine Employing Electrician's Name Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling_ Addition.. Repairs No. of Stories Service Overhead Size. Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied .with the provisions thereof, and will require similar compliance from all contractors or sub contractors employed by him in the work to be 'performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and Street No 1 2 1 Street v- u 6 / Street' ' Subdivision aster Electrician. take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 3 / / / CHECK • ENT. SW. DIST. CAB. SERVICE TEMP. SERVI P ERM. f1 DE ED F�F. ` O P ASO ()IA) S lr m T IV4S- MOTORS O.1 HP MOTORS 1.S HP NEON TRANS. • RADIO TOTAL CONTR. LIST , O °ll / / CHECK Permit No 1 Owner's Name and Address Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT L i 94 Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. STATE OF FLORIDA, COUNTY OF DADE. jt ss' fl/ 51404E) U 4614,) ,4 c/4 61- ro 7 Li i tjto CA. p4® h!J4 61 d Registered Architect and /or Engine Employing Electrician's Name Location and Legal Description Lot Block Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors) New Building Remodeling_ Addition.. Repairs No. of Stories Service Overhead Size. Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied .with the provisions thereof, and will require similar compliance from all contractors or sub contractors employed by him in the work to be 'performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and Street No 1 2 1 Street v- u 6 / Street' ' Subdivision aster Electrician. take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT I�( APPLICATION FOR ELECTRICAL PERMIT ` `� Permit No I Date // /� • "�� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami •Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address , AA Soda e e3hso Ee /R,J Registered Architect and /or En ±4 Employing Electrician's Name.. O 9 4 144 6 O & Amount of Permit $. 60 STATE OF FLORIDA, } COUNTY OF DADE. ss. /4✓44119No ‘ ' No 7S -5 Street 1119 t Acf Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No z) / Street State work to be performed and purpose of building (By Floors) New Building Remodeling.. Addition e� Repairs No. of Stories Service Overhead on Size Feeders Conduit Main Sw Am s Main Fuses • Underground p Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of - labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contrac • ., on w rk to perform under this permit, as are licensed by Miami Shores Village. (Signed).... ff. .:`a Master Electrician. administer . oaths Street A' 9 9 Si Amps Before me, the undersigned authority, a notary public, duly authorized to appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. and take acknowledgments, personally My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS ( LIGHT UTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. IST LIST CHECK J ( 2,S .....-- ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1•5 HP N EON TRANS. RADIO TOTAL CONTR. LIST • CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT I�( APPLICATION FOR ELECTRICAL PERMIT ` `� Permit No I Date // /� • "�� Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami •Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address , AA Soda e e3hso Ee /R,J Registered Architect and /or En ±4 Employing Electrician's Name.. O 9 4 144 6 O & Amount of Permit $. 60 STATE OF FLORIDA, } COUNTY OF DADE. ss. /4✓44119No ‘ ' No 7S -5 Street 1119 t Acf Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No z) / Street State work to be performed and purpose of building (By Floors) New Building Remodeling.. Addition e� Repairs No. of Stories Service Overhead on Size Feeders Conduit Main Sw Am s Main Fuses • Underground p Type of Installation — Conduit Tubing B.X.L Metal Moulding (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of - labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub•contrac • ., on w rk to perform under this permit, as are licensed by Miami Shores Village. (Signed).... ff. .:`a Master Electrician. administer . oaths Street A' 9 9 Si Amps Before me, the undersigned authority, a notary public, duly authorized to appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. and take acknowledgments, personally My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. STATE OF FLORIDA, l OF DADE. COUNTY . ELECTRICAL INSPECTION DEPARTMENT Q / APPLICATION FOR ELECTRICAL PERMIT Permit Date___,,r___Q 42/!7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ __JS1t_____ No Street_ Registered Architect and /or Engineer Employing Electrician's Name____ No. __ __!a ____ Street_______�� Subdivision____ f' S. Location and Legal Description Lot ___________— __________________ Block Street and Number where work is to be performed —No. U__ r'_1I�t , / __ $J Street. State work to be performed and purpose of building (By Floors) -- New Building____ _______ Addition Repairs No. of Stories n Service Ov er der hea g d roun Size Feeders Conduit_ _Main Sw.______ Amps Main Fuses Amps Type of Installation — Conduit_ ______Tubing _____B.X.L. Metal Moulding_ __________ MIAMI SHORES VILLAGE (Signed) _ IL/ yv,ti lectrical L- lectrical Inspector. The undersigned applicant for this building permit does hereby certify that nderstands and accepts his of, tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co sled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly a uthorized to administer oaths and take acknowledgments, personally appeared_ 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE BERM. MOTORS 0-1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST IST / ✓/ CHECK STATE OF FLORIDA, l OF DADE. COUNTY . ELECTRICAL INSPECTION DEPARTMENT Q / APPLICATION FOR ELECTRICAL PERMIT Permit Date___,,r___Q 42/!7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address_ __JS1t_____ No Street_ Registered Architect and /or Engineer Employing Electrician's Name____ No. __ __!a ____ Street_______�� Subdivision____ f' S. Location and Legal Description Lot ___________— __________________ Block Street and Number where work is to be performed —No. U__ r'_1I�t , / __ $J Street. State work to be performed and purpose of building (By Floors) -- New Building____ _______ Addition Repairs No. of Stories n Service Ov er der hea g d roun Size Feeders Conduit_ _Main Sw.______ Amps Main Fuses Amps Type of Installation — Conduit_ ______Tubing _____B.X.L. Metal Moulding_ __________ MIAMI SHORES VILLAGE (Signed) _ IL/ yv,ti lectrical L- lectrical Inspector. The undersigned applicant for this building permit does hereby certify that nderstands and accepts his of, tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Co sled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, the undersigned authority, a notary public, duly a uthorized to administer oaths and take acknowledgments, personally appeared_ 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. JOB: •BUILDING • • ELECTRICAL PLUMBING /• Inspector's Repo • WORK / • DONE BY C! lit% • AD: REQUESTED The following is ready for Inspection: 0 : • • • • • • : • • • • WILL BE READY JOB: BUILDING • PLUMBING.- . >// / \■ / Inspector's Report: 1 WORK - DONE BY • REQUESTED The following is ready for inspection: - • 4 ,1 / n , WILL BE READY • t? ,• JOB: ADD: V : WORK BUILDING • : DONE BY: • • • ELECTRICAL : • REQUEST FOR INSPECTION • • WAS MADE • PLUMBING • /Q ; • Inspector's Report: - • • • • • • • • • lir The following is ready for Inspection: - NOTE: REQUESTS FOR INSPECTIONS MUST BE MADE BY THE CONTRACTOR PERFORMING THE WORK. WILL BE READY MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No / 6 3 j Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. i Owner's Name —d Address r �� 1 .p �I! .fl / ,yam � A ` No. - - -f_ , ' - -� ' �4�K Street Registered Architect and /or Er gineerr _ Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be State work to be permed and purpose of building (By Floors) New Building Remodeling Addition FJ Overhead / // / Service Underground Size Feeders / Conduit_ _ Main Sw Type of Installation— Conduit Tubing Amount of Permit $_______ STATE OF FLORIDA, COUNTY OF DADE. ss. performed —No... / ie Before me, the undersigned authority, a notary public, duly appeared to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires N0 BI ck Subdivision_ Street 1 - -_ -t Repairs No. of Stories____. B.X.L. Metal Moulding (Signed) (Signed) Date Amps. __________________ Main Fuses___d Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. � vv lr/ • authorized to administer oaths and take acknowledgments, personally deposes and says that he is the foregoing application, and that he did sign the same, and that all facts Notary Public. State of Florida Street — L - — - - - -- - Master Electrican. Amps. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H EATER W. HEAT. CONN. SPACE H EATER STRIP HEATER TOTAL CONTR. LIST , / � / g / / ( /,, CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No / 6 3 j Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. i Owner's Name —d Address r �� 1 .p �I! .fl / ,yam � A ` No. - - -f_ , ' - -� ' �4�K Street Registered Architect and /or Er gineerr _ Employing Electrician's Name Location and Legal Description Lot Street and Number where work is to be State work to be permed and purpose of building (By Floors) New Building Remodeling Addition FJ Overhead / // / Service Underground Size Feeders / Conduit_ _ Main Sw Type of Installation— Conduit Tubing Amount of Permit $_______ STATE OF FLORIDA, COUNTY OF DADE. ss. performed —No... / ie Before me, the undersigned authority, a notary public, duly appeared to me well known, and who, being by me first duly sworn, upon oath of the above described construction, that he has carefully read the therein by him stated are true. My Commission Expires N0 BI ck Subdivision_ Street 1 - -_ -t Repairs No. of Stories____. B.X.L. Metal Moulding (Signed) (Signed) Date Amps. __________________ Main Fuses___d Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. � vv lr/ • authorized to administer oaths and take acknowledgments, personally deposes and says that he is the foregoing application, and that he did sign the same, and that all facts Notary Public. State of Florida Street — L - — - - - -- - Master Electrican. Amps. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of),: Building �'' Architect Contractor or Builder Legal Lot Description Work to be performed under this Permit fA9' _dOVT1ACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE •,�' f ••- PERMIT N9 3876 .7. Bl. t . Subdi- vision Contractor's License No • r BY AUTHORITY 1 94 kddress of 'b.x, , � , �y_' �`' lR Value of �.� i Amt. of {, 3uilding 21 f Y f 1 r /'A '3' Project h tr' '' Permit >, '� ;. d 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 ,plication herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed' in compliance '..th any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may 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 an which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of ordinances and regulations pertaining to the work covered hereby whether shown on the plans oe.drawings or in the statements or specificatigys and • he assumes responsibility for work done by his agents, servants or employees. ! . - ,�' G "` Signed• k -,... .0" '", = By INSPECTOR In consideration of the issuance to me onthis permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- pertaining thereto and ; in strict ca" tormity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores •e. In ccepting• thin ,ermit I + for all work done by either myself, my agent, servant or employee. BUILDING ❑ ELECTRICAL PLUMBING ❑ ROOFING Owner of Building PERMIT N° 14221 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II BL Description Address of Building - t MIAMI SHORES VILLAGE, FLORIDA Subdi- vision Value of Project $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment w herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perfor drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. T time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further c granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that done by his agents, servants or employees. Signed • s + ,. BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance 1 pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper aul In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY DATE / " — 195 Contractor's License No AI Pe A 0 O. nV I ritJaL 1 BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA DATE Or � PERMIT N9 3399 Work to be performed under this Permit Owner of ") %� /' Building � t� �a .� 4 Architect Contractor or Builder Legal Description Address of Building Lot BI. Subdi- vision Value of Project Contractor's License No. WARNING: This Construction may be In violation of War Producflon Board General limitations Order `s You are cautiorrfd to consult your War Prode, ion before starring the An.{ alit o z in Amt. of ( r) Permit /' �... CONTRACTOR OR BUILDER BY AUTHORITY 4.-J' 'y; 194_ 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 regula- tions 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. BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Bl. Description Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT ■9 3399 Work to be performed under this Permit Subdi- vision Value of Project WARNING: This Construction may be in vintager (If War Production Boara General _ionitet 0 (. 'eou are cautioned to consult your War Pionuc,�oii Soard office before starting the worst author.re in _ills 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 regula- tions 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. DATE ..s Contractor's License No. Amt. of Permit x / t, Project ' i 194 BUILDING ELECTRICAL PLUMBING PERMIT N9 3399 Owner of Building - MIAMI SHORES VILLAGE, FLORIDA Work to be performed under this Permit Bl. e v� 1 Architect Contractor or Builder Subdi- vision Value of Project DATE Contractor's License No. VAPNING: This Construction may he in violation tfi Vb' P IUJUGl 1 Uf1 13Ud1J benef Millet . LUIS Gtd You are cautioned to consult your War Production 3oi,rd office before starting me worts authorized m pis permit. Amt. / Permit / y CONTRACTOR OR BUILDER BY AUTHORITY / !- 194— / Legal Lot Description Address of Building 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 regula- tions 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. ,I N G ----cC CTRICAL PLUMBING Owner of 9uilding Architect Contractor , . , „�,, or Builder Legal Lot Bl. Description Address of 4r i Building - --' ., w " i 1:1 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 tlie,respottsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on 'the plans or drawings; of. is the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. f y w Signed. 1. t ,f 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 regula- ions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores 'illage. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N° 1631 Work to be performed under this Permit V Subdi- vision Value of Project DATE / 9 Contractor's License No. Amt. of '. -, Permit 1 / ^ IIY AUTHORITY 194 2 JILDING -LECTRICAL PLUMBING ROOFING U . Work • • - • = rformed under Ovvner of Building Architect Contractor or Builder Legal Description Address of Building This permit is granted to the contractor or bui er named above herefor in strict compliance with all ordinances pert ring thereto and drawings, statements or specifications that may have een submitted to a time if the work is not done in compliance with such ordinances or if the granted is the understanding that the contractor or builder named above pertaining to the work covered hereby whether shown on the •lans or d done by his agents, servants or employees. In consideration of the issuance to m pertaining thereto and in strict conformity wi In accepting this permit I assume responsibility for ,/CONTRACTOR OR BUII(DER a MIAMI SHORES VILLAGE, FLORIDA PERMIT IT? 11261 Bl. r� y Permit Subdi- vision Value of Project $ DAT Contra of s Licens : No • Amt. of Permit $ rrb'Er"uu building or to install the equipment or device desc bed in + a appli the unde tanding that the work will be performed in compliance with any s, d approved b the proper municipal authorities. This Permit may be revoked ZT' any lans are Than ed without authorization. A further condition upon which this permit is ssumes the responsibility for a thorough knowledge of the ordinances and regulations ings or in e statements or specifications . • r + - resjonsibility for work INSPECTOR perform the work covered hereunder in complia• with all ordi ces and regulations tements or specifications submitted to the pro r authorities AOf iami Shores Village. either, my agent, servant,or employee. • c. ▪ BY ` , ; 4 ! / t ' X Pi lf f AUTHORITY Signed• construct th . the and pproved s are ch mes the i ngs or in Subdi- vision Value of Project $ BUILDING ELECTRICAL ❑ ' PERMIT PLUMBNG ROOFING ` Wor be pe ormed under this Permit Owner of Building Architect ,rmw. Contractor or Builder o 4 Legal Lot Description. Address of Building t I bRIUILD MIAMI SHORES t istoti Bl. (-- a IT? 11136 This permit is anted to the contractor or builder named above herefor in strict compliance with all ordinances pertaining thereto and wi t drawings, statements or specifications that may have been submitted to an d time if the work is not done in compliance with such ordinances or if the pia granted is the understanding that the contractor or builder named above a s pertaining to the work covered hereby whether shown on the plans or dra done by his agents, servants or employees. VILLAGE, FLORIDA mg or t ins the equipmen or device de ng that the work will be performed in co proper municipal authorities. This Permit ithout au sibility fo statements o INSPECTOR In consideration of the issuance to me of this permit - . to y rform the work covered hereunder in compliance with all ordin pertaining thereto and in strict conformity with the plans, drawings, ments or specifications submitted to the proper authorities In accepting this permit I assupe -responsibility for all work done by either, myself, my agent, servant or employee. t BY DAT Contractor's License No zation. A further condition upon rough knowledge of the ordinances and regulations ations a 'I I t he assumes responsibility for work AUTHORITY ces and re ami Shores e app ncatlan th any plans, yoked at any this permit is Lions llage. KNOW ALL MEN BY THESE PRESENTS: CERTIFICATIONS AND DECLARATIONS OF RESTRICTIVE COVENANT IIIIIII CFN 2003R04-98916 OR Bk 21445 P9s 2959 - 2961; (3c9s) RECORDED 07/22/2003 09:59:54 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY! FLORIDA WHEREAS, Miami Shores Presbyterian Church, a Florida non - profit corporation (the "Owner" or "Declarant ") is the owner of the following described property (the "Property') situated and being in Miami Shores Village, Florida Lots 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10, Block 61 and the 15 -foot alley running east and west through said Block 61, Miami Shores, Section 2, according to the Plat thereof, recorded in Plat Book 10 at page 37 of the Public Records of Miami -Dade County, Florida, and WHEREAS, the Owner, together with Metro PCS California /Florida Inc., a Delaware Corporation, (hereinafter "Applicant ") with the consent of the Owner, has applied to Miami Shores Village, a Florida municipal corporation ( "the Village ") for a wireless personal telecommunications services antenna permit, pursuant to Chapter 22 of the Miami Shores Village Code, and otherwise; and WHEREAS, the Owner and Applicant desire to provide certain assurances and certifications to the Village; NOW, THEREFORE, the Owner and Applicant each jointly declare and certify as follows: 1. Title. Owner and Applicant have provided evidence as to the status of title to the Property to the Village. 2. Continuous Compliance. The Owner and Applicant hereby covenant and certify that the wireless personal telecommunications services antenna proposed for the Property will be made continually compliant w ith all p resent and future promulgated safety I aws, rules a nd regulations concerning electromagnetic frequency emissions standards promulgated by governmental authorities having jurisdiction over the Applicant and the operations of the antenna facility, or similar safety standards for other wireless communications media transmissions. The Owner and Applicant hereby acknowledge the right of the Village to require immediate removal of any wireless personal telecommunications services antenna upon the Property which does not meet such safety rules and regulations. 3. Non - Interference. The Owner and Applicant also covenant and certify that any of Applicant's wireless personal telecommunications services antennas proposed for the Property will not interfere with public safety communications, and further, will not unreasonably interfere with the reception or transmission of television, radio, microwave, telephone, digital or similar communications signals or receipt of signals of nearby residential or business residents. The Owner and Applicant acknowledge the right of the Village to require, if necessary, frequency relocation agreements. 4. Multiple Accommodations. The Owner and Applicant covenant and certify that the design, structure or installation of the Applicant's wireless personal telecommunications services antenna facility proposed for the Property will be such as to accommodate at least two (2) wireless personal telecommunications services antenna facilities of other providers, on a non- discriminatory basis, after applicant's installation, in the manner depicted on Exhibit "A" which is attached hereto and made a part hereof, to avoid duplication of the erection of wireless personal telecommunications services antenna towers throughout the Village. Applicant and Owner undertake no obligations hereby to assure utilization of the structure by other service providers and Applicant and Owner expressly disclaim any right of power to control or dictate any o they service p roviders' choice or d esign of proposed facilities for this structure. The Applicant will not oppose and Owner covenants and certifies that it will permit co -use of the wireless personal telecommunications services antenna structure upon the property by at 5. Attorney's Fees. The Owner and Applicant hereby covenant and certify that the prevailing party shall be entitled to recover its reasonable costs and attorney's fees in the event any litigation is brought to enforce the provisions of this Declaration and Certification. 6. Binding on Successors. The Owner and Applicant covenant and certify that this Declaration and Certification shall be binding upon the Owner, the Applicant, and each and all of their respective successors and assigns and that they shall faithfully observe and perform hereunder, for so long as Applicant operated its antenna facility on the Property. IN WITNESS WHEREOF, Sh,e undersigned have caused this instrument to be executed and delivered on this 27 day of WHEREOF,/ le , 2003 . WITNESSES: veL.h.W BY:� Signature /� r•Q J_ /�XCJ 14 /re ATTEST: dila-lib Cl�.`�+� -J 4 • 1 Print Name Print Name CertificationsandDeclarations least two (2) wireless personal telecommunications services providers, in addition to Applicant, on a non - discriminatory basis. Owner and Applicant acknowledge and agree that unreasonable refusal to permit co -use shall constitute a violation of Section 22 -42 of Miami Shores Village Code and may result in the Village revoking any wireless personal telecommunications services antenna tower approval and seeking a mandatory injunction to compel removal of any wireless personal telecommunications services antenna, in addition to all other remedies available to the Village for violations of its code of ordinances, and any other remedy available under the law. OWNER: iami shores Presbyterian Church STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing instrument was sworn to and subscribed before me this 2 —1 da of , 200 3 by Pekir 6aO5 , as 1MS+ and 11)c Q UiOVV\P,( as , OS \eSS' O(\Ogfr , of the Miami Shores . Presbyterian Church, on behalf of the corporation for the purposes therein expressed., They are ., .`4 personally known to me or have produced and ,V4!:!,1 My commi O , 1/4P pv cu OFFICIAL SEAL `, DONALD L MC LUKE 1 » COMMISSION NUMBER ges: CC996194 Q- MY COMMISSION EXPIRES OF F.O JAN. 23 2005 STATE OF FLORIDA COUNTY OF MIAMI -DADE Approved: Village Attorney ss: as identification and did take an oath. ss: APPLICANT: Metro PCS California /Florida In BY: Jt /e-(6C4,1). Notary Public Print Name & Title: ► (Gcn r -11 \W /rim- Ft ea The foregoing instrument was sworn to and subscribed before me this )9 of . 3 - 1AM.1L , 20Q3_ by Fro" ke—lt 11 as 1,Rie,M. of Metro PCS, on behalf of the corporation for the purposes therein expressed. 0j /She is pe, nknown to mellir‘a. f WwW°`' — — — = :f MICHAl16 LINBT vs Notary Public , Slat of Florida MyCorr,misslon ExolsOct 10, MI6 CommIsslon II DD157490 Bonded By National Notary Assn, ._ For Miami Shores Village this day of , 200 as identification and did take an oath. 996 Nota� Public Y By: • I ding OffITr OR BK 21445 PG 2961 LAST PAGE J Alnt[ ke.f (•j ,JL 00050 N. E. 2No AVENUE F L O R I D A 33138 Trbe, cmC mow Sores V ■t k -C{e tooSo 6,N A - V\\01A, 5Voves , FL 33 B? c o tt �i O a �) Gi]UG�L2C! �� F-‹ 1 � r tgV *. � , U.S. POSTAGE wai1 P ®5523644 E 2073 @0© 1 8 4 2 CallUED FROM 8(P COD 3 3 1 0 1 / / Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/1/2004 Applicant: Owner: JOB ADDRESS: 602 NE 96 Parcel # 1132060141410 Permit Status: APPLIED Permit Expiration: 8/15/2004 Construction Value: $6,000.00 Work: ANTENNA ADDITION TO EXISTING WIRLESS COMMUNITY Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2004 -213 ST BY: Page 1 of 1 Contractor MCQ CONSTRUCTION SERVICES INC Contractor's Address: 20185 ESAT COUNTY CLUB DR #204 Local Phone: Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: FEE2004 -2185 FEE2004 -2186 FEE2004 -2187 FEE2004 -2188 FEE2004 -2189 FEE2004 -2190 FEE2004 -2195 Description Building Fee CCF CO /CC Training and Education Fee Technology Fee Scanning Fee Structural Fee Total Fees: Amount $180.00 $3.60 $50.00 $1.20 $4.50 $21.00 $50.00 $310.30 Total Fees: $3:14 Total Receipts: $O0 A60. 30 6 L..4655 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. 0S 13 BUILDING PERMIT APPLICATION FBC 2001 Miami Shores Village 11- 13°1 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Job Address (where the work is being done) City Miami Shores Village County Miami-Dade Is Building Historically Designated YES NO > Permit No. e319 .9f) o c2. Master Permit No. Co 02. (■I a 1(0 si' ee �- - Permit Type (circle): Building ) Electrical Plumbing Mechanical Roofing Owner's Name ee Simple Titleholder )M p >M Ian/lc - Ski) fe k�s6,91.erT � Phone # 3o :- 1 S I:- 630,6 Owner's Address (Linz ki E. (,Q +� S ee r Citta_MISheLS State FLo r I c (.A_. Zip 3 St 3 d ir Tenant/Lessee Name 7 YV ire e 55 <serVI ce L.. L . C . Phone # 4 1 — fo G1 - S 69 Zip 3313g Contractor's Company Name M CC l Consku () y S V v(cfp # Contractor's Address )-- C) 1 8' S P- • Coo-n (.. l v .I A r \ Ve - Z 0 4_ City Ik \le A bra State FLa r 1 d.q Zip 3 3 1 70 Qualifier P\ l o 0 Yl Z- 1 C2., Architect/Engineer's Name (if applicable) M -G Eng " l O11 & ✓l3 Phone # SOS— S — g g $Value of Work For this Permit ( Type of Work: Addition ❑Alteration ['New `- 1:1 Repair/Replace ❑ Demolition gM Describe Work: /";' e r rot i4-Qko (H'Q n 1 extsfi gg l r e .e ss CommUni - .c.ift't - -9� can chv�'G 6{eQp Le Ta C.6'C -C, r �/T— /[ clef C,/74 3 ,/' -env 441A/A- * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ �7 CCF $ ‘O CO/CC 5 Notary $ Training/Education Fee $ / i 8 Technology Fee $ t, J Scanning $ p ''' Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ 53.00 lit 40S 13 pa lCL \ Total Fee Now Due $ (Continued on opposite side) Square Footage Of Work: Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNAC BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of com Eencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued It ie ence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ' L// ' ' ' Signatur Age The foregoing instr untnt'C'as ackno day of �eit , 20 , by is personally known me or who has produced APPLICATION APPROVED BY: Chc 12/15/03 Contractor The foregoin instrument was acknowledged before me this )4. day of .e 206si , by& .0 GA/Y2Cd? , is personally known t me or who has produced entification and who did take an oath. identifi ation artdiwl did take an oath. o�t'r " •`a'- P eter Sobel = ?' �; Commission #DD246889 ,, , -,•v. , " Expires: Sep 03, 2007 ' ,, ° ,F.-i;� Bonded TI. Atlantic Bonding Co., Inc. before me this 16 L ier Sobel NOTARY P Lonnmssion #DD246889 My Commission Expires:g , � My Commission Expires1)3) (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. * * * *** * * * * * ** * ** * ***** **** ***** * *** ***** *+k #* ' * * * * * ** * * *** * ** ** * * ****** * #****** *#***** *** * ** * * ** * ******** AR - 1 2004 `h1lGo f»' Examiner Engineer Zoning February 16, 2004 Miami Shores Village Building Department 10050 NE 2 Avenue Miami Shores, Florida 33138 RE: Letter of Intent Miami Shores, M -139 To Whom It May Concern: AT &T Wireless Services (AWS) is installing a new base station cabinet and antennas on an existing AT &T Wireless Communication Site located at 602 NE 96 Street, Miami Shores, Florida. The folio number for the site is 11- 3206 - 014 -1410. Sincerely, F-4 Erika Babineaux Building Permit Specialist MACTEC MACTEC Engineering and Consulting 5845 NW 158th Street • Miami Lakes, FL 33014 305 - 826 -5588 • Fax: 305 - 826 -1799 www.mactec.com Primary Zone: 2003 6800 PROFESSIONAL OFFICE CLUC: $297,771 0044 RELIGIOUS Beds/Baths: $2,505,392 0/0 Floors: $2,803,163 1 Living Units: $2,803,163 0 Adj Sq Footage: $2,803,163 47,457 Lot Size: $0 85,168 SQ FT Year Built: 1958 Legal Description: _BLK MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC 61 LOT SIZE IRREGULAR Year: 2003 2002 Land Value: $297,771 $297,771 Building Value: $2,505,392 $2,368,337 Market Value: $2,803,163 $2,666,108 Assessed Value: $2,803,163 $2,666,108 Total Exemptions: $2,803,163 $2,666,108 Taxable Value: $0 $0 Folio No.: 11- 3206 - 014 -1410 Property: 602 NE 96 ST Mailing Address: NORTHEAST PRESBYTERIAN CHURCH U S 602 NE 96 ST MIAMI FLA 33138 -2742 Miami -Dade My Home -Text My Home. lam "dade.ga Show Me: Property Information - Text Search By: 'Select Item!(_ Address Search 'Enter the address and click "LOCATE ". Use the Tab key to switch between fields or click using the mouse. House Number: 1602 (NE I _. Street Name: 196 <none> Direction: Street Type: Unit (opt): Zip Code (opt): 1 Page 1 of 1 Go to property map Summary Details: ' Print friendly version Property Information: Sale Information: Sale O /R: Sale Date: Sale Amount: 0/0 $0 Assessment Information: %9; We appreciate your feedback, please take a minute to complete our survey. My Home 1 Property Information 1 Property Taxes 1 My Neighborhood 1 Property Appraiser Home 1 Using Our Site 1 About 1 Phone Directory 1 Privacy 1 Disclaimer tip If you experience technical difficulties with the Property Information application, please click here to let us know. E -mail your comments, questions and suggestions to Webmaster Web Site © 2002 Miami -Dade County. All rights reserved. MI. http: / /gisims2.co.miami -dade. fl.us /myhome /proptext. asp ?app= none &bytool = none &cmd =F... 10/1/2003 , ?MACTEC RE: Site # M139 Site Name: Miami Shores Site Address: 602 NE 96th Street, Miami Shores, FL Notification by AT &T of lease space modifications To Whom It May Concern: identification. Landlord Affidavit BY STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this whoa Title SEC 4' 7 o Ay Signature: Notary Public Print Name: Notary Public Mactec Engineering and Environmental Services, Inc. 5845 NW 158 Street, Miami Lakes, FL 33014 305 - 826 -5588, FAX 305 - 826 -1799 H-- L s 9 This letter does hereby authorize: MACTEC Engineering and Consulting, Inc. as our agent to submit an application for building permit or other permit. MIAMI SHORES PRESBYTERIAN CHURCHnt name of Ownership) 602 N.E. 96th Street Miami Shores, FL 33138-2742 Owners Authorization (Corporations) and other Entities For Submission of application for Building Permit or other permit. (Authorized Signature) Print name � ' P AD /i , 15f".4 ' — day of_lit_4CAN 20d , by o me has proiduced a driver's license as My Commission expires: p .0„„„„,,,, . (5Q / "�►tAo,a ^ tni", (Seal) ` ��` Ck� .... e • ,0∎ssiON • 'S - � & fiber 4 A �� IZ #DD 138328 • Q Please return to Mark B> p . ;4 .9„,da�+ �; l e Fax # 305- 826 -1799 "' ?fp , � Ap c .ii.: ' •• qti ° , : /ol o � lift 1 111 �t `\\\ • Dear Sir./ M AT &T Wireless Services (AWS) is currently performing a system Wide maintenance upgrade to our wireless sites in the South Florida market. AWS is upgrading' our aetwozk: • to enhance our data processing and transmission, bringing our customers a feature rich ...system with improved new services: • • We • have partnered with.. MACTEC Engineering and Consulting, Inc., • a • tel consulting firm based in Miami Lakes, to . assist us In :this • • .. . un MACTEC is managing our upgrades and • may require your. assistance .in obtaining the appropriate permits to complete the job. MACTEC has a difficult job ahead • of them and we would •appreciate your help in • obtaining the• permits necessary, for out system enhafl Please feel free to.contact me if you have any questions or concerns regarding this matter: • • Timothy Ballmer AT&T Wireless Project Manager lI Florida 5497 Office: 407 ATs�' Wireless Suite *22e • 500 Winderley Place" Maitland, FL 32751 ' . • • • September 8, 2003 Ms. Michelle Wayland -Smith Lucent Technologies 240 SW 145 Avenue Miramar, FL 33027 Dear Ms. Wayland - Smith, MACTEC Subject: Structural Assessment Letter Tenant - Improved Area Site Number M -139 — Miami Shores 602 N.E. 96 Street Miami Shores, Florida 33138 MACTEC Project No. 6788 -03 -0149 Task 15 MACTEC Engineering and Consulting, Inc. (MACTEC), formerly known as Law Engineering and Environmental Services, Inc. (LAW), has completed a limited evaluation of the effect of the additional loading caused by certain proposed equipment to be located within a tenant - improved area at the subject site. We understand that AT &T Wireless Services (AT &T) desires to install new telecommunications equipment within the tenant - improved area as part of its new UMTS system to be implemented in South Florida and has requested that we determine if the addition of the proposed equipment would adversely affect the structural performance of the supporting structural system. It is our understanding that AT &T has retained Lucent Technologies (Lucent) to provide turnkey services for the design and implementation of the UMTS system. We have been retained by Lucent to provide structural engineering services for the subject site. This assessment was based on published catalog information, information provided by Lucent, as well as information recorded during our field survey of the subject site. Our services were performed in accordance with your Master Service Agreement No. AT22000176 with LAW dated October 2, 2000 and your purchase order to MACTEC dated July 17, 2003. Since original structural drawings were not available for our review, we assumed a minimum design live load of 50 pounds per square foot (psf), which is the minimum recommended design load live load for normal occupancy rooms in accordance with the Florida Building Code, as well MACTEC Engineering and Consulting 5845 NW 158th Street • Miami Lakes, FL 33014 305 - 826 -5588 • Fax: 305 - 826 -1799 www.mactec.com Structural Assessment Letter September 8, 2003 Site No. M -139 Miami Shores MACTEC Project No. 6788 -03 -0149 Task 15 as the design load typically utilized in South Florida prior to the adoption of the Florida Building Code. We understand that the following equipment and accessories as proposed by AT &T are to be installed at the subject site: Quantity 1 Item Lucent Interior UMTS Cabinet Weight 578 lbs Based on the provided information, we understand that in addition to the proposed AT &T equipment, the following equipment is presently located within the tenant - improved area: Quantity Item Weight 6 RF Cabinets 3,300 lbs 2 A/C Units 400 lbs 1 CSU Rack 200 lbs 1 Batteries Rack 1,500 lbs 1 DC Power Rack 350 lbs 3 Nokia Cabinet 2,520 lbs The results of our analysis show that the total equipment weight is less than an equivalent total live load of 50 psf distributed over the entire area of the room. Therefore, it is our opinion that the addition of the proposed equipment would not adversely affect the structural performance of the tenant - improved area slab and its supporting structural system. Any conditions discovered that deviate from the information contained in this report should be presented to us for our review. This report has been prepared for the sole purpose of providing a structural assessment of this tenant - improved area for the loading conditions indicated. It is intended for the exclusive use of Lucent and AT &T. The information, assumptions and recommendations contained in this report should not be used by others for any purpose without the express written authorization from MACt'EC. We appreciate the opportunity to provide our professional services to Lucent and look forward to continuing our relationship. If we can be of any further assistance, please do not hesitate to call. Sincerely, MACTEC ENGINEERING AND CONSULTING, INC. Javier E. Jimenez Project Engineer 2 Total Weight = 7,910 lbs September 8, 2003 Martin H. Salm, P.E. Principal Engineer Registered, Florida 22787 1710 - 2170 MHz Broad Band An Frequency range (MHz) Gain Polarizodon Horizontal B bearnwkith Vertical 3d6 bearr!wid ' MET (AEDT) 1e Front- to-both-ratio 40 degree cone Front-to° ratio total po Suppression of fast upper side lobe (0* E First lower null fill Power �ho�_,. ..aavero re' inPut Power handing, avemee 43dBm (1(1800,1900 MHz) IM7 2 Tx @ 43dBrrl (2100 MHz) Typical IM7,27x@ Isolation between Pow Connector W' nu We 9ht Weight including tilt brackets Survival wind speed ;Ail network co mponents DC grounded for Lightning Protection Pole mount and downtik bracket are pre-mounted. Tilt range . 1'to +17' Comments ftegawcy band. Rodome color is KS 2502 � 7 0 3 5)C9roh. cuzM- 1710mo�5. -1t 1710 -2170 18dBi(16dBd) dual boar, +/ --45' <1.4:1 6. 0' >30dB >25dB >18dB < -20 dB typical 250W 500W <-107 dBm <-117 dBm >30 dB 7/16 DIN bottom mounted 1309 mm 1.5 ) 167 mm 6.6 89.5 mm /s 5 bs 01 k 22 I 70 m 1 156 mph) Typical Horizontal and Vertical 7721.00 Patterns ALLGON Base Station Antennas • (ui X 19 -A) enna 1710 -2170 19S dBi(175 dBd) dual inear,+/ -45 <1.4:1 5 -5 >30 dB >25 dB > 18 dB < -20 dB typical 250W 500W < -107 d8m <-117 dBm >30 dB 7/16 DIN bottom mounted 1934 mm 61") 167 mm 6.6") 89.5 (19 Ib 9 s) 70 m/s (156 mph) -0.4'to +10.6' Fora complete fist of released models pertaining to gain and electrical downdk, please see the quick reference guide on page 14. Typical Horizontal and Vertical 7722.00 Patterns October 9, 2003 Mrs. Michelle Wayland -Smith Lucent Technologies 240 SW 145 Avenue Miramar, FL 33027 MACTEC Re: Comparative Structural Load Evaluation Antennas Mounted Inside Church Steeple Site M -139 — Miami Shores 602 NE 96 Street Miami Shores, Florida 33138 MACTEC Project No. 6788 -03 -0149 Task 15 Dear Mrs. Wayland -Smith, MACTEC Engineering and Consulting, Inc. (MACTEC), formerly known as Law Engineering and Environmental Services, Inc. (LAW), has completed an evaluation of the effect on loading of the subject church steeple created by the addition of new antennas to existing antenna arrays. This evaluation was based on published catalog information and information provided by Lucent Technologies. The intent of this report is to assess the effect of the proposed addition upon the supporting structural system. Our services were performed in accordance with your Master Service Agreement No. AT22000176 with LAW dated October 2, 2000 and your purchase order to MACTEC dated July 17, 2003. This report summarizes the results of our fmdings. Our evaluation was based on the following proposed designations and configurations of antenna equipment to be installed as indicated by Lucent Technologies and as depicted in our construction drawings. Sector A B C Model Allgon 7721.00 Allgon 7721.00 Allgon 7721.00 FR90- 11- 00DAL2 Quantity 1 1 1 1 Weight / Sector 14.0 lbs 14.0 lbs 14.0 lbs 21.0 lbs It is our opinion that the effect of the maximum 35.0 lbs. per sector weight increase on the structural performance of the antenna mounts and/or supporting structure will be negligible. Since the proposed antennas will be mounted inside the existing church steeple, their addition will not result in an increase in the total wind loads resisted by the structure. MACTEC Engineering and Consulting 5845 NW 158th Street • Miami Lakes, FL 33014 305 - 826 -5588 • Fax: 305 - 826 -1799 www.mactec.com Area / Sector 2.3 sq. ft. 2.3 sq. ft. 2.3 sq. ft. 5.6 sq. ft. Elevation 95 feet AGL 90 feet AGL 95 feet AGL 95 feet AGL 1 We appreciate the, opportunity to provide our professional services to Lucent Technologies and look forward to continuing our relationship. If we can be of any further assistance, please do not hesitate to call. Report of Comparative Structural Load Evaluation — Site M -139 — Miami Shores October 9, 2003 MACTEC Engineering and Consulting, Inc. Project No.6788 -03 -0149 Task 15 Sincerely, MACTEC ENGINEERING AND CONSULTING, INC. Josh Wentz Project Engineer October 9, 2003 Martin H. Satin P.E. Principal Professional Registered, Florida 22787 1710 - . 2170 MHz Broad Band Ant Frequency range (MHZ) Gain Polarization SOD Horizon 3dB be am widtfi Vertical 3dB beamwidth MET (AEDn Front - to-bock -ratio e cos_le 40 nee cone Front- to ratio, total power Suppression of first upper side lobe (T E First lower null M Power hai ,,aPr._ Pbwerhanding, aver total Typical IM3, 2 T @ 43dBm (1800,1900 MHz) Typical IM7, 2Tx@ 43dBm (2100MHz) Isolation between ports • Connector wi �eggh1 dth Depth Antenna Weight inducting tilt brackets Survival wind speed Comments • is typical ""ddn freQu band. Radom color is NCS 2502 7035 xgray). /OA ALLGON Base Station Antennas • • l mo- r - 76s- U • 1710 -2170 18dBi(16dBd) dual Dreg + / -4S <1.4:1 6$ . O' -8' >30dB >25 dB >18dB < -20 dB typical 250W 500W < -107 dBm < -117 dBm >30d8 7/16 DIN bottom mounted 1309 mm 15') 167 mm 6.6 89.5 mm 5 6.5 kg 4 Ibs 10.1 22 Ibs 70 mis 156 mph) •All feed network components DC grounded for Lightning Protection Me mount and downtilt bradcet are pre- mounted. Tto +1x Tilt range Typical Horizontal and Vertical 7721.00 Pattems 1710 -2170 19.5 dBi(175 dBd) dual bear, +/- 4s <1.4:1 ar - >30dB nna >25 dB >18dB <-20 dB typical 250W 500W < -107 dBm < -117 dBm >30 dB 7/16 DIN bottom mounted 1934 mm 6.1") 167 mm 6. 899k (1 1bbs) 70 m/s (56 mph) - 0.4'to +10.6' For o complete rest of released models pertaining to gain and electrical downtih, please see the quick reference guide on page 14. Typical Horizontal and Vertical 7722.00 Patterns • Cell Site: MI -139 State: Florida County: Dade LEASE AGREEMENT (Non -BTS) THIS Lease is dated and entered into on3c.er l2e: I ;1998 ("Execution Date ") between, MIAMI SHORES PRESBYTERIAN CHURCH; a Florida not for profit corporation ( "Landlord ") and AT &T WIRELESS SERVICES OF FLORIDA, INC., a Florida corporation ("Tenant "). 1. "Leased Property and Permitted Uses. Landlord hereby leases to Tenant the following premises (hereinafter referred to, collectively, as the;'P°rofiert) ): (i) approximately,185,square feet of area located on the second level of the bell tower of the °Building ":(as hereinafter defined) and depicted on Fxhibit Al attached hereto; (0) approximately 24 square feet of surface area located on the North and South sides of the fifth level of the bell tower (including reasonable projections therefrom) as depicted on Exhibit A -2 attached hereto; and (iii) approximately 60 square feet of area located adjacent to the Northeast comer of the main sanctuary of the Building as depicted on Exhibit A -3 attached hereto. As used herein, the "Building" shall mean that building having a street address of 602 NE 96th Street, Miami Shores, Florida 33138, and .' as located on that certain parcel of real property described on Exhibit a attached hereto (the "Parcel "). The Property may be used exclusively for (I) the transmission and reception of communication signals, and (it) the construction, maintenance, repair and replacement of antennas, cables, equipment and facilities substantially in accordance with drawings prepared by Dennis Ardin Architects, Inc. and listed on Exhibit A-4 attached hereto, and (01) activities reasonably related to any of the foregoing (collectively, "Tenant's Permitted Use "). The rights of Tenant to use and occupy the Property are subject to the terms and conditions of that certain Certifications and Declarations of Restrictive Covenant required by Miami Shores Village and to be executed and entered into by Tenant end Landlord (the "Restrictive Covenant"). 2. mailer/a. The initial term of this Lease shall be 10 years, commencing on the Effective Rental Date (as defined below). The initial term of this Lease shall expire at Midnight on the day before the 10th anniversary of the Effective Rental Date. 3. Renewal Terms. This Lease shall automatically renew for up to 3 additional five -year terms (each being a 'Renewal Term "), unless Tenant notifies Landlord In writing of Tenant's Intention not to renew this Lease at least 60 days prior to the expiration of the initial term or any Renewal Term. 4. Rent. From and after the earlier of (I) the date on which Tenant obtains its building permit • • for the construction on the Property of its Antenna Facilities as defined in Section 7 below; (ii) the first dayfter the expiration of the "Due Diligence Period" und er Section 5, or (Iii) the date upon which Tenant fakes , actuaI .. occupancy of the Property (such earliest date being the "Effective Rental Date"), Tenant shall pay to Landior the sum of One Thousand Six Hundred and 00/100 Dollars per month ($1,600.00)= as increased upon each anniversary date as provided herein ("Rent"jF As additional rent due hereunder, Wenar$:;sf)alj alsp,pay Landlord all sales taxes due on such Rent simultaneously with the Rent. Rent and all sales taxes due thereon shall be due and payable on the first day of each calendar month in advance at Landlord's address specified in Section 13 below. Landlord may provide the requisite information for Tenant to pay Rent and sales taxes by direct deposit to Landlord's bank, but the implementation of the direct deposit system shall be at Tenant's sole expense. • If the Effective Rental Date is other than the first day of a month, the Rent shall be prorated . for that first month for the number of days from the Effective Rental Date to the end of the month. If this Lease is terminated on a day other than on the last day of a month, then Rent shall be prorated as of the date of termination, and, in the event of termination for any reason other than nonpayment of Rent or other Tenant default hereunder, all prepaid Rents shall be refunded to Tenant. .':On each annual the Effective tai. Date during terns and.each Renewal Term, monthly Rent 'Shall be increased by an'8mount equal to i ree perce�figa% of the month Rent for the last full calendar month immediately prior.to the anniversa date, and amount shall be the monthly Rent until the next anniversary date. It is understood and agreed that Tenant shall pay Landlord elate' Charge of $50.00 for any. installment of monthly Rent that Is not paid on,the.firstday of any calendar month in accordance with this Lease. 5. Due Diligence Period. 90 days from the Execution Date, or until the occurrence of the Effective Rental Date (if earlier), Tenant and its agents, engineers, surveyors and other representatives shall have the right to enter upon the Property to conduct geological or engineering tests, apply for and obtain applicable govemmental permits and approvals, and otherwise to do those things on or off the Property that, in the reasonable opinion of Tenant, are necessary to determine the feasibility or suitability of the Property for Tenant's Permitted Use, all at Tenant's expense ("Due Diligence Period "). Except as otherwise specified herein, Tenant shall not be liable to Landlord or any third party on account of any pre - existing defect or condition on or with respect to the Property, whether or not such defect or condition is disclosed by Tenant's inspection but Tenant shall be solely responsible and liable for, and shall indemnify Landlord against, any damage or injury caused or occurring in connection with its tests, which obligations shall survive the termination of this Lease. Upon demand from Landlord, Tenant shall promptly repair any damages caused by any of the foregoing activities of Tenant. If, in the sole and absolute opinion of Tenant, the Property is not suitable for Tenant's intended use, or Tenant. determines that the operation of a communications facility on or within the Property would not be in Tenant's best interest, Tenant shall have the right at any time prior to the expiration of the Due Diligence Period to terminate this Lease by sending written notice of termination to Landlord. Thereafter, neither Landlord nor Tenant shall have any further obligation or liability under this Lease except as otherwise provided herein. 6. interference. Tenant acknowledges that Tenant does not have the exclusive right to operate a telecommunications facility on the Property and that, subject to Section 6 below, additional telecommunications facilities may be operated on the Property and on other property of Landlord. Tenant shall not use the any use-of the-Property-or other-properly-of-Landlord by Landlord, or by tenants or tenants of Landlord holding rights to the Property or other property of Landlord; provided, however, that Landlord hereby acknowledges that Tenant's lawful use of the Property for Tenant's Permitted Use shall not constitute an impermissible interference by Tenant. Landlord shall not use, nor shall Landlord permit its existing or future tenants, tenant's employees, invitees or agents to use, any portion of the Property in any way which interferes with the operations of Tenant, but Tenant acknowledges that reasonable rights of passage through the Property to and from other portions of the bell tower and Building shall be retained by Landlord and its tenants, and their respective agents, employees, contractors and invitees, so long as such passage does not (i) cause any interference whatsoever with the transmission and reception of Tenant's communication signals. (10 cause any material interference with any other operations of Tenant, or (iii) disturb Tenant's quiet enjoyment of the Property in any material respect. Landlord hereby acknowledges that any such interference with Tenant's operations shall entitle Tenant, in addition to exercising any other rights or remedies available hereunder or under applicable law, to seek the immediate enjoinment of such interference if such interference causes irreparable Injury. 7. Improvements: Utilities: Access. A. Upon the Effective Rental Date, Tenant shall have the right, at its expense, to install, construct, maintain, repair, replace and operate a communications facility on the Property, which may include radio and other communications transmitting and receiving antennas, supporting mounts and cables, equipment, and other improvements relating thereto substantially in accordance with the drawings set forth in Exhibits A -1 and A -2, or as otherwise approved in advance and..tn writing by Landlor�jcollectivety the "Antenna Facilities "). Tenant's Antenna Facilities shall Include air conditioning equipment for service to the second floor of the bell tower to be installed by Tenant in the location depicted on Exhibit A -3 and all ducts and vents relating to the same ("Air Conditioning Equipment"). However, upon termination of this Lease, the Air Conditioning Equipment shall become the property of Landlord and Tenant shall have no right to remove the same. Tenant shall deliver the Air Conditioning Equipment to Landlord in Its "as is" condition upon termination of this Lease. All work and operations by Tenant shall be performed in compliance with applicable laws and ordinances. Tenant shall, at Tenant's expense, obtain all applicable govemmental approvals for the installation and operation of its Antenna Facilities and shall provide and install landscaping reasonably acceptable to Landlord around the area depicted on Exhibit A -3 to screen the air conditioning compressor. . Tenant shall provide conceptual plans of any proposed modifications of its Antenna Facilities to Landlord for Landlord's approval, which approval will not be unreasonably withheld, delayed or conditioned. Landlord shall respond in writing to Tenant's submitted conceptual plans within 10 days after Landlord's . receipt thereof with any comments or revisions thereto or approval or disapproval thereof. In the event that Landlord fails so to respond within such 10 day period, Tenant's submittal or submittals shall be deemed approved by Landlord. Additionally, due to the differing locations of the portions of the Property, Tenant shall have the right to install, in certain areas of the Building, as reasonably determined by Landlord and Tenant, conduit and sleeving connecting such locations and servicing the Antenna Facilities. Tenant is not authorized to contract for or on behalf of Landlord for work on, or the fumishing of materials to, the Property or any other part of the Building or Parcel, and Contractors of Tenant, all subcontractors, material men and laborers claiming by or through them, shall not at anytime have any right to file mechanic's or construction liens or otherwise encumber all or any part of the Parcel, including the Property. Tenant shall discharge of record by payment, bond or otherwise, within 30 days subsequent to the filing thereof, any mechanic's or construction liens filed against the Property or the Parcel for work or materials claimed to have been furnished at the request of Tenant or any of its contractors. B. Tenant shall, at Tenant's expense, keep and maintain the Property in commercially reasonable condition and in good repair during the term of this Lease. In addition, Tenant shall operate its Antenna Facilities and use the Property in accordance with all applicable rules, laws and regulations, including the maintenance of all required permits, approvals and licenses. The Antenna Facilities shall remain the exclusive property of Tenant, and Tenant shall have the right to remove all or any portion of the Antenna Facilities at any time during the term of this Lease and for 60 days thereafter with the exception of the Air Conditioning Equipment, which shall become the sole property of the Landlord upon the termination of this Lease. After termination of this Lease, Tenant will retum the Property and all improvements thereon not removed by Tenant in good condition. On or prior to any termination of this Lease, Tenant shall provide Landlord with a written statement of all of its improvements which it intends to remove and, within 15 days after Landlord's receipt of same, Landlord shall have the right to specify by written statement to Tenant any other Tenant improvements (including, without limitation, the Air Conditioning Equipment) which Landlord wants removed by Tenant and Tenant shall promptly also remove same. Tenant shall make all repairs and hold Landlord harmless from any damages or liabilities occasioned by its removal of its improvements and any failure to remove improvements specified by Landlord. Any Tenant improvements not removed by Tenant by its choice or Landlord's request shall become the sole property of Landlord, and Tenant shall have no further rights, obligations or liabilities with respect thereto except as otherwise provided herein. C. If Tenant does not elect to terminate this Lease in accordance with Section 5 above, then on or before the Effective Rental Date, Tenantshall pay to Landlord the non-refundable sum of Twenty- Five Thousand Dollars ($25,000), which sum shall be used by Landlord to , among other things, make those certain repairs to the bell tower described on Exhibit C (the "Initial Bell Tower Repairs "). Landlord shall G:TLIEMSATdTAVSGes.Ral RelileUll.139ITAT&T.Ikll Toyer isme.VS.wpd ti 10. Taxes. Tenant shall pay to Landlord any applicable sales tax on the Rent, and Landlord shall ,___ Ile.__ onsiblelotr0mittina such tax to the a • • ro • riate • ovemment entities. Tenant shall pay any personal property taxes assessed on; or any portion of such taxes attributable to, the Antenna Facet ies. : n . o • s a pay when due all real property taxes and all other fees and assessments attributable to the Parcel and any portion thereof. However, Tenant shall promptly pay, as additional rent, any increase in real property taxes tevied against-the-Parcel- (exduding any - additional- taxes- thatrelate to-the period- prior.to theEffective Rental Date, i.e., roll -back taxes) which is directly attributable to Tenant's use or improvement of the Property, and Landlord agrees to fumish reasonable proof of such increase to Tenant. Landlord's Federal Tax ID # is 59 -0689708 11, jnsurance and Subrogation. Throughout the term of this Lease, Tenant will maintain at its expense a Commercial General Liability Insurance Policy covering the Property and the use of the Property and the Parcel by Tenant, its employees, agents, contractors and invitees. Such policy shall be in an aggregate amount of not less than One Million Dollars ($1,000,000.00) and shall name Landlord as an additional insured. In the event of any insured loss, both parties' insurance carriers may have a subrogated daim against the other as perrnitted by law. Tenant shall provide Landlord with proof of such Insurance prior to the Effective Rental Date and shall maintain such insurance thereafter at all times during the term of this Lease and provide Landlord with proof of Its timely renewal prior to any expiration of such insurance. 12. hold Harmless. Tenant shall indemnify, defend and hold Landlord harmless from and . against injury, loss, damage or liability (or any claims In respect of the foregoing), costs or expenses (including reasonable attomeys' fees and court costs) arising from the installation, use, maintenance, repair or removal of the Antenna Facilities, its use of the Property, its entry upon the Parcel, and any breach of this Lease, except to the extent attributable to the gross negligence or willful misconduct of Landlord, its employees. agents or independent contractors. Landlord shall Indemnify, defend and hold Tenant harmless from and against any and all injury, loss, damage or liability (or any claims In respect of the foregoing), costs or expense (including reasonable attorneys' fees and court costs) arising from any willful misconduct or gross negligence of Landlord or its employees or agents, or the breach of this Lease by Landlord. 13. Notices. All notices, requests, demands and other communications hereunder shall be in writing and shall be deemed given if personally delivered or mailed, certified mail, retum receipt requested, or sent by ovemight carrier to the following addresses: To Landlord at: Miami Shores Presbyterian Church 602 NE 96th Street Miami Shores, Florida 33138 Attn: Senior Minister With a copy to: Miami Shores Presbyterian Church 602 NE 96th Street Miami Shores, Florida 33138 Attn: Financial Secretary -and - Pearson & Mayer, P.A. 2474 SW 27th Terrace Miami, Florida 33133 Attn: Stephen D. Pearson, Esq. To Tenant at AT &T Wireless Services of Florida, Inc. 3405 Forest Hill Boulevard West Palm Beach, Florida 33406 Attn: Property Manager With a copy to: AT &T Wireless Services of Florida, Inc. 11760 North U.S. Highway 1 West Tower, Third Floor North Palm Beach, Florida 33408 Attn: Real Estate Counsel 14. Quiet Enjoyment. Title and Authority. Landlord covenants and warrants that (i) it has full right, power and authority to execute this Lease and has the power to grant all rights of possession hereunder, (11) 11 has good, marketable and unencumbered title to the Property, which subject to any required govemmental approvals and all regulations, ordinances and laws relating to Tenant's Permitted Use is free and clear of any liens, mortgages, restrictions or other encumbrances that will interfere .with Tenant's Permitted Use; (ill) Its execution and performance of this Lease will not violate any laws, ordinances, covenants, or the provisions of any mortgage, lease or other agreement binding on Landlord; (iv) Tenant shall have the quiet enjoyment of the Property, and Tenant shall not be disturbed as long as Tenant Is not in default beyond any applicable grace or cure period; and (v) if the Property Is encumbered by a deed to secure debt, mortgage or other security interest, landlord will use its best efforts to provide promptly to Tenant an fully signed Subordination, Non - Disturbance and Attomment Agreement in a form acceptable to Tenant. 15. Environmental Laws. As used herein, the term "Environmental Laws" shall mean any and • all local, state or federal statutes, regulations or ordinances pertaining to the environment or natural resources. As used herein, the term "Hazardous Substance" shall mean any toxic or hazardous waste or substance (including, without limitation, asbestos and petroleum products) that is regulated by Environmental Laws. Tenant represents, warrants and agrees that it will conduct its activities on the Property in compliance with all applicable Environmental Laws. Landlord represents, warrants and agrees that to the best of its current knowledge and belief, it has in the past and will in the future conduct its activities on the Parcel and in the Building In compliance with all applicable Environmental Laws and that the Property is free of any Hazardous Substance as of the date of this Lease. • st eitsS S ti Landlord shall be responsible for, and shall promptly conduct any investigation and r ---remediation- as- regu•red- by-uny Fnvimnme..atatlaw. • • .... • _ , • Hazardous Substance, not caused solely by Tenant (or its contractors, employees or agents), that have occurred or which may occur on the Property or within the immediate vicinity of the Property. Tenant agrees to- defend, indemnify- and -hoid- Landlord- hanniess -from -and- against =arty -and all claims, causes of action, demands and liability including, but not limited to, damages, costs, expenses, assessments, penalties, fines, losses, judgments and attomeys' fees that Landlord may suffer due to the existence or discovery of any Hazardous Substance on the Property or the migration of any Hazardous Substance to other properties or released into the environment, that are caused by or result from Tenant's activities on the Property or the Parcel. Landlord agrees to defend, indemnify and hold Tenant harmless from and against all claims, causes of action, demands and liability including, but not limited to, damages, costs, expenses, assessments, penalties, fines, losses, judgments and attomeys' fees that Tenant may suffer due to the existence or discovery of any Hazardous Substance on the Property or the migration of any Hazardous Substance to other properties or released into the environment, other than with regard to any Hazardous Substances that are caused by or result from•Tenant's activities. The indemnifications in this Section specifically include costs incurred in connection with any Investigation of site conditions or any cleanup, remedial, removal or restoration work required by any govemmental authority. Notwithstanding Section 8 above, the provisions of this Section will survive the expiration or termination of this Lease. 16. • Assignment and Subleasing. Landlord may assign this Lease provided such assignee will assume, recognize and also become responsible to Tenant for, the performance of all of the terms and • conditions to be performed by Landlord under this Lease. Tenant may assign this Lease, and all or any rights, benefits, liabilities and obligations hereunder, to (i) any person or business entity which is a parent, subsidiary or affiliate of Tenant (ii) any person or entity that controls or is controlled by or under common control with Tenant or (iii) any person or business entity that is merged or consolidated with Tenant or purchases a majority or controlling interest In the ownership or assets of Tenant; provided that any such assignee is also licensed by the FCC to operate a wireless communications business. Tenant will be relieved of all future performance, liabilities and obligations under this Lease to the extent of such permitted assignment. Tenant may not otherwise assign this Lease or sublet the Property without Landlord's consent, which shall be in Landlord's sole and absolute discretion. Additionally, Tenant may, upon notice to Landlord, mortgage or grant a security interest in Tenant's leasehold estate under this Lease and the Antenna Facilities, and may assign this Lease and the Antenna Facilities to any such mortgagees or holders of security interests including their successors or assigns (hereinafter collectively referred to as "Mortgagees "), provided such Mortgagees agree to be bound by the terms and provisions of this Lease. In such event, Landlord shall execute such consent to leasehold financing as may reasonably be required by Mortgagees. Landlord agrees simultaneously to notify in writing Tenant and a Mortgagee of Tenant having first priority as to Tenant's leasehold Interest and which has, in advance and in writing, requested notice from Landlord of any default by Tenant and to give such Mortgagee the same right to cure any default as Tenant, except that the cure period for such Mortgagee shall not be less than 10 days after receipt of the default notice. 17. Sr rreessors and Assigns. This Lease shall run with the Property and shall be binding upon and inure to the benefit of the parties, their respective successors, personal representatives and assigns. 18. Landlord's Lien. Landlord hereby waives any and all lien rights it may have, statutory or otherwise, conceming the Antenna Facilities or any portion thereof. The Antenna Facilities shall be deemed personal property for purposes of this Lease, regardless of whether any portion thereof is deemed real or personal property under applicable law. 19. Miscellaneous. A. Each party agrees to fumish to the other, within 10 days after request, such truthful estoppel information as the other may reasonably request. Furthermore, each party shall cooperate in executing any other documents necessary to protect a party's rights hereunder. Neither party shall record this Lease or any Memorandum of Lease. B. Each party represented in this transaction by a broker, agent or commission salesperson shall be fully and exclusively responsible for the payment of any fee, commission or other compensation owing to such person, and shall indemnify and hold the other party harmless from and against any claims arising in connection therewith. Tenant shall be solely responsible for any and all fees and commissions due to Lotterman Real Estate Services, Inc. C. Without limiting the terms of Section 8, if either party fails to perform a material obligation under this Lease within 15 days after receiving written notice from the other party, the party that delivers such notice may perform such obligation or take other appropriate curative action on behalf and at the expense of the nonperforming party. If the curative action is taken by Tenant, the expenses may be offset against the next payment(s) of monthly Rent. If the curative action Is taken by Landlord, the expenses shall be paid by Tenant together with the next payment of monthly Rent. D. This Lease shall be construed in accordance with the laws the State of Florida. If any found to be void or invalid, such invalidity shall not affect the remaining terms of this Lease, which shall continue in full force and effect. In the event of any li iga on ansing ereun•er, e prevailing party shall be entitled to recover its reasonable attomeys' fees and court costs, through appeal. • C. This - Lease- constitutes-the e agreement and understanding of the parieiand - supersedes all offers, negotiations and other agreements. There are no representations or understandings of any kind not set forth herein. Any amendment to this Lease must be In writing and executed by both parties. F. In accordance with Florida law, the following notice is hereby given to Tenant: "RADON GAS: RADON IS A NATURALLY OCCURRING RADIOACTIVE GAS THAT, WHEN IT HAS ACCUMULATED IN A BUILDING IN SUFFICIENT QUANTITY, MAY PRESENT. HEALTH RISKS TO PERSONS WHO ARE EXPOSED TO IT OVER TIME. LEVELS OF RADON THAT EXCEED FEDERAL AND STATE GUIDELINES HAVE BEEN FOUND IN BUILDINGS IN FLORIDA. ADDITIONAL INFORMATION REGARDING RADON AND RADON TESTING MAY BE OBTAINED FROM YOUR COUNTY PUBLIC HEALTH UNIT". The undersigned Tenant acknowledges having read the foregoing notification, and has executed this Lease fully aware of the aforementioned conditions. G. Subject to Section 6 above, Landlord shall at all times have reasonable access to the Property to inspect same, and for passage to and from other parts of the bell tower and Building. During the term of this Lease, Landlord shall provide Tenant with a license of reasonable passage across the Parcel for access to and from the Property, subject to reasonable rules and regulations promulgated by Landlord from time to time. H. Tenant shall not have any right to place any signs on or around the Property. I. Landlord makes no representations or warranties to Tenant that the Property Is suitable for Tenant's Permitted Use, and Tenant shall satisfy itself of same during the Due Diligence Period. J. Tenant shall neither commit nor suffer any waste of the Property. K. Tenant's use of the Property shall not increase the costs of any Insurance policies maintained by Landlord or Tenant shall promptly pay as additional rent to Landlord any such incremental costs upon demand from Landlord. L. Subject to Section 6 above, Landlord reserves the right to make repairs, improvements and alterations to the Building, including all portions of the bell tower so long as the same does not unreasonably interfere with the operations of Tenant or disturb Tenant's quiet enjoyment of the Property. M. Tenant shall indemnify and hold harmless Landlord from and against any and all liability accruing to Landlord on account of Tenant's failure to comply with the Restrictive Covenant. Tenant shall be at all times solely responsible for compliance with, and for payment of all costs and damages accruing under, Sections 2 and 3 of the Restrictive Covenant. Wherefore, the parties hereby enter into this Lease as of the date first set forth above: WITNESSES: LANDLORD: MIAMI SHORES PRESBYTERIAN CHURCH, a Florida not for profit corporation By' / ' . . / :■ Name /__ ��... � �! Title: /,L ff I( Jr �.S.SAD 4/ TENANT: AT &T WIRELESS SE S OF FLORIDA, INC., apy a torpor • on - - ame: Paul L. ' achu Title: Director of Site Development do STATE OF FLORIDA COUNTY OF DADE The foregoing Instrument was -acknowled ed- before-ne -this 1998 by uarrr.h.Sc/......1t- the �. sc o„ of Miami Shores Presbyterian Church, a Florida not for profit corporation, on behalf of the corporation, who is personally known to me or has produced a as identification. S 530- 6a -S -a-4 ............nw•T11T nod To Leite.VS.+Nd Notary Public My commission expires: STATE OF FLORIDA COUNTY OF PALM BEACH The foregoing instrument was acknowledged before me this YA- day of 1998, by Paul L. Pachuta, the Director of Site Development of AT&T Wirele s Services of Florida, Inc., a Florida corporation, on behalf of the corporation, who to me or has produced a as identification. Notary Public My commission expires: 1 1 1 Zoo - fi. 4.1 co r to the Lease Agreement dated a Florida not for profit corporation, as L Tenant 1 SITE PLAN. FLOOR PLAN. DETAILS. St NOTES 11 1 e02� SHORES N s sE ET. .S./ II Lt SHO 9 rLOR RI IO C A � 79Las BY LOTTERMAN DEVELOPMENT CO. FOR AT&T WIRELESS SERVICES OF FLORIDA. INC. 1070 CO1.0E11ATC 01112% 1102100111 (MACK 0{a1VDA 33.00 (MI) TO -0307 EXHIBIT A -1 Y 9, , 1998, between MIAMI 5HUMtb PFttbU Y I tRRI CHURCH, ndlord, and AT&T WIRELESS SERVICES OF FLORIDA, INC., as The second level of the bell tower on the Building shown by sketch as follows: souAREr[c lee.» s.r. QIVM6 Mc101T. Y' —Cr CLL7C MET: 1.673 C.F. J.I!V?T. 2 — 1 TS'V_ +1O —O FLOOR PLAN 1/4 1.11 330 7 -2*-N to the Lease Agreement dated CHURCH, &Florida not for profit corpora on -s Landlord, and AT&T WIRELESS SERVICES OF FLORIDA, INC., as Tenant 1 L FXHIBIT A -2 r. , itt, t,etween MIAMI S The portions of the exterior surface of the fifth level of the bell tower on the Building is shown by sketch as follows: • R 1 wow tI ELEVATION , 11. ar +s A = d 1110P0 1.1•I:1 Woman Maws ••• 0•••113.1.• s tta rrt �e r„s, ,at wrA � - da Ra .r rRr.+ .te..,s • CCOMILOallatili 1' l 4•Lt• • NJAIN . WIZ .R\ rrm.& Y f A.t� I�! tsnnt w 4 •wo.. roar 1= r r r. . • • tfLP% .,r.r •••., n___. IWO •••••I nm, C - -F r $Ot1TH RI.RVAT ON )EXTERIOR ELEVATIONS iig 'i I ELEVATIONS, ANTENNA LOCATIONS & DETAILS �1 1 r]OAML SHORES C.S. / MI -139' CELL—SITE 002 N.t. 0061% STRLET. MIAMI SHORES. FLORIDA S.1ID0 BY LOTTERMAN DEVELOPMENT CO. FOR AT &T WIRELESS SERVICES OF FLORIDA. INC. tole CORPORAT[ DRIHC IOYNTCN !MACH. /6CRIDA 334fe (set) Tie-mum . . ----- os -IF••N IOC 7,211.0148 -----t0-9104433Se o ,jreemeaLdated CHURCH, a Florida not for profit corporal on. INC.. as Tenant , t.•••..... r FXHIBIT A4 L iy 5y , •1998, between MIAMI SHORES PRESBYTERIAN s Lan or - - - S RIBA. 11 , an e AO. The space located adjacent to the Northt cornet of mai sanctuary 0f this Is by sketch as follows: IA /C PLPSJ�_SC '1 AND DETAILS .. j) "LIAHI SHORES C.S./ 1d -139" CELL-SITE 00t II. C. OOth STRZCT, YIO 911O110. RORIOA 93100 BY LOTTERMAN DEVELOPMENT CO. TOR AT&T WIRELESS SERVICE! or ?L.ORIDA. INC. 1110 C011POSAT1 011001, 900117019 SCAM 99B191111 35914 (111) !A -S0 OT O■1■M '/ -lO-•M Int No. Description HIBIT A-4 / 5+ 1 • • 8 between MIAMI SHORES PRESBYTERIAN CHURCH, a Florida not for profit corpora ion -s Landlord, and AT&T WIRELESS SERVICE INC., as Tenant , - -= Plans prepared by Denis Arden Architects, Inc., issued July 28, 1998, more parttcutany described as follows: -T-4- Ttlie- A-1 Floor, Site Ian and Notes A -2 Antenna Locations and Details E -1 Electrical Plans E -2 Electrical Plans AC -1 Air Conditioning Plan • - \ • EXHIBIT a to the Lease • g - - • a - -- CHURCH, a Florida not for profit corporatio as Landlord and AT&T WIRELESS SERVICES OF FLORIDA, INC. as Tenant. The Parcel is Iegil T described as follows: Lots 1 through 10, Block 61, Section 2, Miami Shores, according to the map or plat thereof as recorded in Plat Book 10, . Page 37, Public Records of Dade County, Florida. metal hatch. field. EXHIBIT C to the Lease Agreement dated , 1998, between CHURCH, a Florida not for profit corpo •tio ,as Landlord and AT&T WIRELESS SERVICES OF FLORIDA, INC. as Tenant. - Repairs to be made to the bell tower by Tenant -are described as follows: Existing Teaks in bell tower. Replacement of wooden hatch cover at the sixth level of the bell tower with a sealed Cleaning and/or replacement of the bell tower drainage system, including its drain Installation of a permanent water supply line to the top of the tower to assist in cleaning of the tower's drain line. NOV. 24. 1998.":•'2 ' November 1998 - 1ichar Sarafan, Village Attorney Miami Shores 82 Pay Drive Toyer:. „ .Floor mioiimom31 RE: Miaini Shores Presbyterian Church, 602 NE 96 Street Sprint PCS use of existing steeple for antenna attachment. Dear Mr; Widen: Thank yoU'Ibrireturning my call yesterday to discuss the above referenced site. As I infornie404;::Sprint PCS is currently working with the Church to obtain a lease and rights Aril#404antennas. In ihe-e&ir our discussion, the process for approval was determined to be via an admirilitintiVeprocess. This approval method would be used to approve the AT&T applicatiOri.SS:Veell. The basis for this type of approval process is located within Section 4 b: "If the Applicant fails to meet all the required permitting criteria it shall be scheduled for consideration at the next available Planning & Zoning Board." Since both AT&T ayid'spriiiegfitent is to meet all the requirements of Ordinance No. 602-98, a public hearingt** is not required. One major sticking point of meeting the intent of the ordinance was the verification of the facility's ability to accommodate three carriers. Since the ordinance seems to be more related to a tower that will be constructed, and this site is an existing structure, it becomes a bit convoluted. It was agreed that because of the unknown nature of the third carrier's antenna requirements that it would be limited to antennas that were substantially identically iiihe antennas proposed by AT&T and Sprint; further, this statement would be submittectiy a licensed Engineer or Architect. In revii*ttbe Certifications and Declarations of Restrictive Covenant that you forwartiOto*iy attention, I thought adding the following to Section 4. Multiple AccorithickilibUns would be helpful; each of these additional carriers will be individually responsible to ensure structural capacity of their attachments to the Village Building Departmentsatisfaction. The attachment shall also be architecturally acceptable in its design so as to have as little impact as possible to the existing structure necessary to meet the RE requirements of the user. 7422 Wiles ROad41 Springs, Florida 33067 - Telephone 954-255-1576 Fax 954-255-7982 frIASTtl; Itch NU. ti4UU F. Z 40 7 E cr • MasTeo Technologies • VICINITY MAP MEM AEA grk ;fi : AWS: DATE: LUCENT: 0 10 -15 -03 A 09 -12 -03 PREU APPROVALS ISSUED FOR PERMIT (NARY FOR REVIEW REVISIONS DATE: SHEET NO. 01 TITLE SHEET 02 SITE PLAN DRAWING SHEET INDEX DESCRIPTION 03 ANTENNA PLAN & ELEVATION 04 ANTENNA CONFIGURATION & RF TABLE 05 DETAILS 06 DC POWER AND GROUNDING SCHEMATIC 07 ANTENNA MOUNTING DETAILS AWS SITE No. GENERAL NOTES 1. FOR THE PURPOSE OF THE CONSTRUCTION DRAWINGS, THE FOLLOWING DEFINITIONS SHALL APPLY: CONTRACTOR: MACTEC ENGINEERING & CONSULTING, INC. SUBCONTRACTOR: GENERAL CONTRACTOR (CONSTRUCTION) OWNER: AT &T WIRELESS SERVICES 2. THE SUBCONTRACTOR WHEN VISITING THE CELL SITE SHALL FAMILIARIZE HIMSELF WITH THE EXISTING CONDITIONS AND SHALL CONFIRM THAT THE WORK CAN BE ACCOMPLISHED AS SHOWN ON THE CONSTRUCTION DRAWINGS. THE SUBCONTRACTOR SHALL VERIFY ALL EXISTING DIMENSIONS AND CONDITIONS PRIOR TO COMMENCING ANY WORK. ALL DIMENSIONS OF EXISTING CONSTRUCTION SHOWN ON THE DRAWINGS MUST BE VERIFIED. THE SUBCONTRACTOR SHALL NOTIFY THE CONTRACTOR OF ANY DISCREPANCIES PRIOR TO ORDERING MATERIALS OR PROCEEDING WITH CONSTRUCTION. SINCE THE CELL SITE IS ACTIVE, ALL SAFETY PRECAUTIONS MUST BE TAKEN WHEN WORKING AROUND HIGH LEVELS OF ELECTROMAGNETIC RADIATION. PERSONAL RF EXPOSURE MONITORS ARE ADVISED TO BE WORN TO WARN OF ANY DANGEROUS EXPOSURE LEVELS. 3. ALL MATERIALS FURNISHED AND INSTALLED SHALL BE IN STRICT ACCORDANCE WITH ALL APPLICABLE CODES, REGULATIONS, AND ORDINANCES. THE SUBCONTRACTOR SHALL ISSUE ALL APPROPRIATE NOTICES AND COMPLY WITH ALL LAWS, ORDINANCES, RULES, REGULATIONS, AND LAWFUL ORDERS OF ANY PUBLIC AUTHORITY HAVING JURISDICTION REGARDING THE PERFORMANCE OF THE WORK. 4. ALL WORK SHALL COMPLY WITH THE FLORIDA BUILDING CODE (FBC), LATEST EDITION. ALL MECHANICAL AND ELECTRICAL WORK SHALL BE IN ACCORDANCE WITH ALL APPLICABLE MUNICIPAL AND UTILITY COMPANY SPECIFICATIONS AND LOCAL JURISDICTIONAL CODES, ORDINANCES AND APPLICABLE REGULATIONS. ALL ELECTRICAL WORK SHALL BE IN ACCORDANCE WITH NFPA -70 THE NATIONAL ELECTRICAL CODE. 5. DRAWINGS PROVIDED FOR CONSTRUCTION ARE INTENDED FOR OUTLINE ONLY AND ARE NOT TO BE SCALED IN ORDER TO ESTABLISH DIMENSIONS. 6. UNLESS OTHERWISE NOTED, THE WORK SHALL INCLUDE FURNISHING MATERIAL; EQUIPMENT, APPURTENANCES, AND LABOR NECESSARY TO COMPLETE ALL INSTALLATIONS AS INDICATED ON THE DRAWINGS. 7. THE SUBCONTRACTOR SHALL INSTALL ALL MATERIALS IN ACCORDANCE WITH MANUFACTURERS' RECOMMENDATIONS UNLESS SPECIFICALLY STATED OTHERWISE. 8. THE SUBCONTRACTOR SHALL UTILIZE EXISTING TRAYS AND /OR SHALL ADD NEW TRAYS AS NECESSARY. THE SUBCONTRACTOR SHALL CONFIRM ACTUAL ROUTING WITH THE CONTRACTOR AND REFLECT THE APPROVED ROUTING ON THE REDLINED DRAWINGS. 9. THE SUBCONTRACTOR SHALL PROTECT THE EXISTING IMPROVEMENTS, PAVEMENTS, CURBS, LANDSCAPING, AND STRUCTURES. ANY DAMAGED PROPERTY SHALL BE REPAIRED AT THE SUBCONTRACTOR'S EXPENSE TO THE SATISFACTION OF THE OWNER AND /OR CONTRACTOR. 10. THE SUBCONTRACTOR SHALL LEGALLY AND PROPERLY DISPOSE OF ALL WASTE MATERIALS OR ANY OTHER ITEMS REMOVED FROM THE EXISTING FACILITY. ANTENNAS REMOVED SHALL BE RETURNED TO THE OWNER AT A LOCATION TO BE COORDINATED THROUGH THE CONTRACTOR. 11. THE SUBCONTRACTOR SHALL LEAVE THE PREMISES IN CLEAN CONDITION. 12 ALL CONCRETE WORK SHALL BE DONE IN ACCORDANCE WITH AMERICAN CONCRETE INSTITUTE (ACI) 301. 13. ANY NEW CONCRETE NEEDED FOR CONSTRUCTION SHALL HAVE A COMPRESSIVE STRENGTH OF 3000 PSI AT 28 DAYS. 14. ALL STRUCTURAL STEEL WORK SHALL BE DONE IN ACCORDANCE WITH AISC LRFD MANUAL OF STEEL CONSTRUCTION (SECOND EDITION). 15. THE EXISTING CELL SITE IS IN FULL COMMERCIAL OPERATION; CONSTRUCTION WORK BY THE SUBCONTRACTOR SHALL NOT DISRUPT THE EXISTING NORMAL OPERATION WITHOUT PRIOR WRITTEN APPROVAL FROM THE CONTRACTOR. ANY WORK ON EXISTING EQUIPMENT MUST BE COORDINATED WITH THE CONTRACTOR. ALSO, WORK SHOULD BE SCHEDULED FOR AN APPROPRIATE MAINTENANCE WINDOW, USUALLY IN LOW TRAFFIC PERIODS AFTER MIDNIGHT. 16. NO COMMERCIAL ADVERTISING MAY BE PLACED ON ANTENNA OR ITS SUPPORT EQUIPMENT. 17. NO SIGNALS, LIGHTS OR ILLUMINATION MAY BE ATTACHED TO THE ANTENNA EQUIPMENT. 18. ANTENNAS COMPLY WITH CURRENT EMISSION STANDARDS OF THE FEDERAL COMMUNICATIONS COMMISSION AND NOT INTERFERE WITH NORMAL TRANSMISSION OR RECEPTION OF BROADCAST RADIO, TELEVISION AND TELEPHONIC SERVICES ENJOYED BY ADJACENT RESIDENTIAL AND NON— RESIDENTIAL PROPERTIES OR EMERGENCY PUBLIC SAFETY COMMUNICATIONS REGARDLESS OF POINT OF ORIGIN. 19. THE SUBCONTRACTOR WILL RECTIFY ANY AND ALL INTERFERENCE OR OBSTRUCTION WITH PUBLIC SAFETY TELECOMMUNICATIONS AND MAKE ANY NECESSARY REPAIRS AND /OR ACCOMMODATIONS TO ALLEVIATE THE INTERFERENCE OR OBSTRUCTION. IMACTEC MACTEC ENGINEERING AND CONSULTING. INC 5845 N.W. 158t11 STREET MIAMI LAKES. FLORIDA 33014 TEL (305) 826 -5588 / FAX (305) 626 -1799 CERTIFICATE OF AUTHORIZATION /: 7426 Lucent Technologies Bell Labs Innovations 2400 S.W. 145th AVENUE MIRAMAR. FLORIDA 33027 ZONING FOLIO #: 11- 3206 - 014 -1410 DESIGNATION: LATITUDE: LONGITUDE: DATUM: ZONING JURISDICTION: MIAMI SHORES SCOPE OF WORK: INSTALLATION OF NEW BASE STATION CABINET AND ANTENNAS ON EXISTING AT &T WIRELESS COMMUNICATION SITE. SUPPLY POWER TO BASE STATION CABINET FROM EXISTING DC PANEL. THE SUBCONTRACTOR'S WORK SHALL COMPLY WITH ALL APPLICABLE NATIONAL, STATE, AND LOCAL CODES AS ADOPTED BY THE LOCAL AUTHORITY HAVING JURISDICTION (AHJ) FOR THE LOCATION. THE EDITION OF THE AHJ — ADOPTED CODES AND STANDARDS IN EFFECT ON THE DATE OF CONTRACT AWARD SHALL GOVERN THE DESIGN. BUILDING CODE: 2001 FLORIDA BUILDING CODE. ELECTRICAL CODE: [NATIONAL FIRE PROTECTION ASSOCIATION (NFPA) 70, NATIONAL ELECTRICAL CODE, AS ADOPTED BY LOCAL MUNICIPALITY] LIGHTNING PROTECTION CODE: [NFPA 780 — 2000, LIGHTNING PROTECTION CODE] THE SUBCONTRACTOR'S WORK SHALL COMPLY WITH THE LATE_ T EDITION OF THE FOLLOWING STANDARDS. AMERICAN CONCRETE INSTITUTE (ACI) 318, BUILDING CODE REQUIREMENTS FOR STRUCTURAL CONCRETE AMERICAN INSTITUTE OF STEEL CONSTRUCTION (AISC), MANUAL OF STEEL CONSTRUCTION, TELECOMMUNICATIONS INDUSTRY ASSOCIATION (TIA) 222 —F, STRUCTURAL STANDARD FOR STRUCTURAL ANTENNA TOWER AND ANTENNA SUPPORTING STRUCTURES. INSTITUTE FOR ELECTRICAL AND ELECTRONICS ENGINEERS (IEEE) 81, GUIDE FOR MEASURING EARTH RESISTIVITY, GROUND IMPEDANCE, AND EARTH SURFACE POTENTIALS OF A GROUND SYSTEM IEEE 1100 (1999) RECOMMENDED PRACTICE FOR POWERING AND GROUNDING OF ELECTRONIC EQUIPMENT. IEEE C62.41, RECOMMENDED PRACTICES ON SURGE VOLTAGES IN LOW VOLTAGE AC POWER CIRCUITS (FOR LOCATION CATEGORY "C3" AND "HIGH SYSTEM EXPOSURE "). TIA 607 COMMERCIAL BUILDING GROUNDING A BONDING REQUIREMENTS FOR TELECOMMUNICATIONS. TELCORDIA GR -1503 COAXIAL CABLE CONNECTIONS. FOR ANY CONFLICTS BETWEEN SECTIONS OF LISTED CODES AND STANDARDS REGARDING MATERIAL, METHODS OF CONSTRUCTION, OR OTHER REQUIREMENTS, THE MOST RESTRICTIVE REQUIREMENT SHALL GOVERN. WHERE THERE IS CONFLICT BETWEEN A GENERAL REQUIREMENT AND A SPECIFIC REQUIREMENT, THE SPECIFIC REQUIREMENT SHALL GOVERN. N 25' -51' -49.0" W 80' -11' -06.0" NAD 83 AT &T ATST WIRELESS SERVICES, INC. 11760 U.S. HIGHWAY 1 NORTH PALM BEACH. FLORIDA 33408 PROJECT INFORMATION PROPERTY OWNER(S): TBD CONTACT: PETER BELLOS TEL: (305) 751 -6306 APPLICABLE BLDG. CODES & STANDARDS SITE NAME: MIAMI SHORES SITE No.: M -139 602 NE 96TH STREET MIAMI SHORES, FL 33138 MIAMI SHORES PRESBYTERIAN CHURCH 602 NE 96TH STREET MIAMI SHORES, FL 33138 SCALE: AT &T AT &T WIRELESS SERVICES, L.L.C. SITE NAME: MIAMI SHORES SITE NUMBER: M -139 DRIVING DIRECTIONS TAKE 1 -95 SOUTH TO NW 103RD ST. EAST ON 103RD TO NE 6THr, ,-AVE.ISOUTH ON 6TH AVE. SITE IS CHURCH ON SE CORNER OF 6TH AVE AND 96TH ST. EQUIPMENT IS ON 2ND FLOOR ,OF STEEPLE. • AS SHOWN TAD. MA M.S. DESIGNED BY: A.J.A. D 1.;:EN;E Na.: . '122787. �. MACICC .106 No. APP•O x ,10 -15 -03 . '6758 AT&T WIRELESS SERVICES mr ' MIAMI UMTS OVERLAY TITLE SHEET tCd M -139 01 MACTEC MACTEC ENGINEERING AND CONSULTING. INC 5845 N.W. 1581h STREET MIAMI LAKES, FLORIDA 33014 TEL (305) 826 -5588 / FAX (305) 828 -1799 CERTIFICATE OF AUTHORIZATION j: us A • .0 1 16' -2' Lucent Technologies Bell Labs Innovations 2400 S.W. 145th AVENUE MIRAMAR, FLORIDA 33027 (E) COAX ENTRY PORT \ (ABOVE DOOR) (N) JUMPER SEE DETAIL (N) 66 —CUP CONNECTING BLOCK (E) TELCO BACKBOARD (E) ALARM BOX (N) TI UNE SEE DETAIL (E) TRANSFER SWITCH (E) AC PANEL (E) ENTRY DOOR 04 (E) NIU (E) GROUND BAR (E) A/C CONTROLLER (THERMOSTAT) AT&T WIRFI PCS SERVICES INC. 11760 U.S. HIGHWAY 1 NORTH PALM BEACH, FLORIDA 33408 LJ AT &T /' (E) CU RF RACK —G —G (E) A/C UNIT 0 (E) RF (E) RF RF RF 9' 3" 2' (E) A/C UNIT GRAPHIC SCALE r - - -- (F) GSM RACK 4 ' (E) NOKIA CABINET (E) NOKIA CABINET (E) DC POWER RACK BATT ERIES RACK SITE NAME: MIAMI SHORES SITE No.: M -139 602 NE 96TH STREET MIAMI SHORES, FL 33138 O A NO. 10 -15 -03 09 -12 -03 DATE 3' -7" (E) RECEPTACLE (E) AWS EQUIPMENT ROOM ON SECOND FLOOR (E) GROUND BAR (E) DRAIN (N) +24V SUPPLY SEE DETAIL (N) UMTS EQUIPMENT CABINET (N) GROUND TO (E) MGB SEE DETAIL ISSUED FOR PERMIT PREUMINARY FOR REVIEW REVISIONS SCALE: AS SHOWN I DESIGNED BY: A.J TAD J.Z. BY MA M.A. CHK DRAWN BY: CH .S. M.S. APP AWS APP'D SE No.: . 1 22787! -1.O 1 5 03'', 6788 -03 -0149 L' AT &T WIRELESS SERVICES MIAMI UMTS OVERLAY k : • SITE PLAN MA."TEC J09 No. AWS 5118 No M -139 SHEET No. 02 REV 0 • N N 5' OMACTEC MACTEC ENGINEERING AND CONSULTING, INC 5845 N.W. 15818 STREET MIAMI IAI(ES. FLORIDA 33014 TEL: (305) 626 -5588 / FAX: (305) 826 -1799 CERTIFICATE OF AUTHORIZATION I: Z!28 ANTENNA PLAN VIEW NTS Lucent Technologies Bea LabsInnovatbns 2400 S.W. 14518 AVENUE MIRAMAR. FLORIDA 33027 (N) UMTS ANTENNA ON (N) WAIL MOUNT VALMONT PART No. 81592 (TYP.) (PAINT TO MATCH) (SEE DETAILS ON SHEET 07) (E) ANTENNA (TYP.) (E) AWS ANTENNA (TYP.) AT &T AT&T WIRFI Pc¢ SERVICES, INC. 11760 U.S. HIGHWAY 1 NORTH PAW BEACH, FLORIDA 33408 (E) ANTENNA (N) UMTS ANTENNA (SECTOR 1) (PAINT TO MATCH) (E) AWS ANTENNA (E) ANTENNA (TYP.) (N) UMTS ANTENNA (SECTOR 3) (PAINT TO MATCH) 80'± AC.4 TO (N) UMTS ANTENNA AND (E) AWS ANTENNA (N) UMTS ANTENNA (SECTOR 3) (PAINT TO MATCH) SITE NAME: MIAMI SHORES SITE No.: M -139 602 NE 96TH STREET MIAMI SHORES, FL 33138 80'* AG.4 TO (N) UMTS ANTENNA AND (E) AWS ANTENNA RAD. CENTER WEST STEEPLE ELEVATION 0 A 10 -15 -03 09 -12 -03 NO. DATE SCALE: AS SHOWN NTS (E) ANTENNA (E) AWS 1900 GSM ANTENNA ISSUED FOR PERMIT PREUMINARY FOR REVIEW 72'* A.C.L. TO (N) AWS 850 ANTENNA REVISIONS DESIGNED BY: A.J.A. (E) ANTENNAS (N) AWS 850 ANTENNA (PAINT TO MATCH) (E) ANTENNA TAO. J.Z. BY RAD. CENTER MA MA CHI( DRAWN BY: CH 03 ��i 1L 'V,TS M.S. M.S. APP AWS APP'D 0 IL , •' I � .; SOUTH STEEPLE "ELEVATION ILS1 'W• 22787 .' ( )5S 104, '1;1%. ti; 1 • 'I.IACTEC 408 No '6788-03 -0149 (E) ANTENNAS (N) UMTS ANTENNA (SECTOR 2) (PAINT TO MATCH) 80'± A.G.L. TO (N) UMTS ANTENNA AND (E) AWS ANTENNA RAD CENTER (E) AWS ANTENNAS (E) ANTENNA AT &T WIRELESS SERVICES ` ". :MIAMI UMTS OVERLAY ANTENNA PLAN AND ELEVATION AWS SITE No. M -139 0' A.G.L. SHEET No. 03 UMTS RF DATA TABLE CONFIG SECTOR NAME ANTENNA MAKE & MODEL ANTENNA COUNT TMA COUNT AZIMUTH (TRUE) RAD CENTER MECHANICAL DOWNTILT ELECTRICAL DOWNTILT COAX SIZE COAX LENGTH COAX COUNT NEW 1 PCS— DS -17— 06507 —XD 1 2 30' 80' 2' 2' 7/8" 71' 2 2 PSC— DS -17— 06507 —XD 1 2 145' 80' 2' 2' 7/8" 74' 2 3 PCS— OS -17— 06507 —XD 1 2 270' 80' 2' 2' 7/8" 90' 2 AWS 850 RF DATA TABLE CONFIG SECTOR NAME ANTENNA MAKE & MODEL ANTENNA COUNT TMA COUNT AZIMUTH (TRUE) RAD CENTER MECHANICAL DOWNTILT ELECTRICAL DOWNTILT COAX SIZE COAX LENGTH COAX COUNT NEW 1 — — — — — — — — — — 2 — — — — — — — — — — 3 FR90— 1 1 —OODAL2 1 — 240' 72' 0' 3' 7/8" 90' 2 I SEE NOTE 1 SECTOR 1 NEW UMTS ANTENNA 1 D: 1- N DIN 0_' DIN I DIN r1 F 1 LJ OMACTEC MACTEC ENGINEERING AND CONSULTING. INC 5845 N.W. 15816 STREET MIAMI LANES. FLORIDA 33014 TEL: (305) 626 -5588 / FAX: (305) 826 -1799 CERTIFICATE OF AUTHORIZATION /: 7426 DIN DIN SECTOR 2 SECTOR 3 NEW UMTS ANTENNA 2 Ix DIN DIN 1900 UMTS 0: IN DIN DIN 1 11 1 L i j r DIN DIN ANTENNA CONFIGURATION NOTES: 1. COAX GROUND KITS TO BE INSTALLED AT BOTH ENDS OF COAX CABLE AND PRIOR TO ENTERING EQUIPMENT ROOM. GROUND KITS AS NECESSARY TO MAINTAIN MAXIMUM SPACING OF 100' -0 ". Lucent Technologies Bell Labs Innovations 2400 S.W. 14516 AVENUE MIRAMAR. FLORIDA 33027 DIN NEW UMTS ANTENNA 3 x I- D IN LEGEND: r x Ce DIN T DIN I DIN NEW COAX / JUMPER EXISTING COAX / JUMPER EXISTING EQUIPMENT NEW EQUIPMENT • 7/16 MALE DIN O 1/2" JUMPER GAS TUBE SURGE ARRESTOR ANDREW M# APIDC— BDFDF —WB OR HUBER & SCHUNER M# 3409.410017 O 7/8" OR 1 -5/8" COAX 4 (SEE RF DATA TABLE FOR SIZE) O 5 7/16" FEMALE DIN O 6 TMA AT &T AT&T WIRELESS SERVICES, INC. 11760 U.S. HIGHWAY 1 NORTH PALM BEACH. FLORIDA 33408 SITE NAME: MIAMI SHORES SITE No.: M -139 602 NE 96TH STREET MIAMI SHORES, FL 33138 NOTE: CONTRACTOR TO FIELD VERIFY COAX LENGTH. NOTE: CONTRACTOR TO FIELD VERIFY COAX LENGTH. 0 10 -15 -03 A 09 -12 -03 NO. DATE SCALE: ISSUED FOR PERMIT PRELIMINARY FOR REVIEW REVISIONS AS SHOWN I DESIGNED 8Y: AJ.A TAD. J BY M.A. MA. CHK DRAWN BY: CH M.S. M.S. APP'O AWS' APP'D { Fr /t H. SAHN uezzE I : 9 12278 AT &T WIRELESS SERVICES MIAMI UMTS OVERLAY ,rANT CONFIGURATION & RF TABLE MACTEC JOB No. ,6788 -03 -0149 AWS SITE No. M -139 SHEET No. 04 TO NIU • 3/8 GALV. SCREWS • I O UMTS TX /RX 111 UMTS RX 3/8 THREADED . RJ -48C 4 O+ CONNECTOR WEATHERPROOFING � ■ Ilk e JUMPER (TYP.) STANDARD GROUND ` 1/4x4x12 BUS BAR �,� _ c 3/8 x 3/4 SS BOLT JACK RJ -48C MTS PART # in ♦ ► �� U ! KIT (TYP.) GB -0412 IT r ^ J, 1� / :, [ 40% pil li t A. ANTENNA CABLE �y ` ► .,. �. B 0600 ° ® 0 8 6 ° ° 6 AWG STRANDED GREEN INSULATED Cu THHN WIRE (NOTE 1 & 2) J KIT (TYP.) 3/8 SS ` a LOCK WASHER ; 3 aoe ® °° ® •- • P, 4.41 m oo ® ®Bo # AWG STRANDED CU � WIRE WITH GREEN, 600V, THWN INSULATION EXISTING / ° ° 6 ® ,�; ° ° o e ° go ° ° o e� ° • • . � � 8 000° ` , • JACK O 0 • 3/8x3/4 SS BOLT 3 ° • e I s:.- ( GROUND BAR 111111111111 VV (SEE NOTE 3) �, �. e. i `v v O4- P '�` -- / _ 1 kti' of \O #2 AWG TINNED WIRE LEAD 1 1 -1 /4" U- FITTING W/ THERMOWELD U 1 TO UMTS CABINET 2 CONNECTION OF COAX GROUND WIRE 1 Ti SURGE PROTECTOR LEAD SHOWN I` 05 TRANSECTOR MODEL # TSJ10 /100DT NOTES: 05 TO GROUNDING BAR FOR CLARITY SS ANGLE ADAPTER 3 TYPICAL GROUND BAR NOTES: 1. ATTACH RING TERMINAL FROM SUPPLIED GROUND CONDUCTOR TO TVSS GROUND STUD SECURELY FASTEN WITH SUPPLIED WASHER AND NUT. REFER TO MANUFACTURER'S INSTRUCTIONS. FOR PROPER PERFORMANCE, THE GROUND CONDUCTOR LENGTH SHOULD BE LIMITED WITH NO SHARP BENDS ON COILS. 2. WHEN TVSS IS MOUNTED ON EQUIPMENT FRAME, BOND THE GROUND CONDUCTOR TO THE EQUIPMENT FRAME GROUND. ENSURE PROPER GROUNDING SURFACES. WHEN TVSS IS MOUNTED ON THE TELCO BACK BOARD, BOND THE GROUND CONDUCTOR TO THE TELCO (BOARD) GROUND BAR OR NEAREST GROUND BAR. 1. THIS DETAIL APPLIES TO ALL OUTDOOR GROUNDING. 2. DO NOT INSTALL CABLE GROUND KIT AT A BEND AND ALWAYS DIRECT GROUND WIRE DOWN TO BAR. 3. FOR SITES WITH NO EQUIPMENT ROOM ENTRY PORT GROUND BAR, CONTRACTOR SHALL INSTALL ENTRY PORT GROUND BAR. SEE DETAIL O 5 05 NOTE: 1. CONTRACTOR TO APPLY COPPERSHIELD OR NO -OX. #4 OR 6 AWG STRANDED CU WIRE WITH GREEN, 1/2 "x2 HILTI QUICK BOLT (CONCRETE WALLS) OR (N) UMTS ANTENNA PROVIDE UL CLASSIFIED THROUGH- PENETRATION FIRESTOP, USG FIRE STOP SYSTEM OCORE DRILL= F CONDUIT O.D. + 1" (N) 2 3/8" O.D. • �� ;� 11 MOUNTING PIPE = o- o•- o•- r o•- o-- o- — HILTI HIT ANCHOR (MASONRY WALLS) (OR EQUAL) 600V, THWN INSULATION EXISTING !!• . . a Q GROUND WIRES J p D n • . ; '. ` EXISTING , III „ " III 4' -0" _••---- - -�••— GROUND BAR MAX. w 0 0 0 0 0 01u ) (OR EQUAL) COAXIAL CABLE W/ ANDREW STAINLESS �^ i � 0 vy 0 � # AWG BARE TINNED COPPER WIRE TO (E) AWS GROUNDING (E) CONCRETE ' @ 1 1 1 o 1 , EXISTING CONNECTION TO GROUND I I ii 1 Iir 0 0 STEEL CABLE HANGER (OR EQUAL) 8 SECTION 4 INSTALLATION OF EQUIPMENT 05 GROUND WIRE TO GROUND BAR SYSTEM 5 ANTENNA GROUNDING DETAIL 6 WALL PENETRATION DETAIL 7 WALL MOUNTED COAX DETAIL 05 05 05 05 N4ACTEC MACTEC ENGINEERING 5845 N AND CONSULTING. INC 5845 N.W. 158th STREET MIAMI LAKES, FLORIDA 33014 TEL (305) 826 -5588 / FAX: (305) 826 -1799 CERTIFICATE OF AUTHORIZATION #: 7428 Lucent Technologies Bell Labs Innovations • 2400 S.W. 145111 AVENUE MIRAMAR. FLORIDA } }027 ___ __. AT &T SI TE NAME: MIAMI SHORES SITE No.: M -139 602 NE 96TH STREET MIAMI SHORES, FL 33138 NNIE' ARMANDO ALV AT &T WIRELESS SERVICES MIAMI UMTS OVERLAY DETAILS 0 10 -15 -03 ISSUED FOR PERMIT TAD. MA M.S. �: 55980 AT &T WIRELESS SERVICES, WC. NORTH PALM BEACH. HIGHWAY FLORIDA 33408 A 09 -12 -03 PRELIMINARY FOR REVIEW J.Z. M.A. M.S. NO. DATE REVISIONS BY CH4 APP.() AWS APP•D ,' y. 10- 15 -03- • MACTEC J08 No. AWS SITE No. SHEET No. REV 6788 -03 -0149 M -139 05 0 SCALE: AS SHOWN I DESIGNED BY: A.J.A. I DRAWN ar: CH 01 NOTES: r - ( -) (E) +24V DC POWER PLANT 100A (BY OTHERS) J SIZE 6 AWG THHN STRANDED COPPER J GREEN INSULATED GROUND TO EXISTING AWS MGB (NOTE 1) 1. ROUTE #6 AWG SUPPLEMENTAL EQUIPMENT GROUND CONDUCTOR TO TOP OF BTS. CUT, COIL, AND TAPE SIX -FOOT PIGTAIL FOR CONNECTION. 2 ' ROUTE CIRCUIT TO TOP OF BTS BASE RACK. CUT COIL AND TAPE A SIX -FOOT PIGTAIL FROM BOTTOM OF CABLE RACK FOR CONNECTION. AT LOCATIONS WHERE CABLE CANNOT BE INSTALLED IN CABLE RACK USE 1 1/2" AL IMC FOR SIZE 2 AWG AND 2" AL IMC FOR SIZE 2/0 AWG AND SIZE 4/0 AWG WITH 6 FEET (MAX) LFNC CONDUIT AT BTS END. 4. FURNISH AND INSTALL CAT -5 T1 TRANSPORT CABLE WITH RJ48 LOOSE TERMINATIONS AND T1 TVSS, TRANSTECTOR MODEL No. TSJ10 /100DT. MOUNT T1 TVSS TO TELCO BOARD AND GROUND T1 TVSS TO TELCO GROUND BAR OR NEAREST MGB. IF NO TELCO BOARD AVAILABLE. MOUNT T1 TVSS TO DSX EQUIPMENT RACK AND GROUND TO GROUND BAR AT TOP OF RACK. (BY OTHERS): S , 150A I 3. AWS SHALL CONFIRM THAT EXISTING DC POWER BOARD CAPACITY IS ADEQUATE TO FEED NEW LOAD. 5. MOUNT 66 -CLIP CONNECTING BLOCK (LEVITON PART No. 40066 -M25 OR EQUIV.) TO TELCO BOARD. IF NO TELCO BOARD AVAILABLE. MOUNT 100 -PAIR RACK MOUNT WIRING PANEL ( LEVITON PART No. 41DR2100 OR EQUIV.) TO DSX RACK. 1 150A � I 0 ' - I 0 (BY OTHERS) 0 (N) /1/0 AWG \ / \ (N) /2 AWG GND ( +) AMP SHELF ( -) AMP SHELF ( +) AMP SHELF ( -) AMP SHELF ( +) FILTER /DIGITAL SHELF ( -) FILTER /DIGITAL SHELF (N) LUCENT UYTS CABINET DC POWFR AND GROUNDING SCHFMATIC; ALARM CABLE (BY LUCENT) ALARM BLOCK T1 CABLE (BY LUCENT) 66 -CLIP CONNECTING BLOCK (NOTE 5) #6 AWG STR. Cu THHN GREEN INSUL. EXISTING TELCO BOARD TO TELCO GND BAR OR NEAREST MGB (NOTE 4) (E) NIU AWS WILL BE RESPONSIBLE FOR DETERMINING THE ADEQUACY OF THE EXISTING DC POWER PLANT CAPACITY TO SUPPORT THE ADDITION OF THE NEW EQUIPMENT T1 CABLE (NOTE 4) TI TVSS (NOTE 4) T1 CABLE (NOTE 4) AGL AWG BTS (E) EG EGR MGB MIN ETA ©© SYMBOLS ABOVE GRADE LEVEL AMERICAN WIRE GAUGE BASE TRANSCEIVER STATION EXISTING EQUIPMENT GROUND EQUIPMENT GROUND RING MASTER GROUND BUS MINIMUM SOLID GROUND BUS BAR SOLID NEUTRAL BUS BAR SUPPLEMENTAL GROUND CONDUCTOR 2 -POLE THERMAL - MAGNETIC MINIATURE CIRCUIT BREAKER SINGLE -POLE THERMAL - MAGNETIC 0 o MINIATURE CIRCUIT BREAKER ABBREVIATIONS N.T.S. REF REQ RF T.B.D. T.B.R. TYP SYMBOLS & ABBREVIATIONS NEW NOT TO SCALE REFERENCE REQUIRED RADIO FREQUENCY TO BE DETERMINED TO BE RESOLVED TYPICAL MACTEC MACTEC ENGINEERING AND CONSULTING. INC 5845 N.W. 158th STREET MIAMI WOES. FLORIDA 33014 TEL (305) 826 -5588 / FAX: (305) 826 -1799 CERTIFICATE OF AUTHORIZATION 1: 7428 Lucent Technologies B€41 Labs hnovatIons • 2400 S.W. 145th AVENUE MIRAMAR. FLORIDA 33027 AT &T AT&T WIRELESS SERVICES, INC, 11760 U.S. HIGHWAY 1 NORTH PALM BEACH. FLORIDA 33408 SITE NAME: MIAMI SHORES SITE No.: M -139 602 NE 96TH STREET MIAMI SHORES, FL 33138 A NO. 10 -15 -03 09 -12 -03 DATE TAD. J.Z. BY MA. MA CHI( 14.5. APP'D SCALE: AS SHOWN I DESIGNED BY: A.J.A. DRAWN BY: CH ISSUED FOR PERMIT PRELIMINARY FOR REVIEW REVISIONS AWS APP') L;iL./ mow ARMANDO ALVARE UCEN,.'E N 55980 .10 -15 -03 AT&T WIRELESS SERVICES MIAMI UMTS OVERLAY DC POWER AND GROUNDING SCHEMATIC MACTEC JOB No. AWS 511E No. SHEET No. REV 6788 -03 -0149 M -139 06 0 • 11/16 "---- CONCRETE WALL --3- CONCRETE WALL -- 3- 17/16" 1 ..._ — 2 Ii O.D. x 5' -6" PIPE LENGTH (3' -6" MAX. CANTILEVER ABOVE TOP BRACKET) (CUT TO FIT) • 4 L] MOUNTING PIPE . QG _ ... • • • . . . a. Q . d. .' • .- r• — . . .. ". MOUNTING PIPE ' '- 5/8" 0 THRU ROD W/ NUT ASSEMBLY ... L 2 -1/2 x 2 =1/2" x 1/4", 9" LONG _ 13/16" 1" SLOTS -. = HILTI HVA (OR EQUAL) 5/8 "0 HIY150 EPDXY ANCHORS EMBEDMENTS 4 J L 2 -1/2" x 2 -1/2 x 1/4 ", 9" LONG M T _ • � �® ®- b x USE FLAT WASHERS Z3" x 3 "x 1/4", 14-1/4" LONG .' . .. d • 1/2" A325 BOLT - 4. 4. . 2 SECTION • 3' SPACING o 1/2" A325 BOLT MIN. 3 SEGTION a` .d d 8" MAX. M FOR L 2 -1/2" x 2 -1/2" x 1/4 ". 14 -1/4" LONG . . . CONCRETE WALL fi ll m ® 13/76" x 1" SLOTS USE FLAT WASHERS L2 -1/2" x 2 - 1/2° x 1/4 ", 14 -1/4" LONG FOR CONCRETE 07 WALLS OVER 8" THICK 07 UP TO 8" THICK VALMONT PART No. B -1872 N.T.S. VALMONT PART No. B -1873 ® ® N.T.S. , 0 0 - 3 -71 16" / 1' 3- 11/76" - _ A (SEE NOTE 2) . 411 CMU WALL (SEE NOTE 2) 0" 1 -2}" ELEVATION • VIEW WIRELESS WALL MOUNT KIT _ ,.... C 07 VALMONT PART No. B -1592 N.T.S. MOUNTING PIPE MOUNTING PIPE 5/8 0 THRU ROD W/ NUT ASSEMBLY _ II 1 [ '" ) �� STRUCTURAL NOTES: L 2 -1/2 x 2 —t/2 L 2 -1/2" x 2 -1/2" x 1 /4 ", 9" LONG HILTI HVA (OR EQUAL) 5/8 "0 HIY20 EPDXY ANCHORS WITH 5" EMBEDMENTS I ! ' 4 SECTION 1 ", LONG _ _ x /4 9 _ 1. ANTENNA MOUNTS DESIGNED IN ACCORDANCE W/ THE FLORIDA BUILDING CODE 2001 EDITION W/ THE FOLLOWING PARAMETERS: V = 146 MPH (3 SEC. GUST) EXPOSURE C BUILDING CATEGORY II 2. FOR ANTENNA MOUNT LOCATED ON BLOCK WALLS THE CONTRACTOR SHALL GROUT BLOCK WALL SOLID TO FULL HEIGHT IN A 2' WIDTH, US TM GROUT. E ASTM C476 6 G OU 3. ALL STEEL SHALL BE A36 GRADE HOT DIPPED GALVANIZED PER ASTM Al23 AND A385. ALL BOLTS AND HARDWARE SHALL BE GALVANIZED PER AST A153 AND A385. 4. THE CONTRACTOR SHALL USE ANTENNA MANUFACTURER'S ANTENNA PIPE MOUNTS WHERE POSSIBLE. FOR LARGER DIAMETER PIPE, THE CONTRACTOR SHALL USE A BRACKET MASTER MS100 (OR EQUAL) WITH SMALLER PIPE TO MOUNT ANTENNAS. . L3" x 3 "x 1/4 ", 14 -1 4 / "LONG ' 1/2" A325 BOLT �� 1/2" A325 BOLT MAX. FOR x /4 / 1/4' LONG III FOR BLOCK WALLS 5 SECTION k- 20" L 2 -1/2" x 2-1/ LONG 1/4", 14-1/4" LONG I 1 BLOCK WALLS 07 OVER 20" THICK 07 UP ■0112O'' .:T,HICK VALMONT PART No. B -1870 VALMONT PART K —1873 N.T.S. ' IN)T:S. / ++ �. MACTEC MACTEC ENGINEERING AND CONSULTING, INC 5845 N.W. 158th STREET MU 82 LAKES, FLORIDA 33014 TEL (305) 826 -5588 / FAX: (305) 826 -1799 CERTIFICATE OF AUTHORIZATION 1: ZQ Lucent Technologies 9 8611 Labs InnovatiOnB 2400 S.W. 145th AVENUE MIRAMAR. FLORIDA 33027 AT&T SITE NAME: MIAMI SHORES SITE No.: M -139 602 NE 96TH STREET MIAMI SHORES, FL 33138 �� ' �� AT&T WIRELESS SERVICES (1 N t1 ;MIAMI UMTS OVERLAY 0 10-15 -03 ISSUED FOR PERMIT TAO. MA M.S 7 +' ' ANTENNA MOUNTING DETAILS ' : r , „,,: 22787 .. a AT &T WIRELESS SERVICES, INC. 11760 U.S. HIGHWAY 1 NORTH PALM BEACH, . FLORI DA } }408 A 09 -12 -03 PRELIMIN FOR REVIEW J.Z. MA M.S. NO. DATE REVISIONS BY CHK APP AY1,5 APP elJACTEC JOB No. ",, /' a t` �� AWS SITE No. SHEET No. REV , • � ( ,:10L•15 ._-03'" ' ,116788, ' M -139 07 0 SCALE: AS SHOWN DESIGNED BY: A.J.A. DRAWN BY: CH AID APPROVED BY DATE ZONING ..SIRUCTURAL ELECTRICAL • iAMI SHORES VILLAGE • SUBJECT TO COMPLIANCE With : ---'-- i STATE AND COUNTY RULES Mit: 4:.„. ze )0.-4 2/274 4 1 1 MAR - 1 *04 • MIAMI SHORES VILLAGE +1,6 BUILDING DEPARTMENT 305- 795 -2204 Buil.i Inspection Request Date '� I Type Insp'n - I - no l P)lQ® �` t Permit No. O a.13 Name 1---KO M) NoS Address �V L 1 Company'.-Q1 0 ( � VC. Phone# cS 2, 4 3 ia. Inspection Date 4) 1 • . Approved Correction Re- Insp'n Fee 0 MIAMI SHORES VILLAGE BUILDING DEPARTMENT \'- 305-795-2204 Building Inspection Request Date F_T)O Type Insp'n Permit No. Na e QQ /IMF 9. Address Pi 0 ' 4 \ r l • r, c ) J_ Company me ( l ) 1 Phone# Inspection Date / {7 (C) y Approved Correction Re-Insp'n Fee 5 KNOW ALL MEN BY THESE PRESENTS: CERTIFICATIONS AND DECLARATIONS OF RESTRICTIVE COVENANT WHEREAS, Miami Shores Presbyterian Church, a Florida non- profit corporation (the "Owner" or "Declarant ") is the owner of the following described property (the "Property ") situated and being in Miami Shores Village, Florida Lots 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10, Block 61 and the 15 -foot alley running east and west through said Block 61, Miami Shores, Section 2, according to the Plat thereof, recorded in Plat Book 10 at page 37 of the Public Records of Miami -Dade County, Florida, and WHEREAS, the Owner, together with Metro PCS California /Florida Inc., a Delaware Corporation, (hereinafter "Applicant ") with the consent of the Owner, has applied to Miami Shores Village, a Florida municipal corporation ( "the Village ") for a wireless personal telecommunications services antenna permit, pursuant to Chapter 22 of the Miami Shores Village Code, and otherwise; and WHEREAS, the Owner and Applicant desire to provide certain assurances and certifications to the Village; NOW, THEREFORE, the Owner and Applicant each jointly declare and certify as follows: 1. Title. Owner and Applicant have provided evidence as to the status of title to the Property to the Village. 2. Continuous Compliance. The Owner and Applicant hereby covenant and certify that the wireless personal telecommunications services antenna proposed for the Property will be made continually compliant w ith all p resent and future promulgated safety I aws, rules a nd regulations concerning electromagnetic frequency emissions standards promulgated by governmental authorities having jurisdiction over the Applicant and the operations of the antenna facility, or similar safety standards for other wireless communications media transmissions. The Owner and Applicant hereby acknowledge the right of the Village to require immediate removal of any wireless personal telecommunications services antenna upon the Property which does not meet such safety rules and regulations. 3. Non - Interference. The Owner and Applicant also covenant and certify that any of Applicant's wireless personal telecommunications services antennas proposed for the Property will not interfere with public safety communications, and further, will not unreasonably interfere with the reception or transmission of television, radio, microwave, telephone, digital or similar communications signals or receipt of signals of nearby residential or business residents. The Owner and Applicant acknowledge the right of the Village to require, if necessary, frequency relocation agreements. 4. Multiple Accommodations. The Owner and Applicant covenant and certify that the design, structure or installation of the Applicant's wireless personal telecommunications services antenna facility proposed for the Property will be such as to accommodate at least two (2) wireless personal telecommunications services antenna facilities of other providers, on a non- discriminatory basis, after applicant's installation, in the manner depicted on Exhibit "A" which is attached hereto and made a part hereof, to avoid duplication of the erection of wireless personal telecommunications services antenna towers throughout the Village. Applicant and Owner undertake no obligations hereby to assure utilization of the structure by other service providers and Applicant and Owner expressly disclaim any right of power to control or dictate any other service p roviders' choice or d esign of proposed facilities for this structure. The Applicant will not oppose and Owner covenants and certifies that it will permit co -use of the wireless personal telecommunications services antenna structure upon the property by at WITNESSES: CertificationsandDeclarations least two (2) wireless personal telecommunications services providers, in addition to Applicant, on a non - discriminatory basis. Owner and Applicant acknowledge and agree that unreasonable refusal to permit co -use shall constitute a violation of Section 22 -42 of Miami Shores Village Code and may result in the Village revoking any wireless personal telecommunications services antenna tower approval and seeking a mandatory injunction to compel removal of any wireless personal telecommunications services antenna, in addition to all other remedies available to the Village for violations of its code of ordinances, and any other remedy available under the law. 5. Attorney's Fees. The Owner and Applicant hereby covenant and certify that the prevailing party shall be entitled to recover its reasonable costs and attorney's fees in the event any litigation is brought to enforce the provisions of this Declaration and Certification. 6. Binding on Successors. The Owner and Applicant covenant and certify that this Declaration and Certification shall be binding upon the Owner, the Applicant, and each and all of their respective successors and assigns and that they shall faithfully observe and perform hereunder, for so long as Applicant operated its antenna facility on the Property. IN WITNESS WHEREOF, he undersigned have caused this instrument to be executed and delivered on this 27 day of , 2003 . vekh49' Signature Leh r-.Q J. eZcCl w /re Print Name Print Name OWNER: iami hores Presbyterian Church tp y .41, %tic; (24441-e-- BY: ATTEST: /'j db j�rtc.J /�/- )/1°'``V-'/ STATE OF FLORIDA COUNTY OF MIAMI -DADE A The foregoing instrument was sworn to and subscribed before me this 2 -7 day of /" (A J , 200 3 by , l ella S , as ) siee._ and wt \d t (Dame' as Bus\ t\S5 May\a(',,F'r , of the Miami Shores Presbyterian Church, on behalf of the corporation for the purposes therein expressed. They are . personally known to me or have produced and as identification and did take an oath. My commi WITNESSES: STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing instrument was sworn to and subscribed before me this / 4 day of � 4 , 2003 by Fro" as VP/GM. - Ftbv e... of Metro PCS, on behalf of the corporation for the purposes therein expresse to me o r has produced —z = ,.� 0 MICHAEL UNET ♦ 1P a •� Notary Public - State of Florida • = MyCommission ExpfresOct 10, 2006 ? ' a , c Commission # DD157490 4 '4 / ` Bonded By National Notary Assn. Village Attorney ) ) p of Po OFFICIAL NOTARY SEAL ae, O 0 COMMISSION NUMBER Fes: cc996194 OF F�� MY COMMISSION EXPIRES JAN. 23 2005 ) ) ss: ss: / t( GI) / A `-f vAA Notary Public APPLICANT: Metro PCS California /Florida Inc. BY: Print Name & Title: Rail V. \{ 4 16m — EIC(;caa Fd ivnarnlrst1res viiiage'thls aayw'of , 200_. By: as identification and did take an oath. Notary Public uiiding Offici I She isnersonally known KNOW ALL MEN BY THESE PRESENTS: RED 19570 PG. 4376 CERTIFICATIONS AND DECLARATIONS OF RESTRICTIVE COVENANT WHEREAS, Miami Shores Presbyterian Church, a Florida non -profit corporation (the "Owner" or "Declarant ") is the owner of the following described property (the "Property") situated and being in Miami Shores Village, Florida: Lots 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10, Block 61 and the 15 -foot alley Running east and west through said Block 61, Miami Shores, Section 2, According to the Plat thereof, recorded in Plat Book 10 at page 37 of the Public Records of Miami -Dade County, Florida, and WHEREAS, the Owner, together with Omnipoint Holdings, Inc. a Delaware corporation (hereinafter "Applicant ") with the consent of the Owner, has applied to Miami Shores Village, a Florida municipal corporation ( "the Village ") for a wireless personal telecommunications services antenna permit, pursuant to Chapter 22 of the Miami Shores Village Code, and otherwise; and WHEREAS, the Owner and Applicant desire to provide certain assurances and certifications to the Village; NOW, THEREFORE, the Owner and Applicant each jointly declare and certify as follows: 1. Title. Owner and Applicant have provided evidence as to the status of title to the Property to the Village. 2. Continuous Compliance. The Owner and Applicant hereby covenant and certify that the wireless personal telecommunications services antenna proposed for the Property will be made continually compliant with all present and future promulgated by governmental authorities having jurisdiction over the Applicant and the operations of the antenna facility, or similar safety standards for other wireless communications media transmissions. The Owner and Applicant hereby acknowledge the right of the Village to require immediate removal of any wireless personal telecommunications services antenna upon the Property which does not meet such safety rules and regulations. 3. Non - Interference. The Owner and Applicant also covenant and certify that any wireless personal telecommunications services antennas proposed for the Property will not interfere with public safety communications, and further, will not unreasonably interfere with the reception or transmission of television, radio, microwave, telephone, digital or similar communications signals or receipt of signals of nearby residential or business residents. The Owner and Applicant acknowledge the right of the Village to require, if necessary, frequency relocation agreements. 4. Multiple Accommodations. The Owner and Applicant covenant and certify that the design, structure or installation of the wireless personal telecommunications services antenna facility proposed for the Property will be such as to accommodate at least two wireless personal telecommunications services antenna facilities of other providers, on a non - discriminatory basis, after applicant's installation, in the manner depicted on Exhibit "A" which is attached hereto and made a part hereof, to avoid duplication of the erection of wireless personal telecommunications services antenna towers throughout the Village. Applicant and Owner undertake no obligations hereby to assure utilization of the structure by other service providers and Applicant and Owner expressly disclaim any right of power to control or dictate any other service providers' choice or design of RE 19570 PG. 4377 proposed facilities for this structure. The Applicant will not oppose and Owner covenants and certifies that it will permit co-use of the wireless personal telecommunications services antenna structure upon the Property by at least two wireless personal telecommunications services providers, in addition to Applicant, on a non - discriminatory basis. Owner and Applicant acknowledge and agree that unreasonable refusal to permit co-use shall constitute a violation of Section 22 -42 of Miami Shores Village Code and may result in the Village revoking any wireless personal telecommunications services antenna tower approval and seeking a mandatory injunction to compel removal of any wireless personal telecommunications services antenna, in addition to all other remedies available to the Village for violations of its code of ordinances, and any other remedy available under the law. 5. Attorney's Fees. The Owner and Applicant hereby covenant and certify that the prevailing party shall be entitled to recover its reasonable costs and attorney's fees in the event any litigation is brought to enforce the provisions of this Declaration and Certification. 6. Binding on Successors. The Owner and Applicant covenant and certify that this Declaration and Certification shall be binding upon the Owner, the Applicant, and each and all of their respective successors and assigns and that they shall faithfully observe and perform hereunder, for so long as Applicant operated its antenna facility on the Property. IT WITNESS WHEREOF, the undersigned have caused this instrument to be executed and delivered on this Z to day of J q ri 1/4A. o, , yI , 2001. OWNER: MIAMI SHORES PRESBYTERIAN CHURCH 41:414.1 BY: as BUSINESS MANAGER 4.ATTEST) Clerk of Session REE 19570 PG. 4378 STATE OF FLORIDA ) ss: COUNTY OF MIAMI -DADE) The foregoing instrument was sworn to and subscribed before a this Z day of January 2001 by (N ))d al ■N a rne- as Business Manager and C / ?,a 1,P, M • }- )ac'.J as Clerk of Session of Miami Shores Presbyterian Church, on behalf of the corporation for the purposes therein expressed. They are personally known to me)or have produced and as identification and did take an oath. DEBRA J. McCLUNE • MY COMMISSION # CC 830214 EXPIRES: Apr 26, 2003 1.800-3-NOTARY Fla. Nctary Service & Bonding Co. My commission expires: STATE OF FLORIDA COUNTY OF MIAMI -DADE) e foregoing instrument was sworn to and subscribed before me this day ofJauuuary �G 1-1-'2110r1 � bye t� dee ,e9 /0Sl'(1P,as Developer of OMNIPOINT HOLDINGS, a Delaware Corporation, on behalf of the corpotation for the purposes therein expressed. They are personally known to me or have produced and as identification and did take an oath. o Teresa Blackwell tat MY COMMISSION S CC965I60 EXPIRES m 1'N Inu I M T BOND September r0l S INC my' c ommission expires: APPROVED: ss: for Miami Shores Village this day of 4)7,)-L NOTARY PUBLIC APPLICANT: OMNIPOINT HOLDINGS A D c on nn BY: /\J fr 1,4.0 cAr" As Dixecter-of-Sita-Developmeat 70, - I'EC1 -IN lc/><L D I fZEG"Tb P� BY: BUILDING OFFICIAL VILLIAGE ATTORNE 2 A A /0 _c_k_vo-e_06 041 a/0,1,,),7/ NOTARY PUBLIC 2001. RECORDED IN OFFICIAL RECORDS ©00K OF DADE C01.A/7Y, FLORIDA RECORD VERIFIED HARVEY RUVIN CLERK CIRCUIT COURT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE OiR 4/, , , � � $ � c Tax Folio Legal Description Historically Designated: Yes No Date Job Address Owner/Lessee / Tenant M tore5 6 q �j h e Owner's Address _ r Contractin ti- u r Qualifier MI 1 PAA 52✓I State # F-CQ©,O /O5 Municipal # Competency # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDIN WORK DESCRIPTION Square Ft. My Commission Expires: FEES: PERMIT 3'0 P• RADON APPROVED: Zoning Mechanical OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and construction oning. Furthermore, I autho ' - the above - -n Si of er an • . ; Cond. • • ident ` am ► II 1 No .1 as to er an' or o d. President D C.C.F. C Phone 3c --- 7s - ?5-1711 1,83& AJ..E. (4 0- SS# Phone © 37 Ins. Co. �(,( 17 C Address Address Address Address MBING MECHANICAL ROOFING PAVING FENCE SIGN ` c� 3 t _ 4 , 1RV1fi �l / c am l� c_ w5 I ) Yl I Louier 1✓1 f74P i Chui�� Estimated Cost (value) /,'/ rOtOQ c WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. ork will be done in compliance with all applicable laws regulating ork stated. contract. o do the all ature of Contrac or or • wner- Builder otary : to Con for or My Conunission Expires: 4- /21 0 / • caner- Bud �v der '' Date P ny p 0 OFFICIAL dO' : • O !, ANGELA M ■,Lc s.It r; ooMWASSIOn ;. ; *"2 ti CC786e r 7 r. ( MY COMMIS°,1ON E,.,PEL ` c OF F\.° NOV. �nr NOTARYf•.O BOND TOTAL DUE 3 R.,o� - 0 Building Electrical ate Plumbing Structural Engineer NOTICE OF COMMENCEMENT . A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION M PERMIT NO. TAX FOLIO NO. 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. Le • al description of property and street address: • 2. Description of improvement: R o C t Ylt 'Cc°.([� a ri 541-6 �P 5 On fl D 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: 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 rovided 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 d e is specified) %,4‘,/,( cs/c Signature / l / Print Owners Name �'�% �v' /63-6-14— 0") Sworn to and subscribed before me this GI day of J �, DEBRA J. McCLUNE MY COMMISSION # CC 830214 ,Qjj■• EXPIRES: Apr 26, 2003 14103-3-NOTARY Fla Notary Service & Bonding Co. i • Owner Print Notary's Name P.L J � e Notary Public /4, E STATE OF FLORIDA, COUNTY OF DADE he 1 HEREBY CERTIFY that this is a t yatF pP►', day of onglna Ld in thi office on r I J A D 20 ..__. WITNESS y hand nd Official Seal. HARVEY R l LER oFC4 4 gn ounty_Courts I l D.C. By e�tl 1IR375220 2001 JUL 17 10:43 repa e a. 1) ) t3h1 Address: " R D t , E . � `rDS a- S�I o re5 u R.A\406&eo PERMIT NO. • ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE • PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subbed to caraptlance xtth elf Federal, State, Canty.Vittage rotas sr:d rell.t:C s. Wit;-3 cssuc no responstblllty for accvrtcy °floc rar:hs tract the pans. 2. ThIs copy of peens t:,vst b• ars(lsbta ca bs ding the or no InspectEon vdR ba ccndacte& • JOB ADDRESS e2' ,v e q `g) APPLICANT PHONE t# APPLICATION SHEET OF MISCELLANEOUS DATE COMMENTS CRITIQUE SHEET INITIALS ITEM BATH TLS UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS 35 CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/b¢TER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY 4.. OVEN ABOVE (MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0— 1 HP STEAM BOILERS SHOWER MOTORS OVER 1— 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3— 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5— 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8— 10 HP ELEVATORS /ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10— 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MJTCRS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER —NEW INST. GENERATORS TRANSFORMERS HEATER — REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER —WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY —SEWER SIGN TIME CLOCK UTILITY —WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. Li gJ1 �j�� ( jy� WS CATCH BASIN J DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Date 2// Job Address ( ALE 96 53'7EEETTax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant A1/14 n7/ .57RE5 /*ESOV7e1219A1 GAM"? Master Permit # 4 a / g l■Z A./.6. 96 s Owner's Address Contracting Co. Ads /EC - A.101.061E5 Qualifier ,..76576 Z -JM',,q State # - 4s0L896* Municipal # Architect/Engineer J 'AJI?LD W . 3u PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Bonding Company Address Mortgagor Address 315.5 77 . 71/e/ UL�' Phone (305) 99f -9936 Competency # Ins. Co. Address 37 7 1/V. ` ice. s 7�C ?c,E c2L ? ✓/ � 333 2.c5 Address Phone (305) 754 -554 -/ Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION An,' ,t/t.I4J ,EL,P�T7?gt,Uc .�' eSx..4.0 y/L.tp C,42594 /GoA_AAECPA 25 MAJD , r�A. R O/ ?A...19 sYs7 n? ON 7. enviP/A76,4, p v /oofr- zf!v FLoox. Square Ft. 384 Estimated Cost (value) "5 , 5c0 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 cons ction and zo Furthermore, I authorize the above -named contractor to do the work stated. oZ- /,f = 00 1 -f Kam, Signature of owner and/or Condo President Date Notary as to Owner aly d/or Condo President Date My CommiSSi OFFICIAL NOTARY SEAL O r- -OD P RY P 06' S MARGARITA MONTIEL \ p p it C� CONM8 ON NURSER ,jp CC797277 R' " FAY COMMISSION EXPIRES ` OF F _ DEC. 17,2002 FEES: PERMIT APPROVED: . 7 RADON Zoning Building /Mt '1,/Jr' / & ' T 4 / • u / tt a2 fl ) Ne7 as to Contractor or Owner— Huilr#e---r_.. 7 9th' My Commission Expires: *:tai;%.; BfiUNILDA EGAiILL ,, MY COMMISSION # CC 639058 EXPIRES: July 1, 2001 '• :,qF F °e Bonded ThN Notary Public Urdenvltrore C.C.F. 3 - 6 a NOTARY S BOND TOTAL DUE Electrical / Mechanical Plumbing Structural Engineer 2/1/r Copies Date Drawing No. Rev. Description Action' 4 CD's for permitting w/ roofing materials revision AS 5 Electrical Specs for Metrocell Addition 5 Electrical Specs for Replacement Metrocell TRANSMITTAL LETTER To: Copies: Jack O'Brian Norm Giles, Sprint PCS Mastec Const. (1 copy of each) 2417 NW 112th St. Miami, FL 33172 File From: Date: Ray Raparelli 28 January, 2000 Subject: MI03XC065 Miami Shores Presbyterian We are sending you: ® Attached ❑ Shop Drawings ❑ Prints ❑ Other: Action' ❑ A Approved ❑ AN Approved As Noted O AS As Requested ❑ Other: Comments: Our ref.: OurRef /Transmittal- Obrian-0 I - 28-0o.doc ❑ Plans ❑ Samples ❑ Under Separate Cover Via the Following Items ❑ Copy of Letter ❑ CR Correct and Resubmit ❑ F File ❑ FA For Approval ARCADIS Geraghty & Miller, Inc. 14497 North Dale Mabry Hwy. Suite 115 Tampa Florida 33618 Tel 813 961 -1921 Fax 813 961 2599 TELECOMMUNICATIONS & LAND RESOURCES ❑ Specifications . ❑ Change Order ❑ Reports ❑ Resubmit Copies ❑ Return Copies ❑ Review and Comment Page: 1/1 copyright © 1999 A 13 ,IAN 2000 I ! t N � NO. - REVISION DESCRIPTION BY CKD —� S pr i nt PCS �, rrr 76 I--- • : &MILLER Suite 115 813/961 -2599 4 I ^ 1/( ( i , is PROJECT MANAGER K KAMINSIO —BEYER DEPARTMENT MANAGER 0. HOGANCAMP LEAD DESIGNER R. RAPAREW I I / EXIST. PPC 1 PROJECT NUMBER TF001150.0001 ' f f EXISTING MINI BTS I _ I ' I \ I I L� I i I ; I I ISTING WAVEGUIDE TO BE REMOVED EXISTING DURING ROOFING INSTALLATION. MODIFY AS NEEDED TO ALLOW DEI DOOR SWING. i s 1 : I ' ! I .. SEE SHEET S2 FOR EQUIP. MOUNTING I - 3' -7 374" J I L `_ , PROPOSED C4x7.25 _ i I a I(� I L EXISTING RFFE � ,_ RACK 0 ° o a PROPOSED DE ; PROPOSED RE P ROROSED E4x7 25 • PROPOSED BE o 7 L _ .•� — i I y i vip • 41 6 h I ! 4 � • EXISTING W12X22 BELOW l i ■ copyright © 1999 A 13 ,IAN 2000 SSl1MG OWNERS E9 REVIEWFOR PER, & ITTIN BIDS ROR oAH NO. DATE REVISION DESCRIPTION BY CKD —� S pr i nt PCS MIAMI SHORES PRESBYTERIAN M103XC065 EQUIPMENT PLAN AND NOTES la ARCAD1S GERAGHTY 14497 N. Dale Mabry Highway, Tampa. FL 33618 Tel: 813/961 -1921 Fax: • : &MILLER Suite 115 813/961 -2599 4 I ^ 1/( ( N 1 PROJECT MANAGER K KAMINSIO —BEYER DEPARTMENT MANAGER 0. HOGANCAMP LEAD DESIGNER R. RAPAREW CHECKED 0. HOGANCAMP DRAWN A. ROOR3GUEZ DATE 12/20/99 PROJECT NUMBER TF001150.0001 DRAWING NUMBER S1 NOTE: EXISITING PLATFORM ROOFING TO BE REMOVED AND REPLACED. SEE SHEET S2 FOR ROOFING PLAN AND NOTES. EXISTNG ROOFING TO BE REMOVED EXISTNG 3"' CONC. SLAB CONC. SLAB (TYP.) EQUIPMENT PLAN SCALE: 1/2"= 1 -0" 24' -2' i "oaoogoo "g "a °o "gogoo�a0000go B i OAH A OAH N0. CKD - Sprint PCS 28 JAN 2000 13 JAN 2000 DA TE ARCADIS PROJECT MANAGER K. KAMDL90 —BDYER LEAD DESIGNER R. RAPAREUJ DRAWN . RODIactAa PROJECT NUMBER TF001150.0001 REVISED ROOFING MATERIALS ISSUE? FOR PERMITTING OWNER S REVIEW. & BIDS REVISION DESCRIPTION MIAMI SHORES PRESBYTERIAN M103XC065 PLATFORM ROOFING PLAN GERAGHTY &MILLER 14497 N. Dale Mabry FBghwoy, Suite 115 Tempo, FL 33518' Tel: 813/961 —,1921 For 813/961 -2599 DEPARTMENT MANAGER D. HOGANCAMP CHECKED D. HOCANGWP DATE 12/20/99 DRAWING NUMBER S2 TAPERED GAFTEMP ISOTHERM COMPOSITE BY GAF MATERIALS CORP. OR EQUIVALENT SCALE: NTS BTS CABINET —r RUBBER GASKET SINGLE —PLY ROOFING GALV. METAL FLASHING STAINLESS STEEL SHEET METAL SCREWS 6" 0.C. 0'— 10" RUBEROID 20 MEMBRANE BY GAF MATERIALS CORP.\ OR EQUNALENT 1 F C-1 VI N w U • »1.5% SLOPE (MIN) • SPRINT PCS EOUIPMENT C4 AND WOOD BLOCKING / / / /// BEAM ROOFING DETAIL @ EQUIP. +6" NOTES H +2" r +2" TOP OF ROOFING (TYP) 1 L 1 24' -2 EXISTING SUPPORT I 1. FIELD DRILL BOLT HOLES AS REQUIRED. 2. CONTRACTOR SHALL FIELD VERIFY ALL DIMENSIONS PRIOR TO CONSTRUCTION. 3. ALL STEEL SHALL BE HOT DIPPED GALVANIZED, AND CONFORM TO THE REQUIREMENTS OF ASTM A36. 4. TOUCH —UP DAMAGED GALVANIZED SURFACES w/ GALVANIC PAINT. 5. BOLTS SHALL BE TIGHTENED TO THE SNUG TIGHT CONDITION AS DEFINED BY THE AISC MANUAL OF STEEL CONSTRUCTION. LATEST EDITION. 6. WELDS SHALL BE MADE WITH E -70 ELECTRODES. ROOFING PLAN SCALE: 1/4"= —0" SCALE: N.T.S. C4x7.25 L =10' 3/8" HILTI KWIK BOLTS ® 18" O.C., 2" EMB. +2" +2" PROPOSED EQUIPMENT 5/8 " A325 BASE EXIST. 3" CONC. SLAB NEW EQUIP. CONNECTION copyright © 19 0 N cc d' W 1 TO 240V, 200A, 10 SOURCE 1 r -- -L - - -, 0 r, 70A /2P NOTE 2 MAIN DISTRIBUTION PANEL (MDP) 240V, 200A, 10 SEE NOTE 2 3 #3/0, #4G -2" CONDUIT, (EXISTING) NOTE 10 PANELBOARD SCHEDULE 2" TELCO CONDUIT SEE NOTES 3 AND 9 3 #4. #8G -1" CONDUIT SEE NOTES 3 AND 9 ROUTE CONDUITS THROUGH CABINET PENETRATIONS, SEE NOTES 3 AND 4 SINGLE LINE DIAGRAM REMOVAL NOTES: DE /DEI CABINET SEE NOTE 1 1. CONTRACTOR SHALL REMOVE EXISTING MINICELL BTS CABINET #2 AS INSTRUCTED BY OWNER. EXISTING CONDUITS AND CONDUCTORS CAN BE REUSED IF LENGTH ALLOWS. IF REUSED, VERIFY THAT POWER CONDUCTORS MATCH OR EXCEED THOSE SHOWN ON SINGLE UNE. INSTALLATION NOTES: MODIFIED LOAD 1. NEW DE /DEI CABINET SHALL BE PROVIDED BY SPRINT PCS AND INSTALLED BY CONTRACTOR. 2. CONTRACTOR SHALL REPLACE EXISTING 100A, 2 POLE CIRCUIT BREAKER LOCATED INSIDE EXISTING MDP WITH 70A, 2 POLE BREAKER TO FEED NEW DE /DEI CABINET. MDP IS LOCATED INSIDE SITE POWER PROTECTION CABINET (PPC), WITHIN SHELTER, OR ON WALL WITHIN LEASED SPACE. 3. POWER AND TELCO CONDUITS SHALL ENTER PENETRATIONS PROVIDED WITH CABINETS. CONSULT WITH OWNER AND CONSTRUCTION MANAGER ON A PER SITE BASIS FOR EXACT PENETRATION TO USE. 4. SEAL ALL PENETRATIONS INTO CABINETS USING APPROVED CAULKING. 5. IF TRENCHING IS REQUIRED, CONTRACTOR SHALL LOCATE EXISTING UNDERGROUND UTILITIES AND AVOID. DAMAGE CAUSED TO EXISTING UTILITIES SHALL BE REPAIRED AT CONTRACTOR'S EXPENSE. 6. CONDUCTOR INSULATION SHALL BE THWN OR THHN. 7. WHITE /NEUTRAL, GREEN /GROUND SHALL BE MAINTAINED THROUGHOUT THE SITE ELECTRICAL SYSTEM. 8. ALL TERMINATIONS SHALL BE LISTED AND IDENTIFIED FOR USE WITH 75'C RATED CONDUCTORS. 9. UNDERGROUND CONDUITS SHALL BE PVC, EXPOSED CONDUITS OUTSIDE SHALL BE RGS, EXPOSED CONDUITS INSIDE SHALL BE EMT. LIQUIDTIGHT FLEXIBLE METAL TYPE CONDUITS MAY BE USED WHERE CONDUITS INTERFACE WITH CABINETS WHERE APPROVED BY OWNER. 10. CONTRACTOR SHALL ROUTE 2" TELCO CONDUIT TO LOCAL TELCO BACKBOARD, LOCATED EITHER INSIDE PPC CABINET, OR ON WALL WITHIN LEASED SPACE. 11. THE PURPOSE OF THIS DRAWING IS TO PROVIDE GUIDANCE IN THE ADDITION OF A NEW DE /DEI CABINET TO EXISTING SPRINT SITES. A NO. copyright ©1999 26 Jan 2000 4SprintPCS ARCADIS GERAGHTY &MILLER 14497 N. Dole Mabry Highway. Suite 115 Tampa, FE 33618 Tek 813/961 -1921 For. 813/961 -2599 PROJECT MANAGER K. KN11I190 —BEYER LEAD DESIGNER 0. R08ERTS DRAWN 0. ROBERTS DATE PROJECT NUMBER LOOM OWN D RUSKN DESCRIPTION SINGLE UNE, NOTES AND PANEL SCHEDULE DEPARTMENT MANAGER 0. HOCANGIIP CHECKED 0. HOGANCAMP 825/99 DRAWING NUMBER El POWER PROTECTION PANEL NAME MDP LOCATION CABINET MAINS 200A M. BKR CABINET MTG SURFACE MTG ENCLOSURE NEMA TYPE 1 VOLTS : 120/240 , PHASE : 1 0 3 W. , 60 . HZ., MIN. INTERRUPTING RATING : 10,000 AMPERES ,WIRE: LOAD SERVED BRANCH CIRCUIT CONDUIT & WIRING BREAKER KVA CKT CKT KVA BREAKER BRANCH CIRCUIT CONDUIT & WIRING LOAD SERVED POLE AMP AMP POLE MINICELL BTS CABINET #1 3 #2, #8G -2 "C 2 100 6.4 1 A 2 6.4 70 2 3 14, j8G - 1 I t OEI /DE CABINET 6.4 3 B 4 6.4 1 TVSS DEVICE 3 #2 2 60 0.5 5 A 6* 1.9 20 1 2 #12, #12G -3/4 "C GFCI RECEPTACLE 0.5 7 B 8 20 1 SPARE SPARE 1 20 9 A 10 0.1 20 1 2 #12112G -3/4 "C FAN IN TELCO PANEL 1 20 11 B 12 20 1 SPARE • CONNECTED KVA PHASE A: 15.3 J CONNECTED KVA PHASE B: 13.3 TOTAL KVA: 28.6 I REMARKS: 1. * PROVIDE GFI BREAKER 2. MDP PROVIDED WITHIN POWER PROTECTION CABINET TOTAL NUMBER POLES: 12 0 N cc d' W 1 TO 240V, 200A, 10 SOURCE 1 r -- -L - - -, 0 r, 70A /2P NOTE 2 MAIN DISTRIBUTION PANEL (MDP) 240V, 200A, 10 SEE NOTE 2 3 #3/0, #4G -2" CONDUIT, (EXISTING) NOTE 10 PANELBOARD SCHEDULE 2" TELCO CONDUIT SEE NOTES 3 AND 9 3 #4. #8G -1" CONDUIT SEE NOTES 3 AND 9 ROUTE CONDUITS THROUGH CABINET PENETRATIONS, SEE NOTES 3 AND 4 SINGLE LINE DIAGRAM REMOVAL NOTES: DE /DEI CABINET SEE NOTE 1 1. CONTRACTOR SHALL REMOVE EXISTING MINICELL BTS CABINET #2 AS INSTRUCTED BY OWNER. EXISTING CONDUITS AND CONDUCTORS CAN BE REUSED IF LENGTH ALLOWS. IF REUSED, VERIFY THAT POWER CONDUCTORS MATCH OR EXCEED THOSE SHOWN ON SINGLE UNE. INSTALLATION NOTES: MODIFIED LOAD 1. NEW DE /DEI CABINET SHALL BE PROVIDED BY SPRINT PCS AND INSTALLED BY CONTRACTOR. 2. CONTRACTOR SHALL REPLACE EXISTING 100A, 2 POLE CIRCUIT BREAKER LOCATED INSIDE EXISTING MDP WITH 70A, 2 POLE BREAKER TO FEED NEW DE /DEI CABINET. MDP IS LOCATED INSIDE SITE POWER PROTECTION CABINET (PPC), WITHIN SHELTER, OR ON WALL WITHIN LEASED SPACE. 3. POWER AND TELCO CONDUITS SHALL ENTER PENETRATIONS PROVIDED WITH CABINETS. CONSULT WITH OWNER AND CONSTRUCTION MANAGER ON A PER SITE BASIS FOR EXACT PENETRATION TO USE. 4. SEAL ALL PENETRATIONS INTO CABINETS USING APPROVED CAULKING. 5. IF TRENCHING IS REQUIRED, CONTRACTOR SHALL LOCATE EXISTING UNDERGROUND UTILITIES AND AVOID. DAMAGE CAUSED TO EXISTING UTILITIES SHALL BE REPAIRED AT CONTRACTOR'S EXPENSE. 6. CONDUCTOR INSULATION SHALL BE THWN OR THHN. 7. WHITE /NEUTRAL, GREEN /GROUND SHALL BE MAINTAINED THROUGHOUT THE SITE ELECTRICAL SYSTEM. 8. ALL TERMINATIONS SHALL BE LISTED AND IDENTIFIED FOR USE WITH 75'C RATED CONDUCTORS. 9. UNDERGROUND CONDUITS SHALL BE PVC, EXPOSED CONDUITS OUTSIDE SHALL BE RGS, EXPOSED CONDUITS INSIDE SHALL BE EMT. LIQUIDTIGHT FLEXIBLE METAL TYPE CONDUITS MAY BE USED WHERE CONDUITS INTERFACE WITH CABINETS WHERE APPROVED BY OWNER. 10. CONTRACTOR SHALL ROUTE 2" TELCO CONDUIT TO LOCAL TELCO BACKBOARD, LOCATED EITHER INSIDE PPC CABINET, OR ON WALL WITHIN LEASED SPACE. 11. THE PURPOSE OF THIS DRAWING IS TO PROVIDE GUIDANCE IN THE ADDITION OF A NEW DE /DEI CABINET TO EXISTING SPRINT SITES. A NO. copyright ©1999 26 Jan 2000 4SprintPCS ARCADIS GERAGHTY &MILLER 14497 N. Dole Mabry Highway. Suite 115 Tampa, FE 33618 Tek 813/961 -1921 For. 813/961 -2599 PROJECT MANAGER K. KN11I190 —BEYER LEAD DESIGNER 0. R08ERTS DRAWN 0. ROBERTS DATE PROJECT NUMBER LOOM OWN D RUSKN DESCRIPTION SINGLE UNE, NOTES AND PANEL SCHEDULE DEPARTMENT MANAGER 0. HOCANGIIP CHECKED 0. HOGANCAMP 825/99 DRAWING NUMBER El z 0 Cli w N SCALE: NONE EXISTING RFFE'S i NOTE: DETAIL BELOW IS A TYPICAL, AND SHALL BE USED FOR GENERAL INFORMATION ONLY. EXACT CABINET CONFIGURATION, CONDUIT LOCATION, AND PENETRATION LOCATIONS SHALL BE VERIFIED ON A PER SITE BASIS WITH OWNER AND CONSTRUCTION MANAGER. 3 NEW EQUIPMENT CABLE SUPPORT STRUCTURE (ROUTING OF RF CABLES) SCALE: 1 /4 =1' -0" EXISTING MINICELL BTS / \ ■ UTILIZE EXISTING 2" HOLE FOR 2" TELCO CONDUIT TO DE /DEI CABINET o o O 00 O 0 n 0 0 — O' -9 1/2" 0 OOQO O0 O 0 1 4' -1/4" POWER PROTECTION CABINET (PPC) BASE TEMPLATE 4" x 5" OPENING FOR CABLE ACCESS (TYP. OF 2) 2" PVC TELCO CONDUIT 1 " PVC POWER CONDUIT CONDUIT ROUTING DETAIL ELC a 0 UTILIZE EXISTING 2" HOLE FOR 1" POWER CONDUIT TO DE /DEI CABINET NOTE: DETAIL INDICATES BELOW SURFACE CONDUITS. WHERE CONDUITS ARE ROUTED ON SUFACE OF EXISTING PAD, CONDUITS SHALL BE RGS OR UQUIDTIGHT FLEXIBLE METAL, AND SHALL ENTER THIS SIDE, USING CABLE ACCESS HOLES PROVIDED WITH CABINET. 1" PVC CONDUIT FOR #2 AWG • SOLID TINNED COPPER GROUND WIRE TO GROUND RING EXISTING POWER PROTECTION CABINET NOTE: THESE DRAWINGS SHALL BE USED WITH CABINET MFR. AND SPRINT PCS SPECIFICATIONS AND REQUIREMENTS. copyright 01999 4SprintPCS PPC BASE TEUPIATE & CONDUIT ROUTING DETAIL gill ARCAD1S GERAGHTY& MILLER 14497 N. Dale Mabry Highway. Suite 115 Tampa, Fl 33618 Tel 813/961 -1921 Fax 813/961 -2599 PROJECT MANAGER K. K/MOOG —BEYER LEAD DESIGNER 0. ROBERTS DEPARTMENT MANAGER 0. HDCANCAMP CHECKED 0. NOV/CAW 6 / 2 5/ 99 DRAWING NUMBER E2 DRAWN 0. RC/BEMIS PROJECT NUMBER TF33SPYLOW0( 1 O' -3 1 /8" I" s _ BATTERY ENCLOSURE (BE CABINET: RADIO ENCLOSURE (RE CABINET) DE/ DEI z 0 Cli w N SCALE: NONE EXISTING RFFE'S i NOTE: DETAIL BELOW IS A TYPICAL, AND SHALL BE USED FOR GENERAL INFORMATION ONLY. EXACT CABINET CONFIGURATION, CONDUIT LOCATION, AND PENETRATION LOCATIONS SHALL BE VERIFIED ON A PER SITE BASIS WITH OWNER AND CONSTRUCTION MANAGER. 3 NEW EQUIPMENT CABLE SUPPORT STRUCTURE (ROUTING OF RF CABLES) SCALE: 1 /4 =1' -0" EXISTING MINICELL BTS / \ ■ UTILIZE EXISTING 2" HOLE FOR 2" TELCO CONDUIT TO DE /DEI CABINET o o O 00 O 0 n 0 0 — O' -9 1/2" 0 OOQO O0 O 0 1 4' -1/4" POWER PROTECTION CABINET (PPC) BASE TEMPLATE 4" x 5" OPENING FOR CABLE ACCESS (TYP. OF 2) 2" PVC TELCO CONDUIT 1 " PVC POWER CONDUIT CONDUIT ROUTING DETAIL ELC a 0 UTILIZE EXISTING 2" HOLE FOR 1" POWER CONDUIT TO DE /DEI CABINET NOTE: DETAIL INDICATES BELOW SURFACE CONDUITS. WHERE CONDUITS ARE ROUTED ON SUFACE OF EXISTING PAD, CONDUITS SHALL BE RGS OR UQUIDTIGHT FLEXIBLE METAL, AND SHALL ENTER THIS SIDE, USING CABLE ACCESS HOLES PROVIDED WITH CABINET. 1" PVC CONDUIT FOR #2 AWG • SOLID TINNED COPPER GROUND WIRE TO GROUND RING EXISTING POWER PROTECTION CABINET NOTE: THESE DRAWINGS SHALL BE USED WITH CABINET MFR. AND SPRINT PCS SPECIFICATIONS AND REQUIREMENTS. copyright 01999 4SprintPCS PPC BASE TEUPIATE & CONDUIT ROUTING DETAIL gill ARCAD1S GERAGHTY& MILLER 14497 N. Dale Mabry Highway. Suite 115 Tampa, Fl 33618 Tel 813/961 -1921 Fax 813/961 -2599 PROJECT MANAGER K. K/MOOG —BEYER LEAD DESIGNER 0. ROBERTS DEPARTMENT MANAGER 0. HDCANCAMP CHECKED 0. NOV/CAW 6 / 2 5/ 99 DRAWING NUMBER E2 DRAWN 0. RC/BEMIS PROJECT NUMBER TF33SPYLOW0( ; . j BY DATE hal • 'TRU(;i:'? J ' 2 `11 /i'o E; Z CTR: _ / . t7 /4/ PLUMBING ' MECWuS GAL ROO,FINU' BLDG. OFFICIAL 4.1 1 SUEiECT TO ALL FEDERAL, STATE AND COUNTY RULES AND REGULATIONS. 'MORES VILLAGE ASSUMES NO RESPONSIBILITIES FOR ACCURACY OF OR RESULTS FROM THESE PLANS. —1-- WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY vat: ACE IS REQUIRED. THE ARCHITECT, BUILDER & SUB . .. °:c : ti; t CHARGED WITH THE KNOWLEDGE OF ALL BUILDING ■ RI '::l HER 01? NOT SPECIFICALLY INDICATED HEREIN. M1AM! SHORES VILLAGE PAY TO THE ORDER OF Miami Shores Village Electrical 10050 NE 2nd Avenue Permit Phone: 305- 795 -2204 Permit Number: EL2002 -321 Printed: 10 /4/2002 Applicant: MIAMI SHORES PREBYSTERIAN CHURCH Owner: JOB ADDRESS: 602 NE 96 ST Contractor LYNCO ELECTRICAL CONTRACTING CORPContractor's Address: 1970 NE 147 TERR Local Phone: Parcel # 1132060141410 Lt7 o. 0 0 O n Total Fees: Total Receipts: $0.00 Permit Status: Approved Permit Expiration: 4/2/2003 Construction Value: $12,000.00 Work: INSTALL NEW WIRE FOR 2- 200 AMP 3 PHASE DISCCONCECT ASS ROOF A/C REPLACE 1 PUMP METER IN MECH ROOM MIAMI SHORES PRESBYTERIAN CHURCH 602 NE. 96TH ST. MIAMI SHORES, FL 33138 FOUR HUNDRED NINETY DOLLARS AND NO CENTS Miami Shores Village • 10050 NE Second Av. Miami Shores FL 33138 -2382 For: Electrical Permit 00 L093 11 ' 1:063 LOO 2? 00 3664 259 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE BANK OF AMERICA 02992 FL' 63 -27 -631 DATE 10/22/2002 u■ 11793 AMOUNT * * * * * * ** *490.00 ** T(ZqIL,.A '// Page 1 of 1 nspection n herefor in strict compliance with all Dns that may have been submitted to the plans are changed without Aility for a thorough knowledge of the ie assumes responsibility for work done rtaining thereto and in strict conformity risibility for all work done by either Qualifier S N 4 yAm/ CDNA Signature of owner and/or Condo President My Commission Expire PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -2204 • —Ate Dq /o.S 0 2— Job Address 60L /u6 9�s 4 Tax Folio //- 3 �6 D /'i — �� Legal Description tA/ r //0 IS LK 64 NJ Sec, Z Historically Designated: Yes No X y�� ` i c --- Do • 3 Owner/Lessee/Tenet/41/4.4 ��f/L �f�QS� l,Ile�G�i� Master Permit # Owner's Address 0 L Ale !(/ ��'"c/ / AIJV Phone 3 714 Contracting Co. A l NC4 E LLt cTRte_ Address /9'7b Nr /I/•) rem A MIIfinI WORK DESCRIPTION: t•-t kCt4.) L '1��• 9' -4.& Date • Date FEES: PERMIT /d RADON C.C.F APPROVED: Zoning Building Elect Mechanical Plumbing SS# / — Phone 306 State # C COO a5 g Municipal # Competency # Ins. Co. /10/4 gLSK gal IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING 2-co A4+ry) S Q VMS L9- b, t S GU,1,1(RriS O J CZ-t' Al• 4-1 L Rev tea- t,- I p ati.I, , Sct_ t . not tsca arr n, Square Ft. Estimated Cost (value) 1 2) (700 (.1° 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 ANY 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 all disciplines. OWNERS 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, 1 authorize the above named contractor to do the work stated. Signature of Cllntractor dfOwner Builder ex 4a ^,v au s r Date •• q . otary ash' €ontra My Commissio xpires ADRIENNE A. BUR NOTARY ADRIENNE BURICH MMISS!ON t CC ES: TOTAL DUE Date BOND Structural Engineer ITEM 3ATH T8 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE 3IDET LIGHT OUTLETS CENTRAL HEATING )ISHWASHER RECEPTACLES A/C„(WIND) )ISPOSAL SERVICE TEMPORARY A/C '(CENTRAL) IRINKING FOUNTAIN SERVICE SIZE IN AMPS V00 DUCT WORK 1.00R DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION ;REASE TRAP 'NTERCEPTOR APPLIANCE OUTLETS PROCESS AND PRESS PIPING •- RANGE TOP .. UNDERGROUND TANKS .AVATORY OVEN ABOVE GROUND TANKS .AJNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS :LOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS .HOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS :INK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION :' :INK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBU ES INK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS. EMPORARY WATER CLOSET MOTORS OVER 10- 25 HP - • FIRE SPRINKLER_ SYSTEMS. RINAL ._- 'ATER MOTCRS OVER 25-100 HP COOLING TOWERS-_ - CLOSET MOTORS OVER 100 hP - VIOLATION" NDIRECT WASTES .. . - -- • A/C WINDOW REINSPECTION ATER SUPPLY TO: AIR CONDITIONERS A/C UNIT • - . -' STRIP HEATER FIRE SPRINKLER • GENERATORS TRANSFORMERS - . HEATER -NEW INST. • - GENERATORS TRANSFORMERS . HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMERCIAL WATER SERVICE. SIGN TUBES :VIER CONNECTIONS • 'ILITY SIGN TRANSFORMERS -SEWER .. 'ILITY SIGN TIME CLOCK -WATER FIXTLRES PTIC TANK ANTENNA • LAY TELEVISION OUTLETS AINFIELO, 4' TILE/RES. VIOLATION MP & ABANDON SEPTIC TANK REINSPECTION AKAGE PIT CU. FT. TCH BASIN T SCHARGE WELL MESTIC WELL EA DRAIN . )F INLET _AR WATER HEATER 2E STANDPIPE )L PIPING IN SPRINKLER SYSTEM RANGE 'ER SET (GAS) PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN,LPPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. VTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT, ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL FEB, 26. 1999 6:19PM MASTEC TECH NO. 0975 P. 2 .4, g 18529 PG 3998 99 R 148294- 1999 IIAR 23 08g17 CERTIFICATIONS AND DECLARATIONS OF RESTRICTIVE COVENANT KNOW ALL MEN BY THESE REPRESENTS: WHEREAS, Miami Shores Presbyterian Church, a Florida non - profit corporation (the "Owner" or "Declarant ") is the owner of the following described property (the "Property ") situated and being in Miami Shores Village, Florida: Lots 1, 2, 3, 4, 5, 6, 7, 9, 9 and 10, Block 61 and the 15 foot alley running east, and west through said Block 61, MIAMI SHORES, SECTION 2, according to the Plat thereof, recorded in Plat Book 10 at Page 37 of the Public Records of Miami -Dade County, Florida, and WHEREAS, the Owner, together with Sprint Spectrum L.P., a Delaware Partnership, (hereinafter "Applicant ") with the consent of the Owner, has applied to Miami Shores Village, a Florida municipal corporation (the "Village ") for a wireless personal telecommunications services antenna permit, pursuant to Chapter 22 of the Miami Shores Village Code, and otherwise; and WHEREAS, the Owner and Applicant desire to provide certain assurances and certifications to the Village; NOW, THEREFORE, the Owner and Applicant each jointly declare and certify as follows: 1. Title. Owner and Applicant have provided evidence as to the status of title to the Property to the Village. 2. Continuous Compliance. The Owner and Applicant hereby covenant and certify that the Applicant's wireless personal telecommunications services antenna proposed for the Property. will be made continually compliant with all present and future promulgated safety laws, rules and regulations concerning electromagnetic frequency emissions standards promulgated by governmental authorities having jurisdiction over the Applicant and the operations of the antenna facility, or similar safety standards for other wireless communications media transmissions. The Owner and Applicant hereby acknowledge the right of the Village to require immediate removal of any wireless personal telecommunications services antenna upon the Property which does not meet such safety rules and regulations. FEB, 26. 1999 6:20PM MASTEC TECH NO, 0975 P. 3 Kg 18529.Pc 3999 3. Non - interference. The Owner and Applicant also covenant and certify that any of Applicant's wireless personal telecommunications services antennas proposed for the Property will not interfere with public safety communications, and further, will not unreasonably interfere with the reception or transmission of television, radio, microwave, telephone, digital or similar communications signals or receipt of signals of nearby residential or business residents. The Owner and Applicant acknowledge the right of the Village to require, if necessary, frequency relocation agreements. 4. Multiple Accommodations. The Owner and Applicant covenant and certify that the design, structure or installation of the Applicant's wireless personal telecommunications services antenna facility proposed for the Property will be such as to accommodate at least two (2) wireless personal telecommunications services antenna facilities of other providers on a non - discriminatory basis, in addition to Applicant's installation, in the manner depicted on Exhibit "A" which is attached hereto and made a part hereof, to avoid duplication of the erection of wireless personal telecommunications services antenna towers through the village. Applicant and Owner undertake no obligations hereby to assure utilization of the structure by other service providers and Applicant and Owner expressly disclaim any right or power to control or dictate any other service providers' choice or design of proposed facilities for this structure. Applicant will not oppose and Owner covenants and certifies that it will permit co -use of the wireless personal telecommunications services antenna structure upon the Property by at least two (2) wireless personal telecommunications services providers, in addition to Applicant, on a non- discriminatory basis. Owner and Applicant acknowledge and agree that unreasonable refusal to permit co -use shall constitute a violation of Section 22 -42 of Miami Shores village Code and may result in the Village revoking any wireless personal telecommunications services antenna tower approval and seeking a mandatory injunction to compel removal of any wireless personal, telecommunications services antenna, in addition to all other remedies available to the Village for violations of its code of ordinances, and any other remedy available under the law. 5. Attorney's Fees. The Owner and Applicant hereby covenant and certify that the prevailing party shall be entitled to recover its reasonable costs and attorney's fees in the event any litigation is brought to enforce the provisions of this Declaration and Certification. FEB, 26. 1999 6:21PM 6. Binding on Successors. The Owner and Applicant covenant and certify that this Declaration and Certification shall be binding upon the Owner, the Applicant, and each and all of their respective successors and assigns and that they shall faithfully observe and perform hereunder, for so long as Applicant operates its antenna facility on the Property. IN WITNESS WHEREOF the undersig d have used this Covenant to be executed this (-cv day of , 1999. WITNESSES: sign: c6) PJQti -/ print: S. I4 . /LIDnJ f/ STATE OF FLORIDA ) COUNTY OF DADE (Seal) MASTEC TECH NO. 0975 P. 4 ) S g 18529 4.000 OWNER: MIAMI SHOD • ' E TER CHURCH • By _ By: PETER W. BELLOWS, BUSINSS MANAGER The oregoin instrument was acknowledged before me this 4 tday of a./ , 1999, by Peter W. Bellows, as Business Manager and 7047111410/✓ as Clerk of Session of Miami Shores Presbyterian Church; on behalf of the corporation for the purposes therein espresse s known to me or who have produced ��o - 6 7 .4- 5c) -37 - as identification and who did take an oath, �-i�b �o Z srots'8/ ? se d 61 v 9i. dro f NOTARY PU Sign � ? .- Print State of Florida at Large My Commission Expires: G CLERK OF SESSION OFFICIAL NOTARY SEAL GLADYS J VILLAR NOTARY PUBUCSTATE OF FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR. 1,2002 FEB, 26. 1999 6:21PM MASTEC TECH WITNESSES: sign _ print sign print STATE OF Georgia ) COUNTY OF t't ) The foregoing instrument was ac owledged be re me this , 1999, by k � r _tS lam, SZ o� -,�-Q , as hv17 1 SE of Sprint Spectrum L.P., on behalf of the Limited Partnership for the purposes therein expressed is personally known C4rr> Xl"f- 7L1 'eki►4 Qwinnett County,•Georgie Expires July 28, 2002 THIS INSTRUMENT PREPARED BY: Perry M. Adair, Esq. Becker & Poliakoff, P.A. 5201 Blue Lagoon Drive Suite 100 Miami, Florida 33126 (305)262 -4433 175933_1 SS day of �� me Or voirv— lx�tae �,�� e ,,� , f�.cntion and who did rake an oath. a `� O • d ° Q k S 5' N ACCEPTED for Miami Nk4x. 1999. cEc 18529.;c 4001 APPLICANT: NO. 0975 P. 5 SPRINT SPECTRUM, L.p., a Delaware Limited Parttgrship By: Name. 1 44P S W. G:. evi e Title: bxiec%or .Soa}knP4Sk NOTARY pU Sign Print My Commission Expires: Shores Village this BY: ' r .WILDING OFFICIAL VILLAGE ATTORNEY at Large day of FEB, 26. 1999 6:22PM MASTEC TECH 4 ( FORTH ELEVATION REE 1 8529 PC 4002 Exhibit "A" SOUTH ELEVATION NO. 0975 P. 7 RECORDED IN OFFICIAL RECORDS 500 OF DADE COUNTY, FLORIDA. RECORD VERIFIED ,HARVEY RUVIN CLERK CIRCUIT COURT January 20, 1999 Perry M. Adair, Esq. Becker & Poliakoff, P.A. 5201 Blue Lagoon Drive Suite 100 Miami, Florida 33126 RE: Sprint Spectrum, L.P. Antenna Installation at Miami Shores Presbyterian Church Dear Perry: 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 -2382 TELEPHONE (305) 795.2207 FAX (305) 756 -8972 Via telefax to: 305 - 262 -4504 RICHARD SARAFAN VILLAGE ATTORNEY 825 BRICKELL BAY DRIVE TOWER III - 17TH FLOOR THE FOUR AMBASSADORS MIAMI, FL 33131 (305) 374 -6688 • 374 -0384 (FAX) This is in response to your letter of January 18, 1999. As I previously indicated to you, in the event that your client submits a permit application which is in compliance with all of the requirements of the appropriate Miami Shores Village Ordinance there is no requirement for a public hearing. As you know, the form of declarations and covenants which I have prepared in connection with the AT &T application is designed to comply with the requisites of the Ordinance However, in its review and consideration of the AT &T application the operative design and drawings which the Village is being asked to approve only concerns the location of AT &T's • equipment. The Ordinance requires a certification from AT &T that its design and installation will be such as to allow for co -use by at least two other service providers. This is the "multiple accommodation" requirement. AT &T has chosen to qualify its representation in this regard by providing an exhibit demonstrating at least one possible scenario whereby multiple users could be accommodated. The Village did not require such an exhibit and will not be passing upon the sufficiency or appropriateness of the accommodations detailed therein. Letter to Perry M. Adair, Esq. January 20, 1999 Page 2 Thus, you are incorrect in your understanding that the Village Building and Zoning Department will be evaluating and approving both your client's equipment and AT &T's equipment during the review process for AT &T's application. In fact, the first and only time that the Village will review and evaluate a suggested or requested installation by your client will be in connection with a permit application by your client. Moreover, based on my prior conversations with yourself and counsel for the Church, it is my understanding that your client will likely not, in any event, be proposing an installation in accordance with the exhibit submitted by AT &T. I hope I have assisted in clarifying this matter for you. If you have any further questions please do not hesitate to contact me. Very truly yours, CHARD SARAFAN RS /vp cc: Mr. Frank LuBien ./ H: \MSV\MSV- GEN\LETFERS\adair Itr re sprint :AN. 18. 1099 1�.2 E'1 Placid. OM= Boa Raton Clearwater Ft. Lauderdale Melbourne' KAM' Naas Orlando Port Chadottc St. Petersburg Sarasota TaUabaaaoe Tampa was Palm Beach 'available for eonxultation bv aDtointment only International Delis Beijing People's Republic of China Prague, Czech Republic Berm, Switzerland lE@ROWR JAN 1 91999 8tiv3 1 RICHARD AND RICHARD KSPONSC /REPLY DUE DOCKETED ON Al�` 3Y Mme_ DISIRIBl,irCU TO.\' jE JfER u P0:1A.:JFF • LAW OFFICES BECKER & POLIAKOFF, P.A. Pages (including cover): Date: January 1.8. 1999 COMPANY: ATTN./LOCATION: FAX #: RECIPIENT #: CLIENT # /MATTER #: FROM: SENDER'S #: REFERENCE: COMMENTS: 5201 Blue Lagoon Drive, Suite 100 Miami, FL 33126 Phone (305) 262 -4433 Fax: (305) 262-4504 FL Toll Frcc : (800) 5S3 -4874 Internet: http: / /www.becker•poliakoff.com Time Sent: RICHARD & RICHARD RICHARD SARAFAN 305•374-0384 S17330/61292 PERRY M. ADAIR 305 - 260•1016 SPRINT • MIAMI SHORES NO, 0015 Operator: THE INFORMATION CONTAINED IN THIS FACSIMILE MESSAGE IS ATTORNEY PRIVILEGED AND CONFIDENTIAL INFORMATION INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY NAMED ABOVE. IF THE READER OF THIS MESSAGE IS NOT THE INTENDED RECIPIENT, OR THE EMPLOYEE OR AGENT RESPONSIBLE TO DELIVER IT TO THE INTENDED RECIPIENT, YOU ARE HEREBY NOTIFIED THAT ANY DISSEMINATION, DISTRIBUTION OR COPYING OF THIS COMMUNICATION IS STRICTLY PROHIBITED. IF YOU_ HAVE RECEIVED THIS COMMUNICATION IN ERROR, PLEASE IMMEDIATELY NOTIFY US BY TELEPHONE AND RETURN THE ORIGINAL MESSAGE TO US AT THE ABOVE ADDRESS VIA THE US. POSTAL SERVICE. THANK YOU. Accounting Copy Sender's Copy enrc-5)y 3c :::: u FCCL 7. FF NO. 1115 ?. Law OFFICES Florid* 0foat Mdrninistrative Office 3231 soling Road R. Lauderdale. FL 33312 FL Toll Frees (300) 432 -7712 Boca Raroa• Clog water Ft Myeis Hollywood Melbourne' Miami Orlando Port Charlotte' St. I acraburg Sarasota Tallahassee Tutu west Palm Beach • mule &ItecawAeke International Mao BHpng, Peoples Republic of China • Prague, Czech Republic Horn, switzeth d' BECKER 8C POLIAKOFF, P.A. 5201 Blue Donn Drive, suite 100 Miami, Flnrida 33126 Phone: (305) 262 -4433 Fax: (305) 262 -4504 (800) 5334874 Internet: lutp://www.hecker.poliakoff.corn E mail: bpebeckcr- poliakoff.com Mr. Richard Sarafan Richard and Richard The Four Ambassadors 825 Brickell Bay Drive Tower 11I, 17th Floor Miami, Florida 33131 January 18, 1999 Perry M. Adair Direct Lana (305) 260 -1016 E -Maul: PAdair@Becker-Poliakof.com RE: OUR CLIENT: SPRINT SPECTRUM, L.P. /ANTENNA INSTALLATION AT MIAMI SHORES PRESBYTERIAN Dear Richard: I have received and thank Covenant you sent me. 1 modifications to the Covenant, Sprint installation and will your review and approval. you for the AT &T Restrictive will make the necessary so that it will work for the then forward it to you for Reply To! Miazpi It is my understanding that once the Covenant issue is resolved, it will not be necessary for Sprint Spectrum, L.P. to go through the public hearing process for its installation at the Church. Rather, my client's wireless personal telecommunications permit will be processed administratively. If that is not correct, please let me know immediately. As you are aware, my client and AT &T are going to co- locate at the Church. It is my understanding that AT &T will be showing my client's antennas and equipment on the drawings AT &T submits in connection with its application. Under those circumstances it is my understanding that the building and zoning department will be evaluating and approving both my client's equipment and AT&T' s equipment during the review process for AT &T's application so that a second review will not be necessary when my client comes in JA :, :$, 19g9 25 ?M Mr. Richard Sarafan Richard and Richard January 18, 1999 Page -2- for its permit (assuming of course it intends to install the equipment in accordance with the drawings as submitted in connection with the AT &T application). Is my understanding on this issue correct? PA /]p Enc. cc: R. Bogatin 11 I 330E4 & POL1AKO P Thank you very much for your help. Best regards. V y yours, M ADAIR For the Firm NC,.0015 , 3 Lot j L /Q Inc • BUILDING AND ZONING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138.2382 TELEPHONE (305) 795 -2204 FAX (305) 756-8972 CERTIFICATE OF COMPLETION S No. 2038 Date: May 7, 1999 Owner, Agent or Tenant of Building: Miami Shores Presbyterian Church Block ( / Subdivision M / tpiu5/ Sec - / 917 A 9-37 Street Address: 602 NE 96 Street, Miami Shores Approved use: Wireless communication tower Remarks: Installation of wireless communication equipment. Permit No. 44335 This Certificate of Completion is issued to the above named owner for equipment installation 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. FRANK L =IEN, DIRECTOR, BUILDING DIVISION SENT BY: 3- 3 -99 ; 11 :18 ; RICHARD & RICHARD-{ Atiuni Siwtelll 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 -2382 TELEPHONE (305) 795.2207 I•AX (305) 756 -8972 TELECOPIR COVER LETTER TO: Mr. Frank LuBien FAX NUMBER: 305 -756 -8972 FROM: Richard Sarafan, Esq. Richard and Richard, P.A. TELEPHONE NUMBER: 305- 374-6688 TOTAL NUMBER PAGES 8 (including cover page): MATTER: MSV /GEN DATE TRANSMITTED: March 3, 1999 TIME TRANSMITTED: 11:10 a.m. OPERATOR'S NAME: VP COMMENTS: NOTICF 305 756 8972;# 1/ 8 RICHARD SARAFAN vauce ATTORNEY 82S SaiCKEU. BAY °Rive TOWER 111 - 17TH FLOOR THE FOUR AMBASSADORS MIAA0. F1. 13111 (305) 374-6688 374-0384 (FAX) The information contained in this facsimile message is attorney privileged and confidential information intendedonly for the use of the individual or entity named above. If the reader of this message is not the intended recipient, or the employee or agent responsible to deliver it to the intended roeipieat, the reader is hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify us by telephone ( 305 - 374. 6688) and return the original message to us at the above address via the U.S. Postal Service. SENT BY: BRINLgag Boa Mem Oeetuicec FL L +wink hiked Replete Oseendo ron t sdoeee• k Patelebsr= saw 'Ma/mace Tempe ■ o e Pales Daeb NwOmMeftwammdadm b aeoeiatm. edr hacceeeiond Miser Peep • kb ▪ Republic tu b ▪ Republic Ben. Sett tecclaad 3- 3 -99 ; 11 :18 ; RICHARD & RICHARD -4 NaE G F i• i G'.v. F LAW OrmCe8 BECKER & POLIAKOFF, P.A. S?D1 Mee Lagoon Drive, Suite 100 Miami, FL 33126 Phone (305) 262-4433 / Fax (305) 262504 FL Toll Free : (900) 5531874 / Imoernec http://simbedr.er-poliskoff.com ,FACSIMILE COVER Sag (Av Fax # (305) 262 -4504 Pages (including cover): NS) Date: Mash 2.1999 Time Sent: Operator. FAX 3453740384 Mr. Richard Sarafan Richard and Richard *Ss OUR OLIMI BPRZWT 82ECTRU*, L.P. PROJeCT! AMMO IaaTSLLATIO11 kt num BROUS Pasarnam MOH: 817330/61212 FROM: PaUY Y. 1 =I2, 28Q. (3054.2$0 ■1010) IP You DO Nov 2aC!IV ALL PAGES, PLIUB CLLL us IMUDIAISLY. W _ 2 1993 J • RICHARD AND RICHARD 3Y ��— DISIR!RIMI, f!1 . � �4 • =. _ ,. _ c 1Aa wanes* meow 11 sW sa..a. ilen own p.4. q.4. env lerdeanlel holm* waver 04 Winn uw qt show i Ile AO! IIRCPSOIM us NOSMNlw(IDINMPIK SAININoW M� MOM) NORM 'AV) MIAAPe MINIM Dorm" ammNaany, arcumYlpe IIO =1110. gym, taw w.i.d 11. ccennunknibn In se.. Maw wmusarq heft MI IV end l.bl i 1M vly awe Wa.IYM UL mar Iraw 305 756 8972;# 2/ 8 fly. l:.50 '. 1 .S . 5T* t+alMwwee* now 'so maim R l071is aiJa»e • ir1iT1V .wsnmet SENT BY: Pbrlde trams Adrneas ate OBice 3221 Whine Brood PL taudenkle, R. 33313 Tb0 Free. (:JO) 432.7912 Bose Mire' c7earwacer Pt Myers It %WUXI kith Hollywood xetbeurne b -m• MOW Orlando ass Ceadoee• St Pm:bag ullohmare Tempe seat Palo Bach •..r.,� mar..,. i41•.rj smt+aoal0l9oa Peepfet Repabik Czech Bpu & Bern BoOuer6aod PA/ms Enc. 1016522 3- 3 -99 ; 11 :19 ; RICHARD & RICHARD L*w OPPICSY BECKER & POLIAKOFF, 5201 Biuc 1ipnon Drive, S1rite 100 Miami, Florida 33126 Phone: (303) 262.4435 Fax: (305) 262.4504 P. Ton Free (600) 533 Internet www.beckerpokkoff.co Pend bp00xdcerpolake.com VIA licazJaL¢ J os -374 - 0) 84 Ddr. Richard 8arafan Richard and Richard The Pour Ambassadors 825 Brickell Bay Drive Tower II2, 17th Floor Miami, Florida 33131 RE: OUR CLIBIIT: Dear Richard: Beet regards. March 2, 1999 P.A P Mall: PArbitta 305 756 8972 ;# 3/ 8 1‘ .r. .5:i r Reidy? Miami Peaty M. Malt Diteot (305) 2604016 Pbliakoft eora BPRIN? 8PBCTRON, L.P. PROJECT: ARUM =STALL/MON T MIAMI SBOM PUSBYZUWf Together with this letter 1 am faxing you = revised Covenant. I believe this version of the Covenant incorporates all of the changes you had request •. The Covenant now also includes an Exhibit "A ". Kindly advise if the Covenant ie now acceptab e to the City. SENT BY: • 3- 3 -99 ; 11 :19 ; RICHARD & RICHARD •-•■ V..b.. 'J • J{..ff•i.f f CERTIFICATIONS AND DECLAMATIONS WAIESTRICTIVE C VENANT KNOW ALL MEN EY THESE REPRESENTS: . WHEREAS, Miami Shores Presbyterian Church, a Flo profit corporation (the "Owner" or "Declarant ") is the o .. following described.property (the "Property") situated an Miami Shores village, Florida: Lots 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10, Block 61 and 15 foot alley running east, and west through said 8 61, MIAMI SHORES, SECTION 2, according tel the thereof, recorded in Plat Book 10 at Page 37 of Public Records of Miami -Dade County, Florida, and wkEREAS, the Owner, together with Sprint Spectrum Delaware Partnership, (hereinafter "Applicant ") with the c the Omer, has applied to Miami Shores Village, a Florida corporation (the "village") for a wireless telecommunications services antenna permit, pursuant to C of the Miami Shores village Code, and otherwise; and WHEREAS, the Owner and Applicant desire to provid assurances and certifications to the Village; NON, THEREFORE, the Owner and Applicant each jointl and certify as follows: 1. Title. Owner and Applicant have provided evid .. the status of title to the Property to the Vil 2. Dntinuous Cotnnlience. The Owner and Applica covenant and certify that the Applicant's personal telecommunications services antenna pro the Property wall be made continually compliant present and future promulgated safety laws, regulations concerning electromagnetic emissions standards promulgated by gov authorities having jurisdiction over the Appl the operations of the antenna facility, or simil standards for other wireless communicatio transmissions. The Owner and Applicant acknowledge the right of the village to require removal of any wireless personal telecom services antenna upon the Property which does auch safety rules and regulations. 305 756 8972;# 4/ 8 ii V. .0: J f. .; ida non- r of the being in the ock tat the L.P., a naent of of i cipal personal apter 22 certain declare ce as to age. t hereby wireless owed for with all lea and requency rnmental ant and r safety media hereby ediate ications ct meet SENT BY: • I. • 1. ♦ • r 3- 3 -99 ; 11.19 ; RICHARD & RICHARD 3. figezinterhrenca _ The Owner and Applicant ale and certify that any of Applicant's wireless telecommunications services antennae propcse Property will not interfere with publi communications, and further, will not unr interfere with the reception or transmi television, radio, microwave, telephone, d similar communications signals or receipt of s nearby residential or bueiness residents. The Applicant acknowledge the right of the vi require, if necessary, frequency relocation ag 4. Mu1tiole Accommodatiena. The Owner and covenant and certify that the design, str installation of the Applicant's wireless telecommunications services a`ttenna facility pr the Property will be such as to accommodate at (2) wireless personal telecommunications servic facilities et other providers on a non -discr .basis, in addition to Applicant's inntallati inetallation will be made in the manner de Exhibit °A" which is attached /hereto and ma hereof) to avoid duplication of the erection of personal telecommunications services antenn through the Village. Applicant and Owner and obligations hereby to assure utilization of the by other service providers and Applicant expressly disclaim any right or power to c dictate any other service providers' choice or proposed facilities for this structure. Appli not oppose and owner covenants and certifies t permit co -use of the wireless personal telecomm services antenna structure upon the Property by two (2) wireless personal telecommunications providers, in addition to Applicant, on discriminatory basis. Owner and Applicant ac and agree that unreasonable refusal to permi shall constitute a violation of Section 22 -42 Shores Village Code and may result in the revoking any wireless personal telecotnmu services antenna tower approval and seeking a injunction to compel removal of any wireless telecommunications services antenna, in additi other remedies available to the Village for viol its code of ordinances, and any other remedy under the law. S. gti 42 v' a Pees. The Owner and Applicant hereby and certify that the prevailing party shall be to recover its reasonable costs and attorney's the event any litigation is brought to enf provisions of this Declaration and Certificati 305 756 8972;# 5/ 8 I;:U '. • covenant personal for the safety asonably eion of ital or finals of er and lege to elements. pplicant ture or personal sed for east two antenna minatory (which icted on a part wireless towers rtake no tructure d Owner trol or eeign of ant will it will icatione at least services a non - owledge co -use of Miami Village ications andatory personal n to all Lions of V8ilable ovenant entitled fees in rce the SENT BY: 3- 3 -99 ; 11:20 ; RICHARD & RICHARD-+ .s„r_ a r 6. Bindjpa on SucFessars, The Owner and Applicant and certify that this Declaration and Certificat be binding upon the Owner, the Applicant, and all of their respective successors and assigns they shall faithfully observe and perform hereu so long as Applicant operates its antenna facil Property. IN WITNESS WHEREOF, the undersigned have caused this to be executed this day of March, 1999. WITNESSES: sign; By: print: sign: By: print: ,CLERK STATE OF FLORIDA ) COUNTY OF DADE ) 88 OWNER: MIAMI SHORES PRESBYTERIAN PETER W. BELLOWS, MANAGER The foregoing instrument was acknowledged before me day of , 1999, by Peter W. Bellows, as Manager and as Clerk of Session Shores Presbyterian Church, on behalf of the corporatio purposes therein expressed is personally known to me or produced - as identiflcati did take an oath. NOTARY PUBLIC; Sign Print 305 756 8972;# 6/ 8 covenant on shall each and and that der, for ty on the Covenant HURCH BUSINESS SESSION this tueiress of Miami for the ho have and who State of Florida at Lar . e (Seal) My Comiiasion Expires: SENT BY: .�.... _... � :•fa _. ..I 3- 3-99 ; 11:20 ; RICHARD & RICHARD WITNESSES: APPLICANT: SPRIN: SPECTRUM, L.P., a Limited Partnership By: in print sign print STATE OF GEORGIA ) as COUNTY OF ) TR!$ INSTRUMENT PREPARED ST: Perry M. Adair, Eel_ Becker A Doliakoff. 5201 Blue Lagoon Drive Suite 100 Miami. Florida 33126 (305) 262 -403 M13 SY: Name: Title: The foregoing instrument was acknowledged day of _ , 1999, by of Sprint Spectrum L.P. , on be Partnership for the purposes therein expressed to me or who have produced identification and who did take an oath. NOTARY PUBLIC: Sign Print My Commission Expires ACCEPTED for Miami Shores Village this day 1989. BUILDING OFFICIAL VILLAGE ATTORNEY 305 756 8972;# 7/ 8 t . Y. 0 Delaware before me this , as alr o t Limited is personally !crown as Seal) f March, SENT BY: 3- 3 -99 ; 11 :21 ; RICHARD & RICHARD-a 305 756 8972;# 8/ 8 N.. j: I'. I 1/lastec Technologies cio Richard Bogatin 7422 Wiles Rd. Coral Springs, FL 33067 Village of Miami Shores do Frank Lubian 10050 Northeast 2nd Ave. Miami Shores, Fl 33138-2382 741-11.762.-szo4 December 18, 1998 Dear Mr. Lubian, 11141 40E11 ,M0' 7 T R C F—T 1V 0 L 0 C T F S Frank Lubian, Planner Village of Miami Shores 10050 Northeast 2 Avenue Miami Shores, FL 33138 -2382 RE: Sprint PCS/Miami Shores Presbyterian Church Thank you for taking time to discuss the preliminary site plan and pending application submittal for Sprint PCS's proposed antenna installation to be located at the Miami Shores Presbyterian Church. As you aware, Sprint PCS desires to locate such a facility on the church's steeple in order to improve service to customers in the immediate areas. This site is required as the current service is not adequate. A copy of the preliminary site plan has been provided to you. We are in the process of amending the plan to accurately reflect the location of AT &T's false antenna. At this time, no additional screening is planned around the equipment located on the rooftop behind the building which houses the church's administration offices, as this area is well shielded and will not be visible by direct line of site. All planned equipment will be painted to match the exterior of the church. If upon further review by your office, you have any additional comments or recommendations prior to an al please contact me. Thank you again, I enjoyed our discussion. Sincere! Richard Bogatin Mastec Technologies Agent for Sprint PCS LICENSED R EAL ESTATE BROKER SERVING P.B. COUN7y SINCE 1979 MasTec Technologies, Inc. 7722 Wiles Road Coral Springs, Florida 33067 . Telephone 954- 255 -1576. Fax 954- 2557892 1635 WOODBRIDGE LAKES CIRCLE WEST PALM BEACH, FL 33406 407 - 967 -99 KFc I 84TT PG 4399 r- CERTIFICATIONS AND DECLARATIONS OF RESTRICTIVE COVENANT KNOW ALL MEN BY THESE PRESENTS: WHEREAS, Miami Shores Presbyterian Church, a Florida non - profit corporation (the "Owner" or "Declarant ") is the owner of the following described property (the "Property") situated and being in N Miami Shores Village, Florida: c . Lots 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10, Block 61 and the 15 foot alley running east and west through said Block 61, Miami Shores, Section 2, according to the Plat thereof, recorded in Plat Book 10 at page 37 of the Public Records of Miami -Dade County, Florida, and WHEREAS, the Owner, together with AT &T Wireless Services of Florida, Inc., a Florida corporation (hereinafter "Applicant ") with the consent of the Owner, has applied to Miami Shores Village, a Florida municipal corporation ( "the Village ") for a wireless personal telecommunications services antenna permit, pursuant to Chapter 22 of the Miami Shores Village Code, and otherwise; and WHEREAS, the Owner and Applicant desire to provide certain assurances and certifications to the Village; NOW, THEREFORE, the Owner and Applicant each jointly declare and certify as follows: 1. Title. Owner and Applicant have provided evidence as to the status of title to the Property to the Village . 2. Continuous Compliance. The Owner and Applicant hereby covenant and certify that the wireless personal telecommunications services antenna proposed for the Property will be made continually compliant with all present and future promulgated safety laws, rules and regulations concerning electromagnetic frequency emissions standards promulgated by governmental authorities having jurisdiction over the Applicant and the operations of the antenna facility, or similar safety standards for other wireless communications media transmissions. The Owner and Applicant hereby acknowledge the right of the Village to require immediate removal of any wireless personal telecommunications services antenna upon the Property which does not meet such safety rules and regulations. 3. Non - Interference. The Owner and Applicant also covenant and certify that any wireless personal telecommunications services antennas proposed for the Property will not interfere with public safety communications, and further, will not unreasonably interfere with the reception or transmission of television, radio, microwave, telephone, digital or similar communications signals or receipt of signals of nearby residential or business residents. The Owner and Applicant acknowledge the right of the Village to require, if necessary, frequency relocation agreements. 4. Multiple Accommodations. The Owner and Applicant covenant and certify that the design, structure or installation of the wireless personal telecommunications services antenna facility proposed for the Property will be such as to accommodate at least two wireless personal telecommunications services antenna facilities of other providers, on a non - discriminatory basis, after applicant's installation, in the manner depicted on Exhibit "A" which is attached hereto and made a part hereof, to avoid duplication of the erection of wireless personal telecommunications services antenna towers throughout the Village. Applicant and Owner undertake no obligations hereby to assure utilization of the structure by other service providers and Applicant and Owner expressly disclaim any right or power to control or dictate any other service providers' choice or design of proposed facilities for this structure. The Applicant will not oppose and Owner covenants and certifies that it will permit co -use of the wireless personal telecommunications services antenna structure upon the Property by at least two wireless personal telecommunications services providers, in addition to Applicant, on a non- discriminatory basis. Owner and Applicant acknowledge and agree that unreasonable refusal to permit co -use shall constitute a violation of Section 22-42 of Miami Shores Village Code and may result in the Village revoking any wireless personal telecommunications services antenna tower approval and seeking a mandatory injunction to compel removal of any wireless personal telecommunications services antenna, in addition to all other remedies available to the Village for violations of its code of ordinances, and any other remedy available under the law. 5. Attorney's Fees. The Owner and Applicant hereby covenant and certify that the prevailing party shall be entitled to recover its reasonable costs and attorney's fees in the event any litigation is brought to enforce the provisions of this Declaration and Certification. 6. Binding on Successors. The Owner and Applicant covenant and certify that this Declaration and Certification shall be binding upon the Owner, the Applicant, and each and all of their respective successors and assigns and that they shall faithfully observe and perform hereunder, for so long as Applicant operates its antenna facility on the Property. IT WITNESS WHEREOF, the undersigned have caused this instrument to be executed and delivered on this /5 day of — t... 1 , 1999. OWNER: WITNESSES: _ MIAMI SCI PJ SB ; ERIAN CHURCH Co.^, 5. (PRINT) °EC 18477 ft 4400 BY: as Business M Clerk of Session (ATTEST) r. • c STATE OF FLORIDA COUNTY OF MIAMI -DADE ) My commission WITNESSES: COUNTY OF MIAMI -DADE ) THIS INSTRUMENT PREPARED BY: Richard Sarafan. Esq. Village Attorney 825 Brickell Bay Drive Tower III - Suite 1748 Miami. Florida 33131 Telephone: (305) 374 -6688 1 8477 4401 ss: T oregoina i trument was sworn to and subscribed befo a me this 1P day of January, 1999 by _ GL.1_o 5 as Business Manager and &rM 5 f 01 as Clerk of Session of iami Shores Presbyterian Church, on behalf of the corporation for the purposes theein p , expressed. They are ers%ially . known to me or have produced al- 13— -69 730 47a and /'.V L – i53_2 -Y f entificatio s - .: • 'd take an oath. STATE OF FLORIDA ) ss: TARY PUBLIC APPLICANT: AT &T WIRELESS SERVICES OF FLORIDA, INC., a Flo 'da corporation BY: auLiVt as Director of Site Development The foregoing instrument was sworn to and subscribed before me this Vt..day of January, 1999 by ( \ C;Qi c , as Developer of Site Development of AT &T Wireless Services of Florida, Inc., a Florida corporation, on behalf of the corporation for the purposes therein expressed. They are personally known to me or have produced and as identification and did take an oath. • es :;f • P for Miami Shores Village this '•'r, �r r tt►Itf tt 111....... APPROVED: H: MSV\ MSV- GE:V\PLEAD[NGS\Certification and Declarations (AT &T) • RY PUBLIC Notary Public, Fulton County, eo�a My Commission Expires August O 25.2002 day o , • 1999. BY: VIL AGE ATTORNEY I '4 7 ATtr NORTH ELEVATION EXHIBIT A fl C STAuCTUNE AS R OOSTR ON M GATT NOW TRLL 5$T INC NSTA IAT101$ OOICTCO NOICK IOTA UITOIS ammo N ANT MY /11011 DC OM= OC9OI wY NCR RC SAVOR= 1N not $TIR1CML APPOOPAATE ARORICCNRAL A/O CNONEGIVICI STUOCS SMUT TIC IMOCRTAQM SOON[ ANT Nm11GOOINS NOT N ACCOOAMCE NTH OC OCPC7W 0(901 ANC UNOCRTANOL TOTNOR MPUC NT NCO ONMCA 9NLL K LLAAL f011 DANA= AMMO OUT Of Nmi1CA110a TO DE UNICIYRC TAT ARE NOT N ACmeta MN The OC9W OOCIm NOON. NOTES ANKAIAS rEN COLLOCATION ARC 910M Iva {OCA1101 OILY. WARM OP 3 NOROK ANIENNAL POI COiDCAT[ CORM Ctty .TO' -• eorrai aTE rr Wu, ANTENNA • nix •04 -a- TOP or AT&T NS AATDNA 0LV Sr OOTTOI O/ ATV M ANTENNA 0Lr. •1Y-0' TP MILNE OXOC AT011 Y NRP ANIDNA �L4 FFFrr 18477 PG 4402 SOUTH ELEVATION 3 EXTERIOR STEEPLE ELEVATIONS N.TRS.1 • RECORDED IN OFFICIAL RECORDS 6OCA OF OADE COUNTY, FLORIDA. RECORD vER1FIED HARVEY RUYIN CL .1( s!" r s' December 15, 1998 Mr. Patrick Hoge Lotterman Real Estate Services, Inc. 4275 Aurora Street Suite "C & D" Coral Gables, Florida 33146 RE: AT &T - Miami Shores Presbyterian Church Dear Mr. Hoge: As you requested, enclosed please find a hard copy of the fmal version of the Certifications and Declarations of Restrictive Covenant. I understand you will see to the due execution of this document and its return to my attention. Thank you for your cooperation in this matter. Very truly yours, RICHARD SARAFAN RS /vp Enclosures cc: Mr. Frank LuBien H:\MSV\MSV- GEN\LETTERS \Hoge Lt r2 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 -2382 TELEPHONE (305) 795 -2207 FAX (305) 756 -8972 RICHARD SARAFAN VILLAGE ATTORNEY 825 BRICKELL BAY DRIVE TOWER III - 17TH FLOOR THE FOUR AMBASSADORS MIAMI, FL 33131 (305) 374 -6688 • 374 -0384 (FAX) CERTIFICATIONS AND DECLARATIONS OF RESTRICTIVE COVENANT KNOW ALL MEN BY THESE PRESENTS: WHEREAS, Miami Shores Presbyterian Church, a Florida non - profit corporation (the "Owner" or "Declarant ") is the owner of the following described property (the "Property") situated and being in Miami Shores Village, Florida: Lots 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10, Block 61 and the 15 foot alley running east and west through said Block 61, Miami Shores, Section 2, according to the Plat thereof, recorded in Plat Book 10 at page 37 of the Public Records of Miami -Dade County, Florida, and WHEREAS, the Owner, together with AT &T Wireless Services of Florida, Inc., a Florida corporation (hereinafter "Applicant ") with the consent of the Owner, has applied to Miami Shores Village, a Florida municipal corporation ( "the Village ") for a wireless personal telecommunications services antenna permit, pursuant to Chapter 22 of the Miami Shores Village Code, and otherwise; and WHEREAS, the Owner and Applicant desire to provide certain assurances and certifications to the Village; NOW, THEREFORE, the Owner and Applicant each jointly declare and certify as follows: 1. Title. Owner and Applicant have provided evidence as to the status of title to the Property to the Village . 2. Continuous Compliance. The Owner and Applicant hereby covenant and certify that the wireless personal telecommunications services antenna proposed for the Property will be made continually compliant with all present and future promulgated safety laws, rules and regulations concerning electromagnetic frequency emissions standards promulgated by governmental authorities having jurisdiction over the Applicant and the operations of the antenna facility, or similar safety standards for other wireless communications media transmissions. The Owner and Applicant hereby acknowledge the right of the Village to require immediate removal of any wireless personal telecommunications services antenna upon the Property which does not meet such safety rules and regulations. 3. Non - Interference. The Owner and Applicant also covenant and certify that any wireless personal telecommunications services antennas proposed for the Property will not interfere with public safety communications, and further, will not unreasonably interfere with the reception or transmission of television, radio, microwave, telephone, digital or similar communications signals or receipt of signals of nearby residential or business residents. The Owner and Applicant acknowledge the right of the Village to require, if necessary, frequency relocation agreements. 4. Multiple Accommodations. The Owner and Applicant covenant and certify that the design, structure or installation of the wireless personal telecommunications services antenna facility proposed for the Property will be such as to accommodate at least two wireless personal telecommunications services antenna facilities of other providers, on a non - discriminatory basis, after applicant's installation, in the manner depicted on Exhibit "A" which is attached hereto and made a part hereof, to avoid duplication of the erection of wireless personal telecommunications services antenna towers throughout the Village. Applicant undertakes no obligations hereby to assure utilization of the structure by other service providers and Applicant expressly disclaims any right or power to control or dictate any other service providers' choice or design of proposed facilities for this structure. The Applicant will not oppose and Owner covenants and certifies that it will permit co -use of the wireless personal telecommunications services antenna structure upon the Property by at least two other wireless personal telecommunications services providers on a non - discriminatory basis. Owner and Applicant acknowledge and agree that unreasonable refusal to permit co -use shall constitute a violation of Section 22-42 of Miami Shores Village Code and may result in the Village revoking any wireless personal telecommunications services antenna tower approval and seeking a mandatory injunction to compel removal of any wireless personal telecommunications services antenna, in addition to all other remedies available to the Village for violations of its code of ordinances, and any other remedy available under the law. 5. Attorney's Fees. The Owner and Applicant hereby covenant and certify that the prevailing party shall be entitled to recover its reasonable costs and attorney's fees in the event any litigation is brought to enforce the provisions of this Declaration and Certification. 6. Binding on Successors. The Owner and Applicant covenant and certify that this Declaration and Certification shall be binding upon the Owner, the Applicant, and each and all of their respective successors and assigns and that they shall faithfully observe and perform hereunder, for so long as Applicant operates its antenna facility on the Property. IT WITNESS WHEREOF, the undersigned have caused this instrument to be executed and delivered on this day of , 1998. OWNER: WITNESSES: MIAMI SHORES PRESBYTERIAN CHURCH BY: as Officer 2 (ATTEST) STATE OF FLORIDA COUNTY OF MIAMI -DADE ) The foregoing instrument was sworn to and subscribed before me this day of October, 1998 by as and as Secretary of Miami Shores Presbyterian Church, on behalf of the corporation for the purposes therein expressed. They are personally known to me or have produced and as identification and did take an oath. My commission expires: WITNESSES: COUNTY OF MIAMI -DADE ) APPROVED: THIS INSTRUMENT PREPARED BY: Richard Sarafan, Esq. Village Attorney 825 Brickell Bay Drive Tower III - Suite 1748 Miami, Florida 33131 Telephone: (305) 374 -6688 ss: BY: STATE OF FLORIDA ss: NOTARY PUBLIC APPLICANT: AT &T WIRELESS SERVICES OF FLORIDA, INC., a Florida corporation as Director of Site Development The foregoing instrument was sworn to and subscribed before me this day of October, 1998 by as Developer of Site Development of AT &T Wireless Services of Florida, Inc., a Florida corporation, on behalf of the corporation for the purposes therein expressed. They are personally known to me or have produced and as identification and did take an oath. My commission expires: ACCEPTED for Miami Shores Village this day of , 1998. BY: H:\MSV\MSV- GEN\PLEADINGS \Certification and Declarations (AT &T) NOTARY PUBLIC 3 BUILDING OFFICIAL VILLAGE ATTORNEY March 2, 1999 Frank Lubian, Director Building Department Miami Shores, Florida Sincerely, Ken Ballew, AIA MJA Communications Corp. c. Bryan Besade File COMMUNICATIONS CORP. A WESTOWER COMPANY Re: CAP 27 MIAMI SHORES PRESBYTERIAN CHURCH RESPONSE TO COMMENTS & STRUCTURAL REVIEW In response to the teleconference with the church's representative, I would like to suggest the following revisions to the construction documents: 1. All exposed fasteners and related hardware for antennas and coaxial cabling shall be stainless steel. 2. Use 16 oz. Copper flashing at new platform in lieu of galvanized steel or aluminum. 3. Antenna grounding and buried power conduits at the tower should be located in a manner that will not disturb the existing flagstone walk. 4. Electrical power conduit runs across roof areas shall be ballasted with precast block similar to detail for coaxial cable runs. See Detail 6, A -1. 5. As an added safety factor, the two north -south edge beams of the steel platform can be extended into the CMU gable wall. Provide 6 "x1/2 "x12" long bearing plates to rest on grout beds in the existing concrete block. Do NOT eliminate the projected bearing brackets spaced at 24" o.c. along the east west bearing beam. Please refer to attached detail sheet dated 2- 24 -99. If you have any questions or comments, please let me know. CAP27PC.DCIOC Prosperity Farms Road, Suite 230, Palm Beach Gardens, Florida 33410 Phone: (561) 627 -2666 • Fax: (561) 627 -0146 March 2, 1999 Frank Lubian, Director Building Department Miami Shores, Florida Re: CAP 27 MIAMI SHORES PRESBYTERIAN CHURCH RESPONSE TO COMMENTS & STRUCTURAL REVIEW In response to the teleconference with the church's representative, I would like to suggest the following revisions to the construction documents: 1. All exposed fasteners and related hardware for antennas and coaxial cabling shall be stainless steel. 2. Use 16 oz. Copper flashing at new platform in lieu of galvanized steel or aluminum. 3. Antenna grounding and buried power conduits at the tower should be located in a manner that will not disturb the existing flagstone walk. 4. Electrical power conduit runs across roof areas shall be ballasted with precast block similar to detail for coaxial cable runs. See Detail 6, A -1. 5. As an added safety factor, the two north -south edge beams of the steel platform can be extended into the CMU gable wall. Provide 6 "x1/2 "x12" long bearing plates to rest on grout beds in the existing concrete block. Do NOT eliminate the projected bearing brackets spaced at 24" o.c. along the east west bearing beam. Please refer to attached detail sheet dated 2- 24 -99. If you have any questions or comments, please let me know. Sincerely, Ken Ballew, AIA MJA Communications Corp. c. Bryan Besade File COMMUNICATIONS CORP. A WESTOWER COMPANY CAP27PC.D9 82 Prosperity Farms Road, Suite 230, Palm Beach Gardens, Florida 33410 Phone: (561) 627 -2666 • Fax: (561) 627 -0146 CONC. BLK GABLE ENDWALL INFILL AROUND NEW STL. BEAM W/ STD. MAS. MORTAR RE I W/ 2 "X4 "X 14ga. 6 • V. WIRE MESH. PROVIDE PLY •. BACKER BD. • INSIDE SULFA E OF WALL PATCH TO FORM INFIL TOP OF CONC. ROOF DECK ./ 4 CONC. BOND BEAM ' GABLE WALL C W12 X 22 STL. AM 6 "X1/2 "X12 ". W/ 2-1/2 ANCN SET, IN 4,000 P BREAK OUT BLK OVER EXIST'G CONC. BOND BEAM INSERT NEW W12 X 22 STEEL EDGE BEAMS INTO WALL CAVITY EARING PLATE BOLTS X 3" LG GROUT BED B.U. ROOF LEVEL UNDER PLATFORM SEAM 5EA1RNG DETAIL e G4 - LE WALL 2 -24 -99 REV. C CAP 27 MIAMI SHORES PRESBYTERIAN CHURCH WESTOWER" DESIGN, 11.1C. 11382 Prosperity Farms Road Suite 230 Palm Beach Gardens, FL 33410 Offlce:(561)827 -2666 Fax:(561)627 -0146 www.westower.com CONC. BLK GABLE ENDWALL INFILL AROUND NEW STL. BEAM W/ STD. MAS. MORTAR RE I W/ 2 "X4 "X 14ga. G WIRE MESH. PROVIDE PLY INSIDE SURFA TO FORM INFIL BREAK OUT BLK OVER EXIST'G CONC. BOND BEAM INSERT NEW W12 X 22 STEEL EDGE BEAMS INTO WALL CAVITY • `Lw\wwwXXwwoww. wwwwwwwwwwowwwX'S . BACKER BD. E OF WALL PATCH • • W12 X 22 STL • 6 "X1/2 "X12 ".13 W/ 2-1/V ANCH • "SET. IN 4000 P UNDER P TOP OF CONC. ROOF DECK i 4 CONC. BOND BEAM g GABLE WALL AM EARING PLATE BOLTS X 3" LG GOUT BED B.U. ROOF LEVEL BEAM EE IR NG DETAIL e G4ELE WALL 2 -24 -99 REV. LATFORM C CAP 27 MIAMI SHORES PRESBYTERIAN CHURCH WEsTOWER" DES1GAI C- 11382 Prosperity Farms Road Suite 230 Palm Beach Gardens, FL 33410 Offlce:(561)627 -2666 Fax:(561)627 -0148 www.westower.com CONC. BLK GABLE ENDWALL INFILL AROUND NEW STL. BEAM W/ STD. MAS. MORTAR RE I W/ 2"X4"X 14ga. G • V WIRE MESH. PROVIDE PLY INSIDE SURFA TO FORM INFIL . BACKER BD. • • • .W12 X 22 STL. E OF WALL PATCH • • • • u TOP OF CONC. ROOF DECK i 4 CONC. BOND BEAM g GABLE WALL 6" X 1/2" X 12 ". W/ 2-1/2". ANCH SET, IN 4,000 P • BREAK OUT BLK OVER EXIST'G CONC. BOND BEAM INSERT NEW WI2 X 22 STEEL EDGE BEAMS INTO WALL CAVITY AM EARING PLATE BOLTS X 3" LG GROUT BED B.U. ROOF LEVEL UNDER PLATFORM 15E4M EEAIRING DETAIL e G4 L E UJ4LL 2 -24 -99 REV. C CAP 27 MIAMI SHORES PRESBYTERIAN CHURCH WESTOWE DESIGN 111IC 11382 Prosperity Farms Road Suite 230 Palm Beach Gardens, FL 33410 Offlce:(561)827 -2666 Fax:(561)627 -0146 www.westower.com NOV. 24. 1998 4:48PM MASTEC TECH • 7422 WILES ROAD CORAL SPRINGS, FL 33067 (954 - 255 -1576 ext. 243 (954) 255 -7892 FAX (305) 321 -5653 MOBILE Fax To: Mr. Frank Lubian Front: Richard C. Bogatin AICP Fa* (305) 756 -8972 Phone: (305) 795 -2204 Re: Miami shores Presbyterian Church CC: Sprint PCS approval Pages; 3 Date: 11/24/98 NO. 8413 P. 1/3 MASTEC-- - TECHNOLOGIES - INC :1j 0 ursent 0 For Review 0 Please Comment 0 Please Reply O Please Recycle • commenter Mr. Lubian after our discussion 1 did as you requested and received permission to speak with the Village Attorney Richard Sarafan Esq. The attached letter summarizes our conversation and should you have any questions please feel free to call me and discuss them. I was wondering if you would be so kind as to provide for me the surrounding future land use designations and zoning classifications cations around the church property. This will eliminate a trip for me to your office and I would be grateful for the information. Once I have prepared a preliminary site plan I would like to meet with you and discuss it in detail. Thank you, for directing me to the Village Clerk Barbara and getting her perrnlssion to speak with Mr. Sarafan. I am hopeful that this will assist you in being able to move forward with both of these requests. DEC. 2. 1998 6:27PM MASTEC TECH Na 8660 P. 1/1 v . 7422 WILES ROAD CORAL SPRINGS, FL 33067 (954-255 -1576 ext. 243 (954) 255 -7892 FAX (305) 321 -5653 MOBILE Fax 7b: Richard Sarafan Farc (305) 374-0384 Phone: (305) 374 -6688 Re: Miami Shores Presb. Church From: Richard C. Bogatin ACCP Pages: 1 Date: 12102/98 CC: Jim Randall AT&T Sprint PCS Approval Frank Lubian Miami Shores B & Z MASTEC TECHNOLOGIES INC. 0 Urgent ❑ For Review 0 Please Comment ❑ Please Reply D Please Recycle • Comments: In reviewing the letter I sent out 11/24/98 pursuant to our phone conversation I noticed a typo. The third sentence of the third paragraph should have included; "it makes it very difficult to certify capacity'. I apologize for this error, I was in such a rush to leave for a family vacation that I did not proof it properly. How are you coming with the forms I need to make an application? I have a site plan and would like to submit it for approval as soon as possible. Please provide me with an expected timeline for my projects tracking. Thanks again, I Zook forward to speaking to you soon about this request. Should you have any additional questions please feel free to contact me. NOV. 24. 1998 4:49PM 1,IASTEC TECH November 24, 1998 Dear Mr. Sarafan: Richard Sarafan, Village Attorney Miami Shores 825 Brickell Bay Drive Tower III -17` Floor Miami, FL 33131 RE: Miami Shores Presbyterian Church, 602 NE 96 Street Sprint PCS use of existing steeple for antenna attachment. MrasTec Technologies Thank you for returning my call yesterday to discuss the above referenced site. As I informed you, Sprint PCS is currently working with the Church to obtain a lease and rights to attach antennas. NO. 8413 P. 2/3 In the course of our discussion, the process for approval was determined to be via an administrative process. This approval method would be used to approve the AT &T application as well. The basis for this type of approval process is located within Section 4 b: "If the Applicant fails to meet all the required permitting criteria it shall be scheduled for consideration at the next available Planning & Zoning Board." Since both AT &T and Sprint's intent is to meet all the requirements of Ordinance No. 602 -98, a public hearing process is not required. One major sticking point of meeting the intent of the ordinance was the verification of the facility's ability to accommodate three carriers. Since the ordinance seems to be more related to a tower that will be constructed, and this site is an existing structure, it becomes a bit convoluted. It was agreed that because of the unknown nature of the third carrier's antenna requirements. Since then I have discussed this with AT &T representatives and feel confidant with their verbiage as it relates to this requirement. In reviewing the Certifications and Declarations of Restrictive Covenant that you forwarded to my attention, I thought adding the following to Section 4. Multiple Accommodations would be helpful; each of these additional carriers will be individually responsible to ensure structural capacity of their attachments to the Village Building Departments satisfaction. The attachment shall also be architecturally acceptable in its design so as to have as liulc impact as possible to the existing structure necessary to meet the RF requirements of the user. 7422 Wiles Road. Coral Springs, Ronde 33067 . Telephone 954.255 -1576 • Fax 954-255 -7892 NOV. 24. 1998 4 :49P1F1 1�1ASTEC TECH NO. 8413 P. 3/3 y . I thank you for taking the time in assisting me to achieve this, required approval. As I explained AT &T is in the lead on this site and we are planning a site visit to discuss the construction process with them and the Property Owners Please )et me know when you have completed the required application for the administrati ve approval. If I can be of any assistance in this matter or in helping you to complete the forms please contact me. Again, I thank you for your direction and understanding in this matter. Sincerely, Richard C. Bogatin AICP Manager Special Projects, Sprint MTA Cc: Jim Randall, AT &T Wireless Services (Via Fax) Frank Lubian, Director Building & Zoning Department (Via Fax) REC 18 P6 w kfr KNOW ALL MEN BY THESE PRESENTS: WHEREAS, Miami Shores Presbyterian Church, a Florida non - profit corporation (the "Owner" or "Declarant ") is the owner of the following described property (the "Property ") situated and being in Miami Shores Village, Florida: Lots 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10, Block 61 and the 15 foot alley running east and west through said Block 61, Miami Shores, Section 2, according to the Plat thereof, recorded in Plat Book 10 at page 37 of the Public Records of Miami -Dade County, Florida, and CERTIFICATIONS AND DECLARATIONS OF RESTRICTIVE COVENANT WHEREAS, the Owner, together with AT &T Wireless Services of Florida, Inc., a Florida corporation (hereinafter "Applicant ") with the consent of the Owner, has applied to Miami Shores Village, a Florida municipal corporation ( "the Village ") for a wireless personal telecommunications services antenna permit, pursuant to Chapter 22 of the Miami Shores Village Code, and otherwise; and WHEREAS, the Owner and Applicant desire to provide certain assurances and certifications to the Village; NOW, THEREFORE, the Owner and Applicant each jointly declare and certify as follows: 1. Title. Owner and Applicant have provided evidence as to the status of title to the Property to the Village . 2. Continuous Compliance. The Owner and Applicant hereby covenant and certify that the wireless personal telecommunications services antenna proposed for the Property will be made continually compliant with all present and future promulgated safety laws, rules and regulations concerning electromagnetic frequency emissions standards promulgated by governmental authorities having jurisdiction over the Applicant and the operations of the antenna facility, or similar safety standards for other wireless communications media transmissions. The Owner and Applicant hereby acknowledge the right of the Village to require immediate removal of any wireless personal telecommunications services antenna upon the Property which does . not meet such safety rules and regulations. 3. Non - Interference. The Owner and Applicant also covenant and certify that any wireless personal telecommunications services antennas proposed for the Property will not interfere with public safety communications, and further, will not unreasonably interfere with the reception or transmission of television, radio, microwave, telephone, digital or similar communications signals or receipt of signals of nearby residential or business residents. The Owner and Applicant acknowledge the right of the Village to require, if necessary, frequency relocation agreements. 4. Multiple Accommodations. The Owner and Applicant covenant and certify that the design, structure or installation of the wireless personal telecommunications services antenna facility proposed for the Property will be such as to accommodate at least two wireless personal telecommunications services antenna facilities of other providers, on a non - discriminatory basis, after applicant's installation, in the manner depicted on Exhibit "A" which is attached hereto and made a part hereof, to avoid duplication of the erection of wireless personal telecommunications services antenna towers throughout the Village. Applicant and Owner undertake no obligations hereby to assure utilization of the structure by other service providers and Applicant and Owner expressly disclaim any right or power to control or dictate any other service providers' choice or design of proposed facilities for this structure. The Applicant will not oppose and Owner covenants and certifies that it will permit co -use of the wireless personal telecommunications services antenna structure upon the Property by at least two wireless personal telecommunications services providers, in addition to Applicant, on a non- discriminatory basis. Owner and Applicant acknowledge and agree that unreasonable refusal to permit co -use shall constitute a violation of Section 22 -42 of Miami Shores Village Code and may result in the Village revoking any wireless personal telecommunications services antenna tower approval and seeking a mandatory injunction to compel removal of any wireless personal telecommunications services antenna, in addition to all other remedies available to the Village for violations of its code of ordinances, and any other remedy available under the law. 5. Attorney's Fees. The Owner and Applicant hereby covenant and certify that the prevailing party shall be entitled to recover its reasonable costs and attorney's fees in the event any litigation is brought to enforce the provisions of this Declaration and Certification. 6. Binding on Successors. The Owner and Applicant covenant and certify that this Declaration and Certification shall be binding upon the Owner, the Applicant, and each and all of their respective successors and assigns and that they shall faithfully observe and perform hereunder, for so long as Applicant operates its antenna facility on the Property. IT WITNESS WHEREOF, the undersigned have caused this instrument to be executed and delivered on this /S day of , 1999. OWNER: WITNESSES: _ MIAMI S Comer -a 5, S -to(os (PRINT) i c 18 c MOO BY: as Busines M SBY ERIAN CHURCH / Clerk of Session (ATTEST) STATE OF FLORIDA COUNTY OF MIAMI -DADE ) T oregoin; i trument was sworn to and subscribed befo� me this 5 day of January, 1999 by ELLc u.15 as Business Manager and Ilbrnn q- 5 e t as Clerk of Session of Miami Shores Presbyterian Church, on behalf of the corporation for the purposes theein expressed. They are ers _ known to me or have produced 1L 1� -1D - (l 7-304P and �L J.53t -6 28 2-Y i i entificatio 'd take an oath. My commission WITNESSES: STATE OF FLORIDA °Ec I8477 4401 ) ss: APPLICANT: AT &T WIRELESS SERVICES OF FLORIDA, INC., a Florida corporation as Director of Site Development COUNTY OF MIAMI -DADE ) THIS INSTRUMENT PREPARED BY: Richard Sarafan, Esq. Village Attorney 825 Brickell Bay Drive Tower III - Suite 1748 Miami, Florida 33131 Telephone: (305) 374 -6688 ss: BY: H: \MSV \MSV- GEN\PLEADINGS \Certification and Declarations (AT &T) TARY PUBLIC The foregoing instrument was sworn to and subscribed before me this j q LN...da of January, 1999 by (s‘ y1-7 1 GQi v as Developer of Site Development of AT &T Wireless Services of Florida, Inc., a Florida corporation, on behalf of the corporation for the purposes therein expressed. They . are personally known to me or have produced and as identification and did take an oath. J .i ' '' ' ' ' ��O ` e,.• ,'� ' .�i y ,,:',,r, 1 ARY 'UBLIC n T r es: " wry Public, Fulton County, f3eo Ia Da y Commission Expires Au �.•; �s :. for Miami Shores Village this day o , 1999. Ph trt►ttfliN( l t M .i1N'' APPROVED: 1 VILLAGE ATTORNEY • • / / / / // / / I / / /// M AT S P N,a i AREA ...4 j i. NORTH ELEVATION EXHIBIT A MOTE. THE STRUCTURE AS IT COSTS ON De OAT HMO/ TRL 9IPPORT ME NSTALATIONS OEPICTEO HOICK NSTALATIONS ONFOIPIO IN ANY Mr mat THE DEPICTED OE9QI MAY NOT BE SUPPORTED Br NC STRUC1WL APPROPRIATE ARCHITECTURAL NIO DIOIEERNO MUMS SHOULD BE UNOCITAO;N BEFORE ANT IIOOIr1GnO1S NOT N ACCORDANCE RATH THE OEPICTEO OMEN ME uNOGTANEN. MOTHER APPUCNIT NON ONMER SHALL DE UABIE FOR DAMAGES MONKS OUT OF MOOFTCAHON TO THE STRUCTURE THAT ARE NOT N ACCORDANCE NTH DIE OESI 4 DEPICRD HOWL NOTES ANTENNAS FOR COILDCATION ARE SHOWN FOR LOCATION COT MAOMUII OF ,! WHORE ANIDINAS PER COLLOCATE CARRIER • ELEM. .IOA• -O' BOTTOM a ILniNE CODCATOYS Y TRIP ANTENNA li ETty, .&1• - 0" LI' lOP Or AT &T NS • are. .7Y -• 7 BOTTOM OF AT &T IYS ANTENNA • • (aay..SY -D TOP !Y IUTWE COLOCATORY 7 SHP AN IENRA °Ec 18477 pc 4402 _ D c r re/1 / / / / / / / / // IDCATTO N LEASZ AREA SOUTH ELEVATION ) EXTERIOR STEEPLE ELEVATIONS N.T.S.1 RECORDED IN OFFIC64L RECORDS 8O1 OF DADE COUNTY, FLORIDA. RECORD VERIFIED �PIAR C EY r� . V I (L N �G]LL��.,, CLMR^ !;•,'� TAP }� mot OFFICIAL RECEIPT CLERK OF CIRCUIT & COUNTY COURT OFFICE OF THE RECORDER ELK /CT 611 12/92 DADE COUNTY, FLORIDA RECORDING FEES ., c w H ( DO NOT USE THIS SPACE ) OFFICIAL RECORDING RECPT@ 636122 991RO - 78904 DEPT 21 1999 FEB 16 7 :48 OP :35 TR:012 RECORDING FEE 19.50 TOTAL 19.50 (:} ECK TEND 19.50 CHANGE 0).0I) THIS RECEIPT NOT VALID UNLESS VALIDATED INTANGIBLE TAX ooc STAMPS W 0 Q O o W Q SURTAX REFUND PAYMENT ACCT REC TOTAL March 5` 1999 Mr. Frank Lubian Village of Miami Shores Building department RE: Sprint PCS /Miami Shores Presbyterian Church Antenna Installation Mr. Lubian, Please find attached the following: Five (5) signed and sealed Beam Bearing details Five (5) signed and sealed letters from MJA Communications dated March 2 1999. Three (3) Original copies of the Restrictive Covenant for building department signature Please accept the signed and sealed letter and beam detail as an attachment to Sprint's application submittal. The required Covenant is being forwarded for signature on behalf of the Building department. Upon execution, extra copies will remain with Sprint and be recorded with Dade - County. Please contact me should you have any additional questions. Thank you. Sincerely, Jason Laskey Mastec Technologies Sprint PCS Project — Miami MTA (305) 321 -5655 (954) 255 -1576 Ext. 137 Frank, Enclosures L O T T E R M A N REAL ESTATE SERVICES, INC. 4275 AURORA STREET, SUITE D / CORAL GABLES, FLORIDA 33146 / (305) 446 -8002 FAX # (305) 446 -0840 TO: Frank Lubien FROM: Peter Sharp DATE: January 28, 1999 MEMORANDUM SUBJECT: AT &T Wireless Facility to be located at Miami Presbyterian Church M -139 Miami Shores Via Courier Attached are five (5) Originals of the Certifications and Declarations of Restrictive Covenant. Please have the appropriate Building Official and the Village Attorney sign where indicated and return two (2) Originals to my office. cc: Richard Sarafan, Esq. (via facsimile 305 - 374 -0384) CERTIFICATIONS AND DECLARATIONS OF RESTRICTIVE COVENANT KNOW ALL MEN BY THESE PRESENTS: WHEREAS, Miami Shores Presbyterian Church, a Florida non - profit corporation (the "Owner" or "Declarant ") is the owner of the following described property (the "Property") situated and being in Miami Shores Village, Florida: Lots 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10, Block 61 and the 15 foot alley running east and west through said Block 61, Miami Shores, Section 2, according to the Plat thereof, recorded in Plat Book 10 at page 37 of the Public Records of Miami -Dade County, Florida, and WHEREAS, the Owner, together with AT &T Wireless Services of Florida, Inc., a Florida corporation (hereinafter "Applicant ") with the consent of the Owner, has applied to Miami Shores Village, a Florida municipal corporation ( "the Village ") for a wireless personal telecommunications services antenna permit, pursuant to Chapter 22 of the Miami Shores Village Code, and otherwise; and WHEREAS, the Owner and Applicant desire to provide certain assurances and certifications to the Village; NOW, THEREFORE, the Owner and Applicant each jointly declare and certify as follows: 1. Title. Owner and Applicant have provided evidence as to the status of title to the Property to the Village . 2. Continuous Compliance. The Owner and Applicant hereby covenant and certify that the wireless personal telecommunications services antenna proposed for the Property will be made continually compliant with all present and future promulgated safety laws, rules and regulations concerning electromagnetic frequency emissions standards promulgated by governmental authorities having jurisdiction over the Applicant and the operations of the antenna facility, or similar safety standards for other wireless communications media transmissions. The Owner and Applicant hereby acknowledge the right of the Village to require immediate removal of any wireless personal telecommunications services antenna upon the Property which does not meet such safety rules and regulations. 3. Non - Interference. The Owner and Applicant also covenant and certify that any wireless personal telecommunications services antennas proposed for the Property will not interfere with public safety communications, and further, will not unreasonably interfere with the reception or transmission of television, radio, microwave, telephone, digital or similar communications signals or receipt of signals of nearby residential or business residents. The Owner and Applicant acknowledge the right of the Village to require, if necessary, frequency relocation agreements. 4. Multiple Accommodations. The Owner and Applicant covenant and certify that the design, structure or installation of the wireless personal telecommunications services antenna facility proposed for the Property will be such as to accommodate at least two wireless personal telecommunications services antenna facilities of other providers, on a non - discriminatory basis, after applicant's installation, in the manner depicted on Exhibit "A" which is attached hereto and made a part hereof, to avoid duplication of the erection of wireless personal telecommunications services antenna towers throughout the Village. Applicant and Owner undertake no obligations hereby to assure utilization of the structure by other service providers and Applicant and Owner expressly disclaim any right or power to control or dictate any other service providers' choice or design of proposed facilities for this structure. The Applicant will not oppose and Owner covenants and certifies that it will permit co -use of the wireless personal telecommunications services antenna structure upon the Property by at least two wireless personal telecommunications services providers, in addition to Applicant, on a non- discriminatory basis. Owner and Applicant acknowledge and agree that unreasonable refusal to permit co -use shall constitute a violation of Section 22 -42 of Miami Shores Village Code and may result in the Village revoking any wireless personal telecommunications services antenna tower approval and seeking a mandatory injunction to compel removal of any wireless personal telecommunications services antenna, in addition to all other remedies available to the Village for violations of its code of ordinances, and any other remedy available under the law. 5. Attorney's Fees. The Owner and Applicant hereby covenant and certify that the prevailing party shall be entitled to recover its reasonable costs and attorney's fees in the event any litigation is brought to enforce the provisions of this Declaration and Certification. 6. Binding on Successors. The Owner and Applicant covenant and certify that this Declaration and Certification shall be binding upon the Owner, the Applicant, and each and all of their respective successors and assigns and that they shall faithfully observe and perform hereunder, for so long as Applicant operates its antenna facility on the Property. IT WITNESS WHEREOF, the undersigned have caused this instrument to be executed and delivered on this 15 day of c- w-�- , 1999. OWNER: WITNESSES: MIAMI S i�'S P "I :YT'AN CHURCH RINT) BY: Clerk of Session STATE OF FLORIDA COUNTY OF MIAMI -DADE ) T foregoin instrument was sworn to and subscribed befo me this / of January, 1999 by C R4� In1. e./J W5 as Business Manager and /l/v&rtl *`c.hint /Df" as Clerk of Session of Miami Shores Presbyterian Church, on behalf of the corporation for the purposes therein expressed. They are personally known to me or have produced gjL gS o- G9 7- 3o - 3r)2o and F S530 14 as identificatio did take an oath. My commissi WITNESSES: STATE OF FLORIDA - Ivry commission expires: h � ) ss: ACCEPTED for Miami Shores Village this BY: APPROVED: THIS INSTRUMENT PREPARED BY: Richard Sarafan, Esq. Village Attorney 825 Brickell Bay Drive Tower nI - Suite 1748 Miami, Florida 33131 Telephone: (305) 374 -6688 H: \MSV \MSV -GEN \PLEADINGS \Certification and Declarations (AT &T) NOTARY PUBLIC Notary Public, Fulton County, My Commission Expires August 25, APPLICANT: AT &T WIRELESS SERVICES OF FLORIDA, INC., a Floe da corporation BY: as Director of Site Development ss: COUNTY OF MIAMI -DADE ) The foregoing instrument was sworn to and subscribed before me this Iq Li.- day of January, 1999 by c`ENc y` ∎■ uc i c, as Developer of Site Development of AT &T Wireless Services of Florida, Inc., a Florida corporation, on behalf of the corporation for the purposes therein expressed. They are personally known to me or have produced and as identification and did take an oath. oc NOT'AfN PUBLIC c.:.... U pAi9 VILLAGE ATTORNEY FFIC L , 1999. A- 3 3 NORTH ELEVATION EXHIBIT A NOM TIC 1TRuCTTIIK Al rt COWS ON DC OATS /CIICOf *L SIPPOIT MC SISTALLAMM OEPTC1CO NERCK MSTALLATCNS Oi7ORIIO N MY WAY IR01I TNC O[PICT O[9CN MY NOT BC SUPPORTCO BY INC STWUCTUNC. APPROPRIATE AAOBTECTURAL NW OIOPIEEOr0 STUOIO S HOULD OC UNOCRTAIQN WORE WI 000f AnO1R NOT ▪ AOCOICANCC MIN 1I( OCPICTCO OCHOI MC UNC BTANLN, NORM APPUCANT NOR OMER SKILL BE UABIL FOR OANACES AVID CUT Of NOOi1CAT10K 10 TIE STRUCTURE TWAT APE NOT TN ACCORDANCE Mil TIC MOM OEPIC1CO NCRp1 NOTCSI MTENNAS row GOIOCATCN ARC MOM EON LOCATION ONLY. NNCWN Of .1 RORWNC MTOINAS PER COLLOCATE CARRIER ELLV. ♦101' -D' Nr BOTTOM Of /VIVRE COLOCATOR'S Y HMV MIUINA k tux .114' -O' 10P Of AT &T NS ANTENNA My. .73 N. BOTTM Of ATILT IS Cu .ST -0• 1o. OF NTT.0 COLOCATSRY Y NIP MR7NA C r / / IOCCAATIO WILL ILMS AMA i / // * SOUTH ELEVATION EXTERIOR STEEPLE ELEVATIONS N.T.SRI CERTIFICATIONS AND DECLARATIONS OF RESTRICTIVE COVENANT KNOW ALL MEN BY THESE PRESENTS: WHEREAS, Miami Shores Presbyterian Church, a Florida non - profit corporation (the "Owner" or "Declarant ") is the owner of the following described property (the "Property ") situated and being in Miami Shores Village, Florida: Lots 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10, Block 61 and the 15 foot alley running east and west through said Block 61, Miami Shores, Section 2, according to the Plat thereof, recorded in Plat Book 10 at page 37 of the Public Records of Miami -Dade County, Florida, and WHEREAS, the Owner, together with AT &T Wireless Services of Florida, Inc., a Florida corporation (hereinafter "Applicant ") with the consent of the Owner, has applied to Miami Shores Village, a Florida municipal corporation ( "the Village ") for a wireless personal telecommunications services antenna permit, pursuant to Chapter 22 of the Miami Shores Village Code, and otherwise; and WHEREAS, the Owner and Applicant desire to provide certain assurances and certifications to the Village; NOW, THEREFORE, the Owner and Applicant each jointly declare and certify as follows: 1. Title. Owner and Applicant have provided evidence as to the status of title to the Property to the Village . 2. Continuous Compliance. The Owner and Applicant hereby covenant and certify that the wireless personal telecommunications services antenna proposed for the Property will be made continually compliant with all present and future promulgated safety laws, rules and regulations concerning electromagnetic frequency emissions standards promulgated by governmental authorities having jurisdiction over the Applicant and the operations of the antenna facility, or similar safety standards for other wireless communications media transmissions. The Owner and Applicant hereby acknowledge the right of the Village to require immediate removal of any wireless personal telecommunications services antenna upon the Property which does not meet such safety rules and regulations. 3. Non - Interference. The Owner and Applicant also covenant and certify that any wireless personal telecommunications services antennas proposed for the Property will not interfere with public safety communications, and further, will not unreasonably interfere with the reception or transmission of television, radio, microwave, telephone, digital or similar communications signals or receipt of signals of nearby residential or business residents. The Owner and Applicant acknowledge the right of the Village to require, if necessary, frequency relocation agreements. 4. Multiple Accommodations. The Owner and Applicant covenant and certify that the design, structure or installation of the wireless personal telecommunications services antenna facility proposed for the Property will be such as to accommodate at least two wireless personal telecommunications services antenna facilities of other providers, on a non - discriminatory basis, after applicant's installation, in the manner depicted on Exhibit "A" which is attached hereto and made a part hereof, to avoid duplication of the erection of wireless personal telecommunications services antenna towers throughout the Village. Applicant and Owner undertake no obligations hereby to assure utilization of the structure by other service providers and Applicant and Owner expressly disclaim any right or power to control or dictate any other service providers' choice or design of proposed facilities for this structure. The Applicant will not oppose and Owner covenants and certifies that it will permit co -use of the wireless personal telecommunications services antenna structure upon the Property by at least two wireless personal telecommunications services providers, in addition to Applicant, on a non- discriminatory basis. Owner and Applicant acknowledge and agree that unreasonable refusal to permit co -use shall constitute a violation of Section 22 -42 of Miami Shores Village Code and may result in the Village revoking any wireless personal telecommunications services antenna tower approval and seeking a mandatory injunction to compel removal of any wireless personal telecommunications services antenna, in addition to all other remedies available to the Village for violations of its code of ordinances, and any other remedy available under the law. 5. Attorney's Fees. The Owner and Applicant hereby covenant and certify that the prevailing party shall be entitled to recover its reasonable costs and attorney's fees in the event any litigation is brought to enforce the provisions of this Declaration and Certification. 6. Binding on Successors. The Owner and Applicant covenant and certify that this Declaration and Certification shall be binding upon the Owner, the Applicant, and each and all of their respective successors and assigns and that they shall faithfully observe and perform hereunder, for so long as Applicant operates its antenna facility on the Property. IT WITNESS WHEREOF, the undersigned have caused this instrument to be executed and delivered on this WITNESSES: I ' day of , 1999. OWNER: MIAMI S BY: Clerk of Session ERIAN CHURCH ATTEST) STATE OF FLORIDA COUNTY OF MIAMI -DADE ) The foregoing instrument was sworn to and subscribed before me this day of January, 1999 by -, (4. 3 m,2-W. as Business Manager and Vc_4n44 as Clerk of Session of Miami Shores Presbyterian Church, on behalf of the corporation for the purposes therein expressed. They are personally known to me or have produced 01- $ -y,2o - X97 -30- 372,o and -(4 - 9 ZZo as identification and did take an oath. My commission WITNESSES: STATE OF FLORIDA COUNTY OF MIAMI -DADE ) The foregoing instrument was sworn to and subscribed before me this )9 L4. -da of January, 1999 by Cms-I p yM, c,cZt as Developer of Site Development of AT &T Wireless Services of Florida, Inc., a Florida corporation, on behalf of the corporation for the purposes therein expressed. They are personally known to me or have produced and as identification and did take an oath. b_euk c. NOTARY PUBLIC My;co i mission expires: My mm Public, County, , 2�5, ACCEPTED for Miami Shores Village this day of , 1999. APPROVED: ss: ) ss: THIS INSTRUMENT PREPARED BY: Richard Sarafan, Esq. Village Attorney 825 Brickell Bay Drive Tower III - Suite 1748 Miami, Florida 33131 Telephone: (305) 374 -6688 H: \MSV \MSV- GEN\PLEADINGS \Certification and Declarations (AT &T) OTARY PUBLIC APPLICANT: AT &T WIRELESS SERVICES OF FLORIDA, INC., a Flor corporation BY: as irector of Site Development BY: VILLAGE ATTORNEY Jrzi: 11 LOCATION A rIL AREA 3 NORTH ELEVATION EXHIBIT A NOM INC STRUCTURE AS IT ETOSTS ON THE 0ATE RENEW MLL SUPPORT 7140 MSTAL ATIONS DEPICTED HETEN. 1114STALA1I 4! OPTERUO IN NIY TAY FROM THE OEPIC1EO 013M11 NAY NOT 00 SJPPON1W OT 1140 STPUCIUM APPROPRIATE ARCHITECTURAL NO ENCIMERNO MOD SHOULD 00 UNDERTAKEN WOK NIT MOOIICAn014 NOT N ACCORDANCE UN INC OEPMTEO 01904 ME UNDERTAKEN, NCITHCR ?DAMIAN' NOR OMIER SHALL BE UNTIE FOR DAMAGES AR15 4G OUT OF UOORdTICNS TO 114E STRUCTURE TNAT ARE NOT M ACCORRONRL TOTH THE 00901 OEPIGIEO HERON. NOTES ANTENNAS TOR COLOCAIION ARE 101014 PO4 LOCATION ONLY. MAANUN Or ] MIOONG ANTENNAS PER CO.DCAIE CARRIER AIN T EIEY, •104'-0 - BOTTOM Or FUTURE COLOCATOFS Y MIP ANTENNA EtLY, TOP Or ATILT US ANIENNNA ELCV, .7Y -0 BOTTOM OF ATILT HS ib LtEV. .Sr-O TUR CP FUTURE COLOCATOR'S 3' MEP ANTENNA .1. LOCATION LRAM AREA c r SOUTH ELEVATION EXTERIOR STEEPLE ELEVATIONS N.T.S.I c. BUILDING PERMIT APPLICATION FBC 2001 Contractor's Company Name Contractor's Address City q ,� ' Qualifier t� �P 1 $ Value of Work For this Permit Type of Work: ]Addition Describe Work: (Continued on opposite side) NI mon Total Fee Now Due $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ❑Alteration Zip Permit No. E t c -004 - 3 Z( Master Permit No. &/n0 — 2 Permit Type (circle): Building Electrical Presios.9 Plu g Mechanical Roofing Owner's Name (Fee Simple Titleholder)M ia1Y11 S \1DrS TLf lc r Phone # 1S 1-637)6 Owner's Address Cr, h . S f eJ— Cord% (0 � �- � � l city Miami C eN MS State - -0trI CI Zip Tenant/Lessee Name At/ t Wifeless ( -0(sV 1C l Phone # 407- 6 6 02. NE 9Cz S 'ee`ms Job Address (where the work is being done) 3 3 I � b City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO X Phone #0.a" 0- 1 Cl 65 338 6 11-1-51 0A sa �� (J State "i-- WI n Architect/Engineer's Name (if applicable) 1 1 P' C T C Phone # 3C) 5 g2( S 5 g Square Footage Of Work: :New ❑ Repair/Replace ❑ Demolition c5 n +D ex15 W begs c c . 1tbS 13 * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ a) - Co Permit Fee $ //9.' 0 ° CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning: "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature The foregoi g instrument w cicnowl - • _ed ' efore me this 14 day of , 20 Cif, by A )T A i ` ' irla is personally known me or who has produc ed t ek i r e o ;hc 10/14/03 As iden State APPLICATION APPROVED BY: ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** who is perso . Expires: Sep 03, 2007 NOTARY P ;16 i11OP Bonded d f Thni Atlantic Bonding Co., Inc. Sign: �cyntractor The foregoing instrument was acknowledge before me this L My Commission Expires. J3) 7 ********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** �o kMe C ssion Expires: Print: My Co (Certificate of Competency Holder) State Certificate or Registration No. EC _6 WO S .).2 Certificate of Competent 20 63 Al by acknowledge, ?,)i Q l known to me or who has produced as identification did take an oath. ** JOLENE GUFFEY 'iotary Public State of Florida Ay comm e,•pires•March 13, 2006 Comm No DD99734 * ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning ., . NOTICE OF COMMENCEMENT w RECORDED COPY MUST BE POSTED ON THE JOB SUE AT TIME OF FIRST INSPECTION PERmrr NO, 13 2«91 - 13 UX FOLIO Noah /I-6 -o I - K ED STATE OF FLORIDA:. COUNTY OF MIAMI -WADE: THE UNDERSIGNED hereby gives notice that improvements wr be made to Certain reel propertlS'and In accordance with Chapter 713, Fonda Statutes, the following Informmatlon is provided in this Notice of Commencement • 2. Description of improwe 3.Owner(s) name and address: interest in properly Name and address of fee simple titleholder: 4. Contra name and address: `,ht) e - NinflAft f and#vur 5. Surety:•(Payment bond required by owner•from contractor, IFany) Name and address:, Amount of bond 6. Lender's name find address: . 7:•Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 715.13(1)($)7•, Florida Statutes, Name and address: it • UluJe S. In addition to himself, Owners designates the following person(s) to receive a copy of the llenor?s "Notice as • provided In Section 713.13(1)Q)), Florida Q Name and address: Notary Public Print Notary's Name My commission expires: Mimes PAM v02 4 '•6lgnature of Owner Print Owner's Name Sworn to and subscribed before me this ret n TN HAR By 9. Expiration date of this Notice of Commencement: (the expiration date 1s 1 year from the date of recording unless a dlfferent date Is specified) • • 1101AE oosE I Address: 3 q5 AV M/ JS S7� �.M Notavlti lic- statsaBoddo 1 / rl /AM / Ll f R 7 o)y Comm isbn # CC94101P 111111111111111111111111111111111111111111111 Prepared by Qete. 20 • • ,AD 20 SS my hand and Official Seal. Y • UVIN CL -BK, of Circuit and County Cou STATE OF FLORIDA, COUNTY OF DADE t HEREBY CERTIFY that this is a ti+ COP ° the /,ginal ; in this office on N da CFN 200480141710 OR Bk 22086 P9 4998; (1P9) RECORDED 03/02/2004 15:39:11 HARVEY RUVIHr c LEF;Y, OF rOUF,T MIAMI -DADE COUNTY' FLORIDA LAST PAGE Applicant: Owner: JOB ADDRESS: 602 NE 96 Contractor WINGATE ELECTRICAL Local Phone: Parcel # 1132060141410 Signed: (INSPECTOR) Electrical Permit Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2004 -38 Printed: 3/1/2004 ST Contractor's Address: 4715 MONTEREY DR Permit Status: APPROVED Permit Expiration: 8/15/2004 Construction Value: $500.00 Work: ANTENNA ADDITION TO EXISTING WIRLESS COMMUNITY Page 1 of 1 a�da Z o �dw Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: FEE2004 -2191 FEE2004 -2192 FEE2004 -2193 FEE2004 -2194 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $100.00 $0.60 $0.20 $2.50 $103.30 Total Fees: $103.30 Total Receipts: ate 53.30 c+c- 4051 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: 3 4os D-67 MIAMI SHORES VILLAGE + g BUILDING DEPARTMENT 305- 795 -2204 Buil•ing Inspection Request Date Type Insp'n Final A � ■ Permit No. 0 (tom Name - \O U ') Q N°°" Address (0C 2—. � q4), a Companym ) Phone # _ c. `c 1 4 32S I,), Inspection Date 4) a_ Approved Correction Re -Insp' n Fee 0 April 17, 2003 Mr. Curtis Craig Building Official Village of Miami Shores 10050 NE 2 Ave. Miami Shores, FL 33138 Re: AT &T Wireless Building Permit #BP2003 -469 Located at 602 NE 96 Street, Miami Shores Revised GPS location Dear Curtis, Sincerely, Kimberly Meckes SBA Network Services 5900 Broken Sound Parkway NW Boca Raton, FL 33487 Tele: 561- 226 -9484 Fax: 561- 981 -9901 .. • •• • ••• ••• • • • • • • • • • ••• • • • • • • • • • • •. . • ••• • • • • .•• • • • • • • • • • • •• • • • • • • • • • • • •• • •• •• • • • • • • . • • •• • • • . •• • • . • • • •• • Per our conversation, I am submitting to you two signed sealed sets of Construction Plans, showing the change in location of the GPS antenna AT &T installed. AT &T Wireless currently has a building permit #BP2003 -469 in which a GPS antenna was installed. Unfortunately the location the antenna that was installed cannot reach the satellite needed to pinpoint emergency callers. AT &T needs to revise the location of the GPS antenna. Therefore, as per our discussion, you were going to review the revised sets and determine if they could be inserted as "as builts" or determine if revising the permit formally was required. No work has yet been done by AT &T to reconstruction this site and they are waiting for you determination. In addition, the electrical permit that is required by the Village is in discussion with our DC contractor and the Electrical plans reviewer, to determine if an Electrical Contractor is really necessary. We will make sure that this part of the permitting process is completed as well in a timely manner. If you should have any additional comments or questions, please feel free to call on me, 1s� 7f� 1! 1 1 PREPARED BY: ALCOA 6 • ••• OO O OO • ••• • • GENERAL 1s0 ' • RF REFERENCE: AFL Telecommunications Wireless Services 485 N. Keller Rood, Suite 180 Maitland. Florida 32751 Office: (407) 661 -1765 Fax (407) 661 -1766 5 • • • ••• • ••• • 1. FOR THE PURPOSE OF CONSTRUCTION DRAWING, •T1- Fj)LL /LN 9EANfl10:IS • 5HALLIAPPLY: CONTRACTOR - BECHTEL • • • • • 6 . • • • • SUBCONTRACTOR - GENERAL CONTRACTOR aIYSf1/I4CT1ON) • • OWNER - AT &T WIRELESS SERVICES. 2. ALL MATERIALS FURNISHED AND INSTALLED SHALL BE IN STRICT ACCORDANC WIT11,,ALL APPUCABLE CODES, REGULATIONS, AND ORDINANCES. SUBCOO�jjRRAAC�T�QR SHALL f36 E e 14LL APIPROPRIATE NOTICES AND COMPLY WITH ALL LAWS, ORDINANCES, RULES, gEGULATIONS!AN{) CA UI.ORDERO OF ANY PUBLIC AUTHORITY REGARDING THE PERFORMANCE OF TH1 WORK* • • • • • • • • • • • •• • • • ALL WORK CARRIED OUT SHALL COMPLY WITH AV. APTiUCABLE•MUNTCIPAL • AND UTILITY COMPANY SPECIFICATIONS AND LOCAL JURISDICTIONAL CODES, ORDINANCES AND APPUCABLE REGULATIONS. 3. DRAWINGS PROVIDED HERE ARE NOT TO BE SCALED AND ARE INTENDED TO SHOW OUTLINE ONLY. 4. UNLESS NOTED OTHERWISE, THE WORK SHALL INCLUDE FURNISHING MATERIALS, EQUIPMENT, APPURTENANCES, AND LABOR NECESSARY TO COMPLETE ALL INSTALLATIONS AS INDICATED ON THE DRAWINGS. 5. FMR OR 'KITTING UST" SUPPUED WITH THE BID PACKAGE IDENTIFIES ITEMS THAT WILL BE SUPPUED BY CONTRACTOR. ITEMS NOT INCLUDED IN THE BILL OF MATERIALS AND KITTING UST SHALL BE SUPPUED BY THE SUBCONTRACTOR. 6. THE SUBCONTRACTOR SHALL INSTALL ALL EQUIPMENT AND MATERIALS IN ACCORDANCE WITH MANUFACTURER'S RECOMMENDATIONS UNLESS SPECIFICALLY STATED OTHERWISE. 7. IF THE SPECIFIED EQUIPMENT CANNOT BE INSTALLED AS SHOWN ON THESE DRAWINGS, THE SUBCONTRACTOR SHALL PROPOSE AN ALTERNATIVE INSTALLATION SPACE FOR APPROVAL BY THE CONTRACTOR. 8. SUBCONTRACTOR SHALL DETERMINE ACTUAL ROUTING OF CONDUIT, POWER, T1 CABLES AND GROUNDING CABLES AS SHOWN ON THE POWER, GROUNDING AND TELCO PLAN DRAWING. SUBCONTRACTOR SHALL UTIUZE EXISTING TRAYS AND /OR SHALL ADD NEW TRAYS AS NECESSARY. SUBCONTRACTOR SHALL CONFIRM THE ACTUAL ROUTING WITH THE CONTRACTOR. 9. THE SUBCONTRACTOR SHALL PROTECT EXISTING IMPROVEMENTS, PAVEMENTS, CURBS, LANDSCAPING AND STRUCTURES. ANY DAMAGED PART SHALL BE REPAIRED AT SUBCONTRACTOR'S EXPENSE TO THE SATISFACTION OF OWNER. 10. SUBCONTRACTOR SHALL LEGALLY AND PROPERLY DISPOSE OF ALL SCRAP MATERIALS SUCH AS COAXIAL CABLES AND OTHER ITEMS REMOVED FROM THE EXISTING FACILITY. ANTENNAS REMOVED SHALL BE RETURNED TO THE OWNER'S DESIGNATED LOCATION. 11. SUBCONTRACTOR SHALL LEAVE PREMISES IN CLEAN CONDITION. 12. ALL CONCRETE REPAIR WORK SHALL BE DONE IN ACCORDANCE WITH AMERICAN CONCRETE INSTITUTE (ACI) 301. 13. ANY NEW CONCRETE NEEDED FOR - THE CONSTRUCTION SHALL 4000 PSI ALL CONCRETING WORK SHALL BE DONE IN ACCORDANCE WITH ACI 318 -95 CODE REQUIREMENTS. 14. ALL `STRUCTURAL STEEL WORK SHALL BE DONE IN ACCORDANCE WITH AISC SPECIFICATIONS. 15. CONSTRUCTION SHALL COMPLY WITH SPECIFICATION 24623- 038- 3PS -EEE- 00004, "GENERAL CONSTRUCTION SERVICES FOR INSTALLATION OF GPS AND AOA ANTENNA SYSTEMS. 16. SUBCONTRACTOR SHALL VERIFY ALL EXISTING DIMENSIONS AND CONDITIONS PRIOR TO COMMENCING ANY WORK. ALL DIMENSIONS OF EXISTING CONSTRUCTION SHOWN ON THE DRAWINGS MUST BE VERIFIED. SUBCONTRACTOR SHALL NOTIFY THE CONTRACTOR OF ANY DISCREPANCIES PRIOR TO ORDERING MATERIAL OR PROCEEDING WITH CONSTRUCTION. 17. THE EXISTING CELL SITE IS IN FULL COMMERCIAL OPERATION. ANY CONSTRUCTION WORK BY SUBCONTRACTOR SHALL NOT DISRUPT THE EXISTING NORMAL OPERATION. ANY WORK ON EXISTING EQUIPMENT MUST BE COORDINATED WITH CONTRACTOR. ALSO, WORK SHOULD BE SCHEDULED FOR AN APPROPRIATE MAINTENANCE WINDOW USUALLY IN LOW TRAFFIC PERIODS AFTER MIDNIGHT. 18. SINCE THE CELL SITE IS ACTIVE, ALL SAFETY PRECAUTIONS MUST BE TAKEN WHEN WORKING AROUND HIGH LEVELS OF ELECTROMAGNETIC RADIATION. EQUIPMENT SHOULD BE SHUTDOWN PRIOR TO PERFORMING ANY WORK THAT COULD EXPOSE THE WORKERS TO DANGER. PERSONAL RF EXPOSURE MONITORS ARE ADVISED TO BE WORN TO ALERT OF ANY DANGEROUS EXPOSURE LEVELS. 19 SEE STANDARD DETAILS 508A, 509, 513A, 522A, 526 AND 848 FOR ELECTRICAL, INSTALLATION, TRANSPORT (T1) GROUNDING AND RF NOTES. 1. GEOMETRIX SITE READINESS REPORT FOR MIAMI DADE COUNTY 24623 - 468 - MDF- SRR -01. 2. GEOMETRIX -AWS MIAMI DADE COUNTY, FL PSAP TERRITORY, DESIGN 24623- 468 - MDF -T- PSAP -TP -001 AWS 3G PROJECT E911 GPS - SITE NUMBER : M139 SCOPE OF WORK: SITE ADDRESS: LATITUDE: LONGITUDE: JURISDICTION: CURRENT USE: PROPOSED USE: 24623 -468 -M 139 -01 24623 -468 -M 139 -02 24623 -468 -M 139 -03 24623 -468 -M 139-04 DIRECTIONS: TAKE 1 -95 SOUTH. AT 1 -95 EXIT 11, TURN OFF ONTO RAMP. MERGE ONTO N.E. 103RD. ST. EAST, TURN RIGHT ONTO N.E. 2ND. AVE. AND LEFT ONTO N.E 96TH. ST. PROJECT INFORMATION 4 UNMANNED TELECOMMUNICATIONS FACILITY MODIFICATIONS 602 N.E. 96TH. ST. MIAMI SHORES, FLORIDA 33138 25-51' -48.9" 80' -11' -05.9' CITY OF MIAMI SHORES TELECOMMUNICATIONS FACILITY TELECOMMUNICATIONS FACILITY DRAWING INDEX TITLE SHEET SITE PLAN AND ELEVATION AOA ANTENNA CONFIGURATION GPS MOUNTING DETAIL Ne 99th Si - %th5 97111 S7 VICINITY imp AT &T AT &T WIRELESS SERVICES, INC. f - t* ' 0 i 0 8� CNe 1COth St FY yeRd Im l� � D s IA t 3 w 0 Ne 9 &th Si _ ( z _� ( Shot' _;+ / 7� T e 95th St I" f 4 Ne 94th St % _ t I �� a i h m ' J _ N E ,33rd St 4 . :I: C ` N 92nd-St m��j 91stTer n file 9)slSl 1 � I _ �d 17 A''94th St `III 1 I ' 1 2 0 A NO. DATE REV 3001n '900f1 8 2 2 0 0 02/05/03 01/29 /03 AT &T WIRELESS SITE NUMBER: M139 SITE NAME: MIAMI SHORES ISSUED FOR REVIEW SCALE: AS SHOWN 1 DESIGNED BY: DW - NIIIMMEMINV AT &T APPLICABLE BUILDING CODES AND STANDARDS SUBCONTRACTOR'S WORK SHALL COMPLY WITH ALL APPUCABLE NATIONAL, STATE, AND LOCAL CODES AS ADOPTED BY THE LOCAL AUTHORITY HAVING JURISDICTION (AHJ) FOR THE LOCATION. THE EDITION OF THE AHJ ADOPTED CODES AND STANDARDS IN EFFECT ON THE DATE OF CONTRACT AWARD SHALL GOVERN THE DESIGN. BUILDING CODE: [FLORIDA BUILDING CODE (FBC), 2001 AS ADOPTED BY DADE COUNTY ELECTRICAL CODE: [NATIONAL FIRE PROTECTION ASSOCIATION (NFPA) 70 - 1999, NATIONAL ELECTRICAL CODE, AS ADOPTED BY DADE COUNTY] UGHTNING PROTECTION CODE: [NFPA 780 - 1999, UGHTNING PROTECTION CODE] SUBCONTRACTOR'S WORK SHALL COMPLY WITH THE LATEST EDITION OF THE FOLLOWING STANDARDS. - AMERICAN CONCRETE INSTITUTE (ACI) 318, BUILDING CODE REQUIREMENTS FOR STRUCTURAL CONCRETE 'AMERICAN INSTITUTE OF STEEL CONSTRUCTION (AISC), MANUAL OF STEEL CONSTRUCTION, ASD, NINTH EDITION ' TELECOMMUNICATIONS INDUSTRY ASSOCIATION (TIA) 222 -F, STRUCTURAL STANDARD FOR STRUCTURAL ANTENNA TOWER AND ANTENNA SUPPORTING STRUCTURES 04/03/03 REVISED GPS ANTENNA LOCATION 02/20/03 REVISED CPS ANTENNA LOCATION ISSUED FOR CONSTRUCTION .INSTITUTE. FOR ELECTRICAL AND ELECTRONICS ENGINEERS (IEEE) 81, GUIDE FOR MEASURING EARTH RESISTIVITY, GROUND IMPEDANCE, AND EARTH SURFACE POTENTIALS OF A GROUND SYSTEM IEEE 1100 (1999) RECOMMENDED PRACTICE FOR POWERING AND GROUNDING OF ELECTRONIC EQUIPMENT IEEE C62.41, RECOMMENDED PRACTICES ON SURGE VOLTAGES IN LOW VOLTAGE AC POWER CIRCUITS (FOR LOCATION CATEGORY "Cr AND "HIGH SYSTEM EXPOSURE') 11A 607 COMMERCIAL BUILDING GROUNDING AND BONDING REQUIREMENTS FOR TELECOMMUNICATIONS TELCORDIA TELCORDIA TELCORDIA TELCORDIA REVISIONS GR -63 NETWORK EQUIPMENT- BUILDING SYSTEM (NEBS): PHYSICAL PROTECTION GR -347 CENTRAL OFFICE POWER WIRING GR -1275 GENERAL INSTALLATION REQUIREMENTS GR -1503 COAXIAL CABLE CONNECTIONS FOR ANY CONFLICTS BETWEEN SECTIONS OF LISTED CODES AND STANDARDS REGARDING MATERIAL METHODS OF CONSTRUCTION, OR OTHER REQUIREMENTS, THE MOST RESTRICTIVE REQUIREMENT SHALL GOVERN. WHERE THERE IS CONFLICT BETWEEN A GENERAL REQUIREMENT AND A SPECIFIC REQUIREMENT, THE SPECIFIC REQUIREMENT SHALL GOVERN. 2 DRAWN BY: DW TITLE SHEET SITE NAME: MIAMI SHORES DRAWING NUMBER 24623- 468- M139 -01 2 71 X 34 U JL[L PSC- : $ g ir 1 PREPARED BY: ALCOA GROUND BUS BAR _EXISTING BTS EQUIPMENT 3" PVC DRAIN PIPE - GROUND BUS _BAR 6 RECT. AFL Telecommunications Wireless Services 485 N. Keller Rood, Suite 180 Maitland, Florida 32751 Office: (407) 661 -1765 Fax: (407) 661 -1766 • .•. • .• •0 • .•• •• • • • • • • •.• • 0 •• • • • • • • • • • ••• • • • • • . .S• • • . • • • • ••• • • • • • ••S • • • . • • •. • • • ••• • ofe •• • . • • • • • •• • • • • • • . • • • . • . .. . • . .• . • • . ••• • 11 -10" HVAC l I CONTROL PANEL RF RF RF RF RF NOTE: WLS TO BE INSTALLED IN EXISTING EQUIPMENT ROOM. SITE PLAN O SCALE: 1/2- = 5 .. . • . .• HVAC TELCO BOARD NIU COAX ENTRANCE AC POWER PANEL MANUAL TRANSFER SWITCH GROUND BUS BAR AWS 3G PROJECT E911 GPS - SITE NUMBER : M139 4 w.• AT &T AT &T WIRELESS SERVICES, INC. 3 EXISTING ANTENNAS (TIP.) 2 0 04/02/03 02/20/03 02/05 / 03 REVISED GPS ANTENNA LOCATION REVISED GPS ANTENNA LOCATION ISSUED FOR CONSTRUCTION A 01/27/03 ISSUED FOR REVIEW NO. DATE REVISIONS SCALE AS SHOWN I DESIGNED BY: DW 4. ANTENNA RAD CENTER A.G.L INSTALL NEW GPS ANTENNA ON SOUTH SIDE OF BUILDING, MOUNTED TO WALL. GPS ANTENNA AND MOUNTING MUST BE PAINTED TO MATCH EXISTING STRUCTURE. • SCALE: NTS PARTIAL ELEVATION DW JD lr DW JD DW JD JD BY CHK �• •'C DRAWN BY: DW 2 SITE PLAN AND ELEVATION SITE NAME: MIAMI SHORES DRAVANG NUMBER 24623 - 468— M139 -02 2 71x34 V" SIZE COMBINER PORTS 850 TDMA MULTI- COUPLER PORTS 1900 GSM MULTI - COUPLER PORTS WLS ANTENNA PORTS Al (800 IN) AO Al SUM OUT) #1 Al (1900 IN) AO B1 (800 IN) BO B1 (SUM OUT) #2 B1 (1900 IN) BO C1 (800 IN) CO Cl (SUM OUT) #3 C1 (1900 IN) CO A2 (800 IN) Al A2 (SUM OUT) #5 A2 (1900 IN) Al B2 (800 IN) B1 B2 (SUM OUT) #6 B2 (1900 IN) B1 C2 (800 •OUT) Cl C2 (SUM #7 C2 (1900 IN) Cl PREPARED BY: ALCOA EXISTING TELCO RACK (SEE NOTE 4) GROUND WLS TO RACK - FLANGE ( #12 AWG 6 • • ••• •• • • • • • • • • - • • • ••• • • • AFL Telec Jrrlrr∎Urll cctti uri:9 Wirel;:;;; SSrvk:S, Pa iii. 17, Inc; 485 N. Kellar Road, Suite 180 Maitland, Florida 32751 Office: (407) 661 -1765 Fax: (407) 661 -1766 • . ••• • • • •• •• • • • • • • - • • • • • • • • • • • ••• • • ••• • • • • • • • •• • • • • • • • • • • • • • • • • ••• . • . • • • • • ••• • • SEND: • •. • •• •• • • •• • •• • • • • NEW ! BUl /JUMPEIS • • • • • • • • 1EIALE •C(}�INtCTOR • •• ❑ FEMALE CONNECTOR 1 I I e- TNC 11 (TYP) TD TDMA /GSM MULTI - COUPLERS ilia TDMA GSM IMIIIIIIO_(TYP) COMBINER 1 1 1 1 1 TNC l i i l i i `TYP) TNC N 2 N ro z zz zzz WLS 7 3 6 2 5 1 V.35 100W - 2CH SERIAL 170W -4CH LWAN DB25 D DB25 12 OR 13 SEE NOTE 5 SEE NOTE 5 DB25 1 1 DB26 AWS 3a PROJECT E911 CiPS - SITE NUMBER : M139 5 DSU (BY BECHTEL) SEE NOTE 5 SEE NOTE 90 888 8 to 22 iz g i 8 m i m o M (TYP) 24V DC AO 1) : + a — to G C (P) TNC R SHELTER MULTI - COUPLER TDMA 850 CABINET (EXISTING) SEE NOTE 8 1. MAGMOUNT ANTENNA 2. ANTENNA LOCATION (INSIDE OR OUTSIDE SHELTER) DETAIL 966 -�i TO COMBINER INPUT REQUIRED WITH NEW DSU ONLY = GROUND TO RACK FLANGE ( #12 AWG FOR KENTROX DSU) (#8 AWG FOR CARRIER ACCESS DSU) SEE NOTES 9,10 El AO Al - -Al BO - --N B1 - - -S CO - Cl AT &T AT &T WIREL E•„ ,ERVR ;E•,, INI:. GROUND TO MAIN BUS BAR (TYP) SEE DETAIL 7 SEE NOTE 1 WLS POWER CORD 2 - #12 AWG 24V DC GSM —TDMA 850, TDOA INDOOR SITE CONFIGURATION, DC POWER, GROUNDING AND CABINET INTERFACE MULTI - COUPLER (DVPA) GSM 1900 CABINET (EXISTING) 3 *SUBCONTRACTOR MAY USE EXISTING BREAKER OR INSTALL NEW 10A, 15A, 20A BREAKER. 24VDC POWER PANEL (EXISTING) SEE NOTE 2 rlOA .O O OR 0 A NO. 10A 02/05/03 01/27/03 DATE SCALE AS SHOWN , GPS ANTENNA 0 A OR0 (1�ORO5 SEE NOTE 7 ON DETAIL 849C . BO OR© J � 3 SURGE ARRESTOR WLS* SO REQUIRED WITH NEW DSU ONLY SEE NOTE 6 () ISSUED FOR CONSTRUCTION ISSUED FOR REVIEW REVISIONS DESIGNED BY: DW NOTES: 1. VERIFY CONNECTOR TYPE ON BTS CABINETS PRIOR TO ORDERING ITEM 8. 2. WHERE EXISTING POWER PANEL CANNOT ACCOMMODATE SMALL BREAKERS, ORDER AND INSTALL GMT FUSE PANEL IN TELCO RACK WITH 30A MINIMUM, 100A MAXIMUM FEED FROM POWERBOARD. (SEE ITEMS 16 TO 18 ON DETAIL 950). 3. EXISTING DSU MAY REQUIRE V.35 ADAPTER (ITEM 15 ON DETAIL 950). VERIFY PIN ASSIGNMENTS ON EXISTING DSU. 4. IF INSUFFICIENT SPACE IN EXISTING TELCO RACK, MAY INSTALL NEW TELCO RACK (ITEM 20 ON DETAIL 950), IF SPACE ALLOWS. 5. INSTALL ITEM 12 OR 13 ON DETAIL 950 FOR KENTROX DSU. INSTALL ITEM 27 ON DETAIL 950 FOR CARRIER ACCESS DSU. 6. INSTALL 5A BREAKER FOR KENTROX DSU. INSTALL 10A BREAKER FOR CARRIER ACCESS DSU. 7. SEE DETAIL 950 FOR BILL OF MATERIALS 8. CABLE TERMINATIONS SHOWN ARE TYPICAL PER SECTOR. SEE CABLE TERMINATION MATRIX FOR DETAILED CABLE TERMINATION LOCATIONS. 9. IF RELAY RACK NOT GROUNDED, RUN #6 AWG GREEN INSULATED TO MGB. 10. FOR WALL MOUNTING OPTION GROUND RFDU, WLS AND DSU TO MGB WITH MINIMUM #8 AWG. DW DW BY DRAWN BY: DW 2 JD JD CHK CABIF CONNFC110N MATRIX GPS ANTENNA CONFIGURATION SITE NAME: MIAMI SHORES DRAWNG NUMBER 24623- 468- M139 -03 D C B A 0 72x34' rIff PSC■ BILL OF MATERIALS ITEM# DESCRIPTION QUANTITY 1 1/4" NOMINAL DIA (1.66 ACTUAL O.D.) x 2' -0" LG. GALV STEEL PIPE 1 O L 5 X 3 1/2 x 1 /4x0' -6 "LG. GALV_ STEEL 'MOUNT ANGLE (NOTE 4) 1 O HILTI KBII 3/8 "0 W/ 4 1/2" MIN. EMBED (ZINC PLATED CARBON STEEL) KWIK BOLTS 2 PMPARm 8Y: A ALCOA 6 • ••• • • • • • • • • • • • • • • 0 • , • • o s•• • • • • •• • • • • ••• • • • •• • • • • • • • ••• • • • • • • • • • •• • • AFL Tel eGorr irr,urii�atior:; WireIFau Servk Pavific 17, Inc 485 N. Keller Road. Suite 180 Maitland. Fonda 32751 Office: (407) 661 -1765 Fax: (407) 661 -1766 • •• • • EDGE SIDE ELEVATION 5 • •• 2 1 2" MOUNT PIPE DETAIL NTS I) n FRONT ELEVATION SECTION X — X E911 GPS ANTENNA MOUNTING DETAIL AWS 3a PROJECT E911 GPS - SITE NUMBER : M139 4 7/16 "0 HOLE (2 PLCS) BOLT CL MOUNT, PIPE & ANGLE SOUTH FACE OF CONCRETE SHELTER OR BUILDING WALL 1 1/4 "0 HOLE IN MOUNT ANGLE FOR COAX CABLE NOTES: 1. LOCATION OF ANTENNA MUST HAVE CLEAR . VIEW OF SOUTHERN SKY AND CANNOT HAVE ANY BLOCKAGES EXCEEDING 25% OF THE SURFACE AREA OF A HEMISPHERE AROUND THE GPS ANTENNA. 2 THE GPS ANTENNA LOCATION MUST BE ABLE _ TO RECEIVE CLEAR SIGNALS FROM A MINIMUM OF FOUR (4) SATELLITES. VERIFY WITH HANDHELD GPS (GARMIN V W/ WASS OR EQUIVALENT) BEFORE FINAL LOCATION OF GPS ANTENNA IS SELECTED. 3. THE WEIGHT OF THE ANTENNA MOUNT IS 7.5 LBS. 5. THE GPS ANTENNA IS NOT TO EXCEED THE HEIGHT Of THE EXISTING PANEL ANTENNAS. 6. THE GPS ANTENNA AND MOUNTING ARE TO BE PAINTED TO MATCH BUILDING. 4. L5x3 1/2x1/4 (LLH) MAY BE USED FOR MOUNT ANGLE TO EXTEND BRACKET BEYOND DRIP EDGE. AT &T W • AT&TWIRELE>; ;ERVIr,E INU. 3 EXISTING #2 AWG SOLID TINNED BARE CU WIRE OR STRANDED CU WIRE WITH GREEN, 600V THWN INSULATION TO MASTER GROUND BUS BAR OR EXTERIOR GROUND RING #6 AWG STRANDED CU WIRE. MARK WITH GREEN TAPE. SURGE ARRESTOR E911 SURGE ARRESTOR GROUNDING DETAIL NTS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EXISTING AUXILIARY GROUND BUS BAR GPS MOUNTING DETAIL SITE NAME: MIAMI SHORES DRAWe1D /UMBER 24623- 468- M139 -04 0 22134 lf SIZE D C B A PSC- : MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Ins ection Date \ O ( Approve 91 111 Correction ❑ Re- Insp'n Fee ❑ Date Type Insp'n -1 L n 1 1 o Permit No. PC 4q Name Address . )3 N-( �� _ q6 Company y— U0[ IC <� Phone # For Inspector: Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Req est�� Date Time Type Insp'n Permit No. / E! er7 11 3 Name Al S 1' P/Zte5 Address 00 - 2 , SLfit/s A r Company / /� e Phone # r f �' l ie ) P9 /r ❑ Name & Date �p /21 1° 7 ejL 5{eti7- ro /`� 77 - , MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Re Date d Time Type Insp' /L . _ Permit N / oL / � ZOnD..„ O� Name Address Company Phone # For Inspector:1 `' / b o Name & . Approved Correction Re- Insp'n Fee i k/ ),/ -339 ,w9 c,29 ,tea 2a -//3 J I N. J ' / -� �• - lr • Address ZIO 14 ` 7 b Permit No. Company Phone # 362 I For Inspector: ) I � b3 Name & Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp n Permit No. Name MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Address Cam- 7\4 & � / p Company Phone # For Inspector: Approve Correction Re- Insp'n Fee 9 o tme __0=a ' 3 Z ' 2ra 20 Name ❑ / ,l )27-4,}/eP, Date Ti e Type Insp' Permit No. Name Address Company Phone # 9. 9-d ' L39 q g fi For Inspector: °S Name & Date Approved Lt1/ 4l /� /��' Correction Re- Insp'n Fee MIAMI SHORES VIL BUILDING DEPARTM 305- 795 -2204 Building Inspection Request ❑ � 6//fOo %O. Date Type Insp'n Permit No. Name Address Com Phone For Inspector: MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Appro Correction ' ❑ �%' Q r`t''U 5'x`'3 Re- Insp'n Fee ❑ Approved Correction Re-Insp'n Fee MIAMI SHORES VILLA BUILDING DEPARTM 305- 795 -2204 Budding Inspection Request Dat Type Insp Permit No. Name Address 60 _,N Company a-` IA Phone # °S - S Inspection Date Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLA BUILDING DEPARTME 305- 795 -2204 Building Inspection Request Date � ° Y, Type Insp'n /^ 7 Permit o.` me C� Address 6 O h ‘ C 1 L Comp -q ez2_, ❑ 5',6 �y Type' .Insp'n Permit No. f: MIAMI SHORES VILLAGE__. BUILDING DEPARTMENT 305- 795 -2204 Bu g Inspection Reques Date / / / h 0 Time Name ) ./A 7Pft Address V ) 1 Company T ! ► \ �� 2 Phone j C7 ^ 9 N\ )1)-;'7 1_* 31 For Inspector: I Z C Nam Approved% Correction ❑ //7�i% Re- Insp'n Fee ❑ Type Insp'n Permit No. Company Phone #3 v S For Inspector: / f Approved Correction Re- Insp'n Fee MIAMI -SHORES VILLAGE BUILDING DEPARTMEN 305- 795 -2204 Building Inspection Reque at - .U/' ) -) _ F f . Name > &k9 O} A n Address - V 0 a - )1 () PERM pir PLICATION FOR MIAMI SHORES VILLAGE Date �' - 01 Job Address ‘ a IU ?E> 5t Tax Folio Legal Description , Historically Designated: Yes No LutLLI4M M cN� 611 Owner/Lessee / Tenant ANN / IZF ? /1 051/7 1, . AJ 6�c.1/Lc (4 Master Permit # 5 D J 9 Owner's Address 6670? ✓tl e ? 557 Phone 7 5V— ? ( (( ff, o,) '� 5: 7 671 Try Contracting Co. y,�] 'LtEcTit. Ili & ?it/n� Address 7 � X D - # ( O Imo• 33 Qualifier EILU C g 'D. /2l Ly c .... SS# - Phone ,:.,1Evare 7 Co. Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 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. EL ISC??11 C ¢v/19;V 2,44 Address Address Address 1)7• / c (1 QAJ (SA,1 IFivitiez 3 /o Zcv/ 4 2 ( Q o )\79G. ‘O OWNER'S AFFIDAVIT: I certi that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructi and zonin F;• •+ ore, I authorize the a e -named contractor to do the work stated. Signature of owner and/or Condo President No to My Commissio • l x.� - e�d‹. ) r • i - ' dent Date • • .,'' JULIE P.WEL P. MY COMMISSION it CC 812569 EXPIRES: March 23, 2003 Bonded Thru Notary Public Undenvdters FEES: PERMIT)( �G 43 RADON C.C.F. $ APPROVED: Zoning Building Mechanical Plumbing Signature of Contractor or Owner -Bui JULIEP.WELDON ..,•1 MY COMMISSION * CC 812569 i EXPIRES: March 23, 2003 �,• Bonded Thru Notary Milo Und.radtere No o Contractor or My Commiss NOTARY Electrical Structural Engineer BOND TOTAL DUE Date Date Date • Legal Description Owner/Lessee / Tenant VO c SREh1 Nl (A_Pl rt+S - SS Owner's Address 6 AniS1 A E O&4 . &YAAO Qualifier Stat Municipal # Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): UILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost: (value) 44 GO 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 AFF'IDAVIT: 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. f / 7/c E;n Si ature of owner and/or C C. - o ' esident Date • Notary as tot :' ; t *�"r :.. , President My Commissictgakigl Tttty lhbt WAX f FEES: PERMIT Mechanical o 0 A 1 1 kn'tiTtnAoc,s-e MOTES ,5.4_ 6`m Imo PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address 60 a N e 94 Tax Folio 1/ — 30 Oc o - 0/ (]- 11.410 /Zoos ° col ° AA ritSA1A)AS RADON Date C.C.F. Competency # Address Address Signa T o Contractor or Owner- Builder NOTARY Master Permit # Phone (93,) 'I 5 7- S -7 O� BOND Ins. Co. TOTAL DUE fiOi i��A Historically Designated: Yes No ' ss# - - //zi-ea7o Date /11Z 7A° / / / /o 9 Notary as to Contractor or I& BRERA Date y bot rb My Commission Expiry 004 a llde No. OMSK" M �Ap111 �• 2OOt Bonded troy Pik, letOo Building Electrical G'f'd _ Plumbing Structural Engineer BUILDING ELECTRICAL PLUMBING ROOFING ❑ MECH ❑ Architect Contractor or Budder Legsd Description Address of Building ❑° PERMIT Owner of J � Building I 1 <r. l a -t t. , 1110 e'S (1 /4(T c ,/ Writ / ) / ' nqe- //Gi Jt7r1 .Pc4- 1 MIAMI SHORES VILLAGE, FLORIDA Lot / t � L� , rid+ h Bl. r . (I 2_ /LIE sf 48550 Date Contractor's License No. Su i-' / " L vision r 7r'i '(%'H' 19 /0 Sq. Ft.: Value of Project $ _2t�ll Work to be performed under this Permit 0 ////1G s .1 5 4!) - VS 1rz -;: , s/t Permit: CCF: Notary: t7 Bond: Radon: Amount of/./.76 - 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper-municipal' authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby.,whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants: of employees. ,- ' • Signed' 'f (INSPECTOR) BY In consideration of the issuance to•.tne-of permit I agree to perform the work covered hereunder in compliance with all ordinances: and regulations pertaining thereto and<in-strict• con €orimity with; the plans, drawings, statements or specifications..submitted to the proper authorities of Miami Shores Village. In accepting t ermit i. asssuinf esponsibility for all work done by either, myself, my agent, servant or employee. 693Yti200 03 .#6 9.t.t011_ i CONTRACI`OR irBUILDER BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA' j/ BUILDING CI Date' 3 /b 20 0/ ELECTRICAL -ES ' PLUMBING ❑ PERMIT ``•:: • 4 8 5 7 2 Contractor's ROOFING License No. MECH Owner of Btulding Architect Contractor or Builder Legal Description _, Address of Building m /hi/40 . ~., . (").(% Lot • -- /o (.02 576 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 applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. . (� Signed: • !I' :-'..' ,-' ." i ' t NSPECTOR) BY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulation. pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting ,tthit..pe rplponstbility for all work done by either, myself, my agent, servant or employee. CONTRACTlR`or - BUILDER % -II BI. / Work to be performed under this Permit e_ 41-4 ' -b 4/1,414-',„:". . Permit: ( O [) ( ) 1,1 j 1 ; e C . . CCF: ...----e r ,' 0 — Sub d 1 vision/ � � 7 Q ! . . ,C Notary: 0 .,J [/ � } Bond: Sq. Ft.: Radon: Value of Amount of r , r 1`) Project $ } /1.-1 Permit: (- C i '; 93642 0i) J14 A. il)L'i:J,i_ i:,i;.,6 BY AUTHORITY KNOW ALL MEN BY THESE PRESENTS: CERTIFICATIONS AND DECLARATIONS OF RESTRICTIVE COVENANT WHEREAS, .. Miami. Shores Presbyterian Church, .a Florida non - profit corporation (the "Owner" or "Declarant ") is the owner of the following described. property (the "Property") situated and being in Miami, Shores Village, Florida: Lots 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10, Block 61 and the 15 -foot alley Running east and west through said Block 61, Miami Shores, Section 2, According to the Plat thereof, recorded in Plat Book 10 at page 37 of the Public Records of Miami -Dade County, Florida, and WHEREAS, the Owner, together with Omnipoint Holdings, Inc. a Delaware corporation (hereinafter "Applicant ") with the consent of the Owner, has applied to Miami Shores Village, a Florida municipal corporation ( "the Village ") for a wireless personal telecommunications services antenna permit, pursuant to Chapter 22 of the Miami Shores Village Code, and otherwise; and WHEREAS, the Owner and Applicant desire to provide certain assurances and certifications to the Village; NOW, THEREFORE, the Owner and Applicant each jointly declare and certify as follows: 1. Title. Owner and Applicant have provided evidence as to the status of title to the Property to the Village. 2. Continuous Compliance. The Owner and Applicant hereby covenant and certify that the wireless personal telecommunications services antenna proposed for the Property will be made continually compliant with all present and future promulgated by governmental authorities having jurisdiction over the Applicant and the operations of the antenna facility, or similar safety standards for other wireless communications media transmissions. The Owner and Applicant hereby acknowledge the right of the Village to require immediate removal of any wireless personal telecommunications services antenna upon the Property which does not meet such safety rules and regulations. 3. Non - Interference. The Owner and Applicant also covenant and certify that any wireless personal telecommunications services antennas proposed for the Property will not interfere with public safety communications, and further, will not unreasonably interfere with the reception or transmission of television, radio, microwave, telephone, digital or similar communications signals or receipt of signals of nearby residential or business residents. The Owner and Applicant acknowledge the right of the Village to require, if necessary, frequency relocation agreements. 4. Multiple Accommodations. The Owner and Applicant covenant and certify that the design, structure or installation of the wireless personal telecommunications services antenna facility proposed for the Property will be such as to accommodate at least two wireless personal telecommunications services antenna facilities of other providers, on a non - discriminatory basis, after applicant's installation, in the manner depicted on Exhibit "A" which is attached hereto and made a part hereof, to avoid duplication of the erection of wireless personal telecommunications services antenna towers throughout the Village. Applicant and Owner undertake no obligations hereby to assure utilization of the structure by other service providers and Applicant and Owner expressly disclaim any right of power to control or dictate any other service providers' choice or design of proposed facilities for this structure. The Applicant will not oppose and Owner covenants and certifies that it will permit co-use of the wireless personal telecommunications services antenna structure upon the Property by at least two wireless personal telecommunications services providers, in addition to Applicant, on a non - discriminatory basis. Owner and Applicant acknowledge and agree that unreasonable refusal to permit co-use shall constitute a violation of Section 22 -42 of Miami Shores Village Code and may result in the Village revoking any wireless personal telecommunications services antenna tower approval and seeking a mandatory injunction to compel. removal of any wireless personal telecommunications services antenna, in addition to all other remedies available to the Village for violations of its code of ordinances, and any other remedy available under the law. 5. Attorney's Fees. The Owner and Applicant hereby covenant and certify that the prevailing party shall be entitled to recover its reasonable costs and attorney's fees in the event any litigation is brought to enforce the provisions of this Declaration and Certification. 6. Binding on Successors. The Owner and Applicant covenant and certify that this Declaration and Certification shall be binding upon the Owner, the Applicant, and each and all of their respective successors and assigns and that they shall faithfully observe and perform hereunder, for so long as Applicant operated its antenna facility on the Property. IT WITNESS WHEREOF, the undersigned have caused this instrument to be executed and delivered on this Z to day of J a ri %A. a, r6 , 2001. W1T 4ESSES: OWNER: MIAMI SHORES PRESBYTERIAN CHURCH BY: !�/�/„l✓ / ✓. GU/ � as BUSINESS MANAGER ILe././(ATTEST) Clerk of Session STATE OF FLORIDA COUNTY OF MIAMI-DADE) The foregoing instrument was sworn to and subscribed before a this Z (� day of January 2001 by N i ) c ' i A . N m r as Business Manager and C t j ? , ; Z 1 2 . t . , M .. J-) a ) as Clerk of Session of Miami Shores Presbyterian Church, on behalf of the corporation for the purposes therein expressed. _hey are personally known to me)or have produced ` and as identification and did take an oath. T + DEBRA J. McCLUNE MY COMMISSION # CC 830214 '410 EXPIRES: Apr 26, 2003 t.E00.3NOTARY Fla Nctary Service & Bonding Co. My commission expires: STATE OF FLORIDA COUNTY OF NIIAMI -DADE) APPROVED: ) M lik , �� Teresa Blackwell i MY COMMISSION # CC965760 EXPIRES ` • -iii € September 5, 2004 �'pi 4 BONDED THIN TItQY FAIN INSURANCE INC My ' commission expires: ss: ss: for Miami Shores Village this day of BY: 44_ J. .A9 BUILDING OFFICIAL NOTARY PUBLIC APPLICANT: OMNIPOINT HOLDINGS A D c9 ton BY: !'� KT144O As TBC4-f N t_ D t fZEc..-iO R �D ' ):Ar rcq- --The foregoin instrument was sworn to and subscribed before me this day of-January 2001 by f y )Jas Developer of OMNIPOINT HOLDINGS, a Delaware Corporation, on behalf of the corporation for the purposes therein expressed. They are personally known to me or have produced and as identification and did take an oath. ./1 /T 4 dlo (. /I( ►. // NOTARY PUBLIC VILLIAGE ATTORNEY , 2001. • CRITIQU 14 '1(401( Shy JOB ADDRESS e=.2 / rt ES 6 s APPLICANT PHONE # APPLICATION # SHEET OF MISCELLANEOUS DATE 2,v jNG COMMENTS Dv . ( /tO v )./5 egDC bf 10 tf4-T A-A/ T"E7U,U Look 2i __ WA44 / I//0/rievr Gtr / co c71- 7 2 r,C 1cTII/C Cd ve i9X/ — / 4) ce�iL tee , /4 yr y a w o 5/6N ✓le, -'f7 7' / m c /IF? eti - T sHEeG �� ii PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT • SECTION BY DATE ZONING' ELECTRICAL MECHANICAL PLUMBING FIRE • PUBUC WORKS STRUCTURAL BUILDING OFFICIAL t. Subf ed to compliance with alt Federal, State, County, Village mites Ind reputations. image assumes no respfr sibllity for accuracy otlor resutts from these 2. This copy of plans must be avallabte on building site or no inspection wttf be conducted INITIALS ■ EMS WIRELESS SPECIFICATIONS 2.75" RF CONNECTORS 65° beamwidth 19.0 dBi gain f45° Dua1Po1TM Azimuth Beamwidth Elevation Beamwidth Gain Polarization Port -to -Port Isolation Front -to -Back Ratio Electrical Downtilt Options VSWR Connectors Power Handling Passive Intermodulation Lightning Protection MTG- P00 -10 MTG- S02 -10 MTG-DXX-20 MTG- CXX -10* MTG- CO2 -10 MTG- TXX -10* Model number Electrical MOUNTING OPTIONS Model Number Description Comments Standard Mount (Supplied with antenna) Mounts to Wall or 1.5 inch to 5.0 inch O.D. Pole (3.8 cm to 12.7 Swivel Mount Mounting kit proyiding.azimuth adjustment. Mechanical Downtilt Kits 0° - 10° or 0° - 15° Mechanical Downtilt ___ _ Cluster Mount Kits • 3 antennas 120° apart or 2 antennas 180° apart U -Bolt Cluster Mount Kit 3 antennas 120° apart, 4.5" O.D. pole____ _ Steel Band Mount ' Pole diameters 7.5" _45 "______ shown represents a series of products. See mounting options section for specific model number. Azimuth 120° 238 EMS Wireless 65° 4.5° 19.0 dBi (16.9 dBd) Slant, ± 45° >30dB > 25 dB (> 30 dB Typ.) 0° 1.35:1 Max 2;Type N or 7 -16 DIN (female) 250 Watts CW < -147 dBc (2 tone @ +43 dBm {20W} ea.) Chassis Ground 270° 240° 300° 90° 60° Dimensions (L x W x D) +1(770) 582 -0555 OptiRange RR65-1 9-OOXP Mechanical Rated Wind Velocity Equivalent Flat Plate Area Front Wind Load @ 100 mph (161 kph) Side Wind Load @ 100 mph (161 kph) Weight 72in x 8in x 2.75in (183 cm x 20.3 cm x 7.0 cm) 150 mph (241 km /hr) 4ft 115 Ibs (512 N) 40 Ibs (176 N) • 23 lbs (10.4 kg) womemummosimillommmillimia Note: Patent Pending and US Patent number 5, 757, 246. Values and patterns are representative and variations may occur. Specifications may change without notice due to continuous product enhancements. Digitized pattem data is available from the factory or via the web site www.emswireless.com and reflect all updates. Fax +1(770) 729 -0036 D 06 00 04:1pp FEB. 26. 1999 6:9PM Q MASTEC TECH NO. 0975 SEC .18529 Pc 3998 P.3 99R 148294 1999 MAR 23 08:1" CERTIFICATIONS AND DECLARATIONS OF RESTRICTIVE COVENANT KNOW ALL MEN BY THESE REPRESENTS: WHEREAS, Miami Shores Presbyterian Church, a Florida non- profit corporation (the 'Owner' or "Declarant') is the owner of the following described property (the "Property') situated and being in Miami Shores Village, Florida: Lots 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10, Block 61 and the 15 foot alley running east, and west through said Block 61, MIAMI SHORES, SECTION 2, according to the Plat thereof, recorded in Plat Book 10 at Page 37 of the Public Records of Miami -Dade County, Florida, and WHEREAS, the Owner, together with Sprint Spectrum L.P., a Delaware Partnership, (hereinafter 'Applicant') with the consent of the Owner, has applied to Miami Shores Village, a Florida municipal corporation (the 'Village') for a wireless personal telecommunications services antenna permit, pursuant to Chapter 22 of the Miami Shores Village Code, and otherwise; and WHEREAS, the Owner and Applicant desire to provide certain assurances and certifications to the Village; NOW, THEREFORE, the Owner and Applicant each jointly declare and certify as follows: 1. Title. Owner and Applicant have provided evidence as to the status of title to the Property to the Village. 2. Continuous Compliance. The Owner and Applicant hereby covenant and certify that the Applicant's wireless personal telecommunications services antenna proposed for the Property will be made continually compliant with all present and future promulgated safety laws, rules and regulations concerning electromagnetic frequency emissions standards promulgated by governmental authorities having jurisdiction over the Applicant and the operations of the antenna facility, or similar safety standards for other wireless communications media transmissions. The Owner and Applicant hereby acknowledge the right of the Village to require immediate removal of any wireless personal telecommunications services antenna upon the Property which does not meet such safety rules and regulations. Dec 06 00 04:14p AB. 26. 1999 6:20P11 XkSTEC TECH NO 0975 P. 3 SEC 1 8529/G 399 3. Non - interference. The Owner and Applicant also covenant and certify that any of Applicant's wireless personal telecommunications services antennas proposed for the Property will not interfere with public safety communications, and further, will not unreasonably interfere with the reception or transmission of television, radio, microwave, telephone, digital or similar communications signals or receipt of signals of nearby residential or business residents. The Owner and Applicant acknowledge the right of the Village to require, if necessary, frequency relocation agreements. 4. Multiple Accommodations. The Owner and Applicant covenant and certify that the design, structure or installation of the Applicant's wireless personal telecommunications services antenna facility proposed for the Property will be such as to accommodate at least two (2) wireless personal telecommunications services antenna facilities of other providers on a non - discriminatory basis, in addition to Applicant's installation, in the manner depicted on Exhibit "A" which is attached hereto and made a part hereof, to avoid duplication of the erection of wireless personal telecommunications services antenna towers through the village. Applicant and Owner undertake no obligations hereby to assure utilization of the structure by other service providers and Applicant and Owner expressly disclaim any right or power to control or dictate any other service providers' choice or design of proposed facilities for this structure. Applicant will not oppose and Owner covenants and certifies that it will permit co -use of the wireless personal telecommunications services antenna structure upon the Property by at least two (2) wireless personal telecommunications services providers, in addition to Applicant, on a non - discriminatory basis. Owner and Applicant acknowledge and agree that . unreasonable refusal to permit co -use shall constitute a violation of Section 22 -42 of Miami Shores village Code and may result in the Village revoking any wireless personal telecommunications services antenna tower approval and seeking a mandatory injunction to compel removal of any wireless personal telecommunications services antenna, in addition to all other remedies available to the Village for violations of its code of ordinances, and any other remedy available under the law. 5. AttoxDev's Fees. The Owne and Applicant hereby covenant and certify that the prevailing party shall be entitled to recover its reasonable costs and attorney's fees in the event any litigation is brought to enforce the provisions of this Declaration and Certification. p.4 Dec 06 00' 04:4,4P ,4 . M.'1999 5:21P( kASTEC TECH o. Binding on Successors The Owner and Applicant covenant and certify that this Declaration and Certification shall be binding upon the Owner, the Applicant, and each and all of their respective successors and assigns and that they shall faithfully observe and perform hereunder, for so long as Applicant operates its antenna facility on the Property. IN WITNESS WHEREOF the undersi d have geused this Covenant to be executed this .nom__ day of 1999. WITNESSES: sign: print: S. (Seal) SS Tsa s'& 57 d6/ . i'c'f rEE 18529 4000 OWNER: By: • PETER W. BELLOWS, BUSI SS MANAGER N0, 0975 P. d G CLERK OF SESSION STATE OP FLORIDA ) COUNTY OF DADE ) g / � The oregoin instrument was acknowledged before me this _day of 2Q/ 1999, by Peter W. e Manager and B llows, as Business rnbyterian Church; on behalf Clerk of Session of Miami Shores therein expresses ehalf of the corporation for the purposes 6 ersonally }moo a to me or who h produced an oath, -0 as identification az who did take ?.DOZ NOTARY p Sign Print i State of Florida at Large My Commission Expires: OFFICIAL NOTAKY MAL CLAD' SMAR NOTASY PUBLIC STATE OF FLOIU A COMMISSION NO. CC; IA103 MY COMM 551ON Exp. MAR. !,172 P - S Dec 06 00 04:14p - .in. 26:1999 6:21PM MAJTEC TEC: Sign y : t (' '•• ... 000 0 0 WITNESSES: APPLICANT: SPRINT SPECTRUM, L.p., a Delaware Limited Part rship /�. By: sign �- Name. :41+xe W. G-to Title: .I4t _ #, of - ( Z3 ,0 n _ print Ante a rr, yi.pl print M: Olt tcw.t&tr STATE OF Georgia (( COUNTY OF 1' _jr.�.� et<Cou , Georgia Expires Juy 28.2002 THIS INSTRUMENT PREPARED BY: Perry M. Adair, En- Becker & Poliskofi, P.A. 5201 Blue Lagoon Dries Suite 100 Miami, Florida 33126 (305)262 -4433 173973_1 SS 9EE 18529 PG 4001 The foregoing instrument was a owledged before me this t day of J„ _ 1999, by LJ, ( as I►'vdr✓ SE of Sprint Spectrum L.P., on behalf of the Limited • . Partnership for the purposes therein expressed is personally known Q L • ' me . -f e pL u d,� and who did)ake an oath. V-51! NOTARY P Sign Print State My Commission Expires: ACCEPTED for Miami Shores Village this MA 1999. BY: UIL OOF'I VILLAGE ATTORNEY of Georgia NO. 0975 P. 5 at (lb Large g am`" day of p.6 D 06 00 04:44p FE .'26. 1999 6:22PM , MASTEC TECH 0 7U ELEVATION t iEC I 8529 rc 4002 Exhibit "A" O wO UTH NATION „A1 NO. 0975 PECORCE73 N6eR•k RE =p06=St OF DOE COL :Y. A.CfrA. .. RECORD YES .HARVEY RU�Ii 1 CLERK ClRWt COor P- 7 1. Premises and Use. Owner leases to Omnipoint Holdings, Inc. a Delaware corporation ( "OMNIPOINT ") the site ( "Site ") described below, which Site constitutes a portion of the bell tower located on property having a street address of 602 Northeast 96 Street, Miami Shores, Florida 33138: (Check appropriate space(s)) IN/AI Land consisting of approximately square feet upon which OMNIPOINT will construct its equipment base station and antenna structure; Tower interior space consisting of approximately 81 square feet of floor space and approximately 500 square feet of wall space; Building exterior space for attachment of antennas; Building exterior space for placement of base station equipment; E Tower antenna space between the 80 -foot and 100- foot level on the Tower, which will be exclusively occupied by OMNIPOINT; Space required for cable runs to connect PCS equipment and antennas, all in the particularly described location (s) and in accordance with the plans and specification shown on Exhibit A, together with a non - exclusive license for reasonable access thereto and to appropriate, in the reasonable discretion of Owner, sources of electric and telephone facilities serving the Site. The Site will be used by OMNIPOINT solely for the purpose of installing, removing, replacing maintaining and operating, at its expense a personal communications service system facility ( "PCS "), including, without limitation, antenna equipment, emergency backup generator, cable wiring, and related fixtures, all in accordance with the plans and specifications set forth in Exhibit "A ". Any modifications to the PCS shall require Owner's prior written consent, which shall be in Owner's discretion, but such consent shall not be unreasonably withheld. Notwithstanding the foregoing, OMNIPOINT will not be required to obtain Owner X I x IN/AI Ix PCS SITE AGREEMENT FILE COPY Site Name: Miami Shores Presbyterian Church Site I.D.: MD 1113 A (- approval for upgrades, provided that they are in conformity with the plans previously approved by Owner. For the purpose of this agreement, "upgrades" is defined as improvements for which OMNIPOINT does not need to obtain a building permit; for which there is no roof penetration involved ; and which will have no impact on the building's aesthetics and will not pose any structural issues whatsoever. OMNIPOINT recognizes the sensitive nature of the property of which the Site forms a part and its use for religious purposes. OMNIPOINT will at all times use and occupy the Site in a manner which will not unreasonably disturb the occupancy or use of the Owner or Owner's other tenants of the Site or of other portions of the property of which the Site is a part; Owner's and its assigns rights of passage through and across the Site to access other property of Owner and Owner's right of entry on the Site to inspect the Site and/or make repairs to Owner's property. Subject to reasonable rules and regulations promulgated by Owner and OMNIPOINT not disturbing the peace, OMNIPOINT will have access to the Site on Mondays through Fridays between the hours of 9:OOam and 5:OOpm; on Mondays through Sundays between the'hours of midnight and 2:OOam after first notifying the Miami Shores Police Department of its intended entry; and in the event of an emergency, twenty four (24) hours per day, seven (7) days per week. 2. Term. The initial term of this Agreement (the "Initial Term) is five years commencing on the earlier of the date that OMNIPOINT obtains a building permit for the PCS or 90 calendar days from the last execution date ( "Commencement Date ") This Agreement will be automatically renewed for four (4) additional terms (each a "Renewal Term ") of five (5) years each, unless OMNIPOINT provides Owner notice of its intention not to renew not less than ninety (90) days prior to the expiration of the Initial Term or any Renewal Term. Prior to the Commencement Date, OMNIPOINT shall be permitted, at no cost to Owner, to reasonably enter the property to determine the suitability of the Site for its installation of its PCS. OMNIPOINT agrees to promptly repair any damage to the property or any property of any third parties caused by its entry during such period, and OMNIPOINT shall indemnify and hold harmless Owner from any and all injury, liability, 2 claims, actions or damages caused by OMNIPOINT , its agents, employees or independent contractors during such period. 3. Rent. The earlier of (a) that date which is thirty (30) days after the issuance of OMNIPOINT' building permit, or (b) the first day of the month following the commencement of the physical preparation of the Site by OMNIPOINT, or ninety (90) days after the Commencement Date shall be hereinafter referred to as the "Occupancy Date ". OMNIPOINT shall use due diligence to obtain any approvals required for its intended use of the Site and to cause the Occupancy Date to occur earlier than ninety (90) days after the Commencement Date if reasonably possible. Upon the occurrence of the Occupancy Date, rent will be paid for the first year of the Initial Term in the amount of $19,200.00 and thereafter in advance on each anniversary of the Commencement Date in annual installments of $19,200.00 as increased as set forth herein. Except for the first year when the annual rent shall be due on the Occupancy Date, annual rent for each year of the Initial Term and any Renewal Term will be paid by OMNIPOINT in advance and the annual rent shall be the annual rent in effect for the immediately preceding year of the Initial Term or prior Renewal Term, as the case may be, increased by three percent (3 %) per year for each year that is in Agreement shall continue until it shall be properly terminated or expire in accordance with the terms hereof. 4. Title and Quiet Possession. Owner represents and agrees (a) that it is the Owner of the Site; (b) that it has the right to enter into this Agreement; (c) that the person signing this Agreement has the authority to sign; (d) that during the terms of this Agreement OMNIPOINT shall be entitled to nonexclusive possession and quiet enjoyment of the Site throughout the Initial Term and each Renewal Term, so long as OMNIPOINT is not in default hereunder. 5. Assignment/ Subletting. OMNIPOINT will not assign or transfer this Agreement without the prior written consent of the Owner, which consent shall not be unreasonably withheld, delayed or conditioned; provided, however, OMNIPOINT may assign without Owner's prior written consent to any party controlling, controlled by or under common control with OMNIPOINT or to any party which acquires substantially all of the assets of OMNIPOINT. OMNIPOINT may not sublet all or any portion of the Site. 3 4 6. Notices. All notices must be in writing and are effective only when deposited in the US Mail certified and postage prepaid, or when sent via overnight delivery, to the respective addresses set forth herein below the signatures of the respective parties, or as otherwise required by law. In the event of any notice to Owner, copies shall also be sent to: Miami Shores Presbyterian Church 602 Northeast 96 Street Miami Shores, Florida 33138 Attn. Financial Secretary -and - Pearson & Mayer, P.A. 1320 S. Dixie Highway, Suite 811 Coral Gables, Florida 33146 Attn. Stephen D. Pearson, Esquire In the event of any notices to OMNIPOINT copies shall be sent to: Omnipoint Holdings, Inc. 12920 SE 38 Street Bellevue, WA 98006 Attn: Legal Department -and - Omnipoint Holdings, Inc. 600 Ansin Boulevard Hallandale, FL 33009 Attn: Lease Administrator Or to such other addresses as Owner shall require from time to time by notice to Omnipoint. 7. Improvements. OMNIPOINT shall, at its expense, make the improvements on the Site as shown on Exhibit "A" for the operation of the PCS system. Such improvements shall require OMNIPOINT to install any and all structural reinforcement improvements to the roof portion of the Site as shall be reasonably required to safely and properly accommodate the PCS equipment. OWNER agrees to reasonably cooperate with OMNIPOINT with respect to obtaining at OMNIPOINT's expense, any approvals for such improvements to the Site. Upon termination or expiration of this Agreement, OMNIPOINT shall remove its equipment and improvements, and will restore the Site to the condition existing on the Commencement Date, except for ordinary wear and tear, and for casualty loss not caused by the negligence or misconduct of OMNIPOINT, its agents, contractors or employees. Except as otherwise specifically provided herein, OMNIPOINT shall at all times maintain the Site in good repair and in a safe and neat condition and shall not interfere with or disturb Owner's ongoing quiet enjoyment and use of its property. 8. Compliance with Laws. Owner represents that, to the best of its knowledge after internal inquiry only, it has not received any notices that Owner's property (including the Site), and all improvements located thereon, are not in substantial compliance with building, life /safety, disability and other laws, codes and regulations of applicable governmental authorities. OMNIPOINT will comply with all applicable laws relating to its possession and use of the Site, including, without limitation, posting requirements of the Federal Communication Commission and all applicable rules, regulations and laws relating to the use and operation of its PCS on the Site. 9. Interference. OMNIPOINT will at all times promptly resolve any technical interference problems with other equipment located on or near the Site. If after OMNIPOINT'S initial installation of its PCS facility, OMNIPOINT desires to add additional equipment to the Site that is approved in advanced and in writing by Owner, OMNIPOINT will promptly resolve technical interference problems with any other equipment that is then attached to or near the Site. For purposes of this paragraph "near the Site" shall refer to other property of Owner of which the Site is a part. Owner will not permit or suffer the installation of any equipment after the Commencement Date on or near the Site which (a) results in technical interference problems with OMNIPOINT's installation of the PCS facility which cannot be reasonably resolved or (b) encroaches unreasonably onto the Site. OMNIPOINT acknowledges that owner has entered into prior leases with AT &T Wireless Services of Florida, Inc. ( "AT &T ") and Sprint Spectrum L.P. ( "Sprint ") and that Owner is obligated under the terms of those certain Certifications and Declarations of Restrictive Covenant ( "the Certifications ") between 5 Owner and AT &T, and between Owner and Sprint, that were required by the Village of Miami Shores, to enter into additional' leases to utilize the property of Owner on which the Site is located and the Site for telecommunication equipment purposes on a nondiscriminatory basis. OMNIPOINT shall not interfere with Owner's ability to reasonably fulfill its duties under the Certifications, and fulfillment of same shall not cause any failure of OMNIPOINT'S quiet enjoyment and use of the Site or otherwise constitutes a default hereunder. 10. Utilities. Owner represents that utilities for OMNIPOINT'S use of Site are reasonably available to OMNIPOINT. OMNIPOINT will promptly pay for all utilities used . by it at the Site and for any upgrades or expansion of existing utilities. Owner will cooperate with OMNIPOINT, in OMNIPOINT'S efforts to obtain utilities from any reasonable location and with the installation of any instrument (s) reasonably required by a utility company, provided that same does not interfere with the use and enjoyment of other portions of Owner's property not constituting the Site and all expenses are paid by OMNIPOINT. OMNIPOINT shall separately meter and pay its utilities used at the Site. With respect to electric utilities, Owner and OMNIPOINT agree that electric service for OMNIPOINT'S PCS shall be sub - metered with a meter properly installed and maintained by OMNIPOINT at its expense onto Owner's master electric service to the site. Throughout the term of this Agreement, OMNIPOINT shall pay in advance to Owner an estimated amount of its annual electric usage as established by Owner, and Owner shall then use such amount to pay Omnipoint's portion of the monthly electric bills. Owner and Omnipoint acknowledge that Owner will incur certain management and accounting fees in order to properly and adequately service the Omnipoint lease. In addition, throughout the term of this Agreement, Omnipoint shall pay to Owner a sum equal to 10% (Ten Per Cent) of the actual electrical charges attributable to Omnipoint in order to compensate Owner for Owner's management and accounting fees, together with any sales tax due thereon, not less than annually. The annual amounts of such management and accounting fees shall also be estimated by Owner and paid in advance to Owner by OMNIPOINT. At the end of each annual period, Owner and Omnipoint shall conduct an accounting of Omnipoint's portion of the 6 monthly electric bills in order to accurately determine Omnipoint's share of the electric bills. If the estimated amount paid in'advance shall prove to be insufficient to pay Omnipoint's portion of the electric bill, Omnipoint agrees to pay the deficiency within no more than 20 (twenty) days from the date of Owner's written demand for same to Omnipoint. Upon termination of this Agreement, Owner shall give OMNIPOINT a final accounting for its electric and administrative charges and the parties shall promptly make the appropriate adjustment and payment. At Owner's option upon termination of this agreement, OMNIPOE 1T shall properly removeits sub -meter and restore any damage resulting from same, or OMNIPOINT shall leave such sub -meter and same will there after constitute Owner's property without any payment by or cost to Owner. 11. Termination. OMNIPOINT may terminate this Agreement prior to the Occupancy Date by written notice to Owner without further liability to pay rent if OMNIPOINT does not obtain all permits or other approvals (collectively "approval ") required from any governmental authority required to operate the PCS system, or, after the Initial Term, if any such approval is canceled, expires or is withdrawn or terminated through no fault of OMNIPOINT, or, at any time, if Owner fails to have proper ownership of the Site or authority to enter into this Agreement. Upon any such authorized termination, all prepaid rent will be retained by Owner unless such termination is a result of Owner's failure of proper ownership or authority, or such termination is a result of Owner's default. OMNIPOINT may terminate this Agreement, if in OMNIPOINT's reasonable judgement, the Building cannot be used for the purpose described in Section 1 hereof due to radio frequency transmission and reception issues related to: (i) other radio frequency sources, (ii) engineering design or (iii) physical changes in the buildings and improvements in the vicinity of the property following the Commencement Date. If OMNIPOINT elects to terminate as provided in this subsection, after the "Occupancy Date ", OMNIPOINT agrees to pay to Owner a fee equal to twelve (12) months rent due under the Agreement as a reasonable cancellation fee. 12. Default . If either party is in default under this Agreement for a period of (a) ten (10) days following receipt of notice from the non - defaulting party with respect to a default which may be cured solely by the payment of money, or (b) thirty (30) days 7 8 following receipt of notice from the non - defaulting party with respect to a default which may not be cured solely by the paymeht of money, then in either event, the non defaulting party may pursue any remedies available to it against the defaulting party under applicable law, including, but not limited, to the right to terminate this Agreement. If the non monetary default may not reasonably be cured within a thirty (30) days period, this Agreement may not be terminated if the defaulting party promptly commences action to cure the default within such thirty (30) days period and thereafter proceeds with due diligence to fully cure the default. In the event of any holdover by OMNIPOINT following the termination of earlier cancellation of this Agreement, then OMNIPOINT shall pay Owner rent during such holdover period based on one hundred fifty percent (150 %) of the rent that would have been payable (in the event of any early cancellation) or that was last payable (in the event of any holdover after the term of the Agreement specified herein) pursuant to section three (3) of this Agreement, together with all amounts otherwise due hereunder as if this Agreement was continuing in full force and effect. 13. Indemnity. Owner and OMNIPOINT each indemnifies the other against and holds the other harmless from any all costs (including reasonable attorney's fees) and claims of liability or loss which arise out of the ownership, use and/ or occupancy of the Site or adjoining property of Owner by the indemnifying party. This indemnity does not apply to any claims or damages arising from the negligence or intentional misconduct of the party seeking indemnification. The indemnity obligations under this Paragraph will survive termination of this Agreement. 14. Hazardous Substances. Owners represents that it has no knowledge of any substance, chemical or waste (collectively, "substance ") on the Site that is identified as hazardous, toxic or dangerous in any applicable federal, state or local law or regulation. OMNIPOINT will not introduce or use any substance on or around the Site in violation of any applicable law, and OMNIPOINT shall indemnify and hold Owner harmless against any claims, causes of action, demands or liabilities whatsoever that are caused by or result from the activities of OMNIPOINT or its agents or employees on or around the Site. The provisions of this Paragraph will survive the termination of this Agreement. 15. Subordination and Non - Disturbance. This Agreement is subordinate to any mortgage or deed of trust now of record against the Site. However, promptly after the Agreement is fully executed, Owner will use diligent efforts to obtain a non - disturbance agreement reasonably accepted to OMNIPOINT from the holder of any such mortgage or deed of trust. 16. Taxes. OMNIPOINT will be responsible for payment of all personal property taxes assessed directly upon an arising solely from its use of the communications facility on the Site and/or its equipment . OMNIPOINT will pay to Owner any increase in real property taxes attributable solely to any improvements to the Site made by OMNIPOINT within sixty (60) days after receipt of reasonably satisfactory documentation indicating calculation of OMNIPOINT'S share of such real estate taxes by Owner. Owner will pay when due all other real estate taxes and assessments attributable to the property of the Owner of which a Site is a part. 17. Insurance. OMNIPOINT will procure and maintain commercial general liability insurance, with limits of not less than $1,000,000 combined single limit per occurrence for bodily injury and property damage liability, with a certificate of insurance to be furnished to Owner prior to OMNIPOINT' occupancy of the Site and thereafter not less than thirty (30) days prior to each expiration date of the then existing policy for so long as this Agreement shall continue. Such policies will list Owner as an additional insured and will provide that cancellation will not occur without at least fifteen (1 5) days prior written notice to Owner. Each party hereby waives its right of recovery against the other for any loss or damage to the extent it is covered by any insurance policies maintained by the waving party. In the event of any insured loss, both parties' insurance carriers may have a subrogated claim against the other as permitted by law. 18. Maintenance. OMNIPOINT will be responsible for repairing and maintaining the Site in proper operating and safe condition; provided, however if any such repair or maintenance is required due to any negligence or misconduct of Owner, its agents or employees, then the Owner shall reimburse OMNIPOINT for the reasonable costs incurred by OMNIPOINT to restore the damaged areas to the condition which existed immediately prior thereto. Owner will maintain and repair all other portions of the 9 property of which the Site is a part reasonably safe condition; provided however, that if any maintenance or repair of such other property shall be required due to the negligence or misconduct of OMNIPOINT, its agent or employees , then OMNIPOINT shall reimburse Owner for the reasonable cost incurred by Owner to restore damaged areas to the condition which existed immediately prior thereto. 19. Miscellaneous. (a) This Agreement applies to and binds the heirs, successors, executors, administrators and assigns of the parties to this Agreement; (b) This Agreement is governed by the laws of the State in which the Site is located; (c) This Agreement (including the Exhibits) constitutes the entire agreement between the parties and supersedes all prior written and verbal agreement, representations, promises or understandings between the parties; (d) Any amendment to this Agreement must be in writing and executed by both parties; (e) If any provision of this Agreement is invalid or unenforceable with respect to any party, the remainder of this Agreement or the application of such provision to persons other than those as to whom it its held invalid or unenforceable, will not be affected and each provision of this Agreement will be valid and enforceable to the fullest extent permitted by law; (I) The prevailing party in any action or proceeding in court or mutually agreed upon arbitration proceeding to enforce the terms of this Agreement is entitled to receive its reasonable attorneys' fees and other reasonable enforcement costs and expenses from the non - prevailing party; (g) Neither this Agreement nor any memorandum thereof shall be recorded in the public records; 10 (h) If any portion of the Site is destroyed or damaged by fire or casualty not caused by negligence or misconduct of OMNIPOINT, its agents or employees, then the Owner shall have the option of terminating this Agreement effective on the date of such casualty, or to agree to repair such damages within sixty (60) days of such casualty. Rent shall abate during any period that OMNIPOINT shall be deprived of its ability to utilize the Site in a commercially reasonable manner unless same shall be caused by any damage resulting from the negligence or misconduct of OMNIPOINT, its agents or employees; If all or any portion of the Site is taken by eminent domain, then this Agreement shall terminate on the date of the vesting of title in such taking. All awards and compensation paid in such taking shall belong exclusively to Owner, except that OMNIPO1NT shall be entitled to any amounts relating solely to the loss of its equipment; (j) OMNIPOINT shall pay to owner any applicable sales tax on the rent simultaneously with OMNIPOINT' payment of rent, and Owner shall be responsible for remitting such tax to the appropriate governmental entity; (k) OMNIPOINT shall indemnify, defend and hold Owner harmless from and against any injury, loss, damage or liability (or any claim in respect to the foregoing), costs or expenses (including reasonable attorneys' , fees and costs) arising from the installation, use, maintenance, repair or removal of OMNIPOINT' equipment, its use of the Site or its PCS equipment, its entry upon the property of Owner, or any breach of this Agreement by OMNIPOINT, except to the extent attributable to the gross negligence or willful misconduct of Owner, its employees or agents.; (1) OMNIPOINT shall not have any right to place any signs on or around the Site, other than as required by law; (i) (p) (q) (m) OMNIPOINT shall neither commit nor suffer any waste of the Site; (n) OMNIPOINT' use of the Site shall not increase the costs of any insurance policies maintained by Owner or OMNIPOINT shall promptly pay, as additional rent to Owner any such incremental costs upon demand from Owner. (o) OMNIPOINT does not have the right to contract for or on behalf of Owner for any work on the Site or any other property of Owner. All contractors of OMNIPOINT, and all materialmen, subcontractors and laborers claiming by through or under them, shall not at any time have any right to file mechanic's liens or otherwise encumber the Site or any other property of Owner. OMNIPOINT shall discharge of record by payment, bond or otherwise, within thirty (30) days subsequent to the filing thereof, any mechanic's lien against the Site or other property of Owner for work or materials claimed to have been furnished at the request of OMNIPOINT or any of its contractors. OMNIPOINT shall indemnify and hold harmless Owner against any liability or damages, including reasonable attorney fees and costs, incurred by Owner as a result of OMNIPOINT failure to comply with the foregoing; and The rights of OMNIPOINT to use and occupy the Site are subject to the terms and conditions of that certain Certifications and Declarations of Restrictive Covenant required by Miami Shores Village and to be executed and entered into by OMNIPOINT and Owner (the "Restrictive Covenant "). OMNIPOINT shall indemnify and hold harmless Owner from and against any and all liability accruing to Owner on account of OMNIPOINT' failure to ti . comply with the Restrictive Covenant. Owner hereby waives any and all lien rights it may have, statutory or otherwise concerning the PCS system or any portion thereof • r which shall be deemed personal property for the purposes of this Agreement, whether or not the same is deemed real or personal property under applicable laws, and Owner gives OMNIPOINT the right to remove all or any portion of the same from time to time, whether before or after a default under this Agreement, in OMNIPOINT's sole discretion and with Owner's consent, which consent shall not be unreasonably withheld or delayed, provided that OMNIPOINT repairs any and all damages caused by such removal. (r) In accordance with Florida Law, the following notice is hereby given to Tenant: "RADON GAS" RADON IS A NATURALLY OCCURING RADIOACTIVE GAS THAT,WHEN IT HAS ACCUMULATED IN A BUILDING IN SUFFICIENT QUANTITY, MAY PRESENT HEALTH RISKS TO PERSONS WHO ARE EXPOSED TO IT OVER TIME. LEVELS OF RADON THAT EXCEED FEDERAL AND STATE GUIDELINES HAVE BEEN FOUND IN BUILDINGS IN FLORIDA. ADDITIONAL INFORMAITON REGARDING RADON AND RADON TESTING MAY BE OBTAINED FROM YOUR COUNTY PUBLIC HEALTH UNIT" (s) Each party represents to the other that it has not dealt with any broker or brokers in connection with this Agreement, and each party shall indemnify and hold harmless the other party against any claims by a broker to the contrary or a broker claiming to have had contract with such party. (t) Owner, its assigns and tenants shall at all times have reasonable access to the Site (but not to the PCS equipment) for passage to and from other parts of the property of Owner, and for nonexclusive use of the Site by other telecommunication providers as permitted herein. Owner shall also have access to the Site to inspect same and, in the event of any actual or presumed emergency, Owner shall have the right, but not the duty, to enter the Site to take any measures it deems necessary or advisable to prevent or minimize any actual or potential injury or damages to persons or property; (u) On or before the Occupancy Date, or if earlier, prior to OMNIPOINT taking any occupancy of the Site or commencing any construction thereon, OMNIPOINT shall pay Owner the non- refundable amount of $15,000.00 to compensate Owner for the costs of certain capital expenditures of Owner and miscellaneous other expenses of Owner, not including attorneys' fees and costs of Owner in negotiating and drafting this Agreement, which OMNIPOINT shall pay separately to Owner in an amount not to exceed $3,500.00. OMNIPOINT shall simultaneously pay Owner the sales tax due on such payments. The foregoing miscellaneous subsections and any provisions of this Agreement intended to have effect after any termination or earlier cancellation of this Agreement shall survive the termination or earlier cancellation of this Agreement. [Rest of page intentionally left blank] 14 IN WITNESS WHEREOF, Owner and OMNIPOINT have executed this Agreement on the dates indicated immediately below their respective signatures and the later of such dates shall be the Commencement Date. Witness (es) (Pnnt e (Print Witness Name) (Print Witness Name ,q iVe/oe (Print Witness Name) 15 Owner: Miami Shores Presbyterian Church, a Florida not for Profit Corpor on By: Its: By: Its: Date: Address: 602 Northeast 96 Street Miami Shores, Fl. 33138 Attn. Senior Minister Telephone No. (30) S Y mss/ Date: I //6 /p1 Onmipoint Holdings, Inc. Address: 600 Ansin Blvd. Hallandale, F133009 Telephone No. (954) 457 -5700 yri/0/ Legal Description: EXHIBIT A Miami Shores Presbyterian Church Site ID: MD1113A Site Description Site situated in the City of Miami Shores, County of Miami -Dade, State of Florida, described as follows: A portion of Lots 1 through 10, Block 61, Section 2, Miami Shores, according to the plat thereof, as recorded in Plat Book 10, Page 37, of the Public Records of Miami -Dade County, Florida. As depicted in attached drawings hereto. Sketch of Site: [See attached drawings as created by Law Engineering dated Dec. 7, 2000, consisting of - 12 Sheets] 16 Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sdbmitted for the building or other structure herein described. This application is made in compliance and .onformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must: be kept at building during progress of work, I ,, r/ ` Owner's Name and Address �. /...Jr4. J 4 Cl f: ..� No G Z Street / > ... lv Pr Registered Architect and /or Engineer ' Tf � rd a G � v e2 G (i1 keifillidiAtn. Z 4 ny. Employing Electrician's Name A. na .& .7 / A' No Street :..I/1/ S' ,S T Location and Legal Description Lot Block / Subdivision Street and Number where work is to be performed —No t ...7I. X 9y Street �/lilll..l. l .S,E� .U. g .. i State work to be performed and purpose of building (By Floors) � d . S . S R/4 s 4 A.v.T..Q.:r /...t/..tali New Building !'--- Remodeling Addition Repairs No. of Stories Overhead _ IS• xv A c . .2c 090 Service Underground Site Feederif...;..1C. Conduit.. i P4 Main Sw......y:.. Amps.t— o.a .Main Fuses eo b ' Amps Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $.., -40 STATE OF FLORIDA, } COUNTY OF DADE. 68 ' a APPLICATION FOR ELECTRICAL PERMIT therein by him a d are true. Notary Public, State of Florida at largo �y pgmmission expires July 13, My Commission Expires M AMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed) Date Notary 1lsublic, State of Florida etrieal Inspector. The undersigned applicant for this%uilding permit does hereby certify that he understands and accepts his oblig ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra •rs employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the w• such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, _ ndersigned auth ty r a nota public, my authorized to administer oaths and take acknowledgments, personally atti7Yeekte appeared to on well know•, d who, being by me first duly sworn, upon oath deposes and says that he is the �.� - of the above d .erred construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts NOTE: A re•inspection, fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or .workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS RE ►RIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. RACE HEATER STRIP HEATER TOTAL CONTR. Lt6T V L ! g 13 ` / 3 e ✓ i © L / / / CHECK ENT. SW. DIST. CAB. $CRVICI Tamp. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST (, Lt./ 9,041 2, / /1/®r /» co Ai TY J % CHECK Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith sdbmitted for the building or other structure herein described. This application is made in compliance and .onformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must: be kept at building during progress of work, I ,, r/ ` Owner's Name and Address �. /...Jr4. J 4 Cl f: ..� No G Z Street / > ... lv Pr Registered Architect and /or Engineer ' Tf � rd a G � v e2 G (i1 keifillidiAtn. Z 4 ny. Employing Electrician's Name A. na .& .7 / A' No Street :..I/1/ S' ,S T Location and Legal Description Lot Block / Subdivision Street and Number where work is to be performed —No t ...7I. X 9y Street �/lilll..l. l .S,E� .U. g .. i State work to be performed and purpose of building (By Floors) � d . S . S R/4 s 4 A.v.T..Q.:r /...t/..tali New Building !'--- Remodeling Addition Repairs No. of Stories Overhead _ IS• xv A c . .2c 090 Service Underground Site Feederif...;..1C. Conduit.. i P4 Main Sw......y:.. Amps.t— o.a .Main Fuses eo b ' Amps Type of Installation -- Conduit Tubing B.X.L Metal Moulding Amount of Permit $.., -40 STATE OF FLORIDA, } COUNTY OF DADE. 68 ' a APPLICATION FOR ELECTRICAL PERMIT therein by him a d are true. Notary Public, State of Florida at largo �y pgmmission expires July 13, My Commission Expires M AMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT (Signed) (Signed) Date Notary 1lsublic, State of Florida etrieal Inspector. The undersigned applicant for this%uilding permit does hereby certify that he understands and accepts his oblig ons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida P anent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contra •rs employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the w• such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. Before me, _ ndersigned auth ty r a nota public, my authorized to administer oaths and take acknowledgments, personally atti7Yeekte appeared to on well know•, d who, being by me first duly sworn, upon oath deposes and says that he is the �.� - of the above d .erred construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts NOTE: A re•inspection, fee of $1.00 will be made when such re• inspection is made necessary by improper notice for inspection, or faulty materials and /or .workmanship. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT - '2- 5 .... Permit No . ............................. Application is hereby made structure herein described. a f the Law of Miami Shores Village sha building during progress of work. 1.4 nd • all provisions o lied with, whet her Owner's and Addre STATE OF FLORIDA, k COUNTY OF D Before me, the undersigned authority, 85. en for the approval of the detailed statement ° t e p This application is made in compliance and conformity with the Building ce o s of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division h herein specified or not. A copy of approved plans and specifications must be kept at ... ... 1-- Street ) . . ......... ........... ....... materials and/or workmanship. ...... Date. ................................................................. f h lans and specifications herewith submitted for the building or other Ordinan f Miami Shores Village, Florida, B.egistered Architect and /or Engineer ............. Emplo ying Electrician's ....... ... AlAr-7:Ce. ......................................... o ........ Location and Legal D s ription Lot ........................ Block ................................. Subdivision ................................................ Street and Number where work is to be performed—No ........................ .... ..... ...... • • ..................... Street 7 q 6 ...... ................... State work to be performed and purpose of building (By Floors) ....... :40:-P: ?/0 ..... A ........... .............................. New Building ............................... Remodeling Addition ..... ........................ Repairs ..................................... of Stories .................... RANG CONN. HEATER CONN. H ATER RANGE WATER W. HEAT. ACE STRIP HEATER TOTAL IRON E SC OUTLET OUTLET CONTR. LIST CHECK co wrn. LIST c_ " und _,.. Overhead Size Feeders .................... Conduit ..... Main Sw . Amps ........................... Main Fuses ............................ Amps CHECK ' Ty Pe Of Installation—Conduit ........................ Tubing B X L ..... Metal Moulding ........................................................................ " ' Undergro ............ _ ..................... .......... ......... ..... . ... . . .– .... . .......... . ............. . .0_____ ...... . ................................................. .... Aincnint` of Permit $ .......... 1 ...._................................................................ (Signed) ............... dersignecl applicant for this building permit does Is.--t don Act,' The un labor under the Florida Workmen's Compensa has complied with the provisions thereof, and will req work to be performed under this permit; and will post c, as are required by the .Act. The undersigned agrees to '11 licensed by Miami Shores Village. 101 ,‘ _ADDRE a notary yosptc.0011 ... . .. , . ::. . , ......................................................... . ................ : ........ ; ‘,, MY Commission Expires ■ , • NOTE: A re-inspection f ee of $1.00 will be made '4X ,, ‘ 4, l ■ %, , ■, ' ‘ '1 `I appe ared. . .............................................................................. ... to me well known, and who, being by me first duly sworn, of the above described construction, and he has carefully \ therein by him stated are true. REI\APRI(S1 (10 c't ................. Street .... ... .. 0! .. .. ..... INSPEC 2 - t•AIAMI 940RES VILLAGE, R.A. 6, 80 D.KCE PERMIT APPLICATION FOR MIAMI SHO / 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 -7 Date 12 ! 3 Job Address Tax Folio Legal Description J Historically Designated: / 7 �� Owner /Lessee/Tenet !'-b . S. / D -e .5 L a r/7 J 17 ?n CAL/ �A / # /► Master Permit # L V 2°03 - 3 5 n f Owner's Address (fit ' - /1/4 ?le 577 Phone Contracting Co. 'd / � t°!� l G /it Address /936 /t e - 19, f f'il' Qualifier / f�ll / ,& 1 & fs eel State # c e oet/®si Municipal # SS# t 1 �) 1 15 )1t • i 5 � 1 -89'2 DEC (( 2003 Phone Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRIC: PLUMBING MECHANICAL ROOFING • WORK DESCRIPTION: ;7 51a / /G. O 4 el n Peat/ 3 CL/ 6 p4.. i e,/ 4 no. le e,e e z-1 S./i.iC, J I./I rt d /12 /7 l✓. hi: Square Ft. \ Estimated Cost (value) 3/61. " 6 i 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 ANY 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). 1 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. Signature of owner and/or Co President 42/2/0 3 Date r n Signature of Contractor or Owner Builder Date Notary as My Coma oitXdwrteseauildeOD 094047 ireseorte BY National Notary Assn. r >n Date FEES: PERMIT /c'a/ ®6' RADON APPROVED: TOTAL DU Zoning Building Electrica Mechanical Plumbing Structural Engineer C.C.F NOTARY BOND , ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS- CENTRAL HEATING ' DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN - SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE CURETS PROCESS AND PRESS PIPING INTERCEPTOR _ RANGE TOP • UNDERGROUND TANKS LAVATORY • OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER J U.F. PRESSURE VESSELS CLOTHES WASHER . MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 CORP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP • TRANSPORTING ASSEI43LIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10-•25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS HATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS • A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS I HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMAING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTLRES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. :ITCH BASIN )ISCHARGE WELL )OMESTIC WELL AREA DRAIN 1OOF INLET . 30LAR WATER HEATER 'IRE STANDPIPE '001 PIPING • .AWN SPRINKLER SYSTEM 3AS RANGE AETER SET (GAS) AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Permit Number: EL2003 -358 Printed: 12/4/2003 Applicant: Owner: JOB ADDRESS: 602 NE 96 Contractor P & M ELECTRIC INC Local Phone: 305 - 949 - 6373 Parcel # 1132060141410 Signed: (INSPECTOR) Electrical Permit ST Contractor's Address: 1936 NE 148 ST Page 1 of 1 DEC 0 9 PAID Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2003 -7745 Building Fee $100.00 FEE2003 -7746 CCF $1.20 FEE2003 -7747 Technology Fee $2.50 FEE2003 -7748 Training and Education Fee $0.40 Total Fees: $104.10 Total Fees: $104.10 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 5/30/2004 Construction Value: $1,310.00 Work: INSTALLATION OF A NEW 3 PANEL TO REPLACE EXISTING WIRING OF NEW H.W.H In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 305 3 Job Address bo j ' iG • 9,' $7 Tax Folio Legal Description / / Historically Designated: Yes No Owner /Lessee /Tenet i ORM/ �� 4r e5 Q �iz" 1 c l • "J� Master Permit # ` c7 � . _ r Owner's Address � Ai g- 96 ✓✓- Phone Contracting Co. / f Qualifier g i v / 6e. State # 0165 8 • e/eG k -/ � 1 L • A1 erl SS# Municipal # Address IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): 1 BUILDING ELECTRICAL WORK DESCRIPTION: S �'7 G ile." ®/► afiei ,94 co,• v4 ,S 4 !'P /41cP, Square Ft. Estimated Cost (value) Signature of owner and/or Condo President s,, ' .,,, 'dANCY R. MCERLEAN ` �►� ' ; N.;:ary Public - State of Florida .3 . ;716 = A:;/ Commission Expires Feb20, 2006 i t'd/o�rEOtidel ifd 094047 Notary as My Co 'i ssidtl'i kp irepondoo By National Notary Assn. / 0/03 Date dl ate Notary as to //9 RADON C.C.F � • 4 NOTARY PC" - CI 4 %° •off o,t_ n64(6, )h. FEES: PERMIT APPROVED: Zoning Building Mechanical • • • RECEOVED OCT 0 8, 2003 56.8972 _ /93e, "'Y 57: A1 13 3 Competency # Ins. Co. PLUMBING MECHANICAL ROOFING ,2/€ Gt i Apt alle1- -ek/ 5 7 Wet it/ — 4-00 it 3 4 /l6o" 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 ANY 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 all disciplines. OWNERS AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. Signature of Contractor or Owner Builder Date Ow ,o;,V NANCY R. MCERLEAN Notary Public - State of Florida My Common Expires Feb 20, 2006 Commission # DD 094047 Phone Ptitibi or 68Rf'ier fit Nl.tina 1 Notary Assn. My Commi to xpir�"`s' ftkoltAiiti Jo/ 7/0 Date BOND TOTAL DUE ......••■1111011111■ jo Electrical i% L / � Plumbing Structural Engineer ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AAPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS ANO PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY. TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER - MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 1P MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTCRS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTCRS OVER 100 FP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS l • A/C UNIT STRIP HEATER Ile /f-W / FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA ' RELAY TELEVISION OUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION .?UbP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. ;ATCH BASIN )ISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET . SOLAR WATER HEATER 'IRE STANDPIPE '001 PIPING _AWN SPRINKLER SYSTEM LAS RANGE AETER SET (GAS) AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Legal Description PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Lessee / Tenant • Job Address CQ.2? rl/ � , ( ?4.57 1- : Tax Folio Owner's Address 6O N. E• 942_53/7 Contracti Co. C 1Z_( nC1 C. Qualifier ^� Phone q4/ 3 Ins.Co./i` Q /Qv]J` & ai Address n Qk,J )_7L77L Signature of Contractor or Owner- Builder Date: • 2 Jo 7P a udder We :N OFFICIAL NOTARY SEAT BARBARA ANN FUOAZZI 4 * COMMISSION NUMBER at M Q,. CC360191 Q , ' Mr- COMMIStioN 'EX * F RP MAR: 29.19963 k ` TOTAL D Jr % - v z � Amount of Permit $ ......• 22. E STATE OP FLORIDA, ) l MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 1 �� ( Date /.60 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu;Ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.. 44./0/12/ MOMS $ f/ 5.441e (J/P'n.. X 02..... Street Registered Architect and /or Engineer 1 1 ,p � 4//7.0. - A/ex / 47 9.0 .! Employing Electrician's NameC/.�. U$.t y . . /M,Vy..e5 -.... 4 °d No6i fy�- (T - // Street.29 O Location and Legal Description Lot / /-YI Block Subdivision IC Street and Number where work is to be performed —No . 2 .. ( Street State work to be performed and purpose of building (By Floors) New Building ./••••"-- Remodeling Addition Repairs No. of Stories / ' /I Service Overhead Size Feeders Conduit../ *Main Main Sw /t7.' Amps /0 a Main Fuses . Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding 1 0 The undersigned applicant for this building permit does hereby certify that he understands and accepl i his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, o work to ,be performed and IS permit, as are licensed by Miami Shores Village. COUNTY OP DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. (Signed) 1(5/ (Signed Notary Public, State of Florida Electrical Inspector. ectrician. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 1 l { /� ,/ I� ..4f ii CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.! HP NEON TRANS. RADIO TOTAL CONTR. LIST /0 t 1 ;r1 w,�) �7 �• ' CHECK �g� z � Amount of Permit $ ......• 22. E STATE OP FLORIDA, ) l MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 1 �� ( Date /.60 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Flu;Ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address.. 44./0/12/ MOMS $ f/ 5.441e (J/P'n.. X 02..... Street Registered Architect and /or Engineer 1 1 ,p � 4//7.0. - A/ex / 47 9.0 .! Employing Electrician's NameC/.�. U$.t y . . /M,Vy..e5 -.... 4 °d No6i fy�- (T - // Street.29 O Location and Legal Description Lot / /-YI Block Subdivision IC Street and Number where work is to be performed —No . 2 .. ( Street State work to be performed and purpose of building (By Floors) New Building ./••••"-- Remodeling Addition Repairs No. of Stories / ' /I Service Overhead Size Feeders Conduit../ *Main Main Sw /t7.' Amps /0 a Main Fuses . Amps Underground Type of Installation — Conduit Tubing B.X.L Metal Moulding 1 0 The undersigned applicant for this building permit does hereby certify that he understands and accepl i his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, o work to ,be performed and IS permit, as are licensed by Miami Shores Village. COUNTY OP DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires NOTE: A re- inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. (Signed) 1(5/ (Signed Notary Public, State of Florida Electrical Inspector. ectrician. BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder DATE CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 7253 Description ' Legal Lot Bl Address of d .. C'( Building Work to be performed under this Permit ,6 Value of Project $ Contractor's License No. Subdi- vision Amount of Permit $ BY AUTHORITY 195 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. e"" 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 sCibmitted.,to the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my a2J t, servant or 6 R