839 NE 97 St (3)Date cifr( b 8 Job Address 3 ci )-1E e7 7 sr. Tax Folio
Legal Description Historically Designated: Yes No
X131 o3
Owner/Lessee / Tenant /-/A y LA G a
t3 1, t1 6 1i 1 sX
Owner's Address
Contracting Co.
Qualifier
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Statet C c ( s li s
Municipal #
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle on ' : BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESC 1 ' ON X Ec eoo>` . Aa os o.‘./
Square Ft. 900
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.
SS#
Master Permit #
Phone 3 —
Address
760 Ne. SA N.
- - Phone
Competency #
Address
Address
Ins. Co.
Estimated Cost (value) .5:7 ®O
Si ture of o an or ondo Pre • ent Date Signature of Contractor or Owner - Builder Date
Notary as to Owner and/or Condo
My Commission Expires:
es
FEES: PERMIT � D RADON
APPROVED:
Zoning / Building ✓ ,
Mechanical 1/ /1? rplumbin
b7
Date Notary as to Contractor or Owner - Builder Date
My Commission Expires:
OFFICIAL NOTARY SEAL
21PRY PU 6, BARBARA ANN FUGAZZi
r COMMISSION NUMBER
o CC723468
r MY COMMISSION EXPIRES
e O F FV �� MAR. 29,2002
C.C.F.
NOTARY BOND 2C/ a
TOTAL DUE W 1-3
Electrical i`��� / — S'L"
ky
Engineering
.5164/1,C,1 )7/3/ 9/I 8 /is
Square Ft.
Dzte : / b --t ' Job Address J' ! E
Legal Description
Owners / Tenant ti/Axi C y/
Owner's Address sT9i 91
�
Contracting Co. ,t, L`' a 9 -fit. Address / y 7 gI) S b.) kk
Qualifier NAAA-40-9:N 1.5 -- . - `
State # C 0 z I Municipal # Competency # Ins. Co.G(Acc,4,
Architect/Engineer
Bonding Company
Mortgagor Address
Permit Type (circle one): ' r I ING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
r �l
WORK DESCRIPTION X 8 E O ie o o ) A 1)6.1 ` P i4, z '
Notary as to Owner and/or Condo
My Commission Expires:
S
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 Ri.FCTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate . s that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -nam :. contractor to do the stated.
FEES: PERMIT RADON
L46
OFFICIAL NOTARY SEAL
O`P RY PUve_ BARBARA ANN FUGAZ I
* * COYIOSSION NUMBER
y Q CC723468
T O
e \ C F f� „p rw l 20
APPROVED:
Zoning Building
Mechanical V 112 rPlumbin
Date
C.C.F.
Historically Designated: Yes No
Master Permit #
Phone /
Address
Address
Estimated Cost (value) .j Lit), u
f Contractor or Owner- Builder
NOTARY
Electrical
f t
Notary as to Contractor or Owner -B
My Commission Expires:
,, Maria S. Martinez
e = MY COMMISSION # CC608734 EXPIRES
l ip
December 17, 2000
BONDED TNRUTROY FAIN INSURANCE, INC.
eLKoutilL
BOND
TOTAL DUE
Date
/ FP
Date
v
Engineering
S/rud );'4 9 / i 8 /9s
4
18 '98 11:15
NOTICE OF COMMENCEMENT
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real properly, and in accordancb •rich
Chapter 713. Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address: S 'vG £7
2. Description of Improvement:
3: Owner(s) name and address:
Interest in property:
Name and address of fee simple titleholder:
4. Contractors name and address:
5. Surety:(Payment bond requi
Name and address:
Amount of bond $ t'
6. Lender's name and address:
Sworn to an • subscri
Notary Public
My Commission Expires:
e_
i v by owner from conlraCtor, if any)
8. In addition to himself. Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided In Sec-
tion 713.13(1)(b). Florida Statutes.
Name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7, Florida A Statutes. ^ e
Name and address: MM v
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)
Sj Aj E V Qiru
/his COP 15 k
Office °f the r
t hi=
tit �. t t44, 1\41±
Se w
`Z5'fib S Li) l oo• A
day of OG�/JbPr't9 -0 �„y,. boo/
d the goof
al fil
f she Original
6t01tan c•.
ERIC,
C°PY ° , y
V %14
uN�
FAX
P. 1
83, 97
30.00'
( 1 / 2 R/W)
LL!
Z
FOUND 3/4" PIPE
Nee –ID. (10/20/98)
9
8" WIDE
WALL
LOT 16
2.5'1 WIRE FENCE
WITH HEDGE ON AND
ALONG PROPERTY UNE
X 00,03' , - MEAS:.'
12
WEST
0.27'
WEST
0.23'
WEST
CALL 48 HOURS BEFORE YOU DIG IN FLORIDA
IT'S THE LAM.--
1-800-432-4470
SUNSHINE STATE ONE CALL OF FLORIDA, INC.
8" WIDE
WALL 1 )
c•I
Z
1 STORY GARAGE
(FLOOR ELEV. +9.90)
FOUND 1/2" PIPE
NO -ID. (10/20/98)
200.00' PLAT c
0
to
P
ce
CSI
MIAMI SHORES SECTION No. 3
BLOCK "73"
8 7
WOOD
POLE
J _ —
9.0' ASPHALT
'PAVEMENT
FOUND 3/4" PIPE
N0 —ID. (10/20/98)
NORTH RIGHT OF WAY UNE
OF N.E. 97th. STREET
14.52'
ALUMINUM
SHED
18
CHATTAHOOCHE
PATIO
N9O"00'00.
STORY BUILDING
RESIDENCE #839
(FLOOR ELEV. +12.10)
TILED
e STEPS
667.43' PLAT
27.24'
27.43'
5.75'
5.0' CONCRETE
SIDEWALK
11 10
MIAMI SHORES' SECTION No. 3
BLOCK "74"
6
0
O
9
tos
— E —
0
—X—
ID.
I
0.07'
WEST
WEST
O
N 0.52'
FOUNQ 1/2" PIPE
NO-101 (10/20/98)
3.0' CHAIN' UNK FENCE
WITH HEDGE ON AND
2LI ALONG PROPERTY UNE
o
O
1)
17
L
W t!
WALL
FOUND 3/4" PIPE
N0 -I3. (10/20/98)
281.43' PLAT
282,47,_;MEASy
SET 1/2" PIPE & CAP
LB. 3653 (10/20/98)
FOUND 1/2" PIPE
NO -ID. 0.12' WEST
FOUND 3/4 PIPE
......97
NO -ID. (10/20/98)
r
LEGEND
OVERHEAD ELECTRIC (FPL)
W000 POWER POLE
CHAIN UNK FENCE
EXIST. GROUND ELEVATION
IDENTIFICATION
CONCRETE WALKWAYS
ASPHALT PAVEMENT
(IN FEET )
1 inch = 30 ft.
30 GRAPHIC SCALE
0 30
30.00'
(1/2 R/W)
PROJECT SITE
12 ; 11 ; 10 9
I I
I I
8 17 1
I I I
I l
4 3 , 2
N.C. 913th STREET
13 ; 14 15 ; 16
1 G Y
1 I I I I
9 20 21 22 23 1 24
97th.
ST
LOCATION SKETCH
SECT. 6, TWP. 53s., RNG. 42e.
SCALE: 1"=200'
- All documents are recorded in the Public Records of Miami -Dade County,
otherwise noted.
4-!
LEGAL DESCRIPTION:
Lots 17, 18, and the West 1/2 of Lot 19, Block 73, of MIAMI SHORES SECTION No. 3,
according to the plat thereof as recorded in Plot Book 10 at Page 37 of the Public
Records of Dade County, Florida.
SURVEYOR'S NOTES
- This site lies in Section 6, Township 53 South, Range 42 East, Village of Miami Shores,
Miami -Dade County. Florida.
- Miami -Dade County, Florida was formerly known as Dade County. Florida.
Florida unless
- Lands shown hereon were not abstracted for easements and /or rights -of -way of records.
- Bearings hereon ore referred to an assumed value of N90'00'00 "E for the North right of
way line of N.E. 97th. Street as evidenced by a found 1/2" pipe, and set 1/2" pipe & cop.
- Elevations shown hereon are relative to the Notional Geodetic Vertical Datum of 1929,
based on Bench Mark No. N- 603 -R, Elevation +8.105 Located at N.E. 96th. Street 10'
North of edge of pavement, and N.E. 6th. Avenue 20' East of edge of povement.
- Lands shown hereon are located in Federal Flood Zone X (EL. Undetermined) per Community
Panel No. 120652 0093 J, doted March 2, 1994, and index map revised July 17, 1995.
- Dimensions indicated hereon are field measured using a total station electronic distance
measurement (EDM), unless otherwise noted.
- Lands shown hereon containing 14,048 square feet, or 0.323 acres, more or less.
- Precision of closure 1:10,000 - Commercial Closs Survey.
- Roof overhang not located unless otherwise shown.
- Underground improvements and /or underground encroachments not shown unless otherwise
indicated.
- The opproximote location of all utilities shown hereon were determined from As -Built plans
and /or on -site locutions and should be verified before construction.
- Legal description shown hereon furnished by client.
SURVEYOR'S CERTIFICATION TO: NANCY LAGO
I hereby certify that this Boundary Survey was mode under my responsible charge on October
20, 1998, and m the Minimum Technical Standards as set forth by the Florida Board of
Professional S eyor. and Mappers in Chapter 61G17 -6, Florida Administrative Code, pursuant
to Section 2.027, Florida Stotutes.
FOR � , . � , SKIL.ES, INC., LB365.
By:
Daniel C. Fortin, For The Firm
Surveyor and Mappers, LS2853
Stote of Florido.
"Not volid without the signature and the originol roised seal of o Florida Licensed Surveyor and Mapper"
Om lima, al
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et Sweet me to
esereesteb bt est AO.
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Dram 9.
J.D.1.
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980995
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NONE
Mid Beer
51 +/25,28 S.H.
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980995
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10989 - 095
!meet
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MIAMI SHORES VILLAGE
BUILDING AND ZONING DEPARTMENT
10050 N. E. 2nd AVENUE
2h. (305) 795 -2204 FAX: (305) 75c -2972
BUILDING PERMIT /CONTRACTORS REGISTRATION CHECKLIST
Copy of STATE OF FLORIDA CERTIFICATION (DPBR) .r STATE REGISTRATION
AND DADE COUNTY COMPETENCY LICENSE.
Copy of current OCCUPATIONAL LICENSE from county or :municipality where
business is located.
Certificate of Insurance for LIABILITY (addressed to Miami Shores
Village).
Certificate of Insurance for WORKER'S COMP (addressed to Miami
ShoresVillage) or if exert.
State of Florida LES Form BCM -204, Construction Industry Notice of
Election to be Exempt.
Permit Application (signed by person performing the work, licensed
contractor and the property owner, both signatures notarized).
Two sets of plans /drawings signed and sealed by registered architect or
engineer. Occupancies by Group Classification must be on plans and
permit application. All plans must include folio number and property
address. Amended plans, in addition to the above, must also include the
permit number.
Structural Calculations signed and sealed by architect or engineer when
applicable.
Current survey of the property.
Certificate of Elevation signed and sealed by Surveyor.
/ Substantial Improvements Checklist (contractor or owner).
V Two sets of energy calculations.
'Two sets of signed & sealed Truss Plans (Engineer).
DADE Coun • State of Florida Products Approvals for roof materials, Pte'`;
sheds, s ind•' e.terior /garage doors, aluminum ar orts, scr
enclosur , � - m wnings, skylights, Tench oor and et
i► co-Ai 4- var % c . .
HRS AOE ^ ty Tmp t F Set
Approvals ram , ���- • -_ »��� i �- �-���, Fire Department &
Health Department (when applicable) . .
Warranty Deed or Other Proof of Ownership if necessary.
V Structural Review fee
Flood Elevation
0C.
PLEASE SUBMIT EVERYTHING CHECKED OFF
I1 .tCL/ L-/1b
?53`7't cP 7 s7;
FOUND 3/4" PIPE
NO —ID. (10/20/98) o
NORTH RIGHT OF WAY UNE
OF N.E. 971h. STREET
14.52'
ALUMINUM
SHED
N t] V Sl'Ub t
6.7.52.... 97t
4.0'
1 ' STORY BUILDING
RESIDENCE #839
(FLOOR ELEV. +12.10)
riii r ri�l rrii rii riiU
LANDSCAP
•
12.U1
667.43' PLAT
27.43'
(125.00' PLAIT)
125.02 •
CHATTAHOOCHEE,-ICONCRETE AC.
PATIO / kJNIT SLAB
27.24'
5.75'
5.0' CONCRETE
SIDEWALK
0.07'
30.00'
(1/2 R/W)
9
FUND 3/4" PIPE
NW —ID. (10/20/98)
8" WIDE
WALL
LOT 16
2.5'1 WIRE FENCE —
WITH HEDGE ON AND \�
ALONG PROPERTY UNE
WE ST
0. 27'
WE ST
0.23'
8" WIDE
WALL d
CV
1'
O
O
z
1 STORY GARAGE
(FLOOR ELEV. +9.90)
FOUND 1/2" PIPE
NO –ID. (10/20/98)
200.00' PLAT 9
•200,U3 YFA&.
12
IT'S THE LAW
1- 800 - 432 -4470
SUNSHINE STATE ONE CALL OF FLORIDA, INC.
0
■
MIAMI SHORES SECTION No. 3
BLOCK "73"
8 1 7 POWER
WOOD
POLE
11 10
MIAMI SHORES' SECTION No. 3
BLOCK "74"
9.0' ASPHALT
PAVEMENT
E
6
FOUN 1/2" PIPE
NO —IDI (10/20/98)
N
1.
WEST
w
O
O
M
0
O
N O 52'
WEST
9
ce
tht
— E —
O
—X
ti
a
a
ID.
19
3.0' CHAIN] UNK FENCE
WITH HEDGE ON AND
ALONG PRQPERTY UNE
`8" WIIDE
WALL
FOUND 3/4" PIPE
NO –I . (10/20/98)
28 2 .43' PLAT
282.47' .. MEAS ._.
SET 1/2" PIPE & CAP
LB. 3653 (10/20/98)
FOUND 1/2" PIPE
NO –ID. 0.12' WEST
FOUND 3/4" PIPE
NO –ID. (10/20/98)
r
LEGEND:
OVERHEAD ELECTRIC (FPL)
WOOD POWER POLE
CHAIN LINK FENCE
EXIST. GROUND ELEVATION
IDENTIFICATION
CONCRETE WALKWAYS
ASPHALT PAVEMENT
GRAPHIC SCALE
30 0
( IN FEET )
1 inch = 30 ft..
30.00'
(1/2 R/W)
J
Not valid
15 30
otherwise noted.
LEGAL DESCRIPTION:
Lots 17, 18, and the West 1/2 of Lot 19, Block 73, of MIAMI SHORES SECTION No. 3,
according to the plot thereof as recorded in Plat Book 10 at Page 37 of the Public
Records of Dade County, Florida.
SURVEYOR'S NOTES=
– This site lies in Section 6, Township 53 South, Range 42 East, Village of Miami Shores.
Miami –Dude County, Florida.
– Miami –Dade County, Florida was formerly known as Dade County, Florida.
– All documents are recorded in the Public Records of Miami –Dade County, Florida unless
– Lands shown hereon were not obstrocted for easements and /or rights –of –way of records.
– Bearings hereon ore referred to on ossumed value of N90'00'00 "E for the North right of
way line of N.E. 97th. Street as evidenced by a found 1/2" pipe, and set 1/2" pipe & cap.
– Elevations shown hereon ore relative to the Notional Geodetic Vertical Datum of 1929,
based on Bench Mark No. N- 603 –R, Elevation +8.105 Located at N.E. 96th. Street 10'
North of edge of pavement, and N.E. 6th. Avenue 20' East of edge of pavement.
– Lands shown hereon are located in Federal Flood Zone X (EL. Undetermined) per Community
Panel No. 120652 0093 J, dated March 2. 1994, and index map revised July 17, 1995.
– Dimensions indicated hereon are field measured using a total station electronic distance
measurement (EDM), unless otherwise noted. •
– Lands shown hereon containing 14,048 square feet, or 0.323 ocres, more or less.
– Precision of closure 1:10,000 – Commercial Class Survey.
– Roof overhang not located unless otherwise shown.
– Underground improvements and /or underground encroachments not shown unless otherwise
indicated.
– The approximate location of all utilities shown hereon were determined from As –Built plans
and /or on –site locotions and should be verified before construction.
– Legal description shown hereon furnished by client.
, SKILES, INC., LB3653
97th.
PROJECT SITE
STREET
LOCATION SKETCH
SECT. 6, TWP. 53s., RNG. 42e.
SCALE: 1"=200'
SURVEYOR'S CERTIFICATION TO: NANCY LAGO
I hereby certify thot this Boundary Survey was mode under my responsible charge on October
20, 1998, and m -- the Minimum Technical Standards as set forth by the Florido Board of
Professional S eyor. and Mappers in Chapter 61G17 -6. Florida Administrative Code, pursuant
to Section 2.027, Florida Stotutes.
•
Daniel C. Fortin, For The Firm
Surveyor and Mappers, LS2853
Stote of Florido.
without the signature and the original raised seal of o Florida Licensed Surveyor and Mapper"
IOW Is
P-"' '—,. De, .a
ara raw.*
d Son. Itegeoduai w
.rte .
Pon* r I.
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10/20/98
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J.D.L.
c.6 Mu
980995
Oat. Plotted
8.1. Dn.
NONE
?had Book
514/25.28 B.H.
fob — 9.
980995
Da No.
10988 -095
>m...
1 .1 1
FORM 600A -93
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Residential Whole Building Performance Method A
Project Name:
Address:
City, State:
Owner:
Climate Zone:
Lago Residence b
Miami Shore, Ft
Lago
South
Builder:
Permitting Office: Miami Shores
Permit Number:
Jurisdiction Number:
I. New construction or existing
2. Single family or multi - family
3. Number of units, if multi - family
4. Is this a worst case?
5. Conditioned floor area (ft")
6. Glass area & type
a. Clear - single pane
b. Clear - double pane
c. Tint/other SC - single pane
d. Tint/other SC - double pane
7. Floor types
a. Raised Wood, Post or Pier
b. Slab -On -Grade Edge Insulation
c. N/A
8. Wall types
a. Concrete, Int Insul, Exterior
b. N/A
c. N/A
d. N/A
e. N/A
9. Ceiling types
a. Under Attic
b. N/A
c. N/A
10. Ducts
a. Sup: Uncond. Ret: Cond.
h. N/A
New
Single family _
1
No
2283 ft"
353.0 f1
87.0 ft 2
0.0ft
0.0 ft'
R =0.0, 694.0ft -
R=0.0, 155.0(p) ft
R=4.2, 1952.0
R =30.0, 2283.0 ft' _
Sup. R=6.0, 30.0 ft _
I I. Cooling systems
a. Central Unit
b. N/A
c. N/A
12. Heating systems
a. Electric Strip
b. N/A
c. N/A
13. Hot water systems
a. Electric Resistance
b. N/A
14. Hot water conservation credits
(HR -Heat recovery, solar
DHP- Dedicated heat pump)
15. Infiltration practice (I, 2, or 3)
16. HVAC credits
(CF- Ceiling fan,
CV -Cross ventilation,
HF -Whole house fan,
RB -Attic radiant barrier,
MZ- C- Multizone cooling,
MZ- H- Multizone heating)
Cap: 48.0 kBtu/hr -
SEER: 12.00
2
Cap: 34.0 kBtu/hr -
COP: 1.00
Cap: 40.0 gallons -
EF: 0.89
Glass /Floor Area: 0.19 Total as -built points: 39209.00 EP! = 91.1
Total base points: 43035.00
I hereby certify that the plans and specifications covered
by this calculation are in compliance wit fj the Florida
Energy Code.
PREPARED BY:
DATE: aQ /fi Afr
I hereby certify that this bail is in
Florida Energy Code.
OWNER/AGENT:
DATE:
liance with the
SN: 1234
Review of the plans and
specifications covered by this
calculation indicates compliance
with the Florida Energy Code.
Before construction is completed
this building will be inspected for
compliance with Section 553.908
Florida Statutes.
BUILDING OFFICIAL:
DATE:
ITEM
HOME VALUE
Low Efficiency
High Efficiency
WINDOWS j
INSULATION
Ceiling R -Value
Wall R -Value
Floor R -Value
AIR CONDITIONER
SEER
HEATING SYSTEM
Electric COP
WATER HEATER
Electric EF
Gas EF
Solar EF
OTHER FEATURES
Single Clear
30.0
4.2
0.0
12.00
1.00
0.89
N/A
N/A
SINGL CLR
DBL TINT
• 1
1
1
R-10
R
1 1
1
1
R-0
R-7
1 1
I
a
I I
R-0
R -19
• I
1
t I
10.0
SEER
17.0
I I`
1
I I
9.7
1.0
EER
COP
16.0
3.0
® 1
1
1 1
0.68
0.B6
® 1
I
1 1
0.54
0.90
l 1
1
1 i
1.0
5.0
i I
1
i 1
I I
I
I 1
1 1
1
1 1
ENERGY PERFORMANCE LEVEL DISPLAY CARD
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DCA Form 600A -93
or Form 600B-93
0 10
1 1
1 E
excellent good acceptable
The maximum allowable EPI is 100. The lower the EPI the more efficient the home.
DENTAL
30 ao so so 70 80 90 100
ERG
PER
I certify that these energy saving features required for the Florida Energy Code have been installed in this house.
Builder
Address: Signature:
City/Zip:
Florida Energy Code for wilding construction-1993 Florida Department of Community Affairs FL -EPL CARD 93
ORMA
mcg'smieCi
Date:
Lago
Miami Shore Fl