The URL can be used to link to this page

RC-09-300This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: LESCOTT LYTTLE - COOMBS JACQUELINE JAMES Contractor Miami Shores Village 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305- 795 -2204 Fax: 305- 756 -8972 Building Inspection Department Not Transferable POST IN A CONSPICUOUS PLACE 2 1 Building Officials Approval Norman Bruhn, CBO PROJECT TYPE: ZONING AeA-A -Q 9- A � °fit SUBMITTAL DATE: I ? a ADDRESS: @I Nt 99ST NAME: RESUBMITAL DATES: FIRE Vf`kk IMPACT FEES HRS/DERM PERMIT # i — WO CONTRACTOR: MECHANICAL Inspection Number: INSP- 107519 Permit Number: RC -3 -09 -300 Scheduled Inspection Date: March 25, 2011 Inspector: Bruhn, Norman Owner: JACQUELINE JAMES, LESCOTT i vTT C rAA11AQC Job Address: 286 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NHTC CORPORATION Building Department Comments GARAGE CONVETION INTO BEDROOM AND SUNROOM INTO MASTER BATHROOM. (AFTER THE FACT) Failed Correction Needed Re- Inspection Fee March 24, 2011 No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments e/ / / o/L(,." C-6 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060134310 Phone: (305)878 -3971 Page 1 of 8 APPUCANT: AGENT: PROPERTY ADDRESS LOT: CHECKED Ex] ITEMS ARE EOM [071 108] [091 [ BLOCK • L STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL ' • TANK INSTALLATION [01] TANK SIZE [1] 11 glen [02] TANK MA [03] ..9UTLET [04] MULTI-CHAMB I OUTLET F1L LEGEND / - .7" WTERTGK TO UD D DEPTH OF COVER .2. ELEVATION [ABO SUBDIVISION: J 1- '(7) INSTALLATION (11/ 'Tx 3: 1[2] 5:114_ SOFT DI TRIBUTION BOX _HEADER N BER OF DRAINUNES D INUNE SEPARATION 3 SYSTEM !ORATION DOSING PUMPS AGGREGATE SIZE L). AGGREGATE EXCESSIVE FINES AGGREGATE DEPTH / FILL / EXCAVATION MATERIAL [ [22] FILL AMOUNT [23] FILL TEXTURE [ 1 [24) EXCAVATION DEPTH [ ] [25] AREA REPLACED [ ] [26] REPLACEMENT MATERIAL DPI 4016 (Page 2), 10/97 (Previous Editions May Be Used) - • Stook Number: 5744-0O2-4016-4 • L 0 . / CONSTRUCISAPPROVEDI: 0 rq", 1771 PROPERTY ID 6- . , . WITH ' STATUTE OR RUM AND MUST BEV,. CORRECTED. SETBACKS [ ] [271 SURFACE WATER FT [ ] [28) DITCHES FT [ ] [29] PRIVATE WELLS FT [ ] [30] PUBUQWELLS FT [ ] [31] IRRIGATION WELLS 1 V FT [ ] [32] POTABLE WATER UNES 1 0 FT [ 1 [33] BUILDING FOUNDATION '74, FT [ ] i [34] PROPERTY UNES J 7 r" Fr r I [35] OTHER Fr FINAL SYSTEilAPPROVEp/DISAPPROVED]: /(-" e •-•. PERMIT -• .2 .•• DATE PAID FEE PAID: RECEIPT It: FILLED / MOUND SYSTEM [36] DRAINFIELD COVER [37) SHOULDERS [38] SLOPES [39] STABILIZATION ADDITIONAL INFORMATION [40] UNREISTRUC [41]' 'SToRMWATER R&SIOFF [42] ALARMS [43] MAINTENANCE AGREEMENT [44] BUILDING AREA [45] LOCATION CONFORMS WITH SITE PLAN 146] FINAL SITE GRADING [47] CONTRACTOR 4. (48] OTHER ;PI ABANDONMENT [49] TANK PUMPED —/—/ [50] TANK CRUSHED & FILLED_./ EXPLANATION OF VIOLATIONS / REMARKS: ( lk r 1 _r / CHD DATE d- 3 4 CHD DATE: Page 2 of 3 PT 1: Applaant. PT a lestalledeontreeter PT a Sung Department PT 4: Health Department DIVISION Emfinmmental Health Florida Department of Health Miami -Dade County Health Department OSTDS/Well Division inns SW 26 St. • Moot, FL 33175 inspector Date 3 4.20/ Adam .12' 6 ar c,/, e . J`5 gams # f $3 1-7 9 3 com /" GARAGE CONVETION INTO BEDROOM AND SUNROOM INTO MASTER BATHROOM. (AFTER THE FACT) Passed . . ; )4/- Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: INSP - 157466 Inspection Date: March 22, 2011 Inspector: Bruhn, Norman Owner: JACQUELINE JAMES, LESCOTT 1 vrr a �nn��oe Job Address: 286 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NHTC CORPORATION Building Department Comments March 22, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Perrrit Number: RC -3 -09 -300 Permit Type: Residential Construction Inspection Type: F. Elevation Certificate Work Classification: Addition /Alteration Phone Number Parcel.Number 1132060134310 Phone: (305)878 -3971 Paae 1 of 1 B4. Map/Panel Number 85. Suffix B6. FIRM Index 87. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12086C 0302 L Date Effective/Revised Date Zone(s) AO, use base flood depth) 09/11/09 09/11/09 X N/A U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency Management Agency National Flood Insurante Program Al. Building Owner's Name LESCOTT & JACQUELINE JAMES ORDER#31 -17110 A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 286NE99ST A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT3 & W% LOT 2, BLK 32, MIAM SHORES SEC 1 PB 10-70, OF PUBLIC RECORDS OF MIAMI DADE COUNTY, FLORIDA; FOLIO:11- 3206-013 -4310 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 25 °51'57.75"N Long. 80 °11'31.09' W Horizontal Datum: ❑ NAD 1927 ►_ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood insurance. A7. Building Diagram Number 9 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1585 sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 6 c) Total net area of flood openings in A8.b 504 sq in d) Engineered flood openings? ❑ Yes ►_I No a) b) c) d) e) f) 9) h) City MIAMI State FL ZIP Code 33138 Important: Read the instructions on pages 1 -9. SECTION A - PROPERTY INFORMATION SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION BI. NFIP Community Name & Community Number VILLAGE OF MIAMI SHORES 120652 B2. County Name MIAMI -DADE B3. State FL B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile < FIRM ❑ Community Determined ❑ Other (Describe) BI 1. Indicate elevation datum used for BFE in Item B9: lI NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) BI2. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date N/A ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* >- Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 A30, AR/AH, AR/AO. Complete Items C2.a -h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized N-397 -R Vertical Datum NGVD 29 Conversion/Comments N/A Top of bottom floor (including basement, crawlspace, or enclosure floor) 10.1 Top of the next higher floor 12.53 Bottom of the lowest horizontal structural member (V Zones only) NLA Attached garage (top of slab) Id/.A Lowest elevation of machinery or equipment servicing the building 11.28 (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) 10.7 Highest adjacent (finished) grade next to building (HAG) 11.2 Lowest adjacent grade at lowest elevation of deck or stairs, including N/A structural support Title PROFESSIONAL LAND SURVEYOR Company Name JOSE A DIAZ P.S.M. Address 11865 SW 26 ST BUILD I, STE 14 City MIAMI FEMA Form 81 -31, Mar 09 A9. For a building with an attached garage: a) Square footage of attached garage NIA sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes No feet feet feet feet feet feet feet feet SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available./ understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ►_� Yes ❑ No Certifiers Name JOSE A. DIAZ License Number 2798 State FL ZIP Code 33175 Signature Date 02/25/2011 Telephone 305-227-7432 Check the measurement used. ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) OMB No. 1660 -0008 Expires March 31, 2012 For Durance Company Use: Policy Number Company NAIC Number ❑ Yes ® No Z 7g ? di j See reverse side for continuation. Replaces all previous editions For Insurance Company Use: • Policy Number Company NAIC Number IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 286 NE 99 ST City MIAMI State FL ZIP Code 33138 Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner. Comments C.O.R. 10.63' C2.e) NC LOCATED AT REAR OF THE RESIDENCE A5. LONG -LAT BY GOOGLE EARTHT Signature SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items El -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is . 0 feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6 -9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is . 0 feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yee 0 No ❑ Unknown. The local official must certify this information in Section G. The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address Signature Comments 0 Check here if attachments The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. GI . ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA - issued or community- issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance /Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet 0 meters (PR) Datum Local Official's Name Community Name Signature Comments FEMA Form 81 -31, Mar 09 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Date 02/25/2011 SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION City Date Telephone SECTION G - COMMUNITY INFORMATION (OPTIONAL) Title Telephone Date State ZIP Code Check here if attachments ❑ Check here if attachments Replaces all previous editions Building Photographs See Instructions for Item A6. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 286 NE 99 ST City MIAMI State FL ZIP Code 33138 For Insurance Company Use: Policy Number Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View "; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. JOSE A DIAZ PS 2798 02/25/2011 (FRONT V!EW) ...LOSE A DIAZ PSM 2798 02/25/2011 (REAR VIEW) Building Photographs Continuation Page Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. City State ZIP Code For Insurance Company Use: Policy Number Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View "; and, if required, "Right Side View" and "Left Side View." GARAGE CONVETION INTO BEDROOM AND SUNROOM INTO MASTER BATHROOM. (AFTER THE FACT) .Y/ / Inspector Comments Pa - i t Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: March 22, 2011 Inspector: Bruhn, Norman Owner: JACQUELINE JAMES, LESCOTT 1 f'nnse Job Address: 286 NE VTr 99 Street De Miami Shores, FL 33138- Project: <NONE> Contractor: NHTC CORPORATION Building Department Comments March 22, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 157465 Permit Number: RC -3 -09 -300 1 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Survey Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060134310 Phone: (305)878 -3971 Page 1 of 1 ,911. o Ln o to — to .c1.1 50' in 1— P 50' in P rQ Q co b co S0' 50 19 in 50' 50 ' in - ' / 25' 53.2. ,S11 In in in in / in in 8 7 5 4 1 50' 50' 50' 50' 44 25' ,911. o Ln o to — to .c1.1 50' 16 50' in 1— P 50' 17 50' in P 50' 18 50' in - 50 19 in 50' 20 50' in - 50' 21 50' in _ 50' 22 50' in r 1 23 in r 53.5 ) MAP OF BOUNDARY SURVEY // f / ; //! 9.33' ONE STORY C.H.S. RES.# 286 NE 99th ST MIAMI, FL 33138 F.LP.yt "° (no cap) LOT 4 0.3' 0 0 tfi 0.3' U.P U.P. ON 75.00' 22' PARKWAY 00. silae 1 : PC ;/ riAj. / 4 / / ,� ,T i!Yi 53 0 E 0 Lei (no cap) —�►,.� -0.30' PORTION LOT 2 0.w. .•- F.I.P.l�t /r/v°7// >-- co BASIS OF BEARING SYSTEM WHEN SHOWN REFER TO' TYPE OF SURVEY'B❑UNDARY SURVEYOR'S CERTIFICATION' Y',CERTIFY:,'THAT THIS 'BOUNDARY SURVEY" AND AP OF SURVEY RESULTING THERE FROM WAS ED =UNDER y'MY DIRECTION AND IS TRUE AND T0THE B, OF MY KNOWLEDGE AND BEUEF AND 'T SAIOUNDARY SURVEY MEETS THE E ° MIN.MJM TECHNICAL STANDARDS FOR LAND THE OF FLORIDA ', PURSUANT TO RULE CRI0 4�Ap�1NISTRATIVE CODE AND ITS R , ,4HAP ER 472.027 OF THE FLORIDA J CL ILA LU 0 0 EX USI SE E ENTITLE PREPARED FOR AMED HEREON AND THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. ZONING, ZONED STREET UNES, SETBACK, UNDERGROUND EASEMENT AND RIGHT OF WAY, ETC. FROM ABSTRACT TO BE VERIFIED AND /OR OBTAINED BY OWNER, ARCHITECT OR BUILDER BEFORE DESIGN OR CONSTRUCTION. 0 MAR 2 2 2011 BY: . SCALE 1 ° =20' FLOOD ZONE INFORMATI ❑N COMMUNITY NUMBER 120652 PROPERTY ADDRESS' 286 NE 99th ST MIAMI, FL 33138 SOURCE OF LEGAL DESCRIPTION' CLIENT LEGAL DESCRIPTION' LOT 3 AND THE WEST lA OF LOT 2 SUBDIVISION MIAMI SHORES SECTION NO 1 ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 OF THE PUBLIC RECORDS OF MIAMI —DADE COUNTY, FLORIDA. FOLIO: 11- 3206 -013 -4310 15 ALLEY NE 99th ST PANEL NUMBER 302 NE 98th ST SUFFIX L DATE OF FIRM 09/11/09 15 ALL Examination of the abstract of title will have to be made to determine recorded Instruments, any affecting the property. Location and Identification of utilities on and /or adjacent to tha— property were not secured as such information was not requested. Ownership Is subject to opinion of title. Underground foundation and utiilties not located. The survey depicted here is not covered by professional liability insurance. if DATE. DATE. DATE. DATEI JOSE A DIAZ 11865 SW 26 ST. PROFESSIONAL SURVEYOR BUILDING I, SUITE 14 AND MAPPER MIAMI, FLORIDA 33175 CERTIFICATE NUMBER LS 2798 PH. 305- 227 -7432 FIP_ 78.23' BLOCK 32 AT PAGE 70 LOCATION SKETCH SCALE 1 °= 100' FIRM ZONE X BASE FLOOD ELEVATION N/A ABBREVIATIONS & LEGEND BLVD•BOR.EVAR BAP SENCFI MARK C T BASIN CBS. CONaETE BLOOC STRUCTURE CIRCPCIRCLE C CH WARING CLF UNK MICE CCPC.PCONCRETE CSPTE SLAB CIDOCUT DRILL HOLE AnDIAMETER OE• WRRAOVAtE 6 MAINTENANCE EAST ELV•FIEV ENCPENCROACHMENT ESNT•EASEFENT ETPPELECTRIC TRANSFORMER F4ORND PAD FON.FOAND DRILL MOLE FFE4INISH FLOOR ELEVATION FH•FIRE HYDRAA FIP.FOUND MEN PIPE NA NAR. MSC FR4ODA1 FE -DAR DIST•DISTANCE FRAPFRAME FT•FEET H>NEIONT COO NVY HIGIVAY LFE•dOVEST FLOOR ELEVATION LN.LN FRO MILL HOPE FFE4INISH FLWR ELEVATION FH4OE HYDRANT FIP-FOUND IRON PIPE FN FORND NAIL FND.PO ND NAIL MSC FR4ORND RE -BAR DIST.DIST NCE FRA4RAME FT4EET HWEIGHT GOOD HVY•ICONVAY LFE. LOVEST FLOOR ELEVATION ENPLANE MSLPMF.A14 SEA LEVEL IE NACOABENT IL•IErRRENT LANE N$.NTAL SHED warm NDVDPMATIONAL GEODETIC ND•NUM DATUM N .NDN RADIAL NTS•NDT TO SCALE ORAPIFFICIAL RECORD BOOK OVN DVE(READ aV .nVERFEAD VMS P.POtNT PAVNT•PAVEMENT PMT OF CURVATURE P CA comma CURVE AGE PKVY4ARKVAY PL4LACE PIL•PIiOPERTY ERIE PLAPPLANTER POBOPOINT OF BED POC.PDINT W COMMENCEMENT PRAPPERMATENT REFERENCE PSMPPROFESSIONAL 0 SURVEYOR R.RADIJS RD•RADIAL Ec PRA& fi RESPRESIDENCE VAY SPSaRH ROUT NAIL PORCH STV.STORY SVK•SNEVALN T.TANGENT TVP°°TOVNSIRP UE.UTD. TY EASE ENT ClabITY POE VF.V®D FENCE VP-VATER NETER WOO= FENCE OPEENTRAL ANGLE CHAW LFBC FENCE -CLF � O�V a AL . M=I Via FENCE NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF FLORIDA LICENCED SURVEYOR AND MAPPER PSM NO 2798 JOSE A. DIAZ STATE OF FLORIDA DATE OF FIELD SURVEY' 0 ? /P5 /P011 FOR' LESCIITT K. 1 YTTLE & JACKELINE PATRICIA JAMES ORDER NO, 31 -17110 DRAWING' L.R.M. INSPECTION RECCi ' km11 Miami Sheres Village 10050 N E. 2nd Avenue Phone: (305)795-2204 Fax (30U , t:e rjate . 10/8/2009 Miami Shores, FL 33138 INSPECTION REQUESTS: (305)762.4949 REQUESTS ARE ACCEPTED DURING 8:30AM - 1HE FOLLOW IN'.7 BUSINESS DAY. Residential Construction Owner's Name: LESCOTT LYTTLE--COOV:3:. ,jAMF:3 Job Address: 2afalatreet NE Bond Number: *3;440WAILIMMIMPOWAVAMV.A0 Contract() NHTC CORPORATION Elharai_StIores, WORK IS ALLOWED MONDAY THROUGH SATURDAY, -mii-watemmteavareas 4 X 444,4414,4 41441 iNffin&SFAXV#41 . • 4.. • •4 , 14 4 , ' ' 7:30AM - 6:00PM. NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS. Phont? • 7;1,.Tq:iry Contro MOW. SPAMEMMIMIIIIMPIIINIMMIIIMORMOVINtRIM ametesumssamaismagatasseamens If .1, 1,96 MICIRRAESSMR THIS MUST BE ON JOB AT TIME OF INSPECTION WARNING TO OWNER: COMMENCEMENT MAY RE.:_ TO YOUR PROPERTY. A :1O' AND POSTED ON THE JC INTEND TO OBTAIN ATTORNEY BEFORE CONIVill. COMMENCEMENT. Total Job Valuation: $ 45,000.00 NO INSPECTION WILL BE MADE UNLESS THE PE t Csf,H;:; .: AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE IT IS THE PERMIT APPLICANTS RESPONSIBILITY TO EW3URE Y'IORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL EC: I XPENSE ENTi!.t.:LED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL FIFE UF.E TO RECORD A NOTICE OF - JR :PING TWICE FOR IMPROVEMENTS OF COMMENCEMENT MUST BE RECORDED 'Mr.: THE FIRST INSPECTION. IF YOU WITH YOUR LENDER OR AN ,ORI\ ;.:' RECORDING YOUR NOTICE OF Permit NO. RC-3-09-300 Peal* Type: Residential Construction Work dassificaiial AdditkaliAlteration Expires: 04/06/2010 Parcel #:1132060134310 Owner's Phone: 1343 Total Square Feet: POST ON SITE BUILDING INSPECTIONS ARE DONE MONDAY THROUGH THURSDAY. ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO BUILDING INSPECTIONS DONE ON FRIDAY. VAIMMOIMINVNIFOIROMINOMSTOMM STRUCTURAL INSPECTION *ATE INSP Foundation %' Stemwal I Slab Columns (1st Lift) ( /Zre- dokc Cow) Tie Beam - /j-la / Roof Sheathing Roof Sheathi Bucks Windows /Doors Interior Framin u4ti Insulation Ceiling Grid D rywall Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base I Tin Cap Rou in rn';Co ess 'Mop in Progress Final Roo Shutters Attachment Final Shutters Rails and Guardrails ADA com liance FINAL r DOCUMENTS Soil Bearing Cert Soil Treatment Cert Floor Elevation Surve Reinf Unit Mas Cert Insulation Certificate Spot Survey Final Survey Truss Certification STRUCTURAL COMMENTS tie d" Ck lDC.P ,' c .icM INSPECTION RECORD FINAL INSPECTION Rough Water Service Sewer Hook -u Roof Drains Gas LP Tank Well Lawn S.rinkiers Main Drain Pool Pi in Backflow Preventor Interce•tor Catch Basins Condensate Drains HRS Final Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation Final P I H: ate MECHANICAL COMMENT INSPECTION DATE Zoning Final ZONING COMMENTS Temporary 30 Dar' Tem.ora Pool Pool Pool Eondinu Deck Bondin Wet Niche Under. round Footer Ground Slab Wall Rou Ceiling Tele.hone Rough Tele.hone Final TV Rough TV Final Cable Rough Cable Final Intercom Rough Intercom Final Alarm Rough Alarm Final Fire Alarm Rough Fire Alarm Final Service Work With FINAL 2 " Rough DATE INSP ELECTRICAL INSPECTION Pole DATE INSP 9 $' it GARAGE CONVETION INTO BEDROOM AND SUNROOM INTO MASTER BATHROOM. (AFTER THE FACT) Passed Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: I NS P- 157467 Permit Number: RC -3 -09 -300 1 Inspection Date: March 22, 2011 Inspector: Dacquisto, David Owner: JACQUELINE JAMES, LESCOTT 1 VTT C rAASAQC Job Address: 286 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NHTC CORPORATION Building Department Comments March 22, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Declaration of Use Work Classification: Addition /Alteration Phone Number Parcel Number 1132060134310 Phone: (305)878 -3971 Page 1 of 1 Restrictive Covenant Declaration of Use Prepared by: DECLARATION OF USE KNOW ALL MEN BY THESE PRESENTS: Signature and Print My commission expires: on this N WITNESS of WH REOF, the undersigned has/have caused da F eJ , . WITNESS(ES) Signature L ' 4 ° and Print / 4-1G A/ 111111111 11111 1111111111111111111111111111111 CFN 2011R0130130 OR Bk 27600 Pss 1742 - 1743; (2P9s) RECORDED 02/28/2011 13:35:14 HARVEY RUVIH, CLERK OF COURT I'IIAIII -DARE COUNTY, FLORIDA WHEREAS, the undersign : e , ` �,,� is/are the fee simple owner(s) of the following, described property ( • rope situat-d and being in Miami Shores Village, Florida: Lot(s) °� k.N gzr), 4 - - t.. Bl ock Z of p ,c-�, � - ty.s , c (Subdivision), a ding b the plat ereo as recorded in thgPlat Book Page of the Public Records of Miami -Dade County, Florida, (address) a et-, N� ` �,� - -- I 7..R and WHEREAS, the undersigned owner(s) have sought certain development approval from Miami Shores and are providing this document in consideration thereof and to induce the Village to grant same: NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which is acknowledged, the undersigned do(es) hereby declare and agree: 1. That the Property will not be used in violation of any ordinance of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. 2. That the property will be used for a single family residence only. 3. That he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above Property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordance with the codes, rules and regulations of said Village then in effect hand(s) and seal(s) to be affixed hereto Signature and Print . c %* . G_ 1�• ,,,a Signature n UThKf usu TATEOF `�� ; ► A nt ° " ,,, Linda M. !Alan! ,y Commission #DD842267 STATE OF FLORIDA = :��,d�, COUNTY OF MIAMI -DADE ) '�::. � Expires: DEC:.02 soap elm imsu eTwiric B oxemacet ut. I HEREBY CERTIFY that on this day personally appeared before me C t ye\ or e who is personally known to me or has produced F/' _ c_ (type of identification) as identification and he /acknowledge that hei9 executed the foregoing, freely and voluntarily, for purposes therein expressed. SWORN TO AND SUBSCRIBED before me on this a c� O day of C , 2011. NOTARY PUBLIC, STATE OF FLORIDA O liesS : 0R. 86 s t4e'W,C LStOYNeS 2Z SS 'g A sse4f1"/ OR BK. 27600 PG 1743 LAST PAGE GARAGE CONVETION INTO BEDROOM AND SUNROOM INTO MASTER BATHROOM. (AFTER THE FACT) Passe .l� Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: I NS P- 157470 Permit Number: RC -3 -09 -300 1 Inspection Date: March 22, 2011 Inspector: Bruhn, Norman Owner: JACQUELINE JAMES, LESCOTT r vrr c rnneeec Job Address: 286 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NHTC CORPORATION Building Department Comments March 22, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Final PE Certification Work Classification: Addition /Alteration Phone Number Parcel Number 1132060134310 Phone: (305)878 -3971 Page 1 of 1 March 3, 2011 Building Official Miami Shores Village Building Department 10050 Northeast 2nd Avenue Miami Shores, Florida 33138 Attn.: Building Inspector Re: James - Lyttle Residence 286 NE 99 St Miami Shores, Florida 33138 Permit # RC309 - 300 Building Official: ENGINEERING CONSULTING I, Jacqueline P. James, having certified, performed and approved the required inspections as indicated on the attached approved inspection log, hereby attest that to the best of my knowledge, belief and professional judgment, the structural and envelope components of the above referenced structure are in compliance with the approved plans and other permit documents. I also attest to the best of my knowledge, belief and professional judgment, the approved permit plans represent the as -built condition of the structural and envelope component of said structure. This document is being prepared in accordance with Section 307.2 of the South Florida Building Code and is being submitted to the Miami Shores Building Department at the time of final inspection for the above referenced structure. Should you have any questions or need any additional information, please do not hesitate to contact me. Very truly yours, Jacqueline P. J -arses, Ph.D. P.E. Imara Engineering Consulting 9100 S Dadeland Blvd, Suite 1500 Miami, Fl 33156 License #: 66579 GARAGE CONVETION INTO BEDROOM AND SUNROOM INTO MASTER BATHROOM. (AFTER THE FACT) Passed ifi Inspector Comments Failed Correction Needed Re- Inspection Fee 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: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 157469 Permit Number: RC -3 -09 -300 I Inspection Date: March 22, 2011 Inspector: Bruhn, Norman Owner: JACQUELINE JAMES, LESCOTT i V T a nnneeoc Job Address: 286 NE I 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NHTC CORPORATION Building Department Comments March 22, 2011 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: F. Termite Letter Work Classification: Addition /Alteration Phone Number Parcel Number 1132060134310 Phone: (305)878 -3971 Page 1 of 1 DELTA Pest Control Co. 8310 SW 43 Street Miami, FI 33155 Phone: 305 - 221 -3149 License # JB 1233 Certificate of Compliance for Termite Protection (As required by Florida Building Code (FBC) 1816.17) For the property: 286NE99St. Miami Shores, FI 33138 Method of Termite Prevention Treatment -soil barrier, wood treatment, bait system, other (describe) The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules and laws established by the Florida Department of Agriculture and Consumer Services. Authorized Signature 2/25/1 Date OV95q) Notice of Preventative Treatments for Termites (As required by Florida Building Code (FBC) 104.2.6) . 0 5 °a Percent Concentration N O MIS: ,413 8310 SW 43rd Street • Miami, FL 33155 Phone: 305-221-3149 286 NE.99 ST Miami Shores,F1 Address of Treatment or Lot/Block of Treatment Time 1:00 pm OVM 176 LF Area trreated (square feet) Linear feet treated Horizontal & Adjoining Slab Stage of treatment (Horizontal, Vertical, Adjoining Slab, retreat of disturbed area) If this notice is for the final exterior treatment, initial and date this line Luis Cabezas Applicator Premise 75 Imidacloprid 20 Gallons Product Used Chemical used (active ingredient) Number of gallons applied As per 104. 2. 6 - If soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. 2 ,c c GARAGE CONVETION INTO BEDROOM AND SUNROOM INTO MASTER BATHROOM. (AFTER THE FACT) Passe .1 co•J;11 Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: March 22, 2011 Inspector: Bruhn, Norman Owner: JACQUELINE JAMES, LESCOTT vr nnnaeQe Job Address: 1 286 NE r i 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NHTC CORPORATION Building Department Comments March 22, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 I nspection Number: INSP - 157468 Permit Number: RC -3 -09 -300 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: F. Insulation Certificate Work Classification: Addition /Alteration Phone Number Parcel Number 1132060134310 Phone: (305)878 -3971 Page 1 of 1 We, the undersigned, hereby certify that the ENERGY, SOUND AND IMPACT INSULATION has been instal led in the above referenced project, in compliance with the latest edition of the FLORIDA BUILDING CODE, the APPROVED ENERGY CALCULATIONS and Plans and in accordance with good construction practice. The insulation furnished and installed has the characteristics shown below: (check only applicable boxes). X 1) Exterior CBS Walls Insulation: R-4 (Min.): Material: F -7 7/ Thickness: inch (es): Density: lb /ft: Mfgr: ❑ 2) Exterior Frame/Metal Stud Walls: R- (Min.): Material: Thickness: inch (es): Density: lb /ft: Mfgr: i Exterior solid concrete walls: R- i _ (Min.): Material: r Thickness: inch (es): Density: lb /ft: Mfgr: ❑ 4) Interior walls separating A/C from non A/C spaces insulation: R- (Min.) Material: ; Thickness: inch (es); Density: lb /ft ❑ 5) MULTI - FAMILY RESIDENTIAL CONSTRUCTION ONLY: The COMMON (Party) walls to two separate conditioned tenancies shall be insulated to a minimum of R -11 for frame walls, and to R -3 on both sides of common masonry walls See ENERGY CODE, 2007, paragraph 13 -602. ABC.1.1, on page 13.74, latest edition. These "minimum levels of insulation ". are not included in the Energy Calculations, but shall be installed in the field. t 6) Ceiling insulation R- (Min.); Material: N■4 Thickness: inch (es): Density: lb /ft: Mfgr: ❑ 7) Walls, partitions and floor /ceiling assemblies between dwelling units or between dwelling units and adjacent public or service areas such as halls, corridors, stairs, etc. must have a sound transmission class (STC) of not less than 50 (penetrations must maintain the required rating). ❑ 8) Floor /ceiling assemblies between dwelling units or between dwelling units and public or service areas such as halls, corridors, stairs, etc. must have an impact insulation class (IIC) rating of not less than 50. Installed by: Make photocopies of this sheet in your office, as required for future jobs. Insulation Contractor CC# Date Certified: O.C./Builder: Company Name Building Contractor CC #:C / $ f C / 0 24 Date Certified: 03 Note: For lightweight Insulating concrete, use appropriate forms, separate from this one. Revised 02-26 -2009 MIAMI Miami -Dade County Building Department 11805 S.W. 26 Street, Miami, FL 33175 -2474 www.miamidade.gov /building COUNTY ENERGY, SOUND AND IMPACT CERTIFICATE Building Permit No: C - - 3 ©O Project Name: Job Address: c.zec, 9 9 ST ,JH 7-C 6 Insulation Company Name STATEMENT OF COMPLIANCE Insulation Contractor Signature r 1t- MET I(3.0ACE ?I; I G ?��_ • 1: /2G su E lot, " — 3 O� 3 � � 11AYI. FLCF110A 33128.1474 (305) 3 JCBADDR3S: 2, 9 6 tv.e 9 , Florida. STATEZ.WT OF CCMPLIA : We, the urdersi33ed hereby. certi.'7 that the MERMAL LSUTA=CN has been installed in the above referenced building, in ccmnliance with the STATE OF FLORIDA 'ENERG! CODE, the APPROVED FLANS and SPECZ:y'ICATICZS, and in accordance with good construction practice. The insulation ftr and installed is of the type indicated below: :SO`LR"i 'eau. 7.:L :T: PANMTI N CR F 7 t :er ',ZL L I?SII'r TIOY: MAT IL L: MATERIAL: THICKNESS: i.3ch (ae) THICKNESS: : inch(es) *DENSITY.: L3 /CU.FT. *JaISITY: LB /C11. T. R. 7ALDE : no. OF BAGS ?ER 1000 SQ.rT. R - 7ALZ: NO. OF ?ACS =. 1000 541.2T. : RCCF /CEII. 'rG DSUUTICN: ?OM: / si _L ,ao�..eef • 1' ' TBIC NIEss : 1f •r.ch( :':?=t.'SS - TALUE : NO. OF EACS RER 1000 SQ .FFT. : XTLIZING CCUMACTCR CC ,+r; MF R R - 7rE: s - Name I:SULtTICN CONTPACTOR CC NGI.' 3: e--646 ad 7 OF iii CS PER 1000 SQ.cT.: (Use copies of this sheet if Tom need to scm.t more information about INSTALLED 3Y: � : rt"ied am: I?SUL&.TICN L.ch(es) L3 /CU IBSTt iTi '1.;.iSuilderi s Signature .ate *Densities of spa'ay.ed -on loose fill, or ar7 other canpcs�cr i u1ation :materials shall be the P.C.F. (1bjf"3) average of three (3) "Qn.L SA;CaL S" of the _actual installation. GARAGE CONVETION INTO BEDROOM AND SUNROOM INTO MASTER BATHROOM. (AFTER THE FACT) Passed Inspector Comments .J Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until J inspection Number: INSP - 157466 Permit Number: RC -3 -09 -300 Inspection Date: March 22, 2011 Inspector: Bruhn, Norman Owner: JACQUELINE JAMES, LESCOTT 1 VTT G /�AASAQC Job Address: 286 NE I 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NHTC CORPORATION Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 March 22, 2011 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: F. Elevation Certificate Work Classification: Addition /Alteration Phone Number Parcel Number 1132060134310 Phone: (305)878 -3971 Page 1 of 1 84. Map/Panel Number 135. Suffix 86. FIRM Index B7. FIRM Panel 88. Rood B9 Base Flood Elevation(s) (Zone 12086C 0302 L Date Effective/Revised Date Zone(s) AO, use base flood depth) 09111/09 09/11/09 X N/A U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergea�cy Management Agency National Flood Insurance Program Important: Read the instructions on pages 1 -9. Al. Building Owner's Name LESCOTT & JACQUELINE JAMES ORDERii31 -17110 I Policy Number A2. Building Street Address (including Apt., Unit, Suite, andfor Bldg. No.) or P.O. Route and Box No. 286 NE 99 ST City MIAMI State FL ZIP Code 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT3 & W:h LOT 2, BLK 32, MIAM SHORES SEC 1 PB 10-70, OF PUBUC RECORDS OF MIAMI DADE COUNTY, FLORIDA; FOLIO:11 -3206- 013-4310 A4. Building Use (e.g., Residential, Non - Residential, Addlion, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 25 °51'57.75'N Long. 809111.09°W Horizontal Datum: ❑ NAD 1927 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 9 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1585 sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 6 c) Total net area of flood openings in A8.b 504 sq in d) Engineered flood openings? ❑ Yes ► � No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number VILLAGE OF MIAMI SHORES 120652 B2. County Name MIAMI -DADE B3. State FL B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile < FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ►_< NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes No Designation Date N/A 0 CBRS ❑ OPA a) b) c) d) e) t) g) h) SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction* C < Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a -h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized N -397 -R Vertical Datum NGVD 29 Conversion/Comments N/A Top of bottom floor (including basement, crawlspace, or enclosure floor) 10.1 Top of the next higher floor 1253 Bottom of the lowest horizontal structural member (V Zones only) N/A Attached garage (top of slab) WA Lowest elevation of machinery or equipment servicing the building 11.26 (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) 10.7 Highest adjacent (finished) grade next to building (HAG) 11.2 Lowest adjacent grade at lowest elevation of deck or stairs, including 14/.A structural support Certifier's Name JOSE A. DIAZ Title PROFESSIONAL LAND SURVEYOR Company Name JOSE A DIAZ P.S.M. Address 11865 SW 26 ST BUILD I, STE 14 City MIAMI Signature SECTION A - PROPERTY INFORMATION ' For Insurance Company Use: A9. For a budding with an attached garage: a) Square footage of attached garage NIA sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes _3 No feet feet ® feet ® feet feet feet feet feet License Number 2798 Date 02/25/2011 Telephone 305 -227 -7432 FEMA Form 81 - 31, Mar 09 See reverse side for continuation. Check the measurement used. ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available./ understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No State FL ZIP Code 33175 OMB No. 1660 -0008 Expires March 31, 2012 Company NAIL Number Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 286NE99ST City MIAMI State FL ZIP Code 33138 Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments C.O.R. 10.63' C2.e) A/C LOCATED AT REAR OF THE RESIDENCE A5. LONG -LAT BY GOOGLE EARTHTp° Signature Date 02/25/2011 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items El -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6 -9 with permanent flood openings provided in Section A Items 8 and /or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters 0 above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA - issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address Signature Comments The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community- issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: 0 feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation 0 feet ❑ meters (PR) Datum Local Official's Name Community Name Signature Comments FEMA Form 81 -31, Mar 09 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION City Date Telephone SECTION G - COMMUNITY INFORMATION (OPTIONAL) Title Telephone Date For Insurance Company Use: Policy Number z -1 Company NAIC Number State ZIP Code Check here if attachments ❑ Check here if attachments ❑ Check here if attachments Replaces all previous editions Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 286 NE 99 ST City MIAMI State FL ZIP Code 33138 For Insurance Company Use: Policy Number Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and `Rear View "; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. Building Photographs See Instructions for Item A6. JOSE A DIAZ PSM 2798 02/25/2011 (FRONT VIEW) JOSE A DIAZ PSM 2798 02/25/2011 (REAR VIEW) Building Photographs Continuation Page Building Street Address (including Apt. , Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. City State ZIP Code For Insurance Company Use Policy Number Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." GARAGE CONVETION INTO BEDROOM AND SUNROOM INTO MASTER BATHROOM. (AFTER THE FACT) 24(//' Passe • z Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until I nspection Number: INSP - 157465 Inspection Date: March 22, 2011 Inspector: Bruhn, Norman Owner: JACQUELINE JAMES, LESCOTT �nne� Job Address: 1286 VTT NE a 99 Street De Miami Shores, FL 33138- Project: <NONE> Contractor: NHTC CORPORATION Buildinct Department Comments March 22. 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: RC -3 -09 -300 1 Permit Type: Residential Construction Inspection Type: Survey Final Work Classification: Addition /Alteration Phone Parcel Number Number 1132060134310 Phone: (305)878 -3971 Dos...A..f4 ,511 o to ,SLL 50' in P l"' 50' in P' P 50' In r 1 50 50 In r' r • liN .cit. N 53.2 r ,SL .9LI in in in In in /A/A in r 8 7 6 5 4 1 50' 50' 50' 50',150' A ,511 o to ,SLL 50' 16 50' in P l"' 50' 17 50' in P' P 50' 18 50' In r 1 50'` -- 19 in r P 50' 20 50' In r' 50' 21 50' in r r 50' 22 50' in r 23 In 53.5> MAP OF BOUNDARY SURVEY 1 S ONE STORY C.B.S. RES.# 286 NE 99th ST MIAMI, FL 33138 (no cap) LOT 4 0.3' U.P 0 O U7 U.P. ON / / PPOPERT�' `NW / / qRN F / / "' / /, PORT10 1 't IN SU 5J17 IMP STA ARV- 75.00' F.LP.'3, °0 Y / K rt /4 / fr(° BASIS OF BEARING SYSTEM WHEN SHOWN REFER TO' TYPE OF SURVEY'BOUNDARY SURVEYOR'S CERTIFICATION' J L'J LLJ LL J J w 0 a_ J c� u • L O U 0 z w L7 rn' O J ▪ -- IS LTIN ECTI MY NDA VAR 2011 DARY SURVEY" AND E FROM WAS IS TRUE AND GE AND BEUEF AND MEETS THE TANDARDS FOR LAND A ', PURSUANT TO RULE CODE AND ITS 7 OF THE FLORIDA A `; EEN PR ED FOR THE E " ° SI ''- - OFD E EN S NAMED HEREON AND THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. ZONING, ZONED STREET UNES, SETBACK, UNDERGROUND EASEMENT AND RIGHT OF WAY, ETC. FROM ABSTRACT TO BE VERIFIED AND/OR OBTAINED BY OWNER, ARCHITECT OR BUILDER BEFORE DESIGN OR CONSTRUCTION. SCALE 1' =20' PROPERTY ADDRESS' 286 NE 99th ST MIAMI, FL 33138 SOURCE OF LEGAL DESCRIPTION' CLIENT LEGAL DESCRIPTION' LOT 3 AND THE WEST 1 .4 OF LOT 2 SUBDIVISION MIAMI SHORES SECTION NO 1 ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 OF THE PUBLIC RECORDS OF MIAMI —DADE COUNTY, FLORIDA. FOLIO: 11- 3206- 013 -4310 15 ALLEY FLOOD ZONE INFORMATION 1 COMMUNITY NUMBER 120652 PANEL NUMBER 302 NE 99th ST SUFFIX L NE 98th ST DATE OF FIRM 09/11/09 FIP 78.23' 15 ALLEY LOCATION SKETCH SCALE 1 100' FIRM ZONE X ABBREVIATIONS & LEGEND BLVD.DOULEVAR BM- BENCH NARK C. CURVE CB•CATCN BASIN CBS. COCETE ER STRCTLOE "INSTANCE CAE CHG.CHORC MARINO CLF.CHAM LINK PUCE ATE CS•COMCRETE SLAB CON•CUT DRILL HOLE ..DIAMETER I MAINTENANCE ESMT.EASEMENT ETPELECTRIC TRANSFORMER PAD F -FONND FDH•FONID DRILL. FELE FFE•PEIISH FLOOR ELEVATION FH•RWE HYDRANT 'INFERS) IRON PIPE FND.WOUND NAALL (DISC FR•FCAID RE -BAR DIET- DISTANCE FT X•iW GOOD HVY HIGHWAY LFE•..LOVEST FLOOR ELEVATION LNKME 'Diorama DRILL HOLE FFE•FIMSK FLOOR ELEVATION F4.FIRE HYDRANT FINFOU ND IRON PIPE FN•FOBID MAN. REWOUND NAIL MDISC FR•F IND RE -BAR DIST.DISTAHCE FRA•FRAME FT EET HOENIT GKIOO NW- FOOIVAY LFE..LIVEST FLOG! ELEVATION LN.LN MOL.FE N SEA LEVEL lEAA$.N :ASURED NO N.MO ANENT ML•MONUNENT LAW NS METAL SEED NORTH NGVD•NAAONAL GEODETIC VERTICAL DATUM ENNO N RADIAL NTS•NOT TO SCALE CRB.IFFICIAL READ BOOK OVH•OVER EAD 0V•6VERIEAD WIRES P -POHNT PAVNT•PAVEIENT PB.PLAT BOOK PC•POANT OF CURVATURE PCGAMINT OF COMPOUND CURVE PKVY.PAOKVAY PLC A/LOWBOY LR€ PLA•PI.ARTER POB.POINT OF BEGINNING RIC.POINT OF COMMENCEMENT PRIt•PERMANENT REFERENCE MONUMENT I MAPPER R•RADIUS RD•RADIAL RD -ROAD RECD REB -ONCE AGE WAY ss@ITH SN.SET NAL SP.SCNEENED PORCH STY -SOMY SVK•SWEVALK T- TANGENT TVP.TOVNSHIP TYP.TYPICAL UE-UTILITY EASEMENT VI.... S7' POLE VF.VOOD FENCE VN•VATER IETFR '. CENTRAL ANGLE CHAIN P LINK FENCE -LYE =c�VAU -F DA d i-i wi 08(AFTN'NENEE NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF FLORIDA LICENCED SURVEYOR AND MAPPER Examinnation of the abstract of title will have to be made to determine recorded Instruments, if �® any affecting the property. Location and identification of utilities on and /or adjacent to the property were not secured as such information was not requested. Ownership is subject to PSM NO, 2798 JOSE A. DIAZ opinion of title. Underground foundation and utilities not located. The survey depicted here Is not covered by professional liability Insurance. DATE' DATE' DATE' DATE' JOSE A DIAZ PROFESSIONAL SURVEYOR AND MAPPER CERTIFICATE NUMBER LS 2798 11865 SW 26 ST, BUILDING I, SUITE 14 MIAMI, FLORIDA 33175 PH. 305 -227 -7432 BLOCK 32 AT PAGE 70 BASE FLOOD ELEVATION N/A STATE OF FLORIDA DATE OF FIELD SURVEY' OP/25/P011 FOR' I FSCIiTT K. I YTTLE & JACKELINE PATRICIA JAMES ORDER NO. 31 -17110 DRAWING' L.R.M. Scheduled Inspection Date: March 23, 2011 Inspector: Hernandez, Rafael Owner: JACQUELINE JAMES, LESCOTT 1 VTT C P�AAneQC Job Address: 286 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: G&L PLUMBING SERVICE Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Phone Number "MD Inspection Number: INSP - 157129 Permit Number: PL- 3- 11-429 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Septic Parcel Number 1132060134310 Phone: 305 -551 -5090 NEW SEPTIC TANK 900 GALS AND DRAIN FIELD 500 SQ FT Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments March 22, 2011 For Inspections please call: (305)762 - 4949 Page 13 of 17 APPLICANT: AGENT: [ 1 3 $T 2 ATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL PROPERTY ADDRESS: LOT:- BLOCK: 3 - SUBDIVISION: iY 2. 'S (/ Y/c) PROPERTY ID #. , -------- — --- --- ---------------- -- --- CHECKED [X] ITEMS ARE TANK INSTALLATION [01] TANK SIZE [1] [02] TANK MATERI [03] OUTLEVEVI [04] MULTI-CHAMB [05] OUTLET FILTER [06] LE9END [07] W4TERTIGHT — [08] LEVEL [09] DEPTH TO LID DRAINFIELD INSTALLATION ['10] [ [11] [ [12] [ [13] [ [14] [15] [ [16] [ [17] [ 1 [183 [ ,[ [ / [20] [ -. [21] AR [1]) )( 3(3[2] SOFT RIBUTION BOX HEADER BER OF DRAINLINES INLINE SEPARATION 3C ' D DEPTH OF COVER /Q. ' ELEVATION [ABOV SYSTEM LOCATION DOSING PUMPS AGGREGATE SIZE At. , AGGREGATE EXCESSIVE. FINES AGGREGATE DEPTH ,/ Aupe c;),. r FILL / EXCAVATION MATERIAL ,E ILT [ [22] FILL AMOUNFT ••In [ [ 48] [23] FILL I TEXTU9E 04* - FIPN , DWIT3F11oilauvanci [25] AREA REPLACED [26] • REPLACEMENT MATERIAL EXPLANATION OF VIOLATIONS] REMARMOI a01/1: F/0 NFIL\IVIH31/1:_lf] -4 0 VIOiTAV•ii:.-., 1; 1 L 1 El / I , TC•tri H BM DH 4016 (Page 2), 10/97 (Previous Editions MayEte Used) Stock Number: 5744-002-4016-4 Ci H: .bevo bi.iqq 3 - r4ttbIlud Isrit Jirm9q °di 5:-1491-11- L [ [50] TANK CRUSHED &TILLED / / FINAL SYSTEM [APPROVED/DISAPPROVED]: PLIANQE WITH STATUTE OR RULE AND MUST BE CORRECTED. .0 CONSTRUCTION4APPROVED/DISAPPROVESSt-d----' • - - — ;•:. I PERMIT NO DATE PAID FEE PAID* RECEIPT #• _ CHD DATE: - PT 1: Applicant PT 2: Installer/Contractor PT 3: Building Department 713 SETBACKS [27] SURFACE WATER FT [28] DITCHES ' -FT [29] PRIVATE WELLS FT [301 PUBLIC WELLS [31] .IRRIGATION vvELLs, 4 7 / _ . [32] POTABLE WATER LINES I fl /133] 13UILDING.FOUNDAIKK: [34] PROPERTY LINES / 7. 1— [35] OTHER - • FILLED:/MOUND SYSTEM - [36] DRAINFIELD COVER [37] SHOULD. [38] SLOPES [39] STABILIZATION ADDITIONAL INFORMATION [40] ,.. , ROPPI - Fi,YRWITIArtEk , [41] STORMWATER RUNOFF [42] FINIS ' ' [43] MAINTENANCE AGREEMENT BUILTDINd'UtA; Okk LOCATION CONFORMS WITH SITE PLAN FINAL' til ( GRADING" CONTRACTOR- . OTHER CHD DATE ' Fr FT FT FT FT FT Page 2 of 3 res t�® DIVISION OF Environmental Health Florida Department of Health Miami -Dade County Health Department OSTDS /Well Division 1805 SW 26 St. • Miami, FL 33175 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECIION PERMIT NO. TAX FOLIO NOM 3 t0-c •, — STATE OF FLORIDA COUNTY OF DADE NOTICE OF COMMENCEMENT 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: 2 (:;(q )4, c3 3Ft L 2 e' 3 J earn S hc3Y 2. Description of improvement: CI.Osek 1 °7-0,{1 et L - 2.Ac can 13' Interest in property: 3. Owner (s) name and address: Name and address of fee simple titleholder: 4. Contractor's name and address: L i j Y'1b) e) c e ce b•t aS3 P cxrn 1 3S 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond: $ 6. Lender's name and address: 1111111111 1111111 1111111111111111111111111111 CF'1+1 2O11RO16O OR B4. 27614 Fs 3933; (lps) RECORDED 03/11/2011 12 :50 :31 HARVEY RUVI1, CLERK OF COURT t#IAtli -DADE COUNTY? FLORIDA LAST F'AGE 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) 7., Florida Statutes: Name and address: 8.In addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b) 7., Florida Statutes: Name and address: 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Signature(df Owner Print Owner's Name L`e, c.(S " before me this day t 20 \ 1 Sworn to and s Notary Print Notary's Name My Commission Expires: Prepared by:ni \ Q 17-eV` 1 ' Z_ ddress OF FLOREA, COUNTY OF DADE E HEREBY this Y CERTIFY that thiIs a true copy of the hfivineiVed iv this office of �nw,.....vm...r__ dJ of A.D. WITNESS nk)hi,hii and Official Seal r ARNgf - 1K WIN, CLERK, of Grctatand County Courts By J.C. BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING Owner's Name (Fee Simple Titleholder) Owner's Address2 !J TA-4 City - t Tenant/Lessee Name Email Job Address (where the work is being done) Submittal Fee $ Notary $ Scanning $ Double Fee $ Structural Review. $ State Radon $ Miami Shores Village Building D epartment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit Fee $ FOLIO / PARCEL # 1 ` Ns -K-‘31Q Value of Work For this Permit $ t (22, Type of Work: ❑Addition ❑Alteration Describe Work: Yak ern -e icS Is Building Historically Designated YES NO Training /Education Fee $ Violation date: DPBR $ Permit No. Master Permit No. hone # Zip 35 o Phone # City Miami Shores Village County L Miami -Dade Zip `4 Contractor's Company Name el At t lu nb y sc3. Phone # L0 612 Contractor's Addressp City C State -'C__ Zip ) 35 . Qualifier Name (j \ �} Phone # 1K Zee S State Certificate or Registration No. Certificate of Competency No. Contact Phone E-mail Caf \ . Q \ � Architect /Engineer's Name (if applicable) Phone # 5 inare / Linear Footage Of Work: ) New ❑ Repair /Replace ❑ Demolition u._) nod _ ** ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 3 V C? CCF $ CO /CC $ Total Fee Now Due $ Flood Zone Technology Fee $ Bond $ 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection whi occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be ap.ro . and a reinspection fee will be charged. Signature The fore oing instru day of Csicv Oi'\, 20 Si Print: My Commission Expires: APPROVED BY A ( r te,, riirso er or Agent nt was acknowledged before me this Cv o has produced ication and who did take an oath AILS RODRIGUE % MY commissMirDD 694114 �s - - -- FXP1A s 1 5' 2011 (Revised 07 /10 /07)(Revised 06/10/2009) 3-fl-f/ Plans Examiner Engineer Contractor The for going instrument was acknowledged before me this day of , 20 r1 , by _ ftrV1 i o is personally kno 9 to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sig Print: r;r AILE ROD ISSION;: DD 6341; 3 EXPIRES: ,, ru Notary Underwrr,rs My Commission xpi * * * * * * * * ** * * * * * ** * * * * * *** * * *** y$***********************: t*********************** * * * * * * * * * * * * * * ** * * * ** * * * *:r *:r* Zoning Clerk checked CONSTRUCTION PERMIT FOR: APPLIcANT: Jacqueline James PROPERTY ADDRESS: LOT: 33 PROPERTY ID #: 11-3200-013-4310 SYSTEM DESIGN AND SPECIFICATIONS E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM OSTDS New 286 NE 99 St Miami, FL 33138 BLOCK: 32 [ 0.00] INCHES DB 4016, 10/9 Previous Editions May Be Used) .7. SUBDIVISION: D [ 500 3 SQUARE FEET Bedconfiouration SYSTEM R [ 1 SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND I CONFIGURATION: [ ] TRENCH [X] BED [ N F LOCATION OF BENCHMARK C/L of NE 99 St & E. P/L el 10,45' NGVD Philizaire TITLE: [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. T [ 900 ] GALLONS / GPD SeaCTank CAPACITY A [ ] GALLONS / GPD ,CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY ]C4ALLONS @[ ]DOSES PER 24 HRS #Punps [ • ELEVATION OF PROPOSED SYSTEM SITE [ 5.52 ][IINCHES[ FT][1/BELOW1BENCHMARK/REFERENCE POINT [ 2448311 INCHES FT ][ABOVE4BELOWIIBENCHYARK/REFERENCE POINT EXCAVATION REQUIRED: [ 72.00] INCHES o 1.-Install 900 gal. category-3 septictankequippedwith an approved filter. 2.-The licenced contractor is responsible for installing the minimum category of tank sec. 64E-6.013(3)(f). T 3 -Install 500 sf of drainfield in bed configuration. H 4 -Install 42" of slightly limited soil at the bottom of the drainfield. 5.-Perimiter of excavation area shall be at least 2 ft wid: longer than the proposed absorption bed. • 6.-Invert elevation of drainfield to be no less t a 7 -Bottom of drainfield elevation to be GVD. THIS IS NOT FOR " ADDITION(s) ". ngineer Specialist II 7%2937' k7"7 964 4 `) PERMIT 41 13-SC-999082 APPLICATION AP932793 DATE PA/D: FEE PAID: RECEIPT 0: DOCUMENT : PR784641 Dade CHD EXPIRATION DATE: 03/11/2011 Page 1 of 3 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: PROPERTY ADDRESS: 286 NE 99 St Miami, FL 33138 LOT: 33 PROPERTY ID #: 11- 3200 - 013 -4310 SYSTEM DESIGN AND SPECIFICATIONS T [ A [ N [ K [ D R A I N F I E L D O T H E R BOTTOM OF DRAINFIELD TO BE FILL REQUIRED: SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM Jacqueline James BLOCK: 32 SUBDIVISION: SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. 900 ] GALLONS / GPD Seotic Tank ] GALLONS / GPD N/A ] GALLONS GREASE INTERCEPTOR CAPACITY ] GALLONS DOSING TANK CAPACITY PERMIT # -SC- 999082 APPLICATION #: AP932793 DATE PAID: FEE PAID• RECEIPT #. DOCUMENT #: PR784641 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] CAPACITY CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] [ 500 ] SQUARE FEET Bed confiauration SYSTEM [ ] SQUARE FEET N/A SYSTEM TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ] CONFIGURATION: [ ] TRENCH [x] BED [ ] LOCATION OF BENCHMARK: C/L of NE 99 St & E. P/L el 10.45' NGVD ELEVATION OF PROPOSED SYSTEM SITE [ 5.52 ][1INCHESI FT ] [IAROVE J/ BELOW ]BENCHMARK/REFERENCE POINT [ 24.48] [I INCHES I' FT ] [ ABOVE 4 BELOW b BENCHMARK /REFERENCE POINT [ 0.00 ] INCHES EXCAVATION REQUIRED: [ 72.00] INCHES 1.- Install 900 gal. category -3 septic tank equipped with an approved filter. 2. -The licenced contractor is responsible for installing the minimum category of tank sec. 64E- 6.013(3)(f). 3.- Install 500 sf of drainfield in bed configuration. 4.- Install 42" of slightly limited soil at the bottom of the drainfield. 5.- Perimiter of excavation area shall be at least 2 ft widg[.aarlonger than the proposed absorption bed. 6. -Invert elevation of drainfield to be no less t .90 ft NGV 7. -Bottom of drainfield elevation to be ess than 8.40 ft .N VD. THIS IS NOT FOR " ADDITION(s) ". Gera L Philizaire TITLE: Engineer Specialist II DH 4016, 10/9 - ( Previous Editions May Be Used) v 3 ..,,.4 PP933793 sk.'7:96449 EXPIRATION DATE: Dade 03/11/2011 Page 1 of 3 CHD CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Jacqueline James PROPERTY ADDRESS: 286 NE 99 St Miami, FL 33138 LOT: 33 PROPERTY ID #: 11- 3200 - 013 -4310 SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] GALLONS / GPD Septic Tank CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 500 ] SQUARE FEET Bed confiauration SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: C/L of NE 99 St & E. P/L el 10.45' NGVD I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: 0 T H E R SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM BLOCK: 32 SUBDIVISION: [ 0.00 ] INCHES 1.- Install 900 gal. category-3 septic tank equipped with an approved filter. 2. -The licenced contractor is responsible for installing the minimum category of tank sec. 64E- 6.013(3)(f). 3.- Install 500 sf of drainfield in bed configuration. 4.- Install 42" of slightly limited soil at the bottom of the drainfield. 5.- Perimiter of excavation area shall be at least 2 ft w' nd longer than the proposed absorption bed. 6. -Invert elevation of drainfield to be no less thar1'8.90 ft VD. 7. -Bottom of drainfield elevation to be no less than 8.4 NGVD. THIS IS NOT FOR " ADDITION(s) ". Gerar• T._Philizaire [ 5.52 ] [I INCHES f FT ] [I ABOVE It BELOW ] BENCHMARK /REFERENCE POINT [ 24.48 ] [ INCHES I FT ] [ ABOVE A BELOW b BENCHMARK /REFERENCE POINT EXCAVATION REQUIRED: [ 72.00] INCHES TITLE: LE: Engineer Specialist II DH 4016, 101• (Previous Editions May Be Used) 1 .4., 4 AP932793 S 796449 PERMIT #: 13-SC-999082 APPLICATION #: AP932793 DATE PAID: FEE PAID. RECEIPT #' DOCUMENT #: PR784641 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] Dade CHD EXPIRATION DATE: 03/11/2011 Page 1 of 3 APPLICANT: LOT: , PROPERTY ID #: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS BLOCK: SUBDIVISION: TO BE COMPLETED BY ENGINEER, HEALTH UNIT PROVIDE REGISTRATION NUMBER AND SIGN AND PROPERTY SIZE CONFORMS TO SITE PLAN: 06 TOTAL ESTIMATED SEWAGE FLOW: C•tr°r.' AUTHORIZED SEWAGE FLOW: t"z UNOBSTRUCTED AREA AVAILABLE: > :'!`a BENCHMARK /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS --. THE MINIMUM SETBACK WHICH SURFACE WATER: FT WELLS: PUBLIC: FT BUILDING FOUNDATIONS: SOIL PROFILE INFORMATION SITE 1 Munsell # /Color Texture USDA SOIL SERIES: Depth to to to to to to to to to SITE EVALUATED BY: DH 4015, 10/96 (Replaces HRS -H Form 4015 (Page 31 which may be used) (Stock Number: 5744-003- 4015 -1) CAN BE MAINTAINED FROM THE DITCHES /SWALES: LIMITED USE: FT FT PROPERTY LINES: SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [ ) NO 10 YEAR FLOOD ELEVATION FOR SITE: J;;; FT MSL /NGVD AGENT _ OBSERVED WATER TABLE: INCHES [ABOVE / BELOW] EXISTING GRADE. ESTIMATED WET SEASON WATER TABLE ELEVATION: HIGH WATER TABLE VEGETATION: [ ] YES [ NO SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [ ] TRENCH [] REMARKS /ADDITIONAL CRITERIA: PERMIT i 1 :'f C- L.4_3IC, [Section /Township /Range /Parcel No. or Tax ID Number] • = = == _ °-__ EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. YES ( ] NO NET USABLE AREA AVAILABLE: ACRES GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2) GAL bi PER DAY [1500 GPD /ACRE OR 2500 GPD /ACRE] SQFT UNOBSTRUCTED AREA REQUIRED: SQFT [INCHES /FT] [ABOVE /BELOW] BENCHMARK /REFERENCE POINT PROPOSED SYSTEM TO THE FOLLOWING FEATURES: FT NORMALLY WET? [ ] YES [ ] NO PRIVATE: FT NON- POTABLE: f FT FT POTABLE WATER LINES: I( FT 10 YEAR FLOODING? [ ) YES [ ] NO SITE ELEVATION: FT MSL /NGVD SOIL PROFILE INFORMATION SITE 2 Munsell # /Color Texture Depth to : ; to to to 0.4 r USDA SOIL SERIES: s to to to to to TYPE: [PERCHED / APPARENT] INCHES [ ABOVE / BELOW ] EXISTING GRADE. MOTTLING: [ ] YES [ ] NO DEPTH: INCHES DEPTH OF EXCAVATION: INCHES° BED [ ) OTHER (SPECIFY) DATE: Page 3 of 3 SEWAGE FLOW: UNOBSTRUCTED AREA: MINIMUM SETBACKS: INSTRUCTIONS: PERMIT NUMBER: Permit tracking number by County Health Department. APPLICANT: Property owner's full name. AGENT: Property owner's legally authorized representative. LOT, BLOCK, SUBDIVISION: Lot, block, and subdivision for lot. PROPERTY ID NUMBER: 27 character number for property (property appraiser ID number or section/township/range/parcel number). PROPERTY SIZE: Check if property at site conforms to submitted site plan. Record net usable area available - lot area exclusive of all paved areas and prepared road beds within public rights-of-way or easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. Record the estimated sewage flow for the establishment from Table I (residence) or Table 2 (non-residential), Chapter 10D-6, FAC. Record the authorized sewage flow for the lot based on net usable area and water supply (1500 gallons per day per acre for private water supplies and 2500 gpd per acre for public water supplies). If authorized sewage flow does not equal or exceed the estimated sewage flow, the application must be denied Record the square feet of unobstructed area available and the amount required. Unobstructed area must be at least 2 times as large as the drainfield absorption area and at least 75 percent of the unobstructed area must meet minimum setbacks in Chapter 10D-6, FAC. The unobstructed area must be contiguous to the drainfield. BENCHMARK INFORMATION: Record the location of the benchmark. If using a surveyor's benchmark record the actual elevation. Record the elevation of the proposed system site in relation (above or below) to the benchmark. Record minimum setbacks which can be meet to all listed features. Actual measurements must be recorded or "NA" for nonapplicable features. Features on site plan or within 75 feet of the applicant lot must be measured. The location of any public drinking well within 200 feet of the applicant's lot must also be verified. FLOOD INFORMATION: Record information on lot's subject to flooding. For lots subject to flooding record 10 year flood elevation for site and actual site elevation. SOIL PROFILE INFORMATION: Two soil profiles within the proposed absorption area to a minimum depth of 6 feet or refusal are required. Soil identification will use USDA Soil Classification methodology (Munsell colors and USDA soil textures). Refusals must be clearly documented. Provide USDA soil series if available, record "UNK" if the series cannot be determined. WATER TABLE: Record the depth of the observed water table at the time of the evaluation. Mark "perched" or "apparent" as appropriate. Record the estimated wet season water table elevation based on site evaluation, USDA soil maps, and historical information. Indicate if there is high water table vegetation present. Indicate if mottling is present and depth. SOIL TEXTURE: Record soil texture or loading rate for system sizing. DEPTH OF EXCAVATION: If applicable record depth of excavation required. Record "NA" if not applicable. DRAINFIELD CONFIGURATION: Check drainfield configuration required. If other, specify type. ADDITIONAL CRITERIA: Record any additional remarks pertinent to site or installation. Ex. dosing required. SITE EVALUATED BY: Signature of evaluator, title, and date of evaluation. Professional engineers must seal all documents submitted. ELEVATION WORKSHEET ELEVATION OF BENCHMARK / REFERENCE POINT IS: BENCHMARK SITE 1 SITE 2 SITE 3 [ + ] SHOT H.I. H.I. H.I. H.1. [ - ] SHOT [ - ] SHOT [ - I SHOT APPLICATION FOR: [ New System ] Repair APPLICANT: [ ] Abandonment AGENT: MAILING ADDRESS: PROPERTY INFORMATION LOT: BLOCK: PROPERTY ADDRESS: DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment 1 2 3 4 STATE OF FLORIDA PERMIT NO. t ' 3 DEPARTMENT OF HEALTH DATE PAID: ON -SITE SEWAGE DISPOSAL SYSTEM FEE PAID: APPLICATION FOR CONSTRUCTION PERMIT RECEIPT #: fa [ ] Existing System [ ] Holding Tank (x1 RESIDENTIAL Temporary TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. 111£YI I''t _ __,. i s to c. C) P oa, T SUBDIVISION: ] - (,^ d 'i i ss, d,Cl S (0©c s PROPERTY ID #: ! 1 400 C 1 ' t .:3 16 ZONING: frk C?r ` I/M OR EQUIVALENT: ( Y / N ) PROPERTY SIZE:, Si WATER SUPPLY: [ ] PRIVATE PUBLIC'[] <= 2000GPD [ ] >2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [;Y / N ] DISTANCE TO SEWER: (IC FT [ ] COMMERCIAL ] Innovative [ TELEPHONE ec c .. PLATTED: )C7) No. of Building Commercial /Institutional System Design Bedrooms Area Sq Ft Table 1, Chapter 64E -6, FAC [ ] Floor /Equipment Drains [ ] Other (Specify) SIGNATURE: � DATE: DH 4015, 10/97 — Page 1 (Previous editions may be used) Stock Number: 5744 - 001 - 4015 -1 x,, „.J Page 1 of 3 (3 c APPLICATION FOR: APPLICANT: AGENT: TELEPHONE: MAILING ADDRESS: LOT, BLOCK, SUBDIVISION: DATE OF SUBDIVISION: PROPERTY ID#: ZONING: PROPERTY SIZE: WATER SUPPLY: SEWER AVAILABILITY PROPERTY ADDRESS: DIRECTIONS: BUILDING INFORMATION: TYPE ESTABLISHMENT: NO. BEDROOMS: BUILDING AREA: BUSINESS ACTIVITY: FIXTURES: SIGNATURE / DATE: Check type of permit, if "Other" specify type in blank. Property owner's full name. Property owner's legally authorized representative. Telephone number for applicant or agent. P.O. box or street, city, state and zip code mailing address for applicant or agent. Lot, block, and subdivision for lot (recorded or unrecorded subdivision). If lot is not in a recorded subdivision, a copy of the lot legal description or deed must be attached. Official date of subdivision recopied in county plat books (month/day /year) or date lot originally recorded. Dividing an approved lot into two or more parcels for the purpose of conveying ownership shall be considered a subdivision of the lot. 27 character number for property. CHD may require property appraiser ID # or section/township /range /parcel number. Specify zoning and whether or not property is in I/M zoning or equivalent usage. Net usable area of property in acres (square footage divided by 43,580 square feet) exclusive of all paved areas and prepared road beds within public rights -of way or easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. Contiguous unpaved and non - compacted road rights -of -way and easements with no subsurface obstructions may be induded in calculating lot area. Check private or public <= 2000 gallons per day or public > 2000 gallons per day. Is sewer available as per 381.0065, Florida Statutes, and distance to sewer in feet. Street address for property. For lots without an assigned street address, indicate street or road and locale in county. Provide detailed instructions to lot or attach an area map showing lot location. Check residential or commercial. List type of establishment from Table II, Chapter 10D-6, FAC. Examples: single family, single wide mobile home, restaurant, doctor's office. Count all rooms designed primarily for sleeping and those areas expected to routinel provide sleeping accommodations for occupants. Total square footage of endosed habitable area of dwelling unit, excluding garage, carport, exterior storage shed, or open or fully screened patios or decks. Based on outside measurements for each story of structure. For commercial/institutional applications only. List number of employees, shifts, and hours of operation, or other information required by Table II, Chapter 10D-6, FAC. Mark Floor/Equipment Drains or Others and specify item or "NA" if not applicable. Signature of applicant or agent. Date application submitted to the CHD with appropriate fees and attachments. ATTACHMENTS: A site plan drawn to scale, showing boundaries with dimensions, locations of residences or buildings, swimming pools, recorded easements, onsite sewage disposal system components and location, slope of property, any existing or proposed wells, drainage features, filled areas, obstructed areas, and surface water. Location of wells, onsite sewage disposal systems, surface waters, and other pertinent facilities or features on adjacent property, if the features are with 75 feet of the applicant lot. Location of any public well within 200 feet of lot. For residences, a floor plan (residences) showing number of bedrooms and building area of each unit. For nonresidential establishments, a floor plan showing the square footage of the establishment, all plumbing drains and fixture types, and other features necessary to determine composition and quantity of wastewater. APPLICANT: LOT: BLOCK: PROPERTY 1: II TO BE COMPLETED BY ENGINEER, HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS, PROPERTY SIZE CONFORMS TO SITE PLAN. ] YES [ ] NO NET USABLE AREA AVAILABLE: ACRES TOTAL ESTIMATED SEWAGE FLOW: GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] GALLONS PER DAY [1500 GPD /ACRE OR 2500 GPD /ACRE) SQFT UNOBSTRUCTED AREA REQUIRED: AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE: BENCHMARK /REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS -- 2 CAN BE MAINTAINED FROM THE DITCHES /SWALES: LIMITED USE: FT 10 FT THE MINIMUM SETBACK WHICH SURFACE WATER: .4 FT WELLS: PUBLIC: ;: FT BUILDING FOUNDATIONS: SOIL PROFILE INFORMATION SITE 1 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS SUBDIVISION: Munsell # /Color Texture Depth t ; / „ to !J �/!? J , , r , 0 to to USDA SOIL SERIES: to to to to to to SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [ ] TRENCH [ ] BED REMARKS /ADDITIONAL CRITERIA: SITE EVALUATED BY: .-.o )13_ a1 c [Section /Township /Range /Parcel DH 4015, 10196 (Replaces HRS -H Form 4015 [Pape 3] which may be used) (Stock Number: 5744 -003 - 4015 -1) PROPERTY LINES: AGENT: ._ -" N\ A_ SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [ -] NO 10 YEAR FLOOD ELEVATION FOR SITE: s °. /? FT MSL /NGVD /FT] TOVEFBELOW] ENCHMARK/ FERENCE POINT PROPOSED SYSTEM TO THE FOLLOWING FEATURES: FT NORMALLY WET? [ ] YES ( ] NO PRIVATE: FT NON - POTABLE: FT �" flea ,•., No. or Tax ID Number) FT POTABLE WATER LINES: 10 YEAR FLOODING? [ ] YES [K] NO FT MS1 /NGVD SITE ELEVATION: SOIL PROFILE INFORMATION SITE 2 Munsell # /Color Texture Depth to to to to to to to to to USDA SOIL SERIES: t°V'eeJ'`j''ly; OBSERVED WATER TABLE: ' ' INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE: [PERCHED / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [ ABOVE / BELOW ] EXISTING GRADE. HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES NO DEPTH: f■//4 INCHES DEPTH OF EXCAVATION: OTHER (SPECIFY) DATE: SQFT FT INCHES' Page 3 of 3 INSTRUCTIONS: PERMIT NUMBER: Permit tracking number by County Health Department. APPLICANT: Property owner's full name. AGENT: Property owner's legally authorized representative. LOT, BLOCK, SUBDIVISION: Lot, block, and subdivision for lot. PROPERTY ID NUMBER: 27 character number for property (property appraiser ID number or section/township/range/parcel number). PROPERTY SIZE: Check if property at site conforms to submitted site plan. Record net usable area available - lot area exclusive of all paved areas and prepared road beds within public rights-of-way or easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or other such bodies of water. SEWAGE FLOW: UNOBSTRUCTED AREA: Record the estimated sewage flow for the establishment from Table I (residence) or Table 2 (non-residential), Chapter 10D-6, FAC. Record the authorized sewage flow for the lot based on net usable area and water supply (1500 gallons per day per acre for private water supplies and 2500 gpd per acre for public water supplies). If authorized sewage flow does not equal or exceed the estimated sewage flow, the application must be denied. Record the square feet of unobstructed area available and the amount required. Unobstructed area must be at least 2 times as large as the drainfield absorption area and at least 75 percent of the unobstructed area must meet minimum setbacks in Chapter 10D-6, FAC. The unobstructed area must be contiguous to the drainfield. BENCHMARK INFORMATION: Record the location of the benchmark. If using a surveyor's benchmark record the actual elevation. Record the elevation of the proposed system site in relation (above or below) to the benchmark. MINIMUM SETBACKS: Record minimum setbacks which can be meet to all listed features. Actual measurements must be recorded or "NA" for nonapplicable features. Features on site plan or within 75 feet of the applicant lot must be measured. The location of any public drinking well within 200 feet of the applicant's lot must also be verified. FLOOD INFORMATION: Record information on lot's subject to flooding. For lots subject to flooding record 10 year flood elevation for site and actual site elevation. SOIL PROFILE INFORMATION: Two soil profiles within the proposed absorption area to a minimum depth of 6 feet or refusal are required. Soil identification will use USDA Soil Classification methodology (Munsell colors and USDA soil textures). Refusals must be clearly documented. Provide USDA soil series if available, record "UNK" if the series cannot be determined. WATER TABLE: Record the depth of the observed water table at the time of the evaluation. Mark "perched" or "apparent" as appropriate. Record the estimated wet season water table elevation based on site evaluation, USDA soil maps, and historical information. Indicate if there is high water table vegetation present. Indicate if mottling is present and depth, SOIL TEXTURE: Record soil texture or loading rate for system sizing. DEPTH OF EXCAVATION: If applicable record depth of excavation required. Record "NA" if not applicable. DRAINFIELD CONFIGURATION: Check drainfield configuration required. If other, specify type. ADDITIONAL CRITERIA: Record any additional remarks pertinent to site or installation. Ex. dosing required. SITE EVALUATED BY: Signature of evaluator, title, and date of evaluation, Professional engineers must seal all documents submitted. ELEVATION WORKSHEET ELEVATION OF BENCHMARK / REFERENCE POINT IS: BENCHMARK SITE 1 SITE 2 SITE 3 [ + ] SHOT H.I. H.I. H.I. H.I. [ - J SHOT [ - ] SHOT [ - ] SHOT Charlie Crist Governor Jacqueline James 10060 SW 145 Ter Miami, FL 33176 RE: Request for Additional Information Application Document No: 932793 286 NE 99 St Miami, FL 33138 Lot:33 Block:32 Subdivision: More violations may followed. August 19, 2009 Dear Applicant: This will acknowledge receipt of an application and plans for an onsite sewage treatment and disposal system construction permit dated 08/14/2009 for a proposed system to be constructed on the above referenced property. In response, we are requesting that you provide the following additional information, clarification or corrections: • 1.- The professional engineer's site evaluation is incomplete and shall be sealed. 2.- Provide a site plan reflecting : . a)A reference point and 2 soil boring locations. b)AII setbacks requirements for the system. c)Water service line from the meter box to the building foundations. d)Septic tank legal note (stating that there are no pertinent features on adjacent properties or across the street that may affect the system installation). e)Existing system location and a note indicating that it will be properly abandonned. f)System to be designed according to the new code (dated June 25th 2009) requirements. 3.- Provide a survey with: -a benchmark; -the elevation at the drainfieid area. G/P If you have any questions on this matter, please call our office at (786) 315 -244 Miami -Dade County He.1 th Department 11805 SW 26 St, Miami, FL 33175 Phone: (786) 315 -2444 Ana M. Viamonte Ros, M.D., M.P.H. State Surgeon General Sincerely, , Engineer Specialist II Inspection Number: INSP - 156405 Permit Number: DS -2 -11 -321 Scheduled Inspection Date: March 22, 2011 Inspector: Bruhn, Norman Owner: JACQUELINE JAMES, LESCOTT 1 VTTI C !`l1A 11AQC Job Address: 286 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NHTC CORPORATION Building Department Comments NEW CONCRETE AND ASHPALT DRIVEWAY IN BACK OF HOUSE. Passe Failed Correction Needed Re- Inspection Fee March 21, 2011 No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspector Comments For Inspections please call: (305)762 -4949 Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060134310 Phone: (305)878 -3971 Page 16 of 20 Inspection Number: INSP - 156555 Scheduled Inspection Date: March 07, 2011 Inspector: Devaney, Michael Owner: JACQUELINE JAMES, LESCOTT 1 VTTI C !'!1lIRR O Job Address: 286 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: WELL ELECTRIC TECHNOLOGY Building Department Comments TEMPORARY FOR TEST Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments March 04, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: EL -3 -11 -353 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Temp for Test Phone Number Parcel Number 1132060134310 Phone: (305)726 -7098 Page 18 of 30 5b 1-0 BUILDING PERMIT APPLICATION FBC20 Miami Shores Village 11303gVah Building Department 10050 N.E:2nd Avenue, Miami Shores, Florida. 33138 la PAR Q ` 1. 201) it Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (30S) 762.4949 By : : Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) h e/ f Phone # Owner's Address , a a 6. C: 4: 7 City/ -s44 /-1% 5 4,05 State ` � -- Zip Tenant/Lessee Name Phone # Email Job Address (wheree work is being done) City Miami Shores Villaee FOLIO / PARCEL # Is Building Historically Designated ?ES County .... Miami- Dade NO, Contractor's Company Name alp.-C1 &/-" .rte, ,r s ( Contractor's Address _ : </ 3/ 2 LGu / / ST City •'-' 4 State " . �[ Zip o Qualifier Name c2� Phone # State Certificate or Re istratibn No. /362 // / p Y ficate of Com etency No. E -mail Contact Phone r ) q 42 e Z,) O Architect/Engineer'sName (if applicable) Phone # Value of Work For this Permit $ «Y.) . to Type of Work: DAdoition DAlteration ONew 0 Repair/Replace Demolition Describe Work: *ap** *** ,i** * * ** * St _ Technology Feo$ Bond $ Total Fee Now Due $ .... See Reverses do Submittal Fee $ 53 l Permit Fee $ /a i Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Double Fee $ ! Violation date: Structural Review. S Perm it ! Master Permit No Flood Zone Square / Linear 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 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 I MPROVEMENTS TO YOUR PROPERTY. IF ` YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN Signature Owner or Agent The foregoing instrument was acknowledged before me this d 1 day of ,4,c , 20(0 , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: t t' My Cot 407) ExotsELLA !BOSCHETTI *= MY COMMISSION # DD823o72 • EXPIRES September 15, 2012 • APPROVED BY (Revised 07 /10;07)(Revised 06/10/2009) Signature Contractor The foregoing instrument was acknowledged before me thus n / day of frta" L , 20 (O, by who is personally known to me or who has produced CV '1CO eoo • .i) - xis-0 as identification and who did take an oath. NOTARY PUBLIC: * * * * * ** ;/e7 / Plans Examiner Engineer Sign:C:� Print: My n S LA BOSCMETTI MY COMMISSION # D0823072' EXPIRES September 15,2012 * ** ** 4t8.**** * * * * * * * * * * ** Zoning Clerk checked 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..... 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 re- inspection fee will be charged. MIAMI°DADE COUNTY Sig Signature of Signature of Building contractor Signature of Electrical Inspector 123 01 -124 6/06 / V CO k ViCa-fxrc (02 Z ectrical Contractor Building 11805 SW 26th Street Miami, Florida 33175 -2474 786 - 315 -2100 miamidade.gov AFFIDAVIT FOR 30 DAY TEMPORARY ELECTRIC SERVICE ELECTRICAL CATEGORY 26 ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED OR CERTIFICATE OF OCCUPANCY OBTAINED. It is understood that the temporary electrical approval by the Miami -Dade Building Department is given in connection with the building being constructed under the Building Permit # ,OC z - 09 - : and Electrical Permit# L "3 --C" - 3O( at address -9F3 .0 tie 54 61- ' for owner: , `; ✓,? /%�� - „,,a5 apd is being ,given only for construction purposes or for testing the following equipment i aid structure: ,d /C- cr / 4 / 61a-r• , c-e--,-, The owner does hereby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purposes of use and occupancy, and no occupancy shall be granted or permitted until final inspections have been called for and approved by the inspection divisions concerned, and /or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and cancellation and electric power can be cut off at the discretion of the Building Official and will be disconnected if the building concerned is occupied before final inspections are approved and /or a Certificate of Occupancy or Completion is obtained. �CS�ti .G`k(q° - ; being first duly sworn, depose and say that I am the owner of the above described property, and that I agree that the structure covered in this agreement shall not be occupied until the building contractor has obtained approval of final inspections and /or obtained a Certificate of Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your being unable to obtain future Temporary for Test permits. GISELLA BOSCHETT .*1 MY COMM r w ',, 008230 15, 20 f �Cf�lii1�P�'y Signature df Notary MyCommission Expires I,.. Q , being duly sworn, depose and say that I am t the abo e-described property and that the electrical installations as now existing will not create a safety hazard if temporary service is connected. Signature bf Notary My Commission Exp r� I, / , being first duly sworn, depose and say that of the above described pro rty and that I will not permit occupancy of this building until final inspections have been called for by the contractors and sub - contractors concerned and final approval by the inspection division obtained and that I have the authority insofar as the owner of said property is concerned to prohibit occupancy until such final inspections are obtained and /or a Certificate of Occupancy or Completion is issued. Date: .VS,e5 t Signature of NotaMy Commission E`s: GISELLA B • MY uommibol'.r ,.,. �rrac or i 1 St` co*r.{rc `i BOS z4ETTI }N 4 23072 tor:1c?e ,;3,-2012 C7 Date released to FPL: MIAMI SHORES VILLAGE BUILDING DEPT 10050 NE 2ND AVE MIAMI SHORES FL 33138 I _ A "ea..", ne rnwsw ,w.. �I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE 155UING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON Tim INSIAARR, ITSIA NT OgS OR REPRESENTATIVES. AUTHORIZED REPRESEN1ATIV '''' • ' "'I '°' 0 JESSICA HECHAVARRIA eat& teha MV1'U&) 4 THE POLICIES ANY REQUIREMENT, MAY PERTAIN. POLICIES. OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE 1N.'IIRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INDICATED. NOTWITHSTANDING THIS CERTIFICATE MAY BE ISSUED OR EXCLUSIONS AND CONDITIONS OF SUCH INSR A AMYL ∎$B* M TYPE OF INSURANCE GENERAL LIABILITY [] COMMERCIAL GENERAL LIABILITY ■ ❑ C LAIMS MADE ❑ OCCUR R POLICY NUMBER L040001342 POLICY EFFECTIVE PATE MMIDDIYYYY 02/05/2011 _ POLICY EXPIRATION DATE MMID• 02/05/2012 LIMITS EACH OCCURRENCE 1,000,000 DAMAGE To RENTED PREMrses1Ea ooctmmnce> 50, 000 MED EXP Any one person) 1,000 PERSONAL SADVINJURY 1,000,000 • GENERAL AGGREGATE 1,000,000 GEM_ AGGREGATE umrr APPLIES PER: ❑ POLICY ❑ PROJECT ❑ LOC PRODUCTS . COMP /C]P AGG 1,001100a ❑ ❑ AUTOMosrLE UABILITV' I♦ ANY AUTO • ALL OWNED AUTOS ❑ SCHEDULED AUTOS, • HIRED AUTOS ❑ NON OWNED AUTOS • COMBINED SINGLE LIMIT (Ea accident) BODILY E INJURY BODILY INJURY (Per accident) I+HUNERTY DAMAGE er accident AUTO ONLY - EA ACCIDENT • GARAGE LIABILITY • ANY AUTO ❑ OTHER THAN EA ACC AUTO ONLY: AGO ❑ excEao 1 UMBRELLA LIABILITY • OCCUR ❑ CLAIMS MADE • ❑ DEDUCTIBLE 0 RETENTION $ EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y iN ANY PROPRIETOR / PARTNER > EXECUTIVE OFFICER / MEMBER EXCLUDED? (Mandatory In NH) 11 yes, describe moor SPEIAL PROVISIONS below 0 WC STATU- • OTH EL EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE B. L. DISEASE •POLICY EA Lalnrr OTHER • ... DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE OF LIABILITY INSURANCE PRODUCER Tammy Insurance Agency THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9821 S.W. 40th Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND oR Miami, FL 33165 ALTER THE GOVERAOE AFFORDED BY THE POLICIES BELOW. Phone (305)485 -3999 Fax (305)485 -3944 INSURERS AFFORDING COVERAGE NAIC # sagg A: Atlantic Casualty Insurance Co I INSURED NHTC Corporation 6295 SW 165 PL Miami, FL 33193 COVERAGES CERTIFICATE HOLDER 6`1 - INSURER C : INSURER C: INSURER D: INSURER E: CANCELLATION DATE (MMIDDIYY) 02/14/11 ACORD CORPORATION. All rights reserved. The ACORIMarm aped logo are registered marks of ACORD Scheduled Inspection Date: March 07, 2011 Inspector: Perez, JanPierre Owner: JACQUELINE JAMES, LESCOTT 1 VTTI C !`/1Al1AQC Job Address: 286 NE 99 Street Project: <NONE> Miami Shores, FL 33138- Contractor: RESULTS AIR CONDITIONING CO Building Department Comments March 04, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Phone Number Inspection Number: INSP- 156690 Permit Number: MC -3 -09 -302 For Inspections please call: (305)762 -4949 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New A/C System Parcel Number 1132060134310 Phone: 305 - 886 -2534 INSTALLATION OF A NEW A/C SYSTEM FOR GARAGE CONVERTION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 156556. CREATED AS REINSPECTION FOR INSP- 107549. missing hood exhaustjpp CAN NOT USE T -FIN MUST BE 26 GA METAL PIPE JPP Page 23 of 30 BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL / 1 U €-t t , N. a .:.. OWNER: Name (Fee Simple Titleholder): Phone #: Address: '" '`' ',AVE b'�1 A `, 7. City: / ! 4/ 1 S t^t C. -a , State: ( i Zip: y i 1 ii Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: City: Folio/Parcel #: Address: / `I `? 1 Miami Shores Is the Building Historically Designated: Yes ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *F Permit Fee $ Radon Fee $ Training/Education Fee $ Structural Review $ Submittal Fee $ ,� Scanning Fee $ ? >, ) Notary $ Double Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 County: Miami Dade Permit No. JUN 1 8 2010 gi BY: vca1 - te a Master Permit No. / L t ` ` U Zip: NO Flood Zone: CONTRACTOR: Company Name: t'. i '� �' Phone #: City: i ,' ;10-; t: State: t Zip: Qualifier Name: ) ? ` r r Phone #: State Certification or Registration #: `1 C ! Certificate of Competency #: Contact Phone #: 1 1 - " ` '- Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ ` `' {, Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration Description of Work: 7r 1- :New ,Repair/Replace ❑Demolition s * ** ***:***** ***** * ***** * ****** * ****** *** �-( 1 1 CCF $ 1)*LJ CO /CC $ DBPR $ Bo / nd � $ • Technology Fee $ 5 . t£ 0 TOTAL FEE NOW DUE $ 6 �� 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 fore oing instrument was acknowledged before me this 15 day of , 20 , by , day of , 20 ( 0, 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: NOTARY PUBLIC-STATE OF FLORIDA dig L t' Astrid Delgado Sign: Sign: n: �.. o. Print: Print: 11 My Commission Expires: My Com ssion Expires: APPROVED BY * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** * * * * * * * * * * * ** ** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** 0 (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Plans Examiner Structural Review ;" Expires: MAR. 22, 2014 Rfn1ED �II�Yd �1G BOliDLNG CO., Zoning Clerk Arrtrizattt cri .rcrgrr„sztt Tine edoye pnces spec:float:0os arta ; :tt,.ohOitione axe oattra and are hereby ac4epted. Yo are authoriZed 1:0 Cie:). the wark as speolfied. Paymant *II he made as outlined ebo,ve, L Date of Accaptanc Sionature RESULTS 7451 14.W, 72 Phone: I ttn: Roberto Ojeda Fax: AIR CONDITIONING AVENUE a NHAND. Ft. 33106 305885-2634 -305-8854303 Ptoposal Submitted To Phone - Oat NHTC Corporation i 305 -e7e, - 3971 12,12 strrot 6704 Si 114th Avehue ;Jot Name miami Shores remodelaticn , . C9, Srate and ZIp Cone r Jab 'Location Miami, Flordda 317 p...' Re i. gel 4 1/46-1 — A.,chftwt Date of Plarm :Sob Phone Fax: 786 - ,-,37 4:„.... hereby aubmft soeclfications an e<tmates fOr. Supply and install(1) flhem/Rudd conditioning system (per plan & specific incalade---t-r.2)-e- fellow si;per high efficiency split_alr__ Installation to . — : * --.' txterglass supply and return * - COpper refrIcerant pipir. with 7' Classic white diZ.f * Exhaust fan with metal cduct - Digital t-stt * Seal all joints with mastic --;,-- "vibration isolators * Hurr:ic,:ane straps . -- .. * Start up test and belenoa Note: Electric and drain by otharzl ductwork arma # 6 (high velocity duct s. __ . _ Job Quote: $ 6,46 .00 Warranty: 3 vears or parts and labor 10 Years on compressor . . i 13,-- permit fee) 111r pl. heeby to fvoll..5l matenel erto tab° - ,:ornotete in accoroattoe wltn above spar lioatons. fo° the sum of: dblart: 'I cA'Y ;VENT Tc, P.• ".'...aDf el' ''''C' ' OW'S: ;z1: -- atvai s g.,:arafieer: '.:". zi 3.3 sz*,scied . tt ci: c. ■ a '2,. acr,;(eing. r.: soidart" ortt: An'y tette:3 c , :...-e,..N.;.tf.” , , me, .15tov 41%tra MaIS VA be Cri",' ,F1 Writte o ,anci wii' r,e.c,..1'ne. an exUA .211;tfcr; rE. s:;. z..?41,..,..? c07:17767 ;..i,:417; - st - c.'4.::, , , -rD:` ce CV1./2. tr ::!--"./. .y.;,' C 7.. '_`-t.',::;--r ,5 nt,,,_;,,j,;,,,,,„. frrirrr Li, ernne :,....,,a c-, ar..fl Sipnature '4 OU: , 'Th-S - ,, tivthrp.?: c..i.s :f Arrtrizattt cri .rcrgrr„sztt Tine edoye pnces spec:float:0os arta ; :tt,.ohOitione axe oattra and are hereby ac4epted. Yo are authoriZed 1:0 Cie:). the wark as speolfied. Paymant *II he made as outlined ebo,ve, L Date of Accaptanc Sionature BUILDING PERMIT APPLICATION FBC 20 Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) 14 c.- e / ne Owner's Address /00 AO 6c') / e' City /t-ei -ja.,/ / State j� L Tenant/Lessee Name Email Job Address (where the work is being done) City FOLIO / PARCEL # Contractor's Company Name r Contractor's Address 143/,2 /7 _ 7 City / 1 7 /, ( / State / ` Qualifier Name 7 State Certificate or Regi ation No. Contact Phone 3 05- 9 3 c>?/ Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: ❑Addition EAlteration Describe Work: Double Fee $ Structural Review. $ Miami Shores Village Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No d '100 Master Permit No. ^ 3 County Miami -Dade E -mail Violation date: hone # Zip Phone # Phone # Total Fee Now Due $ 331.9 . Zip 3 5 / Is Building Historically Designated YES NO }C Flood Zone ne # 7 7 ‘ , . v 6 2 , 4 9 2 7 0 Zip Y3/ Phone # ?77 'WO Certificate of Competency NoFe— / c 0/ 871 L : ENV JUN 0 1 2010 1! Square / Linear Footage Of Work: ❑New ❑ Repair/Replace ❑ Demolition tg ******** * * ** * * * * * * * * * * * * * * ** * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * *** ** * ** Submittal Fee $ Permit Fee $ tj'`me ®d CCF $ /a p•i Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ CO /CC $ Technology Fee $ Bond $ 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 re- inspection fee will be charged. Signature s Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 3 ( The foregoing instrument was acknowledged before me this 1 day of ( ; , 20 to, by vt�eti r s day of ak- -` , 20 40 , by a c 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: Sign: Print: wao•am+uegfunoNaPliou £St0-96£(LO ) ` �1/%1E 9S S?1:1IdX9 ��;�•, LOC rCO # Nit IWWOO A 9Aa ,d , • My Commissioi Expiies: APPROVED B (Revised 07 /10 /07)(Revised 06/10/2009) Engineer NOTARY PUBLIC: Sign: Print: My Com c.� ***************************************************************************** * * * ** * * * * * ** * * * * * * * * ** * * * * ** * ** /G Plans Examiner Zoning Clerk checked at address: for owners: AFFIDAVIT FOR 30 DAY TEMPORARY-ELECTRIC SERVICE (To be executed by Owner and/or Tenant, Bolding & Electrical Contractor) NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED It is understood that the temporary - electrical approval by the Miami Shores Villnze, Building 8c Zoning Department given in connection with the building being constructed under. Building Permit No. RL 3 ° c ' 30 c Electrical Permit No. 8 , ot) 9 7-- is being given only for construction purposes or for testing the following installations being made in said structure: Sub - paragraph 4501.3 (d) (3) of the South Florida Building Code provides for a 30 day maximum approval only in an URGENT NECESSITY for electric current exists. Necessity shall include the use of current for irrigation, security, humidity control, emergency power and lighting, such as for testing or construction purposes, provided the Electrical Contractor and owner do hereby agree to assume the responsibility of maintaining the installation in such a manner that there is no hazard to life and property. Such approval is in no event to be considered a release of said structure for purposes of use and occupancy, and no occupancy shall be granted or permitted until final inspections have been called for and approved by the inspection divisions concerned, and an occupancy permit obtained. The undersigned also understand that the temporary- electric approval is subject to rescission and cancellation, and electric power can be cut off at the discretion of the Building and Zoning Department and will be disconnected if the building concerned is occupied before final inspections are approved and occupancy permit obtained. . S , being first duly sworn, depos d say tha(am the owner of the a described property, and that I agree that the structure covered in this agreement shall not be occupied until the building . contractor has obtained approval of final inspections. Sworn and subscribed before me this 3 f day of /7 >r / , �Po /o Notary Public, State of Florida at Large My Commission Expires: Page 1o1 • ni,,-.51,,,e2/. / La, BUILDING AND ZONING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138.2382 TELEPHONE (305) 795-2204 FAX (305) 756-8972 m Ps • • MY C e MW,I, ON 4 010823072 EXPIRES S% ''. ^' 15, 2012 5407) 398 -01 53 Florida Nut m 30 DAY TEMPORARY-ELECTRIC SERVICE (continue) , being first duly sworn, depose and say that am the Electrical Contractor for the above described property and that the electrical installations as now existing will not create a safety hazard if temporary - service is connected. Sworn and subscribed before me this 2 S3 day of app ( Notary Public, State of Florida at Large My commission expires: �} f6 , , being first duly sworn, that I am the Building Contractor of the a described property. and that I will not permit occupancy and said ancy of this building until final division obtained and that I have the authority insofar as the owner of said property is concerned to prohibit occupancy until such final inspections are obtained. Sworn and subscribed before me this of day of , , Notary Public, State of Florida at Large My Commission Expires: SIGNATURE OF ELECTRICAL INSPECTOR Date: Page 2 of 2 'SELLA BOSCHETTI !Y COMMISSION # D0523072 ,a, 1 XPIRES S6!Atember 15, 2012 (407) 308-0153 Fiorki4NataryZervica.cpm Release to FLORIDA POWER c LIGITT CO. by: ( name) Date: SIGN OF ELECTRIIRAL CONTRACTOR I? S CL ATURE OF NOTARY PUBLIC SIGN A B DIG CONTRACTOR 407) 388 -0 IZEGISSIZOARY P MY comm, 072 EXPIRES Floodu , .:.r To: (name) THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDMONS OF SUCH POLICIES. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR %D . TYPE OF INSURANCE l POUCYNUMBER POLICY EFFECTIVE DAB .... POU Y EXPIRATION DA 1,,,,i.,.ie. LIMITS GENERAL LIABILITY COMMERCIAL GENERAL UABILITY ( 1 '�`. f t' , 1 EACH OCCURRENCE $ 1 0 0 0 ,. U 0 0 UHMI\bt I U KCni I CU PREMISES (Ea oxarence) $ 100,000 $ 1"j 000 I CLAIMS MADE El OCCUR MED EXP (Anyone person) PERSONAL & ADV INJURY $ 1 r 000.000 $ 2,000 000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPUESPER: PRODUCTS • COMP /OP AGG $ 1 L POUCY r E LOC AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) — BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE — UABILITY ANYAUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ — I OCCUR I `CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYER& LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? Ifyes, describe under SPECIAL PROVISIONS below (TRY LIMITS 1 I E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ E.L. DISEASE - POLICY UMIT $ OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS I a - - . A _ r I` +) t .%,') i':. r tt . _5.T SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR UABILITY OF ANY RIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPR A� ACORD,., CERTIFICATE OF LIABILITY INSURANCE PRODUCER 1'11.t�i;!,, -.• tSURED COVERAGES CERTIFICATE HOLDER ACORD25 (2001108) THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: NOVA C iSU • T'Y (;.'w)' INSURER B: INSURER C: INSURER 0: INSURER E: CANCELLATION DATE(MM/DD/YYYY) 5/?a .J10 NAIC 8 31259 RE: MESSAGE: ************** FROM: DATE: / TO: F.P.& L. N.E. service ctr. Katg-k-io4-th inspection O.K. Michae1-A. Devaney Sr. Adrireqc pprmit # 7-//-- >*Z- Di t/(7';`, NUMBER OF PAGES: (INCLUDING THIS ORIGINAL DOCUMENT(S) TO FOLLOW VIA: ( ) REGULAR MAIL HAVE A NICE DAY 11 111 e ;1,1 /1w BUILDING AND ZONING DEPARTMENT 1005 N.C. 5ECONO AVENUE IHIN.N11 SNORES. FLORIDA 33135-2322 TELEPHONE (3051 795-220A FAX (05) 7565971 FACSIMILE TRANSMITTAL ***************** PHONE # CELL 1305.988.7028 FAX # 305-7707996 P4A1 4,/e PAGE) 1 ( ) EXPRESS MAIL (X ) ORIGINAL DOCUMENT WILL NOT FOLLOW (ONLY IF REQUESTED) PLEASE CONTACT OUR OFFICE IF ALL PAGES ARE NOT RECEIVED. Inspection Number: INSP - 156406 Scheduled Inspection Date: February 28, 2011 Inspector: Devaney, Michael Owner: JACQUELINE JAMES, LESCOTT 1 VTTI AApIIQC Job Address: 286 1E9; Street Miami Shores, FL 33138- Project: <NONE> Contractor: WELL ELECTRIC TECHNOLOGY Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: EL -3 -09 -301 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060134310 Phone: (305)726 -7098 UPDATE ELECTRICAL SERVICE AND NEW PANEL FOR GARAGE CONVERTION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP - 107542. Need's 30 day temp for test. February 28, 2011 For Inspections please call: (305)762 - 4949 Page 29 of 33 Miami Shores Village Building Department 10050 N.E2nd Avenue, Miami Shores, :Florida 33138 Tel: (305) 795. 2204 Fax :: (305) 756.8972 INSPECTION'S PHONE NUMBER: (385): 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) Owner's Address fa, 6 d 5 „L v City /" Stater Zip .,,.: 12- Tenant/Lessee Name Phone # Email Job Address (where the work is being done) c7 8 ,t) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated 'YES NO Permit No Master Permit °Alteration *o * * * * * * * * * **i* r * * *a* .* * **'* * * ** o/(( $ Technology: Fee $ Pa Contractor's Company Name .0 C .0 G /( �ir►�? L ' .Phone : e4 3 j$ Contractor's Address « 3 12 it Sr City , *147 % , State "Z zip. 3/4 . Qualifier Name :. 27,---y-z),/ 1 - / Phone # State Certificate or Registra otf n No,l 3 if,& // g/ Certificate of Competency .. No 8- a E -mail 2 /'._„ Contact Phone Value of Work For this Permit $ Type of Work: ' °Addition Describe Work: ***************************************F d Architect/Engineer's Name (if applicable) Phone ti Submittal Fee $ Permit Fee $ J3-' , m . Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Double Fee $ Violation date: Structural Review. $ Total Fee Nov :Due $ 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 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. Owner or Agent The foregoing instrument was acknowledged before me this day of 9 ,20 fC7!by 4:2--r Sign: �•!t XPIR; Print: u My Commission Expires: (Revised 07/ 10 /07)(Revised 06/10/2009) who is personally known to me or who has produced As identification and who did take an oath. allo Engineer Contract r The foregoing instrument was acknowledged before me this day of 20 l U, by who is personally known to me or who has produced as identification and who did take an oath. APPROVED BY / ..k U Plans Examiner 4tr a M C �-r EX 407 398 -0153 LA BO SCHETTI ,MIS SION # 00823072 8 t r , 012 Zoning 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..... `WARNING TO OWNER: YOUR FAILURE TO RECORD A COMMENCEMENT MAY RESULT IN YOUR PAYING 'TWICE NOTICE 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 re- inspection fee will be charged. Clerk checked • Inspection Number: INSP - 156729 Scheduled Inspection Date: March 07, 2011 Inspector: Hernandez, Rafael Owner: JACQUELINE JAMES, LESCOTT 1 VTTI C �`AAIIAQC Job Address: 286 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ACER PLUMBING INC Building Department Comments PLUMBING FOR BATHROOM IN GARAGE CONVERTION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 107558. water heater not per plan March 04, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: PL -3 -09 -303 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060134310 Phone: 305 - 935 -4103 Page 24 of 30 March 3, 2011 Village of Miami Shores Building Department 10050 Northeast 2nd Avenue Miami Shores, Florida 33138 ADDRESS: PERMIT # RC309 -300 Dear Sir /Madam: I am the engineer of record for the current permit documents. The water heater in the utility room at the residence was changed to a Titan 50 AMP electric heater and satisfies all plumbing requirements. All changes will be reflected in the final set of drawings. Inspector approval is kindly requested. Jacqueline P. James', Ph.D. P.E. Imara Engineering Consulting ENGINEERING CONSULTING JACQUELINE P. JAMES, PHD. PE. 9100 S Dadeland Blvd, Suite 1500 MIAMI, FL 33156 305 - 519 -6754 James - Lyttle Residence 286 NE 99 St Miami FL, 33138 Building, from conception to reality Jacqueline P. James Ph.D. P.E. License #: 66579 BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING Job Address (where the work is being done) Contractor's Company Name Value of Work For this Permit $ Type of Work: ❑Addition Describe Work:. Submittal Fee $ Notary $ Scanning $ 3. ?O irgukilgtFtc.$ t. i 2 :4 LC:5 C C 3r'i it,s Structural Review. $ Radon $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Owner's Address /eV 665 6 ce2 Owner's Name (Fee Simple Titleholder) L).P . t w42 �_,,, o japne City / `7 /✓ State Zip B l 2 Tenant/Lessee Name Phone # Email City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO 71 Contractor's Address `Ar/ At Cr Ao L Tivii City hi/ 4 M s State Ft- Zip 33 1 77 Qualifier Name 6t/ 6 ] axited) State Certificate or Registration No. L' / C. OT 33' 2 0 Certificate of Competency No. Contact Phone �el+p' 0/ A24.044 Architect/Engineer's Naine (if applicable) 6 E -mail Square / Linear,Footage Of Work: ti ❑Alteration ['New �] Repair/Replace ❑ Demolition -- P 1p4. .LAber% to f Arai 4 lr. v * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Q �CF $ 4 4, .9_0 CO /CC $ Training/Education Fee $ ° V% Technology Fee $ . V Violation date: DPBR $ Permit No. Master Permit No. Phone # Phone # Bond $ Flood Zone See Reverse side -> 03Bda all- P pc 3- d- 30o _7- — 3/ C &2v, 7e4- ita 25 Phone # 14 — 3 7 / q Total Fee Now Due $ 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. The foregoipn day of Sign: Print: My Commiss APPROVED BY Signature C > Signature Owne r Agent instrument was acknowledged before me this , 20 , by Ac.'r -. who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: on 407 MY COMMISSION it OD 04.) EXPIRES September 15 2 ' .� r:.as Service.con! .. '44153 (Revised 07 /10 /07)(Revised 06/10/2009) 7 /0 [l ( Plans Examiner day of d t •., ` , 20) , by D4 /7) Contractor The foregoing instrument was acknowledged before me this who is personally known to me or who has produced as identification and who did take an oath. NOTARY PIAIC: NELSON I.OLMEDA, * MY COM ISS # DD 968 � a EXPIR A st 20, Sign: '�'j a L.. Btsnii8dttuci? tart' rrv_ Print: 1 My Commission Expires: Zoning Engineer Clerk checked Inspection Number: INSP- 155076 Permit Number: RC -3 -09 -300 Scheduled Inspection Date: January 20, 2011 Inspector: Bruhn, Norman Owner: JACQUELINE JAMES, LESCOTT i vrr r•nnnnoc Job Address: 286 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NHTC CORPORATION Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 GARAGE CONVETION INTO BEDROOM AND SUNROOM INTO MASTER BATHROOM. (AFTER THE FACT) Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 155029. CREATED AS REINSPECTION FOR INSP- 154483. CREATED AS REINSPECTION FOR INSP- 154055. CREATED AS REINSPECTION FOR INSP- 153977. Not Ready NB All ok except new addition. NB 01/12/2011 - NOT IN PLACE. JR No Access. NB January 19, 2011 For Inspections please call: (305)762-4949 Permit Type: Residential Construction Inspection Type: Insulation Work Classification: Addition /Alteration Phone Number Parcel Number 1132060134310 Phone: (305)878 -3971 Page 15 of 18 January 4, 2011 Village of Miami Shores Building Department 10050 Northeast 2nd Avenue Miami Shores, Florida 33138 ADDRESS: Dear Sir/Madam: I am the engineer of record for the current permit documents. Drawings of the joists on the current plans show the MTS20 straps but the construction was completed using MTMS 20. The Florida NOA is attached. Inspector approval is kindly requested. ac .D. P.E. Imara Engineering Consulting ENGINEERING CONSULTING JACQUELINE P. JAMES, PHD. PE. 9100 S Dadeland Blvd, Suite 1500 MIAMI, FL 33156 305 - 519 -6754 James - Lyttle Residence 286 NE 99 St Miami FL, 33138 Building, from conception to reality Jacqueline P. James Ph.D. P.E. License #: 66579 SIM200802 Used for Florida State Wide Product Approval # FL11473 Products on this Report which are approved: Product FL# Product FL# DETAL20 11473.1 LGUM210 -2 -SDS 11473.12 FGTR 11473.2 LGUM210 -3 -SDS 11473.13 FGTRE 11473.2 LGUM210 -4-SDS 11473.14 FGTRHL 11473.2 LGUM26 -2 -SDS 11473.12 FGTRHR 11473.2 LGUM26 -3 -SDS 11473.13 HETAl2 11473.3 LGUM26 -4 -SDS 11473.14 HETA16 11473.3 LGUM28 -2 -SDS 11473.12 HETA20 11473.3 LGUM28 -3 -SDS 11473.13 HETA24 11473.4 LGUM28 -4 -SDS 11473.14 HETA40 11473.4 LGUM410 -SDS 11473.15 HETALI2 11473.5 LGUM46 -SDS 11473.15 HETALI6 11473.5 LGUM48 -SDS 11473.15 HETAL20 11473.5 LTA1 11473.16 HGAM 10 11473.6 METAl2 11473.17 H G U M 5.25 11473.7 META 14 11473.17 HGUM5.50 11473.7 META16 11473.17 HGUM7.00 11473.8 META18 11473.17 H G U M7.25 11473.8 M ETA20 11473.18 HGUM9.00 11473.8 META22 11473.18 HHETAI2 11473.9 META24 11473.18 HHETAI 6 11473.9 META40 11473.18 HHETA20 11473.9 MSTAM24 11473.19 HHETA24 11473.10 MSTAM36 11473.19 HHETA40 11473.10 MSTCM40 11473.19 HM9 11473.6 MSTCM60 11473.19 HTS M 16 11473.11 MTS M 16 11473.2 HTS M20 11473.11 MTS M20 11473.2 SIMPSON SIMPSON STRONG -TIE COMPANY, INC i I: C a N 0 i 0 G ' REPORT NO.: SIM200802 CATEGORY: Structural Components SUB CATEGORY: Metal Connectors SUBMITTED BY: 1. CERTIFICATION OF INDEPENDENCE: 2. PRODUCT NAME Page 1 of 13 Jax Apex Technology, Inc. FBPE CA NO. 7547 4745 Sutton Park Court, Suite 402 Jacksonville, FL 32224/ 904/821 -5200 Evaluation reports are the opinion of the engineer who prepared the report, based on the findings, and in no way constitute or imply approval by a local building authority. The engineer, in review of the data submitted, finds that, in his opinion, the product, material, system, or method of construction specifically identified in this report conforms with or is a suitable alternate to that specified in the Florida Building Code, SUBJECT TO THE LIMITATIONS IN THIS REPORT Jeffrey P. Ameson, an employee of Jax Apex Technology, Inc. (Apex Technology), is the authorized evaluating engineer of this report. Apex Technology is the prime professional, as defined in Florida Rule 61G- 30.002, authorized to sell the engineering services performed by Jeffrey P. Arneson, and is in no way acting, nor attempting to act, as an approved evaluation entity. Neither Jeffrey P. Ameson, nor any other employee of Apex Technology, has performed calculations or testing for the products listed in this report. This evaluation is based solely upon the review, under the direct supervision of Jeffrey P. Ameson, of testing and /or calculations submitted by the manufacturer. The capacities listed in this report are based on the limiting capacities as determined from the substantiating data. We reviewed the substantiating data to a degree that allowed us to determine whether or not the work performed is consistent with the intended use of the product, and that the methods used are in compliance with, or meet the intent of, the Florida Building Code. All test reports were prepared by an approved testing laboratory. SIMPSON STRONG -TIE COMPANY, INC. 5956 W. LAS POSITAS BOULEVARD PLEASANTON, CA 94588 Jeffrey P. Arneson, the Florida engineer who prepared this report, and Apex Technology have no financial interest in the manufacturing, sales, or distribution of the products included in this report. Jeffrey P. Arneson and Apex Technology comply with all criteria as stated in Florida Administrative Code Chapter 9B- 72.110. Truss to Wall Connectors MTSM16, MTSM20, HTSM16, HTSM20, HM9, HGAM10 Simpson Strong -Tie Embedded Truss Anchors METAl2, META14, META16, META18, META20, META22, META24, META40, HETAl2, HETA16, HETA20, HETA24, HETA40, HETALI2, HETALI6, HETAL20, HHETAI2, HHETAI6, HHETA20, HHETA24, HHETA40, LTA1, DETAL Wood to Masonry Straps MSTAM24, MSTAM36, MSTCM40, MSTCM60 Girder Tiedowns FGTR, FGTRE, FGTRHL, FGTRHR Wood to Masonry Hangers LGUM26 -2, LGUM28 -2, LGUM210 -2, LGUM26 -3, LGUM28 -3, LGUM210 -3, LGUM26 -4, LGUM28 -4, LGUM210 -4, LGUM46, LGUM48, LGUM410, HGUM5.25, HGUM5.50, HGUM7.00, HGUM7.25, HGUM9.00 3. SCOPE OF EVALUATION Load Evaluation as a Structural Component using the requirements of the Florida Building Code, Building. 4. DESCRIPTION: 4.1 MTSM16 and MTSM20 Twist Straps for Wood to Masonry. The MTSM16 and MTSM20 are used to anchor wood trusses, rafters, or beams to masonry or concrete walls. The MTSM fastens to the wood member with 10d common nails, and fastens to the wall with either %x2 %" Titen Masonry Screws for a masonry wall, or '/4X1 Titen Masonry Screws for a concrete wall. These connectors are manufactured from 16 gauge steel meeting ASTM A653 SS Grade 33. The galvanized coating complies with the G90 requirements of ASTM A653. Twist strap fastener schedules, dimensions and allowable Toads are shown in Table 1. See Figure 1 for additional details of twist straps for masonry. 4.2 HTSM16 and HTSM20 Twist Straps for Wood to Masonry. The HTSM16 and HTSM20 are used to anchor wood trusses, rafters, or beams to masonry or concrete walls. The HTSM fastens to the wood member with 10d common nails, and fastens to the wall with either 1 %x2'/4" Titen Masonry Screws for a masonry wall, or %x1%" Titen Masonry Screws for a concrete wall. These connectors are manufactured from 14 gauge steel meeting ASTM A653 SS Grade 50, Class 1. The galvanized coating complies with the G90 requirements of ASTM A653. Twist strap fastener schedules, dimensions and allowable loads are shown in Table 1. See Figure 1 for additional details of twist straps for masonry. 4.3 HM9 Hurricane Tie. The HM9 is used to anchor wood trusses, rafters, or beams to masonry or concrete walls. The HM9 fastens to the wood member with Simpson %X 1W SDS screws (provided with the part), and fastens to the wall with either %x2%" Titen Masonry Screws for a masonry wall, or '/4x1 Titen Masonry Screws for a concrete wall. The HM9 is manufactured from 18 gauge steel meeting ASTM A653 SS Grade 33. The galvanized coating complies with the G90 requirements of ASTM A653. Hurricane tie fastener schedule, dimensions and allowable loads are shown in Table 1. See Figure 2 for additional details of the HM9. 4.4 HGAM10 Hurricane Gusset Angle. The HGAM10 is used to anchor wood trusses, rafters, or beams to masonry or concrete walls. The HGAM10 fastens to the wood member with Simpson % X 1W SDS screws (provided with the part), and fastens to the wall with %4x2 %" Titen Masonry Screws. Allowable loads are shown in Table 2. The HGAM10 is manufactured from 14 gauge steel meeting ASTM A653 SS Grade 33. The galvanized coating complies with the G90 requirements of ASTM A653. Angle Page 2of13 Simpson Strong -Tie Page 3 of 13 fastener schedule, dimensions and allowable Toads are shown in Table 1. See Figure 3 for additional details of the HGAM10. 4.5 META, HETA, HETAL, HHETA Embedded Truss Anchors. Embedded Truss Anchors are used to anchor a wood member (usually a truss) to a masonry or concrete wall. Embedded truss anchors fasten to a single -ply wood truss with 10dx1% nails or to a multiple -ply truss with 16d common nails. They are embedded in the masonry or concrete wall to a depth indicated on the side of the anchor (4" for META, HETA, and HETAL, and 5 for HETAL). The strap portion of the anchor is We wide. The anchors are manufactured from steel meeting ASTM A653 SS Grade 50, Class 1, with the exception of the truss seat of the HETAL which is manufactured from steel meeting ASTM A653 SS Grade 33. Steel thickness is as specified in Table 9. The galvanized coating complies with the G90 requirements of ASTM A653. Embedded truss anchor fastener schedule, dimensions and allowable loads are shown in Table 2 for single installations and Table 3 for double installations. See Figures 4 and 6 for additional details of single and double embedded truss anchors. 4.6 LTA1 Lateral Truss Anchor. The LTA1 is used to anchor wood trusses, rafters, or beams to masonry or concrete walls. The LTA1 fastens to the wood member with 10dx1' /z° common nails and has legs which are embedded into the wall system. Allowable loads are shown in Table 2. The LTA1 is manufactured from 18 gauge steel meeting ASTM A653 SS Grade 33. The galvanized coating complies with the G90 requirements of ASTM A653. Truss anchor fastener schedule, dimensions and allowable loads are shown in Table 2. See Figure 5 for additional details of the LTA1. 4.7 DETAL20 Double Embedded Truss Anchor. The DETAL is a high capacity connector used to anchor single -ply wood trusses or rafters to masonry or concrete walls. The DETAL fastens to the wood members with 10dx IA" nails. They are embedded in the masonry or concrete wall to a depth of 4% inches. The strap portion of the anchor is VA" wide. The strap anchors are manufactured from steel meeting ASTM A653 SS Grade 50, Class 1, and the truss seat is manufactured from steel meeting ASTM A653 SS Grade 33. The strap anchors are 16 ga. steel and the seat is 18 ga. steel. The galvanized coating complies with the G90 requirements of ASTM A653. Embedded truss anchor fastener schedule, dimensions and allowable loads are shown in Table 3. See Figure 6 for additional details of the DETAL. 4.8 MSTAM, MSTCM Wood to Masonry Strap Tie. The MSTAM and MSTCM Strap Tie models are used to provide a tension connection between wood members and a masonry or concrete structure. The MSTAM Straps are 11/4" wide for use on 1'/2" and larger members. They are installed with 10d common nails to the wood and either �4x2'/4n Titen Masonry Screws to masonry, or %4x1 Titen Masonry Screws to concrete. The MSTCM Strap is 3" wide for use on doubled 2 -by or single 4 -by and larger members. They are installed with 16d sinker nails to the wood and either %x21/4" Titen Masonry Screws to masonry, or '/x1 Titen Masonry Screws to concrete. The MSTCM Strap has countersunk nail slots for a lower nailing profile and coined edges for safer handling. The straps are manufactured from steel meeting ASTM A653 SS Grade 50, Class 1, of a thickness as specified in Table 4. The galvanized coating complies with the G90 requirements of ASTM A653. Masonry strap fastener schedule, dimensions and allowable loads are shown in Table 4. See Figure 7 for additional details of wood to masonry straps. 4.9 FGTR, FGTRE, FGTRHL, FGTRHR Face Mount Girder Tie Down. The FGTR is a non -pitch specific girder tie down that can be used in new construction or retrofit applications to tie down a girder truss or beam to a concrete or masonry wall. The Simpson Strong -Tie Common Nail Pennyweight Nail Shank Diameter (inch) FA (psi) 10d 0.148 90,000 16d sinker 0.148 90,000 16d 0.162 90,000 FGTR can be installed in a single application or can be doubled to achieve a higher uplift capacity. The FGTR fastens to the truss with Simpson Strong -Tie SDSW wood screws, and fastens to the masonry or concrete wall with Simpson Strong -Tie W diameter Titen HD fasteners, which are supplied with the connector. The FGTRE uses a strap that is oriented with its flat dimension parallel to the truss for placement at the end of walls when the truss is parallel to the wall. The FGTRHL and FGTRHR are designed with the flat dimension of the strap at a 45 degree angle to the truss for anchorage of hip trusses. The FGTR straps are manufactured from 7 gauge ASTM A- 1011 Grade 33 steel having F =33ksi and F =52ksi and the plates are made from 3 gauge ASTM A -1011 Grade 33 steel having F =33ksi and F 52ksi. They have a gray powder coat finish. Girder tie down fastener schedule, dimensions and allowable loads are shown in Table 5. See Figure 8 for additional details of face mount girder tie down connectors. 4.10 LGUM, HGUM Masonry Girder Hangers. LGUM and HGUM girder hangers are high capacity joist hangers that are used to connect wood girders and beams to masonry or concrete walls. The LGUM and HGUM use Simpson Strong -Tie Titen HD anchors to attach to the masonry or concrete wall, and Strong -Drive Screws (which are provided) to attach the beam to the hanger. To install the Titen HD anchors, drill holes of the same diameter as the anchor into the masonry or concrete. Holes should be %2° deeper than the specified Titen HD length. The SDS screws are installed best with a low -speed %2" drill and a %" hex head driver. Predrilling holes for SDS screws is not required. The LGUM is manufactured from galvanized steel complying with ASTM A 653 SS Grade 40 with minimum yield and tensile strengths of 40 and 55 ksi (275 and 379 MPa), respectively. The HGUM is manufactured from galvanized steel complying with ASTM A 653 SS Grade 33 with minimum yield and tensile strengths of 33 and 45 ksi (228 and 310 MPa), respectively. The galvanized coating complies with the G90 requirements of ASTM A 653. The steel thicknesses are 0.099" (2.51 mm) for the LGUM, and 0.173" (4.39 mm) for the HGUM. Girder hanger fastener schedule, dimensions and allowable loads are shown in Table 6. See Figure 9 for additional details of masonry girder hangers. 5. MATERIALS 5.1 Steel. Steel specifications for each product listed in this evaluation report shall be as indicated in the previous section. 5.2 Wood. Wood members to which these connectors are fastened shall be solid sawn lumber, glued- laminated lumber, or structural composite lumber having dimensions consistent with the connector dimensions shown in Tablesl through 6. Unless otherwise noted, lumber shall be Southern Pine or Douglas Fir -Larch having a minimum specific gravity of 0.50. Where indicated by SPF, lumber shall be Spruce - Pine -Fir having a minimum specific gravity of 0.42. 5.3 Nails and Bolts. Unless noted otherwise, nails shall be common nails. Nails shall comp Fasteners for galvanized connectors in pressure - preservative treated wood shall be hot - dipped zinc coated galvanized steel with coating weights in accordance with ASTM A153. Fasteners for stainless steel connectors shall be stainless steel. Page 4of13 Simpson Strong -Tie Product Test Number Date Tested MTSM B845, H756 2/27/90, 12/6/00 HTSM 02 -3667 1/30/02 HM9 Uplift 02 -3793 5/15/02 HM9 F1 Direction 02 -3793 5/15/02 HM9 F2 Direction 02 -3793 5/15/02 HGAM10 Uplift 02 -3884 7/29/02 HGAM10 F1 Direction H046 3/25/99 HGAM10 F2 Direction H141 6/22/99 META Uplift 02 -3674, 02 -3802, 02- 3861,04 -4675 6/4/02, 6/8/02, 7/24/02, 2/8/04 META F1 02 -3674, 02 -3802 6/4/02, 6/8/02 META F2 02 -3674, 02 -3802, 02 -3861 6/4/02, 6/8/02, 7/24/02 HETA Uplift 02 -3803, 02 -3862 04 -4676 6/10/02, 7/26/02, 2/8/04 HETA F1 02 -3803 6/10/02 HETA F2 02 -3803, 02 -3862 6/10/02, 7/26/02, HHETA Uplift 02 -3676, 02 -3863, 04 -4674 6/4/02, 7/29/02, 2/7/04 HHETA F1 02 -3676 6/4/02 HHETA F2 02 -3676, 02 -3863 6/4/02, 7/29/02 HETAL Uplift 02 -3803, 02 -3862, 04 -4676 6/10/02, 7/26/02, 2/8/04 HETAL F1 D793 3/17/94 Material Specification Minimum Compressive Strength Concrete, fc - 2500 psi Masonry, fm ASTM E447 1500 psi Masonry Unit ASTM C90 1900 psi Mortar ASTM C270 Type S 1800 psi (or by proportions) Grout ASTM C476 2000 psi (or by proportions) Page 5 of 13 5.4 Concrete /Masonry. Concrete and Masonry design specifications shall be the stricter of the specifications by the engineer of record, the Florida Building Code minimum standards, the following, or as noted in the report: 6. INSTALLATION Installation shall be in accordance with this report and the most recent edition of the Simpson Strong -Tie Wood Construction Connectors catalog. The Information in this report supercedes any conflicting information between information provided in this report and the catalogue. 7. SUBSTANTIATING DATA Test data submitted by Testing Engineers Inc. and Product Testing, Inc., and signed and sealed calculations performed by Jeremy Gilstrap, P.E., and Samuel Hensen, P.E., performed in accordance with the 2007 Florida and Residential Building Codes. Simpson Strong -Tie Product Test Number Date Tested HETAL F2 D844 3/28/94 DETAL Uplift 0797 3/28/08 DETAL F1 0795, 0799 5/12/08, 3/27/08 DETAL F2 0796, 0798 6/05/08, 3/28/08 LTA1 Uplift 02- 3616 2/13/02 LTA1 F1 02- 3616 2/13/02 LTA1 F2 02- 3616 2/13/02 MSTAM24 Uplift 02 -3795 5/17/02, 5/17/02 MSTAM36 Uplift 02 -3795 5/17/02, 5/17/02 MSTCM40 Uplift 02 -3796 5/31/02 MSTCM60 Uplift N471 1/26/07 FGTR Uplift 04- 5004, 04 -5005 10/6/04, 10/6/04 FGTRE Uplift 04 -5010 10/29/04 FGTRHL/R Uplift 04 -4915 10/13/04 LGUM Down M202,M 203, M204, M222, M224 7/13/06, 7/13/06, 7/13/06, 7/14/06, 8/03/06 LGUM Uplift M211, M212, M213 8/18/06,8/18/06, 8/21/06 HGUM Down M207, M209,M216 M217 9/11/06, 9/11/06, 10/20/06, 10/20/06 HGUM Uplift M729, M731 8/3/06, 8/04/06 8. FINDINGS 9. LIMITATIONS: 10. CODE REFERENCES Page 6 of 13 Upon review of the data submitted by Simpson Strong -Tie, it is my opinion that the models as described in this report conform with or are a suitable altemative to the standards and sections in the 2007 Florida Building Code, Building, and the Florida Building Code, Residential code editions listed in section 10 of this report, subject to the limitations below. Maximum allowable loads shall not exceed the allowable loads listed in this report. 1. Maximum allowable loads shall not exceed the allowable Toads listed in this report. Allowable loads listed in this report are based on allowable stress design. The loads in this report are not applicable to Load and Resistance Factor Design. 2. Capacity of wood members is not covered by this report. Capacity of wood members must be checked by the building designer. 3. Allowable loads for more than one direction for a single connection cannot be added together. A design load that can be divided into components in the directions given must be evaluated as follows: Design Uplift/Allowable Uplift + Design Lateral Parallel to Plate /Allowable Lateral Parallel to Plate + Design Lateral Perp. to Plate/Allowable Lateral Perp. to Plate < 1.0 Florida Building Code. Building 2007 Edition Section 104.11 Altemate Materials and Methods Chapter 1714.2 Load Test Procedure Specified Chapter 21 Masonry Chapter 22 Steel Chapter 23 Wood Simpson Strong -Tie TABLE 2 ALLOWABLE LOADS AND FASTENERS Model No Ga H Uplift Lateral Loads 1 Ply So. Pine Truss 2 or 3 Ply So. Pine Truss F1 (parallel to 1 F2 (pin. to ' w a ll) Fasteners Load Fasteners Load METAl2 18 8 7- 10dx1't 1450 6-16d 1450 340 725 META14 10 7 -10dx1 % 1450 6-16d 1450 340 725 META16 12 7- 10dx1Y 1450 6-16d 1450 340 725 META18 14 7- 10dxl% 1450 6-16d 1450 340 725 META20 16 6- 10dx1% 1270 5-16d 1245 340 725 7- 10dx1% 1450 6-16d 1450 340 725 META22 18 7- 10dxl% 1450 6-16d 1450 340 725 META24 20 7 -10dx1 % 1450 6 -16d 1450 340 725 META40 36 7- 10dx134 1450 6-16d 1450 340 725 HETAl2 16 8 7- 10dx1% 1520 7 -16d 1780 340 725 HETA16 12 9 -10dx1 % 1810 8-16d 1810 340 725 HETA20 16 8- 10dx134 1735 7 -16d 1780 340 725 9- 10dx1% 1810 8-16d 1810 340 725 HETA24 20 9- 10dx134 1810 8-16d 1810 340 725 HETA40 36 9- 10dx1% 1810 8-16d 1810 340 725 HHETAl2 14 8 7- 10dx1Y 1565 7 -16d 1820 340 815 HHETAI6 12 10- 10dx1% 2235 9-16d 2235 340 815 HHETA20 16 9- 10dx1% 2010 8-16d 2080 340 815 10- 10dxl% 2235 9-16d 2235 340 815 HHETA24 20 10 -10dx1 % 2235 9-16d 2235 340 815 HHETA40 36 10- 10dx1% 2235 9-16d 2235 340 815 HETALI2 16 7 10- 10dx1Y 1085 10 -16d 1270 415 1100 HETALI6 11 14- 10dx134 1810 13-16d 1810 415 1100 HETAL20 15 14- 10dx1% 1810 13-16d 1810 415 1100 LTA1 18 3 12 -10dx1 % 1420 12- 10dx1Y2 1420 485 1425 Notes: 1. Loads include a 60% load duration increase on the fastener capacity in wood for wind loading where allowed by the Florida Building Code. Loads do not include a stress increase on the strength of the steel. No further increases are permitted. Reduce Toads where other loads govem. 2. Five nails must be Installed into the truss seat of the HETAL 3. Parallel - to-plate load towards face of HETAL Is 1975 lbs. 4. Minimum fc is 2,000psi 5. It is acceptable to use a reduced number of fasteners in a product provided that there is a reduction in load capacity. The load per nail can be approximated by dividing the allowable load by the number of fasteners. This concept applies to all member sizes. There should be a minimum of 4 nails installed in the strap. Lateral loads do not apply when fewer than 7 fasteners are used with the HETA and HHETA anchors or less than 6- 16d or 7 -10dx1 %" fasteners are used with the META anchor. 6. The HHETA allowable F1 load can be increased to 435 pounds if the strap is wrapped over the truss and a minimum of 12 nails are Installed. Figure 4 META/HETA/HHETA Typical Installation Pa o _ ____ Figure 5 LTA1 Typical Installation Simpson Strong -Tie TABLE 3 ALLOWABLE LOADS AND FASTENERSFOR DOUBLE EMBEDDED TRUSS ANCHORS Model No. Qty. Application Uplift Loads Lateral Loads 1 Ply Southern Pine Truss 2 or 3 Ply Southern Pine Truss F (parallel to wall) F (perpen. to wall) Fasteners Load Fasteners Load DETAL20 1 CMU 18- 10dx1% 2480 - - 2000 1370 Concrete 18 -10dx 1 % 2480 - - 2000 1505 META 2 CMU Concrete 10- 10dx1% 1985 14 -16d 1900 1210 1160 10- 10dx1% 1985 14-16d 2565 1210 1160 HETA 2 CMU Concrete 10 -10dx1 % 2035 12 -16d 2500 1225 1520 10 -10dx 1% 2035 12 -16d 2700 1225 1520 HHETA 2 CMU Concrete 10- 10dx1% 2035 12 -16d 2500 1225 1520 10 -10dx 1% 2035 14-16d 3350 1225 1520 Notes: 1. Loads include a 60% Toad duration increase on the fastener capacity in wood for wind loading where allowed by the Florida Building Code. Loads do not include a stress increase on the strength of the steel. No further increases are permitted. Reduce loads where other loads govem. 2. Minimum f" is 2,500 psi. 3. Install with spoons facing outward and spaced no more than 1/8° wider than the truss width. 4. Install half of the required number of fasteners in each strap, except for the DETAL20. For DETAL20, install six nails in each strap and six nails in the truss seat 5. Lateral loads for META, HETA, and HHETA anchors apply only to 2- or 3 -ply applications with anchors spaced a minimum of 3" apart. For single ply applications use lateral loads in Table 2. DETAL lateral load apply to single -ply application. 6. DETAL20 Lateral Loading in the Fi direction anchored in CMU greater than 1,790 Ib. may result in deflection up to 5 /32" in the F1 direction. Page 9 of 13 Figure 6 DETAL and Double META/HETA/HHETA Application Typical Installation with two METAs Simpson Strong -Tie TABLE 4 MASONRY STRAPS ALLOWABLE LOADS, FASTENERS AND DIMENSIONS Model No. Ca. Dimensions (inches) Simpson Strong -Tie Titen S crews DF/SP (160) SPF (160) W L CMU Concrete Nails Load Nails Load MSTAM24 18 1% 24 5%x21/4 5 -1/4x1% 8 -10d 1500 9 -10d 1500 MSTAM36 16 11/4 36 8- %x2 8 - 10 -10d 1870 11 -10d 1870 MSTCM40 16 3 40Y4 14-%x2% 14 -1/4x1 22 -16d Sinker 4220 26 -16d Sinker 4220 MSTCM60 16 3 59 14 - %x2 14 -3x1% 26 -16d Sinker 4220 26 -16d Sinker 4220 Notes: 1. Loads include a 60% Toad duration increase on the fastener capacity in wood for wind loading where allowed by the Florida Building Code. Loads do not include a stress increase on the strength of the steel. No further increases are permitted. Reduce Toads where other loads govem. 2. Minimum edge distance is 1W for Titen Masonry Screws. 3. Minimum f = 1500 psi and minimum f = 2500 psi. 4. Products shall be installed such that the Titen screws are not exposed to moisture. 40W Page 10 of 13 Typical MSTAM36 Installation. Figure 7 MSTAM / MSTCM Typical Dimensions and installation Typical MSTCM60 Installation Simpson Strong -Tie TABLE 5 FGTR SERIES ALLOWABLE LOADS AND FASTENERS Model No. Fasteners Allowable Uplift Load (160) To Block and Concrete Wall To Truss FGTR 1 2 -Titen HD %x5" 18 -SDS1 /4x3 5000 2 4 -Titen HD' /zx5" 36 -SDS1 /4x3 9400 FGTRHL/R 1 2 -Titen HD %x5" 18 -SDS1 /4x3 3850 FGTRE 1 2 -Titen HD %x5" 18 -SDS1 /4x3 4685 FGTRE +FGTR 1 Each 4 -Titen HD %x5" 36 -SDS1 /4x3 5000 Notes 1. Loads include a 60% Toad duration increase on the fastener capacity in wood for wind loading where allowed by the Florida Building Code. Loads do not include a stress increase on the strength of the steel. No further increases are permitted. Reduce loads where other loads govem. 2. Products shall be attached to grouted and reinforced CMU walls or reinforced concrete walls that are designed to transfer the uplift loads to the foundation. 3. Minimum edge distance for the Titen HD is 4" 4. THD's should be spaced in every other hole on the part 5. Attached members must be designed to resist the applied Toads 6. Products used for comer applications shall be limited to 4685 lbs allowable 7. Loads are govemed by the grouted wall capacity based on testing of the products attached to the comer of a block wall at an average ultimate Toad of 14,800 Ibs. The connector has been tested attached to a steel column to an allowable Toad of 11,400 lbs which can be used for design provided the wall is designed by the engineer of record to transfer the uplift forces. FGTR Page 11 of 13 FGTRHLTOPVIEW TRUSS SHOULD BE SET BACK lie FGTRE Two FGTRs Figure 8 FGTR/FGTRE/FGTRHL/FGRHR Typical Installation Simpson Strong -Tie TABLE 6 — LGUM AND HGUM ALLOWABLE LOADS, FASTENERS AND DIMENSIONS Model Na. Ga Dimensions (in.) Fasteners Allowable Loads (Ibs.) W H B CMU /Concrete Joist Uplift Download (DFISP /LVLIPSLILSL) Titen HD SDS Screws 0160) CMU Concrete (100/115/125) DOUBLE 2x SIZES LGUM 26-2 12 3 '/16 5 4 4 - %" x 4° 4 - '/4°x2'/ :° 1430 5595 LGUM 28-2 12 3' /i6 7 4 6 - W x 4" 6 - %a x2' /z° 2435 8250 LGUM 210-2 12 3'/16 9 4 8 - %° x 4° 8 - %4°x2'' /6° 3575 9575 TRIPLE 2x SIZES LGUM26 -3 12 5% 5%a 4 4 -% °x4° 4- '/6x2 %" 1430 5610 LGUM 28-3 12 5 % 7 % 4 6 - %" x 4" 6 - '/4°x2'/2 2435 8290 LGUM210 -3 12 5%6 91 4 8 -%°x4° 8- %4°x2% 3575 9715 QUADRUPLE 2x SIZES LGUM 26-4 12 6 "116 5 b /16 4 4 - W x 4" 4 - %"x2%" 1430 5625 LGUM 28-4 12 6 11 /16 7 ° /ie 4 6 -%" x 4° 6 - '/4°x2'/6° 2435 8335 LGUM 210-4 12 6 11 /16 9 ° /le 4 8 - x 4" 8 - %"x2'/° 3575 9860 4x SIZES LGUM 46 12 3 e 4 % 4 4 - %° x 4° 4 - 1430 5600 LGUM 48 12 3 % 6 % 4 6 - %° x 4° 6 - '/4°X2%° 2435 8260 LGUM 410 12 3% 8% 4 8-%"x4" 8 - '/4°x2'/6° 3575 9620 ENGINEERED WOOD AND STRUCTURAL COMPOSITE LUMBER SIZES (HEAVY DUTY) HGUM5.25 7 5'/4 11 to 30 5 % 8 - %s x 5° 24 - %4°x2'/° 10085 14965 16015 HGUM5.50 7 5 % 5'/4 8 - W x 5° 24 - %4°x2'/6° 10125 14940 16015 HGUM7.00 7 7 5 % 8 - %° x 5° 24 - %x2'/6° 10375 14770 16015 HGUM7.25 7 7 % 5'/4 8 - %° x 5° 24 - '/4 °x2' /2 10415 14740 16015 HGUM9.00 7 9 5 % 8 -% x 5° 24 - %x2'/6° 10705 14545 16015 Notes: 1. Uplift Toads include a 60% Toad duration increase on the fastener capacity in wood for wind loading where allowed by the Florida Building Code. Loads do not include a stress increase on the strength of the steel. No further increases are permitted. Reduce loads where other loads govem. 2. Minimum f = 1500 psi and f = 2500 psi. Page 12 of 13 Tpdml WW1 laslalialloa Figure 9 LGUM/HGUM Typical Installation WM= tear x am aawa Typical liaalat IaetllaUoa Simpson Strong -Tie 12. IDENTIFICATION Page 13 of 13 Each connector covered by this report shall be stamped with the manufacturer's name and/or trademark and the product name. Simpson Strong -Tie 0 Inspection Number: INSP- 141865 Permit Number: RC -3 -09 -300 Scheduled Inspection Date: April 30, 2010 Inspector: Bruhn, Norman Owner: JACQUELINE JAMES, LESCOTT 1 Vrrr c •f1Al1AQQ Job Address: 286 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NHTC CORPORATION Building Department Comments April 29, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Foundation Work Classification: Addition /Alteration Phone Number Parcel Number 1132060134310 Phone: (305)878 -3971 GARAGE CONVETION INTO BEDROOM AND SUNROOM INTO MASTER BATHROOM. (AFTER THE FACT) Passed 4.4t(47 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments a d L%'- a,'J fteI- Page 14 of 14 DYNATECH CONTRACTOR: MOT Contractor SAMPLED BY: JA % MOISTURE DRY DENSITY 3.6 6.4 11.7 Optimum Moisture 9.8 Percent 100% Maximum Dry Density 110.7 lbs. /cu.ft. % Passing %" Sieve 90.4 Percent Sampled By: JA Tested By: JA Checked By: JA As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for use, publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. PROCTOR COMPACTION TEST DATE: April 28, 2010 CLIENT: MOT CONTRACTOR PROJECT: Existing Renovation @ ADDRESS: 286 NE 99 Street, North Miami, FL MATERIAL DESCRIPTION: Gray sand w /natural rock fragments 105.6 109.3 107.1 TEST RESULTS 112 110 108 106 104 102 ENGINEERING CORP. 750 WEST 84 STREET HIALEAH, FLORIDA 33014 (305) 828 -7499 TESTED BY: JA Sample Number 1 The following compaction test was conducted in accordance with the Standard Methods for Moisture Density Relations of soil using a 10 lb. Hammer and an 18" drop AASHTO designation T- 180 -C. 4 6 8 10 12 14 % MOISTURE Respectively subrpitted, /•SS " Lvt imam aamani, P.E. DYNATECH ENGINEERING CORP. Florida Reg. No. 39584 D R Y D E S 1 T Y DYNATECH FIELD DENSITY TEST OF COMPACTED SOILS DATE: April 28, 2010 CLIENT: MOT CONTRACTOR PROJECT: Existing Renovation @ ADDRESS: 286 NE 99 Street, North Miami, FL CONTRACTOR: MOT Contractor Test No. 1 Location: Center rear footer Test No. 2 Location: Center NW corner column pad Test No. 3 Location: Center NE comer column pad Test No. 4 Location: Center east center column pad Test No. 5 Location: Center SE corner column pad Description of Material: Gray sand w /natural rock fragments ENGINEERING CORP. 750 WEST 84 STREET HIALEAH, FLORIDA 33014 (305) 828-7499 Proctor T -180 A.A.S.T.O. METHOD C REMARKS: ALL ABOVE TEST RESULTS COMPLY WITH SPECIFICATIONS Respectfully submitted, Sampled By: JA Tested By: JA Checked By: JA aamani, P.E. DYNATECH ENGINEERING CORP. Florida Reg. No. 39584 *A density test determines the degree of compaction of the tested layer of material only. In no way shall a density test replace a soilbearing capacity determination. As a mutual protection to the clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statement conclusions or extracts from or regarding our reports is reserved pending on our written approval. 4 5 TEST NO. 1 2 3 DEPTH 12" 12" 12" 12" 12" FIELD DENSITY 109.5 109.1 110.3 108.9 109.2 MOISTURE CONTENT % 7.6 6.9 7.3 8.0 7.7 MAX. DENSITY IN THE FIELD % 98.9 98.5 99.6 98.3 98.6 COMPACTION REQUIREMENTS BY SPECS. % OF MAXIMUM DENSITY 98% . 98% 98% 98% 98% 100% MAXIMUM DENSITY (LAB) 110.7 110.7 110.7 110.7 110.7 OPTIMUM MOISTURE ( %) P P P P P DYNATECH FIELD DENSITY TEST OF COMPACTED SOILS DATE: April 28, 2010 CLIENT: MOT CONTRACTOR PROJECT: Existing Renovation @ ADDRESS: 286 NE 99 Street, North Miami, FL CONTRACTOR: MOT Contractor Test No. 1 Location: Center rear footer Test No. 2 Location: Center NW corner column pad Test No. 3 Location: Center NE comer column pad Test No. 4 Location: Center east center column pad Test No. 5 Location: Center SE corner column pad Description of Material: Gray sand w /natural rock fragments ENGINEERING CORP. 750 WEST 84 STREET HIALEAH, FLORIDA 33014 (305) 828-7499 Proctor T -180 A.A.S.T.O. METHOD C REMARKS: ALL ABOVE TEST RESULTS COMPLY WITH SPECIFICATIONS Respectfully submitted, Sampled By: JA Tested By: JA Checked By: JA aamani, P.E. DYNATECH ENGINEERING CORP. Florida Reg. No. 39584 *A density test determines the degree of compaction of the tested layer of material only. In no way shall a density test replace a soilbearing capacity determination. As a mutual protection to the clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statement conclusions or extracts from or regarding our reports is reserved pending on our written approval. BUILDING PERMIT APPLICATI FBC 20 Permit Type: BUILDING _I3.QOFING. -J fvC s Owner's Name (Fee Simple Titleholder)�C <<, C GT T t cv ' Phone # Owner's Address City '\. ✓�.t' .\ Tenant /Lessee Name Email State rv) Job Address (where the work is being done) ,,Z. ' L r\1 E._ c% 1 -{-t City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 1 1 -- k Is Building Historically Designated YES Contractor's Company Name /4 T-:_ (777S Contractor's Address 7S'/2. S 4 / . ti• City „,f4...-t/ 4-0---t 1 State L.- Zip '3 - 3 75" 3 - Qualifier Name r2© is .1 ,4 G ,, -4 Phone # 3c) r 8 - g ...? -) 1S � �- Certificate or Registration No. / 2. Certificate of Competency No. State Certi 'Contact Phone c v- � 35' f E -mail Al t4 1 -a - vl 4:1 - ineer's Name (if a licable ) :...�_ vim- Architect/Engineer's ( pp ) jN/'M� L Phone # .. Value of Work For this Permit $ 0.e. Square / Linear Footage Of Work: ? 3 Y.3 5 rc Type of Work: ']Addition ❑Alteration ❑New ® Repair/Replace ❑Demolition Describe Work: Cc..2.Y . :3C�r> =•C C x- Ca (.7-. 7F, ;R PsE- G 'ec;ra■ , ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Notary $ Training /Education Fee $ Scanning $ Double Fee $ Structural Review. $ Radon $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSP ::•; w'.�,�, L r••t ~si R: (305) 762.4949 Violation date: NO '75 Zip��i'� ( Phone # DPBR $ Total Fee Now Due $ Permit No.2C. (::3 ZOO) Master Permit No. (C oc, �oc Zip. S i Flood Zone (T) Phone # .20 S e9t 3c 0 Technology Fee $ Bond $ See Reverse side -+ Bonding Company's Name (if applicable) Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address car? City C C Sign: Print: 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 Owner Agent The foregoing instrument was acknowledged before me this i 0 day of ex- , 200E , by 2 >4"-s 4 � r who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: My Commission APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) `= 4: wogs 23072 EXPIRES September 15, 2012 (407) 39a -0153 F ordallotaryServic,.corn State Zip State ( °l Zip Signature Contractor The foregoing instrument was acknowledged before me this (0 day of QC—t , 20 c:) , by ' a. --cr —r 4 who is personally known to me or who has produced ‘13 c5 '9 _ 9c 2 /s -12 as identification and who did take an oath. NOTARY PUBLIC: Sign: Pri M (407) 398 -015 M OIL A CQMMISSII0 gig'Sept�ei F oridallotaryService,corn D0823072 cw,4, CV 2 Plans Examiner Zoning Engineer Clerk checked *.\bc‘ • Owner's Address 1 C) ® c' V,J City N.A. A m m£ State Tenant/Lessee Name . Job Address (where the work is being done) Q._. g-6 t.... p_.. c S `c- City Miami Shores Village County Miami -Dade Zip 3 . v cs- FOLIO / PARCEL # 11 — 3.2o 6 - c p i 44 3 ` (3 Is Building Historically Designated YES NO Type of Work: (Addition DAlteration Describe Work: 6a, &xt q P /yze2c .z h d Submittal Fee $ )° Notary $ c Scanning $ t; 3 0 Bond $3ae) 6( !O �4 Ut twe «fowl GFc f b 4u ldk7 /Noc,. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 Radon $ 6 7). DNew AA Phone # `fAcx Code Enforcement $ Structural Review. $ 0. y" ? 64 . v /2 e■O Total Fee Now Due $ ) 11 Q ' A6 JAN 0 2119 eideiBr joTio Toeie.4sk.,. See Reverse side - BUILDING Permit No PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Roofing TT-L. Owner's Name (Fee Simple Titleholder) r 4�C--k ti Phone # cs - .25.1 - 7 9.a Master Permit No. Contractor's Company Name 411 PM5 Capt.2rix. Phone # Contractor's Address L 3 6 1 C * fr et) City afalfl State F( Zip > J.(.-( Qualifier Name ?, -b J J V 'F Phone # State Certificate or Registration No. CG /5' j 05 Certificate of Competency No. Architect/Engineer's Name (if applicable C ,5 Phone #3 o 5 (.5t •— 6 /t ay Value of Work For this Permit $ ¥5 0 C.'O • ®'D Square / Linear Footage Of Work: /,3 9-3 5F F itt- Fir 4 153 rg Repair/Replace D Demolition Carl ve_r- c� .. ► •rte r •* •* * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** x ************* * * * * * ** * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ �;� � J /J J a CCF $ D. c CC JS0 Training/Education Fee $ Technology Fee $ TY DPBR $ « 7a Zoning $ Q Double Fee $ /30 IL (Revised 07/10/07) • Bonding Company's Name (if applicable) Bonding Company's Address City State Zip ° Mortgage Lender's Name (if applicable) ",J 'ran) rt ! 714L Mortgage Lender's Address Jo C3 Sc— d t i 1/G SL L - _ .2 City Cp/6q. ( 04 L6 State FL Zip 3 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 abse1 e of such posted notice, the inspection will not be approved and a reinspection fee will be charged 4. AP ( i Signature gn - i' �� Signature, • Owner or Agent 1 •ontractor The foregoing instrument was acknowledged before me this u The foregoing instrument was acknowl — ged before me this ✓G dayof 4 N- ,20d1,by f�se.b L - CoO rst6 day of J who is personally known to me or who has produced 12' who is personally known to me or who has produced P L-- Z As identificati , and who d_id take nn nat t t a Ak, as identification and who did take an oath. NOTARY PUBLIC: ,`i'aai RICARDO LOPEZ N TARP PUBLIC: =•• '„ .; MY COMMISSION # DD7103 7 „o;„` EXPIRES August 29, 2011 � Sign: (2.141/(P n (407) 398 -0 iF Flor c NataryServlce.com S , Print: p O ) - - f`3? 7 i Print: My Commission Expires: 9, L I My Conunission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * ** , **** ** * * * **** * * * * * ** ** * * * ** * *** *a *** ** * * ** * *> Mir *a ** * ** * * *** * **** *** *** ** * **** ** A JEFF DRAl1GNON Notary Public, State of Florida Commisslon# DD535925 My comm. expires May 14, 2010 APPLICATION APPROVED BY: BY: 07 nag. 5 /s /a 5j174-e7 Plans Examiner Engineer Zoning A RECORDED PERMIT NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: NOTICE OF COMMENCEMENT S 0 45 Ps 3254; Ups Ofi I.'.l: 27045 Fs {1P9 COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION RECORDED 1!3/13/2!39 C 7 HARVEY RUVIN, CLERK OF K OF COURT 1IAIII -DARE COUNTY'. FLORIDA LAST PAGE Q TAX FOLIO NO. 1 I 6 —9 13 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: av� _ • z 2. Description of improvement: 3. Owners) name and address: 1 r- I • nterest property: ^t -vo `� ,v%,4a. Name and address of fee simple titleholder: 4. Contractor's name and address: NS1( OF BADE ''. � S 5. Surety: (Payment bond required by owner from contractor, if any Name and Address: Amount of bond $ 6. Len - name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or provided by Section 713.13(1)(a)7., Florida Statutes. Name and Address: 4v i lat 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 Addr g ss: 6�t!jl �c 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) Si •' f. Owner Print Owner's Name c ‘110... *'R Sworn to and subscribed before me this Notary Public: Print Notary's Name: My commission expires: f S .S i D day of ®e �- 20 Oct Address: • /i2 gee) >>K, G E R M LA MISc4ON # DDcsteutz September lo, 2012 (407) 398 -0155 FbtidaAktary9erWce cam , L.f- �1 C� 111111111101111111 v3 Y ocuments may be served as Prepared by Ta 1 e kit ).43-weiz tiOD INDICATED. NOTWITHSTANDING H THIS CERTIFICATE MAY BE ISSUED OR 3, EXCLUSIONS AND CONDITIONS OF SUCH DtYYY n UMITS EACH OCCURRENCE _ 1,000,000 DAMAGE PREMISES � o r 50,000 MED EXP (Any ono person) 1 ,000 PERSONAL 8 ADV INJURY 1,000,000 GENERAL AGGREGATE 1,000,000 PRnnt ii - COMP/OP AGO 1,000,000 COMBINED SINGLE LIMIT (ea accident) BODILY INJURY (Per person) BODILY INJURY (Par accident) PROPERTY DAMAGE (Per occident) AUTO ONLY • EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG EACH OCCURRENCE AGGREGATE • • T W C T1 TS ❑ R E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. OI3EAaE - POLICY LIMIT .IONS Piact011oraR Tammy Insurance Agency 9821 S.W. 40th Street Miami, FL 33185 Phone (305)485.3999 Fax (305)485 -3944 INSURED NHTC Corporation 8295 SW 185 PL Miami, FL 33193 COVERAGES THE rouciEs of INsuRANCE LISTED r IAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIC MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TE POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN RFFI Io:E[t BY PAID CLAIMS. MISR AbD L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PouCY EXPIRATIo 4ATE IMMIDD/YYYYI DATE (MMb n OTHER GENERAL LIABILITY yi COMMERCIAL GENERAL LIABILITY 0 CLAIMS MADE ❑ OCCUR 0 GENT_ AGGREGATE LIMIT APPUES PER: [J POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTOS 0 GARAGE LIABRJTY ❑ ANY AUTO EXCESS / UMBRELLA LIABILITY ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR f PARTNER / EXECUTIVC OFFICER / MEMBER EXCLUDED? (Mandatory in NH) Eyqe dt ibe under SPECIA� L PRQV►3IONs Wow DESCRIPTION or aPERA1'IVNs r LOCATIONS /VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROM General Contractor CERTIFICATE HOLDER Miami Shores Village 10050NE2Ave Miami Shoree, FL 33138 Fax 305- 755 -8972 ACORD 25 (2008101) CIF CERTIFICATE OF LIABILITY INSURANCE INSURER A: Atlantic Casualty Insurance Co INSURER B: INSURER C: INSIJRFR D: INSURER E: L040001049 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED DY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # 08/132009 CANCELLATION 08/13/2010 DATE (MM/DD/YY) 10/08/09 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED !BEFORE THE EcPIRATION DATE THLksot`, THE IssuING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TORO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE$. AUTHORIZED REPRESENT/, JESSICA HECHAVARRIA ACOR CORPO TION. All rights reserved. and logo are registered marks of ACORD 1111 x1988 Z The ACO Piact011oraR Tammy Insurance Agency 9821 S.W. 40th Street Miami, FL 33185 Phone (305)485.3999 Fax (305)485 -3944 INSURED NHTC Corporation 8295 SW 185 PL Miami, FL 33193 COVERAGES THE rouciEs of INsuRANCE LISTED r IAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIC MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TE POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN RFFI Io:E[t BY PAID CLAIMS. MISR AbD L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PouCY EXPIRATIo 4ATE IMMIDD/YYYYI DATE (MMb n OTHER GENERAL LIABILITY yi COMMERCIAL GENERAL LIABILITY 0 CLAIMS MADE ❑ OCCUR 0 GENT_ AGGREGATE LIMIT APPUES PER: [J POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS ❑ NON OWNED AUTOS 0 GARAGE LIABRJTY ❑ ANY AUTO EXCESS / UMBRELLA LIABILITY ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR f PARTNER / EXECUTIVC OFFICER / MEMBER EXCLUDED? (Mandatory in NH) Eyqe dt ibe under SPECIA� L PRQV►3IONs Wow DESCRIPTION or aPERA1'IVNs r LOCATIONS /VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROM General Contractor CERTIFICATE HOLDER Miami Shores Village 10050NE2Ave Miami Shoree, FL 33138 Fax 305- 755 -8972 ACORD 25 (2008101) CIF CERTIFICATE OF LIABILITY INSURANCE INSURER A: Atlantic Casualty Insurance Co INSURER B: INSURER C: INSIJRFR D: INSURER E: L040001049 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED DY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # 08/132009 CANCELLATION 08/13/2010 DATE (MM/DD/YY) 10/08/09 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED !BEFORE THE EcPIRATION DATE THLksot`, THE IssuING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TORO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE$. AUTHORIZED REPRESENT/, JESSICA HECHAVARRIA ACOR CORPO TION. All rights reserved. and logo are registered marks of ACORD 1111 x1988 Z The ACO of BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) _14 c ' al S Phone # Owner's Address f , Sc� / i/ ° / State 7" - Zip 3 /9 . Tenant/Lessee Name Phone # Email Job Address (where the work is being donee City " lylanli Shores Vilia¢e County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designs Architect/Engineer's Name (if applicable) Contractor's Company Name Phone # Contractor's Address 6„2'is w /4 , -- City /--// State Qualifier Name 5 ..01 a . Phone State Certificate or Registration No. CGC 'e- ?- Certificate ofCompetency No. Contact Phone 3c7 s— 8� 8 34 9 / E -mail Submittal Fee $ Permit Fee $ Miami Shores Village Buk.ng Department 10050 N.E.2ndAvenue, Miami Shores, Florida 33138 Tel: ( 795.2204 Fax: (305) 756.$972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. Master Permit No, C 3 -c)9 tp Phone # JUL 28 gY Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: 0Additian °Alteration ONew 0 Repair/Replace Describe Work: %t . c - 7 ,/2 — *oF**** ** k7k &**************** it *** Ff,. tS* ** * **** *********9:*kh****J: ****F **** *P:****is 0 Demolition CCF $ CO /CC $ Notary $ Training/Education Fee $ Teebnology Fee $ Sunning $ Radon $ D1'BR $ Bond Doable Fee $ . Violation date: Structural Review. $ Total Fee Now Due $ aal. A0 See Reverse side --> Bonding Company's Name (if applicable) Bonding Company's Address City State 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this ZZ day of L 1 , 20 L, by �i"'z"fs6 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: 407) 398 -01 Sign: Print: 4 1 s s My Commission ************************ * * * * * * * * * * * * * * * * **:Y*** **** * *** irk:********************* k* **** **** * **** ** ***** ** * **** ** APPROVED BY (Revised 07 /10107)(Revised 06/10/2009) DD823072 EXPIRES September 15, 2012 53 Floridallotary$ervice. Zip day of S Pri M3 Signature Contractor The foregoing instrument was acknowledged before me this 2 , 20 iD, by e :,.? who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: l am Ci :1 .. 15, 2012 (407) 398.0153 FloridallotarySerwice.com Plans Examiner Zoning Engineer Clerk checked M1AM 1'DItADE COUNTY BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) Jeld - Wen 3250 Lakeport Blvd. Klamath Falls, OR 97601 SCOPE: This NOA is being issued under the applicable rules and regulations governing The documentation submitted has been reviewed by Miami -Dade County Product by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and the Authority Having Jurisdiction (AHJ). ' This NOA shall not be valid after the expiration date stated below. The Mi x4 antral Division (In Miami Dade County) and/or the AHJ m areas other than Miami a, `' ty) C :� A� e � �� ght to have this product or material tested for uali assurance purposes. If this •° > ' q tY P� Phu �, to orm in the accepted manner, the manufacturer will incur the expense of such testing may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series "6-8" Outswing" Glazed Steel Door — L.M.I. APPROVAL DOCUMENT: Drawing No. JW0509- 03-01, titled "Impact Glazed Steel Door Outswing 6' -8" Lip Lite ", sheets 1 through 6, of 6 prepared by Jeld - Wen, Inc., dated 09/06/05 with revision `B" 04/08/06, signed and sealed by James J. Dobrowski, P. E., bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of this page 1 and evidences page E -1 and E -2, as well as approval document mentioned above. The submitted documentation was reviewed by Jaime D. Gascon, P.E. JUL 2 8.2010 MIAMI-DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 www.buildingcodeonline.com NOA No 05- 1215.01 Expiration Date: May 25, 2011 Approval Date: May 25, 2006 Page 1 Jeld -Wen, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMIT ED A. DRAWINGS 1. Manufacturer's parts and sections drawings. 2. Drawing No "JW0509- 03 -o1 ", titled "Impact Glazed Steel Door Outswing 6' -8" Lip Lite ", sheets 1 through 6 of 6, prepared by Jeld -Wen , Inc., dated 09/06/05 with revision `B" on 04108/06, signed and sealed by James J. Dobrowski , P. E. B. TESTS 1. Test reports on 1) Air Infiltration Test, per FBC, TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per FBC, TAS 202 -94 3) Water Resistant Test, per FBC, TAS 202 -94 4) Large Missile Impact Test per FBC, TAS 201 -94 5) Cyclic Wind Pressure Loading per FBC, TAS 203 -94 6) Forced Entry Test, per FBC 2411 3.2.1, TAS 202 -94 Along with marked -up drawings and installation diagram of outswing steel door, prepared by National Certified Testing Laboratories, Test Report No. NCTL 210- 3195-1 dated 9/28/05, signed and sealed by Gerard John Ferrara, P.E. C. CALCULATIONS: 1. Anchor Calculations and structural; analysis, prepared by Jeld -Wen, Inc., dated 11/04/05, singed and sealed James J. Dobrowski , P. E. Complies with ASTM E 1300 -98 D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 03- 0827.08 issued to Saluda Inc. for "Clear or Colored Interlayer" dated 03/04/04, expiring on 03 /04/09. 2. Test report No.J99006660 -001, dated 04/08/99, for "Surface Burning Characteristics of Building Materials" per ASTM E84 -97A for the Dylite Expandable Polystyrene, issued by Intertek Testing Service NA Inc. 3. Test report No.J99006660 -001, dated 04/08/99, for "Test Method for Ignition Properties of Plastics, Procedure B, Short Method" per ASTM D1929 -91 for the Dylite Expandable Polystyrene, issued by Intertek Testing Service NA Inc. 4. Test report No.ATI - 61782.01- 106 -31, dated 01/14/06, for "Standard Test Methods for Tension Testing of Metallic Materials" per ASTM E8 -01 for Steel Door Skin, issued by Architectural Testing, Inc. 5. Notice of Acceptance No. 03- 0428.02 issued to ODL Inc. for "ODL/Western Reflection Series Aluminum Glazed Lite Kit Assembly- Impact" dated 07/28/05, expiring on 07/28/10. E -1 Jaime D. Gascony P.E. Chief, Product Control Office NOA No 05- 1215.01 Eapitatiion Date: May 25, 2011 Approval Date: May 25, 2006 ,T e ld -Wen, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED F. STATEMENTS 1. Statement Letter of conformance and letter of "No financial interest" issued Jeld -Wen, dated 11 /02/05, signed and sealed by Steve Saffell. 2. Statement Letter of conformance and letter of "No financial interest" issued by David Evans and Associates, Inc., dated 11/04/05, signed and sealed by James Dobrowski, P.E. G. OTHER 1. Letter form the consultant, dated 03/24/06, stating that the product is in compliance with the Florida Building Code (FBC). E -2 Jaime D. Gascon, P.E. Chief, Product Control Office NOA No 05- 1215.01 Expiration Date: May 25, 2011 Approval Date: May 25, 2006 TABLE OF CONTENTS SHEET# DESCRIPTION I TYPICAL ELEVATIONS 2 VERTICAL CROSS SECTION a BILL OF MATERIAL 3 HORIZONTAL CROSS SECTIONS 4 ANCHORING LOCATIOAS 6 MISCELLANEOUS DUALS e UNIT COMPONRMr6 TAABBLELE DESIGN PRESSURE RATING i APPROVED FOR USE WHERE INFILTRATION IS R WATER REQUIRED POSITIVE 440.0 PSF NEGATIVE .60.0 PSF •a JELI'i+VEN® Steel WOOD EDGE IMPACT GLAZED INSULATED STEEL DOOR 64 OUTSWING SINGLE OR DOUBLE DOOR UNIT UTILIZING COMPONENTS FROM ODL AND ENDURA PRODUCTS INC. • r GENERAL NOTES 1. True PRODUCT 18 DESIGNED TOEOET 'RE ROMA B uLDOJ0C00E BCLUDNG 7i1A1P 2 WOOD RUCKS BY OTHERS, MJSTBE AMpRED PROPERLY TO TRANSFER LOADS TO TJE STRUCTURE. & PRODUCTANON SHALL ! EASL877.50ANDEPACEDAs SHOWN ON 057..485 ANCHOR 8A VTTDRASE AMTEINAL SHALL OE BEYOND WALL DRESSING OREM ca 4. DESMIEDPRESSURERATRIG SEE TAKE L PAGE 1. £. MIS PRODUCT MEETS THE WATER REGUIREMENIS FOR Mit VELOCITY Jam NNE 04014 PRCCUOT ODES NOT REQUIRE 8IBRTEAS l RESIDENTIAL INSULATED STEEL DOOR (ta mmentoagbame ) DOOR LEAFCOM9TRIICTIDN: Face sly: 24 GA (0.021'min) thickness Galvanized steel A.625 conunetclal quay AKDQperASTM 620 KO mime mIdnuen yls� strength F10°4.30627 ad C a e D o l a n : E * a n d p o t / g y m s rest, 1.o to 1.261 s den*, by.IeM-Wen I nt Panel ConsbhwUac The soave and &active panels are constructed from 24 GA (0.021 °m0)galvanfredsteel The face shade moped! bottom embed Drover the taps end bottom rem. The top rehmeaemas 1.0'hl 1JX 1.BBrwide. The steel bottom 1. 21 ° high x ter ride. ?besides ofarefaea shoed wend formed Ideate latch and hinge odes which deem? 1.0V high 1.688' wdda The bdalar cavity le BBed with expanded pcyrare. The face m,aete aregbad lathe expanded polystyrene. The paned ale ad out lor ds two ple DDL Nmnbram Re frame tutus are glazed wih tempered and laminated Impart 1° Ki On clouded= opplkatIons are bereave door he fitted eh an a:dntded alumbam ascend of 6013? 78a@oy mentrIaclured byedure. FramoGoak is The dunes are oonskusted ofIngeidntedpine ambs measuring 4I116°x 1-114: The head Jambs we martleed and buttleI ed to (he ode jambs, and attached wNh three (3)160A711S frown xrlong staples thme ) 1� 7/16 ° E �ples one The use an hewing dfuslable threahOld Qlazh,# ODL heckled deIs 1 ° overall 6dckness oval e1 one(1) pane at 0.128'tamperedglaes; Ore space; two (2) panesot 0.125' annealed with .090* PV9lntedayarbySod & AN Etas meErandls1ohed giant Into are panels. SINGLEOUiSWING UNIT ALL DOOR MODELS ARE VIEWED FROM THE INTERIOR 910E 74' MAX. OVERALL. FRAME MOTH .36 1/2' MAX. PANEL. *LOTH W /ASiRAXI. Dt U&EOUTSWtNQ LIMIT REF ASTRAGAL. BOLT ITEM # 12 ; ' c� d 1 1 m 1 1 8 1 Eval 9 -06 -05 : NTS OWO. ev: JPR Cda. W ORAWmm6 eta JW0509 -03 -01 ere61 1 a �, VERTICAL CROSS — SECTION (ENDURA # FOB4566 SILL) NOTES: 1. FOR ANCHOR SPACING SEE SHEET 4 OF 6 2. 2x BUCK TO SUBSTRATE FASTENING MAY UTIUZE OPTIONAL 3/16" ELCO TAPCON (NOA #02- 0503.07) 1 1 1 2 N 6 CAE 9 -06 -05 sous NTS cxc. B JPR =tat, CRAM KO JW0509 -03 -02 viz 2 OF 6 Item DESCRIPTION Material 1 SIDE JAMB (1 7 /4 "x 4 9/16" FINGERJOINTED PINE) PINE 2 HEAD JAMB (1 1/4"x 4 9/16" FINGERJOINTED PINE) PINE .3 4" x 4" BUTT HINGE 1 GA. (.089" MIN) STEEL STEEL 4 . 19 x 5/8" PHILLIPS FLATHEAD WOOD SCREW 5 ;8 x 2 1/2" PHILLIPS• FLATHEAD WOOD SCREW STEEL 6 10 X 1 1/2" PHILLIPS FLATHEAD WOOD SCREW STEEL 7 #8 x 3 PHILIPS FLATHEAD WOOD SCREW • STEEL 8 #8X1" PHILLIPS PAN HEAD WOOD SCREW STEEL 9 COMPRESSION WEATHERSTRIP (0 -LON ODS -650) 11 OUTSWING BUMP THRESHOLD (ENDURA) ALUMINUM 72 ASTRAGAL THROW BOLT, STEEL ROD, 5/16 x 18" STEEL 13 ASTRAGAL BOLT STRIKE PLATE LOCATED ON HEAD JAMB STEEL 14 16 Ga. 7/16" CROWN x 2 LONG. STAPLES STEEL 15 KWIKSET TITAN SERIES LOCK SERIES 400 16 KWIKSET TITAN SERIES DEADBOLT SERIES 780 17 ENDURA ULTIMATE HURRICANE ASTRAGAL ALUMINUM 18 ASTRAGAL BOLT STRIKE PLATE ON BOTTOM SILL STEEL 19 2x WOOD BUCK WOOD 20 SHIMS FOR 1/4" MAX THICKNESS WOOD 21 DOW 995 SILICONE SEALANT SILICONE 22 1" IMPACT IG ASSEMBLY NOA 103- 0428 -02 GLASS 23 1/8" TEMPERED GLASS GLASS 24 3/8" LAMINATED ANNEALED GLASS GLASS 25 _OCK BLOCK (WOOD X 12" LG) WOOD 26 TOP RAIL (FINGERJOINTED PINE) PINE 27 BOTTOM RAIL (25GA MIN GALVANIZED STEEL) STEEL 28 EXPANDE0 POLYSTYRENE (1.0 TO 1.25IDs OENSIIY BY JELD- W130 FOAM 29 STEEL DOOR PANEL SKIN MATERIAL (24GA GALVANIZED) A -525 COMMERCIAL DUALITY 0.021 MIN. THICK.) STEEL GALVANIZED ALUMINUM 30 ODL LITE FRAME (ALUM 6063 15 .31 HINGE SIDE STILE FINGER JOIN 0 LVL PINE 32 LATCH SIDE STILE FINGER JOINTED LVL LVL .33 #8 x 2" PHILLIPS FLATHEAD WOOD SCREW STEEL VERTICAL CROSS — SECTION (ENDURA # FOB4566 SILL) NOTES: 1. FOR ANCHOR SPACING SEE SHEET 4 OF 6 2. 2x BUCK TO SUBSTRATE FASTENING MAY UTIUZE OPTIONAL 3/16" ELCO TAPCON (NOA #02- 0503.07) 1 1 1 2 N 6 CAE 9 -06 -05 sous NTS cxc. B JPR =tat, CRAM KO JW0509 -03 -02 viz 2 OF 6 SEE NOTE #3 & 4 3/4' MIN. EMB. SEE NOTE 11 1/4' MAX SHIM 1 /8'MIN CTRSIN ® HORIZONTAL CROSS SECTION AT LATCH JAMB TO BUCK, TYP. SEE NOTE 12 HORIZONTAL CROSS SECTION AT 'ENDURA" ASTRAGAL _ 1/4' MAX. SHIM ® HORIZONTAL CROSS SECTION AT HINGE JAMB TO BUCK, TYP. SEE NOTE &. 4 NOTES: 1. ASTAGAL FASTENER SPACING DETAIL F. PAGE P. (TOTAL OF 14 SCREWS). 2. LATCH AND DEADBOLT STRIKE PLATES MOUNT TO ASTRAGAL WITH ADJUSTABLE NUT PLATES. BOTH PLATES REQURE 18 X 3" PHILLIPS FLATE HEAD WOOD SCREWS. .3. FOR ANCHOR SPACING SEE SHEET 4 OF 6 4. 2x BUCK TO SUBSTRATE FASTENING MAY UTILIZE OPTIONAL 3/16" ELCO TAPCON (NOA 102- 0503.07) 1 1 m 2 OAh: 9 -06 -05 SCALE: NTS DN0. ae JPR 04* Br: o>uvu+a NO: JW0509 -03 -03 ow 3 OF SEE NOTE 1 u N w W W TYPICAL JOINING OF SIDE JAMB TO HEAD JAMB OR SILL SEE DETAIL A SHEET 5 SINGLE DOOR ANCHORING LOCATIONS —1 I- -- -� 12.4 t- - 12.4 74 NOTES: 1. HEAD JAMBS & SILLS ARE JOINED TO THE SIDE JAMBS USING (3) 16 Go. 7/16" CROWN x 2" LONG STAPLES. DOUBLE DOOR ANCHORING LOCATIONS OsierA- e -pb a E AATE* 9 -05 -05 SCAM NTS D60 Bn JPR OC. er: mmotcm JW0509 -03 -04 skiEu DETAIL C STRIKE PLATES TO JAMB DETAIL A HINGE MOUNTING DETAIL DETAIL D STRIKE PLATES TO TYPICAL ASTRAGAL 1. r ASTRAGAL DETAIL Fastener Spacing Endure Astrogol, ,8 x 1 PPH WS GRILL 3/8' ASTRAGAL RETAINER BOLT HOLE THRU THRESHOLD /MASONRY x 1 -3/8' DEEP DETAIL B GLAZING DETAIL, INSULATED GLASS UNIT ORLLL 3/8 ASTRAGAL RETAINER BOLT HOLE THRU THRESHOLD /MASONRY x 1 -3/8 DEEP DETAIL E TYPICAL ASTRAGAL STRIKE PLATE 0 1/2 x 1/4 ALUM SPACER 1/8 TEMPERED GLASS !— 1/2 AIR SPACE 0.090 PVB INTERLAYER BY SOLUTIA 3/4° GLASS BITE 1/8" ANNEALED Append • waft • F - PI , i� aI Dan Bak ar 1 1 WE 9 -06 -05 WALE NTS oWa. erg JPR NM JV0509 -03 -05 SHEET oa Er J U 0 0 0 0 1 -4--- .089" (Min) 4" BUTT HINGE 4x 12 GA STEEL .021 .324 " --±L 1.688" 1.646" .125" BOTTOM RAIL STEEL, 25GA MIN GALVANIZED ASTRAGAL BOLT HEAD STRIKE cNi 1i � F--- 4.563" pjCCSWING THRESHOLD (ENDURA) PART #FOB4566AA, 6063 —T6 ALUMINUM 0 4.563 " N ---1 2.188" W00D JAMB FINGERJOINTED PINE n — 19/32" COMPRESSION WFATHERSTRIP 17 L 6063 —T6 ALUMINUM 3.125" LOCK BLOCK (17" LC) WOOD 18 2.5" ® 0 0 ASTRAGAL SILL STRIKE PLATE r. 1 J I ilp 18" a 12 MATERIAL C C/ / R STEEL ROD ZINC it YELLOW CHROMATE 26 1.21" 31 ¢ 32 -. 1.688" I- f 1 3,4 " ODL LITE FRAME ALUMINUM 6063 T5 N STILES AND RAILS LATCH STILE & HINGE STILE (LVL) TOP RAIL (FINGERJOINTED PINE) 0 04*, 4,4 10140 0 y -1g -Ob a ea 8 6 a*e 9 -06 -05 SCAM NTS Owo. sr: JPR aa. BY mammoinu JV0509 - 03 - 06 sx¢@7 6 OF 6 BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMJ, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 www.himidineeodeonline.com NOTICE OF ACCEPTANCE (NOA) T. M. Window and Door 601 N. W. 12 Ave Pompano Beach, Florida, 33609 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series "605 " Single Hung Aluminum Window (reinforced) APPROVAL DOCUMENT: Drawing No. W06 -34., titled "Series 605 Aluminum Single Hung WDW.(LMI) ", sheets 1 through 8 of 8, prepared by Al Farooq Corp., dated 04-24-06 and last revised on Aug. 12, 2009, signed and sealed by Arshad Vigar, P.E., bearing the Miami Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant Limitation: 1. Exception: Glass type I (sheet 4) is not approved for Small Missile Impact Rating 2. Units installed with Fin -mount are limited to max Dp = +/- 61.0 psf. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA # 07- 0404.04 (06- 0614.04) consists of this page 1 and evidence page E-1, as well as approval document mentioned above. The submitted documentation was reviewed by Ishaq L Chanda, P.E. NOA No 09-0604.24 Expiration Date: July 05, 2012 Approval Date: September 02, 2009 Page 1 T. M. Window and Door NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS (Transferred from file # 07 -0404.04) 1. Manufacturer's die drawings and sections. 2. Drawing No. W06 -34., titled "Series 605 Aluminum Single Hung WDW (LMI)" sheets 1 through 8 of 8, prepared by Al- Farooq Corp., dated 04 -24-06 and last revised on Aug. 12, 2009, signed and sealed by Arshad Viqar, P.E. B. TESTS 1. Test report on 1) Air Infiltration Test, per TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per TAS 202 -94 3) Large Missile Impact Test, TAS 201 -94 4) Cyclic Loading Test, per TAS 203 -94 along with installation diagram of an aluminum Single Hung window, prepared by Fenestration Testing Laboratory Inc., Test Report No. F1'L-5439 dated 12 -10 -07 and FTL -5742 dated 01- 22 -09, both signed and sealed by Michael S. Wenzel, P.E. 2. Test report on (Transferred from file # 07 -0404.04) 1) Air Infiltration Test, per TAS 202 -94 2) Uniform Static Air Pressure Test, Loading per TAS 202 -94 3) Water Resistance Test, per TAS 202 -94 4) Large Missile Impact Test, TAS 201 -94 5) Cyclic Loading Test, per TAS 203 -94 3. along with installation diagram of an alum Single Hung window, prepared by Fenestration Testing Lab Inc., Test Report No. FTL -3975 dated 10- 22 -03, FTL -3755 dated 03 -24-03 and FTL -4514 dated 01- 25 -05, all signed and sealed by Edmundo Largaespada, P.E. 4. Additional test report No. CTLA -416W dated 04-11 -00 issued by Certified Testing lab w/ addendum letter Jan 22, 2002, signed and sealed by Ramesh Patel, P.E. C. CALCULATIONS 1. Anchor Verification Calculations & comparative analysis complying w/ FBC 2007, prepared by AL- Farooq Corp. , dtdd 05- 15 -09, signed &sealed by Arshad Vigar, P.E 2. Glazing Complies with ASTM E1300 -02 & -04 D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 06- 0216.06 issued to Solutia for "Saflex MG clear & color interlayer", expiring on 05/21/2011. 2. Notice of Acceptance No. 07- 1116.11 issued to SAF- Glass, LLC for "SAF -GLAS polycarbonate laminate ", expiring on 12/16/2012. 3. Notice of Acceptance No. 09- 0310.02 (Former NOA# 03- 1123.04, Surface Specialties Tech), issued to Cytec Industries Inc. for "Uvekol S ", expiring on 02/08/2010. F. STATEMENTS 1. Statement letters of Compliance and "no financial interest", both dated 05/28/9, signed and sealed by Arshad Vigar, P.E. 2. Statement of Lab compliance letter, part of test reports. G. OTHER 1. This NOA revises NOA # 07- 0404.04 (06- 0614.04), expired on July 05, 2012. 2. Test proposal # 07 -3765 approved by BCCO dated Feb. 06, 2007. 1 004 'shag L thanda, P.E. Product Control Examiner NOA No 09- 0604.24 Expiration Date: July 05, 2012 Approval Date: September 02, 2009 E -1 D.L. OPG. W. (FIXED) 21° MAX. HEAD /SILL ■ I I );/ ■ // B II II 0 u ./ II 11 11 II 11 11 t li 1 47 3/4" THESE WINDOWS ARE RATED FOR LARGE & SMALL MISSILE IMPACT. SHUTTERS ARE NOT REQUIRED. SERIES 605 ALUMINUM SINGLE HUNG WINDOW DESIGN LOAD RATINGS FOR THESE WINDOWS TO BE AS PER CHARTS SHOWN ON SHEETS 2 & 3. APPROVAL APPLIES TO SINGLE UNITS OR SIDE BY SIDE COMBINATIONS OF S.H. /S.H. OR SINGLE HUNG WITH OTHER WINDOW TYPES IN MODULES OF TWO OR MORE WINDOWS USING MIAMI—DADE COUNTY APPROVED MULLIONS IN BETWEEN. LOWER DESIGN PRESSURE FROM WINDOWS OR MULLION APPROVAL WILL APPLY TO ENTIRE SYSTEM. THIS PRODUCT HAS BEEN DESIGNED AND TESTED TO COMPLY WITH THE REGUREMENTS OF THE FLORIDA BUILDING CODE 2004/2007 EDITION INCLUDING HIGH VELOCITY HURRICANE ZONE (ITVHZ). IBY OR 28Y W000 BUCKS BY OTHERS, MUST BE ANCHORED PROPERLY TO TRANSFER LOADS TO THE STRUCTURE. ANCHORS SHALL BE AS LISTED. SPACED AS SHOWN ON DETAILS, ANCHORS EMBEDMENT TO BASE MATERIAL SHALL 05 BEYOND WALL DRESSING OR STUCCO. ANCHORING OR LOADING CONDITIONS NOT SHOWN IN THESE DETAILS ARE NOT PART OF THIS APPROVAL. A LOAD DURATION INCREASE IS USED IN DESIGN OF ANCHORS INTO WOOD ONLY. MATERIALS INCLUDING BUT NOT UNITED TO STEEL /METAL SCREWS. THAT COME INTO CONTACT WITH OTHER DISSIMILAR MATERIALS SHALL MEET THE REQUIREMENTS OF 2004/2007 FLORIDA BLDG. CODE SECTION 2003.8.4. FALSE MUNTINS (SURFACE APPLIED) 53 I/8" 1 1 1 1 Il WINDOW WIDTH 48 1/4" D.L. OPG. (VENT) 50 1/B" VENT WIDTH TYPI EL A ONON EQUAL LITES (SEE DESIGN CAPACITY CHART) 1 5 1/2" MAX. HEAD /SILL CORNERS P RODUCT REVISED is emptying with the Mathis Balsams Cede Amteptesee EE r lIll adoa Date! 2 O hba FALSE MUNTINS (SURFACE APPLIED) MAY BE USED (LIMIT D.L.O. WIDTH (FIXED) = WINDOW WIDTH — 4.875" D.L.O. WIDTH (VENT) = WINDOW WIDTH — 5.375 D.L.O. HEIGHT ■ WINDOW HEIGHT /2 — 4.5" Ur: 16194411 VICAR CeAL FLA. PE # _2181143 DAIL MO AUG 1 2 2009 5 1/2" MAX. HEAD /S&L CORNERS JDOCALELEYELQII WITH OPTIONAL RN EQUAL UTES DESIGN CAPACITY TO *61.0 PSF MAX.) LAMINATED GLASS INSUL. LAM. GLASS LARGE MISSILE IMPACT z O u' street 1 of A Growing no W06 -34 DESIGN LOAD CAPACITY - PSF (WITH ALUMINUM REINFORCING) U ID WINDOW DIMS. GLASS TYPE 'B' GLASS TYPE 'C' GLASS TYPES 'D' & ° E' GLASS TYPE 'F' GLASS TYPE 'G' GLASS TYPE 'B' GLASS TYPE '1' GLASS TYPE 't ) �� Q i to 1 3 0 1 1 i 0 C I 90M \u4V -40103 WIDTH H E I G H T EXT.(+) INT.( -) EXT.(+) 1P .( -) EXT.( +) 1NT.( -) EXT.( +) 1M.( -) EXT.( +) INT.( -) EXL.( +) 16T4-) EXT.(+) 1N7.(-) EXT.( +) INT.( -) i 19 -1/8' 28 -1/2' 93 -1/8' 26" (4) 80.0 80.0 70.0 70.0 61.0 81.0 80.0 80.0 80.0 80.0 80.4 80.0 80.0 80.0 80.0 80.0 I 80.0 80.0 60.0 80.0 70.0 70.0 70.0 70.0 814 61.0 814 81.0 80.0 W,0 80.0 84.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 60.0 BOA 80.0 80.0 80.0 60.0 ® �37° k/11/1! ` � 80.0 80.0 70.4 70.0 81.0 61.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 18 -1/8' 28 -1/2° •37" 83 -1/8" 38 -3/6' (4) 60.0 80.0 70.0 70.0 81.0 81.0 80.0 80.0 00.0 800 60.0 60.0 80.0 60.0 804 80.0 r - j 80.0 846 70.0 70.0 61.0 61.0 60.0 60.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 70.0 70.0 81.0 61.0 80.0 80.0 800 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80,0 80.0 70.0 70.0 81.0 81.0 60.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 nonce REVISED 164.68gdying with thu a - • No02- pegi2!/ Opine= Dffie.x4242./7i (S �� ( 4 � H' tlPlf0il9{iQ➢l161 NOTE: GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM EI300 -02/04 (3 SEC. GUSTS) AND FLORIDA BUILDING COMMISSION pECLARATORY STATEMENT pCA05 -DEC -219 19 -1/8' 28 -1/2 37' 53 -1/8° 50 -5/8 (5) 80.0 80.0 70.0 70.0 61.0 81.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 60.0 60.0 704 70.0 81.0 81.0 80.0 80.0 80.0 8 80.0 80.0 60.0 8 80.0 80.0 80.0 80.0 70.0 70.0 81.0 61,0 80.0 80.0 60.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 70.0 70.9 81.0 61.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 19 -1 /8' 28 -1/2 37° 53 -1/8" 58-5J8' (8) 80.0 80.0 70.0 70.0 81.0 61.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 706 70.0 61.0 61,0 80.0 80.0 80.0 80.0 60.0 80.0 80.0 80.0 80.0 80.0 :SEWS 605 A UWNUN SINGLE HUNG WDW. (.11.1.)) TM WINDOW AND DOOR 601 N.W. 12TH AVE. POMPANO BEACH, FL. 33069 TEL. (994) 791 -4430 FAX. (954) 791 -5076 e80.0 810 70.0 70.0 61.0 61.0 80.0 80.0 80.0 80.0 804 60.0 804 80.0 84.0 80.0 - - 70.0 70.0 61.0 61.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 19 -1/8" 28 - 1/2" 37 53 -1/8' 63° 00 80.0 80.0 70.0 70.0 81.0 81.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 70.0 70.0 61.0 61.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 70.0 70.0 81.0 61.0 80.0 80.0 60.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 - - 70.0 70.0 61.0 61.0 80,0 80.0 801 80.0 80.0 80.0 80.0 80.0 80.0 800 18 -1/8' 28-1/2" 37' 53-1/B" (7) 80.0 60.0 700 70.0 81A 811 80.0 810 801 64.0 800 810 80.0 60.0 80.0 80.0 80.0 80.0 70.0 70.0 81.0 814 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 810 80.0 801 80.0 70.0 70.0 61.0 81.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 - - - - 81.0 81.0 - - 80.0 80.0 80.0 80.0 78.2 782 80.0 80.0 18 -1/8° 28 - 1 /8' 37' 93 -1 /8' 76 -3/4' (7) 80.0 801 70.0 70.0 81.0 81.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 70A 70.0 81.0 81.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 70.0 70.0 61.0 81.0 80.0 80.0 80.0 80.0 806 80.0 80.0 80.0 80.0 80.0 - - - - 81.0 81,0 - - 77.8 77.6 80.0 80.0 74.5 74.5 80.0 80.0 N 11 R d ♦ k 48' (5) 80.0 80.0 70.0 70.0 61.0 81.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 70.0 70.0 61.0 81.0 80.0 80.0 804 80.0 804 80.0 80.0 80.0 80.0 80.0 6 yyyggg (4 79i LOOT dO3 O31 'WV OWIM '3081 8 SOO 80.0 80.0 701 70.0 81 A 61.0 80.0 80.0 80.0 801 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 70.0 700 61.0 81.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 804 80.0 80.0 80.0 70.0 70.0 61.0 61.0 80.0 80.0 80.0 800 80.0 - 804 80.0 80.0 80.0 80.0 80.0 80.0 70.0 70.0 81.0 81.0 80.0 804 80.0 804 80.0 80.0 80.0 80.0 80.0 80.0 I r. •j 60" (8) 80.0 80.0 70.0 70.0 61.0 814 80.0 60.0 80.0 800 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 70.0 70.0 81.0 81.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 70.0 70.0 81.0 81.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 70,0 70.0 81.0 81.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 � 1 01111• 80.0 80.0 70.0 70.0 61.0 61.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 - - 70.0 79.0 81.0 61.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 804 80.0 I 54' M , (7) 80.0 80.0 70.0 70.0 61.0 81.0 8 0 . 0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80,0 80.0 80.0 80.0 70.0 70.0 81.0 61.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 ` 4 80.o eo.o 70 70.0 61.0 61.0 80.0 80,0 80.0 80.0 80,0 80 80.0 800 80.0 80 0.R 9D -K-io __._ . 111 - - 70..0 70.0 81.0 814 80,0 130.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 80.0 - - 61.0 61.0 - .. 80.0 80.0 80.0 80.0 80.0 60.0 80.0 80.0 - - - - 81.0 81.0 - - 78.1 79.1 79.1 79.1 78.8 78.8 78.4 784 LIMA. VAAH' HA I WO CA AUG 1 2 2009 84 (6) 80.0 80.0 70.0 70.0 81.0 81.0 80.0 80,0 80.0 84.0 80.0 80.0 80.0 80.0 801 804 80.0 80.0 70.0 70.0 61.0 01.0 80.0 80.0 80.0 80.0 80.0 804 80.0 80.0 80.0 80,0 - - - - 61.0 81.0 - - 80.0 80.0 80.0 80.0 80.0 804 80.0 80.0 W0 6 no. et V - - - - 61.0 81.0 - - 804 80.0 B0.0 80.0 80.0 80.0 80.0 80.0 - - - - 61.0 81.0 - - 80.0 80.0 80.0 80.0 77.5 77.5 80.0 80.0 () N0. IN PAROTHESS INDICATE NO. OF ANCHORS PER JAMB (sheet 0) 8 2,_ 8 ) DESIGN LOAD CAPACITY - P9F (WITH STEEL REINFORCING) WINDOW DIMS, 01455 TYPE 'B' GLASS TYPE 'F' WIDTH HEIGHT EXT.(+) INT.(...) EXT.( +) INT.( -) 19 -1/8" 80.0 99.3 80.0 119.0 28 -1/2" 28' 80.0 99.3 80.0 115.0 37' (4) 80.0 89.3 80.0 115.0 53 -1/8' 80.0 99.3 80.0 115.0 19 -1/8" 80.0 89.3 80.0 115.0 28 -1/2' 38 -3/8' 80.0 89.3 80.0 115.0 37' (4) 80.0 99.3 80.0 115.0 53 -1/8' 80.0 99.3 80.0 115.0 19 -1/8" 80.0 99.3 80.0 115.0 28 -1/2" 90 -5/8' 80.0 99.3 80.0 115.0 37" (5) 80.0 99.3 80.0 115.0 53 -1/8' 80.0 99.3 80.0 115.0 19 -1/8' 80.0 99.3 80.0 115.0 28 -1/2' 59 -9/8' 80.0 99.3 80,0 115.0 37" (8) 80.0 99.3 80.0 115.0 53 -1/8' - - 80.0 115.0 19 -1/8' 80.0 99.3 80.0 115.0 28 -1/2' 83" 80.0 99.3 80.0 115.0 37" (8) 80.0 99.3 80.0 115.0 53 -1/8' - - 80.0 115.0 19 -1/8' 80.0 99,3 80.0 115.0 29 -1/2" 72 80.0 99.3 80.0 115.0 37" (7) 80.0 99.3 80.0 115.0 19-1/8" 80.0 99.3 80.0 115.0 28 -1/2" 78 -3/4" 80.0 99.3 80.0 115.0 37" (7) 80.0 99.3 80.0 115.0 80,0 ' 99.3 80.0 115.0 80.0 99.3 80.0 115.0 80.0 99.3 80.0 115.0 48" 80.0 99.3 80.0 115.0 (5) 80.0 99.3 80.0 115.0 80.0 99.3 80.0 115.0 80.0 99.3 80.0 115.0 80.0 99.3 80.0 115.0 80° 80.0 99.3 80.0 115.0 80.0 99.3 80.0 115.0 (8) 80.0 99.3 80.0 115.0 - - 80.0 115.0 4 4 14! 80.0 99.3 80.0 115.0 72' 80.0 99.3 80.0 115,0 (7) 80.0 99.3 80.0 115.0 .. - 80.0 115.0 24' 84" 80.0 99.3 80.0 115.0 30' (8) 80.0 99.3 80.0 1150 () N0. IN PARENTHESIS INDICATE NO. OF ANCHORS PER JAMB Env A 5M VtWw IRA PE / 30993 CAN. 3838 AUG 1 2 2009 omeoWing 1i9 zv D oom DaW Widow NOTE: GLASS CAPACITIES ON THIS SHEET ARE BASED ON ASTM E1300 -02/04 (3 SEC. GUSTS) AND FLORIDA BUILDING COMMISSION DECLARATORY STATEMENT DCAOS- DEC -219 v 1 cg b ps 1 V drawing no. W06 -34 sheet 3 of = 1 /8" ANN. GLASS .015" uRETHANE ADHESIVE .070" INTERLAYER 'SAF -GLAS' POLYCARBONATE BY 'SECURITY IMPACT CLASS' GLASS TYPE 'H' 1/8° ANN. CLASS .090" INTERLAYER 090• INTERULYER SAFLEX 910 PV8 BY SOLUTIA SAFLEX 91G PVB BY SOLUTIA GLASS TYPE 'G' .015" URETHANE ADHESIVE 1/8 ANN. CLASS SILICONE DOW CORNING 995 1/8" ANN. GLASS SILICONE GE RGS7700 1 /8" ANN. GLASS 3/16' ANN. CLASS .120" INTERLAYER .120" INTERLAYER UVEKOL -UO RESIN UVEKOL -UO RESIN GLASS TYPE 'C' 1/8" HEAT STREN'D GLASS GLASS TYPE 'II' 1/8" ANN. GLASS 3/16" ANN. GLASS SILICONE SILICONE SILICONE ' SILICONE DOW CORNING 995 t '' DOW CORNING 995 1/8" HEAT STREN'0 GLASS SILICONE GE RGS7700 GLAZING OPTIONS GLASS TYPE 'D' I /8" ANN. GLASS 1/4' AIR SPACE Or ANN. GLASS 090' INTERLAYER S AFLEx IIIC PVB BY 'SOLuTIA' 1 /8" ANN. GLASS SILICONE GE 9057700 GLASS TYPE '1' THIS GLASS TYPE ONLY OCR LARGE MISSILE IMPACT USE. NOT OURJFIEO FOR 81080.0. MISSILE IMPACT AREAS, 3/18" ANN. GLASS 3/18" HEAT STREN'0 GLASS GLASS TYPE 'E' GLASS TYPE .090" INTERLAYER .120" INTERLAYER SAFLEX IIIG PVB BY SOUITIA UVEKOL -LI0 RESIN 3/16" ANN. GLASS 3/16" HEAT STREW!) GLASS 008 CORNING 995 DOW CORNING 995 1 /8" TEMP. GLASS 1/4" MR SPACE l /8" HEAT STREW() CLASS 080" INTERLAYER S AFLEX BIG PVB BY 'SOLUTLA' 1/8" HEAT STREN'D GLASS SILICONE GE RGS7700 Emr. Miroa MOM C. 3938 v " 1 AUG 1 2 2009 GLASS TYPE 'F' wM Iliffteste Asiereses Bate /2'11 . /Z c 9 v 9 D 9 l n Y� drawing no. W06 -34 (sheet 4of a 4 TYPICAL. ANCHORS SEE ELEV. F SPACING A a 4 e a 0 4 IBY MOO BUCK OPTIONAL TO SPRING LATCH a 4 e ILLUSTRATIVE DTLS. ONLY ENT. OR INT. FINISHES NOT BY TM 1YPICAL ANCHORS SEE ELEV. FOR SPACING OPTIONAL TO SPRING LATCH REINFORCING OPTIONS SEE METAL STRUCTURE TYPICAL ANCHORS SEE ELEV. FOR SPACING fRODUCTRIEVISID Itqdratlas sitaitaggit ALTERNATE FRAME BILL TYPICAL ANCHORS SEE ELEV, FOR SPACING FRAME WITH FIN OPTION (LIMIT DESIGN CAPACITY TO *61.0 PSF MAX.) 2 - MIAMI -DAOE COUNTY APPROVED MUWON & MULLION ANCHORS SEE SEPARATE NOA TIPICAI. ANCHORS, TYPICAL ANCHORS SEE ELEV. FOR SPACING SEE ELEV. FOR SPACING W000 BUCKS AND METAL STRUCTURE NOT BY TM WINDOWS MUST SUSTAIN LOADS IMPOSED BY GLAZING SYSTEM AND TRANSFER THEM TO THE BUILDING STRUCTURE. TYPICAL ANCHORS: SEE ELEV. FOR SPACING 1/4° TAPCONS BY 'ELCO' (Fu -120 KSI, Fy.92 KSI) INTO 28Y WOOD BUCKS OR WOOD STRUCTURES 1 -3/8° MIN. PENETRATION INTO WOOD THRU 1 BY BUCKS INTO CONC. OR MASONRY 1 -1 /4" MIN. EMBED INTO CONC. OR MASONRY DIRECTLY INTO CONC. OR MASONRY 1 -1/4" MIN. EMBED INTO CONC. OR MASONRY B14 SINS oR SELF DRIL,UNG SCREWS (ORMOE 2 CRS) INTO METAL STRUCTURES STEEL : 12 GA. MIN. (Fy = 36 KSI MIN.) ALUMINUM : 1/8 THK. MIN. (6063 -T5 MIN.) (STEEL IN CONTACT WITH ALUM TO BE PLATED OR PAINTED) 112 SPAS OR SELF DRILLING SCREWS (GRADE 2 CRS) INTO MIAMI -DADE COUNTY APPROVED MULLIONS (1/8 THK. MIN.) (NO SHIM SPACE) TYPICAL EDGE DISTANCE INTO CONCRETE AND MASONRY m 2° MIN. INTO W000 STRUCTURE - 1" MIN. INTO METAL STRUCTURE 1/2° MIN. CONCRETE et • 3000 PSI MIN. C -90 HOLLOW /FILLED BOCK rm - 2000 PSI MIN. SEALANTS: AU. JOINTS AND FRAME CONNECTIONS SEALED WITH SILICONE OR ACRYLIC SEALANT. WEEPHOLES: Wt m 1/2" LONG NOTCH AT EACH END OF INTERIOR LEG W2 m 7/8 LONG NOTCH AT EACH END OF EXTERIOR LEG EnW ANIRIWO NO A L:Af FLA. #�+ PE 3338 63 C.AN. AUG 1 2 2009 (sheet 5 of 8 ) ITEM PART / QTY. DESCRIPTION MATEIIAL MANF. /SUPPIEU /BEMARK9 1 GW -36763 1 FRAME HEAD 8083 -16 - 2 GW -37731 1 FRAME 581 (4° HIGH) 8083 -T6 - 2A BA -3808 1 FRAME SILL (3° Hsi) 9063 -16 - 3 0W -31445 2 FRAME JAMB 8053 -16 - 4 GIB -36708 1 MEETING RAIL 5083 -18 - 5 GW -38685 1 VENT TOP RA11. 8063 -16 - 6 GW -37730 1 VENT BOTTOM RAIL (4* SILL) 5083 -18 - BA OW-37559 1 5E1T BOTTOM RAIL (3" SAL) 6083 -T8 - 7 OW -31134 2 VENT JAMB STILE 6063 -18 - 8 OW -31470 2 VENT STOP 6063 - 18 - 9 19 -56 4/VENT GLAZING BEAD ANGLE 6063 -15 - 9A TM -123 4/VENT GLAZING BEAD 6063-15 - 95 111-170 4/VENT GLAZING BEAD 8083 -T6 - 9C 114-181 4/VENT GLAZING BEAD (N5LA1.. LAM. GLASS) 8063-16 - 10 88 X 1/2 12/VENT GLAZING ANGLE SCREWS STEEL PH 5MS 11 4031 (1) STRIP FIN SEAL WEATHERSTRIP - MTG.RN3 /FRAME SILL 12 2240 ( STRIP FIN SEAL WEATHERSTRIP - VENT TOP 13 3722 (2) STRIP FlN SEAL WEATHERSTRIP - VENT JAMB SIXES 14 - 2 1 1/2 "47/8 ° x3/4" FINSEA. PAD - FRAME SILL CORNERS 15 - 2/VENT LATCH LOCK AT 5 FROM ENDS CAST VENT TOP 154 18 151-1184 2/VENT SPRING LOADED EGRESS LOCK 8083 -T6 VENT BOTTOM RAIL - 4/VENT VENT GUIDE NYLON VENT INT. CORNERS 17 - 2/VENT CALDWELL SPIRAL BALANCES - AT FRAME JAMBS 18 WVR -9302 2/VENT BALANCE COVER VINYL FRAME HEAD /JAMBS 19 N89 2/VENT CALDWEU. BALANCE CUP - VENT 6071. CORNERS 20 - 2 /12 x 3/4" P.H. SINS STEEL (1) AT EACH BALANCE 21 - 8 /12 x I' P.H. SINS STEEL FRAME CORNERS 22 - 8 810 x 1" P.H. SINS STEEL VENT CORNERS 23 - 4 /8 x 3/4" F.X. SINS. STEEL (2) AT EACH LATCH 24 - 4 /6 x 3/8" F.X. SINS. STEEL AT EA. PLASTIC GUS 25 - 1 141 3 /1843 /441/8' CHANNEL STEEL AT VENT TOP 26 - 2 1x1 /4 THK.44 LONG BAR ALUM. (1)AT EA. MTG. RAIL ENO 27 - 1 1/24141/20/8" CHANNEL STEEL AT MEETING RAIL 28 TM -161 2 FIN TRIM FOR JAMBS 8083 -16 - 29 TM -183 1 FN TRIM FOR HEAD 6083 -18 - 30 TM -164 1 FIN TRIM FOR SILL. 8063 -T8 - 31 TN -179 1 MTG. RA0. REOCORC1740 CHANNEL 8083 -15 AT MEETING RAIL 32 "T11-178 1 TOP RAIL REINFORCING CHANNEL 6063 -15 AT VENT TOP 1/4" MAX. SHIM METAL STRUCTURE TYPICAL ANCHORS SEE ELEV. FOR SPACING TYPICAL ANCHORS SEE ELEV. FOR SPACING 1/4* MAIL. FRAME WITH FIN OPTION VENT WIDTH 1/4" SHIM MAX. MIAMI -DADE COUNTY APPR.0 CLIPPED MULLION SEE SEPARATE NM EXTERIOR WINDOW WIDTH 3/4" MAX. SHIMS TYPICAL ANCHORS SEE ELEV. FOR SPACING 0 TYPICAL ANCHORS SEE ELEV. FOR SPACING 1BY NOD BUCKS TYPICAL ANCHORS SEE ELEV. FOR SPACING WINDOW WIDTH Don ARSHAD YLCA PE . i n AUG 1 $ 2009 illieRUCf REVISED Iltoopottiso wito too FIook & Plitionto No Ityindoo 1sLw91. f drawing no. W06_34 Sheet 6 OT TO, s.oaa r-1.425-1 .4se-� -� I I { (sa soo �.�� 17 -ril a.�0 .082 .847 .izs � I - f �.. .082 �--p 3.089 1' .082 ''' --I I 1 � I '� I 1.092 3.719 �'^'� ®, MTG. RAIL 1.448 1.030 . 250 ° ' .129 -�I .822 3t MTG. RAIL U N u INF0RCINGS .510 3.166 O FRAME HEAD L '`1 .045 I .405 1.92$ I ---i REINFORCINGS STEEL - 1.000 p- 3.097 0 NAIL FIN (HEAD) Q FRAME 2.375 - JAMB 1.000 1390 .040 •802 385 3.340 .938 ��„� 1.188 98 it a. 88 j 1.1� j � /, _. ..--=._....3.1 1.688 .OS2 .o6a 2. 90 »e O .923 ei_ L_ J 8 . 133 u® TOP RAIL REINFORCING ALUMINUM 1.375 z5 REINFORCING TOP RAIL TEEL (D VENT STOP Q FIXED MEETING RAIL 2.500 ® NAIL FIN (JAMB) 3.199 REVISED . Cade _Z �!� " .183 1.379 1.188 -� Li I .082 3.277 ° Q 540 .040 7 iTh os2 2.250 1.214 ,. 1.324 GLAZING 9a3 BEADS 1.374 082 . 2.500 1.7s0 959 ELI 1.000 1.389 .888 0 SASH SIDE RAIL LATCH LOCK i i � 8 O VENT TOP RAIL ® NAIL FIN (SILL) ..- 2.202 -.• a.9971 3.245 2.202 . 8� D82 ' 3.245 3.927 .997 - 4.347 .08Z . 894 !� 3.439 ft i ! ` � i 7 [ 1_, I 3.389 .082 4.312 3.812 3.330 .082 2.830 II m v m E. 01440 VI( a Env 481 � iJ 87 AUG 1 22009 Q 1 375 VENT BOTTOM RHOS 1.375 - O O k- - 3.141 FRAME NOTE: EITHER SILLS SILL CA/4 BE USED k- - 3.141 O drawing no. W06 -34 (sheet 7 Of 8 ) INSTALLATION OF 13 OPENINGS IMPACT WINDOWS & DOORS Passe ■ s Inspector Comments AS REINSPECTION labeled Provide PA for all Provide anchors for FOR INSP - 149438. Windows; must be windows windows per PA Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until i nspection Number: INSP - 149828 Inspection Date: September 21, 2010 Inspector. Bruhn, Norman Owner. JACQUELINE JAMES, LESCOTT 1 VTT C /�AAeeQC Job Address: 286 NE I 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NHTC CORPORATION Building Department Comments September 21, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: WS4-10 -1364 I Permit Type: Windows /Shutters Inspect; n Type: Final Work Classification: Window /Doo Replacement Phone Number Parcel Number 1132060134310 Phone: (305)878 -3971 Page 1 of 1 • •• • • • ••• • • • •• 00 • • • •• 00 • • • • • • • • • • • • • D'AVICA'& ASSOC? Soh 1l ES, Nc. 1800 W. 49th S?. SUITE 336 HIALEAH FL.33012 • • PHONE/305) 612- 370E0• • • • R • • • • • L B #7G38 • • • • • • • LJ •• • • • • • • • • • • • •• • o, \3ARY S,RVEY PAGE 2 OF 2 NOT VAUD WITHOUT PAGE 1 OF 2 JOB No. 08- 093981 Drawn by: TULY • • • • 0 • • • • • .•• • •• AI•...•P • P t P• • . •••• .• • •• •• • ! • ••• • - •• • • • . ... .... .. ..... . ..... . ..... ... .. TOTAL'.R/Vl.'.BY. P. iAT).'.'.'.'.'. - .'.'.'.'- - .'.'.'.'.'•'•.'.'• - . '• .......... .................. ................................................... ........... . ............... ......... ............................. • F.I.P 1/2" ' . NO CAP LOT -4 BLOCK - 32 x 0.16' CL 4' C.L.F 0.10' CL 0.30' CL F.I.P 1/2" NO CAP m m 0) • • 10.00' 9.89' .cNcswK• • • o.". " °75.00 (R &M)•• 0 p 0) N •••ASPHALT 3 ' 2 70' 10.00' —x 0 Z 10.30' CONC. 0 0 tri Z 0 BRICK 15.80' 0 0 tri N u, 9.20' ONE STORY? RES. # 286 36,00' LOT -3 BLOCK -32 4' C.L.F. X 22' PWY 8.00' U7 75.00 (R &M) © W.M. 36.00' PORTION OF LOT -2 BLOCK - 32 ...' 15'ALLEY ....'.'.'.'. •.' .............. . • ... • - • • - • ...DRIVE.... ...........'''''. 19.16' X. 0 1 SURVEYOR'S NOTES: There may be Easements recorded in the Public Records not shown on this Survey. The purpose of this Survey is for obtaining Title Insurance and Financing and should not be used for Construction purposes. 78.25' . •_.. - BLOCK • CORNER F.I.P 1/2" LL) NO CAP 1 T3 CO LL! REMAINDER OF LOT - 2 BLOCK -32 0.64' CL 0.20' CL F.I.P 1/2" NO CAP LOT - 2 BLOCK -32 SCALE: 1" = 20' LEGEND AND ABBREVIATIONS DRWY. U.P. B.O.B. A/C A BLDG. C.B. C.B.S. CH. CL C/L CONC. - ELEVATION = DRIVEWAY = UTILITY POLE = BASIS OF BEARINGS = AIR CONDITIONING PAD - ARC DISTANCE = BUILDING - CATCH BASIN • CONCRETE BLOCK STRUCTURE = CHORD DISTANCE - CLEAR = CENTER UNE - CONCRETE C. & G. - CURB & GUTTER P.I. S.I.R = SET IRON ROD P.R.0 P.O.C. = POINT OF COMMEN-CEMENT P.C. F.N. = FOUND NAIL F.N.D. P.T. = POINT OF TANGENCY P.C.C. E.N.C. = ENCROACHMENT M/L F.H. - FIRE HYDRANT N.G.V.D. FOUND IRON PIPE O.E. F.I.R. = FOUND REBAR P.B. I.F.E. = LOWEST FLOOR ELEVATION P.C.P. I.P, = LIGHT POLE P.G. (M) = MEASURED P.0.8. (R) = RECORD P/L (R & M) = RECORD & MEASURED N.T.S. = POINT OF INTERSECTION = POINT OF REVERSE CURVE = POINT OF CURVATURE = FOUND NAIL/DISK = POINT OF COMPOUND CURVE = MONUMENT UNE - NATIONAL GEODETIC VERTICAL DATUM = OVERHEAD ELECTRIC UNE - PLAT BOOK = PERMANENT CONTROL POINT = PAGE - POINT OF BEGINNING - PROPERTY UNE = NOT TO SCALE D. & M. E. = DRAINAGE & MAINTENANCE Lf = CENTRAL ANGLE //— = WOOD FENCE (6' HIGH) — =CHAIN UNK FENCE (4' HIGH) IZIDJ =C.D.S. WALL B/C =BLOCK CORNER R = RADIUS RAD. = RADIAL RES. = RESIDENCE R/W - RIGHT OF WAY SEC. = SECTION S.I.P. = SET IRON PIPE STY = STORY SWK = SIOEWAU< UE. = UTILITY EASEMENT •• ••• • • • • • -•• • • • • • • - • • • •• ••• •• 0 • • •• es • ••• • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • '• • • • • • • • • • • • • ••• • ••• • • • • ••• • • • • • • • • • • • • • ••0 • • • • • • • • • • • • • • •• •• • • • •• •• 41 0 0 • • • 0 0• • • a ..• • • • ••• • • • •. •• • • • •• •• • • • • • • • • • • • • • • • • •.• • • • • • • • • • • • ••• • • • • ••• • • • • • ••• • • • • • • • • • • • • • 1 ..... • • • • • • •• • • • • • • • • • • • • • • • • • • •• • ••• • • • Loi/ (,) 00 000 00 • • • 00 • 00 000 • • • • • 00 • • • • • • • • • •• ••• 00 • • • 00 •• • 000 • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • • • • • ••• • • • • • • • • • • • ••• • • • • • • • • • • • • •• •• • • • •• •• • • • • ••• • • 041141 • • • 0•0 • • • •• •• • • • •• •• • • • • • • • • • • • • ••• • • • • • • • • • • • .• • • • • ••• • • • • • • • •• • • . • • • • • • • • -• • • ,, s. • • • • • • •• • • • • • • • • • • • • • • � • • • • • • • •• • •• • • • •• • • •g •• • • • •• • • O. • ••• • • • • • • • • • • •-• • • • • •sS \ \• • • • • •• B.M. USED — SURVEY DATE: 09 -03 -08 •• ••• • • • • • •• • • • • 1' • • • • •• ••• •• • • • •• •• • ••• • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • 0 • • • 0 • • • • • ••• • ••• • • • • ••• • • • • • • • • • • • • • ••• • • • • .• '• • • • • • • • ' • •. •• • • • •• d• 800 • • • ••• • • LOCATIO\ SCALE: NTS s <ITC N.E. 99th ST ELEVATIONS — FEET B.M. LOCATED — LESCOTT KEVIN LYTTLE COOMBS, A SINGLE MAN JOB No 08- 093981 CLIENT: & JACQUELINE P. JAMES, A SINGLE WOMAN PROPERTY ADDRESS 286 N.E. 99th ST. MIAMI SHORES FL. 33138 LEGAL DESCRIPTION: (FURNISHED BY CLIENT) LOT 3 & W 1/2 OF LOT 2 IN BLOCK 32 SUBDIVISION AN AMENDED PLAT OF MIAMI SHORES SECTION No.1 ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 _ AT PAGE 7 °_ OF THE PUBLIC RECORDS OF MIAMI — DADE COUNTY, FLORIDA. SUBJECT TO ALL RESTRICTIONS, RESERVATIONS, EASEMENTS AND RIGHT —OF —WAY OF RECORD, UNDERGROUND ENCROACHMENTS IF ANY, NOT LOCATED. LEGAL NOTES THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCORDANCE WITH THE DESCRIPTION FURNISHED BY CLIENT NO SEARCH OR PUBLIC RECORDS HAS BEEN MADE BY THIS OFFICE FOR ACCURACY OR OMISSIONS. SUBJECT TO OPINION TITLE. I HEREBY CERTIFY: THAT THE ATTACHED BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS TO THE BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED PLATTED UNDER MY DIRECTION; ALSO THAT THERE ARE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN, AND THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS SET BY THE FLORIDA BOARD OF LAND SURVEYORS AS SET FORTH IN 472.027 (F.S) AND CHAPTER 61G17 -6 FLORIDA ADMINISTRATIVE CODE. ELEVATIONS REFER TO: NGVD DATUM 1929 ELEVATION INFORMATION: BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY DATED OR REVISED ON CE/ 1 7 / 9 5 THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN ZONE • X BASE FLOOD ELEVATION NA COMMUNITY 120652 PANEL NUMBER 0093 SUFFIX J THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. CERTIFIED TO: LESCOTT KEVIN LYTTLE COOMBS, A SINGLE MAN & JACQUELINE P. JAMES, A SINGLE WOMAN BENWORTH CAPITAL PARTNERS, INC. OLADO DELGADO, P.A. ATTORNEYS' TITLE INSURANCE FUND, INC. D'AVILA & ASSOCIATES. SVCS, INC. Land Surveyors CERTIFICATE No. L.B.-7538, STATE OF FLORIDA 1800 W. 49th SUITE 336 HIALEAH, FL 33012 (30s) 5 12 -3710 PAGE 1 OF 2 NOT VAUD WITHOUT PAGE 2 OF 2 EFRAIN C, LOPEZ, P.L.S. CERTIFICATE No.LS. -2300 STATE OF FLORIDA NOT VAUD WITHOUT THE SIGNATURE, DATE AND THE ORIGINAL RAISED SEAL OF A FLORIDA UCENSED SURVEYOR AND MAPPER." PERMIT #0�2(� 5 t Miami Shores VW ge APPROVED BY DATE ZONING DEPT ( ( 0 BLDG DEPT do? SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS NMIMEEV'Ma It MAR 0 2 2009 BY: 1/ • • ••• • • • • • •• .•• • • • • • .•. • • •••• • • • • •• • • • • • • • • • •• • • • • • • • • • • • • • • ••• • •••• • • ENERGY PERg'O�t1T�TCF,�,EVEL (EPL) mg 8 2009 1. New construction or existing 2. Single family or multi- family 3. Number of units, if multi- family 4. Number of Bedrooms 5. Is this a worst case? 6. Conditioned floor area (ft 7. Glass type' and area: (Label read. a. U- factor: b. 8. a. b. c. 9. a. b. ESTIMATED ENERGY PERFORMANCE SCORE* = 88.5 JAYLYTE REAL ESTATE INVnTI■(, 2$6 F E'94fA $t, MIAMI, FL, 33138- Addition Single family 1 3 No 1503 ft by 13- 104.4.5 if not default) Description Area (or Single or Double DEFAULT) 7a. (Dble Default) 130.2 ft SHGC: (or Clear or Tint DEFAULT) 7b. Floor types Raised Concrete N/A N/A Wall types Concrete, Int Insul, Exterior Concrete, Int Insul, Exterior c. N/A d. N/A e. N/A 10. Ceiling types (white root) a. Under Attic b. N/A c. N/A 11. Ducts(white roof) a. Sup: Unc. Ret: Unc. AH: Interior b. N/A DISPLAY CARD The higher the scg;e,xhg mare g ciggt theAome. (Tint) 130.2 ft _ R=4.0, 1503.0ft R =5.0, 330.0 ft _ R =5.0, 1470.0 ft _ R =30.0, 1503.0 ft • •SS • • • • ••S 1 100 0• •S •.... • • 14. Hot water systems a. Electric Resistance Sup. R=6.0, 30.0 ft 12. Cooling systems a. Central Unit b. N/A c. N/A 13. Heating systems a. Electric Strip b. N/A c. N/A b. N/A 4 1Caq :3v0 c. Conservation credits (HR -Heat recovery, Solar DHP- Dedicated heat pump) 15. HVAC credits (CF- Ceiling fan, CV -Cross ventilation, BF-Whole house fan, PT- Programmable Thermostat, MZ- C- Multizone cooling, MZ- H- Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code chant features. Builder Signature: Cap: 100.0 gallons EF: 0.86 Date: 1 I o Address of New Home: E9� City/FL Zip: *NOTE: The home's estimated energy performance score is only available through the FLARES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA/DOE EnergyStar your home may qualms for energy efficiency mortgage (EEM) incentives ifyou obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -1492 or see the Energy Gauge web site at www.fsec.ucfedu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487 -1824. 1 Predominant glass type. For actual glass type and areas, see Summer & Winter Glass output on ages 2&4. EnergyGauge® (Version: FLRCPB v4.5.2) Cap: 42.5 kBtu/hr _ SEER: 13.00 _ Cap: 20.0 kBtu/hr _ COP: 1.00 PT, CF, Project Name: JAYLYTE -286 NE 99TH ST- SIMPLE Builder. RICHARD BURNS Address: 286 NE 99TH ST • • • Permitting Office: VILLAGE OF MIAMI SHO City, State: MIAMI, FL 33138- • • CO ermi Number. Owner: JAYLYTE REAL ESTATE INVES1III4 • • • • Jurisdtction Number. Climate Zone: South •• • • • • • ••• • • 1. New construction or existing Addition _ 12. Cooling systems 2. Single family or multi - family Single family _ a. Central Unit Cap: 42.5 kBtu/hr _ 3. Number of units, if multi- family 1 _ �k SEER 13.00 _ 4. Number of Bedrooms 3 b. N/A _ 5. Is this a worst case? No _ _ 6. Conditioned floor area (ft 1503 ft _ c. N/A $° _ 7. Glass type' and area: (Label read. by 13- 104.4.5 if not default) " ? . _ a. U- factor. Description Area 13. Heating systems tf5 or Sin a or Double DEFAULT') 7a. 2 (or 7a.(Dble Default) ft _ Strip a. Electric Stri . 20.0 kBtu/hr - � . b. SHGC: ` .. COP: 1.00 _ (or Clear or Tint DEFAULT) 7b. (Tint) 130.2 ft _ b. N/A _ 8 . Floor types _ a. Raised Concrete R=4.0, 1503.0ft _ c. N/A _ b. N/A _ c. N/A _ 14. Hot water systems 9. Wall types a. Electric Resistance Cap: 100.0 gallons _ a. Concrete, Int Insul, Exterior R =5.0, 330.0 ft _ EF: 0.86 _ b. Concrete, Int Insul, Exterior R =5.0, 1470.0 11 _ b. N/A _ c. N/A _ d. N/A _ c. Conservation credits _ e. N/A _ (HR-Heat recovery, Solar 10. Ceiling types (white roof) _ DHP- Dedicated heat pump) a. Under Attic R =30.0, 1503.0 ft 15. HVAC credits PT, CF, _ b. N/A _ c. N/A _ 11. Ducts(white roof) _ a. Sup: Unc. Ret: Unc. AH: Interior Sup. R=6.0, 30.0 ft b. N/A _ (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, MZ- C- Multizone cooling, MZ- H- Multizone heating) FORM 600A -2004R • • • • • • EnergyGaugee 4.5.2 FLORIDA ENERGY E F PK IENCY CODE FOR BUILDING CONSTRUCTION Florida Depprirrient of community Af#airs Residential Whol4 Nfiiing•Petrforn3a to Method A Glass /Floor Area: 0.09 Total as -built points: 20424 Total base points: 21777 PASS I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code. PREPARED BY: DATE: I', ® I hereby certify that this building, as designed, is in compliance with the Florida Ener'► C, • OWNER/AGENT: DATE: 1 Predominant glass type. For actual glass type and areas, see Summer & Winter Glass output on pages 2 &4. EnergyGauge® (Version: FLRCPB v4.5.2) Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance with Section 553.908 Florida Statutes. BUILDING OFFICIAL: DATE: BASE '• • • ,AS -BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Floor Area • • ••• • • Overhang Type /SC Omt Len Hgt Area X SPM X SOF = Points .18 1503.0 30.53 8260.0 1.Double, Tint S 0.5 7.3 4.9 47.06 1.00 228.0 2.Double, Tint S 0.5 7.3 25.7 47.06 1.00 1205.0 3.Double, Tint W 0.5 7.3 38.5 49.65 1.00 1907.0 4.Double, Tint N 0.5 7.3 25.7 24.93 1.00 637.0 5.Double, Tint E 0.5 7.3 25.7 55.50 1.00 1419.0 6.Double, Tint E 0.5 7.3 9.8 55.50 1.00 538.0 As - Built Total: 130.2 5934.0 WALL TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Adjacent 0.0 0.00 0.0 1. Concrete, Int Insul, Exterior 5.0 330.0 2.00 660.0 Exterior 1800.0 2.70 4860.0 2. Concrete, Int Insul, Exterior 5.0 1470.0 2.00 2940.0 Base Total: 1800.0 4860.0 As -Built Total: 1800.0 3600.0 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 1.Exterior Insulated 22.0 6.40 140.8 Exterior 86.0 6.40 550.4 2.Exterior Insulated 22.0 6.40 140.8 3.Exterior Insulated 42.0 6.40 268.8 Base Total: 86.0 550.4 As - Built Total: 86.0 550.4 CEILING TYPES Area X BSPM = Points Type (white Roof) R -Value Area X SPM X SCM = Points Under Attic 1503.0 2.80 4208.4 1. Under Attic 30.0 1503.0 2.77 X 0.55 2289.8 Base Total: 1503.0 4208.4 As -Built Total: 1503.0 2289.8 FLOOR TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Slab 0.0(p) 0.0 0.0 1. Raised Concrete 4.0 1503.0 -0.35 -526.1 Raised 1503.0 -2.16 - 3246.5 Base Total: - 3246.5 As - Built Total: 1503.0 -526.1 INFILTRATION Area X BSPM = Points Area X SPM = Points 1503.0 18.79 28241.4 1503.0 18.79 28241.4 FORM 600A-2004R • .•.. • • • • .. ••.• • • •.•.• • SUMMER CA�C•EJ 4flIONS . ....... .... Residential Whole Building Performance Method A - Details • • . •... . •• • • •• • • • • ADDRESS: 286 NE 99TH ST, MIAMI, FL, 33138 -'.• • • • • • .. • • • • • • ..• • • .. EnergyGauge® DCA Form 600A -2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 PERMIT #: EnergyGauge® 4.5.2 BASE •• • • •• % S-BUILT - 1 Summer Base Points: 42873.7 .114 111.. .1 Summer As -Built Points: 40089.5 Total Summer X System = Points Multiplier Cooling Points Total X Cap X Duct X System X Credit = Component Ratio Multiplier Multiplier Multiplier (System - Points) (DM x DSM x AHU) Cooling Points 42873.7 0.3250 13933.9 (sys 1: Central Unk42500btuh ,SEER/EFF(13.0) Ducts :Att(S),Att(R),Int(AH),R6.0(INS) 40090 1.00 (1.04 x 1.165 x 0.90) 0.260 0.902 40089.5 1.00 1.091 0.260 0.902 10267.6 10267.6 ' FORM 600A -2004R • • 111 • • • ••• •1 •I • • • • •• •• • EnergyGauge® 4.5.2 SUMMER CALOE E/ ONS . ....... .... Residential Whole Building Performance Method A - Details •1• • • • • • • • •• • • • ADDRESS: 286 NE 99TH ST, MIAMI, FL, 33138 - • • • • • • • • • • • • • • • • ••• • • • •• PERMIT #: i EnergyGaugeTm DCA Form 600A -2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 FORM 600A -2004R • .... • • .... • • • • • • • • •.• . • • I ADDRESS: 286 NE 99TH ST, MIAMI, FL, 33 - EnergyGauge® 4.5.2 .... . ...... . WINTER pupyw pNS . ....... .... Residential Whole Building Performance Method A - Details • • • • •• • • . • • • • ••• • • •• PERMIT #: EnergyGauge® DCA Form 600A -2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 BASE '• • • • • 4S-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Floor Area • • ••• • • Overhang Type /SC Omt Len Hgt Area X WPM X WOF = Point .18 1503.0 3.60 974.0 1.Double, Tint S 0.5 7.3 4.9 3.40 1.00 16.0 2.Double, Tint S 0.5 7.3 25.7 3.40 1.00 87.0 3.Double, Tint W 0.5 7.3 38.5 4.12 1.00 158.0 4.Double, Tint N 0.5 7.3 25.7 4.45 1.00 114.0 5.Double, Tint E 0.5 7.3 25.7 3.56 1.01 91.0 6.Double, Tint E 0.5 7.3 9.8 3.56 1.01 34.0 As -Built Total: 130.2 500.0 WALL TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Adjacent 0.0 0.00 0.0 1. Concrete, Int Insul, Exterior 5.0 330.0 0.90 297.0 Exterior 1800.0 0.60 1080.0 2. Concrete, Int Insul, Exterior 5.0 1470.0 0.90 1323.0 Base Total: 1800.0 1080.0 As - Built Total: 1800.0 1620.0 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 1.Exterior Insulated 22.0 1.80 39.6 Exterior 86.0 1.80 154.8 2.Exterior Insulated 22.0 1.80 39.6 3.Exterior Insulated 42.0 1.80 75.6 Base Total: 86.0 154.8 As -BuIIt Total: 86.0 154.8 CEILING TYPES Area X BWPM = Points Type (White Roof) R -Value Area X WPM X WCM = Points Under Attic 1503.0 0.10 150.3 1. Under Attic 30.0 1503.0 0.10 X 1.04 156.9 Base Total: 1503.0 150.3 As -Built Total: 1503.0 156.9 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Slab 0.0(p) 0.0 0.0 1. Raised Concrete 4.0 1503.0 0.20 300.6 Raised 1503.0 -0.28 -420.8 Base Total: -420.8 As - Built Total: 1503.0 300.6 INFILTRATION Area X BWPM = Points Area X WPM = Points 1503.0 -0.06 -90.2 1503.0 -0.06 -90.2 FORM 600A -2004R • .... • • .... • • • • • • • • •.• . • • I ADDRESS: 286 NE 99TH ST, MIAMI, FL, 33 - EnergyGauge® 4.5.2 .... . ...... . WINTER pupyw pNS . ....... .... Residential Whole Building Performance Method A - Details • • • • •• • • . • • • • ••• • • •• PERMIT #: EnergyGauge® DCA Form 600A -2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 ' FORM 600A -2004R WINTERtAk,�lo (..i4 • •• Residential Whole Building Performance Method A - Details • • . • • ••• • • •• • • • I ADDRESS: 286 NE 99TH ST, MIAMI, FL, 33'13$ - •.. '•• '•' •• • PERMIT #: i EnergyGaugeTu DCA Form 600A -2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 EnergyGaugee 4.5.2 BASE • • • • •QS -BU ILT • t i • •iii J Winter Base Points: 1848.1 _ _ _ Winter As -Built Points: 2642.1 Total Winter X Points System = Multiplier Heating Points Total X Cap X Duct X System X Credit = Component Ratio Multiplier Multiplier Multiplier (System - Points) (DM x DSM x AHU) Heating Points 1848.1 0.5540 1023.8 (sys 1: Electric Strip 20000 btuh ,EFF(1.0) DuctsAtt(S),Att(R),Int(AH),R6.0 2642.1 1.000 (1.102 x 1.137 x 0.91)1.000 0.950 2642.1 1.00 1.140 1.000 0.950 2861.9 2861.9 ' FORM 600A -2004R WINTERtAk,�lo (..i4 • •• Residential Whole Building Performance Method A - Details • • . • • ••• • • •• • • • I ADDRESS: 286 NE 99TH ST, MIAMI, FL, 33'13$ - •.. '•• '•' •• • PERMIT #: i EnergyGaugeTu DCA Form 600A -2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 EnergyGaugee 4.5.2 BASE CODE COMPLIANCE STATUS WATER HEATING Number of X Bedrooms Multiplier = Total BASE 3 2273.00 6819.0 100.0 0.86 As -Bullt Total: AS -BUILT Cooling Points + Heating + Points Hot Water Points = Total Points Cooling Points + Heating + Hot Water Points Points = Total Points 13934 1024 6819 21777 10268 2862 7295 20424 BASE •• •• I S -BUILT - WATER HEATING Number of X Bedrooms Multiplier = Total 41V11 1.../ Tank EF Number of X Tank X Multiplier X Credit = Total Volume Bedrooms Ratio Multiplier 3 2273.00 6819.0 100.0 0.86 As -Bullt Total: 3 1.00 2431.58 1.00 7294.7 7294.7 FORM 600A -2004R •• •• • • • •• •• • WATER HEATING & ctZ[ t�p1 lANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 286 NE 99TH ST, MIAMI, FL, 3313$ - • • • • ••• • • • ••• • • • •••• •••• •••• • • • • • • • • • ••• • • • •• PASS 1 EnergyGauge m DCA Form 600A -2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 PERMIT #: EnergyGauge® 4.5.2 COMPONENTS SECTION , REQUIREIiENTifDFr.E1CO FljukfICE, ` Maximum:.3 corn &q t. Yrindow aaeal .5 cfm/aq.ft. door area. CHEC�C Exterior Windows & Doors 606.1 ABC.1.1 Exterior & Adjacent Walls 606.1.ABC.1.2.1 Caulk, gasket, weatlierstnp or seal Between: windows /doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at comers; utility penetrations; between wall panels & top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to, the foundation to the top plate. 612.1 Floors 606.1.ABC.1.2.2 Penetrations/openings >1/8" sealed unless backed by truss or Joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. 612.1 Ceilings 606.1.ABC.1.2.3 Between walls & ceilings; penetrations of ceiling plane of top floor, around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier, gaps in gyp board & top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that Is sealed at the perimeter, at penetrations and seams. li r Recessed Lighting Fixtures 606.1ABC.1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non -IC rated, installed inside a sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2.0 cfm from conditioned space, tested. Multi -story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. 1/ Additional Infiltration reqts 606.1 ABC.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 612.1 ABC.3.2. Switch or clearly marked cir breaker (electric) or cutoff (gas) must be provided. External or built -in heat trap required. Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78 %. i 1 Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems • e All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated, and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics: R-6 min. insulation. / HVAC Controls Separate readily accessible manual or automatic thermostat for each system. ✓/ Insulation • - Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. FORM 600A -2004R • .... • • .... •• .. • • • •• •• • EnergyGauge® 4.5.2 Code Cor piidnic C)i. cklist Residential Whole Building Performance Method A - Details • ... • • • • ... •... •••• .... • • • ..... I ADDRESS: 286 NE 99TH ST, MIAMI, FL, 38 -'.' • • • :: ': ... • • .. PERMIT #: 6A -21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST 6A -22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) EnergyGaugem DCA Form 600A -2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 Oct-`30 ENERGY PE'Q�CE LEVEL (EPL) A 1. New construction or existing 2. Single family or multi- family 3. Number of units, if multi - family 4. Number of Bedrooms 5. Is this a worst case? 6. Conditioned floor area (ft 7. Glass type 1 and area: (Label read. a. U- factor. (or Single or Double DEFAULT) b. SHGC: (or Clear or Tint DEFAULT) 8. Floor types a. Raised Concrete b. N/A c. N/A 9. Wall types a. Concrete, Int Insul, Exterior b. Concrete, Int Insul, Exterior c. N/A d. N/A e. N/A 10. Ceiling types (white roof) a. Under Attic b. N/A c. N/A 11. Ducts(white roof) a. Sup: Unc. Ret: Unc. AH: Interior b. N/A .... • • .. • • • • • • ESTIMATED ENERGY PERFORMANCE SCORE* = 88.5 The higher toe s re,4he .mer a efficient the home. .. • • • • • ••• .. LYTE REAL ESTATE INVESTING, 286 NE 99TH ST, MIAMI, FL, 33138- Addition Single family 1 3 No 1503 ft by 13- 104.4.5 if not default) Description Area 7 a. (Dble Default) 130.2 ft 7b. R=4.0, 1503.0ft R=30.0, 1503.0 ft _ Sup. R.0, 30.0 ft (Tint) 130.2 ft _ R =5.0, 330.0 ft _ R=5.0, 1470.0 ft 12. Cooling systems a. Central Unit b. N/A c. N/A 13. Heating systems a. Electric Strip b. N/A c. N/A 14. Hot water systems a. Electric Resistance b. N/A c. Conservation credits (HR -Heat recovery, Solar DHP- Dedicated heat pump) 15. HVAC credits (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, MZ- C- Multizone cooling, MZ- H- Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code chant features. Builder Signature: D 5 fl e Z Address of New Home: t fC Cj`(S`1 City/FL Zip: *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA/DOE EnergyStar your home may qualify for energy efficiency mortgage (EE111) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -1492 or see the Energy Gauge web site at www.fsec. ucf. edu for information and a list of certied Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487 -1824. 1 Predominant glass type. For actual glass type and areas, see Summer & Winter Glass outmit on ages 2&4. EnergyGauge® (Version: FLRCPB v4.5.2) Cap: 42.5 kBtu/hr SEER: 13.00 Cap: 20.0 kBtu/hr COP: 1.00 Cap: 100.0 gallons _ EF: 0.86 PT, CF, FORM 600A -2004R EnergyGaugee 4.5.2 FLORIDA ItIRi''kFFICIENCY CODE FOR BUILDING CONSTRUCTION Flooide'Depa?tmeht ofeor t unity Affairs Residential :VUltole.Butlding:P.erfbrmance Method A Project Name: Address: City, State: Owner. Climate Zone: JAYLYTE -286 NE 99TH ST- SIMPLE 286 NE 99TH ST .. . • .. . .. .. MIAMI, FL 33138- ••• .. • • •. • • JAYLYTE REAL ESTATt 1N1fF TIRIG • South Builder: RICHARD BURNS Permitting Office: VILLAGE OF MIAMI SHO Permit Number Jurisdiction Number: 1. New construction or existing Addition 2. Single family or multi- family Single family 3. Number of units, if multi- family 1 4. Number of Bedrooms 3 5. Is this a worst case? No 6. Conditioned floor area (ft 1503 ft 7. Glass type' and area: (Label reqd. by 13- 104.4.5 if not default) a. U- factor: (or Single or Double DEFAULT) b. SHGC: (or Clear or Tint DEFAULT) 7b. 8. Floor types a. Raised Concrete b. N/A c. N/A 9. Wall types a. Concrete, Int Insul, Exterior b. Concrete, Int Instil, Exterior c. NIA d. N/A e. N/A 10. Ceiling types (white roof) a. Under Attic b. N/A c. N/A 11. Ducts(white roof) a. Sup: Unc. Ret: Unc. AH: Interior b. N/A R =30.0, 1503.0 ft Description Area 7a. (Dble Default) 130.2 ft _ (Tint) 130.2 ft R=4.0, 1503.0ft Sup. R 30.0 ft R =5.0, 330.0 ft R=5.0, 1470.0 ft 12. Cooling systems a. Central Unit b. N/A c. N/A 13. Heating systems a. Electric Strip b. N/A c. N/A 14. Hot water systems a. Electric Resistance b. N/A c. Conservation credits (HR -Heat recovery, Solar DHP- Dedicated heat pump) 15. HVAC credits (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, MZ- C- Multizone cooling, MZ- H- Multizone heating) Cap: 42.5 kBtu/hr SEER 13.00 0 kBtu/hr P: 1.00 Cap: 100.0 gallons _ EF: 0.86 _ PT, CF, _ Glass/Floor Area: 0.09 Total as -built points: 20424 Total base points: 21777 PASS I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code. PREPARED BY - - - DATE: I hereby certify that this building, as designed, is in compliance with the Florida Ene Cod OWNER/AGENT: DATE: 1 Predominant glass type. For actual glass type and areas, see Summer & Winter Glass output on pages 2 &4. EnergyGauge® (Version: FLRCPB v4.5.2) 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: FORM 600A -2004R • • •.• • • • • •• .• •• • • • .• .• • suniritilidALtULATioNs Residential Whole Building Performance Method A - Details • • . • • • • • • • •••. • • • ADDRESS: 286 NE 99TH ST, MU, FL, 331 • • • PERMIT #: EnergyGauge® 4.5.2 • EnergyGauge® DCA Form 600A -2004R EnergyGauge®/FIaRES 2004R FLRCPB v4.5.2 BASE '; • • • • • • ••• • •' • '; AS -BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Floor Area Overhang Type /SC Omt Len Hgt Area X SPM X SOF = Points .18 1503.0 30.53 8260.0 1.Double, Tint S 0.5 7.3 4.9 47.06 1.00 228.0 2.Double, Tint S 0.5 7.3 25.7 47.06 1.00 1205.0 3.Double, Tint W 0.5 7.3 38.5 49.65 1.00 1907.0 4.Double, Tint N 0.5 7.3 25.7 24.93 1.00 637.0 5.Double, Tint E 0.5 7.3 25.7 55.50 1.00 1419.0 6.Double, Tint E 0.5 7.3 9.8 55.50 1.00 538.0 As -Built Total: 130.2 5934.0 WALL TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Adjacent 0.0 0.00 0.0 1. Concrete, Int Insul, Exterior 5.0 330.0 2.00 660.0 Exterior 1800.0 2.70 4860.0 2. Concrete, Int Insul, Exterior 5.0 1470.0 2.00 2940.0 Base Total: 1800.0 4860.0 As -Built Total: 1800.0 3600.0 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 1.Exterior Insulated 22.0 6.40 140.8 Exterior 86.0 6.40 550.4 2.Exterior Insulated 22.0 6.40 140.8 3.Exterior Insulated 42.0 6.40 268.8 Base Total: 86.0 550.4 As -Built Total: 86.0 550.4 CEILING TYPES Area X BSPM = Points Type (White Roof) R -Value Area X SPM X SCM = Points Under Attic 1503.0 2.80 4208.4 1. Under Attic 30.0 1503.0 2.77 X 0.55 2289.8 Base Total: 1503.0 4208.4 As -Built Total: 1503.0 2289.8 FLOOR TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Slab , 0.0(p) 0.0 0.0 1. Raised Concrete 4.0 1503.0 -0.35 -526.1 Raised 1503.0 -2.16 - 3246.5 Base Total: - 3246.5 As - Built Total: 1503.0 -526.1 INFILTRATION Area X BSPM = Points Area X SPM = Points 1503.0 18.79 28241.4 1503.0 18.79 28241.4 FORM 600A -2004R • • •.• • • • • •• .• •• • • • .• .• • suniritilidALtULATioNs Residential Whole Building Performance Method A - Details • • . • • • • • • • •••. • • • ADDRESS: 286 NE 99TH ST, MU, FL, 331 • • • PERMIT #: EnergyGauge® 4.5.2 • EnergyGauge® DCA Form 600A -2004R EnergyGauge®/FIaRES 2004R FLRCPB v4.5.2 BASE • I- '• :'• I • . V. : -- . -- • • •• •• •• AS -BUILT • Summer Base Points: 42873.7 Summer As -Built Points: 40089.5 Total Summer X System = Points Multiplier Cooling Points Total X Cap X Duct X System X Credit = Component Ratio Multiplier Multiplier Multiplier (System - Points) (DM x DSM x AHU) Cooling Points 42873.7 0.3250 13933.9 (sys 1: Central Unit 42500btuh ,SEER/EFF(13.0) Ducts :Att(S),Att(R),Int(AH),R6.0(INS) 40090 1.00 (1.04 x 1.165 x 0.90) 0.260 0.902 40089.5 1.00 1.091 0.260 0.902 10267.6 10267.6 FORM 600A -2004R • • ••• • • • •.• •• •• • • • •• •• • suniKiM4ALUILATIONS Residential Whole Building Performance Method A - Details ••• • • • • • • • •••• • • • ADDRESS: 286 NE 99TH ST, MIAMI, I!E; 331d8• ••• • • -: • .• PERMIT #: EnergyGaugeTM DCA Form 600A -2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 EnergyGaugee 4.5.2 , FORM 600A -2004R • • . -• • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • WINTER CALCULATIONS Residential Whole Building Performance Method A - Details • • • • ..• ..• •••• • • • •• • . • I ADDRESS: 286 NE 99TH ST, MIAMI, Ff' , 331981 • • • • • •- •• • • • • • •• EnergyGauge® DCA Forrn 600A -2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 PERMIT #: EnergyGauge® 4.5.2 BASE • '; • • • • • ••• ••• ••• • AS -BUILT GLASS TYPES .18 X Conditioned Floor Area X BWPM = Points Overhang Type /SC Omt Len Hgt Area X WPM X WOF = Pointe .18 1503.0 3.60 974.0 1.Double, Tint S 0.5 7.3 4.9 3.40 1.00 16.0 2.Double, Tint S 0.5 7.3 25.7 3.40 1.00 87.0 3.Double, Tint W 0.5 7.3 38.5 4.12 1.00 158.0 4.Double, Tint N 0.5 7.3 25.7 4.45 1.00 114.0 5.Double, Tint E 0.5 7.3 25.7 3.56 1.01 91.0 6.Double, Tint E 0.5 7.3 9.8 3.56 1.01 34.0 As -Built Total: 130.2 500.0 WALL TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Adjacent 0.0 0.00 0.0 1. Concrete, Int Insul, Exterior 5.0 330.0 0.90 297.0 Exterior 1800.0 0.60 1080.0 2. Concrete, Int Insul, Exterior 5.0 1470.0 0.90 1323.0 Base Total: 1800.0 1080.0 As -Built Total: 1800.0 1620.0 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 1.Exterior Insulated 22.0 1.80 39.6 Exterior 86.0 1.80 154.8 2.Exterior Insulated 22.0 1.80 39.6 3.Exterior Insulated 42.0 1.80 75.6 Base Total: 86.0 154.8 As - Built Total: 86.0 154.8 CEILING TYPES Area X BWPM = Points Type (White Root) R -Value Area X WPM X WCM = Points Under Attic 1503.0 0.10 150.3 1. Under Attic 30.0 1503.0 0.10 X 1.04 156.9 Base Total: 1503.0 150.3 As -Built Total: 1503.0 156.9 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Slab 0.0(p) 0.0 0.0 1. Raised Concrete 4.0 1503.0 0.20 300.6 Raised 1503.0 -0.28 -420.8 Base Total: -420.8 As - Built Total: 1503.0 300.6 INFILTRATION Area X BWPM = Points Area X WPM = Points 1503.0 -0.06 -90.2 1503.0 -0.06 -90.2 , FORM 600A -2004R • • . -• • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • • • WINTER CALCULATIONS Residential Whole Building Performance Method A - Details • • • • ..• ..• •••• • • • •• • . • I ADDRESS: 286 NE 99TH ST, MIAMI, Ff' , 331981 • • • • • •- •• • • • • • •• EnergyGauge® DCA Forrn 600A -2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 PERMIT #: EnergyGauge® 4.5.2 , FORM 600A -2004R • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • WINTER. CALCULATIONS Residential Whole Building Performance Method A - Details ••• • ••• •••• •••• • • • • • • • • • • • •• I ADDRESS: 286 NE 99TH ST, MIAIaII, h, • •' • • • • •• EnergyGauge'M DCA Form 600A -2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 PERMIT* EnergyGauge® 4.5.2 1 BASE 1 : : • T ' AS -BUILT • Winter Base Points: 1848.1 Winter As -Built Points: 2642.1 Total Winter X Points System = Multiplier Heating Points Total X Cap X Duct X System X Credit = Component Ratio Multiplier Multiplier Multiplier (System - Points) (DM x DSM x AHU) Heating Points 1848.1 0.5540 1023.8 (sys 1: Electric Strip 20000 btuh ,EFF(1.0) Ducts:Att(S),Att(R),Int(AH),R6.0 2642.1 1.000 (1.102 x 1.137 x 0.91)1.000 0.950 2642.1 1.00 1.140 1.000 0.950 2861.9 2861.9 , FORM 600A -2004R • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • WINTER. CALCULATIONS Residential Whole Building Performance Method A - Details ••• • ••• •••• •••• • • • • • • • • • • • •• I ADDRESS: 286 NE 99TH ST, MIAIaII, h, • •' • • • • •• EnergyGauge'M DCA Form 600A -2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 PERMIT* EnergyGauge® 4.5.2 1 BASE • CODE COMPLIANCE STATUS '. AS -BUILT WATER HEATING Number of X Bedrooms Multiplier = BASE Tank EF Volume Number of X Tank X Multiplier X Credit = Total Bedrooms Ratio Multiplier 3 2273.00 6819.0 AS -BUILT 3 1.00 2431.58 1.00 7294.7 7294.7 Cooling Points + Heating + Points Hot Water Points = Total Points Cooling Points + Heating Points + Hot Water Points = Total Points 13934 1024 6819 21777 10268 2862 7295 20424 BASE • '• • • • • ••• • •' '. AS -BUILT WATER HEATING Number of X Bedrooms Multiplier = Total Tank EF Volume Number of X Tank X Multiplier X Credit = Total Bedrooms Ratio Multiplier 3 2273.00 6819.0 100.0 0.86 As -Built Total: 3 1.00 2431.58 1.00 7294.7 7294.7 FORM 600A -2004R • • ••• • • • ••• •• •• • • • •• •• • WATER HEATING &:•CODE tOMPLIANCE STATUS Residential Whole Building Performance Method A - Details • • • • • • • • • • • • • •• • • • ADDRESS: 286 NE 99TH ST, MIAMI, te, 331 • • • • • •• PASS EnergyGaugeN DCA Form 600A -2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 PERMIT #: EnergyGauge® 4.5.2 COMPONENTS Exterior Windows &Doors SECTION 606.1.ABC.1.1 iZE�l+i1�2Elilflll6 [:OFtEACIiPRACTICE �: gm�3�Cfrr�sc�rt. r doh+ 2lrea; .5 cfm/sq.ft. door area. CHEC}C 1� Exterior &Adjacent Walls 606.1.ABC.1.2.1 Caulk, gasket, weatherstrip or seal between: windows /doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at comers; utility penetrations; between wall panels & top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to, the foundation to the top plate. i J 4 ` Floors 606.1.ABC.1.2.2 Penetrations /openings >1/8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. / 4 . Ceilings 606.1.ABC.1.2.3 Between walls &ceilings; penetrations of ceiling plane of top floor, around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier, gaps in gyp board & top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seams. Recessed Lighting Fixtures 606.1 ABC.1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non -IC rated, installed inside a sealed box with 1 /2" clearance & 3" from insulation; or Type IC rated with < 2.0 cfm from conditioned space, tested. ^'1 ' "/ Multi -sto Houses 606.1.ABC.1.2.5 Air barrier on • erimeter of floor ca ' between floors. Additional Infiltration refits 606.1.ABC.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. COMPONENTS Water Heaters SECTION 612.1 REQUIREMENTS Comply with efficiency requirements in Table 612.1 ABC.3.2. Switch or clearly marked cir breaker (electric) or cutoff (gas) must be provided. Extemal or built -in heat trap required. CHECK Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal e fficiency of 78 %. i J 4 ` Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. / 4 . Air Distribution Systems 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated, and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics: R-6 min. insulation. I-IVAC Controls 607.1 Se•arate readil accessible manual or automatic thermostat for each s tem. Insulation 604.1, 602.1 Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. FORM 600A-2004R . • • • ••. • • • ... •• •• • • • •• •• • Codo s CQIkarich Checklist Residential Whole Building Performance Method A - Details • • • • ..• ••• •.•• •••• ••.• • • • .•••- I ADDRESS: 286 NE 99TH ST, MIS, rk733118. �. • •• • • . PERMIT #: 6A -21 INFILTRATION REDUCTION COMPINE CHE IS 6A -22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) EnergyGauge'a° DCA Form 600A -2004R EnergyGauge®/FIaRES'2004R FLRCPB v4.5.2 EnergyGauge® 4.5.2 JAYLYTE 286 NE 99 St PROJECT # 1E200805 PAGE / OF 11-/ DESIGN BASIS LOADS: Roof Live Load- 30 psf Roof Deal Load- 27 psf WIND: Per ASCE 7 -05 V =146 mph CONCRE'T'E: f c- 3000 psi fy- 60 ksi fs- 24 ksi STEEL: fb- 24 ksi E- 29 x 10 psi TIMBER No 2 Typical fb- 1200 psi (Single member use) fb- 1450 psi (Repetitive use) fv- 90 psi E- 1.6 x 10 psi SOIL CAPACITY: Soil Pressure- 2000 psf JACQUELINE P. JAMES, PHD. PE. 10060 SW 145 TER MIAMI, FL 33176 305 - 519 -6754 • • • • • •• •• • • • • • • • • • •• • •• • • • • • •• • •••• • • •••• • •• • • • • ZiLs ENGINEERING CONSULTING JACQUELINE P. JAMES, PhD. PE. 10060 SW 145 TER MIAMI, FL 33176 ( ... 0 • 0 JAJ LJJL S HEST NO_ . 2 L.4 CALCULATED BY CHECKED BY DATE SCALE 4\ko,,sscr : C. t. - U 0 • C ° , ek..c • • • , NS TRA-c-- •••• •• • • ••• •••• • • Al • • • :• # • • ••■•• • •: • •••• • : • : • ••••• • •••• ••• • • • • • •• • • rk1;•• L1/4 ••0411 . ce\ .. z •00 e s: e-->c unzs t r:D . ekip • •• • • • • • ..... A•e.:oe : • • . 416 .• • • ••••: \N JACQUELINE P. JAMES, PHD. PE. 10060 SW 145 TER MIAMI, FL 33176 • • • ---; 3 • ' ENGINEERING CONSULTING a cc- 65 d 5 ..•••••■ S 1,'O. .--.. OF 14 -- CALCULATED BY CHECKED BY SCALE ... x 3E3- q .24 • ••• • • • •••• •• • • •••• • • •••O • • • • I ENGINEERING CONSULTING JACQUELINE P. JAMES, PHD. PE. 10060 SW 145 TER MIAMI, FL 33176 ... • . • • • . • • • • • • i • • • • • • 4 i : •• A ? 4.4...et . .. .. ..... • 'Le/v7 bj L.e_rs ca'? • S Fi-E.r-,:as 5 . OF /4/ CA LCIJLATED Y DATE CHECKED 13Y DATE SCALE X I I e. 4-1P431/4. \^%, !LS+ V.•- Ca-vjonteci e->c Ls •1_ 1,t,a-P---1_s 33L4 s i : ;•••• cr. • .: : • :.... : •••• • :..... .,,,,,,••• : f:::). : • 0. . • • • : •••• • • .•• ir • : . . ••••• : • . . : •••• • \ • • • _ • • • •••• .1.. •••D ; ••••• a0. . rz ; • •••• •• .• • • • • • ! • •••• • • : • : : • . • • .... I I 1 • 04 53 1 :C^••• • ..-, : . .: • , • • •• •••• • • • • •1 : • • IL • ; • •••• ENGINEERING CONSULTING JACQUELINE P. JAMES, PHD. PE. 10060 SW 145 TER MIAMI FL 33176 GA C JOB _L SHEET NO. b OF / CALCULATED BY DATE CHECKED BY DATE SCALE _ 4 1 3- T7% 3opcsf - a o f4- ••• •0 • • • • ' • .• . • . Ili-. •.:. • • • • ....La • : a...6 4,, 0\ . ........, : • : • • ...s.•.:.. : ..•.: : •••• •4.••:• : •• • s'. ; *•• • • :• :. ; • •• • ... U• •"•.:( : •111•• • t:•...:3 s. i. t") • ... .: : 00•• • • • • : • 4 4 • • .�.. • •: • • • : •• , • • • • • • •• : iri.•••, c) ti So Pc •c. c JACQUELINE P. JAMES, PHD. PE. 10060 SW 145 TER MIAMI, FL 33176 ENGINEERING CONSULTING c• J03 Ot- &Li 16 SILIZET NO, 7 OF _Li/ CALCULATED 3Y DATE__ CHECKED BY DATE SCALE I - 5? c c;oc • .... )ft -`a<3 33) .z9 • ‘ ••; •• • • • •• • •. •.• • • • • • "."r. • 0: •••;■•■■•' • • •• *E •• •••.• •o*:•* ; • • • •• ••:: •• : • * • :•• : • •••• ..• • • .••• • • • : • • • •••• • ••••• • • • • • 0 _Side ENGINEERING CONSULTING JACQUELINE P. JAMES, PHD. PE. 10060 SW 145 TER MIAMI, FL 33176 • I' • je - TC slfg,ET NO._ C i' . /.21 CALCJLATED .t.3Y DATE_ CHECKED BY DATE_ SCALE Ai .... • • • . • • • • k. crc • •••• • •' • • • fv.e.... L.• • • • • • . • . . .c•-isc-. -.... ti:•' ' . • : • : . . : • , • • • • • • • • • • •,.= ( 4414, •::. • ; • • • • ; • • f • • • • • • •b •••• • • . : • • ENGINEERING CONSULTING JACQUELINE P. JAMES, PHD. PE. 10060 SW l45 MIAMI, FL 33176 fpapd past attachment dm t LI. LA fir 1 1V2..)sYa con .7 j)F__ &LUJ F SKEET NO. 9 / CALCULATED BY DAfE, CHECKED BY DATE SCALE dedidno 4er • • ..• : 4 >< • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • Southern Pine Douglas Fir - Larch, Hem - Fir, SPF Redwood, Western Cedars, Ponderosa Pine Red Pine 2x8 2x10 2x12 2x8 2x10 2x12 2x8 2x10 2x12 Species Size 2 -2x6 2 -2x8 2 -2x10 Southern 2 -2x12 Pine 3 -2x6 3 -2x8 3 -2x10 3 -2x12 ENGINEERING CONSULTING JACQUELINE P. JAMES, PHD. PE. 10060 SW 145 TER MIAMI FL 33176 Table 2. Maximum Joist Spans (L Joist Spacing (o.c.) Species Sze 12" 16" 24" 10' -6" 15' - 2" 18' -0" 9' -3" 13' -4" 17' -10" 8' -4" 12' -0" 16' -1" 1. Assumes 40 psf live load, 10 psf dead Toad, U180 cantilever deflection with 230 lb point load, No. 2 grade, and wet service conditions. See span calculator at www.awc.orq for simple span conditions without cantilevers. 2. Incising assumed for refractory species including Douglas fir - larch, hem -fir, and spruce -pine -fir. 3. Design values based on northern species with no incising assumed. Table 3. Deck Beam Spans (L 10' -6" 15' -2" 18' -0" 9' -3" 13' - 4" 15' -9" 8' - 4" 12' -0" 15' -1" 6' 8' 7' -1" 6' -2" 9' -2" 7' -11" 11' -10" 10' -3" 13' -11" 12' - 8' -7" 7 -8" 11' -4" 9` -11" 14' -5" 12' -10" 17' -5" 15' -1" 10' -2" 13' -1" 15' -5" 9' -1" 11' -1" 12 8' -4" 10' -7" 12' -3" 10' 5' -6" 7' - 1" 9' -2" 10' -9" 6' - 11" 8'- 11" 11' -6" 13' -6" SHi ET NO. 10 O? 0 CALCULATED BY_ ?�. - -- CHECIU,D BY DATE SCALE 12' 14' 5' -0" 4' -8" 6' -6" 6' -0 8' -5" 7' -9" 9 10" 9' - 1 " 6' -3" 5' -10" 8'- 1" 7' -6" 10' -6" 12' -4" Joist Spans (Li) Less Than or Equal to: 9 -9" • • •••• ` •. • •••• ••!. •• • • • • • • • • 16' 4' -4" 5' -7" 7' -3" 8' -6" 5' -5" 7' -0" 9'- 1" 11' -5" • 1,0' - 8" •.•1Q'• 1" • • • • •• . • • • .• •• •• •••• • • ••• :•• • • • • • •• !P: 18' 4' - 1" 5' -3" 6' - 10" 8' -0" 5' -2" 6' - 7" 8' -7" • •• •: •••• •■•• ` • • •• • • • • •• •• • ... ENGINEERING CONSULTING JACQUELINE P. JAMES, PHD. PE. 10060 SW 145 TER MIA1VII, FL 33176 Figure 7: Typical Joist Hangers Joist hanger with inside flanges siciEt la_YV - 6 SHEET NO. / / OF /Z- CALCULATED )3Y DATE__ CHECKED BY DATE • SCALE .. • 2_ • •• • . •. • • • • • • • • :: O* • • • : ' • • : . • ter• 00 ' • : .. . 2 . ; • . • *".11. • •: 0 .• • • • • ••••• • • • • -....•7- •••• . . .... •• •• e. ; • . .. • • • • • . MI! • • • iik•• Air • • • • • • • 1 ........... JACQUELINE P. JAMES, PFD). PE. 10060 SW 145 TER MIAMI, FL 33176 ENGINEERING CONSULTING J:07,3 -Li - 8= ..- saEgr NO. _/1L CALCULATE) BY DATE_____ CHECKED BY LATE SCALE 0 Lc • • ; • • •.1 • ) 5 ga -s F ID: • • • ;;. 1:. . • • : • : • I . • • • • • •;• • • • fla • • • . . • 1 72+■ ..............., • 0 . • % • 0.0 • • • ••• • • ; ; •• • • , ; • we • • • • • & 0 ; . • op . 1 : • o - • : • ,, , j ••■■ ••: •• : 1 ' •• , • • • • • • : . .. • :;;;; • • • ; • • 1 A 1 • •• 177 ' s!""gr. ',•-• • •i••• • • • • Beam _Span, LB Joist Span, L <10' Round Footing Diameter 15" Footing Thickness 6" 6' <14' 17" 6" <18' 20" 7" 8' <10' 17" 6" <14' 20" 8" <18' 23" 9" 10' <10' 19" 7" <14' 22" 9" <18' 25" 10" 12' <10' 21" 8" <14' 24" 10" <18' 28" 11" 14' <10' 22" 9" <14' 26" 11" <18' — 30" 12" 16' <10' 24" 9" <14' 28" 12" <18' 32" 13" <10' 25" 10" 18' <14' 30" 12" <18' _ 34" 14" ENGINEERING CONSULTING JACQUELINE P. JAMES, PHD. PE. 10060 SW 145 TER MIAMI, FL 33176 2. 3. Table 4. Footing Sizes Square footings are permitted to have widths 2" less than the given diameter of round footings. Assumes 1,500 psf soil bearing capacity. Assumes 2,500 psi compressive strength of concrete. Coordinate footing thickness with post base and anchor requirements. GHEET NO. /3 OF / CALCULATED 13Y DATE CHECKED BY DATE SCALE e kse •41.0 • • • !- • ; • • • 40 • • • • •••• • • • • • • • • • •- • • • •• ••••• • • .• 41IE 4 •• •• ;• •• • V • • • 00 • 111! • ••••• , • ! 0' ****0 WO • • •• : • • • • • • : • . • • • ENGINEERING CONSULTING JACQUELINE P. JAMES, PHD. PE. 10060 SW 145 TER MIAMI, FL 33176 C3--S ' g JC3 / 2tt.. CYTE 3.JET NO. /L CALCULATED B? DATE CHECKED BY DATE SCALE lc • • • • tip • • . 00041 • • • • O 0 • • • • 0 • . • • • •• • 0 • : •• •••• • : • •••• • • • • •• •• •• • ' •••• • ; • • •■••• • •• : • • • • • ••• • too ;•• *sots; • • • • • • • • • • • • • • • •41 .* • 6••• • • • ••• • • •••• • : ; Project Name: JA L(TE— 286 NE 99TH ST Location: MIAMI SHORES By: IMARA ENGINEERING Start Date: 11/13/2008 Comments: ..\My DocumentsUACK E JAMES JAYLYTE- 286NE99TH.wis • • •••• • • • • •• • • • 0 • • • • •0 00 • • • • • 006 • • •0•• • •••• 0000 •• • • • • • • •• •• • •• • • • • • 0.600 • • • • • • • • •••• • 0 • • •0•• • • • • • 00 • • •• • • • • • cal information Wind Dir. Exposure 1 0 2 G 3 G 4 C Basic Wind Speed: 146 mph Topography: None This project uses load combinations from ASCE 7. Wind Loads on Structures 2005 -- [1.61 Copyright © 2000 SDG, Inc. Roof A &B Dumber 16, 2003 ASCE7-05 Optional Factors Common Roof Eave Height: 12 ft Parapet Height: 0 ft Roof Shape: Gabled Slope(:12) 3.5 • • •••• • •• • •• • • • • • .• • • •• •• • • • • •••• •••• • • • •••• •••• • • •••••• •• • • • • • • •• •• • •• • • . • • • • • • • • •••• • • • • •••• • • •••• • • I e 1 0$ •■•• � � n b ,33ect on Main Section Enclosure Classification: Enclosed Building Category: ll Wall Length(ft) Overhang(ft) 1 8.0 0.0 2 15.0 0.0 3 8.0 0.0 4 15.0 0.0 Eave Height: 12 ft Parapet Height: 0 ft Parapet Enclosure: Solid Roof Shape: Flat W1 W Wind Loads on Structures 2005 [1.6] Copyright © 2000 SDG, Inc. W2 W4 W3 W4 W3 Top Front ASCE7 -05 • • • • • •• • • •• • • •••• W4 • • • • •• December 13 '.00C • • • • • • • • • • •• • W3 • • • • • • ••• W2 • • • • • • • • •• •• • • ••• • • •••• • • • • • • • •• • Right • •••• • • •••• • � • ieage2of13 • • • • • • • • • Section - LIVING Enclosure Classification: Enclosed Building Category: 11 Connected to: Maim Section Connected to wall: W2 Position on W2: 0 ft Wall Length(ft) Overhang(ft) 1 14.0 2.0 2 15.0 0.0 3 14.0 0.0 4 15.0 0.0 Eave Height: 12 ft Parapet Height: 0 ft Parapet Enclosure: Solid Roof Shape: Flat r •..• gg . Wind Loads on Structures 2005 — [1.6] Copyright © 2000 SDG, Inc. ASCE7 -05 W1 W2 W4 Top W3 W4 W1 W3 Front W3 W4 W2 Right • • • • • •• • • •••• • • •• • • •• •• • • • • • • • • • • • • • • Lerember 13, 2008 •••• •••• • • • • • •• •• • • • • • • • • • ••• • • • • • • • • • •• • • • ••• X40 3 of 3 • •• • • • A ection - DINING Connected to: LIVING Connected to wall: W2 Position on W2: 0 ft Wall Length(ft) Overhang(ft) 1 16.0 0.0 2 15.0 0.0 3 16.0 0.0 4 15.0 0.0 Eave Height: 12 ft Parapet Height: 0 ft Parapet Enclosure: Solid Roof Shape: Flat Enclosure Classification: Enclosed Building Category: II Wind Loads on Structures 2005 — [1.6] Copyright © 2000 SOG, Inc. December 1C, 2038 ASCE7 -05 • - • • • • •• • • •••••• • • •• •• • •••• • • • • • •• •• • • •• • • • •••• •• • • • • • •• • • • • • • • • • • • • • • •••• • • • • '• • �,I 4of13 Wall 1 2 3 4 Length(ft) 16.0 7.0 16.0 7.0 3 A 1 2.0 0.0 0.0 2.0 erflon - MASTER BAT Enclosure Classification: Enclosed Building Category: II Connected to: DINING Connected to wall: W1 Position on W1: 0 ft Overhang(ft) Eave Height: 12 ft Parapet Height: 0 ft Parapet Enclosure: Solid Roof Shape: Flat Wind Loads on Structures 2005 — [1.6] Copyright © 2000 SDG, Inc. ?�..cen—tber °1 2008 ASCE7.05 WI W2 W4 3 Top Front Right • • • • • • •. •• • • • • • • •• •• • • • • • • •••• •••• • • • • • • •••• •••• • • •• • • • • • • •• •• • •• • • • • • • • • • •• • • • • •••• • • • •• • • Fa& 5of13 • Section - BEDS 00 1/BATH2 Enclosure Classification: Enclosed Building Category: II Connected to: DINING Connected to wall: W2 Position on W2: 0 ft Wall 1 2 3 4 Length(ft) 15.5 15.0 15.5 15.0 Overhang(ft) 0.0 2.0 0.0 0.0 Eave Height: 12 ft Parapet Height: 0 ft Parapet Enclosure: Solid Roof Shape: Flat Wind Loads on Structures 2005 — [1.6] Copyright © 2000 SDG, Inc. ASCE7 -05 WI W2 W4 W3 Top Front Right • • • ••• • • • •• • •• • • • • • • •• •• • • December 16„2003 • • • • •••• • • • •••• •• • • • • • • •• •• • •, • • • • • • • • •••• • • • • •••• • • • • • • • • • : 'ague 6 of 13 • •••• Wall 1 2 3 4 Length(ft) 15.5 6.67 15.5 6.67 Overhang(ft) 0.0 2.0 0.0 0.0 Eave Height: 12 ft Parapet Height: 0 ft Parapet Enclosure: Solid Roof Shape: Flat Section '. AT H 2 /CLOSE . %,e -e Enclosure Classification: Enclosed Building Category: 11 Connected to: BEDROOM 1 /BAT12 Connected to wall: W1 Position on W1: 0 ft Wind Loads on Structures 2005 — [1.] Copyright @ 2000 SDG, Inc. Dec ni c7: i :1, 2(X ;6 ASCE7 -05 W2 W1 3 W4 Top Front Right .••• • • • •••• • • • •• • • • • • • • • • • •••• • • • • •• •• • • • • • •• • • •••• • • •• • • • • •• • • • • • •••• • • •••• • • • • • • • • • • • P 7of • Wall 1 2 3 4 Z60 Length(ft) 15.5 13.0 15.5 13.0 . U y >4 ect on - MASTER BED Enclosure Classification: Enclosed Building Category: 11 Connected to: BATH 2 /CLOSET Connected to wall: W1 Position on W1: 0 ft Overhang(ft) 2.0 2.0 0.0 2.0 Eave Height: 12 ft Parapet Height: 0 ft Parapet Enclosure: Solid Roof Shape: Flat Wind Loads on Structures 2005 — [1.6] Copyright © 2000 SDG, inc. ABC E7-05 W2 W1 3 W4 Top W4 W1 W3 Front W3 W4 W2 Right • • • • • • •••• • •• .• • • • • • • •••• • • • 1••l •. •• •• • • • • •••• •• • • .• • • • • • • • • • • • • • 1••• • • • • •••• • • •• • • • : 6;a§9 8 of 13 ' •••• n y y ms �,. y action } ARAG EM E 00 Enclosure Classification: Enclosed Building Category: 11 Connected to: LIVING Connected to wall: W3 Position on W3: 4.25 ft Wall 1 2 3 4 Length(ft) 21.0 11.0 21.0 11.0 Overhang(ft) 0.0 0.0 2.0 2.0 Eave Height: 12 ft Parapet Height: 0 ft Parapet Enclosure: Solid Roof Shape: Flat Wind on Structures 2005 — [1.6] Copyright © 2000 SDG, Decembcar 16, .2003 ASCE7 -05 W1 W2 W4 W3 Top W4 W1 W3 Front W3 W4 Right W2 • • • • •••• • • • •• • • • • •• •• •• • • • •••• •••• • • • • • •••• •••• • • •• • • • • • • • •• • •• •• • • • • • • • • • • •••• • • • • • •••• • •• • • • • • • : eta 9 of•13 • Section - riTCHENKIFILITY Enclosure Classification: Enclosed Building Category: II Connected to: GARAGE /BED3 Connected to wall: W2 Position on W2: -2.5 ft Wall 1 2 3 4 Length(ft) 20.25 13.5 20.25 13.5 Overhang(ft) 0.0 2.0 2.0 0.0 Eave Height: 12 ft Parapet Height: 0 ft Parapet Enclosure: Solid Roof Shape: Flat Wind Loads on Structures 2005 — [1.61 Copyright ® 2000 SQG, Inc. ASCE7-05 W1 W2 W4 W3 Top W4 W1 W3 Front Right •••• • • • • •••• • • • •• • • • • • • • • •• •• • • . • • • • •• •• Decembef 13, 2.J08 • • • • • •• •• • • • • •••• •• • • • • • •• • • • • • • • • • •••• • • • • • ••• • • • • • • • •• • : Vtte10a • ompo ite, rawi ig 8 9 10 7 4 3 L 2 11 23 Wind Loads on Structures 2005 — [1.6] Copyright © 2000 SDG, Inc. 12 13 14 21 22 16 15 17 18 20 19 •••• • • •••• Dac rnber 16, 2008 ASCE7 -05 • • • • •••• • • • • •• • • • • • • • • •• •• • • • • • • • • •••• • • •• • • • • • • •• •• • • • • • • • • • • • • • •• • • • • •••• • • • • • • • : I;S; 11 of 13 • Component, H C ads hng p Component Description I Wall /Roof Surface Label I Zone I Span(ft) Width(ft) Area(sqft) DOOR DOOR DOOR WINDOW WINDOW WINDOW WINDOW WINDOW WINDOW WINDOW WINDOW WINDOW WINDOW WINDOW WIMDOW Wall Wall Wall Wall Wall Wall Wall Wall Wall Wall Wall Wall Wall Wall Wall 2 1 3 4 4 7 8 9 10 11 20 20 19 17 7.0 7.0 7.0 2.0 2.0 4.2 4.2 4.2 4.2 4.2 2.0 4.2 3.0 3.0 3.0 3.0 5.0 3.0 3.1 3.1 3.1 3.1 3.1 3.1 3.1 3.1 3.1 2.8 2.8 2.8 21 35. 21 6.2 6.2 13.0 13.0 13.0 13.0 13.0 6.2 13.0 8.4 8.4 8.4 Wind Loads on Structures 2005 -- [1.6] Copyright 0 2000 SDG, inc. ASCE7 -05 • • • • • •• • • • • •••• p r �� .� 2O � C st • • • • • • • • • • • • •• • • • • • • • • •••• • •••• •.•• .. • • • • • • •• • • • Ps¢12®f13 • • • • • • • • • • • • • • • omponents and Cladding Output Component Description WINDOW WINDOW WINDOW WINDOW . WINDOW i y r a t, ffi Surface Zone z(ft) q(psf) GCp I GCpi `Hind Loads on Structures 2005 - [1.8] Copyright 0 2000 SDG, Inc. ExtPres(psf) A.Je{.rerribar i , mil Loorf A3 CEE7 -05 Net wl +GCpi (psf) DOOR 2 4 15.5 39.6 0.94 0.18 37.2 30.1 44.4 15.5 39.6 -1.04 - 41.2 -48.3 -34.1 5 15.5 39.6 0.94 37.2 30.1 44.4 15.5 39.6 -1.29 -51.1 -58.2 -44.0 DOOR 1 4 15.5 39.6 0.90 0.18 35.6 28.5 42.8 15.5 39.6 -1.00 -39.6 -46.7 -32.5 5 15.5 39.6 0.90 35.6 28.5 42.8 15.5 39.6 -1.21 -47.9 -55,0 -40.8 DOOR 16 4 15.5 39.6 0.94 0.18 37.2 30.1 44.4 15.5 39.6 -1.04 - 41.2 -48.3 -34.1 5 15.5 39.6 0.94 37.2 30.1 44.4 15.5 39.6 -1.29 -51.1 - 58.2 -44.0 3 4 15.5 39.6 1.00 0.18 39.6 32.5 46.7 15.5 39.6 -1.10 -43.6 -50.7 -36.4 5 15.5 39.6 1.00 39.6 32.5 46.7 15.5 39.6 -1.40 -55.4 - 62.6 -48.3 4 4 15.5 39.6 1.00 0.18 39.6 32.5 46.7 15.5 39.6 -1.10 -43.6 -50.7 -36.4 5 15.5 39.6 1.00 39.6 32.5 46.7 15.5 39.6 -1.40 -55.4 - 62.6 -48.3 4 4 15.5 39.6 0.98 0.18 38.8 31.7 45.9 15.5 39.6 -1.08 - 42.8 -49.9 -35.6 5 15.5 39.6 0.98 38.8 31.7 45.9 15.5 39.6 -1.36 -53.9 - 61.0 -46.7 Net w/ -GCpi (psf) 7 4 15.5 39.6 0.98 0.18 38.8 31.7 4sio • ` • • 15.5 39.6 -1.08 - 42.8 -49.9 .• • X5.6: ` • 5 15.5 39.6 0.98 38.8 31.7 • •• 45.9. • • 15.5 39.6 -1.36 -53.9 -61.0 • •••• � ; ie.''' • • •••• •••• �6 • • 8 4 15.5 39.6 0.98 0.18 38.8 31.7 • • .J• • ` • • • • • • • • •••• • • • • •••• • • ' • • • : Pagg 13 of 13 • 4. ,omponents l d 9 Wind Loads on Structures 2005 - [1.6] Copyright c 2000 SDG, Inc. Qu G cerobor 15, 2C J ASCE7 -05 WINDOW [8 Component Description Surface Zone z(ft) WINDOW 8 4 15.5 WINDOW WINDOW WINDOW WINDOW WINDOW WINDOW WIMDOW 4 115.5 31.7 145.9 q(psf) GCp GCpi ExtPres(psf} Net vv! +GCpi (psf) Net wi -GCpi (psf) 39.6 -1.08 0.18 - 42.8 -49.9 -35.6 39.6 0.98 0.18 38.8 5 15.5 39.6 0.98 38.8 31.7 45.9 15.5 39.6 -1.36 -53.9 -61.0 -46.7 9 4 15.5 39.6 0.98 0.18 38.8 31.7 45.9 15.5 39.6 -1.08 -42.8 -49.9 -35.6 5 15.5 39.6 0.98 38.8 31.7 45.9 15.5 39.6 -1.36 - 53.9 -61.0 -46.7 10 4 15.5 39.6 0.98 0.18 38.8 31.7 15.5 39.6 -1.08 - 42.8 -49.9 5 15.5 39.6 0.98 38.8 31.7 15.5 39.6 -1.36 -53.9 -61.0 20 4 15.5 39.6 0.98 0.18 38.8 31.7 15.5 39.6 -1.08 -42.8 -49.9 5 15.5 39.6 0.98 38.8 31.7 15.5 39.6 -1.36 -53.9 -61.0 20 4 15.5 39.6 1.00 0.18 39.6 32.5 15.5 39.6 -1.10 -43.6 -50.7 5 15.5 39.6 1.00 39.6 32.5 15.5 39.6 -1.40 -55.4 -62.6 17 4 15.5 39.6 1.00 0.18 39.6 32.5 • • .... 45.9 -35.6 45.9 -46.7 11 4 15.5 39.6 1.00 0.18 39.6 32.5 46.7 15.5 39.6 -1.10 -43.6 -50.7 -36.4 5 15.5 39.6 1.00 39.6 32.5 46.7 15.5 39.6 -1.40 -55.4 -62.6 -48.3 45.9 -35.6 45.9 -46.7 46.7 -36.4 46.7 -48.3 •••• 19 4 15.5 39.6 1.00 0.18 39.6 32.5 �46.�. 15.5 39.6 -1.10 -43.6 -50.7 • • • • • ;36.x? •• 5 15.5 39.6 1.00 39.6 32.5 • 46.7 15.5 39.6 -1.40 -55.4 -62.6 •••• - 48ii3• •• • •• • 46.7' e . • • • • • • 1. • • • . • •••. • • • • • • • ..• • • 14 an": • • JAYLYTE- 286 NE 99TH ST Components and Cladding Output Component Description) Surface 'Zone I z(ft) I q(psf) 1 GCp I GCpi I ExtPres(psf)I Net w/ +GCpi (psf) I Net w/ -GCpi (psf) WIMDOW 17 4 15.5 39.6 -1.10 0.18 -43.6 -50.7 -36.4 5 15.5 39.6 1.00 39.6 32.5 46.7 15.5 39.6 -1.40 -55.4 - 62.6 -48.3 Wind Loads on Structures 2005 — [1.6] Copyright © 2000 SDG, Inc. •••• • • • • •••• • • • •• • • • • • • •• •• • •••• •••• • ,, • • •••• •••• •• • • • • • •• • • •• •• ASCE7 -05 • • • • • • • • • • •• • December 16, 2008 • • •••• • • • • • • • • • • • • •••• !lag e 15,af•11 • •• • • • • • BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) Owner's Address 00 60 City.. /mac t r State Tenant/Lessee Name Email Architect /Engineer's Namq Value of Work F Type of W Submittal Fee $ Structural Review. $ S Miami Shores Building Departmei 10050 N.E.2nd Avenue, Miami Shores, Florida 3313a Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 c) Permit Fee $ City /L '(/ .' a -r Qualifier Name Pd L?- a Is Building Historically Designated YES NO Permit No. RC " Master Permit No. 7 4S_ 4 tFc 7f Phone # Zip Phone # Job Address (where the work is being done) 2 8 (c) Srt City Miami Shores Villa . e County Miami -Dade Zip FOLIO / PARCEL # CCF $ Flood Zone Contractor's Company Name 1 `-' k4\--c__ --v i Phone # (3) g B s Contractor's Address Co 2- C.i S. S 6c) /6 S.. ` / . J State Zip '3' /7 Phone # State Certificate or Registration No. C G c /S / /L Certificate of Competency No. Contact Phone `� ` .� r E -mail ; 9 - % / – 7C u r6. e - A , ' 9 Total Fee Now Due $ I u _: Square / Linear Footage Of Work: ❑New ❑ Repair /Replace ❑ Demolition ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * ** * * * * * * ** * * ** * * * * * * * * * * * * * * * * * * * * * ** C O /CC $ Notary $ Training /Education Fee $ Technology Fee $ t 1 Scanning $Y 1.11. Radon $ DPBR $ Bond $ Double Fee $ Violation date: See Reverse side –+ Signature is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has .d prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating _ion in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC /NER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all plicable 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. Owner or Agent The for o�iinng)instrumentt ` w ; was ac owledged day for �r�, j ,201V,b O' ll'�F.rk7ltification and who did take an oath efore m I 1' wh o is pers nolly known to��!m or who h s produced II�j,L �/ ' 2 tl ��i`�ification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: (Revised 07 /10 /07)(Revised 06/10/2009) Mate (if applicable) .dress APPROVED BY siIs 1' 5/j% Plans Examiner 6f,d c -f Zip State Zip Engineer Signature Contractor The foregoing instrument was acknowledged before me th is ay of LV , 20 by 41 who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: r3c;L Print: Gel �S c� �. C. t . • My c4 ;_. s nll= xp }res�: ************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ****** * * * * * * * * * * * * * * * * * * * * * ** ** * * * * ** Zoning Clerk checked