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Bath Add. ApplicationPERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Date - 3 - 31 - a 7 Job Address ' 1421 f.1 E_ lo/ Legal Description l Z €5ccC1 Master Permit # Mortgagor / Lessee / Tenant Owner's Address I. 4- 2( Contracting Co. Qualifier C _ A� State# GC kfl � 2 (6 Competency # Ins. Co. Architect /Engineer 3G4� , 1 /AtJT S Bonding Company Permit Type (circle one) BUILDI� ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN FAT P-1901A /WDI`itiooJ 4,PLA c,P4tfol Square Ft. / Estimated Cost // WORK DESCRIPTION WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work . will be performed to meet the standards of all laws regulating construction in this jurisdiction. I underst: d that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and ME ICAL work. OWNER'S AFFIDAVIT: I certify that all the forego will be done in compliance with all applicab Furthermore, I authorize the above -named contract Signature 9f and/ Da - e: .F 92 Notary as to Owner My Commission Expires: * . * * * PERMIT FEE: APPROVED: (n( cr MAT' { -- A rvi r o t4A / I (\L c_ Ad . A1A' N I E S SS# Mechanical Condo President 40 fi d /or Condo President Plumbing dress Address Address Address Sign Da Tax Folio [f -32DC,7 - Q2 & - O24O Phone (64o cJ 4f Other r7 /-z Xrie 4 0 (A> 47._ Phone information is accur -te and that all work laws regulating construction and zoning. o do the w/ ( state; 44 i, t ra , / AMP tor or Owner - Builder Notary as to Cont actor or Owner- Builder fL+o&€z� peg S"�a4eof r{da My Commission Expires: '" a�vmic z, csfZ^ 7 * * • * 6Vo8 ���� Public. safe of Florida AM1f my Zoning Building t6 )q Electrical Engineering ITEM BATH TUB UNIT R FEE ITEM SWITCH OUTLETS UNIT -g FEE ITEM SPACE HEATERS UNIT FEE BIDET 1 LIGHT OUTLETS - 7 CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) / DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK / FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY Z OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER 1 U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER 1 MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET / MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT / STRIP HEATER / FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMAERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4" TILE/RES. VIOLATION PUMP 8 ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL • TABLE-10A MINIMUM REQUIREMENT OR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CH WINDOWS 904.1 Minimum of 0.34 CFM per linear toot of operable sash crack (includes sliding glass doors). EXTERIOR & ADJACENT DOORS 904.1 ' ' Maximum of 0.5 CFM per sq. ft. of door area: solid core, wood panel, insulated or glass doors only. eursoer. EXTERIOR JOINTS & CRACKS 904.1 To be caulked. gasketed, weatherstripped or otherwise sealed. SOLE & TOP PLATES 903.2 Sole plates and penetrations through top plates of exterior walls must be sealed. 1.001 INFILTRATION BARRIER 903.2 Infiltration barrier must be installed in exterior walls & raised wood floors. 4� INTERIOR JOINTS /CRACKS 903.2 All openings in interior surfaces of ceilings and exterior walls must be sealed. FIREPLACES • 903.2 Fireplaces must have flue dampers, glass doors and outside combustion air intakes. EXHAUST FANS _ 903.2 Exhaust fans vented to unconditioned space shall have dampers, except for combustion . devices with integral exhaust ductwork. WATER HEATERS 904.2 Comply with efficiency requirements in Table 9 -7A. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be orovided. External or built -in heat trap required. SWIMMING POOLS & SPAS 904.3 " Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a - pump timer. Gas spa & pool heaters must have minimum Thermal efficiency of 78%. _ /) I� HOT WATER PIPES 904.4 Insulation is required only for recirculating systems, including heat recovery units. In such cases, piping heat Toss shall be limited to a maximum 0117.5 BTUH per linear loot of pipe. SHOWER HEADS 904.5 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. HVAC DUCT CONSTRUCTION, INSULATION & INSTALLATION 904.6 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditioned space and air handlers located in attics must be insulated to a minimum R -4.2 (R -6 atter 1/1/92). t/ HVAC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. �f RENOVATIONS ONLY GLASS 1003.0 Meets the requirements of sec. 1003.0. See step 3 of page 2 of this form. A/ FORM 1000 -C -91 SMALL ADDITIONS AND RENOVATIONS FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 10 — Residential Prescriptive Compliance Method Department of Community Affairs Climate Zones SOUTH 7 8 9 COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAY BE DEMONSTRATED BY USE Of FORM1000C -s1FOR ADDITIONS OF 600 SQUARE FEET OR LESS, AND RENOVATIONS TO SINGLE'AND MULTIFAMILY RESIDENCES. ALTERNATIVE METHODS ARE PROVIDED FOR ADDITIONS BY USE OF FORM 1000A -91 or 900A -91 ,I.14 r ADO/ / 04/5 / CLIMATE - ZONE: PROJECT NAME AND ADDRESS: OWNER: RENOVATION ADDITION MULTIFAMILY ATTACHED ❑ SINGLE- FAMILY DETACHED ❑ FOR ADDITIONS ONLY: PERCENTAGE OF GLASS TO FLOOR: DUCTS IN • UNCONDITIONED SPACE: R = IN CONDIT SPACE: l R .rte.. 'I hereby Lenity that Florida Energy Code PREPARED BY: i hereby candy that t , ,OWNER AGENT: A4 . IF MULTIFAMILY, NUMBER OF UNITS COVERED BY THIS SUBMITTAL: WOOD FRAME EXTERIOR: R = ADJACENT R•= COMMON: R= COOLING SYSTEM CE NTRAL ❑ NONE ❑ ROOM ❑ PTAC ❑ NO NEW SYSTEM WALL TYPE AND INSULATION ADJACENT: R= COMMON: R= BUILDER: CONDITIONED FLOOR AREA PREDOMINANT EAVE OVERHANG LENGTH PORCH OVERHANG LENGTH MASONRY EXTER D HEATING SYSTEM PERMITTING OW3 OFFICE: " DhLECTRIC STRIP ❑ HEAT PUMP ❑ NATURAL GAS ❑ ROOM /PTHP ❑ OTHER FUELS ❑ NONE ❑ NO NEW SYSTEM PERMIT �J NO.: I11 1 11 4 € F 1 1 F O FT CEILING TYPE AND INSULATION UNDER ATTIC: R. SINGLE ASSEMBLY: Fl COMMON: R = SINGLE - PANE DOUBLE - PANE CLEAR 9 JC]"ELECTRIC ❑ NATURAL GAS ❑ OTHER FUELS ❑ NO NEW SYSTEM EF = SEER /EER = ns and specification FI T im :J\\ t•■. COPIHSPF FUE = ed by the calculall • are in compliance wan the DATE: nergy Code. DATE: BUILDING OFFICIAL: DATE: JURISDICTION NO.: NUMBER OF BEDROOMS = NEW GLASS AREA AND TYPE SO FT SO FT SLAB ON- GRADE: R 9D 3IzI TINT,FILM.SOLAR SCREEN SINGLE - PANE DOUBLE - PANE FLOOR TYPE AND INSULATION WOOD MASONRY ❑ RAISED: I 1 R= l N. COMMON:I 1 ❑ R = b HOT WATER SYSTEM ❑ SOLAR ❑ HEAT RECOVERY ❑ OED. HEAT PUMP SF /EF = 1111 11 SO S0. FT FT . Review o plans and specifications covered by This calculation indicates compliance with the Florida Energy Code. Belo(: consbuchon is completed. this budding will be inspected tot compliance in accords • • ,h Section 553.908. F.S. Maximum percentage glass to Iloor area allowed is selected by type, overhang length, and shading coefficient. See below. 1 Maxuiu 1 it t_ F mini GLASS TYPE, OVERHANG, AND SHADING COEFFICIENT (TINTING) REQUIRED FOR GLASS PERCENTAGE ALLOWED ! I TO 20% UP TO 30% f UP TO 40% f UP TO 50% • ' Double Single Double i Single Double j Single Double ', OH - SC OH - SC OH - SC OH - SC OH - SC 0H -SC OH - SC /1 .1 ' 0' -.90 2' -1.0 1' - .86 0' -.65 1'- .90 0' - .70 1 3' -1.0 2' -..86 1' -.65 0' -.45 2' -.90 1' - .70 0' -.50 I: -.90 3, - 2' - .65 1• -.45 0'•.35 3' 2' - .70 1' -.50 0' -.40 Shading coefficients (SC) may be obtained from the manufacturer of the glass. Typical shading coefficients are: single -paned clear i I SC = 1.0, double -paned clear SC = .90, and single -paned tint SC = .86. I i 0 1 OMPONENT MINIMUM INSULATION INSULATION INSTALLED F mini Concrete Wood Irame. 2' x 4' Wood frame. 2' x 6' Common. Wood frame' Common. Masonry' R•5 R -11 R -19 R -11 R -3 X ° SEER = 9.0 10.0 EER = 8.5 8.5 EER = SPACE HEATING Electric Resistance Heat Pump Room unit or PTHP Gas, natural or propane Fuel Oil ANY HSPF = 6.4 6.8 COP = 2.6 2.7 HSPF = 6.1 6.1 AFUE _ .70 .78 AFUE _ .76 .78 S`JN1133 Under a Single gle assembly Common Wood trance' R-30 R•19 t9 R -11 AFUE _ HOT WATER Electric Resistance Gas, natural or propane Fuel Oil EF = .88 EF = .54 EF = .54 S!looi Slab -on -grade Raised wood Raised concrete Common. Wood frame' No Minimum R•11 R•5 R - 11 i3na In unconditioned space In conditioned space 1991 1992 R -4.2 R -6 No Minimum �i R m 6 EQUIPMENT MINIMUM EFFICIENCY INSTALLED EFFICIENCY 1000 Central A/C Room unit or PTAC 1991 1992 SEER = /0 SEER = 9.0 10.0 EER = 8.5 8.5 EER = SPACE HEATING Electric Resistance Heat Pump Room unit or PTHP Gas, natural or propane Fuel Oil ANY HSPF = 6.4 6.8 COP = 2.6 2.7 HSPF = 6.1 6.1 AFUE _ .70 .78 AFUE _ .76 .78 HSPF = HSPF/ = COP AFUE = AFUE _ HOT WATER Electric Resistance Gas, natural or propane Fuel Oil EF = .88 EF = .54 EF = .54 EF = EF = EF = CLIMATE ZUNI... o 9 TABLE 100. Prescriptive Requirements for Small Additions (600 Sq.Ft. and Less) and for Renovations to Existing Buildings. °Common components are those which separate two conditioned living units in a multifamily bu 'ding. TABLE 10C. Prescriptive Requirements for Glass Areas In ADDITIONS ONLY (Renovations see 3 below) Form 1000C may be used to comply the following types of construction: SMALL ADDITIONS TO EXISTING RESIDENCES. Additions which have 600 square feet or less of conditioned area may comply with the Energy Code using this form. The requirements in Tables 10A,108 and 10C apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS. Residential'buildings undergoing renovations costing more than 30% of the assessed value of the building must comply with the Energy Code using this form. The prescriptive requirements in Tables 10A and 108 apply only to the components and equipment being renovated or replaced. GENERAL DIRECTIONS: 1. On the left side oI Table 108 in the column tilled "INSULATION INSTALLED ", indicate the R -value of the insulation being added 10 each component. On the right side of Table 108 indicate the efficiency levels 01 the equipment being installed in the column titled "EFFICIENCY INSTALLED ". All R•values and efficiencies installed must meet or exceed the minimum values prescribed in the preceding • . t,imn for that component. Components and equipment neither being added nor renovated may be left blank. 2. ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows. Total the areas of all glass windows, sliding glass doors and glass panels in doors which are more than V3 of the area of the door. Double the area of all non - vertical roof glass and add it to the previous total. When glass in existing exterior walls is being removed or enclosed by the addition, an amount equal to the total area of this glass may be subtracted from the total glass area Divide the adjusted glass area total by the conditioned floor area of the addition. Multiply by 100 to get the percent. Find the largest glass percentage under which your calculated percentage falls on Table 10C. For example, 29% glass would quality tor the "Up to 30%" column. Prescriptives are given by the type of gl: s (Single or Double pane) and the overhang (OH) paired with a shading coefficient (SC). Any pair within the selected "Up To " category is acceptable For a given glass type and overhang, the maximum shading coefficient allowed is specified. Indicate the category into which the percentage falls in the box at the top titled "Maximum % = ". In the next column titled "Installed ", indicate the calculated percentage of glass in the addition. Actual glass windows and doors previously in the exterior walls of the house and being reinstalled in the addition, do not have to comply with the overhang and shading coefficient requirements on Table 10C. All new glass in the addition must meet the requirements for one of the options in the glass percentage category you indicated. The overhang (OH) distance is measured perpendicularly from the face of the glass to a point dimity under the outermost edge of the overhang: 3. RENOVATIONS ONLY Only glass areas which are being replaced as part of the renovations need to meet the following requirements, Any glass type and shading coefficient may be used for glass areas which are under at least a two tool overhang and whose lowest edge does not extend further than 8 feel from the overhang. Glass areas being renovated that do not meet this criteria must be either single -pane tinted, double -pane clear, or double -pane tinted. 4. Complete the information requested on the top half of page 1. 5. Read "Minimum Requirements for Small Additions and Renovations ", Table 10A on page 1, and check to indicate your intention to comply with all applicable items. 6. Read, sign and date the "Owner /Agent" certification statement on page 1. 2 - VrE OF FLORIDA f.^UNTY OF DADE I HEREBY CERTIFY that this is a t original file in thi office o`er WITNESS my hand and Official Seal. Clerk C' uit Court D.C. BY oopY of fe of 'ERMIT # Tax Folio No. 11 — w2O5 ' OZ4 — 0 Z e7' Fe t. NOTICE OF COMMENCEMENT _ P� �� �� V �1 �i Jv L4c c.04l :ounty of Dade s HE UNDERSIGNED hereby gives notice that improvement will be made to certain rea1 iroperty, and in accordance with Chapter 713, Florida Statutes, the following nformation is provided in this Notice of Commencement. ,tate of Florida Description of property: (legal description of the property, and street address if available) (_o /2 p(-K 1421 t\(-E to l G'T) c s 1. ) , /rtN Room - Z lo ►J General description of improvement: R. Owner information: .p ( 1 ! v C � � a. Name and, Address: T3�e �� `� 1�� 142 2 !/�J b. Interest in property: c. Name and address of fee simple titleholder(if other than owner): Contractor: (name and address) MAT bo4-t-000 -)r7 r 1174D " " 4i 4 T_ Surety: /` a. Name and Address b. Amount of bond$ ' en e : (name and address) i - Pegs with 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) tion to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. E- xpriTation date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Sworn to and subscribed before me this 3 day of Signature of owner q/l2a.n‘ , 1992 Notary PubUC, State Of PoW7 Bondad MaynardS0 y7, a ; ek_elge-4/ 'Jotary Public ,4 7 , / (/ ..s My Commission Expires:'