1450 NE 101 St (7)Issue Date: 10/11/2006
Owner's Name:
Permit Type: Mechanical - Residential
Work Classification: New
Job Address: 1450 101 Street NE
Additional Information
Miami Shores Village, FL
Building Department File Copy
Applicant Signature
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Expires: 01/01/2999
Contractor(s) Phone
FLOW -TECH AIR CONDITIONING C
Primary Contractor
Yes
Tons:
Classification: Residential
Additional Info:
In consideration of the issuance to me of this permit, I agree to perform the work
covered hereunder in compliance with all ordinances and regulations pertaining
thereto and in strict conformity with the plans, drawings, statements or specifications
submitted to the proper authorities of Miami Shores Village. In accepting this permit I
assume responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that
all work will be done in compliance with all applicable laws regulating construction
and zoning. Futhermore, I authorize the above -named contractor to do the work
stated.
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee - Additions /Alterations
Scanning Fee
Technology Fee
Total:
Amount
$9.60
$3.20
$5.00
$556.89
$3.00
$13.90
$591.59
Parcel #:
Block:
Section:
Permit Status: APPROVED
Permit Number: MC -10 -06 -2549
Phone:
1132050240040
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 4,900.00
Required Inspections
Rough
Rough Duct
Ventilation
Smoke Test
Hood
Smoke Det Test
Final
Invoice Number
MC -10 -06 -26389
Total:
ozA4
Amt Due
$591.59
Amt Paid
Dd2ORE
NOTICE: In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
Inspection Number: INSP -29575 Permit Number: MC -10 -06 -2549
Inspection Date: 12/04/2006
Inspector: Perez, JanPierre
Owner:
Job Address: 1450 101 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: FLOW -TECH AIR CONDITIONING CORP
Building Department Comments
Wednesday, November 29, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
CJ-
Permit Type: Mechanical - Residential
• Inspection Type: Final
t Work Classification: New
Block:
Phone Number
Parcel Number 1132050240040
Lot:
Page 2 of 2
Passed
[-NA
Inspector Comments
1 0
ti -2..' " 1i 1(2
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP -29575 Permit Number: MC -10 -06 -2549
Inspection Date: 12/04/2006
Inspector: Perez, JanPierre
Owner:
Job Address: 1450 101 Street NE
Project: <NONE>
Miami Shores Village, FL
Contractor: FLOW -TECH AIR CONDITIONING CORP
Building Department Comments
Wednesday, November 29, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
CJ-
Permit Type: Mechanical - Residential
• Inspection Type: Final
t Work Classification: New
Block:
Phone Number
Parcel Number 1132050240040
Lot:
Page 2 of 2
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING c7
PERMIT APPLICATION "
FBC 2004 BY:
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
A. 1 afct sbgl G ic v� -
Owner's Name (Fee Simple Titleholder) • 64 tuotrd , a ti g , I" Phone # q q- -- 3/ — 3F1'62 y
Owner's Address 04 et 0j its �avl�. 335,0 E. Lo+5 /a B/d.
F ; C /8'Cr0
City of orl eArd e JE State / L- Zip 353 O /
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 1 /I • /e/ 5'7"
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO k.
Contractor's Company Name plow ,..-t A-/C, Co TT Phone # r'0 p .(o 4 5 G I
Contractor's Address 70677) /A I_3 "T—�,� 1
City K.1; ue-1 i State f (_ Zip ,� 1 k-kq
Qualifier Name 1,'(a r ; o ice -re *—\ CO,Qa , CD Phone # ( a(p4 Gj /
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ c7z!>
Type of Work: ['Addition ['Alteration ['New Repair/Replace ❑ Demolition
Describe Work:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **
Miami Shores Village
DPBR $
Permit No. tk( 0
Master Permit No.
Phone #
Square / Linear Footage Of Work:
Total Fee Now Due $
1 01►31 oG ..
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ 6 1.60 CO /CC
Technology Fee $ 13• Y)
Zoning $
Submittal Fee $ Permit Fee $
Notary $ 5.()o Training/Education Fee $
Scanning $ ✓ t Radon $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $
See Reverse side –>
C)-(9
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
Owner or Agent
The foregoing instrument was acknowledged before me this
day of ,20,by
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02/08/06)
Signature
, day of
Contractor
The foregoing instrument was acknowledged before me this
My Commission Expires:
,20,by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
Plans Examiner
Engineer
Zoning
NOTICE OF .COMMENCEMENT
A RECORDED COPY MUST; BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
•
PERMIT NO. TAX FOLIO NO. I i — 30 -024 - 004-0
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: 1450 NE 101 5T
M lam I Shores, FL 33 138
2. Description, of improvement:
1; +- S ys— t-A.,,
- "i7 /5 / /U /
Interest in property:
Name and address of fee simple, titleholder:
4. Contractor's name and address: F IO w CQ -r -
--D(9.3 Sca? t -) - TEA - c- MieNNA �L. s51
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the, state of Florida designated by Own
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
8. In addition to himself, Owners .designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this.Notice of Commencement: (the expiration
different.date is specified)
grantor ftaterne ... _...
.David Andruczyk, REA
a'.. , .. . •
ortektta`
'vL.«'.iT;
123.01 -52 PAGE 4 8/02
ji0 ''.`1
HARVEY RUViN CLERK, of
/ Ml 3 a -e < 1CI 3 3 /3 -
STATE OF FLORIDA, C OU 'TY
1 1 11 11 1111
C FN 20068 1224721
OR Bk Ps 0770; (1as)
RECORDED 11/16/2006 11:05 :33
HARVEY RUVIHr CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
LAST PAGE
1_vaarlrgQl lhe_date
,�;. ., CAREN MICHELE SROKA
o '`�
•
ecor° ing unless a
Ats 0/AS B /DIY
5e 1E00
Lex (2e� -cdQcaz k_ 3 330
Dro,0 p tt 0-t l 00Z.
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Building Electrical Plumbing (1V1echanical Roofing
N4T•45144 C A,i 4 %) 1.
Owner's Name (Fee Simple Titleholder) 6444111,405441/ Phone # q&7 - 3ga1
Owner'sAddres +1'(;1 .►A 34 wK - 3SJ GA-5 . '4s e1VQ 4(goJ
City FT. 1 -44-/0640 ALE State Ft °A in4 Zip 3 33 J 1
Total Fee Now Due $
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Miami Shores Village
Building Department
>0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Tenant/Lessee Name • — Phone #
YES NO X
County Miami -Dade
Contractor's Company Name 1! oW - 1�G(A � )) ). Phone #L306)_61.(4
Contractorfs.Address t5tA) 1 7 t -r-
City p� l.� j State �(� Zip ,: t
Qualifier 145W ( tie - Q Q. let (.._4()
#(-4- ' ert3
Type of Work: ❑Addition ['Alteration ❑New
Describe Work:
Submittal Fee $ Permit Fee $
Notary $ Training/Education Fee $
Scanning $ Radon $
Code Enforcement $ Structural Plan Review. $
(Continued on opposite side)
1 450 N5 to/ s
Permit No.
Master Permit No.
Phone #
Square Footage Of Work:
,i'd
\ c-e yo-HA 0. ��' f- 4
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Zip
Repair /Replace ❑ Demolition
CCF$
Technology Fee $
Bond $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK. PI.I'\'113I\'G. 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 42500. the app licant 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 co e era must be posted cu the job site
for the first inspection , hii occurs seven (7) days after the building permit is issued 1 bsence of such posted notice, the
inspection will n+ .•e •,:pry ed and a j inspection barged.
Contractor
The foregoing instrument was acknowledged before me this,0202
day o � � , day of 60jj� �p� ,20 ,by_jario O
who i known.to me o who has produced who ' ersonally known) me or who has produced
As identification and who did take an oath.
The foregoing instrument was acknowledged before e this /4
Chc 10/14/03
NOTARY PUBLIC:
Sign: fj4/•
Print: (/1Jth7dQ.. � 1�( de
My.Cornmission Expires: T/
* * * * * * * * * * * * * * * * * * * * * * ** i *'
ncy Holder Expire DEC. 21, 009 2
gay° Rivera
Bonded Thru At Bonding G sr, Fns,
State Certificate or Registration No. ert ficate of Competency No.
*** ******** ***** *********** s** s* s****I****•* at* ** ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
APPLICATION APPROVED BY:
5,
•
("N. WANDA GRIDER
. ?or y e - (CitliffteitototelOmpet
(407) 398-0159 ' F'viiia Notary SerNce.com
Signature
NOTARY PUBLIC:
as identification and who did take an oath.
Sign:
Print:
My Commission E44G Y PUBLIGSTATE OF
FLOR
Plans Examiner
Engineer
Zon ing
,Y
ACCU
♦;ED OWNER'S S NOTARIZED SIGNATURE C.uJt ;P.3ST THIS
= .i', THE ' S GNATURE NEED N
� T r , NOT BE
r
:AL
I15 FOUNTA
CRA
TRAP
TCR
ORY
RY TRAY
ZS WEER
R
POT/3 031,1
RESI0EACE
SLOP
PLUMBING ELECTRICAL
:PAY WATER CLOSET
CLOSET
RECT WASTES
R SLFPLY TO:
UNIT
RE SrR INXLER
ATER -NE.W IFST. GENERATORS TRA. FCRVERS
ATER - REPLACE
AN VR!MIR -VEEIL SPECIAL FLRPGSE
14,111Z POOL
TER SERVICE
R COFi CTIONS
TY -SEWM
1TY -WATER
AC TAW
N:IEL0, 4' TILE/RES.
a
MAXON SEPTIC TAM( __ REINSPECT ION
ALE PIT CU. FT,
:1 8ASIN
YARGE WELL
ESTIC WELL
GRAIN
I FZET
WATER HEATER
E STAXP IPE
PIPING
{ SPRIFER SYSTEM
RAH,1
A SET (GAS)
PIPIFC
UNIT
FEE
I TE)
SWITC:i OUTLETS
II%fT CUTLETS
RECeTACLES
SERVICE TE1CCRARY
SERVICE SIZE IN OS
SERVICE REPAIR.4 M CuA:a
APPL IAACE CUTLETS
R»GE TCP
OVEN
WATER HEATER
LOTCRS 0- 1 FP
LOTCRS OVER 1- 3 FP
LOTCRS OVER 3- -5 FP
ROTORS OVER 5- 8 FP
LOTCRS OVER 8- 10 FP
LQTCRS OVER 10- 25 FP
LOTCRS OVER 25-1C0 If
MOTORS OVER
A/C W I?COW
MR CONDITIONERS
STRIP HEATER
GENERATORS TRLWFCR.V;RS
GENEERATCRS TRAMFOIIER5
SIGN TO0E MO(
FIXTLRES
ANTENNA
TELEVISION CUTLETS
1C0
FP
UNIT
ADDENDUM.. IF A MASTER PERMIT EAS 3.
PRESENT ON SUBSEQUENT APPLICATIOtvS.)
FEE I TE34 -
SPAa HEATMS
DUCT Tax
REFRIGERATION
MECHANICAL
PROCESS »a FRESS PIPING
UMERt icUFo TANKS
AUK ORCUM TANKS
U.F. FRESSLRE VESSELS
STEW BOILERS
HOT
I 'ZCf{ANIC-AL VENTILATION
TRANSFCRTING ASSEEeuIES
ELEVATORS/ESCALATORS
FIRE SrR INKIER SYSTEMS
O CL I FIG TOWERS
VIOLATION
RE IECT IC
UNIT
FEE
CENTRAL HD JIM
A/C (W 1143)
A/C (CENTRAL) T,AJ 5
WATER
10/11/2008 12:12 FAX
09 -0Q -2008 08145am From - WACHOVIA WEALTH MGMT
FLOW -TECH
AIR CONDI
LICENSED AND
AUGUST 22, 2006
JOB NA vl :
MAR VLA GAIQUr
1 450 NE 101 ST
MIAMI, FL 33158
/- T
k C S
FLOW -TECH AIR CONDITIONING PROPOSES TO REPLACE EXISTING AIR C17NDITIONTNG SPLIT
SYSTEM UNIT IN THE ADDRESS LISTED ABOVE, BASED ON THE FOLLOWING SCOPE or WORK.
INCLUDED;
1. REMOVA.I AND DISPOSAL OF EXISTING AIR CONDITIONING SPLIT SYSTEM EQUIPMENT AND RELATED Dna Ri
2. ONE TRANS 1.5 TON XL 14i 15.00 SEERAIR CONDITIONING SPLIT SYSTEM. AIR HANDLER UNIT MODEL F$
TwEOS 1 F 13PB AND CONDENSING UNrr MODELM ;moo L 61110008 WITH A 5 KW ELECTRIC HEA 1?IZ.
3. NEW DIGITAL HEAT AND COOL TOUCHSCREEN PROGRAMMABLE THERMOSTAT WITH HUMIutTY CONTROL
MODEL* TCONT803.
4, ONE NEW CONDENSATE OVERFLOW SINTOFF VALVE,
5. NEW CONCRETE SLAB,
6, ONE MIAMI -DAD1 APPROVED ALUMINUM CONDENSING LTNTT STAND.
7. BUILD A NEW RETURN BOX.
5, RECONNECT UNIT TO EXISTING REFRIGERANT LINES,
9. luicoNNECT UNIT TO EXISTING DUCTS.
10. RECONNECT UNIT TO EXISTING DRAIN LINE.
11. RECONNECT UNIT TO RWBTING ELECTRICAL.
12. ONE I'RANE CLEAN EFFECTS WHOLE HOUSE FILTRATION SYSTEM MOTIEY -M TFD21sAL.r,f{000n.
13. INSTALLATION FOR ALL OF THE ABOVE.
14. MECHANICAL PERMIT.
15, TWO YEAR. WARRANTY ON WORKMANSHIP AND MATERIALS,
16, TEN YTEAR MANUFACTURLS WARRANTY ON PARTS.
17. TEN YEAR MANUFACTURES WARRANTY ON COMPRESSOR AND COIL.
18, TRANE SEACOAST 10 YEAS1 EXTENDED WARRANTY MODELM TAYWARS3G2x.
EXCLUDED:
1. UPGRADE OR MODIFICATIONS TO EXISTING ELECTRICAL WIRING, ELEC"' RICAL
SBIZVICE PANELS AND /OR DISCONNECT BOXES.
2. NO ELECTRICAL PERMIT AND /OR ELECTRICAL WORK,
3. ROOF WORK, PATCHING AND /OR PITCH PANS.
PAYMENTS TO BE MADE AS FOLLOWS:
50% ON ACCEPTANCE OF PROPOSAL
50% WHEN JOB IS COMPLETED
Q1JR PRICE:
FPL INSTANT REBATE:
FINAL PRICE FOR THIS PROPOS
57,056.00
!itOPOSAL
OCT 1 1 2006
B Y:11041(4 ,
• • • • • • • •••
• • • • • •
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• •
• . . • • •• •
• • • ••• • •••
• • • • • • • • •
• • • • • • • • •
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• • • •• •• • • ••
• • • • • • •
a 002/005
+9547853948 T -614 P.002/005 F -108
MIAMI , FL. 33144
PH. 30S-264-5051 FAX. 305 -264 -5918
6 3120 3c/V-
•
•
•
• •
• •.
•
7023 SW 13 TERRACE
<f)/ / /ICI&
PAO ;1 1 ( initials k/I'
10/11/2006 12:12 FAX 1:1003/005
09 - 09 72009 08:45am From- WACHOVIA WEALTH MGMT
MARIT2A QAIQUI
1430 NE 101 S'f
MIAMI, FL 39138
NOTE: HOMEOWNER IS RESPONSIBLE FOR GIVING COMPLETE ACCESS ul'OR
INSTALLATION OF ALL IIVAC RELATED WORK
NOTE: THERE IS A MOM REBATE FROM TRANE MANUFACTURE THAT WILL BE SENT
DIREECTLY TO TIIE HOMEOWNER
ALL MATPRJAL315 OUARANT!!b TO BE AS SPECIYIED, ALL WORK TO BE COMPLETED IN A WOR) NfANLIKl ■4ANrNER
ACCORDING TO STANDARD I#RACTICES. ANY ALTERATIONS OR DEYtAT1DN bROM SP13C1PTCATION ABOVE T3:, TRA Cost' WILL BE
1DESCUTSD. ONLY UPON WRITTTIN OTHER AND WILL BECOME AN ExTRA CHANGE DYER AND ABOVE TIME E:, r1MATE, ALL
AGREEMENT CONTINGENT UPON STIUIKES, ACCIDENT OR DELAY BEYOND OUR CONTROL OWNER TO CAM. FIRE, TORNADO
AND OTHER NEcCESARY INSURANCE. OURw0RKBPS ARE PULLYCOvERED BY wOD.KMAN'9 COMPENSATION INSURANCE
'('FIB INTENT OF THIS CONTRACT 15 TO MAINTAIN THE AIR CONDITIONTNO !QuieMENT PP.R FACTORY RECOI'MMENDED ROurINE
MATNTmNACE. THTS AGREEMENT EXCLUDES REMEDIAL WORK FOR INI OOR AIR QUALITY MITIGATION IND]. CLP N1NC
AND SANITIZING OF THE AIR CONDITIONING SYSTEMS, DUCTS AND CONTROL On BALANCING OP OUTDOOI.; VENTILAT]ON. TH]S
CONTRACT IS NOT INTENDED TO MAINTAIN ACCEPTABLE AIR QUALITY OR MEET HEALTH DEPARTMENT R1 :6U1- A,T]ONS.
CUSTOM) 1t SHOULD UNDERSTAND THAT CHANOES IN OCCUPANCY, RFMOPELTNO, MUILDiNO MAINTENACI{ PROCEAURe5 AND
OTI I8R FACTORS COULD HAVE A SIONIPICANT EFFECT ON INDOOR AIR QUALITY.
NOTE: THIS PROPOSAL MAY B13 WITHDRAWN BY US IP NOT ACCEPTED WITHIN ,;QDAYS,
ANY LEGAL PEES, ATTORNEY'S FEES, AND/OR COURT COST TWAT FLOW -TECH AIR CONDITIONING CORp Mi. e' INCUR TO
CpLLECT PAYMENTS AS OUTLINE AsOvC, SHALL Be PAID SY THE CUsTOMSR,
AUTHORIZED STONATURE: '\
ACCEPTANCE OF PROPOSAL.: THE ABOYS PRICK SPli[Ir1cA'rION AND CONDITIONS ARE SATISFAI :TORY AND ARE
HERESY ACCEPTED. YOU ARE AUtHORTZED TO DO THE WORK AS SPECIFIED, PAYMENT WILL 8E MADE AS , )UTLINED A130Via,
Cc, vc`r9
4-Ort.c.x. ,2 4
C -c.,4 vv,a, 84 4. AA.
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+0647653848 T -614 P 003/005 F -108
• •
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• •••
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•
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DAM OP ACCEPTANC!:
•
•
ysio&
Mame sviaa9e
adg DefrIvctaieKt
10050 NE 2 Ave
Miami Shores, Fl 33138
Phone 305 - 795.2204; Fax 305-756-8972
www.miamishoresvillage.com
FAX TRANSMITTAL COVER SHEET
DATE: f3e0 1(
TO: �I VI FAX •2 04 .0q/6
FROM: VIVIAN CUBILLOS FAX (305) 756 -8972
Number of pages including cover: a 2_
Importance: normal N ; urgent ; please reply _; review _; recycle
MESSAGE: I dQSe} fC,UIk CI" 117ie
permri • - As Jo° ('� � 1-4c) Ana c� �ve alud
be,6 ciacect
VAR)cs
Regards,
VIVIAN CUBILLOS
Bldg Dept Permit Clerk
MC -10 -06 -2549
Mechanical - Residential
Project: <NONE>
Owner:
Phone:
Job Address: 1450 101 Street NE
Miami Shores Village, FL
Parcel: 1132050240040
Block: Lot:
Scheduled Insp #
Inspection History
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Type
01/01/2999 INSP -29573 Hood
01/01/2999 INSP -29569 Rough
01/01/2999 INSP -29570 Rough Duct
01/01/2999 INSP -29572 Smoke Test
01/01/2999 INSP -29571 Ventilation
01/01/2999 INSP -29574 Smoke Det Test
12/04/2006 INSP -29575 Final
Inspection Status
None
None
None
None
None
None
APPROVED
Inspector Date Completed
Default Inspector Not Complete
Default Inspector Not Complete
Default Inspector Not Complete
Default Inspector Not Complete
Default Inspector Not Complete
Default Inspector Not Complete
JanPierre Perez 12/6/2006
Thursday, December 7, 2006 Page 1 of 1
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 112-q 1 Job Address \ 4S 0 N E \ 0 \ Tax Folio
Legal Description
Owner/Lessee / Tenant I" 1 Aa I TZ4
Owner's Address 1 4S 0 N.E. 101ST
Contracting Co. LO V1- TE C H Ale, 0 0 Q P.
Q u a l i f i e r MA Rio PE R E Z-
State # CAC 0243 1 Municipal #
Signature of owner and/or
Notary as to Own- 7 d/or Con
My Commission E
ires:
dent
FEES: PERMIT // RADON
APPROVED:
Zoning
Mechanical
1.
il/
Date
Date
Signature of Contractor o
C.C.F. --- NOTARY
Building Electrical
Historically Designated: Yes No
Master Permit # 49-7
Phone (3O C) 1Sg - 5 03 1
Address 1 023 3 ThRR .-
-
Competency # Ins. Co.
Address
Architect/Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING 1 iECHANIC ROOFING PAVING FENCE SIGN
WORK DESCRIPTION f2e I l A C E C D'J CTS 41.1 D 1 J /i ) O I\ 41Q
/ -t /NDJf 2 o+vly-
Square Ft. Estimated Cost (value) 2.0 E00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Notary as to Con tor or er- Builder
My Commission Expires:
BOND
TOTAL DUE
Date
Date
Plumbing Structural Engineer
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 1 l Z9 \q Job Address 450 NE 101 °J T. Tax Folio
Legal Description
Owner/Lessee / Tenant N4 A R 1 +7A GA I GU
Owners Address 1450 NE 101 ST.
Contracting Co. FLOW - TECH A /c
Qualifier MARIO PE0.EZ — VEIASCO
state # C Aeoz437 1
Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
WORK DESCRIPTION
ONLY .
CORP.
ss#
Phone (305)264-5051
Ins. Co.
or to do the work stated.
a -41
NOTARY TOT AL DUE
Date
Dae
II -cl
l3uilding Electrical
For:
By:
WINTER DESIGN CONDITIONS
{}utsida db:
Inside db:
Design TD:
HEATING SUMMARY
Bldg. Heat Loss
Ventilation Air
Vent Air Loss
Design Het Load
INFILTRATION
Mario Perez-Velasoo
7023 S.W. 13th TERRACE
MIAMI
(305) 264-5051
47 Deg F
: 7O Deg F
23 Deg F
48922 Btuh
O CFM
O Btuh
48922 Btuh
Method Simplified
-Construction Quality Average
Fireplaces 0
HEATING COOLING
Area (sq.ft.) 2977 2977
Volume (cu.ft.) 23814 23814
Air Changes/Hour 0.7 0'4
Equivalent CFM 278 159
Make
Model
Type
HEATING EQUIPMENT SUMMARY ,
Efficiency / HSPF 0'00
Heating Input 0 Btuh
Heating Output 0 Btuh
Heating Temp Rise 0 Deg F
Actual Heating Fan 2057 CFM
Htg Air Flow Factor 0.042 CFM/Btuh
Space Thermostat
MANUAL J: 7th Ed.
RIGHT-J LOAD AND EQUIPMENT SUMMARY
File name: FIRSTUNI.BLD
First Union
1450 N.E. 101 8t'
miami shores fl
Job #:
Wthr : Miami_AP_(3)
Zone : Entire House
-Outside db: 90 Deg F •
Inside db: 75 Deg F
Design TD: 15 Deg F
Daily Range L
Rel. Hum. : 50 %
Grains Water 51 gr
•
SENSIBLE COOLING EQUIP LOAD SIZING
Structure 42993 Btuh
Ventilation 0 Btuh
Design Temp. Swing 3.0 Deg F
Use Mfg. Data n
Rate/Swing Mult. 0-95
Total Sens Equip Load 40844 Btuh
LATENT COOLING EQUIP LOAD SIZING
Internal Gains
Ventilation
Infiltration
Tot Latent Equip Load
Total Equip Load
Make
Model
Type
FL 33144
SUMMER DESIGN CONDITIONS
COOLING EQUIPMENT SUMMARy
COP/EER/SEER
Sensible Cooling
Latent Cooling
Total Cooling
Actual Cooling Fan
Clg Air Flow Factor
Load Sens Heat Ratio 83
RIGHT-J: Y2'19 SN4535
11/24/99
2990 Btuh
O Btuh
5517 Btuh
8507 Btuh
49351 Btuh
FL
O'OO
O Btuh
O Btuh
O Stub
2057 CFM
0'048 CFM/Btuh
Printout certified by ALCA to meet all requirements of Manual Form J
RIGHT -J CALCULATION PROCEDURES A,B,C,D
Job #: File name: FIRSTUNI.BLD 11/24/99
Zone: Entire House
Procedure A - Winter Infiltration HTM Calculation*
1. Winter Infiltration CFM
0.7 AC /HR x 23814 Cu.Ft. x 0.0167 = 278 CFM
2. Winter Infiltration Btuh
1.1 x 278 CFM x 23 Winter TD = 7043 Btuh
3. Winter Infiltration HTM
7043 Btuh / 498 Total Window = 14.1 HTM
& Door Area
Procedure B - Summer Infiltration HTM Calculation*
1.• Summer Infiltration CFM
0.4 AC/HR x 23814 Cu.Ft. x 0.0167 = -159 CFM
2. Summer Infiltration Btuh
1.1 x 159 CFM x 15 Summer TD = 2625 Btuh
3. Summer Infiltration HTM
2625 Btuh / 498 Total Window = 5.3 HTM
& Door Area
Procedure C - Latent Infiltration Gain
0.68 x 51 gr.diff. x 159 CFM = 5517 Btuh
Procedure D - Equipment Sizing Loads
1. Sensible Sizing Load
Sensible Ventilation Load
1.1 x 0 Vent.CFM x 15 Summer TD 0 Btuh
Sensible for Structure (Line 19) +, 42993 Btuh
Sum of Ventilation and Structure Loads = 42993 Btuh
.Rating and Temperature Swing Multiplier x 0.95 RSM
Equipment Sizing Load - Sensible + 40844 Btuh
2. Latent Sizing Load
Latent Ventilation Load
0.68 x 0 Vent.CFM x 51 gr.diff. = 0 Btuh
Internal Loads = 230 x 13 No. People + 2990 Btuh
Infiltration Load From Procedure C + 5517 Btuh
Equipment Sizing Load - Latent = 8507 Btuh
*Construction Quality is: a No. of Fireplaces is: 0
r.
MANUAL J: 7th Ed. RIGHT - V2.19 SN4535
fbrintout certified by ACCA to meet all requirements of Manual Form J
FIRSTUNI.BLD Job# Zone:Entire House 11/24/99
MANUAL J: 7th Ed. - - -- RIGHT -J: V2.19 - -- SN4535 - -- Page 1 - - --
1 Name of Room Entire House gym
2 Running Ft. Exposed Wall 269.5 Ft. 54.2 Ft.
3 Room Dimensions, Ft. 25.4 x 21.9 Ft.
4 Ceilngs,Ft ; Condit. Option 8.0 ; d 8.0 ;heat /cool
TYPE OF
EXPOSURE
5; Gross
Exposed
Walls and
Partitions
6; Windows ;a
& Glass b
Doors Htg. c
d
e
f
Windows
& Glass
Doors Clg.
9; Net ;a
Exposed ;b
Walls and ;c
Partitions ;d
'e
'f
10; Ceilings
1
;CST; HTM Area ; Btuh
NO. Htg ;Clg ;Length; Htg ; Clg
a :14A
' b'
,c,
'd'
,e,
'f'
1C
North
NE &NW
E &W
SE &SW
South
Horz
1.1.7; 7.8; 2..56;
0.0; 0.0
0.0; 0'.0
0.0; 0.0
0.0; o.o
0.0; 0..0
26
0.0
0.0
0.0
0.0
0.0
14A:11.7
0.0
0.0
0.0
0.0
' 0.0
;27.0
0.0
,85.0
'
0.0
0.0
0.0
8; Othr doors ;a;lOD;10.6;10.4
1 ;b; ; 0.0; 0.0
7.8
0.0
0.0
0.0
0.0
0.0
a :16D: 1.2:; 2.3
bi i 0.0; 0.0
iCi i O.0: 0.0
11; Floors ;a122A118.61 0.0
;b; : 0.0; 0.0
1 iCi i 0.0; 0.0
1
12; Infiltration a ;14.1; 5.3
13 ; Subt.ot Btuh Loss =6 +8 .. a+ 11+12
1.4 ; Duct. Btuh Loss
15; Total Btuh Loss = 13 +14
0
0
o
0
298;
0
89
0
0
0
0'
387 ; 10275
O ; 0
O ; 0
O ; 0
O ; 0
O ; 0
111; 1177; 1157
0
1658; 19447
O ; 0
O ; 0
O ; 0
O ; o
O , 0
8051
0
7531
0
0
0
0
12937
0
0
0
0
0
2977; 3629; 6784
O ; 0; 0
O : 0, 0
270 ; 5021 ; 0
O ; . 0 ; 0
O ; 0; 0
498; 7043; 2625
* * ;:* 1 46593: * * **
9%; 233 0 ; * * **
r A 1 48922 1
Area ; Btuh
Length; Htg ; Clg
434 ; * **:* : :: **;x
O : * * ** *.r: **
O : * * ** * **
O : * * ** * * **
O : * * ** � * * **
0
0
0
O
0
0
0
0
0
0
0
0
O : * * ** I 0
O * * * *. 1 0 :
O * * ** 1 0
O * * ** 1 0,
O **** ' 0'
O * * ** 1 0
20 ; 212 ; -- - 208
0; 0; 0
414; 4852; 3227;
O ; 0; 0
O ; 0; 0
O ; 0; 0
O , 0; 0;
O , 0, 0,
556 ; 678; 1.268
O ; 0; 0
54; .101.0: 0
O ; 0; 0
O ' 0' 0'
20; 283; 1051
7034 ; *:r• **
352' * *A4.
7385; : *: t **
Int, Gains: People @ 0 13 * * ** 0; 2 * * ** 0
Appl. @ 0 2 * * ** 0 0 **** 0
1V Subtot RSH Gain= 7 +8. .. +12 +16 * * ** * * ** 39085 * * ** * * ** 4808
18 Duct Btuh Gain 10% * * ** 3908 10% * * ** 481
19 Total RSH Gain= (17 +18) *PLF 1.00 * * ** 42993 1.00 * * ** 5289
20 CFM Air Required * * ** 2057 2057 * * ** 311 253
- -- Printout certified by ACCA to meet all requirements of Manual Form J --
FIRSTUNI.BLD Job# Zone :Entire House 11/24/99
MANUAL J: 7th Ed. - - -- RIGHT -J: V2.19 - -- SN4535 - -- Page 2 - - --
1 Name of Room ; kitchen utility
2 Running Ft. Exposed Wall ; 13.9 Ft. 9.0 Ft.
3 Room Dimensions, Ft. ; 11.8 x 13.9 Ft 9.0 x 11.8 Ft.
4 Ceilngs,Ft ; Condit. Option; 8.0 ;heat /cool 8.0 ;heat /cool
5
6
TYPE OF
EXPOSURE'
Gross ;a;14A;11.7
Exposed ;b; ; 0.0
Walls and ;c; 0.0
Partitions ;d; ; 0.0
;e; ; 0.0
f; ; 0.0
Windows ;a; 1C
& Glass ;b;
Doors Htg. ;c;
I
I I
l e I l
I f I
I I
7 Windows ; North. ;27.0
& Glass • ; NE &NW : 0.0
Doors Clg. ; E &W ;85.0
SE &SW ; 0.0
South ; 0.0
Horz ; 0.0
8; Othr doors ;a;10D;10.6;10.4
;b; ; 0.0; 0.0
9 Net. ;a;14A;11.7; 7.8
Exposed ;b; ; 0.0; 0.0
Walls and ;c; ; 0.0; 0.0
Partitions ;d; ; 0.0; 0.0
;e; ; 0.0; 0.0
;f; ; 0.0; 0.0
10; Ceilings ;a;16D; 1 2.3
bi 1 0 :.0; 0.0
;c; ; 0.0; 0.0
11 Floors
;CST; HTM ; Area ; Btuh
;NO.;Htg ;Clg ;Length; Htg ; Clg
26.6
0.0
0.0
0.0
0.0
0.0
7.8
0.0
0.0
0.0
0.0
0.0
;a;22A;18.6; 0.0
; b; ; 00.0: .0; 0.0
I c I I 0.0
12; Infi).tration a ; 14.1 ; 5.3
111
0
`0
0
0
0
O ; 0; 0
o; 0; 0
98; 1150; 765
O ; 0; o
O 1 0 0
1 I
O 1 0 0
O ; 0; 0
O ; o; 0
13; 351; * * **
o : 0: * * **
0; o: * * **
o : 0: * * **
O : o: * * **
o : o: * * **
O : * * ** 0:
o : * * ** 0
13; * * ** ; 1122
O * * ** 0
O * * ** 0
O * * ** 0
Area : Btuh
Length; Htg ; Clg
* * ** 1 * * ** 72: * * ** : * * **
* * ** 1 * * ** 0: * * ** 1 * * **
* * ** * * ** o: * * ** : * * **
* * * *.: * * ** : o: * * ** 1 * * **
* * * *': * * ** : o: * * ** 1 * * **
* * ** * * ** : o: * * ** : * * **
0
O 1 I * * **
I
O 1 I 0 I * * **
o
O 1 I 1 1 * * **
I
O 0 * * **
I I
O 1 I of * * **
I
O 1 I 0 * * **
O ; * * * * ; 0
O ; * * ** ; 0
o 1 * * ** 0
O ; * * ** 0
o : * * ** 0
o : * * ** 0
20; 212; 208
o ; 0; 0
52; 610; 406
O ; 0; 0
O ; 0; 0
O ; 0; 0
O ; o; 0
O ; o; 0
164 ; 200 ; 374 106 ; 129 ; 242
O ; O; 0 0; : 0; 0
O ; 0; 0; 0; 0; 0
14; 259; 0; 9; 168; 0
O ; 0; 0; 0; 0; 0
O ; 0; 0; 0; 0; 0
13; 1.87; 70; 20; 283; 105
13;Subtot Btuh Loss =6 +8..4.11 +12
14: Duct Btuh Loss
15; Total Btuh Loss = 13 +14
16; Int. Gains: People @ 0
Appl. @ 0
17 Subtot RSH Gain =7 +8..+12 +16
18 Duct Btuh Gain
19 Total RSH Gain= (17 +18) *PLF
20; CFM Air Required
5
Gross
Exposed
Walls and
Partitions
6; Windows 'a; 10 :26.6: **
& Glass ;b; ; 0.0; **
Doors Htg. ;c; 0.0; **
:d: 0_0' *:t
ei :.0..0: **
:f: 0.0: **
7 Windows ; North ;27.0
& Glass ; NE &NW ; 0.0
Doors Clg. ; E &W :85.0
SE &SW ; 0.0
South ; 0.0
Horz ; 0.0
8; Othr doors ;allOD;10.6;10.4
b; ; 0.0; 0.0
9;'Net ;a;14A111.7; 7.8
Exposed 'b' ; 0..0; 0.0
Walls and ;c; ; 0.0; 0
Partitions 'd' ; 0.0; 0.0
, , 0.0 0.0
f; 0.0; 0.0
10 Ceilings
1.1. Floors
a'14A;11.7; 7.8
b ; 0.0; 0.0
c ; 0.0; 0.0
d ; 0.0; 0.0
e ; 0.0; 0.0
f ; 0.0: 0.0
0
0
0
O :
0
0
0
0
0
0
0
0
a :16D: 1.2; 2.3; 196,
bi i 0.01 0 . 0 1 0
c: i 0.01 0.0, 0
2146; * * **
107; * * **
2253; * * **
O * * ** * * **
O * * ** * * **
O * * ** * * **
O * * ** * * **
O * * ** * * **
O : * * ** * * **
0
0
2330
233
2563
123
O : * * **
O : * * **
O : * * **
O : * * **
O : * * **
O : * * **
0
0
0
0
0
0
O : 0' 0
O ; 0' 0
O ; 0 0
O : 0 0
O ; 0 0
O ; 0 0
O ; 0 0
O ; 0; 0
239; 447
O ; 0
O ; 0
a;22P,;1L3.6; 0.0; 0; 0; 0
* * ** 1402; * * **
5% 70; * * **
* * ** 1472; * * **
* * ** ; 1057
62; 51
- -- Printout certified by ACCA to meet all requirements of Manual Form J --
FIRSTUNI.BLD Job# Zone:Entire House 11/24/99
MANUAL J: 7th Ed. - - ~- RIGHT -J: V2.19 - -- SN4535 - Page 3 --
1 Name of Room dining room master bedroom
2 Running Ft. Exposed Wall 0.0 Ft. 34.7 Ft.
3 Room Dimensions, Ft. 14.1 x 13.9 Ft. 19.9 -x 14.8 Ft.
4 Ceilngs,Ft ; Condit.. Option 8.0 ;heat /cool 8.0 ;heat /cool.
TYPE OF ; ;CST; HTM ; Area ; Btuh ; Area ; Btuh
EXPOSURE ; ;NO.;Htg :Clg ;Length; Htg ;.Clg ;Length; Htg ; Clg
278
0
0
0
0
0
70
0
0
0
O :
0
0
0
961
96
1870: * * **
O : * * **
O * * **
O : :t ***
O : * * **
O : * *:r*
35 ; * * *:r: i 950
O : * * ** 0
35 ; .t *;+ * ; 2992
O i ** ** i 0
O : * * ** 0
O : *:t: ** 0
O ; 0; 0
O ' 0' 0'
207; 2430 1617;
O ' 0 0'
O ; (.) 0
O ; 0 0
O ; 0 :0
O ; 0 0;
295 ; : ;s9: 67 1
O : 0; 0
O : 0: 0
35 ; (..,46: 0
12: Infiltration a ;14.1; 5.3
13
14
15
16
17
18
19
20
5
Subtot Btuh Loss= 6 +8.. +11 +12
Duct Btuh Loss
Total Btuh Loss = 13 +14
Int. Gains: People @ 0
Appl. @ 0�
Subtot RSH Gain =7 +8. +12 +16
Duct Btuh Gain
Total RSH Gain= (17 +18) *PLF.
CFM Air Required
Printout certified by ACCA to
1; Name of Room
2: Running Ft. Exposed Wall
3; Room Dimensions, Ft.
4; Ceiings,Ft.; Condit. Option
TYPE OF
EXPOSURE
Gross
Exposed
Walls and
Partitions
6; Windows
& Glass 'b'
Doors Htg. ;c
d'
e,
f'
7 Windows
& Glass
Doors Clg.
8; Othr doors
9; Net
Exposed
Walls and
Partitions
'b'
. c.
a
b
c
d
e
f
14A
North
NE &NW
E &W
SE &SW
South
Horz
0.0; 0.0
0.0; 0.0
11.7
0.0
0.0
0.0
0.0
0.0
10;26.6
0.0
0.0
0.0
0.0
0.0
a 14A; 11.7;
b' 0.0;
0 0
di i 0.0
e.
' 0 0
f: , 0 . 0 :
7.8
0.0
0.0
0.0
0.0
0.0
27.0
0.0
85.0
0.0
0.0
0.0
a; ;10.4
b: 0.0; 0.0
7.8
0.0
0.0
0.0
0.0
0.0
1 Ceilings :a :16D: 1.2: 2.3
2
0
* * **
10%;
1.00;
* * **
meet all
FIRSTUNI.BLD Job#
MANUAL_ J: 7th Ed. - - -- RIGHT -J: V2.19
family room
29.9 Ft.
29.9 x 19.8 Ft.
8.0 ;heat /cool
CST; HTM Area Btuh
NO. Htg :Clg. Length Htg Clg
239
0
0
0
0
0
163
0
0
0
0
0
163
0
0
0
0
0
20'
O ;
56;
O ;
0
o
0
o :
o ; 0; i 0
0i of 0
O ; 0; 0
o;
0
0
592; 722;
239;
12;
251;
0
0
447
45
491
11 24
requirements
657;
0
0'
0
0
0
Zone:Entire House 11/24/99
SN4535 -- -- Page _4 - -_ -
living room
21.0 Ft.
21.0 x 13.0 Ft.
8.0 ; heat /cool
4335;
0
0
4406
0
0
0
0
0
0'
0
0
0
1349;
2 * * ** 0
0 * * ** 0
* * ** * * ** 6601
10% * * ** 660
1.00 * * ** 7262
* ** 278 347
of Manual Form J
Area ; Btuh
Length Htg ; Clg
168
0
0
0
0
0
35
0
0
0
o ;
O ;'
212; 208
0; 0,
437; 1.33
O '
O '
i
0
0
0
of 0:
o; of 0
70; 996; 371
6302
315
6617
1560
0
0
0
0
0
0
0
0
0:
of
35; * * ** 945
O ; * * ** 0
O ; * * ** 0
O : * * ** 0
O : * * ** 0
O : * * ** 0
O : 0; 0
O ; 0; 0
1038
0
0
0
0
0
273; 333; 622
1
•11: Floors
1
1
1
Lb;
I c I
,,
, 0.0; 0.0
0.0' 0.0
a;22A;18.6; 0.0
b; ; 0.0; 0.0
c; ; 0.0: 0.0
12: Infiltration a ;14.1; 5.3
13
14
15
17
18
19
20
Subtot Btuh Loss= 6 +8.. +11 +12; * * **
Duct Btuh Loss 5%
Total Btuh Loss = 13 +14 * * **
16; Int. Gains: People @ 0
App 1 . @ 0
Subtot RSH Gain =7 +8..+12 +16
Duct Btuh Gain
Total RSH Gain= (17 +18) *PLF
CFM Air Required
- -- Printout certified by ACCA to meet all requirements of Manual. Form J -
FIRSTUNI.BLD Job# Zone:Entire House 1.1/24/99
--• - - -- MANUAL •J: 7th Ed. - - -- RIGHT -J: V2.19 - -- - SN4535 - -- Page 5 - - --
1; Name of 1 foyer bedroom 1
2 Running Ft. Exposed Wall : 7.0 Ft. 10.9 Ft.
3 Room Dimensions, Ft. 1 7.3 x 7.0 Ft. 13.3 x 10.9 Ft.
4 Ceilngs,Ft : Condit. Option; 8.0 ;heat /cool . 8.0 ;heat /cool
5; Gross a
Exposed b
Walls and c
Partitions d
I E3
If
I
6
TYPE OF
EXPOSURE
Windows ;a
& Glass ;b
Doors Htg. ;c
1 d
I
;e
;CST; HTM ; Area ; Btuh
NO..;Htg :Clg ;Length; Htg ; Clg
14A :11.7: 7.8
0.0; 0.0
I 0.0 0.0
0.0; 0.0
0.0: 0.0
0.0; 0.0
10;26.6: **
0.0: **
0.0: : **
0.0; **
0.01 **
I I /, I
1 f l I v 0 *1: I
O : 01
I I
O ' 0
I I
30
O '
I
0
183: 2591; 965
557; 0
O ; 0
O ; 0
9073; * * **
454; * * **
9527; * * **
0
0
7366
737
8103
388
O i - 1 01 O i O
0: 0: 0: 0
21
0
0
391
0
0
35; 495; 184
* * ** 1 3709
I
5%; 185
* * ** ; 3894
1; * * ** 0
0: * * ** 1 0
** ** 1 * * ** ; 2789
10%; * * ** 279
1.00; * * ** ; 3068
* * ** 164; 147
Area : Btuh
Length; Htg Clg
56 * * ** : * * ** 87: * *.. * : * * **
O * * ** i * * ** 0: * * **
O * * ** * * ** 0: * * ** * * **
O * * ** * * ** 0: *1:** : * * **
O * * ** 1 * * ** 0: * ** 1 * * **
O * * ** * * ** 0: * * *-r 1 * * **
O ; 0 * * ** 12; 319; * * **
O : 0 * * ** 0: 0: * * **
O : 0 * * ** 0: 0: * * **
O : 0: * * ** 0: 0: * * **
O : 0: * * ** 0: n: * * **
O : 0: * ** 0: 0 1 * * **
0
0
0
7; Windows ; North ;27.0 0: * * ** ; 0 12 ; ** *y_ ; 324
& Glass ; NE &NW : 0.0 0; * * ** ; 0 0; .,-.r.r( *. : 0
Doors Clg. ; E &W ;85.0 0; * * ** ; 0 0; * * ** : 0
SE &SW ; 0.0 0: * * ** 0 0: ** * : 0
South ; 0.0 0: * * ** 1 0 01 * * *w : 0
I Horz r Z I 0 0 0 1 * * ** 1 0 r 1 I :y::{::: :+: . I 0
i : I I `^' I I
8; Othr doors ;a;10D;10.6;10.4 20; 212; 206 0; 0; 0
bi i 0.0: 0.0: 0: 0: 0 0: 0: 0
9 Net a114A;11.71 7.8; 36 422; 281 75 882; 587
Exposed b; ; 0..0: 0.0; 0 0: 0 0 0; 0
Walls and c; : 0.0: 0.0; 0 0, 0 0 0; 0
Partitions d; ; 0.0; 0.0; 0 0; 0 0 0; 0
13
14
.15
6
0
Ceilings ;a
1 b
I
I
11: Floors ;a
1 b
, �J
1 c
12: Infiltration a ;14.1; 5.3
Subtot Btuh Loss= 6 +8.. +11 +12
Duct Btuh Loss
Total Btuh Loss = 13 +14
TYPE OF
EXPOSURE,
5; Gross ;a :14A 11.7
Exposed ;b: 0.0
Walls and ;c; 0.0
Partitions ;d; 0.0
e; 0.0
f; 0.0
Windows
& Glass
Doors Htg.
1 e I
I I
, f I
I I
7; Windows : North ;27.0
& Glass • ; NE &NW ; 0.0
Doors Clg. E &W ;85.0
SE &SW 0.0
South 0.0
Horz 0.0
8 Othr doors ;a;10D;10.6;10.4
16D
0.0; 0.
0.0; 0.0;
1.2
0.0
0.0
22A :18.6
0.0
0.0
2.3
0.0
0.0
0.0
0.0
0.0
7.8
0.0
0.0
0.0
0.0
0.0
26.6: **
0.0; **
0.0; **
0.0: **
0.0; **
0.0; **
51
0
0
7
0
0
206
0
0
0
0
0
0
b; ; 0.0: 0.0; 0
01 01
I I
0 0
1
62: 116
O : 0
O ; 0
130
0
0
20: 283: 105
1109; * * **
55; * * **
1165; * * **
;CST; HTM ; Area ; Btuh
NO. Htg ;Clg ;Length; Htg ; Clg
35; 935; * * **
O 1 1 1 0 * * **
I
O 1 0 1 * * **
I 1
O 1 0 * * **
O 1 01 * * **
1 I
O 1 0 * * **
I I
18 ; *:s, ** 475
18; * * ** ; 1496
O : * * ** 1 0
O : * * ** 1 0
O : * * ** 1 0
O 1 0
1
O 1 0
.
O 1 0
I I
O ; 0:
,
0
0
0
145
0
0
177
0
0
O ; 0
O 1 0
11; 203; 0
0; 0; 0
0; 0; 0
12: 170; 63
1750; * * **
88; * * **
1838; * * **
16: Int. Gains: People @ 0 0 * * **
O 1; * * ** 0
Appl. @ 0 0 * * ** ; 0 o: * * ** 0
17; Subtot RSH Gain= 7 +8.. +12 +16 * * ** * * ** ; 711 * * ** 1 * * **
1304
18: Duct Btuh Gain 10% * * ** ; 71 10 %; * * ** 130
19: Total RSH Gain =(17 +18) *PLF 1.00 * * ** : 782 1.00; * * ** 1435
20; CFM Air Required * * ** 49; 37 * * ** : 77 69
- Printout certified by ACCA to meet all requirements of Manual Form J --
FIRSTUNI.BLD Job# Zone:Entire House 11/24/99
- - - -- MANUAL J: 7th Ed. - - -- RIGHT -J: V2.19 - - -• SN4535 - -- Page 6 -- - - --
1; Name of Room bedroom 2 , bedroom 3
2: Running Ft. Exposed Wall ; 25.8 Ft. 28.8 Ft.
3; Room Dimensions, Ft. ; 14.0 x 11.8 Ft. , 15.1 x 13.7 Ft.
4; Ceilngs,Ft ; Condit. Option 8.0 ;heat /cool 8.0 ;heat /cool
Area ; Btuh
Length; Htg Clg
230; * * ** 1 * * **
O : * * ** * * **
O : * * ** 1 * * **
0� * * ** 1 * * **
O : * * ** * * **
53; 1403
O ; 0
O ; 0
O ; 0
O ; 0
O ; 0
330
0
0
35; * * ** ; 950
O : * * ** : 0
18; * * ** ; 1496
O : * * ** 1 0
O : * * *I. 0
O ; * * ** ; 0
O ; 0; 0
O ; 0; 0
S_
9
10
11
13
14
15
6
Net ;;a
Exposed lb
Walls and ;c
Partitions ;d
:e
I f
Ceilings ;a
b
1 c
Floors
5 ; Gross
Exposed
Walls and
Partitions
7 ; Windows
Glass
Doors Clg.
14A
16D
11.7
0.0
0.0
0.0
0.0
0.0
7.8
0.0
0.0
0.0
0.0
0.0
1.2; 2.3
0.0; 0.0
0.0; 0.0
a :22A;18.6; 0.0
b; ; 0.0; 0.0
c; 0.0; 0.0
12: Infiltration a ;14.1: 5.3
Subtot Btuh Loss =6 +8.. +11.12
Duct Btuh Loss
Total Btuh Loss = 13+14
a
b
c
d
e
f
14A:11.7; 7.8;.
0.0; 0.0
0.0: 0.0
0.0; 0.0;
0.0; 0.0
0.0; 0.0
_ I
**
**
** .
**
**
**
Windows ;a; 1C 26.6;
& Glass ;b; ; 0.0
Doors Hta. ;c; ; 0.0
d; ; 0.0
e: , 0.0
If1 1 0.01
I � I I
North
NE &NW
E &W
SE&SW
South
Horz
;27.0
0.0
;85.0
0.0
0.0
0.0
171: 2008 1334
O ; 0 0
O 0 0
O . 0 0
O 0 0
O 0 0
165
0
0
26
0
0
16: Int. Gains: People @ 0 1
Appl. @ 0 0
17: Subtot RSH Gain =7 +8. +12 +16 * * **
18: Duct Btuh Gain 10%
19; Total RSH Gain=(17 +18) *PLF . 1.00
20: CEM Air Required * * **
- -- Printout certified by ACCA to meet
63
0
0
0
0
0
0
0
5
0
0
0
201
0
0
481; 0
O ; 0
O : 0
35; 498; 1.85
4123; * * **
206; * * **
4329; * * **
TYPE OF ; ;CST; HTM ; Area ; Btuh
EXPOSURE ; ;NO.;Htg ;Clg ;Length; Htg ; Clg
376
0
0
5 ; 133 ; 'k* * *: ; 0
O : 0: ** ** 1 0
O : 0: * *: * 0
O ; 0: * * ** 1 0
O : 0: *; +: ** : 0
O ; 0: * * *:* 1 °.;
O 1
I
O 1
I
425;
0
O 1
1
O 1
178; 2083; 1386
0; 0: 0
O 0; 0
O 0; 0
O 0; 0
O ; 0; 0
207; 252; 471
O ; 0: 0
O ; 0; 0
29: 537; 0
O ; 0; 0
O : 0; 0
53; 747; 278
* ** ; 5021; ** **
5%; 251 ; * * **
* * ** ; 5272; * * **
1; * * ** 1 0
O : * * ** 1 10
* * ** 1 * * ** ; 4582
10% ; * * ** ; 458
1.00; * * ** ; 5040
222: 241
* * **
* * ** 0
* * ** 3869
* * ** 387
* * ** 4256
182 204 * * **
all requirements of Manual Form J
FIRSTUNI.BLD Job# . Zone:Entire House 11/24/99
- -- - -- MANUAL J: 7th Ed. - - -- RIGHT -J: V2.19 -- -- SN4535 - -- Page 7 - - --
1; Name of Room 1 BATHROOM MASTER BATHROOM
2: Running Ft. Exposed Wall ; 7.9 Ft. , 8.4 Ft.
3; Room Dimensions, Ft. ; 7.8 x 7.9 Ft. ; 10.0 x 8.4 Ft.
4; Ceiings,Ft ; Condit. Option; 8.0 ;heat /cool 8.0 ;heat /cool
Area .; Btuh
Length; Htg Clg
67; * * ** * * **
O : * * ** *: * **
O ; * * ** * * **
O : * * ** * * **
O : * * ** * * **
O : *: * ** * * **
0
O 1
I
0
0
0
1
0
0
0
0
0
0
,
t
9
8; Othr doors ;a;10D;10.6;10.4
b: : 0.0; 0.0
10
11; Floors
12; Infiltration a ;14.1; 5.3
13;Subtot Btuh Loss= 6 +8.. +11 +12
14; Duct Btuh Loss
15; Total Btuh Loss = 13 +14
16
17
18
19
20
2
3
4
6
Net
Exposed
Walls and
Partitions
Ceilings
TYPE OF
EXPOSURE
Gross
Exposed
Walls and
Partitions
7 ; Windows
Glass
a
b
c
d
e
f
a
b
c
a;22A118.6; 0.0
bi i 0.0; 0.0
c; ; 0.0; 0.0
Int. Gains: People @ 0
Appl. @ 0
Subtot RSH Gain= 7 +8.. +12 +16
Duct Btuh Gain
Total RSH Gain= (17 +18) *PLF
CFM Air Required
a
b
c
d
e
f
Windows :a
&:Glass ;b
Doors Htg. ;c
Id
I
l
1
I f
14A
16D
14A
1 0
North
NE&NW
11.7
0.0
0.0
0.0
0.0
0.0
7.8
0.0
0.0
0.0
0.0
0.0
1.2: 2.3
0.0; 0.0
0.0; 0.0
41
0
0
0
0
0
62
0
0
26.6; ** ; 0
0 ** : 0
0.0: * 0
0.0; ** 1 0
0.0; ** 0;
0.0; ** 1 0
18; 187; 184
O ; O; 0
475
0
0
0
0
0
8; 147; 0
O ; 0; 0
O ; 0; 0
23; 321; 120
316
0
0
0
0
0
75; 140
O ; 0
O ; 0
1338; * * **
67; * * **
].405 ; * * **
O 0
O 0
1185 * * **
118; 10%
1303; 1.00
62; * * **
--- Printout certified by ACCA to meet all requirements of Manual Form J --
FIRSTUNI.BLD Job# - Zone:Entire House 11/24/99
----- MANUAL J: 7th Ed. - - -- RIGHT-J: V2.19 - -- SN4535 - -- Page 8 ----
Name of Room 1 W.I.C. #1
Running Ft. Exposed Wall 9.0 Ft.
Room Dimensions, Ft. 1 4.5 x 9.0 Ft.
Ceilngs,Ft Condit. Option; 8.0 ;heat /cool
;CST; HTM ; Area ; Btuh
NO.;Htg ;Clg ;Length; Htg ; Clg
11.7.; 7.8; 72; * * ** ; * * **
0.0; 0.0; 0; * * ** ; * * **
0.0; 0.0; 0; * * ** ; * * **
0.0; 0.0; 0: : * * ** 1 * * **
0.0; 0.0: 0; * * ** ; * * **
0.0; 0.0; 0; * * ** ; * * **
0
0
0
0
0
0
;27.0; 0: * * **
0 . 0 ; 0: ; *:e: **
0
0
14; 144; 141
O ; 0; 0
84
0
0
54; 629
O ; 0
O 0
O 0
O 0
O 0
8; 156; 0
O ; 0; 0
0; 0; 0
14: 192; 72
72
0
0
0
0
0
O '
I
0
0
0
0
0
102; 191
0; 0
0; 0
1224; * * **
611 * * **
1285; * * **
W.I.0 # 2
9.0 Ft.
4.5 x 9.0 Ft.
8.0 ;heat /cool
Area ; Btuh
Length; Htg ; Clg
418
0
0
0
0
0
0
0
823
82
905;
43
O : ****
0: ** **
O : * **
O : :* *x:*
O : * * **
O : * ***
O : * * ** 0
O : **** 0
9
10
Doons Clg
Net
Exposed
Walls and
Partitions
Ceilings
111 Floors
E &W ;85.0
SE &SW ; 0.0
South ; 0.0
Horz , 0.0
8 Othr doors ;a;loD;10.6;10.4
b; 0.0; 0.0
a
b
c
d
e
f
a
b
c
a
1 b
I
lc I
14A
11.7
0.0
0.0
0.0
0.0
0.0
7.8
0.0
0.0
0.0
0.0
0.0
16D1 1.2; 2.3
0.0; 0.0
0.0: 0.0
22A;18.6: 0.0
0.0; 0.0
0.0; 0.0
12; Infiltration a ;14.1; 5.3
13;Subtot. Btuh Loss= 6 +8.. +11 +12
14; Duct Btuh Loss
15; Total Btuh Loss = 13 +14
16; Int. Gains: People @ 0
Appl. @ 0
17; Subtot RSH Gain= 7 +8.. +12 +16
18; Duct Btuh Gain
19; Total RSH Gain =(17 +18) *PLF
20; CFM Air Required
-- -- Printout certified by ACCA to
0
O 1
I
0
0
0
gym
it
O ; 0;
O : 0'
72; 845; 562
O i Oi 0
O 0; 0
O 0; 0
O 0i 0
O 0; 0
40; 49; 92
O : 0' 0
0; 0' 0
9; 168; 0
I ,
O I • 0 1 0
1
O , • 0, 0
0. 0
1062 ; * *
53; * * **
1115 ; * * **
O ; *. * ** 1 0
O : * * ** 1 0
* * ** 1 * * ** 1 654
10% ; * * ** ; 65
1.00; * * *: * ; 720
* * ** 1 47; 34
meet all
0
0
0
0
requi rernents
72
0
0
0
0
0
0; * * **
O : * * **
O : * * **
O : * * **
40; 49' 92
O ; 0' 0
O ; 0' 0
9, 168' 0
O ; 0' 0
O i 0'
O , 0 ,
0
0
O ; 0' 0
O i 0'
1062; * * **
53; * * **
1115 * * **
845; 562
O ;
O : 0
O ; 0
O ; 0
O ; 0
47
of Manual Form
' 0
0
0
0
0
0
654
65
720
34
J --
MANUAL J: 7th Ed. RIGHT -J: V2.19 SN4535
RIGHT -J WINDOW DATA
Job #: File name: FIRSTUNI.BLD 11/24/99
W S D W G L S S O N A S 0 0 W
N k I AL 0 T H V G N H V V H H N S
D Y R L A W R A H L G C R R G T N H
W L Z E M D G Z L O X Y T M R R.
kitchen
a n w c n n n y 1 9 0 1. 0 .1.. 0 1.0 3.0 85.0 13.2 0.0
utility
_
w' ) master bedroom
dining room
a n e a o n n n y l 90 1.0 1'0 1.0 4'0 85.0 35'2 0'0
a n s
a a o n n n y 1 90 1.0 1.0 1'0 4'0 44'0 35.2 35.2
family room
a n s a o n n n y l 90 1.0 1.0 1.0 6.8 44.0 163' 163'
living room
a n n a o n n n y l 90 l'O 1.0 1'0 4'0 27'0 35'0 0.0
foyer
bedroom I
a n n a o n. n n- y l 90 1-0 1'0 1.0 4.0 27'0 12'0 0'0
bedroom 2
a n e a o n ? n y 1 90 1.0 1'0 1.0 4.0. 85'0 17'6 0.0
a n n a o n n n y 1 90 1'0 1.0 1.0 4'0' 27'0 17'6 0.0
bedroom 3
a n e a o n n n y l 90 1.0 1.0 1'0 4'0 85'0 17.6 0.0
a n s a o n n n y l 90 1.0 1.0 1'0 4'0 44'0 35'2 35
BATHROOM
a n e a c n n n y l 90 1'0 1'0 1.0 3'0 85'0 5.0 0'0
MASTER BATHROOM
W'I'C #1
--- Printout certified by ACCA to meet all requirements of Manual Form J --
W'I'C # 2
STATE OF FLORIDA
COUNTY OF DADE.
Permit No
Disapproved
(Signed)
orr It)
} SS.
Lt '
{
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
■
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein
described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the
State of Florida. all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work.
• Date DEC. 7 , 19 87
Owner's Name and Address
MR & MRS . K L E I N F E L D 1450 NE . 101 ST No. Street 101 ST .
Registered Architect and/or Engineer
Name and address of licensed contractor AIR & HEAT U N L T D. CORP. 17 2 5 W. 39 PLACE H I A L E A H, FL
Location and legal description of lot to be built on:
Lot 1? Block Subdivision
Subdivision
Street and Number where work is to be done 1450 NE. 101 S
State work to be done and purpose of building (by floors), state exterior colors (submit samples)
INSTALLATION; RAHE 024 JAS /REAB.1005 BUS
EXISTING HOME.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation I t IV Covering
Estimated 'Ibtal cost of improvements S a, ‘e9 /
Amount of Permit S t 04
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's
Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement. and has complied with the . ovisions thereof. and will require similar
compliance from all contractors or sub-contractors employed by him in the work to be perform u der this permit; a - •ill po t or cause to be posted for inspection
on the site of the work such public notice or notices as are required by the Act. The unders'gned : _ ees to employ o +s icon j ctors. on work to be performed
under this permit. as are licensed by Miami Shores Village.
Remarks (Signed)
Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
/s7Dgo c . C04/2/7 IC
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoi : application. and that he did sign the same. and that all /acts therein by him stated are true.
Building Inspector
Date
Io
Date
L53 "7 9'33
// 3,( 0,5" o o s /P-3
CENTRAL AIR CONDITIONING
(REPLACEMENT, NO DUCTWORK)
Read. Sworn to and Subscribed
and for no other purpose.
to me well known.
3' kG
Notar BQ C � T Of - FLORIDA
My Commission Expires Ile CORpISSIQr EXP. FE9 3, 1989
BOr DMO TNRU 6Ef{ERAL IBS. IAD.
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of 525.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of $25.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty materials end +or workmanship.
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work. !
Date..._ '_ _ / .._ . _....__..._.... ,19. /
Owner's Name and Address — �G��"►' � _. No / Z2 Street // / /O 1 J'
Registered Architect and /or Engineer
Name and address of licensed contractor
4 //C
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State Nork to be done and purpose of building (by floors)
ire -
New Building Remodeling Addition "
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ r' Am 0 ^ ,amount of Permit $.. - ..,
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for ins•ectio • ie site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such su• • - act'rs, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed).-
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated ar true.
Permit No.. / 3 3 b Date 9 ..7 Read, Sworn to and Subscribed before me.
Disapproved D
(Signed)
Bu ding Inspector
BUILDING INSPECTION DEPARTMENT
5.... .t. !l ..lS•yS1S••• -St!!l Stl �!!
, ,20s3 .- , /' /S/ _ TY
and for no other purpose.
Repairs No. of Stories
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member
•
to me well known,
Member _ - - -- -- --
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection at faulty
matciials and /or workmanship.
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