287 NE 101 St (4)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 3 Job Address a g /E• /01 ST. Tax Folio
M1A/k/ S/ -FO2C- SEA. # /
Legal Description LOTS' al d- d3 / L OGK 3.5 Historically Designated: Yes No
Owner/Lessee / Tenant ED L/4W O u1S7 Master Permit # #
Owner's Address SNI&E A. A /3O V e" Phone 005) - fig - / y / 1
Ai �
Contracting Co. V c�- (, �o bkpg^/ ( Address a 8'79 w cA Avg; LCM , b
SS# Phone(3°4- RR 5g5 ?
Qualifier /J / Lc) VC(/T(/R/ -E T�-
State # c 05X750 Municipal #
Architect/Engineer & ASS oG .
Bonding Company — Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 4aor 1 /o/./ 70 MA7Ei QEDROOM /mirk ST/A/(,
ovekI - IL, Or RcoF• FRE/4614 ,DOCIQ - S 0 " 14/10 , E oLTteT5
Square Ft. /a 0 SQ. FT.
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.
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date Nola as to
My Commission Expires: My Commis
tIO
FEES: PERMIT O
RADON
APPROVED:
Zoning Building
Mechanical
Competency # Ins. Co.
Address 3 a b Su', 6a Ave Avwk,l Fc.. 3.1/ Lit/
Estimated Cost (value)
478
8 /91 .
Signature of Cpntractor or Builder e
I�S3G - ° - 6G a /� - o
2/4J0 3 7F -j7
Date
on Exprres 1 VILLAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC114103
MY COMMISSION EXP. MAR. . .
C.C.F. 7 g O NOTARY BOND 3 'L 0
g
TOTAL DUE
tV's?
Electrical
Plumbing Structural Engineer
i . , FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600C -97 Residential Limited Applications Prescriptive Method C SOUTH 7 8 9
Small Additions, Renovations & Building Systems Department of Community Affairs
Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 6000.97 for additions of 600 square feet or less, site- estalled components
of manufactured homes, and renovations to single and multifamily residences. Alternative methods are provided for additions by use of Form 6006.97 or 600A -97.
BUILDER: V - & G - CO
PERMITTING - CLIMATE
OFFICE: MIAMI "'SHORES ZONE: 7 ❑ 8 1:g39 ❑
PROJECT NAME:
AND ADDRESS:
` P1of 73E.D ftic _ost1p)1-
exiSTHQ ?f ACE- -
NE-, t STP,E£T.
OWNER: M� I r S el () MVO CAS LO
PERMIT NO.
1 1 _ 141 415 141 4
JURISDICTION NO.:
NIMORZ
SMALL ADDITIONS TO EXISTING RESIDENCES (600 Square feet or less of conditioned area). Prescriptive requirements in Tables 6C -1, 6C -2 and 6C -3 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).
Prescriptive requirements in Tables 6C -1 and 6C -2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS. Only site -
installed components and feat covered by this form. BUILDING SYSTEMS Comply when complete new system is installed. Please Print CK
1. Renovation Additio New System or Manufactured Home
2. Single family • : h ed or Multifamily attached
3. If Multifamily -No. of units covered by this submission
4. Conditioned floor area (sq. ft.)
5. Predominant eave overhang (ft.)
6. Glass area and type:
a. Clear glass
b. Tint, film or solar screen
7. Percentage of glass to floor area
8. Floor type and insulation:
a. Slab -on -grade (R- value)
b. Wood, raised (R- value)
c. Wood, common (R- value)
d. Concrete, raised (R- value)
e. Concrete, common (R- value)
9. Wall type and insulation:
a. Exterior:
1. Masonry (Insulation R- value)
2. Wood frame (Insulation R- value)
b. Adjacent:
1. Masonry (Insulation R- value)
2. Wood frame (Insulation R- value)
c. Marriage Walls of Multiple Units* (Yes/No)
10. Ceiling type and insulation:
a. Under attic (Insulation R- value)
b. Single assembly (Insulation R- value)
11. Cooling system*
(Types: central, room unit, package terminal A.C., gas, existing, none)
12. Heating system *: (Types: heat pump, elec. strip, natural gas, L.P. gas,
gas h.p., room or PTAC; existing, none)
13. Air Distribution System *:
a. Backflow damper or single package systems* (Yes/No)
b. Ducts on marriage walls adequately sealed* (Yes/No)
14. Hot water system:
(Types: elec., natural gas, other, existing, none)
* Pertains to manufactured homes with seta installed components.
1 hereby certify that the •fans an specifica •s co ere• b the calculate .n ar in
compliance the • '- Ener -. l
PREPARED 8Y: - r _ I ___ DATE 10 _
I hereby certify t g I co r�l c with the F lorida Energy
OWNER AGENT: L`. DATE:
- 1 -
1. AV0171014
2. -
3.
4. 121
5. 2 -0
Single Pane
40 sq. ft.
sq. ft.
6a.
6b.
7. 3S
Double Pane
sq. ft.
sq. ft.
8a. R= -t ISO lin. ft.
8b. R= sq. ft.
8c. R= sq. ft.
8d. R= sq. ft.
8e. R= sq. ft.
9a -1 R= / 2- 1 sq. ft.
9a -2 R= sq. ft.
9b -1 R= sq. ft.
9b -2 R= sq. ft.
9c
10a. R= ! 1 2../ sq. ft.
10b. R= sq. ft.
11. Type: 7 /Q4
SEER/EER:
12. Type: C1ST I !k
HSPF /COP /AFUE:
13a.
13b.
14. Type: X'(...Cri1JC? .
EF:
Review of plans and specifications covered by this calculation indcates compliance
with the Florida Energy Code. Before construction is completed, this buildng oil be
inspected for compliance; ` a � • . : with Section 553.908, F.S.
BUILDING OFFICIAL /J�jJJ
DATE: Z� iak
TABLE 6C -1: PRESCRIP`f1VE REQUIREMENTS FOR SMALL ADDITIONS (600 Sq. Ft. and Less), RENOVATION: TO EXISTING BUILDINGS AND SITE- INSTALLED COMPONENTS OF MANUFACTURED HOMES.
rn
J
C7
z
w
U
(n
CC
0
O
LL
1-
0
Concrete
Frame, 2' x 4'
Frame, 2" x 6"
Common, Frame
Common, Masonry
Under Attic
Single Assembly; Enclosed
Frame
Metal Pans
Single Assembly; Open
Common, Frame
Slab -on -grade
Raised Wood
Raised Concrete
Common, Frame
In unconditioned space
In conditioned space
MINIMUM
INSULATION
R -7
R -11
R -19
R -11
R -3
R -30
R -13
R -10
R -11
No Minimum
R -19
R -7
R -11
R -6
No minimum
INSULATION
INSTALLED
COMPONENT
EQUIPMENT
z
S
1- w
=a
Central NC - Split
- Single Pkg.
Room unit or PTAC
Electric Resistance
Heat pump - Split
- Single Pkg.
Room unit or PTHP
Gas, natural or propane
Fuel Oil
Electric Resistance
Gas; Natural or L.P.
Fuel Oil
MINIMUM
EFFICIENCY
SEER = 10.0
SEER 9.7
EER = 8.5'
ANY
HSPF = 6.8
HSPF = 6.6
COP = 2.7
AFUE = .78
AFUE = .78
EF = .88
EF = .54
EF = .54
INSTALLED
EFFICIENCY
SEER = 11.
SEER =
EER =
HSPF =
HSPF =
HSPF/ =
COP
AFUE =
AFUE =
EF =
EF =
EF =
-2-
• See Table 63, 6.7
• TABLE 6C -2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY lea
percentage glass to floor area allowed is selected by type, overhang length, and shading coefficient. Maximum% =
GLASS TYPE, OVERHANG, AND SHADING COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED
Climate Zones 7 8 9
Installed %_
UPTO20%
Single
OH - SC
Double
OH - SC
UPTO30%
Single
OH - SC
Double
OH -
UP TO 40%
Single
OH - SC
Double
OH - SC
UPTO50%
Single
OH - SC
Double
OH - SC
1"- 1.0
0 "- .86
0 " -.90
2 "- 1.0
T 86
0"- .65
1 " -.90
0 "- .70
3'- 1.0
2 "- .86.
1"- .65
0 "- .45
2 "- .90
1"- .70
0 "- .50
4'. 1.0
3 .86
2 "- .65
1'- .45
0 "- .35
3 "- .90
2'- .70
1"- .50
0 "- .40
SHGC or SC may be obtained from the manufacturer. Single clear SC = 1.0, double clear SC = .90, and single tint SC = .86. SHGC + .87 =SC
TABLE 6C -3
MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS
Exterior Joints & Cracks
Exterior Windows & Doors
Sole & Top Plates
Recessed Lighting
Multi -story Houses
Exhaust Fans
Combustion
Heating
Water Heaters
Swimming
Pools & Spas
Hot Water Pipes
Shower Heads
HVAC Duct
Construction,
Insulation & Installation
HVAC Controls
SECTION
606.1
606.1
606.1
606.1
606.1
606.1
606.1
612.1
REQUIREMENTS
To be caulked, gasketed, weather - stripped or otherwise sealed.
Max. 0.3 cfm/sq.ft. window area; .5 cfm/sq.ft. door area.
Sole plates and penetrations through top plates of exterior walls must be sealed.
Type IC rated with no penetrations (two alternatives allowed).
Air barrier on perimeter of floor cavity between floors.
Exhaust fans vented to unconditioned space shall have dampers. except for combustion
devices with integral exhaust ductwork.
Combustion space and water heating systems must be provided with outside combustion air,.
except for direct vent appliances.
Comply with efficiency requirements in Table 6 -12. Switch or clearly marked circuit breaker (electric)
or cutoff (gas) must be provided. External or built -in heat trap required.
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 %.
Insulation is required for hot water circulating systems (including heat recovery units).
Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG.
All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached,
sealed, insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be
insulated to aminimum of R -6. Air handlers shall not be installed in attics unless in mechanical closets.
Separate readily accessible manual or automatic thermostat for each system.
612.1
612.1
612.1
610.1
607.1
CHECK
v
v
V
N/A
/A
V
GENERAL. DIRECTIONS:
1. On Table 6C.1 indicate the R -value of the insulation being added to each component and the efficiency levels of the equipment being installed. All R-values and efficiencies installed must meet or exceed the minimum values
listed. Components and equipment neither being added nor renovated may be left blank. doors and glass door panels. Double the area of all non-
2. ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addib P an as follows. Total the areas of all glass windows. sliding glass g
vertical roof glass and add it to the previous total. When glass in existing exterior walls is being removed or endosed 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 gel the percent. Find the largest le« percentage under which your calculated percentage falls on Table 6C -2. Presaiptives
are given by the type of glass (Single or Double pane) and the overhang (OH) paired with a shading coefficient (SC). For a given glass type and overhang, the mirimum shading coelhcient allowed is specified. Actual glass
windows and doors previously in the exterior walls of the house and being reinstalled in tie addition do not have to comply with the overhang and shading coefficient requirements on Table 6C -2. M new glass in the addition
must meet the requirement for one of the options in the glass percentage category you indicated The overhang (OH) distance is measured perpendicularly from deface of the glass to a point directly under the outermost edge
of the overhang.
3. RENOVATIONS ONLY. Replacement glass needs to meet the following requirements. Any glass type and shading ccelfident may be used for glass areas which are under at least a two foot overhang and whose lowest
edge does not extend further than 8 feet from the overhang. Glass areas being renovated tbal do not meet this criteria must be either single -pane timed, double-pane dear or double -pane tinted.
4. BUILDING SYSTEMS. Comply when new system is installed for system installed.
5. Compete the information requested on the top half of page 1.
6. Read 'Minimum Requirements for Small Additions and Renovations ". Table 603, and check all applicable items.
7. Read, sign and date the "Owner /Agent certification statement on page 1.
o6 E, /(0( S�
MIAMI SHORES VILLAGE
BUILDING AND ZONING DEPARTMENT
10050 N. E. 2nd AVENUE
Ph. (305) ?95 -2204 FAX: (305) 7`_E - 3972
BUILDING PERMIT /CONTRACTORS REGISTRATION CRECILIST
Copy of STATE OF FLORIDA CERTIFICATION (DPER) sr STATE REGISTRATION
AND DADE COUNTY COMPETENCY LICENSE.
Cody of current OCCUPATIONAL LICENSE from county or municipality where
business is located.
Certificate of Insurance for LIABILITY (addressed to Miami Shores
Village).
Certificate of Insurance for WORKER'S COMP (addressed to Miami
ShoresVillage) or if exempt.
State of Florida LES Form BCM -204, Construction Industry Notice of
Election to be Exempt.
PLEASE SUBMIT EVERYTHING MOM OFF
Permit Application (signed by person performing the work, licensed
contractor and the property owner, both signatures notarized).
Two sets of plans /drawings signed and sealed by registered architect or
engineer. Occupancies by Group Classification must be on plans and
permit application. All plans must include folio number and property
address.. Amended plans, in addition to the above, must also include the
permit number.
Structural Calculations signed and sealed by architect or engineer when
applicable.
V Current survey of the property.
Certificate of Elevation signed and sealed by Surveyor.
Substantial Improvements Checklist (contractor or owner).
11 Two sets of energy calculations.
Two sets of signed & sealed Truss Plans (Engineer).
DADE County or State of Florida Products Approvals for roof materials,
sheds, windows, exterior /garage doors, aluminum carports, screen
enclosures, shutters awnings, skylights, french doors and etc.
Approvals from HRS, DADE County Impact Fee Section, Fire Department &
Health Department (when applicable). DERM
Warranty Deed or Other Proof of Ownership if necessary.
////
Structural Review fee
Flood Elevation
JOB SITE: Ca5 2g9 Ng 101 St.
TYPE OF REVIEW: Sirazti,trezi
CODE SECTION
z. 4-o 4.2. (4) ( c )
x 403 1
24-03.2
'4 ((K)(i- it(3
(r)
Cd)
� (c) C3)
PLANS EXAMINATION SHEET
PAGE LOCATION'
Q Exterior waitts r&y.zlrC
l 00b''� �1 2 .kS . gecesS
.sei l
® t77c k .c /zAd s ad sides for:
Fa-5 f ort 5 4s 1 -4 f 5 .
$h' (taw roof (5 hree4Hy 5z*, -
o r e o L tutd 44) h al" (4;i // be re tolev -e6L.
® , beaUeaL 7 "
h1oK•
i n cars"-cm-
1 tt C -l2
COQ! STS
I1icIet- j
e k .
5 ,b,»'c t- Pr-o /4rrov -
fre ✓ ckt arc/ .4 Slvrrn Pa e l •
DATE : 3/2 s' /9
BY:
wpo. (o xlo
5111 i t 3/ ",
/ ctrrrov
r „,
Dafe 1/ 4ilen Job Address i 27 AIE /0/ Sr: Tax Folio
A�1 S1+OP 5 sec. •/
Legal Description LOTS c d3 / ,QLCXK 35 Historically Designated: Yes No
Owner/Lessee / Tenant t✓ btARDO G! -457/ 0 Master Permit # (V 7' S 9 33
Owner's Address a --) NE /0/ Sr- Phone 03 o) - 75 / L/ / f
Contracting Co. 0 At • L �`� 1, i' c ynl L Address / w 2 -7 Cr 7 A
Qualifier //iq/✓ ✓ t 2 �/9- Z SS# Phone 30 S — 7 S /1 V
State # e72 - '00 / (/2P Municipal # Competency # iE 1) d Ins. Co.
Address S alo Sw. (oa Ave , AkiAAki FL 33 / C 5/
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Dirt I4 A/
Architect/Engineer r✓ C ASSOC
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
(ic evrolz -4- 7) is c - u - 0,5
Square Ft. / 3 0 Estimated Cost (value) • a
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR 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.
Signature of owner and/or Condo President Date i gna 1 e of C
Notary as to Owner and/or Condo President Date Notary : or Owner - Builder
My Commission Expires: My •mmissi ICE a ;0, oFFIcIA NOTARY OTARY SEAL
Y. ANDRES PENATE
15, COMMISSION NUMBER
R CC470688
7 i '� 4C ( Y COMMISSION EXP.
-• j ` �OF F\ JU �.Y 16
FEES: PE 3 / GO#RADON C.C.F. f (CG I NOTARY 0 BOND
r
■ r a er- Builder/ Da e
4
Electrical
TOTAL DUE
Dat
APPROVED:
Zoning Building
Mechanical Plumbing Structural Engineer
(AN APPLICATION FOR BUILDING PERMIT MUST ACCO *PANT TIiIS ADDENDUM. I: A MASTER PERMIT HAS 3_
Q3TAINED, THE OWNER'S NOTARIZED SIGNATURE ED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
ITEM
BATH RE
3ICET
01 TeX ASr:ER
OIS?OSAL
OR INK I I? FOUNTA IN
FLOCK CRA
INTERCEPTOR
LAVATORY
UUM:RY
TRAY
CLOT ES WASHER
SHOWER
SINK. POT/3 CCbP.
SI RES 10E1+CE
SINK. SLOP
TEIPCRARY WATER CLOSET
LPINAL
WATER CLOSET
II] IRECT WASTES
WATER
RELAY
A/C UNIT
FIRE .?RINKLER
HEATER-NE' INST.
HEATER- REPLACE
LAWN 5PR INKLER -WELL
Sx II4,IING POOL
WATER SERVICE
SEWER 0319iECT IONS
UT 11. ITY-SEVER
UT IL III-WATER
SEPTIC TANK
DRAINFIELO, 4' TILE/RES.
PLW & ABANDON SEPTIC TANK
SOAKAGE PIT CU. FT.
CATCH aASIN
OISCJARE WELL
004E57 IC WELL
AREA MAIN
ROOF INLET
SOLAR WATER HEATER
FIRE STAMT' IPE
POOL PIP
LAWN SPRINKLER SYSTEM
GAS RAVE
METER SET (GAS)
GAS PIPING
PLUMBING
ADDENDUM TO BUILDING PERMIT APPLICATION
UNIT
FEE
ITE3L
SWITCH CURETS
LIGfT CUTLETS
RECEPTACLES
SERVICE TEIPCRARY
ELECTRICAL MECHANICAL
SERVICE SIZE IN AMPS
SERVICE REPAIR/IEiER C{AI
GREASE TRAP 1 APPLIANCE OUTLETS
RANGE TCP
OVEN
WATER HEATER
MOTORS 0- 1 if
I,DTCRS OVER 1- 3 HP
MOTORS OVER 3- 5 FP
JOTCRS OVER 5- 8 FP
WITCRS OVER 8- 10 If
6CTCRS OVER 10- 25 FP
6DTCRS OVER 25-100 FP
MOTORS OVER 100 FP
A/C NIF00W
SLPPLY TO: 1 AIR CONDITIONERS
STRIP HEATER
GENERATORS TRANSFC116£RS
GENERATORS TRANSFORIERS
GENERATORS TRAMS
SPECIAL PU POSE
OUTLETS
03MUIVAL
SIGN 11 ES
SIGN TRANSFORIERS
SIGN T TIE CLOCK
F IXTLRES
ANTENNA
TELEVISION OUTLETS
VIOLATION
REINSPECTION
UNIT
6
FEE
ITEM
S?AcE HEATERS
C.t.'ITRAL HEATING
A/C (WINO)
A/C (CENTRAL)
DLCT WCflx
REFRIGERATION
PROCESS ANO PRESS PIPING
1.114381GRailt TANKS
ABOVE GUN) TANKS
U.F. PRESSIRE VESSELS
STEAM BOILERS
HOT WATER BOILERS
6 €CIANICAL VENTILATION
TRANSPORTING ASSEItel IES
ELEVATORS/ESCALATORS
FIRE SPRINKLER SYSTEE6
COOL ING TONERS
VIOLATION
REINS?ECTION
UNIT FEE