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487 NE 100 St (7)NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO.n--32,114201/=CIA________C ( s , 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: Am Et. oG 0nu 5.kc..2k Pe.% ILCA-4 Lem s 93 24 ct6 2. Description of improvement: taktO .V-001Y\ 3. Owner(s) name and address: S(0-t t AN Lkt 1.3(e_ n'S■ NAM'S ZVI Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: 020%.); Ji-tatio uto Nociti rwiftriti et- .aat cis 5. Surety: (Payment bond required by owner from contractor. if any) Name and address: Amount of bond $ 6. Lender's name and address: STATE . .. . DE _ _ _ _ ___......_ , . 7. Persons within the state of Florida designated by Qyyt Imnal)PitiO Ilieredocurn /A...rhaytie'sqr as provided by Section 713.13(1)(a)7., Florida Statutes, *ngmai Ili 1fl1 I 9 n ','.!i." '''.. I . „' : • . 1 f.)) Name and address: A D 20 ......:,, r : A ...) , • -- - .7-1••••• copy o the Lii3nor's o ice as provided irrivE-SS my HARVEY • V' 4sIANIMPAPIr 8. In addition to himself, Owners designates the follow • • • • I - - in Section 713.13(1)(b), Florida Statutes. Name and address: Signat Print Owner 23 0 i2 PACi t Frier Name ff4ei Notary Public Print Notary's Name My commission expires: _ Sworn to and subscribed before me this day of cr , 20 1-1 111111111111111111111111111111111111111111111 CFN 2004R0103839 OR Bk 22048 Ps 1065; (1ps) RECORDED 02/18/2004 10:34:20 HARVEY RUVIN, CLERK OF COURT MIAMI-DADE COUNTY, FLORIDA LAST PAGE (.30.5) GM" - 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different dat Prepared by 1&4'4t I ALtikA Address: 1,440-(b tow ‘C-T 4tlift Nancy Iglesias Fk- Z G2Y_ * VACeinntissimr# - DDil'7024 4.F. Expires May 13, 2006 _4 ff - lide‘Thrti Wan Jac. . Tenant/Lessee Name Permit Type (circle): BUILDING PERMIT APPLICATION FBC 2001 Owner's Address 4 14 100 ST City(\11 61-10U-e. State r—l_ Contractor's Company Name nen N)j i i kr. Contractor's Address it-1O40 lye 69C1 $ Value of Work For this Permit Miami Shores Village Building Department Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) jEff.0 AND r PrT -t ' P(z1 -._l- Phone # S- 751 - 5 O 1 Job Address (where the work is being done) `155 1 t (- l (10 .S i City Miami Shores Village County Miami -Dade Zip 33 l 3 Is Building Historically Designated YES NO x City MCAVT rl rhf A rh i State R__ Zip 32 I (n V Qualifier 11.('0-( aet �G Architect/Engineer's Name (if applicable) D k ( # 3e s 7`r Z 3 / J Architect/Engineer's Address City State Zip Zip ;3 3 1' - Phone # Square Footage Of,Work: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Master Permit No.? a 0 C73 ,b Roofing • Phone # 3os - 8-S —cm 1 Z Number of: Bays Stories Families Bedrooms Baths Type of Work: ddition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: SI, t n\ iL4 l 11CaC91'a * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee $ Permit Fee $ /. 0 z , O S O Notary $ Education/Training Fee $ e Tech $ Q6, as Scanning $ Radon $ ' , d1 Code Enforcement $ Bond $ ' 300 Struct. $ Minus Plans Check Fe Total Fee Now Due $ (Continued on opposite 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 reinspection fee will be charged. Signature NOTARY PUBLIC: Sign: Print: My Commission Expires: chc7/7 /03 APPLICATION APPROVED BY: er or `Agent The foregoing instrument was acknowledged before me this day of_ , 20 _, by who is personally known to me or who has produced The foregoing instrument was acknowledged before me this , day of , 20 , by 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. FEB 1 2004 NOTARY PUBLIC: Sign:. Print: ? . •po Nancy Iglesias ��",, , — Commission # DD11/02� � 0A i l•., Nancy I_lesias :.??7 - ;i �� 7024 "' Expires May 13, 2006 r�� scion # DD11 ::&_?, ; ?^� o�c My Commission Expires: =�::"' ' Expires Ma 13 Bonded Thru % vr•, �� . Y 2006 14 50, *q ammttL�* t** r***** * * * * * * * * * * ** * * * * *,r * * * * * * * * * Sf^ h N4 *Ag Bonded Thru (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ************* ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning CONTRACTOR Name /f n (�% v N " /AA-- License No. 6 G 0 517 'ZS Address y O N G✓ CD laL A f ; MOT - I41 fit,. 1 ) c S Telephone . 3 ( A i s. - Oyr tFax 34IS l bFJ 9 5 Qualifier Name it i owzmo 2-' 1 PROPERTY OWNER . Name �__L/ pe \� Address 4' P ? /00 n _ ' Pi l4knl Sow /=L 2039 Home Telephone J 1 '7s-9 -s Business Telephone e (3 7 _ Fax / 2 0 J137-2 &ic0 ENGINEER • Name S ~ S't- e License No. 55 20 1 Address g C,/ (,j i'l/ e c 74 laire -- I'i i/," ( sz6,t4S ( 1z 33)g Telephone 3 4s - . g 8 tf , 5 J Fax ARCHITECT New Construction ,p �( 1 j 1r k M1 CA- 'OL L( Name lYl f'� �( pz_ Enclosure License No. 1 i 01 x Address - ? e- cl Z - � m k. s (4-0(1/ . r2.- -33136 Telephone b , in 1 , 3 ( E Fax 3 0S / SS ' 7 fo lD C0 . TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior x Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other 1)720 INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: • Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: W7 /7/ /00 1 1(,(}v 1 (f Address Apt. Apt. City Folio Number 1 / 3.20(0 017 0 r�/ t/ Lot 23 2 `f M S S tone Subdivision Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Block cD PB PG /1/4-f; 2e 4.• de PERMIT CHANGE .( ✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Description of Work — l - D1 Zoning PERMIT APPLICATION Master Permit No. 'p2cr53 - 1 C5( Subsidiary Permit No. utel' .7713P State Zip /VeuJ A .17P/Ii0 Fier•L lIoy) I A i C ; 4 , Q * 1 / f S t• 1b git M1(L''t /L Linear Feet Square Feet Z 7° 9,c Units Value of Work 43 3 00 0 . Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Qt, •`1/4- e),c-pC3 Floors Bldg Value Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. 'Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property . performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or busine under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure mus conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. F MIAMI -DADE Print Name i J Sworn to and subscribed before me this // day of it) 01/077g00- gnature of Notary Public - State of Florida `'AY ' iiii �Gri „ Rita A. Toombs p R i # CC 973236 : : �� Expires Oct 5,2004 .�n� . Qo: Bonded Thrn 4;„i„o-, Mantic Bonding C°” I'll0. Personally known ' OR, Produced Ident SEAL: Type of Identification Produced: Signature of Contracto / Qualifier Print Name Sworn to and subscribed before me this / e day of zmo3 eZI Signature of Notary Public - State of Florida SEAL: Type of Identification Produced: PERMIT APPLICATION ' 0 P.* Cristina Hue * *My Commission CC896557 Expires December 19, 2003 Personally known `' OR, Produced Identification EC , Miami Shores Village Building Department MECHANICAL CRITIQUE SHEET 2 .03 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 8P 5-) Permit No. 4o j / % J Job Name Z- 3 o_3 ,_(&J ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE. Outlet, Appliance QTY. TYPE Service Repair Q1" . A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16 -20 Ton Fixture Light Parking Lot Lights Spas/Hot 'nibs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE QTY. Minimum Fee TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE QTY. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System - Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING TyrE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE: Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink _ Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION B DA Zoning , / Electrical �!!�� ' ; 2 Mechanical _ fft 1j q- c it, . Plumbin: �,111 . r Fire 7 7 Public Works ,v/100"3 Structural 44L Building Official Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi- family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade Co nu ty (C:6..) $ Inspector State Educational Fund $ State DCA (Radon) Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) REVIEWED AND PREPARED BY: . (sq.ft. = x/I000 z ¢.60) (¢.005 / sq.ft.) (¢.01 /sq.ft.) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2/19/2004 Applicant: CATHY Owner: PEEL JOB ADDRESS: 487 Contractor ORONI INC Local Phone: (305)685 - 0412 Parcel # 1132060170540 Signed: NE 100 (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2003 -1956 PEEL CATHY ST Contractor's Address: 14040 NW 6 CT Legal Description: AMD PL OF MIAMI SHORES SEC 4 Permit Status: APPROVED Permit Expiration: 6/14/2004 Construction Value: $33,000.00 Work: NEW ADDITION FAMILY ROOM Page 1 of 1 PB 15 -14 LOTS 23 & 24 Fees: FEE2004 -1743 FEE2004 -1744 FEE2004 -1746 FEE2004 -1747 FEE2004 -1748 FEE2004 -1749 FEE2004 -1750 Description Building Fee CCF Training and Education Fee Technology Fee Scanning Fee Radon Builders Bond Total Fees: Amount $1,050.00 $18.00 $6.00 $26.25 $51.00 $1.20 $300.00 $1,452.45 Total Feet1 „452.45 Total Receipts: $0.00 ia-sa , `l s C FEB 1 9 PAID 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 responisibility for all work done by either myself, my agent, servants or employes. BY: • w 1 O2i7Ci 1-; T'31 31 ,.: _ • BLK 90 / 4 PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID X X 4 " NUMBER /Y ,e107, 3 7.e f/ J '0 itk r r � .�' ��`I ,� /J�./ 1� 1940 � /O ° el 1941 00 i ' /- / 4 ' , 1942 /D O- O U 4 � /Z- 3 y T i /‘ i 1943 li - 1?1 0 ;•//" -.110 1944 / ,g Q-j // 4t C.I / ' 72J.?'L -o-1I/ 1945 / d . d'-o /- / - 43 o . 67o/ 7 6 7 L ‘1 1 4 .611t45) 1946 /A • e3/' YAP" /If/ . / y, 0 0 / /— 6-4 1 ' -,1- V7 A R- // - yr 4 1947 / oC • O 0 7 77tr // s // -• -K N 1948 i / `( • 1949 1950 ' f/ ' a5 gat / ./*" 50 (( " # / / /.p' 1 30 4 . /9S4 I/ h LOCATION 487 N. E. 100th Street GARBAGE TAX RECO /RD 487 N. E. 100th St. b .. S. G. Morrow__ /95/ /,.6 ear annual tax /2 o riod used amount id S' e date id } recei •t 81. NFIP COMMUNITY NAME & COMMUNITY NUMBER VILLAGE OF MIAMI SHORES / 120652 82. COUNTY NAME MIAMI -DADE B3. STATE FLORIDA B4. MAP AND PANEL NUMBER 0093 85. SUFFIX J B6. FIRM INDEX DATE 3-2-94 . B7. FIRM PANEL EFFECTIVE/REVISED DATE 7-17-95 68. FLOOD ZONE(S) ' X • B9.6A SE FLOOD ELEVATION(S) (Zone AO, use depth of flooring) N/A PROCESS# FEDERAL EMERGENCY MANAG,BT AGENCY FOUO# 11- 3206 -017-0540 NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE C.O.R EL — 920' Important: Read the instructions on pages 1- 7. BUILDING OWNER'S NAME JEFFREY AND CATHY PEEL BUILDING STREET ADDRESS (including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 487 N.E. 100 STREET CITY STATE ZIP CODE MIAMI SHORES Florida 33138 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 23 AND 24, BLOCK93, "AMENDED PLAT OF MIAMI SHORES SECTION NO. 4' PLAT BOOK 15 AT PAGE 14 BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATETUDE/LONGfTUDE (OPTIONAL) - ##.#/F' or ##.##+yNfr) ADDRESS 9245 S.W. 44TH STREET SIGNATURE SECTION A - PROPERTY OWNER INFORMATION HORIZONTAL DATUM: ❑ NAD1927 0 NAD1963 SECTION B - FLOOD INSURANCE RATE MAP (FIRMA) INFORMATION 1310.1m:bate the source d the Base Flood Elevation (BFE) data or base flood depth entered in ❑ FIS Profile ❑ RRM ❑ Community Determined ❑ Other (Describe) B11. IndCate the elevation datum used far the BFE in B9: X NGVD 1929 ❑ NAVD 1988 ❑ Other (Desaibe): B12. Is the bufidng Iocabd in a Coastal Bader Resources System (CBRS) aea a Otherwise Protected Area (0PA)? ❑ Yes X No Desigrefion Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Ca1s61rfiion Drawings' ❑ Bulking Under Construction* X Finished Constndon *A new Elevation Certificate will be required w catstruction of the bulling is eorrpeie. C2. Building Dial= Number 1(Select the building diagarn most similar to the bulking for which this certificate is being completed - see pages 6 and 7. ff no diagan aectrat3ey represents the bulking, provide a sketch a ph000gaph.) C3. Se,►ations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A AR/AE, AR/A1 -A10, AR/AH, AR/A0 Complete Items C3. -a-i below according to the buicing kiagarn specified in Ran C2. State the datum used. If the dahin is dtferent from the dlatim teed for the BFE in Section 8, convert the data to that used for the BFE Shaw field meastrements and datum convasion calculaion. Use the space provided a the Comments area of Section 0 or Section Gas appro b document the dakm conversion. Daum NGVD29 CdarversioNCmrnents NONE Elevation reference mak used CTY-BM Does the elevation reference mak used appear on the FIRM? ❑ Yes X No CI a) Top of bottom floor (mchxing baeanent or enclosure) 10 . 62 ft(m) ❑ b) Top of next higher floor 11 . 74 1(m) ❑ c) Bottom of lowest horizontal a ns tizal member (V zones ony) d) Garage bulking (tap of shall t7 e) Lowest elevation of machitay and/or equipment servicing the budding (Desabe in a Comments area) ❑ 1) Lowest adjacent (finished) Bade (LAG) ❑ g) Highest aci)acent (finished) Bade (HAG) O h) No. of pemenent openings (flood vents) withi 1 ft abme aciaaert Bade N!A ❑ i) To area of al permanent openings (food vents) in C3.h f sq in (sq. cm) O.M.B. No. 3067 -0077 Expires DECEMBER 31, 2005 Pe'icy Nurnper. mpany_ NAICN SOURCE: 0 GPS (Type): ❑ USGS Quad Map ❑ Other: CHARLES W. CARR DEC. 12 2003 STATE OF FLORIDA PLS NO. 1060 SECTION D - SURVEYOR, ENGINEER, OR ARCWTECT 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 in Sections A, 8, and C on this certificate represents my best efforts to Interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME CHARLES W. CARR LICENSE NUMBER PLS NO. 1060 TITLE PRESIDENT COMPANY NAME CHARLES W. CARR LAND SURVEYOR CITY MIAMI DATE DECEMBER 12m. 2003 STATE FLORIDA TELEPHONE (305) 221 -3416 ZIP CODE 33165 • 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/a Bldg. No) OR P.O. ROUTE AND BOX NO. 487 N.E. 100 STREET STATE ZIP CODE FLORIDA 33138 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Cagy both sides d this Elevation Certificate for (1) annuity official, (2) insurance agentloompa 1y. and (3) building owner. CITY MIAMI SHORES SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR DONE AO AND ZONE A (WITHOUT BFE) Fa Zone AO and Zane A (witltart BFE), complete Item El trough E4. lithe Elevation Cert*iwle is intended for use as supping information to a LOMA or LOMR -F, Section C must be completed. E1. Biiking Diagram Number _(Select the biding dtagan most similar b the building tar which this certificate is being completed — see pages 6 and 7. It no diagarn aocuratey represents the buiding, provide a sketch or photogaph.) E2. The lap of the botAm fiat (inducing basement a endosrre) of the buking is ft(m) _in.(an) ❑ above or ❑ below (chedc one) the highest adjacent gade. (Use natural Bade, if aveieble). E3. For Baking Divans 6.8 with openings (see page 7), the nett higher door or eieuated floor (elevation b) of the building is _ tt (rr) _in.(an) above the highest adjacent Bade. Carplete uteri, 03.h and C3.1 an tort d fain. E4. For Zone AO ony: It no flood depth Hunter's available, is the top d the bottom Roo elevated in accordance with the carmunity's iloodiain management ordnance? ❑ Y e s 0 No ❑ Uricno n. The kcal official mustcertify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who carplafes Sections A B, C (Imams C3.h and C3.i only), and E for Zone A (without a FEMA - issued or oa munity- issued BFE) or Zane AO moat sign here. The stamen's in Sections A B, C, and E are coned to the best d my knowiedge. PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME ADDRESS SIGNATURE COMMENTS G7. This pemit has been issued tot ❑ New Construction ❑ Substantial hrprarernent G8. Elevation d as-libil lowest door (inducing basement) d the biding is G9. BFE or (m Zone AO) depth d fbodng at the bulking site is: LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS CITY DATE TELEPHONE TITLE TELEPHONE DATE _ft(m) - - ft (m) ❑ Check here if attachments STATE ZIP CODE FLORIDA ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The kcal official who is authorized hawed by lama ordnance b adninister the carrntr» ty/s Sood management ordnance can =Vete Sedians A, B, C (a E), and G of this Elevation Certificate. Compete the applcabie u1r?m(s) and sip below.. G1. ❑ The nfama ion in Section C was taken from ct her documentation that has been signed and embossed by a ficersed surveyor, engineer, a architect who is authorized by slate or kcal law to certify elevation intimation. (Indicate the ,Dice and date of the elevation data in the Cements tea below.) 02. ❑ A carmtmiy offidal carrp!etad Section E for a buicfn j located in Zone A (without a FEMA - issued a ocmmurity -sued BFE) or Zane AO. G3. ❑ The falawing irdamation (tam G4-G9) is provided for immunity Root lain management purposes. G4. PERMIT NUMBER G5 . DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED Dahrn. Daum: ❑ Check here if attachments B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER VILLAGE OF MIAMI SHORES! 120652 62. COUNTY NAME MIAMI - DADE B3. STATE FLORDA 84. MAP AND PANEL NUMBER 0093 85. SUFFIX J B6. FIRM INDEX DATE 3-2-94 B7. FIRM PANEL EFFECTIVE/REVISED DATE 7 -17-95 88. FLOOD ZONE(S) ' X ' B9. BASE FLOOD ELEVATICN(S) (Zone AO, use depth of flooding) N/A PROCESS'S FOL[O# 111 3206 - 017.0540 NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE C.O.R EL — 9.20' Important: Read the instructions on pages 1- 7. BUILDING OWNER'S NAME JEFFREY AND CATHY PEEL LATITUDE/LONGITUDE (OPTIONAL) ( ##° - ##' - ##.## or tt#.##### O c) Bottom of bwest horizontal structural member (V zones only) ❑ d ) Ga age bulking (top of slab) ❑ e) Lowest elevation of machinery arxYor egtriprrrerrt smiting the budding (Desabe in a Cannents aria) ❑ f) Lowest adjacent (finished) grade (LAG) O g) Highest adjacent (finished) grade (HAG) ❑ h) No of permanent openings (flood vents) welt 1 ft above ailment grade NYA O ) To erg of al permanent openings (flood v e n t s ) in C3.h WA s . in (sq. cm) ADDRESS 9245 S.W. 44TH STREET SIGNATURE FEDERAL IBtItERGEP CY MANAGEMENT AGENCY SECTION A - PROPERTY OWNER INFORMATION BUILDING STREET ADDRESS (Including Apt., Unit, Sude, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 487 N.E. 100 STREET CITY STATE ZIP CODE MIAMI SHORES Florida 33138 PROPERTY DESCRIPTION (lot and Block Numbers, Tax Parcel Number, Legal Description, etc) LOTS 23 AND 24, BLOCK90, "AMENDED PLAT OF MIAMI SHORES SECTION NO. 4* PLAT BOOK 15 AT PAGE 14 BUILDING USE (e.g., Residential, Non - residential, Adcfdion, Accessory, etc. Use a Comments area, if necessary.) Residential HORIZONTAL DATUM: ❑ NA01927 ❑ NAD 19133 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B10. tncirate the source of the Base Flood Elevation (BFE) data or base flood depth entered b B9. ❑ FIS Profile ❑ RE 1 ❑ Camwrrly Determined ❑ Otter (Desatbe). 811. Incicate the elevation datum used for the BFE in B9: X NGVD 1929 ❑ NAVD 1988 ❑ Otter (Describe): B12. Is the bucking located d in a Coastal Bailer Resorces System (CBRS) aria or Otherwise Protected Area (0PA)? ❑ Yes X No Damon Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on ❑ Construction Drawings* ❑ Building Under Carstr ction' X Finished Construction *A new Elevation Catifi&ale v be required when construction of the bulling is compete. C2. Bulking Diagam Number 1(Select the budctrg (Sagan most shier to the bulling for With this call eke is beilg completed - see pages 6 and 7. If no ddagan accurately repreeents the buikirtg, provide a sketch or photogaph.) C3. Elevations -Zones A141/430, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, ARIAE, AR/A1-A30, AR/AH, AR/A0 Complete Items C3. -a-i below according to the b is ng divan specified in Item C2. State the dam used. If the datum is different Fran the dal= used for the BFE in Section B, convert the datum to that used fcr the BFE Sham field meastrements and datun conversion calculation. Use the space provided or the Corrrnents area of Section D or Sedition 0, as apprgriate, b ddrament the datum conversion. DaQm NGVD29 Corwers1oNCarmienls NONE Elevation reference marls used CTY-BM Does the elevation reference mak used app err co the FIRM? ❑ Yes X No O a) Top of bottom floor (mcluc wing basement or enclosure) 10 . 62 ft(m) O b) Top of next higher floor 11 . 24_1(m) f' A . _ft(m) s . 21 ft(m) NIA . _ft(m) 4ft(m) 9 . 7 ft(n) CITY MIAMI DATE DECEMBER 12 2003 O.M.B. No. 3067 -0077 Expires DECEMBER 31, 2005 SOURCE: ❑ GPS (Type): ❑ USGS Quad Map ❑ Other: 'oGdjt N CHARLES W. CARR DEC. 12 2003 STATE OF FLORIDA PLS NO. 1050 SECTION D - SURVEYOR, ENGINEER, OR ARCtg1ECT CERTIFICATION This certification is to be signed and seated by a land surveyor, engineer, or architect authored by law to certify elevation information. I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME CHARLES W. CARR LICENSE NUMBER PLS NO. 1060 TITLE PRESIDENT COMPANY NAME CHARLES W. CARR LAND SURVEYOR STATE FLORIDA TELEPHONE (305) 221-3416 ................. ....... . For lrs�nanoe,Corrtparr1r Comirainr. NAIC:N ZIP CODE 33165 For Insurance Compary'Use: Polo/ Number, compeny NAIGNunber IMPORTANT: In these spaces, copy the corresponding intonation (rain Sediori A BUILDING STREET ADDRESS (Inducing Apt., Unit, Sule, ands Bkig. No.) OR P.O. ROUTE AND BOX NO. 487 N.E. 100 STREET STATE Z1PCODE FLORIDA 33138 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of the Elevation Certificate for (1) carrmunilyr official. (2) insurance agent/company, and (3) buldng owner. CITY MIAMI SHORES ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (adhart BFE), canplete Item E1 trough E4. If the Betake Certificate is intended b use as waling information for a LOMA or LOMR-F, Section C must be completed El. Buidng Diagram Nutter _(Sele t the bkaldng loran most sinder b the bung for which ties certificates being carpleted – see pages 6 and 7. if no diagan accurately represents the bullring, provide a sketch or phobogaph.) E2. The by of the bottan floor (rchrdng beeernerd a endoskre) d the buildng is — ft(m) — in.(an) ❑ above or ❑ below (check one) the highest ac>ja ent grade. (Use nakzal grade, if available), E3. Fa Bulking Dkgerns 6-8 with openings (see page 7), the nett tiger floor or elevated Iba (elevation b) of the bilking is — ft(m) _in(an) above the highest adjacent grade. Complete tens ns C3.h and C3i on frond of tam. E4. For Zone AO only: If no flood depth rturber is avaiable, is the tap of the bottom fkhor elevated it accordance with the community's u>ilys foodplain management ordnance? _ ❑ Yes ❑ No ❑ Wyman The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner a owes authamed representaive who completes Sections A 8, C (Items an and 03.i any), and E for Zone A (without a FEMA -issued or carmunity- issued BFE) a Zone AO must sign here. The statement m Sections A, B, C, and E are cared to the best d my knowledge. PROPERTY OIMNER'S OR OWNER'S AUTHORIZE=D REPRESENTATIVES NAME ADDRESS SIGNATURE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official vita is a harmed by favor admire to ac sinter the cammu ?s flooc:iain management ordrharuce can complete Sections A. B, C (or E), and G dths Elevation Cate. Carplee the appkable iterm(s) and sgh below. 01. ❑ The intonation in Section C was taken tun other doamentafion that has been sighed and embossed by a tensed suveya, engneer, or architect t who is authorized by state or local taut° certify elehrafim law akin. anciceie the source and date of the elevation data in the Comments aea below.) G2. ❑ A community Adel arrpleted Section E fa a bilking located in Zone A (without a FEMA- sued a carmunity-issued BFE) a Zone AO. G3. ❑ The following irdamation (lions G4-G9) is pnarided kx carrnunity tood:bin management purposes. G4. PERMFF NUMBER G5. DATE PERMIT ISSUED GB. DATE CERTIFICATE CF COMPUANCEIOCCUPANCY ISSUED G7. This permit has been issued for ❑ New Comsbuction 0 Substantial Iminvernent G8. Elevation d as-loin lowest gar (hndudrtg basement) of the bulling is G9. BFE or (in Zone AO) depth of flooring at the building sites: LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS CITY DATE TELEPHONE TfiLE TELEPHONE DATE ._ _ _. R(m) ft (n) STATE ZIP CODE FLORIDA Datum: Datum: ❑ Check here if attachments PROPESOZOICALI raum sflintvEgroate & RICAPPREME MAIL TO: 9245 S.VV. 44 ST. MIAMI, FL 33165 PHONE (305) 221 -3416 FAX (305) 553 -9903 MAP OF BOUNDARY SURVEY FOR: SEE THE MAP OF BOUNDARY SURVEY, LANDS DESCRIBED IN PLAT BOOK 15 AT PAGE 14 . MIAMI -DADE COUNTY, FLORIDA. THIS SURVEY REPORT AND MAP IS NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF THE FLORIDA LICENSED SURVEYOR AND MAPPER. THE SIGNATURE AND SEAL CAN BE FOUND AT THE END OF THIS REPORT. THE MAP AND REPORT ARE NOT COMPLETE WITHOUT THE OTHER. LEGAL DESCRIPTION: LOTS 23 AND 24 BLOCK 90 , SUBDIVISION " AMENDED PLAT OF MIAMI SHORES SECTION NO. 4 ". ACCORDING TO THE PLAT THEREOF AS RECORDED PLAT BOOK 15 AT PAGE 14 OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. CERTIFIED TO: JEFFREY AND CATHY PEEL PROPERTY ADDRESS: 487 N.E. 100 STREET MIAMI SHORES, FLORIDA 33138 DATE OF FIELD SURVEY: DECEMBER 11 T H. 2003 . ACCURACY: THE EXPECTED USE OF THE LAND: AS CLASSIFIED IN THE MINIMUM TECHNICAL STANDARDS (61G17 -6 FAC) IS "SINGLE FAMILY RESIDENTIAL ". THE IVI IMUM RELATIVE DISTANCE ACCURACY FOR THIS TYPE OF SURVEY IS 1 FOOT IN 7500 FEET. THE ACCURACY OBTAINED BY MEASUREMENT WITH A SOKKIA THEODILITE AND A SOKKIA 200 FOOT STEEL TAPE AND CALCULATION OF A CLOSED GEOMETRIC FIGURE WAS FOUND TO EXCEED THIS REQUIREMENT. DATA SOURCES: THE LEGAL DESCRIPTION WAS FURNISHED BY MARK A. CAMPBELL ARCHITECTS 373 N.E. 92 STREET MIAMI SHORES, FLORIDA 33138. EASEMENTS: THE RECORD PLAT DOES NOT INDICATE ANY EASEMENTS ON SUBJECT PROPERTY. SURVEYOR AND MAPPER IN RESPONSIBLE CHARGE:' CHARLES W. CAP,. • LICENSE NUMBER LS 1060. STATE OF FLORIDA. SIGNED: REPORT OF BOUNDARY SURVEY LANDS DESCRIBED IN PLAT BOOK 15 AT PAGE 14 MIAMI -DADE COUNTY, FLORIDA SHEET 1 OF 2 SURVEY NUMBER:03 -12 -012 SURVEY NOTES 1. THE SURVEY HEREON REPRESENTS A PERIMETER BOUNDARY SURVEY WITH EXISTING ABOVE GROUND IMPROVEMENTS LOCATED. NO UNDERGROUND FOOTINGS WERE LOCATED UNLESS OTHERWISE SHOWN. 2. NO ENCROACHMENTS WERE NOTED BY THIS SURVEY UNLESS SHOWN. 3. ANY NOTORIOUS EVIDENCE OF OCCUPATION AND /OR USE OF THE DESCRIBED PARCEL FOR' RIGHTS -OF -WAY, INGRESS OR EGRESS IS SHOWN ON THIS SURVEY DRAWING. HOWEVER THIS SURVEY DOES NOT PURPORT TO REFLECT ANY RECORDED INSTRUMENTS OR RIGHTS -OF WAY OTHER THAN SHOWN ON THE RECORDED PLAT OR STATED IN THE LEGAL DESCRIPTION AS IT APPEARS ON THIS DRAWING. THIS SURVEY DOES NOT CERTIFY THAT SUCH INSTRUMENTS DO EXIST AND LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS AND /OR RIGHTS OF WAY OF RECORD. 4. THIS SURVEYOR DID NOT RESEARCH THE PARTICULAR SETBACKS AS REQUIRED BY THE ZONING OF THE DESCRIBED PARCEL, NOR DOES THIS SURVEY CERTIFY THAT ANY OF THE IMPROVEMENTS SHOWN ARE IN COMPLIANCE WITH THESE ZONING REGULATIONS. 5. THE NORTH ARROW AND BEARINGS AS SHOWN ARE DERIVED FROM THE ASSUMED MERIDIAN ON THE RECORDED PLAT; THE LEGAL DESCRIPTION THEREON IF SAID DESCRIPTION IS A METES AND BOUNDS AND /OR A FRACTIONAL DESCRIPTION THE BEARINGS ARE DERIVED FROM COUNTY SECTION MAPS AND THE BASE LINES ARE SHOWN ON THE LOCATION SKETCH. 6. THE FLORIDA INSURANCE RATE MAP PANEL 0093 J DATED 7 -17 -95 INDEX DATE 3- 2 -94, COMMUNITY NO. 120652 NATIONAL FLOOD INSURANCE PROGRAM DELINEATES THE HEREIN DESCRIBED LAND TO BE WITHIN ZONE "X" , ELEVATION N/A FEET. THIS IS NOT A FLOOD HAZARD ZONE. 7. ELEVATIONS ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM AND BENCH MARKS ARE CITY, COUNTY, STATE OR GEODETIC VERTICAL REFERENCE MONUMENTS. 8. THIS IS A LAND SURVEY AND WAS PREPARED IN ACCORDANCE WITH FLORIDA STATUTE 472 AND THIS SURVEY COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS ADOPTED BY THE FLORIDA STATE BOARD OF PROFESSIONAL LAND SURVEYORS PURSUANT TO CHAPTER61G17 -6 FLORIDA ADMINISTRATIVE CODE AND MEETS THE REQUIREMENTS OF THE FLORIDA LAND TITLE ASSOCIATION. i CHARLES W GARR PROPERI SZ®NAII LARID ffi VELVZTORIE & NEAPPERIN MAIL TO: • PHONE (305) 221 -3416 9245 S.W. 44 St. FAX (305) 553 -9903 MIAMI, FLORIDA 33165 A -- ARC LENGTH R -- RADIUS T - TANGENT C -- CHORD - DELTA(CENTRAL ANGLE) MEAS - MEASURED CALC - CALCULATED PCP - PERMANENT CONTROL POINT PRM -- PERMANENT REFERENCE MONUMENT PC - POINT OF CURVE R W - RIGHT OF WAY BM - BENCH MARK FND IP - FOUND IRON PIPE CLR - CLEAR C L F - CHAIN LINK FENCE TYP -- TYPICAL (FOR SEVERAL) N/A - NOT APPLICABLE P.O.B. •- POINT OF BEGINNING P.O.C.-POINT OF COMMENCEMENT C M - CONCRETE MONUMENT SAN SWR - SANITARY SEWER W/M -- WATER MAIN WF -- WOOD FENCE LEGEND & SYMBOLS BM - BENCH MARK PWRTRAN -- POWER TRANSFORMER WV - WATER VALVE WM - WATER METER P & T - POWERS. TELEPHONE LINES MH - MANHOLE LID CB - CATCH BASIN CO - CLEAN-OUT COVER CL - CENTERLINE CBS - CONCRETE BLOCK STRUCTURE CLP - CONCRETE LITE POLE CONC. - CONCRETE FPL - FLORIDA POWER & LIGHT EL - ELEVATION BASED ON 1929 NGVD FND IR - FOUND IRON ROD ENCRO - ENCROACHMENT WMF - WIRE MESH FENCE DH - DRILL HOLE N/D - NAIL & DISC CTY MON - COUNTY MONUMENT PKG SP - PARKING SPACE HYD - FIRE HYDRANT H C PKG - HANDICAP PARKING U E - UTILITY EASEMENT LOCATED IN: VILLAGE OF MIAMI SHORES, MIAMI -DADE COUNTY, FLORIDA . LOCATION SKETCH SCALE: 1 INCH = 150 FEET LOT DETAILS SCALE: 1 INCH = 20 FEET SEE THE REPORT OF BOUNDARY SURVEY, LANDS DESCRIBED IN PLAT BOOK 15 AT PAGE 14 , MIAMI-DADE COUNTY, FLORIDA. THIS SURVEY MAP IS NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF THE FLORIDA LICENSED SURVEYOR AND MAPPER. THE SIGNATURE AND SEAL CAN BE FOUND AT THE END OF REPORT. THE MAP AND REPORT ARE NOT COMPLETE WITHOUT THE OTHER. /3.76 / 3.72 I /oz- 45 A44 /D 2. 74,e 77.34 24. 2 SToie y' l'LS - /0s2 fees is ENC - 4-6'7 /2.5Z `• [o.0 n G .35 n op h /4.70 hi /4:70 \ po,C'c ' 7.8.e 2 6 .S , rJ E I.✓ •O L f•< 2v -85 29.82 QUA /L /A/ CO.Vl.2E 0 . 3 cte /5' z 75' /2 / W / TN /0 ' 45PiS'AL 7 - • %z' /A ST. -� -3.4 4.5 PA/, ! 7' SHEET 2 OF 2 SURVEY NUMBER: 03 -12 -012 FA%0. "/A 0' 1 0 00 o tSy q4, 3053726339 05/04/04 15:06 FAX 3053726339 BLDG. CODE COMPLIANCE 4 MIAMI SHORES Q001/001 M I A M I•DADE Members: Enrique Salvador, Chair Arnold Velazquez, P.E. - Vice -Chair Gregory Pierce Edward V. Woodward MEMO TO: Building Officials, Construction Inds y & Interested Parties FROM: Herminio F. Gonzalez, P.E., Direct DATE: May 4, 2004 ?,,� A meeting of the Certification Subcommittee wilgbe g eld as follows_ DATE: May 20, 2004 - Thursday TIME: 77:00 AM PLACE: Metro Dade Flagler Building 140 W. Flagler Street 16th Floor, Conference Room No. 1605 Miami, FL 33130 AGENDA 1. Certification of Building Officials, Inspectors, and Plans Examiners 2. A/C License Contractors as Inspectors Pursuant to F.S. 286.0105, any person who decides to appeal any decision made by the Board of Rules and Appeals with respect to any matter considered at its meeting or hearing will need a record or the proceedings. Such person may need to ensure that a verbatim record of the proceedings is made, including the testimony and evidence upon which the appeal is to be based. Notice is also given pursuant to Dade County Ordinance 91 -22 that any person appearing before the Board of Rules and Appeals as a lobbyist must register with the Clerk of the Board of County Commissioners and pay the required fee. Metro -Dade County provides equal access and equal opportunity' in employment and does not discriminate on the basis of disability in its programs or services. This document is available in alternative format by calling Kathy Charles, Administrative Officer 1, at 375- 2901 to request the information. "Multiple members of individual community councils may be present." MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305)375 -2908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375 -2558 CONTRACTOR ENFORCEMENT SECTION (305) 375 -2966 FAX (305) 375.2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 S:I DIRECOFF■Subcomtn \CERTIFIC\040504 Agcnda.doc Internet mail address: post :master @buildingcodeonline.com Homepage: http : / /www.buildingcodeonline.com Miami Shores Village Building Department Permit 'Job , ame 100 , N.E2nd Avenue Miami - . ores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 BUILDING TIQUE S. 'ET PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT- DATE SECTION BY ZONING • • ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to compilance with nit Federal. State. C=4. rotes Ind mutations. VHtaga essuates no responsibility for accvrecy of /or mutts troro those piens. 2. This copy of plans meat be avatlabt. oo building site or no Inspection will ba conducted. CRITIQUE SHEET JOB ADDRESS d / Sj APPLICANT PHONE # APPUCATION 473R7i d n� SHEET OF MISCELLANEOUS DATE ZUN COMMENTS — O5 t v ior✓ ce r ,0 ,,v7 -c:' 5/aly X012 Se 7,1~ Co C mod _< ge . 1 cEss A000 w/ M /1,5 S/ INITIALS PEEL RESIDENCE HVAC Load Calculations for MARK A. CAMPBELL, AIA 373 N.E. 92nd Street MIAMI SHORES, FL. 33138 RESIDEN"TYAL HIV 1 _ HVAC LOADS Prepared By: V. MIKE STANIMIROVIC, PE STAN ENGINEERING, INC. 9999 NE 2nd AVE., Suite -202 MIAMI SHORES, FL. 33138 305 - 759 -1765 January 26, 2004 / QGL�IR'�� / -- ac -� Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Stan Engineering, Inc PEEL RESIDENCE Miami Shores, FL 33138 Page 2 Project Report General Project Information Project Filename: C:\ Elite \Rhvacw\Projects\peelres.1.rhv Project Title: PEEL RESIDENCE Designed By: V. MIKE STANIMIROVIC, PE Project Date: Jan. 23, 2004 Client Name: MARK A. CAMPBELL, AIA Client Address: 373 N.E. 92nd Street Client City: MIAMI SHORES, FL. 33138 Client Phone: 305 -754 -2318 Client Fax: 305 - 758 -7666 Client E -Mail Address: miamicampbell @juno.com Company Name: STAN ENGINEERING, INC. Company Representative: V. MIKE STANIMIROVIC, PE Company Address: 9999 NE 2nd AVE., Suite -202 Company City: MIAMI SHORES, FL. 33138 Company Phone: 305 - 759 -1765 Company Fax: 305 - 759 -5560 Company E -Mail Address: stanengine @aol.com Design Data Reference City: Miami, Florida Daily Temperature Range: Low Latitude: 45 Degrees Elevation: 7 ft. Altitude Factor. 1.000 Elevation Sensible Adj. Factor: 1.000 Elevation Total Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hum Dry Bulb Difference Winter: 47 0 0 72 0 Summer: 95 75 50 75 34 Check Figures Total Building Supply CFM: 1,989 (7.6 AC /hr) CFM Per Square ft.: 1.109 Square ft. of Room Area: 1,794 Square ft. Per Ton: 369 1 Building Loads Total Heating Required With Outside Air: 27,921 Btuh 27.921 MBH Total Sensible Gain: 43,752 Btuh 91 % Total Latent Gain: 4,222 Btuh 9 % Total Cooling Required With Outside Air: 47,974 Btuh 4.00 Tons (Based On Sensible + Latent) 4.86 Tons (Based On 75% Sensible Capacity) Notes J Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Stan Engineering, Inc PEEL RESIDENCE Miami Shores, FL 33138 Page 3 Miscellaneous Report System 1 AC -1 Outdoor Outdoor Indoor Indoor Grains Input Data Dry Bulb Wet Bulb Rel.Humidity Dry Bulb Difference Winter: 47 0 50 72 - 116.78 Summer: 95 75 50 75 33.90 System 2 AC- 2/CU -2 Outdoor Outdoor Indoor Indoor Grains Input Data Dry Bulb Wet Bulb Rei.Humidity Dry Bulb Difference Winter: 47 0 50 72 - 116.78 Summer: 95 75 50 75 33.90 Duct Sizing Inputs Main Trunk Runouts Calculate: Yes Yes Use Schedule: Yes Yes Roughness Factor: 0.00300 0.01000 Pressure Drop: 0.1000 in.wg. /100 ft. 0.1000 in.wg. /100 ft. Minimum Velocity: 700 ft. /min 550 ft. /min Maximum Velocity: 900 ft. /min 750 ft. /min Minimum Height: 8 in. 6 in. Maximum Height: 12 in. 10 in. Outside Air Data Winter Summer Infiltration: 0.837 AC /hr (rm 0 837 AC /hr (rm specified) specified) Volume of Conditioned Space: X 15764 Cu.ft. X 15764 Cu.ft. 13,200 Cu.ft. /hr 13,200 Cu.ft. /hr X 0.0167 X 0.0167 Total Building Infiltration: 220 CFM 220 CFM Total Building Ventilation: 0 CFM 0 CFM — System 1— Infiltration & Ventilation Sensible Gain Multiplier: 21.99 = (1.10 X 1.000 X 20.00 Summer Temp. Difference) Infiltration & Ventilation Latent Gain Multiplier: 23.05 = (0.68 X 1.000 X 33.90 Grains Difference) Infiltration & Ventilation Sensible Loss Multiplier: 27.49 = (1.10 X 1.000 X 25.00 Winter Temp. Difference) — System 2— Infiltration & Ventilation Sensible Gain Multiplier: 21.99 = (1.10 X 1.000 X 20.00 Summer Temp. Difference) Infiltration & Ventilation Latent Gain Multiplier: 23.05 = (0.68 X 1.000 X 33.90 Grains Difference) Infiltration & Ventilation Sensible Loss Multiplier: 27.49 = (1.10 X 1.000 X 25.00 Winter Temp. Difference) Rhvac - Residential & Light Commercial HVAC Loads Stan Engineering, Inc Miami Shores, FL 33138 IC Elite Software Development, Inc. PEEL RESIDENCE Page 4 Load Preview Report Scope Sens Lat Net Sens Win Area Gain Gain Gain Loss CFM Sum CFM Adj CFM Sys CFM Duct Size (Building: 4.84 Net Tons, 5.43 Recommended Tons, 330 ft. 34.18 MBH Heating ( Building 1,794 48,866 9,260 58,126 34,176 444 2,222 2,222 ( System 1: 3.28 Net Tons, 3.65 Recommended Tons, 282 ft. 20.05 MBH Heating ( System 1 Zone 1 1- Exist. Bedroom 2- Dining Room/Kitchen 3- Living Room 1,029 32,836 6,497 39,333 20,049 260 1,029 32,836 6,497 39,333 20,049 260 270 13,006 691 13,697 7,587 99 460 11,231 3,764 14,995 8,015 104 299 8,599 2,042 10,641 4,447 58 1,493 1,493 591 511 391 739 511 465 1,493 1,493 591 511 391 24x12 1 -10 3-8 2-8 'System 2: 1.57 Net Tons, 1.78 Recommended Tons, 430 ft. 14.13 MBH Heating System 2 Zone 2 4 -2nd Floor Bedrooms 765 16,030 2,764 18,794 14,127 184 765 16,030 2,764 18,794 14,127 184 765 16,030 2,764 18,794 14,127 184 729 729 729 873 729 729 729 14x12 1 -10 Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Stan Engineering, Inc PEEL RESIDENCE Miami Shores, FL 33138 Page 5 Total Building Summary Loads Component Area Sen Lat Sen Total Description Quan Loss Gain Gain Gain 1C Window Clear Glass Metal Frame 286 8,263 0 11,592 11,592 2C Window Single Pane & Storm Clear Glass Metal 42 683 0 1,036 1,036 10A Door Wood Hollow Core 42 588 0 649 649 10D Door Wood Solid Core 41 249 0 264 264 13C Part R -11 + 1/2" Gypsum(R -0.5) 393 70 0 36 36 13M Part 8" or 12" Block No Insulation Unfinished 450 459 0 0 0 14B Wall 8" or 12" Block + R -5 1737 6,252 0 5,078 5,078 16D Ceiling Under Vent. Attic - R -19 Insulation 1794 2,377 0 4,242 4,242 Floor Over Basement/Encl Crawl Hardwood No 1794 6,997 0 0 0 19A Insulation Subtotals for structure: 25,938 0 22,897 22,897 People: 13 2,990 3,900 6,890 Equipment: 1,200 2,220 3,420 Lighting: 3442 11,737 11,737 Ductwork: 2,190 0 3,273 3,273 Infiltration: Winter CFM: 220, Summer CFM: 220 6,048 5,070 4,839 9,909 Ventilation: Winter CFM: 0, Summer CFM: 0 0 0 0 0 Sensible Gain Total: 48,866 Temperature Swing Multiplier: X 1.00 Total Building Load Totals: 34,176 9,260 48,866 58,126 Check Figures Total Building Supply CFM: 2,222 (8.5 AC /hr) CFM Per Square ft.: 1.238 Square ft. of Room Area: 1,794 Square ft. Per Ton: 330 Building Loads Total Heating Required With Outside Air: 34,176 Btuh 34.176 MBH Total Sensible Gain: 48,866 Btuh 84 % Total Latent Gain: 9,260 Btuh 16 % Total Cooling Required With Outside Air: 58,126 Btuh 4.84 Tons (Based On Sensible + Latent) 5.43 Tons (Based On 75% Sensible Capacity) I Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent Toads. Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Stan Engineering, Inc PEEL RESIDENCE Miami Shores, FL 33138 Page 8 System 1 AC -1 Summary Loads Component Area Sen Lat Sen Total Description Quan Loss Gain Gain Gain 1C Window Clear Glass Metal Frame 153 4,420 0 7,958 7,958 2C Window Single Pane & Storm Clear Glass Metal 42 683 • 0 1,036 1,036 10D Door Wood Solid Core 41 249 0 264 264 13C Part R -11 + 1/2" Gypsum(R -0.5) 393 70 0 36 36 13M Part 8" or 12" Block No Insulation Unfinished 450 459 0 0 0 14B Wall 8" or 12" Block + R -5 952 3,426 0 2,783 2,783 16D Ceiling Under Vent. Attic - R -19 Insulation 1029. 1,363 0 2,296 2,296 Floor Over Basement/Encl Crawl Hardwood No 1029 4,013 0 0 0 19A Insulation Subtotals for structure: 14,683 0 14,373 14,373 People: 9 2,070 2,700 4,770 Equipment: 1,200 2,220 3,420 Lighting: 2722 9,282 9,282 Ductwork: 1,517 0 1,182 1,182 Infiltration: Winter CFM: 140, Summer CFM: 140 3,849 3,227 3,079 6,306 Ventilation: Winter CFM: 0, Summer C FM : 0 0 0 0 0 Sensible Gain Total: 32,836 Temperature Swing Multiplier. _ X 1.00 System 1 AC -1 Load Totals: 20,049 6,497 32,836 39,333 Check Figures Supply CFM: 1,493 (9.7 AC /hr) CFM Per Square ft.: 1.451 Square ft. of Room Area: 1,029 Square ft. Per Ton: 282 System Loads Total Heating Required With Outside Air: 20,049 Btuh 20.049 MBH Total Sensible Gain: 32,836 Btuh 83 % Total Latent Gain: 6,497 Btuh 17 % Total Cooling Required With Outside Air. 39,333 Btuh 3.28 Tons (Based On Sensible + Latent) 3.65 Tons (Based On 75% Sensible Capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. • • Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Stan Engineering, Inc PEEL RESIDENCE Miami Shores, FL 33138 Page 9 System 2 AC- 2/CU -2 Summary Loads Component Area Sen Lat Sen Total Description Quan Loss Gain Gain Gain 1C Window Clear Glass Metal Frame 133 3,843 0 3,634 3,634 10A Door Wood Hollow Core 42 588 0 649 649 14B Wall 8" or 12" Block + R -5 785 2,826 0 2,295 2,295 16D Ceiling Under Vent. Attic - R -19 Insulation 765 1,014 0 1,946 1,946 Floor Over Basement/Encl Crawl Hardwood No 765 2,984 0 0 0 19A Insulation Subtotals for structure: 11,255 0 8,524 8,524 People: 4 920 1,200 2,120 Equipment: 0 0 0 Lighting: 720 2,455 2,455 Ductwork: 673 0 2,091 2,091 Infiltration: Winter CFM: 80, Summer CFM: 80 2,199 1,844 1,760 3,603 Ventilation: Winter CFM: 0, Summer CFM: 0 0 0 0 0 Sensible Gain Total: 16,030 Temperature_ Swing Multiplier: X 1.00 System 2 AC- 2/CU -2 Load Totals: 14,127 2,764 16,030 18,794 Check Figures Supply CFM: 729 (6.7 AC /hr) CFM Per Square ft.: 0.953 Square ft. of Room Area: 765 Square ft. Per Ton: 430 System Loads f Total Heating Required With Outside Air: 14,127 Btuh 14.127 MBH Total Sensible Gain: 16,030 Btuh 85 % Total Latent Gain: 2,764 Btuh 15 % Total Cooling Required With Outside Air: 18,794 Btuh 1.57 Tons (Based On Sensible + Latent) 1.78 Tons (Based On 75% Sensible Capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. • Rhvac - Residential & Light Commercial HVAC Loads Stan Engineering, Inc Miami Shores, FL 33138 Elite Software Development, Inc. PEEL RESIDENCE Page 14 System 1, Zone 1 Summary Loads Component Area Sen Description Quan Loss Lat Gain Sen Gain Total Gain 1C Window Clear Glass Metal Frame 153 4,420 0 7,958 7,958 2C Window Single Pane & Storm Clear Glass Metal 42 683 0 1,036 1,036 10D Door Wood Solid Core 41 249 0 264 264 13C Part R -11 + 1/2" Gypsum(R -0.5) 393 70 0 36 36 13M Part 8" or 12" Block No Insulation Unfinished 450 459 0 0 0 14B Wall 8" or 12" Block + R -5 952 3,426 0 2,783 2,783 16D Ceiling Under Vent. Attic - R -19 Insulation 1029 1,363 0 2,296 2,296 Floor Over Basement/Encl Crawl Hardwood No 1029 4,013 19A Insulation 0 0 0 Subtotals for structure: 14,683 0 14,373 14,373 People: 9 2,070 2,700 4,770 Equipment: 1,200 2,220 3,420 Lighting: 2722 9,282 9,282 Ductwork: 1,517 0 1,182 1,182 Infiltration: Winter CFM: 140, Sum me r C FM: 140 3,849 3,227 3,079 6,306 Sensible Gain Total: 32,836 Temperature Swing Multiplier: X 1.00 System 1, Zone 1 Load Totals: 20,049 6,497 32,836 39,333 I Check Figures Supply CFM: 1,493 (9.7 AC /hr) CFM Per Square ft.: 1.451 Square ft. of Room Area: 1,029 Square ft. Per Ton: 282 Zone Loads Total Heating Required: 20,049 Btuh 20.049 MBH Total Sensible Gain: 32,836 Btuh 83 % Total Latent Gain: 6,497 Btuh 17 % Total Cooling Required: 39,333 Btuh 3.28 Tons (Based On Sensible + Latent) 3.65 Tons (Based On 75% Sensible Capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Rhvac - Residential & Light Commercial HVAC Loads Elite Software Development, Inc. Stan Engineering, Inc PEEL RESIDENCE Miami Shores, FL 33138 Page 15 System 2, Zone 2 Summary Loads Component Area Sen Lat Sen Total Description Quan Loss Gain Gain Gain 1C Window Clear Glass Metal Frame 133 3,843 0 3,634 3,634 10A Door Wood Hollow Core 42 588 0 649 649 14B Wall 8" or 12" Block + R -5 785 2,826 0 2,295 2,295 16D Ceiling Under Vent. Attic - R -19 Insulation 765 1,014 0 1,946 1,946 Floor Over Basement/Encl Crawl Hardwood No 765 2,984 0 0 0 19A Insulation Subtotals for structure: 11,255 0 8,524 8,524 People: 4 920 1,200 2,120 Equipment: 0 0 0 Lighting: 720 2,455 2,455 Ductwork: 673 0 2,091 2,091 Infiltration: Winter CFM: 80, Summer CFM: 80 2,199 1,844 1,760 3,603 Sensible Gain Total: 16,030 Temperature Swing Multiplier: X 1.00 System 2, Zone 2 Load Totals: 14,127 2,764 16,030 18,794 Check Figures Supply CFM: 729 (6.7 AC /hr) CFM Per Square ft.: 0.953 Square ft. of Room Area: 765 Square ft. Per Ton: 430 Zone Loads Total Heating Required: 14,127 Btuh 14.127 MBH Total Sensible Gain: 16,030 Btuh 85 % Total Latent Gain: 2,764 Btuh 15 % Total Cooling Required: 18,794 Btuh 1.57 Tons (Based On Sensible + Latent) 1.78 Tons (Based On 75% Sensible Capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Rhvac - Residential & Light Commercial HVAC Loads Stan Engineering, Inc Ili? Miami Shores, FL 33138 Elite Software Development, Inc. PEEL RESIDENCE Page 20 Detailed Room Loads - Room 1 - Exist. Bedroom 1 General Calculation Mode: Htg. & clg. Occurrences: 1 Room Length: 22.5 ft. System Number: 1 Room Width: 12.0 ft. Zone Number. 1 Area: 270.0 sq.ft. Supply Air: 591 CFM Ceiling Height: 9.0 ft. Supply Air Changes: 14.6 AC/hr Volume: 2,430.0 cu.ft. Required Vent: 20 CFM Number of Registers: 1 Actual Winter Vent.: 0 CFM Runout Air: 591 CFM Percent of Supply.: 0 % Runout Duct Size: 10 in. Actual Summer Vent.: 0 CFM Runout Air Velocity: 1,084 ft. /min. Percent of Supply: 0 % Design Loss: 0.100 in.wg. /100 ft. Actual Winter Infil.: 20 CFM Actual Loss: 0.370 in.wg. /100 ft. Actual Summer Infil.: 20 CFM Item Area -U- Htg Sen CIg Lat Sen Description Quantity Value HTM Loss HTM Gain Gain S -Wall-14B 12 X 9 80 0.144 3.6 288 2.9 0 234 W - Wall-14B 22.5 X 9 147 0.144 3.6 529 2.9 0 430 N - Wall -14B 12 X 9 108 0.144 3.6 389 2.9 0 316 E - Wall -14B 5 X 9 25 0.144 3.6 90 2.9 0 73 N - Part- 2 °/2 ° -13M 17 X 9 153 0.510 1.0 156 0.0 0 0 E - Door -10D 3 X 6.7 20 0.460 11.5 230 12.7 0 254 S - GIs -1C 1 -P SI -1 0 %S 28 1.155 28.9 809 48.0 0 1,344 W - GIs -1C 1 -P SI -1 0 %S (2) 56 1.155 28.9 1,618 89.0 0 4,984 UP- Ceil -16D Dark 22.5 X 12 270 0.053 1.3 358 2.5 0 687 Floor -19A 12 X 22.5 270 0.312 3.9 1,053 0.0 0 0 Subtotals for Structure: 5,520 0 8,322 Infil.: Win.: 20.0, Sum.: 20.0 104 5.287 550 4.230 461 440 Ductwork: 0.250 1,517 0.100 0 1,182 People: 230 lat/per, 300 sen/per: 1 230 300 Lighting; 810 2,762 Sensible Gain Total: 13,006 Temperature Swing Multiplier: _ X1.00 Room Totals: 7,587 691 13,006 Rhvac - Residential & Light Commercial HVAC Loads Stan Engineering, Inc Miami Shores, FL 33138 Elite Software Development, Inc. PEEL RESIDENCE Page 21 Detailed Room Loads - Room 2 - Dining Room /Kitchen General Calculation Mode: Htg. & clg. Occurrences: 1 Room Length: 20.0 ft. System Number. 1 Room Width: 23.0 ft. Zone Number. 1 Area: 460.0 sq.ft. Supply Air: 511 CFM Ceiling Height: 9.0 ft. Supply Air Changes: 7.4 AC /hr Volume: 4,140.0 cu.ft. Required Vent: 80 CFM Number of Registers: 3 Actual Winter Vent.: 0 CFM Runout Air: 170 CFM Percent of Supply.: 0 % Runout Duct Size: 8 in. Actual Summer Vent.: 0 CFM Runout Air Velocity: 488 ft. /min. Percent of Supply: 0 % Design Loss: 0.100 in.wg. /100 ft. Actual Winter Infil.: 80 CFM Actual Loss: 0.103 in.wg. /100 ft. Actual Summer Infil.: 80 CFM Item Area -U- Htg Sen Clg Lat Sen Description Quantity Value HTM Loss HTM Gain Gain S - Wall -14B 20 X 9 152 0.144 3.6 547 2.9 0 444 W - Wall -14B 5 X 9 45 0.144 3.6 162 2.9 0 132 N - Part- 2 °/2 ° -13M 17 X 9 153 0.510 1.0 156 0.0 0 0 N - Wall -14B 20.5 X 9 144 0.144 3.6 518 2.9 0 421 N - Part- 2 °12 ° -13C 23 X 9 207 0.090 0.2 37 0.1 0 19 S - GIs -1C 1 -P SI -29 0 %S 28 1.155 28.9 809 26.0 0 728 N - Gls -1C 1 -P SI-29 100%S 18 1.155 28.9 520 22.0 0 396 N - GIs -1C 1 -P SI-29 100%S 16 1.155 28.9 462 22.0 0 352 N -Gls -1 C 1 -P SI -29 100 %S 7 1.155 28.9 202 22.0 0 154 UP- CeiI -16D Light 20 X 23 460 0.053 1.3 609 2.1 0 975 Floor -19A 23 X 20 460 0.312 3.9 1,794 0.0 0 0 Subtotals for Structure: 5,816 0 3,621 Infil.: Win.: 80.0, Sum.: 80.0 69 31.876 2,199 25.501 1,844 1,760 People: 230 lat/per, 300 sen /per. 4 920 1,200 Equipment: 1,000 1,200 Lighting: 1,012 3,451 Sensible Gain Total: 11,231 Temperature Swing Multiplier: X1.00 Room Totals: 8,015 3,764 11,231 Rhvac - Residential & Light Commercial HVAC Loads Stan Engineering, Inc Miami Shores, FL 33138 Elite Software Development, Inc. PEEL RESIDENCE Page 22 Detailed Room Loads - Room 3 - Living Room I General Calculation Mode: Htg. & clg. Occurrences: 1 Room Length: 23.0 ft. System Number: 1 Room Width: 13.0 ft. Zone Number: 1 Area: 299.0 sq.ft. Supply Air: 391 CFM Ceiling Height: 9.0 ft. Supply Air Changes: 8.7 AC /hr Volume: 2,691.0 cu.ft. Required Vent: 40 CFM Number of Registers: 2 Actual Winter Vent.: 0 CFM Runout Air: 195 CFM Percent of Supply.: 0 % Runout Duct Size: 8 in. Actual Summer Vent.: 0 CFM Runout Air Velocity: 560 ft. /min. Percent of Supply: 0 % Design Loss: 0.100 in.wg. /100 ft. Actual Winter tnfil.: 40 CFM Actual Loss: 0.135 in.wg. /100 ft. Actual Summer Infil.: 40 CFM Item Area -U- Htg Sen Cig Lat Sen Description Quantity Value HTM Loss HTM Gain Gain S - Wall -14B 13 X 9 89 0.144 3.6 320 2.9 0 260 N - Part- 2 °/2 ° -13C 23 X 9 186 0.090 0.2 33 0.1 0 17 N -Wall-14B 13 X 9 103 0.144 3.6 371 2.9 0 301 N - Part- 2 °/2 ° -13M 16 X 9 144 0.510 1.0 147 0.0 0 0 E -Wall-14B 6.5 X 9 59 0.144 3.6 212 2.9 0 172 N - Door -10D 3 X 7 21 0.460 0.9 19 0.5 0 10 S - GIs -2C 1 -P SI -29 0 %S 28 0.650 16.3 455 26.0 0 728 N - GIs -2C 1 -P SI -29 100 %S (2) 14 0.650 16.3 228 22.0 0 308 UP- CeiI -16D Light 23 X 299 0.053 1.3 396 2.1 0 634 Floor -19A 13 X 23 299 0.312 3.9 1,166 0.0 0 0 Subtotals for Structure: 3,347 0 2,430 Infil.: Win.: 40.0, Sum.: 40.0 63 17.456 1,100 13.965 922 880 People: 230 lat/per, 300 sen /per: 4 920 1,200 Equipment: 200 1,020 Lighting: _ 900 3,069 Sensible Gain Total: 8,599 Temperature Swing Multiplier. _ X1.00 Room Totals: 4,447 2,042 8,599 Rhvac - Residential & Light Commercial HVAC Loads Stan Engineering, Inc Miami Shores, FL 33138 Elite Software Development, Inc. PEEL RESIDENCE Page 23 Detailed Room Loads - Room 4 - 2nd Floor Bedrooms General Calculation Mode: Htg. & clg. Occurrences: 1 Room Length: 34.0 ft. System Number: 2 Room Width: 22.5 ft. Zone Number: 2 Area: 765.0 sq.ft. Supply Air: 729 CFM Ceiling Height: 8.5 ft. Supply Air Changes: 6.7 AC/hr Volume: 6,503.0 cu.ft. Required Vent.: 80 CFM Number of Registers: 1 Actual Winter Vent.: 0 CFM Runout Air: 729 CFM Percent of Supply.: 0 % Runout Duct Size: 10 in. Actual Summer Vent.: 0 CFM Runout Air Velocity: 1,336 ft. /min. Percent of Supply: 0 % Design Loss: 0.100 in.wg. /100 ft. Actual Winter Infil.: 80 CFM Actual Loss: 0.560 in.wg. /100 ft. Actual Summer Infil.: 80 CFM Item Area -U- Htg Sen CIg Lat Sen Description Quantity Value HTM Loss HTM Gain Gain S -Wall-14B 34 X 8.5 232 0.144 3.6 835 2.9 0 678 W - Wall -1413 22.5 X 8.5 167 0.144 3.6 601 2.9 0 488 N -Wall-14B 34 X 8.5 211 0.144 3.6 760 2.9 0 617 E -Wall-14B 22.5 X 8.5 175 0.144 3.6 630 2.9 0 512 N - Door -10A 6 X 7 42 0.560 14.0 588 15.5 0 649 S - GIs -1C 1 -P SI -29 0 %S (2) 46 1.155 28.9 1,328 26.0 0 1,196 S - GIs -1C 1 -P SI -29 0 %S 11 1.155 28.9 318 26.0 0 286 W - GIs -1C 1 -P SI -29 0 %S (2) 24 1.155 28.9 694 34.0 0 816 N - GIs -1C 1 -P SI -29 100 %S (2) 24 1.155 28.9 694 22.0 0 528 N - GIs -1C 1 -P SI -29 100 %S 12 1.155 28.9 347 22.0 0 264 E - GIs -1C 1 -P SI -29 0%S 16 1.155 28.9 462 34.0 0 544 UP- Ceil -16D Dark 34 X 22.5 765 0.053 1.3 1,014 2.5 0 1,946 Floor -19A 22.5 X 34 765 0.312 3.9 2,984 0.0 0 0 Subtotals for Structure: 11,255 0 8,524 Infil.: Win.: 80.0, Sum.: 80.0 175 12.568 2,199 10.055 1,844 1,760 Ductwork: 0.050 673 0.150 0 2,091 People: 230 lat/per, 300 sen/per: 4 920 1,200 Lighting: _ 720 2,455 Sensible Gain Total: 16,030 Tempe rature Swing Multiplier: X1.00 Room Totals: 14,127 2,764 16,030 Rhvac - Residential & Light Commercial HVAC Loads Stan Engineering, Inc Miami Shores, FL 33138 Elite Software Development, Inc. PEEL RESIDENCE Page 26 System 1 Room Load Summary Room No Name Htg Htg Area Sens Nom SF Btuh CFM Run Duct Size Run Duct Vel CIg Sens Btuh Clg Lat Btuh CIg Zone Nom Adj CFM Fact CIg Adj CFM Air Sys CFM —Zone 1- 1 Exist. Bedroom 2 Dining Room/Kitchen 3 Living Room System 1 total System 1 Main Trunk Size: Velocity: Loss per 100 ft.: 270 7,587 99 460 8,015 104 299 4,447 58 1,029 20,049 _ 260 24x12 in. 845 ft. /min 0.075 in.wg 1 -10 3 -8 2-8 _ 1,084 488 560 13,006 11,231 8,599 32,836 691 3,764 2,042 6,497 591 1.25 511 1.00 391 1.19 1,493 739 511 465 1,715 591 511 391 1,493 Cooling System Summary Cooling Sensible /Latent Tons Split Sensible Btuh Latent Btuh Total Btuh Net Required: Recommended: 3.28 83% / 3.65 75% / 17% 25% 32,836 32,836 6,497 10,945 39,333 43,782 Rhvac - Residential & Light Commercial HVAC Loads Stan Engineering, Inc IC' Miami Shores, FL 33138 Elite Software Development, Inc. PEEL RESIDENCE Page 27 System 2 Room Load Summary Room No Name Htg Htg Run Area Sens Nom Duct SF Btuh CFM Size Run Duct Vel CIg Sens Btuh CIg Lat Btuh CIg Zone Nom Adj CFM Fact CIg Adj CFM Air Sys CFM —Zone 2- 4 2nd Floor Bedrooms System 2 total System 2 Main Trunk Size: Velocity: Loss per 100 ft.: 765 14,127 184 1 -10 765 14,127 184 1,336 16,030 16,030 2,764 2,764 729 1.20 729 873 873 729 729 14x12 in. 682 ft. /min 0.068 in.wg Cooling System Summary Cooling Sensible /Latent Tons Split Sensible Btuh Latent Btuh Total Btuh Net Required: Recommended: 1.57 85% / 15% 1.78 75% 125% 16,030 16,030 • 2,764 5,343 18,794 21,373 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: EL2004 -27 Printed: 2/19/2004 Applicant: CATHY Owner: PEEL JOB ADDRESS: 487 NE 100 ST Contractor ATLANTIS ELECTRICAL CORP Contractor's Address: 12803 SW 20 TERR Local Phone: (305) 551 - 4043 Parcel # 1132060170540 Fees: Description Amount FEE2004 -1735 Building Fee $100.00 FEE2004 -1736 CCF $0.60 FEE2004 -1737 Training and Education Fee $0.20 FEE2004 -1738 Technology Fee $2.50 Total Fees: $103.30 Total Fees $1.% 0 C Total Receipts: $0.00 C) ;-/\ S 3,3a C_C Permit Status: APPROVED Permit Expiration: 8/3/2004 Construction Value: $1,000.00 Work: ELECTRICAL FOR NEW FAMILY ROOM ADDITION Signed: (INSPECTOR) Electrical Permit PEEL CATHY Legal Description: AMD PL OF MIAMI SHORES SEC 4 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) Page 1 of 1 FEB 19 PAID PB 15 -14 LOTS 23 & 24 BLK 90 BY: .1 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) $ Value of Work For this Permit .,Miami Shores Village 1,11. State Architect/Engineer's Name (if applicable) Describe Work: (\ \(e FaY1nlL 2c m CL uilding Department Owner's Address 1 44s -r City m�An' 5►an(rc Tenant/Lessee Name 1■1e_ I Cie S5 Permit Fee $ l'® r G° d Permit No. L. Master Permit N Electrc Plumbing Mechanical Roofing AO CA TN q Pk& L. )(rI — ` C ; � r Phone 30j — 7 �I - SSO Zip ?}31 'J fl Phone # Job Address (where the work is being done) 4 yf 1 • City Miami Shores Village County Miami -Dade Zip f ( 13, it Is Building Historically Designated YES NO X Contractor's Company Name 4 TI- T S '" "` C G 1 Ca, ( C . Phone # ) 86 — 3 9 ` Po 7 9 0 Contractor's Address P" ✓O S 1.J 20 — e-cr — City qt A State FL Zip 3 3 1 ir Qualifier FiA. A'd C'.l C J S - 3 6/0 r'CG CP-a -t /'t /tPhone # 701 7T Y 2-3 I Architect/Engineer's Address Square Footage Of Work: Number of: Bays Stories Families Bedrooms Baths Type of Work: %Addition ['Alteration ❑New ❑ Repair/Replace ❑ Demolition * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Notary $ 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 z 'o s 7C County Escrow Fee $ Education/Training Fee $ . • U Tech $ . d Scanning $ Radon $ Code Enforcement $ Bond $ Sect- $ Minus Plans Check Fee $ S' n . O e) Total Fee Now Due $ 3.3D (Continued on opposite 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a r fee will be charged. Signature NOTARY PUBLIC: Sign: My Commission Expires: APPLICATION APPROVED BY: Chc 10/02/03 As identification and who did take an oath. Signature Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _, by day of c , 20 Gr, by who is personally known to me or who has produced who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: d-C -G i / Print: 0:.0 " �', ancy Iglesias Print: . J p ' r commission # DD117024 =N ' "' + QC E xp i res May 13 2006 '.;i - P Bonded Thru . . p (Certificate of Competency Holder) State Certificate or Registration No. t it- Ch) 14 3 ) U U ° 6-' Commission # DD117024 My Commission Expires: ; ?:' � Q= Expires May 13, 2006 o: * * * *di4$ t# * ** �'�� ;;�. ` Atlantic Bonding Co., Inc. Certificate of Competency No. of o 8 7 ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: MC2004 -23 Printed: 2/19/2004 Applicant: CATHY PEEL Owner: PEEL CATHY JOB ADDRESS: 487 NE 100 ST Contractor BLUE SUPPLY CORP Local Phone: 305 - 798 - 7383 Parcel # 1132060170540 Signed: (INSPECTOR) Mechanical Permit Contractor's Address: 4238 SW 75 AVE Legal Description: AMD PL OF MIAMI SHORES SEC 4 PB 15 -14 LOTS 23 & 24 BLK 90 Permit Status: APPROVED Permit Expiration: 8/9/2004 Construction Value: $300.00 Work: MECANICAL FOR ADDITION Page 1 of 1 Fees: Description Amount FEE2004 -1739 Building Fee $100.00 FEE2004 -1740 CCF $0.60 FEE2004 -1741 Training and Education Fee $0.20 FEE2004 -1742 Technology Fee $2.50 Total Fees: $103.30 Total Fees: 5193.30 Total Receipts: iF00° c O T T3.3 - D 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 responisibility for all work done by either myself, my agent, servants or employes. • n Signed: (Contractor or Builder) BY: BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) C Owner's Address City )+4 ! S' /l'o /Z 61 State ,< / Tenant/Lessee Name P - j Miami Shores Village Building Department 10050 N.E.2nd Avenu +gr ;:+ cljys, lorida 33138 Is Building Historically Designated YES NO L/ Tel: ( , 7 `..8972 pos 3 0 Mk D k! a'3 Permit No. Master Permit No. B PD — /O Plumbing City Miami Shores Village County Miami -Dade Job Address (where the work is being done) € iv. Zip Contractor's Company Name , / 1) 6 s V fp 1- y ' CI 0 Phone # 3 - 2 ( 7— 0077 Contractor's Address "/2-3 g , ' (.) S /9 c/ / 0,077 Al 3/157:195- per- 73 City (t4 1 4 1/1/1 State F ) Zip $ Qualifier e n! e. T L lz (, ry ievv- rt State Certificate or Registration No. C4 co ,c 76 6 6 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit /X-G/ 0, 06 Square Footage Of Work: Type of Work: ['Addition ❑Alteration ❑New ❑ Repair /Replace ❑ Demolition Describe Work: Submittal Fee $ Permit Fee $ 76d CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 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 foregoing instrument was acknowledged before me this day of , 20 , by , day of , 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: My Commission Expires: My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 Plans Examiner Engineer Zoning nmminat Ooowig arwn Nominal Heat enw, ti1°t HSPF an•,n, pi SEER 1..:0 moisture Removal Jairoa lbitagegrequencylpneae Air Grp arm. PrM : HI Low Vries ra il%t t te:144 Ill Meagan kt4DorFellSpeea am: Hf A tav Quiet )< ita' Fen Speed RNA outdoor Noise taw atu Current w : Coding Meeting _Ee9.�_ht9iL •fib'... Air Direction : ti i•¢antel ktfoin 14so w�• 1,350 x a kai; Air Finer Ant Gnae Connection McMOd ComOfneG Man Lgm am Mai. Vertical Dift, ft (If Conn. Pipe Diameter Net Main m ow pmensions :Height Additional detail on page 19. ti 'd 2886' °N fog- -PEQ,L N '- IR CONDITIONERS 24Ci 36CX �� l l. Z1 I *, HEAT PUMPS 12 ' . 24R1A ij ij 3N111Sd00 Wdgl:ti ti00Z •8Z I�r Perm; Z..av9 -2. C L� BUIIMING PERMIT APPLICATION FBC 2001 B�ilding Electrical Plumbing Owner's Name (Fee Simple Titleholder) S(t Am C.1* - 0-01 Mkt_ Phone # Owner's Address 4 k 1 Lh(t.. I et ;VT Permit Type (circle): CitYMi M'Yl t 51101-4. a State Tenant/Lessee Name Miami Shores Village Y `` - i Buildin g Department artment 6M 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Job Address (where the work is being done) 4F5 NA_ City Miami Shores Village Is Building Historically Designated YES County Miami -Dade NO Contractor's Company Name 11e Contractor's Address H S' Sc-' Qualifier (INQ , Par0(C1C) City_ State C Submittal Fee $ 1 Notary $ Training/Education Fee $ Scanning $ Radon $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due 5 3,5 (Continued on opposite side) Permit Fee $ loo- Permit No. Master Permit No Zip 3 if Phone # Zip 3 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit _ 344 " Square Footage Of Work: ?� SF Type of Work: Addition ['Alteration ❑ Demolition Describe Work: (`)(( u 1 1= icLiryi 1 L(/ rZ 0( ❑New ❑ Repair/Replace * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** teca OD4 -I qS Roofing 3os= 7�t phone #3 s — ).6 1 -0V- Zip CCF $ b CO /CC Technology'Fee $2 S 0 Zoning \ 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. 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be at the job site for the first inspection which occurs seven (7) days after the building permit is issued n •bsenc' r, •osted notice, the 111111111111 inspection will not be approved and a reinspection fee will be charged. Signature r \ Si urt01 - 11, / er or Agent Contractor The foregoing instrument was acknowledged before me this / / The foregoing in . ent was acknowledged before me this day of , f f , 20 Of , by nit p00l day of , 20 Oct by who i rsonally known me or who has produced who i ersonally know i)o me or who has produced As identification and who did take an oath. / �� r PG , an g • / _ - . „ -;on # DD117024 / =N: Expires May 13, 2006 .. o . 47: Pires Ma My Commission Expires: -41r; rF�. ' „,•4%.••• Bonded Thru My Commission E y 13, 2006 • • i��,� Ad a c Bond1n Co., Inc. � i OFFOO• B onded * * *** * * * * * * * * * * * * * * * * *** * * * **1 ** * * ** * * * * * * ** ************ * * * * * ** * * * * * * * * * * * * * * * •lW * Aa4$ea kOt:*r$it * * * * ** (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ****************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: r ' g 6 2 / Z v 4 fr - e C ' C; Plans Examiner Engineer Zoning Chc 12/15/03 as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: , CO Nancy Iglesias ? ,, _ nh1nissiuu llll1