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DS-08-482 Inspection Worksheet Miami Shores Village 4 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 7831'9 Permit Number: DS -3- 0&-482 Scheduled Inspection Date: July 01, 2009 Permit Type: Driveways /Sidewalks/Slabs Inspector: Bruhn, Norman Inspection Type: Final Owner: CHURCH, ST ROSE OF LIMA CATHOLIC Work Classification: Addition /Alteration Job Address: 418 NE 105 Street Miami Shores, FL Phone Number (305)758 -0539 Parcel Number 112231015006 Project: <NONE> Contractor: JC ELECTRIC INC Phone: (305)754 -6949 Building Department Comments rEMOVE AN EXISTING 20 KW GENERATOR & REPLACE IT WITH A NEW 20 KW GENERATOR. PRE FAB SLAB FOR GENERATOR. Inspector Comments Passed 44elfo Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. FoF in spections - plea" call (3051762 -4949_ Inspection Worksheet Miami Shores Village a.. 10050 N.E. 2nd Avenue Miami Shores, FL V S - 3 - a ° L k8Z Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I'NSP -78320 Permit Number: ELC- 3- 084$3 Scheduled Inspection Date: July 01, 2009 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type.: Final Owner: CHURCH, ST ROSE OF LIMA CATHOLIC Work Classification: Generator Job Address: 418 NE 105 Street Miami Shores, FL Phone Number (305)758 -0539 Parcel Number 112231015006 Project: <NONE> Contractor: JC ELECTRIC INC Phone: (305)754 -6949 Building Department Comments ELECTRICAL WORK FOR GENERATOR REPLACEMENT Inspector Comments Passed Failed EE Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. I—- 'an )eee For Inspections please call: (305)762 -4949 Miami Shores Villages �t'�IftllliA[$ 10050 N.E. 2nd Avenue " Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 _ ��rc ���w ...... 5� s Expiration: 09/2012008 Project Address Parcel Number Applicant 418 NE 105 Street 1122310150060 Miami Shores Pillage, FL Block: Lot: ST ROSE OF LIMA CATHOLIC Owner Information Address Phone Cell ST ROSE OF LIMA CATHOLIC CHURCH 9401 BISC BLVD (305)758 -0539 MIAMI FL 33138 -2970 Contractor(s) Phone Cell Phone Valuation: $ 1,0 JC ELECTRIC INC (305)754 -6949 Total Sq Feet 0 Approved: Yes Available Inspections: Comments: Inspection Type: Date Approved: 3/2012008: Yes sidewalk Date Denied: Final Type of Work: GENERATOR Additional Info: PRE -FAB SLAB Foundation Bond Return : Classification: Commercial Landscaping Fees Due Amount Total Amt Paid Amt Due CCF $0.60 Education Surcharge $0.20 $ 0.00 $ 0.00 $ 0.00 Notary Fee $5.00 Permit Fee $100.00 Payment Type: Scanning Fee $6.00 Technology Fee $2.50 Total: $114.30 jl 12 l� � APR 01 PAI® In consideration of the issuance to me of this permit, 1 agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. March 24, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Monday, March 24, 2008 1 Planning and Zoning Criteria Miami Shores Village Permit N0. DS 10050 N.E. 2nd Avenue .... Pest riY1l� V1tallt� Miami Shores, FL 33138 -0000 Phone: (305)795-2204 Fax: (305)756 -8972 y y rz .,,.. M „ AW Issue Date Not Issued Expires: Folio Number) 122310150060 Owner's Name: ST ROSE OF LIMA CATHOLIC CHURCH Owner's Phone (305)758 -0539 Job Address: 418 105 Street NE Total Square Feet 0 Miami Shores Village, FL Total Job Valuation: $ 1,000.00 Contractor(s) Phone Primary Contractor JC ELECTRIC INC (305)754 -6949 Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 3120/2008: Yes Comments: C =FN 200SR� e21 X13.2 OR Bk 26260 F's 2177; (Ias) NOTICE OF COMMENCEMENT RECORDED 03/11/2008 16:02:20 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION HARVEY RUVINY CLERK OF COURT MIAMI -DADE COUNT` P FLORIDA LAST PA63E , PERMIT NO. P50 8-• +dZ- TAX FOLIO N0. L I -2231- Of5�'�6b STATE OF FLORIDA: R E C AV COUNTY OF MIAMI -DADE: Q THE UNDERSIGNED hereby gives notice that improvements will be made to certain real AR 2 a OOS property, and in accordance with Chapter 713, Florida Statutes, the following information _ _ _ _ - ® -_ _ is provided in this Notice of Commencement. 1. Legal de cri tion of p roperty an street / addres 5'2 �t z ) -`rya r Lot-T 4 114 6 I t 2. Descriptionpf imp�rov�emt � Q Y' 3. Owner(s) name arty, address OR � Li / S 2cn w. S le— Interest in property: ed W Alt, t- " Name and address of fee simple titleholder: • I 4. Contractor's name and address: ... s C- £ I P_ -A, ._Z4 t-. ! `�0 � "7 S" u� lo'�s" `.�.A�•( /ti'd. 1�..�.- /G� '� � l � 5. Surety: (Payment bond req ired by owner from contractor, if any) Name and Address: N -oo Amount of bond $ 6. Lender's name a0d address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name and Address: pi ) A 8. in addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and Address: 9. =d iff ice of Commencement: (the expiration date is 1 year from the date of recording unless a Print Owner's Name Prepared by Sworn to and subscribed before me this _ day of 0 0 , 20 . Address: L�S-A„ l "� Notary Public: +� Print Notary's Name: ' My commission expires: �. Mal IV SPI 111ijer 5 - * mission �` Expires August 2L220 0 � e ft 19 SIA I OF FL0M0A, WUHT`9 OF WDE o f- vim pzu W1 4 hang &id 0 :, ta! ^,&d iti "3 y 1 lJ�llirl, 'CLE C'� ' �Y`unel pt I C U L M By D. 0 Py • • ElilE MTIF11C 4 TRIUN rm (TRACTOR MAR 2 02008 . . • • • 0 L p _ I • • • ISO ®� II r 14237 SW 125 Avenue • Miami, FL 33186 • Fax: (305) 2549447 .• .. . :6 ••. •• ST. Rose of Lima •. : : •. Generator Replacements ' • o :o- • • ITY 415 NE 105 Street Miami Shores, Florida 33138 Lis P7 M LA Awo 0 P PER #: t5 v -48Z Miami Shores Village 4PPROVED DATE ZONING DEPT ®� p v'z"'bo 0 r BLDG DEPT SUBJECT TO COMPL we 'tH AtL F&E STA OUNW BULES AND REGULATIONS 4 ff r� at �rc.-re,�a to (; ,4tr* - r~ O ° rL So a G r Prepar by: JC Rodriguez . Pre, eat; J Electric, Inc. .. .. 0 00 . . . .. .. g oo . ... . . . . . . . tand.by Pow% Rating Liquid Cooled • • • • •• • • • • Gas Engine 20 kW 160' Hk '•• '•' Generator Sets . ......... . Model Numbers: 05336T (Tan - Steel) • • • • • • .. .. . ....... 05336 (Tan - Steel) 05337 (Gray - Aluminum) W hisper Te s tTu ` Low Speed Exercise 62 dB(A) at 23 feet z � ,w - '� a - , r Naturally Aspirated Gaseous Fueled 4L us UL 2200 Listed " Model 5336T is equipped with a 100 amp NEMA 313 Transfer Switch. Transfer Switches are available for models 5336 and 5337 --�, STANDARD EQUIPMENT • All input connections in one single area • Watertight state of the art electrical connectors • High coolant temperature shutdown • Mainline circuit breaker • Low oil pressure shutdown • Radiator drain extension • Low coolant level automatic shutdown • Battery charge alternator • Overspeed automatic shutdown • 2 Amp static battery charger • Crank timer • Battery cables • Exercise timer • Battery rack • Oil drain extension • Fan and belt guards • Cool flow radiator • isochronous governor • Closed coolant recovery system • UV /Ozone resistant.hoses FEATURES • Innovative design and fully prototype tested • State of the art digital control system with R- Series digital control panel • UL 2200 Listed • Watertight electrical connectors • Solid state frequency compensated • Rodent proof construction voltage regulator • High efficiency, low distortion Generac designed alternator • Dynamic and static battery charger • Vibration isolated from mounting base • Sound attenuated acoustically designed enclosure • Matching Generac transfer switches engineered and tested to work as • Whisper- TestImfeature for low noise level exercise a system • Acoustically designed engine cooling system • All components easily accessible for maintenance • High flow low noise factory engineered exhaust system • Electrostatically applied powder paint U IA by Generac Power systems, Inc UIETSOURCE . . ... . . . ... • • • • • • • • GiiUARD1A1�Lu,....�a..,.. STANDBY 20kW U�� ••• . .. . .. .. ... . . . . • . • • • • • • so 00 0 ' ' • • STANDBY 20 kW 00 KW RATING • 20 ENGINE SIZE • • V • • • • • 1.6 Liter 4 cyl. inline GENERATOR OUTPUT VOLTAGM - 6" KW AMP CB Size 120/240V, single phase, 1.0 pf • 20 83.3 100 GENERATOR LOCKED ROTOR KVA AVAILABLE ® VOLTAGE DIP OF 35% single phase 34 ENGINE FUEL CONSUMPTION 60 Hz Exercise 25% 50% 75% 100% (Natural Gas) (Propane Vapor) le Load _Load Load _Load Natural Gas 0/hr. 60 124 188 250 315 LP Vapor 0/hr. (gal/hr.) 24 (0.65) 49 (1.35) 75 (2.05) 99 (2.73) 125 (3.44) ENGINE COOLING Air flow (inlet air Including alternator and combustion air) 0/min. 1,528 System coolant capacity US gal. 2.0 Heat rejection to coolant BTU/hr. 107,000 Max operating air temp. on radiator °C ( °F) 60 (150) Max. ambient temperature °C ( °F) 50 (140) COMBUSTION AIR REQUIREMENTS Flow at rated power 60 Hz cfm 91 SOUND EMISSIONS IN DBA Exercising at 7 meters 62 Full load at 7 meters 72 EXHAUST Exhaust flow at rated output 60 Hz Gfm 177 Exhaust temp. at muffler outlet OF 910 ENGINE PARAMETERS Rated synchronous RPM 60 Hz 3600 HP at rated KW . 60 Hz 34,8 POWER ADJUSTMENT FOR AMBIENT CONDITIONS Temperature Deration 3% for every 10 °C above - °C 40 1.65% for every 10 OF above - OF 104 Altitude Deration 1 % for every 100 m above - m 914 3% for every 1000 ft. above - ft. 3000 K3* �ts t RATING: All three phases units are rated at 0.8 power factor. All single phase units are rated at 1.0 power factor. STANDBY RATING: Standby ratings apply to installations served by a reliable utility source. The standby rating is applicable to varying loads for the duration of a power outage. There is no overload capability for this rating. Ratings are in accordance with ISO- 3046 -1. Design and specifications are subject to change without notice. KW rating is based on LPG Fuel and may derate with natural gas. Maximum wattage and current are subject to and limited by such factors as fueiBtu content, ambient temperature, altitude, engine power and condition, etc. . . ... . . . ... .. .. . . . .. .. . . . . . . . . . . . APPLICATION •�• •�• & ENGINEERING DATA ST .. . • .. . . .... GENERATOR SPECIF6VON9 " " ' ENGINE SPECIFICATIONS TYPE .. . ......................................................................... �.... �... .....,....,....�)Rl+�ttroadU3 , %o1KE .... Generac ROTOR INSULATION ........................... .........................�.,... �.!.�... �....�... #-.w!tCIrF W DEL ....................................................................................................................... In line STATOR INSULATION ............................ ................... +i �....�.... ...�. ...!,�,Cl sF • 4CSfLINDERS................................. 4 ........... ............................... _..... .....4......................... TOTAL HARMONIC DISTORTION ...................................................... ............................<5% TELEPHONE INTERFERENCE FACTOR R F) I .................................. ............................... <50 DISPLACEMENT ......................................................................... ............................1.6 Liter BORE ................................................................... ............................... ........................... 3.15 ALTERNATOR OUTPUT LEADS 3 PHASE ...................................... ..............................4 wire BEARINGS ......................:............................ ............................... .........................Sealed Ball STROKE ......................................... . ............... ..... .......................................................... 3.13 COUPLING ................................................. ............................... .......................Flexible Disc COMPRESSION RATIO............................................................... ............................... 9.75:1 LOAD CAPACITY (STANDBY RATING) ........................................ ............................... 20 kW INTAKE AIR SYSTEM... ..................................................................... ......Naturally Aspirated EXCITATION .................................................................. ............................... Direct VALVE SEATS .................... . ................................................................................ Replaceable LIFTER TYPE .......................................................................... ............................... Hydraulic NOTE: Generator rating and performance in accordance with ISO8528- 5, BS5514, SAE J1349, ISO3046, and DIN6271 standards. GOVERNOR SPECIFICATIONS TYPE...................................................................................... ............................... Electronic FREQUENCY REGULATION ........................................................... ....................Isochronous VOLTAGE REGULATOR STEADY STATE REGULATION ..................................................... ............................... 1 0,25 ADJUSTMENTS TYPE ................................................................ ............................... ......................Electronic Speed ........................................... . .............................................................. yes SENSING .................................................. ............................... .........................Single Phase Droop ............................................... ............................... ............................ Yes REGULATION ................................................................................. ..............................±1% FEATURES ..................................................................... ............................... V/FAtljustable ENGINE LUBRICATION SYSTEM Adjustable Voltage and Gain LED Indicators OIL PUMP ........................................................... ............................... ...........................Gear OIL FILTER ........................ ............................... ...........................Full flow spin -on cartridge GENERATOR FEATURES CRANKCASE CAPACITY ........................................................... ..............................4 Quarts • Revolving field heavy duty generator ENGINE COOLING SYSTEM • Directly connected to the engine • Operating temperature rise 120 °C above a 40 °C ambient TYPE .......................................................................................... ............................... Closed • Insulation is Class F rated at 130 °C rise O All models are fully prototyped tested WATER PUMP ............................................ ............................... ...........................Belt driven FANSPEED ........................................................ ............................... ........................... 2550 FAN DIAMETER ........................................................................ .............................15 Inches FANMODE ................................................................................. ............................... Pusher CONTROL PANEL FEATURES FUEL SYSTEM C3 SEVEN LED INDICATOR LIGHTS C] ADDITIONAL FUNCTIONS • System ready • Utility sensing FUEL TYPE ................................................. ............................... Natural gas, propane vapor • Low fuel pressure • Delay on utility failure for engine start • Low battery • Engine warm -up before transfer CARBURETOR ........................................... ............................... ...........................Down Draft • Low oil pressure • Delay to retransfer to utility SECONDARY FUEL REGULATOR ............................................ ............................... Standard • High coolant temp/low coolant temp • Engine cooldown timer FUEL SHUT OFF SOLENOID ............................ ............................... ....................... Standard • • Ove crank •Exerciser not set OPERATING FUEL PRESSURE ............................................ .............................5° -14° H2O O INT3�iLn switch (a off and manual) ELECTRICAL SYSTEM • 2 wire start for any transfer switch • Communicates with the Generac FITS transfer switch BATTERY CHARGE ALTERNATOR ......................................... ............................12V 30 Amp • Built -in 7 day exerciser STATIC BATTERY CHARGER ...................................... ............................... ... 2 Amp ............ . • Selectable engine speed at exercise RECOMMENDED BATTERY .................................... ............................... Group 26, 525CCA • Governor controller is built into the master control board • Temperature range -40 °C to 70 oC SYSTEM VOLTAGE .................................................................... .............................12 Volts Rating definitions - Standby: Applicable for supplying emergency power for the duration of me utility power outage. No overload capability is available for this rating. (All ratings in accordance with BS5514, IS03046 and DIN6271). (All ratings in accordance with BS5514, IS03046. IS08528 and DIN6271). • • ••• • • • ••• • • • • • • • • • GUARDIAN',".= ILATERCONNECTONS .: .O.STANMY4RW UIET SOURCE .... . . .... •• •• ••• •• Utility In o 0 0 .. .. . ....... C1 Enclosure 20 -25 KW QT 0 0 ^� Gen coo 8 e 000 o.a0000 m R100 CONTROL Load Out PANEL rd Battery GENERATOR Lug Charger CONNECTION Input g o BOX Transfer Switch Xfar ° LUQ C4cuft Breaker c ° NEUTRAL SW Input fi 0 ° To Generator Control Panel Flexible Conduit ° ENCLOSURE CIRCUIT BREAKER SIZE KW VOLTS / AMPS LUG SIZE Ground Level 20 24010 90 #6 to 1/0 Concrete Slab FRAME RAIL INSTALLATION LAYOUT VISE ACTION LATCH, 37 ONE PER DOOR, ONE LIFT -OFF DOOR PER SIDE OF GENERATOR 29 ---�{ EXHAUST AIL MUFFLERS :0 F ENCLOSED WITHIN INI 35.7 Concrete Slab Q o 0 FUEL LINE CONNECTION Ref Dwg OF7555 REAR 3 /4 °NPTFEMALECOUPLING LEFT SIDE VIEW UNIT WEIGHT: Steel 784 lbs., Aluminum 694 lbs. GENERAC" POWER SYSTEMS, INC. • P.O. BOX 297 • WHITEWATER, WI 53190 WEBSITE: www.guardiangenerators.com Gt1S20kW1.6L 7.06 0 2006 Generac Power Systems, Inc. All rights reserved. All sprAcations are subject to change without notice. GO TO OU R WEBSITE FOR DIRECTIONS To'`OUR PAb : :.:: • PrCKUP YARD :.:. GVNERATOR . ... .......... . PADS 0:0 000 .. . . vmwso uth eastm ate ri a ls. co m OTHER SERVICES • Configured for select national • Sales & Marketing Consulting generator brands • Website Design & Construc- tion Starting at $254 •Comes with signed Engineering . • Brochures Documents with raised seal • 4ogos • Installs In minutes by two men •`,�ass Mailings . Just a fraction of the cost of pouring Coming Sooni LP Anti- Floatation Systems 2234 N Federal Hwy. Suite 478 Bow Raton, FL 33431 (561)' 1 445 -8164 Phone S/mpltfying The + (561) 347 -7655 Fax 2/07 E +OE www.southe (561) 445 -8164 Southeast Generator Services, Inc. - Installation Page 1 of 2 . • • . . ... ... • . •• ...... . . ....... .... ••. • ••• •• • • • • • ••• •• View our Photo Gallery Home Contact Us Consulting Products Installation Location Installation Alwompany News Why pull an expensive, valuable crew from wiring a generator to pick -up, level the site, Sales and Marketing then put down a pre -fab concrete pad when Southeast Generator Services can do Consulti this for you? g Let South East Generator Once the generator pad is paid for, you will receive the valuable engineering Services help your documents for the generator permitting process. In the mean time SEGS will store company grow to the next your pad until we receive a phone call from you that's its time to put your pad down. level. We have the You will never have to store, move or even touch the pad until the generator is placed expertise, background and on top. tools to provide your company with the Our crews have put down hundreds of our pads and do it right each and every time. knowledge and services This is one less headache for you, the contractor. Focus your valuable time on you have been looking for. managing more important issues or making more money giving more estimates. More The best news...... When SEGS sells and installs your engineered pre -fab concrete pad, its still cheaper, faster and with less headaches then pouring a pad. Letting SEGS handle the pad installation makes good business sense. Products View our Installation Photo Gallery h: f Ys E � 4 See our Products nowl C http: // southeastmaterials .com /installation.htrn 3/19/2008 Southeast Generator Services, Inc. - Sales and Marketing Consulting Page 1 of 2 . .... . ...... . • • • • • • • • • • • • • • • • • • IRA • • ••• • • • • ••• s s, �T • • • • • • • • • • • Mb' ••• • • • • •• • $ERY • • • ••• •• �4 3. w View our Photo Gallery Home Contact Us Consulting Products Installation Location all Sales and Marketing Consulting Amompany News Let South East Generator Services help your company grow to the next level. We LP Tank Anti - Flotation have the expertise, background and tools to provide your company with the Systems knowledge and services you have been looking for. And better yet, its all under one roof and a lot cheaper then you ever thought. SEGS can design a total Engineered propane tank anti - marketing program for your company or provide just one specialized service. Tell flotations stems that can an us what your trying to accomplish and we will give you honest and professional y be advice you can bank on. We are a great place to turn to if you have questions. installed by two men. And again, its much cheaper then you ever anticipated. Coming Soon! Here are some of the areas we can help you... Image: Products Are you a small company who wants to look bigger? Or are you a big company who wants to look more personal? No matter what your trying to convey, SEGS can give you a more polished and professional look which in turn will increase sales. Website Design, Construction & Management: If you don't have a website you run the risk of being pegged as a company operating out of the front seat of a pickup truck. A Website Reduces each job by two will instantaneously give you credibility and for as little as $250. inspectionsl SEGS is under the same ownership as Simple Office Solutions, Inc., a back office support company and virtual secretary. The number of back office services we can offer you and your company • Configured for Guardian & run into the hundreds. Simply put, we know what makes a website Generac products generate business! To view more information on website design and construction and other back office services click here. • Comes with Engineering E Marketing: Documents with raised seal The world has changed over the past decade. Print advertising • Installs in minutes by two men should only be part of your marketing strategy. If your not utilizing the web as a source of obtaining new business then your leaving • Just a fraction of the cost of money on the table. SEGS can design an E Marketing program just pouring for you. Sales Force Building: • Generator- mounting hardware with vibration pads included Time is a precious commodity for a busy business owner. If you don't have the time to place help wanted ads, then schedule Installation Available Call for rates hq: / /southeastmaterials .com/marketing.htm 3/19/2008 Southeast Generator Services, Inc. - Sales and Marketing Consulting Page 2 of 2 interviews, let SEGS do this forryos ;MtefvI'6we can be•t6d at our • Free delivery for - Dade, office in our impressive conference room. Because we have built Broward & Palm Beach successful sales teams in the past we know what to look for in a Counties. See minimum order sales people for your c0paill:We wt asset you as littls U as requirements on Products much as you want us tc=. *leftg' the Vght'gjop?e t)ryowi' � page organization is as impol�At tC as it la to VA. • • Engineering documents, .. . . . .. V o ., mounting hardware, vibration • • • • • • • • pads and instructions provided • •.• • • • • •. • with eve ad. i i : � ever p •• • • • • • ••• •• Be notified as new time and money saving products come on line Click Here to send E -mail Request Home I Contact Us I Consulting I installation I Location I Photo Gallery I Products Copyright ® Southeast Generator Services, Inc. Designed by Simple office Solutions hq: / /southeastmaterials .com/marketing.htm 3/19/2008 Southeast Generator Services, Inc. - Installation Page 2 of 2 ... . ..... . .. .. . ....... Be notified as new time and money saving products come on line Click Here to send E -mail Request Home I Contact Us I Consulting I Installation I Location I Photo Gallery I Products Copyright ® Southeast Generator Services, Inc. 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'.. � . ,,� ....*`�....�;�*­.-,.�, ... .,. -.'.,� �L`�', ."4 .. , ,,"I'll, - . -, . � .� t4 ... r, � "************ , � - * ..... . ,� �­_,' _7 "� ", ,,,, , "" -0g"-qqg-_"" n'"a-,"", _ ON A. ,..:­:*�*�-.,�,_... . * , 11 __*�t "", � . . , ,�.!�� �. . .,.,. � ,,,l , . . 'A , ....... ,, � "I I- , ,_� .... ::: � �;.,� ...... 2 1 ­1­0-0 * , � , ..'� :, �tiI , � ` __._ - �i., . ,� 11 ­ 44. __­­�q � - " L� ��Io; ,,-�,i.�,,��,4��,.��,t.,*�;,�,.'�� ­�­,­ _'. . . 0� .1 ......... ,., - � - , ** ** -�. . '.-__­_­I�"�.­­_" .. I - . , , , � "I'll, � **. , �,.� � . .., . . .111, ... I I QQ4� 11 � _ "_� e �� . . I o , .. � , I, * - � " " . � ... , - 4 -2 : ..... �,_,�__�_,_,, " �.,,�,,,,,� - .o-L . ���� 2: 11 _. 1, 00 FL Tuo - Miami Shores Village o Building Department MAR 2 0 2ooe 10050 N.E.2nd Avenue, Miami Shores,. Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. 175 0 - A'RZ PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Building Roofing Owner's Name (Fee Simple i e older) 4 5f ` 4 1 & 9 LO O& 006 Phone # 16 "'15 9 -60 Owne Address _ VS WE \M* �'fk1t City 1 \WMty S State Zip 3313 8 Tenant/Lessee Name '�Jl ' MI5 "U6 Phone # Job Address (where the work is being done) 41 q Nr im tk 57ft City Miami Shores Village County Miami -Dade Zip 3 13$ FOLIO / PARCEL # I - ZZ31`alS UOLV / Is Building Historically Designated YES NO V Contractor's Company Nam Phone # Contractor's Address Itzil zW I ZS QYE City State IL Zip 33�G Qualifier Name Phone # State Certificate or Registration No. _cc- wu45 Certificate of Competency No. Architect/Engineer's Name (if applicable) N1A Phone # Value of Work For this Permit $ 4 n Square / Linear Footage Of Work: Type of Work: []Addition ❑Alteration ❑New [�Repair/Replace ❑ Demolition Describe Work: A(tywa, t57iw, ZU KIN r esm 8 r-V4 rt LJrfli N dw 20KG.t kfuL/yar• Submittal Fee Permit Fee $ CCF $ CO /CC Notary $ 1 6.0 Training/Education Fee $ ©' OLI Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ ' VU See Reverse side -4 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 J � The foregoing in rument was acknowledged before me thi�� day of.�Li 20 d kf , by t YYIt,t S y I e day of !w,-c / , 20 e16� by , who is persona known to me or who has produced who is personally known to me or who has produced L As identification and who did take an oath. b �.. L'� identification and who did take an a h 1 NOTARY PUBLIC: NOTARY PUBLIC: C0 �iL Sign: c P' M`t S'• pua Sign: * . IPrint: �'�� �1ft 1�t rieft �c� i� Print: eklCa go "aep� "U bMy Commission Expires: R aL My Commission Exp1 Dell Marie S rin, �r , . , y y + dommission 1 566868 Nq o` Expires August 25, 2010 f1F f� Bonded Troy Fain • Insurance Inc 800.3857019 +/ -T kT_ -A. ilUD /1tI /� l �/J L 1 // 8 APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 07/10/07) �Y ¢ Miami Shores Village'f T "Pe Zjec1ca ..iI��II 10050 N.E. 2nd Avenue {+ j�y1, j to Miami Shores, FL 33138 -0000 d � Petrnit= Statues &f�loVEi} u y , ti Phone: (305)795 -2204 � , s LoR1"ut* a Expiration: 09 /20/ 200 Proje Addre Parcel Number Ap plicant 418 NE 105 Street 1122310150060 ST ROSE OF LIMA CATHOLIC Miami Shores Village, FL Block: Lot: Owner Information Addr ess Phone Cell t ST ROSE OF LIMA CATHOLIC CHURCH 9401 BISC BLVD (305)758 -0539 MIAMI FL 33138 -2970 Contractor(s) Phone Cell Phone :-- .___...�_. �_, � _._ �.. .,....._... � ........ ..............................� Valuation: $ 11,000.00 JC ELECTRIC INC (305)754 -6949 .. Total Sq Feet: p Type of Work: ELECTRICAL Available Inspections: Additional Info: GENERATOR Inspection Type: Classification: Commercial Final Fees Due Amount Total Amt Paid Amt Due CCF $6.60 - Education Surcharge $2 -20 $ 0.00 $ 0.00 Notary Fee $5.00 1 : Permit Fee - Additions /Alterations $330.00 Payment Type: Scanning Fee $3.00 Technology Fee $8.25 Total: $355.05 PAM In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. March 24, 2008 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy Monday, March 24, 2008 1 Miami Shores Village *� 5� Building Department MA z V008 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 - .- "��..ra►, �e Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. _�L�. U$'4y PERMIT APPLICATION Master Permit N o : - DS o8- 48 FBC 2004 Permit Type Electrical Owner's Name (Fee Simple Titleholder) & Tiff ?F/1014 Cyvr(b Phone # '75B'6J31 Owner's Address 1z &— 3 - tyw City nittutl S State FL Zip 331 Tenant /Lessee Name Phone # E -MAIL: Job Address (where the work is being done) 448 Nf 105 qtr' City Miami Shores Village County Miami -Dade Zip '3313 6 FOLIO / PARCEL # (� "Z2�1' DIS - bb60 Is Building Historically Designated YES I NO Contractor's Company Name JC— El ff y(C :rK, Phone # 3 6 6 754 '0 -f l Conti Address 1�Z3� 5 5 ME M aw aw I State ill Zip 'yw 7 4 Qualifier Name Phone # State Certificate or Registration No. 15C 600 Z6 45 Certificate of Competency No. E -MAIL: Architect /Engineer's Name (if applicable) Phone # cv Value of Work For this Permit $ A go Square / Linear Footage Of Work: Type of Work: ❑Add.ition ❑Alteration ❑New ❑ Repair/Replace ❑Demolition Describe Work: elf c�oad wiNK 6yy ff*drg W v epAtaw�uT J xxx * *i:i:i:i:xr. irxr.xxat r. icxi : *rr.i:r.r.xxr.x9;;r.xr.r,a: Y Fee$ i; xxr. : r. r. xr .i:r.r.r.r.xxr.r.cr.xr.r.xxt atx r. is r. r. r. r. r, Y.xk a': tx� *r. Submittal Fee $ Permit Fee $ 330' Q'O CCF $ (Q ' CO /CC Notary $ _ Training /Education Fee $ Technology Fee $ b' 7 Scanning $3 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ •� . See Reverse side -� Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address 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. l 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: 1 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 inspection will not pp o s ection fee will be charged. Signature Signature Owner or Agent Contractor tC, The foregoing instrument was acknowledged before me this The foregoing /tr�ument was acknowledged before me this day ofi ar 2009 by Sew MLAS D9 V 1'1�­ day o J" 20 d eby who is nown tom or who has produced who is personally known to me or who has produced L As identification and who did take an oath. Z as identification and who did take NOTARY PUBLIC: NOTARY PUBLIC: 3 6 . .7 A P M � Q M M SSd� e i�cun��`" ter �„ Sign: Sign: yF R mry u M ari # DD566868 Print: � 1 r l(Ji1 �` Print: My Commission Expire a andedTroyFam•In wance.Inc 800.38&7019 My Commission E ' APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 02 /08/06)