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DS-07-1150Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 11/05/2007 Inspector: Grande, Claudio Owner: KORNBLUH, ALAN Job Address: 1260 94 Street NE Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Miami Shores Village, FL Project: <NONE> Contractor HOME OWNER Phone Number Parcel Number 1132050100180 Block: Lot: Building Department Comments SLAB FOR GENERATOR Passed 01 1 /j(j Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments my CREATED AS REINSPECTION FOR INSP- 51232. As per the approved drawing the generator frame shall have 10 clips and bolts to slab, only 4 have been installed. 10/22/07 CG. Thursday, November 1, 2007 Page 2 of 2 111111111111 1111111011111111111 111 NOTICE OF COMMENCEMENT CFN 2007805 5 %426 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION CSR E k 25669 pg 0777 € t 1P y t RECORDED 06/04/2007 10 :16 :42 HARVEY RUVIN? CLERK OF COURT PERMIT NO. TAX FOLIO NO. 11- ,3,` e)•()I) •OI'� MIAMI-DADE COUNTY? FLORIDA LAST PAGE 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. 2. Description of improv . ■Lti ._ ent 3. er(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. C • actor's ame and address: vs a , nl A. v 5. Surety: (Payment bond required by owner from contractor, if any) Name and Address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name and Address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and Address: 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) 1%t1 „41- Sign = re of Owner Print Owner's Name i t-\ axN, \& r (N.W. u h Prepared bYt226 22Q ,, L / Sworn to and subscribed before me this 30 day of Ma)/ , 20Q1 . Address: Notary Public: NI Print Notary's Name: My commission expires: o`�• I t • L NOTARP PUBLIC . S^"ATI< OF FLORIDA •. Melanie Watson ;Commission FEB. D� 9 6633 $'�4nase Expires: B 11, 2011 ONDBp71IBIII1T 4NTUCBONOINGCO, INC. STATE OF FLORIDA, COUNTY OF DADE r HEREBY CERTIFY that this rs a true oozy of the )rrginal fit ,n IS office on ---- %�_� --- day f ,AD20 rat Seal. 'MTN Airy hand and Off, HAR`, _ I . CL t: ay my Courts D.C. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795 2204 Fax: (305) 756.8972 yip a.� ,� ) .;. "� .fur 0 4 ? jjj B Y: -- - - -. -� BUILDING • OCo b alM, . -- Permit No. ilS f i l5C) PERMIT APPLICATION 3 FBC 2004 Permit Type (circle): Master Permit No. Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) IS' alt1 UN- 0, N u r l Phone # 806 vi Owner's Address City ►r 't� � i State ct.... Zip 15 5 IS Tenant/Lessee Name Phone # Roofmg Job Address (where the work is being done) 1 acoo € -}s City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Zip Is Building Historically Designated YES NO t5 Contractor's Company Name a . o ✓ Phone # Contracto's Address — --� = fi City ° State Zip - -- ,-_ 2 Qualifier Name r Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Phone # Square / Linear Footage Of Work: Z4 Or Type of Work: ❑Addition ❑Alteration New ❑ Repair/Replace Demolition Describe Work \ t> r P ********* * * * * * * * * * * * * * * * * * *** * * * * * * * * * *F * Submittal Fee $ Permit Fee $ /60 0 CCF $1\ 4 CO /CC Notary $ Training/Education Fee $ 3 Iso Technology Fee $ :2. 50 Scanning $ r Radon $ DPBR $ Zoning $ Bond $ - Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ (20 rip ���� V �� ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** See Reverse side --� Bon Bon City Mo Mo City Appl corn cons WEI OW appli KW PAY CO CO Noti prom whos 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 ding Company' ling Company' IISUBMITTAL DATE: 101A& 4t (T I • IMPACT FEES NOC tgage Lender's Na) gage Lender's Ado ication is hereby i it'. n nstallation ha IADDRESS: p(,,n /4E, a4 I PROJECT TYPE: ( 1/\1, STRUCTURAL ,e,,c7e:r9„0„ ELECTRICAL ``. 3 MECHANICAL g 1 Signatur wner or Agent The foregoing instrument was acknowledged before me this day of j y , 20`x--1, by who ' ersonaliy knows o me or who has produced As identification and who did take an oath. NOTARY PUBLIC - STATE OF FLORIDA "" "" ' Melanie Watso ,,A Commission #DD639063 T. nib` Expires: FEB. 11, 011 Sign: $ ATLANTIC BONDING Co, INC. NOTARY PUBLIC: Print: A `ems My Commission Expires: 1, V 1 t APPLICATION APPROVED BY: (Revised 02/08/06) Contractor The foregoing instrument was acknowledged before me this day of s 20 Cnby who personalty known to e or who has produced as identification and who did take an oath. NOTARY PUBLIC - &' ' " (i T')A NOTARY PUBLIC,"" Mc: _ .. r _ A; :Commissic, t 4 )D6& 3 ',„ r°k"m7l: 1 A/4C. Print: 1 i My Commission Expires: ail. L I Plans Examiner Engineer Zoning DC "- 1 Va� VILLAGE OF MIAMI SHORES OWNER BTUILDER DISCLOSURE STATEMENT NAME: A kp y cOi n,b L'1 DATE: (f I 4/ .07 ADDRESS: ) Lob ME - k A, 07 Po hereby petition the Village of Miami Shores toad as my own contradtor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have.read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand I as the owner must appear in person to complete, all. applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one-family or two- family residence. You may also build or improve a commercial building at a cost. of $25,000.00 or less. The building must be for yottr_own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the .construction is complete, the law will presume that you built for sale or lease; which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed Must work underyour Supervision and must be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this construction Initial a 2. I understand that as ari owner - builder I must abide by all zoning ordinances and building regulations in effect at.the time of permit application Initial L 3. :T have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial 4. I understand that the building official and inspectors are not there to design, after or give advice on how to, meet code —. only if the structure meets the minimum code. Initial 5. I understand that as an owner-builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Initial ar 6. I understand that if I compensate any person or company for work performed they are required to have *a business license in the county. If for. any reason they do not posses a business license. I will be responsible and liable for any wrong doing from this unlicensed ctimpanyor person. 7. I. understand that if any person gets injured. on my construction project —they are entitled to wdrkmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial 8. I understand that under state and local laws I. can not do any Electrical, Plumbing, Heating, Air & Roof work on my.property with out first obtaining the proper permits by licensed contractors. Was acknowledged before me this f y day of Initial 6 wn to me or who has Produced there. License or as identification. NOT 110TARY PUBLIC - STATE OF FLORIDA Melanie Commission #DD63 B. °' Expires: FEP ?. 11, C.5� YEW ATLANTIC $or, ,n CO, .-' Expires: " ...J TH1tU ATLANT, 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. DS -6 -07 -1150 Issue Date: Not Issued Expires:Not Issued Folio Number:1132050100180 Owner's Name:ALAN KORNBLUH Job Address: 1260 94 Street NE Miami Shores Village, FL Owner's Phone: Total Square Feet: Total Job Valuation: 24 $ 19,000.00 Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 6/5/2007 : Yes Comments: AFFIDAVIT STATE OF FLORIDA COUNTY OF DADE The undersigned Affiant, Lk4 h does here,* attest that the attached survey, performed by 'Thei-k-a., 6Lis DeLioN,Th Itc performed on ( 0 • I S , is an accurate representation of the existing conditions and locations of all Structures on the property as of this date. The purpose of the Affidavit Is to induce Miami Shores Village to issue a building permit for the property withatt first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which may now exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may effect final inspections as applicable to this or other permits. Further, Affiant sayeth naught. Witness • print) AfflantiProperty &ow 7ak Flit/P/4s rftnai arikc. ancPCIrint4 Affiant is sonally known to me, SWORN TO AN BSCRIBED before me this 6") day of jj2C2„,4___ . produced as identification. *Mei PUBLIC - MU OF FLORID31--- Melanie Watson Notary Commission #DD63903 xpires: FEI3. 11,2011 BONDED THRUArLAPOIC BOUDING CO., INC. ILLMAN ENGINEERING, INC. Main Office - 2303 W. McNab Road #15 - Pompano Beach, Florida 33069 954 - 975 -9008 Fax 954-975- 9011 E -Mail - contact us by Name @hillmanenaineerine.com State of Florida Board of Professional Engineers Certificate of Authorization # 8785 ON CONBULTBRT, CLONAL SNGINSEMING 8 800EN8IC8, ACCIDENT INCONSMCIION, INSPECTIONS, 8119 & BuILb G DES10NS FRCC PRODUCTS - FEATHERLITE GENERATOR PADS - Engineering Calculations for Wind Loads 1010 Seminole Drive - Suite # 410 - Fort Lauderdale, FL 33304 - (954) 294 -5957 TYPE OF PRECAST PAD HERCULETE LIGHTWEIGHT CONCRETE or FIBERLITB•IJQHTWEIGHT CONCRETE ••••• • • •••• f;IOP MOUNTED PADS • • At1.a€ chore I>u J set 4" MINIMUM from the edge of the pad • • • •. • • AIL Anchors to lgy 8" Diameter Galvanized Grade 2 bolts with • • • • . Galvanized He ixv en r Washers on the Bottom of the pad • .6gting with 711U- FAST•P'T•2000 pull tester yielded a minimum of 1,000 lbs. of usable resistance per bolt allowable @ 4" cc clearance •• tp gad edge trta no defeat t pads @ 1,000 lbs of pull. These anchor Locations must be factory predrilled to assure minimum clearance. • • • • • ; j1 NUTE MAN: ANCHORS (alvanized Auger Anchor Model # MMA2 5/8" x 48" rod with single 6" disc • Working Loa ; x501i9s a Ultimate Load = 4725 lbs as published in "Mobile/Manufactured Homes Approved Product List For Installation" V; he Depar•*ment of Highway Safety and Motor Vehicles WIND LOAD psf LESS THAN 15' HEIGHT CATOGORY II, EXPOSURE C,143mph uplift = -29.12 psf wall = 29.12 psf ISSUED OCTOBER 20, 2006 FIELD MOUNTED PADS See attached mounting details with hardware supplied as part of pad manufacture. FIBERLITE PAD CONFIGURATIONS & WEIGHTS FRCC GEN 1 36"1 48" x 4" FRCC GEN 2 48" x 64" x 6" FRCC GEN 3 48"x84 "x6" FRCC GEN 4 106" x 48" x 6" FRCC GEN 5 128" x 48" x 6" FORMULA(S) TO CHECK STABILITY: = 200 LBS WEIGHT DT >U Where, = 538 LBS WEIGHT DEADLOAD: Dr = GEN. WEIGHT + PAD WEIGHT + AUGER ANCHOR WORKING LOAD = 700 LBS WEIGHT = 833 LBS WEIGHT UPLIFT: U = -29.12 x GEN. TOP AREA = 1067 LBS WEIGHT WIND LOAD CALCULATIONS AS PER FLORIDA BUILDING CODE 2004 & ASCE 7-02 OVERTURNNING: M 0 = 29.12 (Generator Wall Area) x y (Generator Height + Pad Height) + 29.12 psf (Top Area) x 1/2 (Pad Width) M a= 0.6 Z DT z1/2 (Pad Width) F.S.= MR/M0 PAD ANCHOR GEN 2 N/A GEN 2 N/A GEN 2 N/A GEN 3 N/A GEN 2 N/A GEN 2 N/A MODEL # 4389 4456 4390 5012 5240 5241 H(") L(") W(") 28.5 48 24 28.5 48 24 28.5 48 24 28 72 30 28.25 48 24 28.25 48 24 WEIGHT(lbs) 452 470 487 1300 336 375 TOP A (s.f.) 8.00 8.00 8.00 15.00 8.00 8.00 WALL Al (s.f.) 4.75 4.75 4.75 5.83 4.71 4.71 WALL A2 (s.f.) 9.50 9.50 9.50 14.00 9.42 9.42 DT (lbs) 990 1008 1025 1838 874 913 U (lbs) 233.0 233.0 233.0 436.8 233.0 233.0 MO(1) MO(2) MR(1) MR(2) FS1 FS2 863.6 637.8 1188.0 1584.0 1.38 2.48 863.6 637.8 1209.6 1612.8 1.40 2.53 863.6 637.8 1230.0 1640.0 1.42 2.57 1451.1 1184.9 2205.6 2940.8 1.52 2.48 857.2 637.5 1048.8 1398.4 1.22 2.19 857.2 637.5 1095.6 1460.8 1.28 2.29 1 These calculations are copyrighted & any reproduction is a vloiation of law. Violators will be prosecuted. PAD GEN 2 GEN 2 GEN 2 GEN 3 GEN 3 GEN 3 GEN 3 GEN 3 GEN 3 GEN 3 ANCHOR N/A N/A N/A MMA2 N/A MMA2 MMA2 N/A N/A MMA2 GEN 3 MMA2 • G$,Ri M1Vi42 °°°°°° GEl�j,3.. 'N /A • • • G 3 • MNI• • • • .... GEN3 • •GEtr'••. MM .2.. • • .. ... GEN 3•'. MME'• �•. • •••• .. • • • •GEN 3 • MMt2 : • • GEN 3.. • • ,MMA2, • • "'•,GENA•••• MMAI • ' • IGEN 4; •' MMA2 • GEN 4'' • MMA2 GEN 4 MMA2 GEN 5 MMA2 GEN 5 MMA2 GEN 5 MMA2 GEN 5 MMA2 GEN 5 MMA2 • Mg •• MMAL• MODEL # 5242 5243 5244 5211 5213 5219 4992 5221 5220 5261 5262 5210 5212 5259 5260 5324 5325 5388 QT35 * QT45 * QT50 * QT55 * QT60 * QT70 * QT80 * QT80 ** QT100 * QT130 * QT150 * ( *) = Steel Enclosure ( * *) = Aluminum Enclosure TOP A WALL WALL H( ") L( ") W( ") WEIGHT(lbs) (s.f.) Al (s.f.) A2 (s.f.) DT (lbs) U (lbs) MO(1) MO(2) MR(1) MR(2) FS1 FS2 28.25 48 24 426 8.00 4.71 9.42 964 233.0 857.2 637.5 1156.8 1542.4 1.35 2.42 28.25 48 24 445 8.00 4.71 9.42 983 233.0 8572 637.5 1179.6 1572.8 138 2.47 28.25 48 24 445 8.00 4.71 9.42 983 233.0 857.2 637.5 1179.6 1572.8 138 2.47 36 71 29.5 701 14.55 7.38 17.75 4551 423.6 1751.6 1513.8 5461.2 9557.1 3.12 6.31 36 71 30 970 14.79 7.50 17.75 1670 430.7 1766.0 1539.4 2004.0 3507.0 1.13 228 45.1 76.8 33.5 1431 17.87 10.49 24.05 5281 520.3 2531.9 1875.2 6337.2 11090.1 2.50 5.91 42.2 76 33.5 1400 17.68 9.82 22.27 5250 514.9 2332.3 1849.8 6300.0 11025.0 2.70 5.96 45.1 76.8 33.5 1658 17.87 10.49 24.05 2358 5203 2531.9 1875.2 2829.6 4951.8 1.12 2.64 45.1 46.8 33.5 1314 10.89 10.49 14.66 2014 317.0 1542.9 1163.9 2416.8 4229.4 1.57 3.63 45 77 33.5 1558 17.91 10.47 24.06 5408 521.6 2532.3 1879.7 6489.6 11356.8 2.56 6.04 45 77 33.5 1441 17.91 10.47 24.06 5291 521.6 2532.3 1879.7 6349.2 11111.1 2.51 5.91 36 71 29.5 776 14.55 738 17.75 4626 423.6 1751.6 1513.8 55512 9714.6 3.17 6.42 36 71 29.5 1045 14.55 738 17.75 1745 423.6 1751.6 1513.8 2094.0 36645 1.20 2.42 45 77 33.5 1331 17.91 10.47 24.06 5181 521.6 2532.3 1879.7 6217.2 10880.1 2.46 5.79 45.1 76.8 33.5 1276 17.87 10.49 24.05 5126 520.3 2531.9 18752 6151.2 10764.6 2.43 5.74 36 71 29.5 794 14.55 7.38 17.75 4644 423.6 1751.6 1513.8 5572.8 9752.4 3.18 6.44 36 71 29.5 694 14.55 7.38 17.75 4544 423.6 1751.6 1513.8 5452.8 9542.4 3.11 6.30 45.1 76.8 33.5 1255 17.87 10.49 24.05 5105 520.3 2531.9 1875.2 6126.0 10720.5 2.42 5.72 46 77 34 1090 18.18 10.86 24.60 4940 529.4 2610.8 1910.1 5928.0 10374.0 227 5.43 46 77 34 1100 18.18 10.86 24.60 4950 529.4 2610.8 1910.1 5940.0 10395.0 2.28 5.44 46 77 34 1410 18.18 10.86 24.60 5260 529.4 2610.8 1910.1 6312.0 11046.0 2.42 5.78 47.9 965 36.8 1973 24.66 1224 32.10 5956 718.1 35355 32385 7147.2 15783.4 2.02 4.87 48 89 34 1415 21.01 11.33 29.67 5398 611.9 3167.6 2764.5 6477.6 14304.7 2.04 5.17 47 97 37 2430 24.92 12.08 31.66 6413 725.8 34875 32702 7695.6 16994.5 221 520 54.8 1152 36.8 2010 29.44 14.00 43.84 6227 857.3 4948.7 4658.3 7472.4 19926.4 151 4.28 54.8 115.2 36.8 1836 29.44 14.00 43.84 6053 857.3 4948.7 4658.3 7263.6 19369.6 1.47 4.16 54.8 1152 36.8 2562 29.44 14.00 43.84 6779 8573 4948.7 4658.3 8134.8 21692.8 1.64 4.66 54.8 1152 36.8 2730 29.44 14.00 43.84 6947 8573 4948.7 4658.3 8336.4 22230.4 1.68 4.77 54.8 1152 36.8 2523 29.44 14.00 43.84 6740 8573 4948.7 4658.3 8088.0 21568.0 1.63 4.63 2 These calculations are copyrighted & any reproduction is a violation of law. Violators will be prosecuted. . e • Overturning using double 6" Pad Generators with Largest and Smallest Weight used for calculations. Calculations yield a factor of safty of 1.49 or greater and a double pad may be used for any of the the above generators. GEN 5 MMA2 9 Henry � i§ . Jr. P.E. # 25166 Revised 5/16/2007 (Must be embossed to be Valid) Any Reproduction is a Violation of Law & Violators will be Prosecuted 36167 28.25 48 24 QT130 54.8 115.2 36.8 •.•• • • •.•••• •��• • •••� •••• • • • .i•••• • • • •••• ...... •••• • • • • • • .••• ••... ... • •....• • • ••.• • •...• ••• •. •••• •.•••• ....•• • • • • • . • •.•..• • • • t • •.•• • • • •• • • • • • TOP A WALL WALL (Ibs) (s.f.) Al (s.f.) I A2 (s.f.) I DT (Ibs) I U (Ibs) MO(1) I MO(2) 336 8.00 4.71 9.42 1412 285.8 1135.6 785.5 2873 29.44 14.00 43.84 8157 1051.6 6461.8 5724.5 These calculations are copyrighted & any reproduction is a violation of law. Violators will be prosecuted. IMR(1) 1 MR(2) I FS1 I FS2 IPAD I ANCHOR MODEL # i H(") I L( ") I W( ") I WEIGHT ( i 1.T ') i.T, • ....... GEN 5 MMA2 9 Henry � i§ . Jr. P.E. # 25166 Revised 5/16/2007 (Must be embossed to be Valid) Any Reproduction is a Violation of Law & Violators will be Prosecuted 36167 28.25 48 24 QT130 54.8 115.2 36.8 •.•• • • •.•••• •��• • •••� •••• • • • .i•••• • • • •••• ...... •••• • • • • • • .••• ••... ... • •....• • • ••.• • •...• ••• •. •••• •.•••• ....•• • • • • • . • •.•..• • • • t • •.•• • • • •• • • • • • TOP A WALL WALL (Ibs) (s.f.) Al (s.f.) I A2 (s.f.) I DT (Ibs) I U (Ibs) MO(1) I MO(2) 336 8.00 4.71 9.42 1412 285.8 1135.6 785.5 2873 29.44 14.00 43.84 8157 1051.6 6461.8 5724.5 These calculations are copyrighted & any reproduction is a violation of law. Violators will be prosecuted. IMR(1) 1 MR(2) I FS1 I FS2 1694.4 2259.2 1.49 2.88 9788.4 26102.4 1.51 4.56 INTERCONNECTIONS CT025 Ground Level Concrete Slab C1 Enclosure 20-25 KW QT 8 .0..000 R100 CONTROL PANEL GENERATOR CONNECTION BOX INSTALLATION LAYOUT •••• . "Aropsfer Switat % •••• • • •••• •• •• •••• •To fsertrator Control Panel • CIRCUIT BRERS�IZE • • • • • • • KW VOLTS / AMPS • LUG SIEW • 20 2401 0 90 #6 to 1/0 6 • 20 208 3 0 80 #6 to 1/0 ••• •••••• • • • • •••••• • • • ••••• • • ••••• •••••• • • •••• • •• • • • ••••• • EXHAUST MUFFLERS ENCLOSED WITHIN VISE ACTION LATCH, ONE PER DOOR, ONE LIFT -OFF DOOR PER SIDE OF GENERATOR FUEL LINE CONNECTION 3/4° NPT FEMALE COUPUNG LEFT SIDE VIEW Ref Dwg 0E7555 35.7 Concrete Slab 29 C REARVIEW GENERAL® POWER SYSTEMS, INC. • P.O. BOX 8 • WAUKESHA, WI 531E7 262/544-4811 • FAX 282/544 -4851 Bulletin 017141 OSBY / Printed in USA 03.05, Rev. 08.05 © 2005 Generac Power Systems, Inc. All rights reserved. All specifications'me soc;;,at to change without notice. • • • ...e•• • • • • •0.0• • • 00000 •0000. • • • 000000 • • 000000 • • QT025 GENERAC® POWER SYSTEMS, INC. PERATING DATA 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. QT025 KW RATING 25 ENGINE SIZE 2.5 Liter 4-cyl inline GENERATOR OUTPUT VOLTAGE/KW - 60Hz KW AMP CB Size 120/240V, 1- phase, 1.0 pf 25 104 125 „1,204208V, 3- phase, 0.8 pf 25 85 100 • ••• • • • • GF•IyERATOR tOCA&D ROTOR KVA AVA{..ACBLE @ VCILTAGE DIP OF 35% Sipgle phasebr2U83 -phase 40 •8.0/•3 -phase ' . • • • • • 50 . . .. -. ENullsiE FUEL C01416l1MPTION (Natural Gas) (Propane) • Natural Gas Propane .;.. •• •• (ft3 /hr.) (gal /hr.) cu ft/hr Exercise cycle•••• • • 60 0.65 24 25 °I° of rated I$ad' : .4 140 1.53 56 5Pgl Rated load • 220 2.40 87 75•/o o{ rated load' • •• 300 3.27 119 1Q0 ceof'rated load 380 4.15 151 ENGINE COOLING Air flow (inlet air including alternator and combustion air) ft3 /min. 1,438 System coolant capacity US gal. 3.0 Heat rejection to coolant BTU /hr. 95,000 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 75 SOUND EMISSIONS IN DBA Exercising at 7 meters 58 Full Toad at 7 meters 69 EXHAUST Exhaust flow at rated output 60 Hz cfm 227 Exhaust temp. at muffler outlet °F 1,000 ENGINE PARAMETERS Rated synchronous RPM 60 Hz 1800 HP at rated KW 60 Hz 40 POWER ADJUSTMENT FOR. AMBIENT•CONDITIONS v Temperature Deration 3% for every 10 °C above - °C 25 1.65% for every 10 °F above - °F 77 Altitude Deration 1% for every 100 m above - m 183 3% for every 1000 ft. above - ft. 600 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. APPLICATION & ENGINEERING DATA QT025 GENERATOR SPECIFICATIONS TYPE Synchronous ROTOR INSULATION Class H STATOR INSULATION Class H TOTAL HARMONIC DISTORTION <3.5% TELEPHONE INTERFERENCE FACTOR (TIF) <50 ALTERNATOR OUTPUT LEADS 3 PHASE 4 wire BEARINGS Sealed Ball COUPLING Flexible Disc LOAD CAPACITY (STANDBY RATING) 25 kW EXCITATION SYSTEM Direct NOTE: Generator rating and performance In accordance with 1S08528 -5, 855514, SAE J1349, 1S03046, and DIN6271 standards. VOLTAGE REGULATOR TYPE Electronic SENSING Single Phase REGULATION • ± 1% FEATURES V/F Adjustable Adjustable Voltage and Gain LED Indicators GENERATOR FEATURES O Revolving field heavy duty generator O Directly connected to the engine O Operating temperature rise 120 °C above a 40 °C ambient O Insulation is Class H rated at 150 "C rise O All models are fully prototyped tested CONTROL PANEL FEATURES O SEVEN LED INDICATOR LIGHTS 0 ADDITIONAL FUNCTIONS • System ready • Low fuel pressure • Low battery • Low oil pressure • High coolant templlow coolant temp • Overspeed • Overcrank • Utility sensing • Delay on utility failure for engine start • Engine warm -up before transfer • Delay to retransfer to utility • Engine cooldown timer • Exerciser not set Ca INTERNAL FUNCTIONS: • 3 position swtch (auto, off and manual) • 2 wire start for any transfer switch • • Communicates with the Generac RTS transfer switch • Built -in 7 day exerciser • Selectable engine speed at exercise • Governor controller is built Into the master control board • Temperature range -40 °C to 70 °C ENGINE SPECIFICATIONS MAKE Generac MODEL In line CYLINDERS 4 DISPLACEMENT 2.5 Liter BORE •-•.17.8 • STROKE • , • t+ • +'•'�' COMPRESSION RATIO • • • .4441 INTAKE AIR SYSTEM • • •+• • • Naturally iiiatejj VALVE SEATS • • • • • • Replaoaable LIFTER TYPE .••••• ,. SoYd.4IiC. •••• • • •••• •••••• GOVERNOR SPECIfICAT4ONS •.:: •• - -••. TYPE • • •Frtipjjo• nic FREQUENCY REGULATION : • • r.... lagcgr4rt>Sus STEADY STATE REGULATION • • • R • •....t 1125 ADJUSTMENTS • •• • Speed • Yes Droop Yes ENGINE LUBRICATION SYSTEM OIL PUMP Gear OIL FILTER Full flow spin -on cartridge CRANKCASE CAPACITY 4 Quarts ENGINE COOLING SYSTEM TYPE Closed WATER PUMP Belt driven FAN SPEED 2090 FAN DIAME I tR 16 inches FAN MODE Pusher FUEL SYSTEM FUEL TYPE Natural gas, propane vapor CARBURETOR Down Draft SECONDARY FUEL REGULATOR Standard FUEL SHUT OFF SOLENOID Standard OPERATING FUEL PRESSURE 5" - 14" 1120 ELECTRICAL SYSTEM BATTERY CHARGE ALTERNATOR 12V 30 Amp STATIC BATTERY CHARGER 2 Amp RECOMMENDED BAI 1 tttY Group 26, 525CCA SYSTEM VOLTAGE 12 Volts Rating definitions - Standby: Applicable for supplying emergency power for the duration of the utility power outage. No overload capability is available for this rating. (All ratings In accordance with 9S5514, 1S03046 and DIN6271). (At re!! ^gr in accordance with BS5514,1S03046, IS08528 and DIN6271). •••••• • • • •••••• • • •••••• • • • +••• • • 00000 000000 • • • • •0000• 000000 • 0 • 00000 • 0000.• • • .... • • 0.000 ...000 .• • .0.0. • • ..0.0. • • 000• • • 0000 •• •• • 0 • • .. QT025 Standby Power Rating 25 kW 60 Hz Liquid Cooled Gas Engine Generator Sets ••0• • .0.• • ••00 • • ••• • • .. STANDARD EQUIPMENT Naturally Aspirated Gaseous Fueled • All input connections in one single area • High coolant temperature shutdown • Low oil pressure shutdown • Low coolant level automatic shutdown • Overspeed automatic shutdown • Crank timer • Exercise timer • Oil drain extension • Cool flow radiator • Closed coolant recovery system • UV /Ozone resistant hoses FEATURES • Watertight state of the art electrical connectors • Mainline circuit breaker • Radiator drain extension • Battery charge alternator • 2 Amp static battery charger • Battery and battery cables • Battery rack • Fan and belt guards • lsochronous governor • Innovative design and fully prototype tested • UL2200 Listed • Solid state frequency compensated voltage regulator • Dynamic and static battery charger • Sound attenuated acoustically designed enclosure • Quiet test for low noise level exercise • Acoustically designed engine cooling system • High flow low noise factory engineered exhaust system • State of the art digital control system with R100 digital control panel • Watertight electrical connectors • Rodent proof construction • High efficiency, low distortion Generac designed alternator • Vibration isolated from mounting base • Matching Generac transfer switches engineered and tested to work as a system • All components easily accessible for maintenance • Electrostatically applied powder paint GENERAC® POWER SYSTEMS, I ICI (CUSTOMER) A1Att 1URKB1I16 12ill III S4 ST M AM S}Mli•6:ES 3M 5 756: 7463 33135 ( CONTRACTOR ) HENRY AND CO. 757 S E 17 ST # 176 FT LAUDERDALE FL 33316 9554 6271597 HENRY KARP OPTIONAL STANDBY SYSTEM OEC 702 NEW (2)2/0(1)1/0 e pin SEE NOTES #t NOT TO SCALE • ALL CONDUCTOR ARE THHN ,�" THWN COPPER • ALL TRANSFRE SWITCH ARE RATED FOR THE CONNECTED LOAD ATS IS UL LISTED FOR AUTOMATIC i GENERATOR IS NOT A SEPARATELY DERIVED SYSTEM (NEC) 2005 ARTICLE 25020 (D) FPN NO 1 GROUND ROD NOT REQUIRED i PERMANENT SIGN SHALL BE PLACED ATTHE SERVICE ENTRANCE 702.8 # ALL EQUIPMENT/PANELS/ BOXS ETC/ NEMA3 R • • • . ••• ••• ALL EQUIPMENT IS UL LISTED AND APPROWI : : • • •••.•• ••• • • • • • • • • • • ••'• • • •• •. • • • • • • •• • ... • .•.. : :• • • • ; ••• • • • • • • • • • •• •• • ••• • • • • .• • • ••• NEW in AMP SERVICE RATS Alf111M ATMC T1 A S` S'ETCH 120.1 2401 PH NM1U ?WPM C11 WATER PIPE (2)#2 (1) #3 # E BOND 1.1 PVC 2" a HEE =TM EXISTING ,SUB FEED p 2/0 (1) 15 COPPER LJ GENERATOR QT25 kW CB125AMP 120 /240 V DBA 69 FUEL N.G ��'✓ L4 t 4 7 NOTARYPUBLIC -STATE %A Melanie Watson )commission # D639063 aonin$o � : F.B. 11, 2011 reatr�nnG CO. INC. &irtu- .4!. cool 3 - / • So•v-) ELECTRIC LOAD CALCULATIONS ALAN KORNBLUH 1260 NE 94 ST MIAMI SHORES FL 33138 EXISTING RESIDENCE 2311 S. F X 3 WATTS 6933 KITCHEN TWO SMALL APPLIANCES CIRCUITS WATTS 3000 REFRIGERATOR WATTS 1000 RANGE WATTS 8000 LAUNDRY ROOM CIRCUIT WATTS 1500 CLOTHES DRYER WATTS 5000 WATER HEATER WATTS 4500 POOL PUMP WATTS 1776 TOTAL WATTS: 31709 FIRST 10,000 W a© 100% 10000 WATTS REMAINER a? 40% 8,684 WATTS AIR CONDITONING OMIT HEAT 7.5KWX65 %= TOTAL WATTS: 23559 WATTS / 240V = 98.2 AMPS.. • • •• • • 0 • 0. •: • • • .. ' • ••• •• • • • • • • • •'• •'• • • •0: • • '• • • • • • • • • • •.. • • • • •• • • • • • • •00 •• O 000 • •0• • • ••• • • • • • • • • • ••• • • • • • • • • • 00.00 • ••• •' 0: .• 00 4,875 WATTS 23,559 WATTS NOT/sr POEM - STATE ®FFLORIDA .. Melanie Watson �'• •,.:, :Commission 4DD639063 iS Ql 5 a r) Expiirm FEB. 11, 201.1 yn'{wDTHpU w �C r\ /01 \ Sao 94- rn QAm i 6 hor-6s p 33/38 se.Ate //4"; /+ CALL r)oe/m 1L04 J 0,4 13oi 4-4iti' eovg , = .5f /vT ©FF ®gorPG JiZ"JG ALL GAS PRO'S 954 - 964 -2937 �G /vt2 64-5 C ©O a6011 .••• 000 • .. • • • ••• ••• • • • . •. • • • lr: Q S7 4, / /3 5e- , E A Y- ©0 6-H 60,11)E- 57" et./A) /Opt TueA s6, C, • •.• :': 131s • 13 GRIFFIN ROAD #126 :•• • •• : FT. LAUDERDALE, FLORIDA 33312 FAX 954 -983 -7016 • • .•• :; FCC ENERATOiR FAD '*3 ISSUED OCTOBER 20, 2006 OR LATER ° ••!•• •• •.• ••• •• • •••• • • •' • •• 000000 • • • 0000 •• • 0000 • o oo 000000 • • • • •i•••• • • • • • ••• • • • • • • •• •••••• • •••••• ••••• ••••• •• • •• • 11, •• . _ • •• Off• d • • • • • •••• • • • •••• • • • •• • ••• :•• O PAD & BOLT LAYOUT 4 WO* PAD •CALS. 14? • P-a O PAD & BOLT SECTION VIEW •c41.. 14f • r-m• PAD \\' Di x48 PAD ?Iwo= pupae • • d . r 64LVANIM LAO YtaRATION P MIN, TO P� A RICO WARIER TOx dO4476 ANCHOR OCONNECTION DETAIL SCAM a • r-•• `92'x�b PAD O PAD & BOLT SECTION VIEW •CALM 14? • P-a PAD A RP PAD OCONNECTION DETAIL scow *■ • r-• REVISIONS BY • • • • • •• • • ••••• • • •••• • • ••••. • • •• •• 00000 • • • • • • • • • • •• • j. C� ®i+S 0 °a,o gYLL ui Z � III J IX 2 Wce W °� t�o0 1E NO/ -15-05 AS SHOWN NO. 5851 -05 sir TIDE A -1 SHEET 1 OF 3 00000 • • • 000000 • 000000 • A •••••, • • •1111 • • • ••••• roc. 1E0 rtr l It G'G�J,c- • L%t1Q%Ur -''d'" 747 fOC/N9 .five fecb • • • ' , •• • 1* • 11•• • •••• • ••11 1.111• • • • 1111• so • , ,. - • • • • 1•••. •••• • ,1.11 • •• • • •1111 •••• • •••• •••• • • •••• •••• • • • •• Lot 20 LESS the rapt 15.0 feet and the East 40.0 feet of ecv r "©' d' Aleowewed S&L Corner ate 1 - There may be additional restriction that are not shown on this survey that may be found in the Public Records of this county. 2 - Examination of ABSTRACT OF TITLE will have to be made to determine recorded instruments, tf any affecting property. 3 Location and identification of Utilities'ff any, are shown in accordance with Recorded Pint: 4 - Ownership is subject to OPINION OF TITLE. 5 - Type of Survey: "BOUNDARY SURVEY'. 6 - This Survey is not valid unless signed and sealed by the Surveyor of Record. 7 - Bea hereon are referred to an assumed value of for said bearing is identical with the plat of record 8 - Elevations If shown are referred to Notional GeodetIe Vertical Datum of Mean Sea Level, 1929 Benchmark: Elevation= Location index.' ,a,-e,13,0,6 Yt1 T €tea a4O AlOgefE fP Lit. COMMUNITY NLER ,PANEL NIB.' IZOb52- Y , tog,.), Cram Rear'�r�@. 0► ., r ®sits �.l V FOR: - I HEREBY CERIFY: FefiCe i. 1 t\ 0 ► P', eJWO 111�k� coca Q1p,�ciErbor- Lot 2 subdrv4n TAINT ,UQS BAY VIEW according. to the Plat thereof as Recorder in Plat Book: 4 at Page 1 F, of the Public -Records at 0 a de "OEM CERTIFY TO c ALAN KORNBLUH ASHLEY TITLE COMPANY BARNETT MORTGAGE COMPANY, ITS SUCCESSORS AND/OR ASSIGNS ATTORNEY'S TITLE INSURANCE FUND, INC. • • •••:, 000000 • ••■ • • ••• • 1000 • • • • .••• • ••• • • Fo rich. That the survey of the above cam property; was completed up der mY supervision .and/or c&tect to of -my knowledge and ref. this r tvey rn ts, or -exc is `the: 14inlmu h lechgical Standords "mot forth by the Florida Board of 'Load' Surveyors to Chop et-41 G 7 'fi• Adrninfstrattve Code, pursuant durspailt to Seafoh427, 027. rid Stotuttes. 13A1'E OE'FiI4M t ':fit kl ZONE .412. �si /� .r BASE -FLOOD ELEVATION .0 0 r DELTA- -,AND _ SURVEYO1#S LA D: PHONE: 22 -9 , APPROVED BY: 1 2888 S. W. 53rd ST. SCALE: 1"= Zo DATE: 6 _'. REVISED 43RA'w:ii NUMBER -44, • • •••• • • ••••• • • • •••••• • • •• • • • • •••• • •....: ••••• • �• • • • •••• •••• • • •••. . ....• • ••. • •• •••• ..•••• •••••• •• • • • 0 • • •••• • 000000 • •••• • • • • • •• • • • • •• JUN 0 4 2007 Li 1 E STRUT: ELECT'. FLU •••• • • • • • • • •••• •• • •••• •..... • • • • • •• • •.•... • •••• • •••• •••• • •••• •.•••. • • :4"" • .. •• •• •••• • • • • • • •••• • ••• ••••.• •. • SUBJECT T C *MPLIA,_ -dE WITH ALL FEDERAL STATE ND C•UNf RULES AND REG ULATIONS ••• • • • •• Inspection Worksheet Miami Shores Village cks 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 09/12/2007 Inspector: Levrock, James Owner: KORNBLUH, ALAN Job Address: 1260 94 Street NE Miami Shores Village, FL Project: <NONE> Contractor: ALL GAS PROS Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Gas Block: Phone Number Parcel Number 1132050100180 Lot: Phone: (954)964 -2937 Building Department Comments GAS FOR GENERATOR 132 1 Passed .' or Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Tuesday, September 11, 2007 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING '11,11a PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) YOccy JUN 0 4 2007 BY: /t/CA:- Permit No. Mr:a Master Permit No. n3 07— ) V00 AO b Owner's Address Did) MI (I) j-- City tate IA Tenant/Lessee Name E -MAIL: ► g' :. Phone # -T3( Zip Phone # Job Address (where the work is being done) City Miami Shores Village County FOLIO / PARCEL # 1 k 3 QQ) Q 16 6 Is Building Historically Designated YES NO Miami -Dade Zip Contractor's Company Name Contractor's Address 3 `i City `' 1-Q! ;U CA Qualifier Name (cu,Q . . State Certificate or Registration No. E -MAIL: !�C Phone # q ` q W3j 3-1 1 D C-P /� iState FL_ Zip 3351 (a v 1 t G2. + C� Phone # � ii 1, `.� L aC2i 3') ftfi 2,Q (p Certificate of Competency No. Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ['Addition ❑Alteration ew ❑ Repair/Replace ❑Demolition Describe Work:I14-\ v 1 l l 1 I r * * * ** * * * * * * * * * * * *xxxw x * * ** * * * * * * ** Submittal Fee $ Permit Fee $ Notary $ Training /Education Fee Scanning $ y Radon $ Bond $ Code Enforcement $ Structural Review. $ ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** rio 1.00 DPBR $ CCF $ L ) CO CO /CC Technology Fee $ 2� Zoning $ Double Fee $ Total Fee Now Due $ ( -2S 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. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the ,first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection, fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this 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: Signature Contractor NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** cxa.. * ** ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) c-" / Plans Examiner Engineer Zoning Miami Shores Village • Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit No. Master Permit No Permit Type (circle): Building Electrical , Plumbin . Mechanical Owner's Name (Fee Simple Titleholder) /-1 I cI C.P r r' ) 1 1.1.11 Phone # lad) • '75l0 • %4/ Owner's Address City (Nc\ IQrn t S kp State *PL Zip ,3 J -58 Tenant/Lessee Name Phone # Roofing Job Address (where the work is being done) 1 LQ l Dd /U 94/ 34-- City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES _ _. _ - - -- NO Contractor's Company Name P LL C c o Prr3 Contractor's Address City -V U- Qualifier Phone # State_ zip 83sIcQ Architect/Engineer's Name (if applicable) Phone # $ Value of Work For thb Permit 1 Q,[x--) Square Footage Of Work: Type of;Work: ❑Addition [Alte•ation ❑New ❑ Repair/Replace Describe Work: `A► oY U_ 'P1 pi (-1.? ra m ❑ Demolition ** ****** ************ * ** *** ** Fees *e * *a*************** ** ** *****6 Submittal Fee $ Permit Fee $ % 70 CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ ',Radon $ Bond'$ Code Enforcement $ Structural Plan Review. $ 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. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, 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 M4 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to Me 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 properly is subject to attachment. Also, a certified copy ((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 aection,e will charged Signature Signatur Owned` or Agent The foregoing instrument was acknowledged before me this D The foregoing instrument was acknowledged before me thi430 day of HA- , 20 Q ')by 4/an f5RPn bke / , day of B.. 2003 by X UC!Q� e r t t 1QrO/C wh is personally known tome or who has produced who is y known to or who has produced As identification and who did take an oath. as identification and who did take an oath. ontractor NOTARY PUBLIC: NOTARY PUBLIC: Sign: �i2 6i, r - , �,,:)- ,,� r� Si {.IYZQ T. it �tOFFLORiDA FFlARIDA l ( ' , c A Print: /iB /Q 4 / t� - ; �* , ' 'e Watson Pi ua • .� • r t:�� ��,f � � � �, ,� ��s ��� 9063 �u•: g �. ,��.+ on #DD639063 ,,•' 11, 2011 My Commission Expires,,; . A FEB. 11, 2011 My Commissig " o., wo. 80NDSD TImu (Certificate of Competency Holder) State Certificate or Registration No. i (D D .. + LS Certificate of Competency No. APPLICATION APPROVED BY: Chc 10 /14 /03 *& ** *** * * *** *** * ***..*R******* * * *k # / ".. App ******** *****4w**** Examiner Engineer Zoning Inspection Worksheet Miami Shores Village DSciiJ. 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 • p ion Number: N P `90 7 Permit Norm EI 51 Inspection Date: 10/05/2007 Inspector: Devaney, Michael Owner: KORNBLUH, ALAN Job Address: 1260 94 Street NE Miami Shores Village, FL Project: <NONE> Contractor: HENRY & CO Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Generator Block: Phone Number Parcel Number 1132050100180 Lot: Phone: (954)527 -1597 ELECTRIC FOR GENERATOR OCR 1 0 Nal Passed, Inspector Comments CREATED AS REINSPECTION FOR INSP- 51233. ----47e..._ 40 c....----,.. / Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Thursday, October 4, 2007 Page 1 of 2 IVilami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) b '\Q1M, 1-ssa 1 N Owner's Address M CV-I City ` � 9 o rio5 State CL, Tenant/Lessee Name E -MAIL: gllk\i l► _A 20111 BY: 661---- Permit No. V l III Master Permit No. Phone # Zip Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 1,. 8003 oic ct %c Is Building Historically Designated YES NO Contractor's Company Name u`r- OCT Contractor's Address 131 S ,-k, 3-i- 1'1(4 City LakAd State C( -- Qualifier Name €. \ 101,0 State Certificate or Registration No. C_ ODD E -MAIL: Zip Phone # 6 ) Zip a 1 Lo Phone # `-''t -01-i k`fl I -) Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ['Addition ❑Alteration ►! ew ❑ Repair /Replace 111 Demolition Describe Work: f\ e - C.C_ _ artlp -fi ' � — (�,fl� ,e1,6 c Art 4"-\ ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************** * * * * * * ** * * * * * * * * * * * * * * * * * * **r.* Submittal Fee $ Permit Fee $ ®® CCF $',2_' —"' CO /CC Notary $ Training /Education Fee $ 4-'m Technology Fee $ 11 °S Scanning $ 3® Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ ace ,50 t•,� \ \ 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 Sate Zip Application is hereby made to obtain a permit to do the work and installations as indicated. l 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: 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: Print: My Commission Expires: ******** IYtF' k1k1F1FiY1@' IF1F****#' 1k1F' XfY11t1Y'k 1F*1kiI 'fYtY ****1tr****'tYiFtY %dt** ***** *** ****1Y********.****XXa` 1YSFdC9Y ****A''9t****sF.tk***M^*** Sign: Print: My Commission Expires: APPLICATION APPROVED BY (Revised 02/08/06) y"'°ei Plans Examiner Engineer Zoning Miami Shores Village Building Department (0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Pertrdt Type (circle): Building Permit No. Master Permit No. Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) P ``JJ f\ nt- NVI IJ.i \ Phone # 47 7'-Lo 3 Owner's Address City IA, t Pt-rn oh() State FL Zip c,33 13c‘. Tenant/Lessee Name Phone # Job Address (where the work is being done) 0 a (o o M 0144 City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name �(\ (`y ��� d e© Contractor's Address CRY-V-4- LatAciev-Ap,I<e Qualifier Phone # zip .3313 State --r( Zip Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permitr /%Z.7/)/) Type of Work: []Addition Describe Work; \E-Aktiteation ❑New Square Footage Of Work: ❑ Repair/Replace 0 Demolition Submittal Fee $ Permit Fee $ CCF $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Bond $, Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City 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 $2,500, 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 der the building permit is issued In the absence tj such posted notice, the inspection will n+. be 'roved and a reinspects fee will be charged. Signatur A `.1 ime, iii i er or Agent The foregoing instrument was aclmowledged before me this 3( day of >r 1.., 2O O', by MA iich-n i111 L h who is NOTARY PUBLIC: Sigtg $r l_ •lriuia0,14111 j Il ' • • ' s°un"p " ;��"` UI 471 l L "Jtl 7 print - r in t$"tR - ?= +r!►�,i2�1 • 4T mmisslon # ! 1 r My ,. irlditirFE E tl ' 0'1 1 My Commi . ,.. =.9 FM. if, 2011 BONDED .is a7M171C BONDING CO, INC. * * *WWWWWM+�}J WWWigaN24444G* gins ► ***** ******* ***** *,�,�a, ************* *** ** * ***�,�rfa��� * * *sa4314 1 * * ** ****** (Certificate of Competency Holder) State Certificate or Registration No. WO 1 &Q ') Certificate of Competency No. ***********k, RR+ lP****** ***** * ** * ***+Y****** ** * ******** ** * **** I*** **B+ilr****** *** ** **** * ********* ** ************ me or who has produced As identification and who did take an oath. owledged before me thi 20 Q,2 by 14en Ga.y ki4 ,0 who i persahhally known • me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign. APPLICATION APPROVED BY: Chc 10/14103 Plans Examiner Engineer Zoning