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BP-04-666ei(). 4 is,ar 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 Type (circle): Building Electrical Owner's Name (Fee Simple Titl_ellolddeer) Owner's Address City Permit No. Master Permit No. 6P614-67 Cite o.iSJG�2. Plumbing Mechanical Roofing Phone # Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami Dade Zip Is Building Historically Designated YES NO Contractor's Company Name /� S 7 ' /411 ,)/1 /F Contractor's Address 2 3 f f City Qualifier ‘V‘ r /17A.--- sue / 4t 444 ( State f • Phone # (jv 3 -- `y fo Zip .73/% r Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: ,Addition DAlteration ['New Describe Work: : W (1 t' � GteLet4 O.V C Ye '-cow 4 o s C ng Square Footage Of Work: [2(Repair/Replace AO) ❑ Demolition CZ* La,c Submittal Fee $ Notary $ Scanning $ ****************************Fees****************************** ** * ** * * ** * * * * * ** * ** * * * ** Permit Fee $ 2_ 0 - - CCF $ B o Training/Education Fee $ Radon $ Code Enforcement $ Technology Fee $,.S a 7 s Bond $ 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. 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, WFi J,S, 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 The foreg day of Owner or Agent 7, ,/ instrument was ac owledgged before me this /i 20 0 by �� / v; who is personally known to me or who has produced NOTARY PUB C: Sign: ....',teaa ryry�,,��gry�(ryy Print: Y F AN A ELAN O My Commissi * * * * * * * * * * ** As iden i s W lion and who did take an oath. Contractor The foregoing instrument was acknowledged before me this Z_(^ day of 20 # <, by l ° (7, S' J474-7_, who is perso y known to me or who has produced. '' as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: MY CO 'M ' • .. EXPIRES: July 19, 2007 BondedThcu Notary Pubic Undenv hers ********************************* *s****** **** ******************* (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. * * * * * * * * * * * * * * * * * * * * * * * * * * ** * *= ' *'`,* * ** *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 'CEliginns Examiner APPLICATION APPROVED B Zoning Chc 10/14/03 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/21/2004 Applicant: ROBERT Owner: GARDNER JOB ADDRESS: 465 NE 96 Contractor Local Phone: 305 - 553 -1490 Parcel # 1132060170120 Plumbing Permit Permit Number: PL2004 -190 Page 1 of 1 GARDNER ROBERT ST Contractor's Address: 2830 SW 115 AVE Legal Description: MIAMI SHORES SEC 4 PB 15 -14 LOT 17 LESS W15FT & ALL LOT 18 BLK 86 LOT Fees: FEE2004 -7257 FEE2004 -7258 FEE2004 -7259 FEE2004 -7260 Description Building Fee CCF Training and Education Fee Technology Fee Total Fees: Amount $230.00 $1.80 $0.60 $5.75 $238.15 Total Fees: $238.15 Total Receipts: $0.00 if 2)93 Permit Status: APPROVED Permit Expiration: 12/29/2004 Construction Value: $2,900.00 Work: NEW KITCHEN ADDITION AND REMOVE AND REPLACE FIXTURE FOR THE EXISTING BATH JUL 2 7 PAID Signed: (INSPECTOR) 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) BY: Miami Shores Village [ lECEHVID Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT A.PPLICA.TION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Sim le Titleholder) Owner's Address �J -ct s .:ty vA, l State or 1 �1 CPe JUL 1 2 2A Permit No. clog- 16Y� Master Permit No. Q( a Plumbing Mechanical Roofing oofing VQVPhone # �� i _-0 R , L Tenant/Lessee Name Zip 33/3 2733 Phone # Job Address (where the work is being done) City Miami Shores Village County NGami Dade Zip Is Building Historically Designated YES NO Contractor's Company Name (SIN `Z o-li yp ivu f (, Phone # v6S l S� oek -e City � , /� ` � State VA. 'E-7 OY 1 Zip 3 3 �, Qualifier 1 Ka .c - Contractor's Address Architect/Engineer's Name (if applicable) Phone # Square Footage Of Work: o L (5a F-1- $ Value of Work For this Permi Type of Work: Describe Work: 00.0 0 Addition 0Altaaqou ErRepair/R pla Prof (2 -A) 0 ❑ Demolition 3 1 (fQ c.6:1 Submittal Fee $ Q . on Permit Fee $ 4•' Notary $ Training/Education Fee $ i 0 Scanning $ Radon $ CCF$ Technology Fee $ a -S 6 Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $,--5 I./ ! / if (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 At JDAVIT: 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 r�ln the absence of such posted notice, the inspection will nom' e approved and a reinspection fee will be charged ' Signature Owner or Agent •ontractor The foregoin instrument was ackno ed ed b� fo ee me this /21-.-- The foregoing instrument w. acknowledged before me this day of � G� , 20 O i by /O �/ /� day of , 20o by who is personally known to me or who has produced NOTARY PUC: Sign: Print: My Commission E As identification and who did take an oath. C )me or who has produced as identification and who did take an oath. NOTARY PUBLIC: ' Print: .4 - t% L1.. 1 f1.1• ** * * * * * * * * * * * * ** l_•1 s. MY COMMISSION # DD 194763 EXPIRES: July 19, 2007 %:F o' :0;w Bonded Thru N, r Public Underwriters My Commission Expires: ******************************* ***,k********* **** ** * *** ** ** * ** (Certificate of Competency Holder) OFFICIAL NOTARY SEAL A VALDES NOTARY PUBLICST-A'FE-AI`- 11ORIL'(' COMMISSION NO. DD050240 . MY COIv MI:5°,10t`i e)'.n SEPT 1 200 State Certificate or Registration No. Certificate of Competency No. **************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * APPLICATION APPROVED BY. Cho 10/14/03 *************** * * * * *_ x * * * * * * * * * * * * * * * * * * * * * * ** 2,��.4}' Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Printed: 7/21/2004 Electrical Permit Permit Number: EL2004 -188 Applicant: ROBERT GARDNER Owner: GARDNER ROBERT JOB ADDRESS: 465 NE 96 ST Contractor SANZ ENTERPRISES INC Local Phone: 305 - 994 -3566 Parcel # 1132060170120 Page 1 of 1 Contractor's Address: 18531 SW 104 AVE Legal Description: MIAMI SHORES SEC 4 PB 15 -14 LOT 17 LESS W15FT & ALL LOT 18 BLK 86 LOT Fees: Description Amount FEE2004 -7253 Training and Education Fee $0.40 FEE2004 -7254 Building Fee $100.00 FEE2004 -7255 CCF $1.20 FEE2004 -7256 Technology Fee $2.50 Total Fees: $104.10 Total Fees: $1�4. ®0.0 a_61 Total Receipts: $0.00 Permit Status: APPLIED Permit Expiration: 1/8/2005 Construction Value: Work: PROPOSED KIT ADDITION OF TOTAL 227 SQ FT Signed: (INSPECTOR) 93 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) BY: 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. ECEIVED ; 'Ate! ". Master Permit No. (J4 "tarp 6 Permit Type (circle): Building ectrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 1 okeo `�=',l1' ahicAhone # '" 2c-7 -0 tief Owner's Address 42/‘ J 96 5 City %41:0641 i 5 %a%zg-r State zip t/ 1 3 Q Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County 1Vliami Dade Zip Is Building Historically Designated YES NO Contractor's Company Name <44 . gee Phone # Contract• is ddress ' ®i— 51-- City i, %' O[.a..r State Qualifier ©s % _ 4 e. 9o. = a- -3 r Zip —3 Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: Describe Work: Addition DAlteration ❑New ❑ Repair/R l9m ❑ Demolition (4, /7 0. c d - ' e co dA% * * * * * *, * * * * * * * * * *s * * * * *, *, *, Fees * * * * * * * * * * * * * ** * * * * * * * * * * * * ** l / Submittal Fee $ J ) • Q[) Permit Fee $ / f�0 CCF $ b -b Notary $ Training/Education Fee $ f () Technology Fee $ ,S) Scanning $ Radon $ Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ 3, 3 a (Continued on opposite side) /is 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 Fi FCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S A}'FIl)AVIT: 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 forego g instrument was acknowledged before me this 1,)� The foregoing instrument was ac swledged before me this day of 20 ®� by ,f fit' �r— -~ , day of �,� ��. 20 f, by who is personally known to me or who has produced who is personally known to me or who has produced Signature NOTARY PUBLI Sign: Pratt: { As identification who did take an oath. My Commission E s4,8; right r EXPIRES; July 19, 2007 F tso idetl i hm Notary public Underwriters cation • r • o did take an oath. NOTARY PUBLI Sign: Print ®°'�\NM.IFAJi, "I My Commission Expires: ` . s * • • (Certificate of Competency Holder) sc9 °• ��a aoedadtrN ��.�• off. / eX11111111 .--0 6' N o State Certificate or Registration No. Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * *** * *** .) 79(4x4 APPLICATION APPROVED BY: chc 10/14/03 Plans Examiner Engineer Zoning Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/21/2004 Mechanical Permit Permit Number: MC2004 -125 Page 1 of 1 Applicant: ROBERT GARDNER Owner: GARDNER ROBERT JOB ADDRESS: 465 NE 96 ST Contractor J M ARCE SERVICE Local Phone: 305 - 262 -3589 Parcel # 1132060170120 Contractor's Address: 6030 SW 22 ND ST Legal Description: MIAMI SHORES SEC 4 PB 15 -14 LOT 17 LESS W15FT & ALL LOT 18 BLK 86 LOT Fees: Description Amount FEE2004 -7261 Building Fee $100.00 FEE2004 -7262 CCF $0.60 FEE2004 -7263 Training and Education Fee $0.20 FEE2004 -7264 Technology Fee $2.50 Total Fees: $103.30 Total Fees $1013.30 it, Total Receipts: $0200 Permit Status: APPROVED Permit Expiration: 1/8/2005 Construction Value: $388.00 Work: RUN DUCT TO NEW ADDITION 'JUL 2 7 PAID Signed: (INSPECTOR) 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) BY: Jan 14 09 08:33a nalaboff 847- 730 -3156 p.1 1/14/2009 Hi Monica, Here is the paperwork you require to show that Robert Gardner (previous homeowner has passed away, the house was then sold to new owner Lucianio Ramos. Denise Nalaboff 847 -730 -3156 Jan 14 09 08:33a nalaboff 847 - 730 -3156 p.2 STATE OF FLORIDA ,,,n w IOp LOCAL PAX 00 • FLORIDA CERTIFICATE OF DEATH Y. DEMENTS MANN (FB'et. *VGA. ).e0t 57,•11$01 . . Z. SEX ROBERT V. 008100181 MALE 3. SATE OR1NR117(48048. pH: road 48008.04818880182 48..lNV6811 ,tAR 44. UNOEH1UAY ... 8 OATS 0R•DEATH(000n04Ow. Yao,) OCTOBER 23, 1936 t871 Mang. I 30`80. A4'a'O2 ,7'002 18. 2008 8. SOCIAL SECURITY NUMBER 7-BIRTHPLACE (My an 3SIN04MFareiyw C .o0 l 0. COUNTY OF DEATH 118 -28 -7747 BROOKLYN, NEW YORK BROWARD H. PLACE OF 0100TH (C✓1mGlf any 8.811 H08F1TAL: ,_, npatient ,_Erlletperleq fiooA••gI{13S8M ��Deed of AMNIA NON.#OBPRAL: ,_HOaplppFaoOiry 0 81npHO4fe4.o.5,T2008Q4rOFa083y _Dtxe40ld'4Ye1111 x'01001030433 ALF 10.PACE.rry 8W/A E IOrro /YUOyR ;oo, ph•¢.so4B7aW1eb9/ 514.002. 70.•0.081000.47100 OF DEATH 118.1181DECRY LP424? 7306 SW 3 COURT NORTH LAUDERDALE XY,a 12. MA#rTALOTATUS (6 08.4 83..8URVMN8 SPOUBE'O NAME (0av(p.9 0A18P34nn4rrrel ..... 810,480 08101.0. 111 se09re.od •1'018288 X 01,.0888. INN 1r +8478 NONE .J� 1148. RESIDENCE 57007'2 144 0003472 104:01'K`OWN. OR LOCATION Us FLQRIDA MLAMI -DAD E MIAMI ? 144. 0.40824 A00/0288 * 408447. 040. 141. ZIP 0080. 1cy'1)80S0! 81874 U30427 ` 465 NE 96 STREET 33138 I X 8811 No 03 t88. DECEDENTS R M.00CUPATION i48180 01SOrworh dm* olaN408088(w 48og4 j *ED.10NDOF8 08*598ANOUSTRY 0 STEAM FITTER CONSTRUCTIQL�i• J IS. 0y00CEOENr•8 RAGE /40 7y the re2Nierop 1040448ta 0128 33447018ynyWpp4hyap•44Tpo 0 1p b. 480. Dun 008 acg maybe apaNltoJ.1 Fie 4a_ 4.044 - Sutl10,4Jo •en A.IMICar1 . • • 7. -Anrmken M4f4. mAh0lun Ne4�.0 y3P4e81'20a1 OV _Aetna 1110., - 0.11420. 400108 _ABOonna .....004478 0843000208 ,Wn048100 158.40 /410 mT.. 0441000810.474. 0033.408.88011.0384. _S0acwn -01.. Palle 88.(9 oPol,) _..OV19r(SPa =rN ZO117. DECEDENT OFWSPAMCORHAITIAN 088.044? �Yo*7(Yeq oo .,.- MOatoen (SpOrJfy2d08804rrf lrsea Hl4D9arC0(H08t3n Orgplr,) ePetl11'1 _rverlo wun _CUDe31 _.C4ra4eYSd11th 012188. p _03081 811478,40'8 .,W.y1 t8.0EC80ENT•B 20 cATON 2000 Uan � :5448/0'8+0 dw00o� 42(plW 384479 or( ®YB/ W 824187 08081443 NYn• of baefh.,7 S6. NAG 0141010! SYER 704 ¢C BR Cr Was �U4i5f1 tahbolbd: ro tlrpbme U.S. 440140 4004008? ._.:_1180n ad3oWa1d4Ta oOED , .000355 0,o rm 084048. . - CO0IBpe 0.9r4. r40' .. _ 44004 _ Sect1.440 :..:" M2 428 • • 00800081. 008 ][. • ,Ne S 00. PATNER•s NA4)8 Wont Id/t[Sf ., Le4t 81YQ !. .. .. Z'r. 247811818 NAME (40088.40301.. Ma/cen 4092 4 v ROBERT GARDNER. UNOBTAINABLE BLXSKL' 301. INFORMANTS NAME - 223. RELATIONSHIP TO OECE0SNT 233.114401004 08 M.e8.INO -STATE DENISE NALABOFP DAUGHTER FLORIDA Q 230. CITY 00.TOAr4 230. STRL4ETADDRESB �� GLENVIEW 2498 FIEL DRIVE 230. 0026 60026 N. PLACE 040 OI94O&ITON(Nav4009 oa.reroly.CnPaMry, 08 OWN 018 081 TON - SPATE 234. LOCATION. 0172 08170 WN GOLD COAST CREMATORY FLORIDA FT, LAUDERDALE Zn0.414784000FOIBPOBry00N - Butte: _Enbm0n0nl 2811. 2 4X1£02 Gu.e100 00011814. 818,1.81 Mom 5014 83188 11040/y) TI0IL DONATION OR BURIAL AT SEA, 273 710105E 01825881 [88401µ,0e0 2074.8I3NAT FUNERAL SE OF 40881400 007100 AS SUCH WAS 04EDKJ.L EXAMINER APPROVAL BROAfRED7 X_ Yen No FO. 45097 08. 04004E 00 FUNERAL FACILITY Zee• YA1U -STATE AAA ALPHA OMEGA CREMATION CENTER FLORIDA '85708000430.,,,' ......:• ..•.-...1.. , j08P.BTRESTACORES6 _ HOLLYWOOD 4?02314 } 1545Q S STATE ROAD 7, SUITE 34 33314 cr. 30. CERTIFIER: ..,_X Certifying P4980530, • To De 08x1 al 44' 0n0.19dsa, 4908, 0004484 81184 3ne.4me 854 011308 044 42910 819 001 4400 er114 44010, 810104. H(14484 0031 £18 3110 84 - On tee 1am18 ptex0.,14 3110. .8td / .Investigation. 8. My031040.0008 54009d411301000,40188M p0409. 100!8 40 0002800) 284m400500131o4. 310.00765881080 •nwd3•y1y)j ( NERBCASE NUMBER ii,t 1 .. / Z '3Z. TIME OFOBATl, 404 hr.) 99. MEDICAL £%ANC • Y .� ', s Z Z0 :30 -1 343. LICE - - 04//38214 (010 114880, • •0'l ' • • - V. - N.iME 38. NAME OF ATTENDING 4*108 12AN (932100 4700, 00845048) ¢ I/Ilr �S"-' DAR[4'ITA 'HILL, DO 364. CERT'FlER STATE 380,0.18408408701 3Se, STREET ADDRESS 3801, 7340 CODE FLORIDA POMPANO BEACH 1711 HASIMONDVILLE ROAD 33069 37. 8081154404444 • 48008Mrs 8.04014 380. 01140. 4.,£01811404 - Sown.. 780. DATE FILED,.BY RE005TRAR (000„ ()01{5 YrJ AUG 2.'4 2008 30. PR00041, MANNER. 0P,DEATH T3. 8ye0r1t8.1e 12110.00 IAe 13843800 N 618 medical Taw ., - If40. REPORTED TO 4ECIDAL EXAWNER OUETO .. i� ASLANT ti Aoe da 4 _ 800844 ,_ . HonIN40 . PendMe imap6a0aT Ih,38.0 *,.4. • :. I 041320 OF DEATH? _ Yea 040 11. CA 151000EATH.PARTI. Sroro the 711E101 08 .40.0.5.efr7'2..a`80,oplia *l30o. 01a110'e/4y1o3084183T1ao88 Enka oregano ee044 .00144. .4. 184ofn4W0Uda.0n *,CAN 00 N471'0,48I worn such 8405CQ1a048541.• Ireton/ Arroyo- oM108007 Ap 0020ie�1000,Ya1: ,0 �NM4 10.40441188 or wi1h011teA0ha188136110: Daim .O>]o3tll 1088051403350 8888968. A�• . WO401n04oW --- -}pw ,1e to K••a•s. 584.8, M; C`+SJ Li 111004,184111843p/1aIfN41f4 + Jl/�1 -a--� I l0a.wmo 0. nmwu, 3. / 1,..,40,1 ' oo... 1V i SR Yy- i¢1 .40N0g4Xr1e a E4*1800 _.,an w4^.:• :0 s.•,`.•rc +� ^y VROSRLY:10404U68 4 G ��1. +0"V -c. �t qd f, (dreaeeew 31.082127 ,y e,alalealMBYent4_ - -- o • I PART 0. Ol00r107 'M,8.0,nn+0183010001407840 la *MO 1r47 nol�$� the � rly5.Z a'j�51045 In PART L,A•. q I • ° 3' 2e. NAS AN AUTOPSY 4$,. WERB'AUTOPSY FDSIN423 1VAh. ABLE PERFOAME2• TO C%MiPLERE -5C. 81E CAUSE OF 01078140 433. IF SURGERY MENTIONED W PART 1 OR e, ENTER REASON FOR 8U81612 430. OATS OF 80403104 010. _ 10 470 ' /n9 TH? _.. • _ - • '( Os): Yr> 4a OIO 7080000 USE CAN7wBLTc 700107817 W nEMALE. WAS SHE PR80NANT 70111-11N THE PAST 224101 • - Tee _ N8 Urwnoam 01 Yea. npeagy l8reenem0 at tine 41 deed A DATE OF INIURY (healer. paw. Yenp 147. TIME OF MIAMI' 404 nrJ ! 48. 00110812 AT WORK? _Yaw. _No ro. SNOW, ADDRESS 450. 08x4 OR 7DWr4 00. 030081187 HOW LOUR? OCCURRED 440 node al dvalh 4443. 0000418045.• 041U.4Y. CRATE n 43Oats 0 t Year e, decal 450. 2140000E P TRANSPORTATceo IN.1uRY�'Bg3. 8004* a1/De0sde4t . . Type or vm,te(3 DrW04Opere114 PANea4lyer _ 400480143.1 011008 (51,4µr4 vn - ltu.v. fro- ... Chief Deputy Registrar AUG 1 5' 2008 WARNING: THIS DOCUMENT' IS PRINTED OR PHOTOCOPIED ON SECURYTY PAPER WITH A WATERMARK OF THE GREAT SEAL OF THE STATE OF FLORIDA. 00 NOT ACCEPT WITHOUT VERIFYING THE PRESEN0 OF THE WATERMARK. 717E 001104 o' FACE CONTAINS A MULTICOLORED BACKGROUND ANC 00(.0 EMBOSSED ,'FAA. THE BACK CONTAINS SPECIAL LONER WITH TEXT AND SEALS IN THER14OCHROMIC INK. Dµ' FORM 1947 (00/04] IIIIIIII MEI Ifni in 35168690 11.. CERTIFICATION OF VITAL RECORD: HP14�,LE>�PA,.RL24�1 -1y-. T "3 mmiomiuiinlllVWYWI�NI��l�l�ll�= I. • uri OC • • Y. DEMENTS MANN (FB'et. *VGA. ).e0t 57,•11$01 . . Z. SEX ROBERT V. 008100181 MALE 3. SATE OR1NR117(48048. pH: road 48008.04818880182 48..lNV6811 ,tAR 44. UNOEH1UAY ... 8 OATS 0R•DEATH(000n04Ow. Yao,) OCTOBER 23, 1936 t871 Mang. I 30`80. A4'a'O2 ,7'002 18. 2008 8. SOCIAL SECURITY NUMBER 7-BIRTHPLACE (My an 3SIN04MFareiyw C .o0 l 0. COUNTY OF DEATH 118 -28 -7747 BROOKLYN, NEW YORK BROWARD H. PLACE OF 0100TH (C✓1mGlf any 8.811 H08F1TAL: ,_, npatient ,_Erlletperleq fiooA••gI{13S8M ��Deed of AMNIA NON.#OBPRAL: ,_HOaplppFaoOiry 0 81npHO4fe4.o.5,T2008Q4rOFa083y _Dtxe40ld'4Ye1111 x'01001030433 ALF 10.PACE.rry 8W/A E IOrro /YUOyR ;oo, ph•¢.so4B7aW1eb9/ 514.002. 70.•0.081000.47100 OF DEATH 118.1181DECRY LP424? 7306 SW 3 COURT NORTH LAUDERDALE XY,a 12. MA#rTALOTATUS (6 08.4 83..8URVMN8 SPOUBE'O NAME (0av(p.9 0A18P34nn4rrrel ..... 810,480 08101.0. 111 se09re.od •1'018288 X 01,.0888. INN 1r +8478 NONE .J� 1148. RESIDENCE 57007'2 144 0003472 104:01'K`OWN. OR LOCATION Us FLQRIDA MLAMI -DAD E MIAMI ? 144. 0.40824 A00/0288 * 408447. 040. 141. ZIP 0080. 1cy'1)80S0! 81874 U30427 ` 465 NE 96 STREET 33138 I X 8811 No 03 t88. DECEDENTS R M.00CUPATION i48180 01SOrworh dm* olaN408088(w 48og4 j *ED.10NDOF8 08*598ANOUSTRY 0 STEAM FITTER CONSTRUCTIQL�i• J IS. 0y00CEOENr•8 RAGE /40 7y the re2Nierop 1040448ta 0128 33447018ynyWpp4hyap•44Tpo 0 1p b. 480. Dun 008 acg maybe apaNltoJ.1 Fie 4a_ 4.044 - Sutl10,4Jo •en A.IMICar1 . • • 7. -Anrmken M4f4. mAh0lun Ne4�.0 y3P4e81'20a1 OV _Aetna 1110., - 0.11420. 400108 _ABOonna .....004478 0843000208 ,Wn048100 158.40 /410 mT.. 0441000810.474. 0033.408.88011.0384. _S0acwn -01.. Palle 88.(9 oPol,) _..OV19r(SPa =rN ZO117. DECEDENT OFWSPAMCORHAITIAN 088.044? �Yo*7(Yeq oo .,.- MOatoen (SpOrJfy2d08804rrf lrsea Hl4D9arC0(H08t3n Orgplr,) ePetl11'1 _rverlo wun _CUDe31 _.C4ra4eYSd11th 012188. p _03081 811478,40'8 .,W.y1 t8.0EC80ENT•B 20 cATON 2000 Uan � :5448/0'8+0 dw00o� 42(plW 384479 or( ®YB/ W 824187 08081443 NYn• of baefh.,7 S6. NAG 0141010! SYER 704 ¢C BR Cr Was �U4i5f1 tahbolbd: ro tlrpbme U.S. 440140 4004008? ._.:_1180n ad3oWa1d4Ta oOED , .000355 0,o rm 084048. . - CO0IBpe 0.9r4. r40' .. _ 44004 _ Sect1.440 :..:" M2 428 • • 00800081. 008 ][. • ,Ne S 00. PATNER•s NA4)8 Wont Id/t[Sf ., Le4t 81YQ !. .. .. Z'r. 247811818 NAME (40088.40301.. Ma/cen 4092 4 v ROBERT GARDNER. UNOBTAINABLE BLXSKL' 301. INFORMANTS NAME - 223. RELATIONSHIP TO OECE0SNT 233.114401004 08 M.e8.INO -STATE DENISE NALABOFP DAUGHTER FLORIDA Q 230. CITY 00.TOAr4 230. STRL4ETADDRESB �� GLENVIEW 2498 FIEL DRIVE 230. 0026 60026 N. PLACE 040 OI94O&ITON(Nav4009 oa.reroly.CnPaMry, 08 OWN 018 081 TON - SPATE 234. LOCATION. 0172 08170 WN GOLD COAST CREMATORY FLORIDA FT, LAUDERDALE Zn0.414784000FOIBPOBry00N - Butte: _Enbm0n0nl 2811. 2 4X1£02 Gu.e100 00011814. 818,1.81 Mom 5014 83188 11040/y) TI0IL DONATION OR BURIAL AT SEA, 273 710105E 01825881 [88401µ,0e0 2074.8I3NAT FUNERAL SE OF 40881400 007100 AS SUCH WAS 04EDKJ.L EXAMINER APPROVAL BROAfRED7 X_ Yen No FO. 45097 08. 04004E 00 FUNERAL FACILITY Zee• YA1U -STATE AAA ALPHA OMEGA CREMATION CENTER FLORIDA '85708000430.,,,' ......:• ..•.-...1.. , j08P.BTRESTACORES6 _ HOLLYWOOD 4?02314 } 1545Q S STATE ROAD 7, SUITE 34 33314 cr. 30. CERTIFIER: ..,_X Certifying P4980530, • To De 08x1 al 44' 0n0.19dsa, 4908, 0004484 81184 3ne.4me 854 011308 044 42910 819 001 4400 er114 44010, 810104. H(14484 0031 £18 3110 84 - On tee 1am18 ptex0.,14 3110. .8td / .Investigation. 8. My031040.0008 54009d411301000,40188M p0409. 100!8 40 0002800) 284m400500131o4. 310.00765881080 •nwd3•y1y)j ( NERBCASE NUMBER ii,t 1 .. / Z '3Z. TIME OFOBATl, 404 hr.) 99. MEDICAL £%ANC • Y .� ', s Z Z0 :30 -1 343. LICE - - 04//38214 (010 114880, • •0'l ' • • - V. - N.iME 38. NAME OF ATTENDING 4*108 12AN (932100 4700, 00845048) ¢ I/Ilr �S"-' DAR[4'ITA 'HILL, DO 364. CERT'FlER STATE 380,0.18408408701 3Se, STREET ADDRESS 3801, 7340 CODE FLORIDA POMPANO BEACH 1711 HASIMONDVILLE ROAD 33069 37. 8081154404444 • 48008Mrs 8.04014 380. 01140. 4.,£01811404 - Sown.. 780. DATE FILED,.BY RE005TRAR (000„ ()01{5 YrJ AUG 2.'4 2008 30. PR00041, MANNER. 0P,DEATH T3. 8ye0r1t8.1e 12110.00 IAe 13843800 N 618 medical Taw ., - If40. REPORTED TO 4ECIDAL EXAWNER OUETO .. i� ASLANT ti Aoe da 4 _ 800844 ,_ . HonIN40 . PendMe imap6a0aT Ih,38.0 *,.4. • :. I 041320 OF DEATH? _ Yea 040 11. CA 151000EATH.PARTI. Sroro the 711E101 08 .40.0.5.efr7'2..a`80,oplia *l30o. 01a110'e/4y1o3084183T1ao88 Enka oregano ee044 .00144. .4. 184ofn4W0Uda.0n *,CAN 00 N471'0,48I worn such 8405CQ1a048541.• Ireton/ Arroyo- oM108007 Ap 0020ie�1000,Ya1: ,0 �NM4 10.40441188 or wi1h011teA0ha188136110: Daim .O>]o3tll 1088051403350 8888968. A�• . WO401n04oW --- -}pw ,1e to K••a•s. 584.8, M; C`+SJ Li 111004,184111843p/1aIfN41f4 + Jl/�1 -a--� I l0a.wmo 0. nmwu, 3. / 1,..,40,1 ' oo... 1V i SR Yy- i¢1 .40N0g4Xr1e a E4*1800 _.,an w4^.:• :0 s.•,`.•rc +� ^y VROSRLY:10404U68 4 G ��1. +0"V -c. �t qd f, (dreaeeew 31.082127 ,y e,alalealMBYent4_ - -- o • I PART 0. Ol00r107 'M,8.0,nn+0183010001407840 la *MO 1r47 nol�$� the � rly5.Z a'j�51045 In PART L,A•. q I • ° 3' 2e. NAS AN AUTOPSY 4$,. WERB'AUTOPSY FDSIN423 1VAh. ABLE PERFOAME2• TO C%MiPLERE -5C. 81E CAUSE OF 01078140 433. IF SURGERY MENTIONED W PART 1 OR e, ENTER REASON FOR 8U81612 430. OATS OF 80403104 010. _ 10 470 ' /n9 TH? _.. • _ - • '( Os): Yr> 4a OIO 7080000 USE CAN7wBLTc 700107817 W nEMALE. WAS SHE PR80NANT 70111-11N THE PAST 224101 • - Tee _ N8 Urwnoam 01 Yea. npeagy l8reenem0 at tine 41 deed A DATE OF INIURY (healer. paw. Yenp 147. TIME OF MIAMI' 404 nrJ ! 48. 00110812 AT WORK? _Yaw. _No ro. SNOW, ADDRESS 450. 08x4 OR 7DWr4 00. 030081187 HOW LOUR? OCCURRED 440 node al dvalh 4443. 0000418045.• 041U.4Y. CRATE n 43Oats 0 t Year e, decal 450. 2140000E P TRANSPORTATceo IN.1uRY�'Bg3. 8004* a1/De0sde4t . . Type or vm,te(3 DrW04Opere114 PANea4lyer _ 400480143.1 011008 (51,4µr4 vn - ltu.v. fro- ... Chief Deputy Registrar AUG 1 5' 2008 WARNING: THIS DOCUMENT' IS PRINTED OR PHOTOCOPIED ON SECURYTY PAPER WITH A WATERMARK OF THE GREAT SEAL OF THE STATE OF FLORIDA. 00 NOT ACCEPT WITHOUT VERIFYING THE PRESEN0 OF THE WATERMARK. 717E 001104 o' FACE CONTAINS A MULTICOLORED BACKGROUND ANC 00(.0 EMBOSSED ,'FAA. THE BACK CONTAINS SPECIAL LONER WITH TEXT AND SEALS IN THER14OCHROMIC INK. Dµ' FORM 1947 (00/04] IIIIIIII MEI Ifni in 35168690 11.. CERTIFICATION OF VITAL RECORD: HP14�,LE>�PA,.RL24�1 -1y-. T "3 mmiomiuiinlllVWYWI�NI��l�l�ll�= PACE I. £ d 99I.C-0£L-L178 '020114 I7 isi�luy 5, slamu. 11... (30i) 703 -555$. tatser Cc,t,,. teal HUD-1 (3 -86) RESPA. BB 4305.2 jj.ogajnu e17£ :80 60 I. uer A. g e t t 1 e m e n t Statement U.S. Department of Housing •14. and Urban Development -.1 r B. Type OMB Approval No. 2502 of Loan -0265 1.© FHA 2.El FmHA 3. a Cony. Unins. 4.a VA 5.® Cony. Ins. C. NOTE: 6. File Number 304- 08P /SS 7. Loan Number 3218674332 8. Mortgage Insurance Case Number This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.o.e.)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. D. NAME OF BORROWER: LUCIANO G. RAMOS and PAULA RODRIGUEZ ADDRESS OF BORROWER: 28 NW 104 STREET MIAMI SJORES FL 33150 E. NAME OF SELLER: DENISE NALA BOFF, Trustee ADDRESS OF SELLER: 2498 FIELDING DRIVE, Glenview, IL 60026 F. NAME OF LENDER: QUICKEN LOANS INC 20555 ADDRESS OF LENDER: LIVONIA Ml 48152RI�WAY G. PROPERTY 465 N.E. 96 STREET LOCATION: MIAMI SHORES, FL 33138 WO 11- 3206 -017 -0120 H. SETTLEMENT AG ENT: RAPID TITLE SERVICES COMPANY Tax ID #: 65- 0050929 1175 NE 125th STREET, SUITE 512, NORTH MIAMI, FL 33161 (305) 891 -6082 PLACE OF SETTLEMENT: 1175 NE 125th STREET, SUITE .512, NORTH MIAMI, FL 33161 I. SETTLEMENT DATE: 12/31/2008 SUMMARY .1. OF BORROWER'S TRANSACTION 100.GROSS K. SUMMARY OF SELLER'S TRANSACTION AMOUNT DUE FRO R4 BORROWER 400.GROSS AMOUNT DUE TO SELLER 101 Contract sates.price 415 000 00 401 .Contract sale g price 407.Personal property 403 404. 405. Adjustments for I.e_, ms paid by seller in advance 415.000.00 IO2.Personal property 103.Settlement charges to Lbo rrotiver (line t ]rill 104. 7 366 .14 195. Adjustments for items paid by seller in advance I 06.0 ity/town taxes to 107.County taxes to 406.City /town taxes to 407 County taxes to 408.Assessments to 409. to 410. to I08.Assessments to 109. to 110. III _ to 41.1. to 112 to 412. to 1 20.GROSS AMOUNT DUE FRC)N. BORROWER p 422,366.14 420. GROSS AMOUNT DUE TO SELLER 415,000.00 200. AMOUNTS PAID BY OR IN I3EI ALF OF BORROWER 500.REDUCTIONS IN AMOUNT DUE TO SELLER 201.Deposit or earnest :ncnev ___16.0_1(},Q0 373.500.09 202.Principal amount of new loan(s) 203.Existing 501.Excess deposit (see instructions) 32.578._.6 I_ 611 217.84 40 567.03 502. Settlement charges to seller(line 1400) loan(s) taken subject to 204. 503_ Existing loan(s) taken subject to 504 Payoff of first mortgage loan COUNTRYWIDE FSB 505. Payoff of second mortgage loan COUNTYWIDE FSB 506. 507. 205. 206.Principal amount of row loan(s) 207. 208. 508. 509. P1 E .ES MIT CROW 509a 2000.00 209a 209b Adjustments for items 509b Adjustments for items unpaid by seller unpaid by seller 21 0. C ityito wn taxes to 5 10. City/town taxes to 51 1.County taxes to 512. Assessments 21 1.County taxes to 212.Assessments to 213. to to 513. to 214. to 514_ to 515. 215. to 216. to to 1 6. to SI7. to CIS to 517. to 217. to 218. to 219. to 220.TOTAL AMOUNTS PAID BY OR IN BEHALF OF BORROWER 389,500.00 520.'I'OTAL REDUCTIONS LN AMOUNT DUE SELLER '36,363.47 300.CASH AT SEITLEMEN•r FROM/TO BORROWER 600.CASH AT SETTLEMENT TO/FROM SELLER 301.Gross amount due from borrower (line 120) 42366.14 601.Gress amount due to seller (line 420) 415,000.00 302.Less amounts paid bL [or bonower (line 220) 389,500.00 602. Less reductions in amount due seller (line 520) I36,363.47 303.CAS.H I$1 From D To BORROWER 0. 32,866.14 603.CASH To 0 From SELLER , 278,636.53 PACE I. £ d 99I.C-0£L-L178 '020114 I7 isi�luy 5, slamu. 11... (30i) 703 -555$. tatser Cc,t,,. teal HUD-1 (3 -86) RESPA. BB 4305.2 jj.ogajnu e17£ :80 60 I. uer L. Settlement Char U.S. DEPARTMENT OF HOUSING AND URBAN DRVELOPMENT SETTLEMENT S'T'ATEMENT PAGE 790. TOTAL SALES/BROKER'S COM. based on price 415,000 00 R % Division S.Op /o = 20,750.00 1 Borrower's From Borrower's Funds At Settlement Paid From Seller's Funds At of Commission (line 700) as follows: 75n _70.1.,____29.,__ 00 to f <(i( Z,ER WILLIAMS 72 tp 703. Commission id pa at Settlement 704. REIMBURSE RE -OCCUP Settlement 20 76(].00 CERT to ROBERT J. BOURNE OO 800. Items Payable In Connection With Loan 801 Loan Origination 65.60 Foe % to 802. Loan Discount 1,867.50 .50 % to i)_UI_CJG,E 843. Appraisal Fee N to TSI I API? POC :10 (10 804. Credit Report to (`REDCO PQC: 11.53 X0.5 FLOOD I IFE OF LOAN .19 FIBS' AM FLOOD DATA pOC 5.00 _8 , FLOOD DETERMINATION to i'1RS'I' Alv 0C LO.SP 8.07. UNDERWRITING F1:1,,, to .:QUICKEN POC 9?.97 808. PROCESS FEE 402.03 to OWCKl;T! 809. TSI 575.00 APPRAISAL - to 1'OC 80.00 810. TAX CERT FLEE 811. to____ 13.00 812. to 813. to X14 to to 815. 900. Items Required 13v Lender AcIv:re,cc To 13e Paid In 901. Interest from 12/; l/ ?003 to 1/1/2009 rt, 55 77 902 Mort ' -c 1 Ala, for 1 days g ge Insurance f ttmium for 2 565.05 55.77 1.016.95 mortllis Isr 903. Hazard Insurance Premium for I years lo CITIZENS 904. 905. Ye .` lt 1000. Reserves Deposited With Lender years to IDOL Ha•tl . insurance ; ninths 1 002. Mortgage insurance 298.50 per month 895.60 1 003. City month 2,190.72 property taus month.sOr per monthsa per month 1004. County ro et taxes P P y 4.)_ iignthS @__ 1005. Annual assessmenla 547.68 per month _ I3r rn ontlz _ 1007. pnnths{4) per month 1008, months. pemonth months a• f547.6 i) Per month 1009. AGGREGATE AD I t ; S'I'MFNT 1100. Title Charges /101. Settlement or closing fcc to 1IAI']1) •;'TTLE SERVICES COMPANY _102. Abstract or title search 1 't' J 635 00 225,00 to RSC /COMMONWEALTFI l 103. Title examination to 1 104. Title insurance binder to 1105. Document p5gparat[ i, to KJtAMER AND GOLDEN, P.A. 1 10 .1.______6___ otary fees 759 00 to 1107. Attorney's fees to {includes above items numbers: 1108. Title insurance `I'1' to RAl?1D ;'LE SEP.VICES GQi IPANY [includes above items numbers: 2.175 11,09. Lender's coverage- Risk_ Premium 00 25_0.9 INS AMT 1 10. Owner's coverage: Kill: I'rem i0 2.1 nt 0.00,SOD.DD I 10a Endorsements: '9, I -2 f 7.50 1 `I c1 h IT: 415.00tx OO .. 242.50 :Al. I A 8 12 00; 1 1 1 1. Additional Mtn Sel v Fee 'o RAP iD TITLE S! ?R VICES COMPANY 1 1 12. MTG SERV MISC 95-00 to R_rSC 1 1 13. _ 1200. 25.00 Government Recording and Transfer Chartres 1201. Recording FegsaDe tl L- Mortt,agefs) $3S0.50- _S- 'tlortna 'c(s); Releases $20.00 1202. City 400 50 747.00 /county tai /statahs;I�eed • L -M rtnas >e c17. ¢_ oust to - gane(sa.$7 00: Morltgaec(s) 1203. State „ osLacc '4i$2,490,49a_L- Mortgage(s)$1, 1)7.25 ;.S -'207.25;.S 1204. 3 797.25 1205. 1300. Additional Settlement Charges 1301. Survey to 1,ANNlS ANT) GARCIA L302. Pest Inspection 395.00 to 1.303. Courier Delivety Ser.,ipo to ItA!'II)_l'1'1.1.1,S1;RVICES 1304. TAX ANQL..IEN - �OMPr1NY 178.00 1305. ESCROW FINAL WATER BILL to ,lfLi2; \ \[CJVd[ "I'7 178.00 175.00 125 00 to 1306. SELLER COURUER 71315.6 t , , RAPI D TITLE SERVICES y'' _07• COMPANY 1308. t" - t,t 1309. to 1400. Total Settlement Charges tenter on lines 103. Section 1. n,l ttI' �,..- r ;•■■•rll ' I 7,366.14 32,578.60 I have carefully reviewed the I tt i 17 _ Sett C: t:l t rt Rt t 'N t'ION DATE: 1.2/31/2008 d } 1 c ttlement Statement and t <t !he. first of' • t: I, vatiledge and belief, it is a true and accurate statement ofa receipts disbursements made on my account or rd in this transaction. I !'nrther ccrti it tlent I hay received a copy of the THUD - I Settle ent Statement. LUCIANO PAULA ROD GUC7 I'hc HUD-1. Settlement Statementwi ch I ancc with this statement. 13orrrns er I3orrowcr Seller repared is n .rue 11.111 r.c• orate account. of this transaction. 1 have caused the funds to be disbursed in accord - NA 'I; r'IIT).11 SERVICES COMPANY WARNING: It is a crime to knowingly ma' lialse statements the tinned tS: Agent on this or any other similar form. Penalties upon conviction can include a One and imprisonment. For details see: itle 18 U.S. Code Sectisn, 11)0 I :rid Section i 010. 304- 08P /SS et C 80 60 I- ue Seller 991• £-0£L -Lb8 gogateu PROCESS } 0L101 C.O _R. 2 .Qc BUILDING OWNER'S NAME FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important Read the instructions on pages 1-7. SECTION A - PROPERTY OWNER INFORMATION O.M.B. No. 3067 -0077 Expires December 31, 2005 Fa Insurance Company Use BUILDING STREET ADDRESS (Including Apt_ Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 45 is. . oCpTN ST. CITY 1-(1-64-11 STATE PROPERTY DESCRIPTION (Lot and Block (Numbers, Tax Parcel Number, Legal Description, etc.) Policy Number Company NAIC Number ZIP CODE 3.3 l 3� BUILDING USE (e.g.. Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ❑ USGS Quad Map ❑ Other. ( #t� - ## - ItItil#" or 1f#.#r ) ❑ NAD 1927 ❑ NAD 1983 Mr I „��-d R. E 5 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2 COUNTY NAME ntAr- fit, -v�v� B3. STATE FLORIDA B4. MAP AND PANEL I 87. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER 35. SUFFIX B6. FIRM INDEX DATE EFFECTIVEJREVISED DATE 88. FLOOD ZONE(S) (Zone AO, use depth of tioodmg) 17.02.5C�©i3 S -t -n- 95 3 _2_ °v4- x, _ 610. Indicate the source of the Base Flood Elevation (BEE) data or base flood depth entered in 89. ❑ FIS Profile ® FIRM 0 Community Determined 0 Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 0 NAVD 1988 0 Other (Describe): B1 Z Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ®No Designafion Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQU1 Cl. Building elevations are based at 0 Construction Drawings* ❑.Bulding Under Construction' N Finished *A new Elevation Certificate wig be required when construction of the building is complete. C2. Building Diagram Number 1 (Select the building diagram most similar to the bulling for which this certificate is being completed accurately represents the building, provide asketch or photograph.) C3. Elevations —Zones Al -A30, AE,AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/, Complete Items C3. -a-i below according to the building diagram specified in Item C2 State the datum used. If the datum is Section B, convert the datum to that used for the BFE Show field measurements and datum conversion calculation. Use Section 0 or Section G, as appropriate, to document the datum conversion. Datum NGVD 1929 Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? 0 Yes ® No I - a) Top of bottom floor (including basement or endosure) to S,�it(m) b) Top of next higher floor • c) Bottom of lowest horizontal structural member (V zones only) N (jd�— ft.(m) d) Attached game (top of slab) $r7.5(L(m) e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) .$.Scf1(m) )- f) Lowest adjacent (finished) grade (LAG) 8 .3ifL(m) • g) Highest adjacent (finished) grade (HAG) . j3fL(m) h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade _ • ► ij Total area of all permanent openings (flood vents) in C3.h 0 sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, 8, and Con this certificate represents my best efforts to interpret the data available. I understand that any false statement maybe penis ...le b ; ne or imprisonment under 18 U.S. Code, Section 1001. TITLE CERTIAER'SNAME MIGU.� ESPINOSA UCENSE NUMBER 5101 SSIO;' RVEYOR & MAPP COMPANY NAME MIGUEL ESPINOSA-LAND SURVEYING, INC. / iiinifiENWEIS SIGNATURE FEMA Form 81 -31, January 2003 STATE FL ZIP CODE 33155 TELEPHONE 305 -740 -3319 REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces, copy the corresponding information from Section A For Insurance Company Use: BUILDING STREET ADDRESS (Including Apt. Unit, Surf, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number cfTY STATE ZIP CODE Cori any NAJC Number SECTION D - SURVEYOR, ENGINEER,'OR ARCHITECT CERTIFICATION (CONTINUED) copy both sides alibis Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AC) and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F, Section C must be completed. El. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed –see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (inducting basement or endosure) of the building is ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ fl.(m) _in.(on) above the highest adgacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is ft(m)_in.(cm) ❑ above or . ❑ below (check one) the highest adjacent grade (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's fioodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representafve who completes Sections A, B, C (Items C3.h and C3a only), and E for Zone A (without a FEMA - issued or community- issued BFE) or Zone AO must sign here. The statements In Salons B, C, and E are correct to the best of my knowledge PROPERTY OWNERS OR OWNERS AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS O Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Devaton Certificate. Complete the applicable Rem(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for community floodplain rrrdl ragement purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED 06. DATE CERTIFICATE OF CDMPUANCE/OCCUPANCY ISSUED G7. This permit has been issued for. ❑ New.Constnction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (inducting basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: — . ,_ft (m) • — th(m) Datum: Datum LOCAL OFFICIALS NAME COMMUNITY NAME SIGNATURE COMMENTS TITLE At I n'c 0- TELEPHONE DATE —7/14/0 sp Q re) eo 7A% e ('0 -1) El Check here if attachments PROCESS 1/ FOLIO.# C.O_R = $,2� BUILDING OWNERS NAME FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION O.M.B. No. 3067 -0077 Expires December 31, 2005 For Insurance Company Use: BUILDING STREET ADDRESS (Inducting Apt. Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. �o� a. - • otcomrk CITY 1.11,4.4-11 M5 STATE L PROPERTY DESCRIPTION (Lot and Block umbers, Tax Parcel Number, Legal Description, etc.) Policy Number Company NAIC Number ZIP CODE 33 l 316 BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) ( tit - ##R - ##.#fF' or ##.�) HORIZONTAL DATUM: ❑ NAD 1927 ❑ NAD 1983 SOURCE: ❑ GPS (Type): ❑ USGS Quad Map ❑ Other. 1 �u l ` SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER 82. COUNTY NAME L ?O( tit AM1- -Pd.D� B3. STATE FLORIDA B4. MAP AND PANEL I 87. ARM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVE/REVISED DATE 88. FLOOD ZONE(S) (ZmteAO, use depth of Iloadug) 12, -015CC C 3 S -1 -11 -X15 3 -'L- °\4- ��_ 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Commuruly Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 19:: ❑ Other (Descxlthe): B12. Is the building hated in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (CPA)? Y �►;:. ) SECTION C - BUILDING ELEVATION INFORMATION (SURVEY C1. Building elevations are based on: ❑ Constructor' Drawings* [].Building UnderConstnxtion* ® Finished= *A new Elevation Certificate will be required when cornstruction of the building is complete. C2 Building Diagram Number 1 (Select the building diagram roost similar to the building for which this certificate is being accurately represents the bulding, provide a sketch or photograph.) C3. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/ 11-1 Complete Items C3. -a-i below according to the building diagram specified in Item CZ State the datum used. If the d Section B, convert the datum to that used for the BFE Show field measurements and datum conversion calculation 1 t' Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD 1929 Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No )- a) Top of. bottom floor (including basement or enclosure) 10 55ft.(m) • b) Top of next higher floor is -1(m) c) Bottom of lowest horizontal structural member (V zones only) t1( --# (m) 0- d) Attached garage (top of slab) _ .51(m) e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) • t) Lowest adjacent (finished) grade (LAG) • g) Hghest ad)acent (finished) grade (HAG) 8 3Ift(m) $f(m) )- h) No. of permanent openings (flood vents) within 1 ft above vacant grade ) Total area of all permanent openings (flood vents) in C3.h 0 sq. in (sq. cm) SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and Con this certificate represents my best efforts Jo interpret the data available. I understand that any false st.'ement may be punish . ale by bye or imprisonment under 18 U.S. Code, Section 1001. TME CERi1FIER'SNAME MIGUE I SPINOSA ESSIONAL `• %R YOR & MAP.... PE I-- - 7i '/ UCENSE NUMBER 5101 COMPANY NAME MIGUEL ESPINOSA !AND SURVEYING. INC. FEMA Form 81 -31, January 2003 REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces, copy the corresponding information from Section A. BUILDING STREET ADDRESS (Indudmg Apt, UruT. Suit, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. For Insurance Company Usk Policy Number CITY STATE ZIP CODE Company NAIC Number SECTION D - SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) copy both sides of this Elevation Certfficate for (1) community official, (2) insurance agenUoompany, and (3) building owner. COMMENTS ❑ 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 (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F, Section C must be completed. El. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If no diagram accurately represents the bullring, provide a sketch or photograph.) • E2. The top of the bottom floor (inducting basement or endosure) of the building is' _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is ft.(m) in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and /or equipment servicing the building is _ ft(m) _in.(cm) ❑ above or . ❑ below (check one) the highest adjacent grade. (Use natural grade, if avalable). E5. For Zone AO only If noticed depth number is avalable, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA - issued or community- issued BFE) or Zone AO must sign here. The statements In Sections A, B, C, and E are correct to the best of my knowledga PROPERTY OWNERS OR OWNERS AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑.Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordnance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Devafion Certificate. Complete the appfrcable Rem(s) and sign below. G1. ❑ The information in Section C was taken frurn other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED a. DATE CERTIFICATE CF COMPUANCEIOCCUPANCY ISSUED G7. This permit has been issued for. ❑ New.Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building is: �� G9. BFE or (in Zone AO) depth of flooding at the.building site is: Q 0 A. ►° � — _-ft.(m) ft(m) Datum: Datum LOCAL OFFICIAL'S NAME TITLE a rec ,- COMMUNITY NAME 6 ( �� K, I "e SIGNATURE I � . COMMENTS eti `ACV' �v 44.�0,v 7 e_ r TELEPHONE DATE 111 Check here if attachments CUSTOMER : . 4 0 thes-Pt 4 A9121112) (-1, JOB NUMBER : pet 44-0 DESCRIPTION : * ** DESIGN WIND LOADS - ASCE 7 -98 * ** * ** COMPONENTS AND CLADDING * ** WIND VELOCITY = 146 MPH EXPOSURE CATEGORY = C BUILDING CATEGORY = 2 IMPORTANCE FACTOR= 1.00 Kzt = 1.00 ROOF SLOPE = TRIBUTARY AREA = MEAN ROOF HEIGHT = DISTANCE, Z = 3.00 : 12 (14.04 DEG) 261.0 FT2 12.5 FT Kh =-0.849 12.5 FT Kz = 0.849 DATE : 5-� (© -?.rte' qh =- 46.3 PSF qz = 46.3 PSF GABLE /HIP ROOF WIND LOADS a ROOF AREA 1 2 2 3 GCp ( +) 0.300 2 0.300 0.300 GCp ( -) -0.800 -1.400 -1.400 PRESSURE (psf ) `� 22.2 22.2 VERT. COMP. 21.6 HORIZ. COMP. j 5.4 SUCTION(psf) - .2 -73.2 VERT. COMP. - � '. - . 0 -71.0 HORIZ. COMP. A .$ -17.8 a a a a 2 1 2 2 1 2 3 3 3 3 P = gh[(GCp) - (GCpi)] GCpi = ± 0.18 BUILDING WIDTH = 35.0 FT CORNER DISTANCE, a = 3.5 FT FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600C -01 Residential Limited Applications Prescriptive Method C SOUTH 7 8 9 Small Additions, Renovations & Building Systems CanpGarce Val Method CofChapter 6of theFloridaEnergyEff y Code may te demonstrated bytheuseof Fam606C01faaddTrrsof 600squarefeetaless ,site -Walled components of manufacttred homes, and renwafons tosingle and :,c., residerces. Alterman methods are : for ad ns useofFcnn O8-01a600A-01. i/ /?iDA/ PROJECT NAME: AND ADDRESS: ,G!/ OWNER: No �/}��GfL+f'4;47„!/y�/Q SWO. ADDITIONS TO OUSTING RESIDENCES (600 Square feet a less of weaned area). Prescdplve requireme hRides 6O1,6C -2 and6G3 apply only to the commas d the adri6on , not to the existing bulking. Space heating, cooing, and voter heating equipment efficiency ler& must be met onlysten equipment si edspecif */t oserveteadcNonabberginstalled inoorfurcionwith the onconstruction. Cartoonists separaftng mr:ortbffaned spaces from =droned spaces marred a prescrbed *krnthSM nlevels. RENOVATIONS (Residential Wigsundergoing rename= cosrngmore than 30% of the assessed value of Wing). Prescriptive in Tables 6C- 1 and 6G2 apply adyto the components and equipmed being renaw dareplaoed. MANUFACTUREDHOMESANDBUI LDINGS.Onlys components anr1 features a e covered by this form. BUILDING SYSTEMS Comply whenoompletenewsystemisista lled. Please Print CK c✓ r/ BUILDER: PERMITTING OFFICE: /,2 / 2/re PERMIT N°1 1 1 1 1 1 1 1 1 CLIMATE ZONE: 7 n 8 119n JURISDICTION NO.: 1. Renovation, Addition, New System or Manufactured Home 2. Single family detached or Multifamily attached 3. If Multifamily -No. of units covered by this submission 4. Conditioned floor area (sq. ft.) 5. Predominant eave overhang (ft.) 6: Glass area and type: a. Clear glass b. Tint, film or solar screen 7. Percentage of glass to floor area 8. Floor type and insulation: a. Slab -on -grade (R- value) b. Wood, raised (R- value) c. Wood, common (R- value) d. Concrete, raised (R- value) e. Concrete, common (R- value) 9. Wall type and insulation: a. Exterior. 1. Masonry (Insulation R- value) 2. Wood frame (Insulation R- value) b. Adjacent 1. Masonry (Insulation R- value) 2. Wood frame (Insulation R- value) c. Marriage Walls of Multiple Units* (Yes/No) 10. Ceiling type and insulation: a. Under attic (Insulation R- value) b. Single assembly (Insulation R- value) 11. Cooling system* (Types: central, room unit, package terminal AC., gas, existing, none) 12. Heating system *: (Types: heat pump, elec. strip, natural gas, L.P. gas, gas h.p., room or PTAC, existing, none) 13. Air Distribution System *: a. Backflow damper or single package systems* (Yes/No) b. Ducts on marriage walls adequately sealed* (Yes/No) 14. Hot water system: (Types: elec., natural ga other, exis rng, * Pertains to manufactured with components. I hereby certify that th /2i �'t 'r'�"� r compliance with the Flo i, PREPARED BY: I hereby certify that ;�3ir '��i'7i/ f %,4*�' -_.- OWNER AGM': L // / /i %� - -- 1. APR/Poll 2. 0/ffrfilli • 3. 4. �?- 5. Single Pane Double Pane 6a. _it „_'�,r/ sq. ft. - ' sq. ft. 6b. sq. ft. ---_'' sq. ft. 7. 60 qo 8a. R= -°" lin. ft. 8b. R= 2 sq. ft. 8c R= sq. ft. R= sq. ft. R= sq. ft. 9a -1 R= 0.76' sq. ft. 9a -2 R= -- sq. ft. 9b-1 R= r ' sq. ft. 9b-2 R= sq. ft. 9c 10a. R= Flo sq. ft. 10b. R= .r- sq. ft. 11. Type: G#7 SEER/EER• /1. O. 12. Type: HSPF /COP /AFUE: 0•4e. 13a. 13b. 14. Type: G • ' EF: • e FLORIDA BUILD! CODE BUI 13.205 1111111111111111111/ I111111111H111111111H11111111111111 Climate Zones 7 8 9 TABLE 6C-1: P NESCRIPTIVE REQUIREMENTS FOR SMALL A.. rn0NS (600 S4 Ft. and Less), RENOVATIONS TO EXISTING BUILDINGS AND SITE - INSTALLED COMPONENTS OF MANUFACTURED HOMES. COMPONENT MINI/at rA INSULA •0N ' ' INSULATION' INSTALLED EQUIPMENT MINIMUM EFFICIENCY INSTALLED EFFICIENCY SEER = 444, SEER = to 3 ' Conarete Block ' Fre,ee,2'x4° Frame, 2° x 8' " Common, Frame Common, Masonry ri -su R -i R ; :• ii -,l R -: i UP TO 50% Central A/C • Spilt - Single Pkg. Room unit or PTAC SEER = 10.0 SEER . = 9.7 EER a 8.5* Double OH - .4HC,C 1'- .78 0 °- .61 Single OH - RHC3C 3'..87 2'- .75 l'• .57 Q` -.39 Double (11-1. RHC3C 2'• .78 1'- .81 0'- .44 Single OH-s14111 4 °- .87 ' 3'- .75 2'• .57 1' -.39 0'- .30 EER = OH . SHr4C OH - SHr3C (IL 1"- .87 0'- .75 0 °- .78 -� Get certified SHGC from the manufactur ar or use defaults: Single clear SHGC = .87, double Clear SHGC = .78, and single tint SHGC a .75. . • Electric Resistance Heat pump • Split . - single Pkg. Room unit or PTHP . Gas, natural or propane Fuel Oil ANY HSPF = 6.8 HSPF = 6.8 COP = 27* AFUE = .78 AFUE a .78 HSPF = 6.8 CEILINGS Under Attic. '; Single Assembly;'Enclosed Frame -- Metal Pans - Single Assembly; Open Common, Frame. H- R. 1 1 R. 's R- R-11 HSPF = • To t;e c= lk =d . =sk= _ • w= =th; -s ri. • =• • • h: i• = s...,• •.ft window area' .5 cfm/s•.ft. door area. HSPF/ ` a Exterior Windows & Doors 606.1 COP AFUE a Sole & Top Plates 606.1 IFLOORS Slab -on -grade ' Retied Wood Raised Concrete Common, Frame .--."� "' No Mini ±sum R. 11 R- L. R -11 606.1 AFUE, /fS1 Multi -story Houses . F Electric Resistance' Gas; Natural or LP. Fuel Oil EF a .88 EF a .54 _ EF = .54 _ EF a e Exhaust Fans • EF = �' o In unconditioned space conditioned space R-i No mire num 612.1 612.1 x a Swimming Pools & Spas 'EF = * See Table 6-3, 8.7 Maximum •ercenta. e ass to floor area allowed i. selected b' 'e overhan• len. h and solar heat •ain coefficient. Maximum% _ Installed % a /y GLASS_' RHANG, Ar ;-) SOLAR HEAT GAIN COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO Sin l '° UP TO • :'ngle 30 % UP TO 40% UP TO 50% Double Double OH - .4HC,C 1'- .78 0 °- .61 Single OH - RHC3C 3'..87 2'- .75 l'• .57 Q` -.39 Double (11-1. RHC3C 2'• .78 1'- .81 0'- .44 Single OH-s14111 4 °- .87 ' 3'- .75 2'• .57 1' -.39 0'- .30 Double OH - SHC,C 3 °- .78 2'- .61 1%, .44 0 ° -.35 OH . SHr4C OH - SHr3C (IL 1"- .87 0'- .75 0 °- .78 ..SHrf; 2 - .87 1 • .75 1,)'• .57 Get certified SHGC from the manufactur ar or use defaults: Single clear SHGC = .87, double Clear SHGC = .78, and single tint SHGC a .75. TABLE BC-3 MINIMUM REQUIREMENTS FO '' ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK gxterior Joints & Cracks ' " '608.1 To t;e c= lk =d . =sk= _ • w= =th; -s ri. • =• • • h: i• = s...,• •.ft window area' .5 cfm/s•.ft. door area. IIMP Exterior Windows & Doors 606.1 Ma:.. 0.3 cfm/ Sole & Top Plates 606.1 Sole •fates and • enetrations throu, h to. • fates of exterior walls must be sealed. NM Recessed Lighting 606.1 Ty•.; IC rated with no •enetrations two alternatives allowed . IIM A' IN IN I, lin IIIM Multi -story Houses 608.1 608.1 Air harrier on EMI aust fans vented deg "i os with integral perimeter of floor cavity between floors. to unconditioned space shall have dampers, except for combustion exhaust ductwork. and water heating systems must be provided with outside combustion air, vent appliances. requirements in Table 6 -12. Switch or clearly marked circuit breaker (electric) a .L.,. :. _. :u: • •• ,_: :. -• • :it - ..: 1•:ti pools must have covers (except solar heated). Non - commercial pools must have a spa & pool heaters must have minimum thermal efficlen of 78 %. uired for hot water circulatin s stems includin. heat recove units . Exhaust Fans • Combustion Heating 606.1 Col ,:oustion space ex c., pt for direct Water Heaters 612.1 612.1 Co r .ply with efficiency or;: ..a .:- Sp- s & heated cum.? timer. Gas Swimming Pools & Spas Hot Water Pi • es 612.1 Insulation is re. Shower Heads 612.1 W;,,• >r flow must be restricted to no more than 2.5 allons er minute at 80 PSIG. A HVAC Duct Construction, Insulation & Installation 610.1 All ucts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sou . ad, insulated and Installed in accordance with the criterla9f Section 610.1. Ducts in attics must be ins : sled to a minimum of R -6. HVAC Controls 807.1 Si ,Irate readily accessible manual or automatic thermostat for each system. IlMil i i 1. Os Table 6C-1 ktdlcae the R -vahre of the insulation being added t, :Ach component and the efciency levels of the equipment being installed. /O R- values and effidendes instal must meet or exceed tl1e mininuun values listed. Components and equlpnentneither being added nor renovated n =: be left blank " 2. ADDITIONS ONLY. Wefts oned flog aresin the addition astolows. Total the areas of all glass windows, s1dirg glass doors and glass door penis. Double the weaot all non-vertical roof glass and add 'dto the previous total. When glass in existing Wet, .. xalea being removed a enclosed by the addttion ,an amount equal tothe total area d this glass may be subtracted from the total glass area. Dfvide the adjusted glass area local byesconditioned fax area ol the addition. Multip,:4 100to get the percent. Fidthe largest glass percentage under which your calculated percentage Iailson Table 6C2. Prescriptive s are given by the type oglass (Sgle or Double pane) and the overhang (OH) paired wftlt a soL, .,;at gain coetk9ent (SHGC). Fora given glass type and overhang, the midmum solar heat gain coefficient allowed is specified. Actual glass windows and doors previously h the Warta walls d tile house and being reinslagedin1, , addtiatdonatfeveto comply withtleoverhangardsolar heatgaincoefticientregtgementsonTable6C.2. All rewg4usintheadd iitionmustmeettherequirement or one of the o p t i o n s in the glass percentage ategory Yce ind'xai . The overhang (OH) dstanceis measured perpeaficularly from the face d the glass to a point erectly under the Outermost edged the overhang. 3. RENOVATIONS ONLY. Replaament glass needs to meet the la,,, ring requirement. Any glass. type and solar heat gain coeffiiicieentmay be used hr glass areas wlich are under at least atwo loot overhang and whose lowest edge ?" does not extend ftutlerthan8f eeljrofnt(eoverlherg.' Glass arem; doing rersrated hallo not melt this criteria must be eilher single-gambled, double-pane dear or double-parg tinted. ' : '' 4 BUILDING SYSTEiLS Corrtpiywennowsystemis insinJedorsy:,teminstalled. - S. Cahclete thekdona0atrequested on the top half of page 1. 6. Read'Mininvun Requirements or Small Addftions and Renovatw,s ", Table 8C-3, and deck all appli able items: 1. Read, sign and dais the ' Owre</ Agenf'cert8:don statement ontags1. , . t.., • . 13.209 FLORIDA BUILDING CODE - BUILDING V I( l / VV4 U0.04 U A r ru 541 1848 OOL 1002/004. M I A M PDADE BUILDING CODE COMPLIANCE OFFICE (BCCO) 'PRODUCT CONTROL DWISION NOlICE OF ACCEPTANCE (NOA) (JUL. Inc. 215 E. Roosevelt Zeeland, Ml 49444 MIAMI -DADE COUNTY. FLOI.1A 1+41 RO.DADE FLAGU IR I3 UIL!ING 140 WEST FLAMER STIULET, SUITE 1603 ? 0AMI, FLORIDA 33130 -1$63 (3105) 375.2901 FAX (305) 395 -2908 Scope: this NOA is being issued under the applicable rules and regulations governing the use of construrxion materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Aut onry Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (in Mianu uadc County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or mntenal tested for quality assurance purposes. If this product or material fails to perform in the accepted manner. the manufacturer will incur the expense of such testing and the AFU may immediately revoke., modify. or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance_ if it is determined by Mianti -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Flonda Building Code. DESCRIPTION: Model DP Aluminum Self-Flashing Curb, Plastic Doomed Skylight APPROVAL DOCUMENT: Drawing No. Dade County, -titled " Skylights ODL Incorporated ", sheets I of I, Prepared by ODL Incorporated, dated 00/22/94 with last revision on 12/21/99 bearing the Miami -Dade County Product Control Renewal stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division, MISSILE IMPACT RATING: Large & Small Missile Impact LABELING: Bach unit shall bear a permanent label with the manufacturer's name or logo, city, state and the fallowing statement: "Miami -Dade County Product Control Approved", , unless otherwise noted herdic and the dome shall be properly marked by G.E. Plastics. RENEWAL of this NOA shall be considered after a renewal application has been tiled and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expirraion due or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales. advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this IOA shall be cause for 'termination and removal of NOA. ADVERTISEMENT: The NOA number preceded ,by the words Miami -Dude County, Florida, and followed by the expiration date may tic displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews NOA * 99- 1102.08 & eonsil4ts rot tbs n n.. tppgoval document mentioned above The submitted documentation was reviewed b NOA No 02-1224.01 F.viratiop Date: 02/27/1008 Approval Date: 01123F2003 Page 1 Died IO0 /I00 d 898 -1 -1108d VlUOl:ll p00Z- 8l -inr 07/19/2004 09:54 FAX 770 441 1948 OOL A VIODUCTROMPER. p. :get .,mell use E'lar & 5,1 ;a: , , r _N 47/.1- ,F3 MliiAa+le °"40:241 • .04sietan . 1 MODEL UP SKYLIGHTS - ALUMx!4 JN. 431Ri1 0.155'' THICK 6063' TS .08 .o3S INNER Ar SHEET' GE *EXAM Mit 9030 - SIZES ,QUGN OPENIND D2 t /2XE2 I/2 MODEL 2B22R SILICONE SEALANT fj 0041004 4:D ca ° AT • Dt0 .0 rn • » • vim• 02 wne (48 X' PPH SCREWS • 3' FROM CORNER & 8' . O/C 4• MIN re 1001' slINFACE • MSEE NOTE HELDV) A B CURB WITH MITRED I WELDED • COR.NERS it8 x 1W PPH SCREWS O' FROP4 CORNER & 8' • 0/C p4_Y''Jt3JD• DECK MINOvE0 PS COWRY= WMi 1>lE 3004 FLORIDA BU?LDUi6 ODDE OAT .!_1L - -L 01 • ;CITE: 4 CLEAR .IS A MINIMUM REQUIRE• maw ccOTROLDMSION . t- OR SHINGLE &. BUR WITHOUT INSULATION wpm can canna ma ' --"[1R INSULATION & TILES, ADD THE TILE ACCEPTACI ACCEPT irrn.9�� // )(EIGHT AND THE INSULATION THICKNESS TO 4' • • up C. A DESIGN. PRESSURE RATING LARGE MILE - IMPACT RESISTANCE RICHARD fla'YETTE 40CM PE F424115 31.0000ma Blvd Royal Palm 50 FL 33411 15611 %00.51C8 VaaD 1 fax iW REV DESCRIPTION 2-a.1-10 • DATE' 8111 -d 1008e0 in CCrpora ted ZEILAND. NI AN DIEGO. CA ATLANTA. G¢ oAU..AS. TX ro6tTLANO. OR 898 -1 OWN BY DATE DA- 82294 CHK 8Y UNLESS OTHER SPECIFIED TOLERANCES ARE .000 ±XXX FRACTIONS ±XXX _00fXXX .0 *RXX ANCS XXX mow r.rl SKYUGMTS • t7�1. ItCOIRPORATED SCALE NONE DRAWING NO. DADE COUNTY • • -WW1 ulvo l : l l 11001 -el -inr T 07/19/2004 09:54 FAX 770 441 1848 ODL OD Inc. :NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED (For File ONLY. Not part of NOA) Ij 003/004 A. DRAWINGS I. iiraw►ng No. Dade County, titled "Skylights ODL Incorporated ", prepared by ODL Incorporated, dated 08/22/94, with last revision on 12/21/99, sheets of 1, signea and sealed by R. Boyette, P.E. B. TESTS Cyclic Load Test and Uniform Static air 1 Test report on Large Missile Impact Test, Cy Model DP2852 ", prepared by 1•ressure Test on "Plastic Domed Skylight, acnitectural Testing, Inc., Report No. ATI- 140939, dated 08/25/94, signed and azalea by A. N. Reeves, P.E. C. CALCULATIONS N/A D. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 00- 0718.02 issued to General Electric Company on 09/07/00, expiring on 07/17/03. A. STATEMENTS on 0124/00, signed and sealed 1. No financial interest letter issued by R. Boyctte PE, by R..Boyette, PE. ?. No change letter issued by ODL Incorporated on 10/13/99, signed by D. A. De Block. 3. No change letter issued by ODL Incorporated on 12/18/02, signed by D. A. De Block E -1 8trl -d £00 /£00 d 858 -1 Candida P, Font, r. E• product Control Examiner NOA No 02- 1224.01 Expiration Date: 02/27/2008 Approval Date; 01/23/2003 -i08d WVII 11 trooZ- 8l -lnr 6- 15 -'04 11 :53 FROM -TRACO SECURITY MIAM • , • Bu ILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) TRACO Security Windows & Doors, Inc. 5100 N.W. 72od Avenue Miami, FL 33166 3055930854 T -587 P06/19 U -480 MIAMI -DADE COUNTY, FLORIDA METRO DADE FLAMER B1111DI G 140 WEST FLAMER STR UT, S'UI1'E 1603 . MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHD. This NOA shall not be valid after the expiration date stated below. The Miami Dade County Product Control Division (In Miami Dade'Cbunty) and/or the AID (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the Ail; may immediately revoke,. modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this aeeepia nce, if it is determined by Miami -Dade County Product Control Division that thisproduct or material fails to meet the requirements of the applicable building code Thisproduct is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Series "Coastal-240" Aluminum Single Hung Window — Impact Resistant APPROVAL DOCUMENT: Drawing No. W99 -62, dated 01/13103, titled "Coastal 240 impact Single Hung Window", sheets 1 through 3, prepared by Frank I.. Bcanardo, P.E. Consulting Engineer, signed and sealed by Frank L. Bernardo, P.E., bearing the Miami-Dade County Product Control Approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for safes, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall because for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire•NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises and renews NOA # 99- 1028.06 and consists. of this page •1 as well as approval document mentioned above. The submitted documentation was reviewed. ue er 3J. NOA No 02- 1120.03 Expiration Date: March 17, 2008 pproval Date: February 6, 2003 Pagel Ni e t b F qt w ft 1.- rteim 7 .m.0 P 5 i r- 7 __ 7 W I ,,, \ 1 . i I 1 slf____ t- . z... t !‘.' , N ; , qi „Apt W 7 0 V lr \ Aiik 1 _ :, \ \ Ilk — — \ z ..Aiw. lir z _ vie, 1111101.07- lull . ! k\- \--© . d r NOA 0 COASTAL -240 IMPACT SINGLE HUNG WINDOW FRANK L. esENNARDo, 16E. . CAZ -i TPACO SECURITY WINDOWS &DOORS INC. CONSULTING EN E - ;I 5 m ' I 71 PROGRESS AVENUE 4441 p ~ T DOGA PPATON, RL 319431 +' CRANBERRY TOWNSHIP, PA 16166 -3596 'U '-' Fdi4 'D'°"''2 S s . 7. TEL (724) 776 -7000 6 ea i.1RA.p,c Ft Y FRAME HEAD MEETING RR►_ BOTTOH YEW TOP RAIL BERM \ENT 89TTOH RAIL a5o SASH SIDE RAIL 1750 EAPS FRAME .IAMB E987 1152 TV. FRAME SILL FRAME TOP CORNER VENT TOP CORNER MIT BOTTOM CORNER 001€ I -WOE T75 : Zt fi70 r -5L -90 LJ7 rzi n H I .--3 fi�580EG550£ LJ1 00 N F13 4 co t✓ 00 WOOD SUCKS NOT BY 3E0 -WHY %1UDOAS. MUST DUSTPAN LOADS IMPOSED BY (AMINO SYSTEM AND TRANSFER THEM TO THE BBAEDINO S1RIJCT RE TOM 110, ISMT 1700 .1(0177129 1011P/B1012ID11V1®EI118B 1 0®0'90 -371 1 FRAME II M 6063 -TO 2 060,410 -309 1 3 2 FORME S .L 9093 -TB FRAME SAYS 6093 -T5 001 -60 -671 TOOT TOP 6093 -IS 6 OS1 -41AfiMO 1 VERT 9011011 9063-T5 6 0a9- OD-5741 a VENT SIDE 0953 -T9 7 951.00.573 1 MEI NEED IWL 6093 -T9 If IJIE miss STOP 9093 -19 8 012-00 -5% AS IEQ0. FBAWE misses mew 19 It l' PHPH 10 012-00 -895 PS EEAO, SIT ASSE719LY SCREW 19 IC 1' PSIPH 5845 11 048.06 -099 AS RECD. WSIRPPIHO #52,6: COATED 1M10 SCHL EGEL O-1,2N .515 II .193 12 076 -.18 -002 12 5ET1010 BLACK .10' II .30' X 1-5/C LOAOO 0' 1)1191 E10T5 k AT WDSPAN 13 AS REOD. 0W7IN3 COMPOUND 9110011E DOW 1199 14 007- 10-010 a 591S1P LAC11 (AT 6-3/4' PROW ENDS Z513 MAROCE.L0 W. 15 045-16 -930 2 BLOCK AND TA100E BA Ag0E N1NDEN COWPCBRO 18 (s/e' BOX) 16 050.03 -715 SNAP UTERI 3' 1.059 WI SPRING 0053 -T6 AT RID %ROTH 17 040- C0 -OtD AS REGO. BILLS VINO. /7500113 16 19 27 D17-0D -015 AS RECO. FIR SEAL POLE ANLSBJIT• 16711090 OR EOUV. 21 012-00 -133 4 1106. RAIL ASSEMBLY SCREW H0 X 1' MOH WS 1E1 OR 2411 1P.730 B.1OY. L VEST 10111111 117 01. NJC13RS SEE DAV. FOR SRtGVu 1/4' SAL SIGN 9 MOT it o " r, o: n,u:a [ ,/5:1%11, • ilici .--1.---- WOOL( V13W11 EXTERIOR AL -240 IMPACT SINGLE HUNG WINDOW 0 U & DOORS INC. PA 16166 -3596 0 ID n J 'eta .�faaTc�— 0003 SHEET: 2 Of 3 OR G: W439-E22 of £LIH[IOHS OOV€i,L -WOH3 f7580865508 �-3 C31 00 --1 '-O N co 00 6 1/4' INK AT 112AA /S®.L omen 47 7/6' DLL 116111. LITE) 13 I/5" IDAT. NEAII/SILL i 5/16 • INAL 5' 1191E P. P 14' 14 13 1/13' MN. NEAIVSILL 47 1/8' DILL ((Ei1T) 50 L/4• VENT 1/131TH SSA' NA14 WU85311 VISTH TYPIL,4L EIEVATTON 1221W UNR 6' Ate g�. We ANCHOR SPACING AT JAMBS FOR VARIOUS HEIGHTS NOM ANCHOR %WING HAY BE RaINEE'D TO THE NEAREST PULL INCH SEE CHART RIR 50. tY AN2IOAS PER .MID 5k[ NAIL 117. TYPICAL ANCHORS; ft10 SMS INTO 28Y WOOD BUCKS OR HOOD STRU: RJRE 1 -3/8" MIN. PENETRATION INTO WOOD 3/16" TAPO3NS (8Y ELCO) OR EQUCV. ODNC. ANCHOR HOLDING CURRENT NOTICE OF /.CEPTAIICE. INTO 2BY WOOD BUCKS OR IMO STRUCTURE 1-3/1:1- MIN. PEN_TRAIDON INTO H0DO 3/16` TAPCONS (BY CLOD) OR ET=A. CONC. ANCHOR HOLDING CURRTNJ NOTICE C1 ACCEPTANCE. THRL7 I BY 'ROOD DUCKS INTO MASONRY OR DIRECTLY INTO MASONRY 1 -1/4' MIH. EMBED INTO CONC. OR IIAstARY MUM; M; FRAME AND VENT CORNERS SEALED ktIT1 SCHNOE MOREHEAD 5504. 1/6' ANN. CLASS ADO IND:RIRYER 81RAQME PM WE BY 'DUPONT' 1/6` ANA. CLASS 19U07NC COIF CORNERS 1190 6/18' CRAWL LAM. ANN. SUSS S/16' OVERALL Ulf. RYN. CLASS LAIN WED Of '61012D W' LANtN ED BY '1ENPO1.A55' JA?ING OPTYONS 161031)311 LOAD CAPACITY - PS► MOON DON. 6/11" maim= Baal. suss WIDTH HEIGHT EX T. Cb) WE 14 19 -11/6' 82.0 620 98 -1J2' 26' 62A 41.0 37' (4)i SSA CEO 53 -1/8 6213 62.0 10 -1/8' 62A 420 28 -t /2' 33 -3/6' 6213 62.0 .37' (4) 620 62.0 33 -1/4 630 52.0 t@ -1/4' 620 52.0 26 -1/E' SD -8/8" 62A 62.0 37' (6) 63.-0 62.6 53-1/6 62.0 S2A1 14 -1/D' 62.0 62.0 26 -1/7' 57' 62.0 62A 37" (7) 62.0 030 613 -1 /C 62.0 62.0 IA- I/8' 62.0 53.0 26 -1/2' 63' 62.0 620 3i (7) 62.0 620 53 --1/6 620 620 is -1/6' 62A 62.0 26 -1/2' 74-1/4" 8213 62.0 37' (7) 620 62.0 s NJHBER IN PARENTHESIS D110ICATES 6 or WHIM MR .1455. WIDE E i@T•3II& 211PACT R0326712213 WINDOWS BSU'R'1ees NOT RSQUiRED !i NOTES; L THIS STRUCTURE I5 DESI3YE6 AS PER THE ELOSIDA BLI(LDIN3 CODE 21171 EDITION. ALSO FOR WIND LOADS AS PER ASCE 7 -98 USING CORRESPONDING LOADS. E 530D Me BY 011E115. Y151 01 AMMO PHIRADILY TO 1IMMER taws to THEE EIRDCTUSE. 7 ANZHC85 SHAD. BE AS LISTED. SPADED AS SWAN ON DETAILS. MA:H3R EA®COM -EICr TO BASE NATENIAL SHILL RC MONO WILL 4Rkl51V3 ON STUCCO. =r3/71*Ziala fat MAK 116199600.6% IL 9986686688 OASTAL; -240 IMPACT SINGLE HUNG WINDOW C) tr cti O o_ U) � W ZWIn •Q CC CI) L+ 1 C9 EC Cn © Lil OUIX LEI CL Q 16156 -3596 TEL (724) 776 -7000 06- 15 -'04 11 :54 FROM -TRACO SECURITY 06- 15 -'04 11:53 FROM-THACO SECURITY 3055930854 T -587 P07/19 U -480 TEACO Security Windows & Doors, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED • (For File ONLY. Not part of NOA) A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No W99-62; Sheets 1 through 3 of 3, titled "Coastal-240 Impact Single Hung Window", prepared by Frank L. Bernardo, P.E., dated 01/13/03, signed and sealed by Frank L. Bennardo, P.E. B. TESTS. 1. Test reports on 1) Air Infiltration Test, per PA 202 -94 2) Uniform Static Air Pressure Test, Loading per PA 202 -94 3) Water Resistance Test, per PA 202 -94 4) Large Missile Impact Test per SFBC, PA 201 -94 .5) Cyclic Wind Pressure Loading per SFBC, PA 203 -94 6) Forced Entry Test, per AAMA 1302 5 and PA 202-94 along with marked -up drawings and installation diagram of an aluminum single hung window, prepared by American Test Lab. of South Florida, Test Report No. ATL- 0713.01 -99, dated 10/07/99, signed and sealed by William R. Mehner,.P.B. and Henry Hattem, P.E. With addendum letter dated 2123/00, signed and sealed by William. R. Meaner, P.E. 2: Test reports on 1) Air Infiltration Test, per PA 202 -94 . 2) Uniform Static Air Pressure Test, Loading per PA 202 -94 3) Water Resistance Test, per PA 202 -94 4) Large Missile Impact Test per SFBC, PA 201 -94 5) Cyclic'9Vmd Pressure Loading per SFBC, PA 203 -94 6) Forced Entry Test, per AAMA 1302.5 and PA 202 -94 along with marked-up drawings and installation diagram of an aluminum single hung window, prepared by,'Fenestration Testing Laboratory, Inc., Test Report No. FTL -2363, dated July 22, 1999, signed and sealed by Jose D. Mitrani, P.E. C. . CALCULATIONS: 1. Anchor calculations, sheets 1 thru 13 of 13, prepared by A1- P'arooq Corp. dated 8/27/99 and 2/24/2000, signed and sealed by Humayoun Faroog2 P.E. 2.. Anchor calculations, sheets 1 thru 6' of 6, prepared by Frank L. Bennardo, P.E.. Consulting Engineer, dated December 30, 2002, signed and sealed by Frank L. Bennaido, P.B. E -1 Product Control =7 NOA No 02.1 31.03 Expiration Date: March 17, 2008 Approval Date: February 6, 2003 '06- 15 -'04 11:54 FROM -TRACO SECURITY TRACO Security Windows & Doors. Inc. 3055930854 T -587 P08/19 U -480 NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED_ (For File ONLY. Not part of NOA) D. MATERIAL CERTIFICATION: 1. Notice of Acceptance No. 97- 0731.15 issued to Elco Industries, Inc. for "Tapcon Concrete Anchors" dated 01/08/98, expiring on 01/08/01. 2. Notice of Acceptance No. 98- 0728.05 issued to Solutia, Inc. for "Sailer IIIG PVB Polyvinyl Butyral Interlayer" dated 08/27/98, expiring on 05/21/01. 3. Notice of Acceptance No. 96- 0924.06 issued to E. I. DuPont DeNemours for "Laminated Glass with Butacite® as Interlayer" dated 12/11 /97, expiring on 12/11/00 • E. STATEMENTS: . . 1. Statement letter of conformance and re- certification, also notifying previous engineer his, intent of taking over his previous work, complying with Section 61015 -27.001 of the Florida Administrative Code, signed by Frank L. Bennardo, P.E. 2. Statement letter of no financial interest, November 14, 2002, signed and sealed by Frank L. Bernardo, P.E. 3. Letter requesting a revision consisting of an engineer change only and a renewal, dated 10/28 /02, signed by Scott A. Kennedy: F. OTHER 1. Notice of Acceptance No. 99- 1028.06, issued to TRACO Security Windows & Doors, Inc. for their Series "Coastal -240" Aluminum Single Flung Window — • Impact Resistants, approved on 03/17/00 and expiring on 03/17/03. E -2 • Manuel Perez, Product Control Ex NOA No 02-11 ! .03 Expiration Date: March 17, 2008 Approval Date: February6, 2003 BUILDING CODE COMMANCE OFFICE (SCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE OA TRACO Security Windows & Doors, Inc. 51 ? N.W. 72 Ave, i,F1 33166 MIAMI-DADE COUNTY, FLORIDA METRO -DADE N AGLER BUILDING 149 WEST PLAGLER STREET, SUITE 1683 MIAMI, FLORIDA 33130.1563 (305) 375 -2901 FAX (305) 375.2908 SCOPE: The NOA is being issued dm applicable rules and regulations �g the � of c documentation by � has been reviewed by Miami-Dade County Product Control Division ��Id � u' Miami Dade end at allowed by Authority Having Rules This NOA shall not be valid alter the capitation date stated below. The P/Earni-Dade Division (In Miami Dade County) and/or the ARI (in areas o C°�' reserve Product Control of have this product or � tested for quality assurance purposes: If product or County) fails � in to ��d manufactunz � incur the expense of such test and the AID may mediate revoke, c modify, , if the is determined of� or material within their $O reserves the • ht to swill fails to meet the by Miami-Dade CountyProducct Confrt l Division that this �s of the applicable building code. product or Zone of the Florida Building Code. This product is approved as described ein, and bus been designed to comply with the High Velocity Benisons DLSCRIpTiON: 57S8 Al' Picture Wmdow— Lie Maine Impart Resistant APPROVAL DOCUMENT: Drawing No. Wl2 18 eSe Series-SI Alum Fixed Window bearing 1 3, � 43tz llt2, signed and sealed by H Fscoac, P-E., �� approval date by Mani -Dade stamp with the Notice of number and Mows IMPACT RATING: County Product Corral Division, Large and Sine Missile Impact LABELING: LING: Each unit sal bear a Lent label with the menu following "Miami-Dade County Product Control r&'s or lam, city, and RENEWAL of this NOA shall be � "r unless o� sated herein. change in the o� building code + ° a renewal apps been fib and there has been no negatively affecting die performs of � product TERMINATION tee, ON of this NOA will occur a# the expiation or if there has been a revision Or product, % of the p� or process. Misuse of this NOA as an end change the with any section of this NOA be cause shall automatically this NOA. Failure to comply sales, advertising or any other AUTVEpt termination and 1 ofi�rQA. The NOA mimber preceded the the e� date may be displayed in advertising lam. If Wand-Dade he NO Florida, l ye d followed hen it a ll be done in its entirety, y portion of the NOA �y It dual! lNSliECTION. A copy of this entire NOA shall be provided to the }. and shall be available for inspection at the j� sure at tlup ' � >��' or its distributors This NOA consists of this page 1 as as Y Mehl. submitted 4 ff + 1 The was reviewed by a, = � � , 6/J7-[1 WZ ®d LE-I NOA No 024311.0s thin Botft April 23,2007 Approval Date April 25, 2002 Page l t6814E65S@E A.Lfllno i,L -t 3 T5 : LL P0.-ST-90 T-587 P05/10 $?PICOT. ANCHORS; SEE BLEw /CHART FCR SPACING OUO 2EY W000 BUCKS OR WOOD STRUCTURE 1 -2/0. MR, PENETRATION INTO AUTO T}qV 18Y MO BUM INTO M1h90HtRY OR OIRSC L'r RTO MA£CRrRM 1 -1/4" MIN, B:NE6D INTO MASONRY OR CONO, 14.e 1XPrCN4 *KU 149Y OR 28Y west, WAN MO NASCHRf CR OIRECTLY INTO WASONRY I -0' MW. DIM NAZCIWIM' OR CONO. A.12-13641.1114.114WILICOM INTO METAL MORNS (1 /B' MR. MMU S) INTO APPRG tD MULLIONS (NO OM SPACE) i 10 1T 1' ?.N, 8AI3 1)4* �IIY rrr, 'try `lr,,•,ac *i "1 =ZEN POC31RtNAApR=pi Ocans &r: RR Aug T. T 7 saw % am Aso /mica rrPE. PPZM Q4 4T SEAMS Sahli! F TY6 NM Molar ant „, sz A o MFIaN1 cam A Prlialaass 11AQ MD ft►AD POSIIV ANDITEDATNE lAttl CAP1[11Y POf! 1PE CIADVANCNox t MIS fra WNO tCN1P aAf iEAl� �CCVI@aPC�kgl9i tale a IOW e�baO lyr�p Wp8T Or IJIW1Clt P sPryE/Rgyx l0 1P Sf I G{ =Ir Edi�E6f a mar wawa. e�MNL ea MOND NA , apis aft L /16' TOP, CIA$S 1CAI EPCghe 1t IRI`11J PLI'l5 7/1 tOPI1IR men COTt WORM a66 !L x IA' X 8' LW .0s9 X JJY PPE- troxID auotia TAPE TACIto o 1 TarYAl et]SC C 001/ CCRIS0 11 /e 1/Y IEeP. Was cawInsimx stxXlveMs PLUS' Va. 7P ORM MILK; 1110 ' Y a We NM a VIM. IaLOC AT IV P110.$ MN i70 AT 1a` P'EM DEN em ER AT 1/4 PMM9 011 AT I/1 POWS 7/18° OVERALL LAM. GLASS LAMINATED fY OLU6W 0- oo if ib-15 -'04 11:51 1T1NDQR DWI IS 24" .10' J6" 42' 46' 64' w t4' 4tt,g IMPACT RESISTANT V1SMQBO 6/0717868 NOV 00101 0 MON L0Afl 1rAPA€3 Y .. P0P 0018" ovSsOi, tAlt Suss0 /80.. 0v343.1.- p y 140.01450 0/08" A1100021' 1/42 1.0014.15 3/10 " 72800118 0" 14.1100a$ 12'1.1+ 1111.4-) &jt0341 1N /4 -1 0 t47 QInc -) 22074+) 00,4 -1 1002 i ' 5 1000 111018 tMO10410 0022 160.0 180.0 190.0 180.0 le' 21' 30' 30 42' 40' 04" 00' t8a 24' 36' 42" 40' $4" 60" 10" 24" .10" 30' 43" 1002 1100 8600 1404 100.0 1000 100.6 160.0 100.0 130,0 101.0 160.0 1150.0 160.0 MOO 100.0 k141.0 100.0 1000 I030 1320 100.0 1044 100.7 0142 0813 09,1 983 100th 160.0 164.6 020.7 180.3 INA 03.9 77.2 180.0 104.0 94.4 1211.7 143 1:,.0 In 11000 180.0 100.0 160,0 180,0 1110.0 130.0 160.0 080.0 180.0 100.0 1841.0 180.0 1030 1040 *00.0 060,$ 180.0 109.0 1602 1004 800.0 8600 137.7 150 1081) 133,0 100.0 100.0 *000 100.0 tn.° 822,7 180,4 000.. 1430,0 1844 8000 151.7 I�I8 1004 100.0 100.4 160.0 100.0 160.0 860.0 1081.0 1004 100.0 1004 16414 100,0 100.0 100.0 100.0 80.0 1400 10x0 *030 100/1 101st► 1000 1000 1000 180,0 800.0 10.0 100.0 100.0 100.0 840.0 100.0 100.0 100.0 01),0 800.0 100.0 160.0 100.0 108.0 1030 100.0 800.0 1000 L1A0C )61680L2 IMPACT R2018TA)IT tftar10210 6E1n11108 1:000 1010101416 16771008/ 01118. - 0 SZGN LOAD CAPACITY - PST 7 /U0.' 0V 10113U, wl. 81486 6 /86' Dveew. 04U. 01423 3 /80"14.060011 1/4' TAROONB 0 / ;0' 7380088 IJI' WOW Ali ' A/6 027.07 INTA "1 8X7.(3) igT6 -1 12`X7.0) INTL -) 6'18744) 01Ct -) 80-1 20 -1/2' 37' 03 -1/6" 2r 11;0.0 100.3 1800.0 100,0 1CO.0 100.0 100.0 8020 800.0 180.0 8000 8604 •1_0�0.0Y 10 0 tc0.0 100.0 860.0 170.1 180.0 190.0 800.0 10t*.0 100.0 100,0 100.0 870.2 1:010 100.0 IMO mac , 1011.0 100,0 1004 000.0 104 803.0 10 -108' 28-1/2- 37' 03 -1/6' - - ,. 880.0 860.0 , , ■309 100.0 0 874.8 8010 100.0 100.0 8004 U000.0 100.0 1040 800.2 1000 ' 170.0 8010 100.0 1080 100.0 7604 120.7 1000 177.0 100.0 8C2C 100.0 8040 10-7N 20-8/2. 37' 06-8/6" 30-0/r 840.11 , 100.0 141320 100,0 ' 000.0 800.4 1000 Icau1 u230 1714 100.0 160.0 1040 100.8 10010 11010 000.0 168.1 100.0 170.0 8000 160.0 100.0 100.6 4 000.0 91.9 14010 130.0 100.0 01.5 logo 100.0 10 -1 /0' 26 -1 /2' 37' 0)-8/0" 87" 112.0 100.0 1800 180.0 100.0 1(0.0 1040 800.0 100.0 174.4 10010 870.0 000.0 1000 ' 1000 100.0 ` 180.0 1222 100.0 1792 1000 1000 10110 100.9 1/210 2p.2 100.0 124.7 3.03,0 ' 97.2 1000 100.0 10 -8/8" 28 -I/2' 37' 33-1 180.0 168.0 1 100.0 , " 40 800,0 100,0 " 100.0 100.0 03' 0040 1743 800.0 860.0 mu mu 1000 tom 160.0 100.0 123.2 180.0 174,0 10100 100,0 67.2 1000 *000 !60.0 100.0 000.0 17747 914 170.7 124,7 133D.0 111-8 26 -7/2' 0.r 74-1/4' 110000 Iy0.0 , 160,0 100.0 tuna 800.0 860.0 1110.0 174.0 183.10 8000 1004 100,0 860.0 100.4 , ou 123.2 . 1308000 179-0 . 860.0 1000 160,0 100.0 '.. 100.0 160,0 190,0 10.0 178.4 100,0 100.0 1848 0004 090.0 100.0 180.0 180.0 167.7 180,0 100.0 160,0 130.0 00011 1001) 1004 1001) 80.7 100.0 160.0 IWp 1.:. 0 100 106.0 1000 1000 *00A 100A 160.0 1K.0 100,0 800.0 160.0 1600 00.7 800,0 1038 00311 100, 1030 100.0 1040 100.0 29.7 120.0 1¢o.D 100.0 1 .,.0 l 00010011 3313, 40 301111110 `10RAQALLT 00 H081ZOMAILY AS 6108N MOVE AnS/Mr 33,33,01 814. P6 4 1118017 001141 2os3 rr.v sons. 1 d ocJ.1301903,1 Scott KemdY TRACO S9eurity Windows & Doors, Inc. 71 Program Avowed Croutons Twp, PA 16066 } P12119 U--48 M AMI DADE COUNTY. FLORIDA METRO -DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAMER BUILDING 140 WEST FLAMER STREET SUITE 1603 MIAMI. FLORIDA 33130-1563 (305) 375 -2901 FAX (305) 375 -2908 PRODUCT CONTROL DIVISION (305) 373 -2902 FAX (305) 372-6339 NOTICE OF PROPOSED ACTION Mesrbess of ha Board of Rum and Appal and TRAt o Security Windows & Doom, Inc., Applicant In _ with Dade County Adadois�ave Occur 10-3. which governs the product rov v � the Product °antral Division cute Office of Code Compliance, Intends to issue a Product Conuol Notice Windom of Acceptance to IMAGO Security &M ors, Inc for Series "Donal 3" &moving Aluminum Door - Lame &iksgle impact No. 04-0122.1 t allow aseia Dade Cooney and its municipalities. ' to Ts= '. Umbers *the Board of beles.endAppeals : The dammuntmlon being provided to you represents the reconunendadon of the Product Control Division of the Office of Cork C _e in regards to the submittal of TRACO Security Windows & Dvnrs, Inc for Series "Donal 3" °Inswing 3, which prodbf i review Impact ' Nr� 04.0122.17. Until* the provisions of Dade County Adsinlsuative Order 10- Process. You must review this documentation. If within 20 days from the date of maw wedo not receive any wince objection stating the reason(s) for y� disapproval, this pmdutt will be automatically approved To:. TUCO Security Windows & Doors, Inc., Applicant The Product Control Division of the Office of Code Compliance, in accordance with Dade C.mmty Nada of prods review process, has issued this notice of proposed action and !amends to issueeProduct Control Acceptance for your Series " Donal 3" Outswirag Aluminum Door - Large Missile Impact , No 04072 17, to ` be used in Dade County and its municipalities, unless a member of the Board of Roles and Appeals or youtself has ms's written not be in accord with this nonce of proposed action and wish to appeal rinrturtecoa ndat{inyau request, g the reasons for your objectiao(s), to our office within 20 days of the date of mailing. Upoan iF of your written request a hearing date will be set so that you tern present your objection(s) to the Board of Rules and Appeals. Smcerely. Theodore Bement Deputy Dim:tor DATE OF MAILING: 04/02/2004 hticeaseticc imposed acdon.dot Internet nun address: potmas;ter @boil ngrod h amepage: htarftwavw.hundingcodeonline.com OfilePr-% iicrminio Gonzalez Director Mailed by: l74* • MIAM1•DADE MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER (BUILDING PRODUCT CONTROL NOTICE OF ACCEPTANCE PGT industries 1070 Technology Drive Nokomis ,FL 34275 BUILDING CODE COIIPLIA? CE OFFICE 101M20-DARE FLAMER 131111.1)1Na 1.10 WEST FLAGLER STREET, SU1Th 1603 At1:114t1, 1:1.012.1D1 33130 -1563 (305) 375 -290 1 FAX (305) 375 -2908 CONTRACTOR LICENSING SECTION (305) 375 -2527 FAX (305) 375 -255a co» rit.tc: rot( ENrottcEM FVr III\itstON (305) 375 -2966 FAX (305) 375-290S P12ODt cT CON rUot. DIVISION (305) 375.2902 FAX (305) 372 -6339 Your application for Notice of Acceptance (NOA) of'. Series SWD -101 Outswing Aluminum French. Door - Impact under Chapter 8 of the Code of Miami -Dade County governing the use of AIternatc Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jabsitc or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, B.CCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reseives the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 0I- 04I7.04 EXPIRES: 11/22/2006 ✓ Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. APPROVED: 09/06/2001 \ \s0 -05000 (\pc20001ttemplatesinodce acceptance cover page.dot Internet mail address: postmaster ®huildingcodeonline.com sco J. Quintana, R.A. tor ni-Dade County i,ldingCode Compliance Office Homepage: http :Ilwww.huildingcodeonlinc.com Vinyl Tech /Progressive Glass Tech noloay. ACCEPTANCE No.: 01- 0417.04 API'ROVEI) : September 06, 2001 EXPIRES : November 22, 2006 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE 1.1 This revises and renews the Notice of Acceptance No. 99- 0128.01, which was issued on February 18, 1999. It approves an outswing aluminum French door, as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code (SFBC), 1994 Edition for Miami -Dade County, for the locations where the pressure requirements, as determined by SFI3C Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The Series SWD -101 Outswing Aluminum French Doors- Impact Resistant and its components shall be constructed in strict compliance with the following documents: Drawing No 971, titled "French Door XX, X" Sheets 1 through 4 of 4, prepared by manufacturer, dated 02/I6/98, with revision C dated 1 -22 -99 and last revised on 04- 13 -01, signed and scaled by Robert 1.. Clark, P.E., bearing the Miami -Dade County Product Control approval stamp with the Notice of Acceptance number and approval date by the Miafni -Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS 3.1 This approval applies to single unit application of pair of doors and single door only, as shown in approved drawings. Single door unit shall include described in the active leaf of this approval. 4. INSTALLATION 4.1 The butswing aluminum French doors and its components shall be installed in strict compliance with the approved drawings. 4.2 Hurricane protection system (shutters): the installation of this unit will not require a hurricane protection system. 5. LABELING 5.1 Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance 6.1.2 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the pr9posed installation. 6.1.3 Any other documents required by the Building Official or the South Florida I3uilding Code (SFBC) in order to properly evaluate the installation of this system. tsie`i 1 .G 1,4futl4 lshaq 1. Chanda, P.E. Product Control Examiner Product Control Division Vinyl Tech /Proeressivc Class Technolou. ACCEPTANCE No.: 01- 0417.04 APPROVED : September 06, 2001 EXPIRES : November 22, 2006 NOTICE OF ACCEPTANCE: STANDARI} CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer'sname, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing ofa revision application with appropriate fee) and granted by this office: 5. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process. . b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purpose. 6. 'The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturcr'or it's distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and renioval of Acceptance. 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. 154x1 1 . LAau.L Ishaq 1. Chanda, P.E. Product Control Examiner Product Control Division END OF TIIIS ACCEPTANCE 3 7 1/2" --- 37.500 VAX. -1 95.750 t --- 7 7/2' 5 1/2" 13.5" 7 1/2" 1 _.._. 13- —. MAX. ON CENTER TYP. HEAD & SILL 13.5' 1 TYP AJAX 5 1/2- SEALANT ON FRAME CORNERS & PANEL CORNERS 7 1/2' 71.750 mk\' — 7 1/2 95.750 Aux. \ 1 \1 \ / / / \ \ _ \ \\ \ !/ / \ i \ 2 POINT \ LOCK M \ OPT /ON F / \ // / / 1 / / / \ / 2 POINT' / ,/ / / \ • OPTION --- 7 7/2' 5 1/2" 13.5" 7 1/2" 1 _.._. 13- —. MAX. ON CENTER TYP. HEAD & SILL 13.5' 1 TYP AJAX 5 1/2- SEALANT ON FRAME CORNERS & PANEL CORNERS 7 1/2' 71.750 mk\' — 7 1/2 95.750 Aux. 5 1/2" 13.5" LARGE MISSLE IMPACT DOORS 1.) GLAZING: .407/464 LAMINATED W /INTERLAYER (MONSANTO OR DUPONT) 2.) CONf7GURATIONS: X, XX .5.) DESIGN PRESSURE RATING: ':) .4e4 LAM.. +7C f=..`.'.F –7a P S.F .3b) .401 LAM.: +60 P.S.F. –60 P.S.F. 4.) ANCHORS: MAX. 7 1/2" FROM CORNERS (HEAL? & SILL) MAX. 5 l /2" FROM CORNERS (JAMB) MAX. SPACING AT PEND & SILL: 13.000 MAX. SPACING AT JAMB: 13.500 5.) NO SHUT ibRS REQUIRED 6.) REFERENCE TEST REPORT FTL -2241 7.) FOR LOCKING ASSEMBLY OPTION – SEE SHLL i 3 OF 4 13 5" 1 7YP. MAX. 5 1/2" 7 1/2" -- �-- --- 13" --- MAX. ON CENTER rYP HEAD & S1LL Robert L Clark, PE. P.E. #39712 Structural 7 7 /2" SEALANT ON FRAME CORNERS & PANEL CORNERS PRODUCT RENEWED ACCE3'f CA bKa CD 1— Ci 4 t l .614 1" iStn'fIL2*1t?ATE. NO4E.P.1 C1.2 2466 13y Sti \ .. t_i.'E u� . pitotx3CT Cxiir'rmt.. D7141SKk( iksrrimst; C. o€ COM U NCE Ofl'ICE. Revis+ans: U) added 2p t. Jock info Taiemncen tittle» Valet Froctia:r t Vhf Deana` At S. 1Lcn,ai .ao f 1' Material: Bawd ay: Dots: rf /F7 /ao Chhd By: Cote: Striae /Model: S D -101 1070 Technology Dr. Nokomis, Fl. 34275 INDUSTRIES Description: French Door -- X, .XX Drown ay: D.B. Dote: 2/1 6/98 PGT NO: VENDOR NO: Scare; X Sheet: 7 ot4 Drawing Na. 971 Rev; / / / \ \ _ \ \\ !/ / i \ \ )/ \ / 1 / \ 2 POINT' ,/ LOCK \ • OPTION r i^ \ 1 \ /' \ / \ / \ 1 \ I \ / \ / \ \/ , i 5 1/2" 13.5" LARGE MISSLE IMPACT DOORS 1.) GLAZING: .407/464 LAMINATED W /INTERLAYER (MONSANTO OR DUPONT) 2.) CONf7GURATIONS: X, XX .5.) DESIGN PRESSURE RATING: ':) .4e4 LAM.. +7C f=..`.'.F –7a P S.F .3b) .401 LAM.: +60 P.S.F. –60 P.S.F. 4.) ANCHORS: MAX. 7 1/2" FROM CORNERS (HEAL? & SILL) MAX. 5 l /2" FROM CORNERS (JAMB) MAX. SPACING AT PEND & SILL: 13.000 MAX. SPACING AT JAMB: 13.500 5.) NO SHUT ibRS REQUIRED 6.) REFERENCE TEST REPORT FTL -2241 7.) FOR LOCKING ASSEMBLY OPTION – SEE SHLL i 3 OF 4 13 5" 1 7YP. MAX. 5 1/2" 7 1/2" -- �-- --- 13" --- MAX. ON CENTER rYP HEAD & S1LL Robert L Clark, PE. P.E. #39712 Structural 7 7 /2" SEALANT ON FRAME CORNERS & PANEL CORNERS PRODUCT RENEWED ACCE3'f CA bKa CD 1— Ci 4 t l .614 1" iStn'fIL2*1t?ATE. NO4E.P.1 C1.2 2466 13y Sti \ .. t_i.'E u� . pitotx3CT Cxiir'rmt.. D7141SKk( iksrrimst; C. o€ COM U NCE Ofl'ICE. Revis+ans: U) added 2p t. Jock info Taiemncen tittle» Valet Froctia:r t Vhf Deana` At S. 1Lcn,ai .ao f 1' Material: Bawd ay: Dots: rf /F7 /ao Chhd By: Cote: Striae /Model: S D -101 1070 Technology Dr. Nokomis, Fl. 34275 INDUSTRIES Description: French Door -- X, .XX Drown ay: D.B. Dote: 2/1 6/98 PGT NO: VENDOR NO: Scare; X Sheet: 7 ot4 Drawing Na. 971 Rev; 95.750 93.625 -250 MAX. SHIM SPACE ROUGH OPENING SEE SHEET. 3 FOR ANCHORS ROUGH OPENING 4.000 4.000 .489 t EXTERIOR 1 MAX. SHIM .250 SPACE 1.479 84 3/44" DAYLIGHT OPENING 1 34.625 TYP. BOTH PANELS ACTIVE PANEL 1 :-- 71.750 EXTE IOR 25n-4-- DAYLIGHT OPENING VERTICAL SECTION INTERIOR 1.489 .250 MAX SPACE ( . -•— 3.000 ROUGH OPENING INACTIVE PANEL, 1.750 HORIZONTAL SECTION Ro rt t. Clark, P.E. PE. #39712 Stract nii INTERIOR Revisiana: 0) added 2 pt lock info -�— .250 MAX. SHIM SPACE ROUGH OPENING 1.480 PRODUCT RENEWED AC)CLP?ANCS Nu. GA— C,t4 1 • 01 calm - o:4 oA T NEMea. 2 ,2 ny :C1�AKdc- nurwrri u c cOMTl CE OYF Ct Fo1-rcrcea tinies&Herat Fractions ± 1/64 Decimal .ar t Decimal .ofla ± Angular. ± 1' Akterick Series /Wodcr: SWL -101 1070 Technology Dr. Nokomis, P1. 34275 INDUSTRIES Raved By D.8_ Data: 11/17/00 rDro,.n 8y; 0.8. Chkd 8y: Data: Description: French Door — Elevations.. Rate; 2/15/98 VENDOR NO: Scala: Sheet: 2-f4 Drawing Na. 971 Rev: D 1/8 ANN. .090 rar7R,tmc 3/16 ANN. -I .3/16 ANN! .090 remota 3/16 ANN. --- .250 —I I MAX. SHIM SPACE .3.000 1.489 1 .401" LAM. WAIONSANTU SAFLEX PYB INTE'RtAYE1 OR .401' fAAL IDUPONT BUTALITE 1NTFRL4 YER SEE NOTE ON SHEET 1 DESIGN PRESSURE_ RATING: ±60 os.f, 3 POINT LOCK ASSY. 2 POINT LOCK ASSY. L .250 MAX. SHIM I- SPACE 3.000 1.489 .464" L4M WiliONSAKr0 SAF1EX PYB IWTERLAYFR OR .464' LAM. W/DIJPONT BULALITE INTERL4YEI? SEE NOSE ,5 ON j DESIGN PRESSURE RATING: P IMUCT RENEWED Am-Err/v.aH. '°1 -041" j ,0 LI • Dalzknorr »Are Novi '4Qert2.21704b - roc x4 ix xv ic44 uuczx O 4CE rfyrfCt 1070 Technology Dr. Nokomis, P1. 34275. Vateriok Rersd $y: D.R 11/17,1o0 Robert L. Clark, J'ricawn ey: P.E. ##39717 0.8. Data: Chkd $Y; Series /Model: SWD- -1 01 DeserpUon: INDUSTRIES French Door — . ExplodedjGlazinq Dots): 2/16/98 PGT NQ VENDOR NO: ScoJa: Sheet: Drawing No. 3or4. 971 Rev: D 1/4- TAPC.xt @ TYP. HEAD 172 PA N LD J13 TYP. JAMB 112 FLATHEA.D TYP. HEAD • .4 4 a:4 7/4* r.Pcc f •s —1z r WOOD BUCK TYP. JAMB TYP. SILL ITEM DESCRIPTION V.T. # QTY. /DESCRIPTION VENDOR 1 DOUR HEAD /SILL 2 DOOR JAMB (HINGED) .3 DOOR ASTRAGAL 60375 ALUMAX 60376 ALUMAX 60377 ALUMAX 4 .250 x .187 FINSEAL STRIP 5 DOOR W -STRIP CHANNEL 6 FRAME JAMB 67924G 60379 8 (2 /each door top & bat. rail) SCHLEGEL CORP. ALUMAX 60380 ALUMAX 7 FRAME HEAD 8 GLAZING BEAD (ROLL FORM) 9 OUTSWING THRESHOLD 10 5 /6x 18 THREADED ROD 11 TRUSS CLAMP 60411 ALUMAX 65170 FLORIDA SCREEN 61069M 6TRODA 60378M 12 13 14 15 5/16x1/16 TRUSS WASHER 5/16x18 TRUSS NUT FRAME SCR. COVER CAP STRIKE PLATE 7WASHA 17JNUTA 4 1/door top & bot. rag) 8 2 /ea. door top & bat. rail 8 2 /ea. door top & bot. rail 8 2 /ea. door top & bot. rail ALUMAX FASTEC INDUSTRIAL ALUMAX VENDOR ,# AF -10375 AF -10376 AF -10377 F57924 -187 AF- 10379 AF -10380 AF-12376 AF -12375 AF-10378 FASTEC INDUSTRIAL FASTEC INDUSTRIAL 41722W PGT INDUSTRIES 41722W 7955X CAMCORP 16 STRIKE PLATE INSERT 41721 17 1 fix3 /4 SCR. FLT. HD. PHIL 710344 18 r HINGE ASSY. 7FRMOW 63 19 10x.625 FLT. HD. PHIL 71058FP 26 20 . 10x1/2 FLT. HD. PHIL. 21 TOP BOTT. SLIDE BOLT LOCK 22 6x1/2 FLT. HD. PHIL 23 8x 1 1/2 SCR. PN HD. QUAD. 24 : SEAM SEALER 25 LOCK SUPPORT ASS'Y. 26 6)7.-374 FLT. HD, PHIL. 27 .200 x .190 QLON 28 .375 x .190 QLON 29• 3 ' POINT LOCK ASS'Y. 30 LOCK (ACTIVE) 31 . LOCK {DUMMY) 32 DEAD -BOLT LOCK 33 .401 LAM. ./MONSANTO 34 SILICONE 710X12PPW 30 41720 1-2 7612FW 4 78112A 12 PGT INDUSTRIES 41721 MERCHANTS FASTENER frame jambs) 6 /hinge - hinge -door Jamb 5,/hinge &hinge -frame jamb 1 0 top /bot. of Lh. astragal 22slide bolt locks) <6 /Tread & sill) NATIONWIDE IND. 6SM5.W L 4UBLOK 3 7634F 6 MERCHANTS FASTENER MERCHANTS FASTENER PGT INDUSTRIES 41720 MERCHANTS FASTENER FASTEC INDUSTRIAL SCHNEE MOREHEAD SM5504 1 lock 6Q200K 5 2 lock support .assn.) 1/astragols,fr_ jambs & heod Vastragols & frame jambs) r.h. astragal l - 6Q300W 4 FD3PTAY 1 PGT INDUS ?R!ES 4UBLOK • FASTEC INDUSTRIAL SCHLEGEL CORP. 0200X 190 SCHLEGEL .CORP. 0375x190 PGT INDUSTRIES FD3PTAY 7LOKAP 1 7LOK1P 1 7BLTIP • r:h. astragal • r.h. astragal O r.h. astragal HARLOC 100 HARLOC 880 HARLOC 820 628990 H. p.a DOW CORNING t_ 899 35 112 Ph. Pn. SMS 36 1/4' TAPCON 37 .401 LAM. W /DUPONT 38 .464 LAM. W DUPONT H.P.G. 39 .464 LAM. W /MONSANTO H.P.G. H.P.G. 40 .2 POINT LOCK ASSY. 41 18 x .75 Ph. FL. Tek 7834FPT • r.h. astragal) PGT INDUSTRIES SPENCER PRODUCTS Robert L. Clark, PE. P.E. 439712 Striuct r l PPItODUCT %F, OC f t . AcrErrANci isu 61— O ti -1. Cl i:. nkikTlos ilA` rr NoaErv7, ;e ^iC 2zj 2404 liv 4-", i` �tiw 4 c putxx ..Lx a ,� �uy, yy.am�.. �1?'.tez f'K. RJYri T{. Revisions: 0) added 2 pt. lock info Fran . l /64 Arai aci Do .av ;fir: s r Mate:rot; Series/liadel: SWD -101 1070 Technology Dr. Nokomis, R. 34275 INDUSTRIES Ram' 8y: D.9 BOUT: 11 /77 /00 Chkd By: Date: Druwn ay: D.B. Ovte: 2/1 5/98 Description: French Door — Anchorage . O. /vf. PGT N0: 14a1DOR NO: Scare Sheet' 14 of4 Growing No. 977 R Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: January 26, 2009 Inspector: Perez, Jan Pierre Owner: Job Address: 465 96 Street: Miami Shores FL Project: <NONE> Contractor: UNICO AP*LIANCE & AIR CONDITIONING CORP Permit Type: Imported Permit Inspection Type: Final Work Classification: <NONE> Phone Number Parcel Number 1132060170120 Phone: (786)251 -1878 Building Department Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CC s • 19v..e7w, 1-1 Inn® O.. w.. 4 "or 4 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Date: February 06, 2009 Inspector: Bruhn, Norman Owner: GARDNER, ROBERT Job Address: 465 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ER CONSTRUCTION Permit Type: Imported Permit Inspection Type: Final PE Certification Work Classification: <NONE> Phone Number Parcel Number 1132060170120 Phone: 305-220-0628 Building Department Comments February 06, 2009 Page 1 of 1 Passed Inspector Comments - Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled re-inspection fee is paid. until February 06, 2009 Page 1 of 1 JUAN J. FARACH, R.A. 14734 SW 50 TERR. MIAMI, FL. 33185 (305) 551 -9621 AR # 0006930 LETTER OF COMPLIANCE FINAL CERTIFICATION FEBRUARY 5, 2009 MIAMI SHORES VILLAGE BUILDING & ZONING DEPARTMENT 10050 NE 2nd. AVENUE MIAMI SHORES, FLORIDA 33138 ATT. MR. NORMAN BRUHN RE: EXIST. ADDITION CONSTRUC I ED IN 2004 ( 22825 SQ. FT.) LOCATED AT: 465 NE 96th STREET MIAMI SHORES , FL 33138 PERMIT # BP 2004 -666 DEAR BUILDING OFFICIAL: I JUAN J. FARACH ARCHITECT OF RECORD, HAVING PERFORMED AND APPROVED THE REQUIRED INSPECTIONS, AS INDICATED IN THE APPROVED INSPECTION LOG = REINF. MASONRY / TRUSSES INSTALLATION AND FINAL INSPECTION, HEREBY ATTEST THAT TO THE BEST OF MY KNOWLEDGE, BELIEF AND PROFESSIONAL JUDGEMENT, THE STRUCTURAL AND ENVELOPE COMPONENTS OF THE ABOVE REFERENCE STRUCTURE ARE IN COMPLIANCE WITH THE APPROVED PLANS AND OTHER APPROVED PERMIT DOCUMENTS. I ALSO ATTEST TO THE BEST OF MY KNOWLEDGE, BELIEF AND PROFESSIONAL JUDGEMENT, THE APPROVED PERMIT PLANS REPRESENT THE AS- BUILT CONDITION OF THE STRUCTURAL AND ENVELOPE COMPONENT OF SAID STRUCTURE. THIS DOCUMENT IS BEING PREPARED IN ACCORDANCE WITH THE FLORIDA BUILDING CODE AND IS BEING SUBMITTED TO THE MIAMI SHORES BUILDING & ZONING DEPARTMENT AT THE TIME OF THE FINAL INSPECTION FOR THE ABOVE REFERENCED STRUCTURE. SHOULD YOU HAVE ANY QUESTIONS OR NEED ANY ADDITIONAL INFORMATION, PLEASE DO NOT HESITATE TO CONTACT ME. SINCERELY, 01. JUAN J ARA , R.A. FL. No.- AR 0006930 ARCHITECT OF RECORD Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: February 06, 2009 Inspector: Bruhn, Norman Owner: GARDNER, ROBERT Job Address: 465 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ER CONSTRUCTION Permit Type: Imported Permit Inspection Type: F. Insulation Certificate Work Classification: <NONE> Phone Number Parcel Number 1132060170120 Phone: 305 - 220 -0628 Building Department Comments February 06, 2009 Page 1 of 1 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until February 06, 2009 Page 1 of 1 E.R. Construction, Inc. Licensed & Insured CGC #1504877 13200 SW 38 Terrace Cellular (786)258 -3570 Phone: (305) 220 -0628 Miami, Florida 33175 Fax: (305) 220 -0376 Insulation Certificate February 5, 2009 Residence at 465 NE 96 St. Miami Shores, FL Installation of R-30 and R-3 for the new addition has been completed per approved plans Permit #BP2004 -666 Page l of 1 Miami Shores Village E-9 101 tD I ° S� Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING e Permit No. PERMIT APPLICATIO Master Permit No. FBC 2001 2004 Permit Type (circle): Building/ Electrical ' u f bing Mechanical�-� Roofmg Owner's Name (Fee Simple Titleholder) 4Rd VCt Vase° Phone # Owner's Address I q(f? Zip `j'� ( 9 Ci � I State Fto ir` i c A Tenant/Lessee Name Phone # Job Address (where the work is being done) 6AW 4(6 13 E SA-- City Miami Shores Village County Miami -Dade Zip 1 5cg Is Building Historically Designated YES NO Contractor's Company Name V‘te--V Contractor's Address City 1\-k\ Oy-@.5 State -- Zip %31 3,c7 Qualifier i CCXXV-6 V_' Phone # 305 6'4' t 44 eiLo c .�9 b.S ArchitectlEngineer's Name (if applicabl Phone -..SS ( ^ 74 1 � � s- N17� $ Value of Work For this Permit goi, 00 0, 0 Square Footage Of Work: 1 Type of Work: ®Addition ['Alteration ❑New - Repair/Replace D Demolition Describe Work: Per-01 1 K A,\€ 92,1 0 , : t e At3 0 uz Lvi i--).5 (5A1,,sezviat 6.1 \° i ock■v of- I ikA ck' 0 b 9 'ice 1k'1 \ � oR a ' tvr. 0v 1 N- -y 64 e � i h 5 Atye b\OCX ,4, 7_/ ") * * ** * * * * * *** *** * * * * ** *****Fees*********************** *� Submittal Fee $ � a) Permit Fee $ / % CCF $ f ' T Ca\ CC� Notary $ `'sr ' Training/Education Fee $ Technology Fee $ ! —._ Scanning $ 3j f'� `�– Radon $ a c Bond $ 3 Code Enforcement $ `�" Structural Plan Review. $ ,co '� Z�� ta` T.� , �' ea, d elL atc7 250,06 4/46 n i4v! S * * * ** Total Fee Now Due $ ? v 3 (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 Taws 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 J 'C Signature Owner or Agent Contractor. The foregoing instrument was acknowledged before me this / a The foregoing instrument was acknowledged before me this 20 , by r 1 v2 day of . 20 by who is personally known to me or who has produced As iden ' • cati and who did take an oath. as, identification and who did take an oath. NOTARY PUBLIC: Print: day of who is perso NOTARY PUB Sign: Print: My Commissi * * * * * * * * * ** y known to me or who has produced lies: Bonded Thru Notary Public Underwriters My Commission Expires: (Certificate of Competency Holder)` State Certificate or Registration No. : Certificate of Competency No. ********************************************************> t<*******>*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 10/14/03 1(/d .5 rue Plans Examiner. Engineer Zoning Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: January 29, 2009 Inspector: Bruhn, Norman Owner: GARDNER, ROBERT Job Address: 465 NE 96 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ER CONSTRUCTION Permit Type: Imported Permit Inspection Type: Survey Final Work Classification: <NONE> Phone Number Parcel Number 1132060170120 Phone: 305 - 220 -0628 Building Department Comments January 29, 2009 Page 1 of 1 d:r (l /7d 9 Passed ,� . Inspector Comments cc Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until January 29, 2009 Page 1 of 1 80.00' TOTAL R/W r p 130.00' (11)8(R) CONCRETE 88 15' li rn rn LOT /8, BLOCK 86 TILE 1850' Pi 130.00' (N)8(R) li CERTIFIED TO: RAPID TITLE SERVICES COMPANY,, ATTORNEYS' TITLE INSURANCE FUNI), INC.; LUCIANO RAMOS AND PAULA RODRIGUEZ; QUICKEN LOANS, INC.; irs SUCCESSORS AND/OR ASSIGNS, AS THEIR INTEREST MAY APPEAR FLOW ZONE: X MAP 8 PANEL =" 12025C0093 COMMUNITY No. :: 120652 SUFFIX-J DATE OF FIRM. BASE ELEV.= N/A PROPERTY OF: LUCIANO RAMOS AND PAULA RODRIGUEZ 465 NORTHEAST 96th STREET 'MIAMI SHORES, FLORIDA NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER A BOUNDARY SURVEY I HEREBY CERTIFY THAT THE SURVEY REPRESENTED HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS IN CHAPTER 61G17 -6, FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECTION 472 -027, FLORIDA STATUTES, THERE ARE NO ENCROACHMENTS, OVERLAPS, EASEMENTS APPEARING ON THE PLAT, OTHER THAN AS HOWV HERETO. LOCATION SKETCH NOT TO SCALE LEGAL DESCRIPTION: LOT 17 LESS THE WEST 15.00 FEET AND ALL OF LOT 18, BLOCK 86, 'AMENDED PLAT OF MIAMI SHORES SECTION NO. 4° ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 15, PAGE 14, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. SURVEYOR'S NOTES: 1) NOT VALID UNLESS SIGNATURE IS EMBOSSED WITH THE REGISTERED LAND SURVEYORS SEAL. 2) LEGAL DESCRIPTION PROVIDED BY OTHERS. 3) PROPERTIES SHOWY HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON 77' PROPERTY PLAT OF RECORD. 4) MEASUREMENTS TO WOOD FENCES ARE TO OUTSIDE OF WOOD. 5) UNDERGROUND UTILITIES, FOUNDATIONS, OR OTHER IMPROVEMENTS, IF ANY, WERE NOT LOCATED. 6) ELEVATIONS, IF SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM 1929. 7) FENCE OWNERSHIP NOT DETERMINED UNLESS OTHERIISE NOTED. 8) MEASUREMENTS TO WIRE FENCES ARE TO CENTER OF WRE. 9) WALL MEASUREMENTS ARE TO/FROM FACE OF WALL 10) DRAWING DISTANCE BETWEEN WALLS AND/OR FENCES AND PROPERTY LIMES MAY BE EXAGGERATED FOR CLARITY. 11) FLOOD ZONE INFORMATION WAS DERIVED FROM FEDERAL EMERGENCY MANAGEMENT AGENCY FLOOD INFORMATION RATE MAPS 12) BEARINGS IF ANY SHOWN ARE BASED ON PLAT MERIDIAN AT.: LEGEND Pte: DUE: 4tE: P MD: CL' INDICATES CONCRETE INDICATES OVERIPAD LINES INDICATES WEIE FENCE INDICATES WOOD FENCE INDICATES PROPER?' Y COMER MVICATES POW' OF NG INDICATES POINT OF COMMENCOWEVT INMATES PROPERTY LANE INDICATES RECORD AW.ASUREVEVT IAIDICA7E$DRAWAGE6 UTILITY EASEMENT INDICATES UTILITY EASEMENT AfillICATE8 PERMANENT MONUMENT INDICATES mcfmANENr comma. POINT INDICATES EOM) INDICATES NEAR L.M. AVDIC4TES LAKE MAINTENANCE CI: OVICATES CLEAR 7ESFOURDIRONPPE Fld9' INDICATES ERR INDICATES SET 1!p° fl INCECATES RA 7E3 - OF-WAY EfflICATEE OFFICIAL RECORD BOOK t INDICATES MORE OR LESS FR ELEV.: AVDICATES FAMED FLOOR ELEVATION AL .E: IMNCATIES MOTTO SCALE N AWNCA7ES NORTH lAVICATE9001,17N ANC TES WE {M) INDICATES FELD MEASUREMENTS Cam: LATE9 CONCRETE ONIPL: INDICATES ON PROPERTY LINE PROFESSIONAL SURVEYING AND MAPPING LANNES & GARCIA, INC LB # 2098 FRANCISCO F. FAJARDO PSM # 4767 359 ALCAZAR AVENUE, CORAL GABLES, FLORIDA 33134 PH (305) 666 -7909 FAX (305) 559 -3002 FLORIDA PRO ESSIONAL SURVEYOR AND MAPPER REG. NO. 4767. WELD DATE :12 -19 -2008 I SCALE: 1° = 20' I DRAWN SY: M. PIO I DWG. No.: 213520 PERMIT #: Miami Shores Villa APPROVED ZONING DEPT BLDG DEPT BY Er) SUBJECT TO COMPLIANCE WITFI ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS 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 2004 Permit Type (circle): Roofing Permit No. ZOO f 40106 Master Permit No. Owner's Name (Fee Simple Titleholder) Phone # Owner's Address 4414 5 /U f(0 S� City 141V.m f' ,h(N S State Zip IT> 3 '3 8 Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name " col-154(V (3-71 fr‘'t- Phone # g CP " g-S- O Contractor's Address \' 3 2.. 'O S 3 8 YY City ('"•- ) State Zip Qualifier Name ,2 �U 72- 61J11-s Phone # - a ----SS 1 D State Certificate or Registration No. 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 DAlteration ❑New 1:1 Repair/Replace ['Demolition Describe Work: e s 4--- ::-,, Fe Y , 200+ ..06A, * * * * * ***:x*a * ** ************ **** *******Fees**************************************** ************* * * * * ** * ****** ** *** ******** *** Submittal Fee $ Permit Fee $ 60 • Ge CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ 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. 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 The foreg day of Own gent ing instrument was acknowledged before me this ,200L, by, -fit who is personally known to me or who has produc -� ,:J' • _`�7f_� leJ• of acid As identification and who did take an oa NOTARY PUBLIC: Sign: Print: Signature Contractor The foregoing instrument was acknowledged beforee me this /4 Tit day of ,2001, by L wh o is ersonally known to me or who has produced 16 G349t as identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** Sign: Print: My Commission E Aires: ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *t s: *** ** * * * * * * ** * *** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 07/10/07) 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 2004 Permit Type: Mechanical Owner's Name (Fee Simple Titleholder) Phone # Owner's Address 44 S N (p $ CityNttaAr ' Z $ State Ft-- Zip 3`3 1 34 Tenant/Lessee Name Phone # Permit No. Master Permit No. M, [„gyp(... -I Z,,1 E -MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO • Contractor's Company Name MICA q(rI tem eft, A-p elsvi tt'MPone # � "Z sr./ $1 Contractor's Address `LOS ®(o N t••) �. 9 Avg-- City fF %a-(ei i State (C. Zip 3a0/5- Qualifier Name ®SCAn. .40744 D IL-A Phone # SlOr State Certificate or Registration No. CAC- /II 991.0 Certificate of Competency 'No. E -MAIL: f @ (Arad se-/W ('C4 Cons Architect/Engineer's Name (if applicable) Phone # Value of Work For this P emit $ 30° Type of Work: ['Addition. - ['Alteration Describe Work: Square / Linear Footage Of Work: ['New ❑ Repair /Replace ❑ Demolition ***** 9c ************ * ******* *** ******* ** Fees° c************* ****************************•** Fee $ Submittal Fee $ Permit 100. 00 CCF $ CO /CC Notary $ Training /Education Fee $ Technology Fee $ Scanning $ 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. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, 'ANKS,anc1IR.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 ' ection fee will be charged. Signature Owner or Agent The forego g instrument was acknowledged before me this day of ,20 ,by who is ersonally known to me or who has prod iCced, J1 ! i who is personally known to me or who h s oduced Contractor The foregoing instrument was acknowledged before me this / j'" day of ?Iva. IL ,200i, by As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expi wxr'cxxwxxxwwxxwxxxwx as identificatiop NOTARY PUBLIC: Sign: Print: My Commission ..**w****** xxxxxxx, t9cxa' e, 49c*** ve dcxxx, Yx wxx, 4Scx xxxxx, Y***** xx, ti, Y,c,4xxxxxxxx**vcwxxx,Y,tde**** ke an oath. APPLICATION APPROVED BY: Plans Examiner Engineer Zoning (Revised 02 /08/06) 8/8/2006 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 To: Current Owner 465 NE 96 Street Miami Shores Village, FL 33138- Permit: BP2004 -666 Address:465 NE 96 Street Miami Shores Village FL33138- Date Expired: 10/12/2005 Dear Sir or Madam In order for us to serve you better, we need to keep our files up to date. Our records indicate that the above reference Permit has expired. The Building Department has determined that the work applied for has been completed with out the required inspections and it has been more than 180 days since your last approved inspection and thus your permit has expired as per Sec. 104.5.of the Florida Building Code. You are required to renew your permit and schedule all required inspections. In the event you do not comply with the requirements herein, the Building Department will file a complaint with Miami -Dade County Building Code Compliance Office for possible disciplinary action against your licensed contractor And /or if permit was obtained by the home owner the requirements of the Unsafe Structure Code of Miami Dade County Sec. 8 -5. (3) will apply. "The building shall be presumed and deemed unsafe and a permit shall be obtained to demolish the structure or bring the building in to compliance with applicable codes as provided herein." Please contact the Building Department, immediately upon receipt of this letter. Sincerely, Mabel Vargas Administrative Assistant oPp 16.00' �"'ftyilldlT ALL _Q 5.00' _Sri o 98- N00-118 oy g 20.70' 21.50' cwn 16.00' 16.00' 44 25' t_.F.F.= 1o.s'3 cri■V.. EL.— s.s, ONE STORY RESIDENCE #465 20.35' 39.00' 5.00' CONC SWK 85.00' CONC PWK 8.00' GRASS PWK 0.' GL Qb Legal Description Lot 17, less the West 15 feet and all of Lot 18, Block 86, MIAMI SHORES SECTION NO. 4, according to the plat thereof as recorded in Plat Book 15, at Page 14, of the Public Records of Miami Dade County, Florida. Certified To: ROBERT GARDNER, CLEAR TITLE SERVICES, INC., ATTORNEYS' TITLE INSURANCE FUND, INC., ITS L. SUCCESSORS AND /OR ASSIGNS. s' EDGE OFPAV 4/1 N N.E 96 th STREET / ( 22.00' A.S.P.H OFPAV) 12.00' GRASS Community Number: 120635 Panel Number: 0093 Suffix: J Data of Firm Index: 3/2/94 Flood Zone: X Base Flood Elevation: N/A Date of Completion: 05/28/2002 Property Address: 465 N.E. 96 STREET MIAMI SHORES, FL 33138 Survey: M9062 Accepted By: tEEtXel tow\.: Brats. E.. ',tle,a c-, . - tS - cot - . NI-: 1.1 GENERAL NOTES: . 30 N:: IJ , -80 ;NE • - • «• 3Ei l; ,,'\.Ni) c)9 • A• .1U' IZ ) (.) 1. rn: iei • i3OIJL.F: :VAiu � SU 101 100 1) LEGAL DESCRIPTION PROVIDED BY OTHERS. 2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT. 3) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 4) ONLY VISIBLE ENCROACHMENTS LOCATED. 5) WALL TIES ARE TO THE FACE OF TIIE WALL. 6) BEARINGS REFERENCED TO LINE NOTED AS B.K. 7) NO IDENTIFICATION FOUND ON PROPE CORRNERS UNLESS NOTED. 8) NOT VALID UNLESS SEALED WITH TH' .IGNING SURVEYORS EMBOSSED SEAL. 9) DIMENSIONS SHOW ARE PLAT AND SURED UNLESS OTHERWISE SHOWN. 10) ELEVATIONS IF SHOWN ARE B ASED ON N.G.V.D. 1929 UNLESS OTHERWISE NOTED. 11) THIS IS ABO ,l DARYSUR UN S OTHERWISE •TED. I HEREBY CER t' THAT THIS B 0 D Y SURVEY ` • ' UE ND CORRECT REPRESENTA • OF A SUAVE , P D UNDE) Y DIREC i ON. SIGNED I J i; Ai, Al„„ IG L E •r 17, r1! P.S. . NO. 510 STATE OF FL RIDA FOR THE FIRM THIS ' VEY IS INTENDED FOR MORTGAGE OR REFINANCE PURPOSE ONLY, EXCLUSIVELY FOR THIS USE BY THOSE TO WHOM IT IS CERTIFIED. THIS SURVEY IS NOT TO BE USED FOR CONSTRUCTION, PERMITING, DESIGN OR ANY OTHER USE WITHOUT WRITTEN CONSENT OF MIGUEL ESPINOSA. MIGUEL ESPINOSA LAND SURVEYING, INC. 6494 S.W. 24TH STREET MIAMI, FLORIDA 33155 PHONE: (305) 740 -3319 LB # 6463 A A/C ADD ADJ AE ALUM. ASPH e/c BCR BLDG BLK. BM BNDY B/W C CB CBS CD CJB CLF CM CMP CONC. COR. COV. D DB DCR D.E. DOT E/F E/P E/W ELEC. ELEV. ENCL. EM ESMT F/C F/L FF FH FIP FIR FN FND FN &D FN &T FP &L GAR GAW HW ID INV IR IP L LB LC LD LFF LP 15 LEGEND OF SURVEY ABBREVIATIONS ARC LENGTH AIR CONDITIONER ADDITION ADJACENT OR ADJOINING ANCHOR EASEMENT ALUMINUM ASPHALT BUILDING CORNER BROWARD COUNTY RECORDS BUILDING BLOCK BENCHMARK BOUNDARY BACK OF WALK CALCULATED CATCH BASIN CONCRETE BLOCK STRUCTURE CHORD DIRECTION CABLE JUNCTION BOX CHAIN LINK FENCE CONCRETE MONUMENT CORRUGATED METAL PIPE CONCRETE CORNER COVERED DEED DEED BOOK DADE COUNTY RECORDS DRAINAGE EASEMENT DEPARTMENT OF TRANSPORTATION END OF FENCE EDGE OF PAVEMENT EDGE OF WATER ELECTRIC ELEVATION ENCLOSURE ELECTRIC METER EASEMENT FENCE CORNER FENCE LINE FINISHED FLOOR FIRE HYDRANT FOUND IRON PIPE FOUND IRON ROD FOUND NAIL FOUND FOUND NAIL & DISC FOUND NAIL & TAB FLORIDA POWER & LIGHT GARAGE GUY WIRE HEAD WALL IDENTIFY, IDENTITY INVERT IRON ROD IKON PIPE LENGTH LICENSED BUSINESS CHORD DISTANCE LEGAL DESCRIPTION LOWEST FINISHED FLOOR LIGHT POLE LAND SURVEYOR M MAINT MH NO. N.T.S O/H O.P. O.R.B. 0/5 0AN PAR PB PC PCC PCP PG PI PK P05 POC PP PRM PRC PT PVMT R REC RCP RES. RET RNG R/W SAN SST SCN SE SEC SEW 5N &D SP SP &C 5R SRC STA STM STY 5UBD T TB TBM TRANS STWP TYP UE UGD WD WM WV MEASURED MAINTENANCE MANHOLE NUMBER NOT TO SCALE OVERHANG OPEN PORCH OFFICIAL RECORDS BOOK OFFSET OVERHEAD WIRES PLAT PARCEL PLAT BOOK POINT OF CURVATURE POINT OF COMPOUND CURVATURE PERMANENT CONTROL POINT PAGE POINT OF INTERSECTION PARKER KALON POINT OF BEGINNING POINT OF COMMENCEMENT POWER POLE PERMANENT REFERENCE MONUMENT POINT OR REVERSE CURVE POINT OF TANGENCY PAVEMENT RADIUS OR RECORD RECORD REINFORCED CONCRETE PIPE RESIDENCE RETENTION / RETAINING RANGE RIGHT - OF - WAY SANITARY SOUTHERN BELL TELEPHONE SCREEN SOUTHEAST SECTION SEWER SET NAIL & DISC LB #6463 SCREEN PORCH SET 1/2" PIN & CAP LB #6463 STATE ROAD SET REFERENCE CORNER STATION STORM STORY SUBDIVISION TANGENT TOP OF BANK TEMPORARY BENCH MARK TRANSFORMER TOWNSHIP TYPICAL UTILITY EASEMENT UNDERGROUND WOOD WATER METER WATER VALVE • • Argrori • A r-1 \ 111111 NIS .111•11• 11RL oN•1•1 •1•11 11 -■" 111111 7/! lb MS on/ NNW /MI • i Phone: (305) 740 -3319 740 -3320 MIGUEL ESPINOSA LAND SURVEYING, INC. LAND PLANNERS — SURVEYORS 6494 CORAL WAY MIAMI, FLORIDA 33155 Fax: (305) 740 -3321 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2004 -666 Printed: 7/23/2004 Applicant: ROBERT GARDNER Owner: GARDNER ROBERT JOB ADDRESS: 465 NE 96 ST Building Permit Contractor Local Phone: Parcel # 1132060170120 Page 1 of 1 Contractor's Address: Legal Description: MIAMI SHORES SEC 4 PB 15 -14 LOT 17 LESS W15FT & ALL LOT 18 BLK 86 LOT Fees: Description Amount FEE2004 -7374 Building Fee $600.00 FEE2004 -7375 CCF $12.00 FEE2004 -7376 CO /CC $50.00 FEE2004 -7377 Training and Education Fee $4.00 FEE2004 -7378 Technology Fee $15.00 FEE2004 -7379 Scanning Fee $30.00 FEE2004 -7380 Radon $2.29 FEE2004 -7381 Builders Bond $300.00 FEE2004 -7382 Structural Fee $50.00 Total Fees: $1,063.29 Total Feel 06 3.2�� Total Receipts: 0.80 �3a9 t3 JUL 2 '/ PAID Permit Status: APPROVED Permit Expiration: 11/14/2004 Construction Value: $20,000.00 Work: NEW KITCHEN, REWMOVE TWO WINDOWS AND REPLACE WITH IMPACT DOORS ON EXISTING FAMILY ROOM, RELMOVE Signed: (INSPECTOR) 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) BY: NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT N 04 to STATE OF FLORIDA: COUNTY OF MIAMI -DADE: AX FOLIO NC', 31 co 4 "D 7-0)®Zr' 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 Comrnencpment. 1,1 11111111111111N111111ll C:Fhii 200480631241 OR Bk 22518 Ps 04131 (1PS) RECORDED 07/27/2004 12:58:35 HARVEY RUVIHp CLERK OF COURT MIAMI -DADE COUI'1TYr FLORIDA LAST PAGE 1. Legal description ofproperty and street/address: �0T t 1 ess A-kge S+ IS Ref- c� 1 0 O+ g tout_ ! . / ' • [ PC I o 2. Description improvement: t' �)b 4 + cr �Y - p % +'w� , � t-� w L , ► i (2-v 3. Owner(s) name and address: Interest in property: t "'QT Name and address of fee simple titleholder: 4. Contractor's name and add L: �/ ( cw Q ®w tiN v dL 1/4 0/ t 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: tpc9Ne Amount of bond $ 6. Lender's name and address: 1301- -Q 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: N n/ 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice aoprovided in Section 713.13(1)(b), Florida Statutes. Name and address: 0 ®TAIL STATF OF Fl C)Rlr)A, Q'OUF,ITY OF DADS �� c�ita2,, I HERE Ce RTIFV that this is a I t the ''''-g7777 �' h ®rig al Oiled a Phi 1 0 ! j 9. Expiration date of this Notice of Commencement: (th. expir •.+ �s 1 yep ro. d date IS SpefftJr d) l'y7T.!ES PiAR14 Pcolfiliy+Court� • , �1� By /1 /i D.C. ure o Owner ��yy�� y� /�,_ Print Owner's Name 1l.J e t-1— �C°-�°"t in e�- Sworn to and subscribe •efor= me this a,3 day of, 20)S Notary Public Print Notary's Name My commission expires: 123.01 -52 PAGE 4 8/02 cording unless Prepared by A3R3bert-- Addrai :.�ndedTh'u Bonding Co., Inc. VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OWNER BUILDER DISCLOSURE .STATEMENT I ke,A,I- 6'4 6 et,being the legal property owner, for the property Located at: C% C /, : d 96 S Legally described as - Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S. 489.103(7),.nd 1 have read and understand the following disclosure Statement, which entitles me to' *brk as my own contractor, I further understand that I as the owner must appear in person to complete all applications. DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that 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 constT uction yourself. You may build or improve a one - family or two-family residence or a farm out - building. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your 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 completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that 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 under your supervision and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) initial of reviewing clerk. Tlie foregoing instrument Was acknowledged before me this a3day of By Produced 204_ who is personally known to me or who has as identification and who did take an oath to Owner • `1YP i, iviaoei as Co on #D't 1984 Expires: J u 13 2007 Bonded Thru '' " Atlantic Bonding Co., Inc. 'ROCESS # B20041100003 _ 0 FOLIO It 1132060170120 FEEPAYER: ROJAS, ESTEBAN G. 13200 SW 38 TERR FEE TYPE DEPARTMENT OF PLANNING AND ZONING IMPACT FEE RECEIPT BATCH: SITE ADDRESS: 465 NE 96 ST COLLECTION NO.: 62901 DATE: 07/2212004 MIAMI FL 33175 DIST. CAT. CATEGORY UNITS FEE EXTENDED AMOUNT �•�.•r��•r• irk• ID��r�r• r�y �r• r• UI� •�s��i•r•�•r•�•r•�•r�rar ►r�r•r er •�•II��r �r:r•r•w •- • •r • ..•-0- -•-1� 2EA 1.0 5002 00 UNIT SIZE (SQ FT) 227 0.9180 208.39 ID CODE DESCRIPTION TOTAL AMOUNT DUE: $208.39 PAID CHECK: $0.00 PAID CASH: $208.39 Miami Shores Village 1-1S-0V Building Departure t `°^�X 3'� 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name .b, BUILDING C ' TIQUE SHEET `ibs n�,�•`C� CRITIQUE SHEET 1, 910, • .JOB ADDRESS .-VloS g‘" 5r APPLICANT 6 were PHONE# APPUCATION A-3)1)( r(o N SHEET 4 MISCEU.ANEOUS )1% PERMIT NO. ADDRESS: MIAMI SHORES VILLAGE BUILDING 1 ZONING DEPARTMENT" SECTION BY DATE ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Subject to compliance vt h ett Federal, State, Caunty.Village rules end regcdations. Ygtage =maw no responsibility for accurecy oflor resutts from these plans. 2. This copy at plans must be available at building site or no inspection will be conducted DATE MUG COMMENTS 5-/-17 D'Y Alec J c4. d0 01 c e r-A 1c ul'L IN r S-e " Q, lC 5-4471 P Co fiLti e ,z. U/ INITIALS Miami Shores Village Building Department p-• -1- BUILDING CRITIQUE SHEET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name Miami Shores Village s`'S ° y Building Department 10050 N.E.2nd Avenue Miami Shores, Florida33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. OP 0 9466. Job Name BUILDING CRITIQUE SHEET 4 Miami Shores Village S-"�`V`'o Building Department "�` 3 10050 N.E.2nd Avenue Mi•:.s • Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ermit No. e# r 64 6 Job Name 64 '-e'— 4-6C Ne 94 7.0414-r RUCTURAL !'' TIQUE SHEET 5-/m/o¢ 77 4h1- /pry n- t 4/eus /2 � D e in/ 4-7/I#/ / 5p4,rn /anz/$ 8x /2 ri;e 404 eA. 5,de (A/af - rP) . h61 1411°' )2 'G r; • Miami-Dade County, Florida L ESTATE PR PERTY T NOTICE OF AD VALOREM TAXES AND NON-AD VALOREM ASSESSMENTS REVERSE SIVE FOR ME INEOARAViarel FOLtO M 11,4 11-3206-017-0 MIAMI SHORES LA CODE ASSESSED 1100 253,662 JE School Board School Board Debt Service Florida Inland Navigation Dist South Florida Water-Mgmt District Everglades Construction Project Children Trust Authority County Wide Operating County Wide Debt Service Fire Reset* Operating Fite Rescue Debt Service Miami Shores Operating Miami Shores Debt Service 8.41800 228,662 1,924.88 0.68200 228,662 155.95 0.03850 228,662 8.80 0.59700 228,662 0.10000 228,662 22.87 0.50000 228.662 114.33 5.96900 228,662 1,364.88 0.28500 228,662 65.17 2.58200 228,662 590.41 027900 228,662 18.06 7.75000 228,662 1,772.13 0.51510 228,662 117.78 DECEMBER ANUARY 6,040.10 6,103.02 6,16523 FEBRDA 6,228.85 A -nque 6,291.77 6.484_07 IMSNNNEM,SwgsntttttkrnkkMtftigitNtnttntStkSISSNNENBR vpis- • .:• • f2-1,--7,-,,::••ei:-•;/,-TILD-Q.. f)../ •• • • A A/C ADD ADJ AE ALUM. ASPH B/C BCR BLDG BLK. BM BNDY B/W C CB CB5 CD CJB CLF CM CMP CONC. COR. COV. D DB DCR D.E. DOT E/F E/P EIW ELEC. ELEV. ENCL. EM ESMT F/C F/L FF FH FIP FIR FN FND FN &D FN &T FP &L GAR GAW HW ID INV IR IP L LB LC LD LFF LP L5 LEGEND OF SURVEY ABBREVIATIONS ARC LENGTH AIR CONDITIONER ADDITION ADJACENT OR ADJOINING ANCHOR EASEMENT ALUMINUM ASPHALT BUILDING CORNER BROWARD COUNTY RECORDS BUILDING BLOCK BENCHMARK BOUNDARY BACK OF WALK CALCULATED CATCH BASIN CONCRETE BLOCK STRUCTURE CHORD DIRECTION CABLE JUNCTION BOX CHAIN LINK FENCE CONCRETE MONUMENT CORRUGATED METAL PIPE CONCRETE CORNER COVERED DEED DEED BOOK DADE COUNTY RECORDS DRAINAGE EASEMENT DEPARTMENT OF TRANSPORTATION END OF FENCE EDGE OF PAVEMENT EDGE OF WATER ELECTRIC ELEVATION ENCLOSURE ELECTRIC METER EASEMENT FENCE CORNER FENCE LINE FINISHED FLOOR FIRE HYDRANT FOUND IRON PIPE FOUND IRON ROD FOUND NAIL FOUND FOUND NAIL & DISC FOUND NAIL & TAB FLORIDA POWER & LIGHT GARAGE GUY WIRE HEAD WALL IDENTIFY, IDENTITY INVERT IRON ROD IRON PIPE LENGTH LICENSED BUSINESS CHORD DISTANCE LEGAL DESCRIPTION LOWEST FINISHED FLOOR LIGHT POLE LAND SURVEYOR M MAINT MH N0. N.T.S. 0/H 0.P. O.R.B. O/5 0/W P PAR PB PC PCC PCP PG PI PK POD POC PP PRM PRC PT PVMT R REC RCP RES. RET RNG R/W SAN 5BT SCN SE SEC SEW SN &D 5P SP &C SR SRC STA STM STY SUB() T TB IBM TRANS STWP TYP UE UGC) WD WM WV MEASURED MAINTENANCE MANHOLE NUMBER NOT TO SCALE OVERHANG OPEN PORCH OFFICIAL RECORDS BOOK OFFSET OVERHEAD WIRES PLAT PARCEL PLAT BOOK POINT OF CURVATURE POINT OF COMPOUND CURVATURE PERMANENT CONTROL POINT PAGE POINT OF INTERSECTION PARKER KALON POINT OF BEGINNING POINT OF COMMENCEMENT POWER POLE PERMANENT REFERENCE MONUMENT POINT OR REVERSE CURVE POINT OF TANGENCY PAVEMENT RADIUS OR RECORD RECORD REINFORCED CONCRETE PIPE RESIDENCE RETENTION / RETAINING RANGE RIGHT - OF - WAY SANITARY SOUTHERN BELL TELEPHONE SCREEN SOUTHEAST SECTION SEWER SET NAIL & DISC LB #6463 SCREEN PORCH 5E71/2" PIN & CAP LB #6463 STATE ROAD SET REFERENCE CORNER STATION STORM STORY SUBDIVISION TANGENT TOP OF BANK TEMPORARY BENCH MARK TRANSFORMER TOWNSHIP TYPICAL UTILITY EASEMENT UNDERGROUND WOOD WATER METER WATER VALVE i • •i1 \ice 11111A 'VIM h// aI11■ • i•••• 41J•••• • «1111!=' NMI •� T. 1 i /l, Phone: (305) 740 -3319 740 -3320 MIGUEL ESPINOSA LAND SURVEYING, INC. LAND PLANNERS — SURVEYORS 6494 CORAL WAY MIAMI, FLORIDA 33155 Fax: (305) 740 -3321 16.00 t° b5mL V ALL 1 /500' 0 98 - )10018 CONC 21.60' 44 25' ��>� �. = 8•sS ONE STORY RESIDENCE #465 16.00' 20.35' TILE 23.10' Y— o.3oGL b X O {1 Y kr 39.00' 5.00' CONC SWK 85.00' ^• 1 0 98 - N0018 CONC PWX 8.00' GRASSPWK I CONC PWX EDGE OFPAV /1 N.E 96 th STREET 4171 (22.00' A.SP.H OFPAV) 1200' GRASS Legal Description Lot 17, less the West 15, feet and all of Lot 18, Block 86, MIAMI SHORES SECTION NO. 4, according to the plat thereof as recorded in Plat Book 15, at Page 14, of the Public Records of Miami Dade County, Florida. Certified To: ROBERT GARDNER, CLEAR TITLE SERVICES, INC., ATTORNEYS' TITLE INSURANCE FUND, INC., ITS SUCCESSORS AND /OR ASSIGNS. a• 5 Accepted By: Community Number: 120635 Panel Number: 0093 Suffix: J Uata of Firm Index: 3/2/94 Flood Zone: X Base Flood Elevation: N/A Date of Completion: 05/28/2002 Property Address: 465 N.E. 96 STREET MIAMI SHORES, FL 33138 Survey: M9062 1?E.[ \Sfowl: ti'2b �_ St1 Esy . T7..6. -X ..: 1- 15- c4,-- N :' Slit[•. :H :f ,- • • 1? tz ) r, C \I f I' li< • GENERAL NOTES: iJ' rtta {•I'i-. • :3[iOtil' :(.At\II) i. r 100 1) LEGAL DESCRIPTION PROVIDED BY OTHERS. 2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT. 3) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. ONLY VISIBLE ENCROACHMENTS LOCATED. WALL TIES ARE TO THE FACE OF TIIE WALL. BEARINGS REFERENCED TO LINE NOTED AS B.R. 4) 5) 6) 7) NO IDENTIFICATION FOUND ON PROPE'• CORRNERS UNLESS NOTED. 8) NOT VALID UNLESS SEALED WITH TH ` .IGNING SURVEYORS EMBOSSED SEAL. 9) DIMENSIONS SHOW ARE PLAT AND SURED UNLESS OTHERWISE SHOWN. 10) ELEVATIONS IF SHOWN ARE BASED ON N.G.V.D. 1929 UNLESS OTHERWISE NOTED. 11) THIS IS A BO DARYSUR UN S OTHERWISE • TED. I HEREBY CERTIF REPRESENTA I SIGNED THAT THIS B i D• Y SURVEY • UE ND CORRECT OF A SURVE P • • • D UNDE) Y DIREC I ON. P.S. . NO. 510 STATE OF FL i RIDA FOR THE FIRM THIS VEY IS INTENDED FOR MORTGAGE OR REFINANCE PURPOSE ONLY, EXCLUSIVELY FOR THIS USE BY THOSE TO WHOM IT IS CERTIFIED. THIS SURVEY IS NOT TO BE USED FOR CONSTRUCTION, PERMITING, DESIGN OR ANY OTHER USE WITHOUT WRITTEN CONSENT OF MIGUEL ESPINOSA. MIGUEL ESPINOSA LAND SURVEYING, INC. 6494 S.W. 24TH STREET MIAMI, FLORIDA 33155 PHONE: (305) 740 -3319 LB # 6463 16.00' r - 51°.`T 85.00' ' ca d 98-N0018 g6. 20.70' 21.50' CONC 21.60' V c-n 16.00' 16.00' 0 44 25' L.F.F. = s.ss ONE STORY RESIDENCE #465 20.35' ti TILE 23.10' w N 6.00' r21 tr.1 39.00' 5.00' CONC. SW% 85.00' CONC PWK 8.00' GRASSPWR I CONC PWK N.E 96 th O.'aGL, . r 0 CD 98-N0018 Legal Description Lot 17, less the West 15 feet and all of Lot 18, Block 86, MIAMI SHORES SECTION NO. 4, according to the plat thereof as recorded in Plat Book 15, at Page 14, of the Public Records of Miami Dade County, Florida. Certified To: ROBERT GARDNER, CLEAR TITLE SERVICES, INC., ATTORNEYS' TITLE INSURANCE FUND, INC., ITS SUCCESSORS AND /OR ASSIGNS. EDGE OFPAV tiN STREET ( 2200' A.S.P.H OFPAV) 12.00' GRASS Community Number: 120635 Panel Number: 0093 Suffix: J Data of Firm Index: 3/2/94 Flood Zone: X Base Flood Elevation: N/A Date of Completion: 05/28/2002 Property Address: 465 N.E. 96 STREET MIAMI SHORES, FL 33138 Survey: M9062. Accepted By: ZENttci t0►J.: 1.1.7,2/11-E. st1ZN1ES1 l - t5 - oA- ■ N I•: • 3'1 • GENERAL NOTES: .••,d, • I 3 1 1012 1: I.A1\10 99 ' r$ 100 ,..13 UL.E:V,AIZ1 `Su 1) LEGAL DESCRIPTION PROVIDED BY OTHERS. 2) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENT OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT. 3) UNDERGROUND PORTIONS OF FOOTINGS, FOUNDATIONS OR OTHER IMPROVEMENTS WERE NOT LOCATED. 4) ONLY VISIBLE ENCROACHMENTS LOCATED. 5) WALL TIES ARE TO THE FACE OF THE WALL. 6) BEARINGS REFERENCED TO LINE NOTED AS B.R. 7) NO IDENTIFICATION FOUND ON PROPE TY CORRNERS UNLESS NOTED. 8) NOT VALID UNLESS SEALED WITH TH IGNING SURVEYORS EMBOSSED SEAL. 9) DIMENSIONS SHOW ARE PLAT AND URED UNLESS OTHERWISE SHOWN. 10) ELEVATIONS IF SHOWN ARE BASED ON N.G.V.D. 1929 UNLESS OTHERWISE NOTED. 11) THIS IS ABO 1 DARYSUR IHEREBY CER REPRESENTA SIGNED THAT THIS B OF A SURVE S OTHERWISE ■ •TED. Y SURVEY . UE ND CORRECT D UNDE Y DIREC ION. P.S. . NO. 510 STATE OF FL RIDA FOR THE FIRM THIS VEY IS INTENDED FOR MORTGAGE OR REFINANCE PURPOSE ONLY, EXCLUSIVELY FOR THIS USE BY THOSE TO WHOM IT IS CERTIFIED. THIS SURVEY IS NOT TO BE USED FOR CONSTRUCTION, PERMITING, DESIGN OR ANY OTHER USE WITHOUT WRITTEN CONSENT OF MIGUEL ESPINOSA. MIGUEL ESPINOSA LAND SURVEYING, INC. 6494 S.W. 24TH STREET MIAMI, FLORIDA 33155 PHONE: (305) 740 -3319 LB # 6463 A A/C ADD ADJ AE ALUM. ASPH B/C BCR BLDG BLK. BM BNDY DAV C CB CBS CD CJB CLF CM CM!' CONC. COR. COV. DB DCR D.E. DOT E/F E/P ENV ELEC. ELEV. ENCL. EM ESMT F/C F/L FF FH FIP FIR FN FND FN &D FN &T FP &L GAR GAW HW ID INV IR IP L LB LC LO LFF LP LS LEGEND OF SURVEY ABBREVIATIONS ARC LENGTH AR CONDITIONER ADDITION ADJACENT OR ADJOINING ANCHOR EASEMENT ALUMINUM ASPHALT BUILDING CORNER BROWARD COUNTY RECORDS BUILDING BLOCK BENCHMARK BOUNDARY BACK OF WALK CALCULATED CATCH BASIN CONCRETE BLOCK STRUCTURE CHORD DIRECTION CABLE JUNCTION 130X CHAIN LINK FENCE CONCRETE MONUMENT CORRUGATED METAL PIPE CONCRETE CORNER COVERED DEED DEED BOOK DADE COUNTY RECORDS DRAINAGE EASEMENT DEPARTMENT OF TRANSPORTATION END OF FENCE EDGE OF PAVEMENT EDGE OF WATER ELECTRIC ELEVATION ENCLOSURE ELECTRIC METER EASEMENT FENCE CORNER FENCE LINE FINISHED FLOOR FIRE HYDRANT FOUND IRON PIPE FOUND IRON ROD FOUND NAIL FOUND FOUND NAIL & DISC FOUND NAIL & TAB FLORIDA POWER & LIGHT GARAGE GUY WIRE HEAD WALL IDENTIFY. IDENTITY INVERT IRON ROD IRON PIPE LENGTH LICENSED BUSINESS CHORD DISTANCE LEGAL DESCRIPTION LOWEST FINISHED FLOOR LIGHT POLE LAND SURVEYOR M MAINT MH NO. N.T.5. 0/H 0.P. O.R.B. 0/5 0/W PAR PD PC PCC PCP PG PI PK POB POC PP PRM PRC PT PVMT R REC RCP RES. RET RNG RJW SAN 5BT SCN SE SEC SEW 5N &D 51' SP &C SR SRC STA 5TM STY SUED T TB TBM TRANS STWP TYP UE UGD WD WM WV MEASURED MAINTENANCE MANHOLE NUMBER NOT TO SCALE OVERHANG OPEN PORCH OFFICIAL RECORDS BOOK OFFSET OVERHEAD WIRES PLAT PARCEL PLAT BOOK POINT OF CURVATURE POINT OF COMPOUND CURVATURE PERMANENT CONTROL POINT PAGE POINT OF INTERSECTION PARKER KALON POINT OF BEGINNING POINT OF COMMENCEMENT POWER POLE PERMANENT REFERENCE MONUMENT POINT OR REVERSE CURVE POINT OF TANGENCY PAVEMENT RADIUS OR RECORD RECORD REINFORCED CONCRETE PIPE RESIDENCE RETENTION / RETAINING RANGE RIGHT - OF - WAY SANITARY SOUTHERN BELL TELEPHONE SCREEN SOUTHEAST SECTION SEWER SET NAIL & 0I5C LB #6463 • SCREEN PORCH 5E71/2" PIN & CAP LB #6463 STATE ROAD SET REFERENCE CORNER STATION STORM STORY SUBDIVISION TANGENT TOP OF BANK TEMPORARY BENCH MARK TRANSFORMER TOWNSHIP TYPICAL UTILITY EASEMENT UNDERGROUND WOOD WATER METER WATER VALVE } Afore. • %/a. "MIA 1/11 .7111111 NUM N•11•11__ u.i ua1 1 ` r%1 • Phone: (305) 740 -3319 740 -3320 MIGUEL ESf'INOSA LAND SURVEYING, INC. LAND PLANNERS — SURVEYORS 6494 CORAL WAY MIAMI, FLORIDA 33155 Fax: (305) 740 -3321