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RC-10-1355Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 149367 Permit Number: RC -7 -10 -1355 Scheduled Inspection Date: September 12, 2011 Inspector: Bruhn, Norman Owner: KETELHOHN, GEORGE Job Address: 185 NW 107 Street Miami Shores, FL 33168- Project: <NONE> Contractor: TONCA CONSTRUCTION Permit Type: Residential Construction Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360100090 Phone: (786)423 -8897 Building Department Comments CONVERSION OF SINGEL ATROY GARAGE TO OFFICE. THIS IS A CASE WHERE WE ARE A LICENSES CONTRACTOR TAKING OVER A REMODEL THAT WAS ALREADY IN PROGRESS WITH PERMITS. SOME WORK HAS ALREADY BEEN PUT IN PLACE. Passed,/ Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CG September 09, 2011 For Inspections please call: (305)762 -4949 Page 1 of 35 Permit Number: RC -7 -10 -1355 I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 149370 Inspection Date: September 06, 2011 Inspector: Dacquisto, David Owner: KETELHOHN, GEORGE Job Address: 185 NW 107 Street Miami Shores, FL 33168- Project: <NONE> Contractor: TONCA CONSTRUCTION Permit Type: Residential Construction Inspection Type: Declaration of Use Work Classification: Addition /Alteration Phone Number Parcel Number 1121360100090 Phone: (786)423 -8897 Building Department Comments CONVERSION OF SINGEL ATROY GARAGE TO OFFICE. THIS IS A CASE WHERE WE ARE A LICENSES CONTRACTOR TAKING OVER A REMODEL THAT WAS ALREADY IN PROGRESS WITH PERMITS. SOME WORK HAS ALREADY BEEN PUT IN PLACE. 69 7)77/7/ Passed Inspector Comments (� Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until September 06, 2011 For Inspections please call: (305)762 -4949 Page 1 of 1 Restrictive Covenen- Declaration of Use Prepared by; 6e 8t kiK.kthLin of the fi. togs) ding io the plat the - Miami -Dade County, Florid providing this WHEREAS, the in NOW, THEREFOR the undersigned do(es) her 1. That the Prop County now In 2. That the pro 3. That hefshe successor in t FURTHER, theund concerning the use, enjoym shall be binding upon the u Village, or its successors, on this I daySoft A KNOW ALL MEN WHEREAS, the un g described p WITNESSES) Signs - e and P nt Signstur and Print DECLARATION OF USE THESE PRESENTS: j j ersigned �� T +Z �t f �l b h Pent { Blrr* as record ,(address) is/are the fee stritpie owner(s) age, Fl f 14 �fSu °brdrVisitm). o records of and ersigned owner(s) have sought certain development approval from Miami Shores and are •nsideratlon thereof and to Induce the Village to grant same: for good and Valuable consideration, the receipt and sufficiency of which Is ackrrowledged, by declare and agree: will not be used In violation of any ordinance of Miami Shores Vilrage or Miami -Dade or hereinafter enacted. wttl be used for a single family residence only not convey or cause to be conveyed the title. to the above property without requiring the e to abide by all terms and conditions sat forth herein. 'gned deciare(s) that this covenant is intended and shall constitute a restrlclive covenant nt and title to the above Property and shall constitute a covenant running with the land and ersigned, his/her successors and assigns and may only be released by Miami Shores accordance with the codes, rules and regulation's of said Village then in effect EOF, -unders n haslhave caused �'ti S hand(s) and seal (s) to be-affbced hereto 1.6 tr. , .201 STATE F •R COUNTY OF MIAMI -DARE CERT. is personally known to expressed. SWORN TO AND My commission expires: Cttrn(.� i OWNERS: Signature and Print Signature and Print • r II at on this day personally appear before me 1 jr o j t has produced �l (type of identification) as nowiedge that he/she executed the or= • oing,'fieelyy d voluntarily, ; or purposes therein UBSCRIBED before me on this day of ifittA a AT 0 r, Notary Public State of Florida Martha M Monies Oca 1 My Commission DD655042 Ewes 03/2512011 a,Q�• Permit Number: RC -7 -10 -1355 I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 149373 Inspection Date: September 06, 2011 Inspector: Bruhn, Norman Owner: KETELHOHN, GEORGE Job Address: 185 NW 107 Street Miami Shores, FL 33168- Project: <NONE> Contractor: TONCA CONSTRUCTION Permit Type: Residential Construction Inspection Type: Final PE Certification Work Classification: Addition /Alteration Phone Number Parcel Number 1121360100090 Phone: (786)423 -8897 Building Department Comments CONVERSION OF SINGEL ATROY GARAGE TO OFFICE. THIS IS A CASE WHERE WE ARE A LICENSES CONTRACTOR TAKING OVER A REMODEL THAT WAS ALREADY IN PROGRESS WITH PERMITS. SOME WORK HAS ALREADY BEEN PUT IN PLACE. Passed 97- Inspector Comments --, Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until September 06, 2011 For Inspections please call: (305)762 -4949 Page 1 of 1 Vertex Architecture, Inc. 10250 SW 56th Street, Suite C -101 Miami, FL 33165 305.412.9499 Fax: 305.412.9489 www.vertexarchitecture.com AA26000839 ARCHITECTURE 0 ARCHITECTURE WITH A POINT August 31, 2011 Re: Final Certification Letter for Ketelhohn Residence (Permit # RC 10 -1355) Georg H. Ketelhohn Residence 185 NW 107 St. Miami Shores, FL 33168 To Whom It May Concern, This is to certify that the to the best of my professional judgment based on a visual inspection of the current and completed construction of the existing 1 -story residence located at the address listed above performed by myself today on August 31, 2011, all of the completed and constructed elements of the garage to office conversion under this permit comply with the permit number stated above and with all of the plans previously drawn by this office and previously approved by the Miami Shores Building Department including but not limited to the following: 1. The masonry window sill and masonry undemeath the window. 2. The filled cells on either side of the window. 3. The gypsum wallboard inside the office. 4. The electrical items inside the office. 5. The a/c wall unit inside the office. 6. There are no plumbing items inside the office. Furthermore, all of the work done under this permit has been done under the code in effect now, the Florida Building Code, 2007 edition. Please feel free to call me on my cel phone at (305) 785 -8296 or e-mail me at AlexVertexArchitecture.com and let me know if you need anything else or have any further questions. Thank you very much, Aldjandro Santamaria, R.A. Lic. #AR91405 Page 1 of 1 Permit Number: RC -7 -10 -1355 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 149371 Inspection Date: September 06, 2011 Inspector: Bruhn, Norman Owner: KETELHOHN, GEORGE Job Address: 185 NW 107 Street Miami Shores, FL 33168- Project: <NONE> Contractor: TONCA CONSTRUCTION Permit Type: Residential Construction Inspection Type: F. Insulation Certificate Work Classification: Addition /Alteration Phone Number Parcel Number 1121360100090 Phone: (786)423 -8897 Building Department Comments CONVERSION OF SINGEL ATROY GARAGE TO OFFICE. THIS IS A CASE WHERE WE ARE A LICENSES CONTRACTOR TAKING OVER A REMODEL THAT WAS ALREADY IN PROGRESS WITH PERMITS. SOME WORK HAS ALREADY BEEN PUT IN PLACE. Passed Klf.....tr_ Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 September 06, 2011 Page 1 of 1 Tonca Coils u 'ucuo11' CER'TIF'ICATE OF INSULATION Miami Shores Building Department 10050 N.E. 2nd Avenue Miami Shores F133138 Date: 8/31/2011 Project Address: 185 NW 107th Avenue Miami Shores F133138 Owner: Georg Ketelhohn Building Permit: RC10 -1355 This document is to certify that Tonca. Construction installed all interior wall and ceiling insulation as per the Architectural permit drawings drawn by Vertex Architecture. All insulation was installed at the existing garage area which was converted into a personal office area. Please call me directly with any questions. Ryan Swail CEO Tonca. Construction. 305- 710 -6442 6625 Mani Lakes Dc, Miami Lakes, FL 33014 I Phone: 305.777.3843 I Fa= 305.777.3873 1 wwti .toncaconstrudion.net NOTICE OF COMMENCEMENT A RECORDED COPY M UST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. I 1 135)7 TAX FOLIO NO. (1 -q) -3 00/ - ©�b ^Q 0 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. • 1. Legal description of property and street/a • dr $ -� u p 6 a et/Y 9 -2.- Description of improvement &Ne°, 3. Owner(s) name an Interest in property: Name and address of fee simpl titleholder. t b r 4. C•ntractor's n. e, address and phone number. 5. Surety: (Payment bond #squired by owner from con actor, if any) Name, address and phone number. Amount of bond $ t3 6. Lender's name and address: 7. Persons within the State of Florida designated by Ownerj.irgtrEwjloOLts Gotwo Section 713.13(1)(a)7., Florida Statutes, I HEREBY CE Rr /FY t% ' ms's Name, address and phone number: 0,ioi1-1 DA In V3 of 111111111111 11111111111111111111 11111 11111111 CFN 2011R0260340 OR E'.k 27662 Ps 0841; tins)) RECORDED 04/21/2011 14 :25:12 HARVEY RUVINr CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST F'AGE Space above reserved for use of recording office CS ST /11, *4,; irfs 8. In addition to himself, Owners designates the following pats; 713.13(1)(b), Florida Statutes. HARVEY Name, address and phone number. 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of O ». er(s) • . , - ` . r Prepared By 4.a Print Name /� f., ,. Trtle /Office O t. STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing ins By Officer /Director/Partner /Manager Prepared By Print Name )1IOAL pL.33007 �7 day of 5�f?�l" • del% owledged before me this f y gOividually, or N as for W \ox10Uru//o/,/ Personally known, or la produced the following type of identifier \a. �.,,. �/ Signature of Notary Public: • % ( Print Name: 0410 (SEAL) • VERIFICATION PURSUANT 0 SECTIQNJ2,525. FLORIDA ITAT4 Under penalties of perjury, 1 declare that I have read the forego ng ah arm I S s 10 n # :' that the facts stated in it are true, to the best of my knowledgea bliff0877013 Q- Signature(s)-Af Owns RY PUBLIC By ,r CPtt �\, Authorized Officer/Director r�r signed above: By //'1111 r l r.11,LLll�t�` 123.01 -32 PAGE is i Shores Village Building Department N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SPECTION'S PHONE NUMBER: (305)762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) _- Owner's Address City Tenon Lessee Name Email Permit No. Zip 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 Contractor's Address City Qualifier Name State Certificate or Registration No. Contact Phone Flood Zone State Zip Phone # Certificate of Competency No. E -mail Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Type of Work: DAddition E]Alteration QNew ❑ Repair/Replace Demolit. Describe Work: Square / Linear Footage Of Work: r tea CCF $N CO /CC $ Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond Double Fee $ Violation date: Structural Review. $ Total Fee Now I)ue $ i See Reverse side —* Bonding Company's Name (if applicable) — Bonding Company's Address City Mortgage Lender's Name (if applicable) Mortgage Lender's Address City 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 applicable laws regulating construction and zoning. formation is accurate and that all work will be done in compliance with all "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 Signature Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this- day of , 20� by day of , 20 , by who is personally known t ' me or who has produced who is personally known to me or who has produced_ As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires:6 APPROVED BY (Revised 07/10/07) (Revised 06/10/2009) Notary Public State otFlorida Martha M Montes de Cca My Commis ion Dr 7'042 Xoises 0 t/2 Sign: Print: My Co s •n x Plans Examiner ' on Engineer Clerk checked Miami Lakes 15700 NW 67th Avenue #101 Miami Lakes, FL 33014 (305) 827-4015 Address of Licensee: D /B /A TONCA CONSTRUCTION 6625 MIAMI LAKES DR Suite 220 Miami Lakes, FL 33014 License Categories: Business Office / Consultant Contractor / General Town Of Miami Lakes Business Tax Receipt License Effective: From: 10/1/2009 To: 9/30/2010 Licensees: Charles Zhang 1 $40.00 LICENSE NO. 2010 -3507 TOTAL FEE PAID: $40.00 Certificate of Use: U2009 -1332 07/02/2009 Date of Issue Y4)) OArne Laura Hernandez Certified Licensing Official Miami Lakes This License MUST BE DISPLAYED IN A CONSPICUOUS PLACE IN YOUR BUSINESS ESTABLISHMENT. The Town of Miami Lakes must be notified of any changes of use, address or ownership. This License is not transferable and is subject to revocation. This License must be renewed or or before September 30 of each year. Restrictive Covenan Declaration of Use Prepared by: & KNOW ALL MEN WHEREAS, the u of the following described p Lot(s) io the plat ther Miami -Dade County, Florid WHEREAS, the u providing this document in NOW, THEREFOR the undersigned do(es) her 1 That the Pro County now in 2. That the pro 3. That he/she successor in FURTHER, the and concerning the use, enjoym shall be binding upon the u Village, or its successors, i IN WITNESS WHE 4 on this ' bt.day of A. WITNESSES) Signature and Print ,C0 -1355 1111111 11111 1111111111 11111 11111 11111 11111111 CFN 2010Rail.F; x'504 -9 OR 61, 27402 Ps 4691; (ips) RECORDED 08/30/2010 10:03:47 HARVEY RUVIhir CLERK OF COURT MIAMI —DADE COUNTY? FLORIDA LAST PAGE DECLARATION OF USE THESE PRESENTS: I nett GE! �Y °1�� I d h f°l, is/are the fee supple owner(s) pert?' ('Property" situated and being in Miami Shore Village, Florida: BlO k ,,,(l of Dvhh,a /vli4!ni Sliov. ^s E.,51- -(rtSi�'�(Subdmsrortj, , as recorded i the Plat Book 51 age of the P.dbiic R rds of , (address) 16 5 Jj/. W. 1 0-4 e� Ire , q r.: ; Sl L,YeeJ ft. and ersigned owner(s) have sought certain development approval from Miami Shores and are sideration thereof and td induce the Village to grant sarne: , for good and valuable consideration, the receipt and sufficiency ofwhich is acknowledged, y declare and agree: rty wiH not be used in violation of any ordinance of Miami Shores Village or Miami -Dade ffect or hereinafter enacted. rty wifl be used for a single family residence only. not convey or cause to be conveyed the title. to the above property without :requiring the to abide by all terms and conditions set forth herein: igned deciare(s) that this on enantis intended and shall constitute a restrictive covenant nt and title to the above Property and shall :constitute a covenant running. with the land and ersigned, his/her successors and assigns and may only be released by Miami Shores accordance with the codes, rules and regulations of said Village then in effect. EOF, ffAi undersi ned has/have caused l'ti 5 hands) and seals) tin be affixed hereto 16vcr 20 01L. /J. tit Signature and Print �1 _ STATE QF FL . RIDWS COUNTY OF MIAMI -DADE OWNERS: Signature and Print I•+ERFBY CERTI ho is personally known to expressed. SWORN TO AND My commission expires: CamipS Signature and Print that hon this day personally appeared before me %eo) -5 T 71elh0 -2/'') {r. P 7 / / (type of iden; cation) as nowledge that he/she executed the for _ o ing, free d voluntarily, or purposes therein MAIM ATE *; UBSCRIBED before me on this ±.� .: day of tar "Notary' Public State of Florida f ., :. ` Martha M Monies de Oca My Commission DD655042 -for OF Expires 03/25/2011 7 NO AR STATE OF FLO , COLJt V( OF DADE I HEREBY CEf$T1r=7' E67 t Mt* p.Ooq, caw of tie origi AC20 L WJTNESS r r; , s� tof Toff" HARVEY R L�'i;t, G. G" firSFlra CAN Owls ty (Statewide ) P.o. Box 3865 Hollywood, FL 33083 RE: Contingency Letter Application Document No: AP995095 Centex Permit Number: 13- SC- 1302901 s, OSTDS Number. i85 NW 107 St Miami, FL 33168 Lot:9 Block:212 Subdivision: Dunning Miai Shores Ext 5 Dear Applicant: This will acknowledge receipt of an application dated 02/23/2011 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. 1. -There is no increase in sewage flow, change in characteristics compromising the integrity or function of the system installation. 2. -This project entails : " GARAGE ENCLOSURE From a review of your completed application, it has been determined that your existing system is adequate for the proposed use : " APPROVED ". If you have any questions on this matter, please call our office at (305) 623 -3500. Enclosures cc: evm Miami -Dade County Health Department 1725 NW 167 St, Opa Locks., FL 33056 . Phone: (305) 623 -3500 DAVID A. DACQUISTO, AICP PLANNING & ZONING DIRECTOR Manta SIiore Vdiae DEVELOPMENT ORDER 10050 N.E. SECOND AVE. MIAMI SHORES, FLORIDA 33138 -2382 Telephone: (305) 795 -2207 Fax: (305) 756 -8972 DACQUISTO D ®MIAMISHORESVILLAGE. COM File Number: PZ -3 -10- 2010178 Property Address: 185 NW 107th Street Owner /Applicant: Georg Ketelhohn Address: 185 NW 107th Street, Miami Shores FL 33138 Whereas, the applicant John Ketelhohn (Owner), has filed an application for site plan review before the Planning Board on the above property. The applicant sought approval as follows: Special Approvals, Sections 600 & 523: Site Plan Approval, Sec. 523.1 Construction, Garage conversion. Whereas, a public hearing was held on April. 22, 2010 and the Board, after having considered the application and after hearing testimony and reviewing the evidence entered, finds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village. 2. The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code. The Board requires that all further development of the property shall be performed in a manner consistent with the site plan, drawings, and the conditions agreed upon at the hearing: 1) Applicant to secure necessary DERM or Department of Health approval for the septic system prior to the issuance of a village building permit. 2) Applicant to obtain all required building permits for work begun without a permit and all additionally required building permits before continuing work. 3) Applicant to meet all applicable code provisions at the time of permitting. 4) Applicant to create a five (5) foot landscape strip between the converted garage and the driveway. 5) Applicant to complete a covenant in the form of a "Declaration of Use" assuring the property is used only for a single family purpose, record the covenant with the Page 1 of 2 DO PZ -3 -10- 2010178 Ketelhohn Miami -Dade County Recorder and provide the planning director with a copy of the recorded document prior to the final inspection by the Building Official. 6) This zoning permit will lapse and become invalid unless the work for which it was approved is started within one (1) year of the signing of the development order by the board chair, or if the work authorized by it is suspended or abandoned for a period of at least one (1) year. Additionally, the applicant must, satisfy all applicable Miami Shores Village Codes, Miami -Dade County Codes, the applicable building and life safety codes required for development, and provide a copy of the development order to the Building Dept. The application with conditions was passed and adopted this 22nd day of April, 2010 by the Planning and Zoning Board as follows: Mr. Abramitis Absent Mr. Busta Yes Mr. Reese Yes Mr. Madsen Absent Chairman Fernandez Yes Date chard M. Fernandez Chair, Planning Board Page 2 of 2 DO PZ -3 -10- 2010178 Ketelhohn Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #:f-01 15� DATE: q61 I, CCV f 4 rticO Contractor ❑ Owner ❑ Archit Pick Address: wakiei cedechons. 185 NlV) IOIS- From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED .3 PERMIT CLERK INITIAL: 3/241.901 rr cH HP& Nto S• craptL r6 ate" Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 Permit No. b 55 Job Name Date MECHANICAL CRITIQUE SHEET Permit No: 10 -1355 Job Name: August 13, 2010 Miami Shores Village Building Departr4nt Building Critique Sheet 10050 N.E.2nd ,�4venue Miami Shores, Florid '33138 Tel: (305) 7 5.2204 Fax: (305) 7 6.8972 Page 1, of 1 1) Plans must be approved by HRS for the septic system. N2) Provide receipt from Miami Dade planning and Zoning for impact fees. 3) Corrections for mechanical must be completed. 4) Provide permit applications for electric and Mechanical if comments require A/C work. 5) Provide energy calculations. 3 copies. Ni 6) Provide wind load design criteria. \7) Provide design wind loads for all openings. "8) Provide product approvals reviewed and signed approved by the designer of record. 9) Provide a detail for the interior of the exterior walls for framinginsulation and drywall. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 Permit No: 10 -1355 Job Name: August 13, 2010 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 75,6.8972 Building Critique Sheet Flans must be approved by HRS for the septic system. Provide receipt from Miami Dade planning and Zoning for impact fees. Corrections for mechanical must be completed. Provide permit applications for electric and Mechanical if comments require NC work. rovide energy calculations. 3 copies. _, rovide wind load design criteria. N1 Provide design wind loads for all openings. Provide product approvals reviewed and signed approved by the designer of record. 9) Provide a detail for the interior of the exterior walls for framinginsulation and drywall. Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 Permit No: 10 -1355 Job Name: August 29, 2010 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet 2nd 1) Provide product approvals reviewed and signed approved by the designer of record. 2) Provide a detail for the interior of the exterior walls for framing insulation and drywall The plans show as existing but it was never permitted and al inspections will be required. Change notes from existing to "existing non - permitted ". Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace wih new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. RC -7 -10 -1355 Issue Date: Not Issued tirtA Expires: Not Issued Folio Number:1121360100090 Owner's Name: GEORGE KETELHOHN Job Address: 185 107 Street Miami Shores, FL 33168- Owner's Phone: Total Square Feet: 230 Total Job Valuation: $ 10,000.00 Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 7/28/2010 : Yes Comments: NO FINAL UNTIL DECLARATRION OF USE FILED AND COPY PROVIDED TO PLANNING DIRECTOR • - ERTIFICATE OF LIABILITY INSURANCE 11200//20011 ) ?RODUCER (305) 512 -5880 x210 FAX: (305) 51.2 -5881 Torres Insurance Agency Ino. ' 6135 NW 167 STREET # B25 Miami Lakes. FL 33015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND .RS NO HOLDER. THISCCERTIFICATE�DOES NOOT E N THE T AMEND, CEXTNUAOR • ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # IiNSUR D Tonna Construction, LLC 6625 Miami Lakes Dr. ' Miami Lakes "FL 33014 INsuRERA:Western World Ins. INSURERI • INSURER • • NSURERD: INSURE , COVERAGES • THE POLICIES REQUIREMENT, THE INSURANCE ' -, , OF INSURANCE LISTED BELOW TERM OR CONDITION OF ANY AFFORDED BY THE POLICIES • TE LIMITS SHOWN MAY HAVE c a HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDRTIONS OF SUCH POLICIES. REDUCED BY PAID CLAIMS INSR • ADD'L y; , TYPE OF INSURANCE POLICY NUMEIRR POLICY FICTIVE •AYE I, � � `. Lug PO EXPIRATION DA'T'E LL,. ■ . �+ - ` aEkeaALUABILITY D COMMERCIAL GENERAL LIABILITY NPP1288941' • • 10/22/2010 10/22/2011 EArHOC 11RHEN E $ 1000,000 RRAIVEserdroccuTigncei ' $ • 100,000 lli CLAIMS MADE X oceu- MEDEXP (Any opaneswl) $ - 5,000 x $3.,000 ax /PD Dad PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2 , 000 , 000 $ 1,000,000 PRODUCTS - COMPOPAGG GEN'L AGGREGATE UMIT APPLIES PER POL IFY -ti • !� AUTOMOBILE IANY III III M LIABILITY AUTO ALL OWNED AUTOS • SCHEDULED AUTOS HIRED AUTOS NON- iW NEDAUTOS ' COMBINED SINGLE :Jam (Eseaadeal) $ BODILY INJURY (Pr person) $ EMILY INJURY (P =Went} r $ PROPERTY DAMAGE (Pr accidenD $ . • . GARAGE • LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT $ OTHElTHAN EA ACC $ AUTO ONLY: AQQ • . EXCESS/UMBRELLA LIABILITY OCCUR 11 CLAIMS MADE ■ DEDUCTIBLE RETENTION • $ - EACH OCCURREICE $ AGGREGATE $ $ . $ - $ __ WORKERS COMPENSATION AND E PLOYERB' LIABILITY • ANY PROPRETORIP.� OI ICERJMEMBER EXCLUDED? If Yes. deselibe under SPEcA! P80V ONShelatt -' 14gUTU I I R- E.L EACH ACCIDENT $ E.L. DISEASE:. EA EMPLOYEE nLQRA.CF -PO C_YII►AIT $ OTHER .• .DESCRIPTION OFOPERATIONSILOCA' TIONSNEHICLESIEXCLUSIONS ADDED BYE' IDORSEMENTISPECIAL.PROVISIONS FERAL CONTRACTOR 14W433 (08/10) BLUR= ADDiTIONAL lb/S TSED• -OW RNERS, LESSEES, OR CONTRACTORS INCLUDED PRIMARY & NON CONTRIBUTORY & WAIVER OS SUBROGATION AS LONG AS THERE XS A WRITTEN CONTRACT OR A &RERMEbiT. • i { CERTIFICATE HOLDER CANCELLATION ACORD 25 (2069/08) INS025 axcatoaa SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ?EPORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OP ANY KIND UPON ME INSURER, ITS AGENTS OR REPRESENTATIVES. C� ACORD CORPORATION 7988 • Pape I of Tonca Construction P:YAN SWAIL Chief Executive Officer CGC1517383 DBE# 13564 CSBE# 13563 6625 Miami Lakes Dr. Miami Lakes, FL 33014 Phone: 305.777.3843 Fax: 305.777.3873 Cell: 305.710.6442 cyan @toncaconstruction.net www.toncaconstruction.net CERTIFICATE OF LIABILITY INSURANCE 1/2 Producer. Lion Insurance Company 2739 U.S. Highway 19 N. Holiday, FL 34691 (727) 938 -5562 This Certificate Is issued as a matter of Information only and confers no rights upon the Certificate Holder. Thte Certificate does not amend, extend or alter the coverage afforded by the policies below. Insurers Affording Coverage IdAIC ensured: South East Personnel Leasing, Inc. 2739 U.S. Highway 19 N. Holiday, FL 34691 Insurer A: Lion Insurance Company 11075 insurer B: Insurer C: Insurer D: insurer E Coverages The pO casainsureneelistedbelowhave-be n issued to the Insured named above for The poky periecfindlosied. Nousesiendinganyreguiremam, termorcondnonoferyconnec torotherdocleanteithrespentrOwhi ills certificate may be issued or may pertain. the insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions of such oracles. Aggregate limas shown may have been reduced by paid dams. INSR LTR ADDL INSRD Type of Insurance Pricy Number Policy Effective Date (MM/DD/YY) Policy Expiration Date (MM/DD YY) Limits GENERAL _ LIABILITY Commercial General Liability Claims Made 0 Occur EachOCcurrence $ Damage to rented premises (EA occurrence) $ Ned Exp $ Personal Adv injury $ General aggregate limit applies per: 3 Poky ❑ Project ❑ LOC General Aggregate $ Products- ComplOpAgg $ AUTOMOBILE .�. ... LIABILITY Any Auto A: Owned Autos Scheduled An Hired Autos Nontmed Autos combined singe Limit (EA Acddent) $ BodMkny (Pa Pereora) $ BolnlY (Pe Accident ) $ Property Damage (Per Accident) $ ....., EXCESS/UMBRELLA LIABILITY Occw ❑ Claims Made Deductible Each OcUmake Aggregate A Workers Compensation and Employers' Liability Any proprietor/paltrier/executive officer/member excluded? If Yes, describe under special provisions below. WC 71949 01/01/2011 01/01/2012 X I WC state- ory Limits I I o'rH TER E.L. Each Accident $1000.000 E.L. Disease- Ea Employee $1.000.000 E.L. Disease - Policy Limits $1.000000 Miler Lion Insurance Com . any is A.M. Best Cam . rated A- (Excellent). AM B # 12616 Descriptions of Operations /LocatlonsiVehicies/Excluskms added by Endorsement/Special Provisions: Client ID: 29.65.461 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. that are leased to the following °Client Company": Tonca Construction, LLC Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. active employee(s) , while working In Florida. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by feodng a request to (727) 937 -2138 or by calling (727) 938 -5562. Project Name: DEERING BAY, 13635 DEER BAY, CORAL. GABLES, FL FAX 954-415 -6554 / ISSUE 01 -21 -11 (TD) Begin Date:7 /5/2010 CERTIFICATE HOLDER CANCELLATION - Should any of the above described policies be ca ce ed before the whence date there:4 tine issuing insurer will endeavor to mall 30 days ration notice to the certificate Holder maned to the heft. but failure to do so shat impose no obligation Or tabihty of any kind upon the insurer. its agents a: representatives. s+f .++7ara.4r.41.+ vc.io -ice Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 163812 Permit Number: EL- 3- 11-494 Scheduled Inspection Date: August 29, 2011 Inspector: Devaney, Michael Owner: KETELHOHN, GEORGE Job Address: 185 NW 107 Street Miami Shores, FL 33168- Project: <NONE> Contractor: MAJOR ELECTRICAL SYSTEMS Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1121360100090 Phone: (786)423 -7909 Building Department Comments ENCLOSING AN EXISTING 230 SF GARAGE INTO AN OFFICE Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 163642. CREATED AS REINSPECTION FOR INSP- 163508. No one home. Need arc fault protection for new circuits including snoke detectors. No plans on job site, (<9<2 // August 26, 2011 For Inspections please call: (305)762 -4949 Page 34 of 41 1 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 185 NW 107 Street Miami Shores, FL 33168- 1121360100090 Block: Lot: GEORGE KETELHOHN Owner Information Address Phone CeII GEORGE KETELHOHN 185 NW 107 Street MIAMI SHORES FL 33168 -4308 Contractor(s) Phone Cell Phone MAJOR ELECTRICAL SYSTEMS (786)423 -7909 Valuation: Total Sq Feet: $ 500.00 230 1 Type of Work: ELECTRICAL GARAGE ENCLOSURE Additional Info: Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Amount $0.60 $2.25 $2.25 $0.20 $150.00 $3.00 $0.80 Total: $159.10 Pay Date Pay Type Invoice # EL -3 -11 -40408 04/15/2011 Check #: 1408 03/22/2011 Credit Card Amt Paid Amt Due $ 109.10 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: I In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy April 15, 2011 Date April 15, 2011 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 INMT5717_Pmr Mt MAR 2 g 2011 Permit No. C2NC---‘0—V. Master Permit No —.1 - 919 Permit Type: Electrical y OWNER: Name (Fee Simple Titleholder): G 9.-G1/4 9.-G1/4 `n O - • `f-- i i Phone #: C7 ) % -1°17-i \`65 N 10 "7 5- , City: IA I Mk \ 51{0a-Es Address: State: F Zip: 3•3 I t Name: Phone #: r-- Email: JOB ADDRESS: City: Folio/Parcel #: f65 Nom' 1 0-1 5°7- - (S Pr M£ Miami Shores County: • -0 ‘O —coot° Is the Building Historically Designated: Yes Miami Dade Zip: 33\ b NO )\ Flood Zone: -Nip- 123 79o1 CONTRACTOR: Company Name: DOA:, Ma Or j 1&-r i all Sy5-1-emS Phone #: 4154 • RLgLP ° 23822 Address: wIf Li O 12_0(AYY) GI 1e) Sre e f- City: F' nI t y w Ood State: nor i ci ct Zip: 33 02-3 Qualifier Name: Dc) rn l 0 /') nr® r- r`i ) Phone #: 7g� ° 1423 • %C%© 9 State Certification or Registration #: I2 13 0111 i 53 Certificate of Competency #: 10 e. ©001 20 Contact Phone#: 18(0 423 • -7 'IQ I Email Address: IA nljOr leel-r J CO I S ys4-erne yghcoe COW) DESIGNER: Architect/Engineer: . Jam , he---CKVM -CC cP&, Z•C 4 Phone #: 0 C5' 412 4-ctc1 Value of Work for this Permit: $ 0 Square/Linear Footage of Work: Z� Type of Work: ❑Address Alteration UNew ORepair/Replace ODemolition Description of Work: tj.) 11,iC, 0 -23O 5F eA t Nrrh cfF10--€ IW 4 K 6 rST1N •` Sf-4, ***************************************Fees**************** *** **** * **+x*:x** ***** Submittal Fee $ C '' . Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 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 properly 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 as reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this2S14._. The foregoing instrument was acknowledged before me this 2( day of .1‘ Itfitlit , 20 1\ , by a _. N 'jt^t N)day of " :efvArt , 20 0 \ , by vnlaa vo (Avt"A who i ersonally kno° to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as . -ntification and who did take an oath. NOTARY PUBLIC: My Commission Exp' is CARMEN L. SANTAMARIA ,g Notary Public - State of Florida My Comm. Expires Jun 12, 2011 g� # Commission # DD 684495 Through National Notary Assn. `/ 7'%/442- Plang Edminer Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) NOTARY PU 1. IJIC: Sign: Print: My Commission Ex NCYS DE LA TORRE JORRIN da Cogv ission #DD838530 My 00(00111B1en Expires Nov,10, 2012 Zoning Clerk To: Page 1 of 1 2011 -03-21 19:43:51 (GMT) efax From: Domingo Cana CERTIFICATE OF LIABILITY INSURANCE ATE (MMIDDIYY) D03/21/11 PRODUCER Amtrust insurance Group 8100 SW 81 Drive, Ste 280 Miami, FL 33143 Phone (305)275 -0810 Fax (305)275-0890 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Reyes Service And Repair Corporation dba Major Electrical Systems 6440 Rodman Street !Hollywood, FL 33023 - INSURER k Granada Insurance Company A INSURER 8: GENERAL LIABILITY n COMIIERCIALGENERAL LIABILITY INSURER C: 09/17/2010 INSURER D: EACH OCCURRENCE INSURER E: PREEMMISES((Eaa� ence) COVERAGES THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OF MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR r. ADD1 ,. ` TYPE OF INSURANCE POLICY NUMB POI. YEFFECTIVE DATE DATYY DATE EXPIRATION DATE +, MID UNITS A • GENERAL LIABILITY n COMIIERCIALGENERAL LIABILITY 0185F111382 09/17/2010 09/17/2011 EACH OCCURRENCE 1,000,000 PREEMMISES((Eaa� ence) 50,000 • • CLAIMS MADE [ OCCUR MED EXP (Any are person) 1,000 PERSONAL BADVINJURY 1,000,000 . • GENERAL AGGREGATE 1,000,000 GENT AGGREGATE LIMIT APPUES PER © POLICY II PROJECT ❑ LOC PRODUCTS - COMP/OP AGG 1,000,000 O AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS COMBINED SINGLE LIAR (Ea accident) BODILY INJURY (Per person) • SCHEDULED AUTOS • HIRED AUTOS BODILY INJURY (Per accident) • NON OWNED AUTOS II PROPERTY DAMAGE (Per fl , ❑ GARAGE LIABU.ITY ❑ ANY AUTO ❑ AUTO ONLY- EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG ❑ EXCESSIwABRELLALIABLITY • OCCUR 111 CLAIMS MADE 1 DEDUCTIBLE EACH OCCURRENCE AGGREGATE II RETENTION S EMPLOYES'LDIBLITY ANY PROPRIETOR OFFICER plwWatery iy SPECIAL AND / PARTNER / EXECUTIVE Y' /MEMBER EXCLUDED? In NR) PROVISIWIS below ORS INI ITS ❑ ERA. E.L. EACH ACCIDENT E.L. DISEASE- EA E11WLOV EE EL DISEASE- POLICY UMIT OTNER DESCRIPTION OF OPERATEIE /LOCATEOIE /vv / EXCI.IspM AIMED BY SEICESEMBIT 1 SPECIAL Operation: Swarming pools, installation, servicing or repair and Electrical Work CERTIFICATE HOLDER CANCELLATION Miami Shores Building Department 10050 NE 2nd Avenue Miami Shores, 9 33138 1Fax: 305- 756 -8972 SHOULD ANY OF DEANNE DESCRIBED MEWS BECANCELLEDBEFORETHE EXPATIATION DATE THEM TIE ISSUED 0ISiEtER NE L ENDEAYCR TO MAIL 30 DAYSWI STTENNOT(fE TO THE CERTIFICATE HOLDER WEED TO Ti&`E T, BUT 'MINE TO 00 SO SHALL INPOSE NO OBLTOATIONORLANILITY OP ANY 8 D1PON THE AID, ITS AGENTS OR REERSENTATIVEIL INUTHOREINI REPRESENTATIVE ACORD 25 (2009/01) AF 011188-2009 ACORD CORPORATION_ AA dgtds reserved. The INZORD KAM and logo are rimed marks of ACORD e_cJ\0ASS- X X X x X X X X X X X X X X X X X MIAMI -DADE COUNTY TAX COLLECTOR 140 W. Flagler Street Miami, Florida 33130 Please keep your receipt for future reference. Thank you and have a nice day. 3/22/2011 1300/222/001MDM 0028 -0001 Last Seq. #:0001 WI LBT #:11 693271 -0 Local Business Tax $37.50 CA $40.00 CHANGE $2.50 H MIAMI -DADE COUNTY TAX COLLECTOR LOCAL BUSINESS TAX SECTION 140 W. Flagler St. - 1st Floor Miami, Florida 33130 TEMPORARY RECEIPT 2010 -2011 MUNICIPAL CONTRACTOR TAX Local Business Tax #:11693271 -0 State /CC #:10E000120 Issued to: MAJOR ELECTRICAL SYSTEMS Type of Business: ELECTRICAL CONTRACTOR RESTRICTED TO MIAMI SHORES THIS RECEIPT IS ISSUED AS EVIDENCE OF PAYMENT FOR YOUR LOCAL BUSINESS TAX OR PERMIT. YOUR OFFICIAL RECEIPT WILL BE MAILED TO YOU WITHIN 10 DAYS FROM THE VALIDATION DATE ON THIS RECEIPT. Payment Received as Certified Above Miami -Dade County Tax Collector A KETELHOHN RESIDENCE. -185 NW 107 St., MIAMI SHORES, FLORIDA., 33168- (STRUCTURAL CALCULATIONS) Alejandro Santamarfa AR91405 10250 SW 56 St., Suite C- -101 Ph: 305.-412 9499 Fax. 305412,98p- \ p10 WIND LOAD ANALYSIS (ASCE 7 -05) Project: KETELHOHN RESIDENCE Building Characteristics h = 12.25 ft Engineer L = 49.42 ft (Short) Printed on: 4/28/10 B= 52.75 ft (Long) h/L = 0.25 (To det. Cp, ASCE 7 -05, Fig 6-6, page 49 Roof Press.) LB= 0.94 (To Bet. Cp, ASCE 7 -05, Fig 6-6, page 49 Wall Press.) Z = 7.35 ft zmfn = 15 ft (Terrain Exposure Constants, ASCE 7 -05 TABLE 6.2, page 78) C = 0.20 ft (Terrain Exposure Constants, ASCE 7 -05 TABLE 6.2, page 78) 1 = 500 ft (Terrain Exposure Constants, ASCE 7 -05 TABLE 6.2, page 78) = 0.20 ft (Terrain Exposure Constants, ASCE 7 -05 TABLE 6.2, page 78) Design Criteria ASCE 7 -05 Category II (ASCE 7 -05, TABLE 1 -1, page 3) Exposure C (ASCE 7 -05, 6.5.6.3) V = 146 mph (ASCE 7 -05, Fig. 6-1) = 1.00 (importance Factor, ASCE 7 -05 TABLE 6.1, page 77) Kz = 0.85 (Velocity Pressure Exposure Coefficient, also Kh, ASCE 7 -05 TABLE 6.3, page 79 based on z) Kd = 1.00 (tMnd Directionality Factor, ASCE 7 -05 TABLE 6.4, page 80, based on structure type) Velocity Pressure qz = 0.00256 Kz Kd V21 [Ibs/ft2] (Eq. 6-13) (NOTE: section 6.5.7 of ASCE 7 -05 does not apply (I.e., Kzt =1.0)) qz = 46.38 PSF Determination of wind pressure (p) (ASCE 7-05, 6.5.12. 2, Main Force Resisting System) p= q *G *Cp- gh(GCpi) [b/{t2) (Eq. 6-15) (ASCE 7 -05, 6.5.12.2.1, Rigid building of all heights) Gust Effect Factor (ASCE 7 -05, 6.5.8, Rigid Structures) Iz = 0.228 (Eq. 6-3) Lz = 427.06 (Eq. 6 -5) Q = 0.92 (Eq. 6-4) Therefore: G = 0.88 (ASCE 7 -05, 6.5.8.1, (Eq.6 -4)) And, Gcpi+ = Gcpi- = Walls WINDWARD Cp = p+ = p_ = LEEWARD Cp = p+ = p. = From next page: 0.18 (Internal Pressure Coefficient, FIGURE 6.5, page 47) Enter 0 for open bldge. 0.55 for partially enclosed bldgs. or0.18 for enclosed base. -0.18 (internal Pressure Coetiicient, FIGURE 6.5, page 47) (L/B) = 0.94 0.8 (Fig. 6 -6, page 51) 24.33 psf 41.03 psf -0.5 (Fig. 6-6, page 51) -28.77 psf -12.08 psf Net Uplift -35.11 psf (Interior) -59.44 psf (Overhang) SIDE Cp = p+ = p_ = -0.7 (Fig. 6-6, page 51) -36.94 psf -20.25 psf AS COMPONENTS & CLADDING (max.) P =F x qz with A= 48.00 ft2 F( -) zone 5 = -1.339 P= -62.13 psf WIND LOAD ANALYSIS (ASCE 7 -05) Determination of wind pressure (continuation) Roof Normal to Ridge WINDWARD Cp = p+ = P- = LEEWARD Cp = p+ = Parallel to Ridge WINDWARD Cp = P+= P- = LEEWARD Cp = p+ _ p.= At overhangs Overhangs Cp = p= h/L = 0 -0.4 (Fig. 6 -6, page 51) -24.69 psf -7.99 psf -0.6 (Fig. 6-6, page 51) -32.86 psf -16.16 psf -0.9 (Fig. 6-6, page 51) -45.11 psf -28.42 psf -0.9 (Fig. 6-6, page 51) -45.11 psf -28.42 psf (if there are no overhangs, ignore this section) -0.8 -0.9 -69.44 psf Net Uplift -35.11 psf (Interior) -59.44 psf (Overhang) 0.25 18.4 ° Project: KETELHOHN RESIDENCE 0 Engineer: 0 Printed on: 4!28/10 Components & Cladding From wind analysis: q: Determine a: a = 4.942 ft or but not less that 1.9768 ft or 4.9 ft Use a = Windows and Doors Pressure WIND LOAD ANALYSIS (ASCE 7 -05) 46.38 PSF 4.9 ft (whichever is smaller) 3ft Project: KETELHOHN RESIDENCE 0 Engineer: 0 4.9 contras 3 controls Special cases for negative pressure (zone 4 & zone 5 combined) WINDOW/ DOOR ID TOT. AREA O PRESSURE (psf) PARTIAL DIMENSIONS a (ft) h (ft) PART. AREA O AVE. P @@Q} (psf) Printed on: 4/28/90 �..— ��IiuAjAlA4lAlAIAIl iAIl �I IAIl IA1AIAIAIAIAIAIAIAIAIl �hI IAIAIl IAIl Il Il �l tAIAIAIA�AIA�AIAIAIAIAIA1AIAIAIAiAIAIAIAIAIAIAIAIAIAIAtAIAIAIA�A KjljllAl AIAIA111:IAI�A�A¢IIIA111: A�A� 11:1AIAIA� 1:1; AIItol1111:!!i!1 "14 141114 "liAfAIAIA�A!A�A�A� iii141"1A�A�A�AIAIlIIIAIA �jM AjAIAIAIIIIIIIliAIAIIIAILAl IIIl IAIAIl �AIAIAI ItAIAIAIAIAIAIAIAtAIAIAtAIAIAIMIAI111114 All�AIAI AIAIAI AI AI AIA010114TAIATAIAI!-A;14740101tAIAIAIAiA _ ; . iArAiArAiAiAiAiAlAf�l�l> 1I�tAlAIArAIAjAIA_ Il IA�AIAIAiA_ I�s AiilAt41R�A_ IIIAIAIAIAI�IIIAIAIAIAiIIAIAIiIAIIIA�AIAIAIAIIIAtAIAI�I�IAII��l�j��1�1��w�II�I�I�IA llil111614ilTativAi! AiAiAiAAiAiAILATAiIiAiP: -t- ^PPAIAfAltli0 01440410 1,11001 r ,-- HIM MI NUM REAR (NORTH) ELEVATION ■■1 ■■■ SCALE: 1/4" = V-0" ■■■ ■■I ■EN ■■L 1111 1 1•U .tu4 0E4 4: .¢.73 Ifs*= EEEEiuu•EEEEi•aEE •■EEE- IZ -EMME EE!EEEEEEEEEEEEEEEEEEE "EMESEEM MEEMEMMEEE' ommummagamms EEEEEEEEEE■EEEE■EEEEEE mod- M'2EE MEMEMOVAIREMEMMEMEMESEMEIV - EEEEEEEEEEEEEEEEEEEEEEEEEEEEEE EEEEEEEEEEEEE■EEEEEEEEEEE■EEEE EEEEEEEEEEEEEEEEEEEEEEEEEEEEEE E■EMMOEMEEMEEEEEEEEEEEEEE®CEME EEEEEEEEEEEEEEEEEEEEEEEEEEEEEE MMOMMMEMMEEMMEMMEMMEMMEMMEMEM INIMMEMMEMMOMEMMEMMOMMEMMIN MEMMEMINIMMEMEMEMMEMMEMMMEMI EEEEEEEEEEEEEEEEEEEEEE,am-m EE■EEEEEEEEEEEEEEEEEEEEEEEEEEE EE■EEEEEEEE EEE■EEEEEEEEEu•EE EMMENNENEMMEM E ■EEEEEEEEEEEEENEEEEEEEEE EEE ■■EEEEEEEEE ■EEE®EEEEEEEE EEE EEEEEEEEEEEEEE • MUMMER EEE MINOMMIMMEMINIMMEMMEMMEMMOMMEM MEMEMEMMINIMEMMEMEMMEMMEAMMEMM MEMMEMMEMMEMMINIMMMEMMEMEMEM MINIMMMEMEMMEMMEMINIMMEMINIM EE EEEEEEE EEEE EEEEEEEEEwE • ■ IMIMMEMMEMMININIMMIIIMINIMMI EEE EEERIEEE EEEEEEEEEEEEE UREEE EEEEIEEEENEEEEEEEEEEEE MASONRY Prjct: KETELHOHN RESIDENCE Topic: WALL AT OPENING Page: DESIGN SYSTEM FOR CONCRETE AND CLAY MASONRY The National Concrete Masonry Association Brick Industry Association Version 4.1 (Release 4.1.2) Western States Clay Product Association International Code Council Name: Date: Chkd: Deaign of a Reinforced Masonry Wall With Out -Of-Plane Loads Using the 2005 MS;JC ASIDI Code -Material- and - Construction Data in CMU, Partial grout,: running bond WaIJ Weight = 41.03 psf Type S Masonry carmen, [Air- ertraired PCL Mortar, , Coarse ;Grout MO Density =1115 ,pef -fm_ =1500, psi -(Specif_ced).. - - - -- ..__.: -_. Em 900Prn = 1350000 psi -Wail -Design -Details Thioknea$= 7,025.0,).....; Height 4117 in.' (Simply Supported Wall, Effective height = H) x= 3.813in: #5 Bars; Fy = 60000.0 ReiuforcmeatS .pacing.= .48.in.On-Center Wall Design Section Properties ao 132& in4 So = 348.4 in3 Ro=2.858in Wall- Support: - Simply-Supported Wall - Specified Load Components ..:Load^...., .. P..(lb)..._. *..e.(In)- ..._.1N1(psf) .... W2 (Pal) , L (ti /ft) - -hi-UN n2 Oh) Dead 0 0 0 i} 0 -0 ; ; 117 Live 0 o 0 0 0 , 0 ; 117 Soil; Os 0 0 0; 0 0 117 : Fluid 0 ' 0 0 0: 0 0 117 Wind -- -: -- 0 0 54 54:8.:...... _ 0 ... Seismic 0 0 :0 0: 0 0 0 • Roof 0: lair) __...r ... 0..... _:..........0.. :Snow 0 0 Controlling' Load Cases Section Forces with Controlling: Flexure and Axial Load -D + L + Lr + S + R + W X/H = 0:52C-Y from bottornbf wall V.= - 10.691b/ft '0- • MASONRY Prjct: KETELHOHN RESIDENCE Topic: WALL AT OPENING Page: DESIGN SYSTEM FOR CONCRETE AND CLAY MASONRY The National Concrete Masonry Association Brick Industry Association Version 4.1 (Release 4.1.2) Westem States Clay Product Association international Code Council Name: Date: Chkd: M_L = 7801.63 Iii -inJft iP =192Ib/ftaten =0in ++ Pen = 7801.631b -in/ft - Moment Capacity = 9360: -off lb- In/ft- {-780:005 lb- ft/ft) at -this axial Shear Capacity =1049.59 1b/ft .: -... ;... .._...... _ ....... he;wali•Ts adequate Tor`thesecrit,cal section forces. Section Forceswith Controlling; ;x/H ;= 0.000, from bottom of :wall V -= 267}1 lft _ ;ML fl.(13-in/ft PP.= 400;10 at en = 0 in 'MT LM, + Pen =OJb -in/ft Moment Capacity = :100,x59.5 lb -in/ft at this axial load Shear Capacity =1049:59 lb/ft load- Shearing_Force -D - L tLr+ S R;+ W The: wall is adequate for these critical section forbes These Were -found to be load-cases°that`c ontrolied -the design. The flekurelr shear;and axial forces shown are those occurring at the critical section for the case controlled by flexure and at the critical section for the case controlled, by shear. The- following design calculations - are - for- the - section - with - controlling :bending moment Section Design; Forces Used V- - t0 :6913 /ff (C-Orpputed from Loads) -- `ML 780 -1 :63 Ib- in:/ft (Computed from Loads) P =;192; Ib/ft at e = 0 in (Computed from Loads) Computed Design Values - dote : 1/8- stress increase -was -used Effective Width = 48 in. Web Width = 8.313 in. on effective width Allowable Shearing Force =1050 lb /ft The' wall is adaquateJn_ hear-... • Required As = 0.2525 in2 each reinforced cell (0:.06312 in2/ft) OK `d- = 3.813 in: = 21.4.8. MASONRY Prjct: KETELHOHN RESIDENCE Topic: WALL AT OPENING Page: DESIGN SYSTEM FOR CONCRETE AND CLAY MASONRY The National Concrete Masonry Association Brick Industry Association Version 4.1 (Release 4.1.2) Western States Clay Product Association International Code Council Name: Date: Chkd: _ j(balartc. d = 0.3092 Jbalancd = :0.8969 ; it =1).2244 =-0-.S252 :'_max (Cmp oression '7 ) = .435e +004lbs (1.859e *004 lbaifl) OK Pmax (Tension); = 9920 ilbs (248:0 Ibslft) OK The; wall has adequate capacity.; Development and Splice Lengths for Longitudinal I einfOrcemerat #C =- 3.11250 in. -Required Development Length: td-== -25.17 in:- - -- - Required Lap Splice Length 25.17 in Some codes may require epoxy - coated reinforcement to have longer development and splice lengths. FORM 1100A -08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: Ketelhohn Residence Builder Name: Street: 185 NW 107 Street Permit Office: City, State, Zip: Miami Shores , FL , 33168- Permit Number: Owner: Georg Ketelhohn Jurisdiction: Design Location: FL, Miami 1. New construction or existing Addition 2. Single family or multiple family Single- family Number of units, if multiple family 1 4. Number of Bedrooms 2 5. Is this a worst case? No 6. Conditioned floor area (ft2) 205 7. Windows Description Area a. U- Factor: SgI, U =0.70 15.00 ft2 SHGC: SHGC =0.55 b. U- Factor. N/A ft2 SHGC: c. U- Factor N/A ft2 SHGC: d. U- Factor: N/A ft2 SHGC: e. U- Factor: N/A ft2 SHGC: 8. Floor Types Insulation Area a. Slab -On -Grade Edge Insulation R =1.0 205.00 ft2 b. N/A R= ft2 c. N/A R= ft2 9. Wall Types Insulation Area a. Concrete Block - Int Insul, Exterior R =5.0 376.00 ft2 b. WA R= ft2 c. N/A R= ft2 d. N/A R= ft2 10. Ceiling Types Insulation Area a. Under Attic (Vented) R =19.0 205.00 ft2 b. N/A R= ft2 c. N/A R= ft2 11. Ducts - a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 1 ft2 12. Cooling systems - Supplemental for addition a. PTAC and Room Unit Cap: 10.0 kBtu/hr EER: 10.3 13. Heating systems- Supplemental for addition a. Electric Strip Heat Cap: 11.2 kBtu/hr COP: 1 14. Hot water systems - None (Baseline assumed) a. Electric Cap: N/A EF: 0.92 b. Conservationfeatures None 15. Credits CF, Pstat Glass /Floor Area: 0.073 Total As -Built Modified Loads: 7.58 PASS Total Baseline Loads: 8.90 I hereby certify that the plans and specifications covered by this calculation are in compliance with the Flori• s nergy Code. — �� Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance with Section 553.908 Florida Statutes. BUILDING OFFICIAL: AOF y " 8 PREPARED BY: DATE: 1� (P g`.°* I hereby certify that this building, as designed, is in mpliance with the Florida Energy Code. ,� to OWNER/AGENT: IV 1$ i ,AS DATE: �'Jj DATE: -..-lj - Compliance requires certification by the air handler unit manufacturer that the air handler enclosure qualifies as certified factory- sealed in accordance with N1110.A.3. 9/21/2010 9:25 AM EneravGauae® USA - FlaRes2008 Paae 1 of 5 PROJECT Title: Ketelhohn Residence Bedrooms: 2 Adress Type: Street Address Building Type: FLAsBuilt Conditioned Area: 205 Lot # Owner: Georg Ketelhohn Total Stories: 1 SubDivision: # of Units: 1 Worst Case: No PlatBook: Builder Name: Rotate Angle: 0 Street: 185 NW 107 Street Permit Office: Cross Ventilation: County: Miami -Dade Jurisdiction: Whole House Fan: City, State, Zip: Miami Shores , Family Type: Single - family FL , 33168 - New/Existing: Addition Comment: CLIMATE / IECC Design Temp Int Design Temp Heating Design Daily Temp V Design Location TMY Site Zone 97.5 % 2.5 % Winter Summer Degree Days Moisture Range FL, Miami FL_MIAMI_INTL AP 1 51 90 75 70 149.5 56 Low FLOORS / V # Floor Type Perimeter R -Value Area Tile Wood Carpet 1 Slab -On -Grade Edge lnsulatio 60 ft 1 205 ft2 0 0 1 ROOF / Roof Gable Roof Solar Deck # Type Materials Area Area Color Absor. Tested Insul. Pitch 1 Hip Barrel tile 222 ft2 0 ft2 Medium 0.96 No 19 22.6 deg ATTIC # Type Ventilation Vent Ratio (1 in) Area RBS IRCC 1 Full attic Vented 300 205 ft2 N N CEILING / V # Ceiling Type R -Value Area Framing Frac Truss Type 1 Under Attic (Vented) 19 205 ft2 0.11 Wood WALLS / Cavity Sheathing Framing Solar V # Omt Adjacent To Wall Type R -Value Area R -Value Fraction Absor. 1 N Exterior Concrete Block - Int Insul 5 108 ftZ 0 0.75 2 E Exterior Concrete Block - Int Insul 5 140 ft2 0 0.75 3 W Exterior Concrete Block - Int Insul 5 128 ft2 0 0.75 WINDOWS Orientation shown is the entered. asBuilt orientation. / V # Omt Frame Panes Overhang NFRC U- Factor SHGC Storms Area Depth Separation Int Shade Screening 1 N Metal Single (Tinted) Yes 0.7 0.55 N 12 ft2 2 ft 0 in 2 ft 0 in HERS 2006 2 W Metal Single (Tinted) Yes 0.7 0.55 N 3 ft2 2 ft 0 in 2 ft 0 in HERS 2006 None None INFILTRATION & VENTING / V Method SLA — Forced Ventilation — Run Time CFM 50 ACH 50 ELA EgLA Supply CFM Exhaust CFM Fraction Fan Watts Default 0.00057 306 11.21 16.8 31.6 0 cfm 0 cfm 0 0 COOLING SYSTEM / �/ # System Type Subtype Efficiency Capacity Air Flow SHR Ducts 1 PTAC and Room Unit Through the Wall EER: 10.3 10 kBtu/hr 300 cfm 0.75 Ductless HEATING SYSTEM / �/ # System Type Subtype Efficiency Capacity Ducts 1 Electric Strip Heat None COP: 1 11.2 kBtu/hr Ductless HOT WATER SYSTEM / �/ # System Type EF Cap Use SetPnt Conservation 1 Electric 0.92 40 gal 50 gal 120 deg None SOLAR HOT WATER SYSTEM V FSEC Cert # Company Name Collector Storage System Model # Collector Model # Area Volume FEF None None ft2 DUCTS V/ # — Supply— Location R -Value Area — Retum — Air Percent Location Area Leakage Type Handler CFM 25 Leakage QN RLF 1 Attic 6 1 ft2 Attic 1 ft2 Default Leakage Interior (Default) (Default) % . TEMPERATURES Programable Thermostat: None Ceiling Fans: Venting X� Jan X Feb X� Mar X Apr C� May X Jun X Jul X� Aug X� Sep X� Oct X� Nov X Dec Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 Cooling (WD) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Cooling (WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Heating (WD) AM 68 68 68 68 68 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 68 68 Heating (WEH) AM 68 68 -u .. .. 68 .. 68 .. 68 68 .. 68 .. 68 .. 68 .. 68 .. 68 .. 68 .. FORM 1100A -08 Code Compliance Cheklist Residential Whole Building Performance Method A - Details ADDRESS: 185 NW 107 Street Miami Shores, FL, 33168- PERMIT #: INFILTRATION REDUCTION COMPLIANCE CHECKLIST OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences. COMPONENTS SECTION REQUIREMENTS CHECK -1 -10 1, 1•0, I•• ■ 1. l/. u 11• 1• • i l loo,--. 111 • 1 ••• . -. Exterior & Adjacent Walls N 1106.AB.1.2.1 Caulk, gasket, weatherstrip or seal between: windows /doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at comers; utility penetrations; between wall panels & top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to, the foundation to the top IJS Floors N1106.AB.1.2.2 _ply Penetrations /openings > 1/8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier k installed that is sealerLtnihe perimeter, penetrations and seams. ` �` av Ceilings NI 106.AB.1.2.3 Between walls & ceilings; penetrations of ceiling plane to top floor; around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seams Recessed Lighting Fixtures N1106.AB.1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non -IC rated, installed inside a sealed box with 1/2" clearance & 3" from insulation; or Type IC with < 2.0 cfm from conditioned space, tested u — •► ••. - • 1• _ _ • -i1- •1 • -1u- - • 1.• r. u • -11, - -I i•• i'iN Additional Infiltration reqts N1106.AB.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences. COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters N1112.AB.3 Comply with efficiency requirements in Table N112.ABC.3. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided External or built -in heat trap required Swimming Pools & Spas N1112.AB.2.3 Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78 %. Heat pump pool heaters shall have a minimum COP of 4.0. IJS Shower heads NI 112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSLG ` �` av Air Distribution Systems N1110.AB All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed in accordance with the criteria of Section N1110.AB. Mints in unconditioned attics. R-6 min insulation HVAC Controls NI 107.AB.2 Separate readily accessible manual or automatic thermostat for each system Insulation N1104.AB.1 N1102.B.1.1 Ceilings -Min. R -19. Common walls -frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. System Sizing Calculations - Summer Residential Load - Whole House Component Details Georg Ketelhohn Project Title: 185 NW 107 Street Ketelhohn Residence Miami Shores, FL 33168- Reference City: Miami, FL Temperature Difference: 15.0F(MJ8 99 %) 9/21/2010 Humidity difference: 58gr. Window Type* Panes SHGC U InSh IS Omt Overhang Len Hgt Window Area(sqft) Gross Shaded Unshaded 12.0 0.0 12.0 3.0 0.0 3.0 15 (soft) HTM Shaded Unshaded 16 16 16 47 Load 196 Btuh 141 Btuh 91 Btuh 428 Btuh 1 2 1 NFRC 0.55, 0.70 B -L No N 1 NFRC 0.55, 0.70 B -L No W Excursion Window Total 2.0ft 2.0ft 2.0ft 2.0ft Walls 1 2 3 Type U -Value R -Value Area(sgft) Cav /Sheath Concrete BIk,Hollow - Ext 0.13 5.0/0.0 96.0 Concrete BIk,Hollow - Ext 0.13 5.0/0.0 140.0 Concrete BIk,Hollow- Ext 0.13 5.0/0.0 125.0 Wall Total 361 (soft) HTM 2.0 2.0 2.0 Load 189 Btuh 276 Btuh 247 Btuh 712 Btuh Ceilings 1 Type /Color /Surface U-Value R -Value Area(soft) Vented Attic/Light/Tile 0.027 19.0/19.0 205.0 Ceiling Total 205 (soft) HTM 0.77 Load 159 Btuh 159 Btuh Floors 1 Type R -Value Size Slab On Grade 1.0 205 (ft- perimeter) Floor Total 205.0 (sgft) HTM 0.0 Load 0 Btuh 0 Btuh Envelope Subtotal: 1299 Btuh Infiltration Type ACH Volume(cuft) Wall Ratio CFM= SensibleNatural 0 40 1640 361 13.7 Load 180 Btuh Internal gain Occupants 3 Btuh /occupant Appliance X 230 + 6000 Load 6690 Btuh Sensible Envelope Load: 8170 Btuh Duct load NA, Supply(R0.0- None), Retum(R0.0 -None) (DGM of 0.000) 0 Btuh Sensible Load All Zones 8170 Btuh EnergyGauge® / USRFZB v2.8 Page 1 'Georg Ketelhohn 185 NW 107 Street Miami Shores, FL 33168- Manual J Summer Calculations Residential Load - Component Details (continued) Project Title: Climate:FL_MIAMI_INTL AP Ketelhohn Residence 9/21/2010 Whole House Totals for Cooling Sensible Envelope Load All Zones Sensible Duct Load Total Sensible Zone Loads Sensible ventilation Blower Total sensible gain Latent infiltration gain (for 58 gr. humidity difference) Latent ventilation gain Latent duct gain Latent occupant gain (1 people @ 200 Btuh per person) Latent other gain Latent total gain 7710 Btuh 0 Btuh 7710 Btuh 0 Btuh 0 Btuh 7710 Btuh 431 Btuh 0 Btuh 0 Btuh 200 Btuh 1500 Btuh 2131 Btuh 1. PTAC and Room Unit LG #LT1030CR 10000 Btuh *Key: Window types (Panes - Number and type of panes of glass) (SHGC - Shading coefficient of glass as SHGC numerical value) (U - Window U- Factor) (InSh - Interior shading device: none(No), Blinds(B), Draperies(D) or Roller Shades(R)) - For Blinds: Assume medium color, half closed For Draperies: Assume medium weave, half closed For Roller shades: Assume translucent, half closed (IS - Insect screen: none(N), Full(F) or Half( %)) (Omt - compass orientation) Version 8 EnergyGauge® / USRFZB v2.8 Page 2 FORM 1100A -08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: Ketelhohn Residence Builder Name: - Street: 185 NW 107 Street Permit Office: City, State, Zip: Miami Shores , FL , 33168- Permit Number: Owner: Georg Ketelhohn Jurisdiction: Design Location: FL, Miami 1. New construction or existing Addition 2. Single family or multiple family Single - family 3. Number of units, if multiple family 1 4. Number of Bedrooms 2 5. Is this a worst case? No 6. Conditioned floor area (ft2) 205 7. Windows Description Area a. U- Factor: Sgl, U =0.70 15.00 ft2 SHGC: SHGC =0.55 b. U- Factor: N/A ft2 SHGC: c. U- Factor N/A ft2 SHGC: d. U- Factor: N/A ft2 SHGC: e. U- Factor. N/A ft2 SHGC: 8. Floor T ypes Insulation Area a. Slab -On -Grade Edge Insulation R =1.0 205.00 ft2 b. N/A R= ft2 c. N/A R= ft2 9. Wall Types Insulation Area a. Concrete Block - Int Insul, Exterior R =5.0 376.00 ft2 b. N/A R= ft2 c. N/A R= ft2 d. N/A R= ft2 10. Ceiling Types Insulation Area a. Under Attic (Vented) R =19.0 205.00 ft2 b. N/A R= ft2 c. N/A R= ft2 11. Ducts - a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 1 ft2 12. Cooling systems - Supplemental for addition a. PTAC and Room Unit Cap: 10.0 kBtu/hr EER: 10.3 13. Heating systems- Supplemental for addition a. Electric Strip Heat Cap: 11.2 kBtu/hr COP: 1 14. Hot water systems - None (Baseline assumed) a. Electric Cap: N/A EF: 0.92 b. Conservationfeatures None 15. Credits CF, Pstat Glass /Floor Area: 0.073 Total As -Built Modified Loads: 7.58 PASS Total Baseline Loads: 8.90 I hereby certify that the plans and specifications covered by this calculation are in compliance with the Fla a Ene Code. ._ -° - -- PREPARED BY: �' e r' Review of the plans and =` 8 specifications covered by this ;�A`,= calculation indicates compliance � �,. _ , 4. with the Florida Energy Code. Before construction is completed p � � ""� this building will be inspected for �, compliance with Section 553.908 Florida Statutes. BUILDING OFFICIAL: �► _' DATE: - , It lk t' I hereby certify that this building, as designed .'s in mpliance with the Florida Energy Code. r' DATE: 10 k DATE: ,�-/'/ - Compliance requires certification by the air handler unit manufacturerthat the air handler enclosure qualifies as certified factory- sealed in accordance with N1110.A.3. 9/21/2010 9:25 AM EneravGauae® USA - FlaRes2008 Paae 1 of 5 PROJECT Title: Ketelhohn Residence Bedrooms: 2 Adress Type: Street Address Building Type: FLAsBuilt Conditioned Area: 205 Lot # Owner: Georg Ketelhohn Total Stories: 1 SubDivision: # of Units: 1 Worst Case: No PlatBook: Builder Name: Rotate Angle: 0 Street: 185 NW 107 Street . Permit Office: Cross Ventilation: County: Miami -Dade Jurisdiction: Whole House Fan: City, State, Zip: Miami Shores , Family Type: Single - family FL , 33168- New/Existing: Addition Comment: CLIMATE / IECC Design Temp Int Design Temp Heating Design Daily Temp �/ Design Location TMY Site Zone 97.5 % 2.5 % Winter Summer Degree Days Moisture Range FL, Miami FL MIAMI_INTL AP 1 51 90 75 70 149.5 56 Low FLOORS / �/ # Floor Type Perimeter R -Value Area Tile Wood Carpet 1 Slab -On -Grade Edge Insulatio 60 ft 1 205 ft2 0 0 1 ROOF / Roof Gable Roof Solar Deck �/ # Type Materials Area Area Color Absor. Tested Insul. Pitch 1 Hip Barrel tile 222 ft2 0 ft2 Medium 0.96 No 19 22.6 deg ATTIC # Type Ventilation Vent Ratio (1 in) Area RBS IRCC 1 Full attic Vented 300 205 ft2 N N CEILING # Ceiling Type R -Value Area Framing Frac Truss Type 1 Under Attic (Vented) 19 205 ft2 0.11 Wood WALLS / Cavity R -Value Sheathing Framing Solar V # Omt Adjacent To Wall Type R -Value Area Fraction Absor. 1 N Exterior Concrete Block - Int Insul 5 108 ft2 0 0.75 2 E Exterior Concrete Block - Int Insul 5 140 ft2 0 0.75 3 W Exterior Concrete Block - Int Insul 5 128 ft2 0 0.75 WINDOWS Orientation shown is the entered. asBuilt orientation. / V # Ornt Frame Panes Overhang NFRC U- Factor SHGC Storms Area Depth Separation Int Shade Screening 1 N Metal Single (Tinted) Yes 0.7 0.55 N 12 ft2 . 2 ft 0 in 2 ft 0 in HERS 2006 2 W Metal Single (Tinted) Yes 0.7 0.55 N 3 ft2 2 ft 0 in 2 ft 0 in HERS 2006 None None INFILTRATION & VENTING • / V Method SLA — Forced Ventilation — Run Time CFM 50 ACH 50 ELA EgLA Supply CFM Exhaust CFM Fraction Fan Watts Default 0.00057 306 11.21 16.8 31.6 0 cfm 0 cfm 0 0 COOLING SYSTEM # stem T •e Sub •e Efficien Ca•ac Air Flow SHR Ducts 1 PTAC and Room Unit Through the Wall EER: 10.3 10 kBtu/hr 300 cfm 0.75 Ductless HEATING SYSTEM # S stem T • e Sub • e Efficien Ca • aci Ducts 1 Electric Strip Heat None COP: 1 11.2 kBtu/hr Ductless HOT WATER SYSTEM / V/ # System Type EF Cap Use SetPnt Conservation 1 Electric 0.92 40 gal 50 gal 120 deg None SOLAR HOT WATER SYSTEM V FSEC Cert # Company Name Collector Storage System Model # Collector Model # Area Volume FEF None None ft2 DUCTS / V — Supply — # Location R -Value Area — Retum — Air Percent Location Area Leakage Type Handler CFM 25 Leakage QN RLF 1 Attic 6 1 ft2 Attic 1 ft2 Default Leakage Interior (Default) (Default) % TEMPERATURES Programable Thermostat: None Ceiling Fans: Aug Venting X� Jan 'X Feb Feb 'X Mar [XX� Apr [XX� May X Jun X Jul X� Aug C� Sep X� Oct X� Nov X' Dec Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 Cooling (WD) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Cooling (WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Heating (WD) AM 68 68 68 68 68 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 68 68 Heating (WEH) AM 68 68 68 68 68 68 68 68 68 68 68 68 FORM 1100A -08 Code Compliance Cheklist Residential Whole Building Performance Method A - Details ADDRESS: 185 NW 107 Street Miami Shores, FL, 33168- PERMIT #: INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH P ACTICE CH�EC /,JK .• -I• i Ise, B•• ■ •• 1 11- 11 11 *1111 1 i IAI•• ■ - -. 111 • 1 ••• _ - Exterior & Adjacent Walls NI 106.AB.1.2.1 Caulk, gasket, weatherstrip or seal between: windows /doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at comers; utility penetrations; between wall panels & top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to, the foundation to the top plate �F'{ Floors N1106.AB.1.2.2 Penetrations /openings > 1/8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier isinstalled that is sealed to the perimeter, penetrations and seams. Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG Ceilings N 1106.AB.1.2.3 Between walls & ceilings; penetrations of ceiling plane to top floor; around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seams All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed in accordance with the criteria of Section NI 110.AB. Ducts in unconditioned attics. R-6 min insulation Recessed Lighting Fixtures N1106.AB.1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non -IC rated, installed inside a sealed box with 1/2" clearance & 3" from insulation; or Type IC with < 2.0 cfm from conditioned space, tested Separate readily accessible manual or automatic thermostat for each system Multi-story Houses N1106 AB 1 2 5 Air barrier on perimeter of floor cavity between floors. n1 Iv) k Additional Infiltration reqts NI106.AB.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters N1112.AB.3 Comply with efficiency requirements in Table N112.ABC.3. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided External or built -in heat trap required / V Swimming Pools & Spas NI 112.AB.2.3 Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78 %. Heat pump pool heaters shall have a minimum COP of 4.0. N Shower heads NI 112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG Air Distribution Systems N1110.AB All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed in accordance with the criteria of Section NI 110.AB. Ducts in unconditioned attics. R-6 min insulation HVAC Controls N 1107.AB.2 Separate readily accessible manual or automatic thermostat for each system Insulation N1104.AB.1 NI102.B.1.1 Ceilings -Min. R -19. Common walls -frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. System Sizing Calculations - Summer Residential Load - Whole House Component Details Georg Ketelhohn Project Title: 185 NW 107 Street Ketelhohn Residence Miami Shores, FL 33168- Reference City: Miami, FL Temperature Difference: 15.0F(MJ8 99 %) 9/21/2010 Humidity difference: 58gr. Window Type* Panes SHGC U InSh I Ornt Overhang L n Hgt Window Area(sqft) Gross Shaded Unshaded HTM Shaded Unshaded Load 1 2 1 NFRC 0.55, 0.70 B-L No N 1 NFRC 0.55, 0.70 B -L No W Excursion Window Total 2.0ft 2.0ft 2.Oft 2.Oft 12.0 0.0 12.0 3.0 0.0 3.0 15 (sett) 16 16 16 47 196 Btuh 141 Btuh 91 Btuh 428 Btuh Walls 1 2 3 Type U-Value R -Value Area(sqft) Cav /Sheath Concrete BIk,Hollow - Ext 0.13 5.0/0.0 96.0 Concrete BIk,Hollow - Ext 0.13 5.0/0.0 140.0 Concrete BIk,Hollow- Ext 0.13 5.0/0.0 125.0 Wall Total 361 (sett) HTM 2.0 2.0 2.0 Load 189 Btuh 276 Btuh 247 Btuh 712 Btuh Ceilings 1 Type /Color /Surface U -Value R -Value Area(sqft) Vented Attic/Light/Tile 0.027 19.0/19.0 205.0 Ceilin• Total 205 s•ft HTM 0.77 Load 159 Btuh 159 Btuh Floors 1 Type R -Value Slab On Grade 1.0 Floor Total Size 205 (ft- perimeter) 205 0 (sgft) HTM 0.0 Load 0 Btuh 0 Btuh Envelope Subtotal: 1299 Btuh Infiltration Type ACH Volume(cuft) Wall Ratio CFM= SensibleNatural 0.40 1640 361 13.7 Load 180 Btuh Internal gain Occupants Btuh /occupant Appliance 3 X 230 + 6000 Load 6690 Btuh Sensible Envelope Load: 8170 Btuh Duct Toad NA, Supply(R0.0- None), Retum(R0.0 -None) (DGM of 0.000) 0 Btuh Sensible Load All Zones 8170 Btuh EnergyGauge® / USRFZB v2.8 Page 1 Manual J Summer Calculations Residential Load - Component Details (continued) Georg Ketelhohn Project Title: Climate:FL_MIAMI_INTL AP 185 NW 107 Street Ketelhohn Residence Miami Shores, FL 33168- 9/21/2010 Vrrrs Whole House Totals for Cooling Sensible Envelope Load All Zones Sensible Duct Load Total Sensible Zone Loads Sensible ventilation Blower Total sensible gain Latent infiltration gain (for 58 gr. humidity difference) Latent ventilation gain Latent duct gain Latent occupant gain (1 people @ 200 Btuh per person) Latent other gain Latent total gain TOTAL GAIN 7710 Btuh 0 Btuh 7710 Btuh 0 Btuh 0 Btuh 7710 Btuh 431 Btuh 0 Btuh 0 Btuh 200 Btuh 1500 Btuh 2131 Btuh 9841 Btuh ORREEWM 1. PTAC and Room Unit LG #LT1030CR 10000 Btuh *Key: Window types (Panes - Number and type of panes of glass) (SHGC - Shading coefficient of glass as SHGC numerical value) (U - Window U- Factor) (InSh - Interior shading device: none(No), Blinds(B), Draperies(D) or Roller Shades(R)) - For Blinds: Assume medium color, half closed For Draperies: Assume medium weave, half closed For Roller shades: Assume translucent, half closed (IS - Insect screen: none(N), Full(F) or Half(%)) (Omt - compass orientation) EnergyGauge® / USRFZB v2.8 Version 8 Page 2 NOTE: ALL SHEET MUST BE REVIEWED MIAMI -DADE COUNTY BUILDING DEPARTMENT 0 p Herbert S. Saffir Permitting and Inspection Center 1 0 11805 SW 26th Street (Coral Way) • Miami, Florida 33175 -2474 • (786) 315 -2100 APPLICATION FOR MUNICIPAL PERMIT APPLICANTS THAT REQUIRE PLAN REVIEW FROM MIAMI -DADE FIRE RESCUE AND /OR DEPARMENT OF ENVIRONMENTAL RESOURCES MANAGEMENT PROVIDE MUNICIPAL PROCESS NUMBER HERE LOCATION OF IMPROVEMENTS Job Address \ �� N vJ 1 0-7 ST . CONTRACTOR INFORMATION Contractor No. C s C \5\ 133 Last four (4) digits of Qualifier No. 42°14 - Folio 1 1- 2-N3 - 010 - 00°‘ O Contractor Name ToN CA C -�'SZR Xtor-►, lL4 Lot °1 Block -41 Z Qualifier Name GNA�.L�5 7�rt t4G, booty �,c 5 •'` #bpgpg SI J3 1 Subdivision Address 1062-5 N\1 A M\ lA'it5 b 1-- - Metes and bounds City \Qcr\\ LAY-CS State Ft, 3'3° \4r v TYPE OF IMPROVEMENTS [ 1 New Construction on Vacant Land XAlteration Interior [ 1 Alteration Exterior [ 1 Relocation of Structure [ ] Enclosure [ ] Repair [ ] Repair Due to Fire [ ] Demolish [ ] Shell Only [ ] Addition Attached [ ] Addition Detached [ ] Re -Roof [ ] Foundation Only Current use of property 3 F¢` Description of Work A -i 3C ENckaStkt Sq. Ft. -?---3o Units \ Floors ) Value of Work AN -3.00 O PERMIT TYPE MBLD* Category 52- REVIEW STATUS [ ] Chg. Contractor [ ] Re -Issue [ ] Re -Stamp [ ] Revision [ ] Not Applicable for Fire OWNER'S NAME Owner G%11 OR-0" 'C tvt.,t; 0H I) Address %S N`^} le).-7 S.T.- City MtAM \4\46944State F1.. -Zip 3316$ [ ] MELE Phone tr36) '3 °1-7 -1c-17 -\ [ ] MLPG Last four (4) digits of Owner's Social Security No. G\0-15 [ ] MMEC [ ] FIRE PERSON TO PICK UP PLANS Name N, •a S G'naN q{Y1 'f' 1 o.. ARCHITECT / ENGINEER Owner E,tLTb',C AteN tv� 1- . Address W2so _/- S . Side. c -\ Address 10 2 5 0 S■/%( 5 to 5`I. s )\1E C -la City 101, 1P \--M \ State f1"Zlp 531 r5 City t-)11 R \ \ 1r State. Zip .3 3 t L-.. .S," Phone (3 ) h12'130 -c\ O\ Phone 010 5) -75S1 V $-24°\b FIRE SPECIAL REQUEST PLAN REVIEW (SRI) 1 am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible at the rate of $190 for the first hour and $65 per each additional hour in addition to the review fees. Minimum charge one -hour. le Request: Date: 2"d Request: Date: 3rd Request: Date: DERM OPTIONAL PLAN REVIEW (OPR) 1 am requesting Optional Plan Review (OPR) to be scheduled as soon as possible at the rate of $75 for each discipline. Additional review fees may apply. 18" Request: Date: 2"d Request: Date: 3'd Request: Date: 123_01-192 3/08 0 BUILDING PERMIT CATEGORIES CATEGORY DESCRIPTION PERMIT TYPE BUILDING 01 GENERAL BUILDING - COMMERCIAL MBLD 02 SUB- GENERAL BUILDING - RESIDENTIAL MBLD 08 CANVAS AWNING MBLD 10 COMMUNICATION TOWER MBLD 15 DEMOLITION MBLD 29 METAL AWNING & STORM SHUTTER MBLD 48 SCREEN ENCLOSURES MBLD 55 SWIMMING POOL MBLD 56 TENNIS COURTS (SURFACE PAVING) MBLD 86 TRAILER TIE DOWN MBLD 88 WALK -IN COOLER MBLD 91 MARINAS MBLD 92 LOW SLOPE APPLICATIONS (GRAVEL, SMOOTH MODIFIED, SINGLE PLY) MBLD 95 SHINGLES (ASPHALT, FIBERGLASS) MBLD 96 SHINGLES (METAL ROOFS/WOOD SHINGLES & SHAKE) MBLD 97 STAGE 2 VAPOR RECOVERY SYSTEM MBLD 99 SOIL IMPROVEMENT MBLD 0100 BULK STORAGE PROPANE TANK MBLD 0101 REMOVABLE STORM PANELS MBLD 0107 TILE ROOF MBLD 0110 WATER MAIN MBLD 0111 SITE PLAN MBLD 0112 INDOOR EVENT /EXHIBIT MBLD ELECTRICAL 04 FIRE ALARM SPECIALTY MELE 16 SPECIALTY WIRING MELE 38 GENERATORS MELE LPGX 01 LIQUEFIED PETROLEUM GAS MLPG 02 MISCELLANEOUS MLPG 04 LIQUEFIED PETROL. GAS /STATE MLPG MECHANICAL 09 ABOVE/BELOW GROUND TANKS/PUMPS & POLLUTANT STORAGE SYSTEM MMEC 38 COMMERCIAL HOODS MMEC 43 FIRE CHEMICAL MMEC 46 SPRAY BOOTHS MMEC 48 SMOKE CONTROL MMEC 52 RESIDENTIAL ELEVATOR MMEC FIRE, 32 FIRE SPRINKLER FIRE DEPARTMENT 6F HOMELAND SECURiiTY ELEVATION CERTIFICATE Federal Emergency Management Agency 217!70 National Flood Insurance Program Important: Read the instructions on pages 1-8. A1. Building Owner's Name Georg H. Ketelhohn A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. SECTION A - PROPERTY INFORMATION 185 N.W. 107th Street OMB No. 1660 -0008 Expires February 28, 2009 City State ZIP Code Miami Shores, Florida 33168 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 9, Block 212, DUNNING'S MIAMI SHORES EXTENSION NO. 6, P.B. 51, PG. 31, Miami -Dade County, Florida. Residential A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. 2-5''''..5-2-'.' 2-3'5"u Long. ,C. /2- ' 0 6°3 /f ee Horizontal Datum: ❑ NAD 1927 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number B A8. For a building with a crawl space or enclosure(s), provide:,. a) Square footage of crawl space or enclosure(s) sq ft b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b l sq in NAD 1983 A9. For a building with an attached garage, provide: a) Square footage of attached garage --® sq ft b) _ No of permanent flood openings in the attache garage walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number Miami Shores /120652 B2. County Name Miami -Dade B3. State Florida B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effeclive/Revised Date Zone(s) AO, use base flood depth) 12086C0302 L 9 -11 -09 9 -11 -09 X Not Available B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) BI1. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVE) 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date N/A 0 CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. 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/AO. Complete Items C2.a -g below according to the building diagram s oiled in Item A7. Benchmark Utilized 5G7,/ ' 6 4"`'� Vertical Datum N.G.V.D. 1929 Conversion/Comments °V' Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) ! 17 b) Top of the next higher floor lP. 0o c) Bottom of the lowest horizontal structural member (V Zones only) 11, i1 feet d) Attached garage (top of slab) feet e) Lowest elevation of machinery or equipment servicing the building (0.2. feet (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) r` ° 1 <4 feet g) Highest adjacent (finished) grade (HAG) /m .20 feet feet feet ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) 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. /certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Check here if comments are provided on back of form. Certifier's Name FRANCISCO F. FAJARDO Title PROFESSIONAL SURVEYOR Address 359 ALCAZAR AVENUE Signature icense Number #4767 Company Name & MAPPER LANNES AND GARCIA, INC. City State ZIP Code CORAL GABLES, FLORTDA 33134 Date Telephone / -2.7 -2 0/0 305- 666 -7909 PLACE SEAL HERE j z7 °zota FEMA Form 81 -31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section Building Street Address (including Apt., Unit ;,Suite, and/or Bldg. No.) or P.O. Route and Box No. 185 N.W. 107th Strdet Miami Shores, State ZIP Code Florida 33168 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments G2. — = ",A r G%1. 4",,i% t191- r...8," () ! - 9 Z (f) l 7f ( 'J ® i N 2x ' &--4.---i-1/74/ y,o‘o(Ai)7‘0LJ) $7 (e(d) ,..7vl,4 j t0�%� / /corn 72 c 02-"Y/6/),90.64, / -3 d£ -j7- 4t7>4-/7/c //) C'feJ Signature Date 27 ---2 0f 0 ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used- In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is • ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is • ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Sectitailk Items 8 end/or 9 (see a e 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is — ❑ feet Li meters L_ I above or LI below the HAG. E3. Attached garage (top of slab) is [] feet 0 meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is _ ❑ feet 0 meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No El Unknown. The local officlal 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, 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, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's 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 ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items 08. and G9. 01. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by 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 G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Community Name Signature Titre Telephone Date Comments ❑ Check here if attachments FEMA Form 81 -31, February 2006 Replaces all previous editions 1 RS Page 1 of This property described as: Lot 9, Block 212 DUNNING t S MIAMI SHORES EXTENSION NO. 6, according to the Plat thereof, as,recorded in .Plat Book 51, Page 31 of the Public Records of Miami -Dade County, Florida. PROPERTY Of: Ketelhohn, Georg, 185 N. !MT VALHI ROUT Tin SIGNATURE D (1RUUt.4.At.IUI5Rls:.xt.w1� FLORIDA I.I:1? SLID SAIRV XU1t ANN /0A?t'a NOTE: L.F. ELEV. _ /®-00 denotes lowest habitable floor ievation. Elevations shown refer to"N.G.V D. 1929. Adjacent Grade Elev. = p )9D B.M. •_ /V S6' ELEV. _ . /O. ��- ( #4/7.#47:44, COUNTY) Garage Elev. = 44 0.. E.`E.P. F oissiewitsmwasmoorW . 107th Street, Miami Shores, Florida WARY -slam I hereby cenity that the survey- repre- sented hereon meets : the minim= technic": standards set forth by the Board of Land Surveyors in chapter 61017 -6 Florida motive Code pursuant to Sealer 472-10). Fla. Statutes. There are no eneoacfte ents. o.erpaps. on the PIayt other .than as shown hereto. LANNF..S AND GARCIA. INC. 1..I3. #2098 SURVEYORS-MAPPERS-LAND PL A. BEAL'e`. smrra #5.238 Office address: 9 Mauer t� air t 11�eas 1 orida 33134 (10) 666.7909 ice) S23* tt. tsO►.star:TCUAIMMWEat; SCALE /41'o DRW,. NO 163442 �ccertified, Certified To and Flood Info Revised and Zip Code Added. Elevations added. 111U11e.ema'. $ l,eyend ullatto.Mbigiaktione A (C) • ENC FIP MI r/. Arc Drstante Cakuleled Ctear Enatoeclm,enl round Iron ripe Overhang PI * Book Properly Loy A/C CU C/1. EN' rm Alt Cntnhllt,n t g Pad Ceth Uasin • Center tine. Etechie ttanrtormer had round. Iron nod ORO Official records Books PC Point of Cwwatute roll Poltil of ltegtmting 11P 1Rtsdy Pole WM Water Meter 1 tangent LME take Mainl. Eeietuenl Was Itr.n t'.IIS CONC 10 (Id) MIL rcc rl/c lbntva.d CtnndY n,to, alt runt elf lUw 1. $It or but Cnrcrete found Me atltteel Orelhrmt 1ni111y tins rnhtl of Dartmoor! Ctn ve Point of Cnrnnyritenant A Canttt AnRM AC Anchor E asantenl Pt on CI1 lit I11 mwi, r PO 1•tiC nndrhne CNnd Ili itanre Iltentnge tnsenu!nl 1 rte I tyth sort Natinn■l (b. ,tt.ltc Vetircel Datum Piet nifty Point of !levet', C,nvettne PT Point of 1 eneettcy O/S Upset 11 fladni tit) tiad•al n1W el Y4 SI.0 Section SCn Screened i SIP Bel Iron Pgse Cwlt UC Merrell tnrhty Eesemen! WM Witter Meter a) All Clearances and/or encroachments shown hereon are of apparent mature. fence ownership by visual means. Legal:ownership of fences not determined. b) The issue antis survey Is only for the exclusive and specific use of those persons, parties or institutions shown in the certification. Any other intended use will require written approval from the certifying surveyor or firm. c) Code restrictions and title search are not reflected on this survey. d) Underground utilities and encroachments, if any, not located. o) The flood information shown Freon does not Imply that the referenced propetty will or will not be free from lloodimg or damage and does not create liability on the tart of the firm, any officer or employee thereof, for any damage that results from reliance on said information. f) The lands depicted hereon were surveyed per the legal description and no claims as to ownership or matters of Bile are made or blipped. g) This survey is not to be retied upon for construction. ES.94.IL t)Wlr: = X ..ELO U EQUATf4fif; Community Number: 120652 Panel Number,! Ma p 1: 12th Suffix: F.I.Ft.M. Ittdex Date: 9-1174393 Base Elevation: Not Available Bearings, if any shown based on (reference) l~ftTlf=ti.p TO "fie r a oe ^i� •:�.,9 (,i:r J.. PROPERTY of: Ketelhohn NOt VALID WittlOtlt 114* SIORAlhat AND IttE OttIGD At. ttAISEW WM. Or rLOaffrrl LICENSED SURYE 1cn A.*lD MN'P6n At t 17 .. ... SUCC rued I Georg, 185 N.W. 107th Street, Miami Shores, Florida '" &v:NARY SURVEY 1 hereby entity that the survey represented hereon meets the mlydmum technical *laniard* tel forth by the heard al Land Swveyot$ In chapter 1110174 riothta Admhdslraltve Cods prtteuen1 to ?Archon 112.021 ns. Stade*. alters ate no enctoam mstda, overlaps, saUtnl,nts eppaarin0 on the Plat, other than as shown hereto 1 -27 -10 Recertified, ertii Elevations Added. LANNES AND GARCIA, INC. L.B. #2098 Surveyors - Mappers -Land Planners li3RAM1 'SMITH 15238 FRANCISCO Office Atdte$ 359 fftszat Ave, corgi ft F , F1. � 14 (305) 6664909 (934) 523 -868 OA eso acme tYllA BY MARINO NO 1.6 442 Clio and Flood Info Revised and Zip Code Added .2 79 767