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RC-10-89Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 170914 Permit Number: RC- 1 -10 -89 Scheduled Inspection Date: March 12, 2012 Inspector: Bruhn, Norman Owner: Job Address: 637 NE 92 Street 12 -C Miami Shores, FL Project: <NONE> Contractor: GILNIK ENTERPRISES INC Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060430140 Phone: (305)283 -9793 Building Department Comments COMPLETE INT. REMODEL. FLOORING, KITCHEN CABINETS, BATHROOM REMODEL 5/05/2011 - PERMIT ON HOLD NO INSPECTIONS. NEED AN ELECTRICAL CONTRACTOR. Passed 4 - Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments March 09, 2012 For Inspections please call: (305)762 -4949 Page21 of 31 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 FEB 5 2011 Permit No. Master Permit No. t 0 Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): CQco (ban a, Phone#:,3°) lc Address: ` �`°'a 1 k) 19 s-' City:, I I a nn) State: Zip: 351 2 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: C County: Miami Dade Zip: 331 'S Folio/Parcel#: Is the Building Historically Designated: Yes NO City: Miami Shores 1flLci1m -E5-) -- - _ ) s r City: r i State: Qualifier Name: [ ( C it (� �— Phone#: State Certificatio Registration #: C,E12-0 Cis' S.J Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Flood Zone: i):3 B Value of Work for this Permit: $ Square/Linear Footage of Work: la Type of Work: °Additio °Alteration Description of Work. =' `` 0 ?.A- t °New ORepair/Replace °Demolition Submittal Fee $ Permit Fee $ C') - V 0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 5105 , CCD 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 roc ? e will be delivered to the person must be posted at the job site of such posted notice, the whose property is subject to a for the first inspectio inspection will not nt. Also, a certified copy of the recorded notice of rs seven (7) days after the building permit is issue a reinspection fee will be charged Owner gent The fore oing instrument was acknowled ed before me this 2-3 day of ,2011 ,by CC who is personally known to me or who has produced As identification and who did take an oath. NOTARY P .J _ C: 4 1 foscafg15- fl8@s May 28, 2013 ommisston # OD 893337 The foregoing instrument w day of , 2011_, by who ispersonally known to me or who has produced as identification and who did take an oath. NOTARY PUB .IC: APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07XRevised 06/10/2009)(Revised 3/15/09) =Not Public - to of Florida V,11140 Q #r�xpires May 28, 2013 ' p°. Commission # DD 893337 Zoning Clerk Miami Shores Village Building Department /0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit No.' .' (" Master Permit No. Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) f � C Q t) (X Ai C Phone # 3045 • 7 �� ° 6 ) 01 1 Owner's AAddress 1-15 NJ, 11 sT I A City 11rI State Zip 2c3 % e8 Tenant/Lessee Name C f ISM10.1ki ( CrITIO6ti'lal LOrihone # Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # 637 Wel cP-4. STit IBC. County Miami -Dade Zip .931 Is Building Historically Designated YES NO Contractor's Company Name 1 14-) i CTS 1 V (2-V Phone # a35 • 28S • r q 3 Contractor's Address 1132& s W 0--)B11-1A S T City ViWneSt.C161 State FL- Zip a• , �y Qualifier Name (9 ‘1 Hari r; - Phone # B-t_7 • �y 144 S ` aq State Certificate or Registration NC 04)6.-5 0 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # XValue of Work For this Permit $ J® 1 0140 Square / Linear Footage Of World S. 4C) • Type of Work: ['Addition ['Alteration DNew IYKepair/Replace Describe Work: n _ - �� u &A -v. e"\ - '9" TcIZ a — L J Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ 3• (.1-) Permit Fee $ �OQo� Notary $ Training/Educadon Fee $ oC• IJIJ Scanning $ � Radon $ DPBR $ Bond $ Code Enforcement $ * * * * * * * * * * * * * * ** CCF $ CO /CC Technology Fee $ Zoning $ Double Fee $ Structural Review. $ Total Fee Now Due $ 331Q •� See Reverse side -> PERMIT # IC --j C( CONTRACTOR: G 1L.1\1 IGtc_. ia-.3j2.ISE SUBMITTAL DATE: ,T(A Ns �� �C) L O ADDRESS: (p-j 1 NE_ G 2_ NAME° ��1r�r NA- , I KC, RESUBMITAL DATES: PROJECT TYPE: leITCA-iatX 1 G41I -' ara tO L, ZONING FIRE 'STRUCTURAL IMPACT FEES Pogo 5> ELECTRICAL 2/9,' p 4-74-2-124/t° PLUMBING MECHANICAL. • aE HRS/DERM NOC BLDG • • i 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 ANFIDAVIT: 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 v promise in good faith that a copy of the notice of commencement and construction lien l whose property is subj ' t to attachment. Also, a certified copy of the recorded notice of for the first insp���( hich occurs seven (7) days of er the building permit is issue inspection will n + oved and a reinspection fee will be charged er or Agent �t The foregoing instrument was acknowledged before me this \ T Signature The fore oing instrument was acknowledged before me this 19 $2500, the applicant must be delivered to the person be posted at the job site such posted notice, the day of _ t l� ' :6,' 201 , by 6 ) � Ck , day of /, i :1 A 201 by �1 ' '`u 'TeX who is personally known to Inc or wbo has produced who is personally own to me or who has produced w rs perso y p As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 0 My Commission Expires: as identification and who did take an oath. '` "" °.' CRISMARY PASCARELLA Notary Public - State of Florida •_ mm. Expires May 26, 2013 37 NiTX • NOTARY PUBLIC: Sian: Print: IOry,, °"'' CRISMARY PASCARELLA (,� ±,� t / (�� e �Ny� Public - State of Florida �-�ir.�'" 1' `t� r� �u ay 26, 2013 ��ffi 1 lei` AlLa Z ' 0 893337 My Commission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 07110/07) Plans Examiner Engineer Zoning gita:i z�tttJ�t'� a - 1 141 c DR r ACOR© CERTIFICATE OF LIABILITY INSURANCE DATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the Tonne and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER The Contractors Choice Agency PO Box 13645 Chandler AZ 85248 CONTACT Jon Rook N. : (800) 918 -3584 I Nok (877)684 -9951 moms: Jon@ng; nsur'anaeonline. com PIMEtUCER CUSTOMER ID no0008693 INSURERS) AFFORDING COVERAGE NAIC8 INSURED Gilnick Enterprises Inc . 17320 SW 278th Street Homestead FL 33031F: INSURERA Nat' 1 Contractors Insurance 12293 INSURER 8 : GLF000013313 -01 INSURER c : 2/17/2012 INSURERD: $ 1,000,000 INSURER E : DAMAGE TO RENTED PREMISES PREMISES tEoccurrence) ) $ r 000 COVERAGES CERTIFICATE NUMBER.4:L0962304266 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 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 OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD eLSR SUER INVD POLICY NUMBER POLICY EFF IMMIDPYYYY) POLICY EXP (M iiDDNYYYY) L�YQiS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR GLF000013313 -01 2/17/2011 2/17/2012 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PREMISES PREMISES tEoccurrence) ) $ r 000 CLAIMS -MADE X MED EXP (Any ate fin) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2, 000, 000 GEM_ AGGREGATE UMff APPLIES PER n LOC PRODUCTS - COMP/OP AGG $ 1,000,000 X POLICY F ZCa& $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT (Ea $ BODILY INJURY (Per peen) $ BODILY INJURY (Per fit) $ PROPERTY DAMAGE (Pa accident) $ _ $ $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ IO WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS Y / N N/A I WC C S ATU- 11 O H- EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ below EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Addplonal Remarks Schedule, B more space hs requhed) CERTIFICATE HOLDER CANCELLATION (305)756 -8972 Miami Shores Village 10050 NE 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Robert Rock /BOB - ACORD 25 (2009/09) INSO25 (200909) ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SEE OTHER SIDE GILNICK ENTERPRISES INC GILBERTO B FERNANDEZ PRES 17320 SW 278 ST MIAMI FL 33031 X IC % * * IC x X 7C E 7K ]K * t t YC .7K' IC Y 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. 2/23/2011 1300 /228 /001SAKENI 0024 -0001 Last Seq.# :0001 WI LBT #:00 570667 -7 Local Business Tax $153.75 CA $200.00 CHANGE $6.25 MIAMI -DADE COUNTY TAX COLLECTOR LOCAL BUSINESS TAX SECTION 140 W. Flagler St. - 1st Floor Miami, Florida 33130 TEMPORARY RECEIPT 2010 -2011 LOCAL BUSINESS TAX Local Business Tax #:00570667 -7 State/CC #:CBC010630 Issued to: GILNICK ENTERPRISES INC Type of Business: SUB - GENERAL BLDG CONTRACTOR 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 10 -23 -2009 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE 12/02/2009 EXPIRATION DATE: 12/02/2011 PERSON: FERNANDEZ GILBERTO S FEIN: 550854028 BUSINESS NAME AND ADDRESS: GILNICK ENTERPRISES INC 17320 SW 278TH STREET MIAMI FL 33031 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED BUILDING CONTRACTOR 2- CERTIFIED ROOFING CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer at a corporation who elects exemption from this chapter by filing a certificate of election ender this section aiay not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt and certificates al election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. OWC -252 CERTIFICATE Of ELECTION TO BE EXEMPT REVISED 09 -06 QUESTIONS? ($50} 413 -1609 STATE OF FLORIE DEPARTMENT OF BdSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 FERNANDEZ, GILBERTO S GILNICR ENTERPRISES INC 17320 SW 278TH STREET HOMESTEAD FL 33031 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Effic ieentiy, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE BATCH NUMBER ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMID0/YYYY) 1/15/2010 (800)918 -3584 FAX: (877)684 -9951 e Contractors Choice Agency PO Box 13645 Chandler AZ 85248 THIS CERTIFICATE IS 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 POUCIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Gilnick Enterprises INC 17320 SW 278th Street - Homestemd FL 33031 INSURER k Nat' 1 Contractors Insurance 12293 INSURER E: INSURER C: INSURER D: INSURER E COVERAGES THE POUCIES ANY REQUIREMENT, MAY PERTAIN, POLICIES. AGGREGATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED DATE THEREOF, THE JSSUING INSURER WILL ENDEAVOR TO NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON THE REPRESENTATIVES. HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OPSUCH HAVE BEEN REDUCED BY PAID CLAIMS. OF INSURANCE Ub I El) BELOW TERM OR CONDITION THE INSURANCE AFFORDED UMITS SHOWN MAY INSR LTR NERD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMICK NYYYYI POLICY ppID�DI�RYpTION DATE MUDDIYYYI'I LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GLF000011498 -01 6/23/2009 6/23/2010 EACH OCCURRENCE $ 1,000,000 X TO RENTED PREMISGES (Ea occurrence) $ 50,000 CLAIMS MADE X OCCUR MED EXP (Arty one perm) $ 5, 000 PERSONAL 8 ADV INJURY $ 1, 000 , 000 GENERAL AGGREGATE $ 2,000,000 GEM. AGGREGATE UMIT APPUES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 POLICY F JEC LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS , COMBINED SINGLE LIMIT BODILY INJURY (Par paw) BODILY INJURY (O'er acdderd) $ PROPERTY DAMAGE (Per acddent) GARAGE VABIUTY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/ UMBRELLA LAINUTY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEIVD(FCUTIVE ❑ OFFICE/MEMBER EXCLUDED? (Mandatory In NH) I yw, des 1ba under SPECIAL PROVISIONS below WC STATU- I 10TH- TORY LIMITS ER EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY UMIT $ OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Certificate Holders per Blanket Additional Insured GL Form 00004 3/06 are additional insured 10 days notice for non payment of premium CERTIFICATE HOLDER CANCELLATION (305) 756 -8972 Miami Shores Village 10050 NE 7th Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED DATE THEREOF, THE JSSUING INSURER WILL ENDEAVOR TO NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON THE REPRESENTATIVES. BEFORE THE EXPIRATION MAIL 10 DAYS WRITTEN FAILURE TO DO SO SHALL INSURER, ITS AGENTS OR AUTHORED REPRESENTATIVE Robert Rock /JON _/o4; J - -. ACORD 25 (2009101) INS025 (101) 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD STATE OF FLORI[ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 FERNANDEZ, GILBERTO S GILNICK ENTERPRISES INC 17320 SW 278TH STREET HOMESTEAD FL 33031 -2350 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myffioridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and team more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We ;onstantly strive to serve you better so that you can serve your customers. -Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE (850) 487 -1395 TE OFFLORIDA • PA,RTMENT EttTtTES'e AND PROFESSI9NAL REGDULATION - N'STRTICT3QN INa RY L_LCEN3NG BOARD S =( a.osog19oa ?g8 08/19/2008 088034732 LICENSE NER CB 01-1 34 The BUILDING CO'RACTOR Named below IS CERTIFIED= Under the provisions of Chapter 489. FS. Expiration date: :AUG 31, 2010 FERNANDLZ -, - GILEERTO 8 GILNICK .;ENTERPRISES. INC 17320 SW 278TH STREET. HOMESTEAD FL 33031 ' CHARLIE 'CRIST GOVERNOR C�� -ARLES _tn1. SECRETAR Lt{Y'15= EQtUhRED BY LAW Jan 19 10 08:24p Gilberto Fernandez 305 -428 -2289 p,1 10 -23 -2009 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: PERSON: FEIN: 12/02/2009 EXPIRATION DATE: 12/02/2011 FERNANDEZ 550854028 BUSINESS NAME AND ADDRESS: GILNICK ENTERPRISES INC 17320 SW 27811 STREET MIAMI FL 33031 GILBERTO S SCOPES OF BUSINESS OR TRADE: 1— CERTIFIED BUILDING CONTRACTOR 2— CERTIFIED ROOFING CONTRACTOR IMPORTANT: Pursuant to Chapter 440. 05f14), r.S.. on officer of a corporation who elects exemption from this chapter by filing a certificate oI election under this section may not recover benefits or compensation ender this chapter. Pursuant te Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope et the business or trade listed an the notice at election to be exempt. Pursuant to Chapter 440.05113f, F.S., Notices of electron to be exempt and certificates of election to be exempt shag ho subject to revocation if, at any time alter the tiling of the notice or the issuance of the certificate, the person named on the notice or certificate no longer insets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meat the requirements of this section. • QUESTIONS? (850) 413-1609 VC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 _.._ . _ yy'HIS 1ti; pN�L it OC 1ffUS'WE35'T RECEIPT JdIT iHH ExiottR' TO VIO3.ATE .ANY Eotunitr, JiAWs;;fTORY aR ZO NC ; LAWWSS .OF THE •COUNFY, .OR ,CITIES. NOR OCE13 � �j E1(EOIPT ; THt; HOLR,'PiiOM ANY }O1YTER ,.. PEg15IT;> OR A;ICENSE Ra iflRW iY LAW. TRl& IS NOT A tentriPreATION THE fiekOERS!3UM.IFlCA, TIONS1 %: 'i PAw.i NrREC Sii D!®RCQUNTYTAI .''r 07/2,3/2009 0030000;113;' SEE OTHER SIDE DO NOT FORWARD GILNICK ENTERPRISES INC GILBERTO B FERNANDEZ PRES 17320 SW 278 ST MIAMI FL 33031 333 I1 1333111i1 ll8l331til rltfl3ilt1111111331t: t)Alt 13333133 NOTICE OF COMMENCEMENT A RECORDED COPY M$ BE POSTED ON THE JOB SnE AT TIME OF FIRST N j wlu4 PERmrNO.Ij'�= 1-103 2?0IONO. 11- 32.01,0-C30 1� STATE CF FLORIDA COUNTY OF MIAMI-DADE 111E UNCERSIGNED hereby gives notice that !movements will be made to colain real property, and In accordance with C hapter713, Florida Statutes, the following Worrnalion is provided In this Notice of Commencement 1. Legal description of property and street/address: do3i ci2. Vii' t)ficT G IQf*lrii phi +L sBi3B 2. Description of improvement: 111111111111111111111111111111111111111111111 CFN 203.0R0056602 OR Bk 27162 Ps 1326; (1pa) RECORDED 01/27/2010 14:03:01 HARVEY RUVII'Ir CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE 3. Owner(s) name and address: actsatoriaana Interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address: 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: • 8. In addition to himself, Owners designates the following persons) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration different this Notice of Commencement (the expiration date is 1 year from the date of recording unless a ed) Signature Print Owner's Sworn to and subscribed beefore me Notary Public Print Notary's Name My commission expires: !:1 /111,.±i:1 ar Prepared by 4G'"� J y agted Address: 4 32) 113_0149 !b1 PAGES ,� fir. -'r L�*� �► ''74 `' • CQ nmissbn s OD 89 7 OF FLORIDA, COUNTY OF DADE r 'R i3Y CERTIFY that this is a ° copy of the am roil oto wn- ESS my hand an HARVEY RUVIN, CLER By A 2 /0 Seal. Circuit and County Courts golf/ go D.C. 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 1%0%1\13 Mkt 1 i.J1 BUILDING Permit No. C1C--/ 10 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING ROOFING j �] Owner's Name (Fee Simple Titleholder) C,O3O'J1OO,flO%.. Phone #(3W) / G 1 q 1 Owner' Address 5 -r City ► .00\ , State "71-- Tenant/Lessee Name Email Zip si 38 Job Address (where the work is being done) City Miami Shores Villa e FOLIO / PARCEL # Phone # 631 rJ q`2-n-4 County Miami -Dade Zip 3 Is Building Historically Designated YES NO Contractor's Company Name Flood Zone I' Iri I -e( Q Q(1 e Phone # J 0s - 283 - 1' ! -l3 Contraotor's Address 11 �' 2 0 V-1 2.7gj+74 1 City Ot to- ?' FkV State �' Z. Qualifier Name G t t bfi .RNt 1-1t Z State Certificate or Registration No. &Bei 4 ( 4 (Q Zip O.3 I Phone # 5- zg Certificate of Competency No. Contact Phone E-mail Gt"1= ,(ZIAi+i�2 Architect /Engineer's Na s . (i able) C. Phone # .605- of 4' 1 643 Value of Work For Type of Work: Describe Work Square / Linear Footage Of Work: ' New Q Repair /Replace e * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ Notary $ Scanning $ Double Fee $ Training /Education Fee $ Radon $ Structural Review. CCF $ DPBR $ Violation date: U ti 4" 4.60, ca -+- CO /CC $ Technology Fee $ Bond $ Total Fee Now Due $ See Reverse side —* Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated valu promise in good faith that a copy of the notice of commencement and construction lien law whose property is subject to attach ent. Also, a certified copy of the recorded notice of c for the first inspection w h s seven (7) days after the building permit is issued inspection will not be app reinspection fee will be charged. Iii, s if �._ VP Owner o Signature The foregoing instrument was ackno ledged before a this 1 J day of 20 IQ by e—a `CP `�d t-C OA- , who is personally known to me or who has produced As identification and who did take an oath. My Commission APPROVED BY 40; ceeding $2500, the applicant must will be delivered to the person ust be posted at the job site of such posted notice, the The foreg day of ing ins or ment was acknowle gbefore me�th'sl3 ,201Q,by qU F na , who is personally known to me or who has produced as identification and who did take an oath. Plans Examiner Engineer (Revised 07 /10 /07)(Revised 06/10/2009) NOTARY PU gI*f �. WIL .15 f-;07 •"Risj Sign: Print: My Commission Exp * CRISMARY PASCARELLA Notary Public - State of Florida % , , 5 My Comm. Expires May 26, 2013 ,' Commission * * ** *3 7. Zoning Clerk checked IVII iami Shores Vivage Building Department RECEIPT PERMIT #: C1 M DATE: JIO ❑ Contractor ❑ Owner ❑ Archit 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Address: tirA remmo CDPR-di&V"hicao) 6¢31 rNif, 012, IEG 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 INITIA� RESUBMITTED DATE: PERMIT CLERK INITIAL: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. ja `. Job Name CGS,���. Date If/3Jd6 STRUCTURAL CRITIQUE SHEET Permit No: 10 -89 Job Name: August 6, 2010 Miami Shores Village Building Department Building Critique Sheet Rev 2nd 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) Permit application must be completed to include additional area, increased value and scope. 2) Provide design wind Toads for new windows. 3) Provide design wind Toad criteria. 4) Provide a separate permit for the windows including all product approvals. 5) Legend refers to details A,B /A-1 for fire rated provisions but they do not show a tested assembly. STOPPED REVIEW 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 revisedsheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 Vex 3c5-7(02- fq0 PERMIT ARG Ili -KR I , a,c ❑ Contractor ❑ Owner ❑ Architect Address: Miami Shores Viiiage Building Department RECEIPT DATE: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ti en (051 mcdte, cgrectierf 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 Dep m continue Ormitti Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: ZSavO PERMIT CLERK INITIAL: ho Permit No: 10 -89 Job Name: April 26, 2010 Miami Shores Viiiage 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 \.) Permit application must be completed to include additional area, increased value and scope. ) Provide design wind Toads for new windows. \) Provide design wind load criteria. ) Provide a separate permit for the windows including all product approvals. 5) Legend refers to details A,B /A -1 for fire rated provisions but they do not show a tested assembly. 6) Detail of new ceiling joist support must include connection details of ALL connections, metal strap is insufficient. Provide manufacturer, model and fastener size and number. STOPPED REVIEW 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 305 _1G2 -. &MAO 1Vliami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. /(1 a 9' Job Name Date 46/2 co /Hi 776 4 STRUCTURAL CRITIQUE SHEET is /I c eyed as Jti o 44,4 or ex/er re/eel"? the neirf 14/011/ Qk' are 5 u 1 'r /c d 'a!s- s (9 c cc" ® /le. v1) pre vcn f u/2 / /// ? • he /4 CA " wpoe 04/29/2010 14:19 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES U001 $$$ TX REPORT $$$ TRANSMISSION OK TX /R% NO 4968 RECIPIENT ADDRESS 93057626190 DESTINATION ID ST. TIME 04/29 14:18 TIME USE 01'06 PAGES SENT 1 RESULT OK ho Permit No: 10 -89 Job Name: April 26, 2010 Miami Shores Viiiage 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 1) Permit application must be completed to include additional area, increased value and scope. 2) Provide design wind loads for new windows. 3) Provide design wind load criteria. 4) Provide a separate permit for the windows including all product approvals. 5) Legend refers to details A,B /A -1 for fire rated provisions but they do not show a tested assembly. 6) Detail of new ceiling joist support must include connection details of ALL connections, metal strap is insufficient. Provide manufacturer, model and fastener size and number. STOPPED REVIEW 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 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: %U 0-99 DATE: I 0 I, &00-L-.0 c-v� ❑ Contractor Yawner ❑ Architect Picked up 2 sets of plans and (other) --Tb -1:)Eg Address: (0S-7 N L c l ST ( 2C From the building department on this date in order to have corrections done to plans And /or get County star` 1 nderstand that the plans need to be brought back to Miami Shores Village Buildi ■(° rtment to continue permitting process. j' Acknowledged by: �t PERMIT CLERK INITIAL: RESUBMITTED DATE: 6 2�� PERMIT CLERK INITIAL: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: RCL) ° Ct DATE: a [201 D I, s14 &Contractor owner ❑ Architect � fCcucr2L Picked up 2 sets of plans and (other) tO (,CT t 3 Cnag-r-e-e--TCO Address: (0311 NE 0112 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: (J( RESUBMITTED DATE: R11 1 lb PERMIT CLERK INITIAL: Permit No: 10.e7 Job Name FAQ 17)2 hl TO Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 tee- thated 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 FORM 1100A -08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: 637 NE 92 ST Builder Name: q.' Street 637 NE 92 STREET Permit Office: City, State, Zip: MIAMI SHORES , FL , Permit Number. ,,r Owner. Jurisdiction: 231000 Design Location: FL, Miami 1. New construction or existing New (From Plans) 2. Single family or multiple family Multi - family 3. Number of units, if multiple family 1 4. Number of Bedrooms 1 5. Is this a worst case? No 6. Conditioned floor area (ft2) 719 7. Windows Description Area a. U- Factor. Sgl, U =1.30 111.00 ft2 SHGC: SHGC =0.55 6. U- Factor. N/A ft2 SHGC: - c. U- Factor. WA ft2 SHGC: d. U- Factor. N/A ft2 SHGC: e. U- Factor. WA ft2 SHGC: 8. Floor Types Insulation Area a. N/A R= ft2 b. N/A R= ft2 c. N/A R= ft2 9. Wall Types Insulation Area a. Concrete Block - Int Insul, Exterior R=4.1 496.00 ft2 b. N/A R= fta c. N/A R= ft2 d. N/A R= ft2 10. Ceiling Types Insulation Area a. Under Attic (Vented) R =19.0 719.00 ft2 b. WA R= ft2 c. N/A R= ft2 11. Ducts a. Sup: Attic Ret: Interior AH: Interior Sup. R= 6, 150 ft2 12. Cooling systems a. Central Unit Cap: 19.8 kBtu/hr SEER: 15 13. Heating systems a. Electric Strip Heat Cap: 17.0 kBtu/hr COP: 1 14. Hot water systems a. Electric Cap: 1 gallons EF: 0.99 b. Conservation features None 15. Credits - Pstat Glass/FloorArea: 0.154 Total As -Built Modified Loads: 25.17 PASS Total Baseline Loads: 29.66 I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code. PREPARED BY , 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* :.; � �ZHE ,'., y a„ ' �� ` „ '6., STgi, O °. _.�';,, mss, .. `s% O '.. DATE' d fr.Vra ii a ; I„ il ,s a, r. - ,., COD WE1S I hereby certify that this building, as designed, is in compliance with the Florida Energy Code. OWNER/AGENT* DATE' DATE* 2/1(1/201 n in-74 PM Fnwmvltanuuetit 11RA - FIaRPC9nfR PanR 1 of ti PROJECT Title: 637 NE 92 ST Bedrooms: 1 Adress Type: Street Address Building Type: FLAsBuilt Conditioned Area: 719 Lot # Owner. Total Stories: 1 SubDiivision: # of Units: 1 Worst Case: No PlatBook: Builder Name: Rotate Angle: 0 Street 637 NE 92 STREET * Permit Office: Cross Ventilation: County: DADE Jurisdiction: 231000 Whole House Fan: City, State, Zip: MIAMI SHORES , Family Type: Multi - family FL , New/Existing: New (From Plans) 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 ROOF Roof Gable Roof Solar Deck ¥ # Type Materials Area Area Color Absor. Tested Insul. Pitch 1 Flat Concrete 722 ft2 30 ft2 Medium 0.96 No 19 4.8 deg ATTIC J # Type - Ventilation Vent Ratio (1 in) Area RBS IRCC 1 No attic Vented 0 719 ft2 N N CEILING V# Ceiling Type R -Value Area Framing Frac . Truss Type 1 Under Attic (Vented) 19 719 ft2 0.11 Wood WALLS Cavity Sheathing Framing Solar V # Omt Adjacent To Wall Type R -Value Area Fraction Absor. 1 N Exterior Concrete Block - Int Insul 4.1 224 ft2 0 0.75 2 S Exterior Concrete Block - Int Insul 4.1 200 ft2 0 0.75 3 E Exterior Concrete Block - Int Insul 4.1 72 ft2 0 0.75 DOORS V# Omt Door Type Storms U -Value Area 1 N Wood None 0.2 0.010000 1. , "1p ' WINDOWS Orientation shown is the entered, asBuilt orientation. # Omt Frame Panes NFRC U- Factor SHGC Storms Overhang Area Depth Separation Int Shade Screening 1 N Metal Single (Clear) Yes 1.3 0.55 N Yes 1.3 0.55 N Yes 1.3 0.55 N Yes 1.3 0.55 N Yes 1.3 0.55 N Yes 1.3 0.55 N 6 ft2 0.5 ft 0 in 2 ft 0 in HERS 2006 37.5 ft2 0.5 ft 0 in 2 ft 0 in HERS 2006 12 ft2 0.5 ft 0 in 2 ft 0 in HERS 2006 37.5 ft2 0.5 ft 0 in 2 ft 0 in HERS 2006 6 ft2 0.5 ft 0 in 2 ft 0 in HERS 2006 12 ft2 0.5 ft 0 in 2 ft 0 in HERS 2006 None None None None None None 2 N Metal Single (Clear) 3 N Metal Single (Clear) 4 S Metal Single (Clear) 5 S Metal Single (Clear) 6 E Metal Single (Clear) INFILTRATION & VENTING Method SIA CFM 50 ACH 50 ELA EqLA — Forced Ventilation — Run Time Supply CFM Exhaust CFM Fraction Fan Watts Default 0.00036 679 6.74 37.3 70.1 0 cfm 0 cfm 0 0 COOLING SYSTEM V # System Type Subtype Efficiency Capacity Air Flow SHR Ducts 1 Central Unit Split SEER: 15 19.8 kBtu/hr 594 cfm 0.75 sys#1 HEATING SYSTEM V # System Type Subtype Efficiency Capacity Ducts 1 Electric Strip Heat None COP: 1 17 kBtu/hr sys#1 HOT WATER SYSTEM V# System Type EF Cap Use SetPnt Conservation 1 Electric 0.99 1 gal 40 gal 120 deg None SOLAR HOT WATER SYSTEM VFSEC Cert # Company Name Collector Storage System Model # Collector Model # Area Volume FEF None None ft DUCTS / V # — Supply — Location R -Value Area — Retum — Location Area Leakage Type Air Percent Handler CFM 25 Leakage ON RLF 1 Attic 6 150 ft2 Interior 0 ft2 Default Leakage Interior (Default) (Default) % TEMPERATURES Programable Cooling Venting Thermostat: Y Jan Feb 7( Jan pX Feb Mar Mar Ceiling Apr Apr Fans: Ma X May Jun [X] Jun Jul Aug Jul [X Aug Sep Oct Nov C Sep X] Oct ct [X Nov Dec 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 80 80 80 80 . PM 80 80 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 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 Heating(WEH) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 FORM 1100A -08 Code Compliance Cheklist Residential Whole Building Performance Method A - Details ADDRESS: 637 NE 92 STREET MIAMI SHORES, FL, PERMIT #: INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHE( K J Exterior Windows & Doors NI 106.AB.1.1 Maximum: .3 cfm/sq.ft. window area; .5 cfm/sq.ft. door area. 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. 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. Floors NI106.AB.1.2.2 Penetrations/openings > 1/8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed 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 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. / Ni 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. , r 19( J Multi -story Houses N 1106.AB.1.2.5 Air barrier on perimeter of floor cavity between floors. _ Additional Infiltration reqts NI 106.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 CHE K Water Heaters NI 112.AB.3 Comply with efficiency requirements in Table NI 12.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. 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 NI110.AB All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed in accordance with the criteria of Section NI110.AB. Ducts in unconditioned attics: R-6 min. insulation. HVAC Controls NI 107.AB.2 Separate readily accessible manual or automatic thermostat for each system. Insulation NI 104.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. ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 85 The lower the EnergyPerformance Index, the more efficient the home. 1. New construction or existing 2. Single family or multiple family 3. Number of units, if multiple family 4. Number of Bedrooms 5. Is this a worst case? 6. Conditioned floor area (ft2) 7. Windows** a. U- Factor. SHGC: b. U- Factor. SHGC: c. U- Factor. SHGC: d. U- Factor. SHGC: e. U- Factor. SHGC: 8. Floor Types a. N/A b. N/A c. N/A Description SgI, U =1.30 SHGC =0.55 N/A N/A N/A N/A 637 NE 92 STREET, MIAMI SHORES, FL, New (From Plans) Multi- family 1 1 No 719 Insulation R= R= R= Area 111.00 ft2 ft2 ft2 ft2 ft2 Area ft2 ft2 ft2 9. Wall Types a. Concrete Block - Int Insul, Exterior b. N/A c. N/A d. N/A 10. Ceiling Types a. Under Attic (Vented) b. N/A c. N/A • Insulation Area R=4.1 496.00 ft2 R= ft2 R= ft2 R= ft2 Insulation Area R =19.0 719.00 ft2 R= ft2 R= ft2 11. Ducts a. Sup: Attic Ret: Interior AH: Interior Sup. R= 6, 150 ft2 12. Cooling systems a. Central Unit 13. Heating systems a. Electric Strip Heat 14. Hot water systems a. Electric b. Conservation features None 15. Credits I certify that this home has complied with the Florida Energy Efficiency Code for Building Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: Date: Address of New Home: City /FL Zip: Cap: 19.8 kBtu/hr SEER: 15 Cap: 17.0 kBtu/hr COP: 1 Cap: 1 gallons EF: 0.99 Pstat *Note: The home's estimated Energy Performance Index is only available through the EnergyGauge USA - FlaRes2008 computer program. This is not a Building Energy Rating. If your Index is below 100, your home may qualify for incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 1321) 638 -1492 or see the Energy Gauge web site at energygauge.com for information and a list of certified Raters. For information about Florida's Energy Efficiency Code for Building Construction, contact the Department of Community Affairs at (850) 487 -1824. **Label required by Section 13- 104.4.5 of the Florida Building Code, Building, or Section B2.1.1 of Appendix G of the Florida Building Code, Residential, if not DEFAULT. EnergyGauge® USA - FlaRes2008 F Residential System Sizing Calculation Summary Project Title: 637 NE 92 ST 637 NE 92 STREET MIAMI SHORES, FL Code Only Professional Version Climate: South 2/10/2010 Location for weather data: Miami - User customized: Latitude(25) Altitude(11 ft) Temp Range(L) Humidity data: Interior RH (50 %) Outdoor wet bulb (78F) Humidity difference(58gr.) Winter design temperature Winter setpoint Winter temperature difference 50 F 70 F 20 F Summer design temperature Summer setpoint Summer temperature difference 91 F 75 F 16 F Total heating Toad calculation 8359 Btuh Total cooling load calculation 17392 Btuh Submitted heating capacity Total (Electric Strip) % of calc Btuh 203.4 17000 Submitted cooling capacity Sensible (SHR = 0.75) Latent Total % of calc Btuh 97.3 14850 232.3 4950 113.8 19800 Winter Heating Load for 719 WINTER CALCULATIONS Load component Load Window total 111 sqft 2819 Btuh WaII total 629 sqft 1867 Btuh Door total 20 sqft 139 Btuh Ceiling total 719 sqft 705 Btuh Floor total See detail report 0 Btuh Infiltration 58% cfm 1286 Btuh Duct loss 1544 Btuh Subtotal 8359 Btuh Ventilation 0 cfm 0 Btuh TOTAL HEAT LOSS 8359 Btuh Summer Cooling Load for 719 SUMMER CALCULATIONS Load component Load Window total 111 sqft 4767 Btuh Wall total 629 sqft 1726 Btuh Door total 20 sqft 215 Btuh Ceiling total 719 sqft 1057 Btuh Floor total 0 Btuh Infiltration 31 cfm 540 Btuh Internal gain 5460 Btuh Duct gain 1496 Btuh Sens. Ventilation 0 cfm 0 Btuh Total sensible gain 15261 Btuh Latent gain(ducts) 521 Btuh Latent gain(infiltration) 1209 Btuh Latent gain(ventilation) 0 Btuh Latent gain(intemal/occupants/other) 400 Btuh Total latent gain 2131 Btuh TOTAL HEAT GAIN 17392 Btuh tuncrc Version 8 For Florida residences only Latent (2%) EnergyGauge® System Sizi PREPARED BY: DATE: ? OM) EnergyGauge® FLRCPB v4.5.2