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CC-12-930Certificate of Occupancy Miami Shores Village 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305- 795 -2204 Fax: 305 -756 -8972 Building Inspection Department This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: Date Issued Occupancy Load Occupancy 2297 S4 FT Type 9031 -9069 BISCAYNE BOULEVARD SUITE 9031 Not Transferable POST IN A CONSPICUOUS PLACE rt Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: I NS P- 179049 Permit Number: CC -5 -12 -930 Inspection Date: September 28, 2012 Inspector: Hernandez, Rafael Owner: PROPERTIES LLC, SHORE SQUARE Job Address: 9031 -9069 BISCAYNE Boulevard 9031 Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: T&G CONSTRUCTION Permit Type: Commercial Construction Inspection Type: Plumbing Work Classification: Alteration Phone Number (305)779 -8040 Parcel Number 1132060110051 Phone: (305)592 -0552 Building Department Comments RENOVATION FOR NEW TENANT, DRYWALL AND METAL FRAMING , NEW DOORS AND PAINT broadway art framing store UNIT 9025 Infractio Passed Comments INSPECTOR COMMENTS False Passed Inspector Comments BACK FLOWN PREVENTOR CERTIFICATE r 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 28, 2012 Page 1 of 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 - 179049 Permit Number: CC -5 -12 -930 Scheduled Inspection Date: September 27, 2012 Inspector: Hernandez, Rafael Owner: PROPERTIES LLC, SHORE SQUARE Job Address: 9031 -9069 BISCAYNE Boulevard 9031 Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: T&G CONSTRUCTION Permit Type: Commercial Construction Inspection Type: Plumbing Work Classification: Alteration Phone Number (305)779 -8040 Parcel Number 1132060110051 Phone: (305)592 -0552 Building Department Comments RENOVATION FOR NEW TENANT, DRYWALL AND METAL FRAMING , NEW DOORS AND PAINT broadway art framing store UNIT 9025 Infractio Passed Comments INSPECTOR COMMENTS False Passed C� Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments BACK FLOWN PREVENTOR CERTIFICATE September 26, 2012 For Inspections please call: (305)762 -4949 Page 40 of 43 git Brothers Backflow Specialists Inc 6800 Bird Road, #439 Miami, Florida 33155 Telephone: 954- 382 -2099 CFC1426564 BACKFLOW PREVENTION ASSEMBLY FIELD TEST REPORT DATE OF TEST: 3 izt d Z NAME OF PREMISE: CONTACT: .0 -2 elefe ,Z 1 STREET ADDRESS: 905— a ;1 c 6/ 4/ • TEL•." CITY, STATE, ZIP: 02 tug lG LOCATION OF ASSEMBLY: /z° FAX: TYPE OF DEVICE: R114 D.C. 13 PVB 0 AVB 0 OTHER: INVOICE NO. MANUFACTURER: C" •N MODEL: GI 19 SERIAL NO.: � ✓ O - SIZE: I METER NO.: LINE PRESSURE psi: NOTE: ALL REPAIRS/REPLACEMENTS SHALL BE COMPLETED WITHIN (10) DAYS. REMARKS: EXISTING DEVICE ['I NEW INSTALLATI 1 HEREBY CERTIFY THAT THIS DATA IS ACCURATE AND REFLECTS THE PROPER OPERAT TEST GAUGE USED MIDWEST 845 CERTIFIED TESTING COMPANY PASSED 1sT [X] 0 2ND FAILED- REPAIR NEEDED 0 INITIAL TEST BY: Pedro Santana CERTIFIED TESTER NO. M 111 0'29 EXP. DATE: REPAIRED BY DATE MO. DAY :i` O.° >,.ta��19 ,r0rA11411111 AND NTENANCE OF THE ASSEMBLY Brothers Backflow Specialists FINAL TEST BY: CERTIFIED TESTE CERTIFIED TESTER SIGNATURE pedev...Sa tarta, 30 YR 13 • CHECK VALVE #1 RELIEF VALVE CHECK VALVE #2 PRES VACUUM BREAKER T E 5 T 0 Leaked Closed Tight • Gauge Pressure across Check Valve •. _ . 1 psi Opened at psi Leaked Closed Tight Gauge Pressure oss Check Valve psi Air inlet opened at psi 2..t. ODid Not Open a Did Not Open Check Valve: ['Leaked Held at psi R E p A 1 R S 0 Cleaned Only REPLACED: 0 Rubber Kit 0 CV Assembly or 0 Disc 0 O -Ring 0 Seat 0 Spring 0 Stem/Guide 0 Retainer 0 Lock Nuts 0 Other 0 Cleaned Only REPLACED: 0 Rubber Kit 0 RV Assembly or GDlsc 0 Diaphragm(s) 13 Seat 0 Spring 0 Guide 0 O -Ring 0 Other [] Cleaned Only REPLACED: 0 Rubber Kit 13 CV Assembly Or DDisc - 0 O -Ring 13 Seat 13 Spring 0 Stem/Guide 0 Retainer 0 Lock Nuts 0 Other . 0 Cleaned Only REPLACED: Q Rubber Kit 0 CV Assembly or GDisc, CV 0 Spring, Air 0 Spring, Air 13 Spring, CV 0 Retainer 0 0-Ring F 1 N A L Gauge Pressure Across Check Valve psi Relief Valve Opened At psi Gauge Pressure Across Check Valve psi Air Inlet psi Check. Valve psi NOTE: ALL REPAIRS/REPLACEMENTS SHALL BE COMPLETED WITHIN (10) DAYS. REMARKS: EXISTING DEVICE ['I NEW INSTALLATI 1 HEREBY CERTIFY THAT THIS DATA IS ACCURATE AND REFLECTS THE PROPER OPERAT TEST GAUGE USED MIDWEST 845 CERTIFIED TESTING COMPANY PASSED 1sT [X] 0 2ND FAILED- REPAIR NEEDED 0 INITIAL TEST BY: Pedro Santana CERTIFIED TESTER NO. M 111 0'29 EXP. DATE: REPAIRED BY DATE MO. DAY :i` O.° >,.ta��19 ,r0rA11411111 AND NTENANCE OF THE ASSEMBLY Brothers Backflow Specialists FINAL TEST BY: CERTIFIED TESTE CERTIFIED TESTER SIGNATURE pedev...Sa tarta, 30 YR 13 • Permit Number: CC -5 -12 -930 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 - 179105 Inspection Date: September 27, 2012 Inspector: Bruhn, Norman Owner: PROPERTIES LLC, SHORE SQUARE Job Address: 9031 -9069 BISCAYNE Boulevard 9031 Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: T&G CONSTRUCTION Permit Type: Commercial Construction Inspection Type: Miscellaneous Work Classification: Alteration Phone Number (305)779 -8040 Parcel Number 1132060110051 Phone: (305)592 -0552 Building Department Comments RENOVATION FOR NEW TENANT, DRYWALL AND METAL FRAMING , NEW DOORS AND PAINT broadway art framing store UNIT 9025 Infractio Passed Comments INSPECTOR COMMENTS False Passed / y Inspector Comments FIRE APPROVAL 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 27, 2012 Page 1 of 1 40V MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 09/19/2012 MUNICIPAL NO.2012- 060525 FOLIO: 1132060110051 JOB SITE ADDRESS 9025 BISCAYNE BLVD PROPOSED USE RETAIL SALES /OFFICE TO RETAIL LEGAL 6 53 42 ASBURY PARK PB 4 -110 APPLICATION TYPE ALTER INTERIOR 0 SQFT 1 UNITS 1 FLOORS OWNER NAME SHORE SQUARE PROPERTIES LLC CONTRACTOR QUALIFIER PERMIT TYPE MUNICIPAL BLDG CATEGORIES 0001 MUNICIPAL GENERAL BUILDING DATE: 9/19/2012 PROCESS NUMBER: M2012009898 NE W*AMOUNT PAID 688.00 DERM 1 COMMERCIAL SE 70.00 DERM 2 ASBESTOS REVI 350.00 DERM 1 UP FRONT FEE- 80.00 DERM 1 SEWER CAP. CE 120.00 FIRE 1 FIRE MINOR PL 70.00 FIRE 25000 FIRE UPFRT FE 32.00 FIRE 1 SRI PLAN REVI 190.00 UPMU 1 UPFRONT FEE F 25.00 9/13/2012 15:47 MORAZAN 291209130128 CE NTRAL 688.00 MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 09/19/2012 MUNICIPAL NO.2012- 060525 PROCESS NO. M2012009898 FOLIO: 1132060110051 JOB SITE ADDRESS 9025 BISCAYNE BLVD PROPOSED USE RETAIL SALES /OFFICE TO RETAIL REQUIRED INSPECTIONS INIT DATE FIRE 0001 FIRE INSPECTIONS RECOMMENDED 200 FIRE HYDRANTS 208 FIRE TCO INSPECTION 211 PRELIMINARY 209 FIRE FINAL MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 09/19/2012 MUNICIPAL NO.2012- 060525 PROCESS NO. M2012009898 FOLIO: 1132060110051 JOB SITE ADDRESS 9025 BISCAYNE BLVD PROPOSED USE RETAIL SALES /OFFICE TO RETAIL TO SCHEDULE A FIRE INSPECTION, PLEASE VISIT THE WEB AT WWW.MIAMIDADE.GOV /BUILDING OR WWW.MIAMIDADE.GOV /FIRE. YOU WILL NEED TO PROVIDE YOUR TEN DIGIT MUNICIPAL INSPECTION NUMBER AND INSPECTION TYPE. THE INSPECTION TYPE CAN BE FOUND ON YOUR INSPECTION REQUIREMENTS AND RECORDS CARD. IF YOU HAVE ANY QUESTIONS OR CONCERNS REGARDING AN INSPECTION, SCHEDULING A PRELIMINARY INSPECTION, OR LOAD BANK TEST INSPECTION, PLEASE CALL FIRE PREVENTION AT 786- 331 -4800. IF YOU HAVE ANY QUESTIONS OR CONCERNS REGARDING A PLAN REVIEW, PLEASE CALL FIRE ENGINEERING AT (786) 315 -2771. * *BE ADVISED THIS IS NOT A PERMIT. PERMIT IS TO BE ISSUED BY YOUR CORRESPONDING MUNICIPAL BUILDING DEPARTMENT. Back tQ Main Menu 7/2y BLDG Home Page 1 BLDG Main Menu 1 BLDG Permit Menu 1 BLDG Plans Processing Menu 1 inspection Types 1 Address Format Home 1 Using Our Site 1 About 1 Phone Directory 1 Pnvacy 1 Disclaimer E -mail your comments, questions and suggestions to Wehmaster This page was last edited on: February 23, 2004 Web Site ® 2004 Miami -Dade County. All rights reserved. Page 1 of 1 Permit Number: CC -5 -12 -930 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 173976 Inspection Date: September 27, 2012 Inspector: Bruhn, Norman Owner: PROPERTIES LLC, SHORE SQUARE Job Address: 9031 -9069 BISCAYNE Boulevard 9031 Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: T&G CONSTRUCTION Permit Type: Commercial Construction Inspection Type: Final PE Certification Work Classification: Alteration Phone Number (305)779 -8040 Parcel Number 1132060110051 Phone: (305)592 -0552 Building Department Comments RENOVATION FOR NEW TENANT, DRYWALL AND METAL FRAMING , NEW DOORS AND PAINT broadway art framing store UNIT 9025 Passed )�� Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until September 26, 2012 For Inspections please call: (305)762 -4949 Page 1 of 1 ramos architects • and associates LETTER FOR FINAL CERTIFICATION September 25, 2012 Miami Shores Village Building Department 10050 Northeast 2°d Ave Miami Shores, Fl Re: Interior remodeling for Broadway Picture Art 9025 Biscayne Blvd Miami Shores, Fl Permit # To Whom It May Concern: I have personally inspected the work performed at the above referenced location. To the best of my knowledge and professional ability I find that all aspects of this job conform to the "approved plans" and the Florida Building Code. � cerely, :se Ramos Ramos Architects and Associates 15476 N.W. 77 Ct #402 Miami Lakes, FL 33018 (305)445 -6140 Fax (866)531-9599 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 179048 Permit Number: CC -5 -12 -930 Scheduled Inspection Date: September 27, 2012 Inspector: Grande, Claudio Owner: PROPERTIES LLC, SHORE SQUARE Job Address: 9031 -9069 BISCAYNE Boulevard 9031 Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: T &G CONSTRUCTION Permit Type: Commercial Construction Inspection Type: F. Insulation Certificate Work Classification: Alteration Phone Number (305)779 -8040 Parcel Number 1132060110051 Phone: (305)592 -0552 Building Department Comments RENOVATION FOR NEW TENANT, DRYWALL AND METAL FRAMING , NEW DOORS AND PAINT broadway art framing store UNIT 9025 Infractlo Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments September 26, 2012 For Inspections please call: (305)762 -4949 Page 39 of 43 1 "We're Building Relationships" Renovation • Construction • Maintenance Orlando 8623 Commodity Or Orlando, FL 32819 Tel 407/352 -4443 Fax 407/352 -0778 • Dallas 13714 Neutron Road Dallas, TX 75244 Tel 214/843-0182 Fax 214/329-0878 • Miami 8348 N.W. 56th Street Miami, FL 33166 Tel 305/592 -0552 Fax 305/592 -0559 www.t- and -a.com • CGC036059 Tuesday, September 25, 2012 Miami Shores Village Building Department Miami Shore Viillage 10050 NE 2nd Avenue Miami Shores, Fl 33138 Re: Certificate of Insulation 18S0003 - I.M.C. Prop. Mgmt. - 9037 Biscayne - Rental Space Renovation Dear Miami Shores Village, This letter is to certify that the insulation for the below referenced project was installed as per plans, specifications, and local codes. Permit # CC -5 -12 -930 Project: 9025 Biscayne Boulevard Owner. Shores Square Investments Job Address: 9025 Biscayne Blvd., Miami Shores, Florida 33138 The following Attachment(s) is hereby incorporated by reference: -none- Please contact me via email at rgonzalez @t- and -g.com or by telephone at 305 - 592 -0552 if you have questions or require additional information. Regards, T &G Constructors nzalez President C: Page 1 of 1 Miami Shores Village Building Department 10050 N.E.2hd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 ILDING PERMIT APPLICATION FBC 20 Perini i , e: BUILDING ROOFING RECEIVE: MAY 232012 Permit No. Master Permit No. CC.•• 12 '930 OWNER: Name (Fee Simple Titleho . er) ._. e'"? LG Phone #: 3051393 'Rg55 Address: (1264.0 NE 125 *4 City: N • MIA M I State: fL • Zip: Z( I Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 9037 'Z1sco6., fN.1=.. City: Miami Shores County: Miami Dade Zip: 3313e Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Phone#: 78e -246 -F3N Address: g3i4 Wcu £6 City: `DO g-4.1....- State: i L Zip: -33/ 66 Qualifier Name: R. t C ?C. GQ, i Z.,,D.L6. o . Phone #: sac-627z- C662 State Certification or Registration #: ((C 036 &5' f Certificate of Competency #: Contact Phone #: 7696 " 2I6— 4 Email Address: 3goOti c -r- A.14 b - G . co 6.- t DESIGNER: Architect/Engineer: \rose, 1-(CS Phone #: 3 as - WS` 6140 1AKC25 &&4 1 TECIS d• Ate , Value of Work for this Permit: $ 331 4c% CO Square/Linear Footage of Work: 41 ci� Type of Work: ❑Addition (Alteration ONew ORepair/Replace Demolition Description of Work: ®E� l AS D N(LL TI®14 foie- AEA) rrt 4 o, /i t.L)0(kc ` a 4 1- I6--nsC.. 246.4 -t t MC/ r-Ig.Jki Docei, 4j#.& b i ‹ .). fk-gc ri4Lax. -4 9-r-,4 I . m************ ****** ****** *** *a..x.x** **a:***FFeees�x**** x*• x• x. x*x• *• x+ x*. x***. x. x**+ x. x* •u•x**x•x:***•x*•x****** Submittal Fee $ JV Permit Fee $ /0/`7• / / CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ J1,2e J • vl ) 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 latvs regulating construction in this jurisdiction. I understand that a separate permit must be secured for FT.RCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing 'information is`aceurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. n 6 7 p �: _ "WARNING TO OWNER: YOUR FAILURE TO RECORD A ' WOTICE 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 attachme t. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which oc rs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be a', ' rr:" e" and a reinspection fee will be charged wner or Agent The foregoing in ' ent was acknowledged before me this 14h day of 20 11., by \/ ®i4 tc‘. - '. who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: ‘JKk►a',LA Ur tki . My Commission Expires: * * * * * * * * * **** * ** * * * * ** r Notary Public Stale of Florida Jacqueline Ortiz My Commission EE 189537 * :+k -3; d+* �> agif90 ******** Signature Contractor The foregoing instrument was acknowledged before me thiscDl day rimo4,4_2_ , by who is personally known to or who has produced as 1 enri fication and who did take an oath. NOTARY PUBLIC: sk******************** * * ** * *** *** ** * * * * * * * ** ** * * * * * ** APPROVED BY 6rd64J Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) >dr :ra• Zoning Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION (( PERMIT NO CID TAX FOLIO NO. 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. 111111111111111111111111111111111111111111111 CFI4 201220420489 OR Bk 28149 PS 30391 (1ps) RECORDED 06/14/2012 11 :37:17 HARVEY RUVIN: CLERK OF COURT MIAMI -DADE COUNTY: FLORIDA LAST PAGE /� C� /� Space above reserved for use of recording office 1. Legal description of property and street/address: Clan ii5CGi� (IC Uivd , Pli ci -ii h.. 33I 3' 2. Description of improvement: 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Cori a r'p ame, s and phone number: tip U r 5112 (iaM - . 331ipat L Z -0552. 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone n r�ber: Amount of bond $ N IA 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, address and phone number: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name address and phone number: r1 •• l 1 • g $34 Is nw 54, . N --tic .J .4. % - a3 to to 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 N�` \C:ner(s)'Authorized - OF COMMENCEMENT. Signature(s) of Owne r(s Officer /Director/Partner /Manager Prepared By Prepared By Print Name rigrarzipmm Print Name Title /Office • MIL— Title /Office STATE OF FLORIDA COUNTY OF MIAMI -DAD `- The for going instrum nt was acknowledged before me this 13 day of 4L.Ar1'e By 'ofOLM WZhCA11— ❑�individually, or ❑ as for urPersonally known, or ❑ produced the following type of identificati Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Signature(s) of Owner(s) or Owner(s)'s Authorized Officer /Director /Partner /Mana By By 123.01 -52 PAGE3 3l10 . 2012 Notary Public State of Florida P . Jacqueline Ortiz Al My Commission EE 189537 Expires 04 /15/2018 1 MIAMFDADE COUNTY Carlos A. Gimenez, Mayor 5/1/2012 Issued Date: 5/1/2012 SHORE SQUARE PROPERTIES LLC 696 NE 125 ST' MIAMI, FL 33161 RICARDO E BERMUDEZ 8240 SW 35 TERR MIAMI, FL 33155 ••• • • • ••• • • • •• • • • • • •• •• • • 2Q12- a\LL4CATION -01476 "PhrMittit>Ig'� Environment and Regulatory Affairs Environmental Services •• •• ,.,1189S SW 26th Street, Ste. 124 • • • • • •; :Miami, Florida 33175- 2474 • 0. 780 -3 5 -2800 F 786- 315- 2919 • ••• • • • •• • • • • • - • ••• ••. • •• - ••• •• • • . • • •• • • • •• • • • • • • • •.. • • • • • • • • • • • ••• • • • • • .:• • • • ••• • •• miamidade.gov RE: Sewer System Treatment and Transmission Capacity Certification The Miami -Dade County Department of Environmental Resources Management (DERM) has received your application for approval of a sewer service connection to serve the following project which is more specifically described in the attached project summary, Project Name: OFFICE TO CONNECT / M2012006590 Project Location: 9037 BISCAYNE BLVD, MIAMI SHORES, FL 33138 Previous Use: 2,297 SQ. FT. OFFICE ON SEPTIC TANK Proposed Use: 2,297 SQ. FT. OFFICE TO CONNECT TO SEWER Previous Flow: 0 GPD Total Calculated Flow: 115 GPD Allocated Flow: 115 GPD Sewer Utility: UNINCORPORATED DADE COUNTY Receiving Pump Station: 30 - 0049 DERM has evaluated your request in accordance with the terms and conditions set forth in Paragraph 16 C of the First Partial Consent Decree (CASE NO. 93-1109 CIV- MORENO) between the United States of America and Miami -Dade County. DERM hereby certifies that adequate treatment and transmission capacity, as herein defined, is available for the above described project. be advised that this approval does not constitute Departmental approval for the proposed project. Additional reviews and approval may be required from sections having jurisdiction over specific aspects of this protect. Also, be advised that the gallons per day (GPD) flow determination indicated herein are for sewer allocation purposes only (in compliance with Consent Decree requirements) and may not be representative of GPD flows used In calculating connection fees by the utility providing the service. Please be aware that this certification is subject to the terms and conditions set forth in the Sewer Service Connection Affidavit filed by the applicant, a copy of which is hereby attached. Should you have any questions regarding this matter, please contact the Miami -Dade Permitting and Inspecting Center (MDPIC) (786) 315 -2800 or DERM Office of Plan Review Services, Downtown Office (305) 372 -6899. Sincerely, Lee N. Hefty Interim Director Departm it of nvironme tal Resources anagement By: Carlo =mandez, .E. Chief, Office of Plan Review Services 2)(2, ti' / P ;' ,`t t .Cr l ¢ t ('c �=,. -`Page 1 of 1 NWf M MOM .•. • • • ••• • • • •• •• • • • •• •0 • • • • • • • • • • •. •; 2QI 2- tLLO;CATION -01476 • • 000 • 000 0 • • • • • • • • 0 • • • • • • . • • • • • • • • • • • • • • • • • • • • • • •041 •410 • 000 • 0 Owner's Name: SHORE SQUARE PROPEIk1"1ES144** Owner's Address: 696 NE 125 ST • • • • • • • • • • • • • • • •• MIAMI, FL 33161 • •0 0410 • • • • • 00 EEOS Allocation Number. 2012- ALLOCATION -01476 Project: OFFICE TO CONNECT / M2012006590 Proposed Use: 2,297 SQ. FT. OFFICE TO CONNECT TO SEWER Pump Station: 30 -0049 Projected NAPOT: 4.87 Folio Lot /Block Address Bldg Proc # Flow Sewer Sewer Sewer Exp. Date (GPD) Status Cert Date Recert Date 1132080110051 / 9037 M2012008590 BISCAYNE BLVD, MIAMI SHORES, FL 33 115 APP ': 5/1/2012 20121 Page 2 of Miami Shores Viltage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: 930 DATE: A) (90 )201D-) 1, - e g 6-5' Contractor Owner Architect Address: MriatiplQi From the building department on this date in order to liave corrections done to plans And /or get County stamps. l 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 DATE: 1 PERMIT CLERK INITIAL: A- Cod-Notriet{ Iov11 4-1 pl0ud 1 i off✓ -k) nroie, OfiCta- ) Ofk ]-1/U-, 004 -NW, 0 roe, hi Iriiri 1 ) c\etecic. - ale& W )- 1 _ tul x olk -04c) citS otS 0 FC cfaCci IV 4,),r} 1 )SSIO. _. pi, r MP; _, OAcc, wA do 1-1r) cOnr,rc,O, Prot )D )-42t J beck rk kak4 3 ' S '�^' Nel-f \/) # 1 - 4-1AR: Permit No: 12 -930 Job Name: June 1, 2012 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 Ql(The scope of work does not identify the demolition of the exsting ceiling and repair of all AC and lighting. Provide a mechanical permit for the repair of drops. 2) A water fountain for standing individuals is required per FBC Accessibility 602. 3) Mechanical and Electrical comments must be corrected. 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 - 762 -4859 Miami Shores Viiiage Building Department Permit No: 12- Job Name: Date: 2 fret V z / Z- ELECTRIC Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 c 9-,e, e277 /J 3'44 g=9‘.1-' 5 . P1. c A e$ 0 6' - ez,z,' p7S ei, irreey 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. Review Complete by: Michael A. Devaney SR. Chief Electrical Inspector PERMIT #: `CI 12- (31'5D j;e-C-e. C62 \A Contractor Owner Architect Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT DATE: 034C) ijoi'`' er) 1CO Oeie4 CrE Address: 3 1 )S-Caglib �11 From the building department on this date in order to have corn lions 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 DATE: PERMIT CLERK INITIAL: • www.sunbiz.org - Department of State Page 1 of 2 Home Contact Us E- Filing Services Document Searches Forms Help Previous on List Next on List Return To List No Events No Name History Detail by Entity Name Florida Limited Liability Company SHORE SQUARE PROPERTIES, LLC Filing Information Document Number L11000075982 FEI/EIN Number 452672348 Date Flied 06 /30/2011 State FL Status ACTIVE Effective Date 06/28/2011 Principal Address 696 NE 125TH STREET NORTH MIAMI FL 33161 US Mailing Address 696 NE 125TH STREET NORTH MIAMI FL 33161 US Registered Agent Name & Address ROBERT A. BRANDT, PA 696 NE 125TH STREET NORTH MIAMI FL 33161 US Manager /Member Detail Name & Address Title MGR IZHAK, YORAM 696 NE 125TH STREET NORTH MIAMI FL 33161 US Title MGR LIPTON, ALAN 649 OCEAN BLVD GOLDEN BEACH FL 33160 Annual Reports Report Year Flied Date 2012 03/29/2012 Document Images 03/29/2012 — ANNUAL REPORT in PDF form Entity Name Search ubit http: // sunbiz. org / scripts /cordet.exe ?action= DETFIL &ing_doc_number =L 11000075982 &in... 5/18/2012 ,► • www.sunbiz.org - Department of State 06/30/2011 — Florida Limited Liability Pi F, form Note: This is not official record. See documents if question or conflict. Previous on List Next on List No Events No Name History Return To List 1 Home I Contact us I Document Searches 1 E- Filing Services 1 Forms I Help I Copyriaht© and Privacy Policies State of Florida, Department of State Page 2 of 2 Entity Name Search http: / /sunbiz.org /scripts /cordet.exe ?action= DETFIL &inq doc_number =L 11000075982 &in... 5/18/2012 COUNTY Carlos A. Gimenez, Mayor 5/1/2012 Issued Date: 5/1/2012 SHORE SQUARE PROPERTIES LLC 696 NE 125 ST MIAMI, FL 33161 RICARDO E BERMUDEZ 8240 SW 35 TERR MIAMI, FL 33155 _ «ETV-ED JUN 2 0 2012 • • . • • • • • •• .. .. • • . • • • • • • • •• • • • • • • • • . ,k; • • • • • • • • 4012!AIL6C.ATI ON -01476 Permitting, Environment and Regulatory Affairs • • ••• • • • • • . • Environmental. Services • • • • • • • • • • • • • ,1'805 SW 26th Street, Ste. 124 • • ••• • • • • • • • Miami, Florida 33175 -2474 • • • • • ••• • • • • •f 786 -315 -2800 F 786 -315 -2919 miamidade.gov RE: Sewer System Treatment and Transmission Capacity Certification The Miami -Dade County Department of Environmental Resources Management (DERM) has received your application for approval of a sewer service connection to serve the following protect which is more specifically described in the attached project summary. Project Name: OFFICE TO CONNECT / M2012006590 Project Location: 9037 BISCAYNE BLVD, MIAMI SHORES, FL 33138 Previous Use: 2,297 SQ. FT. OFFICE ON SEPTIC TANK Proposed Use: 2,297 SQ. FT. OFFICE TO CONNECT TO SEWER Previous Flow: 0 GPD Total Calculated Flow: 115 GPD Allocated Flow: 115 GPD Sewer Utility: UNINCORPORATED DADE COUNTY Receiving Pump Station: 30 - 0049 DERM has evaluated your request in accordance with the terms and conditions set forth in Paragraph 16 C of the First Partial Consent Decree (CASE NO. 93-1109 CIV- MORENO) between the United States of America and Miami -Dade County. DERM hereby certifies that adequate treatment and transmission capacity, as herein defined, is available for the above described project. Furthermore, be advised that this approval does not constitute Departmental approval for the proposed project. Additional reviews and approval may be required from sections having jurisdiction over specific aspects of this project. Also, be advised that the gallons per day (GPD) flow determination indicated herein are for sewer allocation purposes only (in compliance with Consent Decree requirements) and may not be representative of GPD flows used in calculating connection fees by the utility providing the service. Please be aware that this certification is subject to the terms and conditions set forth in the Sewer Service Connection Affidavit filed by the applicant, a copy of which is hereby attached. Should you have any questions regarding this matter, please contact the Miami -Dade Permitting and Inspecting Center (MDPIC) (786) 315 -2800 or DERM Office of Plan Review Services, Downtown Office (305) 372 -6899. Sincerely, Lee N. Hefty Interim Director Department of nvironme tal Resources Management By: Carlo mandez, '.E. Chief, Office of Plan Review Services I� 11 • • •• • • ••• • • • .. 0 • • • • s . • • • • • •. • • • • • • • • ••• ••• �•• ••2012- ALLOCATION -01476 .• ••• •. • • • .. • • . • • • • • • • •. ••• • • • • • •• Owner's Name: SHORE SQUARE PROPERTIES LLC Owner's Address: 696 NE 125 ST MIAMI, FL 33161 EEOS Allocation Number: 2012 - ALLOCATION -01476 Project: OFFICE TO CONNECT / M2012006590 Proposed Use: 2,297 SQ. FT. OFFICE TO CONNECT TO SEWER Pump Station: 30 -0049 Projected NAPOT: 4.87 1132060110( M2012006590 BISGA LVD,:M; SH©RES, F P's 2 Page 2 of 1 Air System Sizing Summary Project Name: TENANT IMPROVEMENT @ 9037 BISCAYNE BLVD Prepared by MARTINEZ ASSOC. or RTU -1 06/12/2012 12:23PM Alr System Information Air System Name RTU-1 Equipment Class PK ampenewomemilallgsiouierew Sizing Calculation Information JUN 2 ,' 2,012 Zone and Space Sizing Method: Zone CFM Sum of space aireo T Space CFM Individual peak spacd-loads Central Cooling Coil Sizing Data Total coil load 7.3 Tons Total coil load 87.4' MBH"" - Sensible coil Toad • 68.3 MBH Coil CFM at Jul 1700 3776 CFM Max block CFM 3776 CFM Sum of peak zone CFM :,- -S nslbleta at ratio ft2/Ton BTU /(hr -ft') Water flow (a 10.0 °F rise 1 2296.0 ft2 Sizing Data _____ Jan to Dec Calculated Load occurs at Ju11700 OA DB / WB --- 89.87 76:T °F _ . _... Entering DB / WB 78.0 1 67.6 °F Leaving DB / WB 61.3 1 60.3 °F Coil ADP • 59.4 °F 3776 CFM Bypass Factor 0 100 11.78L-7-________,..___ ._.ResuttingRli 68V , 77-- . 3162 Design supply temp. 68.0 °F 38.1 Zone T-stat Check../...... 1 of 1 OK NIA Max zone temperature deviation 0 0 °F Central Heating Coil Sizing Data Max coil Toad 24.0 MBH Con CFM at Des Htg 3776 CFM Max coil CFM 3776 CFM . Water -flower :0 °Fdrop NIA- Supply Fan Suing -Data" — Actual max CFM 3776 CFM Standa►d CFM 3774 CFM Actual max CFM/ft2 1.64 CFM/ft2 Load rs at Des � 1 BTU /(hr ft2) Ent DyLvg DB 68.6 / 74.6 °F Outdoor Ventilation Air Data -Design alt f M 196 CFM CFM/ft2 0.08 .CFMift2 0.00 BHP 0.00 kW k _ 0.00 Inwg -CFRA/p rsolfi'' 1625 - CFM rr --- PDP c�eail ciswl` 1raririe2Print pdfFactory Pro trial version www.Ddffactory.com Page 1 of 1 1 Zone Sizing Summary for RTU-1 Project Name: TENANT IMPROVEMENT @ 9037 BISCAYNE BLVD Prepared by MARTINEZ ASSOC. 06112/2012 12:23PM , Air System Information Alr System Name RTU-1 Number of zones 1 . ui .ment Class PKG ROOF Floor Area 2296.0 ft2 Sizing Calculation information Zone and Space Sizing Method: Zone CFM Space CFM Sum of space airflow rates Individual peak space loads Zone Sizing Data Calculation Months Jan to Dec Sizing Data Calculated Zone Terminal Sizing Data Space Loads and Airflows g.4444,„ 441444 ..44, No Zone Terminal Sizing Data required for this system. OWE:, 444 ,4.4 , 441L 4,4,44414 4. • .• 4444 ---kez Zone 1 Ing -, .,--Tq • „., IIIM;Eu'mllIl""W"U"!1.'"ltILdJlillIllIllrlir.dIIIIIIIIIIIILLII nummlopm-............T. iii, , i E:1 RESTROOM AREA 1 1.2 Jul 1700 64 0.7 52.0 1.22 PDPitrirYeAaTgisailtrTiYi4e2Print pdfFactory Pro trial version www.pdffactory.com Page 1 of 1 Zone Design Load Summary for RTU-1 Project Name: TENANT IMPROVEMENT @ 9037 BISCAYNE BLVD Prepared by MARTINEZ ASSOC. 08/12/2012 12:23PM •• •••::....,..,;:::::,:•:•Iii:::::•:,:w,,,,,,i1MIN:ii.NMAPEgHP24f*iii:tillgiiitg "4"-f ONE Window.li Skylight Solar Loads i," i',0iii,i'Vri•il..t.-!' .-13t::.417. 404 160 ft? ?:. ;::::",..7g;7# ;.#1. ',7i:Tditigliiiiiiiligiehlitti -$..TEI"'t.i, '' 41%, alaiAr411.4.7"111:1111:t121.111RIFITIMP ...,......str,.. ... 10283 *"•"'"iNillillig- ' ,.., - 11. - .atIT-77.,•` IstrZi4-72L.,=,,,,,a Th-t=4:-.71griV41:4a4:::•4gF4g0.1.4•!4g:A.d.,71:359FIRO:14.kiNiFi: • - • " ' .•:, .,...Q.-4gr------ 6: 6.:": '... ' f 7:::„ ..0: ,...,.. ,..,:. ,.......7..,; .,;:- :=.1gliige--- .. .-'. ' 160 ft? ' • V■i•SiiiiiiiPhOiiiiiiltri :.,.,r" i _',4,:.:Ci:::::•i' ' 7 Lt....„_....,......_ -1awsgESIMPORBRoggxe f ii.::1E91..,117....::.:z...4g1111:41:7155:-.1...7:,: •, :„. i • ---t ,-,.. ,. -,.,.. ... - . — Wall Transmission 1451 ft? 11371 - 1451 ft? 13724 - • 229612 — -----2296-ft2 - Roof-Transmission ---5719 —2710 Window Transmission 160 ft? 1264 - 160 ft? 2258 - Skylight-Transmission 0-ft2 0 • - Door Loads 21 ft2 85 .. 21 ft? 151 • - FleOr Transmission 0 ft? 0 - 0 ft? 0 - Partitions 0 ft2 0 - 0 ft2 0 - • Oft2. 0 - ()fathead Lighting 5455W • 18613 - 0 0 - - — _,-----„,—,.. Task Lighting 0 W .• 0 - 0 0 .- Electric Equipment 0 W • • 0 - 0 0 - - People 12 2940 2460 0 0 0 infiltration - 0 0 ..' 0 0 Miscellaneous - 19000 12000 - 0 0 Safety Factor ..., ...,„,z,,,,,,,,,:vriswig:, 0% / 0% ,,,,,;:eiti-imea...,.-.-,,w.,,...,. • 0 : --,,,,,,,,. :, 0 • . 0% „:„,..,..01:„„„„7.-... ..._ 0 0 -_,4,--,, '..•-:-.::::a17';ALP----"W„. 7.4%:.4.-pw..„.z.:, :,.,,,,,,,,: i.„."1-,,,,,' PDPCrirYeAaneeY8sArariYi4e2F'rint pdfFactory Pro trial version www.odffactory•com Page 1 of 1 PROJECT SUMMARY Short Desc: IMP Owner: Addressli 9037 BISCAYNE BLVD: Address2: Description: TENANT IMPROVEMENT Type: Office City:_ MIAMI SHORES State: FL Zip: 0 Class:. Renovation to existing buildi Jurisdiction: MIAMI SHORES VILLAGE, MIAMI -DADE COUNTY, FL (232600) C o n d l t i o n e d A r e a : 96 S F _ — Conditioned & UnConditioned a:-- 2296 =SS1 - No of Stories: 1 Area entered from Plans 2296 SF Permit No: CI Max Tonnage 7.5 If different, write in: 6/12/2012 EnergyGauge Summit® FIa/Com -2010. Section 506.4 Compliant Software. Effective Date: March 15, 2012 Page 1 of 8 Compliance Summary Component _ _ _ Design Criteria Result Gross Energy Cost (in $) 1.62.1.0 1,754.0 PASSED System Unmet Hours LIGHTING CONTROLS EXTERNAL LIGHTING HVAC SYSTEM-" - PLANT WATER HEATING SYSTEMS PIPING SYSTEMS Met all required compliance from Check List? 14.0 2.0 PASSED PASSES PASSES PASSES -_. None Entered..... None Entered None Entered Yes/No/NA IMPORTANT MESSAGE Info- 5009 - ----- - An- input - report- of -this design building must be submitted along with -this- Compliance Report 6/12/2012 EnergyGauge Summit® FIa/Com -2010. Section 506.4 Compliant Software. Effective Date: March 15, 2012 Page 2 of 8 EnergyGauge Summit® FIa/Com-2010. Section 506.4 Compliant Software. Effective Date: March 15, 2012 6/12/2012 Page 3 of 8 CER 1 ll1CATIONS I hereby certify that the plans d specifi tions covered by this calculation are in compliance with the Florida Energy Code Prepared By: Building Official: - - Date: ..- 4,--=--, t---,--- ' ' Date:- I certify that this building is i .,mpliance with the FLorida Energy Efficiency Code / 10 Owner Agent: ,..1. Date: i■ - - - _ 11 If Required by Florida law, I hereby certify (*) that the system design is in compliance with the Florida Energy Efficiency Code ' tt 4,-1*-- attl-714zaS Archrtec__ Reg No: ,411,-1 ( (ii 131ectncalDesigner: Reffski: Lighting Designer: Reg No: Mechanical Designer: Reg No: Plumbing Designer: Reg No: (*) Signature is required where Florida Law requires design to be performed by registered design -professionals, EnergyGauge Summit® FIa/Com-2010. Section 506.4 Compliant Software. Effective Date: March 15, 2012 6/12/2012 Page 3 of 8 Project IMP Tide: TENANT IMPROVEMENT Type: Office (WEA File: FL_MIAMI OPA_LOCICA.Im3) Building End Uses Total 1) Proposed 2) Baseline 103.70 140.10 $1,624 $2,193 30408 140.10 41061 ELECTRICITVAIMWMNIA) 103.70 $1,624 $2,193 AREA LIGHTS 0.20 26.40 46 7735 $2 $413 MISC-EQUIP PUMPS & MISC 10092 $539 10092 $539 0.00 0.00 1 2 $0 so SPACE COOL 43.90 49.70 12875 --14556 $688 $777 SPACE-HEAT - 010 0 ti IF- , $o VENT FANS 25.10 29.60 7353 8676 $393 $463 Passing_requires Proposed Building costto he atinost_80% - PASSES - of Baseline cost. This Proposed Building is at 74.1% 6/12/2012 EnergyGauge Summit® Fla/Com-2010. Section 506.4 Compliant Software. Effective Date: March 15, 2012 Page 4 of 8 Project: IMP Title: TENANT IMPROVEMENT Type: Office (WEA File: FL_MIAMI OPA_LOCICA.tm3) External Lighting Compliance Description Category Tradable? Allowance Area or Length ELPA CLP (VV/Unit) or No. of Units (W) (%V) (Sqft or ft) Ext Light 1 Walk way less than 10 feet wide Yes 1.00 50.0 50 15 Tridable Surfacei: 15 (W)-Allow-inCe—for IVidable:790 (W) All External Lighting: 15(W PASSES Complicance check includes a excess/Base allowance of 750.00(W) Project: IMP Title: TENANT IMPROVEMENT Type: Office (WEA File: FL_1VIIAMLOPA_LOCKA.tan3) Lighting Controls Compliance Acronym Ashrae Description ID- Area Design Min Compli- CKIA— CP-- CP— —anew- I I' PASSES Project: ILVIP Title: TENANT IMPROVEMENT Type: Office (WEA File: FL_MIAMI_OPA LOCKA.tm3) RTU-1 RTU-1 System Report Compliance - - - Constant Volume Packaged No. of Units System-902 1 .. • Component Category Capacity Design Eff Design IPLV Comp- Eff— Criferta IPLV Criteria -Hance- Cooling System Heating System Air Handling - System -Supply Air Conditioners Air Cooled 11.40 11.20 11.50 11.40 PASSES 65000 to 135000 Btu/h Cooling Capacity Electric Furnace 1.00 1.00 PASSES - Air Handler (Supply)_ - 0.80 0.82 PASSES _ _ Constant Volume PASSES 6/12/2012 EnergyGauge Summit® Fla/Com-2010. Section 506.4 Compliant Software. Effective Date: March 15, 2012 Page 5 of 8 Plant Compliance Description.. Installed Size Design Min De... Min . Category Comp f nance No F, Eff IP 1PLV None Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Eff Loss Loss fiance None PipingSystemCompliance Category Pipe Dia Is Operating Ins Cond Ins Reg Ins Compliance [inches] Runont? Temp [Btu -in/hr Thick [in] Thick [m] [F] .SF.F] None 6/12/2012 EnergyGauge Summit® FIa/Com -2010. Section 506.4 Compliant Software. Effective Date: March 15, 2012 Page 6 of 8 Project: IMP Title: TENANT IMPROVEMENT Type: Office (WEA File: FLMIAMI OPA LOCICA.bn3) • Category Section Requirement (write N/A in box if not applicable) Check Report 506.4.2 Operations Manual 3033.1, 503.2.9.3, 505.7.4.2 Windows & Doors 5023.2" Joints/Cracks Input Report Print-Out from EnergyGauge FlaCom attached Operations manual provided to owner Glazed Stvinging entrance & revolVing &OA: mai:1A cfin/ft2; aft other products: 0.3 cfm/ft2 502.33 To be caulked, gasketed, weather-stripped or otherwise sealed Vented: seal & insulated ceiling:Unvented Seal griusTilitte root&'. side walls 503.2.3 Minimum efficiencies: Tables 503.2.3(1)-(8) Dropped Ceiling Cavity 502.3 HVAC Efficiency HVAC Controls Ventilation El- 503.2.4 Zone controls prevent reheat (exceptions); separate thermostatic 1:1— control per zone; 503.2.5 Outdoor air supply & exhaust ducts shall have dampers that alitikontitally shUt wlfen-systerns or spaces lercred–are Win USe. Exhaust air energy recovery required for cooling systems ADS HVAC Ducts Balancing 503.2.7.5 503.2.7 503.2.9.1 Piping1nsulation--503-2-.8 Water Heaters _ _504 _ Swimming Pools Motors Lighting Controls Duct sizing and Design have been performed Air ducts, fittings, mechanical equipment & plenum chambers shall be mechanically attached, sealed, insulated & installed per Table 503.2.7.2. Fan power lhnitations. HVAC distribution system(s) tested & balanced. Report in construction documents. HAeanchervice-service-IrnrccordancevitkTable-503.2:87---- Performance requirements in accordance with Table 504.2. Heat trap required. 504.7 Vapor-retardant or liquid cover or other means proven to reduce heat loss on heated pools; Time switch exceptions); readily _ accessible-on/offswitch. 505.7.5 Motor efficiency criteria have been met 505.2, 502.3 Automatic control required for interior lighting in buildings >5,000 s.f.; Space control; Exterior photo sensor, Tandom wiring with 1 or 3 linear fluorescent lamps>30W 6/12/2012 EnergyGauge Summit® Fla/Com-2010. Section 506.4 Compliant Software. Effective Date: March 15, 2012 Page 7 of 8 Project: IMP Title: TENANT IMPROVEMENT Type: Office (WEA File: FL MIAML OPA LOCKA.tm3) UnmetlHours Report System-: RTU -1-- Zone:IMP -... - Proposed Building Hours Under ____ Hours Under ___ __ Cooled Heated May 0 Jul 0 2 7 4 Aug.._ . 0 - Sep 0 Year: 0 1 14 ^ Baseline Building- ~-°-�- - -- System: PrOS Zone :IMP Hours Under Heated Hours Under Cooled Apr 2 Year: 2 0 0 6/12/2012 EnergyGauge Summit® FIa/Com -2010. Section 506.4 Compliant Software. Effective Date: March 15, 2012 Page 8 of' 8 6/12/2012 Energ j�Gange Summit® v4.00 1 EnergyGauge INPtJT Sumrhit® v4.00 DATA REPORT Prc'ect Infoiination Project Name: IMp Project Title: TENANT IMPROVEMENT Address: 9037 BISCAYNE BLED. State: FL Zip: 0 Owner: Orientation: Building adding Classification: No of GrossArea: North Type: Office Renovation to existing building Stories: 1 2296 S Zones No Acronym Description Tye Area Multiplier Total Area 1611 [sal 1 IMP IMP CONATTIONED 1 i 2296.0 1 2296.0 ❑ j Spaces No Acronym Description Type Depth [ft] Width Height Multi Total Area Total Volume [ft] [ft] plier [sf] [cf] 6/12/2012 Energ j�Gange Summit® v4.00 1 In Zone: IMP 1 IMP IMP Office - Enclosed 65.60 35.00 12j.00 1 2296.0 27552.0 Lighting No 1Ype Category No. of Watts per Power Control Type No.of Luminaires } Luminaire [W] } Ctrl pts SS In Zone: IMP In Space: liMP , f 1 Recessed Fluorescent - . General Lighting r 1 15 15 Manual On/Off 1 0 INo vent% Walls No Description Type Width H (sec) Multi Area DirecdonConductance Heat Dens. R -Value [ft] [ t] plier [sf] } [Btu/hr. sf. F] Capacity [!b /cf] [h.sf.FBtu] [8tu/sf.F] In Zone: IMP i 1 E WALL 5/8" stucco 31.00 1.00 /8 "CMU/3 /4 "ISO BTWN24 "oc/.5" [ t Gyp 2 S WALL , 5/8" stucco 74.00 1 /8 "CMU/3 /4 "ISO BTWN24 "oc/.5" 1 Gyp ! 3 W WALL ; 5/8" stucco 31.00 12.00 /8 "CMU/3 /4 "ISO BTWN24 "oc/.5" Gyp 1 .00 1 1 372.0 East 888.0 South 372.0 Welt 0.2067 5.731 � II 34.65 4.8 0.2067 5.731 34.65 4.8 ■ 0.2067 5.731 ! 34.65 4.8 111 Windows No Description Type Shaded " U SHGC Vis.Tra tu/hr sf F] W H (Effec) Multi Total Area f [ft] [ft] plier [sf] 6/12/2012 EnergyGauge Summit v4.00 2 In Zone: IMP In Wall: W WALL i 1 W WIND User Defined j No . 1.2500 0.$2 0.76 '16.00 10.00 1 160.0 ❑ Doors No Description Type Shaded? Width H (Ehet) [ft] [ft°] Multi Area; Cond. Dens. Heat Cap. , R -Value plier [sf] % [ Btu/hr. sf. F] [lblcf] [ Btu/sf. F] 1 [h.sf.FBtu] In Zone: IMP In Wall: 1 1 I E WALL" j�. E DOOR Solid core flush No 3.00 7.00 (2.25) 1 21.0 0.3504 0.00 0.00 2.85 ❑ Roofs k I No Description Type Width H ( Effec) Multi Area Tilt Cond. Heat Cap Dens. R -Value [ft] [ft] 'diet. [sf] [deg]j' [Btu/hr. Sf. F] [ Btu/sf. F] [lb /cf] [hsf.FBtu] In Zone: IMP 1 ROOF Mtl Bldg Roof1R -19 I 35.00 62.60 1 2191.0 0.00. 0.0492 1.34 9.49 20.3 ❑ Batt Skylights No Description Type U [Btu/hr SHGC sf F] Vis.Trans W i H ( Effec) Multiplier Area Total Area [ftl [ft] [Si.] [Sf] In Zone: In Roof: Floors 1 No Description Type Width [ft] H (Effec) Multi Area Cond. Heat Cap. Dens. R -Value [ft] plier [sf] [ Btu /hr. sf. F] [Btu/sf. F] [1b /cf] [h.sf.F/Btu] 6/12/2012 EnergyGauge Summit® v4.00 3 6/12/2012 EnergyGauge Summit v4.00 4 1 In Zone: IMP ; , 1 FLOOR 1 ft. soil, concrete ' 35.00 floor, carpet and rubber pad 65.60 1 1 2296.0 0.2681 34.00 113.33 3.73 ❑ Systems RTU -1 RTU -1 Constant Volume Packaged No. Of Units 1 System- -902 Component Category Capacity EificiencY IPLV 1 Cooling System 2 Heating System 3 Air Handling System -Supply 90000.00 11.40 40956.0(i 1.00 3000.00 0.80 11.50 in • IN Plant Equipment Category Size ' InfitNo E1L IPLV 4 ❑ Water Heaters W- Heater Description Capacit3Cap.Unit 1 VP Rt. Effi4iency Loss , I 1 Ext- Lighting Description Category 1 No. of Watts 'Luminaires Lliminaire i per �ft/No] n/No. of units Control Type Wattage [W] 1 Ext Light 1 Walk way less than 10 feet I 1 , wide 15 50.00 Photo Sensor. control 15.00 ❑ 6/12/2012 EnergyGauge Summit v4.00 4 Piping No OPe Ong Tin tare Insulation Nomonal pipe Insulation Is Runout? C nductivity Diameter [ Btu- in/h.sf.F] Name Glass Type No. of Panes Fenestration Used 4 Glass Conductance [Btu/h.sf.F] SH C VLT ASHULSg1C1rAIl User Defined Frm 1 1.2500 0.8200 0.7600. Thick [in; 6/12/2012 EnergyGauge Summit®,v4.00 5 1Vlaterials Used Mat No Acronym Description 1 Only R-Valtte RValue { Thickness Used [h.sf.F/Btai] [ft] Conductivity Dei [B F] [IbFf] ity 1 SpecificHeat , [Btu/lb.F] 4 187 Matll S 7 OYF Ott FLA$ I No 0.4533 i 0.0417 0.0920 5 .00 0.2000 U BOARD,1/21N I ■ 178 Mat1178 CARPET W/RU$BER PAD Yes 1.2300 1 ■ 265 Mat1265 Soil, 1 ft No 2.000 1.0000 03000 117.00 02000 NI 48 Mat148 6 in. Heavyweight concrete t. No 0.5000 03000 1 1.0000 14100 02000 ■ 268 Mat1268 0.625" stucco No 0.1302 ' 0.0521 0.4000 1..00 `': 0.2000 IN 42 Mat142 8 in Lightweight concrete No block 2.0212 0.6670 03300 3, .00 - 02000 1• 269 Mat1269 35" ISO BTWN24" oc No 2.2321;; 0.0625 0.0280 4'19 0.3000 ■ 23 Mat123 6 in. Insulation No 20.0000 ; 03000 0.0250 5'10 02000 Ift 94 Mat194 ` BUILT -UP ROOFING, 3 /8IN No 0.3366 0.0313 0.0930 71.00 % 0.3500 ■ 6/12/2012 EnergyGauge Summit®,v4.00 5 6/12/2012 Ene auge Summitt* v4.00 6 Constructs Used Simple i Massless I Conductance H eat Capacity i No Name Construct Construct , [Btu/h.sf.F] [Btu/sf.F] i i -tt t(Value . cf] [h.$$FBtu] 1011 5/8" stucco /8 "CMU/3 /4 "ISO No BTWN24 "oc/.5" Gyp No 021 ? 5.73 .65 4.8 ■ Layer Material Material No ( : 1 268 0.625" stucco , 2 42 8 in. L.ightweighh concrete b1 3 269 35" ISO BTWN24" oc t 4 187 GYP OR PLAS BOARD,1/2Ib, Thickness 0 k 0 0 T 0 Framing Ift] 0521 6670 0625 0417. Factor 0.000 0.000 0.000 0.000 ■ 1 MI ■ No Name Simple '' Massless Construe Construct Conductance [Btu/h.sf.F] Heat Capacity D [Btu/sf.F] 'tt RValue cf] [h.sL.F/Btu] 1056 Mil Bldg Roof/R -19 Batt No No 0.05 134 ° 49 ! 203 . • Layer Material Matral No. 1 94 BUILT 2 23 6 in. Insulation -UP ROOTING, Thickness 3/81N 0 0 Framing [ft] Factor 0313 0.000 5000 6 0.000 i IN ■ No Name Simple Massless { Construe Construct Conductance Heat Capacity D , [Btu/h.sf.F] 1 [Btu/sf.F] � 'ty RVaIue /cf] [h.sf.FBtu] 1057 1 ft. soil, concrete floor, carpet and 'Tubber pad;, No No 0.27 s 34.00 1:.33' 3.7 ■ Layer Material Material No. 1 i , 1 265 Soil, I ft 2 48 6 in. Hvyw gi► ea ei t concrete 3 178 CARPET W/RUBBER PAD Thickness 1.0000 0,5000 i Framing [ft] yy?actor 1 0.000 0.000 0.000 ■ 111 IN 6/12/2012 Ene auge Summitt* v4.00 6 Simple Massless Conductance Heat Capacity Density RValue Construct Construct [ Btu /h.sf.F]. [Btu/sf.F] [L/cf] [hsf.FBtu] 1058 Solid bore flush (2.25) No 9 Yes f, 0.35 2.9 Layer Material. Material . No. 279 Solid pore flush (2.25 ") . Thickness [ft] !Framing Factor 0.000 El 6/12/2012 7 6/12/2012 8 PrOfilleS 0 0 No Classification No Classification 201 People , 2 , 202 Lighting 2 203 Infiltration i 2 204 Equipment i 2 205 Sources 1 2 IFractional 1 206 HeatTemp 202 207 CoolTemp 1 201 208 Hot Water Schedule 2 1,001 Heating Schedule : 1 1,002 Cooling Schedule 1 1,003 Fan Operation Schq 1 i 501 ACM-NonRes ACM Nonres 201 People , 519 202 Lighting 1 507 203 Infiltration ; 516 204 Equipment 1 510 205 Sources i 2 206 HeatTemp 1 501 207 CoolTemp , 504 208 Hot Water Schedule' 522 1,001 Heating Schedule , 410 1,002 Cooling Schedule ; 410 1,003 Fan Operation Sche 513 Fractional Null SOhedule Fractional Null Schedule Fractional Null S Fractional Null Null SChedule Set Point 55 et Point 99 Fractional Null Schedule �N-OFF Null Schedule Null Schedule ON-OFF Null Schedule ACM Nonres Peqple ACM Nonres Lights ACM Nonres Infiltration ACM Nonres Equipment Fractional Null Sthedule ACM Nonres Heating ACM Nonres Cooling ACM Nonres Hot Always ON Always ON ACM Nonres Faris 1 hedule hedule , . , 1 Water , 1 , , 501 6/12/2012 8 6/1212012 EnergyGauge Summit v4.00 9 J _ t Schedul s 1 1 Monday Monday Monday ShHr179 Monday 'hHr180 Monday ShHr201 Monday ShHr2Q2 On/Off Tuesday ShHr1 Fraction Tuesday ShHr2 Absolute Tuesday ShHr179 Absolute Tuesday ShHr180 Absolute Tuesday ShHr201 Absolute Tuesday ShHr202 Wednesday ShHr1 Wednesday ShHr2 Wednesday ShHr179 Wednesday ShHr180 Wednesday ShHr201 Wednesday ShHr202 ON -OF Fractio SetPt78 Set Poirtt Set Point i 1 Set Point Null Schedule IThursday 1ShHr1 al Null Schedul a Thursday ShHr2 Thursday ShHr179 70 Thursday ShHr180 99 Thursday IShHr201 55 Thursday ShHr202 Friday hHr1 Friday ShHr2 Friday ShHr179 Friday ShHr180 Friday hHr201 Friday ShHr202 Saturday ShHr1 I 1 I Saturday ShHr2 r Saturday ShHr179 i Saturday ShHr180 ? Saturday ShHr201• aturday $hHr202 Sunday ShHr1 Sunday ShHr2 Sunday ShHr179 Sunday ShHr180 Sunday ShHr201 Sunday ShHr202 ' Holiday ShHr1 Holiday 1 ShHr2 Holiday ! ShHr179 Holiday ShHr180 ' Holiday ShHr201 Holiday ShHr202 Hourly Sch. for: 12/31/1989 ShHr1 2 2 Hourly Sch. for: 12/31/1989 ShHr2 44 44 Hourly Sch. for: 12/31/1989 45 45 Hourly Sch. for: 12/31/1989 201 201 Hourly Sch. for: 12/31/1989 202 202 Hourly Sch. for: 12/31/1989 6/1212012 EnergyGauge Summit v4.00 9 410 410 Hourly Sch. for: Monday 12/31/1989 ShHr410 501 501 Hourly Sch. for; Monday 12/31/1989 ShHr501 On/Off Alwayy ON of Tuesday Wednesday 'Thursday ShHr410 SliHr410 y; ShHr410 Absolute Tuesday ShHr501 ACM NOnres.Heating Friday ShHr410 Wednesday 'Thursday Friday ShHr501 s ShHr501 ShHr501 I 504 504 Absolute ' ACM Tuesday Wednesday ShHr504 ShHr504 Hourly Sch. for 12/31/1989 Monday ShHr504 507 507 Hourly Sch. for: Monday 12/31/1989 ShHr507 510 510 Hourly Sch. for:: Monday 12/31/1989 ShHr510 513 513 Hourly Sch. for; Monday 12/31/1989 ,ShHr513 516 516 Hourly Sch. for Monday 12/31/1989 ShHr516 Fraction Tuesday ShHr507 lonres Cooling `Thursday Friday ShHr504 ShHr504 ACM Nonres Lights Wednesday ,Thursdav ShHr507 ShHr507 Friday ShHr507 Fraction `; ACM Ncnres Equipment Wednesday Thursday; Friday ShHr510 ShHr510 ShHr510 Tuesday ShHr510 On/Off Tuesday ShHr513 ACM r J9nres Fans Wednesday Thursday Friday ShHr513 ShHr513 ShHr513 �}�� ACM INonres Infiltration Fraction Tuesday ShHr516 Wednesday ShHr516 ;Thursday Friday ShHr516 ShHr516 Saturday Sunday 1ShHr410 ShHr410 S.aturdav Sunday ShHr502 ShHr503 Saturday Sunday ShHr505 ShHr506 Saturday Sunday ShHr508 ShHr509 Saturday Sunday !ShHr511 ShHr512 } ISaturdav Sunday 1ShHr514 ShHr515 Saturday Sunday ShHr517 ShHr518 Holiday ShHr410 Holiday ShHr503 Holiday ShHr506 Holiday ShHr509 Holiday ShHr512 Holiday ShHr515 Holiday ShHr518 6/12/2012 EnergyGauge Summit v4.00 10 519 519 Hourly Sch. fore Monday 12/31/1989 ShHr519 522 522 Hourly Sch. fort Monday 12/31/1989 ,ShHr522 1,001 1,001 Hourly Sch. for Monday 12/31/1989 ShHr10001 1,002 1,00 Hourly Sch. for Monday 12/31/1989 ShHrl 0002 1,003 1,003 Hourly Sch. for: Monday 12/31/1989 ShHr10003 Fraction _ ACM Ncnres People ;Thursday Friday ShHr519 ShHr519 Tuesday Wednesday ShHr519 ShHr519 Fraction ACM Nonres Hot Wate Tuesday Wednesday `Thursday ShHr522 ShHr522 ;ShHr522 Friday ShHr522 Absolute Absolute null schedule Tuesday Wednesday :Thursday Friday. ShHr10001 ShHr10001 ShHr10001 ShHr10001 Absolute Absolute null schedule Tuesday Wednesday Thursday Friday ShHr10002 ShHr10002 ShHr10002 ShHr10002 Absolute Absolute null schedule Tuesday Wednesday ;jThursday Friday ShHr10003 ShHr10003 ShHr10003 ShHr10003 Saturday Sunday ShHr520 ShHr521 Saturday Sunday ShHr523 ShHr524 Saturday ShHr10001 Holiday ShHr521 Holiday ShHr524 Sunday Holiday ShHr100! ShHr10001 Saturday Sunday ShHr10002 ShHr100 Saturday Sunday ishHr10003 ShHr100 Holiday ShHr10002 Holiday ShHr10003 6/12/2012 EnergyG f auge Summit® v4.00 6/12/2012 12 ourly Scdules 1 � Id Acronym Type Values ' Hours 1 Hours 9 Hours 17 thqu 8 -16 -24 1 ShHr1 On -Off Null Schedule 2 ShHr2 1 Fraction Null Schedule 3 ShHr3 E Absolute Null SFhedtle 179 ShHr179; Set point 78 F All 180 ShHr180 Set Point 70 F All 201 ShHr201.' Set point 99 202 ShHr202 Set Point 55 410 ShHr410 Always On schedule 411 ShHr411: Always Off Schedule 412 ShHr412 Florida Avg. Week On/Off OFF OFF OFF Fraction 0 0 0 Absolute 0 0 0 Absolute 78 Day 78 78 Absolute 70 Day 70 ` 70 Absolute 99 99 99 Absolute 45 45 45 On/Off ON ON ON On/Off OFF OFF OFF Absolute 0.03804 Day Sumrm 0.03804 0.0686 OFF OFF OFF 0 0 0 0 0 0 78 78 78 70 70 70 99 99 99 45 45 45 ON ON ON OFF OFF OFF 0.03804 0.03804 0.0686 ' OFF OFF OFF 0 0 0 0 0 0 78 78 78 70 70 70 �99 99 99 45 45 i N N i ON OFF tOFF 'OFF 0.03804 ` 0.03904 '; 0.0686 .0 .199 OFF OFF OFF OFF OFF OFF 0 0 0 0 0 0 0 0 0 0 0 78 7 78 7 178 79 70 70 70 79 70 7 99 99 99 99 99 45 45 45 41 45 48 ON ON ON ON ON ON OFF OFF OFF OFF OFF OFF 0.03804 0.03804 0.0686 0.0686 0.0686 0.0686 , ,; ` OFF OFF OFF 0 0. 0 0 0 0 78 78 78 70 70 70 99 99 99 45 45 45 ON ON ON OFF OFF OFF 0.03804 0.0686 0.03804 OFF OFF OFF 0 0 0 0 0 0 78 78 78 70 70 70 99 99 99 45 45 45 ON ON ON OFF OFF 'OFF 0.03804 0.0686 0.03804 OFF OFF OFF 0 0 0 0 0 0 78 78 78 70 70 70 99 99 99 45 45 45 ON ON ON OFF OFF OFF 0.03804 0.0686 0.03804 , 6/12/2012 12 413 ShHr413 Absolute 0.03804 0.03804 0.03804 Florida Avg. Week Day Winter 0.0686 0.0686 0.93804 ' 0.03804 0.0686 0.9686 414 ShHr414 Absolute 0.03804 0.03804 0.9 3804 Florida Avg. Week End Summi 0.03804 0.03804 .03804 0.03804 0.03804 0.03804 415 ShHr415 . Absolute 0.03804 0.03804 0. 804 Florida Avg. Week End Winter 0.03804 0.038 )4 0. 3804 1 0.03804 O. 0.93804 501 ShHr5011 Absolute 60 60 i 601 ACM Nonres Beating Weekda' 70 70 ! 70 70 70 651 502 ShHr502 Absolute 60 60 60' ACM Nonres Heating Saturday 65 65 65 60 60 60 503 ShHr503F Absolute 60 60 601 ACM Nonres Heating Sunday 65 65 ; 651 ' 60 60 504 ShHr504 Absolute 77 ACM Nonres Cooling Weekda) 73 73 77 73 73 505 ShHr505 Absolute 77 77 ACM Nonres Cooling Saturday 73 73 73 73 506 ShHr506 Absolute 77 77 ACM Nonres Cooling Sunday 73 73 73 73 507 ShHr507' Fraction 0.05 0.05 ACM Nonres Lights Weekday 0.8 0.85 601 0.03804 0.93 0.03804 0.p3 04 0.0686 0. 0.03804 0. 0.03804 0. 0.03804 0. 0.03804 , 0. 0.03804 0. 0.03804 0. 60 6 70 7 60 60 65 60 60 65 6Q 60 63 60 66 60 6 77 7 73 7 77 77 73} 73 73 77 77 77 771 77 77 1 73 73 74 771, 77 77 0.05 0.05 0.}1 0.85 0.85 0.1 0.05 0.25 6064 3904 3804 r0:= 0.85 0.8 0.35 508 ShHr508 Fraction 0.05 0.05 , 0.05 ACM Nonres Lights Saturday 0.25 0.25 0.25 0.2 0.15 ` 0.i 509 ShHr509' Fraction 0.05 0.05 0.05 ACM Nonres Lights Sunday 0.15 0.15 0.15 1 0.15 0.1 ? O. 510 ShHr510s Fraction 0.15 0.15 0.15 ACM Nonres Equipment Week 0.7 0.7 0.7 0.65 0.45 0.3 0.85 0.1, 0.05 0.F5' 0.1 0.1 0.05 0.05 0.15 0.15 ` 0.1 0.95 0.15 0.15 0.7 0.7 0.2 0.2 0.0686 0.0686 0.0686 0.03804 ' ! 0.03804 0.03804 0.0686 0.03804 0.03804 0.03804 0.03804 0.03804 0.03804 0.03804 0.03804 0.03804 ; 0.03804 0.03804 0.03804 0.03804 0.03804 0.93804 0.03804 0.03804 0.93804 0.03804 0.03804 65 65 70 70 70 70 60 60 60 65 65 65 65 65 65 60 60 60 65 65 65 65 65 65 60 60 60 73 73 73 73. 73 73 77 77 77 73 73 73 73 ' 73 73 77 77 77 73` 73 73 73 73 73 77 77 77 0.2 0.4. 0.7 0.85 0.85 0.85 0.1 0.1 0.1 0.1 0.15 0.25 0.25 0.2 0.2 0.1 0.1 0.1 0.1 0.1 0.15 0.15 0.15 0.15 0.05 0.05 0.05 0.2 0.35 0.6 0.7 0.7 0.7 0.15 ' 0.15 0.15 6/12/2012 EnergyGange 511 ShHr511; Fraction 0.15 ACM Nonres Equipment Satun 0.25 0.2 0.15 0.15 10.15 0.15 0.25 ! 0.25 0.25 Off 0.15 , 0.15 '0.15 0.15 512 ShHr512 Fraction 0.15 0.15 t 0.15 0.15 0.15 ACM Nonres Equipment Sunds 0.2 0.2 0.2 0.2 0. ?. 0.2 0.15 0.15 0.15 0.15 513 ShHr513 On/Off OFF OFF OFF OFF OFF ACM Nonres Fans Weekday OIL ON ON ON ON I ON ON ON ON OFF 514 ShHr514 On/Off OFF OFF OFF OFF OFF ACM Nonres Fans Saturday ON ON ON ON ON OFF OFF ' OFF OFF 515 ShHr515 On/Off OFF OFF ! OFF OFF ACM Nonres Fans Sunday OFF OFF OFF OFF ' OFF 516 ShHr516` Fraction 1 ACM Nonres Infiltration Weekc 0 0 517 ShHr517' Fraction 1 1 1 1 1 ACM Nonres Infiltration Saturd 0 0 0 0 0 1 1 i 1 1 1 518 ShHr518! Fraction 1 1 1 1 1 ACM Nonres Infiltration Sunda 1 1 1 1 1 OF OFF OFF OFF OFF OFF O=F 1 1 1 1 0 0 0 0. 0' R 0 0 1 1 , 1 1 519 ShHr519 Fraction 0 ` 0 0 ACM Nonres People: Weekday 0.65 0.65 0.65 0.65 0.4 0.25 520 ShHr5201 Fraction 0 ` 0 0 ACM Nonres People' Saturday 0.15 0.15 0.15 0.15 0.05 0.05 521 ShHr521 `{{ Fraction 0 ' 0 0 ACM Nonres People Sunday 0.05 0.05 0.05 1 0.05 0.05 ! 0.05 522 ShHr5221 Fraction 0 ' 0 0 ACM Nonres Hot Water Week 0.5 0.5 , 0.7 0.5 0.5 0.5 523 ShHr523 Fraction 0 0 ` 0 ACM Nonres Hot Water Saturc 0.2 0.2 1 0.2 0.2 0.1 ? 0.1 1 1 0 0.05 0. 0.05 0 0.15 0.6 0.1 0 0.15 0.05 0 0 0.05 0.05 0 0.9 0.1 0 0.2 0.1 0 0.05 0; 0.1 0.9 0.1 0 0.? 0; 0.15 0.25 0.15 0.15 0.2 0.15 ON ON 0.15 0.2 0.15 0.15 0.2 0.2 0.2 0.15 0.2 0.2 0.15 0.15 ON ON ON ON OFF OFF OFF ON ON ON ON ON OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF 0 0 1 0 0 1 OFF OFF 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 11 1 1 1 1 0.1 0.25 0.65 0.65 0.65 0.65 0.05 0 0.15 0.05 0 0.05 0.15 0.15 0.15 0 0 0 0 0 0.05 0.05 0.05 0.05 0 0.1 0.5 0 0 0.5 0.5 0.5 0.7 0.1 0.1 0.1 0 0.1 0.2 0.2 0.2 0.2 0 0 0 6/12/2012 EnergyGauge S 14 524 ShHr524 Fraction 0 j. ACM Nonres Hot Water Sunda 0.1 0 0.1 0 0.1 0 0.1 0 0.1 0 0.1 0 0.1 0.1 0.1 1 0.1 0.1 0.1 0.1 0 0 0 0 ttitit# Sh Hr1004 Absolute 0 0 0 0 0 0 0 0 Absolute Null Sdhedule 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 #### ShHr100 Absolute 0 0 0 0 0 0 0 0 Absolute Null Sdhedule 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 #### ShHr100( Absolute 0 0 0 0 0 0 '0 0 Absolute Null Schedule 0 0 0 0 0 0 0 0 , 0 0 0 0 0 0 0 ■ 0 1 6/12/2012 EnergyGange Summit T4.00 15 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 T b Td2 ECE VED JUL 12 eV Permit No. ..I —'� Master Permit No. C C 1 ^ CI 30 Permit Type: Electrical_ OWNER: Name (Fee Simple Titleholder): S` OV 5 me. _ Val ✓nn 4 Phone#: ( 3o) e� Address: q 03 4- g fk gk1Q City: ivtr /y$,:- Shore. State: r2 Tenant/Lessee Name: al KYJts I arr o 1 • b Phone#: 00'0 g35 - ,322.. Email: +CI.iY10 -( 51- c h A rt 1 % Mfr JOB ADDRESS: � City: Miami Shores County: zip: 33/ 3 V ei -0 L Miami Dade Zip: 33 13 : Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: D! tins E(Q (a.V coy Phone #: (950- q 3q —3g4 419 Address: 19- 61 6 alnico (L-L City: (v1 l ag ate- .� State: at_ Qualifier Name: 0 56 Phone#: 059 S2-0 —61(14e40 State Certification orr�Registration #: e 'O 1x'91 Certificate of Competency #: Contact Phone#: ( S , s(0-1 2 Email Address: J e i j i 3) OI wr S Zip: 33o 43 DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ // ®00' Square/Linear Footage of Work: Type of Work: Address OAlteration st Description of Work: �".j ,► ems � 2 1 New ORepair/Replace ODemolition **** * * ** Submittal Fee Scanning Fee $ Notary $ Double Fee $ * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* **+ x******+ x*• x******************* Permit Fee $ /lam®' ®® CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Technology Fee $ Structural Review $ 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 FT RCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to atta hment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which o <curs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved ; d a reinspection fee will be charged. Signature Ownerm or nt The foregoing instrument w day of,20j,b' 3c) ledged before me this e3 who is personally known to me or who has produced IA R.0* As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Signature Contractor The foregoing instrument was acknowledged before me this day of .0 i! y , 20 t who is personally Sign: Print: lac 6' My Commission Expires: N 2 E d-C-(2-rc %/2zl /- **************************** **+ ks k+ k**+k*****N********+ ********* .722 !/ 2. 4. / Plans Examiner Zoning Structural Review (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk MIAMI•DADE COUNTY Building 11805 SW 26th Street Miami, Florida 33175 -2474 786 -315 -2100 AFFIDAVIT FOR 30 DAY TEMPORARY ELECTRIC SERVICE ELECTRICAL CATEGORY 26 miamidade.gov ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED OR CERTIFICATE OF OCCUPANCY OBTAINED. It is understood that the temporary electrical approval by the Miami -Dade Building Department is given in connection with the building being constructed under the Building Permit # and Electrical Permit# at address go crime &I+WdR -. for owner:.SJWC S and is being given only for construction purposes or for testing the following egtiipment in said structure: The owner does hereby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purposes of use and occupancy, and no occupancy shall be granted or permitted until final inspections have been called for and approved by the inspection divisions concerned, and /or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and cancellation and electric power can be cut off at the discretion of the Building Official and will be disconnected if the building concerned is occupied before final inspections are approved and /or a Certificate of Occupancy or Completion is obtained. 1, W3 3---©"°A —1- \AiL_ , being first duly sworn, depose and say that I am the owner of the above described property, and that I agree that the structure covered in this agreement shall not be occupied until the building contractor has obtained approval of final inspections and /or obtained a Certificate of Occupancy or Completion. Note: Failure , comply with the provisions of this affidavit will result in your being unable to obtain future Temporary for Tes . ' mits. T i 1, n3 11r the above - described prope temporary service is connected. Signature of Owner G �I�o Signature of My Commission Expires: being duly sworn, depose and say that I am th and that the electrical installations as now existing will no L Signature of Electrical Contractor Signature My Com I, , being first duly sworn, depose a of the above described property and that I will not permit occupancy of t been called for by the contractors and sub - contractors concerned and fina obtained and that I have th ority insofar as the owner of said property is such final inspections . tained and /or a Certificate of Occupan or Co xpiN re otar attlan ' &B ing until finalinspae a val by the inspection,,`�?isi.n concerned to prohibit occupancy until mplet • Signature of Bu ding ontractor Signature of Electrical Inspector 123_01 - 124 6/06 Signature of No My Commission Date: 7/,° //Z Date released to FPL: F Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 178904 Permit Number: MC -6 -12 -1138 Scheduled Inspection Date: September 26, 2012 Inspector: Perez, JanPierre Owner: PROPERTIES LLC, SHORE SQUARE Job Address: 9031 -9069 BISCAYNE Boulevard 9031 Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: RESULTS AIR CONDITIONING CO Permit Type: Mechanical - Commercial Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)779 -8040 Parcel Number 1132060110051 Phone: 305 -886 -2534 Building Department Comments INSTALL 7.5 TON PACKAGE UNIT AND DUCT WORK Infractio Passed Comments INSPECTOR COMMENTS False 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 - 178783. CREATED AS REINSPECTION FOR INSP - 178654. CREATED AS REINSPECTION FOR INSP- 176355. CREATED AS REINSPECTION FOR INSP- 175026. BY ANGEL NEED TO CORR CT FIRE DAMPERS FRAMING AROUND FIRE DAMPERS • 9'e)"\-D September 25, 2012 For Inspections please call: (305)762 -4949 Page 34 of 41 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CC- 30 Inspection Number: INSP - 176355 Permit Number: MC -6 -12 -1138 Scheduled Inspection Date: July 25, 2012 Inspector: Perez, JanPierre Permit Type: Mechanical - Commercial Inspection Type: Final Owner: Work Classification: A/C Replacement Job Address: 9031 -9069 BISCAYNE Boulevard Miami Shores, FL 33138- Project: <NONE> Contractor: RESULTS AIR CONDITIONING CO Phone Number (305)779 -8040 Parcel Number 1132060110051 -31 Phone: 305 -886 -2534 Building Department Comments INSTALL 7.5 TON PACKAGE UNIT AND DUCT WORK ai /Zr 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- 175026. t.„9-6/f „IA( July 24, 2012 For Inspections please call: (305)762 -4949 Page 38 of 40 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Cc- tz -930 Inspection Number: INSP - 175026 Permit Number: MC -6 -12 -1138 Scheduled Inspection Date: July 23, 2012 Inspector: Perez, JanPierre Owner: Job Address: 9031 -9069 BISCAYNE Boulevard Miami Shores, FL 33138- Project: <NONE> Contractor: RESULTS AIR CONDITIONING CO Permit Type: Mechanical - Commercial Inspection Type: Final Work Classification: A/C Replacement Phone Number (305)779 -8040 Parcel Number 1132060110051 -31 Phone: 305 -886 -2534 Building Department Comments INSTALL 7.5 TON PACKAGE UNIT AND DUCT WORK q1-6) -2 /0 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments ,0‘iik)11:e/ e:7) 1 -9 4e, July 20, 2012 For Inspections please call: (305)762 -4949 Page 20 of 43 Test And Balance Certification PROJECT NAME Broadway Picture Art ADDRESS 9037 Biscayne Blvd. Miami Shores, Fl CUSTOMER Results NC The data presented in this report is an exact record of system performance and was obtained in accordance with the NBC Standard Procedures. Any variances from design quantities which exceed NBC tolerances are noted throughout this report. The air distribution systems and water distribution systems if applicable, have been tested and balance and final adjustments have been made in accordance with NBC "Procedural Standards for Testing, Adjusting, Balancing of Environmental Systems" and the project specifications. NBC TAB FIRM: Mechanical Systems & Controls Inc. TAB SUPERVISOR: Luis Prats REG NUMBER: 0177 CERTIFICATION EXPIRATION DATE: July -17 -2014 COMMENTS: NATIONAL BALANCING COUNCIL'" DATE 7/19/2012 PROJECT Broadway Picture Art SYSTEM ALL READINGS BY Jorge Salomon JOB NUMBER TB -12 -32 E RT Luis U Prats Mechanical Systems & Controls Inc. #0177 E;:pires 07/17/2010' BALANCING Co' 1 of 8 NATIONAL BALANCING COUNCIL' NBC Air and Hydronic Balancing Certification The National Balancing Council is committed to providing and maintaining a comprehensive set of values, standards, practices, and procedures governing the field of testing, balancing, and adjusting commercial environmental systems. Our members pledge to faithfully uphold the highest standards of integrity and professionalism in the industry as a requisite to certification. NBC stands fully dedicated to the advancement of the testing and balancing field, and the support of its membership through training, communication, and leading -edge methodology. NBC Philosophy The distinguishing characteristic of an NBC certified technician is the ability to prescribe solutions to the endless field conditions that prohibit an HVAC system from achieving balance and maximum field performance. Nearly all NBC technicians have extensive field experience in HVAC system repair, installation or service and possess skills required to troubleshoot the most difficult field conditions that can be revealed by their testing. These technicians test, diagnose and maximize the performance of over 200,000 HVAC systems per year. Practical Standards Each certified technician prescribes to National Balancing Council Practical Standards and Procedures. These cover a full range of testing, balancing, adjusting, and diagnostic practices backed up by NBC reporting forms. CSERTM and HSERTM In addition to traditional independent test reports, NBC Technicians can provide an efficiency rating of the installed system. These ratings can be compared to the manufacturer's equipment efficiency ratings to offer a new view of system performance that is not offered anywhere else in the HVAC industry. CSERTM represents Cooling System Efficiency Rating and HSERTM is Heating System Efficiency Rating. Technical Support and Backup NBC provides its certified technicians with toll free technical support. New field conditions affecting HVAC system performance are uncovered daily. Experienced support is available as a benefit of certification. Architects, engineers, and building maintenance staff are welcome to contact us with their questions and comments as well at 800 - 633 -7058. 2 of 8 CERTIFIED Luis U ['rats Mechanical Systems & Controls Inc. #0177 Expires 07/17/2014 NATIONAL BALANCING COUNCIL Why MSC. Experienced Staff Over n years o Service Qu c1 Quotes NBC Certified Easy to read Reports Serving all of South Florida Responsive Service Advanced instruments Large or Small Projects PI-I. 786-228-8925 FAX 786 - 228 -8348 Luis Prats Vice - President STAFF Luis brings to your projects over balancing experience. He has been a controls Contractor for over 5 years and a Mechanical Engineer for over 17 years. He holds an NBC air and hydronic balancing certification with an emphasis in engineered solutions through diagnostics for HVAC systems. Luis is also a LEED AP and an expert in duct renovation, reaching beyond the typical air balancing limits, delivering complete system solutions and creating measured system performance. Victor Gomez President Victor has design & implemented controls strategies for over 200 commercial and industrial HVAC systems over the past 12 years. He specializes in performance controls, and system evaluations. He holds an Mechanical & Electrical Contractor's License and has been an Electrical Engineer for the last 12 years with an emphasis in engineered solutions through diagnostics for HVAC systems. Victor is also a LEED AP and an expert in duct renovation, reaching beyond the typical air balancing limits, delivering complete system solutions and creating measured system performance. Victor Holds an NBC air and hydronic balancing certification. 3 of 8 CERTIFIED Luis U Prats Mechanical Systems & Controls !nc. #0177 Expires 07/17/201 =l (NATIONAL BALANCING COUNCIL MECHANICAL SYSTEMS i CONTROL& Schedule of Tools and Test Instruments NATIONAL BALANCING COUNCIL' Instrument Air Capture Hood Air Multimeter Pitot Tubes Electrical Meter Tachometer Thermocouples Theatrical Fog Hydronic Meter Manufacturer TSI Testo Dwyer AEMC Testo Testo NCI Alnor Model 8371 435-4 160 502 Model 460 Various SP -2 HM680 Serial 70915122 1658950/903 None 25358JACT 38807427/104 Various 71002014 Calibrated Jul -11 Jul -11 N/A Jul -11 Jul -11 N/A N/A Jul -11 Description Hood Velocity /Pressure /Temperature/Humidity 18 ", and 24" Amp/Volt/Temperature /Ohms 1- 10,000 RPM. Non - Contact Multiple Ranges and applications Smoke Stick Hydronic Differential Gauge 4 of 8 CFM Cubic Feet per Minute Diameter Supply Retum Exhaust Direction of Airflow T Thermostat/control D Damper rVolume Damper OBD Opposed Blade Damper BD Backdraft Damper Unit Location CR Ceiling Return CU Condensing Unit CC Cooling Coil AH Air Handler L Louver — — — Retum Duct Supply Duct OSA Outside Air Equipment Designation SP Static Pressure SWS Sidewall Supply SWR Sidewall Return CS Ceiling Supply HP Horsepower V Volts FLA Full Load Amps SF Service Factor BHP Brake Horsepower DNA Data Not Available DNL Data Not Listed NA Not Accessible NT Not Taken - no valid location NATIONAL BALANCING COUNCIL' DATE 7/19/2012 PROJECT Broadway Picture Art SYSTEM ALL READINGS BY Jorge Salomon JOB NUMBER TB -12 -32 cto 2 W V c cn J0�/ ♦Q LL = Z Q O U W 2 tCE RTIFIE17) ^ it IrL' Luis U Prats Mechanical Systems C= Controls Inc. #0177 E Aires 07117/2014 5 of 8 HATIOWAL B LAIC1NG COUNCIL D L T NA UNIT DATA DESIGN ACTUAL COMMENT Unit Designation (TAG) RTU -1 RTU -1 DATE Unit Manufacturer Unit Model Number Unit Serial Number CARRIER CARRIER 50TCD08 -5 A2B5A0A0A0 2112640290 7/19/2012 PROJECT FAN /AIRFLOW DATA DESIGN ACTUAL COMMENT Broad y Picture Art Supply Air Flow (cfm) Outside Air Flow (cfrn) Retum Air Flow (cfm) Total Outlet Airflow (cfm) 3000 3036 195 205 2805 2746 2980 3050 SYSTEM RTU READINGS BY External S.P (inwc) Fan RPM (rpm) 0.8 0.63 782 Jorge Salomon JOB NUMBER MOTOR DATA DESIGN ACTUAL COMMENT TB -12 -32 Motor HP (or Kw) 4 NONE RPM 1725 1756 Motor Volts (V) 208 208 Motor Amps (A) 7.5 5.66 Phase (PH) 3 3 Operating Frequency (Hz) 60 60 Motor Service Factor 8.4 OTHER DATA DESIGN ACTUAL COMMENT Motor Sheave (O.D.) 7/8 7/8 Motor Sheave Bore 4" 1/2 3" 7/8 Fan Sheave (O.D.) 1" 1" Fan Sheave Bore 8" 1/4 8" 1/4 Sheave Center Distance 17" 1/2 17" 1/2 Number Of Belts 1 1 Belt Size AX52 AX52 REMARKS rgi 2 ,,,, T co C CU c cu W :0 CV N il Z LL ti CO 1 •C_ CU JO i� 0 I-1 C o0 v Z 0 N Q V to ti ,_ v N v W h I$ 2 �o N 6 of 8 CERTIFtED Luis U Prats Mechanical Systems & Controls Inc. u�rr rxt �.d NATIONAL BALANCING COUNCIL SYSTEM TO BE BALANCED TO SYSTEM DESIGNATION (TAG) SYSTEM TOTAL DESIGN AIRFLOW 10% RTU -1 2980 DATE 7/19/2012 Number Area Served Grille Type Size Design CFM Test 1 Test 2 Final CFM SWS 12X12 100 366 107 100 % of PROJECT Design 100% Broadway Picture Art 2 3 4 SWS CS CS 12X6 40 100 12X12 230 268 12X12 250 360 65 255 270 43 108% SYSTEM 251 109% 267 107% RTU -1 5 SWS 12X8 230 300 239 231 100% READINGS BY 6 CS 12X12 200 103 225 218 109% 7 CS 12X12 200 336 218 215 8 SWS 12X12 230 95 251 229 9 CS 12X12 250 103 279 246 10 CS 12X12 250 304 281 273 11 SWS 12X8 335 340 346 321 12 SWS 12X8 330 272 299 306 13 SWS 12X8 335 350 341 339 REMARKS 108% Jorge Salomon JOB NUMBER TB -12 -32 M) 10 Co M • ap co c � N r.: c• o u- h E al CO g LO •C N C 07 V N O) tD co h N • V P• O N CERTIFIED Luis U Prais Mechanical Systems & Controls Inc. #0177 E; pires 07/17/2014 7 of 8 NIATIONAL BALANCING COUNCIL UNIT DATA FAN NUMBER FAN NUMBER FAN NUMBER Unit Designation (TAG) EF -1 DATE Type Of Service Bathroom Manufacturer BROAN 7/19/2012 Model Number QTXE050 PROJECT TEST DATA DESIGN ACTUAL DESIGN ACTUAL DESIGN ACTUAL Broadway Picture Art Total Airflow (CFM) 50 53 SYSTEM REMARKS 8 of 8 r E EF READINGS BY Jorge Salomon JOB NUMBER TB -12 -32 '�:`��F1ED Luis U Prats �chanieal Systems Controls Inc. x`0177 Expires 07/1//:,,U14 TIoNAi, $�,1A`ic1Nc COUNCIL ) 4 ! I� alif-GPA-N14( 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 PERMIT APPLICATION Permit Type: MECHANICAL JOBADDRESS: 9037 Biscayne Boulevard City: Miami Shores County: m...+ rya.,- ...+:i JULO6012 Ore FBC 20 U Permit No. -l30 Master Permit No. 954 Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Ile-rt. -C e d.tftre 1940-445 45 - e : Address: 6S 6 , i & t 2 SS. 7 City: AA r Pa/LA' State: .fr-/— 3316 1 Tenant/Lessee Name: brood LV ,91 A vA C . Phone#: 30 �°' R9 9 S Entail. / CONTRACTOR: Company Name: Results Air Conditioning Phone 305 -885 -2634 Address: 7451 -61 N, W. 72nd Avenuq City Miami State: P1orida ZiP: 33166 Qualifier Name: Jose Alex Corbera Phone#: 305 - 785 -7983 State Certification or Registration #: CAC 0 5 7 6 5 3 Certificate of Competency #: Contact Phone#: 305 - 785 -7983 Email Address: resultsairco @bellsouth. net DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit $ Type of Work: ()Address OAlteration Deseri F R of Work: Psi' WA,k1 tM P -c--r) Square/Linear Footage of Work: ®New ORepair/Replace 22-0/6 °Demolition Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF$ CO/CC$ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ Za14-00 4 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for El.RCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR JMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Signature �P Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _, by , day of 20 Iz , by JS( 19le( ebR rx who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Contractor The foregoing instrument was acknowledged before me this 3 Sign: Sign: Print: Print: My Commission Expires: to 3$8-0is3 1e� awn My Commissio Expires: d 2- ** *************************** * *** *Tiininer ** **spa*a a� ** ********* �xs o* ******a APPROVED BY Zoning Structural Review Clerk Revised 3 /12f2012)(Revised 07 /10/O7)(Revised 06/1012009)(Revised 3/15/09) 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 2010 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titlehold r):40 Address: tR -`� _ RECEIVED JUN 2 1 2012 BY: Permit No. m (1 — t 13r Master Permit No. C.-CI — CI 3 0 City: In / fel Yr 1 Tenant/Lessee Name: Bro Q Email: • Phne## Zip: `53) Q �p Phone #: 5"8 ` -99SS JOB ADDRESS: 96 33 /S'Gar City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: ee-Ell 17IS 41 i Phon#: Pr *3 Address: -?IT leg(T4w ?c- iWeK.� City: P Ca'r'l i-(' 0--0-14e/7- State: go (ry zip: 33 ? e tic, Qualifier Name: 13 Se /' X i Phone #: 50S.— � d° f 3-9 iig State Certification or Registration #: 04 COS? 653 as "' Certificate of Competency #: Contact Phone #: Email Address: - eSt./ M'rit /` ' "'o ' 4eiairxivit . DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ ' 30Z Square/Linear Footage of Work: gl Type of Work: ❑Address ❑Alteration �+, " Description of Work: $ ( (rJ `3 �� -" ®d d t �Cr ��4C 2E/1$ t� eli I cthZ1 ❑New ❑Repair/Replace ❑Demolition ********* ***** *** ** **+k*****+x******** ***Fees** x****�x****�xa� ******* *x�a�a��aa� *a��xx��xx�** ******* Submittal Fee $ �X y ,, Permit Fee $ .� I b CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 32,E Z a-2-) 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 RICORD . ° 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs ,given (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approv, ' %- at - a reinspection fee will be charged. Signature Owner or Agent i1 The foregoing instrument was acknowledged before me this day ofO LH* , 20 Va., by *RIM 1 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Geciu ' i«e'e �,-o bA 1i My Commission Expires: ** ** ,s<s< *ae* * * * ** * * * * * ** APPROVED BY d,i 4 Notary Public State of Florida 7+. Jacqueline Ortiz My Commission EE 189537 ays; : >.... -.: -> a :.. . a ******** 1 far Signature ,/1J Contractor �/ The foregoing instrument was acknowledged before me this "`1 day of S°t/ //e= , 20 is ; by 7$ 2X CO4'/�% who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: xaminer Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Sign: Print: My Com Zoning Clerk STATE OF FLORIDA • DEPAR1:0NT OF BUSINESS AND PROFESSICNIAL SUSNYLATION CONSWICIN INERYSTRT LICENSING BOARD 1940 NOR= MONROE STIMIST TALLEBESSEE FL 32399-0783 COMMA, JOSE ISM RESULTS AIR. CONDITIONING CONFANY 7453. NW 72ND AVENUE EMI FL 33166 Compettilationsl Willittelhiyou-Wcifirie one of the needy one melon Floridians ilcensed by.* Deparhnent of Business emd Professional Regulation. Our prciessionals and businesses range from add* is to yacht broke% from boxers to barbeque restaurants, and they keep Raida'a economy srong. Every day we work to inqtrove the way we do business hi order to serve you Wear:. For information about our services, piens. log 011t* www-mYeaddayartmoritm Them you can Sad more InfamtaVon about our dviskets and the reggathhe Mat • impact you, subsoibe to deprstment newsletters and learn more about the Departrnerd's Motives. Our mission at the Department Is: License Eficlenty, Regulate Fah*. We constantly shin to serve you better so Out you can IMO your customers. Thank you for doing business in Ronda, and congralukdions on your nevi limns& (850) 487-1395 DETACH HERE .141MarAl5R1132321:5j75,..-'4741,71r,007.::-.--7: 44V. vt.74,1:zibmv44;v457z • ..• - 4. i IMAISIDADE .:: , 2011 LOCAL EUSINESS TAX MEM' 2012 FIRST-CLASS I TAX IMAIDDADE COUNTT - STATE OF FLORIDA IL& POSTACE id ROOD war BE DISPLAYED AT PLACE OF EUSEEDS MIAMI. F4 PND 140 Ik. -1 '1'-' WOWS ST. 30, 2012 NAM, IFL 29130 FINISUANTTO COUNTY CODE CHAPTER &A -ART. 9 &10 PERIMITR0. 291 -m$03 NOT A 914.1. - DO NOT PAY 032392-3 RENEWAL ...; ------- 11119112:99 NAIMULOCATION 0323923 ____ RENEWAL 032392-3 -- 41. RESULTS AIR CONDITIONING CO STATE* CACOS76S3 7461 NW 72 AVE 33166 MEDLEY MOIR ,:/.1.■ RESULTS AIR CONDITIONING CO ; . " Sec.Tosof Badoess WORKER/S t.. . ins a 4124Sa Cr PECHANICAL CONTRACTOR 10 A 00 NOT FORWARD Wm Binagla 008E45.00 SEE OTHER INDS ;70;7.17 RESULTS AIR CONDITIONING CO JOSE A CORSERA PRES .7461 NW 72 AVE MIAMI FL 33166 JAMMU tailitt$41118 14 III I *14 3 • in 14 St I I I IP n tit I AI 1111 a...l CERTIFIEDTM www.ahridirectory.org Certificate of Product Ratings B N 2 6 2012 AHRI Certified Reference Number:, 3541830 Date: 6/25/2012 tStatus: Active Product: Single- Package Air- Conditioner, Air - Cooled Model Number: 50TC- D08***(5,6,1)A* Manufacturer: CARRIER AIR CONDITIONING - COMMERCIAL Trade /Brand name: WEATHERMAKER ROOFTOP WITH PURON REFRIGERANT Rated as follows in accordance with AHRI Standard 340/360 -2007, Commercial and Industry Unitary Air - Conditioning and Heat Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored, independent, third party testing: Cooling Capacity (Btuh): EER Rating (Cooling): IEER: Heating Capacity COP at 47F: Heating, Capacity at 17FI (Btuh); CO at l7F at 47F (Btuh): 83000/83000 11.20/1120 11.7/11.7 t Models with an 'Active' status are those that are currently in production. Models with a 'Discontinued' status are those that the manufacturer has elected to stop producing, yet stock is still available. Models with an 'Obsolete' status are those that the manufacturer is required to stop manufacturing due to an AHRI certification program test failure. * Ratings followed by an asterisk ( *) Indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or In part, be reproduced; copied; disseminated; entered Into a computer database; or otherwise utilized, In any fort or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was Issued, which Is listed above, and the Certificate No., which Is listed below. ©2012 Air - Conditioning, Heating, and Refrigeration Institute Loco Alr- Conditioning, Heating, 1 S' and Refrigeration Institute CERTIFICATE NO.: 129851240498216463 C CERTIFIEDTti,, www.ahricIirectory.or g Certificate of Product Ratings N26202 AHRI Certified Reference Number: 3541830 Date: 6/25/2012 tStatus: Active Product: Single- Package Air - Conditioner, Air - Cooled Model Number: 50TC- D08***(5,6,1)A* Manufacturer: CARRIER AIR CONDITIONING - COMMERCIAL Trade /Brand name: WEATHERMAKER ROOFTOP WITH PURON REFRIGERANT Rated as follows in accordance with AHRI Standard 340/360 -2007, Commercial and Industry Unitary Air - Conditioning and Heat Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored, independent, third party testing: Cooling Capacity (Btuh): EER Rating (Cooling): IEER: Heating Capacity at 47F (Btuh): COP at 47F: Heating Capacity at 17F,(Btuh) ;'' COP ariTF: 83000/83000 11.20/11.20 11.7/11.7 t Models with an 'Active' status are those that are currently in production. Models with a 'Discontinued' status are those that the manufacturer has elected to stop producing, yet stock is still available. Models with an 'Obsolete' status are those that the manufacturer is required to stop manufacturing due to an AHRI certification program test failure. * Ratings followed by an asterisk ( *) indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all Debility for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. CERTIFICATE VERIFICATION The information for the model cited on this certificate can be verified at www.ahridirectory.org, click on "Verily Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which Is listed below. pi L�A Air - Conditioning, Heating, a/ and Refrigeration Institute ©2012 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129851240498216463 OP ID: ILGU '4i RL CERTIFICATE OF LIABILITY INSURANCE �' 0t127`�"'7/1 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 ADDmONAL INSURED, the policy(les) must be endorsed. N SUBROGATION IS WANED, subject to the terms 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 insurance 305 282 -5244 All Safe 7177711 Coral Way #209 788-388-7244 Jorge Pena, PIAM CONTACT PN'' on ( , Not ADDRESS: PIMUCER RESUL -1 CUSTOMER ID# INSURER(S) AFFORDING COVERAGE NAIC 1 INSURED Results Alr Condlontioning Company 7451 NVV 72 Ave Miami, FL 33106 INSURER A :WESTERN WORLD OCCUR INSURER B: BRIDGEFIELD 10701 INSURER c : COMMERCE AND INDUSTRIES 10/28/11 INSURER D : EACH OCCURRENCE INSURER E: 1,000,000 INSURER F: DAMAGETORENTtD PREMISES TbD tR rrce) COVERAGES CERTIFICATE NUMB THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MATH 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 POUCIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Ly R TYPE OF INSURANCE MISR WVD POLICY NURSER POLICY EFF iMNUDO/YYYY) POLICY EXP tMMODWYYY) TS A GENERAL LIABILITY COMMERCIAL GENERALLWBILITY OCCUR NPP1322777 10/28/11 10128/12 EACH OCCURRENCE $ 1,000,000 X DAMAGETORENTtD PREMISES TbD tR rrce) $ 100,000 CLAIMS -MADE X MED EXP (Anyone person) $ 5,000 X BUPDED DED $250 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE UNIT POLICY n JJECT APPLIES PHI: PRODUCTS- COMP'OP AGG $ 2,000,000 ]-0 F LOc $ AUTOMOBILE LIABILITY A ANY ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE UNIT (Ea axide $ BODILY INJURY (Per person) $ BODILY INJURY (Per accldent) $ PROPERTY DAMAGE (Per accident) $ $ $ C UMBRELLA UAB EXCESS UM X OCCUR CLAIMS-MADE EBU015273340 11109111 10129/12 EACH OCCURRENCE $ 1,000,000 x AGGREGATE $ 1,000,000 DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' UABILITY ANY PROPRIETOIi/PARTNERlEXECUTMEYlN OFFICEWNEMBER EXCLUDED? (Manthtory In NH) if yes descr�a under DESCRIPTION OF OPERATIONS NI A 830- 35672 01/26/12 01/26/13 WC STATU- TORY LIMITS X OETRH- E.L. Etta.' ACCIDENT $ 500,000 II EL DISEASE -EA EMPLOYEE $ 500,000 below EL DISEASE - PCR.ICY OMIT $ 500,000 023CRIPTWN OF OPERATIONS! LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mote space Is requtred) CERTIFICATE HOLDER CANCELLATION VILMIAM VILLAGE OF MIAMI SHORES 10050NE2AVE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRAT ON DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITt1 THE POLICY PROVISIONS. AUTHOR® REPRESENTATIVE ACORD 25 (2009/09) ®1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD (20114 Date: Number: Workorder: Location: Cost Code: Scope: Subject: Vendor: Contact: Red Team Commitment MG Constructors Powered by Red Team Software 05/16/2012 1850003-010 I.M.C. Prop. Mgmt. - 9037 Biscayne - Rental Space Renovation 9037 Biscayne - Biscayne Mall 15500 Original HVAC Results Air Conditioning Company 7451 NW 72 Avenue Miami, Florida 33166 Alex Corbera 305-885-2634 305-885-4303 Terms: When Paid 10% Retainage Start by 05/16/2012 Bill To: T&G Orlando Office 8623 Commodity Cir Orlando, FL 32819 Manager: Idelis Alvarez 305-592-0552 305-592-0559 ialvarez@t-and-g.com quaxiVty Pric;:, 1 ' General Scope 1 1 11,770.00I/s : 11,770.00 : = Unless otherwise specified, it shall be the responsibility of the * . Subcontractor to provide and install all labor and materials, related ' f. to HVAC required to complete the project Work as shown in the = ' Construction Documents. It is the intent of the drawing and spedfications that all systems be complete, and ready for operation; therefore, it is the responsibility of the subcontractor to produce and insure a complete functioning system. Any item =. related to Work may be shown in Architectural, Structural, Civil, Mechanical, Electrical, HVAC, or any other designated drawing, and - :cannot be omitted or overlooked if not shown in a specific disdplines pages. It shall be the responsibility of the Subcontrader = to include all Work related government fees, deliveries, unloading, 1 , hoisting, equipment, tools, layout, backing, mounting, and/or , ...„. ; support comperents. ' ' Existing Conditions 0.00 : 0.00 = Subcontractor has made itself aware of all existing site conditions, and it has verified all existing measurements. Any and all site = modifications required to perform Work are included in this : agreement unless existing site condition is hidden without acceSs. 3 ,Spedfications Submittals - 0.00 : 0.00 Unless otherwise spedfied, within (5) business days after issuance: of this Subcontract agreement, Subcontractor must submit to Contractor for approval a complete submittal package (product data, shop drawings, engineering, calculations, and material safety data sheets) for any and all materials, equipment, and/or system component related to Work. Construction Schedule delays caused by Subcontractors failure to provide submittal package as stated above shall be assessed liquidated damages of $.500 per day that : the schedule is impacted. Subcontractors Application for Payment may be held if Subcontractor has not completed submittal submission. 4 Schedule 0.00 Included Unless otherwise spedfied, it shall be the responsibility of the Subcontractor to provide lst, 2nd, and/or 3rd shift work and include , all overtime cost required to comply with the Construction Schedule. 5 ,HVAC , 0.00 0.00 i Provide labor, materials and equipment to remove existing and install a new 7.5 ton Carrier Package unit and all the necessary ductwork and controls, as per plans, specs and manufacturers ~ntrAihtmihunrknrrintr,fiviVoiltiVieWSIVIONSWCOMMitirtentaSOP=YnV5b3-- W20112 recommendations. RedTeam Commitment Total Q 11,770.00 Eleven Thousand Seven Hundred Seventy Dollars and Zero Cents This Task Order shall be performed as described above and in strict accordance with the general conditions set forth in the Master Agreement, as well as the Contract Documents incorporated by reference and attachments hereto. T &G Constructors, a Florida Corporation, is a registered Texas Foreign For - Profit Corporation with the assumed name of Florida T &G Corporation Texas Division, Inc. Date Subcontractor: Results Air,tonditioning Company Date (1 Z.0 /LIB /Z For Purchase Orders over $10,000 and all Task Orders, please return (2) two executed originals to Idelis Alvarez at 8348 NW 56th St , Doral, FL 33166 . -eruct„ mritoan,e,Hwarn nvn/ TSthtmihnmrknniersibuvouti viewsiviewStdCommitmentasp ?p= YnV5b3... 21 i/20/112 RedTeam Commitment T &G Constructors Powered by RedTeam Software Attachment Contract Documents Number; 1850403 -010 The following contract documents are hereby incorporated by reference. These documents may be vievmd online and downloaded in entirety at; htto://t-and-a.redtgomsoftvere.com/olanroom Original Scope ontract Document here are No Contract Specifications on File! date !Author NersionlAddendum Authorized Mange Order: 01 - I.M.C. - 9037 Biscayne - Additional HVAC Work retract Document date !Author here are No Contract Specifications on File! INersionlAddendum Authorized Change Order: 02 - I.M.C. Prop. Mgmt. - 9037 Biscayne - Add Plumbing and Emergency Door Work retract Document (Date !Author INersionlAddendum here are No Contract Specifications on File! TASK ORDER General Attachments Contractor: Subcontractor: /ill _nt_._ _ - rrnn. a— lt..-. 1,_.. i,.... A..„.,... th, L.,•n.hde...Ctrlfse..s.vnitmnnt xn7r, Vn\I5h4 3, 8623 Commodity Circle • Orlando, FL 32819 8348 NW 56th St • Doral, FL 33166 www.t-and-q.com Submittal Sign Off Page Project: IMC Property Management — 9037 Biscayne Rental Space Renovation Submittal: HVAC Subcontractor: Results NC T&G Constructors Reviewed for general acceptance ONLY. This review does not relieve the Subcontractor of his responsibilities for making work conform to the requirements of the Contract, or Plans. The Subcontractor is responsible for all dimensions, correct fabrications, and accurate fit with the work of other trades. Jorge L. Goyco T&G Constructors — Miami www.t-and-q.com 8348 MN 56th St Doral, FL 33166 jpovcoat-and-q.com (786) 433-4765 Direct Office (786) 433-4782 Direct Fax (305) 592-0552 x202 Office (786) 246-8374 Cell • T & G Constructors • SUBMITTAL Project T and G Date Thursday, June 21, 2012 HVAC CONTRACTOR Results A/C CARRIER SOUTH FLORIDA Juan M. Morato' Sr. Commercial / Residemtial S.E. Project: T and G Prepared By: JUAN MORATO 7.5 TON RTU 06/21/2012 08:28AM 7.5 TON RTU Tag Cover Sheet Unit Report Certified Drawing Performance Report Packaged Rooftop Builder 1.29u Page 3 of 9 Project: T and G Prepared By: JUAN MORATO Unit Report For 7.5 TON RTU 06/21/2012 08:28AM Unit Parameters Unit Model: 50TC- D08A2B5 -0A0A0 Unit Size: 08 (7.5 Tons) Volts- Phase - Hertz: 208 -3-60 Heating Type: None Duct Cfg: Vertical Supply / Vertical Return Two -Stage Compressor Models Round Tube Plate Fin Unit Configuration Medium Static Option Precoat AI/Cu - AI/Cu Base Electro - mechanical controls Standard Packaging Warranty Information 5-Year compressor parts (STD.) 1 -Year parts (STD.) No optional warranties were selected. Dimensions (ft. in.) & Weight (Ib.) *°* Unit Length: 7' 4.125" Unit Width: 4' 11.5" Unit Height. 3' 5.25" ... Total Operating Weight: 793 Ib Weights and Dimensions are approximate. Weight does not include unit packaging. Approximate dimensions are provided primarily for shipping purposes. For exact dimensions and weights, refer to appropriate product data catalog. NOTE: Please see Warranty Catalog 500 -089 for explanation of policies and ordering methods. Ordering Information Part Number Description Quantity 1 50TC- D08A2B5 -0A0A0 Rooftop Unit Accessories CRMANDPR002A03 25% Open Manual Outdoor Air Damper Package 1 Packaged Rooftop Builder 1.29u Page 4 of 9 Project: T and G Prepared By: JUAN MORATO Certified Drawing for 7.5 TON RTU 06/21/2012 08:28AM ROTES: 1. DIMENSIONS ARE IN INCHES DIMENSIONS IN [ 1 ARE IN MI110801ERS. 2. (9 CENTER OF GRAVITY 3.- DIRECTION OF AIR FLOW OMIT OUTDOOR COIL TYPE INDOOR BLOWER ACCESS • /-- NANDLE N N 5070 -A08 RTPF 41 114 110481 33 (8581 15 1/8 [4031 50TC -A08 RTPF 48 3/8 [12531 37 1/4 0461 27 1/8 [7081 50TC -A72 RTPF 49 3/8 [12531 37 1/4 [9481 15 7/8 [4031 5010-008 RTPF 41 1/4 010481 33 16581 15 7/8 [4031 5070-D49 8202 49 3/8 012531 37 1/4 [9481 15 7/8 [4031 5070 -012 RTPF 49 3/8 012531 37 1/4 [848) 15 7/8 [4031 5OTC -006 NM [10 14 481 06581 0584.20 301C -012 6000 49 3/8 [1253] 31 1/4 [9481 11 [279.41 NC60 - ROUND (ALUM /ALUMIM !COPPER /ALUM) FILTER ACCESS PANEL (TOOL-LESS) • INDOOR BLOWER ACCESS • /-- NANDLE • • CONDENSER C 1 3/4' 0511 DIA GAUGE ACCESS PLUG COIL INDOOR COIL • 3/4' -14 NM' CONDENSATE DRAIN ACCESS PANEL 2 ' [511 DIA POWER SUPPLY 060CN -OUT • f r 4 ' _ , BACH 181 / 14891 4121 4 1 11 ! 1 ` +51 (0781 4-5/8 [1181 LECTBICAL DISCONNECT LOCATION OPTIONAL FACTORY INSTALLED CONVENIENCE OUTLET 27 7/8 17081 59 1/2 3 -3/4 [15101 [951 LEFT 2-5/ (871 TIP CURB WIDTH 4 40 3/8 [1026] 0 TECHNOLOGIES SUMMIT 400 CARRIER 76527 011111 CUPWAT1011 39775778 1090100 0801 010 93 Wm 1 TUT 1E0 COU0111I0/1 9111191 0018017. 805093/39 OP 78E61 03991186 01 /0144/76 COES 103 9-01471711 1591 P00788 015 01 /0CEP7AISE Of = MACT. ECONONI0E6 HOOD [OPTIONAL] 20 -3/4 [5271 36 -3/8 --' [9251 RETURN AIR E ALT. CONDENSATE DRAIN OPENING IN BASEPAN m 17 11/1111 AAAAAV� / / / /1/l •••• 29 3/8 [751] SEE THRU THE BASE CHART 26 -3/4 073 1 SUPPLY AIR 12-5/8 [3211 RETURN AIR 37 -5/8 40 -3 /8 19551 (10271 sum, IB TOP 14 [3581 .f-- 25 -1/2 [8471 [22381 FRONT 1 3 -1 /4 [831 13 -1/8 [3341 L 8 -1/4 [1581 8 -1/8 0157) CONTROL DOI • ACCESS PANEL { } • �r OPTIONAL) FACTORY • INSTALLED • • DISCONNECT • DLE • INDOOR BLOWER ACCESS • /-- NANDLE r C) rte. \i,1. . 06 .. 88 1/8 [22381 FRONT 1 3 -1 /4 [831 13 -1/8 [3341 L 8 -1/4 [1581 8 -1/8 0157) THRU -THE -BASE CHART (FIELD INST) THESE HOLES REQUIRED FOR USE WITH ACCT KITS: CRBTMPWR002A01 THREADED CONDUIT SIZE WIRE USE REO'D HOLE SIZES [WAX.] 112' ACC. 7/8' [22.21 1/2• 240 7/8. 022.2) 1 1/4. 10021 POWER 1 3/4' [44.41 THRU- THE -BASE CHART (FIOP) FOR 'THRU- THE- BASEPAR' FACTORY OPTION, FITTINGS FOR ORLT X A 1 ARE PROVIDED: CO 1 /2' 4 010 1 1/4' ELECTRICAL FITTI600. 11-7/8 (3021 E STD. CONDENSATE DRAIN CONNECTION SIZES A 1 3/8' (351 DIA FIELD POWER SUPPLY HOL B 2 1/2' [641 DIA POWER SUPPLY KNOCKOUT C 1 3/4' 0511 DIA GAUGE ACCESS PLUG D 7/8' [221 DIA FIELD 0187101 WIRING HOLE 0 3/4' -14 NM' CONDENSATE DRAIN 6 2 ' [511 DIA POWER SUPPLY 060CN -OUT THRU -THE -BASE CHART (FIELD INST) THESE HOLES REQUIRED FOR USE WITH ACCT KITS: CRBTMPWR002A01 THREADED CONDUIT SIZE WIRE USE REO'D HOLE SIZES [WAX.] 112' ACC. 7/8' [22.21 1/2• 240 7/8. 022.2) 1 1/4. 10021 POWER 1 3/4' [44.41 THRU- THE -BASE CHART (FIOP) FOR 'THRU- THE- BASEPAR' FACTORY OPTION, FITTINGS FOR ORLT X A 1 ARE PROVIDED: CO 1 /2' 4 010 1 1/4' ELECTRICAL FITTI600. 11-7/8 (3021 E STD. CONDENSATE DRAIN • N AIRNN X • 21 -3/4 —.- 07061 1 +I SUPPLY AIR FILTE 6 -5 /8 [1871 42 3/8 AIR [1075] 8 -1 /8 11551 4 4 -3/8 [1131 BA90METRIC AIRUAN FLOYEF SHEET 1 02 2 MU 03 -08 -10 SME81070 11 -24 -08 50TC 08-12 SINGLE ZONE ELECTRICAL COOLING WITH ELECTRIC HEAT 48TM500986 607 F Packaged Rooftop Builder 1.29u Page 5 of 9 Project: T and G Prepared By: JUAN MORATO Certified Drawing for 7.5 TON RTU 06/21/2012 08:28AM UNIT COILPE STD. UNIT WEIGHT 448 CORNER WEIGHT (41 CORNER WEIGHT (81 CORNER WEIGHT 181 CORNER HEIGHT 101 C.G. LBS. KG. LBS. KG. 188. KG. LBS. KG. LBS. KG. K 1 2 507C-408 RTPF 705 320 172 78 142 84.5 177 80.4 214 97.2 39 7/8 110131 33 18381 21 1/4 15407 501C -409 RTPF 845 383.8 208 93.5 181 78 212 98.2 281 118.5 39 1/2 110037 33 1/4 18451 24 18101 5018-812 RTPF 855 389 210 95.3 180 81.1 215 91.8 250 113.5 40 3/4 110357 32 3/8 18221 25 1/4 18411 5018 -208 RTPF 760 345 158 71.7 155 10.4 222 100.8 225 102.2 43 3/4 11111.37 35 18891 20 15087 5018-208 RTPF 855 388.2 223 101.2 171 77.8 200 90.8 281 118.5 38 3/8 19757 32 7/8 18187 19 1/8 14887 3018 -372 RTPF 985 392.7 225 102.2 173 78.3 203 92.2 284 120 38 3/8 19751 32 1/8 18191 19 1/6 14881 5018-008 NCH 730 331.4 153 89.5 138 82.7 208 94.4 231 104.9 41 3/4 11080.51 35 3/4 19081 21 1/8 1538.81 5018-012 NCR 820 312.3 179 81.3 781 73.1 228 103.5 253 114.9 41 3/4 (1080.97 34 1/8 1885.81 23 3/4 1803.31 RTPF - ROUND TU8E. PLATE FIN (COPPER /ALUM NCR - HO3ATION IALUN /ALUM[ 0 UNITED 7.8.881491* TECHN018GIE5 8fleCU8E. or CARRIER 1881 CO*EE9T8 9116 107 96 2182L0895 OR 0815 MOOT 1CARRRIER TRISJOCONIIT IS OA ROOM OF CO11111 00/60800108' N98811169 C019EE0, 80810811* OF 1918E 01980008 OS 081280908 80E8 800 2018TIT019 PART PERFOPBAICE Ot ACCEP0ARCE OF 80919807. 464 STANDARD UNIT WEIGHT I5 WITHOUT ELECTRIC HEAT AND WITHOUT PACKAGING FOR OTHER OPTIONS AND ACCESSORIES. REFER TO THE PRODUCT DATA CATALOG. CORNER A CORNER B FRONT GREET 20E2 OM 03 -08 -10 mums 1124 08 50TC 08 -12 SINGLE ZONE ELECTRICAL COOLING WITH ELECTRIC HEAT 48TM500986 REV F Packaged Rooftop Builder 1.29u Page 6 of 9 { 1 1 t16o ' '=' * : 0(4 FRONT GREET 20E2 OM 03 -08 -10 mums 1124 08 50TC 08 -12 SINGLE ZONE ELECTRICAL COOLING WITH ELECTRIC HEAT 48TM500986 REV F Packaged Rooftop Builder 1.29u Page 6 of 9 Project: T and G Prepared By: JUAN MORATO Performance Summary For 7.5 TON RTU 06/21/2012 08:28AM Part Number:50TC- D08A2B5 -0A0A0 ARI EER: 11.20 IEER: 11.7 Base Unit Dimensions Unit Length: 88.1 in Unit Width. 59.5 in Unit Height 41.3 in Operating Weight Base Unit Weight. 760 Ib Medium Static Option: 15 Ib Accessories 25% Open Manual Outdoor Air Damper Package: 18 Ib Total Operating Weight 793 Ib Unit Unit Voltage-Phase-Hertz. 208 -3-60 Air Discharge: Vertical Fan Drive Type: Belt Actual Airflow 3000 CFM Site Altitude: 0 ft Cooling Performance Condenser Entering Air DB: 95.0 F Evaporator Entering Air DB: 80.0 F Evaporator Entering Air WB: 67.0 F Entering Air Enthalpy: 31.44 BTU/lb Evaporator Leaving Air DB: 57.7 F Evaporator Leaving Air WB: 55.6 F Evaporator Leaving Air Enthalpy: 24.76 BTU/Ib Gross Cooling Capacity. 91.10 MBH Gross Sensible Capacity: 68.90 MBH Compressor Power Input. 6.40 kW Coil Bypass Factor. 0.092 Supply Fan External Static Pressure: 0.50 in wg Fan RPM: 727 Fan Power. 1.44 BHP NOTE: The Selected Indoor Fan Motor requires a Field- Supplied Drive (RPM Range: 733 - 949). Electrical Data Minimum Voltage' 187 Maximum Voltage. 253 Compressor #1 RLA: 13.6 Compressor #1 LRA: 83 Compressor #2 RLA. 13.6 Compressor #2 LRA: 83 Outdoor Fan Motor Qty. 2 Outdoor Fan FLA (ea): 1.5 Indoor Fan Motor Type: MED Indoor Fan Motor FLA: 7.5 Power Supply MCA: 41.1 Power Supply MOCP (Fuse or HACR): 50 Min. Unit Disconnect FLA: 43 Min. Unit Disconnect LRA. 230 Electrical Convenience Outlet None Packaged Rooftop Builder 1.29u Page 7 of 9 Project T and G Prepared By: JUAN MORATO Performance Summary For 7.5 TON RTU 06/21/2012 08:28AM Acoustics Sound Power Levels, db re 10E -12 Watts Discharge Inlet Outdoor 63 Hz 92.5 86.1 85.8 125 Hz 83.1 79.0 84.3 250 Hz 71.0 67.1 80.5 500 Hz 67.1 65.2 78.7 1000 Hz 65.7 62.6 76.4 2000 Hz 62.2 56.9 72.7 4000 Hz 61.6 54.3 68.3 8000 Hz 59.8 49.5 65.1 A- Weighted Advanced Acoustics 73.4 69.1 82.0 Advanced Accoustics Parameters 1. Unit height above ground: 30.0 ft 2. Horizontal distance from unit to receiver. 50.0 ft 3. Receiver height above ground* 5.7 ft 4. Height of obstruction* 0.0 ft 5. Horizontal distance from obstruction to receiver 0.0 ft 6. Horizontal distance from unit to obstruction* 0.0 ft Detailed Acoustics Information Octave Band Center Frequency, Hz 63 125 250 500 1k 2k 4k 8k Overall 1. Sound Power Levels at Unit's Acoustic Center, Lw 85.8 84.3 80.5 78.7 76.4 72.7 68.3 65.1 89.6 Lw 2. A- Weighted Sound Power Levels at Units Acoustic Center, LwA 59.6 68.2 71.9 75.5 76.4 73.9 69.3 64.0 81.4 LwA 3. Sound Pressure Levels at Specific Distance from Unit, Lp 53.4 51.9 48.1 46.3 44.0 40.3 35.9 32.7 57.2 Lp 4. A- Weighted Sound Pressure Levels at Specific Distance from Unit LpA 53.4 51.9 48.1 46.3 44.0 40.3 35.9 32.7 57.2 LpA Calculation methods used in this program are patterned after the ASHRAE Guide; other ASHRAE Publications and the AHRI Acoustical Standards. While a very significant effort has been made to insure the technical accuracy of this program, it is assumed that the user is knowledgeable in the art of system sound estimation and is aware of the tolerances involved in real world acoustical estimation. This program makes certain assumptions as to the dominant sound sources and sound paths which may not always be appropriate to the real system being estimated. Because of this, no assurances can be offered that this software will always generate an accurate sound prediction from user supplied input data. If in doubt about the estimation of expected sound levels in a space, an Acoustical Engineer or a person with sound prediction expertise should be consulted. Packaged Rooftop Builder 1.29u Page 8 of 9 Performance Summary For 7.5 TON RTU Project: T and G 06/21/2012 Prepared By: JUAN MORATO 08:28AM 2.0 1.8 1.6 1.4 3 d1.2 Fan Curve N CO 0.6 0.4 0.2 0.0 00 04 08 12 1.6 2.0 2.4 2.8 Airflow (CFM - thousands) RPM = 727 BHP = 1.44 Maximum RPM =1084 Maximum HP = 4.70 Note: Please contact application engineering for selections outside the shaded region. SC - System Curve RP - Rated Point 3.2 3.6 40 Packaged Rooftop Builder 1.29u Page 9 of 9 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 1().--930 Inspection Number: INSP- 178784 Permit Number: ELC -5 -12 -931 Scheduled Inspection Date: September 27, 2012 Inspector: Devaney, Michael Owner: PROPERTIES LLC, SHORE SQUARE Job Address: 9031 -9069 BISCAYNE Boulevard 9031 Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: OHMS ELECTRICAL CONTRACTOR Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)779 -8040 Parcel Number 1132060110051 Phone: (954)974 -3840 Building Department Comments INTERIOR RENOVATION Infractio Passed Comments INSPECTOR COMMENTS False 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- 173984. BY ANGLE September 26, 2012 For Inspections please call: (305)762 -4949 Page 14 of 43 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CC- t 2.- 93 0 Inspection Number: INSP- 175869 Permit Number: ELC -7 -12 -1306 Scheduled Inspection Date: July 17, 2012 Inspector: Devaney, Michael Owner: Job Address: 9031 -9069 BISCAYNE Boulevard Miami Shores, FL 33138- Project: <NONE> Contractor: OHMS ELECTRICAL CONTRACTOR Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Temp for Test Phone Number (305)779 -8040 Parcel Number 1132060110051 -31 Phone: (954)974 -3840 Building Department Comments TEMP FOR TEST 30 DAYS Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments :Ylf/f/7/ (2/ July 16, 2012 For Inspections please call: (305)762 -4949 Page 20 of 27 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 RECEIVED MAY 2 0 RIM Permit No. £LC . i Z 1 Master Permit No. CU 2. " "C:1 3 C) Permit Type: Electrical OWNER: Name (Fee Simple Titleholder)Shb f veq V(Q X*- P5 y L,1. Phone#: ksWer &13- gc/55 Address: t LAD NE 12 6 5 k' . City: 1Y . state: ft. - Zip: 331 l,Q Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 9037 5 c5C4.Y11/4AE BLVD . City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: Zip: 33137 CONTRACTOR: Company Name: Address: /76/ ' 5 City: /124 042- E State: & Zip: 'a 3 ®6 3 Qualifier Name: a,5 «' her v //4 Phone #: State Certification or Registration #: /e-C ®'C 18 9 9 ACertificate of Com etency #: Contact Phone #: 73Y 3 G 7 208 Email Address: Yri d'f7 h105' (D%ur4 !t " -CC) °- - O,Vs ,' •?z Phone #: 95Y- y7 -56VO DESIGNER: Architect/ Engineer: Ja5 ed1 -(OS, !di415 4.PCAf 1 ECVV IL Phone # :' .30€ ^415 -6/440 • Value of Work for this Permit: $ 5,r ®C).=', Square/Linear Footage of Work: Type of Work: Address ° &iteration ONew ORepair/Replace ODemolition Description of Work: .....L IYJ ®b.G �r0 C/4 V1 Ac *************** Submittal Fee $ 0 ' r ! . r Permit Fee $ i . 5 Oe• CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ * * ** *** ********* * **** **Fees * *********** * ******* * **** *.x* ** * *** *** *** *** TOTAL FEE NOW DUE $ I pL O(. n 4- Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address e s City State Zip � r o 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,NANKS and AIR CONDITIONERS, ETC OWNE1t' AFFIDAVIT: I certify that all the'fdregoin'g inforhndtion is'accurate arid '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 IlVIPROVEMENTS 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 attachm,; t. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which. ,6 rs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be a.prs %end a reinspection fee will be charged. Signature wner or Agent The foregoing ins s ent was acknowledged before me this tE:0' day of Mai , 201 by ioyart who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC ., '. Sign: 4 Print: MalUett \e, ov�'IZ My Commission Expires: * * * * * * * * * * * * * * * * * ** ** APPROVED BY OFf s'&4_ Notary Public State of Florida Jacqueline Ortiz Al My Commission EE 189537 Signature Contractor The foregoing instrument was acknowled ed befor e thi day of nno, , 20 17 ,by 1 ` � • -te -rae or who has produced o is s ersonall • as identification and who did take an oath. NOTARY PUBLIC: **********e************ **************** * ***** ******* ** Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Zoning Clerk Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 178653 Permit Number: PLC -5 -12 -932 Scheduled Inspection Date: September 24, 2012 Inspector: Hernandez, Rafael Owner: PROPERTIES LLC, SHORE SQUARE Job Address: 9031 -9069 BISCAYNE Boulevard 9031 Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: RICHLIN PLUMBING INC Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)779 -8040 Parcel Number 1132060110051 Phone: (305)258 -0870 Building Department Comments NEW HANDICAP RESTROOM AND WATER FOUNTAIN Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECT! FOR INSP- 173994. September 21, 2012 For Inspections please call: (305)762 -4949 Page 22 of 31 Permit Number: PLC -5 -12 -932 I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CC-12-q30 nspection Number: I NS P- 173994 Inspection Date: August 01, 2012 Inspector: Hernandez, Rafael Owner: PROPERTIES LLC, SHORE SQUARE Job Address: 9031 -9069 BISCAYNE Boulevard 9031 Miami Shores, FL 33138 -0000 Project <NONE> Contractor: RICHLIN PLUMBING INC Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)779 -8040 Parcel Number 1132060110051 Phone: (305)258 -0870 Building Department Comments NEW HANDICAP RESTROOM AND WATER FOUNTAIN Inspector Comments \ Passed PA Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. August 01, 2012 For Inspections please call: (305)762 -4949 Page 1 of 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 RECEIVEL, MAY 2 3 2012 BY. Permit No 1" f —CA Z --93 J 2. Master Permit No. Ca i 2.- Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder): 5t\ ®re 5q Qi X' D b€ l LLL Phone #: " -96155 Address: LAA ID tE 12.5 . City: VI• MI elk% State: R. Zip: AV1.4. 1 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Comipany Name: k CA-1 (.. I N 1 L UL 1'6 11\16 I t''.& C Phone #: 36c- d sr8 Q 70 Address: 13;-86 LS') c - / g e- ,ez__ City: 41 1 rlei" State: J C_ Zip: 3 3 1 7 0 Qualifier Name: r(% 14 4-0 C1 iA_G (1 WI Phone #: ,M )L S ® ,O State Certification or Registration #: C FC. 1 y! Xis-) 'certificate of Competency #: Contact Phone #: 74 ?mod ..s.-/ st 4 Email Address: ac a..Cci1Z'1 i KA ife-ectii6-774 ° A ?I'7- DESIGNER: Architect/Engineer: \76156 1?d$10S, keciii7 Phone #:' 3 65 - -6/4V # A .ssOc. Value of Work for this Permit: $ 2, 300. ' Square/Linear Footage of Work: Type of Work: DAddress DAlteration UNew ORepair/Replace UDemolition Description of Work: 4 G.? n� �? �� r e- 7-1- .: , 'ice c;'®r�' of A) ***************************************Fees*************** **** ********** * * * ********** Submittal Fee $ 50 Permit Fee $ 07,275---'- CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ I t' 54 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, BOIT.RRS, HEATERS, TANKS and AIR CONDITIONERS, ETC z "g,, 4 I a P OWNER'SS 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. NOTIC1 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 occur. even (7) days after the building permit is issued. In the absence of such posted ' • Lice, the inspection will not be approv % a reinspection fee will be charged. Signature wner or Agent The foregoing instru'ent was acknowledged before me this The oregoing instrument day of Ma11 , 20 , by *co -6—hAL , day of 1 0 1 s Signature actor efore me thisc) , 20 viho isnersonally known to me or who has produced is personally known tome or o has produced As identification and who did take an oath. as identification o did take an oath. NOTARY PUBLIC:, < , NOTARY PUBLIC: Sign: Print: My Commission Expires: Jac4u � Of�� * * * * * * * * * * * * * * * * * * ** tNotary Public State of Florida Jacqueline Ortiz Ps My Commission EE 189537 * * *kr** 1042146 * * * * * * ** ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY ,' 5.3-23 Plans Examiner Zoning Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk MIAMI -DADE COUNTY New Business Section MAIN OFFICE 3575 s. LEJEUNE RD MIAMI, FLORIDA 33146 786- 268 -5260 WATER & SEWER DEPAIi I MU' I WEST OFFICE PERMUTING & INSPECTION CENTER (PIC) 11805 SW 26 Street, MIAMI, FLORIDA 33175 786- 315 -2717 DOWNTOWN OFFICE OVERTOWN TRANSIT VILLAGE (2N FLOOR WEST) 701 NW 1st COURT, MIAMI, FLORIDA 33136 786- 268 -5360 M1AM VERIFICATION FORM / ORDINANCE 89 -95 LETTER - CUSTOMER INTAKE /DROP -OFF FORM 3 Prope T/ / j JI 't toperty Owner's name: ,x dll y,,rr even, DK�^ dress: 1,7(00 Mu ipaiit www.sunbiz.org Verification Form !) Ordinance Letter Project AJ Type Sf Entity: (http: 5 # or Federal Tax IN: OF REFUND is APPLICABLE) Railing Address: Phone: Fax: CP: # Cell Phone: ; Residential email: ' New Construction: U0� rnm re cial o Change of use: 1.) Renovation /Remodel: :l NORC: lumber of Units SCI. FT per Unit PREVIOUS USE Type of Unit: (ex: Restaurant, office, retail, single family residence, duplex). You may attach an additional list if necessary umber of Units SQ FT per Unit Previous Gallons Per Day (GPD): PROPOSED USE Type of Unit: (ex: Restaurant, office, retail, single family residence, duplex). You may attach an additional list if necessary lot Block //a 2oa/Do s I ,ntac' tme: mpany: rso RUNNER EXPEDI R ailing Address: Sub - Division Proposed Gallons per Day (GPD): Phone: Fax: , email: ACKNOWLEDGEMENT 'he Department shall not render service to said development until after approval of this verification form application, and after )ayment of applicable connection fees and compliance with Department's Rules and Regulations for service. Under penalties of )erjury, l declare that l have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. ,RINT NAME ;IGNATURE :USTOMER SOURCE: 1,R0CESS LOCATION: X i Walk -in Drop Off: 0 CPP: NBP: Leleune: i`J PIC: OTV: TITLE DATE 0 Plans Picked Up l)aLe: Date: Time: 03222010 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PRONE NUMBER: (30$) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: 90M T l..sC. •& 4g. B(443 City: , Miami Shores Folio/Parcel#: Is the Ba diag Ilisteric : Yes NO Flood OWNER: Name (Fee Simple Titleholder): r 1QI//_.(11)01 B[DpLftlA a Address: O Q t) e .....� city: 0. Li m tl state: f Tenant$.essee Name: _ '' Email: `5 Fe_rn_an dez lime 4 YV Q x rnainaosprtf , CQm CONTRACTOR: Company Name: -77.1 4 6:4.4. , +e-t) Phone#: S' - S� • Address: gaile hfi;J City: State: Qualifier Name: . tk d1�C' p: • Phone#: 305 -- .6112 • c; ace State Certification or Re �_- Contact Phone#: 7. ° ' „ 3? DESIGNER: ABC 220 Permit No. 27 Master Permit No. ROOFING County: Miami D ap. e*d 036631 Certificate of Competency ft: Email Address: —12.' L40 i - , ACCitilrmciS vASSOc..r .tc . m one#: :. -415� emit: $ 53, /9 7 . Square/Linear Footage � � Addition OAlteration of Work. . _ 2i `�® ONew ORepair/Replace ODemolition ork: EX/.477 kkG .s,P, e., ig NA. -_i0rl 4 Value Color thru tile: **** * * * * * * * * * * * * * * * * * * * * * * * # * * * * * **** *F >< *a *tP ..*** * * * ** *R.4 .* *i ..** * *4**** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ applicable) /4'�' Bonding Company's Name ( if app ) t ` Bonding Company's Address City . State Zip Mortgage Lender's Name (if applicable) /1/4‹ 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, -PTC 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 10' 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 if such posted notice, the inspection will no be approved and a reinspection fee will be charged Signature ' Signature ` �r I► , er or Agent d Contvaetor' ° The forming . 11 ent was acknowledged before me thus ,. The, fore o instrument - (� day of :�i!! �! . 20 L, by 1 Ov Y\ �-�-\L b, day of . 20 L, bylck 6r~, Wert who is personally Down. to me or,whp 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 Ex giLT P4/4, Notary PYbilp atata pf.Olonda • f �a lne Ortiz I My Commission g& 10047 ' 0, wdv Ezplres 04/1012010 * * *** * * * * * * * * * * * * * * * * * ** APPROVED BY 4***************************** * * * * * * * * * * * * * * * * * *** * ** ******** *Mtn* ******* * **** * ** *** Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15!09) 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 Permit No.\ 12—. I Master Permit No. QS) Permit Type: Electrical 90,-7 &/6/aL (611`,/d JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: ',g1 Folio/Parcel #: Is the Building Historically Designated: Yes NOS Flood Zone: OWNER: Name (Fee Simple Titleholder» ( -1 c59 CO/e, ger Phone #: • i093 nrzr Address: to '7 LD 1.1E l 15 City: ,-#) 1.1tarx4 State: e Zip: 35/Li / Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Compan Name: Address: ) 71,0 1.6ane.S City: Qualifier Name: ` 7C, e��t e if• r Phone #( S) - f 7 4 —3q State: aai /i.7- Zip: 63610#- �y/� Phone#: �.37'' !fit/ State Certification or Registration #: Certificate of Competency #: � t Contact Phone#: 9..a `f• DESIGNER: Architect/E Value of Work fo Type of Wor Descripilo hone#: 3etr= CAINS-6-61$10 Square/Linear Footage of Work: c+��4✓ ❑New URepair/Replace * * ** Submittal Fee $ Permit Fee $ >°' /ham Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ►******* * ***** **** * **** ** ***** *F *** ****** * ******* * ******eves ********* ***** ** CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ Bonding Company's Name Of applicable) `'r Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State .(/4 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 ET.F,CTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S Ab'JH'1DAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is sub' ct attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspects < w is occur seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not b ap olied ' are' ection fee will be charged. Signature Signatur Own or Agent Contractor The forego' s g ' . trument was acknowledged before me this / 7 The forego' i g instrument was acknowledged before me this .1 ',� day of f, 20 (, y , day of '= J _ 20/Z, by . f L �i"`l /! T who is personally known to me or who has produced w '` perso kn - 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: Sign: Print: Print: My Commission Expires: APPROVED BY _ %1 Plans Examiner Zoning Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Clerk 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 Permit Type: PLUMBING JOB ADDRESS: 4/03/7 I6 &ay O 134)d City: Miami Shores Folio/Parcel #: Is the Building Historically Designated: Yes C SEP 1 3 2012 FBC 20 ��,, Permit No. I' t Master Permit No. ggin County: Miami Dade Zip: 35/34g— (NO Flood Zone: OWNER: Name (Fee Simple Titleholder):`Sh j e✓ �. zZfE 7,19 Phone#: Address: 64t0 \1 /c2,5 .5st" City: t d --/ /t State: c�v L9 %'" SC Zip: 3 VA.0 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: l'fht)r\ t(„)r s- b 1 rt5 Se_ Phone#: (gto) :c' LAO Address: I �� 6(,,Q„7 ta-i I City: 6.4 t t P (k. State: Qualifier Name: Rle.•44 !Y) Zip: l -76 Phone#: ram °J�� yep State Certification or Registrati s Certificate of Competency #: Contact Phone#: 711.." E .' Address: 5 / i r& {'e L-1 DESIGNER: Archit a� r * _ -- 'Phone #: 3C ' WC gO Value of Wo , a ° . $ Square/Linear Footage of Work: 40 eti Type of eiAlteration Desert ONew ORepair/Replace ODemolition ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *F 6 Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ 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 property is sub % chment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection wh ch o urs` seven (7) days after the building permit is issued. In the absence o such posted notice, the inspection will not b.� app o't n and a reinspection fee will be charged. The foregoing instrument was acknowledged before me this day of E 20 4 y who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: N NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN APPROVED BY Contractor t� The foregoing instrument was acknowledged before me this, / Y day of - `' f 7 , 20 /Z,;, by g' 6!k Stip, personally known to me o ho has produced as identification and who did take an oath. NOTARY PUBLIC: ( �BNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN 14- z Glans Examiner Structural Review (Revised3 /12/2012)(Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk 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 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): Address: 696 14l', /05 iT City: k-c. H !kW Permit No. Master Permit No. 930 /0 —4 Phone #: 3T e93- vSS state:L. Zip. Tenant/Lessee Name: Phone #: Email: 5 /L..1// . F tk,tl- 1) miko .N6l�e twr c.rm JOB ADDRESS: 9O7S t3KC_A..V/4F. &t/ City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: () K t Y� OnkiDlrK)I.(O /Phone#: Address: 5 / N W °l g1ID Qualifier Name: City: X Co C b3 E State: Zip: .33/66 Phone #: State Certification or Registr.0; on #: Certificate of Competency #: e- Ado 5 7 4 5 3 Contact Phone #: 305 DESIGNER: Ar Value emit: $ Square/Linear Footage of Work: ddress DAlteration ONew ORepair/Replace DDemotition **+ **w* *** **** ******** ** *******Fees************ ******* *** **** x *****a***** *** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ _ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspectBioi hich Jurs\seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not j'e /i proved and a reinspection fee will be charged. Signature Owner or Agent The for . ing instrument was ac owledged before me this / g The foregoing instrument was acknowledged before me this 6It Ak day of %'� !. I G�, by a l Clay of , 20 1 Z, by X Cc) •• C�a who 1 , „ w to me or w as produced o is personally known me or who has produced Signature Contractor As identification and who did take an oath. NOTARY PUBLIC: Sign: te;a641 Print: My Commission Expires SETA OF MONA d8MOO as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Exp. NOTARY PUBLIC STATEOF FLORIDA comm#DD$it1 *** * ***************x. x,a *** - ;***** **** ******** * ****************** x *,x i * ** APPROVED BY =` l , I I Plans Examiner Zoning Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk 0 Miami Shores village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): ?®Z.5 87-S '//Vy 80/12 City: Miami Shores Village County: Miami Dade Zip Code: 33/0 ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: Phone: 3d - 79,.E State Certificate or Registration N. Certificate of Competency N. 6 , 0.57 6,6-3 Signature (Qualifier's signature only) Date: