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RC-11-1261Shores Village Department d Avenue, Miami Shores, Florida 33138 05) 795.2204 Fax: (305) 756.8972 CTION'S PHONE NUMBER: (305) 762.4949 )240 Permit No. f 'L ' 1 Master Permit No. BUILDING PERMIT APPLICATION FBC 20 JUL 132Ofl� Permit Type: BUILDING ROOFING OWNER: Name ((Fee Simple Titleholder): L- 47 1� '5() Phone#: Address: 116/ v 1®t City: ,M i 4,1 '5h6re5 State: L Zip: % Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: go /'v 1 lot City: / Miami Shores / County: Folio/Parcel #: [ /'"7z06©17 -oE,lO Miami Dade Zip: 33/n Is the Building Historically Designated: Yes NO CONTRACTOR: Company Name: A41/04 tie 214V 5/0q Address: 99 V Al W 633 &I ` city: f ` 1.4A e -dal /p Flood Zone: State: Qualifier Name: ri R'V! D /d bery State Certification or Registration #: <G VC — t 6f 6 Contact Phone #: �/ 4 j' /50, Email Address: DESIGNER: Architect/Engineer: fL Phone#: r 7 V Zip: 33309' Phone #: — Certificate of Competency #: , ► C vette Vole' • 6007 Phone #: Value of Work for this Permit: $ 2 11O Square/Linear Footage of Work: Type of Work: ❑Addition ❑Alteration Description of Work: ...,L- 5°1q'/1 AiNew ORepair/Replace ❑Demolition * * ** x********* *x:********************* **Fees:x**:x** ** **** * *** * * * ** x*m*************** * * * ** Submittal Fee $ Permit Fee $ 06 Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 10-go Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or ! ent The foregoing instrument was acknowledged before me this day of ) 3 , 20 IL, by Li 3& /1'j t(AS v 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: * * * * * * * * * * * * * * * * * * * ** APPROVED BY ,av AMY STARR : °i MY COMMISSION # DD728016 �Q. EXPIF F F,Mg6 * 414* Signature C-t Contractor The foregoing instrument was acknowledged before me thi day of (3 ,20 if , by fjr / C b93 who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: atCkAA, Amy <5-tax-/- My Commissio * * * * * * * * * * * * * * * * * * ** Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) �5:.Y hty AMY STARR MY COMMISSION # DD728016 EXPIRES October 23, 2011 * *-'- * * ** ********** *** ****** 1407) 3flii•0 5? * brit NolarySRrvI ^m Zoning Clerk Permit # PL -7 -11 -1262 Folio# tip 3 ZO6 0 7-10670 NOTICE OF COMMENCEMENT The undersigned hereby gives notice that Improvement 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 : 1111111111111111111111 11111111111111111111111 CFN 2011R0493229 DR Bk 27768 Ps 4643; Ups) RECORDED 07/26/2011 13:07:31 HARVEY RUVINr CLERK OF COURT MIAMI —DADE COUNTY' FLORIDA LAST PAGE this space reserved for recorder 1. Legal Description of Property: Lot f Block ell Unit # Bldg # Q Lengthy legal attached Subdivision / Condominium: Street Address if available: 461 NE 101 Street Miami Shores I-L 339 2. General description of Improvement : 3. a. Owner name and address: b. Interest In property: an Simple 461 NE 101 Street Miami Shores FL 33138 C, Name and address of fee simple titleholder (if other than Owner): Solar System Liza Ayuso 4. a. Contractor name and address: Advance Solar & Spa, Inc. 990 NW 53rd Street Fort Lauderdale FL 33309 b. Contractor's phone number: 954 - 938 -8507 5. a. Surety name and address: b. Surety's phone number. c. Amount of bond: 6. a. Lender name and address: b. Lender's phone number: 7. a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1Xa)7., Florida Statutes: Name: Address: b. Phone number: 8. a. In addition to himself or herself, the Owner designates to receive a copy of Uenot's Notice per Section 713.13(1Xb), Florida • b. Phone number of person or entity designated by owner 9. Expiration date of 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 WISH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Owr er(s) or� er(s)' Authorized Officer/Director/Partner/Manager By L / 1 By Print Name 1-i A Print Name Title/Office ` Title/Office STATE OF FLORIDA COUNTY OF BROWARD Qt The foregoing' instrument was acknowledged before me this a�p day of quit c201 by 'Individually, or ❑ as for Personally known, or 0 produced the tollow)ng type of Ida tilicallorc Signature of Notary Public: Pt 24-119,1 "' -- '/'i Print Name: At (sal ti' (ricac t f•,eier (SEAL) VERIFICATION PURSUANT TO SECTION 92.625. FLORIDA STATUTES Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated in It are true, to the best of my knowledge and belief.. NOTARY PUBLIC STATE•OF FLORIDA , ".,,, Alison R. Maschrneier. :Commission #DD913447 Expires: AUG. 17,.2013 BONDEtd TSRU ATLANTIC BO iDLNfrCO., D C Signatures) of Owner(s) or Owner(s)' Authorized O fficer/Director/Partner/Manager who signed above: eATEOFF!pFet -„ COVITY o original filed�l if,rs_Oi "r76` an :�i WITNESS hand an HARVEY RUVIN, CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDD /WW) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DOES NOT AFFIRMATIVELY OR 5/31/2011 BELOW. THIS CERTIFICATE NoT A IR OF INSURANCE OR NEGATIVELY AMEND, CERTIFICATE BY HOLDER THE POLICIES THIS EXTEND OR ALTER THE COVERAGE AFFORDED BY 7HE POLICIES REPRESENTATIVE OR PRODUCER; AND NOT CONSTITUTE A CONTRACT BETWEEN IMPORTANT: If the certificate holder Is amA ADDITIONAL INSURED, policy(ies) must be endorsed. THE SUBROGATION ISSUING INSURER(S), the IMPORTANT: conditions c the holder s an certain A polices may require the endorsement. must t be ndo on this AUTHORIZED to certificate holder in lieu of such endorsement(s). s IS WAIVED, confer subject to PRODUCER certificate does not confer rights to the o ACT Team I NAME: {C,7x 20) ?HC No E .: (239) 939 -1996 EMAIL ADDRESS: cecilia @herndoncarr.com PRODUCER 0 8 001915 CUSTOMER ID E: INSURERS) AFFORDING COVERAGE Herndon Carr & Company 10501 Six Mile Cypress Pkwy. Suite 101 Fort ers INSURED FL 33966 -6400 Advance Solar & Spa, Inc. DBA 5 County Wholesale Distributors & Heat pump Services & Advance Solar & Air 2431 Crystal Dr. Fort Myers FL 33907 CERTIFICATE NUPIIBER:Master GL & Auto 2010 -11 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED REVISION NUMBER: EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN IS SUBJECT FOR THE POLICY PERIOD INSR ED HEREIN IS S BJECT TO AL�i7iEITERMS, TYPE OF INSURANCE c • MAY HAVE BEEN REDUCED BY PAID CLAIMS. GENERAL LIABII,ITy == POLICY NUMBER MMLDDY EFF POLICY EXP INSURER A :FCCI Commercial Ins. Co INSURERBITational Trust Insurance Co INSURER D : (239) 27S -0277 3472 COMMERCIAL GENERAL LIABIUT r � CLAIMS -MADE L•+� I c:'CCtIF. 1/8/2010 1/8/2011 '_EAJt A .!=RE! .ATE LIMIT APPLIES REP POLICY ©FT.•i ,. • AUTOMOBILE LIABILITYT ©L - All's AI)T <, ALL'isa11EC' Al IT�j•_. I i u: HEDLILED AUTOS X1 HIrEC, A.iITS, X I t•1■: +4.0:4 -NF.E Al ITC�:S Li UMBRELLA LIAR EXCESS LIAB PREMC_E; Ea 44:utrere :er - MEPEaP (Any On�y;n) One $ 1,000,000 00169811 1/8/2010 1/8/2011 COMBINED :..uJOLE Leon' (Ea a?CDi nt) E - C7L'Y tuur: nt) t FP:$ EF'T'+ 6/44=;;;E." (Per acCn]ent) '! 1,000,000 OCCUR CLAIM,S.MADE EECno-:TIELE ■RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A 'FFI C EF FPIETOR /PA.TNEP ExE:! ITIVE (Mandatory E ?'CLUGEC, ry in NH) If ves, d»scnbe urn] -r DESCRIPTION OF OPERATIONS r t•66isr A•:■SRE6ArE DESCRIPTION OF OPERATIONS RATIONS / LOCATIONS t VEHICLES (Attach ACORD 101, Additional Re S■ maths Schedule, if more space is required) CERTIFICATE HOLDER W. STATII- ,?R'Y . P ;: ; _ . IR. EL EACH ACC IDEM $ $ E L C.t.;FA>F • F EMPLO CANCELLATION MIAMI SHORE VILLAGE BUILDING DEPARTMENT 10050 NE 2 AVENUE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) INS025 t2np;o „, ) Reed Herndon /CELIA The ACORD name and logo are registered marks 198 ACORDORD CORPORATION. RATION All rights reserved. A °e CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYY 1^n 05/26/2011 .THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(les) must be endorsed. If SUBROGATION IS WAIVED, 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 Doug Jones c/o AJG Risk Management Services, Inc. 8800 E. Chaparral Rd, Suite 230 Scottsdale, AZ 85250 CONTACT NAME: (IC. PHONE . EXD: (480) 951 -4177 INC. No): (480) 951-4266 E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURER A Zurich - American Insurance Company 16535 INSURED Oasis Acquisition, Inc Alt. Emp: ADVANCE SOLAR & SPA, INC dba: HEAT PUMP SERVICE, INC 2054 Vista Parkway Suite 300 West Palm Beach, FL 33411 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 11FL075729052 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DDIYYYY) POLICY EXP (MM/DDIYYYY) LIMITS 'GENERAL GENERAL LABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ PREMISES RENTED $ MED EXP (My one person) $ CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ AGGREGATE $ PRODUCTS - COMP /OP AGG $ GENII L AGGREGATE LIMIT APPLIES PER 7 POLICY n jE O n LOC $ AUTOMOBILE _ LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED NON -OWNED AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENT ON $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFlCaRIMEMNH) EXCLUDED4 (Mandatary In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N WC 06/01/2011 06/01/2012 - X WC STATU 1°N- TORY LIMIT- S EL EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 EL DISEASE - POLICY LIMIT $ 1,000,000 Location Coverage Period: 06/01/2011 06/01/2012 Client#: 2211 -1 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Addldonal Remarks Schedule, If more space Is required) Coverage is provided for ADVANCE SOLAR & SPA, INC dba: HEAT INCLUDES QUALIFIERS: JAMES FIELDS & BRIAN GOLDBERG only those employees PUMP SERVICE, INC leased to but not 2431 CRYSTAL DRIVE subcontractors of: FORT MYERS, FL 33907 CERTIFICATE HOLDER CANCELLATION MIAMI SHORE VILLAGE BUILDING DEPARTMENT 10050 NE 2 AVENUE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRES ATIVE ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD _+-,r ..y �r" +; .om •.fit /y... {s : :...yw1'- .'7iii.' ::•: �:it.v,:�• -�•.v .�+�: aii" ` �%'.�'.! 1!i• 1. •34i41M tC} T • _. }?aC.•. • �:� -a z• 3,c,..•- D,'P,,A7 DATE BATCH NUMBER ' }.(•{• •'. :LORI ti TRY ;, • IEN sIN - H3 � _) :c=.;. • . .,.. ; ;'rr; ;::._. ..:t4 ,,•.v.... :`r;;•= x:.11• ,,,;• 1 Yar••t,- •r;: •,.;,i: t'vo.,..1 -.mow; j.: y •. r. .L30Q8;260,31 Q; • •, • ."L- i'�G �� —?. ....• t% .1;Q:i ���YnJ'Y.:.^• i >v3'3' ��. �0• • �Y • i�: ..tattib,;;; wl eai�.32�'c..i�+v�tp -:•n l�:yrti ^.,i }v,�as`.•- :.:at•�;slk.•,_,,,,r t .i .j �� %i3 •'>wl:µli ': :.i:�!�.4.�lrt�t;•s�"1'.1.'�.'t �.yi• *�r )J�.1t��„ .•- ••a. %.� %.L.'tiNr••�.• ��• -.:(14f,' ri r�. ,yy � r:'• ::<.\ ;stir!- ,it I r •�2;r �'-: 1�% �. ^_.— c=",•; _ %••�'.'�j(��_���,_,µ, •,�••, •!.•tti •''''s.:. *" •. .••i� +.j Y 't'</ �t!„ ..•."iii' -• ,j� '�i l !�Wt�j:'!.•!•t`� ='•.•F�.•t'w% �''• + r ' :`v • xi >•: 11` � •.:i .�..' �ti.%� �fsNw - : �t:i'. �._.w1.. �, •••_��.4P� 1� '�v' '^•if• . 3i ; .�__ __�. _ .. •.__ —. .....y. _. !4i _.._ . :>v✓..1! ....� • 1r ._._..., r_,.: �L._. �a.��• ♦ :�a ?�;a.... -_. _.Lvl_.:_.!. �: \_ �.. 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C w..t J.`: v. a: a •�t::5; "'"vt,'.',:�r.�:'•�' .Y" L ! •�„ i v �'1`•tr v :r �.! G , r;• s1 EQl IRED'EIY:is V1W t: (} '' —;•• Al. AY. • ;� z ,ri . ▪ :•• • • .y :.rr !..••.. ...•.,1.. .*•..¢(.:. •.•t,.::+. U.. _:: %.1.f,:ar..t4:::c�ir�.Y!n.!.Sr: x ^it�,'4.s.. Al"*" 1111111 111•111111..11;;...1 e"t fr ' l — „ ri;a o eir a la we 311 • ' 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2010 THROUGH SEPTEMBER 30, 2011 DBA: Business Name: ADVANCE SOLAR & SPA INC Owner Name: JAMES S FIELDS/QUAL Badness LOCatiOrn 990 NW 53 ST FT LAUDERDALE Business Phone: 954-938-8507 Rooms Seats 0*PloYees Receipt *189-3127 Business Type. ALL OTHER TYPES CONTRA (CERT RES SOLAR WATER Business Opened:11/21/1995 StateICountylCertiReg:cwc 043077 Exemption Code:N°11ExEmPT Machines Professionals Far Vending Business Only umber of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 ,04,00 10 .00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax 18 levied for the privilege of doing business within Broward County and is non-regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements, This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations, Mailing Address: JAMES S FIELDS/QUAL 2431 CRYSTAL DR FORT MYERS, FL 33907 2010 2011 Receipt $01E-09-00024219 Paid 07/15/2010 27.00 F L. 0 BROWARD COUNTY LOCAL BUSINESS TAX RENEWAL Contractors must send proof of current Broward County Certificate Of Competency or State License. The following must present a current state license, registration or exempt letter: automobile tepa►t, bakiatem dancing, detectives, food production, manufacturing or retail; funeral director/home, health studios, pawnshops/brokers, pest control, security guards, specialty contractor, telemarketing, travel. The following must present current proof of registration from Permitting, Licensing and Consumer Protection Division: Auto Body/Paint/Repair, Limousines, and Movers. Auto Body /Paint/Repair must also submit State MV license. If business is in unincorporated Broward County, a "Certificate of Use" obtained from Permitting, Licensing and Consumer Protection Division must be presented in correct ownership name, for change of business location or change of ownership. TRANSFER OF OWNERSHIP/NAME OF BUSINESS/BUSINESS LOCATION Your request for changes will not be processed without the transfer fee, which is 1O% of the base annual fee, not less than $3.00 or more than $25.00. Submit current receipt with your change s indicated in the spaces provided below. If you cannot submit the current receipt, please fill out affidavit for transfer. The form may be found at: http://www.co.broward.fLus/revenue/rvi00506.pdf Businesses regulated by the State or local agencies; must show correction of name or address before the Business Tax Receipt can be transferred. 1. New ownership/Name of Business 2. New business location ' 3. Mailing address change only (submit current receipt and fee) (submit current receipt and fee)' (no fee required) New Fed. I.D. or SS# EXCEPTIONS: A.) Exempt receipts are not transferable from one owner to a new owner. B.) Professional receipts are not transferable from one individual to another individual. Atli Sut Tax r$ Ba. BaIa 4x1 0 • • • •; ••• • __ — • • •• • ••• .�_ • ..•• • • • • • • ••. • •• • • • • • • • • • • • • • • • • •• • • ov • • • • • • • •• • —. • • :, 1• • Criii4k74. ••• e: Roof Roof Color: Storiesu' Pula Pipe: Filter' ; Cornmenl 5 'Me,, r pvcsv Ilaefro-wca 04 EA- eve- Room, e J *S'JS rem tA1 Liza Ayuso 461 NE 101 Street Miami Shores FL 33138 • • ` • •••••. D •••••: • k • • • •••••• • • • • • e ••• • • •• 4.m.r :.,..mm. e e • W 4 • • • •• •••••• • • • • • •••••• • ••• ••••• •••• • •• •••• • •••••• •• •• CeilMtialfZIAVE ial WOW MUM E vv e 1100.0471ff COMM NAM FtEDTIDOMELICIR ROME & TOPUDITUFE 11 1 p f SOLAR RN YallatTati OPAFil • •...•. • •• .. •.•.. • :.•.. • • • •..... SUMMARY INFORMATION SHEET FLORIDA SOLAR ENERGY CENTER 1679 CLEARLAKE ROAD, COCOA, FLORIDA 32922 -5703 (321) 638 -1000 June 2004 FSEC # 001390 MANUFACTURER Revised October 2006 Solene 927 Fern Street, Suite 1500 Altamonte Springs, Florida 32701 Collector Model SotenelChromagen SLCR -40 This solar collector was evaluated by the Florida Solar Energy Center (FSEC) in accordance with prescribed methods and was found to meet the minimum standards established by FSEC. This evaluation was based on solar collector tests performed at the Florida Solar Energy Center, Cocoa, Florida. The purpose of the tests Is to verify initial performance conditions and quality of construction only. The resulting certification is not a guarantee of long term performance or durability. •.... • DESCRIPTION • . . Gross Length • .. • • Gross Width • • • Gross Depth • • Gross Area •. TrarZ� parent Frontal Area • • :..;..� metric Capacity •� •..; ... . Weight (empty) • ReltpJmended Flow Rate • .... Test Pressure ;PAM r of Cover Plates • • • • • "• Flow Pattern ••••• • klukber of Flow Tubes • • 3.096 meters 10.16 feet 1.202 meters 3.94 feet 0.098 meters 0.32 feet 3.722 square meters 40.06 square feet 3.469 square meters 37.34 square feet 3.8 liters 1.0 gallons 68.9 kilograms 152.0 pounds 44 mils 0.7 gpm 1103 kPag 160 pslg One Parallel Forced circulation Fourteen MATERIALS Enclosure Glazing Absorber Absorber Coating Insulation Aluminum frame, plastic back Tempered low iron glass, 0.32 cm thick Copper tubes welded to copper fins Black chrome selective coating Foil faced polyurethane, 3.2 cm thick; Mineral wool, 1.9 cm thick THERMAL PERFORMANCE Tested per ASHRAE 93 -1986 Incident Angle Modifier Kra = 1.0 - 0.19 ` l s6-t� Efficiency Equations i n= 74.0 - 540 (Ti -Ta)/i rl = 74.0 - 95 n= 70.8 - 170 (Ti -Ta)/f - 5290 [(Tl- Ta)/I]2 n= 70.8 - 29 Units of (TI -Ta) /t are °C / Watt/m2 (Ti -Ta) /1 (TI-Ta) /1 - 164 [(Tl- Ta)/I]2 Units of (Ti -Ta)/1 are °F / Btu/hr ft2 RATING The collector has been rated for energy output on measured performance and an assumed standard day. Total solar energy available for the standard day is 6045 Watt-hours/ma (1600 Btuffi2) distributed over a 10 hour period. Output energy ratings for this collector based on the second -order efficiency curve are: Collector Temperature Energy Output Low Temperature, 35 °C (95 °F) 45,400 Kilojoules /day Intermediate Temperature, 50 °C (122 °F) 37,100 Kilojoules /day High Temperature, 100 °C (212 °F) 7,700 Kilojoules /day 43,100 Btu/day 35,200 Btu/day 7,300 Btu/day REFERENCE 97022 • • • 000000 ••••• • •••.• • • • •.•• •.. *•• FLORIDA SOLAR ENERGY CENTER 1679 CLEARLAKE ROAD, COCOA, FLORIDA 32922 -5703 (321) 638 -1000 Approved Solar Energy System FSEC # S9182 Approval Date: AUG 2006 Revision Date: MAY 2007 DISTRIBUTOR SYSTEM Solene 927 Fern Street, Suite 1500 Altamonte Springs, Florida 32701 Solene\Chromagen 40PV This system was evaluated by the Florida Solar Energy Center (FSEC) In accordance with the Florida Standards Program For Solar Domestic Water and Pool Heating Systems (FSEC- GP -7 -80) and was found to meet the minimum standards established by FSEC. •o •.•• North South /Central The calculated FIAida Energy Factors for this system are: 2.8 3.0 •• • • . • • . • . • Description collector Mauafegturer Model Number Units Total Rating (Btu) 1,•• Selene � Solene\Chromagen SLCR -40 1 35,200 2 ••,,• 3, :44 00000 • Taifit Manufacfurer Model Number Capacity (gal) Type: Direct •'•1.. tochinbar : ETA-082K 80 2. Rheem 81RV80-1 80 3. 4. Pump Manufacturer Model Number Power Draw (Watts) Rated Power. 1. El Sid SID5PV 2. March 809- BR -24VDC 3. 4. 5 15 1/100 H.P. 1/100 H.P. Controller Manufacturer Model Number 1. Solarex SA5 2. 3. Type: Photovoltaic Freeze Protection 1. Freeze prevention valve 2. Manual drain down 3. Other Major Components 1. 2. If further information is required you may contact the Florida Solar Energy Center at the above address. • : °° : • 1?:. • • •o••oo • oo ** 00000 • : 0000 • o 000 • • o••o•o 80 12 & 24VDC "MAGNE-BOOSr HOT WATER PUMPS booster SUM a non" ant tailld ethane* r .enteirlteallne system, bat reonery alia#474 a Menem* MA and ter mann ayeratans, 41enilans Wad; in dowses and csr.littet wrest esnis, hies 120.24111X; -11R e Et19431.4 Gerditc hest 14c4rirs) -• • to. • o 000 : • • • • •• • 12 4V ham using G F NIP P ATIAG?; & SFiCATTKS bast lir burr NWT Outlet MK Memel Prei-oure Max Wad Temperature MD 97 121'e 112 VW LC 4 hi 4,51111 4.53 in L..r.rrA 331 Es wiiwi 450 En altd le &Met 7,83 ii Path Weight &She. ad tbs. 5.511)e. SS the. • Rine • 'prjtoronze • R. Is Pelysulfil C la Center Inlet • • • • INISTALLATIO Seriee pienp la assainbled and ready diestallellen The pump not should be Installed with ewc u pointing in the all the water Sew vdthIn the ardent If the arrow litdIcating valor flow le not Ii the I:12E1ton you require when the mfr is in pOSitgan, inernows the four round smarm (item 1) hetzling di housing to 4 motor assembly rotate the housing aseernbly as require& Reprace the bur SCP171#3 E.:"b 1,11 The REV f tim basics sole-aszerabga They SP2 Wet End Assembly t th i 103nnet AsSerrtIte. To separate eie 2 a es, simply remove the 4 tedrod ---L•1 MOWS Mem 1). me IMMO Will then Separab 00 au rebilefe. The water eta A be within the %et End esseinliy rt1 yuu tosmen sortem Ile rear Of the WellErei Asserriblyr GENERAL SAFETY INFORMATION: Rom ell alateffeh and safety MISS, and the Occupational Safety Rad 1-tea A (OSHA). meth tat the power mime conforms to the racptIreenents of your pment Always disconnect Fewer eciffee before performing any wank on or near the electric =1r. Caution must( be exerdeed relieve any pressure In the system and in choir re hot water tern the gr - system UL'. on trun3,fi 3L istt0. =tar anly. Liatonsam 11.L Yellow Cant Med, Impedance proteded eitheranel overleed Gement perm under UL (fl Eat:054- FE H A 6 a E 3 E t 2 war! omit, Figlii111111111111111111111 M111111011211-4.4, 4111111111 1111111111101111111111111 1111111111911111111111111 1111111111111111011111111.1111 1111111111111110111111111 1111111111111111111•11111 1111111111111111111111111A111111111 111111111111HbVIIIIMII 1111111111111111101111 •1111111111111111011L1M1 1111111111111111111111111111 11111101111111111111111111 10 1 3 4 GLPIA. 0 7 ft • FIOTOR RAT NW ,ifk. •=3••PIECtFiCATIONS, • - Voile 12 DC 243C V100 1.1 OE AE Small Photovoltaic The AE 1OJ and AE-214 photovol °c modem provide cost-effective photovoltaic power for DC loads with to energy require- ments. With 36 single Vital cells in series, they , :. e batteries efficiently in u; any ate. Both dzes are lanCnated behin tem glass with aluminum frames. Typical commercial appli- cations of these modules, include i OIL telemetry, instnimentation ten, }:1ty sensors, 51 raw tion aids. B+ a �n esthave a gask • - �• on .TiAFitl1 two s holes rwire e :Tower • rs>;Iem •G listed. vea10year Tarrarity=. Peak IF awe 0 tiles • —71c4E, tiff Via.` 4t' ITT r 404' voy - - - WaUs P k er Peak per aurrent Nominal It gi Inches tom) ineh (we} 17,7 pez 1.3 Ca) 11,,13220 I 11, 0 The -wa es apply to Standard Test Conde dens (STC) Irradiance 10130 I/ UM air mess AM 16 and Temp re 251C, AV eleatri I sp . e Tolerance. cations C''' alcOURCE Power iv (lanai 1979 11558 Drive - Box Phone y, CA rhos a ( ) 923-2277 Fax d ,t 0200 )11...- =- a...� ■i :s' — ws Agormoroileke PART NUMBER: DESCRIPTION: CONSTRUCTION: APPROVALS: APPLICATION: PRODUCT DATA SHEET Controlled Document - Engineering Drive 51104 18/2 STRANDED CMR/CL3R/FPLR FT4 CABLE This cable consists of two bare copper insulated conductors with an overall extruded jacket. UL Standard 13 and 444, NEC Articles 725 and 800. Class 3 Power Limited Circuit Cable and Communications Cable for Riser Applications 1530 Shields Drive Waukegan, IL 60085 Toll -Free (800) 323 -9355 Fax: (847) 689 -1192 Construction Parameters: Conductor Stranding Insulation Material Insulation Thickness Insulated Conductor Diameter Number of Conductors • Lay Length • • • J e F I � M a t e r i a l . • • •: Jacket Thickness • • • •: Conrail CablerDial ter •• • • Approximate Gable Weight • • • e .F•Icirrte Rating • • • • • •. • f_•lectrica! Properties: • 6°, • • 000000 • ••••Ienperatu? Ratim •••• Operating Voltage • �••••• 10::• • Capacitance Between Cor>jivl s or @ 1 KHz • Capacitalsck•Between Condu:tato Shield @ 1 K,Hz •:. • •DC Resistance Por Conduc ? 0'20 °C • • • •••,• Insulation Colors Jacket Color • • 18 AWG Bare Copper 7/.0152" Foam Polypropylene 0.006" Nom. 0.057" Nom. 2 5.00" Nom. PVC 0.014" Nom. 0.142" Nom. 16.7 Lbs/1M' Nom. UL 1666 Riser Flame Test Cable Cross - Section -20 °C to 75 °C 300 V RMS Max. 24 pFlft Nom. 6.29 Ohms/1M' Nom. Black Red White, Gray, Brown, Beige (Other colors available for minimum order) COLEMAN CABLE 5110418 AWG 2/C C(ETL) US (ETL CODE) TYPE Legend (Surface Ink Print) CMR/CL3R/FPLR 75C SUN RES - TYPE CMG FT4 This product complies with European Directive 2002/95/EC (RoHS) On special orders, the customer will accept all factory lengths and +1 - -10 percent of total order requested. Cable has a rip cord for easy Jacket removal. The jacket is sequentially footmarked. The information presented here is, to the best of our knowledge, true and accurate. Since conditions of use are beyond Coleman Cable's control all product data presented is for Informational purposes only and does not create a binding obligation or liability on Coleman Cable or confer any rights on any customer. The sale of products(s) is conditioned upon acceptance of a purchase order subject to Coleman Cable's standard terms and conditions contained therein, including without limitation Coleman Cable's standard warranty. Coleman Cable disclaims all liability in connection with the use of Information contained herein or otherwise. This specification is proprietary intellectual property of Coleman Cable. Any information contained herein shall not be disclosed to any party without written consent of Coleman Cable. Customer Name Date Signed Customer Approval Specification Issue Date: June 18, 2007 1- 800 -323 -9355 (Phone) Designed By: PEP 1-847 -889 -1192 (Fax) 51104 is 2007 Coleman Cable, Ina • 000000 00000 • 00000 • • • • • •.•••• 3) Force on Collector connection: Zone 1: At= 4' -0 "x 10' -0 "= 40 sf F1 = 40 sf x -48.44 psf = 1938 Ibs Zone 2: At = 4' -0" x 10' -0" = 40 sf F2 = 40 sf x -73.5 psf = 2940 Ibs Engineering Calculations 4) Required Lag Bolt size and length to wood trusses: „sill. Force on bolt = (uplift — collector weight) /4 (neglect collector weight) • • •: •Zarje 1: • •Fi X1938 Ibs /4 bolts = 485 Ibs • 00000 •• • Z.d"ne 2:•••.•• •F2 ,2 4�o Ibs /4 bolts = 735 Ibs => CONTROLS o • • • •••• • b) P0'2.305 Edition ASD NDS for wood construction: W' =W (Cd)(Cm)(Ct) • • •o..•• ••• • •••• • 1 :ewiit Southern Pine Wood Trusses, Specific Gravity G =0.71 •••• 2. Tryt /8 "; Withdraw Value (W) Lag bolt = 538 Ibs /in 3. Withdraw Design Value (W) for 3/8" lag bolt, 3" embedment, W= 516 Ibs /in x 3" = 1548 Ibs 4. Load Duration Factor Cd: For Wind Load (ten Minute intervals) Cd =1.6 5. Wet Service Factor (Cm) in areas >19% moisture content in- service conditions: Cm =0.7 6. Temperature Factor (Ct) in areas with experience sustained exposure to elevated temperatures 125 F < T < 150 F: Ct =0.7: Adjusted Withdraw Design Value W'= W x Cd x Cm x Ct = 1548 Ibs (1.6)(0.7)(0.7) =1214 Ibs Therefore, Design Value W' =1214 Ibs > F2 = 735 Ibs FS = W' /F2 >1.0 = > 1.65 => use 3/8" bolt with 3" embedment OK per 2005 NDS Please contact me if you have any questions or concerns. Michae Stu • ey, PE Senior Engineer FL PE #58187 FL Record #29127 6/6/20111 wU a O= a, is O ti oW De 0( De 2 w Q-§ ZN az cez z 01 • U• • • ffi,r. • • • • • N • 1. •••.°+z0 mLL ai z0 <z V' w16 W z� o z tO7 �w vi zz Q3 Z4" fz0 � g � 0(30 §-0c 0,;a4;`, Uz0 z ,3 -0� �� W De w> t..)Z SOLENE ANGLE MOUNT BRACKET W/ l" ST STL BOLT WITH NUT AND WASHER TYP 2 PLCS PER SIDE) TILT EXTENSION LEGS MANUFACTURED FROM 1 -1 /2 "X2 -1 /2 "X1 /8" THK X 3' LONG ANODIZED AL 6063T6 CHANNEL �1 EXTENSION LEGS TO BE FAI3 ' TOGETHER WITH TWO %" ST iiBOLT WITH NUTS AND WA NSTALLED WHERE NEEDE' MAINTAIN DESIRED PPANEL ATION SOLENE BRAND COLLECTOR ROOF ZONE 3 TILT MOUNT MANUFACTURED FROM 1- 1/2 "X2 -1/2 "X CORNERS 1/8" THK 3 -1/2" LONG ANODIZED AL 6063T6 CHANNEL HIP ROOF GENERAL • ... FASTEN TO TILT LEG W/ 1/2" STSTL BOLT W/ NUT & CONDITION • • WASHER :PL••A`N: OF COLLECTORS . SC L.6ITS • •• •. • GENERAL N01E€,... 11. •E06.1:ECTOR •GQyNECTIONS SHOWN HAVE BEEN DESIGNED TO RESIST WIND LOADS OUTLINED IN THE 2007 FLORIDA BUILDING CODE, AND 2009 SUPPLEMENT, CHAPTER 16 6144.146 MPH EXPOSURE "C" WIND VELOCITY AND PER ASCE 7 -05, CHAPTER 6.0 FOR 146 MPH EXPOSURE "C" WIND VELOCITY TYPICALLY. : :.• LAG BOLZVaA'CITIES AND EMBEDMENTS ARE BASED UPON "NATIONAL DESIGN SPECIFICATION FOR STRESS GRADE LUMBER AND FASTENINGS" AS •PUDMHED 'T E NATIONAL FOREST PRODUCTS ASSOCIATION. APPLY ROOF GRADE SEALANT TO ALL CONTACT SURFACES. • •••• • • . •3!•Ael. CONNECTIONS ARE FOR ROOFS 0" TO 45' MAX SLOPE CONDITIONS. ALL CONNECTORS ARE FOR MEAN ROOF HEIGHTS NOT TO EXCEED 30' —O ". 4. WIND TUNNEL TEST DATA FOR THESE CONNECTIONS AND ASSEMBLIES HAS BEEN COMPILED BY TEXAS A&M UNIVERSITY, COLLEGE STATION, TX. AND IS AVAILABLE THROUGH HEUOCOL, INC. WIND LOAD CALCULATIONS ARE AVAILABLE THROUGH HEUOCOL, INC. REPORT #SL -7. 5. ALTERNATIVELY SOLENE ANGLE MOUNT BRACKET CAN BE FASTENED TO THE SOLENE COLLECTOR WITH EITHER (1) %" STSTL BOLT AND NUT, OR (2) Y4" SELF TAPPING SHEET METAL SCREWS. SOLENE TILT MOUNT BRACKET W/ LAG BOLT AS SHOWN BELOW (TYP 2 PLCS) HIP ROOF END CONDITION COLLECTORS SHALL NOT BE INSTALLED IN "CORNER ZONES" AS SHOWN ON DIAGRAM SOLENE BRAND COLLECTOR SHORT DIMENSION 1 LONG DIMENSION GABEL END ROOF CONDITION ROOF CONER ZONE SHALL BE 10 PERCENT OF SHORT DIMENSION OF BUILDING, OR 40 PERCENT OF MEAN ROOF HEIGHT, OR 7 FT — WHICH EVER IS SMALLER. ROOF LAYOUT PLAN SCALE: NTS 3 "X3 "XX" THK 3" L 6063T6 ALUM SQRTB WITH 1 "DXX6" THK 234 L ALUM TUBE INSERT BOTH ANODIZED STAND OFF ASSY SCALE: NTS SOLENE TILT MOUNT BRACKET ROOF SHEATHING SOLENE BRAND COLLECTOR SOLENE ANGLE MOUNT BRACKET 2x PT OR UNISTRUT CONTINUOUS ALONG PANEL FOR MOUNTING W/ 1/2" ST STL ALL—THRD ROD W/ NUT & WASHER EA END — PROVIDE "LOCTITE" AT ALL NUTS. WOOD TRUSS SYSTEM #2 SYP OR BETTER MISSED TRUSS SOLENE BRAND SPANNER INSTALL SCALE. NTS SOLENE TILT MOUNT BRACKET SOLENE BRAND COLLECTOR ROOF SHEATHING SOLENE ANGLE MOUNT BRACKET 4X LOCATE BETWEEN TRUSSES AND NAIL 1/2" DIA TAINLESS WITH 4 16D STL LAG BOLTS AT EACH NAILS AT EACH END SOLENE BRAND CONN TYP. MISSED TRUSS SOLENE BRAND NAILER INST. SCALE: 1 -1 /2 " =1' -0" ROOF SHEATHING SOLENE TILT MOUNT BRACKET SOLENE BRAND COLLECTOR SOLENE ANGLE MOUNT BRACKET SEE NOTE 3 1/2" DIA STAINLESS STL LAG BOLTS AT EACH SOLENE BRAND CONN TYP. WOOD TRUSS SYSTEM #2 SYP OR BETTER SHINGLE /METAL BUILT UP ROOF SCALE: 1 -1 /2 " =1' -0" CONCRETE TILES SOLENE TILT MOUNT BRACKET AND STAND OFF ASSY SOLENE BRAND COLLECTOR SOLENE ANGLE MOUNT BRACKET WOOD TRUSS SYSTEM #2 SYP OR BETTER ROOF SHEATHING 1/2" DIA STAINLESS STL LAG BOLTS AT EACH SOLENE BRAND CONN TYP. NOTE: CUT OUT OR REMOVE TILE TO INSTALL STANDOFF ASSY. THEN REINSTALL TILES AROUND MOUNTING HARDWARE BARREL TILE ROOF SCALE: 1 -1 /2 " =1' -0" WOOD TRUSS SYSTEM #2 SYP OR BETTER SOLENE TILT MOUNT BRACKET AND STAND FF ASSY SOLENE BRAND COLLECTOR SOLENE ANGLE MOUNT BRACKET 1/2" DIA STAINLES STL LAG BOLTS AT EACH SOLENE BRAND CONN TYP. BARREL TILES ROOF SHEATHING NOTE CUT OUT OR REMOVE TILE TO INSTALL STANDOFF ASSY. THEN REINSTALL TILES AROUND MOUNTING HARDWARE FLAT TILE ROOF SCALE: 1 -1 /2 " =1' -0" PROJECT rj: DESIGNED: REC 111309 SCALE: NOTED DRAWING NO. SL -7 SHEET 1 OF 1 i Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. RC -7 -11 -1261 Issue Date: Not Issued Explres:NOt Issued Folio Number:1132060170670 Owner's Name: LISA AYUSO Job Address: 461 101 Street Miami Shores, FL 33138 -2448 Owner's Phone: Total Square Feet: Total Job Valuation: 0 $ 2,400.00 Contractor(s) Phone ADVANCED SOLAR & SPA INC (954)938 -8507 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 7/13/2011: Yes Comments: Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 161990 Permit Number: RC -7 -11 -1261 Scheduled Inspection Date: September 08, 2011 Inspector: Bruhn, Norman Owner: AYUSO, USA Job Address: 461 NE 101 Street Miami Shores, FL 33138 -2448 Project: <NONE> Contractor: ADVANCED SOLAR & SPA INC Permit Type: Residential Construction Inspection Type: Final Work Classification: Solar Phone Number Parcel Number 1132060170670 Phone: (954)938 -8507 Building Department Comments INSTALL SOLAR HOT WATER HEATER SYSTEM Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments September 07, 2011 For Inspections please call: (305)762 -4949 Page 14 of 47 Miami Shores Village Building Department ,. /E@ r 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. Master Permit N Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): L_1 A/U5D Phone#: Address: 6/ 4,J 0/ City: j1? idA i '/ D►'�j State: Zip: 7 j/ Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 1-11/ A/L 101 • City: Miami Shores County: 1t�32v6- 017-6670 Folio/Parcel #: Miami Dade zip: /2i S Is the Building Historically Designated: Yes NO X. CONTRACTOR: Company Name: kl UV/CP ' V Coe-1 Address: fro /�� ''/,, )11/ 'c,Jr'cl 7I City: krt A, k7 i/f State: Fz.._ Qualifier Name: jy /,1 ,y State Certification or Registration #: C1 & ' �)s666it Contact Phone#: Email Address: Y (0 va4c[. ‘/.4,- 15,y DESIGNER: Architect/Engineer: / Phone#: Flood Zone: Phone#: q ' 93ff ° c/ Zip: 33Y07 Phone #: Q9f432 — 5507 Certificate of Competency #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: DAddress DAlteration ISdNew ORepair/Replace ❑Demolition Description of Work: d1 Y// 5V/fair— 404' I er-te -,r 57,6-/-6,77 ** * *********** **** ******** ** *** * *** *** Fees ** * *****:xx:********* ** x**s:: ******x:*****:x ***** Submittal Fee $ Permit Fee $ /0 ,f60' o4 Scanning Fee $ Radon Fee $ Notary $ TrainingjEducation Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 1 i a 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, BOILRRS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY . RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner •' Agent The fore oing instrument was acknowledged before me this 6 day of u. , 20 11 , by A—i SO.- AN/ 1k6 6 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Signature 13 Contractor The foregoing instrument was acknowledged before me this,j , day of , 20 IL, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expir (40 if18401:53 *********** *** ** ********** AMY STARR MY OQMMISSION # DD728016 EXPIRES October 23, 2011 ry�xrvx�e.com *************** * * ************************ ***** C€ L V'V Plans Examiner APPROVED BY Sign: Print: lit t /A_' My Commission Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) AMY STARR MY COMMISSION # DD728016 i -+� ir o EXPIRES October 23, 2011 NIce.cOm .. Zoning Clerk Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Solar Installation Requirements Check type of Solar System to be installed: Solar Thermal ❑ Solar Electrical ❑ Solar Hybrid Required Inspections: Required Inspections: Required Inspections: PLumbing Solar Final Electrical Solar Rough Electrical Solar Rough Electrical Solar Final Electrical Solar Final Electrical Solar Final Structural Solar Final Structural Solar Final PLumbing Solar Final Structural Solar Final Owner Notification: Installation of roof mounted photovoltaic or solar support systems typically require roof system Penetrations to allow attachment to the structure which may create additional long -term roof system maintenance requirements and /or jeopardize roof system manufacturer's warranties. Roof mounted solar systems generally required removal and reinstallation of solar panels /arrays in order to perform routine roof system maintenance, repair or replacement. I hereby acknowledge that I have read and understand the above notification on this l5 day of U t , 20 . Print owner name '-1 47.L6 0 Owner signature Property address Lt ( ,4)z /01 Permit# /Z6Z Y AMY STARR : MY COMMISSION # DD728016 c�� EXPIRES October 23, 2011 (4o7) 398 -0153 FlondallotaryS°nnce.com Notary stamp Print Notary Name , Miami Shores, FL Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 161993 Permit Number: PL -7 -11 -1262 Scheduled Inspection Date: August 31, 2011 Inspector: Hernandez, Rafael Owner: AYUSO, LISA Job Address: 461 NE 101 Street Miami Shores, FL 33138 -2448 Project: <NONE> Contractor: ADVANCED SOLAR & SPA INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Solar Phone Number Parcel Number 1132060170670 Phone: (954)938 -8507 Building Department Comments INSTALL SOLAR HOT WATER HEATER Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 30, 2011 For Inspections please call: (305)762 -4949 Page 12 of 34 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 FBC20 Permit No. 11 )2110■- Master Permit Nof -C/ 11— 1214 Permit Type: PLUMBING l)5'Y OWNER: Name (Fee S le Titleholder): 4X() 5D Phone #: V t Address: ! / 01 City: 4 jdfl i )0 f'5 State: F1-- Zip: 3 3/ 3451 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: L % / f 0/ 57 City: Miami Shores County: Folio/Parcel #: Miami Dade Zip: 1 I r 370 _ ®17— 0670 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 4CiV(bjCe $$ /m s 7p� Phone #: 79/ 95'.-$o7 p Address:.? 90 A/rW 1 3rd Fa c f 41. 7 ''�'���'� 71 City: F'• t4 �C��'QQ1�' %P / / state: l t Zip: 33(::,?" Qualifier Name: Tar oft older ��/ Phone #: State Certification or LRegistration #: eV C 0�566iy7 Certificate of Competency #: Contact Phone#: -I 5'T ' 3$ ' 150 7 Email Address: Amy ildiJa,i C( 4v/aV Co,! DESIGNER: Architect/Engineer: / Phone#: Value of Work for this Permit: $ vL� Square/Linear Footage of Work: Type of Work: °Address °Alteration New °Repair/Replace Description of Work: Y 1 51L9°// ® J a - ,4 fi Lid er- ems °Demolition ** * * * * *** * * ***:r** ** * ** * * * * * * ** : **** **** Fees * * *** *** * *** ****** *** * * * *** * * * * **:x ***** ** ** Submittal Fee $ Permit Fee $ 1 6' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE a Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all - laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature LM2 Zi Owner or Agent The foregoing instrument was acknowledged before me thi day of i 3 , 20 I c, by L I S Dom.. Ay y U who is erg sally known tp me or who has produced identification and who did take an oath. NOTARY PUBLIC: Signature Contractor The foregoing instrument was acknowledged day of 13 , 20 11, by before me this U�Y fJG i1 /4lC 9 d who is personally know>Z to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: * ** MY COMMISSION # D0728 2011 S October 23, '• EXPIRE °�� F!ondnNateryStrvice.corn �407) 3— *** **** ******** ****** ******* * ** kph** rp**** ***: k*+ N** **** *+k****:x:x******* *** Sign: Print: r 1L My Commission APPROVED BY 1 -ir rf Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) AMY TARR ti? MY COMMISSION # DD728016 ': 23, 2011 !� EXPIRES Oc x _ _.,�, Zoning Clerk