The URL can be used to link to this page

CC-12-183PERMIT # CONTRACTOR: 1° 1 1 '' C F SUBMITTAL DATE: ADDRESS: ( 9 5 57 NAME: RESUBMITAL DATES: D-3-11 MUvk A od 14, PRO ECT TYPE: 0 ZO I FIRE CTURAL PACT FEES ELECTRICAL,' ,t P, HRS/D HIV1 Nq< ((.4- PLUMBING ke . .2- 4-- z NOC el\A4V/./ `�` MECHANICAL BLDG ,14:21 .e.,..:r:. Certificate of Occupancy Miami Shores Village 10050 NE 2 Ave, Miami Shores FL, 33138 Tel: 305 - 795 -2204 Fax: 305 - 756 -8972 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: Square Footage Description of Work Date Issued Occupancy Load Occupancy 1,785 SQ FT Type Not Transferable POST IN A CONSPICUOUS PLACE Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 174595 Permit Number: CC -2 -12 -183 Scheduled Inspection Date: February 28, 2013 Inspector: Bruhn, Norman Owner: Job Address: 201 NE 95 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: PRIORITY CONSTRUCTION MANAGEMENT INC Permit Type: Commercial Construction Inspection Type: Final Work Classification: Alteration Phone Number (305)756 -3711 Parcel Number 1132060133920 Phone: 786- 299 -2776 Building Department Comments INSTALL INTERIOR DRYWALL PARTITION ACCUSTICAL CEILING TILE PAINT AND FLOORING. LAW OFFICE AND MORTGATE BROKER 6/08/2012 - PENDING NOC 6/08/2012 - NO C.O UNTIL DOH /HRS. APPROVAL. 07/03/2012 - NOC RECEIVED 07/03/2012 - MISSING PLUMBING AND MECHANICAL LIC ANr) INS AS OF 07/94/9012 LIC AND INS Afr)RFSSFII Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments FINAL INSPECTIONS CANNOT BE SCHEDULE UNTIL HRS IS APPROVED (ED- February 27, 2013 For Inspections please call: (305)762 -4949 Page 2 of 35 NOTICE OF COMMENCEMENT A RECORDED .CO,PY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO��--(Q- C25.3 TAX FOLIO NO. sk °201'(} (e ' 013 --39.2 0 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencment. 1111111111101111111111101111111111111111 CFN 2O12RO457495 OR Bk 28167 Ps 45057 Ups) RECORDED 06/28/2012 10:59:33 HARVEY RUVINt CLERE. OF COURT MIAMI-DADE COUNTY, FLORIDA LAST PAGE Space above reserved for use of recording office 1. Legal description of property gand , streect//address: `..1. 0I N �c 2-`4 Ave vvu C.. `t-i tfi 4i i.k ` CY E'I et, 331 3 S7 PcsIN. S) .p ?J i0 ` LAS 4 \ ' i Y1C . 1 LicrIc c•. Lk 01 ,0 St , F-1r - 2. Description of improvement: \yt Nc..vicv 'i e yr ■ Earl- 3. Owner(s) name and address: 1V 5.1 LL C. CI 400 z vu,a i s x� n VC!) FL- 33 1 3,? Interest in property: n -;vv-v' Name and address of fee simple titleholder. •D:j 5, LL-C, 4. Contractor's name, address and phone number +ruc o `{ 3 N)'*) 64"1` (AV) Q-141 - 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: i. ii A- Amount of bond $ 5 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 STATE OF FLORIDA, COUNTY OF DAVE rr" 1 HEREBY CERTIFY that Ns original f, ORM 8. In addition to himself, Owners designates the following perso 713.13(1Xb), Florida Statutes. Name, address and phone number. Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number: WITNESS HARVEY R Cfaic4al Sad. s otice as ed' in Section"' D k q� .s ettnitaAtitd- 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different dale 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 1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS e PROPEFflY A-NG E OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSP -- ON. IF YO► INTEND TO OBTAIN ANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK QRCORDING YOUR NO •F OMMENCEM T. Si • • 'ture(s) of Own - or Ow • r(s)' Authoriz Officer /Director /Partner /Manager Prepared By nt Name Trtle/Office epared By Title/Office C.€LY`t''N STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing instrument was acknowledged before me this Z-V day of By -1\r,e v-( c (y r... C{ ce. uric.5-� ❑ Ildividually, or i as tvto.A a si V( (/Lc w 6t -v for i O L -C U1'Personaily known, or ❑ produc d the following type of identification: 4i Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties -ef p ury, I d- - = -.at I have read the foregoing and that .ttae -Bets stated in ft are true, to the •est of my knowledge and belief. Yaniv Gifu Commission #DD7956 80 Expires: AUG. 22, 2012 BOND BD T}RII ATLANTIC BONDING CO., INC. Slgnature(s),®fOw,rier(s) or 940 er(s)'s Aut • rued Officer/Director/Partner /Manager who signed above: By (0/ z1-1.2,),7 r Rick Scott Governor John H. Armstrong, MD, FACS State Surgeon General Ken W Groce P.E. (Cherokee Consulting) 5821 SW 51 Terrace Miami, FL 33155 RE: Contingency Letter Application Document No: API 088362 Centrax Permit Number: 13 -SC- 1439576 OSTDS Number: 9501 NE 2 Ave Miami, FL 33138 December 05, 2012 Cc 1Z -183 Lot:12 -17 Block:29 Subdivision: Miami Shores No. 1 Dear Applicant: This will acknowledge receipt of an application dated 11/09/2012 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. From a review of your completed application, it has been determined your existing system is adequate for the proposed use. This permit is granted for the use of an existing septic system by the proposed space #3 (a 1765 sf office space with three (3) employees). Other units connected to this system, as per engineer, include spaces #17, 18, 19, 20, 21, 4, 2 and 1. These units /spaces are part of the remodeling of the offices #1 -8. There will be no increase in sewage flow or characteristics. However, it has been determined that the septic system is located below pavement which violates the unobstructed area requirement set forth in Ch. 64E- 6.006(4) FAC. This permit is granted in accordance with Memorandum DCEH 12 -008 which requires the property owner to do one of the following: 1. Remove the pavement, (an existing system evaluation is not required) or 2. Apply for a 381 variance. In this case, a completed application and existing system evaluation is required, or 3. Enter into a settlement discussion with your local county health department attorney (an existing system evaluation is not required). The settlement agreement should specially acknowledge the violation and the requirement to remove the asphalt if the system requires repair or modification or request a variance at that time, and a requirement to connect to sewer within 120 days of availability. If you have any questions on this matter, please call our office at (305) 623 -3500. Sincerely, Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500 . Fax: (305) 623 -3645 . http: / /www.MyFloridaEH.com Ken W Groce P.E. (Cherokee Consulting) Page two December 05, 2012 1 Enclosures cc: Astrid Edwards, Engineer Specialist II Date: October 10, 2012 Miami Shores Village Building Department 10050 N.E. 2' Avenue Miami Shores, Florida 33138 Re: Permit # CC -2 -12 -183 Office renovation 201 N.E. 95th Street Miami Shores, Florida 33138 MARK A. CAMP[3ELL ARCHITECT 373 N.E. 92ND STREET MIAMI SHCRES, FLA. 33138 754 -2318 u F 758 -7666 FL LIC # AR 0011074 Folio # 11 -3206- 013 -3900 Building Department, I, Mark A. Campbell, having performed and approved the required inspections at the job site. This letter will hereby attest that 1 have approved the installation of the steel fan unit rack as detailed in the attached detail showing L2x2x1xV4" steel frames with steel plates. See the attached detail. Should you have any questions or need any additional information please do not hesitate me. Sincerel Mark A. Campbell, Architect State of Florida: #0011074 201 NE 95 fan unit hanging Detail letter 10 -10 -12 L* ! ST. C tali �a -: r'• 1/8" STAINLESS STEEL WIRES SECURED TO STEEL BEAMS VIA 3/8" EYE BOLTS.AND NUTS (DO NOT OBSTRUCT UNIT ACCESS) PROVIDE 2 PER UNIT U. WALL 8 "x6 "x1/4" STEEL PLATE EA. SIDE BOLTED TO CONCRETE WALL 3/400 A304 STAINLESS STEEL T RU BOLTS E' —O" MAX. 1' -0" ,, SEE MECH. r1 B" MIN. CLEARANCE ♦ AROUND CU ANGLE TO PLATE EXIST. C.M.U. WALL. FIELD VERIFY NEW L2x2x1/4 FRAMES (MIN. TWO PER UNIT) UNIT WALL MOUNT SUPPORT DETAIL s al6 B DING PE 'q PPLICATION FBC 2 Miami Shores Village Building Department /0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 RECEIVED FEB 0 1 2012, xr �sy, Permit No. Master Permit No. C C Permit T j e: BUILDING ROOFING % OWNER: Name (Fee Simple sTitleholder): 711-S Ck, 1,.� &� L.fTY\ 1 S L Phone #: Address: -1, �141 �`v` -C... Zvi ) vc.nu f� �^ City: �.i 1 ., Shona State: ` L Zip: 3313 8' Tenant/Less11ee`Name: 6PA.fYYTo lone #: i3(00.? — -51® °3 1 Email: ` - -VC.X �S�- (? fl I tni- . COW) - -� 42 3 .5959 . JOB ADDRESS: at 0 t 1.1 q 5+h skreck City: Miami Shores County: Folio/Parcel #: Is the Building Historically Designated: Yes NO Miami Dade Zip: 25 13Y Flood Zone: CONTRACTOR: Company Name: PRtoaiTy COrs IQeC TiOal e-4 Alcvi �'t�C Phone#: ? 24S 27 7(� Address: 1p3 % N • W , S' �%'�' V City: P77 f Pei->01/ State: p-( Zip: --.3 1 A C. Qualifier Name: ‘62,07/92 c iy S Phone #: State Certification or Registration #: ".0 e95i I ( Certificate of Competency #: Contact Phone #: 75'f' A ct S 277 (. Email Address: 02.10/2- ay C.fri ~X cL .. -*q DESIGNER: Architect/Engineer: 1■A Q,R,1k C. 113 b�`' Phone #: . (� - 54I 603i. Value of Work for this Permit: $ L e O CO a 0 0 Square/Linear Footage of Work: 1 to 0 0 Type of Work: OAddition DAlteration New ORepair/Replace ODemolition Description of Work: / i 5 TA CC. r ac ea Q »y C-C p t-12T fr I /k'5 l4- e c c% ill %- lpp F-®42i.J Submittal Fee $ ��3, ;� 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 $,59 sQ R Cc2 0n,r'■ L poH 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 , <:' r r 7) days after the building permit is issued. In the absence of such posted notice, the inspection w :fie app o d a reinspecti fee will be charged Signature Contractor 7he foreg .'. g instrument was acknowledged before me this144' The foregoing instrument was acknowledged before me this ' , 20 .�, by $tA. l C`.0 ISC , day of � ,+.� , 20 Id,, by 41. r(,p I may- day of ate' known to me'who has produced who is pe onally known to me cr who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Pri 01C9: My Commission Expires: PUBLIC�- STATE OF FLORIDA "" "Illy, Yaniv Oftlr Commission #DD795680 ..y,,,,s Expires: AUG. 22, 2012 BONDED TBRII ATLANTIC BONDING CO., INC. NOTARY Sign: UBLIC: Print: Q C, j �� Ca L. os"" . CECILIA L WHITE My Commission Expires?:' • ° MY COMMISSION # EE 058275 EXPIRES: March 13, 2015 47P oF}ti °�\O! Bonded NU Budget Notary Senices " kg", k, k" kN"****, i" *, k**** g" q"{""!", kg" N"***" p, kN" N", k" k" k" NNkq"" k" K= k,!" H"= kN"" k" k+ k*" k, R, ks k" h" kgaN"" Yg"" kgeq" qe" N" k, i", k, h" k" k" kq"#, I"***" kRh***" k" k" k, r"" k*,k,k,k"k"k,k"k,pskg,*** *"k**** APPROVED BY is b� Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk 09 -02 -2011 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 09/02/2011 EXPIRATION DATE: 09/01/2013 PERSON: DE ARMAS OMAR F FEIN: 650697046 BUSINESS NAME AND ADDRESS: PRIORITY CONSTRUCTION MANAGEMENT INC 4631 NW 5TH ST MIAMI FL 33126 SCOPES OF BUSINESS OR TRADE: 1- GENERAL CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this thapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 373284 -0 THIS IS NOT A BILL - DO NOT PAY RENEWAL _ BU$ i4 1 1RUCTION MANAGEMENT STATE Et88991 4631 NW 5 ST 33126 MIAMI DwPtORITY CONSTRUCTUION MGMT INC swI0Wetartni BUILDING CONTRACTOR THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX COLLECTOR: 07/28/2011 60020000023 000045.00 SEE OTHER SIDE WORKER /S 1 DO NOT FORWARD PRIORITY CONSTRUCTION MANAGEMENT INC OMAR DE ARMAS PRES 4631 -NW 5 ST MIAMI FL 33126 it1% 11111111nnttftfMttthIrvi% daJ:JttafrtIJttt1HMI FIRST -CLASS U.S POSTAGE PAID MIAMI, FL PERMIT NO. 231 389773 -4 A Ors CERTIFICATE OF LIABILITY INSURANCE DATE i THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the holder in lieu of such endorsement(s). certificate PRODUCER CITY INSURANCE INC - ACI 7200 CORPORATE CENTER DR SUITE 316 MIAMI FL 33126 CONTACT Javier Gutierrez NAME: jam N� (305) 463 -9431 (AAIC, No):(305) 629 -7808 Ems) Enr Rvaa• jgutierez©allcityins.com INSURER(S) AFFORDING COVERAGE NAIL # •MID- CONTINENT CASUALTY CO 23418 INSURERA INSURER B : INSURED PRIORITY CONSTRUCTION MANAGEMENT, INC. 4631 NW 5 ST MIAMI FL 33126- C: 04GL829065 08/24/2011 INSURER D LIABILITY INSURER : E: COMMERCIAL INSURER INSURER F : •e.”-.■ wmoro. (11 LIABILITY X COVERAGES Gttt I ItiLA I t NUInacr: ,,,, ..--._. _ _ _ _ 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 TYPE OF INSURANCE ADDL SUBR ,,I• +•__ - I. POLICY EFF ∎iul• POLICY EXP AA AAA LIMITS '• " 08/24/2012 EACH OCCURRENCE J t000,000 $ 100,000 A 04GL829065 08/24/2011 GENERAL X LIABILITY DAMAGE TO RENTED PRFMISFS (Fa oo IIrrenca) COMMERCIAL GENERAL CLAIMS -MADE LIABILITY X OCCUR MED EXP (Any one person) $ EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE i 1,000,000 $ 1,000,000 PRODUCTS - COMP/OP AGG GENII AGGREGATE X LIMIT APPLIES PF Q PER: LOC $ POLICY COMBINED SINGLE LIMIT (Fa, ent) AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ OCCUR CLAIMS -MADE EACH OCCURRENCE _$ $ UMBRELLA LIAB EXCESS UAB AGGREGATE $ DED RETENTION N / A STATU- I WC STATU TnRV 1 NITS I OTH- FR WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE EXCLUDED? YN I E.L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) (Mandatory If yes, describe under E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF aPERATIONS below GENERAL CONTRACTO LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Sohodule, N more apaoe is requlred) AICOMMMQ CERTIFICATE HOLDER CANCELLA MIAMI SHORES VILLAGE 10050 NE 2ND AVE MIAMI SHORES FL 33138- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) ID 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Commercial Building HVAC Load Analysis for 9501 & 9545 N.E. 2nd. Ave. Miami Shores, Florida CZCQMMIRCIAL AC LOADS RECEPIE,D FEB 01 2012 BY: Prepared By Ricardo Perez Wednesday, December 28, 2011 C:\Program Fires\ Elite\Chvacw\Projects\COMMERCIAL BUILDING.CHV Wednesday, December 28, 2011, 11:49 AM Chvac - Full Commercial HVAC Loads Calculation Program Commercial Building i Page 4 Elite Software Development, Inc. Air Handier #1 - A/C -2 - Total Load Summary Air Handler Description: NC-2 Constant Volume - Proportion Sensible Heat Ratio: 0.92 — This system occurs Air System Peak Time: 2pm in August. Outdoor Conditions: Clg: 91° DB, 77° WB, 118.27 grains, Htg: 44° DB Indoor Conditions: Clg: 72° DB, 50% RH, Htg: 75° DB Summer: Ventilation Winter: Ventilation 1 time(s) in the building. — 17,302 Btuh 37,900 Btuh 4,681 Btuh 42,581 Btuh 11,506 Btuh 54,087 Btuh controls outside air, — controls outside air. Zone Space sensible loss: 9,092 Btuh Infiltration sensible Toss: 0 Btuh 0 CFM Outside Air sensible loss: 6,694 Btuh 200 CFM Supply Duct sensible Toss: 1,010 Btuh Retum Duct sensible loss: 505 Btuh Retum Plenum sensible loss: 0 Btuh Total System sensible loss: Heating Supply Air: 10,102 / (1.000 X 1.08 X 20) = 468 CFM Winter Vent Outside Air (42.8% of supply) = 200 CFM Zone space sensible gain: 35,670 Btuh Infiltration sensible gain: 0 Btuh Draw -thru fan sensible gain: 0 Btuh Supply duct sensible gain: 2,229 Btuh Reserve sensible gain: 0 Btuh Total sensible gain on supply side of coil: Cooling Supply Air. 37,900 / (1.000 X 1.1 X 17) = 2,027 CFM Summer Vent Outside Air (9.9% of supply) = 200 CFM Retum duct sensible gain: 502 Btuh Retum plenum sensible gain: 0 Btuh Outside air sensible gain: 4,179 Btuh 200 CFM Blow -thru fan sensible gain: 0 Btuh Total sensible gain on return side of coil: Total sensible gain on air handling system: Zone space latent gain: 3,456 Btuh Infiltration latent gain: 0 Btuh Outside air latent gain: 8,050 Btuh Total latent gain on air handling system: Total system sensible and latent gain: Check Figures Total Air Handler Supply Air (based on a 17° TD): 2,027 CFM Total Air Handler Vent. Air (9.87% of Supply): 200 CFM Total Conditioned Air Space: 1,834 Sq.ft Supply Air Per Unit Area: 1.1054 CFM /Sq.ft Area Per Cooling Capacity: 406.9 Sq.ft/Ton Cooling Capacity Per Area: 0.0025 Tons /Sq.ft Heating Capacity Per Area: 9.43 Btuh /Sq.ft Total Heating Required With Outside Air: 17,302 Btuh Total Cooling Required With Outside Air: 4.51 Tons C:\Program Fires\ Elite\Chvacw\Projects\COMMERCIAL BUILDING.CHV Wednesday, December 28, 2011, 11:49 AM • • • EnergyGauge Summit® v3.22 INPUT DATA REPORT Project Name: New Prj Project Title: Commercial Building Address: 9501 & 9545 N.E. 2nd. Ave. State: FL Zip: 0 Owner: Proiect Information Orientation: Not Building Type: Office Building Classification: New Finished building No.of Stories: 1 GrossArea: 1834 SF Zones No Acronym Description Type Area Multiplier Total Area [sf] [sf1 1 PrOZo 1 Zone 1 CONDITIONED 1834.0 1 1834.0 Spaces No Acronym Description Type Depth Width Height Multi Total Area Total Volume [ft] [ft] [ft] plier [sf] [cf] 12/28/2011 EnergyGauge Summit® v3.22 1 • • • In Zone: PrOZol 1 PrOZo1Spl Zo0Spl Office - Enclosed 1.00 1834.00 10.00 1 1834.0 18340.0 Lighting No Type Category No. of Watts per Power Control Type No.of Luminaires Luminaire [W] Ctrl pts In Zone: PrOZol In Space: PrOZolSpl 1 Suspended Fluorescent General Lighting 37 38 1406 Manual On/Off 10 D 2 Incandescent General Lighting 20 20 400 Manual On/Off 4 �] 3 Incandescent General Lighting 6 5 30 Manual On/Off 1 Walls No Description Type Width H (Effec) Multi Area DirectlonConductance Heat Dens. R -Value [ft] [ft] plier [sf] [ Btu/hr. sf. F] Capacity [lb /cf] [h.sf.F/Btu] [Btu/sf.F] In Zone: PrOZol 1 PrOZolWal 5/8" stucco 33.00 10.00 1 330.0 South 0.2067 5.731 34.65 4.8 ■ /8 "CMU /3/4 "ISO BTWN24' oc /.5" Gyp Windows No Description Type Shaded U SHGC Vis.Tra W H (Effec) Multi Total Area [Btu/hr sf F] [ft] [ft] plier [sfj In Zone: PrOZol In Wall: PrOZolWal 1 PrOZol Wa1 Wit User Defined No 0.3200 0.40 0.76 3.00 6.00 8 144.0 12/28/2011 EnergyGauge Summit® v3.22 2 • • • 12/28/2011 EnergyGauge Summit® v3.22 3 Doors No Description Type Shaded? Width H (Effec) Multi Area Cond. Dens. Heat Cap. R Value [ft] [ft] plier [sf] [ Btu/hr. sf. FJ [Ib /cf] [ Btu/sf. F] [h.sfF/Btu] In Zone: In Wall: Roofs No Description Type Width H (Effec) Multi Area Tilt Cond. Heat Cap Dens. R -Value [ft] [ft] plier [sf] [deg] [Btu/hr. Sf. F] [Btu/sf. F] [lb /cf] [h.sf.F/Btu] In Zone: PrOZol 1 PrOZo1Rfl Stone, 6 in. insul, 4 in. wood deck, susp. clg. 1834.00 1.00 1 1834.0 0.00 0.0359 7.54 22.23 27.9 ❑ Skylights No Description Type U SHGC Vis.Trans W H ( Effec) Multiplier Area Total Area [ Btu/hr sf F] [ft] [ft] [Sf] [SfJ In Zone: In Roof: Floors No Description Type Width H (Effec) Multi Area Cond. Heat Cap. Dens. R -Value [ft] [ft] plier [sf] [ Btu/hr. sf. F] [Btu/s£ FJ [lb /cf] [h.sf.F/Btu] In Zone: PrOZol 12/28/2011 EnergyGauge Summit® v3.22 3 • • • 1 PrOZo1F11 1 ft. soil, concrete 1834.00 1.00 1 1834.0 0.2681 34.00 113.33 3.73 floor, carpet and rubber pad Systems PrOSyl System 1 Constant Volume Air Cooled Single No. Of Units 1 Package System < 65000 Btu/hr Component Category Capacity Efficiency IPLV 1 Cooling System 58000.00 15.00 8.00 2 Heating System 24552.00 1.00 is 3 Air Handling System - Supply 1900.00 0.63 4 Air Distribution System 6.00 IN Plant Equipment Category Size Inst.No Eff. IPLV U Water Heaters W- Heater Description Capacit3Cap.Unit VP Rt. Efficiency Loss Ext- Lighting Description Category No. of Watts per Area/Len/No. of units Control Type Wattage Luminaires Luminaire [sf/ft/No] [W} 12/28/2011 EnergyGauge Summit® v3.22 4 • • • Piping No Type Operating Insulation Nomonal pipe Insulation Is Runout? Temperature Conductivity Diameter Thickness [F] [ Btu- in/h.sf.F] [in] [in] Fenestration Used Name Glass Type No. of Panes Glass Conductance [Btu/h.sf.F] SHGC VLT TINTED WINDOW User Defined 1 0.3200 0.4000 0.7600 Materials Used Mat No Acronym Description Only R Value RValue Thickness Conductivity Density SpecificHeat Used [h.sf.F/Btu] [ft] [Btu/h.ft.F] [Ib /ef] [Btu/lb.F] 187 Mat1187 CiYP OR PLAS No 0.4533 U.0417 0.0920 50.00 0.2000 BOARD,1 /2IN 178 Mat1178 CARPET W /RUBBER PAD Yes 1.2300 265 Mat1265 Soil, 1 ft No 2.0000 1.0000 0.5000 100.00 0.2000 48 Mat148 6 in. Heavyweight concrete No 0.5000 0.5000 1.0000 140.00 0.2000 268 Mat1268 0.625" stucco No 0.1302 0.0521 0.4000 16.00 0.2000 42 Mat142 8 in. Lightweight concrete No 2.0212 0.6670 0.3300 38.00 0.2000 block 269 Mat1269 .75" ISO BTWN24" oc No 2.2321 0.0625 0.0280 4.19 0.3000 23 Mat123 6 in. Insulation No 20.0000 0.5000 0.0250 5.70 0.2000 58 Mat158 1/2 in. Slag or stone No 0.0502 0.0417 0.8300 55.00 0.4000 59 Mat159 3/8 in. Felt and membrane No 0.2845 0.0313 0.1100 70.00 0.4000 0000 00000 C 12/28/2011 EnergyGauge Summit® v3.22 5 • • • 17 Mat117 4 in. Wood No 4.7571 0.3330 0.0700 37.00 0.3900 ❑ 60 Mat160 Ceiling air space Yes 1.0000 0 61 Matl61 Acoustic tile No 1.7857 0.0625 0.0350 30.00 0.2000 ❑ Constructs Used No Name Simple Massless Conductance Heat Capacity Density RValue Construct Construct [Btu/h.sLF] [Btn/sf.F] [Ib /cf] [h.sf.F/Btu] 1011 5/8" stucco /8 "CMU /3/4 "ISO BTWN24 "oc /.5" Gyp No No 0.21 5.73 34.65 4.8 Layer Material Material Thickness Framing No. [ft] Factor 1 268 0.625" stucco 0.0521 0.000 2 42 8 in. Lightweight concrete block 0.6670 0.000 3 269 .75" ISO BTWN24" oc 0.0625 0.000 4 187 GYP OR PLAS BOARD,1 /21N 0.0417 0.000 No Name Simple Massless Conductance Heat Capacity Density RValue Construct Construct [Btu/h.s£F] [Btu/sf.F] [lb /cf] [h.sf.F/Btu] 1057 1 ft. soil, concrete floor, carpet and rubber pad No No 0.27 34.00 113.33 3.7 ❑ Layer Material Material Thickness Framing No. [ft] Factor 1 265 Soil, 1 ft 1.0000 0.000 2 48 6 in. Heavyweight concrete 0.5000 0.000 3 178 CARPET W/RUBBER PAD 0.000 ❑ 12,28/2011 EnergyGauge Summit® v3.22 6 • • • No Name Simple Massless Conductance Heat Capacity Density RValue Construct Construct [Btu/h.s£F] [Btu/sf.F] [1b /cf] [h.sf.F/Btu] 1063 Stone, 6 in. insul, 4 in. wood deck, susp. clg. No No 0.04 7.54 22.23 27.9 ❑ Layer Material Material Thickness Framing No. [ft] Factor 1 58 1/2 in. Slag or stone 0.0417 0.000 ❑ 2 59 3/8 in. Felt and membrane 0.0313 0.000 ❑ 3 23 6 in. Insulation 0.5000 0.000 ❑ 4 17 4 in. Wood 0.3330 0.000 ❑ 5 60 Ceiling air space 0.000 ❑ 6 61 Acoustic tile 0.0625 0.000 ❑ 12/28/2011 EnergyGauge Summit® v3.22 7 • • • Profiles 501 0 No Classification 201 People 202 Lighting 203 Infiltration 204 Equipment 205 Sources 206 HeatTemp 207 CoolTemp 208 Hot Water Schedule 1,001 Heating Schedule 1,002 Cooling Schedule 1,003 Fan Operation Sche No Classification 2 Fractional Null Schedule 2 Fractional Null Schedule 2 Fractional Null Schedule 2 Fractional Null Schedule 2 Fractional Null Schedule 202 Set Point 55 201 Set Point 99 2 Fractional Null Schedule 1 ON-OFF Null Schedule 1 ON-OFF Null Schedule 1 ON -OFF Null Schedule 501 ACM - NonRes 201 People 202 Lighting 203 Infiltration 204 205 206 207 208 1,001 1,002 1,003 ACM Nonres 519 507 516 510 2 501 504 522 410 410 513 Equipment Sources HeatTemp CoolTemp Hot Water Schedule Heating Schedule Cooling Schedule Fan Operation Sche ACM Nonres People ACM Nonres Lights ACM Nonres Infiltration ACM Nonres Equipment Fractional Null Schedule ACM Nonres Heating ACM Nonres Cooling ACM Nonres Hot Water Always ON Always ON ACM Nonres Fans 12/2812011 EnergyGauge Summit® v3.22 8 • • • Schedules 1 1 On /Off ON -OFF Null Schedule Hourly Sch. for: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Holiday 12/31/1989 ShHr1 ShHr1 ShHr1 ShHr1 ShHr1 ShHr1 ShHr1 ShHr1 2 2 Fraction Fractional Null Schedule Hourly Sch. for: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Holiday 12/31/1989 ShHr2 ShHr2 ShHr2 ShHr2 ShHr2 ShHr2 ShHr2 ShHr2 44 44 Absolute SetPt78 Hourly Sch. for: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Holiday 12/31/1989 ShHr179 ShHr179 ShHr179 ShHr179 ShHr179 ShHr179 ShHr179 ShHr179 45 45 Absolute Set Point 70 Hourly Sch. for: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Holiday 12/31/1989 ShHr180 ShHr180 ShHr180 ShHr180 ShHr180 ShHr180 ShHr180 ShHr180 201 201 Absolute Set Point 99 Hourly Sch. for: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Holiday 12/31/1989 ShHr201 ShHr201 ShHr201 ShHr201 ShHr201 ShHr201 ShHr201 ShHr201 202 202 Absolute Set Point 55 Hourly Sch. for: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Holiday 12/31/1989 ShHr202 ShHr202 ShHr202 ShHr202 ShHr202 ShHr202 ShHr202 ShHr202 12/28/2011 EnergyGauge Summit® v3.22 9 • • 410 410 On /Off Always ON Hourly Sch. for: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Holiday 12/31/1989 ShHr410 ShHr410 ShHr410 ShHr410 ShHr410 ShHr410 ShHr410 ShHr410 501 501 Absolute ACM Nonres Heating Hourly Sch. for: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Holiday 12/31/1989 ShHr501 ShHr501 ShHr501 ShHr501 ShHr501 ShHr502 ShHr503 ShHr503 504 504 Absolute ACM Nonres Cooling Hourly Sch. for: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Holiday 12/31/1989 ShHr504 ShHr504 ShHr504 ShHr504 ShHr504 ShHr505 ShHr506 ShHr506 507 507 Fraction ACM Nonres Lights Hourly Sch. for: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Holiday 12/31/1989 ShHr507 ShHr507 ShHr507 ShHr507 ShHr507 ShHr508 ShHr509 ShHr509 510 510 Fraction ACM Nonres Equipment Hourly Sch. for: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Holiday 12/31/1989 ShHr510 ShHr510 ShHr510 ShHr510 ShHr510 ShHr511 ShHr512 ShHr5 12 513 513 On /Off ACM Nonres Fans Hourly Sch. for: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Holiday 12/31/1989 ShHr513 ShHr513 ShHr513 ShHr513 ShHr513 ShHr514 ShHr515 ShHr515 516 516 Fraction ACM Nonres Infiltration Hourly Sch. for: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Holiday 12/31/1989 ShHr516 ShHr516 ShHr516 ShHr516 ShHr516 ShHr517 ShHr518 ShHr518 12/28/2011 EnergyGauge Summit® v3.22 10 • • • 519 519 Hourly Sch. for: Monday 12/31/1989 ShHr519 Fraction ACM Tuesday Wednesday ShHr519 ShHr519 522 522 Fraction ACM Hourly Sch. for: Monday 12/31/1989 ShHr522 597 597 Hourly Sch. for: Monday 12/31/1989 ShHr597 600 600 Hourly Sch. for: Monday 12/31/1989 ShHr600 603 603 Hourly Sch. for: Monday 12/31/1989 ShHr603 606 606 Hourly Sch. for: Monday 12/31/1989 ShHr606 609 609 Hourly Sch. for: Monday 12/31/1989 ShHr609 Tuesday Wednesday ShHr522 ShHr522 Absolute ACM Tuesday Wednesday ShHr597 ShHr597 Absolute ACM Tuesday Wednesday ShHr600 ShHr600 Fraction ACM Tuesday Wednesday ShHr603 ShHr603 Fraction ACM Tuesday Wednesday ShHr606 ShHr606 Nonres People Thursday Friday ShHr519 ShHr519 Nonres Hot Water Thursday Friday ShHr522 ShHr522 Retail Heating Thursday Friday ShHr597 ShHr597 Retail Cooling Thursday Friday ShHr600 ShHr600 Retail Lights Thursday Friday ShHr603 ShHr603 Retail Equipment Thursday Friday ShHr606 ShHr606 On /Off ACM Retail Fans Tuesday Wednesday Thursday ShHr609 ShHr609 ShHr609 Friday ShHr609 Saturday Sunday ShHr520 ShHr521 Saturday Sunday ShHr523 ShHr524 Saturday Sunday ShHr598 ShHr599 Saturday Sunday ShHr601 ShHr602 Saturday Sunday ShHr604 ShHr605 Saturday ShHr607 Holiday ShHr521 Holiday ShHr524 Holiday ShHr599 Holiday ShHr602 Holiday ShHr605 Sunday Holiday ShHr608 ShHr608 Saturday Sunday ShHr610 ShHr611 Holiday ShHr611 12/28/2011 EnergyGauge Summit® v3.22 11 • • • 612 612 Fraction ACM Retail Infiltration Hourly Sch. for: Monday 12/31/1989 ShHr612 615 615 Hourly Sch. for: Monday 12/31/1989 ShHr615 Tuesday Wednesday Thursday ShHr612 ShHr612 ShHr612 Fraction ACM Retail People Tuesday ShHr615 Wednesday Thursday ShHr615 ShHr615 618 618 Fraction ACM Retail Hot Water Hourly Sch. for: Monday 12/31/1989 ShHr618 Tuesday ShHr618 Wednesday Thursday ShHr618 ShHr618 1,001 1,001 Absolute Absolute null schedule Hourly Sch. for: Monday 12/31/1989 ShHr10001 1,002 1,002 Hourly Sch. for: Monday 12/31/1989 ShHr10002 1,003 1,003 Hourly Sch. for: Monday 12/31/1989 ShHr10003 Tuesday Wednesday Thursday ShHr10001 ShHr10001 ShHr10001 Absolute Absolute null schedule Tuesday Wednesday Thursday ShHr10002 ShHr10002 ShHr10002 Absolute Absolute null schedule Tuesday Wednesday Thursday ShHr10003 ShHr10003 ShHr10003 Friday ShHr612 Friday ShHr615 Friday ShHr618 Saturday Sunday ShHr613 ShHr614 Saturday ShHr616 Holiday ShHr614 Sunday Holiday ShHr617 ShHr617 Saturday Sunday ShHr619 ShHr620 Friday Saturday ShHr10001 ShHr10001 Friday Saturday ShHr10002 ShHr10002 Friday Saturday ShHr10003 ShHr10003 Holiday ShHr620 Sunday Holiday ShHr10001 ShHr10001 Sunday Holiday ShHr10002 ShHr10002 Sunday Holiday ShHr10003 ShHr10003 12/28/2011 EnergyGauge Summit® v3.22 12 • • • Hourly Schedules Id Acronym Type Values Hours 1 thru 8 Hours 9 -16 Hours 17 - 24 1 ShHr1 On /Off OFF OFF OFF OFF OFF OFF OFF OFF On -Off Null Schedule OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF 2 ShHr2 Fraction 0 0 0 0 0 0 0 0 Fraction Null Schedule 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 ShHr3 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 0 179 ShHr179 Absolute 78 78 78 78 78 78 78 78 Set point 78 F All Day 78 78 78 78 78 78 78 78 78 78 78 78 78 78 78 78 180 ShHr180 Absolute 70 70 70 70 70 70 70 70 Set Point 70 F All Day 70 70 70 70 70 70 70 70 70 70 70 70 70 70 70 70 201 ShHr201 Absolute 99 99 99 99 99 99 99 99 Set point 99 99 99 99 99 99 99 99 99 99 99 99 99 99 99 99 99 202 ShHr202 Absolute 45 45 45 45 45 45 45 45 Set Point 55 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 410 ShHr410 On /Off ON ON ON ON ON ON ON ON Always On schedule ON ON ON ON ON ON ON ON ON ON ON ON ON ON ON ON 411 ShHr411 On /Off OFF OFF OFF OFF OFF OFF OFF OFF Always Off Schedule OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF 412 ShHr412 Absolute 0.03804 0.03804 0.03804 0.03804 0.03804 0.03804 0.03804 0.03804 Florida Avg. Week Day Summt 0.03804 0.03804 0.03804 0.0686 0.0686 0.0686 0.0686 0.0686 0.0686 0.0686 0.0686 0.0686 0.0686 0.03804 0.03804 0.03804 12/28/2011 EnergyGauge Summit® v3.22 13 • • • 413 ShHr413 Absolute 0.03804 0.03804 0.03804 0.03804 0.03804 0.0686 0.0686 0.0686 Florida Avg. Week Day Winter 0.0686 0.0686 0.03804 0.03804 0.03804 0.03804 0.03804 0.03804 0.03804 0.0686 0.0686 0.0686 0.0686 0.0686 0.03804 0.03804 414 ShHr414 Absolute 0.03804 0.03804 0.03804 0.03804 0.03804 0.03804 0.03804 0.03804 Florida Avg. Week End Summt 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 0.03804 0.03804 415 ShHr415 Absolute 0.03804 0.03804 0.03804 0.03804 0.03804 0.03804 0.03804 0.03804 Florida Avg. Week End Winter 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 0.03804 0.03804 501 ShHr501 Absolute 60 60 60 60 60 65 65 70 ACM Nonres Heating Weekda; 70 70 70 70 70 70 70 70 70 70 65 60 60 60 60 60 502 ShHr502 Absolute 60 60 60 60 60 65 65 65 ACM Nonres Heating Saturday 65 65 65 65 65 65 65 65 60 60 60 60 60 60 60 60 503 ShHr503 Absolute 60 60 60 60 60 65 65 65 ACM Nonres Heating Sunday 65 65 65 65 65 65 65 65 60 60 60 60 60 60 60 60 504 ShHr504 Absolute 77 77 77 77 77 73 73 73 ACM Nonres Cooling Weekda! 73 73 73 73 73 73 73 73 73 73 77 77 77 77 77 77 505 ShHr505 Absolute 77 77 77 77 77 73 73 73 ACM Nonres Cooling Saturday 73 73 73 73 73 73 73 73 73 73 77 77 77 77 77 77 506 ShHr506 Absolute 77 77 77 77 77 73 73 73 ACM Nonres Cooling Sunday 73 73 73 73 73 73 73 73 73 73 77 77 77 77 77 77 507 ShHr507 Fraction 0.05 0.05 0.05 0.05 0.1 0.2 0.4 0.7 ACM Nonres Lights Weekday 0.8 0.85 0.85 0.85 0.85 0.85 0.85 0.85 0.85 0.8 0.35 0.1 0.1 0.1 0.1 0.1 508 ShHr508 Fraction 0.05 0.05 0.05 0.05 0.05 0.1 0.15 0.25 ACM Nonres Lights Saturday 0.25 0.25 0.25 0.25 0.25 0.25 0.2 0.2 0.2 0.15 0.1 0.1 0.1 0.1 0.1 0.1 509 ShHr509 Fraction 0.05 0.05 0.05 0.05 0.05 0.1 0.1 0.15 ACM Nonres Lights Sunday 0.15 0.15 0.15 0.15 0.15 0.15 0.15 0.15 0.15 0.1 0.1 0.1 0.05 0.05 0.05 0.05 510 ShHr510 Fraction 0.15 0.15 0.15 0.15 0.15 0.2 0.35 0.6 ACM Nonres Equipment Week 0.7 0.7 0.7 0.7 0.7 0.7 0.7 0.7 0.65 0.45 0.3 0.2 0.2 0.15 0.15 0.15 12/2812011 EnergyGauge Summit® v3.22 14 • • • 511 ShHr511 Fraction 0.15 0.15 0.15 0.15 0.15 0.15 0.15 0.2 ACM Nonres Equipment Satur 0.25 0.25 0.25 0.25 0.25 0.25 0.2 0.2 0.2 0.15 0.15 0.15 0.15 0.15 0.15 0.15 512 ShHr512 Fraction 0.15 0.15 0.15 0.15 0.15 0.15 0.15 0.2 ACM Nonres Equipment Sund; 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.15 0.15 0.15 0.15 0.15 0.15 0.15 513 ShHr513 On /Off OFF OFF OFF OFF OFF ON ON ON ACM Nonres Fans Weekday ON ON ON ON ON ON ON ON ON ON ON ON OFF OFF OFF OFF 514 ShHr514 On /Off OFF OFF OFF OFF OFF ON ON ON ACM Nonres Fans Saturday ON ON ON ON ON ON ON OFF OFF OFF OFF OFF OFF OFF OFF OFF 515 ShHr515 On /Off OFF OFF OFF OFF OFF OFF OFF OFF ACM Nonres Fans Sunday OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF OFF 516 ShHr516 Fraction 1 1 1 1 1 0 0 0 ACM Nonres Infiltration Weekc 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 517 ShHr517 Fraction 1 1 1 1 1 0 0 0 ACM Nonres Infiltration Saturd 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 518 ShHr518 Fraction 1 1 1 1 1 1 1 1 ACM Nonres Infiltration Sunda 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 519 ShHr519 Fraction 0 0 0 0 0.05 0.1 0.25 0.65 ACM Nonres People Weekday 0.65 0.65 0.65 0.6 0.6 0.65 0.65 0.65 0.65 0.4 0.25 0.1 0.05 0.05 0.05 0 520 ShHr520 Fraction 0 0 0 0 0 0 0.05 0.15 ACM Nonres People Saturday 0.15 0.15 0.15 0.15 0.15 0.15 0.15 0.15 0.15 0.05 0.05 0.05 0 0 0 0 521 ShHr521 Fraction 0 0 0 0 0 0 0 0.05 ACM Nonres People Sunday 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0 0 0 0 522 ShHr522 Fraction 0 0 0 0 0.1 0.1 0.5 0.5 ACM Nonres Hot Water Week( 0.5 0.5 0.7 0.9 0.9 0.5 0.5 0.7 0.5 0.5 0.5 0.1 0.1 0.1 0.1 0.1 523 ShHr523 Fraction 0 0 0 0 0 0 0.1 0.2 ACM Nonres Hot Water Saturc 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.1 0.1 0.1 0 0 0 0 12/28/2011 EnergyGauge Summit® v3.22 15 • • • 524 ShHr524 Fraction 0 0 0 0 0 0 0 0.1 ACM Nonres Hot Water Sunda 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0 0 0 0 597 ShHr597 Absolute 60 60 60 60 60 63 65 68 ACM Retail Heating Weekday 70 70 70 70 70 70 70 70 70 70 70 65 65 65 65 60 598 ShHr598 Absolute 60 60 60 60 60 63 65 68 ACM Retail Heating Saturday 70 70 70 70 70 70 70 70 70 70 70 65 65 65 65 60 599 ShHr599 Absolute 60 60 60 60 60 63 65 68 ACM Retail Heating Sunday 70 70 70 70 70 70 70 70 70 70 70 65 65 65 65 60 600 ShHr600 Absolute 80 80 80 80 80 74 74 74 ACM Retail Cooling Weekday 74 74 74 74 74 74 74 74 74 74 74 74 74 74 80 80 601 ShHr601 Absolute 80 80 80 80 80 74 74 74 ACM Retail Cooling Saturday 74 74 74 74 74 74 74 74 74 74 74 74 74 74 80 80 602 ShHr602 Absolute 80 80 80 80 80 74 74 74 ACM Retail Cooling Sunday 74 74 74 74 74 74 74 74 74 74 74 74 74 74 80 80 603 ShHr603 Fraction 0.2 0.2 0.2 0.2 0.2 0.3 0.4 0.65 ACM Retail Lights Weekday 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.8 0.65 0.5 0.35 0.25 604 ShHr604 Fraction 0.2 0.2 0.2 0.2 0.2 0.3 0.4 0.65 ACM Retail Lights Saturday 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.8 0.65 0.5 0.35 0.25 605 ShHr605 Fraction 0.2 0.2 0.2 0.2 0.2 0.3 0.4 0.65 ACM Retail Lights Sunday 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.9 0.8 0.65 0.5 0.35 0.25 606 ShHr606 Fraction 0.2 0.2 0.2 0.2 0.2 0.25 0.3 0.45 ACM Retail Equip Weekday 0.6 0.75 0.75 0.75 0.7 0.75 0.75 0.75 0.75 0.75 0.65 0.55 0.45 0.35 0.25 0.2 607 ShHr607 Fraction 0.2 0.2 0.2 0.2 0.2 0.25 0.3 0.45 ACM Retail Equip Saturday 0.6 0.75 0.75 0.75 0.7 0.75 0.75 0.75 0.75 0.75 0.65 0.55 0.45 0.35 0.25 0.2 608 ShHr608 Fraction 0.2 0.2 0.2 0.2 0.2 0.25 0.3 0.45 ACM Retail Equip Sunday 0.6 0.75 0.75 0.75 0.7 0.75 0.75 0.75 0.75 0.75 0.65 0.55 0.45 0.35 0.25 0.2 12/28/2011 EnergyGauge Summit® v3.22 16 • • • 609 ShHr609 On /Off OFF OFF OFF OFF OFF OFF ON ON ACM Retail Fans Weekday ON ON ON ON ON ON ON ON ON ON ON ON ON OFF OFF OFF 610 ShHr610 On /Off OFF OFF OFF OFF OFF OFF ON ON ACM Retail Fans Saturday ON ON ON ON ON ON ON ON ON ON ON ON ON OFF OFF OFF 611 ShHr611 On /Off OFF OFF OFF OFF OFF OFF ON ON ACM Retail Fans Sunday ON ON ON ON ON ON ON ON ON ON ON ON ON OFF OFF OFF 612 ShHr612 Fraction 1 1 1 1 1 1 0 0 ACM Retail Infil Weekday 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 613 ShHr613 Fraction 1 1 1 1 1 1 0 0 ACM Retail Infil Saturday 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 614 ShHr614 Fraction 1 1 1 1 1 1 0 0 ACM Retail Infil Sunday 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 615 ShHr615 Fraction 0.05 0.05 0.05 0.05 0.05 0.05 0.15 0.25 ACM Retail People Weekday 0.4 0.55 0.75 0.75 0.75 0.75 0.75 0.75 0.75 0.75 0.65 0.5 0.35 0.2 0.1 0.05 616 ShHr616 Fraction 0.05 0.05 0.05 0.05 0.05 0.05 0.15 0.25 ACM Retail People Saturday 0.4 0.55 0.75 0.75 0.75 0.75 0.75 0.75 0.75 0.75 0.65 0.5 0.35 0.2 0.1 0.05 617 ShHr617 Fraction 0.05 0.05 0.05 0.05 0.05 0.05 0.15 0.25 ACM Retail People Sunday 0.4 0.55 0.75 0.75 0.75 0.75 0.75 0.75 0.75 0.75 0.65 0.5 0.35 0.2 0.1 0.05 618 ShHr618 Fraction 0 0 0 0 0 0 0.1 0.1 ACM Retail SWH Weekday 0.5 0.5 0.7 0.9 0.9 0.5 0.5 0.7 0.5 0.5 0.5 0.1 0.1 0 0 0 619 ShHr619 Fraction 0 0 0 0 0 0 0.1 0.1 ACM Retail SWH Saturday 0.5 0.5 0.7 0.9 0.9 0.5 0.5 0.7 0.5 0.5 0.5 0.1 0.1 0 0 0 620 ShHr620 Fraction 0 0 0 0 0 0 0.1 0.1 ACM Retail SWH Sunday 0.5 0.5 0.7 0.9 0.9 0.5 0.5 0.7 0.5 0.5 0.5 0.1 0.1 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 12/28/2011 EnergyGauge Summit® v3.22 17 • • • ### ShHr1000 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 ShHr100t 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 1212812011 EnergyGauge Summit® v3.22 18 • Florida Energy Efficiency Code For Building Construction Florida Department of Community Affairs EnergyGauge Summit® Fla/Com -2008, Effective: March 1, 2009 — Form 400A -2008 Method A: Whole Building Performance Method for Commercial Buildings PROJECT SUMMARY Short Desc: New Prj Description: Commercial Building Owner: Addressl: 9501 & 9545 N.E. 2nd. Ave. City: Miami Shores Address2: State: FL Zip: 0 Type: Office Class: New Finished building Jurisdiction: MIAMI SHORES VILLAGE, MIAMI-DADE COUNTY, FL (232600) Conditioned Area: 1834 SF Conditioned & UnConditioned Area: 1834 SF No of Stories: 1 Area entered from Plans 1834 SF Permit No: 0 Max Tonnage 4.8 If different, write in: 12/28/2011 EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 Page 1 of 7 Compliance Summary Component Design Criteria Result Gross Energy Cost (in $) 1,260.0 1,268.0 PASSED. LIGHTING CONTROLS PASSES EXTERNAL LIGHTING None Entered HVAC SYSTEM PASSES PLANT None Entered WATER HEATING SYSTEMS None Entered PIPING SYSTEMS None Entered Met all required compliance from Check List? Yes/No/NA IMPORTANT MESSAGE Info 5009 -- -- -- An input report of this design building must be submitted along with this Compliance Report EnergyGauge Summit® FIa/Com -2008. Effective: March 1, 2009 12/28/2011 Page 2 of 7 • CERTIFICATIONS I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code Prepared By: Ricardo Perez de Alejo Building Official: Date: Date: I certify that this building is in compliance with the FLorida Energy Efficiency Code Owner Agent Date: If Required by Florida law, I hereby certify ( *) that the system design is in compliance with the FLorida Energy Efficiency Code Architect Reg No: Electrical Designer. Reg No: 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. 12/28/2011 EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 Page 3 of 7 • Project: New Prj Title: Commercial Building Type: Office (WEA File: FL MIAMI OPA LOCKA.tm3) Building End Uses 1) Proposed 2) Baseline Total 81.50 96.10 $1,260 $1,492 ELECTRICITY(MBtu/kWW$) 81.50 96.10 23873 28157 $1,260 $1,492 AREA LIGHTS 19.20 21.10 5622 6178 $297 $327 MISC EQUIPMT 27.50 27.50 8061 8061 $426 $427 SPACE COOL 22.80 29.20 6683 8559 $353 $454 SPACE HEAT o.00 0.0o 0 10 so $1 VENT FANS 12.00 18.30 3507 5349 $185 $283 Passing requires Proposed Building cost to be at most 85% of Baseline cost. This Proposed Building is at 84.5% I PASSES 12/28/2011 EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 Page 4 of 7 • 12/28/2011 EnergyGauge Summer Fla/Com -2008. Effective: March 1, 2009 Page 5 of 7 External Lighting Compliance Description Category Tradable? Allowance Area or Length ELPA CLP (W/Unit) or No. of Units (W) (W) (Sgft or ft) None Project: New Prj Title: Commercial Building Type: Office (WEA File: FL M AMI OPA LOCKA.tm3) Lighting Controls Compliance Acronym Ashrae Description Area Design Min Compli- ID (sq.ft) CP CP ance PrOZolSpl 17 Office - Enclosed 1,834 15 1 PASSES PASSES Project: New Prj Title: Commercial Building Type: Office (WEA File: FL MIAMI OPA LOCKA.tm3) System Report Compliance PrOSyl System 1 Constant Volume Air Cooled No. of Units Single Package System < 1 65000 Btu/hr Component Category Capacity Design Eff Design IPLV Comp - Eff Criteria IPLV Criteria fiance Cooling System Air Conditioners Air Cooled 15.00 12.23 8.00 PASSES Single Pkg < 65000 Btu/h Cooling Capacity Heating System Electric Furnace 1.00 1.00 PASSES Air Handling Air Handler (Supply) - 0.63 0.90 PASSES System - Supply Constant Volume Air Distribution ADS System 6.00 3.50 PASSES System PASSES 12/28/2011 EnergyGauge Summer Fla/Com -2008. Effective: March 1, 2009 Page 5 of 7 • Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV fiance None Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Eff Loss Loss Hance None Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins Req Ins Compliance (inches] Rnnoat? Temp [Btu -in/hr Thick (in] Thick (in] (F] .SF.F1 None 12/28/2011 EnergyGauge Summit® FIa/Com -2008. Effective: March 1, 2009 Page 6 of 7 Project: New Prj Title: Commercial Building Type: Office (WEA Vile: FL MIAMI OPA LOCKA.tm3) Other Required Compliance Category Section Requirement (write N/A in box if not applicable) Check Report Operations Manual Windows & Doors Joints/Cracks Dropped Ceiling Cavity System Reheat HVAC Efficiency HVAC Controls Ventilation Controls ADS HVAC Ducts Balancing Piping Insulation Water Heaters Swimming Pools Hot Water Pipe Insulation Water Fixtures Motors Lighting Controls 13 -101 13- 102.1, 13- 410,13 -413 13- 406.AB.1.1 13- 406.AB.1.2 13- 406.AB.3 13-407 13 -407.B 13- 407,13 -408 13- 407.AB.2 13- 409.AB.3 13-410 13- 410.AB 13- 410.AB.4 13- 411.AB 13- 412.AB 13- 412.AB.2.6 13- 411.AB.3 13- 412.AB.2.5 13-414 13- 415.AB Input Report Print -Out from EnergyGauge FlaCom attached Operations manual provided to owner Glazed swinging entrance & revolving doors: max. 1.0 cfm/ft2; all other products: 0.4 cfm/ft2 To be caulked, gasketed, weather - stripped or otherwise sealed Vented: seal & insulated ceiling. Unvented seal & insulate roof & side walls HVAC Load sizing has been performed Electric resistance reheat prohibited Minimum efficiences: Cooling Tables 13- 407.AB.3.2.1A -D; Heating Tables 13- 407.AB.3.2.1B, 13- 407.AB.3.2.1D, 13- 408.AB.3.2.1E, 13- 408.AB.3.2F Zone controls prevent reheat (exceptions); simultaneous heating and cooling in each zone; combined HAC deadband of at least 5°F (exceptions) Motorized dampers reqd, except gravity dampers OK in: 1) exhaust systems and 2) systems with design outside air intake or exhaust capacity 5_300 cfm Duct sizing and Design have been performed Air ducts, fittings, mechanical equipment & plenum chambers shall be mechanically attached, sealed, insulated & installed per Sec. 13-410 Air Distribution Systems HVAC distribution system(s) tested & balanced. Report in construction documents In accordance with Table 13- 411.AB.2 Performance requirements in accordance with Table 13- 412.AB.3. Heat trap required Cover on heated swimming pools: Time switch (exceptions); Readily accessible on/off switch Table 13- 411.AB.2 for circulating systems, first 8 feet of outlet pipe from storage tank and between inlet pipe and heat trap Shower hot water flow restricted to 2.5 gpm at 80 psi. Public lavatory fixture how water flow 0.5 gpm max; if self - closing valve 0.25 gallon recirculating, 0.5 gallon non recirculating Motor efficiency criteria have been met Automatic control required for interior lighting in buildings >5,000 s.£; Space control; Exterior photo sensor; Tandom wiring with 1 or 3 linear fluuorescent lamps>30W ❑❑❑ ❑❑ ❑ ❑❑ ❑ EnergyGauge Summit® Fla/Com -2008. Effective: March 1, 2009 12/28/2011 Page 7 of 7 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: IZ� /ZS3 DATE: A % 1 1 3 I, o Contractor Owner. o Architect Address: From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledges • Aloft PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: Permit No: 12 -183 Job Name: April 11, 2012 Miami Shores Village Building Department Building Critique Sheet 2nd 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1) Provide approval from Miami Dade Fire. 2) Provide approval from Miami Dade County Health Dept. (DOH /HRS) Stopped Review Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans andreplace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 02/15/2012 12:58 FAX 1 800 685 7530 DATA SCAR FIELD SERVICES a001/003 A Permit No: 12 -183 Job Name: February 15, 2012 Miami Shores Village Building Department 10050 N.E2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax (305) 756.8972 FAY: 36-- -- g318 3 -- "A`13 --CMS 1 Page-1 of 1 Building Critique Sheet Z414) Provide approval from Miami Dade Fire. aProvide approval from Miami Dade County DERM. '3) Provide approval from Miami Dade County Health Dept. (DOH/ S) Provide all permit applications prior to any further review. P'"'� 'de corrections forelectrical and plumbing. • VAIIIL rovide energy calculations. D iv 7 4- ber V i U. e building data page is incorrect and conflicting. The page inciu. es 2 data tables ands I the do not match and neither is correct. ,L-'- A -- 6 e floor plan does not match the scale stated. Provide a floor plan at a readable scale. (24.4/41-f---4 &v9 Th - floor plan has numbered item but no schedule to identify the item c-1 f e type of construction is provide two times and do not match. g <A, CI Jt L c A--1,4-001 e door schedule does not Include the doors to the conference room I m- A , L fi t; Se C CI ampletely dimension the bathroom. This include providing a blow up oaf the area hawing all accessible features including size of room, clear floor spa tumingradius • ij j 6 kn4nirec d°a i S 11 i74-7 C. ' VM9 ,flh1S e477-71. 11 he occupant load is incorrect because the occupancy type is Incorrec . This is a B and the load shall be calculated at a minimum per FBC 1004.1.1. S -� . - ( C a .:- entify the travel distance to the exterior. Provide the corridor width. Doors swinging into e egress corridor may not decrease the required egress by more than 50% and must swing 180 degrees. This must be provided on the plan is several locations. A- i Show the maneuvering clearance at all doors. The wall at office 2 interferes with the In entrance door. Entrance to office #1 must show clearance. And identify doors into 4' 16/na conference roam. 5 (7-1 i& - l A-. a A , Z 12 Wd' TO 9 t e C6 i, 6,0 #"'Ar } Provide an interior wall detail including all connections and bracing to structure. Cr5 Ise A-3 S t Ptnizr A A - 43 ¥ 5 6a- Stopped Review. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re submittal drawings. Norman Bruhn CBO 305- 762 -4859 02/16/2012 12 :58 FAX 1 800 686 7530 DATA SCAN FIELD SERVICES 11002 /003 • Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 Permit No.. s -/ 2 -/S Job Name %ileie , i} taictol-c- CRITIQUE SHEET Ook. a,jL - ,-c 0, I -911;&-- AA" Xn /e492F-e-P i(14 AL% c},`1l" 3/02-- d Q'it-s /tt'e-rs- rvrt' - i-Iij fl- — 4,t"1-eh e. `el2., ilea fd S vat A 02/15/2012 12:59 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES et 003/003 Miami Shores Village Building Department • 10050 N E 2nd AVenue Miami Shores. Florida 33138 Tel: (305) 795 2204 Fu: (305) 736 8972 Permit Na« Job Name PLUMBING CRITIQUE SHEET ,7. -C- t u' j 1 - 0 P 14 11 ,'G ( 6:) )4-0v1/6.-. AP A.A. a .c .> A Z IVI iami Shores Viiiage Building Department RECEIPT PERMIT #: CC 1 2,— I, 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DATE: ❑ Contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) Address: From the building department on this date in order to have corrections done to plans And /or get County stamps./ 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: 2i -2012_ PERMIT CLERK INITIAL: 0 J IVI iami Shores Viitage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: - DATE: ___, f`„1 I, o Contractor o Owner o Architect Picked up 2 sets of plans and (other) Address: 30( . / From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowled PERMIT CLERK INITIAL* RESUBMITTED DATE: PERMIT CLERK INITIAL: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. & -/ 2 —/53 Job Name /7�i4,x T 5'd- Est CRITIQUE SHEET // _ t A 747ef-e/ i Pate ia9r 7 ? t - r 9' .9',e2 3-G 1 Xi2- i &"'/C'' i �'i teC `�l° �e >' MA-el R i�5 - 74 * ''I A 7 02/15/2012 12:59 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES L 1001 * * * * * * * * * * * * * * * * * * * ** * ** TX REPORT * ** * * * * * * * * * * * * * * * * * * * ** TRANSMISSION OK TX /RX NO 2237 RECIPIENT ADDRESS 93052435451 DESTINATION ID ST. TIME 02/15 12:58 TIME USE 00'38 PAGES SENT 3 RESULT OK Permit No: 12 -183 Job Name: February 15, 2012 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 FA-y: 2318 3L-6 '-�� 1 Page 1 of 1 Building Critique Sheet 1) Provide approval from Miami Dade Fire. 2) Provide approval from Miami Dade County DERM. 3) Provide approval from Miami Dade County Health Dept. (DOH /HRS) 4) Provide all permit applications prior to any further review. 5) Provide corrections for electrical and plumbing. 6) Provide energy calculations. 7) The building data page is incorrect and conflicting. The page includes 2 data tables and they do not match and neither is correct. 8) The floor plan does not match the scale stated. Provide a floor plan at a readable scale. 9) The floor plan has numbered item but no schedule to identify the item. 10) The type of construction is provide two times and do not match. 11) The door schedule does not include the doors to the conference room 12) Completely dimension the bathroom. This include providing a blow up of the area showing all accessible features including size of room, clear floor space, tumingradius ect. 13) The occupant load is incorrect because the occupancy type is incorrect. This is a B and the load shall be calculated at a minimum per FBC 1004.1.1. 14) identify the travel distance to the exterior. Provide the corridor width. Doors swinging into the egress corridor may not decrease the required egress by more than 50% and must swing 180 degrees. This must be provided on the plan is several locations. 15) Show the maneuvering clearance at all doors. The wall at office 2 interferes with the main entrance door. Entrance to office #1 must show clearance. And identify doors into conference room. 16) Provide an interior wall detail including all connections and bracing to structure. Permit No: 12 -183 Job Name: February 15, 2012 FAy; Miami Shores V'ivage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Building Critique Sheet Page 1 of 1 1) Provide approval from Miami Dade Fire. 2) Provide approval from Miami Dade County DERM. 3) Provide approval from Miami Dade County Health Dept. (DOH /HRS) 4) Provide all permit applications prior to any further review. 5) Provide corrections for electrical and plumbing. 6) Provide energy calculations. 7) The building data page is incorrect and conflicting. The page includes 2 data tables and they do not match and neither is correct. 8) The floor plan does not match the scale stated. Provide a floor plan at a readable scale. 9) The floor plan has numbered item but no schedule to identify the item. 10) The type of construction is provide two times and do not match. 11) The door schedule does not include the doors to the conference room 12) Completely dimension the bathroom. This include providing a blow up of the area showing all accessible features including size of room, clear floor space, turningradius ect. 13) The occupant Toad is incorrect because the occupancy type is incorrect. This is a B and the load shall be calculated at a minimum per FBC 1004.1.1. 14) Identify the travel distance to the exterior. Provide the corridor width. Doors swinging into the egress corridor may not decrease the required egress by more than 50% and must swing 180 degrees. This must be provided on the plan is several locations. 15) Show the maneuvering clearance at all doors. The wall at office 2 interferes with the main entrance door. Entrance to office #1 must show clearance. And identify doors into conference room. 16) Provide an interior wall detail including all connections and bracing to structure. Stopped Review. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 -762 -4859 PERA PLAN REVIEW PLEASE PRINT FOLIO NUMBER: - 3 c 0(6, - Q 1 - 37 d-c) PROJECT NAME: air NE 95S h-evr Hto hov -ea, FL 3313,d2 PROJECT ADDRESS: ,N2.0 1 NE 951 CITY, STATE, ZIP: M 5 j 3 CONTACT NAME: LA i2A- Su CONTACT PHONE: [2iD5) SSA 33. EMAIL ADDRESS: I Ol U 20.. e kox � ec c.Q. Cow) (COMMENTS & FEES WILL BE EMAILED TO THIS ADDRESS SCOPE OF WORK: (OFR< _ bw -0 v70' MUNICIPALITY PROLES PLEASE CHECK ONE COMMERCIAL La5C0 -3U-� BUILDING PE FBC 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 Noel f7_ 35 3 Master Permit No. C C-t Q LICATION Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder): 1 � \ ( . L 1 L C. Phone#: °'42 3 0159 . Address: aI �t\\ - 2 City: M tcy -t , r nl1 e State: Tenant/Le see Name: Email e1e7 . Q. p rri L C c?�'i . .2ccf NIL 9,5-r-L 54- vslt,vic.,A. zip: '331.3g RECEIvEr FEB 292012 JOB ADDRESS: City: Miami Shores Folio/Parcel #: el.L4 1/6. hone#: a)75 7 15 L t I County: Miami Dade Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: k fiOUS \ A-1.4 46 (AC-) Phone#: Address: 1 O50 11//a) l City: /v0 /1h0m44' - -- d � r % � ®�� ki��PZ,Phone# 9�Qualifier Name: State Certification or Registration #: C/C /V2479 Certificate of Competency #: Contact Phone #: Emai4t. ddress: DESIGNER: Architect/Engineer: /Vn ' ?e. l Phone/ZOJ • 528. 36 . Value of Work for this Permit: $ 7S- 0 (I) Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New Repair/ /Replace ❑Demolition Description of Work: ' . State: zip: 33/6'. ** * ******** * **** *x: *** ************ **** Feesx: ****+ x****** **************a:*m*******+x**** *** jam, Submittal Fee $ Permit Fee $ /'C9 ---- 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, BOTTFRS, 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 for the first ins inspection i Signa certified copy of the recorded notice of commencement must be posted at the job site after the building permit is issued. In the absence of such posted notice, the 'll be charged. occurs seven (7) da roved a d a / inspection fee Owner or Agent foregoin instrument was acknowledged before me this ,/-S) day of = • ' 1l. ,byl {ex -A Cac�c�a who is ersonally known to me r who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: , /�, �1 Print: y p el i V l ?t�f- r‘ My Commission Expires: fi®T„ y IURLIOa6TATE OF FLORIDA Yaniv Offir Commission #DD795680 Expires: AUG. 22, 2012 * * * * * * * * * * * * * * * * * * * * * * ** "t' $ * h***Ns**skshsk***** *sk***sk****+k**sksk*** ffiV .,IAic. APPROVED BY Signature t°_ Rdi et e z ° Contractor The foregoing instrument was acknowledged before me this g g day of * L 2 L, by .,�0tr / rr' °t who is ersonally known t or who has produced as identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: i ETA y LUO- STATE OF FLORIDA ' " " "%. Yaniv Offir Commission #DD795680 a•: ` " °';.�•` Expires: AUG. 22, 2012 Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Miami Shores Village Building Department 10030 N.E 2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No.CC LJ-^ IP Job Name PLUMBING CRITIQUE SHEET 1 o pi avy4 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 186489 Permit Number: MC -2 -12 -184 Inspection Date: February 27, 2013 Inspector: Perez, JanPierre Owner: Job Address: 201 NE 95 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: CENTRAL AIR PLUS CORP Permit Type: Mechanical - Commercial Inspection Type: Final Work Classification: Addition/Alteration Phone Number (305)756 -3711 Parcel Number 1132060133920 Phone: (786)295 -3861 Building Department Comments INSTALL NEW UNIT AND 3 NEW DUCT WORK 01/14/2013 - PER LETTER. NO INSP UNLESS REQUESTED BY REINALDO LOPEZ . As 02/19/2013 - hold removed. reinaldo Iopez.As Infraatio Passed Comments INSPECTOR COMMENTS True t-2-� Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 169536. FINAL INSPECTIONS CANNOT BE SCHEDULE UNTIL HRS IS APPROVED need rough inspection first jpp � Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until February 27, 2013 For Inspections please call: (305)762 -4949 Page 1 of 1 FEB 19 213 Central Air Plus Corp. [1 4759 Palm Ave. #124 Hialeah, FL 33012 Ph: (305) 962 -5863 02M000930 To: Miami Shores Village Building Department 10050 NE 2 Ave Miami Shores, FL Ref: Permit#: MC -2 -12 -184 Job Address: 209 NE 95 St #3 Miami Shores, FL 33138 To whom this may concern, Date: 02/18/2013 I, Reinaldo Lopez, qualifier of Central Air Plus Corp. am soliciting to remove the hold that was placed on this permit. Sincerely. R al • o opez A/C Contractor Central Air Plus Corp. 4759 Palm Ave. #124 Hialeah, FL 33012 Ph: (305) 962 -5863 02M000930 To: Miami Shores Village Building Department 10050 NE 2 Ave Miami Shores, FL Ref: Permit#: MC -2 -12 -184 Job Address: 209 NE 95 St #3 Miami Shores, FL 33138 To whom this may concern, Date: 01/11/2013 I, Reinaldo Lopez, qualifier of Central Air Plus Corp. am soliciting a hold on this mechanical permit which has been the consequence of extra work executed and refused to be paid - due to a "change- order" summoned by the owner. The owner has been notified of such action and refuses to come to terms with a method of payment or settlement. If any further information regarding the extra work that was executed is needed — the Building Department will be facilitated with the evidence. Sincerely. Rein. • o ' opez A/C Contractor Sworn to bef a 'me on ,t 1 /2013 at Miami -D.> de. C,unty. otary igns ure NOTARY PUBLIC -STATE OF FLORIDA Osvaldo Marrero g Commission #DD952610 Expires: FEB. 06, 2014 HOLED TERII ATLANTIC BONDING CO., INC. B 1114:2,- 6/0044-00 DING PERMIT APPLICATION FBC 20 �o 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 Type: MECHANICAL Permit No. C.C. " -1F43- Master Permit No. MCA ° 1 ?I, OWNER: Name (Fee Simple Titleholder): Q inn L_ Address: CI 5 91 vJ 2'`A. City: i, .,.1. ,SVW State: Tenant/Lessee Name: Email: '31' 1 . S A.. Q f zj* JOB ADDRESS: 20 / %E flAr City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Phone/ha/I..' -/11-1-1/ 3 Phone#: 3c2 3/1) Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: ceone i. IQ%� PCD4 ,i Address: 4r �� A , 44/6 # ,'27' City: hemie9'ff 04 r, �' - State: 1 Qualifier Name: i 7A/44 late 00 State Certification or Registration #: fe4/30674014 Certificate of Competency #: APWatigrep Email Address: DESIGNER: Architect/Engineer: 0. .44( )c ,e._Q Value of Work for this Permit: $ Square/Linear Footage of Work: Phone#: Zip: atacq2. Contact Phone #: Phone #: Type of Work: OAddress OAlteration Description of Work: I%.. Vo`e- \o Waserft--.31, ' ONew \IN e [e ORepair/Replace ODemolition * * * * * * ** * ** r * **********************Fees******************** Submittal Fee $ ,ASO Permit Fee $ 15 • C� Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ * * * * * * * * * * * * * * * * * * * * * ** CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ � TOTAL FEE NOW DUE S. v 0 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.F,CTRICAL 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 nzust 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 noz be approved and a reinspeclion fee Will „Tare ;charged Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this The foregoin day of , 20 _, by , day of who is personally known to me or who has produced who is As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: tractor instrument was ackno ledged before me ,20Jby Laryri 4-1•wn to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: 4S ,..Z.e ?% LAURA BOURNE BURKHALTER MY COMMISSION # DD 859461 *****+x*****w**+x** **+x **+ *** ear **** ** * * ** ***4**** war *** * *** **** ***** **** ** a� .�> :+sw ' ? t1a *** * *** 9.zomov- Bonded Thru Budget Notary Services APPROVED BY 11' V °' 'p / j 1 •i s Examiner Zoning Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk OV 12012 FL LIC # AR 0011074 Date: October 28, 2012 Miami Shores Village Building Department 10050 N.E., 2nd Avenue Miami Shores, Florida 331 Re: Permit # CC-2-12-183 Office renovation 201 N.E. 95th Street Miami Shores, Florida 33138 FOliO# 11 -3206701 3-39N Attn: Building Department, 1, Mark A. Campbell, have .approved the revision of the following fan and compressor unit mounting detail. This letter will hereby attest that I have approved the installation of the steel fan unit rack as detailed in the at ched detail showing L2x2x1x1/4" steel 14 es with steel plates as well as the compressor mounting detail on the existing wood roof which is existing between the two 8" block walls. See the attached detail. Should you have any questions o need any additional information please do not he to contact me. Mark A. Campbell, Architect State of Florida:. #0011074 201 NE 95 unit mounting detail letter 10-28-12 itat 1/B° STAINLESS STEEL WIRES SECURED TO- STEEL BEAMS VIA 3/B° EYE BOLTS AND NUTS (DO NOT OBSTRUCT UNIT ACCESS) PROVIDE 2 PER UNIT MIN. ARANCE 0UND CU 4 6°x8°x1 /4" STEEL PLATE EA. SIDE BOLTED TO CONCRETE WALL 3/4 °0 A304 STA THRU BOLTS NIT ANGLE TO PLATE EXST. C. U. WALL, FIELD VERIFY T ..' P NEW L2x2u1/4 FRAMES (MIN. TWO PER UNIT) Miami Shores Village aEcEnrso FEB 012012 T. 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 PE ' +' APPLICATION FBC 2 Permit No. GX2 . O y Master Permit No. CC i2 — t 4S 3 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): C So.. 0,0%. (�_ C p .(V % is e. Phone #: 305 - 1-5 IP - 3T-11 1Ae__ City: tp-kt ...5A-10 State: el_ Zip: 3 311 3 I Phone #: 30 5 "" -1-90-31-1 1 Address: \ 6 -tA _ Z Tenant/Lessee Name: Email: <Art S C . e. ` hil l Yil . Corr' JOB ADDRESS: 1 £ 9 City: Miami Shores County: Miami Dade Zip: . , 3 F Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: CE)T€,k .¢ /,E' Pt.P5O ?1 P. Phone #:� > p�p2'Y Q(�7 Address: 476? /ij4 4- //ite.�j4t!/ State: f 4 Zip: " ,304) / Z Qualifier Name: /e6: ke> L ©PE 2 Phone #: C, ✓')162." 3 State Certification or Registration #: /3067.206. Certificate of Competency #: D. y %" Contact Phone #: Email Address: DESIGNER: Architect/Engineer: PC\ ... C,fQANTbe..P-R.. Phone #: 30S- - 5� F-N.3a3 Value of Work for this Permit: $ et OA 00 Square/Linear Footage of Work: 1 (o 0 Type°of- Fork: UAddress D LM Alteration New ORepair/Replace ❑Demolition De crop, ,oii bf Wor -- ' �, 0 iz.QA 11/431.x,0 t,y►;X-k- c -JL hrta...) CILL-Ck woW-. '1sr, • **************k************** * * * k *9:3c�Y *9:4e4e* ** Y * **Y * ******Yk *3:3:4:4e **** Submittal Fee $.` U • Permit Fee $ y �( CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ 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 ins;_- r . en (7) days after the building permit is issued. In the absence of such posted notice, the inspection ctionfee will be charged. Sign M AV , Signature Or O % er or Agent Contractor. Th- forego'': instrument was acknowledged before me this at The fo egoing instrument was ackno ledged b day of 20 (7 , by � e5 ems. �u-Ceec.Mi 5 C� , day o . r W I' ,� 20l �, by 1. ` / e 11'' C, , who i personally own to me or who has produced t As identification and who did take an oath. 1 S) 1 5 w is personally known to me or ho has produced '4 identification and w o did take an oath. NOTARY PUBLIC: Sign: Print: ye pi: v 0-C'2 My Commission Expires: AiOTAItt PUBLIC -STATE OF FLORIDA ,� „�",,� Yaniv Offir i , I Commiss Ion #DD795680 `' "' AUG.2 2012 ', , .,,, �:pires: ***** �tr�e�e�tr *�e�+r�e�tr�e�Y�r�Y�Y *�r�Y�tY &%�R "" I $ i M .IN I ' * ** aka** * * * *************** APPROVED BY OP OT PUBLIC:- Sign. Print: My Commiss (Revised 07 /10 /07XRevised 06 /10 /2009XRevised 3/15/09) Plans Examiner Structural Review * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Clerk 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): 0 1 N £ ' 501 aq Sr,0V4O City: Miami Shores Village County: Miami Dade Zip Code: 33,13 Fi 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 / / EERISEER 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): i 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: Phone: State Certificate or Registration N. Certificate of Competency N. Signature Date: (Qualifier's signature only) Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ti-A(e2 Inspection Number: INSP - 184298 Permit Number: ELC -2 -12 -185 Scheduled Inspection Date: January 22, 2013 Inspector: Devaney, Michael Owner: Job Address: 201 NE 95 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: SOUTH DOM ELECTRIC INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)756 -3711 Parcel Number 1132060133920 Phone: (305)626 -5904 Building Department Comments ELECTRIC INSTALL NEW ELECTRIC PER PLANS 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 - 169544. FINAL INSPECTIONS CANNOT BE SCHEDULE UNTIL HRS IS APPROVED INSPECTION CANCELLED UNTIL HRS APPROVAL IS PROVIDED. 1/15/13 January 18, 2013 For Inspections please call: (305)762 -4949 Page 14 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 PE ', APPLICATION FBC Permit i e: Electrical OWNER: Name (Fee Simple Titleholder): CI Address: 154 tiV fi 2. Ave-nut- City: I.-X-C cx -v■A.i State: fL- Tenant/Lessee Name: Permit No. £2Q -1 �5 Master Permit No. � -�•-'1 . --' a3 tk.e (' to .rvn i 3r . Phone #: zip: 3313 Phone #:JO Email: .LV c S A @ r? n i, ry* . C o+•l JOB ADDRESS: 4L(9 \ J et S City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO CONTRACTOR: Company Name: `JO t Address: SS' (PCD MO 19U' K l & • City: VA /kar ,� State: Zip: 3 3 0 15 Qualifier Name: V ©SG Ir tC�tQ S _ Phone #: State Certification or Registration #: C{7t-i� £ 0005 Co CD Certificate of Competency #: Contact Phone #: SOS • 3� —L t 24 Email Address: DESIGNER: Architect/Engineer: M A� Cd'rt —1 b t 1 Phone #: Zip: 3313 Flood Zone: eC'�(L C Phone #: Value of Work for this Permit: $ 14 0 0 S re/Linear Footage of Work: ew ❑Re airlRe lace (Loa Type of Work: DAddress DAlteration p p DDemolition Description of Work: F lee t C 6 — \tJ$ti L L t\ L' LL j lc saft,c c_ rpICL%LS * **** *+x*•x•x**** •* * * ***** **** *:xx••x**x•x *** Fees' *** •• x• x*: x******** * * ***x•** **•x•x ***•rx: *.x*** ** ** Submittal Fee $S)�lf" 9� Permit Fee $ ge5kePg, CCF $ Scanning Fee $ lt" Radon Fee $ DBPR $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE CO /CC $ Bond $ 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,axtachvnent:- -lsertified copy of the recorded notice of commencement must be posted at the job site for the first inspe wiich occurs seven (7) days R er the building permit is issued. In the absence of such posted notice, the inspection and yieinspection fee w 1 be charged. Signature The forego i' nstrument was acknowledged before me this ( The fo day of � , 20 / Z; by —714 eres $ a`..CP whoi day of tt -1, g 1 Contractor nstrument was ac s ersonally known to me o who has produced l� � J"o is As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 0 7 (110 ..a ✓� : r x r. My Commission Expires: e " "' Yaniv Offir Commission #DD795680 , Expires: AUG. 22 2012 BONDED TBRU ATLANTIC BONDING CO., INC. * * * * * * * * * * * * ** APPROVED B 20 / ..b ged b foe a this i,e ersonaly kno n to me or who has produced is OTA Sign: Print: i. ntification and who did take an oath. P I LIC: IL My Commission Exp LOS lda A Vic' Notfy Pub u tes see 23, 2p15 10 i !,, 0 _ ` y Com sSta► a•,alNotary Assn. siry��F „Opp gonded'rnr0 * * ** k: k*****: k: p*****m ********* ***** *M ****+ k****: k***** ********** ** ********M***** ***+k*** a >* Plans Examiner Structural Review (Revised 07110 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk CTQB Construction Trades Qualifying' Board BUSINESS CERTIFICATE OF COMPETENCY 04E000560 SOUTH .DOM ELECTRIC INC *D.B.A.: MATOS JOSE Is certified under the provisions of Chapter 10 of Miami -Dade County ATI EPA =VIS co WORK EFFECTIVE; 08/01/2011 'PERSON: JOSE MATOS FEIN:.. 200699773 IJSINLSS NAME AND ADDRESS: .:JJ1■+4OM ELECTRIC INC 5860 NW 192ND STREET MIAMI, FL 33015 F FLORIDA ENT OF FINANCIAL SERVICES OF WORKERS' COMPENSATION UCTION INDUSTRY • TE OF ELECTION TO BE EXEMPT FROM FLORIDA S' COMPENSATION LAW EXPIRATION DATE: 07/31/2013 PE QF BUSINESS OR TRADE: LECNieAL CONTRACTOR Feb 01 12 04:01p Jose Matos 3056265904 p.1 ACOR£►, CERTIFICATE OF LIABILITY INSURANCE l'"th ONNIMI"""I t1 POLtC1NUM13� PROTHICER WORLD OF 181ST UMIT 104 A MIAMI I L1186. F'.33 f 5 M1AIMIAt LAKES, FL 33015 OFF: 305 -231 -1111 ECY THIS CERTIFICATE 19 ISSUED AS A MATTER OF INFORMATION ONLY THIS CERTIFICATE DOES NOWT AMEND, ExTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW[. INSURERS AFFORDING COVERAGE NAM # tNSUEtED SOUTH DOM ELECTRIC INC. 5860 NW i92 ST MIAMI, FL33015 LUA DUTY COMaE3lxALGENERALUA5IUY INSURER A: PENN AMERICA INS CO 1 t INSURER C: INSURER Ot INSURER E I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REaUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY RE ISSUED OR • MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POUGIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. OMR ACM - TV DFosiw (ft['F POLtC1NUM13� POLICYEFFFEC:TIVE DATE•n+r++•�+A POLICY EXPIRADON. 'Q6TE UNITS • A = LUA DUTY COMaE3lxALGENERALUA5IUY 345[253 02/16111 02119112 EACH OCCURRENCE s 11100,000 x E pet s Iuo,0 n MEDExP(itat ono patsail v EOM pERSONALicApiv 1*IURV s 1,000.000 t3EENNERALAGGREGATE .,..2.000.000 G la11AGGREGATEUNITAPPUESPEEL IPUL7CYn nu:c PRODUCTS- CAMFl0PAEr. S 1,000.000 1 . IS .M & 1 Y ANY AUTO ALL OWNED AUTOS SCNEDULED AUTOS HIRED AUTOS WNEDAtLOS N SINGLE LUNT Maims:kW E I S BODILY INJURY (P'tr PROPEiYDAAAAGE 1-4......u...4 A GE MENEM ANY AUTO AUTO ONLY - EAAWE/ENT S O HF-R THAN IA A4-% AUTOONLY: AGG S S 1 PSCCESSAINISRELLAUABILITY OCCUR n CLAIMS MADE 0EOUCTIEU.E RETENTION EACH DICE AGGREGATE I3— S S i WORKERSCOMPENSATIONAND • EAIPLAYFRS'L 1 ANY A Spp�PECIALPROVISIOIJSbeim AisU1Y P • I7 Y I• lam. E.LEACHACOVENT s , el. DISEASE.. EMPLovEr $ F.L. DISEASE- POUCYUMIT 5 • OTHER • DESCRIPTION OFOPERATIOWS : LOCATIONS/ VEH{QFS1 EXCLUSIONS ADDEOBY ENDORSEMENT/ SYBWI.PROVSICKS MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2nd AVENUE MIAMI SHORES,FLORIDA 33138 1{C� 25 Od1 17 r CANCELLATION SHOULD ANYOFTIIEABOVE DESCRIBED POLICI24 EE CANCELiERgEFORE fIIEERPIRATION DATE 11SERWE, ThE imams =WIER RIM ENCIERVORTOWat. 3(I DAYS IAtR1ITEN NOUM i. CERTIFICATE HOWER NAMED TD THE LEFT. OUT e iAEU:'IDDOSOSHALL VON oR LIAi 1U7Y OF ANY 1C1MD UPON THE INSURER, 173 Aeons 00 0ACORD CORPORATION 1988 Feb 01 12 04:01p Jose Matos 3056265904 p.2 ACORD�, CERTIFICATE OF LIABILITY INSURANCE .._.... `' ENNU°DATT'v' 1/26/12 PRODUCE WORLD OF INSURANCE AGENCY 16600 NW S7 AVE UNIT 113 16800 LAKES FL39415 305- 231 -11111 THIS CERTIFICATE 1S ISSUED AS A MATTER OF /FORMATION ONLY AND COFFERS NO RIGHTS UPON THE CERTIFICATE HOLISM THIS CERTIFICATE DOES NOT EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE HAMS INSURED SOUTH DOM ELI, ERIC INC 5866 NW 192 ST MIAMI FL 33015 I INSURER PENN AMERICA INS CO aiessisLuassny INSURER& . 2118/12 • INSURER EACH 0CCURRENCE PRUNER 0: X INS: PRIEUSESaE. NTEDm* THE POLICIES OF INSURANCE LISTED BELQWHAVE I3EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINQ 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 EY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIF.S.ACIDREDATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAWS. EN, • ., PouoYN _ ■ :s • :.. .1: I ...1•1 CANTS aiessisLuassny PAC6809227 . 2118/12 • 2/16/13 EACH 0CCURRENCE s 1,000,000 X CouaIERCIO.CENERP uASIU Y PRIEUSESaE. NTEDm* s 100,000 1 CURS MADE. 13 OCCUR MEDFXP[AaXmwperion1 S 5,000 PERSONALSAOVOLURY s 11000.000 1E s 4000.000 OEM —1 AGGREGATE UMITAPPLIESPER PoucY El J1 we MOM= - COMPAVPAAs s 1.000,000 r IETOso suAslusY ANYRUTO ALL OM AUTOS WTOS HI W AUTDS I SISIOLE UM BODILY INJURY Ipoe'Pmaaeg , _ Y aoo : , r— PROPERTY 1 g GARAGE L ILM. ANYAUIO AUTOONLY- PAACCIDENT $ OTHER THAN EAACG 5 AUTOONLY: ACC S BECESSNAMPELILELLUIBUTY _ OCCUR ❑ CLARE NIXIE DEDUCTIBLE • EACH OCCURINDECE s AGGRESAW s s S ' 1s IsolsteRsCONNINsATIONAND ENPLO ANYPRorMEIMPARMERAMCIIME �OF�FI SFErAAI ERSIJRBIUTY �gT 9T5 1 1TORYLB l Flt . EL. E.A t ccCENT I S EL. DISEASE- EA EMPLOYES s A jPI,balor, EL DISEASE- POIX T Lea ' s anteR VOgOPERAVOISS,LOCA7 OSS /YESt AOOEDeYESDO IT/SPEC/AL..RLOW(RONS • ov. .~tio.w AMP!. • •■• ��r CANC.EI.:.ATION MIAMI SHORES VILLAGE .BUILDING DEPARTMENT 10050 NE 2ndAVENUE MIAMI SHORES, FLORIDA 33138 ACORD 25(2001/M SEDULDANYOPRINAINEYEDESCESBERPOLICEstalehtiCELIEDBEFONEIBEEXPIPARCIA OATETHEREDFOIONSHADOOmoRENWILLeRONAsORToom 3D DUNS MlrutVSal NOTICE toms caI17FlP,AlE Hems rump urea Lzez sureas.use70 DO SO MALL amiss No otil orenow oo UA;91Lm► or ANY.YND • TINT ENSINEER. ITS AIMS dt NEPREDINIATMES. RUMMIES, REPRBEENTR RD CORPORATION 1988 1. *d MIAMI -DADS COUNTY TAX COLLECTOR 140 W. FLAGLER ST. lst FLOOR MIAMI, FL 33130 2011 MUNICIPAL l ONTRAOITHVG0 �D12 TAX RECEIPT MIAMI-DADE COUNTY - STATE OF FLORIDA PURSUANT TO COUNTY CODE SEC. 10-24 EXPIRES SEPT. 30.2012 RECEIPT No. 30-4752062 BUSINESS NAME / LOGATION SOUTH DOM ELETRIC INC 5860 NW 192 ST OWNER :SOUTH DOM ELECTRIC INC THIS IS NOT A BILL — DO NOT PAY CC N0: 04E000560 SEE BACK OF RECEIPT FOR A LIST OF NON — PARTICIPATING MUNICIPALITIES Receipt holler mos: mister in the dty where work Is to be done. PAYMENT IiE'CEr tm hU11�6�61,-�D�, yDEyy a07/U��NT qf TAX • cCt.L i /2011 02240028001 000200.00 i0699Z990E FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 RECEIPT HOLDER MAY DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. ELECTRICAL CONTRACTOR DO NOT FORWARD SOUTH DOM ELETRIC INC JOSE MAIDS PRES 5860 NW 192 ST MIAMI FL 33015 1,. 11..,11.11..,,,.11,1.1.1.1.11, 11111,1„11,i11„,, M1 sole1 esor dO L :j7O Z I LO god JEFF ATWATE.ii CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF EAMON TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers- Compensation law. EFFECTIVE DATE: 08101/2011 EXPIRATION DATE: 07/31/2013 PERSON: MATOS JOSE FEIN: 200699773 BUSINESS NAME AND ADDRESS SOUTH DOM ELECTRIC INC 5880 NW 192ND STREET FL 33015 MIAMI SCOPES OF BUSINESS OR 'TRADE 1- ELECTRICAL GONTRACTDR k ... -- •° ' ..._�.. -.__. _.:.•---- .•-_.. - __ ... tat by Ming a cetfiileater at Autism ranter this tro ender this chapter. Pursuant to Chapter 440.051121, F.5-, Certificates of absetioa to be EXERINt... apply ae1Y wphfo The INPORTAWTZ Ferman to Chapter 440 . 061141, F.5., se *Meer at a corporation erbo elects erowpQtl hate Ihta chap Y sad c004 t thi at scopes may not recover benefits l or en the n scope at the business or tracts listed as the aotke of alecttoa to be exempt. Pursuant to Chapter 440.051131, F.S., Notices of election te he exempt election to be exempt shell be tab ;at to revocation if, et any time elter the filing et tits Deuce ar the issuance of the cettlileete, the petsoo gamed on the notice or certificate no lunges meets the regelrameats et ibis section for issuance of a certificate. The department stall revoke a certificate et any lime tor tenure of the s' {son 413' mead en the certifieste to meet the requtremef of tots section DWC-252 CERTIFICATE OF ELECTION TO SE EXEMPT REVISED 01 -11 Z•d MIAMI -DADE COUNTY - TAX COLLECTOR • '140 W. FLAGLER•ST_ • 1st FLOOR . MIAMI, FL 33130 535575 -5 BUSINESS NAME 1 LOCATION SOUTH DOM ELETRIC INC 5860 NW 192 ST 33015 UN III DADE COUNTY 2011 LOCAL BUSINESS TAX RECEIPT 2012 MWM1 -DADE COUNTY - STATE OF FLORIDA EXPIRES SEPT. 30, 2012' MUST BE DISPLAYED AT•PL GE OF BUSINESS - PURSUANT 'TO COUNTY. CODE CHAPTER 8A- ART. 9 & 10 THIS 1S NOT A BILL - DO NOT PAY RENEWAL CC * ' 0�4E00 473206 -2 0560 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT ID. 231 OWNER. SOUTH DOM ELECTRIC INC Sae. Type of Business 196 ELECTRICAL CONTRACTOR 'ne1S es ONLY A LOCAL suMm see TAX RECE PT. IT DOES NOT PERMIT THE - HOLDER ID VWtATE ANY MEMO R it ILATORY OR zmaaia LAWS OF THE 00 NOT FORWARD =EL NOR cotRiTY D rT fl'EXEt THE HOLDER FROM ANY OTHER PERMIT OR LuCoNSE RIMMED BY LA% This is MOT A e ERMRCA11ON OF EEC R'S ODALIMOA- WORKER /S 1 • FATTIEST REc IVED ODIIRIY TAX DOLLEDIrOle 07118!2011 ' 60030000303 • 000075.00 P06 9Z990E SOUTH DOM ELETRIC INC JOSE MATOS PRES 5860 NW 192 ST MIAMI FL 33015 iatllt rail ill tit ttllit tit tk1LlLtattll sit tli. tins lit still g SO1 Al esor dl. 6 :t70 Z 6 60 ge.d Inspection Worksheet Miami. Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 179078 Permit Number: ELC -9 -12 -1793 Scheduled Inspection Date: November 05, 2012 Inspector: Devaney, Michael Owner: Job Address: 209 NE 95 Street 3 Miami Shores, FL 33138 -0000 Project <NONE> Contractor: SOUTH DOM ELECTRIC INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Temp for Test Phone Number (305)756 -3711. Parcel Number 1132060133920 Phone: (305)626 -5904 Building Department Comments TEMP FOR TEST 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 C 1---"„e_/09,,, de' ,x-ye7/% fP;7- November 02, 2012 For Inspections please call: (305)762 -4949 Page 18 of 37 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 10113�� Sob�- U DING PERMIT APPLICATION Permit Type: Electrical 201 NV a&t co*Dit- JOB ADDRESS: FBC 20 Lt A2 ° t,. Permit No.e..0 . ° Z ° Master Permit No. X12- ncts City: Miami Shores County: Miami Dade Zip: 3U (3 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: N e (Fee Simple Titleholder): rc.s, V' - S LL C • Phone #: 54 \ Inc a uC. City: On d State ill . Zip: 3 1. -� Email: /Lesse Name: f 42_ (Lc-0 1.--1 Email: �_� Address: Phone #: CONTRACTOR: Company Name: � 1 C— t e di k Phone #: 36 33'S .q I 21' Address: S3 (00 AJO lq2.ad City: Va /Y\ l State: C9Se_ COT Qualifier Name: zip: v 3C.A`'5 Phone #:nt1„12 • State Certification or Registration #: 000500 Certificate of Competency #: p r Contact Phone #: • 335 ` 9 (Z 3OSe—oraatft-Tha 9 Email Address: Q. V` c,r6v T DESIGNER: Architect/Engineer: Phone#: ' I l CTU Value of Work for this Permit: $ 66 ° Square/Linear Footage of Work: Type of Work: °Address °Alteration New ORepair/Replace Description of Work: °Demolition --Feparraglis. rz-c)---eL F0e. * * *.* ***** ** *+ n*****a :*****•x **** * *** **** *Fees***+x****** *** ** a* ***** *+x**+x** ********** ** *** Submittal Fee $ SD 4'1( Permit Permit Fee $70'a° 'me" 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, BOTLERS, 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 , , , ved and a rein + ction fee will be charged. d4L_ ► 4,,, • ca ner or Agent The oregoing instrument was acknowledged before me this `‘,4-i day of + ,20 l71-by 11\-12—res.. A- C' &cccLn/L,'cQ, vio is personally known to for who has produced ho is personally known tome c�r who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Signature Contractor The foregoing nstrument was acknowledged before me this 2_7 day of , 20 jam, by 5.4 NOTARY PUBLIC: Signer °' Print: 61- Vl r r! My Commission * * * * * * * * * * * ** APPROVED BY VAN9V OFFERS MY COMMISSION * EE221097 Sign:--° d - Print: My Commission Expires: /��{�' YAW OFFS .1* MY COMMISSION # EE221097 EXPIRES ?2.2018 °' 'rr' EXPI�^i1� 22, 2018 * * * ** ****** * * ** ******•******** * * * * * * * * * * * * * * * * * * * * * * * * * * *** *" * * ** ** (407)3980163 FbrldallotaryS n acorn c ,c /v. Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk MIAMaDADE COUNTY la -t-1�i3 Building 11805 SW 26th Street Miami, Florida 33175 -2474 786 - 315 -2100 miamidade.gov AF " ~4 X R 30 DAY TEMPORARY ELECTRIC SERVICE ELECTRICAL CATEGORY 26 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 b yldiing b ing constructed under the Building Permit # and Electrical Permit# L.C: - - 11 < at address 201 ice. j, T - for owner: Ws{ S 1 LC and is being given only for construction purposes or for testing the fol owing equipment 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 u 'hderstands that the temporary electric approval is subject to rescission and cancellation and electric power ca e cut off at the discretion of the Building Official and will be disconnected if the building concerned is occup. d before final inspections are approved and /or a Certificate of Occupancy or Completion is obtained. 1, id \Pe-e KA described property, building contractor Comp! futu being first duly sworn, depose and say that I am the owner of the above and that I agree that the structure covered in this agreement shall not be occupied until the ed approval of final inspections and /or obtained a Certificate of Occupancy or y with the provisions of this affidavit will result in your being unable to obtain Sivre of Nota , 1 MyCommissionEx I, , . 6 , being duly sworn, depose and say that I theove- describ =d property and that the electrical installations as now existing w ter rary ..ervi e is connoted. YAW OFFIR N # EE221097 ctrigaigESIAMMW016 gete a S gnoture of Electrical Contractor Signat . of Notary My Commission Expires I, OMAR c In A-S , being first duly sworn, depose and say that I a of the above described property and that I will not permit occupancy of this building u been called for by the ntractors and sub - contractors concerned and final approval b obtained and that I ha e authority insofar as the owner of said property is concerned to such final inspecti e obtained and /or a Certificate of Occupancy or Completion is issued. Signature of Building Contractor Signature of Electrical Inspector 123_01 -124 6/06 re of Notary Commission Exp Date: VANN OFF1R 4.pn to EE221 ` - ^7 nsS b'* 22, 2018 ectio occupancy until Date released to FPL: