EL-15-598 Perrhit 1110'.tL-
sNO.' s y� Miami Shores Village Permit Type:Electral
�. 10050 N.E.2nd Avenue NE
'� .....* Work ","Alteraltil ,
Miami Shores,FL 77 7
Permit status:APPR 1i6
Phone: (305)795-2204 :.
FCORLD�'
issue Dates 3/2a12t115 Expiration: 09/16/2015
C
Project Address Parcel Number Applicant
1279 NE 97 Street 1132050090440
} Miami Shores, FL 33138-2559 Block: Lot: JORGE& MAGALYS TOLEDO
Owner Information Address Phone Cell
JORGE&MAGALYS TOLEDO 1279 NE 97 Street
MIAMI SHORES FL 33138-2559
Contractor(s) Phone Cell Phone Valuation: $ 2,000 00
JCL ELECTRICAL CORP (305)498-7268
Total Sq Feet: 0
Type of Work: INSTALL RECEPTACLE, LIGHT SWITCHES Available Inspections:
Additional Info: Inspection Type:
Classification: Residential
Review Electrical
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
Invoice# EL-3-15-54840
DBPR Fee $2.25
DCA Fee $2.25 03/20/2015 Credit Card $ 171.70 $0.00
Education Surcharge $0.40 `
Notary Fee $5.00
Permit Fee-Additions/Alterations $150.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $171.70
In consideration of the issuance to me of ibis pSrrm7t; agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity'with the plans, awings, statements or specifications submitted to the pror er authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all wory done by either myself, my agent, servants, or employes I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, INDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVI I c that all the foreg g information is accurate and that all work will be done in comoliance with all applicable laws regulating
construction and z uth more, / �hor the above-named contractor to do the work stated.
Mar-h 20, 2015
Autho ' Sig e:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 20, 2015 1
Miami Shores Village ,
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax: (305)756-8972
INSPECTION LINE PHONE NUMBER: (305)762-4949
FBC 20 0 j
BUILDING Master Permit No. \ � �y 1 Yj ,
PERMIT APPLICATION Sub Permit No. EL--, S— S-9S
❑BUILDING `ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL OPUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
� ll CONTRACTOR DRAWINGS
JOB ADDRESS: '�"t /V E- � ^
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:X���VSCO'f?Ur[qC) Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
�
OWNER: Name(Fee Simple Titleholder) 1OS
I acX-Al
e#:
Address: V rz Q /3 E_
City: &Q, c Q1,,R�� Stater Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: _ '` ��-�C � one# 7/>)
Address: - >C) ``
City: State: Zip: _
Qualifier Name: �? c'.�� ' c- , Phone
State Certification or Registration#: _ 1�?f� Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ �C�__ Square/Linear Footage of Work:
Type of Work: P/ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: S AC� '-��'_ — A /\ �• r, =
Specify color of color thru ile: f
Submittal Fee$ Permit Fee$ CCF$ j CO/CC$
Scanning Fee$Cl{: �. Radon Fee$ ='� '2 DBPR$ y Notary$ L "
Technology Fee$ �• � '
` iC' Training/Education Fee$�P' �'�! Double Fee$
Structural Reviews$ - Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS,TANKS,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 del' the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement mu e posted at e job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted otice, the
inspection will not be approved and a reinspection fee will be charged.
r."
Signature �— Signature v
�OR or AGENT ONTRACTOR
The foregoing instrument(was acknowledged before me this The foregoing instrument was acknowledged before me this
day of VA al C.V ` 20 \S , by day of rr ar�G 20 )S by
who is personally known to 5UA'ac-- who is personally known to
me or who has produced 1J� as me or who has produced �L- t 7 as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: I q (vL\G Sv Print:
t MY 1 1 1 --:4
o
w
Seal:
EXPIRES Oece~tO 2016 Seal: = �' wy. Q`�
r0T►39BU1SS �I011 {OYry �.001T C% Co.)
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
JCL ELECTRICAL CORP
" IF IT'S ELECTRICRL WE CAN 00 IT"
EMRIL:jclelectric@hotmail.com ---- PHONE: ( 305) 498-7268
Date: 3/13/15
State of Florida
County of Dade
Before me this day appeared Jorge A Cuervo who, being duly sworn, deposes and
says:
I will be the o y one doin the electrical work on the addition to this property
Sworn to (or attirmecl) anq subscribe netore me this l� aay of d .zu15, by
`6(2,(,E_ C_v_ rzV CD
Personally Know
OR Produced ID
Type of I D ��- yrz)vr-rte-S
S '
o
N
Print, type or stamp N-aft Y
♦SNORES Lr
Miami shores V
logo � un.
,., Building Department
eiv�Lis
ORIDp
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner,must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC,a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State,Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State,Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project. In these circumstances,Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors.
BY SIGNING BELOW Y U ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
caner
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me this �_day of y4Qv 120 I S .
By 4GQ_ AID who is personally known to me or has produced
as identification.
LE frl
TRO
Nota -------
EXPIRE r 2016
SEA
(�07)366-0183 FioiMeN ice.com
AD-
3EPARTMENT
STATE OF FLORIDA
OF BUSINESS AND
PROFESSIOt4AL REGULATION
EC13006575 i$SUEO: 03/03/2015
CERTIFIED ELECTRICAL CONTRACTOR
CUERVO, JORGk A
J.C.L. ELECTRIGALCQRP.
IS CERTIFIED under the provisions of Ch.489 FS.
Expiration date AUG 31,2016 L1503030000521
/VJ�OL
Local Business Tax Receipt
Miami—Dade County, State of Florida
-THIS IS NOTA BILL - DO NOT PAY LBT
6114797
BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES
1 C L ELECTRICAL CORP RENEWAL SEPTEMBER 30, 2015
16460 SW 144 AVE 6377691 Must be displayed at place of business
MIAMI FL 33177 Pursuant to County Code
Chapter 8A-Art.9&10
OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED
1 C L ELECTRICAL CORP 196 ELECTRICAL CONTRACTOR PAPATAX COLLECTOR
Worker(s) 1 07E000953 BY
$75.00 08/07/2014
CHECK21-14-044538
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license,
permit or a certification of the holder's qualifications,to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Code Sec Ba-276.
For more information,visit www miamidade govAoxcollector
Mar 12 15 11:1 Oa Agustin Estil-las 305-351-8461 P.1
....DATI=(M
CERTIFICATE OF LIABILITY INSURANCE l MIUDI YYY)
03112i I
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOCS NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE
BELOW. THIS CERTIFICATEE,OF INSURANCE DOCS NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUT14ORIZE
RCPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
1MPORYANT; If the cararlcate holder Is an ADDITIONAL INSURED,ttlr policy(les)must be ehtlorsed, If SUBROGATION IS WAIVED,sub]ett t0
the terms and conurtions of the policy,certain politics may require an endorsement. A statement on thin certiricate does not Confer rights to the
certlticate holder In lieu of such endorsPlnr.n((x).
PRODUCER CONTACT• Agustin Extil-hs -- _ -
NAME'
General Irraurancu Grow Corp. HONE PAX
P P' .INC,No,.Extl—(786}280-4113 _ • rAl� Nat (305)351 t54G1
10:350 SW 64th St, E-MAIL , uaiin9 enins,nni
ADDRES .i_.._., ....._�.
Miami, FL 33173
„_,•,._,-- INSUNGk(9JAFFORDINGCnVPkAGE 1,AIC 31 '
Phone (766)280-4113 Fax (305)3G1 6461 IN5uRER A GranRda ht:a,rance Company 16_rd
--...
INSURto __.. ......._.
_INSURER V:
JCL ELECTRICAL CORP INSURER C;
16460 SW 144 AVenLlo INSURER D:
Miami, F�33177- y�J Ifl��(iG�Gi•, _._. _
__
... ._. ..,.....—,_.... .-.- ,-INSURER F: _
GDVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIE:;OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME=D ABOVE FOR THE POLICY PERIOD
INDICATED. NOTMTHSTANDINO ANY REQUIREMENT,TLRM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT V61TH RESPECTTO WHICH THIS
CERTIFICATE MAY OF ISSUED OR MAY PCRTAIN,THE INSURANCE AFFORptO BY THE POLIOIEC DESCRIBED HEREIN 149 SUOJECT 70 ALL THE TCRMG,
EXCLUSIONS AND CONDITIONS OFSUCI1 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, _
N5R
ADDL SuHN POLICYEEF POLfCY EXP
LTK TYPE OF wr;urxANCE INsra- tY POLICY NUMBER MMlDDr vw Mm/OD/YY,YV)f1 LIMITS
_.... ..
GENERAL LIABILITY i-CACH OCGURRr-N_CC__ �_ 1,009,0 O.DD
l J COMMCRC:ALCEN�Rl.L,LIABILITY 1 OO C00 Oo
LAMA:F TO RENTED
,.NRL'•MIUE�;(Cr ucCUrrancnl 5
A CLAIMS-MADE OCCUR n 01 BSFL00029535 MED EX('(Aay ane persan 5 J,000,0
09!16/2414 0911612DIS
E - PERSONAL k Ar.PV INJORY 5 1,000,4 0.00
GCNCRAL AGGREGATE. 3 2,000,0 O.OD
GMLAq:RFG,)rF IIN;IT APP_ICSPLR: PRODUCTP•C_2!ar/pP;:,wi 1 2,000,0 0.00
.� POLIry -•. .._........I
....__._.._. ..__ ... .... .__._..... i
AUTOrAOBILEUArs141'I'Y I ... COMD'NCO.`aNr,.IFI_IMI C_
__..
AVY AV'I O RODII_1 NJURY(Pur INrIa>n) T'
A.L:)WNFD Sc iCDULED�. GOJILY;INJURY(Pr�i:u:uida nl $_ ALIro, `.J AUTOC
NUN-UVAED
HIREOALrr05 AUTOS PROPER`-YI AMAOL g '
n UMBRELLA LIAR OGLER �—
i EACH CCCLJRRFt4Cf:
. ,�..•I U
EXCESS LIIAR_,...— �--I-GLpIM�.NtnuF AG:.F2tc3Ar'- S OCD 1— — . ... .._ ....-----.
RFTENTIONL
WORKERS C0MPENSATION .._----- - -- --- - ._ — W� 'TATV• �-- _.nTH
rr
ANO EMPLOYERS'LIABILITY Y1 N T Iii;-[MIT:, .,k_ I FR
AN'PR0PRIt7pH1NAH'r NGRlr-XCCUT'VC DENT
S
Ofl°IGEN/MryMR.-k FXCL(.000^ I� N rA ,C,ID_ i
[MandatoInNHI U E. ,015EXsF-Gl.CMPLCYC _Y
IIV0 rra�rrinn unnnr L--. _
01! RIPTICN CF DPFR^.TIONS beow F.L.DISEASE-POLICY L Mr;' '1
i
,
i
DESCRIPTION OF 0PERATIONR r L(DCATIO NSI VEHICLES lAttach ACOKr)101,Ad(Jltion al Rnmarll:5chcdu10.if mora space E6 reQUlred) -
Clectrical contractor
CERTIFICATE HOLDER
- - _. .._... CANCELLATION
SKOULDANY OFTHEA13OVE DESCRIBED POL1CIEs BE CANCELLEDEFOkE
M12MI Shores Villages THE EXPIRATION DATE THEREOF.NOTICE;WILLEE DELIVERED IN
Buildin_9 Department ACCORDANCE WITH THE POLICY PROVISIONS_
100$0 NE 2 Avenue A----- IZ 60 REPRESENTATIVE .. 'I
Miami Shores V{Ilagc, FL 33138
ACORD 25(2010105)OF U 19813-2010 ACORD CORPORATFON, All right reserved.
The ACORD name and logo are registered marks of ACORD
JEFF ATWATER
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
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: 10/23/2013 EXPIRATION DATE: 10/23/2015
PERSON: CUERVO JORGE A
FEIN: 392059621
BUSINESS NAME AND ADDRESS:
J C L ELECTRICAL CORP
16460 SW 144TH AVE
MIAMI FL 33177
SCOPES OF BUSINESS OR TRADE:
ELECTRICAL WIRING
WITHIN BUIL
Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter 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 440.05(13),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.
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609
Miami Shores Village IRR�CTVFD
Building Department Mai 1320,5
g
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY.
Tel: (305)795-2204 Fax:(305) 756-8972
INSPECTION LINE PHONE NUMBER: (305)762-4949
FBC 20 10
BUILDING Master Permit No��
PERMIT APPLICATION sub Permit No.�/
❑BUILDING j ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
t Q q CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
Ar Mrs
OWNER: Name(Fee Simple Title older): O L. I Phone#:30r`/Skl!! 7
Address: l2 7—cT //V4 Q 5`t- // /
City: mjc; I Jl�ar{f, State: FG Zip: 33 3
Tenant/Lessee Name: Phone#:
Email: 4 � 601�:Motrc7
CONTRACTOR:Company Name: �� �(—�Gc�2�CtL� Phone#:
Address:
���"—\�� st!L
City: State: Zip: 'J—a>
Qualifier Name: c1 L Phone#:
State Certification or Registration --_).�0�6� Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised 02/24/2014)
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS,TANKS,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 elivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commence t must be osted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In th absence of suc posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signare , /144 Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
1,2 day of 20 /r� by5 day of 20.CS by
J0 who is personallyknown nto 710— r,, 2gp t//') who is personally known to
me or who has produced as me or who has producedas
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
/��
Sign: Sign:
Print: int:
'=4 11111 1 EE 11581,
Seal: , ;� gt19,2015 Seal: c;ps�pu�� Pdct^.y^i ,l teofRonda
Underwriters ?� ^ JOanna Id Feliciano
r YF 1/'Y:o-nmi. on cc 082753
o s U. pires
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Department of Regulatory and Economic Resources
Miami-Dade County
Plan Review Summary
Process Number: M2014007851
FINAL CORE REVIEW DATE: 5/16/2014 OVERALL STATUS: Overall Disapproval
PROJECT DETAILS: CONTACT DETAILS:
FOLIO: 11-3206-013-6060 NAME: MICHAEL FLUKELSTEIN
ADDRESS: 374 NE 95 ST, , FL EMAIL:
PERMIT TYPE DESC.: ADDITION PHONE #: 3055251427
DISAPPROVAL CODES:
Disapproval Code 01: 0200-Provide proof of legal subdivision from Subdivision Control. Please contact the Miami-
Dade Public Works Dept. at 111 NW 1st St; Miami, FI (305)-372-2141
TASK REVIEWED BY STATUS DATE STATUS
Initial Core Review Marta Hidalgo 05/16/2014 Reviewed
Comments: EXISTING 2082 SF SFR PROPOSING 540 SF ATTACHED ADDITION. LOT LESS THAN <15,000 SF.
200- PLEASE PROVIDE PROOF OF LEGAL SUBDIVISION FROM PLATTING AND TRAFFIC REVIEW SECTION,
ONTACT MR. LEANDRO RODRIGUEZ AT 305-375-2141.
TREES Review Hilcia De la Cruz 05/16/2014 Approved
Comments: Tree approval granted provided that no specimen-sized trees (trunk diameter greater than or equal to 18
inches)are removed, in which case a Tree Removal Permit is required.
Final Core Review Marta Hidalgo 05/16/2014 Overall Disapproval
Comments: 200- PLEASE PROVIDE PROOF OF LEGAL SUBDIVISION FROM PLATTING AND TRAFFIC
REVIEW SECTION, CONTACT MR. LEANDRO RODRIGUEZ AT 305-375-2141
Please do not hesitate to email me with any question(s)you may have regarding the review comments for this
project. While I may not respond immediately to your email, because I may be assisting another customer at the time
I receive your email, I will reply within 24 hours of receiving your email unless I am out of the office. My email
address and that of my direct supervisor are as follows:
My Email: hidalm@miamidade.gov
My Supervisors Email: guerrch@miamidade.gov
PLAN CONDITIONS:
NO CONDITIONS
PLAN REVIEW FEES (FEES ARE SUBJECT TO CHANGE PENDING FINAL APPROVAL
FEE CODE DESCRIPTION USER DATE UNIT TOTAL
D034 FastTrack Fee ADMIN 05/14/2014 1 $80.00
D034R FastTrack Fee ADMIN 05/14/2014 1 ($80.00)
Total $0.00
9_ 6/vn vsr"51
NOTE: ALL SHEET MUST BE REVIEWED
MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES
Herbert S. Saffir Permitting and Inspection Center
11805 SW 26th Street (Coral Way) • Miami, Florida 33175-2474 • (786) 315-2000
APPLICATION FOR MUNICIPAL PERMIT APPLICANTS
THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE
AND/OR ENVIRONMENTAL SERVICES
i
PROVIDE MUNICIPAL PROCESS NUMBER HERE
q � Q
U.F Job Address 71 1 S� Contractor No. s c- 1
oz / 3j, oo Last four(4)digits of Qualifier No. -S
zW Folio (a44 /� ��
a
o W a s Contractor Name F-- Co P� S 7?ZLlel1`7d;�/ y-7> Lot Block ¢ L
o zp Qualifier Name CI��� "/ l;ii 1%:�
oa Subdivision PBpg oLL ZL Z Z
v? Add r s.
Metes and bounds City Uri JA.,
/ State-Zipjp��
[ ] New Construction on [ ] Demolish Current use of property r-a o l I�`! LI a kn-e
CO Vacant Land [ ] Shell Only
z Alteration Interior
U. [ Addition Attached
w w [ ] Alteration Exterior [ ] Addition Detached Description of Work
a-> [ ] Relocation of Structure [ ] Re-Roof
L [ ] Enclosure [ ] Foundation Only S Ft. Units Floors
[ ] Repair [ ] Tent q'
[ ] Repair Due to Fire Value of Work 7�i LZw
`[ MBLD' [ ] Chg. Contractor Owner _
N W
a ategory [ ] Re-Issue a Address V N L� _
[ ] MELE [ ] Re-Stamp City (Ll Ck- State IL f Zip 3�
[ ] MLPG w [ ] Revision w P e QS 7?
a [ ] MMEC [ Not Applicable for o Last four(4)digits of 7 p
[ ] FIRE Fire Owner's Social Security No. ,
w Name C /I�f`� �iy�P� �( � Owner
Z
_
P
a Address �^ ✓y�i� w w Address
oa � ` �z
w Y Cit,eha / Statd`� Zip r v z City State Zip
aU ¢W
a Phone � ��
Z_ a Phone
J zI am requesting a Special Request Plan Review(SRI)to be scheduled as soon as possible at the rate of$190 for the first hour
:5:5^it and$65 per each additional hour in addition to the review fees. Minimum charge one-hour.
0O.S
vi w w 1 sl Request: Date:
M w w 2nd Request: Date:
3'd Request: Date:
z
n I am requesting Optional Plan Review(OPR)to be scheduled as soon as possible at the rate of$75 for each discipline.
c a Additional review fees may apply.
0
O 3 1 sl Request: Date:
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0 W 2nd Request: Date:
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IL
12301-192 6/13
BUILDING PERMIT CATEGORIES
CATEGORY DESCRIPTION PERMIT TYPE
BUILDING
01 GENERAL BUILDING-COMMERCIAL MBLD
02 SUB-GENERAL BUILDING-RESIDENTIAL MBLD
08 CANVAS AWNING MBLD
10 COMMUNICATION TOWER MBLD
15 DEMOLITION MBLD
29 METAL AWNING &STORM SHUTTER MBLD
48 SCREEN ENCLOSURES MBLD
55 SWIMMING POOL MBLD
56 TENNIS COURTS(SURFACE PAVING) MBLD
86 TRAILER TIE DOWN MBLD
88 WALK-IN COOLER MBLD
91 MARINAS MBLD
92 LOW SLOPE APPLICATIONS (GRAVEL, SMOOTH
MODIFIED, SINGLE PLY) MBLD
95 SHINGLES(ASPHALT, FIBERGLASS) MBLD
96 SHINGLES(METAL ROOFS/WOOD SHINGLES&SHAKE) MBLD
97 STAGE 2 VAPOR RECOVERY SYSTEM MBLD
99 SOIL IMPROVEMENT MBLD
0100 BULK STORAGE PROPANE TANK MBLD
0101 REMOVABLE STORM PANELS MBLD
0107 TILE ROOF MBLD
0110 WATER MAIN MBLD
0111 SITE PLAN MBLD
0112 INDOOR EVENT/EXHIBIT MBLD
ELECTRICAL
04 FIRE ALARM SPECIALTY MELE
16 SPECIALTY WIRING MELE
38 GENERATORS MELE
LPGX
01 LIQUEFIED PETROLEUM GAS MLPG
02 MISCELLANEOUS MLPG
04 LIQUEFIED PETROL. GAS/STATE MLPG
MECHANICAL
09 ABOVE/BELOW GROUND TANKS/PUMPS
& POLLUTANT STORAGE SYSTEM MMEC
38 COMMERCIAL HOODS MMEC
43 FIRE CHEMICAL MMEC
46 SPRAY BOOTHS MMEC
48 SMOKE CONTROL MMEC
52 RESIDENTIAL ELEVATOR MMEC
FIRE
32 FIRE SPRINKLER FIRE
PERMIT #: 13-SC-1524696
APPLICATION #:AP1138060
STATE OF FLORIDA
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID:
'
CONSTRUCTION PERMIT RECEIPT #:
44,
°;r
""s W1.1
DOCUMENT #: PR938686
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Marc Adler
PROPERTY ADDRESS: 374 NE 95 St Miami, FL 33138
LOT: 2 BLOCK: 3 SUBDIVISION:
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY ID #: 11-3206-013-6060 [OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S. , AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 1,050 ] GALLONS / GPD Septic CAPACITY
A [ ] GALLONS / GPD N/A CAPACITY
N [ J GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ � ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 667 ] SQUARE FEET bed configuration drainfiel SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [x] STANDARD [ J FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: CL NE 95 St., NGVD.9.95'NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 1.56 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 31.56 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 72.00 ] INCHES
Inspector to verify the existing septic tank is properly abandoned before final approval.
O *Invert elevation of drainfield to be no less than 7.82' NGVD.
T 'Bottom of drainfield elevation to be no less than 7.32' NGVD.
H 'Install 42"of slightly limited soil under the bottom of drainfield.
-Perimeter of excavation area shall be at least 2 ft.wider and longer than the proposed absorption bed or drain trench.
E The system is sized for 3 bedrooms with a maximum occupancy of 6 persons(2 per bedroom),for a total estimated flow
of 400 gpd.
R
SPECIFICATIONS BY: Teresa J on TITLE: Master Septic Tank Contractor
APPROVED BY: firl TITLE: Dade CHD
Carlos M az
DATE ISSUED: 05/06/244' EXPIRATION DATE: 11/06/2015
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
The cont ractof lxtr i fnee)is required ftp", dWa SE927,e53
soil boring adjacent to the drainfield excavation at the
time of final inspection. Prior t,)Final Approval,the D01-+
inspector shall witness the soil boring and compare the
results to the original site evaluation submitted. A
reinspection fee wll! W e sessed If the contractors ne
)t the jotisitc,at ttsr arrancgo;d!irne
STATE OF FLORIDA APPLICATION # AP1138060
DEPARTMENT OF HEALTH PERMIT # 13-SC-1524696
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE927853
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Marc Adler
CONTRACTOR / AGENT: Miami Dade Enylromental
LOT: 2 BLOCK: 3
SUBDIVISION: ID#: 11-3206-013-6060
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST
PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: [X ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.22 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLET-]/ OTHER-TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 549.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 1 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: CL NE 95 St.,9.95'NGVD
ELEVATION OF PROPOSED SYSTEM SITE 1.56 [ INCHES]/ FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES ( ]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON-POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 70 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: 9.82 FT [ MSL / NGVD
SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES: Urban land USDA SOIL SERIES: Urban land
Munsell#/Color Texture Depth Munsell#/Color Texture Depth
10YR 5/1 Sand 0 To 11 10YR 5/1 Sand 0 To 13
1OYR 6/2 Fractured Rock 11 To 72 10YR 6/2 Fractured Rock 13 To 72
OBSERVED WATER TABLE: INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 69 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X ]NO MOTTLING: [ ]YES [X]NO DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Replacement 4-FS/0.60 DEPTH OF EXCAVATION: 72 INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
SITE EVALUATED BY: DATE: 03/04/2014
Solomon,Teresa(Title:Master Septic Tank Contractor)(Statewide Septic Connections Inc.
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 Of 4
AP1138060 EID1524696 v 1.0.2
w
NOTICE OF RIGHTS
A party whose substantial interest is affected by this order may petition for an
administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such
proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for
administrative hearing must be in writing and must be received by the Agency Clerk for the
Department, within twenty-one (21) days from the receipt of this order. The address of the
Agency Clerk is 4052 Bald Cypress Way, BIN #A02, Tallahassee, Florida 32399-1703. The
Agency Clerk's facsimile number is 850-410-1448.
Mediation is not available as an alternative remedy.
Your failure to submit a petition for hearing within 21 days from receipt of this order
will constitute a waiver of your right to an administrative hearing, and this order shall become
a 'final order'.
Should this order become a final order, a party who is adversely affected by it is
entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings
are governed by the Florida Rules of Appellate Procedure. Such proceedings may be
commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the
Department of Health and a second copy, accompanied by the filing fees required by law,
with the Court of Appeal in the appropriate District Court. The notice must be filed within 30
days of rendition of the final order.
FORM 405-10
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Business and Professional Regulation - Residential Performance Method
Project Name: Adler Residence Addition Builder Name: F&F Construction
Street: 374 NE.95th.Street Permit Office:
City,State,Zip: Miami Shores, FL, 33138- Permit Number:
Owner: Jurisdiction:
Design Location: FL, Miami Beach
1. New construction or existing Addition 9. Wall Types(674.0 sgft.) Insulation Area
2. Single family or multiple family Single-family a.Concrete Block-Int Insul,Exterior R=5.0 674.00 ft2
b.N/A R= ft2
3. Number of units, if multiple family 1 c. N/A R= ft2
4. Number of Bedrooma(Bedrms In Addition) 1(1) d.N/A R= ft2
10.Ceiling Types (540.0 sgft.) Insulation Area
5. Is this a worst case? No a. Under Attic(Vented) R=30.0 540.00 ft2
6. Conditioned floor area above grade(ft2) 540 b. N/A R= ft2
Conditioned floor area below grade(ft2) 0 c. N/A R= ft2
11.Ducts R ft2
7. Windows(72.0 sqft.) Description Area a.Sup:Attic, Ret:Attic,AH:AHU1 6 108
a. U-Factor: Sgl,U=0.93 71.96 ft2
SHGC: SHGC=0.55
b. U-Factor: N/A ft2 12.Cooling systems kBtu/hr Efficiency
SHGC: a.Central Unit 19.3 SEER:16.00
c. U-Factor: N/A ft2
SHGC: 13. Heating systems kBtu/hr Efficiency
d. U-Factor: N/A ft2 a. Electric Strip Heat 17.1 COP:1.00
SHGC:
Area Weighted Average Overhang Depth: 0.500 ft.
Area Weighted Average SHGC: 0.550 14.Hot water systems-None required
8. Floor Types (540.0 sgft.) Insulation Area a. Cap:N/A
EF:0.000
a.Slab-On-Grade Edge Insulation R=0.0 540.00 ft2 b. Conservation features
b. N/A R= ft2
c. N/A R= ft2 15. Credits Pstat
Glass/Floor Area: 0.133
Total Proposed Modified Loads: 17.78 PASS
Total Standard Reference Loads: 22.09
I hereby certify that the pla s and specifications covered by Review of the plans and 57,17
this calculation are in c liance with the Florid Energ specifications covered by this �p
Code. calculation indicates compliance � s
with the Florida Energy Code. t
PREPARED BY: Before construction is completed
DATE: this building will be inspected for
compliance with Section 553.908 '
I hereby certify tha this building,as designed, is in compliance Florida Statutes. *
with the Florida E ergy Code.
OWNER/AGENT: BUILDING OFFICIAL:
DATE: DATE:
- Compliance requires certification by the air handler unit manufacturer that the air handler enclosure qualifies as
certified factory-sealed in accordance with 403.2.2.1.1.
- Compliance requires completion of a Florida Air Barrier and Insulation Inspection Checklist
2/17/2014 4:41 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 1 of 5
PROJECT
Title: Adler Residence Addition Bedrooms: 1 Address Type: Street Address
Building Type: User Conditioned Area: 540 Lot#
Owner: Total Stories: 1 Block/SubDivision:
#of Units: 1 Worst Case: No PlatBook:
Builder Name: F&F Construction Rotate Angle: 0 Street: 374 NE.95th.Street
Permit Office: Cross Ventilation: County: Miami-Dade
Jurisdiction: Whole House Fan: City,State,Zip: Miami Shores,
Family Type: Single-family FL, 33138-
New/Existing: Addition
Comment:
CLIMATE
IECC Design Temp Int Design Temp Heating Design Daily Temp
v Design Location TMY Site Zone 97.5% 2.5% Winter Summer Degree Days Moisture Range
FL,Miami Beach FL_MIAMI_INTL_AP 1 51 90 70 75 149.5 58 Low
BLOCKS
Number Name Area Volume
1 Blockl 540 4320
SPACES
Number Name Area Volume Kitchen Occupants Bedrooms InfilID Finished Cooled Heated
1 AHU1 540 4320 No 2 1 1 Yes Yes Yes
FLOORS
# Floor Type Space Perimeter R-Value Area Tile Wood Carpet
1 Slab-On-Grade Edge Insulatio AHU1 75 ft 0 540 ft2 ___- 1 0 0
ROOF
/ Roof Gable Roof Solar SA Emitt Emitt Deck Pitch
V # Type Materials Area Area Color Absor. Tested Tested Insul. (deg)
1 Hip Barrel the 569 ft2 0 ft2 Light 0.76 No 0.9 No 0 18.4
ATTIC
V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC
1 Full attic Vented 300 540 ft2 N N
CEILING
# Ceiling Type Space R-Value Area Framing Frac Truss Type
1 Under Attic(Vented) AHU1 30 540 ft2 0.11 Wood
2/17/2014 4:41 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 2 of 5
WALLS
Adjacent Space Cavity Width Height Sheathing Framing Solar Below
R-\/.ql-lp Ft In Ft In Area 13-Value Fraction AhSnr (,rnrJP%
1 N Exterior Concrete Block-Int Insul AHU1 5 1 116 116.0 ft2 0 0.5 0
2 S Exterior Concrete Block-Int Insul AHU1 5 1 224 224.0 ft2 0 0.5 0
3 E Exterior Concrete Block-Int Insul AHU1 5 1 170 170.0 ft2 0 0.5 0
4 W Exterior Concrete Block-Int Insul AHU1 5 1 164 164.0 ft2 0 0.5 0
DOORS
# Ornt Door Type Space Storms U-Value Width Height Area
Ft In Ft In
1 S Insulated AHU1 None .4 1 42 42 ft2
WINDOWS
Orientation shown is the entered, Proposed orientation.
Wall Overhang
V # Omt ID Frame Panes NFRC U-Factor SHGC Area Depth Separation Int Shade Screening
1 S 2 Metal Single(Tinted) Yes 0.93 0.55 27.0 ft2 0 ft 6 in 4 ft 0 in Drapes/blinds None
2 S 2 Metal Single(Tinted) Yes 0.93 0.55 13.1 ft2 0 ft 6 in 1 ft 0 in Drapes/blinds None
3 E 3 Metal Single(Tinted) Yes 0.93 0.55 26.0 ft2 0 ft 6 in 1 ft 0 in Drapes/blinds None
4 W 4 Metal Single(Tinted) Yes 0.93 0.55 5.8 ft2 0 ft 6 in 1 ft 0 in Drapes/blinds None
INFILTRATION
# Scope Method SLA CFM 50 ELA EgLA ACH ACH 50
1 Wholehouse Best Guess .0003 424.9 23.33 43.87 .207 5.9018
HEATING SYSTEM
# System Type Subtype Efficiency Capacity Block Ducts
1 Electric Strip Heat None COP: 1 17.06 kBtu/hr 1 sys#1
COOLING SYSTEM
# System Type Subtype Efficiency Capacity Air Flow SHR Block Ducts
1 Central Unit Split SEER: 16 19.3 kBtu/hr 579 cfm 0.69 1 sys#1
SOLAR HOT WATER SYSTEM
FSEC Collector Storage
Cert # Company Name System Model# Collector Model# Area Volume FEF
ft2
2/17/2014 4:41 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 3 of 5
DUCTS
/ ----Supply---- —Return— Air CFM 25 CFM25 HVAC#
V/ # Location R-Value Area Location Area Leakage Type Handler TOT OUT QN RLF Heat Cool
1 Attic 6 108 ft2 Attic 27 ft2 Default Leakage AHU1 (Default) (Default) 1 1
TEMPERATURES
Programable Thermostat:Y Ceiling Fans:
Coolin Jan Feb Mar Apr Ma Jun Jul rj Aug
e Oct Nov Dec
Heating f X Jan tX Feb Mar f Apr f May f Jun 4 Jul AuSep Oct Nov XDec
Ventin [ Jan [ Feb Mar [X]A r [ Ma [ Jun [ Jul Aug [ Se [X]Oct Nov Dec
Thermostat Schedule: HERS 2006 Reference Hours
Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12
Cooling(WD) AM 78 78 78 78 78 78 78 78 80 80 80 80
PM 80 80 78 78 78 78 78 78 78 78 78 78
Cooling(WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78
PM 78 78 78 78 78 78 78 78 78 78 78 78
Heating(WD) AM 66 66 66 66 66 68 68 68 68 68 68 68
PM 68 68 68 68 68 68 68 68 68 68 66 66
Heating(WEH) AM 66 66 66 66 66 68 68 68 68 68 68 68
PM 68 68 68 68 68 68 68 68 68 68 66 66
2/17/2014 4:41 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 4 of 5
FORM 405-10
Florida Code Compliance Checklist
Florida Department of Business and Professional Regulations
Residential Whole Building Performance Method
ADDRESS: 374 NE. 95th. Street PERMIT#:
Miami Shores, FL, 33138-
MANDATORY REQUIREMENTS SUMMARY-See individual code sections for full details.
COMPONENT SECTION SUMMARY OF REQUIREMENT(S) CHECK
I
Air leakage 402.4 To be caulked, gasketed, weatherstripped or otherwise sealed.
Recessed lighting IC-rated as meeting ASTM E 283. Windows and
doors =0.30 cfm/sq.ft. Testing or visual inspection required. Fireplaces:
gasketed doors &outdoor combustion air. Must complete envelope
leakage report or visually verify Table 402.4.2.
Thermostat& 403.1 At least one thermostat shall be provided for each separate heating and
controls cooling system. Where forced-air furnace is primary system, j
programmable thermostat is required. Heat pumps with supplemental
electric heat must prevent supplemental heat when compressor can
meet the load.
Ducts 403.2.2 All ducts, air handlers, filter boxes and building cavities which form the
primary air containment passageways for air distribution systems shall
be considered ducts or plenum chambers, shall be constructed and
sealed in accordance with Section 503.2.7.2 of this code.
403.3.3 Building framing cavities shall not be used as supply ducts.
Water heaters 403.4 Heat trap required for vertical pipe risers. Comply with efficiencies in
Table 403.4.3.2. Provide switch or clearly marked circuit breaker
(electric) or shutoff(gas). Circulating system pipes insulated to= R-2
+accessible manual OFF switch.
Mechanical 403.5 Homes designed to operate at positive pressure or with mechanical
ventilation ventilation systems shall not exceed the minimum ASHRAE 62 level.
No make-up air from attics, crawlspaces, garages or outdoors adjacent
to pools or spas.
i
Swimming Pools 403.9 Pool pumps and pool pump motors with a total horsepower(HP)of= 1
&Spas HP shall have the capability of operating at two or more speeds. Spas
and heated pools must have vapor-retardant covers or a liquid cover or
other means proven to reduce heat loss except if 70% of heat from
site-recovered energy. Off/timer switch required. Gas heaters minimum
thermal efficiency=78% (82% after 4/16/13). Heat pump pool heaters
minimum COP=4.0.
Cooling/heating 403.6 Sizing calculation performed &attached. Minimum efficiencies per
Tables 503.2.3. Equipment efficiency verification required. Special
equipment occasion cooling or heating capacity requires separate system or
variable capacity system. Electric heat>10kW must be divided into two
or more stages.
Ceilings/knee walls 405.2.1 R-19 space permitting.
2/17/2014 4:41 PM EnergvGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 5 of 5
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE INDEX* = 80
The lower the EnergyPerformance Index, the more efficient the home.
374 NE. 95th. Street, Miami Shores, FL, 33138-
1. New construction or existing Addition 9. Wall Types Insulation Area
2. Single family or multiple family Single-family a.Concrete Block-Int Insul,Exterior R=5.0 674.00 ft2
b.N/A R= ft2
3. Number of units,if multiple family 1 c. N/A R= ft2
4. Number of Bedrooms 1(1) d. N/A R= ft2
10.Ceiling Types Insulation Area
5. Is this a worst case? No a. Under Attic(Vented) R=30.0 540.00 ft2
6. Conditioned floor area(ft2) 540 b.N/A R= ft2
7. Windows— Description Area c. N/A R= ft2
a. U-Factor: Sgl, U=0.93 71.96 ft2 11.Ducts R ft2
SHGC: SHGC=0.55 a.Sup:Attic, Ret:Attic,AH:AHU1 6 108
b. U-Faetor: N/A ft2
SHGC: 12.Cooling systems kBtu/hr Efficiency
c. U-Factor: N/A ft2 a.Central Unit 19.3 SEER:16.00
SHGC:
d. U Factor: N/A ft2 13.Heating systems kBtu/hr Efficiency
SHGC: a. Electric Strip Heat 17.1 COP:1.00
Area Weighted Average Overhang Depth: 0.500 ft.
Area Weighted Average SHGC: 0.550
8. Floor Types Insulation Area 14.Hot water systems-None required
Cap:N/A
a.Slab-On-Grade Edge Insulation R=0.0 540.00 ft2 a. EF:
b.N/A R= ft2
c. N/A R= ft2 b. Conservation features
15.Credits Pstat
I certify that this home has complied with the Florida Energy Efficiency Code for Building ,VKE s7
Construction through the above energy saving features which will be installed (or exceeded) of r�
in this home before final inspection. Otherwise, a new EPL Display Card will be completed ,f
based on installed Code compliant features.
Builder Signature: Date:
Address of New Home: City/FL Zip: `*
*Note: This is not a Building Energy Rating. If your Index is below 70, your home may qualify for energy efficient
mortgage (EEM) incentives if you obtain a Florida EnergyGauge Rating. Contact the EnergyGauge Hotline at(321)
638-1492 or see the EnergyGauge web site at energygauge.com for information and a list of certified Raters. For
information about the Florida Building Code, Energy Conservation, contact the Florida Building Commission's support
staff.
**Label required by Section 303.1.3 of the Florida Building Code, Energy Conservation, if not DEFAULT.
EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software
i
a
Adler Residence Addition
HVAC Load Calculations
for
F& F Construction
I
W 9ECLL4P/L 69Uv'r,
n r
AIR CONDITIONING SALES AND SERVICE
i
Prepared By:
i
Reinaldo Antoni
Sansone Air Conditioning
590 Goolsby Boulevard
Deerfield Beach, Florida 33442
(954)428-8919
Monday, February 17, 2014
Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
I �
Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc.
Sansone Corporation Adler Residence Addition
Deerfield Beach, FL 33442 Page 2
Project Report
General Project Information
Project Title: Adler Residence Addition
Project Date: Monday, February 17, 2014
Client Name: F& F Construction
Client Comment: Project Address: 374 NE. 95th. Street, Miami Shores, Florida 33138
Company Name: Sansone Air Conditioning
Company Representative: Reinaldo Antoni
Company Address: 590 Goolsby Boulevard
Company City: Deerfield Beach, Florida 33442
Company Phone: (954)428-8919
Company Fax: (954)428-1405
Company E-Mail Address: rantoni@sansone-ac.com
Company Website: www.sansone-ac.com
Company Comment: License#1249260
Desi. n Data
Reference City: Miami Beach, Florida
Building Orientation: Front Door faces West
Daily Temperature Range: Low
Latitude: 25 Degrees
Elevation: 10 ft.
Altitude Factor: 1.000
Outdoor Outdoor Outdoor Indoor Indoor Grains
Dry Bulb Wet Bulb Rel.Hum Rel.Hum Dry Bulb Difference
Winter: 48 45.04 n/a n/a 70 n/a
Summer: 89 77 59% 50% 75 56
Check'Figures
Total Building Supply CFM: 600 CFM Per Square ft.: 1.111
Square ft. of Room Area: 540 Square ft. Per Ton: 533
Volume (ft3)of Cond. Space: 4,320
Building Loads
Total Heating Required Including Ventilation Air: 9,632 Btuh 9.632 MBH
Total Sensible Gain: 9,124 Btuh 80 %
Total Latent Gain: 2,249 Btuh 20 %
Total Cooling Required Including Ventilation Air: 11,373 Btuh 0.95 Tons (Based On Sensible+ Latent)
I
1.01 Tons(Based On 75% Sensible
Capacity)
Notes
Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at
your design conditions.
i
i
i
\\Sansonedatafile\d ...\Adler Residence.rh9 Monday, February 17, 2014, 4:47 PM
Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc.
Sansone Corporation Adler Residence Addition
Deefeld Beach,FL 33442 Pa e 3
Total Building Summary Loads
Component Area Sen Lat Sen Total,
Description Quan Lass Gain Gain Gain
Gray Tint SH: Glazing-Adler Residence Addition Glazing - 73.5 1,504 0 3,134 3,134
SH Impact- Gray Tint- Metal Frame, u-value 0.93,
SHGC 0.55
11J: Door-Metal - Fiberglass Core 42 554 0 731 731
13A-5fcb: Wall-Block, board insulation only, R-5 board 558.5 1,314 0 1,093 1,093
insulation, filled core, brick finish
16E-30: Roof/Ceiling-Under Attic with Insulation on Attic 540 380 0 484 484
Floor(also use for Knee Walls and Partition
Ceilings), Vented Attic, No Radiant Barrier, Light Tile,
Slate or Concrete, R-30 insulation
22A-ph: Floor-Slab on grade, No edge insulation, no 4 120 0 0 0
insulation below floor, any floor cover, passive, heavy
moist soil
Subtotals for structure: 3,872 0 5,442 5,442
People: 2 400 460 860
Equipment: 0 0 0
Lighting: 0 0 0
Ductwork: 5,046 1,244 2,978 4,222
Infiltration: Winter CFM: 30, Summer CFM: 16 714 605 244 849
Ventilation: Winter CFM: 0, Summer CFM: 0 0 0 0 0
Total Building Load Totals: 9,632 2,249 9,124 11,373
Check Figures
Total Building Supply CFM: 600 CFM Per Square ft.: 1.111
Square ft. of Room Area: 540 Square ft. Per Ton: 533
Volume(ft3)of Cond. Space: 4,320
Building Loads
Total Heating Required Including Ventilation Air: 9,632 Btuh 9.632 MBH
Total Sensible Gain: 9,124 Btuh 80 %
Total Latent Gain: 2,249 Btuh 20 %
Total Cooling Required Including Ventilation Air: 11,373 Btuh 0.95 Tons(Based On Sensible+ Latent)
1.01 Tons (Based On 75% Sensible
Capacity)
Notes
Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at
your design conditions.
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\\Sansonedatafile\d ...\Adler Residence.rh9 Monday, February 17, 2014, 4:47 PM
Rhvac-Residential A Light Commercial HVAC Loads Elite Software Development,Inc.
Sansone Corporation Adler Residence Addition
Deerfield Beach, FL 33442 Page 4
System 1 AHU-1 Summary Loads
Component Area Sen Lat Sen Total,
Description Quan Loss Gain Gain Gain's
Gray Tint SH: Glazing-Adler Residence Addition Glazing- 73.5 1,504 0 3,134 3,134
SH Impact-Gray Tint- Metal Frame, u-value 0.93,
SHGC 0.55
11J: Door-Metal -Fiberglass Core 42 554 0 731 731
13A-5fcb: Wall-Block, board insulation only, R-5 board 558.5 1,314 0 1,093 1,093
insulation, filled core, brick finish
16E-30: Roof/Ceiling-Under Attic with Insulation on Attic 540 380 0 484 484
Floor(also use for Knee Walls and Partition
Ceilings), Vented Attic, No Radiant Barrier, Light Tile,
Slate or Concrete, R-30 insulation
22A-ph: Floor-Slab on grade, No edge insulation, no 4 120 0 0 0
insulation below floor, any floor cover, passive, heavy
moist soil
Subtotals for structure: 3,872 0 5,442 5,442
People: 2 400 460 860
Equipment: 0 0 0
Lighting: 0 0 0
Ductwork: 5,046 1,244 2,978 4,222
Infiltration: Winter CFM: 30, Summer CFM: 16 714 605 244 849
Ventilation: Winter CFM: 0, Summer CFM: 0 0 0 0 0
System 1 AHU-1 Load Totals: 9,632 2,249 9,124 11,373
Check Figures
Supply CFM: 600 CFM Per Square ft.: 1.111
Square ft. of Room Area: 540 Square ft. Per Ton: 533
Volume(ft3)of Cond. Space: 4,320
System Loads
Total Heating Required Including Ventilation Air: 9,632 Btuh 9.632 MBH
Total Sensible Gain: 9,124 Btuh 80 %
Total Latent Gain: 2,249 Btuh 20 %
Total Cooling Required Including Ventilation Air: 11,373 Btuh 0.95 Tons(Based On Sensible+ Latent)
1.01 Tons(Based On 75% Sensible
Capacity)
Notes
Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at
your design conditions.
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Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc.
Sansone Corporation Adler Residence Addition
Deerfield Beach,FL 33442 Is Page 5
Equipment Data - System 1 - AHU-1
Cooling
System Type: Standard Air Conditioner
Outdoor Model: CA16NA018****A
Indoor Model: FV4CNF002
Tradename: CARRIER AIR CONDITIONING
Outdoor Manufacturer: CARRIER AIR CONDITIONING
AHRI Reference No.: 4583820
Nominal Capacity: 19300
Efficiency: 16 SEER
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1 ' '
Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc.
Sansone Corporation Adler Residence Addition
Deerfield Beach,FL 33442 Page 6
System 1 Room Load Summary
Htg Min Run Run Clg Clg Min Act
Room Area Sens Htg Duct Duct Sens Lat Clg Sys
No Name SF Btuh CFM Size Vel Btuh Btuh CFM CFM
---Zone 1---
1 AHU-1 540 9,632 125 4-0 0 9,124 1,005 415 600
Duct Latent 1,244
System 1 total 540 9,632 125 9,124 2,249 415 600
Cooling System Summary
Cooling .Sensible/Latent Sensible Latent Total
Tons Split Btuh Btuh Btuh
Net Required: 0.95 80%/20% 9,124 2,249 11,373
Recommended: 1.01 75%/25% 9,124 3,041 12,166
Actual: 1.61 69%/31% 13,400 5,900 19,300
Equipment Data
Heating System Cooling System
Type: Electric Resistance Standard Air Conditioner
Model: CA16NA018****A
Indoor Model: FV4CNF002
Brand: CARRIER AIR CONDITIONING
Efficiency: 0% 16 SEER
Sound: 0 0
Capacity: 17,060 Btuh 19,300 Btuh
Sensible Capacity: n/a 13,400 Btuh
Latent Capacity: n/a 5,900 Btuh
AHRI Reference No.: n/a 4583820
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