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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: Pw 0 W 2nd Request: Date: a¢ cc U, m 3Request: Date: 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. I \\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. I I II � ! \\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 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 I I I \\Sansonedatafile\d ...\Adler Residence.rh9 Monday, February 17, 2014, 4:47 PM 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 i i i I i I \\Sansonedatafile\d ...\Adler Residence.rh9 Monday, February 17, 2014, 4:47 PM