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EL-15-1827 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-242689 Permit Number: EL-7-16-1827 Scheduled Inspection Date: September 02,2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: GODOY GONZALEZ, ILEANA Work Classification: Alteration Job Address: 166 NW 100 Terrace Miami Shores, FL 33150- Phone Number (786)390-9503 Parcel Number 1131010230280 Project: <NONE> Contractor: AAA-ON TIME ELECTRIC, INC. Phone: 305-308-7333 Building Department Comments HOOK UP OF 3.5 TON AC Infractio Passed comments INSPECTOR COMMENTS False Inspector Comments Passed [Zf Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 01,2016 For Inspections please call: (305)7624949 Page 43 of 47 "081" I meg - � Miami Shores Village IdOft t 10050 N.E.2nd Avenue NW Miami Shores,FL 33138-00001E Phone: (305)795-2204 , • 6�OR&K vy t a... i Expiration. 01/30/201 Project Address Parcel Number Applicant 166 NW 100 Terrace 1131010230280 Miami Shores, FL 33150- Block: Lot: ILEANA GODO'Y GONZALEZ Owner Information Address Phone Cell ILEANA GODOY GONZALEZ 166 NW 100 Terrace (786)390-9503 MIAMI SHORES FL 33150- 166 NW 100 Terrace MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 550.00 AAA ON TIME ELECTRIC,INC. 305-308-7333 Total Sq Feet: 0 Type of Work:HOOK UP OF 3.5 TON AC Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.80 DBPR Fee Invoice# EL-7-15-56417 $2.25 08/03/2015 Credit Card $ 115.10 $50.00 DCA Fee $2.25 Education Surcharge $0.20 07/21/2015 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $165.10 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I rtify at a foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. the e,I authorize the above-named contractor to do the work stated. August 03, 2015 Authorizd S ture:Owner / Applicant / Contractor / Agent ate Building an Copy August 03,2015 1 Miami Shores Village t Building Department JUL 21 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 ' � BUILDING Master Permit No. (y\1 G c —" 18 PERMIT APPLICATION Sub Permit No. 4� L i -5-- (c,:� 2� ❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 166 NW 100 Terrace City: Miami Shores County: Miami Dade Zip: 331 Sb Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Ileana Godoy Gonzalez Phone#:786-390-9503 Address:166 NW 100 Terrace City: Miami Shores State: Florida Zip: 33166 Tenant/Lessee Name: Phone#: Email: imgggonzalez@hotmail.com p CONTRACTOR:Company Name: 00 file— F-!-\ eAr� C C- Phone#: Address: O t ow t o y 'Tzrro GZ City: (W1arV'\A I"I_ V _l State: L Zip:23f 6 Qualifier Name: V-0be'rIc- {--�. -&roL1n� Phone#: �&��3f Q 14 State Certification or Registration#: r-C 3o 09Q�r M Certificate of Competency#: DESIGNER:Architect/Engineer: H• Phone#: IG 4z'— 5 510 -S2R)� Address: City: State: Zip: 3:3Q Value of Work for this Permit: a Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration FM New ❑ Repair/Replace ❑ Demolition l Description of Work:4bolLul of Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF CO/CC$ Scanning Fee$ J o C � � Radon Fee$ , DBPR$ �� � Notary$ Technology Fee$ FL 7 c r Training/Education Fee$ {' 2-� Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revisedo2/24/2014) w 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 delivered to the person whose property is subject to attachment. Also,o c i ied copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven(l) days a jr the building permit is issued. In the absence of such posted notice, the inspection w/l/Apt be approved and a reinsp ction fee will be charged. Signature L"�A` r Signature l OWNER or AGENT CONTRACTOR The foregoing instru�I�_t was acknowledged before me this The foregoing instrument was acknowledged before me this _ day of —Tu—W 20 /5' .by day of 20 by hvA&�who is personally known to ho is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY B IC: Sign: ON a IFOSign: berms Print: I ' baa reser Print:WWI �R n Seal: Seal: - r 8®eam �' Notary Public State of Flodde ® . Jose L Saladin My Commission EE126297 APPROVED BYy 17'51 29PAY441�-Plans Examiner ' Zoning Structural Review Clerk (Revised02/24/2014) JuI Q1 15 01:42p AAA ON TIME ELECTRIC INC 3056550972 p.1 4 ~::`R1Cf�-SCOFl;GOVERNOR - KEN._....LAWSOK SECRETARY :TATE OF.l LOMA• D�A�flF j �11ND:PR IO. At �Ai'!ON _ E�NTRA4TOFt�=�:BOpR�D- - Tie CTPJCAL. C011ll WOR: Aj2ff1W below IS CERTIFl nder.:.the PmvWQm of-clow :4gg FS. .. i 4o 1 date::AUG 3'!,TZMM .ROBERT 7 7 $ R� .::• _ SPLAYASREQUIREDBYLAW --- SMO L1Ot745 Jul 21 15 01:42p AAA ON TIME ELECTRIC INC 3056550972 p.2 r Local Business Tex Receipt Miami—Dade County,State of Florida -THMIS NOTA 89L-00 NOT PAY VLBT ,5188?B3 . B`��,�t,.t"„t"°�„=„ Um EXPIRES AAA ON TIME II.ECTRtC INC 651 NW 100 T1=RR RENEMAL SEPTEMBER 30, 2015 MIAMI.FL 33150 Must he&splayedatptaeeotltusinew Purwam to CoutuyCode Chapter SA-Am S&10 OINNE'3R SEG TYM OF BUSWESS AAA ON TIME ELECTRIC INc 196 Etf+C7 F:tGA! FAYMEW R8CMVED lsma CIO JOSE LUIS SALADIN e5.00 we MM1 Ct}AIT'FiACFQR 75.00 0913E}1201d Wadaet(s) 1 EC13602886 022474-007358 TIAs LW9FBnsimen Tax H-aptsAly eoaTooapapaaiaatt4e LoCaS BnsiaeesTmcTJse Baceigtet aata �l,oramre7catFaad�.Ftuhi�'sit .ytida3tsitmss.Haidera�stt�plyrwiegetrygapera�aF wild araaaPo ht+asaadtegainwbieh apdtto rdel,tahn�s. ThapQ9P1'f4�alwvemasthedspFa�e@mapeamoaxeielvefaeFes-Elhtod-Bade CadeSee8�6. I� Foratase bdmamlma. eFt Jul 21 1501:43p AAA ON TIME ELECTRIC INC 3056550972 p.3 r ffBE TE OF INSURANCE ISSUE DATE 7!29/20(5 L TE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,TMS DOES NOTAFFIRMATIVELY OR IGAfIVELY AMEND,EXTEND OR ALTER THE C01/ERAGEAFFORDED BY THE POLICIES CERTIFICATE OF INSURANCE DOES NOT CONSTITUTEA CONRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED TIVE OR PRODUDER,AND THE CERTIFICATE HOLDER. IMPORTANT.IF THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED,TETE POLICY(IES)MUST BE ENDORSED.IF SUBROGATION IS WANED,SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY,CERTAIN POLICIES MAY REQUIRE AN ENDORSEMENT.A STATEMENT ON THIS CERTIFICATE DOES NOT CONFER RIGHTS TO THE CERTIFICATE HOLDER JN LIEU OF SUCH ENDORSEMENT(S). PRODUCER fNSIJRER(S)AFFORaING COVERAGE ments Corporation t INSURER A Western World Ins�t'ance Company 135 INSURER B: N/A INSURED INSURER C: N/A AAA On Time Electric Inc 651 NW 100th Terrace Miami,FL 33150 INSURER D. N/A NSURER E: N/A COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ENSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWIT}.iSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF POLICY POLICY POLICY LTR INSURANCE NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS Genes Aggregate $2,ODD,00 Products-Com/Op Agg. $1,000,000 A General Liability NPP1392155 9/26f20149!2612015 Personal&Attu Injury $1,000 D00 Each Occurrence $1,000,000 Damage Prem Rented To You $100,000 Med Expense(Any one person) $51000 B it Personal Liability Combined Single Lim Medical Payments To Others C Excess Liability Each Occurr®nc e Aggregate D E Property I Building J Contents NO INSURANCE IS ISSU PURSUANT TO THE FLORIDA SURPLUS LINES LAW,PERSONS No UREO B S PLU LINES CARRI R5 DO AN INSOLVENT NOT HAVE THE PROTECTION OF THE FLORIDA GUARANTY ACT TO THE EXTENT OF AURER. NY RI GHT OF RECOVERY FOR THE OBLIGATION OF SURPLUS LINES INSURERS, POLICY RATES AND FORMS ARE NOT APPROVED BY ANY FLORIDA REGULATORY AGENCY. Description Of Operations!Specialty he Electrical Contractor ECt3002896 Certificate HolderShould any of the above described olicfes cancel—before the ex Miami Shores Village thereof,notice win be delivered in accordance with the prratEan date 10050 NE 2 Avenue Authorized Signature Ivry Provl�ons. Miami Shores Village,FL 33138 Jul 21 15 01:43p AAA ON TIME ELECTRIC INC 3056550972 p.4 CERTIFICATE OF LIABILITY INSURANCE DATE(IPMJDDIYYW) 7/21/2015 THIS CERTIFICATE I5 ISSUED AS A MATTER OF INFORMATION ONLY AN CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. the twme an If he nd tions tate Harder Is as ADDITIONAL INSURED,the poUcy(Ies)must be arrrlorsed."If§t18ItaGA tiON!s iVAIUEO,aabjeet tc —- theterms and conditions ofthe Polley,eertaln PotlClas may regUbV nn endorsement. A Statement oa tkiS esfafICaLs doss not Canter rights to the _ 2wVf cats 1101der ha Iteu of st®eh endarmner►t(s), PRODUCER NA�c�• ANGELADEHARTGOMEZ Morgan Insurance Group Inc PH NE 13155 SW 42nd St#107 et [ -F. (905)222'9001 F VOL, (305)222 OWS MFand.FL 33t75 ADDSEg4: angekt@mcrgan nsgrpx= Phone __�.._-- INSURER(s}AFFOQifSNGCOVERAGE (30S)222-900 _ tax 05}222-9006Nater INSURED �— --- INSIittERA AAA ON TIME ELECTRIC,INC. INstrReR a: -- iNsuR�c� _ 652 NW lODTH TERp►C WELL RD: BUSINESS FIRST INSURANCE COMPANY Id1AMI FL 33150 rNswReR s COVERAGES GERTtFICATE NUMBER: — tNSURI:R F ON NUMBER: THIS IS TO CERTIFYTHA TTHE POLICIES OF INSURANCE LISTEr7 BELOW HAVE BEEN ISSUED To T1 INSURED NAME�bAS01A FOR T'HE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIR ENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER L7000MEPiT WITH RESPECT 70 WHICH THIS CERTIFICATE MAY HE ISSUED OR MAY PERTAOJ,THE INSIiRANCE AFFORDED BYTHE POLICIES DESCRRBED HotM IS SUSJECT TO ALL THE TERMS, EXCLUSIONSAND CONDIT(ON�OF SL H ppUCIES.LIMITS SW"N,MAY HAVE BEEN REDUCED EY PAID CLAIMS. ADD PO FF POLICY IL TYPE aF UVSU�gNeE I POLICY NUMBER i llAI7S GENERALLIABILITY ITY EJ COMMERCLAI GENERAL LIAIK" EACH OCCURROICE onneACE RE o A CLADE Q OCCUR PREldISE$JF—acoa,rrae� _3 __.. MED EXP 18Nars nron s Q PERSONAL&ADV WURY. S GEN'LAGGREGATELIMITAPPLIESPER: G£tIE LALA WEGATE S Q POrICY Q260-... -(J uwxc PSI-C)MIP10P A GG SS jT::: AUTOM08ILELIABIUrYCLEImJANYAUTO eJGerCwSD sr uLEO eINJURY $i� .- U HIRED Amos U AUTt D GODLY INJURY(Per acdclent ; _ F1 Awl . AtaIAGtd _ S - a Awl_ . _. Q WASRELLALUI6 QOCCUR ExCESS^IUAB Cj CSE EACH OCCURRENCE s — I I DEO i_.J RETENTIONS AGGREGATE - $ OAORKERSCOMPENSATICN ANO EMPLOYERS-tJA9LLTrY YIN PER Q per{_ ANY PROPRIETORIPARMgFU C 0 O MdatorMEMSER EXCLUDED? Nra 355900 03!232015 03123!2096 E-L.EACHACcmENrr s 1000000.00 (Mw:datory to 1INl DEWflyes.ae nbeTION,ewer E.L.DISEASE.FA EMPLOYE s 1.000,000.00 DESCRIPTION OF OpERA7F� ONg pelma, _ - -�_ EL DISEASE-POUCYLIMIT 3^1.000.000.00 DESCRIPTION OF OPERATIONS 1 LOCATIONS f YEItICLQS _. (WtachACagDt0l,AddISonal -.---..---- _.........._�--------• RarrsrkaS�Aadaab.Htnore _----_ space Ira required( ELECTRICAL CONTRACTOR EC1300206 CERTlFlCATE HOLDER --- CANCELLATION MIAMI SHORES VILLAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF.NOTICE 1MLLL BE DEW4/ERCE L 10050 NE 2 AVENUE ACCORDANCE VWm THE POLICY PRO ICE V4 L MIAMI SHORES VILLAGE,FL 33138 __ _ AtrTNOR11!FD REpRESENTATtVB — "" —' ACORD 25(2014101)QF �— ~©1OW2014 ACORD CORPORATION. All rights reserved. The ACORD name and(ago are registered marks of ACORD R CERTIFICATE OF INSURANCE JISSUE DATE 7/21/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUDER,AND THE CERTIFICATE HOLDER. IMPORTANT:IF THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED,THE POLICY(IES)MUST BE ENDORSED.IF SUBROGATION IS WAIVED,SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY,CERTAIN POLICIES MAY REQUIRE AN ENDORSEMENT.A STATEMENT ON THIS CERTIFICATE DOES NOT CONFER RIGHTS TO THE CERTIFICATE HOLDER IN LIEU OF SUCH ENDORSEMENT(S). PRODUCER INSURER(S)AFFORDING COVERAGE 2503IW8St ants Corporation INSURER A: Western World Insurance Company Miami,FL 33135 INSURER B: N/A INSURED INSURER C: N/A AAA On Time Electric Inc 651 NW 100th Terrace INSURER D: N/A Miami,FL 33150 INSURER E: /A COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF POLICY POLICY POLICY LIMITS LTR INSURANCE NUMBER EFFECTIVE DATE EXPIRATION DATE General Aggregate $2,000,000 Products-Com/OpAgg. $1,000,000 Personal&Adv.Injury a $1,000,000 A General Liability NPP1392155 9/26/2014 9/26/2015 Each Occurrence $1,000,000 Damage Prem Rented To You $100,000 Med Expense(Any one person) $5,000 Combined Single Limit B Personal Liability Medical Payments To Others C Excess Liability Each Occurrence Aggregate D Building E Property Contents Loss Of Use THIS 11 4SURANCEIS ISSUED P R UA THE FLORIDA SURPLI. NES LAW.PERS N IN URED BY SURPLUS LINES CARRIERS D NOT HAVE THE PROTECTION OF THE FLORIDA GUARANTY ACT TO THE EXTENT OF ANY RIGHT OF RECOVERY FOR THE OBLIGATION OF AN INSOLVENT UNLICENSED INSURER. SURPLUS LINES INSURERS'POLICY RATES AND FORMS ARE NOT APPROVED BY ANY FLORIDA REGULATORY AGENCY. Description of Operations/Specialty Items Certified Electrical Contractor EC13002896 Commercial and Residential Electrical Work Certificate Holder Should any of the above described policies be cancelled before the expiration date City of Homestead thereof,notice will be delivered in accordance with the policy provisions. 650 NE 22 Terrace Authorized Signature Homestead,FL 33033 C RTIFI+�ATE OF LIABILITY INSURANCE it�l121/t n±wnry 2015 TH151 1�t:ATEI AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIWATE DOES NOT AFFIRMATNMY OR NEGATIVELY AMEND,EXTEND OR ALTER THE{COVERAGE AFFORDED BY THE POLICIES BELLOW. THIS CERTIFICATR OF INSURAN09 DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUR M),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CORTIFICATE HOLDER, IMPORTANT:If the carRce tX► r le dq AI30NTi01RIMMED,,the poli '�""� t0 r�[ }muatbe � I15IJ1�61 NI tt*t* Ms and C01140NO Otter C%COUM 001 tit an endomeMert A does notau r two to ow Oaa� ,far M u Of end �a?• ANGELA DEHART GOMM Morgan Insurance Group Irsa mo gppl 30S)22;t-9i 13155 SW 42nd St#107 Amo Alarm,AFL 33175 IRSIMIM AFFOROSS COVUbWI Ptme 222-OM Tax NSURM AAA ON TIME ELECTRIC,INC. 6S1 NW 100TH TLLRR= BUSINESS FIRST INSURANCE;COMPANY III FL 33150 E s COVERAGES CERTIFICATE IISFJt: REVISION NUMBER:- THIS IMBER:`IHIS IS TO CERTIFYTHATifill lug IItwm wim ,t SIE POLICY 0130m INDICATED. NOTWiTHIxT ANY I U ±lEptT;`tEIILiOR ITION OF ANY f ITIiAGT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE bAAY OR AIAY PERTABV,THE INSUIiWNCE AFFORDI BY THIS POI.IM DESCRIBED HEREIN IS StJ8JECT'TO AM THE TWA. EJ(CI UBIONIS AND IIB OIr BUGMI POEICIE E SHOWN[+A/iY HAVE BEEN REDUCEDBY PAID CLAIMS. fluTYFB AJC tl L FACcJl4BI4it4' _ N , 11 El 0At OCA M t DE9tP t A 1'E 3 8IiWLAl1BRE(3�''1y'E LIWAPPLIt g. 11 FL%IGY 13 Aeg $ LtAiUt Y Q AMYAM 8 Ei �t OWNW [] 8W1LY II,1 Jt3YIPar I El tNREtlAMOSt 0 Avm8 Ic LIAtttort EA FIt C U" 0_QAW84Mf AOMM S 5 'L-R AND YIM ANY E.L.EACdt � 1000 000.0D D Oc win GIA owaWC 0311MIG � �,M LL CNBC-� a 100.000-m DRIP7E?N01 I?ATt{ E,L,CUM-PO!CY MW I 1,�41}E I QD NC��7PEliA11�SI$IL9LtCA'ttL"'Fh�1V81iIG6E9 IAIt46'E3Nkt'�'Ia . Dt Istel CERTIFIED ELECTRICAL CONTRACTOR EC13002896 COMMERCIAL AND RESIDENTIAL ELECTRICAL WORK CORTOWATR HOLDER CANCELLATION SNMLb ANY`#P TILE DSffiCRWD BEC I> MIAMI SHORES VILLAGE THE EXPIRATION DATE INER Wo NOTICE WB-L BE ORNERSOIN BUILDING DEPARTMENT ACCORDANCE WITM THE POLICYlROVISIONL 10050 NE 2 AVENUE MIAMI SHORES VILLAGE,FL 33138 AUTHORM A9PA~ATtW tw—K All rWft mmwd.I ACO 26(20141 )OF The ACCORD mm ndd l we regloWred maft a#ACORD s � FORM 405-10 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Business and Professional Regulation - Residential Performance Method Project Name: Ileana Gonzalez Residence Builder Name: Street: 166 NW 100 Terrace Permit Office: Miami Shores City,State,Zip: Miami Shores,FL,33150- Permit Number: •Owner: Ileana Gonzalez Jurisdiction: 232600 Design Location: FL,Miami 1, New construction or existing Existing(Projected 9. Wall Types(1657.5 sgft.) Insulation Area 2. Single family or multiple family Single-family a.Concrete Block-Int Insul,Exterior R=3.0 1657.50 ft2 b.N/A R= ft2 3. Number of units,if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 3 d.N/A R= ft2 5. Is this a worst case? No 10.Ceiling Types (1470.0 sgft.) Insulation Area a.Under Attic(Vented) R=19.0 1470.00 ft2 6. Conditioned floor area above grade(ft2) 1470 b.NIA R= ft2 Conditioned floor area below grade(ft2) 0 c.N/A R= ft2 11.Ducts R ft2 7. Windows(224.8 sgft.) Description Area a.Sup:Attic,Ret:Attic,AH:Main 6 215 a. LI-Factor: Sgl,U=1.04 224.82 ft2 SHGC: SHGC=0.44 b. U-Factor: NIA ft2 12.Cooling systems kBtu/hr Efficiency SHGC: a.Central Unit 41.0 SEER:16.00 c. U-Factor: N/A ft2 SHGC: 13.Heating systems �• • kBtu/R���Efficiency d. U-Factor: N/A ft2 a.Electric Strip Heat ••• 25.5 66 PA.0d 0 0.6•• SHGC: • • 6666•• Area Weighted Average Overhang Depth: 0.333 ft. • • •••�•• Area Weighted Average SHGC: 0.440 14.Hot water systems 000000 • •0 a.Electric Tankless "•••* ;0�qp�1 gallons••••• 8. Floor Types (1470.0 sgft.) Insulation Area *:::00 • 'EF:0.995•••• a.Raised Floor R=0.0 1300.00 ft2 b. Conservation features • •• : 6 0 00000 • b.Slab-On-Grade Edge Insulation R=0.0 170.00 ft2 None 0000 6• 6 6 0 c.N/A R= ft2 60••00 • P •0000• 15.Credits 6 stat • Glass/Floor Area: 0.153 Total Proposed Modified Loads: 45.04 6•• �� 6• Total Standard Reference Loads: 56.47 6 6000:6 I hereby certify that the plans and specifications covered by Review of the plans and 14E SV this calculation are in compliance with the Florida Energy specifications covered by this , Code. calculation indicates compliance � 9�q,.. riga .. # �g .b with the Florida Energy Code. PREPARED BY: �0 Before construction is completed DATE: this building will be inspected for G?.••-GENSF compliance with Section 553.908 I hereby certify that this building, a �d3;is5gnYd, is in compli4ce`� Florida Statutes. with the Florida Energy Code. 0.53235 *% o awe OWNER/AGENT �� /J BUILDING OFFICIAL: DATE: 4 DATE: Ann o fl - Compliance requires certificatio ¢.��� dN-1 anufacturer that the air handler enclosure qualifies as certified factory-sealed in a- rdafSc �- Compliance requires completion of a8rier and Insulation Inspection Checklist 4/9/2015 6:41 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 1 of 5 1 0 PROJECT Title: Ileana Gonzalez Residence Bedrooms: 3 Address Type: Street Address Building Type: User Conditioned Area: 1470 Lot# Owner: Ileana Gonzalez Total Stories: 1 Block/SubDivision: #of Units: 1 Worst Case: No PlatBook: Builder Name: Rotate Angle: 0 Street: 166 NW 100 Terrace Permit Office: Miami Shores Cross Ventilation: County: Miami-Dade Jurisdiction: 232600 Whole House Fan: City,State,Zip: Miami Shores, Family Type: Single-family FL, 33150- New/Existing: Existing(Projected) Comment: CLIMATE / IECC Design Temp Int Design Temp Heating Design Daily Temp �/ Design Location TMY Site Zone 97.5% 2.5% Winter Summer Degree Days Moisture Range FL,Miami FL_MIAMI_INTL AP 1 51 90 70 75 149.5 56 Low BLOCKS Number Name Area Volume 1 whole house 1470 12495 SPACES Number Name Area Volume Kitchen Occupants Bedrooms Infil ID Finished •"6o$Ied Heated • 00 1 Main 1470 12495 Yes 4 3 1 • Yes • Yes 9�'es0•0 •0090• FLOORS 6600.0 9 .' # Floor Type Space Perimeter Perimeter R-Value Area Joist R•VIN80: file"Wood Cpyppj',. 1 Slab-On-Grade Edge Insulation Main 45 ft 0 170 ft2 __a . 9, � 00 D 0000•• 2Raised Floor Main ____ 1300ft2 Q";" 0 • 1 "0 • ---- 90099• •• •e•99• ROOF .00. : '"' • / Roof Gable Roof Solar SA Emitt Ei4f�• Deck Pitch 1/ # Type Materials Area Area Color Absor. Tested Tested Insul. (deg) 1 Hip Flat tile/slate 1515 ft2 0 ft2 Medium 0.5 No 0.9 No 0 14 ATTIC V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC 1 Full attic Vented 150 1470 ft2 N N CEILING # Ceiling Type Space R-Value Area Framing Frac Truss Type 1 Under Attic(Vented) Main 19 1470 ft2 0.11 Wood 4/9/2015 6:41 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 2 of 5 ! Y WALLS AdjacentSpate Cavity Width Height Sheathing Framing Solar Below 1 N Exterior Concrete Block-Int Insul Main 3 54 4 8 6 461.8 ft2 0.1 0 0.3 0 2 S Exterior Concrete Block-Int Insul Main 3 54 4 8 6 461.8 ft2 0.1 0 0.3 0 3 E Exterior Concrete Block-Int Insul Main 3 43 2 8 6 366.9 ft2 0.1 0 0.3 0 4 W Exterior Concrete Block-Int Insul Main 3 43 2 8 6 366.9 ft2 0.1 0 0.3 0 DOORS # Omt Door Type Space Storms U-Value Width Height Area Ft In Ft In 1 N Wood Main None .46 3 6 8 20 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 N 1 Metal Single(Clear) Yes 1.04 0.44 13.4 ft2 0 ft 4 in 4 ft 4 in None None 2 N 1 Metal Single(Clear) Yes 1.04 0.44 26.7 ft2 0 ft 4 in 4 ft 4 in None None 3 N 1 Metal Single(Clear) Yes 1.04 0.44 38.3 ft2 0 ft 4 in 4 ft 4 in None None 4 S 2 Metal Single(Clear) Yes 1.04 0.44 14.4 ft2 0 ft 4 in 4 ft 8 in None None 5 S 2 Metal Single(Clear) Yes 1.04 0.44 5.3 ft2 0 ft 4 in 3 ft 2 in None None 6 S 2 Metal Single(Clear) Yes 1.04 0.44 40.0 ft2 0 ft 4 in 8 ft 0 in Nene • None 7 S 2 Metal Single(Clear) Yes 1.04 0.44 10.0 ft2 0 ft 4 in 3eTio : Nan; 8 S 2 Metal Single(Clear) Yes 1.04 0.44 6.9 ft2 0 It 4 in 4 2 in % im. • Qom: 9 E 3 Metal Single(Clear) Yes 1.04 0.44 26.7 ft2 0 ft 4 in 4"4ino a Non® Nones 10 E 3 Metal Single(Clear) Yes 1.04 0.44 20.0 ft2 0 ft 4 in 61f N.in a• �Ipp®.° NbRef•• *Osseo • • 00000 11 W 4 Metal Single(Clear) Yes 1.04 0.44 23.2 ft2 0 ft 4 in 5%4 ipe 14on%a Mone • • INFILTRATION •••••• # Scope Method SLA CFM 50 ELA EgLA ACH ; �'.ACH 50 e 1 Wholehouse Best Guess 0003 1156.8 63.5 119.43 .207 5.5546 HEATING SYSTEM # System Type Subtype Efficiency Capacity Block Ducts 1 Electric Strip Heat None COP:1 25.5 kBtu/hr 1 sys#1 COOLING SYSTEM # System Type Subtype Efficiency Capacity Air Flow SHR Block Ducts 1 Central Unit Split SEER:16 41 kBtu/hr 1230 cfm 0.7 1 sys#1 4/9/2015 6:41 PM EnergyGauge@ USA-FlaRes2010 Section 405.4.1 Compliant Software Page 3 of 5 I HOT WATER SYSTEM # System Type SubType Location EF Cap Use SetPnt Conservation 1 Electric Tankless Main 0.99 1 gal 60 gal 120 deg None SOLAR HOT WATER SYSTEM FSEC Collector Storage Cert # Company Name System Model# Collector Model# Area Volume FEF None None ft2 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 6 215 ft2 Attic 105 ft2 Default Leakage Main (Default)c(Default)c 1 1 TEMPERATURES Programable Thermostat: Y Ceiling Fans: Hating H Jan �Feb HX Mar Apr May Jun Apr May rl Jun l Jul Aug lXSep Oct Nov Dec Oct Nov H DecVenting Jan Feb Mar Jun [ Jul Aug [ Sep Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 Cooling(WD) PM 80 80 78 78 78 78 78 78 80 80Z$ . 78 .. :7f 078 • :19 000 Cooling(Vi/EH) •78 •PM 78 78 78 78 78 78 78 78 •78 ,. 78 .•6.78 •Z8•••• • • • Heating(WD) AM 66 66 66 66 66 68 68 68 •r�.6• 68 •68 68• PM 68 68 68 68 68 68 68 68 o0o* 68 • 66 ALL • 0000.• Heating(WEH) PM 668 68 668 68 668 68 68 68 •6S 6 6• 668 8 • le •• 0000 •• • • • 0000.. •00.6• • 00.669 •• 0006•6 • 6 • • • 6 0000 0000•• 0*06• 419/2015 6:41 PM EnergyGaugeG 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: 166 NW 100 Terrace PERMIT#: Miami Shores, FL, 33150- MANDATORY REQUIREMENTS SUMMARY-See individual code sections for full details. COMPONENT SECTION SUMMARY OF REQUIREMENT(S) CHECK 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. \V, 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 controls and cooling system. Where forced-air furnace is primary system, 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 toV primary air containment passageways for air distribution•systerghs shag \\,. *:a ' 00 0 be considered ducts or plenum chambers, shall be constructed and .... . sealed in accordance with Section 503.2.7.2 of this codP.��;•; • .. .. . ... .. 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 effigiencies in Table 403.4.3.2. Provide switch or clearly marked circ14it prgaker ••• •• (electric) or shutoff(gas). Circulating system pipes insulated to = 1 . 009 00 R-2 + accessible manual OFF switch. .. • 000 0 0 Mechanical 403.5 Homes designed to operate at positive pressure or with mechanical•0 a 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. 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. 4/9/2015 6:41 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 5 of 5 II ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX'S = 80 The lower the EnergyPerformance Index,the more efficient the home. 166 NW 100 Terrace, Miami Shores, FL, 33150- 1. 3150-1. New construction or existing Existing(Projected 9. Wall Types Insulation Area 2. Single family or multiple familySingle family a.Concrete Block-Int Insul,Exterior R=3.0 1657.50 ft2 b.N/A R= ft2 3. Number of units,if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 3 d.N/A R= ft2 10.Ceiling Types Insulation Area 5. Is this a worst case? No a.Under Attic(Vented) R=19.0 1470.00 ft2 6. Conditioned floor area(ft2) 1470 b.N/A R= ft2 _ 2 7. Windows" Description Area 11 Ducts R R ft2 a. U-Factor: Sgl,U=1.04 224.82 ft2 SHGC: SHGC=0.44 a.Sup:Attic,Ret:Attic,AH:Main 6 215 b. U-Factor: N/A ft2 SHGC: 12.Cooling systems kBtu/hr Efficiency c. U-Factor: N/A ft2 a.Central Unit 41.0 SEER:16.00 SHGC: .00. • d. U-Factor: N/A ft213.Heating systems • •• Itu/hr •Efficiency :•6 6 6 SHGC: a.Electric Strip Heat • • 25.5•CIDP61.00 ' ' Area Weighted Average Overhang Depth: 0.333 ft. • • • • 000800••••• 6 Area Weighted Average SHGC: 0.440 :60:00 • •• �Ilons Q t•�i! 0000•• 8. Floor Types Insulation Area 14.Hot watersystems 6•••�••� ••••• a.Raised Floor R=0.0 1300.00 ft2 a.Electric •• Cyaf O ll 99 • • b.Slab-On-Grade Edge Insulation R=0.0 170.00 ft2 • "'. 0 6 • b. Conservation features •••• .• • • c.N/A R= ft2 •666.6 None 0000•• . :00 ..:• • 15.Credits 0 0 0.0• •4Pstat •••••• 6 • 6 •• • 060 6 • 6 • 6000 0000•• '0000' I certify that this home has complied with the Florida Energy Efficiency Code for Building Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed ,, r based on installed Code compliant features. Builder Signature: Date: Address of New Home: City/FL Zip: WS *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 r' Residential System Sizing Calculation Summary Ileana Gonzalez Project Title: 166 NW 100 Terrace Ileana Gonzalez Residence- Miami Shores, FL 33150- 4/9/2015 Location for weather data: Miami, FL - Defaults: Latitude(25.82) Altitude(7 ft.) Temp Range(L) Humidit data: Interior RH 50% Outdoor wet bulb 78F Humidity difference 58 r. Winter design temperature(MJ8 99%) 50 F Summer design temperature(MJ8 99%) 95 F Winter setpoint 70 F Summer setpoint 75 F Winter temperature difference 20 F Summer temperature difference 20 F Total heating load calculation 26197 Btuh Total cooling load calculation 38023 Btuh Submitted heating capacity % of calc Btuh Submitted cooling capacity % of calc Btuh Total (Electric Strip Heat) 97.3 25500 Sensible (SHR= 0.70) 85.9 28700 Latent 267.7 12300 Total 107.8 41000 WINTER CALCULATIONS Winter Heating Load for 1470 sqft) Load component Load Window total 225 sqft 4676 Btuh Wall total 1413 sqft 4956 Btuh .• • Door total 20 sqft 184 Btuh Ceiling total 1470 sqft 1441 Btuh Floor total See detail report 11063 Btuh . ...... Infiltration 69 cfm 1517 Btuh " • • Duct loss 2360 Btuh �� �a�ustt �•..•• '•"•• Subtotal 26197 Btuh Ventilation 0 cfm 0 Btuh • • . TOTAL HEAT LOSS 26197 Btuh 00 •••••• SUMMER CALCULATIONS ......... ...• . : ... ....• . Summer CoolingLoad for 1470 sqft) : •.• .... ....:. Load component Load •••• Window total 225 sqft 9258 Btuh Wall total 1413 sqft 4956 Btuh Door total 20 sqft 322 Btuh Ceiling total 1470 sqft 2450 Btuh Lint Floor total 9501 Btuh ima.c in(r.%) 1 Infiltration 52 cfm 1138 Btuh Internal gain 2420 Btuh ' Duct gain 2484 Btuh _ Sens. Ventilation 0 cfm 0 Btuh ,, ,E V4�.(EE%.Y E;£cC3?�EE[iiRe�FE E Blower Load 900 Btuh ifs Total sensible gain 33429 Btuh o ,�l Latent gain(ducts) 955 Btuh Latent gain(infiltration) 2040 Btuh �•1IUIdNdIJd Latent gain(ventilation) 0 Btuh F ��r R�,,,.• M� ` Latent gain(internal/occupants/other) 1600 Btuh p�'�`i lk....••N®•"'0;` Total latent gain 4595 Btuh •'v\GENS`c•'• TOTAL HEAT GAIN 38023 Btuh EnergyGauge®S S,rn# 8th Edition PREPARED BY: o� a DATE: -I It &A EnergyGauge®/USRFZB v3.1 ''•o, •• '• ••'•• ������� ,,,off l 11114►►e'°°°