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RC-12-2156 (2) &( a Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-236013 Permit Number: RC-11-12-2156 Scheduled Inspection Date: June 04, 2015 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Framing Owner: AGUIRRE, DIEGO Work Classification: Alteration Job Address: 254 NW 92 Street Miami Shores, FL Phone Number Parcel Number 1131010331260 Project: <NONE> Contractor: WILCON CO Phone: (786)399-8855 Building Department Comments PATIO ENCLOSURE Infractio Passed Comments INSPECTOR COMMENTS False 08-09-14 I. Naranjo Stop work order issued. The permit was issued as an owner builder, the owner does not leave in the house and has the property for sale. The architect or engineer of record need to performed an evaluation of the work performed and provide the building Inspector Comments 1/12/2015- Revision submitte ow (69WOAS REINSPECTION FOR INSP-211175. CREATED AS cfts"dnd certification lett r. REINSPECTION FOR INSP-181546. NO PERMIT ON SITE 05/14/2015 - CHANGE OFC TO Wood in I. Naranjo Failed ood contact with concrete should be pressure treated. 2. closet size not as per plans. 3. Studs on wall type "B" not properly built. bottom plate should rest over concrete slab and should be secure with tap-cons or concrete nails at 24" Correction ❑ 0.0 Needed 4. Seal all exterior wall penetrations with mortar mix. 5. Make sure walls are plumb and level. 6. wood buck for door and windows not to code. 7. contractor or property owner should meet with building official prior to Re-Inspection ❑ requesting additional inspections. Fee No Additional Inspections can be scheduled until d` c • , re-inspection fee is paid. Lrt/ys%6`�'yffv June 03, 2015 For Inspections please call: (305)762-4949 Page 20 of 28 Charles Mitchell, Professional Engineer, license #11127 924 North Federal HWY, Hollywood Florida, 33025 (305) 336-5069 June 6„ 2015 Re: Modifications after approved plans Address: 254 N.W. 92nd Street Miami, Shores Fla. 33138 Permit#RC-11-12-2156 To Whom It May Concern, This letter is to inform you that this firm has conducted and inspection at the above referenced project due to field modifications to the approved permit During the field inspection I observed that the 4"X10"wood beam is not attached to the existing tie-beam. However, an additional 2"x10"P.T. is required. The 2"x10"must attach to the existing 4"x10"wood beam with 1/2"thru bolts 24" o.c. staggered. The 2"x10" shall be fastened to the existing tie-beam with Simpson MSTA24Z fasteners. The Simpson fasteners shall attach to the existing tie-beam with 2'long Tapcon screws. Where the fastener meets the wood beam 16d nails shall be used. Based on the inspection, it is our opinion that the modifications were done in professional manner and in general compliance with the FBC. Please accept this letter as a field medication to the approved plans. The methodology utilized to make the determination set forth in the report was based on field visit, all the elements are exposed. Respectfully submitted, 001 7- Charles Mitchell P.E. #11127 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-235103 Permit Number: RC-11-12-2156 Scheduled Inspection Date: May 21, 2015 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Roof Trusses Owner: AGUIRRE, DIEGO Work Classification: Alteration Job Address:254 NW 92 Street Miami Shores, FL Phone Number Parcel Number 1131010331260 Project: <NONE> Contractor: WILCON CO Phone: (786)399-8855 Building Department Comments PATIO ENCLOSURE Infractio Passed Comments INSPECTOR COMMENTS False 08-09-14 I. Naranjo Stop work order issued. The permit was issued as an owner builder, the owner does not leave in the house and has the property for sale. The architect or engineer of record need to performed an evaluation of the work performed and provide the building Inspector Comments 1/12/2015- Revision submitteql-bqrrt%r owi ier with new cftgftdnd certification lett rul RACTOR. 05/14/2015-CHANGE OF W&I'MAOTOF PAID. Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. May 20,2015 For Inspections please call: (305)762-4949 Page 39 of 42 Miami Shores Village , %'. Building Department10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax: (305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 IL L FBC 201v BUILDING Master Permit No. iZ C,. I - 1z z i 5-C PERMIT APPLICA I EV I SM sub Permit No. UILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL [--]PLUMBING ❑ MECHANICAL [—]PUBLIC WORKSHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: �S Folio/Parcel#:_ i 1 �) Q I o33 i Z 0C2 Is the Building Historically Designated:Yes NO Occupancy Type: s� Load: Construction Type: g Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): f �Z O A �� V 1 �� Phone#: Address: .25-G/ N W 9 L S T 3o6-- (pq(o 12-S-3 City: A t"1 1 5 1{Q IZ E_' ' State: Ft. Zip: 3 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: SA TO2 r; F/V&A-Z CtiN /-/L C- one#: Address: C Bl'O�S A4 -LA kffL City: (�!�/� y �SLF1 (� ¢C'%f State: G Zip: -3-3455- Qualifier Name: �� 5. Phone#: �� State Certification or Registration#: C 6C /-5 1✓�� C Certificate of Competency#: DESIGNER:Architect/Engineer: Gf� ✓l G f-1 N�f TG Lf 6:2 Phone#: Address: City: State: Zip: �= Work for this Permit:$ 2- 1 f?,,Do Square/Line4r Footage of Work: t Q Type of Work: /-0 Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: EN TO < CA Tb 3 'b /L<,o/'V lei s /��Tl / �,S' ,y 6eAJ a CA-1-t-11 L 7-11- F- . 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$ (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 delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ..... %¢Ga /a��G •4? Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 1'7 of D CcrhbC-f- 20 14 by —M day of (DECern bei' 20 19 by Drc� oy rrrE who is personal known to t7rtl C- ��f CLS who is pers ly 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 PUBLIC: Sign: // Sign: z4t664-1 Print: t�P IK,S ��mE�l Print: rC1 KI,S �J rr�C r► '� Seal: aperP&6 Seal: got"aY;!B<,� BE SM.PIMENTEL •••,�% BELKIS M.PIMENTEL * * MY COMMISSION#EE 132958 * * MY COMMISSION t EE 132958 EXPIRES:October 14,2015 EXPIRES:October 14 2015 ******************r AF ***Bw**T � �(Y *s91 70L711s� APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) CFN:20140867542 BOOK 29435 PAGE 926 DATE:12/18/2014 03:59:51 PM DEED DOC 1,680.00 HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY Prepared By and Return to: Daphne Tako, Esq. Biscayne Law Firm,P.A. 1125 NE 125th Street, Suite 114 North Miami,FL 33161 Parcel Identification Number: 11.3101-033-1200 WARRANTY DEED A Mwried wtimart t1 This Indenture,made this'1'04b day of December,2014 between RONGINA C.COOLEY,of 9533 NW 26 Avenue, Miami, FL 3314, a married woman, hereinafter Grantor, and DIEGO AGUIRRE, of 254 NW 92 Street Miami Shores, FL 33150,a single man,hereinafter Grantee. Witnesseth, that said grantor, for and in consideration of the sum of TEN AND N0/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever,the following described land, situate, lying and being in Miami-Dade County,Florida,to-wit: Lot 7 and the East One-half(E 112)of LOT 8,In BLOCK 138,of MIAMI SHORES,SECTION SIX,according to the Plat thereof,as recorded in Plat Book 10,at Page 39,of the Public Records of Miami-Dade County,Florida. *NOTE.GRANTOR REPRESENTSAND WARRANTS THAT THE PROPERTYHEREIN DOES NOT AND HAS NEVER CONSTITUTED THE HOMESTEAD,DOMICILE OR PRINCIPAL RESIDENCE OF GRANTOR NOR IS IT CONTIGUOUS'THERETO. Subject to following: 1.Taxes for the year 2014 and subsequent years; 2. Restrictions,matters appearing on the plat,limitations,and easements of record, if any,but this clause shall not operate to reimpose same; 3.Comprehensive land use plans,zoning and other land use restrictions. and said grantor does hereby fully warrant the title to said land,and will defend the same against lawful claims of all persons whomsoever. "Grantor"and"Grantee"are used for singular or plural,as context requires. In Witness Whereof, grantor has hereunto set grantor's hands and seals the day and year first above written. Signed, sealed and delivered presence: n {' ne4"sName, __LIL% Rongina C Cooley,Grantor Witness Name. STATE OF FLORIDA COUNTY OF MIAMI-DADE Ne The foregoing instrument was acknowledged before me this Et day of 2014 by Rongina C.Cooley arid,who are personally known to me or who have produced as identification. .`ia r'lnr� NELSY ZAGALDFlorlds My Public-StateMy Comm.Expires JuN RY PUBUI ,Commission#r EEBonEed trrrough 1lstioesl ' t1ORES 5 C.Il32 JAN 12 2015 s,,, Miami shores Village Building Department OR 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. In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company. Therefore,you be personally liable for the worker compensation injuries of any person allowed to work under this permit Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Owner p Contractor C Print Name: 1 6-Go A t/ Iz I Z Print Name: Signature: _ Signature: State of Florida) State of Florida) County of Miami-Dade) County of Miami-Dade) Sworn to and subscribed before me this I Sworn to and subscribed before me this q day of „� r ,20 I q day of 20 /1/ . By ?°`Pa'P:�% BELKIS M.PIME By r°;RY PbB�o BELKIS M.PIMENTEL * * COMMISSION#EE 132958 * * 58 (SEAL) ' EXPIRES:October 14,2015 (SEAL) s, aP EXPIRES:October 14,2015 N Type of Iden06—h ion producerType of ldenti�ication roduced sN°RFS JAN 12 2015 r 1 - 1 iami shores Village logo Building Department artment �XOR ipp 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. ' ` C ~ ( I- 12 2- 15-9 Owner's Name (Fee Simple Title Holder): �)i F G4 A tc V I iZ/L Phone#:30s, 6 Owner's Address: --Z -550' AIAV 7- city: City: 1`'I (A M/ /Z State Zip Code: Job Address (Of where work is being done): 55;1 AltV L City: Miami Shores State:—Florida Zip Code: 3j Contractor's Company Name: S/j -1-10 2 t' CAotj-rA,.4 rTPhone#: 7$6 O Address: 18/ 00 4 TLS N•TI Of 1/0 j City:s4l N N y /Ste-,S -56-Ac-l" State: 1�-- Z- Zip Code: 3�3 O Qualifier's Name : C:;.W R 6'£ IZ-0 Tom- f Lic. Number: C G C /s I E ,S0 Architect/ Engineer of Record Name: CHAA-Z.f_S C, H/ T CE-1 Phone#: 30 53j�' -A"-v 09 Address: 9,9 N, —F6,j)t;-1Z 4-t y� fN' �l WG2c'!r) rL 330 2,0 City: SLC- Gt/o State: �'1- Zip Code: ,330 .2,C) Describe Work: /9/'PO CO 14 ✓ C, 11i —7V .BFZ)7L0 a I hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless of all Legal-+ny t. Signature�° Signature Owner or ent Contractor or Architect The foregoing instrument was aknowledged before me The foregoing instrument was aknowledged before me this /9 day of Pecc-0 20)q,by_jf`);! e c:i r1^e this Iq day of nca-mfr , 201 by .e �S- Who is personally known to me or who has produced who is personally kno to me or who has produced as indentification. as indentification. Notary Public: Notary Public: Sign: Sign: Seal: Seal: BELKIS M.PIMENTEL o`"R °�B�% BELKIS M.PIMENTEL * * MY COMMISSION#EE 132958 # * MY COMMISSION#EE 132958 sEXPIRES:October 14,2015 EXPIRES:October 14,2015 -1' OvlBonded Thru Budget Notary Services �rA . F'��\Oe Bonded Thru Budget Notary Services r , i =p F Miami Shores Village APR 0 2 2015 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 2010 BUILDING Master Permit No.12�i Z_2 S� PERMIT APPL CATION Sub Permit No. L._11~ 409 ❑BUILDING OLECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION *�ENEWAL ❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP (j CONTRACTOR DRAWINGS JOB ADDRESS: Z n/ Lk Com: Miami Shores County: Miami Dade Zip: �i3 I �� Folio/Parcel#: ff"3l0/ - Is the Building Historically Designated:Yes NO c� Occupancy Type: /&S Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Pc4-Q(;;O /9 G'1C//t 2 Phone#: 4,<vAddress: N` /" 9-e— city: City: State: /--'- L A7 Zip: Tenant/Lessee Name: Phone#: Email: _ �..�'6- -7� _Z--K91 S CONTRACTOR:Company Name: �, Phone#:,7D-'e- Address: e A4 10ez)J_ City: 0 f�_ 4®C AP State:A7, Qualifier Name: %� [ 12��4aza �, �/� Phone#: State Certification or Registration#: �3©� .o-&/ Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ /7,00 Square/LinearrF-oo�tage of Work: Type of Work: EJAddition E:1 Alteration ElNew epair/Replace ❑ Demolition Description of Work: Specify color of c for thru tile: Submittal Fee Permit Fee$ � �iG'�f� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ c-.-(J,5 •"l� (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 delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ` Signature Z� O or NT CONTRACTOR The foregoing instrument was ^acknowledged before me this The foregoing instrument was acknowledged before me this day of Awl-1111 I 2016 by -36 day of_ "�C_L 20 by �IeCO 1641//12 who is personally known to �(M&Pn�N Z who 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 PUBLIC: Sign: Sign: Print: Print: Seal: J DAY COMMISSION#FF020273 Seal: u MY COMMISSION#FF0202.3 EXPIRES June 19.2017 ;9.f.o f`ov°;� EXPIRES June 19.?_O1 7 (407'.3....,., 98-0153 FloridallotaryService:com (407)398-0153 FloridallotaryService.com ############################################################################################################ APPROVED BY s Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ate: 3/30/2015 Time : 4 : 11 PM To : @ 3057568972 305-821-8303 Page: 002 .acoRo® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 3/30/2015 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 CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement (s). PRODUCER CONTACT NAME: Christine Joseph Keen Battle Mead & Company PHONE (305)558-1101 FAx (305)822-4722 AIC No Ext: AIC No 7850 Northwest 146th Street E-MAIL ADDRESS:c osep h kbmco.com Suite 200 INSURER(S)AFFORDING COVERAGE NAIC Miami Lakes FL 33016 INSURER A:Brid efield Employers Ins Co INSURED INSURERS: Ray's Electrical Supplies, Inc. INSURER C: c/o EMS 235 E Commercial Blvd Suite 201 INSURERD: INSURER E: Lauderdale by the FL 33308 INSURER F: COVERAGES CERTIFICATE NUMBER:15-16 WC REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICYEFF POLICYEXP LTR TYPE OF INSURANCEimsn v"nPOLICY NUMBER MM/DDIYYYY) (MM/DDIYYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ CLAIMS-MADE D OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER'. PRO- GENERAL AGGREGATE $ POLICY JE LOC LOC PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBIN=INGLE LIMIT Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED AUTOS AUTOS Per acci den[ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ � EXCESS LIAB CLAIMS-MADE AGGREGATE RE ' DED TENTION i WORKERS COMPENSATION X $ AND EMPLOYERS'LIABILITYPER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N STATUTE �RH OFFICER/MEMBER EXCLUDED? ❑ N/A E.L.EACH ACCIDENT A (Mandatory in NH) 083054377 $ 1,000,000 If es,describe under 3/5/2015 3/5/2016 E.L.DISEASE-EA EMPLOYE $ 1 000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE--POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) License# EC13002844 CERTIFICATE HOLDER CANCELLATION (305)756-8972 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, 8Z 33133 AUTHORIZED REPRESENTATIVE Alex Perez/CLAUDI O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) Miami Shores Village aBY- - INSPECTION :Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. C` I PERMIT APPLICATION Sub Permit No. 2--" 21 S8 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL [PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP J CONTRACTOR DRAWINGS JOB ADDRESS: � `s�^ /V��y � 2- City: Miami Shores County: Miami Dade Zip: !33 ( 3 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): �l ( yy 14 661 l/2_, g Phone#:,3�5 Address: '0�5y 1 City: 1"/ / State: Zip: 3 3 / 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: r ^ �� Phone#: g 6^Z !2T Address: /2 D k //2�/ z- `` City: < State: l O Y C Cl Zip: Qualifier Name: Phone#: State Certification or Registration#: 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: /yj S7?9-6 �T 5 M i--' , Q� �'41f0 f✓�i/L_ . C Specify color of color thru tile: Submittal Fee$ Permit Fee$ 22 S ''-`'CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 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, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature , Signature ---740 ER or AGENT CONTRACTOR The foregoing instrument was awledged before this The foregoing instrument was acknowledged before me this day of ckn .20 /() by q ®�/day of �lic 20 , by 4a <�Ir U ti t ,who is personally known to ��'1 Ym,a 46710 who is personally known to me or who has produce��y�,it��i1 (Pyre as me or who has produced,/S./1/rP/> LCPN as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: PrinkNW Print: Seth * MY COMMISSION I FF 109507 Seal: * * MY COMMISSION I FF 103507 EXPIRES:Mardi 18,2018 EXPIRES:March 18,2018 N N ' xn� BmWThNBudpet deySe V0S �'+'l�ntM BW*ThNB udpet oEMY ices APPROVED BY / / 3 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) EOR h► 1 - 1 iami shores Village "" Building Department LhrFN'��rt ��OR1Dp' 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. 'CC ^ 17-, 2- Owner's -Owner s Name (Fee Simple Title Holder): 'E60 A"6 y( Q l-f Phone#:� 0 S 6,qf9 Owner's Address: 2 /� fit/ S' r City: /-J/ a 1y ! 75J-jonC-) State Zip Code: Job Address (Of where work is being done): / 57- City: TCity: Miami Shores State:—Florida Zip Code: Contractor's Company Name: Y/'1 4'"-d d -- S Phone#: Address: a/ 2- 0 � City: S e: jr7yt D- !j Zip Code: Qualifier's Name : Lic. Number: U Qua C �`f-- S�-f3 S Architect/ Engineer of Record Name: Phone#: Address: City: State: Zip Code: Describe Work: jf/377)ZG 7`V11-E> S/"k- /f S ,040 Gd&4 VAI V-" AT hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless of all legal involvement. SignatureSignature 4T 100,4wnerw<ent Contractor or Architect The foregoing instrument was akn9wledged before me The foregoing instrument was aknowledged before me this l , xlay of�,20 0,by this�day of�, 201j by 2f17l�- W is personally known to me or who has produced whoi personally known to me or who has produced f r ti as indentification. h(j D.��'Y1,S 145-1 as indentification. Nota blit• Notary lit• Sign: Sig +o,. ..� 77"L%AMAU °` 'p�°`� PAUL LCM M S « MY COMMISSION f FF 103507 * * MY COI1MilISSION t FF 103507EXPIRES:Much 18,2018 EXPIRES:March 18,2018 �� A� Wed Thru Bu*Nary Services s1430FW Baided Thro Bu*NOnry Services RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 LML L. PENA,ARMANDO INDIVIDUAL 8120 SW 11TH. STREET S MIAMI FL 33144 0 . . ISSUED: 08/07/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1408070001578 002349 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOTA BILL - DONOT PAY LBT • 4918869 �7_ f_j BUSINESS NAM@/LOCATION RECEIPT NO. EXPIRES PENAARMANDO RENEWAL SEPTEMBER 30, 2015 16840 NW 46 AVE 3135074 Must be displayed at place of business MIAMI GARDENS FL 33055 Pursuant to County Code Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED PENA ARMANDO 196 PLUMBING CONTRACTOR BY TAX COLLECTOR CFC057939 Worker(s) 1 $45.00 08/20/2014 CREDITCARD-14-033308 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 NO.above must be displayed on all commercial vehicles-Miami-Oade Code Sec 68-716. For more information,visit www.miamidade.00vitaxcollector 03-04-'15 15;51 FROM-Suarez & Associates 3058846977 T-231 P0001/0001 F-085 A �& CERTIFICATE OF LIABILITY INSURANCE DATE 033//044/15/15 0Y) THIS CERTIFICATE ES ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: H the certiticate holder Is an ADDITIONAL INSURED,the policy(lea)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 In Ilou of such endorsement(s). PRODUCER CONTACT NAMES MARCO SUAREZ Suarez t4 Associates PN HNtd FrO, (305)884-86134 305)864.8977 7400 N.W.South River Drive,#61A I:MAIL framaB9@betlsoUth.net Medley,FL 33166 INSURERS AFFORDING COVERAGE NAIC L Phone (305)884-8664 F kX (306)884-6977 INSURER A: SCOTTSDALE INS CO INSURED INSURER B: AMTRUS7 NORTH AMERICA ENS CO ARMANDO PENA INDIVIDUAL INSURERO: 8120 SW 11TH ST INSURER D: MIAMI,FL 33144 N RE E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD = POLICY EFF POLICY EXP POLICY NUMBER MMIDDIYv MWDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1'000'000.00 e COMMERCIAL GENERAL LIABILITY OAMA RENTED 100,000.00 El E] CLANSCLAS MADE © OCCUR PRE 13E eaoocurreno $ A ElCPS2087056 10/17/2014 10/17/2015 MED EXP Artone person) $ 5,000.00 ❑ PERSONAL 9 ADV INJURY $ 1,000,000.00 GENERAL AGGREGATE $ 2,000,000.00 GENIL AGGREGATE LIMIT T APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000.00 ❑ POLICY ❑ PR ❑ LOC $ AUTOMOBILE LIABILITY C MBI[JEO?NGLE LIMIT a wrx�dr+nt ❑ ANY AUTO BODILY INJURY(Per Peron) $ B ❑ ALL OWNED SCHEDULED AUTOS ❑ AUY03 BODILY INJURY(Per uddont $ ❑ HIREDAUTOS ❑ AUTOS NON-OWNED pnEcdIQAMAGE $ ❑ ❑ $ ❑ UMBRELLA UAB ❑OCCUR EACH OCCURRENCE ❑ EXCESS LIAB ❑CLAIMs MADE AGGREGATE $ ❑ DED ❑ RETENTIONS $ WORKERS COMPENSATION WC3TAYU- n OTH- ANDEMPLOYERVLIABILITY YIN PR ANY PROPRIETOR/PARTNER/EXECUTIVE TWC3440053 E.L.EACH ACCIDENT $ 100,000.00 B OFFICER/MEMBEREXCLUDED? D NIA 09/23/2014OJ/Z3/`L01b (Mandatory in NH) E.L.DISEASE-EA EMPLOYE g 500,000.00 If es.describe under DESCRIPTION OF OPERATIONS wow E L DISEASE-POLICY LIMIT $ 100,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If mors apace b repulred) CONTRACTOR LIC#CFC057939 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF A OVE DESCRIBED PO CIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BUILDING DEPARTMENT THE EXPIRATIO ATE ERE F,NOTICE W L BE DELIVERED IN 10050 NE 2ND AVE ACCORD NCE TH PQ Y PROVISI S. MIAMI SHORES FL 33138 AUTHo R SENTATIV i ®1 882 AC 0 0 TIO -ghts reserved_ ACORD 25(2010/05)OF I e ACOR erne nd logo grad sof ACORD 51�oRFs Miami Shores Village Building Department fell ..,..� 10050 N.E.2nd Avenue Miami Shores, Florida 33138 CITY Tel: (305) 795.2204 A��R'� Fax: (305) 756.8972 CO3 Permit No: QC I ? - 215'c Page 1 of 1 Structural Critique Sheet fU c Inru..T ��-O cs-�r5 � Y -4 - . STOPPED REVIEW Plan review is not complete,when all items above are corrected,we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re-submittal drawings. WWI Asraf 1G1�GH f='`i Miami Shores Village Building Department a 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 14V1 z IZ Tel: (305)795.2204 Fax: (305)756.8972 12; INSPECTION'S Q INSPECTION'S PHONE NUMBER: (305)762.4949 ✓ - I d), i I 11-a-els. Ocx_'fL� FBC 20 UILDING Permit No. PERMIT APPLICATION Master Permit No.' Ga 131 e Permit Type: BUILDING ROOFING JOB ADDRESSIjS `Z 1UJ IA.) rZ Miami Cit : Miami Shores County: Y Y )Jade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: E 13— OWNER:Name(Fee Simple Titleholder): I C�ns r ! -7 Phone#:39 , r-/y &qy4 Address: l City: Ov P State: Zip: .fllro Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: �k)n e� [�✓/� (C� i f� Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#:_ _Certificate of Competency#: Contact Phone#: Email Address: DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$_ 'n . ooip Square/Linear Footage of Work: a Type of Work: ddition ❑Alteration ONew / t pair/Replace ODemolition Description of Woxk: 4V oAk/e P firt'�'I,l C 2,5 i,6 t l .,� D Color thru tile: Submittal Fee$ n Permit Fee$ CCF$ CO/CC$ Scanning Fee$ 2 Radon Fee$ i DDBPR$��Q —Bond$,,^ Notary$ Training/Education Fee$,,,,3 "1�J Technology Fee ouble Fee$ Structural Review$ ho'0) � [too.,y G TOTAL FEE NOW DUE$ Bonding Company's Name(if applicable) t r Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the (standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the abse>hce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ' 4 *ldSignature Owner or A AV Contt�torll. The foregoing instrument was acknowledged before me this. /,(� The foregoing instrument was acknowledged before me this day of Nom," ,2d L,by f7tWb f/� ,��i��-,�-r '�day of 20_,by who is personally known to me or who has produced t55L-' A0 who is personally known to me or vko has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: 1 I I I II /' Sign: Sign: Print: ��•�, 6G� Print:_ Cif- MyCommission Expires: . My Commission Expires: , ate •'� : APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: DATE: //—/V- 26�o2 /1 ADDRESS: ` � S� /"//� /^ . /G��'j Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,F.S 489.103(7). And I have read and understood the following disclosure statement,which entitles me to work as my own contractor;I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor.You have applied for a permit under an exception to the law.The exemption allows you,as the owner of your property,to act as your own contractor even though you do not have a license.You must supervise the construction yourself.You may build or improve a one-family or two-family residence.You may also build or improve a commercial building at a cost of$25,000.00 or less(The new form states 75,000).The building must be for your own use and occupancy.It may not be built for sale or lease.If you sell or lease a building you have built yourself within one year after the construction is complete,the law will presume that you built for sale or lease,which is a violation of this exemption.You may not hire an unlicensed person as a contractor.It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances.Any person working on your building who is not licensed must work under your supervision and must be employed by you,which means that you must deduct F.I.C.A and with-holdings tax and provide workers' compensation for that employee,all as prescribed by law.Your construction must comply with all applicable laws,ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder permit under an exemption from the law.The exemption specifies that I,as the owner of the property listed,may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. 1 understand that,as an owner builder, I am the responsible party of record on a permit.I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or licen numbers on permits and contracts. C Initial ` 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I may also build or improve a commercial building if the costs do not exceed$75,000.The building or residence must be for my use or occupancy.It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease,which violates the exemption. Initial C r 5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initial 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial_�C" 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously implies that the property owner is providing his or her own labor and materials.I,as an owner-builder,may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner-builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial_�C 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done.Any person working on my building who is not licensed must work under my direct supervision and must be employed by me,which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act(FICA)and must provide workers compensation for the employee.I understand that my failure to follow these may subject to serious financial risk. Initial 9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,I will abide by all applicable laws and requirement that govern owner-builders as well as employers.I also understand that the Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations. Initial �•� 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,the United States Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbl)r/pro/cilb/index.html Initial- 11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: Initial c 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the inform that I� have provided on this disclosure. Initial ` Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a license,the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you wlth any financial loss that you sustain as a result of contractor may be in civil court.It is also important for you to understand that,if an unlicensed contractor or employee of an individual or firm is injured while working on your property,you may be held liable for damages.If you obtain an owner-builder permit and wish to hire a licensed contractor,you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit.A copy of the property owner's driver license,the notarized signature of the property owner,or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this N day of 20 lam' By ��%t — C(2C who was personally known tome or who has Produced there License or as identification. 1411. OWNER/ = N C 1 pi9 44 rE.. E o Arlenis Silvera From: rongina cooley <origina1cutie99@gmai1.com> Sent: Tuesday, December 17, 2013 1:36 PM To: Arlenis Silvera Subject: Fwd: RC-11-12-2156 property address 254 N.W 92 st Miami Shores 33150 ---------- Forwarded message ---------- From: "rongina cooley" <originalcutie99(c�_gmail.com> Date: Dec 13, 2013 11:59 AM Subject: RC-11-12-2156 property address 254 N.W 92 st Miami Shores 33150 To: <NaranjoI(dmiamishoresvilla eg com> Cc: I am sending this email to request an extension on my permit. To finish renovations on the property mentioned above. The renovations are taking longer than expected. Due to illness. I was extremely ill and had to undergo surgery and several blood transfusions. Therefore all work at my residence was forced to stop. I am asking you sir to please grant me an extension to allow me time to finish this renovation. My telephone number is (786)463-2458 If an info is needed lease feel free to contact me. y r 1 �11111111111111111111111111 IIHI 111!111111111 CFt,4 2 C, 34-6 2 CIR Bk 28381 is 01714 Opq) RECORDED 12/07/2012 11-'12-11? NOTICE OF COMMENCEMENT HARVEY RUVINT'61'ER-K OF' COURT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION NIAMI-OADE COUNTYR-GRILA PERMIT NO. �;( � LAST PAGE %OTAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. Space above reserved for use of recording office description of property and street/address: JLy/I/,yy?,Z/-64"d, zi� y,3/_0 2.Description of improvement: x, Z-,//- 12'4C., :V46'14 41eif S�'l,7 t, /-y 0 74�Ik, yo P 54, 3.Owner(s)name and address: iZeo =Msz Interest in property: Name and address of fee simple titleholder: 4.Contractor's name,address and phone number: 421-0 e 5.Surety:(Payment bond required by owner from contractor,if any) Name,address and phone number: Amount of bond$ 6.Lender's name and address: 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Flor;da Statutes, Name,address and phone number: 8.In addition to himself,Owners designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Name,address and phone number: 9.Expiration date of this Notice of Commencement: (the expiration date Is I year from the date of recording unless a different date is specified) WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13.FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s)of ane o Ownel s)'Authorized Officer/Director/Partner/Manager Prepared By - Prepared By Print Name Thkialla 01) Print Name Title) Title/Office STATE OF FLORIDA COUNTY OF MIAMI-DADE Z '22 The foregoing instrument was acknowledged before me this day of , By 2,Di\j�f\AA- Lc5U_&_LT Pil-ladividually,or U as for _\�.. ............ C3 Personally known,orAtproduced the following type of identification: Signature of Notary Public: Print Name: (SEAL) -Z VERIFICATION PURSUANT TO SECTION 92,525.FLORIDA STATUTES 4Cb Under penalties of perjury,I declare that I have read the foregoing and .......... that the facts stated in it are true,to the best of my knowledge and belief. Signat"of Owner(s)cirOwner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By By 123.01,52 ZW13 3/10 STATE OF FLOROk COUNTY OF DADE I HEREBY CERIIFY that this is a true copy of(he CO I Will i On hof 0 t, tso -AD20_ u 0 WNEES—Si OW h&V old OftW Se91. 1i OLEERK of Ckvg and my COU* 4 r „ t *r - ?4 * F e' u� . ( r4 k r " i " m LIM ;, low �rY , y r r 4 v' i f r�. EL ;fit p' oe x a•. v: P 4.. l .t Yp .. 1 r .. r Yr vW.:. Y t r� I i +_ _ __- _= -___----�,'1� . 11 /✓ � w 111 i 'i r r FORM 405-10 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Business and Professional Regulation-Residential Performance Method Pro ect N R INA COOLEY Builder Name: St t. NW 92ND ST Permit Office: MIRAMI SHORES i tat ip: AMI SHORES,FL, Permit Number: O r: EGINA COOLEY Jurisdiction: n L ion: Miami c Ing New(From Plans) 9. Wall Types (486.7 sgft.) Insulation Area 2. gl ul family Single-family a.Concrete Block-Int Insul,Exterior R=4.1 486.67 ft2 b.N/A R= ft2 nits,if m ple family 1 c.N/A R= ft2 N er o edrooms 1 d.N/A R= ft2 10.Ceiling Types (420.0 sqft.) Insulation Area 5. Is this a worst case? No a.Under Attic(Vented) R=30.0 420.00 ft2 6. Conditioned floor area above grade(ft2) 420 b.N/A R= ft2 R= 2 Conditioned floor area below grade(ft2) 0 11 Ducts R ft2 7. Windows(36.0 sqft.) Description Area a. U-Factor: Sgl,U=1.12 36.00 ft2 SHGC: SHGC=0.50 b. U-Factor: N/A ft2 12.Cooling systems kBtu/hr Efficiency SHGC: a.PTAC and Room Unit 12.0 EER:13.00 c. U-Factor: N/A ft2 SHGC: 13.Heating systems kBtu/hr Efficiency d. U-Factor: N/A ft2 a.Electric Heat Pump 14.0 HSPF:8.00 SHGC: Area Weighted Average Overhang Depth: 1.500 ft. Area Weighted Average SHGC: 0.500 14.Hot water systems a. 8. Floor Types (420.0 sqft.) Insulation Area EF:0.000 a.Slab-On-Grade Edge Insulation R=0.0 420.00 ft2 b. Conservation features b.N/A R= ft2 c.N/A R= ft2 15.Credits Pstat Glass/Floor Area: 0.086 Total Proposed Modified Loads: 14.53 PASS Total Standard Reference Loads: 22.95 1 hereby certify that the plans and specifications covered by Review of the plans and ©�ql t3 57.41, this calculation are in compliance with the Florida Energy specifications covered by this + U, Code. calculation indicates compliance with the Florida Energy Code. PREPARED BY: Before construction is completed DATE: this building will be inspected for a 3• compliance with Section 553.908 I hereby certify that this building, as designed, is in compliance Florida Statutes. with the Florida Energy Code. C0 OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: - Compliance requires completion of a Florida Air Barrier and Insulation Inspection Checklist 12/19/2012 9:15 AM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 1 of 5 t PROJECT Title: REGINA COOLEY Bedrooms: 1 Address Type: Street Address Building Type: User Conditioned Area: 420 Lot# Owner: REGINA COOLEY Total Stories: 1 Block/SubDivision: #of Units: 1 Worst Case: No PlatBook: Builder Name: Rotate Angle: 0 Street: 254 NW 92ND ST Permit Office: MIRAMI SHORES Cross Ventilation: County: DADE Jurisdiction: Whole House Fan: City,State,Zip: MIAMI SHORES, Family Type: Single-family FL. New/Existing: New(From Plans) 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 Block1 420 3360 SPACES Number Name Area Volume Kitchen Occupants Bedrooms InfilID Finished Cooled Heated 1 Main 420 3360 Yes 1 1 1 Yes Yes Yes FLOORS # Floor Type Space Perimeter R-Value Area Tile Wood Carpet 1 Slab-On-Grade Edge Insulation Main 61 ft 0 420 ft2 ____ 0 0 1 ROOF Roof Gable Roof Solar SA Emitt Emitt Deck Pitch # Type Materials Area Area Color Absor. Tested Tested Insul. (deg) 1 Hip Composition shingles 455 ft2 0 ft2 Medium 0.96 No 0.9 No 0 22.6 ATTIC V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC 1 Fullattic Vented 300 420 ft2 N N CEILING # Ceiling Type Space R-Value Area Framing Frac Truss Type 1 Under Attic(Vented) Main 30 420 ft2 0.11 Wood 12/19/2012 9:15 AM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 2 of 5 WALLS Adjacent Cavity Width Height Sheathing Framing Solar Beloit Ornt Tn Wall Type w Space _ 1 E Exterior Concrete Block-Int Insul Main 4.1 24 4 10 243.3 ft2 0 0.15 0 2 W Exterior Concrete Block-Int Insul Main 4.1 24 4 10 243.3 ft2 0 0.15 0 DOORS # Ornt Door Type Space Storms U-Value Width Height Area Ft In Ft In 1 E Insulated Main None 0.460000 3 6 8 20 ft2 WINDOWS Orientation shown is the entered,Proposed orientation. / Wall Overhang V # Ornt ID Frame Panes NFRC U-Factor SHGC Area Depth Separation Int Shade Screening 1 E 1 Metal Single(Tinted) Yes 1.12 0.5 18.0 ft2 1 ft 6 in 1 ft 6 in Drapes/blinds None 2 W 2 Metal Single(Tinted) Yes 1.12 0.5 18.0 ft2 1 ft 6 in 1 ft 6 in Drapes/blinds None INFILTRATION # Scope Method SLA CFM 50 ELA EgLA ACH ACH 50 1 Wholehouse Best Guess 0.000300 330.5 18.1440 34.1224 0.20700 5.90178 HEATING SYSTEM # System Type Subtype Efficiency Capacity Block Ducts (lnvaliElectric Heat Pump Through theWalI(Single) HSPF:8 14kBtu/hr 1 Ductless COOLING SYSTEM # System Type Subtype Efficiency Capacity Air Flow SHR Block Ducts (lnvaliPTAC and Room Unit ThroughtheWall(Single) EER:13 12 kBtu/hr 360 cfm 0.75 1 Ductless SOLAR HOT WATER SYSTEM FSEC Collector Storage Cert # Company Name System Model# Collector Model# Area Volume FEF ft2 12/19/2012 9:15 AM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 3 of 5 TEMPERATURES ProgramableThermostat: Y CeilingFans: CoolingJan Feb Mar [ ]Apr May Mun un riju, Jul X Augri Se [ ]Oct Nov Dec HeatinHJan Feb Mar [ ]APr l May un Jul l AuSep [ ]Oct Nov Dec Ventin Jan Feb X Mar Q A r [ Ma [ Aug Sep [X)Oct X Nov Dec ThermostatSchedule: HERS 2006 Reference Hours ScheduleType 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 12/19/2012 9:15 AM 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: 254 NW 92ND ST PERMIT#: MIAMI SHORES, FL, 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. 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 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,crawispaces,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. 12/19/2012 9:15 AM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 5 of 5 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 63 The lower the EnergyPerformance Index,the more efficient the home. 254 NW 92ND ST, MIAMI SHORES, FL, 1. New construction or existing New(From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Single-family a.Concrete Block-Int Insul,Exterior R=4.1 486.67 ft2 b.N/A R= ft2 3. Number of units,if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 1 d.N/A R= ft= 10.Ceiling Types Insulation Area 5. Is this a worst case? No a.Under Attic(Vented) R=30.0 420.00 ft2 6. Conditioned floor area(ft2) 420 b.N/A R= ft2 7. Windows" Description Area c.N/A R= f12 a. U-Factor: Sgt,U=1.12 36.00 ft2 11.Ducts R ft SHGC: SHGC=0.50 b. U-Factor: N/A ft2 SHGC: 12.Cooling systems kBtu/hr Efficiency c. U-Factor: N/A ft2 a.PTAC and Room Unit 12.0 EER:13.00 SHGC: d. U-Factor: N/A ft2 13.Heating systems kBtu/hr Efficiency SHGC: a.Electric Heat Pump 14.0 HSPF:8.00 Area Weighted Average Overhang Depth: 1.500 ft. Area Weighted Average SHGC: 0.500 8. Floor Types Insulation Area 14.Hot water systems a.Slab-On-Grade Edge Insulation R=0.0 420.00 f12 a. EF: b.N/A R= ft2 c.N/A R= ft2 b. Conservation features 15.Credits Pstat certify that this home has complied with the Florida Energy Efficiency Code for Building 14EST4 Construction through the above energy saving features which will be installed (or exceeded) O in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. aj u. Builder Signature: Date: * Address of New Home: City/FL Zip: C0 WF *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 Wednesday, December 19,2012 9:04 AM p.01 l 14 Project Summary Date: 12/18MREGIINACOOLEY Entire House By: MIKEL ABBOTT ENERGY CALCS 4920 N DIXIE HWY,FT LADERDALE,Phone:954-776-2003 Project • • For: REGINA COOLEY 254 92ND ST, MIAMI SHORES, Notes: ADDITION ONLY WINDOW UNIT Design Information Weather: Miami Beach CO, FL, US Winter Design Conditions Summer Design Conditions Outside db 48 OF Outside db 89 OF Inside db 70 OF Inside db 75 OF Design TD 22 OF Design TD 14 OF Daily range L Relative humidity 50 % Moisture difference 56 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 7263 Btuh Structure 7568 Btuh Ventilation air 0 cfm Ventilation 0 Btuh Ventilation air loss 0 Btuh Design temperature swing 3.0 OF Design heat load 7263 Btuh Use mfg. data y Rate/swing multiplier 1.00 Infiltration Total sens. equip. load 7568 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Internal gains 600 Btuh Ventilation 0 Btuh Heating Cooling Infiltration 2688 Btuh Area(ft) 420 420 Total latent equip. load 3288 Btuh Volume(ft) 3360 3360 Air changes/hour 1.61 1.25 Total equipment load 10856 Btuh Equiv.AVF(cfm) 90 70 Req.total capacity at 0.70 SHR 0.9 ton Heating Equipment Summary Cooling Equipment Summary Make FIRST COMPANY Make KUMAIR Trade Trade 24HX KSWT012-H113 Efficiency 1.0 AFUE Efficiency 13.0 SEER Heating input 17000 Btuh Sensible cooling 8400 Btuh Heating output 17000 Btuh Latent cooling 3600 Btuh Heating temp rise 39 OF Total cooling 12000 Btuh Actual heating fan 400 cfm Actual cooling fan 400 cfm Heating air flow factor 0.055 cfm/Btuh Cooling air flow factor 0.053 dm/Btuh Space thermostat Load sensible heat ratio 70 % 9old/ttallc values have been manually overr/dden Printout certified by ACCA to meet all requirements of Manual J 8th Ed. wr1g f1tsoft Right-Suite Residential JS 5.8.17 RSR31055 -Dec-19 0' Q10 . AGCA CACOMC\Wrightsott HVAMEGINACOOLEY.up Calc=MJB Orientation=N /y P 1 Wednesday, December 19,2012 9:04 AM p.02 Short Form Job: REGINACOOLEY ♦ Date: 12/18/12 a Entire House By: 0 MIKEL ABBOTT ENERGY CALCS 4920 N DIXIE HWY,FT LADERDALE,Phone:964-776-2003 Project • • For: REGINA COOLEY 254 92ND ST, MIAMI SHORES, Design Information Htg Clg Infiltration Outside db(°F) 48 89 Method Simplified Inside db(°F) 70 75 Construction quality Average Design TD(°F) 22 14 Fireplaces 0 Daily range - L Inside humidity(%) - 50 Moisture difference(gr/Ib) 56 HEATING EQUIPMENT COOLING EQUIPMENT Make FIRST COMPANY Make KUMAIR Trade Trade 24HX KSWT012-1-1113 Efficiency 1.0 AFUE Efficiency 13.0 SEER Heating input 17000 Btuh Sensible cooling 8400 Btuh Heating output 17000 Btuh Latent cooling 3600 Btuh Heating temperature rise 39 OF Total cooling 12000 Btuh Actual heating fan 400 cfm Actual cooling fan 400 cfm Heating air flow factor 0.055 cfm/Btuh Cooling air flow factor 0.053 cfm/Btuh Space thermostat Load sensible heat ratio 70 % ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ftp (Btuh) (Btu h) (cfm) (cfm) ADDITION 420 7263 7568 400 400 Entire House d 420 7263 7568 400 400 Ventilation air 0 0 Equip. @ 1.00 RSM 7568 Latent cooling 3288 TOTALS 420 7263 10856 400 400 BoMfalk values have been manually overridden Printout certified by ACCA to meet all requirements of Manual J 8th Ed. ,P wrig hitsc ft Rt9ht-Sults Residential J8 5.8.17 RSR31055 2012-Dec-19 09:03:33 ACCP.C:\COMC\Wrightson l-IVAC\REGINACOOLEY.rrp Calc a We Orlentatlon-N Page 1 Wednesday, December 19,2012 9:04 AM p.03 Right-J8 Worksheet Job: REGINACOOLEY W Entire House Date: 12/18M2 MIKEL ABBOTT ENERGY CALCS 4920 N DIXIE HWY,FT LADERDALE,Phone:964-776-2003 1 Room name Entire House ADDITION 2 Exposed wall 61.0 ft 61.0 ft 3 Coiling height 8.0 ft d 8.0 ft heat/cool 4 Room dimensions 420.0 x 1.0 ft 5 Room area 420.0 ft' 420.0 B' Ty Construction U-value Or HTM Area (ftp Load Area (W) Load number (Btuh/ft'-`F) (Btuht" or perimeter (ft) (Btuh) or perimeter (ft) (Btuh) Heat Cool Gross N/P/S Heat Cool Gross N/P/S Heat Cool 6 V11 13A-4ocs 0.143 n 3.15 2.76 0 0 0 0 0 0 0 0 �Cp, IA-clom 1.270 n 27.94 33.50 0 0 0 0 0 0 0 0 11.10 0.600 n 13.20 18.30 0 0 0 0 0 0 0 0 W 13A-4ocs 0.143 a 3.15 2.76 244 206 648 569 244 206 648 569 11 I� 1A-hlom 1.270 a 27.94 67.75 18 0 503 1219 18 0 503 1219 I-D l l JO 0.600 a 13.20 1 B.30 20 20 264 366 20 20 264 366 W 13AB-0ocs 0.258 s 5.68 5.52 0 0 0 0 0 0 0 0 to-clam 1.270 s 27.94 36.61 0 0 0 0 0 0 0 0 l--D 11 J 0 0.600 s 13.20 18.30 0 0 0 0 0 0 0 0 W 13A-4ocs 0.143 w 3.15 2.76 244 208 664 574 244 208 664 574 Lf1A-hl am 1.270 w 27.94 67.75 18 0 503 1219 18 0 503 1219 11.10 0.600 w 13.20 18.30 18 18 238 329 18 18 238 329 P12B-Osw 0.097 - 2.13 1.72 0 0 0 0 0 0 0 0 LD 11 DO 0.390 n 8.58 11.89 0 0 0 0 0 0 0 0 P 13AB-0ocs 0.258 - 5.68 3.35 0 0 0 0 0 0 0 0 11 DO 0.390 n 8.58 11.89 0 0 0 0 0 0 0 0 C 16A-19xd 0.049 1.08 3.63 420 420 453 1523 420 420 453 1523 F 22A-tph 1.358 29.88 0.00 420 61 1822 0 420 61 1822 0 Envelope los gain 1 6086 6800 6086 6800 12 a) Infiltration 2178 1078 2178 1078 b) Ventilation 0 0 0 0 13 Intemal gains: Occupants @ 230 3 690 3 690 Appliances(d 1200 0 0 0 0 Less external load 0 0 0 0 Less transfer 0 0 0 0 Redistribution 0 0 0 0 14 Subtotal 7263 7568 7263 7568 15 Duct loads 0% 0% 0 0 0% 0% 0 0 Total room load 7263 7568 7263 7568 Air required(cfm) 4001 400 400 400 Printout certified by ACCA to meet all requirements of Manual J 8th Ed. wr std I-1t5C>1TC Poght-Sulte Resldentlal J8 6.8.17 RSR31055 2012-Dec-19 09:03:33 C:\COMC\WdghtsoftWAC\REGINACOOLEY.rrp Calc=MJB Orientation=N Page 1 Wednesday, December 19,2012 9:04 AM p.01 Job: REGINACOOLEY Project Summary Date: 12/18/12 c Entire House By: C MIKEL ABBOTT ENERGY CALCS 4920 N DIXIE HWY.FT LADERDALE,Phone:954-776-2003 For: REGINA COOLEY 254 92ND ST, MIAMI SHORES, Notes: ADDITION ONLY WINDOW UNIT Desiqn Information Weather: Miami Beach CO, FL, US Winter Design Conditions Summer Design Conditions Outside db 48 IF Outside db 89 IF Inside db 70 IF Inside db 75 IF Design TD 22 IF Design TD 14 IF Daily range L Relative humidity 50 % Moisture difference 56 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Building heat loss 7263 Btuh Structure 7568 Btuh Ventilation air 0 cfm Ventilation 0 Btuh Ventilation air loss 0 Btu In Design temperature swing 3.0 IF Design heat load 7263 Btuh Use mfg. data y Rate/swing multiplier 1.00 Infiltration Total sens. equip. load 7568 Btu In Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Internal gains 600 Btuh Ventilation 0 Btuh Heating Cooling Infiltration 2688 Btuh Area(ftp 420 420 Total latent equip. load 3288 Btuh Volume(ft) 3360 3360 Air changes/hour 1.61 1.25 Total equipment load 10856 Btuh Equiv. AVF(cfm) 90 70 Req.total capacity at 0.70 SHR 0.9 ton Heating Equipment Summary Cooling Equipment Summary Make FIRST COMPANY Make KUMAIR Trade Trade 24HX KSWT012-H113 Efficiency 1.0 AFUE Efficiency 13.0 SEER Heating input 17000 Btuh Sensible cooling 8400 Btu In Heating output 17000 Btuh Latent cooling 3600 Btuh Heating temp rise 39 IF Total cooling 12000 Btuh Actual heating fan 400 cfm Actual cooling fan 400 cfm Heating air flow factor 0.055 cfm/Btuh Cooling air flow factor 0.053 cfm/Btuh Space thermostat Load sensible heat ratio 70 % Sold/nalic values have been manually ovenrldden Printout certified by ACCA to meet all requirements of Manual J 8th Ed. _ WP—IghtSOft Right-Sulie Residential J85.8.17 RSR31055 2012-Dec-19 09:03:33 ACCP. C:\COMC\Wrightsoft HVAC\REGINACOOLEY.rrp Calc=MJ8 Orlentatlon=N Pagel Wednesday, December 19, 2012 9:04 AM p.02 Job: REGINACOOLEY Short Form Date: 12H8112 a Entire House By. p MIKEL ABBOTT ENERGY CALCS 4920 N DIXIE HWY,FT LADERDALE,Phone:964-776-2003 Project • • For: REGINA COOLEY 254 92ND ST, MIAMI SHORES, Design Information Htg Cig Infiltration Outside db('F) 48 89 Method Simplified Inside db('F) 70 75 Construction quality Average Design TD('F) 22 14 Fireplaces 0 Daily range - L Inside humidity(%) 50 Moisture difference(gr/lb) - 56 HEATING EQUIPMENT COOLING EQUIPMENT Make FIRST COMPANY Make KUMAIR Trade Trade 24HX KSWT012-H113 Efficiency 1.0 AFUE Efficiency 13.0 SEER Heating input 17000 Btuh Sensible cooling 8400 Btuh Heating output 17000 Btuh Latent cooling 3600 Btuh Heating temperature rise 39 OF Total cooling 12000 Btuh Actual heating fan 400 cfm Actual cooling fan 400 cfm Heating air flow factor 0.055 cfm/Btuh Cooling air flow factor 0.053 cfm/Btuh Space thermostat Load sensible heat ratio 70 % ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ftp (Btuh) (Btu h) (cfm) (cfm) ADDITION 420 7263 7568 400 400 Entire House d 420 7263 7568 400 400 Ventilation air 0 0 Equip. @ 1.00 RSM 7568 Latent cooling 3288 TOTALS 420 7263 10856 400 400 Boldlitalic values have been manually overridden Printout certified by ACCA to meet all requirements of Manual J 8th Ed. W rig htSoft Right-Sults Residentlal J8 5.8.17 RSR31055 2012-Dec-19 09:03:33 ACCKC:\coMC\wrightsoR HVAC\REGINACOOLEY.rrp Calc-MJ8 Orlentatlon=N Page 1 Wednesday, December 19,2012 9:04 AM p.03 Job: Right-J8 Worksheet R Date: 12//18!1218/12 OOLEY �1 Entire House By. r, MIKEL ABBOTT ENERGY CALCS 4920 N DIXIE HWY,FT LADERDALE,Phone:954-776-2003 Entire House ADDITION 1 Room name 61.0 It 61.0 ft 2 Exposed wall 8.0 ft d 8.0 ft heat/cool 3 Ceiling height 420.0 x 1.0 It 4 Room dimensions 420.0 It' 420.0 ft 5 Room area Ty Construction U-value Or HTM Area (ft) Load Area (ftp Load number (Btuh/ft'-`F) (Btuh/it� or perimeter (ft) (Btuh) or perimeter (ft) (Stuh) Heat Cool Gross N/P/S Heat Cool Gross N/ /S Heat Cool 6 W 13A-4ocs 0.143 n 3.15 2.76 0 0 0 0 0 0 0 0 to-clom 1.270 n 27.94 33.50 0 0 0 0 0 0 0 0 I-D 11JO 0.600 n 13.20 18.30 0 0 0 0 0 W 13A-flocs 0.143 a 3.15 2.76 244 206 648 569 244 206 648 569 11 G to-htom 1.270 a 27.94 67.75 18 0 503 1219 18 0 503 1219 11J0 0.600 a 13.20 18.30 20 20 264 366 20 20 264 366 W 13AB-Oocs 0.258 s 5.68 5.52 0 0 0 0 0 0 0 0 L-G to-clom 1.270 s 27.94 36.61 0 0 0 0 0 0 0 0 L-D 11 J0 0.600 s 13.20 18.30 0 0 0 0 0 0 0 0 W 13A-4ocs 0.143 w 3.15 2.76 244 208 654 574 244 208 654 574 1 A-hl om 1.270 w 27.94 67.75 18 0 503 1219 18 0 503 1219 L�D 11J0 0.600 w 13.20 18.30 16 18 238 329 18 18 238 329 p 12B-Osw 0.097 - 2.13 1.72 0 0 0 0 0 0 0 0 I.-D 11 DO 0.390 n 8.58 11.89 0 0 0 0 0 0 0 0 p13AB-0ocs 0.258 - 5.68 3.35 0 0 0 0 0 0 0 0 -D 11 DO 0.390 n 8.58 11.89 0 0 0 0 0 0 0 0 C 16A-19xd 0.049 1.08 3.63 420 420 453 1523 420 420 453 1523 F 22A-tph 1.368 29.88 0.00 420 61 1822 0 420 61 1822 0 Envelope loss/gain 6086 6800 6086 6900 12 a) Infiltration 2178 1078 2178 1078 b) Ventilation 0 0 0 0 13 Internal gains: Occupants @ 230 3 690 3 690 Appliances @ 1200 0 0 0 0 Lessexternal load 0 0 0 0 Less transfer 0 0 0 0 Redistribution 0 0 0 0 14 Subtotal 7263 7568 7263 7568 15 Duct loads 0% 0% 0 0 0% 0% 0 0 Total room load 7263 75681 7263 7568 Air required(cfm) 400 4001 400 400 Printout certified by ACCA to meet all requirements of Manual J 8th Ed. w fig ht5oftt Rlght-Sulle Residential J85.8.17 RSR31055 2012-Dec-19 09:03:33 c:\COMC\WrightsoftHVAC\REGINACOOLEY.rrp Calc=MJS Orientation=N Page 1 'Y • r i IAM MIAMI-DADE COUNTY sPRODUCT CONTROL SECTION DEPARTMENT OF PERMrrTING,ENVIRONMENT,AND REGULATORY 11805 SW 26 Su wa,Room 208 AFFAIRS(PERA) Miami,Florida 33175-2474 130ARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)315-2599 NOTICE OF ACCEPTANCE(NOA) �•ralamidede.moviRr-9 United Steel Products Company 14305 Southcross Drive,Suite 200 Burnsville,MN 55306 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed and accepted by Miami-Dade County PERA- Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Section (In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such-testing and the AHJ may immediately revoke,modify,or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code,including the High Velocity Hurricane Zone. DFSCRU TION:Series"DTC","GTU-100"and"NFM"Steel Wood Connectors and Anebors APPROVAL DOCUMENT:Drawing No.MD-DTC/GTU100/NFM,titled"Wood Connectors DTC/GTU-100/NFM Series",sheets 1 and 2 of 2,dated 10/26/2011,prepared by United Steel Products Company,signed and sealed by Steven A.Breldmi P.B.,bearing the Miami-Dade County Product Control revision stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Section. MISSILE IMPACT RATING:.None LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved or MDCPCA",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the mat&ials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT:The NOA number preceded by the words Miami-Dade County,Florida,and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA#07-1003.10 and consists of this page 1 and evidence page&I,as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M.Utrera,P.E. NOA No.11-0908.07 Expiration Date:October 1,2016 Approval Date:December 29,2011 t al��yor� Pap 1 40 United Steel Prodwb Company NOTICE OF ACCEPTANCE: EVIDENCE SUBIVIITTLD A. DRAWINGS 1. Drawing No.MD-DTC/GTU100/NFM,titled"Wood Connectors DTC/GTU- 100/NFM Series",sheets I and 2 of 2,dated 10/26/2011,prepared by United Steel Products Company,signed and sealed by Steven A. Brekke,P.E. B. TESTS "Sub>rt&W ander NOA #07-1003.10" Test reports on upward,downward and lateral loads of wood connectors per ASTM D1761-88(1995),prepared by Product Testing,Inc.: Tat aMrt No. Wood Connector 20 e 1. 07-6301 GTU-100 06/27/07 C.R. Caudel,P.E. 2. 07-6300 DTC 08/27/07 C.R. Caudel,P.E. 3. 07-6321 NFM-45 09/10/07 C.K Caudel,P.E. 4. 07-6320 NFM-45U 09/26/07 C.R.Caudel,P.E. 5. 07-6319 NFM-3U 09/24/07 C.R. Caudel,P.E. B. CALCULATIONS 1. Product evaluation documents,prepared by United Steel Products Company,dated 08/23/2011 and 11/02/2011,signed and sealed by Steven A.Brekke,P.E. D. QUALITY ASSURANCE 1. Miami-Dade Department of Permitting,Environment,and Regulatory Affairs(PERA) E. MATERIAL CERTIFICATIONS 1. None. X . STATEMENTS 1. Statement letter of code conformance to 2007 and 2010 FBC,issued by United Steel Products Company,dated 11/02/2011,signed and sealed by Steven A.Brekke,P.E. 2. Statement letter of no financial interest,issued by United Steel Products Company,dated 08/23/2011,signed and sealed by Steven A.Brekke,P.E. l2ly p/2arl I Carlos K Utrera,P.E. Prodaet Control Examiner NOA No.11-0908.07 Expiration Date:October 1,2016 Approval Date:December 29,2011 E-1 f4 ,c �PaY s3laas naNro0Lnlomo-on z Zlo L;'0N0NVAVW0 43" ! 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GAGE' W, Wa H D SIZE Dowrtbad INt it84Uft®• IaL Qty I Ola I qW Shia 1 160% i GTU100 7 7 8125'1 6 2 x 10 6 t/ 2 1 a/ 6 i lod GWOM 1 9880 8616 i FOR SI: 1 inch a=A mm,1 Ibf=4,56 N,1 pal a 6.89 kPa 13"conforms to ASTM A1011 Gr33 standards. 2'The Carrying Member Is dslined as the verbr*a%vied web of rm dnal 2 x 10 lumbar for a n**rum throwpy plated-wood truss. The maxivWn txxtam chord alto is s 2 x il. :The Carried Member shat be so ooratructed as to haves ver*=y aligned wood member for the two bolt to pass throw wah a mhhum 1b2 huh edge and 5%inch end dislarm, •A 10d ocnmon nd has a diameter of 0.118 inch and a bngth of S inches. tAt boles are 3/4-hch diem star,and shag meet or exceed the Wec9badonu of ASTMA307. sUpslt beds have beml Increased 80%for w Ind and asism b loads. 7'1110 timber species is Southam Fho. t trr: ° 013/16"(TW) DTC EMt3 MM TRU3S ANCHOR f( ° ° BLOCKING I 1• RE'A'D FOR TRUSM ' I VITT F7 a251/2- J' •• r 14" END VERT. ;;•::,t:; aea�itlgta.xo7 .�,.... WEB .s BLOCKWALLGTU100 GIRDER TRUSS HANGER IYPICAL GTU100N 3n"L OTC INSTALLATION DTC UMSWDED TFWSS ANCHOR ALLOWABLE LOADS F SCHEDtA E LOADS STOCK tiTHEL GAGE'A U Pam" ParaSN No. Sant SMa Slaa 1 t to tall 1 do wau m ,G� A.sow I IDTC 18 20 9 1 x11 1611% 1 ISM I 4 10d'x1/ 1826 1290 1200 840 ♦ :• \CE�a9•••.t 'r FOR el- i Inch=28.8 M116 I Ibf O 4ri6 N,1 pal a Los We 'Strap tmsN contams to ASTNI A6s3 GM starxfards. .� No 704 2 _• N17E6 STEEL PR000GT8 COMPANY t,tact SUrM carffa ns to ASTM!A868 Gr'38 standards. S (19Y" ,� UM DI - 100 'A 10d x 11/1 otxrxrtan rise has a dlamdtar of 0.148 Inch and a length of 11/1 inkF •. ss7o6 r ''Y t WOOD CONNECTORS AMourabia bads haw been irlCl'aaaad 8096 for wind and estemlc loads. HO further blCraese is permitted. �T+ •�'•Y °TM listed vskwe aro 1w loads appesd In one d irecil t aril OM not be 00mbinsd. Z : STATE OF 'fit/ DTCJCiTU10oAYFMStRIES "no Wmber soeotas is Sm~Piro. 0 fi : � DATE STEVEN A.OREo(E `Minimtlrn tlOnG t etre UK M shah be 2800 psi ✓i ••• Q�•%�'�,,� 10NO 11 PROFESSIONAL ENGINEER °Mirdmum step ambadmxmt shad be 4 hchn •, ••�R 1,•• •�?+u"�' LICENSE NO.70M �9'!=;NlOWWPO NO.: 20F 2 MD-0TC1=10QWM SERIES Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-242086 Permit Number: RC-11-12-2156 Scheduled Inspection Date: August 25, 2015 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Building Owner: AGUIRRE, DIEGO Work Classification: Alteration Job Address:254 NW 92 Street Miami Shores, FL Phone Number Parcel Number 1131010331260 Project: <NONE> Contractor: WILCON CO Phone: (786)399-8855 Building Department Comments PATIO ENCLOSURE Infractio Passed Comments INSPECTOR COMMENTS False 08-09-14 I. Naranjo Stop work order issued. The permit was issued as an owner builder, the owner does not leave in the house and has the property for sale. The architect or engineer of record need to performed an evaluation of the work performed and provide the building Inspector Comments 1/12/2015- Revision submitte ow ler with new cdnd certification let RACTOR. 05/14/2015 -CHANGE OFC TO PAID. Failed ,ora Correction ❑ �o Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 24, 2015 For Inspections please call: (305)762-4949 Page 28 of 33