EL-13-405 . Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax: (305)756.8972 "-
INSPECTION'S PHONE NUMBER: (305)762.4949
FBC 20
BUILDING Permit No. �
PERMIT APPLICATION Master Permit No. l
Permit Type: Electrical
JOB ADDRESS: �v ( 0, C"A
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): Pho
Address•
t
City: � State: ��-- Zin:
Tenant/Lessee Name: Phone#:
Email: C—� - e- �"®�
CONTRACTOR:Company Name: 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:$ a V—D Square/Linear Wer
ge of Work:
Type of Work: ❑Address ❑Alteration ❑New air/Replace ❑Demolition
Description of ork: F__3ef2�n 'm) 25 11!4=X
Submittal Fee$ Permit Fee$ 4�0 CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
i
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING, SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith thatopy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject at chment. ified copy of the recorded notice of commencement must be posted at the job site
for the first inspection ich curs en (7) da s after the building permit is issued. In the absence of such posted notice, the
inspection will not b ap roved nd reinspectio fee will be charged.
Signature Signature
Owner Agent Contractor
The f �mLmstrument was a ged before me s The foregoing instrument was acknowledged before me this
day of ,20 y day of ,20_,by ,
w o ins orally known to me or who has produced ho is personally known to me or who has produced
" NAs identification and who did take an oath. as identification and who did take an oath.
NOTAR PUBLIC: NOTARY PUBLIC:
Sign: ���S oda Sign:
Print: �`Pc S1�1e.0 23 20� Print:
M Commission Ex es
My My Commission Expires:
V'.ask '�Q Goode
APPROVED BYr�2f`�£,�-a:3-/-iFPlans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07XRevised 06/10/2009)(Revised 3/15/09)
y 1 Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
�oR Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BULDER DISCLOSURE STATEMENT
NAME: �_ �e ' Z -Z
-? 1152
ADDRESS: 12-1
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 pro ect 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 hi o r�e�ns�~ on
permits and contracts.
Initial
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I m 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' proved
myself is sold or leased within 1 year after the construction is complete, the law will presume that 1,; a'�itiAih�y
Improved it for sale or lease,which violates the exemption. —�V
Initial
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¢haw-a by county or
municipal ordinance.
Initial
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtalean 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.
lnitiai
—O—�
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 h :/lwww.m oddalicense.comtdb r/ ro/
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:
Initis
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information 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 with 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 contractors 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 day of OaL'�
Byr LL-1 who was personally known to me or who has
Produced e e LicG J r�r as identification.
enu
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ZWN ,- F Notary Pubic r 15
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,`• •; Com mssion# EE 128810
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Title
Job#
Dsgnr: Date: 2:15PM, 18 JUL 13
Description
Scope:
Rev seot u/ Page 1
() Kw-060 W ar5.8.0,I-Dec•2003 General Timber Beam
(c)1983-2003 ENERCALC Engin-ring Software
Description New Beam
General Information Code Ref:1997 NDS,2003 IBC,2003 NFPA 5000.Base allowables are user defined
Section Name 3-2x12 Center Span 10.00 ft .. .. .Lu 10.00 ft
Beam Width 4.500 in Left Cantilever ft . .. ..Lu 0.00 ft
Beam Depth 11.250 in Right Cantilever ft ... ..Lu 0.00 ft
Member Type Sawn Mixed Southern Pine,No.2 2 to 4 Thick
Fb Base Allow 1,150.0 psi
Load Dur.Factor 1.250 Fv Allow 175.0 psi
Beam End Fixity Pin-Pin Fc Allow 565.0 psi
E 1,400.0 ksi
Full Length Uniform Loads
Center DL 375.00#/ft LL 375.00 ##�
Left Cantilever DL #/ft LL
Right Cantilever DL Wit LL #/ft
Summary Beam Design OK
Span=10.00ft,Beam Width=4.500in x Depth=11.25in,Ends are Pin-Pin
Max Stress Ratio 0.841 : 1
9.4 k-ft Maximum Shear�` 1.5 4.6 k
Maximum Moment 11.1 k- 11.1 k
ft Allowable
Allowable
Max.Positive Moment 9.37 k-ft at 5.000 ft Shear: @ Left 3.75 k
Max.Negative Moment 0.00 k-ft at 0.000 ft Camber: @ Left t 3.75 k
Max @ Left Support 0.00 k-ft @ Center 0.169 in
Max @ Right Support 0.00 k-ft @ Right 0.000 in
Max.M allow 11.14 Reactions...
3.75 k
Po 1,185.18 psi fv 90.67 psi Left DL 1.87 k Max 3.75 k
Fb 1,408.57 psi Fv 218.75 psi Right DL 1.87 k Max
Deflections
ea Load Total Load
Center Span... Dead Load Total Load Left Cantilever... 0.000 in 0.000 in
Deflection -0.113 in -0.226 in Deflection 0.0 0.0
...Location 5.000 ft 5.000 ft ...Length/Defl
...Length/Defl 1,063.2 531.58 Right Cantilever...
0.000 in 0.000 in
Camber(using 1.5"D.L.Defl)... Deflection 0.0 0.0
@ Center 0.169 in ...Length/Defl
@ Left 0.000 in
@ Right 0.000 in
Stress Calcs
Bending Analysis
Ck 25.309 Le 19.005 ft Sxx 94.922 in3 Area 50.625 in
Cf 1.000 Rb 11.258 Cl 0.980
Max Moment §MReo'd Allowable fb
9.37 k-ft 79.871n3 1,408.57 psi
@ Center 1,437.50 psi
Left Support 0.00 k-ft 0.00 in3
@• P 1,437.50 psi
@ Right Support 0.00 k-ft 0.00 in3
Shear Analysis @ Left Support @ Right Support
Design Shear 4.59 k 4.59 k
Area Required 20.983 in2 20.983 in2
Fv:Allowable 218.75 psi 218.75 psi
Bearing @ Supports Bearing Length Req'd 1.475 in
Max.Left Reaction 3.75 k 1.475 in
Max.Right Reaction 3.75 k Bearing Length Req'd
1
Title: Job#
Dsgnr: Date: 2:15PM, 18 JUL 13
Description
Scope
• Rev. 680000 Page 2
User Kw 060288,,Ver 5.8.0,1-Dec-z� General Timber Beam
(c)19832'ENEACvwd Engineering Software
Description New Beam
Query Values
M,V,8/D @ Specified Locations Moment Shear Deflection
@ Center Span Location= 0.00 ft 0.00 k-ft 3.75 k 0.0000 in
@ Right Cant.Location= 0.00 It 0.00 k-ft 0.00 k 0.0000 in
Left Cant.Location= 0.00 ft 0.00 k-ft 0.00 k 0.0000 in
-750.00 Wft -750.00#/ft
10.00 ft
Mmax=9.37 k-ft
Dmax=-0.2257 in
Rmax=3.749 k Rmax=3.749 It
Vmax @ left=3.749 k Vmax @ rt=3.749 k
Ono-
000
s
VIA,* p�'
,��Gi�✓T/•��-�t G.�/Ll..c�4
40too ;or
18 Ga. NVJH.Joist Sq
Morts
18 G NVJH JOIST SUPPORTS Allowable Loads Obs.)
in °D Double Single Fasteners car 100°/0 Up"L'�160°x°
Product Joist Header Header Double Single nenhl, single single&Muhie
Code W I H BS Size Size Size Header Header Joist Header Header genders
6-10d 4-10d
2x4 2-2x4 2X4 6-10d x x 744 744 —
NVJH24 15/8" 35/8" 3 2x6 2-2x6 2X6 11/2" 11/2"
10-10d 6-10d
NVJH26 15/8" 5" 3 2x6 2-2x6 2x6 10-10d x x 1240 1240 821
2x8 2-2x8 2x8 11/2" 11/2"
2x8 2-2x8 2x8 14-10 7-10d
NVJH28 15/8" 63/4" 3 2x10 2-2x10 2x1.0 . 14-10 1 h" 11%2" 11736 1736 1079
2x12 2-2x12 2x12
1 Y" 1•Ys" Notes: 1) All specified fasteners should be used on each of the
connected members to achieve values indicated on the
above schedule.
o � 1
0 2) This table is based on Miami Da e Count
H o 11 �� NOA#08-0828.02'and Florida Approva12047R4.
0 1401
BS
W
NVJH 26 as shown
NVJH 24&28
similar but with different holes,
NVS023616 Gauge Heavy Duty-Face Mount Joist Hanger
Fasteners Allowable Loads Qbs.)
IV
Joist Header
Size Size Header Joist Gravity Uplift o
A � •
2-2x8 14-10d 6-10d 1758 1108 0
A
2x6-8 2-2x10 1446d 6-16d 1875 1279 '� ° 5)6"
� o
4-3/s"x 3" 6-16d 800 1217
2 2x12 Le Screws A A o
Notes: 1) Use all specified fasteners in schedule to achieve values indicated.
o
2) See General Notes,page 01. 3 "
3) This table is based on Miami Dade County NOA#08-0828.02
and Florida Approval 2047R4. 1 "
NVS0236 16 GAUGE
BOLT HOLES 1/2"DIA
NAIL HOLE 3/16"DIA
14
Hum*c'ane Clips
Fasteners 10d z 11/2 Allowable Loads(Ibs)Each Clip
Product Code Description Gauge Headers Joist Uplift Ll L2
NVHCR Hurricane Clip-Right 18 6 6 525 253 333
NVHCL Hurricane Clip -Left 18 6 6 525 253 333
Notes: 1) All specified fasteners should be used on each of the connected members to achieve values indicated on
above schedule. �side
�Romp
�with
2) This table is based o Miami-Dade COS d Florida Approval 2047 R4.
3) For Uplift,use two clips,oneon eachyection 2321.7 of the FBC
4) See General Notes,page 01.
NYHC 37 SWAY Grip Clip (520)
Upbft
Fasteners Design Loads(lbs)
Product Code Description Headers Joist Uplift(lbs) Ll L2
NVHC 37 5 Way Clip 16-8d or 12-8d or 702 560 637
18"gauge 16-10d 12 10d `~ - Ll
Notes: 1) All specified fasteners should be used on each of the connected members to achieve
values indicated on above schedule.
2) This table is based on Miami-Dade County NOA#08-0325.02 and Florida Approval 599R4.
3) See General Notes,page 01.
a Top chord
13/4" Uplift
t 0 0 0 0 0 0
• �° 0 0
r
00 00
1" NVHCR
• 2• f N VHCL bottom
o Ll dwrd
o 0 0 2-2x Plotes
Coss—Sec ion
V NVHC 37
uPUFT
O O O :� hole dio.=0.178"
Zd p
•
Truss plate required O
to transfer load to
bottom chord O
dwrd. i• 2-2x Pleta
L2 SCALE: o
0
NVHCR ,L1 O O O /
13
i