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PL-15-2736 Inspection Worksheet ' Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-248421 Permit Number: PL-10-15-2736 Scheduled Inspection Date: December 10,2015 Permit Type: Plumbing - Residential Inspector: Diaz,Osvaldo Inspection Type: Final Owner: MARKUS, DAVID Work Classification: Gas Job Address:1190 NE 92 Street Miami Shores,FL 33138- Phone Number Parcel Number 1132050270460 Project: <NONE> Contractor. BLUE GAS PROPANE Phone: (305)693-9022 Building Department Comments 40 PIPING CONNECT WATER HEATER TO 200 ABOVE Infractio Passed Comments GRAND PROPANE TANK. INSPECTOR COMMENTS False TO CLOSE PERMIT#PL15-360 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-246706. LIZET()CALLED TO E Z CANCELLET IT 11/25/2015-canceled by lizet Failed � Correction � 5� Needed ❑ Re-Inspection 1z Fee No Additional Inspections can be scheduled until re-inspection fee is paid December 09,2015 For Inspections please call: (305)762-4949 Page 24 of 44 §2 E ! i2 moor � IARM Ot Xy WAS kin A; i +ni 1 N k 4o MUM: S kr., 1 Y 441§ fx _^son Ww"Mr ya; - _000� OL x n Sowl 5 F r R owl 2 k Y R t r c 1 ,�► ONE. J f NQTA ,y _, •, -�'w,,•,., S 1AW. s' 1 ! a #� low- F r' �Y 4 l P, L0. 14 ` T f t Sh f � ] S 4 4 1 f iyy 'aa I Ar MY Qq wool 10 101,T VIA NOW jp wool WON wy, nm I k ^t ws AM_ dA 45 Y ; a �x7xr� 1z F.. `n k1 ram y 3 at t y�yy..•t t O T ► f•1\w L MA Miami Shores Village +� ttbnE, 3 E({eD e 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 �• `�'S k£ Y Ff�l 1 Yfi4oRi Phone: (305)79515-2204 =: �a Issr�etate._,1{�I28J20'5 Expiration: 0 /25/2016 Project Address Parcel Number Applicant 1190 NE 92 Street 1132050270460 DAVID MARKUS Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell DAVID MARKUS 1190 NE 92 Street MIAMI SHORES FL 33138-2935 Contractor(s) Phone Cell Phone Valuation: $ 3,125.81 BLUE GAS PROPANE (305)693-9022 .. ... _� ...�...,. _.�. Total Sq Feet: 0 Type of Work:40 PIPING CONNECT WATER HEATER TO 2 Available Inspections: Type of Piping: Inspection Type: Additional Info: Final Bond Return: Press Test Classification:Residential Scanning:3 Review Plumbing i Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# PL-10-15-57569 DBPR Fee $2.25 DCA Fee $2.25 10/28/2015 Check#:2130 $ 169.90 $0.00 Education Surcharge $0.80 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $3.20 Total: $169.90 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DO O OOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is c a that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named r to do the work stated. October 28, 2015 Authorized Signature:Owner / Applicant / ont ctor / Agent Date Building Department Copy October 28,2015 1 Miami Shores Village Building Department OCT 2 7 2015 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 20kq S ' BUILDING Master Permit No.fu 9 4 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL [PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑CANCELLATION ❑ SHOP CONT CTOR DRAWINGS 10B ADDRESS: j I�o (�1r r'-: City Miami Shores County: Miami Dade Zip: Folio/Parcel#: ( ' 33 OS-- ®cL-7 - ®A(.e 49 is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: �f OWNER:Name(Fee Simple Titleholder): I/ a Phone#: 3Cl Address: 1 r'l D 10 I City: i alm t State: CIL Zip: :3s Tenant/Lessee Name: I Phone#: Email: D-sm-cku s CONTRACTOR:Company Name: Phone#: "l. Address: la3q AJA) City: M State: Qualifier Name: �� � �19�i ri Phone#: State Certification or Registration#: L-®r5e%,J ificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address• City: State: Zip: Value of Work for this Permit:$ i ` �� Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Rep la a ❑ Demolition Description of Work: �C)j C - s1✓deQ L ( 0 - Specify color of color thru We: 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$ o (510 (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. 1 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 YOMA 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 reinspection fee will be charged. Signature Signature -Ail OWNER or AGENT NTRACTOR The oregoing instrument was acknowledged before me this The foregoing Instrument was acknowledged before me this The day of, i)e,4®L ,20 ,by !I day of 20 1 C-,by j01W ;n A4 -U-614A ,who i ersonaliy mown - Cif L11 &I QA./6/1-{`l twZ:who is N rsonallykno is a c&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 PUB NOTARY PUBLIC: las Jif Sign: Sign: 6 r ,o''��'EVErI��}��t0/0. Print: /2,� S Print: , ��1?�`�` .�:t 07=4 07-��%. or goy p s Seal a •.• ., o 1R183HAH1N Seal: _, t,-�- _ co .o` q ' i Z * * IN COMMISSION#FF 084912 ' � - -� : b �''�; m - ,� EXPIRES:May 21,2018 =.•o +r-a,f,d1 Bofed ft Budget NOWY Swim � � :� <i1 r' %� i� C cy�'�• • * *r• sa�s esrss+re*+�e.e+�*sa� * WRit�rcw�s>k ,,,�+�r�r*� .z Plans Examiner . °°'i•.e�new.N'� APPROVED BY Zoning Structural Review Clerk (Revised02/24/2014) 001 1 A 131, yaasy�{P5 , 41, 111 ''�YY 'I M. r S'f'�"�e,?Yai a'ayw.�.�1°C�°`�Y�§.s�'�_ tit''� „`!`k �+3���'� � � •. y+i�i, �y -a ��a� � r s.,�� a.t�d�izt^1+�� s',r�r�.i+S�✓>^ ����}��A��w�; r; . .e. , 'ria si3..;: r .E ^54 �,�.� an' y F� CWN Lat $EC OF t .AYMi3 .RECE �515TRIBt1TI0N E 2`�05 LPA, EALE ,4v TAX L50 ,'07/24/.. " Y i 5520 ,k °` � 1 � �:xP +. 'hit .. { t ay z — pPUO 5-017 pn Busiaes ipt o a pa Basinass Tax.76e R not a tee. Q cerWi _ ere hod alai Bola �npty my 8 eami � � a Rmama a�ry I regol to th 6 1heYRECEIPT NO.a aAi m=lva, on all } ercial cies— � I 9 FoPaist�� s �niwavmiami+uade �mxabi�eatoi,.. :asa ,_ ka� , "� yd�e�3U•N x+i'",��@ �:i's su Florida Department of Agricuftur 3 and Consumer Services P.O. Box 6 00 Tallahassee, Florid 32399-6700 License Number. 15520 Business Mailing Address Licensed Location Address BLUE GAS DISTRIBUTION,LLC BLUE GAS DISTRIBUTION,LLC DBA BLUE GAS PROPANE-BLUE GAS PLUMBING DBA BLUE GAS PROPANE-BLUE GAS PLUMBING 1234 NW 79TH ST 1234 NW 79TH ST MIAMI,FL 33147-8212 MIAMI,FL 33147-8212 The liquefied petroleum gas license at the bottom of this form is valid ONLY for the.company located at the address .on the license. Each business location of a company must be li nsed. All LP Gas licenses must be renewed annually. Any license allowed-to expire shall become inoperativebecause of failure to renew."The fee-for restoration of a license is equal to the original license fee and mi ist be pain before the licensee may resume operations. IN THE EVENT OF AN OWNERSHIP CHANGE AT THIS BUSINESS LOCATION: This license may be transferred to any person,firm or corporation for the remainder c f the current-license year upon written request to the department by the original license holder. License transfers must be approved by the departm�All licensing requirements must be met by the transferee and a transfer fee o $50 will apply. To apply for a transfer,contact the Burea of LP Gas Inspections at(850)921-1600. urs ant to Chapter 527,Florida Statutes,LP Gas licensees m st present proof of licensure to any consumer, owner,or end user upon request when engaged'in"the business of servicing,testing,repairing,maintaining or installing LP Gas systems and/or equipment. For future ondence,please make any rieeddd correction or•dianges to your business mairing address and/or your li tesatiion•address and retum�the,fJPPEIR P RTION with corrections to: Florida Department of Agricuftur and Consumer Services P.O.Box 6 00 Tallahassee, Florida 32399-6700. -Cut Here s#e#elr><da Depat#lrm"of A06 004uimer Services .Division of Consumt Services License Number. 15520 Bureau of Liquefied Petrol um Gas Inspection Explratlon Date: August 31,2016 (850) 921-1 00 Date of issue: September 1,2015 4io POST LICENSE Tallahassee, lorida License Fee: 601 0601 0 CONSPICUOUSLY o Type and Class: 0601 Liquefied Petroleu Gas License CATEGORY I LP AS DEALER GOOD FOR ONE LOCA rION ONLY ANY CHANGE OF OWNERSHIP OR SALE OF THIS BUSINESS RENDERS THIS LICENSE INVALID This license Is Issued under authority of Secton 627.02,Florida Statutes,to: BLUEGAS DISTRIBUTION; L'Ct,; , DBA'BLUE"GAS PROPANE - L'IJE GAS PLUMBIN L 1234 NW 79TH ST AM H.PUTNAM (MIAMI, FL 33147-$212 COMMISSIONER OF AGRICULTURE Mastee�Qualifier Mailing,Address Licensed Location,address CECILIA MARTINEZ BLUE GAS®ISTMBUTI®N,LLe BLUE GAS*DISTRIBUTION,LLC 1234 NW 79TH ST 1234 NW 79TH ST MIAMI,FL 33147-9212 MIAMI,FL 33147-8212 4.Cei 27863 15520 _._._.. This Master Quaiiffer C® to Is issues pursue to Chapter 527, Florida Statutes. This ceWcate Is valid -only46-rth® r6on 6W11censed hbldt't'fs . Any-changes to ttreerster tualitr-sthtus• _.-- (such as transfer or termination of employment)m ust be reported to the Bureau of LP Gas Inspection at(850)921-1600 immediately. The Master Quallfi®r Certiticate is valid only throu h the date noted on the Certificate. A notice of renewal will be sent to you in advance of your a ration date. A Master Qualifier Certificate may be renewed If ce tion of a minimum of 16 s education Is the renewal . Iftraining cannot be document d,an examination must be taken.provided along with If are any errors on the certificate,please mit all changes in writing to: Florida Department of rico � Ittere nd Consumer Services Bureau of Liquefied efi� Pe iq trole m Gas Inspection 2005 Apalachee arkway - Tallahassee, Florida 399-6500 State of Florida Deparkment of Agriculture and Consumer Services DIv'F9bh,dFCOhsumerSetvIccwdW*fift. Bnteata 27863 of t ictue p m Gas Inspection t Dom: June a,2011 1 !� ft=w DOW July 15.2D14 a .Date: July 14,2017 T Exon: 0601 MASTER QUALIFIERMWCERTIFICATE This Cerff=ft Is ftsued under authority of 527.02,RwWa Statutes,to: CECIL of v For t Haumber. 15t;2o BLUE GAS DiSTRI®lfnOlV,LLC 1234 KW 78TH ST ADAM H-PUTH MWA,FL 33147-8212 COFAMISSMER OF AGRICULTURE DATE(MM1DDmvY1 CERTIFICATE OF LIABILITY INSURANCE a O/20 s THIS CERTIFICATE IS ISSUED AS A(NATTER 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. HNPORTANT:If the certificate holder is an ADDITIONAL INSURED,the Policy(les)must he endorsed.if SUBROGATION 18 WAIVED,suD)ectto the terms and conditions of the policy,certain polies may require an endorsement.A statement on this certificate dots not confer rights to*a certHcate holder In lieu of such emtorsemerr*)- PRODUCER CONTACT NAME PHONE(ARC,NO,Ex* 1.800 277-1020 MOW FAX AIC.NO: M 797-OM4 FrankCrum Insurance Agency,Inc. E-MIULADpRESS:_ 100 South Missouri Avenue INSUREM AFFORDING COVERAGE NAICB Clearwater,FL 33756 INSURER A: Frank 1 Andon Crum Insurance Co. 11800 INSURED INSURER B: FrankCrum UC/F Blue Gas Distribution,LLC dba Consumer Gas INSURER C: Plumbing INSURER D: 100 South Missouri Avenue I NSURER E: Clearwater FL 33756 INSURER F: COVERAGES CERTIFICATE NUMBER: 80 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN RUED TO THE INSURED NAME ABOVE FOR THE POLY 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 IN SUBJECT TO ALL THE TERMS,EHCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICYOW LIMITS;LTR TYPE OF INSURANCE Oman VND NUMBER MMMO YYYYl (1111111110"M GENERALWIBdrrY Eatw OCCURRENCE a TO RENTED a COMMERCIAL GENERAL LIABILITY PR®BSES omaenw CLAIM&MAADE =OCCUR MED E>�(A w-e p—) a PERSONAL 8 ADH uLwRr a GENERAL AGGREGATE a OWL AGGREGATE LIMIT APPLIES PER: PRODUCTS4XWJOPAGG a POLICY PROJECT r—ILOC a AUTOMOBILE LRABLLRY COMWJMStNGLELWT $ ANYAUTO BODILY INJURY Per a ALLOIN ED SCHEDULED AUTO AUTOS BODILYIWURY(Peru a HIRED AUTOS NON-OYYNED PROPERTY DAMAGE a AUTOS a UMBRELLA LIAB ocRxlR EACH OCURRENCE a LIAB AGGREGATE S DED RETEIYTIOPI a a VWRxERSCOMPENSATION AND WC201500000 01/01/2015 01101/2018 X tlpC u 7UTORY ER A EMPLOYERS'uAEUTY YIN ANY PROPPoETORIPARTNERADMC1mYE a [NIA E.L.EACH ACCIDENT 1 r0 otm OFFIExCLUDED7 phadar rya" EI OISEASE£AEdPLOYEE S7AW.IGI Iyer,desome www DESClIPTIONOF OPERATIONS beh- DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attaeh ACORD 101,AdMenat RemadM6Sch9dule,N mora spaea lsm gWrod) Effective 11/1712008,coverage is for 100%i of the employees of FrankCrum leased to Blue Gas Distribution,LLC dba Consumer Gas Plumbing(Client)for whom the client is reporting hours to FrankCrum.Coverage is not extended to statutory envloyees. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE VMTH THE POLICY PROVISIONS. 1005 ShoresVillage AunID�D REPRFSENTATIVE 10050 NE 2nd Avenue Miami Shores,FL 33138 ©1888-2010 ACORD CORPORATION.Ali rights rte. ACORD 25(20101053 The ACORD name and logo ate registered marks of ACORD Client#:70001 PROUS ACORM CERTIFICATE OF LIABILITY INSURANCE DATE(111119001"'M1on2i2015 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 pollcypes)must be endorsed If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsemenL A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Michelle A.Kallcharan Gulfshore Insurance-Naples =% Ext 239 43517143 AI`Ate,N, 239 213-2852 4100 Goodlette Road North AE-DmDARIESS. mkailchamn@gulfshorsinsurance.com Naples,FL 34103-3303 INSURERS)AFFORDING COVERAGE NAIL e 239261-3646 INSURER A:HDI-Gerling America Insurance C 14343 INSURED INSURER B: Propane USA Distribution,LLC INSURER o: Blue Gas Distribution,LLC SURER D: dba Blue Gas Plumbing(Cont'd.) INSURER E 1234 NW 79th Street,Miami,FL 33147 0 WSURER 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �� TYPE OF INSURANCE I NSD WVD POLICY NUMBERU Y EFF PO Y LIMITS A GENERAL LIABILITY EGGCO000109915 0/15/2015 10/1W201 6 EACH OCCURRENCE s2,000,000 X COMMERCIAL GENERAL LIABILITY PREMIE EAa 10 $1100,000 CLAIMS MADE I OCCUR MED EXP(Arty one mon) $Excluded PERSONAL&ADV INJURY $2 000 000 GENERAL AGGREGATE $Z OOO OOO GEN`L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG s2,000,000 XI POLICY PRO LOC $ A AUTOMOBILE LIABILITY EAGCDOW109915 1011512015 10/15/201 WMBa INdEBDntsINGLE LOMIT 2,000,000 X ANY AUTO BODILY INJURY(Per Penson) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS (Per acddeM X MCS90 X Polludo Llab $ A UMBRELLA LIAB X OCCUR EXAGO000109915 1011512015 1011512016 EACH OCCURRENCE s3,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $3 OOO OOO DED I X RETENTION$O $ WORKERS COMPENSATION WCC ATU I OTH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? El N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Affach ACORD 101,Additional Remarks Schedule,If more ePM 1e required) Insured Name Continued:dba Blue Gas Propane dba Consumer Gas Plumbing CERTIFICATE HOLDER CANCELLATION ANY OF THE Miami Shores Village THEULD EXPIRATION D� THEREOF,VE DESCRIBANO CE WILL POLICIES BECBE ANCDELIVERED N 10050 NE 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE m 1988-2010 ACORD CORPORATION.All rights nerved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S918291/M917964 MAK t . ... . . ... % .. . . % .. . . . . . ••. . . . . • . . . . BLUEGAS PROF°AKE • • ••• • • • • ••• 1234 NW 79 STREET tetIM11,FL 33147 1190 NE 92 STREET . . . ... . ... .. . . . . . .. . . . . . . . . . .. ... .• ... . ... . TANK NOTES .. . . . •• ••• •• .3_ • ••• • • • • •• • [N1iCdfRAI 2 STe E REGUL#TdDR 5°FROM OPENING ••• i i 000 i i :0. ••• 5°FRCMSOURCEOF IGNITION 120K BTU 13EM LINESIZINS . 1 TANK TOTAL BTUS�120,CDD SHUTOFF iv in-POLY @ 11°we TABLE 4024(35) < 15°1/2- POLY 13 WC In c`. INTEGRAL STAGE REGULATOR LL r z 2 TANK- 340K BTU%VATEF% TANK NOTB l� X4,2(0 BTU RANGE HEATER SHUTOFF IVPI 5'FRCMI OI EN[NG c SHUTOFF 30'FROM SOURCE OF IGNITION 40'31,V QALV @ 11"%VC LINES®NG rl L+ f o TOTAL BTI.FS=.224,GM `Ld 40'3/4°GALS!@ 11"WC c l TABLE 402.4(28) I ✓ — acv GAS RISER N.T.S.� ;;;;;0 k-If �� SLIDE CCAS LPG . 20 CILIA MARTINEZ � E m%SS N#�� � v Al J ' .. ff yt {1 E x 7 eracal vs. eA1n pII; )0- Both DOT aril ASE 200*&4200 cy6nders can be aar>spamd wilt 80%of W.G ASE code does not mmxbte a retest ped.DOT wrest periods are 12 years after m=Axftft dot each 5 year pedod dmeAm 200# & 42tw P1:1 LChn clot ble C DESCRIPTION CATALOG NO. OL H L D TW WC B yett�t IST with Ivitiloivat�+w Gauge 14206 4215 34.06 tda 24 147 476 20VeSca _ 1 �� 676,5 4218 34.06 ria 24 136 476 50 4�yertirat DCII'with POL,out�m Fit Rte, 1499 53.55 45 6R n�a 3D 270 loco S3.1Q_ 4yetnrat ASME watt POI,C o� A RehK Gauge 6762 33.25 45.62 ria 30 309 10W 53.14 D � t � 1 •••••• C� • .. .... • • �qy5� O p ...... ...... •••••• 00*0 • • • • • OL . . . . . . ...... • • :....: s�� . . GAS PIPING INSTALLATIONS Gas Undiluted Propane TABLE 402.4(33) Inlet Pressure 2.0 psi CORRUGATED STAINLESS STEEL TUBING(CSST) Pressure Drop 1.0 psi Specific Gravity 1.50 INTENDED USE:SIZING BETWEEN 2 PSI SERVICE AND THE LINE PRESSURE REGULATOR TUBE SIZE(EHD) Flow Designation 13 15 18 19 23 25 1 30 1 31 1 37 1 39 1 46 48 60 62 Length(ft) Capacity In Thousands of Btu per Hour 10 426 558 927 1,110 1,740 2,170 4,100 1 4,720 7,130 7,958 15,200 16,800 29,400 34,200 25 262 347 591 701 1,120 1,380 2,560 2,950 4,560 5,147 9,550 10,700 18,800 21,700 30 238 316 540 640 1,030 1,270 2,330 2,690 4,180 4,719 8,710 9,790 17,200 19,800 40 203 271 469 554 896 1,100 2,010 2,320 3,630 4,116 7,530 8,500 14,900 17,200 50 181 243 420 496 806 986 1,790 2,070 3,260 3,702 6,730 7,610 13,400 15,400 75 147 196 344 406 663 809 1,460 1,690 2,680 39053 5,480 6,230 11,000 12,600 80 140 189 333 393 643 768 1,410 1,630 29590 2,961 5,300 6,040 10,600 12,200 100 124 169 298 350 578 703 1,260 1,450 2,330 2,662 4,740 5,410 9,530 10,900 150 101 137 245 287 477 575 1,020 1,180 1,910 2,195 39860 4,430 79810 89890 200 86 118 213 248 415 501 880 1,020 1,660 19915 3,340 3,840 6,780 79710 250 77 105 191 222 373 448 785 910 1,490 1,722 2,980 39440 6,080 6,900 300 69 96 173 203 343 411 716 829 1,360 1,578 29720 3,150 5,560 6,300 400 60 82 151 175 298 355 616 716 1,160 19376 2,350 2,730 4,830 5,460 500 53 1 72 135 158 268 319 550 1 638 1,030 1,237 2,100 2,450 4,330 4,880 For SI: 1 inch=25.4 run,1 foot=304.8 mm 1 pound per square inch=6.895kP�1-inch water column=0.2488 kPa, 1 British thermal unit per hour=0.293 1 W,1 cubic foot per hour=0.0283 M3/h,1 degree=0.01745 rad. Notes: 1.Table does not include effect of pressure drop across the line regulator.Where regulator loss exceeds'/2 psi(based on 13 in.w.c.outlet pressure),DO NOT USE THIS TABLE.Consult with the regulator manufacturer for pressure drops and capacity factors.Pressure drops across a regulator may vary with flow rate. 2. CAUTION:Capacities shown in the table might exceed maximum capacity for a selected regulator.Consult with the regulator or tubing manufacturer for guidance. 3.Table includes losses for four 90-degree bends and two end fittings.Tubing runs with larger numbers of bends and/or fittings shall be increased by an equivalent length of tubing to the following equation:L=1.3n where L is additional length(feet)of tubing and n is the number of additional fittings and/or bends. 4. EHD-Equivalent Hydraulic Diameter,which is a measure of the relative hydraulic efficiency between different tubing sizes.The greater the value of EHD, the greater the gas capacity of the tubing. 5.All table entries have been rounded to three significant digits. •••••• •••• •••••• • • • • • • •••••• ••• • ••••• •• •• •• •••••• • • • • • •••••• • • • • • 4.34 FLORIDA BUILDING CODE-FUEL GAS,5th EDITION(2014) ` ' + Copyright m 2ols ICC.ALL RIGHTS RESERVED.Accessed by cecllia martinez on Oct 21.2015 9.26:00 AM pursuant to License Agreement with ICC.No further reproduction or GAS PIPING INSTALLATIONS Gas Undiluted Propane TABLE 402.4(26) Inlet Pressure 10.0 psi SCHEDULE 40 METALLIC PIPE Pressure Drop 3.0 psi Specific Gravity 1.50 INTENDED USE Pipe sizing between first stage(high-pressure regulator)and second stage(low-pressure regulator). PIPE SIZE(Inch) Nominal 1/2 3/4 1 I1/4 11/2 2 2t/2 3 4 Actual ID 0.622 0.824 1.049 1.380 1.610 2.067 2.469 3.068 4.026 Length(ft) Capacity In Thousands of Btu per Hour 10 5,890 12,300 23,200 47,600 71,300 137,000 219,000 387,000 789,000 20 4,050 8,460 15,900 32,700 49,000 94,400 150,000 266,000 543,000 30 3,250 6,790 12,800 26,300 39,400 75,800 121,000 214,000 436,000 40 2,780 5,810 11,000 22,500 33,700 64,900 103,000 183,000 373,000 50 2,460 5,150 9,710 19,900 29,900 57,500 91,600 162,000 330,000 60 2,230 4,670 8,790 18,100 27,100 52,100 83,000 147,000 299,000 70 2,050 4,300 8,090 16,600 24,900 47,900 76,400 135,000 275,000 80 1,910 4,000 7,530 15,500 23,200 44,600 71,100 126,000 256,000 90 1,790 3,750 7,060 14,500 21,700 41,800 66,700 118,000 240,000 100 1,690 3,540 6,670 13,700 20,500 39,500 63,000 111,000 227,000 125 1,500 3,140 5,910 12,100 18,200 35,000 55,800 98,700 201,000 150 1,360 2,840 5,360 11,000 16,500 31,700 50,600 89,400 182,000 175 1,250 2,620 4,930 10,100 15,200 29,200 46,500 82,300 167,800 200 1,160 2,430 4,580 9,410 14,100 27,200 43,300 76,500 156,100 250 1,030 2,160 4,060 8,340 12,500 24,100 38,400 67,800 138,400 300 935 1,950 3,680 7,560 11,300 21,800 34,800 61,500 125,400 350 860 1,800 3,390 6,950 10,400 20,100 32,000 56,500 115,300 400 800 1,670 3,150 6,470 9,690 18,700 29,800 52,600 107,300 450 751 1,570 2,960 6,070 9,090 17,500 27,900 1 49,400 100,700 500 709 1,480 2,790 5,730 8,590 16,500 26,400 46,600 95,100 550 673 1,410 2,650 5,450 8,160 15,700 25,000 44,300 90,300 600 642 1,340 2,530 5,200 7,780 15,000 23,900 42,200 86,200 650 615 1,290 2,420 4,980 7,450 14,400 22,900 40,500 1 82,500 700 591 1,240 2,330 4,780 7,160 13,800 22,000 38,900 79,300 750 569 1,190 2,240 4,600 6,900 13,300 21200 37,400 76,400 800 550 1,150 2,170 4,450 6,660 12,800 20,500 36,200 73,700 850 532 1,110 2,100 4,300 6,450 12,400 19,800 35,000 71,400 900 516 1,080 2,030 4,170 6,250 12,000 19,200 33,900 69,200 950 501 1,050 1,970 4,050 6,070 11,700 18,600 32;46•• 67,200 • 1,000 487 1,020 1,920 3,940 5,900 11,400 If8 109 • 32,02100 65,400 • 1,100 463 968 1,820 3,740 5,610 10,800 17,221.. 36%4 9 0 62,1"••0• 1,200 442 923 1,740 3,570 5,350 10,300 M1•0 29,000 • 59,290 • 1,300 423 884 1,670 3,420 5,120 9,870 15.780►• 270690 0 56,700 • 1,400 406 849 1,600 3,280 4,920 9,480 15%0(►• 260100 •• 54,5db• • • 1,500 391 818 1,540 3,160 4,740 9,130 N%:I?• 25,W• 52,5 0 • 1,600 378 790 1,490 3,060 4,580 8,820 1'4100•• 24,800 50,700 •• 1,700 366 765 1,440 2,960 4,430 8,530 W,600r • 24,000 49,0(0 • 1,800 355 741 1,400 2,870 4,300 8,270 13,200 23,:db•0•• 47,6Qp • 1,900344 720 1,360 2,780 4,170 8,040 1%%d* 22,61y1 9 • 46,200 •i 2,000 335 700 1,320 2,710 4,060 7,820 12,500 22,0000 44,900 For SI:1 inch=25.4 mm,1 foot=304.8 mm,I pound per square inch=6.895 kPa,1-inch water column=0.2488 kPa, I British thermal unit per hour=0.2931 W,I cubic foot per hour=0.0283 m'/h,I degree=0.01745 rad. Note.All table entries have been rounded to three significant digits. FLORIDA BUILDING CODE-FUEL GAS,5th EDITION(2014) 4,27 ` t , Copyright®2ois ICC'ALL RIGHTS RESERVED.Accessed by cedlia martinez on Oct 21,2015 5.26:00 AM pursuant to License Agreement with ICC.No further reproduction or SKETCH OF SUR\./LOCATION' -c;KF=TCH EY Pr e s Jot)No. m-9432 , a 41 a a a, , a 4 40 ✓j y Y e '9 p Y.W+ ! Imo` _ _ +•�� +✓ti v y q d r t • LEGAL DESCRIPTION: 00000 LOT, IN BLOCK 3, OF BAy UM, ACCORDING IY� THE PLAT THER JF Ac; RFthRPLO IN �T� � I' ' � •••• ••' PLAT BOK 44, AT PAGE 63, OF THE PUBLIC RECORDS OF MIAMI DaDE �Ni.TY, FLORIDA. �0 • DATE: DFrE FR 10, 2007 -_ p F, A • ORDER NO. M-9432 ¢, • . • R: � E •• ••• • • DAVID M;AERKUS +� •• • • • 1190 NE 92nd Street Miami, FL. 33138 ' ' • ' •'; All elevations shown refer to National Geodetic Vertical Datum of 1929. � � , ••• 4ch Nkir k us l No. R-62, with elevation: 8.65' 'b µ _ �m o •' • AE, PANEL 0093 J, RASE F'C,OOD ELEVATION: 8.0' , IN' M'LCK3D ZONE: a� � i P t:E T;RTY LOCATE W/H 120652, DATE OF FT.RM: ,JULk' 17, 1995. STOVE /j v 9 P BBQ 23' From front of house 40, 12' From side of house vl' �OVeaz . 200# • A. gw 28' Fro m backyard I Helsal'Cl ATIFY..That a�natat!"31WOM Cif SUE °'at�e -. �'`� ; , <�� ; In true aqui ofltmd to ft tit of sway itrro�a+l+el a trt WW» Pt J _ under my dMadom e1.eo that the mr n mdt u the snN ''• m for wid mvw=as sefa M by the Plaft iSoirRl 0t C.autd yy to C�r»<Q'tlf 4 �T the FfCrltda s 8342 SMSIE ' DRIn A WAR0190 Z RAMIZ,` FLORYD! 33143 �. Lno W. SrAlm 00 TEL. (305) 596-QS88 'xw r •� 9 ,