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RC-15-1989Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 952 NE 91 Terrace Miami Shores, FL Owner Information Na RC Residential Const Classflrcatfan. Alteration Status: APPROVED Address Parcel Number 1132060030130 Block: Lot: 412018 Phone Expiration: 05/02/2016 Applicant MICHAEL MOLINA Cell MICHAEL MOLINA 952 NE 91 Terrace MIAMI SHORES FL 33138- 952 NE 91 Terrace MIAMI SHORES FL 33138- Contractor(s) HOME OWNER Phone Cell Phone (305)672-7131 (786)554-6017 Valuation: Total Sq Feet: Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: GUEST Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Certificate Date: Bond Return : BATHROOM RENOVATION Occupancy: Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Plan Review Fee (Engineer) Scanning Fee Technology Fee Total: Amount $12.00 $9.00 $9.00 $4.00 $600.00 $120.00 $9.00 $16.00 $779.00 Pay Date Pay Type Invoice # RC -8-15-56641 11/04/2015 Credit Card 08/07/2015 Credit Card Amt Paid Amt Due $ 729.00 $ 50.00 $ 50.00 $ 0.00 $ 20,000.00 Available Inspections: Inspection Type: Final PE Certification Window Door Attachment Framing Insulation Drywall Screw Fill Cells Columns Window and Door Buck Review Planning Review Building Review Building Review Structural Review Mechanical Review Structural Review Electrical Review Electrical Review Plumbing Review Plumbing In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction ane • ni Futhermore Il ate. e above-named contractor to do the work stated. / Applicant thoriz Signature: Owner Building Departmen November 04, 2015 / Contractor / Agent Date November 04, 2015 1 INSPECTION RECORD Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax (305)756-8972 POST Of{ SITE Permit NO. RC -8-15-1989 Permit Type: Residential Construction ?Work Classification: Alteration Issue Date: 11/4/2015 Expires: 05/02/2016 INSPECTION REQUESTS: (305)762-4949 or Log on at https://bicivniamishoresvillage.com/cap REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Residential Construction Parcel #:1132060030130 Owner's Name: MICHAEL MOLINA Job Address: 952 NE 91 Terrace Bond Number: Miami Shores_ FL Contractor(s) Phone HOME OWNER Primary Contractor Yes Owner's Phone: (305)672-7131 Total Square Feet: Total Job Valuation: 1600 $ 20,000 00 WORK IS ALLOWED MONDAY THROUGH SATURDAY, 7:30AM - 6:OOPM. NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS. BUILDING INSPECTIONS ARE DONE MONDAY THROUGH THURSDAY. ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO BUILDING INSPECTIONS DONE ON FRIDAY. NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES, NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAY!NG 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 7,0MMENCEMENT. INSPECTION RECORD STRUCTURAL INSPECTION DATE INSP Foundation Stemwall Slab Columns (1st Lift) Columns (2nd Lift) Tie Beam Truss/Rafters' ,t 1,114k[ 2 4{ f Sf Sheathing//t,Ok -40e.. /, Bucks Windows/Doors Interior Framing 1 •Gd/C, Insulation F A 7l E6 Ceiling Grid 7% Drywall ,,��ek- ST t `6j Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin Cap Roof in Progress Mop in Progress Final Roof Shutters Attachment Final Shutters Rails and Guardrails ADA compliance FINAL DOCUMENTS Soil Bearing Cert Soil Treatment Cert Floor Elevation Survey Reinf Unit Mas Cert Insulation Certificate Spot Survey Final Survey Truss Certification STRUCTURAL COMMENTS ZONING INSPECTION DATE INSP Zoning Final ZONING COMMENTS ELECTRICAL,? INSPECTION DATE Temporary Pole 30 Day Temporary Pool Bonding INSP Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab Wall Rough Ceiling Rau:. �/rip Rough7r lir Telephone Rough Telephone Final TV Rough TV Final Cable Rough Cable Final Intercom Rough Intercom Final Alarm Rough Alarm Final Fire Alarm Rough vire Alarm Final Service Work With FINAL ELECTRICAL COMMENTS' INSPECTION Rough Water Service 2°p Rough /(7.6 %1: Top Out Fire Sprinklers Septic Tank Sewer Hook-up Roof Drains Gas LP Tank Well Lawn Sprinklers Main Drain Pool Piping Backflow Preventor Interceptor Catch Basins Condensate Drains HRS Final FINAL PLUMBING COMMENTS MECHANICAL INSPECTION DATE Underground Pipe Rough INSP Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater Final Vacuum FINAL MECHANICAL COMMENTS Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-266235 Permit Number: RC -8-15-1989 Scheduled Inspection Date: August 30, 2016 Inspector: Mesa, Michel Owner: MOLINA, MICHAEL Job Address: 952 NE 91 Terrace Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number (305)672-7131 Parcel Number 1132060030130 Building Department Comments GUEST BATHROOM RENOVATION AND NEW WOOD FLOORING tniractto Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments August 29, 2016 For Inspections please call: (305)762-4949 Page 26 of 37 k k M. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: g7 ,iF % 1st- ii.ty City: AUG a72015 FBC 201 `I Master Permit No.'- (b " 19 B9 Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Miami Shores County: Miami Dade Zip: 3313 Folio/Parcel#: \1 S).0(,, 003 0 t3i5 Is the Building Historically Designated: Yes Occupancy Type: Load: OWNER: Name495.41., (Fee Simple Titleholder): Address: 495 C �I Construction Type: Flood Zone: BFE: Phone#:(76) 5511—‘6 (-7 City: Y ILUVii4L ttleit State: — Zip: 35,8 NO FFE: Tenant/Lessee Name: Phone#: S.ke, VIM IVI61. cot ayt oa. art Email: CONTRACTOR: Company Name: UtiL 412_ /3,n L. 00_ Phone#: (786) C-5 - 66 City: /MM/ , 75 State: frL Zip: 33/38 Address: 9502 OUZ:: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ c7C)/ 000 Square/Linear Footage of Work: 1 (DO CA -3 of Work: ❑ Addition dAlteration n New ❑ Repair/Replace ❑ Demolition Description of Work: ATV, g A 9 A15,1,,J Gr -0i) g .„2,842.04. Specify color of color thru tile: Submittal Fee $ Permit Fee $ G CD . O CCF $ CO/CC $ Scanning Fee $ _ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ � - 9 GO 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 OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this %5"‘ day of v , 20 /5 , by day of , 20 , by /j,k& b ibl1 ht&, , who is personally known to , who is personally known to rpggr 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: Print: Seal: 6 Mor►3 e-oi53 ********** APPROVED BY (Revised02/24/2014) ANDRE J. DEPAGNHER MY COMMISSION # FF245654 EXPIRES June, 0, 2019 F * Sign: Print: Seal: ************************************************************* Plans Examiner Zoning filo) ) Ji Structural Review Clerk G. BATISTA & ASSOCIATES G. Batista & Associates July 30, 2015 City of Miami Shores Building Department 10050 NE 2nd Ave Miami Shores Village, FL 33138 RE: Inspection at 952 NE 91 Terrace, Miami Shores FL 33138 Dear Building Offiicial: On July 15th, 2015 I performed an inspection at the above referenced residence and found the following: The floor joists (2 x 10 @ 16' above crawl space) were all inspected and found to be in good condition with the exception of the area underneath the bathtub in the bathroom, 2 joists in the front bedroom and 1 joist in the back bedroom. I recommend the removal of the subflooring which is partly rotted, and replace with 3/4" PT plywood nailed with 10d nails @ 8" on each joist. If you have any questions, please do not hesitate to contact me. Best Regards, G.Batista & Associates Gregorio Batista, PE President ��• P •'�,� G E �C?; •,-yam No 52349 :� STATE OF : 4/� JUL 3 0 2015 10400 Griffin Road, Suite 201 • Cooper City, Florida 33328 Telephone: 954.434.2053 • Fax: 954.434.2056 Visit us at: www.gbanda.com PEST CONTROL GOWN TOA SOENCE TERMITE SERVICE REPORT 4w -fit 1 evit:sA �ry� Customer Name 9 '/ (VifhD ! 1 , I Service Address Account Number Infestation Type Initial Treatment Amount Due tett 4 go Phone # , 8!. GLA 0'...1141C) Work Phone # +I�++,►� `� 33/. Date: !' ..2P/ Guarantee Type de) r Amount Received Cash Check Service Covered Thru: Completion Date Renewal Amount Grid # Time Onsite: ❑ AM /❑ PM Time Offsite: AM / PM Next Scheduled Service Date: I. Service ❑ Initial Treatment J Retreatment 3 Service Call (No Treatment) ZIReinspection 3 Bait Monitoring 3 Annual Bait Reinspection H. Inspection This report is not intended for a property trans3pttOn. A) Performed on (Date): "1. I p - Lf B) Activity Found: Yes 'fi'f\io C) Retreatment Scheduled Date (if needed): D) Customer Home: Yes No Customer Signa Orkin Represent III. Bait t° j n Activity: ❑ Yes ❑ No ❑ In Station D On Structure # of Stations: Monitoring Bait A,), IV. Treatments (Materials Used)0* Activity Found: J Yes PL/No Consumer post application precautionary statements on back. Target Pest: A) B) C) D) Utilize Key on back for completion of this section Product # Amount Applied Dilution % Equipment Used Application Rates ( �f `gallon/ 10 SOFT El Void Foaming --'❑ 2 gallons/10 LF I Other u 4 gallons/10 LF / FT of depth ❑ 3 gallons liquid & 1 gallon foam/10 LF V. Conditions Conducive It isimportant for you to.know that certain conditions in and around your home can contribute to Wood Infesting Organisms, and can therefore compromise the effectiveness of Orkin's treatment. It is very important that you remedy the Conditions Conducive noted below. If you fail to do so, it may, in some cases, jeopardize your agreement; moreover, it is probable that your home will experience future termite activity and damage, and treatment by Orkin may not solve the termite problem. This report DOES NOT INCLUDE MOLD or any mold -like conditions. Mold is generally not a wood destroying organism and is outside the scope of this report. If you wish your property to be inspected for mold or mold -like conditions, please contact the appropriate mold professional. Please notify us in writing when you have corrected the Conditions Conducive. We identified the following Condition(s) Conducive: E Soil Above Sill ❑ Roof Leaks E Cellulose Material Stored in Crawl Area C Improper Ventilation E Excessive Moisture in Crawl E Cellulose Material in Contact with Ground E Excessive Exterior Moisture ❑ Excessive Interior Moisture ❑ Siding/Stucco in Contact with Ground ❑ Treatment Disturbed ❑ Exterior Insulation Finished System (EIFS) tZi Other States where applicable: Wind Direction Wind Velocity Temperature Humidity IVO 41'1/4-- f9 c ,i , State Required Information AZ - WARNING - PESTICIDES CAN BE HARMFUL. KEEP CHILDREN AND PETS AWAY FROM PESTICIDE APPLICATIONS UNTIL DRY, DISSIPATED OR AERATED. FOR MORE INFORMATION, CONTACT ORKIN PEST CONTROL - 4029 AT 1-800-346-7546. CO - COMMERCIAL APPLICATORS ARE LICENSED BY THE COLORADO DEPARTMENT OF AGRICULTURE. 7 L1 U.40$1 VI. Acknowledgement Thank you for choosing Orkin National Poison Control Center (800) 222- I understand that additions, or modifications to or around the structure can disturb the termiticide treatment, and may require additional inspection and treatment. The location of these areas are: Pesticide Product Labels are Available Upon Request. For additional information, a copy of the Label and/or MSDS may be requested from your local branch. This tiiiortqas been performed to my satisfaction Orkin Representative - Full Name Orkin Street Address: City/State/Zip: /I") Customer Signature CA # / Bus. License # (if applicable) Date Date YOV ! 4 0,1 Branch Phone #: SCALE: 1" = 20' . .. . . ..... . ..... . . . . . . . . . . . . . . . .... . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... . • . ......... . . . . • • • • . • .. .. . • 2... • ....... . ........ ..... . . . . . 'if• • ASPHALT PA 15' PARKWAY 8269' OIXR) kSLT F.I.P. 3/4" 8713'25"(M) No I.D. Lor 7, 13LOCK 2 0.59' 0.14' 0.14' C71 CV — 16.10'1 -1E9.74- REMAINDER OF LOT 6, BLOCK 2 0.44' •oc i 4 BRICK 1.39' 1.55' F.N. 39.55' ONE-STORY I Ii?! RESIDENCE # 952 I to 17.15' (.0 11.7' tc. THE EAST 47.59' OF LOT 6 9056'08°(C) CORAL ROCK WALL (POOR CONDITION) LIMITS OF PLAT 255.27' (R) 9246'3574) 3/4' No I.D. 2.1' ,g 0.4 5 dr=k cc 1:2) – c•I n -s < ;3- .%" 5 = 5 THE WEST g OF LOT 5 -5- ig / - '1..1E tc--- // -1/ - ///, 82.60' (M)(R) 6' W.F. REMAINDER OF LOT 5, BLOCK 2 3/4" LOT 4, BLOCK 2 BLOCK CORNER Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDE DISCLOSURE STATEMENT NAME: / dove, I dwa.. DATE: 7 I' 1,/S ADDRESS: /col_ A/C* au Tcrr i/ S'tiol'cs, FL. 33138' 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 ryy own contractor with certain restrictions even though I do not have a license. Initial 2. I 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. I 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 license numbers on permits and c/ntr ts. Initial 4. I 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 r leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, vyhicf olates the exemption. Initial 5. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial 6. I understand that 1 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 countyyr municipal ordinance. Initial 7. I 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. 1, 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 amwa# of the limits of my insurance coverage for injuries to workers on my property. Initial 8. I 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 under tand that my failure to follow these may subject to serious financial risk. Initial 9. I 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. I 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 tFlorida Construction Industry Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.html Initial 11. I 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: cp.NE t 72rr 3313 r Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the infion 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 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 day of 4JCV St , 20 (S. By . RAO UN/A who was personally known to me or who has Produced there License or i- � �-- kA as identification. (OWNER NOTARY 640 "Lgyn Notary Public State of Florida • Sindia Alvarez MyCommission FF 156750 of o.c, Expires 09/03/2018 • ••• • • • ••• •• • • • • •• •• • • • • •• • • ••• • • • •• •• • • • • • •••• • • •• • • ••• SIM20Q802:•• • •• . •. Used for Florida Stehe•VVide• IreduddApproval # FLU4n'3::• •• Products on this Report which are approved: Product FL# Product FL# DETAL20 11473.1 LGUM210-2-SDS 11473.12 FGTR 11473.2 LGUM210-3-SDS 11473.13 FGTRE 11473.2 LGUM210-4-SDS 11473.14 FGTRHL 11473.2 LGUM26-2-SDS 11473.12 FGTRHR 11473.2 LGUM26-3-SDS 11473.13 HETA12 11473.3 LGUM26-4-SDS 11473.14 HETA16 11473.3 LGUM28-2-SDS 11473.12 HETA20 11473.3 LGUM28-3-SDS 11473.13 HETA24 11473.4 LGUM28-4-SDS 11473.14 HETA40 11473.4 LGUM410-SDS 11473.15 HETALI2 11473.5 LGUM46-SDS 11473.15 HETALI 6 11473.5 LGUM48-SDS 11473.15 HETAL20 11473.5 LTA1 11473.16 HGAM 10 11473.6 META12 11473.17 HGUM5.25 11473.7 META14 11473.17 HGUM5.50 11473.7 META16 11473.17„,,,,„ HGUM7.00 11473.8 META18 11473.17 H G U M 7.25 11473.8 M ETA20 11473;:18: HGUM9.00 11473.8 META22 11473.18, = - HHETAI2 11473.9 META24 11473:18 Y HHETAI6 11473.9 META40 11473:18 HHETA20 11473.9 MSTAM24 11473 `1 9, HHETA24 11473.10 MSTAM36 11473:1'9' HHETA40 11473.10 MSTCM40 114731 92 HM9 11473.6 MSTCM60 1147319 HTSM16 11473.11 MTSM16 11473;2 HTSM20 11473.11 MTSM20 11473;2 SIMPSON SIMPSON STRONG -TIE COMPANY of, G. BA71STA & ASSOCIATES 0 REVISE AND SIT 0 REVIEWED WITH NOTATIONS 0 NOT REVIEWED (See Explanation) This check is only for review of general conformance with the design gion loin thethe y ( gyralntswig the or comments made on equipment submittals or shop drawings during this review do not relieve contractor from compliance with requirements of the drawings and specifhatlons. The contractor is responsible for confirming and correlating ail quantities and dimensions; selecting fabrication processes and techniques of construction; coordinating his work with that of all other trades and performing his/her work in a safe and satisfactory manner. nate jQ7-7-o /S By 5gkOC,f = .. . . .. • • • • • • •••• • . •• • . • .. • • • • . • . • .... • •••• .... • . • •••• • • • •. • . • • • • •• • • • .. .. • • • • • • • • •••• • • • • • • • • • ••• • • • • ••• . • . •••• •• • • • • • • ••• Jax Apex 7eFerioioyy„Inc.: FBPE CA NO.?547 ' ” "• • 4745 Sutton Park Court, Suite 402 Jacksonville, FL..32224/ 904/821-5200 .. • • • •• • • .. • • . • . ... . . Evaluation reports are the opinion of the engineer who prepared the report, based on the findings, and in no way constitute or imply approval by a local building authority. The engineer, in review of the data submitted, finds that, in his opinion, the product, material, system, or method of construction specifically identified in this report conforms with or is a suitable alternate to that specified in the Florida Building Code, SUBJECT TO THE LIMITATIONS IN THIS REPORT Jeffrey P. Arneson, an employee of Jax Apex Technology, Inc. (Apex Technology), is the authorized evaluating engineer of this report. Apex Technology is the prime professional, as defined in Florida Rule 61G-30.002, authorized to sell the engineering services performed by Jeffrey P. Arneson, and is in no way acting, nor attempting to act, as an approved evaluation entity. Neither Jeffrey P. Arneson, nor any other employee of Apex Technology, has performed calculations or testing for the products listed in this report. This evaluation is based solely upon the review, under the direct supervision of Jeffrey P. Ameson, of testing and/or calculations submitted by the manufacturer. The capacities listed in this report are based on the limiting capacities as determined from the substantiating data. We reviewed the substantiating data to a degree that allowed us to determine whether or not the work performed is consistent with the intended use of the product, and that the methods used are in compliance with, or meet the intent of, the Florida Building Code. All test reports were prepared by an approved testing laboratory. REPORT NO.: SIM200802 CATEGORY: Structural Components SUB CATEGORY: Metal Connectors SUBMITTED BY: SIMPSON STRONG -TIE COMPANY, INC. 5956 W. LAS POSITAS BOULEVARD PLEASANTON, CA 94588 1. CERTIFICATION OF INDEPENDENCE: Jeffrey P. Arneson, the Florida engineer who prepared this report, and Apex Technology have no financial interest in the manufacturing, sales, or distribution of the products included in this report. Jeffrey P. Arneson and Apex Technology comply with all criteria as stated in Florida Administrative Code Chapter 9B-72.110. 2. PRODUCT NAME Truss to Wall Connectors MTSM16, MTSM20, HTSM16, HTSM20, HM9, HGAM10 Page 1 of 13 Simpson Strong -Tie • • ••• • • • ••• •• •• • • •• • •• •• • • • • • •• •• •• • •• • •• • •• •• • ••• • •• •• • • •• • • •• •• •• • • ••• • • • • • ••• Embedded Truss Anchors• • • • • • . • . • . • • • • META12, META14, MEl±A1 §, 1 T/j1$, R1 wR20:ME rA22, META24, META40, HETA12, HETA16, HETVO'rfETA24 Hf.1•A40,•F:E1 12, HETAL16, HETAL20, HHETA12, HHETA16, HHETA20, HHETA24, HHETA40, LTA1, DETAL Wood to Masonry Straps MSTAM24, MSTAM36, MSI•CQII4:0, NIST%K466 • • • • • GirderTiedowns • ••• • • ••• ••• •• • FGTR, FGTRE, FGTRHL•MORCIR • • • ••• •• Wood to Masonry Hangers LGUM26-2, LGUM28-2, LGUM210-2, LGUM26-3, LGUM28-3, LGUM210-3, LGUM26-4, LGUM28-4, LGUM210-4, LGUM46, LGUM48, LGUM410, HGUM5.25, HGUM5.50, HGUM7.00, HGUM7.25, HGUM9.00 3. SCOPE OF EVALUATION Load Evaluation as a Structural Component using the requirements of the Florida Building Code, Building. 4. DESCRIPTION: 4.1 MTSM16 and MTSM20 Twist Straps for Wood to Masonry. The MTSM16 and MTSM20 are used to anchor wood trusses, rafters, or beams to masonry or concrete walls. The MTSM fastens to the wood member with 10d common nails, and fastens to the wall with either %x2%" Titen Masonry Screws for a masonry wall, or %X13/" Titen Masonry Screws for a concrete wall. These connectors are manufactured from 16 gauge steel meeting ASTM A653 SS Grade 33. The galvanized coating complies with the G90 requirements of ASTM A653. Twist strap fastener schedules, dimbnsions and allowable Toads are shown in Table 1. See Figure 1 for additional details of twist straps for masonry. 4.2 HTSM16 and HTSM20 Twist Straps for Wood to Masonry. The HTSM16 and HTSM20 are used to anchor wood trusses, rafters, or beams to masonry or concrete walls. The HTSM fastens to the wood member with 10d common nails, and fastens to the wall with either' x2%" Titen Masonry Screws for a masonry wall, or %4x13/" Titen Masonry Screws for a concrete wall. These connectors are manufactured from 14 gauge steel meeting ASTM A653 SS Grade 50, Class 1. The galvanized coating complies with the G90 requirements of ASTM A653. Twist strap fastener schedules, dimensions and allowable Toads are shown in Table 1. See Figure 1 for additional details of twist straps for masonry. 4.3 HM9 Hurricane Tie. The HM9 is used to anchor wood trusses, rafters, or beams to masonry or concrete walls. The HM9 fastens to the wood member with Simpson % X 1'/Z" SDS screws (provided with the part), and fastens to the wall with either %x2W Titen Masonry Screws for a masonry wall, or 1/4x1%" Titen Masonry Screws for a concrete wall. The HM9 is manufactured from 18 gauge steel meeting ASTM A653 SS Grade 33. The galvanized coating complies with the G90 requirements of ASTM A653. Hurricane tie fastener schedule, dimensions and allowable loads are shown in Table 1. See Figure 2 for additional details of the HM9. 4.4 HGAM10 Hurricane Gusset Angle. The HGAM10 is used to anchor wood trusses, rafters, or beams to masonry or concrete walls. The HGAM10 fastens to the wood member with Simpson % X 1'/2" SDS screws (provided with the part), and fastens to the wall with '/4x2'/4" Titen Masonry Screws. Allowable loads are shown in Table 2. The HGAM10 is manufactured from 14 gauge steel meeting ASTM A653 SS Grade 33. The galvanized coating complies with the G90 requirements of ASTM A653. 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N rvJ 1(F T FAN • a • • •••• • • • • • •• • •• • • • • • •• • • • • •••• •••• • • • • • • •••• •••• • • •• •• • • ••• • • • •• • • •• • • • • • • • • • • • • •• • • • • • ••• • • • • • PLua)&i'Jl, New ! fi JLIt'J I'Y L,i i2,4T3yi2c 41 31 ,, fi 1" -NEW xi" YSb 1e1 baba. ---NrW 10 VAN t fY NL V\1 WALL MOON' rAvLer NEW FRU J1Wl) 647.µV8 KEW 'MALL m D *i » SNowttt WOK. N t VV W till. to414TE{ CA13c>T Ntw ¶otLEr •••• • • • • •••• • • • • •• • •• • • • • • • •• • • • • • •••• •••• • • • • •••• •••• • • •• •• • • • • • • • • • •• • • • • • ••• • • • •• • • • • • • • • • • ••• • • • • • • 58" Cast Iron Swedish Tub with No Faucet Holes -"Holt", Chrome Feet - Shabby chic - B... Page 1 of 2 houzz All Products / Bath / Bathtubs Customer Reviews Write a Review Purchased this product? Share your experience! Click Here to add your review. 58" Cast Iron Swedish Tub with No Faucet Holes -"Holt'', Chrome Feet $1,384 Sold Out Free Shipping! Choose a Color Brushed Nickel Feet Chrome Feet Oil Rubbed Bronze Feet Our "Holt," is one of the most fashionable styles of cast iron claw foot tubs. It is the superb soaking tub for those who desire to soak in the deepest water. This 58" slipper tub with its 52 gallon capability supplies the perfect soaking experience. The "Holt," with its deep soaking design and silky smooth porcelain interior allows you to discover yourself entirely submerged in a considerable amount of chin deep water, producing the perfect combo of hydrotherapy and wholesome relaxatio Product Specifications Manufactured By The Tub connection Sold By The Tub Connection Width 29.5' Depth 57.5" •••• • • Height • • • •30.25' • • • • Color •• •Chrom%Se%•• Materialg • Cast Iron porcelain Category Bathtubs • Style • • • • • •Shabbych ic• • • •••• •••• • • Ready taship•ta the Conti.erital U6. in 1 - t • • • • days. • • • • • • View retugnyppljpj, • • • • • • • • • • • • • • • • • • Need more info; Ask a qutttIDR • • • • •• • • ••• • • • • • • • http://www.houzz.com/photos/17462350/58-C ast-Iron-Swedish-Tub-with-No-F aucet-Ho le s... 7/9/2015 PitifervilAL NEV Fici)P NEWyq WOO / PActi-vr\t,t.) \A‘ I LL uiOt»jt) VV iLt PJT80,41.2G CITY COPY S— r'st) cl NEIN Dtr W Pexi(ex hety, N 1/1" of ivo\ -t boARD To,a, 5,0.2o N Evti tifCf)Sori) DVEL EY 1 mt. )( 4" Wivr: rit4tr 11.4111•TILE ov.4 RECEPv AUG 0 2015 BY: 1 rt_coQ PLAtu 69ts zob r.! 18 4 r_ MD EX 6-1"/ viv4 f Atfit Lu- „ 'f427 J . , • ! r!.!!,; 1 .3! i'afe- r Miami Shores Village APT,ROVED BY DATE DEPT -":"3 DEPT Hi (T TO COMPLIANCE WITH ALL FEDERAL I P,1 i AND COUNTY RULES AND REGUI Al IONS 411/4---. MQ_ ADD SMOKE/CARBON MONOXIDE DETECTORS. ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED t. 1;X)a i y�I • • • — r \ttAS LI Ks rqb r-LoDa Pat)) 4 • ...elxvoro• •.!•••1••••••••-•••• • LEL:111.104 L. • F RAT.9101.)n'i • 6ATHROOM RECEPTACLE ON 20 AMP CKT AND G.F.1 PROTECTED ELECTRICAL REVIEW APPROVE DATE VAN LIL,14T I 00 N...E.7 ;zc,4-itif d _Ii EVki EiHAnT Ntspi 1_1647 e:- 4/2_,_ feat:7- PAEclqiimiCAL NW Fi is.T AT WI) l'j;\14 i-\3rDvE CEIL\AL NEw )(1-1411c..5-TrAN PLuta Nib New AiY P, L.): ri nAi v go" tab& --NW V." V AN Pi tie 4! WALL re,ourtr Cro)GeT N;;V\I rRF arlrnIPEI 1E.Nti WALL 091,15-1) ett AI_ E Y/ Lt. rno 1 58" Cast Iron Swedish Tub with No Faucet Holes -"Holt", Chrome Feet - Shabby chic - B... Page 1 of 2 houzz All Products / Bath / Bathtubs 57 1/2" .._. 261/4" 29 t7" t3" —2 26 lis Customer Reviews Write a Review Purchased this product? Share your experience! Click Here to add your review. 58" Cast Iron Swedish Tub with No Faucet Holes -"Holt", Chrome Feet $1,384 Sold Out Free Shipping! Choose a Color: Brushed Nickel Feet Chrome Feet Oil Rubbed Bronze Feet Our "Holt," is one of the most fashionable styles of cast iron claw foot tubs. It is the superb soaking tub for those who desire to soak in the deepest water. This 58" slipper tub with its 52 gallon capability supplies the perfect soaking experience. The "Holt," with its deep soaking design and silky smooth porcelain interior allows you to discover yourself entirely submerged in a considerable amount of chin deep water, producing the perfect combo of hydrotherapy and wholesome relaxatio Product Specifications Manufactured ByThe Tub connection Sold By The Tub Connection Width 29.5" Depth 57.5" Height 30.25" Color Chrome Feet Materials Cast Iron, Porcelain Category Bathtubs Style Shabby chic Ready tc tc t'ie Conti.icn:al U.S. in 1 - days. View return pnlfc" • Need more info? Ask a question , http://vv-ww.houzz.cora/photos/17462350/58-Cast-iron-Swedish-Tub-wits-No-Faucet-Ho[es.. 7/ /7015