DS-18-2317 (3)'INSPECTION RECORD
Miami Shores Village
10050 N.E.2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
POST ON SITE
Permit NO. DS-VQ -1 V-231 7
Permit Type:
Work Classification: New
Issue Date: 8/3012018 1� y� �y
Expires: 02 26/2019
INSPECTION REQUESTS: (305)762-4949 or Log on at https://bldg.
REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE FOLLOWIN
Requests must be received by 3 pm for following day inspections. ,i
village.comlcap
Y.
Driveways/Sidewalks/Slabs Parcel #:1132060132980 ;
Owner's Name JOSE SBARRA Owner's Phone: (305)758-1169
Job Address:128 NE 94 Street N. ' A NNY I Total Square Feet: 1660
Miami Shores- FL 33138-
Total Job Valuation: $ 8,000.00
Bond Number:`: J
`< WORK IS ALLOWED:
MONDAY THROUGH FRIDAY, 8:OOAM - 7:OOPM.
Contractors Phone , * ' Primary , htractor SATURDAY 8:OOAM - 6:OOPM.
AROUIGREEN CORP (305)778-5961 Yes NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS.
BUILDING AND ROOFING INSPECTIONS ARE DONE
MONDAY THROUGH FRIDAY.
7//�.
NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READILY 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 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 WORM OR RECORDING YOUR NOTICE OF
COMMENCEMENT.
INSPECTION RECORD
STRUCTURAL
INSPECTION
DATE
INSP
Foundation
Stemwall
Slab
Columns (1st Lift)
Columns (2nd Lift)
Tie Beam
Truss/Rafters
Roof Sheathing
Bucks
Interior Framing
Insulation
Ceiling Grid
Drywall
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
DOCUMENTS
Soil Bearing Cert
Soil Treatment Cert
Floor Elevation Survey
Reinf Unit Mas Cert
Insulation Certificate
Spot Survey
Final Survey
Truss Certification
STRUCTURAL COMMENTS
WINDOWS
:DOORS
INSPECTION
DATE I INSP
Attachment
PUBLIC
INSPECTION
WORKS
DATE INSP
Excavation
G
ELECTRICAL
INSPECTION
Z �+
DATE INSP
Temporary Pole
30 Day Temporary
Pool Bonding
Pool Deck Bonding
Pool Wet Niche
Underground
Footer Ground
Slab
Wall Rough
Ceiling Rough
Rough
Telephone Rough
Telephone Final
TV Rough
TV Final
Cable Rough
Cable Final
Intercom Rough
Intercom Final
Alarm Rough
Alarm Final
Fire Alarm Rough
Fire Alarm Final
Service Work With
ELECTRICAL COMMENTS
INSPECTION DATE INSP
Final Sprinkler
Final Alarm
PLUMBING
INSPECTION
DATE
INSP
Rough
Water Service
2°d Rough
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
PLUMBING COMMENTS
MECHANICAL
INSPECTION DATE INSP
Underground Pipe
Rough
Ventilation Rough
Hood Rough
Pressure Test
Final Hood
Final Ventilation
Final Pool Heater
Final Vacuum
MECHANICAL COMMENTS
UPS: DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30, 2018
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/gompany, and (3) building owner.
SECTION A — PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owner's Name
Policy Number:
JOSE A. SBARRA
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg, No.) or P.O. Route and
Company NAIC Number:
Box No.
128 NE 94 STREET
City State ZIP Code
MIAMI SHORES Florida 33138
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOTS 10-12, BLOCK 22 OP "MIAMI SHORES SEC. 1 AMD." P.B. 10, P.G. 70, M/D.C.R.
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 25051'39.99"N Long. 8001 1'40.92"W Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1 B
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) N/A sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in
d) Engineered flood openings? ❑ Yes x❑ No
A9. For a building with an attached garage:
a) Square footage of attached garage 644 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes Fx� No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
VILLAGE OF MIAMI SHORES 120652
MIAMI/DADE
Florida
B4. Map/Panel
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood Zone(s)
B9. Base Flood Elevation(s)
Number
Date
Effective/
(Zone AO, use Base
Revised Date
Flood Depth)
12086CO302
L
09/11 /2009
09/11 /2009
X
N/A
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ❑ NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 0 No
Designation Date: N/A ❑ CBRS ❑ OPA
FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 1 of 6
. r
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
128 NE 94 STREET
City State ZIP Code
Company NAIC Number
MIAMI SHORES Florida 33138
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations — Zones AJ A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO.
Complete Items C2.a=h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: COUNTY BM - N-568, ELE.- 9.65' Vertical Datum: NGVD29
Indicate elevation datom used for the elevations in items a) through h) below.
❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: N/A
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a) Top of bottom floor (including basement, crawispace, or enclosure floor) 11.0 0 feet ❑ meters
b) Top of the next higher floor N/A x❑ feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑x feet ❑ meters
d) Attached garage (top of slab) 10 3 ❑x feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 10 4 x❑ feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 10.5 ❑x feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 11.0 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. x❑ feet ❑ meters
structural support
SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information on this Certificate represents my best efforts to interpret the data available. / understand that any false
statement may be punishable by fine or imprisonment under 18 U.S, Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? Z Yes ❑ No ❑ Check here if attachments.
Certifier's Name License Number
RICHARD E. COUSINS 4188
T".��
Title
LAND SURVEYOR & MAPPER
Place
T5j 1 4
Company Name
COUSINS SURVEYORS & ASSOCIATES, INC.
Here
Address
3921 SW 47TH AVENUE, SUITE 1011
City State ZIP Code
DAVIE Florida 33314
Signature , ✓ v Date Telephone
,."p01/30/2019 (954) 689-7766
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments (including type of equipment and location, per C2(e), if applicable)
Latitude and Longitude was obtained by the GPS Street Finder installed in our trucks.
Field survey datum is same as datum used for BFE in item B9.
C2e-A/C Elevation - 11.00' (West face of building)
C.O,R. - 10.32'
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 5
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
128 NE 94 STREET
City State ZIP Code
Company NAIC Number
MIAMI SHORES Florida 31138
SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A ("THOUT BFE)
For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request,
complete Sections A, B,and C. For Items El—E4, use natural grade, K available. Check the measurement used. In Puerto Rico only,
enter meters.
Ell. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below
the highest adjacent grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement,
crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or [] below the HAG.
b) Top of bottom floor (including basement,
crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions),
the next higher floor (elevation C2.b in
the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment
servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or
community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
THIS PAGE IS INTENTIONALLY LEFT BLANK.
Check here if attachments.
FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 3 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
128 NE 94 STREET
City State ZIP Code
Company NAIC Number
MIAMI SHORES Florida 33138
SECTION G — COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement
used in Items G8—G10. In Puerto Rico only, enter meters.
G1. [] The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,
engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation
data in the Comments area below.)
G2. ❑ A community official completed Section E for s building located in Zone A (without a FEMA-issued or community -issued BFE)
or Zone AO.
G3 ❑ The following information (Items 04—G10) is provided for community floodplain management purposes.
G4. Permit Number
G5. Date Permit Issued
G6. Date Certificate of
Compliance/Occupancy Issued
2015120669
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum
G9. BFE or (in Zone AO) depth of flooding at the buUding site: [] feet ❑ meters Datum
G10. Community's design flood elevation: 0 feet ❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments (including type of equipment and location, Per C2(e), if applicable)
THIS PAGE IS INTENTIONALLY LEFT BLANK.
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6
` BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
128 NE 94 STREET
City i State ZIP Code
Company NAIC Number
MIAMI SHORES Florida 33138
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, 'Right Side View" and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
i
I
Photo One
Photo One Caption Pic Taken: 01/29/2019 - Front View
a { i
Wk
Photo Two
Photo Two Caption Pic Taken: 01/29/2019 - Front View
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
128 NE 94 STREET
City State ZIP Code
Company NAIC Number
MIAMI SHORES Florida 33138
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
N:
s
-- pwf
w
Photo One
Photo One Caption Pic Taken: 01/29/2019 - Rear View
_
IF
MWWWWW
Photo Two
Photo Two Caption Pic Taken: 01/29/2019 - Equipment View ^—
FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 6 of 6
RECEIVED
BUILDER
Subdivision:
C ert.ific to of
I (�iAA �
Property Address: TI-1
I Z 8 N L-'_ gy
[A M I ,�ffV9E'2> j FL
Completion
Lot #:
� is �°,� �•�'.
a
Date of Horizontal Treatment: (
Date of Vertical Treatment: 23 1J2 Time of Treatment:
f�(
AVI—S
Dat Time Applicator
Produ t Used
If
Percent Concentration
C ical used (active ingred.)
Area Treated (sq. ft)
(6
No. of gallons applied
Linear feet treated
The above structure has received all required treatments for the prevention of subterranean termites.
This form is proof of corn lete eatment for certificate of occupancy or closing.
Full warranty is in effect for 00 years from date of last treatment.
f�0
Full warranty renewel fee will be $ ^� per year.
NO LIMIT TEI%MITE & P S SER , LLC hereby confirms that this building has received a complete treatment for the
revention o�Iture
ubterra ea ermi s. nt is in accordance with the rules and laws as established b Florida De art-
p Y p
ment of Agri d onsu ry ces. xterior perimeter treatment was completed upon final grade.
No Liiiiit /Termite & Pest Services
State License # JB 1-74658
ID Card# !g 711
(Refer to reverse side for warranty, general terms & conditions and payment terms.)
6142 N St Rd 7, Ste. 307 9 Coconut Creek FL 33073 Office: 754-235-7126/Fax: 954-306-3710
Warranty
Subject to the general terms and conditions, the Company will control incidences that may occur of
infestation by the wood destroying organism(s) designated as subject of this agreement for five years after
initial treatment, provided that warranty renewal fees are paid in accordance with terms of this agreement.
The COMPANYS WARRANTY under this agreement is limited to control only of subject infestation and
does NOT cover repair of existing or resultant damage by wood -destroying organisms to the structure(s) or
contents thereof.
Payment for the initial treatment includes a five year warranty as specified herein. Normal renewal
anniversary date shall be considered to be the last day of the calendar month preceding the actual treatment'
date.
The WARRANTY is personal to the property, and as such is transferred from owner to owner during the
course of this agreement, and by advising'the COMPANY in writing of the name and billing address of the
new owner.
GENERAL TERMS AND CONDITIONS
1. If during the WARRANTY period, additions and/or alterations are made which affect the treated
structure(s) by creating new insect hazards or interference with the chemical protective barrier, the
COMPANY may terminate the WARRANTY unless the COMPANY receives prior written
notification, re -inspects the structure(s), contracts for additional treatment and/or adjusts the
WARRANTY renewal fee.
2. The COMPANY'S liability under this WARRANTY shall terminate when access to the premises
for the purpose of carrying out the terms and conditions of contract is refused the COMPANY or
its agent.
3. The COMPANY will exercise reasonable care in its treatment procedures, but will not accept
responsibility for broken roof tiles, gutters, solar heaters, landscape foliage, or any other
inadvertent damage occasioned by properly performed procedures.
4. In the event it becomes necessary to retain legal counsel or collection agents, in order to collect
payment as agreed in the contract, the COMPANY shall be entitled to reasonable attorney's or
collection agencies fees and costs of collection.
S. This contract, the attached Graph & Specification and, when applicable, the instructions to
Occupants for Fumigation and the executed release of Company Liability comprise the entire
agreement between the parties hereto, and the COMPANY and the CLIENT are bound only by the
stipulation of these terms and conditions and not by any other representations; oral or otherwise,
unless such are in writing and signed by an officer of the COMPANY.
PAYMENT TERMS
Payment shall be made within 30 days from the date of services. Any account which has an unpaid balance
at the end of said terms will be charged interest on the unpaid portion at the rate of one and one half per
cent (1-1/2%) interest per month until such time as the account has been paid in full.
Notwithstanding that the serviced property is the subject of a real estate transfer, refinance, etc., payment
for services rendered shall be made within the stated time, and if not, the Company shall hold CLIENT
fully responsible for all payments due hereunder.
atICEIe D
JAN 3 , 6A
--
MIAMFOADE
t � u Miami -Dade County Building Department
11805 S.W. 26 Street, Miami, FL 33175-2474
www.miamidade.gov/building
ENERGY. SOUND AND IMPACT CERTIFICATE
Building Permit No: PC- 18 -'6 ZL1
Project Name:
Job Address: 1Z9. J-1 c d►�i -
STATEMENT OF COMPLIANCE
We, the undersigned, hereby certify that the ENERGY SOUND AND IMPACT INSULATION has been installed in the above
referenced project, in compliance with the latest edition of the FLORIDA BUILDING CODE, the APPROVED ENERGY
CALCULATIONS and Plans and in accordance with good construction practice. The insulation furnished and installed has the
characteristics shown below: (check only applicable boxes).
/K 1) Exterior CBS Walls Insulation: R-__8 (Min.): Material: F)bM 1 q SS
Thickness: inch (es): Density: lb/ft: Mfgr:
❑ 2) Exterior Frame/Metal Stud Walls: R- (Min.): Material:
Thickness: inch (es): Density: Ib/ft: Mfgr:
❑ 3) Exterior solid concrete walls: R- (Min.): Material: _
Thickness: inch (es): Density: lb/ft: Mfgr:
❑ 4) Interior wa is epa ting A/C from non A/C spaces insulation: R- (Min.) f
Material: I QCS; Thickness: `t 4 inch (es); Density: 3+., 2 1b/ft
❑ 5) MULTI -FAMILY RESIDENTIAL CONSTRUCTION ONLY: The COMMON (Party) walls to two separate conditioned
tenancies shall be insulated to a minimum of R-1 I for frame walls, and to R-3 on both sides of common masonry walls
See ENERGY, CODE, 2007, paragraph 13-602. ABC.1.1, on page 13.74, latest edition. These "minimum levels of
insulation", are not included in the Energy Calculations, but shall be installed in the field.
X 6) Ceiling insulation R- �i� (Min.); Material: ,FiLeA �a
Thickness: 7 11_ inch (es): Density: lb/ft: fgr: _ $ 3
❑ 7) Walls, partitions and floor/ceiling assemblies between dwelling units or between dwelling units and adjacent public or service
areas such as halls, corridors, stairs, etc. must have a sound transmission class (STC) of not less than 50 (penetrations must
maintain the required rating).
❑ 8) Floor/ceiling assemblies between dwelling units or between dwelling units and public or service areas such as halls, corridors,
stairs, etc. must have an impact insulation class (IIC) rating of not less than 50.
Make photocopies of this sheet in your office, as required for future jobs.
Installed by:
Insulation Company Name
Insulation Contractor CC#
O.C./Builder:
Company Name
Building Contractor CC#: Al W lJtPMQLk
Insulation Contractor Signature
Date Certified:
G.C.Builde s Signature
Date Certified: 1 b o' 7�
Note: For lightweight Insulating concrete, use appropriate forms, separate from this one.
�� Revised 02-26-2009
Notice of inspection
and/or Treatment
ate -of In on
:ram
Date o . reatment — r
Pesticide UUs�ed
I Wood -Destroying Organism Treatment
Pursuant to Chapter 482; Florida Statutes,
482.226 (6), this notice la required to be posted.:
Arty licensee who performs control of any wood.
destroying organism shall post notice of said t
treatment immediately adjacent to the access to ' r
the attic or crawl area of other e
area of the Property treated..
f
6512 NW 54TH CT
Lauderhill, FL 33319
3 Ph: 764-235-7126 Off: 954-709-5249
RECEIVEL
JAN 3170"9
January 29, 2019
City of Miami Shores Village
Building Department
10050 NE 2^d Avenue,
Miami Shores, FL 33138
Subject: New Single Family House at
128 NE 94 ST,
Miami Shores, FL 33138
PERMIT # RC-18-424
FOLIO # 11-3206-013-2980
Attn: Building Department,
This letter shall serve as a confirmation that I, Alejandro Maulini, the undersigned, a
Professional Engineer registered in the State of Florida, having performed and
approved the required inspections at New Single Family House. I hereby attest to the
best of my knowledge, belief and professional judgment, the structural and envelope
components of the above referenced are in compliance with the approved plans
and others approved documents. I also attest that to the best of my knowledge, belief
and professional judgment, the approved permit plans represent the as -build
conditions of the structural and envelope component of the said structure.
This document is being prepared in accordance with Chapter 1 of Florida Building
Code and must be submitted to the Village of Miami Shores Building Department in
conjunction with the application for a Certificated of Completion for the above
referenced structure.
Should you have any questions, please do not hesitate to call me at (786) 597-3543.
Respectfully submitted,
Alejandro Maulini, PE,
FL. Reg. #82545
13342 SW 152 ST,
Suite 2708, Miami, FL 33177
\�0\11 I I III
No. 82545
ci
AL \��
001110