The URL can be used to link to this page

RC-18-3370Certificate of Completion Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department Description: KITCHEN AND TWO BATHROOMS REMODELING Permit Type Building (Residential) Bldg. Permit No. RC-11-18-3370 Owner PATRICE ROBINET Contractor CLICK RCS INC Subdivision/Project Date Issued 08/16/2019 Construction Type V-B Occupancy Single Family Type Square Footage 300.00 Flood Zone X r, Location If the building is located in a special flood hazard area documentation of the as -built lowest floor elevation or lowest horizontal structural member has been provided and is retained in the records of Miami Shores Village. This certificate issued pursuant to the requirements of the Florida Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction oruse. Building Officials Approval ' Not Transferable POST IN A CONSPICUOUS PLACE Ismael Naranjo, CBO Aryl SNORES, v. Miami Shrares Vliiage �F s I ul ,IMF Bwiding Departmei,t 1.00 0 NF 2 Ave .,T c Mia ,�i Shores FL 33138 f1�RIDp` Permit NO. RC-11-13-3370 Type: Building (Residential) WorWass- Alteration Permit Status: Approved Issue gate: 1 /11 /2019 o'SPECTION REQUESTS: (305)762 4949 or log on at https://bidg msvfi,gnvlenergov_prod/seifservice Requests must be received by 3:30pm WORK IS ALLOWED: MONDAY THROUGH FRIDAY, 8'00AM - 7:00PM SAT'RDAY 8:00Aivi - 6:OOPM NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY . 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 . Owner's Name: PATRICE ROBINET Job Address: 1055 NE 96TH ST Miami Shores, FL 3313 " Owner's Phone: Expires: 07110/2019 POST ON SITE 1132060143710 Total Square Feet: 300 rotal Job Valuation: $ 49,755.00 Contractor(s) Phone Address CUGK RCS INC (954)825-8771 "7 80 N FRENCH DR 405, PEMBROKE PINES, FL 33024 Description: KITCHEN ANC TWO BATH ~411110000- 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 WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Page 1 of 1 I ni r^ n r r� �n n' n r i^ n n r� ivJrnE: iviv r.E�vrnu A.;-.q — INSPECTION DATE INSP Foundation Stemwall Slab Columns (1st Lift) Columns (2nd Lift) Tie Beam runs/Rafters Sheathing Rip Bucks Interior Framing Insulation lCeiling Grid Drywall �►� Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Fiveway Base ITin Cap In_prnarpcc Roof Installation Roofing Final 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 Certificatior, CT R!!rTi !RAT rnMMF1yTC r I WINDOWSDOORS INSPECTION DATE INSP Attachment PUBLIC INSPECTION WORKS DATE I INSP Excavation ELECTRICAL rNSPECTION DATE !NSP r Temporary Pole ! 30 Day Temporary Roof Bonding i Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab Wall Rough i Ceiling Rough Ruugii Telephone Rough ° I� I I P1P nhnnP Final TV Rough --{ I TV Final Cable Rough Cable Final Intercom Rough Intercom Final. Alarm Rough Alarm Final Fire Alarm Rough Fire Alarm Final Service Work With, ELECTRICAL CdMN ,TENTS gF7,110tol I I v INSPECTION DATE INSP Final Sprinkler Final Alarm INSPECTION DATE INSP Rough «°' 3 `i !t Water Service 2nd 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 , PLUt"AB!NG COMIMIENTS MECHANICAL INSPECTION DATE INSP Underground Pipe Rough Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater Final Vacuum MECHANIC COMMENTS e5 IT" B Location Address Parcel Number 1055 NE 96TH ST, Miami Shores, FL 33138 1132060143710 Contacts PATRICE ROBINET Owner CLICK RCS INC Contractor i 1055 NE 96 ST, MIAMI SHORES, FL 331382551 AMIT ERLICH 7980 N FRENCH DR 405, PEMBROKE PINES, FL 33024 Business: 9548258771 aerlich@click.com F � Inspection Requests: Description: KITCHEN AND TWO BATHROOMS REMODELING Valuation: $ 49,755.00 i 305-762-4949 i Total Scl Feet: 300.00 ..j!. Fees Amount Application Fee - Other $200.00 CCF $30.00 Certificte of Completion for Single Fam $50.00 and Duplex DBPR Fee $22.39 DCA Fee $14.93 Education Surcharge $10.00 Notary Fee $5.00 Permit Fee $1,292.65 Scanning Fee $33.00 Structural Review ($90) $90.00 Structural Review ($90) $90.00 Structural Review ($90) $90.00 Technology Fee $37.32 Total $1,965.29 Payments Date Paid Amt Paid Total Fees $1,965.29 Cash 01/11/2019 $1,200.00 Credit Card 11/06/2018 $200.00 Check # 2308 01/11/2019 $565.29 Amount Due: $0.00 Building Department Copy 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: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a d zoning. Futhe�rmo(re, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / 'Contracto / Agent Date January 11, 2019 Page 2 of 2 Miami Shores Village .� 4F \v BUILDING Building Department Nov 06 0 100SO N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC(201�1'ofk Master Permit No. RL 16 - 331 U PE IT APPLICATION UILDING ❑ ELECTRIC ❑ ROOFING Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP E (�/ _l CONTRACTOR DRAWINGS JOB ADDRESS: �� 7� /,{� r - l(� p 1- City: Miami Shores County: Miami Dade Zip: Folio/Parce!#:11 - 32A2 -oN - ';3- % 1 o Is the Building Historically Designated: Yes NO l,f Occupancy Type: Load: OWNER: Name (Fee Simple City: Tenant/Lessee Name: Email: Construction Type: Flood Zone: CONTRACTOR: Company Name: l C Address: q9�7 AJ Ga,,f, f City: Name: I BFE: FFE: State: Zip: 2 8 �� • r State Certification of Registration #: (21(!E��-LS'9?g6Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: Type of Work: ❑ Addition Description of Work: Alteration Specify color of color thru the: City: State: ii�Z�p-:— Square/Linear Footage of Work: _P' ❑ New ❑ Repair/Replace ❑ Demolition Submittal Fee $2� • Permit Fee $ (,2G "Z. • G? ccF $ 30 •00 CO/CC $ 1�0' 150 Scanning Fee $ �3 Radon Fee $ ) �'• 3 OBPR $ZZ' 3�i Notary $ rOD , Technology Fee $ 3 4 3Z Training/Education Fee $ Double Fee $ Structural Reviews $ d • 00 9G . 00 'r0.00 Bond $ GOO • Ck (Revised02/24/2014) TOTAL FEE NOW DUE �+6 21 26,• 2Z_l Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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: 1 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 low 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. Signatur Signat 0 OWNER o A T C NTRACTOR X _b m 0 N The foregoing instrum=waad,.nowledged before me this The f�iregoing instrument was acknowledged before me this day of.202 � by ih day of mmb,e r 20 , by c t who is personally known to who is personally known to who has produced �� as me or who has produced, b I\R Y l 1 cqm& as iden ication and who did t identificatio no who did t n oath. r~ Y PUBLIC. v (.L)7 P. ERLICH NOTARY P BLIQ ti W C-,inHS9I0N#G0I9926 / A EXPiKES. May 30, 2022 Zn rUaA A, 1, �0 sss�sS*ss�e APPROVED BY (RevisedO2/24/2014) << Print: Seal: Plans Examiner Structural Review V YANADY PRIETO MY COMMISSION # FF 214V EXPIRES: March Vi, 20 s Zoning Clerk �*Vw*! OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-014-3710 Property Address: 1055 NE 96 ST Miami Shores, FL 33138-2551 Owner PATRICE ROBINET ELSA GAGNON Mailing Address 1055 NE 96 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1400 SGL FAMILY - 3001-3250 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Hatt 3/3/0 Floors 2 Living Units 1 Actual Area 3,319 Sq.Ft Living Area 2,702 Sq.Ft Adjusted Area 2,856 Sq.Ft Lot Size 12,500 Sq.Ft Year Bulk 1938 Assessment Information Year 2017 2016 2015 Land Value $450,000 $463,000 $381,000 Building Value $207,045 $155,278 $155,278 XF Value $33,520 $1,914 $1,512 Market Value $690,565 $620,192 $537,790 Assessed Value $410,985 $320,533 $318,305 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $279,580 $299,659 $219,485 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional), Short Legal Description MIAMI SHORES SEC 3 PB 10-37 LOTS 12 & 13 BLK 82 LOT SIZE IRREGULAR ODH OR19383-4062 1100 PROB 99-02686 CP (04) Generated On: 3/24/2018 Taxable Value Information 2017 2016 2015 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $360,9851 $270,533 1 $268,305 School Board Exemption Value 1 $25,000 $25,000 $25,000 Taxable Value 1 $385,985 $295,533 $293,305 City Exemption Value 1 $50,000 $50,000 $50,000 Taxable Value 1 $360,985 $270.533 $268.305 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $360.985 $270,533 $268.305 Sales Information Previous Price OR Book- Qualification Description Sale Page 12/19/2011 $100 27963-4942 Corrective, tax or QCD; min consideration r070/iW9 $480,000 26995-1100 Qual by exam of deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov(nfo/disclaimecasp Version: RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY Fi ric;i STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCT10 "INOO Y AIM SING BOARD THE GENERA. C6AMRA N- lF4D UNDER THE PROVI t, NS6C1F ,�Q-IA 489, FLO1 ST TUTES 1 R0 INCIMIA ' EXPIRATION bAT9*.' AUGUST 31, 2020 Always verify licenses online at My Florida License.com Do not alter this document In any form. This is your license. It is unlawful for anyone other than the licensee to use this document. BROVItARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft Lauderdale, FL 33301-1895 — 9544-831-4000 VALID OCTOBER 1, 2018 THROUGH SEPTEMBER 30, 2019 DBA: Nuns:CLICK RCS INC OWnar Name: MIT ERLICH Btu Location- 7980 N FRENCH DR #405 PEMBROKE PINES Business Phof : 954-825-8771 RSCWpt#-1EN - AL CONTRACTOR Business Type: Business Opermd:08/12/2014` StnftWCou Rty1C*rVPAg:CGCl 5 2 2 4 6 0 Exemption Code: Ron- 0 $outs E P. 2 For Va 8WkA s OWy tfr>etif�r of �irJd�re- v - r Tax AM" TransW Fee NSF Fee Penalty Prior Yews ' r CaYed ian Cast Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This .tax is levied for the priviiege of doing business within Browwd County and is non -regulatory in nature. You must meet all County and/or Muniakx ty piary ft WHEN YAUDATED and zoning requirements. This Business Tax Receipt must be tra wferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is 190 or that it is in compliance with State or local laws and regulations_ AMIT ERLICH 7980 N FRENCH DR #405 PEMBROKE PINES, FL 33024 2018 - 2019 Receipt #52]►-17-00010041 Paid 07/03/2018 27.00 ,�coR , 0 CERTIFICATE OF LIABILITY INSURANCE 7TE(MM/DDYVYI) 05 2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Express Service Insurance 900 E. Atlantic Blvd suite 10 Pompano Beach, FL 33060 CONTACT NAME: Giselly Balda PHONNo,E 954 943 7900 F No): (954)943 1810 E MAIL ESS: ISBII IaeX ress4u.com License #: INSURERS AFFORDING COVERAGE NAIC N INSURER A: Crum & Forster Specialty Ins CO INSURED CLICK RCS, INC INSURER B: INSURER C : INSURER D: 7980 N. French Dr INSURER E: 405 INSURER F : COVERAGES CERTIFICATE NUMBER: 00000000-205655 REVISION NUMRFR- 10 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. INSR LTR TYPE OF INSURANCE ADDL iNso SUBR I wvn POLICY NUMBER POLICY EFF MM D/YYYY) POLICY EXP (MM/DDNYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y N BAK-35974-1 10/23/2018 10/23/2019 EACH OCCURRENCE $ 12000,000 PREMISES (Ea occur ence $ 100 000 MED EXP (Any one person) $ 5 000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ❑ jEOT LOC GENERAL AGGREGATE $ 2,000,000 GEN'L X PRODUCTS - COMP/OP AGG $ 2,000 000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY (Per person) $ J OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED F RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE E.L. DISEASE - POLICY LIMIT $ (Mandatory in NH) If Yes, describe under DESCRIPTION OF OPERATIONS below $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GENERAL LIABILITY POLICY HAS AN A.I. BLANKET, WOS AND PRIMARY AND NON-CONTRIBUTORY WORDING BLANKET Miami Shores Village BLDG DEPT 10050 NE 2nd AVe. Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED RE,.)3E9ENT, TAT IF 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by GLIB on November 05, 2018 at 10:53AM EFFECWdE DATE S 1M•i tS OWMATION DATE: 811MAM - .: • :• ;• - •, r .;, � � �- tom. �� 7MN fla3MMDR#4% HOLLYWOM, FL 3=4 SCOPE OF BUSOMM OR TRME: fused Gwm d Cankmder MWMFMW_ Pl MUM b Cbapler 44CM(14), FS_ an oaioer of a corporation vAm cleft ey eal61" n imm this cbapw by fiin9 a oeriira0e defboim••seder On sew M may •st ax oWbeeeals ormrQa•aaaon under arts I I Pu sua* to Chapt:r 4 0AX121 F.S., CerKcifts cf ebckm tb be aerept— apply ody rr9ir to scope d are besieas er trade feted en ae optics of dfacow lobe pt Ptssoart to Chapter 4 0AtX14 F.S. I&Sm afdarinn t o be eaeeapt and oerafralea of Q1acFian to be eleaapt shfi be sr l i l to revocation ff d any §ma a9er the 9og of the notice ar are ®rreaoaafa•e cs— e- to pa>Sm •rowed ao ae aoI Q Cr McNe rrofosW:,sees the mquimments cleft secaor• br bsuance of a an te. 7i•e eatst3ai rsvlobe a eertiin6a of any time for o aloe persun slew d on are coMcMe fo madam mqum meta d V& secYan Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation Insurance Exempti Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in. the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. State of Florida County of Miami -Dade ,rc� The foregoing was acknowledge before me this �n day of who is personally known to me or has produced (� as identification. LUZ P. ERLICH Notary: MY C0MML%1M M W 19W7 ►AJZ P. ERLICH a �xP1HiES: . SEAL: IMMISSION # GG 199267 S '?ES: May 30, 2022 CLICK RCS, INC. Licensed CGO1522460 & Insured Date: 0 n State of :�13r\&A- County of AYAU)" UA-e Before me this day personally appeared who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: q rI aioGP/' , Contractor Signature Sworn to (or affirmed) and subscribed before me this i It"I day of Gnvrnr�, _. 20_[I, by &n� �yl; C� Personally know Produced Identification %i\QV Type Produced . Print, Type or Stamp Name of Notary �;;r'dy •,, YANADY 'O V MY COMMISSION # F 214031 '•' EXPIRES: March 25, 2019 Bonded Thru Notary Public Underwrders X0 7980 N French Dr. Suite 405 Pembroke Pines, FL 33024 Phone: (9541825-8771 www,clickm&com * sales@clickrc&com BUILDING INFORMATION Design Wind Speed Ultimate Ultimate Wind Velocity (mph) 175 Nominal Wind Velocity (mph) 135.6 Exposure C Internal Pressure Height above ground z - ft 36.0 Standard Wall Height - ft 8.5 Mean Roof Height h , - ft 20.0 Building Width(It) 65.0 Building Length ft 32.0 RoofSlope x:12 3.0 Roof Angle (degrees) 14.04 a Ed a Stri(ft) R 3.20 End Zone 6.40 Parapet Along Roof Perimeter ft Wind Load Program JOB INFORMATION Client Robinet-Gagnon Residence Address 1055 NE 96th Street Company brace & bruce, Inc. Job Number Pr aver Victor J. Bruce - AR-0017I03 TOPOGRAPHIC FACTOR Hill Shape Flat - No Hill. H B 0.0 Lh ft 0.0 a ft 0.0 Z, ft 0.0 WIND LOAD DESIGN INFORMATION APPLYING WIND LOAD FOR: ZONE OPENING ELEVATION (feet) WIDTH (feet) LENGTH (feet) EFFECTIVE WIND AREA (sgft) Ultimate Wind Load Pressures NOA Approval Number Max Pressure Per NOA Manufacturer Model Number MAXIMUM POSITIVE PRESSURE (psf) MAXIMUM NEGATIVE PRESSURE (psf) Windows 101 4 3 3.4 4.5 15 58.1 -64.2 102 4 3 1.8 3.4 6 60.1 -66.1 z 0 H 0 w C7 z w a 0 a a a 3 www.windloadcalc.com • .-- . .. . . . . ... . .. ... .. . . . .. • ••• • . ••• ... . . . .. . . . . . . . .. • . • . . . . ... . . . . . • . . . . . . . . . . . . . . .. .. . . . .. .. ••• • • • ••• • • 12/5/2018 Pagel f,