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RC-12-2008Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 180596 Permit Number: RC -10 -12 -2008 Scheduled Inspection Date: March 19, 2013 Inspector: Bruhn, Norman Owner: BERGNES, ADRIANA Job Address: 101 NE 102 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Residential Construction Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060131790 Building Department Comments OPENING MODIFICATION FOR EXISTING WINDOWS AND SINGLE DOOR ON THE BACK OF THE HOUSE TO BECOME SLIDING GLASS DOORS Infractlo Passed Comments INSPECTOR COMMENTS False Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 19, 2013 For Inspections please call: (305)762 -4949 Page 6 of 41 PERMIT # c)DY CONTRACTOR: f 'k i cj OM' Tr. I SUBMITTAL DATE: (01 ) !_ ADDRESS: 101 1 OZV NAME: 1 RESUBMITAL DATES: 11113 PROJ T TY' E:_,1MMIii� 'J44 /q25 I) I1 (Lj( (Z A I/lVl WINS FIRE STRUCTURAL IMPACT FEES `- t' Z /- 1! / HRSIDERM , I ,— P RIICAL PLUMBING NOC MECHANICAL BL; \ •AI I CC BUILDING PERMIT APPLICA Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit Type: JOB ADDRESS: BUILDING to( Nor(, s FBC 20 Permit No. OCT BY:000000me000000�oo ©�� Master Permit No. ROOFING City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: Zip: 32f 3 2S ,,..-.7 1a -826 -137174 7 OWNES 3 d r- /q2r63 07 R: Name (Fee Simple Titleholder): A" 9t ��" (A;111(15 h Address: /1/4) / /Ve 0 Z Sr City: /'( /'O64/1‘ -S%?Y5 State: '/- • Zip: 3 ? ,'38 Tenant/Lessee Name: /0 ( At Phone #: Email: CONTRACTOR: Company Name: Address: City: Phone#: State: Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: . S 1+,. !vt` LK K cs Phone #: `t eC. 336.0 Value of Work for this Permit: $ 000 Square/Linear Footage of Work: Type of Work: ❑Addition 13Alteration Description of Work: .tvl /cr r e� (.iir ZOO 5F ❑New ORepair/Replace EiDemolition mpg, ,'tner\ r Mew f i d 1'vt� 1a5s door . Color thru tile: : * * * *m************ *** * **** u************ Fees***** * *** ******+r**+x******* /51 e243 Submittal Fee $ Permit Fee $ Sunning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 1 i Jl / CO Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith 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 appr- ed and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoinf instrument was acknowledged before me this 20 The foregoing instrument was acknowledged before me this day of Oa • , 20 ) Zrby day of , 20 _, by who is personally known to me or who has produced who is personally known to me or who has produced /61e4,,._ - As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign :'l Sign: Print: Tiln. Print: a °`b� 'FINAL B My Commission Expires: acts `' �- • * 11IYCOM4ISSION #DD919511 My Commission Expires: EXPIRES: August 24, 2013 4.0ros, `O Bonded Thru Budget toter Semis ******* ******:nm:n**+x**n< ***** :***m**** axe=****/ x�x�x�xm+ x�x+ xe<: x�x�x* ***e<�x�x�x�x�xx:a:�x�:e:+x *�x� ***axe: .. n<** *** *** **************** APPROVED BY `��'3� /Z��" Plans Examiner Zoning Structural Review Clerk (Revised 3 /12 /2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: kart( Gtfr\qt .b10171 _ r r1CS. DATE: ©C,I' Z( Z1D�2, ADDRESS: t61 k- tO 2.- 4 OhNi rt - 331 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner- builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. 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 ANQ 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 contracts. 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 or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. 5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction. Initial AN-* Initial 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial kg 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. I, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees white working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner- builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial l, 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 understand that my failure to follow these may subject to serious financial risk. Initial AV 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 govem 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 Y`0 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 the Florida Construction Industry Licensing Board at 850487.1395 or http : //www.mvfloridalicense.com/dbor /pro /cilb/iindex.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: Initial e�1U 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial FIV� 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 retumed 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 `i' day of ()cId'y'o ) was personally known to me or who has Produced there License or T1 'G 541)0 Cf(itt tils identification. ,,:,rn'� CLAUDIA V. CUBILLOS ,�pfi PV6f/1.; •� _ -1 Notary Public - State of Florida My Comm. Expires Sep 23, 2015 w rrr7 + : �� a• Commission # EE 128810 Bonded Through National Notary Assn. Property Viewer Se.lect.,d Property Ir torn latic Legal 1:).s.cripti n Assessment Information Exernprol Information Sales information Additional tnforrnatkn Featured Online Tools Tax Comparison Tax Estimator TRIM Notice View Taxes ilonal Online Tools to ResuiN Page 2 of 2 iNdss riviontogidtgas: Ovalan Mn Mdress: 101 14,E. AOREANA. DIAZ E ER .1,,E-1 101 INIE1C0 ST Watt atiOnegi F: eAS Pdm Zortnn Land Ihn; B.,/Bath/Hal mem Ltvi4o Units: Adjui,inti Sq Footage: Lot Stze: Yew, Built • • • " • .. . . ; • • .„. 1O00 FAMLY - 1 •:"- -2300 SO - AL DENTAL • r.. AtArLY A,* • >-7. nr3d Home : ••• rrrr" " • About.U2 • 1.-•-• http://gisweb.miamidade.gov/PropertySearch/ 3iiiktrtr 2012 /lanai Pfx■rorgraptly iFkI4V-ra,""rP"Rtk:,,ttr_12e7r, 10/24/2012 Permit No: 12 -2008 Job Name: October 25, 2012 Building Critique Sheet 2nd 1) An electrical permit and plan for lighting is required. See electrical review. Provide all product approvals reviewed and signed approved by the designer of record. The job address is wrong on the cover sheet. Electric Critique Add receptacles to meet N.E.C. 217,52(A)(2)(2). and outside light fixture 210.70(A)(2)(b). Page 1 of 1 Add smoke / carbon monoxide detectors F. B. C. chaptor9, section913.PIan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 Permit No: 12 -2008 Job Name: October 25, 2012 Building Critique Sheet 2nd Page 1 of 1 1) An electrical permit and plan for lighting is required. See electrical review. Provide all product approvals_ reviewed and signed approved by the designer of record. LoYolciettiA S -to be. (.rng escpr drew/ /per r 74. (G tee iPact) The job address is wrong on the cover sheet. VV Electric Critique Add receptacles to meet N.E.C. 217,52(A)(2)(2). and outside light fixture 210.70(A)(2)(b). Add smoke / carbon monoxide detectors F. B. C. chaptor9, section913.PIan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305- 762 -4859 NOTICE OF COMMENCEMENT A RECORDED COPY MUST �BEE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION '7"�. PERMIT NO. / B StalTAX FOUO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement 1. Legal description of property and street/add 2. Description of improvement td Z s4r.u.( 1 111111 11111 11111 11111 11111 11111 11111 1111 1111 CFN 2O13R0013. 45 DR Bk 28431 Ps 3259; (1aa) RECORDED 01/07/2013 15t39 :42 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTYr FLORIDA LAST PAGE Space above reserved for use of recording office 3.Owmer(s) name and address: t! Interest in property: ID Wvt2,{ Name and address of fee simple titleholder. //��t 4. Contractor's name, address and phone number A-C1 -V \ 4 z — YiPS 14.1,-.4 ova r y ; nk a z -&2 KLN tot k2b t b z. S4 �ict,�•..i 1 t-71. ' b - qqa- co a 7 5. Surety: (Payment bond required by owner from contractor, If any) Name, address and phone number Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)0)7., Florida Statutes, 'Name, address and phone number. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 7,13.13(1)(b), Florida Statutes. Name, address and phone number: 9. Expiration date of this Notice of Commencement (the expiration date Is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN 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. Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager Prepared By Prepared By Print Name Print Name Title /Office Title/Office STATE OF FLORIDA COU OF MIAMI -DADE The By , • q(rt�(rtOt�tment ynt 17"-fl 11 �� /ttG�/jj VIZ►, Individually, or ❑ a4V for Personally known, or produced the folio ng type of identifl Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the fac t. stated in it are true, to the best of my knowledge and belief. this day of ca i i i meiptiaspfia 11//r%%j uturaw Ev, [s CLAUDIA V. C ;i Signatu + -�' offs er(s),•rOwm:T ° ' Authorized cer/Director/Partner/Manager who signed above: By " By Notary Public - State of Florida c My Comm Expires Sep 23, 2015 n,t %:09,0/ C,.' Commission # EE 128810 "° "`" Bonded Through NationaiNotary Assn. ) 123,01.52 PAGE 3 3/10 4261 OCT 2 A�.JACK MESSUL.AM, P.E. CONSULTING ENGINEER B51- 2.4t3rdUna mlDrive, Coral Gables, Florida 33146 • Phone: 305- 665 -5032 PROJECT: A36 N /A OA 4 JOB No: ;/ '044 PAGE DATE: % / /A02 BY: SUBJET 57-P4 T11.Pfa� -2:� gA 6/ 5 r-,g P�-S/ M/ C, 2,1a bun /1-6 pEI2 ,/ sCE 7 -/p r/11rbi'4 jE; /7 /W1A14 .- /o GA r. 2r A10/0 /NA L= d, x d p eii pewAr .1 -' G -5.P-7 PE./ 0 L PA.0 /,/,SEIA p,Oz /11 E T 5 14 04 / r'S ' l0 �/ ratr fl A 60 /✓iz Y ��PP ,q t/A/,DEr X /�T7 G B X 2d ‘,0711G 87-E A1 6 P -0'1 ©e' pleop4 72� EX /ten "t2e2f / of v' ve OAP ,& ,oaF- o6 (774e) /v, 5f/-0-.1 72+ N s., O J49 A ,G7o' i6. 'o--11././v G7 (071 -4) ® 2 5,01- .5O, 00 715.F. (As. ©.) 0,74 � (2 -)‹ ¢)74 C3 ©x 7) /z5 : aU .5, ) A.JACK MESSULAM, . P.E. CONSULTING ENGINEER 5121 Orduna Drive, Coral Gables, Florida 33146 • Phone: 305 -665 -5032 PROJECT 2A13 ,4-,A i(47 51 JOB No: 12-046 PAGE of SUBJET 5.7-4/4* 77'Z4 L DATE: GIII �' //2. 2 BY: _ Tel 4e,u , ,,a Y "06r-,4 ! 4v.1-c)" ,e/O GE e t-04041 ® / X y5= 104 4 /F77 eijOx 2M" Wfri: 4-•"";4 /YI /2 x/ 2 & /040 #//_ 7.) x /©-6' trz 1, 21 2 )/1 49, 4eAtr h ®.are -v' 1 A.JACK MESSULAM, P.E. CONSULTING ENGINEER 5121 Orduna Drive, Coral Gables, Florida 33146 • Phone: 305 -665 -5032 PROJECT: e"3-- AAA OA , k4 JOB No: /2-- 044, PAGE > of 45 SUBJET 577ZG/G7P.RrA-L DATE: `7 ! 1,b! j 2 BY: bv /LL a -.5 /'A) 4 e/ Am) 47 77, 6A / e p y`ys Gj7 ®vi /0 0 A T /1 h'--/4 2' 4 T 7 Svft7 ' ©2 r 1 a 24.x) AP 7)<12, (2/1753 °2d 7) e6PA/p®2e)a� a 0,G'(o.22(3),99,� IG 2 gn`' 7 212 - od4a&X ��33 7 l5 '' 2:„. 5xi�, (u)2) s ) 2 , - 214 f144-A/6 12)( 2A, 7 # m G/ ► )v.voL / 5 ' i7»1'O.y ft- ev,ii,eyeo °i5'PA) G'„'ec .5,09-EA 12 2. k ( PA/ A. .j/w. )) 47_3 ar A.JACK MESSULAM, P.E. CONSULTING ENGINEER 5121 Orduna Drive, Coral Gables, Florida 33146 • Phone: 305 -665 -5032 PROJECT .e5,6N,g°' G A .A4 PA ,E6. JOB No: — 4944 PAGE 4 of b SUBJET 5770 '7UR14 -L. DATE: M b0 %2 BY:. Gt.4/ G ©✓✓d y 1/AN r'LA JZ 4 PA (iv 7© ki p) r ‘p�u 4• o u y A 7-0-27 A 2. -f ,te /42 f b. ?. ' p,F#., ,5aPpD /7,3� At'gz3.gr A ,1. 9,4 411' U 4x/, /5 471'5 SG r G 3opa •4- Px LAS id, A 3 G �cNN .o-e r1 ®.c, G- T/ ,i`3- 3 fr07?/ 4" Iy1/362)ti /ANT 46,e,0# 5.9*-71) eAP 4 /T7 G-`-A VI" 3 x 1, e° /4, c(2xl a 7 0x2.0W, ,4, .- 9 /4G 9t275 5, ; 7' 'VhWTi A"i ¢'e ',e9 id. " T fig-/A )4. pig 1 NN�L. 1/2 A.JACK MEEEULAM, P.E. CONSULTING ENGINEER 5121 Orduna Drive, Coral Gables, Florida 33146 • Phone: 305 - 665 -5032 PROJECT: e>.&---2A/5-3- G- A JOB No: / 2 - 0 lib PAGE SUBJET 57-.A' /G TU/zi G DATE: 7//b//2 BY: _ NS S47,7-/N ja G LDA D 4N Cf96 U/,N / 7/4 Ai/ /1/7. F /2,e/2 5 ©GvMI / 7 4#‘ Y`-PAPS ,aNP X� G 3 X10-5 e .b ' g' 13I40,/e/4 6- p fiv, 0:4 X a� v ,0� f a p� ;� ® �a x/ d 8 fi 2 P /S7 fig- (/' > x a 25X /5O 5-,k4. 2, 42 0.�. r74 p ?J 5G A.JACK MESSUI.AM, P.E. CONSULTING ENGINEER 5121 Orduna Drive, Coral Gables, Florida 33146 • Phone: 305 -665 -5032 PROJECT: r_ A/6 3 -•° ,d x.42 A - JOB No: /2 —444 PAGE 4° of SUBJET 57/7,4 L. DATE: 9.46/12 BY: ZS /0 ' 21, At; X /: Gl GV/v 7'z/84i-7702 Y A g /6 /per 7i3.0 s: 9 3, 3 4'49 ,A1-4..X GOGG,fi `� ,0x 2,0 rx 27. P eyeeo,v*• Lo A.JACK MESSULAM, P.E. CONSULTING ENGINEER 5121 Orduna Drive, Coral Gables, Florida 33146 • Phone: 305 -665 -5032 PROJECT: .€5, '6A1 - IA I AZA 4 5. JOB No: /Q° t'444 PAGE '7 of SUBJET 67-P-4/G 2,a L DATE: V/W /2 BY: Z,.0 -x e d, 270 // 3,&.0,-'A'vl'/r" /0a° 4� aJ s T - evi$ - s'G' />.- Ai = /JOB 73T 57h-> X/10=-, 4'/3 A c} 5JpD r 1 1AS-L 11641. -- , TA/, - 3x /� .. G 4 C.; gyp, 4 k/, p. g S) ‘,4 /b---o A 7 J-p G49/2 /V - -- �� G= x 3o> -e . 5e/2 = A0 J 0.2/m3 /boo 2,x6." 243 # A.JACK MESSULAM, P.E. CONSULTING ENGINEER 5121 Orduna Drive, Coral Gables, Florida 33146 • Phone: 305 -665 -5032 PROJECT: 2,4 i mss. JOB No: SUBJET . TAG/G./W R 4 C.4 ROG744, 4a DATE: PAGE c of e5 BY: *la 2O./ </F1774, /1.),00.5 ma /791-77 !�8 °3G 2¢" ,/%7: 2c&;11 NL/ A) V eTJ/ 24 / Jr? ch J'i /AMti- PA PE N 714 , ,v elAP tiP/.5r5 6' Q P' q-,5 1V eR 5 V1-0" /14, Ult. /A/ PO 6 izov.T u @AG,Jc 2 COUR 5E5 /(1L/ -VIJE NY J",4 m J ,G/!/�/ v Ai‘ 1-rr/z m' SEA T /1// i5) .:% 4/A / MiA.r1 /- ,DA ©E`l%8- ©32�.�/ 1) 6,4 a '2r GONN G 771',V �-� SKETCH OF BOUNDARY SURVEY SCALE: r1=20' FND.I.P.112 9' Aspha 15' ALLEY W.M 6.00' • 5.50 .. 5.00' 30.00' Fine Hydrant Concrete 26.00' 88 °94' Gone. `ence 8 25.00' Concrete Driveway 0 25.00' Asphalt 4' Cohc.Fence 1 Concrete Tiles °x Pool 1 rr 10.00' ` -C 6.00' 23.10' Brik PI inter 15.¢0' 8ribk Plate %rick 5.(�0' Ranter 9.00' T21.45 l ONE STORY (BS RESIDENCE #1101 1 q��a 26.301 0 14.35' " 0 Concrete Deck co Qo �. POOL .per �'- 10.80' ° A0' 17.30' N Lot 17 1 Block 1 0 5 Lot 15 enter Block 13 6189°41* Rz25.O0' L. 39.14' 105.52' Cancrel FND.I:P.112' (NO ID) N it STREET FOR ADRIANA DIAZ BERGNES,TRUSTEE OF THE ADRIANA DIAZ BERGNES WING TRUST AND DATED JUNE 22,2012 AND ANY AMENDMENTS THERETO pRop, ADt 101 N.E. 102nd STREET, MIAMI SNORES, FL 33138 JOB NO; 1207 -039 FIELD DATE 07 -24 -2012 CERTIFIED: ADRIANA DIAZ BERGNES, TRUSTEE OF THE ADRIANA DIAZ BERGNES LIVING TRUST AND DATED JUNE 22,2012 AND ANY AMENDMENTS THERETO GUARANTY TRUST & TITLE INC. FIDEIJTY NATIONAL TITLE INSURANCE COMPANY. LOT: LEGAL DESCRIPTION: AN AMENDED PLAT OF 15 & 16 BLoM 13 SUBDIW$ION;MIAMI SHORES SECTION No.1 PLAT BOOM 10 PAGE 70 0E MIAMI-DADE COUNTY, FLORIDA, SURVEYORS NOTES: 1.) THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCORDANCE W N THE DESCRIPTION FURNISHED BY CLIENT. 2.) UNLESS A COMPARISON IS SHOtAN, ALL BEARING, ANGLES AND DISTANCES SHOWN ARE THE SAMEAS PLAT VALUES. 3.) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT AND THE SAME, IF ANY MAY NOT BE SHOWN ON THE SKETCH. 4.) =SIGMUND PORTIONS OF FOOTINGS, FUN:ATIONS OR OTHER IMPROVEMENT WERE NOT LOCATED. 5.) FENCES TIES ARE TO THE C'ENNTER UNE OF THE SAME OVAL. TIES TO THE FACE OF THE SAME 7.)ELEVATKNJ w LEN SHOW&d ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM 11929)) UNLESS OTHERWISE NOTED. 8.) THERE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SH(NNN. (FLOOD ZONE INFORMATION) L 4 1 12009 BASE: N/A ZONE: X COMM:120652 PANE1 12086C0302 SUFFIX: DATE NOTE: DETERMINATION OF FLOOD ZONE LINES WERE BASED ON SCALING OF FEMA MAP LISTED ABOVE. NOT& ALL BEARING HEREON ARE BASED TO THE PLAT BEARING OF ON THE CENTER UNE OF PROPERTY UNE. EASEMENT VIOLATIONS: APPARENT VISIBLE ENCROACHA COMENT& O YES NO ❑YES ®NO ABBREVIATIONS: SWK= Sidewalk, CBS= Concrete Block Structure, CLF= Chain Link Fence, PL= Property Line, DUE = g Ural( Easement, IP= Iron Pipe, AfC* Air Conditioner Pad, P Pro operty Comer, DIH= Drilled Hole, W/F= Wood Fence, RE" ` Residence, CL= Clear, IR= Iron Reber, UE= Utilty Easement, CON Conc. Sib, RIW= Right or Way, DE= Drainage Easement, CR.= Centex Line, 0= Diameter, TYP= Typical, Measured R= Recorded, ENCR= Encraachrrent, COMP= Con�ASPH= Asphaii, f4ID Nan & Disc., 8= Set, FFE= Finish Floor eevation, Offset, PIP= Power Pole, OHP= Overhead Paweriine, WM= Water Meter, WPP= Wood Paver Pole, E.M. =Electric Meter, M.F =Metal Fence, P.F.Plasft Fence), D.M.E=Mam,.e Maintenance Easement, C.M.Eanat Maintenance Easement, LIVI.E-e Easement, M.E.= Maintenence Easement, B.C. =Block Comer, NI .I{ 1: GVIMSIONS INC. Land Surveying Services OFFICE: 14770 SW 43rd WAY, MIAMI, FL 33185. PHONE: (305) 512.4225 FAX: (305) 512 -1914 I HAY CERTIM Maths ettestootreDUROARY WNW dew lords shown boson Woomatsmreet tot sbo ofmy bcedodos and We as recently annoyed and dnomundsrmy ouPwrddon and &madam Tim sortwoontElo Aittitespolhoesto OVA= To:Wm' Stostsdo stagod by Hoiflfltds Sib Board d-Pnro lop l Song= and Mappers m meshed In astotts5,147, Florida e, purnont to Motor 472.071, I alt ' v AVID L FUTC$ REGISTERED - AND. SURVEYO(# 4843 STATE OF FLORIDA LB # 0008874 - Note: Not Signed Valid Uand nless Sal. SHEET OF ICC EVALUATION` SERVICE ost Widely Accepted and Trusted ICC -ES Evaluation Report • ESR -3168 Reissued March 1, 2012 This report is subject to renewal February 1, 2013. www.icc- es.orq 1 (800) 423 -6587 1 (562) 699 -0543 A Subsidiary of the International Code Council® DIVISION: 06 00 00 —WOOD, PLASTICS AND COMPOSITES Section: 06 50 00— Structural Plastics Section: 06 53 00— Plastic Decking REPORT HOLDER: TREX COMPANY, INC. 160 EXETER DRIVE WINCHESTER, VIRGINIA 22602 (540) 542 -6300 www.trex.com EVALUATION SUBJECT: TREX® TRANSCENDT°° DECKING 1.0 EVALUATION SCOPE Compliance with the following codes: • 2009 International Building Code® (2009 IBC) • 2009 International Residential Code® (2009 IRC) • 2006 International Building Code® (2006 IBC) • 2006 International Residential Code® (2006 IRC) Properties evaluated: • Structural • Durability • Surface- burning characteristics 2.0 USES Trex® Transcend", Decking is for use as deck boards for exterior balconies, porches, decks, stair treads and other exterior walking surfaces of Type V -B (IBC) construction, and in structures constructed in accordance with the IRS. Trex® Transcendm Fascia Board is for use as nonstructural trim components for exterior balconies, porches and decks of Type V -B (IBC) construction, and in structures constructed in accordance with the IRC. 3.0 DESCRIPTION 3.1 General: Trex® Transcend is a wood thermoplastic composite lumber (WfCL) deck board and fascia, with an integrated shell that covers the boards on the top surface and sides. The underside of the boards and fascia is not covered by the integrated shell. The integrated shell consists of a proprietary surface formulation that produces a natural, wood -like grain pattern finish. The deck board and fascia are made from approximately 50 percent wood fiber and 50 percent polyethylene by weight, and are alternatives to preservative- treated or naturally durable lumber. Trex® Transcend", is manufactured by a continuous extrusion process and is available in six colors (gravel path, fire pit, vintage lantern, tree house, spiced rum and lava rock) and two textures. Trex TranscendTm square deck boards are 51/2 inches wide and 1 inch thick (140 mm by 25.4 mm). The Trex® TranscendTF' grooved -edge boards are 5112 inches wide and 1 inch thick (140 mm by 25.4 mm) and have a groove in each face of the 1-inch-thick sides, running the length of the board. The Trex® Transcendm Fascia has a square edge profile, is 3/4 inch thick, and is available in nominally 1-by -8 and 1 -by -12 profiles. The Trex Hideaway® Hidden Fastener System is designed specifically for the Trex® Transcend"'" grooved -edge board and consists of a stainless steel clip or a plastic universal clip and No. 8 by 2-inch (51 mm) stainless steel flathead screws. 3.2 Durability: When subjected to weathering, insect attack and other decaying elements, the deck board and fascia material are equivalent in durability to preservative- treated or naturally durable lumber. Accordingly, the material is permitted to be used as an alternative to preservative treated or naturally durable lumber on exterior decks, porches, balconies and stair treads, as applicable. The deck board and fascia have been evaluated for use in ambient air temperatures between -20°F ( -29 °C) and 125 °F (52 °C). 3.3 Surface- buming Characteristics: When tested in accordance with ASTM E 84, Trex® Transcendim boards have a flame - spread index no greater than 200. 4.0 DESIGN AND INSTALLATION 4.1 Design: Allowable Stresses: Table 1 lists allowable stress values for the Trex® Transcend decking recognized in this report. These values must not be adjusted. 4.2 installation: 4.2.1 Deck Boards: The deck boards must be installed perpendicular to the supporting construction, which is limited to a maximum spacing as prescribed in Table 2. The deck boards must be spaced at edges and ends in accordance with the manufacturer's published installation instructions. 4.2.2 Deck Boards Used as Stair Treads: The deck boards, when used as stair treads, are sufficient to resist the code- prescribed concentrated load of 300 Ibf (1.33 kN) when installed at a maximum center -to- center spacing as indicated in Table 3. ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not speci specifically addressed nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied as to any finding or other matter in this report or as to any product covered by the report Copyright ® 2012 1 P Page 1 of 3 ESR -3168 1 Most Widely Accepted and Trusted 4.2.3 Deck Board Fasteners: Trex® Transcend grooved -edge boards, when installed with the Trex HideawayTa Stainless Steel or Universal Hidden Fastener Systems with No. 8 by 2 -inch (51 mm) stainless steel flathead screws, have an uplift rating of 100 psf (4788 Pa) up to a maximum span of 16 inches (406 mm) when installed at each support. Trex® Transcend solid boards are to be installed on the ends of the boards with two No. 8 or No. 10 by 21 /2-fr►ch (63.5 -mm) wood screws at each support, at least 1 inch (25.4 mm) from the board end and sides, and at least one No. 8 or No. 10 wood screw at each support alternating each side of the board in a zigzag pattern. The allowable fastener head pull- through capacity for the screws is 349 Ibf (1553 N) per fastener. Multiple joists or blocking must be used to provide adequate surface for fastener embedment of board ends. 5.0 CONDITIONS OF USE The Trex' Transcendi°A deck boards described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the-following conditions: 5.1 The Trex® Transcend' Decking is limited to exterior use as deck boards for balconies, porches, decks and stair treads of Type V B (IBC) construction and structures constructed in accordance with the IRC. 5.2 The Trex Transcend° Fascia is limited to exterior use as trim for balconies, porches and decks of Type V B (IBC) construction and structures constructed in accordance with the !RC. 5.3 Installation must comply with this report, the manufacturer's published instructions and the applicable code. When the manufacturer's - published installation instructions differ from this report, this report governs. 5.4 The use of the Trex Transcend® Decking and fascia as a component of a fire - resistance -rated assembly is outside the scope of this report. Page 2 of 3 5.5 The compatibility of the fasteners with the supporting construction, including chemically treated wood, is outside the scope of this report. 5.6 The deck boards must be directly fastened to supporting construction. Where required by the code official, engineering calculations and construction documents consistent with this report must be submitted for approval. The calculations must verify that the supporting construction complies with the applicable building code requirements and is adequate to resist the loads imparted upon it from the products and systems discussed in this report. The documents must contain details of the attachment to the supporting structure consistent with the requirements of this report. The documents must be prepared by a registered design professional where required by the statutes of the jurisdiction in which the project is to be constructed. 5.7 The Trex' Transcend deck board and fascia is produced in Winchester, Virginia, and Fernley, Nevada, under a quality control program with inspections by PFS (AA -652). 6.0 EVIDENCE SUBMITTED 6.1 Data in accordance with applicable portions of the ICC -ES Acceptance Criteria for Deck Board Span Ratings and Guardrail Systems (AC174), dated July 2010. 6.2 Test data in accordance with ASTM D 7031 for bending, compressive stress parallel to longitudinal direction (Fc), compressive stress perpendicular to longitudinal direction (F0) and shear stress (Fv). 7.0 IDENTIFICATION The deck board and fascia board described in this report must be identified by a label on the packaging bearing the Trex Company, Inc., name and address, the product name, the name of the inspection agency (PFS) and the evaluation report number (ESR - 3168). TABLE 1— ALLOWABLE DESIGN STRESS VALUES FOR TREX TRANSCEND SOLID AND SLOTTED DECKING PROPERTY ALLOWABLE DESIGN VALUE (psi) Flexural stress (Fb)1 500 Modulus of Elasticity (E)1 200,000 Compressive stress parallel to longitudinal direction 4F)2 540 Compressive stress perpendicular to longitudinal direction (F&.)2 540 Shear stress (FF) 2 360 For Si: 1 psi = 6.9 kPa. Values are based on testing for flatwise bending. 2Values are based on testing to ASTM D 7031. TABLE 2 —DECK BOARD SPAN RATING DECK BOARD MAXIMUM SPAN (in.)' ALLOWABLE CAPACITY (1bflft2)2 1 -by -5.5 solid 24 100 1- by -5.5 grooved -edge 16 100 ? OFD ps E For SI: 1 inch = 25.4 mm; 1 Iblft2 =47.9 -Pa. 'Maximum span is measured center- to-center of the supporting construction. 2Maximum allowable capacity is adjusted for durability. No further increases are permitted. TABLE 3— MAXIMUM STAIR TREAD SPANS2 DECK BOARD MAXIMUM SPAN (inches)' 1- by -5.5 solid 12 1- by -5.5 grooved-edge 12 For SI: 1 inch = 25.4 mm; 1 Iblft2 = 47.9 Pa. 'Maximum span is measured center- to-center of the supporting construction. 2Based on a minimum two -span installation. ESR -3168 1 Most Widely Accepted and Trusted Page 3 of 3 550.0 TRANSCEND GROOVE FIGURE 1 —DECK BOARD PROFILES TRANSCEND SQUARE 0,75° 11,375 " FIGURE 2— FASCIA PROFILE 1250 [3L75 1) .750 [19.05] FIGURE 3— HIDDEN FASTENER PROFILE ICC EVALUATION �.. SERVICE Most Widely Accepted and Trusted ICC -ES SAVE: Verification of Attributes Report'"" VAR -1011 Reissued June 1, 2011 This report is subject to renewal in two years. www.icc- es.orq /save I 1- 800 - 423 -6587 1 (562) 699 -0543 A Subsidiary of the International Code Council® DIVISION: 06 00 00—WOOD, PLASTICS AND COMPOSITES Section: 06 53 00— Plastic Decking Section: 06 63 00— Plastic Railings REPORT HOLDER: TREX COMPANY, INC. 160 EXETER DRIVE WINCHESTER, VIRGINIA 22602 (540) 542 -6300 www.Trex.com EVALUATION SUBJECT: Trex Origins® Decking; Trex Brasilia® Decking; Trex Contours Decking; Trex Accents® Decking; Trex Transcend®' Decking; Trex Transcend" Fascia: 1x1) and 1x12; Trex® Fascia: 101 and 1x12; Trex Designer Series Railing®; Trex Seclusions® Fencing; Trex Surroundings Fencing 1.0 EVALUATION SCOPE Compliance with the following evaluation guidelines: • ICC -ES Evaluation Guideline for Determination of Recycled Content of Materials (EG101), dated October 2008 (editorially revised July 2009). • ICC -ES Evaluation Guideline for Determination of Biobased Material Content (EG102), dated October 2008 (editorially revised July 2009). Compliance eligibility with the applicable sections of the following green building rating systems, standards and codes: • National Green Building Standard (ICC 700 -2008) (see Table 4 for details) • LEED for Homes 2008 (see Table 5 for details) • LEED 2009 for New Construction and Major Renovations (see Table 6 for details) • 2010 California Green Building Standards Code ( CALGreen), Title 24, Part 11 (see Table 7 for details) 2.0 USES Trex Origins , Trex Brasilia , Trex Contours , Trex Accents ®, Trex Designer Series Railing and Trex® Transcend are used for a variety of exterior applications, including nonstructural trim and deck boards and guardrail assemblies for balconies, porches and exterior walking surfaces. Trex Seclusions® Fencing and Trex Surroundings® Fencing are used for exterior fencing applications. 3.0 DESCRIPTION Trex® products are wood thermoplastic composite lumber (WTCL) made from a blend of wood and polyethylene. The products are manufactured in a variety of sizes, profiles, textures and colors. 4.0 CONDITIONS 4.1 Code Compliance: The Trex Origins , Trex Brasilia , Trex Contours , Trex Accents ®, Trex Transcend®' Decking and Trex Transcend®" Fascia: 1x8 and 1x12, Trex® Fascia: 1x8 & 1x12 and Trex Designer Series Railing® have been evaluated for compliance with the requirements of the International Codes as listed in Table 3 of this report. Trex Seclusions® Fencing and Trex Surroundings® Fencing do not fall within the scope of the International Codes. 4.2 Green Rating Systems, Standards and Code Eligibility: The information presented in Tables 4 through 7 of this report provides a matrix of areas of evaluation and corresponding limitations and/or additional project - specific requirements, and offers benefits to individuals who are assessing eligibility for credits or points. The final interpretation of the specific requirements of the respective green building rating system and/or standard rests with the developer of that specific rating system or standard or the AHJ, as applicable. Compliance for items noted as "Verified Attribute" is subject to any conditions noted in the tables. Decisions on compliance for those items noted as "Eligible for Points" in Tables 4 through 7 rest with the user of this report, and those items are subject to the conditions noted. The user is advised of the project - specific provisions that may be contingent upon meeting specific conditions, and the verification of those conditions is outside the scope of this report. Rating systems or standards often provide supplemental information as guidance. 5.0 BASIS OF EVALUATION The information in this report, including the "Verified Attribute, is based upon the following supporting documentation: 5.1 ICC -ES EG101. )Evaluation applies to ICC 700 Section 604.1; LEED Homes MR Credit 2.2; LEED NC MR Credit 4; CALGreen Section A4.405.3 & A5.504.4]. ICC -ES Verification ofamilnitesReports are issued maw the ICC-ES Sustainable Attributes Verification and Evaluation Program (SAVE). These reports a re not to be construed as representing aesthetics or any other alribetes not wd&ally addressed nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There isno warranty by ICC Evahlation Service, EEC, express or implied as to any finding or other matter in this report or as to any product covered by the report Copyright © 2011 Page 1 of 3 VAR -1011 1 Most IMdely Accepted and Trusted 5.2 ICC -ES EG102. [Evaluation applies to ICC 700 Section 606.1(2)]. 5.3 Evidence of compliance with termite resistance in accordance with Section 4.4 of the ICC -ES Acceptance Criteria for Thermoplastic Composite Wood Products (AC109) or Section 3.9 of the ICC -ES Acceptance Criteria for Deck Board Span Ratings and Guardrail Systems (Guards and Handrails) (AC174). [Evaluation applies to ICC 700 Section 602.8.) Page 2 of 3 6.0 IDENTIFICATION Trex products are identified with a stamp noting the manufacturer's name (Trex) and address, the product name, the manufacturing location, the ICC -ES evaluation report number (if applicable), and the name or logo of the inspection or grading agency. The report subjects are also identified on the product and/or packaging with the VAR number (VAR -1011) and the ICC -ES SAVE Mark, as applicable. TABLE 1— RECYCLED CONTENT BY WEIGHT SUMMARY PRODUCT NAME RECYCLED MATERIALS % PRE- CONSUMER RECYCLED CONTENT % POST- CONSUMER RECYCLED CONTENT % TOTAL RECYCLED CONTENT Trex Origins ®Decking Trex Brasilia® Decking Trex Contours® Decking Trex®ccents° Decking Trex Fascia: 1x8 & 1x12 Trex Designer Series Railing® Trex Seclusions® Fencing Trex Surroundings Fencing Wood 48.50 0 9700 Polyethylene 17.00 31.52 Trex TranscencP Decking Trex Transcend'"" Fascia: 1x8 & 1x12 Wood 47.70 0 95.40 Polyethylene 16.70 31.00 TABLE 2—BIOBASED MATERIAL CONTENT SUMMARY PRODUCT MINIMUM % BIOBASED CONTENT METHOD OF DETERMINATION Trex Origins ® Decking Trex Brasilia Decking Trex Contours® Decking Trex Accents® Decking Trex Fascia: 1x8 & 1x12 ® Trex Designer Series Railing Trex Seclusion Fencing Trex Surroundings Fencing Trex Transcend Decking Trex Transcend'" Fascia: 1x8 & 1x12 40% Calculation TABLE 3— ICC-ES EVALUATION REPORT NUMBERS FOR TREX PRODUCTS PRODUCT REPORT NUMBER Trex Origins® Decking Trex Brasilia' Decking Trex Contours® Decking ® Trex Designer Series Railing Trex Accents Trex Fascia: 1x8 and 1x12 ESR -1190 Trex Transcend Decking Trex Transcend'"" Fascia: 1x8 and 1x12 ESR -3168 VAR -1011 1 Most Widely Accepted and Trusted Page 3 of 3 TABLES 4 THROUGH 7 NumbPxn Section Intent Possible Conditions of Use to Qualify for Points Trex Origins ® Decking Trex Brasilia Decking Trex Contours® Decking Trex Accents Decking Trex® Fascia: 1x8 & 1x12 Trex Designer Series Railing® Trex Accents Fire Defense° Decking J Trex Transcend Decking Trex TranscendTM' Fascia: 1x8 & 1x12 Trex Seciusions Fencing Trex Surroundings Fencing TABLE 4— SUMMARY OF AREAS OF ELEGIBILITY WITH THE NATIONAL GREEN BUILDING STANDARD (ICC 700-2008) 602.8 Termite- resistant materials are used. 6 max To eam 6 points all structural elements must be termite resistant in areas of heavy termite infestation. 2 or 4 points are available for areas with lower infestation probability. • • • • 604.1 Use two or more major and/or minor building materials containing recycled conten g recyc 2 6 max 2, 4 or 6 points may be earned when products are used with another major building component with recycled content of 25% < 50 %; 50% < 75 %; Z 75 %, respectively. • • • • 6061(2) Two types of biobased materials are used, each for more than 1 percent of the project's projected building material cost. 6 To earn 6 points two types of bio -based products must be used and the cost of each must be more than 1% of the projects projected building material cost. • • • • 903A.1 (3) The moisture content of lumber is sampled to ensure it does not exceed 19 percent prior to the surface and/or wall cavity exposure. 4 To eam 4 points the moisture content of lumber must be determined to not exceed 19 %, such as measuring with a moisture meter, prior to enclosure. 0 0 0 0 TABLE 5— SUMMARY OF AREAS OF ELEGIBILITY WITH USGBC'S LEED FOR HOMES 2008 MR 2.2 Recycled content 0.5 To eam 0.5 point use materials with recycled content sum; that the sum of postconsumer recycled content plus /2 the post industrial ( preconsumer) content constitutes a minimum total recycled content of 25 %. • • • • TABLE 6— SUMMARY OF AREAS OF ELEGIBILITY WITH USGBC'S LEED 2009 FOR NEW CONSTRUCTION AND MAJOR RENOVATIONS MR4 Recycled content 1 2 max To earn 1 point use materials with recycled content such that the sum of postconsumer recycled content plus 1/2 of the preconsumer content constitutes at east 10%, based on the cost,of the total value of the materials in the project To eam 2 points use 20% or more. • • • • TABLE 7— SUMMARY OF AREAS OF ELEGIBILITY WITH 2010 CALIFORNIA GREEN BUILDING STANDARDS CODE A4.405.3 A5.405.4 Recried Cunt N/A Use materials with postconsumer or preconsumer recycled content value for a minimum of 10% of the total value, based on estimated cost of materials on the project • a • • 4.505.3 Moisture content of building materials. N/A Moisture content of lumber may be measured with an appropriate handheld moisture meter. 0 0 0 0 0 • = Eligible for points = Verified attribute N/A = Not applicable (Le. this is a minimum requirement that is meet and points/credits are not applicable). Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 1a -�oti� Inspection Number: INSP- 180621 Permit Number: DGT -10 -12 -2009 Scheduled Inspection Date: March 19, 2013 Inspector: Bruhn, Norman Owner: BERGNES, ADRIANA Job Address: 101 NE 102 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Decks /Gazebos/Trellises Inspection Type: Final Work Classification: Deck - Wood Phone Number Parcel Number 1132060131790 Building Department Comments INSTALLATION OF NEW WOOD DECK OVER EXISTING CONCRETE ON BACKYARD Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 19, 2013 For Inspections please call: (305)762 -4949 Page 7 of 41 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION 1)757E7T-ini at OCT 2 4 2012 jUl BY:.... a ®03 ®6303®®® ®ww ®®0® FBC 20 Permit No. Master Permit No / 2: 2-0 Permit Type: BUILDING ROOFING JOB ADDRESS: City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): VS lei 10.4 °gt J L b (t `h 4Phone#: -SOS- ell Ct Z - X7301 Address: (® t 18 Z S - k J e City: S� f k b or� a State: e1 zip: ?.% 8 Tenant/Lessee Name kt4 rs LA.k 1.1 tJ.L gas ri s Phone: g 0'5 M i Z C307 Email: CiarA d6 avntte... cow\ Zip: 'Z'ta3 CONTRACTOR: Company Name: Address: City: State: J Phone#: Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: Type of Work: °Addition Description of Work: ao® °Alteration $ Square/Linear Footage of Work: °New ORepair/Replace nO'rt ❑Demolition Color thru tile: J s 4r/e ****** ** * *** * *** x**************** ***�** *FenesaJ *�aa��n** ** *�x****�x�x� ** * *�x *a��x�u�x+x,�a�a� ********** Submittal Fee $ Permit Fee $ '/ jv CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $� r Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith 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 The fo _o' ,, g 'nstru -ntt was a knowledged before this dayo I�(A d,201 11 —,by )11.0M01 C�� who is per onally known to me or who has produced Signature Contractor The foregoing instrument was acknowledged before me this ,20_,by ho is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTAR '' PUBLIC: Sign: Print: My Commission Expires: identification and who did take an oath. ' p V. CUBILIOS rr i �1i► State of Flnnda 015 '�^► '��W %�rl� • s sa 23.2°15 Et 128810 ,r� _ My . ,;�;,, Gommission # ary Assn. Z ss.- Throw •,JEOF„ °� Bonded Sign: Print: My Commission Expires: **>is *************** **m sa*+ x **** *x:+ x+ x**x: *m ****** *+ x*******+xx:*******+x+x*x *** APPROVED BY //026.1a- Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) *** ** * *** ****** ***** **** ** * *** **** /2-0.1(1- Zoning Clerk NAME: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT - r 1 (Le_s DATE: C J 2q-e. 20 t,- ADDRESS: N t 1-0 S-44.114-e.klarif6 3 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 entitle,s me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with- holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner- builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. 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 contracts. 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 or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. Initial 5. I understand that, as the owner- builder, I must provide direct, onsite supervision of the construction. Initial P ' Ld 6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial A96' m 6' 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. I, as an owner- builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 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 understand 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 govem 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 v1� 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 the Florida Construction Industry Licensing Board at 850.487.1395 or htto : //www.mvfloridalicense.com/dbpr /pro /cilbfindex.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: 16a r OL,- 3 ;13t Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractors workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this a.4 day of OCIDk61012) By4iY)& ag*/(Oildwho was personally known to me or who has Produced there License or A. v OWNER identification. NOTARY SKETCH OF BOUNDARY SURVEY SCALE; 1":20' FND.T.P.1/2° Asphal W.M 6.00' • TT p. • • 5.50' 30.00' Fire Hydrant Concrete FND.I. (NO 1 n�0 26.00' m9°4, 4' Conc. ence 25.00' 474 c1i ) 1/2 Concrete Driveway 15' ALLEY Lif, t.. �s.00' Asphalt 4' Cohc.Fence Concrete Tiles °% Pum l �-- E 10,00' C 23.10' 6.00' 25.00' W.R. A FND I P.112' E 3� (NO ID) Bri6k Planter 1 15.00' Bribk PldntebriCk 5•dO' Planter 1 1 I \9.00' cs> Concrete Deck 0 POOL 00, 121.45' 1 ONE STORY BS RESIDENCE 101 14.35' NN0 F 26.30' ti kM 0.80' tt7 Lot 15 Block 13 Ind P h 19.40' 17.30' .00' Brlak/ b Planter A 1 FND.I,P.1 /2' 1 (NO ID) ,I 4.87' c') • 0.35' 1.00' tiLot 17 Block 13 15.90' Lot 16 Block 13 8,9° Ito 2' . 66' CL Lk89 °41' R=25.00' L=39.14' ND.I.P.1P2' 0I 105.52' 5' Conc.Walk Concrete Driveway 11.50' ~ 1 t50' 20.00' 17.00' \ 22.00' 23' Parkway 15,00' fizt FND.l.P.1 /2° (NO ID) 20' Asphalt 75.00' Total R/W N.E. 142nd STREET FOR; ADRIANA DIAZ BERGNES,TRUSTEE OF THE ADRIANA DIAZ BERGNES LIVING TRUST AND DATED JUNE 22,2012 AND ANY AMENDMENTS THERETO PROP, ADD, 101 N.E. 102nd STREET, MIAMI SHORES, FL 33138 JOB NO; 1207 -039 FIELD DATE 07 -24 -2012 CERTIFIED; ADRIANA DIAZ BERGNES, TRUSTEE OF THE ADRIANA DIAZ BERGNES LIVING TRUST AND DATED JUNE 22,2012 AND ANY AMENDMENTS THERETO GUARANTY TRUST & TTTLE INC. FIDELITY NATIONAL TITLE INSURANCE COMPANY. LEGAL DESCRIPTION: AN AMENDED PLAT OF LOT 15 & 16 BLOCK; 13 SUBDIVISION: MIAMI SHORES SECTION No.1 PLAT BOOK: 10 PAGE 70 OR MIAMI-DADE COUNTY, FLORIDA. SURVEYOR'S NOTES: 1.) TI-4E SURVEY OF THE PROPERTY SHOWN HEREON IS IN ACCORDANCE WITH THE DESCRIPTION FURNISHED BY CLIENT. 2.) UNLESS A COMPARISON IS SHOWN, ALL BEARING, ANGLES AND DISTANCES SHOWN ARE THE SAME AS PLAT VALUES. 3.) THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED ENCUMBERANCES NOT SHOWN ON THE PLAT AND THE SAME, IF ANY MAY NOT BE SHOWN ON THE SKETCH. 4.) UNDERGRAUND PORTIONS OF FOOTINGS, FUNDATIONS OR OTHER IMPROVEMENT WERE NOT LOCATED. 5.) FENCES TIES ARE TO THE CENTER LINE OF THE SAME. B.) VVALL TIES TO THE FACE OF THE SAME. 7. ELEVATION WHEN SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM (1929) UNLESS OTHERWISE NOTED. 8.) THERE NO ABOVE GROUND ENCROACHMENTS OTHER THAN THOSE SHOWN. (FLOOD ZONE INFORMATION) ZONE: X COMM:120652 PANEL• 12086C0302 SUFFIX: L DATE' 9-11 -2009 BASE: N/A NOTE: DETERMINATION OF FLOOD ZONE LINES WERE BASED ON SCALING OF FEMA MAP LISTED ABOVE. NOTE; ALL BEARING HEREON ARE BASED TO THE PLAT BEARING OF ON THE CENTER LINE OF PROPERTY LINE. EASEMENT VIOLATIONS; E YES IX NO EYES DI NO APPARENT VISIBLE ENCROACHMENTS; CONTENTS: ABBREVIATIONS: SWK= Sidewalk CBS= Concrete Block Structure, CLF= Chain Link Fence, PL= Property Line, DUE = Drainage Utility Easement, IP= Iron Pipe, A/C= Air Conditioner Pad, PIC= Property Corner, DIH= Drilled Hole, W/F= Wood Fence, RES= Residence, CL= Clear, IR= Iron Reber, UE= Utilty Easement, CONC= Conc. Slab, RAN= Right of Way, DE= Drainage Easement, C/L= Center Line, 0= Diameter, TYP= Typical, M= Measured R= Recorded, ENCR= Encroachment, COMP= Computer, ASPH= Asphalt, Nail & Disc., 5= Set FFE= Finish Floor Elevation, 0/S" Offset, PIP= Power Pole, OHP= Overhead Powerline, WM= Water Meter, WPP= Wood Power Pole, E.M. =Electric Meter, M.F =Metal Fence, P.F =Plastlo Fence, A.M.E. =Drainage Maintenance Easement, G.M.E. =Canal Maintenence Easement, L.M.E =Lake Maintenance Easement, M.E = Maintenance Easement, B.C. =Blo k Comer, P C =Pninf of CUab trr FNrlaFnnmei NQ ID =Jdn Ids niifirapan Gb?SIONS INC. Land Surveying Services OFFICE: 14770 SW 43rd WAY, MIAMI, FL 33185. • PHONE: (305) 512 -4225 FAX: (305) 512 -1914 !MEW CERTIFY: fist the attached " BOUNDAtWY SURVEY' Orbs lands shown h,,,mIa true end *erred to the beet of mgbnanedge and belief es mostly surveyed and dra sm under my supsryin n and direction. This mwm compiles ,Ath 3ie eppgaabre Minimum Teehnie°7 Standards adapted by the Florida Wo Board of Professional Surveyors and Mappers aentalned In p�ter°J-07, FlwfdaAdmbdatradve Cade, pursuant to Chapter 472027, Flarlda Sta2rdea CAVID L. FUTCH REGISTERED LAND SURVEYOR # 4843 STATE OF FLORIDA LB # 0006874 Note: Not Valid Unless Signed and Sealed. SHEET 1 OF 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 9)06`‘' Inspection Number: INSP- 181067 Permit Number: EL -11 -12 -2072 Scheduled Inspection Date: February 06, 2013 Inspector: Devaney, Michael Owner: BERGNES, ADRIANA Job Address: 101 NE 102 Street Miami Shores, FL 33138- Project: <NONE> Contractor: AMPSTRONG ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Addition /Alteration Phone Number Parcel Number 1132060131790 Phone: (305)468 -7988 Building Department Comments REPAIR ELECTRICAL SERVICE Infract(o 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 ,/e31 ,(37/,> February 05, 2013 For Inspections please call: (305)762 -4949 Page 2 of 22 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795/204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (345)762 4949 DING PERMIT APPLICATION Permit Type: Electrical JOB ADDRESS: 1O\ 1A€ City: Miami Shores tot. S - County: Ms©Mg7Mrd X12012 L�1loo� ...v. FBC 20 Permit No. El Master Permit No. Miami Dade Zip: 3 3 ► 3 Folio/Parcel #: Is the, Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): AV)11.4 k 011 ' Stir) rk_e 5 vvvle...(-Is--9.9.-2,,-- 2,,' G3o 7 Address: 101 N 1 l ®'2- '5 r City: N`l.okw■I .5 ko ire S State: 41.- TenantiUssee Name: .A A Email: J v A k 120?< R r0 t o <./� 1,1 6 C. 1 CONTRACTOR: Company Name: PV 95 to rNok -,\,fcc_ C. Address: (act 6 S 1.k,0 Li 3 )s-4 4 3 City: t arR ■ ` `_ State: :it Qualifier Name: QSV ca 1' Co. c C�J ? a Phone# 3aS - -(9 Z -6 3o'7 Phone#: 3oc) 46C.- -ici Zip: 331(r,fa Phone#: C 3(7 S) LI 6 State Certification or Registration #: 3# I 9 Certificate of Competency #: Contact Phone#: (30 9>' 8 Email Address: 111:0 C cn n, ? S a a'i) n. CO of DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 1 i SOO -00 Square/Linear Footage of Work: Type of Work: CI Address OAlteration ONew Lt'Repair/Replace ODenmlition Description of Work: e zct`t r el \ec co.., semi, ce 1 Submittal Fee $ Permit Fee $ /f 9 i and CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Tedmology Fee $ Double, Fee $ Structural Review $ TOTAL FEE NOW DUE $ 11 5 0 • Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured. for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to person whose property is subject to attachment_ Also, a certified copy of the recorded notice of commencement must be poste # at t ' job site for the first inspection whaeh occurs seven (7) days after the brdltlin g permit is issued In the absence ,f Y h po . d +tic', the inspection will not approved and a reinspection fee will be charged () Signature Owner or Agent The foregoing instrument was acknowledged before me this 4 day of �j ,20 ,by ria. Bef)hfC , who is personally known to me or who has produced D.2112 SIR Dwho is personally known to me or who has produced Contractor The foregoing instrument was acknowledged before me this egg day of t9eneere. , 20 La., by z O NOTARY PUBLI As identification and ttat ke an oath. 4.1014A V,41/141., my Comm EXPIres Sign: S Print: e 6 1 T ) 1 1 - My Commission Expires: APPROVED BY , iF1." i r "11tH OF ti1111 as identification and who did take an oath. JULIO N -BERTO VALMA$ NOTARY PUBLIC: �► • NOTARY PUBLIC STATE OF FLORIDA Sign: % % /�,�� l� omm# EE129271 5 Print tz..1 0 p -1 ,4 ,--‘e I, Plans Examiner Structural Review (Revised 3 /I212012XRevised 07 /10/07XRevised 06 /10/2009)(Revised 3/15109) My Commission Expires: e47-e?frcI s Zoning Clerk Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. B. C. D. ' COPY OF QUALIFIER'S STATE LIC CARD COPY OF LOCAL BUSINESS TAX RECEIPT tr COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTIONI YOUR INSURANCE-COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: A vuk vc ' ` €-C---1c--1—Y1 BUSINESS ADDRESS: 6, `(o S Nu) A-3 S+ 13 STATE —r - ZIP CODE ' 3 16 BUSINESS PHONE: ( 30S ) 4 (0 61 6-14,4 G CITY cutt-4ti FAX NUMBER ( 30s ) 8 -7 Cj CELL PHONE Or ) c( Z `t S QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: " G 130C) 4 t osvglciv A Calc E -MAIL ADDRESS (IF APPLICABLE): Created on 3/19109 BY MLDV I RV 3126109 MLDV 1. C,- a 144 \I° 1 THIS DOCUMENT HAS A COLORED BACKGROUND -• MICROPRINTING • LINEMARKT PATENTED PAPER AC# 6228745 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD SE( L12072601416 DATE BATCH NUMBER LICENSE NBR. 07/26/2012 128018.74.4 EC13004184 The ELECTRICAL CONTRACTOR: Named below 1S CERTIFIED Under the provisions of Chapter 489 -F Expiration date: AUG 31, 2014 CARDOZA, OSVALDOALFREDO:' AMPSTRONG ELECTRIC INC 6965 NW 43RD STREET BAY #3 MIAMI FL 33166 RICK SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY 484764 -7 BUSINESS NAME 1 LOCATION AMPSTRONG ELECTRI 6965 NW 43 ST 33166 UNIN DADE COUNTY OWNER AMPSTRONG ELECTRIC INC . Sec. Type of Business 196 ELECTRICAL. CONTRACTOR.' THIS IS ONLY A LOCAL BUSINESTAX RECEIPT. IT DOE$ NOT PEBMff THE HOLDER TO- WOLATE ANY EXISTING REGULATORY OR ZONING LAWS OP THE HOLDER OTHHE OR. : LICENSE BY LAW. THIS IS A CERTIFICATION OF THE H.OLDER`S OUAUFlCA- COLLE 0E TAX 09/25/2012 60020000379 000075.00 SEE OTHER SIDE NOTP DO NOT FORWARD AMPSTRONG ELECTRIC INC OSVALDO CARDOZA PRES PO BOX 771446 MIAMI FL 33177 FIRST -CLASS U.S. POSTAGE I PAID MIAMI, FL. PERMIT NO.231 EWAL 505951 -4 .Ci3004184 1,1 1li u111lt r111 1t411Tr,i1I,nh1sHuIdd,IiiiAlifu lff Aeol? if �' . CERTIFICATE- FLI :` I L I INSURANCE DATE (MM /DDYYYY) 6/18/2012 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), AUTHORIZE D REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 Eastern Insurance Group, Inc. 9570 SW 107 Avenue Suite 104 Miami FL 33176 NAME CT David Lopez • raHC °Nn o.extl: (305)595 -3323 (Am. No: (305) 595 -7135 E -MAIL esr@easterninsurance. net ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A Mid-Continent Casualty Company LIABILITY COMMERCIAL GENERAL LIABILITY INSURED Ampstrong Electric, Inc. 6965 NW 43rd Street Bay #3 Miami FL 33166 INSURER B : 04-GL- 000851542 INSURERC: 6/16/2013 INSURERD: $ 1,000,000 INSURERE: $ 100,000 INSURERF: $ Excluded COVERAGES CERTIFICATE NUMBERMaster 12 -13 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR W VD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP M/ (MDD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 04-GL- 000851542 6/16/2012 6/16/2013 EACH OCCURRENCE $ 1,000,000 DAMAGE TO PREMISES (Ea occurrence ). $ 100,000 MED EXP (Any one person) $ Excluded CLAIMS -MADE X OCCUR PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n jE n LOC $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED HIRED J SAUTOS X SCHEDULED AUTOS -WNED AUTOS 04 -GL- 000851542 6/16/2012 6/16/2013 COMBINED BIdtSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENT ON $ WORKERS COMPENSATION AND EMPLOYERS' LIABIL TY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Electrical Contractor CERTIFICATE HOLDER CANCELLATION (305) 756 -8972 Miami Shores Village Building Department 10050 NE 2 Avenue 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 REPRESENTATIVE David Lopez /ANA r ACORD 25 (2010/05) INS025 Oni nn.q1 ni ©1988 -2010 ACORD CORPORATION. All rights reserved. Thu ACARf ammo anti Ionn aro rnt+iatnrnrl m,rlra of Ar flRr] Avcc....mL." ......... L------ . CERTIFICATE LIABILITY I S -: �iE R045 DATE (MM /DD /YYYY) 10 -08 --2012 THIS CERTIFICATEIS 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 ADDITIONALINSURED, the policy(ies) must be endorsed: If SUBROGATIONIS 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 AUTOMATIC DATA PROCESSING INS AGCY 250-717 P : () - F:()- PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: PHO(A/CNE FAX (A/C, No): E -MAIL ADDRESS: NSURER(S) AFFORDING COVERAGE. NAIL // INSURER A : Twin City Fire Ins Co GENERAL INSURED AMPSTRONG ELECTRIC, INC. 6965 NW 43RD ST UNIT 3 MIAMI FL 33166 INSURER B : INSURER C : INSURER D : EACH OCCURRENCE INSURER E: DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER F : MED EXP (Any one person) • 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. LTR TYPE OF INSURANCE ADM INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ CLAIMS -MADE OCCUR PERSONAL & ADV INJURY 9 GENERAL AGGREGATE 9 PRODUCTS - COMP /OP AGG 9 GEN'L AGGR POLICY GATE LIMIT A�PLIES JECCT I PER: I LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS — SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA UAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE 9 AGGREGATE $ $ DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N/A I I 76 WEG TS3571 06/16/2012 - 06/16/2013 XI 1 ORS LIMITS I OTR E.L. EACH ACCIDENT $100,000 $ 10 0 , 0 0 0 E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 107, Additional Remarks Schedule, If more space Is required) Those usual to the Insured's Operations. CANCELLATION Miami Shores 10050 NE 2ND MIAMI SHORES, Village AVE 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 REPRESENTATIVE ` --74,--c_. 7aI ' ACORD 25 (2010/05) 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered 'narks of ACORD TYPE: SQ'D QO LOADCENTER OR SIMILAR NEW PANEL "A" VOLTS:120 /240V,10,3W M.L.O. MTG: SURFACE • 10K A.I.C. NEMA1 • VA COND WIRE TRIP . POLE DESCRIPTION . CKT.No. CKT.No. DESCRIPTION POLE TRIP WIRE COND VA 2400 1/2" 10. 30. 2 EXISTING POOL PUMP 1 2 EXISTING POOL LIGHT ("") 1 20 12 . 1/2" 300 - - - - - - 3 4 EXISTING EXT. LTS. & RECS. 1 20 12 1/2" 720 2400 1/2" 10 30 2 EXISTING SPRINKLER PUMP 5 6 SPACE - - - - - 8 EXISTING LIGHTS & RECEPTS. 1 15 14 1/2" 7 8 SPACE - - - - * 29723 2" 1 125 2 EXISTING PANEL "B" 9 10 SPACE - - - - - - - - - - 1/2" 11 12 SPACE - - - 1/2" - - - - - - SPACE 13 14 SPACE - - - - - - - - - - SPACE 15 16 SPACE - - - - - 18 - - - - SPACE 17 18 SPACE - - - - - 20 - - - - SPACE 19 20 SPACE - - - - - - - - - - SPACE 21 22 SPACE - - - - - - - - - - SPACE 23 24 SPACE - - - - - - - - - - SPACE 25 26 SPACE - - - - - - - - - - SPACE 27 28 SPACE - - - - - 29 - - - - SPACE 29 30 SPACE - - - - - * PART OF THE 3 VA/SQFT LOAD. (**) PROVIDE GFCI TYPE BREAKER a S`;_ >..,S APPROVED BY TONING DEPT BLDG DEPT MTG: SURFACE EXISTING PANEL "B" VOLTS: 120/240V,10,3W NEMA 1 10K A.I.C. 125A M.L.O. CKT.No. DESCRIPTION POLE! TRIP WIRE COND VA 1 SPACE - - - - - 2 SPACE - - - - - 3 SPACE - - - - - 4 SPACE - - - - - 5 SPACE - - - - - 6 SPACE - - - - - 7 EXISTING LIGHTS & RECEPTS. 1 15 14 1/2" * 8 EXISTING LIGHTS & RECEPTS. 1 15 14 1/2" 9 EXISTING LIGHTS & RECEPTS. 1 15 14 1/2" * 10 EXISTING LIGHTS & RECEPTS. 1 15 14 1/2" * 11 EXISTING LIGHTS & RECEPTS. 1 15 14 1/2" * 12 EXISTING LIGHTS & RECEPTS. 1 15 14 1/2" 13 EXISTING LIGHTS & RECEPTS. 1 15 14 1/2" * 14 EXISTING LIGHTS & RECEPTS. 1 15 14 1/2" 15 EXISTING LIGHTS & RECEPTS. 1 15 14 1/2" 16 EXISTING REFRIGERATOR 1 15 14 1/2" 800 17 EXISTING WASHER MACHINE 1 20 12 1/2" 1500 18 EXISTING SMALL APPLIANCES 1 20 12 1/2" 1500 19 EXISTING SMALL APPLIANCES 1 20 12 1/2" 1500 20 EXISTING BATHROOM 1 20 12 1/2" 21 EXISTING A/C 2 60 6 1" 10000 22 - - - - - 23 EXISTING WATER HEATER 2 40 8 3/4" 4500 24 - - - - - 25 EXISTING OVEN 2 30 10 1/2" 5000 26 - - - - 27 EXISTING DRYER 2 30 10 1/2" 5000 28 - - - - - 25 EXISTING STOVE 2 40 8 3/4 ". 8000 29 - - - - - 30 SPACE - - - - - * PART OF THE 3 VA/SQFT LOAD. :SATE SUBJECT TO COMPLIANCE WITH ALL FEDERAL TATE AND COUNTY RULES AND REGULATIONS . HOUSE EXTERIOR NEW 3#2/0 IN 2 "C TO FPL SERVICE DROP NEW 200A COMBINATION METER/MAIN (NEMA 3R) WITH MANUAL TRANSFER SWITCH FOR CONNECTION OF PORTABLE GENERATOR O GARAGE NEW 3#2/0 IN 2 "C 2P -200A PANEL "A" M.C.B. —o-- BUILT -IN RECEPTACLE FOR PORTABLE GENERATOR CONNECTION NEW PANEL "A" 2P -125A PANEL "B" M.C.B. 1 1 1 \-- EXISTING 1 1 PANEL "B" 1 L I J EXISTING 3#1 & 1#6 (G) IN 2 "C NEW 1#4(G) - 1/2"C TO (2) 5 /8 "DIA. x 10FT LONG COPPER CLAD STEEL GROUND DRIVEN RODS SPACED 6FT. APART, C.W.P. ELECTRICAL RISER DIAGRAM N.T.S. NOTE: ALL EQUIPMENT TO BE MOUNTED ABOVE FLOOD CRITERIA. ELECTRICAL LOAD CALCULATION OPTIONAL CALCULATION (ONE- FAMILY DWELLING): 240V - 10 - 3 WIRE PANEL "B" GENERAL LOAD: 2169 S.F. x 3 VA/S.F. 6,507 VA STOVE 8,000 VA OVEN 5,000 VA (2) SMALL APPLIANCES CKTS. 3,000 VA REFRIGERATOR 800 VA DRYER 5,000 VA WASHER MACHINE 1,500 VA WATER HEATER 4,500 VA SUBTOTAL DEMAND FACTOR (NEC 220.82) 1st 10,000 VA @ 100% REMAINDER 24,307 VA @ 40% SUB -TOTAL A/C LOAD © 100%= 10,000 VA 19,723 VA - DEMAND 10,000 VA - A/C LOAD 29,723 VA CURRENT = 29,723 VA / 240V = 124 A PANEL "A" (TOTAL SERVICE LOAD): PANEL "B" SPRINKLER PUMP POOL PUMP POOL LIGHT EXTERIOR LIGHTS & RECEPTS. TOTAL CURRENT = 35,543 VA / 240V = 148 A 34,307 VA 10,000 VA 9,723 VA 19,723 VA 29,723 VA 2,400 VA 2,400 VA 300 VA 720 VA 35,543 VA REVISIONS SEIU_ /9-'t Ls- OSVALDO CARDOZA EC 13004184 • r7 Cd • m a Wam O 0 E-1 w f:14 to X am m OD c0 o▪ w 10/30/12 Scale N.T.S. Moon J.V. Job Sheet E- Ir-.73cicztvin OCT 2 4 2012 ID A.JACK MESSULAM P. E. BY:-- °° ° ® ° °ppoo4 °° , CONSULTING ENGINEER 5121 Orduna Drive, Coral Gables, Florida 33146 • Phone: 305- 665 -5032 PROJECT: LA .0,4 4 7F�. JOB No: / 4‘' PAGE J`T�JG DATE: V/k,,� /2 BY: 1-3A 6/5 / -0,2 ,1,-3/.6N .5.�. G'r 2 ©/� 4t %� 5 / A 5C'E 7—/c2 /-7/t10n1/NA L. = ©. 6 x G��u� j�s ,4�" fix " G ,,53,45/e /ON ,0 ,FP! ' ' (c:7!-/) a' 7 1' ,moo y1.9 A e-,+ 01:3-014)6 v vp r eipp ©, A Pte, 74f` ©e'er / of�i' ZDAV ,PfaPh° 0-74 , f ,A F S G'a-'L. /N 6 (a? /, 7L / 7) 5,/-= (I/ .5, /,..) A.JACK MESSULAM, P.E. CONSULTING ENGINEER 5121 Orduna Drive, Coral Gables, Florida 33146 • Phone: 305 -665 -5032 PROJECT: E ABA A e 6, JOB No: 12-046 PAGE SUBJET 4' • 7'%24 ,G , DATE: en /4., M. BY: 1 I &!,c l ,0>f7,074/...64/ to gip 6'9 2 of 2 PA PZ'!_'a 'PA ,9V ) /2 # = 1 04 0 4/. /2x /g 13 EAA4 / tB 1/14,12. /42A pJ/J -l® A.JACK MESSULAM, P.E. CONSULTING ENGINEER 5121 Orduna Drive, Coral Gables, Florida 33146 • Phone: 305 - 665 -5032 PROJECT L50- 476lIe3 Z AAA ,GA ,a --4 JOB No: / 2- (% , PAGE of 6 .7 •4/ 7v,ein,e. DATE: 1111011 a BY: _iW________ /cy9e5T W, ke.1 /LL PE -s /oAl 4 . 7 °t, REJ■VpPPeIJJa c . N a 4 Am/ ez 2 A / 2 / 7 7 e. 4 /2A Pis A % fivs.. G jJ0N 4442440--NT ,t/4-,-A 2 ` G k--pi- -s,: 2p 22 P' / , ,r / ,4x/r -e4)M' 2 A d,G`1.22(,31.91).=. g,e5 k 0„ 2 k) 2 xr, tx"--) 7 , '212 -C�. G� k' /7, 33 �1 w� fr)(C1 4007 SUBJET //i 12--_. / ri wz) o •G /2X 2©, 7 2/ . ? /A. G 7 ,k /2f fryer / 4 /77A/ a05 4 7 &RA /./v ,rte 614,c! //A/ C/y1 eye 5)9E4 .e ,41 ie ®•l-t G /0) A.JACK MESSULAM, P.E. CONSULTING ENGINEER 5121 Orduna Drive, Coral Gables, Florida 33146 • Phone: 305 - 665 -5032 PROJECT: ,e5,t/ .0.5.- Zed ,A PA ,ge." • JOB No: A149 PAGE 4i of b SUBJET J ,r%ep)A4 -1, DATE: '/f BY: ©�✓ ��2 � /AN G a4-A 1. ®A Gil 7 0 kJ /4 T� Gp,N �,tl jt Id re-z, A 7 x / . !P b 7. 4, fig ow PP r A • / ?, 3 . 1.16 g73 6-,9A/7-0 v r Cs /2.33 1 73 0/- 1 g c 9 4,r /, Jo /5/�'S /0, ',PI' 3, 75 c . © PSG P -frig a /4 y © "P5 r /A:77 ,e.3- 3 Wig 4 "'WO ,I/ NT 85' .Sil -'Alz ��r� G -AG�� °/e/ Pi AA4Ti�2 9 , 2 /3 3 x i, /4, ' f4 C12x2t.7# /44 ii 4)4Th 5m2/w A//,77/ " i2 T Pi ,4 h AeNL =L. 1/211 A.JACK MESSULAM, P.E. CONSULTING ENGINEER 5121 Orduna Drive, Coral Gables, Florida 33146 • Phone: 305 - 665 -5032 PROJECT: e 1,4 i53041204 JOB No: SUBJET 57-,Ave ,7 4L DATE: Pe3427-hiv 2-04* //b//2 PAGE BY: a) c, A"/ 7; TA G G pA 0 ©/J Cei t,Am) / S 7;4 A p /2x/2 /vT 'p1 PRA/ Flo lr 14// 7 of. (#afi-./ (5)el /gym .e /0 412 4 D Ox/ ( >5D //A $ (/a ) x a t AAIP to4) tt �r ix 06 pe,D X24 opd 2., Apo) goy 4 >P4 fiery -3�,. k1 /s /52X)) g 33 mil. 16i- /),7A /%'s /f • 5,1 - 2, 42 G� ‘'d/ A M >v P• L;v mo d, o ©. � �� -I-a. /© • �, p p �• /4// 3 4 Gil dUA Y. r Gje' P�'/ A.JACK MESSULAM, P.E. CONSULTING ENGINEER 5121 Orduna Drive, Coral Gables, Florida 33146 • Phone: 305- 665 -5032 PROJECT SUBJET - P6.VE5 G 4.B4 A f 0- JOB No: `2 —04-6 PAGE '. • of 1' 57 i" 7142A1. DATE: 9./14://i 2 BY: /fi" t CH GpG-v 1 7'a/ 3v TAR Y A 4E� / 6 / f. 3 . � 3, 3 MIONIN x,004.44:* 2 �r G; / 41 ‘/. '‘14 /11/1/ 2 !y 177-10UT /3 3 e, /2",e--A S0 ,4 / 5t P'A', 1i7 SGla g lUG 77/AM A4' ° AV-4/1 42) / A-Al /N /2 ,P) p ‘,1-A 1-AJ�lz�L 2, d s0 v *- Lvi 2 A.JACK MESSULAM, P.E. CONSULTING ENGINEER 5121 Orduna Drive, Coral Gables, Florida 33146 • Phone: 305 - 665 -5032 PROJECT: 13,&2:'64.14=5 d IA e A.Z.A . JOB No: /. X4 6 PAGE 7 of 13 SUBJET T�'G�G77/,0i4 L.. DATE: 17%/ BY: 6J ti'1�T Z /,G d, rZ7 0 %1'1 3 X4,0,w %AG'1p%1 /OO° 0O� /, 0-_4 /91-. 4/3'x' A-4/3 ` 72 -T - 7 73 <1,071) `1704' C? /8= 2x /JO = ¢730- 6) Svpp ®A T 1/4 41-4. Pe• X cd) AT tv1z /kP �o/2./vEr 6,0x® X30,4?. Leff 2 2O cv ,P• 1-14 n 1-5e- a 1> 3 2. 243# A.JACK MESSULAM, P.E. CONSULTING ENGINEER 5121 Orduna Drive, Coral Gables, Florida 33146 • Phone: 305- 665 -5032 PROJECT: 1/4 .0 .4 2.F JOB No: SUBJET -57,rG2,di DATE: e) Z `( 4134 /'Z - D PAGE %/Jlv /%2 BY: 413 2 0:/ <-/19.07,51- /7W-77 ld 43- 3 6 e " ,, 7 2'X&" - VII E /V V (Pi 24 ve / v Jp .0 112," g �9-D d Vi! sT f /AMI - PA PE N H ao a 2t, e,2 244 #,9 ©f../Av L 'A P Pip'° r l.�pdT- ANGf990 Ali/4/11e NVrA.s -J‘z, ,e/77P 4e p," C) :%Rd /V.A /4.5 PA ,P6* 9) GA &21 cry G •ON,NEG,r .4/ 444 G PAN 0-G /'e ICC -ES Evaluation Report B Y: Most Widely Accepted and Trusted ESR -3168 Reissued March 1, 2012 This report is subject to renewal February 1, 2013. vvww.icc- es.orq 1 (800) 423 -6587 1 (562) 699 -0543 A Subsidiary of the International Code Council® DIVISION: 06 00 00-- -WOOD, PLASTICS AND COMPOSITES Section: 06 50 00—Structural Plastics Section: 06 53 00— Plastic Decking REPORT HOLDER: TREX COMPANY, INC. 160 EXETER DRIVE WINCHESTER, VIRGINIA 22602 (540) 542 -6300 www.trex.com EVALUATION SUBJECT: TREX® TRANSCENDn' DECKING 1.0 EVALUATION SCOPE Compliance with the following codes: • 2009 International Building Code® (2009 IBC) • 2009 International Residential Code® (2009 IRC) • 2006 International Building Code® (2006 IBC) • 2006 International Residential Code® (2006 IRC) Properties evaluated: • Structural ■ Durability • Surface - burning characteristics 2.0 USES Trex® Transcend" Decking is for use as deck boards for exterior balconies, porches, decks, stair treads and other exterior walking surfaces of Type V B (IBC) construction, and in structures constructed in accordance with the IRC. Trex Transcend" Fascia Board is for use as nonstructural trim components for exterior balconies, porches and decks of Type V B (IBC) construction, and in structures constructed in accordance with the IRC. 3.0 DESCRIPTION 3.1 General: Trex® Transcend" is a wood thermoplastic composite lumber (WTCL) deck board and fascia, with an integrated shell that covers the boards on the top surface and sides. The underside of the boards and fascia is not covered by the integrated shell. The integrated shell consists of a proprietary surface formulation that produces a natural, wood -like grain pattern finish. The deck board and fascia are made from approximately 50 percent wood fiber and 50 percent polyethylene by weight, and are alternatives to preservative -treated or naturally durable lumber. Trex® Transcend" is manufactured by a continuous extrusion process and is available in six colors (gravel path, fire pit, vintage lantern, tree house, spiced rum and lava rock) and two textures. Trex® Transcend" square deck boards are 51/2 inches wide and 1 inch thick (140 mm by 25.4 mm). The Trex® Transcend" grooved -edge boards are 5'12 inches wide and 1 inch thick (140 mm by 25.4 mm) and have a groove in each face of the 1-inch-thick sides, running the length of the board. The Trex® Transcend" Fascia has a square edge profile, is 3/4 inch thick, and is available in nominally 1 -by-8 and 1 -by -12 profiles. The Trex Hideaway® Hidden Fastener System is designed specifically for the Trex® Transcend" grooved -edge board and consists of a stainless steel clip or a plastic universal dip and No. 8 by 2 -inch (51 mm) stainless steel flathead screws. 3.2 Durability: When subjected to weathering, insect attack and other decaying elements, the deck board and fascia material are equivalent in durability to preservative - treated or naturally durable lumber. Accordingly, the material is permitted to be used as an alternative to preservative - treated or naturally durable lumber on exterior decks, porches, balconies and stair treads, as applicable. The deck board and fascia have been evaluated for use in ambient air temperatures between -20 °F ( -29 °C) and 125 °F (52 °C). 3.3 Surface - burning Characteristics: When tested in accordance with ASTM E 84, Trex® Transcend" boards have a flame - spread index no greater than 200. 4.0 DESIGN AND INSTALLATION 4.1 Design: Allowable Stresses: Table 1 lists allowable stress values for the Trex® Transcend" decking recognized in this report. These values must not be adjusted. 4.2 Installation: 4.2.1 Deck Boards: The deck boards must be installed perpendicular to the supporting construction, which is limited to a maximum spacing as prescribed in Table 2. The deck boards must be spaced at edges and ends in accordance with the manufacturer's published installation instructions. 4.2.2 Deck Boards Used as Stair Treads: The deck boards, when used as stair treads, are sufficient to resist the code- prescribed concentrated load of 300 Ibf (1.33 kN) when installed at a maximum center-to-center spacing as indicated in Table 3. ICC -ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not speci icallyaddressed nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied as to any findMg or other matter in this report, or as to any product covered by the report. Copyright ® 2012 ' 'ESR 316$ I Most Widely Accepted and Trusted 4.2.3 Deck Board Fasteners: Trex® Transcend." grooved -edge boards; when installed with the Trex Hideaway'", Stainless Steel or Universal Hidden Fastener Systems with No. 8 by 2 -inch (51 mm) stainless steel flathead screws, have an uplift rating of 100 psf (4788 Pa) up to a maximum span of 16 inches (406 mm) when installed at each support. Trex® Transcend'"' solid boards are to be installed on the ends of the boards with two No. 8 or No. 10 by 21 /rinch (63.5 mm) wood screws at each support, at least 1 inch (25.4 mm) from the board end and sides, and at least one No. 8 or No. 10 wood screw at each support alternating each side of the board in a zigzag pattern. The allowable fastener head pull- through capacity for the screws is 349 Ibf (1553 N) per fastener. Multiple joists or blocking must be used to provide adequate surface for fastener embedment of board ends. 5.0 CONDITIONS OF USE The Trex® Transcend'"' deck boards described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 The Trex® Transcend'' Decking is limited to exterior use as deck boards for balconies, porches, decks and stair treads of Type V -B (IBC) construction and structures constructed in accordance with the IRC. 5.2 The Trex® Transcend® Fascia is limited to exterior use as trim for balconies, porches and decks of Type V B (IBC) construction and structures constructed in accordance with the IRC. 5.3 Installation must comply with this report, the manufacturer's published instructions and the applicable code. When the manufacturer's published installation instructions differ from this report, this report govems. 5.4 The use of the Trex Transcend® Decking and fascia as a component of a fire- resistance -rated assembly is outside the scope of this report. Page 2 of 3 5.5 The compatibility of the fasteners with the supporting construction, including chemically treated wood, is outside the scope of this report. 5.6 The deck boards must be directly fastened to supporting construction. Where required by the code official, engineering calculations and construction documents consistent with this report must be submitted for approval. The calculations must verify that the supporting construction complies with the applicable building code requirements and is adequate to resist the Toads imparted upon it from the products and systems discussed in this report. The documents must contain details of the attachment to the supporting structure consistent with the requirements of this report. The documents must be prepared by a registered design professional where required by the statutes of the jurisdiction in which the project is to be constructed. 5.7 The Trex® Transcend"' deck board and fascia is produced in Winchester, Virginia, and Fernley, Nevada, under a quality control program with inspections by PFS (AA -652). 6.0 EVIDENCE SUBMITTED 6.1 Data in accordance with applicable portions of the ICC-ES Acceptance Criteria for Deck Board Span Ratings and Guardrail Systems (AC174), dated July 2010. 6.2 Test data in accordance with ASTM D 7031 for bending, compressive stress parallel to longitudinal direction (Fc), compressive stress perpendicular to longitudinal direction (F&.) and shear stress (N- 7.0 IDENTIFICATION The deck board and fascia board described in this report must be identified by a Zabel on the packaging bearing the Trex Company, Inc., name and address, the product name, the name of the inspection agency (PFS) and the evaluation report number (ESR- 3168). TABLE 1-ALLOWABLE DESIGN STRESS VALUES FOR TREX TRANSCEND SOLID AND SLOTTED DECKING PROPERTY ALLOWABLE DESIGN VALUE (psi) Flexural stress (Fb)' 500 Modulus of Elasticity (E)1 200,000 Compressive stress parallel to longitudinal direction (F42 540 Compressive stress perpendicular to longitudinal direction (F„L)2 540 Shear stress (F„) 2 360 For SI: 1 psi = 6.9 kPa. 'Values are based on testing for flatwise bending. 2Values are based on testing to ASTM 0 7031. TABLE 2—DECK BOARD SPAN RATING ' DECK BOARD MAXIMUM SPAN (in.)' ALLOWABLE CAPACITY (lbf/ft2)2 1- by-5.5 solid 24 100 1- by -5.5 grooved -edge 16-19!'-- 100pa i` For S1:1 inch = 25.4 mm; 1 the t2 = 47.9 Pa. 'Maximum span is measured center- to-center of the supporting construction. 2Maxlmum allowable capacity is adjusted for durability. No further increases are permitted. TABLE 3— MAXIMUM STAIR TREAD SPAN' S2 DECK BOARD MAXIMUM SPAN (Inches)' 1- by -5.5 solid 12 1- by -5.5 grooved -edge 12 For S1: 1 inch = 25.4 mm; 1 Ib/ft2 = 47.9 Pa. 'Maximum span is measured center -to -center of the supporting constnrction. 2Based on a minimum two -span installation. .ESR-3168 1 Most Widely Accepted and Trusted Page 3 of 3 5f,t0 n rJ,rp 5t) TRANSCEND GROOVE FIGURE 1—DECK BOARD PROFILES TRANSCEND SQUARE 0,75° 11 375 FIGURE 2—FASCIA PROFILE .750 [19,05] FIGURE 3—HIDDEN FASTENER PROFILE t Widely A cepted and Trusted ICC -ES SAVE: Verification of Attributes Report" VAR -1011 Reissued June 1, 2011 This report is subject to renewal in two years. www.icc- es.oroisave 1 1- 800 -423 -6587 1 (562) 699 -0543 A Subsidiary of the International Code Council® DIVISION: 06 00 00 —WOOD, PLASTICS AND COMPOSITES Section: e6 53 00— Plastic Decking Section: 06 63 00-- Plastic Railings REPORT HOLDER: TREX COMPANY, INC. 160 EXETER DRIVE WINCHESTER, VIRGINIA 22602 (540) 542 -6300 www. Trex.com EVALUATION SUBJECT: Trex Origins Decking; Trex Btasiiiliia® Decking; Trex Contours® Decking; Trex Accents® Decking; Trex Transcend Decking; Trex TranscendTm Fascia: lx8 and 1x12; Trex® Fascia: 1x8 and 1x12; Trex Designer Series Railing ®; Trex Seclusion" Fencing; Trex Surroundings® Fencing 1.0 EVALUATION SCOPE Compliance with the following evaluation guidelines: • ICC -ES Evaluation Guideline for Determination of Recycled Content of Materials (EG101), dated October 2008 (editorially revised July 2009). • ICC -ES Evaluation Guideline for Determination of Biobased Material Content (EG102), dated October 2008 (editorially revised July 2009). Compliance eligibility with the applicable sections of the following green building rating systems, standards and codes: • National Green Building Standard (ICC 700 -2008) (see Table 4 for details) • LEED for Homes 2008 (see Table 5 for details) • LEED 2009 for New Construction and Major Renovations (see Table 6 for details) • 2010 California Green Building Standards Code (CALGreen), Title 24, Part 11 (see Table 7 for details) 2.0 USES Trex Origins , Trex Brasilia °, Trex Contours, Trex Accents ®, Trex Designer Series Railing® and Trex Transcend are used for a variety of exterior applications, including nonstructural trim and deck boards and guardrail assemblies for balconies, porches and exterior walking surfaces. Trex Sedusions Fencing and Trex Surroundings® Fencing are used for exterior fencing applications. 3.0 DESCRIPTION Trex® products are wood thermoplastic composite lumber (WTCL) made from a blend of wood and polyethylene. The products are manufactured in a variety of sizes, profiles, textures and colors. 4.0 CONDITIONS 4.1 Code Compliance: The Trex Origins, Trex Brasilia , Trex Contours ®, Trex Accents ®, Trex TranscendTm Decking and Trex Transcend"" Fascia: 1x8 and 1x12, Trex® Fascia: 1x8 & 1x12 and Trex Designer Series Railing® have been evaluated for compliance with the requirements of the International Codes as listed in Table 3 of this report. Trex Seclusion" Fencing and Trex Surroundings® Fencing do not fall within the scope of the International Codes. 4.2 Green Rating Systems, Standards and Code Eligibility: The information presented in Tables 4 through 7 of this report provides a matrix of areas of evaluation and corresponding limitations and/or additional project- specific requirements, and offers benefits to individuals who are assessing eligibility for credits or points. The final interpretation of the specific requirements of the respective green building rating system and/or standard rests with the developer of that specific rating system or standard or the AHJ, as applicable. Compliance for items noted as "Verified Attribute" is subject to any conditions noted in the tables. Decisions on compliance for those items noted as "Eligible for Points" in Tables 4 through 7 rest with the user of this report, and those items are subject to the conditions noted. The user is advised of the project - specific provisions that may be contingent upon meeting specific conditions, and the verification of those conditions is outside the scope of this report. Rating systems or standards often provide supplemental information as guidance. 5.0 BASIS OF EVALUATION The information in this report, including the Verified Attribute, is based upon the following supporting documentation: 5.1 ICC -ES EG101. [Evaluation applies to ICC 700 Section 604.1; LEED Homes MR Credit 2.2; LEED NC MR Credit 4; CALGreen Section A4.405.3 & A5.504.4]. ICC ES Verification ofAnributes Reports are issued under the ICC-ES SrslainableAttributes Verification and Evaluation Program (SAVE). These reports are not to be construed as representing aesthetics or arty other attributes not specifically addressed nor are they to be cnastrued as an endorsement of the subject of the report or a recommenda+ion for its use. There is no warranty by ICC Evaluation Service, LLC, express or Implied as to any finding or other matterin this report, or as to any product covered by the report. Copyright 10 2011 Page 1 of 3 VAR -1011 1 Most Widely Accepted and Trusted 5.2 ICC -ES EG102. [Evaluation applies to ICC 700 Section 606.1(2)]. 5.3 Evidence of compliance with termite resistance in accordance with Section 4.4 of the ICC -ES Acceptance Criteria for Thermoplastic Composite Wood Products (AC109) or Section 3.9 of the ICC -ES Acceptance Criteria for Deck Board Span Ratings and Guardrail Systems (Guards and Handrails) (AC174). [Evaluation applies to ICC 700 Section 602:6.) Page 2 of 3 6.0 IDENTIFICATION Trex products are identified with a stamp noting the manufacturer's name (Trex) and address, the product name, the manufacturing location, the ICC -ES evaluation report number (if applicable), and the name or logo of the inspection or grading agency. The report subjects are also identified on the product and/or packaging with the VAR number (VAR -1011) and the ICC -ES SAVE Mark, as applit.ible. TABLE 1— RECYCLED CONTENT BY WEIGHT SUMMARY PRODUCT NAME RECYCLED MATERIALS % PRE- CONSUMER RECYCLED CONTENT % POST- CONSUMER RECYCLED CONTENT % TOTAL RECYCLED CONTENT Trex Origins Decking Trex Brasilia Decking Trex Contours° Decking Trex Accents° Decking Trex Fascia: 1x8 & 1x12 Trex Designer Series Railing° Trex Seclusion Fencing Trex Surroundings° Fencing Woad 48.50 0 97.00 Polyethylene 17.00 31.52 Trex Transcend"' Decking Trex Transcend"' Fascia: 1x6 & 1x12 Wood 47.70 0 95.40 Polyethylene 16.70 31.00 TABLE 2— BIOBASED MATERIAL CONTENT SUMMARY PRODUCT MINIMUM % BIOBASED CONTENT METHOD OF DETERMINATION Trex Origins ® Decking Trex Brasiba® Decking Trex Contours° Decking Trex Accents° Decking Trex Fascia: 1x8 & 1x12 Trex Designer Series Railing Trex Seclusion Fencing Trex Surroundings Fencing Trex Transcend"' Decking Trex Transcend"' Fascia: 1x8 & 1x12 40o% Calculation TABLE 3— ICC -ES EVALUATION REPORT NUMBERS FOR TREX PRODUCTS PRODUCT REPORT NUMBER Trex Origins Decking Trex Brasilia Decking Trex Contours Decking Trex Designer Series Railing° Trex Accents Trex Fascia: 1x8 and 1x12 ESR -1190 Trex Transcend"'' Decking Trex Transcend"' Fascia: 1x8 and 1x12 ESR -3168 VAR -1011 1 Most Widely Accepted and Trusted Page 3 of 3 TABLES 4 THROUGH 7 Number Section-Intent PosPoints a Conditions of Use to Qualify for -Points Trex Origins* ® Decking Trex Brasilia Decking Trex Contours Decking Trex Accents Decking Trex Fascia: 1x8 & 1x12 Trex Designer Series Railing* Trex Accents Fire Defense* Decking Trex Transcend-gm Decking Trex Transcendml Fascia: 1x8 & 1x12 Trex Seclusions Fencing Trex Surroundings* Fencing TABLE 4— SUMMARY OF AREAS OF ELEGIBIUTY WITH THE NATIONAL GREEN BUILDING STANDARD (ICC 700 -2008) 602.8 Termite - resistant materials are used. 6 max To eam 6 points all structural elements must be termite resistant in areas of heavy termite infestation. 2 or 4 points are available for areas with lower infestation probability. • • • • 604.1 Use two or more major and/or minor building materials containing recycled content. 2 6 max 2.4 or 6 points may be eamed when products are used with another major building component with recycled content of 25% < 50%; 50% < 75 %; a 75%, respectively. • • • • 606.1(2) Two types of biobased materials are used, each for more than 1 percent of the project's projected building material cost. 6 To eam 6 points two types of bio-based products must be used and the cost of each must be more than 1% of the projects projected building material cost. • • • • 903.4.1(3) The moisture content of lumber is sampled to ensure it does not exceed 19 percent prior to the surface and/or wall cavity exposure. 4 To earn 4 pointsthe moisture content of lumber must be determined to not exceed 19 %, such as measuring with a moisture meter, prior to enclosure. O O O 0 TABLE 5— SUMMARY OF AREAS OF ELEGIBILITY WITH USGBC'S LEED FOR HOMES 2008 MR 2.2 Recycled content. 0.5 To eam 0.5 point use materials with - recycled content such, that the sum of postconsumer recycled content plus 1/2 the post industrial (preconsumer) content constitutes a minimum total recycled content of 25 %. • • • • TABLE 6— SUMMARY OF AREAS OF ELEGIBIL ITY WITH USGBC'S LEED 2009 FOR NEW CONSTRUCTION AND MAJOR RENOVATIONS MR4 Recycled content. 1 2 max To earn 1 point use materials with recycled content such that the sum of postconsumer recycled content plus 1/2 of the preconsumer content constitutes at east 10%, based on the costar the total value of the materials in the project. To eam 2 points use 20% or more. • • • • TABLE 7—SUMMARY OF AREAS OF - E1_EGIBIL11Y W1T11 2010 CALIFORNIA GREEN BUILDING STANDARDS CODE A4.405.3 A5.405.4 Recycled content N/A Use materials with postconsumer or preconsumer recycled content value for a minimum of 10% of the total value, based on estimated cost of materials on the project • • • • 4.505.3 Moisture content of building materials. N/A Moisture content of lumber may be measured with an appropriate handheld moisture meter. O O 0 0 0 • = Eligible for points = Verified attribute N/A = Not applicable (Le. this is a minimum requirement that is meet and points/credits are not applicable).