RC-13-1919 (3)JUN 8 0 2014 i
\jo rc e Rck��Y�P?Miami Shores village
Building Department
.� 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CERTIFICATE OF OCCUPANCY/COMPLETION
CHECK LIST
❑ Building permit card.
❑ Surveys (2 copies) Final as built - Required Items: Elevations of buildings showing all intended
setbacks from property lines and other existing structures. Ingress+ Egress, required parking
spaces, Wheel stops, stripping, and all paving to exterior.
❑ Certificate of Elevation — (Sealed by surveyor). Expiration date required on the form.
❑ Certificate of Insulation.
❑ Certificate of Soil Treatment (Final treatment -original)\
CHAPTER 2913-5 TERMITE PROTECTION: "This Building has received a complete treatment
for the prevention of subterranean termites. Treatment is in accordance with the rules and
law as established by the Florida Department of Agriculture and Consumer Services."
❑ Health Department Approval Letter (On septic or private water).
Note: If the house is on septic tank, approval letter is required from Health Dpt.
❑ Soil Compaction Letter (Density report is required)
❑ Final certification letter from the Engineer/Architect (on masonry, trusses, special structure, etc)
❑ Backflow preventor certificate (Required on commercial projects only)
❑ Certificate of use. (Recorded in Miami -Dade Clerk of Courts)
PLEASE NOTE THAT THE SAME ITEMS ARE REQUIRED FOR TEMPORARY CO
• Emergency CO (Without 24 Hrs Processing) Additional fee is $80.00.
• Temporary CO (Up to 90 days max) $75.00.
• Residential CO fee is $150.00
• Commercial CO is $200.00
oMiami-Dade County Building Department
11805 S.W. 26 Street, Miami, FL 33175-2474
www.miamidade.gov/'ouildinp
ENERGY. SOUND AND DIPACT CERTIFICATE
Building Permit No: RL 39Tq
Project Name: �� c- r -
Job Address: AL 1—! S
a M ul t.Y 1 w1�-�I�[
We, the undersigned, hereby rectify that the ANERGY. SOUND AND IMPACT INSULATION has been installed in the above
referenced project, in compliancewith the latest edition of the FLORIDA MMMIA10 CODE. the DROVED ENERGY
CAL U ,ATIONS and Plans and in accordance with good construction practice. The insulation famished and installed has the
characteristics shown below: (check only applicable boxes).
❑ 1) Exterior CBS Walls Insulation: R _Ja, ]_ (Min.): Material: r rD a
Thickness: inch NO Derl�rty ib/ih Mf r:
❑ 2) Exterior Frame/Metal Stud Walls: R (Min.): Material: _
Thicknem- inch (es): Density: Ib!$: Mfgr.
❑ 3) Exterior solid concrete walls: R- (Min.): Material:
Thickness: inch Us): Density: Ib/R Mfgr.
❑ 4) Interior walls separating A/C from non A/C spaces insulation: R (Min.)
Material• : Tbick[tow. inch (es); Density: 113/tt
❑ 5) MULT 6FAMMY RESIDENTIAL CONSTRUCTION ONLY: The COMMON ft1W walls to two separate conditioned
tenancies shall be insulated to a mWnmm of R 11 for forme walls, and to R-3 on both sides of common masonry walls
See ENERGY CODE, 2007, paragraph 13-602. A13C.1.1, on page 13.74, latest edition. These "m+++mmm lev -la of
insulation", are not included in the Energy Calculations, but shall be installed in the field
❑ 6) Ceiling insulation R _5_CZ (Mm ); Materiat: b I Ow n
Thickness- inch (es): Density: lb/it Mfg:
❑ 7) Walls, partitions and floor/ceiling assemblies between dwelling units or between dwelling units and adjacent public or service
area such as halls, conidm% stains, etc. mast have a sound transmission class (STC) of not less than 50 (penetrations mut
maintain the required rating).
❑ 8) Floor/ceiling assemblies between dwelling units or between dwelling units and public or service areas such as halls, corridors,
stems, etc. must have an impact Imudation class (HQ rating of not less thea 50.
Make photocopies of this sheet in your office, as required for friars jobs.
Installed by: SOy rc-e Qernb � eI l n%
Insulation company Name
Insulation contractor CC# C 0 C I SJ
O.C.Buiklee q oL me e 9 em p rel , n�
Com�ny Name
Building Contractor M: C3 -C
Note: For llgbtweight Insulating concrete, me appropriate forms, separate from this one.
Revised 02 -26 -nM
A A260 ' °8
June 26, 2014
Miami Shores Village
Building Department
10050 NE 2nd Avenue
Miami Shores, Florida 33138
Permit Number:
Address:
Folio Number:
Building Department,
RC 13-1919
101 NE 105th Street
11-2136-005-0090
I, Victor J. Bruce, having performed visual observations of the project and
performed and approved the required masonry inspection at the renovation, I
hereby attest to the best of my knowledge, belief, and professional judgment,
the structural and envelope components of the above referenced renovation
are in compliance with the approved plans.
I also attest that to the best of my knowledge, belief, and professional judgment,
the approved permit plans represent the as built condition of the structural
envelope component of the said structure.
Please contact me at 305.310.5030 if you have any questions and/or comments.
Sincerely,
041V Y7)
Victor J. Bruce A.I.A., LEED R AP
Architect
AR -0017103
370 NE 10 Is' Street
Miami Shores, Florida 33138
telephone 305-310-5030
tax 1-877-408-8280
email vbruce@ai-associates.net