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Phone (3¢5)795 Fax: (305'-- 8972
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issue date 211712o1J
INSPECTIaN:RIrQUESTS 0651
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REQUESTS ARE ACCEPTER DURING k OAM--3 3OPWF0R TH8 FOLLOWING BUSINESS DAY.
Requests muse be�ecehzec#..by'3 ISM o folloa�r[n�g day ih pectfa s.
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Owner's c ! ( --06)949-91349
Owner s Phone:
474
,Job Address; Z qy$ ., ,` Utai Syuars P'eOt: 2648,
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BUILQING 4 FSPEGT0IdS_ARF.DONE.a1MDAY
{ �HROUGtI T[IU 6AY RQgFIN( II FCtIbNS'
DOPIB IIfl011?A�f THR011G i' RtDA1f.;MO BUILD, ,
INSPECTICENS DONE ONRDAY.
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NO INSPECTION WILL BE imDE-UNLETHE PERMIT CARD IS DISPLAYED AND HAS-BEEN APPROVED, PLANS ARE READLY AVAILABLE. R IS
THE PERMIT APPLICANrS-RESPONSIAL, Y TO ENSURE THAT INflRK C'S ACC ISLE ANI�'EiPOSEPfOR INSPECTION PURPOSE$. NEITHER
THE SUpILRntNC:/Q-F ICt�AIAr �y[NQ�R THE�rCfTY S# ILL;Bf:LIAi I_E FGAR EXPENSE ENTAILED IN THE F EIVItOVI�I OR REPT ACEflilE 11 OF#IFFY IYIATEEtIAL
REQUfRI F3I�OWL 6I4,$PkOTtfl►�
WARN N Y OF FAtLUR TO E ORS A ; NOT cE OF
OI�IIMEIEMEiT xTN; YtUR P/�►YING TWA .�? MPR ? EMeNT
T� YOI� `C.C10 �11 I1' "L' � CaF� 3E
AND F�tTE`dN ' JQ� TE ` F{OR T # RaTIt � T10 1 YOU
tht ENt -_TO 3T �N FIVA I NGa' 4NSULT WITH �`1�Q JR �.EN0 OR AN
TTQRN Y ' �` t 1NG WORK OR 'I i" RDJNG YOUR .N1���'�� OF
COMMENtjEjVjg .
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STRUClURAL ZONING
tAP!ECWON !tom ECI`INI �l'ffs
Foundation #iti= Flt al
Stemwati D p ' EM
Slab �3; �1faor rine
Columns Ist ltd ,
Co1i,mnsidift
out ,
Tie Beam Fire rinkfiors
TrusslRaftei
# f.Sheatnin' ►
Sucks R+t Drair = _ t
\1Vindows/Doors. '' Cis
t►terior, Frl"' I ` pq, Tntc ;a
fins�itation: Tem` ra Pble efit
Ceitin , rfl Da Tem ra t 1e,Cs' r
i1 al4 Poofi;trion�r` r
�re�rall:• Poo,i 4 Bond Pr nn ,4,
mire i ath
P60,Wel
f�liohe acfitflow Prevento
Pool Staei' Uis o ro'no`
Pool Decfic Foo 'r t`roucui Catch,gash k
Final Pool $lab Ca�ntler►sate"=Dram
foal Force._. Wali Rou h; - `Ftris ; ° Y
Screen.EnClosore.
DhV'aWOy io PL til
Drivewa Base Tefie .F - h
Tin Ca '
TOO Fi
Roof in Pr cess TV.Rou h
Mo in Pr rens TV Final
Final Poof Gab a. f4
Flo h
Shutters A#achment-` Gabfie Finat
Final Shutters. = tnterro�n tough. ,
RMA.and Gfirardraiia " Inter rn Finial. MECHANICAL
ADA com re A arto ltri3 . 8_ .D `f E INSP.
' Aiarrrt-:Final. -- _ �ndsr t�u�f Pipe _
13M Fira i�larm
7 Bean Dart Fire 741arrrt F- Oa,
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Sal Treatment,Cert Service or IrYith
Floor Elevation Sunte -
It 00 Iau h
Aehf Unit Mis Ceti I Roti
Irmulabon Certificate Press ra Tes3.
S tLSury irraf`Hood
Firtat Surve >t "'
Truss Cettlfication Flnal.Pool fuer
STM Al, t~A tE '#`S Fit ai,Yacuu
INSRTlON'
" Final:Atamn
tet►♦5K�'�s
ones p•••� Miami shores Village
%P�O ,� BuildingDepartmentartment
,� R
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.
f7 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.
I Certificate of Elevation—(Sealed by surveyor). Expiration date required on the form.
Certificate of Insulation.
\}I ertificate 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)
Declaration 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$150.00
• Residential CC$50.00
• Commercial CO and CC$200.00
MIAM
Miami-Dade County Building Department
11805 S.W. 26 Street,Miami,FL 33175-2474
www.miamidade.gov/building
ENERGY, SOUND AND IMPACT CERTIFICATE
Building Permit No: GG-7- 4- y:5
Project Name: K&-0=6 *Vr -710
Job Address: M 1-1 06 2 Ari)e5
STATEMENT OF COMPLIANCE
We,the undersigned,hereby certify that the ENERGY,SOUND AND IMPACT INSULATION has been installed in the above
referenced project,in compliance with the latest edition of the FLORIDA BUILDING CODE,the APPROVED ENERGY
CALCULATIONS and Plans and in accordance with good construction practice.The insulation furnished and installed has the
characteristics shown below:(check only applicable boxes).
❑ 1) Exterior CBS W lls Insulation:R-`j (Min.):Material: q/ ia1� �,if
Thickness: nch(es):Density: lb/ft:Mfgr:
❑2) Exterior Frame/Metal
Stud Walls:R- (Min.):Material:
Thickness: inch(es):Density: Ib/ft:Mfgr:
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❑3) Exterior soli der��55rete walls:R- (Min.):Material: !(' I p m1 y,
Thickness: inch(es):Density: lb/ft:Mfgr:
4) Interior walls separating A/C from non A/C spaces insulation:R- (Min.)
Material: ;Thickness: inch(es);Density: lb/ft
E-5) MULTI-FAMILY RESIDENTIAL CONSTRUCTION ONLY:The COMMON(Party)walls to two separate conditioned
tenancies shall be insulated to a minimum of R-1 I for frame walls,and to R-3 on both sides of common masonry walls
See ENERGY CODE,2007,paragraph 13-602.ABC.1.1,on page 13.74,latest edition.These"minimum levels of
insulation",are not included in the Energy Calculations,but shall be installed in the field.
❑6) Ceiling insulation R- (Min.);Material:
Thickness: inch(es): Density: Ib/ft:Mfgr:
❑7) Walls,partitions and floor/ceiling assemblies between dwelling units or between dwelling units and adjacent public or service
areas such as halls,corridors,stairs,etc.must have a sound transmission class(STC)of not less than 50(penetrations must
maintain the required rating).
❑8) Floor/ceiling assemblies between dwelling units or between dwelling units and public or service areas such as halls,corridors,
stairs,etc.must have an impact insulation class(IIC)rating of not less than 50.
Make photocopies of this sheet in your office,as required for future jobs.
Installed by:
Insulation Company Name Insulation Con actor Signature
Insulation Contractor Ca2c 4 osai(o(O Date Certified
111w�O.C.Builder.
ompany Name 1 G.C./]Su_ilc%rr's_SiApnat_yre
Building Contractor CC#: Date Certified: O
Note:For lightweight Insulating concrete,use appropriate forms,separate from this one.
Revised 02-26-2009
Notice of Preventative Treatments for Termites G;;1
(As required by Rorida Building Code(FBC)104.2.6)
DELTAPest Control
i Y
8310 SW 43rd Street a Miami, FL 33155
Phone: 305-221-3149 55]
Address of Treatment or LottBlock of Treaftiient
8/27/15 ti pm Luis Cabezas
: rime Applicator
-Oroduct Used Chemical used(active Ingredient) Number of gallons applied
Percent Concentration Area trreated(square feet) Unear feet boated
f♦�f
LJ: . . ArlInining RInh C
treatmentStage of Vertical, disturbed
IL�!�i1J c�!`!�!�!`i1J m!`!`i1 cl!�!� i�`.��✓�i�7
stephenbrasgatia architect,
LETTER OF CERTIFICATION
Date: August 28, 2015
To: Building Officials & Inspectors
Miami Shores Village
10050 Northeast 2nd Avenue
Miami Shores, Florida 33138
Tel. 305-795-2204
Fax. 305-756-8972
Re: Permit No. CC-14-1588
Folio No. 11-3206-013-4210
Landlord Improvements
9717 Northeast 2nd Avenue
Miami Shores, Florida 33138
Attn: Building Department,
I, Stephen Brasgalla, having performed and approved the required inspections
at the renovation and addition. I herebyattest to the best of m knowledge, belief
Y 9 .
and professional judgment, the structural and envelope components of the above
referenced renovation are in compliance with the approved plans and other approved
permit documents. I also attest to the best of my knowledge, belief and professional
judgment, the approved permit plans represent the as-built condition of the structural
and envelope component of the said structure.
This document is being prepared P re ared in accordance with Chapter 1 of the Florida
Building Code and must be submitted to the Village of Miami Shores Building
Department in conjunction witht the application for Certificate of Completion for the
above referenced structure.
Should have any questions or need any additional information, please do not
hesitate to contact me.
Sincerely
Stephen Brasgalla, Architect
State of Florida Registration No. AR12239
6991 West Broward Boulevard Suite 100 Plantation, Florida 33317 954.614,3801
Florida License No. AR12239
Miami Shores Village CFF 2015R0559278
50559278
■... a..®� OE RK 29757 Ps 791 (Pss)Bu'I in Department
RECORDED 08/28/2015 15'.06:24
10050 N.E.2nd Avenue HARVEY RUVThtr CLERK OF COURT
Miami Shores, Florida 33138 MIAMI-DADS COUNTY? FLORIDA
Tel: (305)795.2204
Fax: (305)756.8972
PREPARED BY: �--
DECLARATION OF USE
KNOW ALL MEN BY THESE PRESENTS:
WHEREAS,the undersigned�'�� 110 1130 a 0 ir L.L�—' is/are the fee simple owner(s)of the following described property(°Property°)
situated and being in Miami Shores Village,Florida: krkh �lmfi 61.Kkt,^,;4,inar�SCe re N®. 9
Subdivision,according to the plat thereof,as recorded in the Plat Book
Lot(s) %0 an J 1` Block _of ( )
V® page —W of the Public Records of Miami-Dade County,Florida,(address)112-3 WE 7 rn —t t4d(rAl "�. and
WHEREAS,the undersigned owner(s)have sought certain development approval from Miami Shores and are providing this document in consideration thereof
and to induce the Village to grant same:
NOW,THEREFORE,for good and valuable consideration,the receipt and sufficiency of which is acknowledged,the undersigned do(es)hereby declare and
agree:
1. That the Property will not be used in violation of any ordinance of Miami Shores Village or Miami-Dade County now in effect or hereinafter enacted.
2. That the property will be used for a single family residence only.
3. That he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and
conditions set forth herein.
FURTHER,the undersigned declare(s)that this covenant is intended and shall constitute a restrictive covenant concerning the use,enjoyment and title to the
above Property and shall constitute a covenant running with the land and shall be binding upon the undersigned,hismer successors and assigns and may only be released
by Miami Shores Village,or its successors,in accordance with the odes,rules and regulations of said Village then in effect. ., �.
IN WITNESS WHEREOF,the undersigned hasthave caused hand(s)and seal(s)to be affixed hereto on this�_day of
201-4.
WITNES'7) OWNERS: .
x
Signature r
and Print +WliteV�� a Pill
Signature Signature
and Print and Print
STATE OF FLORIDA )
COUNTY OF MIAMI-DADE }
I HEREBY CERTIFY that on this day personally appeared before me alkftkiho is personally known tome or has produced
(type of identification)as identificatio nd he/she acknowledge that he/she executed the foregoing,freely and voluntarily,for
purposes therein expressed. %,v,eglelllltta
e
STATE OF FLORA FSOB2IBED before me of
•���15
I HEREBY CERTIFY that this is a true copy of the N41 CIER[ BOG
original+filed in this ofWe on day of
A L%* Ires:' A D 20 U r N y N°° #FFA 3� ' <b Nr
a� NOTA Y P BLIC,S A OF FLORIDA a o� �M�. Qo
WITNESS m hand4114Official Seal. , ✓ q
y �� lstSt4°.°
RARVEY R VIN,CL i�0 ��o�� J9bF Cr 1 •� '���®'� �patllii
TANASHIA ARNOLD 1144