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RC-14-426 ECTION RECORD POST ON SITE Permit NO. RC-3-14-"' ����;"`' yf► Miami Shores Village Perrnit ype'McWdsnda!Constrw ,logo nm 10050 N.E.2nd Avenue Miami Shores,FL 33138-0000 Work Classiticafi n Addition/Alterative, Phone: (305)795-2204 Fax: (305)756-8972 Issue Date:5/2/2014 Expires: 10/29/2014 INSPECTION REQUESTS: (305)762-4949 or Log on at https:llbldg.miamishoresvillage.com/cap REQUESTS ARE ACCEPTED DURING 8:30AM-3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day Inspections. Residential Construction Parcel#:1131010150340 Owner's Name:ROGER RODRIGUEZ Owner's Phone: Job Address: 9425 NW 2 Court Total Square Feet: 1200 Miami Shores- FL � �-_----� Total Job Valuation: $ 35,000.00 Bond Number: WORK IS ALLOWED MONDAY THROUGH SATURDAY, 7:30AM-6:00PM.NO WORK IS ALLOWED ON SUNDAY Contractor(s) Phone Primary Contractor OR HOLIDAYS. RUDGE WOOD FLOORING Yes BUILDING INSPECTIONS ARE DONE MONDAY THROUGH THURSDAY. ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO BUILDING INSPECTIONS DONE ON FRIDAY. pole y NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. ITIS THE PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO .. . OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. �l� ►�r�rL J l u JKEICO.11� ZONING INSPECTION 6DATE INSP INSPECTION DATE INSP INSPECTION DATE INSP Foundation ZoningFinal Stemwall ZONING COMMENTS Rough l Slab t4T4 Water Service Columns ® Z/ 74 2"d Rou h Columns 2nd Lift Top Out Tie Beam Fire Sprinkler Truss/Rafters Septic Tank Roof Sheathing Sewer Hook-up Bucks Roof Drains Windows/Doors JSJ ELECTRICAL Gas Interior Framing INSPECTION DATE INSP I LP Tank Insulation /Z'3! 1 Temporary Pole Well " Ceiling Grid 30 Day Temporary Lawn Sprinklers Drywall Pool Bonding Main Drain Firewall Pool Deck Bonding Pool Piping Wire Lath Pool Wet Niche Backflow Preventor Pool Steel Under round Interceptor Pool Deck Footer Ground Catch Basins Final Pool Slab Condensate Drains Final Fence Wall Rough HRS Final Screen Enclosure Ceiling Rou . Driveway Rough PLUMBIN C MENTS Driveway Base Telephone Rough Tin Cap Telephone Final Roof in Progress TV Rough Mop in Progress TV Final Final Roof Cable Rough Shutters Attachment Cable Final Final Shutters Intercom Rough Rails and Guardrails Intercom Final MECHAt4tCAL ADA compliance Alarm Rough INSPECTION DATE IN Alarm Final _ Underground Pine " DOCt' AENTS Fire Alarm Rnligh Soil Bearing�-; Fire Alarm Final �U Sn�i.T;�diment Cert Service Work With Floor Elevation Survey Ventilation Rough Reinf Unit Mas Cert ELECTRICAL COMMENTS Hood Rough Insulation Certificate Pressure Test Spot Su ey Final Hood Final Survey Final Ventilation Truss Certification Final Pool Heater STRUCTURAL COMMENTS Final Vacuum v ' 7 MECHANICAL C NTS INSPECTION DATE INSP Final Sprinkler m Final Alarm �! AV V �, ev „� v> � da\ e; �s 4,•,, ;t��'.+ �; �a,,� ,r _ s �,�.� �'" _a,r; '. <c• �%�t ��j; �r Certificate of Completion �� Miami Shores Villagep 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305-795-2204 Fax: 305-756-8972 w Building Inspection Department w : � r This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in . x " compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: h � p J 9 9 9 g: , �'• Permit Type RESIDENTIAL CONSTRUCTION Bldg. Permit No. RC-3-14-426 Owner ELITE HOME PARTNERS LLC Contractor RUDGE WOOD FLOORING 3W'Wi � f � 14 � �? Subdivision/Project NONE Date Issued 07/28/2015 ` M N Occupancy Construction Type V-B Load 42 Occupancy K s v ` �= Square Footage 1200Type SINGLE FAMILIY .. ffi Description of INTERIOR RENOVATION Applicable Work Code 2010 FLORIDA BUILDING - { LocationFlX « y ood Zone F.F.E N/A 9425 NW 2 CT Miami Shores FL 33138 ° c7- Evil BuildingOfficials Approval s ae aranto Not Transferable �J �t ppt`�A POST IN A CONSPICUOUS PLACE .�'.` '+ ." „ " �'m+ ,,", ,� ">..- ",..., a„�X ^.7:'$'"s„°m`a"n: ,> -..>:,, a4 ....<.,, .m -•n �,ts-,ca,>a.`.:.::x'^v,,M..�>.v.�,.,..n« ..i,,s,,,,<,..,,,a..r�i�ad_«-.�•.,..”Y�;;�s,)»',aa.�,'._=m�...',°.'R,3°x.,r...`.,,';...'b.�<?ss.+,,".,.,.s �+ri,.�^,,„,:x`vg�L.,,g.,s:..�.?.',r:.=:<",.,.,,�`�,..7.ex e "x�`:,.b�.�."`.',a'r^,,,<+,ir,`...^.'�-<,x��'..`;3�,m.,.w z,>..z..xp"2.<:..a>..-,---:.:_:',te;'t.'.>a,,'x,v-,�—,*�.k. «''ve 0w,",qY, ,.:,a,*°_x.�>:=�-a,��n�.''.myu;'.-';°,.;..�,.".a,�=,.'. ^f4',`9.St.',,"�,-++c.'^:A::::e.+�+.'.�v;,s4v•�„,�af. +ct' pA „� � "w � -� _-�..a .4,..a' ;.>+mLt..,>'�r, ''� R 4:af`. —�"#' S �a�'a rltw '� � "8.`.,c 9•�s " < .. ., >^ 4:. .>�'..�.. ,.. ,-.:,�. � .. �,�,.E. r.. ,-.a= ,. s4s..";.,. ,>f.•, < .- ..;i '' ucc�w "� :.. ,^_S".¢�• �.,.4 os ` tis "^ ,Aa�"'3:=:t�:,T' ,.:. ror� .. VN N Notice of Preventative Treatments for Termites (As required by Florida Building Code(FBC)104.2.6) TARGET Pest Control 305-262-2322 Address of Treatment or Lot/Block of Treatment Date o. ® A licator �s � ?_'b''Pr AO `f t• Product Used Chemical used(active ingredient) Number of gallons applied Perceaf Conceen✓tration Area treated(square feet) Linear feet treated Stage of treatment(Horizontal,Vertical,Adjoining Slab,retreat of disturbed area) As per 104.2.6-If soil chemical barrier method for termite prevention-is used,final exterior treatment shall be completed prior to final building approval. If this notice is for the final exterior treatment,initial and date this line ®�--- 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. 6666 00 0 • 6666 6666•• • . • 66••80 •• 6666•. 6..666 • __ -__ 6.666• '7�^.-r-.� -1 •666 •• • e • /`- I�-A - 66666• 6 •6•• 6••6• LBY AUL _._ - - ^ • •6060• •06.60 • • • •6.08• CADocuuments and SettingsliegULocai SattiagslTempomy Internet Res10LK 1770Treatment tdoticc.doc 1 iuN RECOML) STRUCTURAb- ZONING 4 INSPECTION DATE INSP INSPECTION DATE INSP INSPECTION DATEHINSPFoundation Zonin Final Stemwali ZONING COMMENTS Rough Slab t Water Service Columns 0 ,01 Rough Columns 2nd Lift To Out - Tie Beam Fire Sprinklers Truss/Rafters Septic Tank Roof Sheathing Sewer Hook-u Bucks Roof Drains Windows/Doors 9P� �,� ELECTRICAL Gas Interior Framing INSPECTION DATE INSP LP Tank Insulation )I. Temporary Pole Well Ceiling Grid 30 Day Temporary Lawn Sprinklers Drywall Pool Bonding Main Drain Firewall Pool Deck Bonding Pool Piping Wire Lath Pool Wet Niche Backflow Preventor Pool Steel Underground Interceptor Pool Deck Footer Ground Catch Basins Final Pool 51ab Condensate Drains Final Fence Wall Rough HRS Final Screen Enclosure Ceiling RougFD_ Driveway Rough ?I-IP F, PLUMB!M COMMENTS Driveway Base Tele hone Rough Tin Cap Telephone Final Roof in Progress TV Rough Mop in Progress TV Final Final Roof Cable Rough Shutters Attachment Cable Final Final Shutters Intercom Rough Rails and Guardrails Intercom Final ADA compliance Alarm Rough INSPECTION DAVE IN' Alarm Final Underground Piny ` DOCV RENTS —� Fire Alarm Rnljghk. Soil Bearinp r -; Y Fire AlarmFi� nal S^_!!T.ciiment Cert Service Work With Floor Elevation Survey 2 ' Ventilation Rough Reinf Unit Mas Cert ELECTRICAL COMMENTS Hood Rough Insulation Certificate Pressure Test Spot Survey Final Hood Final Survey Final Vbnblation Truss Certification Final Pool Heater t STRUCTURAL COMMENTS Final Vacuum ; E� FIRE MECHANICAL COMMENTS INSPECTION JDATE INSP Final Sprinkler Final Alarm �� Notice of Preventative Treatments for Termites (As required by Florida Building Code(FBG) 104.2.6) TARGET Pest Control 305-262-2322 Address of Treatment or Lot/Block of Treatment Date Ime. e �As+iii^�o �� A licator Z-6,0"alr110 ` �,tiGi✓�ri���l� L Product Used Chemical used(active ingredient) Number of gallons applied A/ Percent Concentration Area treated(square feet) Linearfeet treated Stage of treatment(Horizontal,Vertical,Adjoining Slab, retreat of disturbed area) As per 104.2,6—If soil chemical barrier method for termite prevention-is used,final exterior treatment shall be completed prior to final building approval. If this notice is for the final exterior treatment,initial and date this line CADocuments and Settings\iegOc\Local Settings\Temporary Internet Files\OLK 177C\Treatment Notice.doc MR ENGINEERING CONSULTANTS INC. 10031 Pines Blvd. Suite#227,Pembroke Pines, FL. 33024 Office: (954)442-5099 (954) 298-6717 Fax: (954)432-9266 Field Density Test of Compacted Soils ASTM D-5195 Client. Elite Home Partners Order# 14-2822 Address: 2300 W 84 street Ste 602 Date. 11/5/14 Pro ect. Plumbing slab cuts Gau e# 16407 Address: 9425 NW 2 nd Court Miami Shores Lab ID# Location 05-28111 Floor slab— 1 05-28112 Floor slab compaction—Center 2 05-28113 Floor slab=3 Descri tion o Material Sand with rock mix Back Fill Slab on grade X Base rock SampledAW RR Tested B : RR Laboratory Identification Number 14-28111 14-28112 14-28113 Test Number 1 2 3 Depth in Inches 8" 8" 8" Field Density LB/Cu FK (Dry Density) 102.3 102.8 102.6 Moisture Contents 7.8 8.4 7.9 Maximum Density In the Field(%) 96.8 97.2 97 Compaction Requirement by Specs %of 95% 95% 95% Maximum Dens' 100%Maximum Density(Lab) 106 106 106 Proctor T-180 AASHTO 05-2822 05-2822 05-2822 Optimum Moisture(%) 8.9 Typed By:RR Respectfully submitted�y, Rahimuddin Rattimi, VE Certificate#: 51484. MR ENGINEERING CONSULTANTS INC. Should any subsoil conditions in the property(area)tested be found different from those encountered on the tested locations reported on our Density Test,MR Engineering Consultants,Inc.is not to be held responsible. As a mutual protection to client,the public and ourselves,all reports are submitted as the confidential property of clients,and authorization for publication of Statements,conclusions or extracts from our reports is reserved. ' MR ENGINEERING CONSULTANTS INC. 10031 Pines Blvd. Suite#237,Pembroke Pines, FL. 33024 Office: (954)442-5099 (954)298-6717 Fax: (954)432-9266 S PROCTOR COMPACTION TEST ASTM D-1557 Date November 5,2014 Client Elite Home Partners Address 2300 W 84 street Ste 602 Fro ect PIUMbog slab cuts Address 9425 NW 2'Court Miami Shores Sample Location Stockpile from 'obsite Soil Desc ' tion sand Sam led b RR TEST RESULTS Laborato Number. 14-2822 Sample Number. 01 The following compaction test was conducted in accordance with the standard methods for MoistuzWDensity relations of soil using a 10 lb.Hammer and 18"drop A-ASHTO designation T-180-C. %Moisture Dry Density Dn D=itvvs%boMn 6.1 104.3 5 6 7 8 9 10 11 7.7 105.6 9.1 106.8 10.4 105.1 Optimum Moisture 8.9 100%Mau.Dry Density 106 98%Dry Density 103.68 95%Dry Density 100.2 dieN Gradation test passing 314"Siev 12.40% W 0 Sampled By RR oOOF Tested By: RR % MOISTURE Typed By:RR Respectfully submitted by.; Remarks:Test results provided by '`- ATM ENG Rahimuddin Rahimi,PE Certificate#: 51484. MR ENGINEERING CONSULTANTS INC. Should any subsoil conditions in the property(area)tested be found different from those encountered on the tested locations reported on our Density Test, MR Engineering Consultants,Inc is not to be held responsible. As a mutual protection to client,the public and ourselves,all reports are submitted as the confidential property of clients,and authorization for publication of statements, conclusions or extracts from our reports is reserved. el I U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Flood Insurance Program important: Read the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owners Name ELITE HOME PARTNERS LLC Pollcy Number. A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company,NAIC Number. 9425 NW 2 COURT City MIAMI SHORES State FL ZIP Code 33150 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 10,BLOCK 3,ODELL MANORS,PLAT BOOK 41,PAGE 57 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.25051'42.09"N Long.80°12'07.73'W Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 8 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1095 sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade 10 within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 1564 sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name i£Community Number B2.County Name B3.State VILLAGE OF MIAMI SHORES 120652 MIAMI-DADE FLORIDA B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 12086C 0302 L 09-11-09 Effective/Revised Date Zone(s) AO,use base flood depth) 09-11-09 X N/A B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Proflle ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date:WA ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,ARAE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. Benchmark Utilized:#N-568 ELEV=9.65' Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a)through h)below. ® NGVD 1929 ❑ NAVD 1988 ❑Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 11.20 ®feet ❑meters b)Top of the next higher floor 13.76 ®feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ❑feet ❑meters d)Attached garage(top of slab) N/A. ❑feet ❑meters e) Lowest elevation of machinery or equipment servicing the building 11.97 ®feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 11.20 ®feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) 11.50 ®feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support N/A. ❑feet ❑meters SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information./certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a P'-, ACE ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No =SEAL Certifier's Name ARTURO R.TOIRAC License Number 3102 HERE Title LAND SURVEYOR Company Name Address 14317 SW 45 TERRACE City MIAMI State FL ZIP Code 33175 �� Signature Date 07-08-15 Telephone (305)552 7504 FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 9425 NW 2 COURT City MIAMI SHORES State FL ZIP Code 33150 Company NAIC Number. SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments CROWN OF ROAD ELEV.= 11.76' LOWEST MACHINERY ON C2 a IS A/C ELEVATION LOCATED AT EAST SIDE GARAGE ENCLOSURE ELEVATION=12.61' LAT/LONG OBTAINED BY GPS Signature Date 07-08-15 SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C.For Items E1-E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawispace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown.The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments. SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable Rem(s)and sign below.Check the measurement used in Items G8-G10.In Puerto Rico only,enter meters. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The following information(Items G4-G10)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum G10.Community's design flood elevation: ❑feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments. FEMA Form 086-0-33(7/12) Replaces all previous editions. . ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Strut Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number. 9425 NW 2 COURT City MIAMI SHORES State FL ZIP Code 33150 Company NAIC Number. If using the Elevation Certificate to obtain NFIP flood insurance,affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page,use the Continuation Page. "Front View" Date: 07-08-15 "Rear View" Date: 07-08-15 �Y a Z 'F ti ate. _ 1 4 A ' "Additional Front View" Date: 07-08-15 "Additional Rear View" Date: 07-08-15 -- � �'�'�•+''�,'"^'vim-�^�^-+ra^a�����»tiia-�.,, FEMA Form 086-0-33(7/12) Replaces all previous editions. Rudge Wood Flooring 2334 NW 78 ST Miami, FL 33147 (305) 696-0254 Ref: 9425 NW 2 CT, Miami Shores FL, 33150 To whom it may concern, Please be advised that we installed R-30 Owens Corning insulation in the repaired ceiling sections and R-5 Fifoel in the walls that were repaired. Thank you ery m h, Personally Know OR Produced Identification 37o 77-3 rLa-32-4 'Z) Type of Identification Produced Caridad Diaz s Cwrnisslon#FF 160477 =Expires: SEP 16,2018 sem; BONDED THRU '' '"•`- ,1 ST FLORIDA NOTARY,LLC ,Rflint,Type or Stamp Name of Notary Date q),�I ��— Miami Shores Village Building Department 10050 N.E. 2nd Ave Miami Shores,Florida 33138 Re: Permit# Folio# Attn:Building Department, I having performed and approved the required inspections at the renovation and addition.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 and other approved permit documents. I also attest that to the best of my knowledge, belief and personal judgment,the approved permit plans represent the as-built conditions of the structural and envelope component of the said structure. This document is being prepared in accordance with Chapter 1 of the Florida Building Code and must be submitted to the Village of Miami Shores Building Department in conjunction with the application for a Certificate of Completion for the above referenced structure. Should you have any questions or need any additional information please do not hesitate to contact me. Sincerely, �^ State of Florida# sir