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RC-16-375 S � Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-283124 Permit Number: RC-2-16-375 Inspection Date: May 24, 2017 Permit Type: Residential Construction Inspector: Dacquisto, David Inspection Type: Survey Final Owner: FRANCESCA RINONAPOLI TRS, Work Classification: Garage Enclosure CCTCCAAI !`_11 U2`^\/A7 TCC Job Address:9915 NE 4 Avenue Road Miami Shores, FL Phone Number Project: <NONE> Parcel Number 1132060171300 1. Contractor: GMB CONSTRUCTION INC Phone: (305)967-3640 Building Department Comments CONVERSION OF EXISTING OPEN AIR BREEZE WAY Infractio Passed Comments INTO HABITABLE SPACES BEDROOM, BATHROOM, INSPECTOR COMMENTS False PLAYROOM PARTIAL GARAGE CONVERSION INTO LAUNDRY ROOM Passed Inspector Comments ��\� Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 May 24,2017 Page 1 of 1 LOCATION SKETCH ►• a o LOT 14 SCALE: NTS u;z 130.00' ( R & M) BLOCK96 z!ESE ,'% :.:. Vi 37.50' N A p�•• c aZ Oj: •� to ooAd c u; 25.30' 45.85' a~ 4.65' 0 El C41 \\ pS 2.0'CL N • • • ::.::�..;w ` n' 10.18' ONE STORY 5.60' \\` \ LOT 15 " RECEIVED Z .• . .• :•• •�• 0 •••.•. Q..:::: .•.•, C.B.S. RESIDENCE \ `\ 3 W !� • •' • •. • Q'•'.'..'.'.� } #9915 \\\\\\\\\\ \ c BLOCK 46 MAY 2 �f X11 Q •••••• •• •• •i ..O'•'•••.'.' QI r iw T *666 •• •• ' Lj �/ '.'. :.:.aV. ;::::. N O '• 65 F.F.ELEV.=12.50' \ \\ \\\\ rn -C - •.•••• •. \ \ \ .........d. • /` • •,• . . N O 11 a •� •• ••• �. N r C N to \ `\ �� ',W 1. •• • .� •• !0 N �r: - - - - M- - - - - - \ 8.80 - - - - - - �O �]1'•' ■ �••••• • • 11 W • . • Oj et \ \\ b •• • ••• • so •• • ` \ N so: •. :::::::::: L.F.F.ELEV.=10.95' . Q':':': ::'::':•:•:.: 6.0\ N.E. 5th AVENUE :: .55' \`\ ..in :: :':: `.r• `\\\ LOT 16 3 0► ' :::::::::: '•', `\\\\ BLOCK 96 J : N C o PERMIT r11Y1 1 . ■:.:' '. .... ::::! PAVERS o GARAGE ^ t..••' i, ;. DRIVEWAY N ELEV.=10.65' 6.00' 62' :•::� II 1- G Miami Shores Village u�: J .; APPROVED BY DATE 28.75' 42.60' �p5� o ,�0 2.0'CL � 12.5' �,'•: A/C `� `'� off, ZONING DEPT ..,,•o'. `° "eft q �� 4 ° of BLDG DEPT T 5'C.B.S. WALL SUBJECT TO COMPLIANCE Wf FH ALL FEDERAL 37.50' •'' z .. 130.00 ( R & M ) c :p •....... STATE AND COUNTY RULES.AND REGULATIONS LOT 17 C14 .Y. z c BLOCK 96 csZ _ ...... .... ;'..i Property Address:9915 N.E.4"'Avenue Rd., Miami Shores, FL. 33138. r ABBREVIATIONS: Legal Description: Lots 15 and 16, Block 96,AMENDED PLAT OF MIAMI SHORES SECTION NO.4, SV�t(=51DEW4LK,CBS=CONCRETE BLOCKSTRUCTURE,CLF=CHAIN LINK FENCE,PL=PROPERTY LINE.DUE=DRAINAGE UTILITY EAS EM'cNT,IP=IRON PIPE F--FOUND.A/C=AIR CONDITIONER PAD,P/G=PROPERTY CORNER.DM=DRILLED HOLE,YJ/F=WOODEN FENCE,RES=RESIDENCE,CL-CLEAR,RH=REHA4. g accordin to the Plat thereof as recorded in Plat Book 15, Page 14 of the Public Records of Miami-Dade, UE=UTILITY EASEMENT. CONC=CONCRETE SLAB. RAN=RIGHT OF MY, DE=DRAINAGE EASEMENT, C/L=CENTER LINE, O=DIAMTER, TYP=TYPICAL M=MEASURED.R=RECORDED,ENCR=ENCROACHMENT,COMP=COMPUTER,ASH=ASPHALT,N/D=NAIL&DISC,S=SET,FEE=FINISH FLOOR ELEVATION. County, Florida. O/S=OFFSET,P/P=POWER POLE,OHP=OVERHEAD POWERLINE,WM=VATERMETER I'MASONRYVALL= ELEVATION BASED ON LOC. # 3100 NOT VALID UNLESS EMBOSSED WITH CONCRETE=_ •':.:•.:.:••:.:::;:•.:;:••: :,•.:,•:,.,,•:, - SURVEYOR'S SEAL MAINTENANCE BDRAINAGE EASEMENT=M&D.E. CBM#N-397 - ELV- 9.80 1 TYPE OF SURVEY:BOUNDARY SURVEY 1 HEREBY SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2)NOT VALID WITHOUT THE SIGNATURE the eon meets CERTIFY minimum t chnicalhat the r requirements ANDements SINCE 1987 L @ AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT adopted by the STATE OF FLORIDA Board of Land BLANGO SURVEYORS ING. W COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5). Surveyors pursuant to Section 472.027 Florida Engineers•Land Surveyors•Planners•LB#0007059 UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC Statutes, VERTICAL DATUM_OF 1929.- 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL There are no encroachments, overlaps, easements 555 NORTH SHORE DRIVE RESTRfCTIONS NOT SHOWN ON THIS SURVEY THAT MAYBE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY 9) appearing on the plat or visible easements other than MIAMI BEACH,FL 33141 CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING as shown hereon. INFORMATION. 10)EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED (305) 865-1200 Email:blancosurveyorsinc@yahoo.com Fax: (305) 865-7810 REVISED: INSTRUMENTS,IF ANY,AFFECTING THIS PROPERTY Additions or deletions to survey maps or reports by other than the si FLOOD ZONE: X SUFFIX: L DATE: 9/11/09 BASE:N A gning party or parties is prohibited ���ttt ����1fff l without whiten consent of the signing party or parties. ADIS N.NUNEZ PANEL: 0302 COMMUNITY# 120652 BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE-OF SAID P$' 15 14 REGISTERED LAND SURVEYOR DATE. SCALE: DWN-BY: JOB No PAGE STATE OF FLORIDA#5924 3/ O/17 l-_3�0 - 1"=20' F.Blanco r �», �'••> ^�:�+ T- i��;� r''r-'t'•� ii��'"^'_' �, -� 't".�' _i.Rry �i?+ ;- �rp.�,r. '�'��-i�t''. }�` � X��/ia'1a), < �� •Y r t �•f 4'bl � •.iyl•.1, +�r d�+� �Q'k• '.�r �'•iL�!i-, �� � \ ,� � �. F j�}'•. r�Y 1 t'�`1 � �1•f:.'P•'M •� t i•(;:��IT�:. Wa��it��{•��. 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"v.+�; •��� 'rq�.i- �j �tl+�,)�:. �� � ��� .1 ••;��.;t•;+� +? � r� f}�, 4,�,; lf���� �� '!� �,��y. .k,l�t�� _ 1; '�/ f t' ., ar: •►e ,, r,��. .;�.• .S �.. w •x(u..M .�- �.:. � .L. •. X hl,.�'- dS3 n. .� t v1".46 •.�,�V.r V$. t's .�it;L• .r ,-- SPECT10N RECORD POST ON SITE y�oRFs Permit NO. RC-2-16-375 Miami Shores Village Permit Type:Residential Construction 10050 N.E.2nd Avenue Miami Shores,FL 33138-0000 work Classification:Garage Enclosure tn,kkPhone: (305)795-2204 Fax: (305)756-8972 11/13/2016 �t0R1(tp' Issue Date: 5/17/2016 Expires: INSPECTION REQUESTS: (305)762-4949 or Log on at https://bidg.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 #:1132060171300 Owner's Name:ESTEBAN GIUGOVAZ TRS FRANCESCA RINONAPOLI ' Owner's Phone: Job Address: 9915 NE 4 Avenue Road Total Square Feet: 860 Miami Shores FL Bond Number: 3091 Total Job Valuation: $ 50,000.00 nr�—��`..w�aem wsawoaw. vr,=--�._=��.. ara�s+neirac---esre�orrsac• WORK IS ALLOWED: Contractor(s1 Phone Prima Contractor MONDAY THROUC H FRIDAY,8:OOAM-7:00PM. Primary SATURDAY 8:OOAM-6:OOPM. GMB CONSTRUCTION INC (305)967-3640 Yes NO WORK IS ALLOWED EiD ON SUA',CA d 0HOLIDAYS. BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. 71 Gel ►- S�d`'� /�, U1 S l '� Sh eco p, A rt(A Fvcn; � �t 410 [6 VAV5T G.e � tired v< <l e e (� elf 57 444941Ad`) &,fie e, w i, 01 -7 7- a Le+v— e NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAIL.-ABLE IT IS THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF AN),MATERIAL REQUIRED TO ALLOW INSPECTION. 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 C'R AN ATTORNEY BEFORE COMMENCING WORD OR RECORDING YOUR NOTICE OF COMMENCEMENT. A;i -� C4 v/1M J� INSPECTIONFR."ECO" T' STRUCTURAL ZONING PLUMBING INSPECTION D T 1 INSPECTION DATE INSP INSPECTION DATE INSP Foundation Zonin Final Stemwall ZONING COMMENTS Rough Slab Water Service Columns 1 st Lift t$ 2"d Rou h Columns 2nd LiftTo Out Tie Beam Fire Sprinklers Truss/Rafters Septic Tank � Roof SheathingSewer Hook-up Bucks Roof Drains indows/Doors ELECTRICAL Gas Interior FramingINSPECTION DATE INSP LP Tank Insulation Temporary.Pole Well Ceiling Grid, AA 30 Da 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 Slab Condensate Drains Wall Rough HRS Final Screen Enclosure Ceiling Rougtj, ` Driveway Rough PLUMBING OMMENTS Driveway Base Telephone Rough -�; t-a+ Tin Cap- Telephone Final Roof in Progress TV Rough ��+, � ► Mop in Progress TV Final Final Roof Cable Rough t.S' Shutters Attachment Cable Final / Av �+ Final Shutters Intercom Rough Rails and Guardrails Intercom Final ' ADA corn liance Alarm Rough INSPECTION DATE INSP farm Final Underground Pipe DOCUME ire Alarm Rough .001 Soil Bearina Cert Fire Alarm Final Rough Soil Treatment Cert Service Work Witlf Floor Elevation Survey Ventilation Rough Reinf Unit Mas Cert ELECTRICAL COM ENTS Hood Rough Insulation Certificate Pressure Test Spot Survey Final Hood Final Survey Final Ventilation Truss Certification _ Final Pool Heater STRUCTURAL COMMENTS Final Vacuum MECHANICAL COMMENTS LS!ECTION DATE IN7 SP nal S rinkler Final Alarm INSPECTION RECORD POST ON SITE Permit NO. RC-2-16-375 1 y^►t OR uS 1 Miami Shores Village Permit Type: Residential ons ruction �� UC� 10050 N.E.2nd Avenue un MUM.. WorkCJassific Miami Shores,FL 33138-0000 rte, tion:.Garage Enclosure OP,* Phone: (305)795-2204 Fax: (305)756-8972 L� `+ Issue Date: 5/17/2016 Expires: 11/13/2016 klii-r INSPECTION REQUESTS: (305)762-4949 or Log on at https://bldg.miamishoresvillage.colTVcap REQUESTS ARE ACCEPTED DURING 8:30AM-3:30PM FOR THE FOLLOWING BUSINESS DAY. I Requests must be received by 3 pm for following day inspections. Residential Construction Parcel #A 132060171300 Owner's Name:ESTEBAN GIUGOVAZ TRS FRANCESCA RINONAPOLI ' Owner's Phone: Job Address: 9915 NE 4 Avenue Road Total Square Feet: 860 Miami Shores„FL Bond Number: 3091 Total Job Valuation: $ 50,000.00 WORK IS ALLOWED: MONDAY THROUGH FRIDAY,8:00AM-7:00PM. Contractor(s) Phone Primary Contractor SATURDAY 8:OOAM-6:OOPM. GMB CONSTRUCTION INC (305)967-3640 Yes NO WORK IS ALLOWED ON SUMCAY 0<HOLIDAYS. BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. u Te i �� e Co VkW+�9 • A' 4eAISiags �� t6 ,mus ��,- (vewtisAec'�1vt�1 �-ee v� c�I w57 A ce e `u,4dw c Q Q 12 �� 1e4 OWA L -Nb INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY A�vNttABLE IT IS THE PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK tS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION. 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 ANL ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 3 tiT !j A,, G.a`7F' r' V INSPECTION RECORD INSPECTION T I INSPECTION DATE INSP INSPECTIONZONING PLUMBING STRUCTURAL I DATE IN Foundation Zoning Final Stemwall ZONING COMMENTS Rough .� Slab Water Service Columns 1 st Lift A 1416& 2nd Rough Columns 2nd Lift Top Out Tie Beam Fire Sprinklers Truss/Rafters ,' Septic Tank Roof Sheathing Sewer Hook-up Bucks Roof Drains r indows/Doors Gas Interior Framin INSPECTION DATE IN LP Tank Insulation Tem ora Pole Well ' CeilingGrid, 30 Da TemporaryLawn Sprinklers DrywallPool Bonding Main Drain Firewall Pool Deck Bonding Pool Piping Wire Lath Pool Wet Niche Backflow Preventor Pooh Steel Underground Interceptor Pool Deck Footer Ground Catch Basins Final Pool Slab Condensate Drains Final Fence Wall Rough HRS Final Screen Enclosure Ceiling Rou ' XT Driveway Rough PLUMBINGOMMENTS DrivewayBase Tele hone Rou Tin Cap. Telephone Final N'► W y" Roof in Pro ress TV Rough �'1°h. �" � _• Mo in Progress TV Final Final Roof Cable Rough lS I Shutters Attachment Cable Final / Final Shutters Intercom Rough Rails and Guardrails Intercom Final MECHANICAL ADA compliance Alarm Rough INSPECT I D rF-1 INSP farm Final Underground Pipe DOCUME Pire Alarm Rough 1 Soil Bearing Cert Fire Alarm Final Rough Soil Treatment Cert Service Work Wit Floor Elevation Survey Ventilation Rough - Reinf Unit Mas Cert ELECTRICAL COM ENTS Hood Rough Insulation Certificate Pressure Test _ Spot Survey Final Hood Final Survey Final Ventilation G Truss Certification Final Pool Heater STRUCTURAL COMMENTS Final Vacuum '..®- 7MECHANICAL COMMENTS INSPECTION DATE INSP Final Sprinkler final Alarm I i RECEIVED MAY 18 201/ L b. a '1 AA26001388 April 29, 2017 Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, Florida 33138 Final Inspection Letter Permit Number: RC 16-375 Address: 9915 NE 4th Ave Rd Building Department, I, Victor J. Bruce and Architect of Record, having performed visual observations of the project, 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 plan. 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. S' cerely, VI J. Bruce A.I. EED R Architect AR-0017103 P.O.Box 530019 Miami Shores,Florida 33153 telephone 305-310-5030 email vb@b2-ai.com ,U.S.-DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company, and (3)building owner. SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: FRANCESCA RINONAPOLI A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number: 9915 NE 4 AVE RD City State ZIP Code MIAMI SHORES Florida 33138 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description, etc.) LOTS 15 AND 16, BLOCK 96, P.B. 15, PAGE 14 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.N25°51'59.18" Long.W80°11'15.61" Horizontal Datum: ❑ NAD 1927 ❑x 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): a) Square footage of crawlspace or enclosure(s) 2703.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 15 c) Total net area of flood openings in A8.b 1920.00 sq in d) Engineered flood openings? ❑Yes Z No A9. For a building with an attached garage: a) Square footage of attached garage 200.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑Yes ❑x No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2. County Name B3. State TOWN OF MIAMI SHORES 120652 MIAMI-DADE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12086CO302 L 09-11-2009 09-11-2009 X N/A B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69: FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: 0 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 ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30,2018 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: 9915 NE 4 AVE RD City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33138 SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x 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,ARIAE,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-397 Vertical Datum:NGVD 1929 Indicate elevation datum used for the elevations in items a)through h)below. 0 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) 10.70 x❑ feet ❑ meters b) Top of the next higher floor 10.95 21 feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑x feet ❑ meters d) Attached garage(top of slab) 10.65 0 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building feet meters x (Describe type of equipment and location in Comments) 11,10 ❑ ❑ f) Lowest adjacent(finished)grade next to building(LAG) 10.40 x❑ feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 10.60 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ feet❑N/A x meters structural support 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? Yes ❑No ❑Check here if attachments. Certifier's Name License Number ADIS N. NUNEZ 5924 Title #5924 REGISTERED LAND SURVEYOR 3/20/17, � Place Name BLANCO SURVEYORS INC Sial Address Here 555 N. SHORE DR. City State ZIP Code MIAMI BEACH Florida 33141 Signature Date Telephone Ext. 03-20-2017 (305)865-1200 Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company, and(3)building owner. Comments(including type of equipment and location, per C2(e), if applicable) LONGITUDE AND LONGITUDE OBTAINED BY GOGGLE. C2.e)A/C ELEVATION. CROWN OF THE ROAD ELEVATION: 10.10'ON CENTERLINE ON CENTER OF ROAD. BM#N-397 LOCATOR: 3100 ELEV:9.80' FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30,2018 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: 9915 NE 4 AVE RD City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33138 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. y ZI...'u'.-. .. . .; i —e J Photo One Photo One Caption Clear Photo One • �r: f5 . k '•*, --- A► r . . h r Photo Two Photo Two Caption Clear Photo Two FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30,2018 NatiAnal Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner. SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: FRANCESCA RINONAPOLI A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number: 9915 NE 4 AVE RD City State ZIP Code MIAMI SHORES Florida 33138 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description, etc.) LOTS 15 AND 16, BLOCK 96, P.B. 15, PAGE 14 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.N25°51'59.18" Long.W80°11'15.61" Horizontal Datum: ❑ NAD 1927 ❑x 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): a) Square footage of crawlspace or enclosure(s) 2703.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosures)within 1.0 foot above adjacent grade 15 c) Total net area of flood openings in A8.b 1920.00 sq in d) Engineered flood openings? ❑Yes 0 No A9. For a building with an attached garage: a) Square footage of attached garage 200.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑Yes x❑ No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2. County Name B3. State TOWN OF MIAMI SHORES 120652 MIAMI-DADE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12086CO302 L 09-11-2009 09-11-2009 X N/A B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in Item 139: ❑ FIS Profile ❑x FIRM ® Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 69: ❑x 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 ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30,2018 IMP*IORTANT: 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: 9915 NE 4 AVE RD City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33138 SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x 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,AR/AE,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-397 Vertical Datum:NGVD 1929 Indicate elevation datum used for the elevations in items a)through h)below. ❑x 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) 10.70 ❑x feet ❑ meters b) Top of the next higher floor 10.95 x❑ feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑x feet ❑meters d) Attached garage(top of slab) 10.65 ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building feet x (Describe type of equipment and location in Comments) 11,10 ❑ ❑ meters fj Lowest adjacent(finished)grade next to building (LAG) 10.40 ❑x feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 10.60 x❑ feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ feet x structural support N/A ❑ 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. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑x Yes ❑No ❑Check here if attachments. Certifier's Name License Number ADIS N. NUNEZ 5924 . Title #5924 REGISTERED LAND SURVEYOR 3/20/17 Company Name Place BLANCO SURVEYORS INC Seal Address 555 N. SHORE DR. � ere City State ZIP Code MIAMI BEACH Florida 33141 Signature Date Telephone Ext. 03-20-2017 (305)865-1200 Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company, and(3)building owner. Comments(including type of equipment and location,per C2(e), if applicable) LONGITUDE AND LONGITUDE OBTAINED BY GOGGLE. C2.e)A/C ELEVATION. CROWN OF THE ROAD ELEVATION: 10.10'ON CENTERLINE ON CENTER OF ROAD. BM#N-397 LOCATOR:3100 ELEV:9.80' FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6