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RC-16-3197 (2) .5 t l o i. f { 1 t a i � k f t F OFFICE COPY I 5 Permit Holder AIJ C Permit# T F.B.C. Violation 1�� i Address- le 'U W Z �Date ~ ' y �.�,� ,�c•ter,.-N� ,3-� /A B --- Building Official 1 _ Permit No. RC 4, 1-16-3197 sNO1s L,� Miami Shores Village Permit Type:Residential Construction �,. 10050 N.E.2nd Avenue NW Worts Ctassification:.Ac#tfitiottlAftef`ation .... - .... Miami Shores,FL 3313&0000 P IS Permit Status:_APPROVED EN Phone: (305)795-2204 A t F'<ORiDA issue trate:31301,2017 Expiration: 09/2612017 Project Address Parcel Number Applicant 10804 NW 2 Avenue 1121360020140 ' ANGELA M HENAO Miami Shores, FL 33168- Block: Lot: Owner Information Address Phone I Cell ANGELA M HENAO 10804 NW 2 Avenue (305)793-2495 MIAMI SHORES FL 33168- 10804 NW 2 Avenue MIAMI SHORES FL 33168- Contractor(s) Phone Cell Phone Valuation: $"120,000.00 MCI CONTRACTORS, INC. (305)897-6328 (786)251-2978 Total Sq Feet: 1826 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved: : In Review Final PE Certification Date Denied: Drywall Type of Construction:REMODEL OF EXISTING AND ADD Occupancy:Single Family Miscellaneous Stories: Exterior: Window Door Attachment I Tie Beam Front Setback: Rear Setback: Left Setback: Right Setback: Final Bedrooms: Bathrooms: Framing Plans Submitted:Yes Certificate Status: Insulation Certificate Date: Additional Info: Truss Insp Columns Bond Return: Classification:Residential Foundation Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Window and Door Buck Bond Type-Owners Bond $500.00 Fill Cells Columns CCF $72.00 Invoice# RC-11-16-62154 Wire Lathe CO/CC Fee $50.00 03/30/2017 Check#: 129 $4,430.00 $200.00 Review Planning DBPR Fee $54.00 11/22/2016 Credit Card $200.00 $0.00 Review Building DCA Fee $54.00 Bond#:3355 Review Plumbing Education Surcharge $24.00 Review Electrical Permit Fee $3,600.00 Review Electrical Plan Review Fee(Engineer) $120.00 Review Structural Scanning Fee $60.00 Review Mechanical Technology Fee $96.00 Declaration of Use Total: $4,630.00 F.Termite Letter F.Elevation Certificate F In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futherwo, lhori the abov ed contractor to do the work stated. IIV�^' March 30, 2017 / Applicant / Contrai;tor / Agent Date Authorized SignatureM Building Department Copy March 30,2017 1 Miami Shores Village RECEIVED Za NOV222016 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 _j�-I- INSPECTION LINE PHONE NUMBER:(305)762-4949 C FBC 20( q BUILDING Master Permit NO. I"Z.0 �6 —l PERMIT APPLICATION Sub Permit No. i KBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB'ADDRESS: I O R 04 �')Lo 2 1C City: Miami Shores County: Miami Dade Zio• 3316$ Folio/Parcel#: I - 2\3(0-©02,- »14 n Is the Building Historically Designated:Yes NO- Occupancy Type: i ad: Construction Type: Flood Zone: BFE: FFE: n � I OWNER: Name(Fee Simple Titleholder): ! CN f Ar - ,)n�AP a Phone#: :31D5-:31D5- 4*rl3r - 7_4�S' Address: /415 ��-S� �-tuie7 ?A6 1 City: r� lA,nat 7LwCJA State: F-L Zip: 3313 Tenant/Lessee Name: Phone#: Email: A,� /� CONTRACTOR:Company Name: /'\(JC1 l0 i ��S � Z Phone#: 3OS- $`1-+- 6319 Address: 1111.0 A19004nic fAjtg,,�4 (.�y1^7E Z(G City: M1 R alf qq State:- }-�- Zip: 33o-ZS Qualifier Name: ML.1A•3IC-.1DL'Z Ut='20S Phone#:. q9(.--M-ZqT$ State Certification or Registration#: CGC�- �5I 6'z�{ t . Certificate of Competency#: ._ DESIGNER:Arch itect/E,�.nl1gineer: Ml�-T19��1 W S 13Aa Y'• Phone#: �S- 'I I- 1+17N Address: (3oL /�in� /2.S ��1 City:14aurr- MBNA+( State: Ff- Zip: 3a[4 ) Value of Work for this Permit:$ 1201 OOO-O cn Square/Linear Footage of Work: I S Z6 S&�FI- - Type of Work: I, Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: F CT�1pl7(2': D'F. EX 15106T Av,6 M-Di bony I o 1/1/l,�-b�,y2 �.r.'1-f ftoty✓1 �'. Specify color oficolo�t#bruitile: y��d,•..�,p.1:31 a v^,�C;�'I��h',';3,}art. ��� — CO/CC$ .� Submittal Fee X�I�.r,�e :aaPermit FeS i �J CCF$ Scanning Fee$t ��:•- >�,� e<r ss%..t'D.'!1 ' "-"Radon'Fee$ DBPR$ ="-":2 otary Technology Fee 4$ ` ~Training/Education Fee$ �� .• Double Fee$ _ Structural Reviews$ Bond$ O 0 TOTAL FEE NOW DUE$ ASO - -- (Revise 02/24/2014) ( iy Q S0 I Bonding Company'ssName(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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,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. A, ,/( _ J ",) r,),�' Ji "WARN ING'TO.OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TOYOUR-PROPERTY'. WYOU INTEND t 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 estimate 'value ex eding$2500,'the applicant must promise in good faith that a copy of the notice of commencement and construction lien la brochur will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of com encemen ust'tie posted at`the job site for the first inspection which occurs seven (7) days after the building permit is issued. In a obsenc of such posted notice, the inspection will not be approved and a reinspection fee will be charged. fe t A Signature 1 Signature WNER or AGENT C RACT a x The foregoing instrument was acknowledged before me this The foregoing instrument was ackno ged before me this 20 day of �r"7""""`�v 20 /.6 by �-" day of �t. � ,20 / by a who is ersonally know to 1►'l.c t y w to-tt- U� ,S .who i �ersonally kno to .. d• a.Y, ._ r. Yea '� .'i ,r', } -+J r•J�. me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: r 1"-} "! � t tis:l:a�t.,y.•. r h,! y.1 - 3�. �"`t. Sign: ' Sign: Print: C44t%_12540--a— &0Y, Print: C1-V-Asgi esfilte-� C6X Seal: Seal: •�►"' CHRISTOPHER COX [(40?)399-Qi53 r' : CHRISTOPHER COX MY COMMISSION 8 GG01152 MY COMMISSION#GG011522 ********** aide(407)398-0153 com FNrM11Nayry$erolx. APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) t S�oRes L'r / � y Y l iainc17.0rej Viffaqe r�- ,'�F= & 10050 N.E SECOND AVE. oRiV� MIAMI SHORES, FLORIDA 33138-2382 Telephone: (305) 795-2207 Fax: (305) 756-3972 DAVID A. DACOUISTO, AICP DEVELOPMENT ORDER File Number: PZ-09-16-201673 Property Address: 10804 NW 2nd Avenue Property Owner: Angela Henao Address: 1419 West Avenue. Miami Beach. FL 33139 Applicant: MCI Contractors Inc. / Melquicedec Viveros Address: 11820 Miramar Pkwy.. Suite 216. Miramar, FL 3302 Agent: Melquicedec Viveros Address: 11820 Miramar Pkwy., Suite 216, Miramar, FL 3302 Whereas. the applicant MCI Contractors Inc. / Melquicedec Viveros (owner), has tiled an application for site plan review before the Planning Board on the above property. The applicant sought approval as fellows: Pursuant to Articles IV, V and VI of Appendix A Zoning. Sec. 400 Schedule of Regulations, Sec. 52'.1 and Sec. 600. Site plan review and approval required. One-story addition. Whereas. a public hearing was held on October 13, 2016 and the Board,. after having considered the application and after hearing testimony and reviewing the evidence entered, finds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village. 2. The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code. The Board requires that all further development of the property shall be performed in a manner consistent with the site plan, drawings, and the conditions agreed upon at the hearing: 1) Approval is granted as shown on the plans submitted and made a part of this approval to construct a 147 sf master bathroom and walk in closet addition. Page 1 of 3 2) Applicant to apply fir and obtain all required building permits from the Building Department before beginning work. 3) Applicant to apply for and obtain all necessary permits and approvals from outside agencies before beginning work. 4) An erosion and sedimentation plan subject to review and approval by the building official is required if ground cover is removed or as required by the building official. Properly installed soil erosion measures (silt fences. straw barriers. etc.) and anti-tracking area at all construction entrances are required, to be put in place and maintained if ground cover is removed or as required by the building official. Required erosion control measures must be in place prior to footings inspection. 51) The applicant shall provide an architect or engineer's drainage plan and report to certify to the building official that the site provides storm drainage that detains the first one inch in natural or filtered structural facilities prior to the issuance of a building permit by the Building Official. 6) The applicant is responsible for the installation and maintenance of drainage structures and ani, site modifications shown on the drainage plan that are necessary to provide storm drainage that detains the first one inch in natural or filtered structural facilities. Minor modifications to the approved drainage plan shall require a new signed architect or engineer's drainage plan that shall be subject to review and, approval of the Building Official and the Planning Director. Major changes to the approved drainage plan including the construction of drainage improvements such as but not limited to mounds and walls. shall require a new site plan review application and review and approval by the Planning and 'Zoning Board. 7) All drainage improvements shall be installed in accordance with the approved draina�`e plan before final inspection by the Building Official. 8) The applicant shall repair and maintain the onsite drainage system in accordance with the approved drainage plan except that major changes shall require Planning and Zoning Board approval as stated in Condition #6. 9) Applicant to obtain all required permits and approvals from the Miatni-Dade Department of Regulatory and Economic Resources., Environmental Plan Review Division (DRER. E-PRD) and the Miami-Dade Department of Health (DOiJ/HRS) as required. 10)Applicant to meet all applicable code provisions at the time of pennitting. 1 t)This zoning permit will lapse and become invalid unless the work for which:it was approved is started within one (1) year of the signing of the development order by the board chair, or if the work authorized by it is suspended or abandoned for a period of at least one (1) year. Paae 2 of 3 Additionally. the applicant must, satisfy all applicable Miami Shores Village Codes. N,liami-Dade County Codes. the applicable building and life safety codes required for development.. and provide a copy of the development order to the Building Dept. The application with conditions was passed and adopted this 13`x' day of October. 2016 by the Planning and Zoning Board as follows: Motion to approve subject to Staff recommendations by Mr. Abramitis with the added requirement that the installation of structures on site to control drainage shall require Planning and Zoning Board review and approval. seconded by Mr. Reese and the vote was unanimous in favor of the Motion. Ivtr. Abramitis Yes Mr. Basta Yes Mr. Reese Yes Mr. Diaz Yes Chairman Fernandez Yes ` t F i x Date Richard M. Fernandez- Chairman. ernandezChairman. Planning Board Page 3 of 3 / 6 oF� 4n .� WE JEFF ATWATER CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 4/1/2017 EXPIRATION DATE: 4/1/2019 PERSON: VIVEROS KATHERINE FEIN: 462227432 BUSINESS NAME AND ADDRESS: MCI CONTRACTORS INC 11820 MIRAMAR PARKWAY SUITE 216 HOLLYWOOD FL 33025 SCOPE OF BUSINESS OR TRADE: Contractor-Project Manager, Construction Executive, Construction Manager or Construction Superintendent IMPORTANT:Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate,the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 11ca e oee ope T a l i 2)h 10050 N.E. SECOND AVE. ORiDA MIAMI SHORES, FLORIDA 33138-2382 Telephone: (305) 795-2207 Fax: (305) 756-8972 DAVID A. DACQUISTO, AICP PANNING 6 ZONING DIRECTOR DEVELOPMENT ORDER File Number: PZ-09-16-201673 Property Address: 10804 NW 2nd Avenue 4 Property Owner:, Angela Henao Address: 1419 West Avenue, Miami Beach, FL 33139 Applicant: MCI Contractors Inc. /Melquicedec Viveros Address: 11820 Miramar Pkwy., Suite 216, Miramar, Fl, 33025 Agent: Melquicedec Viveros Address: 11820 Miramar Pkwy., Suite 216, Miramar, FL 33025 Whereas,,the applicant MCI Contractors Inc. / Melquicedec Viveros (owner), has filed an application for site plan review before the Planning Board on the above property. The applicant sought approval as follows: Pursuant to Articles IV. V and VI of Appendix A Zoning, Sec. 400 Schedule of Regulations, Sec. 523).1. and Sec. 600. Site plan review and approval required. One-story addition. 'Whereas, a public hearing was held on October 13, 2016 and the Board, after having considered the application And after hearing testimony and reviewing the evidence entered, finds: 1. The application was made in a manner r consistent with the requirements of the Land Developrilent Code of Miami Shores Village. 2. The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code. The Board requires that all further development of the property shall be performed in 'a manner consistent with the site plan, drawings, and the conditions agreed upon at the hearing: 1) Approval is granted as shown on the plans submitted and made a part of this approval to construct a 147 sf master bathroom and walk in closet addition. Paque 1 of 3 , , 1 2) Applicant to apply for and obtain all required building permits from the t Building Department before beginning work. 3) Applicant to apply for`and obtain all necessary permits and approvals from outside agencies before begiruning work. 4) An erosion and sedimentation plan subject to review and approval by the building official is required if ground cover is removed or as required by the building official. Properly installed soil erosion measures (silt fences, straw barriers, etc.) and anti-tracking area at all construction entrances are required + to be put in place and maintained if ground cover is removed or as required by the building official. Required erosion control measures must be in place prior tofootings inspection. I 5) The applicant shall provide an architect or engineer's drainage plan and report to certify to the building official that the site provides storm drainage that detains the first one inch in natural or filtered structural facilities prior to'the issuance of a building permit by the Building Official. j , 6) The applicant is responsible for the installation and maintenance of drainage structures and any site modifications shown on the drainage plan that,are necessary to provide storm drainage that detains the first one inch in natural or filtered structural facilities. Minor modifications to the approved drainage plan shall require a new signed architect or engineer's drainage plan that shall be ' subject to review and approval of the Building Official and the Planning Director. Major changes to the approved drainage plan including the j construction of drainage improvements such as but not limited to moundsF and walls, shall require a. new site plan review application and review and approval by the Planning and Zoning Board. F 7) All drainage improvements shall be installed in accordance with the approved drainage plan before final inspection by the Building Official. 8) The applicant shall repair and maintain the onsite drainage system in accordance with the approved drainage plan except that major changes shall require Planning and Zoning Board approval as stated in Condition 46. 9) Applicant to obtain all required permits and approvals from the Miami-Dade Department of Regulatory and Economic Resources, Environmental'' Plan Review Division (DRER, EPRD) and the Miami-Dade Department of Health (DOIJ/HRS) as required. lO)Applicant to meet all applicable code provisions at the time of permitting . 11)This zoning permit will lapse and become invalid unless the work for which it was approved is started within one (1) year of the signing of the development order by the board chair. or if the work authorized by it is suspended or abandoned for a period of at least one (l) year. 1 E f ' Page 2 of 3 F i � T � 1 Additionally, the applicant must. satisfy all applicable Miami Shores Village Codes, Miami-Dade. County Codes, the applicable building and life safety codes required for development,'and provide a copy of the development order to the Building Dept. r The application with conditions was passed and adopted this 13`h day of October, 2016,by r the Planning and Zoning Board as follows: Motion'to approve subject to Staff recommendations by Mr. Abramitis with the added requirement that the installation of structures on site to control drainage shall require Planning and Zoning Board review and approval, seconded by Mr, Reese and the vote was unanimous in favor of the Motion. t Mr. Abrarnitis Yes , Mr. Busta Yes Mr. Reese Yes Mr. Diaz Yes / Chairman Fernandez Yes / � r Date Richdfd M. Fernandez Chairman, Planning Board 4 v { I t f r r { Page 3 of 3 i INSPECTION RECORD . - _ _ . POST ON SITE Permit N0. RC-11-16.31J97 yuR hs h� Miami Shores Village h enn,t Type Resfdentral Const Gt 10050 N.E.:.2nd Avenue �..w 1 I �.MlafTiLShofeS,FL 33138-0000 y � i r. � i/VorkC/ass,ficafion4dcrtion/Alt4P.hone: (305)795-2204 Fax (305)756-8972 Issue Date_3130/2017 09/260 Expires: INSPECTION REQUESTS; '(305)762-4949 or Log=on at haps://bidg.miamishoresvillagb.comfcap REQUESTS ARE ACCEPTED_ DURING 8:30AM-3:30PM FOR THE FO LLO1NG BUSINESS DAY. Re'yuests must be received by 3 pm for following day inspections. Residential Construction Parcel #:1121360020140 FOwner's Name:ANGELA M flENAO f.�_r1 i". , ,.# Owner's Phone: _(305179,3-2495 Job Address: 3( 7� Total Square Feet: 1.826 Miami Shores, F ��Tdg_- Bond Number: 3355 " i1`° Total Joli Valuation: $ 120;000.00 4 nr T.: # law K.IS ALLOWED: Contractors PhoneT y �,pr;ma' 'drY re" MONDAY THROUGH FRIDAY,8:00AM-7 OOPM. �- -.• p SATURDAY 8;00AM-6:00P+M. hICI CONTRACTORS,;INC. (305)89776SO i k�� ares 1 NO WORKdS ALLOWED-ON SUNDAY OR HOLIDAYS. BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. �- 1 � 4 �'t-11-41Y rf NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLRNS ARE READLY AVAILABLE. IT IS T HE 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 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 AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 1 INSPECTION RECORD RA� ZONING 'INSPECTION DATE INSP INSPECTION DATE INSP INSPECTION DATE INSP Foundation � Zoning Final Stemw all ' �; - ZO_NING COMMENTS Rough Slab .r - :Water Service JI Columns`(lstLift) _ # 2"d Rough }1 Columns,(2_nd Lift) i Top Out ' JEW Tie,Beam ;fire Sprinklers Truss%Rafters Septic Tank R v Roof Sheathing Sewer Hook-up -Bucks _ Roof Drains Windows/Doors 4W ELECTRICAL Gas 'Interior Framing INSPECTION DATE INSP LP Tank lniulation $ T Temporary Pole Well Celling Grid 30 Day Temporary Lawn Sprinklers Drywall Pool ponding 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 a+ Final Pool Slab Condensate Drains Final Ferce Wall Rough HRS Final Screen EnclosureCeilin -h ' 3 Driveway o '• ; Rou PLUMBING COMMENTS Driveway,Base Telephone Rough Tin Cap Telephone Final `'Roof in Progress TV Rough _ Mc p iii Progress — --` - TV Final ` — - - • _ _ -- -— Final Roof "�` Cable Rough Shutters Attachment` Cable Final Final SFiutters Intercom Rough F.ails_and Guardrails -al'ntercom FiMECHANICAL A�'T4 compliance Alarm Rough _ INSPECTION DATE INSP Alarm Final Underground Pipe DOCUMENTS , Fire Alarm Rough 'Soil Bearing Cert Fire-Alarm Final o h `Sal Treatrnent Cert I Service Work i Floor Elevation Survey , _ Ventilation Rough Reinf Unit Mas Cert a ELECTRICAL COMMENTS Hood Rough Insulation Certificate !'Pressure Test Spot Survey ` Fina Hood ` final Survey _..._ , _.. 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" .f, 1 ,•4'�1- �rF �.h+ a.'�;,�t•• t• r.1:'N' 1'�� - •1'�1 i. r;. �` � jr;r:'.r.W`� �• �.�y. ,r "�. *- ,�'k��]/����' , �,.tfl �� L.i„tom '•.t: +�M�;}".!fi :r�t'�`t,� -'.F” � .fF., �fba`.Y. t� fir,. �' .,,ryt ttpp-7{ r:` t `,3't. �'�..,�• y,•...r � .tY' `.t��,r•.•'"`i�`�i*4S'� ,+J•'"• - f,�e ^lt .♦. `': !�Lv 7z•-t :�r: "�< :•}Y•a�' � u,Ya t}.:�,"LY ai 7`•t��'�4•tt�N'y+'�! ZJy��:���F�,'����• ��+u' '}'y'�. �,..�F•`i.•< ♦SNOREs Lr t� logo .....� Miami shores Village Building Department �LoRi"vA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 q S Fax: (305) 756.8972 CERTI CATE 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. C� 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." 0 Health Department Approval Letter(On septic or private water). Note: If the house is on septic tank, approval letter is required from Health Dpt. O Soil Compaction Letter(Density report is required) 2 Final certification letter from the Engineer/Architect(on masonry, trusses, special structure, etc) k ❑ 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. k • Residential CO $150.00 • Residential CC $50.00 Commercial CO and CC$200.00 e i 1$kollt ` t ..,.. :'Miami shores Village IBuiding Department '1�10Rti) . 10050 N.E:2nd Avenue x'12 f Sri^1� fix Miami Shores, Florida 33138 C.t Tel: (305) 795.2204 Fax: (305) 756.8972 CERTIFICATE OF OCCUPANCY/COMPLETION CHECKLIST Building permit card. t 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 bythe 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) ZFinal certification letter from the Engirr/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 INSPE'CTIOIV. R'ECORI� t, d * POST ON SITE ' . * RC } 11-- 16, 3197 ` 3 � Permit NO. / oat { s �� iami'Shores ti P r= �t ®rmrt Type ! Construction:- 10050'N.E.2ndAvenue• Resident>la syea� Sjq�x -Miami Shores;FL 33138-0000 ��, ^ ori ilNclClst�cat�On Ad ditfon/Afteration , Phone:"(305)795-2204 17ez:'(305)756-8972'' rs .:,r•z =F,.,.c c t, r� -f._,. FiotiiDA Iss6e'Date:3/30/2017 k •' 'i; .�t.s . z -Expires: 09/261201�7 INSPECTION REiiuesTs:_(305)762-4949 or Log ori at https://bldg.iniamishoiesviiiage.6omlcap' REQUESTS ARE ACCEPTED DURING 8:30AM-3:30PM FOR TOE FOLLOWING BUSINESS DAY. a Requests must be received by,3 pm for following day inspections.` 4` Reside6tial4ConsfruOion, Parcel#:1121`360020'140 j Owner's Name:ANGELA M HENAO { r 'a ,4 - Owner's Phone: (305)793-2495 t i Job"Address: ;, ;;'ii �:? ? r i. Total Square Feet: 1826 Bond Number: 3355 �,' `Total Job Valuation: $ 120,000.00 Ti. s .p.;/ 1 -t. yy �x r - nom' KIS ALLOWED, + Y, .` MONDAY THROUGH FRIDAY,8:OOAM-7:0000. C Gntractor s) r Phone,,;n ,P.rirb r .Co ra" `, SATURDAY„8:00AM-6:OOPM I\ACI CONTRACTORS INC” � (305)897.'63266__1 s NO WORK IS ALLOWED'ON SUNDAY OR HOLIDAYS. BUILDING `AND ROOFING INSPECTIONS ARE DONE ,, MONDAY THROUGH FRIDAY., a oil +a r. , t fi -, ., r.. `t 5; • ` . ' NO INSPECTION WILL BE MADE.UNLESS TH'E.PERMIT,CARD IPL S DISPLAYED AND HASD:.BEEN APPROVEPLANS ARE READLY AVAILABLE. IT IS 7HE.PERMIT APPLICANT'S RESPONSIBILITY TO.ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR`INSPECTION PURPOSES. NEITHER THE RHbUILD.TO ALLOW INSPECTION, a" LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL E UILALLOW NOR.THE CITY SHALL BE WARNING, TO."OWNER:,N OWNER: YOUR -FAILURE ` 10".` -RECORD A NOTICE OF COMMENCEMENT` MAY RESULT 'IN YOUR PAYINAG TWICE FOR` IMPROVEMENTS TCS; YOUR PROPERTY. A,NOTICE,,OF,- COMMENCEMENT MUST BE' RECORDED AND,, POSTED'�;ONA THE;' JOB . SITE. BEFORE THE FIRST INSPECTION. IF YOU iN"MEND =, TO" .OBTAIN $ -,FINANCING,: 'CONSULT- WITH YOUR LENDER, OR AN AT`�ORNEY BEFORE COMMENCING. WORK OR• RECORDING YOUR NOTICE OF t . C(3MMENCEMENT. q 3: q r I USPECTIONAECORD i RAL • PLUMBING INSPECTION DATE INSPECTION rDATE INSPECTION DATE I NTP lFounclation Zoning Final Sternwall ZONING COMMENTS 116u& ISlab � - — •Water Service Colurrins,(lst Lift) 2nd Rough. Columns(2nd-Lift),' Top Out )oil-i Tie Beam, Fire Sprinklers Truss/Rafters Septic Tank, Roof Sheathing Sewer Hook-up Bucks' ...... Ro* of'Drains Windows/Doors krELECTRICAL Gas., Interior Framing INSPECTION DATE.' _ INSP LP Tank. Insulation 6/1') Temporary.Pole , j Well tt Ceiling Grid,,. 30 Day Tempora"ry". Lawn,Sprinklers, Drywall Pool Bonding"- 4 Main Drain Firewall-1, i411 Pool Deck Bonding *Pool Piping_ Wire Lath 4 Pool Wet Ni che Backflow Preventor Pool Steel , Underground Interceptor Pool Deck r o Footer Ground Catch Basins Final Pool m Slab ,,. ens'aid Drain's'"' , Final Fence WHAough HRS Firial Screen Enclosure,', Ceilingh Driveway PLUMBING COMMENTS Driveway Base" Telephone ugh Tin Cap Telephone`Final ' Roof in Progress., TV Rough Mop in Progress j TV Final". Final Roof, Cable h ' 'I Ir j Shutters Attachmdfit Cable Final' .t,;, Final Shutters Intercom Rough,, Rails and Guardrails, Intercom Finalk ALA compliance Alarm Rough INSPECTION DATE" INSP Alarm Final; Underground Pipe DOCUMENTS'," Fite'Alarm Rough Al Soil Bearing1Cert / Fire AlarmFinall- YZ fough Soil Treatment'Cert' sem,1Y/ S6rvicd,,W6rk i 7 Floor Elevation Surveys W Fj -9 Ventilation Rough ALL Reinf Unit Mas Cert ELECTRICACCOMMENTS- Hood Rough Insulation Certificafe, Pressure Test Spot Survey, I Final Hood Final Survey `A;. Final Ventilation l Truss Certification FinaPool.He6ter STRUCTURAL COMMENTS', Final Vacmuu . 1.07 (k LA Ll I MECHANWAIL CO.MMENTS INSPECTION JDATE INSP Final Sorinkler,,- Final Alarm`.. U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30,20181; 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: ANGELA M. HENAO 4 A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number: Box No. 10804 NW 2 AVE City State ZIP Code MIAMI SHORES Florida 33168 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 13 AND NORTH 25'OF NW 108 STREET, P.B.43, PAGE 85 "•• A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL •••• A5. Latitude/Longitude: Lat.N25°52'27.00" Long.W80°12'08.14" Horizontal Datum: 3—NAP-1927 LNAD l91fS***' A6; Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurancd...:•• ••.••. • A7. Building Diagram Number 8 •• ..... A8. For a building with a crawlspace or enclosure(s): ;•• . a) Square footage of crawlspace or enclosure(s) 1496.00 sq ft •••.: b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjAdentgrade,Z. ••••• c) Total net area of flood openings in A8.b 1088.00 sq in d) Engineered flood openings? ❑Yes Z No A9. For a building with an attached garage: a) Square footage of attached garage N/A 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 VILLAGE 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: I ❑ FIS Profile x❑ FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: I 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 OMB No. 1660-0008 ELEVATION CERTIFICATE 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: 10804 NW 2 AVE City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33168 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: L-16 Vertical Datum:NGVD 1929 Indicate elevation datum used for the elevations in items a)through h)below. Z NGVD 1929 ❑ NAVD 1988 ❑Other/Source: Datum used for building elevations must be the same as that used for the BFE. C11Pgk the meas6refftent used •• . a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 11.34..gfeet J�J meters • • feet ❑meters '' c b) Top of the next higher floor 13.OS���• �••• N//'�.. 'Feet • maters . • c) Bottom of the lowest horizontal structural member(V Zones only) .• •;©feet * . • d) Attached garage(top of slab) NIA�• go meters e) Lowest elevation of machinery or equipment servicing the building 12.1V• x feet I D meters (Describe type of equipment and location in Comments) •, • f) Lowest adjacent(finished)grade next to building(LAG) 10.45 feet :'Q"eters��•o• g) Highest adjacent(finished)grade next to building(HAG) 11.16* feet 'rpeters • h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A feet ❑ 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. l 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 9#3 Title 18REGISTERED LAND SURVEYORO Company NameBLANCO SURVEYORS INC af Addr s ' 555 SH RE DR ' City State ZIP Code MIA I BE CH Florida 33141 Signat r Date Telephone Ext. 03-28-2018 (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) LATITUDE AND LONGITUDE OBTAINED USING A GARMIN DEVICE.C2.e)A/C ELEVATION. CROWN OF THE ROAD ELEVATION: 10.73'ON CENTERLINE ON CENTER OF ROAD. t. BM#L-16 LOCATOR: 3110 ELEV:9.96' NGVD FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE 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: 10804 NW 2 AVE City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33168 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, crawlspace, or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG. b) Top of bottom floor(including basement, 0*0 9 crawlspace, or enclosure)is [J feet ❑meters ff]a0eve or [Below the LAG,• .. • E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(sea pages 1-2 pj Mstructions), the next higher floor(elevation C2.b in "•" 00 the diagrams)of the building is [:]feet ❑meters U4pv e or [J below the yQC%• E3. Attached garage(top of slab)is, ❑feet F-1 meters above or Flftfow the HAG •••• . •• • E4. Top of platform of machinery and/or equipment •• •• •• ••• servicing the building is []feet ❑meters above or EJ below the HAd.•• E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the:aoraii,wnity's•••-:• floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify jltis information in Secticp.Q: • • •• . .. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION 6 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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments � a i F 1 ❑Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 3 of 6 f OMB No. 1660-0008 ELEVATION CERTIFICATE 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: 10804 NW 2 AVE City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33168 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 item(s)and sign below. Check themeasurement 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. '•0• 4664 4444. G3. ❑ The following information(Items G4—G10)is provided for community floodplain management pu�pose�. •000 4444.. • 4444 4444. G4. Permit Number G5. Date Permit Issued G6. Date +tate of , "issued ••••. Comp iancelbccupan" 4444. 40.06. 4444.. 446446 4 G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement 6 6 4444.. 4444.. G8. Elevation of as-built lowest floor(including basement) feet 0 meters 4 I• of the building: ❑ ❑ Datum, . t 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(including type of equipment and location,per C2(e), if applicable) 1 ,t } ❑ Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 4 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: 10804 NW 2 AVE City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33168 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. .k 0 or +xr "•i f 3.1 4 • • 1 •••••• •••••• • Photo One Photo One Caption Clear Photo One e Photo Two Photo Two Caption Clear Photo Two FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page 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: 10804 NW 2 AVE City State ZIP Code Company NAIC Number MIAMI SHORES Florida 33168 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. 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. 9090 0000 •�•• • 0000• see �.�p .. y •.••••• 0000 • • 990.0 + • • q 0000 99.9• • ' 0000 00900 t 4 • �• i •o• ••i••• � i����� �S � 99.99• 0000•• ••�o�� • • t 3 Photo Three Photo Three Caption Clear Photo Three tlP- t . II'Iit A �s lilt .. ..,�..:i..4s.11YY�.�1e� �R'a+�M.u.��...!' � .. • _ ..�' `�°.i:?➢li l ,.,"r�eis�r' Photo Four Photo Four Caption Clear Photo Four FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6 MILTON CUBAS, P.E., INC. 1302 N.E. 125 Street—North Miami—Florida 33161 Phone(305)891-4174 Fax(305)891-4175 E-mail: miltoncubas@msn.com msn.com Website: www.miltoncubaspe.com r April 04, 2018 FINAL CERTIFICATE LETTER •••• i .•, 9999• • ••.• • To: Miami Shores Village •„:6, 000• : 10050 NE 2nd Ave - •••• • 999,9 r, 9999 9999.. Miami Shores, FL 33138 o 0 •• •••• 9999. 0-0..0 • . 9999. 9999 Ref: Permit #: RC11-16-3197 Ct)Z_ 1-' ;••:•: •••; • 10804 NW 2" Ave APR U g 2 : 9866:0 866•• a 0 Miami Shores, FL 33168 . ` 4 6 8 ,•• :8.88: aUn. •• • Dear Building Inspector: I Milton Cubas, P.E. having performed and approved the required inspections, hereby + attest that to the best of my knowledge, belief and professional judgment, that the masonry reinforce of the above referenced structure are in compliance with the approved permit documents and Florida Building Code. Should you have any questions or need any additional information, please do not hesitate to contact me. Sincerely, Milto ubas; P.E., r r Milton Cubas, President Certification of Authorization # 27267 FL. Reg. RE #51902 , S.I # 6999901 k t t W i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-301162 Permit Number: RC-11-16-3197 Inspection Date: April 09, 2018 Permit Type: Residential Construction Inspector: Kendall, Travis Inspection Type: Survey Final Owner: HENAO,ANGELA M Work Classification: Addition/Alteration Job Address: 10804 NW 2 Avenue Miami Shores, FL 33168- Phone Number (305)793-2495 Project: <NONE> Parcel Number 1121360020140 l Contractor: MCI CONTRACTORS, INC. Phone: (305)897-6328 i Building Department Comments REMODEL OF EXISTING AND ADDITION OF 147 SID FT Infractio Passed Comments TO MASTER BATHROOM. INSPECTOR COMMENTS False i Inspector Comments Passed Failed Correction Needed I Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 April 09, 2018 Page 1 of 1 LOCATION SKETCH •- ^� 0,000• . SCALE: NTS LOT 14 .......... w z 125.00'( R& M ) v w z � :35-00' 0.80'IN 25.01' 9�0 CONC20.45' 1 ':• :Vit. . �0...... F O - . SLAB O � ,. �,•.. .�.�` ,�_{ . ' ' O a - -- - - 3.00' •�' E-, I1CJONC;.. 28.10' :/i=• -.`: <,:` :� — � �c WAYF . rn F.F.ELEV.=13.08' . U p ONE STORYUJ �6-� 18.05' C.B.S. RESIDENCE 1.35' ,�., 15 # 10804 ... ... Q W 3' 5]cn - • e C� t� 17.50 : � :.:.:.:: 14 aa � � .'•:'••.¢0.'0.'0.' ®s 43.80' 0 .%V _ - ppR p 2 29.26' }p 13 LOT 13 J r 0 a 1 N z N.W. 108th - - - - - - - - - - - - - - - - - - - - - - -- - , l - STREET 9-1MAIT #: II 0000 ra THE NORTH 25 a - • J OF N.W. 108T"STREET a I „____ Miami Shires Village •••• •• •• _ .. ' 9og�g5 -000 '" :::' ( APPROVED 8 DATE 0 0 0 0.. .. :. 0 0.40'IN - SOS' ,.` O ...6;'.' .9.•.• • • • :::': ZONING DEPT J 0090 •: 0 0 0 0 **go .., Q 5'C.L.F. 24.8' - .. '•'35.00' Q ._;, BLDG DEPT _Q n 125.00'( RSM ) 0000.. . .. 0• �ON �O • w w Z SUBJECT i 0 CC,MPI07 .-IAl`ICE WI fH All FEDERAL ;••;•; • 00 STATE ANL) AND REGULATIONS •••••• - 9• • 00 • • s Property Address: 10804 N.W. 2nd Ave., Miami Shores, FL. 33168. ABBREVIATIONS: SVNC=SIDEVAALKCBS=CONCRETEBLOCK STRUCTURE.CLF=CHAIN LINK FENCE,P L=PROPERTY UNE,DUE=DRAINAGELrnLrTYEASEM ENT,IP=IRON PIP E, Legal Description: Lot 13 and North 25 feet of Northwest 108 Street, adjacent to said Lot, SHORELAND F=FOUND.AIC=AIR CONDITIONER PAD,P/C=PROPERTY CORNER,DM=DRILLED HOLE,WF=V,OODEN FENCE,RES=RESIDENCE,CL-CLEAR,RB=REBAR, UE=UTILITY EASEMENT. CONC=CONCRETE SLAB. R/VAkRIGHT OFvAwY, DE=DRAINAGE EASEMENT, CIL=CENTER LINE, O=DIAMTER,TYP=TYPICAL,1 HEIGHTS, according to the Plat thereof, as recorded in Plat Book 43, Page 85, of the Public Records of M-MEASURED.R=RECORDED.ENCR=ENCROACHMENT,COMP=COMPUTER,ASH=ASPHALT,N/D=NAIL a DISC,S=SET,FEE=FINISH FLOOR ELEVATION, OIS=OFFSET,P/P=POVA,ERPOLE,OHP=OVERHEADPOV%ERLINE,M=VAATERMETER Miami-Dade County, Florida. r-:V 090 FENCE= MASONRY VALE= ELEVATION BASED ON LOC. # 3110 - NOTVALIDUNLESSEMBOSSEDWITH CONCRETE=. ._:". :,,-.:,•::s•._-•t,:. •� :. •I.".•s,•:, MAINTENANCE BDRAINAGEEASEMENT=M80.E CBM#L-16 ELV. 9.96' -$URVEYQR'S SEA4 TYPE OF SURVEY:BOUNDARY SURVEY SINCE 1987 - SURVEYOR'S NOTES: 1] OWNERSHIP SUBJECT TO OPINION OF TITLE. 2 NOT VALID WITHOUTTHE SIGNATURE 1 HEREBY CERTIFY That the survey represented JAL theteon meets the minimum technical requirements B ANco SURVEYORS INC. AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT r adopted by the STATE OF FLORIDA Board of Land �- - COVERED ,BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. . 5). Surveyors Engineers•Land Surve ( y pursuant to Section 472.027 Florida 9 Yors• Planners•LB#0007059 UNDERGROUND ENCROACHMENTS NOT LOCATED- 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC Statutes. j 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 �RESTRICT10N5 NOT SHOWN ON THIS SURVEYTHAT MAYBE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9) appearing on the plat orvisible easements otherthan MIAMI BEACH,FL 33141 CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING as shown hereon. 305 865-1200 Email:blancosurveyorsinc@yah�,com 'INFORMATION- 10)EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MAD DETERMINE RECORDED ( Fax: (305) 865-7810' REVISED: INSTRUMENTS,IFANY•AFFECTINGTHIS PROPERTY- p • nP O),. Issomme FLOOD ZONE: X SUFFIX: DATE: 9�11�09 N a Additions or deletions to survey maps or reports by other than the signing party o�parties is prohibited' -tel �� "nnffti L BASE: -` '��ithOut written consent of the signing party or parties- ADIS N-NUNEZ PANEL: 0302 COMMUNITY# 20652 - BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE.OF BAiD r�B 43 85 REGISTERED LAND SURVEYOR DATE: SCALE: DWN.BY: JOB No —__PAGE STATE OF FLORIDA#5924 3/2818 1"=20' F.Blanco 18-259 - - -