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RC-16-1684 (5),5°R�n Miami Shores Village Building Department 10050 NE 2nd Ave. x� o Miami Shores, FL 33138 305-795-2204 / Fax 305-756-8972 NOTICE TO MIAMI SHORES BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING CODE. I (We) have been retained by O W -J E& — to perform special inspector services under the Florida Building Code 5th Edition (2014) and Miami Dade County Administrative Code at the 11,01AV- project on the below listed structure as of l ` 1 Z - 1 (date). I am a registered arch itect/professional engineer licensed in the State of Florida. Process Number: C149 .,it VY x_ Special Inspector for Reinforced Masonry, Section 2122.4 of the FBC 5th Edition (2014) Miami Dade County Administrative Code, Article II Section 8.22 Special Inspector for Trusses > 35 ft. long or 6 ft. high �c Steel Framing and Connections welded or bolted Soil Compaction Precast Attachments Roofing Applications, Lt. Weight. Insul. Conc. Other _ Note: Only the marked boxes apply. The following individual(s) employed by this firm or me is authorized representative to perform inspection* , 1. 2. C 9LAQ P T • _�WIA 8.6 3. �rT 4. *Special inspectors utilizing authorized representatives shall insure the authorized representative is qual'.fed by education or licensure to perform the duties assign by Special Inspector. The qualifications shall inclu3i'i-ersure as a professional engineer or architect: graduation from an engineering education program in civil or struct,vai prgineering; graduation from an architectural education program; successful completion of the NCEES Fundamentals Examination; or registration as building inspector or general contractor, I (we) will notify the Miami Shores Building Department of any changes regarding authorized p.-rsonnel performing inspection services. I (we), understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site for reference by the Miami Shores Building Department Inspector. All mandatory inspections, as required by the Florida Building Code, must be performed by the Miami Shores Building Department .Inspections performed by the Special Inspector hired by the owner are in addition to the mandatory inspections performed by the department. Further, upon completion of work under each Buildings Bercmio I oili submit to the Building Inspector at the time of the final inspection the completed ins 'I'Wb att t7f� sealed statement indicating that, to the best of my knowledge, belief and 1T on e � portions of the project outlined above meet the intent of the Florida Building and dare in s�h( ;-x accordance with the approval plans. No.6996 Engineer/Architect ® 7�' • *�. Namey! 11 W117 vylG I1/,uj m Print . a Address 12:MSLO 71VV O R "•.Q. �� P, • �S 1 � ��~��. S/ONAL U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program Al If ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9 SECTION A — PROPERTY INFORMATION A2. BuiloinVtreet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1201 NE 96 STREET City MIAMI SHORES State FL ZIP Code 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) MIAMI DADE COUNTY FOLIO# 11-3206-014-3830 OMB No. 1660-0008 Expiration Date: July 31, 2015 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 25°51'51"N Long. 80°10'26' 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) 2,100 sq ft a) Square footage of attached garage 528 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 6 within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in AB.b 1.130 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 & Community Number B2. County Name MIAMI SHORES 1120652 1 MIAMI-DADE B3. State FLORIDA B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12086CO306 L 09/11/2009 Effective/Revised Date Zone(s) AO, use base flood depth) 09/11 /2009 AE 9.00 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ® 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: N/A ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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, 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: B-62 ELV=8.74 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) 13.28' ® feet ❑ meters b) Top of the next higher floor N/A. ® feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A. ® feet ❑ meters d) Attached garage (top of slab) 10.91, ® feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 10.76' ® feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 9.73' ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 9.84' ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support NIA. ® 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. Z_ ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No GJ Certifier's Name GINO FURLANO License Number 5044 Title LAND SURVEYOR Company Name J.A.F. SURVEYING INC Address 2492 WE 2N° STF ET City HIALEAH State FL ZIP Code 33016 Signature I Date 01-29-16 Telephone 786-416-1018 FEMA Forrff086-0-43(7112) See reverse side for continuation. Replaces all ELEVATION CERTIFICATE, page 2 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: 1201 NE 96T" STREET City MIAMI SHORES State FL ZIP Code 33138 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 ELEVATION = 9.18' Miami -Dade County Bench�It rk: B-62 ELEV=8.74' , datum NGVD 1929 D sciption of C A/C si0.76 WEST SIDE BLDG Description a 5): Coorl s were obtained with GPS Signature Date 01-29-16 SEC11ON E—136ILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items El—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. El. 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, 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 a menls. 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 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 i �. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement C Elevation of as -built lowest floor (including basement) of the building: G BFE or (in Zone AO) depth of flooding at the building site: G Community's design flood elevation LI Official's Name Chunity Name Sicire Cots FEMA 086-0-33 (7/12) ❑ feet ❑ meters Datum ❑ feet ❑ meters Datum ❑ feet ❑ meters Datum Title Telephone Date C eck here if attachments. Replaces all previous editions. a 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 Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1201 NE 96T" STREET City MIAMI SHORES State FL ZIP Code 33138 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions `.)r Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side VievW' 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. DATE:01-29-2016 FRONT VIEW 1 LEFT VIEW BACK VIEW / RIGHT VIEW . N 4 r R z J. FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATIOWCERTIFICATE, page 4 Building Photographs Continuation Page 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: 1201 NE 96T" STREET City MIAMI SHORES State FL ZIP Code 33138 Company NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographf, 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. FEMA Form 086-0-33 (7/12) Replaces all previous editions ABBREVIATIONS LEGEND A = ARC A/C = AIR CONDITIONER BM = BENCHMARK BRG = BEARING (C) = CALCULATED CH = CHORD CHBRG = CHORD BEARING C.M.E = CANAL MAINTENANCE EASEMENT C.N.A. = CORNER NOT ACCESSIBLE CONIC. = CONCRETE A = DELTA D.E. = DRAINAGE EASEMENT E,O.P. = EDGE OF PAVEMENT F.C. = FENCE CORNER F.D.H. = FOUND DRILL HOLE F.E. = FENCE ENDS F.F.E. = FINISHED FLOOR ELEVATION F.I.P./F.I.R. = FOUND IRON PIPE/ROD F.N. = FOUND NAIL F.N&D. = FOUND NAIL AND DISC F.Pk.N. = FOUND PARKER KALON NAIL GAR. = GARAGE I.D. = SURVEYOR'S IDENTIFICATION L = LENGTH L.A.E. = LIMITED ACCESS EASEMENT L.M.E. = LAKE MAINTENANCE EASEMENT (M) = MEASURED O/S = OFFSET (P) = PLATTED P.C. = POINT OF CURVATURE P.C.C. = POINT OF COMPOUND CURVATURE P.O.B. = POINT OF BEGINNING P.O.C. = POINT OF COMMENCEMENT P.R.C. = POINT OF REVERSE CURVATURE P.R.M. = PERMANENT REFERENCE MONUMENT P.T. = POINT OF TANGENCY R = RADIUS (R) = RECORD R/W = RIGHT-OF-WAY S.I.R./S.I.P. = SET 1/2- IRON ROD/PIPE S.N.D. = SET NAIL AND DISC TAN = TANGENT (TIP.) = TYPICAL U.E. = UTILITY EASEMENT W.E. = WATER'S EDGE OH OVERHEAD WIRE LINE // WOOD FENCE X CHAIN LINK FENCE ❑ - IRON/ALUMINUM FENCE 0 POLYVINYLCHLORIDE FENCE (PVCF) - - MONUMENT LINE - CENTERLINE PROPERTY LINE ASPHALT PAVING CONCRETE CONCRETE BLOCK STUCCO C _ OVERHANG (O/H) OR ROOF SYMBOLLEGEND ®= AIR CONDITIONER ® = FLORIDA PO & LIGHT BOX © = BELLSOUTH BOX =GOLF COURS = CABLE BOX =HANDICAP S 05 = CATCH BASIN = INLET 0 = CONCRETE POLE = LIGHT POLE 0 = CONTROL VALVE BOX = METAL LIGHT B = ELECTRIC BOX QS =SANITARY M �= EXISTING ELEVATIONS = SATELLITE DI ® = ELECTRIC METER Ba = WATER METE = ELECTRIC SERVICE BOX pd = WATER VALVE y�o = FIRE HYDRANT DRAWN BY: L.R. '.HECKED BY: G.F. `-:ALE: 1 " = 25' Fli_D DATE: 01 /29/2016 J01 No. JAF-1201-16 SHEr. 25 0 /12.5 25 1 inch = 5 ft. / / / / / / / / / f / ! WER E PACE POLE ANHOLE SH R 15' ALLEY PER PLAT of FlP. f�2- %.5.�' No I.D. NIP. /2" COLUMN No Q, 11'1-T­`­1111 D.0' 1D2'40' f R WOOD NICE 9�•D" „ PAVED DRIVEWAY 20.5' 22.35' ' GARAGE= +10.91 U3 N 3-PA/C 14.50' � Na r2.6 °' FIR No f R=25-W 1 A=102 2636' A=44.69' T=31.11' i FlP. 1/2 No I.D. No 34.2' TILE PAilO 7.V I oz a O 0 N 1—STORY Res. # 1201 F.F.E. = +13.28' v 12.20 i6 cv o I ai 13.50' 8.50' PORCH "' 1$.15' ANTER 0 21' PARKWAY 12.3' J 3 U cc Y � O m ra 0 ao �- rn 4 0.2 COLUMN I U w L� z A- 0.2' z a ' U 13.0' 25.0' 5' SIDEWALK N.E. 96th STREET 27' ASPHALT PAVEMENT 80' R/W J A F'-' SaU1R�V EJyeIr:� �G ' 3811 ?VY I E�'> J Ir 1. 2492 WEST 72nd STREET, HIALEAH, FL. 33016 ** PHONE: 786-416-1018 - FAX.305-817-9709 ** E-MAIL:josefanjul@ymall.com PREPARED FOR: BXT HOLDINGS LLC I TYPE OF PROJECT: BOUNDARY SURVEY No I.D. LO30K183 417 1 15 14 13 12 111 10 9 r IN. G_Wpll1. 0 1 1%CC I LOCATION SKETCH FOLIO NO: 11-3206-014-3830 PROPERTY ADDRESS: 1201 NE 96 STREET, MIAMI SHORES, FLORIDA 33138 CERTIFIED TO: A. B.K.T HOLDINGS LLC LEGAL DESCRIPTION: Lot 17 and the West 1/2 of Lot 16, in Block 83 of "MIAMI SHORES SECTION 3", according to the plat thereof as recorded in Plat Book 10, at Page 37, of the Public Records of Miami —Dade County, Florida. SURVEYOR'S NOTES: 1. LEGAL DESCRIPTION FURNISHED BY CLIENT. NO SEARCH OF PUBLIC RECORDS WAS MADE BY THIS OFFICE. 2. ANY ELEVATIONS SHOWN HEREON ARE PER NGVD (NATIONAL CFODETIC VERTICAL DATUM) OF 1929. 3. NO EXCAVATIONS WERE PERFORMED AS TO DETERMINE UNDU<(, CJUND ENCROACHMENTS. 4. DISTANCES AND ANGLES ARE FIELD MEASURED AND CORRESf CND WITH RECORD DATA UNLESS NOTED. 5. THIS SURVEY WAS PREPARED FOR CLOSING PURPOSE. 6. IN SOME INSTANCES, GRAPHIC REPRESENTATIONS HAVE BEEN FXAGGERAIED TO MORE CLEARLY ILLUSTRATE RELATIONSHIPS BETWEEN PHYSICAL IMPROVEMENTS AND/OR LOT LINES, IN ALL CASES, DIMENSIONS SIOWN SHALL CONTROL THE LOCATION OF THE IMPROVEMENTS OVER SCALED POSITIONS. 7. ADDITIONS OR DELETIONS TO THIS SURVEY MAP BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED WITHOUT THE WRIT-iEN CONSENT OF THE SIGNING PARTY OR PARTIES. (CHAPTER 5J-17 OF THE FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECTION 472.027 OF THE FLORIDA STATUTES) FLOOD ELEVATION INFORMATION: Date of Field Work: 01 /29/2016 DATE OF FIRM: 0911112009 COMMUNITYNo120652/MIAMI SHORES PANEL: 0306 SUFFIX: L ZONE: AE BASE FLOOD ELEVATION: +9-O' BENCHMARKNO: MIAMI DADE COUNTY BM I HEREBY CERTIFY THAT THIS SURVEY HAS BEEN PREPARED BY THE OFFICE SHOWN HEREON AND THAT AM THE SURVEYOR OF RESPONSIBLE CHARGE FOR NONE OTHER THAN SAID OFFICE. ADDITIONALLY, THIS SURVEY MEETS AND/OR EXCEEDS THE STANDARDS OF PRACTICE AS SET FORTH IN CHAPTER 5J-17 OF THE FLORIDA ADMINISTRATIVE CODE FUR ANT TO SECTION 472.027 OF THE FLORIDA STATUTES. SIGNED: 1 GINO FU OR AND MAPPER FLORIDA LICENSE 0.: 0044 NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF THE FLORIDA LICENSED SURVEYOR/MAPPER NAMED ABOVE.