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RC-17-2993Certificate of Occupancy Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department Description: INTERIOR RENOVATION OF EXISTING HOUSE WITH MINIMAL CHANGES TO ROOM LAYOUTS, UPGRADE UPDATE OF FINISHES NEW KITCHEN, NEW BATHROOM LAYOUTS, DEMOLITION IF EXISTING HOUSE THROUGHLY CONNECTING TO THE EXISTING STRUCTURE, NEW POOL DECK, NEW CABANA/POOL LOUNGE AND NEW MEDITATION ROOM. Permit Type Building (Residential) Bldg. Permit No. RC-12-17-2993 Owner MARIA GABRIELA CONTRERAS Contractor NAVICON CONSTRUCTION Subdivision/Project Construction Type V-B Square Footage Location 1234 NE 94 ST Miami Shores, FL Date Issued 06/01/2020 Occupancy Single Family Type 1,500.00 Flood Zone AE-8 If the building is located in a special flood hazard area documentation of the as -built lowest floor elevation or lowest horizontal structural member has been provided and is retained in the records of Miami Shores Village. This certificate issued pursuant to the requirements of the Florida Building Code certifying that at the time of issuance this structure was in compliance with th various ordinances of the jurisdiction regulating building construction or use. Building Officials Approval Not Transferable POST IN A CONSPICUOUS PLACE Ismael Naranjo, CBO RECEIVEID B 1 9 020 BY: �_ - H tA-r"- �u S U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Fede#I EmE gency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE 17-004087-9EC MASTER SUITE 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: MARIA GABRIELA CONTRERAS & ELI BRAVO A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1234 NE 94 ST City State ZIP Code MIAMI SHORES FLORIDA 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 23 AND LOT 24 AND THE WEST 10 FEET OF LOT 22, MIAMI SHORES BAY VIEW, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 40, PAGE 16, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) ADDITION MASTER SUITE A5. Latitude/Longitude: Lat.25-51-43.21 N Long.80°10'25.31 W Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(S) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes ® 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 ® 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 65. Suffix B6. FIRM Index 87. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12086C-0306 L 9/11/2009 09/11/09 AE 8.00FEET B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes x❑ No Designation Date: N/A ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 MASTER SUITE Expiration Date: Noverffber 30,q2018 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: 1234 NE 94 ST 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* ® 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: MIAMI DADE COUNTY BM; B-62 ; 8.67 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) 7. 90 Q feet ❑ meters b) Top of the next higher floor 8. 72 Q feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A. feet ❑ meters d) Attached garage (top of slab) N/A. feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N/A. 0 feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7. 00 0 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 7. 30 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. E] 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. 1 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 JOHN IBARRA 5204 Title CO, PROFESSIONAL LAND SURVEYOR Place Seal Company Name JOHN IBARRA&ASSOCIATES, INC Here Address 777 NW 72 AVE #3025 City State ZIP Code MIAMI A FLORIDA 33126 Signature Date Telephone 2/17/2020 Ps 2/17/2020 P: 305 262-0400 CENTERLINE ROAD ELEVATION: 7.32 FEET 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) CROWN OF ROAD ELEVATION = 7.32 FT: SECTION C2(A) IS THE ELEVATION OF STORAGE UNIT INSIDE MASTER SUITE: SECTION C2(B) IS THE FINISH FLOOR OF THE MASTER SUITE: LATITUDE AND LONGITUDE DETERMINED BY USING GPS; ALL ELEVATIONS SHOWN ARE REFERRED TO NATIONAL GEODETIC VERTICAL DATUM OF 1929; MIAMI-DADE COUNTY BENCHMARK #B-62; ELEVATION IS 8.67 FEET OF N.G.V.D. OF 1929. LOCATOR NO. 3250-S; LOCATED AT NE 96 ST & NE 10 AVE.: NOTE: THIS ELEVATION IS FOR THE MASTER SUITE FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEWATION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 MASTER SUITE 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: 1234 NE 94 ST City State ZIP Code Company NAIC Number MIAMI SHORES FLORIDA 33138 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 N/A. ® feet ❑ meters ❑above or El below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is N/A. ® 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 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is N/A. ® feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is N/A . ❑x feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is N/A . ❑x 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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 kLAVI .TION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 MASTER SUITE Expiration Date: November 30N018 I ORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE B ' g Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1234.19E 94 ST .City. • : State ZIP Code Company NAIC Number MIAMI SHORES FLORIDA 33138 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 G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) ❑ feet ❑ meters Datum of the building: 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) ❑ Check here if attachments. Form Page 4 of 6 FEMA Form 086-0-33 (7/15) Replaces all previous editions. BUILDING PHOTOGRAPHS OMB No. 1660-0008 MAST ELEVATION CERTIFICATE See Instructions for Item A6. C MASTERR SUITE 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: 1234 NE 94 ST 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. Ye T iF. s t n f' yy Front View Rear View Front View Date: 2/18/2020 Rearview Date: 2/18/2020 is III Right Side View Left Side View Right Side View: 2/18/2020 Left Sideview: 2/18/2020 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 MASTER a SUIT Expiration Date: November 30,,2018 g MASTER SUITE P 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. 1234 NE 94 ST Policy Number:. City State ZIP Code MIAMI SHORES FLORIDA 33138 Company NAIC Number 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. Photo One Photo Two Photo Three Photo Four FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 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 17-004087-9ECMEDIATION 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: MARIA GABRIELA CONTRERAS & ELI BRAVO A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1234 NE 94 ST City State ZIP Code MIAMI SHORES FLORIDA 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 23 AND LOT 24 AND THE WEST 10 FEET OF LOT 22, MIAMI SHORES BAY VIEW, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 40, PAGE 16, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) ACCESSORY MEDITATION ROOM A5. Latitude/Longitude: Lat. 25°51'42.79 N Long. 80'10'25.54 W Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 113 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade NIA c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes ® 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 NSA sq in d) Engineered flood openings? ❑ Yes ® 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 Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12086C-0306 L 9/11/2009 09111/09 AE 8.00FEET B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ 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 x❑ No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 MEDIATION Expiration Date: November 30, 2618 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: 1234 NE 94 ST 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* ® 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, VI—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: MIAMI DADE COUNTY BM ; B-62 ; 8.67 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) 8. 70 [R] feet ❑ meters b) Top of the next higher floor N/A. ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A. feet ❑ meters d) Attached garage (top of slab) N/A. feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 9. 79 ❑x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7. 5 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 8.2 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. x❑ 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. 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 JOHN IBARRA 5204 O Title PROFESSIONAL LAND SURVEYOR Place Company Name JOHN IBARRA & ASSOCIATES, INC SeatHere Address 777 NW 72 AVE #3025 City State ZIP Code MIAMI FLORIDA 33126 Signature Date Telephone 2/17/2020 2/17/2020 P: 305 262-0400 CENTERLINE ROAD ELEVATION: 7.32 FEET Fgaesof this Elevation Certificate and all attachment Copy all ps for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) CROWN OF ROAD ELEVATION= 7.32 FEET; C2.E = WALL MOUNTED RAISED AC UNIT PAD.LOCATED ON THE SOUTH SIDE OF THE STRUCTURE; LATITUDE AND LONGITUDE DETERMINED BY USING GPS; ALL ELEVATIONS SHOWN ARE REFERRED TO NATIOAL GEODETIC VERTICAL DATUM OF 1929; MIAMI-DADE COUNTY BENCHMARK #B-62;ELEVATION IS 8.67 FEET OF N.G.V.D. OF 1929. LOCATOR NO.3250-S; LOCATED AT NE 96 ST & NE 10 AVE. THIS CERTIFICATE IS FOR THE MEDITATION ROOM. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 MEDIATION 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: 1234 NE 94 ST City State ZIP Code Company NAIC Number MIAMI SHORES FLORIDA 33138 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 El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items El—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, 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 1-2 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 ❑x feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is x❑ 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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 MEDIATION Expiration Date: Novembdt 30; 2618 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: 1234 NE 94 ST City State ZIP Code Company NAIC Number MIAMI SHORES FLORIDA 33138 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 G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement IeLatioh.of as -built lowest floor (including basement)t1le.building:❑ feet ❑ meters Datum (q&:- . BFE Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum 0.• oMrhuhity'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) ❑ 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 ELcVA iION CERTIFICATE See Instructions for Item A6 MEDIATION EC Expiration DateNovember 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: 1234 NE 94 ST 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. P Iitll". I r f I n Front View Rear View Front View Date: 2/18/2020 Rear view Date: 2/18/2020 -------- — --- .-_.... I!� A picture of the property in unavailable. Right Side View Left Side View Right Side View: Left Side View: 2/18/2020 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 UDEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Feral EAergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE 17-004087-9ECLOUNGE 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: MARIA GABRIELA CONTRERAS & ELI BRAVO A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1234 NE 94 ST City State ZIP Code MIAMI SHORES FLORIDA 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 23 AND LOT 24 AND THE WEST 10 FEET OF LOT 22, MIAMI SHORES BAY VIEW, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 40, PAGE 16, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) ACCESSORY LOUNGE A5. Latitude/Longitude: Lat. 25°51'42.79 N Long- 80'10'24.23 N 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 113 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes ® 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 ® 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 Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12086C-0306 L 9/11/2009 09/11/09 AE 8.00FEET 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 69: ® 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 17-004087-9EC OMB No. 1660-0008 LOUNGE Expiration Date: November 30, 2118 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: 1234 NE 94 ST 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* ® 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 AT In Puerto Rico only, enter meters. Benchmark Utilized: MIAMI DADE COUNTY BM; B-62 ; 8.67 FT 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) 7. 00 feet ❑ meters b) Top of the next higher floor 8, 67 feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A. feet ❑ meters d) Attached garage (top of slab) N/A. Q feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 9. 59 feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7. 00 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 7. 30 0 feet ❑ meters 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. 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 JOHN IBARRA 5204 ' (>J Title PROFESSIONAL LAND SURVEYOR N Place Company Name Seal JOHN IBARRA &ASSOCIATES, INC Here - G1 Address 777 NW 72 AVE #3025 City State ZIP Code MIAMI A FLORIDA 33126 Signature Date Telephone 2/17/2020 W, 2/17/2020 P: 305 262-0400 CENTERLINE ROAD ELEVATION: 7.32 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) CROWN OF ROAD = 7.32 FT; LATITUDE AND LONGITUDE DETERMINED BY USING GPS: NOTE: C2.E = RAISED AC UNIT PAD: ALL ELEVATIONS SHOWN ARE REFERRED TO NATIONAL GEODETIC VERTICAL DATUM OF 1929; NOTE: FLOOR ELEVATION OF UTILITY ROOM =7.00 FEET; LOCATED @ SOUTH EAST CORNER OF THE LOUNGE, 18.68 SO. FT.: MIAMI-DADE COUNTY BENCHMARK #B-62; ELEVATION IS 8.67 FEET OF N.G.V.D. OF 1929. LOCATOR NO.3250-S; LOCATED AT NE 96 ST & NE 10AVE.NOTE: THIS ELEVATION IS FOR THE LOUNGE FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 EL?--VATiON CERTIFICATE 17-004087-9EC OMB No. 1660-0008 LOUNGE 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: 1234 NE 94 ST City State ZIP Code Company NAIC Number MIAMI SHORES FLORIDA 33138 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 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. 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, 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 1-2 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 ❑x feet [—]meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑x 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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 LOUNGE Expiration Date: Novembgr 30, A18 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: 1234 NE 94 ST City State ZIP Code Company NAIC Number MIAMI SHORES FLORIDA 33138 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 G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) E] feet ❑meters Datum of the building: 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 . mmUntty Name Telephone Sign00197 Date r .Comments (including type of equipment and location, per C2(e), if applicable) ❑ 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. 17-004087-9EC Expiration Date: November 30, 2018 LOUNGE p 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: 1234 NE 94 ST 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. F � Rti ` �} ,� � '� aP' eft R '�ip%�' •� � '�� .k. Front View Rear View Front View Date:2/18/2020 Rearview Date: 2/18/2020 A picbue of the pi opei-ty is unavailable A picttue of the property is unavailable. Right Side View Left Side View Right Side View: Left Side View: FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 U.S. DEPARTMENT OF HOMELAND SECURITY Federari Emergency Management Agency National Flood Insurance Program r ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 17-0040B7-9EC MASTER SUITE 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: MARIA GABRIELA CONTRERAS & ELI BRAVO A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1234 NE 94 ST City State ZIP Code MIAMI SHORES FLORIDA 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 23 AND LOT 24 AND THE WEST 10 FEET OF LOT 22, MIAMI SHORES BAY VIEW, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 40, PAGE 16, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) ADDITION MASTER SUITE A5. Latitude/Longitude. Lat.25'51'43.21 N Lon9.80'10'25.31 W Horizontal Datum: ❑ NAD 1927 © NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 113 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) NIA sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes ® 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 ® 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 Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12086C - 0306 L 9/11 /2009 09/11/09 AE 8.00 FEET B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: ❑ FIS Profile Fx� FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes X❑ No Designation Date: N/A ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 MASTER SUITE Expiration Date: November 3U, 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: 1234 NE 94 ST 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` ® 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: MIAMI DADE COUNTY BM : B-62 ; 8.67 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) 7. 90 E] feet ❑ meters b) Top of the next higher floor 8, 72 2 feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A. [j] feet ❑ meters d) Attached garage (top of slab) N/A. [R] feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N/A. 2 feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7. 00 0 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 7. 30 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. Q 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. I 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. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number JOHN IBARRA 5204 Title© PROFESSIONAL LAND SURVEYOR dace ' Company Name Seal - JOHN IBARRA &ASSOCIATES, INC Here �n Address 777 NW 72 AVE #3025� City State ZIP Code MIAMI FLORIDA 33126 Signature Date Telephone 2/17/2020 2/17/2020 P: 305 262-0400 CENTERLINE ROAD ELEVATION: 7.32 FEET 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) CROWN OF ROAD ELEVATION = 7.32 FT: SECTION C2(A) IS THE ELEVATION OF STORAGE UNIT INSIDE MASTER SUITE: SECTION C2(B) IS THE FINISH FLOOR OF THE MASTER SUITE. LATITUDE AND LONGITUDE DETERMINED BY USING GPS; ALL ELEVATIONS SHOWN ARE REFERRED TO NATIONAL GEODETIC VERTICAL DATUM OF 1929; MIAMI-DADE COUNTY BENCHMARK #B-62; ELEVATION IS 8.67 FEET OF N.G.V.D. OF 1929. LOCATOR NO. 3250-S: LOCATED AT NE 96 ST & NE 10 AVE.: NOTE: THIS ELEVATION IS FOR THE MASTER SUITE FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 MASTER SUITE 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: 1234 NE 94 ST City State ZIP Code Company NAIC Number MIAMI SHORES FLORIDA 33138 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 N/A ® feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is N/A , ® feet ❑meters above or E] below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is N/A . © feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is N/A. ❑x feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is N/A , x❑ 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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 MASTER SUITE Expiration Date: November 3C, 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: 1234 NE 94 ST City State ZIP Code Company NAIC Number MIAMI SHORES FLORIDA 33138 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 G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) ❑ feet ❑ meters of the building: Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ 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. MASTER SUITE CTE Expiration Date: November 30, 2018 MAST 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: 1234 NE 94 ST 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 AS. If submitting more photographs than will fit on this page, use the Continuation Page. E, k k: Front View Rear View Front View Date: 2/18/2020 Rear View Date: 2/18/2020 - i n T �F Right Side View Left Side View Right Side view: 2/18/2020 Left Side View: 2/18/2020 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 17-0040 ELEVATION CERTIFICATE Continuation Page SUITE p MAST g MASTER SUIExpiration 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. 1234 NE 94 ST Policy Number: City State ZIP Code MIAMI SHORES FLORIDA 33138 Company NAIC Number 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. Photo one Photo Two Photo Three Photo Four FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. 17-0 ATION EC Expiration Date: November 30, 2018 IMPORTANT: InAhese 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: 1234 NE 94 ST 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. s , { p Front View Rear View Front View Date: 2/18/2020 Rear view Date: 2/18/2020 A picture of the property is unavailable. i ,r y J, i Right Side View Left Side View Right Side View: Left Side View: 2/18/2020 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 EI`lergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE 17-004087-9ECLOUNGE 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: MARIA GABRIELA CONTRERAS & ELI BRAVO A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1234 NE 94 ST City State ZIP Code MIAMI SHORES FLORIDA 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 23 AND LOT 24 AND THE WEST 10 FEET OF LOT 22, MIAMI SHORES BAY VIEW, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 40, PAGE 16, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) ACCESSORY LOUNGE A5. Latitude/Longitude: Lat. 25°51'42.79 N Long. 80'10'24.23 N 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 113 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes ® 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 ® 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 E,15. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12086C-0306 L 9/11/2009 09/11/09 AE 8.00 FEET B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: 1311. 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 x❑ No Designation Date: ❑ CBRS ❑ 0PA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 LOUNGE Expiration Date: NovembEfr 30, 2(718 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: 1234 NE 94 ST City State ZIP Code Company NAIC Number MIAMI SHORES FLORIDA 33138 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction `A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations —Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: MIAMI DADE COUNTY BM ; B-62 , 8.67 FT Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a) through h) below. 7 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) 7. 00 x❑ feet ❑ meters b) Top of the next higher floor 8. 67 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A. 7 feet ❑ meters d) Attached garage (top of slab) N/A. ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 9. 59 ❑x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7. 00 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 7. 30 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A, ❑X 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. l 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 JOHN IBARRA 5204 a, Title PROFESSIONAL LAND SURVEYOR Place Company Name Seal JOHN IBARRA & ASSOCIATES, INC i'leie J Address 777 NW 72 AVE #3025 City State ZIP Code MIAMI A A FLORIDA 33126 Signatu r Date Telephone 2/1712020 2/17/2020 P; 305 262-0400 CENTERLINE ROAD ELEVATION: 7.32 Copy all p es 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) CROWN OF ROAD = 7.32 FT; LATITUDE AND LONGITUDE DETERMINED BY USING GPS: NOTE: C2.E = RAISED AC UNIT PAD: ALL ELEVATIONS SHOWN ARE REFERRED TO NATIONAL GEODETIC VERTICAL DATUM OF 1929; NOTE: FLOOR ELEVATION OF UTILITY ROOM =7.00 FEET; LOCATED @ SOUTH EAST CORNER OF THE LOUNGE, 18.68 SQ. FT.: MIAMI-DADE COUNTY BENCHMARK #B-62; ELEVATION IS 8.67 FEET OF N.G.V.D. OF 1929. LOCATOR NO.3250-S; LOCATED AT NE 96 ST & NE 10 AVE.NOTE: THIS ELEVATION IS FOR THE LOUNGE FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 LOUNGE Expiration Date: November 30, 2018 IMPORTANT: In,th-ese 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: 1234 NE 94 ST City State ZIP Code Company NAIC Number MIAMI SHORES FLORIDA 33138 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 El—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, 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 1-2 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 ❑x 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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 LOUNGE 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: 1234 NE 94 ST City State ZIP Code Company NAIC Number MIAMI SHORES FLORIDA 33138 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 G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) ❑ feet ❑ meters Datum of the building: 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) ❑ 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. 17-104087-9Ec LOUNGE Expiration Date: November 30, 2018 IMPORTANT: Irl 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: 1234 NE 94 ST 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. R. I 777: ?J" }@.• i/ y„gy'cw,�w' 'Y w jn, sw,r4i1R .: Front View Rear View Front View Date: 2/18/2020 Rear View Date: 2/18/2020 A pictm a of the property is tutavailable. A picture of the property is tuiavatilable. Right Side View Leh Side View Right Side View: Left Side View: FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 ;.�''£ "'�;.` � ' ::s,. �2='.,rs; .tom; ?' b 4 '�: a --tia .;'.�. �x,i-Sr +• ` "'.�'�... .t '�'sd'+na - .. Certificate of Completion Miami Shores Village: 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 j ',:,}7V Tel: 305-795-2204 Fax: 305-756-8972 :s Building Inspection Department Description: INTERIOR RENOVATION OF EXISTING HOUSE WITH MINIMAL CHANGES TO ROOM LAYOUTS, UPGRADE UPDATE OF FINISHES NEW KITCHEN, NEW BATHROOM LAYOUTS, DEMOLITION IF EXISTING HOUSE THROUGHLY CONNECTING TO THE EXISTING STRUCTURE, NEW POOL DECK, NEW CABANA/POOL LOUNGE AND NEW MEDITATION ROOM. Permit Type Building (Residential) Bldg. Permit No. RC-12-17-2993 Owner MARIA GABRIELA CONTRERAS Contractor NAVICON CONSTRUCTION Subdivision/Project Date Issued 06/01/2020 Construction Type V-B Occupancy Single Family Type Square Footage 1,500.00 Flood Zone AE-8 Location If the building is located in a special flood hazard area documentation of the as -built lowest floor 1234 NE 94 ST elevation or lowest horizontal structural member has been provided and is retained in the records of Miami Shores, FL Miami Shores Village. This certificate issued pursuant to the requirements of the Florida Building Code certifying that at the SNORES ` uI �� time of issuance this structure was in compliance with the various ordinances of the jurisdiction ama .l♦ regulating building construction or use. Building Officials Approval Ismael Naranjo, CBO Not Transferable POST IN A CONSPICUOUS PLACE U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 FederM EmOgency Management Agency Expiration Date. November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE 17-004087-9ECMEDIATION 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: MARIA GABRIELA CONTRERAS & ELI BRAVO A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1234NE94ST City State ZIP Code MIAMI SHORES FLORIDA 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 23 AND LOT 24 AND THE WEST 10 FEET OF LOT 22, MIAMI SHORES BAY VIEW, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 40, PAGE 16, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) ACCESSORY MEDITATION ROOM A5. Latitude/Longitude: Lat. 25°51'42.79 N Long. 80'10'25.54 W Horizontal Datum: ❑ NAD 1927 © NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes ® 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 © 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/Pane" B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12086C - 0306 L 9/11 /2009 09/11/09 AE 8.00 FEET B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: © NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes x❑ No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 s i MEDIATION Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCECOMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number. 1234 NE 94 ST 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* ® 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 AT In Puerto Rico only, enter meters. Benchmark Utilized: MIAMI DADE COUNTY BM: B-62 ; 8.67 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) 8. 70 X❑ feet ❑ meters b) Top of the next higher floor N/A, ❑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) N/A. ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 9. 79 ❑x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7. 5 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 8. 2 7 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. X❑ 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. ! certify that the information on this Certificate represents my best efforts to interpret the data available. / 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 JOHN IBARRA 5204 Title PROFESSIONAL LAND SURVEYOR Place Company Name Seal JOHN IBARRA &ASSOCIATES, INC Here Address 777 NW 72 AVE #3025 State ZIP Code City MIAMI FLORIDA 33126 Signature Date Telephone 2/17/2020 2/17/2020 P: 305 262-0400 CENTERLINE ROAD ELEVATION. 7.32 FEET Copy all p ges 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) CROWN OF ROAD ELEVATION= 7.32 FEET; C2.E = WALL MOUNTED RAISED AC UNIT PAD.LOCATED ON THE SOUTH SIDE OF THE STRUCTURE; LATITUDE AND LONGITUDE DETERMINED BY USING GPS; ALL ELEVATIONS SHOWN ARE REFERRED TO NATIOAL GEODETIC VERTICAL DATUM OF 1929; MIAMI-DADE COUNTY BENCHMARK #B-62;ELEVATION IS 8.67 FEET OF N.G.V.D. OF 1929. LOCATOR NO.3250-S; LOCATED AT NE 96 ST & NE 10 AVE. THIS CERTIFICATE IS FOR THE MEDITATION ROOM. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 MEDIATION 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: 1234 NE 94 ST City State ZIP Code Company NAIC Number MIAMI SHORES FLORIDA 33138 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 ❑x 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 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑x feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑x feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑X 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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE 17-004087-9EC OMB No. 1660-0008 MEDIATION Expiration Date: Novefter 3012018 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: 1234 NE 94 ST City State ZIP Code Company NAIC Number MIAMI SHORES FLORIDA 33138 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 G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) ❑feet E] meters Datum of the building: 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) ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 D r INSPECTld1NM DAB I Alp"1:11 Foundation Stemwall Slab Columns fist Lift Columns 12nd Lift) Ife Beam Truss/Rafters Roof Sheathing Bucks Interior F raming Insulation Ceiling Grid Drywall Firewaal Mire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driyeway Base Tin Cap i Roof in �rogress A4a in Progress Final Roof Shutter; Attachment rinal Shutters Rails and Guardrdiis ADA compliance DOCUMEfirs Cert tment Certvation Mring Sur%-eyit May Certnsuaon Certificate 5 at Survey Final Survey Truss Certification 14rNO0PJS tt n^ops hment w t . t INSPECTION OME INSP Exzavation INSPECTION aA ) T=,ovary Pale l" 30 Day Temuvary Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab ' .? 1 Wall Rough Ceiling Rough *j Rough Telephone Rough Telephone Final Tit RQugF, TV Final Cable Rough Carle Final Intercom Rough Intercom final Alarm Rough Mirm Final Fire Alarm Rough Fire Alarm Final _ Service Work V►►O t ELECTFIIGAI COMMENTS A VV 2,111. 0.b, f kC' I1 Final Sprink Final Alarm INSPECTrOiy GATE INP Water Service f"Rough Ar Top Ovt Fire 5prinklers Septic Tank r ook-u 6+ Roof Drains Gas r ?i r! } Aff LP Tank well Lawn Sprinklers Main Drain Pool Piping 6acicflow Preventor Interceptor Catch Basins Condensate Drains Final c3 PLUMBING COMMENTS INSPEMON DATE 1NSP Q nderground Pipe Rough , Ventilation Rough Hood Rough Pressure Test Final Hood Final V"blation inal POGO Neater FinaI Vacuum MECHANICAL COMtriIsNTS � k Miami Shores Village 9uildfr4 Department 1005,5 NE 2 Ave Miami bra esFL 331311 P19nnithIc'. RC-12-17-2993 Tkpa. Building (Res Wentlal) ",Lvkckw. AdcHtlon,,Altoratlan ftmd Statps: AaaroVed issue wit, 11/16mle ExOrew 05f1 5,2019 MPE;,TJON FtEQUIFFSTS tl"742-41MO an 1w9 an at RF9m0s rmta he rw-atww trf 31fpr WOAK IS A"WCD - MONDAV r)IROUGtj FRIDAY, MW - 7:30FIA S.N'UHL)AY a.,WJAM - (S.'OUPM, W WORK 19 ALLOWED ON "DAY OR HOLIDAYS M&DtQ Mn qOOFINO INSPECTKMIS ARE DONE MONDAY I P*40" FRIDAY ND1NSPECTK)NWtj.,,5E MADE Lo*4LE53THE PFRM1T(ARD I$DW-LAXEDANE) qAS8ELNAPPRCrViD RUWSAHE F*..4bLyM(AILA6LE (f IS THE PERMIT APPLICANT'S nESPONIMLITY TO FNRkPt I HAT WORK 15 A=SSIGLE AND EXPOSED FOR WSPECTION PIIRPWF*S, 14E0W.H 14 6CILDING OFflt"Iihl. )IM TtiE CfTY SHALI- BE LIABLE F0q OtPFNSf SWALED 047kE REMOVAL OR REPLALCMIN" QF A14Y MATFRIAJ F1F,'fTjaFDT0ALLO`0V INSPFCAION Owner's Name- MAqIA GAF3RIELA CONTRERAS Job Address: 1234 NE � ST kfimmi chatter r-1 POST ON SITE 1132050100210 Owner's Phone; (305)949-2371 Total Square Feet: 1,500 rotal Job vallildion'. $ 374,079.00 Contractor(p Phone Achireas NAVICON WN$TqUC1r10N (i8gi)202-0237 175 SW 7 ST 1616, MIAMI, Ft 3a130 D*scriptlon: INTERIOR RENOVATION OF EXISTIN(I, HQU5EVOTH MIN!MAL1UiArV3L6 TO ROOM. LN(,DJTS, UPGRA UPDATE OF FINISHES NEW KITCti E N NeVV 9ATH ROOM LAYOUTS, "LMON I H (D U FS E 7 ��I IRI �O�L I IG H LY CONNECTING TO THE EXISTING STPUGTijr1-E' NE.Ai FIC'CYL DFCKrBV'1CA5ANAfP(0j0 LOU.i��� MEDITATION ROOM WON Ailtv '7 ml /,y it JOB A]" TIME OF %Aw F�n� k6'� n` �„�1�,�y g�,e C�1°` � � l WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A Nl&-- TICE 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. Miami shores Village Building Department Permits 10050 N.E.2nd Avenue /� Miami Shores, Florida 33138 E-mail: / t�VTl�NI � = ny4�{ 1 cc� N u s . cc�•"� Tel: (305) 795.2204 Phone: Z 2 - p2 3 -7 - Fax: (305) 756.8972 CERTIFICATE OF C Ca Building permit card. Surveys (2 copies) Final as built - ReqL setbacks from property lines and other spaces, Wheel stops, stripping, and all Certificate of Elevation — (Sealed by sL Certificate of Insulation. Certificate of Soil Treatment ( Final tre; CHAPTER 2913-5 TERMITE PROTE ce ''l ended rking �3 z-e'Lcl e treatment for the prevention of subterranean termites. Treatment is in accordance worn mu rules and law as established by the Florida Department of Agriculture and Consumer Services." Health Department Approval Letter (On septic or private water). Note: If the house is on septic tank, approval letter is required from Health Dpt. Soil Compaction Letter (Density report is required) Final certification letter from the Engineer/Architect (on masonry, trusses, special structure, etc) Backflow preventor certificate (Required on commercial projects only) Declaration of use. (Recorded in Miami -Dade Clerk of Courts) PLEASE NOTE THAT THE SAME ITEMS ARE REQUIRED FOR TEMPORARY CO • Emergency CO (Without 24 Hrs Processing) Additional fee is $80.00, • Temporary CO (Up to 90 days max) $75,00. • Residential CO $150.00 • Residential CC $50.00 0 Commercial CO and CC $200.00 `SN V Miami Shores Village fuEF aril tt Building Department 10050 NE 2 Ave Miami Shot as FL 33138 O RIOA PQ*mII NO.RC-12-17-2993 Type: Building (Residential) I Workclass: Addition/Alteration Permit Status Approved Issue Date_11 /16,2018 Expires: 05/15/2019 INS-ECTION REQUESTS (305)762.4949 or Icg on at httpsJ'bldg.msvfl.govtenergov_prodlselfservlce Requests must be received by 3:30pm WORK IS ALLOWED, MONDAY THROUGH FRIDAY, 8:00AM - 7:00PIA SATURDAY 8:00AM - 6:00PM NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED . PLANS ARE READILY AVAILABLE, IT IS THE PERMIT APP LICANT'S RESPONSIBILITY TO ENSURE i HAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR 1 HE CITY SHAL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OP ANY MATERIAL REQUMED TO ALLOW INSPECTION Owner's Name: MARIA GABRIELA CONTRERAS ,Job Address: 1234 NE 94 ST Miami Shores, FL POST ON SITE 1132050100210 Owner's Phone: (305)949-2371 Total Square Feet: 1,500 (otai Job Valuation: $ 374 079.00 Contractor(s) Phone y W Address 1, IAVICON CONSTRUCTION (785)202-0237 175 SW 7 ST 1618, MIAMI, FL 33130 Description: INTERIOR RENOVATION OF EXISTING HOUSE WITH MIN!�NvAN, ES TO ROOM: LAY�DiJ�F16 GRAi UPDATE OF FINISHES NEW KITCHEN, NEW 13ATHROOM LAYOUTS, ON I ^a HOUSE TGHLY CONNECTING TO THE EXISTING STRUCTURE, NEW POOL DECK EWNA/POOL LOUNG - MEDITATIONROOM, f?:SFECTIC" �.wT �/U✓v . WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A N - TICE 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. Page 1 of 1 Foundation Stemwall Slab Columns (1st Lift) Columns (2nd Lift) ja fters athing raming id ya Firewall Wire Lath Pool Steel Pool Deck p Pool Fence n Enclosure way way Base Tin Cap Roof in Progress Mop in Progress Final Roof Shutters Attachment Final Shutters Rails and Guardrails ADA compliance DOCUMENTS Soil BM rt Soil Tt Cert Floor Survey Reinf Cert Insulaificate Spot Final Truss ion STRUCTURAL COMMENTS INSPECTION RECORD DATE chment PL-31,1C WORKS INSPECTION DATE INSP Excavation INSPECTION DAT Temporary Pole �� x 30 Day Temporary Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab 3 r? I Wall Rough t q Ceiling Rough Rough l Telephone Rough Telephone Final TV Final Cable Rough Cable Final Intercom Rough Intercom Final Alarm Rough Alarm Final Fire Alarm h Fire Alarm Final Service Work With tZ 9 sz ELECTRICAL COMMENTS Rough e , Water Service znd Rough Top Out Fire Sprinklers Septic Tank r oc, Roof Drains Gas Zi Tv1 LP Tank Well Lawn Sprinklers Main Drain Pool Piping Backflow Preventor Interceptor Catch Basins Condensate Drains PhiS Final PLUMBING COMMENTS 'fir 'r G"tM Gr C8 CR i 7/4 INSPECTION DATE—INSP Underground Pipe T— Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation fFinal Pool Heater Final Vacuum ENTS P