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RC-18-2036 (2)2036 59 �i r r ;1 S i; ' • '�k i �$ X cf 3 •;' �y h . ,y7s'^' -r ,t. Y.i7''La�te i;�,1t� • 4M�., j1� ��.}�-�,j�.. t� �.f t* Li 1 4��'y�t f � , � .its'.• jt- � v �. /, �� ; el ��'. � .t2.'. g 'u• - •T, � „e�+ , `•t� �� ., � l Certificate of Completion Miami Shores Village b� 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 . Tel: 305-795-2204 Fax: 305-756-8972 s Building Inspection Department Description: BEDROOM ADDITION, KITCHEN & BATHROOM ALTERATION. - Permit Type Building (Residential) Bldg. Permit No. RC-7-18-2036 Owner SUSAN PINNAS Contractor HOME OWNER i Subdivision/Project Date Issued 06/04/2020� Construction Type V-B Occupancy Single Family Type Square Footage 695.00 q 9 Flood Zone X�'� .rep Location If the building is located in a special flood hazard area documentation of the as -built lowest floor ; a 1158 NE 99 ST elevation or lowest horizontal structural member has been provided and is retained in the records of ! ? Miami Shores Village. 'l Miami Shores, FL 33138 g x This certificate issued pursuant to the requirements of the Florida Building Code certifying that at the Y" •rr. �� SN�NC. 1932 V� time of issuance this structure was in compliance with the various ordinances of the jurisdiction . ��•,� regulating building construction or use. �. L r:;.4 t Building Officials Approval Ismael Naranjo, CBO t4 1 F�ORIVp' Not Transferable 3 . POST IN A CONSPICUOUS PLACE _ .T - z �'��'�` ' ��v `.}� �� T -t •'r*�.�'{��r•�` `'� `,y �„��,`�`':7`�: ��t'"�``.'" `�- �w ��hs�''a:'� "iGV! ', �•; 4 �Y.1': 5 fi �T`� ' y `,IK• L' J* � 4 R1 � "t, w;r,i. 1 ^- /T {' 1 ��5..• �!.tl'�ti<'r�'Y .Ka4�a�.�_.t�R[r. jl-.,$,x:. ';.'� . Vic. ci•- A�t{'.�i t � . [1+: a"4 ...SG7�'Yt.+ .� � .S�r, � 6P� t ii� iJ� aa�G.lc, tr.1••d .fCi�S',fiti 4 !i zd t � ..� �•`�.�_ Zvi Miami Shores Village Building Department 10050 NE 2 Ave Miami Shores FL 33138 Permit N0, RC-7-18-2036 Type: Building (Residential) W oftless Addition/Altomftn Permit Status: Aomoved Issue Date: 1/18/2019 Expires: 07/17/2019 1 INSPECTION REQUESTS: (305)762-4949 or log on at httpsJ/bldg.msvfl.govienergov_Prodlselfservice Requests must be received by 3:30pm WORK IS ALLOWED: MONDAY THROUGH FRIDAY, 8:OOAM - 7:00PM 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 PERMITAPPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION . Owner's Name: SUSAN PINNAS Job Address: 1158 NE 99 ST Miami Shores, FL 33138 Owner's Phone: POST ON SITE 1132050180130 Total Square Feet: 695 rota) Job Valuation: $ 91,200.00 Contractor(s) Phone Address HOME OWNER PRIMUS CONSTRUCTION SERVICES IN (954)817-2132 16536 NW 22 ST, PEMBROKE PINES, FL 33028 Description: BEDROOM ADDITION, KITCHEN & BATHROOM ALTERATION . N%^�� - +eC s c7— �•�/c Q, r�j` lc �c 10toT.:5/q r7 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Page 1 of 1 INSPECTION RECORD INSPECTION Foundation Stemwall Stab Columns (1st Lift) Columns (2nd Lift) Tie Beam Truss/Rafters Roof Sheathing Bucks Interior Framing Insulation Ceiling Grid Drywall Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin Cap In -Progress Roof Installation Roofing Final Shutters Attachment Final Shutters Rails and Guardrails ADA compliance DOCUMENTS Soil Bearing Cert _ Soil Treatment Cert _ Floor Elevation Survey Reinf Unit Mas Cert Insulation Certificate Spot Survey Final Survey PLsertification STRUCTURAL COMMENTS INSPECTION DATE INSP Attachment - INSPECTION _ DATE INSP Excavation ELECTRICAL INS CTION I DATE I INSP 1@6porary Pole 30 Day Temporary Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab Wall Rough Ceiling Rough Rough Telephone Rough Telephone Final TV Rough TV Final Cable Rough Cable Final Intercom Rough Intercom Final Alarm Rough Alarm Final Fire Alarm Rough Fire Alarm Final Service Work With ELECTRICAL COMMENTS INSPECTION DATE INSP Final Sprinkler Final Alarm INSPECTION DATE INSP Rough Water Service 2nd Rough Top Out Fire Sprinklers Septic Tank Sewer Hook-up Roof Drains Gas LP Tank Well Lawn Sprinklers Main Drain Pool Piping Backflow Preventor Interceptor Catch Basins Condensate Drains HRS Final 5 � PLUMBING COMMENTS ;.cl l�v Ai MECHANICAL INSPECTION DATE INSP Underground Pipe Rough Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater '7 Final Vacuum �,� V � MECHANICAL QOMMENTS N.E. 99st STREET 70' RIGHT-OF-WAY S 87° 05' 68"W 22' ASPHALT PAVEMENT �I BRICK DNV 9I DM/ 7ni MAP OF BOUNDARY SURVEY A PORTION OF SECTION 27, TOWNSHIP 52S., RANGE. 41E. VILLAGE OF MIAMI SHORES, MIAMI-DADE COUNTY, FLORIDA LEGAL DESCRIPTION: LOT 4, IN BLOCK 179 OF REVISED PLAT OF TRACT 178 B, 178 C, 179 A. 179 B. 179 C. 180 A, AND N 1 180 C OF REVISED PLAT OF MIAMI SHORES SECTION 8, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 43. PAGE 69 OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA. N87° 05' 58"E 100.00' p -ice F.I.P. 3/4" F.LP. 3/4" NORTH LIE BLOCK 179 B.C. (NO -ID) (NO -ID) LOT 3, BLOCK 179 (BASIS BEARING) LP. N P B fig 255.39' (R) 255.25(M) jN\0-10) R) 10) MDCR ttii (NOT A PART) PS r 15.42' 13.60' 27.83' LOT 1, BLOCK 179 Q ,_ P.B. 43, PG. 69 LLl o CLF ENCE MDCR L1J CORNER X . COL (TYP) O/L (NOT A PART) PN• CLF 1.05'X0.35' N n Q Mo ONE STORY C.B.S. 1j I r FENCE RES- No. 1158 SURVEYOR'S NOTES / REPORT: CORNER OIL LOT 4, BLOCK 179 W 1. ALL FIELD MEASUREMENTS TAKEN FOR THIS SURVEY WERE MADE WITH A TRANSIT, ELECTRONIC C-4O `� P.B. 43, PG. 69 DISTANCE METER AND/OR STEEL TAPE, WITH A MINIMUM ACCURACY OF 1:7500. MDCR 2. THIS FIRM HAS MADE NO ATTEMPT TO LOCATE FOOTINGS AND/OR FOUNDATIONS NOR ANY OTHER cl UNDERGROUND IMPROVEMENTS AND/OR UTILITIES, UNLESS OTHERWISE NOTED. h N 24 '$ N 3. THE LANDS SHOWN HEREON RAVE NOT BEEN ABSTRACTED BY THIS FIRM REGARDING MATTERS OF INTEREST BY OTHER PARTIES, SUCH A5 EASEMENTS, RIGHTS OF WAY, RESERVATIONS, ETC. THE Z CLIENT IS HEREBY ADVISED THAT THERE MAY BE LEGAL RESTRICTIONS ON THE SUBJECT PROPERTY 0. v a CONC PATIO (2) 1' STEPS THAT ARE NOT SHOWN ON THE SKETCH OF SURVEY OR CONTAINED WITHIN THIS REPORT THAT MAY 0) JURISDICTIONS< BE FOUND IN THE PUBLIC RECORDS OF MIAMi-DADE COUNTY. THE LLAGE OFMIAY APPEA R THE v i 0 n - 1g RECORDS OF ANY OTHER PUBLIC AND PRIVATE ENTITIES AS THEIR a0 Z p o- 12 20' R1 4. THIS SURVEY WAS PREPARED FOR AND CERTIFIED TO THE PARTY(IES) INDICATED HEREON AND IS 8 5. NOT TRANSFERABLE OR ASSIGNABLE. ALL BOUNDARY LIMIT INDICATORS SET BY THIS FIRM ARE STAMPED LB No. 7583 OR PSM No. 0698 AND 27.38' ARE lWxIIZ' IRON PIPE WITH YELLOW CAP UNLESS OTHERWISE NOTED. m 18.25' 6. THE BOUNDARY LIMITS ESTABLISHED ON THIS SURVEY ARE BASED ON THE LEGAL DESCRIPTION 22AV 14.50, POOL PROVIDED BY THE CLIENT OR ITS REPRESENTATIVE. BOUNDARY LIMITS RAVE BEEN CONFIRMED BY 15 DO' - 19.w CONC. DECK SOUTH PENINSULA SURVEYING, CORP. FENC bb m FP ENCE 7. BEARINGS WHEN SHOWN ARE TO AN ASSUMED MERIDIAN. THE "NORTH LINE OF BLOCK 179" HAS BEEN gg$IGNED A BEARING OF N 8T05'SB" E (BASIS OF BEARING) CORNER 0.58' (N) T1 CORNER 0.55' (N) B. THE LOCATION OF ANY UNDERGROUND UTILITY LINES ARE NOT SHOW14 ON THIS SURVEY. 048 (W) 64 71' 0.07-(E) 9, ANY EASEMENTS SHOWN AND RIGHT-OF-WAY INFORMATION ON THIS SURVEY ARE BASED ON THE CLF CLF SUBJECT RECORD PLAT. - -. F.I.P. 3/4" S87' 02' 42"W 100.00' 15' ALLEY --- F.I-P. - 3/4" 10. SOME SYMBOLS SHOWN ON THIS SURVEY ARE EXAGGERATED BEYOND THE SCALE OF THIS DRAWING, THE CENTER OF THE SYMBOLS REPRESENTS THE ACTUAL LOCATION OF THE CORRESPONIXNG (NO -ID) P.B. 43, PG. 69 (NO -ID) 11. IMPROVEMENT. THE INTENDED USE OF THIS SURVEY IS FOR CONVEYANCE, MDCR 12, THE DATE OF COMPLETION OF ORIGINAL FIELD SURVEY (THE "SURVEY DATE") WAS 05/12)2020. (NOT A PART) DATE. 05 - 13 - 2020 SCALE. V = 20' JOB ORDER: 207098 CAD: 1166 NE 99 STREET-MIAMI SH DRAWN BY: A.P. F.B.' 200513 FILE NO. C - 1991 SHEET 1 OF 1 OF SURVEY: BOUNDARY SEAL SURVEYOR'S CERTIFICATE I HEREBY CERTIFY THAT THIS SURVEY MEETS THE STANDARDS OF PRACTICE SET FORTH BY THE FLORIDA STATE BOARD OF LAND BU OR3 IN CHAPTER 5J-17 0.060.0.052 FLORIDA ADMINISTRATIVE C UR U TO SECTION 472.027 FLORIDA STATUTE. SOUTH INSULA SURVEYING, CORP. AUTHENTIC COPIES OF THIS SURVEY SHALL BEAR THE RAISED SEAL OF THE NTIA O M ATTESTING PROFESSIONAL PROFE S N PPE. SURVEYOR AND MAPPER. L._ST F L RIDA. \RED FOR: SUSAN PANNAS REVISIONS: LEGEND / ABBREVIATIONS: A/C -AIR-CONDITIONER B.C. - BLOCK CORNER BLDG. - BUILDING C.B.S. • CONCRETE, BLOCK, STUCCO C.L.F. -CHAIN LINK FENCE COL. • COLUMN CONC. -CONCRETE COY. -COVERED C/L - CENTER Usti F.I.P. - FOUND MANE MDCR MIAr A COUNTY DS M.F.-METAL =CE (NO -ID) - NO LDENTIFICA P.B. - PLAT.pOK PG. - PAS►p (R)8(M) - RE RND MEARSUREU ?- FPS RE AL RAN - RIG -OF-WAY - STO. -04 STORAGE CERTIFIED TO: 1 SUSAN PANNAS PROPERT D En 1168 NE 99 STREET MIAMI, FLORIDA 33la?' � �. $I ; - FLOOD INFORMATION: FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM. FLOOD INSURANCE RATE MAP INFORMATION COMMUNITY No- 120052 PANEL No. 0308 SUFFIX: L FLOOD ZONE: "X" BASE FLOOD ELEVATION. N%A MAP REVISED 09-17-2009 0 20 40 SCALE I" = 20• FEET SOUTH PENINSULA SURVEYING, CORP. LB No.: 7583 LAND DEVELOPMENT CONSULTANTS SURVEYORS -PLANNERS CONSTRUCTION LAYOUT 1795 NE 164 STREET NORTH MIAMI BEACH. FLORIDA 33182 DIRECT: (305) 687-9191 OFFICE: (305) 354.8887 a -MAIL: INFOGSPSURV.COM L' e Kl ENGINEERING & TESTING, INC. Phone: (866) 781-6889 •Fax: (866) 784-8.550 www.floridaenginceringan(itesting.com 250 S.W.13"' Avenue Pompano Beach, FL 33069 REPORT OF FIELD COMPACTION TESTS DATE: 4/15/19 ORDER NO: 19-1848 PERMIT NO. CLIENT: Primus Construction ADDRESS: 16536 N.W. 22nd StreetPembroke Pines, Florida 33028 PROJECT: Proposed 1 Stony Addition ADDRESS: 1158 N.E._99th Street Miami Shores, Florida MATERIAL DESCRIPTION: Brown Fine Sand Little Rock PROCTOR VALUE (PCF): 114.9 % COMPACTION REQ'D BY SPECS: 95* OPTIMUM MOISTURE (%): 11.1 LABORATORY NO: P-840 NUCLEAR GAUGE SERIAL (MODEL) #: ® 29793 (3440) ❑ 75693 (3440) ❑ 533 (3450) ❑ 20500 (3440) PROCTOR METHOD: ® ASTM D-1557 ❑ ASTM D698 ❑ AASHTO T-180 ❑ AASHTO T-99 ASTM D 6938 METHOD A Test Location: Lift Elev.! Depth of Test Dry Density PCF Moisture (%) percent Compaction ( ) Pass! Fail 1 E. Addition N. End of SOG SOG 12" 109.9 6.3 95.6 P 2 E. Addition S. End of SOG SOG 12" 112.1 9.0 97.6 P 3 Patio SOG at Center SOG 12" 112.5 8.5 97.9 P 4 W. Addition N. End of SOG SOG 12" 112.7 7.8 98.1 P 5 W. Addition S. End of SOG SOG 12" 114.0 7.1 99.2 P 6 7 8 9 10 REMARKS: A subsoil investigation has not been performed by F.E.T. *95% compaction per client. TESTED BY: J.R. CHECKED BY: P.T. Notes: Method A - Direct Transmission unless otherwise noted. PR - Proof Roll BOF - Bottom of Footing TOB - Top of Base SG - Subgrade SOG - Slab on Grade As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. �rQ Qraality �� 0 ✓ mmrance Respectfully submi j i 1111//!j'' o MARK A. O, P.E. Florida Engineep Toklm I&C Florida Reg. No Certificate of Ail�� Ife.kt,c4 GEORGE ROUMAIN ,PE ENGINEERS - CONSULANTS 1461 SW 139 AVE. DAVIE FL . 33325 PHONE. (954) 612-8556 3114119 To : City Miami Shore Building Department Permit # : RC-7-18-2036 From : George Roumain, P. E. Re 1158 NE 99 Street Miami Shore, Florida I hereby confirm that I have inspected the Wood trusses installation for the above referenced project. All trusses and bracings are in place and in general the assembly is in compliance with the drawings, shop drawings and specifications as per approved permit plans. George Roumain , P. E. License # 30909 GEORGE ROUMAIN ,PE ENGINEERS - CONSULANTS 1461 SW 139 AVE. DAVIE FL. 33325 PHONE. (954) 612-8556 3114119 To : City of Miami Shone Building Department. Permit # : RC-7-18-2036 From : George Roumain, P. E. Re 1158 NE 99 Street Miami Shore, Florida I hereby confirm that 1 have monitored the block cell masonry concrete pour for the above referenced project. All reinforcement were in place ad all masonry cells poured per specifications and per approved permit plans. _y -27 Z.C!) George /Roumain , P. E. License # 30909 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2022 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: Susan Pannas A2, Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1158 NE 99 Street City State ZIP Code Miami Shores Florida 33167 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 4, Block 179 of Plat Book 43, Page 69, Miami -Dade County Public Records. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. N 25° 52' 0.1" Long. W 80° 10' 29.4" 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 1A 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 Z No A9. For a building with an attached garage: a) Square footage of attached garage 287 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ❑x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State Village of Miami Shores 120652 Miami -Dade County Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel 88. Flood 89. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12086CO306 L 09/11 /09 09/11 /09 X N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Designation Date: N/A ❑ CBRS ❑ OPA FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Paqe 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 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: 1158 NE 99 Street City State ZIP Code Company NAIC Number Miami Shores Florida 33167 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7, In Puerto Rico only, enter meters. Benchmark Utilized: MDCBM B-62 Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a) through h) below. ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 9.90 Q 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) 7.68 ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 8.05 ❑ feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7.55 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 7.80 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 8.03 ❑x feet ❑ meters structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certiflcation is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by tine orimprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? Z Yes ❑ No ❑x Check here if attachments. Certifier's Name License Number Santiago A. Dominguez, PSM LS 6698 Title Professional Surveyor & Mapper E' I; i C P Company Name South Peninsula Surveying, Corp. SPa Here Address 16499 NE 19 Avenue, Suite 208 City State ZIP Code 24`ep North Florida 33162 Signat Date Telephone Ext. rz4A�q� 05-18-2020 305-687-9191 Copy all pages io;'Afit ev e ' to and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including typ of equipment and location, per C2(e), if applicable) N/A= Not Applicable; MDCBM= Miami -Dade County Bench Mark; Bench Mark Elevation= 8.67; Item A5= Information obtained from Google.com; Item C2.e= Elevation of A/C Pad; Highest Crown of Road Elevation= 7.91 FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 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: 1158 NE 99 Street City State ZIP Code Company NAIC Number Miami Shores Florida 33167 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, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 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 ❑ 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 (12/19) Replaces all previous editions. Form Paqe 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 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: 1158 NE 99 Street City State ZIP Code Company NAIC Number Miami Shores Florida 33167 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) of the building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2022 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: 1158 NE 99 Street City State ZIP Code Company NAIC Number Miami Shores Florida 33167 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 1 r' x� r � ��I ��iu .Y t�•' i� Photo One Caption Clear Photo One S ial Photo Two Caption Clear Photo Two FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Paae 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2022 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, 1158 NE 99 Street City State ZIP Code Company NAIC Number Miami Shores Florida 33167 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. a� P P t `v f Photo Three Caption Clear Photo Three l4 'r A✓ V y� Photo Four Caption Clear Photo Four FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6 C-<5-MPASS insulation Certificate INSULATION SERVICES 'PLEASE POST NEAR ELECTRICAL PANEL 41OG N Powerline Rd, Ste G-2 The undersigned hereby certifies that insulation has been Pompano Beach, FL 33073 installed in the below described propoerty to meet the 954-459-4419 Info@CompassFoam.com minimum requirements for R-Value of the Florida Energy Efficiency Code in accordance with the approved plans License # CC 19-1-21547-X and specifications as follows: MANUFACTURER PRODUCT THICKNESS I UE Existing Attic Floor Knauf .let Stream Ultra 10.5 30 Blowing Wool Wood -Framed Exterior Walls Masonry Exterior Walls Garage Roof Rafters Interior Walls Notes Permit Number Jobsite Address R30 blown -.in fiberglass blown into existing attic floor over conditioned space. 1158 NE 99th St City/State Miami Shores, FL Date of Install Contractor/Owner May 15th, 2020 Primus Construction Services, Inc Insulation Contractor I Com Contractor Signature Zip Code 33138 Date Meets the following InternVB!ng inn-alial Code (IRC) version requirements: 2012 IRC, 2015 IRC and 2018 IRC Meets the following InternCode (IBC) version requirements: 2012 IBC, 2015 IBC & 20181BC Meets the following Internonservation Code (IECC) Requirements: 2012, IECC, 2015 IECC & 2018 IECC LIMITATIONS OF LIABILITY 1. This agreement guarantees the structure stated in this agreement; therefore, this agreement may be transferred to a new owner. SUBTERRANEAN TERMITE CONTROL Conditions of Coverage Due to the habits of Subterranean Termites, more than one treatment may be required to attain complete control. Additionally, Subterranean Termites damage may exist in unexposed or hidden areas of the covered premises and Priority Pest Control cannot assure that the damage discovered by a visual inspection of the covered premises is ail the damage which exists at the time of repairs of Subterranean Termite damage. If Priority Pest Control notifies the Customer of any condition which prevents proper treatment or inspection, or is conducive to allowing Subterranean Termite infestation, the Customer shall promptly cure the condition at the Customer's expense. This stipulation applies to moisture from, but not limited to, roof or window leaks. This Agreement covers the premises shown on the attached graph and specification sheet as it exists on the Effective Date. After Priority Pest Control treats the premises, any structural modification or alteration to the building or the treated soil around the foundation must be reported to Priority Pest Control. Priority Pest Control obligation to repair or retreat under this Agreement is terminated, unless Priority Pest Control is notified of the modification or alteration and, if required by Priority Pest Control additional treatment is performed at the Customer's expense. The liability of Priority Pest Control under this Agreement is for retreats only. NOTICE PRI LRITY NOTICE PEST CtONTROL 954-530-5667 05/20/2020 Date of Inspection Date of Treatment STRUCTURE TREATED FOR: _ SUBTERRANEAN TERMITES FUNGUS DRYWOOD TERMITES WOOD DECAY POWDER POST BEETLES OLD HOUSE BORER BY APPLICATION OF: PREMISE TIMBOR OTHER: TERMIDOR SC INSPECTOR: STEVEN FIGUEROA # JE123147 State law prohibits removal of this label except by property owner. �J��uI�J �JI_'Ju �l^�lJ ✓ PRIOR/TYPESTC.COM 8360 NW 26 PL SUNRISE FL 33322 PRE -CONSTRUCTION TERMITE TREATMENT Property Information Treatment nRj90 Time: Lot Block Subdivision Name Builder / Contractor Information Name of Builder PRIMUS C0NS�1C'T10N Shell Contractor 1158NE99ST Street Address (if known) Construction Type MIAMI SHORES FL 33318 Monolithic X Floating / Stemwall City State Zip Patio Entry Driveway_ Owner Name (if known) Product / Treatment Information Treatment Type (Must check one): Initial Under -Slab Supplemental Final X Product applied: Chlorpyrifos Demon TC Other TERMIDOR SC Concentration .06 % Mixed Product Applied: 118 Gallons Square feet treated: Linear feet treated: 9A4 If hex is checked_ then final nerimeter treatment has heen cmmnleted and the fnilnwino ctatement is annlirahlee FBC 2326.5 Termite Protection: "This Building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with the rules and laws as established by the Florida Department of Agriculture & Consumer Services." CERTIFICATE OF COMPLIANCE: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with the rules and laws established by the Florida Department of Agriculture and Consumer Services. COVERAGE: For a period of one year, beginning on the effective date shown above, Priority Pest Control agrees to provide necessary service and treatment for the control of Subterranean Termites for the covered premises for the sum of $ 1 ,176 payable on completion by Check/Cash. In addition, Priority Pest Control will perform any further treatment if it finds necessary, free of charge for the initial and renewal terms of this agreement. This agreement covers only subterranean termites. NOTE REVERSE SIDE FOR GENERAL TERMS AND CONDITIONS Renewal: This agreement is renewable from year upon re -inspection of covered premises by Priority Pest Control and upon payment of an annual renewal fee of $_?50 . This agreement can be terminated by either party, with or without cause at the end of one year term; Priority Pest Control reserves the right to revise the annual renewal fee after the third year, upon notice to the customer. NOTICE OF RIGHT TO CANCEL You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction unless work has been approved by the buyer. CHEMICAL SENSITIVITY All of the materials applied by our thoroughly trained technicians are E.P.A. approved, however, if you or any member of your household are sensitive to chemical odors, you should consult your doctor before chemicals are applied in, on or under your structure. Caution: I ' i port t that you read the agreement before you sign it. STEVEN FIGUEROA 051221 020 CERTIFICATE Authorized Representative Signature Date Inspection & Treatment Notice Location