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RC-19-1576Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 issue Date:12/02/2019 Location Address Parcel Number 1298 NE 95TH ST, Miami Shores, FL 33138 1132060144030 Contacts Permit NO.: RC-07-19-1576 Permit Type: Building (Residential) Work Classification: New Permit Status: Approved Expiration: 06/01/2020 Andrea Suarez Owner YURI MORAL Owner 1298 NE 95 ST, MIAMI SHORES, FL 33138 302 NE 92ND ST, Miami Shores, FL 33138 Home: 3057903849 yurimorales@gmail.com CONSTRUCTION DNA CORP Contractor JULIEN BERGIER 7636 NE 4 CT, MIAMI, FL 33138 Business: 3053502993 jbergier@dma-arc.com Mobile: 3055273098 s ection Requests: Description: NEW SINGLE FAMILY HOUSE 2 STORIES Valuation: $ 695,202.23 Inspection 4949 Total Sq Feet: 4,888.00 Fees Amount CCF $417.60 Certificate of Occupancy (Residential) $150.00 DBPR Fee $312.84 DCA Fee $208.56 Education Surcharge $139.20 Notary Fee $5.00 Permit Fee $20,656.07 Planning and Zoning Review Fee $35.00 Preliminary Plan Review (Residential) $360.00 Residential Application Fee $200.00 Scanning Fee $210.00 Structural Review ($120) $120.00 Structural Review ($90) $90.00 Technology Fee $521.40 Total $23,425.67 Building Department Copy Payments Date Paid Amt Paid Total Fees $23,425.67 Check # 463 07/10/2019 $480.00 Credit Card 12/02/2019 $22,945.67 Amount Due: $0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. DAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws vction and/tb-�ng. Futhermore, I authorize the above named contractor to do the work stated. Signature: Owner / Applicant / Contractor / Agent Date 02, 2019 Page 2 of 2 Transmittal sheet 7636 NE 4T" Court Suite 114 Miami, Florida 33138 '+ T 3051 350-2993 ?1 1� ' W www.dna-arc.com L AA 26000769 Send to: From: The City of Miami Shores Julien Bergier Attention: Date: 08/22/2019 Address: Phone Number: ."". 10050 NE 2nd Ave, Miami Shores, FL 33138 (305) 795-2207 RE: Morales Residence Construction ...:.. Documents .... ✓ Submittal •••• .""' ❑ Urgent � ❑ Reply ASAP •• •• • •• •. .•.•.. ❑ Please comment ' • • • • • ' ❑ Please review ' ❑ For your information .'. • Comments: • (2) copies of DN'A Design + Architecture response narrative • (2) copies of signed and sealed letter for Water and Sewer Department • (2) copies of Heat and Energy Load Calculations • (2) copies of Special Inspector Forms • (2) copies of Elevation Certificate • (2) binders of Structural Calculations • (2) copies of signed and sealed revision drawing sets Julien Bergier DN'A Design & Architecture Received by Date: 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: November 14, 2019 Permit Number: RC-07-19-1576 Project: 1298 NE 95 St. This property is located in a special flood hazard area. In addition to the approved plans, the contractor and subcontractors are responsible for complying with the requirements of local, state and federal regulations. Please review the 2017 Florida Building Code, Residential, (section R322), ASCE 24, Miami Shores Village Flood Ordinance, Chapter 6 Building Regulations, Chapter 8.5 Flood damage prevention and FEMA's technical bulleting's related to buildings within special flood hazard area. 1. Erosion and sedimentation control. Provide system as approved on the plans. Request inspection and maintain through the project. First inspection is required prior to the start of piling installation. Additional inspections to be perform monthly. 2. Review development order. Make sure you have met all conditions of the development order prior requesting a final inspection or a T.C.O 3. Provide portable toilet and Notice of commencement. 4. Inspections. All inspections are to be perform by Miami Shores certified, inspectors. Youssef Hachem Ph.D, P.E, SI is the approved special inspector for masonry, soil compaction and pile installation. ➢ Inspections should be schedule by no later than 3:30 pm the day before. 5. Shop Drawings. Railings, Roof, Windows and Doors. Should be approve by Engineer and or architect of record prior to submitting to the Building Department for review and approval. The shop drawings should be approve prior to installation. 6. Permit applications for sub -permits, revisions and shop drawings should be sign by owner, owner's agent and contract. If owner agent and or contractor signs on behalf of the owner you are require to provide an affidavit or a power of attorney from the property owner allowing the owners agent and or contractor to act on his or hers behalf. 7. Survey and elevation certificate Requirements. ➢ Pile location spot survey sing and seal by Florida license surveyor shall be provided along with a certification from the engineer of record. ➢ Spot survey sign and sealed by Florida license surveyor is required prior concrete placement of first slab in order to verify the building setback requirements. ➢ Elevation certificate sign and seal by Florida license surveyor is required prior to concrete placement of first tie beam. ➢ Final as -built survey and elevation certificate are required prior to CO or TCO. The survey and the elevation certificate should be sign and seal by Florida license surveyor. 8. Changes and modifications from approved plans. Any changes and or modifications should be approve by the Building Official. A separate copy of approve plans should be maintain on the job site to be use for mark up's. Mark up's should be with red ink and will be used to produce as -built plans that will have to be submitted along with design professionals approval to the Building Department for approval prior to CO, or TCO. 9. Material testing. Should be review and approve by engineer of record and should be included with the final inspection log and certification. 10. If you need, my assistance please email me at bo@msvfl.gov or you may call me at 786- 488-6202 or 305-762-4859. Working Hours: Monday -Friday 8AM-713M SATURDAY 8AM - 6 PM. NO WORK ON SUNDAYS AND ON THE FOLLOWING HOLIDAYS, THANKSGIVING, CHRISTMAS AND NEW YEARS DAY. Inspection Schedule: Inspectors will be in the field from 9:OOAM. — 6:00 p.m. Building, Electrical, and Roofing Monday- Friday Plumbing Monday -Thursday Mechanical Tuesday and Thursday We look forward to working with you and your team; please let us know how we can help. Sincerely, Ismael Naranjo, BO, CFM Building Director. ,p�� Miami Shores Village F7� Building Department 10050 NE 2"d Ave. O RR Miami Shores, FL 33138 305-795-2204 / Fax 306-756-8972 NOTICE TO MIAMI SHORES BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING CODE. I (We) have been retained by to perform special inspector services under the Florida Building Code 5w Edition (2014) and Miami Dade County Administrative Code at the 1298 NE 95th Street project on the below listed structure as of August 19, 2019 (date). I am a registered arch itect/professional engineer licensed in the State of Florida. Process Number: X Special Inspector for Reinforced Masonry, Section 2122.4 of the FBC 51h Edition (2014) _ Miami Dade County Administrative Code, Article II Section 8-22 Special Inspector for Trusses > 35 ft. long or 6 ft. high _ Steel Framing and Connections welded or bolted X Soil Compaction _ Precast Attachments _ Roofing Applications, Lt. Weight. Insul. Conc. X Other Pile Foundations Note: Only the marked boxes apply. go The following individual(s) employed by this firm or me is authorized representative to perform inspection* 1. Youssef Hachem Ph.D., P.E., S.I 2. 3. 4. o .... ...... . . .. .. ...... *Special inspectors utilizing authorized representatives shall insure the authorized representative is qualified b) education or licensure to perform the duties assign by Special Inspector. The qualifications shall include licensure as a professional engineer or architect: graduation from an engineering education program in civil or structural engineering; graduation from an architectural education program; successful completion of the NCEES Fundamentals Examination; or registration as building inspector or general contractor. I (we) will notify the Miami Shores Building Department of any changes regarding authorized personnel performing inspection services. I (we), understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site for reference by the Miami Shores Building Department Inspector. All mandatory inspections, as required by the Florida Building Code, must be performed by the Miarni Shores Buildin Department .Inspections performed by the Special Inspector hired by the owner are in addition to t ag?� " "" V%4pections performed by the department. Further, upon completion of work under each jl submit to the Building Inspector at the time of the final inspection the completed ltspt ctE, �g for &a sealed statement indicating that, to the best of my knowledge, belief and p'rofe si al J ettipse portions of the project outlined above meet the intent of the Florida Building Cod grg ' ubSti I accordance with the approval plans. Engineer/Architect Youssef Hachem Ph.D., P.E., S.I Name Print Address 99 NW 27 Ave Miami, Ft 33125 ''�q�„ENO Miami Shores Village Building Department 10060 NE 2"d Ave. �A Miami Shores, FL 33138 305-795-2204 / Fax 305-756-8972 NOTICE TO MIAMI SHORES BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING CODE. I (We) have been retained by to perform special inspector services under the Florida Building Code 5th Edition (2014) and Miami Dade County Administrative Code at the 1298 NE 95th Street project on the below listed structure as of August 19, 2019 (date). I am a registered arch itect/professional engineer licensed in the State of Florida. Process Number: XL Special Inspector for Reinforced Masonry, Section 2122.4 of the FBC 5th Edition (2014) Miami Dade County Administrative Code, Article 11 Section 8-22 Special Inspector for •0*0 • • _ • * 0 • 0.0 • Trusses > 35 ft long or 6 ft. high • • • ...... .... ...... Steel Framing and Connections welded or bolted _ ...:.. • X Soil Compaction .... % .... . ..... _ Precast Attachments • •.... ..:..' Roofing Applications, Lt. Weight. Insul. Conc. .. .. .. .. ...... _ X Other Pile Foundations .... ; Note: Only the marked boxes apply. . ...... The following individual(s) employed by this firm or me is authorized representative to perform • • • • inspection* 1. Youssef Hachem Ph.D., P.E., S.I 2. 3. 4. *Special inspectors utilizing authorized representatives shall insure the authorized representative is qualified by education or licensure to perform the duties assign by Special Inspector. The qualifications shall include licensure as a professional engineer or architect: graduation from an engineering education program in civil or structural engineering; graduation from an architectural education program; successful completion of the NCEES Fundamentals Examination; or registration as building inspector or general contractor. I (we) will notify the Miami Shores Building Department of any changes regarding authorized personnel performing inspection sen-ices. I (we), understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site for reference by the Miami Shores Building Department Inspector. All mandatwmn otiq�s, as required by the Florida Building Code, must be performed by the Miami Shores Bui�d3�ig.�rj�e.ftr�ypections performed by the Special Inspector hired by the owner are in addition to tr54J s e rformed by the department. Further, upon completion of work under each uiRiiti pwkl i to the Building Inspector at the time of the final inspection the completed inspect' g rm. a red statement indicating that, to the best of my knowledge, belief and ro'fes onaj t thgs drtions of the project outlined above meet the intent of the Florida Building ode d a substantiil ac&rdance with the approval plans. /( Engineer/Architect E Name Youssef Hachem Ph.D., P.E. S.I i Stale Print Date''�, Address 99 NW 27 Ave Miami, F133125 Miami Shores Village g Building Department 10050 NE 2nd Ave. W Miami Shores, FL 33138 305-795-2204 / Fax 305-756-8972 NOTICE TO MIAMI SHORES BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING CODE. I (We) have been retained by to perform special inspector services under the Florida Building Code 5th Edition (2014) and Miami Dade County Administrative Code at the 1298 NE 95th Street project on the below listed structure as of August 19, 2019 (date). I am a registered arch itect/professional engineer licensed in the State of Florida. Process Number: X Special Inspector for Reinforced Masonry, Section 2122.4 of the FBC 51" Edition (2014) •.•• Miami Dade County Administrative Code, Article II Section 8.22 Special Inspector for • _ • • • • • • • _ Trusses > 35 ft. long or 6 ft. high • • • ...... .... ...... _ Steel Framing and Connections welded or bolted ...:.. • X Soil Compaction .•���. �...;. Precast Attachments ••�•.� •. ..;..• .. .. .. .. Roofing Applications, Lt. Weight. Insul. Conc. ...... • • • • • X Other Pile Foundations .... ; • • • Note; Only the marked boxes apply. • • • • •... • • The following individual(s) employed by this firm or me is authorized representative to perform • inspection* 1. Youssef Hachem Ph.D., P.E., S.I 2. 3. 4. *Special inspectors utilizing authorized representatives shall insure the authorized representative is qualified b) education or licensure to perform the duties assign by Special Inspector. The qualifications shall include licensure as a professional engineer or architect: graduation from an engineering education program in civil or structural engineering; graduation from an architectural education program; successful completion of the NCEES Fundamentals Examination; or registration as building inspector or general contractor. I (we) will notify the Miami Shores Building Department of any changes regarding authorized personnel performing inspection services. I (we), understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site for reference by the Miami Shores Building Department Inspector. All maps irispiWtions, as required by the Florida Building Code, must be performed by the Miami Shores 8 t� of ,Inspections performed by the Special Inspector hired by the owner are in addition to man r iJD `tons performed by the department. Further, upon completion of work under each uildExi mit to the Building Inspector at the time of the final inspection the completed mspe��ion log or nd tealed statement indicating that, to the best of my knowledge, belief and profes '4b ent thosq portions of the project outlined above meet the intent of the Florida Building Code an a inns bstantiat-accordance with the approval plans. STATE 0 Ott Z Engineer/Architect Name Youssef Hachem Ph.D., P.E., S.I Print Address 99 NW 27 Ave Miami. Ft 33125 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 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: Andrea Del Pilar Suarez and Yuri Humberto Morales A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1298 N.E. 95 Street City State ZIP Code Miami Shores FLORIDA 33138 A3. Property Description (Lot and Block numbers, Tax Parcel Number, Legal Description, etc.) Legal Description is too long for this area, please contact surveyor for long legal description if needed. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, Etc.) Residential • • •.... • see*, A5. Lattitude/Longitude: Lat. N 26°33'59.47 Long. W 81 °58'29.97 Horizontal Datum: M 1927` NAD 1983 • • .... • A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance ... • • A7. Building Diagram number 8 • • • • • .. •.. A8. For a building with a crawlspace or enclosure(s): • • • • .. .. ..... a) Square footage of crawlspace or enclosure(s) 3053 Sq. Ft. : • •: •: • • b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacenj grVb• 14 • • • • • • ..... c) Total net area of flood openings in A8.b 1836 Sq. in. ' • ; • • • d) Engineered flood openings? ❑ Yes 0 No A9. For a building with an attached garage: a) Square footage of attached garage 200 Sq. Ft. b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 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 120652 Miami -Dade County FLORIDA B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood elevation(s) Number Date Effective/Revised (Zone AO, use base flood Date depth) 12086CO306L L 09/11/2009 09/11/2009 AE 10 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in item 139: ❑ FIS Profile ❑X FIRM [:]Community Determined [:]Other (Describe) 1311. Indicate elevation datum used for BFE in Item 139: X❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building locaed in a Costal 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 OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1298 N.E. 95 Street City State ZIP Code Company NAIC Number: Miami Shores FLORIDA 33138 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* X❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete items C2.a-h below according to the building diagram specified in item A7. IN Puerto Rico only, enter meters. Benchmark Utilized: GPS ELEV: 5.59' Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. • • • • CWck the %Wyfhment jVV0. a) Top of bottom floor (Including basement, crawlspace, or enclosure floor) 6 3b•. • : X❑ feet • "❑ meters • b) Top of the next highest floor 8 4e *: • • X❑ fee "O meters• • c) Bottom of the lowest horizontal structural member (V Zones only) N/A . W, , • • ❑ fget • •❑ meters• • • d) Attached Garage (top of slab) 6 52 ... X❑ foet• • T1 meteor.. e) Lowest elevation of machinery or equipment servicing the building 6 X❑ fe4t . Q metbf; • • (Describe type of equipment and location in Comments) • • • • • f) Lowest adjacent (finished) grade next to building (LAG) 6 l 0 feet meter •❑ 00 g) Highest adjacent (finished) grade next to building (HAG) 6 S0 • X❑ feel • •❑ meters • • h) Lowest adjacent grade at lowest elevation of deck or stairs including N/A • • • ❑ *et • • 0 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 17 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes X❑ No X❑ Check here if attachments. Certifier's Name License number JOSE ROCHE 5935 Title PROFESSIONAL SURVEYOR & MAPPER y a. 7'°y Company Name ME LAND SURVEYING SF °"'o 'dam Address 10665 SW 190th STREET SUITE 3110 City State ZIP Code MIAMI FL 33157 Signature Date Telephone 12/12/2018 • (305) 740-3319 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2)insurance agent/company, (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) LATITUDE LONGITUDE PER GOGGLE, ATTACHMENTS = BUILDING PICTURES C2E= AC UNIT DETACHED GARAGE: 6.52 200 SQ FT. This elevation certificate is for flood insurance rating purposes only and may not be used for building permitting purposes due to measurement precision issues. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1298 N.E. 95 Street 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 (WHOUT 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. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, ❑ feet ❑ meters ❑ above or ❑ below the HAG crawlspace, or enclosure) is b) Top of bottom floor (including basement, ❑ feet ❑ meters ❑ above or 0 below the LAG crawlspace, or enclosure) is • • • • • • • • E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (sed Daggs 8-9 (V iQ tiWions), ' the next higher floor (elevation C2.b ❑ feet ❑ meters 0 above or Q Below the itAd in the diagrams) of the building is • • • • .... E3. Attached garage (top of slab) is ❑ feet ❑ meters Q oopud or [0b8lb%0v the K6.Q. E4. Top of platform of machinery and/or equipment ❑ feet ❑ meters [] W1d or [o below the RA6 0 servicing the building is 0 • 00 0 • • * 0000 •••.•• E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accor4anc2 Aith the comryunity's .... floodplain management ordinance? El Yes ❑ No X❑ Unknown. The local official must certify this.inforrnation inWd ion 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, abd E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1298 N.E. 95 Street 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 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 communityAsped BFE) or Zone AO. . . .... ...• G3. ❑ The following information (Items G4-1310) is provided for community floodplain management purposes.: • • • • •..... ...• .... G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Complicance/t%cupanay Issued :.. • .... . . . . . .....• • ..•... . . •... 2. .. .• .. .. .... G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement ...... . . . .... G8. Elevation of as -built lowest floor (including basement) El feet ❑ meters Oattirr . • of the building: •. • .. • .... G9. BFE or (in Zone AO) depth of flooding at the building ❑ feet ❑ meters Datum site: G10. Community's design flood elevation ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1298 N.E. 95 Street 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 • •••• • ••••• • • • • • • • • • • • • • • • •• • • •• • Photo One Photo One Caption Photo Taken 12/11/2018 "Front View" i Photo Two Photo Two Caption Photo Taken 12/11/2018 "Rear View" FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1298 N.E.95 Street City State ZIP Code Company NAIC Number: Miami Shores FLORIDA 33138 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. AL •••••• • • ••••• F t a } k • • • • • • • Photo One Photo One Caption Photo Taken 12/11/2018 "Left View" 1 -� Photo Two Photo Two Caption Photo Taken 12/11/2018 "Right View" 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 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. Andrea Del Pilar Suarez and Yuri Humberto Morales A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1298 N.E. 95 Street City State ZIP Code Miami Shores FLORIDA 33138 A3. Property Description (Lot and Block numbers, Tax Parcel Number, Legal Description, etc.) 0 0 * 0 Legal Description is too long for this area, please contact surveyor for long legal description if needed. • • • • • • • • • • A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, Etc.) Residential • • • • • • • • ; • • • • • A5. Lattitude/Longitude: Lat. N 26°33'59.47 Long. W 81 °58'29.97 Horizontal Datum: Mb 1927 ® NAD 1083.. A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance "• • • •; • • ...... . . ..... A7. Building Diagram number 8 .. .. .. .. ..... A8. For a building with a crawlspace or enclosure(s): • a) Square footage of crawlspace or enclosure(s) 3053 Sq. Ft. • • • • • • • b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 14.:..' c) Total net area of flood openings in A8.b 1836 Sq. in. d) Engineered flood openings? ❑ Yes X❑ No A9. For a building with an attached garage: a) Square footage of attached garage 200 Sq. Ft. b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 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 120652 Miami -Dade County FLORIDA B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood elevation(s) Number Date Effective/Revised (Zone AO, use base flood Date depth) 12086CO306L L 09/11/2009 09/11/2009 AE 10 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in item 139: ❑ FIS Profile X❑ FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item 69: X❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building locaed in a Costal 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 OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1298 N.E. 95 Street City State ZIP Code Company NAIC Number: Miami Shores FLORIDA 33138 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction" X❑ Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete items C2.a-h below according to the building diagram specified in item A7. IN Puerto Rico only, enter meters. Benchmark Utilized: GPS ELEV: 5.59' 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;neasu►ement used. a) Top of bottom floor (Including basement, crawlspace, or enclosure floor) 6Q .: X❑ feet *❑ meters b) Top of the next highest floor 8 411 • • • X feet meters —� ..... c) Bottom of the lowest horizontal structural member (V Zones only) N/A "" ❑ Aet ❑ metb%" d) Attached Garage (top of slab) 6 X❑ fb;t - �E] me;IA e) Lowest elevation of machinery or equipment servicing the building 6 a - • • • X❑ feet • ❑ meters • (Describe type of equipment and location in Comments) • - • • f) Lowest adjacent (finished) grade next to building (LAG) 6 ;1 . - - X❑ fbet �] metgR - - g) Highest adjacent (finished) grade next to building (HAG) 6 0 X❑ fr'gt �.0 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 maybe punishable by fine or imprisonment under 17 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes X❑ No X❑ Check here if attachments. Certifier's Name License number JOSE ROCHE 5935 Title PROFESSIONAL SURVEYOR & MAPPER Company Name ME LAND SURVEYING FL I SS Address 10665 SW 190th STREET SUITE 3110 City State ZIP Code MIAMI X FL 33157 Signature Date Telephone 12/12/2018 (305) 740-3319 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2)insurance agent/company, (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) LATITUDE LONGITUDE PER GOGGLE, ATTACHMENTS = BUILDING PICTURES C2E= AC UNIT DETACHED GARAGE: 6.52 200 SQ FT. This elevation certificate is for flood insurance rating purposes only and may not be used for building permitting purposes due to measurement precision issues. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1298 N.E. 95 Street 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. Ell. 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, ❑ feet ❑ meters ❑ above or ❑ below the HAG crawlspace, or enclosure) is b) Top of bottom floor (including basement, ❑ feet ❑ meters ❑ above or ©btf w the LAG crawlspace, or enclosure) is .'. "" ""; E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 ( p pp9gs 8-9 Cf irgVctions1 ... the next higher floor (elevation C2.b ❑ feet ❑ meters B or ❑Wow the IJAG in the diagrams) of the building is ---- - :"" E3. Attached garage (top of slab) is Elfeet ❑ meters OvftlVe or below the MAV • p p machinery equipment feet meters •�•� or � the •���� E4. To of platform of machine and/ore ui ment ❑ �y2 jihj�nr F�Q�• servicing the building is - - - - - - - .' E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accortlance evith thI ggrptVnity's• • • • floodplain management ordinance? ❑ Yes ❑ No X❑ Unknown. The local official must certify thi$ infgfttion A 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, abd E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1298 N.E. 95 Street 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 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 commurityiss ued BFE) or Zone AO. •••• ••••• G3. ❑ The following information (Items G4-G10) is provided for community floodplain management purpo....ses .". `. ...... ..... G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Complicance4Qrcupanc)C Issued . ...... .... . ..... ...... . . ..... . . .. . ..... G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) ❑ feet ❑ meters �Datv;6- •... of the building: • .... G9. BFE or (in Zone AO) depth of flooding at the building ❑ feet ❑ meters Datum site: G10. Community's design flood elevation ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1298 N.E. 95 Street 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. iI r r ' r�. LE ,bFo- •••••• ! • r r • 1 2 Photo One Photo One Caption Photo Taken 12/11/2018 "Front View" K ■■ Photo Two Photo Two Caption Photo Taken 12/11/2018 "Rear View" FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1298 N.E. 95 Street City State ZIP Code Company NAIC Number: Miami Shores FLORIDA 33138 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. s •••... •••• .•••• .. ••.. . .•... • 4 � Photo One Photo One Caption Photo Taken 12/11/2018 "Left View" r Photo Two Photo Two Caption Photo Taken 12/11/2018 "Right View" FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 �Y. BUILDING PERMIT APPLICATION Miami Shores Village Building Department JU 10 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY:' _.. INSPECTION LINE PHONE NUMBER: (305) 762-4949 07 _ FBC 20liq Master Permit No. �'�_Q`�__ I G. t- Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [_]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I Z /y City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: — 7� b -y t t{• 2'ta3,0 Is the Building Historically Designated: Yes NO � a Occupancy Type: Load: Construction Type: Flood Zone: E BFE: �o►f FFE: EZ- -6(/ OWNER: Name (Fee Simple Titleholder): �,:,�1�. A►{ .�/1�F2_rY� Phone#: - 12L.e y Address: " "a9 City: Joe" �-Ait�� �c.aes, State: "fi— Zip: �'tS�� 2 q Tenant/Lessee Name: Phone#: �)Oy Email: 'X,n CONTRACTOR: Company Name: :�VJ A C_-,t2_ 1' • Phone#: ­310,5?r Address: l �� � cf- cIy City: L)_ L W1 State: CZ_ p: Zi � 1 Qualifier Name: A c.:t , E>,J +�C��- / Phone#: 3cs 1 67_q-- g State Certification or Registration #: Certificate of Competency #: 2 DESIGNER Arch itect/Enginee r:.�,�t>Aj. DC a > �1�E.tZCYZ[1vA- Phone#: 3p�5(��' • 2�`� Addre�s�: "[ �f �-� It `f City: Jet t State: n— Zip: 77l Value of Work f_or�this Permit: $ ��iP i ac_X:> • yo Square/Linear Footage of Work: ?ype' Work: �❑_Addition ❑ Alteration New Repair/Replace ❑ Demolition .'Description.61Work: A/6�W L'_7 Specifitdf& of color thru tile: Submittal Fee Scanning Fee $ Permit Fee $ CCF $_ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (zo , CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ _ (Revised02/24/2014) _ . Bonding Company's Name (if applicable) _ Bonding Company's Address City State Mortgage Lender's Name (if applicable) _ Mortgage Lender's Address City A/ State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. AA 1 i n I! Signature WNER or AGENT The foregoing instrument was acknowledge before me this in day of 20 t 64\ by �rl t k,2 who is personally known to me or who has produced IJf ',yZr S t C 61 as identification and who did take an oath. NOTARY PUBLIC: Print: i Seal: C.. Sign The foregoing instru a'" ' t � h day of 1 i xh eorw identific t Sign:_ Print: Seal: 216 CONTRACTOR was acknowledged before me this 20 I by VHF y- V who is per onally known to produced r lvtxr I CkWq as 1 `did take an oath. \X `\`-� • ••Y�':uFrO PUBLIC' �� 1 1A25,?off %R Git to o 16, RAPHAELA ST. AUDE '•�r11111H4111•' Notary Public - State of Florida Commission Aytomm. Expires Nov 30, 2020 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) MIAMI D E M miamidade.gov VERIFICATION FORM Water and Sewer PO Box 330316 Miami, Florida 33233-0316 786-268-5360 F 786-268-5150 DATE: I September 6, 2019 BLDG PROCESS #: M2019017580 VF# 19-2019W-VF - 936 INVOICE(S) #: N00069125 THIS FORM IS NOT VALID WITHOUT A PAID INVOICE AND EXPIRES ONE YEAR FROM THE DATE ON FORM PROJECT NAME: MORALES RESIDENCE PROJECT/AGREEMENT NUMBER: 2019W PROJECT DESCRIPTION: A NEW 4,543 SF PER PAPER PLANS REPLACING A 3,382 SF SFR (PER PTXA CARD) CCB #6057236872 FolioBlock ... 1132060144030 1298 NE 95 ST 33138 1&2 85 4,543 1 3,382 Connection Type Reason�for Connection Water New Construction Information No No I No I N/A THIS VERIFICATION LETTER CERTIFIES THAT AVAILABILITY OF A WATER AND/OR SEWER MAIN ONLY, AND IT DOES NOT GUARANTEE THE EXISTENCE OF A WATER SERVICE LINE, FIRE LINE OR OF A SEWER LATERAL WITH SUFFICIENT DEPTH TO SERVE THE PROPERTY. FOR ADDITIONAL INFORMATION EMAIL NEWBUSINESSSUPVLIST@MIAMIDADE.GOV. SHOULD IT BECOME NECESSARY TO INSTALL A SERVICE LINE AND/OR A SEWER LATERAL MDWASD REQUIRES THAT THE DEVELOPER RETAINS SERVICES FROM DESIGNERS AND CONTRACTORS WITH SKILL SETS FOR DESIGNING, BUILDING, AND CONNECTING TO PUBLIC WATER AND SEWER SYSTEMS. A WATER AND/OR SEWER AGREEMENT MAY BE REQUIRED. AN INSPECTION FOR ANY EXISTING SERVICES WILL BE PROCESSED WITH THIS FORM, AND A SERVICE UPGRADE MAY BE REQUIRED WHICH MAY TAKE UP TO 12 WEEKS. THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) 2 INCH WATER MAIN AND/OR DOES NOT HAVE A(N) INCH GRAVITY SEWER MAIN ABUTTING THE SUBJECT PROPERTY. Proposed Use Squii�_e'Fobtagek# Units Water Gallons Per Day Sewer Gallons Per Day SFR less than 3001 s ft 210 d/unit 1 210 0 Previous Use Square .. 3. D. 2018 - SFR less than 3001 s ft 210 gpd77777717 1 210 0 Water Service Areal Net Water GPD Sewer Service Area Net Sewer GPD Net Water Cost ($) , I , Net Sewer Cost ($) r Water Basin Charge ($)0 Sewer Basin Charge ($) Total Connection Charges ($) Total Construction ConnectionaCharges ($) (accrues interest daily) Construction Connection Charges Status WE ARE WILLING TO SERVE THE SUBJECT PROPERTY, SUBJECT TO PROHIBITIONS, OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF THE ANTICIPATED DAILY WATER AND/OR SEWAGE FLOW FOR THIS PROJECT WHICH WILL BE THE NUMBER OF GALLONS PER DAY INCREASE STATED ABOVE. IF "WILL HAVE", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF WATER AND/OR SEWER FACILITIES BY THE DEVELOPER UNDER AGREEMENT IF APPLICABLE WITH THE DEPARTMENT. FURTHERMORE, APPROVAL OF ALL SEWAGE FLOWS INTO THE DEPARTMENT'S SYSTEM MUST BE OBTAINED FROM D.E.R.M. SUBJECT TO RER'S TERMS AND CONDITIONS SET FORTH IN THE CONSENT DECREE (CASE NO. 1:12-CV-24400-FAM) OR DOH ONSITE SEWER TREATMENT & DISPOSAL SYSTEM RULES & STATUES. COMMENTS: Refunds are based on the date of payment and subject to State Statute 95-11. Some fees are not refundable. Only 5/8" meter for domestic service and no irrigation meter: N/A CUSTOMER NAME: JESSICA ACOSTA CUSTOMER PHONE: tt Barbara Reding Printed Name of Reviewer Attached the Comprehensive Plannln< Approved by: Armando Rodriguez Printed Name of Supervisor 1 and Water Supply Certification Letter Page 1 of 2 MIAMMDADE .f 'M ,777 miamidade.Sw .VOLVI auu PO Box 330316 Miami, Florida 33233-03,16 T 786-268-5360 F 786-268-5150 Water Supply Certification Number: WSC-2019W-VF - 936 Water Supply Certification Issued Date: September 6, 2019 Building Process Number:M2019017580 Agent/Representative: Owner: JESSICA ACOSTA Re: Adequate Water Supply Certification for the Project MORALES RESIDENCE, Number 19-2019W-VF - 936 The Miami -Dade Water and Sewer Department (Department) has received your request to receive water services to serve the following project which is more specifically described in the attached Agreement, Verification Form, or Ordinance Letter. Location Proposed Use Square Footage/ # Units Water Gallons Per Day Sewer Gallons Per Day SFR less than 3001 sqfQ210••• Previous Use Square Footage/ # Units Water Gallons Per Day Sewer Gallons Per Day .•. Totals The Department has evaluated your request pursuant to Policy CIE-5D and WS-2C in the County's Comprehensive Development Master Plan and Limiting Condition No. 5. of the South Florida Water Management District Water Use Permit Number 13-00017-W. Based on its review of all applicable information, the Department hereby certifies that adequate water supply is available to serve the above described project. This Adequate Water Supply Certification will expire if a building permit is not applied for within 365 days of the date of issuance of said certification. If an Agreement is executed for the proposed project, the certification will remain active with the terms of the Agreement until such time as the building permit is applied for. If a building permit is applied for in accordance with the aforementioned conditions, this certification will remain active with the building permit process. Furthermore, be advised that this adequate water supply certification does not constitute Department approval for the proposed project. Additional reviews and approval may be required from sections having jurisdiction over specific aspects of this project. Should you have any questions regarding this matter, please contact Maria A. Valdes, Chief, Planning and Water Certification Section, (786) 552-8198 or via email at mavald miamidade.gov. Sincerely, Barbara Reding New Business Representative Page 2 of 2 Water & Sewer Department New Business Office P.O. Box 330316 Miami, FL 33233-0316 Invoice Number Customer Number Invoice Date Business Process Number (X) Total Amount Due JESSICA ACOSTA 1298 NE 95 STREET MIAMI FL 33138 Note: WTR VF FEE FOR A NEW 4,543 SF SFR REPLACING A 3,382 SF SFR AT 1298 NE 95 ST, MIAMI, FLORIDA 33138.... FOLIO #1132060144030 PROCESS #M2019017580 VF #19-2019W-VF- ER Water ER Sewer Agreement ID nvoice N00069125 00028423 September 6, 2019 $120.00 Description J• Qty UOM Water Alloc Cert Initial 1 EA 90.00 90.00 0.00 90.00 VF Res (R-A) Water 1 EA 30.00 30.00 0.00 30.00 Total Standard Charges $120.00 Total Invoice $120.00 Printed on 9/6/2019 by E152949 at WESTOFFICE To pay online go to: http://www mlam'dade goy/water/construction-development-payments = Payment must be made within 72 hours of receipt of invoice. Refunds are based on the date of payment and subject to State Statute 95-11. Some fees are not refundable. Official Payments - Pay Taxes, Utility Bills, Tuition & More Online 11` Page 1 of 1 AL fill PPAYMENTS' Payment Verification Confirmation Number: 2490216384182 Payment Date: Friday, September 6, 2019 Payment Time: 08:56AM PT PrintGan$rtatten Payer Information First Name: JESSICA Last Name: ACOSTA Street Address: 815 SW RED ROAD Town/City: CORAL GABLES State: FL Zip Code: 33144 Country: United States Daytime Phone (305) 323 - 0588 Number: E-mail Address: JRAMOS02@BELLSOUTH.NET Invoice # N00069125 Customer # 00028423 Name: JESSICA ACOSTA Workstation: KSK Location: KKMPIC Invoice Amount: 120.00 Payment Option Payment Option: Visa Card Number:----9757 Payment Information Payment Entity: i-Dade Water & Sewer Department Payment TCt:$122D.40 Special Billing Kiosk Payments Payment A Convenien Total Paym If you would like to receive an e-mail of this confirmation, type in your e-mail address and click the "Submit" button. Note: Please enter only one e-mail address at a time. E-mail Address: PRIVACY POLICY ( Complaints I Legal Notices I Pay By Phone Tax Professionals I About Us I Working With Official Payments I Sitemap Copyright ® 2019 Official Payments Corporation. All Rights Reserved. Official Payments Corporation is licensed as a money transmitter by the New York State Department of Financial Services, the Georgia Department of Banking and Finance, and by all other states and territories, where required. NMLS #936777 ........................................................................ �' ,�5 icert TRUSTe rya11� ey r(�11 Verified Privacy r� Certified 1 �,.._........._Powned6y7rustAr... •� �• https://www.officialpayments.comlpc_template_Standard.j sp?body=pc_paym_details_body.... 9/6/2019 J.G.P. ENGINEERING GROUP P.A. Consulting Engineers i21-)1q 01/15V0 August 21, 2019 WASD Miami, Florida RE: Residence at 1298 NE 95" Street, Miami Shores, Fla. 33138 Dear WASD plans reviewer: The above project has a 5/8" water service meter. This meter is sufficient for the water service at this address. Sincerely, JGP Engineering Group, P.A. v k is 4 Cs : i r�•'.' �� Al Jose Principal"f#10,0l 11 � 3353 NW 79th Ave., Doral, Florida 33122 Tel: (305) 436-9292 / Fax: (305) 436-9272