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RC-20-240 ELEVATION CERTIFICATE131 MIAMI-DADE ( oUNTY AiA1.1fOA0E ], j. /06! G0 i7 F t MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 11E2-'310140050 1UNICIPAL NO.2018-007634 1'OB SITE ADDRESS 530 NE 107 ST PROPOSED USE STNGLEcFAM_RES-PBU10-47R0 LOT-TOAMD PL`�MIAMIN H NSHORES SECrd5 BATH �' 4 FLOORS _EGAL 36 �� 41 31 �� `� 1E0 SOFT 1 UNITS �PPL'ICATTON TYPE ADD ATTACHED JWNER NAME IVLIS DURAN MANTILLA CONTRACTOR QUALIFIER PERMIT TYPE MUNICIPAL BLDG." CATEGORIES 0.00E MUNICIPAL SUB -GENERAL BLDR DATE: 11 / 06 / 017 PROCESS NUMBER: M2018000461 NEW *AjrlOUNT PAID TOTALS DE:RM 0000000.00 *RSUR 0000000.00 *UBS' 0000000.00 *UPMU 0000000•' U RS 1 0000000. 00 DERM I UP FRONT FEE- UBS 1 1 BLDG 7. 5`+`• UPF URS1 1 RER 7.5% i_1PFR 10+11/2017 08:33 BNZWEBI 80.00 RSUR 1 RER 7.5% SUR 000000.00 1.88 UPMU 1 UPFRONT FEE F 25.00 6.00 18171011011E: TCPM939M WEBIPAS 115.88 U-S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency OMB No. 1660-0008 National Flood Insurance Program Expiration Date: November 30, 2018 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 Al. Building Owner's Name FOR INSURANCE COMPANY USE IVLIS DURAN MANTILLA & EDGARDO RENE DURAN Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box 07 Company NAIC Number: 530 NE 107 STREET City MIAMI SHORES State ZIP Code Florida 33138 .A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 9 & W1/2 OF LOT 8 BLOCK 109,AMD PL MIAMI SHORES SECTION FIVE ,P-B 10 P.G 47, FOLIO # 11-2231-014-0050 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 25°32'18.34" N Long. 80°22'24.74" W 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 insurancq. AT Building Diagram Number 8 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1,528 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above ad;ac,:, it (,rade c) Total net area of flood openings in A8.b 1,030 sq in 9 d) Engineered flood openings? ❑ Yes 0 No A9 For a building with an attached garage: a) Square footage of attached garage 288 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 4 c) Total net area of flood openings in A9.b 288 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 VILLAGE OF MIAMI SHORES 120652 B3. State MIAMI-DADE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) 89. Base Flood Elevation(s) Number Date Effective/ 12086C 0306 L Revised Date (Zone AO, use Base 09/11/2009 09/11/2009 Flood Depth) 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 B9: 0 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 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE See Instructions for Item A6. OMB No. 1 Expiration Date:ate: 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: 530 NE 107 STREET ``y 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. SPA i W t. Photo One Caption FRONT VIEW Ph,,, O�,,, T. 4 i I - I .r Photo Two Caption REAR VIEW Phase 7wa FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE Continuation Page 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: 530 NE 107 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." 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The expected use of land as classified in the minimum technical standards (5.177-FAC), is s) flood information shown hereon roes not imniy lnpl The subi9ct nroperty w,tl or will not be free from Suburban'. The Minlmuin retativa distance accuracy far the type of boundary survey is f foet in 7.500 flooding or damage and does not treat Iiab tit; . n It a p in c fir. i :)rempl )yea thereof, for any damage feet. The accuracy obtained by measurement and calculation of a ctosed geometric figure that occurs from reliance on said Information. this requirement. was found to exceed f) Lands depicted hereon were surveyed per legal description provided by client and no claims as to 1) Contact the appropriate authorities prior to any design work or excavation on the herein described ownership or matters of title are made or implied. parcel fo building, zoning Information and utilities location. \\+ ��m oho �i;1Aro ro roro�roromro roro rorororo000Z ZZ K. KK3r-M-n TTm m G T In -o 0 `� 3 .•+ Z ;� . 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