BP03-1503MARK
DISCRIPTION
SIZE (in)
AREA
(ft "
ZONE
POS. PRESSURE
(psf)
NEG. Pressure
(psf)
WIDTH
HEIGHT
SITE SPECIFIC
SITE SPECIFIC
A
SINGLE HUNG
37
76
19
5
55.1
-72.1
B
SINGLE HUNG
37
76
19
4
55.1
-59.9
C
CASEMENT
111
26
20
5
55.1
-72.1
D
CASEMENT
111
38.375
29
4
53.5
-58.3
E
CASEMENT
19.125
26
3
4
57.4
-62.3
F
CASEMENT
37
26
6
4
57.4
-62.3
G
CASEMENT
37
26
6
4
57.4
-62.3
H
CASEMENT
37
26
6
4
57.4
-62.3
K
CASEMENT
111
63
48
4
53.5
-58.3
L
CASEMENT
111
26
20
5
55.1
-72.1
M
CASEMENT
74
38.375
19
4
55.1
-59.9
N
CASEMENT
37
38.375
9
4
57.4
-62.3
0
CASEMENT
37
38.375
9
4
57.4
-62.3
P
CASEMENT
74
38.375
19
5
55.1
-72.1
Q
CASEMENT
74
38.375
19
5
55.1
-72.1
R
CASEMENT
74
38.375
19
4
55.1
-59.9
S
CASEMENT
74
38.375
19
5
55.1
-72.1
T
CASEMENT
37
38.375
9
4
57.4
-62.3
Donald W Shackelford P.E.
Structural Engineers and Planners #24803
7810 SW 66 St
Miami, FL 33143
Tele: (305) 271 -8040, Fax: (305) 273 -1210
JULY 29, 2003
DAVIDSON RESIDENCE
131 NE 110 STREET
MIAMI, FL
SITE SPECIFIC WIND LOAD CALCULATIONS
PER ASCE 7 -98
VELOCITY = 146MPH
WIND LOADS
WALL AREA
4
5
GCp ( +)
1.000
1.000
GCp ( -)
-1.100
-1.400
PRESSURE
(psf)
57.4
57.4
SUCTION
(psf)
-62.3
-76.9
DONALD W. SHACKELFORD, P.E.
7975 SUNSET DR. MIAMI, FL 33143 (305)271 -8040
Copyright 2000 by Tondelli Engineering, P.A. Tampa, Florida
CUSTOMER : DAVIDSON RESIDENCE
JOB NUMBER : 131 NE 110 STREET, MIAMI
DESCRIPTION : WINDOW PRESSURES
WIND VELOCITY = 146 MPH
EXPOSURE CATEGORY = C
BUILDING CATEGORY = 2
IMPORTANCE FACTOR = 1.00
Kzt = 1.00
ROOF SLOPE
TRIBUTARY AREA
MEAN ROOF HEIGHT
DISTANCE, Z
* ** DESIGN WIND LOADS - ASCE 7 -98 * **
* ** COMPONENTS AND CLADDING * **
= 3.00 : 12 (14.04 DEG)
= 10.0 FT2
= 19.0 FT
= 19.0 FT
Kh = 0.892
Kz = 0.892
4
b
DATE : 7/29/2003
qh = 48.7 PSF
qz = 48.7 PSF
P = gh[(GCp) - (GCpi)]
GCpi = ± 0.18
BUILDING WIDTH = 68.0 FT
CORNER DISTANCE, a = 6.8 FT
WIND LOADS
WALL AREA
4
5
GCp ( +)
0.951
0.951
GCp ( -)
-1.051
-1.302
PRESSURE
(psf)
55.1
55.1
SUCTION
(psf)
-59.9
-72.1
ROOF SLOPE
TRIBUTARY AREA
MEAN ROOF HEIGHT
DISTANCE, Z
DONALD W. SHACKELFORD, P.E.
7975 SUNSET DR. MIAMI, FL 33143 (305)271 -8040
Copyright 2000 by Tondelli Engineering, P.A. Tampa, Florida
CUSTOMER : DAVIDSON RESIDENCE
JOB NUMBER : 131 NE 110 STREET, MIAMI
DESCRIPTION : WINDOW PRESSURES
WIND VELOCITY = 146 MPH
EXPOSURE CATEGORY = C
BUILDING CATEGORY = 2
IMPORTANCE FACTOR = 1.00
Kzt = 1.00
* ** DESIGN WIND LOADS - ASCE 7 - 98 * **
* ** COMPONENTS AND CLADDING * **
= 3.00 : 12 (14.04 DEG)
= 19.0 FT2
= 19.0 FT
= 19.0 FT
a
Kh = 0.892
Kz = 0.892
4
DATE : 7/29/2003
qh = 48.7 PSF
qz = 48.7 PSF
P = qh[(GCp) - (GCpi)]
GCpi = ± 0.18
BUILDING WIDTH = 68.0 FT
b CORNER DISTANCE, a = 6.8 FT
WIND LOADS
WALL AREA
4
5
GCp ( +)
0.918
0.918
GCp ( -)
-1.018
-1.237
PRESSURE
(psf)
53.5
53.5
SUCTION
(psf)
-58.3
-69.0
r •
ROOF SLOPE
TRIBUTARY AREA
MEAN ROOF HEIGHT
DISTANCE, Z
DONALD W. SHACKELFORD, P.E.
7975 SUNSET DR. MIAMI, FL 33143 (305)271 -8040
Copyright 2000 by Tondelli Engineering, P.A. Tampa, Florida
CUSTOMER : DAVIDSON RESIDENCE
JOB NUMBER : 131 NE 110 STREET, MIAMI
DESCRIPTION : WINDOW PRESSURES
WIND VELOCITY = 146 MPH
EXPOSURE CATEGORY = C
BUILDING CATEGORY = 2
IMPORTANCE FACTOR = 1.00
Kzt = 1.00
* ** DESIGN WIND LOADS - ASCE 7 - 98 * **
* ** COMPONENTS AND CLADDING * **
= 3.00 : 12 (14.04 DEG)
29.0 FT2
= 19.0 FT
= 19.0 FT
a
Kh = 0.892
Kz = 0.892
4
b
DATE : 7/29/2003
qh = 48.7 PSF
qz = 48.7 PSF
P = qh[(GCp) - (GCpi)]
GCpi = ± 0.18
BUILDING WIDTH = 68.0 FT
CORNER DISTANCE, a = 6.8 FT
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER / TO RETAIN COPY)
Date �` Job Address L/ ,�� z 1 / f Tax Folio// // iV / �7 //
, 7, 4
Legal DescriptionP " L' 14 7 mg , , / Master Permit # 3`$9
Owner / Lessee / Tenant l 7; ,e/4
' 4
Owner's Address .�' 1 Yf,/S Phone
Contracting Co. 7r7 / f//—' Address / 1 - 1 - /1/X / ZJj /H' /eiD
Qualifier 1 / <i~ v/%' ) -ss# Phone
dotary as to Owner and /or Condo President
,y Commission Expires:
k * * * * *
State U Competency# S' /, �// Ins . Co .
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION 'tA/2/7 )6/5Y`'/
Square Ft. Estimated Cost /2i23
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
DO SO 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).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
?WNER'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.
Furthermore, I authorize the above - named contractor to do the work stated.
Signa 're of Owner and or ond• President Signature of Contractor or Owner Builder
Date: Date:
Notary as to Contractor or Owner- Builder
My Commission Expires:
Other 4
'ERMIT FEE: APPROVED: Fire
Zoning Building Electrical
Mechanical Plumbing Engineering
SURVEY FOR:
N
ADDRESS' 1 19
CITY: 14M
I
TYPE: ONE (1) STORY
TWO (2) STORY ❑
OTHER ❑
** SPECIAL INSTRUCTIONS **
ROOF TANK
Age 24" ?
Type Clearance
Flat Wattage
Shade Gals.
Leaks Access
Husband Wife
,QSSIM 1-
Shores
LOT: gz ± gt-/ BLOCK:
FOR OFFICE USE ONLY
NATIONWIDE - F
POWER -
CORPORATION
IC :I
,
SOLAR SURVEY and INSTALLER INFORMATION
COUNTY -bo
HOUSE DESCRIPTION
ROOF: ASPHALT SHINGLE ❑
TAR & GRAVEL ❑
TILE ❑
TANK LOCATION
EXISTING TANK LOCATED IN: GARAGE UTILITY ROOM ❑
WILL TANK BE RE- LOCATED? YES ❑ NO V
IF YES, HOW FAR FROM EXISTING TANK? FEET
RE- LOCATED TO WHAT AREA?
Inspector
r
STATF
CLOSET ❑
din e77
7s7- 9O
PHONE # OME
BAHAMA ❑
BARREL TILE ❑
OTHER ❑
clA
(NOTE: BE SURE TO INDICATE SOUTHERLY DIRECTION)
OTHER ❑
RE- LOCATION CHARGE.
WORK
ZIP'
fie&
IF TANK IS TO BE RE- LOCATED - INFORM CUSTOMER OF $
WHAT ELECTRICITY IS AVAILABLAT EXISTING OR NEW LOCATION?
220 VOLT OUTLET: YES NO 0 HOW MANY FEET FROM TANKS FEET
110 VOLT OUTLET: YES NO HOW MANY FEET FROM TANK? FEET
LEGAL DESCRIPTION �^
Li 9 SUB - DIVISION' a D Tt.s
Ward Lk)L
CORPORATE OFFICES: 1755 West Olive Street, Lakeland, Florida 33801 Rev. 09/15/83
83
METROPOLITAN- DADE COUNTY, FLORIDA
METRO OAOE
Equinox Solar, Inc.
3350 N.W. 60 Street
Miami, Fla. 33142.
ACCEPTANCE No.: 83 0422.2 (82)R
APPROVED June 13, 1983
EXPIRES. June 14. 1985
APPROVED:
PRODUCT CONTROL NOTICE OF ACCEPTANCE
and A.T. Bliss & Company
1300 S.W. 12 Avenue
Pompano Beach, Fla. 33060.
Your application for Product Approval of Solar Collectors EP46SCIH, EP48SCIH and
EP410SCIH under Sections 203 and 204 of the South Florida
Building Code governing the use of Alternate Materials and Types of Construction, and
completely described in. the plans, specifications and calculations as submitted by
H. Farooq, P.E.; Rnezevich, Farooq and Associates along with drawing #82 -32 and Reports
FSEC #812375 by Solar Energy Center and MTL 10679 by Miami Testing Laboratory
has been accepted by Product Control to be used is the Unincorporated areas of Dade
County under the Specific Conditions. set forth on Page 2 thru 2a
and the. Standard Conditions. on Page 3
BOARD OF RULES AND APPEALS NOTICE OF ACCEPTANCE
This application for Product Approval has been accepted by the Metropolitan Dade County
Board of Rules and Appeals to be used in the Incorporated and Unincorporated areas of
Dade County under the conditions set forth above.
-1-
BUILDING &ZONING DEPARTMENT
909 SOUTHEAST 1ST AVENUE
BRICKELL PLAZA BUILDING
MIAMI, FLORIDA 33131
(305) 579 -2612
Olson, P.E.
Product Control Supervisor
Metropolitan Dade County
Building & Zoning Department
2 /
�Thnmas M. Black, P.E.
Deputy Secretary
Metropolitan Dade County
Board of Rules & Appeals
CSM 0020
Equinox Solar, Inc /A.T. Bliss & Co.
NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS
1. This approval covers a solar heater system for the production of domestic hot
water comprising Model EP46SCIH, EP48SCIH and EP4l3SCIH collector panel and UL
NSF or other recognized agency approved hot water tank, filter, piping, sensors
and valves.
Energy output at intermediate temperature of 122 as recorded by Florida
Solar Energy Center is EP48SCIH - 22,300 BTU /day
EP48SCIH - 28,800 "
EP410SCIB - 35,400 "
2. All electrical work shall be in conformance with Chapter 45, Electrical
Section, of the South Florida Building Code and NFPA 70.
3. Single/Multiple collectors may be installed up to elevations of 35 ft. above
grade, using the following components:
Collector Panel Frame
Size: EP46SCIR
EP48SCIH
EP410SCIE
Frame constructed of 0.056" thick wall extruded aluminum channel with mitered
corners.
Unit glazed with 3/16" tempered pattern glass. A 0.019" thick embossed
aluminum sheet used as a back panel w /l" foil covered foam insulation
absorbent plate constructed of 8 5/8" o.d. copper tubes.
Connection of Collector Panel to the Roof of the Building
Mounting Brackets EP46SCIR
4
Number
•
(Enclosure Box)
46 %" x 76h" x 3 3/8"
46%" x 96 5/8" x 3 3/8"
- 46%" x 120%" x 3 3/8"
-2 -
EP48SCIR
4
ACCEPTANCE No.:
APPROVED
EXPIRED
EP410SCIR
6
6. This revises and supersedes Product Approval #83-0422.2 (82) dated February
14, 1983 to include A.T. Bliss & Company as distributor.
83- 0422.2 (82)
June 13, 1983
June 14, 1985
Size: 11" x l%" x 1/8" or 1 %" x 6" x 1/8"
Fasteners (per bracket) One 3/8" x 3" lag screw (for wood) or }" x 3k" wedge
anchor (for metal roof)
All roof penetrations must be through pitchpans
Incline mount frame constructed of 1 x 1k" x 1/8" angles.
4. Applications for solar heater permit must be accompanied by two duplicate sets
of the approved drawings along with plot plans showing the location of the
panels on the roof, and an isometric piping diagram of the actual installation.
5. All piping and connections to potable water shall be performed by a qualified
plumbing contractor, and all electrical work shall be by a qualified
electtical contractor.
Olson, ' P. E.
Product Control Supervisor
Metropolitan Dade County
Building & Zoning Department
FLORIDA SOLAR ENERGY CENTER AD4C-d.- 300 State Road 401. CapE CanavEral. Florida 32920. TElephone: (305) 783 -0300
Approved Solar Energy System 1 /7^nr
FSEC # S1172
The system listed below was evaluated by the Florida Solar Energy Center (FSEC) in accordance with the
Florida Standards Program for Solar Domestic Water and Pool Heating Systems (FSEC- GP -80 -7) and was
found to meet the minimum standards established by FSEC.
Description
Collector
Tank
® Direct
O Int. Heat Exch.
Pump
Controller
1X Differential Temperature
O Absolute Temperature
O rhermosiphon 3
O Other 4
Freeze protection by automatic recirculation and manual draindown during power failure.
Other
Major Components
in addition to above
Nationwide Power Corp.
1300 S.W. 12th Avenue
Pompano Beach, FL 33060
4
Model Capacity
1 Equinox (Mor -flo Ind.) EQ -82SS 8? gal.
2 (SSTA 82ES)
3 Rheem Mfg. Co. 668h -82 -1 82 gal.
4 Lochinvar Water Heater Corp. 80 gal.
FTA082 -K
3
4
Model
1 HI Square, Inc. 1503
2 Independent Energy C -30
1
2
3
4
December 1981
DISTRIBUTOR SYSTEM
EQ -82 -1
Model Units Total Rating
1 Equinox Solar, Inc FP410 1 29,900 Btu
2 Equinox Solar, Inc. EP408SC 1 ?7,500 Rtin
3
Model Power Draw Rated Power
1 March Mfg. Co. 809 20 watts 1 /100 H.P.
2
If further information is required you may contact the Florida Solar Energy Center at the above address.
I.Tank sensor
2.Electric element
3.Check valve
4.Gate valve
5.Drain valve
6.P&T valve
7.Air vent valve
8.collector sensor
9.Fr'eze sensor
I0.0Ifferential control
I I . Pump
10
161 4 I 5(.i A9Y I
ti.�iria
•u1 -�►i e:Soum�'A'• ° ? ' :'n..:''� - .l:t
Hot out I Cold in
CSM 2020
■
NPC 81113011A
4' X 10" COLLECTOR
m
D D O
5L211
® e
1. Solar Collector
2. Sensors
3. Air -Vent
4. Pressure -Temp Valve
5. Drain Valve
6. Gate Valve
7. Solar Water Tank
8. Circulating Pump
9. Controller
10. Check Valve
To 110 Outlet
'i`YPICAL
PIPING & WIRING DIAGRAM
I I
1 I
II
II
I I II
HOT
OUT
COLD
IN
• I,
Comments:
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
6 /0 d 1 \
to re- occupy the single family residence known as : (address)
q5)1 S+
Legal Description:
Lot: BIock PB & PG:
I hereby certify that I understand that the zoning. of the property is for single - family residential use
and that it is unlawful for more than one family to reside therein. I also understand that any
Certificate of Re= Occupancy that may be issued by Miarrii Shores Village, certifies only that.the
referenced property is being used for single - family purposes and that such Certificate does not
constitute any representation, warranty or certification as to the-condition of the dwelling or other
structures on such property.
Applicant e (Se in i /1/4-() V Date
Print Name
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact: 3 •
Contact Name: J �) I I Telephoner) p
P 1 3
, Miami Shores, Florida.
**** * * * * * * * * * * * * * * ** * * * * * * * *** 4. ***** * * * ** *
Buyer Seller Realtor k Company Name
•
Application Fee (S50) paid: Cash Check No.
, hereby apply for a certificate
Inspected by: Approved vi Denied Date
PAGE I OF 2
CER 1 OF RE
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been inspected for purposes of re- occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
property may be re- occupied by the above applicant for single - family residential .purposes.
PAGE2 OF2
MIAMI SHORES VILL • FLORIDA
Date of Certification:
THIS CERIFICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY IvIIA1tiII SHORES
VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY .
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE •
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLELY TO THE REQUIREMENT THAT. EACH
ONE - FAMILY DWELLING IS USED AND INTENDED TO BE •
USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTHER STRUCTURES ON THE
PREMISES DESCRIBED H REIN, OR ANY ASPECT OF SUCH
• CONDITION, AND INTERES I Ell PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DE I ERNILNE THE CONDITION,
THEREOF.
S//
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(P or F)
Test Location
Uplift Pull Test(p or F)
1
D d ,� jC
26
D �
51
76
2
r
27
i
52
77
3
28
53
78
4
29
54
79
5
30
55
80
6
31
56
81
7
32
57
82
8
33
58
83
9
34
59
84
10
35
60
85
11
36
61
86
12
37
62
87
13
38
63
88
14
39
64
89
15
40
65
90
16
41
•
66
91
17
42
67
92
18
43
68
93
19
44
69
94
20
45
..---- -
70
95
21
46
71
96
22
47
72
97
23
48
73
98
24
49
74
99
25
50
75
100
U.S. SOUTH
Engineering & Testing Lab., Inc. N2 4003
6065 N.W. 167th Street, Suite B -23 • Miami, Florida 33015
Telephone: (305) 558 -2588 • Fax: (305) 362 -4669
ON -SITE CONCENTRATED UPLIFT LOAD TESTING OF ROOF TILE IN
FULL ACCORDANCE WITH METRO -DADE BUILDING CODE COMPILANCE
PROTOCOL PA 106
SITE SPECIFIC INFORMATION
Owner's Name b'R u c E t J( S f7 �t Permit # 2 00 Z) 4 7/
Job Address 4 ' S � � � � � � $ � 0 •
Roofing Contkac or: (- ■-00 it 0-35
Type of Tile: - A. SET Date Installed: 0
Approximate Roof Height: -* feet Roof Pitch: 2 2 - ` I Z
Type of Access to Roof: Scaffolds ✓ Ladder Other
Approximate Square Footage of Roof ) i U 0 ft'
Required Testing F c : 35 lbs. Testing Equipment Chatillion100
Date Tested /0( q /pZ
IN ACCORDANCE WITH :TOE CRITERIA OF PROTOCOL PA 106, THIS ROOF ASSEMBLY HAS PASSED THE STATIC UPLIFT
QUALITY CONTROL 7$T.
THIS RED:3R r,S • IITTED BY:
•
Civil Engb.eer:
Lab Ceriitieaticn # 98- 0608.04
State of FL Certificate Authorization # 4100
TEST RESULTS
P = PASS, F = FAIL
SKETCH OF ROOF
JOB
itJ 9, 51 5 4o2s
SHEET NO
CONTRACTOR
CHECKED BY DA 1
l.
SCALE
� ' ■i■r
�n�. ■■ ■N■....■ - RiniallIMINAPS
NM smagermarlom -
Ii !III iini..
■ ■■1■r■
■ ■_■►■ ■ ■■
ra■►■■UI_
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■M■1VIEZIMIR+I■ ■■ ■1a►
T7■ ILUENKV.I`i■■■■ ■■■■
MEMIIIMIIIMMIIIIIIIMINIMMINI
eillEMONEMAINIUMINIENNIMEN
maim mu
4
3'
31.
"9
4
$` 3058239355 ED LANDERS, P, E,
November 21, 2003
Village of Miami Shores
Building and Zoning Department
10050 N 2"' Avenue
Miami Shores, Florida
Attn: Building Official
Re: A/C Work
Project: Davidson Residence
495 NE 91s Street
Miami Shores, Florida 33138
Dear Sir,
This letter is to advise that there will be
no modifications - tt
„ t w the viiisfirtig Air
Conditioning system under this permit.
Please call if we can provide any additional information.
Edward A. Landers, P.E.
11/21/03 13!50 P01
Edward A.
LANDERS, RE.
CONSULTING ENGINEERS
7TEM NW 146 ET(E T, 'iIiIT Srn r„,tv tl . a� 4i ,.. FL 33 r, ; 1 6 . . ; a
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER
Miami Shores / 120652
B2. COUNTY NAME
Miami -Dade
B3. STATE
Florida
B4. MAP AND PANEL
NUMBER
12025C0093
B5. SUFFIX
J
B6. FIRM INDEX
DATE
7 -17 -95
B7.:1RM PANEL
EFFECT'', /REVISED DATE
3 -02 -94
B8. FLOOD
ZONE(S)
X
B9. BASE FLOOD ELEVATION(S)
(Zone AO, use depth of flooding)
Not Available
BUILDING OWNER'S NAME
Davidson
CITY,
Miami Shores,
LATITUDE /LONGITUDE (OPTIONAL) HORIZONTAL DATUM:
( ##° - ##' - #4.#4" or ##.#4#44 ° )
!' FEMA Form 81 -31, January 2002'
1
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELLVATION CLi- ClIFICATE
Important: Read the instructions on pages 1 - 7.
SECTION A - PROPERTY OWNER INFORMATION
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO.
495 N.E. 91st Street
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
1 NAD 1927 I_I NAD 1983
O.M.B. No. 3067 -0077
r spires Deg ; !m per 31. 2005
153858
For Insurance Company Use:
Policy Number
Company NAIC Number
STATE ZIP CODE
Florida
BUILDING USE (e.g Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Residential
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
SOURCE: I_I GPS (Type):
I —I USGS Quad Map I_I Other
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
—I FIS Profile I xi FIRM I Community Determined I — I Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: f< I NGVD 1929 I I NAVD 1988 I_I Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBF.S) area or Otherwise Protected Area (OPA)? I I Yes IXI No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: I'Construction Drawings' I_IBuilding Under Construction' Finished Construction
*A new Elevation Certificate ill be required when construction of the building is complete.
C2. Building Diagram Number ((Select the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7. If no diagram accurately represents the building, p ',vide a sketch or photograph.)
C3. Elevations — Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V y.vith BFE), AR, AR /A, AR /AE, AR /A1 -A30, AR /AH, AR /AO
Complete Items C3.a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from
the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion.
Datum NGVD2 9 Conversion / / Comment ONE
Elevation reference mark used i, fPe:3 ,i Does the elevation reference mark used appear on the FIRM? I_I Yes k_I No
O a) Top of bottom floor (including basemen n losure) I) .190 ft.(yi
❑ b) Top of next higher floor t j fe_fi ft•(tx() a
O c) Bottom of lowest horizontal structural member (V zones only) 44 . ft.(m) o 0
O (i) Attached garage (top or slab) . ft.(y) )
O e) Lowest elevation of machinery and /or equipment W
ai
servicing the building (Describe in a Comments area.) Alf- 6 .1 ft.(r
E co
❑ f) Lowest adjacent (finished) grade (LAG) ft.(pf) z' ch
O g) Highest adjacent (finished) grade (HAG) 13 ft.( 1,'
O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade /
O i) Total area of all permanent openings (flood vents) in C3.h --- in. (sq. me ) - �° (cc k/°
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 in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME r 7/4'1 , Q LCENSE NUMBER ssi
TITLE COMPANY NAME
SURVE OR & MAP ER LANNES AND GARCIA INC.
ADDRESS CITY STATE ZIP CODE
359 Alcazar Avenue, Coral Gables, Florida 33134
SIGNATURE - -- DATE I I D� (305)666
See reverse side for continuation. Replaces all previous editions
M
Shores.
Fl r'ri (9.
For Insurance Company Use:
Policy Number
Company NAIC Number
IMPORTANT: In these spaces, copy the corresponding information from Section A.
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO.
495 N.E. 91st Street
CITY STATE ZIP CODE
iami
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
COMMENTS
SIGNATURE
COMMENTS
SIGNATURE
COMMENTS
J
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items El. through E5. If the Elevation Certificate is intended for use as supporting
information for a LOMA or LOMR -F, Section C must be completed.
El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed -
see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is I_I_I ft. (m) I_1_1 in. (cm) I I above or I_I below
(check one) the highest adjacent grade. (Use natural grade, if available.)
E. For Buiiiino ::iagrams .
C- 3th r5 _ 'ye ), t `l',ghe; fit. elevated floor (eie`.'ation b) of the di
ft. (m) I•n ! (cm) above the highest cd" cc ^dc. v 5 h I ly is
• t r I_I_ � • (cm) - ,.-.. : yr Cor;�plctc !toms C3.h and C3.i or, fret of form.
E4. The top of the platform of machinery and /or equipment servicing the building is I_I_I ft. (m) II I in. (cm) I_I above or IJ below
(check one) the highest adjacent grade. (Use natural grade, if available.)
E5. For 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? I Yes I I No I_I 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, C (Items C3.h and C3.i only), 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, C, and E are correct to
'he best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
G4. PERMIT NUMBER
LOCAL OFFICIAL'S NAME
COMMUNITY NAME
FEMA Form 81 -31, January 2003
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
CITY
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
G7. This permit has been issued for: II New Construction I_I Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building is:
G9. BFE or (in Zone AO) depth of flooding at the building site is:
TITLE
TELEPHONE
DATE
STATE ZIP CODE
•
DATE TELEPHONE
I_ I Check here if attachments
—I Check here if attachments
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.
G1. I_I The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2. I_I 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. I_I The following information (Items G4 -G9) is,provided for community floodplain management purposes.
G5. DATE PERMIT ISSUED
G6. DATE CERTIFICATE OF COMPLIANCE /OCCUPANCY
ISSUED
ft. (m) Datum:
ft. (m) Datum:
J _I Check here It attdh i ,ents
Replaces all previous editions
•
n6 c 4-71rD
continue the permitting process.
Signature
BUILDING AND ZONING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES, FLORIDA 33138 -2382
TELEPHONE (305) 795 -2204
FAX (305) 756-8972
RECEIPT
icked up 2 sets of plans for
(address) 1 � " 1/4 Y.AY " from the Building and Zoning Department on (date)
6 ( — )-c5 o • to have corrections done to plans and/or get County stamps. I
understand that the plans need to be brought back to Miami Shores Building and Zoning to
'STATE OF FLORIDA)
COUNTY OF DADE) I � �� The undeied Aan' / �- � 4/%,� 'rdoes hereby attest that the
(property owner) Y
attached survey, performed by La n n e s a n q G G rc i a, T ti c
(name of surveyor's company)
performed on 7-30.2002; is an accurate representation of the existing conditions and
(date of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
•
Affiant/Property owner
Witness(sign and print) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this I.CO day of5e..F 2008
Affiant is personally known to me, produced ac., (. _ as identification.
YP Mabel Vargas
: Commission #DD2331984
o� Expires: Jul 13, 2007
;''oFF��?•: Bonded Thru
Atlantic Bonding Co., Inc.
•
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO.P - /. O 3 TAX FOLIO NO." 3 ,)0( / is
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: t 4 £O1 a 3...) f /"( i a P8 /o'3 j
2. Description of improvement: 3 1 )1 re n e eel in
3. Owner(s) name and address: rt4Ce. Lcturi Q lc Gov\
't s NF. 1 61- &t. r kIawv% Sl,o�es 1L 33■32
Interest in property: 100 J
Name and address of fee simple titleholder: f24Ce Y Cctu ✓i Q t/ i CeSOy
111111111111 IIIII 1111111111(liii 11111 I1II 1111
CFN 2004..Rrr017954-
OR Bk 21960 Ps 3597; (1Ps)
RECORDED 01/08/2004 1434 :34
HARVEY RUVIN, r_.L*ERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
LAST PAGE
4. Contractor's name and address: /nil-7 CCAJS7'7 (JC.77Ua/
/ol `F D b✓ ti 4 /A fvf, , . �7y+ti / C 3 3 e
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address: Y1 A.
v1
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
Miami Shores Village
Building Department
BUILDING CRITIQUE SHEET
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel:'(305) 7952204
Fax: (305) 756.8972
Permit No: �� 5b
Job Name
5\a3
r A-1(-efil dwrteN 60AAL/iii-5 �L�3 f37
as3 -� 57 —
PERMIT NO. • .
ADDRESS: "
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT'
SECTION
BY
DATE
ZONING
-- -,
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to compliance with an Federal, State.
County,Y� cage rotes and regulations. Wtage names
no responsibility for accuracy otlor resutts trout
or
2. This copy of pins meat be available on
buffeting site or no Inspection Mil be conducted.
JOB ADDRESS
APPLICANT ,91 i 0 SDJ
DATE
/)/24
CRITIQUE SHEET
ff; 'llc 9/ ST
PHONE tt
APPUCATlON �= - " 0 0 /2OU4/U
SHEET OF
MISCELLANEOUS
ZONIN6
COMMENTS
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INITIALS
Miami Shores Village
Building Department
MECHANICAL CRITIQUE SHEET
Permit No. RP 6_3-45
Job Name
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10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
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Miami Shores Village
Building Department
g/e,c7
RITIQUE SHEET
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel:1305) 7952204
Fax: (305) 756.8972
Permit
:•Job'Name • PiP d 4 P3 6 '/ (; '
C