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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_ ■11■■■►■! ■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 Alt. & 9 E E (/ o/v C T / r( c4--re 0-/ t /Z ewe / 1 a-ofr7 /i% t-t 9-v ;`76-S 6(- v6T 70 rS t fc - 7 c 0 /51 i C D 5 }72-e 70 / P, t iae - Z zy £( AA,I) �S E`er c 1-V e-k7 rot os God i 7 t- / ems se-(®%Y ,'4L / I li g(c -� �c� •� 7 /0 ' S i s c` i3.�cac INITIALS Miami Shores Village Building Department MECHANICAL CRITIQUE SHEET Permit No. RP 6_3-45 Job Name rovid9 ,,e4C "2-%_,' � roC 2JJ / 2 y ` /i / 9 7,f-; ll Arn1= () lnl e&o3 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 (1)e 7 oti -/Af) Cr i 7(Qv,r Sv-{-r7 r't'r TDB e A to'/r'7", el 1L 1 07. 6 i r ja GG« ` P r c � " a `Z roc '/T, ed e a/_ 9i la 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