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185 NE 100 St (13)46117.- NOV 2 1 2005 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 11116105 Type Insp'n Slab ^� Permit No. "02a1.5- l(q r Name FieridU i cI Ne aY) Address 1 y5 �E MO Sr �b Company ¢T bUticJ )S I c- Phone # ?YZ/ 336 - /46 Inspection Date / i, /OS Approved Correction ❑ Re-Insp'n Fee ❑ 42. OCT 3 20 o5 MIAMI SHOR VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 1 Type Insp'na2 IOC' Permit No. l &PGS Name Address 1 P)5 PE CO 4- Company�� ►-Y Phone # Inspection Date Approved Correction Re-Insp'n Fee October 10, 2005 Fred Newman and Sharon Grosshart RE: Foundation Revision 185 NE 100th Street Miami Shores, FL 33138 To Whom It May Concern: Catherine Spinnenweber- Salow, Architect Salow Arch tects+ AR- 00002389 (305) 981 -1035 * (305) 981 -1037 (fax) * P.O.Box 530671 * Miami Shores, FL 33153 * SalowArch2 @aol.com * #AA0002389 This letter serves to certify that the revision to the structural design of the footings located at 185 NE 100 Street, Miami Shores, Florida shall be as follows: Only where there is an existing footing of 12" x 20" w/ 2 #5 bars shall the existing design of the specified 12" x 24" w/3 #5 bars be revised. In such cases, the existing footing shall remain. Provide #5 x 30" long rebar doweled into footing minimum 6" and epoxy grout into footing @ all vertical steel reinforcing (filled cells and tie columns). Where there is no existing foundation, or a different size footing than described above, the design remains unchanged. BUILDING PERMIT APPLICATION t,uf FBC 2001 Contractor's Company Name Type of Work: Describe Work: Code Enforcement $ Total Fee Now Due $ (Continued on opposite side) Miami Shores Village 1\dci s Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Plumbing �/� Mechanical Roofing • Owner's Name (Fee Simple Titleholder) 1�'�' �1' ! G K L , N J �rte'�` 3� ' 7C7 /0?„? Owner's Address / R � E J '7 , State f L Zi p 23/3R City /// S/ gVeS Tenant/Lessee Name Phone # Job Address (where the work is being done) l .8"C //L /sid City Miami Shores Village County Miami -Dade Zip _2312 r Is Building Historically Designated YES NO &(, 73-2. /tit&7 Contractor's Address City l 4wiI Ld I}- ►'jceevt, State FL Zip 3305'd Qualifier feD LLa s IPI State Certificate or Registration No. CCj L /S0 7SAy Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 37' ZS- dr.° Square Footage Of Work: ' 2ia i ❑Addition [Alteration [New 2 er►t 0 t 1 --6- 1444,1 a •6°I Certificate of Competency No. CAL 2153 13 Onl , tom ** * ** * ** ** * * * / ** * * * * ** F ees * ** * * * * * * ** * * *** ** * * ** ** ** * * ** Submittal Fee $ 391 CO Permit Fee $ (� /LL9. �� CCF $ Notary $ Scanning $ Radon $ Zoning Bond $ BOO Training/Education Fee $ Technology Fee $ Structural Plan Review. $ • () Cot tlrAc1'eca Phone # C 3 S 4 3 - 0(5'4 0 X 7 7 Permit No. ,e - i=1=7--b Master Permit No. +may ❑ Repair /Replace ❑ Demolition 6 ' em 3' ,eg CO/CC OA)ne pc5 1-d rind L c.bC 44 2 1 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 app and a reinspection fee will be charged Signature The foregoing instrum day of A- Li who is personall NOT Sign: Print: My Com ssion Expires: APPLICATION APPROVED BY: Owner or Agent * * * * * * ** * * * * * * * * * * * * * * * * * * * ** chc 05/13/03 as acknowledged before me this I 2. The foregoing instrument was acknowledged before me this 12 UC K 7 of Art- , 20 C, by 20 1 1 'e JO 1P to me or who has produced L o me or who has produced 1 0 • who is personally identification and who did take an oath. Nab- Tarps ion''JD23I984 3, 2007 Co Inc. OF FL . thntir 13 * * * * * * * * ** NOTARY PUB Sign: Print: Zip My Cap mission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * ** Contractor • identification and who did take an. oath. _ � _ . t ,� tr ****************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 140 kail. Plans Examiner Engineer Zoning ru Ming Co Inc. * * * * * * * * ** ACCOUNT , i QD PAYMENT 30. 00 BAL. DUE 0 DATE 8/ 12 /c)5 RECEIVED FROM Z< e E i Id d Q F09 RENT 5T 1 l/ C i lJ fa I Plan i C U) R No. 050053 $50 .0 OCASH �``-YInI i 6PDG- I ) ) II FROM TO GerECK cJ 5806 O MONEY B Y ORDER • DOLLARS ' 1182 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 9/30/2005 Applicant: FREDERICK Owner: NEWMAN JOB ADDRESS: 185 Contractor Local Phone: Parcel # 1132060132070 NE 100 Signed: (Contractor or Builder) Building Permit Permit Number: BP2005 -1197 NEWMAN FREDERICK ST Contractor's Address: Legal Description: MIAMI SHORES SEC 1AMD PB 10 - 70 E1/2 LOT 21 & ALL LOT 22 BLK 15 LOT SIZE 75 Fees: FEE2005 -11269 FEE2005 -12977 FEE2005 -12978 FEE2005 -12979 FEE2005 -12980 FEE2005 -12981 FEE2005 -12983 FEE2005 -12984 FEE2005 -12985 Description Structural Fee Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Builders Bond Submittal Fee Total Fees: Amount $50.00 $1,149.75 $23.40 $5.00 $7.80 $28.74 $21.00 $300.00 ($350.00) $1,235.69 Total Fees$1,235.69 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 2/8/2006 Construction Value: $38,325.00 Work: REMOVING AMD REPLACING EXTERIOR WALLS AND INTERIOR REMODELING Signed: (INSPECTOR) 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 responisibility for all work done by either myself, my agent, servants or employes. BY: Page 1 of 1 SEP 3 0 PAID 111111111111111111111111111111111111111111111 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITEAT TIME OF FIRST INSPECTION TAX FOLIO NO// 32 - OC - ��1"/g // - -D G- a/3 - .2a7o PERMIT NO. STATE OF FLORIDA: COUNTY OF MIAMI -DARE: THE UNDERSIGNED neredy gives notice that improvements will De made to certain real property. and in accordance with Chapter 713, Florida Statutes, the followina information is provided in this Notice of Commencement. 1. Legal descpption of property and street/a dress: / Ai Lof 1313 V' ' .r 2. Description of improvement: fiO/YYI 3. Owner(s) name and address: 11^eoC < L. illy J1vt aw l gc W K — Sd`r�Pif /17x4 sl� c 3 /3tf /a.9 s 4. Contractor's name and address: different dat oecifi Notary F•uoii, INDtary Ivly comM:ss Narn= n e>; D!re Interest in property: Name and address of fee simple titleholder: zeidk - r diu . 1_-r ∎44) A fts * s 33 oS14 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: /v • N Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1 (a)7., Florida Statutes, =? Name and address: Zv d Signature of Owner Print Owner's Name Sworn to anc su• crb d before me tnis ! aav o 2(01 Prepared G 2C) R09985SO OR 8k 23802 Ps 4380; (1139) RECORDED 09/23/2005 09:22:34 HARVEY RUVIH, CLERK. OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE /8732 /vs.) 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: /1/.4 Z 3 c r 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a Dv // oivt Atlantic Rond►n Acoress: /gc 7E /co r/ /0I ►►' 5616u ` / L- 33 / Lou, LQU\ 0 B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX 86. FIRM INDEX DATE EFFECTIVE/REVISED DATE 88. FLOOD ZONE(S) (Zone A0, use depth of flooding) 0093 J 01/20/93 03/02/94 X N /A/ BUILDING OWNER'S NAME Fred Newman I tMtKlitNUY MANALitMtN 1 AlitNUT NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO. 185 NE 100 St CITY Miami Shores SECTION A - PROPERTY OWNER INFORMATION PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 21 and Lot 22, Block 15, Plat Book 10, Page 70 BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) ( ###° - ##' - ##.##" or ##.#44/44°) HORIZONTAL DATUM: ❑ NAD 1927 ❑ NAD 1983 STATE ZIP CODE FL 33138 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION O.M.B. No. 3067 -0077 Expires December 31, 2005 'For tnsur'anoe Company Use: Policy Number 'Company NAIC Number SOURCE: ID GPS (Type): El USGS Quad Map ID Other: B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER Florida #120652 82. COUNTY NAME Miami -Dade 83. STATE FL u 1 u . Indicate the source of the Base Flood Elevation (BFE) data or b ase flood depth entered in B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will 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, provide a sketch or photograph.) C3. Elevations — Zones A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/A0 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 N.G.V.D. 29 Conversion /Comments N.A. Elevation reference mark used N.G.V.D. Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (induding basement or endosure) 10. 7 ft.(m) O b) Top of next higher floor 11 , O ft.(m) o c) Bottom of lowest horizontal structural member (V zones only) N/A . _ft.(m) o O d) Attached garage (top of slab) N /A. _ft.(m) o e) Lowest elevation of machinery and/or equipment w servidng the building (Describe in a Comments area) 12.2 ft.(m) o f) Lowest adjacent (finished) grade (LAG) 10.1 ft.(m) z o g) Highest adjacent (finished) grade (HAG) 10. 9 ft.(m) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A o i) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cm) 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 John Liptak LICENSE NUMBER 5664 TITLE Professional Surveyor & Mapper ADDRESS 8609 NW 6 SIGNATUR FEMA For , January 2003 COMPANY NAME Triangle Surveying & Mapping, Inc. CITY STATE Miami FL DATE TELEPHONE 09/14/05 305 - 597 -9701 A kviefzee.--) SGG 9// 5 — ZIP CODE 33166 See reverse side for continuation. Replaces all previous editions 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. 185 NE 100 St CITY STATE ZIP CODE Miami Shores FL 33138 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS Elevations are referred to N.G.V.D. 1929 adjustments based on Miami -Dade County benchmark #N444, located at NE 98th St and N Miami Ave. Elevation of 10.79 ft. N.G.V.D. 29 PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME ADDRESS SIGNATURE COMMENTS CITY DATE TELEPHONE Policy Number Campariy NAIC Number For Insurance Company Use: hot water heater in utility room 18 inches above floor ❑ Check here if attachments 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 E4. 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 (induding basement or enclosure) of the building is 10 ft.(m) 68in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is 11 ft.(m) 03 in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and /or equipment servicing the building is _ ft.(m) _in.(cm) ❑ above or ❑ 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? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The properly 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 the best of my knowledge. STATE ZIP CODE ❑ Check here if attachments 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. G1. ❑ 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. ❑ A community official completed Section E for a building located in Zone A (without a FEMA - issued or community- issued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE /OCCUPANCY ISSUED G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS FEMA Form 81 -31, January 2003 TITLE TELEPHONE DATE _ft.(m) . ft.(m) Datum: Datum: ❑ Check here if attachments Reolaces all previous editions Ci - • .,./& BUILDING OWNER'S NAME Fred Newman CITY Miami Shores 81. NFIP COMMUNITY NAME & COMMUNITY NUMBER Florida #120652 TITLE Professional Surveyor & Mapper ADDRESS 8609 NW 6 m reet FEMA For , January 2003 t tUttXAL tMtIltitNL;Y MANAIUtMtN 1 AlitNUY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE 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. 185 NE 100 St STATE FL PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 21 and Lot 22, Block 15, Plat Book 10, Page 70 BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##O -## -#4.#4" or ##.#$##/#° ❑ NAD 1927 ❑ NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B2. COUNTY NAME Miami -Dade B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* *A new Elevation Certificate will 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, provide a sketch or photograph.) C3. Elevations — Zones A1-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 C3. -aa 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 N.G.V.D. 29 Conversion /Comments N.A. Elevation reference marts used N.G.V.D. Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (induding basement or endosure) o b) Top of next higher floor o c) Bottom of lowest horizontal structural member (V zones only) o d) Attached garage (top of slab) o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) 12.2 ft.(m) o f) Lowest adjacent (finished) grade (LAG) 10.1 ft.(m) o g) Highest adjacent (finished) grade (HAG) 10. 9 ft.(m) 10. 7 ft.(m) 11 .0 ft.(m) N/A . _ft.(m) N /A. _ft.(m) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A o i) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cm) 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 John Liptak LICENSE NUMBER 5664 SIGNATUR / DATE COMPANY NAME Triangle Surveying & Mapping, Inc. CITY Miami 09/14/05 ZIP CODE 33138 Finished Construction STATE FL O.M.B. No. 3067 -0077 Expires December 31, 2005 83. STATE FL TELEPHONE 305 - 597 -9701 For.lnsurance Company User Policy Numbe_ ,:.'." orr pang +NAIC Numbed ❑ USGS Quad Map ❑ Other: 3 ft. 04/0 5 ZIP CODE 33166 See reverse side for continuation. Replaces all previous editions B4. MAP AND PANEL NUMBER 0093 B5. SUFFIX J B6. FIRM INDEX DATE 01/20193 B7. FIRM PANEL EFFECTIVE/REVISED DATE 03/02/34 B8. FLOOD ZONE(S) X B9. BASE FLOOD ELEVATION(S) (Zone AO, use depth of flooding) N/A/ Ci - • .,./& BUILDING OWNER'S NAME Fred Newman CITY Miami Shores 81. NFIP COMMUNITY NAME & COMMUNITY NUMBER Florida #120652 TITLE Professional Surveyor & Mapper ADDRESS 8609 NW 6 m reet FEMA For , January 2003 t tUttXAL tMtIltitNL;Y MANAIUtMtN 1 AlitNUY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE 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. 185 NE 100 St STATE FL PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 21 and Lot 22, Block 15, Plat Book 10, Page 70 BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##O -## -#4.#4" or ##.#$##/#° ❑ NAD 1927 ❑ NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B2. COUNTY NAME Miami -Dade B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* *A new Elevation Certificate will 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, provide a sketch or photograph.) C3. Elevations — Zones A1-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 C3. -aa 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 N.G.V.D. 29 Conversion /Comments N.A. Elevation reference marts used N.G.V.D. Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (induding basement or endosure) o b) Top of next higher floor o c) Bottom of lowest horizontal structural member (V zones only) o d) Attached garage (top of slab) o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) 12.2 ft.(m) o f) Lowest adjacent (finished) grade (LAG) 10.1 ft.(m) o g) Highest adjacent (finished) grade (HAG) 10. 9 ft.(m) 10. 7 ft.(m) 11 .0 ft.(m) N/A . _ft.(m) N /A. _ft.(m) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A o i) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cm) 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 John Liptak LICENSE NUMBER 5664 SIGNATUR / DATE COMPANY NAME Triangle Surveying & Mapping, Inc. CITY Miami 09/14/05 ZIP CODE 33138 Finished Construction STATE FL O.M.B. No. 3067 -0077 Expires December 31, 2005 83. STATE FL TELEPHONE 305 - 597 -9701 For.lnsurance Company User Policy Numbe_ ,:.'." orr pang +NAIC Numbed ❑ USGS Quad Map ❑ Other: 3 ft. 04/0 5 ZIP CODE 33166 See reverse side for continuation. Replaces all previous editions 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. 185 NE 100 St CITY STATE ZIP CODE Miami Shores FL 33138 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS Elevations are referred to N.G.V.D. 1929 adjustments based on Miami -Dade County benchmark #N444, located at NE 98th St and N Miami Ave. Elevation of 10.79 ft. N.G.V.D. 29 hot water heater in utility room 18 inches above floor ❑ Check here if attachments 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 E4. 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 10 ft.(m) 68in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is 11 ft.(m) 03 in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and /or equipment servicing the building is _ ft.(m) _in.(cm) ❑ above or ❑ 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? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners 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 the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS SIGNATURE COMMENTS CITY DATE TELEPHONE SECTION G - COMMUNITY INFORMATION (OPTIONAL) For Insurance Company Use::, Folicy, Number _;; Company,NAICNumber STATE ZIP CODE ❑ 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. 01. ❑ 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. ❑ A community official completed Section E for a building located in Zone A (without a FEMA - issued or community- issued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE /OCCUPANCY ISSUED G7, This permit has been issued for: ❑ New Construction ❑ Substantial Improvement 08. 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: LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS FEMA Form 81 -31, January 2003 TITLE TELEPHONE DATE _ft.(m) _ ft.(m) Datum: Datum: ❑ Check here if attachments Replaces all previous editions JOB ADDRESS APPLICANT lb A / 6 . 7 0 3 , 7 . PHONE # APPUCATION /0'04 7/40A- DATE BUM CRITIQUE SHEET SHEET ' OF COMMENTS INITIALS 110)--/05 0 r v e e f t u iR l r oA e e r' etR e 6 „,e to-5,4 , 6 4 5 4),Pi i1/ - -s q 4vr/e 1 c i uk2 ep+ 15 1200 �— Miami Shores Village Building Department MECHANICAL CRITIQUE SHEET 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. (l 4 Job Name Date 1/Dt Pw,otitti,e e "nco‹ncp acvk Gootme Ut OX,3 t t ivi ( o-\ ipte N c&ivt pLe Cc 14U 12A.J DE C- 6.0 305 -1i , - 2204 e xi 430 !viiaml mores v lllage Building Department Permit No. Job Name BUILDING CRITIQUE SHEET S eal (l 1-00-TAI e . I. s'rt A3 t-ou .se 1. t cci C7 ?2. , A N d L- 12 odu QA'CE boo _ . S 10050 N.E.2nd Avenue Miami Shores Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 05 -l(v? N 4n AJ.) C Z ° tjO5 w m e.Ttk oc{ of A1 AC tit mQ - 1" - Co o 5 Wct a€ . eI2OULQ ft- GOtNct& D `i Do 0,2 sc k2cIuI -e . S mow w (2,n0 e N “ A S (z © A) LA.; ctS Paou aid O oo v2 toot v- er)- t t s N flasost)(12cooizte... A- -r,,Arc l >neA 4' t,J Pe-Ge,2t ruyol- u A it U ► ,c.Q /At 1 . 3 . i . LV '3 -1 t A- t- D 1 4 tr}oc ( s .a(A) Ooo -a - c - o be A-s AN Faeoct+ swiN 000/2_, P208vc. - A e( sU1lnrt C F}rLe #: (2- QLurrr!A'Urt CIA cl (.Ooo cJ 0 o a_ . ( & C o Y2 O Q C, %Pn o ooa P-v 2Ov 4(,s ^N d eco OtYr 7itZoU i Ao ' - C4 4-t p Ps-r240:6 H CH �2 "� Gv��.�- A.ce fir# l I �� /3-If-SS-VAC) x G_ . • .. • • • s Lg$, ••• •• 2 7Q O • • ••'• 1 . ,' ••• ,• 01 • • ▪ • ��� 0 3 Edward A.'• ' • • '• i 8 LANDERS, PRE, • . • • . (3QA51,823;3938 CONSULTING ENGINEtrn • • • • • • ••• •• •• • • • • ••• • •• • • • .•. • • c4' M/) ) i r WIND LOADS WALL AREA 4 5 GCp (+) 1.000 1.000 GCp ( -) -1.100 -1.400 PRESSURE (psf) 54.7 54.7 SUCTION (psf) -59.3 -73.2 EDWARD A. LANDERS, P.E. 7850 NW 146TH ST. #509 MIAMI LAKES, FL 33016 (305)823 -3938 Copyright 2000 by Tondelli Engineering, P.A. Tampa, Florida CUSTOMER : NEWMAN RESIDENCE JOB NUMBER : 185 NE 100TH STREET, MIAMI SHORES, FLORIDA DESCRIPTION : WIND PRESSURES, UNIT # W -1 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 * ** ROOF SLOPE = 3.00 : 12 (14.04 DEG) TRIBUTARY AREA = 9.5 FT2 MEAN ROOF HEIGHT = 13.0 FT Kh = 0.849 DISTANCE, Z = 5.0 FT Kz = 0.849 a 4 b . . •.. • • • • • • • •• • •• ••• •• • • • • • • • ••. .• •• • • . • • •••• • • •• • .. ••• ••• • • • •.. • • • • •.• • • • • • ... • • • ••• • • • • • • • • • • • • .. • • • • • ••• • • • •• • DATE : 7/14/2005 qh = 46.3 PSF qz = 46.3 PSF P = qh[(GCp) - (GCpi)] GCpi = ± 0.18 BUILDING WIDTH = 42.0 FT CORNER DISTANCE, a = 4.2 FT WIND LOADS WALL AREA 4 5 GCp ( +) 0.931 0.931 GCp ( -) -1.031 -1.263 PRESSURE (psf) 51.5 51.5 SUCTION (psf) -56.1 -66.8 EDWARD A. LANDERS, P.E. 7850 NW 146TH ST. #509 MIAMI LAKES, FL 33016 (305)823 -3938 Copyright 2000 by Tondelli Engineering, P.A. Tampa, Florida CUSTOMER : NEWMAN RESIDENCE JOB NUMBER : 185 NE 100TH STREET, MIAMI SHORES, FLORIDA DESCRIPTION : WIND PRESSURES, UNIT # D -1 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 * ** ROOF SLOPE = 3.00 : 12 (14.04 DEG) TRIBUTARY AREA = 24.5 FT2 MEAN ROOF HEIGHT = 13.0 FT DISTANCE, Z = 5.0 FT Kh = 0.849 Kz = 0.849 a 4 b •• ••• • • • • • • . . • • • • • •• ••• •• • • • .. • • • • • ••• • • • • • • • • •• • • • • •• • • • t • ' • • ••• • • • ••• ••• • • • • ••• • • • • • ••• • • • • • • • • • • • • • ••• • ' • '' •• • ••• DATE : 7/14/2005 qh = 46.3 PSF qz = 46.3 PSF P = qh[(GCp) - (GCpi)] GCpi = ± 0.18 BUILDING WIDTH = 42.0 FT CORNER DISTANCE, a = 4.2 FT WIND LOADS WALL AREA 4 5 GCp ( +) 0.851 0.851 GCp ( -) -0.951 -1.102 PRESSURE (psf) 47.7 47.7 SUCTION (psf) -52.4 -59.4 EDWARD A. LANDERS, P.E. 7850 NW 146TH ST. #509 MIAMI LAKES, FL 33016 (305)823 -3938 Copyright 2000 by Tondelli Engineering, P.A. Tampa, Florida CUSTOMER : NEWMAN RESIDENCE JOB NUMBER : 185 NE 100TH STREET, MIAMI SHORES, FLORIDA DESCRIPTION : WIND PRESSURES, UNIT # D -2 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 * ** ROOF SLOPE = 3.00 : 12 (14.04 DEG) TRIBUTARY AREA = 70.0 FT2 MEAN ROOF HEIGHT = 13.0 FT DISTANCE, Z = 5.0 FT • a 4 b 00 .00 • • • • • • • • • • Kh = 0.849 Kz = 0.849 • • • • • • • • • • • • • • • .00 • • • • • • • .. • • • • • 00 00 • • • .. • • 080 • • • 4100 • • •• .•• • • • • ••• • • • • • .. • • • • • • • •• • • •• • ••• DATE : 7/14/2005 qh = 46.3 PSF qz = 46.3 PSF P = qh[(GCp) - (GCpi)] GCpi = ± 0.18 BUILDING WIDTH = 42.0 FT CORNER DISTANCE, a = 4.2 FT WIND LOADS WALL AREA 4 5 GCp ( +) 0.943 0.943 GCp ( -) -1.043 -1.286 PRESSURE (psf) 52.0 52.0 SUCTION (psf) -56.7 -67.9 EDWARD A. LANDERS, P.E. 7850 NW 146TH ST. #509 MIAMI LAKES, FL 33016 (305)823 -3938 Copyright 2000 by Tondelli Engineering, P.A. Tampa, Florida CUSTOMER : NEWMAN RESIDENCE JOB NUMBER : 185 NE 100TH STREET, MIAMI SHORES, FLORIDA DESCRIPTION : WIND PRESSURES, UNIT # W -2 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 * ** ROOF SLOPE = 3.00 : 12 (14.04 DEG) TRIBUTARY AREA = 21.0 FT2 MEAN ROOF HEIGHT = 13.0 FT DISTANCE, Z = 5.0 FT Kh = 0.849 Kz = 0.849 a 4 b .. .. • • • • • • • .. • • • 0 • • • • • 000 • • • • • • • • • • 000 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • ••• • •.• • • • *0* • • • • 000 • • • • • • • • • • • • • ••• • • • • • • • • • • • • • • • • • • • • • • • • • 000 • • • SO* • • DATE : 7/14/2005 qh = 46.3 PSF qz = 46.3 PSF P = qh[(GCp) - (GCpi)] GCpi = ± 0.18 BUILDING WIDTH = 42.0 FT CORNER DISTANCE, a = 4.2 FT WIND LOADS WALL AREA 4 5 GCp ( +) 0.943 0.943 GCp ( -) -1.043 -1.286 PRESSURE (psf) 52.0 52.0 SUCTION (psf) -56.7 -67.9 EDWARD A. LANDERS, P.E. 7850 NW 146TH ST. #509 MIAMI LAKES, FL 33016 (305)823 -3938 Copyright 2000 by Tondelli Engineering, P.A. Tampa, Florida CUSTOMER : NEWMAN RESIDENCE JOB NUMBER : 185 NE 100TH STREET, MIAMI SHORES, FLORIDA DESCRIPTION : WIND PRESSURES, UNIT # D -3 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 * ** ROOF SLOPE = 3.00 : 12 (14.04 DEG) TRIBUTARY AREA = 21.0 FT2 MEAN ROOF HEIGHT = 13.0 FT DISTANCE, Z = 5.0 FT • Kh = 0.849 Kz = 0.849 a 4 b .. ... • • • • • •. • • • • • • • . • *0 11.11 Oil • • • 00 • • • .• 0. • • • • • 0 • • • • • • • 00 • • 00 • • • 0. • • • • • 00 • • • • 11•0 • ••• • • • • • • • • 0 11 0 • • • • • • • • • • • 000 • • • • • • • • • • • • • 110 110 • • • 011 00 • • • • 000 • • DATE : 7/14/2005 qh = 46.3 PSF qz = 46.3 PSF P = qh[(GCp) - (GCpi)] GCpi = ± 0.18 BUILDING WIDTH = 42.0 FT CORNER DISTANCE, a = 4.2 FT SALO arch ite /141y- Xt` _ 035 • (305) 981-1037 (fax) 30671•Miami Shores, F133153 ch21101.com • SAA0002389 1•1*0144.) tXreAPP•Iste N. 1001°. , .1..A.411dATE7) <Jc2 4g_c4 . FA- ere OV2 1"P V1"9 rc=ii - - 72/ 5r,6-P1' /5 cH ccLUr1 (i . ) 3/5b, , r:0 11> sfe:=1, At- kii.TH _ '2. 'A 4 1H gd 7 kliTH Outs 4 v14.5i:,ri. _ .e6-1 / .'051* .1.111111 ll 1 ” /II ... x: 9 1 7 /,5 , - at.1111 IA 4Ji41i vi gc=17' ra ST 1 — 1 /2 11 t ) ,, 6. i 2 r-fiArljVi it•.1 T F \ \ir c.' I ; 1 i_ 0009 ,ARcP, PrcC0106 A-izeA) Serote.e -o,) srif). to PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / 0// l0 7 Job Address / �� N j (66 Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant 4:\ ■J Master Permit # 4I / 1 / Owner's Address 51 01.1A '7'1'D dC 5 SS# Municipal # Competency # Address Qualifier State # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): WORK DESCRIPTION ature owner an•►or • do President Date otary as to Owner and/or Condo President Date My Commission Expires: P(1 OFFICIAL NOTARY SEAL o e, SANDRA M MONTIEL , COMMISSION NUMBER CC401281 PAY COMMISSION .EXP. F QF F\. FEES: PERMIT uG. 17 1998 ttkrKIN APPROVED: Zoning Buildin Mechanical Plum 9 m C.C.F. S Phone Contracting Co. f 1 I Fl 0 Kr D4 P14 TT D Address Address Address BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE l�r:o O-ec( ILt tN Co Iczti 600 - 4-- C k O Square Ft. 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.) Estimated Cost (value) 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. 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. Furthermore, I authorize the above-name •ntractor to do the work stated. Date of Contractor or Owner - Builder Notary as to Contractor or Owner - Builder My Commission RY PV OFFICIAL NOTARY SEAL 1P e , SANDRA M MOMflEL 1,0 COMMISSION NUMBER - -.0 Q CC401 26 '�! � ° MY COMMISSION •lXP. ' OF F�° 4uc�, 1 7 . 1ea6 . NOTARY . Electrical Phone q 3 ; ' ( 1. s. Co. coo BOND __ TOTAL DUE SIGN r n� C h- Date Engineering