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RC-07-727EXISTING GARAGE 220 SQ FT i 61 0 nspector Comments P sse 11 0 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 08/14/2007 , Inspector: Grande, Claudio 4 E VAULD Owner: SKRABUT, PAUL Job Address: 149 108 Street NE Project: <NONE> Tuesday, August 14, 2007 Miami Shores Village, FL Contractor: JP HOGAN CONCRETE CUTTING INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Spot Survey Work Classification: Addition Phone Number 305 - 632 -44869 Parcel Number 1121360090210 Lot: Phone: 954/370 -6161 Page 2of2 • • l • -72,7 COON P.O. BO SURVEY FORS / •• AIMS SURVEY fIS INC. S - PLANNERS • • • ••• L.• 33Q82- • '9271• (305) • _ • • • • • ` • y = • • • • .Z • • • • •• V * ' • • • • • • •� • • • • • • • .'�• • • • • • • • .a. , • • — N w z JOSEPH L. MARTIN PROFESSIONAL LAND SURVEYOR * 4368 I STATE OF FLORIDA ••• • •• • • 10 •• 216 11 12 Mar - nSn A;°PROVED EY ?BONING DEPT BLDG DEPT 772 -0766 14 NE. 108th STREET LOCATION SKETCH do sou LEGAL DESCRIPTION Lot 13 in Block 216 of DUNNING'S MIAMI SHORES EXTENSION NO. 5, according to the plat thereof, as recorded in Plat Book 48 at Page 21 of the Public Records of Miami -Dade County, Florida. SURVEYORS NOTES: S V \ son.,Qtx 1). Legal description provided by client. 2). Only record plat easements are shown. 3). Right of way information obtained from record plat. 4). In Federal Flood Zone X, Panel 0093 last revised 3 -2 -94. 5). Benchmark used- Dade County BM # N -566. 6). Elevations are referenced to National Geodetic Vertical Datum 1929 Adjust- ment (NGVD29). 1 D %\TL 1 SUBJECT TO COMPLIANW! T H ALL ' EDE. ,AL STATE APJD CQUN T Y RULES AND r ?ECG! !\T' DHS CERTIFICATE NOTE: " NOT VALID UNLESS SEALED WITH AN EMBOSSED SURVEYORS SEAL." I HEREBY CERTIFY THAT THE SURVEY REPRESENTED HEREON COMPLIES WITH THE MI IMUM TECHNICAL STANDARDS ADOPTED BY THE FLORIDA BOARD OF SURVEYORS AND MA PERS IN CHAPTER 61G 17 -6, FLORIDA ADMINISTRATIVE CODE, PURSURANT TO SE TION *72.027, Florida Statutes. 15 1 16 BOUNDARY & IMPROVEMENTS SURVEY IT %N.E. 108 St. Miami Shores, F1. REVISIONS ADD D ADO /.1E ./ ARAfr DRAWN BY SCALE DATE )\ 1":14 BY ,LM .)Ca' F.B. / PG. DATE 4 -N o7 9 - 1i - ( JOB OR 1- plvr3 N 4 J D 0(5' 1I. .3 co,-, o '.K , 2o.41 AiEv✓ n / AOD1 d. /5>02yC3J gel • *1 /49 7i 4. ALE- Iv$ S? Az 1 ' S'G Wt. . 9 0°01) 4 five P /P6 FD EXISTING GARAGE 220 SQ FT 1 Passed ! Inspector Comments my Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -46076 Permit Number: RC -4 - 07 -727 Inspection Date: 07/19/2007 Inspector: Grande, Claudio Owner: SKRABUT, PAUL Job Address: 149 108 Street NE Project: <NONE> Wednesday, July 18, 2007 Miami Shores Village, FL Contractor: JP HOGAN CONCRETE CUTTING INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Slab Work Classification: Addition Phone Number 305 - 632 -44869 Parcel Number 1121360090210 Lot: Phone: 954/370 -6161 Page 1 of 2 EXISTING GARAGE 220 SQ FT . I2 Alg Inspector Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 07/12/2007 Inspector: Grande, Claudio Owner: SKRABUT, PAUL Job Address: 149 108 Street NE Project: <NONE> Miami Shores Village, FL Contractor: JP HOGAN CONCRETE CUTTING INC Building Department Comments Friday, July 13, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Footing Work Classification: Addition Phone Number 305 - 632 -44869 Parcel Number 1121360090210 Lot: Phone: 954/370 -6161 Page 1 of 2 EXISTING GARAGE 220 SQ FT ® 1 V Passed (k Inspector Comments Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until ..... Inspection Date: 08/21/2007 Inspector: Grande, Claudio Owner: SKRABUT, PAUL Job Address: 149 108 Street NE Project: <NONE> Monday, August 20, 2007 Miami Shores Village, FL Contractor: JP HOGAN CONCRETE CUTTING INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Columns Work Classification: Addition Phone Number 305 - 632 -44869 Parcel Number 1121360090210 Lot: Phone: 954/370 -6161 Page 2of2 EXISTING GARAGE 220 SQ FT Inspector Comments Passed 1 /7 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until 1 1 ...o AT.74. us�e�i Inspection Date: 08/21/2007 Inspector: Grande, Claudio Owner: SKRABUT, PAUL Job Address: 149 108 Street NE Miami Shores Village, FL Project: <NONE> Contractor: JP HOGAN CONCRETE CUTTING INC Building Department Comments Monday, August 20, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Tie Beam Work Classification: Addition Phone Number 305 - 632 - 44869 Parcel Number 1121360090210 Lot: Phone: 954/370 -6161 Page 2 of 2 Project Address 149 NE 108 Street Miami Shores Village, FL Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number 1121360090210 Block: Lot Address 149 NE 108 ST MIAMI SHORES VILLAGE 33161 PAUL SKRABUT Contractor(s) Phone Cell Phone JP HOGAN CONCRETE CUTTING INC 954/370 -6161 (305)310 -7971 Approved: Yes Comments: DRIVEWAYS DO NOT MEET CODE, ARE NOT PART OF THIS PERMIT AND ARE NOT Date Approved: 4/13/2007: Yes Date Denied: Type of Construction: EXPAND GARAGE Stories: 1 Front Setback: 25 Left Setback: 12 -10 Bedrooms: NA Plans Submitted: Yes Certificate Date: Bond Retum : Occupancy: Single Family Exterior: NA Rear Setback: 23-4 Right Setback: 10 -01 Bathrooms: NA Certificate Status: Additional Info: Classification: Residential Fees Due Bond Type - Contractors Bond CCF CO /CC Fee DBPR Surcharge Education Surcharge Permit Fee - Additions /Alterations Plan Review Fee (Engineer) Plan Review Fee (Engineer) Radon Surcharge Scanning Fee Technology Surcharge Amount $300.00 $4.80 $150.00 $1.10 $1.60 $240.00 $60.00 $60.00 $1.10 $21.00 $6.00 Total: $845.60 in consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Tuesday, July 10, 2007 Permit Issue Date: 7/10/2007 Permit NO. RC -4 -07 -727 Permit Type: Residential Construction Work Classification: Addition Permit Status: APPROVED Expiration: 01/06/2008 Total I Amt Paid I Amt Due $ 0.00 $ 0.00 $ 0.00 Payment Type: Phone 305 - 632 -44869 Valuation: Total Sq Feet: IMP Applicant PAUL SKRABUT Available Inspections : July 10, 2007 Date Cell ...................... $ 8,000.00 220 Inspection Type: Final PE Certification Shutter Final Slab Framing Termite Letter Window and Door Buck Window Door Attachment Drywall Screw Shutter Attachment Tie Beam Insulation Ceiling Grid Fill Cells Columns 1 1.\T • • ••• • • • • •• • • • • • • .. .. • •• • • • • • • • • • • • • • *11 • • • • • • • • • • • • • • • Ill • • • • 1 *1 Nelson Walters Consulting & Specialty Engineering Services, Inc. •*• • • • • • • • • • • • • • • • • • • *1 •• • • • • • • • .. • • • • • • • • 11 FBPE C.A. #9655 THIS 11 I E ON ,ti �4 OF JO: : �� ° TIME NS PE1TUN APR 1 3 007 B Y: -------------- - - - - -- REVISION OF TRUSS REACTIONS FOR SKRABUT ADDITION SUBJECT TO COMPU' ' WITH ` FEDERAL STATE AND COUNTY RULES AND REGULATIONS PREPARED BY: NELSON F. WALTERS FL, P.E. #5820 / Design / Inspection / Investigation / Testing & Reports 493 N.W. 27th Ave., Miami. Fl 33125 Tel: 305 649.4049 Fax: 305.649.4149 Mobile: 305.244.4373 nelson @structuralpartners.com www.structuralpartners.com PROJECT: SKRABUT ADDITION NWCS PROJECT No: REVISED GIRDER TRUSS GT -1 1) UPLIFT Wo1= Wo2= W1= W2= W3= W4= W5= W6= P1= P2= R1 • ••• • • • ••• . • • .• • • • •• • • • • • • • • • • • • ••• • • • • • • • • • • • . •. • . . • • •• NWCS Consulting & Specialty Engineering Services, Inc. FBPE C.A. #9655 • ••• • ••• 493 N.W. Qrth.Avemue. . • • • Miami ;FL •.• ••• • • • • • • ••• • • • • • • • . • •• • • 1 177.7 plf Lo1= 3.0 ft Wo1= 177.7 Of Lo2= 2.3 ft Wo2= 215.0pIf 15.0ft W1= 0.0 plf L2= 0.0 ft W2= 0.0 pif L3= 0.0 ft W3= 0.0 plf L4= 0.0 ft W4= 0.0 Of L5= 0.0 ft W5= 0.0 Of L6= 0.0 ft W6= 0.0 #A= 0.Oft P1= 0:0# B= 0.Oft P2= 2166.4 # R1 R2 2005.0 # R2 2) GRAVITY SUM Fy 0 I SUM Fy REVISED TYPICAL TRUSS T -1 1) UPLIFT 02) GRAVITY Wo1= 177.7 Of Lot= 3.0 ft Wo1= Wo2= 177.7 Of Lo2= 2.3 ft Wo2= W1= 107.5 Of L1= 15.0 ft W1= W2= 0.0 pif L2= 0.0 ft W2= W3= 0.0 plf L3= 0.0 ft W3= W4= 0.0 Of L4= 0.0 ft W4= W5= 0.0 pif L5= 0.0 ft W5= W6= 0.0 plf L6= 0.0 ft W6= P1= 0.0 #A= 0.Oft P1= P2= 0.0 # B= 0.0 ft P2= R1 1360.4 # R1 R2 1199.0 # R2 SUM Fy - 2.27374E - I SUM Fy • •• ••• •• • • • •• • • •• • • • • • • • • • ••• •• 110.0 Of Lot= 110.0 Of Lo2= 220.0 Of L1= 0.0 plf L2= 0.0 pif L3= 0.0 pif L4= 0.0 plf L5= 0.0 Of L6= 0.0 # A= 0.0 # B= 1993.1 # 1893.2 # 0 110.0 plf Lo1= 110.0 plf Lo2= 110.0 pif L1= 0.0 Of L2= 0.0 Of L3= 0.0 Of L4= 0.0 plf L5= 0.0 pif L6= 0.0 # A= 0.0 B= 1168.1 # 1068.2 # 2.27374E -13 3.0 ft 2.3 ft 15.0 ft 0.0 ft 0.0 #t 0.0 ft 0.0 ft 0.0 ft 0.0 ft 0.0 ft 3.0 ft 2.3 ft 15.0 ft 0.0 ft 0.0 ft 0.0 ft 0.0 ft 0.0 ft 0.0 ft 0.0 ft PROJECT: SKRABUT ADDITION NWCS PROJECT No: REVISED JACK TRUSS J -1 1) UPLIFT Wo1= Wo2= W1= W2= W3= W4= W5= W6= P1= P2= R1 • • • .. .. • • • • • • • • • •.• • • • • • • • • • • • . • .. • • • • • • • • • .• NWCS Consulting & Specialty Engineering Services, Inc. FBPE C.A. #9655 • •.• . ... 493 N.W..2Mth.Avenuei • • ... • • • • • Miami? ft 33125 „ •�• •�• • . . p i'iii iiiii • ..• • • • • • • • • • •• • • . � � , ai i i i i . I e - ----I .. • • • .• •.. •. 2) GRAVITY . • • . • • . . .. • . .. • • • • • • • • . •.. .• 312.4 plf Lo1= 2.3 ft Wo1= 110.0 plf Lot= 0.0 pif Lo2= 0.0 ft Wo2= 0.0 pif Lo2= 227:0 plf L1= 5.7 ft W1= 110.0 Of L1= 0.0 plf L2= 0.0 ft W2= 0.0 plf L2= 0.0 plf L3= 0.0 ft W3= 0.0 Of L3= 0.0 Of L4= 0.0 ft W4= 0.0 Of L4= 0.0 plf L5= 0.0 ft W5= 0.0 pif L5= 0.0 pif L6= 0.0 ft W6= 0.0 plf < L6= 0.0 # A= 0.0 ft P1= 0.0 #A= 0.0 # B= 0.0 ft P2= 0.0 # B= 1520.9 # R1 6208 # R2 494.0 # R2 259.2# SUM Fy - 2.27374E -13 I SUM Fy 0 REVISED HIP TRUSS H -1 1) UPLIFT 2) GRAVITY Wo1= 257.7 pif Lot= 3.8 ft ;Wo1= 90.8 plf Lo1= Wo2= 0.0 pif Lo2= 0.0 ft Wo2= 0.0 pif Lo2= W1= 216.7 plf 'L1= 8.0 ft W1= 137.5 plf ,L1= W2= 0.0 plf L2= 0.0 ft W2= 0.0 pif L2= W3= 0.0 plf L3= 0.0 ft W3= 0.0 plf L3= W4= 0.0 pif L4= 0.0 ft W4= 0.0 pif L4= W5= 0.0 Of L5= 0.0 ft W5= 0.0 plf L5= W6= 0.0 plf L6= 0.0 ft W6= 0.0 pif L6= P1= 0.0 # A= 0.0 ft P1= 0.0#A= P2= 0.0# B= 0.0 ft P2= 0.0# B= R1 2079.4 # R1 977.3 # R2 635.6 # R2 468.9 # SUM Fy 2.27374E -13 1 SUM Fy 0 2.3 ft 0.0 ft 5.7 ft 0.0 ft 0.0 ft 0.0 ft 0.0 ft 0.0 ft 0.0 ft 0.0 ft 3.8 ft 0.0 ft 8.0 ft 0.0 ft 0.0 ft 0.0 ft 0.0 ft 0.0 ft 0.0 ft 0.0 ft PROCESS # FOLIO # C.O.R. 8.99' For Insurance Company Use: Policy Number Company NAIC Number BUILDING OWNERS NAME BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or6Idg. No.) OR P.O. ROUTE AND BOX NO. 149 NE. 108th STREET •• • CITY •• ••• • • •• �• STATE MIAMI SHORES _ FLORIDA PROPERTY CESCRIPTION (Lot and Block Numbers, TtPareel &At gr, :41:412cn etc.) LOT 13, BLOCK 216, PLAT BOOK 48 , PAGE 21 , MIAMI - DADE COUNTY, FLORIDA. BUILDING USE (e.g., Residential, Non - residential, Addtion, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) ( ire - ##' - ##.##" or ##.## # °) I B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER VILLAGE OF MIAMI - 120652 62. COUNTY NAME MIAMI -DADE B3. STATE FLORIDA B4. MAP AND PANEL NUMBER 12025C0093J 65. SUFFIX J B6. FIRM INDEX DATE 07 -17 -95 B7. FIRM PANEL EFFECTIVE/REVISED DATE 03 - 02 - 94 B8. FLOOD ZONE(S) X 69. BASE FLOOD ELEVATION(S) (Zone A0, use depth of flooding) N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In 139. LI FIS Proflle LgJ FIRM Li Community Determined L Other (Describe): BI1. Indicate the elevation datum used for the BFE In B9: ICI NGVD 1929 Li NAVD 1988 Li Other (Describe): BI2. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? L Yes al No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: L,IConstructlon Drawings' LjBullding Under Construction` LIFInlshed Construction 'A new Elevation Certificate will be required when construction of the building Is complete. C2. Building Diagram Number 8 (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 Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items 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 fleld 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 NGVD29 Conversion /Comments Elevation reference mark used SEE BACK Does the elevation reference mark used appear on the FIRM? Li Yes al I No ❑ a) Top of bottom floor (including basement or enclosure) 9 • L_ ft.(m) v ❑ b) Top of next higher floor 11 2_11.0n) 9 ❑ c) Bottom of lowest horizontal structural member (V zones only) NIA ft.(m) o 0 ❑ d) Attached garage (top of slab) 9.1L ft.(m) w g ❑ e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area.) HEATER 9 ft.(m) ❑ f) Lowest adjacent (finished) grade (LAG) 9.Q_ft.(m) z ❑ g) Highest adjacent (finished) grade (HAG) 9.2_ ft.(m) N ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 15 ❑ 1) Total area of all permanent openings (flood vents) in C3.h 1976 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 LICENSE NUMBER 5184 COMPANY NAME ANTONIO FIORE TITLE A. FIORE AND ASSOCIATES, INC. PROFESSIONAL SURVEYOR AND MAPPER ADDRESS CITY STATE ZIP CODE 921 S . 122nd AVENUE MIAMI FLORIDA 33184 SIGNATURE `�; 4 TELEPHONE e DATE ,. -' -, , - - • FEMA Form 81 -31, January 2003 FEDERAL,INMR6ENCY MANA.GF AGENCY NATIONAL f LQOQ IiSSMAIJCV PROGRAM E LE O hI �E RT1 KATE Important: - Read the instructions on pages 1 - 7. SECT tOQ/t -e O RTY pipe ' MATION • • • • • • • • • • HORIZONTAL DATUM: I_J NAD 1927 LJ NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION See reverse side for continuation. 08 -03 -05 O.M.B. No. 3067 -0077 Expires December 31, 2005 ZIP CODE 33161 SOURCE: IJ GPS (Type): IJ USGS Quad Map I_I Other Replaces all previous editions MIAMI SH((PFS For Insurance Company Use Policy Number Company NAIL Number IMPORTANT: In these spaces, copy the corresporord10 iglor`n e on A. BUILCdNG, STREET. pDRESS (Including Apt., Unit, Sutte,;anclbr I . .)6ORP.0.-420U1 AND BOX NO. 149 NE. 108th STREET • • • •i• • • • ••• • • CITY STATE ZIP CODE FI RIDA _ 33161 SECTION D - SURVEYt �R,•Et GINEEle OR 4RCI4ITE¢T C RTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) ctmint City MG M lnsuwancVgg"ent /company, and (3) buliding owner. • COMMENTS SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT EWE) 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 buliding, provide a sketch or photograph.) E2. The top of the bottom floor (Including basement or enclosure) of the building is LLi ft. (m) LL1 in. (cm) LI above or L 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 LLI ft. (m) LLiln. (cm) above the highest adjacent grade. Complete Items C3.h and C31 on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is LL1 fi. (m)1_1_11n. (cm) LI above or L1 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 comm unity's floodplain management ordinance?! 1 Yes 1 1 No 1 (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 C3.1 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 cone[ to the best of my knowledge. PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVES NAME ADDRESS SIGNATURE COMMENTS LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS MIAMI -DADE COUNTY BENCHMARK No.N -566: LOCATOR =3100; ELEVATION = 10.78' . ""; • • • • • - • . •• • • . . _•- NE. 111th STREET AND N. MIAMI A 'ZENUE.. . . . • • • • • -• ••. FEMA Form 81 -31, January 2003 CITY SECTION G - COMMUNITY INFORMATION (OPTIONAL) G7. This permit has been issued for L1 New Construction Li 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 08 -03 -05 1_1 Check here if attachments LI 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 items) and sign below. G1. L1 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. L1 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. LI The following information (Items G4 -G9) is provided for community floodplain management purposes. 04. PERMIT NUMBER 05. DATE PERMIT ISSUED G6 DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED . ft. (m) Datum: . ft. (m) Datum: 1�1 Check here if attachments Replaces all previous editions N NO ID. BOUNDARY SURVEY F.I.P. 0 F.I.P. 05/6" NO ID. u. ON LINE Y N .�. .7 12.7' f r 9.54' ABC 0 GAS O I'T7 L.P. c0 O In N 0 N \ 12.0' 16.3' 16.3' 3.2 6.0' 15' ALLEY 10' PAVEMENT 75.00' 15.0 36.3' ONE STY. C.B.S. RES. No.149 F.E.= 11.21' 20.4' 3.0 ]L" 5' SWK. 16.0' 0 M 28.9' 108th STREET 16' PAVEMENT 0 In (V W. M W.M. F.R. NO ID. F.I.P. 05/8" NO ID. F.R. NO ID. BLOCK 225.00' ✓ CORNER PROPERTY ADDRESS: 1 49 NE. 108th STREET, MIAMI SHORES , FLORIDA 33161 LEGAL DESCRIPTION LOT 13 OF DUNNING'S MIAMI SHORES EXTENSION No. 5 ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. w Z w w z NE. 109th 8 9 7 10 5 12 4 /13 3 14 2 15 1 16 NE. 108th NOTES: -LANDS SHOWN HEREON WERE NOT ABSTRACTED, THEREFORE THIS SURVEY IS SUBJECT TO EASEMENTS. RIGHT OF WAYS, AND OTHERS MATTERS WHICH MIGHT BE REFLECTED IN A SEARCH OF nnE TO 'THE SUBJECT LANDS. -NO ATTEMPT WAS MADE TO LOCATE UNDERGROUND FOOTINGS OF ANY STRUCTURE -THIS SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITY (ENTITIES) NAMED HEREON IN THE CERTIFICATION AND DOES NOT EXTEND TO A ANY UNNAMED PARTY. -THIS DRAWING IS THE PROPERTY OF A. FIORE AND ASSOCIATES, INC. AND SHALL NOT BE USED OR REPRODUCED IN WHOLE OR IN PART WITHOUT PERMISSION OF A. FIORE ANO ASSOCIATES, INC. - ELEVATIONS ARE REFERRED TO NATIONAL GEODETIC VERTICAL DATUM (1929) MIAMI -DADE COUNTY BENCHMARK No.N -588: LOCATOR ■3100: ELEVATION - 10.78' NE 111th STREET AND N. MIAMI AVENUE STREET STREET LOCATION SKETCH N.T.S. , IN BLOCK 216 48 , AT PAGE 21 w Z w N z A. FIORE AND ASSOCIATES, INC. LAND SUR'/EYORS LAND PLANNERS 921 S.W. 122nd Avenue, Miami, Florida 33184 -2406 PH. (305) 221-3040 n 1 HEREBY CERTIFY THAT THIS BOUNDARY SURVEY OF THE PROPERTY DESCRIBED HEREON IS TRUE ANO CORRECT TO THE BEST OF MY KNOWLEDGE AND BEUEF AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION. THIS SURVEY COMPUES WITH THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61617 -6 FLORIDA ADMINISTRATIVE CODE. PURSUANT TO SECTION 427.027 FLORIDA STATUTES • • • • ••• • • •• • • • • • • • • • • • ANTONIO FIORE, PRESIDENT PROFESSIONAL SURVEYOR AND MAPPER No. 5184 STATE OF FLORIDA SCALE: 1"=20' 'DRAWN BY R.S. 'REFERENCE: 03 -07 -04 'FIELD BOOK: 05 -0935 N O O FLOOD ELEVATION INFORMATION: DATE OF FIRM: 07 -17 -95 COMMUNITY No: 120652 PANEL: 0093 SUFFIX J ZONE: X BASE FLOOD ELEVATION: N/A • d leselle ••HZ.i • 8 • • E • •• wa is Om ▪ •Qe11( • we • • •••4o • • • •••,r• ••• z : • • y • • G G 3 Oil DATE: IA f P . b o LJ W as • VAUD COPIES OF THIS SURVEY IWU. BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR 08 -03 -05 OMOM217M1 Alt JUN 2 0 2007 I aleamoltraDV„... lialk °• • • mane Cm! OQdIQUA1 on= (e*: • . PRODUCT CONTRtl®. DIRISION • • • • • • • •• •• •• • • • • • • • • • • e • • ••• • • •• •• • • ••• • • • • • • • • • • • • • ••• • • • • • • • • • :•••• • C07727 htlA1tt>IOADE COUNTY, FLORID • •. t TRO-DADE FLAMM BULLDAtNG • tapisT FLOWER me m, ours 1iO3 • • 130.1363 • Gam Wilghe Products Ca, • • • • • ENS Whaling. •• • • • • ••• ••• SCOPE: 71zb NOA 1 ludas hated under ee Riplasble roles and resWatdozs goverolns tb0 The dome shad bat been eseioond by klieetiasdo qty Prod= Control Di of Rubs lad Appals (BORA) to be mad in lewd Dade Couto and otbr areas orlon alto Jurisdi n This NOA abort not be valid niter tba,O*ation date sated below. Tho Mina:- Mind Dade County) aadlor rho Oa oases ages thin Want Dade Gooney) material tasted for quality aaa:asmce papaw If ad product or modal 1al fail to minutactunsr will mortal the expos of audit twins end tba Alit may immedhuely moo ' - r j r podia or metaial within their a. FORA reserves the right to revoke this .. , Dads County Product Coot Weldon that tbir product or mstmial falls to am et the !�y k! ! .• ., This product is approved as doaosibed b orairs, and lute been lotted to =BOY "Ago the If n loe4da RTI Seedesol GagefIowa'Y•0'Wide. doted 11/111i96 AAPPROVAL DOCUMENT': Drawing N ta o. 10170244, d "Door Models: 83, 24A. 93, 94, 13 A E94", with last rwlsieu on IOU 2003, suers 1 of 1, prepared by Clnpoy Bulling Pro:tooth aped aad coaled by KW. Westerfield, P.B., bearing to Miami -Dade Comely Moat Caaltot Rewswa1 st with the Notice of Aompauuces number asd expinition doss by the Mitt -Dam C minty Padua Coast Division. MIME DNA= RATING: Lap sod IWOREMO Impact 1d itINGI Bash nett stroll boor a mason Mal with the matiohcxarers name ar Ingo, attic. stele and following a "biiomf - Dede Coi oty Prod= Omni Amoral", mks: otincwiso noted Weals. theft has bee m choose in the RENEWAL of tide NOA ORD be ssneidased � e =oval acppltcsetoa has ham Nod wad bum cab negatively affinities **potentiates of is matt a ,, a AT1ON of this NOA vat coo= after tits expitodoe dal a if thcac Las bona :elision or abase to the start* use, and or monefadato of tto pratdoat a promtsa Mime of tole NOA as as amitmeement of say pradat, for a4vertieing a say otter mamas see sommaticelly t ndeste this XOA. Pruner to comply with eery WW1 of tole NOA MI be tame for anolmtbm mimeo* of 1(OA. LIMITATION: This approval mapsino for mazatfacheet to do tam of all coifs urad tt! fsbrioate door peak ease thh Wee of moo. A minimum of 2 opecienun abdl be an from each sail and tensile tested acetates to ASTM E-d by a Da County appso ved laboratory Woad and pall by tba muniachma. Every 3 months, faun time arse, rue mater shin mall to this officio a wad the Nd raperis with oo.L don that Ma specimen were *om coda at tba snannfactuter And a not dzed aleteetlet tram tba module eaar that only coils with yield mensal of 28000 psi or new stall be used to mute date panels fns: Dade qty undo this Nods. of Acooptensa smi by the The NOA praadad by too wards Mimi - Dose ma P 1cr�e. and fa9loa County, Ana is date may be displayed bad ' iitsfatatr. 0 arty pun of the NOA h: displayed, n it shall ov b lot INSPECTION: A copy of this *mho NOA shall bo provided is the wee by she manufacturer or to ire and shall be ava ilsble for iniondon at de job alto at due recant of the BtdMing Official. This NOA twswa NOA # 01.0324.01 esaaaista of tbts page 1 as well its the approval dorcemsmt modowal above. The subrotttod dosomesotion war roviawed by • ,r,� oat PIZ. NOA No 030178.04 Dates Aura 21,3008 Anson' DM NW P a it ON OF • • ••• • • • � • •• • • • •• •• ' •• • • • • • • • • • • ••• • • • • • • • • • • • • • • ••• • • • • • •• • • • •• • • • ▪ • • • • • • • • • • • • • • • QTR AF AG1[T1'1 N sp • • 1VID1l .Z_SUSb (For lie ONLY. Not port of NOA) ••• • • • • • • 1. Drawing prepared by C$qy t P o* g am , tided "Door Models 83, 84A, 93, 94, R93 & H94' ; ►; Na 101702 -24, dated 11/18196, with katrevision on April 2003, sheets 1 of 1, • and sealed by M. W Westerfield PE • 7'ae7'f 1. Test report of large missile impart teat per PA 201, cyclic Wand pry test pw. PA 203 and un f nn stattc air prreaa<+re fast per PA 202 on "9' x 8' door model 73", prepared by America, Teat 1ob of South Florida, report No. AFL 1112,01-96, dated 11/13194, signed and sealed by W Mehner, PE C. C.ALMATIONIS 1, C.alculadlbrs dared 01/10,97; pops 1 dumb 2, prepared by M W Wester}ie signed and sealed bybZ W. Westerfield PE D. MAMMAL CUTPKAfOIS 1. Motile teat report No. CTL9846, pared by Certified rest Zaboratarias. dam 12116/96 signed and sealed by it Patel, PE 2. Sett Spray &pawn tut mart No. MTS 138392, prepared by Celotax Corporation Testing Services, dated 08/17/98, signs( and sealed by R G. Miler, PE. E. STATEMENTS. Monk Westerfield 1. Affidavit cif mtidm s yield att+srsth oon 1 sae P +d by employed by Glom Making Pr0icts Company, signed by M. Westerfield and notarised by S E Rodenim ar on 05/05/03. 3 Affidavit of no financial interest prepare'! by Mark W. Westerfield PE with no date, signed by114 W Wrsterfte1d PE and notarized by M E. Xntslsy. 4 Letter 1 code oalxplialiot prepared by Clopuy Bulldog, Products Ca. on 01/10/97, signed and sealed byM W Weld PE 5 Letter ulna change tweed by CIoPay 8etldtagProducts an 04/23/03 signed anal sealed by Wesisrfiel4 Ply Z•t Ctatits F. PA fl. Soder Product Coolant Obtain NOA No 03•043L04 Zapintkas Norm 21, Approval lam: hoe 8. 1 1 1 ill MC I iii1ll 1 11 : sel milmilivoi..... L j II swill Nolif milli 11E11! /I NM II MI "Mt AM '' 1 RCN FAT M11.0111 a f:•1 - NWR£R OF S=CTION5 • • =nil ME @SIR sr •• 8Y pow .i.afiiit' , ti Am1WLS $3. 84A. 113. 114. t 3. 6814 folE-441SE anew mg. moan SIMIONDan 130711 anin nu- Ili JEFEESIE nn ank an. MR •illfFR lifffiank TO •0011 MO MEE EMIEE-SIELE SEMI_ Saintaa Ciala =Mg IMI sr slit NUL Mb Nium In POW 1. a i k r rl' A• 1! i•11!! [ GIL�t r -.l .4 CM ad re rr�r�sr .1 a ein • .•J -•w�l L.:a.A ILA It ;JO. MI CM 1 FE: 3. • [- Si 155 WIGAN z • r ti,?F - aw ..'- . rg•f�Y �r.a(�� i CE ''•'tip T•'1 iti Ai i swan ininafi ID SODS seat OM Ps ISS-1.-ans snow On UMW GEM. 491. EMMT .111111111111F' -I I _ .III —ter IL ® ;E ; . t Id =II LA: 1.11 1 • SKEW ISE MEW lesS 1E110 ■ SION INC WINOS Inn SUE OWEN EARL Ogg NO WNW 9S of OW. INS uses w US SUNS dlin SUB MOM M t n Ow s OIE r_YM_ • mi. SOUL MEM 9m sin OM1 dan. 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