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FW-09-776Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: June 15, 2009 Inspector: Bruhn, Norman Owner: ROGERS, SHAUN D 8i NADINE M DAVE Job Address: 121 NE 100 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number (305)756 -7345 �Pa�cel Number 1132060132040 Building Department Comments Passed Q/j44 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 0.1 June 12, 2009 Page 11 of 22 ;511.01 . Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 L41 gar 0 7 2009 BUILDING Permit No.)O0' T)Cp PERMIT APPLICATION Master Permit No. FBC20 ilete) -4?-1 crnel Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholde Owner's Address 7_ 1 j gym., [ City . , Kti`C- 5 State FL, Zip Tenant/Lessee Name Phone # Email $� d �� S ot, o e t rr Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building: Historically Designated 12,1 E lot _ County Miami -Dade Zip 33 l 3 cg YES '� NO Contractor's Company Nam ' V L C 0/, 571st) �,° �i th.) Phone # Contractor's Address i?. �SL,J 6'il-r7,` City /17/ q r State / U! • Zip 331 7 Si Qualifier Name 'l ete tft31) J(,1'4 7 , • Phone # 7, 6 ga W 2000 Flood Zone�"� c/ 2000 State Certificate or Registration No. Certificate of Competency . /No. Ca 0 s-7 76 �. E -mail I 914J L COs"I C% 404 C'■•■s Contact Phone 7f i"° 62(r`''-- 29015 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Type of Work: DAddition Describe Work: Square / Linear Footage Of Work: DAlteration ['New epair/Replace ❑ Demolition ******* *: x**: x** ****** ***************:x***F ****** *** *** * * ****** *** ** * **** ** * *** * **** Submittal Fee $ --5D ' Permit Fee $ /f CCF $ Notary $ ' ' O O Training/Education Fee $ 0 40 Technology Fee $ Scanning $ CO ' D 0 Radon $ DPBR $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Zoning $ Total Fee Now Due $ (o - *10 See Reverse side -� Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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. I 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: promise in good fait whose property is for the first ins inspection will As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must that a copy of the notice of commencement and construction lien law brochure will be delivered to the person ct to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site which oc , > "s s (7) days after the building permit is issued. In he absence of such posted notice. the proved a reins %ection fee will be charged. The foreg day ,of h is personal 0 gent ng instiument�was ac no edged bef. e me this .2(09 by a /2 ago known to me or who has produced- / Signature The foregoi day of who i Contractor instrument was ackno ledged before - th' by nown to me or who has produced t� .,identification and who did take s identification and who did take an oath. N Sign: Print: 14 My Commission Expires: *************************** ****** * ** * ************ * ******** k* *** *** ************ ** ***** ***:k* My Commission Expires: APPLICATION APPROVED BY (Revised 07/10/07) ans Examiner Engineer * * ** * * * ** * * * * * ** /AP Zoning Clerk checked VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - family or two- family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this construct . Myself,,, ,,1* 1 Initial 2. I understand that as an owner- builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application. Inactive permits for a period of over 180 days will become null and void (expired) and a new permit will be required to be issued for reinstate permit. 3. I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. 4. I understand that the building official and inspectors are not there to design, alter or give advice on how to meet code — only if the structure, the minimum code. Initial 5. I understand that as an owner - builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any ong doing from this unlicensed company or person. Initial 7. I understand that if any person gets injured on my construction project—they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could i ude Loss of wages during recovery from injury. Initia '"' 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first obtainin the proper permits by licensed contractors. Was acknowledged before me this F day of By 1C/\i Produced e License or T\ Initial ,2009 who was personally known to me or who has U1K-0104-1" 2,016 as identification. Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit NO. FW-5-09-776 Issue Date: Not Issued Wrk ssatt Woud : Expires:Not issued Folio Number:1132060132040 Owner's Name: SHAUN D & NADINE M DAVE ROGERS Owner's Phone: (305)756-7345 Job Address: 121 100 Street Total Square Feet: 0 Miami Shores, FL Total Job Valuation: $ 2,000.00 .., —:::::::::::::.:.:.:::.:.:::„:.w*;t:m:,:z,:::.:m.:.:.:.:.:.:.:.:::.::::::.:Q.:.:::......:.I.:. , • • ..... Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 5/21/2009 : Yes Comments: SHOW LOCATION OF 40 SQUARE FOOT TRASH AREA ALONG REAR LOT LINE. n IMMEMEI la MAY 07 200 IT exeel/S=2e..._..e Owner's Side 5'-O" MAX WOOD FENCES ItX4tWood196t 2" X 4" W c:od Fall 1 "X6 "crI "X6" Wood PIcket5 Canoe' e 4 21-0" V-O" . B104.1010 -1 Miami Shores Village APPROVED ZONING DEPT BLDG DEPT SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS Wood Posts 2915 Fences 4' -0" High or Less = 6' -0." O.C. 5' -0" High or Less = 5' -0" O.C. 2915.1 Wood fences, so located on .a property that by zoning regulations they cannot Ile•and as a wall of a building, sha: • .on et � meet the following minirnurrr :' I of °° k'L (a) Fences not height shall b the fo requirement by 4 inch posts space centers, having a. er 1200 p.s.i. in 6eraaint, and shot' be embedded 2 feet -0 inches aatd a concrete footing 1 foot -0 inches in diameter and 3 feet -0 inches deep. Other components shall be designed to comply with the provisiogs of this Chapter and Chapter 23. (b) Fences not exceeding 5 feet and 4 feet in height respectively shall be constructed as provided in paragraph 2915.1 (a) herein, except that the spacing of posts may be increased to 5 feet -0 inches and 6 feet -0 inches on centers for these heights. • • • • • • • • • • • • • • Final Inspection r) c, (-) .• To be made after installation and completion of all elenr.enfs of *CFciss.truotion. r• r The following Reins will.be checked at final inapection: Wood fences shall. be. constructed. of decay and firini,e,,:e :;eSiit4ittihraterial. . 2304.2:1 of the Florida Building Code (FBC). Wood fences shall. be designed according to the loads as specified in Section 2328 Of the Florida Building Code (FBC). • (.0 r. r. n o e•,. . • • • 1 1 1 1 1 I EXCEPTION: Unless designed by rational analysiss.,woo4 fei;s06's 6thegling six jfeet in height may be constructed to meed the following minimum requirements: I. Vertical post of ?T. 4" x 4" spaced according to Section 2328.2.4 FBC. See detail on front page; 2. Posts shall be embedded two (2) feet into a concrete footing ten (10) inches in diameter; 3. Horizontal framing shall consist of a minimum of three (3) horizontal rails of 2" x 4" Pressure Treated (PT) :Iumb• 4. All lumber shall be a minimum of #. or better; 5. All-fasteners shall,be corfesionresistatit. WAIiNiN.G...Premanufactured sections may not comply with thiS code, and.Produce Approval ;six be required, • ." . • • ••• • • . • • . . • • • Board On Board • • • • • • • • • • • • • • . 1 • 41• • • • • • • • • • • • • •• .0• •• • ••■ • • . • • • • • • • • • • • • ••11 • ••4 • • • •11 • • • • • • • •• • • • [1. Stockade • SKE BOUNDA FD. LP. RSM 5504 2.45' CLR. TER HEATER ROOF 7-55.55' 50' 9 9 14 13 12 11 .. . . . _ L xhe -Lk •• ••••ie. •,., 1.65' CLR. 5.09' FD. I.P. LP. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 0 20 40 SCALE: 1 INCH = 2 Permit No: 09- 774* Job Name: :-K , 2009 Miami Shores Vivage Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 0204% /fru, ./ A.- /le/ vrowl' tri- Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 -795 -2204 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Folio Number:1132060132040 Owner's Name: SHAUN D& NADINE M DAVE ROGERS Job Address: 121 100 Street • Miami Shores, FL Owners Phone: (305)756-7345 Total Square Feet: ..„ Total Job Valuation: $ 2,000.00 ............. . ••••••• ....... •••• ....... •• • .• •• •••••••••••••••••••• ....................... •••••• Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: No Date Denied: 5/12/2009 Comments: SHOW LOCATION OF 40 SQUARE FOOT TRASH AREA ALONG REAR LOT LINE. • • • ••• • • • • • • • •• • • • • • • • • --,.• SKETCH :Of .BOUNDARY SURVEY • • •• ••• ••` ••• Set.1E.:1 " =20' •• • • • •• ••• � It> :100 .• STR • Ei • 1`00 •• • • • • ••• •• 22'Asphalt MAY 0 I 0 BYo ....... mU4 N. co CV N 9.00' Asphalt 18.00' 22' Parkway BCO FND.I.P.1/2" (NO ID) 180.75' FND.I.P.1/2" (NO ID) r n 1ogp, 90 "0000y " o rn 10. 75.00' 5' Conc.Walk co O 0 O 0 o 10 i •• 10.00 0 14.20' NC ti co s1- 14.50' 12.40 CV 21.08' it) fp 4.72' r0 14.90' CV ONE STORY CBS RB'SIDENCE # 134 FF= 12.94' G= 10.92' 33.60' Steps 16.58' co Ch Conc. 7.50' O0 900 FND.I.P.1/2" °— (NO ID) . .' Top 11.46' 0 POOL 13.50' 33.00' N C L On/PL 75.1)0' 15' ALLEY P. ,o• 11' Asphalt 0 Lu nC I- re 0 Q J Y LtJ m I-0 0 Z W u)0 0 20.50 9o. 7.00' x x x Jx O LL _J Ux 0000. x Wood Gate , j -��15.00' 5.00' 0 FND.I.P.1/2" (NO ID) ND.D.HoIe 0 CO .1 J rn O J NOTE: THIS SURVEY HAS BEEN PREPARED FOR EXCLUSIVE USE OF THE ENTITIES NAMED HEREON. THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. 10 & E 1/2 OF LEGAL DESCRIPTION: LOT 11 BLOCK 16 OF "MIAMI SHORES SECTION 1 " SUBDIVISION, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 70 OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. PROPERTYADDRESS: 134 NE 100 STREET, MIAMI SHORES, FL CERTIFICATION TO: CHERYL HARKEN SURVEYOR'S NOTES: 1.) EXAMINATION OF ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. 2.) LOCATION AND IDENTIFICATION OF UTILITIES IF ANY ARE SHOWN IN ACCORDANCE WITH RECORDED PLAT. 3.) OWNERSHIP IS SUJECT TO OPINION OF TITLE. 4.) TYPE OF SURVEY." BOUNDARY SURVEY". 5.) THIS SURVEY IS NOT VALID UNLESS SIGNED AND SEALED BY THE SURVEYOR OF RECORD. 6.) ALL RIGHT OF WAYS SHOWN ARE PUBLIC UNLESS OTHERWAISE NOTED. 7.)-LANDS SURVEYED AS DESCRIBED. 8.) NO UNDERGROUND INSTALLATIONS ON IMPROVEMENTS HAVE BEEN LOCATED, EXCEPT AS NOTED. FLOOD ZONE INFORMATION Community Number Panel Number Suffix Date of Firm Index Firm Zone Base Flood Elev. 120652 0093 J 3-2 -94 "X" NONE SOURCE ELEVATION PROVIDED BY nAnF COUNTY SURVEY DEPARMENT RELATIVE TO MEAN SEA LEVEL NATIONAL GEODETIC VERTICAL DATUM OF 1929 LOCATOR INDEX BENCHMARK NO. ELEVATION COPYRIGHT ROBERTO BRIZUELA & ASSOCIATES, INC. "LEGEND" P.R.M.- PERMANENT REFERENCE MONUMEMT P.C.P.- PERMANENT CONTROL POINT F.I.P.- FOUND IRON PIPE S.I.P.- SET IRON PIPE 1/2" STAMPED F.D.H.- FOUND DRILL HOLE S.D.H.- SET DRILL HOLE CA_ : CENTER UNE RES : RESIDENCE LF.E.- LOWEST FLOOR ELEVATION F.F.E.- FINISH FLOOR ELEVATION C.LF. CHAIN UNK FENCE U.E.- UTILITY EASEMENT W.F.- WOOD FENCE M: MEASURE R.- RECORD S.N.D.-SET NAIL & DISC STAMPED P.LS. F.N.D.- FOUND NAIL & DISC C.B.S. - CONCRETE BLOCK STRUCTURE ENC. - ENCROACHMENT RIW.- RIGHT OF WAY CL- CLEAR ROBERTO R. BRIZUELA & ASSOCIATES Land Surveyors OFFICE: 7319 WEST FLAGER STREET MIAMI, FLORIDA 33144 PHONE: (305) 551 -4393 FAX: (305) 266 -6112 JOB NUMBER FIELD BOOK: FIELD WORK DATE: '- REVISIONS 1: REVISIONS 2: REVISIONS 3: I HEREBY CERTIFY: THAT THE ATTACHED "SKETCH OF SURVEY" OF THE ABOVE DESCRIBED PROPERTY IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BEUEF AS RECENTLY SURVEYED UNDER MY DIRECTION, AND THAT THERE ARE NO ENCROACHMENTS OTHER THAN THOSE SHOWN, AND MEETS THE INTENT OF THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS IN CHAPTER 01 017 OF FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027 FLORIDA STATUTES. ROBERTO R JRIZOELA PROFESSIONAL SURVEYOR 0.3064 OF FLORIDA ... • . • • • • • • • • SK'efl ; : f . �NDAR.Y SURVEY .•..•• ••' •:• SCAk0" =20' A to• •• EA-, • •• ••• •• f i a STREET • 22' Asphalt kA AO� LI Y 0 1 2 Asphalt O CV 9.00' 18.00' 22' Parkway BY: _m_ ® ®e ----------- BCO �I FND.I.P.1/2" (NO ID) 180.75' O JCr to LLI Z r vFND.I.P.1/2" O (NO ID) 10,E 90000,n 0 rn u:` FND.I.P.1/2' (NO ID) 10.00' 75.00' 5' Conc.Walk c 0 14.20' o CSI A/C LO CO 21.08' U 4.72' co fig 14.90' CV ONE STORY CBS RR'SIDENCE # 134 FF= 12.94' G= 10.92' 33.60' 16.58' A 14.50' 12.40 Conc. 7.50' •o Steps • `V 4 Top ■■• 11.46' • ' 16.00• 13.50' POOL 33.00' ti CJ _ On/PL 75 00' 15' ALLEY �O• 11' Asphalt 0 w Q QO CO I-- 0 0 Z rm w� co 0 0 20.50' 7.00' x JX O u: J x 90000,0. Wood Gate i -dam- 15.00' 5.00' ND.D.HoIe LOT 9 BLK 16 0 rNDJ.P.1 /2" (NO ID) NOTE: THIS SURVEY HAS BEEN PREPARED FOR EXCLUSIVE USE OF THE ENTITIES NAMED HEREON. THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. 10 & E 1/2 OF LEGAL DESCRIPTION: LOT 11 BLOCK 16 OF "MIAMI SHORES SECTION 1 " SUBDIVISION, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK10 T PAGE 70 OF THE PUBLIC RECORDS OF DADE COUNTY, FLORIDA. OPERTYADDRESS: 134 NE 100 STREET, MIAMI SHORES, FL CERTIFICATION TO: CHERYL MARKEN LOCATION MAP N.T.S. SURVEYOR'S NOTES: 1.) EXAMINATION OF ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. 2.) LOCATION AND IDENTIFICATION OF UTTLITTES IF ANY ARE SHOWN IN ACCORDANCE WITH RECORDED PLAT. 3.) OWNERSHIP IS SUJECT TO OPINION OF TITLE. 4.) TYPE OF SURVEY." BOUNDARY SURVEY". 5.) THIS SURVEY IS NOT VALID UNLESS SIGNED AND SEALED BY THE SURVEYOR OF RECORD. 6.) ALL RIGHT OF WAYS SHOWN ARE PUBLIC UNLESS OTNERWAISE NOTED. 7.) -ANDS SURVEYED AS DESCRIBED. 8.) NO UNDERGROUND INSTALLATIONS ON IMPROVEMENTS HAVE BEEN LOCATED, EXCEPT AS NOTED. FLOOD ZONE INFORMATION Community Number Panel Number Suffix Date of Firm Index Firm Zone Base Flood Elev. 120652 0093 J 3-2 -94 "X" NONE SOURCE ELEVATION PROVIDED BY nAnF COUNTY SURVEY DEPARMENT RELATIVE TO MEAN SEA LEVEL NATIONAL GEODETIC VERTICAL DATUM OF 1929 LOCATOR INDEX BENCHMARK NO. ELEVATION COPYRIGHT ROBERTO BRIZUELA & ASSOCIATES, INC. "LEGEND" P.R.M.- PERMANENT REFERENCE MONUMEMT P.C.P.- PERMANENT CONTROL POINT F.LP: FOUND IRON PIPE SIP.- SET IRON PIPE VT STAMPED F.D.H.- FOUND DRILL HOLE S.D.H.- SET DRILL HOLE C/L : CENTER LINE RES : RESIDENCE LF.E.- LOWEST FLOOR ELEVATION F.F.E.- FINISH FLOOR ELEVATION C.LF. CHAIN LINK FENCE U.E.- UTILITY EASEMENT W.F.- WOOD FENCE M: MEASURE R.- RECORD S.N.D.-SET NAIL & DISC STAMPED P.LS. F.N.D.- FOUND NAIL & DISC C.B.S. - CONCRETE BLOCK STRUCTURE ENC. - ENCROACHMENT RM. RIGHT OF WAY CL- CLEAR ROBERTO R. BRIZUELA & ASSOCIATES Land Surveyors OFFICE: 7319 WEST FLAGER STREET MIAMI , FLORIDA 33144 PHONE: (305) 551 -4393 FAX: (305) 266 -6112 JOB NUMBER FIELD BOOK FIELD WORK DATE 4-2 REVISIONS 1• REVISIONS 2 REVISIONS 3: I HEREBY CERTIFY: THAT THE ATTACHED "SKETCH OF SURVEY" OF THE ABOVE DESCRIBED PROPERTY IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED UNDER MY DIRECTION, AND THAT THERE ARE NO ENCROACHMENTS OTHER THAN THOSE SHOWN, AND MEETS THE INTENT OF THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS IN CHAPTER 61 G 17 OF FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027 FLORIDA STATUTES. ROBERTO R-771`.41 ELA PROFESSIONAL ' SURVEYOR 0.3064 OF FLORIDA U.8. 'DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency ManagementAgen» •: ';' ••• .. •. National Flood Insurance Program Irdpdrt'nt. Redd the instructions on pages 1 -8. • • • • • • • • • • • • • • &CTIt»7 )►'- PROPERTY INFORMATION Al. Building Owner's Name CHERYL MARKEN • ••• • • • ••• • OMB No. 1660 -0008 Expires February 28. 2009 For Insurance Company Use: Policy Number A2. Building Street Address (InclucingApt., Urtit, 4ui%, g$ d/or•BI$g.Tlo.}o'r P.O. Route and Box No. 134 NE 100 STREET • • • • • • • • • • • • • • • • • • • • • • • • • • City MIAMI SHORES State ¶L ZTP Code '331'3 ' Company NAIC Number A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 10 & THE EAST 1/2 OF LOT 11 lai! Cc 11 ' " "' • •-•• • • • • M • • • • A4. Building Use (e.g., Residential, NooltelidQnti ?ai,'Adllition:Aoceasary, etc.) RESIDENTIAL A5. Latitude /Longitude: Lat. 25.5200 Long. 80.1168 Horizontal Datum: NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s), provide a) Square footage of crawl space or enclosure(s) N/A sq ft b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in A9. For a building with an attached garage, provide: a) Square footage of attached garage 200 sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade 5 c) Total net area of flood openings in A9.b 60 sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number VILLAGE OF MIAMI SHORES 120652 B2. County Name DADE B3. State FLORIDA B4. Map/Panel Number 12025C0093 B5. Suffix J 86. FIRM Index Date 7 -17 -95 B7. FIRM Panel Effective /Revised Date 3 -2 -94 B8. Flood Zone(s) "X" B9. Base Flood Elevation(s) (Zone AO, use base flood depth) NONE B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: e 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 ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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. 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 C2.a -g below according to the building diagram specified in Item A7. r' ° A Benchmark Utilized N-444 Vertical Datum NGVD Conversion/Comments N/A a) Top of bottom floor (including basement, crawl space, or enclosure floor) - b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) f) g) Check the measurement used. 12.94 ® feet N /A. ® feet N /A. ® feet 10.92 ► : feet 10.62 e feet ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) 10.48 ® feet ❑ meters (Puerto Rico only) 11.46 e feet ❑ meters (Puerto Rico only) MAY 0 1 2101 B Y: 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. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. / understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. Certifier's Name ROBERTO R. BRIZUELA License Number 3064 Title PROF. LAND SURVEYOR Company Name ROBERTO BRIZUELA & ASSOCIATES Address 7319 WEST FLAGLER STREET City MIAMI State FL ZIP Code 33144 PLACE SEAL HERE • Signature Date 4 -25-07 Telephone 305 - 551 -4393 FEMA Form 81 -31, February 2006 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 a i'3oJ'1o•; • • • •; • : • •. 134 NE 100 STREET • • • • • • • • • • • • • • • ••• • For Insurance Company Use: e, Policy Number City MIAMI SHORES State FL ZIP Code • • • • • • • ••• • • • • ••• • • • Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATIONJCONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance•agent/aorripan j, aril (!) I uildi$ owner. Comments CROWN OF ROAD:10.97' • • • • • • • • • • • • • ••• • • • •• ••• •• • • • •• •• • • • • • • SignallIMMIr Daft). •4-?• 7 • • • • • • • ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. 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 owner's authorized representative who completes Sections A, B, 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, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodpiain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by 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 AO. G3. ❑ The following information (Items G4.-G9.) is provided for community floodpiain 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: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 81 -31, February 2006 Replaces all previous editions • • ••• • • • ••• •• •• • • • • •• •• • • • • • • • • • • ••• B iildirig Photographs See Instructions for Item A6. • ••• • • • ••• Building Street Address (incidiig;Apt.,Cnit,ESu te, andtto;Bls . No.) or P.O. Route and Box No. 134 NE 100 STREET • • • • • • • • • • • • • ••• • • For Insurance Company Use: Policy Number City MIAMI SHORES State FL ZIP Code •• • • • •• ••• •• • • . . s Company NAIC Number • • • • If using the Elevation Certificate tq c tai1rNf le tQQd jpsurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View "; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. FRONTVIEW: MAY 0 1 200? B Y: FORM 600A -2004R FLORIDA ENERGY EFFIIEIc.('DE FOR BUILDING CONSTRUCTION EnergyGauge® 4.5 Project Name: Address: City, State: Owner: Climate Zone: Florida Department of Community Affairs Residential Whole Building Perk:I-Mance 1\Atthc d A MARKEN RESIDENCE 134 NE 100 STREET MIAMI SHORES, FL 33138 - MR. & MRS MARKEN South ••• • • • •• • • •. ••• ir Cq. fitting Office: APR 0 20137 A• ' u stio iooi u=ntie ' BY: 1. New construction or existing 2. Single family or multi - family 3. Number of units, if multi - family 4. Number of Bedrooms 5. Is this a worst case? 6. Conditioned floor area (ft2) 7. Glass typel and area: (Label regd. a. U- factor: (or Single or Double DEFAULT) b. SHGC: (or Clear or Tint DEFAULT) 8 Floor types a. Raised Wood, Adjacent b. N/A c. N/A 9. Wall types a. Face Brick, Block, Exterior b. N/A c. N/A d. N/A e. N/A 10. Ceiling types a. Under Attic b. N/A c. N/A 11. Ducts a. Sup: Unc. Ret: Con. AH: Interior b. N/A •• • • • • • ••• •• • • • • •• Addition Single family 1 1 No 548 ft2 by 13- 104.4.5 if not default) Description Area 7a(Sngle Default) 67.0 ft2 7b. (Clear) 67.0 112 R=0.0, 548.0112 R=4.0, 473.0 ft2 ,^ R=19.0, 548.0 ft2 Sup. R=6.0, 30.0 ft 12. Cooling systems a. Central Unit b. N/A c. N/A 13. Heating systems a. Electric Strip b. N/A c. N/A 14. Hot water systems a. Electric Resistance b. N/A c. Conservation credits (HR -Heat recovery, Solar DIM- Dedicated heat pump) 15. HVAC credits (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, MZ- C- Multizone cooling, MZ- H- Multizone heating) Cap: 27.0 kBtu/hr _ SEER: 14.00 Cap: 25.0 kBtu/hr COP: 1.00 Cap: 60.0 gallons _ EF: 0.88 Solar PT, Glass /Floor Area: 0.12 Total as -built points: 6504 Total base points: 7445 PASS I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code. PREPARED BY: 4C2��'tl{ DATE: I hereby certify t with the Florida OWNER/AGE DATE: '^ d, is in compliance Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance with Section 553.908 Florida Statutes. BUILDING OFFICIAL: DATE: t 1 Predominant glass type. For actual glass type and areas, see Summer & Winter Glass output on pages 2 &4. EnergyGauge® (Version: FLRCSB v4.5)