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RC-08-1024
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP -86250 Permit Number: RC -6 -08 -1024 Scheduled Inspection Date: April 24, 2012 Inspector: Bruhn, Norman Owner: COOK, MARIANNE Job Address: 360 NE 105 Street Project: Miami Shores, FL 33138- <NONE> Contractor: RHINO CONSTRUCTION Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Addition Phone Number Parcel Number 1121360130020 Phone: (305)206 -6761 Building Department Comments NEW CONSTRUCTION OF KITCHEN (FOUNDATIONI AND ROOF) NEW DRIVEWAY RENOVATE BATHROOM TWO NEW HURRICANE IMPACT WINDOWS Inspector Comments Passe 90»/ Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 23, 2012 For Inspections please call: (305)762 -4949 Page 17 of 17 Certificate of Occupancy Miami Shores Village 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305 - 795 -2204 Fax: 305- 756 -8972 Building Inspection Department This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: Square Footage Description of Work Date Issued Occupancy Load 186 SQ FT Occupancy Type 360 NE 105 ST Miami Shores FL 33138 - Location Not Transferable POST IN A CONSPICUOUS PLACE Permit No: Via* Job Name: /I7 , 2009 Miami Shores Viiiage 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 /0),......../ Al. A.ee (..........., 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 Building Department 10050 .NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 RECEIPT PERMIT #: O 10?ft DATE: ApI a9 1 Cr I }OM 6 E AEG ted__ Contractor �❑ wner ❑ Architect sets of plans and (ot er) the‘uo 3�0 1\tt 105 4. From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: �= PERMIT CLEARK INITIAL: F RESUBMITTED DATE: L # L 69-c)10 PERMIT CLEARK INITIAL: Marianne Cook 360 NE 105th St Miami Shores, FL 33138 04/07/09 Miami Shores Village Building Department 10050 NE Second Ave Miami Shores, FL 33138 -2382 Re: Home Renovation To Whom It May Concern, ip) lc mc w re LE X 13 2009 111 BY _a O4 )62. 2 Please release the contractor and application on file in your office for the proposed renovation at the above address, as I have contracted Galena Construction, EFJ Electrical Contractors, Charles Culpepper Engineering, Air Cooling Mechanical Contractors to perform the project. Thank You- Marianne Cook seek. 4 k Ofr{l 1 2 ,O°l &)0( bov. yk,k Q ►MctriAorNt e v rc)&1Quad eL. Aiont Zak 'vt ,D., �. 'bectiN L_ ev4►n5 VYlklevw‘nnl°SSE 410v.2g fC2211C) 4 "i°"f D �1NA L EVANS MY COMMISSION (0 DD509375 1.OF110 EXPiRFS: Jan. 22, 10 (407) 388-0153 Rvida Notary S vkgcom Jacob Brillhart Architect, P.A. July 9th, 2008 Building Department of Miami Shores 10050 NE Second Avenue Miami Shores, FL 33138 RE: Comments and Review @ Marianne Cook Residence 360 NE 105th Street Miami Shores, FL 33138 Dear Mr. Claudio Grande, This letter is in response to your comments dated 1/20/08. (Me ir-O-D Comments: 1. Eric Bodin (the contractor will submit all permit applications) 2. The plans have been submitted to DERM and The Impact fee's have been paid. As per our conversation about a week ago you said we would not have to submit to HRS due to the fact that we are not adding any new bedrooms and bathrooms. We are just adding some kitchen square footage and relocating some plumbing fixtures in an existing bathroom. The existing septic tank and drain field is on the other side of the house than the kitchen addition. 3. I have provided a signed and sealed Special inspector form. 4. Also provided is the Architect of Record (approved) proposed windows and NOA's Jeld -Wen Inc. "Tradition Plus" Aluminum Clad Wood Window NOA No 03- 1204.02 "Tradition Plus Unclipped Mullions" NOA No. 05- 0223.01 I have written these NOA Numbers on the permit sets and provided a hard copy of the specifications here -in. If you have any questions please do not hesitate to call. Thank 3tou Jacob art Regi d Architect - AA93501 3101 Indian Creek Drive, Miami Beach FL 33140 Phone: 786 280 7769 1. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. g lDZ Job Name ` O 14 Date f 2-o 0 BUILDING CRITIQUE SHEET Sv‘mr Me Awe/ X1/1 am r -- D,Ac( /AAktlis �/1 � � y A7s /zovl 57/1;42 owe/ $ & Ex) hv-ee, ed0 .C%' T "-Jot) r /L/hr%' /4- he4 ous ♦a C/eCre_., [. a2/!/.G4J -ere, -em 1.,Aadr Aiod tornnuc0 477 A /f6.44.) / f I�UCt3 nv, 11 � � / 4 X24.) GO R-" e c7 .e D . Reviewer: Claudio Grande C.B.O 305 -795 -2204 Ext 1430 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 RECEIPT PERMIT #; DATE: in/c)--k/ C),0 ❑ Contractor cK3wner ❑ Architect Picked up 2 s Address: ets of plans and (other) &6) 71-66-7 r /11. S From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by PERMIT CLEARK INITIAL: RESUBMITTED DATE: PERMIT CLEARK INITIAL: Miami Shores Village Building Department 0F0 60 rt.>r:2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name 014 Date / 20 0 o 8 !©Zk7/ BUILDING CRITIQUE SHEET iO J v 60.1 _ / Ait �Oec riv "61144x4 � Aim 12 /V 41 Ic —h/ Z - e S f 2 T ma n lA.0 S I' � S S m, T �vcQ DER4i f . ceR i-N d / 1I4M r — Omit P/�lAiA'i.f, - ' 00.4//;(3- .z ,1mI) l' 114 4C.rrie5_ A Q s4A)C $q-6c0 s 'e/4 -e. /L ,) /,vee,.red ai; T ilAti-cfao /.r srocredetc 44- "� , er 2� Reviewer: Claudio Grande C.B.O 305 - 795 -2204 Ext 1430 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Issue Date: Not Issued Expires: of Issued Folio Number:1121360130020 Owner's Name: MARIANNE COOK Job Address: 360 105 Street NE Total Square Feet: 200 Miami Shores, FL 33138- Total Job Valuation: $ 50,000.00 • Owner's Phone: Contractor(s) Phone Primary Contractor BODIN CONSTRUCTION INC :::; �:::::: r:::.::.::.::.:::.::.::.::::.::.:,:.:;;.::.;::::•;:....:.::::::::::::...,.:::. �.:... :::.:• ... ...................... (306)776-3068 Yes ::. Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 6/4/2008 : Yes Comments: Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 PERMIT #; C. 0 0 " 1D'4 RECEIPT DATE: I, c 61E4 ccst--A4-rel-- ❑ Contractor ❑ Owner hitect Picked Address: �, 23 oces plans and (other) (we1u /t/. to 5 From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLEARK INITIAL: RESUBMITTED DATE: 011 411K PERMIT CLEARK INITIAL: la id y ` orri ciae 4 i7 r s� / 10050 N.E. SECOND AVE. DA:' M ef-1.. DACQu STQ, Al P PLANNING & ZONING DIRECTOR MIAMI SHORES FLORIDA_ 33138 - 23821, Telephone:: (305) 795 -2207 Fax: (305) 756 -8972 DEVELOPMENT ORDER File Number: PZ- 01 -08- 200868 Property Address: 360 NE 105th Street Applicant: Address: Agent: Address: Marianne Cook (Owner) 360 NE 105th Street Miami Shores FL 33138 Jacob Brillhart 3101 Indian Creek Drive Miami Beach FL APR 313 Me ecbs-102-4-1 Whereas, the applicant Marianne Cook (Owner) has 'filed an application' for site plan review before the Planning Board on the above property. The applicant sought approval as follows: Special Approvals, Sec. 600: Sec. 523. Site plan approval, Addition, one story addition to front of residence. Whereas, a public hearing was held on April 24, 2008 and the Board,; after having considered the application and after hearing testimony and reviewing the evidence entered, finds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village, 22, The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land i Development Code. The Board requires that all further development of thel property shall be performed in a manner consistent with the site plan, drawings, and the conditions agreed upon at the hearing: 1) Applicant to obtain all required building permits before beginning work. 2) Applicant to meet all applicable code provisions at the time of permitting. 3) Applicant to utilize only roofing material that is approved by the building official. 4) This zoning permit will lapse Ind become invalid unless the work for which it was approved is started within one (1) year of the signing of the development DO PZ -1 -08- 200868 Cook Page 1 of 2 order by the board chair, or if the work authorized by it is suspended or abandoned for a period of at least one (1) year. 5) Striations on the wall of the addition and located on either side of the window to be removed unless the striations are also added `to the front of the building where previously located on the original design. Additionally;'; the applicant must, satisfy all applicable Miami Shores Village Codes, Miami -Dadei County Codes, the applicable building and life safety code! required for development;' and provide a copy of the development older to the Building Rept. The application with conditions was passed and adopted this 24th day of April, 2008 by the Planning Board as follows: Mr. Abramitis Yes Mr. Ulmer Yes Mr. Reese Yes Mr. Sastre Absent Chairman Fernandez Yes DO PZ -1 -08- 200868 Cook Rich M. Ferndxidez Ch an, Planning + and Page 2 of 2 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP -86228 Permit Number: RC -6 -08 -1024 Inspection Date: December 21, 2011 Inspector: Bruhn, Norman Owner: COOK, MARIANNE Job Address: 360 NE 105 Street Miami Shores, FL 33138- Project: <NONE> Contractor: RHINO CONSTRUCTION Permit Type: Residential Construction Inspection Type: Termite Letter Work Classification: Addition Phone Number Parcel Number 1121360130020 Phone: (305)206 -6761 Building Department Comments NEW CONSTRUCTION OF KITCHEN (FOUNDATIONI AND ROOF) NEW DRIVEWAY RENOVATE BATHROOM TWO NEW HURRICANE IMPACT WINDOWS Passe Xi gt Inspector Comments --c( Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 December 21, 2011 Page 1 of 1 NOTICE OF PREVENTATIVE TREATMENTS FOR TERMITES (AS REQUIRED BY FLORIDA BUILDING CODE (FBC 104.2.6) SUPER PEST CONTROL ADDRESS OF TREATMENT OR LOT / BLOCK OF TREATMENT 360 NE 105 Street; Miami, Florida 33138 -2022 7/15/2011 Date Termidor Product Used 0.06 % Percent Concentration 1:00 PM Time Fiproriil Compressor Sprayer Applicator 8 Chemical Used (active ingredient) Number of Gallons Applied 79.5 Area Treated (square feet) Linear Feet Treated Soil Treatment —FOLIO # 11 -2136- 013 -0020 Stage of Treatment (Horizontal, Vertical, Adjoining Slab, Retreat of Disturbed Area) As per 104.2.6 —If soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. CHAPTER 2913 -5 TERMITE PROTECTION: "This Building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with the rules and laws as established by the Florida Department of Agriculture and Consumer Services." If this notice is for final exterior treatment, initial and date line below. 7/15/2011 CORPORATE SEAL Permit Number: RC -6 -08 -1024 j 4 Inspecto l Worksheet oami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 inspection Number: INSP- 168069 Inspection Date: December 21, 2011 Inspector: Bruhn, Norman Owner: COOK, MARIANNE Job Address: 360 NE 105 Street Miami Shores, FL 33138- Project: <NONE> Contractor: RHINO CONSTRUCTION Permit Type: 'residential Construction !nspection Type: F. Insulation Certificate Work Classification: Addition Phone Number Parcel Number 1121360130020 Phone: (305)206 -6761 Building Department Comments NEW CONSTRUCTION OF KITCHEN (FOUNDATIONI AND ROOF) NEW DRIVEWAY RENOVATE BATHROOM TWO NEW HURRICANE IMPACT WINDOWS Inspector Comments Passed Failed /4.1f. ( Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please cali: (305)762 -4949 December 21, 2011 Page 1 of 1 Rhino Construction 1865 Brickell Avenue A909 Miami, Florida 33129 305 - 801 -0651 305 - 206 -6761 RE: Insulation Affidavit Mary Ann Cook 360 NE 105 Street Miami Shores, Florida 11/21/11 We have installed the following insulation at Cook Residence Located at 360 NE 105 Street. We have installed Owens Corning R -30 Kraft 9.5" X 16" X 48" Batts in entire attic space & we have installed R -Matte Plus 3 R -5.0 %" Ridgid Insulation on all exterior walls. Thank ando Perez these spaces, copy the corresponding information from Section A. Building treet Address chadin g `� 9 Apt.. Unit, Suite, and/or bldg, laio.j or P.O. -Route and Box No. 360 L.E. 105TH ST. C MIAMI SHORES • State ZIP Code FLORIDA 33138 SEC1•ION 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 A C SLAB ELEVATION. YID G V11 • k 11111 , • • C2.e CROWN OF • ROAD ELEVATION: BM# N- Sign =� r .8I' ON CENTERLI E 0 C fl. 1 II :' :•41 LOCATOR: 3100 ELEV: 9.80' .ate_ . 12 .1 1E Check here if attachments CTIO 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 Certifiicate is Intended to support a LOMA or LOMB 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. • E1. Provide elevation information for the following and check the appropriate boxes to show whetherthe elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade•(LAG). a) Top of bottom floor (including basement, crabdspac e, or enclosure) is . Dfeet :Dmeters Dabove or Dbetow the HAG. b) Top of bottom floor (including basement, cravolspace, or enclosure) Is . Deer Outstare Dbove or Dbelow the LAG. E2. For Building Diagrams 6-9 wIth permanent flood openings provided in Section A Items 8 and/or 9 (see mats 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the bulding is • 0 feet 0 meters 0 above or U below the HAG. E3. Attached garage (top of stab) is • 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/orequipment servicing the building is 0 feat 0 meters above or 0 below the HAG. E5. Zone AO only if no flood depth number's available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The local official must certi% 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 flatboat a FEMA -issued or c ommunity 4ssued BFE) or Zone AO must sign hers. me statements to Sections A, B, and E are coziest to the best of my tmowledge. Property Owner's or -Owner's Authorized Representative's Name Address Signature City State ZiP Code Comments Date Telephone 0 Check here if attachments SECTION G - COMMUNITY •INFORMATION (OPTIONAL) The local official who is authorized by taw or ordinance ID administer the community's floodpiatn management ordinance can complete Sections A, B, C (or E), and G of thls Elevation Certificate. Complete the applicable items) and sign below. Check the measurement used in items G8 and G9. 01. 0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or archltect who is authorized by law to certify elevation informatiop. (Indicate the source and date of the elevation data in the Comments area below.) 02. 0 A community aicial completed Section E for a building located in Zone A (without a FEMA issued srcommunity-Issued BFE) or Zone AO. 03. 0 The following information (items 04-G9) Is provided for comnumiiy floodpiain managementpurposes. 04. Permit Number 05. Date:Perrnit issued 06. Date Certificate Of Compliance/Occupancy issued G7. This permit has been Issued for 0 New Construction 0 Substantial improvement G8. Elevation of as -built lowest floor (Including basement) or the building ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site 0 feet 0 meters (PR) Datum G10. Community's design flood elevation 0 feet 0 meters (PR) Datum Local Official's Name Community Name Signature Title Telephone Comments Date ❑ Check here if attachments FEMA Form 81 -31, Mar 09 Replaces all previous editions U.S. DEPARTMENT OF 140MELAND SECURrlY ELEVATION CERTIFIC TE Federal Emergency d+ AanagementAgency National Flood Insurance Program important Read the instructions on pages 1 -9. Al. Building - O-wner's Name MARIANNE COOK 11 -549 A2. Building Street Address (including Apt, Untt, Suite, and/or Bldg. No.) or P.O. Route and Box No. 360 N.E. 105TH ST. OMB No. 1860-0008 Expires March 31, 2012 , it ctswince-ChtlaparoElse-; MIAMI SHORES FLORIDA A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 3'AND 4, BLOCK 177, tiN `AMEi'1DED PLAT OF SEC. N0.5 OF MIAMI A4. Building Use (e.g., Residential,-Non- Residential Addition, Access etc. RESIDENTIAL A5. Latitude/Longitude:Lat. N25°52'17.00" Long. W80'11'25.01" A6. Attach at least 2 photograpte. of the building If the Certificate is being used to obtain flood insurance. A7. Building Diagram Number A8. Fora building with a crawlspace or enclosure(s): a) Square footage of crawispace or enclosure(s) b) No. of permanent flood openings in the crawispace. or enclos'ure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in AB.b d) Engineered flood epenings? O Yes No 2,497 sq ft 9 11,80 sqln ZIP Code 33138 SHORES, P.B. 10, PG 47. Horizontal Datum: 0 NAD 1927 NAD 1983 A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft h) No. of permanent flood openings in the .attap. i garage within 1.0 foot above adjacent grade lv c) Total net area of flood openings in A9.b N/ A sq In d) Engineered flood openings? 0 Yes E No SECTION B - FLOOD NSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number VILLAGE OF MIAMI SHORES 120652 B2. County Name NIAMI -DADE B3. State FLORIDA B4. Map/Panel Number 12086C0302 85. Suffix L B6. FIRM Index Date . 9/11/09 87. FIRM Panel Effective/Revised Date =� 9/11/09 ' B8. Flood Zone(s) X B9. Base Flood Elevation(s) (Zone AO, use base flood depth) N/A a��u indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in item B9. FIS Profile LJ FRRA Community Determined Q Other (Describe) 811. indicate elevation datum used for BFE In 6tem B9: NGVD 1929 DNAVD 1988 DOther (Describe) 812. Is the building located itt.e Coastal. Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes Designation Date 1V A 0 CBRS 0 OPA No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based en: 0 Construction Drawings* 0 Building Under Construction* f '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 -h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized N-197 Vertical Datum NGVD 1929 Conversion/Comments N/A a) b) c) d) e) s h) Check the .measurement used. Top of bottom floor (including basement, crawlspace, er endosure floor) 10.90 fee Tap of the next higher floor _ . 11 .81 FA feet Bottom of the lowest horizontal structural member (V Zones only) N /A feet N/A - J feet 9 0 . C�li] feet 9.1. Meet NA 11. 4 ©feet _g@feet Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipmentand location in Comments) Lowest adjacent (finished) grade next to building (t.AG) Highest adjacent {finished) grade next to building (HAG) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support meters /Puerto Rico only) �--1 meters {Puerto Rico only) u meters (Puerto Rico only) ❑ meters (Puerto Rico only) meters (Puerto Rico only) 0 meters (Puerto Rico only) El meters (Puerto Rico only) Q meters (Puerto Rico only) 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. !certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 12 U.S. Code, Section 1001. p Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? PnYes Q, No Certifier's Name ADIS N. NUNEZ Title REGISTERED LAND SURVE Address Company Name OR :LANC City Signature FEMA gran 81 -31, Mar 09 License Number 5924 State u Au A . _ -, 7 12 1 l hone 305 Ta e 865 -1200. See reverse side for continuation. ZIP Code 331 1 Replaces all previous editions Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP- 168057 Permit Number: RC -6 -08 -1024 Inspection Date: December 21, 2011 Inspector: Bruhn, Norman Owner: COOK, MARIANNE Job Address: 360 NE 105 Street Miami Shores, FL 33138- Project: <NONE> Contractor: RHINO CONSTRUCTION Permit Type: Residential Construction Inspection Type: F. Elevation Certificate Work Classification: Addition Phone Number Parcel Number 1121360130020 Phone: (305)206 -6761 Building Department Comments NEW CONSTRUCTION OF KITCHEN (FOUNDATIONI AND ROOF) NEW DRIVEWAY RENOVATE BATHROOM TWO NEW HURRICANE IMPACT WINDOWS Passed %J Inspector Comments /01. Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until December 21, 2011 For Inspections please call: (305)762 -4949 Page 1 of 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: I NSP- 168057 Permit Number: RC -6 -08 -1024 Inspection Date: December 21, 2011 Inspector: Bruhn, Norman Owner: COOK, MARIANNE Job Address: 360 NE 105 Street Miami Shores, FL 33138- Project: <NONE> Contractor: RHINO CONSTRUCTION Permit Type: Residential Construction Inspection Type: F. Elevation Certificate Work Classification: Addition Phone Number Parcel Number 1121360130020 Phone: (305)206 -6761 Building Department Comments NEW CONSTRUCTION OF KITCHEN (FOUNDATIONI AND ROOF) NEW DRIVEWAY RENOVATE BATHROOM TWO NEW HURRICANE IMPACT WINDOWS Passed/'/4 Inspector Comments , )rid Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 December 21, 2011 Page 1 of 1 Ups. DEPARTMENT OF 130MELANDSECURITY ELEVATION CERTIFICATE Federal Emergency ManagementAgency National Flood insurance Program Important; Read the instruciion5 on pages 1 -9. • OMB No. 1660 -0003 Expires March 31, 2012 Al. Building _Owner s Name MARIANNE COOK 4.9 A2. Building Street Address including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 360 N.E. 105TH( ST. MIAMI SHORES Sta e FLORIDA A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 3 AND 4, BLOCK 177, AN ArTEi1DED PLAT OF SEC. N0.5 OF MIAMI. ZIP Code 33138 SHORES, P.B. 10,, PG 47. A4. Building Use (e.g., Residential,- Non - Residential Addition, Accessory tgtc A5. Latitude/Longitude: Lat. N25°52'17.00" Long. W80 1 A6. Attach at least 2 photographs of the building tithe ' Certificate is being used A7. Building Diagram Number tf A8. For .a building with .a crawispace or enclosure(s): a) Square footage of crawlspace or enclosure(s) b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.6 d) Engineered flood openings? 0 Yes :'No 2,497 set 9 _ 480 sgln RESIDENTIAL 25.01" Horizontal Datum: 0 NAD 1927 to obtain food insurance. NAD 1983 A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings In the :aattaa 4i garage within 1.0 foot above adjacent grade lV A c) Total net area offload openings In A91 N/ A sq in d) Engineered flood openings? [l Yes El No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION BI. NFIP Community Name & Community Number VILLAGE OF MIAMI SHORES 120652 B2. County Name MIAMI —DADE' B3. State FLORI 310 Indicate the source of the Base Float Elevation (BFE) data or base flood depth ,entered in Item B9. DRS Profile IA FIRM Community Determined D Other (Describe) B11. Indicate elevation datum used for BFE irn Item B9: [i NGVD 1929 • DNAVD 1988 DOther (Describe) B12. Is the building located h I Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes Designation Date 1AIH 1] CBRS ® OPA JNo SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings* El Building tinder Construction* *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30,ARJAH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in•.Item A7. Use the same datum as the BFE. Benchmark Utilized N-197 Vertical Datum Converston/Comments N /A. 'Finished Construction a) b) c) d) e) 9) h) NGVD 1929 Top of bottom floor (including 'basement, crawlspace, or enclosure floor) Tap of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipmentand •location in Comments) Lowest adjacent (finished) grade next to building (LAG) Highest adjacent (finished) grade next to building (HAG) Lowest adjacent grade at lowest. elevation of deck or stairs, including structural su .• ort Check the measurement used. 10 90 feet N/A 11 .81 feet • lEfeet N/A ��j feet 9.60 El feet 9 161Efeet N/A 11 . @feet meters (Puerto Rico only) meters (Puerto Rico only) fl meters (Puerto Rico only) ❑ meters (Puerto Rico only) meters (Puerto Rico only) 0 meters (Puerto Rico only) 0 meters (Puerto Rico only) Q meters (Puerto Rico only) 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 Cerldficate represents my best efforts to interpret the data available. I understand that any feJse statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001_ Check here If comments are provided on back of farm. Were latitude and longitude in Section A provided by a licensed land surveyor? In yes •D No Certifier's Name ADIS N. NUNEZ Title REGISTERED., ' Address - City State ZIP Code l • : . 4 , ' : • : I : i „ , „ l . 3 •Z. D4 3 1 1 Signature ' ■ Telephone /� 7 12 1 305 865 -1200, FEMA Fri” 11-3 9 liM�'� See reverse side for continuation. license Nurniber 5924 Company Name SURVEYOR BLANCO.SURVEYORS, TNC:_ Replaces all previous editions B4. Map/Panel Number Y 2086C0302 • B5. Suffix L L B6. FIRM Index Date B7. FIRM Panel EfieciyelReuised Date 9/11109' B8. Flood Zone(S) X 89. Base-Flood Elevation(s) (Zone AO, use base toad depth) N/A 310 Indicate the source of the Base Float Elevation (BFE) data or base flood depth ,entered in Item B9. DRS Profile IA FIRM Community Determined D Other (Describe) B11. Indicate elevation datum used for BFE irn Item B9: [i NGVD 1929 • DNAVD 1988 DOther (Describe) B12. Is the building located h I Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes Designation Date 1AIH 1] CBRS ® OPA JNo SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings* El Building tinder Construction* *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30,ARJAH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in•.Item A7. Use the same datum as the BFE. Benchmark Utilized N-197 Vertical Datum Converston/Comments N /A. 'Finished Construction a) b) c) d) e) 9) h) NGVD 1929 Top of bottom floor (including 'basement, crawlspace, or enclosure floor) Tap of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipmentand •location in Comments) Lowest adjacent (finished) grade next to building (LAG) Highest adjacent (finished) grade next to building (HAG) Lowest adjacent grade at lowest. elevation of deck or stairs, including structural su .• ort Check the measurement used. 10 90 feet N/A 11 .81 feet • lEfeet N/A ��j feet 9.60 El feet 9 161Efeet N/A 11 . @feet meters (Puerto Rico only) meters (Puerto Rico only) fl meters (Puerto Rico only) ❑ meters (Puerto Rico only) meters (Puerto Rico only) 0 meters (Puerto Rico only) 0 meters (Puerto Rico only) Q meters (Puerto Rico only) 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 Cerldficate represents my best efforts to interpret the data available. I understand that any feJse statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001_ Check here If comments are provided on back of farm. Were latitude and longitude in Section A provided by a licensed land surveyor? In yes •D No Certifier's Name ADIS N. NUNEZ Title REGISTERED., ' Address - City State ZIP Code l • : . 4 , ' : • : I : i „ , „ l . 3 •Z. D4 3 1 1 Signature ' ■ Telephone /� 7 12 1 305 865 -1200, FEMA Fri” 11-3 9 liM�'� See reverse side for continuation. license Nurniber 5924 Company Name SURVEYOR BLANCO.SURVEYORS, TNC:_ 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. y3_60 N.E. 105TH ST. C ttMLAMI SHORES FLORIDA • ZIP Code 33138 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official,. (2) insurance agent/cornpany, and (3) buikding owner. Comments 11111 5 111 • 11111 ' 1 : 11111 1 1 C2.e A C SLAB ELEVATION. CROWN OF BM# N —:i� Sign S ROAD ELEVATION: LOCATOR: 3100 .81' ON CENTERLI 0 ELEV: 9.80' 11. :S_I. . _mate_ . 1 1� zA T N E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) Check here if attachments For Zones AO and A (without BFE), complete Items E1 -E6. 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. • E1. Provide elevation information for the following and check the appropriate boxes to show Wiletherthe elevation is above or below the highest adjacent grade (HAG) and The lowest adjacent grade (LAG). e) Top of bottom floor (including basement •crawlspace, or enclosure) is . Ofeet Ometers Oabove or Obelow the HAG. b) Top of bottom floor (including basement, crawispace, or enclosure) Is . 'Ofeet Ometers 'above or O.below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see es 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is . 0 feet 0 meters 0 above or below the HAG. E3. Attached garage (top of slab) is . feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of macl aineryand /oequipmentservicing the building is - _ 0 feet 0 meters 0 above or • below the HAG. E5. Zone AO only If no flood depth number Is available, is the top elite bottom floor elevated In accordance with the commrmibis floodplain management ordinance? :0 Yes 0 No 0 Unknown. The local official must verify this infomaation 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 FERIA- issued or communityissued BFE) or Zone AO must sign here. The statements to Sections A, B, and E are correct to the best of my knowledge, Property Owner's er Owner's Authorized Representative's Name Address Signature City State ZIP Code Comments Date Telephone 0 Check here ti attachments SECTION 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 Items) and sign below. Check the measurement used in Items G8 and G9. G1. o 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. 0 A community official completed Section E for a building located in Zone A (without a FEMA-issued ercommunity-issued BFE) or.Zone AO. G3. 0 The following Information (Items G4-09) is provided for community floodpiain ananagementpurposes. 04. Permit Number 05. Date: Permit issued 06. Date Certificate Of Compliance/Occupancy issued • G7. This permit has been Issued for: 0 New Construction 0 Substantial improvement G8. Elevation of as -built lowest floor (Including basement) of the building 0 feet 0 meters (PR) Datum 09. BFE or (in Zone AO) depth of flooding at the ;building site 0 feet 0 meters (PRA) Datum 010. Community's design flood elevation 0 feet 0 meters (PR) Datum Local Official's Name Community Name Signature Comments Title Telephone Date FEMA Form 81 -31, Mar 09 0 Check here if attachments Replaces all previous editions Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP -86227 Permit Number: RC -6 -08 -1024 Inspection Date: December 21, 2011 Inspector: Dacquisto, David Owner: COOK, MARIANNE Job Address: 360 NE 105 Street Miami Shores, FL 33138- Project: <NONE> Contractor: RHINO CONSTRUCTION Permit Type: Residential Construction Inspection Type: Declaration of Use Work Classification: Addition Phone Number Parcel Number 1121360130020 Phone: (305)206 -6761 no Department Comments NEW CONSTRUCTION OF KITCHEN (FOUNDATIONI AND ROOF) NEW DRIVEWAY RENOVATE BATHROOM TWO NEW HURRICANE IMPACT WINDOWS Passed Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 December 21, 2011 Page 1 of 1 DOCUMENT COVER PAGE • For those documents not providing the rectiiired space on the first page, this cover page describing the document in sufficient detail to Kohl* its transference • to another document can be attached. An additional* recording fee for this page must be remitted. 111111111111111111111111111111111111111111111 CFN 2011R0787580 OR Bk 27903 Pss 0778 - 779; (2pss) RECORDED 11/22/2011 135855 • HARVEY RUVIN, CLERK OF COURT. MIAMI-DADE COUNTY? FLORIDA Description of-Documerrt 2ed11.1-4--.k° . 0 (/Ce, (Mortgage, Deed, Goristrocison Ue Et Given By To (Names of Mortgagees or Grantees) Property Description (If Applicable) -.36(0 414 /OS st: As more fuDy described in above described document • F.S. 69526 Requir ments for recording ie�ruments affecting real property (RarrarAcanerptsoste) (1) • No instilment by which the title to real property or any interest therein is conveyed, assigned, encumbered, or otherwise disposed of shall be recorded by the Clerk of the Circuit Court unless: A 3-inch by 3-inch space at the top right-hand comer on the first page and a 1-inch by 3- inch space at the top right-hand corner on each subsequent page are reserved for use by the Clerk of the Court. PREPARED BY:N�- Vd-�K. LAST PAGE Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 DECLARATION OF USE KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned W( ('G 4\02 ebb k/ is/are the fee simple owner(s) of the following described property ("Property) situated and being tinn Miami Shores Village Florida: (�,,- Lot(s) 3 4 4 Block 419 of �w` S �t) $ ,1 C (Subdivision), accordin'e to the plat thereof, as recorded in the Plat Book Page 10 " '(" of the Public Records of Miami -Dade County, Florida, (address) 34.0 nl a 16 5 and WHEREAS, the undersigned owners) have sought certain development approval from Miami Shores and are p c: ing this document in consideration thereof and to induce the Village to grant same: NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which is acknowledged, pie undersigned do(es) hereby declare and agree: 1. That the Property will not be used in violation of any ordinance of Miami Shores Village or Miami -Dade County now in effect or hereinafter. enacted. 2. That the property will be used for a single family residence only. 3. That he/she will not convey or cause to be conveyed the title to the above properly without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above Property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordance with the codes, rules and regulations of said. Village then in effect. IN WITNESS WHEREOF, the undersigned has/have caused hand(s) and seal(s) to be affixed hereto on this 1\ day of I.° 20111— WITNESSES) Signature and Print E 3 0-c G4i Q, C Signature and Print STATE OF FLORIDA ) SUSAN DEE SCHNUR COUNTY OF MIAMI -DADE ) ( !rcx ussipivegssa0 EX' : Sept siber 17.2014 v IttioesvOluaaasAmosfo. 1 HEREBY CERTIFY that on this day perso - iy appeared - o e ' e 1i,+.ti +ri r i ice; • who is personal knowilto me or has pro uced Signature and Print /Y1Ar2tAmAlE Cez.01rr Signature and Print purposes therein expressed. (type of identification) as identification and he/she acknowledge that he/she executed the foregoing, freely and voluntarily for SWORN TO AND SUBSCRIBED before me on this 1 I day of 70/11 , 20Q My commission expires: 4st (Li 'twr . DEANNA L EVANS ? NotOtfr Public - State et-Florida ilr Comm. Eiipires Feb 3, 2014 .Commission i DD 958105 National Notary Assn NOTARY PUBLIC, STA STATE OF FLORIDA, COUNTY OKDADE I HEREBY CERTIFY this ft"n 2c yd the //0(1 ,AD20 /7111 uriginoi frls0042i#9.0 on of WITNESS my hand end Mot Seat. HARVEYRUVIN,CLE 01 +E Caen lfyC00% By OP' f D.C. P Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 168042 Permit Number: RC -6 -08 -1024 Inspection Date: December 21, 2011 Inspector: Bruhn, Norman Owner: COOK, MARIANNE Job Address: 360 NE 105 Street Miami Shores, FL 33138- Project: <NONE> Contractor: RHINO CONSTRUCTION Permit Type: Residential Construction Inspection Type: Survey Final Work Classification: Addition Phone Number Parcel Number 1121360130020 Phone: (305)206 -6761 Building Department Comments NEW CONSTRUCTION OF KITCHEN (FOUNDATION! AND ROOF) NEW DRIVEWAY RENOVATE BATHROOM TWO NEW HURRICANE IMPACT WINDOWS Passed Inspector Comments -14444 5 t lent;' g. "lay ci'cp ,tr•t ll�' ✓'�- Pisv.�. i' Dcio' -e et L �p t7 S',. ip ��.A`6. s W ra4 '-1 / e ✓N'1 1- I SJ 14 .9 '1 (. 1 /2///4 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 December 21, 2011 Page 1 of 1 r ti 123.15' (R&M) -n ov m—r r 25.00' °D - 30.10' r Y x1.70' CL 4' C.L.F. LOCATION SKETCH SCALE: NTS 37.50' 39.50' 3.5 3' 1.20' 24.10' 38.53' 30.00' O g fri rtm cri DoE. 4th AVE 'a UE DEC 1 U I BY.e°etrse e,re.e _ . - - - - 1 024 - Miami Shores Villaae 24.10' APPROVED BY DATE 70NING DEPT 19.50' 30.7' 37.50' O: 0 r - - -- - ---`-- �.: --:fix NOT VALID UNLESS EMBOSSED WITH SURVEYOR'S SEAL 4' C.L.F. ABBREVIATIONS; S V K =SIDEWALK, CBS= CONCRETE BLOCK STRUCTURE, CLF =CHAIN LINK FENCE, PL= PROPERTY LINE, DUE = DRAINAGE UTILITY EASEMENT, IP =IRON PIP!', F= FOUND, A/C =AIR CONDITIONER PAD, P /C= PROPERTY CORNER, D/H =DRILLED HOLE, W/F =1AOODEN FENCE, RES= RESIDENCE, CL- CLEAR, RB =REBA!., uE =UTILnY EASEMENT, CONC =CONCRETE SLAB, RNV=RIGHT OF WAY. DE =DRAINAGE EASEMENT, C/L =CENTER LINE. O= DIAMTER, TYP =TYPICAL. M= MEASURED. R= RECORDED, ENCR = ENCROACHMENT, COMP =COMPUTER, ASH = ASPHALT, N/D =NAIL & DISC, S =SET, FEE= FINISH FLOOR ELEVATIOI 0 /S= OFFSET, P/P= POVVER POLE, OHP= OVERHEAD POWERLINE, ViV11 =1NW TER METER WOOD FENCE- MASONRYVIA L =1 I I I I I I I I I ELEVATION BASED ON LOC. # 3100 CONCRETE= �'•:t•..• :e••::•:: t:.:••t :.:••�;.:•.�;•:.•� :.•I CBM# N -397 ELV. 9.80 TYPE OF SURVEY: BOUNDARY SURVEY MAINTENANCE & DRAINAGE EASEMENT= M & D.E. SURVEYORS NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATURE AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOl COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5) UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9) CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IFANY,AFFECTINGTHIS PROPERTY. BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB PAGE 123.10' (R&M) 1 " =20' BLDG DEPT SUBJECT 10 CCMIPI.IANCE WI f-1 All FEDERAL STATE AND Dr:,UN RULES Amp pczc:t) SURVEY FOR: MARIANNE COOK, 360 N.E. 105TH ST., MIAMI SHORES, FL. 33138. LEGAL DESCRIPTION: LOTS 3 AND 4 OF AN AMENDED PLAT OF SECTION NO. 5 OF MIAMI SHORES BLOCK 117 SUBDIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 47 OF THE PUBLIC RECORDS MIAMI -DADE COUNTY, FLORIDA � � - .o: `a��.5°.>rhF- 6 � •ss ..�' �5�s � � �•.�.: 'x act`- �^'�'� k�s� -� Lam... -�-t� �...� ��;<,�. •.�.:..�•'�.�, „�..a.� `su,� .�a- �, - a'Y'� '�-- Sr'�?..�;.:s'+..- 1 HEREBY CERTIFY That the survey represented thereon meets the minimum technical requirements adopted by the STATE OF FLORIDA Board of Land Surveyors pursuant to Section 472.027 Florida Statutes. There are no encroachments, overlaps, easements appearing on the plat or visible easements other than as shown hereon. I BLANGO`` R G. Engineers • Land u e s P1 n ers LL3 # 0007059 555 0 !4' H R RIVE MIA NILE EACH FLra3t41 Email: blan o` y6rj 0@yaho6 corn_ Fax: (305) 865 -7810 DATE - j9111/09 BASE:N /A (305) 865 -1200 ADIS N. NUNEZ REGISTERED LAND SURVEYOR STATE OF FLORIDA #5924 SCALE: 1 " =20' U FIX • towitbNAyi 112065ili DWN. BY: F. Blanco 11 -549 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP -86247 Permit Number: RC -6 -08 -1024 Inspection Date: December 21, 2011 Inspector: Bruhn, Norman Owner: COOK, MARIANNE Job Address: 360 NE 105 Street Miami Shores, FL 33138- Project: <NONE> Contractor: RHINO CONSTRUCTION Permit Type: Residential Construction Inspection Type: Final PE Certification Work Classification: Addition Phone Number Parcel Number 1121360130020 Phone: (305)206 -6761 Building Department Comments NEW CONSTRUCTION OF KITCHEN (FOUNDATION! AND ROOF) NEW DRIVEWAY RENOVATE BATHROOM TWO NEW HURRICANE IMPACT WINDOWS Passed" d / Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 December 21, 2011 Page 1 of 1 GEOTEI NNICA ENVIRONMENTAL HYDROGEOLOGY ASBESTOS III R T % MIM* ME1 441/1 TESTING LABORATORIES DRILLING SERVICES . INSPECTION SERVICES ROOFING DYNATECH ENGINEERING CORP. Certificate of Compliance Miami, July 13, 2011 Mr. Jorge Delray RHINO CONSTRUCTION 1908 SW 9th Street Miami, FL 33135 Re: Addition @ 360 NE 105th Street Miami Shores, FL. Dear Mr. Delray: In accordance with the Florida Building Code, pertaining to the special inspections and engineered unit masonry, respectively, we herewith provide the Building and Zoning Department, with the final disposition on the building components inspected under our authority: "To the best of our knowledge and ability all work associated with the engineered unit masonry for the referenced structure has been completed in accordance with the approved documents, all applicable building codes having jurisdiction and as revised by the Ate and/or Engineer -of- Record." Jacob Brillhart Architect, P.A. plans dated May 29, 2008. Through physical testing and field verifications, we have inspected the reinforced masonry units for the above referenced structure to assure the proper consolidation of the vertical masonry filled cells. * Slab -on -grade thru roof tie beam. Should you require any additional information, do not hesitate to call us. Sincerely yours, Wissam Naamani, P. E. DYNATECH ENGINEER ING CORP. Florida Reg. No. 39584 Special Inspector No. 757 a�GCY ,oY '9 "�® QA 0 * e Jo. 395 S7; Je 750 West 84 Street, Hialeah, FL 33014 -3618 . Phone: (305) 828 -7499 ® Fax: (305) 828 -9598 E -Mail: Dynatech @Bellsouth.net Printed on Reba Po7 , • GEOTEANICAi= ENVIRONMENTAL HYDROGEOLOGY ASBESTOS Miami, July 13, 2011 ZIA.nnor %.‘ MUM* Ilb.e. sn DYNATECH ENGINEERING CORP. Mr. Jorge Delray RHINO CONSTRUCTION 1908 SW 9th Street Miami, FL 33135 Re: Addition @ 360 NE 105th Street Miami Shores, FL. Owner's Name: Address: Permit No.: Contractors: Statement of Inspection Marianne Cook 360 NE 105th Street, Miami Shores, FL. RC 6081024 Mr. Jorge Delray TESTING LABORATORIES DRILLING SERVICES INSPECTION SERVICES ROOFING Dear Mr. Delray: I, Wissam Naamani, having performed and approved the required inspections, as indicated in the attached approved inspection log, hereby attest that to the best of my knowledge, belief and professional judgement, the structural and envelope components of the above referenced structure are in compliance with the approved plans and other approved permit documents. I also attest that to the best of my knowledge, belief and professional judgement, the approved permit plans represent as- built condition of the structural and envelope installation component of said structure. This document is being prepared in accordance with Florida Building Code and must be submitted to the building department at the time of the final inspection for the above referenced structure. Should you have any questions or need any additional information please do not hesitate to contact me. Sincerely yours, Wissam Naamani, P.E. DYNATECH ENGINEERING CORP. Florida Reg. No. 39584 Special Inspector No. 757 i'4 STATE OF i 4 750 West 84 Street, Hialeah, FL 33014 -3618 Phone: (305) 828 -7499 ° Fax: (305) 828 -9598 E -Mail: Dynatech @Bellsouth.net Panted on Recycled Paper Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: I NS P- 168211 Permit Number: RC -6 -08 -1024 Inspection Date: April 11, 2012 Inspector: Dacquisto, David Owner: COOK, MARIANNE Job Address: 360 NE 105 Street Miami Shores, FL 33138- Project: <NONE> Contractor: RHINO CONSTRUCTION Permit Type: Residential Construction Inspection Type: Survey Final Work Classification: Addition Phone Number Parcel Number 1121360130020 Phone: (305)206 -6761 Building Department Comments NEW CONSTRUCTION OF KITCHEN (FOUNDATION! AND ROOF) NEW DRIVEWAY RENOVATE BATHROOM TWO NEW HURRICANE IMPACT WINDOWS (J ll ( t l ( Passed «l Crfrt 7 Inspector Comments CREATED AS REINSPECTION FOR INSP- 168042. Drive must be a minimum of 5' from house. Was a permit secured for the side yard patio. NB .,,,,/, i'� ( Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 April 11, 2012 Page 1 of 1 gt-1 r ti O 01 r 123.15' (R&M) .7y K v v X 30.10' =v 00 LOCATION SKETCH SCALE: NTS r 37.50' tO APR 1 12 '2 IDLI 39.50' 24.10' 0 z nm cn O 01 0 V Mk WIIIIIII • ~WIWI V ;I,I,I,I,I,I ,I,I,I,I! I, 4 IIIIIII . IIIII I b ;I,I,I,I,I,II,S *VV,,, w ;I,I,I,I,IIIII,I,I,I00,,01 I, I, I, I, I, , , , , I, I, I, I, I, I,I; I_I_II■II■II_II_I_II■Lw 38.53' A 0 0 24.10' r W o 0 v X.....A AN A :. « A A 4' C.L.F. 30.00' O csiP 0 O NOT VALID UNLESS EMBOSSED WITH SURVEYOR'S SEAL REVISED: 4/3/ 12 FOR PAVERS 19.50' 30.7' 37.50' h x A A- A A I A 123.10' (R&M) Po 1"=20' ABBREVIATIONS: SWK =SIDEWALK, CBS= CONCRETE BLOCK STRUCTURE, CLF =CHAIN LINK FENCE, PL= PROPERTY LINE, DUE = DRAINAGE UTILITY EASEMENT, IP =IRON PIPI', F= FOUND, NC =AIR CONDmONER PAD, P/C =PROPERTY CORNER, D/H=DRILLED HOLE, W/F =WOODEN FENCE, RES= RESIDENCE, CL- CLEAR, RB =REBAF., VE =UTILnY EASEMENT. CONC=CONCRETE SLAB. R/VkRIGHT OF WAY, DE =DRAINAGE EASEMENT, CIL =CENTER LINE, O =DIAMTER TYP=TYPICAL M= MEASURED. R =RECORDED, ENCR = ENCROACHMENT, COMP =COMPUTER, ASH = ASPHALT, N/D =NAIL & DISC, S =SET, FEE =FINISH FLOOR ELEVATION, 0 /S= OFFSET, PIP =POWER POLE, OHP= OVERHEAD POWERLINE, WVI =W4 TER METER VWODFENCE= ELEVATION BASED ON -LOC. # 3100 MAINTENANCE& DRAINAGE EASEMENT= M &D.E••� •" CBM# N °397 ELV. 9. 80'T(PE OF SURVEY: BOUNDARY SURVEY SURVEYOR'S NOTES: 1) OWNERSHIP SUBJECT TO OPINION OF TITLE. 2) NOT VALID WITHOUT THE SIGNATURE AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 3) THE SURVEY DEPICTED HERE IS NOT COVERED BY PROFESSIONAL LIABILITY INSURANCE. 4) LEGAL DESCRIPTION PROVIDED BY CLIENT. 5) UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVATIONS ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE UNKNOWN. 8) THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. 9) CONTACT THE APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK FOR BUILDING AND ZONING INFORMATION. 10) EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED - INSTR- UME -NTS,, I €y4NX -AFFE INC -THIS PROPERTY - -- II 1•I I I 1 1 11 0 pzik 0 P4 Not N.E. 4th AVENUE °ROVED N1NG DEPT ti >._DG DEPT 1H,11 CT 10 Cp , MI LIANCE Wi11-1 ALL FEDERAL II t CQI JN TY I IUI ES AND REGULATIONS 0 rfi SURVEY FOR: MARIANNE COOK, 360 N.E. 105TH ST., MIAMI SHORES, FL. 33138. LEGAL DESCRIPTION: LOTS 3 AND 4 OF AN AMENDED PLAT OF SECTION NO. 5 OF MIAMI SHORES ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 OF THE PUBLIC RECORDS MIAMI —DADE COUNTY, FLORIDA 1 HEREBY CERTIFY That the survey represented thereon meets the minimum technical requirements adopted by the STATE OF FLORIDA Board of Land Surveyors pursuant to Section 472.027 Florida Statutes. There are no encroachments, overlaps, easements appearing on the plat or visible easements other than as shown hereon. BLOCK 117 SUBDIVISION AT PAGE 47 SINCE 1987 BLANGO SURVEYORS INC. Engineers • Land Surveyors • Planners • LB # 0007059 555 NORTH SHORE DRIVE MIAMI BEACH, FL 33141 Email: blancosurveyorsinc@yahoo.com Fax: (305) 865 -7810 (305) 865 -1200 BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB PAGE ADIS N. NUNEZ REGISTERED. LAND SURVEYOR STATE OF FLORIDA #5924 SCALE: 1 " =20' DWN. BY: F. Blanco 11 -549 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Typ : BUILDING ROOFING Owner's Name (Fee Simple Titleholder) MAY tniJ a 0 L Owner's Address 3 (,7 0 1,4 E., 1 s City ' lii , AP"- + U1 v t.`7 State IC Tenant/Lessee Name Email Permit No. (Lc 0 - 16 Master Permit No. 30 303 l`N Phone # I3C S i �' `.5 (m g Zip Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip 37) 13 S FOLIO / PARCEL # 11 -7- i`3 -C15 -0Cfin cpc- ? 10-LI'. (k °1(- i-1-,0 -5 27 y 3is ; 'a i. s7� 3� t 2,$ Phone # Is Building Historically Designated YES NO Contractor's Company Name L / 4/0 A-5 4‘vt c 1 j 0�✓ Contractor's Address /5 ,/.) 'Cs . / 4, i q`/ Phone # Flood Zone City 44‘144.,, State 7 Zip 3 5(2-1 Qualifier Name 1'4r)11/1,1,"/ d o / Z Phone # 5 PS- - State Certificate or Registration No. C GC 0 6, 2, S S 3 Certificate of Competency No. Contact Phone 3-o s- E t- m to S( E -mail Ac G Architect /Engineer's Name (if applicable) �- I. J ` Value of Work For this Permit $ Iv j 4 C •- -- Type of Work: Addition [lteralion Describe Wor$: - C, L cl d' W Phone # )0 7-P1 Square / Linear Footage Of Work: r3 0 0 5 ew ❑ Repair /Replace ❑ Demolition - F 4'1r1 i _l ********* * * * * * * * * * * * ** * * * * * * * * * *** * * * ** Fees *: * ** * ** :*** * * * * *** * * * * * * * * * * * * * * * * * * * * *** Submittal Fee $ `7 Permit Fee $ 1 /4"-V CCF $ -.27(` LO CO /CC $ ` t Si) - "` s , Notary $ Training/Education Fee $ 11 t C 't ( Technology Fee $ LI - ( 0 Scanning $ 'L`1, of° Radon $ 1 c't DPBR $ 1, 0 Bond $ 3D0 -v & 142K3 Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ Z See Reverse side -a 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: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must • ,ed at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence o s', h poste notice, the inspectio; wt not be approved and a reinspection fee will be charged. natu r2:-tiC u- Cy� Owner or Agent The foregoing instrument was ackn wle4iged befo me this /Irk The fore day of , 20 < , by ait' p,/vv.&.) , day of who is r who has produced who i As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: `NG My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY Contra � / — ing instrument was acknowledged before me this( 1 , by who has produced ersonally known t as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: �5,,bt/ 5 4464 /4 , My Commission E �,u ��,11Y ►V S(1� � SCOUR .� • fe, SUSAN DEE COMMISSION DD YYCOM�SO$lUO56 y% * MY COMMISSION # DD 584985 ,► ?, ` * EXPIRES: September 17, 2010 ,� 1 EltPNS 17,2010 �x * * * * * * * * * * * * * *x* * * * * * * *' Q PIOMMIX404**** : ** d Plans Examiner Engineer (Revised 07 /10 /07)(Revised 06/10/2009) Zoning Clerk checked Miami Shores Village Building Department Tr TRVIS le Titleholder) \/ t-11i /V t.& 0L. Phone # Owner's Name (Fee Si Owner's Address City IVA Change of Contractor Permit No. 6-0 State Zip t` Tenant/Lessee Name Phone # Job Address (of where the work is being done) City M. . i li..r4 1 Legal Description ti3 LC/ t■) 1.0 (5 c)4(e County 0A__ Q Zip 117 t'2 U © 5P ?7 0-LIT k. -(n- Lo ' cL.✓� aN q Um ON Phone# r6C..' �i� L T b 6�4dl0lfi5' Contractor's Company Name .Ae -1 &)0a? 665 Contractor's Address t (Q' Q ; , c,h-'U] . State `-f/ City ti,l''fiM Qualifier M V e.-q Zip Describe Work: IIL L Pd I. A 0 d I hereby certify that the work has been abandoned and /or the contractor is unable or unwilling to complete the contract. I hold the Building Official and the Village of Miami Shores harmless from all legal involvement. Signature Owner or Agent The foregoing instrument was acknowledged before me thi this day o who is per ; nally knows -or who has produced As identification an who did take an oath. NOTARY P Sign: Print: - 4 ��/ �% .� ilf ' !_ t, SUSAN DEE SGHNUR My Commission Expires: , MY COMMISSION t DD 584985 EXPIRES: September 17,2010 Of c , ( e Banded T h m Budget NoI y Services Rev. 09119/03) The foregoing instrument was acknowledged before me day of who is pers 20‘Cl b own to me or who has produced as identification and who did take an oath. My Commission expires: fir -.1 I; : •. • • *#. ***\ '1+ ADp5` * * * ** * * * * *�c um EXPIRES: September 17, 2010 '44.0F ro' Banded Thor Budget 1 ,y,Savices Galena Construction, Inc. CGC #057384 Phone (305) 665 -9694 Fax (305) 665 -1424 aisavsl .... 6475 S.W. 38 Street Miami, Fl 33155 To Whom it may concern, Galena construction will not be working on the project located at 360 NE 105 St. We have not begun any work as of now and we will not be conducting any work in the future at this address. A permit /process number has been given to this project — RC -6 -08 -1024 and driveway - DS -4 -09 -628. Thank You, Alfredo Iglesias Ofrifycl P071/01/1 ji. �(17ao o SUSANDEESOAUR AocomiASSION•DD 584985 "4 °uif\oP EXPIRES Noma*. Doodad Tye Ekidget Notary *tee April 29,2010 9 Maryanne Cook 360 NE 105 Street Miami Shores, Florida 33138 To whom it may concern: We have not started the project with Galena Construction. Please remove him as Contractor for Process Number # RC -6 -08 -1024 / DS -4 -09 -628. Thank You, Maryanne Cook gal) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: $5) 756.8972 BUILDING PERMIT APPLICATIO FBC Permit Type (circle): Roofing Permit No.. Master Permit No. 35 ot- o(Si et 30S--3 0s -14-11 Owner's Name (Fee Simple Titleholder) Mb.,+(•f6 N A CcC k Owner's Address 125,51. Phone # 305' %5- 7- 57 c CityA fro ij Silo e , 5 State FL" Zip S3 t 3 Tenant/Lessee Name Phone # Job Address (where the work is being done) 3t 6 /OS 5`f City Miami Shores Village County Miami -Dade Zip 3 3/3 FOLIO / PARCEL #` ` -A./ 3 / - U 13 ^boa 0 Se, c. J5-6 3 /6"47 al< / 7 er7(S"..31:34 Is Building Historically Designated YES NO ✓ Contractor's Company Name G,L!(' Jd Cak/ST, i /d1J,, //IC. Phone # 65/76--.144 3t, gT State �Ge Contractor's Address City A-4■AY! Qualifier Name /aL. ,,pO /44,6,4/A5 Phone # (36) 17o -/371 State Certificate or Registration No. CgC 05738 (L Architect/Engineer's Name (if applicable) J .. II C 1 1 L f Phone # Zip .3 Certificate of Competency No. Value of Work For this Permit $ Zb``(-30‹ Square / Linear Footage Of Work: 3D 0 5 a Type of Work: I1A Addition [Alteration ❑New ❑ Repair/Replace Describe Work: 14.; r' tt o no, ierv► sC c v ❑ Demolition ******** * * * * * * ** * * * * * ** * * * * * * ** ** * * * * ** Fees************* * * * * * * * * * ** * * * * * * * * * *** * * ** * * ** Submittal Feel. 2.5D ) Notary $ Scanning Bond Structural Review. $ Permit Fee $ / ^7,(�O�'6� CCF $ -!^^ CO /CC •w Training/Education//Fee $ 11 •4J Technology Fee $ '` S Radon $ •�V DPBR $ ISO Zoning $ Code Enforcement $ Double Fee $ Total Fee Now Due $ a2)0-YS ' a 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 lation 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 kormsa 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/4 not be approved and a reinspection fee will be charged. ( Signature Owner or Agent The foregoing instrument was acknowledged before me this day of 41!1, , 2004i , by M' �.t a l i r4t2 C who is personally known to me or who has produced V WCS As identification and who did take an oath. NOTARY PUBLIC: Sign: ca_c� ..a •,.. Print: \V - i-.1 ,�+ _ SSON :DEse9375 `` S i 22,20i0 My Commission Expires: 11)a. 1 c : ,; L ,Cp APPLICATION APPROVED BY: (Revised 07/10/07) Contractor The foregoing instrument was acknowledged before me this A14417/ day of Ae, (L , 20047, by AI/f' -tV�, jp 14 L.0 /a5 who is personally known to me or who has produced)4- (-02v' i (' Cwt SL as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: G.. _tit' My Commission q ' "Cf ?.. e: tiJ SS :ON # DD509375 )so 51 ` Jan 2z 2'10 ********************* * * * * * * * * * * * * * * * * * *** * * * * * * * * * ** Plans Examiner Engineer Zoning Permit Number: RC -6 -08 -1024 I i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP -86232 Inspection Date: October 25, 2010 Inspector: Dacquisto, David Owner: COOK, MARIANNE Job Address: 360 NE 105 Street Miami Shores, FL 33138- Project <NONE> Contractor: RHINO CONSTRUCTION Permit Type: Residential Construction Inspection Type: Spot Survey Work Classification: Addition Phone Number Parcel Number 1121360130020 Phone: (305)206 -6761 Building Department Comments NEW CONSTRUCTION OF KITCHEN (FOUNDATION! AND ROOF) NEW DRIVEWAY RENOVATE BATHROOM TWO NEW HURRICANE IMPACT WINDOWS 6 % /b Mit d Inspeccr -'—�-►' S Comments 1)1/4" ;..� � Pezi VL ''LJ ` �; '' i n /► • .. r� `:I _ Passed 4/cJ6( Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 October 25, 2010 Page 1 of 1 - s 123.15' (R &M) LOCATION SKETCH SCALE: NTS 30.10' 37.50' of 11.10' 6.90' 25.00' 39.50' 5.00' 1.20' 16.00' 24.10' 38.53' 30.00' N.E. 4th AVENUE 24.10' 19.50' 30.7' 37.50' 4' C.L.F. 123.10' (R &M Miami Shorts Village :n..PPP.OVFD BY DATE DEPT .7,,. P DEPT SWK=SIDEVVALK, CBS =CONCREI BLOC CTURe, NLINKFENCE,PL=PROPERTYLINE,DUE =DRAINAGE UTILrrYEASEMEN1IP =IRON PIPE. If i ; f () t;(-)MPI.IANCE WITI-k PE-43,04-cONDITION I R PAD, ROYERTYCORNER,°Ofl'1 =DRILLED HOLD VWF =W3 �DEN� NC�, RIS=R €VDENCE, CL- CLEAR, RB=REBAR, • ��yyU =UrT'1L�I� IY EASEMENT. CON • CONCRETE SLAB. RAM RIGHT OF WAY, DE4F8FTAINA�a: EASEMEt,tr, $/LaCEIITER LINE, O= DIAMTER, TYP=TYPICAL, 'M E 11./AP ORDER, NCR = ENCROACHMENT, COMP =COMPUTERePipH=AS T•p1/a =N,IL: DrISC,••S=SfiTi, FEE =FINISH FLOOR ELEVATION, NOT VAUD UNLESS EMBOSSED WITH SURVEYOR'S SEAL REVISED: O/ S= OFFSET, P/P =POWER POLE, OHP =OVERHEAD POWERLINE, 1IMV1 =WATER 'in • • • • • • WOOD FENCE= • • • • • ._•.__:, • • MASONRYWA_L =1 1 I 1 I 1 1 I I I ELEVATION A DON LQC, #,3.00 CONCRETE= •••: 8.. Y: I ..:.... ".:•.1;.. "I.. ";ti•..8::.I CBM# N -397 i,�, MAINTENANCE & DRAINAGE EASEMENT= M & D.E. • • • • E •• a i 80• TYIEE9F SURVEY: BOUNDARY SURVEY SURVEYORS NOTES: 1) OWNERSHIP SUBJECT TO OI�NgDN OF TITLLE :) AIiID • OUT THE SIGNATURE AND RAISED SEAL OF A FLORIDA LICENSED SURVEYOR A4ID PPER. • U ICTED HERE IS NOT COVERED BY PROFESSIONAL LIABILITY INSURANCE. • 4) 4. 1.4 6A�..•D SCRIPT -10N, RO ED BY CLIENT. 5) UNDERGROUND ENCROACHMENTS NOT LOCATED. 6) ELEVAT N E SE� NATIONAL GEODETIC VERTICAL DATUM OF 1929. 7) OWNERSHIP OF FENCES ARE IJNK , V ;'8) !; TH Y BE ADDITIONAL RESTRICTIONS NOT SHOWN ON THIS SURVEY THAT MAY Bug) IN•THE 1J I,Io.# CO OF THIS COUNTY. 9) CONTACT THE APPROPRIATE AUTHORITY PRIOR TO • l R ILDING AND ZONING iNEORMATION. 10) EXAMINATIOOLOE THSABS.TBAC7�FI1TU LI•HZ E I E TIC/ID MINE RECORDED - INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY. • • • • • • • • • • • • • • • • • BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB PAGE LEGAL DESCRIPTION: LOTS 3 AND 4 OF AN AMENDED PLAT OF SECTION NO. 5 OF MIAMI SHORES ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 OF THE PUBLIC RECORDS MIAMI -DADE COUNTY, FLORIDA •• • • . • • • ••• •• • • • • • • • • • •• • • 1 HEREBY GcFirIF`f That the survey represented thereon meets the minimum technical requirements adopted by the STATE OF FLORIDA Boar of Land SurO flbr% Wrsuadt to „legion 472.027 'Florida Statutes. • • • • • • • • • • Thy/ are:no:encroacfim.nts, • easements appeSring dh the plattr easerttents &tler than as shown hereon. • • ••• • • • • • 1•�I • • • • ••�•• • OAS hloNIONEZ• • RE[3'ISTEIQED.LAND .SI ii%YOR STATE OF FLORIDA #5924 BLOCK 117 SUBDIVISION AT PAGE SINCE 1987 BL.ANCO SURVEYORS INC. Engineers • Land Surveyors • Planners • LB # 0007059 555 NORTH SHORE DRIVE MIAMI BEACH, FL 33141 Email: blancosurveyorslnc@yahoo com Fax (305) 865-7810 (305) 865 -1200 FLOOD ZONE: $ PANEL: 0302 DATE: 10 /20/10 SCALE: 1 ° =20' SUFFIX: L D A T E — COMMUNITY# 120652 DWN. BY: F. Blanco JOB No 10- -737- NOTICE OF PREVENTATIVE TREATMENTS FOR TERMITES (AS REQUIRED BY FLORIDA BUILDING CODE (FBC 104.2.6) SUPER PEST CONTROL ADDRESS OF TREATMENT OR LOT / BLOCK OF TREATMENT 8/11/2010 Date Termidor Product Used 0.06 % 360 NE 105° Street; Miami, Florida 33138 -2022 7:00 PM Time Fipronil Compressor Sprayer Applicator 25 Chemical Used (active ingredient) Number of Gallons Applied 204 Percent Concentration Area Treated (square feet) Soil Treatment —FOLIO # 11- 2136- 013 -0020 Linear Feet Treated Stage of Treatment (Horizontal, Vertical, Adjoining Slab, Retreat of Disturbed Area) As per 104.2.6 —If soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. The building has received a complete treatment for the protection of subterra- nean termites. Treatment is in accordance with rules and laws established by the Florida Department of Agriculture and Consumer Services. If this notice is for final exterior treatment, initial and date line below. 8/11/2010 CORPORATE SEAL 0 DYNATECH 'ROCTOR COMPACTION TEST DATE: August 12, 2010 CLIENT: RHINO CONSTRUCTION PROJECT: Addition @ ADDRESS: 360 NE 105th Street. Miami Shores. FL CONTRACTOR: Rhino Construction MATERIAL DESCRIPTION: White sand SAMPLED BY: JA ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH, FLORIDA 33014 (305) 828 -7499 TESTED BY: JA TEST RESULTS Sample Number 1 The following compaction test was conducted in accordance with the Standard Methods for Moisture Density Relations of soil using a 101b. Hammer and an 18" drop AASHTO designation T- 180 -C. % MOISTURE DRY DENSITY 6.6 8.9 12.4 100.9 103.2 101.7 106 OW MOO 104 10d �m et,� 102 ' Optimum Moisture 10.6 Perce ezf r ° ® i to, 100% Maximum Dry Density 104.3 100 % Passing 3/4" Sieve 97.7 Sampled By: JA Tested By: JA Checked By: JA W Peres! STATE OF 10" At 95 doo LORD •• ; C9 o � / �' /6N. • `° 0 96 �/111111�� As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for use, publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. 6 8 10 12 14 % MOISTURE Respectively s bnnitted, 16 tss, aamani, P.E. D ATECH ENGINEERING CORP. Florida Reg. No. 39584 D R Y D E N 1 Y DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH, FLORIDA 33014 (305) 828 -7499 FIELD DENSITY TEST OF COMPACTED SOILS DATE: August 12, 2010 CLIENT: RHINO CONSTRUCTION PROJECT: Addition @ ADDRESS: 360 NE 105th Street, Miami Shores, FL CONTRACTOR: Rhino Construction Test No. 1 Location: Test No. 2 Location: Test No. 3 Location: Test No. Location: Test No. Location: Description of Material: East side of pad underslab Center of pad underslab West side of pad underslab White sand Proctor T -180 A.A.S.T.O. METHO REMARKS: ALL ABOVE TEST Sampled By: JA Tested By: JA Checked By: JA Rig COMPLY WITH SPECIFICATIONS zry Res • ectful y submitted, miwd, ° $ STATE OF *A density test determines the degree of compactit Tg a mutual protection to the clients, the public and our* conclusions or extracts from or regarding our reports it' W'ssam Naamani, P.E. DYNATECH ENGINEERING CORP. Florida Reg. No. 39584 ial only. In no way shall a density test replace a soilbearing capacity determination. As is miffed as the confidential property of clients, and authorization for publication of statement In our written approval. TEST NO. 1 2 3 DEPTH 12" 12" 12" 103.1 104.0 103.7 FIELD DENSITY MOISTURE CONTENT % 7.8 7.3 8.1 MAX. DENSITY IN THE FIELD % 98.8 99.7 99.4 COMPACTION REQUIREMENTS BY SPECS. % OF MAXIMUM DENSITY 98% 98% 98% 100% MAXIMUM DENSITY (LAB) 104.3 104.3 104.3 OPTIMUM MOISTURE ( %) P P P P P Proctor T -180 A.A.S.T.O. METHO REMARKS: ALL ABOVE TEST Sampled By: JA Tested By: JA Checked By: JA Rig COMPLY WITH SPECIFICATIONS zry Res • ectful y submitted, miwd, ° $ STATE OF *A density test determines the degree of compactit Tg a mutual protection to the clients, the public and our* conclusions or extracts from or regarding our reports it' W'ssam Naamani, P.E. DYNATECH ENGINEERING CORP. Florida Reg. No. 39584 ial only. In no way shall a density test replace a soilbearing capacity determination. As is miffed as the confidential property of clients, and authorization for publication of statement In our written approval. DYNATECH PROCTOR COMPACTION TEST DATE: June 15, 2010 CLIENT: RHINO CONSTRUCTION PROJECT: Addition @ ADDRESS: 360 NE 105th Street, Miami Shores, FL CONTRACTOR: Rhino Construction MATERIAL DESCRIPTION: Gray sand w /rock fragments SAMPLED BY: JA ENGINEERING CORP. 750 WEST 84T4 STREET HIALEAH, FLORIDA 33014 (305) 828 -7499 TESTED BY: JA TEST RESULTS Sample Number 1 The following compaction test was conducted in accordance with. the Standard Methods for Moisture Density Relations of soil using a 10 Ib. Hammer and an 18" drop AASHTO designation T- 180 -C. % MOISTURE DRY DENSITY 5.0 7.8 13.3 107.9 111.6 108.2 Optimum Moisture 10.1 Percent 100% Maximum Dry Density 112.7 lbs. /cu.ft. % Passing 3/4" Sieve Sampled By: JA Tested By: JA Checked By: JA 93.4 Percent As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for use, publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. 114 112 110 108 106 104 4 6 8 10 12 % MOISTURE Respectively submitledi, 14 Wissam N mani, P.E. DYNATECH ENGINEERING CORP. Florida Reg. No. 39584 D R Y D E N S I T Y DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH, FLORIDA 33014 (305) 828 -7499 FIELD DENSITY TEST OF COMPACTED SOILS DATE: June 15, 2010 CLIENT: RHINO CONSTRUCTION PROJECT: Addition @ ADDRESS: 360 NE 105th Street, Miami Shores, FL CONTRACTOR: Rhino Construction Test No. 1 Location: Test No. 2 Location: Test No. 3 Location: Test No. Location: Test No. Location: Description of Material: South side of west footer North West section of footer East side of north footer Gray sand w /rock fragments Proctor T -180 A.A.S.T.O. METHOD REMARKS: ALL ABOVE TEST RESULTS COMPLY WITH SPECIFICATIONS Sampled By: JA Tested By: JA Checked By: JA Respectfully submitted, Wissam Naamani, P.E. DYNATECH ENGINEERING CORP. Florida Reg. No. 39584 *A density test determines he degree of compaction of the tested layer of material only. In no way shall a density test replace a soil bearing capacity determination. As a mutual protection to the clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statement conclusions or extracts from or regarding our reports is reserved pending on our written approval. TEST NO. 1 2 3 DEPTH 12" 12" 12" FIELD DENSITY 111.8 112.5 112.1 MOISTURE CONTENT % C.4 5.7 5.9 MAX. DENSITY IN THE FIELD % 99.2 99.8 99.4 COMPACTION REQUIREMENTS BY SPECS. % OF MAXIMUM DENSITY 98% 98% 98% 100% MAXIMUM DENSITY (LAB) 112.7 112.7 112.7 OPTIMUM MOISTURE ( %) P P P P P Proctor T -180 A.A.S.T.O. METHOD REMARKS: ALL ABOVE TEST RESULTS COMPLY WITH SPECIFICATIONS Sampled By: JA Tested By: JA Checked By: JA Respectfully submitted, Wissam Naamani, P.E. DYNATECH ENGINEERING CORP. Florida Reg. No. 39584 *A density test determines he degree of compaction of the tested layer of material only. In no way shall a density test replace a soil bearing capacity determination. As a mutual protection to the clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statement conclusions or extracts from or regarding our reports is reserved pending on our written approval.