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RC-12-80 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-168869 Permit Number: RC-1-12-80 Scheduled Inspection Date: November 12, 2013 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Owner: ARENAS,JORGE&TINA Work Classification: Addition/Alteration Job Address:889 NE 97 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060142650 Project: <NONE> Contractor: HOME OWNER Building Department Comments NEW MASTER Bathroom, NEW BEDROOM REMODEL TWO Existing BATHROOMS, CONVERT EXISTING BEDROOM INTO LAUNDRY ROOM REMODEL EXISTING FAMILY ROOM Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 08,2013 For Inspections please call: (305)7624949 Page 1 of 37 ' -+sa*.-^ .�� '+e-sa �.;� ^�aa� �.,.y s„� •w,a-�• v. - - a.,�,�,v. 'v�' +,g, a a,,,� .- _ o :F e ;+ Certificate of Completion Miami Shores Village ., M � h 10050 NE 2 Ave, Miami Shores Fl,33138 1 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 'y compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: ar p J �J 9 Permit Type RESIDENTIAL CONSTRUCTION Bldg.Permit No. RC12-80 E� a dT _ Owner JORGE&TINA ARENAS Contractor HOME OWNER :u Subdivision/Project NONE 12/02/2013 Date Issued Y 4 Occupancy Construction Type R-3 Load NIA ` Square Footage 732 Occupancy Type SINGLE FAMILY HOME Description of Applicable i Work INTERIOR REMODEL&ADDITION Code 2010 FLORIDA BUILDING cA t Location a �y 889 NE 97 ST rC Miami Shores FL 33138 + ear not Eulldlng70fficiials Approval ISITIUS91 Naranjo, ' a � - Y Not Transferable POST IN A CONSPICUOUS PLACE � �'.� �, _,� a „n. 4 :.. `?. T ^�r^d , *v•r;c w.�: � µ '"y � tx. yp-erq,�`b ^'�Y ' F .+.nY.?" :s-r gipev s,r-a.�� � t�'.?�. _'� d r s emm a October 25, 2012 E.M.Mora-Architect,Inc. Village of Miami Shores 10052 NE 2nd Avenue Miami Shores, Florida 33138 RE: Jorge Arenas 889 NE 97 Street Miami Shores, Florida 33138 Permit#RC1-12-80 Addition and interior remodeling Dear Building Official: This letter shall serve as confirmation that based upon visual observation and inspection, the reinforced masonry cells, be columns and tie beams as constructed and installed at the above residence, comply with the permitted construction documents and the minimum requirements of the Florida Building Code. Should you have any questions, please do not hesitate to contact us. Sincerely, Eusebio M. Mora Architect#0011732 CITY C 01py 0 7003 SW 63id Avenue South Miami,Florida 33143,305-740-5185,moraarch(ftol.com,moraarchbellsouth.net �S-a0(vE, •••• .....� 2° Miami Shores Village Building Department LOR1Up' 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CERTIFICATE OF OCCUPANCY/COMPLETION CHECK LIST UU uilding permit card. el Surveys (2 copies) Final as built-Required Items: Elevations of buildings showing all intended setbacks from property lines and other existing structures. Ingress+ Egress, required parking /paces,Wheel stops, stripping, and all paving to exterior. �1 Certificate of Elevation— Sealed b surveyor). Ex Expiration date required on the form. ( Y p q rtificate of Insulation.or- Certificate of Soil TreatmentVinal treatment-original)\ 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 I as established by the Florida Department of Agriculture and Consumer Services." Health Department pprova a e n septic or private water). Not : If the house is on septic tank, approval letter is required from Health Dpt. �io -Compaction Lette Densi tY report is required) )Sal certification letter from the Engineer/Architect(on masonry, trusses, special structure,etc) ❑ Backfiow preventor certificate (Required on commercial projects only) ❑ Certificate of use. (Recorded in Miami-Dade Clerk of Courts) PLEASE NOTE THAT THE SAME ITEMS ARE REQUIRED FOR TEMPORARY CO • Emergency CO (Without 24 Hrs Processing)Additional fee is$80.00. • Temporary CO (Up to 90 days max)$75.00. • Residential CO fee is$150.00 • Commercial CO is$200.00 INSPECTION RECORD POST ON SITE Permit NO. RC-1 -12-30 ' * Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL 33138-0000 �✓ E 3 f' x t c Phone: (305)795-2204 Fax: (305)756-8972 issue Date:5/30/2012 Expires: 11/26/2012 INSPECTION REQUESTS: (305)762-4949 or Log on at https://bidg.miamishoresvillage.com/cap REQUESTS ARE ACCEPTED DURING 8:30AM-3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Residential Construction Parcel#:1132060142650 Owner's Name:JORGE&TINA ARENAS Owner's Phone: Job Address: R89 NE 97 Street Total Square Feet: 508 MiamR Shores. FL 33138- - Total Job Valuation: $ 38,000.00 Bond Number: WORK IS ALLOWED MONDAY THROUGH SATURDAY, 7:30AM-6:0012M.NO WORK IS ALLOWED ON SUNDAY Contractor(s) Phone Primary Contractor OR HOLIDAYS. HOME OWNER Yes BUILDING INSPECTIONS ARE DONE MONDAY THROUGH THURSDAY. ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO BUILDING INSPECTIONS DONE ON FRIDAY. R gg 1 'a � gr 41-, ITF�f`�Iljl NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT iS THE PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS T` 4 YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO- OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. . d INSPECTION RECORD INSPECTION DATE INSP INSPECTION DATE INSP INSPECTION DATE INSP Foundation - Zoning Final Stemwall ZONING COMMENTS Rough Z Slab /6 Water Service Columns 1 st Lift 2nd Rou h Columns 2nd Lift Top Out Tie Beam Fire Sprinklers Truss/Rafters Septic Tank Roof Sheathin 1 ,j- Sewer Hook-up Bucks Roof Drains .mw Windows/Doors S Gas Interior Framing ,Z INSPECTION DATE INSP LP Tank Insulation Tem ra Poie Well Ceiling Grid 30 Da Temporary Lawn Sprinklers Drywall* a Pool Bonding Main Drain Firewall Pool Dock Bonding Pool Piping Wire Lath Pool Wet Niche Backflow Preventor Pool Steel Underground Interceptor Pool Deck Footer Ground Catch Basins Final Pool Slab Condensate Final Fence Wall Rough HRS Final 9-r Screen Enclosure Ceiling AK -5 Driveway Rough , PI UMBI COMMENTS Driveway Base Tele hone.AdUah Tin Cap Telephone Final Roof in Progress TV Rough Mop in Progress TV Final Final Roof Cable Rou h Shutters Attachment Cable Final Final Shutters Intercom Rough Rails and Guardrails Intercom Final ' ADA corn liance Alarm Rough INSPECTION DATE INSP Alarm Final Underground Pipe DOCUMENTS Fire Alarm Rough Soil"Bearin Cent Fire Alarm Final Rou h Soil Treatment Cert fService Work Wit Floor Elevation Survey Ventilation Rough Reinf Unit Mas Cert ELECTRICAL Co COMMENTS Hood Rough Insulation Certificate Pressure Test Spot Survey Final Hood Final Survey Final Ventilation Truss Certification Final Pool Heater STRUCTURAL COMMENTS Final Vacuum MECHANICAL COME ti INSPECTION JDATE INSP s. Final Sprinkler Final Alarm omvs ti%.c yr %w%o"t lcvm%wcmtm 1 I It Hill��� i�1131 11�111� �1 hill l l� 1 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST tnpECTION CEN 20 T_2F:li_a426718 PERMIT NO. TAX FOLIO NO. OR Ok 28152 Ps 3348; (fps) ,,,. RECORDED 06/18/2012 10:47:48 HARVEY RUVINr CLERK OF COUAT STATE OF FLORIDA- MIAMI-DADE COUNTYf FLORID4 COUNTY OF MIAMI-DADE: LAST PAGE THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following Information is provided in this Notice of Commencement. Space above reserved for use of recording office 1s.Legat description of property an0':Atreettaddress:._ 5'IF t'le' -7 S T- 2.Descri tion of improvement t X 3.Owner(s)name and address: "interest in property: M(Ik+M -i Name and address of fee simple titleholder: 4.Contractor's name,address and phone number: ©W i3g4n _ 5.Surety:(Payment bond required by owner from contractor,If any) Name,address and phone number: Amount of bond$ 6.Lender's name and address: 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1xa)7.,Florida Statutes, Name,address and phone number: 8.in addition to himself,Owners designates the following person(s)to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Name,address and phone number: 9.Expiration date of this Notice of Commencement: {the expiration date is 1 year from the date of recording LWess a different date Is speclreed) WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13.FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE C°,i3iviMENC;iNG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s)of Owner(s)or Owner(s)'Authorized Offioer/Dtrector/Partner/Manager Prepared By Prepay By Print Name _ _ _ Print Nafnp Title/Office Tide/Office -- STATE OF FLORIDA COUNTY OF MIAMI-DADE �� The f of nstrument as a edged before me this!SL_day of __ ------- ------��!/� _ y Indivtdu y,or O as _ for ftmo„aIly known,or I produced the following type of identiiftcati Signature of Notary Public: Print Name: 1 ' CLAUDIA (SEAL) a� .�? Notary Public-State of Florida My Comm.Expires Se VER CATIO URSU O SECTION FLORIDA TA p 23.2015 �'. t.�a''- Commission#.EE 128810 Und pen f perjury,I declare that I have read the foregoing and Bonded Through National Notary Assn. that a fa is a in it are true,to the hest of my knowledge and belief. t Sign)a of er(s)or Owner(s)'s Authoriz Officer/Disertor/Partrw/Manager Who signed above: By By 123-01.52 n-3 3n2 STATE OF FLOW&COUNTY OF DADE PNo coui�� I MbREBY CEFMFY that Ntkt is a flat copy of ft J� �,g co �i tied in 0* on °f J N AD20� O N I"SSmy han an ffk W Seal HA awl ( ER�OfC*QWR ft Covet s v o J�� Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 ; ns ection Number: INSP-202463 Permit Number: RC-1-12-80 p Inspection Date: November 05,2013 Permit Type: Residential Construction Inspector: Dacquisto, David Inspection Type: Survey Final Owner: ARENAS,JORGE&TINA Work Classification: Addition/Alteration Job Address:889 NE 97 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060142650 Project: <NONE> Contractor: HOME OWNER Building Department Comments NEW MASTER Bathroom, NEW BEDROOM REMODEL Infractio Passed Comments TWO Existing BATHROOMS, CONVERT EXISTING INSPECTOR COMMENTS False BEDROOM INTO LAUNDRY ROOM REMODEL EXISTING FAMILY ROOM Inspector Comments Passed 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 November 05,2013 Page 1 of 1 LOCATION SKETCH BLOCK NOT TO SCALE CORNER .»�.�-.,., _..>... 7R� iT.— .6 s s t •• s. 7 #w.:. NO!D. 60.00'TOTAL R/W f 1 LOT-2 LOT-! p " `G "� " A w t BLOCK-73 BLOCK-73 ;:'• :." W.U.P. O.UL. w V. h I�E : . z SHOW i' NO ID S89 05547"E 22 3. _ `. .14. ; CONC _ t O O OR(t%E:: • i e A/C :::•:::•:::::.��., 14.54' � �� � � � � sF .. s ,� •. 11' 3x3—• j2/40' jO G }T at n s " � .;.. tw +' r u d "� � n a. t r ca w 111 104' - H v h / B8G7 j O EST / 27.55,/ 14", .N JJJ c LEGAL DESCRIPTION. p AC w a LOT 24 AND THE EAST HALF OF LOT 23,BLOCK 73, "MIAMI SHORES SECTION 3", 3x24' ".•5'CBSnf:? �. q; LL �WA/1s`::: Q — - ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 10, PAGE 37,LL ��� T OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,FLORIDA. o o hit •Slgg ! Z j : 23sr W L R SURVEYOR'S NOTES: 1355' :o - t v L' 1)NOT VAUD UNLESS SIGNATURE IS EMBOSSED WITH THE REGISTERED LAND SURVEYORS SEAL C1 CLR L0' p O t 2 LEGAL DESCRIPTION PROVIDED BY OTHERS. R=25.00 v .� 4'CBS :o < r ? ) 77LEPORCH7�w° wwz M y ` 3)PROPERTIES SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED L=39.53' /h 24Or °o ,' L F ENCUMBRANCES NOT SHOWN ON THE PROPERTYPLAT OF RECORD. �0 2880' � Q=90°350" 70'^ 16.80'ti:.{.i• :•+...•_::y:e: y �' + d ` 4)MEASUREMENTS TO WOOD FENCES ARE TO OUTSIDE OF WOOD 37' 18.00' 5)UNDERGROUND UTILITIES,FOUNDATIONS,OR OTHER IMPROVEMENTS,IF ANY WERE NOT T=25.26 , CONC 7.r�r'i;PAYERS= :; yr:: ;:� ;; FND.Yz'!• I LOCATED. CH=35.54 WALK 29.00' NO ID. I 6)ELEVATIONS,IF SHOWN ARE BASED ON NA77ONAL GEODETIC VERTICAL DATUM 1929 CHB=N44°42'25'E 7)FENCE OWNERSHIP NOT DETERMINED UNLESS OTHERWISE NOTED. 1.30' 8)MEASUREMENTS TO WME FENCES ARE TO CENTER OF WIRE 525.OYJ'(RJ F/p %z./P. FND.%z'/.R. 4. r. 9)WALL MEASUREMENTS ARE TO/FROM FACE OF WALL 525.04'fiW ' !D. 70' NO/D. " ,y0 Y'' 10)DRAWING DISTANCE BETWEEN WALLS AND/OR FENCES AND PROPERTY LINES MAYBE BLOCK "" EXAGGERATED FOR CLARITY. CORNER ;": ''= 82.37'(141)82.43YR) `•' ?" " /. 11)FLOOD ZONE INFORMATION WAS DERIVED FROM FEDERAL EMERGENCYMANAGEMENTAGENCY F LP yr 3 S90°00ro0"W No! UPDATE 08-24-2012 NO!D. .. TIES REVISED:08-29-2012 NO INFORMATION RATE MAPS ,a UPDATE'10-24-2093 12)BEARINGS/FANYSHOWNARE BASED ONASSUMED MER1D/ANAT:NORTH RIGHT OF WAY OF 0 NORTHEAST 97th STREET(N90°220'PARK�YAY G x c IXl'Ej ~ LEGEND F.H. FIREHYDRANT P.C.C.P07NTOFCOMPOUNDCURVATURE TYP. TYPICAL o d NC NRCONDITMIJER I.C.V. IRPJGA770NCOIVMOLVALVE P.C.P. PERMANENTCONTROLPOINT U.E UTL/TYEASEMENT AVE AVENUE LP. 1ROJV PIPE PLS PROFESSIONAL LAND SURVEYOR W y W47ERVALVE ri BLVD. BOULEVARD FPL FLORIDA POWER ALIGHT PSM PROFESSIONAL SURVEYORANDMHPPER BM BENCHMARK F.I.P. PoUIVDIRONP9'E PL PROPERTYL/NE W.U.P.WOODU7TLlTYPOL£ CATV CABLE TELEVISION BOX FIR, FOUND IRON ROD P.O.B.POINTOFSEGINYING SYMBOLS ' C.B. C4TCHBASIN FND. FOUND P.O.C.P07NTOFCOMMENCEMENT CO CRETE CBS CONCRETEBLOCKS7RUCTURE L ARCLENGTH P.R.C.POINTOFREVERSECURVATURE OVERHFADU77UTYUNES CHB CHORDBEARWG (L) LEGAL PAM PERMANENTREFERENCEMONUMENT WIREFENCE CH CHORD DISTANCE L.P. LIGHTPOLE P.T. POINTOFTANGENCY - — WOOD FENCE CDR CORNER LB LICENSED BUSINESS R RADIUS PROPERTYCORNER . CT COURT IS LANOSURVEYOR (R) RECORD mow- WATERFLOW CENTERLINE' (M) MEASURED RE, R/MELEV47701V PA 960 EVS77NGGDEELEVAAON C CLEAR NGVD NATIONAL GEODETIC VER77M DATUM RAN RIGHT-OF-WAY �-®PRQPOSEDGRADEELEVA77ON CONC.CONCRETE NO ID0,NOTWENM48LE SAM SANITARY N WATER VALVE C.O. CLSW OUT NO. NUMBER S.I.P. SET bWNPIPE SIGN CERTIFIED TO: E.8 ELEVATION NTS NOTTOSREC SLa STREET ROD T DRNNAGEMANHOLE EI�V. ELEVATION O.R.B OFF/CIALRECORDBOOK ST. STREET SAN?ARYMANHOLE EN OZ O. L ORLNE r TANGENT FMElffDRANT ERP EYA70NREFERENCEPOINT OUL OVERHEADU73L?YLINES TBN TEMPORARYBENCHMARK UGH77NGFIXTU RE JORGE ARENAS AND TINA ARENAS F.F. r-WSHFLOOR P.C. POINTOFCURVATURE TEL TELEPHONE' 17 FIREDEPARMENTCONNECTION OD ZONE:X PROPERTY OF: A BOUNDARY SURVEY MAP&PANEL= 12086CO306 I HEREBY CERTIFY THAT THIS SURVEY CONFOR MSTO PROFESSIONAL SURVEYING AND MAPPING JORGE ARENAS AND TINA ARENAS THE MINIMUM TECHNICAL STANDARDS OF AS LAND OUT LANNES & GAR CIA INC. COMMUNITY No.: 120652 SURVEYING IN THE STATE OF FLORIDA AS OUTLINED SUFFIX:L IN RULES 5J-17,(FLORIDA ADMINISTRATNECODE),AS 1 889 NE 97th STREET ADOPTED BY THE DEPARTMENT OF AGRICULTURE a n� LB#2098 DATE OF FIRM: 9-11-09 AND CONSUMER RVICES BOARD of BASE ELEV.= N/A MIAMI SHORES, FLORIDA 33140 NOT VAUD wTrHouT THE SIGNATURE AND THE PROFESSIONALS i VEYORS AND MAPPERS IN $ s FRANCISCO F. FAJARDO PSM#4767(QUALIFIER) ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SEPTEMBER 1981, S AMENDED,PURSUANT TO ne 385 ALHAMBRA CIRCLE-SUITE C, L.F. ELEV. = 10.56 NOTES LOWEST HABITABLE FLOOR ELEVATION. CHAPTER 472.027 THE FLORIDA STATUTES,-AND IS ELEVATIONS SHOWN REFER TO N.G.V.D. 1929.. SURVEYOR AND MAPPER TRUEAND CORRE T TO THE BEST MY KNOWLEDGEANO EF. CORAL GABLES, FLORIDA 33134 LOWEST ADJACENT GRADE= 9.70 _ PH(305) 666-7909 FAX(305) 559-3002 253785 B.M. # N-800 ELEV. = 9.34 MIAMI-DADE COUNTY) FRANCISCO F.FAMADO 233245 GARAGE ELEV.=9.93 FLORIDA PRO�ESSIOAIAL SURVEYOR AND MAPPER FIELD DATE07-05-2011 SCALE:1"=30' DRAWN BY.M.P/0 DWG.No.:221845 E.R.P.= 9.25 REGISTRATION NO. Certificate of compliance for termite protection (as regWred by Rod&b"ng code(FDO1816.L7) USA PEST CONTROL P.O BOX 574134 Miami,FL 33257 305-754-4335 889 NE 97 ST MIAMI SHORES FL 33138 Method of termite prevention treatment Soil treatment for termite Chemical used Termidor Number of gallon applied 64 Area treated.(square feet) 635 " Stage of treatment slab USA Pest Control hereby confirms that the structme described above has received a complete treatment for the prevention of subterranean termite.Treatment is in accordance with rules and laws established by the Florida Department of Agriculture and Co ice. A onz Signature ate K' STATE OF FLORIDA PERMIT.NO. DEPARTMENT OF-HEALTH DATE PAID: �r :,PNSITE SEWAGE TREATMENT.AND DISPOSAL SYSTEM FEE PAID: CONSTRUCTION INSPECTION AND FINAL APPiOVAL '. b RECEIPT#: ti =r APPLICANT: f ,— A AGENT: PROPERTY ADORES-S: r h LOT: BLOCK: SUBDIVISION: _ PROPERTY ID#:_ 4 1,65 _ — _ - - - _ _ — _ _ _ - - - CHECKED:[X] JTEMS=ARE NOT IN COMPLIANCE WITH-- STATUTE OR RULE AND MUST BE -CORRECTED. TANK INSTALLATION SETBACKS [ ] [09} TANK SIZE[1] a [2] [ ]I [27] SURFACE WATER FT T AT L � 2 [ , [02] TANK ERIA I $] DITCHES FT M I [ ae [ ]: [031 OUTLET DEVICE [ - ] [29] PRIVATE WELLS FT ' [ ] [04] MULTI-CHAMBERED [`&-7 N 1 I I, [30) PUBLIC WELLS FT- [ [05] OUTLET FILTER - [' 1 [31] IRRIGATION WELLS FT [ ] [06] LEGEND ' 4 _ [ } [32] POTABLE WATER LINES FT [ ] [07] WATERTIGHT [ }' [33] BUILDING FOUNDATION FT I [08] LEVEL [ ] [34] PROPERTY LINES FT [. =j [09} DEPTH-TO CID [ ] [35] OTHER FT � � DRAINFIELD INSTALLATION FILLED!MOUND SYSTEM I ] . [10] _AREA[1] ,�{2} SQFT ;° [ ], [36] DRAINFIELD COVER [ } 1,11 DISTRIBUTION BOX HEADER [ ] [37] SHOULDERS [12] _NUMBER OF DRAINLINES [ J [381 SLOPES [ 1 [13] DRAINLINE SEPARATION y [. [39] STABILIZATION 1 .. -] [14} DRAINUNE SLOPE ' S [ } [15] DEPTH OF COVER e. ADDITIONAL INFORMATION [ '} [161 ELEVATION[ABOVEBELO,_�6M UNOBSTRUCTED AREA *76 ; } [17] SYSTEM LOCATION - ` [ ]I [41] STORMWATER RUNOFF j ] [18} DOSING PUMPS [ ]i [42] ALARMS 20 AGGREGATE EXCESSIVE FINES [ [43] MAINTENANCE AGREEMENT AGGREGATE SIZE I )I [ , [ '] i, [44] BUILDING AREA [. ; }• [211 AGGREGATE DEPTH [45I LOCATION CONFORMS WITH SITE PLA [46] FINAL SITE GRADING FILL/EXCAVATION MATERIAL [ -_ [47] _CONTRACTOR [ ] [22] FILL AMOUNT [ j [48] OTHER [, ) [23} FILL-TEXTURE [ ] [24] EXCAVATION DEPTH -7 Z- �¢ ABANDONMENT [25] AREA REPLACED [ ] [49] TANK PUMPED [ ] [26] REPLACEMENT MATERIAL [ j [50] TANK CRUSHED&FILLEDn� " EXPLANATION OF VIOLATIONS/REMARKS: 37 CONSTRUCTION[APPIOVED/DISAPPROVED]: 1 5 ^� CHD DATE: ° { 6 " ``# CHD DATE: P,� FINAL SYSTEM IAPP�UEDiDISAPPROVEDI: -� ; - _ R . o _ _ Page 2 f 3 DH 4016(Page 2),10/97(Previous Editions May Be Used) Stock Number.5744-002-4016.4 - PT t: Applicant PT 2: Installer/Contractor PT 3: Building Department R-yd f pq_ PT 4: Health Department PERMIT-NUMBED: Permit tracking number assigned by CHD. APPLICANT: Property owner's full name. Ji AGENT:_ Property owner's legally authorized representative. MAILING AD D R P.O.. Box r stree t mai ling ad dr ess for applicant or,agent.ent.S:S LOT, BLOCK SUBDIVISION Lot, Block and Subdivision for lot or F�RbPERTY ID#: 27 character number for property. (property appraiser ID#or GIS location) OUNTY HEALTH DEPARTMENT CHECKS [X] ITEMS NOT IN COMPLIANCE WITH CONSTRUCTION PERMIT AND STATUTE OR ROLE, INFORMATION IS COMPLETED BY CHD ON FOLLOWING ITEMS: SANK SIZE(gallolris)' AS BUILT INSTALLATION SKETCH TANK MATERIAL(concrete, fiberglass,etc) QUTLET FILTER(manufacturer, make, model) LEGEND(manufacturer code) ORAINFIELD AREA(square feet) CIISTRISUTION.SOX/HEADER (check box) k NUMBER OF DRAINLINES(number installed) PYSTEM ELEVA'T'ION.(in relation to BM) GOOSING PUMPS(number installed) ETBACKS(record actual setbacks in ft) SMACKS,OTHER (as required) STABILIZATION(date stabilized) `: CONTRACTOR�oontractor installing system) ADDITIONAL INFORMATION(as repaired) ABANDONMENTTANK PUMPED.(date) TANK CRUSHEO:AND FILLED'(date) EXPLANATION OF VIOLATIONS: Record item number, explanation of violation, and required 4ONSTAUCTION APPROVAL: Circle approved or disapproved, CHD signature and date.- 6NAL:'APPROVAL:, Circle approved or disapproved. CHD signature.and date of approval. Final approval shall not be granted until.the CHD has confirmed that building construction and lot grading are insubstantial Compliance,wito plans and specifications submitted with the permit application. ELEVATION WORKSHEET ELEVATION OF BENCHMARK OR REFERENCE POINT: EXISTING GROUND TOR OF AGGREGATE (+]SHOT H.I. H.I. H.I. SHOT [-] SHOT {-] SHOT ELEVATION Ll ,6 TESTING S ENGINEERING SERVICES, INC. FIELD DENSITY TEST REPORT CLIENT: ARENAS CONSTRUCTION INC DATE: June 29,2012 889 NE 97th STREET JOB: D-120704 MIAMI SHORES FL 33138 PROJECT NAME:`I ADDITION PROTECT LOCATION:1889 NE 97th STREET.MIAMI,FL PROCTOR DATA Proctor SOIL DESCRIPTION MAX.DR ti No. DENSITY 10142 BROWN SAND W/LIMEROCK 117.1 10.3 REQUIRED COMPACTION 1 95% 1 TEST DEPTH PENETRATION(INCHES) 12" FIELD DENSITY TEST RESULTS Test Proc. LIFT DRY (%) (4fn) TEST LOCATION RESIJIvTS No. No. No. DENSITY 'MOIST. COMP. 1 10142 SOUTH AREA OF BLDG SLAB FINAL 116.3 83 99.3 PASS 2 10142 EAST AREA OF BLDG SLAB FINAL 115.8 8.4 98.9 PASS 3 10142 WEST AREA OF BLDG SLAB FINAL 116.9 7.1 99.8 PASS Commnets: JORGE ARENAS(3)300-3103/ARENASJORGE @ATT.NET Respectfully Submitted NELCO TESTING&ENGINEERING SERVICES,INC V p,a V ..' . / V.M.B.Venkatesan,P.E. Professional Engineer No.63107 State of Florida 13370 SW 131st Street,Suite 105,Miami,FL. 33186 (305)259-9779 DIVISION Of �® Environmental Health ®��o Florida Department of Health �� Miami-Dade County Health Department 404 Q OSTDS/Well Division 11805 SW 26 St.•Miami,FL 33175 O Inspector 1 (/Q- Date L L_ Address L. OSTDS# /g l 06 Comments: Signature 253785 U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY Expiration Date:July 31,2015 NOMW FbW kmu=Program IMPORTANT:Follow the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building owners Name l"blicy Number. nd Tina Arenas 158 ding Street Address ludfng Apt,Unit.Suite.and/or Bldg.No.}or Po.Route and Box No. Company NAtC Number: 889 N E. 97th Street Mimi ii shores, FLORM 33140 ZIP code A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) t 24 and the East Half of Lot 23 Block 73 MIAMI SHORES SECTION 3,PB.10, A4. Building Use(e.g.,Residentia Nonf9sldentIV,Addnkm.Accesso etch} P d -Dade Co ur y A5. Latitude/Longitude:t.at. 3X �� Long._ a �?� /� & Horizontal Datum: ❑NAD 1927 M NAD 1983 A6. Attach at least 2 photograpIq ol the building if the Certificate is being used to obtain flood Insurance. Florida. A7. Building Diagram Number A8. For a building with a crawtspace or enclosure(s): _p A9.For a building with an attached garage: 15r 11,91 a) Square footage of crawispace or enclosure(s) sq it a) Square footage of attached garage sq ft b) No.of permanent float openings in the crawispace or b} Number of oot=abare food openings grade in the garage enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot c) Total net area of flood openings In A8.b sq in c) Total net area of flood openings in A9.b ­�'-" sq In d) Engineered flood openings? [3 Yes (M No d) Engineered-flood openings? ❑Yes LN Na SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP community Name Common Number 82.County N _ D de 84. Map/Panel Number 85.Suffix B6.FIRM Index bate 87.FIRM Panel Effective/ W.Flood Zones) B9.Base Flood Elevafion(s)(Zone Revised Date • AO,use base flood depth) 2086CO306 L 9-11-2009 9-11-2009 X Not Available 810.indicate the source of the Base Flood Elevation(BM data or base flood depth entered In Item B9: ❑HS Profile 0 FIRM ❑Community Determined ❑Other/Source: 811.Indicate elevation datum used for BWln item B9: NM 1929 ❑NAVD 1988 ❑Other/Source. B12.is the buuilding located Ina Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ®No Designation Date: N/A/ / ❑CBRS (3 OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) CL Building elevations are based on: ❑Construction Drawings* ❑Building Under Construction* IN Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,Ali,A(with BFIO,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 d in Item A7.In Puerto Moo only,enter meters. Benchmark Utilized: ®° `� � � F�°"'"%�vertksai Datum: N.G.V.D. 1929 Indicate elevation,datum used for the elevations In items a)through h)below. IN NGVD 1929 ❑NAVD 1988 ❑Other/Source: Datum used for building elevations must be the some as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace.or enclosure flood �® 09 feet 0 meters b) Top of the nest higher floor ®feet ®renters Q Bottom of the lowest horizontal structural member(V Zones only) ��_ (3 feet ❑motors d)Attached garage(top of slab) _____ .- j, A feet ❑meters e) Lowest elevation of machinery or equipment servicing the building --Q 7.4 feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 7 7o 19 feet O meters g) Highest adjacent(finished)grade next to building(HAG) 370 feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including1 feet ❑meters structural support SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION 'this certification Is to be signed and seated by a land surveyor,engineer.or architect authorized by law to certify elevation information.I certify that the Informatlar on this CertiJtcate represents my best effau to Interpret the data available. I undeatand that any false statement may be punishable by fine or ImPufsonment under 18 U&Code;Secdm 1001. Check here if comments are provided on beck of form. Were latitude and longitude in Section A provided by a Check here N attachments. licensed land sunreyoR 0 Yes ❑No Nam certirie CI SCO F. FAJARDO u 4 7 6 7m F SEAL title MENS AND GARCIA, INC. HERE state I 385 AMB A city ALHRA CIRCLE SUITE C A CO -c3 Z67 signature W2 °'znl3 (3u 5) 666-7909 ®^ --ZOO FF.MA Form 0860$3(7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE,page 2 IMPORTANT:In these spaces,copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit.Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 889 N.E. 97th Street City State ZIP Code Company NAIL Number. Miami Shores, FLORIDA 33140 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)Insurance agent/company,and(3)building owner. Comments �d e f'T f�� ® `� csf C! Signature � _ Date 2,0 SE TiON 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 Section A.Band C. For items E1-E4.use natural grade,if avallable.Check the measurement used.in Puerto Rico only,enter meters. El.Provide elevation information for the Wowing 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,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑belowthe HAG. b)Top of bottom floor pncluding basement.crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG. E2.For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions), the next higher floor(elevation C2.b In the diagrams)of the building is 0 feet ❑meters ❑above or ❑below the HAG. E3.Attached garage(top of slab)is ❑feet ❑meters Q above or Q below the HAG. E4.Top of platform of machinery and/or equipment servicing the[wilding is ❑feet ❑meters ❑above or ❑below the HAG. E5.Zone AO only:tf no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?O 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 FEMA4ssued 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 or Owner's Authorized Representatives 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 floodplain management ordinance can complete Sections A.B.C(or Q.and G of this Elevation Certificate.Complete the applicable items)and sign below.Check the measurement used in Items G8-GIO.In Puerto Rico only,enter meters. Gi, 0 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 cormmunity official completed Section E for a[wilding located in Zone A(without a FEMA-Issued or community-issued BFE)or Zone AO G3. ❑ The following information(items G4-439)Is provided for community floodplain management purposes. G4. Permit Number G5.Date Permit Issued G6.Date Certificate Of Conpt1an0Q/O0Cup8n0y Issued G7. This permit has been issued for. O New Construction ❑Substantial Improvement 08. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: 0 feet ❑meters Datum G10.Communitys design flood elevation: ❑feet ❑meters Datum Local Officials Name Title Community Name Telephone Signature Date Comments p Check here If attachments. FEMA Form 086433(7/12) Replaces all previous editions. ELEVATION CERTIFICATE, PAGE 3 Building Photographs See Instructions for Item A6 253785 For Insurance Company Use: IMPORTANT.IN THESE SPACES COPY THE CORRESPONDING INFORMATION FROM SECTION A Policy Number Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. 889 N.E.97"'Street City State ZIP Code Company NAIC Number Miami Shores, Florida 33140 If using the Elevation Certificate to obtain NFIP flood insurance, 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." When applicable, photographs must show the foundation representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs then will fit on this page, use the Continuation Page. FRONT VIEW AND REAR VIEW 10-24-13 RIGHT SIDE VIEW AND LEFT SIDE VIEW 10-24-13 �c 1 FEMA FORM 086-0-33(7/12) REPLACES ALL PREVIOUS ADDITIONS Tuesday, November 05,2013 From:Jorge G.Arenas To: Miami Shores Village Building Official. Re:889 ne 97 Street, Insulation certification. 1>eTLwI Dear Sir: This is to inform you that all insulation material was install according to plans in above mentioned address. R-30 bat insulation manufactured by John Mansville over family room R-19 on rafter of new bathroom manufactured by John Mansville R-5 on masonry wails rigid%"manufactured by R-mate. a u