DS-14-239Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 206848 Permit Number: DS -2 -14 -239
Scheduled Inspection Date: March 28, 2014
Inspector: Rodriguez, Jorge
Owner: FEDERAL HOME LOAN MORTGAGE
"M EcnCowI Uf%UC I nwM
Job Address: 89 NE 102 Street
Miami Shores, FL
Project: <NONE>
Contractor: D DEVELOPMENT INC
dunaing L)epartment comments
INSTALL A NEW DRIVEWAY APPROACH
Permit Type: Driveways /Sidewalks/Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number
INSPECTOR COMMENTS False
1132060131690
Phone: (305)510 -8164
Passed Z9
Inspector Comments
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
March 27, 2014 For Inspections please call: (305)762 -4949 Page 8 of 23
Nfiami 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: (3 5) 76L4%9
Permit Type: BUILDING,
FEB 0 7 2014
FBC 20
Permit No,
Mader Permit No.] D
3Q
JOB ADDRESS: qgq
City: Miami Shores County: Miami Dade J5p: a5l L'd I.
Folio/Parcelk J-1 - S 2-10 (P - 101 Is W!qe>
Is the Building Historically Designated: Yes - NO Flood Zone:
OWNER: Name (Fee Simqq ple Titleholder): Phone#:
Address: ')
4" pl C, I C 11 &1
-
City:
State:
Tenant(Ussee Name:
-Phope#:
Email:
CONTRACTOR: Company Nam -phoriet.-3 v.5-s_tzfz- oo4
Jr__< State: Zip:
City: r:tig� i0A
Qualifier Name: S, ,ri Ph=#, ii qcvf
State Certification or Registration #, oko-9 —Certificate Of Co�;etency. #_
contact Phone#- Address:
DESIGNER., ArchiteettEngineer: PhontA
Value of Work for this Permit. t!2 0 � _Squarall[Anear Footage of Work.
Type of Work: ClAddition
LIAlteration
QNew
URepair/Replace
cmemolition
Description of Work. 0[ LS;'JfjjL--
L-
Color Ahru tide:
Submittal Fee On Permit Fee $
Scanning Fee $ Radon Fee $
CCF CO/CC $
DBPR $ Bond $,
Notary Tralaing/EdU cant ion Fee $ — TechnoiQff Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE
Bonding Company's Name (if applicable)
Standing Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
zip
State zip,
Application is hereby ma& 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
COAMENCEMENT 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 capy 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 he posted at the job site
for the first inspection which occurs seven (7) days iy%r the building permit is issued In the absence of such posted notice, the
inspection will nor be approved and a reinspection fee will be charged
Signal=%
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My -Comm sion Expires
APPROVED BY
BRODRICK DNCAN
Notary Public, State of Texas
My Commission Expires
1 . April 22, 2014
The foregbing instrument was acknowledged before me this
J/ -
' 7L\�,a 5 0 . .... .... .
day of 20 z Zby
— z,
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLLC-,-
Plans Examiner
Structural Review
(Revised 31IM0120evhed 07/lM?XReViWd06/lQQDW)(RCvisCd YOM)
Print:
My Comn
W COMWSSION E-.
# E70;171
EXPIRES June 22,20%
Clerk
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (mr4r) hereinafter referred to as the owner of
the following described property (address):
Legal Description Lot Block f 2 Subdivision
Folio #
Requests permission to install (describe work): 2Z, I L6-dh-ty-
Withiti the pubtle right of way of (address)
IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows:
1. To maintain and repair, when necessary, the above-mentioned item(s) installed within the dedicated right of
way. It it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a Hen against the above described property
unfit paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade County harmless from any
and all liability, which may rise by virtue of permitting the installation of these items within the public right of way.
3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the Item(s)
to be removed and a linen tieing placed on the property and/or assessed against the Owner for all costs
incurred In the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land
and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until
such time as this obligations has been canceled by an affidavit filed in the Public Records of Dade County,
Florida by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this l day of Walk, 20127
(Ownet's Signature )
SIG t9; SE AND DELIVERED in the presence of:
BRODRICK DUNCAN
°�• y"" Notary Public, state of Texas
• •��. My Commission Expires
Apol 22, 2014
2
-L HOME LOAN MO
. sue•■ tw . n" •. c- �! D _
e; f'i A ■ • G I LqgqL fir! - • .ti / / / - - _ - -
of the Faderg Home Loan WrtMb COIPO�un (Freddie Mac) for as /• x r •r r" • / f am fbreclosed or - Prap=tY •1t c/ by • It e!
means and asgigl� to RED /' d • D b ■ i ! If C •t/! ° a C Uot YDa t i• a &" YO b LQ
s Sales CoIl a
• .A.d�ances fc�r •az�aey to hers• ar a�.ers;
fflff�--�02-
Any :U ■ all dom=eat e• ftt i~• D .• i[G } ■ • ■ ' fGt d - ff C o• '9 ■ e G Q swl Prcrpmty,
iadudiu&
to - - RL- a-5Y a-5 as • all dooummts
■1 • • i id 'f
1"1'09
cau i= 'e►r• -c
.1 1- to "r •e• I
D,:- to 1 SIf 'L[:^ or- aY• a S': " t • •e!D[ :•. to P. 161ca " • p :n !!:tk M /t.
c+ and : clocmmmrts nrne • d •cm` ■•■ wxffi pmpfz
■c
;rf e a • pemk Approvals :n a • ■ c. Of r •c c• a■ au r.
t :ire u1 ■ iif :u a st f r • e •� .• u
I • - /• ■/r 6 /Y" ■D•• 11
• MO i t - :.• • - t
- ti • t a - [:] 1/ ►[ : [ • / • of %u i • Y/ [ ?` ` f! f • • [• - ■ G
Sf • ` % 2fSAt %1!
t-
3?atp_: April 2-1�, 2.013
- -)Iii,
US. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008
FEDERAL EMERGENCY MANAGEMENT AGENCY Expiration Date: July 31, 2015
Nadonal Flood li u m Progmm IMPORTANT: Follow the instructions on pages 1 -9.
SECTION A - PROPERTY INFORMATION t mk {# St1l i+f 001 A 1Y:USE
Al. Building Owners Name �Y
FEDERAL HOME LOAN MORTGAGE CORP. ORDER #34 -17360
A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Godr
Ro ti G in0nd l4TRFFT
city MIAMI SHORES State FLORIDA ZIP Code 33138
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOTS 22 AND 23, BLOCK 12, MIAMI SHORES SECTION ONE, P.B. 10-70 FOLIO* 11- 3206-013 -1690
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude /Longitude: Lat. 25`43`25 "N Long. 80 *1630"W Horizontal Datum: ❑ NAD 1927 M NAD 1983
A6. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood Insurance.
A7. Building Diagram Number 1B
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) NIA sq ft a) Square footage of attached garage 250 sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s) within 1.0 foot above adjacent grade NIA within 1.0 foot above adjacent grade 4
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b 253 sq in
d) Engineered flood openings? ❑ Yes 0 No d) Engineered flood openings? ❑ Yes ®No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFlP Community Name & Community Number B2. County Name B3. State
VILLAGE OF MIAMI SHORES - 120652 MIAMI DADE FLORIDA
B4. Map /Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective / B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone
Revised Date A0, use base flood depth)
120860 0302 L 09111/2009 09/11/2009 X I NIA
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139:
❑ AS Profile M FIRM ❑ Community Determined ❑ Other /Source:
B11. Indicate elevation datum used for BFE in Item B9: I] NGVD 1929 ❑ NAVD 1988 ❑ Other /Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes V1 No
Designation Date: WA / / ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR /A, AR /AE, AR /A1 -A30, AR /AH, AR /A0. Complete Items
C2.a -h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: N -567 Vertical Datum: N.G.V.D. 1929
Indicate elevation datum used for the elevations in items a) through h) below. EI NGVD 1929 ❑ NAVD 1988 ❑ Other /Source:
Datum used for building elevations must be the same as that used for the BFE.
a) Top of bottom floor (Including basement, crawlspace, or enclosure floor)
b) Top of the next higher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (top of slab)
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG)
g) Highest adjacent (finished) grade next to building (HAG)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. ,(r
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor? El Yes ❑ No 6 f
Certifier's Name JOSE A. DIAZ I Ucense Number # 2798 I
Title PROFESSIONAL SURVEYOR AND MAPPER I Company Name
JOSE A. DIAZ P.S.M.
Address ZIP Code
11865 S.W. 26th Stmt, Suite C 43-10 City MIAMI State FL
33175
Signature Date Telephone
01115/2014 (786) 279 -8570
2
tEIL
FEMA Form 086-0-33 (Revised 7/12) See reverse side for continuation. Replaces all previous editions.
Check the measurement used.
13.06
® feet
❑ meters
WA .
❑ feet
❑ meters
N /A.
El feet
El meters
11
p feet
❑ meters
13.00
m feet
❑ meters
10.9
feet
❑ meters
11 1
feet
❑ meters
N/A
❑ feet
❑ meters
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. ,(r
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor? El Yes ❑ No 6 f
Certifier's Name JOSE A. DIAZ I Ucense Number # 2798 I
Title PROFESSIONAL SURVEYOR AND MAPPER I Company Name
JOSE A. DIAZ P.S.M.
Address ZIP Code
11865 S.W. 26th Stmt, Suite C 43-10 City MIAMI State FL
33175
Signature Date Telephone
01115/2014 (786) 279 -8570
2
tEIL
FEMA Form 086-0-33 (Revised 7/12) See reverse side for continuation. Replaces all previous editions.
.r »- ..
ELEVATION CERTIFICATE, page 2
IMPORTANT: In these spaces, copy the corresponding h►formaUon 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:
89 N.E. 102nd STREET
City State ZIP Code Com
pany NAIC Number:
MIAMI SHORES FLORIDA 33138
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agent/company, and (3) building owner.
Comments Latitude and Longitude from Google Earth
CROWN OF ROAD ELEV. 11.29' ft.
C2. e) MACHINERY ELEVATION FOR A/C CONCONCRETE SLAB. A/C UNIT LOCATED AT REAR SIDE OF THE BUILDING
Si re Date 01/1512014
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B,and C.
For items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (Including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (Including 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 ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and /or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this Information In Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA- issued or community- issued BFE) or
Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner 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 E), and
G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 -G10. In Puerto Rico only, enter meters.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect
who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA- Issued or community - Issued BFE) or Zone A0.
G3. ❑ The following information (Items 134 -1310) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance /Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum
G10.Community's design flood elevation: ❑ feet ❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
❑ Check here if attachments.
FEMA Form 086 -0-33 (Revised 7/12) Replaces all previous editions.
'ELEVATION CERTIFICATE, page 4 BUILDING PHOTOGRAPHS
Continuation Page
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:
89 N.E. 102nd STREET
I City MIAMI SHORES State ZIP Code Company NAIC Number:
FLORIDA 33138
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. 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 with representative examples of the flood openings or vents, as indicated in Section A8.
RIGHT SIDE VIEW (01/15/2014)
y'
s .
LEFT SIDEVIEW (01/15/2014)
FEMA Form 086 -0 -33 (Revised 7/12) Replaces all previous editions.
,I • - *-
ELEVATION CERTIFICATE, page 3 BUILDING PHOTOGRAPHS
See Instructions for Item A6.,
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:
89 N.E. 102nd STREET
City State ZIP Code Company NAIC Number:
MIAMI SHORES FLORIDA 33138
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 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 with representative examples of the flood openings or vents, as
indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
FRONT SIDE VIEW (01/15/2014)
REAR SIDE VIEW (01/15/2014)
FEMA Form 086 -0 -33 (Revised 7/12) Replaces all previous editions.
1/2"
WOOD DECK
CONCRETE
TERRACE
2'-6- I I I
da SIDEWALK
ONE STORY
RES #89
N.E. 102ND STREET
MIAMI, FL
TILE PORCH
2' PROPOSED 1'r G RAS
CONCRETE
DRIVEWAY 2 & 1\
Note. U
—TOOL JOINT New A—Pconcrete slob.
with #lflfi!z6!vAw.=csh.
over well compacted fill.
1/2" Expansion Join t-�
N.E. 10 ND STRE
W
Z)
Z
W
<
Cl)
V_ I Seal:
uj
Rr
Up%
Q., 5'S�
TYPICAL DETAIL
NEW AND EXITING CONCRETE SLAB
Ingenliero:
Rafao,,,s rO,'z- Seda
'Y_
MJ114 S-,S:
CONCRETE SLAB (3000 psi) 89 NE 102 St
WITH BROOM FINISH
WELL COMPACTED
LIME ROCK
COMPACTED SUBGRADE Description:
Proposed Driveway
Approach