RC-13-2849Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-204870 Permit Number: RC -12-13-2849
Scheduled Inspection Date: October 03, 2014
Inspector: Rodriguez, Jorge
Owner: ,
Job Address: 102 NE 106 Street
Miami Shores, FL 33138-2037
Project: <NONE>
Contractor: MG EXCELLENCE SERVICE CORPORATION
tsunamg Department comments
INTERIOR REMODEL
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (786)371-8479
Parcel Number 1121360050080
INSPECTOR COMMENTS False
Phone: (786)247-7067
October 02, 2014 For Inspections please call: (305)762-4949 Page 1 of 29
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 02, 2014 For Inspections please call: (305)762-4949 Page 1 of 29
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
T
Permit No:
I/2IIy Structural Critique Sheet
Page 1 of 1
I
STOPPED REVIEW
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.
Mehdi Asraf
loq
Miami Shores Village
pJ Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
4 Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: 30 762.4949
Ig ( �
�
BUILDING
PERMIT APPLICATION
Permit Type: BUILDING
JOB ADDRESS: lD�)- /L/ /0/, S
OEC 2 0 2013
FBC 20
Permit No.
Master Permit No.- 3 cqYLIO
am` /I
ROOFING
City: Miami Shores County: Miami Dade Zip: 33/38(
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Tit]
Address: -M.,-) A) 9�
City: &LM04 a
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Nan
Address:
City:
Qualifier Name:
StateRCertifidation oor'Reggiistrraatiioon
Contact Phone#:.'I( s11 tel) I
Certificate of Competency #:
k_FjFy?*.!!
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ iJ Square/Linear Footage of Work: iQ�?
Type of Work: ❑Addition \4Alteration ON w---•�AR/�epair/Replace/► ODemi
Description of Work f n A-�' &./// /l/l/DD%/i/� .C/]wfOD�.c . lJ7rnd /Y�/7,J
Color thru tile:
Submittal Fee $ Ecl,
v Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ 19-15. -S CD
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
zip
zip.
Application is Ifereby 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to'the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days afier the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature' Signature
Owner or Agent
Za
tractor
The foregoing instrument was acknowledged before me this The foregoing instrumentnowPedged before me this
day of A20 by I rj�t �. day of 20; byae
544�1
wsona y known tom wh has produced srpersonally kn�wti to me r who has produced
�`- As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
� T . �idotary p�hlic Stato v� � •�.._
Helsel Alvs!llz
on EE 196011
y, or T.4; MroB ggQ612016
NOTARY PUBLIC:
Sign:
Print:
My Commission
it NaryPud1we`�v -
►`� Hyl W EE 1$sel l
GSA
snois
Krr� -
�6 Plans Examiner � Zoning
It
Structural Review
(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)
Clerk
°�x�s s�emrsrir mr�ran i3v:.
71ips� i?ia�et'Sift
�
rata�;'sa �::�r3s
AppmbaisPWWVn i�on (Fda) NWnbCM 11414s.0s t
TFU WARRANTY
#K gmutors, for and
Lot & Block 201. of DUNAMOSMAW SHORES EXUMSIQN Na 1.
t{ccorrlfn • to the eoa thereof. recorded in Plat Book 41, Page SI, of me
Fublisltiordr.o Nftrn1 Dude wry; Flora
Pro*ny address • 102 !t{E 1060 Street; Aflamf Shoms, FL
Subject to taxes and assessments for the. year 2013 and subsequent
years, .restrictions; resenw*wu, .easements and zoning
s�i€fac�cec•off•zeccircl;.t f ::.. .... _... ...., ........ ...�_.
3n a nywkw°app%uiniog
-d so" thwe p—toOw
��
AMA�rrar;.Bx,puntE,_ub
Notary Public - Wis of FiarWa
My Gomm. ;Expires Jan 4. U.16
Commissioa � EE,95382
ROCHRLEMOVUEMM
Structural Calculations For:
Sweet Land Residence Remodeling
102 N.E.106" Street
Miami Shores, FL
Alexander RochelL P.E.
FL Registration. No. 60735
Cert: of Authorization No. 27054
205 Santillane Avenue, Coral Gables, Florida 33134 %I: 305.649.4049 Fax: 305.649.4149
NECAWind Version 2.1.1.3 per ASCE 7-10
Developed by MECA Enterprises, Inc. Copyright 2013 www.mecaentexprises.com
Date 12/9/2013 - Project No.
Company Name Rochell Engineering, Inc. Designed By : A. Rochell
Address 250 Catalonia Avenue - Suite 4 Description : Sweet Land Residence
City Coral Gables Customer Name :
State Florida Proj Location : Miami Shores, FL
File -Location: Y:\00_Projects\Moino Fernandez Architects\Sweet Land Residence - Moino Fernandez Architects\Wind
Loads.wnd
Directional Procedure All Heights Building (Ch. 27 Part 1)
All pressures shown are based upon ASD Design, with a Load Factor of .6
Basic Wind Speed(V) =
175.00 mph
Structural Category =
II
Exposure Category =
C
Natural Frequency =
N/A
Flexible Structure -
No
Importance Factor =
1.00
Kd Directional Factor =
0.85
Damping Ratio (beta) -
0.01
Alpha =
9.50
Zg =
900.00
ft
At =
0.11
Bt =
1.00
Am =
0.15
Bm =
0.65
Cc
0.20
1 =
500.00
ft
Epsilon -
0.20
Zmin -
15.00
ft
Slope of Roof =
3 : 12
Slope of Roof(Theta) =
14.00
Deg
Ht: Mean Roof Ht =
12.00
ft
Type of Roof =
Gabled
RHt: Ridge Ht =
14.00
ft
Eht: Eave Height =
10.00
ft
OH: Roof Overhang at Eave=
1.00
ft
Roof Area =
4186.00
ft^
2
Bldg Length Along Ridge =
74.00
ft
Bldg Width Across Ridge=
54.00
ft
Gust Factor Category I Rigid Structures - Simplified Method
Gustl: For Rigid Structures (Nat. Freq.>l Hz) use 0.85 = 0.85
Gust Factor Category II Rigid Structures - Complete Analysis
Zm. 0.6*Ht = 15.00 ft
lzm: Cc*(33/Zm)^0.167 = • 0.23
Lzm: 1*(Zm/33)^Epsilon = 427.06 ft
Q: (1/(1+0.63*((B+Ht)/Lzm)^0.63))^0.5 = 0.92
Gust2: 0.925*((1+1.7*lzm*3.4*Q)/(1+1.7*3.4*1zm)) - 0.88
Gust Factor Summary
Not a Flexible Structure use the Lessor of Gustl or Gust2 = 0.85
Table 26.11-1 Internal Pressure Coefficients for Buildings, GCPi
GCPi : Internal Pressure Coefficient = +/-0.18
Figure 27.4-1 External Pressure Coefficients
Cp - Loads on Mein Wind -Force Resisting Systems
1.
Z
I� D
B
Kh: 2.01*(Ht/Zg)^(2/Alpha) = 0.85
Kht: Topographic Factor (Figure 6-4) = 1.00
Qh: .00256*(V)^2*I*Kh*Kht*Kd = 33.94 psf
Cpww: Windward Wall Cp(Ref Fig 6-6) = 0.80.
Roof Area = 4186.00 ft^2
Reduction Factor based on Roof Area 0.80
MFRS -Wall Pressures for Wind Normal to 74 ft wall (Normal to Ridge)
Wall CP Pressure Pressure
+GCPi (psf) -Gcpi (Psf )
---------------- ------ ----------- -----------
Leeward Wall -0.50 -20.53 -8.32
Side Walls -0.70 -26.30 -14.09
Wall Elev Kz Kzt qz Press Press Total
ft psf +GCPi -=Pi +/-=Pi
---------------- ------ ----- ------------ ------- ------- ---------
Windward 14.00 0.85 1.00 33.94 16.97 29.19 37.51
Note: 1) Total = Leeward GCPi + Windward GCPi
Roof Location CP 'MCPs(Psf)-GCPi(POP
--------------------------------------------------
Windward - Min Cp -0.54 -21.69 -9.47
Windward - Max Cp -0.04 -7.26 4.96
Leeward Perp to Ridge -0.46 -19.38 -7.16
Overhang Top (Windward) -0.54 -15.58 -15.58
Overhang Top (Leeward) -0.46 -13.27 -13.27
Overhang (Windward only) 0.80 23.08 23.08
baMS Wall Pressures for Wind Normal'to 54 ft wall (Along Ridge)
Wall CP Pressure Pressure
+CCPi (Psf) -GCPi. (Psf)
Leeward Wall -0.43 -18.40 -6.18
Side Walls -0.70 -26.30
Wall Elev KZ Kzt qz
ft Psf
---------------- ------ ----- ------------ -
Windward 14.00 0.85 1.00 33.94
Note: 1) Total = Leeward GCPi + Windward GCPi
Roof - Dist from Windward Edge
---------------------------------
0.0ftto6.0ft
6.0 ft to 12.0 ft
12.0 ft to 24.0 ft
24.0 ft to 74.0 ft
-14.09
Press Press Total
+GCpi -GCpi +/-Gr-pi
------ ------- ---------
16.91 29.19 35.31
CP Pressure Pressure
+GCpi (Psf) -GCPi (Psf)
-0.90 -32.07 -19.86
-0.90 -32.07 -19.86
-0.50 -20.53 -8.32
-0.30 -14.76 -2.55
MECANind Version 2.1.1.3 ASCE 7-10
Developed by PWCA Enterprises, Inc. Copyright 2013 www.mecaenterprises.com
Date : 12/9/2013 Project No.
Company Name : Rochell Engineering, Inc. Designed By : A. Rochell
Address : 250 Catalonia Avenue - suite 4 Description : Sweet Land Residence
City : Coral Gables Customer Name :
State : Florida Proj Location : Miami Shores, FL
File Location: Y:\00-Projects\Moino Fernandez Architects\Sweet Land Residence - Noino Fernandez
Architects\Wind Loads.wnd
.2L
Rwf not
shown
2:1;22;1;2
5,
1
1 1
1
ali
31
ajA
2 ;
15 5'.
-
W a_ns
Gable Roof 7 < 0 <_- 45%
a
a
Wind Pressure on Components and
Cladding
(Ch 30
Part 1)
All
pressures shown are based upon ASD Design,
with a Load Factor of .6
Width of Pressure
Coefficient Zone
"a" = 4.8 ft
Description
Width
Span
Area Zone
Max
Mi.n
Max P
Min P
ft
ft
ft"2
GCp
GCp
psf
psf
--------------------------------------------------------------------------
10 sq.
ft.
1.00
5.50
10.1
1
0.50
-0.90
23.06
-36.64
10 sq.
ft.
1.00
5.50
10.1
2
0.50
-1.70
23.06
-63.75
10 sq.
ft.
1.00
5.50
10.1
3
0.50
-2.60
23.06
-94.28
10 sq.
ft.
1.00
5.50
10.1
4
1.00
-1.10
40.03
-43.42
10 sq.
ft.
1.00
5.50
10.1
5
1.00
-1.40
40.03
-53.58
20 sq.
ft.
1.00
7.75
20.0
1
0.44
-0.87
21.03
-35.63
20 sq.
ft.
1.00
7.75
20.0
2
0.44
-1.55
21.03
-58.69
20 sq.
ft.
1.00
7.75
20.0
3
0.44
-2.42
21.03
-88.22
20 sq.
ft.
1.00
7.75
20.0
4
0.95
-1.05
38.24
-41.64
20 sq.
ft.
1.00
7.75
20.0
5
0.95
-1.29
38.24
-50.01
50 sq.
ft.
1.00
12.00
48.0
1
0.36
-0.83
18.46
-34.34
50 sq.
ft.
1.00
12.00
48.0
2
0.36
-1.36
18.46
-52.25
50 sq.
ft.
1.00
12.00
48:0
3
0.36
-2.19
18.46
-80.48
50 sq.
ft.
1.00
12.00
48.0
4
0.88
-0.98
35.97
-39.36
50 sq.
ft.
1.00
12.00
48.0
5
0.88
-1.16
35.97
-45.46
100 sq.
ft.
1.00
18.00
108.0
1
0.30
-0.80
16.29
-33.26
100 sq.
ft.
1.00
18.00
108.0
2
0.30
-1.20
16.29
-46.84
100 sq.
ft_
1.00
18.00
108.0
3
0.30
-2.00
16.29
-73.99
100 sq.
ft.
1.00
18.00
108.0
4
0.82
-0.92
33.86
-37.25
100 sq.
ft.
1.00
18.00
108.0
5
0.82
-1.03
33.86
-41.24
200 sq.
ft.
1.00
25.00
208.3
1
0.30
-0.80
16.29
-33.26
200 sq.
ft.
1.00
25.00
208.3
2
0.30
-1.20
16.29
-46.84
200 sq.
ft.
1.00
25.00
208.3
3
0.30
-2.00
16.29
-73.99
200 sq.
ft.
1.00
25.00
208.3
4
0.77
-0.87
32.15
-35.54
200 sq.
ft.
1.00
25.00
208.3
5
0.77
-0.93
32.15
-37.82
500 sq.
ft.
1.00
40.00
533.3
1
0.30
-0.80
16.29
-33.26
500 sq.
ft.
1.00
40.00
533.3
2
0.30
-1.20
16.29
-46.84
500 sq.
ft.
1.00
40.00
533.3
3
0.30
-2.00
16.29
-73.99
500 sq.
ft.
1.00
40.00
533.3
4
0.70
-0.80
29.87
-33.26
500 sq.
ft.
1.00
40.00
533.3
5
0.70
-0.80
29.87
-33.26
Window
A
3.00
5.00
15.0
4
0.97
-1.07
39.00
-42.39
Window
A
3.00
5.00
15.0
5
0.97
-1.34
39.00
-51.52
Window
B
3.00
4.00
12.0
4
0.99
-1.09
39.58
-42.97
Window
B
3.00
4.00
12.0
5
0.99
-1.37
39.58
-52.68
Window
C
1.50
3.00
4.5
4
1.00
-1.10
40.05
-43.45
Window
D
1.50
4.00
6.0
4
1.00
-1.10
40.05
-43.45
Window
D
1.50
4.00
6.0
5
1.00
-1.40
40.05
=53.63
Window
E
1.50
1.83
2.7
5
1.00
-1.40
40.05
-53.63
Window
F
3.00
1.17
3.5
5
1.00
-1.40
40.05
-53.63
Window
G
8.00
2.00
16.0
5
0.96
-1.33
38.83
-51.18
Window
H
1.50
1.50
2.3
4
1.00
-1.10
40.05
-43.45
Typ. Door
3.00
6.67
20.0
4
0.95
-1.05
38.25
-41.64
Typ. Door
3.00
6.67
20.0
5
0.95
-1.29
38.25
-50.02
Khcc:Comp. & Clad. Table 6-3 Case 1 = 0.85
Qhcc:.00256*V^2*Khcc*Kht*Kd = 33.94 psf
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015
I SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name DONALD W. BLEASDALE Policy Number.
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number.
102 NE 106 ST
City MIAMI SHORES State,FL ZIP Code 33138
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 8, BLOCK 201, PB 41, PG 51
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 2652'19.66°N Long. 80'11'44.19"W Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 8
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) 1008. sq ft a) Square footage of attached garage N/A 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 14 within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b 1008. sq in c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
CITY OF MIAMI SHORES 120652 MIAMI-DADE FL
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index Date
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
12086CO302
L
09/11/2009
Effective/Revised Date
Zone(s)
AO, use base flood depth)
® feet
❑ meters
N/A.
09/11/2009
X
NIA
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date: WA ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. 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, V1 V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: Vertical Datum: NGVD 1929
Indicate elevation datum used for the elevations in items a) through h) below. ® 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. I certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001.
® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a hA Check here if attachments. licensed land surveyor? ® Yes ❑ No
Certifier's Name GEORGE IBARRA License Number 2534
Title LAND SURVEYOR Company Name NOVA SURVEYORS INC.
Address 558 W 7T" ST,
Signature
202 City MIAMI
State FL ZIP Code 33126
Date 10/29/2013 Telephone (305) 264-2660
FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions.
Check the measurement used.
10.55.
® feet
❑ meters
12.41.
® feet
❑ meters
WA.
® feet
❑ meters
N/A.
® feet
❑ meters
N/A.
® feet
❑ meters
10.39.
® feet
❑ meters
10.55.
® feet
❑ meters
10.39.
® 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. I certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001.
® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a hA Check here if attachments. licensed land surveyor? ® Yes ❑ No
Certifier's Name GEORGE IBARRA License Number 2534
Title LAND SURVEYOR Company Name NOVA SURVEYORS INC.
Address 558 W 7T" ST,
Signature
202 City MIAMI
State FL ZIP Code 33126
Date 10/29/2013 Telephone (305) 264-2660
FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions.
... .. V 1-
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.
102 NE 106 ST
City MIAMI SHORES State FL ZIP Code 33138 Company NAIC Number. r
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 SECTION C 2 (E) LOWEST ELEV MACHINERY IS A/C PAD. LATITUDE AND LONGITUDE IS PROVIDED BY GOOGLE EARTH.
CROWN OF ROAD ELEV=11.03 FT
Signature 'Ae Date 10/29/2013
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, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawispace, 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's or Owner's Authorized Representative's Name DONALD W. BLEASDALE
Address 102 NE 106 ST City MIAMI SHORES State FL ZIP Code 33138
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 items) 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 AO.
G3. ❑ The following information (Items G4-G10) 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. Communitys 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 (7/12) Replaces all previous editions.
5582 N.W. 7TH STREET, SUITE 202
MIAMI, FL 33126, Nova Surveyors, Inc.
TELE°,'10NE: (305) 264-2660
FAX: (305) 264-0229
SURVEY NO 13-0001161-2
DRAWN BY:
LAND SURVEYORS SHEET NO 1 OF 2
SURVEY OF LOT 8, BLOCK 201, OF DUNNING'S MIAMI SHORES EXTENSION NO. 1, ACCORDING TO THE PLAT THEREOF AS RECORDED IN
PLAT BO`JK 41, PAGE 51, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
PROPERTY ADDRESS: 102 NE 106 ST, MIAMI SHORES, FL 33138
FOR: DONALD W. BLEASDALE
LOCATION SKETCH
Scale 1" = NT. S.
STAP EE -T
SUBJECT 'F 70- IC
PROPERTY
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ABBREVIATION AND MEANING
A = ARC
A/C = AIR CONDITIONER PAD
A E =ANCHOR EASEMENT
A/R = ALUMINIUM ROOF
A/S = ALUMINIUM SHED
ASPH. = ASPHALT
B C. = BLOCK CORNER
B C = BROWARD COUNTY RECORDS
8.M = BENCH MARK
B.O.B. = BASIS OF BEARINGS
C =CALCULATED
C.B. =CATCH BASIN
C.B.W. -CONCRETE BLOCK WALL
CH = CHORD
CH.B. = CHORD BEARING
CL = CLEAR
C.L.F. = CHAIN LINK FENCE
C.M.E. = CANAL MAINTENANCE
EASEMENTS
CONC. = CONCRETE
C.P. = CONCRETE PORCH
C.S. = CONCRETE SLAB
D.E. = DRAINAGE EASEMENT
D.M.E. = DRAINAGE MAINTENANCE
EASEMENTS
DRIVE = DRIVEWAY
ENCR.=ENCROACHMENT
E.T.P. = ELECTRIC TRANSFORMER PAD
F.F.E. = FINISHED FLOOR ELEVATION
F H. = FIRE HYDRANT
F.I.P. = FOUND IRON PIPE
F.I.R. = FOUND IRON ROD
F . =FOUND NAIL
F.N.D. = FOUND NAIL & DISK
/2
FNIP. = FEDERAL NATIONAL INSURANCE
PROGRAM
IN.&EG. = INGRESS AND EGRESS
EASEMENT
L.F.E. = LOWEST FLOOR ELEVATION
L.M.E. = LAKE MAINTENANCE EASEMENT
L.P. = LIGHT POLE
M. = MEASURED DISTANCE
M/H = MANHOLE
N.A.P. = NOT A PART OF
NGVD = NATIONAL GEODETIC VERTICAL
DATUM
N.T.S. = NOT TO SCALE
O.H.L. = OVERHEAD UTILITY LINES
O.R.B. = OFFICIAL RECORD BOOK
O/S = OFFSET
OVH. = OVERHANG
P.B. = PLAT BOOK
P.C. = POINT OF CURVE
P.C.C. = POINT OF COMPOUND CURVE
PL. = PLANTER
P.L.S. = PROFESSIONAL LAND
SURVEYOR
P.O.B.. = POINT OF BEGINNING
P.O.C.. = POINT OF COMMENCEMENT
P.P. = POWER POLE
P.P.S.. = POOL PUMP SLAB
P.R.C. = POINT OF REVERSE CURVE
PRM = PERMANENT REFERENCE
MONUMENT
PT. =POINT OF TANGENCY
PVMT.=PAVEMENT
PWY = PARKWAY
R. = RECORD DISTANCE
/3 1 /4 -
RAD. = RADIUS OF RADIAL
RGE= RANGE
R.P. = RADIUS POINT
R.O.E. = ROOF OVERHANG
EASEMENT
RNV = RIGHT-OF-WAY
SEC = SECTION
S.I.P. = SET IRON PIPE L.B. #6044
SWK. = SIDEWALK
T = TANGENT
TWP = TOWNSHIP
U.E. = UTILITY EASEMENT
U.P. = UTILITY POLE
W.M. = WATER METER
W.R. = WOOD ROOF
W.S. = WOOD SHED
� = ANGLE
L =CENTRAL ANGLE
T =CENTER LINE
tf =MONUMENT LINE
LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY ("SURVEY" 1:
- THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY.
THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING, AND SHOULD NOT BE
USED FOR CONSTRUCTION PURPOSES.
EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY,
AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS
OR EASEMENTS OF RECORD, AND LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY.
BOUNDARY SURVEY MEANS A DRAWING AND / OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN
THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND / OR NOT TO SCALE.
EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN.
THE TERM "ENCROACHMENT' MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS.
ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS AND SETBACKS, AND THEY WILL BE RESPONSIBLE
FOR SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO
AUTHORITIES IN NEW CONSTRUCTIONS, UNLESS OTHERWISE NOTED. THIS FIRM HAS NOT ATTEMPTED TO LOCATE
FOOTING AND/OR FOUNDATIONS.
FENCE OWNERSHIP NOT DETERMINED.
- THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED.
HEREON, THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY.
THE SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION BELOW. THE LOCAL F.E.M.A.
AGENT SHOULD BE CONTACTED FOR VERIFICATION. THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED
LAND TO BE SITUATED IN ZONE: X COMMUNITY/PANEL/SUFFIX: 120652 0302 L DATE OF FIRM: 09/1112009
BASE FLOOD ELEVATION: N/A.
CERTIFIED TO: DONALD W. BLEASDALE
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ABBREVIATION AND MEANING
A = ARC
A/C = AIR CONDITIONER PAD
A E =ANCHOR EASEMENT
A/R = ALUMINIUM ROOF
A/S = ALUMINIUM SHED
ASPH. = ASPHALT
B C. = BLOCK CORNER
B C = BROWARD COUNTY RECORDS
8.M = BENCH MARK
B.O.B. = BASIS OF BEARINGS
C =CALCULATED
C.B. =CATCH BASIN
C.B.W. -CONCRETE BLOCK WALL
CH = CHORD
CH.B. = CHORD BEARING
CL = CLEAR
C.L.F. = CHAIN LINK FENCE
C.M.E. = CANAL MAINTENANCE
EASEMENTS
CONC. = CONCRETE
C.P. = CONCRETE PORCH
C.S. = CONCRETE SLAB
D.E. = DRAINAGE EASEMENT
D.M.E. = DRAINAGE MAINTENANCE
EASEMENTS
DRIVE = DRIVEWAY
ENCR.=ENCROACHMENT
E.T.P. = ELECTRIC TRANSFORMER PAD
F.F.E. = FINISHED FLOOR ELEVATION
F H. = FIRE HYDRANT
F.I.P. = FOUND IRON PIPE
F.I.R. = FOUND IRON ROD
F . =FOUND NAIL
F.N.D. = FOUND NAIL & DISK
/2
FNIP. = FEDERAL NATIONAL INSURANCE
PROGRAM
IN.&EG. = INGRESS AND EGRESS
EASEMENT
L.F.E. = LOWEST FLOOR ELEVATION
L.M.E. = LAKE MAINTENANCE EASEMENT
L.P. = LIGHT POLE
M. = MEASURED DISTANCE
M/H = MANHOLE
N.A.P. = NOT A PART OF
NGVD = NATIONAL GEODETIC VERTICAL
DATUM
N.T.S. = NOT TO SCALE
O.H.L. = OVERHEAD UTILITY LINES
O.R.B. = OFFICIAL RECORD BOOK
O/S = OFFSET
OVH. = OVERHANG
P.B. = PLAT BOOK
P.C. = POINT OF CURVE
P.C.C. = POINT OF COMPOUND CURVE
PL. = PLANTER
P.L.S. = PROFESSIONAL LAND
SURVEYOR
P.O.B.. = POINT OF BEGINNING
P.O.C.. = POINT OF COMMENCEMENT
P.P. = POWER POLE
P.P.S.. = POOL PUMP SLAB
P.R.C. = POINT OF REVERSE CURVE
PRM = PERMANENT REFERENCE
MONUMENT
PT. =POINT OF TANGENCY
PVMT.=PAVEMENT
PWY = PARKWAY
R. = RECORD DISTANCE
/3 1 /4 -
RAD. = RADIUS OF RADIAL
RGE= RANGE
R.P. = RADIUS POINT
R.O.E. = ROOF OVERHANG
EASEMENT
RNV = RIGHT-OF-WAY
SEC = SECTION
S.I.P. = SET IRON PIPE L.B. #6044
SWK. = SIDEWALK
T = TANGENT
TWP = TOWNSHIP
U.E. = UTILITY EASEMENT
U.P. = UTILITY POLE
W.M. = WATER METER
W.R. = WOOD ROOF
W.S. = WOOD SHED
� = ANGLE
L =CENTRAL ANGLE
T =CENTER LINE
tf =MONUMENT LINE
LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY ("SURVEY" 1:
- THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY.
THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING, AND SHOULD NOT BE
USED FOR CONSTRUCTION PURPOSES.
EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY,
AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS
OR EASEMENTS OF RECORD, AND LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY.
BOUNDARY SURVEY MEANS A DRAWING AND / OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN
THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND / OR NOT TO SCALE.
EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN.
THE TERM "ENCROACHMENT' MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS.
ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS AND SETBACKS, AND THEY WILL BE RESPONSIBLE
FOR SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO
AUTHORITIES IN NEW CONSTRUCTIONS, UNLESS OTHERWISE NOTED. THIS FIRM HAS NOT ATTEMPTED TO LOCATE
FOOTING AND/OR FOUNDATIONS.
FENCE OWNERSHIP NOT DETERMINED.
- THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED.
HEREON, THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY.
THE SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION BELOW. THE LOCAL F.E.M.A.
AGENT SHOULD BE CONTACTED FOR VERIFICATION. THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED
LAND TO BE SITUATED IN ZONE: X COMMUNITY/PANEL/SUFFIX: 120652 0302 L DATE OF FIRM: 09/1112009
BASE FLOOD ELEVATION: N/A.
CERTIFIED TO: DONALD W. BLEASDALE
LEGEND TYPICAL
—OH- OVERHEAD UTILITY LINES
Z= C.B.S. = WALL ICBWI
x x C.L.F. = CHAIN LINK FENCE
-0--0- I.F. = IRON FENCE
-rr-rr W.F. =WOOD FENCE
• 0.00 = EXISTING ELEVATIONS
SURVEYOR'S NOTES
1) IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED
MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE
PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO
COUNTY, TOWNSHIP MAPS.
2) THIS IS A SPECIFIC PURPOSE SURVEY.
3) THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE
1:7500 FT.
4) IF SHOWN, ELEVATIONS ARE REFERRED TO
MIAMI•DADE COUNTY.
ALL ELEVATIONS SHOWN ARE REFERRED TO
NATIONAL GEODETIC VERTICAL DATUM OF 1929
MIAMI-DADE BENCH MARK #N-567
LOCATOR#3100
ELEVATION 10.54 FEET OF N.G.V.D. OF 1929
SURVEYOR'S CERTIFICATION
I HEREBY CERTIFY: THAT THIS "BOUNDARY SURVEY" OF
THE PROPERTY DESCRIBED HEREON, AS RECENTLY
SURVEYED AND DRAWN UNDER MY SUPERVISION,
COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS
AS SET FORTH BY THE FLORIDA BOARD OF
PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17-6,
FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027,
FLORIDA STATUTES.
BY: l
ROBERT IBARRA (DATE OF FIELD WORK)
PROFESSIONAL LAND SURVEYOR NO. 6437
STATE OF FLORIDA (VALID COPIES OF THIS SURVEY WILL
BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND
SURVEYOR).
REVISEU ON'.
REVISED ON:
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SURVEYOR'S SEAL
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—OH- OVERHEAD UTILITY LINES
Z= C.B.S. = WALL ICBWI
x x C.L.F. = CHAIN LINK FENCE
-0--0- I.F. = IRON FENCE
-rr-rr W.F. =WOOD FENCE
• 0.00 = EXISTING ELEVATIONS
SURVEYOR'S NOTES
1) IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED
MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE
PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO
COUNTY, TOWNSHIP MAPS.
2) THIS IS A SPECIFIC PURPOSE SURVEY.
3) THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE
1:7500 FT.
4) IF SHOWN, ELEVATIONS ARE REFERRED TO
MIAMI•DADE COUNTY.
ALL ELEVATIONS SHOWN ARE REFERRED TO
NATIONAL GEODETIC VERTICAL DATUM OF 1929
MIAMI-DADE BENCH MARK #N-567
LOCATOR#3100
ELEVATION 10.54 FEET OF N.G.V.D. OF 1929
SURVEYOR'S CERTIFICATION
I HEREBY CERTIFY: THAT THIS "BOUNDARY SURVEY" OF
THE PROPERTY DESCRIBED HEREON, AS RECENTLY
SURVEYED AND DRAWN UNDER MY SUPERVISION,
COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS
AS SET FORTH BY THE FLORIDA BOARD OF
PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17-6,
FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027,
FLORIDA STATUTES.
BY: l
ROBERT IBARRA (DATE OF FIELD WORK)
PROFESSIONAL LAND SURVEYOR NO. 6437
STATE OF FLORIDA (VALID COPIES OF THIS SURVEY WILL
BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND
SURVEYOR).
REVISEU ON'.
REVISED ON:
O$�p;�lFIC'Q,p
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SURVEYOR'S SEAL
5582 N.W. 7th STREET SUITE 202MIAMI'q FLORIDA 33126 ' q �q �+ y r SURVEY No. 13-0001161-2
TELEPHONE: (305) 264-2660
FAX. (305) 264-0229
DRAWN BY: AL.(LG.) LAND SURVEYORS SHEET No. 2 OF 2
BOUNDARY SURVEY
SCALE = 1; = 20'
SURVEY ENCROACHMENT NOTES:
A) Northwest side of property: Concrete driveway encroaching onto right-of-way.
B) Southeast side of property: Chain link fence encroaching onto subject property.
R=25.00'
L=39.41'
Tan=25.14'
A=90°18 44'
CH=35.45'
P7F.I.P
30.00' NO CAPS ..
10.19
/-
22' PWY
10.53
0
0
75.18' 5' CONC. SWK I NO CAP
10.69 c`S
0
O J
ti F¢ -
LOT -9
BLOCK - 201
VV
SURVEYOR'S NOTE:
There may be Easen tints recorded in the Public Records not shown on this Survey.
The purpose of this Survey is for use in obtaining Title Insurance and Financing and should not be used for Construction purposes.
LOT -10
BLOCK - 201
oV
10—.64
rn
+
Nt
N
10.64
1U.39
N
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F.N. 10.53
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NO ID. I —
+
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+
20
22.
'
0 17.00'
10.39
LL221.30' ►�
10.39
x
x
14.50'
N
10.44
+
N
1.24CL.
_
10.74
o F.F.E.=12.41'
1
—
N L.F.F.E.=10.55' 3.65'
Cn
U
10.13
ONE STORY
10.50
10.14
X
RES. # 102 ^o
WATER
PUMP
LOT -8
11.10'
BLOCK - 201
14.70'
LOT- 7
N
N
._
BLOCK - 201
2.35
9.70
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_
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N
15.60' c
0.891CL.
eti
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10.55
N
12.40'
10.67'
10.00
Y
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C.S.
13.60' ai
x
UTIL
+
C.S. * 10_60
U
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24.50'
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10.55
POOL
Co
10.50 C4
ch
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19
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NN
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1.66'ENCR.
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10.90
B
30.00'
12"
6' W.F.
10.85
F.I.P 1/2O
F.I.P
NO C
P
x
9.95
Y
LOT -9
BLOCK - 201
VV
SURVEYOR'S NOTE:
There may be Easen tints recorded in the Public Records not shown on this Survey.
The purpose of this Survey is for use in obtaining Title Insurance and Financing and should not be used for Construction purposes.
LOT -10
BLOCK - 201
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE 6
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Flood Insurance P?ogram Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015
' SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name DONALD W. BLEASDALE Policy Number.
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number.
102 NE 106 ST
City MIAMI SHORES State FL ZIP Code 33138
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 8, BLOCK 201, PB 41, PG 51
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 25'52'19.66"N Long. 80'11'44.19"W Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 8
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawispace or enclosure(s) 1008. sq ft a) Square footage of attached garage N/A 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 14 within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b 1008. sq in c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
CITY OF MIAMI SHORES 120652 MIAMI-DADE FL
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index Date
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
12086CO302
L
09/11/2009
Effective/Revised Date
Zone(s)
AO, use base flood depth)
® feet
❑ meters
N/A.
09/11/2009
X
N/A
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date: N/A ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
61. 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, V1 V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item AT In Puerto Rico only, enter meters.
Benchmark Utilized: Vertical Datum: NGVD 1929
Indicate elevation datum used for the elevations in items a) through h) below. ® 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, crawispace, or enclosure floor)
b) Top of the next higher floor
G) 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)
0 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 Certfficate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
® 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? ® Yes ❑ No
Certifier's Name GEORGE MARRA License Number 2534
Title LAND SURVEYOR Company Name NOVA SURVEYORS INC.
Address 5587T" ST, SUIT 2 City MIAMI State FL ZIP Code 33126
Signature/,/mate 10/29/2013 Telephone (305) 264-2660
0
10--2-c:(_(1,
FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions.
Check the measurement used.
10.55.
® feet
❑ meters
12.41.
® feet
❑ meters
N/A.
® feet
❑ meters
N/A.
® feet
❑ meters
N/A.
® feet
❑ meters
10.39.
® feet
❑ meters
10.55.
® feet
❑ meters
10.39.
® 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 Certfficate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
® 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? ® Yes ❑ No
Certifier's Name GEORGE MARRA License Number 2534
Title LAND SURVEYOR Company Name NOVA SURVEYORS INC.
Address 5587T" ST, SUIT 2 City MIAMI State FL ZIP Code 33126
Signature/,/mate 10/29/2013 Telephone (305) 264-2660
0
10--2-c:(_(1,
FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions.
IMPORTANT: In these spaces, copy the corresponding Information from Section A. FORNSURANCE, WOMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number.
102 NE 106 ST
City MIAMI SHORES State FL ZIP Code 33138 Company NAIC Number.
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 SECTION C2 (E) LOWEST ELEV MACHINERY IS A/C PAD. LATITUDE AND LONGITUDE IS PROVIDED BY GOOGLE EARTH.
CROWN OF ROAD ELEV=11.03 FT
A�� 4p�_
Signature Date 10/29/2013
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, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawispace, 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's or Owner's Authorized Representative's Name DONALD W. BLEASDALE
Address 102 NE 106 ST City MIAMI SHORES State FL ZIP Code 33138
Signature
Comments
Date
Telephone
❑ 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 items) 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 AO.
G3. ❑ The following information (Items G4 -G10) is provided for community floodplain management purposes.
G4. Permit Number I G5. Date Permit Issued I 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 Officlal's Name Title
Community Name Telephone
Signature Date
Comments
Check here if attachments.
FEMA Form 086-0-33 (7/12) Replaces all previous editions.