EL-14-1578 (2) r{
REVISION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 ,
BUILDING Master Permit No. C- ( �4_ 2-.-2-
PERMIT APPLICATION Sub Permit No. 99+ if-7
❑BUILDING Iff ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9400 NW 2 AVE
City: Miami Shores County: Miami Dade Zia:
Folio/Parcel#: Is the Building Historically Designated:Yes NO X
Occupancy Type: R1 Load: Construction Type. CBS Flood Zone: BFE: FFE:
OWNER:Name(Fee simple Titleholder):ELITE HOME PARTNERS Phone#:305-905-6913
Address:2300 WEST 84 ST SUITE 602
City: HIALEAH state: FLORIDA Zip: 33016
Tenant/Lessee Name: Phone#:305-905-6913
Email: JDELafe@teamdelafe.com �—� SCG9 5(09 13
ONTRACTOR:Compan Na �G� Phon •` -'J/3 3
dry S
l�""� �p���� 7! Phon •�flC9Q� ���—?
Qualifier Name• y ..
tate Certification or Registration C�--L ��Ce ' ' ate of Competen •
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$150.00 Square/Linear Footage of work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: revision on master permit electrical work
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 7`S��"L' CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE S -
(Revised02/24/2014)
tP • 1
iami Shores Village cEIVEr� 1
uildin g Department JAN 262015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY.
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FB@2�Ib
BUILDING Nbster permit 111o. (Z
PERMIT APPLICATION Sub Permit No.
FN_jBUILDING ❑ ELECTRIC ❑ ROOFING Q REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL [:]PUBLICWORKS E] CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9400 NW 2 AVE
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO X
Occupancy Type: R1 Load: Construction Type: CBS Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):ELITE HOME PARTNERS Phone#:305-905-6913
Address:2300 W 84 ST # 602
City: HIALEAH State: FL Zip: 33016
Tenant/Lessee Name: Phone#:
Email: JDELAFE c@TEAMDELAFE.COM
_4:'S i
CONTRACTOR:Company Name: RUDGE WOOD FLOORING PhWW#: ,c"•
Address:
City: State� �F Zip: 3�
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 1h, `cam Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Altgation Repair/Replace ❑ Demolition
Description of Work-4 1 — — -
Specify color of color thru tile: 2�-, s .(>� m k
Submittal Fee$ Permit Fee$ r x3'--I\
3"-I\ CCF$ CO/CC S
Scanning Fee$2�J� Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews S Bond$
TOTAL FEE NOW DUE$ �
(RevisedO2/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochu will be deliver to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commence ent must be po d at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the bsence of su post notice, the
inspection will not be approved and a reinspection fee will be charged. ,
V
SiEnature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before_me this The oin instrum t was acknowledged before me til is
t 2 day often ��nlnj 20 by day of �' 20�/ by
Cc�ho is personally known to h' G l 1 / who is personally known to
me or who has produced as me or who a u d 0 L as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUB (C: NOTARY PUBLIC: )
Sign: Sign:
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Print: l Print: .o„""„ t Cy l Y
YY •, .off
Seal: =$ '•�`,Comnission#FF 160477 Seal:=;.• p'„SEs:crAy �
. y�•`:Expires: SEP 16,2018;�P*Dro THOU
=,'?,'� �a; W pARONNOTARY
„••' tar rtoaioA NoTAar,LLC
TZ�' f J� Zoning
APPROVED BY Plans Examiner g
Structural Review Clerk
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,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 MEN T
OU O CEOF COM CEMEN .
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature ��N
OWr AGENT CONTRACTOR
The foregoing instrument was acknowledged before a this The foregoing instrument was acknowledged before me this
A
day of � 201 by �day of CD C`�� 20 by
who is personally known to who is person Ily known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOT C: NOTARY PUBLIC:
Sig Sign:
Print: Print:
Seal- Seal: ',_
'`pYP`a`' VALTY RAYMORE
I. Caridad D'�az
g " • d IYIBZ "v ^^•iMISSION #FF020273
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":F orv��:: FXPIRES June 19,2017
=a: =Expires: SEP 16,2018 ..•.•,,8-
loHoce THIN (407)398-0753 FloridallotaryService.com
APPROVED BY JL��.`�f � 'r Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
It:S.DEPIn;TMENTOFHOMELANDSECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National` od Insurance Program Expiration Date:Jul 31,2015
Important: Read the instructions on pages 1-9. P Y
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name ELITE HOME PARTNERS LLC Policy Number:
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company MAIC Number:
9400 NW 2 AVENUE
City MIAMI State FL ZIP Code 33150
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 5,BLOCK 3,O'DELL MANORS,PLAT BOOK 41, PAGE 57
A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude: Lat.25051'40.68"N Long.80012'06.10'W Horizontal Datum: ❑ NAD 1927 E 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 3
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) N/A sq ft a) Square footage of attached garage NIA 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 NIA
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b NIA sq in
d) Engineered flood openings? ❑ Yes E No d) Engineered flood openings? ❑ Yes E No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
B1. NFIP 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 B8.Flood B9.Base Flood Elevation(s)(Zone
12086C 0302 L 09-11-09 Effective/Revised Date Zone(s) AO,use base flood depth)
09-11-09 X N/A
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile E FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: E 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 E No
Designation Date: N/A ❑ CBRS ❑ OPA
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* E 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,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:#N-568 ELEV=9.65' Vertical Datum: NGVD 1929
Indicate elevation datum used for the elevations in items a)through h)below. E NGVD 1929 ❑ NAVD 1988 ❑Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 12.07 E feet ❑ meters
b)Top of the next higher floor 14.10 E feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ❑feet ❑ meters
d)Attached garage(top of slab) N/A. ❑feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 12.86 E feet ❑ meters
(Describe type of equipment and location in Comments)
0 Lowest adjacent(finished)grade next to building(LAG) 11.71 E feet ❑meters
g) Highest adjacent(finished)grade next to building(HAG) 11.84 E feet ❑meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 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.
1 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 ='a_ OE
❑ Check here if attachments. licensed land surveyor? E Yes ❑ No BY
Certifier's Name ARTURO R.TOIRAC License Number 3102 HERE
Title LAND SURVEYOR Company Name
Address 14317 SW 45 TERRACE City MIAMI State FL ZIP Code 33175jp
Signature Date 07-08-15 Telephone (305)552 7504 Q
FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions.
iMPORT'ANT: 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:
9400 NW 2 AVENUE
City MIAMI State FL ZIP Code 33150 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 CROWN OF ROAD ELEV.=12.04'
LOWEST MACHINERY ON C2 a IS A/C ELEVATION LOCATED AT WEST SIDE
LAT/LONG OBTAINED BY GPS
Signature Date 07-08-15
X62lelc��
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's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ Check here if attachments.
SECTION G—COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's 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 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.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(7/12) Replaces all previous editions.
'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:
9400 NW 2 AVENUE
City MIAMI State FL ZIP Code 33150 Company NAIC Number.
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 View" Date: 07-08-15 "Rear View" Date: 07-08-15
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"Additional Front View" Date: 07-08-15 "Additional Rear View" Date: 07-08-15
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FEMA Form 086-0-33(7/12) Replaces all previous editions.
001027
Local IBusness,Tax Receipt k
Miami-Dade County, State ' 'o FloridaLHT.'
>THIS IS NOTA BILL 'DQ.NOT PAY
6636303
BUSINESS NAME/LOCATION RECEIPT NO. ' EXPIRES
RAYS ELECTRICAL SUPPLIES INC RENEWAL SEPTEMBER 3O '20115
2015 OPA LOCKA BLVD 2400679 Must be displayed at place of business'
OPA LOCKA FL 33054> Pursuant to County Code
Chapter 8A-Art.9&10
OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED
RAYS ELECTRICAL SUPPLIES INC 1196 ELECTRICAL CONTRACTOR BY TAX COLLECTOR
Worker(s) A0 EC13002844' $45.00 09/04/2014
ECHECK-14-141896
This Local Business Tax Receipt only lonfirms payment of the Local Business Tax.The Receipt is not a license,
Permit,or certification of the holder's qualifications,to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business,
The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Code Sec Ba-276.
For more information,visit www.miamidade.goy p 01)199 9r_