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DEMO-14-227 Z�z Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-221382 Permit Number: DEMO-2-14-227 Scheduled Inspection Date: October 16, 2014 Permit Type: Demolition Inspector: Devaney, Michael Inspection Type: Final Owner: MIAMI PROPERTY SOLUTIONS LLC, Work Classification: Electric NA11A1 DC/1DCT 0V or%1 I1"rlr% to 1 1 1% Job Address:38 NW 108 Street Miami Shores, FL 33168- Phone Number (305)807-4045 Parcel Number 1121360110120 Project: <NONE> Contractor: DEVELOPMENT ELECTRICAL CONTRACTORS INC Phone: (786)273-0025 Building Department Comments DEMOLITION Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments PassedEE CREATED AS REINSPECTION FOR INSP-206742. No access at 4:30 p. m.. Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 15,2014 For Inspections please call: (305)762-4949 Page 17 of 29 Miami Shores Village i ,a Building Department JAN 14 ZM 10050 N E.2nd Avenue,Miami Shores,Florida 33138 `'1� Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 BUILDING Permit No. I� , PERMIT APPLICATION Master Permit No.D& Permit Type: Electrical JOB ADDRESS: '-3fJ W-W W6114 �,tU�r City. Miami Shores County._ Miami Dade 7ip: _51-3 f . >+olio/Parcel#: �I-2136.�7f1-®t'2c� (MttetiiPC�Vl11'i•' Is the Building Historically Designated:Yes NO Flood Zone: OWNER;Name(Fee Simple Titleholder); Koma0p"t $oju�,On . Phone#:('aO$) 460 484r Address:_ P® f3cx 63CM8 <tqoNgr t1t 'StQ�T Rami 54wre• 33t�1� ` City:-- idmt S6re, State: -FL Zip: 33 tG3 Tenanta-essee Name: Phone#: Email: eclfl 6 Wen CONTRACTOR:Company Name: /j C C � ` 9J� c Phony#: (o J 25 Address:_ /��l l� 59 —rEYL City: lState: F-C Zip: Q�if�r'Name; ''��'i�' _�. J`'('�o.��2 Phone#: Stye Cerlific tion or Registration#• e121,9)0 1 q Certific/atte of Competency#• i —C 35—(2, Contact Phone#• SI 6 a 66 Email Address: DESIGNER:Archi;e J ginw. Phone#: e,IVY Value of Work for this Permit:$_12-2-662 r, • SquareUnear Footage of Work: 43 - ' Type of Work: ❑Address DAlteration ONew �Repair/Replace f]Deunolition Description of Work: Lry titi,�**,�,k�a*+�x�,�rs�,�,�*,x,�e,r�,kir,�*,�**,r,ir,�,��rtF�* ,r�a�,�*,� *�,��,c�,x,�,�,kia*,�,�r,�,r�*a•,r,�+r+�t Submittal Fee$ Permit Fee$/1010,'®0 CCF$ CO/CC$ . Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ , Structural Review$ n _: 1SUe (1ee/?u;L Bduding Company's Name(if applicable) Bonding Company's Address City State zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR MIPROVEMENTS TO YOUR PROPERTY. IF YOU INTENT) TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500,the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which•occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee w' e=c3iarged. Si - t�� Signature Owner qVAgent Contractor The foregoing instrument was acknowledged before me this� The foregoing instrument was ackmow g be e this �� Q � illl day of 20�,by_VL f� U&7,� day of 20 by who is personally known to me or who has produced who is personally kaown to me or •. 's ° As identification and who did take an oath. as. ntificatB a}hd wkdid NOT AR UBL v RAFAEL E GIAMPETRUZZI NOTARYPUBLI MY COMMISSION#EE088t109 OQ.\l EXPIRES May 01;2015 �sC'• •s. •••'�OQ�� 946a plggrvice.doM Sign: - Sign: is°°�ejl A Of�``��a Print: °�1 Print: My Commission Expires: My Commission Expires: ?o fes/ APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revisai 07/10/07XRevised 06/102009XRev1sed 3/15/09) THIS b0cuMENT HAS A cbLbRED BACKGROUND-MICROPRINTING-.LINENIARK'-PATENTED PAPER AC# 6220740 STATE OF FLORIDA. DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSIM BOARD $EL12072001099 .- LICENSE NBR 107/20/2012, 1118202973 _ER13014.5' The ELECTRICAL CONTRACTOR A, Named below HAS REGISTERED . Under the provisions of Chapte +�BS .FS. Expiration date: AUG 31, 2014 Y i- (INDIVIDUAL MUST MEETALL LOCAL I REQffIREKENTS PRIOR TO CONTRACTING. 3 ? -"ARE MUNOZ,: LUIS ENRIQUS - DEVELOPMENT ELECTRICAL CONTRACTOR, ' 1NC 15711 SW 59TH TER MIAMI FL 33193 4 RICK SCOTT REN LAWSON GOVERNOR SECRETARY i DISPLAY AS REQUIRED BY LAW CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY I 11 E000008 DEVELOPMENT ELECTRICAL CONTRACTOR INC 1 D.B.A.. MUN Z LUIS E Is certified under the provisions of Chapter 10 of Mi& Mi-Dade County VALID FOR CONTRACTING UN /3012015 003773 Local Business Tax Receipt Miami-Dade County, State of Florida -THIS IS NOT A BILL-DO NOT PAY LBT 6842687 BUSINESS NAMEMOCATION RECEIPT NO. EXPIRES DEVELOPMENT ELECTRICAL CONTRACTOR INC RENEWAL SEPTEMBER 30, 2014 15711 SW 59 TERR 7116684 Must be displayed at place of business MIAMI FL 33193 Pursuant to County Code Chapter SA-Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED DEVELOPMENT ELECTRICAL 196 ELECTRICAL CONTRACTOR BY TAX COLLECTOR CONTRACTOR llE000008 $75.00 09/12/2013 Worker(s) 1 ECHECK-13-007713 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, permit,or a 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--Z*. For more information,visit www miamidade.a_VAA&gelk01 ag JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 6/14/2013 EXPIRATION DATE: 6/14/2015 PERSON: MUNOZ LUIS E FEIN: 274013230 BUSINESS NAME AND ADDRESS: DEVELOPMENT ELECTRICAL 15711 SW 59 TER MIAMI FL 33193 SCOPES OF BUSINESS OR TRADE: ELECTRICAL WIRING CONDUIT ELECTRIC LIGHT OR BURGLAR AND FIRE WITHIN BUIL CONSTRUCTION FOR POWER LINE C ALARM INSTALL CAB Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by tiling a certiffCate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade gated on the notice of election to be exempt Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of ejection to be exempt shall be subject to revocation fi,at any time after the firing of the notice or the issuance of the certificate,icate,the person named on the notice or certificate no longer meets the requirements of this section for Issuance of a certificate.The department shag revoke a certificate at any time for failure of the person named on the certificate to met the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609 G ° v _ 16,42,64 MSWSOW ''r fK 1 . MONYM Ate'D CERTIFICATE OF LIABILITY INSURANCE D02M4 2014 02!0412014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION 18 WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Hsu of such endorsement(s). PRODUCER Roxana Sato Insurance Agency,Inc. 8230 Coral Way NE 308.683-6006 , ,;306553.6007 Miami,FL 33168 leADlss: 018887 allatate.com tN8 8 AFFORDING COVERAGE NAIL 8 INSURER A:WESTERN WORLD INS CO iNsUREo DEVELOPMENT ELECTRICAL CONTRACTOR INC. INSURERB: 16711 SW 69 TERRACE INSURERC. INSURER 0: MIAMI,FL 33193 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. N07VATHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OP INSURANCE POLICYNUMBER (MMMF MMN UNITS A COMMERCW-OENEMUABRITY NPP1369711 01114/2014 01/14/2016 EACH OCCURRENCE $300,000 CLAIMS-MADE 7V( OCCUR $100,000 MED EXP(ftone ) $ 6,000 PERSONAL&ADVINJURY $300,000 GENLAGORM0EpLIMIT,APPLIES PER; GENERAL AGGREGATE $600,000 POLICY 13 LOC;LOC PRODUCTS-CCMPIOPAGG $300,000 OTHER: $ AUTOMOBILE LIABILITY Li Li B $ ANYAUTO BODILY INJURY(Perpemon) $ SO D SCHFD� BODILY INJURY(Per cocift,) $ tIREDAUTOS AUTO QED PROPERTY DAMAGE OE $ $ UMBRELLA LIAS OCCUR LJLJI EACHOCCURRENCE $ EXCESSLIAe CLAIMS-MADE AGGREGATE $ —_ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LUIBIUTY ANY PROPRIHTORIPARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ OFFICEMM M8ERE)OCLUDED4 NIA (MandatoryIn NH) E.L.DISEASE-EA EMPLOYE $ Uyg�deaibeur:der DESGRI 5ON OF 0 PERAnCINSbWw ELDISEASE-POLICYLIMIT $ Ho OEBCRtPIttN!OE_OPERATIONSILOCATIONS/VEHICLES(ACORD 101,AddIllonal Rsmsft SaWdolk may b6 aflabod[I more spato is required) CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI SHORES SHOULD ANY OF THE ABOVE?DESCRIBED POLICIES BE CANCELLED BEFORE BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE. IMLL BE DELIVERED IN 10060 NE 2 AVENUE ACCORDANC. ITH THE POLICY PROVISIONS. MIAMI SHORES VILLAGE,FL 33138 gutHORIZED REPREsEN ~- ®1988.2044 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD Produced using tbrms Ross Web soWmm w.%W.Fonmgoss tom,®Impressive Publishing 800.205.18Ty Super Pest Control :551 ' P.O. Box 452933 LETTER DATE: 1/10/2014 Miami,Florida 33245-2933 (305) 505-9113 INITIAL INSPECTION: 1/10/2014 (786) 234-5861 PRE-DEMOLITION INSPECTION: REQUIRED E-mail:informadon@spcservicesllc.com START DATE: TBD Website:http.-IAvww.spcservicesllc.com END DATE: TBD ON-SITE INSPECTION Service Site Contact Information Miami Property Solutions LLC Miami Property Solutions LLC c/o Amparo Mejia 38 NW 108 Street 190 NE 111 Street Miami Shores,Florida 33168 Miami Shores,Florida 33161 Folio# 11-2136-011-0120 786-395-6261 On-Site Inspection &Service Notes The above stated service site was inspected on Friday,January 10,2014. There was no evidence of any vermon inhabiting the location. Service technicians will be on-site the day of the demolition to confirm that there is no evidence of vermon inhabiting the location before the process of demolition begins. If you have any questions-Please feel free to contact Best Regards, IT Ar-1 Grist er�randez p Cristy Fernandez Authorized Agent "Big Enough To Meet Your Needs... Small Enough To Give Personalized Attention" f � U.S.DEPO iMll3alTOFHOMt].ANDSECURMY ELEVATION CERTIFICATE FEDERAL EMERGE�YCY MANAGEMENT AGENCY OMB No. 16'60-0008 Natei�zalPloodlnsuraweProgram important: Read title instructions on pages 1-9. Exp' y 31, 2015 Expiration Date:Jul SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name MIAMI PROPERTIES Policy Number. A2 Buiidin,&Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number. 38 NW 108 STREET City MIAMI SHORES State FL ZIP Code 33168 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) FOLIO#11-2136-011-0120 MIAMI-DADECOUNTY A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Let *5 N Long.8(°11'S61MHorizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the ceding if the Certificde is being used to obtain Hood Insurance. AT Building Diagram Number 8 A8. For a building with a crawlspace orenclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 3.391 sq it a) Square footage of attached garage 169.0 sq It 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 15 within 1.0 foot above adjacent grade Q c) Total net area of flood openings in A8.b 2.593 sq in c) Total net area of flood openings in A9.b 0 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 8 Community Number B2 County Name B3.State VILLAGE OF MIAMI SHORES /120652 MIAMI-DADE FLORIDA 84.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel 88.Flood B9 Base Flood Elevatlon(s)(Zone 120860302L L 09/11/2009 Effective/Revised Date Zone(s) AO,use base flood depth) 09/11/2009 X WA 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/Sourcm. B11. Indicate elevation datum used for BFE in Item 89: ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located Ina Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date:N_9 ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Conduction 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,AN,A(with BFE),VE,V7 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 AT In Puerto Rico only,enter meters. Benchmark Utilized:N-W Vertical Datum: NGVD-1929 Indicate elevation datum used for the elevations in items a)through h)below. O NGVD 1929 ❑NAVD 1988 0 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) 11.2T ®feet ❑meters b) Top of the next higher floor 12.05' ®feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ®feet ❑meters d)Attached garage(top of slab) 10.E 19 feet ❑meters e) Lowest elevation of machinery or equipment servicing the building 11.13' ®feet ❑meters (Describe type of equipment and location in Comments) t) Lowest adjacent(finished)grade next to budding(LAG) L.t25' ®feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) 11.15.' ®feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support WA. ®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 Cerfiftcate represents my best efforts to interpret the dela available. / �J I understand that any false statement may be punishable by tine 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 GINO FURLANO License Number W44 Title LAND SURVEYOR Company Name JAY.SURVEYING INC Address 2 WEST Ito STREET City HIALEAH State FL ZIP Code 33016 L� Signature Date 10-17-13 Telephone 786-416-1018 Ate/` FEMA Form 0800433(7/12) See reverse side for continuation. Replaces all previous editions. ... _. .^•••. .• ••�&Fdump copy me c0frespon Ing Infon1181iton from Section A. Building Jbeet Address(including Apt.,Unit,Suite,arxl/or Bldg,No.)or P.O.Route and Box No. FOR INSURANCE COMPANY USE 38 NW 108TM STgF-ET Policy Number .Citi MIAMI SHORES State FL ZIP Code 33168 IC NAIC Number SECTION D-SURVEYOR,ENGINEER OR ARCHITECT CERTIFICATION(CO COPY bNTINUED)both sides of this Elevation Certificate for(1)community official,(2)lnSMnce agent/company,and(3)building Commerb CROWN OF ROAD ELEVATION=10.73' owner, Miami-Dade County Benchmark:tl N-567 Elevation=10-54 datum NGVD 1929 Descriptio C2 e): slab=11.13 LEFT BLDG Descrip- n o A5): nates Obtain GPS Signa re Date 10-17-13 SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A O For Zones AO and A(without BFE),complete Item E1-E5.If the Certifk:ete intended to support (WITHOUT BFE) and C. For Items E1-E4,use natural grade,if available.Check the measurement used in Puerto l �ntLeOre rest,complete Sections A.B, E1. Provide elevation information for the(grade( 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 b)Top of bottom floor(Including basement,crawl ❑feet ❑meters ❑above or❑below the HAG. E2. For Building Diagrams 6-9 with Pern>nt fkxx3 'or enclosure)Is ❑feet ❑meters ❑above or❑ below the LAG. openings Prarided in Section A 4tems 8 andlor 8(see 8�8 of{r>atrcretions),the next higher floor (elevation crag in the diagram)of the building is ❑feet ❑meters ❑above or below the HAG. E3. Attached garage(top of slab)is ❑feet 13 meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is W 13 maters E5. Zane AO only: If no flood depth number LS available,Is the top of the bottom floor elevated EJ above or❑below the HAG. ordinance? ❑Yes ❑ No 11Unknown.The local ofrcM mead wflh the community's floodplain snanagemant certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The Property owner or owner's authorized r or Zone AO must sign here.The statements ink S ,B,anwhO d EIGISare to e Sections A,B E for Zone my �9e a FEMA-Issued or comm�lesued BFE) Property Owner's or Owner's Authorized Representative's Name Address Signature City State ZIP Code Date Telephone Comments ❑Check here If attachments N G-COMMUNITY 'he local official who is authorized bylaw or ordinaries to FORMA administer the communiys management ordinance (OPTIONAL} f this Elevation Certificate.Complete the applicable ite n(s)and sign below.Check the measurementused in Items c38 pc p� Simons A,B,C(or E),and G :1.❑ The information in Section if was taken from other documentation that has been signed and sealed by a Ilcensed surveyor,englneeo Rico 'r or architect who is authorized by law to certify elevation irsformatiors (indicate the source and date of the elevation data in the Comments area below.) 12 ❑ A community official completed Section E for a burg located in Zone A(without a FEMA-aged or community-Issued BFE)or Zone AO, 3.❑ The following information(Item G4-G10)Is provided for community floodplain management purposes. 34.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compffanc e/Occupancy Issued 7. This permit has been Issued for: ❑New Constriction ❑Substantial Improvement 3. Elevation of as-built lowest floor(including basement)of the building: 3. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum 10.COmmunfly's d ❑feet ❑meters Datum esign flood elevation: ❑feet ❑meters Datum ocal Official's Name Title ommunity Name Telephone Ignature Date omments ❑Check here if attachments VIA Form 086-0-33(7/12) Replaces all previous editions. r t ELEV. TION 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: 38 NW 10871 STREET City MIAMI SHORES State FL ZIP Code 33168 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. DATE:10-17-13 FRONT VIEW / LEFT VIEW BACK VIEW/RIGHT VIEW s i r s w 4� t e , , , t I • j w 3Lt � z FEMA Form 086-0-33(7/12) Replaces all previous editions. M1 7 • r RHS Technic s, Inc. 270 N.E. 123rd Street North Miami,Florida 33161 Phone: 305-688-6022 E-Mail: rhstech@gatenet November 18,2013 Miami Property Solutions LLC Attention: Mr. Javier Hernandez 190 N.E. 111 th Street Miami Shores,Florida 33138 Services: Suspected ACM Building Survey Project: Demolition of Illegal Improvements COPY Location: Single Family Residence 38 N.W. 108'h Street Miami Shores,Miami-Dade County,Florida Gentlemen: At your request,on November 13,2013,Marilyn Brown Schuler,an accredited asbestos building inspector for RHS Technical Services,Inc.,conducted a suspected asbestos-containing building materials survey at the bedroom suite located in the former garage at above referenced single family residence. This survey was requested in order to remove the reportedly illegal interior improvements,as part of the interior renovations. The Scope of Work for this report does not include other areas of the residence,the structure exterior or roof. BUILDING & SURVEY AREA DESCRIPTION Our review of the Miami-Dade County Property Information found the subject property improvements were constructed circa. 1951. Prior to our arrival on site,the proposed demolition and renovations were discussed with us. The subject single family residence is a CBS construction on wood floor joists, consisting of a living room,hallway with a bathroom and two bedrooms. A concrete slab on grade Florida room is located on the south side of the living room. The kitchen,located in the northwest comer of the residence,is accessed from the northwest corner of the Florida room. From the kitchen,a hallway extends southward through a structure to the former garage. In the hallway by the kitchen,the laundry room is located several steps down from the hallway elevation.This area is not included in this survey. RHS Technical Services,Inc. Page 2 The hallway extends to a room that is identified as a sitting room,with a closet and windows. The hallway extends southward with a bathroom on the west side. The hallway ends at the former garage,with covered windows,closet and an exterior doorway. The garage opening has been closed with drywall on the interior. Interior finishes include a sprayed-on textured ceiling finish on drywall in the sitting room,with the hallway,bathroom and bedroom having painted ceiling finish on drywall. Interior walls are finished drywall,with the bathroom having ceramic tile on the walls. Flooring consists of ceramic tile throughout this area. SUSPECTED ACM SURVEY The suspected ACM were identified as sprayed-on textured ceiling finish and drywall ceilings and walls. No other suspected materials were identified. Bulk samples of suspected ACM were collected for laboratory analysis. Analysis was performed by Polarized Light Microscopy(PLM) in conjunction with dispersion staining. Analysis was performed in a certified laboratory accredited for asbestos fiber analysis by participation in the NIST National Voluntary Laboratory Accreditation Program(NVLAP). The attached table summarizes the individual laboratory findings for the analyzed bulk samples. For additional information,please refer to the individual bulk sample analysis reports attached to this report. FINDINGS, OPINION AND RECOMMENDATIONS No asbestos fibers were detected in the bulk samples of the suspected ACM collected for this survey. Should any additional materials, other than those sampled as part of this survey,be uncovered during a renovation,bulk samples of these suspected materials should be collected by an accredited asbestos building inspector and submitted for laboratory analysis. QUALIFICATIONS The work was performed under the direction of Robert H. Schuler,P.E.,P.G.,a Florida.licensed professional engineer and asbestos consultant. Work was performed by Marilyn Brown Schuler, an accredited asbestos building inspector. The firm has the appropriate licensures,certifications, insurance and experience to perform this work. Documentation is available upon request. RHS Technical Services,Inc. Page 3 We appreciate this opportunity to be of service to you for your project. If you have questions or desire additional information,please let us know. Respectfully submitted, RHS Tech I Servic . Schuler,P.E.,P:G, 'resident m Florida Licensed Asbestos sulUWft .A. 00 014 RHS Technical Services,Inc. Page 4 Project: Demolition of Illegal Improvements Location: Single Family Residence 38 N.W. 108th Street Miami Shores,Miami-Dade County,Florida Date Sampled: 11/13/2013 Date Analyzed: 11/18/2013 Sample Description of Location of Sampled Suspected ACM Percentage of Number Sampled Sus ted ACM Asbestos Detected 1 textured ceiling material Front"sitting"room-ceiling,north side None Detected and drywall 2 textured ceiling material Front"sitting"room-ceiling, south side None Detected 3 drywall Front"sitting"room-east wall None Detected 4 drywall Front"sitting"room-closet, south wall None Detected 5 textured ceiling material Front"sitting"room-ceiling,middle None Detected and drywall area b finished drywall Hallway-ceiling None Detected 7 drywall Hallway-west wall None Detected 8 finished drywall Bathroom-ceiling None Detected 9 finished drywall Bedroom-ceiling,north side None Detected 10 finished drywall Bedroom-ceiling, south side None Detected 11 drywall Bedroom-north wall None Detected 12 kwall Bedroom-south wall None Detected DOVE ENVIRONMENTAL CORP. 10 HIRA14AR PARKWAY, SUM goat MIRAMAR FL 33025 ®. Tel. (954)374-9274 Fax: (9S4)539-7426 ASBESTOS TEST REPORT CLIENT : RHS TECHNICAL. SERVICES, INC PAGE I ADDRESS: 270 NE 123RD STREET, NORTH MIAMI. FL 33161 DATE 11/1D/I3 PROJECT: RESIDENCE ADDITION SAMPLE ID 0311190 38 NW 108TH ST MIAMI SHORES CONSULT: ROBERT H. SCHULER NVLAP Lab Code: 102053-0 ==M= LAB NO. : 01 SAMPLE . 1 FRIIHOM : NO/NO LAY • 02 DATE OFANALYSIS: 11/18113 DESCRIPTION : TEXT. CEILING MATERIAL & DRYWALL ASBESTOS TYPE: NOME-DETECTED OTHER FIBERS : 20 CELLULOSE NON FIBERS : / MINERALS 5% PANT LAB NO. : 02 SAMPLE LAYERS: 02 DATE OF ANALYSIS: 11118/13 DESCRIPTION : TEXT_ CEILING MATERIAL ASSES TYPE: SCONE-DETECTED OTHER FIBERS : 2€% CELLULOSE NON FIRERS : 10% POLYSTYRENE-FOAM 60% MINERALS 10% PAINT ¢-------------- -e -- -- ----- LASNO. 03-------------------------------------------- FRI/HOM NOW LAYERS: 03 DATE OFANALYSTS: 11/15113 DESCRIPTION DRYWALL ASBESTOS TYPE: NONE:-DETECTED OTHER FIBERS : 20% CELLULOSE NON FIBERS : 70% MINERALS 10% PANT _•c�3ID'i33`IIDa3aexnaaas:3RL.G3�FS+SSL..�LS2«.. —�2�.�«_.S'._.—a_i.23:nsss=arsg�a :.�^-6®.�S:.rs.m..�T. .�S�.,.,..S:7a:3LS�:9f3��y$�r$ Dove Inviromental Corporation is solely responsible for analysis perfomed on sample content supplied by Clint and method 40 CFR Part 763 Subpart F App. dPLI6aO/gs931116. Neasuaement Uncettaiaty in(ot tiou is available by contacting the Laboratory. Laboratory Reports will be kept for a period of three III, yeas electronically. Percentages are usually estimated. Point count perfamed at clients request only.lesults relates only to item analyzed. This report should not be reproduced by client or anyosa witboat Wri.ttenn pernision from Dove Etviroamental Corparatioa. R11 samples will be stored for a period of 1 mon � Out laboratory uses aariou microscopes amd is IMP accreaited.Floor-Tile is noa-totogeams wad results only reflect sample coatent. Analyst 1 R. Pepe Ramnath,-PhD LABORATORY MANAGER DOVE ENVIRONMENTAL CORP* tt. �r 8914 N I PIS► AQP,SUrrE 200 K PL 12029. Tee. (954)374-9294 Pam (9S4) 7426" ASBESTOS TEST REPORT CLIENT : RHS TECHNICAL SERVICES, INC PAGE : 2 ADDRESS: 270 14E 123RD STREET, NORTH MIAMI, FL 36161. DATE : 11/18/1. PROJECT: RESIDENCE ADDITION SALE ISI D311190 38 Nei 106TH ST (MIAMI SHORES CELT: ROBERT" H. SCHULER NVLAP Lab°Code: 102053-0 LAB NO. : 04 SAMPLE NO.: FRI/ 1 : NO/NO LAYERS: 03 DATE OF ANALYSIS: 1.1/18/13 DESCRIPTION : DRYWALL ASBESTOS TYPE: NONE-DETECTED OTHER FIBERS : 20 CELLULOSE NON FIBERS : 70MINERALS 10% PAINT LAB NO. 05 LE NCS.: 5 F IIHOM /NO LAYERS: OS DATE OF 'ASIS: 11/18/13 DESCRIPTION : TEXT. CEILING MATERIAL & DRYWALL ASBESTOS TYPE: -DETECTED OTHER FIBERS : 20 CELLULOSE NON FIBERS : 70 MINERALS 10 PAINT - - ---------------------------- _ 9 _-�..-..�a-__ LAB NO. : 05 SAMPLE NC�, FRIIfiom : NOINO LAYERS: 02 DATE OF ANALYSIS. 11/16/13: DESCRIPTION : FINISHED DRYWALL ASBESTOS TYPE: NONE-DETECTED OTHER FIBERS 10 CELL,UL.OSE NON FIBERS : 80 MINERALS 10% PAINT .__cs-��ssaaa�zs> _nsz..sasaaffiaaazzazas«�wsszsdamseaR aozsas saaz_asszaza_am®ccs��a� m.-ra�zzRaaa'sztasss Dove Environmental Corporation is solely responsible for analysis perfumed an simple content supplied by client and mettod 90 CFR Part 763 Aabpart P ,App. AAA/600/R-93/116. Neasurament uncertainty ittmatin is available by contacting the Laboratory. laboratory Reports will be Rept for a period of thaw (3) n electronically. Perceatagn are visually esti ted. Point count performed,at clients iepest obly.0alts relates only to item analyzed. nis report should not be reproduced by client or aqm without written. peroision from Dove Enviromotal Corporation. All samples will be stared for a period of 1 atom. ilur laboratory uses various microscopes and is , accredited.Floor•Tile is nom-h000 me results sly rellect sanple coatent. _ q . _ .............. — -- ._ �.. Analyst1 -R,sP - �3th, PhD - LAB AGER Iftov ENVIRONMENTAL . 8910 MIRAMAR PARKWAY,SUITE 2"MIRAMAR FL 33025 71 Tei. (9 )374-9274 Fan: (954)639-7426 ASBESTOS TEST REPORT CLIENT : RHS TECHNICAL SERVICES, INC PAGE : , ADDRESS: 270 NE 123RD STREET, NORTH MIAMI, FL 33161 DATE : 11/18/13 PROJECT: RESIDENCE ADDITION SAMPLE IID 0311190 30 NW I08TH ST MIAMI SHORES CONSULT: ROBERT H. SCHULER NULAP Lab Code: 12053- LAB NO. : 07 SAMPLE . FRIIHOM : NO/NO LAYERS: 03 DATE OFANALYSIS: 11: 18713 DESCRIPTION : DRYWALL ASBESTOS TYPE: NOPE-DETECTED OTHER FIBERS : 10 CELLULOSE NON FIBERS : 80% MINERALS 10' `PAINT FRI/HOM : NO/NO LAYERS: 03 DATE OFANALYSIS: 1.1118x'13 DESCRIPTION : FINISHED DRYWALL ASBESTOS TYPE: NONE-DETECTED OTHER FIBERS : 20 CELLULOSE NON FIBERS : 70% MINERALS 10T PAINT --------------------------------------------------------------------------- NO LAYERS: 03 DATE OF ANALYSIS: 11/10/13 DESCRIPTION : FINISHED DRYWALL ASBESTOS TYPE: E-DETECTED OTHER FIBERS : 20% CELLULOSE NON FIB : 70 MINERALS 10 PAINT Dove Eavirowntal Corporation is solely responsible for analysis performed+ on sample content supplied ty clYe'at aid wetbod 40 Cyl part 763 Subpart F App. EPA/06/1-93/116. renut macertainty iofo tim is available by, contacting the Laboratory. Labcratory Reports will be kept for a period of three III years electronically. Percentages are visually eatimated. point count performed at clients rest onlp.&esults relates only to item analyzed. This report should not be reproduced by client or anyoue wattmt written pen sion from Dove winmmtal corporation, &11 samples will be stored for a period of 1 mmth. our laboratory uses various microscopes and is NW accredited.floor-Tile is um-komorneous and remelts only reflect sample conteat, _ _ - Analyst. 1 R.RPS- Rw- _th, PhD LABORATORY MANAGER I MA DOVE ENVIRONMENTAL CORP, 10 MWOM IPA AY,SUrrE 200 MMMM F 33025 TOL (954)374-9274 Fax:(9S4)639-7426 ASBESTOS TEST REPORT CLIENT . RHS TECHNICAL SERVICES, INC PAGE . 4 ADDRESS: 270 NE 123RD STREET, NORTH MIAMI, FE 331.6.1 DATE 11./18/13 PROJECT: RESIDENCE ADDITION SAMPLE IA : D311190 38 NW i0811°1 !>I MIAMI SWRES S CONSULT: ROBERT H. SCALER NVLAP Lab Code: 102053-0 FRB IINO. : NOIR LAYERS: 03 ENO. : 10 DESCRIPTION : FINISH' DRYWALL GATE tIF_ ASIS: 11/18013 ASBESTOS TYPE: NONE-DETECTED OCHER EIBkkS : 20 CELLULOSE NODI FIBERS : 701 MINERALS 10 PAINT FR I/H PTION : NO LAYERS: 03 DATE OF YS IS; 11118, 1:3' ASBESTOS TYPE: DETECTED 01HER FIHkRS : 20% CLLLULOSE NON FIBERS : 70 MINERALS 10 PA114T F�1N -_._� ---m$________-aw_________o----___w________ww-_E`N0. a12_____aa ` Nolm0 LAYERS: 03 DATE OFANALYSIS: 11°18/13 DESCRIPTION DRYWALL ASBESTOS TYPE: NONE-DETECTED O I HER 118ERS : 20% CELLULOSE. NON FIBERS : 70 MINERALS 101 PAINT m.::57S.-.S7T$7,.SIIS-®'ffi55:2571°i°SLC/".tG9tS$A$rS:.22$L.$A�•SFae.:22.3384"ffi.'YIDffiL$TiffiffiSb'II$.^.'k#'�"�"iS" iT:4A.CA�42 ffiffi8S�$GY.Ci67Q&LA".V2.Tffi$i Bove hvirOamtal l:orporation is solely responsible for analysis performedl,e Cwt t s pliedby client.and netha d 40 CR Part ?53 Mpart F b . M/600JR-93/116. measurement guertlUty i1formation is available by contacting the Laboratory, Laboratory Reports will be kept for a period of three(3) years electronically. Percentages are visually estimated. Paint Mat perfined at clients request ouly.nesulits relates only to item analyzed. bus report sboald not be reproduced by client or anyone without written peroision from Dove laviromatal corporation. Ill samples will be store;for a period of i month. our laboratory uses various microscopes and is RUP accredited.Floor-Tile is -how s ad results only reflect sample content. _SSSaenaax�asa5ffi7 __0aaasa-ssasc�e��ffissas3__seffi 555-- .. zzASa -zffia€z»� -aa^.SSza_seaaoszSSsa 4 � Analyst 1 -R.fPpe R -ath.-Pep LABORATORY MANAGER I� RjRS TWMCAL SERVICES,INC VOXF-l S * 33J61 3 r SUSPECTED ACM BUIK SAMPLE LOG M"U FII3.O g YANDSWM `. _FROjF.CrAW=,- LAB Vit?.: .ADO : SURVEY DATE: '4/4 TtMNAROUPM,. kc a g r i7 ;v,c.t-4 ` a it #a j 17 Ffi ,► l ' tF S SP 7PAU Im CMSrTA T: ft B_ ,P.E.,P.G. "C. Property Search - Report Page 1 of 1 MIAMI-DADE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT 1 Carlos Lopez-Canteru goPerh'APPraiser Property Information: Folio 11-2136-011-0120 ,.w Property Address 38 NW 108 ST Owner Name(s) CARLOS EDUARDO GARCIA EVANGELISTA SCROGGINS Mailing Address 38 NW 108 ST MIAMI SHORES FL 33168 k Primary Zone 0800 SGL FAMILY-1701-1900 SQ Use Code 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT Beds/Baths/Half 2/1/0 Floors 1 Living Units 1 Adj.Sq.Footage 1,560 Lot Size 9,225 SOFT Year Built 1951 Full Legal Description DUNNINGS MIAMI SHORES EXT NO 7 >' Aerial Photography 2012 PB 52-33 LOT 4 BLK 211 LOT SIZE 75.000 X 123 Taxable Value Information: OR 14726-374 0990 1 COC 23520-0887 05 2005 4 Year 2013 2012 Assessment Information: Exemption/ Exemption/ Taxable Taxable Year 2013 2012 County $50,000/$102,100 $50,000/$114,779 Land Value $45,979 $45,979 Building Value School Board $25,000/$127,100 $25,000/$139,779 9 $106,121 $118,800 Market Value $152,100 $164,779 City $50,000/$102,100 $50,000/$114,779 Assessed Value $152,100 $164,779 Regional $50,000/$102,100 $50,000/$114,779 Benefits Information: Sale Information: Benefit Type 2013 2012 Date Amount OR Book-Page Qualification Code Homestead Exemption $25,000 $25,000 02/15/2011 $210,000 27590-4055 Qual by exam of deed 07/23/2009 $100 26992-0788 Financial inst or-In Lieu of Second Exemption $25,000 $25,000 Fordosure-stated Homestead 05/01/2005 $0 23520-0887 Qual by exam of deed Note:not all benefits are applicable to all Taxable Values(ie County, 09/01/1990 $70,000 14726-0374 2008 and prior year sales; School Board,City,Regional). Qual by exam of deed 08/01/1990 $01 14707-1279 Qua[by exam of deed Disclaimer: The Office of the Property Appraiser and Miami-Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS positional accuracy.No warranties,expressed or implied,are provided for data and the positional or thematic accuracy of the data herein,its use,or its interpretation.Although this website is periodically updated,this information may not reflect the data currently on file at Miami-Dade County's systems of record.The Property Appraiser and Miami-Dade County assumes no liability either for any errors,omissions,or inaccuracies in the information provided regardless of the cause of such or for any decision made,action taken,or action not taken by the user in reliance upon any information provided herein.See Miami-Dade County full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp. Property information inquiries,comments,and suggestions email:pawebmail@miamidade.gov GIS inquiries,comments,and suggestions email:gis@,miamidade.gov Generated on:Sun Nov 17 2013 http://gisweb.miamidade.gov/PropertySearch/printMap.htm 11/17/2013 U.S.DEPARTMSWOFHOMELANDSECURIry ELEVATION CERTIFICATE FEDERAL`NMERGENCYMANAGEMENT AGENCY OMB No. 1660-0008 National Pood Insurance Program 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 MIAMI PROPERTIES Policy Number, A2. Building.Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company MAIC Number: 38 NW 108 STREET City MIAMI SHORES State FL ZIP Code 33168 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) FOLIO#11-2136-011-0120 MIAMI-DADECOUNTY A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.25°52'26"N Long.80°11'56 W Horizontal Datum: ❑ NAD 1927 N 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 sA8. 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) 3.391 sq ft a) Square footage of attached garage 169.0 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 15 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 2.593 sq in c) Total net area of flood openings in A9.b 0 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 VILLAGE OF MIAMI SHORES /120652 MIAMI-DADE FLORIDA B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood 139 Base Flood Elevation(s)(Zone 12086 0302L L 09/11/2009 Effective/Revised Date Zone(s) AO,use base flood depth) 09/11/2009 X N/A 1310. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile N FIRM ❑ Community Determined ❑ Other/Source: 1341. Indicate elevation datum used for BFE in Item 139: N 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 N 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* N 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/AI-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:N-567 Vertical Datum: NGVD-1929 Indicate elevation datum used for the elevations in Items a)through h)below. N NGVD 1929 0 NAVD 1988 ❑Other/Source: Datum used for building elevations must be the same as that used for the SFE. Check the measurement used. a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 11.21 N feet ❑meters b)Top of the next higher floor 13.05' N feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) NIA. N feet ❑meters d)Attached garage(top of slab) 10.95' N feet ❑meters e) Lowest elevation of machinery or equipment servicing the building 11.1 N feet ❑meters (Describe type of equipment and location in Comments) 0 Lowest adjacent(finished)grade next to building(LAG) 11.06' N feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) 11.15' N feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support N/A. N 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. , 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. l 0` � �e/3-- 0 3N 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? N Yes ❑ No Certifiers Name GINO FURLANO License Number 5044 Title LAND SURVEYOR Company Name J.A.F.SURVEYING INC Address 2492 WEST 72ND STREET City HIALEAH State FL ZIP Code 33016 Signatur. Date 10-17-13 Telephone 786-416-1018 FEMA Form 086-D:33(7/12) See reverse side for continuation. Replaces all previous editions. LLtVA I IUN L;tK 111'1G:A I t, page z IMPOR.TA,NT-i'-M these spaces,ropy 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. 38 NW 10e STREET City MIAMI SHORES State FL ZIP Code 33168 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 ELEVATION=10.73' Miami-Dade County Benchmark:#N-567 Elevation=10.54!datum NGVD 1929 Descriptio o C2 e)* C slab=11.13 LEFT BLDG Descr n of A5)'C rdinates Obtain GPS Signa re Date 10-17-13 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,craw lspace,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 permanentfloW openings provided in Section A Items 8 andfor 9(see pages 8 3 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 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 community4ssued BFE)or Zone AO. G3.❑ The following information(Items G4—G1 0)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. ELEW,TIONCERTIFICATE„page 3, Building Photographs See Instructions for Item A6. L 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: 38 NW 10e STREET City MIAMI SHORES State FL ZIP Code 33168 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. DATE:10-17-13 FRONT VIEW ! LEFT VIEW BACK VIEW/RIGHT VIEW Yla l' - 4, x• -4344, rM ti x �Y rw�.e { a FEMA Form 086-0-33(7/12) Replaces all previous editions. 2492 WEST 72nd STREET SCALE: TYPE OF PROJECT: BOUNDARY SURVEY DATE:" ' HIALEAH,FLORIDA 33016 fL-( 1 = 20 o PHONE:786-4111018 10/17/13 FAX:305-817-9709 E4ML•0sefanjuQyma1l.corn PROJECT LOCATION: DRAVVN BY: L.R. FILE NO: 38 N.W. 108th STREET CITY,STATE 8 ZIP CODE 38-13 MIAMI, FLORIDA 33168, US PROJECT No: JAF 8-13 j S NUR SHEET. 1 NOTE: ONLY VALID WITH PAGE 2 2 SHEETS CERTIFIED TO: __7 FOLIO 140, -2136-011-0120 1. MIAMI PROPERTIES ' LEGAL DESCRIPTION: Lot4, Block 211 of "DUNNING'S MIAMI SHORES EXTENSION N'7," ac n t tf reof a as recorded In Plat Boo Page 33 of the Public Records of Miami—Dade County, Florida. NORTH - -- )Z-v- 7.0 , 7449 SCALE: 1"=100' n � Q � � 13tk- � f? fro � 9 S r ` t4l 7S * 7 . 10 8 rr,i 57-12IE*ET JOB ti PC -- 04 r M L -� 7s •. a ��- 7t.r.� 74. 14 14 X40 SII ao �01�08 P. �rrl. 7 ` � � S � � 2 �, s p mss-- ¢a 4 LOCATION MAP SURVEYOR'S NOTES: SCALE: V=100' 1. LEGAL DESCRIPTION FURNISHED BY CLIENT. NO SEARCH OF PUBLIC RECORDS WAS MADE BY THIS OFFICE. 2. ANY ELEVATIONS SHOWN HEREON ARE PER NGVD (NATIONAL GEODETIC VERTICAL DATUM) OF 1929. 3. NO EXCAVATIONS WERE PERFORMED AS TO DETERMINE UNDERGROUND ENCROACHMENTS. 4. DISTANCES AND ANGLES ARE FIELD MEASURED AND CORRESPOND WITH RECORD DATA UNLESS NOTED. 5. THIS SURVEY WAS PREPARED FOR CONSTRUCTION PURPOSES PERMITTING. PERMITTING FOR ADDITIONAL CONSTRUCTION ETC. MAY REQUIRE ADDITIONAL INFORMATION WHICH CAN BE OBTAINED FROM THIS OFFICE. 6. IN SOME INSTANCES, GRAPHIC REPRESENTATIONS HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE RELATIONSHIPS BETWEEN PHYSICAL IMPROVEMENTS AND/OR LOT LINES, IN ALL CASES, DIMENSIONS SHOWN SHALL CONTROL THE LOCATION OF THE IMPROVEMENTS OVER SCALED POSITIONS. 7. ADDITIONS OR DELETIONS TO THIS SURVEY MAP BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED WITHOUT THE WRITTEN CONSENT OF THE SIGNING PARTY OR PARTIES. (CHAPTER 5J-17 OF THE FLORIDA ADMINISTRATIVE 472.027 CODE PURSUANT TO SECTION 472.027 OF THE FLORIDA STATUTES) ®= AIR CONDITIONER �GOLF COURSE ABB �AT�DHS AHD LEGEND = BELLSouTH BOX , =HANDICAP SPAS A ARC F.I.P./F.I.R. FOUND IRON PIPE OD R RADIUS ® = CABLE BOX ® =INLET A C AIR CONDITIONER U NPJL JR RECORD BENCHMARK F.N&D. FOUND NAIL AND DISC R RIGHT-OF-WAY 0 = CATCH BASIN =UGIT POLE MFG G F.131 N. FOUND PARKER KALON NAIL ROOF ENCROACHMENT norgmr C CALCULATED I.D. SURVEYOR S IDENTIFICATION S.I.R. KIP. SET t AI IRON ROD PE 0 =CONCRETE POLE l�( =METAL LIGHT POLE & L.A.E. TED ACCESS T AND U15C TAN TANGENT =CONTROL VALVE BOX Q =SANITARY MANHOLE TYP. TYPICAL CHBRG CHORD BEARING L.M.E. LAKE MAINTENANCE EASEMENT U.L UIUJIT tAXWNI 69 =ELECTRIC BOX (r=SATEWTE DISH .M. MAINTENANCE EASEMENT IM MEASURED W.E. WATERS EDGE NOT ACCESSIBLE S SET —CH—a,— OVILKHM WIRE LINEo�= EXISTING ELEVATIONS � =WATER METER "� PLAf TED —��—��— piA N U�PIK BICE ® =ELECTRIC METER =WATER VALVE IT OF CURVATURE —x—x— C. ME PKAINAUL EASEMENT C. . RT OF COMPOUND CUR VA IRON ALUMINUM FENCE =�CTRIC SERVICE BOXY=WOOD POLE ER T OF COMMENCEMENT -- MONUMENT UNE P.R.C. PONT OF REVERSE CURVATURE - CENTERLINE o=FIRE HYDRANT Fit' FENCE ENDS P.R.M ANENT REFERENCE MONUMENT PROPERTY LINE ® =FLORIDA POWER do LIGHT BOX NI A ON FLOOD ELEVATION INFORMATION: I HEREBY CERTIFY THAT THIS SURVEY HAS BEEN PREPARED BY THE OFFICE SHOW HEREON AND THAT I AM THE SURVEYOR OF RESPONSIBLE CHARGE FOR NONE 01VO THAN SAID OFFKE. ADDITIONALLY,THIS SURVEY MEETS AND/OR EXCEEDS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH IN (CHAPTER 5.-17 OF THE DATE OF FIRM: 09/11/2009 FLORIDA ADMINISTRATIVE 472.027 COOL PURSUANT TO SECTION 472.027 OF THE FLORIDA STATUTES) xx COMMUNITYNo: 120652/ VILLAGE OF MIAMI SHORES* PANEL: 0302 SUFFDC L SOURCE OF ELEVATION: ZONE X BENCHMARK NO: N-567 SIMED: XL GlNOM SURV APD MAPPER FLORIDA LICENSE NO.: 5044 BASE FLOOD ELEVATION: N/A ELEVATION: 10.54 NOT VALID VATHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF THE FLORIDA LICENSED SURVEYOR/MAPPER NAMED ABOVE 2492 WEST 72nd StREET TYPE OF PROJECT: SCALE_ HIALEAH,FLORIDA 33016 BOUNDARY SURVEY DATE:" 20'. o PHONE:786-416-1018 , 10 17/13 FAX:305$17-97� PROJECT LOCATION: DRAWN BY. E-MAIL jossfanjui@yffid.com L.R. 38 N.W. 108th STREET FILE NO: CITY,STATE&ZIP CODE 38-13 MIAMI, FLORIDA 33168, US JAFPROJ3TNo: JAF 38-13 IT A SHEET: 2 NUstwmzmo NOTE: ONLY VALID WITH PAGE 1 • . 2 SHEETS NORTH SCALE: 1"=20' ..s`.i iC.y'c t 24' PARKWAY FIR. 1/2 ' ._�®�O.d �75.�. 5'�t�N�: �OE1N ��` • 224.73'(R) No I.D. FlP. 1 f 2° :` F.N. 224.85'(M) No I.D. BLOCK W 89*52'24° 90 7'36° CORNER I Z rn z ui N '• `d N M 6' CONC. WALK o� } 10.03' I Q 2.57' 0 17.00 0.31' x ,n PORCH p EISDENCOE N838 `V I9.81' FRONT) F.F.E.=13.05' I z 00' GARAGE=10 .95 82' 20.40' 10.17' ^ Ln A/C X LOT-5 `,' 21.65' 26'X3.6' LOT-3 BLOCK-211C) .d ELEV.=11.13 1�oh BLOCK-211 co j?INN xA 00 'OPEN N Al £OEICI, x I N CONC. $ STEPS z x 13.00' Y I m ZI z Zx I �,� co La to Z z A v =ix LOT-4 BLOCK-211 U I N $ 3.08' x 0109 X—J £ a 89''50'10" 0.34 x FlR. 5/8° ori LOT-12� — — — LOT-13 � LOT-14 BLOCK-211 I BLOCK-211 I 13LOCK-211 "DUNNING'S MIAMI SHORES EXTENSION NIT (PLAT BOOK 42 — PAGE 33) MIAMI—DADE COUNTY ., I