The URL can be used to link to this page

RC-13-1656 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-227654 Permit Number: RC-7-13-1656 Scheduled Inspection Date: February 06, 2015 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Slab Owner: WILLIAM J.JURBERG, R.ANDREW DE Work Classification: New DACC Job Address:9350 NE 12 Avenue Miami Shores, FL 33138- Phone Number (305)609-3851 Parcel Number 1132050070150 Project: <NONE> Contractor: PALMER HOLDINGS, INC Phone: 305-310-4673 Building Department Comments CONSTRUCTION OF NEW SINGLE FAMILY HOME Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-227604. CONCRETE SLAB WIRE INSPECTION FOR THE FRONT OF THE HOUSE Not ready Failed Correction Needed Re-inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. February 05, 2015 For Inspections please call: (305)762-4949 Page 17 of 32 q %(7f1 SvbSO� � �eR�t� � QS�es cn LOMMen s C)fry) Survey a GEOT,ECHWAL '"` TESTING LABORATORIES ENVIRONMENTAL - DRILLING SERVICES HYDROGEOLOGY INSPECTION SERVICES ASBESTOS DYNATECH ENGINEERING CC ROOFING NG Miami, December 23, 2014 Mr. Luis Maltez PROFESSIONAL BUILDING SOLUTION 2332 Galiano Street Coral Gables, FL 33134 Re: Proposed Porch @ 9350 Northeast 12th Avenue Miami Shores, FL Dear Mr. Maltez: Pursuant to your request, Dynatech Engineering Corp. (DEC) performed a Compaction Test on December 23, 2014 at the above referenced project. DEC was authorized to perform a compaction test only. The purpose of our test was to determine the degree of compaction of the tested layer of material only. In no way shall a compaction test replace a demucking inspection, soil bearing capacity determination, or a pad certification. A soil boring test must be performed by client if not yet done, prior to construction to verify subsoil conditions. Underlying soils below test levels must be verified to prevent future settlements. (DEC) was not authorized to perform supervision and certification of the building pad preparation. This is not a pad certification. Our findings are relative to the date and areas of our site work and should not be relied upon to represent conditions on other areas or dates. Any subsequent site disturbances due to water erosion, rain, storm gutters discharging at footings, construction activities, excavations, overgrown, vegetation, traffic and other disturbances will void this test and the site must be re- compacted and re-tested prior to construction. Environmental analysis of the soil materials is not part of the scope of services. If environmental analysis of the soils is required, we can provide a proposal for performing an environmental analysis of the soil materials. No other analysis is implied or warranted. As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for use, publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. Enclosed find copies of the compaction test results. It has been a pleasure working with you and look forward to do so in the near future. Sincerely yours, iss aamani, P.E. DYNATECH ENGINEERING CORP. Florida Reg. No. 39584 c' Special Inspector No. 757 Certificate of Authorization No.: CA 5491 750 West 84'"Street,Hialeah,FL 33014-3618-Phone:(305)828-7499•Fax:(305)828-9598 E-mail:Dynatech@bellsouth.net•www.DynatechEngineering.com DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH,FLORIDA 33014 (305)828-7499 MOISTURE-DENSITY RELATIONS OF SOILS PROCTOR COMPACTION TEST DATE: December 23, 2014 CLIENT: PROFESSIONAL BUILDING SOLUTIONS PROJECT: Proposed Porch (a, ADDRESS: 9350 North east 12th Avenue, Miami Shores, FL CONTRACTOR: Professional Buildiny, Solutions MATERIAL DESCRIPTION: Gray sand w/rock SAMPLED BY: JA TESTED BY: JA TEST RESULTS Sample Number 1 The following compaction test was conducted in accordance with the Standard Methods for Moisture Density Relations of soil using a 10 lb.Hammer and an 18"drop ASTM D-1557. % MOISTURE DRY DENSITY 4.1 108.1 5.9 111.2 9.0 113.8 116 13.6 112.3 D 15.3 108.9 R 114 y D 112 E Optimum Moisture 10.9 Percent N 100%Maximum Dry Density 114.7 lbs./cu.ft. 110 S I %Passin '/a"Sieve 87.4 Percent Passing 108 TY Sampled By:JA 106 Tested By:JA Checked By:WN 4 6 8 10 12 14 Respectively submitted, As a mutual protection to clients,the public and ourselves,all reports are submitted as the confidential property of clients,and authorization for use,publication of statements,conclusions or extracts from or regarding aamam, our reports is reserved pending our written approval. DYNATECH ENGINEERING CORP. Florida Reg.No.39584 Certificate of Authorization No.: CA 5491 DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH,FLORIDA 33014 (305)828-7499 FIELD DENSITY TEST OF COMPACTED SOILS DATE: December 23, 2014 CLIENT: PROFESSIONAL BUILDING SOLUTIONS PROJECT: Proposed Porch Slab k ADDRESS: 9350 North east 12th Avenue Miami Shores, FL CONTRACTOR: Professional Buildinp, Solutions Test No. 1 Location: East side of porch underslab Test No. 2 Location: West side of porch underslab Test No. Location: Test No. Location: Test No. Location: Description of Material: Gray sand w/rock TEST NO. j 2 DEPTH 12" 12" FIELD DENSITY 113.2 113.6 MOISTURE CONTENT % 5.7 5.9 MAX. DENSITY IN THE FIELD % 98,7 99.0 COMPACTION REQUIREMENTS 95% 95% % OF MAXIMUM DENSITY 100%MAXIMUM DENSITY (LAB) 114.7 114.7 REMARKS: ALL ABOVE TEST RESULTS COMPLY WITH COMPACTION REQUIREMENTS *Please note this is not a pad certification.A soil boring must be performed to determine subsoil conditions below the tested compaction layer prior to construction. Respectfully submitted, Sampled By: JA Tested By:JA ' Checked By: WN 1 SS a IL^ tssam aamani,P.E. DYNATECH ENGINEERING CORP. Florida Reg.No. 39584 Certificate of Authorization No.: CA 5491 *A density test determines the degree of compaction of the tested layer of material only. In no way shall a density test replace a soil bearing capacity determination. A soil boring test must be provided by client,.prior to Cpr6truttion to verify subsoil conditions. As a mutual protection to the clients,the public and ourselves,all reports are submitted as the confidential property of,clients,•--.add authorization for publication of statement conclusions or extracts from or regarding our reports is reserved pending on our written approval. CERTIFICATE OF COMPLIANCE FOR TERMITE PROTECTION (AS REQUIRED BY FLORIDA BUILDING CODE (FBC) 1816.1.7) USA "ES ',' CONTROL P.O. BOX 570134 MIAMI, FL 33257 (305)378-2522 Address Method of Termite Prevention Treatment: Soil Treatment for termites Chemical used: Demon TC EPA No. 100-1218 Number of gallons applied Gallons Area treated (square feet SF �` Q Stage of treatment: Slab USA Pest Control hereby confirms that the structure described above has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules and laws established by the Florida Department of Agriculture and Consumer Services. Dat na ur REVISIONS dP 7h �p mn TB-1 W/ LLv 4 #5 CONT. Vwo ) & # 3 TIES Q UOX ® 36" Q z Z Q < Z 0P O < 0a CL P X 'Ale8" CMU WALL � ON U w On 1i = Z N Q � #5 48" Lu o —I 2 aW O Q U I Q U Lo L1_Io W U PJ 0W C17 i I i Ct) < ELEV. EXISTING GRADE Q LL LJ.I riill7-- - -� ��, - -I III— -1 - o ° 3 > � _ LLo - 1_ ci 0 < zLL Cfl Z_ j O w w C, < No. 74099 - 3" CLR — CONTINUOUS WALL FOOTING ': '0 0. STATE OF 4r STD. HOOK 30X12 W/ 3 #5 CONT. & # %� '•• '� OR�OP' �� cnie. AS SHOWN �.c� C 4 12" TRAN SV. �,�'�ss•• N A •�10. DATE 07/17/2013 J. 13 SECTION 1111111111110%�''�, SHE NO. PERMIT SET sNEErNo.: S-3 SCALE 3/4 "=V-0" STRUCTURAL DESIGN TC ENGINEERING,INC. CA LIC.No 30288 CONSULTING ENGINEERS ANTONIO CANEIAS,P.E. LIC.No.74099 7805 SW 24 ST SUITE 106 MIAMI,FL.33155 PHONE.(305)261-0321 to W du ra lengineenng@gmai b mm STATE OF FLOR REGISTRATION Noloa929 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 SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name R.ANDREW DE PASS Job 10-490-13-B(AVI) Policy Number: A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number: 9530 NE 12th Avenue (Folio No.11-3205-007-0150) City MIAMI SHORES State FL ZIP Code 33138 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) SWcor.Lot L of PLAT OF GOV.LOT 4 OF SEC5&N1/2ofNE1/4SE1/4ofSec6-53-42PB5Pg90 of Miami-Dade Co.FL. A4. Building Use(e.g.,Residentiai,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL- NEW CONSTRUCTION A5. Latitude/Longitude:Lat.25°51'48.62"N Long.80°10'27.77"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 11=A 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 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 N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A 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 FLORIDA B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood B9.Base Flood Elevations Zone 0 C 12086 306 L 09/11/2009 Effective/Revised Date Zones AO,use base flood depth) 09/11/2009 AE 8.00' 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) 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,AR/AE,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:B-62 Elev.=8.74' 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. Check the measurement used. a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 9.97 ®feet ❑meters b)Top of the next higher floor N/A. ❑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 N/A. ®feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 8.80 ®feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) 8.84 ®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.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. ® 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 GARY B.CASTEL License Number 4129 Title PROF.SURVA MAPPE Company Name C.B.S.Services. Address 8567 COR IAMI State FL ZIP Code 33155 Signaturef�4Z -r ate 01-28-2014 Telephone 786-290-4184 FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 9530 NE 12th Avenue Job#10-490-13-A(AVI) City MIAMI SHORES State FL ZIP Code 33013 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 C.O.R. Elevation=8.87' A5 OBTAINED BY GOOGLE CONVERSION FROM ADDRESS TO LONGITUDE/LATITUDE SEPARATE GARAGE F.F.Elev.=8.97' Signature Date 01-28-2014 SECTION E—BUILDING ELEVATION WFORMATION(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: 9530 NE 12th Avenue Job#10-490-13-A(AVI) City MIAMI SHORES State FL ZIP Code 33013 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. ,s 41 3.; N ? s .0 �I 01-28-2014 HOUSE UNDER CONSTRUCTION FRONT VIEW tea^ St y 01-28-14 HOUSE UNDER CONSTRUCTION 01-28-14HOUSE NDERCONSTRUCTION LEFT SIDE VIEW RIGHT SIDE VIEW FEMA Form 086-0-33(7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 Building Photographs ` Continuation Page IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 9530 NE 12th Avenue Job#10-490-13-A(AVI) City MIAMI SHORES State FL ZIP Code 33013 Company NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. 4L wY < kd U _ 01-28-2014 VIEW FROM LEFT SIDE 01-28-2014 REAR VIEW FROM LEFT SIDE UNDER CONSTRUCTION r s To I i 01-28-2014 CABANA 2 UNDER 01-28-2014 RIGHT SIDE CONSTRUCTION CONSTRUCTION VIEW VIEW FEMA Form 086-0-33(7/12) Replaces all previous editions. Inspection Worksheet A Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FIL Phone: (305)795-2204 Fax: (305)756-8972 r Inspection Number: INSP-209682 Permit Number: RC-7-13-1656 Scheduled Inspection Date: March 26, 2014 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Tie Beam Owner: WILLIAM J.JURBERG, R.ANDREW DE Work Classification: New ""cc Job Address:9350 NE 12 Avenue Miami Shores, FL 33138- Phone Number (305)609-3851 Parcel Number 1132050070150 Project: <NONE> Contractor: PALMER HOLDINGS, INC Phone: 305-310-4673 Building Department Comments CONSTRUCTION OF NEW SINGLE FAMILY HOME Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed /0/-n_r/ ~'SAV--20- 'AW/ Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. March 25, 2014 For Inspections please call: (305)762-4949 Page 35 of 40 • 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 SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name R.ANDREW DE PASS Job 10-490-13-C4(AVI) Policy Number. A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number. 9530 NE 12th Avenue (Folio No.11-3205-007-0150) City MIAMI SHORES State FL ZIP Code 33138 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) SWcor.Lot L of PLAT OF GOV.LOT 4 OF SEC5&N1/2ofNE1/4SE1/4ofSec6-53-42PB5Pg90 of Miami-Dade Co.FL. A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL- NEW CONSTRUCTION A5. Latitude/Longitude:Lat.25°51'48.62"N Long.80° 10'27.77'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 11=A 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 It 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 N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A 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 81.NFIP Community Name&Community Number B2.County Name 63.State CITY 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 v' Zone(s)s AO use base flood depth) 1208600306 L 09/11/2009 Effective/Re ised Date e( ) p ) 09/11/2009 AE 8.00' 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: 611. Indicate elevation datum used for BFE in Item 69: ® 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) 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,ARIA,AR/AE,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:B-62 Elev.=8.74' 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. Check the measurement used. a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 9.87 ®feet ❑meters b)Top of the next higher floor ®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 N/A. ®feet ❑meters (Describe type of equipment and location in Comments) I) Lowest adjacent(finished)grade next to building(LAG) 8.80 ®feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) 8.84 ®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.I car*that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe 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 GARY B.CASTEL License Number 4129 - Title PROF.SURV.&MAPPER Company Name C.B.S.Services. Address 8567 CORAL WAY City MIAMI State FL ZIP Code 33155 Signature Date 03-25-2014 Telephone 786-290-4184 ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number. 9530 NE 12th Avenue Job#10-490-13-C4(AVI) City MIAMI SHORES State FL ZIP Code 33013 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 C.O.R. Elevation=8.87' A5 OBTAINED BY GOOGLE CONVERSION FROM ADDRESS TO LONGITUDE/LATITUDE Signature Date 03-25-2014 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. 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. 9530 NE 12th Avenue Job#10-490-13-C4(AVI) City MIAMI SHORES State FL ZIP Code 33013 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. w a' k 03-25-2014 HOUSE UNDER CONSTRUCTION FRONT VIEW j '!r1M 03-25-14 HOUSE UNDER CONSTRUCTION 03-25-14HOUSE NDERCONSTRUCTION LEFT SIDE VIEW RIGHT SIDE VIEW ELEVATIOWCERTIFICATE, page 4 Building Photographs Continuation Page IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number. 9530 NE 12th Avenue Job#10-490-13-C4(AVI) City MIAMI SHORES State FL ZIP Code 33013 Company NAIC Number. If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. 03-25-2014 INSIDE VIEW UNDER 03-25-2014 REAR VIEW FROM LEFT CONSTRUCTION FROM REAR UNDER CONSTRUCTION r f, I. f- 03-25-2014 INSIDE CONSTRUCTION 03-25-2014 RIGHT SIDE CONSTRUCTION VIEW FROM REAR VIEW Inspection Worksheet Miami Shores Village 1 10050 N.E. 2nd Avenue Miami Shores, F� Phone: (305)795-2204 Fax: (305)756-89772 Inspection Number: INSP-207456 Permit Number: RC-7-13-1656 Scheduled Inspection Date: February 25, 2014 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Slab Owner: WILLIAM J.JURBERG, R.ANDREW DE Work Classification: New 0Acc Job Address:9350 NE 12 Avenue Miami Shores, FL 33138- Phone Number (305)609-3851 Parcel Number 1132050070150 Project: <NONE> Contractor: PALMER HOLDINGS, INC Phone: 305-310-4673 Building Department Comments CONSTRUCTION OF NEW SINGLE FAMILY HOME Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-207352. CREATED AS REINSPECTION FOR INSP-195776. Pending approval of tests Cabana# 1 ands pads. Excluding addition Failed Correction Needed Tr'_ Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. February 24, 2014 For Inspections please call: (305)762-4949 Page 23 of 42 Exterminators, N2 6214 . 4035 S.W. 98 Avenue, Miami Florida 33165 P.O. Box 650213/Miami Florida 33165-0213 Tel. (305)552-0141 / 1-800 782-9284 FAX(305)227-1797 WEB PAGE: www.al-flex.com / E-Mail: al-flex@bellsouth.net Partial Treatment Notice Project Name: �S1��K-/7//S Property Address: 9350 AIF 24 Uzc Lot Block Model: ' FL Service order by:/0-LH"!=z 1gozol A�5s Permit#: Date: /LI Time:,�,'/;-0'I Applicator: Ctruwj� Product Used: "3001n J rtO» �� Chemical Used: Q�QQ D (active ingredient Number of Gallons applied :SZ . Percent Concentration: CR/ Area Treated Tamp: Linear feet Treated Stage of Treatment : Horizontal/Interior Vertical This is not valid without a company seal 1. The above noted structure has received the first of two or more required treatmets for the prevention of native subterranean termites. 2. Upon completion of this treatment and payment of any balance due under this contract,AI-Flex will provide purchaser with ,mntten confirmation that the treatment is completed and the associated limited warranty is in full force and effect. The ';mited warranty shall not be considered to be in effect until all required payment has been made. This form is=or inspection or construction draw purposes only. The perimeter of the above structure must be treated at final grade accordance ,with pesticide labei and Ficrida Statue. "Narranty and treatment certification will be issued upon completion, cf final treatment. This fors* shcutd riot ;e accepted as proof of cornplete treatment for Certificate of Occupancy or Closing. NOTICE 7� D;0LCER: ;f is the responsibility of the builder tc notify AL-Flex Exterminators should treatment be -equired for Patios, driveways znd en1mywF s. n4-Flex Exterminators must be lctified at final grade of structure so final treatment can be c;; pieted warranty';ssued, and required paperwork for closing submitted. TIHdS JS NOT A PROOF OF WARRANTY GEOTECHNICAL MATERIAL TESTING ENVIRONMENTAL DRILLING SERVICES HYDROGEOLOGY INSPECTION SERVICES ASBESTOS ROOF TESTING DYNATECH ENGINEERING CORP. Miami, February 25, 2014 Mr. Martin Palmer PALMER HOLDINGS 190 Bay Shore Drive Coconut Grove, FL 33133 Re: Addition @ 19 ^-1 9350 NE 12th Avenue Miami Shores, FL Dear Mr. Palmer: Pursuant to your request; DYNATECH ENGINEERING CORP. (DEC) inspected the soils at the above reference property. Based on our site inspection, soil borings and soil density tests; it is our professional opinion that the existing inspected soil is suitable for support of the proposed construction and that the bearing capacity of the soils found meet or exceed 3000 PSF. Enclosed find copies of our field testing logs. It has been a pleasure working with you at this phase of your project and look forward to do so in the near future. Sincerely yours, Wissa Naamani, F.E. , DYNATECH ENGINEERING CORP. ` i"�o Florida Reg. No. 39584 > f". N Special Inspection No. 757 Certificate of Authorization No.: CA 5491 750 West 84 Street, Hialeah, FL 33014-3618• Phone: (305) 828-7499• Fax: (305) 828-9598 E-Mail: Dynatech@bellsouth.net s f ♦ � DYNATECH ENGINEERING CORP. 750 WEST 84T"STREET HIALEAH,FLORIDA 33014 (305)828-7499 MOISTURE-DENSITY RELATIONS OF SOILS PROCTOR COMPACTION TEST DATE: February 21, 2014 CLIENT: PALMER HOLDING PROJECT: Addition 2 ADDRESS: 9350 NE 12th Avenue, Miami Shores, FL CONTRACTOR: Palmer Holding MATERIAL DESCRIPTION: Tan sandy limerock SAMPLED BY: RN TESTED BY: RN TEST RESULTS Sample Number 5 The following compaction test was conducted in accordance with the Standard Methods for Moisture Density Relations of soil using a 10 lb. Hammer and an 18"drop ASTM D-1557. % MOISTURE DRY DENSITY 6.0 110.1 6.9 111.2 7.8 112.4 114 11.8 107.8 D R 112 Y 110 V D E Optimum Moisture 8.4 Percent N 100%Maximum Dry Density 112.8 lbs./cu.ft. 108 S %Passing 1/4"Sieve 89 Percent I 106 T Y Sampled By:RN Checked By:WN ®4 6 8 I J 12 14 % MOISTURE Respectively submitted, As a mutual protection to clients,the public and ourselves,all reports Off- n are submitted as the confidential property of clients,and authorization I Ss It for use,publication of statements,conclusions or extracts from or regarding �Q`�� Wlssam Naamani,P.E. our reports is reserved pending our written approval. DYNATECH ENGINEERING CORP. Florida Reg.No. 39584 Certificate of Authorization No.: CA 5491 ► ti � f DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH,FLORIDA 33014 (305)828-7499 FIELD DENSITY TEST OF COMPACTED SOILS DATE: February 21, 2014 CLIENT: PALMER HOLDING PROJECT: Addition 2 ADDRESS: 9350 NE 12th Avenue, Miami Shores, FL CONTRACTOR: Palmer Holdinlp, Test No. 23 Location: West side of building pad proof rolling Test No. 24 Location: Center of building pad proof rolling Test No. Location: Test No. Location: Test No. Location: Description of Material: Tan sandy limerock TEST NO. 23 24 DEPTH 12" 12" FIELD DENSITY 111.4 110,9 MOISTURE CONTENT % 6,8 7,1 MAX. DENSITY IN THE FIELD % 98,7 98,3 COMPACTION REQUIREMENTS 98% 98% % OF MAXIMUM DENSITY 100% MAXIMUM DENSITY (LAB) 112.8 112,8 REMARKS: ALL ABOVE TEST RESULTS COMPLY WITH COMPACTION REQUIREMENTS Res ectfully pbmitted, Sampled By:RN Checked By:WN VSti�ssam Naamani,P.E. war DYNATECH ENGINEERING CORP. FJe6r da Reg.No. 39584 �J'�iQ Citi• GBttificate of Authorization No.: CA 5491 e *A density test determines the degree of compaction of the tested layi iof materii'lno way shall a density test replace a soil bearing capacity determination. A soil boring test must be provided by client,prior to construction to veril�y�,ko nditions. As a mutual protection to the clients,the public and ourselves, all reports are submitted as the confidential property of clients, and authoriz9(jp�+lb�publication of statement conclusions or extracts from or regarding our reports is reserved pending on our written approval. w�1`+ �' Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-207352 Permit Number: RC-7-13-1656 Scheduled Inspection Date: February 20, 2014 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Slab Owner: WILLIAM J.JURBERG, R.ANDREW DE Work Classification: New once Job Address:9350 NE 12 Avenue Miami Shores, FL 33138- Phone Number (305)609-3851 Parcel Number 1132050070150 Project: <NONE> Contractor: PALMER HOLDINGS, INC Phone: 305-310-4673 Building Department Comments CONSTRUCTION OF NEW SINGLE FAMILY HOME Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed r CREATED AS REINSPECTION FOR INSP-195776. Pending approval of tests Failed Correction Needed 0A, T Re-Inspection ❑ Fee t No Additional Inspections can be scheduled until �\ re-inspection fee is paid. \ k February 19, 2014 For Inspections please call: (305)762-4949 Page 23 of 31 DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH,FLORIDA 33014 (305)828-7499 FIELD DENSITY TEST OF COMPACTED SOILS DATE: February 7, 2014 CLIENT: PALMER HOLDING PROJECT: Existing residence renovation/addition n ADDRESS: 9350 NE 12th Avenue Miami Shores FL CONTRACTOR: Palmer Holding Test No. 11 Location: West side of pad, 1St lift Test No. 12 Location: Center of pad, 1St lift Test No. 13 Location: East side of pad, 1St lift Test No. 14 Location: North side of pad, 1St lift Test No. Location: Description of Material: White limerock TEST NO. 11 12 13 14 DEPTH 12" 12" 12" 12" FIELD DENSITY 127,4 126.9 127.1 127.6 MOISTURE CONTENT% 7.9 7.7 7.4 8.1 MAX. DENSITY IN THE FIELD % 99.2 98.8 98.9 99.3 COMPACTION REQUIREMENTS 98% 98% 98% 98% % OF MAXIMUM DENSITY 100%MAXIMUM DENSITY (LAB) 128.4 1 128.4 1 128.4 1 128.4 REMARKS: ALL ABOVE TEST RESULTS COMPLY WITH COMPACTION REQUIREMENTS Respectfully supmitted, Sampled By: RN Checked By:WN tssa amani, aP.E, DYNATECH ENGINEERING CORP. Florida Reg.No.39584 Certificate of Authorization No.:CA 5491 "A density test determines the degree of compaction of the tested layer of material only. In no way shall a density test replace a soil bearing capacity determination. A soil boring test must be provided by client,prior to:construction to verify subsoil conditions. As a mutual protection to the clients,the public and ourselves,all reports are submitted as the confidential property of clients;.and authorization for publication of statement conclusions or extracts from or regarding our reports is reserved pending on our written approval. w� DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH,FLORIDA 33014 (305)828-7499 MOISTURE-DENSITY RELATIONS OF SOILS PROCTOR COMPACTION TEST DATE: February 7, 2014 CLIENT: PALMER HOLDING PROJECT: Existing residence renovation/addition(7a ADDRESS: 9350 NE'ffh Avenue,Miami Shores,FL CONTRACTOR: Palmer Holding MATERIAL DESCRIPTION: White limerock SAMPLED BY: RN TESTED BY: RN TEST RESULTS Sample Number 3 The following compaction test was conducted in accordance with the Standard Methods for Moisture Density Relations of soil using a 10 lb.Hammer and an 18"drop ASTM D-1557. % MOISTURE DRY DENSITY 6.2 126.0 7.0 127.0 7.9 128.0 130 11.9 124.9 D R 128 Y 126 D E Optimum Moisture 8.6 Percent N 100%Maximum Dry Density 128.4 lbs./cuA 124 S %Passing'/,"Sieve 88 Percent I 122 T Y 120 Sampled By:RN Checked By:WN 4 6' 8 10 12 14 %MOISTURE Respectively sub itied, As a mutual protection to clients,the public and ourselves;all reports are submitted as the confidential property of clients,and authorization for use,publication of statements,conclusions or extracts from or regarding Wlssam ani,P.E. our reports is reserved pending our written approval. DYNATECH ENGINEERING CORP. Florida Reg.No.39584 Certificate of Authorization No.:CA 5491 1 DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH,FLORIDA 33014 (305)828-7499 FIELD DENSITY TEST OF COMPACTED SOILS DATE: February 7, 2014 CLIENT: PALMER HOLDING PROJECT: Existing residence renovation/addition na ADDRESS: 9350 NE 12th Avenue Miami Shores FL CONTRACTOR: Palmer Holding Test No. 15 Location: West side of pad underslab Test No. 16 Location: Center of pad underslab Test No. 17 Location: East side of pad underslab Test No. 18 Location: North side of pad underslab Test No. 19 Location: Main house west side of column pad underslab Description of Material: White sand TEST NO. 15 16 17 18 19 DEPTH 12" 12" 12" 12" 12" FIELD DENSITY 104.9 105.4 104.6 105.1 104.5 MOISTURE CONTENT% 7.8 7.0 7.7 7.2 7.6 MAX.DENSITY IN THE FIELD % 98.5 99.0 98.3 98.7 98.2 COMPACTION REQUIREMENTS 98% 98% 98% 98% 98% % OF MAXIMUM DENSITY 100%MAXIMUM DENSITY(LAB) 106.4 106.4 106.4 106.4 106.4 REMARKS: ALL ABOVE TEST RESULTS COMPLY WITH COMPACTION REOUIREMENTS Respectfully submitted, Sampled By: RN Checked By:WN — tssam aamani,P.E. DYNATECH ENGINEERING CORP. Florida Reg.No.39584 Certificate of Authorization No.:CA 5491 *A density test determines the degree of compaction of the tested layer of material only. In no way shall a density test replace a soil bearing capacity determination. A soil boring test must be provided by client,prior to construction to verify subsoil conditions. As a mutual protection to the clients,the public and ourselves,all reports are submitted as the confidential property of.clients, and authorization for publication of statement conclusions or extracts from or regarding our reports is reserved pending on our written approval. DYNATECH ENGINEERING CORP. 750 WEST 84' STREET HIALEAH,FLORIDA 33014 FIELD DENSITY TEST OF COMPACTED SOILS (305)828-7499 DATE: February 7, 2014 CLIENT: PALMER HOLDING PROJECT: Existing residence renovation/addition (c� ADDRESS: 9350 NE 12th Avenue Miami Shores FL CONTRACTOR: Palmer Holding Test No. 20 Location: Main house north side of east column pad underslab Test No. 21 Location: Main house south side of center column pad underslab Test No. 22 Location: Main house west side of west column pad underslab Test No. Location: Test No. Location: Description of Material: White sand TEST NO. 20 21 22 DEPTH 12" 12" 12" FIELD DENSITY 105.7 104.4 104.6 MOISTURE CONTENT% 7.5 7.2 6.9 MAX. DENSITY IN THE FIELD % 99.3 98.1 98.3 COMPACTION REQUIREMENTS 98% 98% 98% % OF MAXIMUM DENSITY 100%MAXIMUM DENSITY (LAB) 1 106.4 1 106.4 1 106.4 1 1 --d REMARKS: ALL ABOVE TEST RESULTS COMPLY WITH COMPACTION REQUIREMENTS Respectfully submitted, Sampled By: RN Checked By:WN tss aamani,P.E. DYNATECH ENGINEERING CORP. Florida Reg.No.39584 Certificate of Authorization No.: CA 5491 *A density test determines the degree of compaction of the tested layer of material only. In no way shall a density test replace a soil bearing capacity determination. A soil boring test must be provided by client,prior to.construction to verify.subsoil conditions. As a mutual protection to the clients,the public and ourselves, all reports are submitted as the confidential property of clients,and authorization for publication of statement conclusions or extracts from or regarding our reports is reserved pending on our written approval. AI-Flex Exterminators, Inc. N° 6039 4035 S.W. 98 Avenue, Miami Florida 33165 P.O. Box 650213/Miami Florida 33165-0213 Tel. (305)552-0141 / 1-800 782-9284 FAX(305)227-1797 WEB PAGE: www.al-flex.com-/ E-Mail: al-flex@bellsouth.net Partial Treatment Notice d Project Name: "'� Property Address: �3A D l � !� AVG Lot Block Mode�fg ` LFL Service order by: �/�J' 6Fi2 � Permit#: Date: /t t/ Z Time: 7 A1#1 ,j/J^J 1 Applicator: �(1d - �' w (� Product Used: Chemical Used: ..._1'72L QYrKJ �`-� /�i0/7 C94.. (active ingredient) Number of Gallons applied : �� Percent Concentration: Area Treated : Tamp: A,,j Linear feet Treated Stage of Treatment : Horizontal/Interior Vertical f This is not valid without a company seal 1. The above noted structure has received the first of two or more required treatmets for the prevention of native subterranean termites. 2. Upon completion of this treatment and payment of any balance due under this contract,AI-Flex will provide purchaser with written confirmation that the treatment is completed and the associated limited warranty is in full force and effect. The limited warranty shall not be considered to be in effect until all required payment has been made. This form is for inspection or construction draw purposes only. The perimeter of the above structure must be treated at final grade accordance with pesticide label and Florida Statue. Warranty and treatment certification will be issued upon completion of final treatment. This form should not be accepted as proof of complete treatment for Certificate of Occupancy or Closing. NOTICE TO BUILDER: It is the responsibility of the builder to notify AL-Flex Exterminators should treatment be required for patios, driveways and entryways.AI-Flex Exterminators must be notified at final grade of structure so final treatment can be completed warranty issued, and required paperwork for closing submitted. THIS IS NOT A PROOF OF WARRANTY 12C �-/3- i J-G. GEOTECHNICAL MATERIAL TESTING ENVIRONMENTAL DRILLING SERVICES HYDROGEOLOGY INSPECTION SERVICES ASBESTOS ROOF TESTING DYNATECH ENGINEERING CORP. Miami, January 20, 2014 Mr. Martin Palmer PALMER HOLDING 1900 Bay Shore Drive Coconut Grove, FL 33133 Re: Property @ 9350 North East 12th Avenue Miami Shores, FL Dear Mr. Palmer: Pursuant to your request, Dynatech Engineering Corp. (DEC) performed a site inspection on January 20, 2014 at the above referenced project. Our inspection covered the footings excavation. Based on our site inspection and compaction tests it is our opinion that the foundations have been properly prepared according to our recommendations and are ready for concrete placement. The slab areas will have to be stripped of top soil and roots at a future date prior to filling and concrete placement. In addition it is not necessary to strip 5 feet away from the slab edge so as not to damage the tree root system. Please feel free to contact us if we may be of further service to you. Sincerely yours, �issiM�f�ani, P.E. i,,t, 6A DYNATECH ENGINEERING CORP. Florida Reg. No. 39584 Special Inspector No. 757 '° ' Certificate of Authorization No.: CA 5491 i c , r 750 West 84 Street, Hialeah, FL 33014-3618 • Phone: (305) 828-7499* Fax: (305) 828-9598 E-Mail: Dynatech@bellsouth.net Q*P m i GEOTECHNICAL MATERIAL TESTING ENVIRONMENTAL DRILLING SERVICES HYDROGEOLOGY INSPECTION SERVICES ASBESTOS ROOF TESTING DYNATECH ENGINEERING CORP. Miami, January 10, 2014 Mr. Martin Palmer PALMER HOLDING 1900 Bayshore Drive Coconut Grove, FL 33133 Re: Existing Residence Renovation/Addition @ 9350 North East 12th Avenue Miami Shores, FL Dear Mr. Palmer: Pursuant to your request, Dynatech Engineering Corp. (DEC) performed a Compaction Test on January 10, 2014 at the above referenced project. DEC was authorized to perform a compaction test only. The purpose of our test was to determine the degree of compaction of the tested layer of material only. In no way shall a compaction test replace a demucking inspection, soil bearing capacity determination, or a pad certification. A soil boring test must be performed by client if not yet done, prior to construction to verify subsoil conditions. Underlying soils below test levels must be verified to prevent future settlements. Our findings are relative to the date and areas of our site work and should not be relied upon to represent conditions on other areas or dates. Any subsequent site disturbances due to water erosion, rain, construction activities, excavations, overgrown, vegetation, traffic and other disturbances will void this test and the site must be re-compacted and re-tested prior to construction. Environmental analysis of the soil materials is not part of the scope of services. If environmental analysis of the soils is required, we can provide a proposal for performing an environmental analysis of the soil materials. No other analysis is implied or warranted. As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for use, publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. Enclosed find copies of the compaction test results. It has been a pleasure working with you and look forward to do so in the near future. X01 ;#A0. Yv`,�1. r ✓r Sincerely yours, �. Wissam aamani, P.E. DYNATECH ENGINEERING CORP. Florida Reg. No. 39584 Special Inspector No. 757 C ttff to tho i i n� MAI 911 i U�est ee , iaQeah,� ?1618 • Phone: (305) 828-7499• Fax: (305) 828-9598 E-Mail: Dynatech@bellsouth.net DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH,FLORIDA 33014 (305)828-7499 MOISTURE-DENSITY RELATIONS OF SOILS PROCTOR COMPACTION TEST DATE: January 10, 2014 CLIENT: PALMER HOLDING PROJECT: Existing Residence/Addition na ADDRESS: 9350 North East 12th Avenue, Miami Shores, FL CONTRACTOR: Palmer Holding MATERIAL DESCRIPTION: Tan sandy rock SAMPLED BY: RN TESTED BY: RN TEST RESULTS Sample Number 1 The following compaction test was conducted in accordance with the Standard Methods for Moisture Density Relations of soil using a 10 lb. Hammer and an 18"drop ASTM D-1557. % MOISTURE DRY DENSITY 6.6 110.2 7.4 111.2 7.9 112.0 114 11.2 108.2 D R 112 Y D 110 E Optimum Moisture 8.6 Percent N 100%Maximum Dry Density 112.2 lbs./cuff 108 S %Passing 1/4"Sieve 89 Percent 1 T 106 Y Sampled By:RN 1fI4 Checked By: WN i 4 6 8 10 12 14 Respectiygly submitted, As a mutual protection to clients,the public and ourselves,all reports are submitted as the confidential property of clients,and authorization for use,publication of statements,conclusions or extracts from or regarding wISsaMm, our reports is reserved pending our written approval. DYNATECH ENGINEERING CORP. Florida Reg.No.39584 Certificate of Authorization No.: CA 5491 DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH,FLORIDA 33014 (305)828-7499 FIELD DENSITY TEST OF COMPACTED SOILS DATE: January 10, 2014 CLIENT: PALMER HOLDING PROJECT: Existina Residence/Addition g ADDRESS: 9350 North East 12th Avenue, Miami Shores, FL CONTRACTOR: Palmer Holding Test No. I Location: West side footings, center of footer Test No. 2 Location: East side footinas, center of footer Test No. 3 Location: North side footings, center of footer Test No. 4 Location: South side footings, center of footer Test No. 5 Location: Center footinas, center of footer Description of Material: Tan sandy rock ----------------------------- TEST NO. 1 2 3 4 5 DEPTH 12" 12" 12" 12" 12" FIELD DENSITY 110.4 110.8 110,2 111.1 110.6 MOISTURE CONTENT % 8,6 8,9 7,9 9.1 8.4 MAX. DENSITY IN THE FIELD % 98.3 98,7 98,2 99.0 98.5 COMPACTION REQUIREMENTS 98% 98% 98% 98% 98% % OF MAXIMUM DENSITY 100%MAXIMUM DENSITY (LAB) 1 112.2 1 112.2 1 112,2 1 112.2 1 112.2 REMARKS: ALL ABOVE TEST RESULTS COMPLY WITH COMPACTION REQUIREMENTS ti Respectfully submitted, Sampled By:RN Checked By: WN e Wissa aamani,P.E. DYNATECH ENGINEERING CORP. Florida Reg.No. 39584 s Certificate of Authorization No.: CA 5491 *A density test determines the degree of compaction of the tested layer t tis�kl only. In no way shall a density test replace a soil bearing capacity determination. A soil boring test must be provided by client,prior'to construction to veil subsoil conditions. As a mutual protection to the clients,the public and ourselves, all reports are submitted as the confidential property of clients; and`:autftorization for publication of statement conclusions or extracts from or regarding our reports is reserved pending on our written approval. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-206931 Permit Number: RC-7-13-1656 Scheduled Inspection Date: February 11, 2014 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Spot Survey Owner: WILLIAM J.JURBERG, R.ANDREW DE Work Classification: New DAQQ Job Address:9350 NE 12 Avenue Miami Shores, FL 33138- Phone Number (305)609-3851 Parcel Number 1132050070150 Project: <NONE> Contractor: PALMER HOLDINGS, INC Phone: 305-310-4673 Building Department Comments CONSTRUCTION OF NEW SINGLE FAMILY HOME Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed S-:)P2)r Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. February 10,2014 For Inspections please call: (305)762-4949 Page 30 of 37 Water and Sewer PO Box 330316 • 3575 S. Lejeune Road M I AM 1•DADE Miami, Florida 33233-0316 VERIFICATION FORM T 305-665-7471 EXPIRES ONE YEAR FROM DATE ON FORM miamidade.gov ATLAS PAGE: D-8 INV#: If I Y� FORM#: 201340688 DATE: 11/20/2013 NAME OF OWNER: JURBERG JTRS RESIDENCE ADDITION M2013011563 PROPERTY ADDRESS: 9350 NE 12 AVE PROPOSED USAGE/ 5600 SF SFR PER PAPER PLANS NO. OF UNITS: REPLACES: PREVIOUS 3621 SF RESIDENCE PER PROPERTY TAX RECORDS 1957 USAGE/NO. OF UNITS: PROPERTY LEGAL: 5-6 53 42 .44 AC PL OF GOVT LOT 4 PB 5-90 BEG 20OFTE OF NW COR OF S80FT LOT K TH S TO S/L OF LOT L FOLIO NUMBER: 11-3205-007-0150 GALLONS PER DAY INCREASE: 230 PREVIOUS FLOW: 320 PREVIOUS SQUARE FOOTAGE: 3,621 NEW CONSTRUCTION PROPOSED FLOW: 550 PROPOSED SQUARE FOOTAGE: 5,600 !] INTERIOR RENOVATION THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N)_8_INCH WATER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY,(OR, IF"WILL HAVE", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF WATER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT,(AGREEMENT ID# N/A) SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF WATER SUPPLY OR WITHDRAWAL. Judy R. Elliott - New Business Representative BY: - NATURE OF REPRESENTATIVE AUTHORIZED BY NEW BU ESS COMMENTS: EXIST 5672086798 WCC'S$319.70 W/VF$30 W/ALLOC$90 TOT$439.70 VALID W/PD INV/DEVELOPER RESPONSIBLE FOR DOMESTIC SERVICE IF NEW SERV REQ-8-10 WKS PLANS REVIEW COMMENTS: CRITERIA: F-1 THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES NOT HAVE A(N)_-- INCH GRAVITY SEWER MAIN ABUTTING T E SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY, (OR, IF- IL HAVE", UPON PROPER CONVEYA CE AND PLACEMENT INTO SE ICE OF SEWER SEWER FACILITIES BY THE DEVEL PER UNDER AGREEMENT WIT THE DEPARTMENT, (AGREE ENT ID#N/A). SUBJECT TO PROHIBITIONS OR R TRICTIONS OF GOVERNMENTAL ENCIES HAVING JURISDICTIO OVER MATTERS OF SEWAGE DISPOSAL. FURTHER ORE, APPROVAL OF ALL SEWAG FLOWS INTO THE DEPARTME S SYSTEM MUST BE OBTAINED FROM D.E.R.M. TH ANTICIPATED DAILY WATER AN OR SEWAGE FLOW FOR THIS P JECT WILL BE:TWO HUNDRED THIRTY[230] GALLO PER DAY INCREASE. Judy R. Elli - New Business presentative BY: SIGNATURE F REPRESENTATIVE AUTHORIZED BY NEW BUSINESS COMM NTS: HRS SEPTIC TANK APPROVAL API 123086-N&AP1123089-N DATED 11/8/2013 PLANS REVIEW COMMENTS: CONTACT NAME: HARRY CHEZPrinted On:11/25/2013 NB: Judy R.Elliott CONTACT PHONE: 305 8 7 7.1 11:35:15 AM PR: AUTHORIZED BY: Axi \` MIAMI Me 1AM-11, P.A , DES Via@ 1-1 M Cl 0 T 1... 1- ...... 7�:7 CC c' Miami-Dade Water and Sewer Department New Business Office INVOICE#: 151454- A�11' P.O. Box 330316 DATE: November 25.2013 Miami, Florida 33233-0316 CUSTID: ` 169464 �I =I C arW Sewer 3575 South LeJeune Road, Room 114 PeopleSoft Acct ID#: j 4331659477 Miscellaneous Charges Building Process#: X 2014026593 IN ACCOUNT WITH WILLIAM J JURBERG 9350 NE 12 AV MIAMI SHORES, FL 33138- REFERENCE -F- ------- — - -- - ER WATER:' N/A _-- CC'S FOR 5600 SF SFR REPLACING 3621 SFR 9350 NE 12 AV FOLIO 1132050070150 SEPTIC AP1 123086&AP1 123089 M2013011563 VF 201340688 -- - ER SEWER: N/A AGMT ID: DESCRIPTLON — - CI CDDJ I` PRICE AMOUNT QTY DESCRIPTION G/L CODE (__-_ - -- �-.�_� � 30.00' 30 001 GPD 1 Verif Form-res R-A Water 6436663-EW101' 1 Water Allocation Certificate Initial -6436671-EW101 - -- ---- ----- 90.00 90.00 230 Conn Chg WASD Water - - - 6897501-EW223 1.391 319.701 TOTAL: $439.70 I WATER DEPOSITS: $0.00 SEWER DEPOSITS: $0.00 INVOICE NO. 151454 TOTAL: $439.70 IL 06t" 14101 &OW$ 1 00 r ------------------- Original Invoice i1 eFT 3 By:Evangelos Marsellos 14M I 1 Distribution: White-Customer, Yellow-General Office,Pink-Local Office,Gold-New Business 33�tlf�B3y 3INNJND'J3 OW AtlO1tl7 M A U13NI M AD= 311tlQ-IWIM UU4 MIAMI-DADE COUNTY DEFT. OF REGULATORY & ECONOMIC RES OURCES 11/25/2013 13:59 REGISTER : TCPN939I CENTRAL CASHIER : HNATALY TRANSACTION #: 281311258086 PROCESS PERMIT fEEDLI0 X2014026593 _ TOTAL : '~ $439.70 CASH TENDERED : $440.00 TOTAL : r $440•W CHANGE IBM : $8.30 10-09-13 by I. Naranjo 1. Information provided on plans do not show compliance with geo technical engineers recommendation and requirements. �evation certificate provided was based on the line of construction of the original house. The project is a substantial improvement. Based on the information provided on the new site plan and on the FIRM map 12086C0306L a portion of the new structure will be located on flood zone AE-8, please correct elevation certificate accordingly and mark section C1 building elevation based on construction drawings, also use FEMA form OMB No. 1660-0008 wit expiration date of July 31,2015. make sure all sections are properly fill in. v3-"provide detail and specification for the wall separating the hall way from the foyer and the home office from the butlers pantry. --4o. sh t A-4, see red marking for un legible information on the plans _ 5. Section 7/S-8.you are proposing to connect the wood deck to the pool wall how ever the note under the pool requires the pool to be built under a separate permit. 6. provide section showing the connection of the wood deck to the new and to the existing concrete slab. 7. sheet S-2,cross section 5/S-8 based on the information provided on the plans you have a 42" drop from the deck at the east side of cabana#2, please provide railings. 51%d;a-Cs./*4L;� ►+.s��,,la,x. �8note on the structural plans required the new footing to match with existing footing elevation however the top of the new footings should be a minimum of 8" below grade. provide a note to specify minimum requirement. , ✓9. 2nd floor windows. Operable windows with a drop of more than Won the outside should have the bottom sill at no less than 36" above finish floor, `-10. Provide specifications for the guard rail on the 2nd floor bridge. -f1. provide detail and specification for the window system installation including waterproofing system to be use. provide typical wall detail for the interior walls, specify all components, please note that frame walls supporting cabinets and plumbing fixtures should be as follow. 2x4 ood at 16" o.c if metal, provide 20 ga at 16" o.c or double 25 ga. 13. provide owners name on all pages as required under chapter 8-c of the miami dade county code. c14.fire rated system is not part of the standing seam metal roof assembly, please provide specifications four the class A fire rated assembly to be provided on the roof. I- 5.wood facia requirements between the architectural and structural plans are contradicting, please correct architectural to match with structural. O SNRES s••• ��.�� Miami shores Village I0, Building Department �LOR 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT#: � /�b5'( DATE: (NAME) Contractor o Owner o Architect Picked up 2 sets of plans and (other) Address: �( From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: (Signature) PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: SNORES G Miami shores Village S, Building Department logo n1_ .....� 10050 N.E.2nd Avenue Miami Shores, Florida 33138 °'=FNr ��` Tel: (305) 795.2204 �IORes I Fax: (305) 756.8972 August 5, 2013 Permit No: RC13-1656 Building Critique — Syed Ashraf 1. 1) State the alteration level. 2. 2) State the construction type. 3. 3) Provide flood elevation certificate. 4. 4) Address flood criteria. 5. 5) Provide approval from DERM, Florida DOH & Road Impact. 6. 6) Address roof ventilation. 7. 7) Address garage ventilation. Structural Critique — Syed Ashraf 1. 1) A soil report dated 10/15/12 prepared by Dynatech has been provided. Reference the soil report on the plans and list the Geotechnical recommendations. If you want you can use 2500 psf SBC as suggested by them. 2. 2) Provide copies of NOAs for connectors. 3. 3) Check all typical connectors for wind uplift and the forces in the two horizontal directions. 4. 4) Provide roof pressure diagram. 5. 5) Check existing masonry on west side for adequacy of the loads. 6. 6) Check TC-2 on the west side supporting the 17'-2" window. 7. 7) Provide the details of fountain and swimming pool concrete wall shown on S-8. 8. 8) Show all typical details of wood connectors on S-2. 9. 9) Provide special inspection forms for masonry & soil compaction. 10.10) Please respond in writing. Electrical Critique 1. Play room needs smoke detector. 2. What is protecting panel A section 2? Panel A is 600 amp. M. L. O. protected by a 400 amp. breaker, section 2 is only rated 225 amp.. section 2 needs to be rated 600 amp. or have a 225 amp. main breaker. Mechanical Critique 1. Need application 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 pians and replace with new revised sheets and include one set of voided sheets in the re-submittal drawings. SNORES G Miamishores Village .� � Building Department logo 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Ftir �� Tel: (305) 795.2204 An"Es 10 Fax: (305) 756.8972 ZOR Date: Permit No: C - Ik Plumbing Critique Fcrow , j �c� c c)� P�E �,1-1 P�-? >zc,4�C . l� C i CU 5 PWcA T t4 �i F[LK 3 log,. 1 ®.Q L: S) lL CGS!-) i.J ll��,►� v,=�.;ti, A>_L. `r S 5)4/4 L�-- c)ti v�cr FBC F( 469. 1 {�Lv�yJ� Cc1LLi,"� Osvaldo "Ozzie" Diaz - Chief Plumbing Inspector CAJ 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. U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE A FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National FloodlnsurameProgram 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 RANDE PASS Job 1 -49 13-A( VO PolicyNumber: A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box W. mpany . 9530 NE 12th Avenue (Folio No.11-3205-007-0150) Qty MIAMI SHORES State FL ZIP Code 33138 Property scrip ion(Lot and blockrs, ik LegalDescription,etc.) SWcor.Lot L of PLAT OF GOV.LOT 4 OF SEC5 &N1/2ofNE1/4SE1/4ofSec6-53-42PB5Pg90 of Mani-Dade Co.FL. A4. Building Use(e.g.,Residential, Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.25°51'48.62"N Long.80°10'27.77' 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 11=A A8. For a building w ith a crawlspace or enclosure(s): A9. For a building w Rh an attached garage: a) Square footage of crawlspace or enclosure(s) NA sq ft a) Square footage of attached garage PYA sq ft b) Number of permanent flood openings in the craw Ispace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade N/A w Rhin 1.0 foot above adjacent grade `(A c) Total net area of flood openings in A8.b I;TA- sq in c) Total net area of flood openings in A9.b NA 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 MAM SHORES 120652 MIAWDADE FLORIDA B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel88.Flood B9.Base Flood Bevation(s)(Zone 12086CO306 L 09/11/2009 Effective/Revised Date Zones) AO,use base flood depth) 09/11/2009 AE 8.00' B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in ftem B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: 611. 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 Otherw ise Protected Area(OPA)? ❑ Yes ® No Designation Date: WA ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: XConstruction Draw Ings* ® Building Under Construction' ❑ Finished Construction "A new Elevation Certificate w ill be reqGirecf w hen construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(w ith 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 Rem AT In Puerto Rico only,enter meters, Benchmark Utilized: TBM Bev.=10.00' Vertical Datum NGVD 1929 Indicate elevation datum used for the elevations in items a)through h)below. H NGVD 1929 13 NAVD 1988 0 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,craw(space,or enclosure floor) 9.85 N feet ❑ meters b)Top of the next higher floor 9.88 ® feet ❑ meters c)Bottom of the low est horizontal structural member(V Zones only) NA. ❑ feet ❑ meters d)Attached garage(top of slab) PYA. ❑ feet ❑ meters e)Low est elevation of machinery or equipment servicing the building 9.31 ® feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 8.80 ® feet ❑ meters g)Highest adjacent(finished)grade next to building(HAG) 8.84 IN feet ❑ meters h)Low est adjacent grade at low est elevation of deck or stairs,including structural s upport PYA. ❑ 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 mybest efforts to interpret the data available. 1 understand that any false statementmay be punishable byfine 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 ARMANDO GARCIA License Number 3109 Title PROF. SURVA MAPPER Company Name C.B.S.Services. Address 8567 CORAL WAY City MIAMI State FL ZIP Code 33155 Signature Date 12-17-2013 Telephone 786-290-4184 FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. //O 5[v « ,w - ' - < ��& - � � y2 § R4° I ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 9530 NE 12th Avenue Job#10-490-13-A(AVQ Qty MIAMI SHORES State FL ZIP Code 33013 Company NAIL Number: SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Bevation Certificate for(1)community official,(2)insurance agent/corrpany,and(3)building ow ner. Comments C.O.R. Bevation=M A5 OBTAINED BY GOOGLE CONVERSION FROM ADDRESS TO LONGITUDFJLATITUDE BLDG UNDER CONSTRUCTION Signature Date 12-17-2013 SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFQ,complete Items E1-E5. If the Certificate is intended to supporta LOMA or LOM R-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 low est adjacent grade(LAG). a)Top of bottom floor(including basement,craw[space,or enclosure)is ❑ feet ❑ meters ❑ above or❑ below the HAG. b)Top of bottom floor(including basement,craw Ispace,or enclosure)is ❑ feet ❑ meters ❑ above or❑ below the LAG. E2. For Building Diagrams 6-9 w ith permanent flood openings provided in Section A Term 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. B. 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 ❑ Unknow n.The local official must certify this information in Section G. SECTION F-PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property ow ner or owner's authorized representative who completes Sections A,B,and E for Zone A(w ithout 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 know ledge. Property Ow ner's or Ow net'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 lav or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or ,and G of this Elevation Certificate.Complete the applicable iterr<s)and sign below.Check the measurement used in[ems G8-G10.In Puerto Rico only,enter meters. G1.❑ The information in Section C was taken from other documentation that has been signed and seated 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(w ithout a FEMA-issued or comminity-issued BFE) or Zone AO. G3.❑ The follow ing information([ems G4-G10)is provided for community floodplain management purposes. G4.Permit Number I G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Bevation 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 Tale 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. W.)or P.O. Route and Box No. Policy Number: 9530 NE 12th Avenue Job#10-490-13-A(AVD City MYAM7) SHORES State FL ZIP Code 33013 Company NAIL Number: If using the Elevation Certificate to obtain NFIP flood insurance,affix at least2 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. i � M l t t 4 r 12-17-2013 HOUSE FRONT VIEW F A s -c t ��12-17-2013 HOUSE REARVIEW 12-17-2013 HOUSE RIGHT SI DE VI EW FEMA Form 086-0.33(7/12) Replaces all previous editions. ELEVATION.CERTIFICATE, page 4 Building Photographs Continuation Page IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 9530 NE 12th Avenue Job#10-490-13-A(AVI) City MIAMI SHORES State FL ZIP Code 33013 Company NAIL Number: If submitting more photographs than will fit on the preceding page,affixthe additional photographs below.Identifyall 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. In i AN "4s 12-17-13 BASEMENT TRENCH VI EW 12-17-13 CONSTRUCTION GENERALVIEW I 12-17-2013 EXISTING GARAGEVIEW 12-17-2013 EXISTING GARAGE VIEW FEMA Form 086-0-33(7/12) Replaces all previous editions. REVISIONS NOTE: 42" HIGH STEEL CABLE SAFEGUARD TO BE USED AT CABANA EXTERIOR PERIMETER. MANUFACTURER TO SUBMIT SHOP DRAWINGS FOR APPROVAL PRIOR TO INSTALLATION. 10 X04p0 Mn 0 J� LLn W" QO1� Q.. Q Z QLL Z <I Z OP SAFEGUARD PICKETS z Q °a TO REJECT A 4" DIA. OBJECT Q .a u0 U w ON ik ZN U 0 Lu V) Q �0 LLJ 0Lu a U aLu r � 0 W m 7- O0 N � Q w F- Z LL D a 3 . w p u .sP z Q ,,, � ¢ o a a > w a W e w H W a U Z ' O `L O Z Q SCAIE: AS SHOWN /SAFEGUARD BOTTOM PICKETS DATE 12/20/2013 TO REJECT A 2" DIA. OBJECT j°°ND SHEET NO.: TYPICAL SAFEGUARD DETAIL SCALE:3/4"=1'—O" 11AiE OF FLORIDA REOWRATION No.4929 40FY CESAR M. CANO A.I.A. iLC ^ L2 a r c h i t e c t 4906 Car ipo Sano Ct, Coral Gables,FL 33146 Phone(30.5)740 7929 Fax (305)740 7929 Response to Comments Tuesday, December 17,2013 To:Village of Miami Shores Building Department 10050 N.E.2 Ave Miami Shores, FL 33138 Re:9350 NE 12 Ave Miami, FL 33138 Building/Structural Department Comments: �( Refer to revised sheet S-1, Note No. 1-A and Soil Statement with the information of the Geotechnical Report. Furthermore the contractor need to follow instructions indicated on this report. 2 Refer to revised Elevation Certificate. There are no wall. It's a freestanding bookcase dividing both spaces. Refer to Sheet A-1.1 keynote 1-05. 4. Refer to revised sheet A-4, r 5. General contractor to coordinate construction of pool before installation of wood deck. /< Refer to new sections 1 &2 on Sheet S-5. _ 7. This area shall be protected by a permanent screen enclosure. prr$ aF A"J�` -t�� 3 '� 4" "L).t4 sRfr Sew Refer to revised Sheet S-0 Note 1-D. Second floor windows consist of three panels:two fixed panels at top&bottom and one operable at the middle. / The bottom of the operable panel is at 36" A.F.F. X 1p. Refer to revised Floor Plan keynote 107 at sheet A-2.1. I/I Refer to new sheet A-8. X� Refer to new sheet A-8. 13. Refer to all revised architectural and structural sheets. yf4/ Refer to roof details on sheet A-8 and wall sections on A-7. - 5. Refer to revised wall sections on Sheet A-7 Should you have any questions, or need additional information, please do not hesitate to contact me. Sincerely Cesar M.Cano Cesar M. Cano A.I.A. State of Florida Registration#4929 Page 1 of 1 f i MIAMh MIAMI-DADE COUNTY PRODUCT CONTROL SECTION DEPARTMENT OF PERMITTING,ENVIRONMENT,AND REGULATORY 11805 SW 26 Street,Room 208 AFFAIRS(PERA) Miami,Florida 33175-2474 BOARD AND CODE ADMINISTRATION DIVISION T(786)315-2590 F(786)31525-99 NOTICE OF ACCEPTANCE (NOA) wwvs'•miamidade.Pov/vera GAF Material Corporation 1361 Alps Road Wayne,NJ 07470 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami-Dade County PERA -Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance,if it is determined by Miami-Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein,and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: VersaShield® Fire Resistant Roof Deck Protection and VersaShield®Solo Fire Resistant Slip Sheet LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of any product, for sales,advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No. 10-0331.04 and consists of pages 1 through 3. The submitted documentation was reviewed by Jorge L.Acebo. r NOA No.: 11-1110.09 Expiration Date: 02/07/17 DA Muu�aor►oeeouwrr Approval Date: 01/26/12 Page 1 of 3 ROOFING COMPONENT APPROVAL Cateeory: Roofing Sub-Cateeory: Underlayment Material: Fiberglass SCOPE: This acceptance is for VersaShield®Fire Resistant Roof Deck Protection(a.k.a"VersaShield® Underlayment")and VersaShield® Solo Fire Resistant Slip Sheet(a.k.a"VersaShield Solo"), as described in this Notice of Acceptance, for use with approved prepared roof assemblies. Designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. PRODUCT DESCRIPTION: Product Dimensions Test Product Specification Description VersaShield®Fire 42"x 100' rolls ASTM D 226 Type II Non-Asphaltic fiberglass-based Resistant Roof underlayment and/or fire barrier. Deck Protection VersaShield®Solo 72"x 166.7' rolls UL790 Non-Asphaltic fiberglass-based slip Fire Resistant Slip sheet and/or fire barrier. Sheet MANUFACTURING LOCATION: 1. Conover,NC EVIDENCE SUBMITTED: Test Aeency Test Identifier Test Name/Report Date PRI Construction Materials GAF-270-02-02 ASTM D 226 11/15/10 ELK-063-02-01 TAS 100 09/27/01 Underwriters Laboratories Inc. 99NK45831 UL790 03/21/00 1 ONK11990 UL790 05/18/11 R19254 ASTM D 226 09/13/01 08CA37926 UL790 09/23/09 08CA49140 PRI Asphalt Technologies,Inc. ELK-069-02-01 TAS 100 03/04/02 BRY-003-02-01 TAS 117(B) 03/19/02 BRY-003-02-01 TAS 114 (H) INSTALLATION: 1. VersaShield®Fire Resistant Roof Deck Protection or VersaShield®Solo Fire Resistant Slip Sheet shall be installed in strict compliance with applicable Building Code. 2. VersaShield®Fire Resistant Roof Deck Protection or VersaShield®Solo Fire Resistant Slip Sheet shall be installed with a minimum 4-inch head lap in a shingle layer fashion. 3. VersaShield®Fire Resistant Roof Deck Protection shall be mechanically fastened with approved fasteners in compliance with Florida Building Code 1518.2 when used in lieu of a code prescribed ASTM D 226 Type Ii underlayment. NOA No.: 11-1110.09 Expiration Date: 02/07/17 h�u►r�i•orwecouNry Approval Date: 01/26/12 Page 2 of 3 LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product 2. This acceptance is for prepared roofing applications. Minimum deck requirements shall be in compliance with applicable building code. 3. VersaShield®Fire Resistant Roof Deck Protection shall not be left exposed as a temporary roof for longer than 30 days of application.VersaShield®Solo Fire Resistant Slip Sheet shall not be left exposed to the weather. 4. VersaShield® Fire Resistant Roof Deck Protection and VersaShield' Solo Fire Resistant Slip Sheet are a component used in roof assemblies. Roof assemblies are approved under specific assembly Notice of Acceptance. 5. VersaShield® Fire Resistant Roof Deck Protection or VersaShield®Solo Fire Resistant Slip Sheet may be used with any approved roof covering Notice of Acceptance listing. VersaShield® Fire Resistant Roof Deck Protection or VersaShield® Solo Fire Resistant Slip Sheet may be used as a component part of an assembly in the Notice of Acceptance. If VersaShield® Fire Resistant Roof Deck Protection or VersaShield®Solo Fire Resistant Slip Sheet is not listed, a request may be made to the Authority Having Jurisdiction(AHJ) or the Miami-Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products,wind uplift resistance,and fire testing results. 6. VersaShield®Fire Resistant Roof Deck Protection and VersaShield®Solo Fire Resistant Slip Sheet are a non-asphaltic underlayment that may be used as a fire barrier for prepared roof assemblies. For fire classification of specific roof assemblies using VersaShield® Fire Resistant Roof Deck Protection or VersaShield® Solo Fire Resistant Slip Sheet refer to a current Approved Roofing Materials Directory for fire ratings of this product. 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N-3 of the Florida Administrative Code LABELING: All packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo and yellow line to identify the ASTM Standard designation; or logo and the following statement: "Miami- Dade County Product Control Approved" or the Miami-Dade County Product Control Seal as shown below. CMUAWID�ADE COUNTY BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this material. END OF THIS ACCEPTANCE NOA No.: 11-1110.09 MIAMMADE CGUNTYM Expiration Date: 02/07/17 Approval Date: 01/26/12 Page 3 of 3 t 1 SN14C93" oREs G`t t szol MAP" iami S40pej Villaae 10050 N.E. SECOND AVE. F�0R1Dp` MIAMI SHORES, FLORIDA 33138-2382 Telephone: (305) 795-2207 Fax: (305) 756-8972 DAVID A. DACOUISTO, AICP PLANNING&ZONING DIRECTOR DEVELOPMENT ORDER File Number: PZ-2-13-20133 Property Address: 9350 NE 12te Avenue Property Owner/Applicant: R Andrew de Pass & William J.Jurberg Address: 9350 NE 12th Avenue,Miami Shores,FL 33138 Whereas, the applicant(s) R. Andrew de Pass & William J. Jurberg, (Owners), have filed an application for site plan review before the Planning Board on the above property. The applicant sought approval as follows: Special site plan review and approval. First and second story additions with complete interior remodel, partial garage conversion and new open cabana with bath. Whereas, a public hearing was held on April 25, 2013 and the Board, after having considered the application and after hearing testimony and reviewing the evidence entered, finds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village. 2. The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code. The Board requires that all further development of the property shall be performed in a manner consistent with the site plan, drawings, and the conditions agreed upon at the hearing: 1) Approval is granted for an addition to the first and second stories of the residence. 2) Approval is granted for a gazebo/cabana with 8 foot rear wall height sloping up to 16 feet in height at the front. 3) Approval is granted to install a dark bronze color standing seam metal roof on the residence. Page I of 2 DO PZ-2-13-20133-de Pass-Jurberg r 4) Applicant to provide landscaping and on-site stormwater runoff control as shown on Sheet No. LA-10 and in the Arborists letter dated April 4,2013 and signed by Lisa H. Hammer, M.S. Horticultural Consultant. 5) Applicant to obtain all required building permits before beginning work. b) Applicant to obtain all required permits from the Miami-Dade Department of Regulatory and Economic Resources, Environmental Plan Review Division (DRER,EPRD) and the Miami-Dade Department of Health(DOH/HRS). 7) Applicant to meet all applicable code provisions at the time of permitting. 8) This zoning permit will lapse and become invalid unless the work for which it was approved is started within one (1) year of the signing of the development order by the board chair, or if the work authorized by it is suspended or abandoned for a period of at least one(1)year. The application with conditions was passed and adopted this 25'x' day of April 2013 by the Planning and Zoning Board as follows: Mr. Abramitis YES Mr. Busta YES Mr. Reese YES Chairman Fernandez YES 5'3 Z0l 3 Date i4chard M. Fern dez Chairman,Planning Board Page 2 of 2 DO PZ-2-13-20133-de Pass-Jurberg GEOTECHNICAL f = TESTING LABORATORIES ENVIRONMENTAL DRILLING SERVICES HYDROGEOLOGY INSPECTION SERVICES ASBESTOS ROOFING DYNATECH ENGINEERING CORP. Miami, October 15, 2012 Mr. William Jurberg BILLY BLANCO DESIGNS, LLC. 5701 North Bayshore Drive Miami, FL 33137 Re: Proposed Residence and Pool @ 9350 North East 12th Avenue Miami Shores, FL Dear Mr. Jurberg: Pursuant to your request, DYNATECH ENGINEERING CORP. (D.E.C.) completed a Subsoil Investigation on October 15, 2012 at the above referenced project. The purpose of our investigation was to help determine the subsoil conditions relative to foundation design of the proposed structures. A total of (2) standard penetration boring tests were performed according to ASTM-D 1586 down to ars average depth of 20' below existing ground surface at the locations shown on the attached sketch only. The following graph was developed as a general condition for the subject site: (Refer to field boring log-: for exact locations and soil description): Depth From To Description 014" 114" Topsoil 1'-0" 3'-0" Yellow/brown sand Y-0" 6'-0" Tan very sandy limerock 6'-0" 20'-0" Tan sandy limerock Groundwater table elevation was measured immediately at the completion of each boring and was found at an average depth of approximately 3' to 6'-6"below existing ground surface at the time of drillini; Fluctuation in water level should be anticipated due to seasonal variations and run off as well as varylhg ground elevations construction dewatering and pumping activities in the area. Site contractor must familiarize himself with site conditions in the event groundwater controls and dewatering is needed. Surface flooding may result under hurricane conditions and should be taken into consideration in the design of the project. The contractor shall make sure that groundwater levels on adjacent properties are not affected due to the contractors dewatering activities. Specialty groundwater contractors shall be consulted for all work below the groundwater level. 750 West 84 Street, Hialeah, FL 33014-3618 • Phone: (305) 828-7499 • Fax: (305) 828-9598 E-Mail: DynatJch@Bellsouth.net fY Printed 11 Recycled Paper Page No. 2 9350 North East 12`" Avenue, Miami Shores, FL. Please note the site slopes considerably to neighboring sites. Based on our understanding of the proposed structure and our field boring logs; the following are ou recommendations for foundations design. A- Strip the entire building construction areas plus 5 feet outside perimeter of all topsoil, grass, pavements and tree stumps and construction debris down to clean granular material wherever encountered (see field boring logs). Any underground structures, utilities root systems and drainages trenches, etc...must be removed in their entirely from beneath the proposed construction area. B- Compact all construction areas with a heavy self propelled roller to a minimum of 95% of ASTM D-1557 but not less than 10 passes in each direction. C- Backfill construction areas to required elevation using clean granular homogenous material placc,- in lifts not to exceed 12 inches in thickness and compact as indicated in items B. Excavate footing areas only to proper depth and recompact using hand held equipment as indicated above. D- Care should be taken not use vibration in case of existing structures in the vicinity of the construction area. If vibration cannot be used for compaction, static compaction may be applied. However, in this case, the compacted layer should not exceed 6 inches in thickness. E- All construction fill material above the water table shall consist of be clean granular homogenous soil, free of organics or other deleterious material, and shall contain no more than 12 percent fines passing a U.S. standard No. 200 sieve and have a Unified Soil Classification System (USCS) designation of GP, GW, GP-GM, GW-GM, SP, or SW. No particle size greater than 3 inches shall be in the top 12 inches of the building pad. Fill material below the water table shall consist of washed free draining gravel to about 12 inchc above the water table. (ie; FDOT No. 57 stone or equivalent) unless dewatering is employed. Whet, dewatering is employed, fill material shall consist of clean, granular homogenous soil, free of organics or other deleterious material, and shall contain no more than 5 percent fines passing a US standard No. 200 sieve. F- Verify all compaction efforts by taking an adequate number of field density tests in each layer of compacted material and in each footing pad. G- Representative samples of the on-site and proposed fill material shall be collected and tested t9 determine the classification and compaction characteristics. H- All Geotechnical work must be performed under the supervision of our geotechnical engineer or his representative to verify compliance with our specifications and the Florida Building Code. I- 1p the event of existing structures, existing footings or proposed drainage lines, provisions shall be made by the structural engineer and site contractor to protect all footings from undermining and exposure. The geotechnical engineer shall be notified of these conditions to evaluate the applicability of his recommendations. The above foundation recommendations being achieved and verified, it is our opinion that the proposed structures be designed for a shallow foundation system with a permissible soil bearing pressure not to . exceed 2500 P.S.F. 2 Page No. 3 9350 North East 12th Avenue, Miami Shores, FL. Slabs placed upon compacted fill may be designed using a modulus of subgrade reaction value of 200 pci. The following soil parameters shall be used for retaining wall designs: - Soil unit weight moist: 110 pcf. Buoyant: 60 Pc£ - Angle of internal friction : 30° - Earth pressure coefficient Ka: 0.33; Kp: 3.0 - Angle of wall friction: 30° for steel piles, 20°for concrete or brick walls; 15° uncoated steel. Excavations shall not extend within 1 foot of the angle o f repose, next to existing footings or structures. unless underpinned. Trenching shall be in compliance with the Florida Building Code, OSHA and Trench Safety Act. Shorings shall be designed and inspected by Florida licensed professional engineer. Provisions shall be made by the architect, engineer of record and contractor to address differential vibration / dynamic loading; settlements when tying in new to existing structures. Mixing of different foundation types shall not be used unless provided with expansion joints to prevent differential settlements. Also note that as a common engineering practice for existing and new construction; outside ground surfaces must be sloped away from the structure as to avoid water accumulation and ponding. Rain gutters shall be installed and all rain water shall be discharged over splash guards a minimum of 5 feet away from buildin(> foundations. Verify all water, sewer, plumbing, sprinkler and drainage lines are properly functioning wit;. no leaks in the vicinity of the foundations. An arborist must be consulted prior to any land clearing to verify compliance with local codes. Detailed settlement analysis was beyond the scope of this report. However, we have compared the field test data obtained in this exploration with our experience with structures similar to those proposed for this report. The estimated magnitude of these settlements is 0.5 to 1 inches. Due to the granular nature of the subsurface materials, the foundation settlements should occur as the loads are applied and should be virtually negligible by the end of the building shell completion. 3 Page No. 4 9350 North East 12`" Avenue, Miami Shores, FL. The boring log (s) attached present (s) a detailed description of the soils encountered at test location (s). The soil stratification shown on the boring log (s) is based on the examination of the recovered soil samples and interpretation of the driller's field log (s). It indicates only the approximate boundaries between soil types. The actual transitions between adjacent soil types may be gradual. Regardless of the thoroughness of a geotechnical exploration there is always the possibility that conditions may be different from those of the test locations; therefore, DYNATECH ENGINEERING CORP. does not guarantee any subso;' conditions between the bore test holes. In accepting and using this report the client understands that all dat.. from the borings are strictly for foundation analysis only and are not to be used for excavation or bac], filling estimates and pricing. Owner and site contractor must familiarize himself with site conditions prior to bidding. For Environmental due diligence; a Phase I and/or Phase I1 Environmental Site Assessments is recommended. As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. All work must be conducted under the supervision of our geotechnical engineer. The discovery of any site or subsurface conditions during; construction which deviate from the information obtained from our subsoil investigation is always likely and should be reported to us for our evaluation. All work shall be conducted in compliance with the Florida Building Code FBC and OSHA workers protection rules and all applicable Federal, State, County and CitN rules and regulations. It has been a pleasure working with you and look forward to do so in the near future. Sincerely yours, . Z a /S S aA/\ Com ® WissA Naamani, P.E. DYNATECH ENGINEERING CORP. z Florida Reg. No. 39584 , LU UJ Special Inspector No. 757 Certificate of Authorization No.: CA 5491 4 TEST BORING REPORT DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH, FL 33014 (305)828-7499 TEST BORING REPORT CLIENT BILLY BLANCO DESIGN, LLC. DATE: 10-12-12 PROJECT Proposed Residence and Pool @ HOLE NO.: B-1 ADDRESS 9350 North East 12th Avenue, Miami Shores, FL. DRILLER: AS / RN LOCATION See attached plan LATITUDE LONGITUDE SAMPLE HAMMER DEPTH 25° 86.166' N 80' 17.486' W NO. BLOWS ON "N" DESCRIPTION OF MATERIALS SAMPLER 1 2 Hand H 2 0'-0" to 0'-6" TOPSOIL AND ROOT'S 3 4 Hand H 4 0'-6"to 1'-0" BLACK FINE SAND W/ORGANIC STAIN 5 AND ROOT'S 6 3 2 5 6 3 5 7 1'-0" to 1'-6" BROWN MEDIUM SAND 8 8 3 2 5 9 3 4 10 1'-6" to 2'-6" TAN MEDIUM SAND 10 5 6 12 11 6 8 12 2'-6" to Y-0" TAN MEDIUM SAND W/ROCK 12 12 10 23 13 FRAGMENTS 13 15 14 15 Y-0" to 20'-0" TAN SANDY LIMEROCK 14 12 14 24 16 10 12 17 16 10 9 20 18 11 11 19 18 9 12 22 20 10 12 21 22 20 11 13 25 12 10 23 24 22 25 26 24 27 28 26 29 30 31 28 32 33 30 34 32 35 36 34 37 38 36 38 Water Level: 6'-6" Below SurfaceAs a mutual protection to clients,the public and ourselves,all reports are submitted as the confidential properly of clients,and authorization t publication of statement conclusions or extracts from or regarding our reports is reserved pending on our written approval. H.HAND AUGER;A HOLLOW STEM.AUGER;R REFUSAL 5 DYNATECH ENGINEERING CORP. 750 WEST 84TH STREET HIALEAH, FL 33014 (305)828-7499 TEST BORING REPORT CLIENT BILLY BLANCO DESIGN, LLC. DATE: 10-12-12 PROJECT Proposed Residence and Pool @ HOLE NO.: B-2 ADDRESS 9350 North East 12`x' Avenue, Miami Shores, FL. DRILLER: AS / RN LOCATION See attached plan LATITUDE LONGITUDE SAMPLE HAMMER DEPTH 250 86.188' N 80' 17.502' W NO. BLOWS ON "N" DESCRIPTION OF MATERIALS SAMPLER 1 2 Hand H 2 3 4 Hand H 4 0'-0"to 1'-0" TOPSOIL AND ROOT'S 5 6 3 2 5 6 1'-0"to 3'-0" YELLOWISH /TAN MEDIUM SAND 3 4 7 S 8 4 4 7 9 3'-0" to 3'-6" TAN MEDIUM SAND W/ROCK 3 5 10 FRAGMENTS 10 11 8 16 11 8 9 12 Y-6" to 6'-0" TAN VERY SANDY LIMEROCK 12 10 12 23 13 11 10 14 6'-0" to 20'-0" TAN SANDY LIMEROCK 15 14 8 11 20 16 9 10 17 16 8 8 17 18 9 11 19 18 10 9 16 20 7 8 21 22 20 9 8 20 12 10 23 24 22 25 26 24 27 28 26 29 30 31 28 32 33 30 34 32 35 36 34 37 38 36 38 Water Level: 3 Below SLrfaCe As a mutual protection to clients,the public and ourselves,all reports are submitted as the confidential property of clients,and authorization for pubLcztic of statement conclusions or extracts from or regarding our reports is reserved pending on our written approval. H'.HAND AUGER A,HOLLOW STEM AUGER,R.REFUSAL. 6 SITE PLAN Boring Test Location 1 d N W z DYNATECH ENGINEERING CORP. Client: BILLY BLANCO DESIGNS, LLC. Scale: N.T.S. Project: 9350 North East 12t Avenue, Miami Shores, Florida Date: October 15,2012 Folio No.: 113205-007-0150 GENERAL NOTES Soil borings on unmarked vacant property should be considered preliminary with further boring(s) to be drilled a`terr building pad(s) are staked out. Soil borings on existing structures that are to be demolished should be considered preliminary and additional borings would need to be performed after the structure(s) has been demolished and proposed new building staked out. As a mutual protection to clients, the public and ourselves, all reports are submitted as confidential property of clients, and authorization for publication of statements, conclusions, extracts From or regarding our reports is reserved pending our written approval, KEY CLASSIFICATION & SYMBOLS Correlation of Penetration Resistance With Particle Size Relative Density and Consistency Boulders > 12 in. Cobble 3 in, to i in. Cone Penetration Standard Relative Gravel 4,76 mm to Sin. Tests Penetration Density Sand 0.07 mm to 4.67 mm. Z/cm Blows/ft. Silt 0.005 mm, to 0.074 mm Clay <0.005 mm Sands 0-16 0-4 Very Loose ' 17-40 5-10 Loose 41-80 11-20 Firm Modifiers 81-120 21-30 Very Firm Over 120 31-50 Dense 5% - l0 % Slightly Silty or Clayey 10% - 30% Silty or Clayey 3 0-2 Very Loose 30% - 50% Very Silty or Very Clayey Silts & 0- 3-4 Soft 0% - 5% Slightly Trace Clay 4-3 10-17 5-8 Firm 6% - 10% Trace 18-31 9-15 Stiff 11% - 20% Little 32-60 16-30 Very Stiff 21% - 35% Some Over 60 31-50 Hard > 35% And Rock Hardness Description s,,,. Rock acre crumbles when handled ledl!li:i C-n � Ich Your hand:. �[od�rai� y�_r1 T%In *d:.,-s or rock co,? Can ire br0�:!.^. j-(ar,-, Thin edge: or rock core cannot broker-, V-,ry i- 6 Roc"\- core. r!; ❑ `vhei- :-U i6 Witt' 112-7 (Cil��i=J U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. . 2 Expires Maarchrch 012 31. 2 Federal Emergency Management Agency 3 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name R.Andrew dePass&William Jurberg Policy Number A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number 9350 NE 12 AVENUE(GARAGE) City MIAMI SHORES State FL ZIP Code 33138 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) A portion of Lot K,"GOVT LOT 4 SEC.5,N1/2,NE 1/4,SE 1/4 SEC 6-53-42",PB 5 PG 90,Miami-Dade County Records A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Accessory A5. Latitude/Longitude:Lat.25dea 51 min 42.59 sec N Long.80dea 10min 29.97 sec 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. A7. Building Diagram Number 1A A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) 0 sq ft a) Square footage of attached garage 0 sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑Yes N No d) Engineered flood openings? E]Yes N No SECTION B- FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name 63.State 120652(Village of Miami Shores) Miami-Dade FI B4. Map/Panel Number B5.Suffix B6. FIRM Index B7. FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12086CO306 L 09-11-09 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 N FIRM ❑ Community Determined ❑Other(Describe) Bl l. Indicate elevation datum used for BFE in Item 69: N NGVD 1929 ❑ NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes NNo Designation Date N/A ❑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,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized B-62 Vertical Datum N.G.V.D 1929 Conversion/Comments N/A Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 8.97 N feet ❑meters(Puerto Rico only) b) Top of the next higher floor N/A. N feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/A. N feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) N/A. N feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building N/A. N feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 8.2 N feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 8.7 N feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A. N feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. - 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. License No. LS 5938 N Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a I Date. licensed land surveyor? N Yes ❑ No 10=09-2012 I i_C:E Certifier's Name Jose Senas,PSM License Number LS 5938 SC/_,L Title Professional Surveyor and Mapper Company Name Hadonne Corp. --- Ir:i:4E Sign at r ,y 44-0 Address 1985 N 88 Court City Doral State FI ZIP Code 33172 �/" Signature Date 10-09-2012 Telephone (305)266-1188 FEMA For 81-31, March 09 See reverse side for continuation. Repl ces all previous editions • 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 9350 NE 12th AVENUE(GARAGE) City MIAMI SHORES State FL ZIP Code 33138 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(C NTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building ovvner. Comments C2 a)e)Refers to Slab of Air Conditioning Unit servicing the building.Property is within 500 feet,more or iess,of Flood Zone Area(AE Elev.8). Geographic Coordinates as shown in A5 were taken from Google Earth Ver.6.1.0. Folio No. 11-3205-007-0150 Highest Crown of Roa —8.9 Feet N.G.V.D. Signature Jose Senas llr� Date 10-09-2012 ® Check here if attachments SECTION E-BUIL NG ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO SAND ZONE A(WITHOUT BFE) For Zones AO andwithout BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR�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 m4ters. 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,crawl space,or enclosure)is ❑feet ❑meters Q above or❑below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters d above or❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 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)CERT FICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a F5MA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,8,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.and G9. 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.-G9.)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: _E:1 feet ❑meters(PR)Datum G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Daturn Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, March 09 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number 9350 NE 12th AVENUE(GARAGE) City MIAMI SHORES State FL ZIP Code 33138 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. BUILDING FRONT VIEW(PICTURE TAKEN ON OCTOBER 09, 2012) ;z e ,v 6 3 y, r 5 BUILDING REAR VIEW (PICTURE TAKEN ON OCTOBER 09,2012) si yi k I a Building Photographs Continuation Page For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number 9350 NE 12th AVENUE(GARAGE) City MIAMI SHORES State FL ZIP Code 33138 Company NAlCNumber If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View"and "Left Side View." BUILDING FRONT DETAIL VIEW(PICTURE TAKEN ON OCTOBER 09,2012) �i 4 ,w IN d� A a 11t f 1 j �/ 8 � y4Y lull $ � '. yY �• r'. k m `� Y k F �'r Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number 9350 NE 12th AVENUE(GARAGE) City MIAMI SHORES State FL ZIP Code 33138 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View"and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. BUILDING FRONT VIEW(PICTURE TAKEN ON OCTOBER 09.2012) f _ Ae� t.y S "WY►k BUILDING REAR VIEW(PICTURE TAKEN ON OCTOBER 09.2012) 1 i r _ 1 Building Photographs Continuation Page For Insurance Company Use: Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number 9350 NE 12th AVENUE(GARAGE) City MIAMI SHORES State FL ZIP Code 33138 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View"and "Left Side View." BUILDING FRONT DETAIL VIEW(PICTURE TAKEN ON OCTOBER 09,20121 =rde Village of Miami Shores Building & Zoning Department 10050 NE 2nd Avenue Miami Shores, FL 33138 NOTICE TO VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING CODE I,(We)have been retained by Mr.William Jurberg to perform special inspector services under the Florida Building Code 2010 at the New Addition project on the below listed structures as of 8-26-2013 (date).I am a registered architect or professional engineer licensed in the State of Florida. PROCESS NUMBERS: RC13-1656 Address: 9350 NE 12 AVE, MIAMI FL ❑SPECIAL INSPECTOR FOR PILING,FBC 1822.1.20(R4404.6.1.20) ❑✓ SPECIAL INSPECTOR FOR TRUSSES OVER 35FT LONG OR 6FT HIGH 2319.17.2.4.2 ❑✓ SPECIAL INSPECTOR FOR REINFORCED MASONRY, FBC 2122.4(R4407.5.4) ❑✓ SPECIAL INSPECTOR FOR STEEL CONNECTIONS, FBC 2218.2 (4408.5.2) ❑✓ SPECIAL INSPECTOR FOR SOIL COMPACTION, FBC 1820.3.1 (R4404.4.3.1 ❑SPECIAL INSPECTOR FOR PRECAST UNITS &ATTACHMENTS FBC 1927.12 ❑SPECIAL INSPECTOR FOR LIGHTWEIGHT INSULATING CONCRETE FBC 1917.2 ❑✓ SPECIAL INSPECTOR FOR HAMBRO SYSTEM Note:Only the marked boxes apply. The following individual(s)employed by this firm or me are authorized representatives to perform inspection 1. Nicolas Fernandez, B.S. 2. Abilio Martin, B.S. 3. 4. "Special Inspectors utilizing authorized representatives shall insure the authorized representative is qualified by education or licensure to perform the duties assigned by the Special Inspector. The qualifications shall include licensure as a professional engineer or architect,graduation from an engineering education program in civil or structural engineering,graduation from an architectural education program;successful completion of the NCEES Fundamentals Examination;or registration as building inspector or general contractor. I,(we)will notify Miami-Dade County Building Department of any changes regarding authorized personnel performing inspection services. I,(we)understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site for reference by the Miami-Dade County Building Department Inspector.All mandatory inspections,as required by the Florida Building Code, must be performed by the County.The County building inspections must be called for on all mandatory inspections. Inspections performed by the Special Inspector hired by the Owner are in addition to the mandatory inspections performed by the Department. Further, upon completion of the work under each Building Permit I will submit to the Building Inspector at the time of final inspection the completed inspection log form and a sealed statement indicating that,to the best of my knowledge, belief and professional judgment those portions of the project outlined above meet the intent of the Florida Building Code and are in,,1y�6tptntial accordance with the approved plans. 0� CAti �,% Engineer I Architect Name: Antonio Canelas� �G•E/�S•.��, Address: 7805 SW 24th ST, MIAMI FL 33155 Signed and Sealed 'T: '•�� No. 74099 Date: 8-26-2013 * [hone: (305)261-0321 ' STATE OF . Q 90 ' P''•k. �.,FS+ •.. ...• C\7 .� 010NAL EN II/11iiiii►0\ } how T coo 4 >r soft r u4. s r+ 3 5,