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RC-12-1016 (3) INSPECTION RECORDP®ST ®N SITE - Pe,7n;t No. RC-6-12-1016 Miami Shores Village (stf .r Permit-Type es*ldential Constructfon , yw i, 10050 N.E.2nd Avenue f y f ° "Work Classifcafton:AdditionlAltemtion �. Miami Shores,FL 33138-0000 h- Phone: (305)795-2201 Fax: (305)756-8972 Issue Date: 11/9/2012 Expires: 05/08/2013 ,. , L INSPECTION REQUESTS: (305)762-4949 or Log on at https:llbldg.miamishoresvillage.com/cap REQUESTS ARE ACCEPTED DURING 8:30AM-3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Residential Construction Parcel#A 121360030600 Owner's Name:EFREN CENOZ Owner's Phone: 305/751-5274 Job Address: 51 NW 110 Street Total Square Feet: 1717 M*ami Shores„ FL 33188-4318 Total Job Valuation: $ 40,000.00 Bond Number: WORK IS ALLOWED MONDAY THROUGH SATURDAY, 7:30AM-6:OOPM.NO WORK IS ALLOWED ON SUNDAY 'Contractor(s) Phone Primary Contractor OR HOLIDAYS. LAO CONSTRUCTION INC (305)450-4305 Yes BUILDING INSPECTIONS ARE DONE MONDAY THROUGH THURSDAY. ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO BUILDING INSPECTIONS DONE ON FRIDAY. F- `"; AL DAMAGE 0 310WALKS ~ a ) <aa Amh 10 URNK c� , N INSpoinum NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS THE PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL I WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. INSPECTION RECORD PLUMBINGSTRUCTURAL ZONING144�*4 1+ INSPECTION DATE IN P INSPECTION DATE INSP INSPECTION DATE INSP Foundation 7 Zoning Final Stemwall 7 ZONING COMMENTS Rough j Stab--s-1405 Water Service Columns 1 st -d 2nd Rough Top Out Tie Beam Fire Sprinklers Truss/Rafters Septic Tank Roof Sheathin Sewer Hook-up Bucks Roof Drains Windows/Doors Gas Interior Framing INSPECTION ATE INSP LP Tank Insulation Tem orary Pol Well Ceiling Grid 30 Day Temporary Lawn Sprinklers Dnwall Pool Bonding Main Drain Firewall Pool Deck 3onding Pool Piping Wire Lath Pool Wet Ruche Backflow Prevento Pool Steel Underground Interceptor Pool Deck Footer Ground Catch Basins 4A g! f011t l Slab Condensate Drains sr*,0S. Final / Wall Rough HRS Final Screen Enclosure _ _- Ceiling Driveway Roug s� PLUMBING-COMMENTS 'drivewayBase Telephone Rough Tin Cap Telephone F' Roof in Progress TV Rouggk2u L.122 NE4 jr Mop in Progress TV Final Final Roof Cable Rough c Shutters Attachment Cable Final ` Final Shutters Intercom [dough Rails and Guardrails Intercom Final ADA com Bance mod Alarm Rough INSPECTION DATE INSP Alarm Final Underground Pipe DOCUMENTS Fire Alarm Rough Soil Bearing Cert Fire Alarm Final Rough Soil Treatment Cert Service Work With Floor Elevation Survey Ventilation Rough Reinf Unit Mas Cert ELECTRICAL COMME S Hood Rough Insulation Certificate Pressure Test Spot Survey Final Hood Final Survey Final Vdntilation Truss Certification Final Pool Heater STRUCTURAL COMMENTS Final Vacuum MECHANICAL MM S ! ke� INSPECTION JDATE INSP Final Sprinkler Final Alarm :` „�; 'M'xr. n 'y r a +,.- X 4.Y�:+fi; i, � t o- t.M �i art w S, ,w' `a• i .'�;'��° 2 � '?rl ,�` _ ` a�yi.; ► k #b g�ayy;; �q!`3' � .:,� � t � �"` ,t 'Y r • -!fie � �.9. •r {1+ d4L'�` 'ys FY. ,.t"7��" =3 i�. ..-•px � - t '"s*-° sY�i. a, .ap; �i� � M., �F 3 q_t .nz,. ��' .,is'. .;� "�SY.ar'�§ .a•i., _'� .!�•', 'k a'.t;'A-. .;a. �r d!�, <sb A _r r. ,.�". .' � ��. s b '�°-,r,�7t`;�Y+-_.- �n'� h, 5, •� - 't c - ..Yi+v?�� �..c: *�.kn�'-- 9 d S t - �� ,� R -,r'r. ,¢.;p.., .. F,,:.< ....::...: �,',�•' �_.:,;: i.[,_.-..., 9"�� .'.' ... ..., h Yc., t _. .� `a"kr^ •+"��.'"�l, ��.. t ., �.. �`�.�nl. .r „: e p�' `°� ,. Certificate of Completion fs Miami Shores Village a - 10050 NE 2 Ave, Miami Shores FI,33138 I Tel:305-795-2204 Fax:305-756-8972 Building Inspection Department n �k. This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was inrt compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: Permit Type RESIDENTIAL CONSTRUCTION Bldg. Permit No. RC-6-12-1016 Owner EFREN CENOZ Contractor LAO CONSTRUCTIONS INC i Subdivision/Pro ect NONE February 19,2016 1 Date Issued rY �,�� .�.• Occupancy , Construction Type YP V-B Load N/A � 4 ' .; Occupancy Square Footage 1717Type R-3 I RAISE ELEVATION OF EXISTING ` Description of Applicable Work WALLS, REPLACE TRUSSES, 2010 FLORIDA BUILDING } ` REPLACE 23 WINDOW&4 DOORS Codex, Location INTERIOR RENOVATION X 10.7 ' ` Flood Zone F.F.E 51 NW 110 STREET �? r Miami Shores FL 33138 - ,r nu "S"t" Building Officials Approval Ismael Naranjo,-C—BU 'Y Not TransferableA7 "� * ,x• -OR POST IN A CONSPICUOUS PLACE _ i in._ ,aa+ r `t� 4.�.!►.7, r1 t #�3 'r. �'^ w4,�" '^C,�ra1,a i :£' s -.-^� - yam": s'a `•a'„'�*�; ,::J�' '3,: i,e '1. ,-�.,���''• — .- r. -:�'Sds ����an�'•��''= s.r _,...e -''4� `mw., ,.�`:' r,c: ;; :��� 'm `"5•^; .�.r•-. i,." _�. :5, •'»_ l _ � a• ., r x._. �. �'.iY, -xcr, ��" �,,'�at•. #., Yds +z.':"'^ '' ,r g , �.L .�„,. �:.e�,,�+ -�.xttn`. <." -"NQS,. .Tay. K_"'�`,1.• .�•w. 'y i :. ' •�.- S. taa; ^r'i ':y 3'�;T t.,-'m... _,"v.'H y� > ..,�:. a':�x -�i t. .. '•.. ,�. '4 " .R'.•.cx'Y`rA ,; k... �.�,: s^+: s. Vit. +�t' "::y6. 7=-. y3 k, r 2�i'�1•�,}�, •r .".+�. ..+ z,<,i'., °�+" �.^-. Yep`,�,•;,1 _ f a„ 'fir„� 'i•r.+ ��-+.•�. �� '!`' t.. v �.'��' �� - •'�N':, t?s=:,,Crtr 1 .1..v,r�.. `�' t�• �`� .x s :� f 'S;•:''� I. e-a�'Si�-.. �-e', �^•�,'�.-Y�;F� ;d,.:.�:'M�e� �..,, 3. .E2: -u_�vr• :•a„> R � �, .r-;, � d.�.. •,�,� +�. ].A� ,r.: �R. �rf� � +�a �',, � •� >,¢�`x,s-A �f�,¢ .re: ,,. . ,. r i , gip,, -,p«+7 dd , -Y'��.i... -;°,: ��-,.'4�``!j; �.•._. F ..,., �..,,�K.^�'(� 7-i 'r”' � 8V "w�t4C.- ,. - -' ��� t'' :: .. dC� .a.dF... r.,-. ��i.�it� t-d- 5'it3bx.. p'y ,t.: '�' ',,, , -.rp'-�a �..,ta..S. .�c4_-}�-<°i`h `-"`+�7`.�.3•. .,p.'c ? '� r.3•,. -0 r � � 5?,s:�. tom* �+ `�., 3 .�t?i � ...,.�� �$�id .. .?4 � ,�t;.. .,. ''*t�F$ ,wo��4�'°d,.. kB'. .y^+.kvre��•y`nx`�`it1}I, d r S,r - ''?�: a`#.�iF�. +3y Vii, ,.''�, - Ca°.��.... � .0`...5��:.±3^ : . .. t•.. .r•a,-; � ,., rs r : �, � x a�.t., k � a t i t - � �.° 56 c - .; �� .. r r.Y '` � ..., � x r a�f'*t .k-j;�xr 1,9� vr�.�,4� _ � r"�+ ' i; ��� °.- • �'F r� 3.,: �s adta�' $"`�.'"'. INSPECTIONRSC®R® POST ON ScTE Permit NO. RC-6-1 2-1 ®1 1yOREs J. Miami Shores Village ipeyype; 1#d�ttl3t C01n8tCUCton Cf 10050 N.E.2nd Avenue . , E ... nm� Miami Shores,FL 33138-0000 tT c/ saxatfon AddithmiAlteration Phone: (305)795-2204 Fax: (305)758-8972 Issue Date: 11/9/2012 Expires: 05/08/2013 INSPECTION REQUESTS: (306)762-4949 or Log on at https://bidg.miamishoresvillage.com/cap REQUESTS ARE ACCEPTED DURING 8:30AM-3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Residential Construction Parcel#:1121360030600 w®wner's Name:EFREN CENO� �- Owner's Phone: 305/751-5274 v Job Address: 51 NW 110 Street Total Square Feet: 1717 M*ami Shores- FIL 33168-4318 Total Job Valuation: $ 40,000.00 Bond Number: WORK IS ALLOWED MONDAY THROUGH SATURDAY, 7:30AM-6:OOPM.NO WORK IS ALLOWED ON SUNDAY 'Contractor(s) Phone Primary Contractor OR HOLIDAYS. LAO CONSTRUCTION INC (305)450-4305 Yes BUILDING INSPECTIONS ARE DONE MONDAY THROUGH THURSDAY. ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO BUILDING INSPECTIONS DONE ON FRIDAY. AU DAMAGED NO va LAI yo) ` NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL I WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. INSPECTION RECORD PLUMBING STRUCTURAL ZONING INSPECTIONDATE INP INSPECTION DATE I INSP I INSPECTION I DATE INSP Foundation e���,� d� ® y� Zoning Final Stemwall 7 ZONING COMMENTS RoughpZ. Slab S't eAS Water Service Columns 1 st L 2nd Rough To Out AIQ Tie Beam Fire Sprinklers Truss/Rafters Septic Tank Roof Sheathing Sewer Hook-up Bucks Roof Drains Windows/Doors ELECTRICAL Gas Interior Framing INSPECTION CE INSP LP Tank Insulation Temporary Pol � Well Ceiling Grid 30 DayTern ora Lawn Sprinklers Drywall Pool BondingMain Drain Firewall Pool Deck 3ondin Pool Piping Wire Lath Pool Wet Niche Backflow Prevento Pool Steel Underground Interce for Pool Deck Footer Ground Catch Basins �S I f Slab Condensate Drains Final o Wall Rough HRS Final Screen Enclosure Ceiling R ag Driveway Roug PLUMBIN COMMENTS Driveway Base Telephone Rou h Tin Cap Telephone F' Roof in Progress TV Rou : Mop in Progress TV Final Final Roof Cable Rough Shutters Attachment Cable Final Final Shutters Intercom `dough Rails and Guardrails Intercom sinal MECHANICAL ADA compliance Alarm Rough INSPECTION DATE INSP Alarm Final Underground Pipe DOCUMENTS Fire Alarm Rough Soil BearingCert Fire Alarm Final ✓ Rough Soil Treatment Cert Service Work With Floor Elevation SurveyVentilation Rough Reinf Unit Mas Cert ELECTRICAL CO MMENTS Hood Rough Insulation Certificate Pressure Test Spot Survey Final Hood Final Survey Final Ventilation Truss Certification Final Pool Heater STRUCTURAL COMMENTS Final Vacuum MECHANICAL MM S ii INSPECTION DATE INSP Final S rinkler Final Alarm 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:EFREN CENOZ Policy Number. 16-0121 A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 51 N.W.110 Street City: Miami Shores State FL ZIP Code 33168 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 28,Block 220,MIAMI SHORES EXTENSION,P.B.43,PG.40,Miami-Dade County,Florida.Folio#11-2136-003-0660 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longdude:LaL N 25°52133.84" Long. W 80°11757.53" Horizontal Datum:[] NAD 19270NAD 1983 A6. Attach at least 2 photographs of the building if the Certficate is being used to obtain flood insurance. A7. Building Diagram Number 8 AND 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosures) 1,254 Sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawispace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade 7 within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 1,362 sq in c) Total net area of flood openings in A9.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 Village of Miami Shores,120652 Miami-Dade Florida B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B9.Base Flood Elevation(s) Date Effective/Revised Date B8.Flood Zone(s) (Zone AO,use base flood depth) 12086CO139 L 09-11-2009 09-11-2009 X N/A B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM []Community Determined ❑Other/Source: B11. Indicate elevation datum used for BFE in Item B9:0 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,ARAE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified in Item A7.ln Puerto Rico only,enter meters. Benchmark Utilized:Miami-Dade County BM N-566 Elevation 10.78 Feet Vertical Datum:NGVD-1929 Indicate elevation datum used for the elevations in items a)through h)below. ONGVD 1929 ONAVD 1988 O 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) 10.7 ®feet ❑meters b)Top of the next higher floor 11.68 ®feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) WA ❑feet ❑meters d)Attached garage(top of slab) N/A ❑feet ❑meters e)Lowest elevation of machinery or equipment servicing the building 11.64 ®feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 10.6 ®feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) 10.7 ®feet ❑meters h)Lowest adjacent grade at lowest elevation of deck or stairs,includingstructural support WA ❑feet ❑meters SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. Licensed land surveyor? ® Yes ❑ No Certifier's Name:EUGENIA L.FORMOSO License Number.LS 6660 L Al 6-660 Title:PROFESSIONAL SURVEYOR AND MAPPER Company Name:FORMTECH LAND SURVEYING,INC Address:12209 S.W. 29th Court City:MIAMI State FL ZIP Code 33186 01-13-2016 Signature Date 01-13-2016 Telephone(786)443-0285 OR(305)640-5588 FEMA Form 6-0-33(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. 61 N.W.110 Street City Miami Shores State FL ZIP Code 33168 Company NAIC Number. SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments C2 a)Top of bottom floor(CRAWLSPACE):1 b)Top of the next higher floor(REAR PORTION OF THE HOUSE):11.68(DIAGRAM 1A) ,FRONT PORTION OF THE HOUSE:13.0SYD/AGRAM 8) e)Lowest elevation of machinery:A/C PAD ELEV.=11.64'(Rear Side) CROWN OF ROAD ELEV.:10.91' -Hor/zontal Collection Method used for Latitude and Longitude: GLOBAL POSITIONING SYSTEM(GPS)DEVICE Signature Date 0143-2016 SECTION -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,craWspace,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 00heck here if attachments. SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable items)and sign below.Check the measurement used in Items G8-G1 O.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: Deet ❑meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: Deet ❑meters Datum G10.Community s design flood elevation: Deet ❑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: 51 N.W.110 Street City Miami Shores State FL ZIP Code 33168 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Front View 01-13-2016 Rear View 01-13-2016 r r .. ,y Left Side View 01-13-2016 Right Side View 01-13-2016 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. 51 N.W.110 Street City Miami Shores State FL ZIP Code 33168 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. a <9 Legend 3 a 3t s �+ A.AE,AH VE OPEN WATER NW 111TH ST 0.2 PCT ANNUAL CHANCE FLOOD HAZARD 51 IM 110TH ST,33168 D.X NW 110TH ST NW 109TH ST NW 108TH ST NE 108TH ST m N a 0 NW 107TH ST, NE 107TH ST uw inATW ST HE 106TH ST VICINITY MAP NOT TO SCALE FEMA Form 086-0-33(7/12) Replaces all previous editions. U.S.DEPT 'TMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERALLMERGENCY 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: EFREN CENOZ Policy Number. 16-0121 A2. Building Street Address(including Apt,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number. 51 N.W.110 Street City: Miami Shores State FL ZIP Code 33168 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 28,Block 220,MIAMI SHORES EXTENSION,P.B.43,PG.40,Miami-Dade County,Florida.Folio#11-2136-003-0660 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude:Lal N 25°5233.84" Long. W 80°15'57.53" Horizontal Datum:❑ NAD 19270NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 8 AND 1A 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) 1,254 Sq ft a) Square footage of attached garage N/A sq It b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade 7 within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 1,362 sq In c) Total net area of flood openings in A9.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 Village of Miami Shores,120652 Miami-Dade Florida B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B9.Base Flood Elevation(s) Date Effective/Revised Date B8.Flood Zone(s) (Zone AO,use base flood depth) 12086CO139 L 09-11-2009 09-11-2009 X NIA B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ID FIRM ❑Community Determined ❑Other/Source: B11. Indicate elevation datum used for BFE in Item 139:0 NGVD 1929 ❑ NAVD 1988 ❑OtherlSource: 812. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date:NIA ❑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-430,AE,AH,A(with BFE),VE,V1 V30,V(with BFE),AR,ARIA,ARAE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.8-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. Benchmark Utilized:Mlami-Dade County BM N-566 Elevation 10.78 Feet Vertical Datum:NGVD-1929 Indicate elevation datum used for the elevations in items a)through h)below. ONGVD 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) 10.7 ®feet ❑meters b)Top of the next higher floor 11.68 ®feet ❑meters c)Bottom of the lowest horizontal structural member(V Zones only) NIA ❑feet ❑meters d)Attached garage(top of slab) WA ❑feet ❑meters e)Lowest elevation of machinery or equipment servicing the building 11.64 ®feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 10.6 ®feet ❑meters g)Highest adjacent(finished)grade next to building(HAG) 10.7 ®feet ❑meters h)Lowest adjacent grade at lowest elevation of deck or stairs,incudingstructural 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 CerIficate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. Licensed land surveyor? ® Yes ❑ No Certifier's Name:EUGENIA L.FORMOSO License Number.LS 6660 L #6660 . Title:PROFESSIONAL SURVEYOR AND MAPPER Company Name:FORMTECH LAND SURVEYING,INC Address:12209 S.W.129th Court City.MIAMI State FL ZIP Code 33186 *01-13-20101 6 Signature Date 01-13-2018 Telephone(786)443-0285 OR(305)640-5588 FEMA Form 01513-0-33(7/12) See reverse side for continuation. Replaces all previous editions. ELEVAT DN CERTIFICATE, page 2 IMPOR NT: 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: 51 N.W.110 Street City Miami Shores State FL ZIP Code 33168 Company NAIC Number. SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments C2 a)Top of bottom floor(CRAWLSPACE):1 b)Top of the next higher floor(REAR PORTION OF THE HOUSE):11.68'(D/AGRAM 1A1 ,FRONT PORTION OF THE HOUSE.13.0Sj2/AGRAM 81 e)Lowest elevation of machinery:AIC PAD ELEV.=11.64'(Rear Side) CROWN OF ROAD ELEV.:10.91' -Horizontal Collection Method used for Latltude and Longitude: GLOBAL POSITIONING SYSTEM(GPS)DEVICE Signature Date 01-13-2016 SECTION -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—. 0 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 ❑fit❑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 E]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,8,C(or E),and G of this Elevation Certificate.Complete the applicable items)and sign below.Check the measurement used in Items G8-G10.In Puerto Rico only,enter meters. G1.❑ The Information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The following information(Items G4-G10)is provided for community floodplain management purposes. G4.Permit Number G5.Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building: []feet []meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum G10.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. ELEVA(ION 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: 51 N.W.110 Street City Miami Shores State FL ZIP Code 33168 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page,use the Continuation Page. Front View 01-13-2016 Rear View 01-13-2016 ins 0 Left Side View 01-13-2016 Right Side View 01-13-2016 T 9 FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVAkION 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. 51 N.W.110 Street City Miami Shores State Fl- ZIP Code 33168 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. Z ,I Legend Z a 3: a e -- ^' A.AE,AN VE OPEN WATER NW 111TH ST 0.2 PCT ANNUAL CHANCE FLOOD HAZARD 51 NW 110TH ST,33168 D,X V NW 110TH ST NW 109TH ST : -- NW 108TH ST NE 108TH ST m N 2 O NW 107TH ST NE 107TH ST n � uu. 4 nATl1 ST NE 108TH ST VICINITY MAP NOT TO SCALE FEMA Form 086-0-33(7/12) Replaces all previous editions. . ... .. ..... .. ... ... ...n a l „ '...�`.,.._:�.... ...a. 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KrYAtJF II.: Tt:rickness r - rnch(es} E3ensrty II (btft3, tVlfgr ���AI Telro � a. � t3 t�Cf�T'E ©irnsitres ttf sprayed-�ra�lose frit,ar'any ofher compnsed�n site rn tatrt}rt sh�li be the F�f� � Iblft� Avera a pi•three;� DRY SAMPLE'a: of actraai rns�aitatron t � 9 ( � ;lnstaited b. ;; :;;::Sar�ta;;Ros�r,ln$ulat>Itiez E.LG.. ...'. :.: '..: [nsttl$ttW�t Compang Nam6 � Ensulatrorti Cdntra�goK��gnature tnsutaf or f✓on ractoc;f t:# OOOf+.'(3 f 89-53051 X Gertrfieci on , �GlEt�rtdet CoREMmpany Nerve: C C Buirtlar s 5i�ature 13urldrtig f;ontractor CG# f�ert�red do ' LETTER OF COMPLIANCE October 12, 2015 Miami Shores Village Building and Zoning Department 10050 NE 2nd Avenue Miami Shores, Florida 33168 Attn: Building Official Project: Residence Permit# RC 6121016 51 NW 110th Street Miami Shores, Florida 33168 Dear Sir; I, Edward A. Landers, P.E. having performed and approved the required inspections, as indicated, hereby attest that to the best of my knowledge, belief and professional judgement, the structural envelope components of the above referenced structure is in compliance with the approved plans and other approved permit documents. I also attest that to the best of my knowledge, belief and professional judgement, the approved permit plans represent the as- build condition of the structural and envelope component of said structure. This document is being prepared in accordance with Section 105.13.4.1 of the Florida Building Code 2010 Edition and is being submitted to the Miami Shores Village Building Department at the time of the final inspection for the above referenced structure. Should you have any questions or need any additional information please do not hesitate to contact me. Very truly yours, ♦♦♦�Q.'\GEN$F ••'�.+s X00 839a '. Edward A.VLanders P.E. ;CC: O do 0 ///0�S+S�ON A�0- .�` MAP OF BOUNDARY SURVEY N.W. 111th STREET Property address: s 5 4 3 2 1 VIK ® . � 51 N.W. 110 Street All o tow ." City: Miami Shores County: Miami-Dade 27 28 29 30 31 32 State: Florida Zip Code: 33168 z Folio # 11-2136-003-0600 N.W. 110th STREET SUBJECT PROPERTY LOCATION SKETCH NOT TO SCALE SURVEYOR'S REPORT: 1. MAP OF BOUNDARY SURVEY, Fieldwork date of data acquisition: January 13, 2016. 2. LEGAL DESCRIPTION: Lot 28, Block 220, of MIAMI SHORES EXTENSION, according to the Plat thereof, as recorded in Plat Book 43, at Page 40, of the Public Records of Miami—Dade County, Florida. 3.AREA: Containing 9,123 Square Feet or 0.21 Acres more or less by calculations. 4.ACCURACY: The accuracy obtained by measurement and calculations of a closed geometric figure was found to exceed this requirement. Linear 1 foot in 7,500 feet. 5. DATA OF SOURCES: HORIZONTAL CONTROL: —The Legal Description was furnished by client. —North Arrow as per Plat Book 43, at Page 40 of the Public Records of Miami—Dade County, Florida. VERTICAL CONTROL: Elevations are referred to N.G.V.D. 1929. Benchmark used: Miami—Dade County Benchmark No. N-566, Elevation=10.78' (N.G.V.D. 1929) located 0 NE 111 Street and North Miami Avenue. 6. FLOOD INFORMATION: By scale determination this property is located in Flood Zone X, as per Federal Emergency Management Agency (FEMA), NFIP Community Name: Village of Miami Shores and Community Number 120652 Map/Panel Number 12086C0139, Suffix L, FIRM Panel Effective/Revised Date 09-11-2009. 7. LIMITATIONS: No research was made for other instruments than the existing in the plat and provided by client. No determination was made as to how the site can be served with utilities. Fences and walls ownership by visual means only, legal ownership not determined. No underground utilities and/or structures(foundations) was located within or abutting the Subject property. SURVEYOR'S CERTIFICATION: • ••••'• . . I certify: This Map of Boundary Survey meets all applicable requirements of the FloridtP'NVAImum'TeNnical •••••• Standards as contained Chapter 5J-17. Unless indicated to the contrary, the measur8C•dilatance aril directiim shown on the Map of Boundary Survey are the same as the deed distances and direGt1866.. •96009 696 Not valid without the signature and the original raised seal of Florida Licensed Surveyot•SRd Mapper. Additio00 rs;pr• deletions to Map of Boundary Survey by other than signing party or parties is prohibitgct"§Ahoutowplt;en core., of the signing party or parties. a CERTIFY TO: :�•••� •���� ;"": EFREN CENOZ • This Survey Map and Report are not full and complete without the other. FormTech Seal: Job# 16-0121 Land Surveying, Inc. State of of Florida LB#7980 11 12209 S.W.129th Court,Miami,Florida,33186 Date: ® " l 3 — 1124110 Ph:(786)429-3034 (786)443-0285 (786)443-0678 Euginia L.Formoso,P.S.M. www.formtechsurveyors.com email:info@formtechsurveyors.com State of Florida LS#6660 Page 1 of 2 MAP OF BOUNDARY SURVEY �A (P.B. 43. PG- 4:�) - �-- - - - - - I- ' - - - �IA—allL—DUL—MUL MUL—11UL—allL—MUL WL-C% — �tK 0 O�iS+ 15' ALLEY °s 10' ASPHALT PAVIanIT +mayD. I�P�1 2° 0 ��' ,Aar P L 75.00 �.o'0.NO ID.) / 7r— R 7-T-- R7 I 5' WOOD FENCES �O ID.)0.2 i DAMAGE i U cj U CL C" 'ASPHALT' ��6 4 i SLAB A C w i i WATER aN U _ --J PUMP w ' 0 26.7 «; L, p ,�'� � o ONG06 K-N .r, w LL: �O 5.6' a Lq N. Vf00D N 3 S.9�'� DECK t Cq M m CO "', t„ in a r I 00� N LLI 0 j ?C rJ r V . LU r.Li KaI Ld t-, I WO8.OD im 8' 21:9' N afi €.._ ;.� Ld LL€ DECK ONE STORY t:•a r;= 0 0 2.3' �1h 5.9 RESIDENCE �! vi Cn Lt.I Ph // // co co :x K- 5' WOOD C14 NO. 51 ;. t...� 'FENCE F.F.E.=13:05 d CONC. =:C i� tit o' SLAB °i 0.4' 7.2' 40.5 CL 17.4' POR\I �N, . _ S 2 C.B.S. is - 0 3' C.B.S. cO -' WALL r w -� L WALL — 60 a• PEP 0 Y tl7� < ' Cr 0-, w }, < C �� 900U1 0 FND. I.P.01/2° ' e, F0. 1 V 0. 1.-11/2° 0j,� (NO ID.) 329.32 10 5' SIDEWALK N R W 75.00' off` ,`01 FND. I NO D.° l / BLOCK OR�ER 20.0' o �o• C1 CONCRETE. DRIB 6 24' PARKWAY AN cao, 00 10 OHO O�� moo. 15' ASPHALT PAVEMENT U+ + 69 — — — .� • 'else.' 0809:8 N. T. 110th STREET (75' TOTAL R/W) • ' 0 909.8. . .0 ...080 9 • i9999i This Survey Map and Report are not full and complete without the Wer:09. 8900 ABBREVIATIONS & LEGEND ••••age A Arcg. —x — Chain Link.•Fe�tce FND Found R/W Right-of-Way ® Unknown Manhole Fire Hydrant ��:������0 Vood Fees@e•• U.E. Utility Easement q Center Line Qs Sewer Manhole E Electric Box 0089.:—.Metal or plas�ic ® 0 9 • Fence ..0899 IP Iron Pipe Monument Line QQ Telephone Manhole rsp Light Pole • 'OULO+-0-%&rhead. 0 IR Iron Rebar Temporary '� 9 • TBM Benchmark ® Water Meter cU, Utility Pole e 0 O Utility line•••• N&D Nail & Disc Y 000 . 4••• • COL. Column W�P Water/OPump t4 Water Valve E LP Concrete Light Pole +�••Spilt Elevation P.B. PLat Book ENC Encroachment ® Catch basin ® Property Corner FormTech Job# 16-0121 Date: 01-13-2016 Land Surveying, Inc. r State of Florida LB#7980 12209 S.W.129th Court,Miami,Florida,33186 Ph:(786)429-3034 (786)443-0285 (786)443-0678 Page 2 of Z www.formtechsurveyors.com email:info@formtechsurveyors.com