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', - _ - _ "s _ ..`-. _ .. ~''• .. ,._... ... .. } �yz'vy, �,. a Certificate of Completion p , � wrt Miami Shores Village �l t '^j' .' 10050 NE 2 Ave, Miami Shores FI,33138 Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department � • 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 in °,.g'" r`Q: compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: � "r ,� ;E E G Axa Permit Type RESIDENTIAL CONSTRUCTION Bldg. Permit No. RC-11-14-2550 ;`, v , {� t d�'i '`•f+i�;;�t, ave-. "'�y. Owner ALICE GUGUEN Contractor ORONI INC Yet a f 06114!2016 uedion/Pro Ion/Project NONE Date Iss ` CVr�-_ y,a_d`y SubdivisA 'Aw 14 Occupancy 2„ - 1• *:W4 !deo' p P Sw ' �i: Construction Type VI Load NIA I f p Y R-3 Occupanc o r;= Square Footage 571 Type X,� fApplicable Code Description of �+ rr � •;., p ADDITION OF MASTER BEDROOM SUITE 2014 FLORIDA BUILDING CODE y Work AY a '! Flood Zone X F.F.E N1A ; ;,•f , Location P a a Vit. 10601 NE 6 Ave } �• s s Miami Shores FL 33138 F ' . ' i aoWYMS //u+M Building Officials Apprbval Ismael Naranjo,CBO h Not Transferable { � �'�� "._-A7�'-1�w/�i,�► POST IN A CONSPICUOUS PLACE •��•��' -,. .'.'•4.e"� !i�d --r{t ra°'w`l it`k. ;••A4 a f � $ �F f'9'°•• y'tsa a .� o�`^,r-'.w• a.. L3:'•S _ a L 1 k... „y' •f r.' m.a L :t 'd• a o F-. J.B^•-' +.m. .iq., . ,;r,Fi: •,r .seci r d^•' l. .l'_ a,.+4•, a ..,+r o�'P"4,�'a.,;.A S ' t•1. 'bZt-'. r: a ty.,:.f t `r`4,Y.c•r4.•-h;. T 8 ,�,�C_t•�•'"•at.:tv+£W . -,q'-tt z• � � .,K+. 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G F•''� I Y� t„T^'a' �� ..t��l�k-„ �, S 5 InSW�A'ii�., b `st.v. t six r e' Sk r v:- _ its, Ssrr rtpw � 4 'sr s 'r w r y ,.s d ' CJs i ' [.k y Final "` F 3F xtro t at y 7tf.rr+r r[,�sr+ '� - r a tae u`u Truss $°J y* s a k;7 n n aY x v t y i n i 7,011 4 `k s fi ,..n�h�.•>s...,Vtwt;yk.-.t- ..w�.tr�w.--fry J ' a"' 2r r �t A r C)f l', eoREs �D WS' — 0 L.l / Z-, 5�xc.193a a E... u...� Miami Shores Village zrwivt1?S .�� Building Department IN� �OR1UA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CERTIFICATE OF OCCUPANCYICOMPLETION CHECK LIST s s;05 wilding permit card. 0a0 vC r C sup- y ❑ Surveys(2 copies) Final as built-Required Items: Elevations of buildings showing all intended setbacks from property lines and other existing structures. Ingress+ Egress, required parking paces,Wheel stops,stripping, and all paving to exterior. ertificate of Elevation-(Sealed by surveyor). Expiration date required on the form. ertificate of Insulation. Certificate of Soil Treatment(Final treatment-original)\ CHAPTER 2913-5 TERMITE PROTECTION: "This Building has received a complete treatment for the prevention of subterranean termites.Treatment is in accordance with the rules and law as established by the Florida Department of Agriculture and Consumer Services." ��[[ yl-/'Health Department Approval Letter(On septic or private water) ' Se ' c- W�`-S Note: If the house is on septic tank, approval letter is required from Health Dpt.aro Sf~eW ❑ it Compaction Letter(Density report is required) `ttka S`"LsA-�r� Final certification letter from the Engineer/Architect(on masonry,trusses,special structure,etc) ❑ Backflow preventor certificate(Required on commercial projects only) ❑ Declaration of use. (Recorded in Miami-Dade Clerk of Courts) PLEASE NOTE THAT THE SAME ITEMS ARE REQUIRED FOR TEMPORARY CO • Emergency CO(Without 24 Hrs Processing)Additional fee is$80.00. • Temporary CO(Up to 90 days max)$75.00. • Residential CO$150.00 • Residential CC$50.00 • Commercial CO and CC$200.00 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-258273 Permit Number: RC-11-142550 Scheduled Inspection Date: May 06,2016 Permit Type: Residential Construction Inspector. Mesa,Michael inspection Type: Final Owner GUGUEN,ALICE Work Classification: Addition Job Address:10601 NE 6 Avenue Miami Shores,FL 33138- Phone Number Parcel Number 1122310120020 Project <NONE> Contractor: ORONI INC Phone: (305)685-0412 Building Department Comments ADDITION OF MASTER BEDROOM SUITE Infractlo Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed E01 Failed El Correction a Needed Re-Inspection Fee No Additional Inspections can be scheduled unfil re-Inspection fee is paid. May 05,2016 For inspections please call: (305)762.4949 Page 26 of 28 z Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-259742 Permit Number: RC-11-14-2550 Inspection Date: May 25,2016 Permit Type: Residential Construction Inspector: Dacquisto, David Inspection Type: Survey Final Owner: GUGUEN,ALICE Work Classification: Addition Job Address:10601 NE 6 Avenue Miami Shores, FL 33138- Phone Number Parcel Number 1122310120020 Project: <NONE> Contractor: ORONI INC Phone. (305)685-0412 Building Department Comments ADDITION OF MASTER BEDROOM SUITE Infraction Passed Comments INSPECTOR COMMENTS False I Inspector Comments Passed �� Failed El Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 May 25,2016 Page 1 of 1 LEGEND cERTIRCATE rcITHalznnaR �B--soz3 N11AP OF BOUNDARY & TOPOGRAPHIC SURVEY ABBREVIATIONS- survey Pros, Inc. A- ARC DISTANCE AC- AIR CONDITIONER PAD 8308 MILLS DRIVE SUITE 148, MIAMI, FL. 33183 BCR = BROWARD COUNTY RECORDS BLDG- BUILDING Tei: 305.787.8802 BM = BENCH MARK www.sur..@y-pros.com BOB =BASIS OF BEARINGS CBS=CONCRETE BLOCK&STUCCO (C) = CALCULATED LOCATION MAP: C&G = CURB&GUTTER CLF= CHAIN LINK FENCE NOT TO SCALE COL= COLUMN D.E. = DRAINAGE EASEMENT °( I T� _ _ D.M.E. =DRAINAGE&MAINTENANCE NORTH -� Fes`- - 3 I ENT DEQ DRIVEWAY t SCALE: 1"=20' - a " _ EB = ELECTRIC BOX ENC. = ENCROACHMENT A EPC-EDGE OF PAVEMENT .: Q Y 2 5 2016 EW= EDGE OF WATER FDH =FOUND DRILL HOLE FF= FINISHED FLOOR ELEVATION ° FlP= FOUND IRON PIPE(NO ID BYe FIR= FOUND IRON ROD (NO 10) "= :.;,. • '; . ,., ., �� rp FN = FOUND NAIL(NO ID) LOT 2 a:A;z.,.:<...: ,....:• .;., FPL= FLORIDA POWER&LIGHT uuu TRANSFORMER PAD PROPERTY ADDRESS: _x_x N L.E. = LANDSCAPE EASEMENT 10601 NE STH AVENUE, MIAMI SHORES,FL 33138 �r .a.,p' `t.,,-.• i:� R 1/2 x X x x FIR 1/2' L.M.E. LAKE MAINTENANCE EASEMENT oo4p4 RIS O CAP N90°00'00"VI/ 150.00' X x X NO CAP MMD)CR= MEASURED DARE COUNTY RECORDS G •_ :. .2::i k.a a:ti v $ •.-s. .;; ,, .dd' • O MH =MAN HOLE r ° y ML= MONUMENT LINE LEGAL DESCRIPTION: O 6 O �� ( LOT 3, OF GOLF VIEW ESTATES CORRECTED PLAT, ACCORDING TO THE PLAT e :' "t;'+�.�•..'-t:';`•i,,"y.`.;:.'_� • ' O J P)= PLAT •4: q + "*':'='�-��• �+ � y �` '• ';• •4 O 2.54' PB= PLAT BOOL THEREOF, AS RECORDED IN PLAT BOOK 41, PAGE 58, OF THE PUBLIC RECORDS OF ;y:r.•t•- _ :.>`• ,• _ to PC PONT OF CURVATURE MIAMI-DADE COUNTY, FLORIDA. is a, 4 y h 4 4 ' h y,<'q 44: �La �I PCP= PERMANENT CONTROL POINT .0. •'n`,'-"t;�.�o:. - ...;;L;`• �' .ti. 'r'•` •+., -' o 94. b N ��• ZO.2' O� 'a' - PPE POOL G PAGE EQUIPMENT PAD y°..!,v.4 :C .'. 4. .A 4:,'SF-..•y + n13.27- ' m PI POINT INTERs£cnoNFLOOD ZONE INFORMATION: 4 ; C + PL= PLAPITERPOB=PONT OF BEGINNINGBASED ON THE FLOOD INSURANCE RATE` MAP OF THE FEDERAL EMERGENCY N POC= PONT OE COMMENCEMENTMANAGEMENT AGENCY REVISED ON 09/11/09 AND INDEX MAP REVISED ON 09/11/09 y' . PRC=PONT OF REVERSE CURVATURETHE GRAPHICALLY DEPICTED BUILDINGS) SHOWN ON THIS MAP OF SURVEY IS WITHIN . 4 . PRM = PERMANENT REFERENCE ZONE X BASE FLOOD ELEVATION V.COMMUNITY NAME & NUMBER MIAMI SHORES ir^ n. 33 MONUMENT -` s: -N. PT= PONT OF TANGENCY 120652 MAP & PANEL NUMBER 1208600306 SUFFIX L, *a"'-c'�•�- 15.0' 18.0' R= RADIUS DISTANCE +� (R) RECORD :,w;.• . �,,;:�.,�, LOT 3 R/W= RIGHT-OF-WAY SURVEYOR'S NOTES: • RES= RESIDENCE 1. ELEVATIONS WHEN SHOWN REFER TO.1929 t1A7IOVAL GEODL•UIENERTICALIN SP = SIP LB 023 • • •" ',,�;`��'. t•1..::-'.•..is �O to CD (NGYD 1929). 6.0' 0 SND = SET NA&DISK LB#8023 •• • 1�� • • s y .� STL = SURVEY PE UNE 2. NO ATTEMPT WAS MADE TO LOCATE FOOTINGS/FOUND AJJ&S:&CUNDERGROUND " R UTILITIES UNLESS OTHERWISE NOTED. •••••• •• • •s•• .- . ti �- SWK - SIDEWALK 15.4 r�O' (TYp)= TYPICAL 3. THE LANDS SHOWN HEREON HAVE NOT•SEEN ABSTRACTED IN REGARDS TO -`.• r 6' V MATTERS OF INTEREST BY OTHER PARTiL�t"SAS EASEMENT9r RIGHTS OF MIAYS a':'t., (L t� 12.0' F W g UB = UTILITY BOX RESERVATIONS, ETC. ONLY PLATTED EA E SHO •s•o, tiR. Q >. �Qi �. S _ U.E. =UIIUTY EASEMENT �R v 4. THIS SURVEY WAS PREPARED FOR EAS TO E• ARTY�IES) INDICATED :::. i,,• ry�' _J W/F= WOOD FENCE �q$�I�typBLE N71HTpf7J CONSEaTii .: . :F;•;•_`• f�. .Q O Q HEREON AND IS NOT TRANSFERABLE OR `S :�Aj.,•.. THIS FIRM. • LL CO Q SYMBOLS: 5 ALL BOUNDARY OMIT INDICATORS SET•AR!�ift�PED LBS 8D23D•• •••• tit. y Y 0 Q 6. THE BOUNDARY LIMITS ESTABLISHED 0 q HIS NJURVEY ARE BATED•ON THE LEGAL O i. U m �1 ® TELEPHONE RISER 5 w LU W Q �° a" H9 = CABLE TV RISER DESCRI7. FENCE PTION ERSiiP�SBNOTHE CLIENT DETERMINE �ITSOII�PRES NTAT19E! • ••4• •.,��� ;����� � _ 8. ADDITIONS OR DELETIONS TO THIS �UR1TE� P AND/OR Rt�ORT BY SOMEOtdE• ti .4:. •yw a y 4..• 92 O + J Q ® = WATER METER r;^•�+z�;:` - w X 0.00 = ELEVATION U) Q OTHER IRAN THE SIGNING PAR IES I�PROHI81€D N9TH(�IT WRITTEN CON i ... ..-� .'::';>`a.`��-• :'a 4 Z �i' �+ Z TY( ) sF•WT 41Fi LL th (00') = ORIGINAL LOT DISTANCE ME SIGNING PARTY(IES). •••••• D = CENTRAL ANGLE 9.6TH BEARINGS HASWEEN ASSIGNED A BE SHOWN ARE TO _ IF NE _ _;00 00"Y�•IR) MERIDIANS �iENTERUNE '•:':q. p tl` 35.60 6.2' CENTER UNE WV•�;�,�:' "'•:t::�.�r�j''''�_ � = WATER VALVE BEN CEIAL K INFORMATION: " • Z`! NAME: D-159 co zo33.71' = CURB INLET EL.EVATION(NGVD29: 10.32 r FIRE HYDRANT ) :•r. "�. •• :s•':•.:.:y-%..'': yti �' '.......... . .... � o- LOCATIONI: NE 105 ST--69' SOUTH OF C/L .`?< :.``°` ^;x::''.'�'`•'°'` `', 422' 4' �'�(= LIGHT POLE LOCATION2: NE 6 AVE--24' EAST OF CA O DESCRIPTION: PK NAIL AND BRASS WASHER IN CONC CATCH BASIN AT 35.00' _ ° ` Q CATCH BASIN SE CORNER OF THE INTERSECTION ++�D` Obi 00 O d +A UTIUTY POLE T'i vt` rl'' „;;'�4 Ca +�•J• +'� 3.2d' @ = DRAINAGE MANHOLE OS SEWER MANHOLE CERTIFIED TO: r•: 35.00~ ti ' No n ALICE GUGUEN ,,• ,;^.�,- �....� � — IRON FENCE FIR 1 2" WOOD FENCE �' NO CAP90 0000E 150. NO CAP `— = CHAIN LINK FENCE <\ O� OVERHEAD UTILITY WIRE REVISIONS) -�' i?:.><:•'ice' v !Jk f (C '_C ON LINE -.I,•< i•;`'IV'n: Shores Village LOT4 ASPHALT CONCRETE PAVERS TILES COVER A f.3 L'O Q.-)s„j r D I BY DATE SURVEYOR'S CERTIFICATE: I HEREBY CERTIFY THAT THIS SURVEY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AS DATE OF FIELD WORK: 1'� RECENTLY SURVEYED AND DRAWN UNDER MY DIRECTION AND MEETS THE MINIMUM TECHNICAL STANDARDS SET 04/12/16 I ZONING DEP � FORTH BY THE FLORIDA STATE BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 5J-17 FLORIDA ADMINISTRATIVE ° CODE PURSUANT TO SECTION 472.027 FLORIDA STATUE. IDBS 160414D6 SU G DEPT DRAWN BY- NICK — AUTHENTIC COPIES OF THIS SEAL / SURVEY SHALL BEAR THE 6/ CAD FILE: GUGUEH I l,ll t;l I O t:O V11'I IANCE WITH ALL FEDERAL '".rt ORIGINAL SIGNATURE AND SHEET 1 OF 1 RAISED SEAL OF THE NICOLAS DEL VENTO ;�,r•I;)(:I i;i;'i':Y i I!11 ES AND RF(,Ul ATIONS i ATTESTING REGISTERED PROFESSIONAL SURVEYOR & MAPPER SURVEYOR AND MAPPER STATE OF FLORIDA LIC. # 6945 Uk.DEPARTMENT OFHOMELANDSECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Flood lwwanm Program Important: Read the Instruolons on pages 1-9 Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION FOR IN;3tM11�ANCE�COMpAItiIY USE Al. Building Owner's Name ALICE GUGUEN Po cy r A2. BuIldingStrest Address(including Apt,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. patty IdA1C N r. 10601 NE 8 AVENUE City MIAMI SHORES State FL ZIP Code 33138 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,eta) •MDCR LOT 3,GOLD VIEW EST COR PL,PS 41-58 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5, Latitude/Longitude:Let.N25.522252• Long.W80.110785• 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 19 A8. For a building with a crawispece or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) WA 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 font above adjacent grade WA c) Total net area of flood openings in A8.b WA sq in c) Total net area of flood openings in A9.b j /�/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 82.County Name 83.State MIAMI SHORES 120652 MIAMI-DADE FLORIDA B4.Map/Panel Number 65.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood BS.Base Flood Elevation(s)(Zone 1 066CO308 L 09/11/09 Effect 11/is Date Zone(s) AO,use base flood depth) 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 Banter Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date:jM ❑ 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/Al-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:WWR D-159 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) 15.12 ®feet ❑meters b)Top of the next higher floor N/A. ®feet ❑meters c)Bottom of the lowest horizontal structural member(V Zones only) j lam. 19 feet ❑meters d)Attached garage(top of slab) jam. ®feet ❑meters e)Lowest elevation of machinery or equipment servicing the building x.06 ®feet ❑meters (Describe type of equipment and location In Comments) 1) Lowest adjacent(finished)grade next to building(LAG) ZQ.g ®feet ❑meters g)Highest adjacent(finished)grade next to building(HAG) la.$ ®feet ❑meters h)Lowest adjacent grade at lowest elevation of deck or stairs,including structural support ®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 Cer0wile represents my best efforts to Interpret tide data available. 2 1I I understand that any false statement may be punishable by fine or kWaonment under 18 U.S.Code,Section 9001. L91 1 3� �r ® 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 (5�� Certiflees Name NICOLAS DEL VENTO License Number 6945 Title SURVEYOR Company Name SURVEY PROS,INC. j Address ,830P MILLSD #148 City MIAMI State FL ZIP Code 33183 Signstu Date 05/13/16 Telephone 305-767-6802 FEMA Form 0813-0-33(7/12) See reverse side for continuation. Replaces all previous editions. ja�c�I�� Z 5 2t 6 ELEVATION CERTIFICATE,page 2 IMPORTANT:in these spaces,copy the conssponding infonnation 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 10601 NE 6THAVENUE City MIAMI SHORES State FL ZiP Code 33138 Company NAIC Number. SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments GPS COORDINATES OBTAINED USING GPS DEVICE "MIAMI-DADS COUNTY RECORDS "'A/C PAD IS LOCATED ON THE NORTH SIDE OF THE HOUSE HIGHEST CROWN OF ROAD ELEVATION=13.26 Signature Date 05/13/16 SEC O -BUILD N LEVATION 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 infcnmation 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,crawispece,or enclosure)is ❑feet ❑meters ❑above or❑ Flow 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 p 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 co mmunky's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown.The local otticial must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments. SECTION G—COMMUNITY INFORMATION(OPTIONAL) The local official who Is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable items)and sign below.Check the measurement used in Items G"10.In Puerto Rico only,enter meters. 01.❑ 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 08. 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: 10601 NE 6T"AVENUE City MIAMI SHORES State FL ZIP Code 33138 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 04/12/16 V` } G' FEMA Form 086-0-33(7/12) Replaces all previous editions. U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDEfel.EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Flood Imurance Program Important: Read the Instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION Al. Building Owner's Name ALICE GUGUEN o A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. 10601 NE 6TH AVENUE City MIAMI SHORES State FL ZIP Code 33138 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) *MDCR LOT 3,GOLD VIEW EST COR PL,PB 41-58 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.N25.522252* Long.W80.110785* 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 1A A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) WA 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 N/A within 1.0 foot above adjacent grade 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 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 12086CO306 L 09/11/09 Effective/Revised Date Zone(s) AO,use base flood depth) 09/11/09 X N/A 610. 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 139: ® 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-130,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 AT In Puerto Rico only,enter meters. Benchmark Utilized:*MDCR D-159 Vertical Datum: NGVD-1929 Indicate elevation datum used for the elevations in items a)through h)below. IR 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,cawlspace,or enclosure floor) 15.12 ®feet ❑meters b)Top of the next higher floor NIX ®feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) N/X ®feet ❑meters d)Attached garage(top of slab) NIA. ®feet ❑meters e)Lowest elevation of machinery or equipment servicing the building *"10.06 ®feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 10.E ®feet ❑meters g)Highest adjacent(finished)grade next to building(HAG) 11.3 ®feet ❑meters h)Lowest adjacent grade at lowest elevation of deck or stairs,including structural support . ®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 statenrent may be punishable by fine or imprisonment under 18 U.S. Code,Sectlon 1001. .x.,,, ® 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 a a ; Certifier's Name NICOLAS DEL VENTO License Number 6945 Title SURVEYOR Company Name SURVEY PROS,INC. ` Address 8306 MILLS DRIVE#148 City MIAMI State FL ZIP Code 33183 Signature 14 Date 05/13/16 Telephone 305-767-6802 FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE,page 2 IMP6RTANT-In these spaces,copy the corresponding Information from Section A. ...WN Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. 10601 NE 6TH AVENUE City MIAMI SHORES State FL ZIP Code 33138 "WZm, 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 GPS COORDINATES OBTAINED USING GPS DEVICE *MIAMI-DADE COUNTY RECORDS "A/C PAD IS LOCATED ON THE NORTH SIDE OF THE HOUSE HIGHEST CROWN OF ROAD ELEVATION=13.26 Signature Date 05/13/16 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 EI-ES.If the Certificate Is intended to support a LOMA or LOMR-F request complete Sections A,B, and C.For Items EI-E4,use natural grade,If available.Check the measurement used.In Puerto Rico only,enter meters. El. 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 _ — 0 feet 0 meters 0 above or 0 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 C]feet [I meters [J above or (below the HAG. E3. Attached garage(top of slab)is _._ [I feet 0 meters [I above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building Is �_ 0 feet [I meters 0 above or[3 below the HAG. E5. Zone AD 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 0 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 coned 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 0 Check here if attachments. SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable items)and sign below.Check the measurement used in Items G8-G10.In Puerto Rico only,enter meters. G1.[] The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation Information. (Indicate the source and date of the elevation data in the Comments area below.) G2.El 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.[I The following Information(items G4-G10)Is provided for community floodplain management purposes. IG4.Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for [:]New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: 0 feet 0 meters Datum _ G9. BFE or(in Zone AO)depth of flooding at the building site: 0 feet 0 meters Datum _ G10.Community's design flood elevation: 0 feet 0 meters Datum — Local Official's Name Title Community Name Telephone Signature Date Comments M 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: 10601 NE 6T"AVENUE City MIAMI SHORES State FL ZIP Code 33138 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 04/12/16 I FEMA Form 086-0-33(7/12) Replaces all previous editions. 1MS 1.ATIQH GERTifiGA1E 6uNdint Ptrmit Na. Pfolect slot v _jobAddress.- 1401401 AA: 05 wa,#hr p &MVt d,)Me"amity this the t 1 tis Oaar►inu♦itsa is the altovt telerttutod 0►�+�Ala Wo= �teras. rbh the tattat sdtlha►0+6$U'£ EIA—SMA M With toed aenlovctiea►psolics. ' t;asulstlati�ttstistted amt taatrtted hest two charaetariwite aura trs t� Y y+�etds bouaA ... f tr�ttttrioa C19S Vt+ tie Insulation!t1,• {Miiti.� Motattst: '�ialtaasss: iacittes}, be+taity- Wo! MmtaL: 3 D3atettatir.rr elMett+t Steed Wt}ie: R—{MLo.): Metarist: 'fAilt7ttis iMltat; Density: Ibfrt: Enittior eottd COPMta welts: tL• (M'n-): MAIRriet. Thickrms:,_,_,_Inches; Ocnoity: ._ .. R: Maauratnttet: � j interior luaus sc¢s"li"A A1C front tton•a C specsee insvtetian:R ,,.,..,..•Material:,,,,,,,,e,,. ...,............ TtJc me inches; Devtsity: s#�, � twtn err taatvstLY $ E1?Eiwsrta` r•DNa?R{ CDN t7An.'tr: the gob&BW (Pant') WAW "O"Iift d`O dtttenar+tttnantt tht+ll bt instdsiltd ox f slows: 1►7 FfItRY Rtnluiromanto. Soo "Erarray ode. 97 8dition, Section bt}D.t.AA,pitta Q.a,tttt9ush 6-0 wet Sditiaa". TWO(fibltyr.IS aClnNlorion, aro not included in the 6nafgy Caletrl*IiaAS.but ASO be 0911 ttrl ire dee twill Min.}: 6)Above deck rpt s 1(00FMSULATION:R-,.,.,.,,,,_{ ------- Ceisini htevtattan:tk- (Min,}; M ateri•t• �;a� ���' Dsneity: �.,,,itarR:M•nut'ac►tuor: -----�-�-------- � �,.' :.� Li $}Zl(y : i?etisitfos Of spirta•ott,totrttt tilt,or any othtt cott"%Cd on•sile intulolinn sttati t:c the avatstga of ttvso{3j"DRY 9AMPiL@!S^orsewal ipstetblien. ;lr � lost'atted byUV •—�y� 4 S 1 n Insulation Contr etor CCM: 03te Cenl led: z;*` '. � 0.C.It3uitder: Date Certified: 13utidts+(j Coni tattor • _ .._....,— tlPLto.ao SHIP SHAPE PEST CONTROL * ' w 4824 North Powedine Road,Deerfield Bead,FL 33073 Phone:954-833-0782 FAX 854-933-0784 Toll Free:800443-1315 CerNed Environmental ktspeckn and RemsdWim Spedagsts Balancing Life in the Soil, the Foundation of Life "Intelligent Termite Control' TERMITE CONTROL A NOTICE OF THIS TREATMENT HAS BEEN AFFIXED TO THE FUSE SERVICE AGREEMENT BOX OR HOT WATER TANK UNLESS OTHERWISE INDICATED Commercial Date of Treatment Tue06110me W Residential LIMITED RE-TREATMENT ONLY GUARANTEE Maxlme Gervals PURCHASER NAME NAME 10601 NE 6th Ave BILL TO-STREET ADDRESS STREET ADDRESS Miami FL 33138 CITY STATE ZIP CODE CITY STATE ZIP CODE 786.271.8714 118 LF Soil Pretreatment SERVICE PHONE TYPE NUMBER STRUCTURES METHOD OF PAYMENT r Payment upon cornpleton r Terms-Stated Below DEV: GRID LOC: r- At using-TItIe Co. T f Title Cc-Add F 1. initial Treatment Price $ 86.00 r 50%Deposit Terms 2. Other Fees i SHIP SHAPE PEST CONTROL.IS HEREBY AUTHORIZED TO TREAT 3. Tax THE PREMISES DESCRIBED ABOVE FOR THE CONTROL OF: 1— Dryw ood Termites p Control of 4. Total Price IS 85.00 W Subterranean Tetmftes fit Presurrptive Eirldence Of Pr Other Soli Plretrfaltt r'-4 Prevention of 5. Less Cash Down payment F- Fumigation i" Clean Heat i Localize Treatment 6. Unpaid Balance Due $ 8$.00 (ta be Paid as stated t SERVICE AGREEMENTS: 1. THIS CONTRACT CONTAINS EXCLUSIONS,UMITA71ONS F Lifetime Retreatment Renew able Serve Agreement AND DISCLAIMERS LISTED ON THE REVERSE SIDE r 5 Year Renewable Serves Agreement 2. YOU THE BUYER MAY CANCEL THIS TRANSACTION ANY i No Guarantee Issued PRIOR TO MIDNIGHT OF THE THIRD(3111))BUSINESS DAY Io 1 Year Guarantee Limited AFTER THE DATE OF THIS TRANSACTION I— Damage Guarantee Additional $ 3. YOU ARE ENTITLED TO AN EXACT EXECUTED COPY OF THIS AGREEMENT Ship Shape Past Control will retreat the WucUue(s)for covered Termbs 4. ALL OR PART OF THIS WORK MAY BE SUBCONTRACTED at no cost to the Customer should an infestation be fotmd. A CERTIFIED AND LICENSED COMPANY Buyer agrees to pay a late charge the greater of$25.00 or 10%of the amount of any Installment which Is not paid within 10 days of data due. Accepted by Tft): In case of default in the payment of any Installment for more than 30 days, BUYER OR BUYEn AMORIZEnAOENT SIGNATURE DATE Ship Shape Peg Control,or its assignee,may elect to declare the entire balance to be immediately due and payable together with all costs of sraPsl2- k collections,Including reasonable attomey's fees •Nodus of Tredmant has been aMmd: PROTECTION AGREE FEN F Comments: Amual Renewal payment is currently: $ phs tax where opocabte.Ship crepe Pant ConUd reserves Me rofft to d18rV Me;strews! aurum at any time w mwt prior nulla at tonmira a MIs as,=, ryt g amts and con"ons we not compile!wtth A border tee of 836 wM be doWd to transfer No e7eeum't.Change In PHONE:954.933.OM 11.800.543.1319 Law.in dre event of a change in oWft s Federal.Stats.or Local Law,ma4sdei h rim aeras i in wMah Ship.ShW Peat QMW dBWM is somices or discharges ha obUptlane,order ttda www.peswepotcom'www whowsatetemft.com" Fr no WiO shape wast Coromi reserves are ftM to hwreaae are Antuat Real"Pea, www.t+vholessief imigation.com"www wholesale mold.comz.abowmeraxwd&4don,orbrmlttothisSg t. www.whofwWorodents.com'www.sh ipshapepestcontroi.t:an New Construction Subterranean Termite Soil Treatment Record �« � This form is completed by the licensed Pest Control Company. Public reporting burden for the collection of Information is estimated to average 16 minutes per response,including the time for reviewing instructions,searching existing date sources,gathering and maintaining the data rimed,and completing and reviewing the collection of Information. This MormaWn is mandatory and is required to obtain benefits. HUD may not collect this Information,and you are not required to complete this form,unless it displays a current valid OMB control number. Section 24 CFR 200-wM(b}(3)requires that the sites for HUD insured structures must be free of termite hazards. This information collection requires the butder to certify that an authorized Pest Control company performed all required treatment for termites,and that the builder guarantees the treated area against infestation for one year. Builders, pest control companies,mortgage lenders,homebuyers,and HUD as a record of treatment for specific homes will use the information collected. The information is not considered oormfldendal. This report is submitted for Information purposes to the builds on proposed(new)construction cases when soli treatment for prevention of subterranean termite infestation is specified by the builder,arc hhect,or required by the lender,architect,FHA or VA. All contracts for services are betwcen the Pest Control Operator and builder,unless stated otherwise. Section 1: General InformsUon{Pest Control Company Information) Company Name: SMP Shane Pest Control Company Address: 4624 N.Povm!eline Road City- Ponumm B h State:FL Zip: 33073 Company Business Lkwse No.: J8123241 Company Phone No.: 934.429- FHANA Case No.(if any): Section 2: Builder hrfornn Company Name: Maxine Gervais Phone No.: Section 3: Property InfamuMon: I Location of Structures)(Strut Address,or Legal Description,City,State and Zip) 10601 NE 61h Ave.Mlami.FL 33138 i Type of Construction: (More than one box may be checked):® Slab 0 Basement O Crawl C7 Other Approximate Depth of Footing: Outside 118 LF Inside Type of Fill Section 4- Treatment Infor ration Date(s)of Treatment(s): May 10,2016 Type of Construction: (More than one box may be diced): ® Slab 13 Basement ❑Crawl ❑Other Che*all that apply ®A. Soil Applied Liquid Termitidde Brand Name of Product(s)Used: Premise EPA Registration No. 432-1331 Approximate Dilution(%):I.Z—Approx.Total Gallons Mix Applied 44 Treatment completed on exterior® Yes ❑No ❑B. Wood Applied Liquid Termitidde Brand Name of Product(s)Used EPA Registration No. Approximate Dilution(°A}: Approx Tote]Gallons Mbc Applied 0 C. Bait system installed Name of System Attach installation information(required) ❑D. Physical Barrier System Installed Name of system Attach installation information(required) Service Agreement Available: ® Yes ❑No Note: Some state lain require senr/ce agreements to be Issued This form does not preempt state low. Attachments(List): Contr Comments: Final Treatment i Name of Applicator(s): Mike Sdortino Certification No(I required by State law): JE132342 The applicator has used a product In anoe with the product label and state requirements. All treatment material and methods used comply with state and federal regulations, Authorized Signature: Date: May 10,2016 Warning: HUD will prosecute false dolma and statements. Convktion m-arreat in criminal and/or civil pendles(18 U.S.C.1001,1010,1012;31 U.S.C.3729,3082 Form NPCA 98-A may still be used Form HUI). PCA-B(111301112) i Ship Shape Pest Control 4624 N. Powerline Rd Deerfield Beach,Fl 33073 Phone: (954)429-9906 Fax: (954) 429-9907 Toll Free Number: (800)543-1319 www.pestdepolcom Date of Treatment(s):May 10,2016 This notice is regarding the property located at: 10601 NE 6th Ave Miami, FL 33138 The addition to this structure has received a treatment for the prevention of subterranean termites. The building has received a compliance 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. If you have any questions or concerns please feel free to contact as at the number above. Kind Regards, t� vitsky Ship Shape Pest Control Ship Shape Pest Control 4624 N Powedine Road Pompano Beach, FL 33073 Phone: (954)429-9906-Fax: (954)429-9907 INVOICE #107254 BILL TO SERVICE FOR Gervais, Max Gervais, Max 10601 NE 6th Ave 10601 NE 6th Ave Miami, FL 33138 Miami, FL 33138 Phone:786-271-5714 Picone: 786.271.5714 CUSTOMER ACCOUNT NUMBER: 16874 DATE:5/1(/2016 REFERENCE: TERMS:CASH/CHECK DESCRIPTION AMOUNT SUBTERANEAN PRETREAT _ $85.00 i TOTAL $85.00 AA2600 388 March 30, 2016 Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, Florida 33138 Final Ins on Letter Permit Number: RC 11-14-2550 Address: 10601 NE 6th Avenue Building Department, I, Victor I Bruce and Architect of Record, having performed visual observations of the project, hereby attest to the best of my knowledge, belief, and professional judgment,the structural and envelope components of the above referenced renovation are in compliance with the approved plan. I also attest that to the best of my knowledge, belief, and professional judgment, the approved permit plans represent the as built condition of the structural envelope component of the said structure. Please contact me at 305.310.5030 if you have any questions and/or comments. W .1 ., D Architect AR-0017103 370 NE 101 'Street Miami Shores,Florida 33138 telephone 305-310-5030 fax 1-877-408-8280 email vbruce@ai-associates.net Joaquin Montesino, P.E. & Consulting Group, Inc. 9725 S.W.a TERR.,Miami,Florida 33174 PH(786)2940032;FAX(786)2940032 Lic#69969 September 10,2015 Building Official Miami Shores Building&Zoning 10050 NE 2nd Ave. Miami Shores, Florida 33138 RE: 10601 NE a AVE.,Miami Shores,Florida 33138 RE: Foundation Excavation Dear Sir: Please be advised that I, as the Structural Engineer of Record of the above referenced project, inspected the foundation excavations on September 2,2015 and found the bottom of the excavation to be sand and rock, as expected. The existing soil is capable of sustaining the assumed allowable design soil bearing pressure of 2000 psf as reflected in the permiggd�gs, If yoo ��feel free to call me r No. ; Sini"y, ORIV JOAQUIIQ �� Fla.Certificate lVd.�+9989i Lab Report No. 125639 FLORIDA TEC PROVIDING SOLUTIONS TO THE ROOFING INDUSTRY C.A.#30448 Lab Certificate#13-0507.02 CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE TO COMPLY WITH METRO-DADE COUNTY PROTOCOL TAS-106 PROPERTYADDRESS: 10601 NE 6th Ave.,Miami Shores PERMITNo: RF12-15-3122 ROOFING OWNER: Alice Guguen SQUARES: 35 CONTRACTOR: Oroni Inc. ROOF PITCH.• 3:12 INSPECTOR TILE TYPE..—Flat INITIALS: JC ATTACHMENT. Polyfoam TEST DATE.• 2/17/2016 Testing Equipment: Digital Chatillon DFIS 200 Test Tabulation Required Testing Force:35 lbs No. RESULT No. RESULT No. RESULT No. RESULT No. RESULT 1-9 Passed 4048 Passed 10-19 Passed 20-29 Passed 30-39 Passed THIS ROOF HAS:PASSED ® FAILED Q THE STATIC UPLIFT iN ACCORDANCE WITH MIAMI-DARE COUNTY TAS 106. 35 33/ \` 34 r ,/32 31 36 40 38 37 2 41�. �. 25\ 2i3, 24 26 �17 2 45 44 22 76' 6 1 47 20 19l 18 1. 48,/"to 4 3'. . X17 t5 cere 7 9 \ 1 1\2 /6 6 - - \f3 t Alberto Cardona,P.E. Lie.No. 1713 "/< � / 10735 SW 216 'St. Unit 416 Tel:305-256-4550 www.FloridaTEC.net Miami FL 33170 Page 1 1 Fax:305-256-6833