RC-15-1026 .. .. . . . .. .. .
Inspection Worksheet ' ' ' %0 ' ' ' '
Miami Shores Village
. . ... . . . . ...
10050 N.E.2nd Avenue Miami Shores, FL,, •• •
. . . .. .. .. .
Phone: (305)795-2204 Fax: (305)756-8974 : .' ;•
Inspection Number: INSP-262953 Permit Number: RC-4-15-1026
Inspection Date:July 11,2016 Permit Type'Risidbrttiit9 CdOstruction
Inspector: Dacquisto, David Inspection ol"il WSUrvey Final
Owner: CARLA GRISONI,CANOR PATO Work Classification: Garage Enclosure
Job Address:162 NW 109 Street
Miami Shores, FL 33168-4317 Phone Number
Parcel Number 1121360100220
Project: <NONE>
Contractor: ORONI INC Phone: (305)685-0412
Bullding Department Comments
GARAGE CONVERSION TO MASTER BEDROOM, InfPassed Comments
BATHROOM AND LAUNDRY AREA INSPECTOR COMMENTS False
Inspector Comments
Passed l3 (k
11
Failed El
Correction
Needed
Re-Inspection a
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
For Inspections please call: (305)762.4949
July 11,2016 Page 1 of 1
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U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
FEDERAL EMERGENCY MANAGEMENT AGENCY Expiration Date:July 31,2015
1datimal Flood km=Fw mm IMPORTANT:Follow the instructions on pages 1-9.
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name CANOR PATO CARLA GRISONI 16-0448375 YM Policy Number:
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NNC Number:
162 NW 109 ST
City MIAMI SHORES State FL ZIP Code 33168
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
DUNNINGS MIAMI SHORES EXT 6 PB 51-31 LOT 6 BLK 213 LOT SIZE 75.000 X 122-11-2136-010-0220
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude:Lat. N2R09229" Long. W80012'04" Horizontal Datum: ❑NAD 1927 Nx 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 R
A8. For a building with a crawispace or enclosure(s): A9.For a building with an attached garage:
a) Square footage of crawispace or enclosure(s) 1600+- sq ft a) Square footage of attached garage N/A sq ft
b) No.of permanent flood openings in the crawispace or 15 b) Number of permanent flood openings in the attached garage
enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade NIA
c) Total net area of flood openings in AB.b 1672+- sq In c) Total net area of flood openings In A9.b NiA 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-RADE I FL
B4. Map/Panel Number I B5.Suffix B6.FIRM Index Date B7.FIRM Panel Effective/ B8.Flood Zone(s) B9.Base Flood Elevation(s)(Zone
Revised Date A0,use base flood depth)
12086C 0302 L 09/11/2009 09/11/2009 X N/A(NGVD 1929)
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in item 139:
❑FIS Profile W FlRM ❑Community Determined ❑Other/Source:
B11.indicate elevation datum used for BFE in Item B9: ®NGVD 1929 ❑NAVD 1988 ❑Other/Source:
812.Is the building looted in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ®No
Designation Date.ANA /MA /N/A ❑CBRS ❑OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. 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/A0.Complete items
C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters.
Benchmark Utilized: N-566 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,crawispace,or enclosure floor) 11 , 30 ®feet 0 meters
b) Top of the next higher floor 12 87 IN 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 IN feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building 11 . 28 ®feet p meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) �1 ... 12 ®feet ❑meters
g) Highest adjacent(finished)grade next to building(HAG) 11 . 2-4 feet ❑meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,Including NL. A ®feet ❑meters
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.i certify that the information on this Certificate represents my best efforts to Interpret the data available.
1 understand that any fad statement may be punishable by 8ne or imprisonment under 18 U.S.Code,Section 1001.
0 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
EFRAINName C.LOPEZ 2300 SNumber538
Title Company Name - -
P.L.S. D'AVILA&ASSOCIATES SERVICES,INC
Address City State ZIP Code Doe
14750 NW 77 ,STE 2 MIAMI LAKES FL 33016
Signature Date Telephone
G- 04/27/2016 305 953-2600
FEMA Form 086-0.33(7/12) See reverse side for continuation. 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:
162 NW 109 ST
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.
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Certificate of Completion
' Miami Shores Village
t
I 10050 NE 2 Ave, Miami Shores FI, 33138 1
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
compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: r 4
Permit Type RESIDENTIAL CONSTRUCTION Bldg.Permit No. RC-4-15-1026
` Owner CARLA GRISONI Contractor ORONI INC `
Subdlvision/Project NONE JDate Issued 07/22/2016 ,
Occupancy
Construction Type VI Load N/A
-rSquare Footage 168 Occe pancy R-3 ;
yp
Description of Applicable Code
Work GARAGE CONVERTION&INTERIOR 2014 FLORIDA BUILDING CODE
:t
RENOVATION
Location Flood Zone NA F.F.E NA hp
162 NW 109 ST
s Miami Shores FL 33138
�► tZ its
` + .■.■ amM Building Officials Approi Ismael Naranjo,
Not Transferable �.._
OVMS POST IN A CONSPICUOUS PLACE
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BOUNDARY SURVEY LEGEND 8 ABBREI/IATIONS
A-ARC.DISTANCE STY.-STORY
SCALE = 1:20 vD-,� � sm-SIDEV"
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A -AN%*JCREASEVENY W.-s"IFIGNPOIE .
CLIENT:CANOR PATO&CARLA GR/SONI Ams-at m &R-SMEREDPOFICH 1
PROPERTY ADDRESS:162 NW 109 ST,MIAMI SHORES FL 33168 Rr_- LOCKC T s..BECosrvavE ►
LEGAL DESCRIPTION: Of DG.-BUILDING T-TANGENT
HOT 6,BLOCK 213,DUNNINGS MIAMI SHORES EXT 6,ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 51,PAGE,31,OF LLAe- + TOVINSHIP
aOA-BASISOFBFARING Ura.-UnUff
THE PUBLIC RECORDS OF MIAMI DADE COUNTY,FLORIDA. (Q-CALCULATED LAE-UrnmEasE54ENT
ELEVAT70NINFORMA77ON: ca-CATCHBASIN U.P.-UMIlY ONE
caa-LON RETESLOCt W.►a-WATER MEM
B.M.USED N-566 ELEVATIONS 10.78'(NGVD 1929) LOCATED NW 111 ST-91.5'SOUTH OF CIL STRUCTURE W.F.-VOW FENCE
BASED ON THE FLOOD INSURANCE RATE'MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY DATED OR REVISED ON 09-11-2009 C'"c" "�' W -"��H
CIL-CHORD WA-wOODRoaF
THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN ZONE X_BASE FLOOD ELEVATION WA COMMUNITY 120632 PANEL NUMBER CFLa-CHM BE4RW Otv.-WATER VALVE
0302 SUFFIX L EFFECTIVE PANEL DATE 09-11-2009 a.:�LLaNGTH 1:CENI LINE
CERTIFIED TO: CLF-CHA1MLC FENCE I-PDROPERTYRN
CANOR PATO&CARLA GRISONI CALE-CANAL MAAVIENANCE
EASEMENT
CONG-CONCRETE
cur.-CONCRETE URL ITY POLE
cr.-CONCOWM PORCH
Cs. CONC RETESiAB
CML-CONCRETE Wax
D.E-DRAINAGE EASEMENT
. . , ,.. . .. ... ... . ........ ..... .... .... ........ .... ... D.M.E=DRAW&GEMAINIENANCE
...... ... . ... .. . . ... EASEMENT 1MY-D
bYWY iogth STREET*.*.*.*
..'.'. .... .... .12.00 PAVEMENT ' . . ...
.... . ... . . ....... .. ....... ... FA-FIRENYURANT
F.LP.-R�SIGN PPE
........ ...... .. •.. FJAL-FOUND LION ROD
12.00 ISLE 12.00 ISLE F.FE-flN13NFDFLOdIETEYA7FWN
2$50 Fa- NAa&DLSK
FT.-FEET
.'.''... . ... ANIP m FRDERa.NAT10NAL
... ... . .......... LNSURAMMPROGRAM
... .... ••• ..•• ••• • F.N.-FOUND MAIL
••••••• .•' ••' '••• IN&E0.-BNGRESSANDEi?RE
. . ... ..... ...... . .......'.'.•.'.•.•.'.•.•.•.•.•.•.'.'.'.'.'.•.'.•.'.•.•.•.•.•... EASEMENT
...' ' ... ... ..... .... ... . ... . ... ... . L.P.-LIGHrPOLE
.... gyp .. . ... ... .... ... . ........ . ... ......'. .'.'.•.'....•. .� . .•. L.F.E.-LOWESTFLODREE141TTON
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EASEMENT
14.5 PAVEMENT • oAffiUM
ma, TOTAL R/W 75.00 (BY PIAT) .-.-
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CERTIFICATE OF AUTHORIZATION NO.29058
CERTIFICATE OF AUTHORIZATION NO.75W
14750 NW 77 CT SUITE 2D4
MIAMI LAKES,FL 33018
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LEGAL NOTES TO ACCOMPANYSKETCH OF SURVEY:
•THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY.
•EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED BY:
INSTRUMENTS,IF ANY,AFFECTING THE PROPERTY EFRAIN b1l LOPEZ,P.L ( 2016)
•TNS SURVEY IS SUBJECT TO DEDICATIONS,LIMITATIONS RESTRICTIONS RESERVATIONS OR
_ EASEMENTS OF RECORD.
•LE"DESCMPTHONSPROWDET)BYCUENTORATTESTINGTITLECOMPANY
•BOUNDARY SURVEY MEANS A DRAWING ANDY OR A GRAPHIC REPRESENTATION OF THE SURVEY PROFESSIONAL LAND SURVEYORNO.: 2300 STArEOFFLo=A
WORKPERFORMEDINTHHERELD,COULOSEDRAWNATASHOWNSCALEANDIORNOTTOSCALE (VAUDCOPIES OFMSSURVEY WILL BEAR THE EMBOSSED SEAL OFTHEATTES77AIG
DRAWN BY: ART-8 •EASEMENTS AS SHOWN ARE PER PLAT BOOK UNLESS DEPICTED OTHERWISE LAND�E,ORk
•THE TERM*ENCROACHMENT"MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS.
..ARCHITECTS SHALL VERIFY ZONING REGULATIONS RESTRICTIONS,SETBACKS AND WILL BE SURVEYORS GER7IF/CAT10N:
RESPONSIBLE FOR SUBMITTING
•PLoramsWITH CORRECTIAFORHATHONPOR APPROVAL FORAUiHONZA77OMTOTHE PROPER IHEREBY CERTIFY TO:
CHECKED BY: R.A:S AUTHORITIES IN NEWCONSTRUCTION
.UNLESS OTHERWISE NOTED THfS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTING ANDOR THAT THE ATTACHED BOUNDARY-SURVEY OF THE ABOVE DESCRIBED
FOUNDATIONS. PROPERTY,IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
SCALE: 1"m 20' .FENCE OWNERSHIP NOT DETERMINED. AND BELIEF, AS RECENTLY SURVEYED AND PLOTTED UNDER MY
.TNS PLAN OF SURVEY,HAS BEEN PREPARED FOR TIE EXCLUSIVE USE OF Thf ENTITIES NAMED RESPONSIBLE DIRECTION,AND THAT THERE ARE NO ABOVEGROUND
FIELD DATE: 0427-2016 .HEREOrorarENDTCERTIOAATEuAWafEDPARTY. ENCROACHMENTS UNLESS SHOWN THEREON.I FURTHER CERTIFY THIS
.DOES
NOT E AT N UO AN UNNAMED
lege SURVEY MEETS THE STANDARDS-OF-PRACTICE FOR BOUNDARY-SURVEYS,
.JOB NO: 16-0448375 SURVEYOR'S NOTES: PURSUANT TO SECTION 472.027, FLORIDA STATUTES,AND ADOPTED IN
1.OaRnRCATEOFAUTHDROATIONLB07538NOT VALID WHrHOUTANAUTHEAmcATEDE.ECTRONIC CHAPTER 1, 201 C% FLORIDA ADMINISTRATIVEFEBRUARY
SHEET: 1 OF 1 SEAL SIGNATURE ANDAUTHENnCATEDELECTRONOSEa JANUARY 1, 2010 AS AMENDED FEBRUARY 23,2005.