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DS-16-2124 . �7 i 1. Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-264314 Permit Number: DS-7-16-2124 Scheduled Inspection Date: September 12,2016 Permit Type: Driveways/Sidewalks/Slabs Inspector: Mesa, Michel Inspection Type: Final Owner: JANETTE O'HARE REM,HELEN H Work Classification: Addition/Alteration Job Address:1158 NE 89 Street Miami Shores,FL 33138- Phone Number Parcel Number 1132050180130 Project: <NONE> Contractor: DAVIS CONSTRUCTION GROUP Phone: (954)444-6797 Build1W9 Depwtatent Comments DRIVEWAY RENEWAL OF ASPHALT AND CONCRETE lnfme ° Passed, Comments REPLACE WITH PAVERS INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until reinspection fee is paid September 09,2016 For Inspections please call:(305)762-4949 Page 10 of 40 C 4:44 124 Miami Shores Village pe#'fT?Tf Ty a D1vewaysMid",0j! t �. 10050 N.E.2nd Avenue NE � � l�1tEi �i�lG1/A)t )fi+OF! Miami Shores,FL 33138-0000 M' 44tot ;A1?PRO Ex Phone: (305)795-2204 !:., c iration: 01/24/2017 Issas$oa q16 p Project Address Parcel Number Applicant 1158 NE 99 Street 1132050180130 Miami Shores, FL 33138- Block: Lot: HELEN H O'HARE LE JANETTE I E Owner Information Address Phone Cell HELEN H O'HARE LE JANETTE O'HARE 1158 NE 99 Street ---- MIAMI SHORES FL 33138- 1158 NE 99 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 7,000.00 DAVIS CONSTRUCTION GROUP (954)444-6797 _.._ ... .. _... ... ::,_. __.. x.__.. ....... Total$q Feet: 1600 i Approved:In Review Available Inspections: Comments: Inspection Type: j Date Approved::In Review Final Date Denied: Foundation Type of Work:DRIVEWAY RENEWAL OF ASPHALT AND Additional Info: Review Planning Bond Return: Classification:Residential Review Building Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Owners Bond $500.00 CCF Invoice# DS-7-16-60783 $4.20 07/28/2016 Check#:2927 $500.00 $200.46 DBPR Fee $2.63 DCA Fee $2.63 07/28/2016 Check*2926 $200.46 $0.00 Education Surcharge $1.40 Bond#:3173 Permit Fee $175.00 Scanning Fee $9.00 Technology Fee $5.60 Total: $700.46 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in complial ce with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. i I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zpn fg. F I lithermore,I auth above-named contractor to do the work stated. �- 6 s July 28,2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date I Building Department Copy July 28,2016 1 � e Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 JUL ��� Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FOC 20 BUILDING Master Permit No PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: q qth Jj City: Miami Shores County Miami Dade Zip: MISS SS Folio/Parcel#: I I'�� I �J3 Is the Building Historically Designated:Yes NO Occupancy Type: Load: ��C`onstruction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): ne 1 i1L CY fe— Phone#: 6�5q_ MOK--)WLI 1 Address t c City: 1 ► t Iary)-i �I�t(�v e S State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: �l� �c) � &fo up Phone#: Address: 5a1 b �is( City �id� 11�I� h�� Sta-te�•-- F lu1 ckl Zip: t ►�336 Qualifier Name: Phone#: State Certification or Registration#: CCI�� W� J Certificate of Competency#:! DESIGNER:Architect/Engineer: Phone##: Address: _ City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: y-`v ea. 1 r Specify color of color thru tile: c Submittal Fee$ Permit Fee$ J - CCF$ CO/CC$ Scanning Fee$ Radon Fee$ 91 DBPR$ NotaryS) Technology Fee$ S7'(jTraining/Education Fee$ Double Fee$ Structural Reviews$ Bond ��� - co TOTAL FEE NOW UE$ � 10 (RevisedOZ/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip w n installations as indicated. I ce i that no work or installation has Application is hereby made to obtain a permit to do the work and tocertify commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS, HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$1500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature WNER or AGENT TRACTOR The foregoing instrument was nowledged before me this The foregoing instrument was acknowledged before me this 1° day of V 'Wt. 20 IU ,by d-Srd day of ��-3�e 20 U ,by JaM 01010 ft4 who is pe}rso Ily known to �l'11r1 V�-R, o is person II know me or who has produced l Ur IS Uas me or who has produced as iden ' ' ation and who did take an oath. identification and who did take an oath. NOTARY PUBL NOTARY PUBLIC: Sign: gn: TABRIZ BORGES Print: Notefy State t{da tint: , Seal: 11400MAT Gus Com(nf!liAnA EE 833694 al: COMMISSION 0 FF9375W My Comm,ox�+�!Sept.08,2018 XPOM November 18,2019 007)398-01.53 7 APPROVED BY Plans Examiner 5WJ6 5 77Zoning Structural Review Clerk Revised02 24 2014 1i1Us ltES#1Ftylljt istz�4tiaitiitt�is'IT l:dt $dpi? (AGif4tili�S°6k,",�faEtfa3SS �$�` " ST(cffiP➢*1"fiNi+,VYI °.1?.0f ,'Mv 1Ri?kf§ib��i2W4�5 �U•; rak ��E'� BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm.A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2015 THROUGH SEPTEMBER 30,2016 DBA: E DAVIS CONSTRUCTION GROUP Receipt :GN�ER2A4L CONTRACTOR Business Name: Business Typee: O*ner Name:JOHN W DAVIS JR Business 0pened:11/14/2011 Business Location:�5210 SW 130 AVE State/County/Cert/Reg•CGC1520093 SOUTHWEST RANCHES Exemption Code: Business Phone:954-444-6797 Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is IeGied for the privilege of doing business within Broward County and is non-regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: DAVIS CONSTRUCTION GROUP Receipt #52A-14-QD0F05996 5210 SW 130 AVE paid 07/21/2015 27.00 SOUTHWEST RANCHES, FL 33330 2015 - 2016 115 F Client#:27626 DAVISCON ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/01/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:0—the-certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBRbGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CNTACT NR ME: Jeanne B.Bender - - Cypress Insurance Group PHONE 954 771-0300 -I ' Ne), 954 772 9424 A!C No,Ext, PO Box 9328 E-MAIL eanneb c ressinsultance.com Fort Lauderdale,FL 33310-9328 ADDRESS.j - --@ YP 954 771-0300INSURERS)AFFORDING COVERAGE NAIC# INSURERA:Capitol Specialty Insurance Cor INSURED INSURERS: Davis Construction Group INSURERC: 5210 SW 130th Avenue Southwest Ranches,FL 33330 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBkF — POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MMIDD MFWDD A GENERAL LIABILITY CS1600052301 1510612016 05/06/201 EACHI OCCURRENCE A - $1 OOO,OOO DMAGE RENTED X COMMERCIAL GENERAL LIABILITY PPREEMI3SE Ea occurrence $1()0'000 CLAIMS-MADE OCCUR MED-EXP(Any one person) $5,000 - X BI1PD Ded:1,000 PERS NAL&ADV INJURY $1,000,000 'GENE LAGGREGATE $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PROD CTS-COMPIOPAGG $1,000,000 POLICY E LOC $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS j JPer accidenty_ - -- HOCCUR $UMBRELLA LIAB EACH pCCURRENCE $ EXCESS LIABLA - AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION VT1C STATU- OTH- AND EMPLOYERS'LIABILITY Y I N 9RY LIMIT ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is required) license number CGC1620093 CERTIFICATE HOLDER CANCELLATION Village of Miami Shores Bldg SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 9 9 THE EXPIRATION DATE THEREOF, 1 NOTICE WILL BE DELIVERED IN Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue Miami,FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S225155/M221690 CAT MATE{ �► CERTIFICATE OF LIABILITY INSURANCE 0613012016 THIS CERTIFICATE 1 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NORIGHTSTHE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEi`3ATIVELY D, C OR AL THE u AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE Is INSUR84S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: N the Certificate holder Is an ADDITIONAL INSURED,the policy(les)must be eandorset If Stt ROGATION IS WAIVED,Subject to the terms and Conditions of the policy,Certs policies may mere an endorsement A statement on this cerIfficate does not Confer rights to the Certificate hohisr In lieu of such endorserna s PRODUCER Delores S.DL#f&Ch Sradley&Padr of Florida,Ina. PRM 954 667 � � ,. 954 6 4503 NW 903rd Avenue,Suite 108 des bra#Ieyptli9cerins.cxsm a cOEMAS it Sunrise FL 33323 NORMANDY HARBOR INS i O. �✓ 29W3 INSURED I3. Davis,dumbing&Ges,Inc.d/Wa Davis Construction C wp DOURJER C. 5210 SW 130th Avenue INSURER o Southwest Ranches FL 33330 COVERAGES CERTIFICATE NUMBER, REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED„ NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCU T WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEDBY THE POLICIES DESCRIBED HERE N IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,. TMOF94SURARM POLICY � Lam CWHAERCIAL 691419PAL LMORM EACM DCDURREMCE $ CLdiIMEE OCCUR L-4_ . .. } EXP pwsw) $ PER SADVIMdifRtf is Bft1Yt AtitrRE oTF LIMIT APPLIES PVt I GENERAL ACIC WGATE i PRO- POLICY Lt}O PRGSIbiltt -COMPVOP AGG 1$ an-o: ffi 1 AUT0110ftE LIABILITY COM S ;$ 'AMY AUTO SwLY INJURY(per ate+) $ ALL OWNED SCHEDULED ti AUTOSM QED LY1iUI21{P�riy.E --E HIREDAUTOS PR AUTOS 1 S t OCCUR EACH fSC $ Owas8LW9 C1AferiBtAAt3E A£dGF2ICiAIEu' µ i D TRIM a $ .,.... j AND 9MPL OVEAS LIASAMI IAMY PROPPIETOMPARTNERfMCUTIVE �Yrn Ea EACHE1IT I 1,000,000 A OFFI£ERIM9WER ELUDED? NIA NIA 1 NHFL0033132016 021191201 B:0211912017 �I�a+i�l E.L.D -EA EMKOYE5a 1,000,000 x OF PERNnONS maw E.L.D -POLICY umn:8 t,0tD0,OQfl 3 3 D9SCRIPTMOF OPERATMSILOCA=ft IVO LES{AOM 1$r,A"ftnai nt mase s Ia requimal License Number: CW520003 VIII l CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED I OLICH!S BE CANCELLED BEFORE THE EXPIRATION DATEOF, N WILL BE DELIVERED IN Miami Sham Village Building Dept. ACCORDANCE WITH THE POLICY'I+R . AUTHORRED REPRESENTATIVE 10060 HE 2nd Avenue Miami Shores FI 33138 01 1,14 ACORD F-RATION.All rights reserved. ACORD 25(2014001) The ACORD name and I *are registered nmrlts of ACORD STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 DAVIS, JOHN W JR DAVIS CONSTRUCTION GROUP 5210 SW 130TH AVE SOUTHWEST RANCHES FL 33330 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and STATE OF FLORIDA Professional Regulation. Our professionals and businesses range from architects to yacht brokers,from boxers to barbeque [)EPAIR BUSINESS AND restaurants,and they keep Florida's economy strong. PIS- 11LATION } Every day we work to improve the way we do business in order CGC_'1.520093?-. 6/13/2016 to serve you better. For information about our services,please - - - < log onto www.myfloridalicense.com. There you can find more GERTIPIED-G= information about our divisions and the regulations that impact you,subscribe to department newsletters and learn more about - /lS the Department's initiatives. i� Our mission at the Department is:License Efficiently,Regulate - . Fairly.We constardly strive to serve you better so that you can es serve our customers. Thank you for doingbusiness in Florida, �'CEitTFFIEB under Y(�e:ptotsfons-of Gr489"FS. and congratulations on your new license! _t�sns�3ooao�o4 DETACH HERE RICK SCOTT GOVERNOR KEN LAWSON,SECRETARY ,. STATE-OF.FLOR-IDA yN D€PAR 'CS ANO TOF RUCT10"Ns�ti�lSTRYRQ S NAL�AE�DUh4TIQN r - r - - Ch8�( S " `r .� �,dye..,.:,.-. J��- .._...� �._•.. .—.,, 71 ` �,. ^�� `` - , v t �. i � 11 fid.-. l �F ....rTes.• 1. �� � -�'+ � q ISSUED: 06/1312016 DISPLAY AS REQUIRED BY LAW SEQ# L1606130000704 OR 193 Miami Shores Village CFN 2016RC14Z39296 Building Department OR BK 30169 Ps3608 (1P9s) 10050 N.E.2nd Avenue RECRVEORDI-1-2 T:AY RUVINi CLE i'Z K Miami Shores, Florida 33138 111AIII—DADE (.'OUNTYwl FLORT15i:-1 OR Tel: (305) 795.2204 Fax: (305) 756.8972 COVENANT OF CONSTRUCTION WITI-11114 RIGHT OF WAY iA Whereas, (owner)jkkA=49 #, hereinafter referred to as the owner of th6 following described/ property (address): 1155 Heqqlli Sj- Legal Description: Lot Block Subdivision Folio # C)ISO Requests permission to install (describe work): Y)PjZ CifiVe L"-)a\j to C 1) Within the public right of way of (address) ItS9 We c7cl-t" <.)Ooivs 433 j-&t IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows: 1. To maintain and repair, when necessary, the above-mentioned item(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Vi'liage or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. i 2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade County harmless from any and ail liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and/or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligations has been canceled by an affidavit filed in the Public Records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). Signature U17 �Iz Owner or Agent State of Florida County of Miami Dade The fore day of oing in was acknowledged before me this JA 20 by \�T 11tc e 0,�GY-ewho is personally known to me or who has produced Thfj/ as identification. NOT UBLI Sj Sig ............... P It. PAULA S.PALOMINO 7U < rint: Notary Public,State of FMU tq� Commiaa!W FF MU My comm spires Feb.26, _4 hl�M'i C!2,"'A'04; 8 16 PD.22L— .4 VY ZMd aw�d V Ey HAWK*CLERK,Aptym and CCU*CDWIS C eet 2 of 4(Survey Related Data)-See Sheet 3 of 4 for Legal Description,Certifications,Property and other Survey related data.SURVEY IS NOT COMPLETE WITHOUT ALL SHEETS 3...A r'/)i ?1T1f JIIv{ 'es Vill], ge By M1 D TE 5CAIl:I'=30 '^' D_�� r v I FL.fJLWAI NE 99TH STREET ( AERIAL PHO MRA PH �A , 22 A5PHALT ROADWAY ?' _F 70 RIGHT-CF-WAY UN[YFE LE00: i MI ASPHALT $ BOUNDARY UNE DRIV WAY BUILDING UNE C15041NE YI fi r FIP 12' P I� � ( + � rA7EMENT UNE NO I.D. r � te, CHAIN LINK FENCE N � QL WOODEN FENCE T—5.74.53.60 2503' ' %' —.— — — OVERHEAD CAB P cD 25.10 v LCA: Lr- xch N 15TORY M o CA DENOTES CENTRAL ANGLE Q _ CATVDEVOTESCaf T.V.BOX R51DF1ICE !158 0.2 CH DEVOTES(MORD DISTANCE `., DE DENOTES DRNNAGE EASBAENT g 0 41.70 25.15. RPDENOTES FOL MD IRON PIPE L" 5 _ 14.50 0 CONC. FIR DENOTES RXWDIRON ROD FN DENOTES FOUND MNL MDENOTESANFASURED OHC OWES OVBNNEAD CABLE cl PDENOTESPLAT e 4,BLOCK 1_ `� PP DENOTES POOL PUMP NOTES RADNS M TR DENOTES THFPMONERISER 0.4" - / - 0.4' UEDEIOTESUTOYEASEMBVT UPDENOTES UWIYPOLE �.ye lye •�.r :. WM DENOTES WATER AE R FIP 12' RP 112- NO I.D. /2'N01.0. NO REVI EW15'FODC nLQU I RED N0.0. Florida Health Miami-Dade County O.S,T.D.S. &t Well Program i Application No.: tLX!q a-) Date: 9 -"-- Signature BEARING REFERENCE:NONE.RECORD INFOR.ViATiON RFUANT UPON ANGULAR DATA ONLY.ALL ANGULAR DATA 5HOWN HEREON REFEMCED 711ERETO. PLEASE NOTE: ALL 5EAPINGS 5HOWN hEREON REftkf ED Tl1ERETO. SLEJECTPROMTYISS&WZBYPE"aLMES Adverse Cwft=-Plem no tie b". Lardtec SuneyK dks servers hougllout tte State of Florida.Plewe refer to ora webs0e at Invoice Number: 01-59920 wrw.LardDc&M.com for up to dale ftdon abort ow locations and coverage area. Dawn By:B.Rar16 Tl>is Sauey has been issued by de blaq lana tec Srov*y offxe: 21000 Boca Ria Road-Ste.Al2 OateooFieldWak: tItQ2014 LAND7r Boca Raton,FL.33433 " Office: 561 367-3587 Fax: 56111465-3145 LAND SURVEYING - RESIDENTIAL SERVICES 1 0A Proudly Serving Florida's Land Title&Real Estate Industries www.LandtecSurvey.com I Ar�► sh��es � �. 33a �� r�S�haL-� d�i,twr4-� 4,4-0 aodc Wk Av f- S , ® Sw A L-C, . ar AN,Dr rj C C, LAND SURVEYING - RESIDENTIAL SERVICES Proudly Serving Florida's Land Title& Real Estate Industries www.landtecsurvey.com I A PROPERTY ADDRESS: 1158 NE 99TH STREET MIAMI SHORES, FL. 33138 BOUNDARY SURVEY Prepared for: HELEN O'HARE, JANETTE O. GUATY& JOSE A. GUATY Sheet 1 of 4 Sheet 2 of 4(Survey Related Data)-See Sheet 3 of 4 for Legal Description,Certifications,Property and other Survey related data.SURVEY IS NOT COMPLETE WITHOUT ALL SHEETS SCALE:I'=30' NE 99TM 5TREET AERIAL PHOTO6RAPH 22'A5PHALTROADWAY dA7rrUvr' ST, caY1?i 70 RIGHT-CF-WAY fr'CT•T:;$(`_ UNETYPE LEGEND: m I A5PHALT I u BOUNDARY UNE DRIVEWAY "' BUILDING UNE loc.. CENTERLINE FIP 1/2" HP 112' NO I.D. B 99 NO I.D. EA5EMENT UNE s '3d�4 N N N Q 9y19. x x }— CHAIN LINK FENCE o a WOODEN FENCE 28.03' 14.50 a b13.60 — — —,— OVERHEAD CABLE COV.ENTRY � 28.10 n x n Z> LEGEND. o 1-5TORY CA MOTES CENTRAL ANGLE RESIDENCE S 1158 _ CAN DENOTES CABLE TV.BOX m o --0.2' m CH DENOTES CHORD DISTANCE r 41.?0 �•, SDE MOTES DRAINAGE EASEMENT 0 28.15' ` FIP DEN07ES I=IRON PIPE 14.50'us ❑ CONC. c 15.63'— NC FIR DENOTES FOUND IRON ROD FN MOTES FOUND MAIL M DENOTES MEASURED OHC DEMO TES OVERHEAD CABLE PDENOTES PLAT -C6 co LOT 4,BLOCK 179 PP MOTES POOL PUMP ay, RDEWTESRADIUS 9y�92i TRDENOTESTREPHONERISER 0.4' - - 0.4' UE DENOTES UTILIIYEASEMENT UP OENOTES UTILITYPOLE FIP 1/2° MP I/2' WMDENOTESWATER METER NO I.D. 15ALLEY C5 NO I.D. BEARING REFERENCE:NONE.RECORD INFORMATION RELIANT UPON ANGULAR PLEASE NOTE. DATA ONLY.ALL ANGULAR DATA 5HOWN HEREON REFERENCED THEM. SUBJECT PROPERTYISSERWCEDBYPDX UTRMES. ALL BEARINGS 5HOWN HEREON REFERENCED THERETO. AoVerse CaedNm•Pieria note the foftawfny: Lmft SuNY*Ofts swces hinhout ft SW of Floft%m mfartoour websi(eat lnwocea umber: 01-5M www.Landbdurvey c m for up to date h mlat m about our loatlols and eovemp area. This survey lois leen kA by tie KowN Landk Sumft office: Drawn By:B.Franldm -- -�"—"°°°°'"f"�"'• ` " 21000 Boca Rio Road-Ste.Al2 DateofFlddwork: 1110314 Boca Raton,FL.33433 Re*on: Office:(561)367-3587 Fax:(561)465-3145 Revaion: LAND SURVEYING - RESIDENTIAL SERVICES www.LandtecSurvey.com Wim: Proudly Serving Florida's Land Title&Real Estate Industries Sheet 3 of 4(Survey Related Data)—See Sheet 2 of 4 for Sketch of Survey.SURVEY IS NOT COMPLETE WITHOUT ALL SHEETS LEGAL DESCRIPTION LOT 4,BLOCK 179,REVISED PLAT MIAMI SHORES SECTION 8,ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 43,PAGE(S)69,OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,FLORIDA, PROPERTY ADDRESS 1158 NE 99TH STREET MIAMI SHORES, FL 33138 INVOICE NUMBER 01-59920 DATE OF FIELD WORK 01/10/2014 CERTIFIED TO HELEN O'HARE, JANETTE O. GUATY, JOSE A. GUATY FLOOD ZONE AE - 120652 - 0306 - L BASE FLOOD ELEVATION OR DEPTH 6 (NGVD 29) LOWEST FINISHED FLOOR ELEVATION 9.64 General Notes: 1.THIS SURVEY IS BASED UPON RECORD INFORMATION PROVIDED BY CLIENT.NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY THIS OFFICE UNLESS OTHERWISE NOTED. 2.IF THIS SURVEY HAS BEEN PREPARED FOR THE PURPOSES OF A MORTGAGE TRANSACTION,ITS SCOPE IS LIMITED TO THE DETERMINATION OF TITLE DEFICIENCIES.NO FUTURE CONSTRUCTION SHALL BE BASED UPON THIS SURVEY WITHOUT FIRST OBTAINING APPROVAL ANDIOR UPDATES FROM LANDTEC SURVEYING.LANDTEC SURVEYING ASSUMES NO RESPONSIBILITY FOR ERRORS RESULTING FROM FAILURE TO ADHERE TO THIS CLAUSE. 3.ANY FENCES SHOWN HEREON ARE ILLUSTRATIVE OF THEIR GENERAL POSITION ONLY.FENCE TIES SHOWN ARE TO GENERAL CENTERLINE OF FENCE.THIS OFFICE WILL NOT BE RESPONSIBLE FOR DAMAGES RESULTING FROM THE REMOVAL OF,OR CHANGES MADE TO,ANY FENCES UNLESS WE HAVE PROVIDED A SURVEY SPECIFICALLY LOCATING SAID FENCES FOR SUCHPURPO DETERMINATION OF FENCE POSITIONS SHOULD BE BASED SOLELY ON THEIR PHYSICAL RELATIONSHIP TO THE MONUMENTED BOUNDARY LINES. SES. 4.GRAPHIC REPRESENTATIONS MAY HAVE BEEN EXAGGERATED TO MORE CLEARLY ILLUSTRATE MEASURED RELATIONSHIPS-DIMENSIONS SHALL HAVE PRECEDENCE OVER SCALED POSITIONS. 5.UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS SPECIFICALLY SHOWN. 6.ELEVATIONS ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM(N.G.V.D.1929)OR NORTH AMERICAN VERTICAL DATUM(N.A.V.D.1988)AS SHOWN ABOVE. 7.ALL BOUNDARY AND CONTROL DIMENSIONS SHOWN ARE FIELD MEASURED AND CORRESPOND TO RECORD INFORMATION UNLESS SPECIFICALLY NOTED OTHERWISE. 8.CORNERS SHOWN AS"SET'ARE IDENTIFIED WITH A CAP MARKED LB(LICENSED BUSINESS)#6799. I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY MEETS THE MINIMUMOF TECHNICAL BY AUTHORITY GRANTED PER 5J-17.051(3)(b)(6)FLORIDA ADMINISTRATIVE CODE:FOR MORTGAGE STANDARDS FOR SURVEYS,AS SET FORTH BY THE FLORIDA BOARD MI SURVEYORS TRANSACTIONS,LANOTEC HEREBY AUTHORIZES CERTIFIED TITLE AGENTS SHOWN HEREON TO ADD ANY AND MAPPERS PURSUANT CHAPTER O 17 2.0 7 5 LORI52 OF THE ES,A D THAT TISTRATIVE LENDER CERTIFICATIONS THEY DEEM NECESSARY TO COMPLETE SAID TRANSACTION.ANY OTHER CODE, ONICsiGNAT SECTION 472.027,FLORIDA STATUTES,AND THAT THE ALTERATIONS SHALL VOID THIS SURVEY.PLEASE ENTER ADDITIONAL CERTIFICATION(S)BELOW: ELECTRONIC SIGNATURE AND SEAJ.YiE[tEON MEETS PROCEDURES AS SET FORTH IN CHAPTER 5,147.682.PURSUANT TdSECTM.472.025,FLORIDA STATUTES. Digitally signed by Andrew Snyder,R.S.M. _ ON:cn AhdrewSnyder, 7P.S.M.,c=landtech Surveying, or cwwoa.>"fir ou,email asnyder@msn.com, C--US Date:2014.01.1418.16:33 f -05'00' JVD N-P J . _-DATE01/14/2014' ANDREWSNYDE02-PROFESSIONAL SURVEYOR AND MAPPER LAND SURVEYING- RESIDENTIAL SERVICES FLORIDA REGISTRATION No.5639(NOT VALID WITHOUT THE SIGNATUREAND THE ORIGINAL RAISED SEAL OR ELECTRONIC SEAL OFTHE FLORIDA LICENSEProudly Serving Florida's Land Title&Real Estate Industries DSURVEYOIT AND MAPPER SHOWN ABOVE) LwA DTZC�ii LAND SURVEYING - RESIDENTIAL SERVICES Proudly Serving Florida's Land Title and Real Estate Industries Understanding your Boundary Survey Land Surveying is both an art and a science of accurately determining the terrestrial or three-dimensional position of points and the distances and angles between them.These points are usually on the surface of the Earth,and they are often used to establish land maps and boundaries for ownership or governmental purposes.To accomplish their objective,land surveyors use elements of geometry,engineering,trigonometry,mathematics,geology,physics,and law. A boundary survey establishes boundaries of a parcel using its legal description,which typically involves the setting or restoration of monuments or markers at the corners or along the lines of the parcel,often in the form of iron rods,pipes,or concrete monuments in the ground,or nails set in concrete or asphalt. Any given parcel may have potential problems with regards to improper bounding,miscalculations in past surveys,titles,and easements.The result can be abutting properties not coinciding with adjacent parcels,resulting in hiatuses(gaps)and overlaps.The art plays a role when a surveyor must solve a puzzle using pieces that do not exactly fit together.In these cases,the solution is based upon the surveyor's research and interpretation,along with established procedures for resolving discrepancies and the surveyor's ability to follow in the footsteps of their predecessors and identifying the original surveyor's intent. Important Considerations Your boundary survey has been prepared to mark your boundary lines in the field and illustrate where all of the permanent improvements to your property lie relative to your property lines.If you have utilized the services of a title agent,he or she will likely point out potential problems to you after reviewing your boundary survey sketch and list such problems as exceptions to your title policy(i.e.,not covered by your policy).You should familiarize yourself with this document and specifically watch for the following items. Encroachments.One of the most common types of problems is the extension of physical improvements into easements or adjoining properties.These will be shown graphically on the sketch as well as written out in the section titled"Adverse Conditions". Easements are areas on your property that are reserved for specific uses such as utility services,drainage,or maintenance of other common or local government improvements.You are typically prohibited from building anything within these areas. Fence Lines:Surveyors can not necessarily determine who"owns"a fence.We can only show a fence position relative to the boundary line.In certain cases-usually in more rural areas-a long standing fence line that has been accepted by previous land owners as a property division may actually have become the property line even though it may not lie on the deeded property line. Be cautious whenever contemplating any changes to existing fence lines.The same caution should be used for hedge lines. Boundary Inconsistencies.Surveyors are required to show any inconsistencies between the deeded boundary information and what was actually observed in the field.Many are due to mathematical errors in the original deeded information which are in a sense "corrected"by your survey.Most such differences are very minor and your survey will show these differences on the sketch.Major inconsistencies will be more fully explained on the sketch with possible precautionary advice.These could affect the proper placement offences or other improvements and may also create property line disputes with neighbors.�4n attorney maybe necessary to definitively correct the problem. There is no way to fully cover the vast list of potential problems here but rest assured that Landtech Surveying has taken great care in preparing your boundary survey to illustrate all the information you would need regarding your boundary and the improvements thereon.If you wish to discuss anything about your boundary survey,please do not hesitate to call us and we will be more than happy to answer any questions or concerns you may have. Thank you. Sheet 4 of 4 U.S.UEPARTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Flood Insrrance 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 Helen O'Hare,Janette O.Guaty&Jose A.Guaty Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIL Number. 1158 NE 99 Street City Miami Shores State FL ZIP Code 33138 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Parcel ID:11-3205-018-0130 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential A5. Latitude/Longitude:Lat.25.8665°N Long.80.1748°W Horizontal Datum: ❑ NAD 1927 N NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a cxawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of c rawlspace or enclosure(s) 120 sq it a) Square footage of attached garage 185 sq It 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 11 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 1440 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? N Yes ❑ No d) Engineered flood openings? ❑ Yes N 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 County FL B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone Effective/Revised Date Zones) AO,use base flood depth) 12086C.:0306 L 09/11/2009 09/11/2009 AE 6 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile N FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: N NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes N No Designation Date:N/A ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction" ® Finished Construction "A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. Benchmark Utilized:MDCBM:B-4000:Elev-8.28 Vertical Datum: NGVD 29 Indicate elevation datum used for the elevations in items a)through h)below. ID NGVD 1929 0 NAVD 1988 0 Other/Source. Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a)Top of bottom floor(including basement,cxawlspace,or enclosure floor) 9.64 N feet ❑meters b)Top of the next higher floor N/A. ❑feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) WA. ❑feet ❑meters d)Attached garage(top of slab) 7.76 N feet ❑meters e)Lowest elevation of machinery or equipment servicing the building 7.66 N feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 7.34 N feet ❑meters g)Highest adjacent(finished)grade next to building(HAG) 7.45 N feet ❑meters h)Lowest adjacent grade at lowest elevation of deck or stairs,including structural support 7.34 N feet ❑meters SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S.Code,Section 1001. - N Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a _ ❑ Check here if attachments. licensed land surveyor? N Yes ❑ No - :L Certifier's Name Andrew Snyder License Number LS5639 = Title Surveyor&Mapper Company Name Landtec Surveying,Inc. ` wq�wuy s�ec6ynndrew seder,n sin Address 21000 Boca Rio Rd-S.Al2 C' Boca Raton State FL ZIP Code 33433 swwyk" '* °SMgo�1and1'C}1 Signature Date 01/14/2014 Telephone 561-367-3587 - FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT:In these spaces,copy the corresponding 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. 1158 NE 99th Street 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 Section C2 E-A/C unit Latitude and Longitude derived from Google Earth. Signature Date 01/14/2014 SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C.For Items E1-E4,use natural grade,If available.Check the measurement used.In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)Is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawispace,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 eievated'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 f-I Check here if attachments. SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community s floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable items)and sign below.Check the measurement used in Items G8-G10.In Puerto Rico only,enter meters. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed,surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or 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 17 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: 1158 NE 99TH Street 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 Rear n�n,.. s >u „ 4 �n� f ?> Ffi£ r; FEMA Form 086-0-33(7/12) Replaces all previous editions. * s 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. City State ZIP Code Company MAIC 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 Vier 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. FEMA Form 086-0-33(7/12) Replaces all previous editions.