PLC-11-1242 (2).t.!•;'.
4rtt' AL. *•:574.
Certificate of Occupancy
Miami Shores Village
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
compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following:
Permit Type COMMERCIAL CONSTRUCTION Bldg. Permit No. CC-4-11-586
Owner BARRY UNIVERSITY Contractor MOSS & ASSOCIATES LLC
Subdivision/Project BARRY UNIVERSITY Date Issued 8/20/2012
Occupancy
Construction Type 11 B Load 923
Occupancy
Square Footage 70,970 SQ FT Type R-2 B 2007 FBC
Description of NEW DORMITORY
Work
11300 NE 2 AVE DOMINICAN BLDG
Miami Shores Shores FL 33138-
Location
Building Officials Approv 1ornian
Not Transferable
POST IN A CONSPICUOUS PLACE
145.,
• f!..1, 77,
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: I NS P- 177653
Permit Number: PLC -7 -11 -1242
Inspection Date: May 23, 2012
Inspector: Hernandez, Rafael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue NEW DOORM
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: RIGHT WAY PLUMBING CO INC
Permit Type: Plumbing - Commercial
Inspection Type: Plumbing
Work Classification: New
Phone Number
Parcel Number 1121360010160 -37
Phone: (954)423 -0000
Building Department Comments
STUDENT DORMITORY 3 STORY 207 BEDROOMS
Passed i6 ---"
Inspector Comments
BACKFLOW PREVENTOR CERTIFICATE FROM HEALTH DEPARTMENT
/4 / y
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
For Inspections please call: (305)762 -4949
August 22, 2012
Page 1 of 1
Rick Scott
Govemor
Steven L. Harris, M.D., M.Sc.
Interim State Surgeon General
Engineering Section
1725 N. W. 167th Street
Miami, Florida 33056
March 16, 2012
PWS: 4130871
Barry University
clo Bruce Edwards
2101 N. Andrews Avenue, Suite 300
Ft. Lauderdale, FL 33311
Project Name:
Address:
Permit #:
Issued:
Dear Mr. Edwards:
Final- Including Backflow Preventor
Barry University
NW 2nd Avenue and NW 115th Street
272313 - 879 -DSGP
06/03/2011
This will serve to acknowledge receipt of request for a Letter of Release to place this water
supply system into service.
Based on the Engineer's certification and satisfactory pressure test and bacteriological
consequences, we are releasing these facilities for service.
Your continued cooperation in our public water system program is very much appreciated.
Very truly yours,
Samir Elmir, PhD., P.E.
Drinking Water Program
1
Cc: Michael Schwartz, P.E., Kimley -Horn and Associates, Inc
Rafael Terrero, P.E.,MDWASD
Carlos Hernandez, Miami Dade PERA
Samir Elmir, PhD, PE, DEE, CEHP, Director
Environmental Health and Engineering
Miami -Dade County Health Department
1725 NW 167th Street, Miami Gardens, Florida 33056
Tel: (305) 623 -3500 Fax: (786) 623 -3502
Email: Samir E1mir@doh.state.fl.us
Website: www.dadehealth.org
9
tally cHea h
Permit Number: CC-4- 11-586 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 - 177455
Inspection Date: August 16, 2012
Inspector: Bruhn, Norman
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue NEW DOORM
Miami Shores, FL 33138 -0000
Project BARRY UNIVERSITY
Contractor: MOSS & ASSOCIATES LLC
Permit Type: Commercial Construction
Inspection Type: F. Elevation Certificate
Work Classification: New
Phone Number
Parcel Number 1121360010160 -37
Phone: (954)410 -3250
Building Department Comments
CONSTRUCTION OF A NEW THREE STORY BUILDING:
247 BED RESIDENCE, HALL APPROX 72,000 SQFT
INCLUDING NEW PARKING.
�
Passe z
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
For Inspections please call: (305)762 -4949
August 16, 2012
Page 1 of 1
U.S. f SARTMENT OF HOMELAND SECURITY
Fede mergency Management Agency
,ational Flood Insurance Program
ELEVATION CERTIFICATE
Important Read the instructions on pages 1 -9.
OMB No. 1660 -0008
Expires March 31, 2012
SECTION A - PROPERTY INFORMATION
Al. Building Owner's Name BARRY COLLEGE U6669
For Insurance Company Use:
Policy Number
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
11300 NW 2 AVENUE (RESIDENCE HALL)
' Company NAIC Nbrnber
City MIAMI State FL ZIP Code 33161
A3. Property Description .(Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
A PORTION OF SWY4 OF THE NE'/% OF SECTION 36 - TOWNSHIP 52 SOUTH -RANGE 41 EAST
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.)
A5. Latitude/Longitude: Lat. 25 °52'47.5" Long. 80 °12'06.5"
A6. Attach at least 2 photographs of the building if the Certificate is being used
A7. Building Diagram Number 1A
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 0 sq ft
b) No. of permanent flood openings in the crawlspace or
enclosure(s) within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in
d) Engineered flood openings? ❑ Yes ® No
NON - RESIDENTIAL
Horizontal Datum:
to obtain flood insurance.
❑ NAD 1927 e NAD -1983
A9. For a building with an attached garage:
a) Square footage of attached garage 0 sq ft
b) No. of permanent flood openings in the attached garage
within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes e No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
MIAMI 120652
B2. County Name
BROWARD
B3. State
FL
B4. Map/Panel Number
12086C 0134
B5. Suffix
L
B6. FIRM Index
Date
9/11/09
B7. FIRM Panel
Effective/Revised Date
9/11/09
B8. Flood
Zone(s)
B9. Base Flood Elevation(s) (Zone
AO, use base flood depth)
N/A
BI0. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile e FIRM ❑ Community Determined ❑ Other (Describe)
B11. Indicate elevation datum used for BFE in Item B9: NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes e No
Designation Date ❑ 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 A1-A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 A30, AR/AH, AR/AO. Complete Items C2.a -h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized *Vertical Datum NGVD1929
Conversion/Comments NONE
a)
b)
c)
d)
e)
f)
9)
h)
Top of bottom floor (including basement, crawlspace, or enclosure floor) 13.3
Top of the next higher floor 25.3
Bottom of the lowest horizontal structural member (V Zones only) IV.A
Attached garage (top of slab) N.A
Lowest elevation of machinery or equipment servicing the building 9.3
(Describe type of equipment and location in Comments)
Lowest adjacent (finished) grade next to building (LAG) 12.5
Highest adjacent (finished) grade next to building (HAG) 12.8
Lowest adjacent grade at lowest elevation of deck or stairs, including IV.A
structural support
Check the measurement used.
® feet
181 feet
❑ feet
❑ feet
feet
feet
® feet
❑ feet
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
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. / certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
® Check here if comments are provided on back of form.
Were latitude and longitude In Section A provided by a
licensed land surveyor? i4 Yes ❑ No
Certfier's Name CARL E. ALBREKTSEN
License Number 4185
Tale VICE PRESIDENT
Address 400 NE 3w' AVENUE
Company Name McLAUGHLIN ENGINEERING COMPANY
City FORT LAUDERDALE
State FL ZIP Code 33301
Signature /y (!ai
Date 7/24/12 Telephone 954.763.7611
SEAS
H ER
1/4y/17_,
FEMA Form 81 -31, Mar 09
See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
11300 NW 2 AVENUE (RESIDENCE HALL)
City MIAMIState FL ZIP Code 33161
For Insurance Company Us
Policy Number
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 Al. OWNERS NAME PER THE MIAMI -DADE COUNTY PROPERTY APPRAISERS WEBSITE.
C2. REFERENCE BENCHMARK - MIAMI -DADE COUNTY BENCHMARK # N -566, ELEVATION = 10.78
C2. e) ELEVATOR PIT ELEVATION
CROWN OF ROAD ELEVATION =11.7
A5. GPS
Signature
e /7J
Date 7/24/12
Check here if attachments
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.
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 ❑ 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 I-IAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA- issued or community- issued BFE)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address
City State ZIP Code
Signature
Date Telephone
Comments
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E),
and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA - issued or community- issued BFE) or Zone AO.
G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes.
G4. Permit Number
G5. Date Permit Issued
G6. Date Certificate Of Compliance /Occupancy Issued
G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum
G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum
Local Official's Name
Community Name
Signature
Comments
Title
Telephone
Date
Check here if attachments
FEMA Form 81 -31, Mar 09
Replaces all previous editions
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address (including Apt, Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No.
11300 SE 2 AVENUE
Policy Number
City MIAMI State FL ZIP Code 33161
Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View "; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the
reverse.
PICTURES TAKEN 7/24/12
FRONT VIEW
RIGHT SIDE VIEW
REAR VIEW
LEFT SIDE VIEW
Permit Number: CC-4- 11-586 J
ti
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 177455
Inspection Date: August 16, 2012
Inspector: Bruhn, Norman
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue NEW DOORM
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: MOSS & ASSOCIATES LLC
Permit Type: Commercial Construction
Inspection Type: F. Elevation Certificate
Work Classification: New
Phone Number
Parcel Number 1121360010160 -37
Phone: (954)410 -3250
Building Department Comments
CONSTRUCTION OF A NEW THREE STORY BUILDING:
247 BED RESIDENCE, HALL APPROX 72,000 SQFT
INCLUDING NEW PARKING.
Passe/j �
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
For Inspections please call: (305)762 -4949
August 16, 2012
Page 1 of 1
U.S. ARTMENT OF HOMELAND SECURITY
Ode mergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -9.
OMB No. 1660 -0008
Expires March 31, 2012
SECTION A - PROPERTY INFORMATION
Al. Building Owner's Name BARRY COLLEGE U6669
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
11300 NW 2 AVENUE (RESIDENCE HALL)
For Insurance Company Use:
Policy Number
Company NAIC Num
City MIAMI State FL ZIP Code 33161
A3. Property Description .(Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
A PORTION OF SW% OF THE NE34 OP SECTION 36 - TOWNSHIP 52 SOUTH -RANGE 41 EAST
A4. Budding Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.)
A5. Latitude/Longitude: Lat. 25 °52'47.5" Long. 80 °12'06.5"
A6. Attach at least 2 photographs of the building if the Certificate is being used
A7. Building Diagram Number j,
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 0 sq ft
b) No. of permanent flood openings in the crawlspace or
enclosure(s) within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in
d) Engineered flood openings? ❑ Yes e No
NON - RESIDENTIAL
Horizontal Datum:
to obtain flood insurance.
❑ NAD 1927 e NAD -1983
A9. For a building with an attached garage:
a) Square footage of attached garage 0 sq ft
b) No. of permanent flood openings in the attached garage
within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes _4 No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
MIAMI 120652
B2. County Name
BROWARD
B3. State
FL
B4. Map/Panel Number
12086C 0134
B5. Suffix
L
B6. FIRM Index
Date
9/11/09
B7. FIRM Panel
Effective/Revised Date
9/11/09
B8. Flood
Zone(s)
"Xn
B9. Base Flood Elevation(s) (Zone
AO, use base flood depth)
N/A
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile e FIRM ❑ Community Determined
BI 1. Indicate elevation datum used for BFE in Item B9: NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes e No
Designation Date ❑ CBRS ❑ OPA
❑ Other (Describe)
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* e. Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations - Zones Al A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a -h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized *Vertical Datum NGVD1929
Conversion/Comments NONE
a)
b)
c)
d)
e)
f)
9)
h)
Top of bottom floor (including basement, crawlspace, or enclosure floor) 13.3
Top of the next higher floor 25.3
Bottom of the lowest horizontal structural member (V Zones only) IV.A
Attached garage (top of slab) IV.A
Lowest elevation of machinery or equipment servicing the building 9.3
(Describe type of equipment and location in Comments)
Lowest adjacent (finished) grade next to building (LAG) 12.5
Highest adjacent (finished) grade next to building (HAG) 12.8
Lowest adjacent grade at lowest elevation of deck or stairs, including N.A
structural support
Check the measurement used.
feet
feet
❑ feet
❑ feet
feet
® feet
feet
❑ feet
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
❑ meters (Puerto Rico only)
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. l certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Check here if comments are provided on back of form.
Were latitude and longitude in Section A provided by a
licensed land surveyor? ►14 Yes ❑ No
Certifler's Name CARL E. ALBREKTSEN
License Number 4185
Title VICE PRESIDENT
Company Name McLAUGHLIN ENGINEERING COMPANY
Address 400 NE 3 AVENUE City FORT LAUDERDALE
State FL ZIP Code 33301
Signature eae. i Date 7/24/12 Telephone 954.763.7611
RACE
SEAL
HERE
FEMA Form 81 -31, Mar 09
See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A.
Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
11300 NW 2 AVENUE (RESIDENCE HALL)
For Insurance Company
Policy Number
City MIAMIState FL ZIP Code 33161
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 Al. OWNERS NAME PER THE MIAMI -DADE COUNTY PROPERTY APPRAISERS WEBSITE.
C2. REFERENCE BENCHMARK - MIAMI -DADE COUNTY BENCHMARK # N -566, ELEVATION = 10.78
C2. e) ELEVATOR PIT ELEVATION
CROWN OF ROAD ELEVATION = 11.7
Signature
e4,9,1/
A5. GPS
Date 7/24/12
Check here if attachments
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.
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 ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8 -9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA- issued or community- issued BFE)
or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address
City
State ZIP Code
Signature
Date Telephone
Comments
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E),
and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO.
G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes.
G4. Permit Number
G5. Date Permit Issued
G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum
❑ feet ❑ meters (PR) Datum
❑ feet ❑ meters (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site:
G10. Community's design flood elevation
Local Official's Name
Community Name
Signature.
Comments
Title
Telephone
Date
Check here if attachments
FEMA Form 81 -31, Mar 09
Replaces all previous editions
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address (including Apt, Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No.
11300 SE 2 AVENUE
Policy Number
City MIAMI State FL ZIP Code 33161
Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View "; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the
reverse.
PICTURES TAKEN 7/24/12
FRONT VIEW
RIGHT SIDE VIEW
REAR VIEW
LEFT SIDE VIEW
Ile
B� Y
UNIVERSITY
VICE PRESIDENT OF BUSINESS DEVELOPMENT AND OPERATIONS
August 20, 2012
Mr. Norman Bruhn
Building Official/Director
Miami Shores Village
Miami Shores, FL 33138 -2382
Re: Temporary Construction Trailer — Moss
Mr. Bruhn:
11300 NE Second Ave
to
AUG 212012
Miami Shores, Florida 33161 -6695
Phone 305 - 899 -2900
Fax 305- 899 -3959
We appreciate Miami Shores Village completing the Certificate of Occupancy on
Dominican and Certificate of Completion for Benincasa & Kolasa so these projects could
be closed.
With Miami Shores Village consideration, Barry University would like to maintain the
use of the temporary construction trailer for Moss while they complete the remaining
projects. The temporary trailer will be removed from our property by September 30,
2012.
Please feel free to contact me or Sherry Werner, Moss 954- 410 -5099 if you have any
questions. Thank you.
Sincerely,
Barry Univ
By:
Michael Griffin
Vice President of Business Development and Operations
CC: Sherry Werner — Moss
Jeff Yao — Barry University
Barry University
UNIVERSITY
VICE PRESIDENT OF BUSINESS DEVELOPMENT AND OPERATIONS
August 20, 2012
Mr. Norman Bruhn
Building Official/Director
Miami Shores Village
Miami Shores, FL 33138 -2382
Re: Temporary Construction Trailer — Moss
Mr. Bruhn:
11300 NE Second Ave
Miami Shores, Florida 33161 -6695
Phone 305 - 899 -2900
Fax 305 - 899 -3959
We appreciate Miami Shores Village completing the Certificate of Occupancy on
Dominican and Certificate of Completion for Benincasa & Kolasa so these projects could
be closed.
With Miami Shores Village consideration, Barry University would like to maintain the
use of the temporary construction trailer for Moss while they complete the remaining
projects. The temporary trailer will be removed from our property by September 30,
2012.
Please feel free to contact me or Sherry Werner, Moss 954- 410 -5099 if you have any
questions. Thank you.
Sincerely,
Barry Univer
By:
D'. Michae
✓/� '/
7rrn /
ice President of Business Development and Operations
CC: Sherry Werner — Moss
Jeff Yao — Barry University
Barry University