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RC-09-1531R E JUN 1.42012 iami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Off, £ - 01,6- Tel: (305) 795.2204 Fax: (305) 756.8972 C'erJ 3(07-2-ri 0 CERTIFICATE OF OCCUPANCY/COMPLETION CHECK LIST Building permit card. urveys (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. Certificate of Insulation. ertificate 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 /aw as established by the Florida Department of Agriculture and Consumer Services." Health Department A pp roval Letter ( On septic or private water). Note: If the house is on septic tank, approval letter is required from Health Dpt. Soil ompaction Letter (Density report is required) inal certification letter from the Engineer /Architect (on masonry, trusses, special structure, etc) X--13-ackftaw-preventer- ceftificate (Required on commercial projects only) ded 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 fee is $150.00 • Commercial CO is $200.00 INSPECTIQN RECO Miaini Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone : (305)795 -2204 Fax: (305)756 -8971 POST ON SITE Permit NO RC 9 -09 °i 531 Issue Date: 11/23/2009 .Tres: 09/10/2011 _ INSPECTION REQUESTS: (393)762-4M or Lop on 4t httpsa/ bleig .rnaamoshoresvillage.com/cap REQUESTS ARE ACCEPTED DURING 8:30AM - S:30PM FC R THE FOLLOWING BUSINESS DAY. Requests must be received) by 3 pm for following day Ins • ections. Residential Construction Owner's Name: DEYSI :POLANCO Job Address: Parc& 1132050010200 Miami S ores, FL 33138 - Bond Number: 1905 Owner's P Total Square Total Job Valu ne: Feet: 2995 Lion: $ 200,000.00 Contracto1'(s) Phone Primary Corntrautor DISTINCTIVE HOMES 1 (305)279 -2088 Yes WORK IS ALLOWED MO 7 :30AM - 6:OOPM. NO WO OR HOLIDAYS. BUILDING INSPECTIONS9 THROUGH THURSDAY. DONE MONDAY THROU INSPECTIONS DONE ON DAY THROUGH SATURDAY, L IS ALLOWED ON SUNDAY it:RE DONE MONDAY GOOFING INSPECTIONS ARE �H FRIDAY. NO BUILDING RIDAY. THIS MUST BE ON JOB AT TIME OF INSPECTION NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS A THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSUR THAT WORK IS ACCESSIBLE AND E KPOSED FOR INSPE THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLA WARNING TO OWNER: Y4.1R FAILURE TO RECORD COMMENCEMENT MAY RESUL T ! IN YOU ' PAYING TWICE FOR IM YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. II OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AT CO NIENCI='''G,;WORK OR RECORDING YOUR NO'fCE OF COMM READLY AVAILABLE: IT IS ION PURPOSES. NEITHER OF ANY MATERIAL NOTICE OF ROVEMENTS TO RECORDED AND YOU INTEND TO CRNEY BEFORE NCEMENT. INSPECTION RECORD STRUCTURAL INSPECTION DATE INSP Foundation Water Service —EWA Stemwall To • Out cm/m Fire S • rinklers mailmmirarijf Slab ELECTRICAL INSPECTION _ . r*D id Columns (1st Lift) Tem . • ra Po ? /i7 .'�> �A 30 Da Tem• •ra' Columns (2nd Lift) MO Pool Bonding Tie Beam Pool Deck Bonding Truss /Rafters Pool Wet Niche Roof Sheathing Underground Bucks � &;?1..L 6---,./ Windows /Doors Interior Framing Insulation. Ceiling Grid Drywall PLUMBING COMMENTS Firewall Wire Lath Pool Steel NICAL DATE INSP Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin Cap mi. Roof in Progress Fire Alarm Final Service Work With Mop in Progress FINAL 11 ELECTRICAL `: E: r Final Roof MIPA'niff Final Vacuum Shutters Attachment ' Final Shutters 1111111.EM 171141E 7E4 IIWI Rails and Guardrails ADA com • liance FINAL DOCUMENTS Soil Bearing Cert Soil Treatment Cert Floor Elevation Survey Reinf Unit Mas Cert Insulation Certificate Spot Survey Final Survey Truss Certification STRUCTURAL COMMENTS ZONING INSPECTION DATE INSP Zoning Final ZONING COMMENTS Rough WE= Water Service —EWA 2nd Rou•h Furrnrwm, To • Out cm/m Fire S • rinklers mailmmirarijf Se• tic Tank —�%�). ELECTRICAL INSPECTION _ . r*D id INSP Tem . • ra Po ? /i7 .'�> �A 30 Da Tem• •ra' MO Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab Wall Rough Ceiling Rough Rough PLUMBING COMMENTS Telephone Rough Telephone Final TV Rough NICAL DATE INSP TV Final Cable Rough Cable Final Intercom Rough Intercom Final Alarm • h [ �jRou mi. Fire Alarm Rough Fire Alarm Final Service Work With Final Ventilation FINAL 11 ELECTRICAL `: E: r Final Pool Heater MIPA'niff Final Vacuum FINAL AIhI1i111 MECHANICAL CO MENT ' PLUMBING INSPECTION DATE IN r ∎rI/ % Rough WE= Water Service —EWA 2nd Rou•h Furrnrwm, To • Out cm/m Fire S • rinklers mailmmirarijf Se• tic Tank —�%�). Sewer Hook -u • G ,1n41% Roof Drains NIIIIIIINIIIRMI Gas Immr�dintm, LP Tan Well " Lawn Sprinklers Main Drain Pool Piping Backflow Preventor Interce •tor Catch Basins Condensate Drains HRS Final FINAL PLUMBING COMMENTS 1 — 6E ►d o MECH INSPECTION NICAL DATE INSP nderground Pipe 'ough Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater MIPA'niff Final Vacuum FINAL AIhI1i111 MECHANICAL CO MENT ' 1111111.EM 171141E 7E4 IIWI Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Project Owner: Phone: <NONE> DEYSI POLANCO Job Address: 1183 91 Terrace Miami Shores, FL 33138- Parcel: 1132050010200 Block: Lot: Scheduled Ins • # Ins • ection T • e Ins • ection Status 01/01/2999 INSP- 124709 Final Building 01/01/2999 INSP- 124706 Final PE Certification NONE 01/01/2999 INSP- 124687 Termite Letter NONE 01/01/2999 INSP- 124695 Trusses Plan Submittal NONE NONE 01/01/2999 INSP - 124698 Roof Sheathing 01/01/2999 INSP- 124699 Wall Sheathing 01/01/2999 INSP - 124684 Footer Column Pads 01/01/2999 INSP- 124694 Rake Beam 01/01/2999 INSP - 124697 Roof Trusses 01/01/2999 INSP- 124686 Density 05/13/2010 INSP- 124702 Window Door windows and doors do not match plans Provide approved plans for inspection Approved product approvals required for inspection NB 5/13/10 NONE NONE NONE NONE NONE NONE Ins • ector Date Com • leted Default Inspector Not Complete Default Inspector Not Complete Default Inspector Not Complete Default Inspector Not Complete Default Inspector Default Inspector Default Inspector Default Inspector Default Inspector Default Inspector DENIED Norman Bruhn Not Complete Not Complete Not Complete Not Complete Not Complete Not Complete 5/14/2010 Tuesday, November 15, 2011 Page 1 of 5 01/14/2010 INSP- 124692 Tie Beam Provide engineer report. NB 01/13/2010 INSP - 124691 Spot Survey 09/27/2010 INSP- 124704 Insulation Not Ready need revision NB 12/17/2009 INSP- 124688 Slab 09/13/2010 INSP- 124703 Framing No permit or plan NB 10/14/2010 INSP- 124705 Drywall Screw House must be dry. NB 01/14/2010 INSP- 124689 Fill Cells Columns Provide engineer report. NB 09/02/2010 INSP - 124701 Wire Lathe PARTIAL APPROVED APPROVED DENIED APPROVED DENIED DENIED Norman Bruhn Norman Bruhn Norman Bruhn Norman Bruhn Norman Bruhn Norman Bruhn PARTIAL APPROVED Norman Bruhn DENIED MISSING RETURN ON WALL IN REAR PORCH AREA. JR. 02/23/2010 INSP- 124700 Window and Door Buck PARTIAL APPROVED All ok except entry door. NB 12/10/2009 INSP- 124685 Stem Wall Footer 12/07/2009 INSP- 129877 Foundation APPROVED APPROVED Elevation Certificate required prior to this inspection. NB FRONT 2WF16 TO REMOVE JR 12/07/09 01/01/2999 INSP- 130627 Footing 01/14/2010 INSP- 133501 Rake Beam Provide engineer report. NB 01/01/2999 INSP- 133658 Rake Beam CREATED AS REINSPECTION FOR INSP- 133501 01/01/2999 INSP- 133656 Fill Cells Columns CREATED AS REINSPECTION FOR INSP- 124689 04/22/2010 INSP- 133660 Tie Beam NONE PARTIAL APPROVED NONE . Provide engineer report NONE . Provide engineer report DENIED 1/19/2010 1/13/2010 9/27/2010 12/17/2009 9/13/2010 10/14/2010 1/19/2010 Jorge Rodriguez 9/2/2010 Norman Bruhn 2/24 /2010 Jorge Rodriguez 12/11/2009 Jorge Rodriguez 12/7/2009 Norman Bruhn Not Complete Norman Bruhn 1/19/2010 Norman Bruhn Not Complete .NB Norman Bruhn Not Complete .NB Jorge Rodriguez 4/23/2010 CREATED AS REINSPECTION FOR INSP- 124692. Provide engineer report. NB NO READY JR 02/16/2010 INSP - 135496 Truss Insp 02/16/2010 INSP - 135495 Roof Sheathing PLANS REQUIRE 10D NAILS, 8D USED. CANCELLED DENIED Norman Bruhn 2/17 /2010 Norman Bruhn 2/17 /2010 Tuesday, November 15, 2011 Page 2 of 5 02/17/2010 INSP- 135594 Roof Sheathing PARTIAL APPROVED Norman Bruhn 2/18 /2010 All ok except new entry and proposed porch. NB 05/11/2010 INSP- 135631 Roof Sheathing DENIED Norman Bruhn 5/12/2010 CREATED AS REINSPECTION FOR INSP - 135495. PLANS REQUIRE 10D NAILS, 8D USED. new terrace 08/20/2010 INSP- 135629 Truss Insp DENIED CREATED AS REINSPECTION FOR INSP- 135496. Truss details A3 and A5 are not complete. Detail A2 is missing nails. Provide revision for new rear porch. STOPPED INSP NB 01/01/2999 INSP - 135812 Roof Sheathing NONE Norman Bruhn 8/23/2010 Norman Bruhn Not Complete NB Not Complete 3/22/2010 Norman Bruhn 3/30/2010 Jorge Rodriguez 4/23/2010 Norman Bruhn 4/27/2010 CREATED AS REINSPECTION FOR INSP- 135594. All ok except new entry and proposed porch. 01/01/2999 INSP - 136322 Window and Door Buck NONE Norman Bruhn CREATED AS REINSPECTION FOR INSP- 124700. All ok except entry door. NB 03/18/2010 INSP- 138270 Foundation APPROVED Norman Bruhn Rear patio footer. NB 03/29/2010 INSP- 138986 Slab SLAB FOR TERRACE AND ENTRY PORCH 04/22/2010 INSP- 141176 Columns NOT READY JR 04/26/2010 INSP- 141289 Columns APPROVED DENIED DENIED CREATED AS REINSPECTION FOR INSP- 141176. Provide special inspector letter. NB 04/26/2010 INSP- 141291 Tie Beam DENIED Norman Bruhn 4/27/2010 CREATED AS REINSPECTION FOR INSP- 133660. CREATED AS REINSPECTION FOR INSP- 124692. Provide engineer report. NB 04/27/2010 INSP- 141630 Tie Beam PARTIAL APPROVED Norman Bruhn 4/28/2010 CREATED AS REINSPECTION FOR INSP- 141291. CREATED AS REINSPECTION FOR INSP - 133660. CREATED AS REINSPECTION FOR INSP- 124692. Provide engineer report. NB Provide final letter NB 04/27/2010 INSP- 141627 Columns PARTIAL APPROVED Norman Bruhn 4/28 /2010 CREATED AS REINSPECTION FOR INSP- 141289. CREATED AS REINSPECTION FOR INSP- 141176. Provide final engineer letter. NB 01/01/2999 INSP- 141799 Columns NONE Norman Bruhn Not Complete CREATED AS REINSPECTION FOR INSP- 141627. CREATED AS REINSPECTION FOR INSP- 141289. CREATED AS REINSPECTION FOR INSP- 141176. Provide final engineer letter. NB 01/01/2999 INSP- 141797 Tie Beam NONE Norman Bruhn Not Complete Tuesday, November 15, 2011 Page 3 of 5 CREATED AS REINSPECTION FOR INSP- 141630. CREATED AS REINSPECTION FOR INSP- 141291. CREATED AS REINSPECTION FOR INSP- 133660. CREATED AS REINSPECTION FOR INSP- 124692. Provide engineer' report. NB Provide final letter NB 05/13/2010 INSP - 143146 Roof Sheathing APPROVED Norman Bruhn 5/14/2010 CREATED AS REINSPECTION FOR INSP- 135631. CREATED AS REINSPECTION FOR INSP - 135495. PLANS REQUIRE 10D NAILS, 8D USED. new terrace 01/01/2999 INSP - 143497 Window Door NONE A44....h.v.....4 CREATED AS REINSPECTION FOR INSP- 124702. windows and doors do not match plans Provide approved plans for inspection Approved product approvals required for inspection NB 5/13/10 09/20/2010 INSP- 150302 Truss Insp DENIED Norman Bruhn Not Complete Norman Bruhn 9/20/2010 CREATED AS REINSPECTION FOR INSP- 135629. CREATED AS REINSPECTION FOR INSP- 135496. Truss details A3 and A5 are not complete. Detail A2 is missing nails. Provide revision for new rear porch. STOPPED INSP NB SAME COMMENTS NB 09/07/2010 INSP - 150881 Wire Lathe 09/15/2010 INSP - 151158 Framing APPROVED DENIED CREATED AS REINSPECTION FOR INSP- 124703. No permit or plan NB NOT READY NB 09/20/2010 INSP- 151368 Framing Norman Bruhn 9/7/2010 Norman Bruhn 9/16/2010 PARTIAL APPROVED Norman Bruhn 9/20/2010 CREATED AS REINSPECTION FOR INSP- 151158. CREATED AS REINSPECTION FOR INSP- 124703. No permit or plan NB NOT READY NB OK TO INSULATE need truss insp. NB 09/27/2010 INSP - 151435 Framing DENIED Norman Bruhn 9/27/2010 CREATED AS REINSPECTION FOR INSP- 151368. CREATED AS REINSPECTION FOR INSP- 151158. CREATED AS REINSPECTION FOR INSP- 124703. No permit or plan NB NOT READY NB OK TO INSULATE need truss insp. NB Not Ready, need revision approved. NB 09/29/2010 INSP - 151436 Truss Insp APPROVED Norman Bruhn 9/30/2010 Tuesday, November 15, 2011 Page 4 of 5 CREATED AS REINSPECTION FOR INSP- 150302. CREATED AS REINSPECTION FOR INSP- 135629. CREATED AS REINSPECTION FOR INSP - 135496. • Truss details A3 and A5 are not complete. Detail A2 is missing nails. Provide revision for new rear porch. STOPPED INSP NB SAME COMMENTS NB 09/29/2010 INSP- 151666 Framing DENIED Norman Bruhn 9/30/2010 CREATED AS REINSPECTION FOR INSP- 151435. CREATED AS REINSPECTION FOR INSP- 151368. CREATED AS REINSPECTION FOR INSP- 151158. CREATED AS REINSPECTION FOR INSP- 124703. No permit or plan NB NOT READY NB OK TO INSULATE need truss insp. NB Not Ready, need revision approved. NB House must be dry. NB 09/29/2010 INSP- 151667 Insulation DENIED Norman Bruhn 9/30/2010 CREATED AS REINSPECTION FOR INSP- 124704. Not Ready need revision NB House must be dry for this inspection NB 10/04/2010 INSP- 151772 Framing APPROVED Norman Bruhn 10/4/2010 CREATED AS REINSPECTION FOR INSP- 151666. CREATED AS REINSPECTION FOR INSP- 151435. CREATED AS REINSPECTION FOR INSP- 151368. CREATED AS REINSPECTION FOR INSP- 151158. CREATED AS REINSPECTION FOR INSP- 124703. No permit or plan NB NOT READY NB OK TO INSULATE need truss insp. NB Not Ready, need revision approved. NB House must be dry. NB 10/04/2010 INSP- 151773 Insulation DENIED Norman Bruhn 10/4/2010 CREATED AS REINSPECTION FOR INSP- 151667. CREATED AS REINSPECTION FOR INSP- 124704. Not Ready need revision NB House must be dry for this inspection NB Ceiling must be R -30 10/07/2010 INSP- 151934 Insulation APPROVED Norman Bruhn 10/8/2010 CREATED AS REINSPECTION FOR INSP- 151773. CREATED AS REINSPECTION FOR INSP- 151667. CREATED AS REINSPECTION FOR INSP- 124704. Not Ready need revision NB House must be dry for this inspection NB Ceiling must be R -30 10/18/2010 INSP- 152292 Drywall Screw APPROVED CREATED AS REINSPECTION FOR INSP- 124705. Norman Bruhn 10/15/2010 Tuesday, November 15, 2011 Page 5 of 5 Permit Number: RC -9 -09 -1531 RI Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 174833 Inspection Date: June 14, 2012 Inspector: Dacquisto, David Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: DISTINCTIVE HOMES Permit Type: Residential Construction Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE FAMILY HOME 12/16/09 TRUSSES REVISION e) `E Cif (412 Passed Inspector Comments ts A d itupt.a.c.i..es4 I 1, 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 June 14, 2012 Page 1 of 1 FLORIDA BI ILDJN(x " >O °` " ° °• "° ` "B ° "• , " BOUNDARY SURVEY PROUDLY SERVINO FLORIDA COAST TO COAST ( hnrwFl 2400 BEST BO S7REET /5 HUdFAH, FI.ISDA 35018 L_ BAY LURE° 1 z, � o 27 jI 11 N.E 9191 TEE' f (PB. 44 -63) PLAT LIMITS F.LP 1/2" 589'07'00' SKETCH LOCATION NT.S. Scale 1 NO CAP 80.00'(R)(M) o F.LP 1/2" ' r,;; N) CAP °°� LESS THE EIT' y_- THEEASTI5' OF TAT -23 QNP�. BLOCK -1 .. THEWEST45' b OF LOT -23 I OF TLYr -24 BTACK-1 I` BLOCK -1 1 THR F.& OF I (71124 ' 1 p �j r 5' FJ �! "� °' A LOT-22 BLOCK -1 0 ^ °0 o C2 "; �ro �'� 1805 d (UNDER 0.20' RAT .; -25 BLACK -1 2 „W • 'Si p t c5 I'I seas V:30. I I 0.10' ONe C 6. 29.33' STORY `V .1183 NSTRUCrION)- "'"s 1Q �' ace x0.00' 4 • 2x00' '.tip' T. `. ,. ^� 10.03' 1003' y.: V g 45.0' / F.LP 1/2" ) /2° v NO CAP ° `" p L5.0' cfr , 350 350 ,1 I NOTE: BM USED: I DADE CO. BM # B-62 F.L/8 P 5 ELEV. = 8.74' ' NO CAP (REDUCED TO: NGVD 1929) 7498'(8) ' 80.00'(R) 80.14'(M) -.-1 � mom (R) 589'07 00 E 16'PWY 3 1k� 18A3PAALT 02 �+�0 P4AlT f f _ _ () N. E 91st TERRACE , LEGAL DESCRIPTION: - - - -. -_, LOT 23, LESS THE WEST 15.00 FEET, AND THE WEST 45.00 FEET OF' LOT 24, BLOCK 1, OF "WATERSSEDGE ", ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 9, PAGE 141, OF THE -PUBLIC-- RECORDS OF MIAMI —DADE COUNTY, FLORIDA. ADDRESS' 1183 N.E. 91st TERRACE SHORES. FL; 33138 GEND: c� ..= of RNoad ® c = Iderhtltcaticn MT= Pavement C/P = Concrete Pad: R/W.° Righ o1 Way F.I.P.= Found Iron Pipe t = Wood Faroe I.RCmecluon -Rod and Cap '•-= fin Link Fence P.L = Centerline rue u.E°' mat P.0.. = olnt an Line e.ae.° Basta of Bearing IP a Iran Pipe R.O.H.= Roof Overhang Sek = Sidewalk R. ° Planter Corm = Carorete m pp& lky't ter MS �s - Concrete Block i =memo Bw4roes 3601.. setiNctirevetten RES = Reslderroe FH = FLa Hydrant Beh r ° ' Roof 8.G ° IllIclek Colmar OY 14°41q Ma" � 70 =+ Se FLOOD INFO: Community :Miami Dade Co. 120852 Map & Pant it 1208600306 Suffi>c L Flood Zone AE Base Flood Elevation: 8.0' CERTIFIED TO: DEYSI POLANCO ms has been preps ter the e> M use M arid the cmaeout es rot any party SURVEYOR'S NOTES: 1-01IN RSIIP IS SUBJECT TD OP9WON OF TINE 2 A REFERRED RNA GEODETIC VERTICAL DATUM OF 1929 (UNLESS ASSUMED 4 -71ERE MAY BE AODMONAL RESTRICIIMIS N0T SNOW IN THIS SURVEY THAT AMY BE FOUND IN 7'IE COUNTY 5 -LEGAL DESCRIPTION PROVIDED BY CLIENT 8-UNLESS OTHERNISE NOTED RECORDED AND MEASURED ARE TIE SAME 7- BEFORE ANY Od4STRUCRON RE SET 'macs MUST BE CHEWED 8-ALL FIELD MEASUREMENTS TA( FOR MS SLIP SERE MADE *MI ELEC7R0 IC TRANSIT AND /OTC STEEL TAPE W /ACCLA 1:7500 9-7105 SURVEY IS FOR USE AS PER AND NOT FOR ANY 071180 PU 10 -'779S SURVEY WAS PREPARED STRPoUT RE BD9F1T OF A IDMIB7MBV7S FOR 711LE Dom' 11- DAR' OF FIELD ISSRI( 09/01/2012 w�PP WOG) POLE • ' Ri o FIRE HYDRANT u l C. PO ER POLE 01 SEWER VALVE S A OV a OAS NE1ER GAS V. SAN. • SANITARY MA1'p1fILE ..vg. uc CD„ 04, 1 same NA _ o * OF ry.,, gmsre P� �c• CAR OS HERNANihEZ r1:FLOOD DATA PBOMDEDIS D+POamnnoNPDaPOSeMruY,T'm SORYBPOA. MAKES NDOUARAN1seASTO h7ffiACCDTry oPTHesamlhdAIION aslcoNrAcrm V Ttaar. PROFESS:ONAL SURVEYOR AND MAPPER LB 07019 02-032012 ELECTFr�E q ar 1 Survey is et vdta •laiwt {he en2naave and raised/OAS Beal of the Florida Registered Profesatmd Land Smarr and Moon BASIS OF BEARING BASE : BEARING BASE Sxowra ARE ON SOUTH LINE OPIAISZI&7A BLOT -I sham S SVrorm* ASSUMED. The boundary Bunny of the property drown hereon Is to =animas with the desulptlen lundahed by the o8er& No search of pubtle records has been made by this office for aamuooy or andeetar e. Subject to optMan tip and any dedication, a dtattana, restrbUam or easemente of record. No undergamd improvements arid/or ut0ltbs were I Hereby Certify That the attached boundary survey of the property described below Is to the beet of my knowledge and belief accurate as recently surveyed under my dlrewen doe that there ore no above grand artaaodmha to other than those dour, and that gds survey meets the minimum tedudsd etauads set the FIodda ,Board of Land Sumacs as set forth In Section 472.097 IFS.) Chaotw 61017 -0 of The Ronda ova Code, Il CITY COPY 2CO SUBJECT TO COMPLIANCE WITH ALL FEDERAL sTATF Arm c nt INTY RULES AND REGULATIONS 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- 174839 Permit Number: RC -9 -09 -1531 Inspection Date: June 14, 2012 Inspector: Bruhn, Norman Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: DISTINCTIVE HOMES Permit Type: Residential Construction Inspection Type: F. Insulation Certificate Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE FAMILY HOME 12/16/09 TRUSSES REVISION Passed 7 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 June 14, 2012 Page 1 of 1 Distinctive Homes 5535 S.W. 112th Court Miami, Florida 33165 June 13, 2012 Miami Shores Village Building Department 10050 N.E. 2nd Avenue Miami Shores, F1.33138 To Whom It May Concern: With this letter I certify that the home located at 1183 N.E. 91 Terrace, Permit Number RC 09 -1531, was insulated with 4.1 Foil type insulation on the exterior walls as previously inspected and R-30 Fiberglass (9.5 inches thick) on the ceilings. If you have any questions please do not hesitate to contact me. Very „ yours, K ° ,Jose Migue ' mez Office: (305) 279 -2088 Fax: (305) 279 -2066 Permit Number: RC -9 -09 -1531 I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 inspection Number: INSP- 124687 Inspection Date: June 14, 2012 Inspector: Bruhn, Norman Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: DISTINCTIVE HOMES Permit Type: Residential Construction Inspection Type: F. Termite Letter Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE FAMILY HOME 12/16/09 TRUSSES REVISION Passed 1,141‘,,g;: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 June 14, 2012 Page 1 of 1 Al -Flex Exterminators, Inc. 4035 S.W. 98 Avenue, Miami Florida 33165 P.O. Box 650213 Miami, FL 33165 -0213 Tel. (305)552 -0141 / 1 -800 782 -9284 JUG d 10 FAX (305) 227 -1797 �� Web Page: www.alflexexterminators.com / Email: alflex @belisouth. `et�=�. CONFIRMATION OF COMPLETION OF NATIVE SUBTERRANEAN TERMITE PRETREATMENT AND CERTIFICATE OF COMPLIANCE Purchaser : DISTINCTIVE HOMES Address 5535 SW 112 CT/MIAMI SHORES, FL Phone (305) 279 -2088 Address of Treated Premises : FINAL Lot- 0 Block- 0 11836 NE 91 TERR FINAU MIAM SHORES, FL Number of Structure(s) to be treated : ONE Product Used : Square Footage : 1,500 Gallons Used : 150 TERMIDOR Linear Footage : 156 Gallons Used : 62 FIPRONIL Permit #: ( 9.1 Date Initial Treatment : 6/11/2012 2:00 PM Date of Completion : 6/11/2012 2:00 PM Technician : MAURICIO Al -Flex Exterminators hereby confirms that the structures described above have received a complete treatment for the prevention of NATIVE SUBTERRANEAN TERMITE infestation. Treatment has been made in accordance with the rules and laws as establishedby the Florida Department of Agriculture and Consumer Services. Exterior perimeter treatment was completed upon final grade. Al- Flex's limited warranty is presently in full force and effect. (WARRANTY EXCLUDES FORMOSAN & ASIAN TERMITES) Al -Flex Exterminators, Inc. by President Dated: 6/11/2012 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- 174840 Permit Number: RC -9 -09 -1531 Inspection Date: June 14, 2012 Inspector: Hernandez, Rafael Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: DISTINCTIVE HOMES Permit Type: Residential Construction Inspection Type: HRS Approval Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE FAMILY HOME 12/16/09 TRUSSES REVISION Passed 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 June 14, 2012 Page 1 of 1 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Deysi Polanco PERMIT #: 13-SC- 1378224 APPLICATION #: API 052462 DATE PAID: FEE PAID: RECEIPT 4/- DOCUMENT #: PR868448 PROPERTY ADDRESS: 1183 NE 91 Ter Miami, FL 33138 LOT: 23 24 BLOCK: 1 SUBDIVISION: - PROPERTY ID #: 11 -3205- 001 -0200 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381,.0065, F.S., AND CHAPTER 64E -6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATEP.IAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE' WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 1,050 ] A [ N [ K [ 300 ] D [ R [ GALLONS / GPD Septic GALLONS / GPD N/A GALLONS GREASE INTERCEPTOR CAPACITY CAPACITY CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] GALLONS DOSING TANK CAPACITY [67.00 ]GALLONS @[ 6 ']DOSES PER 24 HRS #Pumps [ 667 ] SQUARE FEET ] SQUARE FEET A TYPE SYSTEM: [ ] STANDARD I CONFIGURATION: [ ] TRENCH bed configuration drainfile SYSTEM N/A SYSTEM [j FILLED [X] BED [ ] N F LOCATION OF BENCHMARK: CL NE 91 ter., 4.46 [X] MOUND [ ] I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: O T H E R [ 24.00] INCHES [ 0.96 1 [) INCHES I FT ] [l ABOVE ' BELOW ] BENCHMARK /REFERENCE POINT [ 6.96 l (1 INCHES f FT ] ['ABOVE I BELOW'] BENCHMARK /REFERENCE POINT EXCAVATION REQUIRED: [ 0.00 ] INCHES *Invert elevation of drainfield to be no less than 5.50 ft. NGVD. *Bottom of drainfield elevation to be no less than 5.00 ft. NGVD. -The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with sec. 64E- 6.013(3)(f). F.A.C. SPECIFICATIONS BY: APPROVED BY: DATE ISSUED: DH 4016, 08/09 Incorporated: Carlos Carlos 03/01/20 za TITLE: c -..a (Obsoletes 64E- 6.003, TITLE: all previous editions which may not be used) FAC v 1.1.4 The contractor (or designee) is requireduto(parion a at the soil boring adjacent to the drainfield excavation theDOH time of final inspection. Prior to Final Approval, inspector shall witness the soil boring and compare the results to the original site evaluation submitted. A reinspection tee will be assessed if the contractor is not at the iobsite at the arranged time Dade CHD EXPIRATION DATE: 09/01/2013 5E8 64'2+3 i Page 1 of 3 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP- 174841 Permit Number: RC -9 -09 -1531 Inspection Date: June 14, 2012 Inspector: Bruhn, Norman Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: DISTINCTIVE HOMES Permit Type: Residential Construction Inspection Type: Density Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE FAMILY HOME 12/16/09 TRUSSES REVISION Passed ,e(7-..... Inspector Comments .L 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 June 14, 2012 Page 1 of 1 ALL STATE ENGINEERING ALL STATE ENGINEERING AND TESTING CONSULTANTS, INC. TESTING LABORATORIES - ENGINEERS- INSPECTION SERVICES- CHEMIST - DRILLING- ENVIROMENTAL SERVICES 2380 West 78th Street, Hialeah, Florida. 33016 - Phone: 305- 888 -3373 Fax: 305- 888 -7443 Field Density Test of Compacted Soils/ ASTM D -5195 //, 414/ Client: SAAD Homes Orde • 09 -5 Address: 18601 Wentworth Drive Miami, FL 33105 Date: 16/09 Project: Single Family Residence Gauge # 783 Address: 1183 NE 91st Ten., Miami Shores Phone No: 12" Attention: 12" Lab ID # Location 09 -3709 Building slab on grade compaction — Garage Center area 09 -3710 Building slab on grade compaction — NW corner area 09 -3711 Building slab on grade compaction — Center area of the building 09 -3712 Building slab on grade compaction — NE corner area 09 -3713 Building slab on grade compaction — SE corner area Description of Material Tan silica sand Back Fill 09 -3711 Sub grade 09 -3713 Base rock Sampled By: JR Tested By: JR Laboratory Identification Number 09 -3709 09 -3710 09 -3711 09 -3712 09 -3713 Test Number 14 15 16 17 18 Depth in Inches 12" 12" 12" 12" 12" Field Density LB /Cu Ft. (Dry Density) 102.3 100.1 99.3 99.8 99.5 Moisture Contents 8.3 7.9 8.1 7.2 8.4 Maximum Density In the Field ( %) 98.6 96.4 95.7 96.1 95.8 Compaction Requirement by Specs % of Maximum Density 95% 95% 95% 95% 95% 100% Maximum Density (Lab) 103.8 103.8 103.8 103.8 103.8 Proctor T- 180 AASHTO Method C 09 -2146 09 -2146 09 -2146 09 -2146 09 -2146 Optimum Moisture ( %) 15.8 Reported By Jose Checked By WQ Typed By VR Respectfully submitted by, �Z / 4-ef $'aseem Quadri, P.E. # 51481 ALL STATE ENGINEERING & TESTING CONSULTANTS, INC. Should any subsoil conditions in the property (area) tested be found different from those encountered on the tested locations reported on our Density Test, All State Engineering & testing Consultants, Inc. is not to be held responsible. As a mutual protection to client, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statements, conclusions or extracts from our reports is reserved. ALL STATE ENGINEERING AND TESTING CONSULTANTS, INC. TESTING LABORATORIES- ENGINEERS - INSPECTION SERVICES - CHEMIST - DRILLING - ENVIROMENTAL SERVICES 2380 West 78`" Street, Hialeah, Florida. 33016 - Phone: 305- 888 -3373 Fax: 305- 888 -7443 PROCTOR COMPACTION TEST ASTM D -1557 Date December 16, 2009 1 Order Number 1 09 -5754 Client SAAD Homes 101.7 Address 18601 Wentworth Drive Miami, FL 33105 Gradation test passing 314" Sieve 100.00% Project Single Family Residence. Address 1183 NE 91St Terr., Miami Shores Sample Location Stock pile at the job site Soil Description Fine silica sand Sampled by Jagga 1 Reported to TEST RESULTS Laboratory Number: 09 -2146 Sample Number: 02 The following compaction test was conducted in accordance with the standard methods for Moisture/Density relations of soil using a 101b. Hammer and 18" drop A -ASHTO designation T- 180-0. % Moisture 12.4 14.5 16.7 18.6 Dry Density 101.9 103.5 103.6 102.4 Optimum Moisture 15.8 100% Max. Dry Density 103.8 98% Dry Density 101.7 95% Dry Density 98.6 Gradation test passing 314" Sieve 100.00% Sampled By Jose Tested By Abbasi Checked By WQ Typed By VR Respectfully submitted by, aseem Quadri, P.E. # 51481 ALL STATE ENGINEERING & TESTING CONSULTANTS, INC. Should any subsoil conditions in the property (area) tested be found different from those encountered on the tested locations reported on our Density Test, All State Engineering & testing Consultants, Inc. is not to be held responsible. As a mutual protection to client, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statements, conclusions or extracts from our reports is reserved. 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- 124706 Permit Number: RC -9 -09 -1531 Inspection Date: June 14, 2012 Inspector: Bruhn, Norman Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: DISTINCTIVE HOMES Permit Type: Residential Construction Inspection Type: Final PE Certification Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE FAMILY HOME 12/16/09 TRUSSES REVISION Passe Inspector Comments 6 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 June 14, 2012 Page 1 of 1 LETTER OF COMPLIANCE June 13, 2012 Village of Miami Shores Building and Zoning Department 10050 NE 2 "d Avenue Miami Shores, Florida Attn: Building Official Re: Special Inspection Project: Residence 1183 NE 91st Terrace Miami Shores, Florida Dear Sir; Permit No. RC 09 -1531 Contractor: Distinctive Homes I, Edward A. Landers, P.E. having performed and approved the required inspections, as indicated in the attached approved inspection log, hereby attest that to the best of my knowledge, belief and professional judgement, the structural envelope components of the above referenced structure is in compliance with the approved plans and other approved permit documents. I also attest that to the best of my knowledge, belief and professional judgement, the approved permit plans represent the as -build condition of the structural and envelope component of said structure. This document is being prepared in accordance with Florida Building Code 2007 Edition and is being submitted to the Village of Miami Shores Building Code Compliance Department at the time of the final inspection for the above referenced structure. Should you have any questions or need any additional information please do not hesitate to contact me. Very trul yours ers, P.E. 7850 NW 146T1-I STREET, SUITE 509 * MIAMI I FL 33016 " MN: (305)823 -3938 FAN: (305)823 -9355 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 Owner Subdivision/Project Construction Type RESIDENTIAL CONSTRUCTION DEYSI POLANCO NEW HOUSE Bldg. Permit No. RC -9-09 -1531 Contractor DISTINCTIVE HOMES Date Issued 01/30/2013 Occupancy Load N/A Square Footage Description of Work 3,367 SQ FT Occupancy Type SINGLE FAMILY HOME NEW HOUSE 1183 NF 91 TFRR Miami Shores FL 33138 - Location Building els Approval Norman Bruhn, CBO Not Transferable POST IN A CONSPICUOUS PLACE Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 182322 Permit Number: RC -9 -09 -1531 Scheduled Inspection Date: January 30, 2013 Inspector: Bruhn, Norman Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project <NONE> Contractor: DISTINCTIVE HOMES Permit Type: Residential Construction Inspection Type: Final Building Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE FAMILY HOME 12/16/09 TRUSSES REVISION Infractio Passed Comments INSPECTOR COMMENTS False Passed /_c»/y Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 182211. CREATED AS REINSPECTION FOR INSP- 124709. No access. NB r January 29, 2013 For Inspections please call: (305)762-4949 Page 10 of 33 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 NOV 202012 Mnspection Number: INSP - 181375 Permit Number: RC -9 -09 -1531 Inspection Date: November 21, 2012 Inspector: Bruhn, Norman Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: DISTINCTIVE HOMES Permit Type: Residential Construction Inspection Type: F. Elevation Certificate Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE FAMILY HOME 12/16/09 TRUSSES REVISION IInfractio Passed Comments INSPECTOR COMMENTS False Passe • J / ® Inspector Comments CREATED AS REINSPECTION INSP- 174834. Provide The construction must be completed The elevation certificate surveyor's raised The survey states purposes only insurance. FOR INSP- 175536. CREATED AS FOR INSP- 174950. CREATED AS REINSPECTION FOR a finished construction elevation certificate. NB and site work are not complete. The elevation certificate when all construction and site work is done. NB must be an original not a copy and must include the seal. in section D that this is not to be used for construction NB ®40REINSPECTION Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. a._ `e , until For Inspections please call: (305)762 -4949 November 21, 2012 Page 1 of 1 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency Nationaf Flood Insurance Program ELEVATION CERTIFICATE Important Read the instructions on pages 1 -9. SECTION A - PROPERTY INFORMATION OMB No. 1660 -0008 Expires March 31, 2012 Al. Building Owner's Name DEYSI POLANCO A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1183 NE 91 TER City MIAMI SHORES State FL ZIP Code 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) WATERSEDGE PB 9 -141 LOT 23 LESS W15FT & W45FT OF LOT 24 BLK 1 LOT SIZE IRREGULAR OR 14600 -3186 05901 COC 26253 - 1723 26426 -185 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. N25°51'33" Long. W871025" Horizontal Datum: ❑ NAD 1927 ► 4 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 1B A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) sq ft a) Square footage of attached garage 400 sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade 16 c) Total net area of flood openings in A8.b NJA sq in c) Total net area of flood openings in A9.b 561 sq in d) Engineered flood openings? ❑ Yes e No d) Engineered flood openings? ❑ Yes :^ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number MIAMI SHORES,VLG/MIAMI -DADE CO 120652 B2. County Name MIAMI DADE B3. State FL B4. Map/Panel Number 12086C0306 B5. Suffix L B6. FIRM Index Date 09/11/2009 B7. FIRM Panel Effective/Revised Date 09/11/2009 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 8 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 (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 ■:■ No Designation Date 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 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 BM B- 62Vertical Datum 8.74 NGVD29 Conversion/Comments N/A a) b) c) d) e) f) g) h) Check the measurement used. Top of bottom floor (including basement, crawlspace, or enclosure floor) 8.16 e feet Top of the next higher floor NIA. ® feet Bottom of the lowest horizontal structural member (V Zones only) N /A. ■4 feet Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) Highest adjacent (finished) grade next to building (HAG) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) 6.73 e feet ❑ meters (Puerto Rico only) 8.06 e feet ❑ meters (Puerto Rico only) 6.� e feet ❑ meter (Puerto Rico only) K ■ ∎ feet ❑ meter (Puerto Rico only) N_16. ® feet ❑ 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. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. 1 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? Yes ❑ No Certifier's Name CARLOS HERNANDEZ License Number #5718 Title PSM Company Name FL. BUILDING & LAND SURVEYING Address 2 ' ST >'i ST; E8'T# 5 City HIALEAH State FL ZIP Code 33016 Signature Date 11/O2/2012 Telephone 1- 877 - 894 -8001 FEMA Form 81 -31, Mar09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. Building S rest Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ?183 NE 91 TER City MIAMI SHORES State FL ZIP Code 33138 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 NOTE: ALL ELEVATIONS REFLECT HEREON ARE IN NGVD29 SYSTEM.MACHINERY SERVICING THE BUILDING IS AN A/C UNIT. LAT AND LONG WERE OBTAINED UTILIZI G GPS SYSTEM. FINAL ELEVATION CERT . CROWN OF ROAD:4.41 NGVD Signature Date 11/02/2012 ❑ 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 El -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 SECTION G - COMMUNITY INFORMATION (OPTIONAL) fl Check here if attachments 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. 0 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 04-G9) is provided for community floodplain management purposes. G4. Permk Number I G5. Date Permit Issued G6. Date Certificate Of Compilance/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 010. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Community Name Signature Comments Title Telephone Date fl 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., 1183 NE 91 TER Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Policy Number City MIAMI SHORES State FL ZIP Code 33138 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. Instructions — Page 2 Permit Number: RC -9 -09 -1531 I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 175536 Inspection Date: November 07, 2012 Inspector: Rodriguez, Jorge Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: DISTINCTIVE HOMES Permit Type: Residential Construction Inspection Type: F. Elevation Certificate Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE FAMILY HOME 12/16/09 TRUSSES REVISION Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- REINSPECTION FOR INSP - 174834. elevation certificate. NB The construction and site work are not must be completed when all construction The elevation certificate must "be an original surveyor's raised seal. The survey states in section D that this purposes only insurance. NB 174950. CREATED AS Provide a finished construction complete. The elevation certificate and site work is done. NB not a copy and - trust include the-, is not to be used for construction Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until November 14, 2012 For Inspections please call: (305)762 -4949 Page 1 of 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 175536 Permit Number: RC -9 -09 -1531 I Inspection Date: November 07, 2012 Inspector: Bruhn, Norman Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: DISTINCTIVE HOMES Permit Type: Residential Construction Inspection Type: F. Elevation Certificate Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE FAMILY HOME 12/16/09 TRUSSES REVISION Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 174950. CREATED AS REINSPECTION FOR INSP- 174834. Provide a finished construction elevation certificate. NB The construction and site work are not complete. The elevation certificate must be completed when all construction and site work is done. NB 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 November 07, 2012 Page 1 of 1 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency Management Agency National Flood Insurance Program M. Building Owner's Name D YSI POLANCO Important: Read the instructions on pages 1 -9. SECTION A - PROPERTY INFORMATION A2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1183NE91 TER City MIAMI SHORES State FL ZIP Code 33138 OMB No. 1660 -0008 Expires March 31, 2012 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) WATERSEDGE PB 9 -141 LOT 23 LESS W15FT & W45FT OF LOT 24 BLK 1 LOT SIZE IRREGULAR OR 14600 -3186 0590 1 COC 26253- 1723 26426 -185 A4. Building Use (e.g., Residential, Non- Resideniial, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. Jd25 °5V33" Long. W80°10'25° A6. Attach at least 2 photographs of the building lithe Certificate is taring used A7. Building Diagram Number a A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawispace or enclosure(s) NIA sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade l+J/g c) Total net area of flood openings in A8.b NIA sq in d) Engineered flood openkrgs? ❑ Yes No RESIDENTIAL Horizontal Datum: to obtain flood insurance. ❑ NAD 1927 NAD 1983 A9. For a building with an attached garage: a) Square footage of attached garage 400 - sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 1$ c) Total net area of flood openings in A9.b j, sq in d) Engineered flood openings? ❑ Yes 4 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number MIAMI SHORES,VLG/MIAMI -DADE CO 120652 B2. County Name MIAMI DADE 133. State FL U. Map/Panel Number 1208600306 85. Suffix L 86. FIRM Index Date 09111/2009 B7. FIRM Panel Effective/Revised Date 09/11/2009 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 8 B10. Indicabs the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile FIRM ❑ Community Determined ❑ Other (Descrloe) B11. Indicate elevation datum used for BFE in Item B9: NGVD 1929 ❑ NAVD 1988 0 Other (Describe) B12. Is the building located hn a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Designation Date NA ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on ❑ Construction Drawings* 0 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/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 J3M B- 62Verticai Datum 8.74 NGVD29 Conversion/Comments i a) b) c) d) e) t) 9) h) Top of bottom floor (including basement, crawlspace, or enclosure floor) 8.16 Top of the next higher floor NiA. Bottom of the lowest horizontal structural member (V Zones only) NIA. Attached garage (top of slab) 172 Lowest elevation of machinery or equipment servicing the building 106 (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) 151 Highest adjacent (finished) grade next to building (HAG) Lowest adjacent grade at lowest elevation of deck or stairs, including NIA structural support Check the measurement used. feet 0 meters (Puerto Rico only) - ® feet ❑ meters (Puerto Rico only) feet ❑ meters (Puerto Rico only) feet ❑ meters (Puerto Rico only) feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) feet ❑ meters (Puerto Rico only) - ® feet ❑ 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. 1 can* that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any Nee 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? ® Yes ❑ No Certifler's Name CARLOS HERNANDEZ License Number #5718 Title PSM Company Name FL. BUILDING & LAND SURVEYING Address 2400 WEST 80 STREET # 5 City HIALEAH State FL ZIP Code 33016 Signature Date 08/16/2012 Telephone 1- 877-894 -8001 FEMA Form 81 -31, Mar 09 See reverse side for continuation. ,'e`t�ey,91t999i flhll ,eee gi�grJ]fr�efi +ee` O "ER " y --, AQ` .00ENSe x.5718 * i thin fta '1j111h { {+Afit)J183t 98195111;``e4``` Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding Information from Section A. Building Street Address (includIngApt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1183 NE 91 TER City MIAMI SHORES State FL ZIP Code 33138 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 NOTE: 1H15 ELEVATION IS NOT FOR CONSTRUCTION PURPOSES, THIS IS ONLY FOR INSURANCE PURPOSES ALL ELEVATIONS REFLECT HEREON ARE IN NGVD29 SYSTEM.MACHINERY SERVICING THE BUILDING IS AN A/C UNIT. LAT AND LONG WERE OBTAINED UTILIZING GPS SYSTEM. FINAL ELEVATION CERT . CROWN OF ROAD:4.41 NGVD29 Signature �_ -- Date 08/16/2012 >= 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 (wltho t 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 El -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, 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 floodpialn 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 Authored Representative's Name Address City State ZIP Code Signature Date Telephone Comments it Check here if attaclrnents SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplatn 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. 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-G9) is provided for community floodplain management purposes. G4. Permit Number 05. Date Permit issued 08. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for. ❑ New Construction 08. Elevation of as -built lowest floor (including basement) of the bu 09. BFE or (in Zone AO) depth of flooding at the building site: 010. Community's design flood elevation ❑ Substantial Improvement Mding: . ❑ feet ❑ meters (PR) Datum ❑ feet ❑ meters (PR) Datum ❑ feet ❑ meters (PR) Datum Local Official's Name Community Name Signature Comments Title Telephone Date j-j Check here If attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. nr irlsuran icy Use Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1183NE91TER City MIAMI SHORES State FL ZIP Code 33138 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. Building Photographs Continuation Page Building Street Address (inducting Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. City State FL ZIP Code 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 "Lett Side View." 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- 175535 Permit Number: RC -9 -09 -1531 Inspection Date: August 21, 2012 Inspector: Bruhn, Norman Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: DISTINCTIVE HOMES Permit Type: Residential Construction Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE FAMILY HOME 12/16/09 TRUSSES REVISION - (04 8/ f 49,Passed (( 7scra_ Y Inspector Comments CREATED AS REINSPECTION FOR INSP- 174949. CREATED AS REINSPECTION FOR INSP- 174833. A new survey is required showing all improvements to the site. NB The survey does not show the driveway or any other walks. The survey must be completed when the structure and all improvements are complete. NB `. Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until August 21, 2012 For Inspections please call: (305)762 -4949 Page 1 of 1 tit 110111 Dn l 11LDING ow 431fi;.,sb Id wAY U d ryfit BOUNDARY SURVEY PROUDLY SERVING FLORIDA COAST TO COAST OFF: (877) -894 -8001 wwr.FlartdaLmndSurveytng.com 2400 VEST 80 STREET #5 HIAEAH, FLORIDA 33016 THE EAST 15' OF LOT -23 BLOCK -1 L"BAY LURE" (P8.44 -63) F.LP 1/21 NO GIP :0 ONPL S89'07'OOtE 80.00'(R)(M) PLAT LIMITS fJ.P 1/2 NO CAP 20 21 22 4 28 28 0 27 I0 O ILE I0 Ial N.E 91st TERRACE Z LOCATION SKETCH Scale 1 "= NT.S. THE EAST 5' OF LOT -24 BLOCK-1 I V i&;?.. - f.LP 1/— No 74.900 7100TR) L, DESCRIPTION: LESS THE WEST 15.00 FEET, AND THE WEST 45.00 FEET OF K 1, OF "WATERSSEDGE ", ACCORDING TO THE PLAT RECORDED IN PLAT BOOK 9, PAGE 141, OF THE PUBLIC S' IAMI -DADE COUNTY, FLORIDA. D INFO: Miami Dade Co. Panel 1208603306 L Flood Zone: AE Base FLood Devotion: 80' CERTIFIED TO: DEYSI POLANCO this ftvy has bee" prepared ter the exdwNe use of the snake nand herein and the Certification does not attend to any unnamed pa-tyc SURVEYOR'S NOTES: 1- O11NERSHP S SUBJECT To OPD'901H Cr TITLE 2-NO UND£ROROUND IMPROVEMENTS WERE LOCATED 3- ELEVATIONS ARE RffEPW TO NATIONAL - -- VERTICAL DATUM OF 1929 (UNLESS ASSfAfM 4-THERE MAY IE SURVEY THAT FOUND SHORN PUBLIC RED 3 -LEGAL DESORPTION PROVIDED BY CUBIT B- LNIESS OTHERWISE NOTED RECORDED AMiD MEASURED ARE THE SAME 7 � THE S7 BALXS 8-ALL FIELD MEASUREMENTS TAKEN RJR THIS MERE MADE RUTH ELECTRONIC 7RANST AND/OR S7EEL TAPE WACCLI. 1:7300 9-THIS SURVEY 0 FOR USE AS PDTREpU�T AND NOT FOR ANY OTHER PURPOSr 50- THIS SURVEY 814S PREPARED 187710/7 771E BENEFIT Cr A (GAOTMENTS FOR TITLE M E/RANCE 71- DATE OF FIELD NOW 07/23/2012 UP -DATE 08/572012 NOTE: THE FLOOD DATA PROVIDED IS FOR INFORMATION PURPOSES ONLY, THE SURVEYOR MARES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION PROVIDED THE LOCAL FEMA AGENCY SHOULD BE CONTACTED FOR VERQICATION. BASIS OF BEARING BASE: BEARING BASE SHOWN HEREON ARE BASED ON SOUTH LINE OF LOTS 23&24 BLOCK -1 BEING S 89°0710• EASSUMOD. LOT -25 BLOCK -1 2C w O Ca C1 E 1d NOTED w BM USED: DADE CO. EM tg-i2 ELEV. = 8.7z' O (REDUCED TO: f GVD3 o a- LJ ) 11l1,1F C T TO COMPLIANCE WITH ALL FEDERAL ADDRESS: 1183 N.E. 91st TERRACE MIAMI SHORES. FL. 33138 R. LEGEND: cord C B Poini war ID. IdenUfloatlanC 9 PpVVJI1T= Pavement C/P - Concrete Parch / FR.. Wood Fence VklY LR.C= Iron Found Cap +-= Chain Link Fence C = Centerline A /C= Air Conditioner P.L = Property Line U.E.= Utility Easement P.O.L = Point on Line 8.0.8.= Bads of Bearing Irml Pipe R.O.H.- Roof Overhang Swk = Sidewalk PL - Plants �� C Block j aj ssune 1A0'4. gon eevatloe RES m Residence Pg1�1/� WFiree H t RRE= Finish Floor Bev. Ago B.C. m Book Comer �Wy == Parkways p EEN/�CR = AE�noroocchm�anntt{ C/B �Ca)r In Bann Dist = Alin rinarn Shed CARLOSHERNANDEZ PROFESSIONAL SURVEYOR AND MAPPER LB R 7819 08-17-2012 ELECT FILE CODEe11B,3NE91TERR.MS Survey n ef d raised /digital Beal o1 the R a Registered Pratesetonal Land Surveys and Manor The boundary survey of the property shown hereon Is In ae ndaae with the description fwnIahed by the client No search of public records has been made by ids office far cooaraay or emissions. Subleat to apWan title and any doOaaUens, IVnItattonat restriotians or easements of record. No endergramd bnprovonenis and /err utilities were I Hereby Certify That the attached boundary survey of the property described below Is to the bast of my knowledge and belief accurate as recent yy auricled under my dlentioa also that there are no above grand enomoohments other than those sham, aid that Ns survey meets the mtnfmum teohNwl standards set by the Florida �Board of Land Samovars as set forth to Sootier 472.027 (l'.8.1 Cheater 81017 -8 of TheJFTaAda Ambit:gratto, Cade. ^'JF) CC IJN -TY FUJI LS ANT) iiroui ATIONS Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 175535 Permit Number: RC -9 -09 -1531 Inspection Date: August 21, 2012 Inspector: Bruhn, Norman Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project <NONE> Contractor: DISTINCTIVE HOMES Permit Type: Residential Construction Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE 12/16/09 TRUSSES REVISION FAMILY HOME di.- Passed 87/4 (Y� ! I!k Inspector Comments CREATED AS REINSPECTION FOR INSP- 174949. CREATED AS REINSPECTION FOR INSP- 174833. A new survey is required showing all improvements to the site. NB The survey does not show the driveway or any other walks. The survey must be completed when the structure and all improvements are complete. NB Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until August 21, 2012 For Inspections please call: (305)762 -4949 Page 1 of 1 r'1:cs S(f IM B iliAn 1. 4tG t. ®N,tlroryaSY BOUNDARY SURVEY PROUDLY SERVING FLORIDA COAST TO COAST oFF:(877 -894 -8001 www.FlorideLandSurveybng.aorn 2400 WEST 80 STREET 18 HIALEAH, FLORIDA 33018 F.LP 1/2° NO CAP THE EAST 15' OF LOT -23 ONPL BLOCK -1 L"BAY LURE° (PB. 44-63) S89 07'00"E 80.00'(R)(M) PLAT LIMITS F.LP 1/2 NO CAP Io I & to I NI 91st TERRACE - 2 LOCATION SKETCH Scale 1'= NT.S. 5.0 THE EAST 5' OF LOT-24 BLOCK -1 LOT -22 BLOCK-1 AUG 2612 0.20' Iz10' ALP X1/2' 80 1 15.0' F.LP 5/8' NO CAP 18' PWY g t' 18' ASPHALT N.E 91st TERRACE EGAL DESCRIPTION: LOT 23, LESS THE WEST 15.00 FEET, AND THE WEST 45.00 FEET OF LOT 24, BLOCK 1, OF "WATERSSEDGE ", ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 9, PAGE 141, OF THE PUBLIC RECORDS OF MIAMI —DADE COUNTY, FLORIDA. FLOOD INFO: CommunityeMiami Dade Co. 120652 Map & Panel ate 1208600306 Suffbc L Flood Zone: AE Base FLood Elevation: &O. CERTIFIED TO: DEYSI POLAND() This Sam hes been prepared for the amswNe use of the named herein and the CertMmdan dose not extend to any rammed petyk SURVEYOR'S NOTES: 1-07911503HIP IS SUBJECT 70 OPAVON OF 7171E 2-NO UNDERGROUND I8'ROVEIE17S ME'LOCATED 3-ELEVATIONS ARE REFERRED 70 NATIONAL GTODE7IC lERflCAL DA7UM OF 1929 (UNLESS ASSUMED 4 -7HERE MAY BE ADDHIONAL RES7RICAO.S NOT WOW IN 7111S SURVEY 7HAT MAY BE FOUND IN 7HE COUN7Y PUBUC RECORDS 5 -LEGAL DESCRIPTION PROVIDED BY WENT 6- UNLESS O7HERNRSE NO7ED RECORDED AND MEASURED ARE THE SAME 7-BEFOIpIRE 710N THE SET BACKS ST 8 -ALL RED MEASUREMENTS TAKEN FOR H11S *BE MADE MIH EEC7RONIC TRANSIT AND /OR STEEL TAPE CIAU. 1.7500 9-7105 SURVEY 1S FOR USE AS P:iR REp AND NOT FOR ANY OTHER PLI 70- THIS SURVEY WAS PREPARED IILDLOUT THE BENEFIT OF A COMIW7MEN7S FOR 712E INSURANCE /1— DA7E OF FTED MORK 08/25/2012 UP—DATE 08/172012 NOTE: THE FLOOD DATA PROVIDED IS FOR INFORMATION PURPOSES ONLY, THE SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION PROVIDED THE LOCAL F.EMA AGENCY SHOULD BE CONTACTED FOR VERIFICATION. BASIS OF BEARING BASE: BEARING BASE SHOWN HEREON ARE BASED ON SOUTH LINE OF TATS 23 & 21 BLOCK -I BEINGS 89°O7E0• EASSUMED. LOT -25 BLOCK -1 SCALE 1' : NOTE: BM USED: DADE CO. BM ELEV. = 8.74' (REDUCED TO C Zi cc O <I LU c� L E = C 5 Z E W U Lu d J O C C— C U < LU F- c^ ADDRESS: 1183 N.E. 91st TERRACE MIAMI SHORES. FL. 33138 LEGEND: Eik: Elm" - °nig= Pavement C Po R/11= Rlggh of Way F.I.P.= Farad Iron Pipe t = Wood Fence I.R.C.' Iron Rod and Cap '-° Chain Link Fence P. a Centerline A /0= Air Conditioner P.L = Property Line U.E. = Utflty Easement P.O.L = Point an Line B.0.8.= Baste of Bearing W Iron t R.0.H.= Roof Overhang Swk = St Pla PL - Planter cos • = Concrete Co Block Line g� }�atar L Licensee Buefiaea e EleSing Eleevotion RES =Residence FH = WFiirre Hydrant F.F.E= Finish Roar Elev. ANY Parkway B4CCR.= Encroachment 5„ • v. 80.5718 ' a suiveos • "sou ,tl CARLOS HERNANDEZ PROFESSIONAL SURVEYOR AND MAPPER LB # 7619 08-17-2012 ELECT FILE CODE PI 1 83NESITERR NIS Survey Is not valid without the etgeatae and Weed/digital seal of the Florida Regbtered Profeardend Land Surveyor and Warmer The bamdary survey of the property shown hereon is In accordance with the doss 1ptlon furnished by the altelt. No search of public records has been made by this office far aaauraoy er amtmhea. Snbleet to opWan the and any dedtoattass, NmBoeonq restrictions or easements of rood. No underground knprovmnente and/or ut➢Mbe were I Hereby Certify. That the ottadred bamdary savoy of the property described below b to the beet of my ka°wledge and belbf aeaaate as recent yy surveyed under my dirootmni also that there are no above ground encroachments other than those shown, and that tide survey meets He minimum technical etandanb set by the Rod & • • -.._ • 1)Iiz 'i IL 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- 174949 Inspection Date: July 02, 2012 Inspector: Bruhn, Norman Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: DISTINCTIVE HOMES Permit Number: RC -9 -09 -1531 I Permit Type: Residential Construction Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE FAMILY HOME 12/16/09 TRUSSES REVISION 6 ? Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 174833. A new survey is required showing all improvements to the site. NB Failed , 6j Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until July 02, 2012 For Inspections please call: (305)762 -4949 Page 1 of 1 4 PIA/1111M r .................. BOUNDARY SURVEY PROUDLY SEEMING FLORIDA COAST TO COAST OFF:(877)- 894 -8001 m.FlouaLan .emn 2400 WEST 80 STREET #8 HIALEAH. FLORIDA 33018 °BAY LURE" (P8. 44 IS iI 20 21 22 1 r0I 25 206 111 27 Im Im N.E 916t TEI�E �u i -63) PLAT LIMITS FJ.P 1/2' S89'07'001- cz LOCATION SKETCH Scale 1"= NT.S. NO LAP _ ?o 80.00 (R)(M) FJ.P 1/2' of:. . NO CAP 0 THE EAST 15' OF LOT -23 ONPL BLOCK -1 . LOT 22 BLOCK-1 kJ O• 35.0 45.0 LESS THE E 15'1 THE WEST 45' I. 0.50' 0✓ 4 OF LOT -3 1 OF LOT -24 BLOCK -1 1` B K-1 1 THE EAST 5' OF LOT-24 BL -1 1605' ,, Z. z / /OCI: 1 � 0.20' LOT -Z BLOCK -1 W o t O o p SCALE 0.10' d 8 2 : l d r Cl) > W 29.55' s 4. rj N STORY d7783 $b w ONE � ^ RES 6. 4vi ; 6. �1 "/Dip' 20.110' 10.30' 10.05' F.LP 1/2' ill 1/2 NO AP 18' U5.0' 10.00' 10.40' 680' 5 g E 300 3.r:. 10• �• 9B 62 1005' 61i DRJVF1 350' �_ NOTE: BM USED DADE CO. LP 5 /8' ELEV. =8.1 f1J' F. NO CAP (REDUCEDIC _ 45.' APPROVED > 19 ?,9,) W c CD z o 74.98'(u) 750a'(a) .. 80.10'(R) 80.1 (M) 1 ' --t • .89'07'00"E 16' P • ''a I ASPHALT Kati i l _18' _ _ .._._ N.E 91st TERRACE LEGAL DESCRIPTION: ;> • ' 3, E WEST 15.00 FEET, AND THE WEST 45.00 FEET OF 0 ;= 4 L 1, OF "WATERSSEDGE", ACCORDING TO THE PLAT OF CORDED IN PLAT BOOK 9, PAGE 141, OF THE PUBLIC DS �' MI -DADE COUNTY, FLORIDA. ADDRESS• 1183 N.E. 91st TERRACE MIAMI SRO S. FL. 33138 LEGEND' g- R +;,,i = RRres'd • G gC g .1on PVISV)ATT Post � C/P a Concrete Porch RAIL= RIgh of Way F.I.P.– Found Iran Pipe +- Wood Fence LR.C.e Iron Rod and Cap a Chain Unk Fence c - Centerline A /C= AP Conditioner PL = Property Une u.E.= Utility Easement P.OL a Point an Lie 5.0.8.- Boils of Bearing IP - Iron Pie R.0.11.= Roof Overhang Swk - 9dowolk PCL��aR. Planter (ES = Concrete Biotic LB- Una 9� L rasa >f = Esevofen RES - Residence FH - Fire Hydrant F.F.E.- Finish Floor Elev. a Roof 1 B.C. = Block Comer l�/B -F N �'A%S. �rt `n • j M Co. • , v , '. ► t`g L el ! ' r: •C0305 ,� � • •' =; > one: a cod El. • L.: • 13.0' CERTIFIED TO: DEYSI POLANCO This hoe been prepared for the e>touui a as herein end tha Certificatim of dam not to named unnamed SURVEYOR'S NOTES: 1– ONS4ERSWP IS SUBE'CT 70 CONON OF VILE 2–NO U D RGROW/0 IMPROVEMENTS � LOCATED 3– ELEVATIONS ARE REFERRED TO NATIONAL GEODETIC VERTICAL DATUM OF 1918 (UNLESS ALLIED 4 –THERE MAY BE ADDITIONAL ACTIONS NOT SHOWN M DRS SURVEY THAT MAY SE FOUND IN THE COUNTY PUBLIC RECORDS 8– LEGAL PROWDED BY CLIENT B– UNLESS 07HERWSE NOTED RECORDED AND MEASURED ARE BE SAME 7– BEFORE ANY CONSTRUC77 THE SET BACKS 4 MUST BE CHECKED 8–ALL FEED MEASUREMENTS TAKEN FOR THIS SURVEY HERE MADE NTH ELECTRONIC TRANSTAND AND/OR STEEL. TAPE W /ACCU. 1:7506 9–THIS SURVEY 1S FOR USE AS PER RLQ�T U AND NOT FOR ANY OTHER PU 0SE 10– THIS SURVEY WAS PREPARED WTHINUT THE BENEFIT OF A COIOBTMOIS FOP TITLE MSURANOE Of– DATE OF FIELD WORK 06/25/1012 :; • : ,. • „ n FRE HYDRANT SEC. + SECTION TWP CONC. POWER POLE " SEWER VALVE SA C OV a OAS METER OAS V SAN. • SANITARY MANHOLE ��p EEpW�yy�� c, 1 : Qa' CENSF "i'0, `� f f3 No.5718 ° * 0'/ I �‘ 00 s •Ri EVOS a / o +, ^w^ °„4, CARLOS HERNANDEZ ThEEFLOOD DA7APROVWEO IFOA INFORMATION PURPOSES ONLY. THE SURVEYOR MANES NO GUARANTEES AS TO THE FRONDEVRA.`YOCAL RMAA AGENCY SSHHOOIa1D.OBEcc A V ric`AAnoN PROFESSIONAL LLB 8URVer08RAN- 20raaPrER ELECT FILE CODE al f83NE9ITERR.MS Survey is not valid without the signature and raised/digital seal of the Florida Profesdond Ismd Banner and '� Ramer BASIS OF SEARiNG BASE: BEARING BASE SHORN HEREON ARE BASED ONSoUfH LINE OF MTh 72 &24 B',,"11BEwORSParev"EAMUSED. Be beandry surrey of the property shown hereon Is in accordance with the description fundehod by the client No search of public records has beet made by ale efSce for accuracy or omissions. Sublet to opinion title and any dedications, limitations, restrlctiam or easements of record. No underground knprevoe.m.t" and /or atNgeo were I Hereby Cottfp That the attached boundary survey of the properly described below 6 to the beet of my knowledge and beef =orate as recent surveyed muter my Srectlon deo that the re no above ground omreaalrrm is other than those sham. and that this survey meets the minimmn technical eta set by the Flarhda Board of Land Surveyors as set forth In Section 472. 027 (F.S.T Chanter 61017 -8 of The Florida Amknistrative Code. BLDG DEPT 1 1 ,,.�,� SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGUI ATInt Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 'Inspection Number: INSP - 174949 Permit Number: RC -9 -09 -1531 Inspection Date: July 02, 2012 Inspector: Bruhn, Norman Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: DISTINCTIVE HOMES Permit Type: Residential Construction Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE FAMILY HOME 12/16/09 TRUSSES REVISION Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 174833. A new survey is required showing all improvements to the site. NB Failed ‘e ."? r eil-- Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 July 02, 2012 Page 1 of 1 r'LOIII UA HUI1.DINti war "•" "' "• " „ ", • "' "•" "' °• BOUNDARY SURVEY PROUDLY SERVING FLORIDA COAST TO BAST OFF: (877)- 694 -80m nei..F1o11dmmldSurve ing.com 2400 WEST WO STREET 18 HI/LEAH, FLORIDA 33018 "BAY LURE" 44 IS i1¢ 20 21 22 26 26 27 1= N.E91etTERRACE —I iim d z (PB. -63) PLAT LIMITS 589.07'00BE FLP 1/2° LOCATION SKETCH Scale 1 "= NT.S. NO CAP 80.00'(R)(M) PIP 1/2 ,:. WALL NO CAP THE EAST IS OF LOT -23 BLOCK -i LOT -22 BLOCK -1 F.LP 1/2° N O N O ° 1 y 5.0 35.0' 45.0 LESS THE E 15'1 117. —I 0.50' ONPL T1-IE \VEST 45' OF LOT -23 1 OF LOT -24 gy BLOCK -1 N BLOCK -1 .n � 1 THE EAST 5' OF LOT -24 BLOCK -1 0.20 LOT -25 BLOCK -1 W aO �b p O p NCOr) e 1' ;faa9 i eav O 0.10' ' ku O ri's O O O Cr) 1605' w 3 sy 14 Tr ONE RES 4%' 29.55' N STORY X118p �' "i 10.30' 10.05' 0.65 moo' y 20.00' r Ni 10.40' i 1 i � 00 3 r r 10.x' ; 40 t . 11t■0 SE 1/20' S� 18' 15.0' 9 6` / SANG 35.0' ‘',02‘ ` OTE MU. I �,'.. CO.BM# CO.DRIVE 2 6110 c V. = 8.7-' , TO: NGVD () 80. 0(9 (M1 07'00 E 6' P Gp� 0 N la� ASPHALT a� 1 O. _ ,. O �� -18, . N.E 91st TERRACE � LEGAL DESCRIPTION: THE WEST 15.00 FEET, AND THE WEST 45.00 FEET OF 4 7 CK 1, OF "WATERSSEDGE ", ACCORDING TO THE PLAT EO RECORDED IN PLAT BOOK 9, PAGE 141, OF THE PUBLIC R RD MIAMI -DADE COUNTY, FLORIDA. 118 8 . ' �s>� " . d . HORES.�FL�. 33 33138 g LEGEND: • • a ;ete WV R. = RRecorde� 6 - lon PVM7 Pavement OP = Concrete Parch R/N= Righ 01 Way F.I.P.° Found Iran Pipe t = Wood Fence .-= Chain Lbdr Fence Pa C = Centerline Cop 'I..' Air Conditioner P.L. = Property Line U.E.= Utility Easement P.O.L Paint on Line &0.8.= Basis of Bearing IP = Pipe RO.H.= Roof Overhang Swk = eaaik PL = Plantar Cone = Concrete CCq&OqO,= Curb & Gutter CBS�� Concrete Block L8= Ll �s ,1 a ElgAbravation RES = Residence FH = Fire Hydrant F.F.E.= Finish Roar Bev. Roof B.C. Block Caner 'NY = Parks ENOR.. Encroachment TDAiN/D•F N / = pAmk 6= Rafted . r O• • de Co. .. . el - 1086C0306 ■ L Zone: - • - - cod El - on:8.0' CERTIFIED TO: DEYSI POLANCO llits -ft•Lw has been of the named bond 41 the excessive Certif�ti: does not extend to any unnamed patl SURVEYOR'S NOTES: 1— ONWERSHIP IS SUBJECT TO OPINION OF TITLE 2—NO UNDERGROUND IMPROVEMENTS NOTE LOCATED 3—ELEVATIONS ARE REFERRED 10 NATIONAL GEODETIC VERTICAL DATUM OF 1929 (UNLESS ASSUMED). 4 —THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHORN DV THIS SIRIEY THAT MAY BE FOUN0 IN THE COUNTY PUBLIC RECORDS 5 —LEGAL DESCRIPTION PROVIDED BY WENT 6— UNLESS OTHERRISE NOTED RECORDED AND MEASURED ARE TIE SAME 7—BEFORE ANY �STRucJ THE SET BACK MUST BE CHECKED 8—ALL FIELD MEASUREMENTS T FOR THIS SURVEY *ERE MADE 851f ELECTRONIC TRANS) AND /OR STEEL TAPE W ACLU. 1:7500 9—ROS SURVEY IS FOR USE AS PER AND NOT FOR ANY OTHER PURP 70— THIS SURVEY WAS PREPARED INIHOUT THE BENEFIT OF A COMMITMENTS FOR TITLE BJSlRANCE /1— DATE OF FTED NOW 08/25/2012 L WOOD R ' ° FH FIRE HYDRANT SEC. + StC110N CPP CONC. POWER - ' 1 ” SEWER GTA. GV w f RETAL�VEAS V. SAN. • SANITARY MANN • S • ! .I.: s_ ., . -- ",...-•••••-..„, ," S q1,'`"" ..•.` s 0A�""° Dsg18 t+ X * * 5 (244e') g \ a "d o . .p18Verpg1,,,•'' �� "• "' ^'^' °1jp°n "' CARLOS HERNANDEZ PROFESSIONAL SURVEYOR AND MAPPER LB $7619 08.252012 ELECT FILE CODE 81183NEBITERR.MS Survey Is not weld without the etglabve and raised /digital seed of the Florida Registered Prof al Land Surveyor and Wooer NOTE: THE FLOOD DATA PROVIDED 8 FOR INFORMATION PURPOSES ONLY. THE SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION PROVmED THE LOCAL Fp_mA AGENCY SHOULDBECONTACreo FOR VERH 'ICAllON. BASIS OF BEARING BASE: BEARING BASE SHOWN HEREON ARE BASED ON SOUTH LINE OF LOTS 23 & 24 BLOCK -I BEING S ESIVP00.E ASSUMED. The boumday survey of the property shown hereon is H accordance with the description famished by the client. No search of public records has been made by Mb office for a sassy re emissions. Subject to opinion title and any dedications. limitation% restrictions or easements of record. No underground Improvements and /or utilities were located. 1 Hereby Catify2 That the attached boundary survey of the property described below is to the best of my knendedge and beget accurate as recently surveyed under my dkeotlsrs also that there are no above ground encroachments other than those shown, and that this buryey meets the mhnkmsn technical standards bet by the Florida :. 1 _ 11111. y Y-', _ .4115_ .1 11 _ _ Ill- 2 ..... .. . 1 _.. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP - 174950 Permit Number: RC -9 -09 -1531 Inspection Date: July 02, 2012 Inspector: Bruhn, Norman Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: DISTINCTIVE HOMES Permit Type: Residential Construction Inspection Type: F. Elevation Certificate Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE FAMILY HOME 12/16/09 TRUSSES REVISION Ok I / Passed °V Inspector Comments CREATED AS REINSPECTION FOR INSP - 174834. Provide a finished construction elevation certificate. NB ‘,,,,,e 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 July 02, 2012 Page 1 of 1 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the Instructions on pages 1 -9. OMB No. 1680 -0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION Al. Building Owner's Name DEYSI POLANCO A2. Building Street Address (including Apt., Unit, Sufic and/or Bldg. No.) or P.O. Route and Box No. 1183NE91 TER City MIAMI SHORES State FL ZIP Code 33138 For. Insurance Company Use: A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) WATERSEDGE PB 9 -141 LOT 23 LESS W15FT & W45FT OF LOT 24 BLK 1 LOT SIZE IRREGULAR OR 14600 -3186 0590 1 COC 26253 -1723 26426 -185 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longkude: Lat. ,N25 °5 Long. W80°1025" Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building tithe Certificate is being used to obtain flood insurance. A7. Building Diagram Number A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade NA c) Total net area of flood openings in A8.b .NLA sq in d) Engineered flood openings? ❑ Yes No A9. For a building with an attached garage: a) Square footage of attached garage M sq ft b) No. of permanent flood openings It the attached garage within_ 1.0 foot above adjacent grade_ -- -I¢ c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number MIAMI SHORES,VLG/MIAMI -DADE CO 120652 B2. County Name MIAMI DADE 133. State FL 84. Map/Panel Number 12086C0306 85. Suffix L 86. FIRM Index Date 09/11/2009 B7. FIRM Panel Effective/Revised Date 09/11/2009 B8. Flood Zone(s) AE B8. Base Flood Elevation(s) (Zone AO, use base flood depth) 8 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in item 89. ❑ FIS Profile IS 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)? El Yes Designation Date , Vg �] CBRS ❑ OPA ® No 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/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 BM B- 62Verticai Datum 8.74 NGVD29 Conversion/Comments j /�A a) b) c) d) e) f) 0) h) Top of bottom floor (including basement, crawlspace, or enclosure floor) g4Q Top of the next higher floor WI:- Bottom of the lowest horizontal structural member (V Zones only) iV/g. Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) Highest adjacent (finished) grade next to building (HAG) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 8.06 5§..50 Check the measurement used. ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) feet ❑ meters (Puerto Rico only) 0 feet ❑ meters (Puerto Rico only) •¢� ® feet ❑ meters (Puerto Rico only) N_/66. ® feet ❑ 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. 1 certify that the information on this Certificate represents my best efforts to interpret the data evadable. 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? IN Yes ❑ No Certifier's Name CARLOS HERNANDEZ License Number #5718 Title PSM Company Name FL. BUILDING & LAND SURVEYING Address 2400 WEST 80 STREET # 5 City HIALEAH State FL ZIP Code 33016 Signature Date 06/26 /2012 Telephone 1- 877 -894 -8001 SHERN 44 � ""'„Q ' 10EN$!. O No. 5718 'ta is it .,, O P� ,' FEMA Form 81 -31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding Information from Seaton A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1183 NE 91 TER City MIAMI SHORES State FL ZIP Code 33138 For Insurance Company Use: Policy Number Company NAtC 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 NOTE: THIS ELEVATION IS NOT FOR CONSTRUCTION PURPOSES, THIS 15 ONLY FOR INSURANCE PURPOSES ALL ELEVATIONS REFLECT HEREON ARE IN NGVD29 SYSTEM.MACHINERY SERVICING THE BUILDING IS AN A/C UNIT. LAT AND LONG WERE OBTAINED UTILIZING GPS SYSTEM. FINAL ELEVATION CERTIFICATE. CROWN OF ROAD:4.41 NGVD29 Signature Date 06/2612012 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. lithe Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items El -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, crawlapace, or enclosure) Is ❑ beet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (Including basement, cxawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 89 with permanent flood openings provided In Section A Items 8 and/or 9 (see ges 8-9 of Instructions), the nod higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or D below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or 0 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 caned 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 SECTION G - COMMUNITY INFORMATION (OPTIONAL) n Check here N attachments 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. 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 34 -09)1s provided for community fiocdplain management purposes. 04. Permit Number I G5. Date Permit Issued G8. Date Certif sate Of Compilance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of es -bust lowest floor (including basement) of the bulking: ❑ feet ❑ meters (PR) Datum 09. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum 010. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Community Name Signature Comments Title Telephone Date ri Check here ff 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. 1183 NE 91 TER Policy Number City MIAMI SHORES State FL ZIP Code 33138 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. Building Photographs Continuation Page 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 FL ZIP Code 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." 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- 174950 Permit Number: RC -9 -09 -1531 Inspection Date: July 02, 2012 Inspector: Bruhn, Norman Owner: POLANCO, DEYSI Job Address: 1183 NE 91 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: DISTINCTIVE HOMES Permit Type: Residential Construction Inspection Type: F. Elevation Certificate Work Classification: New Phone Number Parcel Number 1132050010200 Phone: (305)279 -2088 Building Department Comments CONTRUCTION OF A NEW SINGLE FAMILY HOME 12/16/09 TRUSSES REVISION Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 174834. Provide a finished construction elevation certificate. NB 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 July 02, 2012 Page 1 of 1 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1 -9. OMB No. 1660 -0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name DEYSI POLANCO A2. Building Street Address (including Apt., Unit, Suite, and/or BIdg. No.) or P.O. Route and Box No. 1183NE91 TER Policy! Number Company;NAIC Number City MIAMI SHORES State FL ZIP Code 33138 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) WATERSEDGE PB 9 -141 LOT 23 LESS W15FT & W45FT OF LOT 24 BLK 1 LOT SIZE IRREGULAR OR 14600 -3186 05901 COC 26253- 1723 26426 -185 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. N25°5 '33 ,, Long. 90'25 A6. Attach at least 2 photographs of the building lithe Certificate is being used to obt A7. Building Diagram Number j A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) sq ft b) No. of permanent flood openings in the crawispace or enclosure(s) re(s) within 1.0 foot above adjacent grade j / c) Total net area of flood openings in A8.b j 1 sq In d) Engineered flood openings? ❑ Yes -� No RESIDENTIAL Horizontal Datum: ❑ NAD 1927 ® NAD 1983 aln flood insurance. A9. For a building with an attached garage: a) Square footage of attached garage MI sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 18 c) Total net area of flood openings In A9.b ail sq in d) Engineered flood openings? ❑ Yes _< No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number MIAMI SHORES,VLG/MIAMI -DADE CO 120652 B2. County Name MIAMI DADE B3. State FL B4. Map/Panel Number 12086C0308 B5. Suffix L B6. FIRM Index Date 09/11/2009 87. FIRM Panel Effective/Revised Date 09/11 /2009 Be. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 8 BI0. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile FIRM ❑ Communty Determined ❑ Other (Describe) 811. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1968 ❑ Other (Describe) BI2. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 10 Yes No Designation Date 1A ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. 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. Use the same datum as the BFE. Benchmark Utlhzed ,@,Vertical Datum 8.74 NGVD29 Conversion/Comments P.,6 a) b) c) d) e) 1) 9) h) Top of bottom floor (Including basement, crawlspace, or enclosure floor) (x.20 Top piths next higher floor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location In Comments) Lowest adjacent (finished) grade next to building (LAG) Highest adjacent (finished) grade next to building (HAG) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support Check the measurement used. ® feet ❑ meters (Puerto Rico only) NIA. feet ❑ meters (Puerto Rico only) jy(g. ® feet ❑ meters (Puerto Rico only) 5.� feet ❑ meters (Puerto Rico only) 8.06 feet ❑ meters (Puerto Rico only) ■:e feet ❑ meters (Puerto Rico only) 5.51 ® feet ❑ meters (Puerto Rico only) mg. ® feet ❑ 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. 1 certify that the Information on this Certificate represents my best efforts to interpret the data available. 1 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? ® Yes ❑ No Certifier's Name CARLOS HERNANDEZ License Number #5718 Title PSM Company Name FL. BUILDING & LAND SURVEYING Address 2400 WEST 80 STREET # 5 City HIALEAH State FL ZIP Code 33016 Signature Date 06/26/2012 Telephone 1-877-894-8001 ,OS HER1d4 ' -, 1 � ‘,CENSF NQ .` y, �N(oo../57718 y 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. 1183 NE 91 TER For Insurance Com Use Policy Number 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) budding owner. Comments NOTE: THIS ELEVATION IS NOT FOR CONSTRUCTION PURPOSES, THIS IS ONLY FOR INSURANCE PURPOSES ALL ELEVATIONS REFLECT HEREON ARE IN NGVD29 SYSTEM.MACHINERY SERVICING THE BUILDING IS AN NC UNIT. LAT AND LONG WERE OBTAINED UTILIZING GPS SYSTEM. FINAL ELEVATION CERTIFICATE. CROWN OF ROAD:4.41 NGVD29 Signature Date 06/26/2012 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. lithe 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, crewlspace, or enclosure) Is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, c awispace, or enclosure) Is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Budding 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) piths 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 f oodplaln 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 owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -hued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, 8, 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 i1 Check here 11 attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The kcal official who is authorized by law or ordinance to administer the community's floodpiain management ordinance can complete Sections A, B, C (or E), and G of thls Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items GB and G9. 01. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a Ikea e d 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 oiflcial completed Section E fora building located in Zone A (without a FEMA -Issued or community -Issued BFE) or Zone AO. G3. ❑ The following information (Items 34-39) is provided for community floodpiain management purposes. 34. Permit Number 05. Date Permit Issued 08. Date Certificate Of Compliance/Occupancy issued G7. This permit has been Issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -bulit lowest floor (including basement) of the budding: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum 010. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Community Name Signature Comments Title Telephone Date f Check here 11 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. 1183 NE 91 TER Policy Number City MIAMI SHORES State FL ZIP Code 33138 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. Building Photographs Continuation Page 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 FL ZIP Code 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." 12C al- 1531 DIVISION OF Environmental Health Florida Department of Health ,� Miami -Dade County Health Department OSTDS /Well Division grtt 11805 SW 26 St. • Miami, FL 33175 O p,jr Date 1pz �� . 0 g iv �39G% v. OSTDS # j P I c9_52 )16'2 Inspector„ ! 5 h ` f veer Address 3 e. Comments: Signature_