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BP2002-509SECTION BY DAT Zoning Weal; V ° / /, vo4e.'i Electrical /l Mechanical ' Z. C S. c.2 Plumbing , r 01-1/ 0 'V Fire Ir4 39 ,_,,,, Public Works • Fax Structural 7/44. Zi i°1 Building Official 2 - .4 CONTRACTOR �1 Name Q� 7 ^ 6a— el, / c 4-f - g cab?, No. C GC A /S Address 7o (2 60-..CZ 7 6- At. 1 4 414 L4.6i3, . S3-o 5e Telephone 3,pr /9 ? L - y SW Fax Qualifier Name , yE,e g 1 2 .. a.„.e-fe__ PROPERTY OWNER Name e ... 40 1 1 ,4 ts, 1,4 Was //�� Address Il,3 NE. RI Streei 5o5 -T } 122 Home Telephone 9 A 0 C so C C C Business Telephone 3 s i . 1581 1 Off rt Fax 3oc S1( 107T1 ENGINEER Name i2ffic‘ Orr Cv( License No. Name a /eit /was Fax License No. rs z, Alteration Interior Address / :3 r 51r /Tr • Telephone 39 ,_,,,, Foundation Only • Fax I 31`'Z - 7r Other ARCHITECT Name i2ffic‘ Orr Cv( License No. Address / 2,/ ,c /ex l'''-' s 1 /f$, c - s Telephone cs��/ 2 5 t _ 6 cf5-Z l' I Fax TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'I Detachment Other Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) O FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) PERMIT FEES $3 ,art $ \ S'° ° (s = x/1000 x ¢.60) $ (¢.005 /s $ L �� (¢.01 /sq.ft.) REVIEWED AND PREPARED BY: DATE: so DO TOTAL $ 1 l PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) CONDITION OF APPROVAL Needs &'1. Appv' /S / oep v-s, S rOYb $ /Za b L•�S Se a rer'Mti4 aar 5»ep 1 Revised July 2001 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step J. Complete the attached permit application which must be ci ng ed by the property owner and qualifier. Both signatures must be notarized Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLI CATION J6b Address: Address Apt. D� City // State Zip Folio Number D escription of Work ��t, .We Lot Block Subdivision PB PG p Current Use of Property � � � ' `5 Square Feet < 1 Units Floors Proposed Use of Property 9Value of Work 2,cocz Tax Assessed/Appraised Value Flood Zone Base Floor Elev. Tenant Information '3 /i/& ' y/ - 45 /'14/0/ /57eype1 f3/3 e PERMIT TYPE ( ✓V Building Electrical Mechanical Plumbing LPGX Roofing Fence Other PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection Master Permit No. Subsidiary Permit No. PERMIT APPLICATION Zoning Linear Feet Bldg Value 3�, ELECTRICAL TYPE. Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. TYPE Service Repair QTY. A/C Central 1 -3 Ton Fan Outlet, Wall Service, Temporary A/C Central 4 -7 Ton Fire Pump Outlet, Switch Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE Minimum Fee QTY. TYPE Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons QTY. A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System Process/Pressure Piping Supply, AC Well Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Temporary Toilet PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE. Miscellaneous Fixture QTY. TYPE Soakage Pit ' QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink - Well, Supply Page 2 IMPORTANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STA E OF FLORIDA igne o • caner Y OF MIAMI -DADE of t P� e, Print Name Swom to and subscribed before me this Wi day of fat ir Y i 4) 11111 . i s - State of Florida SEAL: Personally known 'b" Alfred McKnight . MY COMMISSION # CC710228 EXPIRES lcnuary 22, 2002 BONiiiO1HRU TROY FAN INSURANCE. INC. OR, Produced Identification Type of Identification Produced: STATE OF O A, OUNTY OF MIAMI -DADE Signature o Contractor / Qualifier ,g.. FE lq_ KO E l& 6e-te__ Print Name Sworn to and subscribed before me this day of _J , Z40 blic Hof Florio . Person PERMIT APPLICATION SEAL: K Q 118 7Ve�ni6ht 4t �r nd•3t ^ JiT � Type of Identification•Pcoduced: _ . 1 :,v v. • .r• Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: s)v Local Phone: (305)821 -5498 Parcel # 1132060130120 Job Address: 63 NE 91 ST 1 Miami Shores Village 10050 NE 2nd Avenue Phone: 305- 795 -2204 Printed: 3/12/2002 Applicant: CARLA Owner: PETERS Contractor PRESTIGE BUILDERS CORP Fees: FEE2002 -1463 FEE2002 -1464 FEE2002 -1465 FEE2002 -1466 Description Building Fee Buildier's Bond CCF Radon Total Fees: Permit Status: Approved Permit Expiration: 9/8/2002 Construction Value: $25,000.00 Work: ENCLOSED CARPORT & CONVERT GARAGE TO BEDROOM /BATH If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. This Permit is granted to the contractor or builder named above to construct the b ordinances pertaining thereto and with the understanding that the work will be perfo and approved by the proper municipal authorities. This Permit may be revoked at a authorization. A further condition upon which this permit is granted is the understan ordinances and regulations pertaining to the work covered hereby whether shown on by his agents, servants or employees. Signed: ' (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work with the plans, drawings, statements or specifications submitted to the proper autho myself, my agent, servants or employes. Signed: (Contractor or B Building Permit Permit Number: BP2002 -509 PETERS CARLA Address: 7012 GREENTREE LA Cellular: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 - 70 LOTS 19 & 20 BLK 1 LOT SIZE 100.000 Amount $375.00 $300.00 $15.00 $4.28 $694.28 4 FLORIDA PROFESSIONAL SERVICES, IN. 100 N.E. 89TH ST. EL PORTAL, FL 33138 Pay to the Order of COMMERCIAL BANK OF FLORIDA Hallandale Office 1448 m et Hallandale Beach � ., Hallandale, Fl 33009 For Page 1 of 1 1:0660 L03 ? ?I: II L L LOO LS9So Total Fees: $694.28 Total Receipts: $0.00 29 L8 2918 Date ��7 63- 1037/660 C z.$ 699 ars 8 RESTRICTIVE COVENANT DECLARATION OF USE PREPARED BY: /gent D 011 #r KNOW ALL MEN BY T S PRESENTS: WHEREAS, the undersigned C t I Q Qe 1 is/are the fee simple owner(s) of the following described property situated and being in 1 Miami Shores Village, Florida: Lot(s) 1 .! i 20 Block t of ptt/ t f thee, S&xT No 1 (Subdivision), A.K.A. (address) according to the plat thereof, as recorded in the Plat Book 10 Page 7 0 of the Public Records of Miami -Dade County, Florida, and Whereas, the undersigned owner(s) 1 a Ia_ Fe t.rs desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: 1. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. 2. That the property will be used for a single family residence only. No b w Pi el( u5 3. That the use of the property or building will be as follows: NO c ' 7 ° Ae (t_ �rl� otikAba��tlitPon'7 Com :FY.5iaw 1.stLt_ Ncrt lac ,.evvre c� orc+:PlE"0 4y UCTHc /2 A4 i/ NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordance of said Village then in effect. IN WITNESS WHEREOF the undersigned has/have caused hereto on this 2 /` day of _ _____ , 200 . WITNESS(ES) !f Signature and Print Signature and Print STATE OF FLORIDA): COUNTY OF MIAMI - DADE): I HEREBY CERTIFY that on this day personally appeared before ma , 'e ! who is personally known to me or has produced (type of identification) as identification and e/sh� eacknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there in expressed. rff SWORN TO AND SUBSCRIBED before me on this 2 day of 1r omm tssi�r KN 1 G H T Notary Public • State of Florida • --• s_ _tom, 23.2008 DECLARATION OF USE in 2R 12 3 3 7 2002 FEB 2° 10: 15 hand(s) and seal(s) to be affixed ignature and Print Signature and Print cakla Peie RESTRICTIVE COVENANT DECLARATION OF USE PREPARED BY: ft JI0 /C KNOW L MEN BY L T S PRESENTS: WHEREAS, the undersigned CCV a 7e k Y5 is/are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Lot(s) 1 1 i 20 Block 4- of MIAM f thee) Sir No 1 (Subdivision), A.K.A. (address) according to the plat thereof, as recorded in the Plat Book 1 Page l O of the Public Records of Miami -Dade County, Florida, and Whereas, the undersigned owner(s) C or la- Peters desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: 1. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. 2. That the property will be used for a single family residence only. Ivo c � n i k N t h � - A c tl i `rtE3 AI 0 3. That the use of the property or building will be as follows: 0 ilk A6016412Pon'7 C'oNiir725ra■ &SILIL MI g %r ck) orcamv /9y 4u07 - ,ye 2 A4ok NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordance of said Village then in effect. IN WITNESS WHEREOF the undersigned has/have caused f ! � hereto on this 2. day of__ 200 WITNESS(ES) Signature and Print Signature and Print STATE OF FLORIDA): COUNTY OF MIAMI - DADE): � m sslRrKNIGHT Notary Public - State of Florida -• si•z my Cal 7.3,2038 - .5 Commission f OD 088241 1 fl'+�''' ` Bonded By W10 11 Notary Assn. DECLARATION OF USE STATE OF FLORIDA, COUNTY OF DADS I HEREBY CERTIFY that this is trun copy :f fhs ingrnal id3d in this o /hca on _2 O7 y c F hrnd ;:ri J.,,C r . S_._i. CLEri :, of u v „ Ccun:;' CCbi 21y. D.D. 0 2 0 120337 2002 FEB 2 8 1I :1S hand(s) and seal(s) to be affixed ignature and Print Signature and Print I HEREBY CERTIFY that on this day personally appeared before m % g 1 who is personally known to me or has produced (type of identification) as identification and e/sh�e acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there in expressed. Ir SWORN TO AND SUBSCRIBED before me on this Z(' day of 6 I eLi V e4 L{ CS ��, LL (address) b3 �L 9h s . Signature c /tlla BUILDING AND ZONING DEPARTMENT 1 0050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138.2382 TELEPHONE (305) 795-2204 FAX (305) 756.8972 RECEIPT contractor /owner, picked up 2 sets of plans for from the Building and Zoning Department on (date) 3-'-o?__ to have corrections done to plans and/or get County stamps. I understand that the plans need to be brought back to Miami Shores Building and Zoning to continue the permitting process. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: y' /f 10 62-Awes / 2. Description of improvement: 3. Owner(s) name and address: ))4 43 A/a' SY P S74 Interest in property: Name and address of fee simple titleholder: E OF FLORIDA, COUNTY OF DADE . RTIFY that V; 5 IS a tidU al e• m this office on J dl. - 1_ NESS my hand and O. , I SU3i. 4. Contractor's name and address: 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: By 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: Notary Public Print Notary's Name My Commission Expires: - cl /c '4 ,( z >- 64,4, AI ; 7I () A/cr HIS RUw / / / i „,, "" % / /SPA! * /-•� , • '� ' Notary Public - Sate of Florida `~ '= My canmidal ExPiee Jon 23, MG I 111 02R120338 2002 FEB 23 10:15 3/0e 1 ( 4 • 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1 Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) r s: Signature of Owner Print Owners Name L/f 'GI t iet Prepared Sworn to and subscribed before me this,. . day of n ruau 240 / / c )/6/7 1 I" -- Address: / 2_4e2 ��` 12ao1.52 2193 1� JOB ADDRESS APPLICANT 63 ?( sr C4-‘ i°E-T6 , r PHONE# APPLICATION (..-1 i V, ibiG E 0 S C SHEET OF MISCELLANEOUS 5 ; e(' � `' t fi wir Of ilezu Felice/64-re" CRITIQUE SHEET j ks like k pica( PERMIT NO. ADDRESS: woo i .s Js ' t c..awev MIAMI SHORES VILLAGE BUILDING / ZONING DEPARTMENT' SECTION BY ZONING ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL DATE 1. Subject to compliance with air Federal, State, Co - ty. Vt lage rules end regutato s. Wage =n es no responsibility for accuracy ofloe results from these pans. 2. This copy of plans mat be available on buEding site or no Inspection Ydlf be cor:ccted. DATE ZONING COMMENTS INITIALS yr, /®- No D e-c fi-mitJ of use' Is gt c r n 19( ecif Ci'rm) PEA 1414iw'iNl, f 241v. aGfhE'./I � C t T OP tue5i 5 fs Aier7' PP 72 INS F Lw . rr4s r 6e 4r 1..e79-5 7 / e 3 vor 91 47 ♦ ' &e /9-4) SIOF Dooe - oe(afz y ` � �U. ANn 'CSZNG D 70 P 77 % - . - ,6 3 /)') -0G5u DJUDING Pa r /C- M"CTORS IS R TICS! C ST SIIZ".' Cr LCRIDA .xi Copy of AND DADE C XJ 'ry C�� - J Ci LI �. - CAs'ICN (DPE4) . _ sum REGISMATION business is located. Copy of current COCUPATICIaL LICENSE fzcm cat! cr• ”hfc;cality.whe C`to Village). ``'_i o 'Insurance for LIABILITY Struck applicable. Calculations signed and Shores Certificate of oresViilage) or if Wi COMP (addressed to Miami State of Florida be Form X204, Construction - E�wt. c`._or, ^:sue �iotice of p° -=�ti t POSE SUBMIT r.., tom, CRECK D OFF -� �T}DLICatIQjl (signed by person "n� -►'C Or and the orODer�,r performing :the work, licensed owner, both signatures engineer. � of P IS /` risings sicced and sealed registered architect ".�.' Occupancies All plans must ccupancl es by GCi� �l� iFi y u st be d actress. cati include ct: must be on plans Amended plans, in �•, -L� _LIC"'CCa f01_O � and 2nQ i permit number. a ddition to the a t o r Pro °e''ty • must also include the sealed by =r: • ect c engineer o__� when CUr ent survey of the c prope�i..�,�,� / teofEleva ettA4 // On sjcr - ar� sealed by 5�- .- ,�evoL. Substantial � •0. Improvements Ch ( contractor or owner) Four sets of � 6 � energy calculations pARL pa sets of S; , signed and sealed TZane. signed a sealed Try D�� (vICT `"). County or State of Flo Z.. AL n°- -s, window rida Pr•:,. Approvals G ®NS�'k=ilLr/' .closures, wiS , ex terior/garage age doors, aluminum. screen . m. ca for roof materials, C i awnings, skyT ights, '1 orsan d etc. Approvals from RES, DADE � County ct Fey Fire a Fe�th ant (when aepl c%� Dam S Depar�*it minty Deed or Other / Proof of 0W ne rs`'uP if Structural Review foe (p44s, O Z) Notice of Commencement "( 2.(2_, " sa- D' D Return to: Instrument Prepared By: CHRISTOPHER P. KELLEY, Esquire 11098 Biscayne Boulevard, Suite 205 Miami, FL 33181 Grantee's Tax ID No. Folio No. 11- 3206 - 013 -0120 THIS INDENTURE, Made this Zf day of J)ect,4 tie,- , 2000, Between, JOSEPH RIVE and KIMBERLY RIVE, husband and wife, GRANTORS, and CARLA L. PETERS, whose post office address is 63 N.E. 91 Street, Miami Shores, FL 33138, GRANTEES, WITNESSETH, That said GRANTORS, for and in consideration of the sum of Ten and 00/100 Dollars, and other good and valuable considerations to said GRANTORS in hand paid by said GRANTEE, the receipt whereof is hereby acknowledged, have granted, bargained and sold to the said GRANTEE, and GRANTEE's heirs and assigns forever, the following described land, situate, lying and being in Miami Shores County, Florida to -wit: Lots 19 and 20, Block 1, of MIAMI SHORES SECTION 1 AMENDED, according to the Plat thereof, recorded in Plat Book 10, at Page 70, of the Public Records of Dade County, Florida and said GRANTORS do hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever. IN WITNESS WHEREOF, GRANTORS have hereunto set their hands and seals the day and year first above written. Sign- •,. , sealed, and delive in our presence: b g/LhL SU TO: Applicable zoning and /or restrictions and prohibitions imposed by governmental authority; Conditions, Restrictions limitations, reservations, easements, and other matters appearing on records, if any; Utility easements of record, taxes for the year 2000 and subsequent years. fitness Name ii7d ha Print Name Witness ,Name ( `h,. i Print Name STATE OF FLORIDA ) COUNTY OF MIAMI -DADE ) WARRANTY DEED PH - E Grantor ro 1/t L /l- lk%'14, /DC '76//c K BERLY RI Gr, ntgr FAmev L odgr Itra 14. 4IS . tOnvkiA ( 1 `1(L' t to I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State and County aforesaid to take acknowledgments, personally appeared JOSEPH RIVE and KIMBERLY RIVE, his wife, who produced P-lu A G, Z and f 4 %i - z- , respectively, as identification, and who executed the foregoing instrument and acknowledged before me that they executed the same. WITNESS my hand and official seal in the County and State last aforesaid this G(o day of December, 2000. My Commission Expires: l / State of a - IDA at Large 00 no, Christopher P Kelley * * My Commission CC925041 "•►,,,,/ Expires May 21, 2004 STATE OF FLORIDA) COUNTY OF DADE) The undersigned Affiant, (b 0 r la, Peters , does hereby attest that the (property o attached survey, performed by . / 1 ct oCo rve ors (name of surveyorl com a P r& performed on l 0 1'00 , is an accurate representation of the existing conditions and (date of survey) locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than six (6) months old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits.. Further, Affiant sayeth naught. Witness(sign and print) !r SWORN TO AND SUBSCRIBED before me this �� day of G Affiant is personally known to me, rproduced SI or� Vc�Lac�e AFFIDAVIT Affiant/Property owner Witness(sign and print) . 260 as identification. o *sl/II wr+ • ,‘ 2Y 1. ALFRED MCKNTd" � s Notary Public • State of Florida i .1 •y .r My Commission E�ae5 Jan 23, 2006 •, Commission # DD 088241 • , f nut , gord. ?• Notional NoAry Aa$n. l y, ZiZ„ Nn IS N -3 , tai � N BOUNDARY SURVEY • x 0 WE ARE NOT RESPONSIBLE FOR SET BACK VIOLATIONS LEGEND • FIP= Found Iron Pipe S.P.C.- SET 1/2" PIN CAP LB47S9 F N/D =Found !a Disc S.PCP= SET PERMANENT CONTROL POINT LB4789 1- CENTERLINE. P /L= PROPERTY LINE. 0 /L= ON LINE M.H.= MANHOLE. WM= WATER METER. PP= POWER POLE FC.= FENCE CORNER, R= RECORD, M= MEASURED CHAIN LINK OR WIRE FENCE= • - WOOD FENCE= MASONRY WALL CONCRETE= t -• ,: • • _ •` •j MAIM:NANCE 6 DRENM;E EASalEtIr -=hTSD. E. NOTES: UNLESS OTHERWISE SHOWN, THE FOLLOWING NOTES APPLY. 1) Record and measured calls are in substantial agreement. 2) Bearings. if shown are based on Plat data 3) The lands shown hereon were not abstracted for Easements or other recorded emcumbrances not shown on the plat and he same, if any may not be shown on this sketch. 4) Underground portions of Footings. Foundations or other improvemer.ts were not located. • 5) Elevations are based on National Geodetic Datum. 6) Fence Ties are to the Centerline of the fens :e. 7) Wall Ties to the face of the Wall. 8 BEARltoi hI-mNV SHORJ A.RE _ REFERED TO AN ASSUMED VALUE SAID FB F ?GE Elev3'iors based Cn CBM Elev. rNwD_IV,. Locator Index 0 LEGAL DESCRIPTION: LOTS 19 & 20 1 HEREBY CERTIFY That the survey represented hereon meets the minimum technical requirements adopted by the STATE OF FLORIDA Board of Land Surveyors pursuant to Section 472.027 Florida Statutes. There are no encroachments. overlaps. easements appearing on the plat or visible easements other than as shown hereon • ADIS N. NUNEZ RegisterecrLand Surveyor No. 5924 State of Florida L O C A T I O N S K E T C H SCALE: N T S (305) 865 -1200 FLOOD ZONE: ' PANEL : DATE: /Z - -7 -oo .i I L, ; SS 0 u1 to _:S 1 1' oj 428 ) 12E.'tl bitnk C 1ie9i' o uritie CERTIFIED TO: CARLA L. PETERS, 63 N.E. 91ST ST., MIAMI SHORES, FLORIDA 33138., CHRISTOPHER P. KELLEY, P.A., ATTORNEYS' TITLE INSURANCE FUND, INC., HOMECOMINGS FINANCIAL, A GMAC COMPANY, ITS SUCCESSORS AND /OR ASSIGNS, ATIMA. BLOCK 1 OF AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1 SUBDIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 70 OF THE PUBLIC RECORDS OF MIAMI -DADE ICOUNTY, FLORIDA. SUFFIX : :J O 093 , vfMTTIVTTY SCALE: DWN. BY: 1 "= 20' F.'�IA►4CO SINCE 1987 BLANCO SURVEYORS INC. Engineers • Land.Survevors • Planners LB 11 0007059 555 NORTH SHORE DRIVE MIAMI BEACH FL. 33141 Fax (305)865 -7810 DATE: 7 -17 -9 5 BASE :H '~ tMRFR : 1 2 0 a JOB No. 00- / 9 /3 SUFFIX: :J •iA 1 Y DATE: 7 - 17 - 95 BASE :t 1y 3: a z: Y4, `_^ —s REVISED: k NOT VALID JNLESS EMSOSSEG WITH SURVEYORS SEAL 36' • • O ° 47 ; 17 0.. I�Q ..2 S"OO ■ • BOUNDARY SURVEY • V R 4'c4 -. /9 X ¢ !..,/'-" BACK VIOLATIONS Elev.:icns basecl cn C3M Elev. N,V Locator Index ,0 - ,9 e1 WE ARE NOT RESPONSIBLE FOR SET LEGEND • FIP= Found Iron Pipe S.P.C' SET 1 /2 " PIN &CAP L84789 F N/D =Found Nail E. Di SC S.PCP= SET PERMANENT CONTROL POINT L84789 q= CENTERLINE. P /L= PROPERTY LINE. 0 /L= ON LINE M.H.= MANHOLE. WM= WATER METER PP= POWER POLE FC.= FENCE CORNER, R= RECORD, M= MEASURED CHAIN UNK OR WIRE FENCE= • W000 FENCE= MASONRY WALL= CONCRETE= . ,: :• •: _ MAINT DIANCE & DRENAGE EASE IESrtr NOTES: UNLESS OTHERWISE SHOWN, THE FOLLOWING NOTES APPLY. 1) Record and measured calls are in substantial agreement. 2) Bearings, if shown are based on Plat data. 3) The lands shown hereon were not abstracted for Easements or other recorded emcumbrances not shown on the plat and :he same, if any may not be shown on this sketch. 4) Underground portions of Footings. Foundations or other improvernerts were not located. 5) Elevations are based on National Geodetic Datum, 6) Fence Ties are to the Centerline of the fens :e. 7) Wall Ties to the face of the Wall. 8 BEAR i;am SHOW ARE REFER ED TO AN ASSUKED VAL.t,c SAID FD FACE 0 - /S a N CERTIFIED TO: CARLA L. PETERS, 63 N.E. 91ST ST., MIAMI SHORES, FLORIDA 33138., CHRISTOPHER P. KELLEY, P.A., ATTORNEYS' TITLE INSURANCE FUND, INC., HOMECOMINGS FINANCIAL, A GMAC COMPANY, ITS SUCCESSORS AND /OR ASSIGNS, ATIMA. LEGAL DESCRIPTION: LOTS 19 & 20 BLOCK 1 OF AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1 SUBDIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 70 OF THE PUBLIC RECORDS OF MIAMI —DADE 'COUNTY, FLORIDA. HEREBY CERTIFY Thal the survey represented hereon meets the minimum technical requirements adopted by the STATE OF FLORIDA Board of Land Surveyors pursuant to Section 472.027 Florida Statutes. There are no encroachments. overlaps. easements appearing on the plat or visible easements other than as shown hereon • ADIS N. NUNEZ Registered - Land Surveyor No. 5924 State of Florida L O C A T I O N S K E T C H SCALE: N T S (305) 865 -1200 Fax : (305 865 -7810 DATE: /---/ —00 SCALE: 1 "= 20' SINCE 1987 BLANCO SURVEYORS INC. Engineers • Land.Su veyors • Planners LB # 0007059 555 NORTH SHORE DRIVE MIAMI BEACH FL. 33141 DWN. BY: F. 'SIAN CO BUILDING OWNER'S NAME CARLA PETERS CITY MIAMI SHORES PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number Legal Description, etc.) LOTS 19 & 20, BLOCK 1, P.B. 10, PAGE 70, D.G'.', FL. FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. O.M.B. No. 3067 -0077 Expires July 31, 2002 For Insurance Company Use: Policy Number Company NAIC Number SECTION A - PROPERTY OWNER INFORMATION 00 -1913/ 01 -966 BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO. 63 N.E. 91ST ST. STATE FLORIDA BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comments section if necessary.) RESTDFNTTAT, LATITUDE/LONGITUDE (OPTIONAL) #r ( - tar - ##.#4t" or ##.#It### ° ) L NAD 1927 1_1 NAD 1983 ZIP CODE 33138 HORIZONTAL DATUM: SOURCE: 1 1 GPS (Type): L_I USGS Quad Map 1J Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 1 NF) FOMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAMEM — DADS B3. STATE FLORIDA B4. MAP AND PANEL NUMBER 12025C0093 B5. SUFFIX J B6. FIRM INDEX 7/17/�S B7. FIRM PANEL FF�ECTIVE/REVISED DATE B8. FLOOD zONE(S) B9. BASE FLOOD ELEVATION(S) r e AO, use depth of flooding) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. (J FIS Profile 129 I FIRM I_I Community Determined 11 Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: IX 1 NGVD 1929 1 NAVD 1988 1_1 Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1 Yes f 1 No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: IJConstruction Drawings* 1JBuilding Under Construction* I X 1Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - s -:3 pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. 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 C3a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum WGVD Conversion/Comments Elevation reference mark used RF.NCH MARK Does the elevation reference mark used appear on the FIRM? IX J Yes No No ❑ a) Top of bottom floor (including basement or enclosure) 11 .87' ft.(m) O b) Top of next higher floor N/A ft.(m) a O c) Bottom of lowest horizontal structural member (V zones only) N/A ft.(m) fil ❑ d) Attached garage (top of slab) 9.39 ft.(m) g ❑ e) Lowest elevation of machinery and /or equipment "' 111 servicing the building N/A ft.(m) 1 O f) Lowest adjacent grade (LAG) 9.25 ' ft.(m) z' ❑ g) Highest adjacent grade (HAG) 9.54' ft.(m) . N O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A 0 i) Total area of all permanent openings (flood vents) in C3h N/A ' sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER ADIS N. NUNEZ 5924 TITLE COMPANY NAME REGISTERED LAND SURVEYOR BLANCO SURVEYORS, INC. ADDRESS �, AM CITY STATE ZIP CODE N. S;iI DR. MII BEACH FLORID SIGNATURE ' I ' qq HH 6/7/01 ( 3 0 5 ) 8 65 6/7/01 FEMA Form 81- 31'JUL 00 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. 63 N.E. 91ST ST. CITY STATE ZIP CODE Company NAIC Number MIAMI SHORES FLORIDA 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 BM# N -603 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT aUT OUT BFE) BFE) s (W For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is 1_L ft.(m) 1 1 lin.(cm) LI above or 1 below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is I_I_I ft•(m) l_I_lin.(cm) above the highest adjacent grade:' E4. For 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? I Yes I No I I 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. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE NATURE DATE TELEPHONE .:MME; TS SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. 01. The The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. Li 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. Li The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for L New Construction LI Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: ft.(m) Datum: LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS •EMA Form 81 -31, JUL 00 CROWN OF THE ROAD ELEVATION: 9.63' G5. DATE PERMIT ISSUED TITLE TELEPHONE DATE For Insurance Company Use: Policy Number LOCATOR# 3250 SW ELEV. 7.70 I I Check here if attachments I I Check here if attachments REPLACES ALL PREVIOUS EDITIONS BUILDING OWNER'S NAME • CARLA PETERS 00 - 1913/ 01 - 966 BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO. 63 N.E. 91ST ST. CITY MIAMI SHORES FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. For Insurance Company Use: Policy Number Company NAIC Number SECTION A - PROPERTY OWNER INFORMATION STATE FLORIDA PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number Legal Description, etc.) LOTS 19 & 20, BLOCK 1, P.B. 10, PAGE 70, D.c.., FL. BUILDING USE (e.g., Residential, Non - residential, RF.STDFNT LATITUDE/LONGITUDE (OPTIONAL) ( RIf° - ##' - ##.##" or ##.## °) L_I B1�NFJSCOMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAMEMIAMI —DADS O.M.B. No. 3067 -0077 E July 31, 2002 ZIP CODE 33138 Addition, Accessory, etc. Use Comments section if necessary.) HORIZONTAL DATUM: SOURCE: 1_1 GPS (Type): 1_1 USGS Quad Map 1_1 Other. NAD 1927 1_1 NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B3. STATE FLORIDA B Ind icate the source o f t Base F lood Elevat (BFE) data or base flood depth entered in B9. LJ FIS Profile 1A1 FIRM 1_1 Community Determined 1J Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: IX I NGVD 1929 1J NAVD 1988 1J Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1 Yes IJ No Designation Date: SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: LJConstruction Drawings* L1Building Under Construction* I X JFinished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. 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 C3a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD Conversion/Comments Elevation reference mark used RF.N(.H MARK Does the elevation reference mark used appear on the FIRM? IX 1 Yes I_1 11 87' ft.(m) To NIA N/A ft.(m) 2 9 ft•(m) E ❑ a) Top of bottom floor (including basement or enclosure) ❑ b) Top of next higher floor D c) Bottom of lowest horizontal structural member (V zones only) ❑ d) Attached garage (top of slab) ❑ e) Lowest elevation of machinery and /or equipment servicing the building ❑ 1) Lowest adjacent grade (LAG) D g) Highest adjacent grade (HAG) w CO N/A ft,( 9.25 ' ft.(m) i N 9.54' ft.(m) r ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A ❑ i) Total area of all permanent openings (flood vents) in C3h N/A sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME ADIS N. NUNEZ TITLE REGISTERED LAND SURVEYOR ADDRESS 555 N. S SIGNATURE LICENSE NUMBER 5924 COMPANY NAME BLANCO SURVEYORS, INC. CITY STATE ZIP CODE MIAMI BEACH FLORIDA 13119 6/7/ ( 8 65 1200 FEMA Form 8 - 'JUL 1 31 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS B4. MAP AND PANEL 1202 5C0093 B5. SUFFIX J B6. FIRM INDEX 7 / 17 /9 B7. FIRM PANEL El' E /TIV DATE B8. FLOOD X ONE(S) B9. BASE FLOOD ELEVATION(S) (Zgne AO, use depth of flooding) BUILDING OWNER'S NAME • CARLA PETERS 00 - 1913/ 01 - 966 BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO. 63 N.E. 91ST ST. CITY MIAMI SHORES FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. For Insurance Company Use: Policy Number Company NAIC Number SECTION A - PROPERTY OWNER INFORMATION STATE FLORIDA PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number Legal Description, etc.) LOTS 19 & 20, BLOCK 1, P.B. 10, PAGE 70, D.c.., FL. BUILDING USE (e.g., Residential, Non - residential, RF.STDFNT LATITUDE/LONGITUDE (OPTIONAL) ( RIf° - ##' - ##.##" or ##.## °) L_I B1�NFJSCOMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAMEMIAMI —DADS O.M.B. No. 3067 -0077 E July 31, 2002 ZIP CODE 33138 Addition, Accessory, etc. Use Comments section if necessary.) HORIZONTAL DATUM: SOURCE: 1_1 GPS (Type): 1_1 USGS Quad Map 1_1 Other. NAD 1927 1_1 NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B3. STATE FLORIDA B Ind icate the source o f t Base F lood Elevat (BFE) data or base flood depth entered in B9. LJ FIS Profile 1A1 FIRM 1_1 Community Determined 1J Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: IX I NGVD 1929 1J NAVD 1988 1J Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1 Yes IJ No Designation Date: SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: LJConstruction Drawings* L1Building Under Construction* I X JFinished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. 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 C3a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD Conversion/Comments Elevation reference mark used RF.N(.H MARK Does the elevation reference mark used appear on the FIRM? IX 1 Yes I_1 11 87' ft.(m) To NIA N/A ft.(m) 2 9 ft•(m) E ❑ a) Top of bottom floor (including basement or enclosure) ❑ b) Top of next higher floor D c) Bottom of lowest horizontal structural member (V zones only) ❑ d) Attached garage (top of slab) ❑ e) Lowest elevation of machinery and /or equipment servicing the building ❑ 1) Lowest adjacent grade (LAG) D g) Highest adjacent grade (HAG) w CO N/A ft,( 9.25 ' ft.(m) i N 9.54' ft.(m) r ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A ❑ i) Total area of all permanent openings (flood vents) in C3h N/A sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME ADIS N. NUNEZ TITLE REGISTERED LAND SURVEYOR ADDRESS 555 N. S SIGNATURE LICENSE NUMBER 5924 COMPANY NAME BLANCO SURVEYORS, INC. CITY STATE ZIP CODE MIAMI BEACH FLORIDA 13119 6/7/ ( 8 65 1200 FEMA Form 8 - 'JUL 1 31 00 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. 63 N.E. 91ST ST. CITY STATE ZIP CODE MIAMI SHORES FLORIDA 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 ADDRESS SIGNATURE COMMENTS LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS BM# N -603 EMA Form 81 -31, JUL 00 CROWN OF THE ROAD ELEVATION: 9.63' LOCATOR# 3250 SW ELEV. 7 ./ 0 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A l(s a (WWIT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is LI_ ft.(m) LLlin.(cm) LI above or LI below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is I_I_I ft•(m) (_I _Iin.(cm) above the highest adjacent grade" E4. For 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? II Yes I_I No II 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. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME CITY DATE TELEPHONE SECTION G - COMMUNITY INFORMATION (OPTIONAL) he 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. 51. II The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Coinrttenis area below.) Q. LI A community officiai completed Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO. .;3. II The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER I 05 DATE PERMIT ISSUED I G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED This permit has been issued for: LI New Construction LI Substantial Improvement i8. Elevation of as -built lowest floor (including basement) of the building is: ;9. BFE or (in Zone AO) depth of flooding at the building site is: TITLE TELEPHONE DATE For Insurance Company Use: Policy Number Company NAIC Number STATE ZIP CODE I - I Check here if attachments . ft.(m) Datum: . ft.(m) Datum: II Check here if attachments REPLACES ALL PREVIOUS EDITIONS PERMIT NO. • ADDRESS: MIAMI SHORES BUILDING / ZON VILLAGE NG DEPARTMENT' SECTION BY DATE ZONING' ELECTRICAL MECHANICAL PLUMBING FIRE PUBLIC WORKS STRUCTURAL BUILDING OFFICIAL 1. Sub}ect to cocuptlanci with eft Federal, State, Coc—dy. Vane Me: trd regtAat:cas. Wage ts. mos ao responslbWty tor ac irtcy ottor resu "s trasx these Bans, 2. TMs copy of plans crust be ivallt54 ca baoing site or ao Inspection '41 be coa OB ADDRESS 3 AJ. t , ?( Sr, .PPLICANT (14G 6 , - T6ss • 'HONE # \PPUCATION � a 0/6Akh66 EA-C ece SHEET OF 1 -p , A1SCELLANEOUS DATE ZONING • COMMENTS 2/(//0 . .0 No 0 ecc elie&Tiolt) o f u SE' Is pe c42DE (Ttc i e l�C�hvrv�N 1, acw. i'm,P./1 kvi5 p oN (Aie T SIDE is • T 3 IZMVO ✓O ftNi5t4 t`cool2_ LE t L r 6e 4r Z*19 - 5 - r lo, 3 Ivor % G 7 ' a /1-ti) 0 ecuvz,1 T r, S/D E CRITIQUE SHEET 1 od kS like e of k. pl eic WOO lizLacciesio r A4,Ef4c cao , yAnatir of 11 Fate INITIALS Tom Marinos, P.E. 800 NE 199 Street, Suite D108 North Miami Beach, Florida 33179 Tel: (305) 651 -2578 Fax: (305) 651 -2578 E -Mail: CIVILENGThl @mindspring.com PROJECT: - 42 1ic) 7ere.i4s AIYN rioAJ Order No: 98 _ /69-s / Engineer: Ten Check: - Date: _0/ 4 .. TOM MARINOS CIVIL, STRUCTURAL REG. NO. 51562 • , Toni Marinos, P.E. 800 NE 199 Street, Suite D108 North Miami Beach, Florida 33179 Tel: (305) 651 -2578 Fax: (305) 651 -2578 E -Mail: CMLENGTM @mindspring.com Order No: 1 ` S? Engineer._125 Check: "IV\ _ Date: 8 a 1 -0 I . PROJECT: CaR-1. r i ) e-reR- , Ai)nt To.-4 Tom Marinos, P.E. 800 NE 199 Street, Suite D108 North Miami Beach, Florida 33179 Tel: (305) 651 -2578 Fax: (305) 651 -2578 E -Mail: CMLENGTM @mindspring.com PROJECT: Co/LA Er6es - fed b/Tiad Order No: 9g -/67-S3 Engineer. Tf'1 Check: i 1 . Date: 8-11-0/ Tom Marinos, P.E. 800 NE 199 Street, Suite D108 North Miami Beach, Florida 33179 Tel: (305) 651 -2578 Fax: (305) 651 -2578 E -Mail: CMLENGTM @mindspring.corn PROJECT: dAkeLiA • - PETE-2C ADD ri oxl Order No: '` 5 6c--5 Engineer. TN) Check: TM Date: g_It� FORM 600A -97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Address: City, State: Owner: Climate Zone: Adittion for Carla Peters Residence 63 NE 91 St Miami, Fl 33136 - Mrs Carla Peters South Builder: Permitting Office: Permit Number: Jurisdiction Number: 231000 Dade County 1. New construction or existing 2. Single family or multi - family 3. Number of units, if multi- family 4. Number of Bedrooms 5. is this a worst case? 6. Conditioned floor area (ft 7. Glass area c@. type a. Clear - single pane b. Clear - double pane c. Tint/other SC /SHGC - single pane d. Tint/other SC /SHGC - double pane 8. Floor types a. Slab -On -Grade Edge Insulation b. N/A c. N/A 9. Wall types a. Concrete, Int Insul, Exterior b. N/A c. N/A d. N/A e. N/A 10. Ceiling types a. Under Attic b. N/A c. N/A 11. Ducts a. Sup: Unc. Ret: Con. AH: Interior b. N/A Addition Single family 1 No 643 fie 122.0 ft= 0.0 ft 0.0 ft 0.0 ft R =0.0, 80.5(p) ft _ R =4.2, 541.0 ft R =30.0, 643.0 ft Sup. R =6.0, 25.0 ft _ 12. Cooling systems a. Central Unit b. N/A c. N/A 13. Heating systems a. Electric Strip b. N/A c. N/A 14. Hot water systems a. Electric Resistance b. N/A c. Conservation credits (HR -Heat recovery, Solar DHP- Dedicated heat pump) 15. HVAC credits (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, MZ- C- Multizone cooling, MZ- H- Multizone heating) Cap: 23.0 kBtu/hr _ SEER: 10.15 Cap: 17.0 kBtu/hr _ COP: 1.00 Cap: 65.0 gallons EF: 0.87 Glass /Floor Area: 0.19 Total as -built points: 7504.20 Total base points: 9535.30 PASS I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code. PREPARED BY: Mendez Prof. Eng. DATE: 20 L I hereby certify that this building, as designed, is in compliance with the Florida Energy ode. OWNER/AGENT: U DATE: EnergyGau• •® (Version: FLRCPA -203) Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance with Section 553.908 Florida Statutes. BUILDING OFFICIAL: DATE: FO 600A -97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 63 NE 91 St, Miami, FI, 33136- PERMIT #: EnergyGauge DCA Form 600A -97 BASE AS -BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Floor Area Overhang Type /SC Ornt Len Hgt Area X SPM X SOF = Points .18 643.0 53.20 6157.7 Single, Clear S 2.0 6.0 23.0 62.19 0.79 1136.9 Single, Clear S 2.0 6.0 23.0 62.19 0.79 1136.9 Single, Clear W 2.0 6.0 23.0 6553 0.86 1294.9 Single, Clear N 2.0 8.8 53.0 33.94 0.95 1710.3 As -Built Total: 122.0 5278.9 WALL TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Adajcent 0.0 0.0 0.0 Concrete, Int Insul, Exterior 4.2 541.0 2.28 1233.5 Exterior 541.0 2.70 1460.7 Base Total: 541.0 1460.7 As -Built Total: 541.0 1233.5 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Insulated 21.0 6.40 134.4 Exterior 21.0 6.40 134.4 Base Total: 21.0 134.4 As -Built Total: 21.0 134.4 CEILING TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Under Attic 643.0 0.80 514.4 Under Attic 30.0 643.0 0.80 514.4 Base Total: 643.0 514.4 As -Built Total: 643.0 514.4 FLOOR TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Slab 80.5(p) -20.0 - 1610.0 Slab -On -Grade Edge Insulation 0.0 80.5(p) -20.00 - 1610.0 Raised 0.0 0.00 0.0 Base Total: - 1610.0 As -Built Total: - 1610.0 INFILTRATION Area X BSPM = Points Area X SPM = Points 643.0 18.79 12082.0 643.0 18.79 12082.0 Summer Base Points: 18739.1 Summer As -Built Points: 17633.2 Total Summer X System = Cooling _ Points Multiplier Points Total X Cap X Duct X System X Credit = Component Ratio Multiplier Multiplier Multiplier Cooling Points 17633.2 1.000 0.966 0.336 1.000 5724.2 - 18739.1 0.3560 6671.1 17633.2 1.00 0.966 0.336 1.000 5724.2 FO 600A -97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 63 NE 91 St, Miami, FI, 33136- PERMIT #: EnergyGauge DCA Form 600A -97 BASE AS -BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Floor Area Overhang Type /SC Ornt Len Hgt Area X WPM X WOF = Points .18 643.0 2.02 234.3 Single, Clear S 2.0 6.0 23.0 Single, Clear S 2.0 6.0 23.0 Single, Clear W 2.0 6.0 23.0 Single, Clear N 2.0 8.8 53.0 As -Built Total: 122.0 3.55 3.55 4.47 4.91 1.05 1.05 1.00 0.99 85.6 85.6 102.8 258.5 532.6 WALL TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Adajcent Exterior Base Total: 0.0 0.0 541.0 0.60 541.0 0.0 324.6 324.6 Concrete, Int Insul, Exterior 4.2 As -Built Total: 541.0 541.0 1.02 551.8 551.8 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent Exterior Base Total: 0.0 0.00 21.0 1.80 21.0 0.0 37.8 37.8 Exterior Insulated As -Built Total: 21.0 21.0 1.80 37.8 37.8 CEILING TYPESArea X BWPM = Points Type R -Value Area X WPM = Points Under Attic Base Total: 643.0 0.10 643.0 64.3 64.3 Under Attic 30.0 As -Built Total: 643.0 643.0 0.10 64.3 64.3 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Slab Raised Base Total: 80.5(p) -2.1 0.0 0.00 -169.0 0.0 -169.0 Slab -On -Grade Edge Insulation 0.0 As -Bullt Total: 80.5(p) -2.10 -169.0 -169.0 INFILTRATION Area X BWPM = Points Area X WPM = Points 643.0 -0.06 - 38.6 643.0 -0.06 -38.6 Winter Base Points: 453.4 Winter As -Built Points: 978.8 Total Winter X Points System = Multiplier Heating Points Total X Cap X Duct X System X Credit = Component Ratio Multiplier Multiplier Multiplier Heating Points 453.4 1.0900 494.2 978.8 1.000 1.003 1.000 978.8 1.00 1.003 1.000 1.000 1.000 981.3 981.3 FORM 600A -97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 63 NE 91 St, Miami, FI, 33136- PERMIT #: EnergyGaugeTM DCA Form 600A -97 BASE CODE COMPLIANCE STATUS AS -BUILT WATER HEATING Number of X Bedrooms Multiplier = BASE Tank EF Volume Number of X Tank X Multiplier X Credit = Total Bedrooms Ratio Multiplier 1 2370.00 AS -BUILT 66.0 0.87 As -Built Total: 1 1.00 2396.23 1.00 2396.2 798.7 Cooling Points + Heating + Points Hot Water Points = Total Points Cooling Points + Heating + Hot Water Points Points = Total Points 6671.1 494.2 2370.0 9535.3 5724.2 981.3 798.7 7504.2 BASE AS -BUILT WATER HEATING Number of X Bedrooms Multiplier = Total Tank EF Volume Number of X Tank X Multiplier X Credit = Total Bedrooms Ratio Multiplier 1 2370.00 2370.0 66.0 0.87 As -Built Total: 1 1.00 2396.23 1.00 2396.2 798.7 FORM 600A -97 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: 63 NE 91 St, Miami, FI, 33136- PERMIT #: EnergyGauge DCA Form 600A -97 PASS COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK/ Exterior Windows & Doors 606.1.ABC.1.1 Maximum:.3 cfm /sq.ft. window area; .5 cfm /sq.ft. door area. V Exterior & Adjacent Walls 606.1.ABC.1.2.1 Caulk, gasket, weatherstrip or seal between: windows /doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at comers; utility penetrations; between wall panels & top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to, the foundation to the top plate. ,// Floors 606.1.ABC.1.2.2 Penetrations /openings >1 /8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. / �/ Ceilings 606.1.ABC.1.2.3 Between walls & ceilings; penetrations of ceiling plane of top floor; around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seams. / Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non -IC rated, installed inside a sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2.0 cfm from conditioned space, tested. Insulation Multi -story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. / COMPONENTS SECTION REQUIREMENTS CHECIfi Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. External or built -in heat trap required. Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78 %. ) 1/'�( Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated, and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics: R -6 min. insulation. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1, 602.1 Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R-3 both sides. Common ceiling & floors R -11. F O ISM 600A -97 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 63 NE 91 St, Miami, FI, 33136- PERMIT #: 6A -21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST ces. EnergyGauge DCA Form 600A -97 EnergyGauge® /FlaRes'97/98 FLRCPA -203 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 84.0 The higher the score, the more efficient the home. 1. New construction or existing Addition _ 2. Single family or multi - family Single family 3. Number of units, if multi - family 1 _ 4. Number of Bedrooms 1 5. Is this a worst case? No _ 6. Conditioned floor area (ft=) 643 ft= 7. Glass area &. type _ a. Clear - single pane 122.0 fF b. Clear - double pane 0.0 ft= c. Tint/other SC /SHGC single pane 0.0 ft' d. Tint/other SC /SHGC double pane 0.0 ft 8. Floor types a. Slab -On -Grade Edge Insulation R =0.0, 80.5(p) ft b. N/A c. N/A 9. Wall types a. Concrete, Int Insul, Exterior R =4.2, 541.0 ft _ b. N/A c. N/A d. N/A e. N/A 10. Ceiling types a. Under Attic b. N/A c. N/A 11. Ducts a. Sup: Unc. Ret: Con. AH: Interior Sup. R =6.0, 25.0 ft b. N/A Mrs Carla Peters, 63 NE 91 St, Miami, FI, 33136- 12. Cooling systems a. Central Unit b. N/A c. N/A 13. Heating systems a. Electric Strip b. N/A c. N/A 14. Hot water systems a. Electric Resistance b. N/A c. Conservation credits (HR -Heat recovery, Solar DHP- Dedicated heat pump) R =30.0, 643.0 ft= _ 15. HVAC credits (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, RB -Attic radiant barrier, MZ- C- Multizone cooling, MZ- H- Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed (or exceeded) in this hone before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: Date: Address of New Home: City/FL Zip: Cap: 23.0 kBtu/hr SEER: 10.15 - *NOTE: The home's estimated energy performance score is only available through the FLARES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA /DOE EnergySta designation), your home may qualify for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 407/638 -1492 or see the Energy Gauge web site at www.fsec.ucfedu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487 -1824. EnergyGauge® (Version: FLRCPA -203) Cap: 17.0 kBtu/hr _ COP: 1.00 Cap: 65.0 gallons _ EF: 0.87 Location for weather data: Miami - User customized: Latitude(25) Temp Range(L) Humidity data: Interior RH (50 %) Outdoor wet bulb (78F) Humidity difference(56qr.) Winter design temperature Winter setpoint Winter temperature difference 47 F 70 F 23 F Summer design temperature Summer setpoint Summer temperature difference 95 F 75 F 20 F Total heating load calculation 11390 Btuh Total cooling load calculation 18579 Btuh Submitted heating capacity Submitted as % of calculated 17000 Btuh 149.3 % Submitted cooling capacity Submitted as % of calculated 23000 Btuh 123.8 % Load component Load Window total 122 sqft 4989 Btuh Wall total 541 sqft 2218 Btuh Door total 21 sqft 273 Btuh Ceiling total 643 sqft 836 Btuh Floor total 81 ft 0 Btuh Infiltration 107 cfm 2353 Btuh Internal gain 2100 Btuh Subtotal(sensible) 12769 Btuh Duct gain 1277 Btuh Total sensible gain 14046 Btuh Latent gain(infiltration) 4073 Btuh Latent gain(internal) 460 Btuh Total latent gain 4533 Btuh TOTAL HEAT GAIN 18579 Btuh Load component Load Window total 122 sqft 3245 Btuh Wall total 541 sqft 2543 Btuh Door total 21 sqft 227 Btuh Ceiling total 643 sqft 514 Btuh Floor total 81 ft 1497 Btuh Infiltration 112 cfm 2821 Btuh Subtotal 10848 Btuh Duct loss 542 Btuh TOTAL HEAT LOSS 11390 Btuh Mrs Carla Peters 63 NE 91 St Miami, Fl 33136- Residential System Sizing Calculation Summary Project Title: Adittion for Carla Peters Residence atinq Load for 643 sgft 643 sgft WINTER CALCULATIONS EnergyGauge® FLRCPA -203 SUMMER CALCULATIONS Int.Gain(1 %) Ducts(5 %) Latent internal(2%) InttL(13 %) Class 3 Rating Registration No. 0 Climate: South 8/19/01 Latent Intll.(2 \Mndows(27 %) Celengs(a %) wans(12 %) Duetsv %) Doors(, %) The sizing method used was EnergyGaug M PREPARED BY: e DATE: e.2-0 -0 Tom Marinos, P.E. 800 NE 199" Street, Suite D108 North Miami Beach, Florida 33179 Tel: (305) 651 -2578 Fax: (305) 651 -2578 E -Mail: CMLENGTM @mindspring.com PROJECT: 7 T S A7)))ITiOA1 '� il�1S TOM MARINOS CIVIL, STRUCTURAL REG. NO. 51562 Order No: 98 - 169 — v / Engineer. Ten Check: Dater —O/ 1 Toni Marinos, P.E. 800 NE 199 Street, Suite D108 North Miami Beach, Florida 33179 Tel: (305) 651-2578 Fax: (305) 651-2578 E-Mail: CIVILENGTMOmindspring.com PROJECT: Al> r. ••••:. . •., ..•., ....• • :J. • • • • • • - • „, order No: Engineer 1..0 Check: rtv Date: 166 Tom Marinos, P.E. 800 NE 199 Street, Suite D108 North Miami Beach, Florida 33179 Tel: (305) 651 -2578 Fax: (305) 651 -2578 E -Mail: CMLENGTM@mindspring.com PROJECT: CARLA PET6eS - A2b1T /DW - Order No: 9g/6743 Engineer. T/f Check Tin Date: 8-11-0/ Tom Marinos, P.E. 800 NE 199 Street, Suite D108 North Miami Beach, Florida 33179 Tel: (305) 651 -2578 Fax: (305) 651 -2578 E -Mail: CIVILENGTM @mindspring.com PROJECT: C{Pce.LA • P -I PD7 rto 1 Order No: C I? ✓ uc- S Engineer. TM Check: TM FORM 600A -97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Address: City, State: Owner: Climate Zone: Adittion for Carla Peters Residence 63NE91St Miami, Fl 33136 - Mrs Carla Peters South Builder: Permitting Office: Dade County Permit Number: Jurisdiction Number: 231000 1. New construction or existing 2. Single family or multi - family 3. Number of units, if multi - family 4. Number of Bedrooms 5. Is this a worst case? 6. Conditioned floor area (ft 7. Glass area & type a. Clear - single pane b. Clear - double pane c. Tint/other SC/SHGC - single pane d. Tint/other SGSHGC - double pane 8. Floor types a. Slab -On -Grade Edge Insulation b. N/A c. N/A 9. Wall types a. Concrete, Int Insul, Exterior b. N/A c. N/A d. N/A e. N/A 10. Ceiling types a. Under Attic b. N/A c. N/A 11. Ducts a. Sup: Unc. Ret: Con. AH: Interior b. N/A Addition Single family 1 1 No 643 ft 122.0 ft 0.0 ft 0.0 ft 0.0 ft R =0.0, 80.5(p) ft R=4.2, 541.0 ft R= 30.0, 643.0 ft _ Sup. R =6.0, 25.0 ft 12. Cooling systems a. Central Unit b. N/A c. N/A 13. Heating systems a. Electric Strip b. N/A c. N/A 14. Hot water systems a. Electric Resistance b. N/A c. Conservation credits (HR -Heat recovery, Solar DHP- Dedicated heat pump) 15. HVAC credits (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, MZ- C- Multizone cooling, MZ- H- Multizone heating) Cap: 23.0 kBtu/hr SEER: 10.15 _ Cap: 17.0 kBtu/hr _ COP: 1.00 Cap: 65.0 gallons EF: 0.87 Glass /Floor Area: 0.19 Total as -built points: 7504.20 Total base points: 9535.30 PASS I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code. PREPARED BY: CMB Engineers DATE: JAN 2 8 2uul • I hereby certify that this building, as designed, is in OWNER/AGENT: DATE: compliance with the Flor'•a Energy C•de. Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance with Section 553.908 Florida Statutes. BUILDING OFFICIAL: DATE: (Version: FLRCPA -203) FORM 600A -97 Y - . SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 63 NE 91 St, Miami, FI, 33136- PERMIT #: i EnergyGaugeT"" DCA Form 600A -97 BASE AS -BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Floor Area Overhang Type /SC Ornt Len Hgt Area X SPM X SOF = Points .18 643.0 53.20 6157.7 Single, Clear S 2.0 6.0 23.0 Single, Clear S 2.0 6.0 23.0 Single, Clear W 2.0 6.0 23.0 Single, Clear N 2.0 8.8 53.0 As -Built Total: 122.0 62.19 62.19 65.53 33.94 0.79 0.79 0.86 0.95 1136.9 1136.9 1294.9 1710.3 5278.9 WALL TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Adajcent Exterior Base Total: 0.0 0.0 0.0 541.0 2.70 1460.7 541.0 1460.7 Concrete, Int Insul, Exterior 4.2 As -Built Total: 541.0 541.0 2.28 1233.5 1233.5 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent Exterior Base Total: 0.0 0.00 0.0 21.0 6.40 134.4 21.0 134.4 Exterior Insulated As -Built Total: 21.0 21.0 6.40 134.4 134.4 CEILING TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Under Attic Base Total: 643.0 0.80 514.4 643.0 514.4 Under Attic 30.0 As -Built Total: 643.0 643.0 0.80 514.4 514.4 FLOOR TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Slab Raised Base Total: 80.5(p) -20.0 - 1610.0 0.0 0.00 0.0 - 1610.0 Slab -On -Grade Edge Insulation 0.0 As -Built Total: 80.5(p) -20.00 - 1610.0 - 1610.0 INFILTRATION Area X BSPM = Points Area X SPM = Points 643.0 18.79 12082.0 643.0 18.79 12082.0 Summer Base Points: 18739.1 Summer As -Built Points: 17633.2 Total Summer X System = Cooling Points Multiplier Points Total X Cap X Duct X System X Credit = Cooling Component Ratio Multiplier Multiplier Multiplier Points 18739.1 0.3560 6671.1 17633.2 1.000 0.966 0.336 17633.2 1.00 0.966 0.336 1.000 1.000 5724.2 5724.2 FORM 600A -97 Y - . SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: 63 NE 91 St, Miami, FI, 33136- PERMIT #: i EnergyGaugeT"" DCA Form 600A -97 BASE AS -BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Floor Area Overhang Type /SC Ornt Len Hgt Area X WPM X WOF = Points .18 643.0 2.02 234.3 Single, Clear S 2.0 6.0 23.0 3.55 1.05 Single, Clear S 2.0 6.0 23.0 3.55 1.05 Single, Clear W 2.0 6.0 23.0 4.47 1.00 Single, Clear N 2.0 8.8 53.0 4.91 0.99 As -Built Total: 122.0 85.6 85.6 102.8 258.5 532.5 WALL TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Adajcent 0.0 0.0 0.0 Exterior 541.0 0.60 324.6 Base Total: 541.0 324.6 Concrete, Int Insul, Exterior 4.2 541.0 1.02 As -Built Total: 541.0 551.8 551.8 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior 21.0 1.80 37.8 Base Total: 21.0 37.8 Exterior Insulated 21.0 1.80 As -Built Total: 21.0 37.8 37.8 CEILING TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Under Attic 643.0 0.10 64.3 Base Total: 643.0 64.3 Under Attic 30.0 643.0 0.10 As -Built Total: 643.0 64.3 64.3 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Slab 80.5(p) -2.1 -169.0 Raised 0.0 0.00 0.0 Base Total: -169.0 Slab -On -Grade Edge Insulation 0.0 80.5(p) -2.10 As -Built Total: -169.0 -169.0 INFILTRATION Area X BWPM = Points Area X WPM = Points 643.0 -0.06 - 38.6 643.0 -0.06 -38.6 Winter Base Points: 453.4 Winter As -Built Points: 978.8 Total Winter X System = Heating Points Multiplier Points Total X Cap X Duct X System X Credit = Component Ratio Multiplier Multiplier Multiplier Heating Points 453.4 1.0900 494.2 978.8 1.000 1.003 1.000 1.000 978.8 1.00 1.003 1.000 1.000 981.3 981.3 FORM 600A -97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 63 NE 91 St, Miami, FI, 33136- PERMIT #: EnergyGaugeTM DCA Form 600A -97 BASE CODE COMPLIANCE STATUS AS -BUILT WATER HEATING Number of X Bedrooms Multiplier = BASE Tank EF Volume Number of X Tank X Multiplier X Credit = Total Bedrooms Ratio Multiplier 1 2370.00 AS -BUILT 65.0 0.87 As -Built Total: 1 1.00 2396.23 1.00 2396.2 798.7 Cooling Points + Heating + Points Hot Water Points = Total Points Cooling Points + Heating + Hot Water Points Points = Total Points 6671.1 494.2 2370.0 9535.3 5724.2 981.3 798.7 7504.2 BASE AS -BUILT WATER HEATING Number of X Bedrooms Multiplier = Total Tank EF Volume Number of X Tank X Multiplier X Credit = Total Bedrooms Ratio Multiplier 1 2370.00 2370.0 65.0 0.87 As -Built Total: 1 1.00 2396.23 1.00 2396.2 798.7 FORM 600A -97 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: 63 NE 91 St, Miami, FI, 33136- PERMIT #: EnergyGaugeTm DCA Form 600A -97 PASS COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows & Doors 606.1.ABC.1.1 Maximum:.3 cfm /sq.ft. window area; .5 cfm /sq.ft. door area. Swimming Pools & Spas Exterior & Adjacent Walls 606.1.ABC.1.2.1 Caulk, gasket, weatherstrip or seal between: windows /doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at comers; utility penetrations; between wall panels & top /bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to, the foundation to the top plate. Shower heads Floors 606.1.ABC.1.2.2 Penetrations /openings >1/8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. Air Distribution Systems Ceilings 606.1.ABC.1.2.3 Between walls & ceilings; penetrations of ceiling plane of top floor; around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seams. HVAC Controls Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non -IC rated, installed inside a sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2.0 cfm from conditioned space, tested. 604.1, 602.1 Multi-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. COMPONENTS SECTION REQUIREMENTS CHECK ../ Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. Extemal or built -in heat trap required. Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Non - commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78 %. Nr`„ /0 � Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. `� Air Distribution Systems 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated, and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics: R -6 min. insulation. r--•" `--0--"' HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1, 602.1 Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. FORM 600A -97 • Code Compliance Checklist Residential Whole Building Performance Method A - Details I ADDRESS: 63 NE 91 St, Miami, FI, 33136- PERMIT #: 6A -21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST 6A -22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences. EnergyGaugeN DCA Form 600A -97 EnergyGauge® /FlaRes'97 /98 FLRCPA -203 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 84.0 The higher the score, the more efficient the home. 1. New construction or existing Addition 2. Single family or multi - family Single family 3. Number of units, if multi - family 1 4. Number of Bedrooms 1 5. Is this a worst case? No 6. Conditioned floor area (ft 643 ft 7. Glass area & type _ a. Clear - single pane 122.0 ft b. Clear - double pane 0.0 ft c. Tint/other SC/SHGC - single pane 0.0 ft d. Tint/other SC/SHGC - double pane 0.0 ft 8. Floor types a. Slab -On -Grade Edge Insulation R =0.0, 80.5(p) ft b. N/A c. N/A 9. Wall types a. Concrete, Int Insul, Exterior R=4.2, 541.0 ft _ b. N/A c. N/A d. N/A e. N/A 10. Ceiling types a. Under Attic R= 30.0, 643.0 ft _ b. N/A c. N/A 11. Ducts a. Sup: Unc. Ret: Con. AH: Interior Sup. R =6.0, 25.0 ft _ b. N/A Mrs Carla Peters, 63 NE 91 St, Miami, FI, 33136- 12. Cooling systems a. Central Unit b. N/A Builder Signature: Date: b. N/A c. N/A 13. Heating systems a. Electric Strip b. N/A c. N/A 14. Hot water systems a. Electric Resistance c. Conservation credits (HR -Heat recovery, Solar DHP- Dedicated heat pump) 15. HVAC credits (CF- Ceiling fan, CV -Cross ventilation, HF -Whole house fan, PT- Programmable Thermostat, RB -Attic radiant barrier, MZ- C- Multizone cooling, MZ- H- Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. Address of New Home: City/FL Zip: Cap: 23.0 kBtu/hr _ SEER: 10.15 Cap: 17.0 kBtu/hr COP: 1.00 _ Cap: 65.0 gallons _ EF: 0.87 *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA/DOE EnergyStar your home may qualms for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 407/638 -1492 or see the Energy Gauge web site at www.fsec. ucf. edu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487 -1824. EnergyGauge® (Version: FLRCPA -203) Location for weather data: Miami - User customized: Latitude(25) Temp Range(L) Humidity data: Interior RH (50 %) Outdoor wet bulb (78F) Humidity difference(56qr.) Winter design temperature 47 F Summer design temperature 95 F Winter setpoint 70 F Summer setpoint 75 F Winter temperature difference 23 F Summer temperature difference 20 F Total heating Toad calculation 11390 Btuh Total cooling Toad calculation 18579 Btuh Submitted heating capacity 17000 Btuh Submitted cooling capacity 23000 Btuh Submitted as % of calculated 149.3 % Submitted as % of calculated 123.8 % Load component Load Window total 122 sqft 4989 Btuh Wall total 541 sqft 2218 Btuh Door total 21 sqft 273 Btuh Ceiling total 643 sqft 836 Btuh Floor total 81 ft 0 Btuh Infiltration 107 cfm 2353 Btuh Internal gain 2100 Btuh Subtotal(sensible) 12769 Btuh Duct gain 1277 Btuh Total sensible gain 14046 Btuh Latent gain(infiltration) 4073 Btuh Latent gain(internal) 460 Btuh Total latent gain 4533 Btuh TOTAL HEAT GAIN 18579 Btuh Load component Load Window total 122 sqft 3245 Btuh Wall total 541 sqft 2543 Btuh Door total 21 sqft 227 Btuh Ceiling total 643 sqft 514 Btuh Floor total 81 ft 1497 Btuh Infiltration 112 cfm 2821 Btuh Subtotal 10848 Btuh Duct Toss 542 Btuh TOTAL HEAT LOSS 11390 Btuh Mrs Carla Peters 63 NE 91 St Miami, Fl 33136- Residential System Sizing Calculation Summary Winter Heating Load for 643 soft Summer Cooling Load for 643 soft Project Title: Adittion for Carla Peters Residence WINTER CALCULATIONS EnergyGauge® FLRCPA -203 SUMMER CALCULATIONS Duds(5 %) Latent Internal(2 %) Class 3 Rating Registration No. 0 Climate: South 1/28/2002 Latent lntil.(22 %) / \ Wntlows(27 %) The sizing method used s rrgy uge®Syste m Siz PREPARED BY:' �( DATE: �� iii i 1 1' `` EUMOING Alm ''ON :3 '' 3 ()) ■ , ). ..: • , ,0 793- FY:: (23c} . _ - Bda:(I) =DING PERMIT/Cr...HM=0ES REGISTRATTCN CHECKLIST C:_!y cf STATE OF FLORIDA CE=FIC=14 (DPER) .: smis RGISMATION AND DADE CCUNIY CCHPErEticy LI Copy of current CCIIJP.ATICN L LICENSE from county or mnic_palit, wherr` business is located. v Certificate of Insurance for ACIi 'S COMP (addressed to M.iani ShoresVillage) or if exert )/ of Florida LES Form BCf -204, Construction lndst i Notice of Election to be Exempt. Certificate of Insurance for Village). LIALPLITY tc PLEASE SUBMIT E7E I tENG r=r9rKED QFF PennitAPPlication (signed by person performing the work, licensed ,Jntractor and the property owner, both signatures notarized). Two sets of places /dry rings sicced and sealed by registered architect or engineer. Occupancies by Grcug Classification must be on plans and omit application. All plans must include folio number and property p= ess. . Amended plans, in addition to the above, must also include the it number. Structural Calculations sicked and sealed by architect or engineer when applicable. Current survey of the property... /l\ I Ce_ ficate of IIeva an signed and sealed by Surveyor. Shores • Substantial Imprayerents Checklist (contractor or owner). Four sets of energy calculations, signed and sealed wo sets of signed a sealed Truss Plans (Engineer). DADS County or State of Florida Products Approvals for roof materials, sheds, windows, exterior /garage doors, aluminum carports, screeen enclosures, shutters awnings, skylights, L - end: doors and etc. Approvals from HES, DADE County Impact Fee Section, Fire Department a Health Department (when acpli cn1 e) . DER! S: ty Ded or Other Proof of O.' r' tip if r ecessarry. 2-NT DI uc.tu1al Review fee <, P445 p 3 Ari b pa( Notice of Commencement B4. MAP AND PANEL NUMBER 0093 B5. SUFFIX J B6. FIRM INDEX ' DATE 7/17/95 B7. FIRM PANEL EFFECTIVE/REVISED DATE 7/17/95 B8. FLOOD ZONE(S) X 89. BASE FLOOD ELEVATION(S) (Zone AO, use depth of flooding) N/A ADIS N. NUNEZ BUILDING OWNER'S NAME Policy Number CARLA PETERS 01 - 966 BUILDING STREET ADDRESS (Inclyding Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 63 N.E. 91ST ST. CITY STATE ZIP CODE MIAMI SHORES FLORIDA 33138 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 19 & 20, BLOCK 1, PB 10, AT PAGE 70 BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comments section if necessary.) RESIDENTTAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: Li GPS (Type): ( ##° - ##' -1 .##° or ##.#####°) JJ NAD 1927 LJ NAD 1983 FEMA Form 81 -31, AUG 99 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION O.M.B. No. 3067 -0077 Expires July 31, 2002 For Insurance Company Use: LJ USGS Quad Map LI Other. B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER 120652 B2. COUNTY NAME MIAMI —DADE B3. STATE FT,ORTT)A B10 Indicate the source of the B ase Flood Elevation (BFE) data or base flood depth entered in B9. LJ FIS Profile DU FIRM LJ Community Determined Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: JX J NGVD 1929 I NAVD 1988 LJ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? LJ Yes L No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: LjConstruction Drawings' LJBuilding Under Construction* IX JFinished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. 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/A0 Complete Items C3a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD Conversion/Comments Elevation reference mark used BENCH MARK Does the elevation reference mark used appear on the FIRM? IL I Yes O a) Top of bottom floor (including basement or enclosure) 11 .87 ft.(m) d O b) Top of next higher floor N/A ft,(m) O c) Bottom of lowest horizontal structural member (V zones only) N/A ft.(m) ni ❑ d) Attached garage (top of slab) 9 .39 ft.(m) E g O e) Lowest elevation of machinery and /or equipment .. d servicing the building N/A ft.(m) E O f) Lowest adjacent grade (LAG) 9 .25 ft.(m) z O g) Highest adjacent grade (HAG) 9 .54 ft.(m) E N O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A 8 O i) Total area of all permanent openings (flood vents) in C3h N/A sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER 6/7/01 ,)ae.1,Sit .J21U„) 5924 TITLE REGISTERED LAND SURVEYOR COMPANY NAME BLANCO SURVEYORS INC. ADDRESS CITY STATE ZIP CODE 55 NORTH SHORE DR. MIAMI BEACH FLORIDA 33141 SIGNATURE DATE TELEPHONE 6/7/01 (305) 865 -1200 LI No 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. 63 N.E. 91ST ST. CITY STATE ZIP CODE FLORTDA SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) MIAMI SHORES 11138 For Insurance Company Use: Policy Number Company NAIC Number Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS BM# N -603 CROWN OF ROAD ELEVATION: 9.63' PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS LOCATOR# 3250 SW ELEV. 7.70' I —I Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR -F, Section C must be completed. El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) • E2. The top of the bottom floor (including basement or enclosure) of the building is LL1 ft.(m) LLIin.(cm) 1J above or LI below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is LLI ft•(m) l._I_lin.(cm) above the highest adjacent grade. E4. For 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? L1 Yes L1 No L1 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. • ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS SECTION G - COMMUNITY INFORMATION (OPTIONAL) ISSUED 1 1 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. G1. 1_1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. LI 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. IJ The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER. G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY G7. This permit has been issued for L1 New Construction LI Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: ft.(m) Datum: 1 1 Check here if attachments FEMA Form 81 -31, AUG 99 REPLACES ALL PREVIOUS EDITIONS 1•- REVISED: NOT VALID UN .ESS EMBOSSED w' TH SURVEYOP.'S SEAL .36 t • a •'` 1 • ��. 0 57 420 ' 0 ° " O O M P -.• - •••17 • BOUNDARY SURVEY - t 79 x /9- „0 • 0 WE ARE NOT RESPONSIBLE FOR SET BACK VIOLATIONS LEGEND • FIP= Found Iron Pipe S.P.C- SET1 /2 "PIN F N /D =Foun9 tail b Disc S.PCP= SET PERMANENT CONTROL POINT LB4789 M H. =MANHOLE. WM PWATER METER. PP= POWER POLE F.C.= FENCE CORNER, R= RECORD, M= MEASURED CHAIN UNK OR WIRE FENCE= • - WOOD FENCE= — - MASONRY WALL CONCRETE = ‘:•- .' : : • •: .. '' •7 MAINTENANCE & DRENAGE FASIIIFll M D .' . NOTES: UNLESS OTHERWISE SHOWN, THE FOLLOWING NOTES APPLY. : • 1) Record and measured calls are in substantial agreement. 2) Bearings. if shown are based on Plat data. g) The lands shown hereon were not abstracted for Easements or other recorded emcumbrances not shown on the plat and :he same, if any may not be shown on this sketch. 4) Underground portions of Footings. Foundations or other improvlrnerts were not located. • 5) Elevations are based on National Geodetic Datum. 6) Fence Ties are to the Centerline of the tern :e. 7) Wall Ties to the face of the Wall. 8 BEA .q[NC h1-ON -SHOW _ ARE REFERED TO AN ASSUMED VALUE SAID FB F?.GE Ele',a:iC'S base.'. cr. C;€.,!,! Elev. ^;GV caly -. Locator Index k l ' CERTIFIED TO: CARLA L. PETERS, 63 N.E. 91ST ST., MIAMI SHORES, FLORIDA 33138., 4` CHRISTOPHER P. KELLEY, P.A., ATTORNEYS' TITLE INSURANCE FUND, INC., HOMECOMINGS FINANCIAL, A GMAC COMPANY, ITS SUCCESSORS AND /OR ASSIGNS, ATIMA. LEGAL DESCRIPTION: LOTS 19 & 20 OF AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1 ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 OF THE PUBLIC RECORDS OF - MIAMI -DAD= iCOUNTY, FLORIDA. 1 HEREBY CERTIFY That the survey represented hereon meets the minimum technical requirements adopted by the STATE OF FLORIDA Board of Land Surveyors pursuant to Section 472.027 Florida Statutes. There are no encroachments, overlaps. easements appearing on the plat or visible easements other than as shown hereon tutu A II ►t t: DATE: SCALE: DWN. BY: n _ -r -00 1 1r = 2 01 F.'1S(A14 c0 5924 JOB No. 00– / 9 /3 ADIS N. NUNEZ Regis :eredland Surveyor NO. State of Florida L O C A T I O N S K E T C H SCALE: N T S (305) 865 -1200 FLOOD ZONE: O OQ3 N'EI BLOCK 1 SUBDIVISION AT PAGE 70 SINCE 1987 BLANCO SURVEYORS INC. Engineers • Land_Su veyors • Planners LB # 0007059 555 NORTH SHORE DRIVE MIAMI BEACH FL. 33141 Fax (305)865 -7810 SUFFIX ::J DATE: 7-17 -95 BASE :N'' • Rca Signature 1, Jo 1" o- w/t- cCitota. BUILDING AND ZONING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES. FLORIDA 33138.2382 TELEPHONE (305) 795 -2204 FAX (305) 756.8972 RECEIPT contractor /owner, picked up 2 sets of plans for (address) 1 a ( NE' 90 57 from the Building and Zoning Department on (date) 2/(2-(02_ to have corrections done to plans and/or get County stamps. I understand that the plans need to be brought back to Miami Shores Building and Zoning to continue the permitting process. ACCOUNT - — ..-- vi : PAYMENT 4:-.,, ( 1! — BAL. DUE.. -0 mintAranes, IMP FLORIDA PROFESSIONAL SERVICES,INC., 100 N.E. 89TH ST. EL PORTAL FL 33138 11 Order of %15:4V F e‘f ay to the . 1 ( COMMERCIAL BANK OF FLORIDA Hallandale Office ael flallgale Beach Blvd., Hallandale, Fl 88009 For - 10 , • - • 3. „., DATE • A • , RECEIVED FROM ;- A ;- ■.,( :1 OFOR'RENT , , Sj FOR ' 1:06 60 LO 3 7 ?I: 11 LOO S950 7 021 o j Dollars Ci ( ') - I - 1--"" ) 2876 63-1037/660 No. 1001456 11 8 Soar*, 414. an Ia.. PM% $ '-• DOLLARS O CASH f TO O tHECk . " " O • 11 1 ". 1182