RC-16-3030Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
437 NE 102 Street
Miami Shores, FL 33138-2452
Permit
Permit NO. RC -11-16-3030
Permit Type: Residential Construction
Work Classification.: Addition/Alteration
Perrnit Status: APPROVED
Issue Date: 12/1/2016
Expiration: 05/30/2017
Parcel Number
1132060170800
Block: 92 Lot: 17 & 18
Applicant
MICHELLE HEADLEY
Owner Information
Address
Phone
CeII
MICHELLE HEADLEY
437 NE 102 Street
MIAMI SHORES FL 33138-
(305)793-3445
IniffiteMERWEellar
437 NE 102 Street
MIAMI SHORES FL 33138-
Contractor(s)
ORONI INC
Phone
(305)685-0412
CeII Phone
Valuation:
Total Sq Feet:
$ 9,100.00
35
Approved: In Review
Comments:
Date Approved:: In Review
Date Denied:
Type of Construction: BATHROOM REMODEL
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted: Yes
Certificate Date:
Bond Return :
Occupancy: Single Family
Exterior:
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info: BATHROOM REMODEL
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$6.00
$4.10
$4.10
$2.00
$273.00
$9.00
$8.00
$306.20
Pay Date Pay Type
Invoice # RC -11-16-61956
12/01/2016 Credit Card
11/04/2016 Credit Card
Amt Paid Amt Due
$ 256.20 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final PE Certification
Drywall
Miscellaneous
Window Door Attachment
Tie Beam
Final
Framing
Insulation
Truss Insp
Foundation
Window and Door Buck
Fill Cells Columns
Wire Lathe
Columns
Review Mechanical
Declaration of Use
Review Plumbing
Review Building
Review Electrical
F. Termite Letter
F. Elevation Certificate
Review Planning
Review Structural
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, Ihorize the above-named contractor to do the work stated.
December 01, 2016
Authorized Signaturi . wner / Applicant / Contractor / Agent
Building Department Copy
Date
December 01, 2016
1
BUILDING
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
Master Permit No. C I(0- 3030
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION El RENEWAL
0PLUMBING MECHANICAL E PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 437 NE 102 Street
City:
Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-017-0800 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Michelle Headley Phone#:305-793-3445
Address:437 NE 102 Street
City: Miami Shores State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: OrOn t, V VG Phone#: aD5• (DSS' O1!/2.
Address: II--IGL D N J Co Cnur-i—
City: l" \ \ary)1 State: R..— Zip: 1 (o2
Qualifier Name: OrtGIrYjO
Phone#: 305 • (025.0412
State Certification or Registration #: CSC 12S 1(o5y Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: Stater Zip:
Value of Work for this Permit: $ 77/00 e'— Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace [1 Demolition
Description of Work: � v4Q-AA
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ Si5C5 - ?A
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspectifee will be charged.
Signature
OWNER or AGENT
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day off C)etz)ber , 20 1.p, by 3t day of vlA't%�r , 20 I kb , by
M1ct i11{ i-k,Cad(Ly , who is personally known to Orlando 1rs1aS , who is personally known to
me or who has produced Di_ Or 4;‘,_ as me or who has produced D L on -Me,
identification and who did take an oath. identification and who did take an oath.
NOTARY PU
NOTARY
BLIC:
Sign• // .i ,jir�
h
Print: �• =��
Seal:
been_
' REBECA M. PASTRANA
MY COMMISSION # EE872624
EXPIRES: February 07, 2017
or
Sign:
Print:
Seal:
Atie/
as
REBECA M. PASTRANA
MY COMMISSION 11 EE872624
�` EXPIRES: February07, 2017
********************************* *********,** *************************
Vir
APPROVED BY % Plans Examiner
(Revised02/24/2014)
Structural Review
******************
Zoning
Clerk
Existing 36" window
to remain 1
24" door
8'0"
V.P. O
Recessed light
Hall Bathroom
56S
Switches
Shower Stall
3'0"
NC
.0E_ supply grill
to remain
i
T
New GFCI outlet
5'0"
.Vanity light
z
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Z co
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NORTH MIAMI, FL 33168
oes
C -_ a
BATHROOM REMO3rr
.O
FLOOR PLAN
Scope of Work:
1. Disconnect and remove plumbing fixtures
2. Remove all floor and wall tiles
3. Existing window to remain
4. Add (1) recessed light for bathroom and (1) vapo
5. Add (1) GFCI outlet next to sink
6. Vanity light fixture replaced with new.
7. Install towel bar, paper holder and hanging mirro
8. Install new tiles throughout bathroom and shower
9. Install toilet, sink and shower valves.
10. Paint bathroom walls as needed
11. No mechanical work; existing A/C supply to remai
O
APPROVED BY 3A;63
ZONING
r s
wer
STRUCTURAL
tELECTRICAL
PLUMBING
12. Replace bathroom door with• cuo; fluvni9t�ect iht lior door
• • •• • • •
•• •• : : ' ' .M CHANiCAL
BATHROOM RECEPTACLE ON • • • • • • • :::
AND G.FI PROTECTED AMP CKT•..•r-��• • •. •ta�vILDING
• • ••••
ADD SMOKE/CARBON MONOXIDE DETECTORS. •ANY AND ALL CLOTH AND SUBJECT TO COMPLIANCE WITH
INSULATED CONDUCTORS TC BE REPLACED.' •RULES AND REGULATIONS
• • • • . • • •
• •• •• • • • •• +•
• • ••• •
1
SHORES, FL 33138
ALL FEDERAL, STATE AND COUNTY
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