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RC-18-3014Location Address Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 • Issue Date: 01/17/2019 Parcel Number 29 NE 109TH ST, Miami Shores, FL 33161 1121360040600 Contacts Permit No.: RC -10-18-3014 Permit type: Building (Residential) Work Classification: Alteration Permit status: Approved Expiration: 07/16/2019 JACQUELINE GONZALEZ Owner HOME OWNER Contractor 29 NE 109TH ST, Miami Shores, FL 33161 HOME OWNER Mobile: 3052818409 Inection Requests: Description: INTERIOR ALTERATION (RECONFIGURATION OF Valuation: $ 15,708.00- -- SPACE) REMOVE AND RELOCATE KITCHEN, MASTER BATH AND 30 -762-49 49 MASTER CLOSET AS PER PLANS. INSTALL NEW AC SYSTEM AS Total Sq Feet: 593.50 PER PLANS REPATCH AND PAIN RESIDENCE Fees Amount Application Fee - Other $50.00 CCF $9.60 Certificte of Completion for Single Fam $50.00 and Duplex DBPR Fee $7.07 DCA Fee $4.71 Education Surcharge $3.20 Notary Fee $5.00 Permit Fee $421.24 Scanning Fee $30.00 Structural Review ($45) $45.00 Structural Review ($90) $90.00 Structural Review ($90) $90.00 Technology Fee $11.78 Total: $817.60 Payments Date Paid Amt Paid Total Fees $817.60 Cash 01/17/2019 $817.60 Amount Due: $0.00 Building Department Copy 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 rgquired for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws and zoning. Futhermore, I authorize the above named contractor to do the work stated. re: owner / Applicant / Contractor / Agent January 17, 2019 Page 2 of 2 U► BUILDING PERMIT APPLICATION Miami Shores Village Building Department `• �'��"� OC 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 2 ()fig Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 FBC 20 Master Permit No. Sub Permit No. QBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 29 N E 109 Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-2136-004-0600 Is the Building Historically Designated: Yes NO Occupancy Type: Residence Load: Construction Type: CBS Flood Zone: "X11 BFE: 10.54' FFE: 13.14' OWNER: Name (Fee Simple Titleholder): Jacqueline Gonzalez Address: 29 NE 109 Street City: Miami Shores Tenant/Lessee Name: Email: namaste.gonzalez@gmail.com CONTRACTOR: Company Name: N/A }�{� Address: City: Qualifier Name: hone#: (305)281-8409 State: Florida Zip: 33161-7039 State Certification or Registration #: DESIGNER: Architect/Engineer: Fine Line Engineers, Inc Address: 7600 West 20th Avenue Suite 110 Value of Work for this Permit: S 15, 708.00 Phone#: p: e#: Certificate of Competency #: Sergio Vazquez Phone#: (786)953-4901 city: Hialeah State: FI Zip: 33016 Square/Linear Footage of work: Alteration 593.5sq ft Type of Work: ❑ Addition ❑■ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Interior Alteration (reconfiguration of space) Remove and relocate kitchen, Master bath and master closet as per plans Install new AC system as per plans repatch and paint residence Specify color of color thru tile: 1 Submittal Fee $ Permit Fee $ —1 ( CCF $ CO/CC $ Scanning Fee $ Radon Fee $ CJ DBPR $ { Notary $ C7> Technology Fee $ Structural Reviews $ Training/Education Fee $ Double Fee $ — Bond TOTAL FEE NOW DUE $ g�� 60 (Revised02/24/2014) ' ) � ` g>o • Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Penny Mac USA Mortgage Lender's Address City State Zip M 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 approvgv and a rein ec 'on fee will be charged. Signature The foregoing instrument was acknowledged before me this 28th day of September 20 18 by Jacqueline Gonzalez who is personally known to me or who has produced G524-420-81-837-1 as identification and who did take an oath. NOTARY PUBLIC: Print: Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of 20, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: 4AX^lyf, JARDIEL ABREU ROMERO Seal: %... . ••� MY E PIREMS January 23, 2021 ------------ APPROVED BY C Plans Examiner LG Zoning 104V,) I Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: iQC Uej[ 0tlZ��eZ DATE: 10/7— 8 ADDRESS: _I �. 1. �q r r4I q w%_j T_ 1 33,61 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, RS 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial JC 3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. Initial_ 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. Initial 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial1c 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial�� 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial 9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner -builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.html Initial 11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: Initial- 12. nitial 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's worker's compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this UZ- day of 2069 By �AC�UI,I N� �OIy�Ut� who was personally known tome or who has Produced th4e License (r �,_� CTkw as identification. ER NOTARY `'+►y SINDIA ALVAREZ MY COMMISSION # GG 238273 P;o EXPIRES: September 3, 2022 '''dos stili Banded Thru Notary Public Lkiderwllars Prepared by: Carol F. Keys Carol Frances Keys, PLLC 1911 NE 172nd Street North Miami Beach, FL 33162 305-891-1600 File Number: 18-131 Record and Return to: Marietta Mainieri Florida Title & Trust, LLC 2665 S Bayshore Dr #410 Miami, FL 33133 Office: 305-615 2768 Parcel Identification No. 11-2136-004-0600 Above This Line For Recording CFN: 20180519527 BOOK 31116 PAGE 960 DATE:08/27/2018 11:48:47 AM DEED DOC 2,670.00 HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY Warranty Deed (STATUTORY FORM - SECTION 689.02, F.S.) This Indenture made this 20th day of August, 2018 between PHONEDOCTOR.COM LLC, a dissolved Florida Limited Liability Company, whose post office address is 595 NW 91 Street, Miami, FL 33150 of the County of Miami -Dade, State of Florida, grantor*, and Jacqueline Gonzalez, a single woman whose post office address is 29 NE 109 St., Miami Shores, FL 33161 of the County of Miami -Dade, State of Florida, grantee*, Witnesseth that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has 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 -Dade County Florida, to -wit: Lot 30, Block 2, of COLLEGE HEIGHTS, according to the plat thereof, as recorded in Plat Book 42, Page 8, of the Public Records of Miami -Dade County, Florida. Subject to taxes for 2018 and subsequent years; covenants, conditions, restrictions, easements, reservations and limitations of record, if any. The transfer of the real property is for the purpose of winding up the affairs of the dissolved limited libility company. and said grantor does hereby fully warrant the title to said land, and will defend the same against lawful claims of all persons whomsoever. x "Grantor" and "Grantee" are used for singular or plural, as context requires. DoubleTime° CFN: 20180519527 BOOK 31116 PAGE 961 In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. Signed, sealed and delivered in our presence: PHONEDOCTOR.COM LLC, a dissolved Florida limited liability company By: JKC LIVING TRUST, dated February 20, 2014, it's Manager By: Joh Ch enor, Trustee State of Florida County of Miami -Dade The foregoing instrument was acknowledged before me this Z -V day of August, 2018 by John Challenor, Trustee of JKC LIVING TRUST, dated February 20, 2014, as Manager, ,ort %eh . ed liability company for PHONEDOCTOR-COM LLC, a dismived Florida limited liability any. e [j is pe onally no me or [X] has produced a Florida driver's license as identification. j [Notary Seal] Notar Printed Name: a err, My Commission Expires: PADL *° Nf'lary al;c 5l to Of FlOrNa • COn;missiOn 4 FF 247516 a M y Comm , Expires Jul 7 2019 Bo+taetl tP ecugh Nmonal ftp,, Assn. v. Wwro"61 Deed (Suuuauy Form) - Page 2 DoublelrimeA Planning & Zoning Director DEVELOPMENT ORDER File Number: PZ -11-15-18-89 Property Address: 29 NE 109 Street Miami Shores FL 33150 Owner/Applicant: Jacqueline Gonzalez Address: 29 NE 109 Street Miami Shores FL 33150 Whereas, the applicant Jacqueline Gonzalez (Owner), has filed an application for site plan review Planning and Zoning Staff on the above property. The applicant sought approval as follows: Pursuant to Articles IV, V and VI of Appendix A Zoning, Sec. 400 Schedule of Regulations and Sec. 600. Administrative Site plan review and approval required for an exterior renovation. Whereas, a Site Plan Review was conducted on November 15, 2018 After having considered the application and after reviewing the evidence submitted, finds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village. 2. The conditions on the property and the plans merit consideration and are consistent with the requirements of the Land Development Code. This approval requires that all further development of the property shall be performed in a manner consistent with the site plan, drawings, and conditions. 1) Approval is granted as shown on the plans submitted and made a part of this approval. 2) Applicant to apply for and obtain all required building permits from the Building Department before beginning work. 3) Applicant to apply for and obtain all necessary permits and approvals from outside agencies. Pagel of 2 DO-PZ-ADMIN-201889-2018—Gonzalez VISIT US I www.miamishoresvillage.com 10050 N.E. SECOND AVENUE RoR�Dp MIAMI SHORES, FLORIDA 33138-2982 TELEPHONE: (305) 795-2207 TRAVIS HENOALL FAX (3051756-8972 Planning & Zoning Director DEVELOPMENT ORDER File Number: PZ -11-15-18-89 Property Address: 29 NE 109 Street Miami Shores FL 33150 Owner/Applicant: Jacqueline Gonzalez Address: 29 NE 109 Street Miami Shores FL 33150 Whereas, the applicant Jacqueline Gonzalez (Owner), has filed an application for site plan review Planning and Zoning Staff on the above property. The applicant sought approval as follows: Pursuant to Articles IV, V and VI of Appendix A Zoning, Sec. 400 Schedule of Regulations and Sec. 600. Administrative Site plan review and approval required for an exterior renovation. Whereas, a Site Plan Review was conducted on November 15, 2018 After having considered the application and after reviewing the evidence submitted, finds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village. 2. The conditions on the property and the plans merit consideration and are consistent with the requirements of the Land Development Code. This approval requires that all further development of the property shall be performed in a manner consistent with the site plan, drawings, and conditions. 1) Approval is granted as shown on the plans submitted and made a part of this approval. 2) Applicant to apply for and obtain all required building permits from the Building Department before beginning work. 3) Applicant to apply for and obtain all necessary permits and approvals from outside agencies. Pagel of 2 DO-PZ-ADMIN-201889-2018—Gonzalez VISIT US I www.miamishoresvillage.com 4) Applicant to obtain all required permits and approvals from the Miami -Dade Department of Regulatory and Economic Resources, Environmental Plan Review Division (DRER, EPRD) and the Miami -Dade Department of Health (DOH/HRS) as required. 5) Applicant to meet all applicable code provisions at the time of permitting 6) This zoning permit will lapse and become invalid unless the work for which it was approved is started within one (1) year of the signing of the development order by the board chair, or if the work authorized by it is suspended or abandoned for a period of at least one (1) year. Additionally, the applicant must, satisfy all applicable Miami Shores Village Codes, Miami -Dade County Codes, the applicable building and life safety codes required for development, and provide a copy of the development order to the Building Dept. The application with conditions was approved this 15th day of November, 2018 by the Planning and Zoning Department as follows: Approved Administratively by Planning and Zoning Director. DatV 7Director, dal ng and Zoning Page 2 of 2 DO -PZ -ADMIN -201889-2018 Gonzalez ♦ S�OREs Glt e Miami Shores Villa g Building Department F�0RIDp` 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 RECEIPT PERMIT #: p" 3 014 DATE: I, Contractor ,Owner ❑ Architect N - ( \ , rz'111r1'-r' Picked up'2 sets of plans and (other) QYf�Q C—i Address: From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Acknowledged by: PERMIT CLERK INITIAL: to continue permitting process. RESUBMITTED DATE: 'w & PERMIT CLEARK INITIAL: OR C+ L7 F1ORION PERMIT ADDRESS: 29 NE 109TH ST PARCEL: 1121360040600 Miami Shores, FL 33161 APPLICATION DATE: 10/02/2018 SQUARE FEET: 593.50 DESCRIPTION: INTERIOR ALTERATION (RECONFIGURATION OF EXPIRATION DATE: 03/31/2019 VALUATION: $15,708.00 SPACE) REMOVE AND RELOCATE KITCHEN, MAST[ BATH AND MASTER CLOSET AS PER PLANS. INSTALL NEW AC SYSTEM AS PER PLANS REPATC AND PAIN RESIDENCE CONTACTS NAME COMPANY ADDRESS Contractor HOME OWNER HOME OWNER HOME OWNER HOME OWNER Owner JACQUELINE GONZALEZ 29 NE 109TH ST Miami Shores, FL 33161 11inn RP REVIEW ITEM STATUS REVIEWER Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov Review item used to allow building to comment during a plan review Comments: 1. Zoning approval required. 2. Sheet A-3. Take a look at the bathroom adjacent to bedroom #2. Provide access to the bathroom. 3. Provide structural plans with details and specifications for the porch enclosure and to relocate interior garage door. Building v.3 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov Review item used to allow building to comment during a plan review Comments: Comments below not address. Plans should comply with the requirements of section 8-10 of the Miami -Dade County Code and section 107.2 of the 2017 FBC, Building. 2. Sheet A-3. Take a look at the bathroom adjacent to bedroom #2. Provide access to the bathroom. (Please look at the markings on sheet A-3 of the plans mark as Office copy) 3. Provide structural plans with details and specifications for the porch enclosure and to relocate interior garage door. (Provide cross section, foundation to roof above). Electrical v.1 Approved Comments: NEED ELECTRICAL APPLICATION Mechanical v.1 Approved Planning v.2 Requires Re -submit Review conducted by the planning and zoning department Comments: ENCLOSURE REQUIRES ADMINISTRATIVE P & z REVIEW Planning v.3 Approved Review conducted by the planning and zoning department Michael DeVaney email: nu119 Jan Pierre Perez email: null8 Travis Kendall email: kendallt@msvfl.gov Travis Kendall email: kendallt@msvfl.gov Plumbing v.1 Requires Re -submit Maykel Massanet email: pl@msvfl.gov Comments: FBC R P2705.1.5 There shall be a clearance of not less that 21 inch in front of water closet (bath 2) Provided detail and size on water distribution Show water heater location Plumbing v.3 Approved Maykel Massanet email: pl@msvfl.gov Structural v.2 Approved Structural v.3 Approved Orlando Blanco email: null16 Orlando Blanco email: null 16 December 03, 2018 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1 S�19C- 1932 ORES logo e Miami Shores Villa r g Building Department F�ORIDp' 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 RECEIPT PERMIT #:C DATE: I 2 � I �,e ❑ Contractor Owner ❑ Architect Picked p sets of plans an' (other) Address: From` the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to $ntinue ung process. Acknowledged by: \ PERMIT CLERK INITIAL: 4- C RESUBMITTED DATE: PERMIT CLEARK INITIAL: MiamiShores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: 10/15/2018 Permit No: RC18-3014 Building Critique Review 1. Zoning approval required. 2. Sheet A-3. Take a look at the bathroom adjacent to bedroom #2. Provide access to the bathroom. 3. Provide structural plans with details and specifications for the porch enclosure and to relocate interior garage door. Ismael Naranjo Building Official Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re -submittal drawings. MiamiShores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: 10/17/2018 Permit No: RC18-3014 Planning Critique ENCLOSURE REQUIRES ADMINISTRATIVE P & z REVIEW Travis Kendall 305-762-4864 �`ES \O RID% Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re -submittal drawings. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: 10/11/2018 Permit No: RC18-3014 PLUMBING REVIEW - FBC R P2705.1.5 There shall be a clearance of not less than 21 inch in front of water closet (bath 2) Provided detail and size on water distribution Show water heater location Reviewer: Maykel Massanet Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re -submittal drawings. PERMIT ADDRESS: 29 NE 109TH ST Miami Shores, FL 33161 APPLICATION DATE: 10/02/2018 SQUARE FEET: EXPIRATION DATE: 03/31/2019 VALUATION: CONTACTS NAME Contractor HOME OWNER HOME OWNER Owner JACQUELINE GONZALEZ PARCEL: 1121360040600 . Y 593 DES PTI IN - ALTERATION (RECONFIGURATION OF $15,708 SP REMOVE AND RELOCATE KITCHEN, MASTE BA ; AND MASTER CLOSET AS PER PLANS. IN LL NEW AC SYSTEM AS PER PLANS REPATC AMI WN RESIDENCE COMPANYUv v r ADDRESS HOME 01 HOME OWNER 29 NE 109TH ST Miami Shores, FL 33161 REVIEW ITEM STATUS REVIEWER Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov Review item used to allow building to comment during a plan review Comments: 1. Zoning approval required. 2. Sheet A-3. Take a look at the bathroom adjacent to bedroom #2. Provide access to the bathroom. 3. Provide structural plans with details and specifications for the porch enclosure and to relocate interior garage door. Building v.3 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov Review item used to allow building to comment during a plan review Comments: Comments below not address. Plans should comply with the requirements of section 8-10 of the Miami -Dade County Code and section 107.2 of the 2017 FBC, Building. 2. Sheet A-3. Take a look at the bathroom adjacent to bedroom #2. Provide access to the bathroom. (Please look at the markings on sheet A-3 of the plans mark as Office copy) 3. Provide structural plans with details and specifications for the porch enclosure and to relocate interior garage door. (Provide cross section, foundation to roof above). Building v.4 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov Review item used to allow building to comment during a plan review Comments: 1. Structural approval required. 2. Vertical reinforcement should be continuous from the foundation to the beam above. Also reflect the location of the required vertical reinforcement on sheet A-3 Electrical v.1 Comments: NEED ELECTRICAL APPLICATION Mechanical v.1 Approved Michael DeVaney email: nu119 Approved Jan Pierre Perez email: null8 Planning v.2 Requires Re -submit Travis Kendall email: kendallt@msvfl.gov Review conducted by the planning and zoning department Comments: ENCLOSURE REQUIRES ADMINISTRATIVE P & z REVIEW Planning v.3 Approved Travis Kendall email: kendallt@msvfl.gov Review conducted by the planning and zoning department Plumbing v.1 Requires Re -submit Maykel Massanet email: pl@msvfl.gov Comments: FBC R P2705.1.5 There shall be a clearance of not less that 21 inch in front of water closet (bath 2) Provided detail and size on water distribution Show water heater location Plumbing v.3 Approved Maykel Massanet email: pl@msvfl.gov Structural v.1 Approved Orlando Blanco email: nu1116 Structural v.2 Approved Orlando Blanco email: null16 January 09, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 2 Structural v.3 Approved Orlando Blanco email: null16 January 09, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 2 of 2 Air System Sizing Summary for AC -1 Project Name: JACKELINE HOUSE 09/20/201 E Prepared by: Fineline engineering 04:26PU Air System Information Air System Name _- —'—' - AC -1 EquipmemClano-------------SPLTAxV Air System Type ------------------- ..... ......................... 8ZC/u/ _- Sizing Calculation Information Zone and Space Sizing Method: Zone CFM Sum vxspace airflow rates Space CFM .... ...... ....... ... Individual peak space loads Central Cooling Coil Sizing Data cpm --_-- _ -- 1508 Total coil NaU — ... ... ........ ....... ....... ....... -' ............... 2.8 Tons Tum|coNloaU--'-- -.... --. 33.1 MBH Sensible coil load ........... .... .............. -- '_ '- 32.3 MBH Coil CFM------------ ..... ......................... ....... 1oO$ CFM Max block CFM --------- --�--_---- ------ 1sVS CFM Sum of peak zone CFM 1509 CFM Sensible heat raon--' - ' ' --. --' 0.975 ^F nv/on-- ---- - — —.......... --------- Bypass Factor -- -' - BTuVhr-ft'>---- ...................... .............. - 17y -.................... �- ' .0 ° 4* Central Heating Coil Sizing Data wmxcoWload-----------. ----.......... MBH Coil CFM at Des Htg- ................... ..... ............. ....... 1509 CFM moxmmCFw-'.—-- _ -------15U9 CFM Supply Fan Sizing Data Actual max CFM Standard CFM ............. ............... Actual max CFM/ft2 Outdoor Ventilation Air Data | 1n09 cpm --_-- _ -- 1508 CFM ------------- .................. 0.V2 CFM/ft` --- ------------------- V CFM ~F Number ofzonox- - ' —' '- -- '- _ .- 1 Floor Area ...... .......................... .... ......... ............ —�___ 1849.0 02 Calculation Months - Jan u,Dec Loououcvsau- _ -'............. ...... -Aug 1VVO o*O8/vvB--- ................ ........... . '90J/76.e ~F sntenngoo/vva------- —' _ .- 75.8/62.3 ^F Leaving Da/vva - -- .— — 56.0 M.7 ^F Coil ADP . ^F --------- Bypass Factor -- -' - 0GAL -.................... �- ' .0 ° 4* � °°°°°° Design ��v��. _--_�°—� �°° zonnT��t Cxocx_' �m °=°°° _ Max zone �mpo�mmdav�oon----- °°°~°°----�u°�w� Q,o ^F °°°°°°°° ° ~ °=°°° °°°°°° °°�°°° Load occurs au°°° - -------��--�--.o�y ° =r ""`n--�-------' - °° °°-- —� -�=° Ent. DB/Lvg DB .... ....... ....... . *°°°=-6�/7� ^F °° ° ° ° ° ° ° ° ° °°°°°° ° °° °° ° =' - Fan motor BHP ' —' %*227aHP Fan motor Ww� --.............. ........... ................... 0.16 Nw Space Design Load Summary for AC -1 Project Name: JACKELINE HOUSE 09/20/2018 Prepared by: Fineline engineering 04:26PM TABLE I.I.A. COMPONENT LOADS FOR SPACE " HOUSE " IN ZONE "Zone 1 " ' DESIGN COOLING DESIGN HEATING COOLING COOLING COOLING DATA AT Aug 1600 COOLING OA DB I WB 90.7 OF / 76.9 OF OCCUPIED T -STAT 75.0 OF HEATING DATA AT DES HTG HEATING OA DS / WB 46.0'F / 38.6 OF OCCUPIED T -STAT 70.0 OF Area Sensible Latent Sensible Latent SPACE LOADS Details (BTU/hr) (BTU/hr) Details (BTU/hr) (BTU/hr) Window 8 Skylight Solar Loads 282 ft2 5817 (BTU/hr) 282 ft2 Wall Transmission 1572 ft2 3689 - 1572 ft2 5175 Roof Transmission 1849 ft2 2855 - 1849 ft2 1340 - Window Transmission 282 ft2 4065 - 282 ft2 7039 - Skylight Transmission 0 ft2 0 - 0 ft2 0 - Door Loads 0 ft2 0 - 0 ft2 0 493 Floor Transmission 1849 112 0 - 1849 ft2 0 Partitions 0 ft2 0 - 0 ft2 0 . • • • • • - Ceiling 0 ft2 0 - 0 ft2 ; . 0 - Overhead Lighting 2034 W 6940 - 0 ' 0 • - Task Lighting 0 W 0 - 0 . 0 12 Electric Equipment 462 W 1577 - 0 0 0 People 4 980 820 0 . • 0 • �' 0 Infiltration - 0 0 - 0 , 0 Miscellaneous 6000 0 - . • 0 • ' �. • 0 Safety Factor 0%/0% 0 01 0% 0 0 » Total Zone Loads - 31921 820 . • 16553 0 9966. 9666. • 6696. • • . 9606•• 6666•• • Hourly Analysis Program v4.50 Page 1 of 1 TABLE I.I.B. ENVELOPE LOADS FOR SPACE " HOUSE " IN ZONE " Zone 1 " ' COOLING COOLING HEATING Area U -Value Shade TRANS SOLAR TRANS (ft2) (BTU/(hr-ft2-°F)) Coeff. (BTU/hr) (BTU/hr) (BTU/hr) N EXPOSURE WALL 356 0.137 - 645 - 1173 WINDOW 1 24 1.040 0.500 346 229 599 WINDOW 2 52 1.040 0.500 746 493 1292 E EXPOSURE WALL 465 0.137 1312 - 1531 WINDOW 1 18 1.040 0.500 259 414 449 WINDOW 2 12 1.040 0.500 173 276 300 S EXPOSURE WALL 332 0.137 767 - 1094 WINDOW 1 48 1.040 0.500 692 667 1198 WINDOW 2 52 1.040 0.500 746 719 1292 W EXPOSURE WALL 419 0.137 965 - 1378 WINDOW 1 36 1.040 0.500 519 1421 899 WINDOW 2 41 1.040 0.500 584 1598 1011 SW EXPOSURE ROOF 18491 0.030 -1 2855 1340 9966. 9666. • 6696. • • . 9606•• 6666•• • Hourly Analysis Program v4.50 Page 1 of 1 Air System Design Load Summary for AC -1 Project Name: JACKELINE HOUSE 09/20/2018 Prepared by: Fineline engineering 04:26PM .9999 • 9999• • 9999• • • • 9999 6900• • • • .a969• / • • 9 6 • 0 • Hourly Analysis Program v4.50 Page 1 of 1 DESIGN COOLING DESIGN HEATING COOLING DATA AT Aug 1600 COOLING OA DB / WB 90.7 °F 176.9 °F HEATING DATA AT DES HTG HEATING OA DB / WB 46.0 °F / 38.6 °F ZONE LOADS Details Sensible (BTU/hr) Latent (BTU/hr) Details Sensible Latent (BTU/hr) (BTU/hr) Window & Skylight Solar Loads 282 ft2 5817 - 282 ft2 Wall Transmission 1572 ft2 3689 - 1572 ft2 5175 - Roof Transmission 1849 ft2 2855 - 1849 ft2 1340 - Window Transmission 282 ft2 4065 - 282 ft2 7039 - Skylight Transmission 0 ft2 0 - 0 ft2 0 - Door Loads 0 ft2 0 0 ft2 0 - Floor Transmission 1849 ft2 0 1849 ft2 0 - Partitions 0 ft2 0 - 0 ft2 0 - Ceiling 0 ft2 0 0 ft2 0 - Overhead Lighting 2034 W 6940 - 0 0 Task Lighting 0 W 0 - 0• • 0' Electric Equipment 462 W 1577 - 0 0 • • 0 ,ones • - People 4 980 820 0 •90;16' 0 0 Infiltration - 0 0 - 0000** 0 Miscellaneous - 6000 0 - • 0 •'• , 0 • 0 Safety Factor 0%/0% 0 0 0% "' 0 0 >> Total Zone Loads 31921 820 " ;'613553 • • • 0 Zone Conditioning - 31115 820 • • 13120 0 Plenum Wall Load 0% 0 - 0 ;' , , 0 - Plenum Roof Load 0% 0 0 '00 •••••• - Plenum Lighting Load 0% 0 - 0 ; • • 0 Return Fan Load 1509 CFM 0 - 1509 CFM 0 • • • Ventilation Load 0 CFM 0 0 0 CFM 0 0 Supply Fan Load 1509 CFM 559 1509 CFM -559 - Space Fan Coil Fans - 0 - 0 - Duct Heat Gain / Loss 2% 638 - 2% 271 >> Total System Loads - 32312 820 12832 0 Central Cooling Coil 32312 822 - 0 0 Central Heating Coil - 0 - - 12832 » Total Conditioning 32312 822 128321 0 Key: Positive values are cig loads Negative values are htg loads Positive values are htg loads Negative values are clg loads .9999 • 9999• • 9999• • • • 9999 6900• • • • .a969• / • • 9 6 • 0 • Hourly Analysis Program v4.50 Page 1 of 1 U.S. DEPORTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency National Flood Insurance Program Expiration Date: November 30, 2018 ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: Jacqueline Gonzalez A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 29 N.E. 109th Street City State ZIP Code Miami Shores Florida 33161 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Folio # 11-2136-004-0600 Lot 30, Block 2, COLLEGE HEIGHTS, PB 42, PG 8 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 25152'31.36"N Long. 80°11'49.94"W Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 8 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 2016.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 6 c) Total net area of flood openings in A8.b 5612.00 sq in d) Engineered flood openings? []Yes ❑Q No A9. For a building with an attached garage: a) Square footage of attached garage 140.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ❑x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number B2. County Name B3. State Village of Miami Shores 120652 Miami -Dade Florida 64. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12086C 0139 L 09-11-2009 09-11-2009 X N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 69: ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier. Resources System (CBRS) area or Otherwise Protected Area (OPA)?- ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE M 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. 29 N.E. 109th Street Miami Shores State ZIP C Florida 33161 OMB No. 1660-0008 IV Expiration Date: November 30, 2018 FOR INSURANCE COMPANY USE Policy Number: any NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: M-DCo. BM # N-566 Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a) through h) below. ❑x NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support Check the measurement used. 10.90 ❑x feet ❑ meters 13.14 feet ❑ meters N/A feet ❑ meters 11.07 ❑x feet ❑ meters 11.20 ❑x feet ❑ meters 10.90 feet ❑ meters 11.00 ❑x feet ❑ meters 10.90 ❑x feet ❑ meters SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. / understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? Z Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number Odalys C. Bello Iznaga LS 6169 Professional Land Surveyor and Mapper Company Name Bello & Bello Land Surveying Corp. Address 12230 SW 131 Avenue, Suite 201 C Seat Here city State ZIP Code / // Miami Florida 33186 co & Signatur to Telephone Ext. �' s�� (305) 251-9606 and allCopy all pages of this Elevation CZertificate attachm is r (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) For A5: Long. and Lat. determined by GNSS RTK GPS Survey No. 19012 C2 e) Denotes Elevation of A/C Units located on the East and West sides avid adjacent to the existing structure. Highest Crown of Road Elev.= 11.15' FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 29 N.E. 109th Street City State ZIP Code Company NAIC Number Miami Shores Florida 33161 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is Q feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑x feet❑ meters El above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑x feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑x feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is Z feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0(108 .,;� ,,; , IMPORTANT: In these spaces, copy the corresponding information from Section A, - ............ -w iv Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. FOR INSURANCE COMPANY USE Policy Number: 29 N.E. 109th Street City State ZIP Code Company NAIC Number Miami Shores Florida 33161 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable items) and below. Check sign the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. ��n r-01111 Uoo-v-oo k t/ 1 D) Replaces all previous editions. Form Page 4 of 6 A, I ' BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 29 N.E. 109th Street City State ZIP Code Company NAIC Number Miami Shores Florida 33161 If using the Elevation Certificate to obtain NAP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken, "Front View" and "Rear View- and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Photo One Caption Front View: 09/05/2018 Clear Photo One Photo Two Photo Two Caption Rear View: 09/05/2018 Clear Photo Two FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Exoiration Date: November 30 finis IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 29 N.E. 109th Street City State ZIP Code Company NAIC Number Miami Shores Florida 33161 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken', "Front View" and "Rear View", and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. f • , p � ,. 'fir? I• t 1:4 � ✓� '° �' it .a��i-,� [ a4{�'h�S,, '*sa �1�. Photo Three Photo Three Caption Side View: 09/05/2018 Clear Photo Three n Photo Four Photo Four Caption Side View: 09/052018 Clear Photo Four FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 L • Lot 2 • Block 2 F NO y L� IR N PIPE Lot 3 Block 2 ASPHALT PAVEMENT 15' ALLEY (PER PB 42- PG. 8) 75.00' 1.3'EAST 09 Or —$ X r0 ONE STORY CONCRETE signature and seal of the undersigning Florida licensed Surveyor and Mapper. DRIVEWAY 14.8' RESIDENCE ri No. 29 F. F. ELEV. =13.14' � N �A/C X N GENERATOR 19.2' 27.7' 13.3' 15.6' rX GARAGE r ELEV.=11.07' A/C M u_ N ELECTRIC Lr� PANEL I") No Lot 31 M Block 2 N 12.46' N 0.3'EAST 12.47' FOUND" IRON PIPE` o6Vp) X qp \Q . Mi N Mi �o N L 0 2.3' N 2.3' LrD 12.8' N N 15.7' 14.39' ONE STORY signature and seal of the undersigning Florida licensed Surveyor and Mapper. A/C 14.8' RESIDENCE ri No. 29 F. F. ELEV. =13.14' � N �A/C X N r/ 19.2' 14.38' 13.3' 15.6' N. Lot 30 Block 2 74.93' M. 75.00' P. PARKWAY MEDIAN 9, Lot 4 0 10 20 Block 2 x SCALE: 1" = 20' IPE IRON n 0.3'WEST APPROXIMATE LOCATION a OF SEPTIC TANK ( PER CLIENT'S INFO) N N N 1.0'WEST Lot 29 Block 2 rn -a x Co oQb lop 75.09' M. 75.00' P. — — — — — — --- --- — ------ — FOUND y" FOUND y"IRON PIPE IRON PIPE @SE CORNER OF LOT 29 BLOCK 2 MAP OF BOUNDARY SURVEY Property Address: 29 N.E. 109th Street, Miami Shores, Florida 33161 Project No. 19012 Page 1 of 1 Additions and deletions to this Survey Map are prohibited. This Survey Map and Report are not valid without the signature and anginal raised seal or without the authenticated electronic E signature and seal of the undersigning Florida licensed Surveyor and Mapper. CD O co 0 Cl) C' u_ N =3 LEGAL DESCRIPTION: N Q V) Lot 30 , Block 2, COLLEGE HEIGHTS, according to the map thereof, as recorded e 2 r- E in Plat Book 42, Page 8 of the Public Records of Miami -Dade County, Florida..*. • • + • o . _ SURVEYOR'S REPORT AND GENERAL NOTES • • • • • • ' o •� f•f//f (Not valid without the attached Survey Map) + • + ..Af 9 w �+ f / f + • 1. Legal Description has been furnished by the client. • ""M; 2. References to "Deed", "Record" or "Plat" refer to documents and insl t&Wtc of :'. • • • record as part of the pertinent information used for this survey work. NIMASured a 4(: •�' E :"*o U. w 0-1 distances, directions and angles along boundary lines are in consi�teAV11ith • ••" + ° J (9f � •" corresponding values from records, unless otherwise shown. , + so y • • b 3. These lands are subject to additional restrictions of record that+ were. scot LU Z Z jO m furnished to the undersigning registered surveyor. A title search hal not been . • m WQ performed. • • 4. North direction is based Meridian. • * �1f • /w >. pp �•�• N J arrow on an assumed + 5. Only above ground improvements are shown herein. Foundations, underground • • • •0 LO ° features and utilities have not been located. U) 6. Fence ownership has not been determined. Distances from existing fences to J Z boundary lines are approximate. Fence/walls width and conditions must be M ° W Q N E considered to determine true location. Lands located beyond perimeter fences CO J � -a (b might or might not be being used by adjoiners. Adjoining parcels have not been investigated. LEGEND 6 ABBREVIATIONS 7. This Survey Map is intended to be displayed at the scale shown hereon. Data is = CONCRETE (CONC,I GONG. BLOCK WALL expressed in U.S. Survey Foot. = WOOD DECK -'" =COVERED AREA 8. This Survey Map is being prepared for the use of the party/parties that it is -A PHALT X—X—= CHAIN LINK FENCE (CLF) certified to and does not extend to any unnamed individual, entity or assignee. —//—J/-- WOOD FENCE (WF) --- 0-0- IRON METAL BARS FENCE (IF) 9. FLOOD PLAIN INFORMATION: As scaled from Federal Insurance Rate Ma P —OHL— OVERHEAD WIRES (FIRM) of Community No. 120652 (Village of Miami Shores), Panel 0139, Suffix lid = WATER VALVE (WV) =POWER POLE (PP) L, revised on Sept 11 th, 2009, this real property falls in Zone "X". GUY ANCHOR ® = WATER METER MM) 10.HORIZONTAL ACCURACY: Accuracy obtained thru measurements and = CONIC. LIGHT POLE (LP) calculations meets and exceeds the minimum horizontal feature accuracyfor a ®= Suburban area being equal to 1 foot in 7, 500 feet. T STREET SIGN O = SANITARY MANHOLE 11.VERTICAL CONTROL AND ACCURACY: The elevations as shown are OD = DRAINAGE MANHOLE referred to the National Geodetic Vertical Datum of 1929 (NGVD 1929). The O = MANHOLE closure in feet, as computed, meets the standard of plus or minus 0.05 feet p P ' FIRE HYDRANT . =CABLE BOX (CAN) times the squared root of the loop distance in miles. Elevation are based on a TX = FPL TRANSFORMER level loop from and to the following official Bench Marks: ®= CATCH BASIN OR INLET Bench Mark # 1: EXISTING ELEVATION Miami -Dade County Public Works Department BM N-566, PERMANIEN ❑ MONUMENT (PRM1�ENCE Elevation = 10.78 feet ®= PROPERTY CORNER Bench Mark # 2: Miami -Dade County Public Works Department BM N-567, • = PERMANENT CONTROL Elevation = 10.54 feet POINT (PCP) P.T. = POI NT OF TANGENCY P.C. = POINT OF CURVATURE P.C.C. - POINT OF COMPOUND CURVE P.R.C. = POINT OF REVERSE CURVE I HEREBY CERTIFY TO: B.M. = BENCHMARK B.R. = BEARING REFERENCE T.B.M. = TEMPORARY BENCH MARK It = PROPERTY LINE J CENTERLINE Jacqueline Gonzalez III MONUMENT LINE That this Survey conforms to the Standards of Practice as set forth by the CALC. :CALCULATED MEAS. = FIELD MEASURED Florida Board of Professional Surveyors and Mappers in applicable P. = PER PLAT provisions of chapter 5J-17, Florida administrative code pursuant to PSM = PROFESSIONAL SURVEYOR AND MAPPER Section 472.027 Florida Statutes. This Survey is accurate and correct to A/C = AIR CONDITIONER PAD the best of my knowledge and belief. ENCR. = ENCROACHEMENT F.F. ELEV. = FINISHED FLOOR ELEVATION P.B. = PLAT BOOK PG. = PAGE -- dalys C. Bello-Iznaga ORB = OFFICIAL RECORD BOOK CBS = CONCRETE BLOCK STRUCTURE R/W = RIGHT OF WAY ELEV. =ELEVATION Professional Surveyor and Mapper LS6169 • State of Florida SEC. = SECTION Field Work Date: 09/05/2018 T TOWNSHIP R RANGE Certificate of Completion Description: INTERIOR ALTERATION Permit Type Owner Subdivision/Project Construction Type V -B Square Footage Location 29 NE 109TH ST Miami Shores, FL 33161 Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department Building (Residential) Bldg. Permit No. RC -10-18-3014 JACQUELINE GONZALEZ Contractor HOME OWNER Date Issued 09/13/2019 Occupancy Single Family Type 593.50 Flood Zone X If the building is located in a special flood hazard area documentation of the as -built lowest floor elevation or lowest horizontal structural member has been provided and is retained in the records of Miami Shores Village. This certificate issued pursuant to the requirements of the Florida Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. �/ Building Officials Approval Not Transferable POST IN A CONSPICUOUS PLACE Ismael Naranjo, CBO Permit NO. RC -10-18-3014 Miami Shores Village Type; Building (Residential) 15 It .:u#r_ „ u�Building DepartmFrt 10050 NE 2 Ave l4vorkc/ass: Alteration Miami Shores EL 33138 Permit Status: Approved -s,� -- — -- -- -.,. _ __ .__ _ �. ---- -- -- 10 IV - / Issue gate 1/17/2019 Expires: 07/16/2019 INSPECTION REQUESTS: (305)762-4949 or log on at https://bldg.msvtl.gov/energov_proa/selfservice POST ON SITE Requests must be received by 3:30pm WORK IS ALLOWED. MONDAYTHROUGH 'FRIDAY, 8:')OAM - 7 OOPM 1121360040600 SATURDAY 8:OOAM - 6:OOPM. NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS BUILDING AND ROOFING INSPE'"TIONS ARE DONE MONDAY THROUGH FRIDAY . NO INSPEC'lON WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED . PLANS ARE READILY AVAILABLE . IT IS THE PERMIT APPLICANT'S RESPONSIBILITY I-0 ENSUEE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT GF ANY MATERIAL RE'JUIRED TO ALLOW INSPECTION . Owner's Name: JACQUELINE GONZALEZ Owner's Phone- (305)281-8409 Job Address: 29 NE 109TH ST Total Square Feet: 594 Miami Shores, FL 33161 rota) Job Valuation: $ 15,708.00 Contractor(s) Phone Address HOME OWNER Description: INTERIOR ALTERATION (RECONFIGURATION OF SPACE) REMOVE AND RELOCATE KITCHEN, MASTS BATH AND MASTER CLOSETAS PER PLANS. INSTALL NEW AC SYSTEM AS PER PLANS REPAT:;H AND PAIN RESIDENCE z 111114 *Q, 41 , 4' , WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Page i of 1 STRUCTURAL INSPECTION DATE INSP Foundation Stemwall Slab Columns (1st Lift) Columns (2nd Lift) Tie Beam Truss/Rafters Roof Sheathing Bucks interior Framing Insulation Ceiling Grid Drywall 19' Firewall 10 Wire Lath Pool Steel Pool Deck Final Pool Final Fence C.-roon Gnrinci!ro Drivewav Driveway Base Tin Cap In -Progress Roof Installation RoofinP Final _ ;Shutters Attachment Final Shutters Rails and Guardrails ADA compliance r— FINAL DOCUMENT Soil Bearing Cert ' Soil Treatment Cert (Floor Elevation Survey einf Unit Mas Cert Insulation Certificate Spot Survey Final Survey Truss Certification STRUCTURAL COMMENTS P INSPECTION TJE INSP Attachment WORKSPUBLIC INSPECTION DATE INSP Excavation ELECTRICAL INSPECTION DATE INSP Temporary Pole 30 Day Temporary Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab Wall Routh Ceiling Rough Rough •® Telephon oo In Telephone Final ` f °1 TV Rough VA •�'S' TV Final Cable Rough Cable Final Intercom Rough Intercom Final Alarm Rough Alarm Final Fire Alarm Rough Fire Alarm Final Service Work With i° ELECTRICAL COMMENTS INSPECTION DATE (NSP Final Sprinkler Final Alarm PLUMBING 0 INSPECTION DATE INSP Rough r Water Service 2°d Rough Top Out Fire Sprinklers Septic Tank Sewer Hook-up Roof Drains GasY'a� LP Tank Well Lawn Sprinklers Main Drain Pool Piping Backflow Preventor Interceptor Catch Basins Condensate Drains HRS Final PLUMBING COMMENTS i MECHANICAL INSPECTION I DATE INSP Underground Pipe Pough < I n _ Vi 11L.Iation Rough Hood Rough _ Pressure Test Final Hood Final Ventilation Final Pool Heater Final Vacuum `j MECHANICAL COMMENTS j Shoes ` Permit NO. WS -06-19-1417 Miami Shores Village Type: Windows/Shutters duiding Department it 10050 N E 2 Ave Workclass: Window/Door Replacement'' ' Miami Shores FL 33138 Permit Staters.' Approved �ORIDQ` issue Date: 6/21/2019 _ Expires: 12/17/2019 INSPECTION REQUESTS: (305)762-4949 or log on at https://bldg.msvfl.go r/energov_prod/selfservice Requests must be received by 3:30pm WORK IS ALLOWED: MONDAY THROUGH FRIDAY, 8:OOAM - 7:OOPM SATURDAY 8:OOAM - 6:OOPM. NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY . NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED . PLANS ARE READILY AVAILABLE. IT IS THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION Owner's Name: JACQUELINE GONZALEZ Job Address: 29 NE 109TH ST Miami Shores, FL 33161 Contractor(s) Phone Address HOME OWNER Description: REPLACE 3 WINDOWS POST ON SITE 1121360040600 Owner's Phone: (305)281-8409 Total Square Feet: 594 notal Job Valuation: $ 500.00 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND 70 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORD OR RECORDING YOUR NOTICE OF COMMENCEMENT. Page 1 of 1 I Spl:rTl I N L-%.-. I 11ON RECOR.E.1 STRUCTURAL INSPECTION DATE INSP Foundation Stemwall Slab Columns (1st Lift) Columns (2nd Lift) Tie Beam Truss/Rafters Roof Sheathing Bucks Interior Framing Insulation Ceiling Grid Drywall Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin Cap In -Progress Roof Installation Roofing Final Shutters Attachment Final Shutters Rails and Guardrails ADA compliance DOCUMENTS Soil Bearing Cel t Soil Treatment Cert Floor Elevation Survey Reinf Unit Mas Cert Insulation Certificate Spot Survey Final Survey Truss Certification STRUCTURAL COMMENTS DOORSWINDOWS & INSPECTION I Pik'EI INSP Attachment PUBLIC WORKS INSPECTION DATE INSP Excavation ELECTRICAL INSPECTION DATE INSP Temporary Pole 30 Day Temporary f -- Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab Wall Rough Ceiling Rough Rough I eiephone Rough Telephone Final TV Rough TV Final Cable Rough Cable Final Intercom Rough Intercom Final Alarm Rough Alarm Final Fire Alarm Rough Fire Alarm Final ServiceWork With ELECTRICAL COMMENTS INSPECTION DATE INSP Final Sprinkler Final Alarm PLUMBING INSPECTION I DATE INSP Rough Water Service 2nd Rough Top Out Fire Sprinklers Septic Tank Sewer Hook-up Roof Drains Gas LP Tank Well Lawn Sprinklers Main Drain Pool Piping Backflow Preventor Interceptor Catch Basins Condensate Drains HRS Final PLUMBING COMMENTS i MECHANICAL INSPECTION DATE INSP Underground Pipe Rough Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater Final Vacuum MECHANICAL COMMENTS