RC-07-19-1678, 9119 N Miami AveMiami 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
BUILDING
PERMIT APPLICATION
'BUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS
• : .I V /. /
CEJVED
C:
BY:
FBC 202J
Master Permit No.i?.C-cn - tOi_ 1(6W
Sub Permit No.
❑ REVISION 0, EXTENSION [:]RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Folio/Parcel#: I 1 .2 D (Q n �� Is the Building Historically Designated: Yes NO
Occupancy Type: Load: ('� Construction Type: FFlloo ,,Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): `- co �CI z- j a4+*� K—d Phone#:�
Address: l� G�1M r�
City: �OWVLI ,rQi') State: Zip: .�3 w
Tenant/Lessee Name:
Email: <, _-1 L hA i)l. f, /'_�
one#:
CONTRACTOR: Company Name: Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #:
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address:
City: State
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration. I ElNew __ ❑ Repair/Replace
Description of Work: l� �' . ,-C ,t., 9�J`mAd' YII14A MA �/ 4z C —y 1'
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $ 3 .l� CCF $
Radon Fee $
Training/Education Fee $
DBPR $
Zip:
❑ Demolition
�Le-�
CO/CC $
Notary $
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Zi
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 ap oved and 'nspection fee will be charged.
Signature ff A Signature
OWNER or AtENT CONTRACTOR
The foregoing instrument was acknowledged before me this
Z� day of 20 ?-L , by
is personally known to
me or who has produced t) -S as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
The foregoing instrument was acknowledged before me this
day of
me or who has produced
20 , by
, who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
as
Seal:MY COMMISSION # GG 95047 Seal:
EXPIRES: March 6, 2024
, bvi��P', Bonded Thru Notary Public UndereOrs
############################ ##########################################################################
APPROVED BY ��_� / ' / Plans Examiner Zoning
Structural Review
(Revised02/24/2014)
Clerk
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
9119 N MIAMI AVE, Miami Shores, FL 33150 1132060130070
Contacts
CONSTANCE NORTELUS Owner HOME OWNER Contractor
9119 N MIAMI AVE HOME OWNER
Home: 3059797216 simplicity212@yahoo.com
Ins ection Re uests:
Description: KITCHEN AND BATHROOM REMODELING Valuation: $ 60,000.00
Total Sq Feet: 1,800.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$36.00
Certificte of Completion for Single Fam
$50.00
and Duplex
DBPR Fee
$27.00
DCA Fee
$18.00
Education Surcharge
$12.00
Permit Fee
$1,750.00
Scanning Fee
$24.00
Structural Review ($90)
$90.00
Technology Fee
$45.00
Total:
$2,102.00 '
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$2,102.00
Credit Card
07/23/2019 $50.00
Credit Card
04/28/2020 $2,052.00
Amount Due:
$0.00
In consideration of the issuance to me of this permit, 1 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, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
April 30, 2020 Page 2 of 2
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
9119 N MIAMI AVE, Miami Shores, FL 33150 1132060130070
Contacts
CONSTANCE NORTELUS Owner HOME OWNER Contractor
9119 N MIAMI AVE HOME OWNER
Home: 3059797216 simplicity212@yahoo.com
Description: KITCHEN AND BATHROOM REMODELING Valuation: $ 60,000.00 Insection Reuests:
Total Sq Feet: 1,800.00 —j
Fees
Amount
Application Fee - Other
$50.00
CCF
$36.00
Certificte of Completion for Single Fam
$50.00
and Duplex
DBPR Fee
$27.00
DCA Fee
$18.00
Education Surcharge
$12.00
Permit Fee
$1,750.00
Scanning Fee
$24.00
Structural Review ($90)
$90.00
Technology Fee
$45.00
Total
OC�U 1-D r
$2,102.00
Payments
Date Paid Amt Paid
Total Fees
$2,102.00
Credit Card
07/23/2019 $50.00
Credit Card
04/28/2020 $2,052.00
Amount Due:
$0.00
Applicant Copy
For Inspections, Call (305) 762-4949 or Log on at https://bldg.miamishoresvillage.com/cap/.
Requests must be received by 3pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that may be found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,
public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES.
April 30, 2020 Page 1 of 2
101'hec( 10119
7r
BUILDING
PERMIT APPLICATION
Miami Shores Village g`ECEIVED
g Ju L
3 2019
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Big
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
24
BUILDING ❑ ELECTRIC ❑ ROOFING
FBC 20 14Cq )I/� ]]/
Master Permit No. �n� - I0,4e
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
fl A CONTRACTOR DRAWINGS
JOB ADDRESS: 9 l Y q t1 w V oriMiaimA- A 5/P, ue-
City: Miami Shores County: Miami Dade Zip: 331 5
Folio/Parcel#: Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 00MtX-mG Phone#: 630j� 3:Laq—a Tg 9
Address:
City: W xrx State: Zip: 33
Tenant/Lessee Name: ``__ .• Phone#:
Email: I M tic l TYa �i �D� • G7
CONTRACTOR: Company Name: N
Address:
City: State:
hone#:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #: _
/x.
DESIGNER: Architect/Engineer: /`r `n Phone#:
Address: City: State
Value of Work for this Permit: $ +'' ' Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of Work:
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Permit Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF
DBPR $
Zip:
❑ Demol
CO/CC $
Notary $ &:; • CO
Double Fee $
Bond $ E�6r
(Revised02/24/2014)
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Zip
I . J
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 on 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 reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of U 20 Z!11 by
fiWo IUNN b who is personally known to
me or who has produced QL Q L- as
identification and who did to
NOTARY PUBLIC:
The foregoing instrument was acknowledged before me this
day of 20, by
, who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
as
Sign: Sign:
Print: �h Print:
Seal• Seal:
r ,� MICHELLE T. POMPA
� �� Notary Public, State of Florida 4�g
Commission# G 287444
s
F I C
APPROVED BY Plans Examiner Zoning
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: % i" CJ DATE:
ADDRESS:
Ali, 2,2�/2�, 33�fc-;5D
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 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 0 �P
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��
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 C
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,, w%h�ichh violates the exemption.
Initial 6?k_
5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
Initial0�
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
f
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. 1, 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_ C-
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 1 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.
I nitial0 �)_
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. InitialC/��
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/ciIb/index.htmI
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 1�
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---E�-l—�
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 workers 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 '23 day of V , 20_ If
By ON S-PNGF N LVTtl A IS- who was personally known to me or who has
Produced there License ort �2C� (�C`tN� as identification.
•
NOTARY
11
`•V° SINDI/1 AIVAREZ
My COWAISSION 4 GG 238273
EXPIRES: September 3, 2022
'••Foc F�g, Bonded Thru Notary Public Underwriters
Property Search Application - Miami -Dade County Page 1 of 1
41-
O.FF,.IC:E
Summary Report
Property Information
Folio:
11-3206-013-0070
Property Address:
9119 N MIAMI AVE
Miami Shores, FL 33150-2262
Owner
CONSTANCE NORTELUS
JOELLA P NORTELUS
ANNIE D NORTELUS
Mailing Address
9119 N MIAMI AVE
MIAMI, FL 33150 USA
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds I Baths I Half
3/3/0
Floors
1
Living Units
1
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
2,064 Sq.Ft
Lot Size
10,530 Sq.Ft
Year Built
Multiple (See Building Info.)
Assessment Information
Year
2019
2018
2017
Land Value
$284,033
$236,817
$236,817
Building Value
$148,013
$148,269
$148,525
XF Value
$21,605
$21,605
$21,605
Market Value
$453,651
$406,691
$406,947
Assessed Value
$159,657
$156,681
$153,459
Benefits Information
Benefit
Type
2019
2018
2017
Save Our Homes
Assessment
$293,994
$250,010
$253,488
Cap
Reduction
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Exemption
$25,000
$25,000
$25,000
Homestead
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
MIAMI SHORES SEC 1 AMD PB 10-70
LOT 12&N1/2LOT 13BLK1
LOT SIZE IRREGULAR
OR 14867-1287 0191 4
Generated On : 7/23/2019
Taxable Value Information
2019
2018
2017
County
Exemption Value
1 $50,000
$50,000
$50,000
Taxable Value
$109,657
$106,681
$103,459
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$134,657
$131,681
$128,459
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$109,657
$106,681
$103,459
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$109,657
$106,681
$103,459
Sales Information
Previous
OR Book-
Price
Qualification Description
Sale
Page
31472-
05/31/2019
$56,500
Affiliated parties
1812
29318
08/25/2014
$100
Corrective, tax or QCD; min consideration
i
4963
14867-
Sales which are disqualified as a result of
01/01/199,
$0
1287
examination of the deed
12634-
09/01/1985
$60,000
Sales which are qualified
i
2248
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://w\hw.miamidade.gov/info/disclaimer.asp
https://www8.miamidade.gov/Apps/PA/propertysearch/ 7/23/2019
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tea. (305) 795.2204
Fax: (305) 756.8972
RFr.FIPT
�
PERMIT #:' �` -�—� - i ��r �_'i DATE: i` ', l
I, ��rJ P l �^- / j
(Name)
❑ntractor
o
tOwner
❑ Architect
Picked up 2 sets of plans and (o
Address: 1 `I�.r,�i 'l1
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 continue permitting process.
Sig
(SIGNATURE)
PERMIT CLERK INITIAL:
RESUBMITTED DATE; t
19
PERMIT CLERK INITIAL:
�15NORE y�f
;-�7
�ZO R.0
PERMIT ADDRESS: 9119 N MIAMI AVE
Miami Shores, FL 33150
APPLICATION DATE: 07/23/2019 SQUARE FEET:
EXPIRATION DATE: 01/19/2020 VALUATION:
CONTACTS NAME
Contractor HOME OWNER
HOMEOWNER
Owner CONSTANCE NORTELUS
PARCEL: 1132060130070
1,800.00 DESCRIPTION: KITCHEN AND BATHROOM REMODELING
$60, 000.00
COMPANY ADDRESS
HOME OWNER
HOME OWNER
9119 N MIAMI AVE
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. Electrical approval require.
2. The scope of work reflected on the permit application does not reflect the full scope of work reflected on the plans.
3. Separate permit require for the fence.
4. Miami Shores Village Zoning Department approval require.
5. Health Department approval require.
6. Provide code legend. Code in effect. Compliance method and level of alteration per 2017 FBC, Existing Building. The plans should reflect
compliance with applicable level of alteration.
7. Other comments may follow.
Building v.2 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov
Review item used to allow building to comment during a plan review
Comments: Pending mechanical approval.
Electrical v.1 Requires Re -submit Michael DeVaney email: null9
Comments: PANEL SCHEDULE TO SHOW AFCI AND GFI PROTECTION WHERE USED AND ALL CIRCUITS.
ADD RECEPTACLE TO1/2 BATHROOM,
IS SERVICE OVER HEAD OR UNDERGROUND?
USE AFCI / GFI COMBONATION BREAKERS WHERE GFI RECEPTACLE WOULD NOT BE READILY ACCES .
Electrical v.2 Approved CARLOS SOSA email: EL@MSVFL.G
- - -_ . ...... . ...... ....
Mechanical v.2 Requires Re -submit Jan Pierre Perez email: nu118
Comments: NEED MECH PLANS
Planning v.2 Approved Travis Kendall email: kendallt@msvfl.gov
Review conducted by the planning and zoning department
Plumbing v.1
Structural v.1
Approved Maykel Massanet email: pl@msvfl.gov
Approved Orlando Blanco email: nuII16
November 08, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1
ORfS
�h'rl=sik sa
f10 RI'D
PERMIT ADDRESS: 9119 N MIAMI AVE
Miami Shores, FL 33150
APPLICATION DATE 07/23/2019 SQUARE FEET:
EXPIRATION DATE: 01/19/2020 VALUATION:
CONTACTS NAME
Contractor HOME OWNER
HOME OWNER
Owner CONSTANCE NORTELUS
PARCEL: 1132060130070
1,800.00 DESCRIPTION: KITCHEN AND BATHROOM REMODELING
$60, 000.00
COMPANY ADDRESS
HOME OWNER
HOME OWNER
9119 N MIAMI AVE
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. Electrical approval require.
2. The scope of work reflected on the permit application does not reflect the full scope of work reflected on the plans.
3. Separate permit require for the fence.
4. Miami Shores Village Zoning Department approval require.
5. Health Department approval require.
6. Provide code legend. Code in effect. Compliance method and level of alteration per 2017 FBC, Existing Building. The plans should reflect
compliance with applicable level of alteration.
7. Other comments may follow.
Building v.2 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov
Review item used to allow building to comment during a plan review
Comments: Pending mechanical approval.
Electrical v.1 Requires Re -submit Michael DeVaney email: nu119
Comments: PANEL SCHEDULE TO SHOW AFCI AND GFI PROTECTION WHERE USED AND ALL CIRCUITS .
ADD RECEPTACLE TO1/2 BATHROOM,
IS SERVICE OVER HEAD OR UNDERGROUND?
USE AFCI / GFI COMBONATION BREAKERS WHERE GFI RECEPTACLE WOULD NOT BE READILY ACCESSIBLE.
Electrical v.2 Approved CARLOS SOSA email: EL@MSVFL.GOV
Mechanical v.2 Requires Re -submit Jan Pierre Perez email: nu118
Comments: NEED MECH PLANS
Planning v.2 Approved Travis Kendall email: kendallt@msvfl.gov
Review conducted by the planning and zoning department
Plumbing v.1 Approved Maykel Massanet email: pl@msvfl.gov
Structural v.1
Approved Orlando Blanco email: nu1116
November 08, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT*- 4 �_ �� _ I �,�78 DATE: a
to
(Name)
c Contractor
Owner
Architect
Picked up 2 sets of plans and (other) Corf4(�-i r�nS
Address: 911 °) I\j lam M 1U+nn ; kVs-k
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 continue permitting process.
Signatu
(s
PERMIT CLIERM INITIAL:
i,.
RESUBMITTED DATE: VO c9 3 1 Gl
PERMIT CLERK INITIAL: J . T ralda
ORES
� ss�sa; rCn
10RID
PERMIT ADDRESS: 9119 N MIAMI AVE
Miami Shores, FL 33150
APPLICATION DATE: 07/23/2019 SQUARE FEET:
EXPIRATION DATE: 01 /19/2020 VALUATION
CONTACTS NAME
Contractor HOME OWNER
HOMEOWNER
Owner CONSTANCE NORTELUS
PARCEL: 1132060130070
1,800.00 DESCRIPTION: KITCHEN AND BATHROOM REMODELING
$60,000.00
COMPANY ADDRESS
HOME OWNER
HOME OWNER
9119 N MIAMI AVE
REVIEW ITEM STATUS REVIEWER
Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov
Review i m used to allow building to comment during a plan review
Comments: 1. Electrical approval require.
2. The scope of work reflected on the permit application does not reflect the full scope of work reflected on the plans.
3. Separate permit require for the fence.
•Miami Shores Village Zoning Department approval require.
✓t.Health Department approval require.
6. Provide code legend. Code in effect. Compliance method and level of alteration per 2017 FBC, Existing Building. The plans should reflect
compliance with applicable level of alteration.
7. Other comments may follow.
Electrical v.1 Requires Re -submit Michael Devaney email: nu119
Comments: PANEL SCHEDULE TO SHOW AFCI AND GFI PROTECTION WHERE USED AND ALL CIRCUITS .
ADD RECEPTACLE TO1/2 BATHROOM,
IS SERVICE OVER HEAD OR UNDERGROUND?
USE AFCI / GFI COMBONATION BREAKERS WHERE GFI RECEPTACLE WOULD NOT BE READILY ACCESSIBLE.
Plumbing v.1 Approved Maykel Massanet email: pl@msvfl.gov
Structural v.1
Approved Orlando Blanco email: null16
August 06, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1
Mission:
Ron DeSantis
Governor
To protect, promote & improve the health
of all people in Florida through integrated
state, county & community efforts.
Scott A. Rivkees, MD
State Surgeon General
Vision : To be the Healthiest State in the Nation
Samuel Menard
9119 N Miami Avenue
Miami, FL 33150
RE: Contingency Letter
Application Document No: AP1433335
Centrax Permit Number: 13-SC-1989940
OSTDS Number:
9119 N Miami Ave
Miami, FL 33150
Lot:12 13 Block:1
October 18, 2019
NO OBJECTION
Florida Health Miami -Dade County
O.S.T.D.S. & Well Program
Application No.:�3 _
Date:
Signature
Subdivision: Miami Shores No. 1
Dear Applicant:
This will acknowledge receipt of an application dat�:d 09/13/2019 for a permit to use an existing
onsite sewage treatment and disposal system located on the above referenced property.
Review on 10/18/2019 by Gerard Philizaire
NO OBJECTION FOR THE KITCHEN RELOCATION AND INTERIOR WORK REMODELING.
NO IMPACT OVER THE EXISTING SEPTIC SYSTEM DEPICTED.
From a review of your completed application, it has been determined that your existing system
appears to meet the minimum standards of F.A.C. 64E-6 for the proposed use. It is approved for
use with the plans submitted to this office. If this sys�_m should fail, causing an unsanitary
condition to exist, steps must be taken to bring the system into compliance immediately.
Department approval of the system does not guaram.ee satisfactory performance for any specific
period of time. Any change in material facts which served as a basis for issuance of this approval
requires the applicant to modify the permit application. Such modification may result in this
approval being made null and void. Issuance of this approval does not exempt the applicant from
compliance with other Federal, State, or Local Permitting required for development of this
property.
If you have any questions on this matter, please call our office at (305) 623-3500.
Sincerely,
Gerard Philizaire, Environmental Manager
Florida Department of Health www.FloridaHealth.gov
in DADE COUNTY TWITTER:HealthyFLA
1725 NW 167 St, Opa Locka, FL 33056 FACEBOOK:FLDepartmentofHealth
PHONE: (305) 623-3500 FAX: (305) 623-3645 YOUTUBE: fldoh