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REV-04-21-964, 9119 N Miami AveBILLING CONTACT Joelle Nortelus`SNOR `!!� 9119 N Miami Ave Miami Shores, FI 33138 FtORIV Payment Date: 11 /03/2022 Reference Number Fee Name Transaction Type Payment Method Amount Paid REV-08-22-2085 Revision: Minor Change of Plans Fee Payment Credit Card $10.00 Scanning Fee (Manual) Fee Payment Credit Card $3.00 9119 N Miami Ave Miami Shores, FL 33150 SUB TOTAL $13.00 TOTAL Miami Shores Village Bui 10050 NE Second Avenue Miami Shores Village, FL 33138 305-762-4855 SALE TID: 00396576 REF#: 00008797 Batch #: 001436 RRN: 307619237569 11/03/22 10:26:09 APPR CODE: 002609 VISA Chip ************3983*/* AMOUNT $13.00 APPROVED VISA DEBIT AID: A0000000031010 TVR: 80 80 00 80 00 TSI: 68 00 Thank You $13.00 November 03, 2022 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1 Permit: E-mail: Phone: Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 -76 u _ 0-7 q Fax: (305) 756.8972 CERTIFICATE OF OCCUPANCY/COMPLETION CHECK LIST Building permit card. ❑ Surveys (2 copies) Final as built - Required Items: Elevations of buildings showing all intended setbacks from property lines and other existing structures. Ingress+ Egress, required parking spaces, Wheel stops, stripping, and all paving to exterior. ❑ Certificate of Elevation — (Sealed by surveyor). Expiration date required on the form. ❑ Certificate of Insulation. ❑ Certificate of Soil Treatment (Final treatment -original)\ CHAPTER 2913-5 TERMITE PROTECTION: "This Building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with the rules and law as established by the Florida Department of Agriculture and Consumer Services." ❑ Health Department Approval Letter (On septic or private water). Note: If the house is on septic tank, approval letter is required from Health Dpt. ❑ Soil Compaction Letter (Density report is required) ❑ Final certification letter from the Engineer/Architect (on masonry, trusses, special structure, etc) ❑ Declaration of use. (Recorded in Miami -Dade Clerk of Courts) ❑ Open Permits: rs Miami Shores Village c.FivEr) Building Department 1 ` 702i 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING FBC 20.�O_o Master Permit No.-0-4 — I G " (0�8 Sub Permit No. REVISION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING [:]MECHANICAL [-]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS: 01119 N • Mt O-nn& Ayx_n ky City: Miami Shores County: Miami Dade Zip: 3 31S o Folio/Parcel#: 1 13 2 O b o 1 3 0 01- u Is the Building Historically Designated: Yes NO ✓ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): O OnS - `Mr1C r✓ K O r+!-1US Phone#(,P)05� -+(.P-f--y T 49 Address: C� 1 l01 I-J • "t am i A-vC.r-, L. e_, City: Miawo't SV-yVrgs State: F1__ Zip: Z3)z Tenant/Lessee Name: Phone#: Email: S �l hAR It c—t Zy l�� JD • C� ►M 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: Zip: Value of Work for this Permit: 10 Square/Linear Footage of Work: Type of Work: ❑ Addition ElAlteration 1- ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 20 J✓ is 1 D Yl �► T ��,r. ><'�rn O d ' 1 Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $1 CO/CC $ Scanning Fee $ Radon Fee $ DBPR Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work.will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY: ` IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this i� day of l t P i' 1 20 by co nStnn-c who is personally known to me or who has produced IFL- C> L- as identification and who did take an oath. NOTARY PUBLIC: Sign: ' Print: I£'rl)G PV cc, I dCA Seal: .... SELENA ARA MY COMMISSION # �97f) 05 EXPIR g Otgry Public UrW ten APPROVED BY /1 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: *s***s*ss***s********•**s**********************r*****r*�e**s*s 7+1 Plans Examiner Zoning Structural Review Clerk 'Revised02/24/2014) � `SHORES li��' FNTES IN 50 I RIOr- PERMIT ADDRESS: 9119 N MIAMI AVE Miami Shores, FL 33150 APPLICATION DATE: 04/14/2021 SQUARE FEET: EXPIRATION DATE: 10/11/2021 VALUATION: CONTACTS NAME Contractor HOME OWNER HOMEOWNER Owner CONSTANCE NORTELUS PARCEL: 1132060130070 0.00 DESCRIPTION: REVISION (KITCHEN REMODEL) $0.00 COMPANY ADDRESS HOME OWNER HOMEOWNER 9119 N N MIAMI Ave Miami, FL 33150 REVIEW ITEM STATUS REVIEWER Building v.1 Requires Re -submit Ismael Naranjo email: bo@msvfl.gov Review item used to allow building to comment during a plan review Comments: Provide size and location of required cross ventilation of the new crawl space under the kitchen floor along with calculations as per 1203.4 and 1203.4.1 of 2017 FBC, Building. Electrical v.1 Requires Re -submit Michael Devaney email: el@msvfl.gov Correction: General - Michael DeVaney (4/20/21) - Not Resolved Corrective Action: RISER DIAGRAM AND PANEL SCHEDULE DON'T MATCH. NEC 220.82(A) IS FOR TOTAL LOAD NOT SUB FEEDS. 36,000 WATT WATER HEATER WILL DRAW 150 AMP AT 240 VOLT. A 100 AMP SUB FEED TO PANEL(B) WILL NOT WORK. PANEL B WILL REQUIRE 3 2 POLE 50 ANP. BREAKERS Plumbing v.1 Not Required Maykel Massanet email: pl@msvfl.gov Structural v.1 Approved Orlando Blanco email: bz3@msvfl.gov April 27, 2021 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ENTERED AUG 16 2022 Y. _ FBC 2020 - 74"" Master Permit No. REV-04-21-964 Sub Permit NkEik o s- ❑BUILDING Q ELECTRIC ❑ ROOFING 15a REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9119 N Miami Avenue City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:1132060130070 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Constance Nortelus Phone#:305-979-7216 ,,,4,4__.9119 N Miami Avenue City: Miaim Shores State: FL Zip: 33150 Tenant/Lessee Name: Phone#: Email: simplicity212@yahoo.com CONTRACTOR: Company Name: Rove[ Perry Phone#: 407-209-8156 Address: 1831 Lee Janzen Drive Kissimmee, FI 34744 Email: Qualifier Name: ROyel Perry Phone#: State Certification or Registration #: EC13009412 Certificate of Competency #: _ DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 2000.00 Square/Linear Footage of Work: 1 100 sf Type of Work: ❑ Addition H Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of work: Electrical for newly remodeled kitchen. Specify color of color thru tile: Submittal Fee $ Permit Fee $ • vim' CCF $ CO/CC $ Scanning Fee $ 3 • W DCA Fee $ Technology Fee $ Structural Reviews $ Training/Education Fee $ DBPR $ Notary $, Double Fee $ P&Z Review $ Bond $ TOTAL FEE NOW DUE $ 7 (Revised04/05/2022) PERED /1i6 16 Z022 Bonding Company's Name (if applicable) Ry. 1 2-4 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 approved and a reinspection fee will be charged. Signature�Signatur<� OWNER or AGENT The foregoing instrument was acknowledged before me this day of A 'WOW 20 94 by 0 <�faaee Allwho is personally known to me or who has produceas identification and who did take an oath. NOTARY PUBLIC: Sign: U Print: Seal: aY PUe�� Nie.'.HH 222 Comm410 Expires: Jan. 31, 2026 Notary. Public . State of Florida APPROVED BY CONTRACTOR The foregoing instrument was acknowledged before me this 12day of "�7(�Si 20 `' by Rwp %%�, t'�- rr jl __,who ersonally kn n to me or who has produced identification and who did take an oath. NOTARY PU Sign: Pri �C 1 Seal: s;<v= AdYGOMMISS,I�OyN� Gy�yG#-**y24584q `,��o''. BOtIdP.��iYII�IPIIDrIC.nNalm�9f8 Plans Examiner as Zoning (Revised04/05/2022) Structural Review 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 N MIAMI Ave, Miami, FL 33150 HOME OWNER Home: 3059797216 simplicity212@yahoo.com Inspection Requests: Description: REVISION (KITCHEN REMODEL) Valuation: $ 0.00 Total Sq Feet: 0.00 Fees Amount Revision: Major Change of Plans $90.00 Scanning Fee (Manual) $9.00 Structural Review ($90) $90.00 Total: $189.00 Building Department Copy Payments Date Paid Amt Paid Total Fees $189.00 Credit Card 07/14/2021 $189.00 Amount Due: $0.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERSAFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regykatingcor*truction and zoning. Futhermore, I authorize the above named contractor to do the work stated. r' / Applicant / Contractor / Agent Date July 14, 2021 Page 2 of 2